Formulations of bendamustine
Methods of treatment using bendamustine formulations designed for small volume intravenous administration are disclosed. The methods conveniently allow shorter administration time without the active ingredient coming out of solution as compared to presently available formulations.
1. A method of treating chronic lymphocytic leukemia or indolent B cell non-Hodgkin's lymphoma in a subject comprising parenterally administering to the subject a volume of about 100 mL or less of a liquid composition comprising:
bendamustine, or a pharmaceutically acceptable salt thereof;
a polar aprotic solvent; and
a parenterally acceptable diluent;
over a period of less than or equal to about 15 minutes.
2. The method of claim 1 , wherein the subject is human.
3. The method of claim 1 , wherein the concentration of the bendamustine or pharmaceutically acceptable salt thereof is from about 0.05 to about 12.5 mg/mL.
4. The method of claim 1 , wherein the concentration of the bendamustine or pharmaceutically acceptable salt thereof is from about 0.1 to about 6.0 mg/mL.
5. The method of claim 1 , wherein the concentration of the bendamustine or pharmaceutically acceptable salt thereof is from about 0.05 to about 3.2 mg/mL.
6. The method of claim 1 , wherein the concentration of the bendamustine or pharmaceutically acceptable salt thereof is from about 0.5 to about 5.6 mg/mL.
7. The method of claim 1 , wherein the volume administered is about 100 ml, about 50 mL, about 30 mL, or about 5 mL.
8. The method of claim 1 , wherein the volume administered is about 50 mL.
9. The method of claim 1 , wherein the bendamustine is administered to treat chronic lymphocytic leukemia.
10. The method of claim 9 , wherein the composition is administered intravenously in a volume of about 50 mL in about 10 minutes or less on days 1 and 2 of a 28 day cycle.
11. The method of claim 10 , wherein the composition is administered in about 10 minutes.
12. The method of claim 10 , wherein the composition is administered for up to 6 cycles.
13. The method of claim 9 , wherein the volume of the composition administered to the subject provides a bendamustine dosage amount ranging from about 25 mg/m 2 to about 100 mg/m 2 to the subject.
14. The method of claim 13 , wherein the composition provides a bendamustine dosage of about 100 mg/m 2 .
15. The method of claim 9 , wherein the liquid composition comprises from about 1.85 mg/mL to about 4.84 mg/mL of bendamustine or a pharmaceutically acceptable salt thereof.
16. The method of claim 1 , wherein the bendamustine is administered to treat indolent B cell non-Hodgkin's lymphoma.
17. The method of claim 16 , wherein the composition is administered intravenously in a volume of about 50 mL in about 10 minutes or less on days 1 and 2 of a 21 day cycle.
18. The method of claim 17 , wherein the composition is administered in about 10 minutes.
19. The method of claim 17 , wherein the composition is administered for up to 8 cycles.
20. The method of claim 16 , wherein the volume of the composition administered to the subject provides a bendamustine dosage amount ranging from about 60 mg/m 2 to about 120 mg/m 2 to the subject.
21. The method of claim 20 , wherein the composition provides a bendamustine dosage of about 120 mg/m 2 .
22. The method of claim 16 , wherein the liquid composition comprises from about 2.19 mg/mL to about 5.59 mg/mL of bendamustine or a pharmaceutically acceptable salt thereof.
23. The method of claim 1 , wherein the polar aprotic solvent is 1-methyl-2-pyrrolidone, 1,3-dimethyl-2-imidazolidinone, dimethylacetamide, dimethyl sulfoxide, acetone, tetrahydrofuran, 1,4-dioxane, acetonitrile, dimethyl formamide, propylene carbonate, or a mixture thereof.
24. The method of claim 1 , wherein the liquid composition further comprises a non-aqueous polar protic solvent.
25. The method of claim 24 , wherein the non-aqueous polar protic solvent is an alcohol, a polyalkylene glycol, an amide, or a mixture thereof.
26. The method of claim 24 , wherein the non-aqueous polar protic solvent is ethylene glycol, propylene glycol, butylene glycol, or a mixture thereof.
27. The method of claim 1 , wherein the liquid composition further comprises an antioxidant, a surfactant, a lipid, a filler, an organic acid, a hydrophilic polymer, a complexing agent, a preservative, or a combination thereof.
28. The method of claim 1 , wherein the bendamustine is present as the hydrochloride salt.