SOLID PHARMACEUTICAL COMPOSITIONS COMPRISING BIOPTERIN DERIVATIVES AND USES OF SUCH COMPOSITIONS
Disclosed is a method of method of treating a disease in a subject, comprising the step of administering to a subject in need thereof a solution of a solid pharmaceutical composition containing a compound of formula (I) and/or formula (II), wherein the disease is selected from the group consisting of traumatic brain injury, non-traumatic brain injury, elevated cranial pressure, with a compound having formula (I) being: and a compound having the formula (II) being:
1 . A method of treating a disease in a subject, comprising the step of administering to a subject in need thereof a solution of a solid pharmaceutical composition containing a compound of formula (I), formula (II) or formula (III), wherein the disease is selected from the group consisting of traumatic brain injury, non-traumatic brain injury, elevated cranial pressure, and secondary brain injury, and wherein the solution comprising the compound of formula (I), formula (II) or formula (III) is prepared by a process comprising (A), (B) or (C)
(A):
(a) a compound having the formula (I):
(b) NaH 2 PO 4 ·2H 2 O and Na 2 HPO 4 ·2H 2 O; and optionally
(c) NaCl;
wherein the quantity of the NaH 2 PO 4 ·2H 2 O and Na 2 HPO 4 ·2H 2 O present in the solution is chosen such that:
(i) the molar ratio of NaH 2 PO 4 ·2H 2 O to compound (I) is in the range of from 0.02 to 0.50; and
(ii) the molar ratio of Na 2 HPO 4 ·2H 2 O to compound (I) is in the range of from 0.02 to 0.50; and
wherein the solution is adapted for administration by infusion or injection; or
(B):
(a) a compound having the formula (II):
(b) NaH 2 PO 4 ·2H 2 O and Na 2 HPO 4 ·2H 2 O; and optionally
(c) NaCl;
wherein the quantity of the NaH 2 PO 4 ·2H 2 O and Na 2 HPO 4 ·2H 2 O present in the solution is chosen such that:
(i) the molar ratio of NaH 2 PO 4 ·2H 2 O to compound (II) is in the range of from 0.02 to 0.50; and
(ii) the molar ratio of Na 2 HPO 4 ·2H 2 O to compound (II) is in the range of from 0.02 to 0.50; and
wherein the solution is adapted for administration by infusion or injection; or
(C):
(a) a compound having the formula (I):
(b) a compound having the formula (II):
and
(c) NaH 2 PO 4 ·2H 2 O and Na 2 HPO 4 ·2H 2 O; and optionally
(d) NaCl;
wherein the quantity of the NaH 2 PO 4 ·2H 2 O and Na 2 HPO 4 ·2H 2 O present in the solution is chosen such that:
(i) the molar ratio of NaH 2 PO 4 ·2H 2 O to compound (I) is in the range of from 0.02 to 0.50; and
(ii) the molar ratio of Na 2 HPO 4 ·2H 2 O to compound (I) is in the range of from 0.02 to 0.50; or
(i) the molar ratio of NaH 2 PO 4 ·2H 2 O to compound (II) is in the range of from 0.02 to 0.50; and
(ii) the molar ratio of Na 2 HPO 4 ·2H 2 O to compound (II) is in the range of from 0.02 to 0.50; and
wherein the solution is adapted for administration by infusion or injection;
wherein the process comprises the following steps:
(1) preparing a buffer comprising NaH 2 PO 4 ·2H 2 O and Na 2 HPO 4 ·2H 2 O by:
(a) dissolving NaH 2 PO 4 ·2H 2 O in water, to form a first solution;
(b) dissolving Na 2 HPO 4 ·2H 2 O in water, to form a second solution;
(c) adding the first NaH 2 PO 4 ·2H 2 O solution formed in step (a) above to the second Na 2 HPO 4 ·2H 2 O solution formed in step (b) above, to form a third sodium phosphate solution having a pH of 7.4; and
(d) adding the third sodium phosphate solution formed in step (c) above to a 5N NaOH solution, to form the buffer comprising NaH 2 PO 4 ·2H 2 O and Na 2 HPO 4 ·2H 2 O;
(2) dissolving a compound of formula (II):
in the buffer comprising NaH 2 PO 4 ·2H 2 O and Na 2 HPO 4 ·2H 2 O prepared in step (1) above, to form a fourth solution; or
(2) dissolving a compound of formula (III):
in the buffer comprising NaH 2 PO 4 ·2H 2 O and Na 2 HPO 4 ·2H 2 O prepared in step (1) above, to form a fourth solution; or
(2) dissolving a compound of formula (II):
and a compound of formula (III):
in the buffer comprising NaH 2 PO 4 ·2H 2 O and Na 2 HPO 4 ·2H 2 O prepared in step (1) above, to form a fourth solution;
(3) lyophilizing the fourth solution formed in step (2) above, to form a lyophilisate;
(4) filling the lyophilisate formed in step (3) above into a vial; and
(5) reconstituting the lyophilisate of step (4) above in a pharmaceutically acceptable fluid, to prepare a fifth solution comprising (I), (II), or (III) above that is adapted for administration by infusion or injection.
2 . The method of claim 1 , wherein the fifth solution is administered by infusion or injection.
3 . The method of claim 1 , wherein the non-traumatic brain injury is stroke or meningitis.
4 . The method of claim 1 , wherein the compound having the formula (I) or formula (II) is administered at a maximal daily dose selected from the group consisting of about 10 mg/kg body weight, about 8.5 mg/kg body weight, about 7.5 mg/kg body weight, about 5.0 mg/kg body weight, and about 2.5 mg/kg body weight.
5 . The method of claim 1 , wherein the compound (I) is (6R)-4-Amino-5, 6, 7, 8-tetrahydro-L-biopterin.
6 . The method of claim 1 , wherein the compound (I) is (6S)-4-Amino-5, 6, 7, 8-tetrahydro-L-biopterin.