Pharmaceutical Compositions Comprising Phosphate Binder Particles - Patent application

Abstract

To provide a sucroferric oxyhydroxide particle having a certain particle size distribution, to provide use of the particle for producing a pharmaceutical composition, and to provide a method for producing a pharmaceutical composition using the particle.SOLUTION: Provided is a sucroferric oxyhydroxide particle containing iron (III) oxyhydroxide, sucrose, and a mixture of one or more starches, at least 60% of the particles in the particle size distribution having d50 i) between 4 and 200 μm and / or ii) between 30 μm and 80 μm.SELECTED DRAWING: Figure 1

Description

Contents of detailed explanation

[0001] The present invention relates to pharmaceutical compositions comprising certain phosphate binders, said phosphate binders comprising particles having a defined particle size distribution that are particularly suitable for the preparation of improved tablets and other pharmaceutical compositions.

[0002] WO20101015827 discloses a ferric iron composition for use in a method for treating hyperphosphatemia, the ferric iron composition being a solid ligand-modified poly oxo-hydroxy metal ion material represented by the formula (MxLy(OH)n), where M represents one or more metal ions including Fe3+ ions, L represents one or more ligands including a carboxylate ligand or its ionized form, and OH represents an oxy or hydroxy group, the material having a polymeric structure in which the ligands L are substantially randomly replaced by oxo or hydroxy groups, the solid ligand-modified poly oxo-hydroxy metal ion material having one or more reproducible physicochemical properties. Although this document refers to a certain particle size of the solid ligand-modified poly oxo-hydroxy metal ion material, it does not disclose any particle size distribution for a particular pharmaceutical composition, but only refers to the particle size distribution of a freshly prepared phosphate binder material. Thus, this document does not teach anything about the relevance of the particle size distribution for use in a pharmaceutical composition. WO20101015827 does not include any examples of specific pharmaceutical compositions.

[0003] US Patent No. 5,514,281 describes a method for selectively reducing the amount of inorganic phosphate in an aqueous liquid feed containing a protein in addition to inorganic phosphate without significantly adversely affecting the protein, comprising contacting the aqueous liquid feed containing phosphate ions and the protein with a sorbent composition comprising at least one polynuclear metal oxyhydroxide covalently bonded to the sorbent substrate. The document mentions certain particle sizes of sorbent substrates or support materials (e.g., silicates, silicon dioxide, glyceryl-modified silica gel, glyceryl-modified glass and polymers), but does not mention phosphate sorbents and polynuclear metal oxyhydroxides. In the examples, phosphate binders are used for extracorporeal treatment. There is no disclosure of specific administrable pharmaceutical compositions, except for known soluble metal oxyhydroxide / polyol complexes.

[0004] The invention further relates to certain pharmaceutical compositions, particularly chewable tablets, tablets, minitablets (microtablets), formed with and without prior processing such as wet or dry granulation (e.g. roller compaction), in particular direct compression of certain phosphate binder compounds (hereinafter phosphate binders), granules and tablets formed by the method of preparation thereof, novel powders containing phosphate binders that can be directly compressed into tablets and filled into capsules or sachets or other suitable carrier systems (e.g. dispensers for minitablets).The invention further relates to methods of preparing pharmaceutical dosage forms, for example by blending the active ingredient and certain excipients into novel formulations and then compressing or directly compressing the formulation into the final form (e.g. direct compressed tablets) or fill, and the use, for example, in dispensers or sachets.

[0005] Phosphate binders according to the invention include in particular the "iron oxyhydroxide stabilized by a stabilizing agent" or "stabilized iron oxyhydroxide phosphate binders" described in WO 9722266 and WO 2009062993. The term "iron oxyhydroxide stabilized by a stabilizing agent" or "stabilized iron oxyhydroxide phosphate binder" preferably includes iron oxyhydroxide together with a stabilizing agent, which in particular includes carbohydrates and humic acid. As described in WO 9722266, such stabilizing agents are suitably not complexed with the iron oxyhydroxide (this means that the water-soluble stabilizing agent can be removed, for example, by washing the stabilized iron oxyoxide with water). . country As further described in WO 9722266, the stabilizing agent is believed to stabilize the iron oxyhydroxide structure and prevent aging of the iron oxyhydroxide, thereby ensuring and protecting its phosphate adsorption capacity. This is because stabilized iron oxyhydroxide (FeOOH) generally has a higher phosphate adsorption capacity than non-stabilized iron oxyhydroxide. (countryAccording to the present invention, the preferred "iron oxyhydroxide stabilized by a stabilizing agent" comprises β-iron oxyhydroxide stabilized as described in WO 9722266 with at least one carbohydrate and / or humic acid. According to the present invention, the iron moiety comprises a hydrated polynuclear oxyhydroxide array "wrapped" by a non-covalently bound carbohydrate, preferably as a sugar, in particular sucrose. The presence of a carbohydrate, in particular sucrose, as a sugar, appears to be essential for the maintenance of the hydrated structure of the polynuclear oxyhydroxide and therefore for the high phosphate binding capacity. Sucrose and starch are the carbohydrates preferably used. Sucrose appears to prevent the dehydration ("retrogradation") of the polynuclear iron(III) oxyhydroxide, and starch appears to improve the processability during manufacture. The iron oxyhydroxide (FeOOH) may be in the form of microcrystals, for example in the form of β-FeOOH. The repeating moiety of the iron oxyhydroxide microcrystals can be described by the molecular formula FeOOH. The preferred β-FeOOH structure (akaganeite) contains anions arranged in a body-centered cubic array with the Fe(III) ions occurring at the octahedral sites. The structure consists of a double chain of edge-sharing octahedra running parallel to the four-fold b axis.

[0006] Generally, due to its chemical nature, the iron oxyhydroxide used and administered in accordance with the present invention is essentially not absorbed by the human body.

[0007] The term "stabilizing agent" as used herein preferably includes at least one carbohydrate and / or humic acid, in particular as described in WO 9722266. In one embodiment, the at least one carbohydrate is water-soluble. The carbohydrate includes at least one monosaccharide, disaccharide or polysaccharide, such as agarose, dextran, dextrin, dextran derivatives, cellulose and cellulose derivatives, saccharose (sucrose), maltose or lactose, preferably saccharose (sucrose), dextrin or starch.

[0008] The term "starch" as used herein includes any commonly used starch product, preferably in native, pregelatinized, degraded, modified and derivatized form suitable for direct compression (such as potato starch, corn starch, rice starch, tapioca starch, etc.), as well as mixtures thereof. Most preferred products include native and pregelatinized starches, for example in mixtures having a ratio (native-pregelatinized) in the range of 10:1 to 0.5:1 by weight, preferably in the range of 3:1 to 0.5:1, more preferably in the range of 2:1 to 1:1.

[0009] Preferably, the phosphate binder is sucroferric oxyhydroxide (USAN name), which is a mixture of iron(III) oxyhydroxide, sucrose and starch, or defined by the WHO as V03AE05 under the ATC code or also known as PA21.

[0010] A preferred phosphate binder comprises polynuclear iron(III) oxyhydroxide stabilized with sucrose and starch (known as sucroferric oxyhydroxide or PA21 (PA21-1 or PA21-2)) or polynuclear β-iron(III) oxyhydroxide stabilized with sucrose and starch (known as sucroferric oxyhydroxide or PA21 (PA21-1 or PA21-2)). A particularly preferred mixture of iron(III) oxyhydroxide, sucrose and starch comprises about 25-40% by weight of iron(III) oxyhydroxide, about 25-40% by weight of sucrose and about 25-40% by weight of starch, based on the total dry weight (i.e., 100% by weight) of the phosphate binder particles based on the mixture. A particularly preferred mixture of iron(III) oxyhydroxide, sucrose and starch comprises about 30-35% by weight of iron(III) oxyhydroxide, about 30-35% by weight of sucrose and about 30-35% by weight of starch, based on the total dry weight of the phosphate binder particles based on the mixture (i.e., 100% by weight), and the iron(III) oxyhydroxide preferably comprises β-iron(III) oxyhydroxide.

[0011] In the present invention, the term "sucroferric oxyhydroxide" covers mixtures of iron(III) oxyhydroxide, sucrose and starch, the mixtures containing one, two or more starches, e.g. only native starch (PA21-1) or only pregelatinized starch or a mixture of native and pregelatinized starch (PA21-2), etc. Preferred "sucroferric oxyhydroxide" comprises a mixture of native and pregelatinized starch as defined herein above.

[0012] In each case, in particular in the final products of the claims and the examples, the final products, the pharmaceutical preparations and the subject matter of the claims are incorporated into this application by reference to the publications or patent applications mentioned herein.

[0013] As known to those skilled in the art, "phosphate binders" are compounds or compositions that can act as adsorbents of phosphate from aqueous media, such as aqueous solutions, especially physiological aqueous solutions. They are particularly suitable as adsorbents of inorganic phosphate and phosphate bound to foodstuffs, especially in preparations for oral use to prevent and treat hyperphosphatemic conditions, especially in patients with chronic renal insufficiency who have pathologically increased serum phosphate levels due to reduced glomerular filtration rate. The term "phosphate binders" according to the present invention covers any salt, isomer, enantiomer or crystalline form of said active ingredient.

[0014] The phosphate binder, e.g., sucroferric oxyhydroxide, in combination with one or more pharma- ceutically acceptable carriers and optionally one or more other conventional pharmaceutical auxiliaries, may be administered enterally, e.g., orally, in the form of tablets, chewable tablets, minitablets (microtablets), granules, capsules, caplets, granules, powders, etc. Enteral compositions may be prepared by conventional means or enabling techniques.

[0015] The phosphate binder, e.g., sucroferric oxyhydroxide, may be formulated into a pharmaceutical composition comprising an effective amount of active agent (phosphate binder) to treat conditions resulting from hyperphosphatemia or imbalanced phosphate levels (e.g., therapeutic use in controlling serum phosphate levels in patients with chronic kidney disease (CKD) undergoing dialysis), the composition comprising a pharma- ceutically acceptable carrier and formulated into a unit dosage form or a multi-dose formulation.

[0016] In light of their ability to adsorb dietary phosphate in the digestive tract, phosphate binders are useful in treating imbalanced phosphate levels and conditions resulting from imbalanced phosphate levels (e.g., therapeutic use in controlling serum phosphate levels in patients with CKD undergoing dialysis, or treating hyperphosphatemia).

[0017] Phosphate binders useful in the present invention, especially sucroferric oxyhydroxide, should preferably not be mixed with moist / wetting excipients and are not compressible in nature. As a result, it is necessary to provide a free-flowing and cohesive pharmaceutical formulation in the form of a powder or granules to be used as such, e.g., filled into capsules or sachets or dosage units, with or without administration aids, and compressed or directly compressed into tablets, chewable tablets, minitablets (microtablets) or equivalent dosage forms.

[0018] A tablet may be defined as a solid dosage pharmaceutical form containing one or more active pharmaceutical ingredients with or without suitable inert materials known as excipients. Tablets are manufactured by compressing a pharmaceutical formulation into a powder or granules or small dosage device (e.g., minitablets, pellets) containing a phosphate binder and certain excipients. Without excipients, most drugs and pharmaceutical ingredients cannot be directly compressed into tablets. This is mainly due to the poor flow and cohesive properties of most drugs.

[0019] Tablets are widely used, and the majority of pharmaceutical dosage forms are marketed as tablets.The main reasons for the popularity of tablets and chewable tablets as dosage forms are their ease of use, low cost and speed of production.Other reasons include the stability of the formulation, ease of packaging, transportation and dispensing.Tablets provide the patient or consumer with the following: ease of administration, ease of accurate dosage, small size, portability, tastelessness and ease of administration.

[0020] Tablets can be plain, film or sugar coated bisected, embossed, layered or sustained release. They can be manufactured in various sizes, shapes and colors. They can be swallowed, chewed or dissolved in the buccal cavity or under the tongue. They can also be dissolved in water for topical or local use.

[0021] Other desirable properties of excipients and active ingredients include: -High compressibility resulting in strong tablets at low compression forces; - Narrow particle size distribution; -Excellent flow properties that can improve the flow of other ingredients in the formulation; and -Cohesiveness (to prevent the tablet from disintegrating during processing, transportation and handling).

[0022] There are four commercially important processes for making compressed tablets: wet granulation followed by compression, direct compression, dry granulation (slugging or roller compaction), followed by compression and extrusion (e.g., melt extrusion), followed by compression. The preparation method and type of excipients used are adapted to give the tablet formulation the desired physical properties that allow rapid compression of the tablets. After compression, the tablets must meet several attributes such as appearance, hardness, disintegration time, friability, mass uniformity, chewability and dissolution profile. The choice of fillers and other excipients depends on the chemical and physical properties of the drug, the behavior of the mixture during processing, and the properties of the final tablet.

[0023] The properties of the drug, its dosage form and the economics of the operation determine the selection of the best tabletting method.

[0024] Dry granulation may be used when one of the components, either the drug or excipients, and / or the mixture has sufficient cohesive properties for compression. This process consists of blending the components, slugging, compacting, dry sieving, lubricating and compressing.

[0025] Wet granulation is used to convert a powder mixture into granules with flow and cohesive properties suitable for tableting. The procedure consists of mixing the mixture in a high shear granulator, followed by adding a granulation solution to the mixed powder under shear to obtain granules or adding a liquid by spraying in a fluid bed dryer to obtain granules. The moist mass can be screened through a suitable screen and dried by tray drying or other suitable drying techniques. The entire process can include weighing, dry powder blending, wet granulation, drying, milling, blend lubrication and compression.

[0026] Typically, bulk drug powders do not have sufficient adhesive or cohesive properties to form hard, strong granules. Binders are usually required to form large particles (granules). Heat and moisture sensitive drugs cannot be manufactured using wet granulation for the most part. The drawbacks of this wet granulation technique are the number of processing steps and the required processing time, which results in manufacturing costs.

[0027] Direct compression is considered as the preferred method of directly compressing solid components without changing the physicochemical properties of the drug. The active ingredient(s), direct compression excipients and other auxiliary substances, such as glidants and lubricants, are blended in a bin blender before being compressed into tablets. The advantages of direct compression technology include, for example, blend uniformity, fewer manufacturing steps involved (i.e., the whole process involves weighing, blending and compressing powders, thus limiting costs); eradication of heat and moisture, dissociation of primary particles and physical stability.

[0028] Pharmaceutical manufacturers prefer to use direct compression techniques over wet or dry granulation due to the short processing times and limited process steps that result in favorable costs. However, direct compression is usually limited to cases where the active ingredient has acceptable physicochemical properties required to form a pharma- ceutically acceptable dosage form. Many active ingredients do not exhibit all the necessary properties and therefore must usually be combined with suitable excipients to allow direct compression. Because each excipient added to the formulation increases the tablet size of the final product, manufacturers are often limited to using direct compression methods for formulations that contain a low dose of active ingredient per compressed tablet.

[0029] Solid dosage forms containing high dose drugs (i.e., the drug itself constitutes a substantial portion of the total compressed tablet weight) can only be directly compressed if the drug itself has suitable physical properties for direct compression, e.g., cohesiveness.

[0030] The claimed pharmaceutical composition comprising a phosphate binder, particularly sucroferric oxyhydroxide, is considered a high dose drug, i.e. a high dose of sucroferric oxyhydroxide per unit dosage form (e.g. per tablet). The unit dosage formulation may comprise more than 60% by weight, more than 70% by weight, more than 80% by weight or more than 90% by weight and more of phosphate binder per unit dosage form (e.g. per tablet). A single oral dosage form of phosphate binder, particularly sucroferric oxyhydroxide, should preferably comprise more than 400mg, or more than 800mg, or more than 1000mg, or more than 1500mg, or more than 2000mg, or more than 2500mg of phosphate binder. This high dose drug, together with its rather poor physical properties for direct compression, has not allowed the use of direct compression techniques to prepare a final product with acceptable physical properties. Phosphate binders are relatively unstable (or have poor microbiological stability) in the presence of free water, a factor that affects the use of wet granulation techniques (large amounts of phosphate binder in a sufficient single dose formulation would require too much water).

[0031] Previously used tablets containing sucroferric oxyhydroxide as described in patent application WO 2009 / 062993 only partially met the expected physical properties, e.g. potential cohesiveness issues still remaining: the tablets could easily disintegrate and still did not have acceptable friability, hardness, compressibility, chewability, disintegration time or dissolution profile.

[0032] Because patients suffering from imbalanced phosphate levels (e.g., CKD (chronic kidney disease) patients undergoing dialysis) may need to be administered several oral dosage forms per day for months or years, there is a clear need for improved oral dosage forms, e.g., improved physical properties.

[0033] All weight percentages (w / w) throughout this specification are expressed with respect to the total weight of the pharmaceutical composition (dry composition) unless otherwise indicated.

[0034] Another limitation of direct compression as a tablet manufacturing method is the potential size of the compressed tablet: since wet granulation contributes to the desired physical properties of the tablet, the amount of excipients required in wet granulation is less than that required for direct compression.

[0035] Therefore, when the amount of active ingredient is high, pharmaceutical formulators may choose to wet granulate the active ingredient with other excipients to obtain tablets of acceptable size with the desired amount of active ingredient. As described herein, the phosphate binder, particularly sucroferric oxyhydroxide, is administered to patients as a single dosage form, preferably with a high drug load of phosphate binder. Furthermore, due to the claimed behavior of the phosphate binder in the presence of water, it is desirable to perform direct compression of tablets with high dose phosphate binder, particularly sucroferric oxyhydroxide. Therefore, there are strong technical hurdles that need to be overcome to produce compressed (or directly compressed) large tablets that exhibit acceptable friability, hardness, chewability, cohesiveness, disintegration time and dissolution profile.

[0036] Depending on the intended use of the tablet, i.e., whether it is to be swallowed intact, to disintegrate rapidly (in the mouth or in a small amount of liquid before oral ingestion), or to be chewed (e.g., chewable tablets), excipients such as disintegrants, superdisintegrants, glidants, lubricants, binders compression aids, etc., may typically be added as desired. Tablets may be coated or uncoated, as pharmacy requires or desires.

[0037] Thus, the pharmaceutical compositions of the present invention may include any dosage form suitable for oral administration, in particular tablets (preferably directly compressed tablets and pills in a form for being swallowed as is (e.g. also film-coated) or in a form capable of rapid disintegration (in the mouth after oral ingestion or in a small amount of liquid before oral ingestion)), including chewable forms, minitablets, dry powders, granules, capsules, or sachets, wafers, lozenges, etc. containing these granules or minitablets (microtablets). Forms for being swallowed as is may be film-coated if desired. The pharmaceutical compositions of the present invention also include powders or granules that can be compressed or compacted into tablets.

[0038] Preferred dosage forms include tablets and pills, granules and capsules or sachets containing these granules, and lozenges in a form for swallowing intact (e.g. film-coated) or in chewable form. In the case of oral dosage forms (if desired, film-coated), these are swallowed intact and disintegration occurs in the stomach and / or other parts of the intestine, whereupon the active agent is released due to adsorption of phosphate, reducing its systemic uptake.

[0039] The pharmaceutical formulations, compositions and tablets claimed herein allow for administration as minimal as three to four unit dosage forms per day.

[0040] As described herein, the phosphate binder, in particular sucroferric oxyhydroxide, is preferably administered to the patient in the form of a single dosage form per dose, said dosage form comprising a high load of phosphate binder, i.e. more than 400 mg, or more than 800 mg, or more than 1000 mg, or more than 2000 mg, or more than 2500 mg, preferably between 1500-3000 mg, or between 2000-3000 mg. Depending on the API load, the choice of suitable solid dosage form is limited. The most common options to result in a unit dosage form with a high API content are powder / granule / minitablet filled sachets, effervescent tablets or chewable tablets. Chewable tablets offer the advantage of being more flexible in the fact that the medicine can be taken covertly, i.e. at work, travelling or in social situations, not requiring the availability of water. Furthermore, the avoidance of additional fluid intake is advantageous for the patient population with CKD (chronic kidney disease). Also, studies have shown that patients prefer to take a single dose per administration, e.g., tablet, instead of multiple doses as required with swallowable or miniature tablets for high-dose medicines. However, the mechanical strength of chewable tablets can be a concern regarding damage to teeth or temporomandibular joints from chewable tablets with inadequate mechanical properties. Tablet chewability is important, as CKD patients must chew several tablets a day for months or years. Several test procedures and additional methods were applied with the goal of obtaining a meaningful evaluation of tablet chewability and validating phosphate binder-selected formulations / tablets in terms of chewability.

[0041] In the present invention, a "pharmaceutical composition" comprises a phosphate binder compound as active ingredient (preferably one, two or three) which may be in the form of a powder (preferably a dry powder incorporated into a sachet or capsule), a tablet (compressed into tablets, preferably mono-, bi- or tri-layer tablets), a pill, a granule, or a microgranule, a capsule, a pellet, a wafer, a lozenge or a coated tablet, and preferably at least one pharma-ceutical acceptable excipient.

[0042] In the present invention, the term "granules" also encompasses "microgranules." Granules may be used for direct administration or may be further processed into tablets, minitablets, chewable tablets.

[0043] In the present invention, the term "tablet" covers any type of tablet obtained by compression or compaction of powders, granules (obtained by wet or dry granulation, tableting, melt extrusion), minitablets, microgranules, pellets, but preferably refers to directly compressed tablets.

[0044] For the purposes of the present invention, the term "compression" encompasses any physical compaction process that results in a solid dosage unit.

[0045] In the present invention, the term "pharmaceutical formulation (or formulation)" covers a mixture of active ingredients (preferably one, two or three) and pharma- ceutically acceptable excipients in a form suitable for the preparation / manufacture of a pharmaceutical product (e.g., a pharmaceutical composition). In the present invention, preferred formulations are powders or granules suitable for compaction or compression or direct compression into tablets.

[0046] It is also an object of the present invention to provide the phosphate binders described below in the form of a pharmaceutical formulation, preferably in the form of a free-flowing cohesive tableting powder (powder formulation) which can be compressed or directly compressed into tablets.

[0047] It is also an object of the present invention to provide the phosphate binders described below in the form of a pharmaceutical formulation, preferably in the form of tableting granules (obtained by wet or dry granulation or melt extrusion) which can be mixed with further excipients which can be compacted, compressed or directly compressed into a tablet.

[0048] It is a further object of the present invention to provide a unit dosage compressed (or direct compressed) phosphate binder tablet having an acceptable dissolution profile, as well as an acceptable degree of hardness and chipping resistance, as well as an acceptable friability and chewability profile, and a fast disintegration time.

[0049] It is a further object of the present invention to provide compressed (or preferably direct compressed) phosphate binder tablets that are rapidly disintegrating tablets (in the mouth or in a small amount of liquid prior to oral ingestion), e.g., chewable tablets or minitablets.

[0050] It is a further object of the present invention to provide a method for preparing compressed phosphate binder tablets in unit dosage form by direct compression.

[0051] The present invention also provides a tabletable free-flowing particulate phosphate binder composition in the form of a tableting powder (preferably containing at least one additional pharma- ceutically acceptable excipient as described below) that can be compressed or directly compressed into tablets having sufficient hardness, friability, chewability, rapid disintegration time and an acceptable dissolution pattern. [Brief description of the drawings]

[0052] [Figure 1] FIG. 1 is a flowchart of the manufacturing process for sucroferric oxyhydroxide drug substance (DS). [Diagram 2] 1 shows the particle size distribution of PA21 drug substance analyzed using a Beckman Coulter particle size analyzer (LS 13 320). [Diagram 3] FIG. 1 shows hardness as a function of d50 of sucroferric oxyhydroxide particles. [Figure 4] Figure 2 shows the compression force profile of tablets containing sucroferric oxyhydroxide particles with d50 of 50 μm. Detailed Description of the Invention

[0053] In developing the pharmaceutical compositions described herein, the Applicant has found that it is particularly advantageous to use a pharmaceutical composition, particularly in the form of a tablet, preferably a compressed tablet, comprising a phosphate binder, wherein the phosphate binder particles have a particle size distribution in which at least 40% of the particles have a size within the range of 4 to 200 μm.

[0054] Preferably, i) the particles of the phosphate binder, in particular sucroferric oxyhydroxide, preferably have a particle size distribution with particles in the range of 4 to 200 μm, with at least 40% (by volume) of the particles having a particle size in the range of 4 to 200 μm, and / or ii) the phosphate binder particles, in particular the sucroferric oxyhydroxide particles, have a d50 in the particle size distribution in the range of 30 μm to 120 μm, or 35 μm to 110 μm, or 40 μm to 108 μm, or 40 μm to 100 μm, or preferably 40 μm to 80 μm, or 42 μm to 75 μm; and / or iii) the tablet hardness is between 70 and 250 N, or between 85 and 250 N, or between 85 and 200 N, or between 70 and 200 N, or between 80 and 200 N; and / or iv) tablet friability between 0% and 7%, or between 0.05% and 7%, and / or v) the tablet has a disintegration time of less than 30 minutes, preferably between 5 and 20 minutes, and / or vi) the tablet diameter is between 15 mm and 30 mm, the tablet weight is between 2000 mg and 3000 mg, and the tablet thickness is between 4.5 mm and 7.5 mm.

[0055] In particular, the present invention relates to a pharmaceutical composition or compressed pharmaceutical tablet, preferably a direct compressed tablet, comprising a phosphate binder, said phosphate binder, particularly sucroferric oxyhydroxide, having adverse physical properties for conversion into an acceptable compressed, preferably direct compressed, pharmaceutical tablet. These adverse physical properties may be, for example, bulkiness, adhesion, fluffiness, etc. During the development of the pharmaceutical compositions and tablets described herein, the Applicant has discovered that the processing or physical properties of the pharmaceutical formulation, such as hygroscopicity, flowability, bulk, fluffiness, are unexpectedly improved when the particles comprising a phosphate binder, in particular sucroferric oxyhydroxide, have a particle size distribution in which at least 40% by volume, or at least 60% by volume, or at least 80% by volume, or at least 90% by volume, is in the range of 4 to 200 μm (preferably in the range of 5 to 160 μm) and / or a d50 (with respect to the volume of the particles) in the particle size distribution in the range of 30 μm to 120 μm, or 35 μm to 110 μm, or 40 μm to 108 μm, or 40 μm to 100 μm, or preferably 40 μm to 80 μm (preferably in the range of 42 μm to 75 μm). The applicant has also surprisingly discovered that the tablets exhibit improved physical properties, such as solubility, friability, hygroscopicity, hardness, compressibility, chewability or disintegration.

[0056] A further unexpected advantage of the selected particle size distribution is that the compression force can be increased during the tableting process without any change in the physical properties of the tablet (except hardness), but the tablet hardness can be increased to the targeted hardness range.

[0057] In a first preferred embodiment (a), the present invention relates to a compressed tablet, preferably a direct compressed pharmaceutical tablet, wherein the powder for compression comprises particles comprising a phosphate binder (phosphate binder particles), in particular sucroferric oxyhydroxide and at least one further pharma- ceutically acceptable excipient, and wherein at least 40% by volume, preferably 60% by volume, most preferably 80% by volume, even more preferably 90% by volume of the particles of the phosphate binder particle size distribution of the tablet are between 4 and 200 μm, or between 5 and 160 μm, or between 21 and 160 μm.

[0058] In a second preferred embodiment (b), the present invention relates to a compressed tablet, preferably a direct compressed pharmaceutical tablet, wherein the powder for compression comprises particles comprising a phosphate binder (phosphate binder particles), in particular sucroferric oxyhydroxide and at least one further pharma- ceutically acceptable excipient, and the phosphate binder particles have a d50 (by volume) in the particle size distribution in the range of 30 μm to 120 μm, or 35 μm to 110 μm, or 40 μm to 108 μm, or 40 μm to 100 μm, or preferably 40 μm to 80 μm, or preferably in the range of 42 μm to 75 μm.

[0059] In a third preferred embodiment (c), the present invention relates to a dispersion comprising a phosphate binder (phosphate binder particles), in particular particles comprising sucroferric oxyhydroxide and at least one further pharma- ceutically acceptable excipient, i) at least 40% by volume, preferably 60% by volume, most preferably 80% by volume, even more preferably 90% by volume of the particles of the phosphate binder particle size distribution are between 4 and 200 μm, or between 5 and 160 μm, or between 21 and 160 μm, and ii) the phosphate binder particles have a d50 (by volume) in the particle size distribution between 30 μm and 120 μm, or between 35 μm and 110 μm, or between 40 μm and 108 μm, or between 40 μm and 100 μm, or preferably between 40 μm and 80 μm, or preferably between 42 μm and 75 μm; and / or iii) the tablet hardness is between 70 and 250 N; and / or iv) tablet friability between 0% and 7% or between 0.05% and 7%; and / or v) the tablet has a disintegration time of less than 30 minutes, preferably between 5 and 20 minutes; and / or vi) the tablet diameter is between 16 mm and 30 mm, the tablet weight is between 1500 mg and 3000 mg (preferably between 2000 and 3000 mg), and the tablet thickness is between 4.5 mm and 7.5 mm; and / or vii) the tablet contains between 1500 mg and 3000 mg of a phosphate binder, in particular sucroferric oxyhydroxide; It relates to compressed tablets, preferably direct compressed pharmaceutical tablets.

[0060] In a fourth preferred embodiment (d), the present invention relates to a pharmaceutical composition comprising particles comprising a phosphate binder, in particular sucroferric oxyhydroxide, and at least one further pharma- ceutically acceptable excipient, wherein the phosphate binder particles have a d50 in the particle size distribution between 30 μm and 120 μm, or 35 μm and 110 μm, or 40 μm and 108 μm, or 40 μm and 100 μm, or preferably between 40 μm and 80 μm, or between 42 μm and 75 μm, wherein the d50 relates to the volume of the particle.

[0061] In a fifth preferred embodiment (e), the present invention relates to a pharmaceutical composition comprising particles comprising a phosphate binder, in particular sucroferric oxyhydroxide, and at least one further pharma- ceutically acceptable excipient, wherein at least 40% by volume, preferably at least 60% by volume, more preferably at least 80% by volume, or at least 90% by volume of the particle size distribution of the formulation or composition is between 4 and 200 μm, or between 5 and 160 μm, or between 21 and 160 μm.

[0062] The term "at least 40%, preferably at least 60%, or at least 80%, or at least 90%" means that at least 40%, preferably at least 60%, or at least 80%, or at least 90% of the particles (phosphate binder particles) are of said size, i.e., belong to said size range. The percentages are by volume.

[0063] The term "d50 particle size distribution" means that 50% of the particles (per volume) have a particle size above or below a defined d50 value (expressed in μm).

[0064] The term "d10 particle size distribution" means that 10% of the particles (per volume) have a particle size below the d10 value (expressed in μm).

[0065] The term "d90 particle size distribution" means that 90% of the particles (per volume) have a particle size below the d90 value (expressed in μm).

[0066] These d values ​​are particularly related to the cumulative particle volume in the particle distribution curve.

[0067] The combination of parameters of the third embodiment (c) above provides compressed tablets, preferably direct compressed tablets, with particularly improved physical properties as defined herein above.

[0068] The present invention therefore also comprises particles comprising a phosphate binder (phosphate binder particles), in particular sucroferric oxyhydroxide, and at least one further pharma- ceutically acceptable excipient, and which satisfy one or more of the following characteristics i) to vii): i) at least 40% by volume of the particles of the phosphate binder particle size distribution of the tablet, preferably at least 60% by volume, or preferably at least 80% by volume, or at least 90% by volume, are between 4 and 200 μm, or between 5 and 160 μm, or between 21 and 160 μm; ii) the phosphate binder particles have a d50 (particularly by volume) in the particle size distribution between 30 μm and 120 μm, or between 35 μm and 110 μm, or between 40 μm and 100 μm, or preferably between 40 μm and 80 μm, or between 42 μm and 75 μm. iii) the tablet hardness is between 70 and 250N; iv) tablet friability is between 0% and 7% or between 0.05% and 7%; v) the tablet has a disintegration time of less than 30 minutes, preferably between 5 and 20 minutes; vi) The tablet diameter is between 16 mm and 30 mm, the tablet weight is between 2000 mg and 3000 mg, and the tablet thickness is between 4.5 mm and 7.5 mm; vii) the tablet contains between 1500 mg and 3000 mg of a phosphate binder, in particular sucroferric oxyhydroxide; It concerns compressed tablets (eg chewable tablets), preferably directly compressed tablets.

[0069] In a further embodiment, the present invention relates to any of the compressed tablets described herein, wherein the tablet hardness is between 85 and 250 N, or between 70 and 200 N, or between 85 and 200 N, or between 85 and 200 N, or between 80 and 200 N, or between 100 N and 230 N.

[0070] In a preferred embodiment, the present invention relates to any of the compressed tablets, preferably direct compressed pharmaceutical tablets, preferably chewable tablets, as described herein.

[0071] In a preferred embodiment, the present invention relates to a chewable tablet as described above, wherein i) the phosphate binder is sucroferric oxyhydroxide; and ii) the tablet contains between 1500 mg and 3500 mg, or between 2000 and 3000 mg of sucroferric oxyhydroxide.

[0072] Preferably, the phosphate binder particles in the formulation or tablet, in particular the sucroferric oxyhydroxide phosphate binder particles as described herein, represent more than 65% of the total tablet mass (total tablet weight), preferably more than 80% by weight, or more than 90% by weight, or more than 95% by weight of the total mass of the tablet (dry weight basis) or formulation.

[0073] As noted above, preferred phosphate binders for use in pharmaceutical compositions according to the invention include polynuclear iron(III) oxyhydroxide stabilized by sucrose and starch (known as sucroferric oxyhydroxide or PA21) or polynuclear β-iron(III) oxyhydroxide stabilized by sucrose and starch (known as sucroferric oxyhydroxide or PA21). Thus, i.e. the particles of sucroferric oxyhydroxide consisting essentially of polynuclear iron(III) oxyhydroxide, sucrose and starch have a particle size distribution in which at least 40% by volume, or at least 60% by volume, or at least 80% by volume, or at least 90% by volume is in the range of 4 to 200 μm (preferably in the range of 5 to 160 μm) and / or a d50 (relative to the volume of the particles) in the particle size distribution in the range of 30 μm to 120 μm, or 35 μm to 110 μm, or 40 μm to 108 μm, or 40 μm to 100 μm, or preferably 40 μm to 80 μm (preferably in the range of 42 μm to 75 μm). A particularly preferred mixture of iron(III) oxyhydroxide, sucrose and starch comprises about 25-40% iron(III) oxyhydroxide, about 25-40% sucrose and about 25-40% starch by weight based on the total dry weight (i.e., 100% by weight) of the phosphate binder particles of the mixture. A particularly preferred mixture of iron(III) oxyhydroxide, sucrose and starch comprises about 30-35% iron(III) oxyhydroxide, about 30-35% sucrose and about 30-35% starch by weight based on the total dry weight (i.e., 100% by weight) of the phosphate binder particles of the mixture, with the iron(III) oxyhydroxide preferably comprising β-iron(III) oxyhydroxide.

[0074] Thus, the sucroferric oxyhydroxide phosphate binder particles described herein are preferred active ingredient particles (i.e., particles of polynuclear β-ferric oxyhydroxide stabilized by sucrose and starch) prior to mixing of said particles with other excipients. Preferably, the sucroferric oxyhydroxide particles contain more than 95% by weight, or more than 98% by weight, of sucroferric oxyhydroxide based on the dry weight of the particle (i.e., drug substance particle prior to mixing with additional excipients). Preferably, no more than 2%-5% of by-products or impurities resulting from the manufacturing process should be present in the sucroferric oxyhydroxide particles (e.g., sodium chloride, etc.). The active ingredient particles can also be referred to as drug substance (DS) particles.

[0075] Preferably, the phosphate binder particles in the tablet or pharmaceutical composition, in particular the sucroferric oxyhydroxide phosphate binder particles as described herein, represent more than 65% by weight, preferably more than 80% by weight, or preferably more than 90% by weight, or even more than 95% by weight of the total weight (on a dry weight basis) of the tablet or pharmaceutical composition.

[0076] The phosphate binder particles, particularly the sucroferric oxyhydroxide particles, may be formed by spray drying or alternative size-increasing methods known in the art, e.g., granulation, direct compression, microgranulation, etc.

[0077] Preferably the sucroferric oxyhydroxide particles comprise, on a dry weight basis, 65% sucroferric oxyhydroxide, preferably more than 80%, or preferably more than 90%, or even more than 95%, or even more than 98% sucroferric oxyhydroxide.

[0078] In a further embodiment, the present invention relates to a tablet or pharmaceutical composition as described herein, wherein a single oral dosage form of phosphate binder, especially sucroferric oxyhydroxide, preferably comprises more than 400 mg, or more than 800 mg, or more than 1000 mg, or more than 1500 mg, or more than 2000 mg, or more than 3000 mg of phosphate binder.

[0079] In a further embodiment, the invention relates to a tablet or pharmaceutical composition as described herein, wherein a single oral dosage form of phosphate binder, in particular sucroferric oxyhydroxide, comprises between 800 mg and 3500 mg of sucroferric oxyhydroxide, or between 1500 mg and 3500 mg of sucroferric oxyhydroxide, or between 1500 mg and 3000 mg of sucroferric oxyhydroxide, or between 2000 mg and 3000 mg of sucroferric oxyhydroxide.

[0080] The present invention also relates to a tablet or pharmaceutical composition as described herein, wherein the phosphate binder particles have a d50 in the particle size distribution between 40 μm and 80 μm, and at least 60% by volume, most preferably at least 80% by volume, of the particles in the phosphate binder particle size distribution of the tablet are midway between 4 and 200 μm, or midway between 5 and 160 μm, or midway between 21 and 160 μm.

[0081] It has been discovered that the selected particle size distribution of the phosphate binder, particularly sucroferric oxyhydroxide, is particularly important in enabling compaction of the above tablets, among other advantages.

[0082] In a preferred embodiment, the phosphate binder according to the present invention is a polynuclear iron(III) oxyhydroxide stabilized by a sucrose-based phosphate binder, which comprises polynuclear iron(III) oxyhydroxide stabilized by sucrose and one or more starches including native starches (potato starch, corn starch, etc.) and modified starches, e.g. pregelatinized starch.

[0083] In a further embodiment, the present invention relates to a pharmaceutical composition comprising sucroferric oxyhydroxide particles and, optionally, at least one further pharma- ceutically acceptable excipient, i) at least 40% by volume, or at least 60% by volume, at least 80% by volume, or at least 90% by volume of the sucroferric oxyhydroxide particles in a particle size distribution between 4 and 200 μm, or halfway between 5 and 160 μm, or halfway between 21 and 160 μm; ii) the sucroferric oxyhydroxide particles have a d50 (by volume) in the particle size distribution between 30 μm and 120 μm, or between 35 μm and 110 μm, or between 40 μm and 100 μm, or preferably between 40 μm and 80 μm; iii) sucroferric oxyhydroxide as defined above constitutes more than 80%, or more than 90%, or more than 95%, or more than 97% by weight of the sucroferric oxyhydroxide particles on a dry weight basis; It relates to pharmaceutical compositions.

[0084] When further excipients are present in addition to the phosphate binder particles, the particle size distribution of the selected further excipients contained in the pharmaceutical formulation or pharmaceutical composition or tablet is similar to the particle size distribution of the phosphate binder particles, preferably sucroferric oxyhydroxide particles. The term "similar" means that the particle size distribution of the excipients in the tablet comprises particles in the range of 5-400 μm, or between 5-300 μm, preferably between 1-200 μm. Preferably, at least 40% by volume, or at least 60% by volume, at least 80% by volume, or at least 90% by volume of the excipient particles are in the range of 5-400 μm, or between 5-300 μm, preferably between 1-200 μm.

[0085] Preferred excipients having a suitable particle size distribution are described, for example, in "Handbook of Pharmaceutical Excipients (6th Edition), edited by Raymond C. Rowe-Publisher: Science and Practice.

[0086] The particle size of the phosphate binder, e.g. sucroferric oxyhydroxide particle size, can be controlled by crystallization, drying, preferably spray drying, compaction and / or milling / sieving (non-limiting examples are given below). The production of the desired particle size distribution is well known in the art and is described, for example, in "Pharmaceutical dosage forms: Vol. 2, 2nd Edition, Editors: HALieberman, L. Lachman, JB Schwartz (Chapter 3: SIZE REDUCTION)". According to the present invention, the desired particle size distribution, particularly for the preferably used sucroferric oxyhydroxide particles, is obtained by a spray drying process, which comprises a step of spray drying an aqueous suspension of phosphate binder particles (which in the case of the preferred sucroferric oxyhydroxide is composed of a mixture of iron(III) oxyhydroxide, sucrose, starch), the aqueous suspension of phosphate binder particles being subjected to atomization before spray drying. Atomization of the feed can generally be achieved by basic feeding devices of the type one-fluid nozzle or pressure, two-fluid nozzle or air pressure, and centrifugal (rotating disk). In the present invention, atomization is preferably performed by a centrifugal (rotating disk) atomizer. Centrifugal atomization pumps the feed liquid to a rotating disk to obtain dispersion by centrifugal force. In the present invention, spray drying, especially in an Anhydro Spray drying plant type CSD73, has been found to provide a suitable drying process. To atomize concentrated aqueous PA21 suspensions, a centrifugal atomizer CE250 can be used, which atomizes by feeding the liquid feed to a high-speed wheel. With rotary atomizers, the wheel speed and thereby the particle size can be better adjusted than with nozzles. Furthermore, rotary atomization is well suited to shorter spray dryers. The powder received from the spray drying process should have good flowability and the particle size of the dried product should not be too small. With rotary atomizers, the particle size can be adjusted especially by changing the wheel speed. The atomizer wheel speed determines the size of the droplets that fall into the drying chamber of the spray dryer. The size of the droplets affects the particle size of the dry powder as well as its losses during drying. Since smaller droplets contain less water, which evaporates faster on its way through the drying chamber, a higher wheel speed produces smaller droplets, smaller particle size of the dry powder, and less losses during drying.The correlation between wheel speed and particle size depends on the geometry of the chamber, so this must be adapted to each individual plant. For the geometry of the preferred Anhydro Spray drying plant type CSD No. 73 used, wheel speeds between 12000 and 20000 rpm have been found to be suitable to achieve the desired particle size distribution. The inlet temperature of the air determines the drying energy brought to the spray dryer. Together with the inlet gas flow this determines the drying efficiency. The inlet gas flow should be approximately 1.9x10. 4 m 3 The inlet temperature was found to be suitable for the Anhydro Spray Drying Plant CSD73 in the range of 130-180°C.

[0087] The desired particle size distribution for the particularly preferably used sucroferric oxyhydroxide particles can be obtained from any form of the phosphate binder and in particular from any physicochemical form of sucroferric oxyhydroxide (e.g. different secondary structures such as amorphous or crystalline forms).

[0088] Multiple particle sizes have been tested and it has been discovered that the particular size ranges described herein provide unexpectedly superior results for compression, preferably direct compression and especially chewable tablets.

[0089] Particle size distribution can be measured by sieve analysis, or laser diffraction (International Standard ISO 13320-1), or electronic detection zone, light obstruction, sedimentation or microscopy, procedures well known by those skilled in the art. Sieving is one of the oldest methods of classifying powders by particle size distribution. Further methods include measuring volumetric particle size distribution by TEM (see, for example, Clariant Analytical Services TECHNICAL SHEET 106 TEM-Partikelgroeβe). Such methods are well known and described in the art, for example, in any analytical chemistry textbook or by the United States Pharmacopeia (USP) publication USP-NF (2004-Chapter 786 (The United States Pharmacopeial Convention, Inc., Rockville, Md.)), which describes the mandatory standards of the United States Food and Drug Administration (FDA). The techniques used are described, for example, in Pharmaceutical dosage forms: Volume 2, 2nd edition, edited by HALieberman, L.Lachman, JBSchwartz, which is a good example. This document also mentions additional methods: electronic detection zone, light obstruction, air permeation, sedimentation in gas or liquid (page 187). However, the particle size distribution values ​​used in the present invention are generally obtained by laser diffraction analysis techniques (see, for example, http: / / pharmazie-lehrbuch.de / kapitel / 3-1.pdf). More specifically, the particle size distribution is determined, in particular by the full Mie theory, in particular according to the LS 13 320 Laser Diffraction Particle Size Analyzer Instructions For Use PN B05577AB (October 2011) according to the corresponding The particle size distribution (PSD) according to the invention is obtained on a Beckmann Coulter 320 Laser Diffraction Particle Size Analyzer. These laser diffraction analysis techniques result in a volume weighted distribution, where the contribution of each particle in the distribution is related to the volume of that particle (which is the same as mass if the density is uniform), i.e. the relative contribution is proportional to the size. More specifically, the particle size distribution (PSD) according to the invention is performed on a 20 g sample of phosphate binder analyzed on a Beckman Coulter LS laser particle size analyzer equipped with a dry powder system. A run length of about 13'' and an obscuration of 4% are applied. A computer program is used to calculate the PSD from the cumulative percentage undersize distribution. Further details are given in Example 4 below.

[0090] Tablet thickness can be measured using a ruler, calipers, screw gauges or any electronic method for measuring dimensions. Such methods are well known and described in the art, for example in any analytical chemistry textbook or by the United States Pharmacopeia (USP) publication USP-NF (2004), which describes standards that are enforceable by the U.S. Food and Drug Administration (FDA).

[0091] The invention particularly provides compressed or directly compressed tablets, in particular chewable tablets, which are capable of disintegrating in water within a period of less than 30 minutes, or preferably between 5 and 25 minutes, to give a dispersion capable of passing through a sieve screen having a mesh opening size of 710 μm, according to the British Pharmacopoeia test defined herein for dispersible tablets.

[0092] Preferably, the disintegration time of the tablet according to the invention is less than 20 minutes, more preferably less than 18 minutes and most preferably less than 20 minutes, even more preferably between 12 and 20 minutes.

[0093] Moreover, the disintegration time and relatively fine dispersion obtained with the tablets according to the invention are also advantageous in terms of phosphate absorption capacity.Thus, the tablets according to the invention can be provided to disintegrate in water or in the oral cavity as chewable tablets, and also to be swallowed directly.Tablets according to the invention intended to be swallowed are preferably film-coated to facilitate application.

[0094] The present invention also relates to the use of particles comprising a phosphate binder, in particular particles comprising sucroferric oxyhydroxide, for preparing a pharmaceutical composition, in particular a compressed or directly compressed tablet, wherein at least 40% by volume of the particles, in particular the sucroferric oxyhydroxide particles in the particle size distribution are between 4 and 200 μm, preferably between 5 and 160 μm or in between 21 and 160 μm, preferably 60% by volume, most preferably 80% by volume and even more preferably 90% by volume.

[0095] The present invention also relates to the use of particles comprising a phosphate binder, in particular sucroferric oxyhydroxide, for preparing compressed or directly compressed tablets, wherein the phosphate binder has a d50 in the particle size distribution between 40 μm and 80 μm, or between 42 μm and 75 μm.

[0096] The present invention also relates to the use of particles comprising a phosphate binder, in particular sucroferric oxyhydroxide, for preparing a pharmaceutical composition or a compressed or directly compressed tablet, comprising i) the phosphate binder has a d50 in the particle size distribution between 30 μm and 120 μm, or between 35 μm and 110 μm, or between 40 μm and 108 μm, or between 40 μm and 100 μm, or preferably between 40 μm and 80 μm, or between 42 μm and 75 μm; and / or ii) Use wherein at least 40% by volume of the sucroferric oxyhydroxide particles have particles in a particle size distribution between 4 and 200 μm, or preferably between 5 and 160 μm, or between 21 and 160 μm, preferably 60% by volume, most preferably 80% by volume, even more preferably 90% by volume.

[0097] In a further preferred embodiment, the pharmaceutical composition is in the form of a powder or granules that can be further mixed with at least one pharma- ceutically acceptable excipient, most preferably in the form of a powder when the pharmaceutical formulation is directly compressed into tablets or used in granules.

[0098] In a preferred embodiment, the pharmaceutical formulation preferably used contains a lubricant, which is preferably magnesium stearate.

[0099] In addition to the active ingredient (phosphate binder particles), the pharmaceutical composition (e.g., tableting powder or tableting granules) may contain several inert materials known as excipients (or pharma- ceutically acceptable excipients). These can be classified according to the role they play in the final tablet. Excipients are selected to aid processing and improve the properties of the final product, and can be classified according to the role they play in the final tablet. These can include fillers, binders or diluents, lubricants, disintegrants, and glidants. Other excipients that contribute to the physical properties of the finished tablet include, for example, colorants and, in the case of chewable tablets, flavoring agents. Typically, excipients are added to the formulation to impart good flow and compression properties to the material being compressed. Such excipients and corresponding ranges are specifically described in International Patent Application Publication No. WO 2009 / 06993. Typically, no more than 35% by weight (dry weight basis) of excipients is added to the total pharmaceutical composition.

[0100] In a preferred embodiment, the present invention relates to any of the pharmaceutical compositions or compressed tablets, preferably direct compressed pharmaceutical tablets, described herein, in which at least one of the pharma- ceutically acceptable excipients is used in an amount of, for example, 0.01% to 10% by weight, or 0.01% to 6% by weight, or 0.1% to 6% by weight (based on dry weight). In the most preferred embodiment using sucroferric oxyhydroxide (consisting essentially (i.e., excluding impurities, i.e., typically more than 95 or 98% by weight) of iron(III) oxyhydroxide stabilized by sucrose and starch) as phosphate binder particles, only additional excipients selected from flavorings, sweeteners or taste enhancers, glidants or lubricants (the latter preferably selected from magnesium stearate or colloidal silica, e.g. Aerosil®) are used in an amount of up to 10% by weight, preferably up to 6% by weight, more preferably up to 3% by weight (based on dry weight).

[0101] In a preferred embodiment, the present invention relates to any of the pharmaceutical compositions or compressed tablets, preferably direct compressed pharmaceutical tablets, described herein, wherein the at least one pharma- ceutically acceptable excipient is a lubricant, preferably magnesium stearate, and a flavoring agent.

[0102] One, two, three or more diluents or fillers can be selected as additional pharma- ceutically acceptable excipients. Examples of pharma-ceutically acceptable fillers and pharma-ceutically acceptable diluents include, but are not limited to, powdered sugar, compressed sugar, dextran, dextrin, dextrose, lactose, mannitol, microcrystalline cellulose, powdered cellulose, sorbitol, sucrose and talc. Preferred diluents include, for example, microcrystalline cellulose. Microcrystalline cellulose is available from several suppliers. Suitable microcrystalline cellulose includes Avicel products manufactured by FMC Corporation. Another diluent is, for example, lactose. Diluents, fillers can be present, for example, in amounts of about 0.1% to 20% and about 0.5% to 40% by weight of the composition, respectively.

[0103] One, two, three or more disintegrants can be selected. Examples of pharma-ceutically acceptable disintegrants include, but are not limited to, starch; clay; cellulose; alginates; gums; cross-linked polymers such as cross-linked polyvinylpyrrolidone, cross-linked calcium carboxymethylcellulose and cross-linked sodium carboxymethylcellulose; soybean polysaccharides; and guar gum. Disintegrants can be present, for example, in an amount of about 0.01% to about 10% by weight of the composition. Disintegrants are also optional but useful components of tablet formulations. Disintegrants are included to ensure that the tablet has an acceptable disintegration rate. Exemplary disintegrants include starch derivatives and salts of carboxymethylcellulose. Sodium starch glycolate is the preferred disintegrant for this formulation.

[0104] One, two, three or more lubricants may be selected. Examples of pharma- ceutically acceptable lubricants and pharma-ceutically acceptable glidants include, but are not limited to, colloidal silica, magnesium trisilicate, talc, tribasic calcium phosphate, magnesium stearate, aluminum stearate, calcium stearate, stearic acid, polyethylene glycol and glycerol behenate. Lubricants may be present, for example, in an amount of about 0.01-10% by weight, or 0.1% to about 6% by weight of the composition, whereas lubricants may be present, for example, in an amount of about 0.01-10% by weight, or about 0.1% to about 10% by weight. Typically, lubricants are added to prevent the tablet blend from sticking to punches, minimize friction during tablet compression, and allow for removal of the compressed tablet from the die. Such lubricants are generally included in the final tablet mix, usually in an amount of about 2% by weight or less. The lubricant component may be hydrophobic or hydrophilic. Examples of such lubricants include, for example, stearic acid, talc and magnesium stearate. Magnesium stearate reduces friction between the die walls and the tablet mix during tablet compression and ejection. This helps prevent the tablet from sticking to the punches and dies. Magnesium stearate also aids in powder flow into the hopper and die. The preferred lubricant, magnesium stearate, is also used in the formulation. Preferably, the lubricant is present in the tablet formulation in an amount of about 0.01-10%, or about 0.1% to about 6% by weight of the composition; also preferred is a level of about 0.1% to about 4% by weight; most preferred is a level of about 0.1% to about 2% by weight. Other possible lubricants include talc, polyethylene glycol, silica, and hydrogenated vegetable oil. In an optional embodiment of the invention, the lubricant is not present in the formulation, but is sprayed onto the die or punch rather than added directly to the formulation.

[0105] In addition, tablets usually contain a diluent or filler that is added to increase the bulk weight of the blend which provides the granularity for compression (usually when the dose of drug is low).

[0106] Conventional solid fillers or carriers are, for example, substances such as corn starch, calcium phosphate, calcium sulfate, calcium stearate, glyceryl mono- and distearate, sorbitol, mannitol, gelatin, natural or synthetic gums (e.g., carboxymethylcellulose, methylcellulose, alginates, dextran, acacia gum, karaya gum, locust bean gum, tragacanth, and the like), and diluents, binders, disintegrating agents, colorings and flavorings may optionally be used.

[0107] Binders are agents that impart cohesive properties to powdered materials. Examples of pharma- ceutically acceptable binders as excipients include, but are not limited to, starch, sugar; cellulose and its derivatives, such as microcrystalline cellulose, hydroxypropylcellulose, hydroxyethylcellulose and hydroxypropylmethylcellulose; sucrose; glucose; dextrose, lactose dextrose; corn syrup; polysaccharides; and gelatin. During clinical trials, the applicant further found that the taste of phosphate binders was not acceptable to subjects, directly affecting compliance with therapeutic treatment. For the sake of clarity, it should be noted that sucrose and starch, which are part of the active ingredient sucroferric oxyhydroxide or PA21, are not counted as excipients, such as binders, sweeteners, etc., listed here.

[0108] In further embodiments, the formulations, compositions, and tablets of the invention contain one or more flavor or taste-masking and color additives typically used in oral dosage forms, such as flavoring agents, sweetening agents, taste enhancers, coloring agents, and the like.

[0109] In a preferred embodiment, the formulations, compositions and tablets of the present invention include a flavoring agent having a woodberry flavor, which provides for better compliance and tolerability of the claimed phosphate binder tablets.

[0110] Flavoring agents, such as taste enhancers, flavoring agents and / or natural or artificial sweeteners (including intense sweeteners), are incorporated into oral dosage forms, such as chewable dosage forms, to give them a more pleasant taste or to mask unpleasant tastes.

[0111] Typical sweeteners as excipients include, but are not limited to, sugars, such as sucrose, fructose, lactose, powdered sugar, or polyols, such as sorbitol (e.g., Neosorb), xylitol, mannitol, maltose and polydextrose or mixtures thereof. Typical high-intensity sweeteners may include, but are not limited to, for example, aspartame, sucralose, acesulfame K and / or saccharin derivatives, or mixtures thereof. Further suitable sweeteners or taste enhancers include, for example, glycosides such as neohesperidin dihydrochalcone (neohesperidin DC or NHDC), glycyrrhizin, glutamate. The latter can be used in very small amounts, and therefore may be referred to below as taste enhancers. All of the above are suitable for use alone or in mixtures with other sweeteners and / or flavoring agents. These substances ensure that the sweetness is highly prolonged and mask any undesirable aftertaste. Preferred sweeteners and / or taste enhancers include glycosides such as neohesperidin dihydrochalcone.

[0112] In one embodiment, the selected sweetener may be present in an amount of 0.00001 to 2% (w / w), preferably 0.00001 to 0.1% (w / w), most preferably 0.00001 to 0.001% (w / w), relative to the total weight of the composition.

[0113] The selected taste enhancer may be present in an amount of 0.1-50 ppm, preferably 1-10 ppm, most preferably 1-5 ppm, based on the total weight of the composition. Typical flavoring agents include any natural and artificial flavoring agent suitable for pharmaceutical use, such as flavoring agents derived from spices, fruits or fruit juices, vegetables or vegetable juices, etc., such as flavoring agents based on cocoa, caramel, vanilla, apple, apricot, berries (e.g., blackberry, red currant, blackcurrant, strawberry, raspberry, woodberry, etc.), mint, panettone, honey, nuts, malt, cola, vervain, or any combination thereof, such as caramel / vanilla, fruit / cream (e.g., strawberry / cream), etc. In one embodiment, the selected flavoring agent may be present in an amount of 0.01-12% (w / w), preferably 0.1-6% (w / w), most preferably 0.1-4% (w / w), based on the total weight of the composition.

[0114] Further examples of useful excipients are described in Handbook of pharmaceutical excipients, 3rd Edition, edited by A. H. Kibbe, Published by: American Pharmaceutical Association, Washington, DC, ISBN: 0-917330-96-X or Handbook of Pharmaceutical Excipients (4th Edition), edited by Raymond C. Rowe-Publisher: Science and Practice, which are incorporated herein by reference.

[0115] The above formulations are particularly suitable for the manufacture of pharmaceutical compositions, such as tablets, compressed tablets or preferably direct compressed tablets, caplets or capsules, and provide the necessary physical properties, such as with regard to dissolution and drug release profile, required by the prior art dosage forms in the art.Therefore, in a further embodiment, the present invention relates to the use of any of the above pharmaceutical compositions, tablets, chewable tablets, granules, caplets or capsules, in particular for granulation, direct compression and dry granulation (slugging or roller compaction).

[0116] The compositions are also particularly useful in the manufacture of tablets, particularly compressed tablets, and most preferably direct compressed tablets such as chewable tablets.

[0117] Tablets obtained with said compositions, especially when processed into the form of direct compression tablets or direct compression tablets as described herein, show favorable friability properties, very good breaking strength, improved manufacturing robustness, optimal hygroscopicity, hardness, compressibility, chewability, low residual moisture content especially for direct compression tablets, short disintegration time DT (less than 30 minutes) according to the British Pharmacopoeia 1988 resulting in a fine dispersion with favorable particle size distribution after disintegration. However, the disintegration time DT values ​​claimed in this application were obtained according to the methodology prescribed in the European Pharmacopoeia (EP) 04 / 2011:20901.

[0118] Preferably the compressed tablets (eg direct compressed tablets) have a disintegration time of less than 30 minutes, preferably between 5 and 20 minutes.

[0119] Preferably, the compressed tablets (including directly compressed tablets) have a tablet hardness of between 70N and 250N, or between 80 and 200N, preferably between 100N and 230N, and a friability of between 0% and 7% or 0.5% and 7%.

[0120] The direct compression of the phosphate binder, particularly sucroferric oxyhydroxide, of the present invention involves blending and compression. The selection of the grade of excipients, particularly added to the claimed sucroferric oxyhydroxide particles, takes into account the particle size range of the sucroferric oxyhydroxide particles in order to maintain within a range that allows homogeneity of the powder mixture and content uniformity of the phosphate binder particles, particularly sucroferric oxyhydroxide particles, in the final dosage form, and as explained before, the particle size distribution of the selected additional excipients included in the pharmaceutical formulation or pharmaceutical composition or tablet is preferably similar to that of the phosphate binder particles, preferably sucroferric oxyhydroxide particles. This prevents particle segregation in the hopper during direct compression. The advantage of using the claimed pharmaceutical composition is that the composition imparts compressibility, cohesiveness (which reduces it) and flowability (which increases it) of the powder blend. Furthermore, the use of direct compression provides competitive unit production cost, shelf life, removes heat and moisture, allows disaggregation of the primary particles, physical stability and ensures particle size uniformity.

[0121] The described advantages of the claimed pharmaceutical compositions also make them extremely useful, for example, for roller compaction or wet granulation, or for filling sachets or capsules.

[0122] In further embodiments, the pharmaceutical compositions and tablets (e.g., direct compressed tablets) described and claimed herein comprise one or more additional phosphate binders, preferably one or two additional phosphate binders.

[0123] Preferred additional phosphate binders are organic polymers, such as, for example, Sevelamer hydrochloride.Phosphate level control is one of the first-line treatments for CKD-MBD, using phosphate binders to reduce serum phosphate concentration.Sevelamer is marketed by Genzyme under the trade name Renagel® (hydrochloric acid) and Renvela® (carbonate formulation).

[0124] Other phosphate binders that can be used include calcium, magnesium, aluminum, iron, lanthanum and bismuth salts, which are more soluble than the corresponding phosphates of these cations. In addition, phosphate-binding organic polymers with anion exchange function, such as AMG 223 (Amgen) and MCI-196 (Colestilan, Mitsubishi), are suitable materials for the present invention. Suitable aluminum salts include all pharma- ceutically acceptable salts that meet the above requirements, in particular oxides, in particular algeldrates and / or hydroxides. All pharma-ceutically acceptable salts that meet the above requirements, in particular lanthanum carbonate, including its hydrates, are suitable as lanthanum salts. All pharma-ceutically acceptable salts that meet the above requirements, in particular chlorides, sulfates, hydroxides, oxides, carbonates and in particular magnesium heavy carbonate, are suitable as magnesium salts. Preferred phosphate binders based on metal salts are, for example, fermagates and calcium salts, preferably calcium carbonate and / or calcium chloride, and in particular calcium acetate.

[0125] The present invention also encompasses any of the pharmaceutical compositions or tablets claimed herein above which contain a second phosphate binder selected from, for example, sevelamer hydrochloride formulations (Renagel®), sevelamer carbonate formulations (Renvela®), calcium, magnesium, aluminum, iron, lanthanum salts and bismuth salts. EXAMPLES

[0126] Example 1: Tablets prepared as herein above can be tested as follows. Tablet Evaluation Method 1. Average tablet weight: Weigh 20 tablets on an analytical balance and calculate the average tablet weight. 2. Tablet Crushing Strength NFive tablets are individually tested using a Schleuniger crushing strength tester and the average breaking strength is calculated. 3. Friability (Loss%) Ten accurately weighed tablets are subjected to a 10 minute friability test using a Roche Friabilator (described and measured under the conditions of Example 4(C)). The tablets are dedusted, reweighed and the weight loss due to friability is calculated as a percentage of the initial weight. The friability data and values ​​claimed in this application were measured using a Roche friability meter according to European Pharmacopoeia 01 / 2010:20907. 4. Disintegration Time DT (as defined in the European Pharmacopoeia 04 / 2011:20901) 6 tablets are tested according to the EP test defined above. 5. Dispersion quality According to the BP uniformity of dispersion test for dispersible tablets (BP 1988 2, p. 895), place two tablets in 100 ml of water at 19-21°C and disperse.

[0127] Granule evaluation method 1. Loss on Drying (LOD)The residual moisture content (LOD) of granules can be determined on a 3-4g sample using a Mettler moisture meter set at 105°C for 10 minutes, operated according to the manufacturer's procedures. 2. Particle Size Distribution (PSD) A 20 g sample of sucroferric oxyhydroxide as phosphate binder was measured using the full Mie theory, in particular with a Beckman Coulter LS 13 320 Laser Diffraction Particle Size Analyzer equipped with a dry powder system according to the corresponding "LS 13 320 Laser Diffraction Particle Size Analyzer Instructions For Use PN B05577AB (October 2011)". The particles are analyzed at 320. These laser diffraction analysis techniques result in a volume weighted distribution (see, for example, FIG. 2). A run length of approximately 13'' and an obscuration of 4% are applied. A computer program is used to calculate the PSD from the cumulative volume percent obscuration size distribution.

[0128] Example 2: Improved manufacturing robustness Preliminary compactability determinations are performed in a Kilian press using different formulations of sucroferric oxyhydroxide with different excipients, for example magnesium stearate. The data demonstrate that our claimed pharmaceutical compositions exhibit a substantial useful increase in tablet strength when compressed at increasing levels of pressure (compression force). In particular, for example, mixtures of sucroferric oxyhydroxide and magnesium stearate exhibit a substantial useful increase in tablet strength when the sucroferric oxyhydroxide is within the claimed particle size distribution. These results demonstrated that the claimed formulations offer a clear improvement in terms of compressibility. With increasing pressure (compression force), our claimed formulations exhibit a substantial useful increase in tablet strength. Compressibility testing is performed on a Fette 102i press equipped with force and displacement sensors on both the upper and lower punches. From these data it is evident that sucroferric oxyhydroxide tablets will likely have poor hardness / crushing strength unless appropriate particle size is selected. The applicant's claimed formulation is particularly suited to provide the required compactability.

[0129] Example 3: Friability Alternatively, the evaluation can be carried out using a Fette 2200 press with six different settings: strain rate settings 30'000-70'000 tablets / hour and main compression force 35-55 kN. The test uses a flat face beveled edge (FFBE) tool with a diameter of 20 mm for 2577.5 mg tablets (other diameters are used depending on the weight of the tablets to be tested). The friability data and values ​​claimed in this application were measured according to European Pharmacopoeia 2.9.7 using a Roche friability tester. The total tablet weight was selected so that both 20 mm FFBE tablets have 2500 mg of sucroferric oxyhydroxide and the same tablet thickness. Friability, compression profile, strain rate profile and weight variation are the results measured. The test design and friability results obtained from the test are used to determine the variables that affect the hardness results (particle size distribution of the formulation, tablet weight, tablet thickness and weight, moisture content in the tablet, etc.).

[0130] Example 4: Particle size distribution measured by laser diffraction Sucroferric oxyhydroxide particle size distribution having particles in the range between 1-200μm, or 4-200μm, or 5-160μm, or 21-160μm, or with a d50 in the particle size distribution between 30μm-120μm, 35μm-110μm, or 40μm-100μm, or preferably between 40μm-80μm, or between 42μm-75μm, which is particularly suitable for producing the formulations described herein, in particular direct compression tablets, can be produced as follows:

[0131] The methods and values ​​described in Example 4 below form the basis for supporting the values ​​contained in the claims. 1. Preparation of particle size distribution via sucroferric oxyhydroxide applied to direct compression tablets The Applicant has found that the particle size distribution of the phosphate binder, in particular sucroferric oxyhydroxide, is particularly suitable for direct compression tablets (e.g. having particles predominantly (greater than 50% by volume) between 10 and 152 μm (or having a d50 of the particle size distribution between 40 μm and 80 μm, or preferably between 42 μm and 75 μm). Improved results are obtained with a d50 of the particle size distribution between 30 μm and 120 μm, or between 35 μm and 110 μm, or between 40 μm and 108 μm, or between 40 μm and 100 μm, or preferably between 40 μm and 80 μm, or preferably between 42 μm and 75 μm. The particle size distribution measured by laser diffraction is preferably specified as follows: d10 ≧5 μm, d50 ≧35 μm, preferably between 40 μm and 80 μm, or between 42 μm and 75 μm, and d90 ≦380 μm. The particle size was measured by laser diffraction.

[0132] device: Measuring equipment: e.g. LS 13 320 Laser Diffraction Particle Size Analyzer of Beckmann Coulter, Beckman Coulter International SASwitzerland Sample module: Vacuum pressure dispersion system, e.g. Dry Powder System (Tornado), Beckman Coulter International SASwitzerland

[0133] conditions: Average vacuum: 25~30''H2O; Obscuration about 48~10%; Run length about 25 seconds.

[0134] procedure: 20 g of sample is introduced into the Dry Powder dispersion system. Measurement: Apply the specified vacuum to move the sample and determine the cumulative volume distribution using a laser light diffraction instrument according to the manufacturer's instructions. Parameters may be adjusted so that the test dispersion is representative, homogenous, and well dispersed. Evaluation / Judgment: From the cumulative volume distribution, the particle sizes at 10%, 50% and 90% (d10, d50, d90) of the mesh size values ​​are determined, as well as any additional values.

[0135] The particle size distribution of the present invention (in particular the sucroferric oxyhydroxide particle size distribution) can be obtained by the following steps, which are non-limiting examples. Alternative steps can be easily implemented by those skilled in the art. A. Manufacturing process Sucroferric oxyhydroxide drug substance is prepared essentially as described in European Patent Publication No. WO 9722266 or Patent Application No. WO 2008 / 062993. The manufacturing process for sucroferric oxyhydroxide drug substance (referred to as PA21 in Figure 1 below) results in a stabilized polynuclear β-iron(III) oxyhydroxide with a particularly high phosphate binding capacity that is maintained during long-term storage. A flow chart of the manufacturing process is provided below, which includes the following steps: Synthesis of iron(III) oxyhydroxide by precipitation of iron salts (e.g., iron(III) chloride) with a base (sodium carbonate was found to be the best choice). The process was optimized by continuously adding iron(III) chloride and adjusting the stirring speed. Desalination: The excess sodium chloride formed is removed by a washing step with water. · Add starch and sucrose to the iron(III) oxyhydroxide suspension under constant stirring, preferably in a relative mass ratio of starch:sucrose:iron of 1.5:1.5:1. This step is performed to stabilize the iron(III) oxyhydroxide and allow for further processing. Spray drying under controlled conditions as described above.

[0136] The resulting sucroferric oxyhydroxide drug substance can be obtained with the desired particle size distribution by adapting the spray drying settings mentioned above, especially with a centrifugal atomizer. By spray drying, the desired particle size distribution is obtained by selecting different settings of the atomizer of the spray dryer. This technique is known by those skilled in the art and the settings depend on the spray dryer equipment used and can be adapted appropriately. Optionally, the resulting sucroferric oxyhydroxide drug substance obtained can be further processed by other well-known techniques such as mechanical stress to obtain the desired particle size distribution.

[0137] Figure 2 shows the particle size distribution of the resulting PA21 drug substance obtained from the spray drying process and analyzed using a LS 13 320 Laser Diffraction Particle Size Analyzer of Beckmann Coulter.

[0138] B. Mechanical stress Basically, phosphate absorbent particles in the desired particle size range can also be obtained by mechanical stress. This stress can be mediated by impact, shear or compression. In most commercially available grinding equipment, a combination of these principles occurs. For the sucroferric oxyhydroxide obtained by the above manufacturing process, a mechanical impact or jet mill may preferably be used, apart from the preferred spray drying process. The most preferred mechanical impact mills can be equipped with different types of beaters, screens, liners or pin plates. For our process, a plate beater and a slit screen 5 *Use an impact mill with a 2.5 cm. Impact speed should be variable between 20-100 m / s (as peripheral speed) to accommodate any batch-to-batch variations. Use a beater peripheral speed of approximately 40-50 m / s. Good results (particle size distribution) can also be obtained by mechanical stress, for example roller compaction, milling and / or sieving. Other techniques described in the art and commonly used by those skilled in the art can also be used to obtain the targeted particle size range. To evaluate the compressibility of API (active pharmaceutical ingredient: sucroferric oxyhydroxide) batches with different particle size distributions, different API batches covering the range of approximately 40 μm to 110 μm were selected.

[0139] Characteristics of selected sucroferric oxyhydroxide API batches: [Table 1] All API batches showed similar flow properties, density and LOD. The variation in iron content was within the normal range for this type of product. The only major difference was the particle size distribution.

[0140] C. Tablet Compression device: Tableting process: Rotary Killian E 150 with 20mm flat-faced punches Tablet hardness: 5 tablets are individually tested using a Schleuniger crushing strength tester and the average breaking strength is calculated. Tablet hardness is measured according to European Pharmacopoeia 01 / 2008:20908. Tablet Thickness: Five tablets are individually measured with a caliper and the average thickness calculated. Tablet friability: Friability is measured using a Roche friability meter according to European Pharmacopoeia 01 / 2010:20907. Average weight: 10 tablets are weighed and the average weight is calculated. Six tablets are subjected to disintegration (as defined in the European Pharmacopoeia 04 / 2011:20901) using standard equipment (Sotax DT3 disintegration tester).

[0141] 1. Preparation of pharmaceutical powders Different API batches (having different particle size ranges) were all formulated in powder form containing sucroferric oxyhydroxide particles with the following composition (pharmaceutical formulation): [Table 2]

[0142] 2. Preparation of Compressed Tablets The following equipment was used to prepare the blends: Tumbling blender (Roehnrad Engelsmann), Quadro comill 193 PhEur quality magnesium stearate, silica and neohesperidin DHC were purchased. The flavorings selected are standard flavorings used in food and pharmaceutical products. The same manufacturing process by direct compression was applied to all API batches to compare their processability. The manufacturing process consisted of: Sifting and blending of all ingredients - Lubrication by adding magnesium stearate -Compress into 20mm diameter biplanar tablets using a rotary tablet press Tablet weight was adjusted according to the drug substance assay to give a nominal dosage of 500 mg iron, i.e. 2500 mg sucroferric oxyhydroxide. Tabletting tests were carried out to optimise the tablet hardness: for the 20mm tablets a hardness of at least 100N is required to be able to fill the tablets into standard packaging without damage or fracture of the tablets.

[0143] The following tableting tests were carried out: [Table 3]

[0144] Based on the knowledge in the art, for large tablets such as the developed high load direct compression tablets (i.e. sucroferric oxyhydroxide 2500 mg), the ideal d50 should have been between 200-350 μm. One would never have expected that the claimed small sucroferric oxyhydroxide particle size could result in improved tablets (direct compression high load tablets), i.e. improved physical properties. Surprisingly, the sucroferric oxyhydroxide particles with d50 of 109 μm (batch no. 030609-02) could not lead to tablets with the most preferred targeted hardness, although still acceptable. A maximum of 83 N was reached in the tablet press, at which point the compression force was already maximum and the machine noise forced us to stop the experiment to avoid damaging the tablet press. Although the tablets were compressed at the lowest thickness, we obtained the lowest hardness. Tableting tests E222X383B with d50 of 43 μm and E222X382B with d50 of 75 μm surprisingly led to increased compression force and increased hardness (but not the batch with d50 of 109 μm). With such batches (d50 above 109 μm), it was not possible to obtain tablets with improved hardness, no matter what compression force was used. Therefore, a d50 of about 109 μm is still in the upper range of acceptable range. So a reasonable upper limit is in the region of 110 or 120 μm. At 120 μm the hardness should be around 80N or slightly less.

[0145] Tests carried out with sucroferric oxyhydroxide particles with d50 in the range of 42-75 μm revealed surprisingly good compressibility of the material, making it possible to target hardnesses up to 140 N. Sucroferric oxyhydroxide particles with d50 less than about 42 μm were considered less suitable for tabletting as they would result in too much loss of material in the rotary tablet press. Based on experimental evaluation, the above claimed improvements are observed with sucroferric oxyhydroxide particles having a d50 between 30μm and 120μm, or between 35μm and 110μm. Best results are observed with sucroferric oxyhydroxide (API) particles having a d50 between 40μm and 108μm, between 40μm and 100μm, or preferably between 40μm and 80μm. Figure 3 demonstrates that sucroferric oxyhydroxide (API) particles with d50 between 40 and 80 μm are particularly preferred to obtain a minimum of 100N. The disintegration time obtained with sucroferric oxyhydroxide particles with d50 of 109 μm (batch 030609-02) for tablets of 83N was 300% higher (19'51'') than tablets of similar hardness (88N) obtained with API with d50 of 42 μm (110709-01) disintegrating at 6'28''. Such a difference is undesirable as it may affect the dissolution time of the tablets. To confirm the superior compressibility of sucroferric oxyhydroxide particles, the compression profile was investigated on an additional batch with d50 of 50.3 μm.

[0146] Tablet batch 1260111 produced on a rotary press gave the following results: [Table 4] Sucroferric oxyhydroxide particles with d50 of 50 μm exhibited excellent compression properties, showing a linear increase in hardness as a function of force, as shown in Figure 4. Tablets up to 187 N could be produced.

[0147] Example 5: Alternative Test to Test the Chewability of Compressed Chewable Tablets of the Invention Pharmacopoeia tests for (diameter or radius) hardness (crushing resistance Ph.Eur.2.9.8), friability (Ph.Eur.2.9.7) and disintegration (Ph.Eur.2.9.1) are carried out using standard equipment (Erweka TBH 220 hardness tester, Erweka TA120 friability tester (or Roche friability meter) with standard and abrasion drums, and Sotax DT3 disintegration tester). In order to avoid any confusion, it is emphasized that the friability values ​​claimed in this application were measured according to European Pharmacopoeia 01 / 2010:20907 using a Roche friability meter, the disintegration values ​​claimed in this application were measured according to European Pharmacopoeia 04 / 2011:20901 and were performed using standard equipment (Sotax DT3 disintegration tester) and the tablet hardness values ​​claimed in this application were measured using a Schleuniger crushing strength tester, i.e. according to European Pharmacopoeia 01 / 2008:20908 using the conditions described in Example 4.

[0148] In addition, a texture analyzer (TAXt2i® Texture Analyser Stabel Micro Systems Ltd, Godalming, UK) used to measure the texture of a wide variety of materials is used to measure the shaft hardness (ring and tube test), crushing characteristics (plate test). In addition, a Kramer shear cell from Instron High Wycombe, UK () used in the food industry to provide information on chewing characteristics, crispness and hardness, and a Typodont D85SDP-200Model from Kilgore International Inc, Coldwater, Michigan, USA () are also used in this test to test the chewability of the tablets. The load was applied to the Typodont Model by the texture analyzer (which means that the Typodont Model is attached to the texture analyzer in the tests conducted here).

[0149] The following tests are carried out on both dry tablets and tablets moistened with artificial saliva. Artificial saliva was developed based on the method proposed by Klimek (1982) (Original: Matzker and It was prepared according to a modified recipe of Schreiber (1972). Ascorbic acid 0.002g / l Glucose 0.030g / l NaCl 0.580g / l CaCl20.170g / l NH4Cl 0.160g / l KCl 1.270g / l NaSCN 0.160g / l KH2PO4 0.330g / l Urea 0.200g / l Na2HPO40.340g / l Mucin 2.700g / l The prepared solution (500 ml) was kept refrigerated (4-6°C) due to its limited shelf life.

[0150] Ring Test In this test, a plastic tool simulates the teeth and a ring simulates the mandible that is being loaded onto the tablet. The ring test is closer to a real biting event. Ring Outer Diameter d a is 20 mm. The metal of the ring is 3 mm thick, so the inner diameter, and therefore the diameter of the central cavity, d i is 14 mm. A plastic tool with a rounded area of ​​contact is a standard component of the texture analyzer. The speed of the descent of the plastic tool was 2 mm / sec. The travel distance was set to 5 mm with a load cell of 50 KG and the texture operating mode was "return to start". Moreover, the ring test is essentially an axial breaking strength test. The tablet rests on a ring. The force at which breakage occurs, F max The force is recorded. The energy exerted (area under the force-displacement curve) is calculated. Tests are performed with dry tablets and with wet tablets (wetted by immersion in artificial saliva with tweezers for 10 seconds).

[0151] Plate Test The plate test measures penetration depth by applying maximum force for repeated loading, thus simulating the effect of tooth intrusion during repetitive chewing movements. Here, a tablet is placed on the grooved underside of the texture analyzer's substrate and a force is repeatedly applied to the tablet to simulate a repetitive chewing motion. The Texture Analyzer test settings were in "Cycle to Count mode" with the load strength selected to not break the tablet (35N for a fall rate of 0.2mm / sec). The approach speed (pre-test speed) was 0.5mm / sec for increased sensitivity. The applied force at which the Texture Analyzer starts the actual measurement was set at 0.0493N, called the trigger. A typical force-displacement curve for 10 cycles is shown. The plate test measures the penetration depth by applying the maximum force for repeated loading. Other tests such as tube tests, Kramer shear cell tests or Typodont model tests can be performed.

[0152] Conclusion: The texture tester in ring test mode (which gives axial breaking strength) is believed to best characterize the chewability characteristics of the sucroferric oxyhydroxide direct compression tablets of the present invention. The test confirms the chewability quality of the tablets of the present invention. Several tests are evaluated to provide in vitro evidence of the chewing quality of the chewable tablets. The results are compared with those of two commercially available chewable tablets. Of the tests that more closely mirror actual chewing behavior, the Texture Analyzer in flat plate test mode appears to be the most reliable, and tablets moistened with artificial saliva proved to be the most discriminatory and useful. Sucroferric oxyhydroxide tablets manufactured within a target radial hardness of approximately 130N performed well in this test, and even the variant 14I (radial hardness 231.2N) showed excellent chewing properties and a reasonable shelf life of 230N.

[0153] Sucroferric oxyhydroxide tablets within the target radial hardness limits exhibited chewability close to the best non-phosphate binder product (tablet A-Calcimagon®) and superior to the best phosphate binder competitor (tablet B-Fosrenol®) in these tests. For patient compliance, it is advantageous that a chewable tablet disintegrates if chewing is incomplete for any reason, and that the robustness of the tablet is sufficient to allow for proper handling and transportation. The sucroferric oxyhydroxide tablet variant meets this requirement.

[0154] Preferred Embodiments of the Invention The following summarizes particularly preferred embodiments of the present invention. 1. Embodiment: A compressed tablet comprising a phosphate binder, said phosphate binder comprising particles having a particle size distribution with particles in the range of 4 to 200 μm. Preferably, the phosphate binder consists of said particles.

[0155] 2. Implementation: 2. The compressed tablet of embodiment 1 comprising a phosphate binder, wherein the phosphate binder comprises particles having a particle size distribution in which at least 40% of the particles have a particle size within the range of 4 to 200 μm.

[0156] 3. Implementation: A compressed tablet comprising a phosphate binder, said phosphate binder comprising particles having a particle size distribution with d50 in the range of 40 μm to 80 μm.

[0157] 4. Implementation: The compressed tablet of any of the previous embodiments, wherein the phosphate binder comprises iron(III) oxyhydroxide.

[0158] 5. Implementation: The compressed tablet of any of the previous embodiments, wherein the phosphate binder comprises iron(III) oxyhydroxide and at least one carbohydrate.

[0159] 6. Implementation: The compressed tablet of any of the previous embodiments, wherein the phosphate binder comprises iron(III) oxyhydroxide and sucrose.

[0160] 7. Implementation: The compressed tablet of any of the previous embodiments, wherein the phosphate binder comprises iron(III) oxyhydroxide, sucrose and at least one starch.

[0161] 8. Implementation: A compressed tablet according to any of the previous embodiments, comprising phosphate binder particles, in particular sucroferric oxyhydroxide, and at least one further pharma- ceutically acceptable excipient, wherein at least 40%, or at least 60%, or at least 80%, or at least 90% of the particles in the phosphate binder particle size distribution of the tablet are between 4 and 200 μm, or between 5 and 160 μm, or between 21 and 160 μm.

[0162] 9. Implementation: A compressed tablet comprising phosphate binder particles, in particular sucroferric oxyhydroxide, and at least one further pharma- ceutically acceptable excipient, wherein the phosphate binder particles have a particle size distribution with a d50 between 30 μm and 120 μm, or 35 μm and 110 μm, or 40 μm and 100 μm, or preferably between 40 μm and 80 μm, or between 42 μm and 75 μm.

[0163] 10. Implementation: A compressed tablet according to any of the previous embodiments, wherein the phosphate binder particles have a particle size distribution with a d50 between 30 μm and 120 μm, or 35 μm and 110 μm, or 40 μm and 100 μm, or preferably between 40 μm and 80 μm, or between 42 μm and 75 μm.

[0164] 11. Embodiments: A compressed tablet according to any of the previous embodiments, wherein the phosphate binder particles have a particle size distribution with a d50 between 40 μm and 80 μm, and at least 60%, or at least 80%, of the particles in the phosphate binder particle size distribution of the tablet are between 4 and 200 μm, or between 5 and 160 μm, or intermediate between 21 and 160 μm.

[0165] 12. Embodiments: i) the phosphate binder particles have a particle size distribution with a d50 between 30 μm and 120 μm, or between 35 μm and 110 μm, or between 40 μm and 100 μm, or preferably between 40 μm and 80 μm, or between 42 μm and 75 μm; and / or ii) the tablet hardness is between 70 and 250 N; and / or iii) tablet friability between 0% and 7%, or between 0.05% and 7%, and / or iv) the tablet has a disintegration time of less than 30 minutes or between 5 and 20 minutes; and / or v) The tablet diameter is between 16 mm and 30 mm, the tablet weight is between 1500 mg and 3000 mg (preferably between 2000 mg and 3000 mg), and the tablet thickness is between 4.5 mm and 7.5 mm; A compressed tablet according to any of the previous embodiments.

[0166] 13. Implementation: i) at least 40%, or at least 60%, or at least 80%, or at least 90% of the particles in the phosphate binder particle size distribution of the tablet are between 4 and 200 μm, or between 5 and 160 μm, or between 21 and 160 μm, and ii) the phosphate binder particles have a d50 in the particle size distribution between 30 μm and 120 μm, or between 35 μm and 110 μm, or between 40 μm and 100 μm, or preferably between 40 μm and 80 μm, or between 42 μm and 75 μm; and iii) the tablet hardness is between 70 and 250 N; and iv) tablet friability is between 0% and 7%, or between 0.05% and 7%, and v) the tablet has a disintegration time of less than 30 minutes or between 5 and 20 minutes; and vi) The tablet diameter is between 16 mm and 30 mm, the tablet weight is between 1500 mg and 3000 mg, and the tablet thickness is between 4.5 mm and 7.5 mm; A compressed tablet according to any of the previous embodiments.

[0167] 14. Implementation: i) at least 60%, or at least 80%, or at least 90% of the particles in the phosphate binder particle size distribution of the tablet are between 5 and 160 μm, and ii) the phosphate binder particles have a d50 in the particle size distribution between 30 μm and 120 μm, or between 35 μm and 110 μm, or between 40 μm and 100 μm, or preferably between 40 μm and 80 μm; and / or iii) the tablet hardness is between 70 and 250 N; and / or iv) tablet friability between 0% and 7%, or between 0.05% and 7%, and / or v) the tablet has a disintegration time of less than 30 minutes or between 5 and 20 minutes; and / or vi) tablet diameter is between 16 mm and 30 mm, tablet weight is between 1500 mg and 3000 mg (preferably between 2000 and 3000 mg), tablet thickness is between 4.5 mm and 7.5 mm, and / or vii) the tablet contains between 800 mg and 3000 mg of sucroferric oxyhydroxide; A compressed tablet according to any of the previous embodiments.

[0168] 15. Implementation: i) at least 80%, or at least 90%, of the particles in the sucroferric oxyhydroxide particle size distribution are between 4 and 200 μm, or intermediate between 5 and 160 μm, and ii) the sucroferric oxyhydroxide particles have a d50 in the particle size distribution between 30 μm and 120 μm, or between 35 μm and 110 μm, or between 40 μm and 100 μm, or preferably between 40 μm and 80 μm, and iii) the tablet hardness is between 70 and 250 N; and iv) tablet friability is between 0% and 7%, or between 0.05% and 7%, and v) the tablet has a disintegration time of less than 30 minutes or between 5 and 20 minutes; and vi) The tablet diameter is between 16 mm and 30 mm, the tablet weight is between 1500 mg and 3000 mg or between 2000 and 3000 mg, and the tablet thickness is between 4.5 mm and 7.5 mm; and vii) the tablet contains between 1500 mg and 3000 mg of sucroferric oxyhydroxide; A compressed tablet according to any of the previous embodiments.

[0169] 16. Implementation: Any of the preceding embodiments is a direct compressed pharmaceutical tablet. Crab Compressed tablets as described

[0170] 17. Implementation: A pharmaceutical formulation or composition comprising phosphate binder particles, in particular comprising sucroferric oxyhydroxide, and at least one further pharma- ceutical acceptable excipient, wherein the phosphate binder particles have a d50 in the particle size distribution of the phosphate binder particles between 40μm and 105μm, 40-100μm, 40μm and 80μm, or intermediate 42μm and 75μm.

[0171] 18. Implementation: A pharmaceutical formulation or composition comprising phosphate binder particles, in particular comprising sucroferric oxyhydroxide, and at least one further pharma- ceutical acceptable excipient, wherein at least 40%, or at least 60%, or at least 80%, or at least 90% of the phosphate binder particles in a particle size distribution are between 4 and 200 μm, or between 5 and 160 μm, or between 21 and 160 μm.

[0172] 19. Embodiments: 19. The pharmaceutical formulation or composition according to embodiment 17 or 18, wherein at least 40%, or at least 60%, or at least 80%, or at least 90% of the phosphate binder particles in the particle size distribution are between 4 and 200 μm, or between 5 and 160 μm, or between 21 and 160 μm.

[0173] 20. Implementation: A tablet or pharmaceutical composition according to any of the previous embodiments, wherein the phosphate binder particles, in particular the sucroferric oxyhydroxide phosphate binder particles, represent more than 65% by weight, or more than 80% by weight, or more than 90% by weight, or more than 95% by weight of the total weight (on a dry weight basis) of the tablet or pharmaceutical composition.

[0174] 21. Implementation: A tablet, pharmaceutical formulation or pharmaceutical composition according to any of the previous embodiments, comprising more than 65%, or more than 80%, or more than 90%, or more than 95%, or more than 98% by weight of sucroferric oxyhydroxide particles on a dry weight basis.

[0175] 22. Implementation: i) the phosphate binder is sucroferric oxyhydroxide; ii) at least 80%, or at least 90%, of the sucroferric oxyhydroxide particles in the sucroferric oxyhydroxide particle size distribution are between 4 and 200 μm, or between 5 and 160 μm; iii) the sucroferric oxyhydroxide particles have a d50 in the sucroferric oxyhydroxide particle size distribution between 30 μm and 120 μm, or 35 μm and 110 μm, or 40 μm and 100 μm, or preferably between 40 μm and 80 μm; iv) the tablet contains between 800 mg and 3500 mg, or between 1500 mg and 3500 mg of sucroferric oxyhydroxide; v) the sucroferric oxyhydroxide phosphate binder particles constitute more than 80% or more than 90% by weight of the total weight of the tablet (on a dry weight basis); A compressed tablet according to any of the previous embodiments.

[0176] 23. Implementation: The compressed tablet according to any of the previous embodiments, which is a chewable tablet.

[0177] 24. Implementation: The compressed tablet according to any of the previous embodiments, wherein the hardness of the tablet is between 70 and 250, or between 85 and 250N, or between 70 and 200N, or between 85 and 200N.

[0178] 25. Implementation: A tablet or pharmaceutical composition according to any of the previous embodiments, wherein the single oral dosage form contains between 800mg and 3500mg of sucroferric oxyhydroxide, or between 1500mg and 3500mg of sucroferric oxyhydroxide, or between 1500mg and 3000mg of sucroferric oxyhydroxide.

[0179] 26. Implementation: A tablet or pharmaceutical composition according to any of the previous embodiments, wherein the single oral dosage form contains between 800mg and 3500mg of sucroferric oxyhydroxide, or between 1500mg and 3500mg of sucroferric oxyhydroxide, or between 1500mg and 3000mg of sucroferric oxyhydroxide, and at least 60%, or at least 80%, or at least 90% of the particles of the phosphate binder particle size distribution of the tablet are between 5 and 160μm and the d50 of the phosphate binder particle size distribution is between 40μm and 80μm.

[0180] 27. Implementation: 1. Use of particles comprising sucroferric oxyhydroxide for preparing a compressed or directly compressed tablet, comprising: i) at least 40%, or at least 60%, or at least 80%, or at least 90% of the sucroferric oxyhydroxide particles in the particle size distribution are between 4 and 200 μm, preferably between 5 and 160 μm, or between 21 and 160 μm; and / or ii) the sucroferric oxyhydroxide particles have a d50 in the particle size distribution between 30 μm and 120 μm, or between 35 μm and 110 μm, or between 40 μm and 100 μm, or preferably between 40 μm and 80 μm, or in the middle of 42 μm and 75 μm; use.

[0181] 28. Implementation: 2. Use of sucroferric oxyhydroxide particles for preparing a pharmaceutical composition or a compressed or direct compressed tablet, comprising: i) the sucroferric oxyhydroxide particles have a d50 in the particle size distribution between 30 μm and 120 μm, or between 35 μm and 110 μm, or between 40 μm and 100 μm, or preferably between 40 μm and 80 μm, or in the middle of 42 μm and 75 μm; and / or ii) at least 40%, or at least 60%, or at least 80%, or at least 90% of the sucroferric oxyhydroxide particles in the particle size distribution are between 4 and 200 μm, or preferably between 5 and 160 μm, or between 21 and 160 μm; use.

[0182] 29. Implementation: Use of sucroferric oxyhydroxide particles according to embodiment 27 or 28, wherein the sucroferric oxyhydroxide represents more than 80% by weight of the sucroferric oxyhydroxide particles, or more than 90% by weight, or more than 95% by weight, on a dry weight basis of the pharmaceutical composition or the compressed tablet.

[0183] 30. Implementation: A pharmaceutical formulation according to any of the previous embodiments, in the form of a powder or granules which can be further mixed with at least one pharma- ceutically acceptable excipient.

[0184] 31. Implementation: The pharmaceutical formulation according to embodiment 30, which is in the form of a powder for direct compression into tablets or for use in granules.

[0185] 32. Implementation: The pharmaceutical formulation, pharmaceutical composition or compressed tablet according to any of the previous embodiments, comprising at least one further pharma- ceutical acceptable excipient selected from a lubricant, preferably magnesium stearate.

[0186] 33. Implementation: i) at least 40%, or at least 60%, or at least 80%, or at least 90% of the sucroferric oxyhydroxide particles in the particle size distribution are between 4 and 200 μm, between 5 and 160 μm, or between 21 and 160 μm; ii) the sucroferric oxyhydroxide particles have a d50 in the particle size distribution between 30 μm and 120 μm, or between 35 μm and 110 μm, or between 40 μm and 100 μm, or preferably between 40 μm and 80 μm; Sucroferric oxyhydroxide particles comprising sucroferric oxyhydroxide and optionally at least one further pharma- ceutically acceptable excipient.

[0187] 34. Implementation: A tablet, pharmaceutical formulation, pharmaceutical composition or use according to any of the previous embodiments, wherein sucroferric oxyhydroxide represents more than 80% by weight, or more than 90% by weight, or more than 95% by weight of the sucroferric oxyhydroxide particles, based on the dry weight of the particles.

[0188] 35. Implementation: Use of the pharmaceutical composition according to any of the previous embodiments, still in powder form, for the manufacture of compressed tablets.

[0189] 36. Implementation: A tablet, pharmaceutical composition or use according to any of the previous embodiments, wherein at least 50%, or at least 60% of the sucroferric oxyhydroxide particles in the particle size distribution have a particle size in the range of 30-200 μm, or preferably between 40-200 μm.

[0190] 37. Implementation: The tablet, pharmaceutical composition or use according to any of the preceding embodiments, wherein the embodiment refers to a dry form of the tablet or pharmaceutical composition.

[0191] 38. Implementation: A tablet or pharmaceutical composition according to any of the previous embodiments, wherein the sucroferric oxyhydroxide particles have a particle size distribution curve as shown in Figure 2.

[0192] 39. Implementation A tablet or pharmaceutical composition according to any of the previous embodiments, wherein the sucroferric oxyhydroxide particles have a particle size distribution curve with the peak of the curve between 50 μm and 90 μm.

Claims

1. 1. Sucroferric oxyhydroxide particles comprising a mixture of iron(III) oxyhydroxide, sucrose, and one or more starches, i) at least 60% of the particles in the particle size distribution are between 4 and 200 μm; and / or ii) the particles have a d50 in the particle size distribution between 30 μm and 80 μm; Sucroferric oxyhydroxide particles.

2. 2. The sucroferric oxyhydroxide particles of claim 1 comprising a mixture of starches.

3. 3. Use of sucroferric oxyhydroxide particles according to claim 1 or 2 for the manufacture of a pharmaceutical composition selected from compressed tablets, chewable forms, minitablets, dry powders, granules, microgranules, capsules, or sachets, wafers, lozenges comprising said granules or minitablets.

4. 4. Use according to claim 3, wherein the compressed tablet comprises at least one further pharma-ceutically acceptable excipient and at least 80% or at least 90% of the sucroferric oxyhydroxide particles are between 4 and 200 μm, or between 5 and 160 μm, or between 21 and 160 μm.

5. 4. Use according to claim 3, wherein the compressed tablet comprises at least one further pharma-ceutically acceptable excipient and the sucroferric oxyhydroxide particles have a particle size distribution with a d50 between 40 μm and 80 μm, or between 42 μm and 75 μm.

6. Meet one or more or all of the following characteristics: i) the hardness of the tablet is between 70 and 250 N; ii) the tablet friability is between 0% and 7%, or between 0.05% and 7%; iii) the tablet has a disintegration time of less than 30 minutes, or between 5 and 20 minutes; iv) the tablet diameter is between 16 mm and 30 mm, the tablet weight is between 1500 mg and 3000 mg, and the tablet thickness is between 4.5 mm and 7.5 mm; 4. The use according to claim 3.

7. i) the tablet diameter is between 16 mm and 30 mm and the tablet weight is between 1500 mg and 3 000 mg, the tablet thickness being between 4.5 mm and 7.5 mm, and ii) the tablet contains between 1500 mg and 3000 mg of sucroferric oxyhydroxide; 7. Use according to claim 3 or 6.

8. The use according to any one of claims 3 to 7, for the preparation of direct compression pharmaceutical tablets.

9. 9. Use according to any one of claims 3 to 8, wherein the sucroferric oxyhydroxide particles represent more than 65% or more than 80% by weight of the total weight of the tablet (on a dry weight basis).

10. Use according to any one of claims 3 to 9 for the preparation of chewable tablets, minitablets or granules.

11. 1. A method for preparing a pharmaceutical composition comprising the step of mixing sucroferric oxyhydroxide particles comprising a mixture of iron(III) oxyhydroxide, sucrose, and one or more starches, i) at least 60% of the particles in the particle size distribution are between 4 and 200 μm; and / or ii) the particles have a d50 in the particle size distribution between 30 μm and 80 μm; A method for producing a pharmaceutical composition.

12. A method for preparing a pharmaceutical composition according to claim 11, further comprising compressing the mixture of sucroferric oxyhydroxide particles and at least one pharma-ceutically acceptable excipient into a tablet.

13. 13. A process for preparing a pharmaceutical composition according to claim 11 or 12, further comprising the step of spray drying the aqueous suspension of sucroferric oxyhydroxide particles, wherein the aqueous suspension of sucroferric oxyhydroxide particles is subjected to atomization before spray drying.

14. 1. Sucroferric oxyhydroxide particles comprising a mixture of iron(III) oxyhydroxide, sucrose, and one or more starches, i) at least 60% of the particles in the particle size distribution are between 4 and 200 μm; and / or ii) the particles have a d50 in the particle size distribution between 30 μm and 80 μm; Sucroferric oxyhydroxide particles for use in the prevention and treatment of hyperphosphatemic conditions, particularly in patients with chronic renal insufficiency.

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