Therapeutic uses for sodium thiosulfate and formulations
Described herein is anhydrous sodium thiosulfate, methods for synthesizing anhydrous sodium thiosulfate, pharmaceutical compositions thereof, and methods of treating ototoxicity. Anhydrous sodium thiosulfate is synthesized from sodium sulfite, sulfur, and cetylpyridinium chloride. The anhydrous sodium thiosulfate is formulated into a pharmaceutical composition comprising a buffer and solvent. These compositions are useful for eliminating or reducing ototoxicity in pediatric patients receiving platinum-based chemotherapeutics.
1. A method of reducing ototoxicity in a human patient receiving a platinum based chemotherapeutic for the treatment of cancer sensitive to the platinum based chemotherapeutic comprising administering an effective amount of a pharmaceutical composition comprising aqueous anhydrous sodium thiosulfate, wherein the aqueous anhydrous sodium thiosulfate is at a concentration of about 0.5 M and further comprising borate ions wherein the concentration of borate ions is less than 0.05%.
2. The method of claim 1 , wherein the pharmaceutical composition further comprises hydrochloric acid.
3. The method of claim 1 , wherein the pharmaceutical composition further comprises sodium hydroxide.
4. The method of claim 1 , wherein the pharmaceutical composition has a pH between about 5 and about 9.5.
5. The method of claim 1 , wherein the pharmaceutical composition has a pH between about 6.5 and about 8.9.
6. The method of claim 1 , wherein the pharmaceutical composition has a pH between about 8.6 and about 8.8.
7. The method of claim 1 , wherein the patient is a pediatric patient.
8. The method of claim 7 , wherein the pediatric patient is five or fewer years of age.
9. The method of claim 7 , wherein the pharmaceutical composition further comprises hydrochloric acid.
10. The method of claim 7 , wherein the pharmaceutical composition further comprises sodium hydroxide.
11. The method of claim 7 , wherein the pharmaceutical composition has a pH between about 5 and about 9.5.
12. The method of claim 7 , wherein the pharmaceutical composition has a pH between about 6.5 and about 8.9.
13. The method of claim 7 , wherein the pharmaceutical composition has a pH between about 8.6 and about 8.8.
14. The method of claim 7 , wherein the platinum based chemotherapeutic is cisplatin.
15. The method of claim 14 , wherein cisplatin is administered to the human patient as an infusion over 1 to 6 hours.
16. The method of claim 15 , wherein the pharmaceutical composition is administered to the human patient about 6 hours after the completion of the administration of cisplatin.
17. The method of claim 16 , wherein the pharmaceutical composition is administered as an infusion over about 15 minutes.
18. The method of claim 7 , wherein the pediatric patient has hepatoblastoma.
19. The method of claim 7 , wherein the pediatric patient has medulloblastoma.
20. The method of claim 7 , wherein the pediatric patient has neuroblastoma.
21. The method of claim 7 , wherein the pediatric patient has osteosarcoma.
22. The method of claim 7 , wherein the pediatric patient has a localized cancer.
23. The method of claim 7 , wherein the pediatric patient has a disseminated cancer.
24. The method of claim 7 , wherein the pediatric patient has a germ cell tumor.
25. The method of claim 24 , wherein the germ cell tumor is testicular cancer.
26. The method of claim 24 , wherein the germ cell tumor is ovarian cancer.