Stable aqueous capsaicin injectable formulations and medical uses thereof
The invention provides stable, aqueous capsaicin injectable formulations, a unit dose containing such injectable formulations, medical kits, and methods for using such injectable formulations and unit doses to treat patients suffering from pain, such as osteoarthritic knee pain. The stable, aqueous capsaicin injectable formulations may contain, for example, capsaicin, a solubilizing agent (e.g., a polyethylene glycol ester of a (C 15 -C 25 ) hydroxyalkanoic acid), an antioxidant, and water.
1. An aqueous, capsaicin injectable formulation, comprising
a. 0.04% (w/w) to 0.06% (w/w) of capsaicin;
b. 0.5% (w/w) to 1.5% (w/w) of a solubilizing agent, wherein the solubilizing agent comprises
and polyethylene glycol;
c. 0.005% (w/w) to 0.015% (w/w) of an antioxidant;
d. 0.2% (w/w) to 1% (w/w) of an alkali metal acetate;
e. 0.01% (w/w) to 0.05% (w/w) of a chelating agent;
f. 0.3% (w/w) to 0.9% (w/w) of a tonicity modifier;
g. at least 96% (w/w) water; and
having a pH in the range of 5 to 6.
2. The formulation of claim 1 , wherein the formulation does not contain any polysorbate or cyclodextrin.
3. The formulation of claim 1 , wherein the formulation does not contain any cyclodextrin, cellulose, or hyaluronic acid.
4. The formulation of claim 1 , wherein the solubilizing agent comprises (a) from 68% (w/w) to 72% (w/w) of a mixture of
and (b) from 28% (w/w) to 32% (w/w) polyethylene glycol.
5. The formulation of claim 2 , wherein the solubilizing agent comprises (a) from 68% (w/w) to 72% (w/w) of a mixture of
and (b) from 28% (w/w) to 32% (w/w) polyethylene glycol.
6. The formulation of claim 3 , wherein the solubilizing agent comprises (a) from 68% (w/w) to 72% (w/w) of a mixture of
and (b) from 28% (w/w) to 32% (w/w) polyethylene glycol.
7. The formulation of claim 1 , wherein any polyethylene glycol or polyethylene glycolyl each independently have a weight-average molecular weight in the range of 600 g/mol to 750 g/mol.
8. The formulation of claim 5 , wherein any polyethylene glycol or polyethylene glycolyl each independently have a weight-average molecular weight in the range of 600 g/mol to 750 g/mol.
9. The formulation of claim 6 , wherein any polyethylene glycol or polyethylene glycolyl each independently have a weight-average molecular weight in the range of 600 g/mol to 750 g/mol.
10. The formulation of claim 1 , wherein any polyethylene glycol or polyethylene glycolyl each independently have a weight-average molecular weight of about 660 g/mol.
11. The formulation of claim 5 , wherein any polyethylene glycol or polyethylene glycolyl each independently have a weight-average molecular weight of about 660 g/mol.
12. The formulation of claim 6 , wherein any polyethylene glycol or polyethylene glycolyl each independently have a weight-average molecular weight of about 660 g/mol.
13. The formulation of claim 1 , wherein less than 0.5% of the capsaicin degrades upon storage of the formulation at 25° C. for 24 weeks.
14. The formulation of claim 2 , wherein less than 0.5% of the capsaicin degrades upon storage of the formulation at 25° C. for 24 weeks.
15. The formulation of claim 3 , wherein less than 0.5% of the capsaicin degrades upon storage of the formulation at 25° C. for 24 weeks.
16. The formulation of claim 5 , wherein less than 0.5% of the capsaicin degrades upon storage of the formulation at 25° C. for 24 weeks.
17. The formulation of claim 6 , wherein less than 0.5% of the capsaicin degrades upon storage of the formulation at 25° C. for 24 weeks.
18. An aqueous, capsaicin injectable formulation, comprising
a. 0.05% (w/w) of capsaicin;
b. 1% (w/w) of a solubilizing agent, wherein the solubilizing agent comprises (a) from 68% (w/w) to 72% (w/w) of a mixture of
and (b) from 28% (w/w) to 32% (w/w) polyethylene glycol;
c. 0.005% (w/w) to 0.015% (w/w) of dibutylhydroxytoluene;
d. 0.2% (w/w) to 1% (w/w) of sodium acetate;
e. 0.01% (w/w) to 0.05% (w/w) of ethylenediaminetetraacetic acid or a salt thereof;
f. 0.3% (w/w) to 0.9% (w/w) of sodium chloride;
g. at least 96% (w/w) water; and
having a pH of 5.5.
19. The formulation of claim 18 , wherein the formulation does not contain any polysorbate or cyclodextrin.
20. The formulation of claim 18 , wherein the formulation does not contain any cyclodextrin, cellulose, or hyaluronic acid.
21. The formulation of claim 18 , wherein any polyethylene glycol or polyethylene glycolyl each independently have a weight-average molecular weight in the range of 600 g/mol to 750 g/mol.
22. The formulation of claim 19 , wherein any polyethylene glycol or polyethylene glycolyl each independently have a weight-average molecular weight in the range of 600 g/mol to 750 g/mol.
23. The formulation of claim 20 , wherein any polyethylene glycol or polyethylene glycolyl each independently have a weight-average molecular weight in the range of about 600 g/mol to about 750 g/mol.
24. The formulation of claim 18 , wherein any polyethylene glycol or polyethylene glycolyl each independently have a weight-average molecular weight of about 660 g/mol.
25. The formulation of claim 19 , wherein any polyethylene glycol or polyethylene glycolyl each independently have a weight-average molecular weight of about 660 g/mol.
26. The formulation of claim 20 , wherein any polyethylene glycol or polyethylene glycolyl each independently have a weight-average molecular weight of about 660 g/mol.
27. The formulation of claim 18 , wherein less than 0.5% of the capsaicin degrades upon storage of the formulation at 25° C. for 24 weeks.
28. The formulation of claim 19 , wherein less than 0.5% of the capsaicin degrades upon storage of the formulation at 25° C. for 24 weeks.
29. The formulation of claim 20 , wherein less than 0.5% of the capsaicin degrades upon storage of the formulation at 25° C. for 24 weeks.
30. The formulation of claim 21 , wherein less than 0.5% of the capsaicin degrades upon storage of the formulation at 25° C. for 24 weeks.
31. The formulation of claim 22 , wherein less than 0.5% of the capsaicin degrades upon storage of the formulation at 25° C. for 24 weeks.
32. The formulation of claim 23 , wherein less than 0.5% of the capsaicin degrades upon storage of the formulation at 25° C. for 24 weeks.