Methods for the preparation of injectable depot compositions
Injectable depot compositions comprising a biocompatible polymer which is a polymer or copolymer based on lactic acid and/or lactic acid plus glycolic acid having a monomer ratio of lactic to glycolic acid in the range from 48:52 to 100:0, a water-miscible solvent having a dipole moment of about 3.7-4.5 D and a dielectric constant of between 30 and 50, and a drug, were found suitable for forming in-situ biodegradable implants which can evoke therapeutic drug plasma levels from the first day and for at least 14 days.
1. An injectable depot composition consisting of drug, which is risperidone, paliperidone, or a combination thereof, and a polymeric solution of DMSO and PLGA copolymer, and wherein:
the content of said drug is 13% wt ±10%, based upon the weight of the composition, and said drug possesses a particle distribution selected from:
a. not more than 10% of the total volume of the particles is smaller than 10 microns, not more than 10% of the total volume of particles is greater than 225 microns, and the d0.5 is in the range of 10-200 microns;
b. not more than 10% of the total volume of the particles is less than the range 1-10 μm, not more than 10% of the total volume of particles is greater than the range 225-400 μm, and the d0.5 of the size distribution is in the range of about 40-200 μm; or
c. expressed as volume, d0.9 is about 150 to about 400 μm, d0.5 is about 40 to about 200 μm and d0.1 is about 10 to about 60 μm;
the mass ratio of DMSO to drug is 4.66±10%:1;
the mass ratio of polymeric solution to drug is 6.66±10%:1;
the PLGA copolymer is an end-capped biodegradable poly(lactide-co-glycolide) copolymer having a monomer ratio of lactic acid to glycolic acid of 50:50±10% and an inherent viscosity in the range of 0.20±10% dl/g to 0.50±10% dl/g as measured in chloroform at 25° C. at a concentration of 0.1% wt/v with an Ubbelohde size 0c glass capillary viscometer;
the polymeric solution has a viscosity in the range of 0.5-3.0 Pa·s ±10%; and
the amount of said drug dissolved in the injectable composition is ≤20% wt.
2. The composition of claim 1 , wherein the composition provides therapeutic plasma levels of said drug from within 1 day after administration throughout a dosing period of at least four weeks following administration thereof.
3. The composition of claim 1 , wherein the composition provides a drug total plasma level within the range of about 5 ng/ml to about 80 ng/ml when about 116 mg to about 700 mg, respectively, of the composition comprising about 25 mg to about 150 mg, respectively, of said drug is administered to the subject.
4. The composition of claim 1 , wherein the composition provides a pharmacokinetic plasma profile, for said drug, defined as follows
Dose (mg)
Cmin (ng/ml)
Cavg (ng/ml)
Cmax (ng/ml)
25-150
1-80
3-200
8-300
during a dosing period of at least 14 days following administration to the subject of an amount of the composition equivalent to the dose indicated.
5. The composition of claim 1 , wherein the composition is adapted for administration intramuscularly, intraperitoneally, intrathecally, intravaginally, subcutaneously, intracranially or intracerebrally.
6. The composition of claim 1 , wherein the composition provides a satisfactorily controlled release profile, for said drug, throughout a dosing period of at least 21 days after administration, whereby the composition releases about 0.5% to no more than about 12% of its dose of said drug within 24 hours after administration.
7. The composition of claim 1 , wherein the composition provides a substantially level plasma profile, for said drug, of within ±15% of the average or mean during a period of at least 14 days following administration of the composition to a subject, wherein the average or mean is calculated over the 14 days.
8. The composition of claim 1 , wherein the composition provides a substantially level plasma profile, for said drug, of within ±10% of the average or mean during a period of at least 14 days following administration of the composition to a subject, wherein the average or mean is calculated over the 14 days.
9. The composition of claim 1 , wherein the composition provides a substantially level plasma profile, for said drug, of within ±20% of the average or mean during a period of at least 28 days following administration of the composition to a subject, wherein the average or mean is calculated over the 28 days.
10. The composition of claim 1 , wherein an implant formed from said composition releases about 0.5% to no more than about 12% of its dose of said drug within 24 hours after administration to a subject.
11. The composition of claim 1 , wherein an implant formed from said composition releases about 0.5% to no more than about 8% of its dose of said drug within 24 hours after administration to a subject.
12. The composition of claim 1 , wherein the composition is a sterilized composition.
13. The composition of claim 1 , wherein the PLGA copolymer has been sterilized prior to inclusion in the composition or prior to addition of the DMSO.
14. The composition of claim 1 , wherein at least one of said drug and PLGA copolymer has been irradiated with beta-irradiation in the range of 5-25 KGy.
15. The composition of claim 14 , wherein the beta-irradiation is sufficient to reduce the molecular weight and intrinsic viscosity of the PLGA copolymer.
16. The composition of claim 1 , wherein the viscosity of the composition is in the range of about 0.7 Pa·s to about 4.0 Pa·s.
17. A kit for preparing the composition of claim 1 , wherein the kit comprises at least a first container comprising the PLGA copolymer; and at least a second container comprising the DMSO, wherein said drug is present in the first container, the second container or a third container.
18. The kit of claim 17 , wherein the kit comprises about 25 to about 150 mg of said drug.
19. The kit of claim 17 , wherein one or more of the containers is a syringe, vial or cartridge.
20. The kit of claim 17 , wherein at least one of said drug and the PLGA copolymer is present in solid form prior to mixing with the DMSO.
21. The kit of claim 20 , wherein said drug and PLGA copolymer are present in the same container prior to mixing with the DMSO.
22. The composition of claim 1 , wherein at least one of the DMSO and polymeric solution has been filtered through a filtration medium having a nominal pore size of 0.22 microns or less.
23. An injectable depot composition consisting of drug, which is risperidone, paliperidone, or a combination thereof, and a polymeric solution of DMSO and PLGA copolymer, and wherein:
the content of said drug is 13% wt ±10%, based upon the weight of the composition, and said drug possesses a particle distribution selected from:
a) not more than 10% of the total volume of the particles is smaller than 10 microns, not more than 10% of the total volume of particles is greater than 225 microns, and the d0.5 is in the range of 10-200 microns;
b) not more than 10% of the total volume of the particles is less than the range 1-10 μm, not more than 10% of the total volume of particles is greater than the range 225-400 μm, and the d0.5 of the size distribution is in the range of about 40-200 μm; or
c) expressed as volume, d0.9 is about 150 to about 400 μm, d0.5 is about 40 to about 200 μm and d0.1 is about 10 to about 60 μm;
the mass ratio of DMSO to drug is 4.66±10%:1;
the mass ratio of polymeric solution to drug is about 6.66±10%:1;
the PLGA copolymer is an end-capped biodegradable poly(lactide-co-glycolide) copolymer having a monomer ratio of lactic acid to glycolic acid of 50:50±10% and an inherent viscosity in the range of 0.20±10% dl/g to 0.50±10% dl/g as measured in chloroform at 25° C. at a concentration of 0.1% wt/v with an Ubbelohde size 0c glass capillary viscometer;
the polymeric solution has a viscosity in the range of 0.5-3.0 Pa·s ±10%;
the amount of said drug dissolved in the injectable composition is ≤20% wt;
at least one of said drug and PLGA copolymer has been irradiated with beta-irradiation in the range of 5-25 KGy; and
the viscosity of the composition is in the range of 0.7-4.0 Pa·s ±10%.
24. The injectable composition of claim 23 , wherein the composition comprises 25-150 mg of said drug.
25. A kit for preparing the composition of claim 23 , wherein the kit comprises at least a first container comprising the PLGA copolymer; and at least a second container comprising the DMSO, wherein said drug is present in the first container, the second container or a third container.