CA2295035C - Pharmaceutical formulations containing voriconazole - Google Patents

Pharmaceutical formulations containing voriconazole Download PDF

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Publication number
CA2295035C
CA2295035C CA002295035A CA2295035A CA2295035C CA 2295035 C CA2295035 C CA 2295035C CA 002295035 A CA002295035 A CA 002295035A CA 2295035 A CA2295035 A CA 2295035A CA 2295035 C CA2295035 C CA 2295035C
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CA
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Prior art keywords
voriconazole
formulation
cyclodextrin
4so3h
formula
Prior art date
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Expired - Lifetime
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CA002295035A
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French (fr)
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CA2295035A1 (en
Inventor
Valerie Denise Harding
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Pfizer Corp SRL
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Pfizer Corp SRL
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Application filed by Pfizer Corp SRL filed Critical Pfizer Corp SRL
Publication of CA2295035A1 publication Critical patent/CA2295035A1/en
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    • 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
    • A61K47/30Macromolecular organic or inorganic compounds, e.g. inorganic polyphosphates
    • A61K47/36Polysaccharides; Derivatives thereof, e.g. gums, starch, alginate, dextrin, hyaluronic acid, chitosan, inulin, agar or pectin
    • A61K47/40Cyclodextrins; Derivatives thereof
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D231/00Heterocyclic compounds containing 1,2-diazole or hydrogenated 1,2-diazole rings
    • C07D231/02Heterocyclic compounds containing 1,2-diazole or hydrogenated 1,2-diazole rings not condensed with other rings
    • C07D231/10Heterocyclic compounds containing 1,2-diazole or hydrogenated 1,2-diazole rings not condensed with other rings having two or three double bonds between ring members or between ring members and non-ring members
    • C07D231/12Heterocyclic compounds containing 1,2-diazole or hydrogenated 1,2-diazole rings not condensed with other rings having two or three double bonds between ring members or between ring members and non-ring members with only hydrogen atoms, hydrocarbon or substituted hydrocarbon radicals, directly attached to ring carbon atoms
    • 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
    • A61K47/50Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates
    • A61K47/69Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the conjugate being characterised by physical or galenical forms, e.g. emulsion, particle, inclusion complex, stent or kit
    • A61K47/6949Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the conjugate being characterised by physical or galenical forms, e.g. emulsion, particle, inclusion complex, stent or kit inclusion complexes, e.g. clathrates, cavitates or fullerenes
    • A61K47/6951Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the conjugate being characterised by physical or galenical forms, e.g. emulsion, particle, inclusion complex, stent or kit inclusion complexes, e.g. clathrates, cavitates or fullerenes using cyclodextrin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P31/00Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P31/00Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
    • A61P31/10Antimycotics
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B82NANOTECHNOLOGY
    • B82YSPECIFIC USES OR APPLICATIONS OF NANOSTRUCTURES; MEASUREMENT OR ANALYSIS OF NANOSTRUCTURES; MANUFACTURE OR TREATMENT OF NANOSTRUCTURES
    • B82Y5/00Nanobiotechnology or nanomedicine, e.g. protein engineering or drug delivery
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D233/00Heterocyclic compounds containing 1,3-diazole or hydrogenated 1,3-diazole rings, not condensed with other rings
    • C07D233/54Heterocyclic compounds containing 1,3-diazole or hydrogenated 1,3-diazole rings, not condensed with other rings having two double bonds between ring members or between ring members and non-ring members
    • C07D233/56Heterocyclic compounds containing 1,3-diazole or hydrogenated 1,3-diazole rings, not condensed with other rings having two double bonds between ring members or between ring members and non-ring members with only hydrogen atoms or radicals containing only hydrogen and carbon atoms, attached to ring carbon atoms
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D249/00Heterocyclic compounds containing five-membered rings having three nitrogen atoms as the only ring hetero atoms
    • C07D249/02Heterocyclic compounds containing five-membered rings having three nitrogen atoms as the only ring hetero atoms not condensed with other rings
    • C07D249/081,2,4-Triazoles; Hydrogenated 1,2,4-triazoles

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  • Chemical & Material Sciences (AREA)
  • Organic Chemistry (AREA)
  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Medicinal Chemistry (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Nanotechnology (AREA)
  • Epidemiology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • Oncology (AREA)
  • Biophysics (AREA)
  • Biotechnology (AREA)
  • General Engineering & Computer Science (AREA)
  • General Chemical & Material Sciences (AREA)
  • Molecular Biology (AREA)
  • Crystallography & Structural Chemistry (AREA)
  • Communicable Diseases (AREA)
  • Inorganic Chemistry (AREA)
  • Medicinal Preparation (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
  • Plural Heterocyclic Compounds (AREA)

Abstract

The invention provides a pharmaceutical formulation comprising voriconazole, or a pharmaceutically acceptable derivative thereof, and a cyclodextrin derivative of formula (I), wherein R1a-g, R2a-g and R3a-g independently represent OH or O(CH2)4SO3H; or a pharmaceutically acceptable salt thereof.

Description

Pharmaceutical formulations containin; voriconazole This invention relates to a new pharmaceutical formulation of voriconazole with a sulphobutylether (3-cyclodextrin.
Voriconazole is disclosed in European Patent Application 0440372 (see Example 7). It has the following structure:

OH
N
~~ ' N
N F ~ N~/N
F
and is useful in the treatment of fungal infections. Voriconazole has a low aqueous solubility (0.2mg/ml @ pH 3), and is not stable in water (an inactive enantiomer is formed from recombination of the retro-aldol products of hydrolysis). Thus, development of an aqueous intravenous formulation with a sufficient shelf life is difficult.
These problems are magnified by the semi-polar nature of the compound (log D = 1.8) which means that it is not generally solubilised by conventional means such as oils, surfactants or water miscible co-solvents.
European Patent Application 0440372 mentions that the compounds disclosed therein may be formulated with cyclodextrin: however, it is now suspected that underivatised or unmetabolised cyclodextrin has toxic effects on the body and so is unsuitable as a pharmaceutical excipient, particularly when administered parenterally.
International Patent Application WO 91/11172 discloses sulphoalkylether cyclodextrin derivatives of formula A.
(A) wherein n is 4, 5 or 6;
R,_9 independently represent O- or O-(C,_6 alkylene)-SO-, provided that at least one of R, and R, is O-(C~_6 alkylene)-SO'; and S,_9 independently represent a pharmaceutically acceptable cation (such as H' or Na').
It has now been found that the solubility of voriconazoIe in water can be increased by molecular encapsulation with sulphoalkylether cyclodextrin derivatives of the type disclosed in International Patent Application WO 91/11172, particularly when n is 5 (a (3-cyciodextrin derivative) and the cyclodextrin ring is substituted by sulphobutyl groups.
Thus, according to the present invention, there is provided a pharmaceutical formulation comprising voriconazole, or a pharmaceutically acceptable derivative thereof, and a cyclodextrin derivative of formula I, R'9CH O
z CHZR'a O R39 O ~~
0 RsrRz9 Rza Raa O
R'rCH Rzr Rzb ~ CH R'°
z z 0 R3b O
O R3e Rz~ 0 (I) Rze R3d 2d R~gCHz O R R3~ ~ CHZR' O
CHzR'd wherein R'a-°, R'-''~ and R''a-~ independently represent OH or O(CH,)~SO~H;
provided that at least one of R'a-s represents O(CH,),SO;H;
or a pharmaceutically acceptable salt thereof.
Pharmaceutically acceptable salts of particular interest are salts of the O(CH,)aS03H
' groups, for example alkali metal salts, such as sodium salts.
Preferably, the average number of O(CH,),SO~H groups per molecule of formula I
is in the range 6.1-6.9, for example 6.5. This enhances molecular encapsulation resulting in enhanced voriconazole solubility. This effect would not be anticipated because increasing the degree of substitution increases steric hindrance around the cavity of the cyclodextrin and would be expected to reduce complexation efficiency.
It is preferred that each O(CH,)~SO;H present is in the form of an alkali metal salt (such as the sodium salt). This enhances the affinity of the molecule for voriconazole, which is unexpected because voriconazole is not charged.
Preferably, the formulation is for parenteral administration, for example, i.v.
administration.
The aqueous stability of the voriconazole-cyclodextrin derivative complex is further enhanced by lyophilisation (freeze-drying). The cyclodextrin derivatives used in formulations according to the invention enable the finished lyophilised product to accommodate high levels of moisture (up to 3.0%) without a detrimental effect on stability.
Furthermore, the use of such cyclodextrin derivatives controls and minimises the formation of the inactive enantiomer of voriconazole.
Generally, in aqueous intravenous and intramuscular formulations according to the invention, the voriconazole will be present at a concentration of from ~ m~/ml to SO
mg/ml, for example 10 mg/ml to 30 mg/ml. The cvclodextrin derivative of formula I will be present in a molar ratio of voriconazole:cyclodextrin derivative of from 1:1 to 1:10. for example 1:2 to 1:7, in particular 1:2 to 1:3. The formulations may be lyophilised (freeze dried) for storage prior to use, and made up with water when required.
In the following example, the sulphobutylether (3-cyclodextrin has an average sulphobutylether substitution of 6.5 per cyclodextrin molecule, and each sulphobutylether unit is present as its sodium salt.
Example 1 , i.v. formulation of voriconazole In red diem Specification m.
Voriconazole Pfizer 10.000 Sulphobutylether (3-cyclodextrin Pfizer 160.000 Water for injections Ph. Eur. to 1.000 ml Total 1.000 ml Method:
I S 1. With constant stirring, add the sulphobutylether ~i cyclodextrin (SBECD) to 80% of the final volume of water for injections, and continue to stir until all the SBECD has dissolved.
2. Add the voriconazole and dissolve with stirnng.
3. Make the solution up to volume with water for injections.
4. Filter the resulting solution through a sterile 0.2 mm nylon filter into a sterile container.
5. Fill 20 ml volumes into sterile freeze drying vials and stopper.
Lyophilise.

Claims (7)

CLAIMS:
1. A pharmaceutical formulation comprising voriconazole and a cyclodextrin derivative of formula I, wherein:
R1a-g, R2a-g and R3a-g independently represent OH or O(CH2)4SO3H;
provided that at least one of R1a-g represents O(CH2)4SO3H;
or a pharmaceutically acceptable salt thereof.
2. The formulation as claimed in claim 1, wherein the cyclodextrin derivative has an average number of O(CH2)4SO3H
groups per molecule of formula I in the range 6.1-6.9.
3. The formulation as claimed in claim 1 or claim 2, wherein each O(CH2)4SO3H present is in the form of an alkali metal salt.
4. The formulation as claimed in any one of claims 1 to 3, which is adapted for parenteral administration.
5. The formulation as claimed in any one of claims 1 to 4, wherein the cyclodextrin derivative of formula I is present in a molar ratio of voriconazole:cyclodextrin derivative of from 1:1 to 1:10.
6. The formulation as claimed in any one of claims 1 to 5, which is a solution in water.
7. The formulation as claimed in any one of claims 1 to 5, which has been lyophilised.
CA002295035A 1997-06-21 1998-06-02 Pharmaceutical formulations containing voriconazole Expired - Lifetime CA2295035C (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
GBGB9713149.4A GB9713149D0 (en) 1997-06-21 1997-06-21 Pharmaceutical formulations
GB9713149.4 1997-06-21
PCT/EP1998/003477 WO1998058677A1 (en) 1997-06-21 1998-06-02 Pharmaceutical formulations containing voriconazole

Publications (2)

Publication Number Publication Date
CA2295035A1 CA2295035A1 (en) 1998-12-30
CA2295035C true CA2295035C (en) 2005-04-19

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US (1) US6632803B1 (en)
EP (1) EP1001813B8 (en)
JP (2) JP2000513029A (en)
KR (1) KR100372988B1 (en)
CN (1) CN1125653C (en)
AP (1) AP912A (en)
AR (1) AR015900A1 (en)
AT (1) ATE238812T1 (en)
AU (1) AU724799B2 (en)
BG (1) BG64584B1 (en)
BR (1) BRPI9809468B8 (en)
CA (1) CA2295035C (en)
CO (1) CO4940450A1 (en)
CZ (1) CZ289570B6 (en)
DE (1) DE69814091T2 (en)
DK (1) DK1001813T3 (en)
DZ (1) DZ2523A1 (en)
EA (1) EA001924B1 (en)
EG (1) EG23910A (en)
ES (1) ES2195355T3 (en)
GB (1) GB9713149D0 (en)
HR (1) HRP980341B1 (en)
HU (1) HU228338B1 (en)
ID (1) ID22939A (en)
IL (1) IL132918A (en)
IS (1) IS2004B (en)
MA (1) MA26508A1 (en)
ME (1) ME00907B (en)
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NO (1) NO313125B1 (en)
NZ (1) NZ501066A (en)
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PA (1) PA8453201A1 (en)
PE (1) PE84899A1 (en)
PL (1) PL191295B1 (en)
PT (1) PT1001813E (en)
RS (1) RS49633B (en)
SA (1) SA98190159B1 (en)
SI (1) SI1001813T1 (en)
SK (1) SK282946B6 (en)
TN (1) TNSN98090A1 (en)
TR (1) TR199903191T2 (en)
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UA (1) UA57083C2 (en)
UY (1) UY25055A1 (en)
WO (1) WO1998058677A1 (en)
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BG64584B1 (en) 2005-08-31
JP5089004B2 (en) 2012-12-05
TNSN98090A1 (en) 2005-03-15
UY25055A1 (en) 2000-12-29
CZ409699A3 (en) 2000-02-16
SA98190159B1 (en) 2005-12-21
AU8110498A (en) 1999-01-04
EA199900937A1 (en) 2000-08-28
TR199903191T2 (en) 2000-09-21
BRPI9809468B8 (en) 2022-01-18
IL132918A0 (en) 2001-03-19
NO995565D0 (en) 1999-11-12
EP1001813A1 (en) 2000-05-24
NO313125B1 (en) 2002-08-19
ATE238812T1 (en) 2003-05-15
PA8453201A1 (en) 2000-05-24
ID22939A (en) 1999-12-16
AP9801268A0 (en) 1998-06-30
EA001924B1 (en) 2001-10-22
DZ2523A1 (en) 2003-02-01
PT1001813E (en) 2003-07-31
MY118151A (en) 2004-09-30
UA57083C2 (en) 2003-06-16
TW406023B (en) 2000-09-21
NZ501066A (en) 2001-01-26
DE69814091D1 (en) 2003-06-05
IS5248A (en) 1999-11-15
US6632803B1 (en) 2003-10-14
IS2004B (en) 2005-04-15
HRP980341A2 (en) 1999-02-28
CO4940450A1 (en) 2000-07-24
GB9713149D0 (en) 1997-08-27
CA2295035A1 (en) 1998-12-30
RS49633B (en) 2007-08-03
SI1001813T1 (en) 2004-02-29
PE84899A1 (en) 1999-09-17
EG23910A (en) 2007-12-30
EP1001813B1 (en) 2003-05-02
WO1998058677A1 (en) 1998-12-30
ME00907B (en) 2007-08-03
NO995565L (en) 1999-11-30
HUP0003323A2 (en) 2001-06-28
AU724799B2 (en) 2000-09-28
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