Injectable composition

Abstract

A pharmaceutical formulation of paclitaxel and polyethoxylated castor oil is disclosed to be relatively acidified to a pH of than 8.1 and preferably within a pH range of 5 to 7, inclusively. Ethanol is optionally included in the formulation which is adapted for use in a body for the treatment of cancer, A formulation method is disclosed and includes the step of mixing an acid with a carrier material, such as polyethoxylated castor oil, to form a carrier solution after which paclitaxel is added in an amount such that the resulting pH is less than 8.1 and preferably in a pH range of 5 to 7. Ethanol may optionally be slurried with the paclitaxel before mixing with the carrier solution. A variety of acidifying agents, a preferred one being anhydrous citric acid, are described.

Description

CROSS-REVERENCE TO RELATED FOREIGN APPLICATION

[0002] This application claims priority under 35 U.S.C. 119 to Australian Patent No. 6074, filed Nov. 27, 1992.

[0003] This invention relates to a solution of paclitaxel having improved stability.

BACKGROUND OF THE INVENTION

[0004] Paclitaxel is a compound extracted from the bark of a western yew, Taxus brevifolia and known for its antineoplastic activity. It is described for example in The Merck Index, Eleventh Edition 1989, monograph 9049.

[0005] In 1977, paclitaxel was chosen for development as an antineoplastic agent because of its unique mechanism of action and good cytotoxic activity against IP implanted D16 melanoma and the human X-1 mammary tumor xenograft. Paclitaxel is believed to function as a mitotic spindle poison and as a potent inhibitor of cell replication in vitro. Other mitotic spindle points (colchicine and podophyllotoxin) inhibit microtubule assembly. Paclitaxel employs a different mechanism of action since it appears to shift the equilibrium of polymerization/depolymerization toward polymer assembly and to stabilize microtubules against depolymerization under conditions which would cause rapid disaggregation of microtubules. The interference with the polymerization/depolymerization cycle in cells appears to interfere with both the replication and migration of cells.

[0006] After extensive preclinical screening in mouse tumor models, paclitaxel entered clinical trials in 1983. Over the past few years, paclitaxel has demonstrated good response rates in treating both ovarian and breast cancer patients who were not benefitting from vinca alkaloid or cisplatin therapy. It has also shown encouraging results in patients with other types of cancer including lung, melanoma, lymphoma, head and neck.

[0007] For further information, reference may be made to the U. S. National Cancer Institute's Clinical Brochure for Taxol, revised July 1991, and papers presented at the Second National Cancer Institute Workshop on Taxol and Taxus held in Alexandria, Va. USA on Sep. 23-24, 1992.

BRIEF DESCRIPTION OF THE INVENTION

[0008] It is a disadvantage of the known formulation that the paclitaxel therein degrades, with the result that the shelf life of the formulation is unsatisfactory, and there is therefore a need for a paclitaxel solution of improved stability.

[0009] Accordingly, in a general aspect the invention provides a solution containing paclitaxel, cremophor EL™ and ethanol, characterized in that the pH of the solution has been adjusted into the range 1 to 8 by addition of an acid.

[0010] Acids in the form of powders, for example citric acid, are preferred over those which contain water, for example sulfuric acid. The most preferred acid for use in accordance with the present invention is citric acid, but a wide range of acids may be used including the following:

[0011] Citric acid—monohydrous

[0012] Citric acid—anhydrous

[0013] Citric acid—hydrous

[0014] Acetic acid

[0015] Formic acid

[0016] Ascorbic acid

[0017] Aspartic acid

[0018] Benzene sulphonic acid

[0019] Benzoic acid

[0020] Hydrochloric acid

[0021] Sulphuric acid

[0022] Phosphoric acid

[0023] Nitric acid

[0024] Tartaric acid

[0025] Diatrizoic acid

[0026] Glutamic acid

[0027] Lactic acid

[0028] Maleic acid

[0029] Succinic acid

DETAILED DESCRIPTION OF THE ILLUSTRATED EMBODIMENTS

[0030] Due to its limited solubility in water, Paclitaxel is usually prepared and administered in a vehicle containing cremophor EL™ (a polyethoxylated castor oil which acts as a solubilizer) and ethanol. A commercially available solution supplied by Bristol-Myers Squibb (BMS) is formulated with these components and has a pH of 9.1.

[0031] As indicated above, the invention essentially teaches addition of an acid to a paclitaxel formulation to adjust its pH into the range 1 to 8, preferable 5 to 7.

[0032] In a preferred procedure adopted by the applicant, which it will be clearly understood is non-limiting, the following steps were carried out:

[0033] Mixing Instructions

[0034] Solution 1

[0035] Citric acid was dissolved in absolute alcohol, using a ratio of 8 mls of absolute alcohol to 1 gram of citric acid, and the solution was stirred for fifteen (15) minutes.

[0036] Solution 2

[0037] Cremophor EL was weighed out into the main mixing vessel.

[0038] Solution 3

[0039] Solution 1 was added to solution 2, and the container used for solution 2 was washed with a minimum quantity of absolute alcohol to ensure complete transfer of the citric acid. Solution 3 was mixed and bubbled with nitrogen for at least 15 minutes. The paclitaxel was weighed out and slurried using absolute alcohol using a ratio of 8 ml of absolute alcohol to 1 gm of paclitaxel. The slurried paclitaxel was added to solution 3 and the slurrying vessel was washed with a minimum quantity of absolute alcohol. Solution 3 was adjusted to 75% of required volume using absolute alcohol and thoroughly stirred for at least 45 minutes until completely dissolved. Once completely dissolved, the volume was checked and made up as necessary with absolute alcohol and the final solution stirred for 5 minutes.

EXAMPLE 1

[0040] A solution was prepared with the following formulation:

Formulation: (Sample 1)
	Cremophor EL	0.5	mL
	Citric Acid (Anhydrous)	2.0	mg
	Paclitaxel	6.0	mg
	Absolute Alcohol	to 1.0	mL

[0041] The pH of this solution was determined as 6.1.

[0042] The stability of this sample was compared with a sample prepared by the formulation stated in the NCI Taxol Clinical brochure (as follows) which had a pH of 9.1. (Sample 2)

	Sample 2	per mL
	Paclitaxel	6	mg
	Cremophor EL	0.5	mL
	Absolute Alcohol	to 1	mL

[0043] The solutions were filled into clear type 1 glass 5 mL vials and sealed with rubber bungs.

[0044] The solutions were stored at 40° C. for 7 (seven) days and the stability results are shown in Table 1.

	Sample 1	Sample 2
	pH	6.2	9.0
	Potency	96.6	86.7
	Major individual impurity	0.3%	5.1%
	Total impurities	1.0%	12.2%

[0045] Clearly Sample 1 showed significantly increased stability over Sample 2.

EXAMPLE 2

[0046] A solution was prepared with the following formulation:

Formulation: (Sample 3)
	Cremophor EL	0.5	mL
	Paclitaxel	6.0	mg
	Absolute Ethanol	to 1.0	mL

[0047] pH adjusted to 6.6 with 1.0M Acetic Acid.

[0048] The solution was filled into clear type I glass 5 mL vials and sealed with rubber bungs.

[0049] The solution was stored at 40° C. for 7 days.

[0050] The stability results obtained are compared to those seen with Sample 2.

	Sample 3	Sample 4
	pH	6.7	9.0
	Potency	97.5	86.7
	Major individual impurity	0.3%	5.1%
	Total impurities	2.3%	12.2%

[0051] Again the significantly superior stability of the formulation according to the invention (Sample 3 is evident.

[0052] It will be clearly understood that the invention in its general aspects is not limited to the specific details referred to hereinabove.

Claims

1. A pharmaceutical paclitaxel composition comprising: paclitaxel; polyethoxylated castor oil; and an acid; said composition being such that at least 96.6% of the paclitaxel potency is retained when the composition is stored at 40° C. for seven days.

2. The pharmaceutical paclitaxel composition of claim 1, further comprising ethanol.

3. The pharmaceutical paclitaxel composition of claim 1, wherein said acid is an organic acid.

4. The pharmaceutical paclitaxel composition of claim 1, wherein said acid is a mineral acid.

5. The pharmaceutical paclitaxel composition of claim 3, wherein said acid is citric acid.

6. The pharmaceutical paclitaxel composition of claim 5, wherein said citric acid is monohydrous.

7. The pharmaceutical paclitaxel composition of claim 5, wherein the citric acid is hydrous.

8. The pharmaceutical paclitaxel composition of claim 5, wherein the citric acid is anhydrous.

9. The pharmaceutical paclitaxel composition of claim 3, wherein said acid is acetic acid.

10. The pharmaceutical paclitaxel composition of claim 2, wherein said acid is an organic acid.

11. The pharmaceutical paclitaxel composition of claim 2, wherein said acid is a mineral acid.

12. The pharmaceutical paclitaxel composition of claim 10, wherein said acid is citric acid.

13. The pharmaceutical paclitaxel composition of claim 12, wherein said citric acid is monohydrous.

14. The pharmaceutical paclitaxel composition of claim 12, wherein the citric acid is hydrous.

15. The pharmaceutical paclitaxel composition of claim 12, wherein the citric acid is anhydrous.

16. The pharmaceutical paclitaxel composition of claim 10, wherein said acid is acetic acid.

17. An article of manufacture comprising a sealed container and a pharmaceutical paclitaxel composition disposed within said sealed container, said pharmaceutical paclitaxel composition comprising: paclitaxel; a pharmaceutically-acceptable carrier; and an acid; said composition being such that at least 96.6% of the paclitaxel potency is retained when said composition is stored at 40° C. for seven days.

18. The article of manufacture of claim 17, wherein said pharmaceutically-acceptable carrier comprises polyethoxylated castor oil.

19. The article of manufacture of claim 18, wherein said pharmaceutically-acceptable carrier further comprises ethanol.

20. The article of manufacture of claim 17, wherein said acid is an organic acid.

21. The article of manufacture of claim 17, wherein said acid is a mineral acid.

22. The article of manufacture of claim 20, wherein said acid is acetic acid.

23. The article of manufacture of claim 20, wherein said acid is citric acid.

24. The article of manufacture of claim 23, wherein said citric acid is anhydrous.

25. The article of manufacture of claim 23, wherein said citric acid is monohydrous.

26. The article of manufacture of claim 23, wherein said citric acid is hydrous.

27. The article of manufacture of claim 18, wherein said acid is an organic acid.

28. The article of manufacture of claim 18, wherein said acid is a mineral acid.

29. The article of manufacture of claim 27, wherein said acid is acetic acid.

30. The article of manufacture of claim 27, wherein said acid is citric acid.

31. The article of manufacture of claim 30, wherein said citric acid is anhydrous.

32. The article of manufacture of claim 30, wherein said citric acid is monohydrous.

33. The article of manufacture of claim 30, wherein said citric acid is hydrous.

34. The article of manufacture of claim 19, wherein said acid is an organic acid.

35. The article of manufacture of claim 19, wherein said acid is a mineral acid.

36. The article of manufacture of claim 34, wherein said acid is acetic acid.

37. The article of manufacture of claim 34, wherein said acid is citric acid.

38. The article of manufacture of claim 37, wherein said citric acid is anhydrous.

39. The article of manufacture of claim 37, wherein said citric acid is monohydrous.

40. The article of manufacture of claim 37, wherein said citric acid is hydrous.

41. An article of manufacture produced by the process of: (a) obtaining a sealable container; (b) obtaining a pharmaceutical formulation comprising paclitaxel, a pharmaceutically-acceptable carrier, and an acid; said formulation being such that at least 96.6% of the paclitaxel potency is retained when the formulation is stored at 40° C. for seven days; (c) placing said pharmaceutical formulation in said sealable container; (d) sealing said sealable container; and (e) storing said pharmaceutical formulation in said sealed container for at least seven days.

42. The article of manufacture of claim 41, wherein said pharmaceutically-acceptable carrier comprises polyethoxylated castor oil.

43. The article of manufacture of claim 42, wherein said pharmaceutically-acceptable carrier further comprises ethanol.

44. The article of manufacture of claim 41, wherein said acid is an organic acid.

45. The article of manufacture of claim 41, wherein said acid is a mineral acid.

46. The article of manufacture of claim 44, wherein said acid is acetic acid.

47. The article of manufacture of claim 44, wherein said acid is citric acid.

48. The article of manufacture of claim 47, wherein said citric acid is anhydrous.

49. The article of manufacture of claim 47, wherein said citric acid is monohydrous.

50. The article of manufacture of claim 47, wherein said citric acid is hydrous.

51. The article of manufacture of claim 42, wherein said acid is an organic acid.

52. The article of manufacture of claim 42, wherein said acid is a mineral acid.

53. The article of manufacture of claim 51, wherein said acid is acetic acid.

54. The article of manufacture of claim 51, wherein said acid is citric acid.

55. The article of manufacture of claim 54, wherein said citric acid is anhydrous.

56. The article of manufacture of claim 54, wherein said citric acid is monohydrous.

57. The article of manufacture of claim 54, wherein said citric acid is hydrous.

58. The article of manufacture of claim 43, wherein said acid is an organic acid.

59. The article of manufacture of claim 43, wherein said acid is a mineral acid.

60. The article of manufacture of claim 58, wherein said acid is acetic acid.

61. The article of manufacture of claim 58, wherein said acid is citric acid.

62. The article of manufacture of claim 61, wherein said citric acid is anhydrous.

63. The article of manufacture of claim 61, wherein said citric acid is monohydrous.

64. The article of manufacture of claim 61, wherein said citric acid is hydrous.

65. A pharmaceutical paclitaxel composition which is at least seven days old, comprising: paclitaxel; a pharmaceutically-acceptable carrier; and an acid; said at least seven-day old composition being such that at least 96.6% of the original paclitaxel potency is retained when said composition is stored at 40° C. for seven days, and said at least seven-day old composition having at least 96.6% of its original paclitaxel potency.

66. The pharmaceutical paclitaxel composition of claim 65, wherein said pharmaceutically-acceptable carrier comprises polyethoxylated castor oil.

67. The pharmaceutical paclitaxel composition of claim 66, wherein said pharmaceutically-acceptable carrier further comprises ethanol.

68. The pharmaceutical paclitaxel composition of claim 65, wherein said acid is an organic acid.

69. The pharmaceutical paclitaxel composition of claim 65, wherein said acid is a mineral acid.

70. The pharmaceutical paclitaxel composition of claim 68, wherein said acid is acetic acid.

71. The pharmaceutical paclitaxel composition of claim 68, wherein said acid is citric acid.

72. The pharmaceutical paclitaxel composition of claim 71, wherein said citric acid is anhydrous.

73. The pharmaceutical paclitaxel composition of claim 71, wherein said citric acid is monohydrous.

74. The pharmaceutical paclitaxel composition of claim 71, wherein said citric acid is hydrous.

75. The pharmaceutical paclitaxel composition of claim 66, wherein said acid is an organic acid.

76. The pharmaceutical paclitaxel composition of claim 66, wherein said acid is a mineral acid.

77. The pharmaceutical paclitaxel composition of claim 75, wherein said acid is acetic acid.

78. The pharmaceutical paclitaxel composition of claim 75, wherein said acid is citric acid.

79. The pharmaceutical paclitaxel composition of claim 78, wherein said citric acid is anhydrous.

80. The pharmaceutical paclitaxel composition of claim 78, wherein said citric acid is monohydrous.

81. The pharmaceutical paclitaxel composition of claim 78, wherein said citric acid is hydrous.

82. The pharmaceutical paclitaxel composition of claim 67, wherein said acid is an organic acid.

83. The pharmaceutical paclitaxel composition of claim 67, wherein said acid is a mineral acid.

84. The pharmaceutical paclitaxel composition of claim 82, wherein said acid is acetic acid.

85. The pharmaceutical paclitaxel composition of claim 82, wherein said acid is citric acid.

86. The pharmaceutical paclitaxel composition of claim 85, wherein said citric acid is anhydrous.

87. The pharmaceutical paclitaxel composition of claim 85, wherein said citric acid is monohydrous.

88. The pharmaceutical paclitaxel composition of claim 85, wherein said citric acid is hydrous.

89. A pharmaceutical paclitaxel composition which is at least seven days old, comprising: paclitaxel; a pharmaceutically-acceptable carrier; and an acid; said at least seven-day old composition being such that the composition comprises no more than 2.3% total impurities when said composition is stored at 40° C. for seven days, and wherein said composition comprises no more than 2.3% total impurities.

90. The pharmaceutical paclitaxel composition of claim 89, wherein said pharmaceutically-acceptable carrier comprises polyethoxylated castor oil.

91. The pharmaceutical paclitaxel composition of claim 90, wherein said pharmaceutically-acceptable carrier further comprises ethanol.

92. The pharmaceutical paclitaxel composition of claim 89, wherein said acid is an organic acid.

93. The pharmaceutical paclitaxel composition of claim 89, wherein said acid is a mineral acid.

94. The pharmaceutical paclitaxel composition of claim 92, wherein said acid is acetic acid.

95. The pharmaceutical paclitaxel composition of claim 92, wherein said acid is citric acid.

96. The pharmaceutical paclitaxel composition of claim 95, wherein said citric acid is anhydrous.

97. The pharmaceutical paclitaxel composition of claim 95, wherein said citric acid is monohydrous.

98. The pharmaceutical paclitaxel composition of claim 95, wherein said citric acid is hydrous.

99. The pharmaceutical paclitaxel composition of claim 90, wherein said acid is an organic acid.

100. The pharmaceutical paclitaxel composition of claim 90, wherein said acid is a mineral acid.

101. The pharmaceutical paclitaxel composition of claim 99, wherein said acid is acetic acid.

102. The pharmaceutical paclitaxel composition of claim 99, wherein said acid is citric acid.

103. The pharmaceutical paclitaxel composition of claim 102, wherein said citric acid is anhydrous.

104. The pharmaceutical paclitaxel composition of claim 102, wherein said citric acid is monohydrous.

105. The pharmaceutical paclitaxel composition of claim 102, wherein said citric acid is hydrous.

106. The pharmaceutical paclitaxel composition of claim 91, wherein said acid is an organic acid.

107. The pharmaceutical paclitaxel composition of claim 91, wherein said acid is a mineral acid.

108. The pharmaceutical paclitaxel composition of claim 106, wherein said acid is acetic acid.

109. The pharmaceutical paclitaxel composition of claim 106, wherein said acid is citric acid.

110. The pharmaceutical paclitaxel composition of claim 109, wherein said citric acid is anhydrous.

111. The pharmaceutical paclitaxel composition of claim 109, wherein said citric acid is monohydrous.

112. The pharmaceutical paclitaxel composition of claim 109, wherein said citric acid is hydrous.

113. An article of manufacture which is at least seven days old, comprising a sealed container and a pharmaceutical paclitaxel composition disposed within said sealed container, said composition comprising: paclitaxel; a pharmaceutically-acceptable carrier; and an acid; said at least seven-day old composition being such that at least 96.6% of the original paclitaxel potency is retained when said composition is stored at 40° C. for seven days, and said at least seven-day old composition having at least 96.6% of its original paclitaxel potency.

114. An article of manufacture according to claim 113, wherein said pharmaceutically-acceptable carrier comprises polyethoxylated castor oil.

115. An article of manufacture according to claim 114, wherein said pharmaceutically-acceptable carrier further comprises ethanol.

116. The article of manufacture of claim 113, wherein said acid is an organic acid.

117. The article of manufacture of claim 113, wherein said acid is a mineral acid.

118. The article of manufacture of claim 116, wherein said acid is acetic acid.

119. The article of manufacture of claim 116, wherein said acid is citric acid.

120. The article of manufacture of claim 119, wherein said citric acid is anhydrous.

121. The article of manufacture of claim 119, wherein said citric acid is monohydrous.

122. The article of manufacture of claim 119, wherein said citric acid is hydrous.

123. The article of manufacture of claim 114, wherein said acid is an organic acid.

124. The article of manufacture of claim 114, wherein said acid is a mineral acid.

125. The article of manufacture of claim 123, wherein said acid is acetic acid.

126. The article of manufacture of claim 123, wherein said acid is citric acid.

127. The article of manufacture of claim 126, wherein said citric acid is anhydrous.

128. The article of manufacture of claim 126, wherein said citric acid is monohydrous.

129. The article of manufacture of claim 126, wherein said citric acid is hydrous.

130. The article of manufacture of claim 115, wherein said acid is an organic acid.

131. The article of manufacture of claim 115, wherein said acid is a mineral acid.

132. The article of manufacture of claim 130, wherein said acid is acetic acid.

133. The article of manufacture of claim 130, wherein said acid is citric acid.

134. The article of manufacture of claim 133, wherein said citric acid is anhydrous.

135. The article of manufacture of claim 133, wherein said citric acid is monohydrous.

136. The article of manufacture of claim 133, wherein said citric acid is hydrous.

137. An article of manufacture which is at least seven days old, comprising a sealed container and a pharmaceutical paclitaxel composition disposed within said sealed container, said composition comprising: paclitaxel; a pharmaceutically-acceptable carrier; and an acid; such that said composition comprises no more than 2.3% total impurities when stored at 40° C. for seven days, and wherein said composition comprises no more than 2.3% total impurities.

138. An article of manufacture according to claim 137, wherein said pharmaceutically-acceptable carrier comprises polyethoxylated castor oil.

139. An article of manufacture according to claim 138, wherein said pharmaceutically-acceptable carrier further comprises ethanol.

140. The article of manufacture of claim 137, wherein said acid is an organic acid.

141. The article of manufacture of claim 137, wherein said acid is a mineral acid.

142. The article of manufacture of claim 140, wherein said acid is acetic acid.

143. The article of manufacture of claim 140, wherein said acid is citric acid.

144. The article of manufacture of claim 143, wherein said citric acid is anhydrous.

145. The article of manufacture of claim 143, wherein said citric acid is monohydrous.

146. The article of manufacture of claim 143, wherein said citric acid is hydrous.

147. The article of manufacture of claim 138, wherein said acid is an organic acid.

148. The article of manufacture of claim 138, wherein said acid is a mineral acid.

149. The article of manufacture of claim 147, wherein said acid is acetic acid.

150. The article of manufacture of claim 147, wherein said acid is citric acid.

151. The article of manufacture of claim 150, wherein said citric acid is anhydrous.

152. The article of manufacture of claim 150, wherein said citric acid is monohydrous.

153. The article of manufacture of claim 150, wherein said citric acid is hydrous.

154. The article of manufacture of claim 139, wherein said acid is an organic acid.

155. The article of manufacture of claim 139, wherein said acid is a mineral acid.

156. The article of manufacture of claim 154, wherein said acid is acetic acid.

157. The article of manufacture of claim 154, wherein said acid is citric acid.

158. The article of manufacture of claim 157, wherein said citric acid is anhydrous.

159. The article of manufacture of claim 157, wherein said citric acid is monohydrous.

160. The article of manufacture of claim 157, wherein said citric acid is hydrous.

161. A method for formulating a pharmaceutical paclitaxel composition such that the paclitaxel does not readily degrade, comprising the steps of: mixing an acid with a carrier material to form a first carrier composition; and mixing paclitaxel with said first carrier composition to form a pharmaceutical paclitaxel composition, such that said pharmaceutical paclitaxel composition retains at least 96.6% of the original paclitaxel potency when said pharmaceutical paclitaxel composition is stored at 40° C. for seven days.

162. The method of claim 161, wherein said first carrier composition comprises polyethoxylated castor oil.

163. The method of claim 162, wherein said first carrier composition further comprises ethanol.

164. The method of claim 161, wherein said acid is an organic acid.

165. The method of claim 161, wherein said acid is a mineral acid.

166. The method of claim 164, wherein said acid is acetic acid.

167. The method of claim 164, wherein said acid is citric acid.

168. The method of claim 167, wherein said citric acid is anhydrous.

169. The method of claim 167, wherein said citric acid is monohydrous.

170. The method of claim 167, wherein said citric acid is hydrous.

171. The method of claim 162, wherein said acid is an organic acid.

172. The method of claim 162, wherein said acid is a mineral acid.

173. The method of claim 171, wherein said acid is acetic acid.

174. The method of claim 171, wherein said acid is citric acid.

175. The method of claim 174, wherein said citric acid is anhydrous.

176. The method of claim 174, wherein said citric acid is monohydrous.

177. The method of claim 174, wherein said citric acid is hydrous.

178. The method of claim 163, wherein said acid is an organic acid.

179. The method of claim 163, wherein said acid is a mineral acid.

180. The method of claim 178, wherein said acid is acetic acid.

181. The method of claim 178, wherein said acid is citric acid.

182. The method of claim 181, wherein said citric acid is anhydrous.

183. The method of claim 181, wherein said citric acid is monohydrous.

184. The method of claim 181, wherein said citric acid is hydrous.

185. A method for formulating a pharmaceutical paclitaxel composition such that the paclitaxel does not readily degrade, comprising the steps of: mixing an acid with a carrier material to form a first carrier composition; and mixing paclitaxel with said first carrier composition to form a pharmaceutical paclitaxel composition, such that said pharmaceutical paclitaxel composition comprises no more than 2.3% total impurities when stored at 40° C. for seven days.

186. The method of claim 185, wherein said first carrier composition comprises polyethoxylated castor oil.

187. The method of claim 186, wherein said first carrier composition further comprises ethanol.

188. The method of claim 185, wherein said acid is an organic acid.

189. The method of claim 185, wherein said acid is a mineral acid.

190. The method of claim 188, wherein said acid is acetic acid.

191. The method of claim 188, wherein said acid is citric acid.

192. The method of claim 191, wherein said citric acid is anhydrous.

193. The method of claim 191, wherein said citric acid is monohydrous.

194. The method of claim 191, wherein said citric acid is hydrous.

195. The method of claim 186, wherein said acid is an organic acid.

196. The method of claim 186, wherein said acid is a mineral acid.

197. The method of claim 195 wherein said acid is acetic acid.

198. The method of claim 195, wherein said acid is citric acid.

199. The method of claim 198, wherein said citric acid is anhydrous.

200. The method of claim 198, wherein said citric acid is monohydrous.

201. The method of claim 198, wherein said citric acid is hydrous.

202. The method of claim 187, wherein said acid is an organic acid.

203. The method of claim 187, wherein said acid is a mineral acid.

204. The method of claim 202 wherein said acid is acetic acid.

205. The method of claim 202, wherein said acid is citric acid.

206. The method of claim 205, wherein said citric acid is anhydrous.

207. The method of claim 205, wherein said citric acid is monohydrous.

208. The method of claim 205, wherein said citric acid is hydrous.

209. An article of manufacture produced by the process of: (a) obtaining a sealable container; (b) obtaining a pharmaceutical formulation comprising paclitaxel, a pharmaceutically-acceptable carrier, and an acid; said formulation being such that at least 96.6% of the paclitaxel potency is retained when the formulation is stored at 40° C. for seven days; (c) placing said pharmaceutical formulation in said sealable container; (d) sealing said sealable container; and (e) storing said pharmaceutical formulation in said sealed container for at least seven days; wherein said pharmaceutical formulation retains at least 96.6% of the original paclitaxel potency.

210. The article of manufacture of claim 209, wherein said pharmaceutically-acceptable carrier comprises polyethoxylated castor oil.

211. The article of manufacture of claim 210, wherein said pharmaceutically-acceptable carrier further comprises ethanol.

212. The article of manufacture of claim 209, wherein said acid is an organic acid.

213. The article of manufacture of claim 209, wherein said acid is a mineral acid.

214. The article of manufacture of claim 212, wherein said acid is acetic acid.

215. The article of manufacture of claim 212, wherein said acid is citric acid.

216. The article of manufacture of claim 215, wherein said citric acid is anhydrous.

217. The article of manufacture of claim 215, wherein said citric acid is monohydrous.

218. The article of manufacture of claim 215, wherein said citric acid is hydrous.

219. The article of manufacture of claim 210, wherein said acid is an organic acid.

220. The article of manufacture of claim 210, wherein said acid is a mineral acid.

221. The article of manufacture of claim 219, wherein said acid is acetic acid.

222. The article of manufacture of claim 219, wherein said acid is citric acid.

223. The article of manufacture of claim 222, wherein said citric acid is anhydrous.

224. The article of manufacture of claim 222, wherein said citric acid is monohydrous.

225. The article of manufacture of claim 222, wherein said citric acid is hydrous.

226. The article of manufacture of claim 211, wherein said acid is an organic acid.

227. The article of manufacture of claim 211, wherein said acid is a mineral acid.

228. The article of manufacture of claim 226, wherein said acid is acetic acid.

229. The article of manufacture of claim 226, wherein said acid is citric acid.

230. The article of manufacture of claim 229, wherein said citric acid is anhydrous.

231. The article of manufacture of claim 229, wherein said citric acid is monohydrous.

232. The article of manufacture of claim 229, wherein said citric acid is hydrous.

233. An article of manufacture produced by the process of: (a) obtaining a sealable container; (b) obtaining a pharmaceutical formulation comprising paclitaxel, a pharmaceutically-acceptable carrier, and an acid; said formulation being such that the formulation comprises no more than 2.3% total impurities when the formulation is stored at 40° C. for seven days; (c) placing said pharmaceutical formulation in said sealable container; (d) sealing said sealable container; and (e) storing said pharmaceutical formulation in said sealed container for at least seven days; wherein said formulation comprises not more than 2.3% total impurities.

234. The article of manufacture of claim 233, wherein said pharmaceutically-acceptable carrier comprises polyethoxylated castor oil.

235. The article of manufacture of claim 234, wherein said pharmaceutically-acceptable carrier further comprises ethanol.

236. The article of manufacture of claim 233, wherein said acid is an organic acid.

237. The article of manufacture of claim 233, wherein said acid is a mineral acid.

238. The article of manufacture of claim 236, wherein said acid is acetic acid.

239. The article of manufacture of claim 236, wherein said acid is citric acid.

240. The article of manufacture of claim 239, wherein said citric acid is anhydrous.

241. The article of manufacture of claim 239, wherein said citric acid is monohydrous.

242. The article of manufacture of claim 239, wherein said citric acid is hydrous.

243. The article of manufacture of claim 234, wherein said acid is an organic acid.

244. The article of manufacture of claim 234, wherein said acid is a mineral acid.

245. The article of manufacture of claim 243, wherein said acid is acetic acid.

246. The article of manufacture of claim 243, wherein said acid is citric acid.

247. The article of manufacture of claim 246, wherein said citric acid is anhydrous.

248. The article of manufacture of claim 246, wherein said citric acid is monohydrous.

249. The article of manufacture of claim 246, wherein said citric acid is hydrous.

250. The article of manufacture of claim 235, wherein said acid is an organic acid.

251. The article of manufacture of claim 235, wherein said acid is a mineral acid.

252. The article of manufacture of claim 250, wherein said acid is acetic acid.

253. The article of manufacture of claim 250, wherein said acid is citric acid.

254. The article of manufacture of claim 253, wherein said citric acid is anhydrous.

255. The article of manufacture of claim 253, wherein said citric acid is monohydrous.

256. The article of manufacture of claim 253, wherein said citric acid is hydrous.

257. A method of making an article of manufacture comprising a sealed container and a pharmaceutical paclitaxel formulation contained therein, said method comprising the steps of: (a) obtaining a sealable container; (b) obtaining a pharmaceutical formulation comprising paclitaxel, a pharmaceutically-acceptable carrier, and an acid; said formulation being such that at least 96.6% of the paclitaxel potency is retained when the formulation is stored at 40° C. for seven days; (c) placing said pharmaceutical formulation in said sealable container; (d) sealing said sealable container; and (e) storing said pharmaceutical formulation in said sealed container for at least seven days.

258. The method of claim 257, wherein said first carrier composition comprises polyethoxylated castor oil.

259. The method of claim 258, wherein said first carrier composition further comprises ethanol.

260. The method of claim 257, wherein said acid is an organic acid.

261. The method of claim 257, wherein said acid is a mineral acid.

262. The method of claim 260, wherein said acid is acetic acid.

263. The method of claim 260, wherein said acid is citric acid.

264. The method of claim 263, wherein said citric acid is anhydrous.

265. The method of claim 263, wherein said citric acid is monohydrous.

266. The method of claim 263, wherein said citric acid is hydrous.

267. The method of claim 258, wherein said acid is an organic acid.

268. The method of claim 258, wherein said acid is a mineral acid.

269. The method of claim 267 wherein said acid is acetic acid.

270. The method of claim 267, wherein said acid is citric acid.

271. The method of claim 270, wherein said citric acid is anhydrous.

272. The method of claim 270, wherein said citric acid is monohydrous.

273. The method of claim 270, wherein said citric acid is hydrous.

274. The method of claim 259, wherein said acid is an organic acid.

275. The method of claim 259, wherein said acid is a mineral acid.

276. The method of claim 274 wherein said acid is acetic acid.

277. The method of claim 274, wherein said acid is citric acid.

278. The method of claim 277, wherein said citric acid is anhydrous.

279. The method of claim 277, wherein said citric acid is monohydrous.

280. The method of claim 277, wherein said citric acid is hydrous.

281. A method of making an article of manufacture comprising a sealed container and a pharmaceutical paclitaxel formulation contained therein, said method comprising the steps of: (a) obtaining a sealable container; (b) obtaining a pharmaceutical formulation comprising paclitaxel, a pharmaceutically-acceptable carrier, and an acid; said formulation being such that the formulation comprises no more than 2.3% total impurities when the formulation is stored at 40° C. for seven days; (c) placing said pharmaceutical formulation in said sealable container; (d) sealing said sealable container; and (e) storing said pharmaceutical formulation in said sealed container for at least seven days.

282. The method of claim 281, wherein said first carrier composition comprises polyethoxylated castor oil.

283. The method of claim 282, wherein said first carrier composition further comprises ethanol.

284. The method of claim 281, wherein said acid is an organic acid.

285. The method of claim 281, wherein said acid is a mineral acid.

286. The method of claim 284, wherein said acid is acetic acid.

287. The method of claim 284, wherein said acid is citric acid.

288. The method of claim 287, wherein said citric acid is anhydrous.

289. The method of claim 287, wherein said citric acid is monohydrous.

290. The method of claim 287, wherein said citric acid is hydrous.

291. The method of claim 282, wherein said acid is an organic acid.

292. The method of claim 282, wherein said acid is a mineral acid.

293. The method of claim 291, wherein said acid is acetic acid.

294. The method of claim 291, wherein said acid is citric acid.

295. The method of claim 294, wherein said citric acid is anhydrous.

296. The method of claim 294, wherein said citric acid is monohydrous.

297. The method of claim 294, wherein said citric acid is hydrous.

298. The method of claim 283, wherein said acid is an organic acid.

299. The method of claim 283, wherein said acid is a mineral acid.

300. The method of claim 298, wherein said acid is acetic acid.

301. The method of claim 298, wherein said acid is citric acid.

302. The method of claim 301, wherein said citric acid is anhydrous.

303. The method of claim 301, wherein said citric acid is monohydrous.

304. The method of claim 301, wherein said citric acid is hydrous.