METHODS FOR PRODUCING STABLE THERAPEUTIC FORMULATIONS IN APROTIC POLAR SOLVENTS
Certain embodiments are directed to a formulation of a therapeutic agent, as well as a method of making such a formulation, comprising at least one therapeutic agent dissolved in an aprotic polar solvent system comprising at least one ionization stabilizing excipient in a concentration sufficient to impart physical and chemical stability to the therapeutic agent.
1 .- 20 . (canceled)
21 . A stable formulation comprising:
(a) a glucagon analog peptide or salt thereof, in an amount from about 0.1 mg/mL up to the solubility limit of the glucagon analog peptide analog or salt thereof;
(b) an ionization stabilizing excipient, in an amount sufficient to stabilize the ionization of the glucagon analog peptide or salt thereof; and
(c) an aprotic polar solvent, which is dimethyl sulfoxide (DMSO),
wherein the glucagon analog peptide or salt thereof and the ionization stabilizing excipient are dissolved directly in the DMSO without drying the glucagon analog peptide or salt thereof from a buffered aqueous solution prior to dissolution in the DMSO.
22 . The stable formulation of claim 21 , wherein the glucagon analog peptide or salt thereof is in an amount ranging from about 0.5 mg/mL to about 100 mg/mL.
23 . The stable formulation of claim 22 , wherein the glucagon analog peptide or salt thereof is in an amount ranging from about 5 mg/mL to about 60 mg/mL.
24 . The stable formulation of claim 21 , wherein the ionization stabilizing excipient is at a concentration of 0.1 mM to less than 100 mM.
25 . The stable formulation of claim 24 , wherein the ionization stabilizing excipient is a mineral acid.
26 . The stable formulation of claim 21 , wherein the formulation has a moisture content less than 10%, 5%, or 3% w/v.
27 . The stable formulation of claim 21 , further comprising a preservative at less than 10%, 5%, or 3% w/v.
28 . The stable formulation of claim 27 , wherein the preservative is benzyl alcohol.
29 . The stable formulation of claim 21 , further comprising a sugar alcohol at less than 10%, 5%, or 3% w/v.
30 . The stable formulation of claim 29 , wherein the sugar alcohol is mannitol.
31 . The stable formulation of claim 21 , further comprising a disaccharide at less than 10%, 5%, or 3% w/v.
32 . The stable formulation of claim 31 , wherein the disaccharide is trehalose.
33 . The stable formulation of claim 21 , wherein the formulation is stable for at least one year at room temperature.
34 . A method of treating hypoglycemia in a subject in need thereof, comprising:
administering a therapeutically effective amount of a stable formulation to the subject, wherein the stable formulation comprises:
(a) a glucagon analog peptide or salt thereof in an amount from about 0.1 mg/mL up to the solubility limit of the glucagon analog peptide analog or salt thereof,
(b) an ionization stabilizing excipient, in an amount sufficient to stabilize the ionization of the glucagon analog peptide or salt thereof; and
(c) an aprotic polar solvent, which is dimethyl sulfoxide (DMSO),
wherein the glucagon analog peptide or salt thereof and the ionization stabilizing excipient are dissolved directly in the DMSO without drying the glucagon analog peptide or salt thereof from a buffered aqueous solution prior to dissolution in the aprotic polar solvent.
35 . The method of claim 34 , wherein the hypoglycemia is due to congenital hyperinsulinism (CHI).
36 . The method of claim 34 , wherein the stable formulation is administered by parenteral injection.
37 . The method of claim 36 , wherein the parenteral injection is by subcutaneous, intradermal, or intramuscular administration.
38 . The method of claim 37 , wherein the parenteral injection is intracutaneous.
39 . The method of claim 34 , wherein the stable formulation is administered by injection or infusion using a suitable device.
40 . The method of claim 39 , wherein the suitable device is a pre-filled syringe, a pen injection device, an auto-injector, or a pump.