Sustained release composition and method utilizing xanthan gum and an active ingredient
BACKGROUND OF THE INVENTION 
     This application is a continuation-in-part of co-pending application Ser. No. 857,516, filed Mar. 25, 1992 now U.S. Pat. No. 5,292,534 issued Mar. 8, 1994. 
    
    
     This invention relates to a composition and method of manufacture and use in which xanthan gum is combined with an active pharmaceutical or other ingredient in a compacted dose form for delivering the active ingredient to the gastro-intestinal tract over a sustained period. 
     Sustained or slow release compositions containing pharmaceutical medications or other active ingredients are designed to contain higher concentrations of the medicament or ingredient and are prepared in such a manner as to effect sustained or slow release into the gastro-intestinal digestive tract of humans or animals over an extended period of time. Well absorbed oral sustained or slow release therapeutic drug dosage forms have inherent advantages over conventional, immediate release dosage forms. The advantages include less frequent dosing of a medicament and resultant patient regime compliance, a more sustained drug blood level response, the possibility of effecting therapeutic action with less ingested drug, and the mitigation of side effects. By providing a slow and steady release of the medicament over time, absorbed drug concentration spikes are mitigated or eliminated by effecting a smoother and more sustained blood level response. 
     Many therapeutic agents, medicaments, or other active ingredients have a wide window for absorption, meaning that the drug has been demonstrated to be well absorbed along the entire digest tract. Such agents, medicaments, or other active ingredients are then logical candidates for possible dosage as a sustained or slow release medication. 
     Sustained or slow release therapeutic dose forms are based on many and varied principles. For example, one of the techniques of preparation involves formation of the drug in generally spherical pellet form wherein a specific quantity of pellets are set aside for immediate release and the remaining drug pellets or spheres are coated with various thicknesses of a suitable fat, or resinous, or fatty resinous like coating. When fractions of the pellets are blended together and then filled into capsules or pressed into tablets, without destroying the integrity of the coatings, suitable slow or sustained release dose forms may be effected. Another technique is to admix the therapeutic agent with fats and solid polyhydric alcohols, such as polyoxyethylene glycol, and/or a solid surfactant, such as polyoxyethylene glycol distearate, and press the mixture into tablets to form an erosion matrix to effect slow or sustained release dosage forms. Another method employs the use of a therapeutic agent bound to an ion exchange resin or otherwise complexed with an organic or inorganic molecule and imbedded in a waxy core or granule and administered in capsule or pressed tablet form. Still another method employs the use of an indigestible film former such as methylcellulose applied to a powder or granule base containing a therapeutic agent followed by subsequent forming into compressed tablets to effect slow or sustained release. Yet another method employs a tablet containing a specific drug coated with an indigestible film in which the film is pierced by a laser beam to allow for a small and precise portal from which the drug is slowly released. 
     As a result of the increased awareness of the importance of hypercholesterolemia and its relationship to coronary heat disease during the last several years, there has been an increased emphasis on treatment with niacin (nicotinic acid). Guidelines for adults have recently been published by the National Cholesterol Education Program, coordinated by the National Heart, Lung and Blood Institute, which state that a desirable blood cholesterol level is below 5.17 mmol/liter. Approximately half of adults screened have been found to have a total blood cholesterol level above the desired range, and accordingly, are encouraged to see a physician for further analysis and instruction. It has been recommended that clinicians use a bile acid sequesterant or niacin as first line therapy for treatment of hypercholesterolemic patients. Niacin is also the oldest of the pharmacologic agents used in the treatment of hyperlipidemia and, since its introduction in 1955, it has been in continuous use either monadically, or in combination with bile acid binding resin therapy. 
     In doses of 3-6 g/day, which exceed its requirements as a B Vitamin, niacin (but not niacinamide) is highly effective in reducing elevated levels of plasma cholesterol and triglycerides. Niacin inhibits adipose tissue lipolysis, reduces plasma free fatty acid levels and decreases very low density lipoprotein synthesis, thereby decreasing the production of low density lipoproteins from the very low density lipoproteins. Niacin is of demonstrated value in preventing manifestations of arteriosclerotic heart disease, having been shown to decrease recurrent nonfatal myocardial infarction in the coronary drug project by 40% without concurrent increase in mortality from nonarteriosclerotic causes as has been observed with clofibrate. 
     Niacin is readily absorbed from the stomach and intestinal tract and has no difficulty passing the tissue barrier. Following per os administration of a tablet or capsule dosage of niacin peak plasma levels are obtained within 15-30 minutes in humans. The drug is rapidly distributed in the various tissues including kidney and adipose tissue with a slower metabolism of liver and brown fat. Also of note is the observation that niacin has the ability to penetrate the blood brain barrier. 
     Niacin is rapidly eliminated from plasma and its elimination half-life in humans is 20-45 minutes. Although large doses of 3-6 g/day of niacin are required to decrease circulating cholesterol and triglycerides in humans, it does not appear that the high peak serum levels attained are required, since the lipid lowering effect is maintained after plasma niacin levels are below the limit of sensitivity of the analytical method used. Thus, there is no correlation between systemic levels of niacin and its pharmacological effect. 
     The chief drawback to using niacin in the treatment of hyperlipidemia is facial and truncal flushing, which occurs in nearly all users shortly after ingestion of tablets with as small a dosage as 75 mg of niacin per tablet. It appears that niacin induces flushing by increasing the formation and/or release of some prostaglandin, which in turn increases the production of cyclic amp. However, this mechanism does not appear to mediate the effect of niacin on lipolysis. The side effects of truncal flushing, nausea, gastro-intestinal upset, and rectal itching experienced following the ingestion of high potency niacin tablets (500 mg/tablet) has contributed to patient dropout of niacin therapy introduced to treat hyperlipidemia. 
     It has been difficult to produce a slow or sustained release niacin product by the conventional methods of barrier coating or erosion-type mechanisms. The classic concept of a sustained release dosage regimen is to release 20-35% of the therapeutic agent within the first hour and to sustain the remaining portion of the therapeutic agent over a 8-12 hour period. When one considers that the niacin therapeutic dose is 500-1000 mg and that niacin will cause a flushing response in most subjects with a dosage release of more than 75 mg within a one hour period, the problem becomes apparent. Nicobid, marketed by Armour Pharmaceuticals, has been the most widely marketed sustained release dose form of niacin in recent years. Clinical evaluations of the Nicobid dose form of 500 mg niacin per tablet indicate that the side effects have still not been ameliorated, and the main side effect of flushing is still responsible for a patient dropout rate approaching 20%. Therefore, some new method of slow release is required to cope with the specific problem presented by the niacin dose form requirements. 
     Bearing in mind the problems and deficiencies of the prior art, it is therefore an object of the present invention to provide a composition and method of manufacture and use which delivers an active pharmaceutical or other ingredients in a dose form to the gastro-intestinal tract of humans and animals over a sustained period. 
     It is another object of the present invention to provide a composition which delivers niacin, in large dose forms well above 75mg, to the gastro-intestinal tract without the side effects of flushing and itching. 
     It is a further object of the present invention to provide a sustained release composition and method of manufacture and use which is useful with a wide number of active pharmaceutical and other ingredients. 
     It is yet another object of the present invention to provide a composition which delivers active pharmaceutical and other ingredients in which the active ingredients may be present in relatively large quantities compared to the remaining components of the composition. 
     SUMMARY OF THE INVENTION 
     The above and other objects, which will be apparent to those skilled in the art, are provided in the present invention which relates to a simplified method of effecting a clinically validatable slow or sustained release of active pharmaceutical or other ingredients by combining the active ingredient with xanthan gum, compacting the combinate and size reducing the compact to form powders or capsules, or by combining the active ingredient with xanthan gum and a suitable lubricant and forming tablets by direct tablet compression techniques. 
     In one aspect, the invention comprises a compacted sustained release composition for delivering a drug such as niacin as an active ingredient to the gastro-intestinal tract comprising an effective amount of the active ingredient in mixture with xanthan gum, the active ingredient comprising in excess of 40 percent by weight of the total of the active ingredient and the xanthan gum, the mixture being in the form of a unit dose in capsule or tablet form. The method corresponding to this aspect comprises producing a compacted sustained release composition for delivering a drug such as niacin as an active ingredient to the gastro-intestinal tract by mixing an effective amount of the active ingredient with xanthan gum, the active ingredient comprising in excess of 40 percent by weight of the total of the active ingredient and the xanthan gum, and forming the mixture in a unit dose in capsule or tablet form. 
     In another aspect, the invention comprises a compacted sustained release composition for delivering a drug as an active ingredient to the gastro-intestinal tract comprising an effective amount of the active ingredient in mixture with xanthan gum, the active ingredient being selected from the group consisting of analgesics, antipyretics, anti-inflammatory agents, vitamins, electrolyte replenishers, decongestants, antihistamines, and useful bacteriological organisms for the gastro-intestinal tract, the mixture being in the form of a unit dose in capsule or tablet form. The method corresponding to this aspect comprises producing a compacted sustained release composition for delivering a drug as an active ingredient to the gastro-intestinal tract by mixing an effective amount of the active ingredient with xanthan gum, and forming the mixture in a unit dose in capsule or tablet form. 
     In a further aspect, the invention relates to a sustained release composition for slow delivery of a drug as an active ingredient to the gastro-intestinal tract comprising an effective amount of the active ingredient, preferably niacin, in mixture with xanthan gum and an excipient, the mixture being in the form of a unit dose in capsule or tablet form. The active ingredient is preferably present in an amount of about 40-80 weight percent, the excipient is preferably present in an amount of about 2-40 weight percent, and the xanthan gum is preferably present in an amount of about 20-50 weight percent, of the unit dose. The method corresponding to this aspect comprises producing a compacted sustained release composition for delivering a drug as an active ingredient to the gastro-intestinal tract by mixing an effective amount of the active ingredient with xanthan gum, and forming the mixture in a unit dose in capsule or tablet form. 
     The active ingredient(s) may be agglomerated with a water soluble carbohydrate based agglomerating agent prior to mixing with the xanthan gum. Preferably, the mixture of active ingredient(s) and xanthan gum is directly compressed into unit dose tablets. Alternatively, the mixture of active ingredient(s) and xanthan gum is compacted and reduced in size to fill unit dose capsules. 
    
    
     DESCRIPTION OF THE PREFERRED EMBODIMENTS 
     The sustained release mechanism of the present invention is based on the concept of phoresis wherein the release rate of niacin or other active pharmaceutical or other ingredient is controlled by producing a tablet which forms a gel following ingestion. In order for the niacin or other active ingredient to be released to the gastro-intestinal tract in a slow and sustained manner, it is necessary for the ingredient to pass uniformly and slowly through the gel. The release of the active component through the gel mass is slow and steady and is controlled by the amount of the gel former used to effect the system. 
     In accordance with the present invention, xanthan gum has been found to be the most effective gel former used to produce the slow release of niacin or other active ingredient in dose form. Xanthan gum is a high molecular weight natural carbohydrate, or, more specifically, a polysaccharide. Xanthan gum defines the exocellular biopolysaccharide which is produced in a pure culture fermentation process by the microorganism &#34;Xanthomonas Campestris&#34;. In the fermentation, &#34;Xanthomonas Campestris&#34; is cultured in a well aerated medium containing commercial glucose, a suitable nitrogen source, dipotassium hydrogen phosphate, and appropriate trace elements. 
     The polysaccharide coating formed surrounding the cell wall, xanthan gum, must be stable and hydrophilic in order to protect the organism from dehydration during periods of adverse conditions. The polymer structure, molecular weight, and gel forming characteristics of the cell wall coating are constant and reproducible under given conditions of fermentation. At the conclusion of the fermentation process, xanthan gum is recovered by precipitation in isopropyl alcohol, then dried and milled. The molecular weight of the xanthan gum polymer is probably in the order of 2 million but has been reported to be as high as 13-50 million. These reported differences are most probably due to association phenomena between the polymer chains. The xanthan gum is preferably obtained for processing in the present invention in dry, free flowing granular or powder form, with a preferred particle size range of about 20-200 U.S. Mesh (850-74 microns). 
     In accordance with the present invention, a clinically validarable slow or sustained release of active pharmaceutical or other ingredients is prepared by combining the active ingredient(s) with xanthan gum, compacting the combinate and size reducing the compact to form powders or capsules, or, in a more preferred embodiment, by combining the active ingredient(s) with xanthan gum and a suitable lubricant and forming tablets by direct tablet compression techniques. 
     The active pharmaceutical or other ingredients which may be utilized in combination with xanthan gum include, in addition to niacin (nicotinic acid or 3-pyridine- carboxylic acid), any other pharmaceutical or drug having a beneficial effect on the body when released to the gastro-intestinal tract in a slow or sustained manner. Preferably, the active ingredient or agent is also provided in dry, free flowing granular or powder form, with a preferred particle size range of about 20-200 U.S. Mesh (850-74 microns). Such ingredients may be, for example, analgesic, antipyretic, and/or anti-inflammatory agents such as aspirin, acetamenophen and ibuprofen, vitamins such as pyridoxine (vitamin B-6) hydrochloride and cyanocobalamin (vitamin B-12), calcium ascorbate, electrolyte replenishers such as potassium chloride, decongestants such as pseudoephedrine hydrochloride, antihistamines such as chlorpheniramine maleate, or useful bacteriological organisms for the gastro-intestinal tract such as lactobacillus acidophyllus. 
     The active ingredient or agent may be combined directly with the xanthan gum, as will be described below, or may be preliminarily combined with a low density, highly porous, generally spherical, water soluble carbohydrate-based agglomerates of maltodextrin, dextrose, sucrose, fructose, lactose or other agglomerated corn syrup solid, for example. Any of the water soluble carbohydrate-based agglomerate may be co-agglomerated with each other prior to or during combination with the active ingredient. 
     The preferred agglomerate is maltodextrin, a low conversion starch hydrolyzate having a D.E. (dextrose equivalent) less than 20, an example being VELite 1000 maltodextrin available from Valentine Enterprises, Inc. of Lawrenceville Georgia comprised of Maltrin M-100 maltodextrin available from Grain Processing Corp. 
     In addition to the water soluble carbohydrate-based agglomerates described above, the active ingredient and xanthan gum may be combined with other water soluble carbohydrate excipients to form the final dry, free flowing, granular product. By the term &#34;excipients&#34; is meant substances or ingredients generally used in the drug or food industry which do not alter the character and function of the combination of active ingredient and xanthan gum. Other useful excipients include mannitol, sorbitol, milk solids, and their derivatives. These excipients may be present in an amount of up to 40% by weight, preferably about 2-20% by weight, of the total mixture. 
     When the active ingredient is to be preliminarily combined with the water soluble carbohydrate-based agglomerate or other excipient, the components are preferably agglomerated in a fluid bed agglomerator by standard spray granulation techniques. The active ingredient is combined with water soluble carbohydrate-based agglomerate or excipient and produced as dry, free flowing granules of a desired particle size, for example, about 20-100 U.S. mesh (850-149 microns). The important characteristic is that the active ingredient is contained in or on the carbohydrate-based agglomerate and is immediately available, and is stable in the formulation with the xanthan gum. No coatings such as wax or other compositions are placed over the active ingredient which would interfere with dissolution of the active ingredient. It has been discovered that xanthan gum alone may be employed in the final product to effect slow and sustained release in the body. 
     After the active ingredient is provided in its desired form, either as essentially pure granules or in the agglomerated form described above, it is admixed with the desired amount of xanthan gum and optionally, one or more excipients, preferably by low shear mixing such as that encountered in a planetary, ribbon or plow mixer. The relative amounts of active ingredient and xanthan gum may be varied as desired. It has been unexpectedly discovered that a considerably higher amount of active ingredient, particularly niacin, may be employed relative to the xanthan gum while still retaining the desired effect of slow and sustained release in the gastro-intestinal tract of humans or animals. In particular, the mixture may employ in excess of 40% by weight of active ingredient, and even a major amount of active ingredient, in the final dose form, whether it be in compacted and reduced to powder for filling in capsules or directly compressed into tablet form. In the case of niacin as the active ingredient, this is a considerably higher relative amount than can be employed when another gum, such as guar gum, is employed, where limits of 33% by weight of niacin have been reported. In the present invention, the amount of active ingredient may more preferably range from 50-80% by weight of the total mixture, and the amount of xanthan gum is preferably not less than 20% by weight, more preferably from 20-50% by weight of the total composition. The amount of excipient(s) may comprise from 2-40% by weight of the total composition. 
     After the mixing process, the mixture of active ingredient, xanthan gum and, optionally, excipient(s) is compacted and size reduced, and then made into desired unit dose form such as filled capsules. Compaction may be by standard techniques such as slugging where tablets are pressed or by roller compaction. In either case, the compacted tablets or roll compactions of the mixture are ground to reduce the particle size of the mixture, e.g., to a particle size of about 20-100 U.S. mesh (850-149 microns), and then filled into the final capsule or powder blend dose form. Preferably, to achieve best sustained release characteristics, the mixture may be directly compressed by standard techniques into final tablet dose form. A lubricant such as stearic acid may be added in an amount of 0.1-5% by weight of the total composition to assist in the tableting process. 
     By following the process of the present invention to produce tablets in the form described, 1000 mg doses of niacin have been able to be formulated in tablets containing xanthan gum in the ranges specified and ingested by humans without a flushing response. Since as little as 75 mg/hr. of niacin has been shown to produce flushing, this indicates that the present invention is able to deliver the niacin in slow and/or sustained quantities over as much as 24 hours or more. 
     It is theorized that an important function of xanthan gum in the present invention is control of aqueous fluid rheology. It has been found that concentrated aqueous solutions of xanthan gum exhibit extreme pseudo-plasticity. The xanthan gum/active ingredient tablet dose forms a gel sol (a hydrated gel) when exposed to the environment in the stomach. It is believed that when intestinal shear stress is applied to the solvated tablet dose form the viscosity of the xanthan gum gel is reduced and concomitantly spread to allow the drug niacin to phorese or pass through the gel mass. 
     Once the xanthan gum/active ingredient tablet enters the digestive tract it is subjected to the shear forces of the digestive action and movement which are believed to be sufficient enough to reach the yield point of the xanthan gel sol. The yield point of the xanthan gum sol can be considered to be the quantity of force required to dissociate some of the &#34;super junction zones&#34; of the xanthan gum and the shear thinning that results allows for the spread of the gel sol. 
     A principal advantage of xanthan over other gums such as guar gum is its greater purity, its lot-to-lot uniformity of composition, and its resistance to enzymatic cleavage in the digestion tract. It is also believed to be safe as in reported studies, quantities of 12 g/day of xanthan gum were ingested each day for a period of 12 weeks with no severe adverse digestive symptoms. In another study, following a 7-day control period, 5 male volunteers consumed, on each of 23 consecutive days, a weight of xanthan gum equal to 15 times the current acceptable daily intake of 10 mg/kg body weight, as approved by the EEC and by the joint FAO/WHO Expert Committee on Food Additives. Measurements before and at the end of the test period showed that the ingestion of xanthan, as a prehydrated gel, acted as a bulking agent in terms of its effects on fecal wet and dry weight and intestinal transit times but had no significant effect on plasma biochemistry. Haematological indices, urinalysis parameters, glucose tolerance and insulin tests, serum immunoglobulins, triglycerides, phospholipids and high density lipoproteins, breath hydrogen and breath methane concentrations. There was, however, a moderate (10%) reduction in serum cholesterol and a significant increase in fecal bile acid concentrations. The data indicate that the ingestion of xanthan caused no adverse dietary nor physiological effects in any of the test subjects. In particular, all of the enzymatic and other parameters that act as sensitive indicators or adverse toxicological effects remained unchanged. 
     Positive effects of xanthan ingestion are believed to be its lack of toxicity and also its ability to bind or otherwise increase bile acid content in the feces. It is obvious that any increase in bile acid in the stool will have a positive effect when dealing with hyperlipidemia. Even though the test quantities were of a high level, it is apparent that the effect of bile acid elimination and the non formation of free fatty acids is a desirable effect even when the quantities of xanthan are relatively limited. 
     One additional clinical observation on the use of xanthan gum in obesity can shed some additional light on the use of smaller quantities of xanthan gum to modify serum lipidology. Body weight and cholesterol and triglycerides in blood were estimated in 2 groups of 10 women, 20 to 50 years of age, with body mass index of 30-40 before and 30-60 days following ingestion of 2 550 mg capsules of xanthan gum with 250 ml of water 3 times per day or starch placebo capsules with 250 ml of water 3 times per day. In each case the capsules were administered before meals. After 30 and 60 days of treatment with xanthan gum body weight decreased by 2.9 and 7.7 kg, cholesterol by 18.8 and 20.5 and triglycerides by 12.9 and 15.5 mg/100 ml, respectively. Differences were significant compared with the placebo group. There was also a significant sensation of satiety at 90 min, and at 5 hours after each meal with those subjects on the xanthan gum regimen. Even at this level (3 gm xanthan gum/day), significant serum lipid changes were apparent. 
     EXAMPLES 
     The following illustrative examples are given to more particularly illustrate the specific details of the practice of the present invention. Equivalent procedures and quantities will occur to those skilled in the art and, therefore, the following examples are not meant to define the limits of the present invention, these being defined by the appended claims. All references to percentages in the examples, as throughout the specification, are to weight percentage, unless otherwise identified. 
     Example 1 
     Examples of successful niacin/xanthan gum tablet formulations and their method of preparation are as follows: 
     
         ______________________________________                                    
Formulation No. VL5-079                                                   
______________________________________                                    
Niacin Base Granulation:                                                  
Niacin (Nicotinic Acid) Roche                                             
                     97.0%                                                
Maltodextrin M-100   3.0%                                                 
______________________________________                                    
 
    
     The niacin was charged into a fluid bed agglomerator and the maltodextrin was sprayed over as a 15% aqueous solution to effect agglomeration and compressibility with concomitant good flow characteristics. The final granulation was sized -20 mesh, U.S. sieve size. 
     
         ______________________________________                                    
Formulation No. VL5-080C                                                  
______________________________________                                    
Niacin Base Granulation                                                   
                    61.9%                                                 
(No. VL5-079)                                                             
Xanthan Gum (Keltrol SF)                                                  
                    37.4%                                                 
Stearic Acid        0.7%                                                  
______________________________________                                    
 
    
     The components were well mixed and compressed on caplet punches at a weight of 840 mg/tablet at a hardness of 12 kp. 
     
         ______________________________________                                    
Each 840 mg Tablet yields:                                                
                  Niacin      504.4  mg                                   
                  Xanthan Gum 314.2  mg                                   
                  Stearic Acid                                            
                              5.9    mg                                   
                  Maltodextrin                                            
                              15.5   mg                                   
1 × 840 mg Tablet 3×/day                                      
                  Niacin      1500   mg                                   
yields:           Xanthan Gum 942    mg                                   
2 × 840 mg Tablets 3×/day                                     
                  Niacin      3000   mg                                   
yields:           Xanthan Gum 1882   mg                                   
3 × 840 mg Tablets 3×/day                                     
                  Niacin      4500   mg                                   
yields:           Xanthan Gum 2824   mg                                   
______________________________________                                    
 
    
     This formulation was used in tests with subjects to evaluate flushing. No adverse effects have been noted dosing two tablets. 
     The quantity or percentage composition relative to the xanthan gum has been raised and lowered from the base formulation (VL5-080C). The least xanthan quantity that has, up until now, produced no flushing is noted below. 
     
         ______________________________________                                    
Formulation No. VL5-117E                                                  
______________________________________                                    
Niacin Base Granulation                                                   
                    76.4%                                                 
(No. VL5-079)                                                             
Xanthan Gum (Keltrol SF                                                   
                    22.7%                                                 
Stearic Acid        0.9%                                                  
______________________________________                                    
 
    
     The materials were mixed and compressed into tablets having a weight of 680 mg at a hardness of 12 kp. 
     Single tablet trials resulted in no adverse flush reaction. 
     Comparative Example 1 
     Utilizing the procedure to make the base formulation, No. VL5-080C, the xanthan gum was replaced with guar gum. After ingestion in test subjects, flushing was found to occur relatively quickly (within 2-3 hours). When half of the xantham gum was replaced with guar gum, flushing occurred after 2 hours. Based upon the trials employed, the effect of slow release of niacin appears to be due to the presence of the xanthan gum and that mixed gum systems of xanthan and guar gum are not as effective. 
     Results similar to those experienced with guar gum can also be demonstrated with the use of locust bean gum. It appears that guar and locust bean gums are labile to the enzymatic digestive mode. A mixed system of niacin with approximately equal amounts of either guar gum or locust bean gum and xanthan gum results in flushing approximately 2 hours after ingestion of the slow release niacin tablets. Xanthan gum is believed to be better able to resist enzymatic digestion, liquefication, or in some other manner of destruction of the gel structure than either the guar gum or the locust bean 
     Example 2 
     
         ______________________________________                                    
FORMULATION No. VL4-081                                                   
______________________________________                                    
Niacin was agglomerated in a Freund Mini Flow Coater fluid bed            
agglomerator as follows:                                                  
In Bed:                                                                   
Niacin                      400    gm                                     
(Lump Free in Fine Powder)                                                
In Solution:                                                              
Maltrin M-100 (GPC)         12.5   gm                                     
Water                       112.5  gm                                     
Flow Control @ 55%                                                        
Air for atomization 10 PSI (Coarse)                                       
Spray Rate @ 3.5                                                          
Spray @ 1 Minute                                                          
Pulse Jet @ .1 &amp; .1                                                       
Air Inlet 80 C                                                            
Terminal Dry @ 42 C                                                       
Total solution overall will yield 97% niacin agglomerates                 
Pass agglomerates through 20 mesh                                         
______________________________________                                    
 
    
     The agglomerates from No. VI4-079 were then blended with xanthan gum as follows: 
     
         ______________________________________                                    
Niacin Base Granulation                                                   
                    61.9%                                                 
Xanthan Gum (Keltrol Gm)                                                  
                    37.4%                                                 
(coarse granule)                                                          
Stearic acid (fine powder)                                                
                    0.7%                                                  
______________________________________                                    
 
    
     Blend the materials for 10 minutes then compress on capsule shape punches at 840 mg/tablet at maximum pressure (18-20 KP). 
     
         ______________________________________                                    
Each tablet yields:                                                       
Niacin               504.4  mg                                            
Xanthan Gum          314.2  mg                                            
Maltrin M-100        15.5   mg                                            
Stearic acid         5.9    mg                                            
Total Tablet Weight  840.0  mg                                            
Tablet Weight Specification                                               
                     840.0  mg + 3%                                       
(Average weight 10 tablets)                                               
                     (840   mg-885 mg)                                    
2 tablets 3×/day yields:                                            
Niacin               3,000  mg/day                                        
Xanthan Gum          1,884  mg/day                                        
______________________________________                                    
 
    
     After taking the aforementioned doses of two niacin tablets, three times per day, the test subjects showed no flushing. All of the test subjects showed satisfactory recovery of niacin and nicotinuric acid from urine. 
     Thus, the combinate of xanthan gum and niacin provides a therapeutic dose form that obviates the flushing reaction associated with large doses of niacin. While flush response is usually triggered by approximately 75 mg of niacin, in the combinate of the present invention, we are able to provide dose quantities of niacin of 1000 mg without a flushing response. 
     Example 3 
     Agglomerated/granulated niacin base was prepared in a Freund Model 80 fluid bed agglomerator according to the following formulation: 
     
         ______________________________________                                    
In Product Container:                                                     
Niacin Powder U.S.P.    40     kg                                         
Pump Solution:                                                            
10 D.E. Maltodextrin Maltrin M-100                                        
                        1.23   kg                                         
(Grain Processing Corp.)                                                  
Distilled Water         11.07  kg                                         
Atomizing gun pressure  3.0    atm                                        
Atomizing air volume    150    m.sup.3 /hr                                
Pattern air volume      20     m.sup.3 /hr                                
______________________________________                                    
 
    
     The product bowl was secured and fluidization was initiated with inlet air at 80° C. Alternate spraying and shaking of the filters to return un-agglomerated fines to the bowl was continued until all of the pump solution was delivered to the fluidized bed. The product was dried, removed, and sized to -20 mesh and packaged. 
     A blend for tableting was prepared as follows: 
     
         ______________________________________                                    
Agglomerated Niacin   61.9%                                               
Xanthan Gum (TIC)     37.4%                                               
Stearic acid (fine powder U.S.P.)                                         
                      0.7%                                                
______________________________________                                    
 
    
     8.0 kg of the prepared blend for tableting was compressed on caplet shaped punches at a weight of 840 mg/tablet, with each tablet containing 540 mg of niacin. 
     A crossover clinical study indicated that the formulation is effective in cholesterol lowering and was essentially flush response free. 
     Example 4 
     Tablets were prepared as follows: 
     
         ______________________________________                                    
Compression granulated                                                    
                      60.0%                                               
Niacin (Lonza) U.S.P.                                                     
Xanthan Gum (Kelco K-7B170)                                               
                      39.3%                                               
Stearic Acid N.F (fine powder)                                            
                      0.7%                                                
______________________________________                                    
 
    
     The components were mixed and blended to effect a product suitable for compression. 
     Tablets were compressed on capsule shaped punches and dies at a weight of 840 mg to yield tablets containing 504 mg niacin per tablet. 
     A 6 patient availability indicated satisfactory recovery with no flushing following a 2 tablet dose. 
     Example 5 
     Tablets were prepared as follows: 
     
         ______________________________________                                    
Niacin fine powder U.S.P. (Roche)                                         
                      50.0%                                               
Xanthan Gum (fine powder)                                                 
                      49.3%                                               
Stearic Acid (fine powder U.S.P.)                                         
                      0.7%                                                
______________________________________                                    
 
    
     6.0 kg of material were blended and further granulated by compaction to yield 20-60 mesh granules. The granules were filled into two piece hard gelatin capsules at a fill weight of 450 mg and contained 225 mg niacin per capsule. 
     In a 6 patient evaluation, urinary tracing indicated satisfactory release of the niacin. Two capsule and four capsule dosing equivalent to 500 and 1000 mg niacin per dose indicated no flushing. 
     Other active ingredients were tested as follows: 
     Example 6 
     A tableting base was mixed from the following components: 
     
         ______________________________________                                    
Acetamenophen (coarse granular)                                           
                      65.0%                                               
Xanthan Gum (granular)                                                    
                      34.3%                                               
Stearic Acid N.F. (fine powder)                                           
                      0.7%                                                
______________________________________                                    
 
    
     A 5 kg blend of the tableting base was prepared and pressed into tablets at a weight of 770 mg per tablet equivalent to 500 mg acetamenophen per tablet. 
     Example 7 
     A tableting base was mixed from the following components: 
     
         ______________________________________                                    
Aspirin (coarse crystals)                                                 
                     61.9%                                                
Xanthan Gum (Keltrol)                                                     
                     37.4%                                                
Stearic acid N.F. (fine powder)                                           
                     0.7%                                                 
______________________________________                                    
 
    
     A 10 kg blend of the tableting base was prepared and pressed into tablets at a weight of 815 mg per tablet equivalent to 500 mg acetylsalicylic acid per tablet. 
     Example 8 
     A tableting base was mixed from the following components: 
     
         ______________________________________                                    
Ibuprofen powder     60.0%                                                
Xanthan Gum (Keltrol)                                                     
                     39.3%                                                
Stearic acid N.F. (fine powder)                                           
                     0.7%                                                 
______________________________________                                    
 
    
     A 5 kg of the tableting base was prepared and pressed into tablets at a weight of 667 mg per tablet equivalent to 400 mg ibuprofen per tablet. 
     Example 9 
     A tableting base was mixed from the following components: 
     
         ______________________________________                                    
Potassium chloride USP                                                    
                     60.0%                                                
(fine crystals)                                                           
Xanthan Gum (Ketrol) 39.3%                                                
Stearic acid N.F. (fine powder)                                           
                     0.7%                                                 
______________________________________                                    
 
    
     A 5 kg blend of the tableting base was prepared and pressed into tablets at a weight of 834 mg equivalent to 500 mg of potassium chloride per tablet. 
     Example 10 
     A tableting base was mixed from the following components: 
     
         ______________________________________                                    
Lactobacillus Achidophylluss                                              
                      50.0%                                               
(4 billion organisms/gm)                                                  
Xanthan Gum powder (Keltrol)                                              
                      49.3%                                               
Stearic acid N.F. (fine powder)                                           
                      0.7%                                                
______________________________________                                    
 
    
     A 1 kg blend of the tableting base was prepared and pressed into tablets at a weight of 500 mg equivalent to 250 mg of lactobacillus acidophyllus culture per gm (1 billion organisms.) 
     Example 11 
     A tableting base was mixed from the following components: 
     
         ______________________________________                                    
Acetamenophen        54.8%                                                
Chlorpheniramine Maleate                                                  
                     0.6%                                                 
Pseudoephedrine HCl  4.6%                                                 
Xanthan Gum          39.3%                                                
Stearic acid N.F. (fine powder)                                           
                     0.7%                                                 
______________________________________                                    
 
    
     A 1 kg blend of the tableting base was prepared and pressed into tablets at a weight of 650 mg. The tablets were equivalent to: 
     
         ______________________________________                                    
Acetamenophen       356 mg                                                
Chlorpheniramine Maleate                                                  
                     30 mg                                                
Pseudoephedrine HCl  4 mg                                                 
______________________________________                                    
 
    
     Example 12 
     A tableting base was mixed from the following components: 
     
         ______________________________________                                    
Calcium Ascorbate    65.0%                                                
Xanthan Gum          34.3%                                                
Stearic acid N.F. (fine powder)                                           
                     0.7%                                                 
______________________________________                                    
 
    
     A 1 kg blend of the tableting base was prepared and pressed into tablets at a weight of 900 mg/tablet. Each tablet was equivalent to 585 mg of ascorbic acid. 
     Example 13 
     A tableting base was mixed from the following components: 
     
         ______________________________________                                    
Pyridoxine HCl/Maltodextrin                                               
                     65.0%                                                
Co-agglomerate                                                            
Xanthan Gum          34.3%                                                
Stearic acid N.F. (fine powder)                                           
                     0.7%                                                 
______________________________________                                    
 
    
     A 1 kg blend of the tableting base was prepared and pressed into tablets at a weight of 650 mg/tablet. Each tablet was equivalent to 50 mg of pyridoxine hydrochloride. 
     Example 14 
     A tableting base was mixed from the following components: 
     
         ______________________________________                                    
Cyanocobalamine/Maltodextrin/                                             
                      65.0%                                               
Dextrose Co-agglomerate                                                   
Xanthan Gum           34.3%                                               
Stearic acid N.F. (fine powder)                                           
                      0.7%                                                
______________________________________                                    
 
    
     A 1 kg blend of the tableting base was prepared and pressed into tablets at a weight of 650 mg/tablet. Each tablet was equivalent to 75 mg of cyanocobalamine (vitamin B-12). 
     The compositions incorporating xanthan gum in the foregoing examples 6-14 exhibit satisfactory sustained release of the active ingredients therein into the gastro-intestinal tract. 
     It will thus be seen that the objects set forth above, among those made apparent from the preceding description, are efficiently attained and, since certain changes may be made in the above constructions without departing from the spirit and scope of the invention, it is intended that all matter contained in the above description shall be interpreted as illustrative and not in a limiting sense. 
     While this invention has been illustrated and described in what are considered to be the most practical and preferred embodiments it will be recognized that many variations are possible and come within the scope thereof, the appended claims therefore being entitled to a full range of equivalents.