Lacosamide Extended Release Dosage Form for Seizure Control
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Solution Overview
Problem
Current pharmaceutical formulations of lacosamide for treating partial onset seizures require twice-daily administration, leading to high peak-trough fluctuations and increased adverse reactions due to high maximum steady-state plasma concentrations.
Innovation Solution
Development of an extended release dosage form of lacosamide that includes a combination of an extended release portion and an optional immediate release portion, designed to maintain therapeutic blood levels for 24 hours with reduced peak-trough fluctuations.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Reliability
If immediate release dosage form is administered twice daily to achieve therapeutic effect, then seizure control is improved, but peak-trough fluctuations increase and adverse reactions occur more frequently
Solution Approach 1:
The dosage form is divided into multiple particles or granules with different release characteristics (immediate release portion and extended release portion), allowing the drug to be released in a controlled manner over time. This segmentation enables maintaining therapeutic efficacy while reducing peak-trough fluctuations and adverse reactions.
2Reliability
If high daily dose is administered as immediate release to treat partial onset seizures, then therapeutic effect is improved, but incidence of adverse reactions increases
Solution Approach 1:
The patent changes the release rate parameter of the drug by developing an extended release dosage form. This transforms the immediate release characteristic into a controlled, sustained release profile, thereby maintaining the same daily dose while reducing peak concentrations that cause adverse reactions.
3Reliability
If twice-daily administration is used to maintain therapeutic blood levels, then seizure protection is improved, but patient compliance deteriorates due to frequent dosing
Solution Approach 1:
The extended release dosage form provides continuous release of lacosamide over 24 hours, maintaining therapeutic blood levels throughout the dosing interval. This continuous action eliminates the need for twice-daily administration, thereby improving patient compliance while maintaining seizure protection.
4Ease of operation
If extended release dosage form is developed for once-daily administration, then patient compliance and reduction of adverse reactions are improved, but manufacturing complexity increases
Solution Approach 1:
The patent uses composite materials comprising different types of particles or granules (immediate release and extended release portions) to achieve the desired release profile. This composite approach allows once-daily administration with reduced adverse reactions while managing manufacturing complexity through the use of established pharmaceutical excipients and formulations.
Data Source
AI summary
A dosage form of lacosamide and a pharmaceutical dosage form thereof is disclosed. The dosage form includes an extended release portion and optionally an immediate release portion. Also provided are methods of providing extended release of lacosamide and treatment of: neurological or psychiatric disease or condition.


