Low Viscosity, Highly Flocculated Triamcinolone Acetonide Suspensions for Intravitreal Injection
a triamcinolone acetonide and suspension technology, applied in the field of injection formulations, to achieve the effect of convenient resuspension, excellent settling characteristics, and smooth and easy injection
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example 1
[0043]The composition of Kenalog®-40 is shown in Table 1.1 below. It contains 4% triamcinolone acetonide and 0.04% polysorbate 80. The viscosity of this suspension is about 14 cps.
[0044]The particle size data for several lots was measured by laser light diffraction (Microtrac® S3000) and is shown in Table 1.2. The median particle size of the various lots of Kenalog-40 ranged from 13 to 22 μm.
[0045]The force required to extrude the Kenalog®-40 suspension through a one-half inch 30 gauge needle attached to a 1 mL tuberculin syringe is provided in Table 1.3. The results show that Kenlaog-40 suspension plugged the 30 gauge needle. The force required was quite variable and high. The plugging of the needle is due to the large particle size of this suspension.
[0046]The Kenalog®-40 suspension composition was determined to have a final sediment volume of about 14% and therefore has a Degree of Flocculation of 3.5. Thus, this suspension is only lightly flocculated, relative to the suspension ...
example 2
[0047]Triamcinolone acetonide suspensions with different concentrations of polysorbate 80 but without CMC were prepared as shown in Table 2.1. The mean volume particle size of the triamcinolone acetonide substance used in these compositions was 5-6 μm (measured using a Microtrac® S3000 instrument).
[0048]A settling study was carried out on these formulations by placing 10 mL samples of each of them in separate 10 mL graduated cylinders and recording sediment volume as a function of time. Kenalog®-40 was studied as a control. The results are provided in Table 2.2. These results show that 4% triamcinolone formulations with polysorbate 80 concentrations less than 0.02% have high final sediment volumes. For these compositions, the sediment volume stabilized within a day and did not change for 7 days. The Degree of Flocculation for these samples ranged from 9.5 to 13.5, indicating that the compositions are highly flocculated. However, the formulations with a polysorbate 80 concentration o...
example 3
[0049]Compositions of 4% triamcinolone acetonide suspensions with 0.015% polysorbate 80 and different concentrations of CMC are described in Table 3.1 below. The mean volume particle size of the triamcinolone acetonide substance used in these compositions was 5-6 μm (measured using a Microtrac® S3000 instrument).
[0050]A settling study was carried out on these formulations by placing 10 mL samples of each of them in separate 10 mL graduated cylinders and recording sediment volume as a function of time. The results are provided in Table 3.2. The Degree of Flocculation in every case is >10. Thus, these compositions are representative examples of the highly flocculated compositions of the present invention.
TABLE 3.1Compositions of Triamcinolone Injection With CMCCompositionGHIJTriamcinolone4%4%4%4%Polysorbate 800.015%0.015%0.015%0.015%Carboxymethylcellulose0%0.25%0.5%0.75%sodium (7LFPH)Sodium Chloride0.64%0.64%0.64%0.64%Potassium Chloride0.075%0.075%0.075%0.075%Calcium Chloride (Dihydra...
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