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Wo 2007/133751 A2 (12) INTERNATIONAL APPLICATION PUBLISHED UNDER THE PATENT COOPERATION TREATY (PCT) (19) World Intellectual Property Organization International Bureau (43) International Publication Date (10) International Publication Number 22 November 2007 (22.11.2007) PCT WO 2007/133751 A2 (51) International Patent Classification: Not classified (74) Agents: NGUYEN, Sam, L. et al; Heller Ehrman LIp, 275 Middlefield Road, Menlo Park, CA 94025-3506 (US). (21) International Application Number: (81) Designated States (unless otherwise indicated, for every PCT/US2007/01 1582 kind of national protection available): AE, AG, AL, AM, AT,AU, AZ, BA, BB, BG, BH, BR, BW, BY, BZ, CA, CH, (22) International Filing Date: 14 May 2007 (14.05.2007) CN, CO, CR, CU, CZ, DE, DK, DM, DZ, EC, EE, EG, ES, FI, GB, GD, GE, GH, GM, GT, HN, HR, HU, ID, IL, IN, (25) Filing Language: English IS, JP, KE, KG, KM, KN, KP, KR, KZ, LA, LC, LK, LR, LS, LT, LU, LY,MA, MD, ME, MG, MK, MN, MW, MX, (26) Publication Language: English MY, MZ, NA, NG, NI, NO, NZ, OM, PG, PH, PL, PT, RO, RS, RU, SC, SD, SE, SG, SK, SL, SM, SV, SY, TJ, TM, (30) Priority Data: TN, TR, TT, TZ, UA, UG, US, UZ, VC, VN, ZA, ZM, ZW 11/433,834 12 May 2006 (12.05.2006) US (84) Designated States (unless otherwise indicated, for every 11/607,593 1 December 2006 (0 1.12.2006) US kind of regional protection available): ARIPO (BW, GH, GM, KE, LS, MW, MZ, NA, SD, SL, SZ, TZ, UG, ZM, (71) Applicant (for all designated States except US): ZW), Eurasian (AM, AZ, BY, KG, KZ, MD, RU, TJ, TM), A.P.PHARMA, INC. [US/US]; 123 Saginaw Drive, European (AT,BE, BG, CH, CY, CZ, DE, DK, EE, ES, FI, Redwood City, CA 94063 (US). FR, GB, GR, HU, IE, IS, IT, LT,LU, LV,MC, MT, NL, PL, PT, RO, SE, SI, SK, TR), OAPI (BF, BJ, CF, CG, CI, CM, (72) Inventors; and GA, GN, GQ, GW, ML, MR, NE, SN, TD, TG). (75) Inventors/Applicants (for US only): SHAH, Devang [IN/US]; 123 Saginaw Drive, Redwood City, CA 94063 Published: (US). BARR, John [GB/US]; 123 Saginaw Drive, Red — without international search report and to be republished wood City, CA 94063 (US). BAXTER, Brian [US/US]; upon receipt of that report 123 Saginaw Drive, Redwood City, CA 94063 (US). For two-letter codes and other abbreviations, refer to the "G uid HELLER, Jorge [US/US]; 8009 Dead Indian Memorial ance Notes on Codes and Abbreviations" appearing at the beg in Drive, Ashland, OR 97520 (US). ning of each regular issue of the PCT Gazette. (54) Title: BASE-STABILIZED POLYORTHOESTER FORMULATIONS (57) Abstract: A stabilized semi-solid delivery vehicle contains a polyorthoester and an excipient, and a pharmaceutical compo- sition contains an active agent, optionally a stabilizing agent, and the delivery vehicle. The pharmaceutical composition may be a topical, syringable, or injectable formulation; and is suitable for local delivery of the active agent. Methods of treatment are also disclosed. BASE-STABILIZED POLYORTHOESTER FORMULATIONS BACKGROUND OF THE INVENTION Field of the Invention [0001] This invention relates to stabilized semi-solid delivery vehicles comprising a polyorthoester and an excipient, and to controlled release pharmaceutical compositions comprising the delivery vehicle, optionally a stabilizing agent, and an active agent. The pharmaceutical compositions may be in the form of a topical, syringable, or injectable formulation for local controlled delivery of the active agent. Description of the Art [0002] A large class of active agents such as antibiotics, antiseptics, corticosteroids, anti-neoplasties, and local anesthetics may be administered to the skin or mucous membrane by topical application, or by injection. The active agent may act locally or systemically. Topical delivery may be accomplished through the use of compositions such as ointments, creams, emulsions, solutions, suspensions and the like. Injections for delivery of the active agents include solutions, suspensions and emulsions. All of these preparations have been extensively used for delivery of active agents for years. However, these preparations suffer the disadvantage that they are short-acting and therefore they often have to be administered several times in a day to maintain a therapeutically effective dose level in the blood stream at the sites where the activity/treatment is required. [0003] In recent years, a great deal of progress has been made to develop dosage forms which, after their administration, provide a long-term therapeutic response. These products may be achieved by microencapsulation, such as liposomes, microcapsules, microspheres, microparticles and the like. For this type of dosage forms, the active agents are typically entrapped or encapsulated in microcapsules, liposomes or microparticles which are then introduced into the body via injection or in the form of an implant. The release rate of the active agent from this type of dosage forms is controlled which eliminates the need for frequent dosing. However their manufacture is cumbersome which often results in high costs. In addition, they, in many cases, have low reproducibility and consequently lack of reliability in their release patterns. Furthermore, if an organic solvent is used in the manufacturing process, there could be organic solvent residues in the compositions which may be highly toxic. The use of an organic solvent is also undesirable for environmental and fire hazard reasons. [0004] Interest in synthetic biodegradable polymers for the delivery of therapeutic agents began in the early 1970's with the work of Yolles et al., Polymer News, 1, 9-15 (1970) using poly(lactic acid). Since that time, numerous other polymers have been prepared and investigated as bioerodible matrices for the controlled release of active agents. U.S. Patent Nos. 4,079,038, 4,093,709, 4,131,648, 4,138,344, 4,180,646, 4,304,767, 4,946,93 1 and 5,968,543 disclose various types of biodegradable or bioerodible polymers which may be used for controlled delivery of active agents. Many of these polymers may appear in the form of a semi-solid. However the semi-solid polymer materials are often too sticky. As a result, the active agents frequently cannot be easily and reliably released from the semi-solid polymer materials. SUMMARY OF THE INVENTION [0005] One embodiment of the present invention provides a semi-solid delivery vehicle which comprises a polyorthoester and an excipient. The excipient is readily miscible with the polyorthoester and the resulting semi-solid delivery vehicle has a smooth and flowable texture. The polyorthoesters suitable for the invention are represented by formulae I, II, III and IV below. [0006] Another embodiment of the present invention provides a controlled release semi-solid pharmaceutical composition for local controlled delivery of an active agent. The composition comprises an active agent and the semi-solid delivery vehicle. [0007] Another embodiment of the present invention provides a semi-solid syringable or injectable composition for the controlled delivery of locally acting active agents, in particular local anesthetics. [0008] In another embodiment, the above compositions comprising the polyorthoester can be homogeneously mixed with the excipient at room temperature without the use of a solvent. In another variation of the process, the polyorthoester can be homogeneously mixed with the excipient at between about 5 and 200 0C, more preferably between about 20 and 150 0C, and most preferably between about 25 and 100 0C. In one variation, the polyorthoester can be at one temperature, for example at about 7 00C, and the excipient can be at a different temperature, for example at about 120 0C, and the two components are mixed to attain a final temperature that is above room temperature. The desired temperatures for each of the two components will be based on the type of the polyorthoester and the excipient selected. The resulting semi-solid delivery vehicle and controlled-release pharmaceutical compositions have a useful texture and viscosity, and the release rate of the active agent from the compositions can also be conveniently and reliably adjusted to accommodate the desired therapeutic effect. [0009] Thus, in one aspect, this invention provides a semi-solid delivery vehicle, comprising: (i) a polyorthoester of formula I, formula II, formula III or formula IV IV where: R is a bond, -(CH2)a-, or -(CH2)b-O-(CH2)c-; where a is an integer of 1 to 10, and b and c are independently integers of 1 to 5; R* is a C i-4 alkyl; 0 R , R" and R'" are each independently H or C i-4 alkyl; n is an integer of at least 5; and A is R1, R3, or R4, where R1 is: where: p is an integer of 1 to 20; R3 and R6 are each independently: where: x is an integer of 0 to 30; y is an integer of 2 to 200; 8 R is hydrogen or C i- alkyl; 9 10 R and R are independently C 1- 12 alkylene; 1 12 1 12 R ' is hydrogen or C i- alkyl and R is C ]-6 alkyl; or R ' and R together are C3-10 alkylene; R4 is a diol containing at least one functional group independently selected from amide, imide, urea, and υrethane groups; and 5 R is hydrogen or C i-4 alkyl; and in which at least 0.01 mol percent of the A units are of the formula R 1, and wherein the polyorthoester has a lifetime of 12 hours or less in vitro. [0010] In another aspect, this invention provides a controlled release semi-solid pharmaceutical composition comprising: (a) a basic active agent; and (b) as a delivery vehicle, the semi-solid delivery vehicle described above. [0011] In another aspect, this invention provides a controlled release semi-solid pharmaceutical composition comprising: (a) an active agent; (b) a stabilizing agent; and (c) as a delivery vehicle, the semi-solid delivery vehicle described above.
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