LHRH ANALOG FORMULATIONS

Abstract: The invention relates to novel solution and suspension aerosol formulations comprising LHRH analogs.

Description: Technical Field The invention relates to novel formulations comprising LHRH (luteinizing hormone releasing hormone) analogs and, more particularly, to LHRH analog aerosol formulations. Background Art Polypeptides and LHRH analogs in particular are historically administered parenterally because they are poorly absorbed by biological membranes due to their large molecular size and polarity, enzymatic degradation and deactivation by proteases enroute to the circulatory system. To improve bioavailability, some have developed formulations for rectal and nasal administration. Known in the art are nasal spray compositions with which an enhanced absorption of polypeptides and in particular LHRH analogs was attained using a chelating agent such as disodium EDTA in a buffered aqueous solution, as disclosed in US-A- 4476116 or using a surfactant which is a bile acid or a pharmaceutical acceptable salt thereof in a buffered aqueous solution, as disclosed in EP-A- 0 111 841. To date no aerosol formulation has been developed for administration of LHRH analogs by inhalation. This is due in part because many peptide drugs such as LHRH agonist and antagonist compounds do not appreciably dissolve in hydrophobic liquid vehicles to enable preparation of solution aerosols. For example, leuprolide is a polar nonapeptide with three ionizable sites, namely the imidazolyl nitrogen of histidine with pKa approximately 6.0, the phenolic hydroxyl of tyrosine wish pKa approximately 10.0, and the guanidine nitrogen of arginine with pKa approximately 13.0. Since the guanidine nitrogen is extremely basic, this nonapeptide as synthesized exists in the protonated form and is generally associated with at least one mole of acetic acid. Leuprolide, therefore, exists as an acetate salt, which is highly hydrophilic. LHRH analogs are practically insoluble in fluorocarbons. In mixtures of ethyl alcohol and fluorocarbons, the solubility of leuprolide approaches 3 mg/ml which is not satisfactory due to dose requirements. This solubility estimate is not significantly affected by the presence of nonionic surfactants because, in part, of solubility and dielectric limitations of such surfactants. In mixtures of fluorocarbons, ethyl alcohol and water, experimental results showed equilibrium solubility of leuprolide to approach 5 mg/ml which is still unacceptable. At high concentrations of ethyl alcohol, a gel-like mass forms resulting in a colloidal dispersion that does not clear at room temperature for up to one month. At water concentrations of 10% or greater, a complete phase separation occurs making a homogeneous formulation impractical and renders aerosolization impractical. Disclosure of the Invention It has now been discovered that the foregoing and other problems with the prior art can be overcome by including lipophilic counterions in solvent-based, solution aerosol formulations. Bioavailability of leuprolide, a prototype peptide in this invention, ranges from 50% to 100% of the intravenously administered product as a control formulation. Time for plasma peak concentration to occur is about 30 minutes, and the plasma peak concentration itself approximately equals that of a comparable dose administered intravenously. In particular, the solution aerosol formulations for administration of LHRH analogs comprise: 1. LHRH analogs (active ingredient) 2. lipophilic counterion (solubilizing agent) selected from an alkylsulfonic acid of from 5 to 12 carbon atoms, palmitic acid, dioctylsulfosuccinic acid, stearic acid, and salicylic acid, or a salt thereof; 3. surfactant (wetting agent) selected from mono- or diglycerides, sorbitan fatty acid esters, polyoxyethylene sorbitan fatty acid esters, polyoxyethylene sorbitol esters, polyoxyethylene acids, polyoxyethylene alcohols, and polyoxyethylene adducts 4. water and ethyl alcohol (solvent) 5. propellant and optionally 6. valve lubricant 7. antioxidant 8. flavor/fragrance. More particularly, the preferred formulation of the invention is as follows: Ingredient Ranges Ethyl Alcohol, Dehydrated, USP, 100 Proof 0.50-60.00% w/w Sorbitan Monooleate, NF 0.05- 6.00% w/w Water, Purified, USP (Distilled) 0.10-15.00% w/w 1-Decane Sulfonic Acid Sodium Salt 0.01- 2.00% w/w Leuprolide Acetate 0.01- 2.00% w/w Dichlorodifluoromethane q.s. Best Mode for Carrying Out the Invention The solution aerosol composition for administration of LHRH analogs by inhalation comprises: Ingredient Range LHRH Analog .001-15 mg/g Lipophilic Counterion .05 -10 mg/g Surfactant 0 - 5% w/w Solvent (water and Ethyl Alcohol) 10 - 50% w/w Propellant q.s. As used herein, "% w/w" refers to weight of ingredient per weight of formulation multiplied by 100. As used herein, the tern "LHRH analog" refers to octapeptides, nonapeptides and decapeptides including but not limited to leuprolide and D-amino acid analogs of LHRH. More particularly, LHRH analogs in addition to leuprolide (U.S. Patent No. 4,005,063) which can be formulated in accordance with the invention include those which are described in U.S. Patent Nos. 3,853,837, 3,972,859, 4,008,209, 4,024,248 (buserilin) 4,089,946 (lutrelin), 4,100,274 (goserelin), 4,234,571 (nafarelin), 4,490,291, and also includes histrelin. As used herein, the term "leuprolide" or "leuprolide acetate" refers to a nonapeptide, 5-Oxo-L-prolyl-L-histidyl-L-tryptophanyl-L-seryl-L-tyrosyl-D-leucyl-L-leucyl-L-arginyl-L-prolylethylamide acetate with the structure: As used herein, the term "surfactant" refers to nonionic surfactants including but not limited to mono and diglycerides, sorbitan fatty acid esters, polyoxyethylene sorbitan fatty acid esters, polyoxyethylene sorbitol esters, polyoxyethylene acids, polyoxyethylene alcohols and polyoxyethylene adducts. As used herein, the term "lipophilic counterion" or "counterion" refers to organic acids or their salts with pka sufficiently low to render them ionizable at the product pH and includes but is not limited to alkyl (C₅-C₁₂) sulfonic acids and salts thereof, palmitates, dioctylsulfosuccinate and its congeners, stearates and salicylates. As used herein, the term "propellant" refers to chlorofluorocarbons or hydrocarbons including but not limited to trichlorofluoromethane, dichlorodifluoromethane, chlorodifluoromethane and dichlorotetrafluoroethane. The presence of various lipophilic counterions significantly improves the equilibrium solubility of the LHRH analog in many cosolvent systems studied. Increasing concentrations of the counterion generally increases the solubility of LHRH analog in the propellant solvent systems. However, this is limited by the intrinsic solubility of the counterion itself. Thus, high concentrations of the counterion can be detrimental to the clarity and stability of the solution. Optimal concentrations of the counterion of choice, decane sodium sulfonate, is 2 mg/ml. At this concentration, the equilibrium solubility of the LHRH analog in appropriate cosolvent mixtures of ethyl alcohol and dichlorodifluoromethane is about 20 mg/ml. However, a formulation containing 10 mg/ml of leuprolide appears to possess all desired physical characteristics of a satisfactory/stable aerosol. In general, other lipophilic counterions also significantly improve the solubility of LHRH analogs in a propellant-water-ethanol cosolvent system. The most preferred counterions are: alkyl sulfonates followed by palmitates, dioctylsulfosuccinates, stearates and salicylates. These findings correlate with counterion pKa and appear to be consistent with drug distribution phenomena. A solution aerosol containing approximately 25.0% w/w ethyl alcohol, 1.3% w/w sorbitan monooleate, 0.2% w/w decane sulfonic acid (sodium salt), 3.5% w/w water, 1.0% leuprolide acetate, and 69% w/w dichlorodifluoromethane is a preferred formulation for a leuprolide solution aerosol product. Most preferred is a solution aerosol containing approximately 20.0% w/w ethyl alcohol, 1.3% w/w/ sorbitan monoleate, 0.2% w/w decane sulfonic acid (sodium salt), 1.8% w/w water, 1.0% leuprolide acetate, and 75.7% w/w dichlorodifluoromethane. Both formulations have good spray characteristics and satisfactory physical and chemical stability. The compositions of the invention can be prepared by cold filling or pressure filling. Cold filling comprises the steps as follows: a) Mix alcohol and water in stainless steel or glass vessel. b) Add the counterion first and then the LHRH analog. Mix well until completely dissolved. c) Add surfactant. Mix well to dissolve. d) Filter through appropriate filter to clarify solution. e) Transfer to pressure vessel. Chill solution to approximately 0°C or lower. f) Add appropriate propellant as liquefied gas. Mix well until a uniform solution forms. g) Fill into appropriate containers and check for leaks in warm water bath. Pressure filling comprises the steps as follows: a) Mix alcohol and water in stainless steel or glass vessel. b) Add counterion first and then LHRH analog. Mix well until completely dissolved. c) Add surfactant. Mix well to form complete solution. d) Filter if necessary using appropriate filter. e) Fill appropriate volume into aerosol container and crimp valves onto container. f) Fill appropriate volume of liquified propellant into container through the valve. Check for leaks in warm water bath. The foregoing may be better understood from the following examples which are presented for purposes of iilustration only. Example 1 - 15 Following the cold filling procedure outlined above and utilizing the ingredients referred to at numbers 1 - 15 on Table 1, gave the solution aerosol compositions referred to in Table 1. Solubility Testing Weighed quantities of leuprolide and the counterion were placed into 20 ml glass vials provided with rubber stoppers and appropriate overseals. The measured quantities of the liquified propellants were added to the vials. In systems where water and/or alcohol were used, the appropriate volumes of these liquids were measured and added. The prepared vials were sealed and shaken to determine equilibrium concentration of the LHRH analog in these respective solvent systems. Results of the limit solubility measurements obtained with leuprolide in the respective solvents are reported in Table 1. These solubility results are pharmaceutically acceptable. The results are reported as estimates since propellant pressures presented sampling problems which in turn prevented actual determination of the limit solubility for the LHRH analog and since these solutions were not saturated due to their high affinity for leuprolide acetate. Bioabsorption Testing Healthy male beagle dogs (9-18 months old) were provided with free access to food during the entire study. There were three dogs of each sex in each treatment group. Body weight, food consumption and other pertinent clinical signs were monitored at a regular basis during the study. By surgical procedure, tracheal stoma was performed to each dog. On the day of the study, the dogs were administered solution aerosol of leuprolide acetate of Example 10 except with 0.5, 1.0, and 2.0 mg of leuprolide. Drug administration was carried out through 2 weeks. Leuprolide plasma concentrations was determined during day 1 of the study in order to evaluate bioabsorption of leuprolide from the aerosol. Blood samples of approximately 2-3 ml were obtained from the jugular vein and allowed to clot. After centrifugation, the serum fraction was removed and assayed for leuprolide using a radioimmunoassay technique. Relative absorption of leuprolide via the inhalation route of administration was estimated using mean historical data from representative intravenously administered formulations. Table II shows the results of the above testing and indicates virtually complete absorption of leuprolide.

Claims: Claims for the following Contracting States : AT, BE, CH, DE, FR, GB, IT, LI, LU, NL, SE A solution aerosol formulation of a LHRH analog comprising a LHRH analog; a lipophilic counterion selected from an alkylsulfonic acid of from 5 to 12 carbon atoms, palmitic acid, dioctylsulfosuccinic acid, stearic acid, and salicylic acid, or a salt thereof; water; ethyl alcohol; a surfactant selected from mono- or diglycerides, sorbitan fatty acid esters, polyoxyethylene sorbitan fatty acid esters, polyoxyethylene sorbitol esters, polyoxyethylene acids, polyoxyethylene alcohols, and polyoxyethylene adducts; and a propellant. The formulation of Claim 1 wherein the LHRH analog is leuprolide acetate. The formulation of Claim 1 comprising 0.001 - 15 mg/g of LHRH analog; 0.05 - 10 mg/g of said lipophilic counterion; 0.1 - 15% w/w water; 0.5 - 60% w/w ethyl alcohol; and q.s. propellant. The formulation of Claim 1 wherein said lipophilic counterion is selected from alkylsulfonic acids of from 5 to 12 carbon atoms or a salt thereof. The formulation of Claim 4 wherein said alkylsulfonic acid is selected from decanesulfonic acid or a salt thereof. The formulation of Claim 1 comprising 0.01-2% w/w of a LHRH analog; 0.01-2% w/w of a lipophilic counterion as defined therein; 0.5-50% w/w ethyl alcohol; 0.1 - 15% w/w water; 0.05 - 6% w/w of a surfactant as defined therein; and q.s. propellant. The formulation of Claim 6 wherein the LHRH analog is leuprolide acetate. The formulation of Claim 6 wherein said lipophilic counterion is selected from alkylsulfonic acids of from 5 to 12 carbon atoms or a salt thereof. The formulation of Claim 8 wherein said alkylsulfonic acid is selected from decanesulfonic acid or a salt thereof. The formulation of Claim 6 wherein said surfactant is sorbitan monooleate. The formulation of Claim 6 wherein said propellant is a chlorofluorocarbon. The formulation of Claim 11 wherein said chlorofluorocarbon is dichlorodifluoromethane. The formulation of Claim 1 comprising 0.01 - 2% w/w leuprolide acetate; 0.01 - 2% w/w 1-decanesulfonic acid sodium salt; 0.5 - 50% w/w ethyl alcohol; 0.1 - 15% w/w water; 0.05 - 6% w/w sorbitan monooleate; and q.s. dichlorodifluoromethane. The aerosol formulation of Claim 13 comprising 20% w/w ethyl alcohol; 1.3% w/w sorbitan monooleate; 0.2% w/w 1-decanesulfonic acid sodium salt; 1.8% w/w water; 1% w/w leuprolide acetate; and 75.7% w/w dichlorodifluoromethane. Claims for the following Contracting States : ES, GR A process for preparing a solution aerosol formulation of a LHRH analog comprising admixing a LHRH analog; a lipophilic counterion selected from an alkylsulfonic acid of from 5 to 12 carbon atoms, palmitic acid, dioctylsulfosuccinic acid, stearic acid, and salicylic acid, or a salt thereof; water; ethyl alcohol; a surfactant selected from mono- or diglycerides, sorbitan fatty acid esters, polyoxyethylene sorbitan fatty acid esters, polyoxyethylene sorbitol esters, polyoxyethylene acids, polyoxyethylene alcohols, and polyoxyethylene adducts; and a propellant. The process of Claim 1 wherein the LHRH analog is leuprolide acetate. The process of Claim 1 for preparing a solution aerosol formulation comprising admixing 0.001 - 15 mg/g of LHRH analog; 0.05 - 10 mg/g of said lipophilic counterion; 0.1 - 15% w/w water; 0.5 - 60% w/w ethyl alcohol; and q.s. propellant. The process of Claim 1 wherein said lipophilic counterion is selected from alkylsulfonic acids of from 5 to 12 carbon atoms or a salt thereof. The process of Claim 4 wherein said alkylsulfonic acid is selected from decanesulfonic acid or a salt thereof. The process of Claim 1 comprising admixing 0.01-2% w/w of a LHRH analog; 0.01-2% w/w of a lipophilic counterion as defined therein; 0.5-50% w/w ethyl alcohol; 0.1 - 15% w/w water; 0.05 - 6% w/w of a surfactant as defined therein; and q.s. propellant. The process of Claim 6 wherein the LHRH analog is leuprolide acetate. The process of Claim 6 wherein said lipophilic counterion is selected from alkylsulfonic acids of from 5 to 12 carbon atoms or a salt thereof. The process of Claim 8 wherein said alkylsulfonic acid is selected from decane sulfonic acid or a salt thereof. The process of Claim 6 wherein said surfactant is sorbitan monooleate. The process of Claim 6 wherein said propellant is a chlorofluorocarbon. The process of Claim 11 wherein said chlorofluorocarbon is dichlorodifluoromethane. The process of Claim 1 comprising admixing 0.01 - 2% w/w leuprolide acetate; 0.01 - 2% w/w 1-decanesulfonic acid sodium salt; 0.5 - 50% w/w ethyl alcohol; 0.1. - 15% w/w water; 0.05 - 6% w/w sorbitan monooleate; and q.s. dichlorodifluoromethane. The process of Claim 13 comprising admixing 20% w/w ethyl alcohol; 1.3% w/w sorbitan monooleate; 0.2% w/w 1-decanesulfonic acid sodium salt; 1.8% w/w water; 1% w/w leuprolide acetate; and 75.7% w/w dichlorodifluoromethane.

Inventors: ADJEI, AKWETE L., JOHNSON, EDWIN S., KESTERSON, JAMES W.
Applicants: ABBOTT LABORATORIES
Application year: 1987
Main classification: A61K9
IPC codes: A61K38, A61K47, A61K9