The present invention relates to solid CB-183,315 preparations, pharmaceutical compositions comprising the solid CB-183,315 preparations, as well as methods of making the solid CB-183,315 preparations. Preferred improved compositions include solid CB-183,315 preparations with increased CB-183,315 stability.
CB-183,315 is a cyclic lipopeptide antibiotic currently in Phase III clinical trials for the treatment of Clostridium difficile-associated disease (CDAD). As disclosed in International Patent Application WO 2010/075215, herein incorporated by reference in its entirety, CB-183,315 has antibacterial activity against a broad spectrum of bacteria, including drug-resistant bacteria and C. difficile. Further, the CB-183,315 exhibits bacteriacidal activity.
CB-183,315 (
During the preparation and storage of CB-183,315, the CB-183,315 molecule can convert to structurally similar compounds as shown in
There is a need for solid CB-183,315 compositions with improved chemical stability in the solid form (i.e., higher total percent CB-183,315 purity over time), providing advantages of longer shelf life, increased tolerance for more varied storage conditions (e.g., higher temperature or humidity) and increased chemical stability.
The present invention provides CB-183,315 compositions with improved CB-183,315 chemical stability, measured as a higher total percent CB-183,315 purity over time (as determined by HPLC according to the method of Example 10). Surprisingly, the CB-183,315 contained in solid preparations with certain preferred compositions, for example, in compositions with certain sugars (e.g., CB-183,315 combined with sucrose or trehalose) was more chemically stable than CB-183,315 in CB-183,315 solid preparations without sugar. Even more surprising was that the chemical stability of the solid CB-183,315/sugar formulations was dependent on the process by which the composition was made. Solid preparations of CB-183,315 can be prepared by the following method: (a) forming an aqueous solution of CB-183,315 and at least one sugar (e.g. sucrose, trehalose or trehalose combined with dextran), at a pH of 2-7, preferably pH 2-6 and most preferably about 6 and (b) converting the aqueous solution to the solid CB-183,315/sugar preparation (e.g via lyophilization or spray drying). The chemical stability of CB-183,315 in a solid form was measured by comparing total CB-183,315 purity measurements from multiple solid CB-183,315 preparations each obtained according to Example 10. Higher chemical stability was measured as higher comparative CB-183,315 total purity measurements between two samples according to Example 10.
Preferred examples of solid pharmaceutical CB-183,315 preparations include a ratio (w/w) of about at least 1:0.3 to about 1:3 of CB-183,315 to one or more non-reducing sugars. Other preferred examples of solid pharmaceutical CB-183,315 preparations include a ratio (w/w) of about at least 1:0.5 to about 1:2, more preferably about 1:1 of CB-183,315 to one or more non-reducing sugars.
Unless otherwise defined, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this invention belongs. Although methods and materials similar or equivalent to those described herein can be used in the practice or testing of the present invention, suitable methods and materials are described below. All publications, patent applications, patents, and other references mentioned herein are incorporated by reference in their entirety. In case of conflict, the present specification, including definitions, will control. In addition, the materials, methods, and examples are illustrative only and not intended to be limiting.
Other features and advantages of the invention will be apparent from the following detailed description, and from the claims.
The present invention is based in part on the unexpected discovery that combining CB-183,315 in solution with one or more sugars (e.g., sucrose or trehalose) and then converting the solution to a solid form (e.g., by lyophilization or spray drying) provides a solid composition with increased CB-183,315 chemical stability. Preferred CB-183,315 pharmaceutical composition's include pharmaceutical compositions formulated for oral delivery, obtained by combining these solid forms with one or more excipients.
The term “CB-183,315/sugar” refer to the CB-183,315 solid preparation comprising the composition that arises from combining CB-183,315 in solution with one or more sugars (e.g., sucrose or trehalose) and then converting the solution to a solid form (e.g., by lyophilization or spray drying). The terms “CB-183,315/sucrose”, “CB-183,315/trehalose” and the like refer to CB-183,315 solid composition comprising the composition that arises from combining CB-183,315 in solution with one or more particular sugars (e.g., sucrose or trehalose) and then converting the solution to a solid form (e.g., by lyophilization or spray drying). CB-183,315/sugar may also contain excipients, fillers, adjuvents, stabilizers and the like.
CB-183,315 chemical stability refers to the change in the measured CB-183,315 purity measured by high performance liquid chromatography (HPLC). The change in CB-183,315 purity can be determined by measuring and comparing the amount(s) of CB-183,315 and/or structurally similar compounds (
Solid pharmaceutical CB-183,315/sugar preparation having increased CB-183,315 stability can be obtained by converting a solution containing CB-183,315 and a sugar to a solid form. The solution can be an aqueous solution containing one or more sugars (preferably a non-reducing sugar such as sucrose or trehalose) in an amount effective to decrease the amount of substances selected from the group consisting of the anhydro-CB-183,315 (
A preferred method of making a solid CB-183,315 preparation comprises
Once formed, the solid CB-183,315 preparations obtained from the sugar solution can be combined with excipients to obtain a pharmaceutical composition formulated for oral delivery (See, for example, Table 1, Formulations Q and U). Examples of oral delivery pharmaceutical compositions include tablets, capsules, sachets or other oral dosing forms.
Solid CB-183,315 preparations (i.e., CB-183,315 (without sugar) or CB-183,315/sugar formulations) were stored for various time periods (e.g., 1-3 months, 1-6 months, 1-12 months) at various temperatures ranges (e.g., 25 and 40 degrees C.), followed by dissolution of the solid preparation and subsequent detection of the amount of CB-183,315 and substances structurally similar to CB-183,315 in the dissolved liquid composition as described in Example 10. Preferred compositions included Formulations M and Q (Example 2 and 6), and Formulations R, S and T (Example 2). Each of these formulations are solid forms of CB-183,315 formed by lyophilizing (Example 9) or spray drying (Example 8) a solution of CB-183,315 and one or more sugars. Table 1 provides a description of examples of solid forms of CB-183,315. Formulation U is a pharmaceutical composition (tablet form for oral administration) comprising the Formulation M and additional excipients, as described in Table 1.
A series of comparative formulations were also prepared, as described in Table 1. The CB-183,315 used in each comparative formulation was not obtained by converting a solution of a sugar and CB-183,315 to a solid. Instead, the CB-183,315 was directly combined with various excipients to form a pharmaceutical formulation suitable for oral delivery. Comparative Formulas A-D were prepared according to Example 1. Comparative Formulation N was prepared according to Example 3, the CB-183,315 material was mixed as a solid with mannitol and other excipients (i.e., the mannitol and the CB-183,315 was not obtained by dissolving CB-183,315 with the mannitol in a solution and converting the solution to a solid). Comparative Formulation O was prepared according to Example 4 by combining CB-183,315 with certain excipients. In Comparative Formulation P, prepared according to Example 5, the CB-183,315 material was mixed as a solid with sucrose and other excipients (i.e., the sucrose and the CB-183,315 was not obtained by dissolving CB-183,315 with the sucrose in a solution and converting the solution to a solid).
The chemical stability of Formulations in Table 1, including comparative formulations, was measured using the HPLC method in Example 10. It will be understood by one of skill in the art that in
Applicants have shown (vide supra) that when in a solid form, the stability of CB-183,315 (no sugar) over time is impacted by the pH level of the CB-183,315 when made (e.g., by lyophilizing or spray dying of the CB-183,315 in solution at a particular pH).
Applicants have discovered that solid compositions of CB-183,315 with increased chemical stability can be achieved when CB-183,315 in solution is combined with one or more sugars (e.g., sucrose or trehalose) and then the solution is converted to a solid form (e.g., by lyophilization or spray drying). As detailed in the graphs in
The surprising results from
Of note, Formulation Q tablet packaging integrity of the stability sample may have been compromised causing the sudden increase in RS-6 levels between the 3 & 6 month time-point.
Collectively,
The following examples are illustrative of preferred embodiments of the inventions described herein.
Solid CB-183,315/sugar preparations were obtained by (a) forming a solution containing CB-183,315 and one or more sugars (e.g., at a pH of about 2-7), and (b) converting the solution to a solid preparation (e.g., by lyophilizing or spray drying). In some examples, the solid preparation (step b) was combined with excipients according to one of several methods to form tablets containing certain preferred pharmaceutical compositions.
The Examples disclose improved CB-183,315 stability in solid pharmaceutical preparations prepared by combining CB-183,315 in solution with one or more sugars and then converting the solution to a solid form. For instance, CB-183,315/sugar formulations listed in Table 1 showed lower percent decrease of CB-183,315 (i.e., higher purity) over a 3-12 month period of time period compared to comparative CB-183,315 (no sugar) in Table 1. Stability of CB-183,315/sucrose in solid formulations was measured relative to the anhydro isomer of CB-183,315 (RS-6,
The present invention will be further understood by reference to the following non-limiting examples. The following examples are provided for illustrative purposes only and are not to be construed as limiting the scope of the invention in any manner.
CB-183,315 at room temperature was dissolved in chilled water to a concentration of 100 mg/mL. Once the CB-183,315 was dissolved, the solution was pH adjusted by slowly adding chilled 2 N sodium hydroxide or 1N hydrochloric acid until the target pH was achieved. The solution was then lyophilized or spray dried to form a powder (See Examples 8 and 9 below).
CB-183,315 at room temperature was dissolved in chilled water to a concentration of 100 mg/mL. Once the CB-183,315 was dissolved, the appropriate amount of sugar(s) was weighed out and added to the solution. The CB-183,315 solution was mixed until complete dissolution of the sugar(s) was observed. The pH was then adjusted by slowly adding chilled 2 N sodium hydroxide or 1 N hydrochloric acid until the target pH was achieved. The solution was then lyophilized (Formulations E-M) or spray dried (Formulations R-T) to form a powder. (See Examples 8 and 9 below).
The composition for Formulation N are identified in Table 1. CB-183,315 powder at room temperature was compacted by cycling small quantities through a ball mill (Restch Mixer Mill) at 15 Hz for 30 seconds producing a very fine densified powder. The milled drug substance was combined and sieved through a 30 mesh screen to obtain a uniform powder with particle size less than 600 μm.
Required amounts of excipients (mannitol, imperial talc 500 and sodium stearyl fumarate) were sieved through an appropriate sized mesh screen and sequentially blended with the densified CB-183,315 powder using a V-blender. The formulated blended was roller compacted then passed through a 25 mesh screen. The compacted blend was loaded into the V-blender to blend with additional sodium stearyl fumarate for external lubrication purpose. The granulated blend was transferred into Lyoguard® freeze drying trays and dried under vacuum for not less than 10 hours at 35° C. in a freeze dryer. Post drying, the granulated blend was filled into hard gelatin capsules using an automated encapsulator equipped with size 00 capsule handling tooling.
Formulation O incorporates high shear mixing with stearic acid and mannitol mixed with CB-183,315 (not lyophilized with sucrose, as in Formulation Q). The material can then be blended, roller compacted, sized, blended and compressed into a tablet. The composition for Formulation O is as defined in Table 1 and the percentages of excipients added intra- and intergranular as detailed in the Table 2.
The CB-183,315 and stearic acid was co-screened through a #20 mesh screen and added to the high shear mixer and mixed for 20 minutes at an impeller speed of 350 rpm and chopper speed of 1500 rpm. The contents were discharged from the mixer then added into the V-blender. The microcrystalline cellulose and mannitol were added and blended for 5 minutes. The resulting blend was then roller compacted and passed through an oscillating mill equipped with a mesh screen. The milled material was then added to the V-blender. The intergranular croscarmellose sodium and microcrystalline cellulose was added to the V-blender and blended for 5 minutes at a suitable rate. Half of the blend material was removed from the V-blender, transferred into a bag and bag blended with the intergranular magnesium stearate then passed through a 20 mesh hand screen. The bag blended material was added back to the V-blender and blended for 3 minutes at suitable rate.
The granulated blend was then charged into the hopper of the tablet press. Tablets were compressed to a target weight of 650 mg. Upon completion of tablet compression, a 20% suspension of coating was prepared by adding approximately 100 g solids to 400 g of purified water. Coating was applied in a pan coater until 5% weight gain to the average tablet core weight was achieved.
Formulation P incorporates high shear mixing with silicon dioxide and sucrose mixed with CB-183,315 (not lyophilized with sucrose, as in Formulation Q). The material can then be blended, roller compacted, sized, blended and compressed into a tablet. The composition for Formulation P is as defined in Table 1 and the percentages of excipients added intra- and intergranular as detailed in the Table 3.
The CB-183,315, silicon dioxide and sucrose was co-screened through a #20 mesh hand screen and mixed in the high shear mixer for 20 minutes at impeller speed of 350 rpm and chopper speed of 1500 rpms. The content was discharged from the mixer then transferred into the V-blender. The croscarmellose sodium was then added and blended for 5 minutes. Half the amount of blend material was removed from the blender and transferred into a bag then blended with magnesium stearate (intra), co-screen through #20 mesh screen and added back to the V-blender and blended for 3 minutes. The resulting blend was roller compacted then passed through an oscillating mill equipped with a x-mesh screen. The granulated/milled material was transferred to the V-blender. The amount of intergranular croscarmellose sodium and microcrystalline cellulose was adjusted and based on the amount of granulated material and blended for 5 minutes at an appropriate rate. Half of the blend material was removed from the V-blender, transferred into a bag and bag blended with the intergranular magnesium stearate then passed through a 20 mesh hand screen. The bag blended material was added back to the V-blender and blended for 3 minutes at suitable rate.
The granulated blend was then charged into the hopper of the tablet press. Tablets were compressed to a target weight of 650 mg. Upon completion of tablet compression, a 20% suspension of coating was prepared by adding approximately 100 g solids to 400 g of purified water. Coating was applied in a pan coater until 5% weight gain to the average tablet core weight was achieved.
Formulation Q utilized a CB-183,315/sucrose powder (“Lyophilized or Spray dried CB-183,315/Sucrose Preparation” as described in Method B) with additional excipients as listed in the Table 4. The resulting material can be blended, roller compacted, sized, blended and compressed into tablets.
The CB-183,315/Sucrose powder (Formulation M) and silicon dioxide was charged into the V-Blender and blended for 5 minutes. The resultant blend was passed through an Oscillating mill equipped with a 20 mesh screen. The screened material is added back to the V-blender and blended for 5 minutes. Half the amount of blend was removed and transferred into a bag and bag blended with Croscarmellose Sodium and microcrystalline cellulose. The blended material was then passed through a #20 mesh screen and blended for 10 minutes. The blended material was granulated using a roller compactor and the resulting material was passed through an oscillating mill equipped with 20 mesh screen and transferred back to the V-blender. The amount of extra-granular magnesium stearate was adjusted based upon the weight of the granulated/milled material. Half the blend was removed and bag blended with the Magnesium Stearate then screened through a 20 mesh hand screen. The material was added to the V-Blender and blended for 3 minutes.
The granulated blend was then charged into the hopper of the tablet press. Tablets were compressed to a target weight of 700 mg. Upon completion of tablet compression, a 20% suspension of coating was prepared by adding approximately 100 g solids to 400 g of purified water. Coating was applied in a pan coater until 5% weight gain to the average tablet core weight was achieved.
Formulation U is a tablet formulation comprising Formulation R (Method B) and additional excipients. Formulation U was prepared according to Method B then blended with excipients to form tablets as follows.
The CB-183,315/Trehalose spray dried powder (Formulation R) was added to the appropriate sized container. Microcrystalline cellulose, mannitol, PVP-XL and intragranular colloidal silicon dioxide (screened through a 20 US mesh) was added to the container and blended for 15 minutes at the default mixing speed of the turbula mixer. The magnesium stearate was added to the container (screened through a 20 US Mesh) and blended for 4 minutes at the default mixing speed of the turbula mixer. Using a single station F press, slugs were compressed using the parameters shown in Table 5. Slugs were made by filling the die volume to capacity with the blended and then compressed using the F press to a tensile strength of roughly 0.500 MPA. The slugs were crushed into powder granules using a mortar and pestle then passed through a 20 mesh screen in order to remove smaller particles. Screening of the material and reprocessing using the mortar and pestle was repeated in order to avoid breaking down of the dry granulated particles. Colloidal silicon dioxide (screened through a 20 mesh) was added intragranular and blend for 15 minutes at the default mixing speed of the turbula mixer. Intragranular Magnesium stearate (screened through a 20 US mesh) was added intragranular and blended for 4 minutes at the default mixing speed of the turbula mixer.
Using a single station F press, the Tablets were compressed using the parameters shown in Table 5.
The spray dryer was preheated to an outlet temperature of at least 80° C., and the solution (Sec Examples 1-4) was spray dried according to the operating conditions in the table below (Table 6). The spray dried powder was further tray dried in a drying oven for 16 hours.
The CB-183,315 and CB-183,315/sugar solutions (Formulations prepared in Method A and Method B were lyophilized to form a dry powder. The cycle parameters shown in Table 7 were used to form dried powders of Formulations described in Method A and Method B except for preferred Formulation M which was lyophilized according to the cycle parameters shown in Table 8.
1NLT = not less than
aProduct to remain at Step 3 until primary drying is complete
Unless otherwise indicated, the amount of CB-183,315 and three compounds structurally similar to CB-183,315 (
In addition, the amount of substances structurally similar to CB-183,315 can be detected by HPLC at 214 nm according to Table 9: anhydro-CB-183,315 (
This application claims the benefit of U.S. provisional patent application No. 61/490,584, filed on May 26, 2011, which is incorporated herein by reference in its entirety.
Number | Date | Country | |
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61490584 | May 2011 | US |