CA2345482A1 - Use of paclitaxel stabilized with albumin for preparing a drug for the treatment of solid tumors and the drug obtained thereby - Google Patents

Use of paclitaxel stabilized with albumin for preparing a drug for the treatment of solid tumors and the drug obtained thereby Download PDF

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Publication number
CA2345482A1
CA2345482A1 CA002345482A CA2345482A CA2345482A1 CA 2345482 A1 CA2345482 A1 CA 2345482A1 CA 002345482 A CA002345482 A CA 002345482A CA 2345482 A CA2345482 A CA 2345482A CA 2345482 A1 CA2345482 A1 CA 2345482A1
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CA
Canada
Prior art keywords
drug
treatment
paclitaxel
albumin
microparticles
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Abandoned
Application number
CA002345482A
Other languages
French (fr)
Inventor
Marco Falciani
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Abraxis Bioscience LLC
Original Assignee
ACS Dobfar SpA
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
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Application filed by ACS Dobfar SpA filed Critical ACS Dobfar SpA
Publication of CA2345482A1 publication Critical patent/CA2345482A1/en
Abandoned legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/14Particulate form, e.g. powders, Processes for size reducing of pure drugs or the resulting products, Pure drug nanoparticles
    • A61K9/141Intimate drug-carrier mixtures characterised by the carrier, e.g. ordered mixtures, adsorbates, solid solutions, eutectica, co-dried, co-solubilised, co-kneaded, co-milled, co-ground products, co-precipitates, co-evaporates, co-extrudates, co-melts; Drug nanoparticles with adsorbed surface modifiers
    • A61K9/146Intimate drug-carrier mixtures characterised by the carrier, e.g. ordered mixtures, adsorbates, solid solutions, eutectica, co-dried, co-solubilised, co-kneaded, co-milled, co-ground products, co-precipitates, co-evaporates, co-extrudates, co-melts; Drug nanoparticles with adsorbed surface modifiers with organic macromolecular compounds
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/48Preparations in capsules, e.g. of gelatin, of chocolate
    • A61K9/50Microcapsules having a gas, liquid or semi-solid filling; Solid microparticles or pellets surrounded by a distinct coating layer, e.g. coated microspheres, coated drug crystals
    • A61K9/51Nanocapsules; Nanoparticles
    • A61K9/5107Excipients; Inactive ingredients
    • A61K9/513Organic macromolecular compounds; Dendrimers
    • A61K9/5169Proteins, e.g. albumin, gelatin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/335Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin
    • A61K31/337Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin having four-membered rings, e.g. taxol
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/30Macromolecular organic or inorganic compounds, e.g. inorganic polyphosphates
    • A61K47/42Proteins; Polypeptides; Degradation products thereof; Derivatives thereof, e.g. albumin, gelatin or zein
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/10Dispersions; Emulsions
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/48Preparations in capsules, e.g. of gelatin, of chocolate
    • A61K9/50Microcapsules having a gas, liquid or semi-solid filling; Solid microparticles or pellets surrounded by a distinct coating layer, e.g. coated microspheres, coated drug crystals
    • A61K9/5005Wall or coating material
    • A61K9/5021Organic macromolecular compounds
    • A61K9/5052Proteins, e.g. albumin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P35/00Antineoplastic agents

Abstract

Use of microparticles of Paclitaxel stabilized with albumin for preparing a drug for the treatment of solid tumors sensitive to Paclitaxel, and the drug obtained thereby.

Description

Lti/U4 U1 ~lli 14: uo !~~ ++.!b UL Lt~a~.~4o.>1 llVl..l.lA~eittUl.mm_. ~,~.~~.
USE OF PACLTTAXEL STABILIZED WITH AhBUMIN FOR PR»PARIN(~ A
DRUG FOR THE TRI~ATl'4~1~IT Ulr' SOLID TUMORS AND THE DRUG
OBTAINED Z'IiEREBY
The invention rclat~~s~ to a drug for the treatment of Paclitaxel, and the use of albumin micropart~:cles incorporatirlg~ Paclitaxel (and lutown by the name of ADI 007) in the prcpttration of this drug.
Paclitaxel is a sttbstanr_e well known in the literature, with important clinical activity on a large number of tumors, such as ovary, Iung, head and t 0 neck, bladder and breast tumors.
Paclitaxel is insoluble in water. Irt order to render it soluble and suitable for intravenous ad~m.fnistration, it has been mixed with a surfactant (such as isolyethoxylatcd castor oil, lmoan~ by the registered name "CLCr.11up11u1 EL") and with about 50% of ranhydrous alcohol USP, ae vehicles for the 5 ParlitaxPl: thi4 mixture was patented by tiristoi-Myers Squibb and tg known by Llle, 1'C~,l'.fLClCl1 Liaiut "Taxol" to which ccfcrcnce will be tuadc hereiliaft~r, for oimplieity. The pre: once of the Surfactant and the anhydrous alcohol has CPT1f117S drawhar:kq, g»c:h as strong hypersensitivity, in addition to other side effects.
20 fn tiny ever~t,. Taxol is admixiiatered, and can be administered, only by isltravenous injection, with carry Ir_.zt,gthy admtnxgtra.tinn timrc tt~
Qxt attem.rt to minimize the toxic effects of ithe product.
To overoonne the aforesaid drawbar.L~s, the said Bristol-Myers Squibb has patented (European Parent Arrli~atinns FP..A-()Sii4()()l, H;P-A-()7lialili5, W EP-A-0783886 and United SldlCS Pr~lCIlls US 5641803 a.cld U3 5670537) ovrnpositiona also containing, in addition to Texol, other oub3tEtrtce3 or medicaments able to impedC SG:r1011S a~.Rj~h3rlR~xi~ rPa~tiflnC.
According LO the laiown arl.. its drsc,-ribcd W tile d!'urcad.iQ pGtLC~lts, from l;ib to 1'75 trig of Taxol per m2 of the patient's body surface are 30 adrninistercd intravenously to petticnt3 3ubjeeted to therapy, each adsxximistration being effected very slowly, over a dttratiori of Ahntlt 3 hnmrw it is essential always to use the aforementioned medicaments.
U3 5439686, US 5498421 and US 55609$3 deocribe albumin_ microparticles incorporating th~P Pa~litax~:l: thPSp particles are internationally identified by the symbols ABI OC17, this denomination being used hereinafter for simplicity whenever reference is made to these microparticles.
ABI 007 is in practice a formulation of Paclitaxel stabilized by human albumin USP, which care be dispersed in physiological solution which is directly injectable, being free of 'toxic emulsifiers.
It has been surprisingly found that ABI 700 can be used to prepare drugs in which the ABI 007 is present as a dispersion in physiological solutions at a concentration between 2 rng and 8 mg per ml of these solutions, and that this drug can be injected directly into those arteries which feed the terntory associated with a tumor sensitive to Paclitaxel, with administrations effected over durations much shorter than are possible in the known art, and repeated just a few times.
Compared with the teachings of the aforestated previous known patents, it can be noted that, according to the present invention, the ABI 007 is used to obtain drugs the use of which enables patients to be administered with doses of Paclitaxel very much higher and with infusion durations very much shorter than is possible with the known method of intravenous administration, with favourable results (response percentage extremely high and surprising), observing very low toxicity in all cases.
More specifically, the intra-arterial administrations of the drug of the invention can be spaced apart by 3-4 weeks, with a therapeutically very favourable result, i.e. a treatment response percentage which is higher than 71% (compared with the 40°~o achieved with the traditional treatment with Paclitaxel, for example in treating head and neck cancer).
More particularly, the drug of the present invention can be used with surprising results for treating a patient afflicted with a tumor sensitive to Paclitaxel, this drug being inject;~ble directly into the artery feeding the territory associated with the tumor, taking care to use a quantity of drug containing between 190 and 500 mg of ABI 007 and that the injection in completed over a duration of about 25-60 minutes. From 2 to 5 similar intra-arterial injections are then repeated at a distance c~f 3-5 weeks one from another.
Tumors which have proved responsive to the described treatment are the squamocellular carcinomas, including certain tumors of the lung, head and neck, uterus and anal canal.
From trials carried out it has been found that, preferably, the drug quantity used for intra-arterial therapy of tumors contains from 200 to 300 mg of ABI 007 per m2 of the patient's body surface for each administration, and that the administration of each individual dose of the dispersion is effected over about 30 minutes.
Some examples relating to the treatment of tumors of different types and locations are described to clarify the understanding and the characteristics of the present invention.
z~v w w~r~or z~ ~
A female patient (PR), S7 years of age, afflicted with pelvic recurrence of carcinoma of the anal canal, already previously treated by chemotherapy, radiotherapy and surgery and judged inoperable, is treated with four separate successive intra-arterial injections (at a distance of 4 weeks one from the other) into the internal iliac arteries, of dispersions of ABI 007 in physiological solution (Paclitaxel in microparticles of albumin) at doses of 220, 230, 250 and 275 mg per m2 of body surface respectively.
The injected dispersions have a concentration of 6 mg of ABI 007 per ml of their solution.
The reduction in 'the tumor was followed by computerized tomography. Having observed an important tumor reduction and assuming that virtually complete regression of the mass had been achieved, a surgical intervention was performed and. demonstrated the absence of the histological tumor.

To a female patient (~~N), 64 years of age, afflicted with voluminous neoplasia of the left half tongue, not previously subjected to any form of treatment, ABI 007 is administ~°red in 4 successive cycles, at a dose of 210, 230, 200 and 200 mg/m2 respectively, at a concentration of 4 mg/ml into the left lingual artery.
Response to the treatment was followed by clinical examination and magnetic resonance because of the presence of fixed dental prostheses.
Having observed important tumor regression, evaluated at 90% one month after the end of treatment, surgical intervention was proposed, and demonstrated histological absence of the tumor.
Ti'.Y 0 MDT Ti' Q
To a male patient (BP), 61 years of age, afflicted with carcinoma of the right hypopharynx, with metastasis at a right laterocervical lymph node not subjected to any previous treatment, ABI 007 is administered into the external carotid artery for 3 cycles, spaced apart by 4 weeks, at a dose of 240 mg/m2 and at a concentration of 3 mg; ml. Having observed the therapeutic response by computerized tomography and clinical examination, multiple depth biopsies were performed in the hypopharynx, in the site previously occupied by the tumor, and demonstrated histological absence of neoplasia.
The lymphonodal metastasis had also decreased by more than 80%
in dimensions and was removed by surgical intervention, with tumor presence at this level.
Ti'YAMDT.Ti' d To a female patient (EP), 37 years of age, afflicted with recurrence of carcinoma of the anal canal, previously treated by radio- chemotherapy, ABI
007 was administered into the internal iliac arteries for 4 cycles spaced apart by 4 weeks, at a dose of 250 mg,/m2 per cycle, at a concentration of 7 mg/ml.
Having observed t:he therapeutic response by gynecological examination and computerized tomography, a new surgical intervention. was proposed and demonstrated the histological absence of tumor.
Ti'Y A MDT .Ti' ~.
To a male patient (GCS, 59 years of age, afflicted with recurrence of carcinoma of the anal canal, previously treated by radio-chemotherapy, ABI
007 was administered into the internal iliac arteries at a dose of 200, 240 and 260 mg/m2 respectively, at a concentration of 7.5 mg/ml.
Having observed the response by clinical examination and transrectal echoendosonograph,y, a surgical intervention was proposed and demonstrated the histological absence of tumor.

Claims (4)

1. Use of microparticles of Paclitaxel stabilized with albumin for preparing a drug for the treatment of solid tumors sensitive to Paclitaxel, in particular squamocellular carcinomas, the drug comprising a dispersion of said microparticles in a physiological solution in which the microparticles are present at a concentration between 2 and 8 mg/ml of this solution.
2. Use of microparticles as claimed in claim 1, characterised in that the concentration of said microparticles in their dispersion is between 3 and 7.5 mg/ml of the physiological solution.
3. A drug for the treatment of solid tumors sensitive to Paclitaxel, characterised by comprising a dispersion of microparticles of Paclitaxel stabilized with albumin in a physiological solution in which the concentration of the microparticles is between 2 and 8 mg/ml of said solution.
4. A drug as claimed in claim 3, characterised in that in said dispersion the concentration of the microparticles is between 3 and 7.5 mg/ml of the solution.
CA002345482A 2000-05-18 2001-04-27 Use of paclitaxel stabilized with albumin for preparing a drug for the treatment of solid tumors and the drug obtained thereby Abandoned CA2345482A1 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
ITMI2000A001107 2000-05-18
IT2000MI001107A ITMI20001107A1 (en) 2000-05-18 2000-05-18 METHOD FOR TREATMENT OF SOLIC TUMORS BY INCORPORATING PACLITAXEL MICROPARTICLES OF ALBUMIN

Publications (1)

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CA2345482A1 true CA2345482A1 (en) 2001-11-18

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US (1) US6652884B2 (en)
EP (1) EP1155692B1 (en)
JP (1) JP2001354559A (en)
KR (2) KR20010105248A (en)
CN (1) CN1198609C (en)
AT (1) ATE267594T1 (en)
AU (1) AU781517B2 (en)
BR (1) BR0102040A (en)
CA (1) CA2345482A1 (en)
DE (1) DE60103453T2 (en)
DK (1) DK1155692T3 (en)
ES (1) ES2221874T3 (en)
HK (1) HK1040368A1 (en)
HU (1) HU229909B1 (en)
IL (1) IL142674A0 (en)
IT (1) ITMI20001107A1 (en)
MX (1) MXPA01004980A (en)
NO (1) NO330511B1 (en)
NZ (1) NZ511201A (en)
PT (1) PT1155692E (en)
RU (1) RU2270003C2 (en)
TR (1) TR200101353A3 (en)
ZA (1) ZA200103755B (en)

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Also Published As

Publication number Publication date
ITMI20001107A1 (en) 2001-11-18
DE60103453T2 (en) 2005-06-23
IL142674A0 (en) 2002-03-10
US6652884B2 (en) 2003-11-25
US20010046961A1 (en) 2001-11-29
DE60103453D1 (en) 2004-07-01
KR20080091747A (en) 2008-10-14
TR200101353A2 (en) 2001-12-21
TR200101353A3 (en) 2001-12-21
CN1198609C (en) 2005-04-27
AU3876501A (en) 2001-11-22
ATE267594T1 (en) 2004-06-15
JP2001354559A (en) 2001-12-25
ZA200103755B (en) 2001-11-15
HUP0102039A2 (en) 2002-05-29
NZ511201A (en) 2002-11-26
PT1155692E (en) 2004-09-30
NO20012409D0 (en) 2001-05-16
BR0102040A (en) 2002-03-19
AU781517B2 (en) 2005-05-26
MXPA01004980A (en) 2002-08-06
NO330511B1 (en) 2011-05-09
RU2270003C2 (en) 2006-02-20
HK1040368A1 (en) 2002-06-07
CN1324613A (en) 2001-12-05
DK1155692T3 (en) 2004-08-09
HU0102039D0 (en) 2001-07-30
ITMI20001107A0 (en) 2000-05-18
HUP0102039A3 (en) 2002-12-28
NO20012409L (en) 2001-11-19
KR20010105248A (en) 2001-11-28
EP1155692A1 (en) 2001-11-21
EP1155692B1 (en) 2004-05-26
HU229909B1 (en) 2014-12-29
ES2221874T3 (en) 2005-01-16

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