JPWO2021150981A5 - - Google Patents

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JPWO2021150981A5
JPWO2021150981A5 JP2022545075A JP2022545075A JPWO2021150981A5 JP WO2021150981 A5 JPWO2021150981 A5 JP WO2021150981A5 JP 2022545075 A JP2022545075 A JP 2022545075A JP 2022545075 A JP2022545075 A JP 2022545075A JP WO2021150981 A5 JPWO2021150981 A5 JP WO2021150981A5
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pharmaceutical composition
patient
solid dispersion
amorphous solid
administered
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Priority claimed from PCT/US2021/014742 external-priority patent/WO2021150981A1/en
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ダサチニブと1種以上のポリマーとを含む非晶質固体分散体であって、An amorphous solid dispersion comprising dasatinib and one or more polymers,
1種以上のポリマーが、pH依存的な溶解性を示すポリマーを含み、the one or more polymers include a polymer that exhibits pH-dependent solubility;
ダサチニブ及び1種以上のポリマーが、30:70~95:5(ダサチニブ:ポリマー)のw/w比で前記非晶質固体分散体中に存在する、前記非晶質固体分散体。The amorphous solid dispersion, wherein dasatinib and one or more polymers are present in the amorphous solid dispersion in a w/w ratio of 30:70 to 95:5 (dasatinib:polymer).
1種以上のポリマーが、pH依存的な溶解性を示す、メタクリル酸及びアクリル酸エチルのコポリマーを含むか、又はpH依存的な溶解性を示す、メタクリル酸及びアクリル酸エチルのコポリマーから本質的になる、請求項1に記載の非晶質固体分散体。The one or more polymers include copolymers of methacrylic acid and ethyl acrylate that exhibit pH-dependent solubility, or consist essentially of copolymers of methacrylic acid and ethyl acrylate that exhibit pH-dependent solubility. The amorphous solid dispersion according to claim 1. 1種以上のポリマーが、pH依存的な溶解性を示す、メタクリル酸ジメチルアミノエチル、メタクリル酸ブチル、及びメタクリル酸メチルのコポリマーを含むか、又はpH依存的な溶解性を示す、メタクリル酸ジメチルアミノエチル、メタクリル酸ブチル、及びメタクリル酸メチルのコポリマーから本質的になる、請求項1に記載の非晶質固体分散体。The one or more polymers include a copolymer of dimethylaminoethyl methacrylate, butyl methacrylate, and methyl methacrylate that exhibits pH-dependent solubility, or dimethylaminomethacrylate that exhibits pH-dependent solubility. 2. The amorphous solid dispersion of claim 1, consisting essentially of a copolymer of ethyl, butyl methacrylate, and methyl methacrylate. メタクリル酸及びアクリル酸エチルのコポリマー、又はメタクリル酸ジメチルアミノエチル、メタクリル酸ブチル、及びメタクリル酸メチルのコポリマーが、pH5以下の水性媒体に不溶であり、pH5.5以上の水性媒体に可溶である、請求項2又は3に記載の非晶質固体分散体。The copolymer of methacrylic acid and ethyl acrylate or the copolymer of dimethylaminoethyl methacrylate, butyl methacrylate, and methyl methacrylate is insoluble in an aqueous medium with a pH of 5 or less and soluble in an aqueous medium with a pH of 5.5 or more. , the amorphous solid dispersion according to claim 2 or 3. 1種以上のポリマーが、pH依存的な溶解性を示すポリマーから本質的になる、請求項1に記載の非晶質固体分散体。2. The amorphous solid dispersion of claim 1, wherein the one or more polymers consists essentially of polymers that exhibit pH-dependent solubility. 没食子酸プロピルを含む1種以上の抗酸化剤を含むか、又は非晶質固体分散体の0.001質量%~2.0質量%の含量で存在する1種以上の抗酸化剤を含む、請求項1~5のいずれか1項に記載の非晶質固体分散体。one or more antioxidants comprising propyl gallate, or one or more antioxidants present in a content of 0.001% to 2.0% by weight of the amorphous solid dispersion; The amorphous solid dispersion according to any one of claims 1 to 5. ダサチニブ及び1種以上のポリマーから本質的になる、請求項1~6のいずれか1項に記載の非晶質固体分散体。Amorphous solid dispersion according to any one of claims 1 to 6, consisting essentially of dasatinib and one or more polymers. ダサチニブ及び1種以上のポリマーが、40:60~70:30(ダサチニブ:ポリマー)のw/w比で非晶質固体分散体中に存在する、請求項1~7のいずれか1項に記載の非晶質固体分散体。According to any one of claims 1 to 7, dasatinib and one or more polymers are present in the amorphous solid dispersion in a w/w ratio of 40:60 to 70:30 (dasatinib:polymer). Amorphous solid dispersion of. 請求項1~8のいずれか1項に記載の非晶質固体分散体を含む医薬組成物。 A pharmaceutical composition comprising the amorphous solid dispersion according to any one of claims 1 to 8 . 非晶質固体分散体と1種以上の医薬上許容される添加剤とを含む、請求項に記載の医薬組成物。 10. A pharmaceutical composition according to claim 9 , comprising an amorphous solid dispersion and one or more pharmaceutically acceptable excipients. 増殖性障害を治療することを必要とする患者における増殖性障害を治療することに使用するための、請求項9又は10に記載の医薬組成物であって、
患者が胃酸減少剤を併用しているか否かに関係なく前記患者に投与される、前記医薬組成物
11. A pharmaceutical composition according to claim 9 or 10 for use in treating a proliferative disorder in a patient in need thereof,
The pharmaceutical composition is administered to a patient regardless of whether the patient is also taking a gastric acid reducing agent.
増殖性障害を治療することを必要とする患者における増殖性障害を治療することに使用するための、請求項9又は10に記載の医薬組成物であって、
胃酸減少剤と一緒に患者に投与される、前記医薬組成物
11. A pharmaceutical composition according to claim 9 or 10 for use in treating a proliferative disorder in a patient in need thereof,
The above pharmaceutical composition is administered to a patient together with a gastric acid reducing agent.
胃酸減少剤が、医薬組成物が投与される直前に患者に投与されるか、又は医薬組成物の投与と同時に患者に投与されるか、又は医薬組成物が投与された直後に患者に投与される、請求項12に記載の医薬組成物 The gastric acid reducing agent is administered to the patient immediately before the pharmaceutical composition is administered , or is administered to the patient simultaneously with the administration of the pharmaceutical composition, or is administered to the patient immediately after the pharmaceutical composition is administered. The pharmaceutical composition according to claim 12 . 増殖性障害を治療することを必要とする患者における増殖性障害を治療することに使用するための、請求項9又は10に記載の医薬組成物であって、
非晶質固体分散体が、患者の胃のpHが上昇しているか否かに関係なく投与されるか、又は患者の胃のpHが、上昇している、前記医薬組成物
11. A pharmaceutical composition according to claim 9 or 10 for use in treating a proliferative disorder in a patient in need thereof,
Said pharmaceutical composition, wherein the amorphous solid dispersion is administered regardless of whether or not the patient's stomach pH is elevated , or the patient's stomach pH is elevated .
増殖性障害を治療することを必要とする患者における増殖性障害を治療することに使用するための、請求項9又は10に記載の医薬組成物であって、前記使用が、
(a)患者の胃のpHが慢性的に上昇していることにより、状態を特定することと、
(b)治療上有効量の前記医薬組成物を患者に投与することとを含み、
治療上有効量が、20mg~140mgのダサチニブを含む、前記医薬組成物
11. A pharmaceutical composition according to claim 9 or 10 for use in treating a proliferative disorder in a patient in need thereof, said use comprising:
(a) identifying the condition by chronically elevated gastric pH in the patient;
(b) administering to a patient a therapeutically effective amount of said pharmaceutical composition;
Said pharmaceutical composition , wherein the therapeutically effective amount comprises from 20 mg to 140 mg of dasatinib.
増殖性障害が、がん、フィラデルフィア染色体陽性慢性骨髄性白血病、又はフィラデルフィア染色体陽性急性リンパ芽球性白血病である、請求項11~15のいずれか1項に記載の医薬組成物 The pharmaceutical composition according to any one of claims 11 to 15 , wherein the proliferative disorder is cancer, Philadelphia chromosome-positive chronic myeloid leukemia, or Philadelphia chromosome-positive acute lymphoblastic leukemia . 増殖性障害を治療することを必要とする患者における増殖性障害を治療するための治療計画に使用するための、請求項9又は10に記載の医薬組成物であって、
前記計画が、
(a)標準投与量のプロトンポンプ阻害薬又はH2拮抗薬を含む第1用量を患者に投与する工程と、
(b)第1用量後の20時間以内に、治療上有効量の前記医薬組成物を含む第2用量を患者に投与する工程とを含み、
治療上有効量が、20mg~140mgのダサチニブを含む、前記医薬組成物
11. A pharmaceutical composition according to claim 9 or 10 for use in a treatment regimen for treating a proliferative disorder in a patient in need thereof, comprising:
The plan is
(a) administering to the patient a first dose comprising a standard dose of a proton pump inhibitor or H2 antagonist;
(b) administering to the patient a second dose comprising a therapeutically effective amount of the pharmaceutical composition within 20 hours after the first dose;
Said pharmaceutical composition , wherein the therapeutically effective amount comprises from 20 mg to 140 mg of dasatinib.
増殖性障害を治療することを必要とする患者における増殖性障害を治療するための治療計画に使用するための、請求項9又は10に記載の医薬組成物であって、
前記計画が、
(a)標準投与量の制酸薬を含む第1用量を患者に投与する工程と、
(b)第1用量前の2時間以内に又は第1用量後の2時間以内に、前記医薬組成物を含む第2用量を患者に投与する工程とを含み、
第2用量の投与が、治療上の妥当な曝露量のダサチニブを患者に提供する、前記医薬組成物
11. A pharmaceutical composition according to claim 9 or 10 for use in a treatment regimen for treating a proliferative disorder in a patient in need thereof, comprising:
The plan is
(a) administering to the patient a first dose comprising a standard dose of an antacid;
(b) administering to the patient a second dose comprising said pharmaceutical composition within two hours before the first dose or within two hours after the first dose;
Said pharmaceutical composition , wherein administration of the second dose provides a therapeutically relevant exposure of dasatinib to the patient.
ユーザーに販売するためのキットであって、請求項9又は10に記載の医薬組成物と添付文書とを含み、
添付文書が、
医薬組成物と胃酸減少剤とを併用できることをユーザーに知らせるか、或いは
医薬組成物がH 2 拮抗薬又はプロトンポンプ阻害薬と併用すべきではないとの警告を含まないか、或いは
ユーザーの胃のpHが慢性的に上昇している場合、医薬組成物を適切に投与することができることをユーザーに知らせるか、或いは
ユーザーが無酸症若しくは低酸症と診断された場合、又はユーザーが無酸症若しくは低酸症に苦しんでいる場合、医薬組成物を適切に投与することができることをユーザーに知らせるか、或いは
ユーザーがヘリコバクター・ピロリ感染症と診断された場合、又はユーザーがヘリコバクター・ピロリ感染症に苦しんでいる場合、医薬組成物を適切に投与することができることをユーザーに知らせる、前記キット。
A kit for sale to users, comprising the pharmaceutical composition according to claim 9 or 10 and a package insert,
The attached document is
Inform the user that the pharmaceutical composition can be used in combination with the gastric acid reducing agent , or
does not contain a warning that the pharmaceutical composition should not be used in combination with H2 antagonists or proton pump inhibitors, or
Informing the user that the pharmaceutical composition can be appropriately administered if the user's gastric pH is chronically elevated; or
informing the user that the pharmaceutical composition can be appropriately administered if the user has been diagnosed with achlorhydria or hypochlorhydria, or if the user is suffering from achlorhydria or hypochlorhydria; or
Said kit informing the user that the pharmaceutical composition can be appropriately administered if the user is diagnosed with or suffering from a Helicobacter pylori infection.
JP2022545075A 2020-01-24 2021-01-22 Solid amorphous dispersion of dasatinib and uses thereof Pending JP2023513444A (en)

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US202062965650P 2020-01-24 2020-01-24
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US202063018182P 2020-04-30 2020-04-30
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