Method of ameliorating uremia
US-2017224652-A1 · Aug 10, 2017 · US
US9872864B2 · US · B2
| Field | Value |
|---|---|
| Publication number | US-9872864-B2 |
| Application number | US-201214238147-A |
| Country | US |
| Kind code | B2 |
| Filing date | Aug 10, 2012 |
| Priority date | Aug 12, 2011 |
| Publication date | Jan 23, 2018 |
| Grant date | Jan 23, 2018 |
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The present invention relates to sustained release compositions of prostacyclin, as well as uses thereof, in particular for the prevention and/or treatment of pulmonary arterial hypertension.
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The invention claimed is: 1. A pharmaceutical composition comprising: a treprostinil carrier-linked prodrug; and optionally one or more pharmaceutically acceptable excipients; wherein the concentration of the treprostinil carrier-linked prodrug is sufficient to maintain a therapeutically effective level of treprostinil in blood plasma for at least 12 hours after a single subcutaneous or intramuscular injection; and wherein the treprostinil carrier-linked prodrug comprises: a treprostinil drug; and a promoiety, which promoiety comprises: a carrier; a reversible prodrug linker moiety; and optionally one or more spacer moieties; wherein one end of the reversible prodrug linker moiety is attached to the treprostinil through a reversible linkage; wherein another end of the reversible prodrug linker moiety is attached through a permanent bond to either a spacer moiety permanently attached to the carrier moiety, or is directly attached through a permanent bond to the carrier moiety; and wherein the prodrug linker moiety is non-enzymatically hydrolytically degradable. 2. The pharmaceutical composition of claim 1 ; wherein the pharmaceutical composition comprises the treprostinil carrier-linked prodrug in a concentration of at least 0.05 mg/ml. 3. The pharmaceutical composition of claim 2 ; wherein a single dose of the pharmaceutical composition comprises at least 0.05 mg of the treprostinil carrier-linked prodrug. 4. The pharmaceutical composition of claim 1 ; wherein the time period between administration of a pharmaceutical composition is at least about 12 hours. 5. The pharmaceutical composition of claim 1 ; wherein the pharmaceutical composition has a pharmacokinetic profile in vivo in a mammal with substantially no burst of the treprostinil carrier-linked prodrug. 6. The pharmaceutical composition of claim 1 ; wherein the pharmaceutical composition is characterized by exhibiting a peak to trough ratio of the in a mammal of less than 5. 7. The pharmaceutical composition of claim 1 ; wherein the treprostinil carrier-linked prodrug has an activity of <20% of the activity of free treprostinil. 8. The pharmaceutical composition of claim 1 ; wherein, after subcutaneous or intramuscular administration of said treprostinil carrier-linked prodrug, more than 50% of the administered treprostinil dose is releasable within the blood compartment. 9. The pharmaceutical composition of claim 1 ; wherein the promoiety of the prodrug comprises a linear or branched PEG moiety. 10. The pharmaceutical composition of claim 1 ; wherein the treprostinil carrier-linked prodrug has an activity of <5% of the activity of free treprostinil. 11. A method for treating pulmonary hypertension, wherein the method comprises the step of: subcutaneous or intramuscular administration, to a patient with pulmonary hypertension, of pharmaceutical composition of claim 1 ; wherein the pharmaceutical composition releases therapeutically effective amounts of free treprostinil compound for a period of time of at least 12 hours. 12. The method of claim 11 ; wherein the pharmaceutical composition of (b) comprises from about 0.05 to about 10 weight percent the treprostinil carrier-linked prodrug and from about 0.5 to about 20 weight percent total polymer content. 13. The pharmaceutical composition of claim 1 ; wherein the pharmaceutical composition is characterized by exhibiting a peak to trough ratio of the treprostinil carrier-linked prodrug in a mammal of less than 2.
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