Pharmaceutical compositions and dosage forms comprising (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide, processes for their preparation, methods of treatment and uses thereof
阅读说明：本技术 包含(e)-4-(2-(氨基甲基)-3-氟烯丙基氧基)-n-叔丁基苯甲酰胺的药物组合物和药物剂型，其制备方法、治疗方法及用途 (Pharmaceutical compositions and dosage forms comprising (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide, processes for their preparation, methods of treatment and uses thereof ) 是由 K·埃古萨 片山拓马 横山万年 R·A·贝克 N·H·V·庄 J·里普曼 于 2018-05-30 设计创作，主要内容包括：本发明涉及包含具有化学结构(I)即(E)-4-(2-(氨基甲基)-3-氟烯丙基氧基)-N-叔丁基苯甲酰胺的药物组合物或其药学上可接受的盐作为活性药学成分的药物组合物,特别涉及包含(E)-4-(2-(氨基甲基)-3-氟烯丙基氧基)-N-叔丁基苯甲酰胺盐酸盐的药物组合物,涉及药物剂型,涉及它们的制备、它们的用途以及用于治疗性治疗的方法。<Image he="335" wi="700" file="DDA0002289161690000011.GIF" imgContent="drawing" imgFormat="GIF" orientation="portrait" inline="no"></Image>(The present invention relates to pharmaceutical compositions comprising as active pharmaceutical ingredient (I) a pharmaceutical composition having the chemical structure (I), i.e. (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide, or a pharmaceutically acceptable salt thereof, in particular to a pharmaceutical composition comprising (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide hydrochloride, to pharmaceutical dosage forms, to their preparation, to their use and to methods for therapeutic treatment.)
1. A pharmaceutical composition comprising (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide having the chemical structure
Or a pharmaceutically acceptable salt thereof, as an active pharmaceutical ingredient, and one or more stabilizers.
2. A pharmaceutical composition according to claim 1, wherein the active ingredient is (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide hydrochloride.
3. The pharmaceutical composition of claim 1 or 2, wherein the stabilizer is a dicarboxy organic acid.
4. The pharmaceutical composition according to claim 1 or 2, wherein the stabilizer is selected from the group consisting of L-glutamic acid hydrochloride, fumaric acid, and tartaric acid.
5. The pharmaceutical composition of claim 1 or 2, wherein the stabilizer is L-glutamic acid hydrochloride.
6. The pharmaceutical composition of claim 1 or 2, wherein the stabilizer is tartaric acid.
7. The pharmaceutical composition according to any one of claims 1 to 6, wherein the active ingredient comprises 25% or less by weight of the pharmaceutical composition.
8. The pharmaceutical composition according to any one of claims 1 to 7, wherein the stabilizing agent comprises 0.5% to 20% by weight of the composition.
9. The pharmaceutical composition according to any one of claims 1 to 8, wherein the composition comprises:
10. The composition of any one of claims 1 to 9, further comprising one or more lubricants.
11. A pharmaceutical dosage form comprising a pharmaceutical composition according to any one of claims 1 to 10.
12. The pharmaceutical dosage form of claim 11, wherein the dosage form is a tablet.
13. The pharmaceutical dosage form of claim 10, 11 or 12, further comprising one or more film coatings.
14. The pharmaceutical dosage form according to claim 13, wherein the dose of the active ingredient per tablet is 1 to 10mg of (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide.
15. A method for preventing, or slowing the progression of, or delaying or treating one or more of a fibrotic disease, a metabolic disease, an inflammatory disease, an ocular disease, a neuroinflammatory disease, or cancer in a patient in need thereof, characterized in that a pharmaceutical composition according to any one of claims 1 to 10 or a pharmaceutical dosage form according to any one of claims 11 to 14 is administered to the patient.
16. The method of claim 15, wherein the fibrotic or metabolic disease is selected from liver fibrosis, non-alcoholic fatty liver disease (NAFLD), non-alcoholic steatohepatitis (NASH), non-proliferative diabetic retinopathy and proliferative diabetic retinopathy.
17. A direct compression process for the preparation of a pharmaceutical composition comprising (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide, having the chemical structure below, or a pharmaceutically acceptable salt thereof, as active pharmaceutical ingredient, together with one or more excipients,
wherein the method comprises the steps of:
(1) premixing the active pharmaceutical ingredient and the main part of the excipients and the one or more stabilizers in a mixer to obtain a premix;
(2) optionally dry-screening the premix through a screen to separate cohesive particles and to improve content uniformity;
(3) mixing the premix of step (1) or (2) in a mixer, optionally by adding the remaining excipients to the mixture, and continuing the mixing;
(4) tableting the final mixture of step (3) by compressing it on a suitable tableting machine to produce tablet cores;
(5) optionally film coating said core of step (4) with a film coat.
18. A pharmaceutical composition obtainable by the method of claim 17.
19. A dry granulation process for preparing a pharmaceutical composition comprising (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide, having the chemical structure below, or a pharmaceutically acceptable salt thereof, as active pharmaceutical ingredient, together with one or more excipients,
wherein the method comprises the steps of:
(1) mixing the active pharmaceutical ingredient with all or part of the excipient and one or more stabilizers in a blender;
(2) compacting the mixture of step (1) on a suitable roller compactor;
(3) reducing the ribbon obtained in step (2) to granules by a suitable grinding or sieving step;
(4) mixing the granules of step (3) with the remaining excipients, optionally in a stirrer, to obtain the final mixture;
(5) tableting the granulate of step (3) or the final mixture of step (4) by compressing it on a suitable tableting machine to produce tablet cores;
(6) optionally film coating said core of step (5) with a film coat.
20. A pharmaceutical composition obtainable by the method of claim 19.
21. A method for the treatment of diabetic retinopathy, in particular nonproliferative diabetic retinopathy, in a patient in need thereof, characterized in that a pharmaceutical composition comprising (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide or a pharmaceutically acceptable salt thereof is administered to said patient.
Technical Field
The present invention relates to a pharmaceutical composition comprising (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide having the following chemical structure or a pharmaceutically acceptable salt thereof as an active pharmaceutical ingredient,
in particular to a pharmaceutical composition comprising (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide hydrochloride and one or more stabilizers. Furthermore, the present invention relates to pharmaceutical dosage forms comprising such pharmaceutical compositions. Furthermore, the present invention relates to a process for the preparation of such pharmaceutical dosage forms. Furthermore, the present invention relates to a method for preventing, or slowing the progression of, or delaying or treating one or more of a fibrotic disease, a metabolic disease, an inflammatory disease, an ocular disease, a neuroinflammatory disease or a cancer in a patient in need thereof, characterized in that said pharmaceutical composition or pharmaceutical dosage form is administered to said patient. Furthermore, the present invention relates to the use of said pharmaceutical composition or dosage form in a method for preventing, delaying or treating one or more of the diseases mentioned above or below or slowing down the progression thereof. In addition, the present invention relates to methods for treating non-alcoholic fatty liver disease (NAFLD), non-alcoholic steatohepatitis (NASH), or diabetic retinopathy.
Background
(E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide is an inhibitor of copper-containing amine oxidase 3(AOC3) and is known from WO 2013/163675 (compound 23). The synthesis and use thereof are also described in the international application.
As a prerequisite for the widespread use of (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide and pharmaceutically acceptable salts thereof in the treatment of the above-mentioned diseases and conditions, there is a need to provide pharmaceutical compositions and/or pharmaceutical dosage forms comprising said active ingredient which meet the usual criteria. Typical criteria for pharmaceutical compositions include: the active ingredient has good and reproducible bioavailability, acceptable form and size, acceptable shelf life and good storage stability, i.e. the active ingredient has a low degree of degradation over time. For example, one of the accepted criteria for degradation is that the total degradation does not exceed 3.0% after 36 months of storage, preferably the total degradation does not exceed 1.5% or less after 36 months of storage.
Currently, there is an unmet medical need for methods, medicaments and pharmaceutical compositions that have good efficacy in fibrotic diseases, metabolic diseases and ocular diseases, such as non-alcoholic fatty liver disease (NAFL), non-alcoholic steatohepatitis (NASH) or diabetic retinopathy, while meeting the standardized standards for pharmaceutical compositions and dosage forms.
Object of the Invention
It is an object of the present invention to provide a pharmaceutical composition comprising (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide or a pharmaceutically acceptable salt thereof having the above chemical structure, in particular to a pharmaceutical composition comprising (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide hydrochloride, which has acceptable storage stability.
It is another object of the present invention to provide a pharmaceutical composition comprising (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide or a pharmaceutically acceptable salt thereof having the above chemical structure, in particular a pharmaceutical composition comprising (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide hydrochloride, which shows a reduced formation of degradation products over time and/or a reduced rate of degradation of the active ingredient over time during storage.
It is another object of the present invention to provide a pharmaceutical composition comprising (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide or a pharmaceutically acceptable salt thereof having the above chemical structure, in particular a pharmaceutical composition comprising (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide hydrochloride, which has a longer shelf life.
It is another object of the present invention to provide a pharmaceutical composition comprising (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide or a pharmaceutically acceptable salt thereof having the above chemical structure, in particular a pharmaceutical composition comprising (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide hydrochloride, which avoids or reduces the need for special storage conditions, such as cooling.
It is another object of the present invention to provide a pharmaceutical dosage form comprising (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide or a pharmaceutically acceptable salt thereof having the above chemical structure, in particular a pharmaceutical dosage form comprising (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide hydrochloride, which has a short disintegration time, has good dissolution characteristics and/or is capable of improving the bioavailability of the active ingredient in the patient.
It is another object of the present invention to provide a pharmaceutical composition comprising (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide or a pharmaceutically acceptable salt thereof having the above chemical structure, in particular a pharmaceutical composition comprising (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide hydrochloride, which has a high content uniformity and/or which allows for the efficient production of pharmaceutical dosage forms containing said pharmaceutical composition in terms of time and cost.
It is another object of the present invention to provide pharmaceutical compositions and pharmaceutical dosage forms, each comprising (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide or a pharmaceutically acceptable salt thereof, having the above chemical structure, in particular to pharmaceutical compositions and pharmaceutical dosage forms comprising (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide hydrochloride, for use in preventing, or slowing the progression of, or delaying or treating one or more of fibrotic diseases, metabolic diseases, inflammatory diseases, ocular diseases, neuroinflammatory diseases or cancer.
It is a further object of the present invention to provide methods for preventing, or slowing the progression of, or delaying or treating one or more of a fibrotic disease, a metabolic disease, an inflammatory disease, an ocular disease, a neuroinflammatory disease, or cancer in a patient in need thereof.
It is another object of the present invention to provide a pharmaceutical composition and a pharmaceutical dosage form, each of which comprises (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide having the above-mentioned chemical structure or a pharmaceutically acceptable salt thereof, in particular to a pharmaceutical composition and a pharmaceutical dosage form comprising (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide hydrochloride, in the use for the prevention of one or more of a fibrotic disease, a metabolic disease, an inflammatory disease, an ocular disease, a neuroinflammatory disease, or cancer, or slow the progression of one or more of said diseases, or have a high efficacy in delaying or treating said one or more diseases, having good or very good pharmacological and/or pharmacokinetic and/or physicochemical properties.
It is a further object of the present invention to provide a process for the preparation of the pharmaceutical composition and pharmaceutical dosage form according to the invention, which is cost and/or time efficient.
Further objects of the present invention will become apparent to those skilled in the art from the foregoing and following description and examples.
Disclosure of Invention
First, a conventional pharmaceutical composition comprising (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide hydrochloride as the active ingredient, mannitol and magnesium stearate as fillers and lubricants was prepared. However, the stability of these pharmaceutical compositions has proved unsatisfactory, so that they need to be stored below 8 ℃, i.e. in a refrigerator, to obtain a satisfactory shelf life of more than 12 months (see table in example a).
Surprisingly, it was subsequently found that pharmaceutical compositions comprising (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide or a pharmaceutically acceptable salt thereof having the following chemical structure as active pharmaceutical ingredient,
in particular the pharmaceutical compositions comprising (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide hydrochloride and additionally one or more, preferably one, stabilizing agents have a significantly improved stability of the active ingredient against degradation during storage. Thus, a satisfactory shelf life can be obtained even at room temperature (i.e., without refrigeration).
In one aspect, the present invention provides a pharmaceutical composition comprising (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide, or a pharmaceutically acceptable salt thereof, having the chemical structure below, as an active pharmaceutical ingredient, and one or more stabilizing agents.
In other aspects, the invention provides a pharmaceutical dosage form, preferably a solid pharmaceutical dosage form, such as a tablet, comprising a pharmaceutical composition according to the invention.
In one embodiment, the pharmaceutical compositions and pharmaceutical dosage forms according to the invention do not comprise effervescent formulations (including, for example, effervescent granules or powders).
In another embodiment, the invention does not include pharmaceutical compositions and pharmaceutical dosage forms that additionally comprise a carbon dioxide source (e.g., sodium bicarbonate or sodium carbonate).
In another aspect, the present invention provides a method for preventing, or slowing the progression of, or delaying or treating one or more of a fibrotic disease, a metabolic disease, an inflammatory disease, an ocular disease, a neuroinflammatory disease or cancer in a patient in need thereof, characterized in that a pharmaceutical composition or pharmaceutical dosage form as described above and below is administered to said patient.
In another aspect, the present invention provides a method for the treatment of non-alcoholic fatty liver disease (NAFLD), non-alcoholic steatohepatitis (NASH) or diabetic retinopathy, characterized in that a pharmaceutical composition or pharmaceutical dosage form comprising (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide or a pharmaceutically acceptable salt thereof as Active Pharmaceutical Ingredient (API), in particular a pharmaceutical composition or pharmaceutical dosage form as described above and below, is administered to said patient.
In a further aspect, the present invention provides the use of a pharmaceutical composition or pharmaceutical dosage form comprising (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide or a pharmaceutically acceptable salt thereof as Active Pharmaceutical Ingredient (API), in particular a pharmaceutical composition or pharmaceutical dosage form as described above and below for use in a method as described above and below.
In a further aspect, the present invention provides a pharmaceutical composition or pharmaceutical dosage form comprising (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide or a pharmaceutically acceptable salt thereof as Active Pharmaceutical Ingredient (API), in particular a pharmaceutical composition or pharmaceutical dosage form as described above and below, for use in a method as described above and below.
In a further aspect, the present invention provides the use of a pharmaceutical composition or pharmaceutical dosage form comprising (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide or a pharmaceutically acceptable salt thereof as Active Pharmaceutical Ingredient (API), in particular a pharmaceutical composition or pharmaceutical dosage form as described above and below for the manufacture of a medicament for use in a method as described above and below.
In other aspects, the invention provides a process for preparing a pharmaceutical composition as described above and below, for example by dry granulation or by direct compression.
In another aspect, the present invention provides a pharmaceutical composition obtainable or obtained by a process for the preparation of a medicament as described above and below.
Other aspects of the invention will become apparent to those skilled in the art from the foregoing and following description and examples.
Definition of
The term "active ingredient" of the pharmaceutical composition according to the present invention means (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide having the following chemical structure
Or a pharmaceutically acceptable salt thereof, in particular (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide hydrochloride. Preferably, a crystalline form of the active ingredient such as "form I", in particular a crystalline form of (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide hydrochloride as defined below, is used. The "active ingredient" is sometimes also referred to herein as an "active substance" or an "active pharmaceutical ingredient" or an "API".
For example, (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide and its salts and methods of synthesis are described in the following patent applications: WO 2013/163675 (Compound 23).
The terms "treatment" and "treated" encompass the therapeutic treatment of a patient who has developed the condition in question, particularly in an obvious form. Therapeutic treatment may be symptomatic treatment to alleviate symptoms of a particular indication, or symptomatic treatment to reverse or partially reverse the condition of an indication, or to halt or slow the progression of a disease. Thus, for example, the compositions and methods described herein can be used as a treatment over a period of time as well as for chronic treatment.
The terms "prophylactic treatment", "prophylactic treated" and "prevention" are used interchangeably and encompass the treatment of a patient at risk of developing the condition described above, thereby reducing the risk.
The term "tablet" encompasses tablets without a coating and tablets with one or more coatings. Furthermore, the term "tablet" encompasses tablets and press-coated tablets having one, two, three or even more layers, wherein each of the aforementioned types of tablets may have no or one or more coatings. The term "tablet" also includes miniature, fused, chewable and orally disintegrating tablets.
The term "Pharmacopoeia" refers to standard pharmacopoeias such as "USP 31-NF26 through Second Supplement" (United states Pharmacopoeia) or "European Pharmacopeia 6.3" (European Bureau of medicine and health quality, 2000-.
Brief Description of Drawings
FIG. 1: (E) an XRPD pattern of form I of (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide hydrochloride.
FIG. 2: (E) DSC curve of form I of (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide hydrochloride.
FIG. 3: neovascular cluster formation in an oxygen-induced retinopathy mouse model dosed with (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide (API) or with dexamethasone or without (control).
FIG. 4: (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide (API) in the control group and with and without administration) Measured standardized photosensitivity (S/S) in hyperglycemic STZ-induced diabetic ratsControl)。
Detailed Description
According to aspects of the present invention, in particular, the pharmaceutical compositions, methods and uses refer to (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide having the following chemical structure
Or a pharmaceutically acceptable salt thereof as an active pharmaceutical ingredient, in particular (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide hydrochloride.
According to an embodiment of the present invention, said pharmaceutical composition or said pharmaceutical dosage form comprises only one active pharmaceutical ingredient which is said compound (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide or a pharmaceutically acceptable salt thereof.
It is to be understood that the definition of the compound also includes its hydrates, solvates and polymorphic forms, as well as prodrugs thereof, in accordance with the present invention.
A preferred solid form of the compound (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide hydrochloride salt is "form I", a crystalline, high melting point, stable form of (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide hydrochloride salt which is not susceptible to polymorphic conversion. Form I was found to contain water: (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide hydrochloride salt with respect to H2A molar ratio of O from 3:1 to 5:1, more specifically 4: 1; thus, form I can be considered to be the tetrahydrate. The X-ray powder diffraction (XRPD) peaks of form I are given in the examples and experimental data section. Thus, in particular, form I is characterized by an XRPD spectrum comprising peaks at 3.82, 7.63, 13.55 and 15.29 degrees 2 Θ, specifically comprising peaks at 3.82, 7.63, 13.55, 15.29, 16.03 and 17.80 degrees 2 Θ, more specifically comprising peaks at 3.82, 7.63, 11.46, 13.55, 15.29, 16.03, 17.80 and 19.02 degrees 2 Θ (for the above description)All peaks: using CuK α radiation, ± 0.2 degrees 2 θ). Form I is also characterized by a melting point of about 181 ℃. + -.5 ℃ (as determined by Differential Scanning Calorimetry (DSC); evaluation as onset temperature;
(E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide hydrochloride can advantageously be recrystallized from a solvent system selected from the group consisting of water/ethanol/ethyl acetate, water/isopropanol/ethyl acetate, isopropanol/ethyl acetate/MTBE, methanol/ethyl acetate, water/isopropyl acetate/acetone and water/isopropanol/heptane, preferably selected from the group consisting of water/ethanol/ethyl acetate, water/isopropanol/ethyl acetate and isopropanol/ethyl acetate/MTBE; more preferably, the solvent system is isopropanol/ethyl acetate/MTBE, wherein the volume ratio of isopropanol to ethyl acetate ranges from about 1:1 to about 1:0.75, and wherein the volume ratio of isopropanol to MTBE ranges from about 1:0.9 to about 1:0.65, e.g., the volume ratio of the three is 9:8: 7.
Form I of (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide hydrochloride is isolated from the solution by methods known to those skilled in the art, including but not limited to centrifugation and filtration. In particular, (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide hydrochloride was isolated by a process comprising filtration, washing of the filter cake and drying under vacuum. The crystals obtained are preferably washed with a solvent or solvent mixture, wherein the solvent is preferably selected from MTBE and a 3:1(v/v) mixture of heptane/isopropanol followed by heptane. The most preferred solvent is MTBE. Preferably, the residual solvent is advantageously removed from the crystals in a drying step in vacuo, for example at about 60 ℃ for about 5 to 12 hours. The temperature, pressure and duration of the drying step may be selected so as to reduce the content of one or more residual solvents below a given value.
The pharmaceutical composition or pharmaceutical dosage form according to the invention preferably comprises (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide hydrochloride as defined above and below in its form I.
In one embodiment, the active ingredient comprises 25% or less by weight of the pharmaceutical composition. Preferably, the active ingredient is present in an amount of 0.5% to 25% by weight of the pharmaceutical composition. More preferably, the active ingredient is present in an amount of 1.0% to 15% by weight of the pharmaceutical composition. Even more preferably, the active ingredient constitutes between 3.5% and 10% by weight of the pharmaceutical composition. According to another embodiment, the active ingredient represents from 1.5% to 10% by weight of the pharmaceutical composition.
The pharmaceutical composition according to the invention comprises one or more stabilizers.
The stabilizer is preferably an acidic stabilizer, in particular an acid. Preferably the stabiliser is an organic acid, more preferably a di-protic acid, especially a di-carboxylic organic acid, for example containing 3 to 10, especially 4 to 8 or 4 to 6C atoms, which may contain one or more hydroxyl groups, for example alpha-hydroxyl groups. The organic acid may be an amino acid, in particular an amino acid hydrochloride. More preferably, the stabilizer is selected from the group consisting of L-glutamic acid hydrochloride, fumaric acid and tartaric acid. Examples of preferred such stabilizers are L-glutamic acid hydrochloride and tartaric acid. In one embodiment, L-glutamate hydrochloride is used as a stabilizer. In another embodiment, tartaric acid is used as a stabilizer. In another embodiment, fumaric acid is used as a stabilizer.
In one embodiment, the stabilizing agent comprises 20% or less by weight of the pharmaceutical composition. In one embodiment, the stabilizing agent comprises 0.5% or more by weight of the pharmaceutical composition. Preferably, the stabilizer constitutes 1% to 15% by weight of the pharmaceutical composition. More preferably, the stabilizer constitutes 1% to 10% by weight of the pharmaceutical composition. According to an embodiment of the invention, the stabilizer constitutes 1% to 5% by weight of the pharmaceutical composition. According to another embodiment of the invention, the stabilizer constitutes 2% to 5% by weight of the pharmaceutical composition.
In one embodiment, the molar ratio of the stabilizing agent to the active ingredient is about 30:1 or less, particularly about 10:1 or less, for example about 5:1 or less. In one embodiment, the molar ratio of the stabilizer to the active ingredient is about 1:5 or higher, particularly about 1:4 or higher, such as about 1:3 or higher, or such as about 1:2 or higher. According to one aspect of this embodiment, the molar ratio of the stabilizer to the active ingredient ranges from about 1:3 to about 20: 1. According to another aspect of this embodiment, the molar ratio of the stabilizer to the active ingredient ranges from about 1:3 to about 10:1 or from about 1:2 to about 5: 1.
In one aspect, the present invention provides a pharmaceutical composition comprising (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide or a pharmaceutically acceptable salt thereof, in particular a pharmaceutical composition comprising (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide hydrochloride as active pharmaceutical ingredient, together with one or more, preferably one stabilizer as defined above and one or more excipients.
Suitable excipients in the pharmaceutical compositions according to the invention are detailed below.
Preferably, the pharmaceutical composition according to the present invention additionally comprises one or more diluents. Suitable diluents (also called fillers) according to the invention are, for example, lactose, in particular lactose monohydrate, cellulose and derivatives thereof, such as powdered cellulose, microcrystalline or silicified microcrystalline cellulose, cellulose acetate, starch and derivatives thereof, for example pregelatinized starch, corn starch, wheat starch, rice starch, potato starch, sterilizable corn, sodium chloride, calcium carbonate, calcium phosphate, especially dibasic calcium phosphate, calcium sulfate, dicalcium phosphate or tricalcium phosphate, magnesium carbonate, magnesium oxide, sugars and derivatives thereof, such as succharide, fructose, sucrose, dextrose (dextrose), dextrin, D-sorbitol sulfobutyl ether beta-cyclodextrin, dextrose, polydextrose, trehalose, maltose, maltitol, mannitol, maltodextrin, sorbitol, inulin, xylitol, erythritol, sorbitol, sodium chloride, calcium carbonate, sodium chloride, calcium phosphate, especially calcium phosphate, calcium sulphate, calcium phosphate or tricalcium phosphate, magnesium carbonate, magnesium oxide, sugars and derivatives thereof, such as succharcot-de, isomalt (isomalt), kaolin and lactitol. According to an embodiment of the invention, the diluent is mannitol.
The pharmaceutical composition according to the invention may also comprise one or more lubricants. Suitable lubricants according to the invention are stearic acid and its salts, in particular its alkali metal and alkaline earth metal salts, including sodium stearate, calcium stearate, zinc stearate, magnesium stearate, sodium stearyl fumarate and glyceryl monostearate. A preferred lubricant is magnesium stearate. In the pharmaceutical composition or pharmaceutical dosage form, the concentration of such lubricants is 0.25-5%, preferably 0.5-2%.
Optionally, the pharmaceutical composition according to the invention further comprises one or more binders. Generally, any binder used in pharmaceutical compositions can be used in the context of the present invention. For example, the binder is a naturally occurring or partially or fully synthetic polymer selected from the group consisting of gum arabic, agar, alginic acid, carbomers, sodium carboxymethylcellulose, carrageenan, cellulose acetate phthalate, carob bean gum (ceratonia), chitosan, succharides, copovidone, povidone, cottonseed oil, dextrose, dextrin, dextrose, polydextrose, maltodextrin, maltose, cellulose and derivatives thereof, such as microcrystalline cellulose, methylcellulose, glucose, maltose, cellulose and derivatives thereof. Methylcellulose, ethylcellulose, hydroxyethylcellulose, hydroxyethylmethylcellulose, hydroxypropylcellulose, carboxymethylcellulose, hypromellose (cellulose hydroxypropyl methyl ether), starch and its derivatives, such as pregelatinized starch, hydroxypropyl starch, corn starch, gelatin, glyceryl behenate (glyceryl benzoate), tragacanth, guar gum, hydrogenated vegetable oil, inulin, poloxamers, polycarbophil, polyethylene oxide, polyvinylpyrrolidone, copolymers of N-vinylpyrrolidone and vinyl acetate, polymethacrylates, polyethylene glycol, alginates (e.g., sodium alginate), gelatin, sucrose, sunflower seed oil, zein and its derivatives and mixtures.
Optionally, the pharmaceutical composition according to the invention further comprises one or more disintegrants. Suitable disintegrants according to the invention are, for example, powdered cellulose, crospovidone, croscarmellose sodium, docusate sodium, low-substituted hydroxypropylcellulose, magnesium aluminium silicate, microcrystalline cellulose, polacrilin potassium, sodium starch glycolate, starch, in particular pregelatinized starch and corn starch.
Finally, optional additional additives, such as coloring or flavoring agents, may be used.
In one embodiment, the pharmaceutical composition or pharmaceutical dosage form (e.g., tablet) comprises:
in one aspect, the active ingredient is (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide hydrochloride.
In another embodiment, the pharmaceutical composition or pharmaceutical dosage form (e.g., tablet) comprises:
amount (% by weight)
Active ingredient
1.0–15
One or more stabilizers
1.0-10
One or more diluents
70–98
Optional additional additives
Adding to 100 percent
In one aspect, the active ingredient is (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide hydrochloride.
In another embodiment, the pharmaceutical composition or pharmaceutical dosage form (e.g., tablet) comprises:
amount (% by weight)
Active ingredient
1.5–10
One or more stabilizers
1-5
One or more diluents
85–95
Optional additional additives
Adding to 100 percent
In one aspect, the active ingredient is (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide hydrochloride.
In another embodiment, the pharmaceutical composition or pharmaceutical dosage form (e.g., tablet) comprises:
amount (% by weight)
Active ingredient
3.5–10
One or more stabilizers
1-5
One or more diluents
85–95
Optional additional additives
Adding to 100 percent
In one aspect, the active ingredient is (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide hydrochloride.
In another embodiment, the pharmaceutical composition or pharmaceutical dosage form (e.g., tablet) comprises:
amount (% by weight)
Active ingredient
0.5–25
One or more stabilizers
0.5–10
One or more diluents
60–99
Lubricant agent
0.25–5.0
Optional additional additives
Adding to 100 percent
In one aspect, the active ingredient is (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide hydrochloride.
In one embodiment, the pharmaceutical composition or pharmaceutical dosage form (e.g., tablet) comprises:
amount (% by weight)
Active ingredient
0.5–25
L-glutamic acid hydrochloride
1.0-10
Mannitol
63–98
Magnesium stearate
0.5–2.0
Optional additional additives
Adding to 100 percent
In one aspect, the active ingredient is (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide hydrochloride.
In another embodiment, the pharmaceutical composition or pharmaceutical dosage form (e.g., tablet) comprises:
amount (% by weight)
Active ingredient
3.5–10
L-glutamic acid hydrochloride
1.0-5.0
Mannitol
83–94
Magnesium stearate
0.5–2.0
Optional additional additives
Adding to 100 percent
In one aspect, the active ingredient is (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide hydrochloride.
In another embodiment, the pharmaceutical composition or pharmaceutical dosage form (e.g., tablet) comprises:
amount (% by weight)
Active ingredient
0.5–25
Tartaric acid
1.0-10
Mannitol
63–98
Magnesium stearate
0.5–2.0
Optional additional additives
Adding to 100 percent
In one aspect, the active ingredient is (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide hydrochloride.
In another embodiment, the pharmaceutical composition or pharmaceutical dosage form (e.g., tablet) comprises:
amount (% by weight)
Active ingredient
3.5–10
Tartaric acid
1.0-5.0
Mannitol
83–94
Magnesium stearate
0.5–2.0
Optional additional additives
Adding to 100 percent
In one aspect, the active ingredient is (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide hydrochloride.
In another embodiment, the pharmaceutical composition or pharmaceutical dosage form (e.g., tablet) comprises:
amount (% by weight)
Active ingredient
1.5–10
Tartaric acid
1.0-5.0
Mannitol
83–94
Magnesium stearate
0.5–2.0
Optional additional additives
Adding to 100 percent
In one aspect, the active ingredient is (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide hydrochloride.
In another embodiment, the pharmaceutical composition or pharmaceutical dosage form (e.g., tablet) comprises:
amount (% by weight)
Active ingredient
0.5–25
Fumaric acid
1.0–10
Mannitol
63–98
Magnesium stearate
0.5–2.0
Optional additional additives
Adding to 100 percent
In one aspect, the active ingredient is (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide hydrochloride.
In one embodiment, the pharmaceutical composition or pharmaceutical dosage form (e.g., tablet) comprises:
amount (% by weight)
Active ingredient
3.5–10
Fumaric acid
1.0–5.0
Mannitol
78–91
Magnesium stearate
0.5–2.0
Optional additional additives
Adding to 100 percent
In one aspect, the active ingredient is (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide hydrochloride.
The pharmaceutical composition can be formulated into the form of tablets, granules, fine granules, powders, capsules, caplets, soft capsules, pills, chewable tablets, lozenges, fast dissolving tablets, oral fast dispersing tablets, and the like.
Preferably, the pharmaceutical composition according to the invention is an immediate release formulation.
In one aspect, the pharmaceutical composition according to the invention is a solid pharmaceutical composition, e.g. for oral administration.
The dosage form according to the invention may be a tablet. The tablets may optionally be film coated. Typically, the film coat comprises 2-5% by total weight of the total composition and preferably comprises a film former, a plasticizer, an antiblocking agent and optionally one or more pigments. Exemplary coating compositions may comprise Hydroxypropylmethylcellulose (HPMC), polyethylene glycol (PEG), talc, titanium dioxide, and optionally iron oxide, including red and/or yellow iron oxide.
For example, a film coating according to the present invention comprises 48% hypromellose, 14% polyethylene glycol, 18% titanium oxide, 18% talc and 2% iron oxide red (f: (r) (r))
In one aspect, the film coating according to the invention comprises
Amount (% by weight)
Film forming agent
30-70
One or more plasticizers
1-20
One or more antiblocking agents
5-30
One or more colorants
0-30
Optional additional additives
Adding to 100 percent
To balance the stability and manufacturability of the pharmaceutical compositions and pharmaceutical dosage forms according to the invention, the exact range of ingredients, particularly stabilizers and lubricants, can be optimized by methods well known to those skilled in the art.
In another aspect, the present invention provides a direct compression process for the preparation of a pharmaceutical composition, wherein said process comprises the steps of:
(1) premixing the active ingredient and the main part of the excipients and the stabilizer in a mixer to obtain a premix;
(2) optionally dry-screening the premix through a screen to separate cohesive particles and to improve content uniformity;
(3) mixing the premix of step (1) or (2) in a mixer, optionally by adding the remaining excipients to the mixture, and continuing the mixing;
(4) tableting the final mixture of step (3) by compressing it on a suitable tableting machine to produce tablet cores;
(5) optionally film coating said core of step (4) with a film coat.
In another aspect, the present invention provides a pharmaceutical composition obtainable by the above process.
In another aspect, the present invention provides a dry granulation process for preparing a pharmaceutical composition, wherein the process comprises the steps of:
(1) mixing the active ingredient with all or part of the excipients and stabilizers in a blender;
(2) compacting the mixture of step (1) on a suitable roller compactor;
(3) reducing the ribbon obtained in step (2) to granules, preferably small granules, by a suitable grinding or sieving step;
(4) mixing the granules of step (3) with the remaining excipients, optionally in a stirrer, to obtain the final mixture;
(5) tableting the granulate of step (3) or the final mixture of step (4) by compressing it on a suitable tableting machine to produce tablet cores;
(6) optionally film coating said core of step (5) with a film coat.
In another aspect, the present invention provides a pharmaceutical composition obtainable by the above process.
In addition to the methods described above, the pharmaceutical compositions and pharmaceutical dosage forms of the present invention may be prepared by other methods known to those skilled in the art, such as by wet granulation.
The pharmaceutical composition according to the invention can be stored for more than 12 months, preferably up to 36 months, at room temperature (e.g. 20 ℃). Under these storage conditions, no adverse degradation of the active ingredient was observed. Therefore, it is not necessary to store the pharmaceutical composition according to the present invention at a temperature below 8 ℃.
The pharmaceutical composition according to the present invention allows for higher content uniformity and efficient production in terms of time and cost of pharmaceutical dosage forms such as tablets and capsules. Furthermore, in one embodiment, these pharmaceutical dosage forms are in particular tablets.
Thus, in another aspect, the present invention provides a pharmaceutical dosage form comprising a pharmaceutical composition according to the invention. In one aspect, the pharmaceutical dosage form according to the invention is a solid pharmaceutical dosage form, for example for oral administration.
In another aspect, the present invention provides a process for preparing a pharmaceutical dosage form according to the invention, comprising one or more granulation processes, wherein the active pharmaceutical ingredient is granulated together with one or more excipients.
In another aspect, the present invention provides a process for preparing a pharmaceutical dosage form according to the invention, comprising one or more direct compression methods.
It has been found that a pharmaceutical composition or dosage form comprising (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide or a pharmaceutically acceptable salt thereof, in particular a pharmaceutical composition or dosage form comprising (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide hydrochloride, may advantageously be used for preventing, delaying or treating one or more diseases or slowing the progression thereof in a patient as described above and below.
According to one aspect, the present invention relates to a method for preventing, or slowing the progression of, or delaying or treating one or more of a fibrotic disease, a metabolic disease, an inflammatory disease, an ocular disease, a neuroinflammatory disease or a cancer in a patient in need thereof, characterized in that a pharmaceutical composition or a pharmaceutical dosage form as defined above and below is administered to said patient.
According to an embodiment of this aspect, the invention relates to a method for preventing, delaying or treating or slowing the progression of a fibrotic disease selected from cystic fibrosis, interstitial lung diseases including idiopathic pulmonary fibrosis, liver fibrosis including non-alcoholic steatohepatitis (NASH), alcohol-induced fatty liver, alcohol-induced liver fibrosis, toxic hepatitis and cirrhosis, kidney fibrosis, scleroderma (scleroderma), radiation-induced fibrosis and other diseases in which excessive fibrosis leads to a disease pathology in a patient in need thereof, characterized in that a pharmaceutical composition or pharmaceutical dosage form as defined above and below is administered to said patient.
According to an embodiment of this aspect, the present invention relates to a method for preventing, delaying or treating a metabolic disease selected from pre-diabetes, type 1 diabetes, type 2 diabetes, complications associated with diabetes, overweight, obesity, Impaired Glucose Tolerance (IGT), Impaired Fasting Glucose (IFG), hyperglycemia, postprandial hyperglycemia, insulin resistance, fatty liver (including Non Alcoholic Fatty Liver Disease (NAFLD)), overweight, obesity, metabolic syndrome, or slowing the progression of said metabolic disease in a patient in need thereof, characterized in that a pharmaceutical composition or pharmaceutical dosage form as defined above and below is administered to said patient.
Complications associated with diabetes include cataracts, microvascular and macrovascular diseases such as diabetic nephropathy, glomerulosclerosis, diabetic retinopathy, choroidal neovascularization, non alcoholic fatty liver disease (NAFL), Non Alcoholic Steatohepatitis (NASH), diabetic neuropathy, diabetic pain, tissue anemia, diabetic foot, diabetic ulcers, arteriosclerosis, myocardial infarction, acute coronary syndrome, unstable angina, stable angina, stroke, peripheral arterial occlusive disease, cardiomyopathy, heart failure, cardiovascular death, arrhythmia and vascular restenosis.
According to another embodiment of this aspect, the present invention relates to a method for preventing, slowing the progression, or delaying or treating an inflammatory disease selected from the group consisting of: arthritis (including juvenile rheumatoid arthritis), crohn's disease, ulcerative colitis, inflammatory bowel disease (e.g., irritable bowel disease), psoriasis, asthma (e.g., eosinophilic asthma, severe asthma, viral exacerbation asthma), inflammatory pneumonia, Chronic Obstructive Pulmonary Disease (COPD), bronchiectasis, skin inflammation, ocular disease, contact dermatitis, liver inflammation, liver autoimmune disease, autoimmune hepatitis, primary biliary cirrhosis, sclerosing cholangitis, autoimmune cholangitis, alcoholic liver disease, arteriosclerosis, chronic heart failure, congestive heart failure, ischemic disease, stroke and its complications, myocardial infarction and its complications, inflammatory cell destruction after stroke, synovitis, systemic inflammatory sepsis, inflammation caused by diabetes, lung inflammation associated with cystic fibrosis, inflammatory bowel disease (e.g., irritable bowel disease), psoriasis, asthma, inflammatory bowel disease, Other bacterially caused lung diseases (such as sepsis), Acute Respiratory Distress Syndrome (ARDS), Acute Lung Injury (ALI), transfusion induced lung injury (TRALI), characterised in that a pharmaceutical composition or pharmaceutical dosage form as defined above and below is administered to said patient.
According to another embodiment of this aspect, the present invention relates to a method for preventing, delaying or treating an eye disease, including macular degeneration (including diabetic macular edema), uveitis and retinopathy (including diabetic retinopathy), or slowing the progression of said eye disease, in a patient in need thereof, characterized in that a pharmaceutical composition or a pharmaceutical dosage form as defined above and below is administered to said patient.
According to another embodiment of this aspect, the present invention relates to a method for preventing, delaying or treating a neuroinflammatory disease selected from stroke, parkinson's disease, alzheimer's disease, vascular dementia, multiple sclerosis, chronic multiple sclerosis, or slowing the progression of said neuroinflammatory disease in a patient in need thereof, characterized in that a pharmaceutical composition or a pharmaceutical dosage form as defined above and below is administered to said patient.
According to another embodiment of this aspect, the invention relates to a method for preventing, delaying or treating, or slowing the progression of, a cancer selected from lung cancer, breast cancer, large intestine cancer, anal cancer, pancreatic cancer, prostate cancer, ovarian cancer, hepatobiliary cancer, esophageal carcinoma, non-hodgkin's lymphoma, bladder carcinoma, uterine carcinoma, glioma, glioblastoma, medulloblastoma and other brain tumors, kidney cancer, head and neck cancer, stomach cancer, multiple myeloma, testicular cancer, germ cell tumor, neuroendocrine tumor, cervical cancer, gastrointestinal tract, breast cancer and carcinoid of other organs in a patient in need thereof; signet ring cell carcinoma, mesenchymal tumor, including sarcoma, fibrosarcoma, hemangioma (haemagaingioma), angiomatosis (angiomatosis), hemangiopericyte tumor, pseudohemangiomatous interstitial hyperplasia, myofibroblast tumor, fibromatosis, inflammatory myofibroblastoma, lipoma, vascular lipoma, granulocytoma, neurofibroma, schwannoma, angiosarcoma, liposarcoma, rhabdomyosarcoma, osteosarcoma, leiomyoma or leiomyosarcoma, characterized in that a pharmaceutical composition or pharmaceutical dosage form as defined above and below is administered to said patient.
According to another aspect, the present invention relates to a method for the treatment of non-alcoholic fatty liver disease (NAFLD) or non-alcoholic steatohepatitis (NASH), in particular NASH with liver fibrosis, such as NASH with second and third stage liver fibrosis, in a patient in need thereof, characterized in that a pharmaceutical composition comprising (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide or a pharmaceutically acceptable salt thereof, is administered to said patient as an Active Pharmaceutical Ingredient (API), preferably a pharmaceutical composition according to the present invention. For example, the patient is one having a NAS (NAFLD activity score) of greater than or equal to 4. Preferred dosages of the API for once daily oral administration are 1mg, 2mg, 2.5mg, 3mg, 4mg, 5mg, 6mg, 7mg, 7.5mg, 8mg, 9mg, 10mg, 12.5mg, 15mg, 20mg or 25mg, in particular 3mg, 5mg, 6mg or 10mg, with respect to (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide. According to an embodiment of this aspect of the invention, the pharmaceutical composition comprises (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide or a pharmaceutically acceptable salt thereof as the only active pharmaceutical ingredient.
The effect of administering the pharmaceutical composition to a patient with NAFLD, NASH and/or liver fibrosis can be observed by a change, in particular a decrease, in liver inflammation and/or related biomarkers of liver function, such as ALT (alanine aminotransferase), AST (aspartate aminotransferase), AP (alkaline phosphatase), gamma-GT (gamma-glutamine transferase), CK-18 (cytokeratin 18) fragment or HVPG (hepatic venous pressure gradient).
Furthermore, the effect of administering the pharmaceutical composition to a patient suffering from NAFLD, NASH and/or liver fibrosis may be observed by improving the degree or stage of, for example, steatosis, fibrosis, liver stiffness or health related quality of life.
The observed effect of (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide in an in-ocular model suggests an improvement in neuronal function and prevention of pathological neovascularization, and thus claims to prevent vision loss and neovascularization. The data described in the experimental section support the use of the active ingredient in a method of treating a patient suffering from diabetic retinopathy, including non-proliferative and proliferative diabetic retinopathy, and preventing its progression to proliferative diabetic retinopathy.
According to a further aspect, the present invention relates to a method for the treatment of diabetic retinopathy in a patient in need thereof, characterized in that a pharmaceutical composition comprising as Active Pharmaceutical Ingredient (API), preferably a pharmaceutical composition according to the present invention, of (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide or a pharmaceutically acceptable salt thereof is administered to said patient, in particular said patient free of diabetic macular edema. Preferred dosages of the API for oral administration are from 1 to 25mg, more preferably from 2.5 to 15mg or from 5 to 12.5mg, most preferably from 2.5 to 10mg or from 5 to 10mg, especially 2.5mg, 3mg, 5mg, 6mg, 7.5mg, 10mg or 12.5mg, for example 5mg, 7.5mg or 10mg, once daily or daily, all amounts being the amount of (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide free base. The dosage of the API for once daily oral administration is preferably 1mg, 2mg, 2.5mg, 3mg, 4mg, 5mg, 6mg, 7mg, 7.5mg, 8mg, 9mg, 10mg, 12.5mg, 15mg, 20mg or 25mg, especially 3mg, 5mg, 6mg or 10mg, for example 10mg of (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide. According to an embodiment of this aspect of the invention, the pharmaceutical composition comprises (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide or a pharmaceutically acceptable salt thereof as the only active pharmaceutical ingredient.
According to embodiments of this aspect, the patient has diabetes, such as type 1 or type 2 diabetes.
According to embodiments of this aspect, the diabetic retinopathy is non-proliferative diabetic retinopathy (NPDR), wherein the patient does not have Diabetic Macular Edema (DME), in particular, the patient does not have central diabetic macular edema (CI-DME). For example, the patient has moderate or severe NPRD without CI-DME, or the patient has NPDR without CI-DME, and NPRD levels 47 or 53 as measured by using the diabetic retinopathy severity (DRSS). Preferred and exemplary dosages have been described above with respect to the methods for treating diabetic retinopathy.
According to another embodiment of this aspect, the present invention relates to a method for improving retinopathy in a patient with diabetic retinopathy, in particular in a patient with non-proliferative diabetic retinopathy (NPDR), wherein said patient does not have Diabetic Macular Edema (DME), in particular wherein said patient does not have central diabetic macular edema (CI-DME), characterized in that a pharmaceutical composition comprising (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide or a pharmaceutically acceptable salt thereof, is administered to said patient as an Active Pharmaceutical Ingredient (API), preferably a pharmaceutical composition according to the present invention. For example, the patient has moderate or severe NPRD without CI-DME, or the patient has NPDR without CI-DME, and NPRD levels 47 or 53 as measured by using the diabetic retinopathy severity (DRSS). For example, the improvement in diabetic retinopathy, particularly retinopathy, can be determined by using the diabetic retinopathy severity (DRSS). Alternatively, the improvement of the eye can be determined based on Best Corrected Vision (BCVA). Preferred and exemplary dosages have been described above with respect to the methods for treating diabetic retinopathy. According to this embodiment, the pharmaceutical composition may comprise (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide or a pharmaceutically acceptable salt thereof as the only active pharmaceutical ingredient.
According to another embodiment of this aspect, the diabetic retinopathy is non-proliferative diabetic retinopathy, wherein the patient has Diabetic Macular Edema (DME).
According to embodiments of this aspect, the diabetic retinopathy is proliferative diabetic retinopathy, wherein the patient does not have Diabetic Macular Edema (DME). According to another embodiment of this aspect, the diabetic retinopathy is proliferative diabetic retinopathy, wherein the patient has Diabetic Macular Edema (DME).
According to an embodiment of this aspect of the invention, the method comprises preventing, reversing, delaying, slowing or stopping the progression of non-proliferative diabetic retinopathy (NPDR) to proliferative diabetic retinopathy in said patient, particularly in a patient without Diabetic Macular Edema (DME), particularly wherein said patient does not have central diabetic macular edema (CI-DME). For example, the patient has moderate or severe NPRD without CI-DME, or the patient has NPDR without CI-DME, and NPRD levels 47 or 53 as measured by using the diabetic retinopathy severity (DRSS). Preferred and exemplary dosages have been described above with respect to the methods for treating diabetic retinopathy.
According to an embodiment of this aspect of the invention, the method comprises preventing, reversing, delaying, slowing or stopping the progression of non-proliferative diabetic retinopathy (NPDR) or Proliferative Diabetic Retinopathy (PDR) to Diabetic Macular Edema (DME), in particular central diabetic macular edema in said patient, in particular in a patient without diabetic macular edema. Preferred and exemplary dosages have been described above with respect to the methods for treating diabetic retinopathy.
According to an embodiment of this aspect of the invention, the method comprises preventing, reversing, delaying, slowing or stopping neovascularization in a patient, particularly in a patient without diabetic macular edema. According to one example of this embodiment, the patient has diabetic retinopathy, in particular non-proliferative diabetic retinopathy. Preferred and exemplary dosages have been described above with respect to the methods for treating diabetic retinopathy.
By administering the API to the patient, a reduction in retinal oxidative stress, hypoxia, inflammation, angiogenesis, advanced glycation end products can be observed, resulting in the stabilization and/or cure of diabetic retinopathy.
The effect of the pharmaceutical composition administered to a patient suffering from diabetic retinopathy, such as non-proliferative or proliferative diabetic retinopathy, can be observed by improvement of BCVA (best corrected vision) in diabetic retinopathy severity (DRSS), quality of life associated with health, or the need for first aid treatment, such as PRP (total retinal photocoagulation), anti-VEGF, and/or treatment of complications of diabetic retinopathy, such as glaucoma, vitreous hemorrhage, and retinal detachment.
The pharmaceutical compositions and methods according to the present invention show advantageous effects in the treatment and prevention of diseases and conditions as described above. For example, favorable effects can be observed with respect to pharmacodynamic effects, dosage intensity, dosage frequency, pharmacodynamic properties, pharmacokinetic properties, reduction of adverse effects, convenience, compliance, and the like.
When the invention refers to a patient in need of treatment or prevention, it is primarily directed to treatment and prevention in humans, but the pharmaceutical composition may be used accordingly in veterinary medicine in mammals. Within the scope of the present invention, an adult patient is preferably a person over 18 years of age.
Preferred ranges for the amount of (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide or a pharmaceutically acceptable salt thereof for use in a pharmaceutical composition, pharmaceutical dosage form or method according to the present invention are described below. These ranges refer to daily dosages for adult patients, particularly humans, e.g., about 70kg body weight of a human, per day, and may be adjusted to 2, 3, 4 or more administrations, respectively, for other routes of administration and for the age of the patient. Dosage and amount ranges were calculated for the active ingredient (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide.
The amount of preferred (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide, which is used as a pharmaceutically acceptable salt thereof, in particular as (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide hydrochloride, is in the range of 0.5 to 25mg (which is the amount of the base compound, i.e. (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide), preferably 1 to 20mg, even more preferably 1 to 10mg, e.g. 3 to 10 mg. Preferred dosages of (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide are, for example, 1mg, 2mg, 2.5mg, 3mg, 4mg, 5mg, 6mg, 7mg, 7.5mg, 8mg, 9mg, 10mg, 12.5mg, 15mg, 20mg or 25mg, especially 2.5mg, 3mg, 5mg, 6mg or 10 mg. All amounts are in mg, which preferably relate to the amount of the basic compound (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide, i.e. the API as free base.
According to an embodiment, the pharmaceutical composition according to the invention comprises: (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide or a pharmaceutically acceptable salt thereof, in particular (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide hydrochloride, as active pharmaceutical ingredient; and one or more stabilizers, particularly one stabilizer selected from the group consisting of L-glutamic acid hydrochloride and tartaric acid, particularly tartaric acid, wherein the amount of the active ingredient ranges from 0.5 to 25% by weight of the pharmaceutical composition, and wherein the molar ratio of the stabilizer to the active ingredient ranges from about 1:3 to about 20:1, particularly from about 1:2 to about 10: 1; and one or more excipients, such as one or more diluents. The preferred amount of the one or more diluents is 70 to 98% of the amount of the pharmaceutical composition. Furthermore, the pharmaceutical composition may comprise additional additives, such as one or more lubricants.
According to an embodiment, the pharmaceutical dosage form according to the invention is a solid pharmaceutical dosage form comprising the pharmaceutical composition according to the embodiment described above, wherein the amount of the active pharmaceutical ingredient is 1 to 10mg, such as 1, 2.5, 3, 5, 6 or 10mg, based on the base compound (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide (i.e. the active ingredient as free base). According to one aspect of this embodiment, the solid pharmaceutical dosage form is a tablet, such as a film coated tablet.
Administration of the pharmaceutical composition or dosage form may occur up to 3 times a day, preferably 1 or 2 times a day, most preferably 1 time a day.
Within the scope of the present invention, the pharmaceutical composition is preferably administered orally.
The pharmaceutical composition according to the invention may be comprised in a tablet, capsule or film coated tablet.
In one embodiment, the pharmaceutical dosage form according to the invention has dissolution properties such that at least 75%, preferably at least 80%, preferably at least 90% by weight of the pharmaceutically active ingredient is dissolved at 45 minutes. In another embodiment, at least 75%, preferably at least 80%, preferably at least 90% by weight of the pharmaceutically active ingredient is dissolved after 30 minutes. In another embodiment, at least 65%, preferably at least 75%, preferably at least 80%, preferably at least 90% by weight of the pharmaceutically active ingredient is dissolved after 15 minutes. The dissolution properties may be determined in standard dissolution tests, for example as described in pharmacopoeias such as USP31-NF 26S 2 chapter 711 (dissolution).
In one embodiment, the pharmaceutical dosage form according to the invention has a disintegration property such that the pharmaceutical dosage form disintegrates within 30 minutes, or within 20 minutes, preferably within 15 minutes, more preferably within 10 minutes, even more preferably within 5 minutes. This disintegration can be determined in standard disintegration tests, for example as described in pharmacopoeias, for example as described in chapter 701 (disintegration) of USP31-NF 26S 2.
In one embodiment, the pharmaceutical dosage form according to the invention has a high content uniformity, preferably in a weight ratio of 85-115%, more preferably 90-110%, even more preferably 95-105% relative to the pharmaceutical ingredient. For example, content uniformity can be determined in standard tests using 10 pharmaceutical dosage forms as described in the pharmacopoeia, e.g., randomly selected.
Dosage forms according to the present invention, such as tablets, capsules or film coated tablets, may be prepared by methods well known to those skilled in the art.
Suitable methods for preparing tablets include compressing the pharmaceutical composition in powder form, i.e. direct compression; or tableting the pharmaceutical composition in the form of granules, and if necessary, tableting together with other excipients.
The particles of the pharmaceutical composition according to the invention can be prepared by methods well known to the person skilled in the art. A preferred method for granulating the active ingredient with excipients includes dry granulation, also known as roller compaction.
In one embodiment, the size of the particles according to the invention is in the range of 25 to 800 μm, for example in the range of 40 to 500 μm. The size of the particles can be measured by sieving analysis, for example using ultrasonic sieving. In one embodiment, at least 80%, at least 90% or at least 95% by weight of the particles are within the given ranges.
The pharmaceutical compositions and dosage forms of the invention may use PVC blisters, PVDC blisters, PVC/PVDC blisters or moisture-proof packaging materials such as aluminum foil blister packs, alu/alu blisters, transparent or opaque polymer blisters with small pockets, polypropylene tubes, glass bottles, PP bottles and HDPE bottles, optionally with child-resistant or tamper-proof print. The primary packaging material may contain a desiccant, such as a molecular sieve or silica gel, to enhance the chemical stability of the active pharmaceutical ingredient. Opaque packaging, such as colored blister materials, test tubes, brown glass bottles, and the like, can be used to extend the shelf life of active pharmaceutical ingredient I by reducing photodegradation.
The pharmaceutical compositions and dosage forms preferably contain one or more pharmaceutically acceptable excipients that must be "acceptable" in the sense of being compatible with the other ingredients of the formulation and not deleterious to the recipient thereof. Examples of pharmaceutically acceptable excipients are known to those skilled in the art.
(E) The preparation of (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide and salts thereof is known to the person skilled in the art. Advantageously, the compounds according to the invention can be prepared using synthetic methods described in the literature, including the patent applications cited above.
The active ingredient may be present in the form of a pharmaceutically acceptable salt. The phrase "pharmaceutically acceptable salt" refers to any salt formulation suitable for use in pharmaceutical applications. Pharmaceutically acceptable salts are those salts which are, within the scope of sound medical judgment, suitable for use in contact with the tissues of humans and lower animals without excessive toxicity, irritation, allergic response, and the like, and are commensurate with a reasonable benefit/risk ratio. Pharmaceutically acceptable salts are well known in the art and include acid addition salts and base salts. Half salts of acids and bases may also be formed. Pharmaceutically acceptable salts include amine salts of inorganic acids (e.g., hydrochloride, hydrobromide, sulfate, etc.); and amine salts of organic acids (e.g., formate, acetate, lactate, malate, tartrate, citrate, ascorbate, succinate, maleate, butyrate, valerate, fumarate, etc.).
For (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide which has a basic site, suitable pharmaceutically acceptable salts may be acid addition salts. For example, suitable pharmaceutically acceptable salts of (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide may be prepared by mixing a pharmaceutically acceptable acid such as hydrochloric acid, sulphuric acid, methanesulphonic acid, succinic acid, fumaric acid, maleic acid, benzoic acid, phosphoric acid, acetic acid, oxalic acid, carbonic acid, tartaric acid or citric acid with (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide.
Pharmaceutically acceptable salts are detailed in j.pharmaceutical Sciences, 1977, 66:1-19, s.m. berge et al. The salts may be prepared in situ during the final isolation and purification of the active ingredient or separately by reacting the free base functionality with a suitable organic acid. Representative acid addition salts include acetate, adipate, alginate, ascorbate, aspartate, benzenesulfonate, benzoate, bisulfate, borate, butyrate, camphorate, camphorsulfonate, citrate, digluconate, cyclopentanepropionate, dodecylsulfate, ethanesulfonate, fumarate, glucoheptonate, glycerophosphate, hemisulfate, heptanoate, hexanoate, hydrobromide, hydrochloride, hydroiodide, 2-hydroxyethanesulfonate, lactobionate, lactate, laurate, lauryl sulfate, malate, maleate, malonate, methanesulfonate, 2-naphthalenesulfonate, nicotinate, nitrate, oleate, oxalate, palmitate, abroacetate, pectate, persulfate, 3-phenylpropionate, phosphate, citrate, salicylate, and mixtures thereof, Picrate, pivalate, propionate, stearate, succinate, sulfate, tartrate, thiocyanate, tosylate, undecanoate, valerate, and the like.
Examples and Experimental data
The following abbreviations are used above and below:
ac acetyl group
Et Ethyl group
DSC differential scanning calorimetry
h hours
HPLC high performance liquid chromatography
MTBE methyl tert-butyl ether
r.h. relative humidity
ssNMR solid-state nuclear magnetic resonance
XRPD X-ray powder diffraction
Percent (%) values are weight/weight percent (%) values unless otherwise indicated.
Preparation of form I of (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide hydrochloride by recrystallization
(E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide hydrochloride (20g, 63.1mmol) was suspended in isopropanol (90mL) and heated to 82 ℃. Ethyl acetate (EtOAc) (80ml) was added to the solution under reflux. After addition of seed crystals at a temperature of 75-80 ℃, the mixture was stirred for 5 minutes. The resulting suspension was cooled to 56 ℃ over 1 hour. Methyl tert-butyl ether (MTBE) (70mL) was added over 5 minutes at >50 ℃. The product suspension was cooled to 0-5 ℃, stirred for 30 minutes and filtered. The filter cake was washed with MTBE (40mL) and the product was dried in vacuo at 75 ℃ for about 12 hours. Form I of (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide hydrochloride was obtained as an off-white crystalline solid (18.8g, organic purity HPLC: 99.7 area%, yield: 93.9%).
XRPD experiments
Collecting XRPD data
The X-ray powder diffraction curves were obtained in reflection mode using a Bruker D8 Advance diffractometer equipped with the use of CuK alpha radiation
Peak(s)
2θ[°]
1
3.82
2
7.63
3
11.46
4
13.55
5
15.29
6
16.03
7
16.38
8
17.15
9
17.80
10
18.73
11
19.02
12
19.35
13
19.69
14
20.80
15
21.65
16
22.20
17
22.64
18
23.03
19
23.63
20
24.58
21
25.11
22
25.83
23
26.21
24
26.93
25
27.30
26
27.79
27
28.93
28
29.24
29
31.03
30
31.52
31
32.28
32
32.94
33
33.60
34
34.27
DSC experiment
The melting point of form I of (E) -4- (2- (aminomethyl) -3-fluoroallyloxy) -N-tert-butylbenzamide hydrochloride was determined by DSC to be 181 ℃. + -. 5 ℃ as starting temperature. DSC data were taken from 25 ℃ to 225 ℃ using a TA Instruments Q2000 DSC with a heating rate of 10 ℃/min. The corresponding DSC curve is shown in figure 2.
Quality guaranteeExamples of the stability test
The following examples show the increased shelf life of pharmaceutical compositions according to the invention.