Compositions and methods of administering baclofen
Injectable baclofen formulations and methods that are bioequivalent in terms of plasma baclofen exposure to oral dosage forms but with reduced exposure ratios of baclofen to the M1 metabolite.
1. A method of treating spasticity in a patient comprising:
administering by intramuscular administration to the patient an injectable pharmaceutical formulation comprising:
an effective amount of 4-amino-3-(4-chlorophenyl) butanoic acid (baclofen), and one or more pharmaceutically acceptable excipients;
wherein the effective amount of baclofen is 20 mg;
wherein the injectable formulation has a concentration of 4 mg/mL baclofen;
wherein intramuscularly administering a 20-mg dose of the formulation to the patient produces a C (max)(baclofen) value of from about 257 ng/mL to about 478 ng/mL; and
the formulation on administration to a patient provides a bioavailability that is not more than 10% different from an oral dose with similar strength.
2. The method according to claim 1 , wherein intramuscularly administering a 20-mg dose of the formulation to the patient produces a C (max)(M1) value of from about 30 ng/mL to about 57 ng/mL.
3. The method of claim 1 , wherein intramuscularly administering a 20-mg dose of the formulation to the patient produces a ratio C max(baclofen) :C max(M1) of from about 4.5 to about 15.9.
4. The method of claim 3 , wherein intramuscularly administering a 20-mg dose of the formulation to the patient produces a ratio C max(baclofen) :C max(M1) of from about 8.0 to about 15.9.
5. The method according to claim 1 , wherein intramuscularly administering a 20-mg dose of the formulation to the patient produces a AUC (0-t)(baclofen) value of from about 2017 h·ng/mL to about 2821 h·ng/mL.
6. The method according to claim 1 , wherein intramuscularly administering a 20-mg dose of the formulation to the patient produces a AUC (0-t)(M1) value of from about 399 h·ng/mL to about 896 h·ng/mL.
7. The method of claim 1 , wherein intramuscularly administering a 20-mg dose of the formulation to the patient produces a ratio AUC (0-t)(baclofen) :AUC (0-t)(M1) of from about 2.3 to about 7.1.
8. The method of claim 7 , wherein intramuscularly administering a 20-mg dose of the formulation to the patient produces a ratio AUC (0-t)(baclofen) :AUC (0-t)(M1) of from about 3.5 to about 7.1.
9. The method of claim 8 , wherein intramuscularly administering a 20-mg dose of the formulation to the patient produces a ratio AUC (0-t)(baclofen) :AUC (0-t)(M1) of from about 3.6 to about 7.1.
10. The method of claim 1 , wherein the spasticity results from multiple sclerosis.
11. The method of claim 1 , wherein the spasticity is associated with at least one of flexor spasms, pain, clonus, and muscular rigidity.
12. The method of claim 1 , wherein the spasticity results from cerebral palsy, stroke, traumatic brain injury, spinal cord injury, spinal cord disease, or combinations thereof.