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What is Captisol?

By significantly improving the solubility, stability, and therefore bioavailability of insoluble active pharmaceutical ingredients (APIs), Captisol is an ideal excipient for difficult to formulate compounds. Partners have successfully used Captisol to overcome formulation issues to enable commercially successful products for the past twenty years, with additional approvals on the near horizon.

Captisol Chemistry

Scientific image that shows the molecular structure of Captisol.Cyclodextrins (CDs) are cyclic oligosaccharides typically containing 6(α-CD), 7(β-CD), or 8(γ-CD) glucopyranose units, oriented in a truncated cone structure with a hydrophilic on the exterior and a lipophilic interior. This lipophilic interior can then partially or fully contain an insoluble guest molecule, forming a cyclodextrin complex with better solubility and/or stability than the guest molecule. Typical α-, β-, and γ-cyclodextrins (particularly β) have limited aqueous solubility and show toxicity when given by injection, so Captisol® was derivatized from a β-cyclodextrin to have ~6.5 sulfobutylether groups per cyclodextrin molecule, to generate a parenterally safe CD-derivative.

These sulfobutylether groups make Captisol® unique:

  • The very low pKa of the sulfonic acid groups results in multiple negative charges at physiologically compatible pH values, greatly increasing the solubility & safety of the cyclodextrin & provides another "handle" by which molecules can interact with Captisol.
  • Captisol can increase water solubility by 10x to 150,000x depending on compound structure, concentration of Captisol®, pH effects on the extent of drug ionization, buffer selection and strength of complex.
  • Aqueous formulations with Captisol are often simpler & less toxic than the use of organic solvents, surfactants, and extreme pH conditions to achieve desired dosages.
  • Stability of drugs in aqueous solution may be improved on with Captisol. Enclosure of the labile area of the drug in the cyclodextrin cavity or interaction with the SBE substituent can reduce decomposition rate by ‘hiding’ the reactive center.
  • The four-carbon butyl chain coupled with the repulsion of the end group negative charges allows for an "extension" of the cyclodextrin cavity, often resulting in stronger binding than other modified cyclodextrins.
  • Complexation is a non-covalent, reversible interaction typically occurring in a 1:1 stoichiometry.

Mathematical equation depicting Captisol plus Guest equals K1:1 Complex.

Captisol Successes

Captisol has enabled products based on different molecular classes (neutral, charged, MWs between 236-808), across therapeutic areas (antiviral, oncology, antifungal, CNS, more), and in varied presentations (ready to use parenteral solution, concentrate, lyophilized powder in a vial, oral liquid). This 20+ year clinical, regulatory & safety record streamlines the approval process for Captisol-enabled product candidates.

Captisol-Enabled Products Approved 2002-2024

VFEND

Voriconazole

Pfizer

Vfend voriconazole molecule

Antifungal

IV Administration

Lyophilized Powder

First product with Captisol approved in the US

GEODON IM

Ziprasidone mesylate

Pfizer

Geodon Ziprasidone molecule

Antipsychotic

IM Administration

Lyophilized Powder

A portion of the mesylate salt is in the cavity of Captisol

ABILIFY

Aripiprazole

BMS

Antipsychotic

IM Administration

Ready to Use Solution

First ready to use solution

CERENIA

Maropitant citrate

Pfizer

Maropitant Cerenia molecule

Antiemetic

Veterinary SQ and IV

Ready to Use Solution

First veterinary product and first subcutaneous product

NEXTERONE

Amiodarone

Baxter

Nexterone Amiodarone molecule.

Antiarrhythmic

IV Administration

Premixed IV Bag

Captisol replaced polysorbate 80 and benzyl alcohol in original formulation

First product with Captisol in a premixed IV bag

KYPROLIS

Carlfilzomib

Amgen

Kyprolis Carfilzomib molecule

Multiple Myeloma

IV Administration

Lyophilized Powder

Captisol used in a product with a high molecular weight (719.9 g/mol)

NOXAFIL

Posaconazole

Merck

Noxafil Posaconazole molecule

Antifungal

IV Administration

Solution Concentrate

Lowest product pH of 2.6 prior to dilution

EVOMELA

Melphalan

Acrotech

Evomela Melphalan molecule

Multiple Myeloma

IV Administration

Lyophilized Powder

Captisol improved stability such that use time increased from 1 to 4 hours and solution could be stored refrigerated for a day

CARNEXIV

Carbamazepine

Lundbeck

Carnexiv Carbamazepine molecule.

Antiseizure

IV Administration

Solution Concentrate

Currently highest Captisol dose for approved products

BAXDELA

Delafloxacin meglumine

Melinta

Baxdela Delafloxacin molecule

Antibacterial

IV Administration

Lyophilized Powder

In development, Captisol was selected over Solutol not only to improve solubility, but also to improve stability (freezing not required) and to lessen venous irritation.

ZULRESSO

Brexanolone, Allopregnanolone

Sage

Zulresso Brexanolone molecule.

Postpartum Depression

IV Administration

Solution Concentrate

First continuous infusion product

VEKLURY

Remdesivir

Gilead

Veklury Remdesivir molecule

Antiviral

IV Administration

Solution Concentrate and Lyophilized Powder

Treated 13 million people in 170 countries

For use in pediatric patients from birth

Approved for patients will all levels of renal impairment

SESQUIENT

Fosphenytoin

Sedor

Sesquient Fosphenytoin molecule.

Antiseizure

IV Administration

Solution Concentrate

Captisol solubilizes phenytoin (active) that is a degradant of the fosphenytoin prodrug

Captisol increased the room temperature stability of the formulation

DOCIVYX

Docetaxel

Ingenus Pharmaceuticals

Docetaxel molecule

Antineoplastic

IV Administration

Solution Concentrate

Product with Captisol does not need intermediate dilution step prior to addition to infusion solution

No polysorbate 80 in product

MEKINIST(Oral Solution)

Trametinib

Novartis

Mekinist molecule

Melanoma/Glioma

Oral Administration

Powder for Oral Solution

First product with Captisol for oral administration

FYCOMPA IV

Perampanel hydrate

Eisai

FYCOMPA molecule

Antiseizure

IV Administration

Lyophilized Powder

Initial product approval in Japan

Safety

Captisol is eliminated by glomerular filtration in the kidneys. Two decades of patient experience and recent data have shown that Captisol is safe, even in patients with severe renal impairment. Clinical studies were performed in renally compromised patients on BAXDELA® (a Captisol-enabled product). Conclusions from these studies stated that "Increased SBECD exposures did not result in any noticeable increase in drug-related TEAEs in this study." And "... decreasing renal function causes reduced SBECD (Captisol) clearance and increased exposures, but SBECD continues to exhibit a good safety and tolerability profile in IV formulations."

In another Captisol-enabled drug product, Gilead performed clinical safety studies for VEKLURY® in patients with moderately and severely reduced kidney function. The results of the study were favorable and in August 2023 the package insert for Veklury® was changed to state that "No dosage adjustment of VEKLURY® is recommended for patients with any degree of renal impairment, including those on dialysis..."

Read Gilead Article
Regulatory

Regulatory

With over twenty years of approved Captisol-enabled drug products, there is significant regulatory experience with Captisol in regulatory agencies worldwide. In the United States there are two types of Drug Master Files (DMFs) with the FDA: Type IV including CMC information and Type V including regulatory safety information that supports all routes of delivery. Many FDA divisions and other regulatory bodies have evaluated the data package and approved the use of Captisol in more than 500 clinical trials. Today, Captisol can be found in 16 approved products.

Quality and Manufacturing

Quality and Manufacturing

Captisol is produced under cGMP controls at two validated sites in Loures, Portugal and Cork, Ireland. Captisol is manufactured under a patented all aqueous process. This process results in ultra-low endotoxin, ultra-low bioburden, and low chloride product. Each lot must meet strict analytical specifications before released. There is more than 20 years of history in manufacturing reproducible, high-quality batches of Captisol. While most excipients adhere to the minimum standards of USP and IPEC, Captisol exceeds those guidelines. Click here for example Certificate of Analyses.

View Certificate of Analysis

Recent Client Projects

  • Improved solubility and stability for administration by slow subcutaneous infusion
  • Formulated poorly soluble/unstable compound and worked with third party to prepare spray-dried materials for pre-clinical studies