Remote loading of sparingly water-soluble drugs into lipid vesicles
The present invention provides liposome compositions containing sparingly soluble drugs that are used to treat life-threatening diseases. A preferred method of encapsulating a drug inside a liposome is by remote or active loading. Remote loading of a drug into liposomes containing a transmembrane electrochemical gradient is initiated by co-mixing a liposome suspension with a solution of drug, whereby the neutral form of the compound freely enters the liposome and becomes electrostatically charged thereby preventing the reverse transfer out of the liposome. There is a continuous build-up of compound within the liposome interior until the electrochemical gradient is dissipated or all the drug is encapsulated in the liposome. However, this process as described in the literature has been limited to drugs that are freely soluble in aqueous solution or solubilized as a water-soluble complex. This invention describes compositions and methods for remote loading drugs with low water solubility (<2 mg/mL). In the preferred embodiment the drug in the solubilizing agent is mixed with the liposomes in aqueous suspension so that the concentration of solubilizing agent is lowered to below its capacity to completely solubilize the drug. This results in the drug precipitating but remote loading is capability retained. The process is scalable and the resulting drug-loaded liposomes are characterized by a high drug-to-lipid ratios and predictable drug retention when the liposome encapsulated drug is administered in patients.
1. A pharmaceutical formulation comprising a liposome suspended in a pharmaceutically acceptable carrier, the formulation comprising:
(a) a lipid fraction comprising sphingomyelin forming the liposome, the liposome encapsulating an internal aqueous medium comprising a solid precipitate of a salt of a sparingly water-soluble agent having a water solubility of less than about 2 mg/mL, wherein the liposome is free of a solubilizing agent for the sparingly water-soluble agent; and
(b) the pharmaceutically acceptable carrier.
2. The pharmaceutical formulation according to claim 1 , wherein the liposome is selected from multilamellar vesicles (MLV), large unilamellar vesicles (LUV) and small unilamellar vesicles (SUV), oligolamellar vesicles (OLV), paucilamellar vesicles (PLV) or reverse phase evaporation vesicles (REV).
3. The pharmaceutical formulation according to claim 1 , wherein the liposomes are from about 40 nm to about 150 nm in diameter.
4. The pharmaceutical formulation according to claim 1 , wherein the lipid fraction further comprises cholesterol.
5. The pharmaceutical formulation according to claim 1 , wherein the lipid fraction further comprises a PEG-lipid conjugate.
6. The pharmaceutical formulation according to claim 4 , wherein the lipid fraction further comprises a PEG-lipid conjugate.
7. The pharmaceutical formulation according to claim 4 , wherein the lipid fraction comprises between about 10 and about 50 mol % of cholesterol.
8. The pharmaceutical formulation according to claim 6 , wherein the lipid fraction comprises up to 5 mol % of the PEG-lipid conjugate.
9. The pharmaceutical formulation according to claim 1 , wherein the sparingly water-soluble agent is a sparingly water-soluble amphipathic weak base or amphipathic weak acid.
10. The pharmaceutical formulation according to claim 9 , wherein the amphipathic weak base has an octanol-water distribution coefficient (log D) at pH 7 between −2.5 and 7.0 and pKa<11 in water.
11. The pharmaceutical formulation according to claim 9 , wherein the amphipathic weak acid has an octanol-water distribution coefficient (log D) at pH 7 between −2.5 and 7.0 and pKa>3 in water.
12. The pharmaceutical formulation according to claim 1 , wherein the sparingly water-soluble agent is present in the internal aqueous medium in a unit dosage format.
13. The pharmaceutical formulation according to claim 1 , wherein the ratio of the sparingly water-soluble agent (μg):lipid (μmol) ratio of the liposomes is 250-450.
14. A pharmaceutical formulation comprising a liposome, the formulation comprising a lipid fraction comprising sphingomyelin forming the liposome, the liposome encapsulating an internal aqueous medium comprising a solid precipitate of a salt of a sparingly water-soluble agent having a water solubility of less than about 2 mg/mL, wherein the liposome is free of a solubilizing agent for the sparingly water-soluble agent, and wherein the pharmaceutical formulation is lyophilized.
15. A method of treating a disease state in a subject in need of the treatment, the method comprising administering to the patient a therapeutically effective amount of the pharmaceutical formulation of claim 1 .