CA2041989C - Aqueous pharmaceutical formulations of erythropoietin and the use thereof - Google Patents

Aqueous pharmaceutical formulations of erythropoietin and the use thereof Download PDF

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Publication number
CA2041989C
CA2041989C CA002041989A CA2041989A CA2041989C CA 2041989 C CA2041989 C CA 2041989C CA 002041989 A CA002041989 A CA 002041989A CA 2041989 A CA2041989 A CA 2041989A CA 2041989 C CA2041989 C CA 2041989C
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CA
Canada
Prior art keywords
erythropoietin
epo
aqueous
physiologically tolerated
alkali metal
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Lifetime
Application number
CA002041989A
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French (fr)
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CA2041989A1 (en
Inventor
Dieter Brazel
Bernhard Siebold
Dorothee Krumwieh
Thomas Brune
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Siemens Healthcare Diagnostics GmbH Germany
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Behringwerke AG
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Publication date
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Publication of CA2041989A1 publication Critical patent/CA2041989A1/en
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Publication of CA2041989C publication Critical patent/CA2041989C/en
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K38/00Medicinal preparations containing peptides
    • A61K38/16Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
    • A61K38/17Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans
    • A61K38/22Hormones
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K38/00Medicinal preparations containing peptides
    • A61K38/16Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
    • A61K38/17Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans
    • A61K38/18Growth factors; Growth regulators
    • A61K38/1816Erythropoietin [EPO]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/02Inorganic compounds
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/0012Galenical forms characterised by the site of application
    • A61K9/0019Injectable compositions; Intramuscular, intravenous, arterial, subcutaneous administration; Compositions to be administered through the skin in an invasive manner

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Chemical & Material Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Epidemiology (AREA)
  • Medicinal Chemistry (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Zoology (AREA)
  • Inorganic Chemistry (AREA)
  • Gastroenterology & Hepatology (AREA)
  • Engineering & Computer Science (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Immunology (AREA)
  • Proteomics, Peptides & Aminoacids (AREA)
  • Endocrinology (AREA)
  • Dermatology (AREA)
  • Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)
  • Medicinal Preparation (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
  • Plural Heterocyclic Compounds (AREA)

Abstract

Aqueous pharmaceutical formulations of proteins with erythropoietin activity, especially of human native and of recombinant human erythropoietin (EPO) are described.
Highly purified EPO without foreign proteins or other customary stabilizers retains at least about 78% of its original activity for at least 1 year at room temperature in a physiologically tolerated aqueous phosphate buffer which contains a physiologically tolerated alkali metal halide but otherwise no stabilizing additives and has a pH of 6 to 8. The products in this aqueous pharmaceutical formulation are particularly suitable for subcutaneous or intramuscular administration.

Description

2~419~9 . ,..
BEHRINGWERRE ARTIENGESELLSCHAFT HOE 90/B 021 - Ma 787 Dr. LP/VO
Description Aqueous pharmaceutical formulations of erythropoietin and the use thereof The invention relates to aqueous pharmaceutical formula-tions of purified erythropoietin, in particular of hwnan native and of recombinant human erythropoietin (rh EPO).
The formulations of the invention - without foreign proteins, sugars, amino acids or other customary stabili-zers - retain at least about 78~ of their original activity for at least one year at a temperature of 4-8°C.
Erythropoietin (EPO) is a glycoprotein with 166 amino acids, 3 glycosylation sites at amino-acid positions 24, 38 and 83 and a molecular weight of about 34,000. EPO can either be isolated from natural sources such as human urine (cf., for example, Miyake et al., J. Biol. Chem., vol. 252 (1977), 5558-5564) or be prepared by genetic engineering processes (cf., for example, EP-A 0,148,605 and 0,267,678). Aqueous solutions of erythropoietin are unstable at temperatures from about 3°C to room tempera-ture.
Patients with kidney failure are unable to form EPO and thus suffer from anemia. Attempts to compensate for this undersupply of EPO by administering EPO and to reduce the symptoms of anemia have already been successful. Further clinical uses comprise administration of hEPO for iatro-genic anemia after chemotherapy or radiotherapy of malignant diseases.
A single dose of EPO amounts to only a few microgrammes.
Because of the short half-life after i.v. administration, physiological plasma levels can best be achieved by subcutaneous injection.
The pharmaceutical formulations of erythropoietin 20~Z989 hitherto proposed or available contain added detergents and/or proteins, sugars or polyalcohols, which are intended, on the one hand, to stabilize EPO and, on the other hand, to prevent adsorption of EPO onto the inner wall of the storage container (i.e. the ampoule) (EP-B-0,178,576; EP-A-0,178,665; G. Krystal et al., Blood vol. 67 (1986), l, 71 - 79). Subcutaneous or i.m.
administration of EPO stabilized in this way results in local inflammation with the formation of granulomas.
Highly pure EPO prepared by known processes (EP-A-0,236,059; US-A 4,667,159; PCT/US 86/01342 {= WO 86/07594)) lost more than 25% of its activity within one week on storage at 24°C. EP-B-0,178,576 also discloses a solution of human erythropoietin, which has been reductively methylated with l4C-formaldehyde, in PBS;
cf. Experiment 1 and 2.
The object on which the invention is based is to provide aqueous pharmaceutical formulations of purified erythro-poietin which are free of the customary stabilizing additives and nevertheless have adequate stability at temperatures from about 3°C to room temperature and are suitable in particular for subcutaneous or intramuscular administration.
It has been found, surprisingly, that purified erythro-poietin (about 99% pure), especially purified native or recombinant human erythropoietin, is stable for a lengthy period at temperatures from 4 to 8°C in a physiologically tolerated aqueous phosphate buffer of pH 6 to 8 which contains a physiologically tolerated alkali metal halide, but otherwise no stabilizing additives, in sealed test tubes or glass ampoules.
Hence the invention relates to aqueous pharmaceutical formulations of purified erythropoietin in a physiologi-cally tolerated aqueous phosphate buffer of pH 6 to 8 which contains a physiologically tolerated alkali metal halide, but otherwise no stabilizing additives. A buffer . ,... 2U4~.98~
composed of 50 mM sodium phosphate, 100 mM NaCl, pH 7.8, is particularly preferred. The concentration of erythro-poietin in the aqueous buffer solution is 50 - 1000 ~g per ml of buffer solution.
Examples of physiologically tolerated aqueous phosphate buffers are sodium phosphate buffer and potassium phos-phate buffer, preferably sodium phosphate buffer.
Examples of physiologically tolerated alkali metal halides are sodium chloride and potassium chloride, preferably sodium chloride. A preferred phosphate buffer is a buffer containing 50 mM sodium phosphate, 100 mM
NaCl, pH 7.8. This buffer is also called PBS for brevity.
The aqueous solutions of erythropoietin in PBS are very well suited for subcutaneous or intramuscular administra tion.
The invention additionally relates to the use of the aqueous pharmaceutical formulations for preparing in~ec-tion products for subcutaneous or intramuscular adminis-tration. Subcutaneous administration is particularly preferred because, by contrast with the known formula-tions stabilized With proteins, it causes no irritation or inflammatory pain. This has emerged from clinical trials.
The examples illustrate the invention.
xample 1 Purification of rh EPO
The purification of rh EPO started from serum-containing or serum-free medium which was conditioned by rh EPO-producing animal cells by the process described in EP-A 0,267,678, page 6, line 45, to page 9, line 5. The process comprises (1) clarification, concentration and dialysis of the culture medium, .~ 2~4~.~89 (2) ion exchange chromatography, {3) preparative reverse phase HPLC and {4) gel filtration chromatography.
For the gel filtration chromatography, the column was equilibrated with PBS, i.e. 50 mM sodium phosphate buffer, 100 mM NaCl, pH 7.8. With this buffer solution, rh EPO was eluted in a single symmetrical peak {measure-ment of the eluate at 280 nm). The resulting rh EPO was at least 99% pure according to SDS-PAGE.
(5) Dilution The combined rh EPO fractions from the gel filtration step ( 4 ) contained 0 .1 - 0 . 8 mg of EPO per ml and were dispensed in single doses of 100 ~g/ml using the sodium phosphate/sodium chloride buffer (PBS) pH 7.8.
Example 2 Stability testing The stability of the PBS solution of rh EPO obtained as in Example 1 was tested after storage of the single doses in sterile glass tubes, comparing with various stabili-zers. The activity of rh EPO was measured by the incor-poration of 3T into mouse spleen cells treated with phenylhydrazine in a conventional manner. The data shown in the Table which follows are related to the initial activity of the employed rh EPO = 100%.

i w v . ~ ,~.. ~~4989 _ - 5 -(a) Storage at 4 - 8°C
Stabilizer Amount of stabilizer % activity (wt./wt. relative to after 12 EPO) based on 100 ~g months EPO/ml PBS
PBS alone - 7g,5 PBS + sorbitol 5000 51 PBS + glycerol 6150 0 PBS + HaemaccelR 100 68 (b) Storage at 37C (accelerated test) Stabilizer Amount of % Activ ity after months stabilizer 1 2 3 6 PBS alone - 86.3 39 11.2 9.9 PBS + sorbitol 5000 33.5 10.75.1 0 PBS + HaemaccelR 100 42 14.86.0 5.1 Note: HaemaccelR is a degraded gelatin The surprisingly better stabilization of rh EPO in PBS

(pH 7.8) without further addition of a stabilizer is evident Tables.
from the

Claims (7)

1. An aqueous pharmaceutical formulation of purified erythropoietin in a physiologically tolerated aqueous buffer solution of pH 6 to 8 which contains a physiologically tolerated alkali metal phosphate and alkali metal halide, but otherwise no stabili-zing additives.
2. A formulation as claimed in claim 1, wherein the aqueous buffer solution is composed of 50 mM sodium phosphate, 100 mM NaCl, pH 7.8.
3. A formulation as claimed in claim 1 or 2, wherein the erythropoietin is human native or recombinant erythropoietin.
4. A formulation as claimed in any of claims 1 to 3, wherein the concentration of erythropoietin is 50 - 1000 µg per ml of buffer solution.
5. The use of an aqueous formulation of purified erythropoietin as claimed in any of claims 1 to 4 for preparing injection products.
6. A process for preparing a stable pharmaceutical formulation of erythropoietin as claimed in claim 1, which comprises dissolving erythropoietin with a purity of ~ 99% in a physiologically tolerated aqueous buffer solution of pH 6 to 8, said buffer solution containing a physiologically tolerated alkali metal phosphate and alkali metal halide, but otherwise no stabilizing additives.
7. An aqueous pharmaceutical formulation as claimed in claim 1 and substantially as described herein.
CA002041989A 1990-05-08 1991-05-07 Aqueous pharmaceutical formulations of erythropoietin and the use thereof Expired - Lifetime CA2041989C (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE4014654A DE4014654A1 (en) 1990-05-08 1990-05-08 GALENIC AQUEOUS FORMULATIONS OF ERYTHROPOIETIN AND THEIR USE
DEP4014654.5 1990-05-08

Publications (2)

Publication Number Publication Date
CA2041989A1 CA2041989A1 (en) 1991-11-09
CA2041989C true CA2041989C (en) 2001-07-31

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Family Applications (1)

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CA002041989A Expired - Lifetime CA2041989C (en) 1990-05-08 1991-05-07 Aqueous pharmaceutical formulations of erythropoietin and the use thereof

Country Status (13)

Country Link
EP (1) EP0456153B1 (en)
JP (1) JP2922331B2 (en)
KR (1) KR100203546B1 (en)
AT (1) ATE120646T1 (en)
AU (1) AU652361B2 (en)
CA (1) CA2041989C (en)
DE (2) DE4014654A1 (en)
DK (1) DK0456153T3 (en)
ES (1) ES2073063T3 (en)
IE (1) IE65925B1 (en)
NO (1) NO301805B1 (en)
PT (1) PT97584B (en)
ZA (1) ZA913435B (en)

Families Citing this family (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
BR9917606A (en) 1998-11-06 2002-12-31 Bio Sidus S A Procedure for the purification of recombinant human erythropoietin from cell culture supernatants and recombinant human erythropoietin obtained with such procedure
ATE291436T2 (en) 2000-05-15 2005-04-15 Hoffmann La Roche LIQUID MEDICINAL PREPARATION CONTAINING AN ERYTHROPOIETIN DERIVATIVE
DE10234192B4 (en) 2002-07-26 2009-11-26 Epoplus Gmbh Co.Kg Use of erythropoietin
EP1537876A1 (en) * 2003-12-01 2005-06-08 BioGeneriX AG Erythropoietin solution formulation

Family Cites Families (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPS57149228A (en) * 1981-03-11 1982-09-14 Ajinomoto Co Inc Novel erythropoietin and its preparation
JPH0686480B2 (en) * 1983-02-21 1994-11-02 雪印乳業株式会社 Monoclonal antibody for erythropoietin production
JPS6191131A (en) * 1984-10-09 1986-05-09 Chugai Pharmaceut Co Ltd Method and composition for preventing adsorption of pharmaceutical
JPS6197229A (en) * 1984-10-18 1986-05-15 Chugai Pharmaceut Co Ltd Stable erythropoietin preparation
DE3729863A1 (en) * 1987-09-05 1989-03-16 Boehringer Mannheim Gmbh STABILIZED ERYTHROPOIETIN LYOPHILISATES

Also Published As

Publication number Publication date
AU7618391A (en) 1991-11-14
CA2041989A1 (en) 1991-11-09
NO911788L (en) 1991-11-11
IE65925B1 (en) 1995-11-29
NO911788D0 (en) 1991-05-07
EP0456153A1 (en) 1991-11-13
ZA913435B (en) 1992-02-26
DE4014654A1 (en) 1991-11-14
JP2922331B2 (en) 1999-07-19
DK0456153T3 (en) 1995-08-07
KR100203546B1 (en) 1999-06-15
PT97584A (en) 1992-01-31
KR910019636A (en) 1991-12-19
IE911549A1 (en) 1991-11-20
PT97584B (en) 1998-08-31
JPH04225923A (en) 1992-08-14
ATE120646T1 (en) 1995-04-15
ES2073063T3 (en) 1995-08-01
NO301805B1 (en) 1997-12-15
EP0456153B1 (en) 1995-04-05
AU652361B2 (en) 1994-08-25
DE59105075D1 (en) 1995-05-11

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