Pharmaceutical combinations of oxycodone and naloxone
First Claim
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1. An oral pharmaceutical sustained release composition comprising active ingredients consisting essentially of about 10 mg oxycodone hydrochloride and 0.80 to 0.90 mg naloxone hydrochloride,wherein the oxycodone hydrochloride and the naloxone hydrochloride are interdispersed in a matrix comprising a sustained release excipient, andthe composition, when tested in-vitro by the USP Apparatus I (Basket) method of U.S. Pharmacopoeia XXIV (2000) at 100 rpm in 900 ml simulated gastric fluid (SGF) at 37°
- C., providesa dissolution rate of the oxycodone hydrochloride such that from about 20 to about 60% (by weight) oxycodone hydrochloride is released at 1 hour, from about 40 to about 90% (by weight) oxycodone hydrochloride is released at 4 hours, and greater than about 70% (by weight) oxycodone hydrochloride is released at 12 hours, anda dissolution rate of the naloxone hydrochloride which is within about 30% of the dissolution rate of the oxycodone hydrochloride at 1 hour, 4 hours and 12 hours.
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Abstract
Disclosed in certain embodiments is a pharmaceutical composition comprising from 10 to 40 mg of oxycodone or a pharmaceutically acceptable salt thereof and 0.65 to 0.90 mg naloxone or a pharmaceutically acceptable salt thereof.
245 Citations
38 Claims
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1. An oral pharmaceutical sustained release composition comprising active ingredients consisting essentially of about 10 mg oxycodone hydrochloride and 0.80 to 0.90 mg naloxone hydrochloride,
wherein the oxycodone hydrochloride and the naloxone hydrochloride are interdispersed in a matrix comprising a sustained release excipient, and the composition, when tested in-vitro by the USP Apparatus I (Basket) method of U.S. Pharmacopoeia XXIV (2000) at 100 rpm in 900 ml simulated gastric fluid (SGF) at 37° - C., provides
a dissolution rate of the oxycodone hydrochloride such that from about 20 to about 60% (by weight) oxycodone hydrochloride is released at 1 hour, from about 40 to about 90% (by weight) oxycodone hydrochloride is released at 4 hours, and greater than about 70% (by weight) oxycodone hydrochloride is released at 12 hours, and a dissolution rate of the naloxone hydrochloride which is within about 30% of the dissolution rate of the oxycodone hydrochloride at 1 hour, 4 hours and 12 hours. - View Dependent Claims (4, 5, 6, 7, 8, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 36)
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2. An oral pharmaceutical sustained release composition comprising active ingredients consisting essentially of about 20 mg oxycodone hydrochloride and 0.80 to 0.90 mg naloxone hydrochloride,
wherein the oxycodone hydrochloride and the naloxone hydrochloride are interdispersed in a matrix comprising a sustained release excipient, and the composition, when tested in-vitro by the USP Apparatus I (Basket) method of U.S. Pharmacopoeia XXIV (2000) at 100 rpm in 900 ml simulated gastric fluid (SGF) at 37° - C., provides
a dissolution rate of the oxycodone hydrochloride such that from about 20 to about 60% (by weight) oxycodone hydrochloride is released at 1 hour, from about 40 to about 90% (by weight) oxycodone hydrochloride is released at 4 hours, and greater than about 70% (by weight) oxycodone hydrochloride is released at 12 hours, and a dissolution rate of the naloxone hydrochloride which is within about 30% of the dissolution rate of the oxycodone hydrochloride at 1 hour, 4 hours and 12 hours. - View Dependent Claims (37)
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3. An oral pharmaceutical sustained release composition comprising active ingredients consisting essentially of about 40 mg oxycodone hydrochloride and 0.80 to 0.90 mg naloxone hydrochloride in a sustained release dosage form,
wherein the oxycodone hydrochloride and the naloxone hydrochloride are interdispersed in a matrix comprising a sustained release excipient, and the composition, when tested in-vitro by the USP Apparatus I (Basket) method of U.S. Pharmacopoeia XXIV (2000) at 100 rpm in 900 ml simulated gastric fluid (SGF) at 37° - C., provides
a dissolution rate of the oxycodone hydrochloride such that from about 20 to about 60% (by weight) oxycodone hydrochloride is released at 1 hour, from about 40 to about 90% (by weight) oxycodone hydrochloride is released at 4 hours, and greater than about 70% (by weight) oxycodone hydrochloride is released at 12 hours, and a dissolution rate of the naloxone hydrochloride which is within about 30% of the dissolution rate of the oxycodone hydrochloride at 1 hour, 4 hours and 12 hours. - View Dependent Claims (38)
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9. An oral pharmaceutical sustained release composition comprising active ingredients consisting essentially of about 10 mg to about 40 mg oxycodone or a pharmaceutically acceptable salt thereof and 0.65 to 0.90 mg naloxone or a pharmaceutically acceptable salt thereof,
wherein the oxycodone and the naloxone are interdispersed in a matrix comprising a sustained release excipient, and the composition, when tested in-vitro by the USP Apparatus I (Basket) method of U.S. Pharmacopeia XXIV (2000) at 100 rpm in 900 ml simulated gastric fluid (SGF) at 37° - C., provides
a dissolution rate of the oxycodone such that from about 20 to about 60% (by weight) oxycodone is released at 1 hour, from about 40 to about 90% (by weight) oxycodone is released at 4 hours, and greater than about 70% (by weight) oxycodone is released at 12 hours, and a dissolution rate of the naloxone which is within about 20% of the dissolution rate of the oxycodone at 1 hour, 4 hours and 12 hours.
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22. An oral pharmaceutical sustained release composition comprising active ingredients consisting essentially of about 10 mg to about 40 mg oxycodone or a pharmaceutically acceptable salt thereof and 0.65 to 0.90 mg naloxone or a pharmaceutically acceptable salt thereof, wherein the oxycodone and the naloxone are interdispersed in a matrix comprising a sustained release excipient, and the composition provides
a mean Cmax of plasma naloxone of less than 5 pg/ml upon single dose administration to a population of human subjects, and when tested in-vitro by the USP Apparatus I (Basket) method of U.S. Pharmacopoeia XXIV (2000) at 100 rpm in 900 ml simulated gastric fluid (SGF) at 37° - C., provides
a dissolution rate of the oxycodone such that from about 20 to about 60% (by weight) oxycodone is released at 1 hour, from about 40 to about 90% (by weight) oxycodone is released at 4 hours, and greater than about 70% (by weight) oxycodone is released at 12 hours, and a dissolution rate of the naloxone which is within about 30% of the dissolution rate of the oxycodone at 1 hour, 4 hours and 12 hours. - View Dependent Claims (24, 25, 26)
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23. An oral pharmaceutical sustained release composition comprising active ingredients consisting essentially of about 10-40 mg oxycodone or a pharmaceutically acceptable salt thereof and 0.65 to 0.75 mg naloxone or a pharmaceutically acceptable salt thereof, wherein the oxycodone and the naloxone are interdispersed in a matrix comprising a sustained release excipient, and the composition, when tested in-vitro by the USP Apparatus I (Basket) method of U.S. Pharmacopoeia XXIV (2000) at 100 rpm in 900 ml simulated gastric fluid (SGF) at 37°
- C., provides
a dissolution rate of the oxycodone such that from about 20 to about 60% (by weight) oxycodone is released at 1 hour, from about 40 to about 90% (by weight) oxycodone is released at 4 hours, and greater than about 70% (by weight) oxycodone is released at 12 hours, and a dissolution rate of the naloxone which is within about 30% of the dissolution rate of the oxycodone at 1 hour, 4 hours and 12 hours.
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27. A method of treating pain in a human patient comprising orally administering a pharmaceutical sustained release composition comprising active ingredients consisting essentially of about 10 mg to about 40 mg oxycodone or a pharmaceutically acceptable salt thereof and 0.65 to 0.90 mg naloxone or a pharmaceutically acceptable salt thereof to a patient in pain,
wherein the oxycodone and the naloxone are interdispersed in a matrix comprising a sustained release excipient, and the composition, when tested in-vitro by the USP Apparatus I (Basket) method of U.S. Pharmacopoeia XXIV (2000) at 100 rpm in 900 ml simulated gastric fluid (SGF) at 37° - C., provides
a dissolution rate of the oxycodone such that from about 20 to about 60% (by weight) oxycodone is released at 1 hour, from about 40 to about 90% (by weight) oxycodone is released at 4 hours, and greater than about 70% (by weight) oxycodone is released at 12 hours, and a dissolution rate of the naloxone which is within about 30% of the dissolution rate of the oxycodone at 1 hour, 4 hours and 12 hours. - View Dependent Claims (28)
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29. A method of preparing a sustained release dosage form comprising incorporating a sustained release excipient and active ingredients consisting essentially of 0.65 to 0.90 mg naloxone or a pharmaceutically acceptable salt thereof and about 10 to about 40 mg oxycodone or a pharmaceutically acceptable salt thereof into a pharmaceutical composition,
such that the oxycodone and the naloxone become interdispersed in a matrix comprising the sustained release excipient, and the composition, when tested in-vitro by the USP Apparatus I (Basket) method of U.S. Pharmacopoeia XXIV (2000) at 100 rpm in 900 ml simulated gastric fluid (SGF) at 37° - C., provides
a dissolution rate of the oxycodone such that from about 20 to about 60% (by weight) oxycodone is released at 1 hour, from about 40 to about 90% (by weight) oxycodone is released at 4 hours, and greater than about 70% (by weight) oxycodone is released at 12 hours, and a dissolution rate of the naloxone which is within about 30% of the dissolution rate of the oxycodone at 1 hour, 4 hours and 12 hours.
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30. A method of reducing the parenteral abuse of an oxycodone sustained release product comprising incorporating active ingredients consisting essentially of 0.65 to 0.90 mg naloxone or a pharmaceutically acceptable salt thereof and about 10 to about 40 mg oxycodone or a pharmaceutically acceptable salt thereof into a sustained release product such that the oxycodone and the naloxone become interdispersed in a matrix comprising the sustained release excipient, and the composition, when tested in-vitro by the USP Apparatus I (Basket) method of U.S. Pharmacopoeia XXIV (2000) at 100 rpm in 900 ml simulated gastric fluid (SGF) at 37°
- C., provides
a dissolution rate of the oxycodone such that from about 20 to about 60% (by weight) oxycodone is released at 1 hour, from about 40 to about 90% (by weight) oxycodone is released at 4 hours, and greater than about 70% (by weight) oxycodone is released at 12 hours, and a dissolution rate of the naloxone which is within about 30% of the dissolution rate of the oxycodone at 1 hour, 4 hours and 12 hours.
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31. A method of treating pain comprising administering a pharmaceutical sustained release composition comprising active ingredients consisting essentially of about 10 mg oxycodone hydrochloride and 0.65 to 0.90 mg naloxone or a pharmaceutically acceptable salt thereof, and thereafter increasing the dosage by administering a pharmaceutical sustained release composition comprising about 20 mg oxycodone hydrochloride and 0.65 to 0.90 mg naloxone or a pharmaceutically acceptable salt thereof,
wherein, in each composition, the oxycodone hydrochloride and the naloxone are interdispersed in a matrix comprising a sustained release excipient, and each composition, when tested in-vitro by the USP Apparatus I (Basket) method of U.S. Pharmacopoeia XXIV (2000) at 100 rpm in 900 ml simulated gastric fluid (SGF) at 37° - C., provides
a dissolution rate of the oxycodone hydrochloride such that from about 20 to about 60% (by weight) oxycodone hydrochloride is released at 1 hour, from about 40 to about 90% (by weight) oxycodone hydrochloride is released at 4 hours, and greater than about 70% (by weight) oxycodone hydrochloride is released at 12 hours, and a dissolution rate of the naloxone which is within about 30% of the dissolution rate of the oxycodone hydrochloride at 1 hour, 4 hours and 12 hours.
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32. A method of treating pain comprising administering a pharmaceutical sustained release composition comprising active ingredients consisting essentially of about 20 mg oxycodone hydrochloride and 0.65 to 0.90 mg naloxone or a pharmaceutically acceptable salt thereof, and thereafter increasing the dosage by administering a pharmaceutical sustained release composition comprising about 40 mg oxycodone hydrochloride and 0.65 to 0.90 mg naloxone or a pharmaceutically acceptable salt thereof,
wherein, in each composition, the oxycodone hydrochloride and the naloxone are interdispersed in a matrix comprising a sustained release excipient, and each composition, when tested in-vitro by the USP Apparatus I (Basket) method of U.S. Pharmacopoeia XXIV (2000) at 100 rpm in 900 ml simulated gastric fluid (SGF) at 37° - C., provides
a dissolution rate of the oxycodone hydrochloride such that from about 20 to about 60% (by weight) oxycodone hydrochloride is released at 1 hour, from about 40 to about 90% (by weight) oxycodone hydrochloride is released at 4 hours, and greater than about 70% (by weight) oxycodone hydrochloride is released at 12 hours, and a dissolution rate of the naloxone which is within about 30% of the dissolution rate of the oxycodone hydrochloride at 1 hour, 4 hours and 12 hours.
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33. A method of treating pain comprising administering a pharmaceutical sustained release composition comprising active ingredients consisting essentially of about 10 mg oxycodone hydrochloride and 0.65 to 0.90 mg naloxone or a pharmaceutically acceptable salt thereof and thereafter increasing the dosage by administering a pharmaceutical sustained release composition comprising about 20 mg oxycodone hydrochloride and 0.65 to 0.90 mg naloxone or a pharmaceutically acceptable salt thereof, and thereafter increasing the dosage by administering a pharmaceutical sustained release composition comprising about 40 mg oxycodone hydrochloride and 0.65 to 0.90 mg naloxone or a pharmaceutically acceptable salt thereof,
wherein, in each composition, the oxycodone hydrochloride and the naloxone are interdispersed in a matrix comprising a sustained release excipient, and each composition, when tested in-vitro by the USP Apparatus I (Basket) method of U.S. Pharmacopoeia XXIV (2000) at 100 rpm in 900 ml simulated gastric fluid (SGF) at 37° - C., provides
a dissolution rate of the oxycodone hydrochloride such that from about 20 to about 60% (by weight) oxycodone hydrochloride is released at 1 hour, from about 40 to about 90% (by weight) oxycodone hydrochloride is released at 4 hours, and greater than about 70% (by weight) oxycodone hydrochloride is released at 12 hours, and a dissolution rate of the naloxone which is within about 30% of the dissolution rate of the oxycodone hydrochloride at 1 hour, 4 hours and 12 hours.
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34. A kit for the treatment of pain comprising:
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a container comprising at least one formulation comprising active ingredients consisting essentially of about 10 to about 40 mg oxycodone or a pharmaceutically acceptable salt thereof in sustained release form and 0.65 to 0.90 mg naloxone or a pharmaceutically acceptable salt thereof;
the formulation, when tested in-vitro by the USP Apparatus I (Basket) method of U.S. Pharmacopoeia XXIV (2000) at 100 rpm in 900 ml simulated gastric fluid (SGF) at 37°
C., providesa dissolution rate of the oxycodone such that from about 20 to about 60% (by weight) oxycodone is released at 1 hour, from about 40 to about 90% (by weight) oxycodone is released at 4 hours, and greater than about 70% (by weight) oxycodone is released at 12 hours, and a dissolution rate of the naloxone which is within about 30% of the dissolution rate of the oxycodone at 1 hour, 4 hours and 12 hours; and
an indicia indicating the use of said formulation. - View Dependent Claims (35)
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Specification