HYDROXYPROPYL BETA-CYCLODEXTRIN COMPOSITIONS AND METHODS
This disclosure provides mixtures of beta-cyclodextrin molecules substituted at one or more hydroxyl positions by hydroxypropyl groups, the mixture optionally including unsubstituted beta-cyclodextrin molecules, for use as a pharmaceutically active ingredient; methods of making such mixtures; methods of qualifying such mixtures for use in a pharmaceutical composition suitable for intrathecal or intracerebroventricular administration; pharmaceutical compositions suitable for intrathecal or intracerebroventricular administration comprising such mixtures; and methods of using the pharmaceutical compositions for treatment of Niemann-Pick disease Type C.
1 . A method of treating Niemann Pick in a human patient in need thereof comprising administering a composition comprising a mixture of beta-cyclodextrin molecules substituted at one or more hydroxyl positions by hydroxypropyl groups, wherein: the mixture comprises unsubstituted beta-cyclodextrin (“DS-0”), beta-cyclodextrin substituted with one hydroxypropyl group (“DS-1”), and from 5% to 25% beta-cyclodextrin substituted with six hydroxypropyl groups (“DS-6”).
2 . The method of claim 1 , wherein less than 3% of the mixture comprises DS-0 and DS-1, collectively.
3 . The method of claim 1 , wherein less than 2% of the mixture comprises DS-0 and DS-1, collectively.
4 . The method of claim 1 , wherein the mixture comprises at least 8% DS-6.
5 . The method of claim 1 , wherein the mixture comprises from 8% to 22% DS-6.
6 . The method of claim 1 , wherein the mixture comprises no more than 15% DS-6.
7 . The method of claim 1 , wherein less than 2% of the mixture is DS-0.
8 . The method of claim 1 , wherein the mixture has an average molar substitution (“MS”) in the range of 0.40-0.80.
9 . The method of claim 1 , wherein the mixture has an average degree of substitution (DS a ″) of about 3 to about 7.
10 . The method of claim 1 , wherein the composition comprises no more than 0.5% propylene glycol.
11 . The method of claim 1 , wherein less than 4% of the mixture comprises DS-1.
12 . The method of claim 1 , wherein the composition comprises no more than 1 ppm propylene oxide.
13 . The method of claim 1 , wherein the total amount of other unspecified impurities in the composition is less than or equal to 0.05% as measured by HPLC.
14 . The method of claim 1 , wherein the composition has a concentration of about 10 mg/mL to about 200 mg/mL.
15 . The method of claim 1 , wherein the patient is a pediatric patient.
16 . The method of claim 1 , wherein the patient is an adult patient.
17 . The method of claim 1 , wherein the composition further comprises a pharmaceutically acceptable diluent.
18 . The method of claim 1 , wherein the composition solubilizes lipids in an aqueous medium.
19 . The method of claim 18 , wherein lipids that are solubilized comprise unesterified or esterified cholesterol.
20 . The method of claim 19 , wherein the solubilization is determined by UV spectrometry or by HPLC.
21 . The composition of claim 1 , wherein about 200 mg of the composition is capable of solubilizing at least 2 mg of unesterified cholesterol in distilled water at room temperature.
22 . A method of treating Niemann Pick in a human patient in need thereof comprising administering a mixture of beta-cyclodextrin molecules substituted at one or more hydroxyl positions by hydroxypropyl groups, wherein: the mixture comprises unsubstituted beta-cyclodextrin (“DS-0”), beta-cyclodextrin substituted with one hydroxypropyl group (“DS-1”), and at least 5% beta-cyclodextrin substituted with six hydroxypropyl groups (“DS-6”).
23 . The method of claim 22 , wherein the mixture comprises at least 10% DS-6.
24 . The method of claim 22 , wherein the mixture comprises at least 13% DS-6.
25 . The method of claim 22 , wherein the mixture comprises at least 15% DS-6.
26 . The method of claim 22 , wherein less than 2% of the mixture comprises DS-0.
27 . The method of claim 22 , wherein less than 4% of the mixture comprises DS-1.
28 . A method of treating Niemann Pick in a human patient in need thereof comprising administering a mixture of beta-cyclodextrin molecules substituted at one or more hydroxyl positions by hydroxypropyl groups, wherein: the mixture comprises unsubstituted beta-cyclodextrin (“DS-0”), beta-cyclodextrin substituted with one hydroxypropyl group (“DS-1”), and no more than 25% beta-cyclodextrin substituted with six hydroxypropyl groups (“DS-6”).
29 . The method of claim 28 , wherein less than 2% of the mixture comprises DS-0.
30 . The method of claim 28 , wherein less than 4% of the mixture comprises DS-1.