PHARMACEUTICAL COMPOSITION AND METHOD FOR TREATMENT OR PROPHYLAXIS OF CARDIAC DISORDERS

Abstract: A pharmaceutical composition which contains a short-acting beta -blocking compound of formula (I), wherein R1 may be an alkyl, cycloalkyl, alkenyl, alkynyl, alkyl carboxymethyl, aryl carboxymethyl, aryl or aralkyl, A may be an alkylene or alkenylene, X may be independently amino, hydrogen, halogen, hydroxy, alkoxy, aryloxy, aralkyl, cyano, amido or trifluoromethyl, n is an integer from 1 to about 4, R may be an alkyl, propargyl, dimethylpropargyl or hydroxyalkyl; or a pharmaceutically acceptable salt thereof in a hydroalcoholic solution further containing a physiologically acceptable buffering agent, ethanol and a physiologically acceptable liquid polyhydric compound. A method for treatment or prophylaxis of cardiac disorders using the composition of the present invention is also disclosed.

Description: PHARMACEUTICAL COMPOSITION AND METHOD FOR TREATMENT OR PROPHYLAXIS OF CARDIAC DISORDERS Background of the Invention The present invention relates to pharmaceutical compositions which contain short-acting β-adrenergic blocking agents. More particularly, the invention concern novel compositions in which ester-containing β-blocking drugs are stabilized against hydrolysis during shipping an storage. In the past, the emphasis in β-blocker research has been to develop stable drugs which could be administered t cardiac patients over relatively long periods of time. However, often it is desirable in the critical care settin to quickly reduce heart work or improve rhythmicity during a cardiac crisis, e.g., during or shortly after a yocardial infarction. Conventional β-blocking agents can be employed for such treatment, but their long durations of action can cause undesirable side effects. Recently, certain compounds containing ester functions have been found to possess β-adrenergic blocking activity. (See U.S. Patent No. 4,387,103 to Erhardt, et al., June 7, 1983.) These compounds generally have a short duration of action in vivo, and do not possess the disadvantages of the conventional β-blockers described above. The ester groups in these compounds have, however, been found to be somewhat unstable in aqueous environments, such as intravenous infusion solutions. The practical effect of this instability is that conventional compositions containing the compounds have relatively short shelf lives, thus making commercial distribution and storage difficult. Therefore, there remains a need for pharmaceutical preparations of short-acting β-blockers which are stable in vitro and have a relatively long storage life. Summary of the Invention In accordance with the present invention, disclosed herein is a pharmaceutical composition for the treatment or prophylaxis of cardiac disorders in a mammal comprising from about 0.1 to about 30% by weight of a β-adrenergic blocking compound having the formula R L where R- | is an alkyl having from 1 to about 6 carbon atoms, cycloalkyi of from 3 to about 5 carbon atoms, alkenyl of from 2 to about 5 carbon atoms, alkynyl of from 3 to about 5 carbon atoms, alkyl carboxymethyl where the alkyl is from 1 to about 5 carbon atoms, aryl carboxymethyl in which the aryl portion contains from 6 to about 10 carbon atoms, aryl of from 6 to about 10 carbon atoms, or aralkyl wherein the alkyl portion contains from 1 to about 6 carbon atoms and the aryl portion represents substituted or unsubstituted monocyclic or polycyclic aromatic ring systems of from 6 to about 10 carbon atoms; A is an alkylene from about 1 to about 5 carbon atoms, or alkenylene of from 2 to about 5 carbon atoms; X is independently amino, hydrogen, halogen, hydroxy, alkoxy, aryloxy, aralkyl, cyano, amido, or trifluoromethyl; n is an integer from 1 to about 4; R is alkyl having from 1 to about 5 carbon atoms, propargyl, dimethylpropargyl, or hydroxyalkyl having from 1 to about 6 carbon atoms; and its pharmaceutically acceptable salts in a hydroalcoholic solution further comprising from about 0.05 to about 2 molar physiologically acceptable buffering agent; from about 5 to about 60% by volume ethanol; from about 5 to about 60% by volume of a physiologically acceptable liquid polyhydric compound; and said hydroalcoholic solution having a pH of from about 4.0 to about 6.0. A method for the treatment or prophylaxis of cardiac disorders in a mammal comprising parenteral administration of the composition of the invention to such mammal is also disclosed. Brief Description of the Drawings Figure 1: A graphic depiction of the effect of various pH levels on the potency of methyl 3-(p-phenoxypropanolamine) propionate over time. Figure 2: A graphic depiction of rate of degradation of methyl 3-(p-phenoxypropanolamine) propionate at 55 * C and at various pH levels. Detailed Description of the Invention In accordance with the present invention, it has been discovered that a stable pharmaceutical composition possessing a relatively long shelf life can be prepared using short-acting, ester-containing β-blockers of the formula: R i where R- | may be an alkyl having from 1 to about 6 carbon atoms such as methyl, ethyl, propyl, t-butyl, isopentyl, and the like; cycloalkyi of from 3 to about 5 carbon atoms such as cyclopropyl, cyclopentyl, methyl cyclopropyl, and the like; alkenyl of from 2 to about 5 carbon atoms such as ethenyl, propenyl, 2-meth l-2-butenyl, and the like; alkynyl of from 3 to about 5 carbon atoms such as ethynyl, propynyl, 3-methyl-1-butynyl, and the like; alkyl carboxymethyl where the alkyl is from 1 to about 5 carbon atoms such as methyl carboxymethyl, ethyl carboxymethyl, propyl carboxymethyl, and the like; aryl carboxymethyl in which the aryl portion contains from 6 to about 10 carbon atoms such as phenyl carboxymethyl, napthyl carboxymethyl and the like; aryl of from 6 to about 10 carbon atoms such as phenyl, 2-tolyl, 2-methoxyphenyl, naphthyl, and the like; or aralkyl in which the alkyl portion contains from 1 to about 6 carbon atoms and the aryl portion represents substituted or unsubstituted monocyclic or polycyclic aromatic ring systems of from 6 to about 10 carbon atoms such as benzyl, phenethyl, 1-naphthylpropyl, 3,4-dimethoxyphenethyl, naphthylethyl, and the like. A may be an alkylene from about 1 to about 5 carbon atoms such as methylene, ethylene, propylene, and the like; or alkenylene of from 2 to about 5 carbon atoms such as ethenylene, propenylene, isobutylenylene, and the like. X is independently amino, hydrogen, halogen, hydroxy, alkoxy such as methoxy, ethoxy and the like, aryloxy such as phenyloxy and the like, aralkyl such as phenylmethyl, p-methylbenzylmethyl and the like, cyano, amido, or trifluoromethyl, and n is an integer from 1 to about 4. R may be an alkyl having from 1 to about 5 carbon atoms such as methyl, ethyl, propyl, t-butyl, isopentyl, and the like; propargyl; dimethylpropargyl; or hydroxyalkyl having from 1 to about 6 carbon atoms such as hydroxymethyl, hydroxyethyl, 2-hydroxypentyl and the like. In preferred compounds, R, is ethyl or methyl, A 0 I is ethylene, X is hydrogen, the R j OCA- group is in the para position with respect to the side chain containing the -R group, and/or -R is represented by - -B where -W- is an alkylene containing from 1 to about 10 carbon atoms, and -B is -NR 2 COR 3 , -NR 2 CONR 3 R 4 , -NR 2 S0 2 3 , -NR 2 S0 2 NR 3 R l , -NR 2 COOR 5 or -NHR 6 , where R 2 , R 3 , ^ and R 5 may each be hydrogen, alkyl, alkoxyalkyl, alkoxyaryl, cycloalkyi, alkenyl, alkynyl, aryl, heteroaryl or aralkyl, except that R 3 and R 5 are not hydrogen when B is -NR 2 SO 2 R 3 or -NR 2 COOR 5 , or R 3 and R 1+ may together with N form a 5-to 7- membered heterocyclic group, and R 6 is unsubstituted or substituted pyridinyl, phenyl, naphthyl or indoyl. The above-described β-blocking compounds may be separated into optically active enantiomers using conventional methods. While both configurations are active β-blockers, the 1-isomers have been found to be more active than their dextrorotary counterparts. In one embodiment of the present invention, the composition contains a pharmaceutically acceptable acid addition salt of an above described β-blocking compound, e.g., a hydrochloride, sulfate, phosphate, gluconate, tartrate, etc. salt. The composition of the present invention consists of a hydroalcoholic solution containing an above described β-blocking compound (or its pharmaceutically acceptable salt) at a concentration of from about 0.1 to about 30% by weight. Concentrations of less than about 0.1% (weight) of the β-blocking compounds in solutions generally do not provide effective β-blocking activity at practical infusion rates, while there is generally no added benefit to having concentrations greater than about 30% (weight) of the β-blocker in solution. In particularly preferred compositions, the concentration of β-blocking compound in solution is from about 1 to about 30% by weight. One component of the hydroalcoholic solution is ethanol, preferably at a concentration of from about 5 to about 60% by volume. Ethanol has been found to be important in the stabilization of the β-blocking compound according to the present invention. The hydroalcoholic solution also contains a physiologically acceptable liquid polyhydric compound, preferably at a concentration of from about 5 to about 60% by volume. Physiologically acceptable liquid polyhydric compounds include, but are not limited to, alkyls of from 1 to about 10 carbon atoms having two or more adjacent hydroxyl groups such as ethylene glycol, propylene glycol, glycerol and the like; polyethyleneglycols having a molecular weight of from about 200 to about 600 daltons; and glycerin. Preferred liquid polyhydric compounds include alkyls of from 1 to about 10 carbon atoms having two or more adjacent hydroxyl groups, and polyethyleneglycols having a molecular weight of from about 200 to about 600 daltons. Glycerin is less preferred, because solutions containing it have been observed to discolor on storage at 55 * C. A particularly preferred liquid polyhydric compound is propylene glycol. Liquid polyhydric compounds, in conjunction with ethanol are useful stabilizing components of the β-blocking compounds in the hydroalcoholic solution according to the present invention. In particularly preferred compositions, the volume ratio of ethanol to the liquid polyhydric compound is about 1:1. Stability of the β-blocking compound in solution is affected by the pH of the solution. In preferred compositions, the pH of the hydroalcoholic solution ranges from about 4.0 to about 6.0. When the pH of the solution is less than about 4.0 or greater than about 6.0, degradation of the β-blocking compound was observed. In particularly preferred compositions, the pH ranges from about 4.6 to about 5.4, and in most preferred compositions, the pH ranges from about 4.9 to about 5.1. The pH is preferably maintained by a physiologically acceptable buffering agent at a concentration of from about 0.05 to about 2 molar. Preferred buffering agents include acetate buffers, such as sodium acetate and acetic acid; trishydroxy ethylaminomethane; sodium phosphate (mono and dibasic); phosphoric acid; sodium citrate; citric acid; and amphoteric compounds such as glycine, cystine and the like. Acetate buffers are particularly preferred * The molar ratio of the β-blocking compound to buffering agent advantageously is about 3:1. The β-blocking compounds used in the pharmaceutical compositions of the present invention are surprisingly rendered quite stable by the hydroalcoholic solution of the present invention. Typical compositions exhibit shelf lives from 20 to 36 months, compared to 2 to 3 months for the same compounds in conventional preparations. These compositions thus facilitate commercial distribution and storage of the above described short-acting ester- containing β-blockers. The pharmaceutical compositions of the present inven- tion are preferably added to a physiologically acceptable infusion medium to a final concentration of β-adrenergic compound of from about 50 vg/ml/min to about 600 yg/ml/min percent by weight, and thereby parenterally administered to the patient. The dosages and rates of administration of these compositions generally depend upon the patient's needs and the particular β-blocking compound employed. These dosages and rates of administration are described in the above-mentioned U.S. Patent No. 4,387,103. The invention is further illustrated by the following examples, which are not intended to be limiting. Example I The Effect of pH on the Degradation of Methyl 3-(p-Phenoxypropanolamιne) proprionate The kinetics of degradation of methyl-3-(p- Phenoxypropanolamine)„ propionate (sometimes referred to as "the drug") in five aqueous buffers at 55 * C was studied. All buffer solutions were prepared in Water for Injection, USP (deionized and distilled water) . Five buffer solutions, pH 2.16, 3.05, 4.08, 5.63 and 7.44 were prepared by combining various amounts of 0.1M citric acid and 0.2M disodium hydrogen phosphate solutions (Table I). In each case an appropriate amount of methyl- 3-(p-Phenoxypropanolamine) propionate to give a final concentration of 100 mg/ml was accurately weighed and transferred to a calibrated flask. The buffer solution was then added to the flask and the contents stirred until the drug had completely dissolved. The pH of each solution was determined, this data is given in Table I. Each buffered drug solution was filled into 5 ml flint ampuls. The ampuls were partially filled with 3 ml of solution and then sealed. Sufficient ampuls were prepared so that there was at least one for each stability time. Samples of all five solutions were placed in a 55 * C oven. At each stability time one ampul of each solultion was removed. The pH, potency and the physical appearance of the solutions was determined. The concentration of the drug was determined by a high performance liquid chromatographic (HPLC) method. The physical appearance of the solutions remained unchanged at all stability times. The kinetic data obtained was plotted as a log of drug concentration versus time. The apparent first-order rate constants were calculated from the slopes of the linear regression lines fitted to log (C) =* log (Co) - 2.303 kt where C is drug concentration at time t, Co is the initial drug concentration and k is the apparent first-order rate constant. This method was also used for Examples II through V. The kinetics of degradation of the drug at 55 # C and at various pH values was followed by monitoring the potency of the drug at different stability times. The logarithm of the potency versus time in all cases produced linear plots. These data are shown in Figure 1. The apparent first-order rate constants were calculated from the slopes of the linear regression lines and are presented in Table II. The maximum change in the pH, which in all cases occurred when the sample for the last data point was obtained, is also given in Table II. The pH rate profile at 55"C for the drug is presented in Figure 2. The line joining the data points is only drawn to show the trend and does not represent actual data. The degradation rate increases both at low and high pH values in thew--range studied (pH 2.05 - 7.14). This may be due to acid or base catalysed hydrolysis at the two extremes. The lowest rate observed in this study at pH 5.37 is almost 64 times slower than the highest observed at pH 2.05. Table I pH of Citrate-Phosphate Buffers Used Composition No. 1 1 1 i 1 Amount of Dibasic Sodium Phosphate, 0.06 1.00 2.4 3.09 4.83 Heptahydrate (Na 2 HP0, • 7H 2 0) (wt %) Amount of Citric 2.08 1.69 1.30 0.89 0.21 pH of Buffer 2.16 3.05 4.08 5.63 7.44 Solution Amount of the Drug 10 10 10 10 10 ( t %) pH of buffer 2.05 2.97 3.92 5.37 7.14 Solution Containing Dissolved Drug Table II Apparent First Order Rate Constants For Hydrolysis of the Drug in Buffers at 55 # C 4 4 988 9 a Correlation coefficient for the linear regression k Difference between initial and final pH (terminal sample) . Example II Stability of Methyl 3-(p-Phenoxypropanolamine) propionate (the drug) in One or Two Component Vehicles Containing Ethanol and Citrate-Phosphate Buffer (pH 4.0) Stability of the drug in 10% (V/V) alcohol in buffer, 30% (V/V) alcohol in buffer and ethanol, USP is given in Table III. It can be seen from the data in Table III, that incorporation of 10% ethanol in the buffer increases the stability of the drug. The stabilizing effect is quite dramatic when ethanol content is increased to 30% V/V, in this case the degradation rate is almost one third of the rate in buffered solution without ethanol. When the drug was formulated in just ethanol, USP, the stability was marginally worse than 30% ethanol in buffer vehicle. This suggests that the stabilization effect is maximized at certain ethanol concentrations in the vehicle and beyond that no benefit is to be gained by adding more ethanol in the formulation. In addition, in the all ethanol formulation the HPLC tracing revealed evidence of transesterification of the drug to an ethyl ester. Table III Apparent First-Order Rate Constants (55 "C ) for The Degradation of the drug ( 100 mg/ml) In Vehicles Containing Phosphate-Citrate Buffer (pH 4.0 ) and/or Ethanol , USP Time Span of Formulation kX10 2 ,day _1 * t 1 / 2 ,day* r** Study (D Phosphate-Citrate 1.304 53.2 0.9375 26 buffer (pH 4.0) Buffer Containing 1.071 64.7 0.9896 38 10% V/V Ethanol, USP Buffer Containing 0.411 168.7 0.9474 24 30% V/V Ethanol, USP Ethanol, USP 0.516 134.4 0.9703 44 a Correlation coefficient of the linear regression line. See Example I Example III Stability of Methyl 3-(p-Phenoxypropanolamine) propionate (the drug) n vehicles Containing CiΕrate Phosphate Buffer (0.16 M, pH 5.4) and Propylene Glycol (PG) Stability of the drug was investigated in vehicles containing varying amounts of citrate-phosphate buffer and propylene glycol (PG) (Table IV). The proportion of PG in these mixtures varied from 10% to 70%. Increasing the PG concentration increases the stability of the drug. Within the range studied there is a linear relationship between stability of the drug and PG content in the vehicle. Table IV also presents stability of the drug in a vehicle containing 50% (V/V) PG in water. When this is compared to the drug stability in a vehicle containing 50% V/V PG in citrate-phosphate buffer, it can be seen that the half-life in the buffered formulation is almost twice as long. The data presented in this section shows that PG has a significant stabilizing effect on the drug. Table IV Apparent First-Order Rate Constants (55 * C) for The Degradation of the drug (100 mg/ml) in Vehicles Containing Citrate-Phosphate Buffer (0.16 M, pH 5.4) and Propylene Glycol (PG) Time Span o Formulation kXlθ2,day~1* ty2 f <3ay* r * Study ( PG 70%, Buffer 30% V/V 0.423 161.2 0.9968 135 PG 50%, Buffer 50% V/V 0.616 112.6 0.9989 135 PG 30%, Buffer 70% V/V 0.769 90.2 0.9997 135 PG 10%, Buffer 90% V/V 0.949 73.1 0.9992 52 PG 50%, Water 50% V/V 1 .371 50.6 0.9903 18 a Correlation coefficient of the linear regression line. * See Example I Example IV Stability of Methyl 3-(p-Phenoxypropanolamine) propionate (the drug) n Vehicles Containing "" Citrate-Phosphate Buffer (0.16 M, pH 5.4) and either PEG200 or Propylene Glycol (PG) Table V presents stability data of the drug in 50% (V/V) PEG 200 in buffer, and 50% (V/V) Propylene Glycol in buffer. The greatest stability observed was in the case of the formulation containing propylene glycol (PG). Table V Apparent First-Order Rate Constants (55 * C) for The Degradation of the drug (100 mg/ml) in Vehicles Containing Citrate-Phosphate Buffer (0.16 M, pH 5.4) and either PEG200 or Propylene Glycol Time Span Formulation kX1θ2,day-1* t 1y 2,day* r** Study ( PEG 200 50%, 0.793 87.4 0.9796 44 Buffer 50% V/V Propylene Glycol 50%, 0.616 112.6 0.9989 135 Buffer 50% V/V a Correlation coefficient of the linear regression line. * See Example I Example V Stability of Methyl 3- ( p-Phenoxypropanolamine) propionate (the drug ) in One, Two or Three Component Vehicles Containing Ethanol , Propylene Glycol (PG) and Citrate-Phosphate Buffer ( 0 . 16 M , pH 5.4 ) or Water The stability of the drug was studied first in two systems , the first vehicle consisted of 70% (V/V) PG and 30% (V/V) ethanol whereas the second was 50 : 50 mixture of the two. The results are given in Table VI . It can be seen that the stability of the drug in the 50:50 mixture was greater. TABLE VI Apparent First-Order Rate Constants (55"C) for The Degradation of the drug (100 mg/ml) in One, Two or Three Component Vehicles Containing Ethanol, Propylene Glycol (PG) and Citrate-Phosphate Buffer (0.16 M, pH 5.4) or Water Time Span o Formulation kX10 2 ,day" 1 * tι/2,day* r** Study (D PG 70%, Ethanol^ 0.118 586.7 0.8615 119 30% VV PG 50%, Ethanolb 0.050 1374.3 0.8014 56 50% V/V PG 70%, Ethanolb 0.446 155.5 0.9683 119 20%, qs with Water PG 70%, Ethanol^ 0.226 306.2 0.9808 119 20%, cjs with Buffer Buffer (pH 5.4) .0.531 130.4 0.9375 26 a Correlation coefficient of the linear regression line. b Ethanol See Example I Example VI Stability of Methyl 3-(p-Phenoxypropanolamine) propioπ e (the drug) in vehicles containing Sodium Acetate Buffer, Ethanol and Propylene Glycol (PG) Stability of the drug (100 mg/ml) was tested in vehicles containing 0.1 M sodium acetate buffer, 10% Ethanol, and 10% Propylene glycol under various storage conditions for different time periods. Stability results are given in Tables VII and VIII. The data indicates that the rate of degradation is temperature dependent. No change in physical appearance was observed during the experiment. TABLE VII Potency of the Drug Over Time in Various Environments % of Labeled % Change Fran Environment Storage, Months Amount Initial Initial 100.7 - 55 β C 1/2 101.3 +0.6 1 89.3 -11.4 1-1/2 94.3 -6.4 2 90.7 -10.0 40'C 1 99.9 -0.8 3 99.8 -0.9 6 95.8 -4.9 15-30 β C 1 102.7 +2.0 3 101.5 +0.8 6 95.8 -4.9 LC* 1/2 102.8 +2.1 High intensity light cabinet (600-1200 Foot Candles ) TABLE VIII Physical Appearance and pH of the Drug Over Time in Various Environments Storage, pH Change Environment Months £H From Initial Appearance Initial 5.0 - Clear, faint yellowish solut 55'C 1/2 4.8 -0.2 Clear, faint yellowish solut 1 4.8 -0.2 Clear, faint yellowish solut 1-1/2 4.8 -0.2 Clear, faint yellowish solut 2 4.7 -0.3 Clear, faint yellowish solut 40 β C 1 4.9 -0.1 Clear, faint yellowish solut 3 4.9 -0.1 Clear, faint yellowish solut 6 4.7 -0.3 Clear, faint yellowish solut 15-30 β C 1 5.0 0 Clear, faint yellowish solut 3 4.9 -0.1 Clear, faint yellowish solut 6 4.9 -0.1 Clear, faint yellowish solut » LC* 1/2 4.9 -0.1 Clear, faint yellowish solut High intensity light cabinet (600-1200 Foot Candles) Example VII Stability on Methyl 3-(p-Phenoxypropanolamine) Propionate (the drug) n Vehicles Containing " Sodium Acetate Buffer, Ethanol and Propylene Glycol Stability of the drug (100 mg/ml) was tested in vehicles containing 0.1 M sodium acetate buffer. 10% Ethanol and 10% Propylene glycol under various storage conditions for different time periods. Stability results are given in Tables IX and X. The data indicates that the rate of degradation is temperature dependent. No change in physical appearance was observed during the experiment. TABLE IX Potency of the Drug Over Time in Various Environments It % of Labeled % Change Fro Environment Storage, Months Amount Initial Initial (3-24-82) 99.2 - 55 β C 1/2 96.6 -2.6 1 90.0 -9.2 2 90.4 -8.8 40 β C 1 95.1 -4.1 3 94.2 -5.0 6 90.4 -8.8 15-30 β C 1 99.8 +0.6 3 97.3 -1.9 6 98.1 -1.1 5 β C 3 98.5 -0.7 6 98.8 -0.4 LC* 1/2 98.7 -0.5 NL** 3 97.3 -1.9 6 97.5 -1.7 * High intensity light cabinet (600-1200 Foot Candles) ** Eastern diffuse sunlight TABLE X Physical Appearance and pH of the Drug Over Time in Various Environments Storage, pH Change Environment Months pH Fran Initial Appearance Initial 5.1 — Clear, faint yellowish solutio (3-24-82) 55*C 1/2 5.1 0 Clear, faint yellowish solutio 1 5.0 -0.1 Clear, faint yellowish solutio 2 5.0 -0.1 Clear, faint yellowish solutio 40 β C 1 5.1 0 Clear, faint yellowish solutio 3 4.9 -0.2 Clear, faint yellowish solutio 6 4.9 -0.2 Clear, faint yellowish solutio 15-30'C 1 5.1 0 Clear, faint yellowish solutio 3 4.9 -0.2 Clear, faint yellowish solutio 6 5.1 0 Clear, faint yellowish solutio 5 β C 3- 5.0 -0.1 Clear, faint yellowish solutio 6 5.1 0 Clear, faint yellowish solutio LC* 1/2 5.3 +0.2 Clear, faint yellowish solutio NL** 3 5.0 -0.1 Clear, faint yellowish solutio 6 5.0 -0.1 Clear, faint yellowish solutio * High intensity light cabinet (600-1200 Foot Candles) ** Eastern diffuse sunlight Example VIII Stability of CH 3 CH 2 0 2 CCH 2 CH 2 - Q/"OCH 2 CHOHCH 2 -NHC(CH 3 ) 3 In Hydroalcoholic Solution Over Time An amount of the above compound sufficient to give a final concentration of 100 mg/ml is dissolved in a vehicle containing acetate buffer, ethanol and propylene glycol such that the molar ratio of the compound to the acetate buffer is 3:1, the volume ratio of the ethanol to the propylene glycol is 1:1, and the pH is 5.0. The solution is filled into 5 ml flint ampuls (3 ml solution per ampul). The ampuls are sealed and placed in a 40 β C oven for 6 months. The compound is stable in this composition. Example IX Stability of CH 3 0 2 CCH 2 CH 2 - QVθCH 2 CHOHCH 2 NHC(CH 3 ) 3 In Hydroalcoholic Solution over Time An amount of the above compound sufficient to give a final concentration of 100 ' mg/ml is dissolved in a vehicle containing acetate buffer, ethanol and propylene glycol such that the molar ratio of the substance to the acetate buffer is 3:1, the volume ratio of the ethanol to the propylene glycol is 1:1, and the pH is 5.0. The solution is filled into 5 ml flint glass ampuls (3 ml per ampul). The ampuls are sealed and placed in a 40 * C oven for 6 months. The compound is stable in this composition.

Claims: WE CLAIM : 1. A pharmaceutical composition for parenteral administration comprising from about 0.1 to about 30% by weight of a β-adrenergic blocking compound having the formula where R- j is an alkyl having from 1 to about 6 carbon atoms, cycloalkyi of from 3 to about 5 carbon atoms, alkenyl of from 2 to about 5 carbon atoms, alkynyl of from 3 to about 5 carbon atoms, alkyl carboxymethyl where the alkyl is from 1 to about 5 carbon atoms, aryl carboxymethyl in which the aryl portion contains from 6 to about 10 carbon atoms, aryl of from 6 to about 10 carbon atoms, or aralykyl wherein the alkyl portion contains from 1 to about 6 carbon atoms and the aryl portion represents substituted or unsubstituted onocyclic or polycyclic aromatic ring systems of from 6 to about 10 carbon atoms; A is an alkylene from about 1 to about 5 carbon atoms, or alkenylene of from 2 to about 5 carbon atoms; X is independently amino, hydrogen, halogen, hydroxy, alkoxy, aryloxy, aralkyl, cyano, amido, or trifluoromethyl; n is an integer from 1 to about 4; R is alkyl having from 1 to about 5 carbon atoms, propargyl, dimethylpropargyl, or hydroxyalkyl having from 1 to about 6 carbon atoms; or its pharmaceutically acceptable salts in a hydroalcoholic solution further comprising from about 0.05 to about 2 molar physiologically acceptable buffering agent; from about 5 to about 60% by volume ethanol; from about 5 to about 60% by volume of a physiologically acceptable liquid polyhydric compound; said hydroalcoholic solution having a pH of from about 4.0 to about 6.0. 2. The composition of claim 1 wherein said buffering agent is an acetate buffer, phosphate buffer, citrate buffer, trishydroxymethylaminomethane, or amphoteric compound. 3. The composition of claim 1 wherein said polyhydric compound is an alkyl from 1 to about 10 carbon atoms having two or more adjacent hydroxyl groups, or a polyethyleneglycol having a molecular weight of from about 200 to about 600 daltons. 4. The composition of claim 2 wherein said polyhydric compound is an alkyl from 1 to about 10 carbon atoms having two or more adjacent hydroxyl groups, or a polyethyleneglycol having a molecular weight of from about 200 to about 600 daltons. 5. The composition of claim"4 wherein the amount of β-adrenergic compound is from about 1 to about 30% by weight. 6. The composition of claim 4 wherein the volume ratio of ethanol to the liquid polyhydric compound is » about 1:1. 7. The composition of claim 4 wherein the molar ratio of the β adrenergic compound to buffering agent is about 3:1. 8. The composition of claim 4 wherein the pH is from about 4.6 to about 5.4. 9. The composition of claim 4 wherein the buffering agent is acetate. 10. The composition of claim 4 wherein the polyhydric compound is propylene glycol, glycerol, or a polyethylene glycol having a molecular weight from about 200 to about 600 daltons. 11. The composition of claim 4 wherein the polyhydric compound is propylene glycol. 12. The composition of claim 9 wherein the polyhydric compound is propylene glycol. 13. The composition of claim 6 wherein the molar ratio of the β-adrenergic compound to buffering agent is about 3:1. 14. The composition of claim 10 wherein the buffering agent is acetate and the pH is from about 4.6 to about 5.4. 15. The composition of claim 13 wherein the buffering * agent is acetate and the pH is from about 4.6 to about 5.4. 16. The composition of claim 4 wherein the β-adrenergic blocking compound has the formula where R χ is an alkyl having from 1 to about 5 carbon atoms; A is ethylene or methylene; X is independently amino, hydrogen, halogen, hydroxy, alkoxy, aryloxy, aralkyl, cyano, amido, or trifluoromethyl; n is an integer from 1 to 4; R is an alkyl having from 1 to about 6 carbon atoms, propargyl, dimethyl propargyl, or hydroxyalkyl having from 1 to about 6 carbon atoms; or the pharmaceutically acceptable salts, wherein the volume ratio of ethanol to the liquid polyhydric compound is about 1:1. 17. The composition of claim 11 wherein the molar ratio of the β-adrenergic compound to buffering agent is about 3:1. 18. The composition of claim 12 wherein the molar ratio of the β-adrenergic compound to buffering agent is about 3:1. 19. The composition of claim 13 wherein the buffering agent is acetate and the pH is from about 4.6 to about 5.4. 20. The composition of claim 11 wherein the amount of β-adrenergic compound is from about 1 to about 30% by weight; the buffering agent is acetate and is present in a molar ratio of 3 parts β-adrenergic compound to 1 part acetate buffer; the liquid polyhydric compound is propylene glycol; and the pH is from about 4.9 to about 5.1. 21. The composition of claim 12 wherein the amount of β-adrenergic compound is from about 1 to about 30% by weight; the buffering agent is acetate and is present in a molar ratio of 3 parts β-adrenergic compound to 1 part acetate buffer; the liquid polyhydric compound is propylene glycol; and the pH is from about 4.9 to about 5.1. 22. A pharmaceutical composition for parenteral administration comprising from about 10 to about 25% by weight of a β-adrenergic compound having the formula where R χ is ethyl or methyl; R is alkyl having from 1 to about 6 carbon atoms; or its pharmaceutically acceptable salts in an aqueous solution further comprising sodium acetate buffer in a molar ratio of 3 parts β-adrenergic compound to 1 part acetate buffer; and from about 10 to about 90% by volume of a stabilizing component comprising 1 part ethanol and 1 part propylene glycol; and having a pH from about 4.6 to about 5.4. 23. A pharmaceutical composition for parenteral administration comprising from about 0.1 to about 30% by weight of a β-adrenergic blocking compound having the formula where R- j is an alkyl having from 1 to about 6 carbon atoms, cycloalkyi of from 3 to about 5 carbon atoms, alkenyl of from 2 to about 5 carbon atoms, alkynyl of from 3 to about 5 carbon atoms, alkyl carboxymethyl where the alkyl is from 1 to about 5 carbon atoms, aryl carboxymethy in which the aryl portion contains from 6 to about 10 carbon atoms, aryl * of from 6 to about 10 carbon atoms, or aralkyl wherein the alkyl portion contains from 1 to about 6 carbon atoms and the aryl portion represents substituted or unsubstituted monocyclic or polycyclic aromatic ring systems of from 6 to about 10 carbon atoms; A is an alkylene from about 1 to about 5 carbon atoms, or alkenylene of from 2 to about 5 carbon atoms; X is independently amino, hydrogen, halogen, hydroxy, alkoxy, aryloxy, aralkyl, cyano, amido, or trifluoromethyl; n is a integer from 1 to about 4; W is alkylene containing from 1 to about 10 carbon atoms; and B is -NR2COR3, -NR 2 CONR 3 R 4 , -NR 2 S0 2 R3, -NR 2 S0 2 NR 3 R4, NR 2 C00R5 or -NHRg, wherein R 2 , R3, R and R5 may each be hydrogen, alkyl, alkoxyalkyl, alkoxyaryl, cycloalkyi, alkenyl, alkynyl, aryl, heteroaryl, or aralkyl, except that R3 and R5 are not hydrogen when B is - R S0 R3 or -NR 2 COOR5, or 3 and R4 may together with N form a 5- to 7-membered heterocyclic group, and g is unsubstituted or substituted pyridinyl, phenyl, napthyl, or indoyl; or its pharmaceutically acceptable salts in a hydroalcoholic solution further comprising from about 0.05 to about 2 molar physiologically acceptable buffering agent; from about 5 to about 50% by volume ethanol; from about 5 to about 70% by volume of a physiologically acceptable liquid polyhydric compound; said hydroalcoholic solution having a pH of from about 4.0 to about 6.0. 24. The composition of claim 23 wherein said buffering agent is acetate, trishydroxymethylaminomethane, or amphoteric compound. 25. The composition of claim 23 wherein said liquid polyhydric compound is an alkyl from 1 to about 10 carbon atoms having two or more adjacent hydroxyl groups, or a polyethylenglycol having a. molecular weight of from about 200 to about 600 daltons. 26. The composition of claim 24 wherein said liquid polyhydric compound is an alkyl from 1 to about 10 carbon atoms having two or more adjacent hydroxyl groups, or a polyethylenglycol having a molecular weight of from about 200 to about 600 daltons. 27. The composition of claim 26 wherein the amount of β-adrenergic compound is from about 1 to about 30%. 28. The composition of claim 26 wherein the volume ratio of ethanol to the liquid polyhydric compound is about 1:1. 29. The composition of claim 26 wherein the molar ratio of the β-adrenergic compound to buffering agent is about 3:1. 30. The composition of claim 26 wherein the pH is from about 4.6 to about 5.4. 31. The composition of claim 26 wherein the buffering agent is acetate. 32. The composition of claim 26 wherein the polyhydri compound is propylene glycol, glycerol, or a polyethylene glycol having a molecular weight from about 200 to about 600 daltons. 33. The composition of claim 26 wherein the polyhydri compound is propylene glycol. 34. The composition of claim 31 wherein the polyhydri compound is propylene glycol. 35. The composition of claim 28 wherein the molar ratio of the β-adrenergic compound to buffering agent is about 3:1. 36. The composition of claim 32 wherein the buffering agent is acetate and the pH is from about 4.6 to about 5.4. 37. The composition of claim 35 wherein the buffering agent is acetate and the pH is from about 4.6 to about 5.4. 38. The composition of claim 26 wherein the β-adrenergiσ blocking compound has the formula where R- j is an alkyl having from 1 to about 5 carbon atoms; A is ethylene or methylene; X is independently amino, hydrogen, halogen, hydroxy, alkoxy, aryloxy, aralkyl, cyano, amido, or trifluoromethyl; n is an integer from 1 to 4; W is alkylene containing from 1 to about 10 carbon atoms; and B is -N 2 COR3, - R CONR3R4, -NR S0 2 R 3 , -NR 2 S0 2 NR 3 R 4 , NR 2 COOR 5 or -NHR 6 , wherein R 2 , R3, R4 and R 5 may each be hydrogen, alkyl, alkoxyalkyl, alkoxyaryl, cycloalkyi, alkenyl, alkynyl, aryl, heteroaryl, or aralkyl, except that R3 and 5 are not hydrogen when B is -NR 2 S0 2 R3 or - R 2 C0OR5, or R3 and R4 may together with N form a 5- to 7-membered heterocyclic group, and Rg is unsubstituted or substituted pyridinyl, phenyl, napthyl, or indoyl; or the pharmaceutically acceptable salts, wherein the volume ratio of ethanol to the liquid polyhydric compound is about 1:1. 39. The composition of claim 33 wherein the molar ratio of the β-adrenergic compound to buffering agent is about 3:1. 40. The composition of claim 34 wherein the molar ratio of the β-adrenergic compound to buffering agent is about 3:1. 41. The composition of claim 35 wherein the buffering agent is acetate and the pH is from about 4.6 to about 5.4. 42. The composition of claim 33 wherein the amount of β-adrenergic compound is from about 10 to about 30% by weight; the buffering agent is acetate and is present in a molar ratio of 3 parts β-adrenergic compound to 1 part acetate buffer; the liquid polyhydric compound is propylene glycol; and the pH is from about 4.9 to about 5.1. 43. The composition of claim 34 wherein the amount of β-adrenergic compound is from about 10 to about 30% by weight; the buffering agent is acetate and is present in a molar ratio of 3 parts β-adrenergic compound to 1 part acetate buffer; the liquid polyhydric compound is propylene glycol; and the pH is from about 4.9 to about 5.1. 44. A pharmaceutical composition for parenteral administration comprising from about 1 to about 30% by weight of a β-adrendergic compound having the formula 0 OH R 1 OCCH 2 CH 2 — ( J -OCH 2 CHCH 2 NH-W-B where R 1 is ethyl or methyl; W is alkylene containing from 1 to about 10 carbon atoms; and B is -NR2COR3, -NR 2 CONR 3 R 4 , -NR 2 S0 2 R 3 , -NR 2 S0 2 NR 3 R 4 , NR 2 COO 5 or -NHRg, wherein R 2 , R 3 , R 4 and R 5 may each be hydrogen, alkyl, alkoxyalkyl, alkoxyaryl, cycloalkyi, alkenyl, alkynyl, aryl, heteroaryl, or aralkyl, except that R3 and R5 are not hydrogen when B is -NR 2 S0 2 R3 or -NR 2 COOR 5 , or R3 and R4 may together with N form a 5- to 7-membered heterocyclic group, and Rg is unsubstituted or substituted pyridinyl, phenyl, napthyl, or indoyl; or. its pharmaceutically acceptable salts in an aqueous solution further comprising sodium ' acetate buffer in a molar ratio of 3 parts β-adrenergic compound to 1 part acetate buffer; and from about 10 to about 90% by volume of a stabilizing component comprising 1 part ethanol and 1 part propylene glycol; and having a pH from about 4.6 to about 5.4. 45. A pharmaceutical composition for parenteral administration comprising from about 1 to about 30% by weight of a β-adrenergic compound having the formula: 0 OH CH 3 0CCH 2 CH 2 —(I ) -OCH 2 CHCH 2 NHCH(CH 3 ) 2 or its pharmaceutically acceptable salts in an aqueous solution further comprising sodium acetate buffer in a molar ratio of 3 parts β-adrenergic compound to 1 part acetate buffer, and from about 10 to about 90% by volume of a stabilizing component comprising 1 part ethanol and 1 part propylene glycol, and having a pH from about 4.6 to about 5.4. 46. The composition of claim 1 wherein said β- adrenergic blocking compound is an 1-isomer. 47. The composition of claim 22 wherein said β- adrenergic blocking compound is an 1-isomer. 48. The composition of claim 44 wherein said β- adrenergic blocking compound is an 1-isomer. 49. The composition of claim 45 wherein said β- adrenergic blocking compound is an 1-isomer.

Inventors: ESCOBAR AGUSTIN, MALICK AHMAD WASEEM, WAGENKNECHT DIETMAR M, ESCOBAR, AGUSTIN, MALICK, AHMAD, WASEEM, WAGENKNECHT, DIETMAR, M.
Applicants: AMERICAN HOSPITAL SUPPLY CORP, AMERICAN HOSPITAL SUPPLY CORPORATION
Application year: 1985
Main classification: A61K31
IPC codes: A61K9, A61K31, A61K47, A61P9, A61P25