The present invention relates to a controlled release injectable ondansetron formulation comprising ondansetron or pharmaceutically acceptable salt, derivative or metabolite thereof which releases ondansetron over a period of at least 2 days period from the date of administration, a method for preparing the above formulation, and a method for prevention of nausea and vomiting associated with emetogenic cancer chemotherapy, radiotherapy and post operation.
Ondansetron is a selective blocking agent of the serotonin 5-HT3 receptor type and is used for the prevention of nausea and vomiting associated with highly emetogenic cancer chemotherapy, prevention of nausea and vomiting associated with initial and repeat courses of moderately emetogenic cancer chemotherapy, prevention of nausea and vomiting associated with radiotherapy in patients receiving total body irradiation, single high-dose fraction to abdomen, or daily fractions to abdomen and prevention of postoperative nausea and/or vomiting.
Ondansetron is structurally represented as
Ondansetron is administered orally in following doses;
Intravenously ondansetron is administered at a dose of three 0.15 mg/kg for 3 doses (maximum of 16 mg per dose) for the prevention of nausea and vomiting associated with initial and repeat courses of emetogenic cancer chemotherapy and at a dose of 4 mg for prevention of postoperative nausea and vomiting.
There exists a need to develop a controlled release ondansetron injectable formulation has the merit to eliminate the need of frequent dosing.
The first object of the present invention to provide a controlled release injectable formulation containing ondansetron which provides a uniform and constant rate of release over an extended period of time.
Another object of the present invention is to provide a non-irritating parenteral formulation comprising ondansetron which is injected intramuscularly (IM) and/or subcutaneously (SC).
Further object of the present invention is to provide a controlled release injectable formulation comprising ondansetron as active ingredient which shows good syringability, injectability, no clogging or blockage of the syringe needles, good drainage, sterility and re-suspendability.
A major object of the present invention is to provide a controlled release injectable formulation of ondansetron, which is used for prevention of chemotherapy induced nausea and vomiting (CINV) and post-operative nausea and vomiting (PONV), which is able to replace the existing CINV and PONV treatment regimens that requires frequent oral and intravenous dosing daily.
The present invention aims at developing a pharmaceutical composition for intramuscular (IM) or subcutaneous (SC) administration, in a single or multiple injection sites, comprising ondansetron which is able to prevent, reduce or alleviate acute delayed and anticipatory CINV or PONV symptoms from day 1 (beginning of chemotherapy treatment) up to several days.
The invention further includes sterile injectable controlled release formulations comprising ondansetron as active ingredient in the form of ready to use suspensions.
A further approach of the present invention is to provide a fast, simple and cost-effective process for the preparation of a stable injectable pharmaceutical formulation comprising ondansetron.
The invention further includes sterile injectable suspension comprising (a) ondansetron, and (b) a vehicle for the ondansetron, which upon injection, preferably intramuscularly (IM) releases the therapeutic amounts of ondansetron over a period of at least 2 days, preferably three, four, five, six and up to seven days or more from the date of administration.
The particle size (D90) of ondansetron injectable suspension according to this invention is in the range from about 1 micron to about 30 microns which releases the ondansetron over a period of at least 2 days, preferably three, four, five, six and up to seven days or more, for example up to ten days from the date of administration.
The present invention provides a controlled release injectable ondansetron formulation comprising
The present invention further provides a controlled release injectable ondansetron formulation comprising
In another embodiment, the present invention provides a controlled release injectable ondansetron formulation comprising
In a further embodiment, the present invention provides a controlled release injectable ondansetron formulation comprising
In a still further embodiment, the present invention provides a controlled release injectable ondansetron formulation comprising
In a further embodiment, the present invention provides a controlled release injectable ondansetron formulation comprising
In a still further embodiment, the present invention provides a controlled release injectable ondansetron formulation comprising
In a further embodiment, the present invention provides a controlled release injection ondansetron formulation comprising
In another embodiment, the present invention provides a controlled release injection ondansetron formulation comprising
The present invention further provides a controlled release injectable ondansetron formulation consisting of
For the purpose of the invention, the controlled release injectable, intramuscular (IM) or subcutaneous (SC) formulation of ondansetron means that replaces the single dosing regimen.
Controlled release parenteral drug products according to the present invention may be available as powder for suspension, coarse or colloidal liquid suspensions.
The present invention relates to a controlled release injectable ondansetron formulation comprising ondansetron having a particle size (D90) of about 1 to 30 microns, wherein said controlled release injectable ondansetron formulation upon administration into a subject releases ondansetron over a period of at least 2 days from the date of administration, preferably three, four, five, six and up to seven days or more, for example up to ten days from the date of administration.
The controlled release injectable ondansetron formulations of the invention will include ondansetron in an amount within the range from about 10 mg/mL to about 200 mg/mL, preferably in the range from about 20 mg/mL to about 180 mg/mL, more preferably in the range from about 50 mg/mL to about 150 mg/mL, even more preferably in the range from about 75 mg/mL to about 125 mg/mL and most preferably of about 100 mg/mL.
As indicated, desired particle size (D90) of the ondansetron is essential in producing an injectable formulation having the desired controlled release properties of the ondansetron. Thus, to produce desired controlled release, the ondansetron should have a particle size (D90) within the range from about 1 to about 30 microns, preferably from about 1 to about 20 microns, and more preferably from about 1 to about 15 microns.
In one embodiment ondansetron formulation of the invention will preferably be formed from a) ondansetron; b) one or more viscosity increasing agents; c) one or more wetting agents; d) optionally one or more solvents, one or more buffers and one or more pH adjusting agents.
In another embodiment, the present invention provides a controlled release injectable ondansetron formulation comprising
In a further embodiment, the present invention relates to a controlled release injectable ondansetron formulation comprising
The present invention further provides a controlled release injectable ondansetron formulation comprising
In another embodiment, the present invention provides a controlled release injectable ondansetron formulation comprising
In a further embodiment, the present invention provides a controlled release injectable ondansetron formulation comprising
The viscosity increasing agent is present in the range from about 0.01 mg/mL to 100 mg/mL, more preferably from in the range from about 0.1 mg/mL to about 50 mg/mL, even more preferably in the range from about 1 mg/mL to about 10 mg/mL and most preferably of about 5 mg/mL. Examples of the viscosity increasing agents for use include, but are not limited to aluminium monostearate, carboxymethyl cellulose or its sodium salt, desoxycholate sodium, gelatin, glycerol, hydroxyethyl cellulose, hydroxypropylmethyl cellulose, polyoxyethylene alkyl ethers, polyoxyethylated fatty acid, polysorbate, polyethylene glycol, polyvinyl pyrrolidone and sodium carboxymethylcellulose. The more preferred viscosity increasing agents are carboxymethyl cellulose or its sodium salt, and hydroxypropyl methylcellulose. Carboxymethyl cellulose or its sodium salt is used in the range from about 0.01 mg/mL to 100 mg/mL, more preferably from in the range from about 0.1 mg/mL to about 50 mg/mL, even more preferably in the range from about 1 mg/mL to about 15 mg/mL, even most preferably in the range of 2 mg/mL to about 10 mg/mL and most preferably of about 5 mg/mL.
Wetting agents are present in the range from about 0.01 mg/mL to 100 mg/mL, more preferably from in the range from about 0.1 mg/mL to about 50 mg/mL, even more preferably in the range from about 1 mg/mL to about 25 mg/mL, most preferably of about 1 mg/mL to about 15 mg/mL and even most preferably of about 10 mg/mL. Examples of suitable wetting agents for use include one or more of the following but not limited to phospholipids selected from group consisting of egg yolk based phospholipids (egg phosphatidyl choline), soya phosphatidylcholine; diethylene glycol monostearate, diethylene glycol monolaurate, glyceryl monostearate, polyoxyethylene sorbitol beeswax, polyethylene lauryl ether, polyoxyethylene lauryl ether, polyoxyethylene monostearate, polyoxyethylene alkyl phenol, polyethylene sorbitan monooleate, polyethylene sorbitan monolaurate, polyoxyethylene lauryl ether, potassium oleate, poloxamer, sorbitan tristearate, sorbitan monolaurate, sorbitan monooleate, sodium lauryl sulfate, sodium oleate, and triethanolamine oleate. Phosphatidyl choline is used in the range from about 0.01 mg/mL to 100 mg/mL, more preferably from in the range from about 0.1 mg/mL to about 50 mg/mL, even more preferably in the range from about 0.5 mg/mL to about 25 mg/mL, most preferably of about 0.8 mg/mL to about 20 mg/mL and even most preferably in the range of about 1 mg/mL to about 15 mg/mL. Mostly used concentration of phosphatidyl choline is 10 mg/mL.
Solvents preferably used in the present invention are pharmaceutically acceptable alcohols, acetone, acetonitrile, chloroform, dichloromethane, water or mixtures thereof. Pharmaceutically acceptable alcohols are selected from the group consisting of ethanol, benzyl alcohol, tertiary-butyl alcohol, isopropyl alcohol, and suitable mixtures thereof. Ethanol is the most preferably used alcoholic solvent. The most preferably used solvents is the mixture of ethanol and water.
In a still further embodiment, the present invention provides a controlled release injectable ondansetron formulation comprising
In a further embodiment, the present invention provides a controlled release injectable ondansetron formulation comprising
In a still further embodiment, the present invention provides a controlled release injectable ondansetron formulation comprising
In a further embodiment, the present invention provides a controlled release injection ondansetron formulation comprising
In another embodiment, the present invention provides a controlled release injection ondansetron formulation comprising
The present invention further provides a controlled release injectable ondansetron formulation consisting of
In a still further embodiment, the present invention provides a controlled release injectable formulation consisting of
A buffer may be optionally employed, in a specific amount as to adjust the pH value from about 6 to about 8. Examples of suitable buffers include: sodium phosphate and potassium phosphate. Sodium phosphate is particularly preferred as buffering agent.
The controlled release injectable solution of the present invention may optionally include one or more pH adjusting agents. The pH adjusting agents may be either an acid or a base. Examples of pH adjusting agents include one or mixture of the following: acetic acid, calcium carbonate, hydrochloric acid, magnesium oxide, magnesium hydroxide, potassium hydroxide and sodium hydroxide. Sodium hydroxide and hydrochloric acid are particularly preferred as pH adjusting agents.
Additionally, one or more tonicity adjusting agent may be optionally added. Examples of suitable tonicity adjusting agents include, but are not limited to magnesium sulfate, maltose, mannitol, polyethylene glycol, polylactic acid, polysorbate, potassium chloride, povidone, sodium chloride, sodium cholesteryl sulfate, sodium succinate, sodium sulfate, sorbitol, sucrose and trehalose. Sodium chloride is particularly preferred, when necessary, as tonicity adjusting agent.
The following examples are provided to illustrate the present invention. It is understood, however, that the invention is not limited to the specific conditions or details described in the examples below. The examples should not be construed as limiting the invention as the examples merely provide specific methodology useful in the understanding and practice of the invention and its various aspects. While certain preferred and alternative embodiments of the invention have been set forth for purposes of disclosing the invention, modification to the disclosed embodiments can occur to those who are skilled in the art.
Composition:
The following ingredients are used for the preparation of the ondansetron injectable suspension.
Process for Preparation:
Composition:
The following ingredients are used for the preparation of the ondansetron injectable suspension.
Process for Preparation:
Composition:
The following ingredients are used for the preparation of the ondansetron injectable suspension.
Process for Preparation:
Composition: An ondansetron injectable (IM Depot) suspension (100 mg/mL, 100 mg/Vial) was prepared as follows.
Process for Preparation:
Composition: An ondansetron injectable (IM Depot) suspension (100 mg/mL, 100 mg/Vial) was prepared as follows.
The process for preparation is same as disclosed in the examples 4 to 6.
Composition: An ondansetron injectable (IM Depot) suspension (100 mg/mL, 100 mg/Vial) was prepared as follows.
The process for preparation is same as disclosed in the examples 10 to 12.
Male Beagle dogs were fasted are divided into six groups as G1, G2, G3, G4, G5 and G6 each consisting of four dogs. Ondansetron injection solution 2 mg/mL available in market (Reference) is administered intravenously (IV) to G1, G2 groups and 100 mg/l mL ondansetron injectable suspension (IM Depot) of example 11 and 12 (test) of the present invention are administered intramuscularly G3, G4, G5 and G6 groups, with the dose, dose volume, drug concentration, sites of injection as listed in Table—1.
Blood samples were collected from each IM route dogs at 0 (pre-dose), 0.5, 1, 2, 4, 8, 16, 24, 36, 48, 72, 96, 120, 144, 168 and 240 h post-dose; for IV route dogs, blood samples were collected at 0 (pre-dose), 0.167, 0.33, 0.5, 0.75, 1, 2, 4, 8, 12 and 24 h post-dose and analysed for ondansetron in plasma and calculated using the noncompartmental analysis tool of the validated Phoenix WinNonlin software (Version 8.0). The summary of plasma pharmacokinetics parameters of ondansetron for G1 and G2 animals is summarized in Table—2 (
The equivalent exposure after intramuscular administration of ondansetron injectable suspension of Example 11 and Example 12 is calculated in Table— 4.
From it is evident that the exposure of Ondansetron release from the injectable suspension of Example 11 and 12 is extended till day 7. The exposure is higher on day 1 and continues to reduce through subsequent days and tapered off by day 7. The split AUC for durations 0 h, 4 h, 8 h and 24 h shows equivalent exposure during these durations does not indicate any burst release of the formulation at any time. The exposure of ondansetron is equivalent to between 17.0 mg and 6.3 mg between day 2 and day 5.
Number | Date | Country | Kind |
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201941039622 | Oct 2019 | IN | national |
Filing Document | Filing Date | Country | Kind |
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PCT/IB2020/059122 | 9/30/2020 | WO |