AU2005279158A1 - Hydrochloride of 4-[[4-[[4-(2-cyanoethenyl)-2,6-dimethylphenyl]amino]-2-pyrimidinyl] amino]benzonitrile - Google Patents

Hydrochloride of 4-[[4-[[4-(2-cyanoethenyl)-2,6-dimethylphenyl]amino]-2-pyrimidinyl] amino]benzonitrile Download PDF

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AU2005279158A1
AU2005279158A1 AU2005279158A AU2005279158A AU2005279158A1 AU 2005279158 A1 AU2005279158 A1 AU 2005279158A1 AU 2005279158 A AU2005279158 A AU 2005279158A AU 2005279158 A AU2005279158 A AU 2005279158A AU 2005279158 A1 AU2005279158 A1 AU 2005279158A1
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compound
formula
pharmaceutical composition
composition according
amino
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AU2005279158C1 (en
AU2005279158B2 (en
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Alex Herman Copmans
Jozef Peeters
Alfred Elisabeth Stappers
Paul Theodoor Agnes Stevens
Roger Petrus Gerebern Vandecruys
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Janssen Pharmaceutica NV
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Janssen Pharmaceutica NV
Tibotec Pharmaceuticals Ltd
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Priority claimed from MYPI20043578A external-priority patent/MY169670A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/495Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
    • A61K31/505Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P31/00Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
    • A61P31/12Antivirals
    • A61P31/14Antivirals for RNA viruses
    • A61P31/18Antivirals for RNA viruses for HIV

Description

WO 2006/024668 PCT/EP2005/054342 HYDROCHLORIDE OF 4- ((4- ((4- (2-CYANOETHENYL) -2,6-DIMETHYLPHENYL) AMINO) -2-PYRIMIDINYL) AMINO) BENZONITRILE 5 The present invention relates to a pharmaceutical composition comprising the hydrochloride salt of 4-[[4-[[4-(2-cyanoethenyl)-2,6-dimethylphenyl]amino]-2 pyrimidinyl]amino]benzonitrile and to the preparation thereof. WO 03/16306 discloses HIV replication inhibiting pyrimidine derivatives among which 10 4- [ [4-[[4-(2-cyanoethenyl)-2,6-dimethylphenyl] amino]-2-pyrimidinyl]amino] benzonitrile and the pharmaceutically acceptable salts thereof. WO 04/0162581 discloses processes to prepare 4-[[4-[[4-(2-cyanoethenyl)-2,6 dimethylphenyl] amino]-2-pyrimidinyl]amino]benzonitrile. 15 4- [ [4-[ [4-(2-cyanoethenyl)-2,6-dimethylphenyl]amino]-2-pyrimidinyl]amino] benzonitrile, in particular the E-isomer, has excellent HIV replication inhibiting activity against the wild type of HIV as well as drug and multi drug resistant strains of HIV (i.e. strains which have become resistant to art-known drug(s)). The compound has thus potential to be a good candidate for the development of a medicament for the 20 treatment of HIV infection. High pharmacological activity, a good pharmacological profile is however not the only factor which determines the drugability of a compound. A good drug candidate should preferably also be stable chemically as well as 25 physically; should have an acceptable toxicity profile; should have an acceptable bioavailability. The bioavailability of the compound influences the dose of the compound required for administration in order to reach a therapeutically effective concentration of the 30 compound in the patient. Compounds having a low bioavailability need to be administered in higher doses compared to compounds having a higher bioavailability. Possible consequences of the need for higher doses may comprise : an increased risk to adverse effects; an increase in the size of the dosage form; an increase in the frequency of administration. These factors may influence adherence to antiretroviral therapy. 35 WO 2006/024668 PCT/EP2005/054342 -2 Therapy adherence is one of the most important factors influencing the effectiveness of HIV treatment. Increase in dosing frequency and increase in pill size may lead to reduced therapy adherence and hence reduced therapy effectiveness. 5 Therefore, when designing a medicament for HIV treatment it is preferable to have an active compound with an acceptable bioavailability. The bioavailability of a compound intended to be administered orally, is dependent on the compounds solubility in water as well as the compounds permeability (its ability to 10 be absorbed across the intestinal membrane). A scientific framework for classifying drug substances based on their aqueous solubility and intestinal permeability is the Biopharmaceutics Classification System or BCS. According to the BCS, drug substances are classified as follows: 15 Class 1: High Solubility - High Permeability Class 2: Low Solubility - High Permeability Class 3: High Solubility - Low Permeability Class 4: Low Solubility - Low Permeability 20 Compounds with a low solubility or a low permeability (class 2 to 4) may suffer from a low bioavailability when administered orally. Free base 4-[[4-[[4-(2-cyanoethenyl)-2,6-dimethylphenyl]amino]-2-pyrimidinyl] amino]benzonitrile can be classified as a BCS class 2 compound and has thus a low 25 solubility in water. 4-[[4-[[4-(2-cyanoethenyl)-2,6-dimethylphenyl]amino]-2 pyrimidinyl]amino]benzonitrile does not only exhibit a low solubility in water, but also in an acidic environment. Consequently, when administered orally in a conventional solid dosage form, a low bioavailability may be expected. 30 When confronted with a BCS class 2 compound intended for oral administration, a person skilled in pharmaceutical technology would turn to exploring possibilities for improving the compound's solubility, for instance by preparing an appropriate salt.
WO 2006/024668 PCT/EP2005/054342 -3 This route was also followed for 4-[[4-[[4-(2-cyanoethenyl)-2,6-dimethyl phenyl]amino]-2-pyrimidinyl]amino]benzonitrile. The prepared salts appeared to have only a slight improved solubility in water and in HC1. The prepared salts still belong to BCS class 2. Thus, also for the prepared salts a 5 low bioavailibility could be expected. Unexpectedly, it has now been found that the hydrochloride salt of 4-[[4-[[4-(2 cyanoethenyl)-2,6-dimethylphenyl] amino]-2-pyrimidinyl]amino]benzonitrile, in particular its E-isomer, has a significant improved in vivo bioavailability compared to 10 the free base. In fact, the present salt administered as a solid dosage form has an in vivo bioavailability which is comparable with the bioavailability of the free base administered as an oral PEG 400 solution. Because of the increased bioavailability in vivo, the hydrochloride salt may be formulated without the need of complex formulation techniques. 15 The hydrochloride salt of the present invention was also found to be non-hygroscopic and to be chemically and physically stable in different conditions of humidity and temperatures. 20 Description of the Figures Figure 1 is an IR spectrum ofpolymorphic Form A of (E) 4-[[4-[[4-(2-cyanoethenyl) 2,6-dimethylphenyl]amino]-2-pyrimidinyl]amino]benzonitrile. HC1 Figure 2 is X-ray powder diffraction pattern of polymorphic Form A of (E) 4-[[4-[[4 (2-cyanoethenyl)-2,6-dimethylphenyl]amino]-2-pyrimidinyl]amino]benzonitrile. HC1. 25 Figure 3 is an IR spectrum of the dry state of polymorphic Form B of (E) 4-[[4-[[4-(2 cyanoethenyl)-2,6-dimethylphenyl] amino]-2-pyrimidinyl]amino]benzonitrile. HC1 Figure 4 is X-ray powder diffraction pattern of the dry state of polymorphic Form B of (E) 4-[[4-[[4-(2-cyanoethenyl)-2,6-dimethylphenyl]amino]-2 pyrimidinyl]amino]benzonitrile. HC1. 30 Figure 5 is an IR spectrum of polymorphic Form C of (E) 4-[[4-[[4-(2-cyanoethenyl) 2,6-dimethylphenyl] amino]-2-pyrimidinyl]amino]benzonitrile. HC1 Figure 6 is X-ray powder diffraction pattern of polymorphic Form C of (E) 4-[[4-[[4 (2-cyanoethenyl)-2,6-dimethylphenyl]amino]-2-pyrimidinyl]amino]benzonitrile. HC1. Figure 7 is an IR spectrum of pseudopolymorphic Form D of (E) 4-[[4-[[4-(2 35 cyanoethenyl)-2,6-dimethylphenyl] amino]-2-pyrimidinyl]amino]benzonitrile. HC1 WO 2006/024668 PCT/EP2005/054342 -4 Figure 8 is X-ray powder diffraction pattern of pseudopolymorphic Form D of (E) 4 [[4-[[4-(2-cyanoethenyl)-2,6-dimethylphenyl]amino]-2 pyrimidinyl]amino]benzonitrile. HC1. Detailed description of the invention 5 The present invention relates to the hydrochloride (HC1) salt of 4-[[4-[[4-(2 cyanoethenyl)-2,6-dimethylphenyl] amino]-2-pyrimidinyl]amino]benzonitrile, a N-oxide or a stereochemically isomeric form thereof. Thus, the present invention relates in particular to a compound of formula (I) H H \N N N CN-CH=CH N N .HC1 10 a N-oxide or a stereochemically isomeric form thereof. The N-oxide forms of the present compound of formula (I) are meant to comprise the compounds of formula (I) wherein one or several tertiary nitrogen atoms are oxidized 15 to the so-called N-oxide. The term "stereochemically isomeric forms" as used hereinbefore defines all the possible stereoisomeric forms which the compound of formula (I), and the N-oxides may possess. Unless otherwise mentioned or indicated, the chemical designation of the 20 compound denotes the mixture of all possible stereochemically isomeric forms as well as each of the individual isomeric forms of the compound of formula (I) and the N-oxides thereof substantially free of the other isomers. Stereochemically isomeric forms of the compound of formula (I) are obviously intended to be embraced within the scope of this invention. 25 The compound of formula (I) may exist in 2 stereochemical configurations at the double bond of the cyanoethenyl chain, i.e. the E (Entgegen) configuration (E-isomer) and the Z (Zusammen) configuration (Z isomer). 30 The terms E and Z are well known to a person skilled in the art.
WO 2006/024668 PCT/EP2005/054342 -5 A particular embodiment of the compound of formula (I) is the E-isomer, i.e. a compound of formula (I-a) I Ny N NIa H H N ~ (I- a) CN ' (E) NN .HC1 (E) 5 Another particular embodiment of the compound of formula (I) is the Z-isomer, i.e. a compound of formula (I-b) H H CN . N (I-b) N .HC1 (Z) N Whenever reference is made herein to the E-isomer, the pure E-isomer or any isomeric 10 mixture of the E- and the Z-isomers wherein the E-isomer is predominantly present is meant, i.e. an isomeric mixture containing more than 50% or in particular more than 80% of the E-isomer, or even more in particular more than 90% of the E-isomer. Of particular interest is the E-isomer substantially free of the Z-isomer. Substantially free in this context refers to E-Z-mixtures with no or almost no Z-isomer, e.g. isomeric 15 mixtures containing as much as 90%, in particular 95% or even 98% or 99% of the E isomer. Whenever reference is made herein to the Z-isomer, the pure Z-isomer or any isomeric mixture of the Z- and the E-isomers wherein the Z-isomer is predominantly present is 20 meant, i.e. an isomeric mixture containing more than 50% or in particular more than 80% of the Z-isomer, or even more in particular more than 90% of the Z-isomer. Of particular interest is the Z-isomer substantially free of the E-isomer. Substantially free in this context refers to E-Z-mixtures with no or almost no E-isomer, e.g. isomeric mixtures containing as much as 90%, in particular 95% or even 98% or 99% of the Z 25 isomer.
WO 2006/024668 PCT/EP2005/054342 -6 Polymorphic forms of the present salts also fall within the ambit of the present invention. 5 Polymorphic forms of pharmaceutical compounds may be of interest to those involved in the development of a suitable dosage form because if the polymorphic form is not held constant during clinical and stability studies, the exact dosage used or measured may not be comparable from one lot to the next. Once a pharmaceutical compound is produced for use, it is important to recognize the polymorphic form delivered in each 10 dosage form to assure that the production process use the same form and that the same amount of drug is included in each dosage. Therefore, it is imperative to assure that either a single polymorphic form or some known combination of polymorphic forms is present. In addition, certain polymorphic forms may exhibit enhanced thermodynamic stability and may be more suitable than other polymorpholic forms for inclusion in 15 pharmaceutical formulations. As used herein, a polymorphic form of a compound of the invention is the same chemical entity, but in a different crystalline arrangement. Solvent addition forms (solvates) which the salts of the present invention are able to form also fall within the ambit of the present invention. Examples of such forms are 20 e.g. hydrates, alcoholates and the like. Solvates are herein also referred to as pseudopolymorphic forms. Preferred is an anhydric salt. A particular embodiment of the present invention is a particular polymorphic or pseudopolymorphic form of a compound of formula (I-a), i.e. (E) 4-[[4-[[4-(2 25 cyanoethenyl)-2,6-dimethylphenyl] amino]-2-pyrimidinyl]amino]benzonitrile.HC1. A first particular polymorphic form of the compound of formula (I-a) is herein designated as Form A (see Figure 1 and 2). A second particular form of the compound of formula (I-a) is herein designated as 30 Form B. Form B can be present in two states, a dry state (polymorphic form) and a wetted state (pseudopolymorphic form). Only the characteristics of form B in the dry state are given (see Figure 3 and 4). A third particular polymorphic form of the compound of formula (I-a) is herein designated as Form C (see Figure 5 and 6). 35 A fourth particular pseudopolymorphic form of the compound of formula (I-a) is herein designated as Form D (see Figure 7 and 8).
WO 2006/024668 PCT/EP2005/054342 -7 A preferred polymorphic form of the compound of formula (I-a) is Form A. Whenever used hereinafter, the term "compound of formula (I), (I-a) or (I-b)" is meant to also include the N-oxide forms, the stereochemically isomeric forms and the polymorphic or pseudopolymorphic forms. Of special interest is a stereochemically 5 pure form of the compound of formula (I). A preferred compound of formula (I) is a compound of formula (I-a). The compounds of formula (I), (I-a) or (I-b) can be prepared by reacting the corresponding free base with hydrochloric acid (HC1) in the presence of a suitable 10 solvent, such as for example a suitable acid, e.g. acetic acid. The compounds of formula (I), (I-a) or (I-b) have antiretroviral activity. They are able to inhibit the replication of HIV, in particular HIV-1. HIV (Human Immunodeficiency Virus) is the aetiological agent of Acquired Immune Deficiency Syndrome (AIDS) in 15 humans. The HIV virus preferentially infects human T-4 cells and destroys them or changes their normal function, particularly the coordination of the immune system. As a result, an infected patient has an ever decreasing number of T-4 cells, which moreover behave abnormally. Hence, the immunological defense system is unable to combat infections and neoplasms and the HIV infected subject usually dies by 20 opportunistic infections such as pneumonia, or by cancers. Other conditions associated with HIV infection include thrombocytopaenia, Kaposi's sarcoma and infection of the central nervous system characterized by progressive demyelination, resulting in dementia and symptoms such as, progressive dysarthria, ataxia and disorientation. HIV infection further has also been associated with peripheral neuropathy, progressive 25 generalized lymphadenopathy (PGL) and AIDS-related complex (ARC). The present compounds also show activity against drug and multidrug resistant HIV strains, in particular drug and multidrug resistant HIV-1 strains, more in particular the present compounds show activity against HIV strains, especially HIV-1 strains, that 30 have acquired resistance to one or more art-known non-nucleoside reverse transcriptase inhibitors. Art-known non-nucleoside reverse transcriptase inhibitors are those non nucleoside reverse transcriptase inhibitors other than the present compounds and in particular commercial non-nucleoside reverse transcriptase inhibitors. 35 The HIV replication inhibiting activity of 4-[[4-[[4-(2-cyanoethenyl)-2,6 dimethylphenyl]amino]-2-pyrimidinyl]amino]benzonitrile is described in WO 03/16306, which is incorporated herein by reference.
WO 2006/024668 PCT/EP2005/054342 -8 Due to their antiretroviral properties, particularly their anti-HIV properties, especially their HIV-1 replication inhibiting activity, the present compounds are useful in the treatment of individuals infected by HIV and for the prophylaxis of these infections. In 5 general, the compounds of the present invention may be useful in the treatment of warm-blooded mammals infected with viruses whose existence is mediated by, or depends upon, the enzyme reverse transcriptase. Conditions which may be prevented or treated with the compounds of the present invention, especially conditions associated with HIV and other pathogenic retroviruses, include AIDS, AIDS-related complex 10 (ARC), progressive generalized lymphadenopathy (PGL), as well as chronic Central Nervous System diseases caused by retroviruses, such as, for example HIV mediated dementia and multiple sclerosis Therefore, the compounds of formula (I), (I-a) or (I-b) can be used as a medicine. 15 The compounds of the present invention may therefore be used as medicines against above-mentioned conditions. Said use as a medicine or method of treatment comprises the administration to HIV-infected subjects of an amount effective to combat the conditions associated with HIV and other pathogenic retroviruses, especially HIV-1. In particular, the present compounds may be used in the manufacture of a medicament for 20 the treatment or the prevention of HIV infection, preferably for the treatment of HIV infection. In view of the utility of the present compounds, there is also provided a method of treating mammals, including humans, suffering from or a method of preventing warm 25 blooded mammals, including humans, to suffer from viral infections, especially HIV infections. Said method comprises the administration, preferably oral administration, of an effective amount of a salt of the present invention to mammals including humans. Due to the higher bioavailability of the present compounds compared to the 30 corresponding free base, therapeutic effective plasma levels may be obtained by administering a pharmaceutical composition comprising a lower amount of the salt compared to what would be needed of the corresponding free base. Therefore, the size of the pharmaceutical composition may be reduced or the frequency of dosing may be reduced. 35 Thus, the present invention also relates to a pharmaceutical composition comprising a pharmaceutically acceptable carrier and as active ingredient a therapeutically effective amount of a compound of formula (I), (I-a) or (I-b).
WO 2006/024668 PCT/EP2005/054342 -9 The present invention also relates to a pharmaceutical composition comprising a pharmaceutically acceptable carrier and as active ingredient a therapeutically effective amount of a compound of formula (I), (I-a) or (I-b) provided that the composition does 5 not contain both emtricitabine and tenofovir diisoproxyl fumarate. In particular, the present invention also relates to a pharmaceutical composition comprising a pharmaceutically acceptable carrier and as active ingredient a therapeutically effective amount of a compound of formula (I), (I-a) or (I-b) provided 10 that the composition does not contain one or more nucleoside reverse transcriptase inhibitors and/or one or more nucleotide reverse transcriptase inhibitors. The present compounds of formula (I), (I-a) or (I-b) may be formulated into various pharmaceutical compositions for administration purposes. As appropriate compositions 15 there may be cited all compositions usually employed for systemically administering drugs. To prepare the pharmaceutical compositions of this invention, an effective amount of the compound of formula (I), (I-a) or (I-b) as the active ingredient is combined in intimate admixture with a pharmaceutically acceptable carrier, which carrier may take a wide variety of forms depending on the form of preparation desired 20 for administration. These pharmaceutical compositions are desirable in unitary dosage form suitable, particularly, for administration orally. For example, in preparing the compositions in oral dosage form, any of the usual pharmaceutical media may be employed such as, for example, water, glycols, oils, alcohols and the like in the case of oral liquid preparations such as suspensions, syrups, elixirs, emulsions and solutions; or 25 solid carriers such as starches, sugars, kaolin, diluents, lubricants, binders, disintegrating agents and the like in the case of powders, pills, capsules, and tablets. Because of their ease in administration, tablets and capsules represent the most advantageous oral unit dosage forms, in which case solid pharmaceutical carriers are obviously employed. For parenteral compositions, the carrier will usually comprise 30 sterile water, at least in large part, though other ingredients, for example, to aid solubility, may be included. Injectable solutions, for example, may be prepared in which the carrier comprises saline solution, glucose solution or a mixture of saline and glucose solution. Injectable suspensions may also be prepared in which case appropriate liquid carriers, suspending agents and the like may be employed. Also 35 included are solid form preparations, which are intended to be converted, shortly before use, to liquid form preparations. In the compositions suitable for percutaneous administration, the carrier optionally comprises a penetration enhancing agent and/or a WO 2006/024668 PCT/EP2005/054342 -10 suitable wetting agent, optionally combined with suitable additives of any nature in minor proportions, which additives do not introduce a significant deleterious effect on the skin. Said additives may facilitate the administration to the skin and/or may be helpful for preparing the desired compositions. These compositions may be 5 administered in various ways, e.g., as a transdermal patch, as a spot-on, as an ointment. The salts of the present invention may also be administered via inhalation or insufflation by means of methods and formulations employed in the art for administration via this way. Thus, in general the salts of the present invention may be administered to the lungs in the form of a solution, a suspension or a dry powder. Any 10 system developed for the delivery of solutions, suspensions or dry powders via oral or nasal inhalation or insufflation are suitable for the administration of the present compounds. The compounds of the present invention may also be topically administered in the form of drops, in particular eye drops. Said eye drops may be in the form of a solution or a 15 suspension. Any system developed for the delivery of solutions or suspensions as eye drops are suitable for the administration of the present compounds. WO 2004/069812 which is incorporated herein by reference, describes the ability of pyrimidine derivatives among which 4-[[4-[[4-(2-cyanoethenyl)-2,6-dimethylphenyl] 20 amino]-2-pyrimidinyl]amino]benzonitrile and pharmaceutically acceptable salts thereof, to prevent HIV infection via sexual intercourse or related intimate contact between partners. Therefore, the present invention also relates to a pharmaceutical composition in a form adapted to be applied to a site where sexual intercourse or related intimate contact can take place, such as the genitals, rectum, mouth, hands, 25 lower abdomen, upper thighs, especially the vagina and mouth, comprising a pharmaceutically acceptable carrier and as active ingredient an effective amount of a compound of formula (I), (I-a) or (I-b). In particular to a pharmaceutical composition in a form adapted to be applied to a site where sexual intercourse or related intimate contact can take place, such as the genitals, rectum, mouth, hands, lower abdomen, 30 upper thighs, especially the vagina and mouth, comprising a pharmaceutically acceptable carrier and as active ingredient an effective amount of a compound of formula (I), (I-a) or (I-b) provided that the composition does not contain both emtricitabine and tenofovir diisoproxyl fumarate. More in particular, the present invention also relates to a pharmaceutical composition in a form adapted to be applied 35 to a site where sexual intercourse or related intimate contact can take place, such as the genitals, rectum, mouth, hands, lower abdomen, upper thighs, especially the vagina and mouth, comprising a pharmaceutically acceptable carrier and as active ingredient an WO 2006/024668 PCT/EP2005/054342 -11 effective amount of a compound of formula (I), (I-a) or (I-b) provided that the composition does not contain one or more nucleoside reverse transcriptase inhibitors and/or one or more nucleotide reverse transcriptase inhibitors. As appropriate special adapted compositions there may be cited all compositions usually employed for being 5 applied to the vagina, rectum, mouth and skin such as for example gels, jellies, creams, ointments, films, sponges, foams, intravaginal rings, cervical caps, suppositories for rectal or vaginal application, vaginal or rectal or buccal tablets, mouthwashes. To prepare such pharmaceutical compositions, an effective amount of the active ingredient is combined in intimate admixture with a pharmaceutically acceptable carrier, which 10 carrier may take a wide variety of forms depending on the form of administration. In order to increase the residence time of such pharmaceutical composition at the site of administration, it may be advantageous to include in the composition a bioadhesive, in particular a bioadhesive polymer. A bioadhesive may be defined as a material that adheres to a live biological surface such as for example a mucus membrane or skin 15 tissue. Thus, the present invention also relates to a pharmaceutical composition comprising a pharmaceutically acceptable carrier and as active ingredient an effective amount of a compound of formula (I), (I-a) or (I-b) characterized in that the pharmaceutical 20 composition is bioadhesive to the site of application. Preferably, the site of application is the vagina, rectum, mouth or skin, most preferred is the vagina. In particular, the present invention also relates to a pharmaceutical composition comprising a pharmaceutically acceptable carrier and as active ingredient an effective amount of a compound of formula (I), (I-a) or (I-b) characterized in that the 25 pharmaceutical composition is bioadhesive to the site of application provided that the composition does not contain both emtricitabine and tenofovir diisoproxyl fumarate. More in particular, the present invention also relates to a pharmaceutical composition comprising a pharmaceutically acceptable carrier and as active ingredient an effective amount of a compound of formula (I), (I-a) or (I-b) characterized in that the 30 pharmaceutical composition is bioadhesive to the site of application provided that the composition does not contain one or more nucleoside reverse transcriptase inhibitors and/or one or more nucleotide reverse transcriptase inhibitors. It is especially advantageous to formulate the aforementioned pharmaceutical 35 compositions in unit dosage form for ease of administration and uniformity of dosage. Unit dosage form as used herein refers to physically discrete units suitable as unitary dosages, each unit containing a predetermined quantity of active ingredient calculated WO 2006/024668 PCT/EP2005/054342 -12 to produce the desired therapeutic effect in association with the required pharmaceutical carrier. Examples of such unit dosage forms are tablets (including scored or coated tablets), capsules, pills, powder packets, wafers, suppositories, injectable solutions or suspensions and the like, and segregated multiples thereof. 5 The exact dosage and frequency of administration depends on the particular condition being treated, the severity of the condition being treated, the age, weight, sex, extent of disorder and general physical condition of the particular patient as well as other medication the individual may be taking, as is well known to those skilled in the art. 10 Furthermore, it is evident that said effective daily amount may be lowered or increased depending on the response of the treated subject and/or depending on the evaluation of the physician prescribing the compounds of the instant invention. The pharmaceutical compositions of the present invention can be administered at any 15 time of the day independently of the food taken in by the subject. Preferably, the present compositions are administered to fed subjects. An interesting embodiment of the present invention concerns an oral pharmaceutical composition, i.e. a pharmaceutical composition suitable for oral administration, 20 comprising a pharmaceutically acceptable carrier and as active ingredient a therapeutically effective amount of a compound of formula (I), (I-a) or (I-b). In particular, the present invention concerns an oral pharmaceutical composition, i.e. a pharmaceutical composition suitable for oral administration, comprising a pharmaceutically acceptable carrier and as active ingredient a therapeutically effective 25 amount of a compound of formula (I), (I-a) or (I-b) provided that the composition does not contain both emtricitabine and tenofovir diisoproxyl fumarate, more in particular a pharmaceutical composition suitable for oral administration, comprising a pharmaceutically acceptable carrier and as active ingredient a therapeutically effective amount of a compound of formula (I), (I-a) or (I-b) provided that the composition does 30 not contain one or more nucleoside reverse transcriptase inhibitors and/or one or more nucleotide reverse transcriptase inhibitors. In particular, the oral pharmaceutical composition is a solid oral pharmaceutical composition, more in particular a tablet or a capsule, even more in particular a tablet. 35 A tablet according to the present invention may be formulated as a once daily tablet.
WO 2006/024668 PCT/EP2005/054342 -13 Preferably, the pharmaceutical compositions of the present invention contain those quantities of a compound of formula (I), (I-a) or (I-b) equivalent to from about 5 to about 500 mg of the corresponding free base 4-[[4-[[4-(2-cyanoethenyl)-2,6 dimethylphenyl]amino]-2-pyrimidinyl]amino]benzonitrile, its E or Z isomer, more 5 preferably from about 10 mg to about 250 mg of the corresponding free base, even more preferably from about 20 mg to about 200 mg of the corresponding free base. Preferably, the present pharmaceutical compositions contain those quantities of a compound of formula (I), (I-a) or (I-b) equivalent to 25 mg, 50 mg, 75 mg, 100 mg or 150 mg of the corresponding free base (base equivalent). 10 As used hereinbefore or hereinafter, the term "about" in relation to a numerical value x means, for example, x +10 %. The particle size of the compound of formula (I), (I-a) or (I-b) preferably is less than 50 15 gm, more preferably less than 25 gm, even more preferably less than 20 gm. Further preferred is a particle size of about 15 gm or less, or about 12 gm or less, or about 10 gm or less, or about 5 gm or less. Most preferably, the particle size ranges between about 0.2 and about 15 gm or between about 0.2 and about 10 gm. 20 The pharmaceutical compositions of the present invention preferably comprise a wetting agent. As for the wetting agent in the compositions of the invention, there may be used any of the physiologically tolerable wetting agent suitable for use in a pharmaceutical composition. 25 It is well-known in the art that a wetting agent is an amphiphilic compound; it contains polar, hydrophilic moieties as well as non-polar, hydrophobic moieties. The terms "hydrophilic" or "hydrophobic" are relative terms. 30 The relative hydrophilicity or hydrophobicity of a wetting agent may be expressed by its hydrophilic-lipophilic balance value ("HLB value). Wetting agents with a lower HLB value are catagorized as being "hydrophobic" wetting agents whereas wetting agents with a higher HLB value are catagorized as being "hydrophilic" wetting agents. 35 As a rule of thumb, wetting agents having a HLB value greater than about 10 are generally considered as being hydrophilic wetting agents; wetting agents having a HLB WO 2006/024668 PCT/EP2005/054342 -14 value lower than about 10 are generally considered as being hydrophobic wetting agents. The present compositions preferably comprise a hydrophilic wetting agent. 5 It should be appreciated that the HLB value of a wetting agent is only a rough guide to indicate the hydrophilicity/hydrophobicity of a wetting agent. The HLB value of a particular wetting agent may vary depending upon the method used to determine the HLB value; may vary depending on its commercial source; is subject to batch to batch variability. A person skilled in the art can readily identify hydrophilic wetting agents 10 suitable for use in the pharmaceutical compositions of the present invention. The wetting agent of the present invention can be an anionic, a cationic, a zwitterionic or a non-ionic wetting agent, the latter being preferred. The wetting agent of the present invention can also be a mixture of two or more wetting agents. 15 Suitable wetting agents for use in the compositions of the present invention are listed below. It should be emphasized that said list of wetting agents is only illustrative, representative and not exhaustive. Thus the invention is not limited to the wetting agents listed below. In the present compositions, also mixtures of wetting agents may 20 be used. Suitable wetting agents which may be used in the present invention comprise: a) Polyethylene glycol fatty acid monoesters comprising esters of lauric acid, oleic acid, stearic acid, ricinoic acid and the like with PEG 6, 7, 8, 9, 10, 12, 15, 20, 25, 30, 25 32, 40, 45, 50, 55, 100, 200, 300, 400, 600 and the like, for instance PEG-6 laurate or stearate, PEG-7 oleate or laurate, PEG-8 laurate or oleate or stearate, PEG-9 oleate or stearate, PEG-10 laurate or oleate or stearate, PEG-12 laurate or oleate or stearate or ricinoleate, PEG-15 stearate or oleate, PEG-20 laurate or oleate or stearate, PEG-25 stearate, PEG-32 laurate or oleate or stearate, PEG-30 stearate, PEG-40 laurate or 30 oleate or stearate, PEG-45 stearate, PEG-50 stearate, PEG-55 stearate, PEG-100 oleate or stearate, PEG-200 oleate, PEG-400 oleate, PEG-600 oleate; (the wetting agents belonging to this group are for instance known as Cithrol, Algon, Kessco, Lauridac, Mapeg, Cremophor, Emulgante, Nikkol, Myrj, Crodet, Albunol, Lactomul) b) Polyethylene glycol fatty acid diesters comprising diesters of lauric acid, stearic 35 acid, palmic acid, oleic acid and the like with PEG-8, 10, 12, 20, 32, 400 and the like, for instance PEG-8 dilaurate or distearate, PEG-10 dipalmitate, PEG-12 dilaurate or distearate or dioleate, PEG-20 dilaurate or distearate or dioleatePEG-32 dilaurate or WO 2006/024668 PCT/EP2005/054342 -15 distearate or dioleate, PEG-400 dioleate or distearate; (the wetting agents belonging to this group are for instance known as Mapeg, Polyalso, Kessco, Cithrol) c) Polyethylene glycol fatty acid mono-and diester mixtures such as for example PEG 4-150 mono and dilaurate, PEG 4-150 mono and dioleate, PEG 4-150 mono and 5 distearate and the like; (the wetting agents belonging to this group are for instance known as Kessco) d) Polyethylene glycol glycerol fatty acid esters such as for instance PEG-20 glyceryl laurate or glyceryl stearate or glyceryl oleate, PEG-30 glyceryl laurate or glyceryl oleate, PEG-15 glyceryl laurate, PEG-40 glyceryl laurate and the like; (the wetting 10 agents belonging to this group are for instance known as Tagat, Glycerox L, Capmul), e) Alcohol-oil transesterification products comprising esters of alcohols or polyalcohols such as glycerol, propylene glycol, ethylene glycol, polyethylene glycol, sorbitol, pentaerythritol and the like with natural and/or hydrogenated oils or oil soluble vitamins such as castor oil, hydrogenated castor oil, vitamin A, vitamin D, 15 vitamin E, vitamin K, an edible vegetable oil e.g. corn oil, olive oil, peanut oil, palm kernel oil, apricot kernel oil, almond oil and the like, such as PEG-20 castor oil or hydrogenated castor oil or corn glycerides or almond glycerides, PEG-23 castor oil, PEG-25 hydrogenated castor oil or trioleate, PEG-35 castor oil, PEG-30 castor oil or hydrogenated castor oil, PEG-38 castor oil, PEG-40 castor oil or hydrogenated castor 20 oil or palm kernel oil, PEG-45 hydrogenated castor oil, PEG-50 castor oil or hydrogenated castor oil, PEG-56 castor oil, PEG-60 castor oil or hydrogenated castor oil or corn glycerides or almond glycerides, PEG-80 hydrogenated castor oil, PEG-100 castor oil or hydrogenated castor oil, PEG-200 castor oil, PEG-8 caprylic/capric glycerides, PEG-6 caprylic/capric glycerides, lauroyl macrogol-32 glyceride, stearoyl 25 macrogol glyceride, tocopheryl PEG-1000 succinate (TPGS); (the wetting agents belonging to this group are for instance known as Emalex, Cremophor, Emulgante, Eumulgin, Nikkol, Thornley, Simulsol, Cerex, Crovol, Labrasol, Softigen, Gelucire, Vitamin E TPGS), f) polyglycerized fatty acids comprising polyglycerol esters of fatty acids such as for 30 instance polyglyceryl-10 laurate or oleate or stearate, polyglyceryl-10 mono and dioleate, polyglyceryl polyricinoleate and the like; (the wetting agents belonging to this group are for instance known as Nikkol Decaglyn, Caprol or Polymuls) g) Sterol derivatives comprising polyethylene glycol derivatives of sterol such as PEG-24 cholesterol ether, PEG-30 cholestanol, PEG-25 phyto sterol, PEG-30 soya 35 sterol and the like; (the wetting agents belonging to this group are for instance known as SolulanTM or Nikkol BPSH) WO 2006/024668 PCT/EP2005/054342 -16 h) Polyethylene glycol sorbitan fatty acid esters such as for example PEG-10 sorbitan laurate, PEG-20 sorbitan monolaurate or sorbitan tristearate or sorbitan monooleate or sorbitan trioleate or sorbitan monoisostearate or sorbitan monopalmiate or sorbitan monostearate, PEG-4 sorbitan monolaurate, PEG-5 sorbitan monooleate, PEG-6 5 sorbitan monooleate or sorbitan monolaurate or sorbitan monostearate, PEG-8 sorbitan monostearate, PEG-30 sorbitan tetraoleate, PEG-40 sorbitan oleate or sorbitan tetraoleate, PEG-60 sorbitan tetrastearate, PEG-80 sorbitan monolaurate, PEG sorbitol hexaoleate (Atlas G-1086) and the like; (the wetting agents belonging to this group are for instance known as Liposorb, Tween, Dacol MSS, Nikkol, Emalex, Atlas) 10 i) Polyethylene glycol alkyl ethers such as for instance PEG-10 oleyl ether or cetyl ether or stearyl ether, PEG-20 oleyl ether or cetyl ether or stearyl ether, PEG-9 lauryl ether, PEG-23 lauryl ether (laureth-23), PEG-100 stearyl ether and the like; (the wetting agents belonging to this group are for instance known as Volpo, Brij) j) Sugar esters such as for instance sucrose distearate/monostearate, sucrose 15 monostearate or monopalmitate or monolaurate and the like; (the wetting agents belonging to this group are for instance known as Sucro ester, Crodesta, Saccharose monolaurate) k) Polyethylene glycol alkyl phenols such as for instance PEG-10-100 nonyl phenol (Triton X series), PEG-15-100 ocyl phenol ether (Triton N series) and the like; 20 1) Polyoxyethylene-polyoxypropylene block copolymers (poloxamers) such as for instance poloxamer 108, poloxamer 188, poloxamer 237, poloxamer 288 and the like; (the wetting agents belonging to this group are for instance known as Synperonic PE, Pluronic, Emkalyx, LutrolTM, Supronic, Monolan, Pluracare, Plurodac) m) ionic wetting agents including cationic, anionic and zwitterionic surfactans such as 25 the fatty acid salts e.g. sodium oleate, sodium lauryl sulfate, sodium lauryl sarcosinate, sodium dioctyl sulfosuccinate, sodium myristate, sodium palmitate, sodium state, sodium ricinoleate and the like; such as bile salts e.g. sodium cholate, sodium taurocholate, sodium glycocholate and the like; such as phospholipids e.g. egg/soy lecithin, hydroxylated lecithin, lysophosphatidylcholine, phosphatidylcholine, 30 phosphatidyl ethanolamine, phosphatidyl glycerol, phosphatidyl serine and the like; such as phosphoric acid esters e.g. diethanolammonium polyoxyethylene-10 oleyl ether phosphate, esterification products of fatty alcohols or fatty alcohol ethoxylates with phosphoric acid or anhydride; such as carboxylates e.g. succinylated monoglycerides, sodium stearyl fumarate, stearoyl propylene glycol hydrogen succinate, 35 mono/diacetylated tartaric acid esters of mono-and diglycerides, citric acid esters of mono-and diglycerides, glyceryl-lacto esters of fatty acids, lactylic esters of fatty acids, calcium/sodium stearoyl-2-lactylate, calcium/sodium stearoyl lactylate, alginate salts, WO 2006/024668 PCT/EP2005/054342 -17 propylene glycol alginate, ether carboxylates and the like; such as sulfates and sulfonates e.g. ethoxylated alkyl sulfates, alkyl benzene sulfates, alpha-olefin sulfonates, acyl isethionates, acyl taurates, alkyl glyceryl ether sulfonates, octyl sulfosuccinate disodium, disodium undecyleneamido-MEA-sulfosuccinate and the like; 5 such as cationic wetting agents e.g. hexadecyl triammonium bromide, decyl trimethyl ammonium bromide, cetyl trimethyl ammonium bromide, dodecyl ammonium chloride, alkyl benzyldimethylammonium salts, diisobutyl phenoxyethoxydimethyl benzylammonium salts, alkylpyridinium salts, betaines (lauryl betaine), ethoxylated amines (polyoxyethylene-15 coconut amine) and the like. 10 When in the above list of suitable wetting agents, different possibilities are listed such as for example PEG-20 oleyl ether or cetyl ether or stearyl ether, this means that PEG 20 oleyl ether and PEG-20 cetyl ether and PEG-20 stearyl ether are intended. Thus for instance PEG-20 castor oil or hydrogenated castor oil or corn glycerides or almond 15 glycerides has to be read as PEG-20 castor oil and PEG-20 hydrogenated castor oil and PEG-20 corn glycerides and PEG-20 almond glycerides. Preferred wetting agents in the present compositions are sodium lauryl sulfate, sodium dioctyl sulfosuccinate, or those wetting agents belonging to the group of the 20 polyethylene glycol sorbitan fatty acid esters, such as wetting agents known as Tween, e.g. Tween 20, 60, 80. Most preferred, the wetting agent is Tween 20. In the compositions of the invention, the wetting agent is preferably present at a concentration from about 0.01 to about 5% by weight relative to the total weight of the 25 composition, preferably from about 0.1 to about 3 % by weight, more preferably from about 0.1 to about 1 % by weight. The quantity of wetting agent used in the present compositions may depend on the amount of the compound of formula (I), (I-a) or (I-b) present in the composition or on the particle size of the compound of formula (I), (I-a) or (I-b). A higher amount or a 30 smaller particle size may require more wetting agent. In case of a solid oral pharmaceutical composition according to the present invention, such as a tablet or a capsule, the composition may also further contain an organic polymer. 35 The organic polymer may be used as a binder during the manufacture of the composition.
WO 2006/024668 PCT/EP2005/054342 -18 The organic polymer used in the compositions of the invention may be any of the physiologically tolerable water soluble synthetic, semi-synthetic or non-synthetic organic polymers. 5 Thus for example the polymer may be a natural polymer such as a polysaccharide or polypeptide or a derivative thereof, or a synthetic polymer such as a polyalkylene oxide (e.g. PEG), polyacrylate, polyvinylpyrrolidone, etc. Mixed polymers, e.g. block copolymers and glycopeptides may of course also be used. 10 The polymer conveniently has a molecular weight in the range 500D to 2 MD, and conveniently has an apparent viscosity of 1 to 15,000 mPa.s when in a 2% aqueous solution at 20 0 C. For example, the water-soluble polymer can be selected from the group comprising 15 - alkylcelluloses such as methylcellulose, - hydroxyakylcelluloses such as hydroxymethylcellulose, hydroxyethylcellulose, hydroxypropylcellulose and hydroxybutylcellulose, - hydroxyalkyl alkylcelluloses such as hydroxyethyl methylcellulose and hydroxypropyl methylcellulose (e.g. HPMC 2910 15 mPa.s; HPMC 2910 5 mPa.s), 20 - carboxyalkylcelluloses such as carboxymethylcellulose, - alkali metal salts of carboxyalkylcelluloses such as sodium carboxymethylcellulose, - carboxyalkylalkylcelluloses such as carboxymethylethylcellulose, - carboxyalkylcellulose esters, - starches, such as starch 1551, 25 - pectins such as sodium carboxymethylamylopectin, - chitin derivates such as chitosan, - heparin and heparinoids, - polysaccharides such as alginic acid, alkali metal and ammonium salts thereof, carrageenans, galactomannans, tragacanth, agar-agar, gum arabic, guargum and 30 xanthan gum, - polyacrylic acids and the salts thereof, - polymethacrylic acids and the salts thereof, methacrylate copolymers, - polyvinylalcohol, - polyvinylpyrrolidone, copolymers of polyvinylpyrrolidone with vinyl acetate, 35 - polyalkylene oxides such as polyethylene oxide and polypropylene oxide and copolymers of ethylene oxide and propylene oxide, e.g. poloxamers and poloxamines.
WO 2006/024668 PCT/EP2005/054342 -19 Non-enumerated polymers which are pharmaceutically acceptable and have appropriate physico-chemical properties as defined hereinbefore are equally suited for preparing compositions according to the present invention. 5 Preferably the organic polymer is starch, polyvinylpyrrolidone or a cellulose ether, e.g. PVP K29-32, PVP K90, methyl cellulose, hydroxypropylcellulose, hydroxyethyl methylcellulose, or hydroxypropyl methylcellulose (HPMC). 10 Said HIPMC contains sufficient hydroxypropyl and methoxy groups to render it water soluble. HIPMC having a methoxy degree of substitution from about 0.8 to about 2.5 and a hydroxypropyl molar substitution from about 0.05 to about 3.0 are generally water-soluble. Methoxy degree of substitution refers to the average number of methyl ether groups present per anhydroglucose unit of the cellulose molecule. Hydroxy 15 propyl molar substitution refers to the average number of moles of propylene oxide which have reacted with each anhydroglucose unit of the cellulose molecule. A preferred HPMC is hypromellose 2910 15 mPa.s or hypromellose 2910 5mPa.s, especially hypromellose 2910 15 mPa.s. Hydroxypropyl methylcellulose is the United States Adopted Name for hypromellose (see Martindale, The Extra Pharmacopoeia, 20 29th edition, page 1435). In the four digit number "2910", the first two digits represent the approximate percentage of methoxyl groups and the third and fourth digits the approximate percentage composition of hydroxypropoxyl groups; 15 mPa.s or 5 mPa.s is a value indicative of the apparent viscosity of a 2 % aqueous solution at 20'C. 25 In the compositions of the invention the organic polymer may conveniently be present up to about 10% by weight, preferably from about 0.1 to about 5%, more preferably from about 0.5 to about 3% by weight (relative to the total weight of the composition). 30 In case of a solid oral pharmaceutical composition according to the present invention, such as a tablet or a capsule, the composition may also further contain a diluent and/or a glidant. Pharmaceutical acceptable diluents comprise calcium carbonate, dibasic calcium 35 phosphate, dibasic calcium phosphate dihydrate, tribasic calcium phosphate, calcium sulfate, microcrystalline cellulose including silicified microcrystalline cellulose, powdered cellulose, dextrates, dextrin, dextrose excipient, fructose, kaolin, lactitol, WO 2006/024668 PCT/EP2005/054342 -20 lactose anhydrous, lactose monohydrate, mannitol, sorbitol, starch, pregelatinized starch, sodium chloride, sucrose, compressible sugar, confectioner's sugar, a spray dried mixture of lactose monohydrate and microcrystalline cellulose (75:25), commercially available as Microcelac®, a co-processed spray-dried mixture of 5 microcrystalline cellulose and colloidal silicon dioxide (98:2), commercially available as Prosolv®. Preferred is lactose monohydrate, microcrystalline cellulose or silicified microcrystalline cellulose. Pharmaceutically acceptable glidants comprise talc, colloidal silicon dioxide, starch. 10 magnesium stearate. Preferred is colloidal silicon dioxide. In case of a tablet, the composition may also further comprise a disintegrant and a lubricant. 15 Pharmaceutically acceptable disintegrants comprise starch, ion exchange resins, e.g. Amberlite, cross-linked polyvinylpyrrolidone, modified cellulose gum, e.g. croscarmellose sodium (e.g. Ac-di-Sol®), sodium starch glycollate, sodium carboxymethylcellulose, sodium dodecyl sulphate, modified corn starch, microcrystalline cellulose, magnesium aluminium silicate, alginic acid, alginate, 20 powdered cellulose. Pharmaceutically acceptable lubricants comprise magnesium stearate, calcium stearate, stearic acid, talc, polyethylene glycol, sodium lauryl sulfate, magnesium lauryl sulphate. 25 Tablets of the present invention may in addition include other optional excipients such as, for example, flavors, sweeteners and colors. Solid pharmaceutical compositions according to the present invention may comprise by 30 weight based on the total weight of the composition : (a) from 5 to 50% of a compound of formula (I), (I-a) or (I-b); (b) from 0.01 to 5 % of a wetting agent; (c) from 40 to 92% of a diluent; (d) from 0.1 to 5% of a glidant. 35 Tablets according to the present invention may comprise by weight based on the total weight of the tablet core : WO 2006/024668 PCT/EP2005/054342 -21 (a) from 5 to 50% of a compound of formula (I), (I-a) or (I-b); (b) from 0.01 to 5 % of a wetting agent; (c) from 40 to 92% of a diluent; (d) from 0 to 10 % of a polymer; 5 (e) from 2 to 10 % of a disintegrant; (f) from 0.1 to 5% of a glidant; (g) from 0.1 to 1.5 % of a lubricant. Tablets of the present invention may optionally be film-coated following art-known 10 coating procedures. Film-coated tablets are easier to swallow than uncoated tablet cores, are usually easier to distinguish from other tablets - in particular when the film coat contains a dye or a pigment -, may have reduced tackiness, and may furthermore have an improved stability (increased shelf-life), e.g. because the coating may protect the active ingredient from the influence of light. Preferably, the film coat is an 15 immediate release coat. Film coatings may comprise a film-forming polymer and optionally a plasticizer or a pigment. An example of a suitable film-forming polymer is hydroxypropyl methylcellulose, and an example of a suitable plasticizer is polyethyleneglycol, e.g. macrogol 3000 or 6000, or triacetin. Commercially available suitable coatings for pharmaceutical tablets are well-known to a person skilled in the 20 art. Preferably, the film coating is a non-transparant film coating. An example of a suitable coating is Opadry®, in particular coating powder Opadry® II White. Tablets of the present invention can be prepared by direct compression or wet granulation. 25 Therefore, the present invention is also concerned with a process of preparing a tablet comprising a compound of formula (I), (I-a) or (I-b) comprising the steps of: (i) dry blending the active ingredient, the disintegrant and the optional glidant with the diluent; 30 (ii) optionally mixing the lubricant with the mixture obtained in step (i); (iii) compressing the mixture obtained in step (i) or in step (ii) in the dry state into a tablet; and (iv) optionally film-coating the tablet obtained in step (iii). 35 The present invention is also concerned with a process of preparing a tablet comprising a compound of formula (I), (I-a) or (I-b) comprising the steps of: (i) dry blending the active ingredient and part of the diluent; WO 2006/024668 PCT/EP2005/054342 -22 (ii) preparing a binder solution by dissolving the binder and the wetting agent in the binder solution solvent; (iii) spraying the binder solution obtained in step (ii) on the mixture obtained in step (i); (iv) drying the wet powder obtained in step (iii) followed by sieving and optionally 5 mixing; (v) mixing the remaining part of the diluent, the disintegrant and the optional glidant in the mixture obtained in step (iv); (vi) optionally adding the lubricant to the mixture obtained in step (v); (vii) compressing the mixture obtained in step (vi) into a tablet; 10 (viii) optionally film-coating the tablet obtained in step (vii). A person skilled in the art will recognize the most appropriate equipment to be used for the above-described processes. The above general route of preparing tablets of the present invention may be modified 15 by a person skilled in the art by for instance adding certain ingredients at other stages than indicated above. The present compound of formula (I), (I-a) or (I-b) can be used alone or in combination with other therapeutic agents, such as anti-virals, antibiotics, immunomodulators or 20 vaccines for the treatment of viral infections. They may also be used alone or in combination with other prophylactic agents for the prevention of viral infections. The present compounds may be used in vaccines and methods for protecting individuals against viral infections over an extended period of time. The compounds may be employed in such vaccines either alone or together with other anti-viral agents in a 25 manner consistent with the conventional utilization of reverse transcriptase inhibitors in vaccines. Thus, the present compounds may be combined with pharmaceutically acceptable adjuvants conventionally employed in vaccines and administered in prophylactically effective amounts to protect individuals over an extended period of time against HIV infection. 30 Also, the combination of an antiretroviral compound and a compound of formula (I), (I-a) or (I-b) can be used as a medicine. Thus, the present invention also relates to a product containing (a) a compound of formula (I), (I-a) or (I-b), and (b) one or more other antiretroviral compounds, as a combined preparation for simultaneous, separate 35 or sequential use in anti-HIV treatment. The different drugs may be combined in a single preparation together with pharmaceutically acceptable carriers. Thus, the present invention also relates to a pharmaceutical composition comprising a WO 2006/024668 PCT/EP2005/054342 -23 pharmaceutically acceptable carrier and (a) a therapeutically effective amount of a compound of formula (I), (I-a) or (I-b) and (b) one or more other antiretroviral agents. In particular, the invention also relates to a product containing (a) a compound of formula (I), (I-a) or (I-b), and (b) one or more other antiretroviral compounds, as a 5 combined preparation for simultaneous, separate or sequential use in anti-HIV treatment provided that the composition does not contain both emtricitabine and tenofovir diisoproxyl fumarate.. More in particular, the invention also relates to a product containing (a) a compound of formula (I), (I-a) or (I-b), and (b) one or more other antiretroviral compounds, as a combined preparation for simultaneous, separate 10 or sequential use in anti-HIV treatment provided that the one or more other antiretroviral compounds are other than nucleoside reverse transcriptase inhibitors and/or nucleotide reverse transcriptase inhibitors. The different drugs may be combined in a single preparation together with pharmaceutically acceptable carriers. Thus, the present invention also relates to a pharmaceutical composition comprising a 15 pharmaceutically acceptable carrier and (a) a therapeutically effective amount of a compound of formula (I), (I-a) or (I-b) and (b) one or more other antiretroviral agents. In particular, the present invention relates to a pharmaceutical composition comprising a pharmaceutically acceptable carrier and (a) a therapeutically effective amount of a compound of formula (I), (I-a) or (I-b) and (b) one or more other antiretroviral agents 20 provided that the composition does not contain both emtricitabine and tenofovir diisoproxyl fumarate.. The invention also relates to a pharmaceutical composition comprising a pharmaceutically acceptable carrier and (a) a therapeutically effective amount of a compound of formula (I), (I-a) or (I-b) and (b) one or more other antiretroviral agents provided that the one or more other antiretroviral compounds are 25 other than nucleoside reverse transcriptase inhibitors and/or nucleotide reverse transcriptase inhibitors. Said other antiretroviral compounds may be known antiretroviral compounds such as suramine, pentamidine, thymopentin, castanospermine, dextran (dextran sulfate), 30 foscamet-sodium (trisodium phosphono formate); nucleoside reverse transcriptase inhibitors, e.g. zidovudine (3'-azido-3'-deoxythymidine, AZT), didanosine (2',3'-dideoxyinosine; ddl), zalcitabine (dideoxycytidine, ddC) or lamivudine (2'-3'-dideoxy-3'-thiacytidine, 3TC), stavudine (2',3'-didehydro-3'-deoxythymidine, d4T), abacavir, abacavir sulfate, emtricitabine ((-) FTC), racemic FTC and the like; 35 non-nucleoside reverse transcriptase inhibitors such as nevirapine (11-cyclopropyl 5,11-dihydro-4-methyl-6H-dipyrido-[3,2-b : 2',3'-e] [1,4]diazepin-6-one), efavirenz, delavirdine, TMC-120, TMC-125 and the like; compounds of the TIBO (tetrahydro- WO 2006/024668 PCT/EP2005/054342 -24 imidazo[4,5,1-jk][1,4]-benzodiazepine-2(1H)-one and thione)-type e.g. (S)-8-chloro 4,5,6,7-tetrahydro-5-methyl-6-(3-methyl-2-butenyl)imidazo [4,5,1-jk][1,4]benzodiazepine-2(1H)-thione; compounds of the a-APA (c-anilino phenyl acetamide) type e.g. a-[(2-nitrophenyl)amino]-2,6-dichlorobenzene-acetamide 5 and the like; inhibitors of trans-activating proteins, such as TAT-inhibitors, e.g. RO-5-3335, or REV inhibitors, and the like; protease inhibitors e.g. indinavir, ritonavir, saquinavir, lopinavir (ABT-378), nelfmavir, amprenavir, TMC-114, BMS-232632, VX-175 and the like; fusion inhibitors, e.g. T-20, T-1249 and the like; CXCR4 receptor antagonists, e.g. AMD-3100 and the like; inhibitors of the viral integrase; nucleotide 10 like reverse transcriptase inhibitors, e.g. tenofovir, tenofovir diphosphate, tenofovir disoproxil fumarate and the like; ribonucleotide reductase inhibitors, e.g. hydroxyurea and the like; CCR5 antagonists, e.g. ancriviroc, aplaviroc hydrochloride, vicriviroc. By administering the compounds of the present invention with other anti-viral agents 15 which target different events in the viral life cycle, the therapeutic effect of these compounds can be potentiated. Combination therapies as described above exert a synergistic effect in inhibiting HIV replication because each component of the combination acts on a different site of HIV replication. The use of such combinations may reduce the dosage of a given conventional anti-retroviral agent which would be 20 required for a desired therapeutic or prophylactic effect as compared to when that agent is administered as a monotherapy. These combinations may reduce or eliminate the side effects of conventional single anti-retroviral therapy while not interfering with the anti-viral activity of the agents. These combinations reduce potential of resistance to single agent therapies, while minimizing any associated toxicity. These combinations 25 may also increase the efficacy of the conventional agent without increasing the associated toxicity. The compounds of the present invention may also be administered in combination with immunomodulating agents, e.g. levamisole, bropirimine, anti-human alpha interferon 30 antibody, interferon alpha, interleukin 2, methionine enkephalin, diethyldithiocarbamate, tumor necrosis factor, naltrexone and the like; antibiotics, e.g. pentamidine isethiorate and the like; cholinergic agents, e.g. tacrine, rivastigmine, donepezil, galantamine and the like; NMDA channel blockers, e.g. memantine to prevent or combat infection and diseases or symptoms of diseases associated with HIV 35 infections, such as AIDS and ARC, e.g. dementia.
WO 2006/024668 PCT/EP2005/054342 -25 Although the present invention focuses on the use of the present compounds for preventing or treating HIV infections, the present compounds may also be used as inhibitory agents for other viruses which depend on similar reverse transcriptases for obligatory events in their life cycle. 5 Experimental part A. Synthesis of the compound of formula (I-a) a) 10.99 kg of (E) 4-[[4- [ [4-(2-cyanoethenyl)-2,6-dimethylphenyl]amino]-2 pyrimidinyl]amino]benzonitrile and 57 liter acetic acid (2 L/mole) were heated up to 10 90 0 C in a production vessel. The solution was filtered at 95 0 C and washed with 3L acetic acid (0.21L/mol). 2.973 liter hydrochloric acid (1.1 mole/mole) was added at 80 0 C. At 85 0 C 60 liter water (2 L/mole) was added slowly. The mixture was cooled slowly to 25 0 C, washed two times with 5.4 liter water and dried at 50 0 C. The obtained product was milled. Yield: compound of formula (I-a) Form A. 15 b) About 150 mg of a compound of formula (E) 4-[[4-[[4-(2-cyanoethenyl)-2,6 dimethylphenyl]amino]-2-pyrimidinyl]amino]benzonitrile.HC1 and 500ml propanone were heated in a beaker up to reflux. The obtained fraction was allowed to crystallize at room temperature. The solvent was evaporated under an air flow until a dry product was obtained. Yield: compound of formula (I-a) Form B 20 c) 73.29 kg of (E) 4-[[4-[[4-(2-cyanoethenyl)-2,6-dimethylphenyl]amino]-2 pyrimidinyl]amino]benzonitrile and 300 liter acetic acid (2 L/mole) were heated up to 104 0 C in a production vessel. The solution was filtered at 100 0 C. 19.8 liter hydrochloric acid (1.1 mole/mole) was added at 91.4 0 C. At 70 0 C, 150 liter water (2 L/mole) was added slowly. The mixture was cooled slowly to 20 0 C, washed two 25 times with 75 liter water and dried at 75 0 C. The obtained product was milled. Yield: compound of formula (I-a) Form C. d) 10.99 kg of (E) 4-[[4-[[4-(2-cyanoethenyl)-2,6-dimethylphenyl]amino]-2 pyrimidinyl]amino]benzonitrile and 57 liter acetic acid (2 L/mole) were heated up to 93 0 C in a production vessel. The solution was filtered at 100 0 C and washed with 3L 30 acetic acid (0.21L/mol). 2.973 liter hydrochloric acid (1.1 mole/mole) was added at 85 0 C. 60 liter water (2 L/mole) was added slowly between 85 0 C-65 0 C. The mixture was cooled slowly to 19.5 0 C, washed two times with 5.4 liter water and dried at 50 0 C. The obtained product was milled. 230 mg of the product was mixed with 1ml water and slurried for 1 day at room temperature. Yield: compound of formula (I-a) Form D. 35 WO 2006/024668 PCT/EP2005/054342 -26 B. Characterization of the compound of formula (-a) The results of the characterization of Form A, B, C and D by infrared spectroscopy and X-ray powder diffraction (XRPD) analysis are listed below. Results of differential scanning calorimetry (DSC) for Form A are also listed. 5 Infrared spectrometry: KBr dispersion The compound to be analyzed was mixed with alkali halide and pressed to a pellet (Ph. Eur.). apparatus: Nicolet Magna 560 FTIR spectrophotometer 10 number of scans: 32 resolution: 1 cm wavelength range: 4000 to 400 cm 1 baseline correction: yes detector: DTGS with KBr windows 15 beamsplitter: Ge on KBr alkali halide: KBr (potassium bromide) Powder XRD X-ray powder diffraction (XRPD) analyses were carried out on a Philips X'PertPRO MPD diffractometer PW3050/60 with generator PW3040. The instrument is equipped 20 with a Cu LFF X-ray tube PW3373/00. The compound to be analyzed was spread on a zero background sample holder. INSTRUMENT PARAMETERS generator voltage: 45 kV generator amperage: 40 mA 25 geometry: Bragg-Brentano stage: spinner stage MEASUREMENT CONDITIONS scan mode: continuous scan range: 3 to 500 20 30 step size: 0.01675o/step counting time: 29.845 sec/step spinner revolution time: 1 sec radiation type: CuKu radiation wavelength: 1.54056 A WO 2006/024668 PCT/EP2005/054342 -27 Incident beam path Diffracted beam path program. divergence slit: 15 mm long anti scatter shield: + Soller slit: 0.04 rad Soller slit: 0.04 rad beam mask: 15 mm Ni filter: + 5 anti scatter slit: 10 detector: X'Celerator beam knife: + Differential scanning calorimetry About 3 mg of the compound to be analyzed was transferred into a standard aluminum TA-Instrument sample pan. The sample pan was closed with the appropriate cover and 10 the DSC curve was recorded on a TA-Instruments Q1000 MTDSC equipped with a RCS cooling unit. The following parameters were used: initial temperature: 20 0 C heating rate: 10 0 C/min final temperature: 350 0 C 15 nitrogen flow: 50 ml/min Results Form A-IR Form A is characterized by an FTIR spectrum with typical absorption bands at about 2217, 1652, 1497, 1435, 1338, 1199 and 550 cm - 1 . 20 Additional absorption bands are observed at 1631, 1596, 1537, 1504, 1249, 1214, 1179, 1152 and 1070 cm -1 . (See Figure 1).
WO 2006/024668 PCT/EP2005/054342 -28 Form A-XRPD Form A is characterized by typical diffraction peaks at two-theta positions 9.7±0+ 0.20, 13.5±0+ 0.20 and 15.0±0+ 0.20. Form A is further characterized by X-ray powder diffraction peaks at two-theta positions 9.10+± 0.20, 11.0±0+ 0.20, 14.6±0+ 0.20, 5 22.00+ 0.20, 25.00+ 0.20, 25.30+ 0.20 and 26.70+ 0.20. (See Figure 2) (Intensity variations can occur due to processes which influence intensities most importantly the processing history of the sample) Form A-DSC Form A melts with decomposition. Melting with decomposition starts at about 250 0 C 10 and has an onset at about 286 0 C. Form B Form B can be present in two states, a dry state and a wetted state. Only the characteristics of form B in the dry state are given. Form B-IR 15 Form B is characterized by an FTIR spectrum with typical absorption bands at about 2227, 2220, 1599, 1500, 1440, 1341, 1209, 549 and 544 cm -1 . Additional absorption bands are observed at about 1656, 1538, 1518, 1270, 1179, 1152 and 1070 cm -1 . (See Figure 3). Form B-XRPD 20 Form B is characterized by typical diffraction peaks at two-theta positions 4.50+ 0.20, 8.80+ 0.20, and 12.50+ 0.20. Form B is further characterized by X-ray powder diffraction peaks at two-theta positions 10.30+ 0.20, 14.70+ 0.20, 20.60+ 0.20, 22.20+ 0.20, and 26.10+ 0.20. (See Figure 4). (Intensity variations can occur due to processes which influence intensities most importantly the processing history of the 25 sample.) Form C-IR Form C is characterized by an FTIR spectrum with typical absorption bands at about 2221, 1654, 1502, 1239, 1193 and 546 cm - 1 . Additional absorption bands are observed at about. 1627, 1580, 1537, 1492, 1216, 1173, 30 1157 and 1084 cm - 1 . (See Figure 5).
WO 2006/024668 PCT/EP2005/054342 -29 Form C-XRPD Form C is characterized by typical diffraction peaks at two-theta positions 11.90± 0.20, 14.3±0+ 0.20 and 22.3±0+ 0.20. Form C is further characterized by X-ray powder diffraction peaks at two-theta positions 12.8±0+ 0.20, 18.5±0+ 0.20, 21.2±0+ 0.20, 5 24.30+ 0.20, and 26.00+ 0.20. (See Figure 6) (Intensity variations can occur due to processes which influence intensities most importantly the processing history of the sample.) Form D-IR Form D is characterized by an FTIR spectrum with typical absorption bands at about 10 2218, 1657, 1506, 1448, 1357, 1220 and 547 cm -1 . Additional absorption bands are observed at about. 1620, 1597, 1565, 1247, 1214, 1179 1152 and 1073 cm -1 . (See Figure 7). Form D-XRPD Form D is characterized by typical diffraction peaks at two-theta positions 6.60+ 0.20, 15 11.60+ 0.20, and 17.10+ 0.20. Form D is further characterized by X-ray powder diffraction peaks at two-theta positions 15.00+ 0.20, 19.20+ 0.20, 20.50+ 0.20, 21.60+ 0.20, and 29.80+ 0.20. (See Figure 8). (Intensity variations can occur due to processes which influence intensities most importantly the processing history of the sample.) 20 C. Solubility data Table 1 lists solubility data of free base (E) 4-[[4-[[4-(2-cyanoethenyl)-2,6-dimethyl phenyl]amino]-2-pyrimidinyl]amino]benzonitrile and of the compound of formula (I-a). 25 Table 1 : Compound Concentration in mg/ml Water 0.01 N HCI PEG 400 Free base (E 0.00002 0.019 40 isomer) WO 2006/024668 PCT/EP2005/054342 -30 Compound Concentration in mg/ml Water 0.01 N HCI PEG 400 Compound of 0.0012 0.043 formula (I-a) (Form A) The free base as well as the HC1 salt have a poor solubility in water as well as in 0.01 N HC1. Free base and HC1 salt may be classified as BCS class 2 compounds. The solubility of the free base is significantly increased in PEG 400. 5 D. Stability data a) Chemical stability Compound of formula (I-a) (Form A) was stored under different conditions of humidity 10 and temperature. After storage, the salt was analyzed by High Performance Liquid Chromatography (HPLC) for percentage of impurities. The results are gathered in Table 2 below. It can be concluded that the compound is 15 chemically stable. Table 2: Storage Sum of impurities % (%, w/w) condition 1 week 4 weeks 8 weeks Reference 0.43 - 40 0 C/75% RH - 0.42 0.44 50 0 C/air - 0.41 0.41 RT/<5% RH - 044 0.43 RT/56% RH - 0.44 0.41 RT/75% RH - 0.43 0.41 Explanatory note: - = not tested 20 RT = room temperature RH = Relative Humidity The compound was also found to be not hygroscopic.
WO 2006/024668 PCT/EP2005/054342 -31 b) Physical stability The stability of the crystal structure of the compound of formula (I-a) (Form A) was studied after storage for a period of six weeks under different conditions of humidity 5 and temperature. The same conditions as described in Table 2 were applied. After storage the compound was analyzed with infrared spectroscopy. No changes in crystal structure were observed, indicating that the compound is 10 crystallographically stable. The stability of compound of formula (I-a) (Form A) was also studied after storage for 1 year at 5 0 C and at 25 0 C/80% RH. The compound was found to be physically stable. 15 E. Tablet formulations Tablet compositions illustrating the present invention are: Composition la Tablet core : 20 Compound of formula (I-a) 27.5 mg (i.e. 25 mg base equivalent) Lactose monohydrate 242.0 mg Hypromellose 2910 15mPa.s 5.6 mg Polysorbate 20 1.4 mg Microcrystalline cellulose 52.5 mg 25 Croscarmellose sodium 17.5 mg Colloidal silicon dioxide 1.05 mg Magnesium stearate 2.45 mg Tablet film coat 30 Coating powder Opadry® II White 14 mg Purified water* 80 tl Composition lb Tablet core : 35 Compound of formula (I-a) 27.5 mg (i.e. 25 mg base equivalent) Lactose monohydrate 52.25 mg Hypromellose 2910 5mPa.s 1.40 mg WO 2006/024668 PCT/EP2005/054342 -32 Polysorbate 20 0.35 mg Microcrystalline cellulose 13.125 mg Croscarmellose sodium 4.375 mg Magnesium stearate 1.00 mg 5 Tablet film coat Coating powder Opadry® II White 4 mg Purified water* q.s. 10 Composition Ic Tablet core : Compound of formula (I-a) 27.5 mg (i.e. 25 mg base equivalent) Lactose monohydrate 56.97 mg Hypromellose 2910 5mPa.s 1.75 mg 15 Polysorbate 20 0.35 mg Silicified microcrystalline cellulose 16.83 mg Croscarmellose sodium 5.5 mg Magnesium stearate 1.10 mg 20 Tablet film coat Coating powder Opadry® II White 4.4 mg Purified water* q.s. Composition ld 25 Tablet core : Compound of formula (I-a) 27.5 mg (i.e. 25 mg base equivalent) Lactose monohydrate 55.145 mg Polyvinylpyrrolidone 3.25 mg Polysorbate 20 0.35 mg 30 Silicified microcrystalline cellulose 16.605 mg Croscarmellose sodium 6.05 mg Magnesium stearate 1.10 mg Tablet film coat 35 Coating powder Opadry® II White 4.4 mg Purified water* q.s.
WO 2006/024668 PCT/EP2005/054342 -33 Composition 2a Tablet core : Compound of formula (I-a) 110 mg (i.e. 100 mg base equivalent) Lactose monohydrate 159.5 mg 5 Hypromellose 2910 15mPa.s 5.6 mg Polysorbate 20 1.4 mg Microcrystalline cellulose 52.5 mg Croscarmellose sodium 17.5 mg Colloidal silicon dioxide 1.05 mg 10 Magnesium stearate 2.45 mg Tablet film coat Coating powder Opadry® II White 14 mg Purified water* 80 tl 15 Composition 2b Tablet core : Compound of formula (I-a) 110 mg (i.e. 100 mg base equivalent) Lactose monohydrate 209.00 mg 20 Hypromellose 2910 5mPa.s 5.6 mg Polysorbate 20 1.4 mg Microcrystalline cellulose 52.5 mg Croscarmellose sodium 17.5 mg Magnesium stearate 4.00 mg 25 Tablet film coat Coating powder Opadry® II White 16 mg Purified water* q.s. 30 Composition 2c Tablet core : Compound of formula (I-a) 110 mg (i.e. 100 mg base equivalent) Lactose monohydrate 227.88 mg Hypromellose 2910 5mPa.s 7.00 mg 35 Polysorbate 20 1.4 mg Silicified microcrystalline cellulose 67.32 mg Croscarmellose sodium 22.00 mg WO 2006/024668 PCT/EP2005/054342 -34 Magnesium stearate 4.40 mg Tablet film coat Coating powder Opadry® II White 17.6 mg 5 Purified water* q.s. Composition 2d Tablet core : Compound of formula (I-a) 110 mg (i.e. 100 mg base equivalent) 10 Lactose monohydrate 220.58 mg Polyvinylpyrrolidone 13.00 mg Polysorbate 20 1.4 mg Silicified microcrystalline cellulose 66.42 mg Croscarmellose sodium 24.2 mg 15 Magnesium stearate 4.40 mg Tablet film coat Coating powder Opadry® II White 17.6 mg Purified water* q.s. 20 Composition 3a Tablet core : Compound of formula (I-a) 55 mg (i.e. 50 mg base equivalent) Lactose monohydrate 214.5 mg 25 Hypromellose 2910 15mPa.s 5.6 mg Polysorbate 20 1.4 mg Microcrystalline cellulose 52.5 mg Croscarmellose sodium 17.5 mg Colloidal silicon dioxide 1.05 mg 30 Magnesium stearate 2.45 mg Tablet film coat Coating powder Opadry® II White 14 mg Purified water* 80 tl 35 WO 2006/024668 PCT/EP2005/054342 -35 Composition 3b Tablet core : Compound of formula (I-a) 55 mg (i.e. 50 mg base equivalent) Lactose monohydrate 104.50 mg 5 Hypromellose 2910 5mPa.s 2.80 mg Polysorbate 20 0.70 mg Microcrystalline cellulose 26.25 mg Croscarmellose sodium 8.75 mg Magnesium stearate 2.00 mg 10 Tablet film coat Coating powder Opadry® II White 8.00 mg Purified water* q.s. 15 Composition 3c Tablet core : Compound of formula (I-a) 55 mg (i.e. 50 mg base equivalent) Lactose monohydrate 113.94 mg Hypromellose 2910 5mPa.s 3.50 mg 20 Polysorbate 20 0.70 mg Silicified microcrystalline cellulose 33.66 mg Croscarmellose sodium 11.0 mg Magnesium stearate 2.20 mg 25 Tablet film coat Coating powder Opadry® II White 8.80 mg Purified water* q.s. Composition 3d 30 Tablet core : Compound of formula (I-a) 55 mg (i.e. 50 mg base equivalent) Lactose monohydrate 110.29 mg Polyvinylpyrrolidone 6.50 mg Polysorbate 20 0.70 mg 35 Silicified microcrystalline cellulose 33.21 mg Croscarmellose sodium 12.1 mg Magnesium stearate 2.20 mg WO 2006/024668 PCT/EP2005/054342 -36 Tablet film coat Coating powder Opadry® II White 8.80 mg Purified water* q.s. 5 Composition 4 Tablet core : Compound of formula (I-a) 82.5 mg (i.e. 75 mg base equivalent) Lactose monohydrate 165.435 mg 10 Polyvinylpyrrolidone 9.75 mg Polysorbate 20 1.05 mg Silicified microcrystalline cellulose 49.815 mg Croscarmellose sodium 18.15 mg Magnesium stearate 3.30 mg 15 Tablet film coat Coating powder Opadry® II White 13.2 mg Purified water* q.s. 20 Composition 5a Tablet core : Compound of formula (I-a) 165 mg (i.e. 150 mg base equivalent) Lactose monohydrate 330.87 mg Polyvinylpyrrolidone 19.5 mg 25 Polysorbate 20 2.1 mg Silicified microcrystalline cellulose 99.63 mg Croscarmellose sodium 36.30 mg Magnesium stearate 6.6 mg 30 Tablet film coat Coating powder Opadry® II White 19.80 mg Purified water* q.s. Composition 5b 35 Tablet core : Compound of formula (I-a) 165 mg (i.e. 150 mg base equivalent) Lactose monohydrate 341.82 mg WO 2006/024668 PCT/EP2005/054342 -37 Hypromellose 2910 5 mPa.s 10.5 mg Polysorbate 20 2.1 mg Silicified microcrystalline cellulose 100.98 mg Croscarmellose sodium 33.00 mg 5 Magnesium stearate 6.6 mg Tablet film coat Coating powder Opadry® II White 19.80 mg Purified water* q.s. 10 * not present in final tablet The above tablets were prepared by dissolving hypromellose or polyvinylpyrrolidone and polysorbate 20 in purified water (q.s.) followed by spraying said solution on 15 fluidized powder consisting of a mixture of Form A and lactose monohydrate. The obtained granulate was dried, sieved and mixed with microcrystalline cellulose or silicified microcrystalline cellulose, croscarmellose sodium and optionally colloidal silicon dioxide. After addition of Magnesium stearate, the powder mixture was compressed into tablets followed by film coating the tablets with a suspension of 20 Coating powder Opadry® II White in purified water. In the above compositions, microcrystalline cellulose is preferably Avicel® PH101, croscarmellose sodium is preferably Ac-Di-Sol®; silicified microcrystalline cellulose is preferably Prosolv®H1D90; polyvinylpyrrolidone is preferably PVP K29-32. 25 F. In vivo bioavailability study A) In order to study the in vivo bioavailability of the compound of formula (I-a), a study in male beagle dogs was performed. 30 The bioavailability of the compound of formula (I-a) after oral administration was compared with the bioavailability of the free base after intravenous administration. The formulation used for intravenous administration was a 75 % PEG 400/25 % sterile water solution of (E) 4-[[4-[[4-(2-cyanoethenyl)-2,6-dimethylphenyl]amino]-2 35 pyrimidinyl]amino]benzonitrile free base administered at a dose of 1.25 mg/kg. The formulations used for oral administration were : WO 2006/024668 PCT/EP2005/054342 -38 - a PEG 400 solution of (E) 4-[[4-[[4-(2-cyanoethenyl)-2,6-dimethylphenyl]amino]-2 pyrimidinyl]amino]benzonitrile free base (group I); - a capsule (size 0; red cap-red body) containing 7.67 % (w/w) of 4-[[4-[[4-(2 cyanoethenyl)-2,6-dimethylphenyl]amino]-2-pyrimidinyl]amino]benzonitrile (E) free 5 base, 0.18 % (w/w) sodium lauryl sulfate, 0.18 % (w/w) silicon dioxide, 91.97 % (w/w) granulated lactose monohydrate (group II); - a capsule (size 0; red cap-red body) containing 8.36 % (w/w) of a compound of formula (I-a), 0.18 % (w/w) sodium lauryl sulfate, 0.18 % (w/w) silicon dioxide, 91.28 % (w/w) granulated lactose monohydrate (group III). 10 (the % w/w is based on the capsule content) The different formulations were orally administered at a dose level of 5 mg base equivalent/kg. The formulations were prepared based on previously determined body weights of the animals. The exact administered dose was calculated using the body 15 weights just before dosing and amounted on average to 5 mg base equivalent/kg per formulation. Blood samples (4 ml on EDTA) were taken from a jugular vein from the dogs at 0 (= predose), 0.5, 1, 2, 4, 6, 8, 24, 32, 48 and 72 h after dose administration. After 20 sampling, the blood samples were immediately placed on melting ice and protected from light. Blood samples were centrifuged at approximately 1900 x g for 10 minutes at 5 oC to allow plasma separation. Plasma samples were separated, transferred into a second tube within 2 h after blood sampling and stored at _ -18 0 C until analysis. At all times, samples were protected from light and placed on melting ice or at < -18 0 C. 25 Plasma levels of 4-[[4-[[4-(2-cyanoethenyl)-2,6-dimethylphenyl]amino]-2 pyrimidinyl]amino]benzonitrile (E) were determined using a qualified research LC-MS/MS method. LC-MS/MS analysis was carried out on an API-3000 MS/MS (Applied Biosystems), which was coupled to an HIPLC-pump (Agilent) and 30 autosampler (Interscience). Mean (n = 2) plasma concentrations per formulation and per sampling time were calculated. Peak plasma concentrations (Cmax), corresponding peak times (Tmax) and AUCo-t (where t is the time point corresponding to the last measurable concentration 35 above the quantification limit) were determined. The area under the curve extrapolated to infinity (AUCo-inf) was calculated as the sum of AUCo-t and Ct/p3, where 3 is the elimination rate constant, determined by log-linear regression of the terminal plasma WO 2006/024668 PCT/EP2005/054342 -39 concentration-time data. Mean (n = 2) PK parameters were calculated for all formulations. An estimate of the absolute bioavailability (Fabs) of 4-[[4-[[4-(2 cyanoethenyl)-2,6-dimethylphenyl]amino]-2-pyrimidinyl]amino]benzonitrile (E) was obtained by dividing dose-normalised mean AUCo-inf value after oral administration by 5 dose-normalised mean AUCo-inf value after intravenous administration and this for all oral formulations. The results gathered in the above described study are summarized in Table 3. 10 Table 3: Formulation IV Oral group I Oral group II Oral group III Dose 1.25 mg/kg 5 mg/kg 5 mg/kg 5 mg/kg Time (hour) Mean cone. Mean Cone. Mean Cone. Mean Cone. (ng/ml) (ng/ml) (ng/ml) (n=2) (ng/ml) (n=2) (n=2) (n=2) 0 0.13 644 0.25 696 0.5 582 102 <1.00 57.2 1 482 206 5.19 367 2 426 277 18.9 542 4 315 288 21.2 407 6 241 265 16.2 387 8 129 257 13.4 333 24 114 131 6.68 126 32 70.3 92.7 5.75 136 48 55.5 63.3 2.87 66.1 72 29.5 44.7 <1.00 36.6 Cmax ng/ml 341 21 542 Tmax h 4 4 2
AUCO-
7 2 h 7330 10231 8359 308 (n=1) ng.h/ml AUC-.n 8661 10854 464 11770 10854 464 ng.h/ml III Fabs 31% 1.34% 34.0% WO 2006/024668 PCT/EP2005/054342 -40 From the results above it can be concluded that, when administered as a solid dosage form, the compound of formula (I-a) has a significant better bioavailability than the corresponding free base 4-[[4- [ [4-(2-cyanoethenyl)-2,6-dimethylphenyl]amino]-2 5 pyrimidinyl]amino]benzonitrile (E). The bioavailability is comparable with that of the free base administered as an oral PEG 400 solution. B) The oral bioavailability of the compound of formula (I-a) was also studied in vivo in humans. 10 The healthy subjects received 2 treatments. Treatment A : a 25 mg/ml solution of free base (E) 4-[[4-[[4-(2-cyanoethenyl)-2,6 dimethylphenyl]amino]-2-pyrimidinyl]amino]benzonitrile in 100% PEG 400. 15 Treatment B : a tablet according to composition 2a described hereinabove. In a panel of 12 subjects, each subject received three single doses, each equivalent to 100 mg of the free base (E) 4-[[4- [ [4-(2-cyanoethenyl)-2,6-dimethylphenyl]amino]-2 20 pyrimidinyl]amino]benzonitrile. Each dose was administered on day 1 of the respective treatment period. The subjects (n=12) were randomized to receive single doses of Treatment A under fed conditions, Treatment B in the fasted state and Treatment B under fed conditions 25 during three sessions, each separated by a wash-out period of at least 2 weeks. A 216 hour pharmacokinetic profile for (E) 4-[[4-[[4-(2-cyanoethenyl)-2,6-dimethyl phenyl]amino]-2-pyrimidinyl]amino]benzonitrile in plasma was determined for each session after oral administration of a single 100 mg dose of (E)-4-[[4-[[4-(2 cyanoethenyl)-2,6-dimethylphenyl]amino]-2-pyrimidinyl]amino]benzonitrile base or 30 equivalent. For the determination of plasma (E)-4-[[4-[[4-(2-cyanoethenyl)-2,6 dimethylphenyl]amino]-2-pyrimidinyl]amino]benzonitrile concentrations, blood was drawn predose, and at 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 32, 48, 72, 96, 120, 144, 168 and 216 hours after administration of the study medication (19 samples in total per subject per administration). 35 For each subject, two of the three doses were administered under fed conditions, i.e. a standardized breakfast was consumed within 10 minutes prior to dosing with Treatment A or Treatment B, when the pharmacokinetics were investigated under fed conditions.
WO 2006/024668 PCT/EP2005/054342 -41 For 'fasted' conditions, subjects had to be fasted for at least 10 hours before administration of the investigational drug. They received their first meal at lunch, 4.5 hours after administration of the investigational drug, when the pharmacokinetics were investigated under fasted conditions (Treatment B only). 5 In particular, on day -1, subjects were admitted to the testing facility and fasted overnight for at least 10 hours, except for the intake of water which was allowed until 2 hours before drug intake. For subjects randomized to receive Treatment A or Treatment B under fed conditions, the trial medication was administered within 10 minutes after a 10 standardized breakfast in the testing facility. For subjects randomized to receive Treatment B in the fasted state, the trial medication was taken without food, after an overnight fast of at least 10 hours. The standardized breakfast consisted of four slices of bread, two slices of ham or cheese, butter, jam and two cups of decaffeinated coffee or tea with milk and/or sugar. 15 This meal was ingested within 20 minutes under the supervision of a trial nurse or staff member. For all subjects, trial medication was administered together with approximately 200 mL of water between 9 a.m. and 11 a.m. From 2 hours after dosing, intake of water was allowed for all subjects. Lunch was 20 served 4.5 hours after dosing and dinner was served 10 hours after dosing. After dinner, subjects were allowed to resume their usual diet. The subjects were discharged from the testing facility on Day 2 after the 24 hour post dose pharmacokinetic sample and returned to the facility 8 hours later and again on Days 3, 4, 5, 6, 7, 8 and 10 for further assessments. In more detail: for the 25 determination of plasma (E)-4-[[4-[[4-(2-cyanoethenyl)-2,6-dimethylphenyl]amino]-2 pyrimidinyl]amino]benzonitrile concentrations, blood was drawn predose, and at 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 32, 48, 72, 96, 120, 144, 168 and 216 hours after administration of the study medication (19 samples in total per subject per administration). For each individual subject, there was a time interval of at least 2 weeks between dose 30 administrations. The bioanalysis of (E)-4-[[4-[[4-(2-cyanoethenyl)-2,6-dimethylphenyl]amino]-2 pyrimidinyl]amino]benzonitrile in human plasma was performed by a validated LC MS/MS method. 35 Table 4 gathers the results of the human in vivo study.
WO 2006/024668 PCT/EP2005/054342 -42 Table 4: Pharmacokinetics of (E)-4-[[4-[[4-(2 cyanoethenyl)-2,6 dimethylphenyl]amino]-2 pyrimidinyl]amino]benzonitrile Treatment A Treatment B (mean + SD) fed fed fasted N 12 12 12 Cmax (ng/mL) 372(37) 316(59) 210(119) AUClast (ng.h/mL) 12448 (2688) 10455 (2525) 7421 (2939) AUCo. (ng.h/mL) 12945 (2988) 10905 (2754) 7804 (3101) 5

Claims (6)

1. A pharmaceutical composition comprising a pharmaceutically acceptable carrier and as active ingredient a therapeutically effective amount of a compound of formula (I) H H mN N N CN-CH=CH N N .HC1 L IMC a N-oxide or a stereochemically isomeric form thereof.
2. A pharmaceutical composition according to claim 1 wherein the compound of formula (I) is a compound of formula (I-a) H H N NIN (I-a) CN' N 4 N.HC1 10 - (E)
3. A pharmaceutical composition according to claim 2 wherein the compound of formula (I-a) is polymorphic Form A characterized by X-ray powder diffraction peaks at two-theta positions 9.7±0+ 0.20, 13.5±0+ 0.20 and 15.0±0+ 0.20. 15
4. A pharmaceutical composition according to claim 3 wherein the polymorphic Form A is further characterized by X-ray powder diffraction peaks at two-theta positions
9.10+ 0.20, 11.00+ 0.20, 14.60+ 0.20, 22.00+ 0.20, 25.00+ 0.20, 25.30+ 0.20 and
26.70+ 0.20. 20 5. A pharmaceutical composition according to any one of the preceding claims wherein the composition is suitable for oral administration. 6. A pharmaceutical composition according to any one of the preceding claims wherein 25 the composition is a solid composition. WO 2006/024668 PCT/EP2005/054342 -44 7. A pharmaceutical composition according to any one of the preceding claims further comprising a wetting agent. 5 8. A pharmaceutical composition according to claim 7 wherein the wetting agent is Tween. 9. A pharmaceutical composition according to any one of the preceding claims wherein the composition is in the form of a tablet. 10 10. A pharmaceutical composition according to claim 9 which is film-coated. 11. A pharmaceutical composition according to any one of the preceding claims having the following composition 15 (a) from 5 to 50% of active ingredient; (b) from 0.01 to 5% of a wetting agent; (c) from 40 to 92% of a diluent; (d) from 0 to 10% of a polymer; (e) from 2 to 10% of a disintegrant; 20 (f) from 0.1 to 5% of a glidant; (g) from 0.1 to 1.5% of a lubricant. 12. A pharmaceutical composition according to any one of the preceding claims provided that the composition does not contain both emtricitabine and tenofovir 25 diisoproxyl fumarate. 13. A pharmaceutical composition according to any one of claims 1 to 11 provided that the composition does not contain one or more nucleoside reverse transcriptase inhibitors and/or one or more nucleotide reverse transcriptase inhibitors. 30 14. A process for preparing a pharmaceutical composition according to any one of the preceding claims comprising the following steps : (i) dry blending the active ingredient and part of the diluent; (ii) preparing a binder solution by dissolving the binder and the wetting agent in 35 the binder solution solvent; (iii) spraying the binder solution obtained in step (ii) on the mixture obtained in step (i); WO 2006/024668 PCT/EP2005/054342 -45 (iv) drying the wet powder obtained in step (iii) followed by sieving and optionally mixing; (v) mixing the remaining part of the diluent, the disintegrant and the optional glidant in the mixture obtained in step (iv); 5 (vi) optionally adding the lubricant to the mixture obtained in step (v); (vii)compressing the mixture obtained in step (vi) into a tablet; (viii)optionally film-coating the tablet obtained in step (vii). 15. Use of a compound of formula (I) as defined in claim 1 or formula (I-a) as defined 10 in claim 2 for the manufacture of a composition according to any one of claims 1 to 13 for the treatment or the prevention of HIV infection. 16. Process for the preparation of a compound of formula (I) as defined in claim 1 characterized by reacting the corresponding free base with hydrochloric acid in the 15 presence of a suitable acid. 17. Process according to claim 16 wherein the suitable acid is acetic acid.
AU2005279158A 2004-09-02 2005-09-02 Hydrochloride of 4-[[4-[[4-(2-cyanoethenyl)-2,6-dimethylphenyl]amino]-2-pyrimidinyl] amino]benzonitrile Active 2026-12-23 AU2005279158C1 (en)

Applications Claiming Priority (7)

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MYPI20043578 2004-09-02
MYPI20043578A MY169670A (en) 2003-09-03 2004-09-02 Combinations of a pyrimidine containing nnrti with rt inhibitors
AUPCT/EP2004/052028 2004-09-03
PCT/EP2004/052028 WO2005021001A1 (en) 2003-09-03 2004-09-03 Combinations of a pyrimidine containing nnrti with rt inhibitors
EP05101467 2005-02-25
EP05101467.8 2005-02-25
PCT/EP2005/054342 WO2006024668A1 (en) 2004-09-02 2005-09-02 Hydrochloride of 4-[[4-[[4-(2-cyanoethenyl)-2,6-dimethylphenyl]amino]-2-pyrimidinyl] amino]benzonitrile

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MY169670A (en) 2003-09-03 2019-05-08 Tibotec Pharm Ltd Combinations of a pyrimidine containing nnrti with rt inhibitors
CN103877091A (en) * 2006-01-20 2014-06-25 泰博特克药品有限公司 Long Term Treatment Of Hiv Infection With Tcm278
CL2008000746A1 (en) 2007-03-14 2008-09-22 Tibotec Pharm Ltd PHARMACEUTICAL COMPOSITION IN SOLUTION INCLUDING TMC278 AND A WATER SOLUBLE POLYMER; PREPARATION PROCESS OF SUCH COMPOSITION; AND USE OF A POWDER UNDERSTANDING TMC278 TO TREAT AIDS.
AU2008262031B2 (en) * 2007-06-08 2011-08-25 Boehringer Ingelheim International Gmbh Extended release formulation of nevirapine
ES2437331T3 (en) * 2007-07-12 2014-01-10 Janssen R&D Ireland Crystalline form of 4 - [[4 - [[4- (2-cyanoetenyl) -2,6-dimethylphenyl] amino] -2-pyrimidinyl] amino] benzonitrile
MX367937B (en) 2010-01-27 2019-09-12 Viiv Healthcare Co Antiviral therapy.
US10857102B2 (en) 2010-11-19 2020-12-08 Gilead Sciences, Inc. Therapeutic compositions comprising rilpivirine HCL and tenofovir disoproxil fumarate
WO2012125993A1 (en) 2011-03-17 2012-09-20 Teva Pharmaceutical Industries Ltd. Solid state forms of rilpivirine base, and rilipivirine salts
ES2680146T3 (en) * 2011-09-16 2018-09-04 Hetero Research Foundation Rilpivirine Hydrochloride
EP2604593A1 (en) * 2011-12-14 2013-06-19 Sandoz AG Polymorph of Rilpivirine hydrochloride and its use as antiviral
WO2013087794A1 (en) * 2011-12-14 2013-06-20 Sandoz Ag Polymorph of rilpivirine hydrochloride and its use as antiviral
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KR20070074555A (en) 2007-07-12
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