Controlled release metformin compositions
View Patent ↗A composition for treating patients having non-insulin-dependent diabetes mellitus (NIDDM) by administering a controlled release oral solid dosage form containing preferably a biguanide drug such as metformin, on a once-a-day basis. The dosage form provides a mean time to maximum plasma concentration (T max ) of the drug which occurs at 5.5 to 7.5 hours after oral administration on a once-a-day basis to human patients. Preferably, the dose of drug is administered at dinnertime to a patient in the fed state.
1. A controlled release oral dosage form for the reduction of serum glucose levels in human patients with NIDDM, comprising an effective dose of metformin or a pharmaceutically acceptable salt thereof and a controlled-release carrier to control the release of said metformin or pharmaceutically acceptable salt thereof from said dosage form, said dosage form being suitable for providing once-a-day oral administration of the metformin or pharmaceutically acceptable salt thereof, wherein following oral administration of a single dose, the dosage form provides a mean time to maximum plasma concentration (T max ) of the metformin from 5.5 to 7.5 hours after administration following dinner.
2. The controlled release oral dosage form of claim 1 , which provides a mean time to maximum plasma concentration (T max ) of metformin at from 6.0 to 7.0 hours after the administration of the dose.
3. The controlled release oral dosage form of claim 1 , which provides a mean time to maximum plasma concentration (T max ) of metformin at from 5.5 to 7.0 hours after the administration of the dose.
4. The controlled release oral dosage form of claim 1 , which exhibits the following dissolution profiles when tested in a USP type 2 apparatus at 75 rpm in 900 ml of simulated intestinal fluid (pH 7.5 phosphate buffer) and at 37 C:
0-30% of the metformin or salt thereof is released after 2 hours;
10-45% of the metformin or salt thereof is released after 4 hours;
30-90% of metformin or salt thereof is released after 8 hours;
not less than 50% of the metformin or salt thereof is released after 12 hours;
not less than 60% of the metformin or salt thereof is released after 16 hours; and
not less than 70% of the metformin or salt thereof is released after 20 hours.
5. The controlled release oral dosage form of claim 1 , which exhibits the following dissolution profiles when tested in a USP type 2 apparatus at 75 rpm in 900 ml of simulated intestinal fluid (pH 7.5 phosphate buffer) and at 37 C:
0-25% of the metformin or salt thereof is released after 2 hours;
20-40% of the metformin or salt thereof is released after 4 hours;
45-90% of the metformin or salt thereof is released after 8 hours;
not less than 60% of the metformin or salt thereof is released after 12 hours;
not less than 70% of the metformin or salt thereof is released after 16 hours; and
not less than 80% of the metformin or salt thereof is released after 20 hours.
6. The controlled release oral dosage form of claim 1 , which provides a width at 50% of the height of a mean plasma concentration/time curve of the metformin from about 4.5 to about 13 hours.
7. The controlled release oral dosage form of claim 1 , which provides a width at 50% of the height of a mean plasma concentration/time curve of the metformin from about 5.5 to about 10 hours.
8. The controlled release oral dosage form of claim 1 , which provides a mean maximum plasma concentration (C max ) of metformin which is more than about 7 times the mean plasma level of said metformin at about 24 hours after the administration.
9. The controlled release oral dosage form of claim 1 , which provides a mean maximum plasma concentration (C max ) of metformin which is from about 7 times to about 14 times the plasma level of said metformin at about 24 hours after administration.
10. The controlled release oral dosage form of claim 1 which provides a mean maximum plasma concentration (C max ) of metformin which is from about 8 times to about 12 times the plasma level of said metformin at about 24 hours after administration.
11. The controlled release oral dosage form of claim 1 which provides a mean maximum plasma concentration (C max ) of metformin from about 1500 ng/ml to about 3000 ng/ml, based on administration of a 2000 mg once-a-day dose of metformin.
12. The controlled release oral dosage form of claim 1 , which provides a mean maximum plasma concentration (C max ) of metformin from about 1700 ng/ml to about 2000 ng/ml, based on administration of a 2000 mg once-a-day dose of metformin.
13. The controlled release oral dosage form of claim 1 which provides a mean AUC 0-24hr of at least 80% of the mean AUC 0-24 provided by administration of an immediate release reference standard twice a day, wherein the daily dose of the reference standard is substantially equal to the once-a-day dose of metformin administered in the controlled release oral dosage form.
14. The controlled release oral dosage form of claim 1 which provides a mean AUC 0-24hr of at least 90% of the mean AUC 0-24 provided by administration of an immediate release reference standard twice a day, wherein the daily dose of the reference standard is substantially equal to the once-a-day dose of metformin administered in the controlled release oral dosage form.
15. The controlled release oral dosage form of claim 1 which provides a mean AUC 0-24hr from about 17200 ng.hr/ml to about 33900 ng.hr/ml, based on administration of a 2000 mg once-a-day dose of metformin.
16. The controlled release oral dosage form of claim 1 which provides a mean AUC 0-24hr from about 17200 ng.hr/ml to about 26500 ng.hr/ml, based on administration of a 2000 mg once-a-day dose of metformin.
17. The controlled release oral dosage form of claim 1 which provides a mean AUC 0-24hr from about 19800 ng.hr/ml to about 33900 ng.hr/ml, based on administration of a 2000 mg once-a-day dose of metformin.
18. The controlled release oral dosage form of claim 1 which provides a mean AUC 0-∞ of 18277±2961 ng.hr/ml and a mean C max of 1929±333 ng/ml, for administration of a 1700 mg once-a-day dose of metformin after an evening meal.
19. The controlled release oral dosage form of claim 1 which provides a mean AUC 0-∞ of 20335±4360 ng.hr/ml and a mean C max of from 2053±447 ng/ml, for administration of a 2000 mg once-a-day dose of metformin after an evening meal.
20. The controlled release oral dosage form of claim 1 which provides a mean AUC 0-24 of 26818±7052 ng.hr/ml and a mean C max of 2849±797 ng/ml, for, administration of a 2000 mg once-a-day dose of metformin after an evening meal.
21. The controlled release oral dosage form of claim 1 which provides a mean AUC 0-24 of 22590±3626 ng.hr/ml and a mean C max of 2435±630 ng/ml on the first day of administration and a mean AUC 0-24 of 24136±7996 ng.hr/ml and a mean C max of 2288±736 ng/ml on the 14 th day of administration, for administration of a 2000 mg once-a-day dose of metformin after an evening meal.
22. The controlled release oral dosage form of claim 12 which provides a mean t 1/2 from 2.8 to 4.4.
23. The controlled release oral dosage form of claim 6 , which provides a mean time to maximum plasma concentration (T max ) of metformin from 6.0 to 7.0 hours after the administration.
24. The controlled release oral dosage form of claim 6 , which provides a mean time to maximum plasma concentration (T max ) of metformin from 5.5 to 7.0 hours after administration.
25. The controlled release dosage form of claim 1 , wherein the metformin or pharmaceutically acceptable salt thereof is provided by at least one controlled-release tablet, said tablet comprising:
(a) a core comprising:
(i) the metformin or a pharmaceutically acceptable salt;
(ii) optionally a binding agent; and
(iii) optionally an absorption enhancer;
(b) a membrane coating surrounding the core; and
(c) at least one passageway in the membrane.