AU2010266342A1 - 3-cyanoquinoline tablet formulations and uses thereof - Google Patents

3-cyanoquinoline tablet formulations and uses thereof Download PDF

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AU2010266342A1
AU2010266342A1 AU2010266342A AU2010266342A AU2010266342A1 AU 2010266342 A1 AU2010266342 A1 AU 2010266342A1 AU 2010266342 A AU2010266342 A AU 2010266342A AU 2010266342 A AU2010266342 A AU 2010266342A AU 2010266342 A1 AU2010266342 A1 AU 2010266342A1
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Ramarao Chatlapalli
Krishnendu Ghosh
Goldi Kaul
Arwinder Nagi
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Wyeth LLC
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/20Pills, tablets, discs, rods
    • A61K9/2072Pills, tablets, discs, rods characterised by shape, structure or size; Tablets with holes, special break lines or identification marks; Partially coated tablets; Disintegrating flat shaped forms
    • A61K9/2077Tablets comprising drug-containing microparticles in a substantial amount of supporting matrix; Multiparticulate tablets
    • 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
    • A61K31/435Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
    • A61K31/47Quinolines; Isoquinolines
    • A61K31/4709Non-condensed quinolines and containing further heterocyclic rings
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/30Macromolecular organic or inorganic compounds, e.g. inorganic polyphosphates
    • A61K47/36Polysaccharides; Derivatives thereof, e.g. gums, starch, alginate, dextrin, hyaluronic acid, chitosan, inulin, agar or pectin
    • A61K47/38Cellulose; Derivatives thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/14Particulate form, e.g. powders, Processes for size reducing of pure drugs or the resulting products, Pure drug nanoparticles
    • A61K9/16Agglomerates; Granulates; Microbeadlets ; Microspheres; Pellets; Solid products obtained by spray drying, spray freeze drying, spray congealing,(multiple) emulsion solvent evaporation or extraction
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/20Pills, tablets, discs, rods
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/20Pills, tablets, discs, rods
    • A61K9/2004Excipients; Inactive ingredients
    • A61K9/2022Organic macromolecular compounds
    • A61K9/2027Organic macromolecular compounds obtained by reactions only involving carbon-to-carbon unsaturated bonds, e.g. polyvinyl pyrrolidone, poly(meth)acrylates
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/20Pills, tablets, discs, rods
    • A61K9/2004Excipients; Inactive ingredients
    • A61K9/2022Organic macromolecular compounds
    • A61K9/2031Organic macromolecular compounds obtained otherwise than by reactions only involving carbon-to-carbon unsaturated bonds, e.g. polyethylene glycol, polyethylene oxide, poloxamers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/20Pills, tablets, discs, rods
    • A61K9/2004Excipients; Inactive ingredients
    • A61K9/2022Organic macromolecular compounds
    • A61K9/205Polysaccharides, e.g. alginate, gums; Cyclodextrin
    • A61K9/2054Cellulose; Cellulose derivatives, e.g. hydroxypropyl methylcellulose
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P35/00Antineoplastic agents

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Abstract

The present invention provides solid compositions comprising a 3-cyanoquinoline, SKI-606, and further comprising croscarmellose sodium.

Description

WO 2011/002857 PCT/US2010/040555 -1 3-CYANOQUINOLINE TABLET FORMULATIONS AND USES THEREOF FIELD OF THE INVENTION The present invention relates to formulations of certain cyanoquinoline compounds. In particular, the invention is directed to stable tablets of a 3 cyanoquinoline compound, 4-(2,4-dichloro-5-methoxy-phenylamino)-6-methoxy-7-[3-(4 5 methyl-piperazin-1-yl)-propoxy]-quinoline-3-carbonitrile, and further comprising the super-disintegrant croscarmellose sodium, a surfactant polyethylene oxide sorbitan monooleate (polysorbate/Polyoxyethylene sorbitan monooleate (Tween-80
TM
), or both BACKGROUND OF THE INVENTION Certain 3-cyanoquinoline compounds and pharmaceutically-acceptable salts thereof, are protein kinase inhibitors and possess anti-tumor activity and are 10 therefore useful for treating certain disease states, such as cancer, that result, at least in part, from deregulation of this receptor. Receptor tyrosine kinases are important in the transmission of biochemical signals, which initiate cell replication. They are large enzymes which span the cell membrane and possess an extracellular binding domain for growth factors such as epidermal growth factor receptor (EGFR) and an intracellular 15 portion which functions as a kinase to phosphorylate tyrosine amino acids in proteins and hence to influence cell proliferation. Various classes of receptor tyrosine kinases are known (Wilks, Advances in Cancer Research, 1993, 60, 43-73) based on families of growth factors, which bind to different receptor tyrosine kinases. The classification includes Class I receptor tyrosine kinases comprising the EGFR family of receptor 20 tyrosine kinases such as the EGFR, TGFa, Neu and erbB receptors, Class || receptor tyrosine kinases comprising the insulin family of receptor tyrosine kinases such as the insulin and IGFI receptors and insulin-related receptor (IRR) and Class Ill receptor tyrosine kinases comprising the platelet-derived growth factor (PDGF) family of receptor tyrosine kinases such as the PDGFa, PDGFO and colony-stimulating factor 1 (CSF1) 25 receptors. It is also known that certain tyrosine kinases belong to a class of non receptor tyrosine kinases which are located intracellularly and are involved in the transmission of biochemical signals such as those that influence tumor cell motility, 30 dissemination and invasiveness and subsequently metastatic tumor growth (Ulkich et WO 2011/002857 PCT/US2010/040555 -2 al., Cell, 1990, 61, 203-212, Bolen et al., FASEB J., 1992, 6, 3403-3409, Brickell et al., Critical Reviews in Oncogenesis, 1992, 3, 401-406, Bohlen et al., Oncogene, 1993, 8 2025-2031, Courtneidge et al., Semin. Cancer Biol., 1994, 5, 239-246, Lauffenburger et al., Cell, 1996, 84, 359-369, Hanks et al., BioEssays, 1996, 19, 137-145, Parsons et al., 5 Current Opinion in Cell Biology, 1997, 9, 187-192, Brown et al., Biochimica et Biophysica Acta, 1996, 1287, 121-149 and Schlaepfer et al., Progress in Biophysics and Molecular Biology, 1999, 71, 435-478). Various classes of non-receptor tyrosine kinases are known including the Src-family such as the Src, Lyn and Yes tyrosine kinases, the Ab family such as Ab and Arg and the Jak family such as Jak 1 and Tyk 2. 10 The 3-cyanoquinoline compound 4-(2,4-dichloro-5-methoxy-phenylamino) 6-methoxy-7-[3-(4-methyl-piperazin-1-yl)-propoxy]-quinoline-3-carbonitrile, also referred to as SKI-606, or bosutinib, is a weak base with an intrinsic solubility of approximately 0.06 pg/mL at pH 8.0. Below pH 8, the solubility of the compound SKI-606 increases 15 exponentially with decreasing pH due to ionization. However, degradation of SKI-606 was observed at low pH aqueous solution (pH 3 and below) through hydrolysis, although the compound is relatively stable at pH higher than 5. Some problems with existing solid formulations of 3-cyanoquinolines 20 include variable dissolution, which appears to depend on the active pharmaceutical ingredient's (API) particle size. Contrary to the norm, the smaller API (Dgo-20 microns) in the Pill formulation appeared to retard dissolution, under similar processing conditions used for the larger API (Dgo-40 microns), as a result failing dissolution specification. This was observed more so with larger tablets (higher strength). 25 In addition, accelerated dissolution characteristic of formulations after aging/storage was also observed at early timepoints (small yet significant shifts on in dissolution on aging at both room temperature and under accelerated conditions). Results are presented in two dissolution methods: the 0.1 N HCI method and the 30 CTAB/pH 5 acetate method, further discussed below The latter method was selected to better show a dissolution profile at timepoints up to 30 minutes, as the 0.1 N HCI method was found to release all drug within the first 10-20 minutes.
WO 2011/002857 PCT/US2010/040555 -3 It would therefore be desirable to provide a stable, solid formulations of 3 cyanoquinoline compounds, such as 4-(2,4-dichloro-5-methoxy-phenylamino)-6 methoxy-7-[3-(4-methyl-piperazin-1 -yl)-propoxy]-quinoline-3-carbonitrile, which is resistant to API particle size variation, and which is more stable during aging and 5 storage, for use in patients. SUMMARY OF THE INVENTION Two innovative techniques disclosed herein: Changing the disintegrant type (and disintegrant ratio) to improve dissolution and stability properties; and replacing 10 poloxamer with liquid surfactants like polyethylene oxide sorbitan monooleate (polysorbate/Polyoxyethylene sorbitan monooleate (Tween-80)), also to improve dissolution and stability properties. In a first embodiment, the present invention provides pharmaceutically 15 acceptable solid compositions of 3-cyanoquinolines comprising 4-(2,4-dichloro-5 methoxy-phenylamino)-6-methoxy-7-[3-(4-methyl-piperazin-1 -yl)-propoxy]-quinoline-3 carbonitrile. In certain embodiments, such solid compositions are provided as a tablet. In some embodiments, the present invention provides a unit dosage form comprising 4 (2,4-dichloro-5-methoxy-phenylamino)-6-methoxy-7-[3-(4-methyl-piperazin-1 -yl) 20 propoxy]-quinoline-3-carbonitrile. The present invention provides a pharmaceutically acceptable composition comprising: (a) 20-80, or 30-80 weight percent of 4-(2,4-dichloro-5-methoxy phenylamino)-6-methoxy-7-[3-(4-methyl-piperazin-1 -yl)-propoxy]-quinoline-3 25 carbonitrile; and (b) 0.1-20 weight percent of one or more wetting agents, as intragranular components, based on the weight of the composition. The present invention provides a pharmaceutically acceptable composition comprising: (a) 25-80, or 30-80 weight percent of 4-(2,4-dichloro-5-methoxy-phenylamino)-6 30 methoxy-7-[3-(4-methyl-piperazin-1-yl)-propoxy]-quinoline-3-carbonitrile; and (b) 0.1-20 weight percent of one or more wetting agents, as an intragranular component, based on the weight of the composition, wherein the intragranular components of the composition further comprise 82.5 weight percent of the composition and the extragranular components comprise 17.5 weight percent of the composition.
WO 2011/002857 PCT/US2010/040555 -4 The present invention provides a pharmaceutically acceptable composition comprising: intragranular components (a) 25-80, or 30-80 weight percent of 4-(2,4 dichloro-5-methoxy-phenylamino)-6-methoxy-7-[3-(4-methyl-piperazin-1 -yl)-propoxy] 5 quinoline-3-carbonitrile; (b) 0.1-5.0 weight percent of one or more binders; (c) 1-25 weight percent of one or more fillers; (d) 0.1-5 weight percent of one or more disintegrants, (e) 0.1-5 weight percent of one or more wetting agents, based on the weight of the composition; and extragranular components (f) 1-25 weight percent of one or more fillers; and (g) 0.1-5 weight percent of one or more lubricants, based on the 10 weight of the composition. The present invention provides a pharmaceutically acceptable composition comprising: intragranular components (a) 25-80, or 30-80 weight percent of 4-(2,4 dichloro-5-methoxy-phenylamino)-6-methoxy-7-[3-(4-methyl-piperazin-1 -yl)-propoxy] 15 quinoline-3-carbonitrile; (b) 0.5-5.0 weight percent of povidone; (c) 1-25 weight percent of microcrystalline cellulose; (d) 0.2-5 weight percent of croscarmellose sodium, (e) 0.5 5 weight percent of poloxamer, based on the weight of the composition; and extragranular components (f) 1-25 weight percent of microcrystalline cellulose; and (g) 0.5-5 weight percent of magnesium stearate, based on the weight of the composition. 20 The present invention provides a pharmaceutically acceptable composition comprising: intragranular components (a) about 69 weight percent of 4-(2,4-dichloro-5 methoxy-phenylamino)-6-methoxy-7-[3-(4-methyl-piperazin-1 -yl)-propoxy]-quinoline-3 carbonitrile; (b) about 2 weight percent of povidone; (c) about 6.5 weight percent of 25 microcrystalline cellulose; (d) about 2 weight percent of croscarmellose sodium; (e) about 3 weight percent of poloxamer, based on the weight of the composition; and extragranular components (f) about 15 weight percent of microcrystalline cellulose; and (g) about 0.5 weight percent of magnesium stearate, based on the weight of the composition. 30 The present invention provides a fast dissolving pharmaceutically acceptable composition comprising: intragranular components (a) 25-80, or 30-80 weight percent of 4-(2,4-dichloro-5-methoxy-phenylamino)-6-methoxy-7-[3-(4-methyl-piperazin-1 -yl) propoxy]-quinoline-3-carbonitrile; (b) 0.5-5.0 weight percent of one or more binders; (c) WO 2011/002857 PCT/US2010/040555 -5 1-25 weight percent of one or more fillers; (d) 0.5-5 weight percent of one or more disintegrants; (e) 0.2-5 weight percent of one or more wetting agents, based on the weight of the composition; and extragranular components (f) 1-25 weight percent of one or more fillers; (g) 0.5-5 weight percent of one or more disintegrants; and (h) 0.5-5 5 weight percent of one or more lubricants, based on the weight of the composition. The present invention provides a fast dissolving pharmaceutically acceptable composition comprising: intragranular components (a) 50-80 weight percent of 4-(2,4 dichloro-5-methoxy-phenylamino)-6-methoxy-7-[3-(4-methyl-piperazin-1 -yl)-propoxy] 10 quinoline-3-carbonitrile; (b) 0.5-5.0 weight percent of povidone; (c) 1-25 weight percent of microcrystalline cellulose; (d) 0.5-5 weight percent of croscarmellose sodium, (e) 0.2 5 weight percent of poloxamer, based on the weight of the composition; and extragranular components (f) 1-25 weight percent of microcrystalline cellulose; (g) 0.5-5 weight percent of croscarmellose sodium; and (h) 0.5-5 weight percent of magnesium 15 stearate, based on the weight of the composition. The present invention provides a pharmaceutically acceptable composition comprising: intragranular components (a) about 69 weight percent of 4-(2,4-dichloro-5 methoxy-phenylamino)-6-methoxy-7-[3-(4-methyl-piperazin-1 -yl)-propoxy]-quinoline-3 20 carbonitrile; (b) about 2 weight percent of povidone; (c) about 6.5 weight percent of microcrystalline cellulose; (d) about 2 weight percent of croscarmellose sodium; (e) about 3 weight percent of poloxamer, based on the weight of the composition; and extragranular components (f) about 15 weight percent of microcrystalline cellulose; (g) about 2 weight percent of croscarmellose sodium; and (h) about 0.5 weight percent of 25 magnesium stearate, based on the weight of the composition. The present invention provides a pharmaceutically acceptable composition comprising: intragranular components (a) 25-80, or 30-80 weight percent of 4-(2,4 dichloro-5-methoxy-phenylamino)-6-methoxy-7-[3-(4-methyl-piperazin-1 -yl)-propoxy] 30 quinoline-3-carbonitrile; (b) povidone; (c) microcrystalline cellulose; (d) 0.2-5 weight percent of croscarmellose sodium, (e) poloxamer, based on the weight of the composition; and extragranular components (f) microcrystalline cellulose; and (g) magnesium stearate.
WO 2011/002857 PCT/US2010/040555 -6 The present invention provides a pharmaceutically acceptable composition comprising: intragranular components (a) about 69 weight percent of 4-(2,4-dichloro-5 methoxy-phenylamino)-6-methoxy-7-[3-(4-methyl-piperazin-1 -yl)-propoxy]-quinoline-3 carbonitrile; (b) povidone; (c) microcrystalline cellulose; (d) about 2 weight percent of 5 croscarmellose sodium; (e) poloxamer, based on the weight of the composition; and extragranular components (f) microcrystalline cellulose; and (g) magnesium stearate. The present invention provides a fast dissolving pharmaceutically acceptable composition comprising: intragranular components (a) 50-80 weight percent of 4-(2,4 10 dichloro-5-methoxy-phenylamino)-6-methoxy-7-[3-(4-methyl-piperazin-1 -yl)-propoxy] quinoline-3-carbonitrile; (b) povidone; (c) microcrystalline cellulose; (d) 0.5-5 weight percent of croscarmellose sodium, (e) poloxamer, based on the weight of the composition; and extragranular components (f) microcrystalline cellulose; (g) 0.5-5 weight percent of croscarmellose sodium; and (h) magnesium stearate, based on the 15 weight of the composition. The present invention provides a pharmaceutically acceptable composition comprising: intragranular components (a) about 69 weight percent of 4-(2,4-dichloro-5 methoxy-phenylamino)-6-methoxy-7-[3-(4-methyl-piperazin-1 -yl)-propoxy]-quinoline-3 20 carbonitrile; (b) povidone; (c) microcrystalline cellulose; (d) about 2 weight percent of croscarmellose sodium; (e) poloxamer, based on the weight of the composition; and extragranular components (f) microcrystalline cellulose; (g) about 2 weight percent of croscarmellose sodium; and (h) magnesium stearate, based on the weight of the composition. 25 The present invention further provides a pharmaceutically acceptable compositions, for instance compositions suitable for pediatric use, comprising as low as about 25 weight percent, 20 weight percent, or even 15 weight percent of 4-(2,4 dichloro-5-methoxy-phenylamino)-6-methoxy-7-[3-(4-methyl-piperazin-1 -yl)-propoxy] 30 quinoline-3-carbonitrile, and about 0.25-5 weight percent, 0.5-5 weight percent, 1-3 weight percent, 3 weight percent, 2 weight percent or 1 weight percent croscarmellose sodium as intragranular components, and about .25-5 weight percent, 0.5-5 weight percent, 1-3 weight percent, 3 weight percent, 2 weight percent or 1 weight percent croscarmellose sodium as an extragranular component, with additional intra- and extra- WO 2011/002857 PCT/US2010/040555 -7 granular components such as those described above comprising the remaining portions of the composition. The present invention further provides a pharmaceutically acceptable 5 compositions comprising 4-(2,4-dichloro-5-methoxy-phenylamino)-6-methoxy-7-[3-(4 methyl-piperazin-1 -yl)-propoxy]-quinoline-3-carbonitrile, and about 0.25-5 weight percent, 0.5-5 weight percent, 1-3 weight percent, 3 weight percent, 2 weight percent or 1 weight percent croscarmellose sodium as intragranular components, and about .25-5 weight percent, 0.5-5 weight percent, 1-3 weight percent, 3 weight percent, 2 weight 10 percent or 1 weight percent croscarmellose sodium as an extragranular component, with additional intra- and extra-granular components such as those described above comprising the remaining portions of the composition. A further embodiment of the invention includes tablets or tablet cores formed by 15 compressing the above granules, wherein said cores are optionally coated by conventional means, for instance with an up to 4 % polymer film coating, said polymer comprised of conventional coating polymers. An exemplary polymer coating is applied using polyvinyl alcohol and PEG 3350 (Opadry red || and Yellow II) 20 The present invention also provides a fast dissolving pharmaceutically acceptable solid compositions comprising 4-(2,4-dichloro-5-methoxy-phenylamino)-6-methoxy-7-[3 (4-methyl-piperazin-1 -yl)-propoxy]-quinoline-3-carbonitrile. The present invention also provides methods of preparing stable, 25 pharmaceutically acceptable solid compositions comprising 4-(2,4-dichloro-5-methoxy phenylamino)-6-methoxy-7-[3-(4-methyl-piperazin-1 -yl)-propoxy]-quinoline-3 carbonitrile. The present invention also provides methods for treating cancer comprising 30 administering to a subject an effective amount of a pharmaceutically acceptable solid compositions comprising 4-(2,4-dichloro-5-methoxy-phenylamino)-6-methoxy-7-[3-(4 methyl-piperazin-1 -yl)-propoxy]-quinoline-3-carbonitrile.
WO 2011/002857 PCT/US2010/040555 -8 The inventive solid compositions of SKI-606 are useful, among other things, for administering to human or animal subjects, including but not limited to pediatric, juvenile, adult and geriatric subjects. 5 In a second embodiment, the present invention provides a pharmaceutically acceptable composition comprising: (a) 25-80 weight percent of 4-(2,4-dichloro-5 methoxy-phenylamino)-6-methoxy-7-[3-(4-methyl-piperazin-1 -yl)-propoxy]-quinoline-3 carbonitrile; and (b) 0.1-20 weight percent of one or more wetting agents, as intragranular and or extragranular components, based on the weight of the composition. 10 The present invention provides a pharmaceutically acceptable composition comprising: intragranular components (a) 25-80 weight percent of 4-(2,4-dichloro-5 methoxy-phenylamino)-6-methoxy-7-[3-(4-methyl-piperazin-1 -yl)-propoxy]-quinoline-3 carbonitrile; (b) 0.5-5.0 weight percent of one or more binders; (c) 1-25 weight percent 15 of one or more fillers; (d) 0.5-5 weight percent of one or more disintegrants, (e) 0.2-5 weight percent of one or more wetting agents, based on the weight of the composition; and extragranular components (f) 1-25 weight percent of one or more fillers; (g) 0.5-5.0 weight percent of one or more wetting agents; and (h) 0.5-5 weight percent of one or more lubricants, based on the weight of the composition. 20 The present invention provides a pharmaceutically acceptable composition comprising: intragranular components (a) 50-80 weight percent of 4-(2,4-dichloro-5 methoxy-phenylamino)-6-methoxy-7-[3-(4-methyl-piperazin-1 -yl)-propoxy]-quinoline-3 carbonitrile; (b) 0.5-5.0 weight percent of povidone; (c) 1-25 weight percent of 25 microcrystalline cellulose; (d) 0.5-5 weight percent of crospovidone; (e) 0.5-5 weight percent of Polyoxyethylene sorbitan monooleate (Tween-80)TM, based on the weight of the composition; and extragranular components (f) 1-25 weight percent of microcrystalline cellulose; (g) 0.5-5 weight percent of crospovidone; and (h) 0.1-5 weight percent of magnesium stearate, based on the weight of the composition. 30 The present invention provides a pharmaceutically acceptable composition comprising: intragranular components (a) about 69 weight percent of 4-(2,4-dichloro-5 methoxy-phenylamino)-6-methoxy-7-[3-(4-methyl-piperazin-1 -yl)-propoxy]-quinoline-3 carbonitrile; (b) about 2 weight percent of povidone; (c) about 19.5 weight percent of WO 2011/002857 PCT/US2010/040555 -9 microcrystalline cellulose; (d) about 3 weight percent of crospovidone, (e) about 1 weight percent of Polyoxyethylene sorbitan monooleate (Tween-80)TM, based on the weight of the composition; and extragranular components (f) about 4 weight percent of microcrystalline cellulose; (g) about 1 weight percent of crospovidone and (h) about 0.5 5 weight percent of magnesium stearate, based on the weight of the composition. The present invention provides a pharmaceutically acceptable composition comprising: intragranular components (a) about 69 weight percent of 4-(2,4-dichloro-5 methoxy-phenylamino)-6-methoxy-7-[3-(4-methyl-piperazin-1 -yl)-propoxy]-quinoline-3 10 carbonitrile; (b) about 2 weight percent of povidone; (c) about 19.5 weight percent of microcrystalline cellulose; (d) about 3 weight percent of crospovidone, (e) about 1 weight percent of Polyoxyethylene sorbitan monooleate (Tween-80)TM, based on the weight of the composition; and extragranular components (f) about 4 weight percent of microcrystalline cellulose; (g) about 1 weight percent of crospovidone and (h) about 0.5 15 weight percent of magnesium stearate, based on the weight of the composition. The present invention provides a pharmaceutically acceptable composition comprising: intragranular components (a) about 69 weight percent of 4-(2,4-dichloro-5 methoxy-phenylamino)-6-methoxy-7-[3-(4-methyl-piperazin-1 -yl)-propoxy]-quinoline-3 20 carbonitrile; (b) about 2 weight percent of povidone; (c) about 19.5 weight percent of microcrystalline cellulose; (d) about 1 weight percent of crospovidone, (e) about 1 weight percent of Polyoxyethylene sorbitan monooleate (Tween-80)TM, based on the weight of the composition; and extragranular components (f) about 4 weight percent of microcrystalline cellulose; (g) about 3 weight percent of crospovidone and (h) about 0.5 25 weight percent of magnesium stearate, based on the weight of the composition. The present invention also provides methods of preparing stable, pharmaceutically acceptable solid compositions comprising 4-(2,4-dichloro-5-methoxy phenylamino)-6-methoxy-7-[3-(4-methyl-piperazin-1 -yl)-propoxy]-quinoline-3 30 carbonitrile. The present invention also provides methods for treating cancer comprising administering to a subject an effective amount of a pharmaceutically acceptable solid WO 2011/002857 PCT/US2010/040555 -10 compositions comprising 4-(2,4-dichloro-5-methoxy-phenylamino)-6-methoxy-7-[3-(4 methyl-piperazin-1 -yl)-propoxy]-quinoline-3-carbonitrile. The inventive solid compositions of SKI-606 are useful, among other things, for 5 administering to human or animal subjects, including but not limited to pediatric, juvenile, adult and geriatric subjects. BRIEF DESCRIPTION OF THE DRAWINGS Figure 1 summarizes tablet dissolution rates for SKI-606 formulations comparing 10 different disintegrating agents (croscarmellose sodium versus crospovidone). Figure 2 summarizes dissolution on accelerated stability for a SKI-606 formulation including crospovidone. There appears to be a significant shift in tablet dissolution especially at early timepoints. 15 Figure 3 summarizes dissolution on accelerated stability for a SKI-606 formulation including croscarmellose sodium. No shift (compared to Figure 2) is observed in this case. 20 Figure 4 summarizes effects of varying Intra and Extragranular (IG and EG) Croscarmellose sodium concentrations in a SKI-606 formulation on tablet dissolution rates. Figure 5 summarizes effects of varying Intra and Extragranular (IG and EG) 25 Crospovidone concentration in a SKI-606 formulation on tablet dissolution rates. A wider dissolution is observed here showing strong concentration dependency of dissolution on ratios of Crospovidone. The formulation containing API of D90 appears to be markedly different in dissolution from the rest containing API of D90= 40 or 60 microns. 30 Figure 6 summarizes effects of active pharmaceutical ingredient (API) particle size on Dissolution for Crospovidone containing SKI-606 Formulation containing 2% binder, and 2% intragranular and extragranular disintegrant.
WO 2011/002857 PCT/US2010/040555 -11 Figure 7A and B summarizes the lack of effect of API particle size in both CTAB/acetate and 0.1 N HCI medias for the croscarmellose sodium based SKI-606 formulations. The CTAB/acetate media was considered a more discriminating media than the 0.1 N HCI. Compare this to Figure 9A and B that clearly show the disparate 5 effect of API particle size on tablet dissolution in a Crospovidone based tablet formulation. Figure 8 summarizes the lack of dissolution dependency of croscarmellose based SKI-606 formulations (Runs A, B and C) on tablet hardness within a range of 10 120-190 N thus attesting to the dissolution robustness of the formulation. Hardness of a tablet may routinely need to be modified in a manufacturing setting and this formulation clearly offers that ability to do so. Figure 9A and B summarizes effect of API particle size on tablet (100 and 500 15 mg strengths) dissolution for Crospovidone based formulations in 0.1 N HCI. Compare and contrast this to Figure 7A and B that do not show this dependency. Figure 10 summarizes upward shift in tablet dissolution a 500 mg Crospovidone based SKI-606 formulation on open dish accelerated stability upto 2 weeks. Dissolution 20 data is shown for 2 formulations with varying binder percentages and disintegrant ratios. Significant dissolution differences are observed early on during tablet dissolution for both batches, indicating a lack of dissolution reproducibility on accelerated stability. Compare and contrast this to croscarmellose sodium based formulation in Figure 11 that does not show any differences on stability 25 Figure 11 summarizes the lack of any dissolution shift of croscarmellose sodium (CCS) based formulation on stability under similar conditions as the Crospovidone (CPV) batches in Figure 10 30 Figure 12 Shows additional dissolution shift data for Crospovidone (CPV) SKI 606 formulation in 0.1 N HCI under accelerated aging conditions for 500 and 100 mg strength tablets. A consistent upward trend is observed for both the strengths in 0.1 N
HCL.
WO 2011/002857 PCT/US2010/040555 -12 Figure 13 summarizes comparative dissolution profiles for SKI-606 formulations with varying concentrations of a wetting agent (poloxamer). It is observed that poloxamer has the unexpected effect of decreasing tablet dissolution in a concentration dependent manner. 5 Figure 14 summarizes effects of wetting agent on granule dissolution in SKI-606 formulations. This effect shows that increases in poloxamer concentration resulted in increase in granule dissolution. 10 Figure 15 summarizes effects of accelerated aging uto 6 weeks open dish conditions at both 40 deg C and 40 deg C/75% RH for the SKI-606 formulations containing Polyoxyethylene sorbitan monooleate (Tween-80) as a wetting agent (API D9o = 38 microns).It is observed that there appears to be negligible shift even under the rigorous stability conditions in an open dish. 15 Figure 16 summarizes effects of accelerated aging uto 6 weeks open dish conditions at both 40 deg C and 40 deg C/75% RH for the SKI-606 formulations containing Polyoxyethylene sorbitan monooleate (Tween-80) as a wetting agent (API D9o = 18 microns).It is observed that there appears to be negligible shift even under the 20 rigorous stability conditions in an open dish. Figure 17 summarizes the lack of effect of API particle size on tablet dissolution in an SKI-606 formulation containing Polyoxyethylene sorbitan monooleate (Tween-80). 25 Figure 18 summarizes dissolution on accelerated stability in bottles with desiccant for the 500 mg strength croscarmellose based formulation (2% binder and 2% intra and extragranular CCS) 500 mg coated in Bottles with Desiccant. There is no shift in dissolution observed at 6M at 40Deg C/75% RH.
WO 2011/002857 PCT/US2010/040555 -13 Figure 19 summarizes dissolution on accelerated stability in bottles without desiccant for the 500 mg strength croscarmellose based formulation (2% binder and 2% intra and extragranular CCS) 500 mg coated in Bottles with Desiccant. There is very little shift in dissolution observed at 6M at 40Deg C/75% RH 5 Figure 20 summarizes dissolution on accelerated stability in bottles with desiccant for the 500 mg strength croscarmellose based formulation (2% binder and 2% intra and extragranular CCS) 100 mg coated in Bottles with Desiccant. There is no shift in dissolution observed at 6M at 40Deg C/75% RH. 10 Figure 21A summarizes Scale-up (100 Kg) batch dissolution stability in Bottles with desiccant. There is minimal to no shift in dissolution on stability in CTAB/acetate buffer (A) and no shift in 0.1 N HCI (B). 15 DETAILED DESCRIPTION OF CERTAIN EMBODIMENTS OF THE INVENTION 1. Definitions: As used herein, an "effective amount" of a compound or pharmaceutically acceptable composition can achieve a desired therapeutic and/or prophylactic effect. In some embodiments, an "effective amount" is at least a minimal amount of a compound, 20 or composition containing a compound, which is sufficient for treating one or more symptoms of a disorder or condition associated with modulation of protein tyrosine kinases. In certain embodiments, an "effective amount" of a compound, or composition containing a compound, is sufficient for treating symptoms associated with, a disease associated with an aberrant tyrosine kinase receptor (e.g. cancer, including malignant 25 and benign tumor growths). The term "subject", as used herein, means a mammal and includes human and animal subjects, such as domestic animals (e.g., horses, dogs, cats, etc.). 30 The terms "suffer" or "suffering" as used herein refers to one or more conditions that a patient has been diagnosed with, or is suspected to have.
WO 2011/002857 PCT/US2010/040555 -14 The terms "treat" or "treating," as used herein, refers to partially or completely alleviating, inhibiting, delaying onset of, preventing, ameliorating and/or relieving a disorder or condition, or one or more symptoms of the disorder or condition. 5 "Therapeutically active agent" or "active agent" refers to a substance, including a biologically active substance, that is useful for therapy (e.g., human therapy, veterinary therapy), including prophylactic and therapeutic treatment. Therapeutically active agents include organic molecules that are drug compounds, peptides, proteins, carbohydrates, monosaccharides, oligosaccharides, polysaccharides, nucleoprotein, 10 mucoprotein, lipoprotein, synthetic polypeptide or protein, small molecules linked to a protein, glycoprotein, steroid, nucleic acid, DNA, RNA, nucleotide, nucleoside, oligonucleotides, antisense oligonucleotides, lipid, hormone, and vitamin. Therapeutically active agents include any substance used as a medicine for treatment, prevention, delay, reduction or amelioration of a disease, condition, or disorder. Among 15 therapeutically active agents useful in the formulations of the present invention are opioid receptor antagonist compounds, opioid analgesic compounds, and the like. Further detailed description of compounds useful as therapeutically active agents is provided below. A therapeutically active agent includes a compound that increases the effect or effectiveness of a second compound, for example, by enhancing potency or 20 reducing adverse effects of a second compound. The expression "unit dosage form" as used herein refers to a physically discrete unit of inventive formulation appropriate for the subject to be treated. It will be understood, however, that the total daily usage of the compositions of the present 25 invention will be decided by the attending physician within the scope of sound medical judgment. The specific effective dose level for any particular subject or organism will depend upon a variety of factors including the disorder being treated and the severity of the disorder; activity of specific active agent employed; specific composition employed; age, body weight, general health, sex and diet of the subject; time of administration, and 30 rate of excretion of the specific active agent employed; duration of the treatment; drugs and/or additional therapies used in combination or coincidental with specific compound(s) employed, and like factors well known in the medical arts.
WO 2011/002857 PCT/US2010/040555 -15 Briefly, "dry blend" materials are physically blended together before filling capsules or compressing tablets. See, Handbook of Pharmaceutical Granulation Technology, 1997, Dilip Parikh, Marcel Dekker, Inc. ISBN 0-8247-9882-1, page 309. 5 In dry granulation (slugging or roller compaction) intragranular materials are blended to prepare slugs or roller compaction. Material is milled and blended with extragranular materials followed by capsule filling or tablet 20 compression. Wet granulation entails blending intragranular materials. Wet granulate the blend with water, with or without a binder, (using high sheer, low sheer granulators) and dry (using temperatures up to 1000 10 C). Material is milled and blended with extragranular materials followed by capsule filling or tablet compression. See, 25 Handbook of Pharmaceutical Granulation Technology, 1997, Dilip Parikh, Marcel Dekker, Inc. ISBN 0-8247-9882-1, pages 338-368. 2. Pharmaceutically Acceptable Compositions and Formulations: 15 In certain embodiments, pharmaceutically acceptable compositions of the present invention which comprise SKI-606 and one or more other excipients, such as, for example, one or more binders, carriers, viscosity modifying and suspending agents, wetting agents, wetting agents, sweeteners, pH modifying agents, flavoring agents, preservatives and combinations thereof. One skilled in the art will readily appreciate 20 that the category under which a particular component is listed is not intended to be limiting; in some cases a particular component might appropriately fit it more than one category. Also, as will be appreciated, the same component can sometimes perform different functions, or can perform more than one function, in the context of a particular formulation, for example depending upon the amount of the ingredient and/or the 25 presence of other ingredients and/or active compound(s). In certain embodiments, the present invention provides a pharmaceutically acceptable solid composition comprising: 4-(2,4-dichloro-5-methoxy-phenylamino)-6 methoxy-7-[3-(4-methyl-piperazin-1-yl)-propoxy]-quinoline-3-carbonitrile, also referred to 30 as SKI-606. SKI-606 is described in U.S. Pat No, 6,297,258, along with methods of preparing SKI-606, as described in U.S. Pat. No. 7, 297,795. SKI-606 has the following structure WO 2011/002857 PCT/US2010/040555 -16 CI C O CN
H
2 0 N O () N N ) SKI-606 Monohydrate and is isolated as a monohydrate. The 3-cyanoquinoline compound, 4-(2,4-dichloro-5 5 methoxy-phenylamino)-6-methoxy-7-[3-(4-methyl-piperazin-1 -yl)-propoxy]-quinoline-3 carbonitrile, is a weak base with an intrinsic solubility of approximately 0.06 pg/mL at pH 8.0. Below pH 8, the solubility of the compound SKI-606 increases exponentially with decreasing pH due to ionization. However, degradation of SKI-606 was observed at low pH aqueous solution through hydrolysis, although the compound is relatively stable at 10 pH higher than 5, when the 4 aminoquinoline group is not ionized. In certain embodiments, the inventive SKI-606 formulation obviates one or more problems with solid formulations of 3-cyanoquinolines including variable dissolution, which appears to depend on particle size, accelerated dissolution on storage, and 15 limited stability upon storage. The inventive croscarmellose SKI-606 formulations exhibit disintegration times (of 2-7 minutes) faster than comparable SKI-606 formulations employing a conventional disintegrating agent (e.g. crospovidone, disintegration times about 18-20 minutes). 20 In certain embodiments, the inventive SKI-606 formulation comprises a film coated SKI-606 formulation that is prepared by high shear wet granulation or pan coating. In other embodiments, the film coated SKI-606 tablet formulation is prepared by other conventional coating techniques. 25 Disintegration times were compared for SKI-606 formulation using a conventional disintegrating agent, crospovidone, and croscarmellose sodium and summarized in Table 2. The intragranular disintegrant in this case was kept constant at 3 % w/w. The two formulations have markedly different disintegration times, for instance tablet disintegration times (DT) with the 2% extragranular (EG) SKI-606/CCS formulation is WO 2011/002857 PCT/US2010/040555 -17 only 3.5 minutes as compared to the SKI-606/CPV formulation with a DT of 22 minutes. Additionally it is also observed that tablet DT is strongly dependent on tablet hardness for all the SKI-606/CPV formulations, whereas no such dependence is observed for the SKI-606/CCS formulations. For instance, even for the 3% IG and 2% EG SKI-606/CPV 5 formulation, the DT times for the low and the high hardness tablets vary by 14 minutes (range), whereas the SKI-606/CCS formulations only vary by 3.5 minutes. This observation indicates that the SKI-606/CCS formulation was robust with respect to tablet hardness, a significant improvement with respect to tablet manufacturability characteristics of the inventive SKI-606 formulation. 10 Tablet dissolution of the inventive SKI-606 formulation (see Figure 1) was also carried out in 0.1 N HCI, which revealed that the tablet dissolution was faster for the SKI-606/CCS formulations at the 10 and 15 minutes at disintegrant concentrations lower than the ones used for SKI-606/CPV formulations. In addition the data also suggested 15 that the lower binder concentrations enhanced dissolution especially at early time points. In certain embodiments, amounts of croscarmellose sodium (CCS) in the inventive SKI-606 formulation that provide similar dissolution results are as follows: 20 1. 0- 2 % w/w intragranular concentration 2. 1-3% w/w extragranular concentration 3. Binder (Povidone concentrations) may also vary from 1-2% w/w. In certain embodiments, the intragranular component to extragranular component 25 ratio in the inventive SKI-606 formulation was changed from 3:1 to 2:2. In certain embodiments, one intragranular (IG) component, a filler comprising microcrystalline cellulose (MCC), was transferred from the intragranular portion to the extragranular (EG) component to facilitate faster disintegration times during tabletting in 30 the inventive SKI-606 formulation. The amount of extragranular filler component was increased to 15 weight % from 4 weight %, based on the weight of the SKI-606 formulation.
WO 2011/002857 PCT/US2010/040555 -18 In certain embodiments, the grade of MCC in the EG component was changed from Avicel PH101TM to Avicel PH 102TM to facilitate tablet blend flow. In certain embodiments, contrary to the common observation that reduction in 5 particle size of the API generally causes an increase in rate of dissolution, it was observed that for SKI 606 formulation, decreasing the API particle size tends to lower the dissolution of the formulation when processed in a n identical fashion as the formulation with higher D90 API particle size. Thus it was observed that that the lower the API particle size, the slower the dissolution rate and higher the API particle size 10 faster the rate of dissolution, as summarized in Figure 6. In order to maximize dissolution, one possible approach with the existing formulation is to increase the particle size of the drug like SKI-606. To slow down in dissolution an approach is to use API of lower particle size. 15 In certain embodiments, no change in the poloxamer concentration was made in the inventive SKI-606 formulation to retain in vivo effects when administered to a human or animal subject. 20 In certain embodiments, the formulation of the present invention can contain one or more non-rate-controlling layers, membranes or coatings. The location of the non rate-controlling layer in the formulation is not critical. For example, the non-rate controlling layer may be present between the at least one core and an enteric coating or a rate-controlling mechanism. Alternatively, the non-rate-controlling layer may surround 25 or coat an enteric coating or a rate-controlling mechanism. The non-rate-controlling layer can be made of one or more polymers, as well as, other ingredients known in the art, such as, but not limited to, plasticizers, pigments/opacifiers, etc. Examples of polymers that can be used include, but are not limited to, hydroxypropyl methylcellulose, hydroxypropyl cellulose, methylcellulose, ethylcellulose, polyvinyl alcohol, and 30 polyethylene glycol. Examples of plasticizers that can be used include, but limited to, polyethylene glycol(s), glycerin, triacetin, triethyl citrate, diethyl phthalate and mineral oils. Examples of pigments/opacifiers that can be used include, but are not limited to, water soluble dyes, pigments, and natural products.
WO 2011/002857 PCT/US2010/040555 -19 In certain embodiments, the formulations of the present invention can also include at least one enteric coating. Any enteric coating can be used in the present invention, including, but not limited to, solutions or dispersions of methacrylic acid and methacrylic ester copolymers, cellulose acetate phthalate, hydroxypropyl 5 methylcellulose phthalate, hydroxypropyl methylcellulose acetate succinate, polyvinyl acetate phthalate, ethyl acrylate/methacrylic acid copolymers, cellulose acetate trimellitate, shellac and combinations thereof. Additionally, the enteric coating used in the formulations of the present invention can be formed as a single or multiple layers. The thickness of the coating can be readily determined by those skilled in the art, but 10 must be sufficient to protect the formulation in the acidic environment of the stomach. In certain embodiments, solid pharmaceutically acceptable compositions of SKI 606 were invented, based on replacing one conventional disintegrating agent, crospovidone, with croscarmellose sodium, which unexpectedly resulted improved 15 stability and uniform dissolution rate of the SKI-606 formulation (see Table 1 and Figures 1-3). Wetting agents are well known in the art and typically facilitate drug release and absorption. Exemplary wetting agents include poloxamer, polyoxyethylene ethers, 20 polyoxyethylene sorbitan fatty acid esters polyoxyethylene fatty acid esters, polyethylene glycol fatty acid esters, polyoxyethylene hydrogenated castor oil, polyoxyethylene alkyl ether, polysorbates, cetyl alcohol, glycerol fatty acid esters (e.g., triacetin, glycerol monostearate, and the like), polyoxymethylene stearate, sodium lauryl sulfate, sorbitan fatty acid esters, sucrose fatty acid esters, benzalkonium chloride, 25 polyethoxylated castor oil, and docusate sodium, and the like, and combinations thereof. In some embodiments, wetting agents include but are not listed to for example Polysorbate 8OTM, glycerin, Polysorbate 65TM, polysorbate 60TM USP, Polysorbate 40TM USP, Polysorbate 20TM USP, Octoxynol-9, Nonoxynol-1O TM USP, Poloxamer 235TM, Poloxamer 188TM USP. In some embodiments, provided wetting agents comprise from 30 about 0.1 weight % to about 5 weight %, about 1.0 weight % to about 4 weight %, or about 3.0 weight % based upon total weight of the formulation. In certain embodiments, the wetting agent is a poloxamer, including but not limited for example Poloxamer 188TM (Lutrol F-68).
WO 2011/002857 PCT/US2010/040555 -20 Suitable binders (also referred to as "diluents" and/or "fillers") are known in the art. For example, suitable binders and fillers include but are not limited to starch, dextrin, sucrose, Sorbitol, Sodium Saccharin, Acesulfame potassium, Xylitol, Aspartame, Mannitol, starch, PVP (polyvinyl pyrrolidone), low molecular weight HPC 5 (hydroxypropyl cellulose), microcrystalline cellulose (MCC), low molecular weight HPMC (hydroxypropyl methylcellulose), low molecular weight carboxymethyl cellulose, ethylcellulose, alginates, gelatin, polyethylene oxide, acacia, dextrin, sucrose, magnesium aluminum silicate, and polymethacrylates. Fillers include agents selected from the group consisting of microcrystalline cellulose, starch, lactitol, lactose, a suitable 10 inorganic calcium salt, sucrose, glucose, mannitol, silicic acid, or a combination thereof. In some embodiments, binders and fillers comprise from about 1 weight % to about 25% or about 21.5 weight %, based upon total weight of the formulation. In some embodiments, the binder is one or more grades of MCC, including but not limited to Avicel PH101TM and Avicel PH 102TM. 15 Incorporation of suitable disintegrant(s) into the inventive SKI-606 formulation facilitate dissolution. Suitable disintegrants are known in the art and include but are not limited to, agar, calcium carbonate, potato or tapioca starch, alginic acid, certain silicates, sodium carbonate, crospovidone (cross-linked PVP), sodium carboxymethyl 20 starch (sodium starch glycolate), cross-linked sodium carboxymethyl cellulose (croscarmellose), pregelatinized starch (starch 1500), microcrystalline starch, water insoluble starch, calcium carboxymethyl cellulose, magnesium aluminum silicate (Veegum) or a combination thereof. In some embodiments, a disintegrant is crospovidone. In some embodiments, a disintegrant is croscarmellose sodium. 25 In some embodiments, a suitable lubricant is included in the inventive SKI-606 formulation. Suitable lubricants or glidants include for example stearates, sodium stearyl fumarate and magnesium salts, magnesium stearate. The amount of lubricants used is 0.2-5 weight percent of one or more lubricants, including about 0.5 weight %, 30 based on the weight of the composition. In some embodiments, the lubricant is magnesium stearate. Addition of one or more preservatives may be particularly useful in compositions that include SKI-606, and may provide protection from degradation and/or from WO 2011/002857 PCT/US2010/040555 -21 precipitation. Appropriate preservatives are known to those skilled in the art, and include any pharmaceutically acceptable preservative. Conventional preservatives include, but are not limited to sodium benzoate, Propyl parahydroxybenzoate, Sorbic acid, Propylparaben, Methylparaben, Butylated hydroxytoluene, Propionates, Potassium 5 sorbate, Indinavir and combinations thereof. In some embodiments, provided preservatives comprise from about 0.05 weight %, to about 0.25 weight % or about 0.1 %, based upon total weight of the formulation. Provided compositions may be formulated into a unit dosage form. Such 10 formulations are well known to one of ordinary skill in the art. In certain embodiments, the present invention provides a formulation comprising a solid dosage form as a tablet. In other embodiments, the present invention provides a solution for oral administration. In some embodiments, a unit dosage form contains 50 mg, 75 mg, 100 mg, 125 mg, 150 mg, 175 mg, 200 mg, 225 mg, 250 mg, 275 mg, 300 mg, 325 mg, 350 mg, 375 mg, 400 15 mg, 425 mg, 450 mg, 475 mg, or 500 mg, 525 mg, 550 mg, 575 mg, 600 mg, 625 mg, 650 mg, 675 mg, 700 mg, 725 mg, 750 mg, 775 mg, 800 mg, 825 mg, 850 mg, 875 mg, 900 mg, 925 mg, 950 mg, 975 mg, 1000 mg, 1025 mg, 1050 mg, 1075 mg, 1100 mg, 1125 mg, 1150 mg, 1175 mg, 1200 mg, 1225 mg, 1250 mg, 1275 mg, 1300 mg, 1325 mg, 1350 mg, 1375 mg, 1400 mg, 1425 mg, 1450 mg, 1475 mg, 1500 mg of SKI-606. 20 In some embodiments, a unit dosage form contains between 5 mg and 500 mg, inclusive, or between 10 mg and 450 mg, inclusive, of SKI-606. In some embodiments, a unit dosage form contains 50 mg, 75 mg, 100 mg, 150 mg, 250 mg, 300 mg, or 500 mg. In some embodiments, a unit dosage form contains more than 500 mg of SKI-606. 25 In some embodiments, the effective dosage of SKI-606 employed may vary depending on the particular compound employed, the mode of administration and the severity of the condition being treated. However, in general, satisfactory results are obtained when the compounds of the invention are administered at a daily dosage of from about 0.5 to about 1000 mg/kg of body weight, optionally given in divided doses 30 two to four times a day, or in sustained release form. The total daily dosage is projected to be from about 1 to 1000 mg, preferably from about 2 to 500 mg. Dosage forms suitable for internal use comprise from about 0.5 to 1000 mg of the active compound in intimate admixture with a solid or liquid pharmaceutically acceptable carrier. This dosage regimen may be adjusted to provide the optimal therapeutic response. For WO 2011/002857 PCT/US2010/040555 -22 example, several divided doses may be administered daily or the dose may be proportionally reduced as indicated by the exigencies of the therapeutic situation. In some embodiments, pharmaceutical compositions of SKI-606 from the 5 standpoint of ease of preparation and administration are solid compositions, particularly tablets and hard-filled or liquid-filled capsules. In a preferred embodiment, Oral administration of SKI-606 is preferred. 10 For the treatment of cancer, the inventive SKI-606 formulations of this invention can be administered in combination with other anti-tumor substances or with radiation therapy. These other substances or radiation treatments can be given at the same or at different times as the compounds of this invention. These combined therapies may affect synergy and result in improved efficacy. For example, the compounds of this 15 invention can be used in combination with mitotic inhibitors such as taxol or vinblastine, alkylating agents such as cisplatin or cyclophosamide, anti-metabolites such as 5 fluorouracil or hydroxyurea, DNA intercalators such as adriamycin or bleomycin, topoisomerase inhibitors such as etoposide or camptothecin, antiangiogenic agents such as angiostatin, and antiestrogens such as tamoxifen. 20 Based on the results disclosed for SKI-606 and other 3-cyanoquinoline compounds in U.S. Pat. No. 6,297,258, the inventive SKI-606 formulations are useful antineoplastic agents of significant efficacy, which are useful in treating, inhibiting the growth of, or eradicating neoplasms. In particular, the compounds of this invention are 25 useful in treating, inhibiting the growth of, or eradicating neoplasms that express EGFR such as those of the breast, kidney, bladder, mouth, larynx, esophagus, stomach, colon, ovary, or lung. In addition, the compounds of this invention are useful in treating, inhibiting the growth of, or eradicating neoplasms of the breast that express the receptor protein produced by the erbB2 (Her2) oncogene. Based on the results obtained, the 30 compounds of this invention are also useful in the treatment of polycystic kidney disease.
WO 2011/002857 PCT/US2010/040555 -23 3. Combination Products and Combined Administration: In certain embodiments, inventive compositions, and formulations thereof, may be administered alone to treat one or more disorders as described herein, or alternatively may be administered in combination with (whether simultaneously or 5 sequentially) one or more other active agents useful to treat one or more disorders as described herein. Thus, an inventive composition, or formulation thereof, can be administered concurrently with, prior to, or subsequent to, one or more active agents. In certain embodiments, inventive compositions include one or more other active 10 agents in addition to SKI-606 that is not SKI-606. In some embodiments, inventive formulations comprise both another anticancer compound and SKI-606. The amount of additional active agent(s) present in combination compositions of this invention will typically be no more than the amount that would normally be 15 administered in a composition comprising that active agent as the only therapeutic agent. In certain embodiments of the present invention, the amount of additional active agent will range from about 50% to 100% of the amount normally present in a composition comprising that compound as the only therapeutic agent. 20 In certain embodiments, inventive formulations may also be used in conjunction with and/or in combination with conventional therapies for gastrointestinal dysfunction to aid in the amelioration of constipation and bowel dysfunction. For example, conventional therapies include, but may not be limited to functional stimulation of the intestinal tract, stool softening agents, laxatives (e.g., diphelymethane laxatives, 25 cathartic laxatives, osmotic laxatives, saline laxatives, etc), bulk forming agents and laxatives, lubricants, intravenous hydration, and nasogastric decompression. 4. Uses and Kits of Inventive Compositions: Provided compositions, and formulations thereof, are also useful in treatment of 30 conditions including cancers involving angiogenesis, immune suppression, sickle cell anemia, vascular wounds, and retinopathy, treatment of inflammation associated disorders (e.g., irritable bowel syndrome), immune suppression, chronic inflammation.
WO 2011/002857 PCT/US2010/040555 -24 In still further embodiments, veterinary applications (e.g., treatment of domestic animals, e.g. horse, dogs, cats, etc.) of use of inventive compositions, and formulations thereof, are provided. Thus, use of provided formulations in veterinary applications analogous to those discussed above for human subjects is contemplated. 5 It will also be appreciated that inventive compositions, and formulations thereof, can be employed in combination therapies, that is, an inventive composition, or formulation thereof, can be administered concurrently with, prior to, or subsequent to, one or more other desired therapeutics or medical procedures. Particular combination 10 therapies (therapeutics or procedures) to employ in a combination regimen will take into account compatibility of the desired therapeutics and/or procedures and the desired therapeutic effect to be achieved. It will also be appreciated that therapies employed may achieve a desired effect for the same disorder (for example, a formulation may be administered concurrently with another compound used to treat the same disorder), or 15 they may achieve different effects (e.g., control of any adverse effects). As used herein, additional therapeutic compounds which are normally administered to treat or prevent a particular disease, or condition, are known as "appropriate for the disease, or condition, being treated". 20 In other embodiments, inventive compositions, and formulations thereof, and unit dose forms are useful in preparation of medicaments, including, but not limited to medicaments useful in the treatment of cancer. Still further encompassed by the invention are pharmaceutical packs and/or kits 25 comprising inventive compositions, and formulations thereof, and a container (e.g., a foil or plastic package, or other suitable container). Optionally instructions for use are additionally provided in such kits. In order that the invention described herein may be more fully understood, the following examples are set forth. It should be understood that these examples are for illustrative purposes only and are not to be construed as limiting this invention in any manner.
WO 2011/002857 PCT/US2010/040555 -25 All features of each of the aspects of the invention apply to all other aspects mutatis mutandis. Examples I and 2: Preparation of Pharmaceutically Acceptable Compositions of SKI-606 SKI-606 is prepared according to the methods described in detail in one or more 5 of U.S. Pat Nos. 6,297,258 and 7,297,795. An exemplary inventive formulation of SKI 606 and a comparative SKI-606 formulation are summarized in Table 1. Table 1. SKI-606 Formulations Comparative SKI-606 SKI-606 Formulation 1 formulation Intragranular Components (% wiw) (% wiw) SKI-606 monohydrate (equivalent to SKI-606 free base) 69 69 Microcrystalline Cellulose (MCC, Avicel PH101 T M ) 6.5 17.5 Crospovidone (CPV) NA 3 Croscarmellose Sodium (CCS) 2 NA Poloxamer 188TM (Lutrol F-68) 3 3 Povidone (Kollidon 25TM) 2 2 Weight % Intragranular Components 82.5 94.5 Extragranular Components Microcrystalline Cellulose (MCC, Avicel 101TM) NA 4 Microcrystalline Cellulose (MCC, Avicel 102TM) 15 NA Crospovidone NA 1 Croscarmellose Sodium 2 NA Magnesium stearate 0.5 0.5 Weight % Extragranular Components 17.5 5.5 Coating (Opadry || systems) 3 4 10 NA-not applicable or not available Tablets of the 500 mg strength were compressed using the appropriate tooling equipment and the tablets were compressed at low (11-13kp), target (14-16 kp) and WO 2011/002857 PCT/US2010/040555 -26 high (17-19 kp) hardnesses. These tablets were then evaluated for disintegration time in 0.1 N HCI. The comparative SKI-606 formulation was prepared by the process of high shear 5 wet granulation, wet milling, fluidized bed drying, dry milling, blending and compression to tablets that are subsequently film coated. This formulation has been associated with high percentage of gastric irritation in fasted individuals. Disintegration times were compared for SKI-606 formulation using a conventional 10 disintegrating agent, crospovidone, and croscarmellose sodium and summarized in Table 2. The intragranular disintegrant in this case was kept constant at 3% w/w. The two formulations have markedly different disintegration times, for instance tablet disintegration times (DT) with the 2% extragranular (EG) CCS formulation is only 3.5 minutes as compared to the CPV formulation with DT of 22 minutes. Additionally it is 15 also observed that tablet DT is strongly dependent on tablet hardness for all the CPV formulations, whereas no such dependence is observed for the CCS formulations. For instance, even for the 2% CPV formulation, the DT times for the low and the high hardness tablets vary by 14 minutes, whereas the CCS formulations only vary by 3.5 minutes. This observation points to the fact that the CCS formulation was robust with 20 respect to tablet hardness. This is a significant improvement with respect to tablet manufacturability characteristics, especially since the tablets are meant to be immediate release tablets.
WO 2011/002857 PCT/US2010/040555 -27 Table 2. Disntegration times for SKI-606 500mg dose formulations employing Crospovidone versus Croscarmellose sodium as disintegrating agent. (For reference to formulations, refer to Table 2A) Binder 1%, EG CPV-1 % Binder 1%, EG CPV- Binder 2%, EG CPV 5% 2% Run1 Run2 Run3 Low Target Hard Low Tar et Hard Low ar et Hard 9 min 56 18 min 27 min 6 min 10 min 12 min 15 min 22 min 19 min sec I0sec 120 sec 37sec 45 sec 25 sec 10 sec 20 sec Binder 2%, EG Binder 2%, EG Binder 2%, EG Binder 2%, EG CPV-5% CCS-1% CCS-2 % CPV-1% Run 4 Run 5 Run 6 Run 7 Low ~arge Hard Low Target Hard Low arge Hard Low target Hard 10 13 18 2 min 4 min 5 min 2 min 3 min 6 min 16 30 min 40 min min min 20 10 25 30 min 20 sec min 11 30 41 sec sec sec sec 35 Isec Isec Isec I secI I 5 Where Hard tablets ->16 kp tablet hardness, target tablets- 14-16 kp and Low hardness 11-13 kp (kp- Kilo Pascals) 10 Table 2A: Percent composition of Formulations referred to in Table 2 Run Run Run Run Run Run Run 1 2 3 4 5 6 7 Intragranular Portion SKI-606 monohydrate equivalent to 69 69 69 69 69 69 69 anhydrous base Microcrystalline Cellulose (Avicel 6.5 6.5 5.5 5.5 5.5 5.5 5.5 101 TM) Crospovidone (CPV) 3 3 3 3 NA NA 3 Croscarmellose Sodium (CCS) NA NA NA NA 3 3 NA Poloxamer 188 (Lutrol F-68 T M ) 3 3 3 3 3 3 3 Povidone (Kollidon 25TM) 1 1 2 2 2 2 2 Intragranular Totals (%) 82.5 82.5 82.5 82.5 82.5 82.5 82.5 Extragranular Portion Microcrystalline Cellulose (Avicel 16 12 15 12 16 15 16 WO 2011/002857 PCT/US2010/040555 -28 Run Run Run Run Run Run Run 1 2 3 4 5 6 7 101TM)** Crospovidone (CPV) 1 5 2 5 NA NA I Croscarmellose Sodium (CCS) NA NA NA NA 1 2 NA Magnesium Stearate 0.5 0.5 0.5 0.5 0.5 0.5 0.5 Exragranular Totals (%) 17.5 17.5 17.5 17.5 17.5 17.5 17.5 Tablet dissolution of the inventive SKI-606 formulation (see Figure 1) was also carried out in 0.1 N HCI, which revealed that the tablet dissolution was faster for the CCS formulations at the 10 and 15 minutes at concentrations lower than the ones used 5 for CPV. In addition the data also suggested that the lower binder concentrations enhanced dissolution especially at early time points. These trials demonstrate that CCS formulation was better from processability point in that granulation endpoint was not reached suddenly unlike CPV formulations 10 where endpoint was very susceptible to water input, and CCS formulation disintegration time (DT) was less susceptible to tablet hardness. Lowering of binder may correlate to adequate dissolution with CPV. It is also evident that for the inventive SKI-606 formulation, which included 15 croscarmellose sodium as a disintegrant, the dissolution is not sensitive to API particle size at 15 minutes, as summarized in Table 3. In addition for all IG/EG ranges studied, the only ratio that gave slower dissolution for CCS formulation at 15 minutes is 1%/0 % intra/extragranular disintegrant. For all other levels, release is more than 90%. Table 3 : Effect of Disintegrant and API D 90 on 500 mg Core Tablet Disintegration and Dissolution Disintegrant type CPV CPV CPV CCS CCS CCS CCS CCS API D 90 (microns) 38 20 20 20 20 38 38 38 Binder (% w/w) 2 2 1 2 2 2 2 2 IG Disintegrant (% w/w) 3 3 3 3 3 2 1 1 EG disintegrant (% 3 3 1 1 0 0 1 0 WO 2011/002857 PCT/US2010/040555 -29 w/w) Disintegration time (min) [for 14-16 kp Tablets] 18.32 15.73 25.48 4.18 4.75 14.3 7.4 23.4 % released at 15 min in 0.1 N HCI 67.68 50.21 23.41 94.21 92 97 97.2 67.6 % released at 30 min in 0.1 N HCI 94 89 47 98 97 101 99 96 These studies show that the croscarmellose sodium formulations were superior from a manufacturability perspective in that the granulation endpoints were easier to identify (reduced risk of over-granulation); the disintegration times for the 5 croscarmellose sodium formulations were impacted less by tablet hardness; and lowering binder (povidone) concentration results in higher rates of dissolution of CPV formulations as expected due to its influence on rate of tablet disintegration. The change in binder was not deemed necessary for the CCS formulation that shows excellent tablet disintegration times and dissolution regardless of the binder concentration. 10 The results of extensive experimentation demonstrated that croscarmellose sodium formulations were more robust with respect to variability in drug substance particle size and consistency of dissolution profile for product on stability. Some advantages were seen bychanging the intra to extragranular ratio of microcrystalline 15 cellulose to improve both tablet disintegration times as well as blend flow, and keeping the poloxamer and the binder same as the reference composition. It is also evident that for the inventive SKI-606 formulation which included croscarmellose sodium as a disintegrant, the dissolution is slower for smaller particle 20 size, as summarized in Tables 2 and 3. In addition, it was observed that no incompatibilities or degradation were seen at 2 and 4 weeks with either disintegrant at 400 C (dry and wet). Batches on stability studies at 400 C and 400 C /75% RH conditions showed that dissolution shifts observed with CPV, but not with CCS, as summarized in Figures 2 and 3. 25 WO 2011/002857 PCT/US2010/040555 -30 Based on the measured data and results, the croscarmellose formulation is seen to provide superior SKI-606 tablet formulations, as API variability effect on dissolution and dissolution shift on stability areboth addressed, while making minimal changes to the formulation (It was thus decided to keep the binder povidone and poloxamer 5 constant at 2% and 3% respectively.) Disintegrant type and the IG/EG disintegrant ratio was changed from 3:1 in clinical to 2:2 (% w/w). Figures 4 and 5 describe the effect on disoolution by changing the intra and extragranular disintegrant ratios for both croscarmellose and Crospovidone respectively. 10 Example 3: Preparation of Fast Dissolving Pharmaceutically Acceptable Compositions of SKI-606 SKI-606 is prepared according to the methods described in detail in one or more of U.S. Pat Nos. 6,297,258 and 7,297,795. An exemplary inventive fast dissolving formulation of SKI-606 and a comparative SKI-606 formulation are summarized in Table 15 4. Table 4. Exemplary Fast Dissolving SKI-606 Formulation with Croscarmellose sodium . Fast dissolving SKI- Comparative SKI-606 606 formulation Formulation Intragranular (% w/w) (% w/w) SKI-606 Monohydrate (equivalent to anhydrous SKI-606 free base) 69 69 Microcrystalline Cellulose (101TM) 6.5 17.5 Crospovidone (CPV) NA 3 Croscarmellose Sodium (CCS) 2 NA Poloxamer 188 (Lutrol F-68 T M ) 3 3 Povidone (Kollidon 25TM) 2 2 % Intragranular portion 82.5 94.5 Extragranular Microcrystalline Cellulose (101TM) -- 4 Microcrystalline Cellulose (102TM) 15 - Crospovidone NA 1 Croscarmellose Sodium 2 NA Magnesium stearate 0.5 0.5 % Extragranular portion 17.5 5.5 Coating 3 4 WO 2011/002857 PCT/US2010/040555 -31 NA-not applicable or not available 5 The gastric irritation effect of the formulation may be a result of prolonged residence time in the stomach and upper GI tract. The inventive SKI-606 formulation also provides a relatively fast dissolving salt of the drug that solubilizes faster in the GI tract. The fast dissolving salts of the drug includes the citrate, succinate, fumarate, Di HCI, Di- mesylate, acetate, maleate, tartarate and HCI salts to name a few, providing a 10 SKI-606 formulation useful for dissolving or disintegrating faster within the GI tract to cause rapid drug dissolution. A faster disintegrating formulation was prepared by making a few changes to the current formulation. This was done by incorporating the following changes in the 15 formulation: eplacing the disintegrant crospovidone with croscarmellose sodium. This disintegrant acts by a "swelling" action promoting early disintegration times as compared to the "wicking" action promoted disintegration with the crospovidone. It is found to exert a faster disintegrant action at comparable concentrations as the crospovidone.In addition to replacing the disintegrant, an additional change done was the change in the 20 ratio of the microcrystalline cellulose. Microcrystalline cellulose, Avicel PH 101 was reduced intragranularly and increased extragranularly to help improve the disintegrant efficacy. The grade was also changed from Avicel 101 to a larger particle sized 102 to improve blend flow and compressibility. This approach was found to yield faster disintegrating and dissolving tablets, both of which are expected to improve the gastric 25 outcome in the stomach. The inventive SKI-606 formulation is based on this approach. Example 4: Preparation of Pharmaceutically Acceptable Compositions of SKI-606 as Coated Tablet SKI-606 is prepared according to the methods described in detail in one or more 30 of U.S. Pat Nos. 6,297,258 and 7,297,795. An exemplary coated tablet from inventive formulation of SKI-606 at two different unit dosages is summarized in Table 5. 35 WO 2011/002857 PCT/US2010/040555 -32 Table 5. Coated Tablets of SKI-606 formulation at Different Unit Dosage strengths Claim: 69.0% Batch Size: 25 Kg Function Based Based on Input/ Input/ Representativ Ingredient on Intragranula Dosage Unit Dosage Unit e tablet r solids (For 500 mg (For 100 mg Batch core % portion dose dose Formula wt/wt strength) strength) % % wt/wt Input Unit Input Uni Input Unit wt/wt t SKI-606 Active 68.9 83.6 500 mg 100.0 mg 17.241 Kg monohydrate 6 equivalent to anhydrous base Microcrystalli Filler 6.50 7.9 47.1 mg 9.420 mg 1.624 Kg ne cellulose (PH 101) * Croscarmello Disintegran 2.0 2.4 14.49 mg 2.898 mg 0.500 Kg se Sodium t Poloxamer Wetting 3.0 3.6 21.74 mg 4.348 mg 0.750 Kg 188 agent Povidone, K- Binder 2.0 2.4 14.49 mg 2.898 mg 0.500 Kg 25 Purified Granulating QS QS 241.86 mg 48.37 mg 8.340 Kg Water b Solution Totals 82.4 100 597.82 mg 119.56 mg 20.615 Kg 6 0 4 5 Dry blend and Coating portion: Table 6. Dry blends and coated SKI-606 formulations. Function Based Input/ Input/ Representative Ingredient on Dosage Dosage Unit Batch Formula tablet Unit core Input (500 Input (100 U Input Unit % mg) mg) nit wt/wt Dried SKI-606 NA 82.46 597.820 119.564 m 20.615 Kg granulation portion g Microcrystalline Filler 15.04 109.055 21.811 m 3.761 Kg cellulose (PH 102) 2 g Croscarmellose Disintegr 2.0 14.5 2.900 m 0.500 Kg Sodium ant g Magnesium Lubricant 0.5 3.625 0.725 m 0.125 Kg Stearate g I I Iq WO 2011/002857 PCT/US2010/040555 -33 Function Based Input/ Input/ Representative Ingredient on Dosage Dosage Unit Batch Formula tablet Unit core Input (500 Input (100 U Input Unit % mg) mg) nit wt/wt Totals 100.0 725.00 145.000 m 25.0 Kg 9 COATING Opadry-Il yellow, Coating 3.0 NA 4.350 m 0.975 Kg 85F12390 agent g Opadry-Il red, 21.75 NA 85F15642 Purified Water Coating QS 123.25 24.650 mg 5.525 Kg carrier Totals 103.0 746.75 149.350 mg 6.5 Kg The SKI-606 formulation and coated tablets of the SKI-606 formulation were prepared as follows: 5 MANUFACTURING PROCEDURE The SKI-606 formulation and coated tablets of the SKI-606 formulation were prepared as follows: Weighed the following ingredients for a batch size of 25 Kg: SKI-606 monohydrate 10 17.241Kg Microcrystalline cellulose (Avicel PH 101) 1.624 Kg Croscarmellose sodium 0.5 Kg Povidone K-25 0.5 Kg Poloxamer 0.75 Kg 15 1. Dissolved the Povidone and the poloxamer into the purified water. 2. Added the SKI-606, microcrystalline cellulose (PH 101), and croscarmellose sodium of the intra-granular portion to the high shear granulator and mix for a minimum of 4 minutes, or until uniform. The dry ingredients may be passed 20 through a screen, if necessary, to de-lump prior to pre-blending. 3. While mixing, added the Step 1 solution to the high shear granulator and mix until a suitable granulation is achieved. The water quantity may be adjusted to achieve a satisfactory granulation endpoint if required.
WO 2011/002857 PCT/US2010/040555 -34 4. The granulation may be passed through a mill or screen, if necessary, to facilitate a uniform granulation before drying. 5. Dried the granulation in a fluid bed dryer until a satisfactory endpoint is reached. The LOD at this point should be below 3% w/w with a target between 1-1.5 % 5 w/w under test temperature conditions. 6. Passed the dried granulation through a mill equipped with an appropriate sieve or screen to facilitate a satisfactory particle size distribution for blending. Retain a portion of this for Step 10. 7. Added the granulation to a suitable blender. If required, mix the dry sized 10 granulation for a minimum of 5 minutes, or until uniform. 8. Calculate the amounts of extragranular ingredients based on yields obtained of the dried granulation. 9. The dry blend ingredients may be passed through a screen, prior to blending. Retain a sample of microcrystalline cellulose if required for blending in Step 10. 15 Add the microcrystalline cellulose and croscarmellose sodium to the mixer and blend for 10 minutes, or until uniform. 10.Added either a portion of granulation from Step 6 or microcrystalline cellulose (PH 102) from Step 9 to the magnesium stearate and mix to form a lubricant pre blend. Add the lubricant pre-blend to the Step 9 blender and mix for a minimum 20 of 2 minutes, or until uniform. 11. Compress the granulation using appropriate tooling, at adequate hardness Preparation and Application of Coating Suspension 25 1. Prior to mixing, the dry color was passed through a screen, if necessary. Using a suitable mixer and tank, to the color coat was added to the purified water and mixed until a satisfactory suspension was formed. The suspension may be sieved through an appropriate screen. 30 2. 5 Kg of the coating suspension was applied to the bed for a total 3% wt/wt weight gain. This may if required be verified by tablet weight gain. 35 WO 2011/002857 PCT/US2010/040555 -35 Table 7: Examples of Coated Tablets of SKI-606 formulation with Crospovidone disintegrant at Different Unit Dosages Ingredients Qty (%w/w) of Qty/tablet (mg) Qty/tablet (mg) tablet core for 100 mg for 500 mg dose weight dose tablet tablet SKI 606 69 104.17 520.83 monohydrate (Based on 96% assay) Avicel pH 101 7.5 6.7 33.52 Crospovidone 1.0 1.45 7.25 Poloxamer-188 T M 3.0 4.35 21.74 Povidone 2.0 2.9 14.49 Water QS Extragranular ingredients Crospovidone 3.0 4.35 21.74 Avicel pH 101TM 14.0 20.29 101.45 Magnesium 0.5 0.724 3.62 stearate Total Uncoated tablet weight (mg) 145.0 725.0 Opadry II Yellow 85F12390 at 4% w/w 6.04 - Opadry || Red 85F15642 85F12390 at -- 30.19 4% w/w Total tablet weight of coated tablet 151.04 755.19 (mg) 5 The SKI-606 formulation and coated tablets of the SKI-606 formulation were prepared as follows for a batch size of 1 Kg core tablets: Weighed the following ingredients: SKI-606 monohydrate 718.4g 10 Microcrystalline cellulose (Avicel PH 101) 46.23 g Crospovidone 10.0 g Povidone K-25 20.00g Poloxamer 188 30.00 g 15 1.Passed SKI-606, Microcrystalline Cellulose and Crospovidone from step 1 through a 20 mesh screen and ingredients were added to a high shear mixer.
WO 2011/002857 PCT/US2010/040555 -36 2. Mixed the ingredients in step 2 in a high shear granulator for 2 minutes at low plow speed (Impeller only). 3. Dissolved Poloxamer 188 and Povidone K-25 in Purified water in another mixer. Used low mixer speed to avoid the generation of foam 5 4. Set the impeller and chopper speed to low setting. Added the solution from step 4 using a pump to granulate the mix in Step 3. If necessary, when the granulation solution was exhausted, continued mixing for an additional 2- 5 minutes with the chopper and impeller at low speed. Added additional Purified Water if necessary while mixing until the granulation end point is reached. Checked for the desired 10 granulation end point. Record the total amount of water used to granulate and the total mixing time as well as power or torque reading if available. 5. Dried the granulation in a Fluid bed dryer with inlet suggested set value temperature of 70C ±50C to a suggested L.O.D. range of 1 .5% to 2.5 %. Weighed and recorded yield. 15 6. Passed the dried granulation through a Comil at low speed (suggested mill speed 700 rpm or below and suggested screen: 20 mesh,). Weighed and recorded yield. FINAL BLEND: 20 7. Based on the yield in step 7, calculated the amount of ingredients required for (extra granular) dry addition. 8. Transferred the milled granulation from Step 9 into a suitable size V-blender. 9. Weighed the Microcrystalline cellulose (PH 101), Crospovidone and passed through a 20-mesh screen and add to the V-blender in step 11. Blend for 10 25 minutes without the intensifier bar activation. 10.Passed Magnesium stearate through a 30-mesh screen and bag blend with an equal portion of granulation of step 12 and added to the V-blender. Blend for 2 minutes without intensifier bar. 11.Weighed and recorded yield.
WO 2011/002857 PCT/US2010/040555 -37 Compress tablets at known weights and hardnesses and film coated compressed tablets. In certain embodiments, the inventive SKI-606 formulation obviates one or more problems with solid formulations of 3-cyanoquinolines, namely, variable dissolution and 5 a tendency for certain SKI-606 formulations (see comparative Example) to undergo small yet significant shifts on in dissolution on aging at both room temperature and under accelerated conditions when tested in buffer solution or under acidic conditions, as summarized in Figures 10 and 12. Figure 11 shows the lack of dissolution shift for the croscarmellose formulation. Figure 12 shows the dissolution shifts in existing 10 formulation. The poloxamer 188 in the SKI-606 comparative formulation was responsible for the shift in dissolution observed. Poloxamer though a solid at room temperature tends to undergo liquefaction at and around temperatures near its melting point of 48-520 C. Studies summarized in Figures 13 and 14 revealed that the poloxamer in the Crospovidone based formulation was indeed the reason that the 15 tablets were shifting in dissolution. In certain embodiments, SKI-606 tablet formulations were prepared with varying amounts of poloxamer, ranging from 0, 1.5, 3, 4.5 and 6% w/w, based on the weight of the SKI-606 formulation. Unexpectedly. it was observed that there existed a clear 20 dependency of tablet dissolution on the percent poloxamer content of the formulation, when tested in 0.1 N HCI. Figure 13 summarizes the effects of varying poloxamer content on tablet dissolution at similar water and binder addition rates in 0.1 N HCI. It is observed that the poloxamer actually appears to retard the release especially at early time points for the tablets tested. Poloxamer appeared to retard initial tablet dissolution 25 at 15 and 30 minutes in a concentration dependent manner. See Table 8. Table 8: Disintegration times in 0.1 N HCI of SKI-606 500 mg Tablet Cores with Varying Poloxamer content Poloxamer concentration DoE-1/Run Number Tablet DT range [N=6) (% w/w) (min) 0 2 6.2-6.6 1.5 1 10.6-12.9 3.0 3 11.5-13.1 4.5 7 14.1-15.6 6.0 5 14.3-14.9 WO 2011/002857 PCT/US2010/040555 -38 Although the poloxamer in tablets tends to retard dissolution initially, it was found to speed up dissolution on accelerated stability at later timepoints in 0.1 N HCI media as seen in the data summarized in Table 9. Table 9: Increase in Percent dissolved for the DoE batches in 0.1 N HCI and pH 4 Buffer (Stability Studies) Water Binder addition Poloxamer (% Release at 15 min (%) in 0.1 N HCI (G) rate (g/min) w/w) (+ -Increase in % dissolution from initial) 147 58.5 0 Initial 66 1M@40 Deg C +3 1 M@40 Deg C/75% RH +6 162 58.5 1.5 Initial 50 1M@40 Deg C +19 1 M@40 Deg C/75% RH +22 147 58.5 3.0 Initial 43 1M@40 Deg C +11 1 M@40 Deg C/75% RH +31 158 66 4.5 Initial 38 1M@40 Deg C +13 1 M@40 Deg C/75% RH +8 147 58.5 6.0 Initial 38 1M@40 Deg C +6 1M@40 Deg C/75% RH +14 5 On accelerated stability, poloxamer causes a dissolution shift in a concentration dependent manner from 0 to 3% w/w. The dissolution shift beyond 3% poloxamer concentration plateaus off with no evident trends. These results verify that the poloxamer can cause dissolution shifts to happen on stability. The poloxamer chains on 10 aging and at accelerated temperatures are believed to become more mobile, and thus instead of holding the granules together in the tablet the mobile polymer chains tends to "soften" the tablets. This could be as a result of granule softening over time as well as WO 2011/002857 PCT/US2010/040555 -39 increased tendency to disintegrate. Also seen are lowered disintegration times on stability. Once the tablet has disintegrated the granules in the tablet actually show behavior very similar to all known surfactants. Increase in surfactant tends to increase granule dissolution as seen in Figure 14. 5 This dissolution shift problem was obviated by the inventive SKI-606 formulation, by replacing the wetting agent poloxamer, which also functions as a surfactant, in the formulation. The use of a lower melting point surfactant (one that was liquid at room temperature) could help to address this issue. Polyoxyethylene (20) sorbitan 10 monooleate (TweenTM or polysorbate 80TM i) is one of the commonly used surfactants in use. The concentration of Polyoxyethylene (20) sorbitan monooleate (Polyoxyethylene sorbitan monooleate (Tween-80)TM) tested was 1 % in place of the 3% poloxamer in the formulation. This was used in the CPV formulation with 3% IG and 1% EG CPV as the disintegrant. This was deemed acceptable as the dissolution and other manufacturability 15 characteristics tested at this concentration were acceptable. In addition, Polyoxyethylene sorbitan monooleate (Tween-80)TM is a commonly used pharmaceutically acceptable wetting agent and also functions as a surfactant. In addition to addressing dissolution shift, testing of the robustness of these 20 formulations with respect to active pharmaceutical ingredient API particle size is desirable. The comparative SKI-606 formulation the API particle size appeared to influence the dissolution i.e. smaller the API particle size, slower the dissolution. With the SKI/Tween-80 formulation, this effect was minimized or negligible (Figure 17) and the SKI-606 formulations comprising the alternative wetting agent Polyoxyethylene 25 sorbitan monooleate (Tween-80) T M were superior in aging (Figures 15 and 16) to the comparative SKI-606 formulation Examples 11 and 12: Preparation of Pharmaceutically Acceptable Compositions of SKI-606 30 SKI-606 is prepared according to the methods described in detail in one or more of U.S. Pat Nos. 6,297,258 and 7,297,795. An exemplary inventive formulation of SKI 606 and a comparative SKI-606 formulation are summarized in Table 10.
WO 2011/002857 PCT/US2010/040555 -40 Table 10. SKI-606 Formulations SKI-606 Alternate SKI-606 Comparative SKI- Surfactant Formulation 1 606 formulation Formulation Intragranular Components (% w/w) (% w/w) (% w/w) SKI-606 monohydrate equivalent to SKI-606 base 69 69 69 Microcrystalline Cellulose (MCC, Avicel PH101) 6.5 17.5 19.5 Crospovidone (CPV) NA 3 3 Croscarmellose Sodium (CCS) 2 NA NA Poloxamer 188TM (Lutrol F 68TMTM) 3 3 NA Polyoxyethylene sorbitan 1 monooleate (Tween -80) Povidone (Kollidon 25) 2 2 2 Weight % Intragranular Components 82.5 94.5 94.5 Extragranular Ingredients Microcrystalline Cellulose (MCC, Avicel 101TM) NA 4 4 Microcrystalline Cellulose (MCC, Avicel 102TM) 15 NA NA Crospovidone NA 1 1 Croscarmellose Sodium 2 NA NA Magnesium stearate 0.5 0.5 0.5 Weight % Extragranular Components 17.5 5.5 5.5 Coating (Opadry || systems) 3 4 4 NA-not applicable or not available 5 Alternative SKI-606 Formulation comprising Polyoxyethylene sorbitan monooleate (Tween-80) as a wetting are summarized in Tables 11-13. 10 WO 2011/002857 PCT/US2010/040555 -41 Table 11. Alternate SKI-606 Formulations Comprising Polyoxyethylene sorbitan monooleate (Tween-80) and varying Crospovidone. Alternate Tween Alternate Tween Alternate Tween Ingredients formulation formulation formulation (%w/w) (%w/w) (%w/w) SKI-606 Monohydrate equivalent to SKI-606 base 69 69 69 Microcrystalline Cellulose (MCC, Avicel PH101) 21.5 20.5 18.5 Crospovidone (CPV) 1 2 4 Croscarmellose Sodium (CCS) NA NA NA Tween-80TM 1 1 1 Povidone (Kollidon 25TM) 2 2 2 Weight % Intragranular Components 94.5 94.5 94.5 Microcrystalline Cellulose (MCC, Avicel 101) 2 3 5 Crospovidone 3 2 0 Magnesium stearate 0.5 0.5 0.5 Weight % Extragranular Components 5.5 5.5 5.5 5 10 WO 2011/002857 PCT/US2010/040555 -42 Table 12. Alternate SKI-606 Formulations Comprising Varying Polyoxyethylene sorbitan monooleate (Tween-80). Alternate Tween Alternate Tween Alternate Tween Ingredients formulation formulation formulation (%w/w) (%w/w) (%w/w) SKI-606 Monohydrate equivalent to SKI-606 base 69 69 69 Microcrystalline Cellulose (MCC, Avicel PH101) 20 20.25 19.75 Crospovidone (CPV) 3 3 3 Croscarmellose Sodium (CCS) NA NA NA Tween-80TM 0.5 0.25 0.75 Povidone (Kollidon 25) 2 2 2 Weight % Intragranular Components 94.5 94.5 94.5 Microcrystalline Cellulose (MCC, Avicel 101) 4 4 4 Crospovidone 1 1 1 Magnesium stearate 0.5 0.5 0.5 Weight % Extragranular Components 5.5 5.5 5.5 5 10 WO 2011/002857 PCT/US2010/040555 -43 Table 13. Alternate SKI-606 Formulations Comprising Polyoxyethylene sorbitann monooleate (Tween-80) with varying binder concentrations. Alternate Tween Alternate Tween Alternate Tween Ingredients formulation formulation formulation (%w/w) (%w/w) (%w/w) SKI-606 Monohydrate equivalent to SKI-606 base 69 69 69 Microcrystalline Cellulose (MCC, Avicel PH101) 20.5 19.5 18.5 Crospovidone (CPV) 3 3 3 Croscarmellose Sodium (CCS) NA NA NA Tween-80TM 1 1 1 Povidone (Kollidon 25) 1 2 3 Weight % Intragranular Components 94.5 94.5 94.5 Microcrystalline Cellulose (MCC, Avicel 101) 4 4 4 Crospovidone 1 1 1 Magnesium stearate 0.5 0.5 0.5 Weight % Extragranular Components 5.5 5.5 5.5 5 The comparative SKI-606 formulation was prepared by the process of high shear wet granulation, wet milling, fluidized bed drying, dry milling, blending and compression to tablets that are subsequently film coated. 10 In certain embodiments, the inventive SKI-606 formulation comprises a film coated SKI-606 formulation that is prepared by high shear wet granulation or pan coating. In other embodiments, the film coated SKI-606 tablet formulation is prepared by other conventional coating techniques.

Claims (13)

  1. 2. A pharmaceutically acceptable composition comprising: intragranular components (a) 25-80 weight percent of 4-(2,4-dichloro-5-methoxy-phenylamino)-6 15 methoxy-7-[3-(4-methyl-piperazin-1-yl)-propoxy]-quinoline-3-carbonitrile based on the weight of the composition; (b) povidone; (c) microcrystalline cellulose; (d) 0.25-5 weight percent of croscarmellose sodium based on the weight of the composition, (e) poloxamer; and extragranular components (f) microcrystalline cellulose; and (g) magnesium stearate. 20
  2. 3. The composition according to claim 1, wherein the amount of 4-(2,4-dichloro-5 methoxy-phenylamino)-6-methoxy-7-[3-(4-methyl-piperazin-1 -yl)-propoxy]-quinoline-3 carbonitrile is about 69 weight %, based on the weight of the composition. 25 4. The composition according to any one of claims 1-3, wherein the amount of croscarmellose sodium is about 1-3 weight %, in the intragranular portion, based on the weight of the composition.
  3. 5. The composition according to any one of claims 1-3, wherein the amount of 30 croscarmellose sodium is about 1-3 weight %, in the extragranular portion, based on the weight of the composition.
  4. 6. The composition according to claim 1, wherein the amount of povidone is about 2 weight %, based on the weight of the composition. WO 2011/002857 PCT/US2010/040555 -45
  5. 7. The composition according to claim 1, wherein the amount of microcrystalline cellulose is about 21.5 weight %, based on the weight of the composition. 5 8. The composition according to claim 7, wherein the amount of microcrystalline cellulose as an intragranular component is about 6.5 weight %, based on the weight of the composition; or the amount of microcrystalline cellulose as an extragranular component is about 15 weight %, based on the weight of the composition; or both. 10 9. The composition according to claim 1, wherein the amount of poloxamer is about 3 weight %, based on the weight of the composition.
  6. 10. The composition according to claim 1, wherein the amount of magnesium stearate is about 0.5 weight %, based on the weight of the composition. 15
  7. 11. A pharmaceutically acceptable composition for oral administration, comprising: intragranular components (a) 25-80 weight percent of 4-(2,4-dichloro-5-methoxy phenylamino)-6-methoxy-7-[3-(4-methyl-piperazin-1 -yl)-propoxy]-quinoline-3 carbonitrile; (b) 0.5-5.0 weight percent of povidone; (c) 1-25 weight percent of 20 microcrystalline cellulose; (d) 0.5-5 weight percent of croscarmellose sodium; (e) 0.2-5 weight percent of poloxamer, based on the weight of the composition; and extragranular components (f) 1-25 weight percent of microcrystalline cellulose; (g) 0.5-5 weight percent of croscarmellose sodium; and (h) 0.5-5 weight percent of magnesium stearate, based on the weight of the composition of the uncoated/core tablet. 25
  8. 12. The composition according to claim 8, wherein the amount of 4-(2,4-dichloro-5 methoxy-phenylamino)-6-methoxy-7-[3-(4-methyl-piperazin-1 -yl)-propoxy]-quinoline-3 carbonitrile is about 69 weight %, based on the weight of the composition. 30 13. The composition according to claim 11 or 12, wherein the amount of croscarmellose sodium is about 1-3 weight %, in the intragranular portion, based on the weight of the composition. WO 2011/002857 PCT/US2010/040555 -46
  9. 14. The composition according to claim 11 or 12, wherein the amount of croscarmellose sodium is about 1-3 weight %, in the extragranular portion, based on the weight of the composition. 5 15. The composition according to claim 11, wherein the amount of povidone is about 2 weight %, based on the weight of the composition; the amount of microcrystalline cellulose is about 21.5 weight %, based on the weight of the composition; the amount of poloxamer is about 3 weight %, based on the weight of the composition; or the amount of magnesium stearate is about 0.5 weight %, based on the weight of the composition. 10
  10. 16. The composition according to claim 15, wherein the amount of microcrystalline cellulose as an intragranular component is about 6.5 weight %, based on the weight of the composition; the amount of microcrystalline cellulose as an extragranular component is about 15 weight %, based on the weight of the composition; or both. 15
  11. 17. A pharmaceutically acceptable composition comprising: intragranular components 25-80 weight percent of 4-(2,4-dichloro-5-methoxy-phenylamino)-6 methoxy-7-[3-(4-methyl-piperazin-1-yl)-propoxy]-quinoline-3-carbonitrile based on the weight of the composition; and 0.25-5 weight percent of croscarmellose sodium based 20 on the weight of the composition; and extragranular components optionally comprising microcrystalline cellulose; and magnesium stearate.
  12. 18. The composition according to claim 1 or 11, in the form of an oral suspension of 4-(2,4-dichloro-5-methoxy-phenylamino)-6-methoxy-7-[3-(4-methyl-piperazin-1 -yl) 25 propoxy]-quinoline-3-carbonitrile.
  13. 19. The composition according to claim 1 or claim 11, in the form of a wet granulated, film coated tablet, or in the form of a pan coated tablet. 30 20. A method for treating cancer comprising administering an effective amount of a composition according to claim 1 or claim 11.
AU2010266342A 2009-07-02 2010-06-30 3-cyanoquinoline tablet formulations and uses thereof Abandoned AU2010266342A1 (en)

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Families Citing this family (12)

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Publication number Priority date Publication date Assignee Title
PL1848414T3 (en) 2005-02-03 2011-10-31 Wyeth Llc Method for treating gefitinib resistant cancer
PE20070763A1 (en) 2005-11-04 2007-08-08 Wyeth Corp ANTINEOPLASTIC COMBINATIONS OF AN INHIBITOR OF mTOR, TRASTUZUMAB AND / OR HKI-272
US8022216B2 (en) 2007-10-17 2011-09-20 Wyeth Llc Maleate salts of (E)-N-{4-[3-chloro-4-(2-pyridinylmethoxy)anilino]-3-cyano-7-ethoxy-6-quinolinyl}-4-(dimethylamino)-2-butenamide and crystalline forms thereof
CN102641270A (en) 2008-06-17 2012-08-22 惠氏有限责任公司 Antineoplastic combinations containing HKI-272 and vinorelbine
CN102202667A (en) 2008-08-04 2011-09-28 惠氏有限责任公司 Antineoplastic combinations of 4-anilino-3-cyanoquinolines and capecitabine
MX356593B (en) 2009-04-06 2018-06-05 Wyeth Llc Treatment regimen utilizing neratinib for breast cancer.
WO2011056741A2 (en) 2009-11-09 2011-05-12 Wyeth Llc Coated drug spheroids and uses thereof for eliminating or reducing conditions such as emesis and diarrhea
RS59599B2 (en) 2009-11-09 2023-03-31 Wyeth Llc Tablet formulations of neratinib maleate
CN104447541A (en) * 2013-09-16 2015-03-25 天津市汉康医药生物技术有限公司 Bosutinib compound
CN105384686B (en) * 2014-09-04 2019-07-26 连云港润众制药有限公司 A kind of bosutinib method for crystallising
US20190060325A1 (en) * 2016-04-08 2019-02-28 Shionogi & Co., Ltd. Stabilized solid dosage form
CN110461720A (en) 2017-03-31 2019-11-15 日精Asb机械株式会社 Resin container

Family Cites Families (7)

* Cited by examiner, † Cited by third party
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US6297258B1 (en) 1998-09-29 2001-10-02 American Cyanamid Company Substituted 3-cyanoquinolines
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RU2345069C2 (en) 2003-08-19 2009-01-27 Уайт Холдингз Корпорейшн Method of obtaining 4-amino-3-quinolinecarbonitryls
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WO2008053295A2 (en) * 2006-10-30 2008-05-08 Wockhardt Research Centre Pharmaceutical compositions of benzoquinolizine-2-carboxylic acid
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