Storage stable aqueous parenteral solutions comprising diclofenac
The present invention relates to stable, aqueous, parenteral solutions comprising diclofenac and polyvinylpyrrolidone, wherein the solutions are for parenteral (subcutaneous, intravenous and/or intramuscular) administration to a mammal.
1. A method for the treatment of pain, the method comprising administering to a mammal, in need thereof, a solution, via subcutaneous route, comprising diclofenac composition, wherein the diclofenac sodium is present in a therapeutically effective concentration of between about 37.5 mg/mL and about 75 mg/mL, having pharmacokinetic parameters—
i. maximum diclofenac plasma concentration C max value not more than 9000 ng/ml,
ii. time to reach the maximum concentration T max of 5 minutes and
iii. area under the curve AUC last value not more than 3000 ng*h/mL,
wherein the diclofenac composition comprises polyvinylpyrrolidone, one or more pH adjusting agents, and water.
2. The method of claim 1 , wherein the pharmaceutical composition when administered as subcutaneous dose of 37.5 mg in comparison to 37.5 mg intra venous of administration had similar AUC last and AUC inf .
3. The method of claim 1 , wherein the pharmacokinetic parameters were measured after blood collection at pre-dose (0.0 hour) and at 0.05, 0.083, 0.167, 0.25, 0.333, 0.5, 0.667, 0.833, 1.0, 1.333, 1.667, 2.0, 2.5, 3.0, 4.0, 6.0, 8.0, 10.0 and 12.0 hours post dose in human subjects.
4. The method of claim 1 , wherein the pharmaceutical composition of diclofenac when administered as subcutaneous dose of 37.5 mg produces a T max of 0.5 hours as compared to T max of 0.2 hours produced by 50 mg oral route of administration.
5. The method of claim 1 , wherein the pharmaceutical composition of diclofenac when administered as subcutaneous dose of 37.5 mg produces a T 1/2 of 1.29 hours as compared to T 1/2 of 1.24 hours produced by 37.5 mg intravenous route of administration.
6. A method for the treatment of pain, the method comprising administering to a mammal, in need thereof, a solution, via intramuscular route, comprising diclofenac composition, wherein the diclofenac sodium is present in a therapeutically effective concentration of between about 37.5 mg/mL and about 75 mg/mL, having pharmacokinetic parameters—
i. maximum diclofenac plasma concentration C max value not more than 7500 ng/ml,
ii. time to reach the maximum concentration T max of 15 minutes and
iii. area under the curve AUC last value not more than 6000 ng*h/mL,
wherein the diclofenac composition comprises polyvinylpyrrolidone, one or more pH adjusting agents, and water.
7. A method for the treatment of pain according to claim 1 , the method comprising administering to a mammal in need thereof, via parenteral route, therapeutically effective amount of diclofenac composition, wherein the pain is associated from acute and/or chronic pain, nociceptive pain-somatic and/or visceral, neuropathic pain-peripheral neuropathy, neuralgia, spinal cord compression, plexopathy, nociplastic pain-idiopathic pain, centralized pain, central hypersensitivity, mixed pain.
8. A method for the treatment of pain according to claim 6 , the method comprising administering to a mammal in need thereof, via parenteral route, therapeutically effective amount of diclofenac composition, wherein the pain is associated from acute and/or chronic pain, nociceptive pain-somatic and/or visceral, neuropathic pain-peripheral neuropathy, neuralgia, spinal cord compression, plexopathy, nociplastic pain-idiopathic pain, centralized pain, central hypersensitivity, mixed pain.
9. A method according to claim 1 , wherein the diclofenac composition is administered via an Autoinjector.