Baclofen formulations and methods of minimizing patient exposure to metabolite variations
Baclofen formulations, including formulations that minimize variability between doses, that minimize variation in patient exposure to baclofen metabolites, and are bioequivalent in regards to baclofen versus M1 metabolite ratios of baclofen tablets.
1. An oral immediate release multiparticulate pharmaceutical formulation comprising granules comprising an intimate mixture of 4-amino-3-(4-chlorophenyl) butanoic acid (baclofen) or a pharmaceutically acceptable salt thereof, and a stabilizer;
wherein the stabilizer is a polymethacrylate based cationic copolymer;
wherein on administration of the pharmaceutical formulation to a human subject produces 3(4-chlorophenyl)-4-hydroxybutyric acid (M1) as a metabolite; and
wherein on administration of a single 20 mg dose of the pharmaceutical formulation to a human subject provides geometric mean Cmax (baclofen):Cmax (M1) ratio of from about 4 to about 11.
2. The formulation of claim 1 , wherein the formulation is filled in stick packs.
3. The formulation of claim 1 , wherein the formulation on administration in healthy adult subjects under fasting condition provides a baclofen exposure that is dose proportional across the dose range of 5 mg, 10 mg, and 20 mg.
4. The formulation of claim 1 , wherein the granules can be taken with or without water.
5. The formulation of claim 1 , wherein the granules are administered via enteral feeding tube.
6. The formulation of claim 1 , wherein the granules are mixed with soft food for administration.
7. The formulation of claim 1 , wherein the polymethacrylate based cationic copolymer is poly(butylmethacrylate-co-( 2 -dimethylaminoethyl) methacrylate-co-methyl methacrylate).
8. An oral immediate release multiparticulate pharmaceutical formulation comprising granules comprising an intimate mixture of 4-amino-3-(4-chlorophenyl) butanoic acid (baclofen) or a pharmaceutically acceptable salt thereof, and a stabilizer;
wherein the stabilizer is a polymethacrylate based cationic copolymer;
wherein the formulation is administered four times per day with each dose comprising 20 mg of baclofen or a pharmaceutically acceptable salt thereof;
wherein on administration of the pharmaceutical formulation to a human subject produces 3(4-chlorophenyl)-4-hydroxybutyric acid (M1) as a metabolite; and
wherein on administration of a single 20 mg dose of the pharmaceutical formulation to the human subject provides geometric mean AUCO-t (baclofen): AUCO-t (M1) ratio of from about 2 to about 5.
9. The formulation of claim 8 , wherein the polymethacrylate based cationic copolymer is poly (butylmethacrylate-co-(2-dimethylaminoethyl) methacrylate-co-methyl methacrylate).
10. The formulation of claim 8 , wherein the granules can be taken with or without water.
11. The formulation of claim 8 , wherein the granules are administered via enteral feeding tube.
12. The formulation of claim 8 , wherein the granules are mixed with soft food for administration.
13. A method of treating spasticity in a human subject in need thereof comprising administering to the subject oral immediate release multiparticulate pharmaceutical formulation comprising granules comprising an intimate mixture of 4-amino-3-(4-chlorophenyl) butanoic acid (baclofen) or a pharmaceutically acceptable salt thereof, and a stabilizer;
wherein the stabilizer is a polymethacrylate based cationic copolymer;
wherein on administration of the pharmaceutical formulation to a human subject produces 3(4-chlorophenyl)-4-hydroxybutyric acid (M1) as a metabolite; and
wherein on administration of a single 20 mg dose of the pharmaceutical formulation to a human subject provides geometric mean Cmax (M1) of from about 37 ng/ml to about 75 ng/ml.
14. The method of claim 13 , wherein the spasticity results from multiple sclerosis.
15. The method of claim 13 , wherein the method provides relief from at least one of flexor spasms, pain, clonus, and muscular rigidity.
16. The method of claim 13 , wherein the polymethacrylate based cationic copolymer is poly (butylmethacrylate-co-(2-dimethylaminoethyl) methacrylate-co-methyl methacrylate).