Remote loading of sparingly water-soluble drugs into lipid vesicles
The present invention provides liposome compositions containing sparingly soluble drugs that are used to treat life-threatening diseases. A preferred method of encapsulating a drug inside a liposome is by remote or active loading. However, this process as described in the literature has been limited to drugs that are freely soluble in aqueous solution or solubilized as a water-soluble complex. This invention describes compositions and methods for remote loading drugs with low water solubility (<2 mg/mL). In the preferred embodiment the drug in the solubilizing agent is mixed with the liposomes in aqueous suspension so that the concentration of solubilizing agent is lowered to below its capacity to completely solubilize the drug. This results in the drug precipitating but remote loading is capability retained. The process is scalable and the resulting drug-loaded liposomes are characterized by a high drug-to-lipid ratios and predictable drug retention when the liposome encapsulated drug is administered in patients.
1. A pharmaceutical formulation of liposomes encapsulating a sparingly water-soluble agent, said formulation manufactured by a method comprising:
(a) preparing a solution of the sparingly water-soluble agent, said agent being a weak acid or a weak base, having solubility in water of less than or equal to 1.9 mM, by completely dissolving said sparingly water-soluble agent in a solvent selected from an aprotic solvent and a polyol;
(b) preparing a suspension of the liposomes in an aqueous medium having a proton or an ion gradient across a liposome membrane;
(c) forming a loading suspension by contacting the liposome suspension in (b) with the solution of the sparingly water-soluble agent in (a), thereby diluting (a) beyond the point of the agent's solubility such that the agent precipitates from the loading suspension, thereby forming the loading suspension, wherein said loading suspension scatters light more than said suspension of liposomes; and
(d) incubating the loading suspension of (c) for a period of time sufficient for the solid sparingly water-soluble agent to be remotely loaded from the aqueous medium into the liposomes by the proton or ion gradient.
2. The pharmaceutical formulation according to claim 1 , wherein said gradient comprises a salt selected from ammonium sulfate, diethylammonium sulfate, triethylammonium sulfate, ammonium chloride, ammonium dextran sulfate, diethylammonium dextran sulfate, triethylammonium dextran sulfate or ammonium sucrose octasulfate or triethylammonium sucrose octasulfate, ammonium glucuronate, sodium acetate, magnesium acetate, calcium acetate, manganese acetate, and zine acetate.
3. The pharmaceutical formulation according to claim 1 , wherein said sparingly water-soluble agent is a member selected from Carfilzomib, Voriconazole, Ziprasidone, PF-05212384 (Gedatolisib), PF-4691502, Toceranib, SU11274, PHA665752, Crizotinib, XL880 (Foretinib), PD-0332991(Palbociclib), NVP-AUY922 (Luminespib), NVP-LAQ824 (Dacinostat), NVP-LBH589(Panobinostat), erubulin, Onx0914, PF-02341066, Golotimod, TG02, ARRY-520(Filanesib), MK-1775 (Adavosertib), Resminostat, 2′succinylpaclitaxel, 2′ succinyldocetaxel, 2′ succinylcabazitaxel, Deferasirox, Chloroquine, Rifabutin and salts thereof and mixtures thereof.
4. The formulation according to claim 1 , wherein the loading efficiency (grams encapsulated agent/moles of phospholipid) is at least 70% of the precipitated sparingly water-soluble agent.
5. The formulation according to claim 4 , wherein the loading efficiency (grams encapsulated agent/moles of phospholipid) is at least 90% of the precipitated sparingly water-soluble agent.
6. The formulation according to claim 1 , wherein the liposomes have a size of from about 30 nanometers to about 40 microns.
7. The pharmaceutical formulation according to claim 1 , wherein the liposome is prepared from one or more lipids selected from egg phosphatidylcholine (EPC), egg phosphatidylglycerol (EPG), dipalmitoylphosphatidylcholine (DPPC), sphingomyelin (SM), cholesterol (Chol), cholesterol sulfate and its salts (CS), cholesterol hemisuccinate and its salts (Chems), cholesterol phosphate and its salts (CP), cholesterol phthalate, cholesterylphosphorylcholine, 3,6,9-trioxaoctan-ol-cholesteryl-3e-ol, dimyristoylphosphatidylglycerol (DMPG), dimyristoylphosphatidylglycerol (DMPG), dimyristoylphosphatidylcholine (DMPC), distearoylphosphatidylcholine (DSPC), hydrogenated soy phosphatidylcholine (HSPC), di stearoylphosphatidylglycerol (DSPG), sterol modified lipids (SML), inverse-phosphocholine lipids, cationic lipids and zwitterlipids.
8. The formulation according to claim 1 , wherein the liposomes comprise from about 50 mol % to about 70 mol % HSPC, from about 25 mole % to about 50 mole % cholesterol and from about 0 mol % to about 10 mol % PEG-DSPE.
9. The formulation according to claim 8 , wherein the liposomes comprise about 60 mol % HSPC, about 40 mol % cholesterol and about 5 mol % PEG-DSPE.
10. The formulation according to claim 1 , wherein the liposomes comprise from about 45 mole % to about 75 mole % sphingomyelin, from about 25 mole % to about 50 mole % cholesterol and from about 0 mole % to about 10 mole % PEG-DSPE.
11. The formulation according to claim 10 , wherein the liposomes comprise about 55 mole % sphingomyelin, about 45 mole % cholesterol and about 2.8 mole % PEG-DSPE.
12. The formulation according to claim 1 , wherein the sparingly water-soluble active agent is carfilzomib, and about 60 mg of the carfilzomib is loaded into from about 90 mg to about 200 mg of lipid.
13. The formulation according to claim 12 , wherein about 60 mg of carfilzomib is loaded into about 170 mg of lipid.
14. The formulation according to claim 1 , wherein the liposomes are from about 40 nm to about 150 nm in diameter.
15. The formulation according to claim 1 , further comprising, following (d), isolating said liposomes and suspending them in a pharmaceutically acceptable carrier.
16. The pharmaceutical formulation according to claim 1 , wherein the ratio of the sparingly water-soluble agent (μg): lipid (μmol) ratio of said liposomes is 250-450.