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Regimen Untuk Kanker Limfoma
Regimen Untuk Kanker Limfoma
US006194395Bl
(75) Inventors: Thomas W. Schultz, Richboro, PA 4,719,295 * 1/1988 Cook et al. 536/26
(US); Rainer Naeff, Langwiesen (CH) 4,727,064 * 2/1988 Pitha 514/58
4,764,604 8/1988 Muller 536/103
(73) Assignee: Orthro-McNeil Pharmaceutical, Inc., 5,641,757 6/1997 Bornstein et al. 514/46
Raritan, NJ (US) 5,681,822 * 10/1997 Bornstein et al. 514/46
(51) Int. Cl.7 AOlN 43/04; AOlN 43/90; There is provided by the present invention liquid injectable
A61K 31/715; A61K 31/52 and oral solid pharmaceutical dosage forms containing a
mixture of cladribine (2-chloro-2'-deoxyadenosine; 2-CdA)
(52) U.S. Cl. 514/58; 514/266 and cyclodextrin.
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US 6,194,395 Bl
1 2
CYCLODEXTRIN CLADRIBINE route. Recrystallisation of cladribine in the tissue may occur
FORMULATIONS and damage the surrounding tissue.
Thus, there is a need for new formulations of cladribine
This invention relates to pharmaceutically useful cyclo• which allow the subcutaneous or intramuscular injection of
dextrin formulations of cladribine (2-chloro-2'• 5 more concentrated aqueous solutions of cladribine which are
deoxyadenosine; 2-CdA). More particularly, this invention isotonic and isohydric. Further, there is a need for oral
relates to soluble aqueous formulations of cladribine with formulations of cladribine which are stable against
cyclodextrin solubilizers which are injectable in humans, as hydrolysis, particularly in an acid environment.
well as oral solid dosage forms containing a mixture of �-cyclodextrin is a cyclic compound consisting of seven
cladribine and cyclodextrins. 10
units of a-(1-4) linked D-gluco-pyranose units and is
known as a complexing agent. Cyclodextrins are known in
BACKGROUND OF THE INVENTION the art to possess the ability to form inclusion complexes and
The compound cladribine has the following formula: to have concomitant solubilizing properties. The properties
of cyclodextrins and their properties have been reviewed in
15
detail [see Szejtli, J. Cyclodextrin technology, (1988) Klu•
wer Academic Publishers, Dordrecht].
Cladribine 1.0-15.0 mg/ml A typical oral dosage form of the present invention may
2-Hyroxypropyl-13-Cyclodextrin (parenteral grade) 1.0-350.0 mg/ml have a formulation containing various components in accor-
Sodium Dihydrogenphosphate Dihydrate 0.0-24 mg/ml 25 dance with the following:
di-Sodium Hydrogenphosphate Dihydrate 0.0-48 mg/ml
Water for Injection ad 100.0 Milled extrudate
then cooled and prepared into pellets which can be used to 60 The invention is illustrated, but in no way limited, by the
prepare conventional solid pharmaceutical dosage forms. In following examples.
doing so, the extrudate may be admixed with various excipi•
ents commenly used in pharmaceutical tablets and coated in EXAMPLE 1
an art-known way.
For example, suitable tablets may be prepared in the 65 The formulation of Table 1 was prepared and found to be
conventional way having one or more of the following suitable for use as an injectable and pharmaceutically useful
excipients: solution. The pH of the solution is about 7.3.
US 6,194,395 Bl
7 8
Table 1 3. The solution of claim 1 wherein the cyclodextrin is
Composition: (mg/ml) selected from 2-Hydroxypropyl-�-Cyclodextrin.
4. The solution of claim 1 comprising about 5 to about 12
TABLE 1 mg/ml cladribine.
5
5. The solution of claim 1 comprising about 10 mg/ml
Composition: (mg/ml)
cladribine.
Cladribine 10.0 6. The solution of claim 1 comprising about 20% w/v
2-Hyroxypropyl-13-Cyclodextrin (parenteral grade) 275.0
Sodium Dihydrogenphosphate Dihydrate 1.2 2-Hydroxypropyl-�-Cyclodextrin.
di-Sodium Hydrogenphosphate Dihydrate 2.4 10 7. The solution of claim 1 comprising the following
Water for Injection 797.5
formula:
Procedure:
The cylodextrin and the buffer salts were solved in Water Composition: (mg/ml)
15
for Injection and an excess of Cladribine was added. The
solution was shaken during 5 days at room temperature and Cladribine 10.0
4° C. The solution was filtered through a 0.2 µm filter. 2-Hyroxypropyl-13-Cyclodextrin (parenteral grade) 275.0
Sodium Dihydrogenphosphate Dihydrate 1.2
EXAMPLE 2 di-Sodium Hydrogenphosphate Dihydrate 2.4
Water for Injection. 797.5.
The solubility of cladribine in water at various concen- 20
trations of 2-Hydroxypropyl-�-Cyclodextrin (HPCD) was
measured by high performance liquid chromatography. The 8. A solid pharmaceutical oral dosage form of cladribine
normal solubility of cladribine in water is about 4.52 mg/ml. comprising:
Table 2 sets forth the results of the solubility measurements a) from about 1 to about 15 mg cladribine or its pharma•
for the HPCD/cladribine formulation of Example 1. 25
ceutically acceptable salts; and
b) from about 100 mg to about 500 mg of a cyclodextrin;
TABLE 2
in association with one or more pharmaceutically accept•
% HP-!3-CD (W!W) pH Solubility of Cladribine at 4° C.
able carriers.
30
10 7.3 4.93 9. The composition of claim 8 wherein the cyclodextrin is
15 7.3 6.51 selected from an a-cyclodextrin, a �-cyclodextrin, a
20 7.3 8.27
25 7.3 9.91 y-cyclodextrin, and a derivative thereof.
10. The composition of claim 8 wherein the cyclodextrin
% HP-!3-CD (W!W) pH Solubility of Cladribine (mg/ml) at RT
35 is selected from 2-Hydroxypropyl-�-Cyclodextrin.
10 7.3 6.4 11. The composition of claim 8 comprising about 5 to
15 7.3 8.47 about 15 mg cladribine.
20 7.3 10.48
25 7.3 12.36 12. The composition of claim 8 comprising about 10 mg
cladribine.
40
13. The composition according to claim 8 prepared by
The foregoing results demonstrate a greatly increased melt-extrusion, where the cladribine is embedded in a cyclo•
solubility of cladribine in water through use of the cyclo•
dextrin carrier.
dextrin formulation of the present invention.
14. A solid composition according to claim 8 prepared by
EXAMPLE 3 45 melt-extrusion having the following formula:
A solution of 10 mg/ml cladribine in 20% HPCD was Milled Extrudate
prepared by heating the mixture to 80° C. for 5 minutes. A
complex of caldribine/HPCD is formed at a 1:1.5 molar
ratio. The effect of the HPCD on the stability of cladribine
at pH 1.4 and 8.2 at room temperature was measured. The 50 Cladribine 1 mg to 15 mg
results are shown in FIG. 1. Cyclodextrin 100 mg to 500 mg
As shown in FIG. 1, the cladribine/EPCD complex was
significantly more stable at pH 1.4 than the cladribine
solution prepared without HPCD. Excipients
We claim: 55
1. A solution of cladribine in water comprising:
a) from about 1 to about 15 mg/mL of cladribine or its Microcrysstalline Cellulose 100 mg to 200 mg
pharmaceutically acceptable salts; and Crospovidone Binders 10 mg to 200 mg
b) from about 1 to about 350 mg/ml cyclodextrin solu- Colloidal Silicone Dioxide 1 mg to 5 mg
Sterotex 2 mg to 10 mg.
bilizing agent. 60
2. The solution of claim 1 wherein the cyclodextrin is
selected from an a-cyclodextrin, a �-cyclodextrin, a
y-cyclodextrin, and a derivative thereof.
* * * * *