Low viscosity, highly flocculated triamcinolone acetonide suspensions for intravitreal injection
View Patent ↗Triamcinolone acetonide suspension compositions are disclosed. The suspension compositions have a relatively low viscosity and are easy to extrude through a 27- or 30-gauge needle but are highly flocculated and easily redispersed. The compositions are particularly suitable for intravitreal injection.
1. An aqueous suspension composition particularly suited for injection into the eye, wherein the suspension composition does not contain a preservative, has a pH from 6-7.5, a viscosity of 2-12 cps, and a Degree of Flocculation of about 9.5 or greater, and wherein the suspension composition consists essentially of:
a) 4% (w/v) triamcinolone acetonide having a mean volume diameter of 3-10 μm;
b) 0.5% (w/v) sodium carboxymethylcellulose;
c) 0.002-0.015% (w/v) polysorbate 80;
d) one or more pharmaceutically acceptable chloride salts selected from the group consisting of sodium chloride, potassium chloride. calcium chloride, and magnesium chloride as tonicity-adjusting agents in a total amount sufficient to cause the suspension composition to have an osmolality from 250-350 mOsm;
e) a buffering agent;
f) water for injection; and
g) optionally a pH-adjusting agent.
2. The suspension composition of claim 1 wherein the sodium carboxymethylcellulose has a molecular weight such that a 2% (w/v) solution of the sodium carboxymethylcellulose in water at 25° C. has a viscosity of 25-50 cps.
3. The suspension composition of claim 1 wherein the concentration of polysorbate 80 is 0.015% (w/v).
4. The suspension composition of claim 1 wherein the suspension composition comprises 0.4-0.6% (w/v) sodium chloride, 0.05-0.1% (w/v) potassium chloride, 0.04-0.06% (wlv) calcium chloride, and 0.01-0.04% (w/v) magnesium chloride.
5. The suspension composition of claim 1 wherein the buffering agent comprises sodium acetate and sodium citrate.
6. The suspension composition of claim 1 wherein the suspension composition has a viscosity of 2-9 cps.
7. The suspension composition of claim 6 wherein the suspension composition has a viscosity of 2-8 cps.