Liposomal formulations that form drug nanocrystals after freeze-thaw
Methods for formulating a liposome comprised of a surfactant and a cryopreservative that can be frozen for long term stability, and upon thawing provides an immediate and sustained release delivery profile. Specific liposome formulations include anti-infectives and delivery of such for treatment of respiratory tract infections and other medical conditions, and devices and formulations used in connection with such are described.
1. A formulation, comprising:
liposomes wherein the liposomes comprise:
a lipid bilayer comprised of sucrose and a phosphatidylcholine-enriched phospholipids present at a ratio between 1:10 to 10:1 (w/w);
a sucrose cryopreservative;
a polysorbate 20 in an amount of between 0.01% to 1%; and
nanocrystals of ciprofloxacin surrounded by the lipid bilayer wherein the nanocrystals have dimensions of 200 nm or less.
2. The formulation of claim 1 , further comprising:
a pharmaceutically acceptable carrier.
3. The formulation of claim 2 , wherein the ciprofloxacin is:
dissolved in the carrier.
4. The formulation of claim 1 , further comprising:
a liquid form of a pharmaceutically active drug in which the liposomes are dispersed.
5. The formulation of claim 4 , wherein the drug in liquid form is an anti-infective drug.
6. The formulation of claim 5 , wherein the anti-infective drug is selected from the group consisting of a quinolone, a sulfonamide, an aminoglycoside, a tetracycline, para-aminobenzoic acid, a diaminopyrimidine, a beta-lactam, a beta-lactam and a beta-lactamase inhibitor, chloramphenicol, a macrolide, lincomycin, clindamycin, spectinomycin, polymyxin B, colistin, vancomycin, bacitracin, isoniazid, rifampin, ethambutol, ethionamide, aminosalicylic acid, cycloserine, capreomycin, a sulfone, clofazimine, thalidomide, polyene antifungal, flucytosine, imidazole, triazole, griseofulvin, terconazole, butoconazole ciclopirax, ciclopirox olamine, haloprogin, tolnaftate, naftifine, terbinafine and combinations thereof;
wherein the lipid bilayer is comprised of a lipid selected from the group consisting of fatty acids; lysolipids; sphingolipids; sphingomyelin; glycolipids; glucolipids; glycosphingolipids; palmitic acid; stearic acid; arachidonic acid; oleic acid; lipids bearing sulfonated mono-, di-, oligo- or polysaccharides; lipids with ether and ester-linked fatty acids, polymerized lipids, diacetyl phosphate, stearylamine, cardiolipin, phospholipids, synthetic phospholipids with asymmetric acyl chains; and lipids bearing a covalently bound polymer; and
wherein the liposome comprises a phospholipid selected from the group consisting of phosphatidylcholines, lysophosphatidylcholines, phosphatidylethanolamines, phosphatidylinositols, phosphatidylglycerols, phosphatidic acid, phosphatidylserines, and mixtures thereof; wherein said phospholipid is provided in admixtures with a modifying agent selected from the group consisting of cholesterols, stearyl amines, stearic acid, tocopherols, and mixtures thereof; and wherein the liposomes are unilamellar or multilamellar.
7. The formulation of claim 6 ,
wherein the nanocrystals have dimensions of 100 nanometers or less.
8. The formulation of claim 7 ,
wherein the nanocrystals have a dimension of 50 nanometers to 75 nanometers;
wherein 90% or more of the liposomes maintain structural integrity when liposome temperature is decreased to a reduced temperature in a range of −20° C. to −80° C.; and
stored at the reduced temperature for a period of one week or more at the reduced temperature; and
thawed by increasing the temperature to a temperature in a range of 5° C. to 30° C.
9. The formulations as claimed in claim 8 , wherein the formulation is aerosolized into particles having an aerodynamic diameter in a range of from 1 micron to 12 microns and liposomes having a diameter in a range of 20 nanometers to 1 micron, wherein at least 90% of the liposomes are comprised of a composition which allow the liposomes to maintain structural integrity after aerosolization.
10. A liposome formulation produced by a process comprising the steps of:
providing a solution of ciprofloxacin;
forming spherical lipid bilayers around the ciprofloxacin solution thereby encapsulating the solution in liposomes wherein the lipid bilayer is comprised of sucrose and a phosphatidylcholine-enriched phospholipids present at a ratio between 1:10 to 10:1 (w/w), and polysorbate 20 in an amount of between 0.01% to 1%;
freezing the liposomes;
maintaining the liposomes frozen over a period of time;
raising the temperature of the liposomes to a temperature above a freezing point of the solution to a temperature whereby nanocrystals of ciprofloxacin are formed wherein the nanocrystals have dimensions of 100 nanometers to 50 nanometers.
11. The formulation of claim 10 , wherein freezing is to a temperature of from −20° C. to −80° C., and the freezing is maintained over a period of time of one week or more.
12. A method of treatment, comprising:
aerosolizing a formulation to create aerosolized particles having an aerodynamic diameter in a range of from 2 microns to 12 microns;
wherein the formulation comprises:
a pharmaceutically acceptable carrier;
ciprofloxacin; and
liposomes wherein the liposomes comprise:
a lipid bilayer comprised of sucrose and a phosphatidylcholine-enriched phospholipids present at a ratio between 1:10 to 10:1 (w/w);
a polysorbate 20 in an amount of between 0.01% to 1%;
nanocrystals of the ciprofloxacin surrounded by the lipid bilayer wherein the nanocrystals have dimensions of 200 nm or less;
wherein the liposomes are dispersed in a liquid form of a pharmaceutically active drug; and
inhaling the aerosolized particles.
13. The method of claim 4 , wherein the pharmaceutically active drug in liquid form is an anti-infective drug selected from the group consisting of a quinolone, a sulfonamide, an aminoglycoside, a tetracycline, para-aminobenzoic acid, a diaminopyrimidine, a beta-lactam, a beta-lactam and a beta-lactamase inhibitor, chloramphenicol, a macrolide, lincomycin, clindamycin, spectinomycin, polymyxin B, colistin, vancomycin, bacitracin, isoniazid, rifampin, ethambutol, ethionamide, aminosalicylic acid, cycloserine, capreomycin, a sulfone, clofazimine, thalidomide, polyene antifungal, flucytosine, imidazole, triazole, griseofulvin, terconazole, butoconazole ciclopirax, ciclopirox olamine, haloprogin, tolnaftate, naftifine, terbinafine and combinations thereof;
wherein the lipid bilayer is comprised of a lipid selected from the group consisting of fatty acids; lysolipids; sphingolipids; sphingomyelin; glycolipids; glucolipids; glycosphingolipids; palmitic acid; stearic acid; arachidonic acid; oleic acid; lipids bearing sulfonated mono-, di-, oligo- or polysaccharides; lipids with ether and ester-linked fatty acids, polymerized lipids, diacetyl phosphate, stearylamine, cardiolipin, phospholipids, synthetic phospholipids with asymmetric acyl chains; and lipids bearing a covalently bound polymer; and
wherein the liposome comprises a phospholipid selected from the group consisting of phosphatidylcholines, lysophosphatidylcholines, phosphatidylethanolamines, phosphatidylinositols, phosphatidylglycerols, phosphatidic acid, phosphatidylserines, and mixtures thereof; wherein said phospholipid is provided in admixtures with a modifying agent selected from the group consisting of cholesterols, stearyl amines, stearic acid, tocopherols, and mixtures thereof; and wherein the liposomes are unilamellar or multilamellar.
14. The method of claim 4 ,
wherein the nanocrystals have dimensions of 100 nanometers or less and wherein;
the pharmaceutically active drug wherein in liquid form is ciprofloxacin; and
the aerosol is inhaled into a human patient's lungs.
15. A formulation, comprising:
a pharmaceutically acceptable carrier;
ciprofloxacin dissolved in the carrier;
liposomes dispersed in the carrier, wherein the liposomes comprise:
a lipid bilayer comprised of sucrose and a phosphatidylcholine-enriched phospholipids present at a ratio between 1:10 to 10:1 (w/w);
polysorbate 20 in an amount of between 0.01% to 1%; and
nanocrystals of ciprofloxacin having a dimension of 50 nanometers to 75 nanometers wherein the nanocrystals are surrounded by a solution of ciprofloxacin which is surrounded by the lipid bilayer;
wherein the lipid bilayer is comprised of polyol and phosphatidylcholine-enriched phospholipids present at a ratio between 1:1 and 5:1 (w/w).