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Drug information

Drug's link(s)
Generic name

Buprenorphine

Brand names

BUVIDAL; BRIXADI

Compound type

Small molecule

Drug class/category

Not provided

Summary

1. BUVIDAL is a long-acting injectable based on FluidCrystal platform technology used for opioid dependence. 2. Pharmacokinetic parameters: t1/2 - 19 to 25 days; Volume of distribution - 4300 L. 3. The common adverse events in BUVIDAL-treated patients were injection site pain (8.9%), headache (7.5%), constipation (7.5%), nausea (7%), and injection site pruritus (6%).

Approval status

BRIXADI is approved in the USA whereas BUVIDAL is approved in European countries, Australia, and New Zealand. United Kingdom and Switzerland. Both brands share the same API, excipient and are marketed under Camurus AB.

Regulatory authorities

Approved by US FDA, EMA, TGA, MHRA, Swissmedic and MedSafe.

Therapeutic area(s)

  • Substance use disorders
Use case(s)
  • Treatment

Administration route

Subcutaneous

Associated long-acting platforms

FluidCrystal technology

Use of drug

Ease of administration
  • Administered by a community health worker
  • Administered by a nurse
  • Administered by a specialty health worker
Frequency of administration
  • Weekly
  • Monthly
User acceptance
Not provided

Dosage

Available dose and strength

• BRIXADI (weekly) is available in 8 mg/0.16 mL, 16 mg/0.32 mL, 24 mg/0.48 mL, and 32 mg/0.64 mL; • BRIXADI (monthly) is available in 64 mg/0.18 mL, 96 mg/0.27 mL, and 128 mg/0.36 mL prefilled syringe

Maximum dose

40mg/ week; 160 mg/ month

Recommended dosing regimen

1. The recommended weekly dose in patients not currently receiving buprenorphine treatment is 24 mg of BRIXADI (weekly) titrated up over the first week of treatment (administer a test dose of transmucosal buprenorphine 4 mg when objective signs of mild to moderate withdrawal appear). 2. If needed, during this first week of treatment, administer an additional 8 mg dose of BRIXADI (weekly), waiting at least 24 hours after the previous injection, for a total weekly dose of 32 mg BRIXADI (weekly). 3. Adults who have tolerated a single 4 mg dose of a transmucosal buprenorphine‐containing product. The test dose of transmucosal buprenorphine‐containing product should be administered based on instructions in the appropriate product label.

Additional comments

The recommended starting dose of Buvidal is 16 mg, with one or two additional 8 mg doses at least 1 day apart, to a target dose of 24 mg or 32 mg during the first treatment week. The recommended dose for the second treatment week is the total dose administered during the week of initiation. The maximum dose per week for patients who are on weekly Buvidal treatment is 32 mg with an additional 8 mg dose. The maximum dose per month for patients who are on monthly Buvidal treatment is 160 mg.

Dosage link(s)

Associated compounds, formulations and regimens

Not provided

Associated technologies

Compare
FluidCrystal®

Additional information

Not provided

Developer(s)

Camurus
Originator
Sweden

Camurus

Camurus AB is a biopharmaceutical company that creates long-acting treatments for serious and chronic diseases. This company originated in 1991. Camurus, based on scientific understanding, aims to enhance patient outcomes through innovative therapies. They specialise in pharmaceutical commercialization and have a portfolio that includes clinical trial products as well as two FDA-approved drugs.

Drug structure

Scale-up and manufacturing prospects

Scale-up prospects

In 2022, 830,000 doses were manufactured

Tentative equipment list for manufacturing

Not provided

Manufacturing

• Manufacturing and distribution of Camurus’ products is based on a multi-stage supply chain with several participants involved. Braeburn Pharmaceuticals overlooks the manufacturing of the FDA approved drugs of FluidCrystal in liaison with a third party manufacturer. • The manufacturing process includes: - weighing, dissolving, sterile filtration, filling, closing, visual inspection, labelling, assembly in safety device and secondary packaging. The manufacturing process setup aims to reduce product manufacturing waste by 20% and to increase the use of packaging material originating from susta

Specific analytical instrument required for characterization of formulation

The listed analytical instrument used was HPLC with UV detection

Excipients & delivery device(s)

Proprietary excipients used

No proprietary excipient used

Novel excipients or existing excipients at a concentration above Inactive Ingredient Database (IID) for the specified route of administration

• Glycerol dioleate (a lipid) • Ethanol (as solvent) • Phospholipids

Residual solvents used

No residual solvent used

Delivery device(s)

No delivery device

Safety, Efficacy and Evidence Summary

Safety

Not provided

Efficacy

Not provided

Evidence Summary

Not provided

References and relevant studies

Not provided

Description

Depot precursor formulation comprising buprenorphine for sustained delivery of and for treatment of pain or opioid dependence

Brief description

A depot precursor formulation comprising: a) a controlled-release matrix; b) at least oxygen containing organic solvent; c) at least 12% by weigh of at least one active agent selected from buprenorphine and salts thereof, calculated as buprenorphine free base. Corresponding depot compositions and methods of treatment in pain management, by opioid maintenance and related methods are provided.

Representative patent

WO2014016428

Category

Formulation

Patent holder

Camurus AB

Exclusivity

Not provided

Expiration date

July 26, 2033

Status

Granted in: AU, BR, CA, CL, CN, CO, IN, ID, JP, KR, MX, NZ, PE, SG, ZA, TH, US, EA (AM, AZ ,BY, KZ, RU, TJ, TM), EP (AT, BE, BG, CH, CY, CZ, DE, DK, EE, ES, FI, FR, GB, GR, HR, HU, IE, IS, IT, LI, LT, LU, LV, MC, NL, NO, PL, PT, RO, RS, SE, SI, SK, TR) Pending in: AR, IL, MY, HK

Description

FluidCrystal® injection depot technology, and low viscosity, non-liquid crystalline pre-formulation comprising buprenorphine

Brief description

he present invention relates to compositions forming a low viscosity mixture of: a. at least one diacyl glycerol and/or at least one tocopherol; b. at least one phospholipid component comprising phospholipids having i. polar head groups comprising more than 50% phosphatidyl ethanolamine, and ii. two acyl chains each independently having 16 to 20 carbons wherein at least one acyl chain has at least one unsaturation in the carbon chain, and there are no more than four unsaturations over two carbon chains; c. at least one biocompatible, oxygen containing, low viscosity organic solvent; wherein optionally at least one bioactive agent is dissolved or dispersed in the low viscosity mixture; and wherein the pre-formulation forms, or is capable of forming, at least one non-lamellar liquid crystall

Representative patent

WO2013083460

Category

Formulation

Patent holder

Camurus AB

Exclusivity

Not provided

Expiration date

November 28, 2032

Status

Granted: AU, CA, CN, EA (RU), EP (AT, BE, CH, DE, DK, ES, FI, FR, GB, IE, IS, IT, LI, NL, PL, SE, TR), HK, IL, IN, JP, KR, MX, SG, US, ZA Pending: BR, CO, NZ, PE Not in force: EAPO (AM, AZ, BY, KG, KZ, TJ, TM)