Stabilized modified release vitamin D formulation and method of administering same
A stabilized formulation for controlled release of a vitamin D compound is disclosed. The formulation comprises one or both of 25-hydroxyvitamin D 2 and 25-hydroxyvitamin D 3 and a cellulosic compound. The stabilized formulations exhibit a stable dissolution profile following exposure to storage conditions and demonstrate improved pharmacokinetic parameters compared to unstabilized formulations.
1. A combination comprising a storage-stabilized formulation for sustained release of a vitamin D compound, and a secondary additive, wherein the storage-stabilized formulation comprises a mixture of:
a vitamin D compound; and
a stabilizing agent comprising a cellulose ether in an amount of about 5 wt % to about 30 wt % of the storage-stable formulation, wherein the stabilizing agent maintains a difference of less than 30% between the amount of vitamin D compound released at any given time point after four hours during in vitro dissolution after two months exposure to storage conditions of 25° C. and 60% relative humidity and the amount released at the same dissolution time point during in vitro dissolution conducted prior to exposing the formulation to the storage conditions; and
wherein the secondary additive comprises one or more compounds in the groups including calcium salts, bisphosphonates, calcimimetics, nicotinic acid, iron, phosphate binders, cholecalciferol, ergocalciferol, glycemic control agents, hypertension control agents, antineoplastic agents, inhibitors of CYP24, and inhibitors of cytochrome P450 enzymes that can degrade vitamin D agents.
2. The combination of claim 1 , wherein the storage-stabilized formulation comprises a matrix that releasably binds and controllably releases the vitamin D compound.
3. The combination of claim 1 , wherein the storage-stabilized formulation comprises a lipophilic matrix comprising the vitamin D compound.
4. The combination of claim 3 , wherein the lipophilic matrix comprises a wax.
5. The combination of claim 1 , wherein the storage-stabilized formulation is an oral formulation for sustained release of the vitamin D compound in the gastrointestinal tract of a subject which ingests the formulation.
6. The combination according to claim 1 , wherein the cellulose ether comprises one or more of methylcellulose, hydroxyl propyl methylcellulose, hydroxyl ethyl methylcellulose, hydroxyl ethyl cellulose, and hydroxyl propyl cellulose.
7. The combination according to claim 6 , wherein the cellulose ether comprises hydroxyl propyl methylcellulose.
8. The combination according to claim 1 , wherein the vitamin D compound comprises 25-hydroxyvitamin D 3 .
9. The combination of claim 1 , wherein the storage-stabilized formulation is in the form of a capsule, tablet, sachet, dragee, or suppository.
10. The combination of claim 1 , wherein the secondary additive comprises one or more calcium salts.
11. The combination of claim 1 , wherein the secondary additive comprises one or more bisphosphonates.
12. The combination of claim 1 , wherein the secondary additive comprises one or more calcimimetics.
13. The combination of claim 1 , wherein the secondary additive comprises nicotinic acid.
14. The combination of claim 1 , wherein the secondary additive comprises iron.
15. The combination of claim 1 , wherein the secondary additive comprises one or more phosphate binders.
16. The combination of claim 1 , wherein the secondary additive comprises cholecalciferol.
17. The combination of claim 1 , wherein the secondary additive comprises one or more glycemic control agents.
18. The combination of claim 1 , wherein the secondary additive comprises one or more hypertension control agents.
19. The combination of claim 1 , wherein the secondary additive comprises one or more antineoplastic agents.
20. The combination of claim 1 , wherein the secondary additive comprises one or more inhibitors of CYP24.
21. The combination of claim 1 , wherein the secondary additive comprises one or more inhibitors of cytochrome P450 enzymes that can degrade vitamin D agents.
22. The combination according to claim 1 , wherein the vitamin D compound is one or more of vitamin D 3 (cholecalciferol), vitamin D 2 (ergocalciferol), 25-hydroxyvitamin D 3 25-hydroxyvitamin D 2 , 25-hydroxyvitamin D 4 , 25-hydroxyvitamin D 5 , 25-hydroxyvitamin D 7 , 1α,25-dihydroxyvitamin D 3 , 1α,25-dihydroxyvitamin D 2 , 1α,25-dihydroxyvitamin D 4 , 1,25-dihydroxy-19-nor-vitamin D 2 , and 1α-hydroxyvitamin D 3 .
23. The combination according to claim 22 , wherein the vitamin D compound comprises one or both of 25-hydroxyvitamin D 2 and 25-hydroxyvitamin D 3 .
24. The combination of claim 23 , further comprising ergocalciferol.
25. The combination of claim 23 , further comprising one or more active Vitamin D sterols.
26. The combination according to claim 22 , wherein the vitamin D compound comprises 1α,25-dihydroxyvitamin D 2 .