Abuse-deterrent features of an extended-release morphine drug product developed using a novel injection-molding technology for oral drug delivery

Authors

  • Nikolaj Skak, MS
  • Torben Elhauge, MSc
  • Jeffrey M. Dayno, MD
  • Karsten Lindhardt, MSc, PhD, DBE

DOI:

https://doi.org/10.5055/jom.2017.0406

Keywords:

abuse-deterrent, extended-release, Guardian™ Technology, injection molding, morphine, physical/chemical barrier

Abstract

Objective: A novel technology platform (GuardianTechnology, Egalet Corporation, Wayne, PA) was used to manufacture morphine abuse-deterrent (AD), extended-release (ER), injection-molded tablets (morphine-ADER-IMT; ARYMO® ER [morphine sulfate] ER tablets; Egalet Corporation), a recently approved morphine product with AD labeling. The aim of this article is to highlight how the features of GuardianTechnology are linked to the ER profile and AD characteristics of morphine-ADER-IMT.

Results: The ER profile of morphine-ADER-IMT is attributed to the precise release of morphine from the polymer matrix. The approved dosage strengths of morphine-ADER-IMT are bioequivalent to corresponding dosage strengths of morphine ER (MS Contin®; Purdue Pharma LP, Stamford, CT). Morphine-ADER-IMT was very resistant to physical manipulations intended to reduce particle size, with <10 percent of particles being reduced to <500 μm, regarded by the US Food and Drug Administration as a relevant cutoff for potential insufflation in their generic solid oral AD opioid guidance. Furthermore, morphine was not readily extracted from the polymer matrix of morphine-ADER-IMT in small- or large-volume solvent extraction studies that evaluated the potential for intravenous and oral abuse.

Conclusions: The ER profile and AD characteristics of morphine-ADER-IMT are a result of GuardianTechnology. The combination of the polyethylene oxide matrix and the use of injection molding differentiate morphine-ADER-IMT from other approved AD opioids that deter abuse using physical and chemical barriers. The high degree of flexibility of the GuardianTechnology enables the development of products that can be tailored to almost any desired release profile; as such, it is a technology platform that may be useful for the development of a wide range of pharmaceutical products.

Author Biographies

Nikolaj Skak, MS

Senior Director, Pharmaceutical Development, Egalet Corporation, Wayne, Pennsylvania

Torben Elhauge, MSc

Senior Scientist Specialist, Research and Development, Egalet Corporation, Wayne, Pennsylvania

Jeffrey M. Dayno, MD

Chief Medical Officer, Egalet Corporation, Wayne, Pennsylvania

Karsten Lindhardt, MSc, PhD, DBE

Senior Vice President, Research and Development, Egalet Corporation, Wayne, Pennsylvania

References

Maincent J, Zhang F: Recent advances in abuse-deterrent technologies for the delivery of opioids. Int J Pharm. 2016; 510 (1): 57-72.

ARYMO ER (morphine sulfate extended-release tablets). Full Prescribing Information. Wayne, PA: Egalet US Inc., 2017.

Dayno JM, Niebler G, Lawler J, et al.: Clinical relevance of the pharmacokinetic characteristics of an abuse-deterrent, extended-release, injection-molded morphine tablet. J Opioid Manage. 2017; 13 (2): 111-124.

US Food and Drug Administration: Guidance for Industry: Abuse-Deterrent Opioids—Evaluation and Labeling. US Department of Health and Human Services. Available at https://www.fda.gov/downloads/Drugs/Guidances/UCM334743.pdf. Accessed May 3, 2017.

Hemmingsen PH, Olsen MR: Injection molding and hotmelt extrusion processing for pharmaceutical materials. In Douroumis D (ed.): Hot-Melt Extrusion: Pharmaceutical Applications. 1st ed. West Sussex, UK: John Wiley & Sons, Ltd, 2012: pp. 239-259.

Mastropietro DJ, Omidian H: Abuse-deterrent formulations: part 1–development of a formulation-based classification system. Expert Opin Drug Metab Toxicol. 2015; 11 (2): 193-204.

Muppalaneni S, Mastropietro DJ, Omidian H: Crush resistance and insufflation potential of poly(ethylene oxide)-based abuse deterrent formulations. Expert Opin Drug Deliv. 2016; 13 (10): 1375-1382.

Hysingla ER (hydrocodone bitartrate tablet extended-release). Full Prescribing Information. Stamford, CT: Purdue Pharma LP, 2014.

OxyContin (oxycodone hydrochloride tablet film coated extended release). Full Prescribing Information. Stamford, CT: Purdue Pharma LP, 2014.

Joint meeting of the Drug Safety and Risk Management advisory committee and the Anesthetic and Analgesic Drug Products advisory committee. Available at https://www.fda.gov/downloads/AdvisoryCommittees/CommitteesMeetingMaterials/Drugs/AnestheticAndAnalgesicDrugProductsAdvisoryCommittee/UCM547235.pdf. Accessed June 26, 2017.

Hunt R, Yalamanoglu A, Tumlin J, et al.: A mechanistic investigation of thrombotic microangiopathy associated with IV abuse of Opana ER. Blood. 2017; 129 (7): 896-905.

US Food and Drug Administration: Guidance for Industry: General Principles for Evaluating the Abuse Deterrence of Generic Solid Oral Opioid Drug Products. Silver Spring, MD: US Department of Health and Human Services, 2016.

Cone EJ, Buchhalter AR, Lindhardt K, et al: Crushing and extraction resistance of EG-001, an abuse-deterrent ER morphine in clinical development [abstract 32]. Presented at PAINWeek; September 2-6, 2014; Las Vegas, NV.

Cone EJ, Buchhalter AR, Lindhardt K, et al.: The ALERRT® instrument: A quantitative measure of the effort required to compromise prescription opioid abuse-deterrent tablets. Am J Drug Alcohol Abuse. 2017; 43 (3): 291-298.

Lindhardt K, Elhauge T, Skak N, et al.: Injection and smoking resistance of EG-001, an abuse-deterrent ER morphine in clinical development. Presented at PAINWeek; September 2-6, 2014; Las Vegas, NV.

Sponsor briefing document ARYMO™ ER (morphine sulfate) extended-release tablets. Available at https://www.fda.gov/downloads/AdvisoryCommittees/CommitteesMeetingMaterials/Drugs/AnestheticAndAnalgesicDrugProductsAdvisoryCommittee/UCM514383.pdf. Accessed June 26, 2017.

Meyer RJ, Hussain AS: FDA's ACPS meeting, October 2005. Awareness topic: mitigating risks of ethanol induced dose dumping from oral sustained/controlled release dosage forms. US Food and Drug Administration, Center for Drug Evaluation and Research. Available at http://www.fda.gov/ohrms/dockets/ac/05/briefing/2005-4187B1_01_08-Alcohol-Induced.pdf. Accessed February 6, 2017.

Walden M, Nicholls FA, Smith KJ, et al.: The effect of ethanol on the release of opioids from oral prolonged-release preparations. Drug Dev Ind Pharm. 2007; 33 (10): 1101-1111.

Smith MD, Webster LR, Lawler J, et al.: Human abuse potential of an abuse-deterrent (AD), extended-release (ER) morphine product candidate (morphine-ADER injection-molded tablets) versus extended-release morphine administered orally in nondependent recreational opioid users. Pain Med. 2017; 18 (5): 898-907.

Webster LR, Smith MD, Lawler J, et al.: Human abuse potential of an abuse-deterrent (AD), extended-release (ER) morphine product candidate (morphine-ADER injection-molded tablets) vs extended-release morphine administered intranasally in nondependent recreational opioid users. Pain Med. 2016: [Epub ahead of print].

Published

12/07/2017

How to Cite

Skak, MS, N., T. Elhauge, MSc, J. M. Dayno, MD, and K. Lindhardt, MSc, PhD, DBE. “Abuse-Deterrent Features of an Extended-Release Morphine Drug Product Developed Using a Novel Injection-Molding Technology for Oral Drug Delivery”. Journal of Opioid Management, vol. 13, no. 6, Dec. 2017, pp. 465-72, doi:10.5055/jom.2017.0406.