Hydroxypropyl beta-cyclodextrin compositions and methods
This disclosure provides mixtures of beta-cyclodextrin molecules substituted at one or more hydroxyl positions by hydroxypropyl groups, the mixture optionally including unsubstituted beta-cyclodextrin molecules, for use as a pharmaceutically active ingredient; methods of making such mixtures; methods of qualifying such mixtures for use in a pharmaceutical composition suitable for intrathecal or intracerebroventricular administration; pharmaceutical compositions suitable for intrathecal or intracerebroventricular administration comprising such mixtures; and methods of using the pharmaceutical compositions for treatment of Niemann-Pick disease Type C.
1 . A method of treating Niemann-Pick disease comprising administering to a human subject in need thereof a composition comprising a mixture of beta-cyclodextrin molecules substituted at one or more hydroxyl positions by hydroxypropyl groups, wherein the composition is pharmaceutically acceptable for administration to the human subject and the composition comprises less than 5 International Units (IU) of endotoxins per gram.
2 . The method of claim 1 , wherein administering comprises intrathecal or intravenous injection.
3 . The method of claim 1 , wherein administering comprises intracerebroventricular injection.
4 . The method of claim 1 , wherein the composition comprises less than 4 International Units (IU) of endotoxins per gram.
5 . The method of claim 1 , wherein the composition comprises less than 3 International Units (IU) of endotoxins per gram.
6 . The method of claim 1 , wherein the composition comprises less than 2 International Units (IU) of endotoxins per gram.
7 . The method of claim 1 , wherein the composition comprises less than 1 International Units (IU) of endotoxins per gram.
8 . The method of claim 1 , wherein the composition comprises less than 0.5 International Units (IU) of endotoxins per gram.
9 . The method of claim 1 , wherein the composition comprises less than 0.3 International Units (IU) of endotoxins per gram.
10 . The method of claim 1 , wherein the composition comprises less than 0.2 International Units (IU) of endotoxins per gram.
11 . The method of claim 1 , wherein the composition comprises less than 0.1 International Units (IU) of endotoxins per gram.
12 . The method of claim 1 , wherein the composition comprises less than 0.05 International Units (IU) of endotoxins per gram.
13 . The method of claim 1 , wherein the composition comprises less than 1 ppm propylene oxide.
14 . The method of claim 1 , wherein the composition comprises less than 0.8 ppm propylene oxide.
15 . The method of claim 1 , wherein the composition comprises less than 0.6 ppm propylene oxide.
16 . The method of claim 1 , wherein the composition is suitable for lumbar injection.
17 . The method of claim 1 , wherein the composition is suitable for administration directly to the cerebrospinal fluid of infants.
18 . The method of claim 1 , wherein the composition is suitable for administration directly to the cerebrospinal fluid of children.
19 . The method of claim 1 , wherein the composition comprises less than 3% unsubstituted beta-cyclodextrin (“DS-0”).
20 . The method of claim 1 , wherein the composition comprises less than 2% unsubstituted beta-cyclodextrin (“DS-0”).
21 . The method of claim 20 , wherein the composition comprises less than 4% beta-cyclodextrin substituted with one hydroxypropyl group (“DS-1”).
22 . The method of claim 1 , wherein the composition comprises less than 1.5% unsubstituted beta-cyclodextrin (“DS-0”).
23 . The method of claim 1 , wherein the composition comprises less than 1% unsubstituted beta-cyclodextrin (“DS-0”).
24 . The method of claim 1 , wherein the composition comprises less than 1% unsubstituted beta-cyclodextrin (“DS-0”) and beta-cyclodextrin substituted with one hydroxypropyl group (“DS-1”), collectively.
25 . The method of claim 1 , wherein the composition comprises less than 4% beta-cyclodextrin substituted with one hydroxypropyl group (“DS-1”).
26 . A method of treating Niemann-Pick disease comprising administering to a human subject in need thereof a composition comprising a mixture of beta-cyclodextrin molecules substituted at one or more hydroxyl positions by hydroxypropyl groups, wherein the composition is pharmaceutically acceptable for injection, the composition comprises less than 5 Endotoxin Units (EU) of endotoxins per gram, no more than 1.0% propylene glycol, and less than 1 ppm of propylene oxide.
27 . The method of claim 26 , wherein the composition comprises less than 2% unsubstituted beta-cyclodextrin (“DS-0”).
28 . The method of claim 26 , wherein the composition comprises less than 4% beta-cyclodextrin substituted with one hydroxypropyl group (“DS-1”).