Parenteral formulations of lipophilic pharmaceutical agents and methods for preparing and using the same
There may be provided compositions of lipophilic pharmaceutical agents with improved solubility and stability. For example, there may be provided a non-aqueous composition that comprises a lipophilic pharmaceutical agent, and an amphiphilic polymeric solvent such as PEG400 but essentially free of organic solvents and non-solubilized particles. The composition may be further diluted with a desired aqueous diluent such as an infusion fluid for parenteral administration to a subject such as a human. The compositions may be useful for the treatment for diseases or conditions that are sensitive to lipophilic agents, such as infectious diseases, malignant or autoimmune diseases.
1. A method for treating a subject having a disease or condition, wherein the disease or condition is sensitive to a selected lipophilic pharmaceutical agent, comprising parenterally administering to the subject a therapeutically effective amount of a composition comprising a non-aqueous, homogeneous, pharmaceutically acceptable solution suitable for parenteral administration comprising a solubilized lipophilic pharmaceutical agent and a non-aqueous amphiphilic liquid polymeric solvent, the formulation being non-aqueous, homogeneous and substantially free of non-polymeric organic solvents, wherein the solubilized lipophilic pharmaceutical agent is busulfan or an azole antifungal agent other than ketoconazole.
2. The method of claim 1 , wherein the subject has a cancer or a need for conditioning the subject to perform a bone marrow transplantation or a hematopoietic progenitor cell transplantation and the lipophilic pharmaceutical agent is busulfan.
3. The method of claim 1 , wherein the subject has a fungal, yeast or mold disease and the lipophilic pharmaceutical agent is an azole agent.
4. The method of claim 1 , wherein the composition is administered intravascularly, intracavitarily, intrathecally, subcutaneously, or intramuscularly.
5. The method of claim 1 , wherein the subject is a mammal.
6. The method of claim 1 , wherein the subject is a human.
7. The method of claim 1 , wherein said amphiphilic liquid polymeric solvent is polyethylene glycol (PEG).
8. The method of claim 7 , wherein said PEG is selected from the group consisting of PEG-100, PEG-200, PEG-300, PEG-400, PEG-600 and PEG-800.
9. The method of claim 1 , wherein the solution further comprises a protonating agent.
10. The method of claim 9 , wherein the protonating agent is an acid, alcohol or acidified alcohol.
11. The method of claim 10 , wherein the acid is HCl, citric acid, acetic acid or glutamic acid.
12. The method of claim 1 , wherein the solution remains stable and free of non-solubilized lipophilic pharmaceutical particles for at least 40 days when stored at room temperature.
13. The method of claim 1 , wherein the solution is diluted with a clinically approved parenteral infusion fluid.
14. The method of claim 13 , wherein the solubilized lipophilic pharmaceutical agent has a concentration of about 2 to 10 mg/mL prior to dilution.
15. The method of claim 14 , wherein the solubilized lipophilic pharmaceutical agent has a concentration of about 3 to 9 mg/mL prior to dilution.
16. The method of claim 13 , wherein the clinically approved parenteral infusion fluid is clinically approved saline.
17. The method of claim 13 , wherein the clinically approved parenteral infusion fluid is clinically approved 5 to 10% dextrose solution.
18. The method of claim 13 , wherein the clinically approved parenteral infusion fluid is a clinically approved aqueous lipid emulsion.
19. The method of claim 13 , wherein the solution is diluted with the clinically approved parenteral infusion fluid to provide a final concentration of 10-25% (v/v).
20. The method of claim 3 or 13 , wherein the azole antifungal agent is selected from the group consisting of abafungin, bifonazole, butoconazole, butoconazole nitrate, econazole, econazole nitrate, fenticonazole, fluconazole, isavuconazole, isoconazole, itraconazole (Itra), miconazole, omoconazole, oxiconazole, posaconazole (Posa), ravuconazole, sertaconazole, sulconazole, sulconazole nitrate, terconazole, tioconazole, and voriconazole.
21. The method of claim 3 or 13 , wherein the pharmaceutical agent is itraconozole.
22. The method of claim 3 or 13 , wherein the pharmaceutical agent is posaconazole.