JPWO2020247627A5 - - Google Patents
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- JPWO2020247627A5 JPWO2020247627A5 JP2021572444A JP2021572444A JPWO2020247627A5 JP WO2020247627 A5 JPWO2020247627 A5 JP WO2020247627A5 JP 2021572444 A JP2021572444 A JP 2021572444A JP 2021572444 A JP2021572444 A JP 2021572444A JP WO2020247627 A5 JPWO2020247627 A5 JP WO2020247627A5
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(R)-(+)-アミスルプリドと(S)-(-)-アミスルプリドのエナンチオマー比が遊離塩基の重量で約85:15である、(R)-(+)-アミスルプリドおよび(S)-(-)-アミスルプリド、または薬学的に許容されるそれらの塩の不均等混合物の形態のアミスルプリド、ならびに
固体経口剤の総重量に対して約10%から約50%の量の持続放出性薬剤を含み、ここで、投与により、12ミリ秒(ms)未満である基準値に対する対象集団の平均の最大QT間隔延長を提供する、固体経口剤。 A solid oral dosage form comprising amisulpride for treating bipolar depression, said treatment comprising administering to a subject as a solid oral dosage form from about 200 mg to about 400 mg of amisulpride by weight of free base per day; The solid oral formulation is
(R)-(+)-amisulpride and (S)-( where the enantiomeric ratio of (R)-(+)-amisulpride to (S)-(-)-amisulpride is about 85:15 by weight of free base -) - amisulpride in the form of unequal mixtures of amisulpride or a pharmaceutically acceptable salt thereof, and a sustained-release drug in an amount of about 10% to about 50% based on the total weight of the solid oral dosage form , wherein administration provides a subject population mean maximum QT interval prolongation relative to a baseline value of less than 12 milliseconds (ms).
(ii)固体経口剤が錠剤である;
(iii)基準値に対する集団の平均の最大QT間隔延長が、投与後12時間の期間での基準値に対する集団の平均の最大QTcF間隔延長である;
(iv)基準値に対する集団の平均の最大QT間隔延長が、11ミリ秒(ms)未満である;
(v)基準値に対する集団の平均の最大QT間隔延長が、10ミリ秒(ms)未満である;
(vi)遊離塩基の重量で1日当たり約200mgのアミスルプリドが投与される、例えば、基準値に対する集団の平均の最大QT間隔延長が、9ミリ秒(ms)未満である;
(vii)持続放出性薬剤が、マトリックス形成剤を含む、例えば、マトリックス形成剤が、1つまたは複数のセルロースエーテルを含む;
(viii)持続放出性薬剤が、固体経口剤の総重量に対して約20%から約40%の量である;
(ix)持続放出性薬剤が、固体経口剤の総重量に対して約20%から約30%の量のヒドロキシプロピルメチルセルロースを含む;
(x)D2受容体占有率が表38および本明細書に実質的に記載されている陽電子放射断層撮影法(PET)を使用して測定される場合、投与により、投与の約27時間後に、約20%から約60%の対象集団のドーパミンD2受容体の平均占有率を提供する;
(xi)投与により、
a.固体経口剤と1日当たりの総量が同一のアミスルプリドを有する即時放出組成物により達成される集団の幾何平均Cmaxの約80%未満である、アミスルプリドの集団の幾何平均血漿Cmax、および
b.固体経口剤と1日当たりの総量が同一のアミスルプリドを有する即時放出組成物により達成される投与後0から24時間の集団の幾何平均AUC(AUC 0-24 )の約80%未満である、アミスルプリドの集団の幾何平均AUC 0-24
を提供し、所望により、即時放出組成物が、表25に実質的に記載されている、医薬組成物と1日当たりの総量が同一のアミスルプリドを有する即時放出組成物である;
(xii)投与により、固体経口剤組成物の初回投与後に約1900(ng * h/ml)未満であるアミスルプリドの投与後0から24時間の集団の幾何平均AUC(AUC 0-24 )を提供する;
(xiii)投与により、固体経口剤組成物の投与1週間後に約2500(ng * h/ml)未満であるアミスルプリドの投与後0から24時間の集団の幾何平均AUC(AUC 0-24 )を提供する;
(xiv)投与により、固体経口剤組成物の初回投与後に約4400(ng * h/ml)未満であるアミスルプリドの投与後0から24時間の集団の幾何平均AUC(AUC 0-24 )を提供する;または
(xv)投与により、固体経口剤組成物の投与1週間後に約5400(ng * h/ml)未満であるアミスルプリドの投与後0から24時間の集団の幾何平均AUC(AUC 0-24 )を提供する、
請求項1に記載の固体経口剤。 (i) administration is once daily ;
(ii) the solid oral dosage form is a tablet;
(iii) the population mean maximum QT interval prolongation relative to baseline is the population mean maximum QTcF interval prolongation relative to baseline over the 12 hour post-dose period;
(iv) the population mean maximal QT interval prolongation relative to baseline is less than 11 milliseconds (ms);
(v) the population mean maximal QT interval prolongation relative to baseline is less than 10 milliseconds (ms);
(vi) about 200 mg of amisulpride by weight of free base per day is administered, e.g., the population mean maximal QT interval prolongation relative to baseline is less than 9 milliseconds (ms);
(vii) the sustained-release drug comprises a matrix-forming agent, e.g., the matrix-forming agent comprises one or more cellulose ethers;
(viii) the sustained-release drug is in an amount of about 20% to about 40% of the total weight of the solid oral dosage form;
(ix) the sustained-release formulation comprises hydroxypropylmethylcellulose in an amount of about 20% to about 30%, based on the total weight of the solid oral dosage form;
(x) when D2 receptor occupancy is measured using Positron Emission Tomography (PET) as substantially described in Table 38 and herein, upon administration, at about 27 hours after administration, providing a mean occupancy of dopamine D2 receptors in a subject population of about 20% to about 60%;
(xi) administering
a. a population geometric mean plasma Cmax of amisulpride that is less than about 80% of the population geometric mean Cmax achieved with an immediate release composition having the same total daily dose of amisulpride as a solid oral dosage form; and
b. of amisulpride that is less than about 80% of the population geometric mean AUC from 0 to 24 hours post-dose (AUC 0-24 ) achieved by an immediate release composition having the same total daily dose of amisulpride as a solid oral dosage form; Population Geometric Mean AUC 0-24
and optionally wherein the immediate release composition is an immediate release composition having the same total daily amount of amisulpride as the pharmaceutical composition substantially as described in Table 25;
(xii) administration provides a population geometric mean AUC (AUC 0-24 ) from 0 to 24 hours after administration of amisulpride that is less than about 1900 (ng * h/ml) after the first administration of the solid oral dosage composition; ;
(xiii) administration provides a population geometric mean AUC (AUC 0-24 ) from 0 to 24 hours after administration of amisulpride that is less than about 2500 (ng * h/ml) one week after administration of the solid oral dosage composition; do;
(xiv) administration provides a population geometric mean AUC (AUC 0-24 ) from 0 to 24 hours after administration of amisulpride that is less than about 4400 (ng * h/ml) after the first administration of the solid oral dosage composition; ;or
(xv) administration provides a population geometric mean AUC (AUC 0-24 ) from 0 to 24 hours after administration of amisulpride that is less than about 5400 (ng * h/ml) one week after administration of the solid oral dosage composition; do,
The solid oral preparation according to claim 1 .
(R)-(+)-アミスルプリドと(S)-(-)-アミスルプリドのエナンチオマー比が遊離塩基の重量で約85:15である、(R)-(+)-アミスルプリドおよび(S)-(-)-アミスルプリド、または薬学的に許容されるそれらの塩の不均等混合物の形態のアミスルプリド、ならびに
錠剤の総重量に対して約10%から約50%の量の持続放出性薬剤を含み、ここで、投与により、アミスルプリド10mg当たり約0.4ミリ秒(ms)未満である、基準値に対する対象集団の平均の最大QT間隔延長を提供し、所望により、
(i)投与が1日1回である;
(ii)基準値に対する集団の平均の最大QT間隔延長が、投与後12時間の期間での基準値に対する集団の平均の最大QTcF間隔延長である;
(iii)基準値に対する集団の平均の最大QT間隔延長が、アミスルプリド10mg当たり約0.35ミリ秒(ms)未満である;
(vi)基準値に対する集団の平均の最大QT間隔延長が、アミスルプリド10mg当たり約0.3ミリ秒(ms)未満である;
(v)持続放出性薬剤が、マトリックス形成剤を含む、例えば、マトリックス形成剤が、1つまたは複数のセルロースエーテルを含む、例えば、持続放出性薬剤が、錠剤の総重量に対して約20%から約40%の量のヒドロキシプロピルメチルセルロースを含む;
(vi)D2受容体占有率が、表38および本明細書に実質的に記載されている陽電子放射断層撮影法(PET)を使用して測定される場合、投与により、投与の約27時間後に、約20%から約60%の対象集団のドーパミンD2受容体の平均占有率を提供する;
(vii)投与により、約2未満である集団のアミスルプリドのCmax/Cmin比を提供し、CmaxおよびCminの値は投与後9時間以内に測定される;
(viii)投与により、
a.医薬組成物と1日当たりの総量が同一のアミスルプリドを有する即時放出組成物により達成される集団の幾何平均Cmaxの約80%未満である、アミスルプリドの集団の幾何平均血漿Cmax、および
b.医薬組成物と1日当たりの総量が同一のアミスルプリドを有する即時放出組成物により達成される投与後0から24時間の集団の幾何平均AUC(AUC 0-24 )の約80%未満である、アミスルプリドの集団の幾何平均AUC 0-24
を提供する、例えば、即時放出組成物が、表25に実質的に記載されている、医薬組成物と1日当たりの総量が同一のアミスルプリドを有する即時放出組成物である;
(ix)投与により、固体経口剤組成物の初回投与後に約1900(ng * h/ml)未満であるアミスルプリドの投与後0から24時間の集団の幾何平均AUC(AUC 0-24 )を提供する;
(x)投与により、固体経口剤組成物の投与1週間後に約2500(ng * h/ml)未満であるアミスルプリドの投与後0から24時間の集団の幾何平均AUC(AUC 0-24 )を提供する;
(xi)投与により、固体経口剤組成物の初回投与後に約4400(ng * h/ml)未満であるアミスルプリドの投与後0から24時間の集団の幾何平均AUC(AUC 0-24 )を提供する;または
(xii)投与により、固体経口剤組成物の投与1週間後に約5400(ng * h/ml)未満であるアミスルプリドの投与後0から24時間の集団の幾何平均AUC(AUC 0-24 )を提供する、
錠剤。 A tablet comprising amisulpride for treating bipolar depression, said treatment comprising administering to a subject from about 200 mg to about 400 mg of amisulpride by weight of free base per day as a tablet, said tablet comprising:
(R)-(+)-amisulpride and (S)-( where the enantiomeric ratio of (R)-(+)-amisulpride to (S)-(-)-amisulpride is about 85:15 by weight of free base -)- amisulpride in the form of unequal mixtures of amisulpride or a pharmaceutically acceptable salt thereof, and a sustained-release drug in an amount of about 10% to about 50% relative to the total weight of the tablet, wherein providing a subject population mean maximum QT interval prolongation relative to baseline that is less than about 0.4 milliseconds (ms) per 10 mg of amisulpride, and optionally,
(i) administration is once daily;
(ii) the population mean maximum QT interval prolongation relative to baseline is the population mean maximum QTcF interval prolongation relative to baseline over the 12 hour post-dose period;
(iii) the population mean maximum QT interval prolongation relative to baseline is less than about 0.35 milliseconds (ms) per 10 mg of amisulpride;
(vi) the population mean maximum QT interval prolongation relative to baseline is less than about 0.3 milliseconds (ms) per 10 mg of amisulpride;
(v) the sustained-release drug comprises a matrix-forming agent, e.g., the matrix-forming agent comprises one or more cellulose ethers, e.g., the sustained-release drug accounts for about 20% of the total weight of the tablet; Hydroxypropyl methylcellulose in an amount of about 40% from
(vi) by administration, at about 27 hours after administration, when D2 receptor occupancy is measured using Positron Emission Tomography (PET) as substantially described in Table 38 and herein; , which provides a mean occupancy of dopamine D2 receptors in a subject population of about 20% to about 60%;
(vii) administration provides a population Cmax/Cmin ratio of amisulpride that is less than about 2, and Cmax and Cmin values are measured within 9 hours after administration;
(viii) by administering
a. a population geometric mean plasma Cmax of amisulpride that is less than about 80% of the population geometric mean Cmax achieved with an immediate release composition having the same total daily amount of amisulpride as the pharmaceutical composition; and
b. of amisulpride that is less than about 80% of the population geometric mean AUC from 0 to 24 hours post-dose (AUC 0-24 ) achieved by an immediate release composition having the same total daily amount of amisulpride as the pharmaceutical composition; Population Geometric Mean AUC 0-24
wherein the immediate release composition is an immediate release composition having the same total daily amount of amisulpride as the pharmaceutical composition substantially as described in Table 25;
(ix) administration provides a population geometric mean AUC (AUC 0-24 ) from 0 to 24 hours after administration of amisulpride that is less than about 1900 (ng * h/ml) after the first administration of the solid oral dosage composition; ;
(x) administration provides a population geometric mean AUC (AUC 0-24 ) from 0 to 24 hours after administration of amisulpride that is less than about 2500 (ng * h/ml) one week after administration of the solid oral dosage composition; do;
(xi) administration provides a population geometric mean AUC (AUC 0-24 ) from 0 to 24 hours after administration of amisulpride that is less than about 4400 (ng * h/ml) after the first administration of the solid oral dosage composition; ;or
(xii) administration provides a population geometric mean AUC (AUC 0-24 ) from 0 to 24 hours after administration of amisulpride that is less than about 5400 (ng * h/ml) one week after administration of the solid oral dosage composition; do,
tablets .
(R)-(+)-アミスルプリドと(S)-(-)-アミスルプリドのエナンチオマー比が遊離塩基の重量で約85:15である、(R)-(+)-アミスルプリドおよび(S)-(-)-アミスルプリドの不均等混合物の形態のアミスルプリド、または薬学的に許容されるそれらの塩、ならびに
固体経口剤の総重量に対して約10%から約50%の量の持続放出性薬剤を含み、ここで、投与により、
投与後12時間の期間にわたって12ミリ秒(ms)未満である基準値に対する対象集団の平均の最大QTcF間隔延長、および
投与約27時間後に約20%から約60%の対象集団のドーパミンD2受容体の平均占有率を提供し、所望により、
(i)投与が1日1回である;
(ii)固体経口剤が錠剤である;
(iii)D2受容体占有率が、表38および本明細書に実質的に記載されている陽電子放射断層撮影法(PET)を使用して測定される;
(iv)持続放出性薬剤が、マトリックス形成剤を含む、例えば、マトリックス形成剤が、1つまたは複数のセルロースエーテルを含む;
(v)持続放出性薬剤が、固体経口剤の総重量に対して約20%から約40%の量のヒドロキシプロピルメチルセルロースを含む;
(vi)投与により、約2未満である集団のアミスルプリドのCmax/Cmin比を提供し、CmaxおよびCminの値が、投与後9時間以内に測定される;
(vii)投与により、
a.医薬組成物と1日当たりの総量が同一のアミスルプリドを有する即時放出組成物により達成される集団の幾何平均Cmaxの約80%未満である、アミスルプリドの集団の幾何平均血漿Cmax、および
b.医薬組成物と1日当たりの総量が同一のアミスルプリドを有する即時放出組成物により達成される投与後0から24時間の集団の幾何平均AUC(AUC 0-24 )の約80%未満である、アミスルプリドの集団の幾何平均AUC 0-24
を提供する、例えば、即時放出組成物が、表25に実質的に記載されている、医薬組成物と1日当たりの総量が同一のアミスルプリドを有する即時放出組成物である;
(viii)投与により、固体経口剤組成物の初回投与後に約1900(ng * h/ml)未満であるアミスルプリドの投与後0から24時間の集団の幾何平均AUC(AUC 0-24 )を提供する;
(ix)投与により、固体経口剤組成物の投与1週間後に約2500(ng * h/ml)未満であるアミスルプリドの投与後0から24時間の集団の幾何平均AUC(AUC 0-24 )を提供する;
(x)投与により、固体経口剤組成物の初回投与後に約4400(ng * h/ml)未満であるアミスルプリドの投与後0から24時間の集団の幾何平均AUC(AUC 0-24 )を提供する;または
(xi)投与により、固体経口剤組成物の投与1週間後に約5400(ng * h/ml)未満であるアミスルプリドの投与後0から24時間の集団の幾何平均AUC(AUC 0-24 )を提供する、
固形経口剤。 1. A solid oral dosage form for treating bipolar depression, said treatment comprising administering to a subject as a solid oral dosage form about 200 mg to about 400 mg of amisulpride by weight of free base per day. but,
(R)-(+)-amisulpride and (S)-( where the enantiomeric ratio of (R)-(+)-amisulpride to (S)-(-)-amisulpride is about 85:15 by weight of free base -)- amisulpride in the form of an unequal mixture of amisulpride, or a pharmaceutically acceptable salt thereof, and a sustained-release drug in an amount of about 10% to about 50% based on the total weight of the solid oral dosage form , where by dosing
A subject population mean maximum QTcF interval prolongation relative to baseline that is less than 12 milliseconds (ms) over a period of 12 hours post-dose and about 20% to about 60% of the subject population dopamine D2 receptors at about 27 hours post-dose and, optionally, the average occupancy of
(i) administration is once daily;
(ii) the solid oral dosage form is a tablet;
(iii) D2 receptor occupancy is measured using Positron Emission Tomography (PET) as substantially described in Table 38 and herein;
(iv) the sustained-release drug comprises a matrix-forming agent, e.g., the matrix-forming agent comprises one or more cellulose ethers;
(v) the sustained release dosage form comprises hydroxypropyl methylcellulose in an amount of about 20% to about 40% by weight of the total solid oral dosage form;
(vi) administration provides a population Cmax/Cmin ratio of amisulpride that is less than about 2, and Cmax and Cmin values are measured within 9 hours after administration;
(vii) by administering
a. a population geometric mean plasma Cmax of amisulpride that is less than about 80% of the population geometric mean Cmax achieved with an immediate release composition having the same total daily amount of amisulpride as the pharmaceutical composition; and
b. of amisulpride that is less than about 80% of the population geometric mean AUC from 0 to 24 hours post-dose (AUC 0-24 ) achieved by an immediate release composition having the same total daily amount of amisulpride as the pharmaceutical composition; Population Geometric Mean AUC 0-24
wherein the immediate release composition is an immediate release composition having the same total daily amount of amisulpride as the pharmaceutical composition substantially as described in Table 25;
(viii) administration provides a population geometric mean AUC (AUC 0-24 ) from 0 to 24 hours after administration of amisulpride that is less than about 1900 (ng * h/ml) after the first administration of the solid oral dosage composition; ;
(ix) administration provides a population geometric mean AUC (AUC 0-24 ) from 0 to 24 hours after administration of amisulpride that is less than about 2500 (ng * h/ml) one week after administration of the solid oral dosage composition; do;
(x) administration provides a population geometric mean AUC (AUC 0-24 ) from 0 to 24 hours after administration of amisulpride that is less than about 4400 (ng * h/ml) after the first administration of the solid oral dosage composition; ;or
(xi) administration provides a population geometric mean AUC (AUC 0-24 ) from 0 to 24 hours after administration of amisulpride that is less than about 5400 (ng * h/ml) one week after administration of the solid oral dosage composition; do,
Solid oral preparation .
(R)-(+)アミスルプリドの量が(S)-(-)-アミスルプリドの量より多い、(R)-(+)-アミスルプリドおよび(S)-(-)-アミスルプリドの不均等混合物の形態のアミスルプリド、または薬学的に許容されるそれらの塩;ならびに
1つまたは複数の薬学的に許容される賦形剤を含み、ここで、対象集団に投与した場合に、(a)アミスルプリド10mg当たり約0.45ミリ秒(ms)未満;または(b)アミスルプリド10mg当たり約0.40ミリ秒(ms)未満;または(c)アミスルプリド10mg当たり約0.35ミリ秒(ms)未満;または(d)アミスルプリド10mg当たり約0.30ミリ秒(ms)未満;または(e)アミスルプリド10mg当たり約0.25ミリ秒(ms)未満;または(f)アミスルプリド10mg当たり約0.20ミリ秒(ms)未満;または(g)アミスルプリド10mg当たり約0.15ミリ秒(ms)未満;または(h)アミスルプリド10mg当たり約0.10ミリ秒(ms)未満;または(i)アミスルプリド10mg当たり約0.05ミリ秒(ms)未満または(j)アミスルプリド10mg当たり約0.02ミリ秒(ms)未満の投与後12時間の期間での基準値に対する集団の平均の最大QT間隔延長を提供し、所望により、
(i)基準値に対する集団の平均の最大QT間隔延長が、基準値に対する集団の平均の最大QTcF間隔延長である;または
(ii)(R)-(+)-アミスルプリドおよび(S)-(-)-アミスルプリド、または薬学的に許容されるそれらの塩を組み合わせた量が、遊離塩基の重量で(a)約100mg;または(b)約160mg;または(c)約200mg;または(d)約300mg;または(e)約400mg;または(f)約500mg;または(g)約600mgである、
医薬組成物。 A solid oral pharmaceutical composition comprising:
Form of unequal mixture of (R)-(+)-amisulpride and (S)-(-)-amisulpride, wherein the amount of (R)-(+)amisulpride is greater than the amount of (S)-(-)-amisulpride amisulpride, or a pharmaceutically acceptable salt thereof; and one or more pharmaceutically acceptable excipients, wherein (a) per 10 mg of amisulpride is about or (b) less than about 0.40 milliseconds (ms) per 10 mg of amisulpride; or (c) less than about 0.35 milliseconds (ms) per 10 mg of amisulpride; or (d) less than about 0.30 milliseconds (ms) per 10 mg amisulpride; or (e) less than about 0.25 milliseconds (ms) per 10 mg amisulpride; or (f) less than about 0.20 milliseconds (ms) per 10 mg amisulpride; or (g) less than about 0.15 milliseconds (ms) per 10 mg of amisulpride; or (h) less than about 0.10 milliseconds (ms) per 10 mg of amisulpride; or (i) less than about 0.05 milliseconds per 10 mg of amisulpride ( ms) or (j) less than about 0.02 milliseconds (ms) per 10 mg of amisulpride over a period of 12 hours post-dose, providing a population mean maximum QT interval prolongation relative to baseline , optionally
(i) the population mean maximum QT interval prolongation relative to baseline is the population mean maximum QTcF interval prolongation relative to baseline; or
(ii) a combined amount of (R)-(+)-amisulpride and (S)-(-)-amisulpride, or a pharmaceutically acceptable salt thereof, by weight of the free base of (a) about 100 mg; or (b) about 160 mg; or (c) about 200 mg; or (d) about 300 mg; or (e) about 400 mg; or (f) about 500 mg; or (g) about 600 mg.
pharmaceutical composition .
(R)-(+)-アミスルプリドの量が(S)-(-)-アミスルプリドの量より多い、(R)-(+)アミスルプリドおよび(S)-(-)-アミスルプリドの不均等混合物の形態の200mgのアミスルプリド、または薬学的に許容されるそれらの塩;ならびに
1つまたは複数の薬学的に許容される賦形剤を含み、ここで、対象集団に投与した場合に、(a)約10ミリ秒未満(ms);または(b)約9ミリ秒未満(ms);または(c)約8ミリ秒未満(ms);または(d)約7ミリ秒未満(ms);または(e)約6ミリ秒未満(ms);または(f)約5ミリ秒未満(ms)の投与後12時間の期間での基準値に対する集団の平均最大QTcF間隔延長を提供し、所望により、基準値に対する集団の平均の最大QTcF間隔延長が、幾何平均Cmaxの基準値に対する集団の平均の最大QTcF間隔延長である、医薬組成物。 A solid oral pharmaceutical composition comprising:
Form of unequal mixture of (R)-(+)amisulpride and (S)-(-)-amisulpride, wherein the amount of (R)-(+)-amisulpride is greater than the amount of (S)-(-)-amisulpride of amisulpride, or a pharmaceutically acceptable salt thereof; and one or more pharmaceutically acceptable excipients, wherein when administered to a subject population: (a) about 10 or (b) less than about 9 milliseconds (ms); or (c) less than about 8 milliseconds (ms); or (d) less than about 7 milliseconds (ms); or (e) or ( f) a population mean maximum QTcF interval prolongation relative to baseline over a period of 12 hours post-dose of less than about 6 milliseconds (ms); or (f) less than about 5 milliseconds (ms); The pharmaceutical composition, wherein the population mean maximum QTcF interval prolongation is the population mean maximum QTcF interval prolongation relative to the baseline value for the geometric mean Cmax.
(R)-(+)アミスルプリドの量が(S)-(-)-アミスルプリドの量より多い、(R)-(+)-アミスルプリドおよび(S)-(-)-アミスルプリドの不均等混合物の形態のアミスルプリド、または薬学的に許容されるそれらの塩;ならびに
1つまたは複数の薬学的に許容される賦形剤を含み、ここで、対象集団に投与した場合に、医薬組成物と1日当たりの総量が同一のアミスルプリドを有する即時放出組成物と比較して、(a)即時放出組成物のものよりも少なくとも約75%短い;または(b)即時放出組成物のものよりも少なくとも約65%短い;または(c)即時放出組成物のものよりも少なくとも約60%短い;または(d)即時放出組成物のものよりも少なくとも約55%短い;または(e)即時放出組成物のものよりも少なくとも約50%短い投与後12時間の期間での基準値に対する集団の平均の最大QT間隔延長を提供し、所望により、
(i)基準値に対する集団の平均の最大QT間隔延長が、基準値に対する集団の平均の最大QTcF間隔延長である;
(ii)即時放出組成物が、表25に実質的に記載されている、医薬組成物と1日当たりの総量が同一のアミスルプリドを有する即時放出組成物である;
(iii)(R)-(+)-アミスルプリドおよび(S)-(-)-アミスルプリド、または薬学的に許容されるそれらの塩を組み合わせた量が、遊離塩基の重量で(a)約100mg;または(b)約160mg;または(c)約200mg;または(d)約300mg;または(e)約400mg;または(f)約500mg;または(g)または約600mgである、
医薬組成物。 A solid oral pharmaceutical composition comprising:
Form of unequal mixture of (R)-(+)-amisulpride and (S)-(-)-amisulpride, wherein the amount of (R)-(+)amisulpride is greater than the amount of (S)-(-)-amisulpride amisulpride, or a pharmaceutically acceptable salt thereof; and one or more pharmaceutically acceptable excipients, wherein when administered to a subject population, the pharmaceutical composition and (a) at least about 75% shorter than that of the immediate release composition; or (b) at least about 65% shorter than that of the immediate release composition, compared to an immediate release composition having the same total amount of amisulpride. or (c) at least about 60% shorter than that of an immediate release composition; or (d) at least about 55% shorter than that of an immediate release composition; or (e) at least less than that of an immediate release composition. providing a population mean maximum QT interval prolongation relative to baseline over a period of 12 hours post-dose that is about 50% shorter , optionally
(i) the population mean maximum QT interval prolongation relative to baseline is the population mean maximum QTcF interval prolongation relative to baseline;
(ii) the immediate release composition is an immediate release composition having the same total daily amount of amisulpride as the pharmaceutical composition substantially as described in Table 25;
(iii) a combined amount of (R)-(+)-amisulpride and (S)-(-)-amisulpride, or a pharmaceutically acceptable salt thereof, by weight of the free base of (a) about 100 mg; or (b) about 160 mg; or (c) about 200 mg; or (d) about 300 mg; or (e) about 400 mg; or (f) about 500 mg;
pharmaceutical composition .
(R)-(+)-アミスルプリドの量が(S)-(-)-アミスルプリドの量より多い、(R)-(+)-アミスルプリドおよび(S)-(-)-アミスルプリドの不均等混合物の形態のアミスルプリド、または薬学的に許容されるそれらの塩;ならびに
1つまたは複数の薬学的に許容される賦形剤を含み、ここで、医薬組成物が対象集団に投与される場合に、投与後約27時間で、
(a)医薬組成物と1日当たりの総量が同一のアミスルプリドを有する即時放出組成物により達成されるドーパミンD2受容体占有率の少なくとも85%;または
(b)医薬組成物と1日当たりの総量が同一のアミスルプリドを有する即時放出組成物により達成されるドーパミンD2受容体占有率の少なくとも90%;または
(c)医薬組成物と1日当たりの総量が同一のアミスルプリドを有する即時放出組成物により達成されるドーパミンD2受容体占有率の少なくとも95%である集団のドーパミンD2受容体の平均占有率
を提供し、所望により、
(i)即時放出組成物が、表25に実質的に記載されている、医薬組成物と1日当たりの総量が同一のアミスルプリドを有する即時放出組成物である;または
(ii)(R)-(+)-アミスルプリドおよび(S)-(-)-アミスルプリド、または薬学的に許容されるそれらの塩を組み合わせた量が、遊離塩基の重量で(a)約100mg;または(b)約160mg;または(c)約200mg;または(d)約300mg;または(e)約400mg;または(f)約500mg;または(g)または約600mgである、
医薬組成物。 A solid oral pharmaceutical composition comprising:
unequal mixture of (R)-(+)-amisulpride and (S)-(-)-amisulpride, wherein the amount of (R)-(+)-amisulpride is greater than the amount of (S)-(-)-amisulpride Amisulpride, or a pharmaceutically acceptable salt thereof, in the form of amisulpride, or a pharmaceutically acceptable salt thereof; and one or more pharmaceutically acceptable excipients, wherein when the pharmaceutical composition is administered to a subject population, administration About 27 hours later,
(a) at least 85% of the dopamine D2 receptor occupancy achieved by an immediate release composition having amisulpride in the same total daily amount as the pharmaceutical composition; or (b) in the same total daily amount as the pharmaceutical composition. or (c) dopamine D2 receptor occupancy achieved by an immediate release composition having the same total daily amount of amisulpride as the pharmaceutical composition. providing an average dopamine D2 receptor occupancy of the population that is at least 95% of the D2 receptor occupancy;
(i) the immediate release composition is an immediate release composition having the same total daily amount of amisulpride as the pharmaceutical composition substantially as described in Table 25; or
(ii) a combined amount of (R)-(+)-amisulpride and (S)-(-)-amisulpride, or a pharmaceutically acceptable salt thereof, by weight of the free base of (a) about 100 mg; or (b) about 160 mg; or (c) about 200 mg; or (d) about 300 mg; or (e) about 400 mg; or (f) about 500 mg;
pharmaceutical composition .
(R)-(+)-アミスルプリドの量が(S)-(-)-アミスルプリドの量より多い、(R)-(+)-アミスルプリドおよび(S)-(-)-アミスルプリドの不均等混合物の形態のアミスルプリド、または薬学的に許容されるそれらの塩、ならびに
1つまたは複数の薬学的に許容される賦形剤を含み、ここで、対象集団に投与した医薬組成物が、医薬組成物と1日当たりの総量が同一のアミスルプリドを有する即時放出組成物と比較して、アミスルプリドのCminとCmaxとの間の差を最小限に抑えるのに有効であり、Cminの値が、投与後約9時間以内に測定される、例えば、(R)-(+)-アミスルプリドおよび(S)-(-)-アミスルプリド、または薬学的に許容されるそれらの塩を組み合わせた量が、遊離塩基の重量で(a)約100mg;または(b)約160mg;または(c)約200mg;または(d)約300mg;または(e)約400mg;または(f)約500mg;または(g)または約600mgである、医薬組成物。 A solid oral pharmaceutical composition comprising:
unequal mixture of (R)-(+)-amisulpride and (S)-(-)-amisulpride, wherein the amount of (R)-(+)-amisulpride is greater than the amount of (S)-(-)-amisulpride form of amisulpride, or a pharmaceutically acceptable salt thereof, and one or more pharmaceutically acceptable excipients, wherein the pharmaceutical composition administered to the subject population comprises the pharmaceutical composition and Effective in minimizing the difference between Cmin and Cmax of amisulpride compared to an immediate release composition having the same total daily dose of amisulpride, with Cmin values approximately 9 hours after administration For example, the combined amount of (R)-(+)-amisulpride and (S)-(-)-amisulpride, or a pharmaceutically acceptable salt thereof, measured within the weight of the free base ( or (c) about 200 mg; or (d) about 300 mg; or (e) about 400 mg; or (f) about 500 mg; or (g) or about 600 mg. pharmaceutical composition .
(R)-(+)-アミスルプリドの量が(S)-(-)-アミスルプリドの量より多い、(R)-(+)-アミスルプリドおよび(S)-(-)-アミスルプリドの不均等混合物の形態のアミスルプリド、または薬学的に許容されるそれらの塩、ならびに
1つまたは複数の薬学的に許容される賦形剤を含み、ここで、前記組成物が対象集団に投与される場合に、(a)約2未満;または(b)約1.9未満;または(c)約1.8未満であるアミスルプリドのCmax/Cmin比を提供し、Cminの値が投与後約9時間以内に測定され、所望により、
(i)CmaxおよびCminの値が、集団の幾何平均値であり、値が投与後約9時間以内に測定される;
(ii)総量200mgのアミスルプリドを投与する固体経口剤が、(a)約350ng/mL未満;(b)約300ng/mL未満;または(c)約250ng/mL未満の集団の幾何平均血漿Cmaxを提供する;
(iii)総量400mgのアミスルプリドを投与する固体経口剤が、(a)約500ng/mL未満;(b)約475ng/mL未満;または(c)約450ng/mL未満の集団の幾何平均血漿Cmaxを提供する;または
(iv)(R)-(+)-アミスルプリドおよび(S)-(-)-アミスルプリド、または薬学的に許容されるそれらの塩を組み合わせた量が、遊離塩基の重量で(a)約100mg;または(b)約160mg;または(c)約200mg;または(d)約300mg;または(e)約400mg;または(f)約500mg;または(g)または約600mgである、
医薬組成物。 A solid oral pharmaceutical composition comprising:
unequal mixture of (R)-(+)-amisulpride and (S)-(-)-amisulpride, wherein the amount of (R)-(+)-amisulpride is greater than the amount of (S)-(-)-amisulpride form of amisulpride, or a pharmaceutically acceptable salt thereof, and one or more pharmaceutically acceptable excipients, wherein when said composition is administered to a subject population, ( or (b) less than about 1.9; or (c) less than about 1.8, wherein the Cmin value is measured within about 9 hours after administration. , if desired,
(i) the Cmax and Cmin values are the geometric mean values of the population and the values are measured within about 9 hours after administration;
(ii) a solid oral dosage form administering a total dose of 200 mg of amisulpride provides a population geometric mean plasma Cmax of (a) less than about 350 ng/mL; (b) less than about 300 ng/mL; or (c) less than about 250 ng/mL. offer;
(iii) a solid oral dosage form administering a total amount of 400 mg of amisulpride provides a population geometric mean plasma Cmax of (a) less than about 500 ng/mL; (b) less than about 475 ng/mL; or (c) less than about 450 ng/mL. provide; or
(iv) a combined amount of (R)-(+)-amisulpride and (S)-(-)-amisulpride, or a pharmaceutically acceptable salt thereof, by weight of the free base of (a) about 100 mg; or (b) about 160 mg; or (c) about 200 mg; or (d) about 300 mg; or (e) about 400 mg; or (f) about 500 mg;
pharmaceutical composition .
(R)-(+)アミスルプリドの量が(S)-(-)-アミスルプリドの量より多い、(R)-(+)-アミスルプリドおよび(S)-(-)-アミスルプリドの不均等混合物の形態のアミスルプリド、または薬学的に許容されるそれらの塩;ならびに
持続放出性薬剤を含み、ここで、二段階インビトロ胃腸模擬溶出試験を使用して溶出性を試験した固体経口剤が、
(a)1時間後に約30%未満のアミスルプリドを放出し、3時間後に約20%超かつ約60%未満のアミスルプリドを放出し、6時間後に約30%超かつ約100%未満のアミスルプリドを放出する;または
(b)1時間後に約30%未満のアミスルプリドを放出し、3時間後に20%超かつ約60%未満のアミスルプリドを放出し、6時間後に約30%超かつ75%未満のアミスルプリドを放出する;または
(c)1時間後に約20%未満のアミスルプリドを放出し、3時間後に約20%超かつ約50%未満のアミスルプリドを放出し、6時間後に約30%超かつ約75%未満のアミスルプリドを放出する;または
(d)1時間後に約20%未満のアミスルプリドを放出し、3時間後に約20%超かつ約50%未満のアミスルプリドを放出し、6時間後に約30%超かつ約50%未満のアミスルプリドを放出する;または
(e)1時間後に約30%以下のアミスルプリドを放出し、約3時間後に約30%から約75%のアミスルプリドを放出し、約12時間後に約75%超のアミスルプリドを放出する;または
(f)1時間後に約30%未満のアミスルプリドを放出し、3時間後に約20%超かつ約60%未満のアミスルプリドを放出し、6時間後に約30%超かつ約100%未満のアミスルプリドを放出し、約10時間後に約75%超のアミスルプリドを放出する;または
(g)1時間後に約30%未満のアミスルプリドを放出し、3時間後に約20%超かつ約60%未満のアミスルプリドを放出し、6時間後に約30%超かつ約100%未満のアミスルプリドを放出し、約8時間後に約75%超のアミスルプリドを放出する;または
(h)1時間後に約30%未満のアミスルプリドを放出し、3時間後に約20%超かつ約60%未満のアミスルプリドを放出し、6時間後に約30%超かつ約75%未満のアミスルプリドを放出し、約10時間後に約75%超のアミスルプリドを放出する;または
(i)1時間後に約20%未満のアミスルプリドを放出し、3時間後に約20%超かつ約60%未満のアミスルプリドを放出し、6時間後に約30%超かつ約100%未満のアミスルプリドを放出し、約10時間後に約75%超のアミスルプリドを放出する;または
(j)1時間後に約30%未満のアミスルプリドを放出し、3時間後に約20%超かつ約60%未満のアミスルプリドを放出し、6時間後に約30%超かつ約50%未満のアミスルプリドを放出し、約10時間後に約75%超のアミスルプリドを放出する、例えば、
(A)二段階胃腸模擬溶出試験が、第一段階で、約2のpHを有する500mlの水性媒体を含み、1時間後に、第二段階のpHが6.8になるように400mlの水性バッファー媒体を添加し;二段階インビトロ胃腸模擬溶出試験の両方の段階における温度が、約37℃である;または
(B)二段階胃腸模擬溶出試験が、(a)米国薬局方(USP)第711章溶出試験の装置2;USP41-NF36一般章<711>溶出試験、および(b)日本薬局方(JP)一般試験<6.10>のうちの1以上に記載されているものに実質的に従ったパドル装置で実施される、
医薬組成物。 A solid oral pharmaceutical composition comprising:
Form of unequal mixture of (R)-(+)-amisulpride and (S)-(-)-amisulpride, wherein the amount of (R)-(+)amisulpride is greater than the amount of (S)-(-)-amisulpride amisulpride, or a pharmaceutically acceptable salt thereof; and a sustained-release drug, wherein the solid oral dosage form tested for dissolution using a two-stage in vitro gastrointestinal simulated dissolution test comprises:
(a) releasing less than about 30% amisulpride after 1 hour, releasing more than about 20% and less than about 60% amisulpride after 3 hours, and releasing more than about 30% and less than about 100% amisulpride after 6 hours; or (b) releasing less than about 30% amisulpride after 1 hour, releasing more than 20% and less than about 60% amisulpride after 3 hours, and more than about 30% and less than 75% amisulpride after 6 hours. or (c) releasing less than about 20% amisulpride after 1 hour, releasing more than about 20% and less than about 50% amisulpride after 3 hours, and more than about 30% and less than about 75% after 6 hours. or (d) releasing less than about 20% amisulpride after 1 hour, releasing more than about 20% and less than about 50% amisulpride after 3 hours, and more than about 30% and about release less than 50% of amisulpride; or (e) release about 30% or less of amisulpride after 1 hour, release about 30% to about 75% of amisulpride after about 3 hours, and release about 75% after about 12 hours. or (f) releasing less than about 30% amisulpride after 1 hour, releasing more than about 20% and less than about 60% amisulpride after 3 hours, and greater than about 30% after 6 hours and or (g) releasing less than about 30% amisulpride after 1 hour and greater than about 20% after 3 hours and about 75% after about 10 hours. releasing less than 60% amisulpride, releasing greater than about 30% and less than about 100% amisulpride after 6 hours, and releasing greater than about 75% amisulpride after about 8 hours; or (h) about 30% after 1 hour. % amisulpride, releasing greater than about 20% and less than about 60% amisulpride after 3 hours, releasing greater than about 30% and less than about 75% amisulpride after 6 hours, and about 75% after about 10 hours. or (i) releasing less than about 20% amisulpride after 1 hour, releasing more than about 20% and less than about 60% amisulpride after 3 hours, and more than about 30% after 6 hours. and releasing less than about 100% amisulpride after about 10 hours and releasing more than about 75% amisulpride after about 10 hours; or (j) releasing less than about 30% amisulpride after 1 hour and more than about 20% after 3 hours and releasing less than about 60% amisulpride, releasing greater than about 30% and less than about 50% amisulpride after 6 hours, and releasing greater than about 75% amisulpride after about 10 hours, e.g.
(A) A two-stage gastrointestinal simulated dissolution test comprising, in the first stage, 500 ml of aqueous medium having a pH of about 2, and after 1 hour, 400 ml of aqueous buffer such that the second stage has a pH of 6.8. vehicle is added; the temperature in both stages of the two-stage in vitro gastrointestinal simulated dissolution test is about 37°C; or
(B) A two-stage gastrointestinal simulated dissolution test was performed using (a) Apparatus 2 of the United States Pharmacopeia (USP) Chapter 711 Dissolution Test; Performed on a paddle apparatus substantially in accordance with one or more of the General Tests <6.10>
pharmaceutical composition.
(R)-(+)-アミスルプリドの量が(S)-(-)-アミスルプリドの量より多い、(R)-(+)-アミスルプリドおよび(S)-(-)-アミスルプリド不均等混合物の形態のアミスルプリド、または薬学的に許容されるそれらの塩;ならびに
持続放出性薬剤を含み、ここで、該固体経口剤が、米国薬局方(USP)第711章溶出試験の装置2;USP41-NF36一般章<711>溶出試験に記載されているパドル装置で、表5に記載されている二段階インビトロ溶出試験を使用してその溶出性を試験された場合に、(a)図1Cにおけるロット3Cのプロファイル;または(b)図1Cにおけるロット2Cのプロファイル;または(c)図1Dにおける実施例7Aパート1もしくはパート2の試験に使用されるロット3Zのプロファイル;または(d)図1Dにおける実施例7A、パート1の摂食状態の試験に使用されるロット3Zのプロファイル;または(e)図1Dにおける実施例7BのMAD/PET試験に使用されるロット3Zのプロファイル;または(f)図1Dにおけるロット4Zのプロファイル;または(g)図1Dにおけるロット5Zのプロファイル;または(h)図1Dにおけるロット6Zのプロファイル;または(i)0から6時間の期間にわたる、図1Eにおけるロット7Cのプロファイル;または(j)0から6時間の期間にわたる、図1Eにおけるロット8Cのプロファイル;または(k)実施例7B、実施例7Aパート1の試験に使用されるロット3Zのプロファイル、または(l)図1Dにおける実施例7Aパート2の試験に使用されるロット3Zのプロファイルと実質的に同一の溶出プロファイルを有する、医薬組成物。 A solid oral pharmaceutical composition comprising:
The form of (R)-(+)-amisulpride and (S)-(-)-amisulpride unequal mixtures in which the amount of (R)-(+)-amisulpride is greater than the amount of (S)-(-)-amisulpride amisulpride, or a pharmaceutically acceptable salt thereof; and a sustained-release drug wherein the solid oral dosage form complies with United States Pharmacopeia (USP) Chapter 711 Dissolution Test Apparatus 2; USP 41-NF36 General (a) Lot 3C in FIG. or (b) the profile of Lot 2C in FIG. 1C; or (c) the profile of Lot 3Z used for testing of Example 7A Part 1 or Part 2 in FIG. 1D; or (d) Example 7A in FIG. , the profile of Lot 3Z used for the fed state study of Part 1; or (e) the profile of Lot 3Z used for the MAD/PET study of Example 7B in FIG. 1D; or (f) the lot in FIG. or (g) the profile of Lot 5Z in FIG. 1D; or (h) the profile of Lot 6Z in FIG. 1D; or (i) the profile of Lot 7C in FIG. j) Lot 8C profile in FIG. 1E over a period of 0 to 6 hours; or (k) Example 7B, Lot 3Z profile used in Example 7A Part 1 testing, or (l) run in FIG. A pharmaceutical composition having a dissolution profile substantially identical to that of Lot 3Z used in the study of Example 7A Part 2.
(R)-(+)アミスルプリドの量が(S)-(-)-アミスルプリドの量より多い、(R)-(+)-アミスルプリドおよび(S)-(-)-アミスルプリドの不均等混合物の形態のアミスルプリド、または薬学的に許容されるそれらの塩;ならびに
持続放出性薬剤を含み、ここで、該医薬組成物が対象集団に投与される場合に、(a)図22Bにおけるロット4Zのプロファイル;または(b)図22Cにおけるロット3Zのプロファイル;または(c)図22Dにおけるロット3Z摂食状態のプロファイル;(d)図22Fにおけるロット4Zのプロファイル;または(e)図22Hにおけるロット3Zのプロファイル;または(f)図22Iにおけるロット3Z摂食状態のプロファイル;または(g)図22Jにおけるロット3Zのプロファイル;または(h)図22Gにおけるロット5Zのプロファイル;または(i)図22Kにおけるロット6Zのプロファイルと実質的に同一の血漿中濃度プロファイルを提供する、医薬組成物。 A solid oral pharmaceutical composition comprising:
Form of unequal mixture of (R)-(+)-amisulpride and (S)-(-)-amisulpride, wherein the amount of (R)-(+)amisulpride is greater than the amount of (S)-(-)-amisulpride amisulpride, or a pharmaceutically acceptable salt thereof; and a sustained-release drug, wherein when the pharmaceutical composition is administered to a subject population, (a) the profile of Lot 4Z in FIG. 22B; or (b) Lot 3Z profile in FIG. 22C; or (c) Lot 3Z fed profile in FIG. 22D; (d) Lot 4Z profile in FIG. 22F; or (e) Lot 3Z profile in FIG. 22H; or (f) Lot 3Z fed profile in Figure 22I; or (g) Lot 3Z profile in Figure 22J; or (h) Lot 5Z profile in Figure 22G; or (i) Lot 6Z profile in Figure 22K. A pharmaceutical composition that provides substantially the same plasma concentration profile as
(R)-(+)-アミスルプリドの量が(S)-(-)-アミスルプリドの量より多い、(R)-(+)-アミスルプリドおよび(S)-(-)-アミスルプリドの不均等混合物の形態のアミスルプリド、または薬学的に許容されるそれらの塩;ならびに
持続放出性薬剤を含み、ここで、該固体経口剤が対象集団に投与される場合に、
(i)投与後約4時間から約6時間である、アミスルプリドの集団の幾何平均Tmax;
(ii)(a)投与から約48時間の曲線下面積(AUC0-48)の約19%未満;または(b)投与から約48時間の集団の平均曲線下面積(AUC0-48)の約18%未満;または(c)投与から48時間の曲線下面積(AUC0-48)の約17%未満;または(d)投与から48時間の曲線下面積(AUC0-48)の約16%未満;または(e)投与から48時間の曲線下面積(AUC0-48)の約15%未満;または(f)投与から48時間の曲線下面積(AUC0-48)の約14%未満;または(g)投与から48時間の曲線下面積(AUC0-48)の約13%未満;または(h)投与から48時間の曲線下面積(AUC0-48)の約12%未満である、TmaxまでのAUC(AUC0-Tmax)
を提供する、医薬組成物。 A solid oral pharmaceutical composition comprising:
unequal mixture of (R)-(+)-amisulpride and (S)-(-)-amisulpride, wherein the amount of (R)-(+)-amisulpride is greater than the amount of (S)-(-)-amisulpride Amisulpride, or a pharmaceutically acceptable salt thereof, in the form of:
(i) the population geometric mean Tmax of amisulpride from about 4 hours to about 6 hours after administration;
(ii) (a) less than about 19% of the area under the curve (AUC 0-48 ) at about 48 hours after dosing; or (b) the population mean area under the curve (AUC 0-48 ) at about 48 hours after dosing or (c) less than about 17% of the area under the curve (AUC 0-48 ) 48 hours after dosing; or (d) about 16 of the area under the curve (AUC 0-48 ) 48 hours after dosing. or (e) less than about 15% of the area under the curve (AUC 0-48 ) 48 hours after dosing; or (f) less than about 14% of the area under the curve (AUC 0-48 ) 48 hours after dosing. or (g) less than about 13% of the area under the curve (AUC 0-48 ) 48 hours after dosing; or (h) less than about 12% of the area under the curve (AUC 0-48 ) 48 hours after dosing , AUC up to Tmax (AUC 0−Tmax )
A pharmaceutical composition that provides
(i)1つまたは複数の薬学的に許容される賦形剤が、持続放出性薬剤を含む;
(ii)1つまたは複数の薬学的に許容される賦形剤が、持続放出性薬剤を含み、ここで、持続放出性薬剤が、(a)固体経口剤の総重量に対して約10%から約50%;または(b)固体経口剤の総重量に対して約30%から約50%;または(c)固体経口剤の総重量に対して約20%から約40%;または(d)固体経口剤の総重量に対して約20%から約30%の量である;
(iii)1つまたは複数の薬学的に許容される賦形剤が、持続放出性薬剤を含み、ここで、持続放出性薬剤が、(a)固体経口剤の総重量に対して約10%から約50%;または(b)固体経口剤の総重量に対して約30%から約50%;または(c)固体経口剤の総重量に対して約20%から約40%;または(d)固体経口剤の総重量に対して約20%から約30%の量であり、固体経口剤が錠剤である;
(iv)1つまたは複数の薬学的に許容される賦形剤が、持続放出性薬剤を含み、ここで、持続放出性薬剤が、(a)固体経口剤の総重量に対して約10%から約50%;または(b)固体経口剤の総重量に対して約30%から約50%;または(c)固体経口剤の総重量に対して約20%から約40%;または(d)固体経口剤の総重量に対して約20%から約30%の量であり、固体経口剤が錠剤であり、持続放出性薬剤が、マトリックス形成剤を含む、例えば、マトリックス形成剤が、1つまたは複数のセルロースエーテルを含む;
(v)1つまたは複数の薬学的に許容される賦形剤が、持続放出性薬剤を含み、ここで、持続放出性薬剤が、(a)固体経口剤の総重量に対して約10%から約50%;または(b)固体経口剤の総重量に対して約30%から約50%;または(c)固体経口剤の総重量に対して約20%から約40%;または(d)固体経口剤の総重量に対して約20%から約30%の量であり、固体経口剤が錠剤であり、持続放出性薬剤が、固体経口剤の総重量に対して約20%から約40%の量のヒドロキシプロピルメチルセルロースを含む;
(vi)固体経口剤が、固体経口剤の総重量に対して、
約35%から約45%のアミスルプリド、
約20%から約40%の薬学的に許容される充填剤、および
約20%から約35%の持続放出性薬剤
を含む;
(vii)対象集団に投与した場合に、
a.医薬組成物と1日当たりの総量が同一のアミスルプリドを有する即時放出組成物により達成される集団の幾何平均Cmaxの約80%未満である、アミスルプリドの集団の幾何平均血漿Cmax、および
b.医薬組成物と1日当たりの総量が同一のアミスルプリドを有する即時放出組成物により達成される投与後0から24時間の集団の幾何平均AUC(AUC 0-24 )の約80%未満である、アミスルプリドの集団の幾何平均AUC 0-24
を提供する、例えば、即時放出組成物が、表25に実質的に記載されている、医薬組成物と1日当たりの総量が同一のアミスルプリドを有する即時放出組成物である;
(viii)対象集団に投与した場合に、投与の約27時間後に、
(a)約20%から約60%の集団のドーパミンD2受容体の平均占有率、または
(b)約30%から約50%の集団のドーパミンD2受容体の平均占有率を提供し、ここで、D2受容体占有率が、表38および本明細書に実質的に記載されている陽電子放射断層撮影法(PET)を使用して測定される、例えば、(S)-(-)-アミスルプリドまたは薬学的に許容されるそれらの塩の量が、遊離塩基の重量で約100mg未満である、
医薬組成物。 Claim 5, wherein the enantiomeric ratio of (R)-(+)-amisulpride and (S)-(-)-amisulpride, or a pharmaceutically acceptable salt thereof, is about 85:15 by weight of free base. 11. The pharmaceutical composition of any one of -10 , optionally comprising
(i) the one or more pharmaceutically acceptable excipients comprise a sustained release drug;
(ii) one or more pharmaceutically acceptable excipients comprising a sustained release agent, wherein the sustained release agent comprises (a) about 10% by weight of the total solid oral dosage form; or (b) from about 30% to about 50% by total weight of the solid oral dosage form; or (c) from about 20% to about 40% by total weight of the solid oral dosage form; or (d ) in an amount of about 20% to about 30%, based on the total weight of the solid oral dosage form;
(iii) the one or more pharmaceutically acceptable excipients comprise a sustained release agent, wherein the sustained release agent comprises (a) about 10% of the total weight of the solid oral dosage form; or (b) from about 30% to about 50% by total weight of the solid oral dosage form; or (c) from about 20% to about 40% by total weight of the solid oral dosage form; or (d ) in an amount of about 20% to about 30% based on the total weight of the solid oral dosage form, wherein the solid oral dosage form is a tablet;
(iv) one or more pharmaceutically acceptable excipients comprising a sustained release agent, wherein the sustained release agent comprises (a) about 10% of the total weight of the solid oral dosage form; or (b) from about 30% to about 50% by total weight of the solid oral dosage form; or (c) from about 20% to about 40% by total weight of the solid oral dosage form; or (d ) in an amount of about 20% to about 30% relative to the total weight of the solid oral dosage form, wherein the solid oral dosage form is a tablet, and the sustained-release dosage form comprises a matrix-forming agent, e.g., the matrix-forming agent contains 1 containing one or more cellulose ethers;
(v) one or more pharmaceutically acceptable excipients comprising a sustained release agent, wherein the sustained release agent comprises (a) about 10% by weight of the total solid oral dosage form; or (b) from about 30% to about 50% by total weight of the solid oral dosage form; or (c) from about 20% to about 40% by total weight of the solid oral dosage form; or (d ) in an amount of about 20% to about 30%, based on the total weight of the solid oral dosage form, wherein the solid oral dosage form is a tablet, and the sustained release dosage form is about 20% to about 30%, based on the total weight of the solid oral dosage form; Hydroxypropyl methylcellulose in an amount of 40%;
(vi) the solid oral dosage form is, relative to the total weight of the solid oral dosage form:
about 35% to about 45% amisulpride;
about 20% to about 40% of a pharmaceutically acceptable filler, and
about 20% to about 35% sustained release drug
including;
(vii) when administered to a subject population,
a. a population geometric mean plasma Cmax of amisulpride that is less than about 80% of the population geometric mean Cmax achieved with an immediate release composition having the same total daily amount of amisulpride as the pharmaceutical composition; and
b. of amisulpride that is less than about 80% of the population geometric mean AUC from 0 to 24 hours post-dose (AUC 0-24 ) achieved by an immediate release composition having the same total daily amount of amisulpride as the pharmaceutical composition; Population Geometric Mean AUC 0-24
for example, wherein the immediate release composition is an immediate release composition having the same total daily amount of amisulpride as the pharmaceutical composition substantially as described in Table 25;
(viii) about 27 hours after administration when administered to a subject population,
(a) an average dopamine D2 receptor occupancy of a population of about 20% to about 60%, or
(b) providing an average dopamine D2 receptor occupancy of about 30% to about 50% of the population, wherein the D2 receptor occupancy is positron as substantially described in Table 38 and herein; For example, the amount of (S)-(-)-amisulpride or a pharmaceutically acceptable salt thereof is less than about 100 mg by weight of free base, as measured using emission tomography (PET) ,
pharmaceutical composition.
(i)精神障害が、(a)鬱病性障害;または(b)双極性障害;または(c)双極性鬱病;または(d)大鬱病性障害(MDD);または(e)混合性の特徴を伴う大鬱病性障害(MDD-MF);または(f)治療抵抗性鬱病(TRD);または(g)統合失調症;または(h)統合失調症の陰性症状である;または
(ii)精神障害が、双極性障害;双極性鬱病;またはその両方である、
固形経口剤。 16. A solid oral dosage form according to claim 15 for treating a psychiatric disorder comprising administering a solid oral dosage form according to claim 15, optionally comprising about 200 mg per day of amisulpride by weight of free base. Administering a solid oral dosage once daily in a total amount of from about 400 mg, e.g.
(i) the psychiatric disorder is (a) depressive disorder; or (b) bipolar disorder; or (c) bipolar depression; or (d) major depressive disorder (MDD); or (e) mixed features (f) treatment-resistant depression (TRD); or (g) schizophrenia; or (h) is a negative symptom of schizophrenia; or
(ii) the mental disorder is bipolar disorder; bipolar depression; or both;
Solid oral preparation .
(i)持続放出性薬剤が、(a)固体経口剤の総重量に対して約10%から約50%;または(b)固体経口剤の総重量に対して約30%から約50%;または(c)固体経口剤の総重量に対して約20%から約40%;または(d)固体経口剤の総重量に対して約20%から約30%の量である;
(ii)持続放出性薬剤が、(a)固体経口剤の総重量に対して約10%から約50%;または(b)固体経口剤の総重量に対して約30%から約50%;または(c)固体経口剤の総重量に対して約20%から約40%;または(d)固体経口剤の総重量に対して約20%から約30%の量であり、固体経口剤が錠剤である;
(iii)持続放出性薬剤が、(a)固体経口剤の総重量に対して約10%から約50%;または(b)固体経口剤の総重量に対して約30%から約50%;または(c)固体経口剤の総重量に対して約20%から約40%;または(d)固体経口剤の総重量に対して約20%から約30%の量であり、固体経口剤が錠剤であり、持続放出性薬剤が、マトリックス形成剤を含む;
(iv)持続放出性薬剤が、(a)固体経口剤の総重量に対して約10%から約50%;または(b)固体経口剤の総重量に対して約30%から約50%;または(c)固体経口剤の総重量に対して約20%から約40%;または(d)固体経口剤の総重量に対して約20%から約30%の量であり、固体経口剤が錠剤であり、マトリックス形成剤が、1つまたは複数のセルロースエーテルを含む;
(v)持続放出性薬剤が、固体経口剤の総重量に対して約20%から約40%の量のヒドロキシプロピルメチルセルロースを含む;
(vi)持続放出性薬剤が、(a)固体経口剤の総重量に対して約10%から約50%;または(b)固体経口剤の総重量に対して約30%から約50%;または(c)固体経口剤の総重量に対して約20%から約40%;または(d)固体経口剤の総重量に対して約20%から約30%の量であり、固体経口剤が錠剤であり、固体経口剤が、1つまたは複数の(a)充填剤;(b)結合剤;および(c)滑沢剤を含む、例えば、滑沢剤が、ステアリン酸マグネシウムを含む、または、充填剤が、D-マンニトールを含み、固体経口剤が、錠剤の総重量に対して約0.5%から約2%の、ポリビニルアルコールを含む結合剤を含む;または
(vii)固体経口剤が、固体経口剤の総重量に対して、
約35%から約45%のアミスルプリド、
約20%から約40%の薬学的に許容される充填剤、および
約20%から約35%の持続放出性薬剤を含む、
医薬組成物。 Claim 11 , wherein the enantiomeric ratio of (R)-(+)-amisulpride and (S)-(-)-amisulpride, or a pharmaceutically acceptable salt thereof, is about 85:15 by weight of free base. 15. A pharmaceutical composition according to any one of claims 1 to 14 , optionally comprising
(i) the sustained release drug is (a) about 10% to about 50% by weight of the total solid oral dosage form; or (b) about 30% to about 50% by weight of the total solid oral dosage form; or (c) from about 20% to about 40% by total weight of the solid oral dosage form; or (d) from about 20% to about 30% by weight of the total solid oral dosage form;
(ii) the sustained release drug is (a) about 10% to about 50% by weight of the total solid oral dosage form; or (b) about 30% to about 50% by weight of the total solid oral dosage form; or (c) from about 20% to about 40% by total weight of the solid oral dosage form; or (d) from about 20% to about 30% by total weight of the solid oral dosage form, wherein the solid oral dosage form comprises is a tablet;
(iii) the sustained release drug is (a) about 10% to about 50% by weight of the total solid oral dosage form; or (b) about 30% to about 50% by weight of the total solid oral dosage form; or (c) from about 20% to about 40% by total weight of the solid oral dosage form; or (d) from about 20% to about 30% by total weight of the solid oral dosage form, wherein the solid oral dosage form comprises a tablet, wherein the sustained-release drug comprises a matrix-forming agent;
(iv) the sustained release drug is (a) about 10% to about 50% by weight of the total solid oral dosage form; or (b) about 30% to about 50% by weight of the total solid oral dosage form; or (c) from about 20% to about 40% by total weight of the solid oral dosage form; or (d) from about 20% to about 30% by total weight of the solid oral dosage form, wherein the solid oral dosage form comprises a tablet, wherein the matrix-forming agent comprises one or more cellulose ethers;
(v) the sustained release dosage form comprises hydroxypropyl methylcellulose in an amount of about 20% to about 40% based on the total weight of the solid oral dosage form;
(vi) the sustained release drug is (a) about 10% to about 50% by weight of the total solid oral dosage form; or (b) about 30% to about 50% by weight of the total solid oral dosage form; or (c) from about 20% to about 40% by total weight of the solid oral dosage form; or (d) from about 20% to about 30% by total weight of the solid oral dosage form, wherein the solid oral dosage form comprises is a tablet, wherein the solid oral dosage form comprises one or more of (a) a filler; (b) a binder; and (c) a lubricant, e.g., the lubricant comprises magnesium stearate, or , the filler comprises D-mannitol, and the solid oral dosage form comprises from about 0.5% to about 2%, based on the total weight of the tablet, of a binder comprising polyvinyl alcohol; or
(vii) the solid oral dosage form is, relative to the total weight of the solid oral dosage form:
about 35% to about 45% amisulpride;
about 20% to about 40% of a pharmaceutically acceptable filler, and
comprising from about 20% to about 35% sustained release drug;
pharmaceutical composition .
(i)遊離塩基の重量で約170mgの(R)-(+)-アミスルプリドまたは薬学的に許容されるそれらの塩;および
遊離塩基の重量で約30mgの(S)-(-)-アミスルプリドまたは薬学的に許容されるそれらの塩を含む;または
(ii)遊離塩基の重量で約85mgの(R)-(+)-アミスルプリドまたは薬学的に許容されるそれらの塩;および
遊離塩基の重量で約15mgの(S)-(-)-アミスルプリドまたは薬学的に許容されるそれらの塩を含む、
医薬組成物。 The combined amount of (R)-(+)-amisulpride and (S)-(-)-amisulpride, or a pharmaceutically acceptable salt thereof, is (a) from about 50 mg to about or (b) from about 200 mg to about 600 mg by weight of free base; or (c) from about 100 mg to about 500 mg by weight of free base; or (d) from about 100 mg by weight of free base. or (e) from about 200 mg to about 400 mg by weight of the free base , optionally comprising:
(i) about 170 mg by weight of free base of (R)-(+)-amisulpride or a pharmaceutically acceptable salt thereof; and
about 30 mg of (S)-(-)-amisulpride or a pharmaceutically acceptable salt thereof by weight of free base; or
(ii) about 85 mg by weight of free base of (R)-(+)-amisulpride or a pharmaceutically acceptable salt thereof; and
about 15 mg of (S)-(−)-amisulpride or a pharmaceutically acceptable salt thereof by weight of free base;
pharmaceutical composition .
(a)アミスルプリド10mg当たり約0.45ミリ秒(ms)未満;または
(b)アミスルプリド10mg当たり約0.40ミリ秒(ms)未満;または
(c)アミスルプリド10mg当たり約0.35ミリ秒(ms)未満;または
(d)アミスルプリド10mg当たり約0.30ミリ秒(ms)未満;または
(e)アミスルプリド10mg当たり約0.25ミリ秒(ms)未満;または
(f)アミスルプリド10mg当たり約0.20ミリ秒(ms)未満;または
(g)アミスルプリド10mg当たり約0.15ミリ秒(ms)未満;または
(h)アミスルプリド10mg当たり約0.10ミリ秒(ms)未満;または
(i)アミスルプリド10mg当たり約0.05ミリ秒(ms)未満;または
(j)アミスルプリド10mg当たり約0.02ミリ秒(ms)未満の投与後12時間の期間での基準値に対する集団の平均の最大QT間隔延長を提供する、請求項8~14のいずれか一項に記載の医薬組成物。 When administered to a target population,
(a) less than about 0.45 milliseconds (ms) per 10 mg of amisulpride; or (b) less than about 0.40 milliseconds (ms) per 10 mg of amisulpride; or (c) less than about 0.35 milliseconds (ms) per 10 mg of amisulpride. or (d) less than about 0.30 milliseconds (ms) per 10 mg of amisulpride; or (e) less than about 0.25 milliseconds (ms) per 10 mg of amisulpride; or (f) less than about 0.20 per 10 mg of amisulpride. or (g) less than about 0.15 milliseconds (ms) per 10 mg of amisulpride; or (h) less than about 0.10 milliseconds (ms) per 10 mg of amisulpride; or (i) per 10 mg of amisulpride or (j) less than about 0.02 milliseconds (ms) per 10 mg of amisulpride, providing a population mean maximal QT interval prolongation relative to baseline over a 12-hour post-dose period. The pharmaceutical composition according to any one of claims 8 to 14 .
(i)(a)10分を超える急速眼球運動(REM)睡眠の減少;または(b)約15分から約45分のREM睡眠の減少;または(c)約15分から約30分のREM睡眠の減少;
(ii)(a)20分を超える急速眼球運動(REM)睡眠への待ち時間;または(b)30分を超えるREM睡眠への待ち時間;または
(iii)(a)5%を超える総睡眠時間に対する総急速眼球運動(REM)睡眠時間の減少;または(b)6.5%を超える総睡眠時間に対する総REM睡眠時間の減少
により特徴付けられるREM睡眠における時間の抑制をもたらす、請求項5~14のいずれか一項に記載の医薬組成物。 When administered to a target population,
(i) (a) reduction in rapid eye movement (REM) sleep for more than 10 minutes; or (b) reduction in REM sleep for about 15 minutes to about 45 minutes; or (c) reduction in REM sleep for about 15 minutes to about 30 minutes. decrease ;
(ii) (a) latency to rapid eye movement (REM) sleep greater than 20 minutes; or (b) latency to REM sleep greater than 30 minutes; or
(iii) (a) decreased total rapid eye movement (REM) sleep time for >5% total sleep time; or (b) decreased total REM sleep time for >6.5% total sleep time
The pharmaceutical composition according to any one of claims 5 to 14 , which provides suppression of time in REM sleep characterized by:
(R)-(+)-アミスルプリドと(S)-(-)-アミスルプリドのエナンチオマー比が、遊離塩基の重量で約80:20から約88:12であり、(R)-(+)-アミスルプリドおよび(S)-(-)-アミスルプリド、または薬学的に許容されるそれらの塩を組み合わせた量が、遊離塩基の重量で約100mgから約500mgである、(R)-(+)-アミスルプリドおよび(S)-(-)-アミスルプリドの不均等混合物の形態のアミスルプリド、または薬学的に許容されるそれらの塩;ならびに
錠剤の総重量に対して約10%から約50%の量の持続放出性薬剤
を含み、所望により、(R)-(+)-アミスルプリドおよび(S)-(-)-アミスルプリド、または薬学的に許容されるそれらの塩を組み合わせた量が、遊離塩基の重量で約200mgであり、(R)-(+)-アミスルプリドと(S)-(-)-アミスルプリドのエナンチオマー比が、遊離塩基の重量で85:15であり、好ましくは、錠剤が、
錠剤の総重量に対して約35%から約45%のアミスルプリド、
錠剤の総重量に対して約20%から約40%の薬学的に許容される充填剤、および
錠剤の総重量に対して約20%から約30%の持続放出性薬剤
を含み、より好ましくは、持続放出性薬剤が、ヒドロキシプロピルメチルセルロースを含み、さらにより好ましくは、ヒドロキシプロピルメチルセルロースが、アミスルプリドのメジアン径の5~15倍のメジアン径を有する、または、充填剤が、D-マンニトールを含み、錠剤が、錠剤の総重量に対して約0.5%から約2%の、ポリビニルアルコールを含む結合剤を含む、
医薬組成物。 A pharmaceutical composition in the form of a tablet, the tablet comprising
the enantiomeric ratio of (R)-(+)-amisulpride to (S)-(-)-amisulpride is from about 80:20 to about 88:12 by weight of free base, and (R)-(+)-amisulpride (R)-(+)-amisulpride and (R)-(+)-amisulpride, and (S)-(-)-amisulpride, or a pharmaceutically acceptable salt thereof, in a combined amount of from about 100 mg to about 500 mg by weight of free base; (S)-(-)-amisulpride in the form of unequal mixtures of amisulpride, or a pharmaceutically acceptable salt thereof; and sustained release in an amount of about 10% to about 50% relative to the total weight of the tablet. The combined amount of the drug, optionally (R)-(+)-amisulpride and (S)-(-)-amisulpride, or a pharmaceutically acceptable salt thereof, is about 200 mg, the enantiomeric ratio of (R)-(+)-amisulpride and (S)-(-)-amisulpride is 85:15 by weight of free base, preferably the tablet comprises
about 35% to about 45% of amisulpride, based on the total weight of the tablet;
from about 20% to about 40% of a pharmaceutically acceptable filler, based on the total weight of the tablet; and
about 20% to about 30% of the sustained release drug relative to the total weight of the tablet
more preferably the sustained-release drug comprises hydroxypropylmethylcellulose, even more preferably the hydroxypropylmethylcellulose has a median diameter of 5 to 15 times the median diameter of amisulpride, or the filler is D-mannitol, wherein the tablet comprises a binder comprising polyvinyl alcohol from about 0.5% to about 2%, based on the total weight of the tablet;
pharmaceutical composition .
顆粒成分がアミスルプリドおよび結合剤を含み;および
顆粒外成分が持続放出性薬剤を含み、所望により、
(i)顆粒成分が、1つまたは複数の(a)充填剤;および(b)結合剤を含む、例えば、顆粒が、(a)約60重量%から約80重量%のアミスルプリド、約10重量%から約30重量%の充填剤、および約1重量%から約5重量%の結合剤;または(b)約70重量%から約80重量%のアミスルプリド、約20重量%から約25重量%の充填剤、および約1重量%から約5重量%の結合剤を含む、または、顆粒成分が、顆粒成分の重量に対して、
約73重量%から約78重量%のアミスルプリド、
約10重量%から約12重量%のD-マンニトール、
約10重量%から約12重量%のアルファ化デンプン、および
約1重量%から約重量3%のポリビニルアルコールを含む;
(ii)顆粒外成分が、1つまたは複数の(a)充填剤;(b)結合剤;および(c)滑沢剤を含む;
(iii)錠剤(顆粒と顆粒外成分)が、(a)錠剤の総重量に対して約20%から約70%の持続放出性薬剤の顆粒;または(b)錠剤の総重量に対して約10%から約50%の持続放出性薬剤を含む;
(iv)錠剤(顆粒と顆粒外成分)が、(a)錠剤の総重量に対して約6%から約60%の、顆粒および顆粒外の両方で組み合わせた量の充填剤;または(b)錠剤の総重量に対して約10%から約50%の、顆粒および顆粒外の両方で組み合わせた量の充填剤を含む;
(v)錠剤(顆粒と顆粒外成分)が、錠剤の総重量に対して約1%から約2%の滑沢剤を含む、例えば、滑沢剤が、ステアリン酸マグネシウムである;または
(vi)錠剤(顆粒と顆粒外成分)が、
(a)錠剤の総重量に対して約34%から約39%のD-マンニトール、および錠剤の総重量に対して約15%のヒドロキシプロピルメチルセルロース;または
(b)錠剤の総重量に対して約24%から約29%のD-マンニトール、および錠剤の総重量に対して約25%のヒドロキシプロピルメチルセルロース;または
(c)錠剤の総重量に対して約4%から約9%のD-マンニトール、および錠剤の総重量に対して約45%のヒドロキシプロピルメチルセルロース
を含む、
請求項26に記載の医薬組成物。 the tablet comprises a granular component admixed with an extragranular component;
a granular component comprising amisulpride and a binder; and an extragranular component comprising a sustained release drug, optionally comprising
(i) the granule ingredients comprise one or more of (a) a filler; and (b) a binder, e.g. % to about 30% by weight filler, and about 1% to about 5% by weight binder; or (b) about 70% to about 80% by weight amisulpride, about 20% to about 25% by weight a filler, and from about 1% to about 5% by weight of a binder;
from about 73% to about 78% by weight of amisulpride;
about 10% to about 12% by weight D-mannitol;
about 10% to about 12% by weight pregelatinized starch; and
from about 1% to about 3% by weight of polyvinyl alcohol;
(ii) the extragranular component comprises one or more of (a) fillers; (b) binders; and (c) lubricants;
(iii) the tablet (granules and extragranular components) comprises (a) from about 20% to about 70% of the sustained release drug granules, based on the total weight of the tablet; or (b) about 10% to about 50% sustained release drug;
(iv) the tablet (granular and extragranular components) contains (a) a combined amount of both granular and extragranular fillers from about 6% to about 60%, based on the total weight of the tablet; or (b) Fillers in a combined amount, both granular and extragranular, of about 10% to about 50% based on the total weight of the tablet;
(v) the tablet (granules and extragranular components) comprises from about 1% to about 2% of a lubricant, based on the total weight of the tablet, e.g., the lubricant is magnesium stearate; or
(vi) tablets (granules and extragranular components)
(a) about 34% to about 39% D-mannitol by total tablet weight and about 15% hydroxypropyl methylcellulose by total tablet weight; or
(b) about 24% to about 29% D-mannitol by total tablet weight and about 25% hydroxypropyl methylcellulose by total tablet weight; or
(c) about 4% to about 9% D-mannitol, based on the total weight of the tablet, and about 45% hydroxypropyl methylcellulose, based on the total weight of the tablet;
including,
27. A pharmaceutical composition according to claim 26 .
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