Ex Parte Ray et alDownload PDFPatent Trial and Appeal BoardSep 25, 201711831512 (P.T.A.B. Sep. 25, 2017) Copy Citation United States Patent and Trademark Office UNITED STATES DEPARTMENT OF COMMERCE United States Patent and Trademark Office Address: COMMISSIONER FOR PATENTS P.O.Box 1450 Alexandria, Virginia 22313-1450 www.uspto.gov APPLICATION NO. FILING DATE FIRST NAMED INVENTOR ATTORNEY DOCKET NO. CONFIRMATION NO. 11/831,512 07/31/2007 Jay Richard Ray II 8138-1-1 (187158) 4521 30448 7590 09/27/2017 AKERMAN LLP P.O. BOX 3188 WEST PALM BEACH, FL 33402-3188 EXAMINER HAGHIGHATIAN, MINA ART UNIT PAPER NUMBER 1616 NOTIFICATION DATE DELIVERY MODE 09/27/2017 ELECTRONIC Please find below and/or attached an Office communication concerning this application or proceeding. The time period for reply, if any, is set in the attached communication. Notice of the Office communication was sent electronically on above-indicated "Notification Date" to the following e-mail address(es): ip @ akerman.com PTOL-90A (Rev. 04/07) UNITED STATES PATENT AND TRADEMARK OFFICE BEFORE THE PATENT TRIAL AND APPEAL BOARD Ex parte JAY RICHARD RAY II and CHARLES DAVID HODGE Appeal 2015-0077111 Application 11/831,512 Technology Center 1600 Before RICHARD M. LEBOVITZ, TAWEN CHANG, and RYAN H. FLAX, Administrative Patent Judges. LEBOVITZ, Administrative Patent Judge. DECISION ON APPEAL This appeal involves claims directed to methods of delivery of a combination therapy to a pulmonary system comprising tiotropium bromide, formoterol fumarate, and budesonide. The Examiner rejected the claims under 35 U.S.C. § 103 as obvious. We have jurisdiction under 35 U.S.C. § 6(b). The rejections are reversed. A 1 The Appeal Brief (“Appeal Br.”) 2 identifies Richie’s Pharmacy and Medical Supply, Incorporated, as the real-party-in-interest. Appeal 2015-007711 Application 11/831,512 new ground of rejection under 35 U.S.C. § 103 is entered pursuant to 37 C.F.R. § 41.50(b). STATEMENT OF THE CASE Claims 61 and 63—69 stand rejected by the Examiner under four different grounds of rejection. Final Act. 3, 7, 13, and 15. The rejections are reversed because the Examiner failed to make a prima facie case, particularly by establishing the obviousness of the claimed dosage of tiotropium bromide. See Appeal Br. 19. However, pursuant to 37 C.F.R. § 41.50(b), a new ground of rejection has been entered under 35 U.S.C. § 103(a). There are three independent claims in this appeal, claims 61, 66, and 69. Claim 61 is selected as representative and is reproduced below: 61. A method of delivery of a combination therapy to a pulmonary system comprising: providing an aqueous dosage for treatment of a respiratory condition, the dosage being provided in a mixture comprising: a first dose of a long-acting anticholinergic, the long- acting anticholinergic being in the form of tiotropium bromide; a second dose of a long-acting beta-agonist, the long- acting beta-agonist being in the form of formoterol fumarate; and a third dose of a long-acting corticosteroid, the long- acting corticosteroid being in the form of budesonide, wherein the first dose of the long-acting anticholinergic consists of 1.5-4.5 pg of tiotropium bromide, the second dose of the long-acting beta-agonist consists of 3-6 pg of formoterol fumarate, and the third dose of the long-acting corticosteroid consists of 100-600 pg of budesonide such that the mixture provides a treatment for asthma or chronic obstructive pulmonary disease, and wherein the dosage has a pH of between 5.2 and 8.4. 2 Appeal 2015-007711 Application 11/831,512 NEW GROUND OF REJECTION Claims 61, 66, and 69 are rejected under 35 U.S.C. § 103(a) as obvious in view of Applicant’s Admitted Prior Art in paragraphs 4 and 5 of the Specification, US Publ. Pat. Appl. 2001/0049396 Al, publ. Dec. 6, 2001 (“Ekstrom”), US Pat. 6,667,344 B2, iss. Dec. 23, 2003 (“Banerjee”), and US Pat. 7,070,800 B2, iss. Jul. 4, 2006, filed Oct. 11, 2001 (“Bechtold-Peters”). As evidence, the following abstract is cited: Pohunek, P. and Tal, A., Budesonide and formoterol in a single inhaler controls asthma in adolescents, 16(2) Int. J. Adolesc. Med. Health,91-105 (2004) (Abstract only provided). This is a new ground of rejection. We leave it to the Examiner to determine the obviousness of dependent claims 63—65, 67, and 68. Claims Claim 61 is directed to a method of delivery of a combination therapy to a pulmonary system. The method involves providing an aqueous dosage of 1) tiotropium bromide, 2) formoterol fumarate, and 3) budesonide. Each of these drugs is recited in the claim to be present in the following specific amounts: 1.5—4.5 jig of tiotropium bromide, 3—6 jig of formoterol fumarate, and 100-600 pg of budesonide. The dosage “provides a treatment for asthma or chronic obstructive pulmonary disease.” 3 Appeal 2015-007711 Application 11/831,512 The dosage is provided in a “mixture” of the three aqueous dosages. The claim does not require the drugs to be present in specific concentrations in the mixture. As a result, the mixture could be prepared just prior to delivering the drug combination to the patient by combining aqueous solutions of each drug containing the claimed amounts. Claim 66 is similar to claim to claim 61, but requires that the solution is administered using a nebulizer. Claim 69 is directed to a composition containing all three drugs in the same amounts recited in claim 61. Rejection The Specification contains the following teaching: The Northeast Essex Medicines Management Committee in the United Kingdom recommends the use of tiotropium with Symbicort® for severe COPD sufferers, those with forced expiratory volume in one second of less than 30%. Tiotropium is a long-acting antimuscarinic agent, or anticholinergic. It is supplied as a capsule containing 18 pg of tiotropium in a lactose carrier for a once daily dose that is delivered via an inhaler device trademarked as the HandiHaler®. An in vitro study of the delivery of this medication under standard conditions used a flow rate of 39 L/min for 3.1 seconds to deliver 10.4 pg of tiotropium. Unfortunately, a normal elderly patient or a patient with severe COPD cannot achieve such a flow rate. Spec. 1 5. Symbiocort® contains formoterol and budesonide. See Pohunek and Tal Abstract. Thus, the Specification provides an admission by the inventors that it was known to administer the combination of formoterol, budesonide, and tiotropium to treat COPD, the same drugs and same patient population recited in all the independent claims. Because this admitted disclosure of 4 Appeal 2015-007711 Application 11/831,512 administering all three of the recited drugs is the closest prior art to the claimed delivery method, we have reversed all of the Examiner’s four rejections which relied on Banerjee for its suggestion of the claimed combination of three drugs and also additional patent publications for the well-known dosages of each. The unit dosages of formoterol fumarate and budesonide recited in the claims (3—6 pg of formoterol fumarate and 100—600 pg of budesonide) overlap with the dosages of these drugs disclosed in Ekstrom (“1 pg to 48 pg, preferably from 2 pg to 24 pg, and more preferably between 3 pg and 12 pg” of formoterol fumarate and “from 20 pg to 1600 pg, suitably from 30 pg to 800 pg, preferably from 50 pg to 400 pg, and more preferably between 100 pg and 200 pg” of budesonide; Ekstrom 27, 28). See also Spec. 14 (admittedly known dosage of budesonide falls within claimed ranges). It is well established that, when there is a range disclosed in the prior art, and the claimed invention overlaps or falls within that range, as there is here, there is a presumption of obviousness. In re Peterson, 315 F.3d 1325, 1329 (Fed. Cir. 2003); Iron Grip Barbell Co. v. USA Sports, Inc., 392 F.3d 1317, 1322 (Fed. Cir. 2004). Accordingly, because the claimed dosage ranges overlap or fall within the dosage ranges disclosed by Ekstrom, we conclude that a preponderance of the evidence supports a finding that the dosages of formoterol fumarate and budesonide would have been obvious to one of ordinary skill in the art. The dosage of tiotropium disclosed in the Specification is 18 pg as a once daily dose which is outside the claimed range of 1.5-4.5 pg of tiotropium bromide. Spec. 1 5. However, Bechtold-Peters teaches capsules containing “between 1.2 and 80 pg of tiotropium” and “between 1.4 and 5 Appeal 2015-007711 Application 11/831,512 96.3 pg of tiotropium bromide.” Bechtold-Peters, col. 4,11. 4—19. The claimed range falls within the range described in Bechtold-Pete and therefore would have beenprima facie obvious. Peterson, 315 F.3d at 1329. It would have been well within the purview of one with ordinary skill in the art, namely a pharmacologist or physician, to have optimized the dosage of tiotropium to achieve the desired therapeutic effect to treat COPD. Claims 61 and 66 also require that “the dosage has a pH of between 5.2 and 8.4.” Banerjee teaches compositions having an overlapping pH of about 2.0 to about 8.0 (col. 9,11. 18—19) that comprise the same type of drugs recited in the claims, i.e., formoterol (col. 3,11. 24—25), budesonide (col. 15,1. 13), and tiotropium bromide (col. 15,1. 23), rendering the claimed pH range obvious under Peterson. The pH range of between 5.2 and 6.8 of claim 69 is obvious for the same reasons. For the foregoing reasons, claims 61, 66, and 69 are rejected as obvious in view of Admitted Prior Art in paragraphs 4 and 5 of the Specification, Ekstrom, Banerjee, and Bechtold-Peters. TIME PERIOD FOR RESPONSE This decision contains a new ground of rejection pursuant to 37 C.F.R. § 41.50(b). Section 41.50(b) provides “[a] new ground of rejection pursuant to this paragraph shall not be considered final for judicial review.” Section 41.50(b) also provides: When the Board enters such a non-final decision, the appellant, within two months from the date of the decision, must exercise one of the following two options with respect to the new ground of rejection to avoid termination of the appeal as to the rejected claims: 6 Appeal 2015-007711 Application 11/831,512 (1) Reopen prosecution. Submit an appropriate amendment of the claims so rejected or new Evidence relating to the claims so rejected, or both, and have the matter reconsidered by the examiner, in which event the prosecution will be remanded to the examiner. The new ground of rejection is binding upon the examiner unless an amendment or new Evidence not previously of Record is made which, in the opinion of the examiner, overcomes the new ground of rejection designated in the decision. Should the examiner reject the claims, appellant may again appeal to the Board pursuant to this subpart. (2) Request rehearing. Request that the proceeding be reheard under §41.52 by the Board upon the same Record. The request for rehearing must address any new ground of rejection and state with particularity the points believed to have been misapprehended or overlooked in entering the new ground of rejection and also state all other grounds upon which rehearing is sought. Further guidance on responding to a new ground of rejection can be found in the MPEP § 1214.01. No time period for taking any subsequent action in connection with this appeal may be extended under 37 C.F.R. § 1.136(a)(1). See 37 C.F.R. §§ 41.50(f), 41.52(b). REVERSED; 37 C.F.R, § 41.50(b) 7 Notice of References Cited Application/Control No. 11/831,512 Applicant(s)/Patent Under Patent Appeal No. Examiner Art Unit 1616 Page 1 of 1 U.S. PATENT DOCUMENTS * Document Number Country Code-Number-Kind Code Date MM-YYYY Name Classification A US- 7,070,800 07-2006 Bechtold-Peters et al. B US- C US- D US- E US- F US- G US- H US- 1 US- J US- K US- L US- M US- FOREIGN PATENT DOCUMENTS * Document Number Country Code-Number-Kind Code Date MM-YYYY Country Name Classification N O P Q R S T NON-PATENT DOCUMENTS * Include as applicable: Author, Title Date, Publisher, Edition or Volume, Pertinent Pages) U Int. J Adolesc Med Health. 2004Apr-Jun;16(2):91-105 HTTPS://WWW.ncbi.nlm.nih.gov/pubmed/15266989 V w X *A copy of this reference is not being furnished with this Office action. (See MPEP § 707.05(a).) Dates in MM-YYYY format are publication dates. Classifications may be US or foreign. U.S. Patent and Trademark Office PTO-892 (Rev. 01-2001) Notice of References Cited Part of Paper No. 8/15/2017 Budesonide and formoterol in a single inhaler controls asthma in adolescents. - PubMed - NCBI iPubMed ▼ j ho mat: Abstract int J Atioiesc Med Health. 2004 Apr-Jun;16(2):91-105. Budesonide and formoterol in a single inhaler controls asthma in adolescents. Pohunek P1. Tai A. 1 Charles University Prague, 2nd School of Medicine, Prague, Czech Republic. petr.pohunek@lfmotol.cuni.cz Abstract Despite the availability of effective treatments and national guidelines, morbidity from asthma remains high among adolescents. Adolescents need to be considered as a distinct group of individuals with different requirements to those of children and adults. In particular, their non adherence to prescribed treatment regimens is of concern and is a significant factor contributing to the high rate of morbidity in adolescents. Studies in children aged 4 to 17 years suggest that the combination of an inhaled corticosteroid (ICS) and a long-acting beta2-agonist effectively controls asthma symptoms in patients who remain symptomatic on ICS alone. In order to improve adherence to therapy, the use of combined therapy with an ICS and a long-acting beta2-agonist in a single inhaler should be considered and the dosing frequency should be adjusted according to the severity of asthma symptoms. This should empower patients with a greater degree of self-management and may be important in helping adolescents feel responsible for the management of their asthma. Results from a recent subanalysis demonstrate that the combination of budesonide and formoterol administered twice daily via a single inhaler (Symbicort Turbuhaler) rapidly gains and maintains control of asthma in adolescents whose asthma is not controlled on ICS alone. It is anticipated that this will lead to improved adherence to therapy in this difficuIt-to-treat population. PMIO 15266983 [indexed for MEDLINE] Publication type, IVleSH terms, LinkOut - more resources https ://www. ncbi. nl m. ni h. gov/pubm ed/15266989 1/2 8/15/2017 Budesonide and formoterol in a single inhaler controls asthma in adolescents. - PubMed - NCBI P u bMed C o m m o ns PubMedCommms home 0 comments MQMlQiQjaEubMe.d..Q.Q.niniQns https ://www. ncbi. nl m. ni h. gov/pubm ed/15266989 2/2 US007070800B2 (12) United States Patent Bechtold-Peters et al. (io) Patent No.: US 7,070,800 B2 (45) Date of Patent: Jul. 4, 2006 (54) INHALABLE POWDER CONTAINING TIOTROPIUM (75) Inventors: Karoline Bechtold-Peters, Biberach (DE); Michael Walz, Bingen (DE); Georg Boeck, Mainz (DE); Rolf Doerr, Ober-Olm (DE) (73) Assignee: Boehringer Ingelheim Pharma KG, Ingelheim (DE) ( * ) Notice: Subject to any disclaimer, the term of this patent is extended or adjusted under 35 U.S.C. 154(b) by 103 days. (21) Appl. No.: 09/975,418 (22) Filed: Oct. 11, 2001 6,482,429 B1 11/2002 6,486,321 B1 11/2002 6,506,900 B1 1/2003 6,517,865 B1 2/2003 6,585,959 B1 7/2003 6,589,536 B1 7/2003 6,645,466 B1 11/2003 6,881,422 B1 4/2005 6,905,239 B1 6/2005 2003/0043687 Al 3/2003 2003/0068278 Al 4/2003 2003/0070679 Al 4/2003 2003/0125350 Al 7/2003 2003/0202944 Al 10/2003 2003/0235538 Al 12/2003 2004/0002510 Al 1/2004 2004/0002548 Al 1/2004 2004/0029907 Al 2/2004 2004/0136919 Al 7/2004 Etzler Banholzer et al. Banholzer et al. Cade et al. Walz et al. Brox et al. Keller et al. Banholzer et al. Boeck et al. Boeck et al. Boeck et al. Hochrainer et al. Hassan et al. Staniforth Zierenberg Bender et al. Bozung et al. Banholzer et al. Hartig et al........................ 424/46 (65) Prior Publication Data US 2002/0110529 Al Aug. 15, 2002 Related U.S. Application Data (60) Provisional application No. 60/252,683, filed on Nov. 22, 2000. (30) Foreign Application Priority Data Oct. 12, 2000 (DE) .................................................. 100 50 635 (51) Int. Cl. A61F13/02 (2006.01) A61F 9/66 (2006.01) A61F 9/14 (2006.01) A61L 9/04 (2006.01) FOREIGN PATENT DOCUMENTS EP 0 172 258 2/1985 EP 0 418 716 9/1990 FR 8.142 M A 8/1970 WO WO 93/11746 Al 6/1993 WO WO 94/28956 12/1994 WO WO 95/11666 Al 5/1995 WO WO 95/24889 Al 9/1995 WO WO 96/02231 2/1996 WO WO 00/28979 Al 5/2000 WO WO 00/47200 Al 8/2000 WO WO 02/30389 4/2002 WO WO 02/098874 12/2002 WO WO 03/084502 10/2003 WO WO 03/084509 10/2003 OTHER PUBLICATIONS (52) U.S. Cl............................ 424/434; 424/46; 424/435; 424/489; 424/493; 424/451; 424/456 (58) Field of Classification Search ................ 424/489, 424/493, 46, 434, 435, 451, 456 See application file for complete search history. (56) References Cited U.S. PATENT DOCUMENTS 3,634,582 A 1/1972 Hartley et al. 3,860,618 A 1/1975 Hartley et al. 3,957,965 A 5/1976 Hartley et al. 4,042,700 A 8/1977 Banholzer et al. 4,608,377 A 8/1986 Banholzer et al. 4,783,534 A 11/1988 Banholzer 5,478,578 A 12/1995 Arnold et al. 5,498,422 A 3/1996 Nakamichi et al. 5,610,163 A 3/1997 Banholzer et al. 5,654,314 A 8/1997 Banholzer et al. 5,770,738 A 6/1998 Banholzer et al. 5,947,118 A 9/1999 Hochrainer et al. 5,952,505 A 9/1999 Banholzer 6,183,782 B1 2/2001 Hallworth 6,221,338 B1 4/2001 Staniforth 6,228,394 B1 * 5/2001 Horhota et al.................. 6,235,725 B1 * 5/2001 Ahmed ............................. 6,274,287 B1 8/2001 Moriuma et al. 424/456 514/56 Walz, M. et al; “Process for Preparing Powder Formula tions”; USSN 09/977,911; Oct. 11, 2001. U.S. Appl. No. 09/961,822; filed Sep. 24, 2001; Banholzer, et al. N.H. Shah, et al. “Elasticity of Soft Gelatin Capsules Con taining Polyethylene Glycol 400 -Quantitation and Resolu tion” Pharmaceutical Technology, pp. 126-133, Mar. 1992. Mareke Hartig, et al. “New Tiotropium Containing Powder Formulation for Inhalation” New U.S. Appl. No. 10/718, 404, filed Nov. 20, 2003. * cited by examiner Primary Examiner—Carlos A. Azpuru (74) Attorney, Agent, or Firm—Michael Morris; Mary-Ellen M. Devlin; Andrea D. Small (57) ABSTRACT The invention relates to powdered preparations containing tiotropium for inhalation, processes for preparing them as well as their use in preparing a pharmaceutical composition for the treatment of respiratory complaints, particularly for the treatment of COPD (chronic obstructive pulmonary disease) and asthma. 41 Claims, No Drawings US 7,070,800 B2 1 INHALABLE POWDER CONTAINING TIOTROPIUM RELATED APPLICATIONS The present application is a continuation of U.S. Ser. No. 10/396,179 now U.S. Pat. No. 6,743,437 which is a con tinuation of U.S. Ser. No. 09/982,219, filed Oct. 17, 2001 now U.S. Pat. No. 6,537,568 which is a continuation of U.S. Ser. No. 09/587,485, filed Jun. 5, 2000 now U.S. Pat. No. 6,306,426 which is a continuation-in-part of U.S. Ser. No. 09/356,074 filed Jul. 16, 1999, now U.S. Pat. No. 6,110,485 which is a continuation of U.S. Ser. No. 09/150,990 filed Sep. 10, 1998, now abandoned which is a continuation of U.S. Ser. No. 08/908,094 filed Aug. 11, 1997, now aban doned. FIELD OF THE INVENTION The invention relates to powdered preparations contain ing tiotropium for inhalation, processes for preparing them as well as their use for preparing a pharmaceutical compo sition for treating respiratory complaints, particularly for treating COPD (chronic obstructive pulmonary disease) and asthma. BACKGROUND OF THE INVENTION Tiotropium bromide is known from European Patent Application EP 418 716 A1 and has the following chemical structure: H3c^ + ^ch3 N Tiotropium bromide is a highly effective anticholinergic with a long-lasting activity which can be used to treat respiratory complaints, particularly COPD (chronic obstruc tive pulmonary disease) and asthma. The term tiotropium refers to the free ammonium cation. For treating the abovementioned complaints, it is useful to administer the active substance by inhalation. In addition to the administration of broncholytically active compounds in the form of metered aerosols and inhalable solutions, the use of inhalable powders containing active substance is of particular importance. With active substances which have a particularly high efficacy, only small amounts of the active substance are needed per single dose to achieve the desired therapeutic effect. In such cases, the active substance has to be diluted with suitable excipients in order to prepare the inhalable powder. Because of the large amount of excipient, the properties of the inhalable powder are critically influenced by the choice of excipient. When choosing the excipient its particle size is particularly important. As a rule, the finer the excipient, the poorer its flow properties. However, good flow properties are a prerequisite for highly accurate metering when packing and dividing up the individual doses of preparation, e.g. when producing capsules (inhalettes) for powder inhalation or when the patient is metering the 2 individual dose before using a multi-dose inhaler. Moreover, the particle size of the excipient is very important for the emptying characteristics of capsules when used in an inhaler. It has also been found that the particle size of the excipient has a considerable influence on the proportion of active substance in the inhalable powder which is delivered for inhalation. The term inhalable proportion of active substance refers to the particles of the inhalable powder which are conveyed deep into the branches of the lungs when inhaled with a breath. The particle size required for this is between 1 and 10 pm, preferably less than 6 pm. The aim of the invention is to prepare an inhalable powder containing tiotropium which, while being accurately metered (in terms of the amount of active substance and powder mixture packed into each capsule by the manufac turer as well as the quantity of active substance released and delivered to the lungs from each capsule by the inhalation process) with only slight variations between batches, enables the active substance to be administered in a large inhalable proportion. A further aim of the present invention is to prepare an inhalable powder containing tiotropium which ensures good emptying characteristics of the capsules, whether it is administered to the patient using an inhaler, for example, as described in WO 94/28958, or in vitro using an impactor or impinger. The fact that tiotropium, particularly tiotropium bromide, has a therapeutic efficacy even at very low doses imposes further conditions on an inhalable powder which is to be used with highly accurate metering. Because only a low concentration of the active substance is needed in the inhalable powder to achieve the therapeutic effect, a high degree of homogeneity of the powder mixture and only slight fluctuations in the dispersion characteristics from one batch of capsules to the next are essential. The homogeneity of the powder mixture and minor fluctuations in the disper sion properties are crucial in ensuring that the inhalable proportion of active substance is released reproducibly in constant amounts and with the lowest possible variability. Accordingly, a further aim of the present invention is to prepare an inhalable powder containing tiotropium which is characterised by a high degree of homogeneity and unifor mity of dispersion. The present invention also sets out to provide an inhalable powder which allows the inhalable proportion of active substance to be administered with the lowest possible variability. DETAILED DESCRIPTION OF THE INVENTION It was found that, surprisingly, the objective outlined above can be achieved by means of the powdered prepara tions for inhalation (inhalable powders) according to the invention described hereinafter. Accordingly, the present invention relates to inhalable powders containing 0.04 to 0.8% of tiotropium mixed with a physiologically acceptable excipient, characterised in that the excipient consists of a mixture of coarser excipient with an average particle size of 15 to 80 pm and finer excipient with an average particle size of 1 to 9 pm, the proportion of finer excipient representing 1 to 20% of the total amount of excipient. Inhalable powders which contain 0.08 to 0.64%, most preferably 0.16 to 0.4% of tiotropium, are preferred according to the invention. By tiotropium is meant the free ammonium cation. The counter-ion (anion) may be chloride, bromide, iodide, methanesulphonate, para-toluenesulphonate or methyl sul phate. Of these anions, the bromide is preferred. 5 10 15 20 25 30 35 40 45 50 55 60 65 US 7,070,800 B2 Accordingly, the present invention preferably relates to inhalable powders which contain between 0.048 and 0.96% of tiotropium bromide. Of particular interest according to the invention are inhalable powders which contain 0.096 to 0.77%, most preferably 0.19 to 0.48% of tiotropium bro mide. The tiotropium bromide which is preferably contained in the inhalable powders according to the invention may include solvent molecules during crystallisation. Preferably, the hydrates of tiotropium bromide, most preferably tiotro pium bromide monohydrate, are used to prepare the tiotropium-containing inhalable powder according to the invention. Accordingly the present invention relates to pow ders for inhalation which contain between 0.05 and 1% of tiotropium bromide monohydrate. Of particular interest according to the invention are inhalable powders which contain 0.1 to 0.8%, most preferably 0.2 to 0.5% of tiotro pium bromide monohydrate. The inhalable powders according to the invention are preferably characterised in that the excipient consists of a mixture of coarser excipient with an average particle size of 17 to 50 pm, most preferably 20 to 30 pm, and finer excipient with an average particle size of 2 to 8 pm, most preferably 3 to 7 pm. The phrase average particle size used here denotes the 50% value from the volume distribution measured with a laser diffractometer using the dry dispersion method. Inhalable powders in which the proportion of finer excipient in the total amount of excipient is from 3 to 15%, most preferably 5 to 10%, are preferred. The percentages given within the scope of the present invention are always percent by weight. When reference is made to a mixture within the scope of the present invention, this always means a mixture obtained by mixing together clearly defined components. Accordingly, when an excipient mixture of coarser and finer excipients is mentioned, this can only denote mixtures obtained by mixing a coarser excipient component with a finer excipient component. The coarser and finer excipient fractions may consist of chemically identical or chemically different substances, while inhalable powders in which the coarser excipient fraction and the finer excipient fraction consist of the same chemical compound are preferred. Examples of physiologically acceptable excipients which may be used to prepare the inhalable powders according to the invention include, for example, monosaccharides (e.g. glucose or arabinose), disaccharides (e.g. lactose, saccharose, maltose), oligo- and polysaccharides (e.g. dextrane), polyalcohols (e.g. sorbitol, mannitol, xylitol), salts (e.g. sodium chloride, calcium carbonate) or mixtures of these excipients with one another. Preferably, mono- or disaccharides are used, while the use of lactose or glucose is preferred, particularly, but not exclusively, in the form of their hydrates. For the purposes of the invention, lactose is the particularly preferred excipient, while lactose monohy drate is most particularly preferred. preferred application mentioned above, it is advisable to fill the capsules with amounts of from 3 to 10 mg, preferably from 4 to 6 mg of inhalable powder per capsule. These will preferred filling of 4 to 6 mg of inhalable powder per capsule, the content of tiotropium per capsule is between 1.6 and 48 pg, preferably between 3.2 and 38.4 pg, most preferably between 6.4 and 24 pg. A content of 18 pg of tiotropium, for example, corresponds to a content of about 21.7 pg of tiotropium bromide. 30 35 40 45 50 If the inhalable powder according to the invention is to be packed into capsules (inhalettes) in accordance with the Consequently, capsules containing 3 to 10 mg of powder for inhalation preferably hold between 1.5 and 100 pg of tiotropium bromide monohydrate. When the filling is from 4 to 6 mg of inhalable powder per capsule, as is preferred, each capsule contains between 2 and 60 pg, preferably between 4 and 48 pg, most preferably between 8 and 30 pg of tiotropium bromide monohydrate. The inhalable powders according to the invention are characterised, in accordance with the objective on which the present invention is based, by a high degree of homogeneity in terms of the accuracy of metering of single doses. This is in the range of<8%, preferably <6%, most preferably<4%. The inhalable powders according to the invention may be obtained by the method described hereinafter. After the starting materials have been weighed out, first of all the excipient mixture is prepared from the defined fractions of the coarser excipient and finer excipient. Then the inhalable powder according to the invention is prepared from the excipient mixture and the active substance. If the inhalable powder is to be administered using inhalettes in suitable inhalers, the preparation of the inhalable powders is followed by the manufacture of the powder-filled capsules. In the preparation processes described hereinafter, the abovementioned components are used in the amounts by weight described in the abovementioned compositions of the inhalable powders according to the invention. The powders for inhalation according to the invention are prepared by mixing the coarser excipient fractions with the finer excipient fractions and subsequently mixing the result ing excipient mixtures with the active substance. To prepare the excipient mixture, the coarser and finer excipient fractions are placed in a suitable mixing container. The two components are preferably added using a granulat ing sieve with a mesh size of 0.1 to 2 mm, preferably 0.3 to 1 mm, most preferably 0.3 to 0.6 mm. Preferably, the coarser excipient is put in first and then the finer excipient fraction is added to the mixing container. During this mixing process the two components are preferably added in batches, with some of the coarser excipient being put in first and then finer and coarser excipient being added alternately. It is particu larly preferred when producing the excipient mixture to sieve in the two components in alternate layers. The two components are preferably sieved in alternately in 15 to 45, most preferably 20 to 40 layers each. The mixing of the two excipients may take place while the two components are still being added. Preferably, however, mixing is only done once the two components have been sieved in layer by layer. US 7,070,800 B2 65 Once the excipient mixture has been produced, this and the active substance are placed in a suitable mixing con tainer. The active substance used has an average particle size of 0.5 to 10 pm, preferably 1 to 6 pm, most preferably 2 to 5 pm. The two components are preferably added using a granulating sieve with a mesh size of 0.1 to 2 mm, preferably 0.3 to 1 mm, most preferably 0.3 to 0.6 mm. Preferably, the excipient mixture is put in first and then the active substance is added to the mixing container. During this mixing process the two components are preferably added in batches. It is particularly preferred when producing the excipient mixture to sieve in the two components in alternate layers. The two components are preferably sieved in alternately in 25 to 65, most preferably 30 to 60 layers. The mixing of the excipient mixture with the active substance may take place while the two components are still being added. Preferably, however, mixing is only done once the two components have been sieved in layer by layer. The powder mixture thus obtained may optionally be added once or repeatedly using a granulating sieve and then subjected to another mixing process. One aspect of the present invention relates to an inhalable powder containing tiotropium, which may be obtained by the methods described hereinbefore. When the term active substance is used within the scope of the present invention, this is intended as a reference to tiotropium. According to the invention, any reference to tiotropium, which is the free ammonium cation, corresponds to a reference to tiotropium in the form of a salt (tiotropium salt) which contains an anion as the counter-ion. Tiotropium salts which may be used within the scope of the present invention are those compounds which contain chloride, bromide, iodide, methanesulphonate, para- toluenesulphonate or methyl sulphate, in addition to tiotro pium as counter-ion (anion). Within the scope of the present invention, tiotropium bromide is preferred of all the tiotro pium salts. References to tiotropium bromide within the scope of the present invention should always be taken as references to all possible amorphous and crystalline modi fications of tiotropium bromide. These may, for example, include molecules of solvent in their crystalline structure. Of all the crystalline modifications of tiotropium bromide, those which also include water (hydrates) are preferred according to the invention. It is particularly preferable to use tiotro pium bromide monohydrate within the scope of the present invention. In order to prepare the formulations according to the invention, first of all tiotropium has to be prepared in a form which can be used for pharmaceutical purposes. For this, tiotropium bromide, which may be prepared as disclosed in EP 418 716 Al, is preferably subjected to another crystal lisation step. Depending on the reaction conditions and solvent used, different crystal modifications are obtained. These modifications may be told apart, for example, by DSC (Differential Scanning Calorimetry). The following Table summarises the melting points of different crystal modifications of tiotropium bromide depending on the solvent, which are determined by DSC. solvent DSC methanol 228° C. ethanol 227° C. ethanol/water 229° C. -continued solvent DSC water 230° C. isopropanol 229° C. acetone 225° C. ethyl acetate 228° C. tetrahydrofuran 228° C. Tiotropium bromide monohydrate has proved particularly suitable for preparing the formulation according to the invention. The DSC diagram of tiotropium bromide mono hydrate shows two characteristic signals. The first, relatively broad, endothermic signal between 50-120° C. can be attributed to the dehydration of the tiotropium bromide monohydrate to produce the anhydrous form. The second, relatively sharp endothermic peak at 230±5° C. can be put down to the melting of the substance. These data were obtained using a Mettler DSC 821 and evaluated with the Mettler STAR software package. These data, like the other values given in the above Table, were obtained at a heating rate of 10 K/min. The following Examples serve to illustrate the present invention further without restricting its scope to the embodi ments provided hereinafter by way of example. Starting Materials In the Examples which follow, lactose-monohydrate (200M) is used as the coarser excipient. It may be obtained, for example, from Messrs DMV International, 5460 Veghel/ NL under the product name Pharmatose 200M. In the Examples which follow, lactose-monohydrate (5p) is used as the finer excipient. It may be obtained from lactose-monohydrate 200M by conventional methods (micronising). Lactose-monohydrate 200M may be obtained, for example, from Messrs DMV International, 5460 Veghel/NL under the product name Pharmatose 200M. Preparation of Tiotropium Bromide Monohydrate 15.0 kg of tiotropium bromide are added to 25.7 kg of water In a suitable reaction vessel. The mixture is heated to 80-90° C. and stirred at constant temperature until a clear solution is formed. Activated charcoal (0.8 kg), moistened with water, is suspended in 4.4 kg of water, this mixture is added to the solution containing the tiotropium bromide and rinsed with 4.3 kg of water. The mixture thus obtained is stirred for at least 15 min at 80-90° C. and then filtered through a heated filter into an apparatus which has been preheated to an outer temperature of 70° C. The filter is rinsed with 8.6 kg of water. The contents of the apparatus are cooled at 3-5° C. every 20 minutes to a temperature of 20-25° C. The apparatus is further cooled to 10-15° C. using cold water and crystallisation is completed by stirring for at least one hour. The crystals are isolated using a suction drier, the crystal slurry isolated is washed with 9 liters of cold water (10-15° C.) and cold acetone (10-15° C.). The crys tals obtained are dried in a nitrogen current at 25° C. over 2 hours. Yield: 13.4 kg of tiotropium bromide monohydrate (86% of theory) The crystalline tiotropium bromide monohydrate thus obtained is micronised by known methods, to bring the active substance into the average particle size which meets the specifications according to the invention. The method of determining the average particle size of the various ingredients of the formulation according to the invention is described as follows. 5 10 15 20 25 30 35 40 45 50 55 60 65 US 7,070,800 B2 7 A) Determining the particle size of finely divided lactose: Measuring Equipment and Settings The equipment is operated according to the manufactur er’s instructions. Measuring equipment: HELOS Laser-diffraction spectrometer, (SympaTec) Dispersing unit: RODOS dry disperser with suction funnel, (SympaTec) Sample quantity: from 100 mg Product feed: Vibri Vibrating channel, Messrs. Sympatec Frequency of vibrating channel: 40 rising to 100% Duration of sample feed: 1 to 15 sec. (in the case of 100 mg) Focal length: 100 mm (measuring range: 0.9-175 pm) Measuring time: about 15 s (in the case of 100 mg) Cycle time: 20 ms Start/stop at: 1% on channel 28 Dispersing gas: compressed air Pressure: 3 bar Vacuum: maximum Evaluation method: HRLD Sample Preparation/Product Feed 25 At least 100 mg of the test substance are weighed onto a piece of card. Using another piece of card all the larger lumps are broken up. The powder is then sprinkled finely over the front half of the vibrating channel (starting about 1 3Q cm from the front edge). After the start of the measurement the frequency of the vibrating channel is varied from about 40% up to 100% (towards the end of the measurement). The time taken to feed in the entire sample is 10 to 15 sec. B) Determining the particle size of micronised tiotropium 35 bromide monohydrate: Measuring Equipment and Settings The equipment is operated according to the manufactur er’s instructions. 40 Measuring equipment: Dispersing unit: Sample quantity: Product feed: Frequency of vibrating channel: Duration of sample feed: Focal length: Measuring time: Cycle time: Start/stop at: Dispersing gas: Pressure: Vacuum: Evaluation method: Laser diffraction spectrometer (HELOS), Sympatec RODOS dry disperser with suction funnel, Sympatec 50 mg^-00 mg Vibri Vibrating channel, Messrs. Sympatec 40 rising to 100% 15 to 25 sec. (in the case of 200 mg) 100 mm (measuring range: 0.9-175 pm) about 15 s (in the case of 200 mg) 20 ms 1% on channel 28 compressed air 3 bar maximum HRLD 45 50 55 Sample Preparation/Product Feed ^ About 200 mg of the test substance are weighed onto a piece of card. Using another piece of card all the larger lumps are broken up. The powder is then sprinkled finely over the front half of the vibrating channel (starting about 1 cm from the front edge). After the start of the measurement 65 the frequency of the vibrating channel is varied from about 40% up to 100% (towards the end of the measurement). The 8 sample should be fed in as continuously as possible. Flowever, the amount of product should not be so great that adequate dispersion cannot be achieved. The time over which the entire sample is fed in is about 15 to 25 seconds for 200 mg, for example. C) Determining the particle size of lactose 200M Measuring Equipment and Settings The equipment is operated according to the manufactur er’s instructions. Measuring equipment: Dispersing unit: Sample quantity: Product feed: Frequency of vibrating channel: Focal length (1): Focal length (2): Measuring time: Cycle time: Start/stop at: Pressure: Vacuum: Evaluation method: Laser diffraction spectrometer (HELOS), Sympatec RODOS dry disperser with suction funnel, Sympatec 500 mg VIBRI Vibrating channel, Messrs. Sympatec 18 rising to 100% 200 mm (measuring range: 1.8-350 pm) 500 mm (measuring range: 4.5-875 pm) 10 s 10 ms 1% on channel 19 3 bar maximum HRLD Sample Preparation/Product Feed About 500 mg of the test substance are weighed onto a piece of card. Using another piece of card all the laiger lumps are broken up. The powder is then transferred into the funnel of the vibrating channel. A gap of 1.2 to 1.4 mm is set between the vibrating channel and funnel. After the start of the measurement the amplitude setting of the vibrating channel is increased from 0 to 40% until a continuous flow of product is obtained. Then it is reduced to an amplitude of about 18%. Towards the end of the measurement the ampli tude is increased to 100%. Apparatus The following machines and equipment, for example, may be used to prepare the inhalable powders according to the invention: Mixing container or powder mixer: Gyrowheel mixer 200 L; type: DFW80N-4; made by: Messrs Engelsmann, D-67059 Ludwigshafen. Granulating sieve: Quadro Comil; type: 197-S; made by: Messrs Joisten & Kettenbaum, D-51429 Bergisch- Gladbach. EXAMPLE 1 1.1: Excipient Mixture 31.82 kg of lactose monohydrate for inhalation (200M) are used as the coarser excipient component. 1.68 kg of lactose monohydrate (5 pm) are used as the finer excipient component. In the resulting 33.5 kg of excipient mixture the proportion of the finer excipient component is 5%. About 0.8 to 1.2 kg of lactose monohydrate for inhalation (200M) are added to a suitable mixing container through a suitable granulating sieve with a mesh size of 0.5 mm. Then alternate layers of lactose monohydrate (5 pm) in batches of about 0.05 to 0.07 kg and lactose monohydrate for inhalation (200M) in batches of 0.8 to 1.2 kg are sieved in. Lactose US 7,070,800 B2 9 monohydrate for inhalation (200M) and lactose monohy drate (5 (im) are added in 31 and 30 layers, respectively (tolerance:±6 layers). The ingredients sieved in are then mixed together (mixing at 900 rpm). 1.2: Final Mixture To prepare the final mixture, 32.87 kg of the excipient mixture (1.1) and 0.13 kg of micronised tiotropium bromide monohydrate are used. The content of active substance in the resulting 33.0 kg of inhalable powder is 0.4%. About 1.1 to 1.7 kg of excipient mixture (1.1) are added to a suitable mixing container through a suitable granulating sieve with a mesh size of 0.5 mm. Then alternate layers of tiotropium bromide monohydrate in batches of about 0.003 kg and excipient mixture (1.1) in batches of 0.6 to 0.8 kg are sieved in. The excipient mixture and the active substance are added in 46 or 45 layers, respectively (tolerance:±9 layers). The ingredients sieved in are then mixed together (mixing at 900 rpm). The final mixture is passed through a granu lating sieve twice more and then mixed (mixing at 900 rpm). EXAMPLE 2 Inhalation capsules (inhalettes) having the following composition were produced using the mixture obtained according to Example 1: tiotropium bromide monohydrate: 0.0225 mg lactose monohydrate (200 M): 5.2025 mg lactose monohydrate (5 pm): 0.2750 mg hard gelatine capsule: 49.0 mg Total: 54.5 mg EXAMPLE 3: Inhalation capsules having the composition: tiotropium bromide monohydrate: 0.0225 mg lactose monohydrate (200 M): 4.9275 mg lactose monohydrate (5 pm): 0.5500 mg hard gelatine capsule: 49.0 mg Total: 54.5 mg The inhalable powder needed to prepare the capsules was obtained analogously to Example 1. Example 4: Inhalation capsules having the composition: tiotropium bromide monohydrate: 0.0225 mg lactose monohydrate (200 M): 5.2025 mg lactose monohydrate (5 pm): 0.2750 mg polyethylene capsule: 100.0 mg Total: 105.50 mg The inhalable powder needed to prepare the capsules was obtained analogously to Example 1. For the purposes of the present invention the mean particle size denotes the value in pm at which 50% of the 10 particles from the volume distribution have a particle size which is smaller than or equal to the value specified. Laser diffraction/dry dispersion is used as the method of measure ment for determining the total distribution of the particle size distribution. We claim: 1. An inhalable powder comprising 0.04 to 0.8% of tiotropium in admixture with a physiologically acceptable excipient, wherein the excipient consists of a mixture of coarser excipient with an average particle size of 15 to 80 pm and finer excipient with an average particle size of 1 to 9 pm, the proportion of the finer excipient constituting 1 to 20% of the total amount of excipient, wherein the inhalable proportion of active substance is released reproducibly in low variability amounts when administered to a patent. 2. An inhalable powder according to claim 1, wherein the tiotropium is present in the form of the chloride, bromide, iodide, methanesulphonate, para-toluenesulphonate or methyl sulphate thereof. 3. An inhalable powder comprising between 0.048 and 0.96% of tiotropium bromide in admixture with a physi ologically acceptable excipient, wherein the excipient con sists of a mixture of coarser excipient with an average particle size of 15 to 80 pm and finer excipient with an average particle size of 1 to 9 pm, the proportion of the finer excipient constituting 1 to 20% of the total amount of excipient, wherein the inhalable proportion of active sub stance is released reproducibly in low variability amounts when administered to a patent. 4. An inhalable powder comprising between 0.05 and 1% of tiotropium bromide monohydrate in admixture with a physiologically acceptable excipient, wherein the excipient consists of a mixture of coarser excipient with an average particle size of 15 to 80 pm and finer excipient with an average particle size of 1 to 9 pm, the proportion of the finer excipient constituting 1 to 20% of the total amount of excipient, wherein the inhalable proportion of active sub stance is released reproducibly in low variability amounts when administered to a patent. 5. An inhalable powder according to one of claims 1, 2, 3 or 4, wherein the excipient consists of a mixture of coarser excipient with an average particle size of 17 to 50 pm and finer excipient with an average particle size of 2 to 8 pm. 6. An inhalable powder according to one of claims 1, 2, 3 or 4, wherein the proportion of finer excipient in the total amount of excipient is 3 to 15%. 7. An inhalable powder according to one of claims 1, 2, 3 or 4, wherein the tiotropium used has an average particle size of 0.5 to 10 pm. 8. An inhalable powder according to one of claims 1, 2, 3 or 4, wherein one or more monosaccharides, disaccharides, oligo- or polysaccharides, polyalcohols, salts thereof, or mixtures thereof are used as the excipients. 9. An inhalable powder according to claim 8, wherein glucose, arabinose, lactose, saccharose, maltose, dextrane, sorbitol, mannitol, xylitol, sodium chloride, calcium carbon ate or mixtures thereof are used as the excipients. 10. An inhalable powder according to claim 9, wherein glucose or lactose or mixtures thereof are used as the excipients. 11. A process for preparing an inhalable powder according to one of claims 1 to 4, comprising: (a) mixing coarser excipient fractions with finer excipient fractions to obtain an excipient mixture, and (b) mixing the excipient mixture thus obtained with the tiotropium. 12. Amethod of treating a disease that is responsive to the administration of tiotropium, comprising administering to a 5 10 15 20 25 30 35 40 45 50 55 60 65 US 7,070,800 B2 11 host in need thereof an inhalable powder according to one of claims 1 to 4 or 12. 13. A method according to claim 12, wherein the disease is asthma or COPD. 14. An inhalable powder according to claim 4 comprising 0.1 to 0.8% of tiotropium bromide monohydrate. 15. An inhalable powder according to claim 4 comprising 0.2 to 0.5% of tiotropium bromide monohydrate. 16. An inhalable powder according to one of claim 1, 2, 3 or 4, wherein the excipient consists of a mixture of coarser excipient with an average particle size of 20 to 30 pm and finer excipient with an average particle size of 3 to 7 pm. 17. An inhalable powder according to one of claim 1, 2, 3 or 4, wherein the proportion of finer excipient in the total amount of excipient is 5 to 10%. 18. An inhalable powder according to one of claim 1, 2, 3 or 4, wherein the tiotropium used has an average particle size of 1 to 6 pm. 19. An inhalable powder according to one of claim 1, 2, 3 or 4, wherein the tiotropium used has an average particle size of 2 to 5 pm. 20. An inhalable powder according to claim 10, wherein lactose monohydrate is used as the excipient. 21. An inhalable powder comprising between 0.2 and 0.5% of tiotropium bromide monohydrate in admixture with lactose monohydrate as the physiologically acceptable excipient, wherein the excipient consists of a mixture of coarser excipient with an average particle size of 20 to 30 pm and finer excipient with an average particle size of 3 to 7 pm, the proportion of the finer excipient constituting 5 to 10% of the total amount of excipient, wherein the inhalable proportion of active substance is released reproducibly in low variability amounts when administered to a patent. 22. An inhalable powder comprising 0.04 to 0.8% of tiotropium in admixture with a physiologically acceptable excipient, said inhalable powder prepared by a process comprising: (a) mixing coarser excipient having an average particle size of 15 to 80 pm and finer excipient having an avenge particle size of 1 to 9 pm, wherein the proportion of the finer excipient constitutes 1 to 20% of the total amount of excipient, to obtain an excipient mixture, and (b) mixing the excipient mixture thus obtained with the tiotropium, wherein the inhalable proportion of active substance is released reproducibly in low variability amounts when administered to a patent. 23. An inhalable powder according to claim 22, wherein the tiotropium is present in the form of the chloride, bromide, iodide, methanesulphonate, para- toluenesulphonate or methyl sulphate thereof. 24. An inhalable powder comprising between 0.048 and 0.96% of tiotropium bromide in admixture with a physi ologically acceptable excipient, said inhalable powder pre pared by a process comprising: (a) mixing coarser excipient having an average particle size of 15 to 80 pm and finer excipient having an average particle size of 1 to 9 pm, wherein the proportion of the finer excipient constitutes 1 to 20% of the total amount of excipient, to obtain an excipient mixture, and (b) mixing the excipient mixture thus obtained with the tiotropium bromide, wherein the inhalable propor tion of active substance is released reproducibly in low variability amounts when administered to a patent. 25. An inhalable powder comprising between 0.05 and 1% of tiotropium bromide monohydrate in admixture with a physiologically acceptable excipient, said inhalable powder prepared by a process comprising: (a) mixing coarser excipi ent having an average particle size of 15 to 80 pm and finer excipient having an average particle size of 1 to 9 pm, wherein the proportion of the finer excipient constitutes 1 to 12 20% of the total amount of excipient, to obtain an excipient mixture, and (b) mixing the excipient mixture thus obtained with the tiotropium bromide monohydrate, wherein the inhalable proportion of active substance is released repro ducibly in low variability amounts when administered to a patent. 26. An inhalable powder according to claim 25 compris ing 0.1 to 0.8% of tiotropium bromide monohydrate. 27. An inhalable powder according to claim 25 compris ing 0.2 to 0.5% of tiotropium bromide monohydrate. 28. An inhalable powder according to one of claim 22, 23, 24 or 25, wherein the coarser excipient has an average particle size of 17 to 50 pm and the finer excipient has an average particle size of 2 to 8 pm. 29. An inhalable powder according to one of claim 22, 23, 24 or 25, wherein the coarser excipient has an average particle size of 20 to 30 pm and the finer excipient has an average particle size of 3 to 7 pm. 30. An inhalable powder according to one of claim 22, 23, 24 or 25, wherein the proportion of finer excipient in the total amount of excipient is 3 to 15%. 31. An inhalable powder according to one of claim 22, 23, 24 or 25, wherein the proportion of finer excipient in the total amount of excipient is 5 to 10%. 32. An inhalable powder according to one of claim 22, 23, 24 or 25, wherein the tiotropium used has an average particle size of 0.5 to 10 pm. 33. An inhalable powder according to one of claim 22, 23, 24 or 25, wherein the tiotropium used has an average particle size of 1 to 6 pm. 34. An inhalable powder according to one of claim 22, 23, 24 or 25, wherein the tiotropium used has an average particle size of 2 to 5 pm. 35. An inhalable powder according to one of claim 22, 23, 24 or 25, wherein one or more monosaccharides, disaccharides, oligo- or polysaccharides, polyalcohols, salts thereof, or mixtures thereof are used as the excipients. 36. An inhalable powder according to claim 35, wherein glucose, arabinose, lactose, saccharose, maltose, dextrane, sorbitol, mannitol, xylitol, sodium chloride, calcium carbon ate or mixtures thereof are used as the excipients. 37. An inhalable powder according to claim 36, wherein glucose or lactose or mixtures thereof are used as the excipients. 38. An inhalable powder according to claim 37, wherein lactose monohydrate is used as the excipient. 39. An inhalable powder comprising between 0.2 and 0.5% of tiotropium bromide monohydrate in admixture with lactose monohydrate as a physiologically acceptable excipient, said inhalable powder prepared by a process comprising: (a) mixing coarser lactose monohydrate excipi ent having an average particle size of 20 to 30 pm and finer lactose monohydrate excipient having an average particle size of 3 to 7 pm, wherein the proportion of the finer lactose monohydrate excipient constitutes 5 to 10% of the total amount of excipient, to obtain an excipient mixture, and (b) mixing the excipient mixture thus obtained with the tiotro pium bromide monohydrate, wherein the inhalable propor tion of active substance is released reproducibly in low variability amounts when administered to a patent. 40. Amethod of treating a disease that is responsive to the administration of tiotropium, comprising administering to a host in need thereof an inhalable powder according to one of claim 22, 23, 24 or 25 or 39. 41. A method according to claim 40, wherein the disease is asthma or COPD. 5 10 15 20 25 30 35 40 45 50 55 60 UNITED STATES PATENT AND TRADEMARK OFFICE CERTIFICATE OF CORRECTION PATENT NO. : 7,070,800 B2 Page 1 of 1 APPLICATION NO. : 09/975418 DATED : July 4, 2006 INVENTOR(S) : Karoline Bechtold-Peters et al. It is certified that error appears in the above-identified patent and that said Letters Patent is hereby corrected as shown below: In column 10, line 15 delete “patent” and replace with -patient--. Signed and Sealed this Eighth Day of August, 2006 JON W. DUDAS Director of the United States Patent and Trademark Office UNITED STATES PATENT AND TRADEMARK OFFICE CERTIFICATE OF CORRECTION PATENT NO. APPLICATION NO. DATED INVENTOR(S) 7,070,800 B2 09/975418 July 4, 2006 Karin Bechtold Peters et al. Page 1 of 1 It is certified that error appears in the above-identified patent and that said Letters Patent is hereby corrected as shown below: In column 10, line 29, delete “patent” and replace with -patient— In column 10, line 39, delete “patent” and replace with -patient— In column 11, line 32, delete “patent” and replace with -patient— In column 11, line 43, delete “patent” and replace with -patient— In column 11, line 58, delete “patent” and replace with -patient— In column 12, line 6, delete “patent” and replace with -patient- In column 12, line 57, delete “patent” and replace with -patient— Signed and Sealed this Twelfth Day of August, 2008 JON W. DUDAS Director of the United States Patent and Trademark Office Copy with citationCopy as parenthetical citation