Stable pharmaceutical compositions of 5,10-methylene tetrahydrofolate
This invention relates to stable pharmaceutical compositions of 5,10-methylene-(6R)-, -(65)- or -(6R,S)-tetrahydrofolate (MTHF), by adjusting to a basic pH and the simultaneous use of citrate. Stabilisation is effected even in the absence of a reducing agent. The present invention is particularly suitable for producing lyophilisation solutions and lyophilisates or dry powders and dry mixtures, since the stable MTHF solutions can be used in high concentrations for filling corresponding vessels such as vials, ampoules, etc. The lyophilisates have a surprisingly long shelf life and are surprisingly stable. They can be reconstituted without problems by adding water or aqueous solutions, and the final clear injection solutions again exhibit excellent stability properties. Moreover, the present invention even makes it possible to prepare difficultly soluble calcium 15 or acidic salts of MTHF in high concentrations and as physiologically compatible isotonic solutions.
1. A stable pharmaceutical composition of 5,10-methylene-(6R)-, -(6S)-or -(6R,S)-tetrahydrofolate, comprising 5,10-methylene-(6R)-, -(6S) -or -(6R,S)-tetrahydrofolic acid or a pharmaceutically acceptable salt of 5,10-methylene-(6R)-, -(6S)-or -(6R,S)-tetrahydrofolic acid and citrate, and has a pH of 7.5 to 10.5.
2. A stable pharmaceutical composition according to claim 1 , further comprising an additional pharmaceutically acceptable active ingredient or an adjuvant.
3. A pharmaceutical composition according to claim 2 , wherein the adjuvant is formaldehyde.
4. A pharmaceutical composition according to claim 2 , wherein the additional active ingredient is folate.
5. A pharmaceutical composition according to claim 4 , wherein the folate is tetrahydrofolic acid or a salt thereof.
6. A pharmaceutical composition according to claim 1 , wherein the pharmaceutically acceptable salt of 5,10-methylene-(6R)-, -(6S)-or -(6R,S)-tetrahydrofolic acid is a calcium or an acidic salt thereof.
7. A pharmaceutical composition according to claim 2 , wherein the additional active ingredient is a cytostatic agent.
8. A pharmaceutical composition according to claim 2 , wherein the additional active ingredient is a fluorinated pyrimidine compound.
9. A pharmaceutical composition according to claim 8 , wherein the fluorinated pyrimidine compound is a 5-fluoruracil or a 5-fluoruracil compound.
10. A pharmaceutical composition according to claim 1 , additionally comprising at least one antioxidant or a radical scavenger.
11. A pharmaceutical composition according to claim 10 , wherein the antioxidant or radical scavenger is vitamin C or reduced glutathione.
12. A pharmaceutical composition according to claim 1 , which is in the form of a lyophilisate, dry powder or dry mixture.
13. A pharmaceutical composition according to claim 1 , which is in the form of a lyophilisation solution.
14. A method of stabilizing a composition comprising 5,10-methylene-(6R)-, -(6S)-or -(6R,S)-tetrahydrofolate according to claim 1 , comprising treating 5,10-methylene-(6R)-, -(6S)-or -(6R,S)-tetrahydrofolic acid with citrate and bringing it to a pH of 7.5 to 10.5.
15. A method of preparing a composition according to claim 1 comprising bringing together a pharmaceutically acceptable salt of 5,10-methylene-(6R)-, -(6S)-or -(6R,S)-tetrahydrofolic acid and citrate at a pH of 7.5 to 10.5.
16. A pharmaceutical composition according to claim 1 , which has a pH of 8.5 to 9.5.
17. A pharmaceutical composition according to claim 8 , wherein the fluorinated pyrimidine compound is a capecitabine (xeloda).
18. A method for treating a solid tumor, comprising administering to a patient in need thereof an effective amount of a pharmaceutical composition according to claim 1 .
19. A pharmaceutical composition according to claim 1 , which has a pH of greater than 8.5 to up to 9.5.
20. A pharmaceutical composition according to claim 1 , which is in the form of a lyophilisate.
21. A stable pharmaceutical composition of 5,10-methylene-(6R)-, -(6S)-or -(6R,S)-tetrahydrofolate, comprising 5,10-methylene-(6R)-, -(6S) -or -(6R,S)-tetrahydrofolic acid or a pharmaceutically acceptable salt of 5,10-methylene-(6R)-, -(6S)-or -(6R,S)-tetrahydrofolic acid and citrate, and has a pH of 7.5 to 10.5, which stable pharmaceutical composition is present without the exclusion of atmospheric oxygen.
22. A pharmaceutical composition according to claim 21 , which does not contain a reducing agent.
23. A method according to claim 15 , which is performed without the exclusion of atmospheric oxygen.
24. A method according to claim 15 , which is performed without the addition of a reducing agent to the composition.
25. A pharmaceutical composition according to claim 20 , which is in the form of a tablet that contains 100 mg to 500 mg of 5,10-methylene-(6R)-, -(6S)-or -(6R,S)-tetrahydrofolic acid.