Stabilized glucagon solutions
This invention relates to ready-to-use and safe solution compositions of glucagon suitable for administration by manual injection or by an insulin pump or other injection device to treat hypoglycemia. Said compositions comprise glucagon, an acid, anti-gelling polyol, a stabilizing-salt, viscosity reducer and an antioxidant, have a final pH between about 2 and 5, and is gel-free, chemically-stable, and pump-able.
1. A ready-to-use, non-gelling, clear and one-phase solution composition, the composition comprising: glucagon having a concentration between 0.05 mg/mL and 5 mg/mL, water having a concentration between 3% and 5% w/v, an anti-gelling polyol comprising a combination of a propylene glycol and polyethylene glycol having a concentration between 60% and 97% w/v, an acid in sufficient quantity to adjust pH of the composition to a pH between 2 and 4, a stabilizing-salt selected from the group consisting of sodium chloride, calcium chloride, sodium acetate or a combination thereof, having a concentration between 0.5% and 3% w/v, an antioxidant selected from the group consisting of methionine, EDTA or a combination thereof having a concentration between 0.01% and 1% w/v, and optionally ethanol as a viscosity-reducer, wherein the clear and one-phase composition is free from cationic surfactants or a phospholipid and retains no less than 65% of the initial glucagon concentration after 24-month storage at 2-8° C.
2. The composition according to claim 1 , wherein the glucagon is derived from an animal source, made synthetically or produced by DNA recombinant technology.
3. The composition according to claim 1 , wherein the acid is selected from the group consisting of hydrochloric acid, phosphoric acid, methanesulfonic acid, sulfuric acid, acetic acid, lactic acid, tartaric acid, citric acid, propionic acid and a mixture thereof.
4. The composition according to claim 1 wherein viscosity reducer is at a concentration between 1 to 25% by weight of the total composition.
5. The composition according to claim 1 , wherein said composition provides a fast-acting glucagon efficacy by elevating blood glucose following a subcutaneous, intramuscular or intravenous injection using a syringe, pen-injector, auto-injector, unit dose auto-injector or infusion pump, or other injection device.
6. A method of treatment of hypoglycemia, hyperinsulinemia or for reducing intestinal motility during radiologic examination of the stomach, duodenum, small bowel, and colon when diminished intestinal motility in a human or animal subject, said method comprising administering to said subject an effective amount of a solution as claimed in claim 1 .
7. A method for preparing the composition as claimed in claim 1 , said method comprising (1) combining, mixing and dissolving
the anti-gelling polyol comprising a combination of a propylene glycol and polyethylene glycol having a concentration between 60% and 97% w/v;
the stabilizing-salt selected from the group consisting of sodium chloride, calcium chloride, sodium acetate or a combination thereof, having a concentration between 0.5% and 3% w/v;
the antioxidant selected from the group consisting of methionine, EDTA or a combination thereof having a concentration between 0.01% and 1% w/v;
water having a concentration between 3% and 5% w/v; and optionally ethanol as a viscosity-reducer:
adding an acid in sufficient quantity to a pH between 2 and 4; and
including glucagon having a concentration between 0.05 mg/mL and 5 mg/mL to form a clear solution, (2) passing the solution through a filter and (3) filling the filtered solution into a vial, syringe, insulin pump cartridge, an auto-injector, a unit dose auto-injector or other injection device.