Polysaccharide and nucleic acid formulations containing viscosity-lowering agents
Concentrated, low-viscosity, low-volume liquid pharmaceutical formulations of polysaccharides and nucleic acids have been developed. Such formulations can be rapidly and conveniently administered by subcutaneous or intramuscular injection, rather than by lengthy intravenous infusion. These formulations include low-molecular-weight and/or high-molecular-weight polysaccharides and nucleic acids, and viscosity-lowering agents.
1. A liquid pharmaceutical formulation for subcutaneous or intramuscular injection comprising
(i) heparin or dextran;
(ii) a viscosity-lowering agent, wherein the viscosity-lowering agent comprises:
Yellow 5 or a pharmaceutically acceptable salt thereof,
4-aminopyridine or a pharmaceutically acceptable salt thereof,
1-butyl-1-methylpyrrolidinium chloride (BMP-Cl) or a pharmaceutically acceptable salt thereof, or
any combination thereof; and
(iii) a pharmaceutically acceptable solvent;
wherein the liquid pharmaceutical formulation, when in a volume suitable for subcutaneous or intramuscular injection, has an absolute viscosity of from about 1 cP to about 50 cP at 25° C., as measured using a cone and plate viscometer or a microfluidic viscometer;
wherein the absolute viscosity is an extrapolated zero-shear viscosity.
2. The liquid pharmaceutical formulation of claim 1 , wherein the liquid formulation is aqueous.
3. The liquid pharmaceutical formulation of claim 1 , wherein the viscosity-lowering agent is present at a concentration of from about 0.01 M to about 1.0 M.
4. The liquid pharmaceutical formulation of claim 1 , further comprising one or more pharmaceutically acceptable excipients comprising a sugar, a sugar alcohol, a buffering agent, a preservative, a carrier, an antioxidant, a chelating agent, a natural polymer, a synthetic polymer, a cryoprotectant, a lyoprotectant, a surfactant, a bulking agent, a stabilizing agent, or any combination thereof.
5. The liquid pharmaceutical formulation of claim 4 , wherein the one or more pharmaceutically acceptable excipients is a polysorbate, a poloxamer 188, a sodium lauryl sulfate, a polyol, a poly(ethylene glycol), a glycerol, a propylene glycol, and/or a poly(vinyl alcohol).
6. The liquid pharmaceutical formulation of claim 4 , wherein the sugar alcohol is sorbitol or mannitol.
7. The liquid pharmaceutical formulation of claim 1 in a unit-dose vial, multi-dose vial, cartridge, or pre-filled syringe.
8. The liquid pharmaceutical formulation of claim 1 , wherein the liquid pharmaceutical formulation is reconstituted from a lyophilized composition.
9. The liquid pharmaceutical formulation of claim 1 , wherein the liquid pharmaceutical formulation is isotonic to human blood serum.
10. The liquid pharmaceutical formulation of claim 1 , wherein the absolute viscosity of the liquid pharmaceutical formulation is measured at a shear rate of at least about 0.5 s −1 when measured using a cone and plate viscometer.
11. The liquid pharmaceutical formulation of claim 1 , wherein the absolute viscosity of the liquid pharmaceutical formulation is measured at a shear rate of at least about 1.0 s −1 when measured using a microfluidic viscometer.
12. A method of preparing the liquid pharmaceutical formulation of claim 1 comprising the step of combining the heparin or the dextran, the pharmaceutically acceptable solvent, and the one or more viscosity-lowering agents to thereby prepare the liquid pharmaceutical formulation.
13. The liquid pharmaceutical formulation of claim 1 , wherein the liquid pharmaceutical formulation comprises the heparin.
14. The liquid pharmaceutical formulation of claim 1 , wherein the liquid pharmaceutical formulation comprises the dextran.
15. The liquid pharmaceutical formulation of claim 1 , wherein the viscosity-lowering agent comprises the Yellow 5 or a pharmaceutically acceptable salt thereof.
16. The liquid pharmaceutical formulation of claim 1 , wherein the viscosity-lowering agent comprises the 4-aminopyridine or a pharmaceutically acceptable salt thereof.
17. The liquid pharmaceutical formulation of claim 1 , wherein the viscosity-lowering agent comprises the BMP-Cl or a pharmaceutically acceptable salt thereof.
18. A method of administering to a subject a therapeutically effective amount of the heparin or the dextran, comprising subcutaneously or intramuscularly injecting the liquid pharmaceutical formulation of claim 1 into the subject to thereby administer the heparin or the dextran.
19. The method of claim 18 , wherein the injecting is performed with a syringe.
20. The method of claim 19 , wherein the syringe is a heated syringe and the formulation is administered at a temperature between 25° C. and 40° C.
21. The method of claim 19 , wherein the syringe is a heated syringe, a self-mixing syringe, an auto-injector, a pre-filled syringe, or combinations thereof.
22. The method of claim 18 , wherein the formulation produces a primary irritation index less than 3 when evaluated using a Draize scoring system.
23. The method of claim 18 , wherein the injection force is at least 10% less than the injection force for a control formulation comprising the heparin or the dextran and the pharmaceutically acceptable solvent but without the viscosity-lowering agent.
24. The method claim 23 , wherein the injection force is 20% less than the injection force of the control formulation.
25. The method of claim 18 , wherein the injecting is performed with a needle between 27 and 31 gauge in diameter and the injection force is less than 30 N with the 27 gauge needle.
26. A lyophilized composition comprising:
(i) dextran or heparin;
(ii) one or more viscosity-lowering agents; wherein the one or more viscosity-lowering agents comprise:
Yellow 5 or a pharmaceutically acceptable salt thereof,
4-aminopyridine or a pharmaceutically acceptable salt thereof,
BMP-Cl or a pharmaceutically acceptable salt thereof, or
any combination thereof; and
(iii) a pharmaceutically acceptable solvent.
27. The lyophilized composition of claim 26 , wherein, once reconstituted, the dextran or the heparin have a concentration of at least 200 mg/ml.
28. The lyophilized composition of claim 26 , wherein the lyophilized composition comprises heparin.
29. The lyophilized composition of claim 26 , wherein the lyophilized composition comprises dextran.
30. The lyophilized composition of claim 26 , wherein the viscosity-lowering agent comprises Yellow 5 or a pharmaceutically acceptable salt thereof.
31. The lyophilized composition of claim 26 , wherein the viscosity-lowering agent comprises 4-aminopyridine or a pharmaceutically acceptable salt thereof.
32. The lyophilized composition of claim 26 , wherein the viscosity-lowering agent comprises BMP-Cl or a pharmaceutically acceptable salt thereof.