CA2057834A1 - Pentamidine solution with neutral ph and method for administration thereof - Google Patents

Pentamidine solution with neutral ph and method for administration thereof

Info

Publication number
CA2057834A1
CA2057834A1 CA002057834A CA2057834A CA2057834A1 CA 2057834 A1 CA2057834 A1 CA 2057834A1 CA 002057834 A CA002057834 A CA 002057834A CA 2057834 A CA2057834 A CA 2057834A CA 2057834 A1 CA2057834 A1 CA 2057834A1
Authority
CA
Canada
Prior art keywords
pentamidine
solution
concentration
pharmaceutically acceptable
range
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.)
Abandoned
Application number
CA002057834A
Other languages
French (fr)
Inventor
Denis R. Wikel
Laman Al-Razzak
N. A. Williams
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Abbott Laboratories
Original Assignee
Individual
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Publication of CA2057834A1 publication Critical patent/CA2057834A1/en
Abandoned legal-status Critical Current

Links

Classifications

    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y02TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
    • Y02ATECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
    • Y02A50/00TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE in human health protection, e.g. against extreme weather
    • Y02A50/30Against vector-borne diseases, e.g. mosquito-borne, fly-borne, tick-borne or waterborne diseases whose impact is exacerbated by climate change

Landscapes

  • Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)

Abstract

ABSTRACT

A small volume aqueous solution of pentamidine or a pharmaceutically acceptable salt thereof having a pH of about 6.5 to about 7.5 and a method for its administration. The concentration of the pentamidine in the solution is in the range of about 0.001 to about 150 mg/ml. The pentamidine solution is administered by mixing either lyophilized pentamidine or a low pH
solution of pentamidine with a solution of sufficient pH
and volume to impart a pH of about 6.5 to about 7.5 to the mixture. The pentamidine concentration in the mixture is about 100 mg/ml. The mixture is then administered to a patient either intravenously, intramuscularly or nebulized and inhaled by the patient.

Description

2 ~ ~ r~ ~ 3 ~
u. .. ~ , . , PENTAMIDINE 50LUTION WITH MEUTRAL pH AND
METHOD FOR ADMINISTRATION THER~OF
Technical Field This invention is directed to a small volume pentamidine solution that has a neutral pH.
Backqround Of The Invention 1,5-Di(4~-amidinophenoxy)pentane, which is generically known as pentamidine, has, for many years, been known for use as a pharmaceutical, in particular for the treatment of the early stages of the African trypanosomiasis ("sleeping sickness") and leishmaniasis.
Pentamidine has also been found to be effective in the treatment of pneumocystis carinii pneumonia ~PCP) a condition which is commonly contracted by patients with acquired immuno~deficiency syndrome (AIDS) and also by cancer and organ transplant patients, and others with severe immuno-deficiencies. It has been estimated that some 6~% of AIDS patients develop PCP.
PCP infection in AIDS patients has been treated by intravenous infusion or intramuscular injection of pentamidine, althouyh this treatment is often accompanied by severe side-effects, e.g.
hypotension, renal failure and hypoglycemia. More recently, there has been reported (Abstracts o~ the Annual Meeting of the American Society of Microbiology 86, 14 (1986)) a method for the prevention of PCP in which a nebulized aqueous solution of pentamidine is administered by inhalation.
Aqueous solutions of pentamidine and pharmaceutically acceptable salts thereof are commonly acidified as disclosed in U.S. Patent No. 4,853,416 to Anaebonam et al. to improve stability and prevent degradation of the pentamidineO Low pH pentamidine solutions can irritate tissue at the site of 2 ~ rJ ~

administration of the drug (e.g. muscle tissue if the drug is administered intramuscularly~.
Alternatively, a pentamidine solu-tion can be stabilized for storage by lyophilization of the pentamidine solution. A solution of pentamidine, or a pharmaceutically acceptable salt thereof, is first frozen and then subjected to a high vacuum 50 that water (ice) vaporizes under vacuum without melting to produce a powder. The lyophilized pentamidine is reconstituted with water prior to administr~tion thereof. The lyophilization process is expensive and requires that the solution and the pentamidine therein be extensively handled Because lyophilization is complex and expensive, it is preferable to store the pentamidine in solution, provided that degradation of the pentamidine can be prevented.
Summary Of The Invention A process is disclosed for the administration of a neutral pH solution of pentamidine or a pharmaceutically acceptable salt thereof. A pentamidine solution of low pH or lyophilized pentamidine is combined with a pH adjusting agent in an amounk sufficient ~o impart a pH o~ about 6.5 to about 7.5 to the resultiny solution. The pH ad~usting agent can be in either liquid or solid form, preferably in liquid fo~m. The resulting neutral pH solution is then administered to the patient. The pentamidine solution is administered intravenously, intramuscularly or by inhalation.
A small volume pentamidine solution with a neutral pH of about 6.5 to about 7.5 is also disclosed herein. The concentration of pentamidine, or a pharmaceutically acceptable salt thereof, is in the range of about 0.001 to about 150 mg/ml of solution, preferably in the range of about 10 to about 130 mg/ml lr~

of solution, more preferably in the range of about 80 to about 110 mg/ml o~ solution, and most preferably about 100 mg/ml of solution.
Detailed Description of The_Preferred Embodiment Pentamidine is unstable in aqueous solutions with a neutral pH. Pentamidine and pharmaceutically acceptable salts thereof (referred to generically herein as pentamidine) degrade in aqueous solutions of neutral pH if stored therein for any length of time.
Pentamidine does not degrade over time when stored in solutions with low pH. Low pH pentamidine solutions can damage tissue when administered.
If the pH of the pentamidine solution is adjusted to neutral immediately prior to administration of the pentamidine, the problems of tissue damage and pentamidine degradation can be avoided. The pH of the pentamidine solution disclosed herein is adjusted to about 6.5 to about 7~5 just prior to the administration of the pentamidine. The pH is adjusted by adding a pH
adjusting agent such as, for example, sodium phosphate, sodium hydroxide, alone or in combination with glycine or potassium hydroxide in either solid or liquid form, to an a~ueous solution o~ pentamidine with a pH of less than about 5Ø Alternatively, lyophilized pentamidine can be reconstituted with a neutralizing solution of the pH adjusting agent and administered to a patienk.
Pharmaceutically acceptable organic salts of pentamidine can also be used in the composition and method of the present invention. Among such salts are gluconate, isethionate, lactate, acetate, tartrate, citrate, phosphate, borate, nitrate and sulfate salts of pentamidine. Pentamidine isethionate is the most preferred salt for this particular application.

2 ~ ~rJ~J~
.,. ;

A chamber containing 300 mg of lyophilized pentamidine isethionate is separated by a seal ~rom another chamber which contains an aqueous sodium phosphate solution with a pH of 8 at a concentration of 0.13 mg/ml sodium phosphate.
The seal between the upper and lower chambers is broken and the sodium phosphate solution is allowed to intermix with the lyophilized pentamidine isethionate. After intermixing, the pentamidine salt solution, with a pH of 7, can be withdrawn by a syringe and administered either intravenously or intramuscularly, or nebulized and administered by inhalation.

A chamber containing 300 mg of lyophilized pentamidine isethionate is separated by a seal from another chamber which contains an aqueous glycine/sodium hydroxide solution with a pH of 7.5 at a concentration ~o of 7.5 mg/ml.
The seal between the upper and lower chambers is broken and the glycine/sodium hydroxide solution is allowed to intermix with the lyophilized pentamidine isethionate. After intermixin~, the pentamidine salt solution, with a pH of 7.2, can be wi-thdrawn by a syringe and administered either intravenously or intramuscularly, or nebulized and administered by inhalation.
The foregoing discussion and examples are
3~ intended to illustrate the general concepts disclosed herein and defined by the claims appended hereto. The discussion and examples are not intended to limit the invention disclosed herein in any manner.

Claims (18)

WE CLAIM:
1. A small volume pharmaceutical composition comprising an aqueous solution of pentamidine or a pharmaceutically acceptable salt thereof, the solution having a concentration of pentamidine or a pharmaceutically acceptable salt thereof in the range of about 0.001 to about 150 mg/ml and a pH of about 6.5 to about 7.5.
2. The composition of claim 1 wherein the pentamidine concentration is in the range of about 10 to about 130 mg/ml of solution.
3. The composition of claim 1 wherein the pentamidine concentration is in the range of about 80 to about 110 mg/ml of solution.
4. The composition of claim 1 wherein the pentamidine concentration is about 100 mg/ml of solution.
5. The composition of claim 1 wherein the pharmaceutically acceptable pentamidine salt is pentamidine isethionate.
6. The composition of claim 1 wherein a pH
adjusting agent is present in an amount sufficient to impart the desired pH to the aqueous pentamidine solution.
7. The composition of claim 6 wherein the pH
adjusting agent is selected from the group consisting of sodium phosphate, potassium hydroxide, sodium hydroxide and a mixture of sodium hydroxide and glycine.
g. A method for the administration of an aqueous solution of pentamidine comprising:
adding a sufficient amount of a pH
adjusting agent to an aqueous solution comprising pentamidine or a pharmaceutically acceptable salt thereof with a pH of less than 5.0 to impart a neutral pH of about 6.5 to about 7.5 to the pentamidine solution; and administering the combined pentamidine solution to a patient.
9. The method of claim 8 wherein the concentration of pentamidine in the neutral pH
pentamidine solution is in the range of 0.001 to about 150 mg/ml.
10. The method of claim g wherein the pentamidine concentration is in the range of about 10 to about 130 mg/ml of solution.
11. The method of claim 9 wherein the pentamidine concentration is in the range of about 80 to about 110 mg/ml of solution.
12. The method of claim 9 wherein the pentamidine concentration is about 100 mg/ml of solution.
13. The method of claim 5 wherein the pharmaceutically acceptable salt of pentamidine is pentamidine isethionate.
14. The method of claim 9 wherein the pH
adjusting agent is selected from the group consisting of sodium phosphate, potassium hydroxide, sodium hydroxide and a mixture of sodium hydroxide and glycine.
15. A method for the administration of an aqueous solution of pentamidine comprising:
reconstituting a lyophilized pentamidine or lyophilized pharmaceutically acceptable salt of pentamidine with an aqueous pH adjusting solution in an amount sufficient to impart a pH of about 6.5 to about 7.5 to the resulting reconstituted pentamidine solution;
and administering the reconstituted pentamidine solution to a patient.
16. The method of claim 15 wherein the concentration of lyophilized pentamidine in the reconstituted solution is in the range of about 0.001 to about 150 mg/ml.
17. The method of claim 15 wherein the pharmaceutically acceptable salt of pentamidine is pentamidine isethionate.
18. The method of claim 15 wherein the pH
adjusting agent is selected from the group consisting of sodium phosphate, potassium hydroxide, sodium hydroxide and a mixture of sodium hydroxide and glycine.
CA002057834A 1990-12-26 1991-12-17 Pentamidine solution with neutral ph and method for administration thereof Abandoned CA2057834A1 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US63425990A 1990-12-26 1990-12-26
US634,259 1990-12-26

Publications (1)

Publication Number Publication Date
CA2057834A1 true CA2057834A1 (en) 1992-06-27

Family

ID=24543049

Family Applications (1)

Application Number Title Priority Date Filing Date
CA002057834A Abandoned CA2057834A1 (en) 1990-12-26 1991-12-17 Pentamidine solution with neutral ph and method for administration thereof

Country Status (1)

Country Link
CA (1) CA2057834A1 (en)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2002036588A3 (en) * 2000-11-06 2003-08-28 Us Army Med Res Mat Command Reversed amidines and methods of using for treating, preventing, or inhibiting leishmaniasis

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2002036588A3 (en) * 2000-11-06 2003-08-28 Us Army Med Res Mat Command Reversed amidines and methods of using for treating, preventing, or inhibiting leishmaniasis

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