Opioid antagonist compositions and dosage forms
First Claim
1. A dosage form comprising an opioid antagonist in an amount from about 0.0001 mg to about 1 mg or less than 1 mg.
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Accused Products
Abstract
The present invention is directed to novel dosage forms, pharmaceutical compositions, kits, and methods of administration of an opioid antagonist in an amount of at least about 0.0001 mg to about or less than about 1.0 mg, including from about 0.0001 mg to less than about 0.5 mg. Solid oral dosage forms are disclosed consisting essentially of an opioid antagonist or alternatively comprising an opioid antagonist and another active ingredient, such as an opioid agonist. Immediate release oral dosage forms are disclosed that release all or a substantial percentage of opioid antagonist, and another active ingredient when present, in a desired time. Concurrent release dosage forms are disclosed that provide concurrent release of an opioid antagonist and another active ingredient.
221 Citations
171 Claims
- 1. A dosage form comprising an opioid antagonist in an amount from about 0.0001 mg to about 1 mg or less than 1 mg.
- 23. A pharmaceutical composition comprising an opioid antagonist in an amount from about 0.0001 mg to about 1 mg or less than 1 mg and a pharmaceutically acceptable carrier.
- 48. A solid oral dosage form consisting essentially of an opioid antagonist in an amount from about 0.0001 mg to less than 0.5 mg.
- 64. A solid oral dosage form consisting essentially of naltrexone in an amount from about 0.0001 mg to less than about 0.5 mg.
- 66. A solid oral dosage form consisting essentially of nalmefene in an amount from about 0.0001 mg to less than about 0.5 mg.
- 68. A solid oral dosage form comprising an opioid antagonist in an amount from about 0.0001 mg to less than about 0.5 mg and an opioid agonist in an amount from about 0.1 mg to about 300 mg.
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114. An immediate release solid oral dosage form comprising an opioid antagonist present in an amount from about 0.0001 to less than about 0.5 mg;
- at least one pharmaceutical excipient;
wherein greater than 90% of the opioid antagonist is released in less than about 45 minutes after exposure to an aqueous environment. - View Dependent Claims (115, 116, 117, 118, 119, 120, 121, 122, 123, 124, 125, 126, 127, 128, 129, 130)
- at least one pharmaceutical excipient;
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131. An immediate release solid oral dosage form comprising:
- an opioid antagonist present in an amount from about 0.0001 mg to less than 0.5 mg;
another active pharmaceutical ingredient;
at least one pharmaceutical excipient;
wherein the opioid antagonist and the other active ingredient are released in less than about 1.5 hours after exposure to an aqueous environment. - View Dependent Claims (132, 136, 137, 138)
- an opioid antagonist present in an amount from about 0.0001 mg to less than 0.5 mg;
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133. A concurrent release combination solid oral dosage form comprising:
- an opioid antagonist present in an amount from about 0.0001 mg to less than about 0.5 mg;
another active pharmaceutical ingredient;
at least one pharmaceutical excipient;
wherein the opioid antagonist and the other active pharmaceutical ingredient are released concurrently. - View Dependent Claims (134, 135, 139, 140, 141)
- an opioid antagonist present in an amount from about 0.0001 mg to less than about 0.5 mg;
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142. A combination solid oral dosage form comprising:
- an opioid agonist;
an opioid antagonist;
at least one pharmaceutical excipient;
wherein the dosage form provides an agonist dissolution percentage and an antagonist dissolution percentage, as measured by the USP Paddle Method at 75 rpm in 500 ml of 0.1 HCl media at about 37°
C., and the agonist dissolution percentage and the antagonist dissolution percentage are substantially the same at any time from 5 minutes to 30 minutes. - View Dependent Claims (143, 144, 145)
- an opioid agonist;
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146. A combination solid oral dosage form comprising:
- an opioid antagonist present in an amount from about 0.0001 mg to less than about 0.5 mg;
an opioid agonist present in an amount from about 0.1 mg to about 300 mg; and
at least one pharmaceutical excipient;
wherein the dosage form comprises a pharmaceutical composition comprising a coated solid substrate, the coated solid substrate comprising;
a solid substrate comprising the opioid agonist and at least one pharmaceutical excipient; and
a coat at least partially surrounding the solid substrate, and the coat comprises the opioid antagonist and at least one pharmaceutical excipient. - View Dependent Claims (147)
- an opioid antagonist present in an amount from about 0.0001 mg to less than about 0.5 mg;
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148. A combination solid oral dosage form comprising:
- a opioid antagonist present in an amount from about 0.0001 mg to less than about 0.5 mg;
an opioid agonist present in an amount from about 0.1 mg to about 300 mg; and
at least one pharmaceutical excipient;
wherein the dosage form comprises a pharmaceutical composition comprising a coated solid substrate, the coated solid substrate comprising;
an inert nonpareil bead or pellet;
a coat at least partially surrounding the bead or pellet, and the coat comprises the opioid antagonist, the opioid agonist, a binder, a plasticizer and at least one pharmaceutical excipient.
- a opioid antagonist present in an amount from about 0.0001 mg to less than about 0.5 mg;
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149. A combination solid oral dosage form comprising:
- an opioid antagonist present in an amount from about 0.0001 mg to less than about 0.5 mg;
an opioid agonist present in an amount from about 0.1 mg to about 300 mg; and
at least one pharmaceutical excipient;
wherein the solid dosage form comprises a pharmaceutical composition comprising first and second coated solid substrates, and;
the first coated solid substrate comprises a nonpareil pellet or bead and a first coat at least partially surrounding the pellet or bead and the first coat comprises a binder and an opioid antagonist; and
the second coated solid substrate comprises a nonpareil pellet or bead and a second coat at least partially surrounding the pellet or bead, and the second coat comprises a binder and an opioid agonist. - View Dependent Claims (150, 151)
- an opioid antagonist present in an amount from about 0.0001 mg to less than about 0.5 mg;
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152. A combination solid oral dosage form comprising:
- an opioid antagonist present in an amount from about 0.0001 mg to less than about 0.5 mg;
an opioid agonist present in an amount from about 0.1 mg to about 300 mg; and
at least one pharmaceutical excipient;
wherein the solid dosage form comprises a pharmaceutical composition comprising first and second granulations; and
the first granulation comprises a binder and the opioid antagonist; and
the second granulation comprises a binder and the opioid agonist. - View Dependent Claims (153, 154, 155)
- an opioid antagonist present in an amount from about 0.0001 mg to less than about 0.5 mg;
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156. A combination solid oral dosage form comprising:
- an opioid antagonist present in an amount from about 0.0001 mg to less than about 0.5 mg;
an opioid agonist present in an amount from about 0.1 mg to about 300 mg; and
at least one pharmaceutical excipient;
wherein the solid dosage form comprises a pharmaceutical composition comprising a coated granulation comprising a mixture of two or more pharmaceutical excipients; and
a coat at least partially surrounding the mixture, and the coat comprises a binder, an opioid agonist and an opioid antagonist. - View Dependent Claims (157, 158, 159)
- an opioid antagonist present in an amount from about 0.0001 mg to less than about 0.5 mg;
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160. A combination solid oral dosage form comprising:
- an opioid antagonist present in an amount from about 0.0001 mg to less than about 0.5 mg;
an opioid agonist present in an amount from about 0.1 mg to about 300 mg; and
at least one pharmaceutical excipient;
wherein the solid dosage form comprises a pharmaceutical composition comprising a coated granulation comprising a mixture of two or more pharmaceutical excipients and the opioid agonist; and
a coat at least partially surrounding the mixture, and the coat comprises a binder and the opioid antagonist. - View Dependent Claims (161, 162, 163)
- an opioid antagonist present in an amount from about 0.0001 mg to less than about 0.5 mg;
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164. A combination solid oral dosage form comprising:
- an opioid antagonist present in an amount from about 0.0001 mg to less than about;
an opioid agonist present in an amount from about 0.1 mg to about 300 mg; and
at least one pharmaceutical excipient;
wherein the solid dosage form comprises a spray-dried pharmaceutical composition comprising a mixture of the at least one pharmaceutical excipient, the opioid agonist and the opioid antagonist. - View Dependent Claims (165, 166, 167)
- an opioid antagonist present in an amount from about 0.0001 mg to less than about;
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168. A combination solid oral dosage form comprising:
- an opioid antagonist present in an amount from about 0.0001 mg to less than about 0.5 mg;
an opioid agonist present in an amount from about 1.0 mg to about 300 mg; and
at least one pharmaceutical excipient;
wherein the solid dosage form comprises a suspension-filled soft gelatin capsule comprising;
a soft gelatin capsule; and
a suspension within the capsule comprising a non-aqueous vehicle in liquid form, the opioid agonist in solid form, and the opioid antagonist in solid form. - View Dependent Claims (169)
- an opioid antagonist present in an amount from about 0.0001 mg to less than about 0.5 mg;
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170. A method for administering at therapeutic dose of an opioid antagonist to a human subject consisting essentially of administering a solid oral dosage form comprising an opioid antagonist present in an amount from about 0.0001 mg to less than about 0.5 mg, and an opioid agonist present in an amount from about 0.1 mg to about 300 mg.
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171. A pharmaceutical kit comprising a dosage form comprising an opioid antagonist present in an amount from about 0.0001 mg to less than about 0.5 mg, and an opioid agonist present in an amount from about 0.1 mg to about 300 mg.
Specification