AU2008252604A1 - Process for the preparation of form A of tegaserod - Google Patents

Process for the preparation of form A of tegaserod Download PDF

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Publication number
AU2008252604A1
AU2008252604A1 AU2008252604A AU2008252604A AU2008252604A1 AU 2008252604 A1 AU2008252604 A1 AU 2008252604A1 AU 2008252604 A AU2008252604 A AU 2008252604A AU 2008252604 A AU2008252604 A AU 2008252604A AU 2008252604 A1 AU2008252604 A1 AU 2008252604A1
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Prior art keywords
tegaserod maleate
polymorphic form
tegaserod
maleate
polymorphic
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AU2008252604A
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Abhay Gaitonde
Dattatrey Kokane
Bindu Manojkumar
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Generics UK Ltd
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Generics UK Ltd
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    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D209/00Heterocyclic compounds containing five-membered rings, condensed with other rings, with one nitrogen atom as the only ring hetero atom
    • C07D209/02Heterocyclic compounds containing five-membered rings, condensed with other rings, with one nitrogen atom as the only ring hetero atom condensed with one carbocyclic ring
    • C07D209/04Indoles; Hydrogenated indoles
    • C07D209/10Indoles; Hydrogenated indoles with substituted hydrocarbon radicals attached to carbon atoms of the hetero ring
    • C07D209/14Radicals substituted by nitrogen atoms, not forming part of a nitro radical
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P1/00Drugs for disorders of the alimentary tract or the digestive system

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  • Organic Chemistry (AREA)
  • Chemical & Material Sciences (AREA)
  • Health & Medical Sciences (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • General Chemical & Material Sciences (AREA)
  • Medicinal Chemistry (AREA)
  • Engineering & Computer Science (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)

Description

WO 2008/142445 PCT/GB2008/050357 PROCESS FOR THE PREPARATION OF FORM A OF TEGASEROD Field of the invention 5 The present invention relates to a process for preparing polymorphic form A of 2-[(5 methoxy-IH-indol-3-yl)methylene]-N-pentylhydrazinecarboxinidamide maleate (tegaserod maleate) of formula (I). NH HN N H
H
3 CO COOH N COOH H 10 The invention further relates to tegaserod maleate form A substantially free of other polymorphic forms and chemical impurities, to compositions comprising tegaserod maleate form A and to the use of said compositions in the treatment of gastrointestinal disorders such as irritable bowel syndrome and heartburn. 15 Background of the invention Tegaserod is a 5-HT 4 receptor partial agonist that is used to treat gastrointestinal disorders such as irritable bowel syndrome, heartburn, bloating, postoperative ileus, abdominal pain and discomfort, epigastric pain, nausea, vomiting, regurgitation, intestinal pseudo 20 obstruction, constipation and gastroesophageal reflux. Tegaserod and a process for its preparation were first described in US 5510353. However, this patent does not disclose any process for the preparation of tegaserod salts. Tegaserod maleate per se is disclosed and its melting point is reported in this patent as 190'C, but the 25 method by which the melting point is determined is not given. Further, there is no disclosure of or claim to any crystalline form.
WO 2008/142445 PCT/GB2008/050357 -2 The Journal of Medicinal Chemistry, 1995, vol. 38, no. 13, pages 2331-2338, also describes a process for preparing tegaserod. According to this publication, 5-methoxy-indole-3 carboxaldehyde was coupled with N-amino-N'-pentyl guanidine hydroiodide in methanol 5 in the presence of concentrated hydrochloric acid to obtain tegaserod. Also described is a process for the preparation of the hydrochloride salt of tegaserod and crystallisation of tegaserod hydrochloride from methanol and diethyl ether. However, information on the crystalline form obtained is not disclosed. 10 From the above it is clear that a process for the preparation of the maleate salt of tegaserod is not reported in US 5510353 or in the Journal of Medicinal Chemistry, 1995, vol. 38, no. 13, pages 2331-2338. The only information available is the melting point of tegaserod maleate, which is reported in US 5510353 as 190'C. Further, there is no disclosure of any crystalline form. 15 Later patents and patent applications show that tegaserod maleate does indeed exist in different polymorphic forms. US 2005/0119328 discloses four polymorphic forms, form I to form IV of tegaserod 20 maleate. None of these forms is the same as form A of tegaserod maleate. WO 2005/014544 describes crystalline form A of tegaserod maleate. There is also disclosed a process for preparing form A, comprising the step of crystallising tegaserod maleate from a solution consisting of an acetate ester and water. Preferred embodiments 25 comprise using ethyl acetate and water, but other solvents that are mentioned include n butyl acetate or isopropyl acetate and water. The application further discloses crystalline form B crystallised from THF and methanol, then recrystallised from ethanol and ether at 90'C. Also disclosed are three crystalline solvate forms namely acetone, isopropanol and ethanol solvates. Form A is identified as being more stable than the other disclosed forms 30 in the presence of heat and water. Form B readily converts to form A when heated. WO 2005/058819 discloses forms B, BI, B2, B3, C, D and E of tegaserod maleate. Also claimed is a process for preparing form A of tegaserod maleate, comprising the steps of WO 2008/142445 PCT/GB2008/050357 -3 dissolving tegaserod maleate in a solvent and recovering the crystalline solid as a precipitate, where the solvent as shown in examples is acetonitrile, butyl lactate, methyl ethyl ketone, sec-butanol, dioxane, methanol/water (20:80), ethanol/water (20:80), isopropanol/water (1:1), isopropanol/water (20:80), acetonitrile/water (1:1), acetonitrile/ 5 water (20:80), chloroform/2-ethoxyethanol (1:1), chloroform/2-ethoxyethanol (25:75), water/2-ethoxyethanol (1:1), n-butanol, water/1-methyl-2-pyrrolidone (75:25), dimethyl sulfoxide, NN-dimethylformamide, 1-methyl-2-pyrrolidone, or NN-dimethylacetamide. There is always a need for alternative methods of preparing compounds for pharmaceutical 10 use in order to provide the skilled person with the optimum tools to prepare pharmaceutical products that are both safe and efficacious. Object of the invention 15 It is an object of the present invention to provide a novel process for preparing polymorphic form A of tegaserod maleate that is substantially free of other polymorphic forms and chemical impurities. Summary of the invention 20 According to a first aspect of the present invention, there is provided a process for preparing polymorphic form A of tegaserod maleate, comprising the steps of: (a) dissolving tegaserod maleate or tegaserod and maleic acid in an alcohol; (b) adding ether to precipitate tegaserod maleate; and 25 (c) isolating the precipitated tegaserod maleate. In step (a) either tegaserod maleate or tegaserod and maleic acid can be used. Preferably tegaserod maleate is used. 30 The alcohol used in step (a) is preferably a C,- alcohol, which may be selected from the non-exhaustive group comprising methanol, ethanol, n-propanol, isopropanol, n-butanol, sec-butanol, isobutanol, and mixtures thereof. Preferably the alcohol used in step (a) is WO 2008/142445 PCT/GB2008/050357 -4 methanol. Preferably, the alcohol is used in step (a) at reflux temperature. Preferably, the alcohol is heated in step (a) until a clear solution is obtained. In a preferred embodiment, the ether used in step (b) is tert-butyl methyl ether (TBME). 5 In alternative embodiments, the ether can be selected from the non-exhaustive group comprising diisopropyl ether (DIPE), diethyl ether (DEE), tetrahydrofuran (THF), dioxane, dimethoxyethane, cyclopentyl methyl ether (CPME), dimethyl ether, diethoxyethane, anisole, and tert-butyl ethyl ether. 10 In another embodiment, in step (c) the precipitate is isolated by filtration. Preferably, the precipitate is isolated by vacuum filtration, more preferably at a temperature of 25-30'C. In a preferred embodiment, the tegaserod maleate polymorphic form A obtained is substantially free of other polymorphic forms. In another preferred embodiment, the 15 tegaserod maleate polymorphic form A obtained is substantially free of chemical impurities. In another embodiment, the tegaserod maleate polymorphic form A is prepared on an industrial scale, preferably in batches of 0.5kg, 1kg, 5kg, 10kg, 50kg, 100kg, 500kg, or more. 20 According to another aspect of the present invention, there is provided polymorphic form A of tegaserod maleate, prepared by a process according to the first aspect of the present invention. Preferably the polymorphic form A of tegaserod maleate is characterized by an X-ray diffraction pattern having peaks at 5.4, 6.0, 6.6 and 10.8 ± 0.2 degree two theta. Preferably the polymorphic form A of tegaserod maleate is characterized by a DSC curve 25 having one endothermic peak at about 185-188 0 C. Preferably the polymorphic form A of tegaserod maleate is substantially free of other polymorphic forms. For the purposes of the present invention, polymorphic form A of tegaserod maleate, which is "substantially free" of other polymorphic forms, comprises less 30 than about 10% by weight of other polymorphic forms of tegaserod maleate, preferably less than about 5%, preferably less than about 4%, preferably less than about 3%, preferably less than about 2%, preferably less than about 1% (as measured by XRPD).
WO 2008/142445 PCT/GB2008/050357 -5 Preferably the polymorphic form A of tegaserod maleate is substantially free of chemical impurities. For the purposes of the present invention, polymorphic form A of tegaserod maleate, which is "substantially free" of chemical impurities, is about 90%, preferably about 95%, preferably about 96%, preferably about 97%, preferably about 98%, preferably about 5 99% or more chemically pure (as measured by HPLC). According to another aspect of the present invention, there is provided polymorphic form A of tegaserod maleate, characterized by an X-ray diffraction pattern having peaks at 5.4, 6.0, 6.6 and 10.8 ± 0.2 degree two theta, substantially free of other polymorphic forms, 10 preferably comprising less than about 10% by weight of other polymorphic forms of tegaserod maleate, preferably less than about 5%, preferably less than about 4%, preferably less than about 3%, preferably less than about 2%, preferably less than about 1% (as measured by XRPD). Preferably the polymorphic form A of tegaserod maleate is substantially free of chemical impurities, i.e. preferably the polymorphic form A of 15 tegaserod maleate is about 90%, preferably about 95%, preferably about 96%, preferably about 97%, preferably about 98%, preferably about 99% or more chemically pure (as measured by HPLC). According to another aspect of the present invention, there is provided polymorphic form 20 A of tegaserod maleate, characterized by an X-ray diffraction pattern having peaks at 5.4, 6.0, 6.6 and 10.8 ± 0.2 degree two theta, substantially free of chemical impurities, preferably wherein the polymorphic form A of tegaserod maleate is about 90%, preferably about 95%, preferably about 96%, preferably about 97%, preferably about 98%, preferably about 99% or more chemically pure (as measured by HPLC). Preferably the polymorphic 25 form A of tegaserod maleate is substantially free of other polymorphic forms, i.e. preferably the polymorphic form A of tegaserod maleate comprises less than about 10% by weight of other polymorphic forms of tegaserod maleate, preferably less than about 5%, preferably less than about 4%, preferably less than about 3%, preferably less than about 2%, preferably less than about 1% (as measured by XRPD). 30 The polymorphic form A of tegaserod maleate according to the present invention may be suitable for use in medicine, preferably for treating a gastrointestinal tract disorder such as irritable bowel syndrome, heartburn, bloating, postoperative ileus, abdominal pain or WO 2008/142445 PCT/GB2008/050357 -6 discomfort, epigastric pain, nausea, vomiting, regurgitation, intestinal pseudo-obstruction, constipation or gastroesophageal reflux. According to another aspect of the present invention, there is provided a composition 5 comprising polymorphic form A of tegaserod maleate according to the present invention and one or more pharmaceutically acceptable excipients. Preferably the composition is suitable for treating a gastrointestinal tract disorder such as irritable bowel syndrome, heartburn, bloating, postoperative ileus, abdominal pain or discomfort, epigastric pain, nausea, vomiting, regurgitation, intestinal pseudo-obstruction, constipation or 10 gastroesophageal reflux. According to another aspect of the present invention, there is provided a method of treating or preventing a gastrointestinal tract disorder, comprising administering a therapeutically of prophylactically effective amount of polymorphic form A of tegaserod 15 maleate according to the present invention to a patient in need thereof. The gastrointestinal tract disorder may be irritable bowel syndrome, heartburn, bloating, postoperative ileus, abdominal pain or discomfort, epigastric pain, nausea, vomiting, regurgitation, intestinal pseudo-obstruction, constipation or gastroesophageal reflux. The patient may be a mammal such as a human. 20 Detailed description of the invention In the pharmaceutical industry, polymorphism control of an active pharmaceutical ingredient (API) is critical, since different polymorphs can have different chemical and 25 physical stability, solubility, morphology, and hygroscopicity. During the manufacturing process, it is often necessary to convert a less stable form to a more stable form. A first aspect of the present invention describes a process for the preparation of polymorphic form A of tegaserod maleate, which is the most stable form. The process of 30 preparing this polymorph is simple and reproducible and results in polymorphic form A of tegaserod maleate substantially free of other polymorphic forms and chemical impurities. Further, the process of the present invention is amenable to scale up and the polymorph has a uniform crystallinity.
WO 2008/142445 PCT/GB2008/050357 -7 For the purposes of this invention, the term "substantially free" means that the polymorphic form A of tegaserod maleate is present at greater than or equal to about 90%. In particular, polymorphic form A of tegaserod maleate, which is "substantially free" of 5 other polymorphic forms, comprises less than about 10% by weight of other polymorphic forms of tegaserod maleate, preferably less than about 5%, preferably less than about 4%, preferably less than about 3%, preferably less than about 2%, preferably less than about 1% (as measured by XRPD). Polymorphic form A of tegaserod maleate, which is "substantially free" of chemical impurities, is about 90%, preferably about 95%, preferably 10 about 96%, preferably about 97%, preferably about 98%, preferably about 99% or more chemically pure (as measured by HPLC). Preferably the process of the present invention comprises the steps of: (a) dissolving tegaserod maleate or tegaserod and maleic acid in an alcohol; 15 (b) adding ether to precipitate tegaserod maleate; and (c) isolating the precipitated tegaserod maleate. It has been found that, when tegaserod maleate is used in step (a), any form of tegaserod maleate may be used as the starting material. The alcohol used in step (a) is preferably a 20 C 14 alcohol, which may be selected from the non-exhaustive group comprising methanol, ethanol, n-propanol, isopropanol, n-butanol, sec-butanol, isobutanol, and mixtures thereof. Preferably the alcohol used in step (a) is methanol. It is further preferred that the tegaserod maleate or the tegaserod and maleic acid are dissolved completely in the alcohol resulting in a clear solution. In this respect, preferably the tegaserod maleate or the tegaserod and 25 maleic acid are dissolved in the alcohol at high temperatures, preferably reflux temperatures. Addition of the ether causes polymorphic form A of tegaserod maleate to precipitate out of solution. The precipitate is pure form A of tegaserod maleate substantially free from other 30 polymorphic forms, typically comprising less than 5% by weight of other polymorphic forms of tegaserod maleate, preferably less than 4%, more preferably less than 3%, more preferably less than 2%, most preferably less than 1%. In a further embodiment, the ether may be selected from the non-exhaustive list comprising tert-butyl methyl ether (TBME), WO 2008/142445 PCT/GB2008/050357 -8 tert-butyl ethyl ether, diisopropyl ether (DIPE), diethyl ether (DEE), tetrahydrofuran (THF), dioxane, dimethoxyethane, cyclopentyl methyl ether (CPME), dimethyl ether, diethoxyethane, and anisole. A number of less commonly used ethers may also be employed in the working of this invention and it is within the skillset of the skilled person 5 to determine the suitability of other ethers without undue experimentation over and above the teaching of this invention. Preferably the ether used in step (b) is not dioxane, 2 methoxyethanol or 2-ethoxyethanol. It will be apparent to the skilled person that isolating the precipitate may be achieved by 10 any of a number of means known in the art. The inventors have found that filtering the precipitate is advantageous. Particularly preferred is filtering the precipitate from the solution at about 25-30'C. Preferably, the precipitate is vacuum filtered at about 25-30'C. Another aspect of the invention is a pharmaceutical composition made by mixing tegaserod 15 maleate prepared according to the first aspect of the invention and one or more pharmaceutically acceptable excipients. It will of course be understood that the number and type of excipients can be varied within the scope of the invention and depend on the type of formulation required. It is well within the skillset of the skilled person to determine the excipients required for a particular composition. 20 Another aspect of the invention is a process for making a pharmaceutical composition, comprising mixing tegaserod maleate according to the invention and one or more excipient(s). Solid pharmaceutical compositions of the present invention comprise the active ingredient tegaserod maleate as prepared by a process according to the invention and 25 one or more excipient(s). Optionally, a further active ingredient can also be present in the composition, preferably an agent that complements or enhances the therapeutic effect of tegaserod; such agents may include 5-HT 3 receptor antagonists, omeprazole, rabeprazole, dipeptidyl peptidase IV (DPP-IV) inhibitors etc. The compositions can be in the form of tablets, pills, powders, lozenges, sachets, soft and hard gelatine capsules, suppositories etc. 30 The dosage form is preferably suitable for oral application. The compositions are preferably formulated in a unit dosage form, each dosage containing about I to about 100 mg, more usually about I to about 6 mg of tegaserod maleate. The term "unit dosage form" refers to physically discrete units suitable as unitary dosages for human subjects and WO 2008/142445 PCT/GB2008/050357 -9 other mammals, each unit containing a predetermined quantity of tegaserod maleate calculated to produce the desired therapeutic effect, in association with one or more suitable pharmaceutical excipient(s). 5 Pharmaceutical excipients for the solid dosage forms comprise in particular binders, disintegrants, diluents and lubricants. Other and further excipients can also be used, depending on the dosage form required. The skilled person is well equipped to determine the quality and quantity of excipient(s) needed without undue experimentation. 10 A further aspect of the invention is a method for the treatment of gastrointestinal tract disorders such as irritable bowel syndrome, heartburn, bloating, postoperative ileus, abdominal pain and discomfort, epigastric pain, nausea, vomiting, regurgitation, intestinal pseudo-obstruction, constipation and gastroesophageal reflux in a subject in need thereof, comprising administering to the subject a therapeutically effective amount of tegaserod 15 maleate or a pharmaceutical composition according to the present invention as described above. A yet further aspect provides the use of a composition comprising a pharmaceutically effective amount of tegaserod maleate form A according to the present invention and one 20 or more pharmaceutically acceptable excipients to treat gastrointestinal tract disorders such as irritable bowel syndrome, heartburn, bloating, postoperative ileus, abdominal pain and discomfort, epigastric pain, nausea, vomiting, regurgitation, intestinal pseudo-obstruction, constipation and gastroesophageal reflux. 25 Examples Preparation of polymorphic form A of tegaserod maleate Tegaserod maleate (2 g) was dissolved in methanol (50 vol) and heated to 66 0 C until a clear 30 solution was obtained. To the clear solution was added tert-butyl methyl ether (50 vol) at 66 0 C. Solid tegaserod maleate precipitated out at this temperature. Then the solution was cooled to 25 0 C within 50-60 minutes. The solid obtained was filtered and dried under vacuum at 35 0 C for 2 hours.
WO 2008/142445 PCT/GB2008/050357 - 10 The product was identified as polymorphic form A of tegaserod maleate by XRPD (peaks at 5.4, 6.0, 6.6 and 10.8 ± 0.2 degree two theta) and by DSC (one endothermic peak at about 185-188'C). 5 Yield = 75%. Polymorphic purity > 99% (as measured by XRPD). Chemical purity > 99% (as measured by HPLC).

Claims (30)

1. A process for preparing polymorphic form A of tegaserod maleate, comprising the steps of: 5 (a) dissolving tegaserod maleate or tegaserod and maleic acid in an alcohol; (b) adding ether to precipitate tegaserod maleate; and (c) isolating the precipitated tegaserod maleate.
2. A process according to claim 1, wherein tegaserod maleate is used in step (a). 10
3. A process according to claim I or 2, wherein the alcohol used in step (a) is methanol.
4. A process according to any one of claims I to 3, wherein the alcohol is used in step 15 (a) at reflux temperature.
5. A process according to any one of claims I to 4, wherein in step (a) the alcohol is heated until a clear solution is obtained. 20
6. A process according to any one of claims I to 5, wherein the ether used in step (b) is tert-butyl methyl ether (TBME), tert-butyl ethyl ether, diisopropyl ether (DIPE), diethyl ether (DEE), tetrahydrofuran (THF), dioxane, dimethoxyethane, cyclopentyl methyl ether (CPME), dimethyl ether, diethoxyethane, or anisole. 25
7. A process according to claim 6, wherein the ether is tert-butyl methyl ether (TBME).
8. A process according to any one of claims I to 7, wherein in step (c) the precipitated tegaserod maleate is recovered by filtration. 30
9. A process according to any one of claims I to 8, wherein the polymorphic form A of tegaserod maleate obtained is substantially free of other polymorphic forms. WO 2008/142445 PCT/GB2008/050357 - 12
10. A process according to any one of claims I to 9, wherein the polymorphic form A of tegaserod maleate obtained is substantially free of chemical impurities.
11. A process according to any one of claims I to 10, wherein the polymorphic form A 5 of tegaserod maleate is prepared on an industrial scale.
12. Polymorphic form A of tegaserod maleate, prepared by a process according to any one of claims I to 11. 10
13. Polymorphic form A of tegaserod maleate according to claim 12, characterized by an X-ray diffraction pattern having peaks at 5.4, 6.0, 6.6 and 10.8 ± 0.2 degree two theta.
14. Polymorphic form A of tegaserod maleate according to claim 12 or 13, characterized by a DSC curve having one endothermic peak at about 185-188'C. 15
15. Polymorphic form A of tegaserod maleate according to any one of claims 12 to 14, substantially free of other polymorphic forms.
16. Polymorphic form A of tegaserod maleate according to claim 15, comprising less 20 than about 10% by weight of other polymorphic forms of tegaserod maleate (as measured by XRPD).
17. Polymorphic form A of tegaserod maleate according to any one of claims 12 to 16, substantially free of chemical impurities. 25
18. Polymorphic form A of tegaserod maleate according to claim 17, wherein the polymorphic form A of tegaserod maleate is 90% or more chemically pure (as measured by HPLC). 30
19. Polymorphic form A of tegaserod maleate, characterized by an X-ray diffraction pattern having peaks at 5.4, 6.0, 6.6 and 10.8 ± 0.2 degree two theta, substantially free of other polymorphic forms. WO 2008/142445 PCT/GB2008/050357 - 13
20. Polymorphic form A of tegaserod maleate according to claim 19, comprising less than about 10% by weight of other polymorphic forms of tegaserod maleate (as measured by XRPD). 5
21. Polymorphic form A of tegaserod maleate, characterized by an X-ray diffraction pattern having peaks at 5.4, 6.0, 6.6 and 10.8 ± 0.2 degree two theta, substantially free of chemical impurities.
22. Polymorphic form A of tegaserod maleate according to claim 21, wherein the 10 polymorphic form A of tegaserod maleate is 90% or more chemically pure (as measured by HPLC).
23. Polymorphic form A of tegaserod maleate according to any one of claims 12 to 22, for use in medicine. 15
24. Polymorphic form A of tegaserod maleate according to any one of claims 12 to 23, for treating a gastrointestinal tract disorder.
25. Polymorphic form A of tegaserod maleate according to claim 24, wherein the 20 gastrointestinal tract disorder is irritable bowel syndrome, heartburn, bloating, postoperative ileus, abdominal pain or discomfort, epigastric pain, nausea, vomiting, regurgitation, intestinal pseudo-obstruction, constipation or gastroesophageal reflux.
26. A composition comprising polymorphic form A of tegaserod maleate according to 25 any one of claims 12 to 25 and one or more pharmaceutically acceptable excipients.
27. A composition according to claim 26, for treating a gastrointestinal tract disorder.
28. A composition according to claim 27, wherein the gastrointestinal tract disorder is 30 irritable bowel syndrome, heartburn, bloating, postoperative ileus, abdominal pain or discomfort, epigastric pain, nausea, vomiting, regurgitation, intestinal pseudo-obstruction, constipation or gastroesophageal reflux. WO 2008/142445 PCT/GB2008/050357 - 14
29. A method of treating or preventing a gastrointestinal tract disorder, comprising administering a therapeutically of prophylactically effective amount of polymorphic form A of tegaserod maleate according to any one of claims 12 to 25 to a patient in need thereof. 5
30. A method according to claim 29, wherein the gastrointestinal tract disorder is irritable bowel syndrome, heartburn, bloating, postoperative ileus, abdominal pain or discomfort, epigastric pain, nausea, vomiting, regurgitation, intestinal pseudo-obstruction, constipation or gastroesophageal reflux.
AU2008252604A 2007-05-17 2008-05-16 Process for the preparation of form A of tegaserod Abandoned AU2008252604A1 (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
IN927MU2007 2007-05-17
IN927/MUM/2007 2007-05-17
PCT/GB2008/050357 WO2008142445A1 (en) 2007-05-17 2008-05-16 Process for the preparation of form a of tegaserod

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2004085393A1 (en) * 2003-03-25 2004-10-07 Hetero Drugs Limited Novel crystalline forms of tegaserod maleate
MY137386A (en) * 2003-07-24 2009-01-30 Novartis Ag Stable modifications of tegaserod hydrogen maleate
KR20060111675A (en) * 2003-12-16 2006-10-27 테바 파마슈티컬 인더스트리즈 리미티드 Polymorphic forms of tegaserod base and salts thereof
US20050272802A1 (en) * 2004-04-22 2005-12-08 Sundaram Venkataraman Process for preparing form I of tegaserod maleate
JP2007514777A (en) * 2004-10-19 2007-06-07 テバ ファーマシューティカル インダストリーズ リミティド Purification of tegaserod maleate
JP2008514734A (en) * 2005-06-22 2008-05-08 テバ ファーマシューティカル インダストリーズ リミティド Polymorph of tegaserod maleate

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