[0001] The present invention relates generally to cancer therapeutics. More particularly
it is directed to novel pharmaceutical compositions of water insoluble anticancer
taxane drugs which include paclitaxel and docetaxel.
BACKGROUND AND SUMMARY OF THE INVENTION
[0002] Paclitaxel is a taxane and a member of the terpenoid family of compounds present
in very small quantities in the Taxus brevifolia species such as the pacific Yew tree.
These compounds, collectively known as taxoids, taxins or taxanes, have potent anticancer
properties in, among others, ovarian cancer, lymphoma, and breast cancer. Because
of its poor solubility in water, the current commercial formulation of paclitaxel
is prepared by dissolving 6 mg of the drug in one milliliter of a mixture of polyoxyethylated
castor oil (Cremophor® (EL) and dehydrated alcohol. The commercially available paclitaxel
formulation is for intravenous administration only. There exists no commercial formulation
of paclitaxel, which can be administered orally. The commercial injectable formulation
is physically unstable especially for treatments requiring long infusion time. The
infusate may contain up to 10% each of alcohol and Cremophor® EL. The physical stability
of the paclitaxel formulation may be increased by increasing the amounts of Cremophor®
EL in the formulation, but may also lead to an increased incidence of adverse reactions.
Yet another approach as described in U.S. patent 5,681,846 is to decrease the drug
and Cremophor® concentration and increase the alcohol content in the formulation.
[0003] An undesirable effect of Cremophor® EL in paclitaxel and other drug formulations
is the production of possible anaphylactoid reaction with associated dyspnea, hypotension,
angioedema and uticaria. Cremophor® EL is also known to extract plasticizers such
as diethylhexyl-phthalate from the polymers commonly used intravenous infusion tubings
and infusion bags. These plasticizers are known to promote toxic reactions, such as
Adult Respiratory Distress Syndrome (ARDS), in patients which have been exposed to
high levels.
[0004] Various other methods have been used to increase the water solubility of paclitaxel
and other anticancer drugs, for example, by conjugation of the water insoluble drug
moiety with water soluble polymers as taught by U.S. patent 5,437,055, WO 97/10849,
and WO 97/33552. While WO 94/12031 teaches that a composition of paclitaxel with Cremophor®EL,
absolute alcohol and citric acid increases the stability however, no mention is made
if the proposed composition increases the solubility of paclitaxel. Others have used
liposome preparations as a means of eliminating Cremophor®EL and reducing vehicle
toxicity as described by Sharma et al (Pharm. Res. 11:889-896, 1994). An oil-in-water
emulsion (U.S. patent 5,616,330) is another approach to preparing Cremophor® free
paclitaxel formulation. The latter two formulation approaches have limitations in
terms of low degree of drug loading. Yet another approach uses cyclodextrins to make
a water-soluble formulation ofpaclitaxel as described in WO 94/26728.
[0005] The present invention is based on a strong need for a safer and stable injectable
and oral formulation of taxanes such as paclitaxel and docetaxel.
[0006] U.S. patent 5,407,683 discloses a composition containing paclitaxel in squalene as
solution in absence of a surfactant and then forming a self-emulsifying glass by addition
of an aqueous sucrose solution followed by evaporation of water. The resulting glass
upon mixing with water forms an emulsion with a particle size in a range of 2 to 10
µm. The preparation of such glass requires the use of undesirable organic solvents,
which must be completely removed before medical use.
[0007] Quay et al describe a conventional oil-in-water emulsion system (WO 98/30205) consisting
of vitamin E as a carrier oil in which a drug may be dissolved, together with polyethyleneglycol
and related surfactants. Conventional emulsions have limited shelf life and are often
difficult to terminally heat sterilize or even filter sterilize. The particle size
of conventional emulsions is usually far greater than microemulsions.
[0008] Microemulsions are thermodynamically stable and optically transparent or opaque depending
on the particle size of the ernulsion. Microemulsions have a mean droplet size of
less than 200 nm, in general between 20-100 nm. In contrast to conventional emulsions,
the microemulsions are formed in the presence of an aqueous phase by self emulsification
without any energy input. In the absence of water, this self emulsifying system exists
as a transparent-looking mixture of oil and surfactants in which a lipophilic drug
is dissolved.
[0009] Wheeler et al describe an emulsion preparation (U.S. patent 5,478,860) containing
a mixture of paclitaxel, an oil and a polyethylene glycol-linked lipid which is covered
by a monolayer of a polar lipid such as phosphatidylglycerol or phosphatidylethanolamine.
This mixture, after homogenization in presence of an aqueous phase at appropriate
pressure, yields an emulsion with a particle size in the range of 100 nm. It is not
known if this is the mean or minimum particle size and if it is number weighted or
volume weighted. The necessity of using undesirable organic solvents for initial dissolution
of ingredients is not advisable even if the organic solvent is removed prior to use.
In addition to an elaborate evaporation step, the method requires input of energy
by way of high pressure homogenization adding to the overall cost. Because the preconcentrate
of a true microemulsion is usually non-aqueous, it can provide longer shelf life than
a regular emulsion which is in aqueous suspension.
[0010] Lacy et al disclose a capsule delivery system (U.S. patent 5,645,856) for oral delivery
of hydrophobic drugs containing a digestible oil, and a combination of surfactants.
The selection of surfactant is made such that it inhibits the in vivo lipolysis of
the oil.
[0011] Eugster discloses an ultra microemulsion system (Swiss Patent CH 688 504 A5) for
paclitaxel and its analogs composed of an oil and one or more surfactants providing
a formulation of the drug with a mean particle size of 2.2-3 nm thus approaching a
solution rather than an emulsion. It is not known if this formulation is useful for
oral, injectable or topical use.
[0012] There have been attempts to enhance oral activity of taxanes by co-administration
of taxanes with another drug such as cinchonine (WO 97/27855) or cyclosporin, ketoconazole
etc. (WO 97/15269). Similarly, WO 97/48689 describes the use of various carbocyclic
compounds in combination with anticancer drugs to enhance oral bioavailability of
the drug. All three of these approaches have the drawback of combination drug therapy
where a second drug with drastically different pharmacological activity is administered.
In practice such a drug combination approach is the last resort taken by those familiar
with the drug development process due to drastic increase in preclinical and clinical
regulatory requirement for approval resulting in increasing cost and time to market.
SUMMARY OF THE INVENTION
[0013] In accordance with the present invention it has now surprisingly been found that
particularly stable anticancer drug formulations, particularly the taxanes, that self
emulsify in aqueous medium giving an average particle size in a range of about .1
0 nm to about 10 microns .' and that have improved bioavailability characteristics,
are obtainable. Also described are self-emulsifying preconcentrates that disperse,
without the input of high energy (i.e., other than mixing energy to cause dispersion),
to form droplets of average size of up to about 10 microns.
[0014] Accordingly, this invention provides a storage-stable, self-emulsifying preconcentrate
of a taxane in a microemulsion, composed of:
(i) 10 to 80% w/w of at least one hydrophobic component selected from triglyceride,
diglyceride, monoglyceride, free fatty acid, fatty acid ester, fish oil, vegetable
oil, or mixtures thereof;
(ii) 20 to 80% w/w of a surfactant phase comprising at least one non-ionic surfactant;
(iii) 0 to 35% w/w of diethylene glycol monoethylether; and
(iv) 0 to 40% w/w of at least one hydrophilic component selected from a hydroxyalkane,
dihydroxyalkane, a polyethylene glycol having an average molecular weight of less
than or equal to 1000, and mixtures thereof; said preconcentrate producing an average
particle size of less than or equal to 10 µm when mixed with an aqueous medium. Preferred
embodiments of the invention are as defined in the attached claims.
[0015] Also provided is an aqueous taxane having an average particle size of less than or
equal to 10µm, which comprises a storage-stable, self-emulsifying preconcentrate of
a taxane in a microemulsion diluted in an aqueous medium, the preconcentrate comprising:
(a) 10 to 80% w/w of at least one hydrophobic component selected from triglyceride,
diglyceride, monoglyceride, free fatty acid, fatty acid ester, fish oil, vegetable
oil, or mixtures thereof;
(b) 20 to 80% w/w of a surfactant phase comprising at least one non-ionic surfactant;
(c) 0 to 35% w/w diethylene glycol monoethylether; and
(d) 0 to 40% w/w of at least one hydrophilic component selected from a hydroxyalkane,
dihydroxyalkane, a polyethylene glycol having an average molecular weight of less
than or equal to 1000, and mixtures thereof; said preconcentrate producing an average
particle size of less than or equal to 10 µm when mixed with an aqueous medium.
[0016] Examples of suitable surfactants are:
1. Polyoxyethylene-sorbitan-fatty acid esters; e.g. mono- and tri-lauryl, palmityl,
stearyl and oleyl esters; e.g. products of the type known as polysorbates and commercially
available under the trade name "Tween".
2. Polyoxyethylene fatty acid esters, e.g., polyoxyethylene stearic acid esters of
the type known and commercially available under the trade name Myrj.
3. Polyoxyethylene castor oil derivatives, e.g., products of the type known and commercially
available as Cremophors® . Particularly suitable are polyoxyl 35 castor oil (Cremophor®
EL) and polyoxyl 40 hydrogenated castor oil (Cremophor® RH40).
4. α-tocopherol, α-tocopheryl polyethylene glycol succinate (vitamin E TPGS), α-tocopherol
palmitate and α-tocopherol acetate.
5. PEG glyceryl fatty acid esters such as PEG-8 glyceryl caprylate/caprate (commercially
known as Labrasol), PEG-4 glyceryl caprylate/caprate (Labrafac Hydro WL 1219), PEG-32
glyceryl laurate (Gelucire 44/14), PEG-6 glyceryl mono oleate (Labrafil M 1944 CS),
PEG-6 glyceryl linoleate (Labrafil M2125 CS).
6. Propylene glycol mono- and di-fatty acid esters, such as propylene glycol laurate,
propylene glycol caprylate/caprate; also diethyleneglycol-monoethylether (DGME), commercially
known as Transcutol (Gattefosse, Westwood, NJ).
7. Sorbitan fatty acid esters, such as the type known and commercially available under
the name Span (e.g., Span 20).
8. Polyoxyethylene-polyoxypropylene co-polymers, e.g., products of the type known
and commercially available as Pluronic or Poloxamer.
9. Glycerol triacetate.
10. Monoglycerides and acetylated monoglycerides, e.g., glycerol monodicocoate (Imwitor
928), glycerol monocaprylate (Imwitor 308), and mono-and di-acetylated monoglycerides.
[0017] Suitable surfactants are not limited to those mentioned above, but may include any
compound or compounds that would enhance the galenic properties of the preconcentrate.
[0018] Compositions in accordance with the present invention may include other ingredients
in addition to the drug, one or more hydrophobic components, one or more hydrophilic
components, one or more surfactants, inhibitors of cytochrome P450 enzymes or inhibitors
of the p-glycoprotein transport system such as grapefruit extract or compounds isolated
from it. The composition may include, in addition to the forgoing, one or more ingredients,
additives or diluents such as pharmaceutically acceptable polymeric or inorganic materials,
anti-oxidants, preserving agents, flavoring orsweetening agents and so forth.
[0019] Compositions in accordance with the present invention may be liquid or solids at
ambient temperature. They may be filled in soft or hard gelatin capsules in the form
of liquid composition, molten composition, or granules or powder (if composition is
solid at ambient temperature and was cooled and processed before filling). Coating
may be also applied to capsules or tablets. The preconcentrate may be also be diluted
with water to obtain stable emulsions that may be employed as drinking formulations,
or packaged as such for injection after appropriate dilution with an aqueous medium,
for example.
DETAILED DESCRIPTION OF THE INVENTION
[0020] A self-emulsifying preconcentrate of the present invention comprising a taxane as
defined herein must contain a hydrophobic component, a surfactant and a hydrophilic
component. The surfactant and hydrophilic component are needed for the composition
to form in aqueous medium a self-emulsifying system having an average particle size
of between about 10 nm and about 10 microns, They may also help enhance the solubility
and stability of the anticancer drug in the formulation. The hydrophobic component
is needed because if it is not incorporated in appropriate amounts in the formulation,
precipitation of the drug will be observed upon mixing of the composition with an
aqueous medium and/or on storage. Similar observations may be made for the hydrophilic
and surfactant components.
[0021] Based on the above, appropriate combinations or mixtures of a hydrophobic component,
a surfactant and a hydrophilic component with the water insoluble drug taxane are
necessary to obtain a stable microemulsion preconcentrate that would yield upon mixing
with an aqueous medium a stable dispersion with an average particle size of between
about 10 nm and about 10 rnicrons.
[0022] Preferred as hydrophobic components are triglycerides, diglycerides, monoglycerides,
free fatty acids, and fatty acid esters and derivatives thereof, individually or in
combination. Examples of hydrophobic components include propylene glycol dicaprylate/caprate,
caprilic/capric triglyceride, caprylic/capric/linoleic triglyceride, e.g. synthetic
medium chain triglycerides having C8-12 fatty acid chains or other derivatized (synthetic)
triglycerides of the type known and commercially available under Miglyol 810, 812,
818, 829 and 840, linoleic acid, linoleic acid ethyl ester, fish oils as free fatty
acids, their esterification and their transesterification products, e.g. of the type
known and commercially available under EPAX 6000 FA, EPAX 4510 TG, individually or
in combination. Additional examples include vegetable oils and C12-18 fatty acid mono-,
di- and triglycerides prepared by individual adrnixing or as transesterification products
of vegetable oils (such as soybean oil, almond oil, sunflower oil, olive oil or corn
oil) with glycerol.
[0023] Preferred as hydrophilic components are 1,2-propylene glycol, ethanol and polyethylene
glycol having an average molecular weight of less than or equal to 1000, individually
or in combination. More preferred as hydrophilic components are 1,2-propylene glycol
and ethanol, individually or in combination. Especially preferred as hydrophilic components
is a combination or mixture of 1,2-propylene glycol and ethanol.
[0024] The relative proportion of the drug and the other ingredients in the composition
of the current invention will vary depending whether it is delivered as a self-emulsifying
preconcentrate or after dilution with water, depending on the particular ingredients
and the desired physical properties of the formulation. Concentration limits in the
self-emulsifying preconcentrate are as follows:
- 1. Oil phase: from 10 to 80% w/w of the preconcentrate. The oil phase may consist
of triglycerides, diglycerides, monoglycerides, free fatty acids, propylene glycol
mono or diesters and free fatty acids, esters and derivatives thereof, individually
or in combination.
- 2. Cumulative amounts of surfactants: from 20 to 80% w/w of the preconcentrate.
- 3. Cumulative amounts of hydrophilic components, such as 1,2-propylene glycol and/or
ethanol and/or a polyethylene glycol having an average molecular weight of less than
or equal to 1000 : from 0% to 40% w/w of the preconcentrate. The total of all ingredients
will be 100%.
[0025] It is understood that the application of the teachings of the present invention,
to the conditions described, will be evident to one skilled in the art of preparing
such formulations.
[0026] In the following examples, the ingredients were weighed out into appropriate containers
in the amounts described below. In all examples described below, a clear liquid was
obtained upon appropriate mixing and heating.
EXAMPLES
[0027] The formulations represented in the following examples were prepared by mixing the
oil components with surfactants and cosurfactants followed by the addition of drug
powder as indicated. The composition may be prepared at room temperature or heated
to 40-50°C to accelerate the solubilization process. Several mixing techniques can
be used ranging from mechanical stirring and agitation to sonication. All compositions
shown below give liquid or semi-solid preconcentrates at room temperature.
[0028] An experiment to test the efficiency of forming microemulsions from the preconcentrates
was carried out by diluting the preconcentrate in 20-50 fold with water or simulated
gastric fluid with gentle mixing or shaking. The aqueous medium temperature varied
between 20 and 37°C. Particle size analysis was then carried out using a photon correlation
spectroscopy based particle sizer, Nicomp 370. Data reported in the following examples
correspond to volume weighted panicle size.
EXAMPLE 1
[0029]
| Ingredients |
Amount (g) |
| Miglyol 840 |
1.971 |
| Cremophor® RH40 |
2.190 |
| Imwitor 308 |
0.767 |
| Labrasol |
0.548 |
| Paclitaxel |
0.175 |
| Total |
5.651 |
| Mean particle size: 31 nm |
EXAMPLE 2
[0030]
| Ingredients |
Amount (g) |
| Miglyol 840 |
4.820 |
| Cremophor® RH40 |
4.990 |
| Imwitor 308 |
1.750 |
| Labrasol |
1.250 |
| Paclitaxel |
0.489 |
| Transcutol |
2.000 |
| Total |
15.299 |
| Mean particle size: 13 nm |
EXAMPLE 3
[0031]
| Ingredients |
Amount (g) |
| Miglyol 840 |
1.396 |
| Cremophor® RH40 |
1.551 |
| Imwitor 308 |
0.543 |
| Labrasol |
0.388 |
| Paclitaxel |
0.122 |
| Grapefruit extract |
0.400 |
| Total |
4.400 |
| Mean particle size: 30 nm. |
EXAMPLE 4
[0032]
| Ingredients |
Amount (g) |
| Miglyol 840 |
1.560 |
| Cremophor® RH40 |
1.610 |
| Imwitor 308 |
0.565 |
| Labrasol |
0.405 |
| Paclitaxel |
0.285 |
| Ethanol |
0.575 |
| Total |
5.000 |
| Mean particle size: 14nm |
EXAMPLE 5
[0033]
| Ingredients |
Amount (g) |
| Miglyol 812 |
1.435 |
| Tween 80 |
2.150 |
| Lipoid E80 |
0.705 |
| Soybean oil |
0.178 |
| Linoleic acid |
0.174 |
| Ethanol |
0.305 |
| Paclitaxel |
0.068 |
| Total |
5.000 |
| Mean particle size: 102 nm |
EXAMPLE 6
[0034] Bioavailability of paclitaxel micro-emulsion preconcentrate was assessed using the
formulation described in Example 1. Paclitaxel was given in doses of 2.5 mg/kg or
5 mg/kg to 8 male dogs of approximately 10 kg body weight. The formulation was administered
in thc morning after overnight fasting in the form of a capsule followed by water.
Free access to food and water was allowed two hours after dosing. Blood samples were
drawn at different point (pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 12, and 24 hr) and stabilized
with EDTA, placed in Vacutainers, and stored at 2-8°C. The blood samples were then
extracted using a liquid-liquid method and assayed by HPLC/UV. Bioavailability calculations
were done by comparing the pharmacokinetic (PK) profiles obtained for orally given
paclitaxel micro-emulsion preconcentrate with an intravenous commercial formulation.
Bioavailability values ranging from 25 % to 60 % were obtained. Figure 1 corresponds
to a typical pharmacokinetic profile obtained for paclitaxel preconcentrate.
1. A storage-stable, self-emulsifying preconcentrate of a taxane in a microemulsion,
composed of:
(i) 10 to 80% w/w of at least one hydrophobic component selected from triglyceride,
diglyceride, monoglyceride, free fatty acid, fatty acid ester, fish oil, vegetable
oil, or mixtures thereof;
(ii) 20 to 80% w/w of a surfactant phase comprising at least one non-iqnic surfactant;
(iii) 0 to 35% w/w of diethylene glycol monoethylether; and
(iv) 0 to 40% w/w of at least one hydrophilic component selected from a hydroxyalkane,
dihydroxyalkane, a polyethylene glycol having an average molecular weight of less
than or equal to 1000, and mixtures thereof; said preconcentrate producing an average
particle size of less than or equal to 10 µm when mixed with an aqueous medium.
2. The preconcentrate according to claim 1, wherein the surfactant comprises one or more
non-ionic surfactants.
3. The preconcentrate according to claim 1, further including an inhibitor of P-glycoprotein
transport system or an inhibitor of P450 enzymes.
4. The preconcentrate according to claim 3, wherein the inhibitor is a grapefruit extract
or a component thereof.
5. The preconcentrate according to claims 1 or 4, wherein the carrier system comprises
from 15 to 75% w/w of hydrophobic component.
6. The preconcentrate according to claims 1 or 5, wherein the carrier system comprises
less than or equal to 30% w/w of hydrophilic component.
7. The preconcentrate according to claims 1 or 6, wherein the hydrophilic component is
selected from the group consisting of 1,2-propylene glycol, ethanol, a polyethylene
glycol and mixtures thereof.
8. The preconcentrate according to claims 1 or 7, wherein the hydrophilic component comprises
a mixture of 1,2-propylene glycol and ethanol.
9. The preconcentrate according to claim 1 , wherein the hydrophobic component is selected
from the group consisting of triglyceride, diglyceride, monoglyceride, free fatty
acid, fatty acid ester and mixtures thereof.
10. The preconcentrate according to claim 1, wherein the hydrophilic component is selected
from the group consisting of a fatty acid ester of a hydroxyalkane, a fatty acid ester
of a dihydroxyalkane, a fatty acid mono-, di- or triglyceride or a transesterification
product of a vegetable oil with a glycerol and mixtures thereof.
11. The preconcentrate according to claim 1, wherein the aqueous medium is water or simulated
gastric fluid.
12. An orally administrable pharmaceutical composition comprising the preconcentrate according
to claim 1, in a pharmaceutically acceptable diluent.
13. A parenterally injectable pharmaceutical composition comprising the preconcentrate
according to claim 1, in a pharmaceutically acceptable diluent.
14. A preconcentrate according to claim 1 for oral or parenteral administration.
15. A preconcentrate according to claim 1 for enhancement of oral bioavailability of a
taxane.
16. An aqueous taxane having an average particle size of less than or equal to 10µm, which
comprises a storage-stable, self-emulsifying preconcentrate of a taxane in a microemulsion
diluted in an aqueous medium, the preconcentrate comprising:
(a) 10 to 80% w/w of at least one hydrophobic component selected from triglyceride,
diglyceride, monoglyceride, free fatty acid, fatty acid ester, fish oil, vegetable
oil, or mixtures thereof;
(b) 20 to 80% w/w of a surfactant phase comprising at least one non-ionic surfactant;
(c) 0 to 35% w/w diethylene glycol monoethylether; and
(d) 0 to 40% w/w of at least one hydrophilic component selected from a hydroxyalkane,
dihydroxyalkane, a polyethylene glycol having an average molecular weight of less
than or equal to 1000, and mixtures thereof; said preconcentrate producing an average
particle size of less than or equal to 10 µm when mixed with an aqueous medium.
1. Lagerungsstabiles, selbstemulgierendes Präkonzentrat eines Taxans in einer Mikroemulsion,
bestehend aus:
(i) 10 bis 80 Gew.-/Gew.-% von zumindest einer hydrophoben Komponente ausgewählt aus
Triglycerid, Diglycerid, Monoglycerid, freier Fettsäure, Fettsäureester, Fischöl,
Pflanzenöl oder Mischungen davon;
(ii) 20 bis 80 Gew.-Gew.-% einer Phase einer oberflächenaktiven Substanz, welche zumindest
eine nichtionische oberflächenaktive Substanz aufweist;
(iii) 0 bis 35 Gew.-/Gew.-% Diethylenglycolmonoethylether; und
(iv) 0 bis 40 Gew.-/Gew.-% von zumindest einer hydrophilen Komponente ausgewählt aus
einem Hydroxyalkan, Dihydroxyalkan, einem Polyethylenglycol mit einem durchschnittlichen
relativen Molekulargewicht von weniger als oder gleich 1000 und Mischungen davon,
wobei das Präkonzentrat bei Mischung mit einem wässrigen Medium eine durchschnittliche
Partikelgröße von weniger als oder gleich 10 µm ergibt.
2. Präkonzentrat nach Anspruch 1, wobei die oberflächenaktive Substanz eine oder mehrere
nichtionische oberflächenaktive Substanzen umfasst.
3. Präkonzentrat nach Anspruch 1, welches ferner einen Inhibitor des P-Glycoprotein-Transportsystems
oder einen Inhibitor von P450-Enzymen beinhaltet.
4. Präkonzentrat nach Anspruch 3, wobei der Inhibitor ein Grapefruitextrakt oder eine
Komponente davon ist.
5. Präkonzentrat nach Anspruch 1 oder 4, wobei das Trägersystem zwischen 15 und 75 Gew.-/Gew.-%
einer hydrophoben Komponente aufweist.
6. Präkonzentrat nach Anspruch 1 oder 5, wobei das Trägersystem weniger als oder gleich
30 Gew.-/Gew.-% einer hydrophilen Komponente aufweist.
7. Präkonzentrat nach Anspruch 1 oder 6, wobei die hydrophile Komponente ausgewählt ist
aus der Gruppe bestehend aus 1,2-Propylenglycol, Ethanol, einem Polyethylenglycol
und Mischungen davon.
8. Präkonzentrat nach Anspruch 1 oder 7, wobei die hydrophile Komponente eine Mischung
aus 1,2-Propylenglycol und Ethanol aufweist.
9. Präkonzentrat nach Anspruch 1, wobei die hydrophobe Komponente ausgewählt ist aus
der Gruppe bestehend aus Triglycerid, Diglycerid, Monoglycerid, freier Fettsäure,
Fettsäureester und Mischungen davon.
10. Präkonzentrat nach Anspruch 1, wobei die hydrophile Komponente ausgewählt ist aus
der Gruppe bestehend aus einem Fettsäureester eines Hydroxyalkans, einem Fettsäureester
eines Dihydroxyalkans, einem Fettsäure-Mono-, -Di- oder -Triglycerid oder einem Umesterungsprodukt
eines Pflanzenöls mit einem Glycerol und Mischungen davon.
11. Präkonzentrat nach Anspruch 1, wobei das wässrige Medium Wasser oder simulierte Magenflüssigkeit
ist.
12. Oral verabreichbare pharmazeutische Zusammensetzung, welche das Präkonzentrat nach
Anspruch 1, in einem pharmazeutisch annehmbaren Verdünnungsmittel aufweist.
13. Parenteral injizierbare pharmazeutische Zusammensetzung, welche das Präkonzentrat
nach Anspruch 1, in einem pharmazeutisch annehmbaren Verdünnungsmittel aufweist.
14. Präkonzentrat nach Anspruch 1 für die orale oder parenterale Verabreichung.
15. Präkonzentrat nach Anspruch 1 für die Verbesserung der oralen Bioverfügbarkeit eines
Taxans.
16. Wässriges Taxan mit einer durchschnittlichen Partikelgröße von weniger als oder gleich
10 µm, welches ein lagerungsstabiles, selbstemulgierendes Präkonzentrat eines Taxans
in einer Mikroemulsion verdünnt in einem wässrigen Medium aufweist, wobei das Präkonzentrat
folgendes enthält:
(a) 10 bis 80 Gew.-/Gew.-% von zumindest einer hydrophoben Komponente ausgewählt aus
Triglycerid, Diglycerid, Monoglycerid, freier Fettsäure, Fettsäureester, Fischöl,
Pflanzenöl oder Mischungen davon; .
(b) 20 bis 80 Gew.-/Gew.-% einer Phase einer oberflächenaktiven Substanz, welche zumindest
eine nichtionische oberflächenaktive Substanz aufweist;
(c) 0 bis 35 Gew.-/Gew.-% Diethylenglycolmonoethylether; und
(d) 0 bis 40 Gew.-/Gew.-% von zumindest einer hydrophilen Komponente ausgewählt aus
einem Hydroxyalkan, Dihydroxyalkan, einem Polyethylenglycol mit einer durchschnittlichen
relativen Molekulargewicht von weniger als oder gleich 1000 und Mischungen davon,
wobei das Präkonzentrat bei Mischung mit einem wässrigen Medium eine durchschnittliche
Partikelgröße von weniger als oder gleich 10 µm ergibt.
1. Préconcentré stable au stockage, auto-émulsifiant d'un taxane dans une microémulsion,
composé de :
(i) 10 à 80% p/p d'au moins un composant hydrophobe choisi parmi un triglycéride,
un diglycéride, un monoglycéride, un acide gras libre, un ester d'acide gras, une
huile de poisson, une huile végétale ou des mélanges de ceux-ci ;
(ii) 20 à 80% p/p d'une phase tensioactive comprenant au moins un tensioactif non
ionique ;
(iii) 0 à 35% p/p de monométhyléther de diéthylèneglycol ; et
(iv) 0 à 40% p/p d'au moins un composant hydrophile choisi parmi un hydroxyalcane,
un dihydroxyalcane, un polyéthylèneglycol ayant un poids moléculaire moyen inférieur
ou égal à 1000 et des mélanges de ceux-ci ; ledit préconcentré produisant une taille
moyenne des particules inférieure ou égale à 10 µm quand il est mélangé avec un milieu
aqueux.
2. Préconcentré selon la revendication 1, dans lequel le tensioactif comprend un ou plusieurs
tensioactifs non ioniques.
3. Préconcentré selon la revendication 1, incluant en outre un inhibiteur du système
de transport de P-glycoprotéine ou un inhibiteur des enzymes P450.
4. Préconcentré selon la revendication 3, dans lequel l'inhibiteur est un extrait de
pamplemousse ou un composant de celui-ci.
5. Préconcentré selon les revendications 1 ou 4, dans lequel le système support comprend
de 15 à 75% p/p d'un composant hydrophobe.
6. Préconcentré selon les revendications 1 ou 5, dans lequel le système support comprend
une quantité inférieure ou égale à 30% p/p de composant hydrophile.
7. Préconcentré selon les revendications 1 ou 6, dans lequel le composant hydrophile
est choisi parmi le groupe constitué du 1,2-propylèneglycol, de l'éthanol, d'un polyéthylèneglycol
et des mélanges de ceux-ci.
8. Préconcentré selon les revendications 1 ou 7, dans lequel le composant hydrophile
comprend un mélange de 1,2-propylèneglycol et d'éthanol.
9. Préconcentré selon la revendication 1, dans lequel le composant hydrophobe est choisi
parmi le groupe constitué d'un triglycéride, d'un diglycéride, d'un monoglycéride,
d'un acide gras libre, d'un ester d'acide gras et des mélanges de ceux-ci.
10. Préconcentré selon la revendication 1, dans lequel le composant hydrophile est choisi
parmi le groupe constitué d'un ester d'acide gras d'un hydroxyalcane, d'un ester d'acide
gras d'un dihydroxyalcane, d'un mono-, di- ou triglycéride d'acide gras ou d'un produit
de la transestérification d'une huile végétale avec un glycérol et des mélanges de
ceux-ci.
11. Préconcentré selon la revendication 1, dans lequel le milieu aqueux est de l'eau ou
un fluide gastrique simulé.
12. Composition pharmaceutique administrable par voie orale comprenant le préconcentré
selon la revendication 1, dans un diluant pharmaceutiquement acceptable.
13. Composition pharmaceutique injectable par voie parentérale comprenant le préconcentré
selon la revendication 1, dans un diluant pharmaceutiquement acceptable.
14. Préconcentré selon la revendication 1 pour l'administration orale ou parentérale.
15. Préconcentré selon la revendication 1 pour l'amélioration de la biodisponibilité orale
d'un taxane.
16. Taxane aqueux ayant une taille moyenne des particules inférieure ou égale à 10 µm,
qui comprend un préconcentré stable au stockage, auto-émulsifiant d'un taxane dans
une microémulsion diluée dans un milieu aqueux, le préconcentré comprenant :
(a) 10 à 80% p/p d'au moins un composant hydrophobe choisi parmi un triglycéride,
un diglycéride, un monoglycéride, un acide gras libre, un ester d'acide gras, une
huile de poisson, une huile végétale ou des mélanges de ceux-ci ;
(b) 20 à 80% p/p d'une phase tensioactive comprenant au moins un tensioactif non ionique
;
(c) 0 à 35% p/p de monométhyléther de diéthylèneglycol ; et
(d) 0 à 40% p/p d'au moins un composant hydrophile choisi parmi un hydroxyalcane,
un dihydroxyalcane, un polyéthylèneglycol ayant un poids moléculaire moyen inférieur
ou égal à 1000 et des mélanges de ceux-ci ; ledit préconcentré produisant une taille
moyenne des particules inférieure ou égale à 10 µm quand il est mélangé avec un milieu
aqueux.