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England and Wales High Court (Chancery Division) Decisions |
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You are here: BAILII >> Databases >> England and Wales High Court (Chancery Division) Decisions >> Cairnstores Ltd. & Anor v Aktiebolaget Hassle [2002] EWHC 309 (Ch) (6th March, 2002) URL: http://www.bailii.org/ew/cases/EWHC/Ch/2002/309.html Cite as: [2002] EWHC 309 (Ch) |
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CHANCERY DIVISION
PATENTS COURT
Royal Courts of Justice Strand, London, WC2A 2LL | ||
B e f o r e :
____________________
CAIRNSTORES LIMITED GENERICS (UK) LIMITED | Claimants | |
- and - | ||
AKTIEBOLAGET HÄSSLE | Defendant |
____________________
Mr Christopher Floyd QC and Mr Adrian Speck (instructed by Taylor Joynson Garrett for Generics (UK) Ltd)
Mr Simon Thorley QC and Mr Colin Birss (instructed by Simmons & Simmons for the Defendant)
____________________
Crown Copyright ©
Mr Justice Laddie:
The ‘983 Patent
“Omeprazole is however susceptible to degradation/transformation in acid reacting and neutral media. The half-life of omeprazole in water solutions at pH-values less than four is shorter than ten minutes. Also at neutral pH-values the degradation reaction proceeds rapidly, e.g. at pH = 7 the half-life of omeprazole is about 14 hours, while at higher pH-values the stability in solution is much better (Pilbrant and Cederberg, Scand. J. Gastroenterology 1985; 20 (suppl. 108) p. 113-120). The stability profile is similar in solid phase. The degradation of omeprazole is catalyzed by acidic reacting compounds and is stabilized in mixtures with alkaline reacting compounds. The stability of omeprazole is also affected by moisture and organic solvents.
From what is said about the stability properties of omeprazole, it is obvious that an oral dosage form of omeprazole must be protected from contact with the acid reacting gastric juice in order to reach the small intestine without degradation.
In human pharmacological studies it was found that the rate of release of omeprazole from a pharmaceutical dosage form can influence the total extent of absorption of omeprazole to the general circulation (Pilbrant and Cederberg, Scand. J. Gastroenterology 1985; 20 (suppl. 108) p. 113-120). A fully bioavailable dosage form of omeprazole must release the active drug rapidly in the proximal part of the gastrointestinal canal.
In order to obtain a pharmaceutical dosage form of omeprazole which prevents omeprazole from contact with acidic gastric juice, the cores must be enteric coated.” (page 3 lines 8 to 25)
“The publication describes a conventional enteric coated dosage form and states that it has an acceptable storage stability - for clinical studies.” (patent p 3 lines 39 – 42)
“Ordinary enteric coatings, however, are made of acidic compounds. If covered with such a conventional enteric coating, omeprazole rapidly decomposes by direct or indirect contact with it, with the result that the preparations become badly discolored and lose in (sic) omeprazole content with the passage of time.” (patent p 3 lines 25 – 28)
“It was later found that the stability of this dosage form was insufficient during long-term storage required for a marketed pharmaceutical dosage form.” (page 3 lines 40 – 42)
“The omeprazole containing alkaline reacting cores must be separated from the enteric coating polymer(s) containing free carboxyl groups, which otherwise causes degradation/discolouration of omeprazole during the coating process or during storage.” (patent p 5 lines 1 – 3)
“An oral, pharmaceutical preparation stable to discolouration containing omeprazole as the active ingredient characterized in that it is composed of core material in the form of small beads or tablets containing omeprazole together with an alkaline reacting compound, or an alkaline salt of omeprazole optionally together with an alkaline reacting compound, and on said core material one or more inert reacting subcoating layers comprising tablet excipients which are soluble or rapidly disintegrating in water, or polymeric, water soluble, filmforming compounds, optionally containing pH-buffering, alkaline compounds between the alkaline reacting core and an outer layer, which is an enteric coating.”
Core | Subcoating layer | Enteric coating |
Magnesium salt of omeprazole | HPMC | Eudragit L |
Magnesium salt of omeprazole | HPMC | CAP |
The Witnesses
“As an alternative to tackling the problems head on, one could develop an alternative formulation system designed, say, for buccal, sub-lingual, transdermal or rectal administration, thereby avoiding the need for an enteric coating altogether. However, rectal administration is often unpopular with patients. And I do not know whether omeprazole can be absorbed via the transdermal route, or by buccal or sub-lingual administration. Thus, a further research programme would likely have been required.” (emphasis added First Report paragraph 153)
“[The worker in the field] would have investigated (as another possible source of the discolouration problem) the quality of the synthetic polymers used in the formation of enteric film coats. Polymers may include trace amounts of monomers from which the polymer chains are synthesised, or of initiators used to promote the polymerisation reaction. Although I have not encountered this as a problem, the monomers and initiators are likely to be much more reactive than the enteric coating polymer itself, and thus would be more likely culprits than the enteric film-formers themselves.” (emphasis added - First Report paragraph 135)
“One could simply decide to accept the discolouration of the formulation, or even to hide it using a pigmented film coating or an opaque coloured capsule. However, ignoring the problem is likely to cause problems with patient compliance, since patients finding variations in the colour of their medication may fear the product had “gone off”. Also, either ignoring or trying to hide the discolouration would be unacceptable to the regulatory authorities in many countries.” (X8)
“He could simply decide to accept the disclouration of the formulation, or even hide it using a pigmented film coating or an opaque coloured capsule.” (First Report paragraph 151)
(A) Would the skilled worker realise that a problem existed?
“The stability of the active substance would be investigated, both in solution over a range of pH values, typically 1 to 8 and in its solid state. The solid state stability would use a range of temperature and humidities (typically - -18ºC, 20ºC, 20ºC/80% relative humidity, 30ºC, 40ºC, 40ºC/80% relative humidity and 60ºC) to stress the samples so as to accelerate any degradation that might occur. The testing would consist of appearance, colour, odour, assay (measurement of purity), an assessment of the concentration of degradation products and, in the solid state stability tests, determination of moisture content. A comparison of the results obtained for 40ºC samples and the 40ºC/80% relative humidity samples would have determined the sensitivity of omeprazole to moisture.” (First report paragraph 6.3(ii))
“6.6 As part of the pre-formulation studies, I would have carried out compatibility tests between omeprazole (and the salts if shown to be more stable) and each of the standard excipients used in oral dosage forms. From the results of the stability tests, (para 6.3 (ii) above) I would have realised that the rate of degradation at the stomach pH range (less than 4) was so large that in order to achieve acceptable oral bioavailability, omeprazole would need to be in an enteric coated dosage form. I would have included an enteric coating material, most certainly Eudragit L30 (with which I was familiar at the time) and one or more of the other enteric coat materials such as HPMCP, PVPP or CAP in the compatibility studies.
6.7 In the compatibility studies omeprazole (and the salts if shown to be more stable) would have been mixed individually with each excipient and the powder mixture would be stored at different conditions (typically 20ºC, 40ºC, 40ºC/80% relative humidity and 60ºC). The mixtures would have been examined periodically at appropriate time intervals for signs of degradation. The degradation may have been seen visually as a change in appearance (colour, aggregation, odour). Any discolouration would have been considered significant. An assay would be carried out on the mixture using the analytical methodology developed during the forced degradation studies. The mixture would also be examined by thin layer chromatography to look for known and unknown impurities and degradation products and the moisture content of each mixture would have been measured. These studies would have determined which excipients could be used without causing degradation. The sensitivity of the mixture to moisture would have been shown by comparison of the results obtained after storage at 40oC with those obtained after storage at 40oC/80%RH.
6.8 … Given the results of the Patents which show that a discolouration is seen when an enteric coat is applied directly to an omeprazole core (example 1(I) in table 3), I would expect to have found discolouration in my compatibility studies even though my studies were on the powder mixture. Any such discolouration would have been unacceptable.”
“Dr Rees is correct that if discoloration is first seen when a formulation is produced, there are several factors which could be responsible. It is for this very reason that pre-formulation studies are carried out before a formulation is produced. The accelerated stability and compatibility studies at the pre-formulation stage ensure that any degradation is seen early on, before the stage when a formulation is produced containing a large number of different ingredients.
Although, as Dr Rees acknowledges (paragraph 32), different formulation scientists would have carried out pre-formulation studies to different degrees, I believe that all of them would have carried out at the very least the following tests as part of their pre-formulation studies:
… compatibility studies using binary mixtures of the active and each excipient (paragraphs 6.6 and 6.7 of my first Report).
The above is the very least that would be studied, …. The last thing a formulator would want is to produce a formulation only to find degradation several months into a stability study on the formulation, for example, caused by an excipient which could have been avoided had compatibility studies been carried out. Any graduate will learn very soon after leaving academia the importance of carrying out well controlled basic experiments before formulating a product rather than relying on theoretical predictions.” (Second report paragraphs 4 to 6)
“…excipients are designed and market[ed] to be inert whenever possible. The active drug substance is a very different matter. It is a novel chemical. Its chemistry is not particularly well understood, certainly its degradation chemistry is not well understood in the early stages. It would be a very unwise person who assumed that a particular drug substance was compatible with any excipient. Indeed, I think it is extremely unusual for a drug substance to react with for example starch or microcrystalline cellulose. Nevertheless, one of the early experiments that any formulator would do is to endeavour to put those two materials together in such a way that if they were going to react, they would do. You try to stress the system to give it a maximum chance of reacting so that we know there is a potential problem. If we do not see a potential problem under highly stressed circumstances then we are much more comfortable that we are unlikely to see it under normal storage conditions.” (Transcript Day 1 p 107)
And
“Q. Can I suggest that with that degree of concern, the skilled formulator would have done as Dr. Rees suggests and said let us keep it as dry as we can?
A. Yes, certainly.
Q. That he would not have seen the necessity, in the light of his experience in the past where enteric formulations had been used in relation [to] the acid labile materials without interaction, he would not have seen the necessity to do pre-formulation exercises with it?
A. I disagree. I think it would be very unwise for somebody to dismiss the possible of an interaction between an enteric coat or any other coating material and the drug.
Q. Notwithstanding the fact that this had never, as far as we can see, occurred in the past?
A. Indeed.” (Transcript Day 2 p 136)
“Q. You agree that again, a skilled formulator in 1986 would ordinarily conduct compatibility studies as part of that preformulation exercise?
A. No, I do not agree that that would be shall we say the normal course of events for an individual formulation scientist to do preformulation excipient compatibility studies. There was a very wide range of approaches and attitudes towards the benefits that might, or could be obtained from doing excipient compatibility tests. The reasons for that were several fold, but one of the reasons was that if one had done no formulation work, in order to try to identify which particular types of excipient were likely to be useful to achieve formulation, a particular formulation of a particular compound, then one might be wasting time looking at materials that actually were not suitable from a technical point of view in formulating that particular new chemical entity. So, there was shall we say, disagreement I think one could say, between formulation scientists as to whether one should spend time doing excipient compatible studies ab initio when presented with a new compound or alternatively, start formulation work in order to identify from a technological standpoint what was appropriate, what excipients were suitable for shall we say preparing a core the new chemical entity in the form of the tablet. There was a range of approaches, shall we say. Certainly not all individuals, not all groups concerned with formulation started from this position of doing excipient compatibility studies. There were other reasons for that difference in approach and one of them was that if one simply studied compatibility with one individual material, then that actually told one little about what the situation would be in a multicomponent mixture, for example as used to prepare a core. Another approach which was advocated certainly in the 1970s was to use a multifactorial approach and to actually mix the active compound with a number of excipients and to study the stability of that mixture, being a mixture of the drug plus several excipients and to do a number of these different mixtures for study. There were different approaches.
Q. Can I put it this way, ordinarily a formulator would conduct compatibility studies on the components that he knew were going to be part of his formulation?
A. One cannot say that, because he did not know what is going to be component of a formulation. He could make some predictions as to what he might want to use, but would have no certainty. As I explained a moment ago, that was part of the reason why certain groups, and for example during my period from 1979 to 1981, the group that I was responsible for at this point did not do excipient compatibility tests prior to embarking on formulation work, my Lord.” (Transcript Day 2 pp 238-9)
“MR. FLOYD: Can I suggest to you that there was at the very least a respectable and substantial body of formulators in 1986 who would have conducted compatibility studies on the components of the formulation before embarking on the formulation itself.
A. It was one approach and there was a considerable group of individuals who did that. Equally well, there were considerable number who did not embark on formulation work by starting with excipient compatibility studies.
Q. You do not disagree with my formulation, a respectable and substantial body of formulators who would do it?
A. There would be that and equally there would be a respectable body who would not do it.” (Transcript Day 2 p 241)
“MR. FLOYD: I think what you were saying is that at Abbott, you changed to doing things in parallel rather than in sequence, is that a fair summary?
A. It is partly true, in that in fact we rarely did move to a situation of doing the sort of excipient compatibility tests that are referred to; one to one excipient compatibility tests. We did that occasionally, if we ran into problems. We did that, as you say, alongside the formulation work on occasions when problems were encountered.” (Transcript Day 2 p 244)
“Preformulation testing is the first step in the rational development of dosage forms of a drug substance. It can be defined as an investigation of physical and chemical properties of a drug substance – alone and when combined with excipients.”
And
“Compatibility Studies: Stability in the Presence of Excipients
In the tablet dosage form the drug is in intimate contact with one or more excipients; the latter could affect the stability of the drug. Knowledge of drug-excipient interactions is therefore very useful to the formulator in selecting appropriate excipients. This information may already be in existence for known drugs. For new drugs or new excipients, the preformulation scientist must generate the needed information.
A typical tablet contains binders, disintegrants, lubricants, and fillers. Compatibility screening for a new drug must consider two or more excipients from each class.”
The book then goes on to list the quantities of individual excipients which are recommended for testing against a drug.
“Stability with Excipients
Drug-excipient studies are designed to assist in selecting a basic list of excipients, which can be successfully used in the final dosage forms. Lactose, starch, stearic acid, magnesium stearate, dicalcium phosphate, calcium sulfate, and sucrose are some of the substances that are routinely tested in combination forms.”
“Q. Are you saying that is not an approach that you, yourself would have adopted?
A. My approach actually changed from the time that I spent with Sandoz in Switzerland to the time when I spent a period of three years with Abbottt Laboratories, in that as I have indicated a moment ago, this approach to combining the drug with individual excipients was not an approach which we used. We embark[ed] on formulation work and then at the same time we might have undertaken some work such as this alongside the formulation work. In other words, not starting out with doing one to one mixtures of the drug with individual excipients.” (Transcript Day 2 p 242-3)
“… it was commonly known in April 1986 that an enteric coating polymer was not expected to be incompatible with other substances under conditions encountered in pharmaceutical systems.” (Second Report paragraph 20).
“Q. You exclude all [coating] materials from that caution?
A. As I say, I am only saying that on the basis of experience that would be the expectation, that one did not need to concern oneself with a material that was not intimately mixed with the active drug substance.
Q. Could you turn on to tab 13?
MR. JUSTICE LADDIE: Are you saying that you do not treat a coating material which is adhering to molecules of the active drug as being intimately in contact with the active drug? Is that the point you are taking?
A. No, I could not say that there would be no contact at all under that circumstance, but I am saying that the amount of contact between such material applied as a coating to a core was generally accepted to be so limited that problems were not anticipated.” (Transcript Day 2 p257 – 8)
“It is well known that the preparation of tablets involves the use of so-called ‘inert’ ingredients. Excipient or adjuvant materials are added as binding agents, lubricants, disintegrants, diluent, or coating materials and are necessary for the preparation of good-quality drug product. Since these ingredients often constitute a considerable portion of the tablet, the possibility exists for drug-excipient interactions to influence drug stability, dissolution rate, and drug absorption; …”
“Q. … It is right that at least the authors of this textbook consider that coating materials do display a potential for reaction with drugs?
A. Yes, they identify a possibility.
Q. Do I take it that you regard that concern and that possibility as quite unwarranted?
A. I know certainly now after being involved with the patent that that is not right.
Q. Lieberman and Lachman had not been involved with the patents and they were expressing that view in a respected textbook in 1982?
A. Yes, they were expressing that possibility. I did read this section and I found nothing further to support any (inaudible).
Q. I take it that the evidence that you give to my Lord is that you could not disagree more with what he says there about coating materials?
A. On the basis of experience, my Lord, certainly I would disagree.” (Transcript Day 2 p 259).
“Drug Substance-Excipient Interaction – Drug substance-excipient studies are designed to determine a list of excipients that can be used routinely in the final dosage forms. Lactose, sucrose, calcium sulfate, dicalcium phosphate, starch and magnesium stearate are some of the substances routinely tested in combinations. Some basic observations with the drug substance and/or its salt form can sometimes dictate what excipients can be used. For example, one would not consider using sucrose or lactose if the drug substance being considered is a primary amine. This system has the potential for interaction to form a colored compound readily detected by a color change.
… At this point in the stability evaluation, which is a preliminary screening process, it is not necessary to know exactly how much has degraded. It is an all-or-none effect. The search is for the excipients that have no effect on the stability of the active ingredient.” (emphasis added)
“FORMULATION
General Principles – Recognition of the risk that “inert” excipients in tablet compositions might lead to undesirable effects on the stability or bioavailability of the drug has led formulators to exercise caution in the selection and inclusion of such additives. This selectivity requires a greater understanding of the inherent physical and chemical properties of excipients so that within the framework of processing necessities there will be no interference with the ultimate quality of the finished product”
“When developing a dosage form the choice of excipients is restricted particularly if the same formulation is to be marketed in several countries. Limitations include the compatibility of excipients with the drug in question …
Several types of drug-excipient interaction can occur, such as adsorption and changes in equilibrium solubility, partition coefficient and dissolution rate. Many drugs form complexes with macromolecules such as cellulose derivatives, gums and non-ionic surfactants commonly used as excipients; the effect may be to increase or decrease absorption. So-called solid-solid interactions between insoluble drugs and excipients occur most readily in aqueous suspension but there is normally sufficient moisture present in a solid dosage form to induce the same effects. Polyvinylpyrrolidone, frequently used to prepare tablet granulations, interacts in the solid state with several drugs of low solubility including salicylamide and griseofulvin with a significant increase in the dissolution rate.”
“Possible incompatibilities between the excipients in a water-based dispersion and the active drug in a tablet core should also be considered.”
“Q. The thrust of my question was going to be about the next sentence: ‘Possible incompatibilities between the excipients in a water-based dispersion and the active drug in a tablet core should also be considered.’
A. Yes.
Q. Is that not advice that you are giving to skilled formulators in 1974, that they should be concerned about interactions between coating materials and active drugs in the tablet core?
A. Certainly it refers to excipients, so components within the water-based dispersion, yes. Yes, that is true.
Q. That was your view in 1974. Is there any reason why your view in 1986 would have changed?
A. I can only say that thinking back to 1974 I was aware of the types of system which were being offered by companies like Rohm and Haas at the time, which were very unstable dispersions, and where there were fears about the stability of those dispersions, and that was certainly a point of considerable concern to formulators using those dispersions. Could I just read this again to see if that may explain what I have written here?
Q. Yes, of course.
A. It would not explain the wording “active drug” certainly, on the basis that these aqueous dispersions were unstable to electrolytes, for example, they were unstable to mechanical forces such as shearing, and so certainly there was a possibility there of destabilisation of those suspensions.
Q. That is, with the greatest respect -----
A. Here it does say “active drug”, I agree with you.
Q. It is talking about incompatibilities between the excipients and the active drug as something which should be considered?
A. Yes, it does appear so. I agree. It does say that, yes.
Q. On the basis of your advice, it would be sound practice to include the film forming excipients in preformulation studies, would it not?
A. That could suggest that that would be a way to identify if that problem existed; yes, I accept that.” (Transcript Day 3 pp 293-4)
“Formulation Ingredients
Although preliminary screening of commonly used excipients with new drug substances has become routine in preformulation studies, there are occasions when problems arise because of the interaction with additives such as preservatives, stabilizers, dyes, and possibly flavors. A discussion of some problems that have arisen is in order to make formulators aware that they should be concerned about the potential for interaction whenever another ingredient is added to a formulation.” (emphasis added)
(B) Would the skilled worker think of trying to solve the problem by making a dosage form falling within the ambit of claim 1?
“Multilayer Tablets. Multilayer tablets are tablets made by the compressing of several different granulations fed into a die in succession, one on top of the other, in layers. Each layer is from a separate feed frame with individual weight control. At present, machines have been designed for two and three layers; more are possible but the design becomes very special. …
Multilayer tablets are not new, but with the great interest in press coating, the advantages of the form have been better realised, especially since new machine designs have made it possible to check the weight of the layers by sampling without stopping the machine. The general advantages are: (1) two incompatible drugs may be kept separate by interposing a center, inert layer between them; …” (emphasis added)
“A. Yes, I see that.
Q. That is the practice that was referred to and would be, is this right, adopted where simply putting them in two adjacent layers was not sufficient to avoid interaction?
A. I can only imagine that that is what is being implied. In my experience, two-layer tablets were used and there was no need for any separate interposing layer.
Q. It is fair to say that is the 1976 version.
A. Yes.
Q. You do not have any reason to suggest that the position would not have been identical in 1986 so far as this book is concerned?
A. No, I would say not.
MR. JUSTICE LADDIE: This is Lachman, Lieberman and Kanig Is this particular book well-known.
A. Very well-known.
Q. Is this the sort of thing everybody ought to have available?
A. Yes. I would say in the field, yes.” (Transcript Day 3 pp 286-7)
“Some tablets are layered to keep chemically reactive materials apart, and other tablets are coated to help cover the bad taste of the medicines, and also to keep medicines in the coating away from the chemically reacting materials in the tablets or atmosphere”
“Compression coated tablets, and multi-layer or multi-granule tablets, consist of separate ‘compartments’ which can be used to provide different drug release rates or to isolate incompatible components of the dosage form.”
“43. Although film coating generally involves the application of only a single layer of polymer, various additional layers have had to be used beneath a film coat in particular cases. For example, there are a few passing references in the textbooks to the possible use of a sealing coat beneath a film coat, in order to prevent water or solvents from affecting the core during processing (see below at paragraph 173 “Hagers Handbuch” and paragraph 191 - “Praktikum des Lack-Dragierens”). A sealing coat comprises a thin layer of a water-resistant or solvent-resistant polymer, such as one that is used for producing enteric film coats, and thus it is different from the water soluble subcoat used in the inventions in the Patents. However, to my knowledge, such a sealing coat has very rarely been used in practice with film coats, as the rapid drying characteristics of the process render this unnecessary. It certainly was not a common technique.
44. A soluble film coat has been used in extreme cases to improve adhesion between a core and a second film coat. Furthermore, certainly in the 1970s, some manufacturers favoured the use of an outer gloss coat, especially over a coloured film coat but again this was not common practice of formulators before the priority date of the Patents.”
“80. Soluble film coats have been used in extreme cases to improve adhesion between a core and a second film coat. Soluble film-formers have also occasionally been used to separate incompatible active ingredients within a tablet. Furthermore, certainly in the 1970s, some manufacturers favoured the use of an outer gloss coat, especially over a coloured film coat.” (emphasis added)
“Q. Then paragraph 80 seems to correspond to paragraph 44, yes?
A. Yes.
Q. Except that a sentence has been missed out, has it not, Doctor, the middle one: “Soluble film-formers have also occasionally been used to separate incompatible active ingredients within a tablet.”
A. It is certainly not in the present statement, that is correct.
Q. Do you know why that statement has apparently been removed between the time when you made this affidavit and your report in this case?
A. I am not certain. May I just read that just to check. No, it was certainly nothing that I did intentionally in terms of, shall we say, starting from that point, my Lord.
Q. Can you tell his Lordship when you swore your Australian affidavit what examples of soluble film formers were being used to separate incompatible active ingredients within a tablet did you have in mind?
A. As I say, at the moment I cannot think of a situation where a soluble film former was used in that way. It may have been as a result of that that on subsequent reflection I have not referred to that point subsequently. I must confess, I am not aware of having removed that intention[ally].
Q. You must therefore be speculating as to the reason why it does not appear any longer?
A. Yes, that is all I can do. As I said a moment ago, I cannot think of a situation in the context of what you asked me where a film former was used in order to -- a film coat was used to separate incompatible materials.
…
MR. FLOYD: I am asking you to cast your mind back. What did you have in mind when you wrote that sentence in sworn evidence in Australia?
A. I am not certain.” (Transcript Day 3 pp 238-4)
“To separate incompatible components of a dosage form.”
“MR. FLOYD: You thought of it in 1974, you still thought it was the position when you saw your Australian affidavit, but then subsequently discovered that it was not right?
A. I now know that it certainly is not within my experience, that is correct.
Q. I thought you told his Lordship that you could not carry in a thin film coating the incompatible component?
A. I was saying that I have certainly no example that I can quote to that effect. In theory there is no reason why, in the same way a film coat contains particulate materials there is no reason why it should not be used to contain a small amount of a low dose drug. Certainly, I have no example of that actually being done.
Q. Can I suggest that the natural reading of this, whatever may have been your intention, that a skilled formulator reading this in 1986 would say, “ Well, he cannot mean putting the second drug in the thin film coating, he must be talking about using a film coating as a separate inert layer to keep the two apart.” Would you agree with that?
A. It was certainly not something that I recall having intended to convey by this statement.
Q. But answering my question?
A. It could be read that way, I agree.
Q. Would you accept that is the likely reading of somebody who understands film coatings?
A. Somebody who understands film coatings, you are thinking of somebody who has knowledge of what was available as a product?
Q. Yes.
A. Yes, that could be true.” (Transcript Day 3 pp 291-2)
“On the basis of common general knowledge, I do not believe that the average skilled formulator would have had any reason to suspect that a reaction between the active ingredient and the enteric film-former was a likely source of the discolouration. Moreover, from a theoretical standpoint, especially given the low aqueous solubility of omeprazole there would be minimal opportunity for a molecule of the active ingredient in the formulation to find itself in solution in close proximity to one of the immobilised carboxylic acid groups of the enteric coat.” (paragraph 136)
(i) “Up-to-Date Pharmaceutical Technology Series ‘No 1’ Coating of Drugs” (1969)
“TC-5 was developed by Shin-Etsu Chemical Co. for use as a film coating agent and announced in 1964. It is now used in film coating as a substitute for sugar coating. It is also used as an undercoating agent in coating with AEA, Eudragit L, SE, CAP, MPM, etc., for the purpose of preventing them from reacting with the active component.”
“When tablets contain an alkaline substance, the Eudragit coating shows decreased acid resistance; when they contain an acidic substance, the rate of Eudragit coating dissolution in alkaline conditions decreases. In such cases, it is necessary to provide a neutral subcoating under the Eudragit coating.”
(ii) A Shin-Etsu brochure relating to its TC-5 coating material (1975)
“Undercoat for enteric-preparation bases and acid soluble bases
When the enteric preparation base or acid-soluble base is reactive with the active ingredient, the use of TC-5 for undercoat formation can result in production of preparations having good stability.”
“Q. Go on to the next one, 4A, the TC-5 brochure, page 51. Is this not again a general teaching that where you observe a reaction between the enteric coating and the core, TC-5 can give you preparations of good stability?
A. Yes. It appears to come from some knowledge which Shin-Etsu had, yes, I agree, and it teaches what it says.” (Transcript Day 3 p 347)
And :
“MR. FLOYD: Dr. Rees, I will try once more. If you have observed a reaction with your film coating, does this document not give you what you want, in other words, something to stop reactions between the film coating and the core?
A. That is what it says and, as I say, I would therefore go back to the supplier and find out more.” (Transcript Day 3 p 350)
(iv) Practical Course in Lacquer Coating (1983)
“An insulating coat against penetrating water, formed from Eudragit L solution in isopropyl alcohol/acetone, is desirable when the subsequent processes involve the use of the aqueous dispersion Eudragit L 30 D. This insulating coat may frequently be dispensed with on using rapid drying application processes. Other insulating coats may be necessary if there is any interaction on drugs coming into direct contact with the lacquer coating. An enteric layer is intended to form a non-porous sealing layer which is largely stable to gastric juice and to mechanical stress”
“On reading this document when formulating omeprazole, it would have confirmed that Eudragit L was a good choice as an enteric coating material because of its low permeability allowing it to be used for cores containing highly moisture sensitive materials. The high moisture sensitivity of omeprazole would have been known already from the results of preformulation studies on the active drug. When the interaction between the enteric coat and the core was discovered in our tests, the use of a water soluble, inert separating layer between the core and enteric coating would have been an obvious solution.” (First Report paragraph 7.33)
“[I]f any interaction occurs, as a result of active ingredients (in the core) coming into contact with the aqueous-based film coating dispersion, more layers of the solvent-based Eudragit-L may need to be applied.” (First Report paragraph 200, emphasis as in the original)
(iv) Hager’s Handbook of Pharmaceutical Practice (1971)
“If the constituents of the core can be chemically or physically influenced by the constituents of the film or by the additives and solvents or the constituents of the core influence the material of the film (e.g. high concentrations of soluble electrolytes, alkaline substances in the coating raw materials with carboxyl groups, acid substances in the case of those with amine groups), the core must first be coated with non-reactive undercoats.”
And later it says:
“The chemical composition of the core can have a substantial influence on the properties of the film (in some cases on its very success) or may even break it down so that a standard precoating becomes necessary .”
(v) Shin Etsu H-17 leaflet. (1978)
“Enteric coated tablets containing alkaline matter such as ammonium chloride, lithium carbonate or sodium-salicylate might lose the stability when storing at higher temperature, it has been sometimes experienced.
It has been found to be improved by putting stearic acid in the intermediate film which is considered to work as some buffer to imaginable ion-exchange reaction between alkaline and enteric material.”