Combination formulation
US-11110185-B2 · Sep 7, 2021 · US
US12303573B2 · US · B2
| Field | Value |
|---|---|
| Publication number | US-12303573-B2 |
| Application number | US-202418617245-A |
| Country | US |
| Kind code | B2 |
| Filing date | Mar 26, 2024 |
| Priority date | Nov 23, 2018 |
| Publication date | May 20, 2025 |
| Grant date | May 20, 2025 |
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The present disclosure relates to a liquid pharmaceutical formulation comprising a DO3A-derived tetra-chelate of formula (I), in which M is an ion of a paramagnetic metal, preferably a Gd 3+ ion, and R 1 , R 2 , R 3 , R 4 and R 5 are as defined in the claims, in a pharmaceutical acceptable solvent. The present disclosure also relates to a method of preparation of said liquid pharmaceutical formulation and to a method of imaging involving said liquid pharmaceutical formulation.
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We claim: 1. A liquid pharmaceutical formulation comprising: a DO3A-derived tetra-chelate having a general formula selected from the chelates of formulae (I-a), (I-b), and (I-c): or a stereoisomer, a tautomer or a salt thereof, or a mixture of same in a range of from 70 to 700 mmol of Gd 3+ ion/L; a compound capable of forming a chelate with a free gadolinium metal ion Gd 3+ comprising Ca-BT-DO3A (Calcobutrol) in a range of 0.002% to 5% mol/mol (inclusive) measured as a proportion relative to a total Gd 3+ concentration in the liquid pharmaceutical formulation; a buffer in the form of 10.0 mmol/L Trometamol (TRIS, 2-amino-2-(hydroxymethyl) propane-1,3-diol); an isotonicity agent in the form of NaCl; a pH adjusting agent in the form of 0.1 N HCI (aq); and a pharmaceutically acceptable solvent in the form of water. 2. The liquid pharmaceutical formulation of claim 1 , having a concentration of a free paramagnetic metal ion M of less than or equal to 5 ppm (m/v). 3. The liquid pharmaceutical formulation of claim 1 , wherein the DO3A-derived tetra-chelate has the general formula I-a 4. The liquid pharmaceutical formulation of claim 1 , wherein the buffer in the form of 10.0 mmol/L Trometamol (TRIS, 2-amino-2-(hydroxymethyl)propane-1,3-diol) and a buffer pH adjusting agent is present in an amount sufficient to provide a pH in the range of 7.6 to 8.2; the isotonicity agent in the form of NaCl is present in an amount sufficient to provide an osmolality in a range of 200 to 400 mOsm/Kg (inclusive); the pH adjusting agent in the form of 0.1 N HCI (aq.) is present in an amount sufficient to adjust a pH of the liquid pharmaceutical formulation to a pH in a range of 6.9 to 7.9; and the pharmaceutically acceptable solvent in the form of water is present in an amount sufficient to provide a final concentration of the liquid pharmaceutical formulation having the range of 70 to 700 mmol of Gd 3+ ion/L. 5. The liquid pharmaceutical formulation of claim 4 , wherein the isotonicity agent in the form of NaCl is present in an amount sufficient to provide an osmolality in a range of 250 to 300 mOsm/Kg (inclusive). 6. A liquid pharmaceutical formulation comprising: a DO3A-derived tetra-chelate having a general formula I-a or a stereoisomer, a tautomer or a salt thereof, or a mixture of same in a range of from 70 to 700 mmol of Gd 3+ ion/L; a compound capable of forming a chelate with a free gadolinium metal ion Gd 3+ comprising Ca-BT-DO3A (Calcobutrol) in a range of 0.002% to 5% mol/mol (inclusive) measured as a proportion relative to a total Gd 3+ concentration in the liquid pharmaceutical formulation; a buffer in the form of 10.0 mmol/L Trometamol (TRIS, 2-amino-2-(hydroxymethyl)propane-1,3-diol) and a buffer pH adjusting agent present in an amount sufficient to provide a pH in the range of 7.6 to 8.2; an isotonicity agent in the form of NaCl present in an amount sufficient to provide an osmolality in a range of 250 to 350 mOsm/Kg (inclusive); a pH adjusting agent in the form of HCI (aq.) present in an amount sufficient to adjust a pH of the liquid pharmaceutical formulation to a pH in a range of 6.9 to 7.9; and a pharmaceutically acceptable solvent in the form of water present in an amount sufficient to provide a final concentration of the liquid pharmaceutical formulation having the range of 70 to 700 mmol of Gd 3+ ion/L. 7. The liquid pharmaceutical formulation of claim 6 , wherein the DO3A-derived tetra-chelate having the general formula I-a has a stereochemistry at its 4 chiral centers selected from RRRR, RSSS, RRSS, RRRS, and SSSS, or mixtures of any thereof. 8. The liquid pharmaceutical formulation of claim 6 , wherein the liquid pharmaceutical formulation comprises: 0.075 M of the DO3A-derived tetra-chelate having the general formula I-a; 0.1% mol/mol of Ca-BT-DO3A (Calcobutrol) measured as a proportion relative to the total Gd 3+ concentration in the liquid pharmaceutical formulation. 9. The liquid pharmaceutical formulation of claim 6 , wherein the liquid pharmaceutical formulation comprises: about 0.10 M of the DO3A-derived tetra-chelate having the general formula I-a, providing about 400 mmol of Gd 3+ ion/L; about 0.1% mol/mol of Ca-BT-DO3A (Calcobutrol) measured as a proportion relative to the total Gd 3+ concentration in the liquid pharmaceutical formulation; an amount of Trometamol to be dissolved in the pharmaceutically acceptable solvent in the form of water to make about a 10 mmol/L solution of the Trometamol; an amount of sodium chloride to be dissolved in the pharmaceutically acceptable solvent in the form of water to make about a 0.05 M solution of the sodium chloride; HCI (aq) in an amount sufficient to adjust a pH of the liquid pharmaceutical formulation to a pH in a range of 6.9 to 7.9; and an amount of water sufficient to provide a final concentration of the liquid pharmaceutical formulation having about 400 mmol of Gd 3+ ion/L. 10. The liquid pharmaceutical formulation of claim 9 , wherein the liquid pharmaceutical formulation comprises: about 2579 mg of the DO3A-derived tetra-chelate having the general formula I-a; about 1.960 mg of Ca-BT-DO3A (Calcobutrol); about 12.10 mg of Trometamol; about 31.4 mg of sodium chloride; the HCI (aq) in the amount sufficient to adjust the pH of the liquid pharmaceutical formulation to the pH in a range of 6.9 to 7.9; and about 8640 mg of water to provide a final volume of about 10 mL of the liquid pharmaceutical formulation. 11. A method for making a liquid pharmaceutical formulation, the method comprising: providing a sufficient volume of a pharmaceutically acceptable solvent in the form of water; dissolving Trometamol (TRIS, 2-amino-2-(hydroxymethyl) propane-1,3-diol) buffer in an amount to produce a 10.0 mmol/L buffered solution and adjusting a pH of the buffered solution to a pH in a range of 7.6 to 8.2 (inclusive) by addition of a 0.1 N solution of HCI (aq); dissolving an amount of Ca-BT-DO3A (Calcobutrol) in the buffered solution to provide a 0.1% mol/mol concentration of the Ca-BT-DO3A measured as a proportion relative to a total Gd3+concentration in the liquid pharmaceutical formulation; dissolving an amount of a DO3A-derived tetra-chelate having a general formula I-a or a stereoisomer, a tautomer or a salt thereof, or a mixture of same in an amount sufficient to provide from 70 to 700 mmol of Gd 3+ ion/L in the liquid pharmaceutical formulation; dissolving sodium chloride as an isotonicity agent in an amount sufficient to provide an osmolality in a range of 250 to 350 mOsm/Kg (inclusive); adjusting a pH of the liquid pharmaceutical formulation with a 0.1 N solution of HCI (aq) to a pH in a range of 6.9 to 7.9 (inclusive); and adding any additional water to the liquid pharmaceutical formulation necessary to provide the Gd 3+ concentration of from 70 to 700 mmol of Gd 3+ ion/L to provide the liquid pharmaceutical formulation. 12. The method of claims 11 , further comprising sterilizing the liquid pharmaceutical formulation by heating the liqu
the complex-forming compound being cyclic, e.g. DOTA · CPC title
the metal complex being Gd-DOTA · CPC title
characterised by a special physical form, e.g. emulsions, microcapsules, liposomes · CPC title
dendrimers, dendrons, hyperbranched compounds · CPC title
conjugated systems · CPC title
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