EP0988055A1 - Compositions contenant des particules souples, un surfactant non ionique et un modificateur non ionique de point de trouble - Google Patents
Compositions contenant des particules souples, un surfactant non ionique et un modificateur non ionique de point de troubleInfo
- Publication number
- EP0988055A1 EP0988055A1 EP98909643A EP98909643A EP0988055A1 EP 0988055 A1 EP0988055 A1 EP 0988055A1 EP 98909643 A EP98909643 A EP 98909643A EP 98909643 A EP98909643 A EP 98909643A EP 0988055 A1 EP0988055 A1 EP 0988055A1
- Authority
- EP
- European Patent Office
- Prior art keywords
- composition
- cloud point
- weight
- ionic
- flexible particles
- 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.)
- Withdrawn
Links
- 239000000203 mixture Substances 0.000 title claims abstract description 51
- 239000002245 particle Substances 0.000 title claims abstract description 46
- 239000003607 modifier Substances 0.000 title claims abstract description 38
- 239000002736 nonionic surfactant Substances 0.000 title claims abstract description 18
- 230000001954 sterilising effect Effects 0.000 claims abstract description 33
- 238000004659 sterilization and disinfection Methods 0.000 claims abstract description 32
- 239000002612 dispersion medium Substances 0.000 claims abstract description 19
- 239000003995 emulsifying agent Substances 0.000 claims abstract description 19
- 230000001225 therapeutic effect Effects 0.000 claims abstract description 9
- 239000002609 medium Substances 0.000 claims abstract description 8
- DNIAPMSPPWPWGF-UHFFFAOYSA-N Propylene glycol Chemical compound CC(O)CO DNIAPMSPPWPWGF-UHFFFAOYSA-N 0.000 claims description 25
- 229920002534 Polyethylene Glycol 1450 Polymers 0.000 claims description 13
- 238000000034 method Methods 0.000 claims description 13
- 230000008569 process Effects 0.000 claims description 11
- 239000004094 surface-active agent Substances 0.000 claims description 10
- 239000006185 dispersion Substances 0.000 claims description 9
- 150000003904 phospholipids Chemical class 0.000 claims description 9
- 229920001223 polyethylene glycol Polymers 0.000 claims description 9
- 239000008346 aqueous phase Substances 0.000 claims description 8
- 239000002872 contrast media Substances 0.000 claims description 8
- -1 monoalcohol Polymers 0.000 claims description 8
- 238000002360 preparation method Methods 0.000 claims description 8
- 229920000136 polysorbate Polymers 0.000 claims description 6
- 229920001214 Polysorbate 60 Polymers 0.000 claims description 5
- 235000014113 dietary fatty acids Nutrition 0.000 claims description 5
- 239000000194 fatty acid Substances 0.000 claims description 5
- 229930195729 fatty acid Natural products 0.000 claims description 5
- 229920001983 poloxamer Polymers 0.000 claims description 5
- 229920001664 tyloxapol Polymers 0.000 claims description 5
- MDYZKJNTKZIUSK-UHFFFAOYSA-N tyloxapol Chemical compound O=C.C1CO1.CC(C)(C)CC(C)(C)C1=CC=C(O)C=C1 MDYZKJNTKZIUSK-UHFFFAOYSA-N 0.000 claims description 5
- 229960004224 tyloxapol Drugs 0.000 claims description 5
- 229920002675 Polyoxyl Polymers 0.000 claims description 4
- 229950008882 polysorbate Drugs 0.000 claims description 4
- RVGRUAULSDPKGF-UHFFFAOYSA-N Poloxamer Chemical group C1CO1.CC1CO1 RVGRUAULSDPKGF-UHFFFAOYSA-N 0.000 claims description 3
- 229960000502 poloxamer Drugs 0.000 claims description 3
- 229920005862 polyol Polymers 0.000 claims description 3
- 150000003077 polyols Chemical class 0.000 claims description 3
- 238000002604 ultrasonography Methods 0.000 claims description 3
- 229920000858 Cyclodextrin Polymers 0.000 claims description 2
- 239000004359 castor oil Substances 0.000 claims description 2
- 235000019438 castor oil Nutrition 0.000 claims description 2
- 238000003745 diagnosis Methods 0.000 claims description 2
- ZEMPKEQAKRGZGQ-XOQCFJPHSA-N glycerol triricinoleate Natural products CCCCCC[C@@H](O)CC=CCCCCCCCC(=O)OC[C@@H](COC(=O)CCCCCCCC=CC[C@@H](O)CCCCCC)OC(=O)CCCCCCCC=CC[C@H](O)CCCCCC ZEMPKEQAKRGZGQ-XOQCFJPHSA-N 0.000 claims description 2
- 229920001987 poloxamine Polymers 0.000 claims description 2
- 239000001267 polyvinylpyrrolidone Substances 0.000 claims description 2
- 229920000036 polyvinylpyrrolidone Polymers 0.000 claims description 2
- 235000013855 polyvinylpyrrolidone Nutrition 0.000 claims description 2
- 238000002560 therapeutic procedure Methods 0.000 claims description 2
- 239000002202 Polyethylene glycol Substances 0.000 claims 1
- QIQXTHQIDYTFRH-UHFFFAOYSA-N octadecanoic acid Chemical compound CCCCCCCCCCCCCCCCCC(O)=O QIQXTHQIDYTFRH-UHFFFAOYSA-N 0.000 claims 1
- HFHDHCJBZVLPGP-UHFFFAOYSA-N schardinger α-dextrin Chemical compound O1C(C(C2O)O)C(CO)OC2OC(C(C2O)O)C(CO)OC2OC(C(C2O)O)C(CO)OC2OC(C(O)C2O)C(CO)OC2OC(C(C2O)O)C(CO)OC2OC2C(O)C(O)C1OC2CO HFHDHCJBZVLPGP-UHFFFAOYSA-N 0.000 claims 1
- 239000000839 emulsion Substances 0.000 description 16
- 239000000693 micelle Substances 0.000 description 13
- 239000000243 solution Substances 0.000 description 13
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 13
- 239000002502 liposome Substances 0.000 description 11
- 239000003814 drug Substances 0.000 description 7
- 235000013772 propylene glycol Nutrition 0.000 description 7
- 239000008159 sesame oil Substances 0.000 description 7
- 235000011803 sesame oil Nutrition 0.000 description 7
- PEDCQBHIVMGVHV-UHFFFAOYSA-N Glycerine Chemical compound OCC(O)CO PEDCQBHIVMGVHV-UHFFFAOYSA-N 0.000 description 6
- 239000003921 oil Substances 0.000 description 6
- 235000019198 oils Nutrition 0.000 description 6
- 230000002776 aggregation Effects 0.000 description 5
- 239000012528 membrane Substances 0.000 description 5
- 238000005191 phase separation Methods 0.000 description 5
- 230000008901 benefit Effects 0.000 description 4
- 239000003795 chemical substances by application Substances 0.000 description 4
- 239000000032 diagnostic agent Substances 0.000 description 4
- 229940039227 diagnostic agent Drugs 0.000 description 4
- 239000000546 pharmaceutical excipient Substances 0.000 description 4
- 239000010773 plant oil Substances 0.000 description 4
- 229940124597 therapeutic agent Drugs 0.000 description 4
- IIZPXYDJLKNOIY-JXPKJXOSSA-N 1-palmitoyl-2-arachidonoyl-sn-glycero-3-phosphocholine Chemical compound CCCCCCCCCCCCCCCC(=O)OC[C@H](COP([O-])(=O)OCC[N+](C)(C)C)OC(=O)CCC\C=C/C\C=C/C\C=C/C\C=C/CCCCC IIZPXYDJLKNOIY-JXPKJXOSSA-N 0.000 description 3
- LFQSCWFLJHTTHZ-UHFFFAOYSA-N Ethanol Chemical compound CCO LFQSCWFLJHTTHZ-UHFFFAOYSA-N 0.000 description 3
- OKKJLVBELUTLKV-UHFFFAOYSA-N Methanol Chemical compound OC OKKJLVBELUTLKV-UHFFFAOYSA-N 0.000 description 3
- 238000004220 aggregation Methods 0.000 description 3
- 229940079593 drug Drugs 0.000 description 3
- 239000012530 fluid Substances 0.000 description 3
- 239000000787 lecithin Substances 0.000 description 3
- 229940067606 lecithin Drugs 0.000 description 3
- 235000010445 lecithin Nutrition 0.000 description 3
- 239000007788 liquid Substances 0.000 description 3
- 238000007911 parenteral administration Methods 0.000 description 3
- 239000012071 phase Substances 0.000 description 3
- 229920000642 polymer Polymers 0.000 description 3
- 238000011146 sterile filtration Methods 0.000 description 3
- FBPFZTCFMRRESA-KVTDHHQDSA-N D-Mannitol Chemical compound OC[C@@H](O)[C@@H](O)[C@H](O)[C@H](O)CO FBPFZTCFMRRESA-KVTDHHQDSA-N 0.000 description 2
- WQZGKKKJIJFFOK-GASJEMHNSA-N Glucose Natural products OC[C@H]1OC(O)[C@H](O)[C@@H](O)[C@@H]1O WQZGKKKJIJFFOK-GASJEMHNSA-N 0.000 description 2
- KFZMGEQAYNKOFK-UHFFFAOYSA-N Isopropanol Chemical compound CC(C)O KFZMGEQAYNKOFK-UHFFFAOYSA-N 0.000 description 2
- 229930195725 Mannitol Natural products 0.000 description 2
- 229920003171 Poly (ethylene oxide) Polymers 0.000 description 2
- 229920002359 Tetronic® Polymers 0.000 description 2
- 238000005054 agglomeration Methods 0.000 description 2
- 238000013019 agitation Methods 0.000 description 2
- 239000008280 blood Substances 0.000 description 2
- 210000004369 blood Anatomy 0.000 description 2
- CRPUJAZIXJMDBK-UHFFFAOYSA-N camphene Chemical compound C1CC2C(=C)C(C)(C)C1C2 CRPUJAZIXJMDBK-UHFFFAOYSA-N 0.000 description 2
- 238000002059 diagnostic imaging Methods 0.000 description 2
- 238000001035 drying Methods 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 239000008103 glucose Substances 0.000 description 2
- 238000003384 imaging method Methods 0.000 description 2
- 239000012535 impurity Substances 0.000 description 2
- 239000000594 mannitol Substances 0.000 description 2
- 235000010355 mannitol Nutrition 0.000 description 2
- 239000000463 material Substances 0.000 description 2
- 229940100474 polyethylene glycol 1450 Drugs 0.000 description 2
- 235000012424 soybean oil Nutrition 0.000 description 2
- 241000894007 species Species 0.000 description 2
- 239000003381 stabilizer Substances 0.000 description 2
- 235000000346 sugar Nutrition 0.000 description 2
- 239000008215 water for injection Substances 0.000 description 2
- SLKDGVPOSSLUAI-PGUFJCEWSA-N 1,2-dihexadecanoyl-sn-glycero-3-phosphoethanolamine zwitterion Chemical compound CCCCCCCCCCCCCCCC(=O)OC[C@H](COP(O)(=O)OCCN)OC(=O)CCCCCCCCCCCCCCC SLKDGVPOSSLUAI-PGUFJCEWSA-N 0.000 description 1
- VAPDZNUFNKUROY-UHFFFAOYSA-N 2,4,6-triiodophenol Chemical compound OC1=C(I)C=C(I)C=C1I VAPDZNUFNKUROY-UHFFFAOYSA-N 0.000 description 1
- VYXCQGPAYIQVFL-UHFFFAOYSA-N 2-octan-2-yloxyoctane Chemical compound CCCCCCC(C)OC(C)CCCCCC VYXCQGPAYIQVFL-UHFFFAOYSA-N 0.000 description 1
- FBPFZTCFMRRESA-FSIIMWSLSA-N D-Glucitol Natural products OC[C@H](O)[C@H](O)[C@@H](O)[C@H](O)CO FBPFZTCFMRRESA-FSIIMWSLSA-N 0.000 description 1
- FBPFZTCFMRRESA-JGWLITMVSA-N D-glucitol Chemical compound OC[C@H](O)[C@@H](O)[C@H](O)[C@H](O)CO FBPFZTCFMRRESA-JGWLITMVSA-N 0.000 description 1
- 229920005682 EO-PO block copolymer Polymers 0.000 description 1
- LYCAIKOWRPUZTN-UHFFFAOYSA-N Ethylene glycol Chemical compound OCCO LYCAIKOWRPUZTN-UHFFFAOYSA-N 0.000 description 1
- 229920002556 Polyethylene Glycol 300 Polymers 0.000 description 1
- 229920002565 Polyethylene Glycol 400 Polymers 0.000 description 1
- PXRCIOIWVGAZEP-UHFFFAOYSA-N Primaeres Camphenhydrat Natural products C1CC2C(O)(C)C(C)(C)C1C2 PXRCIOIWVGAZEP-UHFFFAOYSA-N 0.000 description 1
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 1
- CZMRCDWAGMRECN-UGDNZRGBSA-N Sucrose Chemical compound O[C@H]1[C@H](O)[C@@H](CO)O[C@@]1(CO)O[C@@H]1[C@H](O)[C@@H](O)[C@H](O)[C@@H](CO)O1 CZMRCDWAGMRECN-UGDNZRGBSA-N 0.000 description 1
- 229930006000 Sucrose Natural products 0.000 description 1
- 125000002947 alkylene group Chemical group 0.000 description 1
- XCPQUQHBVVXMRQ-UHFFFAOYSA-N alpha-Fenchene Natural products C1CC2C(=C)CC1C2(C)C XCPQUQHBVVXMRQ-UHFFFAOYSA-N 0.000 description 1
- 125000000129 anionic group Chemical group 0.000 description 1
- 239000012736 aqueous medium Substances 0.000 description 1
- 239000007864 aqueous solution Substances 0.000 description 1
- 238000000149 argon plasma sintering Methods 0.000 description 1
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 description 1
- WQZGKKKJIJFFOK-VFUOTHLCSA-N beta-D-glucose Chemical compound OC[C@H]1O[C@@H](O)[C@H](O)[C@@H](O)[C@@H]1O WQZGKKKJIJFFOK-VFUOTHLCSA-N 0.000 description 1
- 239000003633 blood substitute Substances 0.000 description 1
- 229930006739 camphene Natural products 0.000 description 1
- ZYPYEBYNXWUCEA-UHFFFAOYSA-N camphenilone Natural products C1CC2C(=O)C(C)(C)C1C2 ZYPYEBYNXWUCEA-UHFFFAOYSA-N 0.000 description 1
- 239000000969 carrier Substances 0.000 description 1
- 125000002091 cationic group Chemical group 0.000 description 1
- 235000013351 cheese Nutrition 0.000 description 1
- 239000013626 chemical specie Substances 0.000 description 1
- 229920001577 copolymer Polymers 0.000 description 1
- 229940097362 cyclodextrins Drugs 0.000 description 1
- 230000007123 defense Effects 0.000 description 1
- 230000001627 detrimental effect Effects 0.000 description 1
- 239000003085 diluting agent Substances 0.000 description 1
- 238000010790 dilution Methods 0.000 description 1
- 239000012895 dilution Substances 0.000 description 1
- 238000009826 distribution Methods 0.000 description 1
- 239000002552 dosage form Substances 0.000 description 1
- 238000012377 drug delivery Methods 0.000 description 1
- 238000002593 electrical impedance tomography Methods 0.000 description 1
- 238000004945 emulsification Methods 0.000 description 1
- 150000002148 esters Chemical class 0.000 description 1
- HQPMKSGTIOYHJT-UHFFFAOYSA-N ethane-1,2-diol;propane-1,2-diol Chemical compound OCCO.CC(O)CO HQPMKSGTIOYHJT-UHFFFAOYSA-N 0.000 description 1
- 238000009472 formulation Methods 0.000 description 1
- 230000008014 freezing Effects 0.000 description 1
- 238000007710 freezing Methods 0.000 description 1
- 239000000193 iodinated contrast media Substances 0.000 description 1
- 229920001427 mPEG Polymers 0.000 description 1
- 230000007935 neutral effect Effects 0.000 description 1
- 230000003204 osmotic effect Effects 0.000 description 1
- 229910052760 oxygen Inorganic materials 0.000 description 1
- 239000001301 oxygen Substances 0.000 description 1
- 229950011087 perflunafene Drugs 0.000 description 1
- UWEYRJFJVCLAGH-IJWZVTFUSA-N perfluorodecalin Chemical compound FC1(F)C(F)(F)C(F)(F)C(F)(F)[C@@]2(F)C(F)(F)C(F)(F)C(F)(F)C(F)(F)[C@@]21F UWEYRJFJVCLAGH-IJWZVTFUSA-N 0.000 description 1
- 238000012831 peritoneal equilibrium test Methods 0.000 description 1
- 229920001993 poloxamer 188 Polymers 0.000 description 1
- 229920002523 polyethylene Glycol 1000 Polymers 0.000 description 1
- 229940068965 polysorbates Drugs 0.000 description 1
- 238000012636 positron electron tomography Methods 0.000 description 1
- 238000012877 positron emission topography Methods 0.000 description 1
- 230000000717 retained effect Effects 0.000 description 1
- 150000003839 salts Chemical class 0.000 description 1
- 238000002603 single-photon emission computed tomography Methods 0.000 description 1
- 238000004513 sizing Methods 0.000 description 1
- 239000011780 sodium chloride Substances 0.000 description 1
- 230000007928 solubilization Effects 0.000 description 1
- 238000005063 solubilization Methods 0.000 description 1
- 239000000600 sorbitol Substances 0.000 description 1
- 239000005720 sucrose Substances 0.000 description 1
- 150000008163 sugars Chemical class 0.000 description 1
- 239000000725 suspension Substances 0.000 description 1
- 229940126585 therapeutic drug Drugs 0.000 description 1
- 230000001988 toxicity Effects 0.000 description 1
- 231100000419 toxicity Toxicity 0.000 description 1
- 239000003981 vehicle Substances 0.000 description 1
- XOOUIPVCVHRTMJ-UHFFFAOYSA-L zinc stearate Chemical class [Zn+2].CCCCCCCCCCCCCCCCCC([O-])=O.CCCCCCCCCCCCCCCCCC([O-])=O XOOUIPVCVHRTMJ-UHFFFAOYSA-L 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/0012—Galenical forms characterised by the site of application
- A61K9/0019—Injectable compositions; Intramuscular, intravenous, arterial, subcutaneous administration; Compositions to be administered through the skin in an invasive manner
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
- A61K47/06—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
- A61K47/08—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite containing oxygen, e.g. ethers, acetals, ketones, quinones, aldehydes, peroxides
- A61K47/10—Alcohols; Phenols; Salts thereof, e.g. glycerol; Polyethylene glycols [PEG]; Poloxamers; PEG/POE alkyl ethers
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
- A61K47/06—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
- A61K47/08—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite containing oxygen, e.g. ethers, acetals, ketones, quinones, aldehydes, peroxides
- A61K47/14—Esters of carboxylic acids, e.g. fatty acid monoglycerides, medium-chain triglycerides, parabens or PEG fatty acid esters
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K49/00—Preparations for testing in vivo
- A61K49/22—Echographic preparations; Ultrasound imaging preparations ; Optoacoustic imaging preparations
- A61K49/222—Echographic preparations; Ultrasound imaging preparations ; Optoacoustic imaging preparations characterised by a special physical form, e.g. emulsions, liposomes
- A61K49/225—Microparticles, microcapsules
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/10—Dispersions; Emulsions
- A61K9/107—Emulsions ; Emulsion preconcentrates; Micelles
- A61K9/1075—Microemulsions or submicron emulsions; Preconcentrates or solids thereof; Micelles, e.g. made of phospholipids or block copolymers
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/10—Dispersions; Emulsions
- A61K9/127—Liposomes
- A61K9/1271—Non-conventional liposomes, e.g. PEGylated liposomes, liposomes coated with polymers
- A61K9/1272—Non-conventional liposomes, e.g. PEGylated liposomes, liposomes coated with polymers with substantial amounts of non-phosphatidyl, i.e. non-acylglycerophosphate, surfactants as bilayer-forming substances, e.g. cationic lipids
Definitions
- This invention relates to aqueous pharmaceutical or diagnostic compositions containing flexible particles, eg. emulsion droplets or vesicles, and in particular to formulation improvements which facilitate the heat sterilization of such compositions .
- compositions containing emulsion droplets or flexible vesicles have been proposed for both therapeutic and diagnostic use.
- vesicles may be used to carry or contain diagnostically or therapeutically effective agents, eg. contrast agents for diagnostic imaging modalities such as X-ray, MR, ultrasound, scintigraphy, light imaging, SPECT, PET, magnetotomography and electrical impedance tomography .
- water-insoluble, liquid agents eg. iodinated contrast media for X-ray imaging, or fluorocarbons for use as oxygen carriers in blood replacements, have been formulated as oil-in-water emulsions.
- Dispersions for parenteral administration generally require the use of a surfactant as an emulsifier or stabilizer, routinely at low concentrations, eg. 2% by weight .
- non-ionic surfactants as emulsifiers (the term "emulsifier” will be used hereinafter to cover such surfactants used as emulsifiers and/or stabilizers in particulate dispersions) .
- the use of non-ionics is further desirable since they impart steric stability.
- non-ionic surfactant is used as an emulsifier for such flexible particle dispersions
- problems of thermal sterilization are exacerbated as at elevated temperatures such non-ionic surfactants undergo a well-known phase separation (referred to- as a cloud point) which may cause the compositions to flocculate or coalesce.
- non-ionic surfactant containing dispersions of flexible particles can be stabilized for thermal sterilization by the inclusion in the dispersion medium of a non-ionic water-soluble cloud point modifier at a concentration such that the cloud point of the dispersion medium is above the temperature used for steam sterilization, ie. generally 121°C or above.
- a non-ionic water-soluble cloud point modifier at a concentration such that the cloud point of the dispersion medium is above the temperature used for steam sterilization, ie. generally 121°C or above.
- Such modifiers are also useful for steam sterilization of such dispersions at lower temperatures, eg. at 90°C.
- a diagnostic or therapeutic composition comprising physiologically tolerable, diagnostically or therapeutically effective flexible particles and a physiologically tolerable non-ionic surfactant emulsifier in an aqueous dispersion medium, characterised in that said aqueous dispersion medium further contains a physiologically tolerable non-ionic water-soluble cloud point modifier at a concentration such that the cloud point of said medium is above a temperature usable for steam sterilization, preferably above the temperature required for sterilization, usually 121°C or above.
- the invention provides a process for the preparation of a sterile aqueous dispersion, said process comprising steam heat sterilizing (eg. by autoclaving) a composition comprising physiologically tolerable, diagnostically or therapeutically effective flexible particles, and a physiologically tolerable non-ionic surfactant emulsifier in an aqueous dispersion medium, characterised in that said aqueous dispersion medium further contains a physiologically tolerable non-ionic water-soluble cloud point modifier at a concentration such that the cloud point of said medium is above the steam sterilization temperature, preferably above 121°C.
- steam heat sterilizing eg. by autoclaving
- a composition comprising physiologically tolerable, diagnostically or therapeutically effective flexible particles, and a physiologically tolerable non-ionic surfactant emulsifier in an aqueous dispersion medium, characterised in that said aqueous dispersion medium further contains a physiologically tolerable non-ionic water-soluble cloud point modifier at a concentration
- the invention provides the use of heat sterilized compositions according to the invention in therapy or diagnosis, eg. in a diagnostic imaging procedure.
- Non-ionic, water-soluble cloud point modifiers useful according to the invention include poly (ethylene glycols) (eg. PEG 300, PEG 400, PEG 1000, PEG 1450 and PEG 2000, preferably PEG 1450), propylene glycols, monoalcohols (such as methanol, ethanol and isopropanol) , polyols (such as sorbitol, mannitol and glycerol) and cyclodextrins .
- the compositions according to the invention may contain a single non-ionic cloud point modifier or a mixture of two or more non-ionic cloud point modifiers .
- the quantity of non-ionic cloud point modifier used will depend upon the nature and quantity of the other excipients present in the dispersion medium but will be a quantity sufficient to raise the cloud point above the temperature required for sterilization.
- the necessary amount may readily be determined by the person of ordinary skill in pharmaceutical science. Generally the amount will be in the range 0.1 to 50% by weight (relative to the weight of the aqueous phase of the composition) , particularly 1 to 30%, more particularly 5 to 20%.
- non-ionic surfactant emulsifiers used in the compositions of the invention may be for example alkylene oxide polymers or copolymers, eg. poloxamers such as the Pluronics (eg. Pluronic F68 and 108 which are block copolymers of ethylene oxide and propylene oxide) or poloxamines such as the Tetronics (eg.
- Tetronic 908 Tetronic 908 and the Carbowaxes (which are polyethylene glycols (PEGs) ) , tyloxapol, polyvinylpyrrolidone, polyoxyethylene sorbitan fatty acid esters (Tweens) , polysorbates (Spans) , polyoxyl hydrogenated castor oil (Cremophore) , polyoxyl stearates, alkylpolyoxyethylenes, PEG-modified phospholipids, and P-79.
- PEGs polyethylene glycols
- Tweens polyoxyethylene sorbitan fatty acid esters
- Spans polysorbates
- Cremophore polyoxyl hydrogenated castor oil
- PEG-modified phospholipids PEG-modified phospholipids
- P-79 The preparation of P-79 is described in Example 2k of WO96/07437 which is herein incorporated by reference .
- the non-ionic surfactant emulsifier is P-79, especially preferably a poloxamer and most preferably a polyoxyethylene sorbitan fatty acid ester or polysorbate.
- compositions according to the invention contain at least one non- ionic surfactant together with at least one different water-soluble non-ionic material in concentrations sufficient that a stable dispersion (one which does not settle out in less than 24 hours, preferably one which does not settle out in less than 6 months) of the flexible particles is formed in a dispersion medium having a cloud point above a steam sterilization temperature, eg. above 121°C, preferably in the range 90°C to 140°C, especially 121°C to 135°C.
- the total concentration of emulsifier and cloud point modifier will generally lie in the range 5 to 70% by weight, especially 8 to 30%, relative to the weight of the aqueous phase of the composition.
- the dispersion medium is preferably substantially free from dissolved ionic species, eg. salts and other ionic excipients . This is important as the presence of such ionic species generally lowers the cloud point (the temperature at which phase separation of the non-ionic surfactant occurs) and may provoke aggregation of the suspended particles .
- the ionic strength of the dispersion medium is 0.5M or below, preferably 0.15M or below.
- the medium will preferably be made substantially isotonic by the inclusion of physiologically tolerable non-ionic osmolality adjusting agents, eg. sugars and polyols such as sucrose, glucose and mannitol, or by the cloud point modifier itself.
- physiologically tolerable non-ionic osmolality adjusting agents eg. sugars and polyols such as sucrose, glucose and mannitol, or by the cloud point modifier itself.
- the particles in the compositions of the invention may be any flexible particles which have a desired diagnostic or therapeutic effect. Examples include droplets of insoluble iodinated liquids (eg. the X-ray contrast agents described in US-A-5260049) , or fluorocarbons (eg.
- fluorocarbons such as are used in blood substitutes, for example perfluorodecalin
- vesicles containing or carrying a diagnostic or therapeutic agent eg. the vesicles disclosed in PCT/GB96/01362, W096/24381, US-A-5425366 , W096/25955, EP-A-458745, W092/22298, US-A-5573751 , WO95/26205, DE-A- 4219723, PCT/GB95/02378 etc
- the particles are X-ray, MR, ultrasound or scintigraphic contrast agents, and especially preferably they are iodinated X-ray contrast agents.
- the particles may be substantially neutrally charged (eg. to produce extended blood residence times) but may alternatively if desired carry a small net surface charge.
- the cloud point modifier used according to the invention must be non-ionic and must be essentially free from ionic impurities (ie. no more than 1% wt, preferably no more than 0.5%, most preferably no more than 0.1% ionic impurity is generally permissable) in order to avoid modifying the surface charge of the particles.
- the particles in the compositions of the invention may be of any size suitable for parenteral administration, eg. 5 to 8000 n , but since the option for sterile filtration is not available for larger particles it is particularly preferred that the particles have a mean size of 100 to 8000 nm, especially 250 to 6000 nm.
- the particle concentration may be the conventional value for diagnostic or therapeutic efficacy for the particular particles chosen, eg. 0.05 to 50% by weight, preferably 0.5 to 20%, relative to the overall weight of the composition.
- the compositions may contain the particles at higher concentrations than are required on administration, and may be diluted, eg. with water for injections, saline, Ringer's solution, or a sugar solution, just before administration.
- the diluent fluid need not be, but preferably is, non-ionic and/or isotonic.
- pyrogen- free water eg. water for-injections .
- Certain insoluble plant oils eg. soya oil, do have cloud point modifying abilities . It is known that plant oils such as soya oil are contaminated with ionic phospholipids (such as lecithin) , which are known to impart heat stability and charge to flexible particles (see US-A-5298262) . However, as they represent mixtures of various different chemical species such plant oils are not desirable excipients for parenteral use.
- compositions of the invention are preferably essentially free of such oils, eg. containing at maximum 0.5% by wt. plant oil.
- Heat sterilization in the process of the invention may be carried out in a conventional fashion, eg. by autoclaving (steam or moist heat sterilization) .
- Sterilization is preferably effected for at least 15 minutes, preferably 20 minutes or more, at a temperature of 121°C or slightly higher. In some cases, sterilization is performed at lower temperatures for longer times, eg. 110°C for 90 minutes.
- the cloud point modifiers of the invention are useful in such conditions .
- NC 65373 is the sec-octyl ether of 2 , 4, 6-triiodophenol . It is prepared as described in Example 1 of US-A- 5260049.
- An emulsion of sesame oil was prepared by combining sesame oil, P-79, and water in a ratio of 10:2:88 (ie., 10% sesame oil, 2% P-79, and 88% water) .
- P-79 described in Example 2k of PCT/GB95/02109 is a PEG- double ester of molecular weight about 10 kD and formula CH 3 (CH 2 ) 14 COO(CH 2 ) 15 COO( (CH 2 ) 2 0) n CH 3 .
- the cloud point of P- 79 is 104°C in the absence of modifiers) .
- the resulting suspension was then passed through a Microfluidics MHOS microfluidizer at 14,000 PSI at least 6 times.
- the particle size of the emulsion was 196 nm.
- this emulsion was autoclaved under standard conditions (ie. 121°C for 20 minutes), it took on the appearance of cottage cheese, being somewhat flocculated. Upon shaking, this appearance was broken and an emulsion of 229 nm was obtained (particle sizing by light scattering with a Horiba 901a particle sizer) .
- sesame oil was selected to produce a model emulsion system.
- parenteral use it would be replaced by a therapeutic or diagnostic agent oil or a combination of sesame oil and a therapeutic or diagnostic agent oil or other parenteral oils.
- An emulsion was prepared as in Example 2 using 10% sesame oil, 15% NC 65373 (an iodinated contrast agent which is also an oil at room temperature) , 2% P-79, and 15% PEG 1450 (58% water) with a droplet size of 196 nm.
- NC 65373 an iodinated contrast agent which is also an oil at room temperature
- PEG 1450 15% PEG 1450 (58% water) with a droplet size of 196 nm.
- the emulsion retained its appearance with a particle size of 216 nm without agitation of the sample.
- the addition of the non-ionic cloud point modifier, PEG 1450 afforded an autoclavable emulsion.
- Micelles are defined as thermodynamically stable aggregates of amphiphilic molecules in solution.
- the amphiphilic molecules may be ionic (ie. cationic, anionic, or zwitterionic) depending on the charge associated with the hydrophilic moiety of the molecule or the "head group” .
- Another large class of amphiphilic molecules is nonionic in character having either polyhydroxy or polyoxyethylene oxide polar moieties . These molecules aggregate into micelles and can solubilize otherwise water insoluble molecules such as therapeutic and diagnostic agents. Unlike the ionic micelles, these aggregates undergo a distinct phase separation at elevated temperatures known as the cloud point .
- Table 1 illustrates the impact of nonionic cloud point modifiers (i.e. PEG 1450, and propylene glycol) on a 3% (wt/vol%) solution of nonionic surfactant, Tyloxapol, which is above the critical micelle concentration (cmc) . It is apparent from the data that the addition of nonionic cloud point modifiers avoids phase separation during heat sterilization and maintains the micelles in their conventional form.
- Table 1 Impact of Propylene Glycol and PEG 1450 on the Cloud Point of a 3% Solution of Tyloxapol.
- Table 2 illustrates the effect of the addition of nonionic cloud point modifiers upon the cloud point of a 2% (wt/vol%) solution of the nonionic, polymeric surfactant P-79.
- Both nonionic cloud point modifiers are able to elevate the cloud point of a 2% solution of P-79 above that require for steam sterilization (e.g. 121°C) .
- this level of P-79 is above the cmc and thus micelles are present in the solution.
- contrast agents and some therapeutic drugs are in themselves nonionic amphiphilic molecules such that they will aggregate into micelles in aqueous solution and will exhibit the same cloud point behavior as more conventional nonionic surfactants . These types of nonionic micelles will also benefit from the addition of nonionic cloud point modifiers and accompanying heat sterilization.
- Liposomes are hollow spheres of phospholipids arranged in a bilayer such that there are aqueous media both inside and outside the membrane/liposome . While several phospholipids are neutral inasmuch as they exhibit a net charge of zero, they are still zwitterionic molecules (eg. lecithin) . Thus, in general, liposomes are charged particles. However, the process of making these particles "invisible" to the defense systems of the body requires the use of polyethylene oxide (PEG) modified phospholipids to effectively mask the charge of the liposome and make them act like nonionic particles. Thus the use of nonionic cloud point modifiers may further benefit these "stealth" liposomes with respect to steam sterilization.
- PEG polyethylene oxide
- liposomes can be prepared at a concentration of 1.2% lecithin, 0.8% dimyristylphosphatidyl glycerol (DMPG) and 0.5% dipalmitoylphosphatidyl ethanolamine conjugated to PEG or methoxy PEG 5000 (molecular weight) .
- DMPG dimyristylphosphatidyl glycerol
- dipalmitoylphosphatidyl ethanolamine conjugated to PEG or methoxy PEG 5000 (molecular weight) a nonionic cloud point modifier
- heat sterilization of these particles would not be expected to be successful due to unacceptable particle size growth and aggregation.
- the liposomes should survive steam sterilization.
- the nonionic cloud point modifier should be both inside and outside the phospholipid membrane. This is to maintain an equiosmolar concentration across the membrane. Without this, the osmotic pressure may be enough to cause the liposomes to shrink due to water transport to the outside of the membrane where the concentration of nonionic cloud point modifier is higher.
- P-79 can be used to "stealth" these types of liposomes and that the cloud point of this nonionic surfactant can be elevated above the temperature required for steam sterilization.
- Polymer microbubbles are prepared by generating an emulsion using 5 mL of 5 P-73 (a membrane forming polymer having the repeat unit
- shelf temperature is raised to -20°C for primary drying under 300 m torr for 36 to 48 hours. Shelf temperature is then raised to -5°C for secondary drying for about 4 hours.
- the lyophilised product is reconstituted by adding glucose solution to give a total concentration of 10 mg/mL (or 1%) for P-73 and P-7 combined and an isotonic aqueous phase. The product is then steam sterilized at 121°C for 20 minutes.
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Abstract
L'invention se rapporte à une composition de diagnostic ou une composition thérapeutique contenant dans un milieu aqueux de dispersion, d'une part, des particules souples physiologiquement tolérables, efficaces du point de vue du diagnostic ou du point de vue thérapeutique, et d'autre part, un surfactant non ionique physiologiquement tolérable, utilisé comme émulsifiant. Ladite composition est caractérisée par le fait que ledit milieu aqueux de dispersion contient en outre un modificateur de point de trouble physiologiquement acceptable, non ionique et soluble dans l'eau, ledit modificateur se trouvant dans une concentration telle que le point de trouble dudit milieu est supérieure à une température utilisable pour la stérilisation à la vapeur.
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
GBGB9705340.9A GB9705340D0 (en) | 1997-03-14 | 1997-03-14 | Compositions |
GB9705340 | 1997-03-14 | ||
PCT/GB1998/000778 WO1998041239A1 (fr) | 1997-03-14 | 1998-03-16 | Compositions contenant des particules souples, un surfactant non ionique et un modificateur non ionique de point de trouble |
Publications (1)
Publication Number | Publication Date |
---|---|
EP0988055A1 true EP0988055A1 (fr) | 2000-03-29 |
Family
ID=10809255
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
EP98909643A Withdrawn EP0988055A1 (fr) | 1997-03-14 | 1998-03-16 | Compositions contenant des particules souples, un surfactant non ionique et un modificateur non ionique de point de trouble |
Country Status (6)
Country | Link |
---|---|
EP (1) | EP0988055A1 (fr) |
JP (1) | JP2001515503A (fr) |
AU (1) | AU6412598A (fr) |
GB (1) | GB9705340D0 (fr) |
NO (1) | NO994335L (fr) |
WO (1) | WO1998041239A1 (fr) |
Families Citing this family (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
GB9822158D0 (en) * | 1998-10-09 | 1998-12-02 | Nycomed Imaging As | Compositions |
CN103550155A (zh) * | 2013-11-08 | 2014-02-05 | 江南大学 | 一种抑制卵磷脂/非离子表面活性剂混合胶束中溶血磷脂产生的方法 |
WO2019088274A1 (fr) * | 2017-11-01 | 2019-05-09 | 日本製薬株式会社 | Composition pharmaceutique, procédé de stabilisation de composition pharmaceutique, et procédé d'évaluation de la stabilité au stockage d'une composition pharmaceutique |
Family Cites Families (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JPS6078916A (ja) * | 1983-10-03 | 1985-05-04 | Tanpei Seiyaku Kk | 安定な内服用懸濁液 |
JPS6087222A (ja) * | 1983-10-19 | 1985-05-16 | Shionogi & Co Ltd | イミダゾ−ル系抗真菌性外用乳化製剤 |
SE470477B (sv) * | 1992-10-05 | 1994-05-24 | Procell Bioteknik Ab | Salva innehållande fibronektin för behandling av sår |
US5346702A (en) * | 1992-12-04 | 1994-09-13 | Sterling Winthrop Inc. | Use of non-ionic cloud point modifiers to minimize nanoparticle aggregation during sterilization |
US5352459A (en) * | 1992-12-16 | 1994-10-04 | Sterling Winthrop Inc. | Use of purified surface modifiers to prevent particle aggregation during sterilization |
US5326552A (en) * | 1992-12-17 | 1994-07-05 | Sterling Winthrop Inc. | Formulations for nanoparticulate x-ray blood pool contrast agents using high molecular weight nonionic surfactants |
-
1997
- 1997-03-14 GB GBGB9705340.9A patent/GB9705340D0/en active Pending
-
1998
- 1998-03-16 WO PCT/GB1998/000778 patent/WO1998041239A1/fr not_active Application Discontinuation
- 1998-03-16 JP JP54024498A patent/JP2001515503A/ja active Pending
- 1998-03-16 AU AU64125/98A patent/AU6412598A/en not_active Abandoned
- 1998-03-16 EP EP98909643A patent/EP0988055A1/fr not_active Withdrawn
-
1999
- 1999-09-07 NO NO994335A patent/NO994335L/no not_active Application Discontinuation
Non-Patent Citations (1)
Title |
---|
See references of WO9841239A1 * |
Also Published As
Publication number | Publication date |
---|---|
NO994335D0 (no) | 1999-09-07 |
JP2001515503A (ja) | 2001-09-18 |
NO994335L (no) | 1999-11-05 |
AU6412598A (en) | 1998-10-12 |
WO1998041239A1 (fr) | 1998-09-24 |
GB9705340D0 (en) | 1997-04-30 |
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