Hydroxypropyl beta-cyclodextrin compositions and methods
This disclosure provides mixtures of beta-cyclodextrin molecules substituted at one or more hydroxyl positions by hydroxypropyl groups, the mixture optionally including unsubstituted beta-cyclodextrin molecules, for use as a pharmaceutically active ingredient; methods of making such mixtures; methods of qualifying such mixtures for use in a pharmaceutical composition suitable for intrathecal or intracerebroventricular administration; pharmaceutical compositions suitable for intrathecal or intracerebroventricular administration comprising such mixtures; and methods of using the pharmaceutical compositions for treatment of Niemann-Pick disease Type C.
1. A mixture of beta-cyclodextrin molecules substituted at one or more hydroxyl positions by hydroxypropyl groups, the mixture optionally including unsubstituted beta-cyclodextrin molecules, wherein:
the mixture comprises less than 1% unsubstituted beta-cyclodextrin (“DS-0”) and beta-cyclodextrin substituted with one hydroxypropyl group (“DS-1”), collectively, and less than 1% beta-cyclodextrin substituted with nine hydroxypropyl groups (“DS-9”) and beta-cyclodextrin substituted with ten hydroxypropyl groups (“DS-10”), collectively, as determined by peak heights of an electrospray MS spectrum; and
the mixture has an average molar substitution (“MS”) in the range of 0.60-0.70.
2. The mixture of claim 1 , wherein
the mixture comprises at least 75% beta-cyclodextrin substituted with three hydroxypropyl groups (“DS-3”), beta-cyclodextrin substituted with four hydroxypropyl groups (“DS-4”), beta-cyclodextrin substituted with five hydroxypropyl groups (“DS-5”), and beta-cyclodextrin substituted with six hydroxypropyl groups (‘DS-6”), collectively,
as determined by peak heights of an electrospray MS spectrum.
3. The mixture of claim 1 , wherein less than 0.1% of the beta-cyclodextrin mixture is DS-0 and DS-1, collectively.
4. The mixture of claim 1 , wherein at least 85% of the beta-cyclodextrin mixture is DS-3, DS-4, DS-5, and DS-6, collectively.
5. The mixture of claim 1 , wherein less than 0.1% of the beta-cyclodextrin mixture is DS-9 and DS-10, collectively.
6. The mixture of claim 1 , wherein less than 0.1% of the beta-cyclodextrin mixture is DS-0 and DS-1, collectively.
7. The mixture of claim 1 , wherein less than 0.1% of the beta-cyclodextrin mixture is DS-9 and DS-10, collectively.
8. A pharmaceutical composition comprising the beta-cyclodextrin mixture of claim 1 , and a pharmaceutically acceptable diluent.
9. The pharmaceutical composition of claim 8 , wherein the composition comprises no more than (“NMT”) 5 EU of endotoxins per gram of beta-cyclodextrin mixture.
10. The pharmaceutical composition of claim 9 , wherein the composition comprises NMT 1.5 EU of endotoxins per gram of beta-cyclodextrin mixture.
11. The pharmaceutical composition of claim 8 , wherein the composition comprises no more than 0.5% propylene glycol, as measured by the HPLC method set forth in the USP Hydroxypropyl Betadex monograph.
12. The pharmaceutical composition of claim 11 , wherein the composition comprises no more than 0.01% propylene glycol, as measured by the HPLC method set forth in the USP Hydroxypropyl Betadex monograph.
13. The pharmaceutical composition of claim 8 , wherein the composition is suitable for intrathecal or intracerebroventicular administration.
14. The pharmaceutical composition of claim 13 , wherein the composition comprises about 10 mg/mL to about 200 mg/mL of the beta-cyclodextrin mixture.
15. A method of treating Niemann-Pick disease Type C, comprising administering to a patient with Niemann-Pick disease Type C a therapeutically effective amount of the pharmaceutical composition of claim 8 .
16. The method of claim 15 , wherein the administering is by intrathecal or intracerebroventricular administration.
17. The method of claim 15 , comprising administering about 300 mg to about 2000 mg of the beta-cyclodextrin mixture to the patient.
18. The method of claim 15 , wherein the administering occurs once every week, once every two weeks, once every three weeks, once every month, once every two months, or once every three months.
19. The method of claim 15 , comprising administering about 900 mg to about 1800 mg of the beta-cyclodextrin mixture to the patient once every two weeks.