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2005-05-03
10/408,321
2003-04-08
US 6,887,888 B2
2005-05-03
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Raymond J. Henley III
2023-04-19
Aqueous compositions of nonsteroidal triphenylethylene antiestrogens for pharmaceutical use comprising as a solubility enhancing agent a pharmaceutically acceptable mono- or dicarboxylic acid having 1-5 carbon atoms, wherein the carbon chain may further contain 1-4 hydroxyl, 1-3 oxo, or one or several halogen substituents, or a corresponding anion thereof, or methanesulfonic acid or its corresponding anion, in molar excess with respect to the triphenylethylene antiestrogen, optionally together with an organic water miscible co-solvent such as polyethylene glycol (PEG), propylene glycol, ethanol or isopropanol.
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This is a division of application Ser. No. 09/868,179, filed on October 2, 2001, now U.S. Pat. No. 6,632,841, which is a national stage filing of PCT International Application No. PCT/FI99/01046, filed on December 16, 1999, which claims the benefit of priority to Finnish patent application no. 982733, filed on Dec. 17, 1998.
The present invention relates to aqueous solutions of nonsteroidal triphenylethylene antiestrogens for pharmaceutical use and to methods for the preparation thereof.
Toremifene, tamoxifen, 3-hydroxytamoxifen (droloxifene), 4-hydroxy-tamoxifen, idoxifene, raloxifene, levormeloxifene, centchroman, clomiphene and their pharmaceutically acceptable salts are examples of nonsteroidal triphenylethylene antiestrogens useful in the treatment of estrogen dependent disorders, e.g. in the prevention or treatment of estrogen receptor positive breast cancer. This class of compounds share the triphenylethylene structure and the compounds are generally very poorly soluble to water. There is a need for stable aqueous formulations of nonsteroidal triphenylethylene antiestrogens and their pharmaceutically acceptable salts, which would be suitable for e.g. high concentration parenteral, transdermal or topical formulations. Parenteral formulations of toremifene in the form of an emulsion, liposome or cyclodextrin complex have been described in WO 93/11757. Transdermal formulations of toremifene in DMSO/ethanol/methylcellulose/water have been described in WO 93/19746. Percutaneous hydroalcoholic gel of 4-hydroxytamoxifen has been described in U.S. Pat. No. 4,919,937. However, these prior formulations are cumbersome to prepare, are irritating or do not provide sufficiently high concentration solutions of nonsteroidal triphenylethylene antiestrogens.
It has been found that aqueous solutions of nonsteroidal triphenylethylene antiestrogens and their pharmaceutically acceptable salts with high drug concentrations can be prepared by using as a solubility enhancing agent a pharmaceutically acceptable mono- or dicarboxylic acid having 1-5 carbon atoms, wherein the carbon chain may further contain 1-4 hydroxyl, 1-3 oxo, or one or several halogen substituents, or a corresponding anion thereof, or methanesulfonic acid or its corresponding anion, in molar excess with respect to the triphenylethylene antiestrogen. Furthermore, it was found that pH of such formulations can be increased to nearly neutral without precipitation of the triphenylethylene drug if the solubility enhancing agent is used together with an organic water miscible co-solvent, preferably polyethylene glycol (PEG), propylene glycol, ethanol or isopropanol or a combination thereof.
The present invention provides an aqueous composition of a nonsteroidal triphenylethylene antiestrogen or a pharmaceutically acceptable salt thereof comprising as a solubility enhancing agent a pharmaceutically acceptable mono- or dicarboxylic acid having 1-5 carbon atoms, wherein the carbon chain may further contain 114 hydroxyl, 1-3 oxo, or one or several halogen substituents, or a corresponding anion thereof, or methanesulfonic acid or its corresponding anion, in molar excess with respect to the triphenylethylene antiestrogen.
The present invention also provides an aqueous composition of a nonsteroidal triphenylethylene antiestrogen or a pharmaceutically acceptable salt thereof comprising as a solubility enhancing agent a pharmaceutically acceptable mono- or dicarboxylic acid having 1-5 carbon atoms, wherein the carbon chain may further contain 1-4 hydroxyl, 1-3 oxo, or one or several halogen substituents, or a corresponding anion thereof, or methanesulfonic acid or its corresponding anion, in molar excess with respect to the triphenylethylene antiestrogen together with an organic water miscible co-solvent.
The present invention further provides a method for preparing aqueous composition of a nonsteroidal triphenylethylene antiestrogen or a pharmaceutically acceptable salt thereof comprising contacting a nonsteroidal triphenylethylene antiestrogen or a pharmaceutically acceptable salt thereof with aqueous media and a solubility enhancing agent selected from a group consisting of a pharmaceutically acceptable mono- or dicarboxylic acid having 1-5 carbon atoms, wherein the carbon chain may further contain 1-4 hydroxyl, 1-3 oxo, or one or several halogen substituents, or a corresponding anion thereof, or methanesulfonic acid or its corresponding anion, in molar excess with respect to the triphenylethylene antiestrogen.
The present invention also provides a method for preparing aqueous composition of a nonsteroidal triphenylethylene antiestrogen or a pharmaceutically acceptable salt thereof comprising contacting a nonsteroidal triphenylethylene antiestrogen or a pharmaceutically acceptable salt thereof with aqueous media, an organic water miscible co-solvent and a solubility enhancing agent selected from a group consisting of a pharmaceutically acceptable mono- or dicarboxylic acid having 1-5 carbon atoms, wherein the carbon chain may further contain 1-4 hydroxyl, 1-3 oxo, or one or several halogen substituents, or a corresponding anion thereof, or methanesulfonic acid or its corresponding anion, in molar excess with respect to the triphenylethylene antiestrogen.
The solubility enhancing agent is used in molar excess with respect to the nonsteroidal triphenylethylene antiestrogen. Preferably, the solubility enhancing agent is used in at least about 1.5 fold, more preferably at least about 2 fold, molar excess, e.g. from about 2 to about 100 fold, typically from about 2 to about 10 fold, with respect to the nonsteroidal triphenylethylene antiestrogen.
The carbon chain of the solubility enhancing agent of the invention may be straight or branched, saturated or unsaturated carbon chain.
Suitable solubility enhancing agents having branched carbon chain include citramalic acid and isobutyric acid, and the corresponding anions.
Suitable solubility enhancing agents having straight carbon chain include lactic acid, acetic acid, formic acid, methanesulfonic acid, 3-hydroxybutyric acid, glycolic acid, pyruvic acid, acrylic acid, propionic acid, trifluoroacetic acid, oxalic acid, malonic acid, maleic acid, tartaric acid and glutaric acid or the corresponding anions (lactate, acetate, formate, mesylate, 3-hydroxybutyrate, glycolate, pyruvate, acrylate, propionate, trifluoroacetate, oxalate, malonate, maleate, tartrate and glutarate).
Preferred solubility enhancing agents are mono or dicarboxylic acids having 1-4 carbon atoms and dicarboxylic acids having 5 carbon atoms, wherein the carbon chain may further contain 1-4 hydroxyl, 1-3 oxo, or one or several, e.g. 1-3, halogen substituents and the corresponding anions. Preferred halogen substituent is fluorine.
More preferred are mono- or dicarboxylic acids having 1-3 carbon atoms and dicarboxylic acids having 5 carbon atoms, wherein the carbon chain may further contain 1-2 hydroxyl or 1 oxo substituent, and the corresponding anions. Such solubility enhancing agents include lactic acid, acetic acid, formic acid, glycolic acid, pyruvic acid, acrylic acid, propionic acid, glutaric acid, oxalic acid or malonic acid, or the corresponding anions.
Still more preferred are monocarboxylic acids having 1-3 carbon atoms and dicarboxylic acids having 5 carbon atoms, wherein the carbon chain may further contain 1-2 hydroxyl substituent, and the corresponding anions. Lactic acid, acetic acid, formic acid, glycolic acid and glutaric acid and the corresponding anions are particularly preferred. Lactic acid and the corresponding anion (lactate) are most preferred.
Preferably the organic water miscible co-solvent is polyethylene glycol (PEG), propylene glycol, ethanol or isopropanol or a combination thereof. The amount of the organic water miscible co-solvent is usually from about 1% to about 75%, preferably from about 5% to about 50%, more preferably from about 10% to about 30%, by weight of the formulation.
The formulations of the invention can be prepared e.g. by mixing the acid and/or corresponding salt thereof, purified water, and optionally the organic water miscible co-solvent together, and adding thereafter triphenylethylene antiestrogen or salt thereof and agitating the mixture. For example, up to about 50 w-% solutions of a triphenylethylene antiestrogen or salt thereof can be prepared using this procedure. pH of the solution may be adjusted with a water solution of the corresponding acid salt or e.g. sodium hydroxide. Generally, when pH is increased, solubility of a triphenylethylene antiestrogen is decreased. However, by using the organic water miscible co-solvent of the invention solutions having pH only slightly acidic or nearly neutral can be prepared. Highest drug concentrations are obtained when the pH of the solution is below 7, in particular below pH 6. Preferably the pH of the formulation of the invention is between 4 and 7, more preferably between 5 and 7.
Various additives used in the art such as preservatives, e.g. parabens, sodium benzoate or benzoic acid, or various combinations thereof may be used. The solutions of the invention are suitable in the preparation of e.g. high concentration parenteral, transdermal or topical formulations.
The following experiments demonstrate that the water-solubility of a nonsteroidal triphenylethylene antiestrogen or a pharmaceutically acceptable salt thereof can be dramatically improved by using the solubility enhancing agent according to the invention. The experiments also compare the effect of solubility enhancing agents of the invention to other acids such as hydrochloric acid, gluconic acid or citric acid. The experiments also demonstrate that by using an organic water miscible co-solvent according to the invention pH of the solutions can be increased without precipitation of the drug, even if the organic water miscible co-solvents of the invention alone are not able to significantly solubilize the drug.
Experiments
| Toremifene base | 18.4% | |
| Glacial acetic acid | 9.0% | |
| Purified water | 72.6% | |
| Toremifene base | 52.6% | |
| Lactic acid (85%) | 24.0% | |
| Purified water | 23.4% | |
| Toremifene base | 8.2% | |
| Formic acid | 1.6% | |
| Purified water | 90.2% | |
| Toremifene base | 16.7% | |
| Methanesulfonic acid | 66.6% | |
| Purified water | 16.7% | |
| Tamoxifen base | 44.2% | |
| Glacial acetic acid | 27.9% | |
| Purified water | 27.9% | |
| Tamoxifen base | 44.0% | |
| Lactic acid (85%) | 28.0% | |
| Purified water | 28.0% | |
| Tamoxifen base | 5.0% | |
| Formic acid | 10.4% | |
| Purified water | 84.6% | |
| Tamoxifen base | 16.7% | |
| Methanesulfonic acid | 66.6% | |
| Purified water | 16.7% | |
| Toremifene base | 3.7% | |
| Lactic acid (85%) | 1.7% | |
| Sodium lactate (50%) | 4.4% | |
| Purified water | 90.2% | |
| Toremifene base | 36.3% | |
| Lactic acid (85%) | 18.2% | |
| Sodium hydroxide 2 M | 27.3% | |
| Purified water | 18.2% | |
| Toremifene base | 9.1% | |
| Hydrochlorid acid 1 N | 31.8% | |
| Purified water | 59.1% | |
| Toremifene base | 1.0% | |
| Gluconic acid (30%) | 10.6% | |
| Ethanol (96%) | 88.3% | |
| Toremifene base | 13.6% | |
| Lactic acid (85%) | 6.8% | |
| Purified water | 13.6% | |
| Sodium lactate (50%) | 52.4% | |
| Ethanol (96%) | 13.6% | |
| Toremifene base | 36.60% | |
| Lactic acid (85%) | 18.35% | |
| Purified water | 18.35% | |
| Sodium hydroxide (10 M) |  8.35% | |
| Ethanol (96%) | 18.35% | |
| Toremifene base | 27.5% | |
| Lactic acid (85%) | 13.75% | |
| Purified water | 27.5% | |
| Sodium hydroxide (10 M) |  3.75% | |
| PEG 400A | 27.5% | |
| Toremifene base | 17.7% | |
| Lactic acid (85%) |  9.3% | |
| Purified water | 18.5% | |
| Sodium lactate (50%) | 36.0% | |
| Isopropanol | 18.5% | |
| Tamoxifen base | 11.1% | |
| Lactic acid (85%) |  5.5% | |
| Purified water | 11.1% | |
| Sodium lactate (50%) | 61.1% | |
| Ethanol (96%) | 11.2% | |
| Tamoxifen base | 36.5% | |
| Lactic acid (85%) | 18.3% | |
| Purified water | 18.3% | |
| Sodium hydroxide (10 M) |  8.6% | |
| Ethanol (96%) | 18.3% | |
| Tamoxifen base | 22.2% | |
| Lactic acid (85%) | 11.1% | |
| Purified water | 22.3% | |
| Sodium lactate (50%) | 22.2% | |
| PEG 400A | 22.2% | |
| Tamoxifen base | 22.2% | |
| Lactic acid (85%) | 11.1% | |
| Purified water | 22.3% | |
| Sodium lactate (50%) | 22.2% | |
| Isopropanol | 22.2% | |
| Toremifene citrate | 15% | |
| Purified water | 20% | |
| Sodium lactate (50%) | 40% | |
| PEG 300 | 15% | |
| Ethanol (96%) | 10% | |
| Toremifene base | 28.10% | |
| Purified water | 14.05% | |
| Lactic acid (85%) | 11.1% | |
| PEG 300 | 29.20% | |
| Ethanol (96%) | 14.05% | |
| Sodium hydroxide (10 M) |  0.55% | |
| Toremifene base | 17.5% | |
| Acetic acid |  8.7% | |
| Ethanol (96%) | 73.8% | |
| Toremifene base | 14.6% | |
| Acetic acid |  7.3% | |
| Ethanol (96%) | 29.4% | |
| Purified water | 43.9% | |
| Sodium hydroxide (10 M) |  4.8% | |
| Toremifene base | 13.3% | |
| Purified water | 13.3% | |
| Lactic acid (85%) |  6.7% | |
| Sodium lactate (50%) | 53.3% | |
| Propylene glycol |  6.7% | |
| Ethanol (96%) |  6.7% | |
| Toremifene base |  8.3% | |
| Glycolic acid (20%) | 41.5% | |
| Ethanol (96%) | 42.1% | |
| Sodium hydroxide (10 M) |  8.1% | |
| Toremifene base |  7.6% | |
| Pyruvic acid (30%) | 41.1% | |
| Ethanol (96%) | 38.6% | |
| Sodium hydroxide (10 M) | 12.7% | |
| Toremifene base |  8.2% | |
| Acrylic acid (20%) | 40.4% | |
| Ethanol (96%) | 42.8% | |
| Sodium hydroxide (10 M) |  8.6% | |
| Toremifene base |  8.1% | |
| Propionic acid (20%) | 41.9% | |
| Ethanol (96%) | 41.0% | |
| Sodium hydroxide (10 M) |  8.9% | |
| Toremifene base |  5.2% | |
| Trifluoroacetic acid | 26.3% | |
| Purified water | 17.7% | |
| Ethanol (96%) | 26.2% | |
| Sodium hydroxide (10 M) | 24.6% | |
| Toremifene base | 2.4% | |
| Oxalic acid dihydrate (10%) | 61.0% | |
| Ethanol (96%) | 36.6% | |
| Toremifene base | 4.4% | |
| Malonic acid (40%) | 44.5% | |
| Ethanol (96%) | 22.9% | |
| Sodium hydroxide (10 M) | 28.2% | |
| Toremifene base | 8.8% | |
| Maleic acid (30%) | 44.7% | |
| Ethanol (96%) | 46.5% | |
| Toremifene base | 9.1% | |
| Tartaric acid (30%) | 45.4% | |
| Ethanol (96%) | 45.5% | |
| Toremifene base | 7.2% | |
| Glutaric acid (30%) | 40.1% | |
| Ethanol (96%) | 37.0% | |
| Sodium hydroxide (10 M) | 15.7% | |
| Toremifene base | 2.9% | |
| 3-hydroxybutyric acid (25%) | 57.3% | |
| Ethanol (96%) | 28.9% | |
| Sodium hydroxide (10 M) | 10.9% | |
| Toremifene base | 1.0% | |
| Citric acid (30%) | 10.3% | |
| Ethanol (96%) | 88.7% | |
| Toremifene citrate | 1.0% | |
| PEG 300 | 99.0% | |
Solubility of toremifene citrate in ethanol is about 3 mg/ml.
Solubility of toremifene citrate in 0.1 M HCl is about 0.03 mg/ml.
1. An aqueous solution of a nonsteroidal triphenylethylene antiestrogen or a pharmaceutically acceptable salt thereof, comprising the nonsteroidal triphenylethylene antiestrogen or pharmaceutically acceptable salt thereof and, as a solubility enhancing agent,
a pharmaceutically acceptable mono- or dicarboxylic acid having 1-5 carbon atoms, wherein the carbon chain may further contain 1-4 hydroxyl, 1-3 oxo, or one or several halogen substituents, or a corresponding anion thereof, or
methanesulfonic acid or its corresponding anion,
in molar excess with respect to the triphenylethylene antiestrogen, with the proviso that the monosteroidal triphenylethylene antiestrogen or pharmaceutically acceptable salt thereof is not in the form of cyclodextrin inclusion complex.
2. An aqueous solution of claim 1, comprising together with the solubility enhancing agent an organic water miscible co-solvent.
3. An aqueous solution of claim 2, wherein the co-solvent is polyethylene glycol (PEG), propylene glycol, ethanol or isopropanol.
4. An aqueous solution according to claim 1, wherein the solubility enhancing agent is used in at least about 1.5 fold molar excess with respect to the nonsteroidal triphenylethylene antiestrogen.
5. An aqueous solution according to claim 1, having a pH value from 4 to 7.
6. An aqueous solution according to claim 1, wherein the nonsteroidal triphenylethylene antiestrogen is toremifene, tamoxifen, droloxifene, 4-hydroxytamoxifen, idoxifene, raloxifene, levormeloxifene, centchroman, clomiphene or a pharmaceutically acceptable salt thereof.
7. A method for preparing an aqueous solution of a nonsteroidal triphenylethylene antiestrogen or a pharmaceutically acceptable salt thereof, comprising contacting the nonsteroidal triphenylethylene antiestrogen or pharmaceutically acceptable salt thereof with aqueous media and a solubility enhancing agent selected from the group consisting of
a pharmaceutically acceptable mono- or dicarboxylic acid having 1-5 carbon atoms, wherein the carbon chain may further contain 1-4 hydroxyl, 1-3 oxo, or one or several halogen substituents, or a corresponding anion thereof, or
methanesulfonic acid or its corresponding anion,
in molar excess with respect to the triphenylethylene antiestrogen, with the proviso that the nonsteroidal triphenylethylene antiestrogen or a pharmaceutically acceptable salt thereof is not in the form of cyclodextrin inclusion complex.
8. A method for preparing an aqueous solution of a nonsteroidal triphenylethylene antiestrogen or a pharmaceutically acceptable salt thereof comprising contacting the nonsteroidal triphenylethylene antiestrogen or pharmaceutically acceptable salt thereof with aqueous media, an organic water miscible co-solvent and a solubility enhancing agent selected from the group consisting of
a pharmaceutically acceptable mono- or dicarboxylic acid having 1-5 carbon atoms, wherein the carbon chain may further contain 1-4 hydroxyl, 1-3 oxo, or one or several halogen substituents, or a corresponding anion thereof, or
methanesulfonic acid or its corresponding anion,
in molar excess with respect to the triphenylethylene antiestrogen, with the proviso that the nonsteroidal triphenylethylene antiestrogen or a pharmaceutically acceptable salt thereof is not in the form of cyclodextrin inclusion complex.
9. A method of claim 8, wherein the co-solvent is polyethylene glycol (PEG), propylene glycol, ethanol or isopropanol.
10. An aqueous solution according to claim 1, wherein the solubility enhancing agent is used in at least about 2 fold, molar excess with respect to the nonsteroidal triphenylethylene antiestrogen.