LHRH Analog formulations

Abstract: The invention relates to novel 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. Known from FR-A-2205 307 is a nasal spray composition comprising an LHRH Suspension in oil, a surfactant and a propellant. 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. Further, since suspension aerosols require micronization of the LHRH analogs, usually in air for efficiency reasons, and the LHRH analogs are biologically hazardous in low concentrations, suspension aerosols of LHRH analogs have not been considered feasible. 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 with 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. Preparing suspension aerosols requires micronization of the drug prior to manufacture of the aerosol. This process involves mechanical breakup of the powder using grinding or milling equipment to reduce drug particle size to below 10 µm which is essential for pulmonary deposition of the aerosol. Generally, this milling process results in significant exposure of the drug to the surrounding environment as well as up to 20% loss of the drug. The airborne LHRH analog particles can cause safety and health hazards if precautionary measures are not taken. Disclosure of the Invention The technical and safety hazards associated with preparing suspension aerosols can be overcome by liquid milling LHRH analogs and using a low boiling liquid propellant. 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 suspension aerosol formulations for administration of LHRH analogs comprise: 1. LHRH analogs (active ingredient) 2. surfactant (dispersing agent) 3. propellant and optionally 4. Freon II (trichlorofluoromethane) and/or Absolute alcohol 5. surfactant (wetting agent and valve lubricant) 6. antioxidant 7. flavor/fragrance. Illustrative of such formulations are those comprising 0.01-5% w/w LHRH analog, 0.05-10% w/w surfactant, 0-55% w/w trichlorofluoromethane and/or absolute alcohol and 30-99% w/w propellant. The preferred suspension formulation of the invention is as follows: Ingredient Ranges Trichlorofluoromethane 0.00 - 55.00% w/w Sorbitantrioleate 0.05 - 10.00% w/w Dichlorodifluoromethane 30.00 - 99.00% w/w Leuprolide Acetate 0.01 - 5.00% w/w Best Mode for Carrying Out the Invention The suspension aerosol composition for administration of LHRH analogs comprises: Ingredient Range Trichlorofluoromethane 0.00 - 550 mg/gm Sorbitantrioleate 0.05 - 100 mg/gm LHRH·Analog 0.01 - 50 mg/gm Dichlorodifluoromethane 30.00 - 990 mg/gm As used herein, "% w/w" refers to weight of ingredient per weight of formulation multiplied by 100. As used herein, the term "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 "propellant" refers to chlorofluorocarbons or hydrocarbons including but not limited to trichlorofluoromethane, dichlorodifluoromethane, chlorodifluoromethane and dichlorotetrafluoroethane. A preferred suspension aerosol contains approximately 10% w/w trichlorofluoromethane, 3% w/w sorbitan trioleate, 1.0% w/w leuprolide acetate, and 86% w/w dichlorodifluoromethane. This formulation has good spray characteristics and has satisfactory physical and chemical stability. This formulation can be prepared as follows: a) Add the leuprolide and glass or tungsten beads to the milling chamber (Dyno Mill obtained from Glen Mills, Inc., Maywood, N.J.). b) Add the trichlorofluoromethane and an appropriate amount of surfactant to the milling chamber. c) Close milling chamber tightly, and begin to chill the slurry to approximately -20°C. d) Mill the slurry by circulation either continuously or in batches until the particles are in the appropriate respirable size range. e) Empty the slurry into aerosol containers. Add propellant and crimp containers using either cold fill or pressure fill method. f) Check for leaks in warm water bath.

Claims: Claims for the following Contracting States : AT, BE, CH, DE, FR, GB, IT, LI, LU, NL, SE A suspension aerosol formulation comprising an LHRH analog, surfactant, propellant and optionally trichlorofluoromethane and/or absolute alcohol as the only excipients. The formulation of Claim 1 comprising 0.01-5% w/w LHRH analog, 0.05-10% w/w surfactant, 0-55% w/w trichlorofluoromethane and/or absolute alcohol and 30-99% w/w propellant. The formulation of Claim 2 comprising 0.01-5% w/w leuprolide acetate, 0.05-10% w/w sorbitantrioleate, 0-55% w/w trichlorofluoromethane and 30-99% w/w dichlorodifluoromethane. The formulation of Claim 3 consisting of 1% w/w leuprolide acetate, 3% w/w sorbitantrioleate, 10% w/w trichlorofluoromethane and 86% w/w dichlorodifluoromethane. Claims for the following Contracting States : ES, GR A process for preparing a suspension aerosol formulation comprising admixing an LHRH analog, surfactant, propellant and optionally trichlorofluoromethane and/or absolute alcohol as the only excipients. The process of Claim 1 comprising admixing 0.01-5% w/w LHRH analog, 0.05-10% w/w surfactant, 0-55% w/w trichlorofluoromethane and/or absolute alcohol and 30-99% w/w propellant. The process of Claim 2 comprising admixing 0.01-5% w/w leuprolide acetate, 0.05-10% w/w sorbitantrioleate, 0-55% w/w trichlorofluoromethane and 30-99% w/w dichlorodifluoromethane. The process of Claim 3 comprising admixing 1% w/w leuprolide acetate, 3% w/w sorbitantrioleate, 10% w/w trichlorofluoromethane and 86% w/w dichlorodifluoromethane as the only ingredients. The process of Claim 4 comprising the steps of adding the leuprolide acetate and glass or tungsten beads to a milling chamber, adding the trichlorofluoromethane and surfactant to the milling chamber, chilling the resulting slurry to about -20°C, milling the slurry by circulation either continuously or in batches until the particles are in a respirable size range, emptying the slurry into aerosol containers, and adding propellant.

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