US20060160739A1 - GRF-containing lyophilized pharmaceutical compositions - Google Patents
GRF-containing lyophilized pharmaceutical compositions Download PDFInfo
- Publication number
- US20060160739A1 US20060160739A1 US11/364,079 US36407906A US2006160739A1 US 20060160739 A1 US20060160739 A1 US 20060160739A1 US 36407906 A US36407906 A US 36407906A US 2006160739 A1 US2006160739 A1 US 2006160739A1
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- US
- United States
- Prior art keywords
- pharmaceutical composition
- composition according
- hgrf
- saccharose
- vial
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Abandoned
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- 239000008194 pharmaceutical composition Substances 0.000 title claims abstract description 26
- 239000000203 mixture Substances 0.000 claims abstract description 34
- 229930006000 Sucrose Natural products 0.000 claims abstract description 20
- CZMRCDWAGMRECN-UGDNZRGBSA-N Sucrose Chemical compound O[C@H]1[C@H](O)[C@@H](CO)O[C@@]1(CO)O[C@@H]1[C@H](O)[C@@H](O)[C@H](O)[C@@H](CO)O1 CZMRCDWAGMRECN-UGDNZRGBSA-N 0.000 claims abstract description 20
- 235000013681 dietary sucrose Nutrition 0.000 claims abstract description 20
- 229960004793 sucrose Drugs 0.000 claims abstract description 20
- 239000000243 solution Substances 0.000 claims description 12
- 238000002360 preparation method Methods 0.000 claims description 8
- 238000003860 storage Methods 0.000 claims description 8
- 239000007864 aqueous solution Substances 0.000 claims description 4
- 239000006172 buffering agent Substances 0.000 claims description 4
- 239000011872 intimate mixture Substances 0.000 claims description 4
- 239000000546 pharmaceutical excipient Substances 0.000 claims description 4
- 239000007787 solid Substances 0.000 claims description 4
- 239000008247 solid mixture Substances 0.000 claims description 4
- 239000003381 stabilizer Substances 0.000 claims description 4
- 239000000872 buffer Substances 0.000 claims description 3
- 238000004108 freeze drying Methods 0.000 claims description 3
- 230000000087 stabilizing effect Effects 0.000 claims description 3
- 238000004519 manufacturing process Methods 0.000 claims description 2
- 239000003488 releasing hormone Substances 0.000 claims 2
- 239000002904 solvent Substances 0.000 claims 2
- 238000009826 distribution Methods 0.000 claims 1
- 102000002265 Human Growth Hormone Human genes 0.000 abstract 1
- 108010000521 Human Growth Hormone Proteins 0.000 abstract 1
- 239000000854 Human Growth Hormone Substances 0.000 abstract 1
- 238000009472 formulation Methods 0.000 description 20
- 102100022831 Somatoliberin Human genes 0.000 description 16
- 239000000095 Growth Hormone-Releasing Hormone Substances 0.000 description 15
- 101710142969 Somatoliberin Proteins 0.000 description 15
- 108090000765 processed proteins & peptides Proteins 0.000 description 11
- FBPFZTCFMRRESA-KVTDHHQDSA-N D-Mannitol Chemical compound OC[C@@H](O)[C@@H](O)[C@H](O)[C@H](O)CO FBPFZTCFMRRESA-KVTDHHQDSA-N 0.000 description 6
- 229930195725 Mannitol Natural products 0.000 description 6
- 239000000594 mannitol Substances 0.000 description 6
- 235000010355 mannitol Nutrition 0.000 description 6
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Chemical compound O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 6
- 101000825742 Homo sapiens Somatoliberin Proteins 0.000 description 5
- 102000018997 Growth Hormone Human genes 0.000 description 4
- 108010051696 Growth Hormone Proteins 0.000 description 4
- 230000000694 effects Effects 0.000 description 4
- 239000000122 growth hormone Substances 0.000 description 4
- WEVYAHXRMPXWCK-UHFFFAOYSA-N Acetonitrile Chemical compound CC#N WEVYAHXRMPXWCK-UHFFFAOYSA-N 0.000 description 3
- DNIAPMSPPWPWGF-UHFFFAOYSA-N Propylene glycol Chemical compound CC(O)CO DNIAPMSPPWPWGF-UHFFFAOYSA-N 0.000 description 3
- 239000004480 active ingredient Substances 0.000 description 3
- RLSSMJSEOOYNOY-UHFFFAOYSA-N m-methyl-PhOH Natural products CC1=CC=CC(O)=C1 RLSSMJSEOOYNOY-UHFFFAOYSA-N 0.000 description 3
- 239000000463 material Substances 0.000 description 3
- 238000000034 method Methods 0.000 description 3
- QTBSBXVTEAMEQO-UHFFFAOYSA-M Acetate Chemical compound CC([O-])=O QTBSBXVTEAMEQO-UHFFFAOYSA-M 0.000 description 2
- DHMQDGOQFOQNFH-UHFFFAOYSA-N Glycine Chemical compound NCC(O)=O DHMQDGOQFOQNFH-UHFFFAOYSA-N 0.000 description 2
- 206010056438 Growth hormone deficiency Diseases 0.000 description 2
- DFPAKSUCGFBDDF-UHFFFAOYSA-N Nicotinamide Chemical compound NC(=O)C1=CC=CN=C1 DFPAKSUCGFBDDF-UHFFFAOYSA-N 0.000 description 2
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 2
- 150000001413 amino acids Chemical group 0.000 description 2
- 238000003556 assay Methods 0.000 description 2
- 239000000022 bacteriostatic agent Substances 0.000 description 2
- 238000001035 drying Methods 0.000 description 2
- 239000007788 liquid Substances 0.000 description 2
- 239000008363 phosphate buffer Substances 0.000 description 2
- 239000002504 physiological saline solution Substances 0.000 description 2
- 102000004196 processed proteins & peptides Human genes 0.000 description 2
- 102000004169 proteins and genes Human genes 0.000 description 2
- 108090000623 proteins and genes Proteins 0.000 description 2
- 230000008707 rearrangement Effects 0.000 description 2
- WGWPRVFKDLAUQJ-MITYVQBRSA-N sermorelin Chemical compound C([C@H](N)C(=O)N[C@@H](C)C(=O)N[C@@H](CC(O)=O)C(=O)N[C@@H](C)C(=O)N[C@@H]([C@@H](C)CC)C(=O)N[C@@H](CC=1C=CC=CC=1)C(=O)N[C@@H]([C@@H](C)O)C(=O)N[C@@H](CC(N)=O)C(=O)N[C@@H](CO)C(=O)N[C@@H](CC=1C=CC(O)=CC=1)C(=O)N[C@@H](CCCNC(N)=N)C(=O)N[C@@H](CCCCN)C(=O)N[C@@H](C(C)C)C(=O)N[C@@H](CC(C)C)C(=O)NCC(=O)N[C@@H](CCC(N)=O)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CO)C(=O)N[C@@H](C)C(=O)N[C@@H](CCCNC(N)=N)C(=O)N[C@@H](CCCCN)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CCC(N)=O)C(=O)N[C@@H](CC(O)=O)C(=O)N[C@@H]([C@@H](C)CC)C(=O)N[C@@H](CCSC)C(=O)N[C@@H](CO)C(=O)N[C@@H](CCCNC(N)=N)C(N)=O)C1=CC=C(O)C=C1 WGWPRVFKDLAUQJ-MITYVQBRSA-N 0.000 description 2
- 229960002758 sermorelin Drugs 0.000 description 2
- 239000000126 substance Substances 0.000 description 2
- KRKNYBCHXYNGOX-UHFFFAOYSA-K Citrate Chemical compound [O-]C(=O)CC(O)(CC([O-])=O)C([O-])=O KRKNYBCHXYNGOX-UHFFFAOYSA-K 0.000 description 1
- FBPFZTCFMRRESA-FSIIMWSLSA-N D-Glucitol Natural products OC[C@H](O)[C@H](O)[C@@H](O)[C@H](O)CO FBPFZTCFMRRESA-FSIIMWSLSA-N 0.000 description 1
- FBPFZTCFMRRESA-JGWLITMVSA-N D-glucitol Chemical compound OC[C@H](O)[C@@H](O)[C@H](O)[C@H](O)CO FBPFZTCFMRRESA-JGWLITMVSA-N 0.000 description 1
- 239000004471 Glycine Substances 0.000 description 1
- 241000282412 Homo Species 0.000 description 1
- 102000008100 Human Serum Albumin Human genes 0.000 description 1
- 108091006905 Human Serum Albumin Proteins 0.000 description 1
- DGAQECJNVWCQMB-PUAWFVPOSA-M Ilexoside XXIX Chemical compound C[C@@H]1CC[C@@]2(CC[C@@]3(C(=CC[C@H]4[C@]3(CC[C@@H]5[C@@]4(CC[C@@H](C5(C)C)OS(=O)(=O)[O-])C)C)[C@@H]2[C@]1(C)O)C)C(=O)O[C@H]6[C@@H]([C@H]([C@@H]([C@H](O6)CO)O)O)O.[Na+] DGAQECJNVWCQMB-PUAWFVPOSA-M 0.000 description 1
- 229910019142 PO4 Inorganic materials 0.000 description 1
- 108020004511 Recombinant DNA Proteins 0.000 description 1
- 108010053803 Sermorelin Proteins 0.000 description 1
- 239000002253 acid Substances 0.000 description 1
- AZDRQVAHHNSJOQ-UHFFFAOYSA-N alumane Chemical group [AlH3] AZDRQVAHHNSJOQ-UHFFFAOYSA-N 0.000 description 1
- 150000001408 amides Chemical class 0.000 description 1
- 125000000539 amino acid group Chemical group 0.000 description 1
- 238000004458 analytical method Methods 0.000 description 1
- 230000008468 bone growth Effects 0.000 description 1
- 239000005388 borosilicate glass Substances 0.000 description 1
- 230000006652 catabolic pathway Effects 0.000 description 1
- 238000002144 chemical decomposition reaction Methods 0.000 description 1
- 238000006243 chemical reaction Methods 0.000 description 1
- 239000003795 chemical substances by application Substances 0.000 description 1
- 238000007813 chromatographic assay Methods 0.000 description 1
- 230000001684 chronic effect Effects 0.000 description 1
- 238000003776 cleavage reaction Methods 0.000 description 1
- 150000001875 compounds Chemical class 0.000 description 1
- 230000006240 deamidation Effects 0.000 description 1
- 238000011188 deamidation reaction Methods 0.000 description 1
- 238000003745 diagnosis Methods 0.000 description 1
- 239000003085 diluting agent Substances 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 238000010828 elution Methods 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 238000007710 freezing Methods 0.000 description 1
- 230000008014 freezing Effects 0.000 description 1
- 239000011521 glass Substances 0.000 description 1
- 230000036541 health Effects 0.000 description 1
- 230000003301 hydrolyzing effect Effects 0.000 description 1
- XLYOFNOQVPJJNP-UHFFFAOYSA-M hydroxide Chemical compound [OH-] XLYOFNOQVPJJNP-UHFFFAOYSA-M 0.000 description 1
- 210000003016 hypothalamus Anatomy 0.000 description 1
- 230000005847 immunogenicity Effects 0.000 description 1
- 229940102223 injectable solution Drugs 0.000 description 1
- 239000007924 injection Substances 0.000 description 1
- 238000002347 injection Methods 0.000 description 1
- 125000003717 m-cresyl group Chemical group [H]C1=C([H])C(O*)=C([H])C(=C1[H])C([H])([H])[H] 0.000 description 1
- 229910052751 metal Inorganic materials 0.000 description 1
- 239000002184 metal Substances 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 210000002850 nasal mucosa Anatomy 0.000 description 1
- 239000011570 nicotinamide Substances 0.000 description 1
- 229960003966 nicotinamide Drugs 0.000 description 1
- 235000005152 nicotinamide Nutrition 0.000 description 1
- 239000000825 pharmaceutical preparation Substances 0.000 description 1
- NBIIXXVUZAFLBC-UHFFFAOYSA-K phosphate Chemical compound [O-]P([O-])([O-])=O NBIIXXVUZAFLBC-UHFFFAOYSA-K 0.000 description 1
- 239000010452 phosphate Substances 0.000 description 1
- 230000001817 pituitary effect Effects 0.000 description 1
- 239000000843 powder Substances 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 230000001737 promoting effect Effects 0.000 description 1
- 238000004007 reversed phase HPLC Methods 0.000 description 1
- 230000007017 scission Effects 0.000 description 1
- BVLCEKWPOSAKSZ-YQMCHIOTSA-N sermorelin acetate Chemical compound CC(O)=O.C([C@H](N)C(=O)N[C@@H](C)C(=O)N[C@@H](CC(O)=O)C(=O)N[C@@H](C)C(=O)N[C@@H]([C@@H](C)CC)C(=O)N[C@@H](CC=1C=CC=CC=1)C(=O)N[C@@H]([C@@H](C)O)C(=O)N[C@@H](CC(N)=O)C(=O)N[C@@H](CO)C(=O)N[C@@H](CC=1C=CC(O)=CC=1)C(=O)N[C@@H](CCCNC(N)=N)C(=O)N[C@@H](CCCCN)C(=O)N[C@@H](C(C)C)C(=O)N[C@@H](CC(C)C)C(=O)NCC(=O)N[C@@H](CCC(N)=O)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CO)C(=O)N[C@@H](C)C(=O)N[C@@H](CCCNC(N)=N)C(=O)N[C@@H](CCCCN)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CCC(N)=O)C(=O)N[C@@H](CC(O)=O)C(=O)N[C@@H]([C@@H](C)CC)C(=O)N[C@@H](CCSC)C(=O)N[C@@H](CO)C(=O)N[C@@H](CCCNC(N)=N)C(N)=O)C1=CC=C(O)C=C1 BVLCEKWPOSAKSZ-YQMCHIOTSA-N 0.000 description 1
- 229910052708 sodium Inorganic materials 0.000 description 1
- 239000011734 sodium Substances 0.000 description 1
- 239000011780 sodium chloride Substances 0.000 description 1
- JAHCMOSSKRAPEL-IBFVROBCSA-N somatorelin Chemical compound C([C@H](N)C(=O)N[C@@H](C)C(=O)N[C@@H](CC(O)=O)C(=O)N[C@@H](C)C(=O)N[C@@H]([C@@H](C)CC)C(=O)N[C@@H](CC=1C=CC=CC=1)C(=O)N[C@@H]([C@@H](C)O)C(=O)N[C@@H](CC(N)=O)C(=O)N[C@@H](CO)C(=O)N[C@@H](CC=1C=CC(O)=CC=1)C(=O)N[C@@H](CCCNC(N)=N)C(=O)N[C@@H](CCCCN)C(=O)N[C@@H](C(C)C)C(=O)N[C@@H](CC(C)C)C(=O)NCC(=O)N[C@@H](CCC(N)=O)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CO)C(=O)N[C@@H](C)C(=O)N[C@@H](CCCNC(N)=N)C(=O)N[C@@H](CCCCN)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CCC(N)=O)C(=O)N[C@@H](CC(O)=O)C(=O)N[C@@H]([C@@H](C)CC)C(=O)N[C@@H](CCSC)C(=O)N[C@@H](CO)C(=O)N[C@@H](CCCNC(N)=N)C(=O)N[C@@H](CCC(N)=O)C(=O)N[C@@H](CCC(N)=O)C(=O)NCC(=O)N[C@@H](CCC(O)=O)C(=O)N[C@@H](CO)C(=O)N[C@@H](CC(N)=O)C(=O)N[C@@H](CCC(N)=O)C(=O)N[C@@H](CCC(O)=O)C(=O)N[C@@H](CCCNC(N)=N)C(=O)NCC(=O)N[C@@H](C)C(=O)N[C@@H](CCCNC(N)=N)C(=O)N[C@@H](C)C(=O)N[C@@H](CCCNC(N)=N)C(=O)N[C@@H](CC(C)C)C(N)=O)C1=CC=C(O)C=C1 JAHCMOSSKRAPEL-IBFVROBCSA-N 0.000 description 1
- 229960002090 somatorelin Drugs 0.000 description 1
- 239000000600 sorbitol Substances 0.000 description 1
- 239000008174 sterile solution Substances 0.000 description 1
- 239000008227 sterile water for injection Substances 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
- 150000005846 sugar alcohols Chemical class 0.000 description 1
- 230000001225 therapeutic effect Effects 0.000 description 1
- 238000002560 therapeutic procedure Methods 0.000 description 1
- 230000014616 translation Effects 0.000 description 1
- 238000000825 ultraviolet detection Methods 0.000 description 1
- 239000008215 water for injection Substances 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/08—Solutions
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/70—Carbohydrates; Sugars; Derivatives thereof
- A61K31/7012—Compounds having a free or esterified carboxyl group attached, directly or through a carbon chain, to a carbon atom of the saccharide radical, e.g. glucuronic acid, neuraminic acid
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K38/00—Medicinal preparations containing peptides
- A61K38/16—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
- A61K38/17—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans
- A61K38/22—Hormones
- A61K38/25—Growth hormone-releasing factor [GH-RF], i.e. somatoliberin
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
- A61K47/06—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
- A61K47/26—Carbohydrates, e.g. sugar alcohols, amino sugars, nucleic acids, mono-, di- or oligo-saccharides; Derivatives thereof, e.g. polysorbates, sorbitan fatty acid esters or glycyrrhizin
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/0012—Galenical forms characterised by the site of application
- A61K9/0019—Injectable compositions; Intramuscular, intravenous, arterial, subcutaneous administration; Compositions to be administered through the skin in an invasive manner
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/14—Particulate form, e.g. powders, Processes for size reducing of pure drugs or the resulting products, Pure drug nanoparticles
- A61K9/19—Particulate form, e.g. powders, Processes for size reducing of pure drugs or the resulting products, Pure drug nanoparticles lyophilised, i.e. freeze-dried, solutions or dispersions
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P5/00—Drugs for disorders of the endocrine system
- A61P5/06—Drugs for disorders of the endocrine system of the anterior pituitary hormones, e.g. TSH, ACTH, FSH, LH, PRL, GH
Definitions
- the present invention concerns Growth Hormone Releasing Factor (GRF) containing pharmaceutical compositions. More precisely, it concerns compositions of saccharose-stabilized GRF.
- GRF Growth Hormone Releasing Factor
- GEF growth hormone releasing factor
- GRF also called Somatorelin
- GRF is a peptide secreted by the hypothalamus, which acts on its receptor and can promote the release of growth hormone (GH) from the anterior pituitary. It exists as 44-, 40-, or 37-amino acid peptide; the 44-amino acid form may be converted physiologically into shorter forms. All three forms are reported to be active, the activity residing mainly in the first 29 amino acid residues.
- a synthetic peptide corresponding to the 1-29 amino acid sequence of human GRF [hGRF(1-29)], also called Sermorelin, has been prepared by recombinant DNA technology as described in European Patent EP 105 759.
- Sermorelin has been used in the form of acetate for the diagnosis and treatment of growth hormone deficiency.
- GRF has indeed a therapeutic value for the treatment of certain growth hormone related disorders.
- the use of GRF to stimulate the release of GH is a physiological method in promoting long bone growth or protein anabolism.
- WO 98/53844 describes stable liquid pharmaceutical compositions of hGRF containing nicotinamide and propylene glycol.
- GRF formulations can be prepared by lyophilization and stabilized by human serum albumin or glycine.
- JP 3083931 and EP 417 930 describe a GRF-containing nasal preparation which is rendered low-irritating to nasal mucosa by adding sodium chloride and/or sugar alcohols, such as mannitol or sorbitol thereto.
- compositions In order that materials like hGRF be provided to health care personnel and patients, these materials must be prepared as pharmaceutical compositions. Such compositions must maintain activity for appropriate periods of time, must be acceptable in their own right to easy and rapid administration to humans, and must be readily manufacturable.
- pharmaceutical formulations are provided in frozen or in lyophilized form. In this case, the composition must be thawed or reconstituted prior to use.
- the frozen or lyophilized form is often used to maintain biochemical integrity and the bioactivity of the medicinal agent contained in the compositions under a wide variety of storage conditions, as it is recognized by those skilled in the art that lyophilized preparations often maintain activity better than their liquid counterparts.
- Such lyophilized preparations are reconstituted prior to use by the addition of suitable pharmaceutically acceptable diluent(s), such as sterile water for injection or sterile physiological saline solution, and the like.
- Human GRF is found on the market in lyophilized formulations stabilized with mannitol GEREF®, Serono.
- the main object of the present invention is to provide pharmaceutical compositions comprising a solid intimate mixture of human GRF and a stabilizing amount of saccharose.
- a further object is to provide a process for the preparation of said pharmaceutical composition, comprising the step of lyophilizing an aqueous solution of the components in the containers.
- Another object is to provide a presentation form of said pharmaceutical composition comprising the said solid mixture hermetically closed in a sterile condition within containers suitable for storage before use and suitable for reconstitution of the mixture for injectable substances.
- Such containers may be suitable for single dose administration or for multidose administration.
- Such lyophilized compositions also preferably contain a bacteriostatic agent.
- the bacteriostatic agent is preferably m-cresol.
- the lyophilized compositions of the invention may further comprise buffering agents.
- Any buffer which is appropriate for pharmaceutical preparations may be used, for example acetate, phosphate or citrate.
- the amount of buffering agent to be added to the preparation will be such that the pH of the lyophilized compositions is kept within the desired range after reconstitution.
- the desired pH range according to this invention is between 2 and 7, preferably between 4 and 6.
- Another object is to provide a solution of said solid mixture reconstituted into an injectable solution, such as water for injectable or physiological saline solution. Conveniently such reconstitution is carried out just before use for injection.
- an injectable solution such as water for injectable or physiological saline solution.
- saccahrose there is no critical limitation to the amount of saccahrose to be added to the active ingredient, but it will be appropriate to add from 1 to 200 mg/vial, preferably from 20 to 100 mg/vial of saccharose.
- hGRF is intended to cover any human GRF peptide, with particular reference to the 1-44, 1-40, 1-29 peptides and the corresponding amides thereof (containing —NH 2 at their end) or even a mixture thereof. They are all commercial compounds.
- the preferred hGRF is hGRF(1-29)-NH 2 .
- amount of active ingredient present in each vial is preferably comprised between 0.1 and 100 mg/vial.
- the preparation of the lyophilizate was performed by dissolving the hGRF bulk powder in the solutions containing the stabilizers. The obtained solutions were filtered and filled into glass vials and lyophilized. The study of the stability of such formulations stored at 40° C. and 50° C. for 4 weeks, was performed by determinations of pH and peptide purity.
- the chromatographic assay methodology to evaluate the purity of hGRF was a gradient elution through a C-18 column, using a mobile phase (TFA/water/acetonitrile) at 1 ml/min and UV detection at 214 nm.
- the pH was determined by a pHmeter on vials reconstituted with 5 ml of water for injection.
- Results showed that the formulation containing saccharose presented a better stability profile when compared to the formulations containing mannitol or mannitol/phosphate buffer.
- the formulations were stored at 5° C., 25° C. and 40° C. and tested for stability using the analytical methods described before (pH, purity and titre by RP).
- Saccharose (17.1 g) are dissolved into water for injectables (500 ml) in order to obtain the starting saccharose solution.
- the bulk of the hGRF 2 g) is added to the saccharose solution so as to obtain a final weight of 400 g the solution is filtered through a 0.22 ⁇ m Durapore sterile filter (Millipore).
- the vials are filled up with 0.6 and 2 ml of hGRF sterile solution, transferred to the freeze-dryer and lyophilized according to the following cycle:
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Chemical & Material Sciences (AREA)
- Public Health (AREA)
- General Health & Medical Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Veterinary Medicine (AREA)
- Medicinal Chemistry (AREA)
- Pharmacology & Pharmacy (AREA)
- Epidemiology (AREA)
- Engineering & Computer Science (AREA)
- Endocrinology (AREA)
- Bioinformatics & Cheminformatics (AREA)
- Molecular Biology (AREA)
- General Chemical & Material Sciences (AREA)
- Chemical Kinetics & Catalysis (AREA)
- Dermatology (AREA)
- Biochemistry (AREA)
- Oil, Petroleum & Natural Gas (AREA)
- Zoology (AREA)
- Gastroenterology & Hepatology (AREA)
- Immunology (AREA)
- Proteomics, Peptides & Aminoacids (AREA)
- Diabetes (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Organic Chemistry (AREA)
- Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)
- Medicinal Preparation (AREA)
Abstract
Description
- The present invention concerns Growth Hormone Releasing Factor (GRF) containing pharmaceutical compositions. More precisely, it concerns compositions of saccharose-stabilized GRF.
- In the early 1980's several groups isolated and characterized growth hormone releasing factor (GRF).
- GRF (also called Somatorelin) is a peptide secreted by the hypothalamus, which acts on its receptor and can promote the release of growth hormone (GH) from the anterior pituitary. It exists as 44-, 40-, or 37-amino acid peptide; the 44-amino acid form may be converted physiologically into shorter forms. All three forms are reported to be active, the activity residing mainly in the first 29 amino acid residues. A synthetic peptide corresponding to the 1-29 amino acid sequence of human GRF [hGRF(1-29)], also called Sermorelin, has been prepared by recombinant DNA technology as described in European Patent EP 105 759.
- Sermorelin has been used in the form of acetate for the diagnosis and treatment of growth hormone deficiency.
- GRF has indeed a therapeutic value for the treatment of certain growth hormone related disorders. The use of GRF to stimulate the release of GH is a physiological method in promoting long bone growth or protein anabolism.
- It is well known that the natural form of GRF can suffer from chemical degradation in aqueous solution, primarily of Asn at position 8, which results in reduced biological potency (Friedman, A. R. et al., Int. J. Peptide. Protein Res., 37, 14-20, 1991; Bongers, J., et al., Int. J. Peptide. Protein Res. 39, 364-374, 1992).
- The main hydrolytic reactions occurring in GRF are sensitive to pH and reported to be: rearrangement of Asp3, at pH 4-6.5, cleavage of the Asp3-Ala4 bond at pH 2.5-4.5, deamidation and rearrangement of Asn8 at pH above 7 (Felix A. M. et al., Peptides, editors: Giralt E. and Andreu D., pp 732-733, Escom Publishers 1991). Due to the combined degradation pathways, unstabilized aqueous solutions GRF are most stable in the pH range 4-5. Bongers et al. (Bongers et al., 1992) have shown that the deamidation reaction at Asn8 increases rapidly as the pH is raised above pH 3.
- WO 98/53844 describes stable liquid pharmaceutical compositions of hGRF containing nicotinamide and propylene glycol.
- Various workers have made analogues of GRF by substitution of amino acids into the natural GRF sequence to improve the chemical stability (Serono Symposia USA, 1996; Friedman, 1991). While modification can be an effective means to improve the stability and retain bioactivity, it may be undesirable due to altered immunogenicity, which could be a problem for chronic therapies such as growth hormone deficiency.
- According to EP 189 673 and U.S. Pat. No. 4,963,529 (Sumitomo Pharma Inc.) GRF formulations can be prepared by lyophilization and stabilized by human serum albumin or glycine. JP 3083931 and EP 417 930 describe a GRF-containing nasal preparation which is rendered low-irritating to nasal mucosa by adding sodium chloride and/or sugar alcohols, such as mannitol or sorbitol thereto.
- In order that materials like hGRF be provided to health care personnel and patients, these materials must be prepared as pharmaceutical compositions. Such compositions must maintain activity for appropriate periods of time, must be acceptable in their own right to easy and rapid administration to humans, and must be readily manufacturable. In many cases pharmaceutical formulations are provided in frozen or in lyophilized form. In this case, the composition must be thawed or reconstituted prior to use. The frozen or lyophilized form is often used to maintain biochemical integrity and the bioactivity of the medicinal agent contained in the compositions under a wide variety of storage conditions, as it is recognized by those skilled in the art that lyophilized preparations often maintain activity better than their liquid counterparts. Such lyophilized preparations are reconstituted prior to use by the addition of suitable pharmaceutically acceptable diluent(s), such as sterile water for injection or sterile physiological saline solution, and the like.
- Human GRF is found on the market in lyophilized formulations stabilized with mannitol GEREF®, Serono.
- We have now found that saccharose confers a better stability to lyophilized formulations of hGRF.
- The main object of the present invention is to provide pharmaceutical compositions comprising a solid intimate mixture of human GRF and a stabilizing amount of saccharose.
- A further object is to provide a process for the preparation of said pharmaceutical composition, comprising the step of lyophilizing an aqueous solution of the components in the containers. Another object is to provide a presentation form of said pharmaceutical composition comprising the said solid mixture hermetically closed in a sterile condition within containers suitable for storage before use and suitable for reconstitution of the mixture for injectable substances. Such containers may be suitable for single dose administration or for multidose administration. Such lyophilized compositions also preferably contain a bacteriostatic agent. The bacteriostatic agent is preferably m-cresol.
- The lyophilized compositions of the invention may further comprise buffering agents. Any buffer which is appropriate for pharmaceutical preparations may be used, for example acetate, phosphate or citrate. The amount of buffering agent to be added to the preparation will be such that the pH of the lyophilized compositions is kept within the desired range after reconstitution. The desired pH range according to this invention is between 2 and 7, preferably between 4 and 6.
- Another object is to provide a solution of said solid mixture reconstituted into an injectable solution, such as water for injectable or physiological saline solution. Conveniently such reconstitution is carried out just before use for injection.
- There is no critical limitation to the amount of saccahrose to be added to the active ingredient, but it will be appropriate to add from 1 to 200 mg/vial, preferably from 20 to 100 mg/vial of saccharose.
- According to this invention the word “hGRF” is intended to cover any human GRF peptide, with particular reference to the 1-44, 1-40, 1-29 peptides and the corresponding amides thereof (containing —NH2 at their end) or even a mixture thereof. They are all commercial compounds. The preferred hGRF is hGRF(1-29)-NH2. There is no critical limitation to the amount of active ingredient present in each vial. Such amount is preferably comprised between 0.1 and 100 mg/vial.
- The invention will now be described by means of the following Examples, which should not be construed as in any way limiting the present invention.
- In order to evaluate the excipient's effect on the stability of the active ingredients, three formulations of recombinant hGRF have been prepared with various excipients: saccharose, mannitol and mannnitol/phosphate buffer. The filling volume was 2 ml. The compositions of the various formulations, which were prepared, are reported in Table 1.
TABLE 1 Phosphoric Formu- hGRF Mannitol Saccharose Acid Sodium lation (mg/ml) (mg/ml) (mg/ml) (mg/ml) Hydroxide 1 5 18.2 — — — 2 5 18.2 — 0.98 q.s. to pH 4 3 5 — 34.2 — — - The preparation of the lyophilizate was performed by dissolving the hGRF bulk powder in the solutions containing the stabilizers. The obtained solutions were filtered and filled into glass vials and lyophilized. The study of the stability of such formulations stored at 40° C. and 50° C. for 4 weeks, was performed by determinations of pH and peptide purity.
- The chromatographic assay methodology (reverse phase HPLC) to evaluate the purity of hGRF was a gradient elution through a C-18 column, using a mobile phase (TFA/water/acetonitrile) at 1 ml/min and UV detection at 214 nm.
- The pH was determined by a pHmeter on vials reconstituted with 5 ml of water for injection.
- The results are summarized in Tables 2 and 3.
TABLE 2 pH 40° C. 50° C. Formulation T = 0 3 weeks 4 weeks 2 weeks 3 weeks 4 weeks 1 6.8 7.4 7.4 7.2 7.3 7.4 2 4.8 5.2 5.4 5.6 5.4 5.7 3 5.5 5.4 5.5 5.4 5.4 5.4 -
TABLE 3 Peptide Purity (%) 40° C. 50° C. Formulation T = 0 3 weeks 4 weeks 2 weeks 3 weeks 4 weeks 1 97.7 96.3 95.7 93.7 92.9 91.8 2 97.7 95.6 94.8 89.4 88.5 84.2 3 97.8 97.9 97.8 97.8 97.8 97.6 - Results showed that the formulation containing saccharose presented a better stability profile when compared to the formulations containing mannitol or mannitol/phosphate buffer.
- Additional formulations having the composition of formulation 3 described in Table 1 were manufactured in different containers (vials); the composition is reported in Table 4.
TABLE 4 hGRF Saccharose Formulation (mg/vial) (mg/vial) 3a 3 20.5 3b 10 68.4 - The formulations were stored at 5° C., 25° C. and 40° C. and tested for stability using the analytical methods described before (pH, purity and titre by RP).
- Stability data have been generated up to 24 weeks; the results are reported in Tables 5 to 7.
TABLE 5 pH 5° C. 25° C. 40° C. Formulation T = 0 4 weeks 4 weeks 4 weeks 3a 4.95 5.03 5.02 5.12 3b 4.96 5.09 5.06 5.13 -
TABLE 6 Formulation 3a Storage Temperature = 40° C. Test 0 Time 4 weeks 8 weeks 12 weeks 24 weeks Purity (%) 97.8 97.8 97.3 97.0 96.0 Assay (mg/vial) 2.8 2.9 2.9 2.8 2.9 pH 4.95 5.12 5.25 5.30 5.43 -
TABLE 7 Formulation 3b Storage Temperature = 40° C. Test 0 Time 4 weeks 8 weeks 12 weeks 24 weeks Purity (%) 97.9 97.9 97.4 97.1 95.1 Assay (mg/vial) 9.8 9.8 10.0 9.8 8.8 pH 4.96 5.13 5.16 5.38 5.53 - The stability of reconstituted solutions with 1.5 and 5 ml 0.3% m-cresol at 5±3° C. and 25±2° C. up to 1 month was also studied.
- The stability data on the reconstituted solutions are reported in Tables 8 to 10.
TABLE 8 Storage pH Formulation (° C.) T = 0 1 week 2 weeks 3 weeks 4 weeks 3a 5° C. 4.94 5.03 5.04 5.05 5.18 3b 5° C. 4.96 5.07 5.04 5.14 5.25 3a 25° C. 4.94 5.05 5.07 5.07 5.19 3b 25° C. 4.96 5.14 5.12 5.14 5.24 -
TABLE 9 Storage Peptide Purity (%) Formulation (° C.) T = 0 1 week 2 weeks 3 weeks 4 weeks 3a 5° C. 97.6 97.6 97.5 97.6 97.4 3b 5° C. 97.6 97.5 97.4 97.5 97.4 3a 25° C. 97.6 96.4 95.4 94.5 93.5 3b 25° C. 97.6 96.3 95.4 94.7 93.5 -
TABLE 10 Storage Peptide Content (mg/vial) Formulation (° C.) T = 0 1 week 2 weeks 3 weeks 4 weeks 3a 5° C. 2.9 3.0 2.5 3.0 2.9 3b 5° C. 9.6 10.0 9.1 10.0 9.9 3a 25° C. 2.9 2.9 2.8 2.8 2.8 3b 25° C. 9.6 10.0 9.3 9.5 9.4 - Materials: extra pure saccharose DAB, Ph Eur, BP, NF (Merck); water for injectables.
- As containers have been used vials DIN 2R and DIN 6R (borosilicate glass type I), rubber closures (Pharmagummi W1816 V50) and aluminum rings and flip-off caps (Pharma-Metal GmbH).
- Preparation of hGRF solution containing saccharose: (for 200 vials containing each 3 or 10 mg hGRF).
- Saccharose (17.1 g) are dissolved into water for injectables (500 ml) in order to obtain the starting saccharose solution.
- The bulk of the hGRF 2 g) is added to the saccharose solution so as to obtain a final weight of 400 g the solution is filtered through a 0.22 μm Durapore sterile filter (Millipore).
- Filling Up and Lyophilization
- The vials are filled up with 0.6 and 2 ml of hGRF sterile solution, transferred to the freeze-dryer and lyophilized according to the following cycle:
-
- freezing: −25° C. for 3 hrs
- −15° C. for 1 hr
- −45° C. for 3 hrs
- primary drying: −110° C. for 13 hrs
- secondary drying: from −10° C. to +40° C. in 8 hrs; +40° C. till end of cycle
- freezing: −25° C. for 3 hrs
Claims (18)
Priority Applications (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US11/364,079 US20060160739A1 (en) | 1999-06-30 | 2006-03-01 | GRF-containing lyophilized pharmaceutical compositions |
US11/744,073 US8431534B2 (en) | 1999-06-30 | 2007-05-03 | GRF-containing lyophilized pharmaceutical compositions |
Applications Claiming Priority (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP99112421.5 | 1999-06-30 | ||
EP99112421A EP1064934A1 (en) | 1999-06-30 | 1999-06-30 | GRF-containing lyophilized pharmaceutical composition |
PCT/EP2000/006061 WO2001001965A1 (en) | 1999-06-30 | 2000-06-29 | Grf-containing lyophilized pharmaceutical compositions |
US938002A | 2002-04-01 | 2002-04-01 | |
US11/364,079 US20060160739A1 (en) | 1999-06-30 | 2006-03-01 | GRF-containing lyophilized pharmaceutical compositions |
Related Parent Applications (3)
Application Number | Title | Priority Date | Filing Date |
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PCT/EP2000/006061 Continuation WO2001001965A1 (en) | 1999-06-30 | 2000-06-29 | Grf-containing lyophilized pharmaceutical compositions |
US10009380 Continuation | 2000-06-29 | ||
US938002A Continuation | 1999-06-30 | 2002-04-01 |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
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US11/744,073 Continuation US8431534B2 (en) | 1999-06-30 | 2007-05-03 | GRF-containing lyophilized pharmaceutical compositions |
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US20060160739A1 true US20060160739A1 (en) | 2006-07-20 |
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Family Applications (2)
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US11/364,079 Abandoned US20060160739A1 (en) | 1999-06-30 | 2006-03-01 | GRF-containing lyophilized pharmaceutical compositions |
US11/744,073 Expired - Fee Related US8431534B2 (en) | 1999-06-30 | 2007-05-03 | GRF-containing lyophilized pharmaceutical compositions |
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US11/744,073 Expired - Fee Related US8431534B2 (en) | 1999-06-30 | 2007-05-03 | GRF-containing lyophilized pharmaceutical compositions |
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US (2) | US20060160739A1 (en) |
EP (2) | EP1064934A1 (en) |
JP (1) | JP4880845B2 (en) |
AR (1) | AR024613A1 (en) |
AT (1) | ATE249207T1 (en) |
AU (1) | AU778208C (en) |
CA (1) | CA2374933C (en) |
DE (1) | DE60005188T2 (en) |
DK (1) | DK1189600T3 (en) |
ES (1) | ES2204661T3 (en) |
IL (2) | IL147413A0 (en) |
PT (1) | PT1189600E (en) |
SI (1) | SI1189600T1 (en) |
WO (1) | WO2001001965A1 (en) |
Cited By (3)
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US20080249017A1 (en) * | 2007-04-04 | 2008-10-09 | Theratechnologies Inc. | Pharmaceutical formulations of ghrh molecules |
US20090023646A1 (en) * | 2002-09-18 | 2009-01-22 | Centre Hospitalier De L'universite De Montreal (Chum) | GHRH analogues |
US20100222607A1 (en) * | 2007-09-07 | 2010-09-02 | The Nisshin Oillio Group, Ltd. | Fractionation method of 1,3-disaturated-2-unsaturated triglyceride |
Families Citing this family (1)
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JP2004513069A (en) * | 2000-05-19 | 2004-04-30 | レストラゲン,インコーポレイテッド | Peptide drug formulation |
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- 2000-06-29 IL IL14741300A patent/IL147413A0/en active IP Right Grant
- 2000-06-29 ES ES00949226T patent/ES2204661T3/en not_active Expired - Lifetime
- 2000-06-29 AT AT00949226T patent/ATE249207T1/en active
- 2000-06-29 DK DK00949226T patent/DK1189600T3/en active
- 2000-06-29 SI SI200030199T patent/SI1189600T1/en unknown
- 2000-06-29 WO PCT/EP2000/006061 patent/WO2001001965A1/en active IP Right Grant
- 2000-06-29 PT PT00949226T patent/PT1189600E/en unknown
- 2000-06-29 JP JP2001507460A patent/JP4880845B2/en not_active Expired - Fee Related
- 2000-06-29 AR ARP000103297A patent/AR024613A1/en unknown
- 2000-06-29 AU AU62663/00A patent/AU778208C/en not_active Ceased
- 2000-06-29 CA CA2374933A patent/CA2374933C/en not_active Expired - Lifetime
- 2000-06-29 DE DE60005188T patent/DE60005188T2/en not_active Expired - Lifetime
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2001
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2006
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Also Published As
Publication number | Publication date |
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IL147413A (en) | 2006-10-31 |
EP1189600A1 (en) | 2002-03-27 |
DE60005188T2 (en) | 2004-04-01 |
AU778208C (en) | 2006-03-09 |
US20070203069A1 (en) | 2007-08-30 |
DE60005188D1 (en) | 2003-10-16 |
CA2374933A1 (en) | 2001-01-11 |
AR024613A1 (en) | 2002-10-16 |
ATE249207T1 (en) | 2003-09-15 |
US8431534B2 (en) | 2013-04-30 |
WO2001001965A1 (en) | 2001-01-11 |
AU778208B2 (en) | 2004-11-25 |
CA2374933C (en) | 2010-10-12 |
AU6266300A (en) | 2001-01-22 |
PT1189600E (en) | 2003-12-31 |
EP1189600B1 (en) | 2003-09-10 |
JP2003503443A (en) | 2003-01-28 |
IL147413A0 (en) | 2002-08-14 |
DK1189600T3 (en) | 2004-01-26 |
EP1064934A1 (en) | 2001-01-03 |
JP4880845B2 (en) | 2012-02-22 |
SI1189600T1 (en) | 2003-12-31 |
ES2204661T3 (en) | 2004-05-01 |
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