# Patent

## Title
Organic compounds

## Abstract

A depot formulation comprising iloperidone and a biodegradable, biocompatible polymer. Preferably, the polymer is a star polymer.

## Background
This present invention relates to pharmaceutical compositions, in particular to depot formulations comprising iloperidone as active agent and a biodegradable, biocompatible star polymer, as well as a process for preparing microparticle depot formulations.
Iloperidone is 1-[4-[3-[4-(6-fluoro-1,2-benzisoxazol-3-yl)-1-piperidinyl]propoxy]-3-methoxyphenyl]ethanone. As used herein, “iloperidone” includes any pharmaceutically acceptable salts, hydrates, solvates, and/or stereoisomers thereof, and any metabolites thereof, including any salts, hydrates, solvates and/or stereoisomers of such metabolites.
U.S. Pat. No. 5,364,866 describes the compound iloperidone useful as an anti-psychotic and analgesic agent. U.S. Pat. No. 5,955,459 describes compositions for treating schizophrenia containing conjugates of a fatty acid and iloperidone.
The present inventors have found that depot formulations comprising iloperidone entrapped in a biodegradable, biocompatible polymer, preferably a star polymer, e.g., poly(d,l-lactide-co-glycolide). Accordingly the present invention provides with such depot formulations a controlled-release of iloperidone over, e.g., 2-6 weeks.
The depot formulations of the present invention comprising iloperidone and a biodegradable, biocompatible star polymer may be in the form of microparticles.
As used herein, “biocompatible” means that the polymer is not toxic to the human body, is pharmaceutically acceptable, and is not carcinogenic. As used herein, “biodegradable” means a material that should degrade by bodily processes to products readily disposable by the body and should not accumulate in the body.
Suitable polymers, e.g., star polymers, used by the present invention are typically branched polyesters. As used herein “star polymer” is understood to mean that the structure of the polyester is star-shaped. These polyesters have a single polyol residue as a central moiety surrounded by acid residue chains. The polyol moiety may be, e.g., glucose or, e.g., mannitol. These esters are known and described in GB 2,145,422 and in U.S. Pat. No. 5,538,739.
The star polymers may be prepared using polyhydroxy compounds, e.g., polyol, e.g., glucose or mannitol as the initiator. The polyol contains at least 3 hydroxy groups and has a molecular weight of up to about 20,000 Daltons, with at least 1, preferably at least 2, e.g., as a mean 3 of the hydroxy groups of the polyol being in the form of ester groups, which contain polylactide or co-polylactide chains. Typically 0.2% glucose is used to initiate polymerization. The branched polyesters, e.g., poly(d,l-lactide-co-glycolide) have a central glucose moiety having rays of linear polylactide chains. The preferred polyester chains in the star polymer compounds preferably used according to the invention are co-polymers of the alpha carboxylic acid moieties, lactic acid and glycolic acid, or of the lactone dimers. The molar ratio of lactide:glycolide may be from about 75:25 to 25:75, e.g., 60:40 to 40:60, with from 55:45 to 45:55, e.g., 55:45 to 50:50 more preferred.
The branched polyesters, e.g., poly(d,l-lactide-co-glycolide) having a central glucose moiety having rays of linear polylactide chains preferably have an average molecular weight Mn in the range of from about 10,000 to 200,000 Daltons, preferably 25,000 to 100,000 Daltons, especially 35,000 to 60,000 Daltons and a polydispersity, e.g., of from 1.7 to 3.0, e.g., 2.0 to 2.5. The intrinsic viscosities of star polymers of Mn 35,000 and Mn 60,000 are 0.36 and 0.51 dl/g, respectively, in chloroform. A star polymer having a Mn 52,000 has a viscosity of 0.475 dl/g in chloroform.
The terms microsphere, microcapsule and microparticle are considered to be interchangeable with respect to the invention, and denote the encapsulation of the active agent by the polymer, preferably with the active agent distributed throughout the polymer, which is then a matrix for the active agent. In that case preferably the terms microsphere or more generally microparticle are used.
The amount of iloperidone incorporated in the implants or microparticles is from about 1 to about 90 weight percent, based on the total weight of the implant or microparticle. Preferably, the amount of iloperidone incorporated in the implants or microparticles is from 50 to 80 weight percent, more preferably 60 to 75 weight percent.
In one embodiment of this invention, the microparticles contain further excipients such as surfactants or solvents, e.g., solid solvents. Such excipients may accelerate or further retard the release of the active agent.
The components of the compositions of the invention may be described in Fiedler, H. P. “Lexikon der Hilfsstoffe fúr Pharmazie, Kosmetik und angrenzende Gebiete”, Editio Cantor Verlag Aulendorf, Aulendorf, 4th revised and expanded edition (1996), the contents of which are hereby incorporated by reference.
The microparticles of the current invention are usually made up of particles of a spherical shape, although microparticles may be irregularly shaped. They may exhibit a smooth to rough surface and can be dense or porous like. The microparticles have an average particle size from 3 to 300 microns, preferably from 10 to 200 microns.
According to another aspect the invention provides a process for preparing microparticles comprising iloperidone or a pharmaceutically acceptable salt thereof and a biodegradable, biocompatible star polymer. The microparticles may be manufactured by several processes, e.g., coacervation, e.g., spray drying or, e.g., solvent evaporation. Solvent evaporation is a preferred process, which comprises the following steps:

    i) dissolving the polymer and iloperidone in an organic solvent, e.g., methylene chloride,
    ii) mixing an aqueous solution of a surfactant, e.g., polyvinyl alcohol, and a buffer, e.g., disodium hydrogen phosphate,
    iii) mixing the solution of step i) and step ii) using a static mixer to form an emulsion,
    iv) optionally heating the emulsion to an elevated temperature, e.g., between about 30 to about 60° C., preferably between 40° C. and 50° C.,
    v) collecting the generated microparticles by sedimentation,
    vi) optionally washing the microparticles, and
    vii) drying the microparticles under vacuum.


The ratio of the solutions i) and ii) combined in step iii) may be from 1:20 to 5:1, preferably from 1:20 to 1:5.
A variety of solvents may be used for the internal phase such as halogenated and/or aliphatic or aromatic hydrocarbons as well as mixtures of those with a water miscible liquid. Preferably the solvent is methylene chloride.
As surfactants in the external phase may be used poly(vinyl alcohol), carboxymethyl cellulose, gelatin, poly(vinyl pyrrolidone), polyoxyethylene 20 sorbitan monooleate and polyoxyethylene 20 sorbitan monolaurate.
The microparticles of the present invention are useful for the treatment of central nervous system disorders, e.g., psychotic disorders, e.g., schizophrenia, or, e.g., as analgesics.
The depot formulations of microparticles of the invention may be administered by intramuscular or subcutaneous injection. Depot formulations of this invention administered by injection provide an effective treatment of diseases over an extended period, e.g., over 2 to 6 weeks. The microparticles allow a controlled release of iloperidone by diffusion and therefore steady-state levels of the drug are obtained over the extended period.
The exact amount of active agent entrapped in the polymer, i.e., the exact amount of depot formulation, e.g., microparticles formulation, to be administered depends on a number of factors, e.g., the condition to be treated, the desired duration of treatment, the rate of release of active agent and the degradability of the polymeric matrix. The amount of active agent required may be determined on the basis of known in vitro or in vivo techniques. Repeated administration of the depot formulation of the invention may be effected when the drug is sufficiently released.
Dosages required in practicing the method of the present invention will vary depending upon, e.g., the mode of administration and the severity of the condition to be treated. Large amount of active agent, e.g., up to 360 mg of active agent, e.g., in form of a suspension, may be administered in a single administration, e.g., in one injection.
Microparticles prepared by the process of the present invention are stored in the form of a powder. For administration as injection the microparticles are suspended in a suitable vehicle.
Filling may be effected before or after sterilization of the depot formulation. Sterilization of the formulation of the present invention and the primary package can be effected, e.g., by gamma irradiation, e.g., at an energy of 25 kGy, without degradation of active agent and/or microparticles.
Following is a description by way of example only of depot formulations of this invention.


EXAMPLES 1 TO 4
Microparticles with Drug Loadings 20 to 75 Weight Percent
















Ex. 1
Ex. 2
Ex. 3
Ex. 4



Drug loading
Drug loading
Drug loading
Drug loading



20%
30%
60%
75%
















Internal phase















Iloperidone
1.6
g
90
g
7
g
67.5
g


poly(d,l,-lac-
6.4
g
210
g
4.8
g
22.5
g


tide-co-


glycolide)


CH2Cl2
21.3
ml
630
ml
30
ml
144
ml







External phase














polyvinyl
25
g
119.7
g
—
25
g


alcohol


Na2HPO4
4.7
g
75.5
g
—
47.3
g


Water for
1
l
8
l
—
5
l


injection







Solution in vessel














polyvinyl
—
337.5
g
150
g
425
g


alcohol


Na2HPO4
—
213
g
28.4
g
268
g


Water for
—
68
l
6
l
85
l


injection











Static mixer
DN2, 20
DN6, 14
—
DN6, 14



Elements
Elements

Elements









The internal phase is prepared by dissolving lloperidone and the poly(d,l,-lactide-co-glycolide) in methylene chloride. A polyvinyl alcohol in water solution with disodium hydrogen phosphate (Na2HPO4) is prepared (external phase).
The resulting solutions (internal phase and external phase) are filtered and pumped through a static mixer into a stirred vessel containing a solution of polyvinyl alcohol and disodium hydrogen phosphate in water. The resulting solution is heated to 40° C.-50° C. with stirring within 90 min. After cooling the suspension is allowed to sediment for 20 min. The aqueous solution of polyvinyl is reduced under vacuo. Optionally the microparticles are re-suspended again in aqueous disodium hydrogen phosphate solution and treated as above (heating, cooling, sedimentation, removal of the supernatant). The microparticles are washed with water for approximately 30 min. After sedimentation for 20 min, the solution is removed and the microparticles are filtered through an Ultipor filter, washed with water and dried under vacuum.
The examples provide iloperidone microparticles with drug loading up to 80% by weight. The high drug loading allows fewer injections with a long-lasting effect.

## Claims

1. An intramuscular or subcutaneous depot formulation comprising iloperidone and a biodegradable, biocompatible polymer wherein the depot formulation is in the form of microparticles, wherein the amount of iloperidone is from 50 to 80 weight percent, and wherein the formulation, following intramuscular or subcutaneous injection, provides an effective treatment amount of iloperidone over a period of over 2 weeks and up to 6 weeks, and wherein the polymer is a polylactide-co-glycolide.

2. The depot formulation of claim 1 wherein the shape of the microparticles is spherical.

3. The depot formulation of claim 1 wherein the polymer is a polylactide-co-glycolide ester of a polyol.

4. The depot formulation of claim 2 wherein the polymer is a 40/60 to 60/40 polylactide-co-glycolide ester of a polyol.

5. The depot formulation of claim 1 wherein the amount of iloperidone is from 60 to 75 weight percent.

6. The depot formulation of claim 1 which further comprises a surfactant.

7. The depot formulation of claim 1 which further comprises a solvent.

8. The depot formulation of claim 1 wherein the microparticles are suspended in a suitable vehicle prior to injection.

9. A microparticle comprising iloperidone and a biodegradable, biocompatible star polymer that is a polylactide-polyglycolide copolymer, wherein the amount of iloperidone is from 50 to 80 weight percent.

10. The depot formulation of claim 1, wherein the polymer is selected from the group consisting of: a linear polymer, a star polymer, and a combination thereof.

11. The depot formulation of claim 10, wherein the polymer is a polylactide-polyglycolide star polymer.

12. A microparticle comprising iloperidone and a biodegradable, biocompatible linear polymer that is a polylactide-polyglycolide copolymer, and wherein the amount of iloperidone is from 50 to 80 weight percent, and wherein the microparticle, following intramuscular or subcutaneous injection, provides an effective treatment amount of iloperidone over a period of over 2 weeks and up to 6 weeks.

13. The depot formulation of claim 3 wherein the amount of iloperidone is from 60 to 75 weight percent.

14. The depot formulation of claim 4 wherein the amount of iloperidone is from 60 to 75 weight percent.

15. The microparticle of claim 9 wherein the amount of iloperidone is from 60 to 75 weight percent.

16. The microparticle of claim 12 wherein the amount of iloperidone is from 60 to 75 weight percent.