STABILIZED PHARMACEUTICAL PEPTIDE COMPOSITIONS.
FIELD OF THE INVENTION
The present invention relates to the field of pharmaceutical compositions. More specifically the invention pertains to methods for preparing stable pharmaceutical compositions which are prepared from a bulk peptide product that is dried at pH above neutral pH.
BACKGROUND OF THE INVENTION
Therapeutic peptides are widely used in medical practise. Pharmaceutical compositions of such therapeutic peptides are required to have a shelf life of several years in order to be suitable for common use. However, peptide compositions are inherently unstable due to sensitivity towards chemical and physical degradation. Chemical degradation involves change of covalent bonds, such as oxidation, hydrolysis, racemization or crosslinking. Physical degradation involves conformational changes relative to the native structure of the peptide, i.e. secondary and tertiary structure, such as aggregation, precipitation or adsorption to surfaces.
Glucagon has been used for decades in medical practise within diabetes and several gluca-gon-like peptides are being developed for various therapeutic indications. The preprogluca-gon gene encodes glucagon as well as glucagon-like peptide 1 (GLP-1) and glucagon-like peptide 2 (GLP-2). GLP-1 analogs and derivatives as well as the homologous lizard peptide, exendin-4, are being developed for the treatment of hyperglycemia within type 2 diabetes. GLP-2 are potentially useful in the treatment of gastrointestinal diseases. However, all these peptides encompassing 29-39 amino acids have a high degree of homology and they share a number of properties, notably their tendency to aggregate and formation of insoluble fibrils. This property seems to encompass a transition from a predominant alpha-helix conformation to beta-sheets (Blundell T.L. (1983) The conformation of glucagon. In: Lefebvre P.J. (Ed) Glucagon I. Springer Verlag, pp 37-55, Senderoff R.I. et al.. J. Pharm. Sci. 87 (1998)183-189, WO 01/55213). Aggregation of the glucagon-like peptides are mainly seen when solutions of the peptides are stirred or shaken, at the interface between solution and gas phase (air), and at contact with hydrophobic surfaces such as Teflon®.
Thus, various excipients must often be added to pharmaceutical compositions of the gluca-gon-like peptides in order to improve their stability. Shelf life of liquid parenteral formulations of these peptides must be at least a year, preferably longer. The in-use period where the product may be transported and shaken daily at ambient temperature preferably should be several weeks. Thus, there is a need for pharmaceutical compositions of glucagon-like peptides which have improved stability.
We have unexpectedly found that bulk peptide products prepared by drying a solution or suspension of said peptide product having a pH above 8.0 increased the stability of the pharmaceutical compositions prepared from these bulk peptide products.
DEFINITIONS
The following is a detailed definition of the terms used in the specification. The term "effective amount" as used herein means a dosage which is sufficient to be effective for the treatment of the patient compared with no treatment.
The term "reconstituted" as used herein referring to a pharmaceutical composition means an aqueous composition which has been formed by the addition of water or an appropriate aqueous solution to a solid material comprising the active pharmaceutical ingredient. Pharmaceutical compositions for reconstitution are applied where a liquid composition with acceptable shelf-life cannot be produced. An example of a reconstituted pharmaceutical composition is the solution which results when adding water or an appropriate aqueous solution to a freeze dried composition. The solution is often for parenteral administration and thus water for injection or any other appropriate solvent are used for reconstituting the solid material. The term "treatment of a disease" as used herein means the management and care of a patient having developed the disease, condition or disorder. The purpose of treatment is to combat the disease, condition or disorder. Treatment includes the administration of the active compounds to eliminate or control the disease, condition or disorder as well as to alleviate the symptoms or complications associated with the disease, condition or disorder. The term "glucagon-like peptide" as used herein refers to the homologous peptides derived from the preproglucagon gene, exendins and analogues and derivatives thereof. The peptides derived from the preproglucagon gene is glucagon, glucagon-like peptide 1 (GLP-1), glucagon-like peptide 2 (GLP-2) and oxynthomodulin (OXM). The exendins which are found
in the Gila monster are homologous to GLP-1 and also exert an insulinotropic effect. Examples of exendins are exendin-4 and exendin-3.
The glucagon-like peptides have the following sequences :
(Sequences Removed)
The term "analogue" as used herein referring to a peptide means a modified peptide wherein one or more amino acid residues of the peptide have been substituted by other amino acid residues and/or wherein one or more amino acid residues have been deleted from the peptide and/or wherein one or more amino acid residues have been deleted from the peptide and or wherein one or more amino acid residues have been added to the peptide. Such addition or deletion of amino acid residues can take place at the N-temninal of the peptide and/or at the C-terminal of the peptide. Two different and simple systems are often used to describe analogues: For example Argw-GLP-1 (7-37) or K34R-GLP-1{7-37) designates a GLP-1 analogue wherein amino acid residues at position 1-6 have been deleted, and the naturally oc-curing lysine at position 34 has been substituted with arginine (standard single letter abbreviation for amino acids used according to IUPAC-IUB nomenclature). The term "derivative" as used herein in relation to a parent peptide means a chemically modi-fled parent protein or an analogue thereof, wherein at least one substituent is not present in the parent protein or an analogue thereof, i.e. a parent protein which has been covalently modified. Typical modifications are amides, carbohydrates, alkyl groups, acyl groups, esters, pegylations and the like. An examples of a derivative of GLP-1 (7-37) is Arg34, Lys2fl(Nc-(y-Glu(N°-hexadecanoyl)))-GLP-1(7-37).
The term "GLP-1 peptide" as used herein means GLP-1 (7-37), a GLP-1 analogue, a GLP-1 derivative or a derivative of a GLP-1 analogue.
The term "GLP-2 peptide" as used herein means GLP-2(1-S3), a GLP-2 analogue, a GLP-2 derivative or a derivative of a GLP-2 analogue.
The term "exendin-4 peptide" as used herein means exendin-4(1-39), an exendin-4 analogue, an exendin-4 derivative or a derivative of an exendin-4 analogue. The term "stable exendin-4 compound" as used herein means a chemically modified ex-endin-4(1-39), i.e. an analogue or a derivative which exhibits an in vivo plasma elimination half-life of at least 10 hours in man, as determined by the following method. The method for determination of plasma elimination half-life of an exendin-4 compound in man is : The compound is dissolved in an isotonic buffer, pH 7.4, PBS or any other suitable buffer. The dose is injected peripherally, preferably in the abdominal or upper thigh. Blood samples for determination of active compound are taken at frequent intervals, and for a sufficient duration to cover the terminal elimination part (e.g. Pre-dose, 1, 2, 3, 4, 5, 6.7. 8,10,12, 24 (day 2), 36 (day 2), 48 (day 3), 60 (day 3), 72 (day 4) and 84 (day 4) hours post dose). Determination of the concentration of active compound is performed as described in Wilken et al., Diabetolo-gia 43(51 ):A143, 2000. Derived pharmacokinetic parameters are calculated from the concentration-time data for each individual subject by use of non-compartmental methods, using the commercially available software WinNonlin Version 2.1 (Pharsight, Gary, NC, USA). The terminal elimination rate constant is estimated by log-linear regression on the terminal log-linear part of the concentration-time curve, and used for calculating the elimination half-life. The term "DPP-IV protected exendin-4 compound" as used herein means an exendin-4 compound which has been chemically modified to render said compound resistant to the plasma peptidase dipeptidyl aminopeptidase-4 (DPP-IV).
The term "immunomodulated exendin-4 compound" as used herein means an exendin-4 compound which is an analogue or a derivative of exendin-4(1-39) having a reduced immune response in humans as compared to exendin-4(1-39). The method for assessing the immune response is to measure the concentration of antibodies reactive to the exendin-4 compound after 4 weeks of treatment of the patient.
The term "bulk product" or "bulk peptide product" as used herein means the purified peptide product which Is to be used for the manufacture of a pharmaceutical composition. Thus, the bulk product is normally obtained as the product from the final purification, drying or conditioning step. The bulk product may be crystals, precipitate, solution or suspension. The bulk product is also known in the art as the drug substance.
The term "isoelectric point" as used herein means the pH value where the overall net charge of a macromolecule such as a peptide is zero. In peptides there may be many charged groups, and at the isoelectric point the sum of all these charges is zero, i.e. the number of negative charges balances the number of positive charges. At a pH above the isoelectric point the overall net charge of the peptide will be negative, whereas at pH values below the
isoelectric point the overall net charge of the peptide will be positive. The isoelectric point of a peptide may be determined by isoelectric focusing or it may be estimated from the sequence of the peptide by computational algorithms known in the art.
DESCRIPTION OF THE INVENTION
In one aspect the present invention relates to a method for increasing the shelf-life of a pharmaceutical composition which comprises a glucagon-like peptide, a pharmaceutically acceptable buffer and a pharmaceutically acceptable preservative, characterized in that said pharmaceutical composition is prepared from a bulk peptide product which has been produced by drying a solution or suspension of said glucagon-like peptide having a pH above 8.0.
In another aspect the present invention relates to a method for increasing the shelf-life of a pharmaceutical composition which comprises a glucagon-like peptide and a pharmaceutically acceptable preservative, characterized in that said pharmaceutical composition is prepared from a bulk peptide product which has been produced by drying a solution or suspension of said glucagon-like peptide having a pH above 8.0.
In another aspect the present invention relates to a method for increasing the shelf-life of a pharmaceutical composition which comprises a peptide. a pharmaceutically acceptable buffer and a pharmaceutically acceptable preservative, characterized in that said pharmaceutical composition is prepared from a bulk peptide product which has been produced by drying a solution or suspension of said glucagon-like peptide having a pH above 8.0. In another aspect the present invention relates to a method for increasing the shelf-life of a pharmaceutical composition which comprises a peptide and a pharmaceutically acceptable preservative, characterized in that said pharmaceutical composition is prepared from a bulk peptide product which has been produced by drying a solution or suspension of said glucagon-like peptide having a pH above 8.0.
In another aspect the present invention relates to a method for increasing the shelf-life of a pharmaceutical composition which comprises a glucagon-like peptide, a pharmaceutically acceptable buffer and a pharmaceutically acceptable preservative, characterized in that said pharmaceutical composition is prepared from a bulk peptide product which has been produced by drying a solution or suspension of said glucagon-like peptide having a pH in the range from 8.1 to 12.5.
In another aspect the present invention relates to a method for increasing the shelf-life of a pharmaceutical composition which comprises a peptide, a pharmaceutically acceptable buffer and a pharmaceutically acceptable preservative, characterized in that said pharmaceutical composition is prepared from a bulk peptide product which has been produced by drying a solution or suspension of said glucagon-like peptide having a pH in the range from 8.1 to 12.5.
In another aspect the present invention relates to a method for increasing the shelf-life of a pharmaceutical composition which comprises a glucagon-like peptide, a pharmaceutically acceptable buffer and a pharmaceutically acceptable preservative, characterized in that said pharmaceutical composition is prepared from a bulk peptide product which has been produced by drying a solution or suspension of said glucagon-like peptide having a pH in the range from 9.0 to 10.5.
In one embodiment the glucagon-like peptide has been dried at a pH in the range from 8.1 to 12.0. In another embodiment the glucagon-like peptide has been dried at a pH in the range from 8.1 to 11.5. In another embodiment the glucagon-like peptide has been dried at a pH in the range from 8.1 to 11.0. In another embodiment the glucagon-like peptide has been dried at a pH in the range from 8.1 to 10.7. In another embodiment the glucagon-like peptide has been dried at a pH in the range from 8.5 to 12.0. In another embodiment the glucagon-like peptide has been dried at a pH in the range from 8.5 to 11.5. In another embodiment the glucagon-like peptide has been dried at a pH in the range from 8.5 to 11.0. In another embodiment the glucagon-like peptide has been dried at a pH in the range from 8.5 to 10.7. In another embodiment the glucagon-like peptide has been dried at a pH in the range from 8.5 to 10.5. In another embodiment the glucagon-like peptide has been dried at a pH in the range from 9.0 to 12.5. In another embodiment the glucagon-like peptide has been dried at a pH in the range from 9.0 to 12.0. In another embodiment the glucagon-like peptide has been dried at a pH in the range from 9.0 to 11.5. In another embodiment the glucagon-like peptide has been dried at a pH in the range from 9.0 to 11.0. In another embodiment the glucagon-like peptide has been dried at a pH in the range from 9.0 to 10.7. In another embodiment the glucagon-like peptide has been dried at a pH in the range from 9.0 to 10.5. In another embodiment the glucagon-like peptide has been dried at a pH in the range from 8.5 to 10.0. In another embodiment the glucagon-like peptide has been dried at a pH in the range from 8.5 to 9.6.
In another embodiment of the invention the bulk peptide product has been produced by drying a solution or suspension of the glucagon-like peptide having a pH in the specified range
for a period in the range from about 1 minute to about 24 hours, and at a temperature higher than the nucleation temperature (either as heterogeneous or homogeneous nucleation) of the bulk peptide to about 25 °C.
In another embodiment of the invention the bulk peptide product has been produced by drying a solution or suspension of the glucagon-like peptide having a pH in the specified range for a period in the range from 1 minute to 30 minutes, and at a temperature from about 5 °C to about 25 °C.
It is to be understood that the invention may be realised through various combinations of pH values, temperature and time. These three variables may be combined within the above mentioned ranges. However, whereas one or two of the variables may suitably be chosen at the high end of the ranges, the remaining one or two variables are typically lower. For instance, if a high pH value such as pH 10 is used it is preferably combined'with a lower temperature such as about 5-10 °C and/or a short time such as less than about 1 minute to about 6 hours. Useful combinations of variables are : pH 10.0 at 5 °C for about 3 hours, pH 10.0 at 15 °C for about 1 hour, or pH 11.0 at 5 °C for about 1 hours. The growth of ice crystals, whether as a single crystal or as a polycrystal, is the initial nucleation process, only ice is produced with the freezing of water or a aqueous solution at low pressures, both on slow and rapid freezing. The nucleation of solutions may take place in two ways, depending on the concentration of the solute and the temperature. If a saturated solution is cooled, then it may become not only supercooled with respect to the ice phase, but also supersaturated with respect to the solute. In absence of appropriate freezing nuclei, the solution may supercool. Thus the temperature used during the treatment of the peptide at higher pH is to be kept above the nucleation temperature of the peptide at the prevailing conditions. The nucleation temperature is known to the person skilled in the art, and it may routinely be determined for the relevant peptide by experiments at different temperatures.
A number of drying technologies may be applied for drying the solution or suspension of the glucagon-like peptide. Drying by freeze drying is the conventional way of drying pharmaceutical peptides. Other drying technologies are spray drying and vacuum drying. In a preferred embodiment the glucagon-like peptide is dried by freeze drying.
In another embodiment the pharmaceutical composition is a solution. In another embodiment the pharmaceutical composition is a suspension.

In another embodiment the pharmaceutical composition is a solid, e.g. a freeze-dried formulation whereto the physician or the patient adds the solvent prior to use. The solvent used for reconstitution may be water for injection or another suitable solvent. In another embodiment the pH of the pharmaceutical composition is lower than the pH of the solution or suspension of the bulk peptide being dried.
In another embodiment the pH of the pharmaceutical composition is at least 0.8 pH units lower than the pH of the solution or suspension of the bulk peptide being dried. In another embodiment the pH of said pharmaceutical composition is at least 1.5 pH units tower than the pH of the solution or suspension of the bulk peptide being dried.
The pharmaceutical compositions of the invention comprise an active compound or a salt thereof together with one or more pharmaceutical excipients such as buffer, preservative, an isotonicity agent and/or a stabiliser. Pharmaceutical compositions comprising a glucagon-like peptide according to the present invention may be administered parenterally to patients in need of such treatment. Parenteral administration may be performed by subcutaneous injection, intramuscular injection, or intraveneous injection by means of a syringe, optionally a pen-like syringe. Alternative administration can be performed by infusion, e.g. by use of an infusion pump.
In one embodiment the pH of said pharmaceutical composition or a reconstituted solution of said pharmaceutical composition is from pH 7.0 to pH 8.0, preferably from pH 7.2 to pH 7.8. In another embodiment the pH of said pharmaceutical composition or a reconstituted solution of said pharmaceutical composition is from pH 7.2 to pH 7.6. In another embodiment the pH of said pharmaceutical composition or a reconstituted solution of said pharmaceutical composition is from pH 7.4 to pH 7.8.
In another embodiment the isoelectric point of said glucagon-like peptide is from 3.0 to 7.0, preferably from 4.0 to 6.0.
In one embodiment said glucagon-like peptide is glucagon, a glucagon analogue or a derivative thereof. In another embodiment said glucagon-like peptide is oxynthomodulin.
In one embodiment said glucagon-like peptide is GLP-1, a GLP-1 analogue, a derivative of GLP-1 or a derivative of a GLP-1 analogue.
In another embodiment said GLP-1 analogue is selected from the group consisting of Gly8-GLP-1(7-36)-amide. Gly'-GLP-1(7-37), Val8-GLP-1(7-36)-amide, Val8-GLP-1(7-37),
Val8Asp22-GLP-1(7-36)-amide, Val8Asp22-GLP-1(7-37).
Val8Glu22-GLP-1(7-37), Valtys22-GLP-l (7-36)-amide. Val8Lys22-GLP-1(7-37), Val8Arg22-
GLP-1(7-36)-amide, Val8Arg22-GLP-1{7-37), Val8His22-GLP-1 (7-36)-amide, Val8His22-GLP-
1(7-37), Val8Trp19Glu22-GLP-1(7-37), VafGlu22Val25-GLP-l (7-37). VafTyr16Glu22-GLP-1(7-
37), Val8Trp18Glu22-GLP-1(7-37). Val8Leul6Glu22-GLP-1(7-37), Val8Tyr18Glu22-GLP-1(7-37),
VafGlu22His37-GLP-l (7-37), Val8Glu22lle33-GLP-1(7-37), Val8Trp18Glu22Val2Slle33-GLP-1(7-
37), Val8Trp18Glu22lle33-GLP-1(7-37), Val8Glu22Val25lle33-GLP-1 (7-37). Val8Trp16Glu22Val25-
GLP-1(7-37), and analogues thereof.
In another embodiment said derivative of a GLP-1 analogue is Arg34, Lys28(N'-(y-Glu(Na-
hexadecanoyl)))-GLP-1 (7-37).
Methods for the preparation of GLP-1, analogues thereof as well as GLP-1 derivatives can
be found in e.g. WO 99/43706, WO 00/55119. WO 00/34331 and WO 03/18516.
In another embodiment the glucagon-like peptide is a GLP-1 peptide and the pharmaceutical composition or a reconstituted composition thereof has a glucacon-like peptide concentration from 0.1mg/mL to 50mg/mL, from 0.1mg/mL to 25mg/mL, from 1mg/mL to 25mg/mL. from 1mg/mL to 10mg/mL, or from 3mg/mL to 8mg/mL.
In one embodiment the glucagon-like peptide is GLP-2. a GLP-2 analogue, a derivative of
GLP-2 or a derivative of a GLP-2 analogue.
In another embodiment the derivative of GLP-2 or a derivative of a GLP-2 analogue has a
lysine residue, such as one lysine, wherein a lipophilic substituent optionally via a spacer is
attached to the epsilon amino group of said lysine.
Methods for the preparation of GLP-2, analogs thereof as well as GLP-2 derivatives can be
found in e.g. WO 99/43361 and WO 00/55119.
In another embodiment the glucagon-like peptide is a GLP-2 peptide and the pharmaceutical
composition or a reconstituted composition thereof has a glucagon-like peptide concentration
from 0.1mg/mL to 100mg/mL, from 0.1mg/mL to 25mg/mL, or from 1mg/mL to 25mg/mL
In one embodiment the glucagon-like peptide is exendin-4, an exendin-4 analogue, a derivative of exendin-4, or a derivative of an exendin-4 analogue.
In another embodiment the glucagon-like peptide is exendin-4. In another embodiment the glucagon-like peptide is a stable exendin-4. In another embodiment the glucagon-like peptide is a DPP-IV protected exendin-4. In another embodiment the glucagon-like peptide is an im-
munomodulated exendin-4. In another embodiment the glucagon-like peptide is ZP-10 ([Ser38Lys38]Exendin-4(1-39)LysLysLysLysLys-amide).
Methods for the preparation of exendin-4, analogues thereof as well as exendin-4 derivatives can be found in e.g. WO 99/43708, WO 00/41546 and WO 00/55119. In another embodiment the glucagon-like peptide is an exendin-4 peptide and the pharmaceutical composition or a reconstituted composition thereof has a concentration of glucagon-like peptide from 5µg/mL to 10mg/mL, from 5µg/mL to 5mg/mL, from 5µg/mL to 5mg/mL. from 0.1mg/mL to 3mg/mL, or from 0.2mg/mL to 1mg/mL
Buffers suitable for use in pharmaceutical compositions are known to those skilled in the art and include, but are not limited to, orhto-phosphate, TRIS, glycine, N-glycylglycine, citrate sodium acetate, sodium carbonate, glycylglycine, histidine, lysine, arginine, sodium phosphate, and sodium citrate or mixtures thereof. In one embodiment the pharmaceutical composition comprises a buffer which is Tris. In another embodiment the pharmaceutical composition comprises a buffer which is Bicine.
Preservatives for use in pharmaceutical compositions are known to those skilled in the art and include, but are not limited to, phenol, m-cresol, methyl p-hydroxyfaenzoate, propyl p-hydroxybenzoate, 2-phenoxyethanol, butyl p-hydroxybenzoate, 2-phenylethanol, benzyl alcohol, chlorobutanol, and thiomerosai, or mixtures thereof. In one embodiment the pharmaceutical composition comprises an isotonicity agent. In another embodiment the pharmaceutical composition comprises an isotonicity agent which is sodium chloride, xylitol, mannitol, sorbitol, glycerol, glucose, maltose, sucrose, L-glycine, L-histidine, arginine, lysine, isoleucine, aspartic acid, tryptophan, threonine, dimethyl sul-phone. polyethyleneglycol, propylene glycol or mixtures thereof.
In another embodiment of the present invention the pharmaceutical composition further comprises a stabilizer.
In a further embodiment of the invention the formulation further comprises a stabilizer selected from the group of high molecular weight polymers or low molecular compounds. In a further embodiment of the invention the stabilizer is selected from polyethylene glycol (e.g. PEG 3350), poiyvinylalcohol (PVA), polyvinylpyrrolidone, carboxymethylcellulose, different salts (e.g. sodium chloride), L-glycine, L-histidine, imidazole, arginine, lysine, isoleucine, aspartic acid, tryptophan, threonine and mixtures thereof. Each one of these specific stabilizers constitutes an alternative embodiment of the invention. In a preferred embodiment of the invention the stabilizer is selected from the group consisting of L-histidine, imidazole and arginine.
In another embodiment of the present invention the stabilizer is selected from the group consisting of PEG 3350, polyvinylalcohol, polyvinylpyrrolidone, carboxy-methylcellulose, sodium chloride, L-glycine, L-histidine, imidazole, L-arginine, L-lysine, L-isoleucine, L-aspartic acid, L-tryptophan, L-threonine and mixtures thereof.
In a further embodiment of the invention the formulation further comprises a chelating agent. In a further embodiment of the invention the chelating agent is selected from salts of etnlenediaminetetraacetic acid (EOTA), citric acid, and aspartic acid, and mixtures thereof. Each one of these specific chelating agents constitutes an alternative embodiment of the invention.
In another embodiment of the present invention the pharmaceutical composition further comprises a surfactant. In a further embodiment of the invention the surfactant is selected from a detergent, ethoxylated castor oil, polyglycolyzed glycerides, acetylated monoglycerides. sor-bitan fatty acid esters, poloxamers, such as 188 and 407, polyoxyethylene sorbitan fatty acid esters, polyoxyethylene derivatives such as alkylated and atkoxylated derivatives (tweens, e.g. Tween-20, orTween-80), monoglycerides or ethoxylated derivatives thereof, diglyc-erides or polyoxyethylene derivatives thereof, glycerol, cholic acid or derivatives thereof, lecithins, alcohols and phospholipids, glycerophospholipids (lecithins, kephalins, phosphatidyl serine), glyceroglycolipids (galactopyransoide), sphingophospholipids (sphingomyelin), and sphingoglycolipids (ceramides, gangliosides), OSS (docusate sodium, CAS registry no [577-11-7]), docusate calcium, CAS registry no [128-49-4]), docusate potassium, CAS registry no [7491-09-0]), SOS (sodium dodecyl sulfate or sodium lauryl sulfate), dipalmitoyl phosphatidic acid, sodium caprylate, bile acids and salts thereof and glycine or taurine conjugates, urso-deoxycholic acid, sodium cholate, sodium deoxycholate, sodium taurocholate, sodium gly-cocholate, N-Hexadecyl-N,N-dimethyl-3-ammonio-1-propanesulfonate, anionic (alkyl-aryl-sulphonates) monovalent surfactants, palmitoyl lysophosphatidyl-L-serine, lysophospholipids (e.g. 1-acyl-sn-glycero-3-phosphate esters of ethanolamine, choline, serine or threonine), alkyl, alkoxyl (alkyl ester), alkoxy (alkyl ether)- derivatives of lysophosphatidyl and phos-phatidylcholines, e.g. lauroyl and myristoyl derivatives of lysophosphatidylcholine, dipalmi-toylphosphatidylchoiine, and modifications of the polar head group, that is cholines, etha-nolamines, phosphatidic acid, serines, threonines, glycerol, Inositol, and the postively charged DODAC, DOTMA, OCR, BISHOP, lysophosphatidylserine and lysophosphatidyl-threonine, zwitterionic surfactants (e.g. N-alkyl-N,N-dimethylammonio-1-propanesulfonates, 3-cholamido-1 -propyldimethylammonio-1-propanesulfonate, dodecylphosphocholine. myristoyl lysophosphatidylcholine, hen egg lysolecithin). cationic surfactants (quarternary ammonium bases) (e.g. cetyl-trimethylammonium bromide, cetylpyridinium chloride), non-ionic sur-
factants, polyethyleneoxide/polypropyleneoxide block copolymers (Pluronics/Tetronics, Triton X-100, Dodecyl p-D-glucopyranoside) or polymeric surfactants (Tween-40, Tween-80, Brij-35), fusidic acid derivatives- (e.g. sodium tauro-dihydrofusidate etc.). long-chain fatty acids and salts thereof C6-C12 (eg. oleic acid and caprylic acid), acylcarnitines and derivatives, N°-acylated derivatives of lysine, arginine or histidine, or side-chain acylated derivatives of lysine or arginine, N°-acylated derivatives of dipeptides comprising any combination of lysine, arginine or histidine and a neutral or acidic amino acid, N°-acylated derivative of a tripeptide comprising any combination of a neutral amino acid and two charged amino acids, or the surfactant may be selected from the group of imidazoline derivatives, or mixtures thereof. Each one of these specific surfactants constitutes an alternative embodiment of the invention.
The use of excipients such as preservatives, isotonic agents and surfactants in pharmaceutical compositions is well-known to the skilled person. For convenience reference is made to Remington: The Science and Practice of Pharmacy, 19th edition, 1995.
In a further aspect the present invention relates to a pharmaceutical composition which comprises a glucagon-like peptide, a pharmaceutically acceptable buffer and a pharmaceutically acceptable preservative, characterized in that said pharmaceutical composition is prepared by a method according to the present invention.
In a further aspect the present invention relates to a pharmaceutical composition having a pH between about 7.2 to about 7.8, said composition comprising a glucagon-like peptide and at least one pharmaceutically acceptable excipient, wherein said composition is shelf stable as measured by a less than two fold increase of fluorescence in a Thioflavin T test of the glucagon-like peptide contained in said composition after storage of the composition for one month at 37 °C.
In a further aspect the present invention relates to a pharmaceutical composition which comprises a peptide, a pharmaceutically acceptable buffer and a pharmaceutically acceptable preservative, characterized in that said pharmaceutical composition is prepared by a method according to the present invention.
Jn a further aspect the present invention relates to a method for treatment of hyperglycemia comprising parenteral administration of an effective amount of the pharmaceutical composii-ton according to the present invention.
The parent glucagon-like peptide can be produced by peptide synthesis, e.g. solid phase peptide synthesis using t-Boc or F-Moc chemistry or other well established techniques. The parent glucagon-like peptide can also be produced by a method which comprises culturing a host cell containing a ONA sequence encoding the polypeptide and capable of expressing the polypeptide in a suitable nutrient medium under conditions permitting the expression of the peptide, after which the resulting peptide is recovered from the culture. The medium used to culture the cells may be any conventional medium suitable for growing the host cells, such as minimal or complex media containing appropriate supplements. Suitable media are available from commercial suppliers or may be prepared according to published recipes (e.g. in catalogues of the American Type Culture Collection). The peptide produced by the cells may then be recovered from the culture medium by conventional procedures including separating the host cells from the medium by centrifugation or filtration, precipitating the pro-teinaceous components of the supernatant or Filtrate by means of a salt, e.g. ammonium sulphate, purification by a variety of chromatographic procedures, e.g. ion exchange chromatogra-phy, gel filtration chromatography, affinity chromatography, or the like, dependent on the type of peptide in question.
The ONA sequence encoding the parent peptide may suitably be of genomic or cDNA origin, for instance obtained by preparing a genomic or cDNA library and screening for ONA sequences coding for all or part of the peptide by hybridisation using synthetic oligonucleotide probes in accordance with standard techniques (see, for example, Sambrook, J, Fritsch, EF and Maniatis, T, Molecular Cloning: A Laboratory Manual, Cold Spring Harbor Laboratory Press, New York, 1989). The ONA sequence encoding the peptide may also be prepared synthetically by established standard methods, e.g. the phosphoamidite method described by Beaucage and Caruthers, Tetrahedron Letters 22 (1981), 1859 -1869, or the method described by Matthes et al., EMBO Journal 3 (1984), 801 - 805. The DNA sequence may also be prepared by poly-merase chain reaction using specific primers, for instance as described in US 4.683,202 or Saiki et al., Science 239 (1988), 487 - 491.
The ONA sequence may be inserted into any vector which may conveniently be subjected to recombinant DNA procedures, and the choice of vector will often depend on the host cell into which it is to be introduced. Thus, the vector may be an autonomously replicating vector, i.e. a vector which exists as an extrachromosomal entity, the replication of which is independent of chromosomal replication, e.g. a plasmid. Alternatively, the vector may be one which, when introduced into a host cell, is integrated into the host cell genome and replicated together with the chromosome(s) into which it has been integrated.
The vector is preferably an expression vector in which the DNA sequence encoding the peptide is operably linked to additional segments required for transcription of the DNA, such as a promoter. The promoter may be any DNA sequence which shows transcriptional activity in the host cell of choice and may be derived from genes encoding proteins either homologous or heterolo-gous to the host cell. Examples of suitable promoters for directing the transcription of the DNA encoding the peptide of the invention in a variety of host cells are well known in the art, cf. for instance Sambrook et a/., supra.
The DNA sequence encoding the peptide may also, if necessary, be operably connected to a suitable terminator, polyadenylation signals, transcriptional enhancer sequences, and transla-tional enhancer sequences. The recombinant vector of the invention may further comprise a DNA sequence enabling the vector to replicate in the host cell in question. The vector may also comprise a selectable marker, e.g. a gene the product of which complements a defect in the host cell or one which confers resistance to a drug, e.g. ampicillin, kana-mycin, tetracyclin. chloramphenicol, neomycin, hygromycin or methotrexate. To direct a parent peptide of the present invention into the secretory pathway of the host cells, a secretory signal sequence (also known as a leader sequence, prepro sequence or pre sequence) may be provided in the recombinant vector. The secretory signal sequence is joined to the DNA sequence encoding the peptide in the correct reading frame. Secretory signal sequences are commonly positioned 5' to the DNA sequence encoding the peptide. The secretory signal sequence may be that normally associated with the peptide or may be from a gene encoding another secreted protein.
The procedures used to ligate the DNA sequences coding for the present peptide, the promoter and optionally the terminator and/or secretory signal sequence, respectively, and to insert them into suitable vectors containing the information necessary for replication, are well known to persons skilled in the art (cf., for instance, Sambrook etaL, supra).
The host cell into which the DNA sequence or the recombinant vector is introduced may be any cell which is capable of producing the present peptide and includes bacteria, yeast, fungi and higher eukaryotic cells. Examples of suitable host cells well known and used in the art are, without limitation, E coli, Saccharomyces cemvisiae, or mammalian BHK or CHO cell lines.
The present invention is further illustrated by the following examples which, however, are not to be construed as limiting the scope of protection. The features disclosed in the foregoing description and in the following examples may, both separately and in any combination thereof, be material for realising the invention in diverse forms thereof.
EXAMPLES
In the following "Compound 1" is intended to mean: Arg34, Lys28 (N'-(y-Glu(Nff-hexadecanoyl)))-GLP-1 (7-37).
Before freeze drying the solution or suspension of the drug substance of a peptide pH is adjusted to the aimed pH. After freeze drying pharmaceutical formulations were prepared according to General procedure 1 and 2.
General procedure 1
Preservative, isotonic agent and buffer were dissolved in water and pH adjusted to 7.4. Hereafter the freeze dried peptide was dissolved while stirring slowly. The pH was adjusted to 7.4 using Sodium Hydroxide and/or Hydrochloric Acid. Finally, the formulation was filtered through a 0.22 µm filter.
General procedure 2
Preservative, isotonic agent and buffer were dissolved in water and pH adjusted to 7.4. The peptide was dissolved in water while stirring slowly. The two solutions were mixed and pH adjusted to 7.4 using Sodium Hydroxide and/or Hydrochloric acid. Finally, the formulation was filtered through a 0.22 µm filter.
Physical stability of the formulations is evaluated by means of the Thioflavin T-test. The physical stability of the different formulations is characterized by their tendency to form fibrils. A method to determine the presence of fibrils is the Thioflavin T-test. The histological thiazole dye Thioflavin T (ThT) is used as an indicator of amyloid fibril formation. The method is based on the fluorescent characteristics of ThT. In the presence of amyloid fibrils, the fluo-rescense of ThT exhibits an excitation maximum at 450 nm and enhanced emission at 482 nm. The ThT fluorescence intensity has been shown to be linear with the increase in amyloid fibril concentration. The physical stability of the formulations is evaluated by the ThT-test after storage of the formulation is top filled glass cartridges for various time periods.
Results of pharmaceutical formulation manufactured with drug substance adjusted to a pH above neutral pH (> 8) before freeze drying
The results from ThT-test at start (t = 0) and after 1 months storage at 37°C can be seen in Table 1.
Table 1. Results from ThT-test (fluorescence units) after 1 week or 1 month of accelerated stability testing.
(Table Removed)
It is seen that the pharmaceutical formulations manufactured with Compound 1 adjusted to pH 9.5 and 11.5 before freeze drying is more physically stable after 1 week and 1 months storage at 37°C (as no increase in ThT is seen) compared to the pharmaceutical formulation manufactured with Compound 1 adjusted to pH 8.0 before freeze drying (where an increase in ThT is seen).

CLAIMS
1. A method for increasing the shelf-life of a pharmaceutical composition which comprises a
giucagon-like peptide, a pharmaceuticaily acceptable buffer and a pharmaceutically accept
able preservative, characterized in that said pharmaceutical composition is prepared from a
bulk peptide product which has been produced by drying a solution or suspension of said
glucagon-like peptide having a pH above 8.0.
2. A method for increasing the shelf-life of a pharmaceutical composition which comprises a
glucagon-like peptide. a pharmaceutically acceptable buffer and a pharmaceutically accept
able preservative, characterized in that said pharmaceutical composition is prepared from a
bulk peptide product which has been produced by drying a solution or suspension of said
glucagon-like peptide having a pH in the range from 8.1 to 12.5.
3. The method according to claim 1, wherein said pH is in the range from 8.5 to 10.5.
4. The method according to claim 1, wherein said pH is in the range from 9.0 to 10.5.
5. The method according to claim 1, wherein said pH is in the range from 8.5 to 9.6.
6. The method according to any one of claims 1-5, wherein said bulk peptide product has
been produced by drying a solution or suspension of said glucagon-like peptide having a pH
in the specified range for a period in the range from 10 minutes to 5 hours, and at a tempera
ture from about 5 °C to about 25 °C.
7. The method according to any one of claims 1-6. wherein said bulk peptide product has
been produced by drying a solution or suspension of said glucagon-like peptide having a pH
in the specified range for a period in the range from 1 minute to 30 minutes, and at a tem
perature from about 5 °C to about 25 °C.
8. The method according to any one of claims 1-7, wherein said drying is a freeze drying.
9. The method according to any one of the claims 1-8. wherein said pharmaceutical composi
tion is a solution.
10. The method according to any one of the claims 1-8, wherein said pharmaceutical
composition is a suspension.
11. The method according to any one of claims 1-8, wherein said pharmaceutical composi
tion is a solid.
12. The method according to claim 11, wherein said pharmaceutical composition is to be re
constituted with water for injection or another suitable solvent.
13. The method according to any one of claims 1-12, wherein the pM of said pharmaceutical
composition is lower than the pH of the solution or suspension of the bulk peptide being
dried.
14. The method according to any one of claims 1-13, wherein the pH of said pharmaceutical
composition is at least 0.8 pH units lower than the pH of the solution or suspension of the
bulk peptide being dried.
15. The method according to any one of claims 1-14, wherein the pH of said pharmaceutical
composition is at least 1.5 pH units lower than the pH of the solution or suspension of the
bulk peptide being dried.
16. The method according to any one of the preceding claims, wherein the pharmaceutical
composition is suitable for parenteral administration, e.g. by injection or infusion.
17. The method according to any one of the preceding claims, wherein the pH of said phar
maceutical composition or a reconstituted solution of said pharmaceutical composition is
from pH 7.0 to pH 8.0, preferably from pH 7.2 to pH 7.8.
18. The method according to any of the preceding claims, wherein the isoelectric point of
said glucagon-like peptide is from 3.0 to 7.0, preferably from 4.0 to 6.0.
19. The method according to any one of claims 1-18, wherein said glucagon-like peptide is
glucagon, a glucagon analogue or a derivative thereof.
20. The method according to any one of claims 1-19, wherein said glucagon-like peptide is
GLP-1. a GLP-1 analogue, a derivative of GLP-1 or a derivative of a GLP-1 analogue.
21. The method according to claim 20, wherein said GLP-1 analogue is selected from the
group consisting of Gly8-GLP-1(7-36)-amide, Glya-GLP-1(7-37), Vala-GLP-1 (7-36)-amide,
Val"-GLP-1(7-37), Val8Asp22-GLP-1(7-36)-amide. Val8Asp22-GLP-1(7-37), Val8Glu22-GLP-
1(7-36)-amide . Val8Glu22-GLP-1(7-37), Val8Lys22-GLP-1(7-36)-amide, Val8Lys22-GLP-1(7-
37), Val8Arg22-GLP-1(7-36)-amide, VaJ8Arg22-GLP-1(7-37), Val8His22-GLP-1-(7-36)-amide,
Va8His22-GLP-l (7-37). Val8Trp19Glu22-GLP-l (7-37), VafGlu22Val25-GLP-l (7-37).
VarTyr16Glu22-GLP-l (7-37), Val'Trp16Glu22-GLP-1 (7-37), Val8Leu16Glu22-GLP-1(7-37),
Val8Tyr18Glu22-GLP-1 (7-37). VafGlu22His37-GLP-1 (7-37), Val8Glu22lle33-GLP-1 (7-37).
Val8Trp18Glu22Val25He33-GLP-1 (7-37). Val8Trp18Glu22lle33-GLP-1(7-37), VafGlu22Va25lle33-
GLP-1(7-37), ValaTrp18Glu22Val2S-GLP-1(7-37), and analogues thereof.
22. The method according to claim 20, wherein said derivative of a GLP-1 analogue is Arg34.
Lys28(N'-(Y-Glu(Na-hexadecanoyl)))-GLP-1(7-37).
23. The method according to any one of claims 19-21, wherein the concentration of said glu
cagon-like peptide in the pharmaceutical composition is from 0.1mg/mL to 50mg/mL, from
0.1mg/mL to 25mg/mL, from 1mg/mL to 25mg/mL. from 1mg/mL to 10mg/mL, or from
3mg/mL to 8mg/mL
24. The method according to any one of claims 1-19. wherein said glucagon-like peptide is
GLP-2, a GLP-2 analogue, a derivative of GLP-2 or a derivative of a GLP-2 analogue.
25. The method according to claim 24, wherein said derivative of GLP-2 or a derivative of a
GLP-2 analogue has a lysine residue, such as one lysine, wherein a lipophilic substituent op
tionally via a spacer is attached to the epsilon amino group of said lysine.
26. The method according to any one of claims 24-25. wherein the concentration of said glu
cagon-like peptide in the pharmaceutical composition is from O.lmgVmL to lOOmg/mL, from
0.1mg/mL to 25mg/mL, or from 1mg/mL to 25mg/mL
27. The method according to any one of claims 1-18, wherein said glucagon-like peptide is
exendin-4. an exendin-4 analogue, a derivative of exendin-4. or a derivative of an exendin-4
analogue.
28. The method according to claim 27. wherein said peptide is exendin-4.
29. The method according to claim 27, wherein said peptide is a stable exendin-4 compound.
30. The method according to claim 27, wherein said peptide is a DPP-IV protected exendin-4
compound.
31. The method according to claim 27. wherein said peptide is an immunomodulated ex
endin-4 compound.
32. The method according to claim 27. wherein said peptide is ZP-10, i.e.
[Ser^Lys^Exendin^O-SSJLysLysLysLysLys-amide.
33. The method according to any one of claims 27-32, wherein the concentration of said pep
tide in the pharmaceutical composition is from 5//g/mL to 10mg/mL, from 5//g/mL to 5mg/mL,
from 5jjg/mL to 5mg/mL, from 0.1mg/mL to 3mg/mL, or from 0.2mg/mL to 1mg/mL.
34. The method according to any one of the preceding claims, wherein said buffer is selected
from orhto-phosphate, TRIS, glycine, N-glycylglycine, citrate sodium acetate, sodium car
bonate, glycylglycine, histidine, lysine, arginine, sodium phosphate, and sodium citrate or
mixtures thereof.
35. The method according to any one of the preceding claims, wherein said preservative is
selected from phenol, m-cresol, methyl p-hydroxybenzoate, propyl p-hydroxybenzoate, 2-
phenoxyethanol, butyl p-hydroxybenzoate, 2-phenylethanol, benzyl alcohol, chlorobutanol,
and thiomerosal, or mixtures thereof.
36. The method according to any one of the preceding claims, which comprises an isotonicity
agent.
37. The method according to claim 36, wherein said isotonicity agent is sodium chloride,
xylitol, mannitol, sorbitol, glycerol, glucose, maltose, sucrose, L-glycine, L-histidine, arginine,
lysine, isoleucine, aspartic acid, tryptophan, threonine, dimethyl sulphone,
polyethyleneglycol, propylene glycol or mixtures thereof.
38. The method according to any one of the preceding claims, which comprises a surfactant.
39. A pharmaceutical composition which comprises a glucagon-like peptide, characterized in
that said pharmaceutical composition is prepared according to the method of any one of
claims 1-38.
40. A pharmaceutical composition having a pH between about 7.2 to about 7.8, said compo
sition comprising a glucagon-like peptide and at least one pharmaceutically acceptable ex-
cipient, wherein said composition is shelf stable as measured by a less than two fold in
crease of fluorescence in a Thioflavin T test of the glucagon-like peptide contained in said
composition after storage of the composition for one month at 37 °C.
41. A method for treatment of hyperglycemia comprising parenteral administration of an ef
fective amount of the pharmaceutical composition according to any one of claims 39-40.