Gastric retentive oral dosage form with restricted drug release in the lower gastrointestinal tract
View Patent ↗Controlled release oral dosage forms are provided for the continuous, sustained administration of a pharmacologically active agent to the upper gastrointestinal tract of a patient in whom the fed mode as been induced. The majority of the agent is delivered, on an extended release basis, to the stomach, duodenum and upper regions of the small intestine, with drug delivery in the lower gastrointestinal tract and colon substantially restricted. The dosage form comprises a matrix of a biocompatible, hydrophilic, erodible polymer with an active agent incorporated therein, wherein the polymer is one that both swells in the presence of water and gradually erodes over a time period of hours, with swelling and erosion commencing upon contact with gastric fluid, and drug release rate primarily controlled by erosion rate.
1. An oral dosage form consisting essentially of:
a single unencapsulated tablet comprising a single matrix/active agent layer, wherein the single matrix/active agent layer comprises a dose of a first pharmacologically active agent dispersed in a polymer matrix;
wherein the polymer matrix is comprised of a biocompatible, hydrophilic polyalkylene oxide and a disintegrant wherein the polymer matrix has an erosion rate (ER) to dissolution rate (DR) ratio of about 1.2:1 to 5:1,
wherein the tablet upon imbibition of water swells unrestrained dimensionally to a size effective to promote gastric retention for a time period of about 4 to 9 hours, and
wherein upon oral administration the dosage form maintains its size for the time period before it is diminished by erosion,
wherein the first pharmacologically active agent is selected from the group consisting of gabapentin and a neuroleptic agent and is present in an amount in a range of about 60% to about 80% of the dosage form by volume, and
wherein at least 80 wt. % of the first active agent in the dosage form is released by erosion of the polymer matrix within the time period.
2. The dosage form of claim 1 , wherein the polyalkylene oxide comprises one selected from the group consisting of poly(ethylene oxide), polyethylene glycol, poly(ethylene oxide)-poly(propylene oxide) copolymers, and combinations thereof.
3. The dosage form of claim 2 , wherein the polyalkylene oxide has a number average molecular weight of about 7 million, about 5 million, about 4 million, about 2 million, about 900,000, or about 200,000.
4. The dosage form of claim 1 , wherein the polyalkylene oxide comprises a poly(ethylene oxide).
5. The dosage form of claim 1 , wherein the therapeutically effective amount of the first active agent in the dosage form is about 60% of the dosage form by volume.
6. The dosage form of claim 1 , wherein the dosage form is characterized by an ER to DR ratio of approximately 1.2:1 to approximately 3:1.
7. The dosage form of claim 1 , wherein the dosage form is characterized by an ER to DR ratio of approximately 1.3:1 to approximately 2:1.
8. The dosage form of claim 1 , wherein the dosage form is characterized by an ER to DR ratio of approximately 1.5:1 to approximately 2:1.
9. The dosage form of claim 1 , wherein the neuroleptic agent is selected from the group consisting of antidepressant drugs, antimanic drugs, antipsychotic agents, and antiparkinsonism drugs.
10. The dosage form of claim 1 , wherein the first active agent is gabapentin.
11. The dosage form of claim 1 , wherein said active agent possesses an aqueous solubility that decreases with increasing pH.
12. The dosage form of claim 11 , wherein following administering of said dosage form and gastric retention thereof, the dosage form passes into the lower gastrointestinal tract, whereby active agent remaining in the dosage form is insoluble and unavailable for absorption.
13. The dosage form of claim 1 , wherein the matrix/active agent dosage form further comprises a second pharmacologically active agent.