access-principles-1access-principles-2access-principles-3backcarrierdevelopmentease_of_administrationexportimplantableinjectablenon-implantablenon_carriernon_injectableother_featuresprintroute_of_administrationtherapeutic_areatype_of_tech

Type of technology

Oral solid form

Administration route

Oral

Development state and regulatory approval

Active Pharmaceutical Ingredient (API)

Risperidone

Development Stage

Phase III

Regulatory Approval

IND application was approved for LYN-005 by US FDA on 2020

Description

Lynx is an oral drug delivery system that releases the API slowly over time. It has the potential to decrease the number of times a drug needs to be taken from once a day to once a week. This system consists of a standard size capsule (00EL) with a core elastomer and six drug arms folded inside like a stellate. When the capsule dissolves, this stellate structure extends and lodges in the stomach for a week. It is gastric-resistant system which contains a carrier polymer component linked with one or more coupling polymers. This polymer is responsible for the extended release of the API.

Developer(s)

Lyndra Therapeutics
United States of America

In 2015, Lyndra Therapeutics was founded by Robert Langer to create a pipeline of long-acting drugs. Since its creation, Lyndra has made significant progress, developing 25 medicines in the lab, finishing 12 clinical studies, and establishing a proof of concept for weekly oral dosing in 5 therapeutic areas, all of which validate the viability of its platform with various APIs.

Technology highlight

• LYNX consists of a central core attached with six polymer arms . • Each arm contains a concentrated amount of the API. • The capsule is coated with a proprietary material. • This coating makes it easy to swallow and ensures the capsule remains intact in the oesophagus, preventing premature drug release. • The elastomer material used in the arms of LYNX is porous. • This porosity allows for a slow and steady release of the drug into the system. • As a result, the therapeutic concentration of the API is maintained in the plasma for an extended period. • Thus, LYNX helps reduce the peaks and troughs in drug plasma levels. • The arms are connected to the core using biodegradable linkers. • Once the drug release is complete, these linkers soften and disintegrates.

Illustration(s)

Technology main components

(i) Carrier polymer (eg: polycaprolactone, polyanhydrides, polyphosphazenes, and polycyanoacrylates); (ii) API; (iii) Release enhancer; (iv) Dispersant (eg: carboxymethylcellulose, hypromellose, magnesium aluminum silicate, CABOSIL M-5P); (v) Solubilizer; (vi) Stabilizer (vii) Capsule coating (eg: Eudragit RS, Dichloromethane)

Information on the raw materials sourcing, availability and anticipated price

Not provided

Delivery device(s)

No delivery device

APIs compatibility profile

API desired features

Not provided

Additional solubility data

Not provided

Additional stability data

Not provided

API loading: Maximum drug quantity to be loaded

50wt%

LogP

Not provided

Scale-up and manufacturing prospects

Scale-up prospects

In terms of scale up prospective, Lyndra has begun ramping up new manufacturing operations in Lexington, Massachusetts. The plant began producing materials in April in preparation for the company's Phase II clinical trials, which are slated to begin later this year. In order to meet the demands of both upcoming and ongoing clinical studies as well as potential commercialization, Lyndra keeps growing its manufacturing capacity.

Tentative equipment list for manufacturing

Haake MiniCTW, Twin-screw extruders, triangular cross-section rods, coating pan and dip coater.

Manufacturing

• Initially, three 1-kg batches of a matrix formulation were produced and characterized for performance and stability. • Blends of drug, polymer, and excipients blended by continuous twin screw compounding at 500 g/h. • Blends are formed into triangular cross-section rods and cut to length to form drug arms. • Analysis showed good uniformity in both intra-batch and inter-batch. • The prepared formulation is dip-coated, assembled into stellate dosage forms, and analysed for storage stability.

Specific analytical instrument required for characterization of formulation

HPLC with precolumn derivatization, NMR, X-ray diffraction and UV spectroscopy.

Excipients

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

Additional features

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

• The LYNX gastric residence system can release the API for a cumulative four to ten days, achieving near-zero-order drug release over a week. • The release characteristics are mainly based on the eudragit & dichloromethane-coated polymer matrix, which tends to release the API linearly over the first 24h once the surface drug is dissolved. • The dispersant added to the formulation also controls the initial burst release and maintains the percentage of drug release over a week. In addition to that, burst release and release rate can be modified by using varied concentrations of dispersants.

Injectability

Not applicable

Safety

Interim analysis of ongoing clinical trials of LYN-005 (Oral Weekly Risperidone) shows positive results based on the PANSS score in schizophrenia. LYNN-005 is generally safe and well-tolerated.

Stability

LYNX gastric resistance system has an extended shelf life of three years

Storage conditions and cold-chain related features

LYN-005 is meant to be stored at 15–25 °C. The capsules are to be handled carefully to avoid squeezing or crushing.

Therapeutic area(s)

  • Malaria
  • Contraception
  • Other(s) : "Hyperlipidaemia and Pain Management"
  • HIV
  • Substance use disorders
  • Mental health
Use case(s)
  • Treatment

Potential associated API(s)

Use of technology

Ease of administration
  • Self-administered
Frequency of administration

Weekly, Monthly

User acceptance

Not provided

Targeted user groups

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

Unspecified

Lactating individuals

Unspecified

Healthy individuals

Yes

Comment

Not provided

Risperidone

Class(es)

Antipsychotic

Development stage

Phase III

Clinical trial number(s)

NCT04567524

Foreseen/approved indication(s)

Antipsychotic

Foreseen user group

Not provided

Foreseen duration between application(s)

Once weekly

Applications to Stringent Regulatory Authorities (SRA) / regulatory approvals

IND application was approved for LYN-005 by US FDA on 2020

rosuvastatin

Class(es)

HMG-CoA reductase inhibitor

Development stage

Phase I

Clinical trial number(s)

ACTRN12621000101886

Foreseen/approved indication(s)

Hyperlipidemia

Foreseen user group

Not provided

Foreseen duration between application(s)

Once weekly

Applications to Stringent Regulatory Authorities (SRA) / regulatory approvals

Not provided

levomethadone

Class(es)

Drug Abuse

Development stage

Phase I

Clinical trial number(s)

NCT05251376

Foreseen/approved indication(s)

Opioid Use Disorder

Foreseen user group

Not provided

Foreseen duration between application(s)

Once weekly

Applications to Stringent Regulatory Authorities (SRA) / regulatory approvals

Received IND on May 2021 and Fast Track designation from FDA

Class(es)

Antimalarial

Development stage

Phase I

Clinical trial number(s)

ACTRN12621001218886

Foreseen/approved indication(s)

Malaria infection

Foreseen user group

Not provided

Foreseen duration between application(s)

Once every two weeks

Applications to Stringent Regulatory Authorities (SRA) / regulatory approvals

Not provided

memantine

Class(es)

NMDAR antagonist

Development stage

Pre-clinical

Clinical trial number(s)

Not provided

Foreseen/approved indication(s)

Alzheimer's disease

Foreseen user group

Not provided

Foreseen duration between application(s)

Once weekly

Applications to Stringent Regulatory Authorities (SRA) / regulatory approvals

Not provided

Dolutegravir (DTG)

Class(es)

HIV integrase inhibitor

Development stage

Pre-clinical

Clinical trial number(s)

Not provided

Foreseen/approved indication(s)

HIV

Foreseen user group

Not provided

Foreseen duration between application(s)

Once a week

Applications to Stringent Regulatory Authorities (SRA) / regulatory approvals

Not provided

Class(es)

Non-nucleoside reverse transcriptase inhibitors

Development stage

Pre-clinical

Clinical trial number(s)

Not provided

Foreseen/approved indication(s)

HIV

Foreseen user group

Not provided

Foreseen duration between application(s)

Once a week

Applications to Stringent Regulatory Authorities (SRA) / regulatory approvals

Not provided

Class(es)

HIV integrase inhibitors

Development stage

Pre-clinical

Clinical trial number(s)

Not provided

Foreseen/approved indication(s)

HIV

Foreseen user group

Not provided

Foreseen duration between application(s)

Once a week

Applications to Stringent Regulatory Authorities (SRA) / regulatory approvals

Not provided

Opioids

Class(es)

Narcotic analgesic

Development stage

Pre-clinical

Clinical trial number(s)

Not provided

Foreseen/approved indication(s)

Pain Management

Foreseen user group

Not provided

Foreseen duration between application(s)

Once a week

Applications to Stringent Regulatory Authorities (SRA) / regulatory approvals

Not provided

naloxone

Class(es)

Drug Abuse

Development stage

Pre-clinical

Clinical trial number(s)

Not provided

Foreseen/approved indication(s)

Opioid dependence

Foreseen user group

Not provided

Foreseen duration between application(s)

Once a week

Applications to Stringent Regulatory Authorities (SRA) / regulatory approvals

Not provided

Description

Gastric Residence Systems for Sustained Release of Therapeutics Agents and Methods of use thereof

Brief description

Gastric residence systems comprise therapeutic agent formulations for sustained gastric release of therapeutic agents as well as methods for using such systems. The systems are by using a dispersant in the formulations, which improves the burst release characteristics and long-term release rate characteristics of the systems. Milling of the therapeutic agent can be performed to prepare agent particles of the desired size.

Representative patent

US11576859

Category

formulation

Patent holder

Lyndra Therapeutics

Exclusivity

Not provided

Expiration date

October 21, 2036

Status

Not provided

Description

Gastric Residence Systems with Release rate-modulating Films

Brief description

The gastric resistance system relates to systems which remain in the stomach for extended period for sustained release of pharmaceutics and methods of use thereof.

Representative patent

WO2018227147

Category

formulation

Patent holder

Lyndra Therapeutics

Exclusivity

Not provided

Expiration date

June 8, 2038

Status

Not provided

Publications

Kanasty, R., Low, S., Bhise, N., Yang, J., Peeke, E., Schwarz, M., ... & Bellinger, A. M. (2019). A pharmaceutical answer to nonadherence: Once weekly oral memantine for Alzheimer's disease. Journal of controlled release303, 34-41. https://doi.org/10.1016/j.jconrel.2019.03.022

The formulation of memantine hydrochloride is the first oral dosage form to achieve sustained drug release for a week with near zero-order kinetics and efficient delivery. In the dog model, relative memantine bioavailability approaches 100%, with sustained plasma levels over seven days. A single gastric resistant dosage form achieves an AUC equivalent to seven daily treatments with the marketed daily capsule, with a Cmax no higher than the daily product. This formulation methodology is applicable to many water-soluble drugs and may enable the development of long-acting oral therapies for various conditions.

Kirtane AR, Abouzid O, Minahan D, Bensel T, Hill AL, Selinger C, Bershteyn A, Craig M, Mo SS, Mazdiyasni H, Cleveland C, Rogner J, Lee YL, Booth L, Javid F, Wu SJ, Grant T, Bellinger AM, Nikolic B, Hayward A, Wood L, Eckhoff PA, Nowak MA, Langer R, Traverso G. Development of an oral once-weekly drug delivery system for HIV antiretroviral therapy. Nat Commun. 2018 Jan 9;9(1):2. doi: 10.1038/s41467-017-02294-6.

The efficacy of antiretroviral therapy is significantly compromised by medication non-adherence. Long-acting enteral systems that can ease the burden of daily adherence have not yet been developed. Here we describe an oral dosage form composed of distinct drug-polymer matrices which achieved week-long systemic drug levels of the antiretrovirals dolutegravir, rilpivirine and cabotegravir in a pig. Simulations of viral dynamics and patient adherence patterns indicate that such systems would significantly reduce therapeutic failures and epidemiological modelling suggests that using such an intervention prophylactically could avert hundreds of thousands of new HIV cases. In sum, weekly administration of long-acting antiretrovirals via a novel oral dosage form is a promising intervention to help control the HIV epidemic worldwide.

Foltin, R. W., Zale, S., Sykes, K. A., Nagaraj, N., Scranton, R. E., & Comer, S. D. (2022). A novel long-acting formulation of oral buprenorphine/naloxone produces prolonged decreases in fentanyl self-administration by rhesus monkeys. Drug and alcohol dependence239, 109599. https://doi.org/10.1016/j.drugalcdep.2022.109599

We evaluated the efficacy of this formulation in reducing intravenous (i.v.) fentanyl self-administration by three male and three female rhesus monkeys. Buprenorphine HCl and naloxone HCl were co-formulated using an 11:1 ratio of buprenorphine:naloxone in a controlled-release gastric residence formulation administered in an oral capsule (LYN-013). Naloxone was included to determine the feasibility of combining naloxone with buprenorphine in the formulation as an abuse deterrent. Complete fentanyl dose-response functions were determined during each session. The efficacy of single doses of 56/5, 112/10 and 168/15 mg buprenorphine/naloxone in reducing fentanyl self-administration was examined over 13 days. LYN-013 significantly decreased the rate of responding for fentanyl for 3 days and significantly reduced total intake of fentanyl for 8 days. Time to maximal buprenorphine levels (Tmax) ranged between 56 and 68 h for all 3 doses. The maximal buprenorphine level (Cmax) following 168 mg was 2.3 ng/ml which was significantly greater that those observed for 56 mg (1.22 ng/ml) and 112 mg (1.35 ng/ml). Finally, the area-under-curves (AUCtau) were buprenorphine dose-dependently increased from 88 to 127-265 h*ng/ml. There were no signs of non-specific changes in behavior.


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