JP2016531138A - ベンダムスチンの薬学的組成物 - Google Patents
ベンダムスチンの薬学的組成物 Download PDFInfo
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- JP2016531138A JP2016531138A JP2016538988A JP2016538988A JP2016531138A JP 2016531138 A JP2016531138 A JP 2016531138A JP 2016538988 A JP2016538988 A JP 2016538988A JP 2016538988 A JP2016538988 A JP 2016538988A JP 2016531138 A JP2016531138 A JP 2016531138A
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- Prior art keywords
- bendamustine
- solid dispersion
- excipient
- less
- certain embodiments
- 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.)
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Abstract
Description
本明細書に提供される組成物を参照する場合、別途示されない限り、以下の用語は、以下の意味を有する。別途定義されない限り、本明細書で使用されるすべての技術的及び科学的用語は、当業者によって一般に理解されるものと同じ意味を有する。本明細書の用語に対して複数の定義が存在する場合は、別途示されていない限り、この項における定義が優先する。
ベンダムスチンの固体分散体及び固体分散体を含む薬学的組成物が、本明細書に提供される。本組成物は、より高い安定性及びより少ない不純物を示し得る。ある特定の実施形態において、本組成物は、限られた量の不純物を含む。ある特定の実施形態において、本組成物は、貯蔵後の限られた量の不純物を提供する。本明細書に提供される組成物の安定性の増加は、製造及び貯蔵中、活性成分の限定された水中曝露、ならびに固体分散体の熱力学的特性、及び凍結乾燥と乾燥の代替形態との間の乾燥及び固体状態形成のメカニズムの差から生じると見られている。
ベンダムスチン固体分散体及び薬学的組成物の作製方法もまた、本明細書に提供される。本方法は、概して、本明細書に記載されるベンダムスチン分解生成物の量を制御し、その後の固体分散体の固体状態での熱力学特性を制御しつつ、ベンダムスチン組成物の製造を含む。本方法に有用な製剤が、更に提供される。
別の態様において、患者における医学的状態の治療方法が、本明細書に提供される。本方法は、治療的に有効な量の本明細書に提供される薬学的組成物を投与することを含み、この状態は、薬学的組成物による治療に適している。本組成物による治療に適しているいくつかの状態としては、慢性リンパ球性白血病(CLL)、ホジキン病、非ホジキンリンパ腫(NHL)、多発性骨髄腫(MM)、乳癌、小細胞肺癌、過剰増殖性障害、及び自己免疫疾患が挙げられる。好ましい状態としては、NHL、CLL、乳癌、及びMMが挙げられる。好ましい自己免疫疾患としては、リウマチ性関節炎、多発性硬化症、及びループスが挙げられる。
増殖性及び自己免疫疾患の治療方法で使用するためのキットも提供される。このキットは、本明細書に提供される組成物、第2の薬剤または組成物、及び疾患を治療するための使用法に関するヘルスケアプロバイダーへの情報を提供する取扱説明書を含み得る。取扱説明書は、印刷された形式、または電子媒体の形式、例えば、フロッピーディスク、CD、もしくはDVD等、そのような取扱説明書を得ることができるウェブサイトのアドレスの形式、またはスマートフォン、タブレット、もしくはウェアラブル電子デバイス応用を得ることができるウェブサイトの形式で提供され得る。本明細書に提供される化合物もしくは組成物、または第2の薬剤もしくは組成物の単位用量は、対象に投与された場合に、治療的または予防的に有効な血漿レベルの化合物または組成物を少なくとも1日間対象において維持され得るように、服用量を含むことができる。いくつかの実施形態において、化合物または組成物は、滅菌水性薬学的組成物または乾燥粉末(例えば、噴霧乾燥)組成物として含むことができる。
ある特定の実施形態において、本明細書に提供される組成物は、増殖性または自己免疫障害の治療方法に有用であり、本方法は、治療を必要とする対象におけるこれらの障害の治療に有効な第2の薬剤のさらなる投与を含む。第2の薬剤は、現在、米国食品医薬品局または世界的な他の当局により認可されたものを含む、生涯の治療に有効である当業者に既知のいずれの薬剤であり得る。
いくつかの予備乾燥水性及び非水性製剤を、様々な濃度のベンダムスチン、有機溶媒、マンニトール、及び水で調製した。噴霧乾燥起動の開発を、乾燥機排気口での水分含有量、排気口温度、粒子流れの特徴、及び乾燥粉末の再構成の特徴について、それぞれのステップで変更及び最適化した。
ベースラインを発展させるために、10%(v/v)エタノール/水の溶液中にベンダムスチン塩酸塩APIを溶解することによって、2つの薬学的組成物を得た。60mlの10%(v/v)エタノール水溶液中に600mgのベンダムスチンHCL及び1020mgのマンニトールを溶解することによって、バッチ1を得た。したがって、このバッチの総固体比は、2.8%であった。80mlの10%(v/v)エタノール水溶液中に400mgのベンダムスチンHCL及び680mgのマンニトールを溶解することによって、バッチ2を得た。したがって、このバッチの総固体比は、1.4%(w/w)であった。両バッチにおいて、マンニトール対ベンダムスチンの比は、およそ1.7である。
前述の製剤中に水を使用する理由の1つは、マンニトール(アルコール中には溶解されない)の十分な溶解を確実に行うことであった。しかしながら、アルコール中に溶解される他の賦形剤がある。そのような賦形剤のうちの2つの例が、ポリビニルピロリドン(PVP)及びHPMC−ASである。この場合、ベンダムスチン及び賦形剤(PVPまたはHPMC−AS)をエタノール中に溶解させ、実施例3と同じ方法で噴霧乾燥させた。
水分が乾燥粉末に与える影響を評価するために、安定性試験が、バッチ3及び4において行われた。表6は、周囲条件下で2カ月間貯蔵後のバッチ3及び4におけるHPLCの結果(方法2)を示す。2カ月後でさえ、バッチ3及び4は両方とも、いかなるHP1の分解も示さなかったことが見出された。他のバッチと比較して、t=0で水分レベルの上昇を測定することができたため、このことは、特に、バッチ3においては、驚くべきことであった。これは、本質的に、ベンダムスチンを水に触れないようにし、加水分解を阻害する分散液中のPVPの有益な特性に起因している。
2つの組成物を、別々の容器中で製剤化した。バッチ5においては、水性組成物は、70mlの水中に溶解した1190mgのマンニトールから成った。70mlのエタノール中に700mgのベンダムスチン塩酸塩を溶解することによって、非水性組成物を製剤化した。エタノール/ベンダムスチン溶液は冷却して、可能な副反応の程度を最小限に抑えることができる。バッチ6においては、70mlの水中に溶解した2380mgのマンニトールから成る水性組成物を製剤化した。70mlのn−プロパノール中に1400mgのベンダムスチンを溶解することによって、非水性組成物を製剤化した。プロパノール/ベンダムスチン溶液を冷却して、可能な副反応の程度を最小限に抑えることができる。供給ポンプ(図1を参照)の両方を同量の体積流量を有するように設定した。しかしながら、実験設定により、若干の偏差が観察された。この意図せぬ偏差から生じるAPIに対する観察されたマンニトールの比は、バッチ5においては1.9であり、バッチ6においては1.8であった。表7は、バッチ5及びバッチ6におけるプロセスパラメータを示す。
バッチ1〜6のそれぞれから得た、25mgのベンダムスチン塩酸塩APIを含有する乾燥粉末を、適切な大きさの透明容器に加えた。その後、5mlの水を容器に加え、この容器を密封して、約20秒間振とうした。次いで、この溶液を静置した。水を添加してから2分及び3分後、目視観測によって、この溶液の透明度を評価した。すべての場合において、溶液は透明であり、水中の乾燥粉末の完全溶解を示す微粒子は観察されなかった。
Claims (74)
- ベンダムスチンまたはその薬学的に許容される塩もしくは誘導体及び1つ以上の薬学的に許容される賦形剤、希釈剤、もしくは担体からなる、固体分散体。
- 噴霧乾燥した固体分散体、流動床噴霧乾燥した固体分散体、または造粒した固体分散体である、請求項1に記載の前記固体分散体。
- サッカリド賦形剤またはサッカリドアルコール賦形剤を含む、請求項1に記載の前記固体分散体。
- 前記賦形剤が、マンニトール、マルチトール、ソルビトール、エリスリトール、キシリトール、ラクチトール、ラクトース、スクロース、グリコース、マルトース、トレハロース、デキストロース、及びそれらの組み合わせからなる群から選択される、請求項3に記載の前記固体分散体。
- ベンダムスチン対賦形剤の重量比が、約5:1〜約1:20である、請求項3に記載の前記固体分散体。
- ベンダムスチン対賦形剤の重量比が、約1:1.7である、請求項3に記載の前記固体分散体。
- ポリマー賦形剤を含む、請求項1に記載の前記固体分散体。
- 前記ポリマー賦形剤が、ビニルピロリドン、ヒドロキシプロピルメチルセルロース、ヒドロキシプロピルメチルセルロースアセテートスクシネート(HPMC−AS)、エチレングリコール、プロピレングリコール、炭酸プロピレン、酢酸ビニル、プロピオン酸ビニル、ビニルカプロラクタム、酢酸セルロース、エチルセルロース、メチルメタクリレート、メタクリル酸、及びそれらのコポリマーからなる群から選択される非水溶液中に溶解される、請求項7に記載の前記固体分散体。
- 非水性溶媒を含む、請求項1に記載の前記固体分散体。
- 前記非水性溶媒が、tert−ブタノール、n−プロパノール、n−ブタノール、イソプロパノール、エタノール、メタノール、アセトン、酢酸エチル、炭酸ジメチル、アセトニトリル、ジクロロメタン、メチルエチルケトン、メチルイソブチルケトン、1−ペンタノール、酢酸メチル、四塩化炭素、ジメチルスルホキシド、ヘキサフルオロアセトン、クロロブタノール、ジメチルスルホン、酢酸、シクロヘキサン、及びそれらの混合物からなる群から選択される、請求項9に記載の前記固体分散体。
- 前記非水性溶媒が、エタノール、メタノール、プロパノール、ブタノール、イソプロパノール、tert−ブタノール、及びそれらの混合物からなる群から選択される、請求項9に記載の前記固体分散体。
- ベンダムスチンに対して3.9または3.5%未満の総ベンダムスチン分解生成物を含む、請求項1に記載の前記固体分散体。
- 前記ベンダムスチン分解生成物が、HP1、HP2、BM1EE、BM1DCE、ベンダムスチンダイマー、ベンダムスチンマルチマー、及びそれらの組み合わせからなる群から選択される、請求項12に記載の前記固体分散体。
- ベンダムスチンに対して0.5%、0.4%、0.3%、0.2%、0.15%、または0.1%未満の総HP1を含む、請求項12に記載の前記固体分散体。
- 任意の分解生成物が、ベンダムスチンに対する面積パーセントとして、高性能液体クロマトグラフィーによって測定される、請求項12〜14のいずれか一項に記載の前記固体分散体。
- 請求項1〜15のいずれか一項に記載の前記固体分散体を含む、薬学的組成物。
- 製造出荷時に3.9または3.5%未満である総ベンダムスチン分解生成物を提供する、請求項16に記載の前記薬学的組成物。
- 製造から2か月、6カ月、12カ月、18カ月、24カ月、または36カ月後に測定して、ベンダムスチンに対して6.9または5.0%未満の総ベンダムスチン分解生成物を提供する、請求項16に記載の前記薬学的組成物。
- 前記ベンダムスチン分解生成物が、HP1、HP2、BM1EE、BM1DCE、ベンダムスチンダイマー、ベンダムスチンマルチマー、及びそれらの組み合わせからなる群から選択される、請求項17または18に記載の前記固体分散体。
- 製造出荷時にベンダムスチンに対して0.5%、0.4%、0.3%、0.2%、0.15%、または0.1%未満のHP1を提供する、請求項19に記載の前記固体分散体。
- 総ベンダムスチン分解生成物が、25℃、5℃、−5℃、または−20℃での貯蔵後に測定される、請求項20に記載の前記薬学的組成物。
- 前記粉末粒子の形態学的特性及び物理的特性が一貫した粉体流を可能にする、請求項16に記載の前記薬学的組成物。
- 請求項1〜22のいずれか一項に記載の前記固体形態または薬学的組成物を含む、薬学的剤形。
- 約5mg〜約500mgのベンダムスチンを含む、請求項23に記載の前記薬学的剤形。
- 約10mg〜約300mgのベンダムスチンを含む、請求項23に記載の前記薬学的剤形。
- 約25mgのベンダムスチンを含む、請求項23に記載の前記薬学的剤形。
- 約100mgのベンダムスチンを含む、請求項23に記載の前記薬学的剤形。
- 約200mgのベンダムスチンを含む、請求項23に記載の前記薬学的剤形。
- 前記粉末粒子の形態学的特性及び物理的特性が一貫した粉体流を可能にする、請求項23に記載の前記薬学的剤形。
- ベンダムスチンの乾燥粉末調製物の調製方法であって、
a.非水性溶媒中に約1%〜約100%(v/v)のベンダムスチンを溶解させて、予備乾燥溶液を形成することと、
b.前記予備乾燥溶液を乾燥させることと、
を含む、前記方法。 - 前記乾燥ステップが、噴霧乾燥、流動床噴霧乾燥、噴霧造粒、またはそれらの組み合わせを含む、請求項30に記載の前記方法。
- 前記非水性溶媒濃度が、約1%〜約99.9%である、請求項30に記載の前記方法。
- 前記非水性溶媒が、メタノール、エタノール、プロパノール、イソプロパノール、ブタノール、及びtert−ブタノールのうちの1つ以上から選択される、請求項30に記載の前記方法。
- 前記非水性溶媒がプロパノールである、請求項30に記載の前記方法。
- 賦形剤が乾燥前に添加される、請求項30に記載の前記方法。
- 前記乾燥粉末調製物中のベンダムスチン対賦形剤の重量比が、5:1〜1:20である、請求項35に記載の前記方法。
- 前記乾燥粉末調製物中のベンダムスチン対賦形剤の重量比が、1:1.7である、請求項35に記載の前記方法。
- 前記賦形剤がポリビニルピロリドンである、請求項35に記載の前記方法。
- 前記賦形剤がHPMC−ASである、請求項35に記載の前記方法。
- ベンダムスチンの乾燥粉末調製物の調製方法であって、
a.連続様式で、ベンダムスチンを含む非水溶液を、1つ以上の薬学的に許容される賦形剤を含む水溶液と組み合わせるステップと、
b.前記得られた組み合わされた溶液を乾燥させるステップと、
を含む、前記方法。 - 前記非水性溶媒濃度が、約1%〜約100%(v/v)である、請求項40に記載の前記方法。
- 前記乾燥ステップが、噴霧乾燥、流動床噴霧乾燥、噴霧造粒、またはそれらの組み合わせを含む、請求項40に記載の前記方法。
- 前記ベンダムスチン濃度が、前記非水性溶媒中で約0.25〜200mg/mLである、請求項40に記載の前記方法。
- 前記非水溶液及び水溶液が、前記乾燥粉末中のベンダムスチン対賦形剤の比を5:1〜1:20で提供する比率で組み合わせられる、請求項40に記載の前記方法。
- 前記非水溶液及び水溶液が、前記乾燥粉末中のベンダムスチン対賦形剤の比を1:1.7で提供する比率で組み合わせられる、請求項40に記載の前記方法。
- 前記薬学的に許容される賦形剤が、マンニトール、マルチトール、ソルビトール、エリスリトール、キシリトール、ラクチトール、ラクトース、スクロース、グリコース、マルトース、トレハロース、デキストロース、及びそれらの組み合わせからなる群から選択される、請求項40に記載の前記方法。
- 前記薬学的に許容される賦形剤がマンニトールである、請求項40に記載の前記方法。
- 前記乾燥ステップが、
a.前記予備乾燥溶液(複数可)を、噴霧器ノズル(複数可)を通して乾燥チャンバ中に連続的に供給するステップと、
b.約0.99未満の大気圧で前記乾燥チャンバ中に高エンタルピーの空気もしくは不活性ガスを連続的に吹き込むか、または真空を適用するステップと、
を含む、請求項30または40に記載の前記方法。 - 前記乾燥ステップが、
a.前記予備乾燥溶液(複数可)を、噴霧器ノズル(複数可)を通して乾燥チャンバ中に連続的に供給するステップと、
b.約0.5〜約1の大気圧で前記乾燥チャンバ中に高エンタルピーの空気または不活性ガスを連続的に吹き込むステップと、
を含む、請求項30または40に記載の前記方法。 - 前記非水溶液及び水溶液が、前記固体分散体中のベンダムスチン対賦形剤の比を5:1〜1:20で提供する比率で組み合わせられる、請求項40に記載の前記方法。
- 前記非水溶液及び水溶液が、前記固体分散体中のベンダムスチン対賦形剤の比を約1:1.7で提供する比率で組み合わせられる、請求項40に記載の前記方法。
- 請求項30〜51のいずれか一項に記載の前記方法から得られる、前記乾燥粉末。
- 約0.25〜約300mg/mLの濃度のベンダムスチンと、約0.25mg/mL〜約500mg/mLの濃度の非水性賦形剤と、非水性溶媒と、を含む、連続乾燥用予備乾燥製剤。
- 約0.25〜約300mg/mLの濃度のベンダムスチンと、約0.25mg/mL〜約500mg/mLの濃度のポリビニルピロリドンまたはヒドロキシプロピルメチルセルロースアセテートコハク酸塩(HPMC−AS)と、非水性溶媒と、を含む、連続乾燥用予備乾燥製剤。
- 0.25mg/ml〜300mg/mlの濃度の非水性溶媒中ベンダムスチンと、0.25mg/ml〜500mg/mlの濃度の水中マンニトールと、を含む、連続乾燥用予備乾燥製剤セット。
- 患者における医学的状態の治療方法であって、請求項1〜55のいずれか一項に記載の前記調製物を薬学的に許容される溶媒中に溶解させて、薬学的に許容される溶液を生成するステップと、前記患者に、治療的に有効な量の前記溶液を投与するステップと、を含み、前記状態が前記調製物による治療に適している、前記方法。
- 患者における医学的状態の治療方法であって、請求項1〜56のいずれか一項に記載の前記調製物を用いて、薬学的に許容される経口固体形態を得ることと、前記患者に、治療的に有効な量の前記経口用量形態を投与することと、を含み、前記状態が前記調製物による治療に適している、前記方法。
- 前記状態が、慢性リンパ球性白血病、ホジキン病、非ホジキンリンパ腫、多発性骨髄腫、乳癌、小細胞肺癌、及び自己免疫疾患からなる群から選択される、請求項56または57に記載の前記治療方法。
- 前記状態が、非ホジキンリンパ腫である、請求項56または57に記載の前記治療方法。
- 前記状態が、慢性リンパ球性白血病である、請求項56または57に記載の前記治療方法。
- 前記状態が、多発性骨髄腫である、請求項56または57に記載の前記治療方法。
- 1つ以上の抗悪性腫瘍剤と組み合わせて投与することを含む、請求項56〜61のいずれか一項に記載の前記治療方法。
- 前記抗悪性腫瘍剤がCD20に対して特異的な抗体である、請求項62に記載の前記治療方法。
- 薬学的に許容される容器中に、ベンダムスチンと、ベンダムスチンの量に対して約0.4%、0.3%、0.2%、0.15%、または0.1%以下のHP1とを含む、薬学的剤形であって、HP1の前記量が、前記剤形の再構成前、またはその再構成後ゼロ時間時点で存在する、前記薬学的剤形。
- 前記薬学的に許容される容器が、約10〜約500mg/容器のベンダムスチンを含有する、請求項64に記載の前記薬学的剤形。
- 5、4、3、2、または1分以内に薬学的に許容される注射剤形に再構成され得る、請求項64に記載の前記薬学的剤形。
- 薬学的に許容される閉鎖容器中に、ベンダムスチンと、ベンダムスチンの量に対して約0.4%、0.3%、0.2%、0.15%、または0.1%以下のHP1と、を含む、経口薬学的剤形であって、HP1の前記量が、製造出荷時に存在する、前記経口薬学的剤形。
- 約10〜約500mg/用量でベンダムスチンを含む、請求項67に記載の前記経口薬学的剤形。
- ベンダムスチン製品に関する当局の認可を得るための方法であって、出荷時に約0.2%(ベンダムスチンの面積パーセント)以下のHP1を含有するベンダムスチン製品について、出荷規格を3.9%(ベンダムスチンの面積パーセント)未満のベンダムスチン分解物と設定することを含む改良である、前記方法。
- ベンダムスチン製品に関する当局の認可を得るための方法であって、出荷時に約0.2%(ベンダムスチンの面積パーセント)以下のHP1を含有するベンダムスチン製品について、出荷規格を1.4%以下のHP1のベンダムスチンと設定することを含む、前記方法。
- ベンダムスチン製品に関する当局の認可を得るための方法であって、出荷時に約0.2%(ベンダムスチンの面積パーセント)以下のHP1を含有するベンダムスチン製品について、貯蔵寿命規格を6.9%(ベンダムスチンの面積パーセント)未満のベンダムスチン分解物と設定することを含む、前記方法。
- ベンダムスチン分解物の濃度が、出荷時に3.5%(ベンダムスチンの面積パーセント)未満であり、HP1の濃度が、0.2%(ベンダムスチンの面積パーセント)未満であるように、最終製品におけるベンダムスチン分解物の濃度を制御することを含む、ベンダムスチンの乾燥粉末調製物を製造するためのプロセス。
- HP1の濃度が、出荷時に0.7%(ベンダムスチンの面積パーセント)未満であり、ベンダムスチン分解物の濃度が、製品の有効期限切れ時に6.5%未満であるように、最終製品におけるベンダムスチン分解物の濃度を制御することを含み、前記製品が5℃で貯蔵される、ベンダムスチンの乾燥粉末調製物を製造するためのプロセス。
- HP1の濃度が、出荷時に0.2%(ベンダムスチンの面積パーセント)未満であり、ベンダムスチン分解物の濃度が、製品の有効期限切れ時に、6.5%未満であるように、最終製品におけるベンダムスチン分解物の濃度を制御することを含み、前記製品が5℃で貯蔵される、ベンダムスチンの乾燥粉末調製物を製造するためのプロセス。
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