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Type of technology

Polymer-based particles

Administration route

Intra-articular, Intra-vitreal

Development state and regulatory approval

Active Pharmaceutical Ingredient (API)

fluticasone

Development Stage

Phase II

Regulatory Approval

FDA 505(b)(2) approval pathway

Description

Diffusphere is a polymer-based, long-acting injectable designed primarily for intra-articular administration. It consists of a polymeric shell encapsulating a crystalline drug core. The shell is immiscible with the API, protecting the drug core from the body's fluidic environment. Diffusphere can encapsulate more than one API when the core microparticles are heated between 210°C and 230°C. It offers a controlled release profile, delivering the drug over a period of 2 to 12 months while maintaining therapeutic concentrations at the target site.

Developer(s)

Euphraxia
Originator
Canada

Euphraxia

Eupraxia Pharmaceuticals, founded in 2012, is a Canadian clinical-stage biotechnology company. It focuses on developing innovative, long-lasting treatments for chronic pain and other indications. Its research facility is located in Victoria, British Columbia, Canada, where it advances its pipeline with a proprietary drug delivery platform targeting sustained therapeutic effects in the orthopaedics

Technology highlight

1) No/ Low Initial burst release 2) Zero order/ pseudo-zero order kinetics (concentration gradient is maintained with a constant release of drug) 3) Biodegradable thermally cured polyvinyl alcohol (PVA) is used 4) Low systemic toxicity

Illustration(s)

Technology main components

1. Cross-linked polymeric shell (thickness in microns), such as poly(vinyl alcohol) (PVA), poly(p-xylylene), poly(lactic acid) (PLA), poly(lactic-co-glycolic acid) (PLGA), poly(ε-caprolactone) (PVL), poly(p-dioxanone) (PDS), poly(hydroxyvalerate) (PHV), poly(hydroxybutyrate) (PHB), and poly(malic acid) (PMLA), incorporating cross-linking groups like vinyl, allyl, acrylate, cinnamate, diacrylate, or oligoacrylate. The polymeric shell (2-10% w/w of polymeric shell) typically has a thickness measured in microns. 2. Crystalline API core, composed of a pharmaceutically acceptable salt or ester, which may exist either as a single large crystal or as multiple smaller crystals.

Information on the raw materials sourcing, availability and anticipated price

Not provided

Safety, Efficacy and Evidence Summary

Safety

Based on the pharmacokinetic clinical trials of EP104, 57% of the treatment population had one or more Treatment Emerging Adverse Events (TEAE), However, the effects on serum glucose and cortisol concentrations were minimal.

Efficacy

Not provided

Evidence Summary

Not provided

References and relevant studies

Not provided

APIs compatibility profile

API desired features
Water-soluble molecules

Water-insoluble molecules

Small molecules

Diffusphere focuses on developing corticosteroids, including different salt forms of fluticasone, and aminoamide anesthetics like ropivacaine, articaine, and bupivacaine, among others. They also work with aminoester local anesthetics, such as procaine and benzocaine. Recently, Diffusphere has expanded its applications to disease-specific therapeutics, including oncology.

Additional solubility data

Not provided

Additional stability data

Not provided

API loading: Maximum drug quantity to be loaded

< 70 wt%

API co-administration

2 different APIs : API core to be heated at 210-250 °C

LogP

Max: 5
Fluticasone LogP = 3.2

Scale-up and manufacturing prospects

Scale-up prospects

With a patent for manufacturing filed in 2019, the production facility is projected to achieve commercial-scale operations optimized for low cost of goods. Euphraxia has allocated a budget of 2.8 million Canadian dollars for the development of this manufacturing unit.

Tentative equipment list for manufacturing

Not provided

Manufacturing

Manufacturing (ISO 14644-1; Grade 8 cleanroom) involves: 1) Forming API microparticles (using any 1 method) a. Solvent Evaporation/ extraction techniques b. In-water drying technique c. Organic phase separation technique d. Air suspension technique e. Dip coating technique 2) Coating of the API core with the polymeric shell using the dip coating technique with Multifunctional multi-polymeric continuous composition spectrum surfactant 3) Microparticles are agitated with PVA polymer via stirring. 4) Vacuum filtration 5) Heated at 220 ºC for a period of at least 1 hour

Specific analytical instrument required for characterization of formulation

1) The dissolution Test is performed using a US Pharmacopoeia Type II apparatus where the condition is standardized at 3mg of microparticles in 200 ml of dissolution medium (70% methanol + 30% water) at 25 °C. The dissolution rate of the microparticles is observed at 160° C, 190° C, 220° C, and 250° C. 2) PVA content analysis using NMR spectroscopy 3) Drug content analysis using NMR system - Bruker Spectrospin 300 MHz magnet , Bruker B - ACS 120 autosampler , Bruker Avance II 300 console , and a Bruker BBO 300 MHz Si 5 mm with Z gradient probe. 4) Praticle transfer efficiency measured by HPLC

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

No novel excipient or existing excipient used

Residual solvents used

No residual solvent used

Delivery device(s)

No delivery device

Additional features

Other features of the technology
  • Biodegradable
  • Drug-eluting
  • Monolithic
  • Room temperature storage
  • At least 1 year shelf life
Release properties

The drug is released at a constant rate following zero-order kinetics from the polymeric shell. Diffusphere has favorable PK parameters mainly because of the low/no initial burst. Clinical studies of EP104 showed that the plasma concentrations of fluticasone propionate (EP104) had a blunted initial peak with a terminal half-life of approximately 18–20 weeks.

Injectability

Diffusphere is an Intra-articular via ultrasound-guided injectable formulation that requires a 22-25 gauge needle with a length of 1-1.5 inches.

Stability

At least 2 years of proven stability at room temperature storage.

Storage conditions and cold-chain related features

Diffusphere doesn't require cold chain storage or transport.

Therapeutic area(s)

  • Other(s) : "Osteoarthritis, Esophagitis, post surgical infection and pain"
  • Pain management
  • Oncology
Use case(s)
  • Post-Exposure Prophylaxis (PEP)
  • Treatment

Potential associated API(s)

  • fluticasone

Use of technology

Ease of administration
  • Administered by a community health worker
  • Administered by a nurse
  • Administered by a specialty health worker
Frequency of administration

Monthly, Every 6 months, Yearly

User acceptance
Not provided

Targeted user groups

Age Cohort
  • Adults
  • Older Adults
Genders
  • All
Pregnant individuals

Unspecified

Lactating individuals

Unspecified

Healthy individuals

No

Comment

Not provided

Class(es)

Anti Infective agent

Development stage

Pre-clinical

Clinical trial(s)

Not provided

Foreseen/approved indication(s)

Post Surgical Infection

Foreseen user group

Not provided

Foreseen duration between application(s)

Not provided

Applications to Stringent Regulatory Authorities (SRA) / regulatory approvals

Not provided

Class(es)

Anesthetic agent

Development stage

Pre-clinical

Clinical trial(s)

Not provided

Foreseen/approved indication(s)

Post -Surgical pain management

Foreseen user group

Not provided

Foreseen duration between application(s)

Not provided

Applications to Stringent Regulatory Authorities (SRA) / regulatory approvals

Not provided

Class(es)

Antineoplastic agent

Development stage

Pre-clinical

Clinical trial(s)

Not provided

Foreseen/approved indication(s)

Not provided

Foreseen user group

Not provided

Foreseen duration between application(s)

Not provided

Applications to Stringent Regulatory Authorities (SRA) / regulatory approvals

Not provided

fluticasone

Class(es)

Corticosteriods

Development stage

Phase II

Clinical trial(s)

Foreseen/approved indication(s)

Knee Osteoarthritis

Foreseen user group

Males or females, aged ≥40 years

Foreseen duration between application(s)

Single intra-articular injection - lasts up to 6 months

Applications to Stringent Regulatory Authorities (SRA) / regulatory approvals

FDA 505(b)(2) approval pathway

Description

Injectable sustained release composition and method of using the same for treating inflammation in joints and pain associated therewith

Brief description

Described herein are injectable corticosteroid-loaded microparticles, pharmaceutical composition thereof and methods for reducing inflammation or pain in a body compartment such as a joint, an epidural space, a vitreous body of an eye, a surgically created space, or a space adjacent to an implant.

Representative patent

US9987233B2

Category

Formulation composition

Patent holder

Eupraxia Pharmaceuticals USA LLC

Exclusivity

Not provided

Expiration date

March 21, 2034

Status

Active

Partnerships

No partner indicated

All sponsors

No sponsor indicated

Additional information