EP4034120A1 - Solid oral pharmaceutical formulations comprising sapropterin dihydrochloride and at least one pharmaceutical excipient - Google Patents
Solid oral pharmaceutical formulations comprising sapropterin dihydrochloride and at least one pharmaceutical excipientInfo
- Publication number
- EP4034120A1 EP4034120A1 EP20868515.6A EP20868515A EP4034120A1 EP 4034120 A1 EP4034120 A1 EP 4034120A1 EP 20868515 A EP20868515 A EP 20868515A EP 4034120 A1 EP4034120 A1 EP 4034120A1
- Authority
- EP
- European Patent Office
- Prior art keywords
- weight
- solid oral
- oral pharmaceutical
- pharmaceutical formulation
- formulation according
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Pending
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P3/00—Drugs for disorders of the metabolism
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/33—Heterocyclic compounds
- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/495—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
- A61K31/505—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim
- A61K31/519—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim ortho- or peri-condensed with heterocyclic rings
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/20—Pills, tablets, discs, rods
- A61K9/2004—Excipients; Inactive ingredients
- A61K9/2013—Organic compounds, e.g. phospholipids, fats
- A61K9/2018—Sugars, or sugar alcohols, e.g. lactose, mannitol; Derivatives thereof, e.g. polysorbates
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/48—Preparations in capsules, e.g. of gelatin, of chocolate
- A61K9/4841—Filling excipients; Inactive ingredients
- A61K9/4858—Organic compounds
Definitions
- the present invention relates to solid oral pharmaceutical formulations comprising sapropterin dihydrochloride and at least one pharmaceutically acceptable excipient.
- Phenylketonuria is a rare condition where babies are born unable to break down an amino acid called phenylalanine. This causes phenylalanine to build up. When phenylalanine levels get too high, it can cause damage to the brain. This can lead to intellectual and developmental disabilities.
- Phenylalanine is found in foods that contain protein. PKU is manageable, mostly through your diet. The key to living with PKU successfully is finding it early. That is why all babies in the United States are screened for the disease at birth.
- PKU is an inherited disease. This means it is passed down through the genes of the mother and father. It is caused by mutations in the gene that helps make an enzyme called phenylalanine hydroxylase. This enzyme helps break down phenylalanine. When this gene doesn’t work right, the body can’t break down phenylalanine. It starts to build up and causes damage to nerve cells in the brain.
- microcephaly Smaller than normal head size
- the U.S. Food and Drug Administration has approved the medicine sapropterin dihydrochloride (Kuvan®) for the treatment of PKU.
- Kuvan can help the body break down phenylalanine.
- Sapropterin dihydrochloride (Kuvan® [BioMarin, CA, USA]) is the first and only registered synthetic form of the naturally occurring enzyme cofactor, BH4 (5, 6,7,8- tetrahydrobiopterin) Sapropterin is an orally active, synthetic dihydrochloride salt formulation of the Biologically active 6R-diastereoisomer of BH4 (5, 6,7,8- tetrahydrobiopterin)
- PKU is characterized by a defect in the PAH (Phenylalanine hydroxylase) enzyme, residual enzymatic activity may be present in some patients.
- sapropterin may act like a chemical chaperone to promote the normal metabolism of Phe(Phenylalanine) and lower its concentration in the blood in a subset of patients who are BH4 responsive. Sapropterin may be used to assist in the control of Phe concentrations. It provides the opportunity for patients who respond to BH4 to adjust their diet, thereby allowing a greater intake of Phe or even coming off of their Phe-restrictive diet.
- the overall frequency of BH4 responsiveness across Europe is estimated to be 55-62%, based on projections made using genetic allelic data for BH4 responsiveness, although responsiveness can only be determined by a response test.
- Sapropterin dihydrochloride has the following structural formula:
- compositions comprising selected and stable crystal forms of (6R)-L-erythro- tetrahydrobiopterin dihydrochloride or a hydrate thereof and a pharmaceutically acceptable carrier.
- the patent EP1757293B1 of Daiichi Sankyo discloses an effective sapropterin hydrochloride preparation that is highly stable during storage and can administer sapropterin hydrochloride, an effective therapeutic agent for the treatment of tetrahydrobiopterin-responsive hyperphenylalaninemia, to patients of a wide range of ages, ranging from infants to adults, in a single preparation.
- compositions of the invention may comprise a stable, crystalline form of BH4 that is stable at room temperature for more than 8 hours and a pharmaceutically acceptable carrier, diluent or excipient.
- Exemplary stable tablets of the invention have been prepared using a dry tableting process and have been shown to have a shelf-life of at least 6 to 9 months at room temperature.
- the patent application EP2680848A1 of Dipharma discloses stable pharmaceutical compositions comprising tetrahydrobiopterin and at least one stabilizing agent. Particularly the present invention relates to stable compositions of sapropterin dihydrochloride. Antioxidants that stabilize tetrahydrobiopterin; with the weight ratio of the antioxidant to active ranging from 0.2 - 1.5.
- the patent application CN104257623A patent of Guangdong Zhongsheng pharmaceutical company discloses an effervescent tablet containing sapropterin dihydrochloride.
- Sapropterin dihydrochloride exhibits polymorphism and many crystalline forms have been identified; among all the polymorphic forms, Form B was identified to be thermodynamically stable crystalline anhydrate form. Polymorph form B is a very stable crystalline form, that can be easily filtered off, dried and ground to particle sizes desired for pharmaceutical formulations. These outstanding properties renders polymorph form B especially feasible for pharmaceutical application.
- Sapropterin dihydrochloride is currently available as oral soluble tablets of 100mg and 100mg-500mg powder packets under the brand name KuvanTM. It is marketed by BioMarin in the US and Merck Serono in Europe. KuvanTM has been designated as an orphan medication since hyperphenylalaninemia is a rare disease. KuvanTM is indicated to reduce blood phenylalanine levels in patients with hyperphenylalaninemia due to tetrahydrobiopterin responsive phenylketonuria. It is to be used in conjunction with phenylalanine restricted diet.
- sapropterin dihydrochloride In patients with phenylketonuria the role of sapropterin dihydrochloride is to enable endogenous phenylalanine hydroxylase activity and to partially restore oxidative metabolism of phenylalanine, resulting in decreased blood phenylalanine levels. In patients with BH4 deficiency, sapropterin dihydrochloride is proposed to restore endogenous phenylalanine hydroxylase activity by providing an exogenous source of the missing cofactor.
- Tetrahydrobiopterin is an unstable compound; at ambient temperature it is prone to autoxidation in the presence of molecular oxygen. Tetrahydrobiopterin is also very hygroscopic. Therefore, the development of stable oral composition comprising tetrahydrobiopterin that is prone to degradation at room temperature is a challenging task.
- compositions of sapropterin comprising stabilizers in variety of ratios
- stability of these compositions is low at room temperature or 40°C/75% relative humidity and need to be stored under refrigeration.
- Low stability of such tetrahydrobiopterin compositions is commercially undesirable and significant degradation due to improper storage could hinder therapy. Need therefore, exists for preparations of tetrahydrobiopterin that are more stable and retain desired amount of active over a longer time even when not refrigerated.
- the amount and type of stabilizer and other excipients present in the compositions of sapropterin determine the stability of the active and compositions thereof. Too little or too much stabilizer can affect the stability of the compositions of sapropterin and an appropriate amount of stabilizer must therefore be present in these compositions.
- the stable formulations of sapropterin dihydrochloride according to the present invention thus provide desired amount of active over the entire shelf life of the product.
- the main object of the present invention is to provide solid oral pharmaceutical formulations comprising sapropterin dihydrochloride and at least one pharmaceutically acceptable excipient with desired stability and bioavailability.
- sapropterin dihydrochloride refers to not only sapropterin dihydrochloride, but also its other pharmaceutically acceptable solvates, pharmaceutically acceptable hydrates, pharmaceutically acceptable enantiomers, pharmaceutically acceptable derivatives, pharmaceutically acceptable polymorphs or pharmaceutically acceptable prodrugs thereof.
- the amount of sapropterin dihydrochloride is between 15.0-40.0%, preferably 20.0- 30.0%, more preferably 25.0-30.0% by weight of the solid oral pharmaceutical formulation.
- said the solid oral pharmaceutical formulation one or more pharmaceutically acceptable excipient which is selected from antioxidants, binders, disintegrants, lubricants, glidants, diluents or mixtures thereof.
- Suitable antioxidants are selected from the group comprising alpha tocopherol (Vitamin E), quercetine, butylhydroxyanisole (BHA), butylhydroxytoluene (BHT), ascorbyl palmitate, alpha lipoic acid, erythorbic acid, monothioglycerol, potassium metabisulfite, propyl gallate, sodium ascorbate, sodium metabisulfite, sodium sulfite, citric acid, thymol or mixtures thereof.
- antioxidants are selected from quercetine, alpha tocopherol(vitamin E), butylhydroxyanisole or butylhydroxytoluene or mixtures thereof.
- the amount of antioxidant is between 5.6-6.4% by weight of the solid oral pharmaceutical formulation.
- Suitable glidants are selected from the group comprising colloidal silicon dioxide, corn starch, talc or mixtures thereof.
- the amount of glidant is between 0.1% and 1.0% by weight of the formulation, preferably it is between 0.2% and 1.0% by weight, more preferably it is between 0.5% and 1.0% by weight of the solid oral pharmaceutical formulation.
- the glidant is colloidal silicon dioxide.
- Suitable binders are selected from the group comprising lactose anhydrous, polyvinylpyrrolidone, polyethylene glycol, polyvinyl alcohol, starch, pregelatinized starch, glucose, glucose syrup, natural gums, sucrose, sodium alginate, hydroxypropyl methyl cellulose, hydroxypropyl cellulose, carboxy methyl cellulose, methyl cellulose, gelatin, carrageenan, guar gum, carbomer, polymethacrylates, methacrylate polymers, collagenselatin, agar, alginate, alginic acid, xanthan gum, hyaluronic acid, pectin, polysaccharides, carbomer, poloxamer, polyacrylamide, aluminium hydroxide, laponite, bentonite, polyoxyethylene-alkyl ether, polydextrose, polyethylene oxide or mixtures thereof.
- binders are used to achieve the desired dissolution profile, especially, when the amount of binder is between 1.0% and 50.0%, the solid oral pharmaceutical formulation shows desired dissolution profile.
- the amount of binder is between 1.0% and 50.0%, 5.0% and 50.0%, 10.0% and 50.0%, 20.0% and 50.0% by weight of the solid oral pharmaceutical formulation.
- the binder is lactose anhydrous.
- Suitable disintegrants are selected from the group comprising polyvinyl pyrrolidone (crospovidone), crospovidone CL-Superfine (kollidon CL-Superfine), povidone, cross- linked carboxymethyl cellulose (croscarmellose sodium), low-substituted hydroxypropyl cellulose, pregelatinized starch, sodium carboxymethyl cellulose, calcium carboxymethyl cellulose, carboxymethyl cellulose, docusate sodium, guar gum, polyacryline potassium, sodium alginate, corn starch, sodium starch glycolate, alginic acid, alginates, ion-exchange resins, magnesium aluminium silica, sodium dodesyl sulphate, poloxamer, sodium glycine carbonate, sodium lauryl sulphate or mixtures thereof.
- polyvinyl pyrrolidone crospovidone
- CL-Superfine crospovidone CL-Superfine
- povidone cross- linked carboxymethyl cellulose
- the amount of disintegrant is between 2.0% and 8.0%, 2.0% and 7.0%, 2.0% and 6.0%, 2.0% and 5.0% by weight of the solid oral pharmaceutical formulation.
- the disintegrant is sodium starch glycolate.
- Suitable lubricants are selected from the group comprising from magnesium stearate, calcium stearate, zinc stearate, talc, waxes, boric acid, hydrogenated vegetable oil, sodium chlorate, magnesium lauryl sulfate, sodium oleate, sodium acetate, sodium benzoate, polyethylene glycol, stearic acid, fatty acid, fumaric acid, glyseryl palmito sulphate, sodium stearyl fumarate, sodium lauryl sulphate or mixtures thereof.
- the amount of lubricant is between 0.25% and 5.0%, 0.5% and 4.5%, 1.0% and 4.0%, 2.0% and 3.0% by weight of the solid oral pharmaceutical formulation.
- the lubricant is magnesium stearate.
- Suitable diluents which is selected from the group comprising, microcrystalline cellulose, dibasic calcium phosphate, mannitol, spray-dried mannitol, starch, dextrose, sucrose, fructose, maltose, sorbitol, xylitol, inositol, kaolin, inorganic salts, calcium salts, polysaccharides, dicalcium phosphate, sodium chloride, dextrates, lactitol, maltodextrin, sucrose-maltodextrin mixture, trehalose, sodium carbonate, sodium bicarbonate, calcium carbonate or mixtures thereof.
- the amount of diluent is between 20.0% and 90.0%, 20.0% and 80.0%, 20.0% and 70.0%, 20.0% and 60.0%, 20.0% and 30.0% by weight of the solid oral pharmaceutical formulation.
- the diluent is microcrystalline cellulose.
- the solid oral pharmaceutical formulation is in the form of tablets, capsules, strips, powders, pastilles, sachets, effervescent compositions, pills, coated bead systems, granules, microspheres, dragees, films, orally administrable films, solids.
- the solid oral pharmaceutical formulation is in the form of tablets or capsule.
- the solid oral pharmaceutical formulation may be prepared by conventional technology well known to those skilled in the art such as direct compression, dry granulation, wet granulation and the like.
- direct compression active agent and excipients are mixed, sieved and compressed into dosage forms or if the capsule is to be made, powder mixture is filled into gelatin capsules.
- wet granulation the ingredients are mixed and granulated with a granulation liquid. The granulation process provides agglomerates with a desired homogeneity. The mixture is sieved and optionally mixed with additional excipients. Finally, it is compressed into dosage forms or if the capsule is to be made, powder mixture is filled into gelatin capsules.
- According to another embodiment of the present invention is to provide a stable solid oral pharmaceutical formulation by a simple preparation process.
- the pharmaceutical formulations of the present invention can be prepared in a fast, efficient, commercially cost low and plant-friendly manufacturing process. A desired dissolution profile of the solid oral pharmaceutical formulation is obtained.
- Example 1 Sapropterin dihydrochloride and at least one pharmaceutical excipient processed with direct compression
- Example 2 Sapropterin dihydrochloride and at least one pharmaceutical excipient processed with direct compression
- Example 3 Sapropterin dihydrochloride and at least one pharmaceutical excipient processed with direct compression Process (Direct compression/ Capsule filling) a. Sieving Sapropterin dihydrochloride, Sodium starch glycolate, Lactose anhydrous,
- Butylhydroxyanisole, Butylhydroxytoluene, vitamin E, Quercetine or Citric acid can be used as an antioxidant.
- Example 4 Sapropterin dihydrochloride and at least one pharmaceutical excipient processed with direct compression Process (Direct compression/Capsule filling)
- direct compression Process Direct compression/Capsule filling
- Butylhydroxyanisole, Butylhydroxytoluene, vitamin E, Quercetine or Citric acid can be used as an antioxidant.
- Example 5 Sapropterin dihydrochloride and at least one pharmaceutical excipient processed with wet granulation * * q.s.: quantity sufficient
- Butylhydroxyanisole, Butylhydroxytoluene, vitamin E, Quercetine or Citric acid can be used as an antioxidant.
- Example 6 Sapropterin dihydrochloride and at least one pharmaceutical excipient processed with wet granulation
- Example 7 Sapropterin dihydrochloride and at least one pharmaceutical excipient processed with wet granulation
- Example 8 Sapropterin dihydrochloride and at least one pharmaceutical excipient processed with wet granulation
- Butylhydroxyanisole, Butylhydroxytoluene, vitamin E, Quercetine or Citric acid can be used as an antioxidant.
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Public Health (AREA)
- General Health & Medical Sciences (AREA)
- Chemical & Material Sciences (AREA)
- Medicinal Chemistry (AREA)
- Pharmacology & Pharmacy (AREA)
- Veterinary Medicine (AREA)
- Animal Behavior & Ethology (AREA)
- Epidemiology (AREA)
- Biophysics (AREA)
- Molecular Biology (AREA)
- Engineering & Computer Science (AREA)
- Bioinformatics & Cheminformatics (AREA)
- Diabetes (AREA)
- Hematology (AREA)
- Obesity (AREA)
- Chemical Kinetics & Catalysis (AREA)
- General Chemical & Material Sciences (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Organic Chemistry (AREA)
- Medicinal Preparation (AREA)
Abstract
Description
Claims
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
TR2019/14406A TR201914406A2 (en) | 2019-09-23 | 2019-09-23 | SOLID ORAL PHARMACEUTICAL FORMULATIONS CONTAINING SAPROPTERIN DIHYDROCHLORIDE AND AT LEAST ONE PHARMACEUTICAL EXCIPIENT |
PCT/TR2020/050688 WO2021061065A1 (en) | 2019-09-23 | 2020-08-05 | Solid oral pharmaceutical formulations comprising sapropterin dihydrochloride and at least one pharmaceutical excipient |
Publications (2)
Publication Number | Publication Date |
---|---|
EP4034120A1 true EP4034120A1 (en) | 2022-08-03 |
EP4034120A4 EP4034120A4 (en) | 2023-07-12 |
Family
ID=75167064
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
EP20868515.6A Pending EP4034120A4 (en) | 2019-09-23 | 2020-08-05 | Solid oral pharmaceutical formulations comprising sapropterin dihydrochloride and at least one pharmaceutical excipient |
Country Status (3)
Country | Link |
---|---|
EP (1) | EP4034120A4 (en) |
TR (1) | TR201914406A2 (en) |
WO (1) | WO2021061065A1 (en) |
Families Citing this family (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
GB202201356D0 (en) * | 2022-02-02 | 2022-03-16 | Meta Healthcare Ltd | Sapropterin formulation |
Family Cites Families (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CA2581814C (en) * | 2004-11-17 | 2015-10-13 | Biomarin Pharmaceutical Inc. | Stable tablet formulation of tetrahydrobiopterin |
CA2828685C (en) * | 2011-03-01 | 2018-05-29 | Rubicon Research Private Limited | Stable compositions of tetrahydrobiopterin |
WO2012127431A1 (en) * | 2011-03-24 | 2012-09-27 | Rubicon Research Private Limited | Stabilized compositions of tetrahydrobiopterin |
US9216178B2 (en) * | 2011-11-02 | 2015-12-22 | Biomarin Pharmaceutical Inc. | Dry blend formulation of tetrahydrobiopterin |
-
2019
- 2019-09-23 TR TR2019/14406A patent/TR201914406A2/en unknown
-
2020
- 2020-08-05 EP EP20868515.6A patent/EP4034120A4/en active Pending
- 2020-08-05 WO PCT/TR2020/050688 patent/WO2021061065A1/en unknown
Also Published As
Publication number | Publication date |
---|---|
WO2021061065A1 (en) | 2021-04-01 |
TR201914406A2 (en) | 2021-04-21 |
EP4034120A4 (en) | 2023-07-12 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
EP2528594B1 (en) | Effervescent formulations comprising second generation cephalosporin | |
US20190160070A1 (en) | Dry blend formulation of tetrahydrobiopterin | |
US8003126B2 (en) | Stable tablet formulation | |
CA2828685C (en) | Stable compositions of tetrahydrobiopterin | |
KR101724024B1 (en) | Sustained release tablet comprising pregabalin through 2-phases release-controlling system | |
KR102241643B1 (en) | Suspension for oral administration comprising amorphous tolvaptan | |
EP2782557B1 (en) | Pharmaceutical formulations | |
CA2588465C (en) | Pharmaceutical composition containing an anti-nucleating agent | |
JP2010522692A (en) | Solid pharmaceutical composition containing a benzimidazole-7-carboxylate derivative and a pH adjuster | |
US11020351B2 (en) | Stable bilayer tablet compositions | |
EP1958617B1 (en) | Pharmaceutical compositions containing quetiapine fumarate | |
KR20190015329A (en) | A pharmaceutical composition of a dapagliflozin co-crystal | |
EP4034120A1 (en) | Solid oral pharmaceutical formulations comprising sapropterin dihydrochloride and at least one pharmaceutical excipient | |
JPWO2007007656A1 (en) | Pharmaceutical composition containing thiazolidinedione compound | |
JP2016027007A (en) | Vitamin B12-containing composition | |
EP4034126A1 (en) | Pharmaceutical formulations comprising sapropterin dihydrochloride and at least one antioxidant | |
US9555026B2 (en) | Solid dispersion comprising amorphous cilostazol | |
KR20220054349A (en) | Solid Oral Dosage Forms Containing Naproxen and Vitamin B12 | |
WO2021061066A1 (en) | Effervescent formulations of sapropterin dihydrochloride | |
JP2019156844A (en) | Memantine hydrochloride-containing tablet | |
JP5791817B2 (en) | Pharmaceutical composition for oral administration with improved dissolution and / or absorption | |
CA2976441A1 (en) | Stable pharmaceutical compositions comprising antibacterial agent | |
KR101125453B1 (en) | Solubilizing Compositions of L-Tryptophan and Pharmaceutical preparation therefrom | |
KR20220054350A (en) | Solid oral dosage form comprising naproxen and vitamin B1 | |
KR20150137272A (en) | Pregabalin sustained release tablet formulation and process |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
STAA | Information on the status of an ep patent application or granted ep patent |
Free format text: STATUS: THE INTERNATIONAL PUBLICATION HAS BEEN MADE |
|
PUAI | Public reference made under article 153(3) epc to a published international application that has entered the european phase |
Free format text: ORIGINAL CODE: 0009012 |
|
STAA | Information on the status of an ep patent application or granted ep patent |
Free format text: STATUS: REQUEST FOR EXAMINATION WAS MADE |
|
17P | Request for examination filed |
Effective date: 20220322 |
|
AK | Designated contracting states |
Kind code of ref document: A1 Designated state(s): AL AT BE BG CH CY CZ DE DK EE ES FI FR GB GR HR HU IE IS IT LI LT LU LV MC MK MT NL NO PL PT RO RS SE SI SK SM TR |
|
DAV | Request for validation of the european patent (deleted) | ||
DAX | Request for extension of the european patent (deleted) | ||
A4 | Supplementary search report drawn up and despatched |
Effective date: 20230609 |
|
RIC1 | Information provided on ipc code assigned before grant |
Ipc: A61K 9/48 20060101ALN20230602BHEP Ipc: A61K 9/20 20060101ALI20230602BHEP Ipc: A61K 31/519 20060101ALI20230602BHEP Ipc: A61K 31/505 20060101AFI20230602BHEP |
|
P01 | Opt-out of the competence of the unified patent court (upc) registered |
Effective date: 20230708 |