Pulmonary diseases such as nontuberculous mycobacterial infections and chronic obstructive pulmonary disease (COPD) remain major global health challenges, often requiring long-term antibiotic therapy delivered directly to the lungs to achieve effective pathogen clearance.
Inhaled drug delivery provides a promising approach to increase local drug concentration while reducing systemic toxicity, but current dry powder formulations suffer from significant limitations. Many antibiotic combinations cannot be co-formulated because of conflicting solubility profiles, and crystalline drug forms often dissolve slowly and deposit inefficiently in the deep lung. Formulations frequently require multiple excipients, adding regulatory burden and potential safety concerns.
These constraints limit the development of effective fixed-dose combinations and reduce the therapeutic impact of inhaled antibiotics for complex respiratory infections.
This technology uses thin-film freeze-drying to produce highly porous, amorphous dry powder formulations of azithromycin, amikacin, or precise fixed-dose combinations of both, optimized for delivery via a dry powder inhaler.
By dissolving the drugs in a compatible cosolvent, rapidly freezing the mixture into thin films, and sublimating the solvent, the process overcomes the drugs’ incompatible solubilities and yields powders with aerodynamic diameters under five micrometers and fine particle fractions between 65% and 84%. These properties enable efficient deep lung deposition and rapid dissolution.
The method supports excipient-free formulations or minimal excipients such as leucine to enhance powder porosity, while allowing precise control of drug ratios for combination therapy. The resulting particles exhibit improved dissolution rates, enhanced bioavailability, and targeted delivery to infected lung tissue, making them well suited for treating nontuberculous mycobacterial infections, chronic obstructive pulmonary disease (COPD), and other respiratory diseases.
U.S. Provisional application serial no. 63/820,618 filed on 06/09/2025