Stannsoporfin compositions, drug products and methods of manufacture
Pharmaceutical compositions including stannsoporfin, drug products incorporating pharmaceutical compositions, methods of making pharmaceutical compositions, and methods of treating hyperbilirubinemia with drug products and compositions are disclosed.
1 - 32 . (canceled)
33 . A pharmaceutical composition comprising stannsoporfin in an aqueous solution at a concentration of at least about 20 mg/ml and having a physiological osmolarity.
34 . A pharmaceutical composition comprising stannsoporfin in an aqueous solution at a concentration of at least about 20 mg/ml and having a shelf life at room temperature of at least about 3 months.
35 . The pharmaceutical composition of claim 33 , wherein the composition has a shelf life at room temperature of at least about 3 months.
36 . The pharmaceutical composition of claim 33 , wherein the composition has a shelf life at room temperature of at least about 6 months.
37 . The pharmaceutical composition of claim 33 , wherein the composition has an osmolarity of between about 270 and 328 mOsmol/L.
38 . The pharmaceutical composition of claim 33 , wherein the composition has an osmolality of between about 250 and 300 mOsmol/kg.
39 . A drug product including the pharmaceutical composition of claim 33 , in a single dose unit.
40 . A method of making a pharmaceutical composition comprising:
mixing a pre-determined amount of stannsoporfin with a buffering agent in aqueous solution;
increasing the pH of the solution to a pH of at least about 10 to facilitate dissolution of the stannsoporfin in the solution; and
decreasing the pH of the solution to a pH of less than or equal to about 8.
41 . The method of claim 40 , wherein the pH of the stannsoporfin solution is decreased to between about 7.4 and 7.9.
42 . The method of claim 40 , wherein the buffering agent is selected from the group consisting of an alkali earth metal buffering agent, a calcium buffering agent, a magnesium buffering agent, an aluminum buffering agent, sodium bicarbonate, potassium bicarbonate, magnesium hydroxide, magnesium lactate, magnesium gluconate, magnesium oxide, magnesium aluminate, magnesium carbonate, magnesium silicate, magnesium citrate, aluminum hydroxide, aluminum hydroxide/magnesium carbonate, aluminum hydroxide/sodium bicarbonate coprecipitate, aluminum glycinate, aluminum magnesium hydroxide, aluminum phosphate, sodium citrate, calcium citrate, sodium tartrate, sodium acetate, sodium carbonate, sodium polyphosphate, sodium dihydrogen phosphate, potassium polyphosphate, sodium polyphosphate, potassium pyrophosphate, disodium hydrogenphosphate, tribasic sodium phosphate dodecahydrate, dipotassium hydrogen phosphate, trisodium phosphate, tripotassium phosphate, potassium carbonate, potassium metaphosphate, calcium acetate, calcium glycerophosphate, calcium chloride, calcium hydroxide, calcium lactate, calcium carbonate, calcium gluconate, calcium bicarbonate, sodium phosphate, potassium phosphate, calcium phosphate, magnesium phosphate, potassium citrate, trihydroxymethylaminomethane, an amino acid, an acid salt of an amino acid, and an alkali salt of an amino acid and combinations thereof.
43 . The method of claim 40 , wherein the pH is increased by the addition of a base selected from the group consisting of sodium hydroxide, potassium hydroxide, calcium hydroxide, ammonium hydroxide, 10% ethanolamine and magnesium hydroxide.
44 . The method of claim 40 , wherein the pH is lowered by the addition of hydrochloric acid.
45 . A pharmaceutical composition made by the method of claim 40 .
46 . A method of lowering bilirubin levels in a mammal comprising parenterally administering to said mammal the pharmaceutical composition of claim 45 .
47 . The method of claim 46 , wherein the mammal is a human.
48 . The method of claim 47 , wherein the human is an infant.
49 . A method of lowering bilirubin levels in a mammal comprising parenterally administering to said mammal the drug product of claim 39 .
50 . The method of claim 49 , wherein the mammal is a human.
51 . The method of claim 50 , wherein the human is an infant.