DK2773331T3 - Formuleringer til behandling af diabetes - Google Patents

Formuleringer til behandling af diabetes Download PDF

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Publication number
DK2773331T3
DK2773331T3 DK12798470.6T DK12798470T DK2773331T3 DK 2773331 T3 DK2773331 T3 DK 2773331T3 DK 12798470 T DK12798470 T DK 12798470T DK 2773331 T3 DK2773331 T3 DK 2773331T3
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Prior art keywords
insulin
formulation
acid
buffer
aprotic polar
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DK12798470.6T
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English (en)
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Steven Prestrelski
Nancy Scott
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Xeris Pharmaceuticals Inc
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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
    • A61K47/06Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
    • A61K47/20Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite containing sulfur, e.g. dimethyl sulfoxide [DMSO], docusate, sodium lauryl sulfate or aminosulfonic acids
    • 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
    • A61K38/22Hormones
    • A61K38/28Insulins
    • 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/14Particulate form, e.g. powders, Processes for size reducing of pure drugs or the resulting products, Pure drug nanoparticles
    • A61K9/141Intimate drug-carrier mixtures characterised by the carrier, e.g. ordered mixtures, adsorbates, solid solutions, eutectica, co-dried, co-solubilised, co-kneaded, co-milled, co-ground products, co-precipitates, co-evaporates, co-extrudates, co-melts; Drug nanoparticles with adsorbed surface modifiers
    • A61K9/145Intimate drug-carrier mixtures characterised by the carrier, e.g. ordered mixtures, adsorbates, solid solutions, eutectica, co-dried, co-solubilised, co-kneaded, co-milled, co-ground products, co-precipitates, co-evaporates, co-extrudates, co-melts; Drug nanoparticles with adsorbed surface modifiers with organic compounds
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/14Particulate form, e.g. powders, Processes for size reducing of pure drugs or the resulting products, Pure drug nanoparticles
    • A61K9/19Particulate form, e.g. powders, Processes for size reducing of pure drugs or the resulting products, Pure drug nanoparticles lyophilised, i.e. freeze-dried, solutions or dispersions
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P3/00Drugs for disorders of the metabolism
    • A61P3/08Drugs for disorders of the metabolism for glucose homeostasis
    • A61P3/10Drugs for disorders of the metabolism for glucose homeostasis for hyperglycaemia, e.g. antidiabetics

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Chemical & Material Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Medicinal Chemistry (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Epidemiology (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Diabetes (AREA)
  • Endocrinology (AREA)
  • Zoology (AREA)
  • Gastroenterology & Hepatology (AREA)
  • Proteomics, Peptides & Aminoacids (AREA)
  • Immunology (AREA)
  • General Chemical & Material Sciences (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • Dermatology (AREA)
  • Oil, Petroleum & Natural Gas (AREA)
  • Obesity (AREA)
  • Emergency Medicine (AREA)
  • Hematology (AREA)
  • Organic Chemistry (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)
  • Medicinal Preparation (AREA)
  • Peptides Or Proteins (AREA)

Claims (35)

1. Formulering til parenteral indgivelse omfattende: (a) insulin, som omfatter et pH-lager (EN: "pH memory") mellem 1 til 4 eller mellem 6 til 8, og som tidligere er blevet tørret fra en ikke-volatil puffer; og (b) et aprot polært solvent, hvor insulinet er solubiliseret i det aprote polære solvent, hvor størstedelen af det solubil i -serede insulin omfatter stabile monomere eller dimere former af insulin eller blandinger deraf, og hvor vandindholdet af formuleringen er lig med eller mindre end 15% w/v.
2. Formulering ifølge krav 1, hvor pH-lageret af insulinet er mellem 1 til 4 eller mellem 1 til 3, eller cirka 2, eller hvor pH-lageret af insulinet er mellem 6 til 8 eller cirka 7.
3. Formulering ifølge et hvilket som helst af kravene 1-2, hvor det aprote polære solvent er dimethylsulfoxid (DMSO), n-methylpyrrolidon (NMP), ethylacetat, dimethylfor-mamid (DMF), dimethylacetamid (DMA) eller propylencarbonat eller blandinger deraf, især dimethylsulfoxid (DMSO).
4. Formulering ifølge et hvilket som helst af kravene 1-3, hvor formuleringen omfatter 3 mg/ml til 50 mg/ml, 3 mg/ml til 10 mg/ml eller 10 mg/ml til 50 mg/ml af insulin.
5. Formulering ifølge et hvilket som helst af kravene 1-4, hvor størstedelen af det solubiliserede insulin er i monomer eller dimer form.
6. Formulering ifølge et hvilket som helst af kravene 1-5 yderligere omfattende en ingrediens, som er i stand til at mindske aggregering af monomere eller dimere former af insulin.
7. Formulering ifølge krav 6, hvor ingrediensen, som er i stand til at mindske aggregering af monomere eller dimere former af insulin, er urea, guanidiniumchlorid, en aminosyre, en sukker, en polyol, en polymer, en syre eller en surfaktant eller blandinger deraf.
8. Formulering ifølge krav 7, hvor syren er eddikesyre, ascorbinsyre, citronsyre, glutaminsyre, asparaginsyre, ravsyre, fumarsyre, maleinsyre eller adipinsyre eller blandinger deraf.
9. Formulering ifølge et hvilket som helst af kravene 1-7 yderligere omfattende et cosolvent, især vand.
10. Formulering ifølge et hvilket som helst af kravene 1-9, hvor formuleringen ikke omfatter zink, eller hvor zink tilstede i formuleringen er bundet til et chelaterende middel.
11. Formulering ifølge krav 10, hvor den ikke-volatile puffer er en glycinpuffer, en citratpuffer eller en phosphatpuffer eller blandinger deraf.
12. Formulering ifølge krav 11, hvor pufferen omfatter et chelaterende middel, især ethylendiamintetraeddikesyre (EDTA), ethylenglycoltetraeddikesyre (EGTA), vinsyre, glycerin eller citronsyre.
13. Formulering ifølge et hvilket som helst af kravene 1-12 yderligere omfattende en ingrediens, som er i stand til at sænke frysepunktet af det aprote polære solvent til cirka 0°C, især vand, en sukker, en sukkeralkohol eller blandinger deraf.
14. Formulering ifølge et hvilket som helst af kravene 1-13, hvor insulinet er ikke-modificeret humant insulin.
15. Formulering ifølge et hvilket som helst af kravene 1-14, yderligere omfattende en amylinanalog, som er solubiliseret i formuleringen, især pramlintid.
16. Formulering ifølge krav 15, hvor pramlintidet har et pH-lager af cirka 2, eller hvor pramlintidet har et pH-lager af cirka 2, og insulinet har et pH-lager af cirka 2.
17. Formulering ifølge krav 16, hvor pramlintidet tidligere er blevet tørret i en ikke-volatil puffer, hvilken puffer har et pH af cirka 2.
18. Formulering ifølge et hvilket som helst af kravene 15-17, hvor vandindholdet af formuleringen er mellem 5 til 15% w/v, 7 til 12% w/v eller 8 til 10% w/v eller cirka 9% w/v.
19. Formulering ifølge et hvilket som helst af kravene 1-18, hvor formuleringen er i flydende form, især en opløsning.
20. Formulering ifølge et hvilket som helst af kravene 1-19, hvor mindst 90% af insulinet i formuleringen forbliver kemisk og fysisk stabilt, når formuleringen opbevares ved stuetemperatur i én måned.
21. Formulering ifølge et hvilket som helst af kravene 1-20, hvor formuleringen er omfattet i en beholder, især en sprøjte, en pen-injektionsindretning, en autoinjektorindret-ning, en pumpe eller en perfusionspose.
22. Formulering ifølge et hvilket som helst af kravene 1-21, hvor det aprote polære solvent er den kontinuerlige fase af formuleringen.
23. Formulering ifølge et hvilket som helst af kravene 1-22, hvor formuleringen omfatter mindst 75, 80, 85, 90 eller 95% w/v af det aprote polære solvent.
24. Formulering ifølge et hvilket som helst af kravene 1-23, hvor det solubiliserede insulin er metastabilt.
25. Formulering ifølge et hvilket som helst af kravene 1-24 til anvendelse i en fremgangsmåde til at mindske blodglucoseniveau omfattende indgivelse til en patient med behov derfor af formuleringen i en mængde, der er virkningsfuld til at mindske blodgluco-seniveauet i patienten.
26. Formulering ifølge krav 25, hvor blodglucoseniveauet i patienten mindskes inden for 30 minutter, 60 minutter eller 90 minutter efter indgivelse.
27. Formulering ifølge et hvilket som helst af kravene 25-26, hvor det tidlige Vi Tmax-blodinsulinniveau i patienten forekomner inden for 30 til 60 minutter efter indgivelse.
28. Formulering ifølge et hvilket som helst af kravene 25-27, hvor patienten er blevet diagnosticeret med Type-I- eller Type-II-diabetes.
29. Formulering ifølge et hvilket som helst af kravene 25-28, hvor formuleringen indgives inden for 10 minutter, 5 minutter eller 1 minut før indtagelse af mad af patienten eller inden for 1 minut, 5 minutter eller 10 minutter efter indtagelse af mad af patienten.
30. Fremgangsmåde til fremstilling af formuleringen ifølge et hvilket som helst af kravene 1-24 omfattende: (a) tørring af en blanding omfattende insulin og en ikke-volatil puffer for at tilvejebringe tørret insulin, hvor det tørrede insulin har et pH-lager mellem 1 til 4 eller 6 til 8; og (b) rekonstituering af det tørrede insulin i et aprot polært solvent, hvor insulinet solubiliseres i det aprote polære solvent, hvor det solubiliserede insulin omfatter stabile monomere eller dimere former af insulin eller blandinger deraf, og hvor vandindholdet af formuleringen er lig med eller mindre end 15% w/v.
31. Fremgangsmåde ifølge krav 30, hvor formuleringen omfatter 3 mg/ml til 50 mg/ml, 3 mg/ml til 10 mg/ml eller 10 mg/ml til 50 mg/ml af insulin eller 50 mg/ml til 100 mg/ml af insulin.
32. Fremgangsmåde ifølge et hvilket som helst af kravene 30-31 yderligere omfattende: (c) tørring af en blanding omfattende en amylinanalog og den samme ikke-volatile puffer i trin (a) eller en anden ikke-volatil puffer for at tilvejebringe en tørret amylinanalog; og (b) rekonstituering af den tørrede amylinanalog i det aprote polære solvent sammen med det tørrede insulin, hvor den tørrede amylinanalog solubiliseres i det aprote polære solvent.
33. Fremgangsmåde ifølge krav 32, hvor amylinanalogen er pramlintid, og hvor pramlintidet har et pH-lager af cirka 2, eller hvor pramlintidet har et pH-lager af cirka 2, og insulinet har et pH-lager af cirka 2.
34. Fremgangsmåde ifølge et hvilket som helst af kravene 32-33, hvor den ikke-volatile puffer har et pH område af cirka 2.
35. Fremgangsmåde ifølge et hvilket som helst af kravene 32-34, yderligere omfattende tilsætning af vand mellem 5 til 15% w/v af formuleringen som et cosolvent.
DK12798470.6T 2011-10-31 2012-10-31 Formuleringer til behandling af diabetes DK2773331T3 (da)

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Application Number Priority Date Filing Date Title
US201161553388P 2011-10-31 2011-10-31
US201261609123P 2012-03-09 2012-03-09
PCT/US2012/062816 WO2013067022A1 (en) 2011-10-31 2012-10-31 Formulations for the treatment of diabetes

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US (1) US9138479B2 (da)
EP (1) EP2773331B1 (da)
JP (1) JP6117811B2 (da)
KR (1) KR102007057B1 (da)
CN (1) CN103930096B (da)
AU (1) AU2012332556B2 (da)
BR (1) BR112014010275A2 (da)
CA (1) CA2853942C (da)
DK (1) DK2773331T3 (da)
EA (1) EA027744B1 (da)
ES (1) ES2574761T3 (da)
MX (1) MX349383B (da)
PL (1) PL2773331T3 (da)
SG (1) SG11201401921YA (da)
WO (1) WO2013067022A1 (da)
ZA (1) ZA201403795B (da)

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US20140349926A1 (en) 2014-11-27
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US9138479B2 (en) 2015-09-22
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