Aerosol formulation for COPD
Stable aerosol solution formulations comprising glycopyrronium bromide are useful for administration to patients with COPD and other respiratory conditions.
1. A pharmaceutical composition for use with a pressurized metered dose inhaler, comprising glycopyrronium bromide dissolved in HFA-134a and ethanol, wherein:
the composition comprises an amount of hydrochloric acid equivalent to 0.005 to 1.0 μg/μl of 1M hydrochloric acid;
the composition comprises glycopyrronium bromide in an amount of 0.015 to 0.04% w/w of the composition;
the composition comprises ethanol in an amount of 10 to 15% w/w of the composition;
the composition comprises HFA-134a in an amount of 85 to 90% w/w of the composition;
the composition comprises formoterol fumarate; and
the composition comprises beclometasone dipropionate.
2. A composition according to claim 1 , wherein said composition comprises an amount of hydrochloric acid equivalent to 0.099 to 0.74 μg/μl of 1M hydrochloric acid.
3. A composition according to claim 1 , wherein said composition comprises an amount of hydrochloric acid equivalent to 0.18 to 0.32 μg/μl of 1M hydrochloric acid.
4. A composition according to claim 1 , wherein the glycopyrronium bromide is the racemic mixture (3S,2′R), (3R,2'S)-3-[(cyclopentylhydroxyphenylacetyl)oxy]-1,1-dimethylpyrrolidinium bromide.
5. A composition according to claim 1 , comprising water in an amount less than 0.5% w/w of the composition.
6. A composition according to claim 1 , comprising water in an amount 0.005 to 0.5% w/w of the composition.
7. A composition according to claim 1 , wherein the composition is free of excipients other than the ethanol, the HFA-134a, and the hydrochloric acid.
8. A composition according to claim 1 , wherein the concentration of ethanol in the pharmaceutical composition is 12% w/w.
9. A composition according to claim 3 , wherein the concentration of ethanol in the pharmaceutical composition is 12% w/w.
10. A composition according to claim 3 , comprising water in an amount 0.005 to 0.5% w/w of the pharmaceutical composition.
11. A composition according to claim 8 , comprising water in an amount 0.005 to 0.5% w/w of the pharmaceutical composition.
12. A composition according to claim 9 , comprising water in an amount 0.005 to 0.5% w/w of the pharmaceutical composition.
13. A method of filling an aerosol canister with a pharmaceutical composition according to claim 1 , comprising:
a) preparing a solution comprising glycopyrronium bromide, formoterol fumarate, beclometasone dipropionate, ethanol, hydrochloric acid, and optionally a low volatility component;
b) filling an open canister with the solution;
c) placing a valve onto the canister and crimping; and
d) pressure-filling the canister with HFA-134a propellant through the valve.
14. A metered dose inhaler, comprising a pharmaceutical composition according to claim 1 .
15. A metered dose inhaler according to claim 14 , comprising a metering valve capable of delivering a volume of about 63 μl of pharmaceutical composition per actuation.
16. A pressurized metered dose inhaler, comprising a pharmaceutical composition according to claim 3 .
17. A pressurized metered dose inhaler, comprising a pharmaceutical composition according to claim 8 .
18. A pressurized metered dose inhaler, comprising a pharmaceutical composition according to claim 9 .
19. A pressurized metered dose inhaler, comprising a pharmaceutical composition according to claim 10 .
20. A pressurized metered dose inhaler, comprising a pharmaceutical composition according to claim 11 .
21. A pressurized metered dose inhaler, comprising a pharmaceutical composition according to claim 12 .
22. A pressurized metered dose inhaler according to claim 16 , comprising a metering valve capable of delivering a volume of about 63 μl of pharmaceutical composition per actuation.
23. A pressurized metered dose inhaler according to claim 17 , comprising a metering valve capable of delivering a volume of about 63 μl of pharmaceutical composition per actuation.
24. A pressurized metered dose inhaler according to claim 18 , comprising a metering valve capable of delivering a volume of about 63 μl of pharmaceutical composition per actuation.
25. A pressurized metered dose inhaler according to claim 19 , comprising a metering valve capable of delivering a volume of about 63 μl of pharmaceutical composition per actuation.
26. A pressurized metered dose inhaler according to claim 20 , comprising a metering valve capable of delivering a volume of about 63 μl of pharmaceutical composition per actuation.
27. A pressurized metered dose inhaler according to claim 21 , comprising a metering valve capable of delivering a volume of about 63 μl of pharmaceutical composition per actuation.
28. A method for the treatment of a respiratory disorder selected from the group consisting of asthma and chronic obstructive pulmonary disease, comprising administering an effective amount of a composition according to claim 1 to a subject in need thereof.
29. A method for the treatment of a respiratory disorder selected from the group consisting of asthma and chronic obstructive pulmonary disease, comprising administering an effective amount of a composition according to claim 3 to a subject in need thereof.
30. A method for the treatment of a respiratory disorder selected from the group consisting of asthma and chronic obstructive pulmonary disease, comprising administering an effective amount of a composition according to claim 2 to a subject in need thereof.
31. A method for the treatment of a respiratory disorder selected from the group consisting of asthma and chronic obstructive pulmonary disease, comprising administering an effective amount of a composition according to claim 4 to a subject in need thereof.
32. A method for the treatment of a respiratory disorder selected from the group consisting of asthma and chronic obstructive pulmonary disease, comprising administering an effective amount of a composition according to claim 5 to a subject in need thereof.
33. A method for the treatment of a respiratory disorder selected from the group consisting of asthma and chronic obstructive pulmonary disease, comprising administering an effective amount of a composition according to claim 5 to a subject in need thereof.
34. A method for the treatment of a respiratory disorder selected from the group consisting of asthma and chronic obstructive pulmonary disease, comprising administering an effective amount of a composition according to claim 7 to a subject in need thereof.
35. A method for treatment of asthma, comprising administering an effective amount of a composition according to claim 1 to a subject in need thereof.
36. A method for treatment of asthma, comprising administering an effective amount of a composition according to claim 3 to a subject in need thereof.
37. A method for treatment of asthma, comprising administering an effective amount of a composition according to claim 8 to a subject in need thereof.
38. A method for treatment of asthma, comprising administering an effective amount of a composition according to claim 9 to a subject in need thereof.
39. A method for treatment of asthma, comprising administering an effective amount of a composition according to claim 10 to a subject in need thereof.
40. A method for treatment of asthma, comprising administering an effective amount of a composition according to claim 11 to a subject in need thereof.
41. A method for treatment of asthma, comprising administering an effective amount of a composition according to claim 12 to a subject in need thereof.
42. A method for treatment of chronic obstructive pulmonary disease, comprising administering an effective amount of a composition according to claim 1 to a subject in need thereof.
43. A method for treatment of chronic obstructive pulmonary disease, comprising administering an effective amount of a composition according to claim 3 to a subject in need thereof.
44. A method for treatment of chronic obstructive pulmonary disease, comprising administering an effective amount of a composition according to claim 8 to a subject in need thereof.
45. A method for treatment of chronic obstructive pulmonary disease, comprising administering an effective amount of a composition according to claim 9 to a subject in need thereof.
46. A method for treatment of chronic obstructive pulmonary disease, comprising administering an effective amount of a composition according to claim 10 to a subject in need thereof.
47. A method for treatment of chronic obstructive pulmonary disease, comprising administering an effective amount of a composition according to claim 11 to a subject in need thereof.
48. A method for treatment of chronic obstructive pulmonary disease, comprising administering an effective amount of a composition according to claim 12 to a subject in need thereof.
49. A method for treatment of chronic obstructive pulmonary disease, comprising inhalation administration of an effective amount of a pharmaceutical composition according to claim 1 to a subject in need thereof via two actuations of a pressurized metered dose inhaler containing said pharmaceutical composition, wherein the pressurized metered dose inhaler has a metering valve that delivers a volume of about 63 μl of pharmaceutical composition per actuation.
50. A method for treatment of chronic obstructive pulmonary disease, comprising inhalation administration of an effective amount of a pharmaceutical composition according to claim 3 to a subject in need thereof via two actuations of a pressurized metered dose inhaler containing said pharmaceutical composition, wherein the pressurized metered dose inhaler has a metering valve that delivers a volume of about 63 μl of pharmaceutical composition per actuation.
51. A method for treatment of chronic obstructive pulmonary disease, comprising inhalation administration of an effective amount of a pharmaceutical composition according to claim 8 to a subject in need thereof via two actuations of a pressurized metered dose inhaler containing said pharmaceutical composition, wherein the pressurized metered dose inhaler has a metering valve that delivers a volume of about 63 μl of pharmaceutical composition per actuation.
52. A method for treatment of chronic obstructive pulmonary disease, comprising inhalation administration of an effective amount of a pharmaceutical composition according to claim 9 to a subject in need thereof via two actuations of a pressurized metered dose inhaler containing said pharmaceutical composition, wherein the pressurized metered dose inhaler has a metering valve that delivers a volume of about 63 μl of pharmaceutical composition per actuation.
53. A method for treatment of chronic obstructive pulmonary disease, comprising inhalation administration of an effective amount of a pharmaceutical composition according to claim 10 to a subject in need thereof via two actuations of a pressurized metered dose inhaler containing said pharmaceutical composition, wherein the pressurized metered dose inhaler has a metering valve that delivers a volume of about 63 μl of pharmaceutical composition per actuation.
54. A method for treatment of chronic obstructive pulmonary disease, comprising inhalation administration of an effective amount of a pharmaceutical composition according to claim 11 to a subject in need thereof via two actuations of a pressurized metered dose inhaler containing said pharmaceutical composition, wherein the pressurized metered dose inhaler has a metering valve that delivers a volume of about 63 μl of pharmaceutical composition per actuation.
55. A method for treatment of chronic obstructive pulmonary disease, comprising inhalation administration of an effective amount of a pharmaceutical composition according to claim 12 to a subject in need thereof via two actuations of a pressurized metered dose inhaler containing said pharmaceutical composition, wherein the pressurized metered dose inhaler has a metering valve that delivers a volume of about 63 μl of pharmaceutical composition per actuation.
56. A method for treatment of asthma, comprising inhalation administration of an effective amount of a pharmaceutical composition according to claim 1 to a subject in need thereof via two actuations of a pressurized metered dose inhaler containing said pharmaceutical composition, wherein the pressurized metered dose inhaler has a metering valve that delivers a volume of about 63 μl of pharmaceutical composition per actuation.
57. A method for treatment of asthma, comprising inhalation administration of an effective amount of a pharmaceutical composition according to claim 3 to a subject in need thereof via two actuations of a pressurized metered dose inhaler containing said pharmaceutical composition, wherein the pressurized metered dose inhaler has a metering valve that delivers a volume of about 63 μl of pharmaceutical composition per actuation.
58. A method for treatment of asthma, comprising inhalation administration of an effective amount of a pharmaceutical composition according to claim 8 to a subject in need thereof via two actuations of a pressurized metered dose inhaler containing said pharmaceutical composition, wherein the pressurized metered dose inhaler has a metering valve that delivers a volume of about 63 μl of pharmaceutical composition per actuation.
59. A method for treatment of asthma, comprising inhalation administration of an effective amount of a pharmaceutical composition according to claim 9 to a subject in need thereof via two actuations of a pressurized metered dose inhaler containing said pharmaceutical composition, wherein the pressurized metered dose inhaler has a metering valve that delivers a volume of about 63 μl of pharmaceutical composition per actuation.
60. A method for treatment of asthma, comprising inhalation administration of an effective amount of a pharmaceutical composition according to claim 10 to a subject in need thereof via two actuations of a pressurized metered dose inhaler containing said pharmaceutical composition, wherein the pressurized metered dose inhaler has a metering valve that delivers a volume of about 63 μl of pharmaceutical composition per actuation.
61. A method for treatment of asthma, comprising inhalation administration of an effective amount of a pharmaceutical composition according to claim 11 to a subject in need thereof via two actuations of a pressurized metered dose inhaler containing said pharmaceutical composition, wherein the pressurized metered dose inhaler has a metering valve that delivers a volume of about 63 μl of pharmaceutical composition per actuation.
62. A method for treatment of asthma, comprising inhalation administration of an effective amount of a pharmaceutical composition according to claim 12 to a subject in need thereof via two actuations of a pressurized metered dose inhaler containing said pharmaceutical composition, wherein the pressurized metered dose inhaler has a metering valve that delivers a volume of about 63 μl of pharmaceutical composition per actuation.