US20160324809A1 - Lyophilized mesna compositions - Google Patents
Lyophilized mesna compositions Download PDFInfo
- Publication number
- US20160324809A1 US20160324809A1 US15/108,934 US201515108934A US2016324809A1 US 20160324809 A1 US20160324809 A1 US 20160324809A1 US 201515108934 A US201515108934 A US 201515108934A US 2016324809 A1 US2016324809 A1 US 2016324809A1
- Authority
- US
- United States
- Prior art keywords
- mesna
- lyophilizate
- excipient
- composition
- compositions
- 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.)
- Abandoned
Links
- XOGTZOOQQBDUSI-UHFFFAOYSA-M Mesna Chemical compound [Na+].[O-]S(=O)(=O)CCS XOGTZOOQQBDUSI-UHFFFAOYSA-M 0.000 title claims abstract description 171
- 229960004635 mesna Drugs 0.000 title claims abstract description 170
- 239000000203 mixture Substances 0.000 title claims abstract description 97
- 239000000546 pharmaceutical excipient Substances 0.000 claims abstract description 32
- 238000000034 method Methods 0.000 claims abstract description 23
- 238000009472 formulation Methods 0.000 claims abstract description 21
- 238000002360 preparation method Methods 0.000 claims abstract description 7
- 239000000243 solution Substances 0.000 claims description 35
- 239000002904 solvent Substances 0.000 claims description 20
- 239000000594 mannitol Substances 0.000 claims description 18
- 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 claims description 17
- 229930195725 Mannitol Natural products 0.000 claims description 17
- 235000010355 mannitol Nutrition 0.000 claims description 17
- HDTRYLNUVZCQOY-UHFFFAOYSA-N α-D-glucopyranosyl-α-D-glucopyranoside Natural products OC1C(O)C(O)C(CO)OC1OC1C(O)C(O)C(O)C(CO)O1 HDTRYLNUVZCQOY-UHFFFAOYSA-N 0.000 claims description 14
- HDTRYLNUVZCQOY-WSWWMNSNSA-N Trehalose Natural products O[C@@H]1[C@@H](O)[C@@H](O)[C@@H](CO)O[C@@H]1O[C@@H]1[C@H](O)[C@@H](O)[C@@H](O)[C@@H](CO)O1 HDTRYLNUVZCQOY-WSWWMNSNSA-N 0.000 claims description 14
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 claims description 14
- HDTRYLNUVZCQOY-LIZSDCNHSA-N alpha,alpha-trehalose Chemical compound O[C@@H]1[C@@H](O)[C@H](O)[C@@H](CO)O[C@@H]1O[C@@H]1[C@H](O)[C@@H](O)[C@H](O)[C@@H](CO)O1 HDTRYLNUVZCQOY-LIZSDCNHSA-N 0.000 claims description 12
- 239000007864 aqueous solution Substances 0.000 claims description 11
- 238000001356 surgical procedure Methods 0.000 claims description 10
- 239000011521 glass Substances 0.000 claims description 9
- 238000007710 freezing Methods 0.000 claims description 8
- 230000008014 freezing Effects 0.000 claims description 8
- 229930006000 Sucrose Natural products 0.000 claims description 5
- 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 claims description 5
- 229920003023 plastic Polymers 0.000 claims description 5
- 239000004033 plastic Substances 0.000 claims description 5
- 239000005720 sucrose Substances 0.000 claims description 5
- 238000000108 ultra-filtration Methods 0.000 claims description 4
- 238000003776 cleavage reaction Methods 0.000 claims description 3
- 230000007017 scission Effects 0.000 claims description 3
- 230000001954 sterilising effect Effects 0.000 claims description 3
- 238000000859 sublimation Methods 0.000 claims description 3
- 230000008022 sublimation Effects 0.000 claims description 3
- 238000004659 sterilization and disinfection Methods 0.000 claims description 2
- 230000008569 process Effects 0.000 abstract description 12
- 238000004108 freeze drying Methods 0.000 description 11
- 239000012535 impurity Substances 0.000 description 11
- 239000000843 powder Substances 0.000 description 9
- DHMQDGOQFOQNFH-UHFFFAOYSA-N Glycine Chemical compound NCC(O)=O DHMQDGOQFOQNFH-UHFFFAOYSA-N 0.000 description 8
- XSQUKJJJFZCRTK-UHFFFAOYSA-N Urea Chemical compound NC(N)=O XSQUKJJJFZCRTK-UHFFFAOYSA-N 0.000 description 8
- 238000012360 testing method Methods 0.000 description 8
- IJGRMHOSHXDMSA-UHFFFAOYSA-N Atomic nitrogen Chemical compound N#N IJGRMHOSHXDMSA-UHFFFAOYSA-N 0.000 description 7
- KQYGMURBTJPBPQ-UHFFFAOYSA-L disodium;2-(2-sulfonatoethyldisulfanyl)ethanesulfonate Chemical compound [Na+].[Na+].[O-]S(=O)(=O)CCSSCCS([O-])(=O)=O KQYGMURBTJPBPQ-UHFFFAOYSA-L 0.000 description 7
- 238000001035 drying Methods 0.000 description 6
- 238000004090 dissolution Methods 0.000 description 5
- 239000007787 solid Substances 0.000 description 5
- 239000004471 Glycine Substances 0.000 description 4
- XEEYBQQBJWHFJM-UHFFFAOYSA-N Iron Chemical compound [Fe] XEEYBQQBJWHFJM-UHFFFAOYSA-N 0.000 description 4
- 239000004202 carbamide Substances 0.000 description 4
- 230000003647 oxidation Effects 0.000 description 4
- 238000007254 oxidation reaction Methods 0.000 description 4
- HEMHJVSKTPXQMS-UHFFFAOYSA-M Sodium hydroxide Chemical compound [OH-].[Na+] HEMHJVSKTPXQMS-UHFFFAOYSA-M 0.000 description 3
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 description 3
- 238000011109 contamination Methods 0.000 description 3
- 230000000694 effects Effects 0.000 description 3
- 238000011156 evaluation Methods 0.000 description 3
- 238000012792 lyophilization process Methods 0.000 description 3
- 229910052757 nitrogen Inorganic materials 0.000 description 3
- 239000001301 oxygen Substances 0.000 description 3
- 229910052760 oxygen Inorganic materials 0.000 description 3
- 238000011160 research Methods 0.000 description 3
- 239000008215 water for injection Substances 0.000 description 3
- CDBYLPFSWZWCQE-UHFFFAOYSA-L Sodium Carbonate Chemical compound [Na+].[Na+].[O-]C([O-])=O CDBYLPFSWZWCQE-UHFFFAOYSA-L 0.000 description 2
- UIIMBOGNXHQVGW-UHFFFAOYSA-M Sodium bicarbonate Chemical compound [Na+].OC([O-])=O UIIMBOGNXHQVGW-UHFFFAOYSA-M 0.000 description 2
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 2
- 239000006172 buffering agent Substances 0.000 description 2
- 230000008859 change Effects 0.000 description 2
- 239000003795 chemical substances by application Substances 0.000 description 2
- 239000003172 expectorant agent Substances 0.000 description 2
- 238000004128 high performance liquid chromatography Methods 0.000 description 2
- 229910052742 iron Inorganic materials 0.000 description 2
- 239000012669 liquid formulation Substances 0.000 description 2
- 239000000463 material Substances 0.000 description 2
- 239000002184 metal Substances 0.000 description 2
- 229910052751 metal Inorganic materials 0.000 description 2
- 150000002739 metals Chemical class 0.000 description 2
- 229940066491 mucolytics Drugs 0.000 description 2
- 239000002504 physiological saline solution Substances 0.000 description 2
- 239000001267 polyvinylpyrrolidone Substances 0.000 description 2
- 235000013855 polyvinylpyrrolidone Nutrition 0.000 description 2
- 229920000036 polyvinylpyrrolidone Polymers 0.000 description 2
- 238000011045 prefiltration Methods 0.000 description 2
- 239000000047 product Substances 0.000 description 2
- 230000000069 prophylactic effect Effects 0.000 description 2
- 239000000126 substance Substances 0.000 description 2
- 125000000647 trehalose group Chemical group 0.000 description 2
- 238000004383 yellowing Methods 0.000 description 2
- 206010011793 Cystitis haemorrhagic Diseases 0.000 description 1
- 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 1
- GUBGYTABKSRVRQ-QKKXKWKRSA-N Lactose Natural products OC[C@H]1O[C@@H](O[C@H]2[C@H](O)[C@@H](O)C(O)O[C@@H]2CO)[C@H](O)[C@@H](O)[C@H]1O GUBGYTABKSRVRQ-QKKXKWKRSA-N 0.000 description 1
- FEWJPZIEWOKRBE-UHFFFAOYSA-N Tartaric acid Natural products [H+].[H+].[O-]C(=O)C(O)C(O)C([O-])=O FEWJPZIEWOKRBE-UHFFFAOYSA-N 0.000 description 1
- 239000003963 antioxidant agent Substances 0.000 description 1
- 235000006708 antioxidants Nutrition 0.000 description 1
- 239000012298 atmosphere Substances 0.000 description 1
- 230000004888 barrier function Effects 0.000 description 1
- 230000015572 biosynthetic process Effects 0.000 description 1
- 239000000872 buffer Substances 0.000 description 1
- 230000003139 buffering effect Effects 0.000 description 1
- 238000012512 characterization method Methods 0.000 description 1
- 239000002738 chelating agent Substances 0.000 description 1
- 230000003247 decreasing effect Effects 0.000 description 1
- 239000008121 dextrose Substances 0.000 description 1
- 238000007865 diluting Methods 0.000 description 1
- 239000003085 diluting agent Substances 0.000 description 1
- 229910001873 dinitrogen Inorganic materials 0.000 description 1
- 239000002552 dosage form Substances 0.000 description 1
- 229940079593 drug Drugs 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 238000011049 filling Methods 0.000 description 1
- 238000001914 filtration Methods 0.000 description 1
- 239000012467 final product Substances 0.000 description 1
- 239000012530 fluid Substances 0.000 description 1
- 201000002802 hemorrhagic cystitis Diseases 0.000 description 1
- 230000036512 infertility Effects 0.000 description 1
- 239000008101 lactose Substances 0.000 description 1
- 239000007788 liquid Substances 0.000 description 1
- 239000006193 liquid solution Substances 0.000 description 1
- 229960001855 mannitol Drugs 0.000 description 1
- 239000003550 marker Substances 0.000 description 1
- 238000005259 measurement Methods 0.000 description 1
- 239000012528 membrane Substances 0.000 description 1
- 238000001471 micro-filtration Methods 0.000 description 1
- 230000000813 microbial effect Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 239000003607 modifier Substances 0.000 description 1
- 230000000704 physical effect Effects 0.000 description 1
- 239000002861 polymer material Substances 0.000 description 1
- 229920001184 polypeptide Polymers 0.000 description 1
- 239000011148 porous material Substances 0.000 description 1
- 239000003755 preservative agent Substances 0.000 description 1
- 102000004196 processed proteins & peptides Human genes 0.000 description 1
- 108090000765 processed proteins & peptides Proteins 0.000 description 1
- 230000002035 prolonged effect Effects 0.000 description 1
- 102000004169 proteins and genes Human genes 0.000 description 1
- 108090000623 proteins and genes Proteins 0.000 description 1
- 238000000926 separation method Methods 0.000 description 1
- 229910000030 sodium bicarbonate Inorganic materials 0.000 description 1
- 235000017557 sodium bicarbonate Nutrition 0.000 description 1
- 229910000029 sodium carbonate Inorganic materials 0.000 description 1
- 239000011780 sodium chloride Substances 0.000 description 1
- 238000012430 stability testing Methods 0.000 description 1
- 239000003381 stabilizer Substances 0.000 description 1
- 239000008223 sterile water Substances 0.000 description 1
- 238000003786 synthesis reaction Methods 0.000 description 1
- 235000002906 tartaric acid Nutrition 0.000 description 1
- 239000011975 tartaric acid Substances 0.000 description 1
- 230000002123 temporal effect Effects 0.000 description 1
- 238000012546 transfer Methods 0.000 description 1
- 229940074410 trehalose Drugs 0.000 description 1
- -1 trehalosee Chemical compound 0.000 description 1
- 239000011123 type I (borosilicate glass) Substances 0.000 description 1
- 238000001291 vacuum drying Methods 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
- A61K31/185—Acids; Anhydrides, halides or salts thereof, e.g. sulfur acids, imidic, hydrazonic or hydroximic acids
-
- 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
- A61K31/095—Sulfur, selenium, or tellurium compounds, e.g. thiols
- A61K31/10—Sulfides; Sulfoxides; Sulfones
-
- 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
- A61K47/26—Carbohydrates, e.g. sugar alcohols, amino sugars, nucleic acids, mono-, di- or oligo-saccharides; Derivatives thereof, e.g. polysorbates, sorbitan fatty acid esters or glycyrrhizin
-
- 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
- A61K9/14—Particulate form, e.g. powders, Processes for size reducing of pure drugs or the resulting products, Pure drug nanoparticles
- A61K9/16—Agglomerates; Granulates; Microbeadlets ; Microspheres; Pellets; Solid products obtained by spray drying, spray freeze drying, spray congealing,(multiple) emulsion solvent evaporation or extraction
- A61K9/1682—Processes
-
- 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
- A61K9/14—Particulate form, e.g. powders, Processes for size reducing of pure drugs or the resulting products, Pure drug nanoparticles
- A61K9/19—Particulate form, e.g. powders, Processes for size reducing of pure drugs or the resulting products, Pure drug nanoparticles lyophilised, i.e. freeze-dried, solutions or dispersions
Definitions
- the present invention relates to sterile lyophilized compositions and a process for the preparation of said compositions.
- the invention relates to sterile lyophilized form of sodium-2-mercaptoethane sulfonate and to a process for its preparation.
- Said sterile lyophilized composition can be used for chemically assisted surgery and other applications.
- Mesna Sodium 2-mercaptoethanesulfonate, hereinafter referred to as Mesna, has been widely used for several applications mainly as drug and/or formulations in the medical filed. For instance, Mesna has been used as prophylactic agent in reducing the incidence of hemorrhagic cystitis. Mesna has also been used as a mucolytic agent. Additionally, Mesna has been used in surgery, wherein it is known that when applied at a cleavage plane, Mesna breaks the molecular bonds between tissue layers, thereby facilitating tissue separation. Specifically, Mesna breaks disulfide bonds of polypeptide chains and proteins.
- Mesna is a white hygroscopic powder with a characteristic odor.
- the liquid solution in water is highly sensitive to oxidation and rapidly decomposes on contact with oxygen to form di-Mesna also called disulphide Mesna, which is poorly absorbed, particularly in a humid atmosphere.
- the practitioner When being used, the practitioner has to transfer the solution from glass containers to delivery device or to tube in order to incorporate the solution in the desired application. This step increases the chances of oxidation and contamination of the Mesna solution thereby having reduced Mesna activity or reduced sterility when used, for example in chemically assisted surgery.
- Mesna is also available as a more stable crystalline powder from the synthesis (technical Mesna), but this form is not sterile and therefore not suitable to medical applications.
- the object of the invention to overcome at least part of the above mentioned problems.
- the invention aims at providing sterile lyophilized Mesna compositions. This object is achieved in accordance with the invention by a composition and a process as indicated in the claims.
- the invention provides a lyophilizate composition having improved stability and shelf-life, the lyophilizate comprising from 30 to 100% of Mesna and 0 to 70% of an excipient and/or a buffering agent.
- excipient and/or buffering agent is hence optional.
- the excipient is selected from the group comprising mannitol, trehalosee, sucrose or any combination thereof.
- the invention provides a process for the preparation of a lyophilizate composition having improved stability and shelf-life, which comprises preparing an aqueous solution containing from 30 to 100% of Mesna and 0 to 70% of an excipient, freezing said solution to a temperature of about ⁇ 40° C. and removing both nonadsorptively bound and adsorptively bound water by sublimation at a temperature between about ⁇ 40° C. and about +28° C. and at a pressure between 200 and 10 Pa, preferably between 100 and 10 Pa, more preferably between about 93 and 13 Pa.
- Said aqueous solution is preferably sterilized by ultrafiltration prior to the freezing.
- the invention provides a dosage unit formulation comprising the lyophilizate composition described above in a container of sufficient size to allow reconstitution with a solvent thereby giving a solution of desired Mesna concentration.
- the present invention provides for the use of a sterile lyophilizate composition as described above and/or the use of a dosage unit formulation as described above for assisting surgery and/or for any other application wherein Mesna is employed.
- Said application includes and are not limited to Mesna formulations, treatment using Mesna as prophylactic agent or mucolytic agent.
- the sterile lyophilizate compositions according to the embodiments of the invention demonstrate better storage stability and dissolution characteristics than previous formulations.
- the sterile lyophilizate compositions of the present invention demonstrate unexpected improvements in physical and chemical stability and in shelf-life over Mesna powder and Mesna liquid formulations.
- lyophilized Mesna possesses superior dissolution characteristics and enhanced appearance on storage than non-lyophilized Mesna powders. Lyophilized Mesna are easily and quickly dissolved in the used solvent, i.e. 10 to 15 seconds are required for obtaining the Mesna solution at the desired concentration. The freshly made Mesna solution can then be immediately delivered to a target thereby having a maximal Mesna activity at the target location.
- Sterile lyophilized Mesna can be provided in containers suitable to be connected to a solvent source and/or to a surgical device. This minimizes external handling of Mesna thereby considerably reducing contamination risks, such as contamination risks during surgery.
- the prepared Mesna solution can be used shortly after dissolving the Mesna lyophilizate, thereby providing maximal Mesna activity at a target location when used for instance for assisting surgery.
- the sterile lyophilizate compositions according to the present invention are highly stable. This allows prolonged conservation of Mesna for different use and applications. Lyophilized Mesna of the present invention is easy to store as its storage does not require particular conditions. This is advantageous compared to the currently available pharmaceutical Mesna which is stored in low iron glass under nitrogen blanket.
- Lyophilized Mesna of the present invention further provides the user with the possibility to reconstitute sterile Mesna solutions with different desired concentrations according to the intended use. Concentrations higher than 20% can be obtained in this manner.
- the sterile solid lyophilized Mesna of the present invention makes possible the reconstitution of a Mesna solution for a wide range of medical applications, including surgery. This is not achievable using the known technical Mesna powder available to date. Said technical Mesna powder is not sterile. In addition, it is difficult to obtain Mesna at a certain desired concentrations by diluting commercial Mesna solutions available to date. Said commercial Mesna solutions are indeed limited to 10% or 20%.
- the present invention relates to lyophilized compositions and a process for the preparation of said compositions.
- the invention relates to sterile lyophilized Mesna compositions.
- the present invention provides a novel form of Mesna which is sterile. Said sterile Mesna form is suitable for medical application including but not limited to surgery.
- a compartment refers to one or more than one compartment.
- the value to which the modifier “about” refers is itself also specifically disclosed.
- % by weight refers to the relative weight of the respective component based on the overall weight of the formulation.
- the present invention provides a lyophilizate composition having improved stability and shelf-life.
- the lyophilizate composition comprises from 30 to 100% of Mesna and 0 to 70% of an excipient. The presence of said excipient is hence optional.
- the composition might consist entirely of Mesna thereby obtaining Mesna in solid form. Said solid Mesna is sterile.
- the lyophilizate comprises from 35 to 90% of Mesna and 10 to 65% of an excipient. In a preferred embodiment, the lyophilizate comprises from 40 to 80% of Mesna and 20 to 60% of an excipient. In a preferred embodiment, the lyophilizate comprises from 45 to 70% of Mesna and 30 to 55% of an excipient. The lyophilizate might comprise 55% of Mesna and 45% of an excipient.
- the excipient is selected from the group comprising mannitol, trehalose, sucrose or any combination thereof. In a preferred embodiment, the excipient is mannitol. In a preferred embodiment, the excipient is trehalose.
- the lyophilizate composition consists of Mesna. In a preferred embodiment, the lyophilizate composition consists of Mesna and mannitol. In a preferred embodiment, the lyophilizate composition consists of Mesna and trehalose. In a preferred embodiment, the percentages of each component are as indicated above.
- the lyophilizate compositions of the present invention have improved stability and shelf life compared to technical Mesna.
- Said lyophilizate Mesna compositions are stable over a time period which is at least 1.1, preferably at least 1.3, more preferably at least 1.5, even more preferably at least 1.8, most preferably at least 2 times longer than the time period during which technical Mesna is stable.
- the lyophilizate Mesna compositions of the present invention are stable over a time period which is at most 4, preferably at most 3.5, more preferably at most 3, even more preferably at most 2.8, most preferably at most 2.5 times longer than the time period during technical Mesna is stable.
- Said stability is determined by measuring the amount of Mesna disulfide of the stored Mesna.
- the lyophilizate compositions of the present invention have improved heat stability or temperature stability compared to technical Mesna. Said lyophilizate compositions are stable at high temperatures. Indeed, said the lyophilizate compositions are more stable than technical Mesna at 40° C. and at room temperature.
- the present invention provides a process for the preparation of a lyophilizate composition having improved stability and shelf-life, which comprises freezing an aqueous solution containing from 30 to 100% of Mesna and 0 to 70% of an excipient, to a temperature of about ⁇ 40° C. and removing both nonadsorptively bound and adsorptively bound water by sublimation at a temperature between about ⁇ 40° C. and about +28° C. and at a pressure between 200 and 10 Pa, preferably between 100 and 10 Pa, more preferably between about 93 and 13 Pa.
- Said aqueous solution is preferably sterilized by ultrafiltration prior to the freezing.
- the process of the invention leads to a solid sterile form of Mesna.
- the excipient is selected from the group comprising mannitol, trehalose, sucrose or any combination thereof.
- the lyophilization is preceded by a microfiltration step.
- the present invention has resulted from work undertaken to ascertain if physical properties, such as shelf-storage and temperature stability, could be improved in a lyophilized Mesna composition.
- the initial stage of this research involved the evaluation of the suitability of lyophilizate cakes formed by freeze-drying various Mesna and/or Mesna-excipient compositions.
- the person skilled in the art easily understands that said cakes are solid forms consisting of Mesna and/or Mesna-excipient mixture.
- certain characteristics of the lyophilizate cakes were observed including original shape, shrinkage or meltback, coloration, homogeneity, morphology, firmness and crystallinity.
- the dissolution characteristics of prototypes were then determined and these included rate of dissolution, completeness of dissolution, and characterization of the resultant solution; e.g. clarity and color.
- the second stage of the research involved short term accelerated stability studies of compositions selected on the basis of their performance in the first stage of research.
- Excipients that were tested but not advanced to stage two evaluation included lactose; polyvinylpyrrolidone (PVP); dextrose; sodium bicarbonate; sodium carbonate; and tartaric acid.
- Lyophilizate compositions having mannitol, trehalose, glycine or urea as primary excipients were selected for the stage two stability testing. Lyophilizate compositions with urea or glycine as the primary excipient yellowed and decreased in potency during short term stability studies carried out at 40° C.
- slow freeze-drying process is used for preparing the Mesna lyophilizate compositions. This process results in minimization of shrinkage of the lyophilizate cake. The control of shrinkage and absence of yellowing for these Mesna lyophilizate compositions contribute to the enhanced appearance of the final lyophilized product. In order to produce these Mesna lyophilizate compositions, it was learned that by controlling both the rate of freezing of the solution prior to vacuum-drying, shrinkage problems were minimized.
- the lyophilizate compositions of the present invention are prepared by dissolving Mesna, Mesna and mannitol or Mesna and trehalose, in water of suitable quality known to the person skilled in the art.
- These aqueous solutions will be comprised of Mesna and optionally at least one excipient.
- said aqueous solutions comprise 30 to 100% of Mesna and 0 to 70% of an excipient.
- Said excipient might be Mannitol or trehalose.
- the aqueous solutions might also comprise 10 to 70%, preferably 15 to 60%, more preferably 20 to 50% by weight to water volume of Mesna.
- the aqueous solution further comprises 30 to 90% by weight to water volume of mannitol or trehalose.
- auxiliary materials such as excipients, buffers, preservatives and the like; in lesser amounts may be added to the solution and not depart from the present invention. While water is the preferred solvent for the solution, it would be possible to use other pharmaceutically acceptable solvents.
- the pre-lyophilization solution is purified in a conventional manner by filtration using microbial retentive filters and nitrogen gas for pre-filter pressure. Sterilization of the solutions is performed by ultrafiltration prior to the freezing. The filtration-sterilized solution is then aseptically filled into sterile containers for lyophilization as described above.
- the containers are loaded into trays and shelf-frozen in the lyophilizer chamber to about ⁇ 40° C.
- the frozen solution is then lyophilized in the following manner; initially, the shelf temperature is set at about 0° C. and the vacuum is maintained at about 67 Pa (0.5 torr) with the condenser temperature at about ⁇ 60° C. or lower.
- the shelf temperature is raised to about 25° to 28° C. and the chamber vacuum is lowered to about 13 Pa (0.1 torr) or less.
- These drying conditions are continued until the residual moisture in the lyophilizate is reduced to a level whereby Mesna is chemically stable.
- the secondary drying requires an additional 24-36 hours.
- the time required for performing the Mesna lyophilization process and obtaining Mesna lyophilizate compositions is comprised between 10 and 30 hours, preferably between 15 and 25 hours, more preferably between 16 and 20 hours, most preferably about 18 hours.
- Mesna lyophilizate compositions are obtained via a process devoid of secondary drying.
- the invention provides a dosage unit formulation comprising the lyophilizate composition of the invention in a container of sufficient size to allow reconstitution with a solvent thereby giving a solution of desired Mesna concentration.
- the size of the container comprising said dosage unit formulation preferably allows the introduction of from 0.5 ml to 10 ml of solvent.
- a first solvent volume is introduced in the container comprising said dosage unit formulation.
- the lyophilizate composition is thereby first diluted in said first volume of solvent.
- the obtained first diluted lyophilizate composition might be afterwards transferred to another container comprising a second solvent volume.
- the sum of the first and the second solvent volumes is a total solvent volume that is used to dilute the lyophilized composition thereby providing the final desired Mesna concentration.
- the dosage unit formulation consists of the lyophilizate composition of the invention.
- the water solutions can be adjusted to obtain the desired characteristics of the Mesna solution.
- sodium chloride and sodium hydroxide can be used to obtain the desired tonicity and acidity for surgical applications.
- Said formulations can also be used for any other Mesna applications.
- the Mesna, Mesna-mannitol or Mesna-trehalose dosage unit formulation according to an embodiment of the invention contain between 300 mg and 100 g, preferably between 1 g and 70 g, more preferably between 2 g and 60 g, most preferably between 3 g and 50 g Mesna per unit. Larger sized dosage unit formulation of Mesna lyophilized compositions are also possible and are a further embodiment of the present invention.
- the dosage unit size is designed such as to provide Mesna solution at a concentration comprised between 5% and 50%. This means that the dosage unit size is suitable to receive a solvent volume in which lyophilized Mesna is dissolved thereby having a Mesna solution at a concentration comprised between 5% and 50%.
- the container is capable of maintaining a sterile environment such as a vial, a syringe or a bag capable of being hermetically sealed by a stopper means.
- a sterile environment such as a vial, a syringe or a bag capable of being hermetically sealed by a stopper means.
- containers are usually glass, generally type I glass; they may also be of other suitable polymer materials which do not interact with the lyophilizate components.
- the container might be provided with a closure. Said closure is typically a stopper and preferably a sterile rubber stopper or an equivalent which gives a hermetic seal, will also allow entry for the purpose of introduction of diluent such as sterile water for reconstitution of the Mesna solution.
- the container containing the dosage unit formulation is made of plastic or glass.
- said container is sterile.
- the container is a flexible bag made of a fluid tight plastic material or from moister barrier plastic which prevents humidity and light in the single chamber. Said bag or plastic is preferably resistant to low temperatures, i.e. from ⁇ 10 to ⁇ 100° C.
- said container is suitable to be connected, through connection means, to a solvent source and/or to surgical devices.
- said solvent is suitable for dissolving the lyophilizate composition contained in the container.
- said solvent is a sterile physiological saline solution.
- the connection means can be any means known to the person skilled in the art.
- the solvent is suitable for dissolving the lyophilizate composition.
- said solvent is a sterile physiological saline solution.
- the solvent volume is chosen such as the concentration Mesna solution is of from 5% to 50%, preferably of from 10% to 40%, more preferably from 15% to 30%, most preferably from 20% to 25% or any value comprised in between the mentioned ranges.
- Aqueous Mesna solutions were prepared by dissolving 5 g, 3 g or 1 g of Mesna in 10 ml Water for Injection. For each Mesna concentration (5 g/10 ml, 3 g/10 ml and 1 g/10 ml), at least 30 solutions were prepared.
- the solutions were first passed through a sterile prefilter and then a sterile 0.2 micron pore size membrane filter.
- the solutions were placed in falcon tubes which were then placed in suitable lyophilization equipment and cooled (shelf-frozen) to a temperature of about 40° C.
- the lyophilizer condenser was then cooled to about ⁇ 60° C. or lower and the lyophilizer chamber was evacuated to a pressure of about 67 Pa (0.5 torr—range of 0.3 to 0.7). Shelf heat temperature was set at about 0° C. to begin the drying process. Following primary drying of about 24 to 48 hours, the shelf temperature was raised in order to bring the product temperature to near +25° C. Lyophilization was then continued until a final product temperature of about 25° C. to 28° C. and a chamber pressure of not more than 26 Pa (0.2 torr) was reached. The total lyophilization time will vary but depending on the capacity of equipment, will generally be in the range of about 72 to 96 hours. Following completion of the lyophilization process, the vacuum was relieved by the aseptic introduction of sterile air and/or nitrogen. At this point the falcon tubes are closed by suitable caps.
- the lyophilized Mesna was stored at two different temperatures: 40° C. ⁇ 2° C. and at room temperature, i.e. 21° C. ⁇ 2° C.
- the stored lyophilized Mesna was tested after different storage periods. The tests evaluated the appearance of the lyophilized Mesna (change in color, texture) and the impurities content of the lyophilized Mesna. The results are summarized in table 1.
- the stability of lyophilized Mesna is in general evaluated by measuring and determining the percentage of Mesna disulfide which is considered the most sensitive marker.
- Measurements of Mesna disulfide percentage were conducted for different Mesna lyophilizates made according to the present invention.
- the compositions of the tested Mesna lyophilizates comprised 125 mg or 250 mg of Mesna in 2 ml Water for Injection.
- Other tested Mesna lyophilizates compositions further comprised trehalose or Mannitol.
- the amount of trehalose or Mannitol was half of (50%), equal to (100%), 1.5 times (150%) or 2 times (200%) the amount of Mesna.
- the results showed that the Mesna disulfide percentage was similar, lower or slightly higher compared to the Mesna disulfide percentage measured for technical Mesna (Mena P) which is available on the market. Any slightly higher increase was of maximum 0.5% compared to the Mesna disulfide percentage measured for the pharmaceutical grade Mesna (Table 2).
- the Mesna disulphide percentage was always 3 or 4 times lower compared to the maximum Mesna disulphide percentage set by the United States Pharmacopeia and the Pharmacopée Eurotigenne which is of 3%.
- the sum of Mesna disulphide percentage and other impurities percentage was also always lower than said maximum of 3%.
- the Mesna lyophilized according to the present invention is weighed in containers to be commercialized.
- the containers can be any of the ones know to the person skilled in the art and/or as described above.
- the pH of lyophilized Mesna reconstituted in 2 ml milliQ-Water was measured. The pH ranged from 5.5 to 5.85.
- the pH was about 5.84.
- lyophilizate composition comprising Mesna and an amount of Mannitol which is 50% of Mesna amount
- the pH was about 5.77.
- lyophilizate composition comprising Mesna and an amount of Mannitol which is equal to (100%) the Mesna amount, the pH was about 5.8.
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Abstract
The invention provides a sterile lyophilizate composition having improved stability and shelf-life, the lyophilizate comprising from 30 to 100% of Mesna and 0 to 70% of an excipient. The invention further provides a process for the preparation of said sterile lyophilizate composition and a dosage unit formulation comprising said lyophilizate composition.
Description
- The present invention relates to sterile lyophilized compositions and a process for the preparation of said compositions. In particular, the invention relates to sterile lyophilized form of sodium-2-mercaptoethane sulfonate and to a process for its preparation. Said sterile lyophilized composition can be used for chemically assisted surgery and other applications.
- Sodium 2-mercaptoethanesulfonate, hereinafter referred to as Mesna, has been widely used for several applications mainly as drug and/or formulations in the medical filed. For instance, Mesna has been used as prophylactic agent in reducing the incidence of hemorrhagic cystitis. Mesna has also been used as a mucolytic agent. Additionally, Mesna has been used in surgery, wherein it is known that when applied at a cleavage plane, Mesna breaks the molecular bonds between tissue layers, thereby facilitating tissue separation. Specifically, Mesna breaks disulfide bonds of polypeptide chains and proteins.
- Mesna is a white hygroscopic powder with a characteristic odor. The liquid solution in water is highly sensitive to oxidation and rapidly decomposes on contact with oxygen to form di-Mesna also called disulphide Mesna, which is poorly absorbed, particularly in a humid atmosphere.
- Most pure Mesna dosage forms used until today are liquid formulations. Since Mesna is very sensitive to oxidation and reacts in the presence of oxygen to form di-Mesna, the aqueous solutions have to be protected against oxygen. In addition, Mesna in liquid form is highly prone to oxidation in presence of metals. Therefore, Mesna solutions are usually sealed into glass ampoules, preferably in low iron glass containers under nitrogen blanket with stabilizers, anti-oxidants and metals chelating agents. Said glass containers are rather expensive. Furthermore, in some procedures, Mesna solutions are needed at different concentrations from those readily available in commercial glass vials, making the use of said vials tedious or inadequate.
- When being used, the practitioner has to transfer the solution from glass containers to delivery device or to tube in order to incorporate the solution in the desired application. This step increases the chances of oxidation and contamination of the Mesna solution thereby having reduced Mesna activity or reduced sterility when used, for example in chemically assisted surgery.
- Mesna is also available as a more stable crystalline powder from the synthesis (technical Mesna), but this form is not sterile and therefore not suitable to medical applications.
- The object of the invention to overcome at least part of the above mentioned problems. The invention aims at providing sterile lyophilized Mesna compositions. This object is achieved in accordance with the invention by a composition and a process as indicated in the claims.
- In a first aspect, the invention provides a lyophilizate composition having improved stability and shelf-life, the lyophilizate comprising from 30 to 100% of Mesna and 0 to 70% of an excipient and/or a buffering agent. The use of excipient and/or buffering agent is hence optional.
- In a preferred embodiment, the excipient is selected from the group comprising mannitol, trehalosee, sucrose or any combination thereof.
- In another aspect, the invention provides a process for the preparation of a lyophilizate composition having improved stability and shelf-life, which comprises preparing an aqueous solution containing from 30 to 100% of Mesna and 0 to 70% of an excipient, freezing said solution to a temperature of about −40° C. and removing both nonadsorptively bound and adsorptively bound water by sublimation at a temperature between about −40° C. and about +28° C. and at a pressure between 200 and 10 Pa, preferably between 100 and 10 Pa, more preferably between about 93 and 13 Pa. Said aqueous solution is preferably sterilized by ultrafiltration prior to the freezing.
- In another aspect, the invention provides a dosage unit formulation comprising the lyophilizate composition described above in a container of sufficient size to allow reconstitution with a solvent thereby giving a solution of desired Mesna concentration.
- In another aspect, the present invention provides for the use of a sterile lyophilizate composition as described above and/or the use of a dosage unit formulation as described above for assisting surgery and/or for any other application wherein Mesna is employed. Said application includes and are not limited to Mesna formulations, treatment using Mesna as prophylactic agent or mucolytic agent.
- The sterile lyophilizate compositions according to the embodiments of the invention demonstrate better storage stability and dissolution characteristics than previous formulations. The sterile lyophilizate compositions of the present invention demonstrate unexpected improvements in physical and chemical stability and in shelf-life over Mesna powder and Mesna liquid formulations. In addition, lyophilized Mesna possesses superior dissolution characteristics and enhanced appearance on storage than non-lyophilized Mesna powders. Lyophilized Mesna are easily and quickly dissolved in the used solvent, i.e. 10 to 15 seconds are required for obtaining the Mesna solution at the desired concentration. The freshly made Mesna solution can then be immediately delivered to a target thereby having a maximal Mesna activity at the target location.
- Sterile lyophilized Mesna according to the present invention can be provided in containers suitable to be connected to a solvent source and/or to a surgical device. This minimizes external handling of Mesna thereby considerably reducing contamination risks, such as contamination risks during surgery. In addition, the prepared Mesna solution can be used shortly after dissolving the Mesna lyophilizate, thereby providing maximal Mesna activity at a target location when used for instance for assisting surgery.
- More generally, the sterile lyophilizate compositions according to the present invention are highly stable. This allows prolonged conservation of Mesna for different use and applications. Lyophilized Mesna of the present invention is easy to store as its storage does not require particular conditions. This is advantageous compared to the currently available pharmaceutical Mesna which is stored in low iron glass under nitrogen blanket.
- Lyophilized Mesna of the present invention further provides the user with the possibility to reconstitute sterile Mesna solutions with different desired concentrations according to the intended use. Concentrations higher than 20% can be obtained in this manner.
- The sterile solid lyophilized Mesna of the present invention makes possible the reconstitution of a Mesna solution for a wide range of medical applications, including surgery. This is not achievable using the known technical Mesna powder available to date. Said technical Mesna powder is not sterile. In addition, it is difficult to obtain Mesna at a certain desired concentrations by diluting commercial Mesna solutions available to date. Said commercial Mesna solutions are indeed limited to 10% or 20%.
- The present invention relates to lyophilized compositions and a process for the preparation of said compositions. In particular, the invention relates to sterile lyophilized Mesna compositions. In other terms, the present invention provides a novel form of Mesna which is sterile. Said sterile Mesna form is suitable for medical application including but not limited to surgery.
- Unless otherwise defined, all terms used in disclosing the invention, including technical and scientific terms, have the meaning as commonly understood by one of ordinary skill in the art to which this invention belongs. By means of further guidance, term definitions are included to better appreciate the teaching of the present invention.
- As used herein, the following terms have the following meanings:
- “A”, “an”, and “the” as used herein refers to both singular and plural referents unless the context clearly dictates otherwise. By way of example, “a compartment” refers to one or more than one compartment.
- “About” as used herein referring to a measurable value such as a parameter, an amount, a temporal duration, and the like, is meant to encompass variations of +/−20% or less, preferably +/−10% or less, more preferably +/−5% or less, even more preferably +/−1% or less, and still more preferably +/−0.1% or less of and from the specified value, in so far such variations are appropriate to perform in the disclosed invention. However, it is to be understood that the value to which the modifier “about” refers is itself also specifically disclosed.
- “Comprise,” “comprising,” and “comprises” and “comprised of” as used herein are synonymous with “include”, “including”, “includes” or “contain”, “containing”, “contains” and are inclusive or open-ended terms that specifies the presence of what follows e.g. component and do not exclude or preclude the presence of additional, non-recited components, features, element, members, steps, known in the art or disclosed therein.
- The recitation of numerical ranges by endpoints includes all numbers and fractions subsumed within that range, as well as the recited endpoints.
- The expression “% by weight” (weight percent), here and throughout the description unless otherwise defined, refers to the relative weight of the respective component based on the overall weight of the formulation.
- In a first aspect, the present invention provides a lyophilizate composition having improved stability and shelf-life. The lyophilizate composition comprises from 30 to 100% of Mesna and 0 to 70% of an excipient. The presence of said excipient is hence optional. The composition might consist entirely of Mesna thereby obtaining Mesna in solid form. Said solid Mesna is sterile.
- In a preferred embodiment, the lyophilizate comprises from 35 to 90% of Mesna and 10 to 65% of an excipient. In a preferred embodiment, the lyophilizate comprises from 40 to 80% of Mesna and 20 to 60% of an excipient. In a preferred embodiment, the lyophilizate comprises from 45 to 70% of Mesna and 30 to 55% of an excipient. The lyophilizate might comprise 55% of Mesna and 45% of an excipient.
- In a preferred embodiment, the excipient is selected from the group comprising mannitol, trehalose, sucrose or any combination thereof. In a preferred embodiment, the excipient is mannitol. In a preferred embodiment, the excipient is trehalose.
- In a preferred embodiment, the lyophilizate composition consists of Mesna. In a preferred embodiment, the lyophilizate composition consists of Mesna and mannitol. In a preferred embodiment, the lyophilizate composition consists of Mesna and trehalose. In a preferred embodiment, the percentages of each component are as indicated above.
- The lyophilizate compositions of the present invention have improved stability and shelf life compared to technical Mesna. Said lyophilizate Mesna compositions are stable over a time period which is at least 1.1, preferably at least 1.3, more preferably at least 1.5, even more preferably at least 1.8, most preferably at least 2 times longer than the time period during which technical Mesna is stable. The lyophilizate Mesna compositions of the present invention are stable over a time period which is at most 4, preferably at most 3.5, more preferably at most 3, even more preferably at most 2.8, most preferably at most 2.5 times longer than the time period during technical Mesna is stable. Said stability is determined by measuring the amount of Mesna disulfide of the stored Mesna.
- The lyophilizate compositions of the present invention have improved heat stability or temperature stability compared to technical Mesna. Said lyophilizate compositions are stable at high temperatures. Indeed, said the lyophilizate compositions are more stable than technical Mesna at 40° C. and at room temperature.
- In another aspect, the present invention provides a process for the preparation of a lyophilizate composition having improved stability and shelf-life, which comprises freezing an aqueous solution containing from 30 to 100% of Mesna and 0 to 70% of an excipient, to a temperature of about −40° C. and removing both nonadsorptively bound and adsorptively bound water by sublimation at a temperature between about −40° C. and about +28° C. and at a pressure between 200 and 10 Pa, preferably between 100 and 10 Pa, more preferably between about 93 and 13 Pa. Said aqueous solution is preferably sterilized by ultrafiltration prior to the freezing. The process of the invention leads to a solid sterile form of Mesna.
- In a preferred embodiment of the process, the excipient is selected from the group comprising mannitol, trehalose, sucrose or any combination thereof. In a preferred embodiment, the lyophilization is preceded by a microfiltration step.
- The present invention has resulted from work undertaken to ascertain if physical properties, such as shelf-storage and temperature stability, could be improved in a lyophilized Mesna composition. The initial stage of this research involved the evaluation of the suitability of lyophilizate cakes formed by freeze-drying various Mesna and/or Mesna-excipient compositions. The person skilled in the art easily understands that said cakes are solid forms consisting of Mesna and/or Mesna-excipient mixture. In making said evaluations, certain characteristics of the lyophilizate cakes were observed including original shape, shrinkage or meltback, coloration, homogeneity, morphology, firmness and crystallinity. The dissolution characteristics of prototypes were then determined and these included rate of dissolution, completeness of dissolution, and characterization of the resultant solution; e.g. clarity and color.
- The second stage of the research involved short term accelerated stability studies of compositions selected on the basis of their performance in the first stage of research. Excipients that were tested but not advanced to stage two evaluation included lactose; polyvinylpyrrolidone (PVP); dextrose; sodium bicarbonate; sodium carbonate; and tartaric acid. Lyophilizate compositions having mannitol, trehalose, glycine or urea as primary excipients were selected for the stage two stability testing. Lyophilizate compositions with urea or glycine as the primary excipient yellowed and decreased in potency during short term stability studies carried out at 40° C. In studies conducted at ambient room temperature, 24°-27° C., chemical and physical stability for the urea or glycine lyophilizate compositions was maintained for about 30 weeks. After 1 year storage lyophilizate compositions with urea or glycine were yellowed. Lyophilizate compositions with mannitol or trehalose as the primary excipient showed no yellowing or significant potency loss during storage under all conditions studied.
- In a preferred embodiment, slow freeze-drying process is used for preparing the Mesna lyophilizate compositions. This process results in minimization of shrinkage of the lyophilizate cake. The control of shrinkage and absence of yellowing for these Mesna lyophilizate compositions contribute to the enhanced appearance of the final lyophilized product. In order to produce these Mesna lyophilizate compositions, it was learned that by controlling both the rate of freezing of the solution prior to vacuum-drying, shrinkage problems were minimized.
- The lyophilizate compositions of the present invention are prepared by dissolving Mesna, Mesna and mannitol or Mesna and trehalose, in water of suitable quality known to the person skilled in the art. These aqueous solutions will be comprised of Mesna and optionally at least one excipient. Preferably, said aqueous solutions comprise 30 to 100% of Mesna and 0 to 70% of an excipient. Said excipient might be Mannitol or trehalose. The aqueous solutions might also comprise 10 to 70%, preferably 15 to 60%, more preferably 20 to 50% by weight to water volume of Mesna. In a preferred embodiment, the aqueous solution further comprises 30 to 90% by weight to water volume of mannitol or trehalose. In addition, other pharmaceutically useful auxiliary materials, such as excipients, buffers, preservatives and the like; in lesser amounts may be added to the solution and not depart from the present invention. While water is the preferred solvent for the solution, it would be possible to use other pharmaceutically acceptable solvents.
- The pre-lyophilization solution is purified in a conventional manner by filtration using microbial retentive filters and nitrogen gas for pre-filter pressure. Sterilization of the solutions is performed by ultrafiltration prior to the freezing. The filtration-sterilized solution is then aseptically filled into sterile containers for lyophilization as described above.
- Following the filling operation, the containers are loaded into trays and shelf-frozen in the lyophilizer chamber to about −40° C. The frozen solution is then lyophilized in the following manner; initially, the shelf temperature is set at about 0° C. and the vacuum is maintained at about 67 Pa (0.5 torr) with the condenser temperature at about −60° C. or lower. After completion of the primary drying (generally, about 24 to 48 hours), the shelf temperature is raised to about 25° to 28° C. and the chamber vacuum is lowered to about 13 Pa (0.1 torr) or less. These drying conditions are continued until the residual moisture in the lyophilizate is reduced to a level whereby Mesna is chemically stable. Generally, the secondary drying requires an additional 24-36 hours.
- In a preferred embodiment, the time required for performing the Mesna lyophilization process and obtaining Mesna lyophilizate compositions is comprised between 10 and 30 hours, preferably between 15 and 25 hours, more preferably between 16 and 20 hours, most preferably about 18 hours. In a preferred embodiment, Mesna lyophilizate compositions are obtained via a process devoid of secondary drying.
- In another aspect, the invention provides a dosage unit formulation comprising the lyophilizate composition of the invention in a container of sufficient size to allow reconstitution with a solvent thereby giving a solution of desired Mesna concentration. The size of the container comprising said dosage unit formulation preferably allows the introduction of from 0.5 ml to 10 ml of solvent. In a preferred embodiment, a first solvent volume is introduced in the container comprising said dosage unit formulation. The lyophilizate composition is thereby first diluted in said first volume of solvent. The obtained first diluted lyophilizate composition might be afterwards transferred to another container comprising a second solvent volume. The sum of the first and the second solvent volumes is a total solvent volume that is used to dilute the lyophilized composition thereby providing the final desired Mesna concentration.
- In a preferred embodiment, the dosage unit formulation consists of the lyophilizate composition of the invention. The water solutions can be adjusted to obtain the desired characteristics of the Mesna solution. For example sodium chloride and sodium hydroxide can be used to obtain the desired tonicity and acidity for surgical applications. Said formulations can also be used for any other Mesna applications.
- The Mesna, Mesna-mannitol or Mesna-trehalose dosage unit formulation according to an embodiment of the invention contain between 300 mg and 100 g, preferably between 1 g and 70 g, more preferably between 2 g and 60 g, most preferably between 3 g and 50 g Mesna per unit. Larger sized dosage unit formulation of Mesna lyophilized compositions are also possible and are a further embodiment of the present invention. In a preferred embodiment, the dosage unit size is designed such as to provide Mesna solution at a concentration comprised between 5% and 50%. This means that the dosage unit size is suitable to receive a solvent volume in which lyophilized Mesna is dissolved thereby having a Mesna solution at a concentration comprised between 5% and 50%.
- Preferably, the container is capable of maintaining a sterile environment such as a vial, a syringe or a bag capable of being hermetically sealed by a stopper means. While such containers are usually glass, generally type I glass; they may also be of other suitable polymer materials which do not interact with the lyophilizate components. The container might be provided with a closure. Said closure is typically a stopper and preferably a sterile rubber stopper or an equivalent which gives a hermetic seal, will also allow entry for the purpose of introduction of diluent such as sterile water for reconstitution of the Mesna solution.
- In a preferred embodiment, the container containing the dosage unit formulation is made of plastic or glass. Preferably said container is sterile. In a preferred embodiment, the container is a flexible bag made of a fluid tight plastic material or from moister barrier plastic which prevents humidity and light in the single chamber. Said bag or plastic is preferably resistant to low temperatures, i.e. from −10 to −100° C.
- In a preferred embodiment, said container is suitable to be connected, through connection means, to a solvent source and/or to surgical devices. Preferably, said solvent is suitable for dissolving the lyophilizate composition contained in the container. Preferably said solvent is a sterile physiological saline solution. The connection means can be any means known to the person skilled in the art.
- In a preferred embodiment, the solvent is suitable for dissolving the lyophilizate composition. Preferably said solvent is a sterile physiological saline solution. In a preferred embodiment, the solvent volume is chosen such as the concentration Mesna solution is of from 5% to 50%, preferably of from 10% to 40%, more preferably from 15% to 30%, most preferably from 20% to 25% or any value comprised in between the mentioned ranges.
- Aqueous Mesna solutions were prepared by dissolving 5 g, 3 g or 1 g of Mesna in 10 ml Water for Injection. For each Mesna concentration (5 g/10 ml, 3 g/10 ml and 1 g/10 ml), at least 30 solutions were prepared.
- The solutions were first passed through a sterile prefilter and then a sterile 0.2 micron pore size membrane filter. The solutions were placed in falcon tubes which were then placed in suitable lyophilization equipment and cooled (shelf-frozen) to a temperature of about 40° C.
- The lyophilizer condenser was then cooled to about −60° C. or lower and the lyophilizer chamber was evacuated to a pressure of about 67 Pa (0.5 torr—range of 0.3 to 0.7). Shelf heat temperature was set at about 0° C. to begin the drying process. Following primary drying of about 24 to 48 hours, the shelf temperature was raised in order to bring the product temperature to near +25° C. Lyophilization was then continued until a final product temperature of about 25° C. to 28° C. and a chamber pressure of not more than 26 Pa (0.2 torr) was reached. The total lyophilization time will vary but depending on the capacity of equipment, will generally be in the range of about 72 to 96 hours. Following completion of the lyophilization process, the vacuum was relieved by the aseptic introduction of sterile air and/or nitrogen. At this point the falcon tubes are closed by suitable caps.
- The impurities levels of the lyophilized Mesna solution at different concentrations were very low as determined by HPLC. HPLC analysis was performed according to the Eur. Pharmacopeia.
- The lyophilized Mesna was stored at two different temperatures: 40° C.±2° C. and at room temperature, i.e. 21° C.±2° C. The stored lyophilized Mesna was tested after different storage periods. The tests evaluated the appearance of the lyophilized Mesna (change in color, texture) and the impurities content of the lyophilized Mesna. The results are summarized in table 1.
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TABLE 1 appearance test and impurities levels of lyophilized Mesna stored at different temperatures Room temperature 40° C. 30 d 60 d 90 d 120 d 30 d 60 d 90 d 120 d 1 g/10 ml LI, NCA LI, NCA LI, NCA LI, NCA LI, NCA LI, NCA LI, NCA LI, NCA 3 g/10 ml LI, NCA LI, NCA LI, NCA LI, NCA LI, NCA LI, NCA LI, NCA LI, NCA 5 g/10 ml LI, NCA LI, NCA LI, NCA LI, NCA LI, NCA LI, NCA LI, NCA LI, NCA LI = low impurities. Impurities levels were compared to the impurities levels of the freshly lyophilized Mesna and/or the Mesna powder NCA = No appearance change - The stability of lyophilized Mesna is in general evaluated by measuring and determining the percentage of Mesna disulfide which is considered the most sensitive marker.
- Measurements of Mesna disulfide percentage were conducted for different Mesna lyophilizates made according to the present invention. The compositions of the tested Mesna lyophilizates comprised 125 mg or 250 mg of Mesna in 2 ml Water for Injection. Other tested Mesna lyophilizates compositions further comprised trehalose or Mannitol. The amount of trehalose or Mannitol was half of (50%), equal to (100%), 1.5 times (150%) or 2 times (200%) the amount of Mesna. The results showed that the Mesna disulfide percentage was similar, lower or slightly higher compared to the Mesna disulfide percentage measured for technical Mesna (Mena P) which is available on the market. Any slightly higher increase was of maximum 0.5% compared to the Mesna disulfide percentage measured for the pharmaceutical grade Mesna (Table 2).
- As shown in Table 2, the Mesna disulphide percentage was always 3 or 4 times lower compared to the maximum Mesna disulphide percentage set by the United States Pharmacopeia and the Pharmacopée Européenne which is of 3%. In addition, the sum of Mesna disulphide percentage and other impurities percentage was also always lower than said maximum of 3%.
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TABLE 2 impurities levels of lyophilizate Mesna compositions Mesna Composition MESNA disulphide Other impurities Mesna P 98.82% 1.03% 0.15% Mesna P 98.80% 1.00% 0.20% Mesna P 98.96% 0.85% 0.19% 125 mg Mesna* 99.00% 0.80% 0.19% 125 mg Mesna* 98.93% 0.88% 0.19% 250 mg Mesna* 99.00% 0.81% 0.19% 250 mg Mesna* 99.00% 0.81% 0.19% 250 mg Mesna + 150% Tre* 98.90% 0.91% 0.18% 250 mg Mesna + 100% Man* 98.70% 1.11% 0.19% 250 mg Mesna + 100% Man* 98.77% 1.05% 0.18% 250 mg Mesna + 150% Man* 98.81% 1.00% 0.19% 250 mg Mesna + 150% Man* 98.78% 1.03% 0.18% 250 mg Mesna + 200% Man* 98.85% 0.96% 0.18% 250 mg Mesna + 200% Man* 98.73% 1.09% 0.19% Mesna P = Technical non-lyophilized Mesna; *= lyophilized compositions; Tre = Trehalose; Man = Mannitol; 100% = equal to the amount of Mesna; 150% = 1.5 the amount of Mesna; 200% = 2 times the amount of Mesna. - Mesna stability after lyophilization was also tested on lyophilizates stored at room temperature about 5 months. The composition of the tested lyophilizates was 500 mg of Mesna dissolved in 5 ml Water for Injection. The tests were performed in duplicate. The results showed excellent Mesna stability as there has been no significant variation in the content of Mesna disulfide impurity (Table 3).
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TABLE 3 Mesna stability in Mesna lyophilizate stored for 5 months at room temperature MESNA Mesna disulphide other impurities Test 1 Before Lyo 98.02% 1.83% 0.15% After Lyo 98.02% 1.84% 0.14% 5 months after Lyo 99.11% 0.78% 0.11% Test 2 Before Lyo 98.86% 0.96% 0.18% After Lyo 98.98% 0.82% 0.20% 5 months after Lyo 99.88% 0.00% 0.12% Lyo = lyophilization - The results summarized in table 3 show the high and excellent stability of Mesna after lyophilization according to the present invention.
- In addition to the tests summarized in table 1, 2 and 3, a solubility test was performed after each storage time under the different tested temperatures, i.e. room temperature and 40° C. The solubility tests were compared to the solubility of Mesna powder and of Mesna freshly lyophilized. The results showed that the solubility of the stored lyophilized Mesna at different temperatures was similar to the solubility of the freshly lyophilized Mesna which was less than 10 seconds. The solubility of technical Mesna powder, so not lyophilized, was of from 15 to 20 seconds.
- For commercial purposes, the Mesna lyophilized according to the present invention is weighed in containers to be commercialized. The containers can be any of the ones know to the person skilled in the art and/or as described above.
- The pH of lyophilized Mesna reconstituted in 2 ml milliQ-Water was measured. The pH ranged from 5.5 to 5.85. For lyophilizate composition comprising Mesna, the pH was about 5.84. For lyophilizate composition comprising Mesna and an amount of Mannitol which is 50% of Mesna amount, the pH was about 5.77. For lyophilizate composition comprising Mesna and an amount of Mannitol which is equal to (100%) the Mesna amount, the pH was about 5.8. These results show that buffering is not required during Mesna lyophilization process.
- Although the present invention has been described with reference to preferred embodiments thereof, many modifications and alternations may be made by a person having ordinary skill in the art without departing from the scope of this invention which is defined by the appended claims.
Claims (18)
1. A lyophilizate composition having improved stability and shelf-life, the lyophilizate comprising at least from 30 to 100% of Mesna and optionally an excipient.
2. The lyophilizate composition according to claim 1 , wherein the composition comprises an excipient and wherein the concentration of the excipient in the composition is 0 to 70%.
3. The lyophilizate composition according to claim 2 , wherein the excipient is selected from the group consisting of mannitol, trehalose, sucrose and any combination thereof.
4. The lyophilizate composition according to claim 1 , wherein said lyophilizate is sterile.
5. A method for the preparation of a lyophilizate composition having improved stability and shelf-life, which comprises
freezing an aqueous solution comprising from 30 to 100% of Mesna and 0 to 70% of an excipient, to a temperature of about −40° C. and
removing both nonadsorptively bound and adsorptively bound water by sublimation at a temperature between about −40° C. and about +28° C. and at a pressure between 200 and 10 Pa.
6. The method according to claim 5 further comprising the step of sterilizing said aqueous solution prior to freezing.
7. The method according to claim 6 wherein said sterilization is performed by ultrafiltration.
8. The method according to claim 5 , wherein the excipient is selected from the group consisting of mannitol, trehalose, sucrose and any combination thereof.
9. A dosage unit formulation comprising the lyophilizate composition of claim 1 in a container for reconstitution with a solvent thereby giving a solution of desired Mesna concentration.
10. The dosage unit formulation according to claim 9 , wherein the lyophilizate composition comprises from 300 mg to 100 g of Mesna.
11. The dosage unit formulation according to claim 9 , wherein the lyophilizate composition comprises from 3 g to 50 g of Mesna.
12. The dosage unit formulation according to claim 9 , wherein said container is made of plastic or glass.
13. A method of performing surgery comprising administering the lyophilizate composition according to claim 1 at a cleavage plane.
14. A method of performing surgery comprising administering the dosage unit formulation according to claim 9 at a cleavage plane.
15. The method according to claim 5 , wherein the pressure is between about 100 and 10 Pa.
16. The method according to claim 5 , wherein the pressure is between about 93 and 13 Pa.
17. A method of treating a patient comprising administering the lyophilizate composition according to claim 1 to the patient in need thereof.
18. A method of treating a patient comprising administering the dosage unit formulation according to claim 9 to the patient in need thereof.
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| EP14150189.0 | 2014-01-06 | ||
| EP14150189 | 2014-01-06 | ||
| PCT/EP2015/050047 WO2015101665A1 (en) | 2014-01-06 | 2015-01-05 | Lyophilized mesna compositions |
Related Parent Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| PCT/EP2015/050047 A-371-Of-International WO2015101665A1 (en) | 2014-01-06 | 2015-01-05 | Lyophilized mesna compositions |
Related Child Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| US15/701,873 Division US10111844B2 (en) | 2014-01-06 | 2017-09-12 | Lyophilized mesna compositions |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| US20160324809A1 true US20160324809A1 (en) | 2016-11-10 |
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Family Applications (3)
| Application Number | Title | Priority Date | Filing Date |
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| US15/108,934 Abandoned US20160324809A1 (en) | 2014-01-06 | 2015-01-05 | Lyophilized mesna compositions |
| US15/701,873 Active US10111844B2 (en) | 2014-01-06 | 2017-09-12 | Lyophilized mesna compositions |
| US15/871,573 Active US10220010B2 (en) | 2014-01-06 | 2018-01-15 | Lyophilized mesna compositions |
Family Applications After (2)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| US15/701,873 Active US10111844B2 (en) | 2014-01-06 | 2017-09-12 | Lyophilized mesna compositions |
| US15/871,573 Active US10220010B2 (en) | 2014-01-06 | 2018-01-15 | Lyophilized mesna compositions |
Country Status (5)
| Country | Link |
|---|---|
| US (3) | US20160324809A1 (en) |
| EP (1) | EP3092009B1 (en) |
| ES (1) | ES2750749T3 (en) |
| PL (1) | PL3092009T3 (en) |
| WO (1) | WO2015101665A1 (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US10111844B2 (en) * | 2014-01-06 | 2018-10-30 | Auxin Surgery Sa | Lyophilized mesna compositions |
Families Citing this family (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CA3017403A1 (en) | 2016-03-14 | 2017-09-21 | Auxin Surgery Sa | Device, method and formulation for chemically assisted dissection |
| BE1024110B1 (en) * | 2016-10-18 | 2017-11-16 | Auxin Surgery Sa | Chemical assisted dissection device, method and formulation |
Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4959215A (en) * | 1988-03-19 | 1990-09-25 | Asta Pharma Ag | Ifosfamide-mesna lyophilizate and process for its preparation |
| US5227373A (en) * | 1991-10-23 | 1993-07-13 | Bristol-Myers Squibb Co. | Lyophilized ifosfamide compositions |
| US5750131A (en) * | 1995-08-08 | 1998-05-12 | Asta Medica Aktiengesellschaft | Ifosfamide lyophilizate preparations |
| US20050124589A1 (en) * | 2003-10-01 | 2005-06-09 | Berthold Roessler | New use, pharmaceutical preparations as well as a process for their production |
Family Cites Families (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP3092009B1 (en) * | 2014-01-06 | 2019-08-14 | AuXin Surgery SA | Lyophilized mesna compositions |
-
2015
- 2015-01-05 EP EP15700023.3A patent/EP3092009B1/en active Active
- 2015-01-05 WO PCT/EP2015/050047 patent/WO2015101665A1/en active Application Filing
- 2015-01-05 ES ES15700023T patent/ES2750749T3/en active Active
- 2015-01-05 PL PL15700023T patent/PL3092009T3/en unknown
- 2015-01-05 US US15/108,934 patent/US20160324809A1/en not_active Abandoned
-
2017
- 2017-09-12 US US15/701,873 patent/US10111844B2/en active Active
-
2018
- 2018-01-15 US US15/871,573 patent/US10220010B2/en active Active
Patent Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4959215A (en) * | 1988-03-19 | 1990-09-25 | Asta Pharma Ag | Ifosfamide-mesna lyophilizate and process for its preparation |
| US5227373A (en) * | 1991-10-23 | 1993-07-13 | Bristol-Myers Squibb Co. | Lyophilized ifosfamide compositions |
| US5750131A (en) * | 1995-08-08 | 1998-05-12 | Asta Medica Aktiengesellschaft | Ifosfamide lyophilizate preparations |
| US20050124589A1 (en) * | 2003-10-01 | 2005-06-09 | Berthold Roessler | New use, pharmaceutical preparations as well as a process for their production |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US10111844B2 (en) * | 2014-01-06 | 2018-10-30 | Auxin Surgery Sa | Lyophilized mesna compositions |
| US10220010B2 (en) | 2014-01-06 | 2019-03-05 | Auxin Surgery Sa | Lyophilized mesna compositions |
Also Published As
| Publication number | Publication date |
|---|---|
| US10220010B2 (en) | 2019-03-05 |
| WO2015101665A1 (en) | 2015-07-09 |
| EP3092009B1 (en) | 2019-08-14 |
| US20180133176A1 (en) | 2018-05-17 |
| PL3092009T3 (en) | 2020-03-31 |
| US20180000759A1 (en) | 2018-01-04 |
| ES2750749T3 (en) | 2020-03-27 |
| US10111844B2 (en) | 2018-10-30 |
| EP3092009A1 (en) | 2016-11-16 |
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| AS | Assignment |
Owner name: AUXIN SURGERY SA, BELGIUM Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNOR:CAPART, GILLES;REEL/FRAME:039138/0734 Effective date: 20160707 |
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| STCB | Information on status: application discontinuation |
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