Compositions comprising dexamethasone
A pharmaceutical composition useful for the treatment of multiple myeloma in combination with an anti-cancer drug is provided. The pharmaceutical composition includes high-dose dexamethasone or a pharmaceutically acceptable salt or solvate thereof.
1. A pharmaceutical composition comprising:
i) about 15 to about 25 wt.-% dexamethasone or a pharmaceutically acceptable salt or solvate thereof;
ii) about 45 to about 60 wt.-% filler;
iii) about 10 to about 30 wt.-% binder;
iv) about 2 to about 10 wt.-% disintegrant; and
v) about 0.01 to about 5 wt.-% lubricant;
wherein presence of all components add to 100 wt.-%, and wherein the pharmaceutical composition is prepared by wet granulation.
2. The pharmaceutical composition of claim 1 , wherein the filler comprises lactose.
3. The pharmaceutical composition of claim 1 , wherein the binder comprises starch, polyvinylpyrrolidone or a combination thereof.
4. The pharmaceutical composition of claim 1 , wherein the disintegrant comprises sodium carboxymethyl starch.
5. The pharmaceutical composition of claim 1 , wherein the lubricant comprises magnesium stearate.
6. The pharmaceutical composition of claim 1 in the form of a tablet.
7. The pharmaceutical composition of claim 6 in the form of an uncoated tablet.
8. The pharmaceutical composition of claim 1 formulated into a unit dosage form suitable for oral administration.
9. The pharmaceutical composition of claim 8 , wherein the unit dosage form comprises 20 mg of dexamethasone.
10. A process for preparing the pharmaceutical composition of claim 1 , the process comprising:
i) wet granulating dexamethasone or a pharmaceutically acceptable salt or solvate thereof, a binder, a filler, and a disintegrant to obtain a wet granulate;
ii) drying the wet granulate of step (i) to obtain a dry granulate having a Loss on Drying (LOD) % of about 1.5% to about 5%; and
iii) admixing the dry granulate of step (ii) with a lubricant to obtain a pharmaceutical composition.
11. The process of claim 10 , wherein step (i) comprises:
i a ) dry mixing dexamethasone or a pharmaceutically acceptable salt or solvate thereof, a binder, a filler, and a disintegrant to obtain a dry mixture; and
i b ) spraying the thus obtained dry mixture with a granulation solution or suspension to obtain a wet granulate.
12. The process of claim 10 , further comprising the step of:
iv) compressing the pharmaceutical composition of step iii) to obtain a tablet or a caplet.
13. A pharmaceutical composition prepared by the process of claim 10 .
14. A method of treating multiple myeloma in a subject in need thereof comprising administering to the subject the pharmaceutical composition of claim 1 in combination with an anti-cancer drug.
15. The method of claim 14 , wherein the anti-cancer drug is thalidomide.
16. An uncoated tablet comprising:
i) about 15 to about 25 wt.-% dexamethasone or a pharmaceutically acceptable salt or solvate thereof;
ii) about 45 to about 60 wt.-% filler;
iii) about 10 to about 30 wt.-% binder;
iv) about 2 to about 10 wt.-% disintegrant; and
v) about 0.01 to about 5 wt.-% lubricant;
wherein presence of all components add to 100 wt.-%, and wherein the uncoated tablet is prepared by wet granulation.
17. The uncoated tablet of claim 16 , wherein the filler comprises lactose.
18. The uncoated tablet of claim 16 , wherein the binder comprises starch, polyvinylpyrrolidone or a combination thereof.
19. The uncoated tablet of claim 16 , wherein the disintegrant comprises sodium carboxymethyl starch.
20. The uncoated tablet of claim 16 , wherein the lubricant comprises magnesium stearate.
21. The uncoated tablet of claim 16 comprising 20 mg of dexamethasone.
22. A process for preparing the uncoated tablet of claim 16 , the process comprising:
i) wet granulating dexamethasone or a pharmaceutically acceptable salt or solvate thereof, a binder, a filler, and a disintegrant to obtain a wet granulate;
ii) drying the wet granulate of step (i) to obtain a dry granulate having a Loss on Drying (LOD) % of about 1.5% to about 5%;
iii) admixing the dry granulate of step (ii) with a lubricant to obtain a pharmaceutical composition; and
iv) compressing the pharmaceutical composition of step iii) to obtain an uncoated tablet.
23. The process of claim 22 , wherein step (i) comprises:
i a ) dry mixing dexamethasone or a pharmaceutically acceptable salt or solvate thereof, a binder, a filler, and a disintegrant to obtain a dry mixture; and
i b ) spraying the thus obtained dry mixture with a granulation solution or suspension to obtain a wet granulate.
24. An uncoated tablet prepared by the process of claim 22 .
25. A method of treating multiple myeloma in a subject in need thereof comprising administering to the subject the uncoated tablet of claim 16 in combination with an anti-cancer drug.
26. The method of claim 25 , wherein the anti-cancer drug is thalidomide.
27. The pharmaceutical composition of claim 2 , wherein the filler comprises lactose monohydrate.
28. The uncoated tablet of claim 17 , wherein the filler comprises lactose monohydrate.