Amorphous nilotinib microparticles and uses thereof
Amorphous solid dispersions and pharmaceutical compositions of the protein kinase inhibitor nilotinib. The pharmaceutical compositions may be used in methods of treating a proliferative disorder such as cancer. In some embodiments, the pharmaceutical compositions can be administered without regard to food consumption. In other embodiments, the pharmaceutical compositions can be administered at a significantly lower dose as compared to a commercially available immediate-release nilotinib formulation, while providing a comparable therapeutic effect.
1. A method of safely delivering nilotinib to a patient suffering from a proliferative disorder, the method comprising:
(a) administering to the patient a therapeutically effective amount of a pharmaceutical composition comprising an amorphous solid dispersion, the amorphous solid dispersion comprising nilotinib free base and one or more polymers; and
(b) administering a meal to the patient;
wherein steps (a) and (b) occur within less than two hours of each other;
wherein the one or more polymers comprises a hydroxypropyl methylcellulose acetate succinate that exhibits pH-dependent solubility;
wherein the nilotinib and the one or more polymers are present in the amorphous solid dispersion in a w/w ratio of 35:65 to 80:20 (nilotinib:polymer); and
wherein the administered amount of nilotinib is 60 to 80% less than a dose required for delivering a therapeutically effective amount of nilotinib in the fasted state using a conventional immediate-release crystalline nilotinib formulation.
2. The method of claim 1 , wherein the proliferative disorder is Philadelphia chromosome positive chronic myeloid leukemia.
3. The method of claim 1 , wherein the proliferative disorder is chronic phase Philadelphia chromosome positive chronic myeloid leukemia resistant or intolerant to prior tyrosine kinase inhibitor therapy.
4. The method of claim 1 , wherein the one or more polymers comprise a hydroxypropyl methylcellulose acetate succinate characterized by an acetyl substitution of 7 to 11% and a succinyl substitution of 10 to 14%.
5. The method of claim 1 , wherein the one or more polymers consists essentially of a hydroxypropyl methylcellulose acetate succinate.
6. The method of claim 1 , wherein the amorphous solid dispersion comprises one or more antioxidants that are present in an amount of 0.001% to 2% by weight of the amorphous solid dispersion.
7. The method of claim 6 , wherein the one or more antioxidants comprises butylated hydroxytoluene.
8. The method of claim 1 , wherein the amorphous solid dispersion consists essentially of nilotinib and the one or more polymers.
9. The method of claim 1 , wherein the nilotinib and the one or more polymers are present in the amorphous solid dispersion in a w/w ratio of 40:60 to 70:30 (nilotinib:polymer).
10. The method of claim 1 , wherein the nilotinib and the one or more polymers are present in the amorphous solid dispersion in a w/w ratio of 50:50 (nilotinib:polymer).
11. The method of claim 1 , comprising the amorphous solid dispersion and one or more pharmaceutically acceptable additives.
12. The method of claim 1 , wherein the pharmaceutical composition is a solid dosage form suitable for oral administration.
13. The method of claim 1 , wherein the pharmaceutical composition is presented as a solid dosage form suitable for oral administration, and comprising 25 to 100 mg nilotinib.
14. A method of delivering a therapeutically relevant exposure of nilotinib to a patient suffering from a proliferative disorder without regard to whether the patient is in a fasted state or a fed state, comprising administering to the patient a pharmaceutical composition comprising an amorphous solid dispersion, the amorphous solid dispersion comprising nilotinib free base and one or more polymers;
wherein the one or more polymers comprises a hydroxypropyl methylcellulose acetate succinate that exhibits pH-dependent solubility;
wherein the nilotinib and the one or more polymers are present in the amorphous solid dispersion in a w/w ratio of 35:65 to 80:20 (nilotinib:polymer); and
wherein the administered amount of nilotinib is 60 to 80% less than a dose required for delivering a therapeutically relevant exposure of nilotinib in the fasted state using a conventional immediate-release crystalline nilotinib formulation.
15. The method of claim 14 , wherein administration of the pharmaceutical composition to the patient in a fed state results in plasma C max of nilotinib that is within 30% of the plasma C max of nilotinib resulting from administration of the pharmaceutical composition to the patient in a fasted state.
16. The method of claim 14 , wherein administration of the pharmaceutical composition to the patient in a fed state results in plasma AUC of nilotinib that is within 30% of the plasma AUC of nilotinib resulting from administration of the pharmaceutical composition to the patient in a fasted state.
17. The method of claim 14 , wherein administration of the pharmaceutical composition to the patient in a fed state results in plasma C max of nilotinib that is within 25% of the plasma C max of nilotinib resulting from administration in a fasted state of the dose of the immediate-release crystalline nilotinib formulation.
18. The method of claim 14 , wherein administration of the pharmaceutical composition to the patient in a fed state results in plasma AUC of nilotinib that is within 25% of the plasma AUC of nilotinib resulting from administration in a fasted state of the dose of the immediate-release crystalline nilotinib formulation.
19. The method of claim 14 , wherein the one or more polymers comprise a hydroxypropyl methylcellulose acetate succinate characterized by an acetyl substitution of 7 to 11% and a succinyl substitution of 10 to 14%.
20. The method of claim 14 , wherein the one or more polymers consists essentially of a hydroxypropyl methylcellulose acetate succinate.
21. The method of claim 14 , wherein the amorphous solid dispersion comprises one or more antioxidants that are present in an amount of 0.001% to 2% by weight of the amorphous solid dispersion.
22. The method of claim 21 , wherein the one or more antioxidants comprises butylated hydroxytoluene.
23. The method of claim 14 , wherein the amorphous solid dispersion consists essentially of nilotinib and the one or more polymers.
24. The method of claim 14 , wherein the nilotinib and the one or more polymers are present in the amorphous solid dispersion in a w/w ratio of 40:60 to 70:30 (nilotinib:polymer).
25. The method of claim 14 , wherein the nilotinib and the one or more polymers are present in the amorphous solid dispersion in a w/w ratio of 50:50 (nilotinib:polymer).
26. The method of claim 14 , wherein the pharmaceutical composition comprises the amorphous solid dispersion and one or more pharmaceutically acceptable additives.
27. The method of claim 14 , wherein the pharmaceutical composition is a solid dosage form suitable for oral administration.
28. The method of claim 14 , wherein the pharmaceutical composition is presented as a solid dosage form suitable for oral administration, and comprising 25 to 100 mg nilotinib.