NZ750367B2 - Sustained-release buprenorphine formulations - Google Patents
Sustained-release buprenorphine formulations Download PDFInfo
- Publication number
- NZ750367B2 NZ750367B2 NZ750367A NZ75036717A NZ750367B2 NZ 750367 B2 NZ750367 B2 NZ 750367B2 NZ 750367 A NZ750367 A NZ 750367A NZ 75036717 A NZ75036717 A NZ 75036717A NZ 750367 B2 NZ750367 B2 NZ 750367B2
- Authority
- NZ
- New Zealand
- Prior art keywords
- buprenorphine
- pharmaceutical composition
- injectable pharmaceutical
- group
- acyl
- Prior art date
Links
- 229960001736 buprenorphine Drugs 0.000 title claims description 77
- 239000000203 mixture Substances 0.000 title abstract description 47
- 230000002459 sustained Effects 0.000 title description 5
- RMRJXGBAOAMLHD-CTAPUXPBSA-N buprenorphine Chemical compound C([C@]12[C@H]3OC=4C(O)=CC=C(C2=4)C[C@@H]2[C@]11CC[C@@]3([C@H](C1)[C@](C)(O)C(C)(C)C)OC)CN2CC1CC1 RMRJXGBAOAMLHD-CTAPUXPBSA-N 0.000 title 1
- SECXISVLQFMRJM-UHFFFAOYSA-N n-methylpyrrolidone Chemical group CN1CCCC1=O SECXISVLQFMRJM-UHFFFAOYSA-N 0.000 claims abstract description 23
- 239000008194 pharmaceutical composition Substances 0.000 claims abstract description 16
- 150000003839 salts Chemical class 0.000 claims abstract description 14
- 239000011780 sodium chloride Substances 0.000 claims abstract description 13
- 239000003960 organic solvent Substances 0.000 claims abstract description 10
- 125000002252 acyl group Chemical group 0.000 claims abstract description 9
- 125000004448 alkyl carbonyl group Chemical group 0.000 claims abstract description 9
- 125000000217 alkyl group Chemical group 0.000 claims abstract description 9
- 125000004432 carbon atoms Chemical group C* 0.000 claims abstract description 4
- 230000002045 lasting Effects 0.000 claims abstract description 4
- WVDDGKGOMKODPV-UHFFFAOYSA-N benzyl alcohol Chemical compound OCC1=CC=CC=C1 WVDDGKGOMKODPV-UHFFFAOYSA-N 0.000 claims description 15
- 125000003118 aryl group Chemical group 0.000 claims description 9
- 208000002193 Pain Diseases 0.000 claims description 8
- 239000002904 solvent Substances 0.000 claims description 8
- LXCFILQKKLGQFO-UHFFFAOYSA-N Methylparaben Chemical compound COC(=O)C1=CC=C(O)C=C1 LXCFILQKKLGQFO-UHFFFAOYSA-N 0.000 claims description 6
- 208000001908 Opioid-Related Disorders Diseases 0.000 claims description 6
- 125000005129 aryl carbonyl group Chemical group 0.000 claims description 6
- 235000019445 benzyl alcohol Nutrition 0.000 claims description 5
- 229960004217 benzyl alcohol Drugs 0.000 claims description 5
- 239000007924 injection Substances 0.000 claims description 5
- 230000036407 pain Effects 0.000 claims description 5
- 239000000243 solution Substances 0.000 claims description 5
- 238000002347 injection Methods 0.000 claims description 4
- 230000002335 preservative Effects 0.000 claims description 4
- 239000003755 preservative agent Substances 0.000 claims description 4
- QELSKZZBTMNZEB-UHFFFAOYSA-N Propylparaben Chemical compound CCCOC(=O)C1=CC=C(O)C=C1 QELSKZZBTMNZEB-UHFFFAOYSA-N 0.000 claims description 3
- 239000004292 methyl p-hydroxybenzoate Substances 0.000 claims description 3
- 235000010270 methyl p-hydroxybenzoate Nutrition 0.000 claims description 3
- 229960002216 methylparaben Drugs 0.000 claims description 3
- 239000004405 propyl p-hydroxybenzoate Substances 0.000 claims description 3
- 235000010232 propyl p-hydroxybenzoate Nutrition 0.000 claims description 3
- 229960003415 propylparaben Drugs 0.000 claims description 3
- 238000007920 subcutaneous administration Methods 0.000 claims description 3
- 238000007918 intramuscular administration Methods 0.000 claims description 2
- 238000004519 manufacturing process Methods 0.000 claims 1
- XEKOWRVHYACXOJ-UHFFFAOYSA-N acetic acid ethyl ester Chemical compound CCOC(C)=O XEKOWRVHYACXOJ-UHFFFAOYSA-N 0.000 abstract description 24
- SESFRYSPDFLNCH-UHFFFAOYSA-N Benzyl benzoate Chemical compound C=1C=CC=CC=1C(=O)OCC1=CC=CC=C1 SESFRYSPDFLNCH-UHFFFAOYSA-N 0.000 abstract description 20
- LFQSCWFLJHTTHZ-UHFFFAOYSA-N ethanol Chemical compound CCO LFQSCWFLJHTTHZ-UHFFFAOYSA-N 0.000 abstract description 13
- ZXEKIIBDNHEJCQ-UHFFFAOYSA-N Isobutanol Chemical compound CC(C)CO ZXEKIIBDNHEJCQ-UHFFFAOYSA-N 0.000 abstract description 10
- 229960002903 benzyl benzoate Drugs 0.000 abstract description 10
- LRHPLDYGYMQRHN-UHFFFAOYSA-N n-butanol Chemical compound CCCCO LRHPLDYGYMQRHN-UHFFFAOYSA-N 0.000 abstract description 10
- DNIAPMSPPWPWGF-UHFFFAOYSA-N propylene glycol Chemical compound CC(O)CO DNIAPMSPPWPWGF-UHFFFAOYSA-N 0.000 abstract description 10
- BTANRVKWQNVYAZ-UHFFFAOYSA-N 2-Butanol Chemical compound CCC(C)O BTANRVKWQNVYAZ-UHFFFAOYSA-N 0.000 abstract description 8
- XTHFKEDIFFGKHM-UHFFFAOYSA-N dimethoxyethane Chemical compound COCCOC XTHFKEDIFFGKHM-UHFFFAOYSA-N 0.000 abstract description 5
- PEDCQBHIVMGVHV-UHFFFAOYSA-N glycerine Chemical compound OCC(O)CO PEDCQBHIVMGVHV-UHFFFAOYSA-N 0.000 abstract description 5
- 235000011187 glycerol Nutrition 0.000 abstract description 5
- FXHOOIRPVKKKFG-UHFFFAOYSA-N DMA Chemical compound CN(C)C(C)=O FXHOOIRPVKKKFG-UHFFFAOYSA-N 0.000 abstract description 4
- IAZDPXIOMUYVGZ-UHFFFAOYSA-N dimethylsulphoxide Chemical compound CS(C)=O IAZDPXIOMUYVGZ-UHFFFAOYSA-N 0.000 abstract description 4
- BDCFWIDZNLCTMF-UHFFFAOYSA-N 2-phenylpropan-2-ol Chemical compound CC(C)(O)C1=CC=CC=C1 BDCFWIDZNLCTMF-UHFFFAOYSA-N 0.000 abstract 2
- RMRJXGBAOAMLHD-IHFGGWKQSA-N Buprenorphine Chemical compound C([C@]12[C@H]3OC=4C(O)=CC=C(C2=4)C[C@@H]2[C@]11CC[C@]3([C@H](C1)[C@](C)(O)C(C)(C)C)OC)CN2CC1CC1 RMRJXGBAOAMLHD-IHFGGWKQSA-N 0.000 description 99
- GHVNFZFCNZKVNT-UHFFFAOYSA-M caprate Chemical compound CCCCCCCCCC([O-])=O GHVNFZFCNZKVNT-UHFFFAOYSA-M 0.000 description 16
- 238000009472 formulation Methods 0.000 description 11
- 239000003814 drug Substances 0.000 description 8
- 235000019439 ethyl acetate Nutrition 0.000 description 8
- 238000004090 dissolution Methods 0.000 description 7
- 239000000651 prodrug Substances 0.000 description 7
- 229940002612 prodrugs Drugs 0.000 description 7
- 150000001263 acyl chlorides Chemical class 0.000 description 6
- FUZZWVXGSFPDMH-UHFFFAOYSA-M caproate Chemical compound CCCCCC([O-])=O FUZZWVXGSFPDMH-UHFFFAOYSA-M 0.000 description 6
- 229940079593 drugs Drugs 0.000 description 6
- POULHZVOKOAJMA-UHFFFAOYSA-M laurate Chemical compound CCCCCCCCCCCC([O-])=O POULHZVOKOAJMA-UHFFFAOYSA-M 0.000 description 6
- 238000010254 subcutaneous injection Methods 0.000 description 6
- 239000007929 subcutaneous injection Substances 0.000 description 6
- 241000700159 Rattus Species 0.000 description 5
- -1 buprenorphine ester Chemical class 0.000 description 5
- 150000002148 esters Chemical class 0.000 description 5
- 238000000338 in vitro Methods 0.000 description 5
- 230000001225 therapeutic Effects 0.000 description 5
- 230000015572 biosynthetic process Effects 0.000 description 4
- 239000012458 free base Substances 0.000 description 4
- 238000011065 in-situ storage Methods 0.000 description 4
- PXIPVTKHYLBLMZ-UHFFFAOYSA-N sodium azide Chemical compound [Na+].[N-]=[N+]=[N-] PXIPVTKHYLBLMZ-UHFFFAOYSA-N 0.000 description 4
- ZMANZCXQSJIPKH-UHFFFAOYSA-N triethylamine Chemical compound CCN(CC)CC ZMANZCXQSJIPKH-UHFFFAOYSA-N 0.000 description 4
- SFNLWIKOKQVFPB-KZCPYJDTSA-N Bunavail Chemical compound O=C([C@@H]1O2)CC[C@@]3(O)[C@H]4CC5=CC=C(O)C2=C5[C@@]13CCN4CC=C.C([C@]12[C@H]3OC=4C(O)=CC=C(C2=4)C[C@@H]2[C@]11CC[C@]3([C@H](C1)[C@](C)(O)C(C)(C)C)OC)CN2CC1CC1 SFNLWIKOKQVFPB-KZCPYJDTSA-N 0.000 description 3
- 208000000094 Chronic Pain Diseases 0.000 description 3
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- 229940098466 Sublingual Tablet Drugs 0.000 description 3
- 150000001875 compounds Chemical class 0.000 description 3
- 230000000694 effects Effects 0.000 description 3
- RTZKZFJDLAIYFH-UHFFFAOYSA-N ether Substances CCOCC RTZKZFJDLAIYFH-UHFFFAOYSA-N 0.000 description 3
- 238000005755 formation reaction Methods 0.000 description 3
- 238000010255 intramuscular injection Methods 0.000 description 3
- 239000004005 microsphere Substances 0.000 description 3
- 230000003364 opioid Effects 0.000 description 3
- 239000006190 sub-lingual tablet Substances 0.000 description 3
- 229940002226 Buccal Film Drugs 0.000 description 2
- 229960001889 Buprenorphine hydrochloride Drugs 0.000 description 2
- 241000282472 Canis lupus familiaris Species 0.000 description 2
- 230000037242 Cmax Effects 0.000 description 2
- 210000002381 Plasma Anatomy 0.000 description 2
- 229940053209 Suboxone Drugs 0.000 description 2
- QTBSBXVTEAMEQO-UHFFFAOYSA-M acetate Chemical compound CC([O-])=O QTBSBXVTEAMEQO-UHFFFAOYSA-M 0.000 description 2
- 125000002777 acetyl group Chemical group [H]C([H])([H])C(*)=O 0.000 description 2
- 239000008186 active pharmaceutical agent Substances 0.000 description 2
- 230000036592 analgesia Effects 0.000 description 2
- 229920002988 biodegradable polymer Polymers 0.000 description 2
- 239000004621 biodegradable polymer Substances 0.000 description 2
- 239000000969 carrier Substances 0.000 description 2
- 239000003153 chemical reaction reagent Substances 0.000 description 2
- 239000007943 implant Substances 0.000 description 2
- 239000007927 intramuscular injection Substances 0.000 description 2
- 150000002500 ions Chemical class 0.000 description 2
- 239000002207 metabolite Substances 0.000 description 2
- YMWUJEATGCHHMB-UHFFFAOYSA-N methylene dichloride Chemical compound ClCCl YMWUJEATGCHHMB-UHFFFAOYSA-N 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 238000006011 modification reaction Methods 0.000 description 2
- IJGRMHOSHXDMSA-UHFFFAOYSA-N nitrogen Chemical compound N#N IJGRMHOSHXDMSA-UHFFFAOYSA-N 0.000 description 2
- 201000008125 pain agnosia Diseases 0.000 description 2
- ISWSIDIOOBJBQZ-UHFFFAOYSA-N phenol group Chemical group C1(=CC=CC=C1)O ISWSIDIOOBJBQZ-UHFFFAOYSA-N 0.000 description 2
- 239000002953 phosphate buffered saline Substances 0.000 description 2
- 229920000642 polymer Polymers 0.000 description 2
- 230000003389 potentiating Effects 0.000 description 2
- 239000000018 receptor agonist Substances 0.000 description 2
- 229910052708 sodium Inorganic materials 0.000 description 2
- 239000011734 sodium Substances 0.000 description 2
- 239000000725 suspension Substances 0.000 description 2
- RGPDIGOSVORSAK-STHHAXOLSA-N (4R,4aS,7aR,12bS)-4a,9-dihydroxy-3-prop-2-enyl-1,2,3,4,5,6,7a,13-octahydro-4,12-methanobenzofuro[3,2-e]isoquinoline-3-ium-7-one;chloride Chemical compound Cl.O=C([C@@H]1O2)CC[C@@]3(O)[C@H]4CC5=CC=C(O)C2=C5[C@@]13CCN4CC=C RGPDIGOSVORSAK-STHHAXOLSA-N 0.000 description 1
- AFSHUZFNMVJNKX-CLFAGFIQSA-N 1,2-dioleoylglycerol Chemical compound CCCCCCCC\C=C/CCCCCCCC(=O)OCC(CO)OC(=O)CCCCCCC\C=C/CCCCCCCC AFSHUZFNMVJNKX-CLFAGFIQSA-N 0.000 description 1
- 206010001584 Alcohol abuse Diseases 0.000 description 1
- 229940096447 Belbuca Drugs 0.000 description 1
- 210000004369 Blood Anatomy 0.000 description 1
- 229940062108 Bunavail Drugs 0.000 description 1
- 229940087828 Buprenex Drugs 0.000 description 1
- BVKZGUZCCUSVTD-UHFFFAOYSA-L Carbonate dianion Chemical compound [O-]C([O-])=O BVKZGUZCCUSVTD-UHFFFAOYSA-L 0.000 description 1
- GVGLGOZIDCSQPN-PVHGPHFFSA-N Heroin Chemical compound O([C@H]1[C@H](C=C[C@H]23)OC(C)=O)C4=C5[C@@]12CCN(C)[C@@H]3CC5=CC=C4OC(C)=O GVGLGOZIDCSQPN-PVHGPHFFSA-N 0.000 description 1
- 229940120060 Heroin Drugs 0.000 description 1
- 241000229754 Iva xanthiifolia Species 0.000 description 1
- 208000000682 Megaloblastic Anemia Diseases 0.000 description 1
- USSIQXCVUWKGNF-UHFFFAOYSA-N Methadone Chemical compound C=1C=CC=CC=1C(CC(C)N(C)C)(C(=O)CC)C1=CC=CC=C1 USSIQXCVUWKGNF-UHFFFAOYSA-N 0.000 description 1
- BQJCRHHNABKAKU-KBQPJGBKSA-N Morphine Chemical compound O([C@H]1[C@H](C=C[C@H]23)O)C4=C5[C@@]12CCN(C)[C@@H]3CC5=CC=C4O BQJCRHHNABKAKU-KBQPJGBKSA-N 0.000 description 1
- UIIMBOGNXHQVGW-UHFFFAOYSA-M NaHCO3 Chemical class [Na+].OC([O-])=O UIIMBOGNXHQVGW-UHFFFAOYSA-M 0.000 description 1
- 229960005250 Naloxone Hydrochloride Drugs 0.000 description 1
- DEQANNDTNATYII-RRCPSWKPSA-N Octreotide Chemical compound C([C@@H](N)C(=O)N[C@H]1CSSC[C@H](NC(=O)[C@H](C(C)O)NC(=O)[C@H](CCCCN)NC(=O)[C@@H](CC=2C3=CC=CC=C3NC=2)NC(=O)[C@H](CC=2C=CC=CC=2)NC1=O)C(=O)N[C@H](CO)[C@H](O)C)C1=CC=CC=C1 DEQANNDTNATYII-RRCPSWKPSA-N 0.000 description 1
- 229920001244 Poly(D,L-lactide) Polymers 0.000 description 1
- 239000002202 Polyethylene glycol Substances 0.000 description 1
- 229940013486 Probuphine Drugs 0.000 description 1
- VQJMAIZOEPPELO-HPXRBUCRSA-N Reckitt Chemical compound Cl.C([C@]12[C@H]3OC=4C(O)=CC=C(C2=4)C[C@@H]2C11CC[C@]3(C(C1)C(C)(O)CCC(C)C)OC)CN2CC1CC1 VQJMAIZOEPPELO-HPXRBUCRSA-N 0.000 description 1
- GHMLBKRAJCXXBS-UHFFFAOYSA-N Resorcinol Chemical group OC1=CC=CC(O)=C1 GHMLBKRAJCXXBS-UHFFFAOYSA-N 0.000 description 1
- 210000003491 Skin Anatomy 0.000 description 1
- DBMJMQXJHONAFJ-UHFFFAOYSA-M Sodium laurylsulphate Chemical compound [Na+].CCCCCCCCCCCCOS([O-])(=O)=O DBMJMQXJHONAFJ-UHFFFAOYSA-M 0.000 description 1
- 229940095172 Subutex Drugs 0.000 description 1
- FQXXSQDCDRQNQE-VMDGZTHMSA-N Thebaine Chemical class C([C@@H](N(CC1)C)C2=CC=C3OC)C4=CC=C(OC)C5=C4[C@@]21[C@H]3O5 FQXXSQDCDRQNQE-VMDGZTHMSA-N 0.000 description 1
- 229940035295 Ting Drugs 0.000 description 1
- 210000003462 Veins Anatomy 0.000 description 1
- 229940106094 Zubsolv Drugs 0.000 description 1
- GPLOTACQBREROW-WQLSNUALSA-N [(2R,3R)-5,7-dihydroxy-2-[3,4,5-trihydroxy-6-oxo-8-[(2R,3R)-3,5,7-trihydroxy-3,4-dihydro-2H-chromen-2-yl]benzo[7]annulen-1-yl]-3,4-dihydro-2H-chromen-3-yl] 3,4,5-trihydroxybenzoate Chemical class O([C@@H]1CC2=C(O)C=C(O)C=C2O[C@@H]1C=1C2=CC(=CC(=O)C(O)=C2C(O)=C(O)C=1)[C@H]1OC2=CC(O)=CC(O)=C2C[C@H]1O)C(=O)C1=CC(O)=C(O)C(O)=C1 GPLOTACQBREROW-WQLSNUALSA-N 0.000 description 1
- 238000005917 acylation reaction Methods 0.000 description 1
- 239000000556 agonist Substances 0.000 description 1
- 201000003082 alcohol use disease Diseases 0.000 description 1
- 229930013930 alkaloids Natural products 0.000 description 1
- 150000001408 amides Chemical class 0.000 description 1
- 238000004458 analytical method Methods 0.000 description 1
- 230000003042 antagnostic Effects 0.000 description 1
- 239000005557 antagonist Substances 0.000 description 1
- 230000001430 anti-depressive Effects 0.000 description 1
- 239000000935 antidepressant agent Substances 0.000 description 1
- 239000007864 aqueous solution Substances 0.000 description 1
- 125000003710 aryl alkyl group Chemical group 0.000 description 1
- 239000002585 base Substances 0.000 description 1
- 125000001797 benzyl group Chemical group [H]C1=C([H])C([H])=C(C([H])=C1[H])C([H])([H])* 0.000 description 1
- 238000006065 biodegradation reaction Methods 0.000 description 1
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- 230000037396 body weight Effects 0.000 description 1
- 239000012267 brine Substances 0.000 description 1
- XVBOQYMTJCZXDR-HPRIMLMLSA-M buprenorphine palmitate Chemical compound CCCCCCCCCCCCCCCC([O-])=O.C([C@]12[C@H]3OC=4C(O)=CC=C(C2=4)C[C@@H]2[C@]11CC[C@@]3([C@H](C1)[C@](C)(O)C(C)(C)C)OC)CN2CC1CC1 XVBOQYMTJCZXDR-HPRIMLMLSA-M 0.000 description 1
- KAIQVAQFUFBYCW-HPRIMLMLSA-M buprenorphine pivalate Chemical compound CC(C)(C)C([O-])=O.C([C@]12[C@H]3OC=4C(O)=CC=C(C2=4)C[C@@H]2[C@]11CC[C@@]3([C@H](C1)[C@](C)(O)C(C)(C)C)OC)CN2CC1CC1 KAIQVAQFUFBYCW-HPRIMLMLSA-M 0.000 description 1
- 125000004063 butyryl group Chemical group O=C([*])C([H])([H])C([H])([H])C([H])([H])[H] 0.000 description 1
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- 238000007796 conventional method Methods 0.000 description 1
- 238000001816 cooling Methods 0.000 description 1
- 230000000875 corresponding Effects 0.000 description 1
- 230000003247 decreasing Effects 0.000 description 1
- 229960002069 diamorphine Drugs 0.000 description 1
- 150000001991 dicarboxylic acids Chemical group 0.000 description 1
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- 239000002552 dosage form Substances 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 125000001495 ethyl group Chemical group [H]C([H])([H])C([H])([H])* 0.000 description 1
- 239000005038 ethylene vinyl acetate Substances 0.000 description 1
- 239000000194 fatty acid Substances 0.000 description 1
- 150000004665 fatty acids Chemical class 0.000 description 1
- 239000011521 glass Substances 0.000 description 1
- 125000000268 heptanoyl group Chemical group O=C([*])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])[H] 0.000 description 1
- 238000004128 high performance liquid chromatography Methods 0.000 description 1
- 150000003840 hydrochlorides Chemical class 0.000 description 1
- 238000002513 implantation Methods 0.000 description 1
- 230000001939 inductive effect Effects 0.000 description 1
- 239000004615 ingredient Substances 0.000 description 1
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- 150000003951 lactams Chemical class 0.000 description 1
- 150000002632 lipids Chemical class 0.000 description 1
- 239000007788 liquid Substances 0.000 description 1
- 238000001294 liquid chromatography-tandem mass spectrometry Methods 0.000 description 1
- 239000004973 liquid crystal related substance Substances 0.000 description 1
- 229960001797 methadone Drugs 0.000 description 1
- BDAGIHXWWSANSR-UHFFFAOYSA-M methanoate Chemical compound [O-]C=O BDAGIHXWWSANSR-UHFFFAOYSA-M 0.000 description 1
- OKKJLVBELUTLKV-UHFFFAOYSA-N methanol Substances OC OKKJLVBELUTLKV-UHFFFAOYSA-N 0.000 description 1
- 229930014694 morphine Natural products 0.000 description 1
- 229960005181 morphine Drugs 0.000 description 1
- 125000001624 naphthyl group Chemical group 0.000 description 1
- 229910052757 nitrogen Inorganic materials 0.000 description 1
- 230000000269 nucleophilic Effects 0.000 description 1
- 239000012044 organic layer Substances 0.000 description 1
- 125000000913 palmityl group Chemical group [H]C([*])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])[H] 0.000 description 1
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- 125000001997 phenyl group Chemical group [H]C1=C([H])C([H])=C(*)C([H])=C1[H] 0.000 description 1
- WTJKGGKOPKCXLL-RRHRGVEJSA-N phosphatidylcholine Chemical compound CCCCCCCCCCCCCCCC(=O)OC[C@H](COP([O-])(=O)OCC[N+](C)(C)C)OC(=O)CCCCCCCC=CCCCCCCCC WTJKGGKOPKCXLL-RRHRGVEJSA-N 0.000 description 1
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- 238000002360 preparation method Methods 0.000 description 1
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- 239000002464 receptor antagonist Substances 0.000 description 1
- 230000002829 reduced Effects 0.000 description 1
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- KEAYESYHFKHZAL-UHFFFAOYSA-N sodium Chemical compound [Na] KEAYESYHFKHZAL-UHFFFAOYSA-N 0.000 description 1
- 239000007787 solid Substances 0.000 description 1
- QIQXTHQIDYTFRH-UHFFFAOYSA-M stearate Chemical compound CCCCCCCCCCCCCCCCCC([O-])=O QIQXTHQIDYTFRH-UHFFFAOYSA-M 0.000 description 1
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- NQPDZGIKBAWPEJ-UHFFFAOYSA-M valerate Chemical compound CCCCC([O-])=O NQPDZGIKBAWPEJ-UHFFFAOYSA-M 0.000 description 1
- 125000003774 valeryl group Chemical group O=C([*])C([H])([H])C([H])([H])C([H])([H])C([H])([H])[H] 0.000 description 1
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 1
- 230000003442 weekly Effects 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/33—Heterocyclic compounds
- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/435—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
- A61K31/47—Quinolines; Isoquinolines
- A61K31/485—Morphinan derivatives, e.g. morphine, codeine
-
- 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
- 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
- A61K47/20—Organic 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
-
- 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
- A61K47/22—Heterocyclic compounds, e.g. ascorbic acid, tocopherol or pyrrolidones
-
- 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
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- 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
- A61K9/08—Solutions
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P25/00—Drugs for disorders of the nervous system
- A61P25/04—Centrally acting analgesics, e.g. opioids
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P25/00—Drugs for disorders of the nervous system
- A61P25/24—Antidepressants
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P25/00—Drugs for disorders of the nervous system
- A61P25/30—Drugs for disorders of the nervous system for treating abuse or dependence
- A61P25/36—Opioid-abuse
Abstract
injectable pharmaceutical composition includes a solution of 3-acyl-buprenorphine, or a pharmaceutically acceptable salt thereof, in a biocompatible organic solvent, wherein the injectable pharmaceutical composition exhibits a steady release profile lasting over one week when injected into a patient. The acyl group is an alkylcarbonyl group, and an alkyl portion of the alkylcarbonyl group is a straight-chain, branched-chain, having 1-20 carbon atoms. The biocompatible organic solvent is N-methyl-2-pyrrolidone, ethyl acetate, ethanol, butanol, 2-butanol, isobutanol, ispropanol, glycerin, benzyl benzoate, dimethyl sulfoxide, N, N-dimethylacetamide, propylene glycol, dimethyl glycol, benzyl alcohol, or a combination of two or more thereof. ent. The acyl group is an alkylcarbonyl group, and an alkyl portion of the alkylcarbonyl group is a straight-chain, branched-chain, having 1-20 carbon atoms. The biocompatible organic solvent is N-methyl-2-pyrrolidone, ethyl acetate, ethanol, butanol, 2-butanol, isobutanol, ispropanol, glycerin, benzyl benzoate, dimethyl sulfoxide, N, N-dimethylacetamide, propylene glycol, dimethyl glycol, benzyl alcohol, or a combination of two or more thereof.
Description
/101327
SUSTAINED-RELEASE ORPHINE FORMULATIONS
BACKGROUND OF INVENTION
Field of the Invention
The invention relates generally to a buprenorphine drug ry . In
particular, the invention relates to an able composition sing buprenorphine, a
prodrug, or a metabolite thereof for the treatment of opioid dependence, pain, and depression.
Background Art
Buprenorphine,
(50L,70t(s))—17—cyclopropy1methy1)—0t—(1,1—dimethylethy1)—4,5—epoxy—
18,19—dihydro—3—hydroxy—6—methoxy—0t—methy1—6,14—ethenomorphinan—7—methanol, is a
derivative of thebaine, which belongs to the family of opioid alkaloids. The ure of
buprenorphine is shown as the following formula (Formula I) with a molecular weight of
467.64:
Formula I (buprenorphine)
As a partial and potent u—receptor agonist, buprenorphine has a higher affinity to
compete with other fu11 agonists, such as morphine, methadone, etc. With 25~40 times higher
potency than that of ne, buprenorphine is indicated for the treatment of moderate to
severe chronic pain, and pre—operative analgesia in several dosage forms, 6.g. Buprenex®
(intramuscular or intravenous injection), Norspan®, Butrans® (transdermal patch), Temgesic®
(sublingual tablet), and Belbuca® (buccal film). The therapeutic concentrations (Cmax) of
Butrans in healthy subjects range from 0.1 to 0.5 ng/mL, ponding to a dose of 5—20
ug/hour. In addition, various products of buprenorphine hydrochloride are approved for
treating opioid addiction in higher dosages, e.g. Subutex® (sublingual tablet), and some are
combination products of buprenorphine hydrochloride and naloxone hydrochloride 6.g.
Suboxone® (sublingual film, in 4:1 ratio of buprenorphine hloride and naloxone
hydrochloride), Zubsolv® (sublingual tablet), and Bunavail® (buccal film). The therapeutic
trations (CmaX) of Suboxone range from 1 to 6 ng/mL, corresponding to a dose of
2—16 mg sublingual films. Furthermore, buprenorphine is also a potent antagonist of K—opioid
receptor, and this feature could result in the reduction of tolerance and antidepressant effect.
Recently, buprenorphine is utilized to form a combination product, ALK—5461, which
consists of buprenorphine (K—receptor antagonist) and rphan (u—receptor agonist) and
has been announced for epressant effect.
In previous studies, s buprenorphine derivatives were disclosed. Among
them, modifications of the phenol group by forming ester bond linkages are more common.
These ester derivatives are synthesized and compared with buprenorphine and hydrochloride
salt thereof. In 1995, Stinchcomb et al. published an article about 3—alkyl ester derivatives of
buprenorphine in Pharm. Res (1995), 12, 1526-1529 (Formula II, R = acetyl, propanoyl,
butanoyl, pentanoyl, yl, heptanoyl). These derivatives were viewed as gs and
purported to improve the physiochemical characteristics of the parent compound to increase
the relative permeability through skin in the ing articles: Biol. Pharm. Bull. (1996), 19,
7 and Pharm. Res. , 13, 1519-1523.
Formula II
Thereafter, several C3—esterfied buprenorphine derivatives and the applications
thereof have been disclosed in various patents. For example, US. Patent No. 7,084,150,
issued to Euro—Celtique S.A., describes a huge family of buprenorphine prodrugs and analogs,
which include ester bonds or ether bond ed derivatives. EP Patent No. 1422230, issued
to Jhi—Joung Wang, discloses dimerized derivatives of buprenorphine and similar
alkylcarbonyl derivatives. Prodrug strategy and oil carrier were introduced by an
intramuscular or subcutaneous injection, which displays g analgesia actions from 5
hours to 96 hours.
WO 50043
A series of buprenorphine ester tives also described in U.S. Patent No.
7,964,610, issued to Reckitt Benckiser Healthcare (UK) Limited. Buprenorphine was
modified with dicarboxylic acids or esters. Then, these derivatives were used for the
treatment of opiate abuse/dependence and for the treatment of moderate to severe pain.
There are a variety of sustained release s for buprenorphine indicated for the
treatment of opioid dependence and chronic pain. For example, Titan pharmaceuticals, Inc.
developed a subcutaneous implant product of buprenorphine hydrochloride, hine®,
using their novel drug delivery system, ProNeuraTM, which is made from a mixture of
ethylene vinyl acetate (EVA) and drug substance. Probuphine® is administrated once every
six month through al implantation and removed from patients after treatment by
surgical procedures.
Camurus established a novel technology for drug delivery systems, FluidCrystal®,
which is based on lipid liquid crystals that are composed of phosphatidyl choline and glycerol
dioleate. The formulation disclosed in US Publication No. 2013/0190341 is designed as a
long—acting buprenorphine product to treat opioid dependence and chronic pain, and is
administrated by aneous injection weekly or monthly.
US. Patent Application Publication No. 2003/0152638, by Brookwood
Pharmaceuticals, Inc., discloses an injectable slow—release microsphere ation that
comprises buprenorphine and poly(D,L—lactide). This formulation is able to treat heroin and
alcohol abuse for a period of at least 28 days in a .
US. Patent Application Publication No. 2014/0271869 (Oakwood Laboratories
LLC) disclosed a biodegradable formulation, which utilized their proprietary logy,
Chronij ectTM. The platform is a polymer—based injectable microspheres system for drug
delivery. The buprenorphine microspheres could be generated in higher drug load and
d to achieve sustained release for at least one month to several months.
Indivior PLC (WO 201 1/154724) developed a monthly depot, which employed
Atrigel system to produce an injectable flowable ation for the treatment of opioid
dependency. The composition es orphine free base, biodegradable polymer, and
a biocompatible t. The dissolved liquid could be injected and transformed in situ into a
solid implant, providing 1—month and 3—month release profiles. In addition, a suspension and
solution designs are sed in WC 201 1/154725 and WC 2015/136253, respectively. The
suspension is composed of buprenorphine and polyethylene glycol polymer in aqueous
conditions, providing a therapeutic period of between 7 and 30 days in dogs after a single
intramuscular or subcutaneous injection. As for the disclosed solution, the composition
consists of buprenorphine or a salt form thereof and a biocompatible c solvent without
a biodegradable polymer. After a single subcutaneous injection in beagle dogs, the
formulation is able to provide at least one—month therapeutic period.
According to the description above, these prior art systems are able to perform
sustained releases. However, there is still a need to p a formulation with better
characteristics, such as a simpler cturing s, an accessible administration
ure, a smoother releasing profile without severe initial burst, or a longer
therapeutically effective duration after a single injection.
SUMMARY OF INVENTION
Embodiments of the present invention relate to a sustained—release pharmaceutical
composition of buprenorphine, a prodrug or a metabolite thereof, forming a depot in situ for a
therapeutically effective duration of at least one week to several months.
One aspect of the invention relates to injectable pharmaceutical compositions. An
injectable pharmaceutical ition in accordance with one embodiment of the invention
es a solution of 3—acyl—buprenorphine, or a ceutically acceptable salt thereof, in
a biocompatible organic solvent, n the injectable pharmaceutical ition ts
a steady release profile lasting over one week when injected into a patient or an animal.
In accordance with ments of the invention, the acyl group is an
alkylcarbonyl group or an arylcarbonyl group. An alkyl portion of the arbonyl group is
a straight—chain, branched—chain, having 1—20 carbon atoms. An aryl group in the
rbonyl group contains an aromatic ring having 6—18 carbons.
In accordance with embodiments of the invention, the biocompatible organic
solvent is N—methyl—2—pyrrolidone, ethyl acetate, ethanol, butanol, nol, isobutanol,
ispropanol, glycerin, benzyl benzoate, dimethyl sulfoxide, N,N—dimethylacetamide,
propylene glycol, dimethyl glycol, benzyl alcohol, an ester, an ether, an amide, a carbonate, a
lactam, a sulfonyl, or any combination thereof.
In accordance with embodiments of the invention, the 3—acyl buprenorphine, or a
pharmaceutically acceptable salt thereof, is present at a concentration of l—99% w/v,
preferably 5—90% w/v, more preferably 10—80% w/v, most preferably 10—60% w/v.
In accordance with embodiments of the invention, an able pharmaceutical
composition may further comprise a vative. In accordance with ments of the
invention, the preservative is selected from the group ting of methylparaben,
propylparaben and benzylalcohol.
In accordance with embodiments of the invention, an injectable pharmaceutical
composition is formulated for subcutaneous, intramuscular or intradermal injection.
Another aspect of the invention relates to methods for treating opioid ion,
pain, or depression. A method in accordance with one embodiment of the invention
comprises administering to a t in need thereof a therapeutically effective amount of the
injectable pharmaceutical composition according to any embodiment described above.
In accordance with embodiments of the invention, the administering is performed at
a ncy of once per week, once per month, preferably once every three months, and more
preferably once every six months.
Other aspects of the invention will become apparent with the attached drawings and
the following detailed description.
BRIEF DESCRIPTION OF THE DRAWINGS
shows in vitro dissolution profiles of formulations containing various
buprenorphine derivatives, in ance with ments of the invention.
shows in vitro dissolution profiles of formulations containing
buprenorphine decanoate in various weight ratio and solvents combinations, in accordance
with embodiments of the invention.
shows in vitro dissolution profiles of formulations containing
orphine hexanoate and dodecanoate in s solvents, in accordance with
ments of the invention.
shows mean plasma levels of buprenorphine after subcutaneous injection of
SL006 at the dose of 30, 60, and 90 mg buprenorphine/kg in rats, in accordance with
embodiments of the invention.
shows mean plasma levels of buprenorphine after subcutaneous injection of
SL031 at the dose of 60 mg buprenorphine/kg in rats, in accordance with embodiments of the
invention.
shows mean plasma levels of buprenorphine after subcutaneous injection of
SL035 at the dose of 60 mg buprenorphine/kg in rats, in accordance with embodiments of the
invention.
DETAILED DESCRIPTION
Embodiments of the invention relate to formulations of buprenorphine derivatives
that exhibit no or minimal initial bursts and have long—lasting release es after a single
dose administration into a subject in need of treatments. The treatments may e
treatments for opioid addiction, pain, or depression. In accordance with embodiments of the
invention, the buprenorphine derivatives are l ester derivatives, i.e., esters formed
between the 3—hydroxy (phenol) group of buprenorphine and alkylcarbonylation or
arylcarbonylation (acylation) reagents.
In accordance with embodiments of the invention, an alkylcarbonyl or arylcarbonyl
(i.e., acyl) reagent (R—CO—X), wherein R is an alkyl or aryl residue, may be an acyl chloride,
an acyl anhydride, or an acyl active ester. The alkyl portion of an alkylcarbonyl group may be
a straight—chain or branched alkyl group. The alkyl portion may contain any suitable number
of carbons, such as l—20(C1-C20), l—18(C1—C18), l—l6(C1—C16), 1—12(C1—C12), l—lO(C1—C10),
1—5 (C1—C5), or 1—3 (C1—C3). Examples of arbonyl (acyl) groups may include acetyl,
propionyl butyryl, l, and palmityl. The aryl in the arylcarbonyl group is used herein in a
broad sense to include not only an aryl group, but also an aryl—alkyl group, wherein the alkyl
portion is as defined above. The aryl n of the arylcarbonyl group may be a C6—C18
aromatic ring, such as a phenyl or naphthyl.
In accordance with embodiments of the invention, the orphine derivatives
may be synthesized using conventional methods. Buprenorphine or its salt can be purchased
from several commercial sources, such as Sigma—Aldrich. To prepare a buprenorphine
derivative, buprenorphine (or its salt) may be reacted with an acyl chloride in the presence of
a non—nucleophilic base (e.g., triethylamine) to form the ester bond. The product
(3—acyl—byprenorphine or 3—alkylcarbonyl—buprenorphine) may be purified with conventional
s (e.g., column chromatography).
As used in this description, a buprenorphine derivative refers to
3—acyl—buprenorphine (3—alkylcarbonyl—buprenorphine or 3—arylcarbonyl—buprenorphine) or a
salt thereof. A buprenorphine derivative of the invention may on as a prodrug, which
may be ted into the parent compound, buprenorphine.
A formulation of the invention may comprise a buprenorphine derivative dissolved
in one or more suitable biocompatible ts. The buprenorphine derivative may be in the
form of a free base or a pharmaceutically acceptable salt thereof, such as a salt of HCL,
formate, acetate, or the like. The biocompatible solvents may be organic solvents, such as
N—methyl—2—pyrrolidone (NMP), ethyl acetate (EtOAc), ethanol (EtOH), butanol, 2—butanol,
isobutanol, glycerin, benzyl benzoate (BnBzO), dimethyl sulfoxide, propylene glycol,
dimethyl glycol, and benzyl l.
The formulations of the invention may contain the buprenorphine derivative or a
salt thereof in any suitable concentration, such as 1—99 % w/v, preferably l—90% w/v, more
preferably 5—90% w/v, more preferably 5—80% w/v, more preferably 10—70% w/v, more
preferably 10—60% w/v. Please note that when a numerical range is disclosed in this
description, it is intended to include all numbers within the ranges, as if each of these
numbers have been individually disclosed.
A formulation of the invention may further comprise another pharmaceutically
acceptable excipient, carrier, t, or preservative. In accordance with embodiments of the
invention, a preservative is preferably ed from the group consisting of methylparaben,
propylparaben and benzylalcohol.
Formulations of the invention do not have undesirable initial bursts. However, due
to the unique combination of the orphine derivatives and the biocompatible solvents,
these formulations can form depots at the administration sites to maintain long—term steady
releases of the buprenorphine derivative, buprenorphine, or a lite of buprenorphine.
Therefore, a formulation of the invention can e low or no initial burst ing the
rable e effects) and yet can maintain therapeutically effective levels of
orphine over a long duration. A long duration (or a steady release profile) in
accordance with embodiments of the invention may last over 1 week, preferably over 2
weeks, more preferably over 1 month, and most preferably over 2 months (e.g., 3 months, 4
months, 5 months, 6 months, or longer).
Because these formulations do not have appreciable initial bursts, they can be given
at higher doses, such as up to 800 mg/Kg body weight, preferable 120 mg/Kg, more
preferably 60 mg/Kg, most preferably 40 mg/kg. A therapeutically ive dose is a dose
that will achieve the ed therapeutic effects. One skilled in the art would appreciate that
a therapeutically effective dose would depend on many factors, such as patient conditions,
WO 50043 2017/101327
age, sex, weight, route of administration, etc. One skilled in the art would be able to
determine a therapeutically effective dose without inventive efforts.
Due to the unique combination of buprenorphine derivatives and the biocompatible
ts, the formulations of the invention have the advantages that less frequent injections
are required and patient compliance would be improved.
Embodiments of the invention will be further illustrated with the following specific
es. However, one skilled in the art would appreciate that these examples are for
illustration only and that other modifications and variations are possible without departing
from the scope of the invention.
Example 1- Preparation of buprenorphine derivatives
The buprenorphine derivatives were synthesized using typical methods outlined in
the ing description. To a 3—necked round—bottom flask, buprenorphine HCl and
dichloromethane were added to form a sion, which was then placed in an ice bath for
cooling. After that, triethylamine was added slowly with stirring. Acyl chloride was then
added dropwise into the flask. Any suitable acyl chloride of a fatty acid may be used, such as
C1—C20 acyl chloride, preferably C2—C18 acyl chloride, more preferably C2—C12 acyl chloride.
Removed the ice bath, the esterified reaction was carried out under nitrogen here at
ambient temperature. The reaction mixture was neutralized with saturated sodium
bicarbonate aqueous solution. The organic layer was washed with brine and then dried with
sodium e. After concentration under reduced pressure, the crude orphine
derivative was purified with silica gel column chromatography.
Example 2- ation of formulations
Buprenorphine derivative (10 wt%— 60 wt%) was added into a glass vial and
dissolved with one or a combination of two or more biocompatible organic solvent (e.g.
N—methyl—2—pyrrolidone (NMP), ethyl e (EtOAc), ethanol (EtOH), butanol, 2—butanol,
isobutanol, glycerin, benzyl benzoate (BnBzO), yl sulfoxide, N,N—dimethylacetamide,
propylene glycol, dimethyl glycol, benzyl alcohol). The mixture was stirred constantly at
ambient ature or heated slightly until all the ingredients were dissolved. Exemplary
formulation compositions are listed in Table l.
Table l
Formulation API, wt% Solvent 1, wt% Solvent 2, wt%
SL001 Buprenorphine free base, 30% NMP, 70% —
SL002 Buprenorphine acetate, 30% NMP, 70% —
SL003 Buprenorphine pentanoate, 30% NMP, 70% —
SL004 Buprenorphine hexanoate, 30% NMP, 70% —
SL005 Buprenorphine pivalate, 30% NMP, 70% —
SL006 Buprenorphine decanoate, 30% NMP, 70% —
SL007 Buprenorphine dodecanoate, 30% NMP, 70% —
SL008 Buprenorphine palmitate, 30% NMP, 70% —
SL009 orphine stearate, 30% NMP, 70% —
SL010 Buprenorphine benzonate, 15% NMP, 85% —
SL011 Buprenorphine decanoate, 15% NMP, 85% —
SL012 Buprenorphine ate, 20% NMP, 80% —
SL013 Buprenorphine decanoate, 25% NMP, 75% —
SL014 Buprenorphine ate, 30% EtOAC, 40% EtOH, 30%
SL015 Buprenorphine decanoate, 50% EtOAC, 50% —
SL016 Buprenorphine decanoate, 45% EtOAC, 55% —
SL017 Buprenorphine decanoate, 50% EtOAC, 40% EtOH, 10%
SL018 Buprenorphine decanoate, 50% EtOAC, 45% EtOH, 5%
SL019 Buprenorphine decanoate, 35% EtOAC, 58.5% EtOH, 6.5%
SL020 Buprenorphine decanoate, 35% EtOAC, 52% EtOH,13%
SL021 Buprenorphine decanoate, 40% EtOAC, 54% EtOH, 6%
SL022 orphine decanoate, 40% EtOAC, 48% EtOH,12%
SL023 Buprenorphine decanoate, 45% EtOAC, 49.5% EtOH, 5.5%
SL024 Buprenorphine decanoate, 45% EtOAC, 44% EtOH,11%
SL025 Buprenorphine ate, 40% BnBzO, 60% —
SL026 Buprenorphine decanoate, 80% BnBzO, 20% —
SL027 Buprenorphine decanoate, 90% BnBzO, 10% —
SL028 Buprenorphine hexanoate, 50% NMP, 50% —
SL029 Buprenorphine hexanoate, 50% EtOAC, 50% —
SL030 Buprenorphine hexanoate, 50% EtOAC, 45% EtOH, 5%
SL031 Buprenorphine hexanoate, 50% EtOAc, 40% EtOH, 10%
SL032 Buprenorphine dodecanoate, 50% EtOAc, 50%
SL033 Buprenorphine dodecanoate, 30% EtOAc, 63% EtOH, 7%
SL034 Buprenorphine dodecanoate, 30% EtOAc, 56% EtOH, 14%
SL035 Buprenorphine dodecanoate, 35% NMP, 65%
Example 3- In vitro dissolution test of the formulations
The formulations in example 2 were assessed for their in vitro dissolution profiles.
The dissolution medium comprises 1% sodium dodecyl sulfate and 0.02% sodium azide in
phosphate buffered saline. The dissolution medium for formulation SL028 and SO32
comprise 0.2% sodium dodecyl e and 0.02% sodium azide in phosphate buffered saline.
The tubes were incubated in a reciprocal shaker at the rate of 60 rpm in a 55°C water bath.
The tubes were pulled, samples of 1 mL on were d, and the tubes were refilled
with 1 mL fresh medium at specified times. The removed s were analyzed with HPLC
for buprenorphine derivatives and their parent compound, buprenorphine free base. The
dissolution profiles are shown in Figure 1—3 and Table 2—4.
Table 2
Time % Release
((13318) SL002 SL005 SL004 SL006 SL007 SL010
0 0.0 0.0 0.0 0.0 0.0 0.0
0.042 29.4 42.9 8.2 4.3 7.4 62.4
0.083 34.3 42.9 9.0 5.6 7.6 64.4
0.167 41.4 46.3 10.3 7.6 8.8 65.6
1 73.6 51.3 17.7 8.9 8.6 64.9
2 94.4 57.8 24.9 10.5 10.7 69.3
3 102.4 — 32.0 12.9 10.7
4 14.7 —
— 68.1 — 16.6 — 71.0
6 — 69.7 44.5 18.6 11.9 79.2
7 — 71.6 48.6 20.0 11.8 89.7
8 — 72.0 52.4 — 12.2 90.9
9 — 73.8 55.1 — 12.4 90.8
— — 57.9 — 12.7
12 — 77.2 — 27.3 — 92.0
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13 65.1
79.7 30.7
16 73.7
19 82.5 35.6
22 38.6
23 84.9
26 88.4 41.8
29 48.4
33 51.5
36 52.5
40 54.1
43 53.4
47 56.0
54 58.6
61 62.1
68 64.1
75 64.9
82 69.6
90 72.9
96 74.6
103 78.0
110 79.3
117 81.5
124 83.5
WO 50043
145 — — — 100.8 — —
146 — — — — 47.2 —
152 — — — — — —
154 — — — — 58.3 —
162 — — — — 59.9 —
188 — — — — 64.5 —
Table 3
Time % Release
(days) SL011 SL015 SL017 SL018 SL026
0 0.0 0.0 0.0 0.0 0.0
0.042 16.6 0.4 0.3 0.7 8.2
0.083 18.8 0.2 0.1 0.6 8.3
0.167 21.8 1.6 0.2 0.7 5.4
1 25.2 12.3 0.9 2.2 8.7
2 24.8 10.7 2.5 4.2 9.1
3 26.0 10.2 3.7 6.5 6.0
4 26.7 — — — —
28.3 10.5 6.3 — 6.9
6 — 11.8 7.3 — —
7 28.3 12.8 7.5 15.8 7.5
8 — 14.3 8.7 17.9 —
9 — — — — 7.4
— — — 24.4 —
11 31.2 — — — —
12 — 18.5 12.5 — —
13 — 20.6 13.3 29.9 9.3
14 32.6 21.9 14.3 — —
— 22.8 14.9 — 11.7
17 — — — 35.5 —
18 35.0 — — — —
19 — 25.9 17.7 — 17.5
— — — 38.8 —
36.2 — — — —
WO 50043
27 32.6 24.4 45.2 30.6
32 36.3
33 37.8 31.6
47 41.5
53 43.7
70 69.7
74 50.6
76 65.8
81 53.7
83 67.0
89 53.8
90 58.8 51.9 70.7
95 53.7
96 54.2 49.0
103 55.5 53.2
105 73.0
110 61.8 64.4 55.1
2017/101327
113 71.9
116 55.9
118 69.8
123 56.9
125 72.5 60.9
126 83.7
130 62.9
133 65.6 63.1 72.6
137 65.6
138 62.9 60.9
145 66.7
146 67.2 78.1
153 66.8 81.6 68.4
158 63.4
159 82.9 83.1
166 78.7
173 67.4
179 81.1
Table 4
% Release
Time (days)
SL028 SL032 SL035
0.0 0.0 0.0
0.042 0.0 1.3 0.6.
0.083 0.0 1.3 0.6
0.167 0.0 —
0.0 1.7 1.5
0.0 2.1 2.0
14.1 2.8 2.4
— 3.3
.5 —
23.8 5.4 4.2
WO 50043
6.2 4.5
27.1 6.6 4.9
6.8 5.2
11 7.3
13 38.6 6.2
14 8.4
46.9
17 9.3
21 10.5
24 12.3
29 14.4
14.7
41 12.0
42 16.1
48 14.4
50 21.1
55 17.0
63 21.8 19.3
70 25.1
71 21.2
76 22.6
77 28.3
84 25.5
85 32.6
91 27.5
93 36.0
97 28.9
98 — 37.1 —
106 — 41.1 —
113 — 44.1 —
119 — 45.7 —
Example 4- Pharmacokinetic profiles of the formulations in Rats
The formulations from Example 2 were injected subcutaneously into CD® (SD)
IGS male rats at a dose of 30—90 mg buprenorphine/kg. Blood samples were collected from
tail veins at specific time points. Plasma samples were separated by centrifuge and stored in
frozen ions for later analysis. LC—MS/MS was used to analyze the concentrations of
buprenorphine in the plasma samples. The results are shown in Table 5—7 and Figure 4—6.
Table 5
SL006
Time (days) 30 mg/kg 60 mg/kg 90 mg/kg
Mean (ng/mL) S.D.(n = 3) Mean ) S.D.(n = 3) Mean (ng/mL) S.D.(n = 3)
pre 0.00 0.00 0.00 0.00 0.00 0.00
0.021 0.00 0.00 3.06 1.61 0.35 0.44
0.042 0.17 0.15 4.78 2.16 1.38 1.13
0.083 0.73 0.42 3.35 2.22 2.29 0.79
0.17 1.32 0.63 3.71 2.03 3.93 0.42
0.25 1.66 0.49 3.25 1.47 4.42 0.74
1 0.93 0.21 3.11 0.60 3.38 0.45
3 0.55 0.24 1.96 0.22 3.24 0.9
7 0.85 0.14 2.5 0.88 3.92 0.71
1.06 0.6 3.7 0.99 6.23 0.82
14 0.74 0.22 5.55 3.67 6.43 0.29
21 1.34 0.56 4.87 3.16 8.79 1.86
28 0.58 0.41 2.05 0.93 6.07 1.05
0.25 0.29 6.43 4.57 5.39 1.31
42 0.18 0.28 2.67 0.67 4.21 0.65
49 — — 1.96 0.65 5.39 0.24
56 — — 1.92 0.48 4.08 0.13
2017/101327
63 — 1.75 0.28 4.51 0.48
70 — 1.73 0.48 4.16 0.50
77 — 1.40 0.65 4.02 0.35
84 — 0.72 0.16 3.61 0.46
91 — 1.25 0.76 3.36 0.22
98 — 0.62 0.57 3.01 0.25
105 — 1.09 0.05 3.05 1.21
112 — 1.06 0.19
119 — 1.06 0.15
126 — 0.91 0.14
133 — 0.86 0.06
Table 6
SL031 (60 mg/kg)
Time (days)
Mean (ng/mL) S.D.(n = 3)
0 0.95 1.9
0.042 6.5 4.87
0.083 14.7 8.3
0.25 28.08 21.56
1 13.5 5.31
3 16.5 6.03
7 20.5 7.48
16.43 5.34
14 11.59 3.52
21 8.02 3.44
28 5.12 2.54
4.38 2.02
42 3.7 2.43
49 2.41 1.37
56 2.84 1.78
63 4.11 1.97
70 3.85 1.94
77 2.98 1.42
84 2.09 1.43
Table 7
SL035 (60 mg/kg)
Time (days)
Mean (ng/mL) S.D.(n = 3)
0 0 0
0.042 0.23 0.25
0.083 0.39 0.43
0.25 1.12 0.79
1 1.18 0.82
3 1.06 0.78
7 3.81 1.55
4.64 1.77
14 5.93 3.11
17 — —
21 4.42 2.28
24 — —
28 3.50 1.45
3.18 1.29
42 2.37 0.94
49 2.18 0.89
56 1.91 0.78
63 1.88 0.70
70 1.59 0.38
77 1.45 0.38
84 1.45 0.46
98 1.21 0.34
115 0.91 0.06
126 0.85 0.13
140 0.97 0.23
154 0.73 0.17
168 1.04 0.18
Surprisingly, the ations of present invention using prodrug strategy and in
situ depot formation display zero—order—release curves Without initial bursts, See Figures 4—6.
Conversely, the prior art formulations lly exhibit significant l bursts, followed by
gradually decreasing drug release/uptakes. The initial bursts limit the highest doses that can
be used in a single administration; otherwise, adverse effects may occur due to the
unacceptable high dose during the initial burst phase.
In contrast, without the initial bursts, formulations of the invention may be given at
a higher dose in a single administration without inducing the adverse effects. A higher dose in
each administration would allow a single dose to last longer, which is desirable for
slow—release formulations. rmore, the zero—order release profiles of the formulations of
the invention guarantees that an effective dose will be ed over a long duration,
expanding the therapeutically effective durations to several months. These highly desirable
properties of the formations of the present invention may be due to the use of prodrugs
(C3—acyl—buprenorphines, i.e., acyl esters formation with the phenol of buprenorphine) as
well as the formulations for the depot formation in situ.
While the invention has been bed with respect to a limited number of
embodiments, those skilled in the art, having the benefit of this sure, will appreciate
that other embodiments can be d which do not depart from the scope of the invention
as disclosed . Accordingly, the scope of the invention should be limited only by the
attached claims.
Claims (7)
1. An injectable pharmaceutical composition, comprising: a solution of -buprenorphine, or a pharmaceutically acceptable salt thereof, in a patible organic solvent, wherein the injectable pharmaceutical composition exhibits a steady release profile lasting over one week when injected into a patient or an animal, wherein the acyl group consists of an arbonyl group, and wherein the alkyl portion of the alkylcarbonyl group is a straight-chain or branched-chain, having 5-12 carbon atoms, wherein the biocompatible organic solvent is N-methylpyrrolidone; and n the 3-acyl buprenorphine, or the pharmaceutically acceptable salt thereof, is present at a concentration of 30% to 60% w/v.
2. An injectable pharmaceutical composition, comprising: a solution of 3-acyl-buprenorphine, or a pharmaceutically acceptable salt thereof, in a biocompatible c solvent, n the injectable pharmaceutical composition exhibits a steady release profile lasting over one week when injected into a patient or an animal, wherein the acyl group consists of an arylcarbonyl group, wherein an aryl portion of the arylcarbonyl group is an aromatic group having 6-18 s, wherein the biocompatible organic solvent is ylpyrrolidone; and wherein the 3-acyl buprenorphine, or the pharmaceutically able salt thereof, is present at a concentration of 30% to 60% w/v.
3. The injectable pharmaceutical composition according to claim 1, further comprising a preservative selected from the group consisting of methylparaben, propylparaben and benzylalcohol.
4. The injectable pharmaceutical composition according to claim 1, wherein the injectable pharmaceutical composition is formulated for subcutaneous, intramuscular or intradermal injection.
5. Use of the injectable pharmaceutical composition ing to any one of claims 1-4 for the manufacture of a ment for treating opioid addiction, pain, or depression, wherein the injectable pharmaceutical composition is formulated to be administered to a subject in need thereof in a therapeutically effective amount.
6. The use according to claim 5, wherein the stration is once every week or once every two weeks.
7. The use according to claim 5, wherein the administration is once every month, once every three , or once every six months.
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201662394168P | 2016-09-13 | 2016-09-13 | |
US62/394,168 | 2016-09-13 | ||
PCT/CN2017/101327 WO2018050043A1 (en) | 2016-09-13 | 2017-09-12 | Sustained-release buprenorphine formulations background of invention |
Publications (2)
Publication Number | Publication Date |
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NZ750367A NZ750367A (en) | 2021-01-29 |
NZ750367B2 true NZ750367B2 (en) | 2021-04-30 |
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