Sustained release polymer
A polymer and a method for its preparation are provided. The polymer comprises poly(lactide), poly(lactide/glycolide) or poly(lactic acid/glycolic acid) segments bonded by ester linkages to both ends of an alkanediol core unit. The polymer is for use in a controlled release formulation for a medicament, preferably leuprolide acetate. The controlled release formulation is administered to a patient as a subcutaneous depot of a flowable composition comprising the polymer, a biocompatible solvent, and the medicament. Controlled release formulations comprising the polymer release leuprolide for treatment of prostate cancer patients over periods of 3-6 months.
1. A method of treatment of prostate cancer in a human male patient, comprising administering to the patient a flowable controlled release composition, wherein the flowable controlled release composition comprises:
a. an organic solvent,
b. a medicament selected from the group consisting of leuprolide and pharmaceutically acceptable salts thereof, and
c. a biodegradable polymer comprising polymer segments selected from the group consisting of 85/15 poly(lactide/glycolide) (PLG) copolymer segments and 85/15 poly(lactic acid/glycolic acid) (PLGA) copolymer segments, wherein the polymer has substantially no titratable carboxylic acid groups and is hydroxyl-terminated at the distal ends of the polymer; and
wherein the composition when administered once per about six months reduces the serum testosterone level of the patient to 20 ng/dL or lower.
2. The method of treatment of prostate cancer of claim 1 , wherein the biodegradable polymer is 85/15 poly (DL-lactide-co-glycolide).
3. The method of treatment of prostate cancer of claim 1 , wherein the organic solvent is a polar, aprotic organic solvent having at least some water solubility.
4. The method of treatment of prostate cancer of claim 1 , wherein the step of administering comprises injecting the flowable controlled release composition subcutaneously into the patient to form a depot.
5. A method of preparing a controlled release formulation for the reduction of serum testosterone in a patient and formulated for administration once per about six months, comprising combining:
a. an organic solvent,
b. a medicament selected from the group consisting of leuprolide and pharmaceutically acceptable salts thereof, and
c. a biodegradable polymer comprising polymer segments selected from the group consisting of 85/15 poly(lactide/glycolide) (PLG) copolymer segments and 85/15 poly(lactic acid/glycolic acid) (PLGA) copolymer segments, wherein the polymer has substantially no titratable carboxylic acid groups and is hydroxyl-terminated at the distal ends of the polymer.
6. The method of preparing a controlled release formulation of claim 5 , wherein the step of combining comprises combining the organic solvent and the biodegradable polymer to form a polymer solution and combining the polymer solution and the medicament to form the controlled release formulation.
7. A method to reduce serum testosterone levels in a human patient, comprising administering a composition subcutaneously to the human patient, the composition comprising:
a. a biodegradable polymer comprising polymer segments selected from the group consisting of 85/15 poly(lactide/glycolide) (PLG) copolymer segments and 85/15 poly(lactic acid/glycolic acid) (PLGA) copolymer segments, wherein the polymer has substantially no titratable carboxylic acid groups and is hydroxyl-terminated at the distal ends of the polymer;
b. an organic solvent; and
c. a medicament selected from the group consisting of leuprolide and pharmaceutically acceptable salts thereof; and
wherein the composition when administered once per about six months reduces the serum testosterone level of the patient is reduced to 20 ng/dL or lower.
8. The method to reduce serum testosterone levels in a human patient of claim 7 , wherein the biodegradable polymer is 85/15 poly (DL-lactide-co-glycolide).
9. A syringe comprising a flowable composition consisting essentially of:
a. a biodegradable polymer comprising polymer segments selected from the group consisting of 85/15 poly(lactide/glycolide) (PLG) copolymer segments and 85/15 poly(lactic acid/glycolic acid) (PLGA) copolymer segments and the polymer has substantially no titratable carboxylic acid groups and is hydroxyl-terminated at the distal ends of the polymer,
b. an organic solvent, and
c. leuprolide or a pharmaceutically acceptable salt thereof
wherein the composition when administered once per about six months reduces the serum testosterone level of a patient to 20 ng/dL or lower.
10. The syringe comprising a flowable composition of claim 9 , wherein the organic solvent is selected from the group consisting of N-methylpyrrolidone, N,N-dimethylformamide, N,N-dimethylacetamide, triacetin, propylene carbonate, and ethyl acetate.