Pharmaceutical compositions and uses thereof
The invention features pharmaceutical compositions including (i) a drug, and (ii) a PEG fatty acid ester or PPG fatty acid ester in an amount sufficient to increase the oral bioavailability of the drug.
1. A pharmaceutical composition in oral dosage form comprising:
a) a drug; and
b) an additive comprising from 10% to 80% (w/w) of a PEG fatty acid diester and from 0.5% to 20% (w/w) of a saccharide,
wherein the ratio by weight of said PEG fatty acid diester to said drug is greater than 1:1 and said additive is present in an amount sufficient to increase the oral bioavailability of said drug.
2. The pharmaceutical composition of claim 1 , wherein said pharmaceutical composition comprises from 40% to 75% (w/w) of said PEG fatty acid diester.
3. The pharmaceutical composition of claim 2 , wherein the ratio by weight of said PEG fatty acid diester to said drug is greater than 3.0:1.
4. The pharmaceutical composition of claim 1 , wherein said PEG fatty acid diester is the decanoate diester of a polyethylene glycol having from 1 to 20 PEG units.
5. The pharmaceutical composition of claim 4 , wherein said PEG fatty acid diester is the decanoate diester formed from a polyethylene glycol mixture having an average chain length of from 8 to 9 PEG units in length.
6. The pharmaceutical composition of claim 1 , wherein said saccharide is selected from sucrose and fructose.
7. The pharmaceutical composition of claim 1 , wherein said drug is a β-lactam antibiotic selected from cephalosporins, carbapenems, monobactams, penicillins, penems, carbacephems, and oxacephems.
8. The pharmaceutical composition of claim 7 , wherein said drug is a cephalosporin, or a salt thereof.
9. The pharmaceutical composition of claim 8 , wherein said cephalosporin, or a salt thereof, is positively charged.
10. The pharmaceutical composition of claim 8 , wherein said drug is a cephalosporin, or a salt thereof, selected from cefepime, cefalonium, cephaloridine, cefpimizole, ceftazidime, cefluprenam, cefozopran, cefpirome, cefquinome, cefmepidium, ceftaroline, ceftaroline fosamil, and salts thereof.
11. The pharmaceutical composition of claim 10 , wherein said cephalosporin, or a salt thereof, is cefepime, or a salt thereof.
12. The pharmaceutical composition of claim 7 , wherein said drug is a carbapenem, or a salt thereof.
13. The pharmaceutical composition of claim 12 , wherein said carbapenem, or a salt thereof, is meropenem, ertapenem, or doripenem, or a salt thereof.
14. A method of treating a bacterial infection in a subject, said method comprising orally administering to said subject a pharmaceutical composition of claim 7 , wherein said composition is administered in an amount effective to treat said infection.
15. The method of claim 14 , wherein said drug is cefepime and said infection is selected from febrile neutropenia and uncomplicated or complicated urinary tract infection.
16. The pharmaceutical composition of claim 1 in oral dosage form comprising:
a) cefepime, or a pharmaceutically acceptable salt thereof; and
b) an additive comprising from 10% to 80% (w/w) of a PEG fatty acid diester and from 0.5% to 20% (w/w) of a saccharide,
wherein said additive is present in an amount sufficient to increase the oral bioavailability of said drug and wherein the ratio by weight of said additive to said cefepime is greater than 1:1.
17. The pharmaceutical composition of claim 16 , wherein said pharmaceutical composition comprises from 40% to 75% (w/w) of said PEG fatty acid diester.
18. The pharmaceutical composition of claim 16 , wherein said pharmaceutical composition is in a unit dosage form comprising from 250 milligrams to 5.0 grams of cefepime, or a pharmaceutically acceptable salt thereof.
19. The pharmaceutical composition of claim 16 , wherein said saccharide is selected from sucrose and fructose.
20. A reconstitutable pharmaceutical composition comprising from 0.5% to 20% (w/w) of a drug; and from 40% to 80% (w/w) of an additive comprising from 10% to 80% (w/w) of a PEG fatty acid diester and from 0.5% to 20% (w/w) of a saccharide,
wherein the ratio by weight of said PEG fatty acid diester to said drug is greater than 1:1 and said additive is present in an amount sufficient to increase the oral bioavailability of said drug.
21. The reconstitutable pharmaceutical composition of claim 20 , wherein the ratio by weight of said PEG fatty acid diester to said drug is greater than 3.0:1.
22. The reconstitutable pharmaceutical composition of claim 20 , wherein said PEG fatty acid diester is the decanoate diester of a polyethylene glycol having from 1 to 20 PEG units.
23. The reconstitutable pharmaceutical composition of claim 22 , wherein said PEG fatty acid diester is the decanoate diester formed from a polyethylene glycol mixture having an average chain length of from 8 to 9 PEG units in length.
24. The reconstitutable pharmaceutical composition of claim 20 , wherein said reconstitutable pharmaceutical composition is a liquid concentrate that can form an emulsion when mixed with an aqueous liquid.
25. The reconstitutable pharmaceutical composition of claim 24 , wherein said composition is a self emulsifying composition.
26. The reconstitutable pharmaceutical composition of claim 20 , wherein said reconstitutable pharmaceutical composition is a solid or solid matrix that can be mixed with water.
27. The reconstitutable pharmaceutical composition of claim 26 , wherein said composition is a self emulsifying composition.
28. The reconstitutable pharmaceutical composition of claim 27 , wherein said composition is formulated in unit dosage form for oral administration as a hard gel capsule, soft gel capsule, effervescent tablet, or as a sprinkle.
29. The reconstitutable pharmaceutical composition of claim 20 , wherein said saccharide is selected from sucrose and fructose.
30. The reconstitutable pharmaceutical composition of claim 20 , wherein said drug is a β-lactam antibiotic selected from cephalosporins, carbapenems, monobactams, penicillins, penems, carbacephems, and oxacephems.
31. The reconstitutable pharmaceutical composition of claim 30 , wherein said drug is a cephalosporin, or a salt thereof.
32. The reconstitutable pharmaceutical composition of claim 31 , wherein said cephalosporin, or a salt thereof, is cefepime, or a salt thereof.
33. The reconstitutable pharmaceutical composition of claim 30 , wherein said drug is a carbapenem, or a salt thereof.
34. The reconstitutable pharmaceutical composition of claim 33 , wherein said carbapenem, or a salt thereof, is meropenem, ertapenem, or doripenem, a salt thereof.
35. A kit comprising:
a) a first container comprising a drug;
b) a second container comprising an additive comprising from 10% to 80% (w/w) of a PEG fatty acid diester and from 0.5% to 20% (w/w) of a saccharide; and
c) instructions for mixing the contents of said first container with the contents of said second container.
36. The kit of claim 35 , wherein said saccharide is selected from sucrose and fructose.
37. The kit of claim 35 , wherein said drug is a 3-lactam antibiotic selected from cephalosporins, carbapenems, monobactams, penicillins, penems, carbacephems, and oxacephems.
38. The kit of claim 37 , wherein said drug is a cephalosporin, or a salt thereof.
39. The kit of claim 38 , wherein said cephalosporin, or a salt thereof, is cefepime, or a salt thereof.
40. The kit of claim 37 , wherein said drug is a carbapenem, or a salt thereof.
41. The kit of claim 40 , wherein said carbapenem, or a salt thereof, is meropenem, ertapenem, or doripenem, or a salt thereof.
42. A composition comprising from 10% to 80% (w/w) of a PEG fatty acid diester and from 5% to 40% (w/w) of a saccharide.
43. The composition of claim 42 , wherein said saccharide is selected from sucrose and fructose.