AU2008200368A1 - Solid pharmaceutical compositions comprising a S1P receptor agonist and a sugar alcohol - Google Patents

Description

Australian Patents Act 1990 Regulation 3.2 ORIGINAL COMPLETE SPECIFICATION STANDARD PATENT Invention Title "Solid pharmaceutical compositions comprising a SIP receptor agonist and a sugar alcohol" The following statement is a full description of this invention, including the best method of performing it known to me/us:- Q:\OPER\MJC\30476273 div 024 doc 00 -1- S SOLID PHARMACEUTICAL COMPOSITIONS COMPRISING A SIP RECEPTOR AGONST AND A SUGAR ALCOHOL This is a divisional of Australian Patent Application No. 2004228929, the entire contents of N which are incorporated herein by reference.

00 The present invention relates to pharmaceutical compositions comprising a sphingosine-1 tNO phosphate receptor agonist. Sphingosine-1 phosphate (hereinafter "S1P") is a natural serum lipid. Presently there are 8 known S1P receptors, namely S1P1 to S1P8. S1P receptor S agonists have accelerating lymphocyte homing properties.

CNl S1P receptor agonists are immunomodulating compounds which elicit a lymphopenia resulting from a re-distribution, preferably reversible, of lymphocytes from circulation to secondary lymphatic tissue, evoking a generalized immunosuppression. Naive cells are sequestered, CD4 and CD8 T-cells and B-cells from the blood are stimulated to migrate into lymph nodes (LN) and Peyer's patches and thus infiltration of cells into transplanted organs is inhibited.

The various known S1P receptor agonists show structural similarities, which result in related problems in providing a suitable formulation. In particular, there is a need for an S1P receptor agonist containing formulation which is well-adapted for oral administration in a solid form, e.g. as a tablet or capsule.

Accordingly, the present invention provides a solid pharmaceutical composition suitable for oral administration, comprising a S1P receptor agonist and a sugar alcohol.

It has surprisingly been found that solid compositions comprising a sugar alcohol provide formulations which are particularly well suited to the oral administration of S1P receptor agonists. The compositions provide a convenient means of systemic administration of S1 P receptor agonists, do not suffer from the disadvantages of liquid formulations for injection or oral use, and have good physicochemical and storage properties. In particular, the compositions of the present invention may show a high level of uniformity in the distribution of the S1P receptor agonist throughout the composition, as well as high stability. The compositions of the invention may be manufactured on high speed automated equipment, and thus do not require hand encapsulation.

-2- 00 S1P receptor agonists are typically sphingosine analogues, such as 2-substituted 2-aminopropane-1,3-diol or 2-amino-propanol derivatives. Examples of appropriate S1P receptor agonists are, for example: Compounds as disclosed in EP627406A1, e.g.a compound of formula I 00 H 2 0R 3

R

4 RsN H 2 0OR

R

1 O R 00 wherein R, is a straight- or branched (C 12 2 2 )carbon chain which may have in the chain a bond or a hetero atom selected from a double bond, a triple bond, 0, S, NRe, wherein Re is H, alkyl, aralkyl, acyl or alkoxycarbonyl, and carbonyl, and/or which may have as a substituent alkoxy, alkenyloxy, alkynyloxy, aralkyloxy, acyl, alkylamino, alkylthio, acylamino, alkoxycarbonyl, alkoxycarbonylamino, acyloxy, alkylcarbamoyl, nitro, halogen, amino, hydroxyimino, hydroxy or carboxy; or

R

1 is a phenylalkyl wherein alkyl is a straight- or branched (C 20 )carbon chain; or a phenylalkyl wherein alkyl is a straight- or branched (C.-o 3 )carbon chain wherein said phenylalkyl is substituted by a straight- or branched (C 620 )carbon chain optionally substituted by halogen, a straight- or branched (C6-20)alkoxy chain optionally substitued by halogen, a straight- or branched (C 6 phenylalkoxy, halophenylalkoxy, phenylalkoxyalkyl, phenoxyalkoxy or phenoxyalkyl, cycloalkylalkyl substituted by C 6 20 alkyl, heteroarylalkyl substituted by C 6 20 alkyl, heterocyclic C6- 20 alkyl or heterocyclic alkyl substituted by C 2 20 alkyl, and wherein the alkyl moiety may have -3- 00 in the carbon chain, a bond or a heteroatomn selected from a double bond, a triple bond, 0, S, sulfinyl, sulfonyl, or NR 6 wherein Re is as defined above, and S as a substituent alkoxy, alkenyloxy, alkynyloxy, aralkyloxy, acyl, alkylamino, alkylthio, y acylamino, alkoxycarbonyl, alkoxycarbonylamino, acyloxy, alkylcarbamoyl, nitro, halogen, amino, hydroxy or carboxy, and 00 each of R 2

R

3

R

4 and R 5 independently, is H, C,.4 alkyl or acyl \O M ,or a pharmaceutically acceptable salt thereof; Compounds as disclosed in EP 1002792A1, e.g. a compound of formula II 00

CH

2

OR'

3

O

II

R',R'

5 NC-(CH 2)2 2c-CC 2 I

CH,

2 0R', wherein m is 1 to 9 and each of R' 2

R'

3

R'

4 and R' 5 independently, is H, alkyl or acyl, or a pharmaceutically acceptable salt thereof; Compounds as disclosed in EP0778263 Al, e.g. a compound of formula Ill N" R"1 R"2 I

Y

W -C-Z 2

II

Ix (CH,)m.OR", wherein W is H; C,.6alkyl, C 2 .6alkenyl or C 24 alkynyl; unsubstituted or by OH substituted phenyl; R"40(CH 2 or C 1 .ealkyl substituted by 1 to 3 substituents selected from the group consisting of halogen, C,,cycloalkyl, phenyl and phenyl substituted by OH; X is H or unsubstituted or substituted straight chain alkyl having a number p of carbon atoms or unsubstituted or substituted straight chain alkoxy having a number of carbon atoms, e.g. substituted by 1 to 3 substitutents selected from the group consisting of C1- alkyl, OH, Ci.ealkoxy, acyloxy, amino, C 1 .ealkylamino, acylamino, oxo, haloC 1 .6alkyl, halogen, unsubstituted phenyl and phenyl substituted by 1 to 3 substituents selected from the group consisting of C.ealkyl, OH, Cl.ealkoxy, acyl, acyloxy, amino, C 16 salkylamino, acylamino, haloC,.ealkyl and halogen; Y is H, C 10 alkyl, OH, C, 4 alkoxy, acyl, acyloxy, amino, C1.

6 alkylamino, acylamino, haloC 1 4 alkyl or halogen, Z 2 is a single bond or a straight chain alkylene having a number or carbon atoms of q, 00 0 each of p and q, independently, is an integer of 1 to 20, with the proviso of 6<p+q 23, m' is 1, 2 or 3, n is 2 or 3, each of R"i, R" 2

R"

3 and R" 4 independently, is H, C 1 4alkyl or acyl, C or a pharmaceutically acceptable salt thereof, Compounds as disclosed in W002/18395, e.g. a compound of formula IVa or IVb 00 oO M| R fCH 2

R

3 b R 8 0CH RHa R a 3b I C (R2) 2

N/C-CH,

2 P =0 (R2a) 2 N C-CH 2 P O

SCH

2 R, H 2 Rib CH or CH,

(CH

2

),CH

3 IVa

Y,-R

4 a IVb wherein Xa is O, S, NRis or a group -(CH 2 which group is unsubstituted or substituted by 1 to 4 halogen; n, is 1 or 2, R1, is H or (C.4)alkyl, which alkyl is unsubstituted or substituted by halogen; Ra is H, OH, (Ci.)alkyl or O(C 1 4)alkyl wherein alkyl is unsubstituted or substituted by 1 to 3 halogen; Rib is H, OH or (C.4)alkyl, wherein alkyl is unsubstituted or substituted by halogen; each R2a is independently selected from H or (C.4)alkyl, which alkyl is unsubstituted or substitued by halogen; R 3 a is H, OH, halogen or O(Cl.)alkyl wherein alkyl is unsubstituted or substituted by halogen; and R3b is H, OH, halogen, (C.4)alkyl wherein alkyl is unsubstituted or substituted by hydroxy, or O(C 1 .4)alkyl wherein alkyl is unsubstituted or substituted by halogen; Ya is O or S, and R 4 a is (C4- 14)alkyl or (C 4 -14)alkenyl; or a pharmaceutically acceptable salt or hydrate thereof; Compounds as disclosed in WO 02/076995, e.g. a compound of formula V Ric R4cRacN (CH,)m,-XcR 2 c V

RC

wherein me is 1, 2 or 3; Xc is O or a direct bond; 00 R1, is H; C1- alkyl optionally substituted by OH, acyl, halogen, C3-locycloalkyl, phenyl or hydroxy-phenylene; C 26 alkenyl; C 2 -6alkynyl; or phenyl optionally substituted by OH;

R

2 1 is

OR

iiOR 6 v 000 IND wherein R5, is H or C 14 alkyl optionally substituted by 1, 2 or 3 halogen atoms, and R 6

C

is H or C 1 -4alkyl optionally substituted by halogen; C]each of R 3 and R4, independently, is H, C 1 -4alkyl optionally substituted by halogen, or acyl, 00 C) and ci R, is C 13 2 Dalkyl which may optionally have in the chain an oxygen atom and which may optionally be substituted by nitro, halogen, amino, hydroxy or carboxy; or a residue of formula (a)

-(OH

2 24

O

Bac wherein is H, C 1 4.alkyl or C 1 -4alkoxy, and R 8 C is substituted Cl.

20 alkanoyl, phenylCl.

14 alkyl wherein the C 1 14 alkyl is optionally substituted by halogen or OH, cycloalkylCl.

14 alkoxy or phenylCI.

14 alkoxy wherein the cycloalkyl or phenyl ring is optionally substituted by halogen, C 14 alkyl and/or C 1 4alkoxy, phenylCl.

14 alkoxy-

C

1 14 alkyl, phenOXYC.- 14 alkoxy or phenoxyC.

14 alkyl, R, being also a residue of formula wherein R 8 C is C 114 alkoxy when R 1 r is C 14 alkyl, 0 2 .6alkenyl or C 2 -6alkynyl, or a compound of formula VI

ROUR

3 N I CH 2 )nx VI

CH

2 '0R.

2 x R 6 x wherein nx is 2, 3or 4

R

1 is H; C 1 -6alkyl optionally substituted by OH, acyl, halogen, cycloalkyl, phenyl or hydroxy-phenylene; C 2 '6alkenyl; C 2 .6alkynyl; or phenyl optionally substituted by OH; -6- 00 0 N R2x is H, C.4 alkyl or acyl each of R 3 and R4x, independently is H, C, alkyl optionally substituted by halogen or acyl,

R

5 x is H, C 14 alkyl or Ci.

4 alkoxy, and Rex is C1- 20 alkanoyl substituted by cycloalkyl; cyloalkylC 1 .44alkoxy wherein the cycloalkyl ring is optionally substituted by halogen, C 1 4alkyl and/or C14alkoxy; phenylCl.

14 alkoxy 00 \0 wherein the phenyl ring is optionally substituted by halogen, C.

4 alkyl and/or C,.alkoxy, Rex being also C 4 -1 4 alkoxy when R 1 is C24alkyl substituted by OH, or pentyloxy or hexyloxy when Rix is C 14 akyl, 00 provided that Rex is other than phenyl-butylenoxy when either RSx is H or Rix is methyl, or a pharmaceutically acceptable salt thereof; Compounds as disclosed in W002/06268AI, e.g. a compound of formula VII NRdR2d R 6 d R 7 d

R

4 d (C H X- Yd-Rs

VII

RdO wherein each of Rid and R2d, independently, is H or an amino-protecting group; R3d is hydrogen, a hydroxy-protecting group or a residue of formula P ORg

-P<O°

0

R

4 d is lower alkyl; nd is an integer of 1 to 6; Xd is ethylene, vinylene, ethynylene, a group having a formula D-CH 2 (wherein D is carbonyl, CH(OH)-, O, S or aryl or aryl substituted by up to three substitutents selected from group a as defined hereinafter; Yd is single bond, Ci-ioalkylene, C 1 .ioalkylene which is substituted by up to three substitutents selected from groups a and b, C 1 oalkylene having 0 or S in the middle or end of the carbon chain, or C 1 i.

0 alkylene having 0 or S in the middle or end of the carbon chain which is substituted by up to three substituents selected from groups a and b; is hydrogen, cycloalkyl, aryl, heterocycle, cycloalkyl substituted by up to three substituents selected from groups a and b, aryl substituted by up to three substituents selected from groups a and b, or heterocycle substituted by up to three substituents selected from groups a and b; -7- 00 CN each of Rsd and R7d, independently, is H or a substituent selected from group a; each of Rsd and R9d, independently, is H or C-4alkyl optionally substituted by halogen; <group a is halogen, lower alkyl, halogeno lower alkyl, lower alkoxy, lower alkylthio, CN carboxyl, lower alkoxycarbonyl, hydroxy, lower aliphatic acyl, amino, mono-lower alkylamino, di-lower alkylamino, lower aliphatic acylamino, cyano or nitro; and 0 0 <group b is cycloalkyl, aryl, heterocycle, each being optionally substituted by up to three S substituents selected from group a; with the proviso that when R5d is hydrogen, Yd is a group exclusive of single bond and linear 00 C1.10 alkylene, or a pharmacologically acceptable salt or ester thereof; -Compounds as disclosed in JP-14316985 (JP2002316985), e.g. a compound of formula

VIII:

NR eR2e RB2 X-Y-Rse

R

4 e

(CH

2 )n

VIII

RaeO

R

7 e wherein RiR 2 e,R 3 e,R 4 e,Re,Ree,R 7 e, ne, Xe and Ye are as disclosed in JP-14316985; or a pharmacologically acceptable salt or ester thereof; -Compounds as disclosed in WO 03/29184 and WO 03/29205, e.g. compounds of formula

IX

R- ,R 3 f NH 2 R,

CHOR

4

IX

R

2 f (CH 2

CH

2 wherein Xf is O or S, and Ri, R2,, R 3 y and nf are as disclosed in WO 03/29184 and 03/29205, each of R 4 f and Rs5, independently is H or a residue of formula II <OR 0 wherein each of Re 8 and Ref, independently, is H or C 1 4 alkyl optionally substituted by halogen; e.g. 2 -amino-2-[4-(3-benzyloxyphenoxy)-2-chlorophenyl]propyl-1,3-propane-diol or 2-amino-2-[4-(benzyloxyphenylthio)-2- chlorophenyl]propyl-1,3-propane-diol, or a pharmacological salt thereof.

-Compounds as disclosed in W003/062252A1, e.g. a compound of formula X 00 R3g (Rg)0

S(CH

2 )ng Ar ~A (CH 2 )mg Rigx R1 B

X

00 IO wherein Ar is phenyl or naphthyl; each of mg and ng independently is 0 or 1; A is selected from S COOH, PO3H2, PO2H, SO3H, PO(C1-3alkyl)OH and 1H-tetrazol-5-yl; each of R1 g and R2g 00 independently is H, halogen, OH, COOH or C1-4alkyl optionally substituted by halogen; R3g C-I is H or C1-4alkyl optionally substituted by halogen or OH; each R4g independently is halogen, or optionally halogen substituted C1-4alkyl or C1-3alkoxy; and each of Rg and M has one of the significances as indicated for B and C, respectively, in W003/062252A1; -Compounds as disclosed in WO 03/062248A2, e.g. a compound of formula XI R (RJ)4 X A N Ar.

XI

I. HRh-M

R

2 h wherein Ar is phenyl or naphthyl; n is 2,3 or 4; A is COOH, 1H-tetrazol-5-yl, P03H2, PO2H2, -SO3H or PO(R5h)OH wherein R5h is selected from C1-4alkyl, hydroxyC1-4alkyl, phenyl, CO-C1-3alkoxy and -CH(OH)-phenyl wherein said phenyl or phenyl moiety is opitonally substituted; each of R1h and R2h independently is H, halogen, OH, COOH, or optionally halogeno substituted C1-6alkyl or phenyl; R3h is H or C1-4alkyl optionally substituted by halogen and/ OH; each R4h independently is halogeno, OH, COOH, C1-4alkyl, S(0)0,1 or2C1-3alkyl, C1-3alkoxy, C3-6cycloalkoxy, aryl or aralkoxy, wherein the alkyl portions may optionally be substituted by 1-3 halogens; and each of Rg and M has one of the significances as indicated for B and C, respectively, in W003/062248A2.

According to a further embodiment of the invention, a S1P receptor agonist for use in a combination of the invention may also be a selective S1P1 receptor, e.g. a compound which possesses a selectivity for the S1 P1 receptor over the S1 P3 receptor of at least 20 fold, e.g.

100, 500, 1000 or 2000 fold, as measured by the ratio of EC50 for the S1P1 receptor to the for the S1P3 receptor as evaluated in a 35S-GTPyS binding assay, said compound having an EC50 for binding to the S1P1 receptor of 100 nM or less as evaluated by the GTPyS binding assay. Representative S1P1 receptor agonists are e.g. the compounds listed 00

O

O

in WO 03/061567, the contents of which being incorporated herein by reference, for instance a compound of formula

SNH

00 X 0NH1 S00 OH N OH H O

CH

3

-(CH,

2 0

XIII

In each case where citations of patent applications are given, the subject matter relating to the compounds is hereby incorporated into the present application by reference.

Acyl may be a residue Ry-CO- wherein Ry is C 1 ealkyl, Cmcycloalkyl, phenyl or phenyl-Ci.

4 alkyl. Unless otherwise stated, alkyl, alkoxy, alkenyl or alkynyl may be straight or branched.

When in the compounds of formula I the carbon chain as R 1 is substituted, it is preferably substituted by halogen, nitro, amino, hydroxy or carboxy. When the carbon chain is interrupted by an optionally substituted phenylene, the carbon chain is preferably unsubstituted. When the phenylene moiety is substituted, it is preferably substituted by halogen, nitro, amino, methoxy, hydroxy or carboxy.

Preferred compounds of formula I are those wherein R 1 is C13.20alkyl, optionally substituted by nitro, halogen, amino, hydroxy or carboxy, and, more preferably those wherein R, is phenylalkyl substituted by Ce 14 -alkyl chain optionally substituted by halogen and the alkyl moiety is a C 1 6alkyl optionally substituted by hydroxy. More preferably, R 1 is phenyl-Cl 4 alkyl substituted on the phenyl by a straight or branched, preferably straight, CB.

4 alkyl chain. The C6.

1 ,alkyl chain may be in ortho, meta or para, preferably in para.

Preferably each of R 2 to Rs is H.

A preferred compound of formula I is 2-amino-2-tetradecyl-1,3-propanediol. A particularly preferred S1P receptor agonist of formula I is FTY720, i.e. 2-amino-2-[2-(4-octylphenyl) 00

O

N ethyl]propane-1,3-diol in free form or in a pharmaceutically acceptable salt form (referred to hereinafter as Compound e.g. the hydrochloride, as shown: 00 SHC- OH oO 0 A preferred compound of formula II is the one wherein each of R' 2 to R 5 is H and m is 4, i.e.

00 2-amino-2-{2-[4-(1-oxo-5-phenylpentyl)phenyl]ethyl}propane-1,3-diol, in free form or in 0 pharmaceutically acceptable salt form (referred to hereinafter as Compound e.g the hydrochloride.

A preferred compound of formula III is the one wherein W is CH 3 each of to R" 3 is H, Z 2 is ethylene, X is heptyloxy and Y is H, i.e. 2-amino-4-(4-heptyloxyphenyl)-2-methyl-butanol, in free form or in pharmaceutically acceptable salt form (referred to hereinafter as Compound e.g. the hydrochloride. The R-enantiomer is particularly preferred.

A preferred compound of formula IVa is the FTY720-phosphate (R 2 a is H, R 3 a is OH, Xa is O,

R

1 a and Rlbare OH). A preferred compound of formula IVb is the Compound C-phosphate (R2a is H, R 3 b is OH, Xa is 0, R1, and Rib are OH, Ya is O and R4a is heptyl). A preferred compound of formula V is Compound B-phosphate.

A preferred compound of formula V is phosphoric acid mono-[(R)-2-amino-2-methyl-4-(4pentyloxy-phenyl)-butyl]ester.

A preferred compound of formula VIII is (2R)-2-amino-4-[3-(4-cyclohexyloxybutyl)benzo[b]thien-6-yl]-2-methylbutan-1 -ol.

When the compounds of formulae I to XIII have one or more asymmetric centers in the molecule, the various optical isomers, as well as racemates, diastereoisomers and mixtures thereof are embraced.

Examples of pharmaceutically acceptable salts of the compounds of formulae I to XIII include salts with inorganic acids, such as hydrochloride, hydrobromide and sulfate, salts with organic acids, such as acetate, fumarate, maleate, benzoate, citrate, malate, methanesulfonate and benzenesulfonate salts, or, when appropriate, salts with metals, such as sodium, potassium, calcium and aluminium, salts with amines, such as triethylamine and -11 00

O

S salts with dibasic amino acids, such as lysine. The compounds and salts of the present a invention encompass hydrate and solvate forms.

N Binding to S1 P receptors can be determined according to the following assays.

A. Binding affinity of S1P receptor agonists to individual human S1P receptors 00 .C Transient transfection of human S1P receptors into HEK293 cells 0 S1P receptors and G, proteins are cloned, and equal amounts of 4 cDNAs for the EDG oO receptor, Gi-P and Gi-y are mixed and used to transfect monolayers of HEK293 cells using the calcium phosphate precipitate method Wigler et al., Cell. 1977;11;223 and DS.

Im et al., Mol. Pharmacol. 2000;57;753). Briefly, a DNA mixture containing 25 pg of DNA and 0.25 M CaCI 2 is added to HEPES-buffered 2 mM Na 2

HPO

4 Subconfluent monolayers of HEK293 cells are poisoned with 25 mM chloroquine, and the DNA precipitate is then applied to the cells. After 4 h, the monolayers are washed with phosphate-buffered saline and refed media (90% 1:1 Dulbecco's modified essential media (DMEM):F-12 10% fetal bovine serum). The cells are harvested 48-72 h after addition of the DNA by scraping in HME buffer (in mM: 20 HEPES, 5 MgCl2, 1 EDTA, pH 7.4) containing 10% sucrose on ice, and disrupted using a Dounce homogenizer. After centrifugation at 800xg, the supernatant is diluted with HME without sucrose and centrifuged at 100,000xg for 1h. The resulting pellet is rehomogenized and centrifuged a second hour at 100,000xg. This crude membrane pellet is resuspended in HME with sucrose, aliquoted, and snap-frozen by immersion in liquid nitrogen. The membranes are stored at 70°C. Protein concentration is determined spectroscopically by Bradford protein assay.

GTPyS binding assay using S1P receptor/HEK293 membrane preparations GTPyS binding experiments are performed as described by DS. Im et al., Mol. Pharmacol.

2000; 57:753. Ligand-mediated GTPyS binding to G-proteins is measured in GTP binding buffer (in mM: 50 HEPES, 100 NaCI, 10 MgCI 2 pH 7.5) using 25 pg of a membrane preparation from transiently transfected HEK293 cells. Ligand is added to membranes in the presence of 10 pM GDP and 0.1 nM 3 S]GTPyS (1200 Ci/mmol) and incubated at 30 0 C for min. Bound GTPyS is separated from unbound using the Brandel harvester (Gaithersburg, MD) and counted with a liquid scintillation counter.

-12- 00

O

O

NS The composition of the invention preferably contains 0.01 to 20% by weight of S1 P receptor agonists, more preferably 0.1 to 10%, e.g. 0.5 to 5% by weight, based on the total weight of the composition.

The sugar alcohol may act as a diluent, carrier, filler or bulking agent, and may suitably be 00 mannitol, maltitol, inositol, xylitol or lactitol, preferably a substantially non-hygroscopic sugar S alcohol, e.g. mannitol (D-mannitol). A single sugar alcohol may be used, or a mixture of two 0 or more sugar alcohols, e.g a mixture of mannitol and xylitol, e.g. in a ratio of 1:1 to 4:1.

00 oO O In a particularly preferred embodiment, the sugar alcohol is prepared from a spray-dried composition, e.g. mannitol composition, having a high specific surface area. The use of this type of mannitol composition may assist in promoting uniform distribution of the S1P receptor agonist throughout the mannitol in the compositon. A higher surface area may be achieved by providing a sugar alcohol, e.g. mannitol, preparation consisting of particles having a smaller mean size and/or a rougher surface on each particle. The use of a spraydried sugar alcohol, e.g. mannitol, e.g. with a mean particle size of 300 pm or less, has also been found to improve compressibility and hardness of tablets formed from the composition.

Preferably the single point surface area of the sugar alcohol preparation, e.g. mannitol, is 1 to 7 m2/g, e.g. 2 to 6 m 2 /g or 3 to 5 m 2 The mannitol preparation may suitably have a mean particle size of 100 to 300 pm, e.g. 150 to 250 pm and a bulk density of 0.4 to 0.6 g/mL, e.g. 0.45 to 0.55 g/mL. A suitable high surface area mannitol is Parteck M200, available commercially from E. Merck.

The composition preferably contains 75 to 99.99% by weight of the sugar alcohol, more preferably 85 to 99.9%, e.g 90 to 99.5% by weight, based on the total weight of the composition.

The composition preferably further comprises a lubricant. Suitable lubricants include stearic acid, magnesium stearate, calcium stearate, zinc stearate, glyceryl palmitostearate, sodium stearyl fumarate, canola oil, hydrogenated vegetable oil such as hydrogenated castor oil Cutina® or Lubriwax® 101), mineral oil, sodium lauryl sulfate, magnesium oxide, colloidal silicon dioxide, silicone fluid, polyethylene glycol, polyvinyl alcohol, sodium benzoate, talc, poloxamer, or a mixture of any of the above. Preferably the lubricant -13- 00

O

S comprises magnesium stearate, hydrogenated castor oil or mineral oil. Colloidal silicon dioxide and polyethylene glycol are less preferred as the lubricant.

The composition preferably contains 0.01 to 5% by weight of the lubricant, more preferably 1 to 3% by weight, e.g. about 2% by weight, based on the total weight of the composition.

00 OO Mq The composition may comprise one or more further excipients such as carriers, binders or diluents. In particular, the composition may comprise microcrystalline cellulose (e.g.

00 Avicel®), methylcellulose, hydroxypropylcellulose, hydroxypropylmethylcellulose, starch (e.g.

0 corn starch) or dicalcium phosphate, preferably in an amount of from 0.1 to 90 by weight, e.g. 1 to 30% 'by weight, based on the total weight of the composition. Where a binder, e.g.

microcrystalline cellulose, methylcellulose, hydroxypropyl cellulose, hydroxypropylmethyl cellulose is used, it is preferably included in an amount of 1 to 8 e.g. 3 to 6% by weight, based on the total weight of the composition. The use of a binder increases the granule strength of the formulation, which is particularly important for fine granulations.

Microcrystalline cellulose and methylcellulose are particularly preferred where a high tablet hardness and/or longer disintegration time is required. Hydroxypropyl cellulose is preferred where faster distintegration is required. Where appropriate, xylitol may also be added as an additional binder, for example in addition to microcrystalline cellulose, e.g. in an amount up to 20% by weight of the sugar alcohol, e.g. xylitol.

In one embodiment, the composition further comprises a stabiliser, preferably glycine HCI or sodium bicarbonate. The stabiliser may be present in an amount of e.g. 0.1 to preferably 1 to 20% by weight.

The composition may be in the form of a powder, granule or pellets or a unit dosage form, for example as a tablet or capsule. The compositions of the present invention are welladapted for encapsulation into an orally administrable capsule shell, particularly a hard gelatin shell.

Alternatively the compositions may be compacted into tablets. The tablets may optionally be coated, for instance with talc or a polysaccharide cellulose) or hydroxypropylmethylcellulose coating.

-14- 00

O

O

Where the pharmaceutical capsule is in unit dosage form, each unit dosage will suitably contain 0.5 to 10 mg of the S1P receptor agonist.

ct C The compositions of the invention may show good stability characteristics as indicated by standard stability trials, for example having a shelf life stability of up to one, two or three 00 years, and even longer. Stability characteristics may be determined, e.g. by measuring S decomposition products by HPLC analysis after storage for particular times, at particular 0 temperatures, e.g. 200, 400 or 600C.

00 O0 O The pharmaceutical compositions of the present invention may be produced by standard processes, for instance by conventional mixing, granulating, sugar-coating, dissolving or lyophilizing processes. Procedures which may be used are known in the art, e.g. those described in L. Lachman et al. The Theory and Practice of Industrial Pharmacy, 3rd Ed, 1986, H. Sucker et al, Pharmazeutische Technologie, Thieme, 1991, Hagers Handbuch der pharmazeutischen Praxis, 4th Ed. (Springer Verlag, 1971) and Remington's Pharmaceutical Sciences, 13th Ed., (Mack Publ., Co., 1970) or later editions.

In one aspect, the present invention relates to a process for producing a pharmaceutical composition, comprising: mixing an S1P receptor agonist with a sugar alcohol; milling and/or granulating the mixture obtained in and mixing the milled and/or granulated mixture obtained in with a lubricant.

By using this process, a preparation having a good level of content and blend uniformity (i.e.

a substantially uniform distribution of the S1P receptor agonist throughout the composition), dissolution time and stability is obtained.

The S1P receptor agonist, e.g. 2-amino-2-[2-(4-octylphenyl)ethyl]propane-1,3-diol, hydrochloride, may optionally be micronized, and/or pre-screened, e.g. with a 400 to 500 pm mesh screen, before step in order to remove lumps. The mixing step may suitably comprise blending the S1P receptor agonist and the sugar alcohol, e.g. mannitol in any suitable blender or mixer for e.g. 100 to 400 revolutions.

0 oO The process may be carried out by dry mixing the components. In this embodiment the milling step may suitably comprise passing the mixture obtained in through a screen, 1 which preferably has a mesh size of 400 to 500 Im. Process step may comprise the step of mixing the total amount of SlP receptor agonist at first with a low amount of sugar alcohol, e.g. from 5 to 25% by weight of the total weight of sugar alcohol, in order to form a 00oO pre-mix. Subsequently the remaining amount of sugar alcohol is added to the pre-mix. Step

INO

Mq may also comprise the step of adding a binder solution, e.g. methylcellulose and/or xylitol, e.g. an aqueous solution, to the mixture. Altemrnatively the binder is added to the mix 00 dry and water is added in the granulation step.

The milled mixture obtained in may optionally be blended once more before mixing with the lubricant. The lubricant, e.g. magnesium stearate, is preferably pre-screened, e.g. with a 800 to 900 pm screen, before mixing.

Alternatively, a wet granulation process is employed. In this embodiment, the S1 P receptor agonist is preferably first dry-mixed with the desired sugar alcohol, e.g. mannitol, and the obtained sugar alcohol/SI P receptor agonist mixture is then dry-mixed with a binder such as hydroxypropyl cellulose or hydroxypropylmethyl cellulose. Water is then added and the mixture granulated, e.g. using an automated granulator. The granulation is then dried and milled.

If desirable, an additional amount of binder may be added in step to the mixture obtained in The process may comprise a further step of tabletting or encapsulating the mixture obtained in e.g. into a hard gelatin capsule using an automated encapsulation device. The capsules may be coloured or marked so as to impart an individual appearance and to make them instantly recognizable. The use of dyes can serve to enhance the appearance as well as to identify the capsules. Dyes suitable for use in pharmacy typically include carotinoids, iron oxides, and chlorophyll. Preferably, the capsules of the invention are marked using a code.

The pharmaceutical compositions of the present invention are useful, either alone or in combination with other active agents, for the treatment and prevention of conditions e.g. as -16- 00 0 O disclosed in US 5,604,229, WO 97/24112, WO 01/01978, US 6,004,565, US 6,274,629 and SJP-14316985, the contents of which are incorporated herein by reference.

ct SIn particular, the pharmaceutical compositions are useful for: 00 a) treatment and prevention of organ or tissue transplant rejection, for example for the

NO

r treatment of the recipients of heart, lung, combined heart-lung, liver, kidney, pancreatic, skin 0 or corneal.transplants, and the prevention of graft-versus-host disease, such as sometimes 00 occurs following bone marrow transplantation; particularly in the treatment of acute or S chronic allo- and xenograft rejection or in the transplantation of insulin producing cells, e.g.

pancreatic islet cells; b) treatment and prevention of autoimmune disease or of inflammatory conditions, e.g.

multiple sclerosis, arthritis (for example rheumatoid arthritis), inflammatory bowel disease, hepatitis, etc.; c) treatment and prevention of viral myocarditis and viral diseases caused by viral mycocarditis, including hepatitis and AIDS.

Accordingly, in further aspects the present invention provides: 1. A composition as defined above, for use in treating or preventing a disease or condition as defined above.

2. A method of treating a subject in need of immunomodulation, comprising administering to the subject an effective amount of a composition as defined above.

3. A method of treating or preventing a disease or condition as defined above, comprising administering to the subject a composition as defined above.

4. Use of a pharmaceutical composition as defined above for the preparation of a medicament for the prevention or treatment of a disease or condition as defined above.

The invention will now be described with reference to the following specific embodiments.

-17- 00

O

O

0 Example 1 Micronized Compound A, e.g. 2-amino-2-[2-(4-octylphenyl)ethyl]propane-1,3-diol, N. hydrochloride salt (FTY720), is screened and 116.7 g of the screened compound is mixed with 9683.3 g mannitol (Parteck M200 from E. Merck). The mixture is then milled in a Frewitt 00 MGI device (Key International Inc. USA) using a 30 mesh screen. Magnesium stearate is M screened using a 20 mesh screen and 200 g of the screened compound blended with the

O

FTY720/mannitol mixture to produce a product composition.

00 0 0 The product composition is then compacted on a tablet press using a 7 mm die to form 120 mg tablets, each containing: Compound A, e.g. FTY720 1.4 mg Mannitol M200 116.2 mg Magnesium stearate 2.4 mg Total 120 mg 1 mg of Compound A in free form is equivalent to 1.12 mg of FTY720.

Example 2 In a further example, the process of example 1 is repeated except that the magnesium stearate is replaced by Cutina® (hydrogenated castor oil).

Example 3 Compound A, e.g. FTY720, and mannitol (Parteck M200 from E. Merck) are each screened separately using an 18 mesh screen. 1.9 g screened FTY720 is mixed with 40 g screened mannitol for 120 revolutions in a blender at 32 rpm. The FTY720/mannitol mixture is then screened through a 35 mesh screen.

The screened FTY720/mannitol mixture is added to a granulator along with a further 340.1 g mannitol and 12 g hydroxypropylcellulose. The mixture is mixed for 3 minutes. Water is then added at a rate of 100 ml/minute and the mixture granulated for 2 minutes. The granulation is transferred into a tray dryer and dried at 50 0 C for 150 minutes.

18- 00

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The mixture is then milled in a Frewitt MGI device using a 35 mesh screen. Magnesium stearate is screened and 6 g of the screened compound is blended for 90 revolutions at 32 rpm with the FTY720/mannitol mixture to produce a product composition showing a substantially uniform distribution of the S1P receptor agonist throughout the mannitol in the 00 blend.

IND

The product composition is then filled into size 3 hard gelatin shells on an Hoflinger Karg 400 encapsulation device. 120 mg of the product composition is added to each capsule.

00 Therefore each capsule contains: FTY720 0.56 mg Mannitol M200 114.04mg Hydroxypropylcellulose 3.6 mg Magnesium stearate 1.8 mg Total 120 mg Example 4 In a further example, the process of example 3 is repeated except that the magnesium stearate is replaced by Cutina® (hydrogenated castor oil).

Example In a further example, the process of example 3 is repeated except that the hydroxypropyl cellulose is replaced by hydroxypropylmethyl cellulose.

Example 6a Micronized Compound A, e.g. FTY720, is screened using a 400 Ipm (40 mesh) screen. 58.35 g of the screened compound is mixed with 4841.65 g mannitol (Parteck M200 from E.

Merck) in a 25L Bohle bin blender for 240 blending revolutions. The mixture is then milled in a Frewitt MGI device using a 400 pm mesh screen, and the milled mixture is blended once more. Magnesium stearate is screened and 100 g of the screened compound is blended with the FTY720/mannitol mixture to produce a product composition showing a substantially uniform distribution of the S1P receptor agonist throughout the mannitol in the blend.

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The product composition is then filled into size 3 hard gelatin shells on an Hoflinger Karg s 400 encapsulation device. 120 mg of the product composition is added to each capsule.

CN Therefore each capsule contains: 00 FTY720* 1.4 mg N Mannitol M200 116.2mg O Magnesium stearate 2.4 mg 00 0 O Total 120 mg Example 6b In an alternative embodiment, capsules are manufactured using the components and in the amounts as described in Example 6a, but the FTY720 is first mixed with 14 mg mannitol (before screening). This mixture is then screened as described above. The screened mixture is then blended with the remaining mannitol and the magnesium stearate is added, followed by additional blending and filling into capsules.

Examples 7 and 8 In further examples, capsules are prepared as described in example 6, except that each capsule contains each component in the following amounts: Example 7 Example 8 FTY720 2.8 mg 5.6 mg Mannitol M200 114.8 mg 112 mg Magnesium stearate 2.4 mg 2.4 mg Total 120 mg 120 mg Examples 9 to 11 In further examples, capsules are prepared as described in examples 6 to 8, except that the magnesium stearate is replaced in each case by Cutina® (hydrogenated castor oil).

Examples 12 to 22 00 00

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O IO 00

(N

In further examples, capsules or tablets are prepared as described in examples 1 to 11, except that FTY720 is replaced in each case by 2-amino-2-{2-[4-(1-oxo-5phenylpentyl)phenyl]ethyl}propane-1,3-diol hydrochloride.

Examples 23 and 24 Capsules containing the following ingredients are prepared, by weighing each component and mixing in a mortar, then filling into capsules: FTY720 D-mannitol Corn starch Avicel® PH101 Hydroxypropylcellulose Talc Lubri wax @101 Total Example 23 5 mg 83.7 mg 24 mg 12 mg 0.3 mg 3 mg 2 mg 130 mg Example 24 1 mg 117 mg 7 mg 3 mg 2 mg 130 mg Examples 25 to 27 Pharmaceutical compositions containing the following ingredients are produced: FTY720 D-mannitol Methylcellulose SM-25 Example 25 5g 991 g 4g Example 26 10g 986 g 4g 1000 g Example 27 100 g 897 g 3g 1000 g Total 1000 g The FTY720 and a proportion of the D-mannitol equal to twice the weight of the FTY720 are mixed in a Microspeed Mixer MS-5 type (Palmer, USA) for 2 minutes at 1200 rpm. The remaining D-mannitol is added to the mixture and mixed for another 2 minutes. 80 or milliliters of 5% methylcellulose SM-25 solution is supplied from a hopper and granulated under the same conditions. The mixture is extruded through a screen with 0.4 mm apertures -21 using an extruder RG-5 type. The extruded material is dried at 65 0 C by a fiuidized-bed granulator STREA I Type (Patheon, Canada) and then sieved through a 24 mesh sieve.

Fine particles which pass through a 60 mesh sieve are removed. The obtained fine granules are filled into capsules by a Zuma capsule-filling machine (100 mg per capsule).

Examples 28 to 31 Tablets containing the following ingredients (in mg) are produced: Example 28 Example 29 Example 30 Example 31 FTY720 1 1 1 1 D-mannitol 62.3 62.3 62.0 62.0 Xylitol* 26.7(5.4) 26.7(5.4) 26.6 26.6 Methylcellulose 0.4 0.4 Microcrystalline 24.0 24.0 cellulose Low-substituted 24.0 24.0 Hydroxypropylcellulose Hydrogenated oil 6.0 6.0 6.0 Total 120.0 120.0 120.0 120.0 The amount of xylitol indicated in brackets was used as a binder.

FTY720, D-mannitol and xylitol are placed in a fluid-bed granulator (MP-01 model, Powrex), mixed for five minutes, and granulated under spray of binder solution, followed by drying till the exhaust temperature reaches 40 0 C. The granulation conditions are as shown below.

Dried powder is passed through a 24-mesh sieve, added to the specified amount of filler and lubricant, and mixed in a mixer (Tubular Mixer, WAB) for three minutes to make the powder for compression.

The resulting powder is compressed by a tabletting machine (Cleanpress correct 12 HUK, Kikushui Seisakusho) with a punch of 7 mm i.d. x 7.5 mm R at a compression force of 9800

N.

Granulation conditions: 00 00 00 0 00 Item Settina Charce-in amount Volume of intake-air Temperature of intake-air Flow rate of spray solution Spray air pressure Spray air volume Volume of binder solution 1170g 50 m 'nir 75 0

C

15 mL/min 15 N/cm 2 30 L/min 351 mL Examples 32 to 39 ablets containing the following ingredients (in mg) are produced: Ex. 32 Ex. 33 Ex. 34 Ex. 35 Ex. 36 Ex. 37 Ex. 38 Ex. 39 FTY720 1 1 1 1 1 1 1 1 D-mannitol 116.6 114.2 104.6 114.2 104.6 116.6 115.4 113 i magnesium 2.4 2.4 2.4 2.4 2.4 stearate glycine HCI 2.4 12 sodium 2.4 12 bicarbonate zinc 2.4 stearate silicone fluid 3.6 mineral oil 6 Total 120.0 120.0 120.0 120.0 120.0 120.0 120.0 120.0 Throughout this specification and the claims which follow, unless the context requires otherwise, the word "comprise", and variations such as "comprises" and "comprising", will be understood to imply the inclusion of a stated integer or step or group of integers or steps but not the exclusion of any other integer or step or group of integers or steps.

The reference in this specification to any prior publication (or information derived from it), or to any matter which is known, is not, and should not be taken as an acknowledgment or admission or any form of suggestion that that prior publication (or information derived from it) or known matter forms part of the common general knowledge in the field of endeavour to which this specification relates.

Claims (6)

1. A solid pharmaceutical composition suitable for oral administration, comprising: a S1P receptor agonist; and 00 OO r M a sugar alcohol. O 00 2. A composition according to claim 1, wherein the S1P receptor agonist comprises 2- O amino-2-[2-(4-octylphenyl)ethyl]propane-1,3-diol or 2-amino-2-{2-[4-(1-oxo-5-phenylpentyl)- phenyl]ethyl}propane-1,3-diol or a pharmaceutically acceptable salt thereof.

3. A composition according to claim 1 or claim 2, wherein the sugar alcohol comprises mannitol.

4. A composition according to any preceding claim, further comprising a lubricant. A composition according to claim 4, wherein the lubricant comprises magnesium stearate. A composition according to any preceding claim, comprising 0.5 to 5% by weight of the S1P receptor agonist.

7. A composition according to any preceding claim, comprising 90 to 99.5% by weight of the sugar alcohol.

8. A composition according to any of claims 4 to 7, comprising 1.5 to 2.5% by weight of the lubricant.

9. A composition according to any preceding claim, in the form of a tablet. A composition according to any of claims 1 to 9 in the form of a capsule.