Sublingual and buccal film compositions
a film composition and sublingual technology, applied in the field of self-supporting dosage forms, can solve the problems of dangerous withdrawal effects, complex oral administration of two therapeutic actives in a single dosage form, and not providing the “high” that may be provided by the therapeutic agent, so as to achieve the effect of maximizing the absorption of the agonis
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example 1
Composition of Buprenorphine / Naloxone Films at Various Strengths
[0116]Film strips including a combination of buprenorphine and naloxone were prepared. Four different strength film compositions were prepared, which include a ratio of buprenorphine to naloxone of 16 / 4, 12 / 3, 8 / 2, and 2 / 0.5. The compositions are summarized in Table 1 below.
TABLE 1Various Compositions of Film DosagesBuprenorphine / NaloxoneFilms Unit Formula(mg per film strip)Buprenorphine / Naloxone RatiosComponents16 / 412 / 38 / 22 / 0.5Active ComponentsBuprenorphine HCl17.2812.968.642.16Naloxone HCl Dihydrate4.883.662.440.61Inactive ComponentsPolyethylene Oxide, NF27.0920.3213.55—(MW 200,000)Polyethylene Oxide, NF12.049.036.0219.06(MW 100,000)Polyethylene Oxide, NF4.823.622.412.05(MW 900,000)Sugar Alcohol12.049.036.025.87Flavor6.04.53.02.4Citric Acid, USP5.924.442.962.96HPMC4.223.162.112.34Sweetener3.02.251.51.2Sodium Citrate, anhydrous2.682.011.341.34Colorant0.030.020.010.01Total (mg)100755040
example 2
Absorption Studies for Suboxone® Tablets
[0117]Various film and tablet products were prepared and tested for absorption data, including Cmax and AUC absorption levels. The products tested included Suboxone® tablets made with either 2 mg or 16 mg buprenorphine as well as either 0.5 mg or 4.0 mg naloxone. For 16 mg buprenorphine tablets, two 8 mg buprenorphine tablets were combined together to provide the level of components of a 16 mg buprenorphine tablet. In instances where a 12 mg buprenorphine tablet was evaluated, this dosage was obtained by combining one 8 mg buprenorphine tablet and two 2 mg buprenorphine tablets. These products were tested for absorption levels, with the amounts listed in Table 2 below.
TABLE 2Absorption Data for Suboxone ® productsSampleC maxAUCBuprenorphine (2 mg) Suboxone ® 0.780 ng / ml 6.789 hr * ng / mlTabletNaloxone (0.5 mg) Suboxone ® Tablet 51.30 pg / ml128.60 hr * pg / mlBuprenorphine (16 mg) Suboxone ® 4.51 ng / ml 44.99 hr * ng / mlTabletNaloxone (4 mg) Suboxone...
example 3
Evaluation of Bioequivalence of Suboxone® Tablets
[0119]Using the data generated for Suboxone® tablets in Table 2 above, acceptable bioequivalence ranges are generated so as to provide an equivalent treatment level as the Suboxone® tablet. As currently understood, a product provides a bioequivalent effect if it provides absorption levels between about 80% to about 125% of the Suboxone® tablet. Absorption in this range is considered to be bioequivalent.
TABLE 3Acceptable Bioequivalence Ranges for Suboxone ® Tablets(80 to 125%)Description ofSampleC maxAUCBuprenorphine0.624 to 0.975ng / ml5.431 to 8.486hr * ng / ml2 mgNaloxone41.04 to 64.13pg / ml102.88 to 160.75hr * pg / ml0.5 mgBuprenorphine3.608 to 5.638ng / ml35.992 to 56.238hr * ng / ml16 mgNaloxone 4 mg207.20 to 323.75pg / ml519.68 to 812.00hr * pg / ml
[0120]Thus, to be considered bioequivalent to the Suboxone® tablet, the Cmax of buprenorphine is between about 0.624 and 5.638, and the AUC of buprenorphine is between about 5.431 to about 56.238. S...
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