Formulations and methods for lyophilization and lyophilates provided thereby
The present invention provides compositions, methods for lyophilizing compounds and making pharmaceutical compositions, and kits providing solutions and lyophilized formulations of compounds. The compositions, methods, and kits are particularly useful in pharmaceutical applications involving therapeutic agents that have low solubility at low pH and medium pH values. Certain embodiments provide methods for lyophilizing compounds in liquid solutions, which include the steps of: a) preparing aqueous solutions of a compound of interest in the absence of buffer; b) adjusting the pH to high values of pH in order to increase the solubility of the compound of interest; and c) freeze-drying the solution to provide a lyophilized solid composition. Aqueous solutions including buffer are also disclosed. Lyophilized formulations, including micronized and non-micronized powders, are provided.
1. A method of treating a patient suffering from stroke, hemorrhage, neuronal cell swelling, traumatic brain injury, spinal cord injury, organ ischemia, myocardial infarction, or sepsis, comprising administering to said patient a reconstituted pharmaceutical formulation comprising a lyophilized composition that comprises:
a) glibenclamide or a pharmaceutically acceptable salt thereof,
b) at least one substantially pharmaceutically inert compound selected from the group consisting of glucose, fructose, mannose, galactose, mannitol, sorbitol, lactose, trehalose, sucrose, sodium chloride and potassium chloride, and
c) one or more alkali bases,
wherein the lyophilized composition contains said one or more alkali bases in an amount sufficient such that when said lyophilized composition is reconstituted in deionized water at a concentration of about 0.2 mg/mL to about 1.0 mg/mL to form said reconstituted pharmaceutical formulation, its pH is greater than 8, and
wherein the lyophilized composition is stable for at least 3 months at 25° C. and 60% relative humidity.
2. The method of claim 1 , wherein the weight of the one or more of glucose, fructose, mannose, galactose, mannitol, sorbitol, lactose, trehalose, sucrose, sodium chloride, and potassium chloride is at least about 10 times the weight of glibenclamide or a pharmaceutically acceptable salt thereof in the lyophilized composition.
3. The method of claim 1 , wherein the lyophilized composition is a powder.
4. The method of claim 1 , wherein the at least one substantially pharmaceutically inert compound comprises mannitol.
5. The method of claim 1 , wherein the one or more alkali bases comprise sodium hydroxide or potassium hydroxide.
6. The method of claim 1 , wherein the at least one substantially pharmaceutically inert compound comprises mannitol and the one or more alkali bases comprise sodium hydroxide.
7. The method of claim 1 , wherein the lyophilized composition contains said one or more alkali bases in an amount sufficient such that when said lyophilized composition is reconstituted in deionized water at a concentration of about 0.2 mg/mL to about 1.0 mg/mL, its pH is greater than 10.
8. The method of claim 1 , wherein the lyophilized composition further includes a buffer and a second pharmaceutically active compound.
9. The method of claim 1 , wherein glibenclamide is in the form of a pharmaceutically acceptable salt.
10. The method of claim 1 , wherein the lyophilized composition contains less than 0.1% w/w of agents that enhance the solubility of glibenclamide.
11. The method of claim 1 , wherein said reconstituted pharmaceutical formulation comprises glibenclamide or a pharmaceutically acceptable salt thereof at a concentration of about 1 mg/ml.
12. The method of claim 1 , wherein said reconstituted pharmaceutical formulation comprises glibenclamide or a pharmaceutically acceptable salt thereof, mannitol, sodium hydroxide, and water, and has an osmolality of 200 mOsm to 400 mOsm.
13. The method of claim 1 , wherein said reconstituted pharmaceutical formulation is administered intravenously.
14. The method of claim 1 , wherein said reconstituted pharmaceutical formulation is administered as a bolus injection.
15. The method of claim 1 , wherein said reconstituted pharmaceutical formulation is administered as an intravenous infusion.
16. The method of claim 1 , wherein said reconstituted pharmaceutical formulation is administered as a bolus injection and an intravenous infusion.
17. The method of claim 1 , wherein said reconstituted pharmaceutical formulation is administered at a maximum total dose of 3 mg per day.
18. A kit comprising a vial of sterile deionized water and a vial of a lyophilized composition that comprises:
a) glibenclamide or a pharmaceutically acceptable salt thereof,
b) at least one substantially pharmaceutically inert compound selected from the group consisting of glucose, fructose, mannose, galactose, mannitol, sorbitol, lactose, trehalose, sucrose, sodium chloride and potassium chloride, and
c) one or more alkali bases,
wherein the lyophilized composition contains said one or more alkali bases in an amount sufficient such that when said lyophilized composition is reconstituted in said sterile deionized water at a concentration of about 0.2 mg/mL to about 1.0 mg/mL to form said reconstituted pharmaceutical composition, its pH is greater than 8, and
wherein the lyophilized composition is stable for at least 3 months at 25° C. and 60% relative humidity.