Stabilization of phenobarbital sodium for injection
A lyophilized pharmaceutical composition of hydrolytically unstable pharmaceutical compounds, such as phenobarbital or salts thereof, is provided. An aqueous solution for injection of phenobarbital or salts thereof that is reconstituted from the lyophilized pharmaceutical composition is provided. The pharmaceutical compositions of the present disclosure have an ethanol content in the range from about 5000 ppm to about 70000 ppm. The composition of the present disclosure, in certain embodiments, is stable following two years of storage, wherein the total impurities do not exceed 0.5%. The pharmaceutical compositions of the present disclosure may be used for the treatment of neonatal seizures.
1 . A lyophilized pharmaceutical composition of phenobarbital or salts thereof having an ethanol content in the range from about 10000 ppm to about 66000 ppm, wherein when the lyophilized pharmaceutical composition is stored at 20-25° C. for 24 months, the amount of total impurities in the lyophilized pharmaceutical composition does not exceed 0.5%.
2 . A lyophilized pharmaceutical composition of phenobarbital or salts thereof having an ethanol content in the range from about 10000 ppm to about 66000 ppm, wherein when the lyophilized pharmaceutical composition is stored at 20-25° C. for 36 months, the amount of total impurities in the lyophilized pharmaceutical composition does not exceed 0.5%.
3 . The lyophilized pharmaceutical composition of claim 1 , wherein the composition has an ethanol content in the range from about 12000 ppm to about 50000 ppm.
4 . The lyophilized pharmaceutical composition of claim 1 , wherein the composition has an ethanol content in the range from about 12000 ppm to about 25000 ppm.
5 . The lyophilized pharmaceutical composition of claim 1 , wherein the phenobarbital or salts thereof is phenobarbital sodium.
6 . The lyophilized pharmaceutical composition of claim 1 , wherein the amount of total impurities does not exceed 0.2%.
7 . The lyophilized pharmaceutical composition of claim 1 , wherein the total impurities are selected from the group consisting of 2-phenyl-2-ethyl acetyl urea, 2-phenyl-2-ethyl-malonamide, α-phenylbutyrylguanidine, 2-phenylbutyric acid and 5-methyl-5-phenylbarbituric acid.
8 . The lyophilized pharmaceutical composition of claim 1 , wherein the lyophilized pharmaceutical composition is free of benzyl alcohol and propylene glycol.
9 . A method for the treatment of neonatal seizure in newborn infants in need thereof, comprising administering the lyophilized pharmaceutical composition of claim 1 .
10 . The method of claim 9 , wherein the method comprises reconstituting the lyophilized pharmaceutical composition immediately prior to the administration.
11 . The method of claim 10 , wherein the lyophilized pharmaceutical composition is reconstituted with water for injection, an aqueous saline or an aqueous dextrose solution.
12 . A lyophilized pharmaceutical composition comprising phenobarbital sodium having an ethanol content in the range from about 10000 ppm to about 66000 ppm, wherein when the lyophilized pharmaceutical composition is stored at 20-25° C. for 24 months, the amount of total impurities in the lyophilized pharmaceutical composition does not exceed 0.5%, and wherein the pharmaceutical composition is free of benzyl alcohol and propylene glycol.
13 . The lyophilized pharmaceutical composition of claim 12 , wherein the amount of total impurities does not exceed 0.2%.
14 . A method for the treatment of neonatal seizure, comprising administering the lyophilized pharmaceutical composition of claim 12 .
15 . The method of claim 14 , wherein the method comprises reconstituting the lyophilized pharmaceutical composition immediately prior to the administration.
16 . The method of claim 15 , wherein the lyophilized pharmaceutical composition is reconstituted with water for injection, an aqueous saline or an aqueous dextrose solution.
17 . A pharmaceutical composition of phenobarbital or salts thereof made by a method comprising reconstituting a lyophilized pharmaceutical composition of the phenobarbital or salts thereof,
wherein when the lyophilized pharmaceutical composition is stored at 20-25° C. for 12 hours or 2-8° C. for 36 hours, the amount of total impurities in the lyophilized pharmaceutical composition does not exceed 0.2%, and
wherein the pharmaceutical composition has an ethanol content in a range from about 10000 ppm to about 66000 ppm.
18 . The pharmaceutical composition of claim 17 , wherein the composition has an ethanol content in the range from about 12000 ppm to about 50000 ppm.
19 . The pharmaceutical composition of claim 17 , wherein the ethanol content is in a range of from about 12000 ppm to about 25000 ppm.
20 . The pharmaceutical composition of claim 17 , wherein the phenobarbital or salts thereof is phenobarbital sodium.
21 . The pharmaceutical composition of claim 17 , wherein the total impurities are selected from the group consisting of 2-phenyl-2-ethyl acetyl urea, 2-phenyl-2-ethyl-malonamide, α-phenylbutyrylguanidine, 2-phenylbutyric acid and 5-methyl-5-phenylbarbituric acid.
22 . The pharmaceutical composition of claim 17 , wherein the lyophilized pharmaceutical composition is reconstituted with water for injection, an aqueous saline or an aqueous dextrose solution.
23 . The pharmaceutical composition of claim 17 , wherein the phenobarbital or salts thereof is present in a concentration of 10-200 mg/ml.
24 . The pharmaceutical composition of claim 17 , wherein the composition is free of benzyl alcohol and propylene glycol.
25 . The pharmaceutical composition of claim 17 , wherein the pharmaceutical composition has an osmolality below 500 mOsm/kg.
26 . A method for the treatment of neonatal seizure in newborn infants in need thereof, comprising administering the pharmaceutical composition of claim 17 .
27 . A pharmaceutical composition of phenobarbital sodium having an ethanol content in the range from about 10000 ppm to about 66000 ppm, wherein the pharmaceutical composition is made by reconstituting the lyophilized pharmaceutical composition of phenobarbital sodium;
wherein when the lyophilized pharmaceutical composition is stored at 20-25° C. for 12 hours or 2-8° C. for 36 hours, the amount of total impurities in the lyophilized pharmaceutical composition does not exceed 0.2%,
wherein phenobarbital sodium is present in a concentration from 10-200 mg/ml; and
wherein the pharmaceutical composition is free of benzyl alcohol and propylene glycol.
28 . The pharmaceutical composition of claim 27 , wherein the lyophilized pharmaceutical composition is reconstituted with water for injection, an aqueous saline or an aqueous dextrose solution.
29 . A method for the treatment of neonatal seizure in newborn infants in need thereof, comprising administering a pharmaceutical composition of claim 27 .
30 . A lyophilized pharmaceutical composition of phenobarbital or salts thereof having an ethanol content in the range from 10000 ppm to 66000 ppm, wherein an amount of total impurities in the lyophilized pharmaceutical composition does not exceed 0.2% within 24 months of storage at 20° C.-25° C.,
wherein, said lyophilized pharmaceutical composition upon reconstitution with water for injection or an aqueous saline or an aqueous dextrose solution provides a stable reconstituted composition up to 12 hours of storage at 20° C.-25° C. or 36 hours of storage at 2° C.-8° C.;
wherein, an amount of total impurities in the reconstituted composition does not exceed 0.2% within 12 hours of storage at 20° C.-25° C. or 36 hours of storage at 2° C.-8° C.;
wherein said lyophilized pharmaceutical composition and said reconstituted composition are free of benzyl alcohol and propylene glycol;
optionally wherein said lyophilized pharmaceutical composition and said reconstituted composition comprise HCl; and
wherein said reconstituted composition is suitable for the treatment of neonatal seizure.
31 . The lyophilized pharmaceutical composition of claim 2 , wherein the composition has an ethanol content in the range from about 12000 ppm to about 50000 ppm.
32 . The lyophilized pharmaceutical composition of claim 2 , wherein the composition has an ethanol content in the range from about 12000 ppm to about 25000 ppm.
33 . The lyophilized pharmaceutical composition of claim 2 , wherein the phenobarbital or salts thereof is phenobarbital sodium.
34 . The lyophilized pharmaceutical composition of claim 2 , wherein the amount of total impurities does not exceed 0.2%.
35 . A lyophilized pharmaceutical composition of phenobarbital or salts thereof having an ethanol content in the range from 10000 ppm to 66000 ppm, wherein when the lyophilized pharmaceutical composition is stored at 20-25° C. for 12 hours or 2-8° C. for 36 hours, the amount of total impurities in the lyophilized pharmaceutical composition does not exceed 0.5%; and wherein the pharmaceutical composition of phenobarbital sodium is prepared by a process comprising the steps of:
(a) preparing an aqueous solution of phenobarbital or a salt thereof in a concentration of 10-200 mg/ml; and
(b) lyophilizing said aqueous solution to obtain the lyophilized pharmaceutical composition of phenobarbital or salts thereof;
wherein,
i) the phenobarbital or salts thereof used in step (a) contains an ethanol content at least about 10000 ppm; or
ii) the aqueous solution according to step (a) contains an ethanol content at least about 10000 ppm; or
iii) the lyophilized pharmaceutical composition of phenobarbital or salts thereof contains an ethanol content at least about 10000 ppm.
36 . The lyophilized pharmaceutical composition of claim 35 , wherein the amount of total impurities in the lyophilized pharmaceutical composition does not exceed 0.2%.
37 . The lyophilized pharmaceutical composition of claim 35 , wherein the phenobarbital sodium is present in a concentration from 10-200 mg/ml.
38 . The lyophilized pharmaceutical composition of claim 35 , wherein the pharmaceutical composition is free of benzyl alcohol and propylene glycol.
39 . The lyophilized pharmaceutical composition of claim 35 , wherein,
i) the phenobarbital or salts thereof used in step (a) contains an ethanol content in an amount from 50000 ppm to 66000 ppm; or
ii) the aqueous solution according to step (a) contains an ethanol content in an amount from 50000 ppm to 66000 ppm; or
iii) the lyophilized pharmaceutical composition of phenobarbital or salts thereof contains an ethanol content in an amount from 10000 ppm to 66000 ppm.