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. A method of administering drug, which is risperidone, paliperidone, or a combination thereof, to a subject, said method comprising a) mixing contents of two or more containers to provide an injectable depot composition; and b) administering to said subject said injectable composition, wherein said injectable depot composition consists of said drug, 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 method of claim 1 , wherein said composition is administered intramuscularly, intraperitoneally, intrathecally, intravaginally, subcutaneously, intracranially or intracerebrally.
3. The method of claim 1 , wherein said composition is administered to the subject every four weeks, every five weeks, every six weeks, every two months, every three months, every four months, every five months, or every six months.
4. The method of claim 1 , wherein after administration said 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.
5. The method of claim 1 , wherein after administration said 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.
6. The method of claim 1 , wherein after administration a) said 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; b) said 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; c) said 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; or d) said 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.
7. The method of claim 1 , wherein after administration an implant formed from said composition releases a) about 0.5% to no more than about 12% of its dose of said drug within 24 hours after administration to said subject; or b) about 0.5% to no more than about 8% of its dose of said drug within 24 hours after administration to said subject.
8. The method of claim 1 further comprising sterilizing said composition.
9. The method of claim 1 further comprising sterilizing said PLGA copolymer prior to inclusion in said composition or prior to mixing with said DMSO.
10. The method of claim 1 further comprising irradiating at least one of said drug and said PLGA copolymer with beta-irradiation in the range of 5-25 KGy.
11. The method of claim 10 , wherein the beta-irradiation is sufficient to reduce the molecular weight and intrinsic viscosity of the PLGA copolymer.
12. The method of claim 1 , wherein said injectable composition has a viscosity in the range of about 0.7 Pa·s to about 4.0 Pa·s.
13. The method of claim 1 further comprising providing a kit for preparing said injectable composition, wherein said 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.
14. The method of claim 13 , wherein said kit comprises about 25 to about 150 mg of said drug.
15. The method of claim 13 , wherein one or more of said containers is a syringe, vial or cartridge.
16. The method of claim 13 , wherein at least one of said drug and said PLGA copolymer is present in solid form prior to mixing with the DMSO.
17. The method of claim 16 , wherein said drug and said PLGA copolymer are present in the same container prior to mixing with the DMSO.
18. The method of claim 1 further comprising filtering at least one of said DMSO and said polymeric solution.
19. The method of claim 1 further comprising cooling or warming said composition prior to said administering.
20. A method of administering drug, which is risperidone, paliperidone, or a combination thereof, to a subject, said method comprising a) mixing contents of two or more containers to provide an injectable depot composition; and b) administering to said subject said injectable composition, wherein said injectable depot composition consists of said drug, 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%.
21. The method of claim 20 , wherein said injectable composition comprises 25-150 mg of said drug.
22. The method of claim 20 further comprising providing a kit for preparing said composition, wherein said 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.