Aerosol pirfenidone and pyridone analog compounds and uses thereof
Disclosed herein are formulations of pirfenidone or pyridone analog compounds for aerosolization and use of such formulations for aerosol administration of pirfenidone or pyridone analog compounds for the prevention or treatment of various fibrotic and inflammatory diseases, including disease associated with the lung, heart, kidney, liver, eye and central nervous system. In some embodiments, pirfenidone or pyridone analog compound formulations and delivery options described herein allow for efficacious local delivery of pirfenidone or pyridone analog compound. Compositions include all formulations, kits, and device combinations described herein. Methods include inhalation procedures, indications and manufacturing processes for production and use of the compositions described.
1. An aqueous solution for nebulized inhalation administration consisting of:
water;
pirfenidone at a concentration from about 0.1 mg/mL to about 20 mg/mL;
sodium citrate;
citric acid;
sodium chloride; and
sodium saccharin wherein the molar ratio of sodium saccharin to pirfenidone is between 1 to 53.9 and 1 to 215.9;
wherein the osmolality of the aqueous solution is from about 200 mOsmol/kg to about 500 mOsmol/kg; and
wherein the pH of the solution is about 5 to about 6.
2. The aqueous solution of claim 1 , wherein:
the sodium chloride is present in a concentration between about 100 and 200 mM.
3. The aqueous solution of claim 2 , wherein the sodium citrate concentration and the citric acid concentration is in a range of 1-10 mM, wherein the pH is optionally achieved by addition of acid or base.
4. The aqueous solution of claim 2 , wherein:
the sodium citrate concentration is about 3.5 mM sodium citrate and the citric acid concentration is about 1.5 mM.
5. The aqueous solution of claim 1 , wherein:
the sodium chloride is present in a concentration of about 150 mM.
6. The aqueous solution of claim 1 , wherein:
the sodium saccharin is present in a concentration of about 0.1 mM to about 1 mM.
7. The aqueous solution of claim 1 , wherein:
the pH is about 5.5; and
the osmolality of the aqueous solution is from about 200 mOsmol/kg to about 500 mOsmol/kg.
8. A unit dosage adapted for use in a liquid nebulizer comprising from about 0.5 mL to about 6 mL of the aqueous solution of claim 1 .
9. The unit dosage of claim 8 , wherein the liquid nebulizer is a jet nebulizer, an ultrasonic nebulizer, a pulsating membrane nebulizer, a nebulizer comprising a vibrating mesh or plate with multiple apertures, a nebulizer comprising a vibration generator and an aqueous chamber, or a nebulizer that uses controlled device features to assist inspiratory flow of the aerosolized aqueous solution to the lungs of the mammal.
10. The unit dosage of claim 9 , wherein the liquid nebulizer:
(i) after administration of the inhaled dose, achieves lung deposition of at least 7% of the pirfenidone administered to the mammal;
(ii) provides a Geometric Standard Deviation (GSD) of emitted droplet size distribution of the aqueous solution of about 1.0 μm to about 2.5 μm;
(iii) provides droplets of the aqueous solution emitted with the high efficiency liquid with:
a) a mass median aerodynamic diameter (MMAD) of about 0.5 μm to about 5 μm; and/or
b) a volumetric mean diameter (VMD) of about 0.5 μm to about 5 μm;
(iv) provides a fine particle fraction (FPF=%≦5 μm) of droplets emitted from the liquid nebulizer of at least about 30%;
(v) provides an output rate of at least 0.1 mL/min; and/or
(vi) provides at least about 25% of the aqueous solution to a mammal.