TW200800198A - Pharmaceutical dosage forms and compositions - Google Patents

Pharmaceutical dosage forms and compositions Download PDF

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Publication number
TW200800198A
TW200800198A TW095132852A TW95132852A TW200800198A TW 200800198 A TW200800198 A TW 200800198A TW 095132852 A TW095132852 A TW 095132852A TW 95132852 A TW95132852 A TW 95132852A TW 200800198 A TW200800198 A TW 200800198A
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Taiwan
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patient
average
dosage form
cmax
patient population
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TW095132852A
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Chinese (zh)
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Krishnendu Ghosh
Arwinder S Nagi
Xiaohong Pan
Melissa Lin
Leonid Linberg
Ping Cai
Eric N C Browne
Michel Bernatchez
Mark Lankau
Sangeeta Raje
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Wyeth Corp
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/20Pills, tablets, discs, rods
    • A61K9/28Dragees; Coated pills or tablets, e.g. with film or compression coating
    • A61K9/2806Coating materials
    • A61K9/2833Organic macromolecular compounds
    • A61K9/286Polysaccharides, e.g. gums; Cyclodextrin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/435Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
    • A61K31/44Non condensed pyridines; Hydrogenated derivatives thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/495Heterocyclic 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
    • A61K31/496Non-condensed piperazines containing further heterocyclic rings, e.g. rifampin, thiothixene
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/20Pills, tablets, discs, rods
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/20Pills, tablets, discs, rods
    • A61K9/2004Excipients; Inactive ingredients
    • A61K9/2013Organic compounds, e.g. phospholipids, fats
    • A61K9/2018Sugars, or sugar alcohols, e.g. lactose, mannitol; Derivatives thereof, e.g. polysorbates
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/20Pills, tablets, discs, rods
    • A61K9/2004Excipients; Inactive ingredients
    • A61K9/2022Organic macromolecular compounds
    • A61K9/205Polysaccharides, e.g. alginate, gums; Cyclodextrin
    • A61K9/2054Cellulose; Cellulose derivatives, e.g. hydroxypropyl methylcellulose
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P13/00Drugs for disorders of the urinary system
    • A61P13/02Drugs for disorders of the urinary system of urine or of the urinary tract, e.g. urine acidifiers
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    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61P15/00Drugs for genital or sexual disorders; Contraceptives
    • A61P15/08Drugs for genital or sexual disorders; Contraceptives for gonadal disorders or for enhancing fertility, e.g. inducers of ovulation or of spermatogenesis
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    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/06Antimigraine agents
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    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/14Drugs for disorders of the nervous system for treating abnormal movements, e.g. chorea, dyskinesia
    • A61P25/16Anti-Parkinson drugs
    • AHUMAN NECESSITIES
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    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/18Antipsychotics, i.e. neuroleptics; Drugs for mania or schizophrenia
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    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/20Hypnotics; Sedatives
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    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/22Anxiolytics
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/24Antidepressants
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/28Drugs for disorders of the nervous system for treating neurodegenerative disorders of the central nervous system, e.g. nootropic agents, cognition enhancers, drugs for treating Alzheimer's disease or other forms of dementia
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    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/30Drugs for disorders of the nervous system for treating abuse or dependence
    • A61P25/32Alcohol-abuse
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    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/30Drugs for disorders of the nervous system for treating abuse or dependence
    • A61P25/34Tobacco-abuse
    • AHUMAN NECESSITIES
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    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/30Drugs for disorders of the nervous system for treating abuse or dependence
    • A61P25/36Opioid-abuse
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    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P3/00Drugs for disorders of the metabolism
    • A61P3/04Anorexiants; Antiobesity agents
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    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P43/00Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P9/00Drugs for disorders of the cardiovascular system
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    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D213/00Heterocyclic compounds containing six-membered rings, not condensed with other rings, with one nitrogen atom as the only ring hetero atom and three or more double bonds between ring members or between ring members and non-ring members
    • C07D213/02Heterocyclic compounds containing six-membered rings, not condensed with other rings, with one nitrogen atom as the only ring hetero atom and three or more double bonds between ring members or between ring members and non-ring members having three double bonds between ring members or between ring members and non-ring members
    • C07D213/04Heterocyclic compounds containing six-membered rings, not condensed with other rings, with one nitrogen atom as the only ring hetero atom and three or more double bonds between ring members or between ring members and non-ring members having three double bonds between ring members or between ring members and non-ring members having no bond between the ring nitrogen atom and a non-ring member or having only hydrogen or carbon atoms directly attached to the ring nitrogen atom
    • C07D213/60Heterocyclic compounds containing six-membered rings, not condensed with other rings, with one nitrogen atom as the only ring hetero atom and three or more double bonds between ring members or between ring members and non-ring members having three double bonds between ring members or between ring members and non-ring members having no bond between the ring nitrogen atom and a non-ring member or having only hydrogen or carbon atoms directly attached to the ring nitrogen atom with hetero atoms or with carbon atoms having three bonds to hetero atoms with at the most one bond to halogen, e.g. ester or nitrile radicals, directly attached to ring carbon atoms
    • C07D213/72Nitrogen atoms
    • C07D213/75Amino or imino radicals, acylated by carboxylic or carbonic acids, or by sulfur or nitrogen analogues thereof, e.g. carbamates
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D405/00Heterocyclic compounds containing both one or more hetero rings having oxygen atoms as the only ring hetero atoms, and one or more rings having nitrogen as the only ring hetero atom
    • C07D405/02Heterocyclic compounds containing both one or more hetero rings having oxygen atoms as the only ring hetero atoms, and one or more rings having nitrogen as the only ring hetero atom containing two hetero rings
    • C07D405/12Heterocyclic compounds containing both one or more hetero rings having oxygen atoms as the only ring hetero atoms, and one or more rings having nitrogen as the only ring hetero atom containing two hetero rings linked by a chain containing hetero atoms as chain links
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D405/00Heterocyclic compounds containing both one or more hetero rings having oxygen atoms as the only ring hetero atoms, and one or more rings having nitrogen as the only ring hetero atom
    • C07D405/14Heterocyclic compounds containing both one or more hetero rings having oxygen atoms as the only ring hetero atoms, and one or more rings having nitrogen as the only ring hetero atom containing three or more hetero rings

Abstract

The invention relates to, for example, novel formulations and methods for the delivery of 4-cyano-N-{(2R)-2-[4-(2,3-dihydro-benzo[1,4]dioxin-5-yl)-piperazin-1-yl]-propyl}-N-pyridin-2-yl-benzamide, pharmaceutically acceptable salts thereof, structurally related compounds and/or metabolites; as well as to use of these formulations and methods for treating disease.

Description

200800198 九、發明說明: 【智^明所屬之技姻^領域】 相關申請案之交互參照 此申請案主張2005年9月9曰所提出的美國申請案案號 5 60/715,417之優先權,此公告全文以參考之方式併於本文。 發明領域 本發明係關於一種例如新穎的調配物,及傳遞各氰基 -N-{(2R)-2-[4-(2,3-二氫-苯并[丨,4]二噚畊-^基卜哌啡^-基]-丙基}-Ν_ΰ比啶-2-基-苯醯胺、其醫藥上可接受的鹽、結構相 10關的化合物及/或新陳代謝產物之方法;和這些調配物的用 途及治療疾病之方法。 發明背景 敢近的資料已建礒5-HT〗a受體係與認知過程有關。可 15 參見例如雀趣特(Schechter) L.E.等人之“列扣肉坦 (lec〇z〇tan)(SRA-333): —種可提高麩胺酸鹽及乙醯膽鹼在 海馬中的刺激性釋放且擁有認知提高性質之選擇性血清素 1A受體拮抗劑”,/尸£7 314 ·· 1274-1289,2005。5-111^受 體拮抗劑(4-氰基-N-[(2R)-[4-(2,3-二氫苯并[1,4]二噚啡-5-20 基)哌畊-1·基]丙基]-N-吡啶-2-基-苯醯胺鹽酸(列扣肉坦)), 其在試管内及活體内的多重藥理學試驗中之特徵為其可作 為治療認知障礙用的藥物。試管内之黏結及内在活性的測 量已闡明出列扣肉坦為一種強效及選擇性5-11丁^受體拮抗 劑。使用活體内微透析可了解,列扣肉坦(〇·3毫克/公斤皮 5 200800198 下注射)能拮抗因8 ΟΗ-DPAT之激發免疫反應劑量(0.3毫克/ 公斤皮下注射)所引發的海馬細胞外5-HT減少,且其單獨在 10倍高的劑量下並無效應。列扣肉坦可明顯增強楚胺酸鹽 及乙醯膽驗在海馬的齒狀回中之氣化鉀刺激性釋放。慢慢 _ 5 給藥列扣肉坦不會在體功能的行為模式適應症中 ' 引發體耐受性或去過敏性。在藥物鑑別力研究 w 中’列扣肉坦(0.01-1毫克/公斤肌肉内注射)並非代替 8-OH-DPAT,且可產生一劑量相關的5-HT!a同效劑辨別刺 _ 激#號阻辦。在經時效處理的恒河猴(aged rhesus monkey) 10中,列扣肉坦可在最理想之劑量(1毫克/公斤口服)下,於任 務表現效率上產生明顯的改良。在狨猴中,由麩胺酸鹽性 拮抗劑MK-801所引起(由知覺情結(perce^uaiiy c〇mpiex)及 視覺空間分辨來評估)及由海馬的特定膽鹼激素性病灶所 引起(由視覺空間分辨來評估)之學習不足,可由列扣肉坦(2 15耄克/公斤肌肉内注射)來徹底改變。列扣肉坦所影響的異種 突觸本質(heterosynaptic nature)可在針對阿兹海默氏 ^ (Alzheimer’s)症中,於潛在認知喪失之生化病狀上,對此化 合物灌輸一新穎的作用機制。 因為 4_ 氰基-N-{(2R)-2-[4-(2,3-二氫-苯并[1,4]二 2〇 口f讲-5-基)-派π井小基]·丙基卜心比咬_2备苯酿胺(列扣肉 坦)及其醫藥上可接受的鹽、結構相關的化合物、新陳代謝 產物及其組合在阿兹海默症上的治療重I,重要的是,提 供這些有效成分之調配物,以提供最理想的生物效性及功 效。本發明係關於這些和其它重要的需求。 6 200800198 【發明内容】 發明概要 本發明尤其提供一種調配物,其包含4-氰基 -1^-{(2幻-2-[4-(2,3-二氮-苯弁[1,4]二1:1号11井-5_基)-旅11井-1_基]-5 丙基)-Ν-ϋ比ϋ定-2-基-苯酿胺(亦指為列扣肉坦)、其醫樂上可 ' 接受的鹽、結構相關的化合物、新陳代謝產物及其組合。 " 由本發明所提供的化合物包括: 4-氰基-N-{(2R)-2-[4-(2,3-二氫-苯并[1,4]二噚讲-5-基)-派σ井-1-基]-丙基} -N-ϋ比ϋ定-2-基-苯酿胺或其%樂上可接受 10 的鹽形式(例如,4-{(2R)-2-[4-(2,3-二氫-苯并[1,4]二噚讲-5-基)-哌畊-1-基]-丙基卜N-吡啶-2-基-苯醯胺鹽酸鹽)及其結 構相關的化合物及新陳代謝產物,其包括(但不限於): {(2R)_2-[4_(2,3_ 二氮-苯并[1,4]二 井-5-基)-旅讲-1- 基]-丙基} -N-ntb唆-2-基-胺或其醫樂上可接受的鹽,4-氣基 15 -N_{(2S)_2-[4-(2,3-二氫-苯并[1,4]二噚畊-5-基)-哌畊-1-基]· - 丙基}-N-吡啶-2-基-苯醯胺或其醫藥上可接受的鹽; 4 -氣基-N- (2 - 。井· 1 -基-丙基)-N-ϋ比。定-2 -基-苯酸胺或 其醫藥上可接受的鹽;Ν-(5-氣-吡啶-2-基)-4-氰基-Ν-[2-(4-羥基-哌畊-1-基)-丙基]-苯醯胺或其醫藥上可接受的鹽; 20 N-(5-氯比啶-2-基)·4·氰基-Ν-{2-[4·(2,3_二氫-苯并[1,4] 二0亏σ井-5 -基)-旅讲-1 -基]-丙基}-苯酿胺或其%樂上可接受 的鹽; 4-氰基·Ν-{(2ΙΙ)·2-[4-(8-羥基-2,3-二氫-苯并[1,4]二 亏啡-5 -基)-旅11井-1 -基]-丙基} -Ν-σ比11 定-2-基-苯酿胺或其醫樂 7 200800198 上可接受的鹽; 4-氰基-N-{(2R)_2-[4-(3-羥基-2,3-二氫-苯并[1,4]二 噚畊-5-基)·哌畊_ι_基]-丙基}_N-吼啶·2_基-苯醯胺或其醫藥 上可接受的鹽; 5 4_ 氰基 _n_{(2R)-2-[4-(2-羥基-2,3-二氫-笨并[1,4]二 噚畊-5·基)-哌讲-1-基]-丙基}-Ν-吼啶-2-基-苯醯胺或其醫藥 上可接受的鹽; 4_鼠基-N-(2R-2-旅ϋ井-1 -基-丙基)唆-2_基-苯酿胺 其醫藥上可接受的鹽; 10 4_ 氰基 _N-{(2R)-2_[4_(8_{l-[8_(4-{(lS)-2-[(4-氰基苄酸 基)(吡啶-2-基)胺基]-1-甲基乙基}哌啡小基)·2,3_二氫-1,4· 苯并二噚畊-5-基]·2_甲基丙基}_2,3_二氫-1,4-苯并二 嘮畊-5-基)哌畊-1-基]丙基}-Ν-吼啶-2-基苯醯胺或其醫藥上 可接受的鹽; 15 4-氰基-N-{(2R)-2-[4-(8-{l-[8-(4-{(lS)_2-[(4-氰基苄酿 基)(°比啶基)胺基]小甲基乙基}哌畊-1-基)-2,3_二氫-1,4-苯并二噚讲-5-基]丁基}-2,3-二氫-1,4-苯并二噚畊_5_基)旅 啩-1-基]丙基卜N-吡啶-2-基苯醯胺或其醫藥上可接受的鹽; 4-氰基-N-{(2R)-2-[4-(8-{l-[8-(4-{(lS)-2-[(4-氰基节酸 20基)(°比啶_2_基)胺基H-甲基乙基}哌啡_1_基)-2,3-二氫-1Λ_ 本并二井-5-基]己基}-2,3_二氫_1,4_苯并二π号。井_5_基)0辰 畊-1-基]丙基}-Ν-吡啶-2-基苯醯胺或其醫藥上可接受的鹽; 4-氰基-N-{(2R)-2-[4-(8_{[8-(4_{(1S)-2_[(4_ 氰基节酸 基)(°比°定-2-基)胺基]-1_甲基乙基}旅啡小基)_2,3-二氫_1 4· 8 200800198 苯并二呤讲-5-基]曱基}-2,3-二氫-1,4-苯并二噚畊-5-基)哌 啡-1-基]丙基} -N-atb σ定-2-基苯酿胺或其醫樂上可接受的鹽; 4-氰基-N-{(2R)-2-[4-(8-{l_[8-(4-{(lS)-2-[(4-氰基苄醯 基)(ϋ比σ定-2-基)胺基]-1 -甲基乙基}旅σ井-1 -基)-2,3 -二氮-1,4_ 5 苯弁二5^-5 -基]乙基}-2,3 -二鼠-1,4-苯弁二井-5·基)旅 。井-1 -基]丙基} -Ν- °比σ定-2-基苯酿胺或其醫樂上可接受的 鹽;及 4-氰基-N-[2(R)-(4-氰基-苯醯胺基)-丙基]-N-u比啶-2-基 -苯醯胺或其醫藥上可接受的鹽。 10 在一個具體實施例中,該化合物為顆粒形式。在一個 觀點中,該顆粒之平均直徑不超過約20微米。在另一個觀 點中,該顆粒的平均直徑從約0.75至約10微米。在另一個 觀點中,該顆粒之平均直徑從約2至約8微米。 本發明的組成物包含4-氰基-N-{(2R)-2-[4-(2,3-二氫-15 笨弁[1,4}二。亏。井-5 -基)旅ϋ井_ 1 -基]-丙基} -N-σ比唆-2-基-苯 醯胺或其醫藥上可接受的鹽形式(例如,4-{(2R)-[4-(2,3-二 氫苯并[1,4]二哼畊-5-基)-哌讲-1·基]-丙基}·Ν-吼啶-2-基-苯醯胺鹽酸鹽)、其如描述於本文之結構相關的化合物或新 陳代謝產物。在某些具體實施例中,本發明之組成物包含 20 4-氰基-N-{(2R)-2-[4-(2,3·二氫-苯并[1,4]二哼畊-5-基)-哌 讲-l -基]-丙基}-N-°比。定-2-基-苯酿胺或其醫樂上可接受的 鹽形式,及一或多種結構相關的化合物及/或新陳代謝藥 物。在某些具體實施例中,4-氰基-N-{(2R)-2-[4-(2,3-二氫-苯并[1,4]二噚畊-5-基)-哌畊-1-基]-丙基}-N-吼啶-2-基-苯醯 200800198 胺或其醫藥上可接受的鹽形式,及其結構相關的化合物及/ 或新陳代谢產物,以顆粒形式存在於該組成物中。在一個 觀點中,该顆粒之平均直徑不超過約20微米。在另一個觀 點中,該顆粒的平均直徑從約0·75至約10微米。在另一個 5觀點中,忒顆粒之平均直徑從約2至約8微米。在某些具體 實施例中,該結構相關的化合物及/或新陳代謝產物,當以 含有 4-氰基-N-{(2R)-2_[4-(2,3-二氫-苯并[1,4]二噚啡·5-基)_ 哌畊-1-基l·丙基}-Ν-吡啶-2-基-苯醯胺或其醫藥上可接受的 鹽形式(例如,4-{(2幻_2_[4_(2,3_二氫_苯并[Μ]二十井Ι基 10哌畊4-基]_丙基}-Ν_吡啶-2-基-苯醯胺鹽酸鹽)的組成物提 供時’其每種的量皆少於約〇1重量百分比。在某些具體實 施例中,本發明之組成物進一步包含一醫藥上可接受的載劑。 在某些具體實施财,本發明之組祕及劑型(包括4_ 氰基善{(2R)-2-[4-(2,3-二氫-苯并tl,4]二十井士基)_旅 15吨·1·基]丙基}_N“㈣_2备苯醯胺或其醫藥上可接受的 鹽形式)貫質上無-或多種4_氰基_則(211卜2例2,3_二氯-苯并[M]二十井I基)+井-1-基]-丙基}如比。定基-苯醯 胺之二聚物。如使用在此上下文中,“實質上無, 些二聚物每種將以少於約G·5重量%的量存在於該組成物 20中,每種的量少於約0·3重量%較佳,每種的量少於約〇2重 量%更佳及每種的量少於約〇1重量%甚至更佳(以該組成物 之總重量為準);且每種在該劑型中的量少於約〇 5重量%, 母種的量少於約〇.3重量%較佳,每種的量少於約〇·2重量% 更佳及每種的量少於約ai重量%甚至更佳(以在該劑型中 200800198 5 的有效成分之重量為準)。因此,本發明提供一種調配物, 其包含4-氰基-N-{(2R)-2-[4-(2,3-二氫-苯并[1,4]二嘮畊-5-基)-略讲-1 -基]-丙基} -N- 0比11 定-2-基-苯酸胺或其醫樂上可接 受的鹽形式,其實質上無4-氰基-N-{(2R)-2-[4-(2,3-二氳-苯 并[1,4]二噚畊-5-基)-哌畊_1_基]-丙基}-N-吼啶-2-基-苯醯胺) 及 / 或其它 4-氰基-N-{(2R)-2-[4-(2,3-二氫-苯并[1,4]二 。亏σ井-5-基)-略讲-1 -基]-丙基} -N-att12定-2-基-苯酿胺之結構相 關的化合物之二聚物。典型的4-氰基-N-{(2R)-2-[4-(2,3-二 氫-苯并[1,4]二噚畊-5-基)-哌畊-1-基]-丙基}_N-吼啶-2-基· 10 苯醯胺之二聚物如顯示在式7及8中。 本發明之劑型包含4-氰基-N_{(2R)-2-[4-(2,3_二氫·苯 弁[1,4]二σ亏讲-5-基)-略σ丼-1 ·基]-丙基} -Ν-σ比唆_2_基·苯酸胺 或其醫藥上可接受的鹽形式(例如,4-{(211)-2-[4-(2,3-二氫-苯并[1,4]二噚畊-5-基)-哌畊-1-基]•丙基}-Ν-吼啶-2-基苯醯 15 • 胺鹽酸鹽)、如描述於本文之結構相關的化合物或新陳代謝 產物。在某些具體實施例中,本發明之劑型將包含4-氰基 -N_{(2R)-2-[4_(2,3-二氫-苯并[1,4]二呤畊-5-基)-哌畊-1-基]-丙基}-沁吡啶-2-基-苯醯胺或其醫藥上可接受的鹽形式,及 一或多種結構相關的化合物及/或新陳代謝產物。在某些具 20 體實施例中,4-氰基-N-{(2R)-2-[4-(2,3-二氫-苯并[1,4]二 ϋ亏讲-5-基)-旅讲-1 -基]-丙基} -N-atbϋ定-2-基-苯酿胺或其醫樂 上可接受的鹽形式及其結構相關的化合物及/或新陳代謝 產物,以顆粒形式之劑型存在。在一個觀點中,該顆粒的 平均直徑不超過約20微米。在另一個觀點中,該顆粒之平 11 200800198 5 均直徑從0.75至約10微米。在另一個觀點中,該顆粒的平 均直徑從約2至約8微米。在某些具體實施例中,該結構相 關的化合物及/或新陳代謝產物,當以4-氰基 -N- {(2R)-2-[4-(2,3-二鼠-苯弁[1,4]二17亏 ϋ井-5-基)-旅讲 1-基]· 丙基}-Ν-11比咬-2-基-苯酿胺或其醫樂上可接受的鹽形式(例 如 ’ 4 -{(2R)-2-[4-(2,3 -二鼠-苯弁[1,4]二ϋ号σ井-5-基)-旅。井-1 基]-丙基}-Ν-吼啶-2-基-苯醯胺鹽酸鹽)之劑型提供時,其量 少於約0.1重量%(以該劑型的總重量為準)。 名稱“有效成分”指為4-氰基-N-{(2R)-2-[4-(2,3-二氫苯 10 并[1,4]二噚讲-5-基)-哌畊-1-基]-丙基}-N-吼啶-2-基·苯醯胺 或其醫藥上可接受的鹽形式(例如,4-{(2R)-2-[4-(2,3-二氫-苯并[1,4]二噚畊-5-基)-哌畊-1-基]-丙基}-N-吼啶-2-基-苯醯 胺鹽酸鹽)、結構相關的化合物或新陳代謝產物(如顯示於本 文中)及其醫藥上可接受的鹽。 15 • 在某些具體實施例中,除了有效成分(例如,4-氰基 -N-{(2R)_2-[4_(2,3·二氫-苯并[1,4]二哼啡·5_基)-哌畊-1-基]· 丙基} -Ν-11比11 定-2-基苯酿胺或其醫樂上可接受的鹽形式) 外,該醫藥組成物及/或劑型包含至少一種速率控制聚合物 及至少一種有機酸。在某些具體實施例中,該有機酸為檸 20 檬酸酐、檸檬酸單水合物、抗壞血酸、天冬胺酸、麩胺酸、 反丁烯二酸、蘋果酸或酒石酸。在某些具體實施例中,該 有機酸為檸檬酸或多官能基有機酸。在某些具體實施例 中,該至少一種釋放速率控制聚合物為甲基纖維素。在某 些具體實施例中,該聚合物為羥丙基甲基纖維素、羥丙基 12 200800198 纖維素、羥乙基纖維素或羥丙基曱基纖維素酞酸酯。在某 些具體實施例中,該羥丙基甲基纖維素為羥丙甲纖維素 2208或2910(例如,美多秀(Methocel)™ K4M、美多秀TM K15M、美多秀™K100M、美多秀tmE10M、美多秀™E4M、 5 美多秀™ K100LV、美多秀™ E50LV、美多秀TM E5、美多 、 秀™E6或美多秀观£151^/。在某些具體實施例中,該有機 % 酸為檸檬酸及該速率控制聚合物為羥丙甲纖維素2208(例 如,美多秀TM K4M優質(premium)CR及/或美多秀TM K100M _ 優質CR)。 10 在某些具體實施例中,該醫藥組成物及/或劑型進一步 包含至少一種充填劑。在某些具體實施例中,該充填劑為 微晶纖維素、乳糖、碳酸鈣、磷酸鈣、麥芽糖糊精、右旋 糖、果糖、麥芽糖、甘露醇、澱粉或蔗糖。在某些具體實 施例中,該微晶纖維素為經矽化的微晶纖維素及該乳糠為 15 乳糖單水合物。在某些具體實施例中,該醫藥組成物及/或 - 劑型更包含至少一種潤滑劑。在某些具體實施例中,該潤 • 滑劑為硬脂酸鎂、滑石、硬脂酸或膠態二氧化矽。此外, 在某些具體實施例中,除了有效成分外,本發明之醫藥組 成物及/或劑型包含至少一種速率控制聚合物、至少一種有 2〇 機酸、至少一種充填劑及至少一種潤滑劑。 在某些具體實施例中,本發明之醫藥組成物及/或劑型 於每份的有效成分下包含約2至約45或46份之釋放速率控 制聚合物及約1至約5份之有機酸。在某些具體實施例中, 該醫藥組成物及/或劑型包含約0.4至約10毫克的有效成 13 200800198 分。在某些具體實施例中,本發明之醫藥組成物及/或劑型 包含約50至約150毫克的速率控制聚合物、約5至約50毫克 的有機酸、約85至約179毫克的充填劑及約1毫克的潤滑 劑。在某些具體實施例中,其含有約2至約50毫克之有機酸。 5 在某些具體實施例中,除了有效成分(例如,4-氰基 、 -N-{(2R)-[4_(2,3_二氫-苯并[1,4]二哼畊-5-基)哌畊-1-基;Ια 丙基卜Ν ^比啶· 2 -基·苯醯胺或其醫藥上可接受的鹽形式) 外,本發明之醫藥組成物及/或劑型包含至少一種充填劑及 • 至少一種潤滑劑。在某些具體實施例中,該充填劑為微晶 10 纖維素、乳糖、碳酸鈣、磷酸鈣、麥芽糖糊精、右旋糖、 果糖、麥芽糖、甘露醇、澱粉、蔗糖或其混合物。在某些 具體實施例中,該充填劑為微晶纖維素、乳糠或其混合物。 在某些具體實施例中,該醫藥組成物及/或劑型進一步包含 至少一種潤滑劑。在某些具體實施例中,該潤滑劑為硬脂 15 酸鎂、滑石、硬脂酸或膠態二氧化矽。在某些具體實施例 ' 中,該潤滑劑為硬脂酸鎂。 ® 在某些具體實施例中,該醫藥組成物及/或劑型於每份 的有效成分下包含約15至約300份之充填劑及約〇.丨至約3 份之潤滑劑。在某些具體實施例中,該醫藥組成物及/或劑 20型包含約0]至約5毫克的4-氰基-N-{(2R)-2-[4-(2,3-二氫-苯 并[1,4]二$畊-5-基)_派σ井—1-基]丙基}·Ν_σ比咬_2-基-苯醯胺 或其醫藥上可接受的鹽形式。在某些具體實施例中,該醫 藥組成物及/或劑型包含約80至約150毫克的一或多種充填 劑及至少約0.75毫克的一或多種潤滑劑。 14 200800198 在某些具體實施例中,本發明之劑型為錠劑形式。在 一個觀點中,該錠劑塗佈一薄膜。 在某些具體實施例中,本發明之組成物或劑型為一乾 混合物形式。 5 本發明提供一種可提供本發明之組成物及劑型的方 ' 法。在某些具體實施例中,該組成物在有效形成其錠劑之 % 條件下壓緊一段時間。在某些具體實施例中,該錠劑進一 步塗佈一薄膜。 ^ 本發明亦提供一種包括混合該有效成分、至少一種速 10 率控制聚合物及至少一種有機酸,因此形成一混合物的方 法。在某些具體實施例中,該方法進一步包括在有效形成 其錠劑之條件下壓緊該混合物一段時間。在某些具體實施 例中,該旋劑進一步塗佈一薄膜。 本發明亦提供一種包括混合該有效成分、至少一種充 15 填劑及至少一種潤滑劑,因此形成一混合物的方法。在某 - 些具體實施例中,該方法進一步包括在可有效形成其錠劑 ♦ 之條件下壓緊該混合物一段時間。在某些具體實施例中, 該錠劑進一步塗佈一薄膜。 在某些具體實施例中,本發明之劑型無鹼。 20 在某些具體實施例中,本發明提供一種將本發明之劑 型、化合物或組成物給藥至哺乳動物(例如,人類)的方法及 過程。在某些具體實施例中,該劑型、化合物或組成物經 口服給藥。在一個觀點中,它們每12或24小時口服給藥一 次。在另一個觀點中,它們每48小時口服給藥一次。在某 15 200800198 些特別佳的具體實施例中,給藥該劑型、化合物或組成物, 以治療阿茲海默症。 在某些觀點中,本發明提供一種將一包含列扣肉坦與 一醫藥上可接受的載劑之口服劑型給藥至患者的方法?在 5 某些具體實施例中,該方法包括將一包含列扣肉坦與一醫 ^ 藥上可接受的載劑之口服劑型給藥至患者,且可在患者中 ’ 達成一最大血漿濃度(cmax)及在患者中達成一24小時血漿 濃度(C24),其中在患者群中的Cmax/C24之平均比率從約5 : 1 • 至約1.1 : 1。在某些具體實施例中,該Cmax/C24的平均比率 10 從約3 : 1至約1.1 : 1、約2.8 : 1至約1.1 : 1或約2.3 : 1至約 1.1 ·· 1。在某些觀點中,在將單一劑量的口月艮劑型給藥至 患者後,測量該cmax及c24值。在某些具體實施例中,該口 服劑型包含約5毫克的列扣肉坦。在某些觀點中,在患者群 中之平均tmax為約3.5小時或較多,或約5小時或較多。在某 15 些觀點中,在患者群中的平均Cmax為約100奈克/毫升或較 - 低。在某些具體實施例中,給藥這些劑型,以減少與將列 • 扣肉坦給藥至患者相關的負面副作用。在某些具體實施例 中,這些方法包括透過給藥列扣肉坦來鑑別患者其在負面 副作用上的風險,隨後將該口服劑型給藥至患者之步驟。 20 在某些觀點中,該負面副作用為頭痛、頭昏眼花、感覺異 常、視覺失常、耳鳴或其組合。 在某些具體實施例中,該給藥列扣肉坦與一醫藥上可 接受的載劑之方法包括將一包含列扣肉坦與一醫藥上可接 受的載劑之口服劑型給藥至患者,且可在患者中達成一最 16 200800198 5200800198 IX. Description of the invention: [Individuals in the field of technology] The relevant application is based on the priority of the US application No. 5 60/715,417 filed on September 9, 2005. The full text of the announcement is hereby incorporated by reference. FIELD OF THE INVENTION The present invention relates to, for example, novel formulations, and the delivery of each cyano-N-{(2R)-2-[4-(2,3-dihydro-benzo[[,4]dioxin- a method for the preparation of a compound, a pharmaceutically acceptable salt thereof, a structural phase 10 compound, and/or a metabolite; The use of the formulation and the method of treating the disease. BACKGROUND OF THE INVENTION The data of the daring has been established. 5-HT〗 A is related to the cognitive process. 15 See, for example, Schechter LE et al. (lec〇z〇tan) (SRA-333): a selective serotonin 1A receptor antagonist that enhances the stimulatory release of glutamate and acetylcholine in the hippocampus and possesses cognitive enhancement properties, / corpse £7 314 ·· 1274-1289,2005. 5-111^ receptor antagonist (4-cyano-N-[(2R)-[4-(2,3-dihydrobenzo[1,4] Di- morphine-5-20-based) piperidine-1·yl]propyl]-N-pyridin-2-yl-benzoguanamine hydrochloride (Lendon), its multiple in vitro and in vivo It is characterized in pharmacological tests as a drug for the treatment of cognitive impairment. In-vitro bonding and intrinsic Sexual measurements have clarified that the scutellaria is a potent and selective 5-11 butyl receptor antagonist. It can be understood by using in vivo microdialysis, which is labeled with 肉3 mg/kg 皮5 200800198 Injection) can antagonize the extracellular 5-HT reduction in hippocampus induced by 8 ΟΗ-DPAT stimulation dose (0.3 mg/kg subcutaneous injection), and it has no effect at 10 times higher dose alone. Tan can significantly enhance the stimulating release of potassium citrate and acetaminophen in the dentate gyrus of the hippocampus. Slowly _ 5 doses of scutellaria will not be in the behavioral mode indications of body function' Inducer tolerance or de-allergic. In the drug identification study w, 'Liancai Tantan (0.01-1 mg / kg intramuscular injection) is not a substitute for 8-OH-DPAT, and can produce a dose-related 5- HT!a co-effector distinguishes thorn _ _#. In the age-treated rhesus monkey (aged rhesus monkey) 10, the deduction of meat can be at the optimal dose (1 mg / kg orally) Significant improvement in task performance efficiency. In the apes, it was induced by the glutamate antagonist MK-801. Insufficient learning (as assessed by perce^uaiiy c〇mpiex and visual spatial resolution) and by specific choline hormonal lesions in the hippocampus (assessed by visual spatial resolution) can be attributed to 2 15 g / kg intramuscular injection) to completely change. The heterosynaptic nature affected by the carcass can be used in Alzheimer's disease, the biochemistry of potential cognitive loss In the case of the disease, a novel mechanism of action is infused into the compound. Because 4_cyano-N-{(2R)-2-[4-(2,3-dihydro-benzo[1,4]di 2〇口f speaks-5-yl)-pai π well small base] · propyl Buxin 咬 _2 苯 酿 ( 列 列 列 列 列 及其 及其 及其 及其 及其 及其 及其 及其 及其 及其 及其 及其 及其 及其 及其 及其 , , , , , , , , , , , , , , , , , , It is important to provide formulations of these active ingredients to provide optimal bioavailability and efficacy. The present invention is directed to these and other important needs. 6 SUMMARY OF THE INVENTION The present invention provides, inter alia, a formulation comprising 4-cyano-1^-{(2 phan-2-[4-(2,3-diaza-benzoquinone [1,4] ]二1:1号11井-5_基)-旅11井-1_基]-5 propyl)-Ν-ϋ ϋ定ϋ-2-yl-phenylenamine (also referred to as the column ), its medically acceptable salts, structurally related compounds, metabolic products, and combinations thereof. " Compounds provided by the present invention include: 4-cyano-N-{(2R)-2-[4-(2,3-dihydro-benzo[1,4]dioxin-5-yl) - σ σ-1-yl]-propyl}-N-indole quinone-2-yl-phenyl-amine or its salt form of 10% acceptable (for example, 4-{(2R)-2 -[4-(2,3-dihydro-benzo[1,4]dioxin-5-yl)-piped-1-yl]-propyl-N-pyridin-2-yl-benzoguanamine Hydrochloride) and its structurally related compounds and metabolites, including but not limited to: {(2R)_2-[4_(2,3-diaza-benzo[1,4]di-n-5-yl) - 旅讲-1-yl]-propyl}-N-ntb唆-2-yl-amine or its pharmaceutically acceptable salt, 4-alkyl 15 -N_{(2S)_2-[4-( 2,3-Dihydro-benzo[1,4]dioxin-5-yl)-piped-1-yl]-propyl}-N-pyridin-2-yl-benzoguanamine or its medicine An acceptable salt; 4 - gas group - N- (2 - . well · 1 -yl-propyl)-N-pyrene ratio. -2-2-yl-benzoic acid amine or a pharmaceutically acceptable salt thereof; Ν-(5-a-pyridin-2-yl)-4-cyano-indole-[2-(4-hydroxy-piped- 1-yl)-propyl]-benzoguanamine or a pharmaceutically acceptable salt thereof; 20 N-(5-chloropyridin-2-yl)·4·cyano-Ν-{2-[4·( 2,3_Dihydro-benzo[1,4] 2 亏 σ well-5-yl)-Bristo-1 -yl]-propyl}-phenylenamine or its happine acceptable salt; 4-cyano-indole-{(2ΙΙ)·2-[4-(8-hydroxy-2,3-dihydro-benzo[1,4]dioxin-5-yl)-Lv 11 well-1 -yl]-propyl}-Ν-σ ratio 11 -12-phenyl-phenylamine or its therapeutic 7 200800198 acceptable salt; 4-cyano-N-{(2R)_2-[4- (3-hydroxy-2,3-dihydro-benzo[1,4]dioxin-5-yl)·pipelined_ι_yl]-propyl}_N-acridine·2_yl-phenylhydrazine An amine or a pharmaceutically acceptable salt thereof; 5 4 _ cyano_n_{(2R)-2-[4-(2-hydroxy-2,3-dihydro- benzo[1,4] dioxin-5 · ))-piperidin-1-yl]-propyl}-indole-acridin-2-yl-benzoguanamine or a pharmaceutically acceptable salt thereof; 4-murine-N-(2R-2-Brigade ϋ well-1 -yl-propyl) 唆-2_yl-phenyl octaamine, its pharmaceutically acceptable salt; 10 4_ cyano_N-{(2R)-2_[4_(8_{l-[8_(( 4-{(lS)-2-[(4-cyanobenzyl)-pyridine-2- Amino]-1-methylethyl}piperidinyl)·2,3_dihydro-1,4·benzoindole-5-yl]·2_methylpropyl}_2, 3_dihydro-1,4-benzoindole-5-yl) piperidin-1-yl]propyl}-indole-acridin-2-ylbenzamide or a pharmaceutically acceptable salt thereof; 15 4-cyano-N-{(2R)-2-[4-(8-{l-[8-(4-{(lS)_2-[(4-cyanobenzyl)) Amino]aminomethylethyl}piped-1-yl)-2,3-dihydro-1,4-benzobisindole-5-yl]butyl}-2,3-dihydro -1,4-benzoindole _5_yl) 啩-1-yl] propyl-N-pyridin-2-ylbenzamide or a pharmaceutically acceptable salt thereof; 4-cyano-N -{(2R)-2-[4-(8-{l-[8-(4-{(lS)-2-[(4-cyanoglutamic acid 20-yl)) (° ratio pyridine_2-yl) Amino H-methylethyl}piperidin-1-yl)-2,3-dihydro-1Λ_ Benzo-II-5-yl]hexyl}-2,3-dihydro-1,4-benzoic π号. Well_5_base) 0 yin-1-yl]propyl}-indole-pyridin-2-ylbenzamide or a pharmaceutically acceptable salt thereof; 4-cyano-N-{(2R )-2-[4-(8_{[8-(4_{(1S)-2_[(4_Cyano)) (° ratio -2-yl)amino]-1_methylethyl }旅啡小基)_2,3-Dihydro_1 4· 8 200800198 Benzopyrene-5-yl]fluorenyl}-2,3-dihydro-1,4-benzodioxime Pent-5-yl)piperidin-1-yl]propyl}-N-atb σ-but-2-ylphenylamine or a pharmaceutically acceptable salt thereof; 4-cyano-N-{(2R) -2-[4-(8-{l_[8-(4-{(lS)-2-[(4-cyanobenzyl)](ϋβσ-2-yl)amino]-1 - Methyl ethyl} brigade σ well-1 -yl)-2,3 -diaza-1,4_ 5 benzoquinone 2 5 -5 -yl]ethyl}-2,3 -di-r-1,4- Benzene bismuth-5·base) brigade. Well-1 -yl]propyl}-Ν-° ratio sigma-2-ylphenylamine or its pharmaceutically acceptable salt; and 4-cyano-N-[2(R)-(4- Cyano-benzoguanamine)-propyl]-Nu-pyridin-2-yl-benzoguanamine or a pharmaceutically acceptable salt thereof. In a specific embodiment, the compound is in the form of particles. In one aspect, the particles have an average diameter of no more than about 20 microns. In another aspect, the particles have an average diameter of from about 0.75 to about 10 microns. In another aspect, the particles have an average diameter of from about 2 to about 8 microns. The composition of the present invention comprises 4-cyano-N-{(2R)-2-[4-(2,3-dihydro-15 alum; [1,4} bis. deficiency. well-5-yl) brigade ϋ _ 1 -yl]-propyl} -N-σ is more than 唆-2-yl-benzoguanamine or a pharmaceutically acceptable salt form thereof (for example, 4-{(2R)-[4-(2, 3-Dihydrobenzo[1,4]dioxin-5-yl)-piperid-1-yl]-propyl}·Ν-acridin-2-yl-benzoguanamine hydrochloride), A structurally related compound or metabolite as described herein. In certain embodiments, the compositions of the present invention comprise 20 4-cyano-N-{(2R)-2-[4-(2,3·dihydro-benzo[1,4]dioxin -5-yl)-piperidin-l-yl]-propyl}-N-° ratio. Din-2-yl-phenylamine or a pharmaceutically acceptable salt form thereof, and one or more structurally related compounds and/or metabolic drugs. In certain embodiments, 4-cyano-N-{(2R)-2-[4-(2,3-dihydro-benzo[1,4]dioxin-5-yl)-peripipeline Plant-1-yl]-propyl}-N-acridin-2-yl-phenylhydrazine 200800198 Amine or a pharmaceutically acceptable salt form thereof, and structurally related compounds and/or metabolites thereof, as granules Forms are present in the composition. In one aspect, the particles have an average diameter of no more than about 20 microns. In another aspect, the particles have an average diameter of from about 0.75 to about 10 microns. In another 5 aspect, the ruthenium particles have an average diameter of from about 2 to about 8 microns. In certain embodiments, the structure-related compound and/or metabolite is comprised of 4-cyano-N-{(2R)-2_[4-(2,3-dihydro-benzo[1] , 4] dimorphine·5-yl)_piped-1-yl l-propyl}-indole-pyridin-2-yl-benzoguanamine or a pharmaceutically acceptable salt form thereof (for example, 4-{ (2 幻_2_[4_(2,3_Dihydro-benzo[[]] octazone 10 piper 4-yl]-propyl}- Ν-pyridin-2-yl-benzoguanamine hydrochloride The composition of the salt) is provided in each of the amounts less than about 1% by weight. In certain embodiments, the compositions of the present invention further comprise a pharmaceutically acceptable carrier. Implementation of the financial, the group secrets and dosage forms of the invention (including 4_ cyano good {(2R)-2-[4-(2,3-dihydro-benzo-tl, 4] twenty-six base)_ brigade 15 tons ·1·yl]propyl}_N "(tetra) _2 phenyl hydrazide or a pharmaceutically acceptable salt form thereof) has no - or a plurality of 4 - cyano groups - (211 b 2 cases 2, 3 - dichloro - Benzo[M]20 well I base)+well-1-yl]-propyl}. For example, a dimer of benzyl-benzoguanamine. If used in this context, "substantially free, some dimerization Each of the materials will be less than about G·5 wt% Present in the composition 20, each amount being less than about 0.3% by weight, preferably less than about 〇2% by weight, and each amount being less than about 〇1% by weight or even more Preferably (based on the total weight of the composition); and each amount in the dosage form is less than about 5% by weight, and the amount of the parent species is less than about 3% by weight, preferably less More preferably about 2% by weight and each amount is less than about 1% by weight or even more preferably based on the weight of the active ingredient in the dosage form of 200800198 5 . Accordingly, the present invention provides a formulation which Contains 4-cyano-N-{(2R)-2-[4-(2,3-dihydro-benzo[1,4]dioxin-5-yl)-slightly -1 -yl]- Propyl}-N-0 is in the form of a 4-butyl-benzoic acid amine or a pharmaceutically acceptable salt thereof which is substantially free of 4-cyano-N-{(2R)-2-[4- (2,3-diindole-benzo[1,4]dioxin-5-yl)-piperidin-1-yl]-propyl}-N-acridin-2-yl-benzoguanamine) / or other 4-cyano-N-{(2R)-2-[4-(2,3-dihydro-benzo[1,4]2. σσ well-5-yl)- slightly -1 a dimer of a compound related to the structure of -N-att12-di-2-yl-phenylenamine. Typical 4-cyano -N-{(2R)-2-[4-(2,3-dihydro-benzo[1,4]dioxin-5-yl)-piped-1-yl]-propyl}_N- The dimer of acridin-2-yl·10 benzoguanamine is shown in Formulas 7 and 8. The dosage form of the present invention comprises 4-cyano-N_{(2R)-2-[4-(2,3_ Dihydro-benzoquinone [1,4]di-sigma-deficient-5-yl)-slightly σ丼-1 ·yl]-propyl}-Ν-σ ratio 唆_2_yl-benzoic acid amine or its medicinal Acceptable salt forms (eg, 4-{(211)-2-[4-(2,3-dihydro-benzo[1,4]dioxin-5-yl)-piped-1-yl) • propyl}-Ν-acridin-2-ylphenylhydrazine 15 • Amine hydrochloride), as described in the structure-related compounds or metabolites described herein. In certain embodiments, the dosage form of the invention will comprise 4-cyano-N_{(2R)-2-[4_(2,3-dihydro-benzo[1,4]dioxin-5- And / or a pharmaceutically acceptable salt form thereof, and one or more structurally related compounds and/or metabolites. In some 20th embodiment, 4-cyano-N-{(2R)-2-[4-(2,3-dihydro-benzo[1,4]dioxin-5-yl )--Travel--1 -yl]-propyl}-N-atb-decyl-2-yl-phenyl-amine or its pharmaceutically acceptable salt form and its structurally related compounds and/or metabolites, as granules Formal dosage forms exist. In one aspect, the particles have an average diameter of no more than about 20 microns. In another aspect, the particle has a mean diameter of from 0.75 to about 10 microns. In another aspect, the particles have an average diameter of from about 2 to about 8 microns. In certain embodiments, the structure-related compound and/or metabolite is 4-cyano-N-{(2R)-2-[4-(2,3-di-rho-benzoquinone[1] , 4] 2 17 ϋ -5 - 5 - )) - 旅讲 1-基]· propyl}-Ν-11 than bit-2-yl-phenyl-amine or its pharmaceutically acceptable salt form (eg ' 4 -{(2R)-2-[4-(2,3 - di- oxo-benzoquinone [1,4] dioxin σ well-5-yl)-Brigade. Well-1 ki]-propyl} The dosage form of -indole-acridin-2-yl-phenylguanamine hydrochloride is provided in an amount less than about 0.1% by weight, based on the total weight of the dosage form. The name "active ingredient" refers to 4-cyano-N-{(2R)-2-[4-(2,3-dihydrobenzene 10 and [1,4]dioxin-5-yl)-piped 1-yl]-propyl}-N-acridin-2-ylbenzoylamine or a pharmaceutically acceptable salt form thereof (for example, 4-{(2R)-2-[4-(2,3) -Dihydro-benzo[1,4]dioxin-5-yl)-piped-1-yl]-propyl}-N-acridin-2-yl-benzoguanamine hydrochloride), structure Related compounds or metabolic products (as shown herein) and pharmaceutically acceptable salts thereof. 15 • In certain embodiments, in addition to the active ingredient (eg, 4-cyano-N-{(2R)_2-[4_(2,3·dihydro-benzo[1,4]di- morphine) 5_基)-piperidin-1-yl]·propyl}-Ν-11 to 11-but-2-ylphenylamine or its pharmaceutically acceptable salt form), the pharmaceutical composition and/or The dosage form comprises at least one rate controlling polymer and at least one organic acid. In certain embodiments, the organic acid is citric acid, citric acid monohydrate, ascorbic acid, aspartic acid, glutamic acid, fumaric acid, malic acid or tartaric acid. In certain embodiments, the organic acid is a citric acid or a polyfunctional organic acid. In some embodiments, the at least one release rate controlling polymer is methylcellulose. In some embodiments, the polymer is hydroxypropyl methylcellulose, hydroxypropyl 12 200800198 cellulose, hydroxyethyl cellulose or hydroxypropyl decyl cellulose phthalate. In certain embodiments, the hydroxypropyl methylcellulose is hypromellose 2208 or 2910 (eg, MethocelTM K4M, Mido ShowTM K15M, Mido ShowTM 100100M, Beauty Multi-show tmE10M, Mido Show TME4M, 5 Mido ShowTM K100LV, Mido ShowTM E50LV, Mido ShowTM E5, Mido, Show TME6 or Mido Show £151^/. In some implementations In the example, the organic % acid is citric acid and the rate controlling polymer is hypromellose 2208 (for example, MetcoTM K4M premium CR and/or Metso K100M _ premium CR). In certain embodiments, the pharmaceutical composition and/or dosage form further comprises at least one filler. In certain embodiments, the filler is microcrystalline cellulose, lactose, calcium carbonate, calcium phosphate, maltose paste Fine, dextrose, fructose, maltose, mannitol, starch or sucrose. In some embodiments, the microcrystalline cellulose is deuterated microcrystalline cellulose and the chyle is 15 lactose monohydrate. In some embodiments, the pharmaceutical composition and/or dosage form further comprises at least one lubrication In certain embodiments, the lubricant is magnesium stearate, talc, stearic acid or colloidal cerium oxide. Further, in certain embodiments, in addition to the active ingredient, the present invention The pharmaceutical composition and/or dosage form comprises at least one rate controlling polymer, at least one having 2 oxime acids, at least one filler, and at least one lubricant. In certain embodiments, the pharmaceutical compositions of the invention and/or The dosage form comprises from about 2 to about 45 or 46 parts of the release rate controlling polymer and from about 1 to about 5 parts of the organic acid per serving of the active ingredient. In certain embodiments, the pharmaceutical composition and/or dosage form Containing from about 0.4 to about 10 mg of effective ingredient 13 200800198. In certain embodiments, the pharmaceutical compositions and/or dosage forms of the invention comprise from about 50 to about 150 mg of rate controlling polymer, from about 5 to about 50. The milligrams of organic acid, from about 85 to about 179 milligrams of the filler, and from about 1 milligram of lubricant. In certain embodiments, it contains from about 2 to about 50 milligrams of organic acid. 5 In certain embodiments In addition to the active ingredients (for example, 4 -cyano, -N-{(2R)-[4_(2,3-dihydro-benzo[1,4]dioxan-5-yl)piped-1-yl; Ια propyl Ν Ν ^ The pharmaceutical composition and/or dosage form of the present invention comprises at least one filler and at least one lubricant, in addition to the pyridin-2-ylbenzoylamine or a pharmaceutically acceptable salt thereof. In certain embodiments Wherein the filler is microcrystalline 10 cellulose, lactose, calcium carbonate, calcium phosphate, maltodextrin, dextrose, fructose, maltose, mannitol, starch, sucrose or a mixture thereof. In certain embodiments, The filler is microcrystalline cellulose, chylofolia or a mixture thereof. In certain embodiments, the pharmaceutical composition and/or dosage form further comprises at least one lubricant. In certain embodiments, the lubricant is stearic acid magnesium citrate, talc, stearic acid or colloidal cerium oxide. In certain embodiments, the lubricant is magnesium stearate. ® In certain embodiments, the pharmaceutical composition and/or dosage form comprises from about 15 to about 300 parts of filler and from about 丨 to about 3 parts of lubricant per serving of active ingredient. In certain embodiments, the pharmaceutical composition and/or agent 20 comprises from about 0] to about 5 mg of 4-cyano-N-{(2R)-2-[4-(2,3-di) Hydrogen-benzo[1,4]二$耕-5-yl)_派σ井1-1-基]propyl}·Ν_σ ratio bite 2-yl-benzoguanamine or its pharmaceutically acceptable salt form . In certain embodiments, the pharmaceutical composition and/or dosage form comprises from about 80 to about 150 mg of one or more fillers and at least about 0.75 mg of one or more lubricants. 14 200800198 In certain embodiments, the dosage form of the invention is in the form of a tablet. In one aspect, the tablet is coated with a film. In certain embodiments, the compositions or dosage forms of the invention are in the form of a dry mixture. 5 The present invention provides a method of providing the compositions and dosage forms of the present invention. In some embodiments, the composition is compacted for a period of time under conditions effective to form its tablet. In some embodiments, the tablet is further coated with a film. The present invention also provides a method comprising mixing the active ingredient, at least one rate control polymer, and at least one organic acid, thereby forming a mixture. In certain embodiments, the method further comprises compacting the mixture for a period of time under conditions effective to form a tablet thereof. In some embodiments, the blowing agent is further coated with a film. The present invention also provides a method comprising mixing the active ingredient, at least one filler, and at least one lubricant, thereby forming a mixture. In certain embodiments, the method further comprises compacting the mixture for a period of time under conditions effective to form its tablet ♦. In some embodiments, the tablet is further coated with a film. In certain embodiments, the dosage form of the invention is alkali free. In some embodiments, the invention provides a method and process for administering a dosage form, compound or composition of the invention to a mammal (e.g., a human). In certain embodiments, the dosage form, compound or composition is administered orally. In one aspect, they are administered orally once every 12 or 24 hours. In another aspect, they are administered orally once every 48 hours. In some particularly preferred embodiments of a certain 20080000198, the dosage form, compound or composition is administered to treat Alzheimer's disease. In certain aspects, the present invention provides a method of administering an oral dosage form comprising a scutellaria to a pharmaceutically acceptable carrier to a patient. In some specific embodiments, the method comprises administering to the patient an oral dosage form comprising a lysine and a pharmaceutically acceptable carrier, and wherein a maximum plasma concentration is achieved in the patient ( Cmax) and a 24-hour plasma concentration (C24) in the patient, wherein the average ratio of Cmax/C24 in the patient population ranges from about 5:1 • to about 1.1:1. In certain embodiments, the average ratio 10 of Cmax/C24 is from about 3:1 to about 1.1:1, from about 2.8:1 to about 1.1:1 or from about 2.3:1 to about 1.1. In some views, the cmax and c24 values are measured after a single dose of the oral sputum dosage form is administered to the patient. In certain embodiments, the oral dosage form comprises about 5 mg of squash. In some views, the average tmax in the patient population is about 3.5 hours or more, or about 5 hours or more. In some of these views, the average Cmax in the patient population is about 100 ng/ml or less. In certain embodiments, these dosage forms are administered to reduce the negative side effects associated with administering the drug to the patient. In some embodiments, the methods comprise the step of identifying the patient's risk of adverse side effects by administering a scutellaria, followed by administering the oral dosage form to the patient. 20 In some views, this negative side effect is headache, dizziness, abnormal sensation, visual disturbance, tinnitus, or a combination thereof. In certain embodiments, the method of administering a pharmaceutically acceptable carrier comprises administering an oral dosage form comprising a lenght and a pharmaceutically acceptable carrier to a patient. And can reach a maximum of 16 in the patient 2008 20088 5

10 1510 15

20 大血漿濃度(cmax)及在患者中達成一 24小時血漿濃度 (C24),其中在患者群中之Cmax/C24的平均比率從約丄4 ·· ^至 約U ·· 1。在某些具體實施射,該c_/C24之平均比率從 約2.3 : 1至約L1 ••卜約2 ··】至約】」··卜约! $ ·· !至約!工·· 1或約L5··!至约L!··!。在某些觀點中,於禁食群中,在 穩定狀態下測量Cmax及CM值。在某些具體實施财,每曰 對患者提供約10毫克的列扣肉坦。在某些觀點中,在患者 群中之平均Cmax制35〇奈克/毫升。在某些频實施例中, 給藥這些劑型可減少與將列扣肉坦給藥至患者相關的負面 田作用。在某些具體實施例中,這些方法包括透過給藥列 扣肉坦來鑑別患者其在負面副作用上的風險,隨後將該口 服劑型給藥至患者之步驟。在某些觀點中,該負面副作用 為頭痛,昏眼花、感覺異常、視覺失常、耳鳴或其組合。 本發明亦提供-種包括將一包含列扣肉坦與一醫藥上 可接受的載劑之口服劑型給藥至患者的方法,其可在患者 群中達成-平均最大血漿濃度(c_)及在患者群中達:一 平均24小時血漿濃度(c24),其中該平均c_/平均Q的比率 從約5 : β_·5 :丨。在某些觀點中,該平均g平均a# 之比率從約2·8: 1至約hl:卜約2: i至約U: 1或約15: ★至、勺L1 · 1在某些觀點中,在將單-劑量之口服劑型給 樂至患者後,測量該Cmax及c24值。在其它觀點中,於禁食 群中」在穩定狀態下測量Cmax及C24值。在某些具體實施例 中4 口服劑型包含約5毫克的列扣肉坦。在某些具體實施 〇中、⑺蕖這些劑型可減少與將列扣肉坦給藥至患者相關 17 200800198 之負面副作用。在某些具體實施例中,這些方法包括透過 給藥列扣肉坦來鑑別患者其在負面副作用上的風險,隨後 將該口服劑型給藥至患者之步驟。在某些觀點中,該負面 副作用為頭痛、頭昏眼花、感覺異常、視覺失常、耳鳴或 5 其組合。 本發明亦提供一種包括將一包含列扣肉坦與一醫藥上 可接受的載劑之口服劑裂給樂至患者的方法,且可在患奢 群中達成一平均最大血漿濃度(cmax)及在患者群中達成一 平均12小時血漿濃度(Cl2),其中該平均Cmax/平均c24的比率 10從約3 : 1至約0.5 : 1。在某些具體實施例中,該平均^狀/ 平均C12之比率從約2 : 1至約L·1 : 1或從約1.5 : 1至約1.1 : 1。 在某些具體實施例中,給藥這些劑型可減少與將列扣肉坦 給藥至患者相關的負面副作用。在某些具體實施例中,這 些方法包括透過給藥列扣肉坦來备別患者其在負面副作用 15 上的風險,隨後將該口服劑型給藥至患者之步驟。在某些 觀點中,該負面副作用為頭痛、頭昏眼花、感覺異常、視 覺失常、耳鳴或其組合。 在某些具體實施例中,本發明提供一種將列扣肉坦給 藥至患者的方法,其包括將一包含列扣肉坦與一醫藥上可 20 接受的載劑之口服劑型給藥至該患者,其中當在37。(:下, 於USP塑式11溶解裝置中,以50rPm,在9〇〇毫升的USPpH 6·8之磷酸鹽緩衝液中測量’且對每種劑型使用一沉降劑 時,該劑塑具有一試管内溶解曲線,其在談裝置中,於約2 小時的測量下將釋放出不超過40%之列扣肉坦;及在該裝 18 200800198 置中,於約十二小時的測量下將釋放出約观至約㈣之列 扣肉坦。 在某些具體實施例中,本發明提供一種將列扣肉坦給 藥至患者的方法,其包括將一包含列扣肉坦與一醫藥上可 ^ 5接受的載劑之口服劑型給藥至患者,及其可⑴在患者群中 達成平均cmax,其少於從立即釋放型調配物中將相等劑 * f之列扣肉坦給藥至該患者群㈣得的平均cmax;⑼在患 者群中達成-平均tmax,其大於從立即釋放型調配物中將相 • 等劑量之列扣肉坦給藥至該患者群而獲得的tmax;及(iii)達 10成一列扣肉坦濃度對時間之曲線,該曲線在患者群中具有 一在曲線下之面積(AUC),其與從立即釋放劑型中將相等劑 量的列扣肉坦給藥至該患者群所獲得之Auc實質上相同。 在某些具體實施例中,該口服劑型可獲得約1〇〇奈克/毫升 或較少的平均Cmax及/或約4小時至約8小時之平均tmax及/或 15約⑻至約2500奈克小時/毫升的平均AUC。在一個觀點 - 中’於給藥單一劑量之口服劑型(例如,單一劑量5毫克的 φ 列扣肉坦)後,度量這些測量值。在某些具體實施例中,該 口服劑型可獲得少於400奈克/毫升的平均Cmax(例如,約350 奈克/毫升之平均Cmax),及/或約4小時至約8小時的平均tmax 20 及/或約5500至約6300奈克小時/毫升之平均AUC。在某些觀 點中,於禁食群中,在穩定狀態下度量這些測量值。在某 些觀點中,每日將10毫克的列扣肉坦給藥至患者。在某些 具體實施例中,給藥這些劑型可減少與將列扣肉坦給藥至 患者相關的負面副作用。在某些具體實施例中,這些方法 19 200800198 包括透過給藥列扣肉坦來卿患者其在貞㈣作用上 險’隨後將該π服劑型給藥至患者之步驟。在某 由π 該負面副作用為頭痛、頭昏眼花、感覺 ~失, 耳鳴或其組合。 視見失韦、 5圖式簡單說明 士第1圖為在給藥單一劑量5毫克的列扣肉坦後,三 ==調配物與一種立即釋放型調配物之平均列:曰 /辰度對時間的曲線圖。 一20 plasma concentrations (cmax) and a 24-hour plasma concentration (C24) in the patient, wherein the average ratio of Cmax/C24 in the patient population ranges from about ·4··^ to about U··1. In some specific implementations, the average ratio of c_/C24 is from about 2.3:1 to about L1 ••卜约2··] to about]”····About! $ ·· ! to about! Work·· 1 or about L5··! to about L!··!. In some viewpoints, Cmax and CM values are measured in a steady state in a fasting group. In some specific implementations, each patient is given approximately 10 mg of sedum. In some views, the average Cmax in the patient population was 35 〇Ng/ml. In certain frequency embodiments, administration of these dosage forms reduces the negative field effects associated with administering the drug to the patient. In certain embodiments, the methods comprise the step of identifying the patient for the risk of a negative side effect by administering a scutellaria, followed by administering the oral dosage form to the patient. In some views, the negative side effects are headache, dizziness, paresthesia, visual disorder, tinnitus, or a combination thereof. The invention also provides a method comprising administering to a patient an oral dosage form comprising a scutellaria and a pharmaceutically acceptable carrier, which achieves an average maximum plasma concentration (c_) in the patient population and The patient population reached: an average 24-hour plasma concentration (c24), wherein the ratio of the average c_/average Q was from about 5: β_·5: 丨. In some views, the ratio of the average g-average a# is from about 2·8: 1 to about hl: 卜 about 2: i to about U: 1 or about 15: ★ to, spoon L1 · 1 in some views The Cmax and c24 values were measured after giving the single-dose oral dosage form to the patient. In other views, the Cmax and C24 values are measured in a steady state in the fasting group. In some embodiments 4 oral dosage forms comprise about 5 mg of serrata. In some embodiments, (7) these dosage forms may reduce the negative side effects associated with administering the drug to the patient 17 200800198. In certain embodiments, the methods comprise the step of identifying the patient for a risk of a negative side effect by administering a scutellaria, followed by administering the oral dosage form to the patient. In some views, the negative side effects are headache, dizziness, paresthesia, visual disorder, tinnitus or a combination thereof. The present invention also provides a method comprising splitting an oral agent comprising a cinnabar and a pharmaceutically acceptable carrier into a patient, and achieving an average maximum plasma concentration (cmax) in the luxuriant group and An average 12 hour plasma concentration (Cl2) was achieved in the patient population, wherein the ratio of the average Cmax/average c24 was from about 3:1 to about 0.5:1. In some embodiments, the ratio of the average shape/average C12 is from about 2:1 to about L·1:1 or from about 1.5:1 to about 1.1:1. In certain embodiments, administration of these dosage forms reduces the negative side effects associated with administering the medicinal to the patient. In certain embodiments, the methods comprise the step of diagnosing the patient's risk of adverse side effects 15 by administering a scutellaria, followed by administering the oral dosage form to the patient. In some views, the negative side effects are headache, dizziness, paresthesia, visual acuity, tinnitus, or a combination thereof. In certain embodiments, the present invention provides a method of administering a scutellaria to a patient comprising administering to the oral dosage form comprising a lysine and a pharmaceutically acceptable carrier Patient, which was at 37. (:, in the USP plastic 11 dissolution apparatus, measured at 50 rPm in 9 mM USP pH 6.8 phosphate buffer and used a settling agent for each dosage form, the plastic has one Intra-tube dissolution profile, which in the device will release no more than 40% of the squash in about 2 hours of measurement; and in the set of 2008 200800198, will be released under about 12 hours of measurement </ RTI> </ RTI> <RTIgt; </ RTI> <RTIgt; </ RTI> <RTIgt; </ RTI> <RTIgt; </ RTI> <RTIgt; </ RTI> </ RTI> <RTIgt; ^ 5 The oral dosage form of the carrier is administered to the patient, and (1) an average cmax is achieved in the patient population, which is less than the administration of the equivalent agent *f from the immediate release formulation to the The average cmax obtained for the patient population (4); (9) the average tmax achieved in the patient population, which is greater than the tmax obtained from the immediate release formulation in which the equivalent dose is administered to the patient population; Iii) up to 10% of the concentration of carcass versus time, the curve has in the patient population The area under the curve (AUC), which is substantially the same as the Auc obtained by administering an equal dose of acesulfame to the patient population from the immediate release dosage form. In certain embodiments, the oral dosage form can Obtain an average Cmax of about 1 〇〇NEK/ml or less and/or an average tmax of about 4 hours to about 8 hours and/or an average AUC of 15 about (8) to about 2500 ngh/ml. These measurements are measured after administration of a single dose of an oral dosage form (eg, a single dose of 5 mg of φ acesulfame). In certain embodiments, the oral dosage form can achieve less than 400 ng/ The average Cmax of milliliters (e.g., an average Cmax of about 350 ng/ml), and/or an average tmax of about 4 hours to about 8 hours and/or an average AUC of about 5500 to about 6300 ngh/ml. In some views, these measurements are measured in a steady state in a fasting group. In some views, 10 mg of scutellaria is administered daily to a patient. In some embodiments, These dosage forms can reduce the negative side effects associated with the administration of the drug to the patient. In certain embodiments, these methods 19 200800198 include the step of administering the π dosage form to the patient by administering the statin to the patient. The negative side effects are headache, dizziness, sensation-loss, tinnitus or a combination thereof. Seeing the loss of Wei, 5 simple description of the figure 1 is after the administration of a single dose of 5 mg of the squash, three == The average column of the formulation and an immediate release formulation: a plot of 曰/辰度 versus time.

第2圖為在接受多重口服劑量之立即釋放(每日兩次$ 1。笔克)及持續釋放(每曰一次1〇毫克)調配物的阿兹海默症· 者中,,其平均列扣肉坦血漿濃度對時間數據之曲線圖。〜 第3圖為在接受單一及多重口服劑量(㈣找毫克列 扣肉坦持續釋放型調配物(如描述在實例8的部 兹海默症患者中,其列扣肉坦血裝濃度對時間數據之以 15圖。第1天顯示峻24小時的資料。㈣天顯示❹至72小Figure 2 shows the average number of Alzheimer's patients who received immediate oral doses of multiple oral doses ($1 per day) and sustained release (1 mg per dose). A plot of plasma concentration versus time data. ~ Figure 3 is a single or multiple oral dose (4) to find a milligram of scutellaria sustained release formulation (as described in the case of the case of the disease in the case of Lezheimer's disease, the blood concentration of the meat and blood on the time The data is shown in Figure 15. The first day shows 24 hours of data. (4) The day shows ❹ to 72 hours.

時的資料。 J 第4圖為在接受多重口服劑量1叩毫克)及SR(10毫克 QD)調配物的阿茲海默症患者中,列扣肉坦平均婦濃度對 時間數據之比較曲線圖。 20 【實施方式】 較佳實施例之詳細說明 本發明尤其提供-種調配物,其包含4•氰基 -叫⑽州似场苯并[咖啊·5·基)·終卜基]· 丙基}-N-岭2•基·苯醯胺、其醫藥上可接受的鹽、結構相 200800198 關的化合物及/或新陳代謝產物。如使用於本文,名稱“調配 物”指為一化合物、組成物及劑型,諸如例如,立即釋放及 持續釋放劑型。 本發明亦提供一種製造該調配物的製程及將其給藥至 5 哺乳動物之方法。 可使用於本發明之較佳調配物有可作用為血清素激活 藥且具有5_ΗΤ1Α·結活性的那些。特別是,該較佳的化合 物可作用為5-HT1A拮抗劑。參見例如us_b_6,784,294、 _ US·8·6,713,626、US-B_6,469,GG7、US-B-6,586,436、 10 US-A-5,710,149、US-A-6,127,357及WO 97/03982,此些公 告其全文以參考之方式併於本文而用於全部目的。本發明 之化合物和包含多於本發明之一種化合物的組成物可由熟 知有機合成技藝之人士,利用熟知的方法,使用容易可獲 得的試劑及起始物質來製備,參見例如,Ep_B_〇512755、 15 WO 97/03982、US-B-6,127,357、US-B-6,469,007、 US-B-6,713,626、US-B_6,784,294及US-A-20030208075A卜 _ &amp;些公告其全文以參考之方式併於本文而用於全部目的。 此方法包括以胺基磺酸鹽4,5-二氫-5S-甲基-3-(2-吡啶 基)-3Η[1 ·2·3]$嗟唾_2,2_二氧化物來烷基化i_(2,3二氫 20 -1,4-苯并二噚畊基)哌畊鹽酸,而獲得一胺基磺酸中間 物,其可水解成{(2卟2妙(2,3-二氫-苯并[I,4]二噚畊_5· 基)-哌畊-1-基]-丙基}α比啶_2_基-胺,然後以4_氰基苄醯基氯 來處理该{(2R)-2-[4-(2,3-二氫_苯并[1,4]二噚讲-5-基)-旅 畊小基丙基》°比啶-2-基-胺,而獲得4-氰基 21 200800198 -N-{(2R)-2-[4-(2,3_二氫·笨并[1,4]二噚畊-5-基)-哌讲-l_基]-丙基}-Nパ比啶-2-基-苯醯胺鹼。以氳氯酸來處理4-氰基 -N-{(2R)-2-[4_(2,3-二氫·苯并[14]二噚畊基)-哌讲-1-基]· 丙基卜N-t定_2-基_苯醯胺鹼,以 獲得其鹽酸鹽。 ‘ 5 在本發明的某些具體實施例中,進一夕加工及純化一 包含 4-氰基-N_{(2R)_2_[4-(2,3_二氫-苯并[14]二噚讲 _5•基)· 略讲-1-基]-丙基}七-吡咬_2_基-苯醯胺及其醫藥上可接受 的鹽之製劑。例如,在一個具體實施例中,將一包含p4_氰 • 基·叫(211)-2-[4-(2,3-二氫-苯并[1,4]二崎+5-基)-旅啡-1· 10基l·丙基卜N—吡啶-2-基-苯醯胺(利用揭示於本文之方法來 製備)的氣劑/谷解在有機溶劑中,以石夕凝膠處理及過濾,以 移除該結構相關的化合物(例如,由式7及8表示之二聚物)。 然後’可濃縮及再結晶該剩餘產物,以提供例如4-氰基 -N-{(2R)-2-[4-(2,3_ 二氫-苯并[ι,4]二噚讲-5-基)_°底畊小基]_ 15丙基}·Ν-吼啶-2_基_苯醯胺鹽酸鹽。 可使用本發明的較佳調配物來調整(例如,拮抗或同 _ 效)5-ΗΤ1Α受體活性及有用地治療疾病,諸如CNS病症,包 括(但不限於)精神分裂症(及其它精神病,諸如妄想狂及壓 力-抑鬱(mano-depressive)病症)、帕金森氏(parkinson,s)疾病 2〇及其它運動病症、焦慮(例如,廣泛性焦慮症、恐慌發作及 強迫觀念及強迫行為症)、抑鬱(諸如,因血清素再吸收抑制 劑及血清素正腎上腺素再攝取抑制劑之增效作用)、阿茲海 默氏症、托雷德氏(Tourette’s)症候群、偏頭痛、自閉症、 注意力不足症及活動過度病症。較佳的調配物可有用地用 22 200800198 來治療睡眠障礙、社交恐懼症、疼痛、體溫調節病症、内 分泌病症、小便失禁、血管痙攣、中風、不正常食慾障礙(諸 如例如肥胖、厭食及食慾過旺)、性功能障礙及醇、藥物與 尼古丁脫瘾之治療。 5 本發明的較佳調配物亦可有用地用來治療認知障礙, 包括(但不限於)與輕度知能障礙(Μα)相關之認知障礙、阿 茲海默症及其它癡呆(包括路易體、企管及中風後療呆)。根 據本發明,亦可治療與外科程序、外傷性腦損傷或中風相 關的認知障礙。再者,較佳的調配物可有用地用來治療認 1〇知障礙為一共病的疾病,諸如例如,帕金森氏症、自閉症 及注意力不足病症。 儘管其在水中的溶解度高(在25。〇下約51毫克/毫升), 以微粒化形式來提供4-氰基-N-{(2R)-2-[4-(2,3-二气-苯并 [1,4]二哼畊·5·基)派畊·1_基]-丙基卜Ν-π比啶_2_基_苯胺及 15其鹽較佳。就其本身來說,本發明提供一種調配物,其包 含經微粒化及未經微粒化的形式之氣芙 -N-{(2R)-2-[4-(2,3-二氫-苯并[1,4]二 g 畊-5-基)-旅啡小基]一 丙基卜N-吡啶-2-基-苯醯胺、其醫藥上可接受的鹽、結構相 關的化合物或新陳代謝產物。為了本發明之目的,微粒化 2〇形式的化合物為具有平均直徑不超過約20微米之顆粒形 式。需了解的是,本發明之化合物可為具有平均直徑大於 約20微米的顆粒形式,例如具有平均直徑約20微米至約3〇〇 或约500微米之顆粒形式。該顆粒具有平均直徑約1〇微米較 佳,平均直徑從约〇·75至約10微米更佳,從約2至約8微米 23 200800198 甚至更佳。微小化或顆粒尺寸減少方法已熟知,因此於本 文中不詳細描述。 如將了解,可由下式表示出4-氰基-N-{(2R)-2-[4-(2,3-二氫·苯并[1,4]二噚畊-5-基)-哌畊-1-基]-丙基}-N-t啶-2-基 5 -苯醯胺;Time information. J Figure 4 is a graph comparing the mean concentration of melanostats versus time in patients with Alzheimer's disease who received multiple oral doses of 1 mg and SR (10 mg QD). [Embodiment] DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS The present invention provides, inter alia, a formulation comprising 4 cyano-- (10) state-like benzo[cafe]5-based]-end-group]-prop a compound and/or a metabolite of the structural phase 200800198. As used herein, the term "formulation" refers to a compound, composition, and dosage form such as, for example, immediate release and sustained release dosage forms. The invention also provides a process for making the formulation and administering the same to a mammal. Preferred formulations for use in the present invention are those which act as serotonin activating agents and which have a 5 ΗΤ 1 Α knot activity. In particular, the preferred compound acts as a 5-HT1A antagonist. See, for example, us_b_6, 784, 294, _ US, 8.6, 626, 626, US-B_6, 469, GG7, US-B-6, 586, 436, 10 US-A-5, 710, 149, US-A-6, 127, 357, and WO 97/03982, These publications are hereby incorporated by reference in their entirety for all purposes in their entireties. The compounds of the present invention and compositions comprising more than one of the compounds of the present invention can be prepared by those skilled in the art of organic synthesis using well-known methods, using readily available reagents and starting materials, see, for example, Ep_B_〇 512755, 15 WO 97/03982, US-B-6, 127, 357, US-B-6, 469, 007, US-B-6, 713, 626, US-B-6, 784, 294, and US-A-20030208075A, and the disclosures of which are incorporated herein by reference. Used herein for all purposes. The method comprises the use of the amine sulfonate 4,5-dihydro-5S-methyl-3-(2-pyridyl)-3Η[1 ·2·3]$嗟 _2_2,2_ dioxide Alkylation of i_(2,3 dihydro 20-1,4-benzoindole) Hydrochloric acid to obtain an aminosulfonic acid intermediate which can be hydrolyzed to {(2卟2妙(2, 3-Dihydro-benzo[I,4]dioxin_5·yl)-piped-1-yl]-propyl}α-pyridyl-2-yl-amine followed by 4-cyanobenzylhydrazine Treatment of the {(2R)-2-[4-(2,3-dihydro-benzo[1,4]dioxin-5-yl)-bred small propyl group by a chlorine group 2-yl-amine, and 4-cyano group is obtained. 200800198 -N-{(2R)-2-[4-(2,3-dihydro] benzo[1,4]dioxin-5-yl) -piperidin-l_yl]-propyl}-N-pyridin-2-yl-phenylguanamine base. Treatment of 4-cyano-N-{(2R)-2-[4_( with chlorous acid) 2,3-Dihydrobenzo[14]diphenylene)-piperidin-1-yl]·propyl b Ntidine_2-yl-benzoinamine to obtain the hydrochloride salt. ' 5 In some embodiments of the present invention, the processing and purification of a further comprises 4-cyano-N_{(2R)_2_[4-(2,3-dihydro-benzo[14]dioxin _5 • base) · slightly -1-yl]-propyl} seven-pyridyl-2-yl-benzoguanamine and its pharmaceutically acceptable salts For example, in one embodiment, one comprising p4_cyanoquinone is called (211)-2-[4-(2,3-dihydro-benzo[1,4]disaki+5- Alkaloids/glutamines (formulated by the method disclosed herein) in an organic solvent, in the case of Shi Xi Gel treatment and filtration to remove the structurally related compounds (eg, the dimers represented by Formulas 7 and 8). The remaining product can then be concentrated and recrystallized to provide, for example, 4-cyano-N- {(2R)-2-[4-(2,3_Dihydro-benzo[ι,4]dioxin-5-yl)_° bottom tillage small base]_ 15 propyl}·Ν-acridine- 2_yl-benzoguanamine hydrochloride. Preferred formulations of the invention may be used to modulate (e.g., antagonize or effect) 5-ΗΤ1Α receptor activity and usefully treat diseases, such as CNS disorders, including (but Not limited to) schizophrenia (and other mental illnesses such as paranoia and mano-depressive conditions), Parkinson's disease and other motor disorders, anxiety (eg, generalized anxiety disorder) , panic attacks and obsessions and obsessive-compulsive disorder) (eg, due to serotonin reuptake inhibitors and synergistic effects of serotonin norepinephrine reuptake inhibitors), Alzheimer's disease, Tourette's syndrome, migraine, autism, attention Insufficient symptoms and hyperactivity disorders. Preferred formulations may be useful for treating sleep disorders, social phobias, pain, thermoregulatory disorders, endocrine disorders, urinary incontinence, vasospasm, stroke, abnormal appetite disorders (such as, for example, obesity, anorexia, and appetite) with 22 200800198 Wang), sexual dysfunction and treatment of alcohol, drugs and nicotine withdrawal. 5 Preferred formulations of the invention may also be usefully used to treat cognitive disorders including, but not limited to, cognitive disorders associated with mild dysfunction (Μα), Alzheimer's and other dementias (including Lewy bodies, Business management and post-stroke treatment. According to the present invention, cognitive disorders associated with surgical procedures, traumatic brain injury or stroke can also be treated. Furthermore, preferred formulations are useful for treating diseases in which the cognitive disorder is a common disease, such as, for example, Parkinson's disease, autism, and attention deficit disorders. Despite its high solubility in water (about 51 mg/ml at 25 〇), it provides 4-cyano-N-{(2R)-2-[4-(2,3-diox) in micronized form. -Benzo[1,4]diterpenoid·5·yl), cultivating, 1_yl]-propyldihydro-π-pyridyl-2-yl-aniline and 15 salts thereof are preferred. For its part, the present invention provides a formulation comprising a micronized and non-micronized form of a gas-N-{(2R)-2-[4-(2,3-dihydro-benzene) And [1,4] two g cultivative-5-yl)-breasted carbaryl]-propyl-N-pyridin-2-yl-benzoguanamine, its pharmaceutically acceptable salt, structurally related compound or metabolism product. For the purposes of the present invention, the micronized form of the compound is in the form of particles having an average diameter of no more than about 20 microns. It will be appreciated that the compounds of the present invention may be in the form of particles having an average diameter greater than about 20 microns, such as particles having an average diameter of from about 20 microns to about 3 Å or about 500 microns. Preferably, the particles have an average diameter of about 1 Å and an average diameter of from about 〇75 to about 10 μm, more preferably from about 2 to about 8 μm 23 200800198. Methods of miniaturization or particle size reduction are well known and are therefore not described in detail herein. As will be understood, 4-cyano-N-{(2R)-2-[4-(2,3-dihydro-benzo[1,4]dioxin-5-yl)- Piperidin-1-yl]-propyl}-Ntidine-2-yl 5-phenylguanamine;

在本發明中,式1之化合物可製備成醫藥上可接受的鹽 形式。如使用於本文,名稱“醫藥上可接受的鹽”指為從一 10 醫藥上可接受的無毒酸所製備之鹽,包括無機鹽及有機 鹽。合適的非有機鹽包括例如無機及有機酸,諸如醋酸、 苯磺酸、苯甲酸、樟腦磺酸、擰檬酸、乙烯磺酸、反丁烯 二酸、葡萄糖酸、麩胺酸、氫漠酸、氫氯酸、經乙績酸、 乳酸、蘋果酸、馬來酸、扁桃酸、甲烷磺酸、黏液酸、硝 15 酸、雙羥萘酸、泛酸、磷酸、琥珀酸、硫酸、酒石酸、對-曱苯磺酸及其類似物。氫氯酸、氫溴酸、磷酸及硫酸特別 佳,且鹽酸鹽最佳。 在某些具體實施例中,該包含4-氰基 -N-{(2R)_2-[4_(2,3_二氫-苯并[1,4]二噚畊-5-基)_ 哌畊 _1_ 基]- 24 200800198 丙基}-N-吡啶-2-基-苯醯胺或其醫藥上可接受的鹽之調配 物將亦包含一或多種結構相關的化合物(其可使用熟知的 方法來偵測及定量)。此結構相關的化合物之實例包括(但不 限於)由式2-9所表示的化合物及其醫藥上可接受的鹽之那 5 些,包括例如: {(2R)-2-[4-(2,3-二氫-苯并[1,4]二噚畊-5-基)-哌畊-1· 一 基]-丙基}-N-吡啶-2-基-胺或其醫藥上可接受的鹽; 4-氰基-N-{(2S)-2-[4-(2,3-二氫-苯并[1,4]二崎畊-5-基) 旅啡-1 -基]-丙基} -N-吼唆-2-基-苯酿胺或其%樂上可接受 10 的鹽; 4-氰基-N-(2-哌讲-1-基-丙基)-N-吡啶-2-基·苯醯胺或 其醫藥上可接受的鹽; 4-氰基-N-[(2R)-2-哌讲-1-基-丙基]-N-吡啶-2-基-苯醯 胺或其醫藥上可接受的鹽; 15 ν·(5·氯-吼啶-2-基)-4-氰基-Ν·[2·(4-羥基-哌畊-1-基)· - 丙基]-苯醯胺或其醫藥上可接受的鹽; • Ν-(5-氯-吡啶-2-基)-4-氰基-N-[(2R)-2-(4-羥基-哌畊-1- 基)-丙基]-苯醯胺或其醫藥上可接受的鹽; N-(5 -氣-。比咬-2-基)-4-氧基-N- {2-[4-(2,3-二鼠-苯弁[1,4] 20 二11亏σ井-5-基)-略0丼-1-基]-丙基}-苯酿胺或其醫樂上可接受 的鹽; Ν-(5-氣-°比 ϋ定-2-基)-4-鼠基 _N-{(2R)-2-[4-(2,3-二氮 -1,4-苯弁二σ号讲-5-基)-娘0井-1-基]-丙基}苯驢胺或其醫樂上 可接受的鹽; 25 200800198 4-氰基-N- {(2R)-2-[4-(8_ {1-[8·(4- {(1 S)-2_[(4-氰基苄醯 基定-2-基)胺基]-I -甲基乙基}旅啡-1·基)-2,3-二氮-1,4_ 笨并二噚讲-5-基]-2-甲基丙基}·2,3_二氫-1,4_苯并二 噚啡-5-基)哌畊-1-基]丙基}-N-吼啶-2-基苯醯胺或其醫藥上 5 可接受的鹽; 4-氰基-N-{(2R)-2-[4-(8-{1_[8·(4-{(1 S)-2-[(4-氰基苄醯 基)(σ比°定-2-基)胺基]-1-甲基乙基}旅σ井-1 -基)-2,3 -二氯-1,4_ 苯并二呤畊-5-基]丁基}-253-二氫_1,4·苯并二噚畊-5-基)旅 畊-1-基]丙基卜TvM比啶-2-基苯醯胺或其醫藥上可接受的鹽; 10 4-氰基-N-{(2R)-2-[4-(8-{l-[8-(4-{(lS)-2_[(4-氰基苄醯 基)〇ba定-2-基)胺基]-1-甲基乙基}派啡-1-基)·2,3·二氫·1,4-苯并二σ等讲-5-基]己基}-2,3-二氫-1,4-苯并二σ号啡_5_基)α底 啡_ 1 -基]丙基} -Ν-°比唆-2-基苯醯胺或其醫藥上可接受的鹽; 4-氰基 _N-{(2R)-2-[4_(8-{[8-(4-{(lS)-2-[(4-氰基节酿 15 基)(°比°定-2-基)胺基]-1-甲基乙基}派啡小基)_2,3_二氣_ι 4· 苯并二噚17井-5-基]甲基}-2,3·二氫-1,4-苯并二$啡基)旅 啡-1·基]丙基}-N-吼°定-2-基苯酸胺或其醫藥上可接受的鹽; 4-氰基-N-{(2R)-2-[4-(8-{l-[8-(4-{(lS)_2-[(4·氰基苄醯 基)(°比°定-2-基)胺基]-1-甲基乙基}旅啡小基)_2,3_二氣_ι 4 20苯并二丼乃-基]乙基}_2,3-二氫-1,4-苯并二,啡基)口底 讲-1-基]丙基}-N_吼唆-2-基苯醯胺或其醫藥上可接受的 鹽;及 4-氰基-N-[2(R)-(4-氰基-苯醯胺)_丙基]暴吼咬_2_美 苯醯胺或其醫藥上可接受的鹽。 26 200800198In the present invention, the compound of Formula 1 can be prepared in the form of a pharmaceutically acceptable salt. As used herein, the term "pharmaceutically acceptable salts" refers to salts prepared from a pharmaceutically acceptable non-toxic acid, including inorganic and organic salts. Suitable non-organic salts include, for example, inorganic and organic acids such as acetic acid, benzenesulfonic acid, benzoic acid, camphorsulfonic acid, citric acid, vinyl sulfonic acid, fumaric acid, gluconic acid, glutamic acid, hydrogen acid , hydrochloric acid, ethyl acid, lactic acid, malic acid, maleic acid, mandelic acid, methanesulfonic acid, mucic acid, nitrate 15 acid, pamoic acid, pantothenic acid, phosphoric acid, succinic acid, sulfuric acid, tartaric acid, - Benzene sulfonic acid and its analogs. Hydrochloric acid, hydrobromic acid, phosphoric acid and sulfuric acid are particularly preferred, and the hydrochloride is the best. In certain embodiments, the 4-cyano-N-{(2R)-[4-(2,3-dihydro-benzo[1,4]dioxin-5-yl)-piperidin Plough_1_yl]- 24 200800198 Formulation of propyl}-N-pyridin-2-yl-benzoguanamine or a pharmaceutically acceptable salt thereof will also comprise one or more structurally related compounds (which can be used well known Method to detect and quantify). Examples of the compound related to this structure include, but are not limited to, those of the compound represented by Formula 2-9 and pharmaceutically acceptable salts thereof, including, for example: {(2R)-2-[4-(2 ,3-dihydro-benzo[1,4]dioxin-5-yl)-piped-1.-yl]-propyl}-N-pyridin-2-yl-amine or its pharmaceutically acceptable Salt; 4-cyano-N-{(2S)-2-[4-(2,3-dihydro-benzo[1,4]disazo-5-yl) lining-1-yl] -propyl}-N-indol-2-yl-phenylenamine or a salt thereof at a pH of 10; 4-cyano-N-(2-pipeth-1-yl-propyl)-N Pyridin-2-ylbenzoylamine or a pharmaceutically acceptable salt thereof; 4-cyano-N-[(2R)-2-piped-1-yl-propyl]-N-pyridine-2- Benzo-benzoguanamine or a pharmaceutically acceptable salt thereof; 15 ν·(5·chloro-acridin-2-yl)-4-cyano-oxime [2·(4-hydroxy-piped-1- ))-propyl-benzamide or a pharmaceutically acceptable salt thereof; • Ν-(5-chloro-pyridin-2-yl)-4-cyano-N-[(2R)-2-( 4-hydroxy-piperidin-1-yl)-propyl]-benzoguanamine or a pharmaceutically acceptable salt thereof; N-(5-gas-.bybiti-2-yl)-4-oxy-N - {2-[4-(2,3-dimur-benzoquinone [1,4] 20 2 11 σ σ well-5-yl)- slightly 0丼-1-yl]-propyl}-benzene An amine or a pharmaceutically acceptable salt thereof; Ν-(5-gas-° ratio -2-定-2-yl)-4-murine_N-{(2R)-2-[4-(2,3- Dinitro-1,4-benzoquinone sigma-5-yl)-nivine ketone-1-yl]-propyl}benzamide or a pharmaceutically acceptable salt thereof; 25 200800198 4-cyano -N- {(2R)-2-[4-(8_ {1-[8·(4- {(1 S)-2_[(4-cyanobenzylidenyl-2-yl)amino]-) I-methylethyl}linphine-1·yl)-2,3-diaza-1,4_ pheno-bi-supplement-5-yl]-2-methylpropyl}·2,3_dihydrogen -1,4_benzobismorphin-5-yl)piped-1-yl]propyl}-N-acridin-2-ylbenzamide or a pharmaceutically acceptable salt thereof; 4-cyano --N-{(2R)-2-[4-(8-{1_[8·(4-{(1 S)-2-[(4-cyanobenzylidene))) -yl)amino]-1-methylethyl} brigade σ well-1 -yl)-2,3 -dichloro-1,4_benzoindole-5-yl]butyl}-253- Hydrogen 1,4·benzoindole-5-yl), glutamic-1-yl]propyl, TvM, pyridyl-2-ylbenzamide or a pharmaceutically acceptable salt thereof; 10 4-cyano -N-{(2R)-2-[4-(8-{l-[8-(4-{(lS)-2_[(4-cyanobenzyl) hydrazin-2-yl)amine ]]-1-methylethyl}parhen-1-yl)·2,3·dihydro·1,4-benzobis σ, etc. 5-yl]hexyl}-2,3-dihydro- 1,4-Benzene σ 啡 _ _ _ _ ) α α _ _ _ _ _ _ _ _ _ 基 基 基 基 基 基 基 基 基 基 基 基 基 基 基 基 4- 4- 4- 4- 4- 4- 4- 4- 4- 4- 2R)-2-[4_(8-{[8-(4-{(lS)-2-[(4-cyanoaryl 15 base)) (° ratio -2-yl)amino]-1 -methylethyl}pyrrolidyl)_2,3_digas_ι 4·benzodiazepine 17 well-5-yl]methyl}-2,3·dihydro-1,4-benzoic啡 ) ) 旅 -1 -1 -1 -1 -1 -1 -1 } } } } } } } } } } } } 4- 4- 4- 4- 4- 4- 4- 4- 4- 4- 4- 4- 4- 4- 4- 4- 4- 4- 4- [4-(8-{l-[8-(4-{(lS)_2-[(4·Cyanobenzyl))(°~β-2-yl)amino]-1-methyl-ethyl基}旅啡小基)_2,3_二气_ι 4 20 benzodiazepine-yl]ethyl}_2,3-dihydro-1,4-benzobis, morphyl) 1-yl]propyl}-N-indol-2-ylbenzamide or a pharmaceutically acceptable salt thereof; and 4-cyano-N-[2(R)-(4-cyano-benzoquinone) Amine) - propyl] violent bite _2 melamine or a pharmaceutically acceptable salt thereof. 26 200800198

式4Equation 4

式5 27 200800198Equation 5 27 200800198

10 其中 Ri 為-CH3、-CH(CH3)2、-CH2CH2CH3、 CH2CH2CH2CH3 或-CH2CH2CH2CH2CH3。 28 200800198 含-中,本發明提供—_配物,以 :匕種由式2、3、4、5、6、7、8或9: 或其请樂上可接受_。在本發_某錢 ^物 配物將包含4羞 ^ 该些調 將匕^ 鼠基-N_{(2R)_2_[4_(2,3·二氫 3 口号啡-5-基)-口辰口并! #、 开 Π,4]二 m]·丙基卜ν·㈣_2_基·苯 上可接受㈣,及-或多種式2、3、4、5、6、7其商樂10 wherein Ri is -CH3, -CH(CH3)2, -CH2CH2CH3, CH2CH2CH2CH3 or -CH2CH2CH2CH2CH3. 28 200800198 Including - the present invention provides - a formulation, such as: 2, 3, 4, 5, 6, 7, 8, or 9: or it is acceptable to be _. In this hair _ a money ^ object compound will contain 4 shy ^ These will be 匕 ^ mouse base - N_ { (2R) 2_ [4_ (2, 3 · dihydro 3 singular-5-yl) - mouth mouth and! #,开Π,4]二 m]·propylbu ν·(tetra)_2_yl·benzene Acceptable (four), and-or a variety of formulas 2, 3, 4, 5, 6, 7

化合物或其醫藥上可接受的鹽。在某些具體實施例8中或9之 如,本發明之調配物可包括4_氰基_n_{(2r)_2 — W 10 15 20 苯并[1,4]二啊·5·基)_料_1·基]_«}·Ν_ 心 胺或其醫藥上可接受的鹽、{(2κ)_2_[4·(2,3_:氫·笨并= 一气啡冬基)-旅啡小基]_丙基}如比咬_2_基_胺或其醫藥2 可接受的鹽、及4_氰基-Ν_{(23)-2-[4_(2,3-二氫_苯并口,4]二 噚啡-5-基)-哌畊―:^基]-丙基卜Ν_σ比啶_2_基_苯醯胺或其醫藥 上可接受的鹽。因此,本發明提供一種包含4_氰美 -Ν - {(2R)-2-[4-(2,3-二氫-苯并[1,4]二噚畊-5-基)-派啡小基 丙基}-N_吡啶_2_基-苯醯胺鹽酸鹽、{(2R)_2-[4_(2,3-二氫_ 本并[1,4] 一σ号啡_5 基)-派啡小基]-丙基} -N-n比α定_2 _基·胺及 屯氰基-N-{(2S)_2-[4-(2,3-二氫-笨并[1,4]二噚畊_5_基)_哌 讲-1-基]-丙基}-N-吼淀-2_基-苯醯胺鹽酸鹽的調配物。當上 述描述之結構相關的化合物存在於含4-氰基 _N_{(2R)-2-[4-(2,3-二氫·笨并[1,4]二哼畊-5,基)-派喷小基]-丙基}-N-吡啶-2-基-苯醯胺或其醫藥上可接受的鹽之組合 物中時,前者佔支配量較佳及後者以少於約10%的量存在 於該組成物中較佳,且存在量少於約5%更佳及此量少於約 29 200800198 1%或0.1%甚至更佳(例如,其量在約0 08%至約〇27%間)。 4-氰基·Ν_{2-[4-(2,3·二氫-苯并[i,4]二啊·5基)_旅 啡-1-基]-丙基}-N-吼咬-2-基-苯醯胺包括—個對掌性中 心,且可更大量地使用R_異構物。本發明之調配物(例如, 5化合物、組成物或劑型)可包括尺及8異構物二者,且不限於 單一鏡像物或特別鏡像物的混合物。 本發明亦提供-種調配物,其包含4_氰基 *{叫2例2,3_二氫_苯并⑽^心女制小基]-丙基卜.岭2_基·苯醯㈣新陳代謝產物。韻陳代謝產 10物包括(但*限於)4-氰基-N_{(2R)邻_(8_經基-2,3二氣-苯 并[1,^十井_5_基)寺井小基]-丙基)如比咬_2_基_苯酿胺 或其商藥上可接受的鹽、4-氰基-N-{(2R)_2-[4-(3-羥基-2,3-二氫:笨并[M]二十井_5基)_旅喷小基]_丙基卜N_吼啶•基 -苯醯胺或其醫藥上可接受的鹽、4-氰基-N_K2R)_2_[4_(2_ 15羥基_2,3-二氫-苯并[1,4]二崎畊-5-基)-哌畊]_基]_丙基卜Ν· 疋2基·本酿胺或其醫樂上可接受的鹽、及氰基 N (2R、2-派啡小基-丙基)|°比。定-2-基-笨醢胺或其醫藥上 可接受的鹽。如所了解,這些新陳代謝產物由式10-13表 示。將了解的是,這些新陳代謝產物可憑其本身的條件使 2〇用作為—醫藥活性化合物,且以單獨或與其它醫藥活性化 合物之組合的藥學劑型來使用。 30 200800198a compound or a pharmaceutically acceptable salt thereof. In certain embodiments 8 or 9, the formulation of the present invention may comprise 4-cyano_n_{(2r)_2 - W 10 15 20 benzo[1,4]di-·5·yl) _料_1·基]_«}·Ν_ Heart amine or its pharmaceutically acceptable salt, {(2κ)_2_[4·(2,3_: hydrogen·stupid = one phenolic winter base)-brochlet small Base]_propyl} such as bite 2_yl-amine or its pharmaceutically acceptable salt, and 4-cyano-indole_{(23)-2-[4_(2,3-dihydro-benzoyl) , 4] Di- morphin-5-yl)-piperidin-:-yl]-propyl hydrazine _σ-pyridinyl-2-ylbenzoylamine or a pharmaceutically acceptable salt thereof. Accordingly, the present invention provides a method comprising 4-cyano-indolyl-{(2R)-2-[4-(2,3-dihydro-benzo[1,4]dioxin-5-yl)-parphine Small propyl}-N-pyridine-2-yl-benzoguanamine hydrochloride, {(2R)_2-[4_(2,3-dihydro- benzo[1,4]- σ gram _5 ))-Phenyl small group]-propyl}-Nn ratio α _2 _ yl amine and cyanocyano-N-{(2S)_2-[4-(2,3-dihydro- benzo[ 1,4] Diterpenoid _5_yl)-piperidin-1-yl]-propyl}-N-indole-2-yl-benzoguanamine hydrochloride formulation. When the structure-related compound described above is present in 4-cyano-N_{(2R)-2-[4-(2,3-dihydro·accumin [1,4] diterpene-5,yl) When the composition of the small group of -propyl}-N-pyridin-2-yl-benzoguanamine or a pharmaceutically acceptable salt thereof is preferred, the former is more preferred and the latter is less than about 10%. The amount present in the composition is preferred and is present in an amount less than about 5% and more preferably less than about 29 200800198 1% or 0.1% or even better (e.g., in an amount from about 0 08% to about 〇) 27%)). 4-cyano-indole_{2-[4-(2,3·dihydro-benzo[i,4]dioxa-5-yl)-bran-1-yl]-propyl}-N-bite The -2-yl-benzoguanamine includes a pair of palmitic centers, and the R_isomer can be used in greater amounts. Formulations (e.g., 5 compounds, compositions or dosage forms) of the invention may include both ruler and 8 isomers, and are not limited to a single mirror image or a mixture of particular mirror images. The present invention also provides a formulation comprising 4_cyano*{2 called 2,3_dihydro-benzo[10)^hearted small base]-propyl b. ling 2_yl·benzoquinone (four) Metabolites. The 10 metabolites of Yunchen include (but are limited to) 4-cyano-N_{(2R) o-(8_trans-base-2,3 digas-benzo[1,^十井_5_基) temple well Small base]-propyl) such as butyl-2-phenylamine or its commercially acceptable salt, 4-cyano-N-{(2R)_2-[4-(3-hydroxy-2) , 3-dihydrogen: stupid [M] twenty wells _5 base) _ brigade spray base] _ propyl b N_ acridine yl benzoguanamine or its pharmaceutically acceptable salt, 4-cyano --N_K2R)_2_[4_(2_ 15 hydroxy 2,3-dihydro-benzo[1,4]disakisin-5-yl)-piped]_yl]-propyl Ν·Ν2 base • The present amine or its pharmaceutically acceptable salt, and the cyano N (2R, 2-parphin small-propyl) ratio. Din-2-yl-codantamine or a pharmaceutically acceptable salt thereof. As understood, these metabolic products are represented by Formulas 10-13. It will be appreciated that these metabolites can be used as pharmaceutically active compounds under their own conditions and in pharmaceutical dosage forms, either alone or in combination with other pharmaceutically active compounds. 30 200800198

HOHO

31 20080019831 200800198

〇^Ν 本發明提供一種包含一或多種有效成分之立即釋放及 5 持續釋放劑型,例如,4-氰基-N-{(2R)-2-[4-(2,3-二氳-苯并 [1,4]二口亏σ井-5 -基)-旅口井-1 -基]-丙基} -N-11比咬-2-基-苯酷胺、 其醫藥上可接受的鹽、結構相關的化合物及其具有5-ΗΤ1Α 黏結活性的新陳代謝產物。 藥物“釋放速率”指為每單位時間從劑型中所釋放出的 10 藥物量,例如,每小時釋放出的毫克藥物(毫克/小時)。可 例如在技藝中已熟知之試管内劑型溶解測試條件下來計算 藥物釋放速率。如使用於本文,“在給藥後”於特定的時間 處所獲得之藥物釋放速率指為在適當的溶解測試完成後, 於特定的時間處所獲得之試管内藥物釋放速率。進行溶解 15 測試或釋放速率試驗的方法已在技藝中熟知。已釋放出特 定百分比之在該劑型内的藥物之時間可提出如為“Τχ”值, 其中“X”為已釋放出的藥物百分比。在評估從口服劑型中所 釋放出的藥物時,通常使用之參考度量為在該劑型内的藥 物已釋放出70%或90%時的時間。對該劑型來說,此度量指 20 為 “T7G” 或 “Τ90”。 32 200800198 10 15 20 對本發明之目的來說,名稱“立即釋放型調配物,,指為 -可從該娜财提供相#快速及料崎&quot;的活性化 合物之調配物;例如,-包括活性化合物且不會妨礙該活 性化合物從該調配物中釋放出之快速溶解_的調配物。 此立即釋放型雛物缺乏釋放料控概合物或其它會妨 礙該活性化合物從該調配物中釋放出的物種,或所包含的 此類聚合物或物種之量足夠少而不會阻礙從_配物釋放 出該活性化合物(相對於其它方面缺乏此聚合物或物種的 相同調配物)。此辑___的實狀-有混合在微 晶纖維素(諸如’阿維梭(Avieel)®(來自fmc股份(細公司 (FMC Corporation)的商標))中的有效成分(例如,4·氰基 -N-侧·2仰,3_二氫_苯卵,4]二。§畊_5_基)·终卜基卜 丙基}·Ν髮·2·基·苯醯胺、其醫藥上可接受的鹽、結構相 關的化合物或新陳代謝產物),其可在少於㈣小時内,於 0.1N的HC1溶液中產生大於75%之有效成分溶解度。 使用於本文;g稱持_釋放”、“持續釋放型調配 物”、“持續釋放劑量調配物”及其類似名稱指為—包含可妨 礙該活性化合物從該調配物中釋放出之物質的調配物(相 對於如上所述的“立即釋放’,調配物,例如,相對於其它方 面缺乏釋放速率控制聚合物或其它釋放阻礙物質的相同調 配物)。因此,名稱‘‘持續釋放,,可應用至任何數目的延長釋 放形式’且其視為實質上與延遲釋玫、限時釋放、加長釋 放、限時程式化的釋放、經限時釋放、經限時塗佈的釋放、 持續釋放、慢速作用、長效作用、延遲作用、間隔釋放、 33 200800198 《放、延長仙、延長的作肢其類似名詞同義。 …名私k速釋放”、“中速釋放”及“快速釋放,,意欲指為如 、、Ά文的持續釋放型調配物,其可以彼此相對呈慢 速、中速或快速的速率來釋放該活性化合物。 :了解的疋,該持績釋放型調配物可導致該活性化合 物率從該劑型中釋放出,使其能有效地增加到達最 ^療/辰度日守將花掉的時間(如與立即釋放型調配物比 。)幻如(不限於)其可增加5〇%或更多、1⑽%或更多、ι5〇% ,更夕或200%或更多的時間(如與立即釋放型調配物比 軚例如,與其它方面缺乏釋放速率控制聚合物或其它阻 礙釋放物質的相同調配物比較)。鱗_放翻配物亦可 V致忒活性化合物以一速率從該劑型中釋放出,使其能有 效地減低該化合物的最大治療濃度(與立即釋放型調配物 比較)例如(不限於)其可減低至少1〇%、至少2〇%、至少 15 25/°、至少30%、至少40%或至少50%(與立即釋放型調配物 比較)。該持續釋放型調配物亦可導致該活性化合物以一速 率k該劑型中釋放出,使其能有效地增加維持該活性化合 物的醫藥有效濃度之時間量(相對於立即釋放型調配物),例 如(不限於)其可增加至少25%、至少50%、至少75%、至少 20 1〇0%或至少125%的時間量(相對於立即釋放型調配物可維 持該活性化合物之醫藥有效濃度的時間量)。滿足前述的任 何標準即足以將一調配物製成該“持續釋放型,,調配物。 本發明提供一種包括將所揭示的劑型給藥至患者以持 續釋放出該有效成分之方法。在一個觀點中,從該劑型中 34 200800198 釋放出活性化合物的速率為零級數。在另—個觀點中,從 該劑型中釋放出有效成分的速率為上升型。 在月中釋放出較佳。該釋放速率控制聚合物為—可吸入及/ 或吸收液體’因此防止該藥物在胃中釋放出的水凝膠較 m雷明頓氏醫藥科學(Remingt〇n,s ρ}ι_ααΐ 如使用於本文’名稱“釋放速率控制聚合物,,意欲指為 任何合適於藥學_的聚合物物f,其可妨礙該藥物物質 攸此劑型中釋放出。該釋放速率控制聚合物可抑制該藥物The present invention provides an immediate release and a sustained release dosage form comprising one or more active ingredients, for example, 4-cyano-N-{(2R)-2-[4-(2,3-dioxin-benzene) And [1,4] two sigma sigma-5-yl)-Jiakou well-1 -yl]-propyl}-N-11 than biti-2-yl-benzoamine, its pharmaceutically acceptable Salts, structurally related compounds and their metabolites with 5-ΗΤ1Α binding activity. The "release rate" of a drug refers to the amount of drug that is released from the dosage form per unit time, for example, milligrams of drug (mg/hr) released per hour. The rate of drug release can be calculated, for example, in an in vitro dosage form dissolution test condition well known in the art. As used herein, the rate of drug release obtained at a particular time "after administration" refers to the rate of drug release in the tube obtained at a particular time after completion of the appropriate dissolution test. Methods for performing the dissolution 15 test or release rate test are well known in the art. The time at which a specified percentage of the drug in the dosage form has been released may be as a "Τχ" value, where "X" is the percentage of drug that has been released. In assessing the release of a drug from an oral dosage form, the reference metric typically used is the time when the drug within the dosage form has been released 70% or 90%. For this dosage form, this metric means 20 is "T7G" or "Τ90". 32 200800198 10 15 20 For the purposes of the present invention, the name "immediate release formulation," means a formulation of the active compound from which the drug can be supplied to the "fast and instant"; for example, - including activity a compound which does not interfere with the rapid dissolution of the active compound from the formulation. The immediate release of the precursor lacks the release of the controlled mixture or otherwise hinders release of the active compound from the formulation. The species, or the amount of such polymers or species involved, is sufficiently small to not hinder the release of the active compound from the ligand (relative to other agents lacking the same formulation of the polymer or species). The actual form of __ is mixed with microcrystalline cellulose (such as 'Avieel®® (trademark from fmc Corporation)) (for example, 4·cyano- N-side·2 elevation, 3_dihydro-benzene eggs, 4]two.§耕_5_基)·End-bubupropyl}·Ν发·2·yl·benzamide, its pharmaceutically acceptable Salt, structurally related compounds or metabolites, which can be less than (four) hours Producing greater than 75% of the solubility of the active ingredient in a 0.1 N HCl solution. For use herein; g-supported release, "sustained release formulation", "sustained release dose formulation" and the like are defined as - Formulations comprising substances which prevent the release of the active compound from the formulation (relative to "immediate release" as described above, formulations, for example, lack of release rate controlling polymers or other release inhibitors relative to other aspects The same formulation). Therefore, the name ''sustained release, can be applied to any number of extended release forms' and it is considered to be substantially delayed with delayed release, time-limited release, extended release, time-limited stylized release, limited time Release, release upon limited application, sustained release, slow action, long-acting effect, delayed action, interval release, 33 200800198 "Put, prolonged immortal, extended limbs are synonymous with similar nouns. ...named k-speed release" "Medium-speed release" and "rapid release," intended to mean continuous release formulations of, for example, Ά文, which can be relatively slow relative to each other. Medium or fast rate to release the active compound. : Known cockroaches, the performance release formulation can cause the active compound rate to be released from the dosage form, allowing it to effectively increase the reach of the most therapeutic/initial The time that the day guard will spend (such as compared to the immediate release formulation). The illusion (not limited to) can increase by 5〇% or more, 1(10)% or more, ι5〇%, or even 200% or More time (e.g., as compared to immediate release formulations, for example, compared to other formulations that lack release rate controlling polymers or other hindered release materials). Scales can also be V-induced active compounds. Released from the dosage form at a rate such that it is effective to reduce the maximum therapeutic concentration of the compound (as compared to immediate release formulations) such as, without limitation, it can be reduced by at least 1%, at least 2%, at least 15 25/°, at least 30%, at least 40% or at least 50% (compared to immediate release formulations). The sustained release formulation may also result in the active compound being liberated at a rate k of the dosage form such that it is effective to increase the amount of time (relative to the immediate release formulation) to maintain the pharmaceutically effective concentration of the active compound, for example (not limited thereto) which may increase the amount of time by at least 25%, at least 50%, at least 75%, at least 20 1〇0%, or at least 125% (relative to the immediate release formulation to maintain the pharmaceutically effective concentration of the active compound) The amount of time). Satisfying any of the foregoing criteria is sufficient to formulate a formulation into the "sustained release form, formulation. The present invention provides a method comprising administering a disclosed dosage form to a patient to continually release the active ingredient. The rate at which the active compound is released from the dosage form 34 200800198 is zero. In another aspect, the rate at which the active ingredient is released from the dosage form is ascending. Release is preferred during the month. The rate-controlled polymer is - inhalable and/or absorbing liquids - thus preventing the release of the hydrogel from the drug in the stomach compared to Remington's Medical Sciences (Remingt〇n, s ρ}ι_ααΐ as used in this article 'name' Release rate controlling polymer, which is intended to mean any polymer substance f suitable for pharmaceutical use, which may prevent the drug substance from being released in this dosage form. The release rate controlling polymer inhibits the drug

x第is版,由珍拿羅(Gennaro)編輯,馬克出版公司 10 (Mack Publishing C〇.),伊士頓(East〇n),pA,199〇)中發現 合適的釋放速率控制聚合物實例。 合適於使用在本發明中的某些較佳釋放速率控制聚合 物包括(但不限於)羥丙基纖維素類、甲基纖維素類、聚甲基 丙烯酸酯類、甲基丙烯酸_曱基丙烯酸酯共聚物、醋酞纖維 15素、乙基纖維素類、羥乙基纖維素類、羥甲基纖維素類、 羥丙基乙基纖維素類、聚醋酸乙烯酯_酞酸酯、羥丙基甲基 纖維素敝酸酯、聚環氧乙烷類、羥丙基甲基纖維素類(諸如 例如,羥丙甲纖維素2208及2910)及其二或更多種之組合。 合適的釋放速率控制聚合物可從商業來源購得,諸如美多 20秀™K4M、美多秀TMK15M、美多秀tmK100M、美多秀TM E4M、美多秀™K100LV、美多秀TME50LV、美多秀TME5、 美多秀™ E6、美多秀™ E15LV ;及可從卡樂康(Colorcon) 購得的蘇利釋(Surelease)™ ;及尤追吉特(Eudragit)™、RS 尤追吉特™ RL(可從隆公司(Rohm GmbH &amp; Co·)購得)。在 35 200800198 維素或其組合 某些具體實施财,本發明之調配物將包含高密度基質形 成的經丙基甲基纖維素、低密度基質形成的經丙基f基纖Xis version, an example of a release rate-controlling polymer found by Gennaro, Mack Publishing C〇., East〇n, pA, 199〇 . Certain preferred release rate controlling polymers suitable for use in the present invention include, but are not limited to, hydroxypropylcelluloses, methylcelluloses, polymethacrylates, methacrylic acid-mercaptoacrylic acid Ester copolymer, vinegar fiber 15 element, ethyl cellulose, hydroxyethyl cellulose, hydroxymethyl cellulose, hydroxypropyl ethyl cellulose, polyvinyl acetate phthalate, hydroxypropyl Methylcellulose phthalate, polyethylene oxide, hydroxypropyl methylcellulose (such as, for example, hypromellose 2208 and 2910) and combinations of two or more thereof. Suitable release rate control polymers are commercially available from companies such as Mido 20 ShowTM K4M, Mido ShowTM 1515, Mido Show tmK100M, Mido ShowTM E4M, Mido ShowTM 100100LV, Mido Show TME50LV, Beauty Multi-show TME5, Mido ShowTM E6, Mido ShowTM E15LV; and SureleaseTM available from Colorcon; and EudragitTM, RS TM RL (available from Rohm GmbH &amp; Co.). At 35 200800198, or a combination thereof, the formulation of the present invention will comprise a propyl f-based fiber formed from a high density matrix of propylmethylcellulose, a low density matrix.

本發明之持續釋放型調配物包含至少一種釋放速率控 5制聚合物。該釋放速率控制聚合物在該調配物中的範圍從 約10%至約75重量%較佳,且約2〇%至約6〇重量%更佳。在 树明的—個具體實施射,簡放速率控制聚合物在250 毫克的劑型中之量為約5〇至約15〇毫克。在某些具體實施例 中’該釋放速率控制聚合物為纖維素_,諸如例如,基質 10形成的經丙基甲基纖維素、_基纖維素絲乙基纖維 素,例如’美多秀™ K4M優質CR或美多秀TM K1刪優質 除了包含至少一種釋放速率控制聚合物外,本發明之 持續釋放劑型通常包含至少一種可改善在腸中的釋放速率 15之試劑(例如,有機酸)。對使用於本文來說,名稱“有機酸” I括任何可由哺鶴物安全攝取的酸。雖然不意欲由任何 特別的理_所限制,咸信該酸可改善該藥物產物在腸中的 X CT適於使用在本發明巾的有機酸實例包括(但不限 計酒石酸、蘋果酸、反了烯二酸、天冬胺酸、麩胺酸、甘 &quot;夂孤fee己—酸、琥轴酸、抗壞血酸、油酸或捧樣酸。 較佳的有機酸有檸檬酸或多官能基有機酸。該有機酸在該 _己物中的範圍從約1%至約3G%較佳,從約2%至約10重量 /〇更佳。在本發明的—個具體實施例中,該有機酸在25〇毫 克的J型中之里可從約5至約5〇毫克’從約5至約25毫克較 36 200800198 佳。在某些具體實施例中,該有機酸的量從約2至約5〇毫克。 該持續釋放型調配物實質上無鹼較佳。對使用於本文 中末及貝貝上無驗的調配物、劑楚或組成物指為該調配 物、劑型或組成物含有少於約1〇%的鹼,少於約5%的鹼較 5佳及少於約1%或山1%的鹼更佳。如使用於本文,名稱“鹼” 指為一功能作為質子接受者的化學化合物。 除了该活性化合物及釋放速率控制聚合物外,本發明 之調配物可包含任何多種可授予該調配物有益的性質之其 匕物質。此物質包括例如溶解度改質劑,諸如界面活性劑, 諸如例如,硫酸月桂酯鈉、酸性化合物、抗氧化劑、pH改 貝劑、螯合劑、充填劑、崩解劑、結合劑、潤滑劑、安定 背1賦形劑(包括可溶於水的賦形劑,諸如糖類;及水分散 賦形劑,諸如例如,微晶纖維素、膠態二氧化石夕、經石夕化 1的微晶纖維素及殿粉)。在某些具體實施例中,在阳約6或 15較低(例如,在至約6)下提供該調配物。 該可溶於水的賦形劑或水分散賦形劑之非為限制的實 例包括乳糖、甘露醇、嚴糖及其類似物。該可溶於水的賦 =劑可依所需之特別的治療目標而存在於-定範圍内(重 量百分比)。對使用於本發明中來說,除非其它方面有所提 20及,否則百分比及份皆以重量份或重量百分比來表示。通 常來說,可溶於水的賦形劑範圍可例如從約〇%至約5〇%或 至約99%,餘約2%至約25%。該水可分散的賦形劑實例 包括微晶纖維素、膠態聚石夕氧二氧化物、經石夕化的微晶纖 維素(普羅梭夫(Pr細lv)™)、_類、交聯魏甲纖維素納及 37 200800198 其類似物。 該安定劑之非為限制的實例包括抗氧化劑,諸如 BHA、BHT、抗壞血酸類、生育酚類及其類似物。合適的 金屬螯合劑之非為限制的實例包括EDTA、擰檬酸及其類似 5物。該pH改質劑之非為限制實例包括檸檬酸、反丁_ 及其類似物。該結合劑之非為限制的實例包括殿粉類、 PVP(聚乙烯吡咯啶酮)、HPMC(羥丙基甲基纖維素類) HPC(羥丙基纖維素)及其類似物。該流動辅助劑之非為限制 的實例包括硬脂酸鎂及其類似物。該溶解度改質劑之非為 10 限制的實例包括界面活性劑,如硫酸月桂酯鈉或聚山梨酸 酯(例如,屯(Tween)80)及其類似物。 在車父佳的具體實施例中,本發明之持續釋放型調配物 包含該有效成分、至少一種釋放速率控制聚合物、有機酸、 至少一種充填劑及至少一種潤滑劑。 15 該潤滑劑的實例包括(但不限於)硬脂酸、硬脂酸鎂、山 俞酸甘油酯、滑石、礦物油(在PE(3中)、膠態二氧化矽及其 類似物。但是’可察知的是,可在描述於本文的調配物中 使用任何已在技藝中熟知之潤滑劑。該潤滑劑的範圍可例 如從約0.2%至約5重量%。在本發明的一個具體實施例中, 20該潤滑劑於250毫克劑型中的量為約1毫克。 該充填劑之實例包括(但不限於)經矽化的微晶纖維 素、Μ晶纖維素、纖維素醋酸酯、纖維素二醋酸酯、纖維 素三醋酸酯、乳糖單水合物、無水乳糖、碳酸鈣、磷酸鈣(例 如,二元無水物)、麥芽糖糊精、右旋糖、果糖、麥芽糖、 38 200800198 甘路醇、澱粉、澱粉(例如,經預膠凝化)、蔗糖及乳糖。但 疋’需察知的是,可在描述於本文的調配物中使用任何已 在技藝中熟知之充填劑。該充填劑的範圍可例如從約25% 至約75%’或至約99重量%。在本發明的一個具體實施例(例 • 5⑹’典型的持續釋放型調配物)中,存在於250毫克的劑型 中之充填劑量從約85至約179毫克。 本發明之持續釋放劑型可包含任何方便的百分比及份 (相對於其它成分)之該活性化合物。典型來說,該調配物所 • 包含的有效成分(以百分比)從約〇·3°/。至約25%,較佳為約 10 0·3%至約15%。在某些具體實施例中,該調配物所包含的 有效成分(以百分比)從約1%至約25%,較佳為約2%至約 15% 〇 在較佳的具體實施例中,該持續釋放型調配物將包含 約2至約46份之釋放相對控制聚合物及約〇·4至約iq份的藥 15劑,以改善每份有效成分在腸中的釋放速率。包含約1〇至 , 約46份的釋放速率控制聚合物及約1至約5份的藥劑更佳, Φ 以改善每份的有效成分在腸中之釋放速率。 例如,在一個具體實施例中,一快速持續釋放型調配 物在每份之有效成分(例如’ 4-乱基-N-{(2R)-2-[4-(2-3-二氣 2〇 -苯并[Μ]二十井-5-基)-哌畊小基]-丙基卜队。比咬_2_基_苯 酿胺或其醫藥上可接受的鹽)下包含約10份的釋放速率控 制聚合物及約5份的有機酸。 在另一個具體實施例中,一中速持續釋放型調配物於 每份的有效成分(例如,4-氰基-N-{(2R)-2-[4_(2 3-二氣-苯并 39 200800198 [1’4]—η亏啡_5基卜辰啡小基卜丙基}如比咬基-苯酿胺或 其醫藥上可接受的鹽)下包含約25份之釋放速率控制聚合 物及約5份的有機酸。 —在另-個具體實施例中,一慢速持續釋放型調配物於 5每份的有效成分(例如,4_氰基·Ν·{(2^2_[4_(2,3_:ι苯并 [1,4]二十井_5_基)㈣小基]•丙基}_Ν•対_2•基.苯酿胺或 其醫藥上可接受的鹽)下包含約3〇份之釋放速率控制聚合 物及約1份的有機酸。 在另一個具體實施例中,該持續釋放型調配物於每份 1〇 的有效成分 二十井-5-基)-略啡小基]_丙基}如比咬_2备苯酿胺或其醫 藥上可接受的鹽)下包含約18份之釋放速率控制聚合物及 約1份的有機酸。 在另-個具體實施例中,該持續釋放型調配物於每份 15之有效成分(例如,4_氰基_N_{(2R)_2_[4_(2,3_二氯-苯并⑽ 二啊_5·基)·料·丨舟丙基卜.岭2_基_苯醯胺或其醫 藥上可接受的鹽)下包含約46份的釋放速率控制聚合物及 約1份之有機酸。 在某些具體實關巾,該持續概_配物包含約5毫 20克的有效成分、約50至150毫克之釋放速率控制聚合物、約 5至約50毫克的有機酸、祕輯179毫克之充填劑及約旧 克的潤滑劑。 在某些具體實施财,_續釋放型娜純含約2毫 克的有效成分、約50至150毫克之釋放速率控制聚合物、約 40 200800198 2至約50毫克的有機酸、約85至約179亳克之充填劑及約1毫 克的潤滑劑。 在某些具體實施例中,典型的持續釋放型調配物在25〇 毫克之錠劑中包含約5毫克的有效成分及約5〇毫克的釋放 5速率控制聚合物。此典型的調配物可進一步包含例如約169 毫克之充填劑、約25毫克的有機酸(或其它可改善在腸中的 釋放速率之試劑)及約1毫克的潤滑劑。 在某些具體實施例中,典型的持續釋放型調配物在250 毫克之錠劑中包含約5毫克的有效成分及約125毫克之釋放 〇 速率控制聚合物。此典型的調配物可進一步包含例如約94 耄克之充填劑、約25毫克的有機酸(或其它可改善在腸中的 釋放速率之試劑)及約1毫克之潤滑劑。 在某些具體實施例中,典型的持續釋放型調配物在250 毫克之旋劑中包含約5毫克的有效成分及約15〇毫克之釋放 15 速率控制聚合物。此典型的調配物可進一步包含例如約89 晕克之充填劑、約5毫克的有機酸(或其它可改善在腸中之 釋放速率的試劑)及約1毫克之潤滑劑。 在某些具體實施例中,典型的持續釋放型調配物在250 毫克之旋劑中包含約5毫克的有效成分及約92毫克之釋放 2〇 速率控制聚合物。此典型的調配物可進一步包含例如約150 毫克之充填劑、約5毫克的有機酸(或其它可改善在腸中之 釋放速率的試劑)及約1毫克之潤滑劑。 在某些具體實施例中,典型的持續釋放型調配物在250 毫克之錠劑中包含約2亳克的有效成分及約92毫克之釋放 41 200800198 j率控制物。此典型的調配物可進—步包含例如約I% 毛克之充填』、約2¾克的有機酸(或其它可改善在腸中之 釋放速率的試劑)及約1毫克之潤滑劑。 本!X月所心里的持續釋放型調配物可為任何合適於 給藥至魏動物之形式且不限於顯現於此的實例。、The sustained release formulation of the present invention comprises at least one release rate controlled polymer. The release rate controlling polymer is preferably present in the formulation in an amount ranging from about 10% to about 75% by weight, more preferably from about 2% to about 6% by weight. In a specific embodiment of the tree, the rate-controlling polymer is present in an amount of from about 5 〇 to about 15 〇 in a 250 mg dosage form. In certain embodiments, the release rate controlling polymer is cellulose, such as, for example, propylmethylcellulose formed from matrix 10, cellulose-based ethylcellulose, such as 'Medical ShowTM K4M Premium CR or Mido® K1 Depletion Premium In addition to comprising at least one release rate controlling polymer, the sustained release dosage form of the present invention typically comprises at least one agent (e.g., an organic acid) that improves the release rate 15 in the intestine. For the purposes of this document, the name "organic acid" I includes any acid that can be safely ingested by a caregiver. Although not intended to be limited by any particular reason, it is believed that the acid can improve the X CT of the drug product in the intestine. Examples of organic acids suitable for use in the towels of the present invention include (but are not limited to tartaric acid, malic acid, anti- Alkenedioic acid, aspartic acid, glutamic acid, gan &quot; 夂 fefee hexanoic acid, succinic acid, ascorbic acid, oleic acid or lactic acid. Preferred organic acids are citric acid or polyfunctional organic The organic acid is preferably present in the range from about 1% to about 3 G%, more preferably from about 2% to about 10% by weight. In a particular embodiment of the invention, the organic The acid may be from about 5 to about 5 mg in a 25 mg of Form J 'from about 5 to about 25 mg more than 36 200800198. In some embodiments, the amount of the organic acid is from about 2 to About 5 〇 mg. The sustained release formulation is substantially free of alkali. The formulation, agent or composition used in the present invention and on the babe is referred to as the formulation, dosage form or composition. Less than about 1% alkali, less than about 5% of the base is better than 5 and less than about 1% or 1% of the base. As used herein, the name "alkali Refers to a chemical compound that functions as a proton acceptor. In addition to the active compound and release rate controlling polymer, the formulations of the present invention may comprise any of a wide variety of suitable materials that impart beneficial properties to the formulation. Solubility modifiers, such as surfactants, such as, for example, sodium lauryl sulfate, acidic compounds, antioxidants, pH modifiers, chelating agents, fillers, disintegrants, binders, lubricants, stabilizers Agent (including water-soluble excipients such as sugars; and water-dispersible excipients such as, for example, microcrystalline cellulose, colloidal silica, evening microcrystalline cellulose, and temple powder In certain embodiments, the formulation is provided at a level of about 6 or 15 (e.g., to about 6). The water-soluble excipient or water-dispersible excipient is Examples of limitations include lactose, mannitol, Yan sugar, and the like. The water-soluble formulation can be present in a range (% by weight) depending on the particular therapeutic target desired. In the invention, except In other aspects, the percentages and parts are expressed in parts by weight or percentage by weight. In general, the water-soluble excipients can range, for example, from about 〇% to about 5% or to about 99. %, about 2% to about 25%. Examples of the water-dispersible excipients include microcrystalline cellulose, colloidal polyoxo-oxide, and microcrystalline cellulose (Prussow ( Pr fine lv) TM), _ class, cross-linked Weimethionin and 37 200800198. Analogous examples of the stabilizer are non-limiting examples including antioxidants such as BHA, BHT, ascorbic acid, tocopherols and Analogs. Non-limiting examples of suitable metal chelators include EDTA, citric acid, and the like. Non-limiting examples of such pH modifying agents include citric acid, cis- _ and the like. Non-limiting examples of such binders include powders, PVP (polyvinylpyrrolidone), HPMC (hydroxypropylmethylcellulose) HPC (hydroxypropylcellulose), and the like. Non-limiting examples of such flow adjuvants include magnesium stearate and the like. Examples of the non-limiting limit of the solubility modifier include surfactants such as sodium lauryl sulfate or polysorbate (e.g., Tween 80) and the like. In a specific embodiment of the vehicle, the sustained release formulation of the present invention comprises the active ingredient, at least one release rate controlling polymer, an organic acid, at least one filler, and at least one lubricant. 15 Examples of such lubricants include, but are not limited to, stearic acid, magnesium stearate, glyceryl behenate, talc, mineral oil (in PE (3), colloidal cerium oxide, and the like. 'It is to be understood that any lubricant well known in the art can be used in the formulations described herein. The lubricant can range, for example, from about 0.2% to about 5% by weight. In one embodiment of the invention In one embodiment, the amount of the lubricant in the 250 mg dosage form is about 1 mg. Examples of the filler include, but are not limited to, deuterated microcrystalline cellulose, cellulose, cellulose acetate, cellulose. Diacetate, cellulose triacetate, lactose monohydrate, anhydrous lactose, calcium carbonate, calcium phosphate (eg, binary anhydrate), maltodextrin, dextrose, fructose, maltose, 38 200800198 ganol, Starch, starch (e.g., pregelatinized), sucrose, and lactose. However, it is to be understood that any of the fillers well known in the art can be used in the formulations described herein. Can be, for example, from about 25% to about 75%' Or to about 99% by weight. In a specific embodiment of the invention (Example 5(6) 'Typical sustained release formulation), the filling dose present in the 250 mg dosage form is from about 85 to about 179 mg. The sustained release dosage form can comprise any convenient percentage and parts (relative to other ingredients) of the active compound. Typically, the formulation contains an active ingredient (in percentage) from about 〇3°/. to about 25%, preferably from about 10% to about 15%. In certain embodiments, the formulation comprises from about 1% to about 25%, preferably from about 1% to about 25%, by weight of active ingredient. 2% to about 15% 〇 In a preferred embodiment, the sustained release formulation will comprise from about 2 to about 46 parts of the drug relative to the control polymer and from about 〇4 to about iq parts, To improve the release rate of each active ingredient in the intestine. It comprises about 1 〇 to about 46 parts of the release rate controlling polymer and about 1 to about 5 parts of the agent is better, Φ to improve the active ingredient of each part in the intestine. Release rate in. For example, in one embodiment, a rapid sustained release Type of formulation in each serving of active ingredients (eg '4- disorder-N-{(2R)-2-[4-(2-3-two gas 2〇-benzo[Μ] twenty well-5- Base) - piperidinyl group - propyl group. Contains about 10 parts of release rate controlling polymer and about 5 parts of organics under bite _2_yl phenylene amine or a pharmaceutically acceptable salt thereof In another embodiment, a medium speed sustained release formulation is applied to each active ingredient (eg, 4-cyano-N-{(2R)-2-[4_(2 3- 2 gas- Benzene 39 200800198 [1 '4] - η-deficient _5 kibrin quinone propyl propyl group, such as butyl benzoylamine or a pharmaceutically acceptable salt thereof, contains about 25 parts of release rate controlled polymerization And about 5 parts of organic acid. - In another embodiment, a slow sustained release formulation is present at 5 parts per serving (eg, 4_cyano·Ν·{(2^2_[4_(2,3_:ιbenzo) [1,4] twenty wells _5_base) (iv) small bases]•propyl}_Ν•対_2•yl.phenylenamine or a pharmaceutically acceptable salt thereof) containing about 3 parts of release rate Controlling the polymer and about 1 part of the organic acid. In another embodiment, the sustained release formulation is in an amount of 1 〇 of the active ingredient of icos-5-yl)-slightly oligo]-propyl }, such as benzoic acid or a pharmaceutically acceptable salt thereof, comprises about 18 parts of a release rate controlling polymer and about 1 part of an organic acid. In another specific embodiment, the sustained release formulation is at 15 active ingredients per part (eg, 4-cyano_N_{(2R)_2_[4_(2,3-dichloro-benzo(10)) _5·基················································· . In some specific closures, the continuous formulation comprises about 5 milligrams of active ingredient, about 50 to 150 milligrams of release rate controlling polymer, about 5 to about 50 milligrams of organic acid, and secret 179 milligrams. The filler and the lubricant of the old grams. In some embodiments, the release form contains about 2 mg of active ingredient, about 50 to 150 mg of release rate controlling polymer, about 40 200800198 2 to about 50 mg of organic acid, about 85 to about 179. A gram filler and about 1 mg of lubricant. In certain embodiments, a typical sustained release formulation comprises about 5 mg of active ingredient and about 5 mg of a release 5 rate controlling polymer in a 25 mg tablet. This typical formulation may further comprise, for example, about 169 mg of a filler, about 25 mg of an organic acid (or other agent that improves the rate of release in the intestine), and about 1 mg of a lubricant. In certain embodiments, a typical sustained release formulation comprises about 5 mg of active ingredient and about 125 mg of released 速率 rate controlling polymer in a 250 mg lozenge. This typical formulation may further comprise, for example, about 94 grams of a filler, about 25 milligrams of an organic acid (or other agent that improves the rate of release in the intestine), and about 1 milligram of lubricant. In certain embodiments, a typical sustained release formulation comprises about 5 mg of active ingredient and about 15 mg of release 15 rate controlling polymer in a 250 mg lotion. This typical formulation may further comprise, for example, about 89 gram of filler, about 5 mg of organic acid (or other agent that improves the rate of release in the intestine), and about 1 mg of lubricant. In certain embodiments, a typical sustained release formulation comprises about 5 milligrams of active ingredient and about 92 milligrams of release 2 rate rate controlling polymer in a 250 milligram spin. This typical formulation may further comprise, for example, about 150 mg of a filler, about 5 mg of an organic acid (or other agent that improves the rate of release in the intestine), and about 1 mg of a lubricant. In certain embodiments, a typical sustained release formulation comprises about 2 grams of active ingredient in a 250 mg tablet and a release of about 92 mg. This typical formulation may include, for example, a loading of about 1% gram of hair, about 23 gram of organic acid (or other agent that improves the rate of release in the intestine), and about 1 milligram of lubricant. The sustained release formulation of the present invention may be in any form suitable for administration to the Wei animal and is not limited to the examples shown therein. ,

10 在某二具體Λ施例中’本發明之調配物為經塗敷的丸 粒或球形形式。此調配物之—個非為限制實例為一球形 物,其包括-在惰性基質中的活性化合物核心、,且塗敷以 -如揭示於本文之釋放速率控制聚合物。合適的釋放速率 控制聚合物之非為_的實例有描述於本文之與帅依或 無關的聚合物’諸如聚甲基丙烯酸賴、尤追吉特TMivs、 尤追吉特™ RS/RL、醋駄纖維素、乙基纖維素類、羥丙基 甲基纖維素類、㈣基纖維素類、㈣基乙基纖維素類及 其類似物。 15 纟某些具體實施例中,本發明之調配物為丸粒形式。 此調配物之貫例包括包含丸粒的那些,其中該丸粒包含一 在一惰性核心(例如,糖球)的表面上之活性化合物層,及一 包含-或多種釋放速率控制聚合物的表面塗層。在其它具 體實施例中,該調配物為膠囊形式(例如,硬或軟明膠膠囊 20 及/或粉末)。 在某些具體實施例中,本發明之調配物為錠劑形式。 在此塑式的典贺5周配物中之活性化合物的重量百分比從約 0.3%至約25%’且約G·3/。至約15%較佳。在某些具體實施例 中,於此型式的典型調配物中之活性化合物的重量百分比 42 200800198 為約1%至約25%,且約2%至約15%較佳。此錠劑之非為限 制的實例有經共壓緊的鍵劑,例如,“鍵劑在鍵劑中 (tablet-in-tablet)”及基質錠劑。 該經共壓緊的錠劑可包括一核心及一外部壓緊塗層。 5 該核心及外部壓緊塗層的任一種或二者可包含該活性化合 蠢 物及/或一或多種釋放速率控制聚合物。在某些具體實施例 中,該劑型為一種經共壓緊的錠劑,其中該核心及外在壓 緊塗層二者皆包括該活性化合物及至少一種釋放速率控制 ♦ 聚合物(其之一為羥丙基甲基纖維素較佳)。較佳的基質形成10 In a particular embodiment, the formulation of the invention is in the form of a coated pellet or sphere. A non-limiting example of such a formulation is a sphere comprising - an active compound core in an inert matrix, and coated with - a release rate controlling polymer as disclosed herein. Examples of suitable release rate control polymers are those described in this article with polymers that are not related to Shuaiyi, such as polymethacrylic acid Lai, Yuchaite TMivs, YuchaiteTM RS/RL, vinegar Cellulose, ethylcellulose, hydroxypropylmethylcellulose, (tetra)-based cellulose, (tetra)ethylcellulose, and the like. 15 纟 In certain embodiments, the formulations of the invention are in the form of pellets. Examples of such formulations include those comprising pellets, wherein the pellet comprises an active compound layer on the surface of an inert core (e.g., sugar spheres), and a surface comprising - or more release rate controlling polymers coating. In other specific embodiments, the formulation is in the form of a capsule (e.g., a hard or soft gelatin capsule 20 and/or powder). In certain embodiments, the formulations of the invention are in the form of tablets. The weight percentage of active compound in this plastic 5-week formulation is from about 0.3% to about 25%' and about G·3/. Up to about 15% is preferred. In certain embodiments, the weight percent of active compound in a typical formulation of this type is from about 1% to about 25%, and from about 2% to about 15%, and preferably from about 2% to about 15%. A non-limiting example of such a tablet is a co-compressed bond, for example, "tablet-in-tablet" and a matrix lozenge. The co-compacted tablet may comprise a core and an external compression coating. 5 either or both of the core and external compression coatings may comprise the active compound fool and/or one or more release rate controlling polymers. In certain embodiments, the dosage form is a co-compacted tablet wherein both the core and the external compression coating comprise the active compound and at least one release rate control ♦ polymer (one of Preferred is hydroxypropyl methylcellulose). Preferred matrix formation

10 聚合物包括選自於下列之羥丙基甲基纖維素:美多秀TM K4M'美多秀TMK15M、美多秀TMK100M、美多秀™Ε1〇Μ、 美多秀™E10M、美多秀tmE4M、美多秀K4M、美多秀™ K100LV、美多秀tmE50LV、美多秀™E5、美多秀tmE6、 美多秀™E15LV或其二或更多種之組合。 15 在某些具體實施例中,該錠劑為一種基質錠劑。該基 〜 質形成組成物可包括蠟、膠、聚環氧乙烷類、卡巴波卖員 ⑩ (carbapols)、經丙基甲基纖維素類、羥丙基纖維素類、夢乙 基纖維素類、聚甲基丙烯酸酯類或其它如描述於本胃 放速率控制聚合物。在某些具體實施例中,此基質鍵南丨可 2〇 藉由將該活性化合物與基質形成聚合物混合在 緊該混合物來製備。 在某些具體實施例中,該錠劑為一包括蠟基胃胃 錠劑(matrix-tablet)。此疑劑可如下製備··例如,您融_赠(諸 如巴西棕櫊堪、十八醇十六醇混合物或脂肪酸或其組人), 43 200800198 且一 直:ΓΓ物與—充填劑(諸如微晶纖維素和 =劑、充填劑、潤滑劑及其類似物),並冷輸^ 物。所‘備的調配物可選擇性塗敷 二 =放速率控制釋放聚合物,可以二:: 的例種合適的财適應本翻。此狀非為限制 的貝例包括巴西棕顧、十^十味混合物、脂肪酸或10 Polymers include hydroxypropyl methylcellulose selected from the following: Mido ShowTM K4M's Mondo ShowTM K15M, Metso ShowTM 100100M, Mido ShowTM Ε1〇Μ, Mondo TME10M, Mido Show tmE4M, Mido Show K4M, Mido ShowTM K100LV, Mido Show tmE50LV, Mondo TME5, Mondo TmE6, Mondo TME15LV or a combination of two or more. 15 In certain embodiments, the tablet is a matrix lozenge. The base-forming composition may include waxes, gums, polyethylene oxides, carbapols, propylmethylcelluloses, hydroxypropylcelluloses, dream ethylcelluloses. Classes, polymethacrylates or other polymers as described in the present gastric rate control. In certain embodiments, the matrix linkage can be prepared by mixing the active compound with a matrix forming polymer in the mixture. In some embodiments, the tablet is a matrix-tablet comprising a wax-based stomach. This suspect can be prepared as follows. For example, you can give it a gift (such as a Brazilian palm, a octadecyl hexadecanol mixture or a fatty acid or a group thereof), 43 200800198 and always: sputum and filler (such as micro Crystalline cellulose and = agents, fillers, lubricants and the like), and cold storage. The prepared preparation can be selectively coated with two = release rate controlled release polymer, which can be used as a suitable financial adaptation. This is not a limited case of Brazilian palm, a mixture of ten or ten flavors, fatty acids or

或更多種之混合物。該基質錠劑亦可包含-或多種如 描述於本文的釋放速率控制聚合物。 10 衫些具體實施财,該基質錠劑為-包含聚環氧乙Mixtures of more or more. The matrix lozenge may also comprise - or a plurality of release rate controlling polymers as described herein. 10 shirts are specifically implemented, the matrix tablet is - contains polyethylene oxide

烷基質的鍵劑’其中該基質可例如(不限於)為聚環氧乙烧樹 月曰’諸如山崔波麗歐斯(Sentry polyox)TM⑽盟碳化物股份 (有限)公司(Union Carbide Corporation))或其相等物。合適 的波麗歐斯包括波麗歐斯™ WSRN-10、N-6K、WSR-1105N 15或WSR 303。波麗歐斯观之分子量範圍可例如為1〇〇,〇〇〇至 7,000,000,或9〇〇,〇〇〇至5,000,000。該聚環氧乙烷可以總量 (以重量計)例如為該調配物之約5%或約10%至約40%或約 75%存在於該調配物中,從約5%至約4〇%或從約10%至約 20%較佳。該基質旋劑亦可包括一或多種如描述於本文的 2〇 釋放速率控制聚合物。 在某些具體實施例中,該基質錠劑為一包含一或多種 如描述於本文的釋放速率控制聚合物(作為該基質形成聚 合物)之錠劑。在某些具體實施例中,此錠劑包含一或多種 如描述於本文的基質形成羥丙基甲基纖維素類作為該基質 44 200800198 开&gt;成聚合物。在某些較佳具體實施例中,可優良地使用高 黏度的羥丙基甲基纖維素(諸如,美多秀τΜκ4Μ),其量(以 重量計)例如從約15%至約70%,且約丨8%至約5〇%較佳。亦 可使用其它南黏度聚合物’诸如例如,美多秀ΤΜ κι $jyj、美 5Alkyl-based bond' wherein the substrate can be, for example, without limitation, a polyepylene tree, such as Sentry polyoxTM (10) Union Carbide Corporation or Its equivalent. Suitable Polios include PolysTM WSRN-10, N-6K, WSR-1105N 15 or WSR 303. The molecular weight range of the Polios view can be, for example, 1 〇〇, 〇〇〇 to 7,000,000, or 9 〇〇, 〇〇〇 to 5,000,000. The polyethylene oxide can be present in the total amount (by weight), for example, from about 5% or from about 10% to about 40% or about 75% of the formulation, from about 5% to about 4 Torr. % or from about 10% to about 20% is preferred. The matrix blowing agent may also include one or more 2〇 release rate controlling polymers as described herein. In certain embodiments, the matrix tablet is a tablet comprising one or more release rate controlling polymers (as the matrix forming polymer) as described herein. In certain embodiments, the tablet comprises one or more hydroxypropyl methylcelluloses as described in the matrix as described herein as a substrate. In certain preferred embodiments, high viscosity hydroxypropyl methylcellulose (such as Metuoxiu Μ4Μ) may be used in excellent amounts, for example, from about 15% to about 70% by weight, And about 8% to about 5% are preferred. Other south viscosity polymers can also be used, such as, for example, Mido Hide κ κι $jyj, Beauty 5

10 1510 15

20 多秀TM Κ100Μ或美多秀™ E4M及其類似物。在某些具體實 施例中,可使用低黏度的羥丙基甲基纖維素, E50LV、美多秀™Ε5、美多秀™Ε6或美多秀ΤΜ·ν或其 組合及其類似物。在某些具體實施例中,可在該基質中使 用高黏度與低黏度羥丙基甲基纖維素二者。在某些具體實 施例中,當該低密度的Μ基甲基纖維素類之存在範圍二 約15%至約7G%(較仙25%至約·)時,該高密度之經丙 基甲基纖維素的存在量(以重量計)為約2()%至約⑽。 核W合物或成分可包含在本發明之劑 形的任何層中,且可使用釋放速率控制聚合物(其包含在含 該活性化合物之層巾:或社何射(包括包讀活性化人 物之層)’例如腸溶衣)來達成該活性化合物之持續釋放^ :容=塗佈至包含該活性化合物的丸粒、小珠或橢球 體,《雜化合射包含在該腸溶衣其自身中。 在本發明的基質鏡_配物之某些具 :性化合物的存在量(以重量計)為至約J 為約0.02°/。至約4%。 孕仏 =發明钱射塗財祕水的薄 或可塗敷與_目依或與阳無_聚合物二=色二 活性化合物之釋放速率進v控制该 某i具體實施例中,該錠劑塗 45 200800198 專&amp;層知溶衣或外罩、或其任何組合。在某些較佳具 -貝e例中,本發明之調配物的錠劑塗敷一薄膜。 本發明提供一種用來製備包含4_氰基 {( R) 2_[4-(2,3'二氫-笨并[ι,4]二今啡_5_基)_派讲小基]_ 5丙基卜基·苯酿胺、其醫藥上可接受的鹽、結構相 關的^合物及/或新陳代謝產物之持續釋放型調配物的方 法及/或製程。在-個具體實施例中,於可有效形成鍵劑之 條件下,壓緊一包含該有效成分與至少一種速率控制聚合 物及至少-種有機酸的組成物一段時間。在某些具體實施 10例中,言亥錠劑進一步塗敷例如一薄膜。 ,在另個具體貫施例巾,該有效成分與至少—種釋放 速率控制聚合物及最少一種有機酸混合,因此形成一混合 物孩此合物可在形成錠劑之條件下進一步壓緊一段時 間。在某些具體實施财,該錠劑進-步塗敷例如-薄膜。 I5在較佳的具體實施例中,該混合物為一乾混合物。 在某些具體實_巾,湘滾筒壓實來製備該調配 物。例如,可藉由粒化接著研磨來製備-錠劑。在某些具 體實施例中,粒化該有效成分、充填劑(例如,微晶纖 及聚合物(例如,羥丙基甲基纖維素),然後研磨。然後,:昆 2〇合該經研磨的細粒與其它賦形劑(諸如例如,檸檬酸及硬脂 酸鎂)。 9 根據本發明,亦包括許多已存在可用來獲得持續釋放 型口服調配物的任何技術,其包括上述描述的那些、和微 及巨膠囊、、纖維、聚合(高密度及低密度)及非聚合基質二 46 20080019820 Multi ShowTM Κ100Μ or Mido ShowTM E4M and its analogues. In certain embodiments, low viscosity hydroxypropyl methylcellulose, E50LV, Metso® Ε5, Metodox® 6 or Metsubishi® ν or combinations thereof and the like can be used. In certain embodiments, both high viscosity and low viscosity hydroxypropyl methylcellulose can be used in the matrix. In certain embodiments, when the low density thiomethylcellulose is present in the range of from about 15% to about 7 G% (more than 25% to about 5%), the high density of the propyl group The base cellulose is present in an amount (by weight) of from about 2% to about (10). The core composition or component may be included in any layer of the dosage form of the present invention, and a release rate controlling polymer (which is included in the layer containing the active compound: or a social shot (including inclusion of an active person) may be used. a layer, such as an enteric coating, to achieve sustained release of the active compound: a coating onto a pellet, bead or ellipsoid comprising the active compound, and a hybrid injection comprising the enteric coating itself in. Some of the matrix mirror-compounds of the present invention are present in an amount (by weight) of from about 0.02 to about J. Up to about 4%. Pregnancy = inventing the thin or smear of the drug, and the release rate of the polymer or the cation涂45 200800198 Special &amp; layer known as a coating or cover, or any combination thereof. In certain preferred embodiments, the tablet of the formulation of the present invention is coated with a film. The present invention provides a method for preparing a 4-cyano group {(R) 2_[4-(2,3' dihydro-abido[ι,4]diamyl _5-yl)-speaking small group]_ A method and/or process for the sustained release formulation of 5 propylbuprofen, a pharmaceutically acceptable salt thereof, a structurally related compound, and/or a metabolite. In a specific embodiment, a composition comprising the active ingredient and at least one rate controlling polymer and at least one organic acid is compacted for a period of time under conditions effective to form a bonding agent. In some embodiments, the tablet is further coated with, for example, a film. In another specific embodiment, the active ingredient is mixed with at least one release rate controlling polymer and at least one organic acid, thereby forming a mixture which can be further compacted for a period of time under conditions of forming a tablet. . In some embodiments, the tablet is coated, for example, with a film. I5 In a preferred embodiment, the mixture is a dry mixture. In some specific cases, the Hunan roller is compacted to prepare the formulation. For example, a tablet can be prepared by granulation followed by milling. In some embodiments, the active ingredient, a filler (eg, microcrystalline fibers and a polymer (eg, hydroxypropyl methylcellulose) are granulated and then ground. Then, the: 2 Fines and other excipients such as, for example, citric acid and magnesium stearate. 9 In accordance with the present invention, there are also a number of techniques that are already available to obtain sustained release oral formulations, including those described above. , and micro and giant capsules, fibers, polymerization (high density and low density) and non-polymeric matrix II 46 200800198

10 1510 15

者'泡泳塑料、脂粒、微膠粒、凝膠、將藥物物理分散在 聚=、多孔、務微多孔或非多孔基質中、吸附到離子交 換树月曰上、與化學或生物可分解的基質及其類似物混合或 2到^上面。可使用能讓該藥物達到單-最大濃度的方 =配製該活性化合物,或可將該藥物配製成能利用二或 皮峰脈衝來輪运。可經由液體或固體刪的方式來 B ^ ‘ a液體㈣包括糖漿、懸浮液、乳液、藥液酿 八類似物。該液體載劑可包括有機或水性驗,且可進一 = 醫藥添加劑來改質,諸如溶解劑、乳化劑、缓 二承' ㈣劑、調味劑、懸浮劑、增輔、著色 =^又⑽劑、安定劑或滲透調節劑(osmoregulators)、 S…组合。該水性載劑亦可包括例如聚合物質或油。 叮七人Θ亦提供立即釋放劑型。本發明之立即釋放劑型 I包⑼有效成分,例如,4·氰仏料2仰,3-二氮_ 本开[1,4]—。终5_基)則]_基]_丙基卜ν_Μ·2_基-苯醯 其醫紅可接受的鹽、結翻_化合滅新陳代謝 如在捕~釋放型細&amp;物巾般,在某些具體實施例 中。亥有效成分可經微粒化。該立即釋放型調配物實質上 無驗較佳。 在較佳的具體實施例中,該立即釋放型調配物包含該 有效成分、至少-種充填劑及至少__滑劑。本發明之 調酉新己物可額外包括任何多種能對該調配物授予有益性質的 物質。此物質包括例如溶解度改質劑(諸如界面活性劑,諸 如例如’硫酸月桂賴納、酸性化合物)、充填劑、潤滑劑、 47 200800198 抗氧化劑、PH改質劑、螯合劑、崩解劑、結合劑、安定岬 賦形劑(其包括可溶於水的賦形劑,諸如糖類;及水分散賦 形劑,諸如微晶纖維素、膠態聚矽氧二氧化物、經矽化的 微晶纖維素及澱粉)。該潤滑劑的典型範圍從約例如〇 2%至 5約5重量%。在本發明的一個具體實施例中,該潤滑劑在15〇 毫克劑型中之量從約0.5至約1毫克。該充填劑的範圍可例 如從約70%至約99重量%。在本發明的一個具體實施例中, 該充填劑在150毫克劑型中之量從約8〇至約149毫克。 本發明之立即釋放劑型可包括任何方便百分比及份 10 (相對於其它成分)的活性化合物。該調配物典型包含約 0.05%至約10%百分比的有效成分。 —例如,在一個具體實施例中,該立即釋放型調配物於 每份之有效成分(例如,4_氰基善{(2幻_2私(2,3_二氫-苯并 [1’4]一%畊-5-基)·略π井小基p丙基卜队吡咬_2_基-苯醯胺或 μ其醫藥上可接受的鹽)下包含約297份的充填劑及約15份的 潤滑劑。 在另一個具體實施例中,該立即釋放型調配物於每份 之有效成分(例如,4_氰基善{(叫2-[4-(2,3_二氫-苯并[M] :圬讲-5-基)-哌畊基]•丙基吡啶-2_基_苯醯胺或其醫 藥上可接又的鹽)下包含約29份的充填劑及約0.15份的潤滑 劑。 在另一個具體實施例中,該立即釋放型調配物於每份 之纽成分(例如,4_氰基县{(2R)-2-[4_(2,3_二氫-苯并[1,4] 二㈣-5_基)丙基}_N』比七2|苯酿胺或其醫 48 200800198 藥上可接受的鹽)下包含約灣的充填劑及約0.75份的潤 滑劑。 固具體實施例中,該立即釋放型調配物於每份 之纽成分(例如,4_氰基·N_{叫2仰,3•二氫_苯并_ ♦可。井基)辰畊七基]_丙基卜Ν_π比咬_2_基_苯醯胺或其醫 藥上可接受的鹽)下包含約58份的充填劑及約q 3份的潤滑 劑0 由本七明所預計的立即釋放型調配物可為任何合適於 給藥至哺乳動物的形式,且不限於在此所顯現之實例。 10 本發明提供—種包含4·氰基_Ν·{叫2_[4_(2,3_二氫_ 苯并[1,4] 一啊基)+井小基]_丙基卜比唆冬基-苯隨 胺、其醫藥上可接受的鹽及/或其新陳代謝產物之立即釋放 _配物的製備方法及/或製程。在—個具體實施例中,於 可有效形成錠劑之條件下,壓緊一包含該有效成分與至少 15 一種充填劑及至少一種潤滑劑的組成物一段時間。在某些 具體實施例中,該錠劑進一步塗敷例如一薄膜。 在某些具體實施例中,該有效成分與至少_種充填劑 及至乂種/閑滑劑混合,因此形成一混合物。在可形成錠 劑之條件下’進一步壓緊該混合物一段時間。在某些具體 2〇 貫細例中’该鍵劑進一步塗敷例如^一薄膜。 在某些具體實施例中,利用滾筒壓實來製備該調配物。 該立即釋放劑型可如持續釋放劑型般例如為一經塗敷 的丸粒、球形、膠囊、粉末或疑劑形式。 因此,根據本發明,已提供持續釋放及立即釋放劑型, 49 200800198 其包括口服及非口服的持續釋放劑量調配物。因此,本發 ^包括許多已存在可祕立即釋放_口服㈣調配物之 每種技術。根據本發明之活性化合物可經由黏膜、陰道、 直腸、眼睛、經皮、子宮内途徑及其類似途徑來傳遞。 5 因此,本發明尤其提供一種4-氰基_N-{(2R)-2-[4&lt;2 3_ 二氫-苯并[1,4]二噚畊-5-基)_哌啡^-基卜丙基}·Ν•吡啶基 笨醯胺、其醫藥上可接受的鹽、結構相關的化合物及/或新 陳代謝產物之劑型、一種立即傳遞屯氰基 -Ν·{(2ίΙ)-2_[4·(2,3·二氫-苯并[1,4]二,__5_基)4啡小基]_ 10丙基卜Ν』比,定_2_基_苯驢胺、其醫藥上可接受的鹽、結構相 關的化合物及/或新陳代謝產物之方法、及—種持續傳遞^ 氛基县{(2办2_[4_(2,3·二氫.苯并[Μ]二十井^基)“辰 畊小基l·丙基}-Ν_吡咬_2_基-苯醯胺、其醫藥上可接受的 鹽、結構相關的化合物及/或新陳代謝產物超過一段延長的 15時間週期之方法。在某些具體實施例中,可每24小時給藥 &quot;亥劑型一次、每12小時一次或每6小時一次。 ” 描述於本文的劑型可經由許多途徑(包括口服給藥)來 促進忒活性化合物在哺乳動物中立即或持續釋放。在某此 較佳的具體實施例中,該劑型包括化合物孓氰基 N {(2R) 2仏(2,3_二氫苯并[1,4]二十井_5_基)着啡|基卜 丙基}-Ν-吡啶_2_基_苯醯胺(其鹽酸鹽較佳,通常指為歹=口 肉坦)。 ° 在本發明的較佳具體實施例中,提供一種包含該藥物 歹]扣肉坦與一醫藥上可接受的載劑之口服持續釋放劑型。 50 200800198 在-個觀財,包含列扣肖坦之持續釋放顚(諸如描述於 本文的那些)擁有經改良的藥物動力學曲線(如與立即釋放 劑型比較)。當給藥至患者群時,包含列扣肉坦的口服劑型 可在患者群中獲得平均最大(例如,波峰)的列扣肉坦血^農 5度(Cmax),及在患者群中獲得平均最小的列扣肉坦血漿濃= (cmin)。本發明之較佳持續釋放劑型將在患者群中減少其在 血漿程度間的變動。特別是,本發明之較佳持續 釋放劑型將在患者群中減少其在最大與谷底血漿程度間 變化。 10 如使用於本文,有效成分(諸如,列扣肉坦)在血漿中的 波峰或最大濃度(cmax)、有效成分(諸如,列扣肉坦)在血漿 中於濃度對時間曲線(AUC)下之面積及有效成分(諸如,列 扣肉坦)在血漿中到達最大血漿濃度的時間(tmax),皆為熟知 此技藝之人士所熟知的藥物動力學參數。(應房丝场藥齋學 15 及藥物動力學(Applied Bi〇pharmaceutics and 尸/^腦⑽^妨叫,第7章;史卡夠(Scargle)及游(Yu),第4 版,1999)。除非其它方面有所指出,否則在禁食群中,於 穩定狀態下測量該些藥物動力學參數。濃度對時間曲線可 度量出在口服給藥一劑型後,於患者的血清中之有效成分 20的濃度對時間之關係。“Cmax,,為在將該劑型給藥至標的物 後’於患者之血清中的有效成分之最大濃度。“tmax”為在將 該劑型給藥至患者後,該有效成分於患者的血清中到達最 大濃度之時間。在給藥該藥物後之任何時間點處的血漿藥 物濃度提出為(如c9*時或C24〃4)。“c谷底”指為在劑量區間 51 200800198 的底端處之血漿藥物濃度。“血漿藥物濃度,,或“血漿濃度” 通系表示為每單位體積的質量,典型為每毫升之奈克數。 熟知技藝之人士將察知,在各別患者中所獲得的血漿 藥物濃度將由於在患者間對影響藥物之吸收、分佈、新陳 5代謝及排泄的許多參數上之變化性而變化。為此理由,除 非其它方面有所指出,否則於本文中使用從患者組(“患者 群”)中所獲得的平均值。 如使用於本文,根據線性化/註銷(linear up/l〇g d〇wn) 梯形法則來計异該有效成分(例如,列扣肉坦)於血漿中之濃 10度對時間的曲線下之面積(AUC)。藉由比較到達最大濃度 (Cmax)的時間(tmax)來估計“傳遞速率,,或‘‘吸收速率,,。使用無 母數方法來分析Cmax及tmax二者。使用變異數分析(anova) 來進彳于立即及持績釋放型調配物的藥物動力學之比較。 P&lt;0.05視為顯著。結果以平均值+/_SEM來提供。等值的藥 15物動力學參數通常指為該測試調配物對該參考調配物的藥 物動力學參數之中心值的比率其90%之信賴區間包含在約 0.8至約1.25内。 在本發明的一個觀點中,該持續釋放型調配物將在患 者中達成一cmax及在患者中達成一C24,其中在患者群中的 20 Cmax/C24之平均比率從約5 : 1至约1.1 ·· i。在某些較佳具體 實施例中’於患者群中的Cmax/C24之平均比率從約3 ·· i至約 1.1 :卜約2.8 : 1 至約 L1 ·· i、約2·5至約 u ·· i、約2 3 ·· 1 至约1·1 : 1或甚至約2 : 1至約1.1 : 1或約1 5 : i至約i i : i。 因此,在某些具體實施例中,在患者群中的(:11^/(:24之平均 52 200800198 率為、勺5。在其它具體實施例中,在患者群中的cmax/c24 之平均比率為約3、約2.8、約2.5或甚至約2.3、約2或約1.5。 在某,具體實施例中,在將單一劑量的藥物給藥至患者後 來測里k些c_及C24值。在某些具體實施例中,給藥5毫克 5之單-劑量的藥物。在其它具體實施例中,於禁食群中, 在穩定狀態下測量這些cmax及c24值。'Sponge plastics, lipid granules, micelles, gels, physically disperse the drug in poly=, porous, microporous or non-porous matrix, adsorb onto the ion exchange tree, and chemically or biodegradable The matrix and its analogues are mixed or 2 to ^ above. The active compound can be formulated using a formula that allows the drug to achieve a single-maximum concentration, or the drug can be formulated to be capable of being shipped by a second or picopulse pulse. B ^ ‘ a liquid (4) includes syrups, suspensions, emulsions, and medicinal solutions. The liquid carrier may include an organic or water-based test, and may be modified by a pharmaceutical additive such as a solubilizing agent, an emulsifier, a slow-reducing agent, a flavoring agent, a suspending agent, a supplement, a coloring, and a (10) agent. , stabilizer or osmoregulators, S... combination. The aqueous carrier can also include, for example, a polymeric substance or an oil. Seven people also provide immediate release dosage forms. The immediate release dosage form of the present invention I (9) active ingredient, for example, 4·cyanide 2, 3-zirconium_open [1,4]-. The final 5_ base) then] _ base] _ propyl ν Μ 2 _ _ 2 - 醯 醯 醯 醯 醯 醯 医 医 医 医 医 医 醯 醯 醯 醯 醯 可接受 可接受 可接受 可接受 可接受 可接受 可接受 可接受 可接受 可接受 可接受 可接受 可接受 可接受 可接受 可接受 可接受 可接受 可接受 可接受 可接受 可接受 可接受In some specific embodiments. The active ingredient of Hai can be micronized. The immediate release formulation is substantially non-testable. In a preferred embodiment, the immediate release formulation comprises the active ingredient, at least one filler, and at least a slip agent. The novelty of the present invention may additionally include any of a wide variety of materials which impart beneficial properties to the formulation. Such materials include, for example, solubility modifiers (such as surfactants such as, for example, 'lauric acid lysine, acidic compounds), fillers, lubricants, 47 200800198 antioxidants, pH modifiers, chelating agents, disintegrants, combinations Agent, diazepam excipient (which includes water-soluble excipients such as sugars; and water-dispersible excipients such as microcrystalline cellulose, colloidal polyoxynitride, deuterated microcrystalline fibers And starch). Typical ranges for such lubricants range from about 〇 2% to about 5 5% by weight. In one embodiment of the invention, the amount of the lubricant in the 15 mg form is from about 0.5 to about 1 mg. The range of the filler can be, for example, from about 70% to about 99% by weight. In a particular embodiment of the invention, the filler is present in an amount of from about 8 Torr to about 149 mg in a 150 mg dosage form. The immediate release dosage form of the present invention may comprise any convenient percentage and part 10 (relative to other ingredients) of the active compound. The formulation typically comprises from about 0.05% to about 10% by weight of the active ingredient. - For example, in one embodiment, the immediate release formulation is in each active ingredient (eg, 4-cyano-characteristic {(2,3-dihydro-benzo[1') 4] 1% cultivating -5-base) · slightly π well small base p propyl group pyridine bite _2 _ benzoylamine or μ its pharmaceutically acceptable salt) containing about 297 parts of filler and Approximately 15 parts of the lubricant. In another embodiment, the immediate release formulation is in each of the active ingredients (eg, 4-cyano-character { (called 2-[4-(2,3-dihydro) -Benzo[M]: 圬-5-yl)-piperidinyl] propylpyridin-2-ylbenzoylamine or a pharmaceutically acceptable salt thereof, comprising about 29 parts of a filler and About 0.15 parts of lubricant. In another specific embodiment, the immediate release formulation is in each of the ingredients (for example, 4-cyano county {(2R)-2-[4_(2,3_two) Hydrogen-benzo[1,4]di(tetra)-5-yl)propyl}_N" than 7-2|Benzene amine or its medicinal salt 48 200800198 pharmaceutically acceptable salt) contains about bay filler and about 0.75 Part of the lubricant. In a specific embodiment, the immediate release formulation is in each of the ingredients (for example, 4_cyano·N_{called 2 Yang, 3•2 _Benzene _ ♦ can be. Well base) 耕 七 七 ] _ _ _ 比 比 比 比 比 比 包含 包含 包含 包含 包含 包含 包含 包含 包含 包含 包含 包含 包含 包含 包含 包含 包含 包含 包含 包含 包含 包含 包含 包含 包含 包含 包含 包含 包含 包含3 parts of lubricant 0 The immediate release formulation contemplated by the present invention may be in any form suitable for administration to a mammal, and is not limited to the examples presented herein. 10 The present invention provides a species comprising 4·cyanide Base _Ν·{called 2_[4_(2,3_dihydro-benzo[1,4]-a-based)+well small base]_propyl buppyrazine-phenyl-amine, its medicinal Immediate release of the accepted salt and/or its metabolites - preparation method and/or process of the formulation. In a specific embodiment, under the condition that the tablet can be effectively formed, the compaction comprises the active ingredient and at least 15 A composition of a filler and at least one lubricant for a period of time. In some embodiments, the tablet is further coated with, for example, a film. In certain embodiments, the active ingredient is at least one of the fillers And mixing with the skid/slip agent, thus forming a mixture. Further compacting the mixture under conditions in which the tablet can be formed In some specific examples, the bond is further coated with, for example, a film. In some embodiments, the formulation is prepared by roller compaction. The immediate release dosage form can be continued. The release dosage form is, for example, in the form of a coated pellet, sphere, capsule, powder or suspect. Thus, in accordance with the present invention, sustained release and immediate release dosage forms have been provided, 49 200800198 which includes both oral and parenteral sustained release dosage formulations. Therefore, the present invention includes a number of techniques for the presence of a secretis immediate release-oral (four) formulation. The active compounds according to the invention can be delivered via mucosal, vaginal, rectal, ocular, transdermal, intrauterine routes and the like. 5 Therefore, the present invention provides, inter alia, a 4-cyano-N-{(2R)-2-[4&lt;2 3 -dihydro-benzo[1,4]dioxin-5-yl)-piperidin- a dosage form of kibpropyl}·Ν•pyridyl alum amide, a pharmaceutically acceptable salt thereof, a structure-related compound, and/or a metabolite, an immediate delivery of cyanocyano-Ν·{(2ίΙ)-2_[4· (2,3·Dihydro-benzo[1,4]di, __5_yl)4-mentyl-based]_10-propyl bromide ratio, fixed _2_yl-benzoguanamine, which is pharmaceutically acceptable Salt, structure-related compounds and/or methods of metabolites, and continuous transmission ^ Essence County {(2 Office 2_[4_(2,3·Dihydro.benzo[[]] twenty wells) Method for "Chen Geng Xiaoji l·propyl}-Ν_pyridone_2_yl-benzoguanamine, a pharmaceutically acceptable salt thereof, a structure-related compound and/or a metabolite over a prolonged period of 15 cycles In certain embodiments, the dosage form can be administered every 24 hours, once every 12 hours, or every 6 hours. "The dosage forms described herein can be promoted via a number of routes including oral administration. Immediate or sustained release of the active compound in a mammal In a preferred embodiment, the dosage form comprises the compound decyl cyano N {(2R) 2 仏 (2,3-dihydrobenzo[1,4] ico[_5_yl]) | kibpropyl}-purine-pyridine-2-yl-benzoylamine (the preferred hydrochloride salt of which is generally referred to as 歹=口肉坦). In a preferred embodiment of the invention, a歹 歹 扣 扣 扣 与 与 与 与 与 50 50 50 50 50 50 50 50 50 50 50 50 50 50 50 50 50 50 50 50 50 50 50 50 50 50 50 50 50 50 50 50 50 50 50 50 50 50 50 50 50 50 50 Pharmacokinetic curves (as compared to immediate release dosage forms). When administered to a patient population, an oral dosage form containing a scutellaria can achieve an average maximum (eg, crest) in the patient population. 5 degrees (Cmax), and the average minimum sedum plasma concentration = (cmin) obtained in the patient population. The preferred sustained release dosage form of the invention will reduce its variation in plasma levels in the patient population. The preferred sustained release dosage form of the present invention will reduce its variation in maximum and trough plasma levels in the patient population. As used herein, the peak or maximum concentration (cmax) of an active ingredient (such as scutellaria) in plasma, the area of an active ingredient (such as scutellaria) in plasma versus concentration versus time (AUC) And the time (tmax) at which the active ingredient (such as the scutellaria) reaches the maximum plasma concentration in the plasma is a pharmacokinetic parameter well known to those skilled in the art. Kinetics (Applied Bi〇pharmaceutics and corpse / ^ brain (10) ^ 叫, Chapter 7; Scarle and Yu (Yu), 4th edition, 1999). These pharmacokinetic parameters were measured in a steady state in the fasting group unless otherwise noted. The concentration versus time curve measures the concentration of active ingredient 20 in the serum of a patient versus time after oral administration of a dosage form. "Cmax, is the maximum concentration of the active ingredient in the serum of the patient after administration of the dosage form to the subject. "tmax" is the active ingredient in the serum of the patient after administration of the dosage form to the patient The time at which the maximum concentration is reached. The plasma drug concentration at any point after administration of the drug is (e.g., c9* or C24〃4). "c-bottom" refers to the bottom of the dose interval 51 200800198. Plasma drug concentration. "Plasma drug concentration," or "plasma concentration" is expressed as mass per unit volume, typically in nanograms per milliliter. Those skilled in the art will recognize that the plasma drug concentration obtained in each patient will vary due to variability in the parameters affecting absorption, distribution, metabolism, and excretion of the drug between patients. For this reason, the average values obtained from the patient group ("patient group") are used herein unless otherwise indicated. As used herein, the area under the curve of 10 degree concentration versus time in plasma is calculated according to the linear up/l〇gd〇wn trapezoidal rule. (AUC). Estimate the "transfer rate," or "absorption rate" by comparing the time (tmax) to the maximum concentration (Cmax). Use the mother-free method to analyze both Cmax and tmax. Use the variance analysis (anova) Comparison of pharmacokinetics between immediate and performance-release formulations. P &lt; 0.05 is considered significant. Results are provided as mean + / _ SEM. Equivalent drug 15 kinetic parameters are usually referred to for this test. The 90% confidence interval for the ratio of the central value of the pharmacokinetic parameter of the reference formulation is comprised between about 0.8 and about 1.25. In one aspect of the invention, the sustained release formulation will be achieved in a patient a cmax and a C24 in the patient, wherein the average ratio of 20 Cmax/C24 in the patient population ranges from about 5:1 to about 1.1··i. In certain preferred embodiments, 'in the patient population The average ratio of Cmax/C24 is from about 3 ·· i to about 1.1 : 约 2.8 : 1 to about L1 ·· i, about 2·5 to about u ·· i, about 2 3 ·· 1 to about 1·1 : 1 or even about 2 : 1 to about 1.1 : 1 or about 1 5 : i to about ii : i. Therefore, in some embodiments , in the patient population (: 11 ^ / (: 24 average 52 200800198 rate, spoon 5. In other specific embodiments, the average ratio of cmax / c24 in the patient population is about 3, about 2.8, about 2.5 or even about 2.3, about 2 or about 1.5. In a particular embodiment, the c_ and C24 values are measured after administration of a single dose of the drug to the patient. In some embodiments, 5 mg 5 of a single-dose drug. In other specific embodiments, these cmax and c24 values are measured in a steady state in a fasted group.

在本發明的一個觀點中,該持續釋放型調配物將在患 者中達成Cmax及在患者中達成一c24,其中在患者群中之 Cmax/C24的平均比率從約24:1至約i 1:1、約至約1」: 10卜約2 : 1至約u:卜約h9至約U:卜約1.5: 1至約1.1 : 1或約1.25 · 1至約U :卜因此,在某些具體實施例中,在 患者群中之C職/C24的平均比率為約23。在其它具體實施例 中在患者群中之cmax/c24的平均比率為約2、約19、約i 5 或甚至約I.25。在-個觀點中,於禁食群中,在穩定狀態 15下(例如’在將該藥物之28次每日㈣給藥至患者後)測量這 些cmaxK24值。在某些具體實施例中,以1〇毫克的每日劑 量來給藥該藥物。在其它具體實施例中,在將單一劑量的 藥物給藥至患者後,測量這些Cmax及c24值。 在某些具體實施例中,在患者群中之Cmax與Ci2或c24 20間的變化可由百分比變化來表現出其特徵。例如,在某些 觀點中,在已給藥列扣肉坦之患者群中,其c謹/C24或 cmax/c12之平均比率變化將不超過約25〇% 例中,在患者群中之⑽也』_二= 不超過約100%、約50%、⑽%或甚至約25%。在某些具體 53 200800198 實施例中’在穩定狀態下測量cmax及C12或c24。在其它具體 實施例中’在將單一劑量的藥物給藥至患者後,測量cmax 及 Cmin 〇 在本發明的某些觀點中,該持續釋放型調配物將在患 5者群中達成一平均cmax及在患者群中達成一平均c24,其中 该平均Cmax/平均c24的比率從約5 : 1至約1.1 : 1。在某些較 佳具體實施例中,平均Cmax/平均c24的比率從約2.8 : 1至約 1·1 ·· 1、約2 : 4至約 1.1 : 1、約2.3至約 1.1 : 1、約2 : 1至约 1.1 : 1、約1.5 : 1至約i_i : 1或甚至約1 25 : i至約ij : 1。 10因此,在某些具體實施例中,平均Cmax/平均C24之比率為約 5、約2.8、約2.4、約2.3、約2、約1.5或甚至約1.25。在一 個觀點中’在將單一劑量之藥物至給藥患者後,測量這些 Cmax及C24值。在某些具體實施例中,給藥5毫克的單〆劑量 藥物。在一個觀點中,於禁食群中,在穩定狀態下(例如, 15在將該藥物之28次每曰劑量給藥至患者後),測量這些cmax 及C24值。 在本發明的一個觀點中,該持續釋放型調配物將在患 者群中達成一平均Cmax及在患者群中達成一平均c12,其中 該平均Cmax/平均Cu之比率從約3 : 1至約1·1 : 1。在某些較 20佳具體實施例中,平均Cmax/平均c12的比率從約2.3 : 1至約 1·1·1、約 2:1 至約 ΐ·ι:ι、約} 9至約 i j : i、約 15 : 1至 約1.1 : 1或約1.25 : 1至約u : !。因此,在某些具體實施 例中,平均Cmax/平均C〗2之比率為約2.3。在其它具體實施例 中,平均Cmax/平均Cu的比率為約2、約、約175或甚至 54 200800198 、勺1·5約1·4、約1·3、約⑵、約i2或約u。在某些呈體 實施例中,在穩定狀態下測量I及^。在其它具體實施 {^^單—劑量的藥物給藥至患者後,測量C祖及Cl2。 在某些具體實施例中,以5毫克的劑量給藥該藥物。 某二車乂L的持績釋放型調配物可將列扣肉坦之治療程 ,維持超過24小時的劑量週期,從而可提供每日—次的劑 m °較佳的持續釋放型調配物亦可減低與列扣肉坦治療相 13的副作用之發生率或嚴重性。該負面副作用包括頭痛、 頭昏眼花、感覺異常、視覺失常、耳鳴或其組合。 1〇 減少副作用的發生率指為當在給藥立即釋放型列扣肉 坦调配物之比較用的群組中進行度量時,在患者群中之副 作用的發生率會減低,而非該副作用全部消失。 車乂佳的疋’该具有經改良的藥物動力學曲線之持續釋 放里調配物具有—溶解曲線,其在約2小時的度量處將釋放 15出不超過約4〇〇/0之列扣肉坦,及在約12小時的度量處將釋 放出約50至85〇/〇之列扣肉坦。 可於37〇下,使用裝置11(槳式),,以50rpm,在900毫升 的USPpH6.8之磷酸鹽緩衝液中(當傳至usp中時),來測量 _持_放5^定劑或口服㈣之溶解度。可對每種鍵劑或 20齊!型使用-沉降劑。在詳細指明的時間處採集該溶解媒質 之經過滤的樣品。可在逆相高性能液相層析管柱上,利用 色層分析法來分析該樣品且與熟知濃度的標準品一起,來 測量所溶解的有效成分之量。藉由比較該樣品的色譜圖之 波峰反應與伴隨所獲得的標準色譜圖之波峰反應,來測量 55 200800198 在每個樣品中的有效成分之濃度。 某些持續釋放型調配物可較佳地減低該列扣肉坦的波 峰血漿程度,而在列扣肉坦的Cmin(例如,谷底)程度上或列 扣肉坦在患者中之吸收範圍上沒有實質上的衝擊。當與立 5即釋放劑型比較時,該持續釋放型調配物可達成某些藥物 動力學參數較佳。此立即釋放型調配物的一個實例有混合 在微晶纖維素(諸如阿維梭® (FMC股份(有限)公司的商 ‘)乳糖單水合物及硬脂酸鎂中的列扣肉坦,其在o.1N的 HC1溶液中,可於少於〇25小時内產生大於75%之有效成分 10 的溶解度。 本發明之某些持續釋放型調配物可較佳地在患者群中 達成一平均cmax,其低於在給藥立即釋放劑量形式的患者 群中所達成之平均cmax。該平均波峰血漿程度減低至少約 10/◦較佳’至少約20%更佳。在某些具體實施例中,該平均 15波峰血漿程度減低至少約30%或更多。在某些具體實施例 中’該平均波峰血漿程度減低大於50%。單一劑量5毫克的 口服劑量調配物在患者群中達成約1〇〇奈克/毫升或較低之 平均Cmax較佳。在本發明的另一個觀點中,1〇毫克的列扣 肉坦之多重每曰劑量可在患者群中達成約350奈克/毫升的 20平均Cmax。在某些具體實施例中,在穩定狀態下測量Cmax。 在其它具體實施例中,在將單一劑量的藥物給藥至患者後 來測量Cmax。 本發明的某些持續釋放型調配物可較佳地在患者群中 達成一平均tmax,其大於在給藥立即釋放劑型之患者群中所 56 200800198 達成的平均tmax。該tmax為二倍、三倍或甚至四倍較佳。在 本發明之某些具體實施例中,在給藥列扣肉坦的持續釋放 劑型之患者群中所達成的平均tmax為約4至約8小時。 本發明之持續釋放型調配物可較佳地在患者群中達成 一平均C谷底,其實質上等於在給藥立即釋放劑型之患者群中 所達成的。維持可與由立即釋放劑型所獲得的那些谷底In one aspect of the invention, the sustained release formulation will achieve a Cmax in the patient and a c24 in the patient, wherein the average ratio of Cmax/C24 in the patient population ranges from about 24:1 to about i: 1. About to about 1": 10b about 2: 1 to about u: 卜 about h9 to about U: 卜 about 1.5: 1 to about 1.1: 1 or about 1.25 · 1 to about U: Bu, therefore, in certain In a specific embodiment, the average ratio of C jobs/C24 in the patient population is about 23. In other embodiments, the average ratio of cmax/c24 in the patient population is about 2, about 19, about i 5 or even about 1.25. In one view, these cmaxK24 values are measured in the fasting group under steady state 15 (e.g., after 28 times (four) of the drug is administered to the patient). In certain embodiments, the drug is administered in a daily dose of 1 mg. In other embodiments, these Cmax and c24 values are measured after a single dose of the drug is administered to the patient. In some embodiments, the change between Cmax and Ci2 or c24 20 in the patient population can be characterized by a percentage change. For example, in some cases, the average ratio of c/C24 or cmax/c12 in a group of patients who have been administered sedum will not exceed about 25%, in the patient group (10) Also _ _ = no more than about 100%, about 50%, (10)% or even about 25%. In certain specific 53 200800198 embodiments, cmax and C12 or c24 are measured in a steady state. In other embodiments, 'cmax and Cmin are measured after a single dose of the drug is administered to the patient. In certain aspects of the invention, the sustained release formulation will achieve an average cmax in the group of 5 patients. And an average c24 is reached in the patient population, wherein the ratio of the average Cmax/average c24 is from about 5:1 to about 1.1:1. In certain preferred embodiments, the ratio of average Cmax/average c24 is from about 2.8:1 to about 1·1··1, from about 2:4 to about 1.1:1, from about 2.3 to about 1.1:1, about 2 : 1 to about 1.1 : 1, about 1.5 : 1 to about i_i : 1 or even about 1 25 : i to about ij : 1. Thus, in some embodiments, the ratio of average Cmax/average C24 is about 5, about 2.8, about 2.4, about 2.3, about 2, about 1.5, or even about 1.25. In one aspect, these Cmax and C24 values were measured after a single dose of the drug was administered to the patient. In certain embodiments, 5 mg of a single dose of the drug is administered. In one aspect, these cmax and C24 values are measured in a fasted group under steady state (eg, 15 after 28 doses of the drug are administered to the patient). In one aspect of the invention, the sustained release formulation will achieve an average Cmax in the patient population and an average c12 in the patient population, wherein the average Cmax/average Cu ratio is from about 3:1 to about 1 ·1 : 1. In some preferred embodiments, the average Cmax/average c12 ratio is from about 2.3:1 to about 1.1, 1, about 2:1 to about ΐ·ι:ι, about 9 to about ij: i, about 15:1 to about 1.1:1 or about 1.25:1 to about u: !. Thus, in some embodiments, the ratio of average Cmax/average C&gt;2 is about 2.3. In other embodiments, the ratio of average Cmax/average Cu is about 2, about, about 175, or even 54 200800198, scoop 1·5 about 1.4, about 1.3, about (2), about i2, or about u. In some of the present embodiments, I and ^ are measured in a steady state. C progenitors and Cl2 were measured after other specific implementations of the drug administration to the patient. In certain embodiments, the drug is administered in a dose of 5 mg. A two-car 乂L's performance-release formulation can maintain a treatment period of more than 24 hours, which provides a daily-time dose of better sustained release formulation. It can reduce the incidence or severity of side effects with the treatment of phase 13 of the treatment. This negative side effect includes headache, dizziness, paresthesia, visual disturbances, tinnitus or a combination thereof. 1) The incidence of side effects is reduced. When measured in a group for comparison of the immediate release type of scutellaria, the incidence of side effects in the patient group is reduced, not all of the side effects. disappear. In the sustained release of the improved pharmacokinetic profile, the formulation has a dissolution profile that will release 15 out of the meat of no more than about 4 〇〇/0 at a measurement of about 2 hours. Tan, and about 50 to 85 〇 / 〇 will be released at the measurement of about 12 hours. It can be measured at 37 °C using a device 11 (paddle) at 50 rpm in 900 ml of USP pH 6.8 phosphate buffer (when passed to usp). Or the solubility of oral (iv). The use of a settling agent can be used for each type of bond or type. The filtered sample of the dissolution medium was collected at the time specified. The sample can be analyzed by chromatography on a reverse phase high performance liquid chromatography column and measured together with well known concentrations of the standard to measure the amount of active ingredient dissolved. The concentration of the active ingredient in each sample was measured by comparing the peak reaction of the chromatogram of the sample with the peak reaction accompanying the obtained standard chromatogram. Certain sustained release formulations may preferably reduce the peak plasma level of the scutellaria, but not to the extent of the Cmin (eg, the bottom) of the scutellaria or the absorption range of the scutellaria in the patient. Substantial impact. The sustained release formulation may achieve certain pharmacokinetic parameters when compared to the Lie 5 release dosage form. An example of such an immediate release formulation is a combination of microcrystalline cellulose (such as Avisco® (a commercial company of FMC), lactose monohydrate and magnesium stearate, which In the HC1 solution of o.1N, greater than 75% of the solubility of the active ingredient 10 can be produced in less than 25 hours. Certain sustained release formulations of the present invention preferably achieve an average cmax in the patient population. , which is lower than the average cmax achieved in the patient population in which the immediate release dosage form is administered. The average peak plasma level is reduced by at least about 10/◦ preferably by at least about 20%. In some embodiments, The average 15 peak plasma level is reduced by at least about 30% or more. In some embodiments, the mean peak plasma level is reduced by more than 50%. A single dose of 5 mg of the oral dose formulation achieves about 1 in the patient population. The average Cmax of 〇Nike/ml or lower is preferred. In another aspect of the invention, a multi-dose dose of 1 gram of dexamethasone can achieve about 350 ng/ml in the patient population. Average Cmax. In some specific embodiments In the steady state, the Cmax is measured. In other embodiments, the Cmax is measured after a single dose of the drug is administered to the patient. Certain sustained release formulations of the invention may preferably be achieved in a patient population. The average tmax, which is greater than the average tmax achieved in the patient population for administration of the immediate release dosage form, 56 200800198. The tmax is preferably two, three or even four times better. In some embodiments of the invention, The average tmax achieved in a patient population for administration of a sustained release dosage form of scutellaria is from about 4 to about 8 hours. The sustained release formulation of the present invention preferably achieves an average C-valley in the patient population, Substantially equal to that achieved in a patient population that is administered an immediate release dosage form. Maintenance can be achieved with those obtained from immediate release dosage forms

程度比較之谷底程度即可維持該有效成分的治療功效。本 發明的較佳持續釋放型調配物應該可達成至少8〇%之平均 C谷底超過24小時的區間,當與超過12小時區間的立即釋放劑 10型比較B夺。在某些具體實施例中,當與立即釋放劑型比較 時,该平均c㈣為其至少約90%或至少約95%。 15 20 為了維持該治療功效,亦較佳的是,在24小時之劑量 區間内攸,亥持績釋放劑型所吸收的列扣肉坦總量(AUC)實 質上等於從該立即釋放型調配物所吸收之列扣肉㈣量。、 因此’在較佳的具體實施例中,該持續釋放劑型可在*者 群中達成4均鞭,其實質上等於在給藥立即釋放劑型 的患者群帽達成之平均就。例如,#與在2 内的立即釋放趣比較時,本翻的触 、q 物應該達成至少_%之平均AUC。在某4b :調:: 中,當與在24小時區間内的立即釋放劑型比較時:;二 鹰為其至少約90%或至少95%。該Auc々该平均 釋放型調配物之AUC的約125%。 不超過該立即 本發明提供一種包括蔣兮姓綠 匕栝將轉%釋放咖 方法。在某些具體實施例中,&amp; 、Ό糸至患者的 、、、°樂該持續釋放劑型,以在 57 200800198 患者中治療阿茲海默症。在某些具體實施例中,該給藥持 續釋放靡的方法亦包括透過給藥列扣肉坦來鑑別患者其 在負面副作用上的風險之步驟。在本發明的典型具體實施 例中,為了根據本發明之方法來鐘別可治療的標的患者, 5可使用經認可的篩選方法來測量在患者中之阿兹海默症狀 況。在某些觀點中,可採取例行的醫療過程來決定該患者 是否已經遭受或易於遭受-或多種與給藥立即釋放劑^的 列扣肉坦相關之副作用。已經遭受一或多種這些副作用或 易於遭受-或多種這些副作用之患者可透過給藥列扣肉坦 1〇在副作用風險上分類為患者。在其它觀點中,可進行心電 圖測量,以決定該患者是否具有任何心臟異常(例如心搏 數變慢),其可指示出他或她可由具有減低的‘之調配物 來較好地治療。這些及其它例行的方法允許臨床醫生鑑別 出需要使用本發明之方法及調配物治療的患者。 15 本發明的較佳持續釋放型調配物可在患者群中達成某 些平均藥物動力學參數。可根據用來進行隨機化研究的標 準程序來選擇患者群。該患者群包含至少12個經選擇的 人,此些人沒有此種類的藥物將在其身體中弓丨起代謝之方 面的背景知識。 20實例 實例1 :鑑別4·氰基_N-{(2R)_2-[4-(2,3-二氫_笨并丨14】二 3畊基)旅啡-1·基】·丙基比咬_2_基-苯魏胺的新陳代 謝產物 使用溶劑(包含10%的甲醇之醋酸乙酯)來萃取,接著進 58 200800198 行半製備型HPLC來分離出四種指為M8、Mil、M12及M13 的新陳代謝產物。在西泰拉(\丁611^)(1!18管柱(7.8&gt;&lt;300毫米, 10微米)上進行半製備型HPLC來分離,且使用包含1〇 mM 醋酸銨的梯度乙腈/水(ρΗ=4.5)作為該動相。 5 根據NMR及質谱資料來決定該新陳代謝產物的結構。 對NMR來說,將全部的樣品溶解在CD3CN中。對樣品Mil 來說,加入約10%的D2〇以增加溶解度。在全部樣品上獲得 質子及COSY資料。對包含Mil及M12的樣品來說,亦可獲 • 得HSQC及HMBC資料以決定結構。 10 透過在二氫苯并-[1,4]二噚畊-哌啡部分處進行羥化來 形成Mil、M12及M13新陳代謝產物。進行NMR研究,以決 定在這些新陳代謝產物中的羥化場所及確認M8之結構。The degree of bottoming of the degree of comparison can maintain the therapeutic efficacy of the active ingredient. The preferred sustained release formulation of the present invention should achieve an interval of at least 8% of the average C-valley over 24 hours when compared to the immediate release agent 10 over the 12 hour interval. In certain embodiments, the average c(d) is at least about 90% or at least about 95% when compared to an immediate release dosage form. 15 20 In order to maintain the efficacy of the treatment, it is also preferred that the total amount of the scutellaria (AUC) absorbed by the sputum release dosage form is substantially equal to the immediate release formulation during the 24-hour dose interval. The amount of meat (four) that is absorbed. Thus, in a preferred embodiment, the sustained release dosage form achieves a 4 averaging whip in the * population, which is substantially equal to the average of the patient caps achieved in the immediate release dosage form. For example, when # is compared with the immediate release in 2, the touch and q should reach an average AUC of at least _%. In a 4b: tune:: when compared to an immediate release dosage form over a 24-hour interval:; the second eagle is at least about 90% or at least 95%. The Auc is about 125% of the AUC of the average release formulation. No more than this immediately. The present invention provides a method of including a Jiang Yi surname green 匕栝 to turn the % release coffee. In certain embodiments, &amp;, the patient's, and the sustained release dosage form are used to treat Alzheimer's disease in 57 200800198 patients. In some embodiments, the method of administering a sustained release of sputum also includes the step of identifying the patient's risk of adverse side effects by administering a scutellaria. In an exemplary embodiment of the invention, in order to discriminate against a treatable target patient in accordance with the methods of the present invention, an approved screening method can be used to measure the symptoms of Alzheimer's condition in the patient. In some views, routine medical procedures can be employed to determine whether the patient has suffered or is susceptible to - or multiple side effects associated with the administration of an immediate release agent. Patients who have suffered one or more of these side effects or are prone to - or a variety of these side effects can be classified as patients on the risk of side effects by administering the drug. In other aspects, an electrocardiographic measurement can be made to determine if the patient has any cardiac abnormalities (e.g., slow heartbeat), which can indicate that he or she can be better treated by a reduced formulation. These and other routine methods allow the clinician to identify patients in need of treatment with the methods and formulations of the present invention. 15 Preferred sustained release formulations of the present invention achieve certain average pharmacokinetic parameters in a patient population. The patient population can be selected based on the standard procedures used to conduct the randomized study. The patient population contains at least 12 selected individuals who do not have background knowledge of the metabolism of this type of drug in their body. 20 EXAMPLES Example 1: Identification of 4·cyano_N-{(2R)_2-[4-(2,3-dihydro-stupidin 14]two 3 cultivating bases) The metabolites of bit_2_yl-benzamine were extracted using a solvent (containing 10% methanol in ethyl acetate), followed by 58 200800198 semi-preparative HPLC to separate four fingers into M8, Mil, M12. And the metabolic products of M13. Semi-preparative HPLC was performed on a mixture of cesium acetonitrile/water containing 1 mM ammonium acetate on a 1⁄18 column (1:18 column (7.8) &lt; 300 mm, 10 μm). (ρΗ=4.5) was used as the mobile phase. 5 The structure of the metabolic product was determined based on NMR and mass spectrometry data. For NMR, all samples were dissolved in CD3CN. For the sample Mil, about 10% was added. D2〇 is used to increase the solubility. Proton and COSY data are obtained on all samples. For samples containing Mil and M12, HSQC and HMBC data can also be obtained to determine the structure. 10 Transmitted in dihydrobenzo-[1, 4] Hydroxylation of the diterpene-piperidine moiety to form the Meta, M12 and M13 metabolites. NMR studies were performed to determine the hydroxylation sites in these metabolites and to confirm the structure of M8.

Mil : Mil之1D質子光譜顯示出2,3-二氫-苯并[M]二 噚畊部分的二個芳香族質子,而取代如在母化合物中之3 15個,此指示出在苯環上發生羥化。該二個質子訊號為雙峰, , 此建議已在C6或cs位置上發生輕化。為了區別二種位置異 • 構物(regio isomer),進行ID NOE實驗,因為對^經化來 說’在苯質子Ηό與旅讲質子間預計有相當強的n〇e相關聯 性’但是對C6經化來說則無此關係。可在該1DN〇E實驗中 2〇更確切地觀察到此NOE相關聯性。因此,M11的結構如顯 示在下列,其中該沒基在2,3-二氫-苯并[1,4]二α号啡部分的 C8上。 59 200800198Mil: Mil's 1D proton spectrum shows two aromatic protons in the 2,3-dihydro-benzo[M] diterpene fraction, and instead of 3 15 as in the parent compound, this indicates a benzene ring. Hydroxylation occurs on it. The two proton signals are bimodal, and this suggestion has been lightened at the C6 or cs position. In order to distinguish the two regio isomers, the ID NOE experiment was performed because it is expected to have a fairly strong n〇e correlation between the benzene proton and the travel proton. C6 is not related to this. This NOE correlation can be more accurately observed in this 1DN〇E experiment. Therefore, the structure of M11 is shown below, wherein the undone is on the C8 of the 2,3-dihydro-benzo[1,4]di-alpha moiety. 59 200800198

M12 : M12的ID質子光譜比對該代謝物之預期更複 雜。但是,小心分析該光譜建議該樣品包括異構物。比較 M12代謝物與其母化合物之質子光譜指出,在M12中的芳香 5 族部分及哌讲部分很完整。但是,該1,4-二哼讲環之質子相 當不同。可在5.5、5.15及5.1 ppm處觀察到三個次甲基訊 號。對樣品來說,這些次甲基質子可整合成一當量的質子。 HSQC資料顯示出這些次甲基的碳偏移在80至88 ppm間,此 建議在二噚畊亞曱基之一上經羥化。COSY光譜顯示出低磁 10 場次甲基質子與二哼仙環的亞甲基質子相互相關,此証實 在二哼咄環上經羥化。觀察到多於二組訊號的事實顯示出 在該樣品中存在有對掌性異構物。該對掌性異構物是由酵 素產生或經由在樣品純化步驟中之外消旋作用產生並不清 楚。以該NMR結果為準,該M12之結構如下列所顯示:M12: The ID proton spectrum of M12 is more complex than expected for this metabolite. However, careful analysis of the spectrum suggests that the sample include isomers. Comparing the proton spectra of the M12 metabolite with its parent compound indicates that the aromatic 5 moiety and the piper moiety in M12 are quite intact. However, the protons of the 1,4-dioxole ring are quite different. Three secondary methyl signals were observed at 5.5, 5.15 and 5.1 ppm. For the sample, these methine protons can be integrated into one equivalent of protons. The HSQC data show that these methines have a carbon shift between 80 and 88 ppm, which is suggested to be hydroxylated on one of the diterpenoids. The COSY spectrum showed that the low magnetic 10 field methine protons were correlated with the methylene protons of the diterpene ring, which confirmed hydroxylation on the diterpene ring. The fact that more than two sets of signals were observed showed the presence of a palmitic isomer in the sample. It is not clear that the pair of palmitic isomers are produced by the enzyme or by racemization in the sample purification step. Based on the NMR results, the structure of the M12 is as follows:

60 15 20080019860 15 200800198

M13 :比較M13與M12的質子光譜建議]^^與M13非常 類似。在母化合物中所觀察到的全部芳香族質子皆可在 M13中觀察到,此建議該芳香族部分在該代謝物中完整。 已顯示出在M13中,亦可在二噚畊環上發生羥化。類似於 M12,該M13包括異構物,此如可由在5.5、5.19、5.10及4.86 ppm處觀察到的四個次甲基質子指出。需注意的是,這四個 次曱基的訊號強度會隨著時間而改變,此建議該些異構物 的比率已改變。在M12中可觀察到類似的改變。與M12的分 析結果結合可顯示出,所觀察到之M12及M13的NMR光譜 不可代表其原始組分。該NMR分析指出M12及M13可藉由 在二崎仙壞(其各別與2及3位置相符合)上經化而產生。M12 及M13可重新排列且二者可經外消旋化。M13: Compare the proton spectrum of M13 and M12. ^^ is very similar to M13. All aromatic protons observed in the parent compound can be observed in M13, which suggests that the aromatic moiety is intact in the metabolite. It has been shown that in M13, hydroxylation can also occur on the dip. Similar to M12, the M13 includes isomers as indicated by the four methine protons observed at 5.5, 5.19, 5.10, and 4.86 ppm. It should be noted that the signal strength of these four sub-bases will change over time, suggesting that the ratio of these isomers has changed. A similar change was observed in M12. In combination with the analysis results of M12, it can be shown that the observed NMR spectra of M12 and M13 are not representative of their original components. The NMR analysis indicated that M12 and M13 can be produced by crystallization on the second smear (which is consistent with the 2 and 3 positions). M12 and M13 can be rearranged and both can be racemized.

M8 :對此樣品獲得M8的質子及COSY光譜。根據由 DSM所進行的MS/MS分析,該資料與所建議之M8結構一 致。該吨啶部分、哌畊部分及氰基-丙基苯醯胺部分全部完 整。與該母化合物比較,唯一省略的基團為2,3-二氫-苯并 [1,4]二崎讲部分。 61 200800198M8: Proton and COSY spectra of M8 were obtained for this sample. This data is consistent with the proposed M8 structure based on MS/MS analysis by DSM. The ton of the pyridine moiety, the piperene moiety and the cyano-propyl benzoguanamine moiety are all intact. The only omitted group compared to the parent compound is the 2,3-dihydro-benzo[1,4] bisazide moiety. 61 200800198

實例2:與4_氣基-义{(2幻_2_【4-(2,3_二氫苯并[14】二噚啡_5_ 基)-哌蟒-1-基】-丙基卜N_吡啶_2_基·苯醢胺具結構相關的化 合物之鐘別 別出由式2-9所表示之結構相關的化合物。利用製 備型色層分析法,從包含4-氰基_n](2R)_2_[4-(2,3-二氫-苯 开[1,4]二噚畊基)·哌畊」·基[丙基}_Ν_α比啶_2_基-苯醯胺 的製劑,分離出該結構相關的化合物,其量約丨毫克及純度 、、、勺90/〇。利用核磁共振光譜、電灑離子化質譜儀及測量可 1〇交換的質子數目來建立出結構。 如下進一步加工一包含4-氰基-N](2R)_2_[4_(2,3-二氫 =开[1,4]二十井_5_基)_娘讲小基]_丙基卜&amp;比啶·2·基-苯 胺鹽之製劑。藉由以氫氧化鈉水溶液及醋酸乙酯來 15 ^理,將起始物質轉換成鹼。共沸乾燥所產生的醋酸乙酯 /合液以庚烷來稀釋,以獲得3 : 1的醋酸乙酯/庚烷混合物 及以矽砝膠處理。重覆地過濾及濃縮所得的混合物,以移 除庚垸。在醋酸乙酯溶液中,以1〇當量在醋酸乙醋中的氯 化氫來處理該鹼。將該產物溶解在經熱變質的乙醇中。過 加$及濃縮該混合物。藉由冷卻來結晶該產物及利用過濾來 刀離。乾煉最後的濾泥餅。此方法可減低冬氰基 N {(2R)_2-[4-(2,3_二氫-苯并[1,4]二,畊_5_基讲小基 丙基}-N-吡啶_2_基_苯醯胺的二聚體雜質程度。 62 200800198 實例3 :本發明的典型持續釋放型調配物 成分 成分功能 每鍵劑的量(毫克) 快速 中速 慢速 活性核心: 4-氰基-N-{(2R)-2」[4-(2,3-二氫-苯并 [1,4·]二。亏17井-5-基)-略啡-l-基]-丙 基)-N-吡啶-2-基-苯醯胺鹽酸3 活性 5.0 5.0 5.0 矽化的微晶纖維素(普羅梭夫® HD90) 充填劑 169.0 94.0 88.75 HPMC(美多秀™K4M優質CR) 聚合物 50.0 125.0 37.5 HPMC(美多秀™ K100M優質CR) 聚合物 - - 112.75 硬脂酸MgNF 潤滑劑 1.0 1.0 1.0 無水擰檬酸 以改善在腸中 的釋放速率 25.0 25.0 5.0 核心童量(毫克) 250 250 250 薄膜塗層: 歐巴代(Opadry)白色(YS-1-18202A) 白色薄膜 7.5 7.5 7.5 歐巴代透明(YS-1-19025A) 透明薄膜 1.25 1.25 1.25 總錠劑重量(毫克) 258.75 258.75 258.75 a:可根據其釋放效力而需要調整該有效成分的量。Example 2: with 4_qi---{(2 magic_2_[4-(2,3-dihydrobenzo[14]di- succinyl-5-yl)-piperidin-1-yl]-propyl b The structure of the structure-related compound of N_pyridine-2-ylbenzoylamine is different from the structure-related compound represented by formula 2-9. By preparative chromatography, from 4-cyano-n ](2R)_2_[4-(2,3-Dihydro-Benzene [1,4] Diterpenoid] Pipelined··[propyl}_Ν_α-pyridyl-2-yl-benzoguanamine For the preparation, the structure-related compound is isolated in an amount of about 丨mg and purity, and the spoon is 90/〇. The structure is established by using nuclear magnetic resonance spectroscopy, electrospray ionization mass spectrometry, and measuring the number of protons that can be exchanged. Further processing as follows: 4-cyano-N](2R)_2_[4_(2,3-dihydro=open[1,4] twenty well_5_yl)_娘讲小基]_propyl &amp; Preparation of a pyridinium-diphenyl-aniline salt. The starting material is converted to a base by an aqueous solution of sodium hydroxide and ethyl acetate. The ethyl acetate/liquid mixture produced by azeotropic drying Dilute with heptane to obtain a 3:1 mixture of ethyl acetate/heptane and treated with silica gel. Repeatedly filtered and concentrated. The mixture is used to remove the helium. The base is treated with 1 liter of hydrogen chloride in ethyl acetate in ethyl acetate solution. The product is dissolved in the thermally degraded ethanol. The addition of $ and concentration of the mixture The product is crystallized by cooling and knife-pulled by filtration. The final cake is dried. This method can reduce the winter cyano N {(2R)_2-[4-(2,3-dihydro-benzo) [1,4] Second, the degree of dimer impurity of ___ _ _ _ _ _ _ _ _ _ _ _ phenyl benzoylamine. 62 200800198 Example 3: typical sustained release type of the present invention Component component function per button amount (mg) Fast medium-speed slow active core: 4-cyano-N-{(2R)-2"[4-(2,3-dihydro-benzo[1, 4·]2. Deficient 17 well-5-yl)-slightly-l-yl]-propyl)-N-pyridin-2-yl-benzoguanamine hydrochloride 3 Activity 5.0 5.0 5.0 Deuterated microcrystalline cellulose ( Prosov® HD90) Filler 169.0 94.0 88.75 HPMC (Medical ShowTMK4M Premium CR) Polymer 50.0 125.0 37.5 HPMC (Medical ShowTM K100M Premium CR) Polymer - - 112.75 Stearic Acid MgNF Lubricant 1.0 1.0 1.0 Anhydrous citric acid to improve in the intestine Rate 25.0 25.0 5.0 Core Child Weight (mg) 250 250 250 Film Coating: Opadry White (YS-1-18202A) White Film 7.5 7.5 7.5 Oubadai Transparent (YS-1-19025A) Transparent Film 1.25 1.25 1.25 Total lozenge weight (mg) 258.75 258.75 258.75 a: The amount of active ingredient may need to be adjusted depending on its release effectiveness.

63 200800198 實例4 :本發明的典型持續釋放型調配物。63 200800198 Example 4: A typical sustained release formulation of the invention.

成分 成分功能 每鍵劑的量(毫克) 4-氰基-N-{(2R)-2-[4-(2,3-二氫-苯并 [1,4]二°亏讲-5-基)-旅。井-1-基]-丙基}-14-吡啶-2-基-苯醯胺鹽酸&quot; 活性 5.0 2.0 微晶纖維素(阿維梭®?^! 112) 充填劑 46.5 52.5 快速流動乳糖 充填劑 100.00 100.00 HPMC (美多秀™^!^!優質CR) 聚合物 55.00 55.00 HPMC (美多秀_0001^ 優質 CRLH) 聚合物 37.50 37.50 硬脂酸MgNF 潤滑劑 1.0 1.0 無水擰檬酸 以改善在腸中 的釋放速率 5.00 2.00 核心重量(毫克) 250 250 歐巴代白色(YS4-18202A) 白色薄膜 7.5 7.5 歐巴代透明(YS4-19025A) 透明薄膜 1.25 1.25 總錠劑重量(毫克) 258.75 258.75 a:可根據其釋放效力而需要調整該有效成分的量。 64 200800198 實例5 :本發明之典型立即釋放型調配物。 〇·5毫克的旋劑 成分 要求(亳克) 重量/重量% 輸入量 (毫克/旋劑) 經微粒化的有效成分a,b 0.5 0.33 0.50 乳糖單水合物,NFb 79.17 118.75 微晶纖維素,NF 20.00 30.00 硬脂酸鎂,NF •50 0.75 總共 100.0 150.00 1有$成分為4-氰基-N- {(2R)-2-[4-(2,3-二氫-苯并[1,4]二哼讲-5-基)-旅 11井-1-基]-丙基}-Ν-π比咬^-2-基·本龜胺鹽酸。Component component function per button amount (mg) 4-cyano-N-{(2R)-2-[4-(2,3-dihydro-benzo[1,4]2°? Base) - Brigade. Well-1-yl]-propyl}-14-pyridin-2-yl-benzoguanamine hydrochloride&quot; Active 5.0 2.0 microcrystalline cellulose (Aviso®?^! 112) Filling agent 46.5 52.5 Fast-flowing lactose filling Agent 100.00 100.00 HPMC (Medical ShowTM^!^! Quality CR) Polymer 55.00 55.00 HPMC (Medo Show _0001^ Quality CRLH) Polymer 37.50 37.50 Stearic Acid MgNF Lubricant 1.0 1.0 Water-free citric acid to improve Release rate in the intestine 5.00 2.00 Core weight (mg) 250 250 Oubadai white (YS4-18202A) White film 7.5 7.5 Oubaday transparent (YS4-19025A) Transparent film 1.25 1.25 Total tablet weight (mg) 258.75 258.75 a : The amount of the active ingredient may need to be adjusted depending on its release efficacy. 64 200800198 Example 5: A typical immediate release formulation of the invention. 〇·5 mg of spinner component requirement (kg) Weight/% by weight Input (mg/rotation) Micronized active ingredient a, b 0.5 0.33 0.50 Lactose monohydrate, NFb 79.17 118.75 Microcrystalline cellulose, NF 20.00 30.00 Magnesium stearate, NF • 50 0.75 Total 100.0 150.00 1 has a composition of 4-cyano-N- {(2R)-2-[4-(2,3-dihydro-benzo[1, 4] Dioxin-5-based)-Brigade 11 well-1-yl]-propyl}-Ν-π ratio bit-2-yl·this toramine hydrochloride.

a :性部分(自由態鹼)理論上為93%的4_氰基_^-{(211)-2-[4-(2,3-二氫-苯并[I,4]二哼畊-5-基)-派畊-1-基]-丙基卜Ν_σ比啶_2-基_苯醯胺鹽酸藥物 物質。所加入的實際量以鹽酸藥物物質之效力為準。在上述表中所編 列的輸入量以該有效成分的重量為準。 b:若該鹽酸藥物物質的效力不在loo%處,必需調整該藥物物質的輸入量, 使其與乳糖單水合物之輸入量的調整相符合。 c :包括過量。理論量為0.075公斤。 1·〇毫克的錠劑 成分 要求(毫克) 重量/重量% 輸入量 (毫克/旋劑) 經微粒化的有效成分a’b 1.0 0.67 1.0 乳糖單水合物,NFb 78.83 118.25 微晶纖維素,NF 20.00 30.00 硬脂酸鎂,NF 0.50 0.75 總共 100.0 150.00 該有效成分為4-氰基-N- {(2R)-2-[4-(2,3 -二氫-苯并[1,4]二$ σ井_5_基)-娘 讲-1-基]-丙基}-Ν-吡啶-2-基-苯醯胺鹽酸。a: the sexual moiety (free state base) is theoretically 93% of 4-cyano _^-{(211)-2-[4-(2,3-dihydro-benzo[I,4] diterpene -5-yl)-Plantic-1-yl]-propyldiazine-σ-pyridin-2-yl-benzoylamine hydrochloride drug substance. The actual amount added is based on the effectiveness of the hydrochloric acid drug substance. The input amount listed in the above table is based on the weight of the active ingredient. b: If the efficacy of the hydrochloric acid drug substance is not at loo%, it is necessary to adjust the input amount of the drug substance to match the adjustment of the input amount of the lactose monohydrate. c : including excess. The theoretical amount is 0.075 kg. 1·〇mg of tablet ingredients requirements (mg) Weight/% by weight Input (mg/rotation) Micronized active ingredient a'b 1.0 0.67 1.0 Lactose monohydrate, NFb 78.83 118.25 Microcrystalline cellulose, NF 20.00 30.00 Magnesium stearate, NF 0.50 0.75 Total 100.0 150.00 The active ingredient is 4-cyano-N- {(2R)-2-[4-(2,3-dihydro-benzo[1,4] $ σ井_5_基)-Nangyan-1-yl]-propyl}-oxime-pyridin-2-yl-benzoguanamine hydrochloride.

a :該活性部分(自由態鹼)理論上為93%的4-氰基-N-{(2R)H4-C2,3-二 苯并[1,4]二命井_5·基)ϋ· 1 -基]-丙基}善吼唆·2·基-苯醯胺鹽酸筚物 物質。所加入的實際量以該鹽酸藥物物質之效力為準。編列在上$矣 中的輸入量以該有效成分之重量為準。 b :若該鹽酸藥物物質的效力不在100%,必需調整該藥物物質的輸入晋, 以與該乳糖單水合物之輸入量的調整相符合。 ' c :包括過量。理論量為0.075公斤。 65 200800198 2·5毫克的錠劑 成分 要求(毫克) 重量/重量% 丄輸入量 (毫香/綠添ιί \ 經微粒化的有效成分a,b 2.5 — 1.67 2.50 乳糖單水合物,NFb 77.83 116.75 微晶纖維素,nf 20.00 30.00 硬脂酸鎂,NF •50 0.75 總共 100.0 150.00 啡小基]•丙基)-Ν』比咬-2-基·苯酸胺鹽、:一 L,,— 基哌 a : $舌性部分(自由態鹼)理論上為93%的4_氰基_N_{(2R 知 土$[1,4]二哼讲^-基^-派啡-1-基]_丙基}_;^-吼咬-2-基-苯醯胺—酸華1 歆===ΙίΐΙΙΙ__為準。編列在上述表稔 C :包括過量。理論量為〇·〇75公斤。 5.0毫克鍵劑 成分 要求(毫克) 重量/重量% 山輸入量 (亳克/錠劑) 經微粒化的有效成分a,b 5.0 3.33 5.0 乳糖單水合物,NFb 76.17 114.25 微晶纖維素,nf 20.00 30.00 硬脂酸鎂,NF •50 0.75 總共 100.0 150.00 該有效成分為4-氰基-N- {(2R)-2-[4-(2,3-二氫-笨并[M]二噚畊-5-基)-旅 畊-1-基]·丙基卜N-吡啶-2-基-苯醯胺鹽酸。a : the active moiety (free state base) is theoretically 93% of 4-cyano-N-{(2R)H4-C2,3-dibenzo[1,4]diodenum_5·yl)ϋ · 1 -yl]-propyl} 吼唆 吼唆 · 2 · benzyl-benzoguanamine hydrochloride substance. The actual amount added is based on the effectiveness of the hydrochloric acid drug substance. The input amount listed in the upper $矣 is based on the weight of the active ingredient. b: If the potency of the hydrochloric acid drug substance is not 100%, it is necessary to adjust the input of the drug substance to match the adjustment of the input amount of the lactose monohydrate. ' c : Includes excess. The theoretical amount is 0.075 kg. 65 200800198 2·5 mg of tablet ingredient requirements (mg) Weight/% by weight 丄 input (milk/green added ιί \ micronized active ingredient a, b 2.5 — 1.67 2.50 lactose monohydrate, NFb 77.83 116.75 Microcrystalline cellulose, nf 20.00 30.00 magnesium stearate, NF • 50 0.75 total 100.0 150.00 brown small base • propyl) - Ν 比 than bit -2- benzoic acid amine salt,: a L,, - base Piper a: $ Tongue part (free state base) is theoretically 93% of 4-cyano_N_{(2R 知土$[1,4] 哼 哼 ^-基^-Pentin-1-yl] _propyl}_;^-bite-2-yl-benzoguanamine-acidic acid 1 歆===ΙίΐΙΙΙ__. The above table is shown in Table C: including excess. The theoretical amount is 〇·〇75 kg. 5.0 mg of key ingredient requirement (mg) Weight/% by weight Mountain input (grams/tablets) Micronized active ingredient a, b 5.0 3.33 5.0 Lactose monohydrate, NFb 76.17 114.25 Microcrystalline cellulose, nf 20.00 30.00 Magnesium stearate, NF • 50 0.75 Total 100.0 150.00 The active ingredient is 4-cyano-N- {(2R)-2-[4-(2,3-dihydro-stupid[M] -5-yl)-bred-l-yl]-propyl-N-pyridine 2-yl-benzoguanamine hydrochloride.

a ··該活性部分(自由態鹼)理論上為93%的4-氰基-N-{(2R)-2-[4-(2,3-二氫_ 苯并[1,4]二今讲-5-基)-旅讲-1-基]-丙基y-N-13比咬-2-基·苯醢胺鹽酸藥物 物質。所加入的實際量以該鹽酸藥物物質之效力為準。編列在上&amp;表 中的輸入量以該有效成分之重量為準。 b :若該鹽酸藥物物質的效力不在100%,必需調整該藥物物質輸入量以盥 乳糖單水合物之輸入量的調整相符合。 〃 c :包括過量。理論量為0.075公斤。 66 200800198 實例6 :典型的立即釋放旋劑之典型製造說明 1·將乳糖單水合物及微晶纖維素給料至合適的容器中。 2·將 4-氰基-N-{(2R)-[4_(2,3_ 二氫·苯并[1,4]二噚啡美) 旅讲-1-基]-丙基卜N-吡啶-2-基-苯醯胺鹽酸給料至合適 5 尺寸的翻滾機混合槽中。加入小部分該已給料的乳糖單 水合物且將其混入一翻滾混合器中。 3·讓來自步驟2的預混合物、接著為微晶纖維素通過5〇〇微 米的篩網,而進入一合適尺寸的翻滾機混合槽中。混人。 4.將來自步驟3之預混合物傳送至一合適尺寸的翻滾混合 10 器槽中。讓剩餘的乳糖單水合物通過500微米篩網而進入 该混合槽中。混合。 5_稱重該混合物及計算該配料所需的硬脂酸鎂量。將該硬 脂酸鎂給料至合適的容器中,且與來自步驟4的部分混合 物混合。 15 6·讓此預混合物通過5〇〇微米篩網及進入在該混合槽中的 剩餘混合物中。混合該最後的混合物。 7·使用安裝有適當工具的合適壓緊機器來壓緊該來自步驟 6的混合物,以製造出具有所需求的重量及硬度之鍵劑。 8·除塵、檢查重量及視覺檢查所完成的錠劑。 20 實例7:在列扣肉坦之三種持續釋放型調配物與一種立即釋 放型調配物間的單一劑量研究 此研究為在列扣肉坦之三種經改質釋放的調配物與一 種立即釋放型調配物間,於健康的實驗對象上之單一劑 量、隨機化、4週期、交叉、生體相等性研究。在過夜禁食 67 200800198 至少ι〇小時後,口服給藥該劑量。在此研究中所使用的調 配物為5¾克立即釋放型(IR)、5毫克經改質的快速釋放型調 配物(MR(快速))、5毫克經改質的巾速釋放型調配物⑽R(中 速))及5¾克經改質的慢速釋放型調配物(MR(慢速))。這些 5調配物&amp;供在貫例3中。在測試物體、給藥的2小時内及在測 試物體給藥後之0.5、:1、i 5、2、3、4、6、8、1〇、12、16、 24、30、36及48小時處,獲得列扣肉坦分析用的血液樣品。 對四週期交叉研究使用變異數分析,在四種調配物間 比較列扣肉坦的血漿濃度資料及ρκ參數。額外估計列扣肉 10坦的最大觀察濃度(Cmax)之幾何平均(對數_轉換)相對生物 效性、在濃度-時間曲線下之面積(AUC)及AUC上至最後可 以計量的濃度之時間(AUCT)及其90%信賴界限,以決定這 些參數在4種調配物間之差異量。使用列扣肉坦立即釋放錠 劑作為參考治療。使用2次單邊檢驗程序,以對數刻度來建 15構出對參數評估的90%信賴界限。若90%信賴界限落在區間 (0·80,1·25)内時,該4種治療(調配物)判斷為具生體相等性。 總共20個貫驗對象參與此分析的藥物動力學資料。第1 圖提供四種調配物之列扣肉坦的平均濃度對時間之關係。 如第1圖所顯示,IR調配物的平均Cmax為278.5奈克/毫升。 2〇 該經改質的釋放調配物之平均值低於100奈克/毫升。該 MR(快速)及MR(中速)調配物之Cmax值各別為99.7及95.1奈 克/毫升。該MR(慢速)調配物之Cmax值為58.4奈克/毫升。該 IR調配物的Tmax發生在0.88小時處。該MR(快速)、MR(中速) 及MR(慢速)的Tmax值各別發生在5.63、8.83及7.90小時處。 200800198 該IR、MR(快速)及MR(中速)調配物的AUC值範圍從 2058.8至2246.8奈克小時/毫升.。該MR(慢速)調配物之AUC 值為1565.0奈克小時/毫升。對MR(快速)及MR(中速)來說, MR對IR調配物的平均AUC比率大於1〇〇%。MR(慢速)與IR 5之AUC的平均比率為79.3%。Cmax列扣肉坦濃度在24小時處 之平均比率(Cmax/C2种時比率)範圍從23(對IR調配物來說)至 值2·8、2.3及3·5(各別對MR(快速)、MR(中速)、MR(慢速) 調配物來說)。 實例8:在列扣肉坦之三種持續釋放型調配物與一種立即釋 10 放型調配物間的多重劑量研究 此研究為一隨機化、雙盲試驗、安慰劑控制的研究, 以評估下列的安全性、财受性、藥物動力學及藥力學研究: 1)使用立即釋放(IR)調配物,將0.5、:1、2.5及5毫克的列扣 肉坦上升多重劑量口服給藥(如為每曰兩次攝藥法(ql2h)) 15 至患有溫和至適當的阿茲海默症患者(AD ;年齡範圍=53至 80歲);及2)使用持續釋放(SR)調配物,將10毫克的多重劑 篁口服給藥(如為每曰一次的攝藥法(QD))至患有溫和至適 當的阿茲海默症患者。 部分1 : IR調配物 20 在0·5、1及2.5毫克的劑量群組(族群1-3)中,有六個實 驗對象接受列扣肉坦及2個接受安慰劑;然而,在5毫克之 劑量群組(族群4)中,有丨2個實驗對象接受列扣肉坦及4個接 受安慰劑。在第1及28天時,於測試物體給藥的2小時内及 在測试物體給藥後之〇·5、1、1.5、2、4、8、24(僅有第1天) 69 200800198 及28(僅有第28天)小時處,獲得列扣肉坦分析用的錢樣 品。 部分2 : SR調配物 在此研究部分中,12個實驗對象接受列扣肉垣(1〇毫克 .5 QD的SR調配物)及4個接受安慰劑。在第〗天時,於初2劑 里(在測试物體給樂的2小時内)、〇5、i、i5、2 4 小時劑量後;及在第28天時,於初始劑量、1、2、4、8、 24、48及72小時劑量後,獲得列扣肉坦分析用的血液樣品、。 ® 總共11個AD患者(年齡範圍=52至90歲)參與此分析的 10藥物動力學資料。在單一及多重劑量給藥SR調配物二者 後,可對全部的貝驗對象看見高原似的濃度對時間曲線(上 至24小時的時期),且在穩定狀態下波峰/谷底變動(即 Cmax/Cmin)=1.9。在24小時後,可看見列扣肉坦濃度開始減 退。在部分1中,於給藥單一及多重劑量二者後,可看見列 15扣肉坦與1R調配物的平均tmax範圍為1-1·5小時。比較上,在 - 單一及多重劑量後,列扣肉坦與SR調配物之平均屯狀值各別 • 為8及4小時。在單一劑量給藥SR調配物後,於劑量5毫克及 1 〇毫克處之劑量相依性藥物動力學參數Cmax及AUCq24如 下·· 5毫克的SR單一劑量:Cmax=99 7奈克/毫升, 20 AUC〇_24=1845奈克小時/毫升;1〇毫克的^單一劑量··a ·· The active moiety (free state base) is theoretically 93% of 4-cyano-N-{(2R)-2-[4-(2,3-dihydro-benzo[1,4] Now speaking -5-base)-Brigade-1-yl]-propyl yN-13 is a drug substance that is more specific than -2-yl-benzoguanamine hydrochloride. The actual amount added is based on the effectiveness of the hydrochloric acid drug substance. The amount of input listed in the upper &amp; table is based on the weight of the active ingredient. b: If the potency of the hydrochloric acid drug substance is not 100%, it is necessary to adjust the input amount of the drug substance to match the adjustment of the input amount of the lactose monohydrate. 〃 c : Including excess. The theoretical amount is 0.075 kg. 66 200800198 Example 6: Typical manufacturing instructions for a typical immediate release spinner 1. Feed lactose monohydrate and microcrystalline cellulose into a suitable container. 2.·4-Cyano-N-{(2R)-[4_(2,3-dihydro-benzo[1,4]di-p-menthyl) 讲 -1--1-yl]-propyl-N-pyridine The -2-yl-benzoguanamine hydrochloride is fed to a suitable 5 size tumbling machine mixing tank. A small portion of the fed lactose monohydrate is added and mixed into a tumble mixer. 3. The premix from step 2, followed by the microcrystalline cellulose, is passed through a 5 micron screen into a suitable size tumbling tank. Mixed people. 4. Transfer the premix from step 3 to a suitably sized tumble mix 10 tank. The remaining lactose monohydrate was passed through a 500 micron screen into the mixing tank. mixing. 5_ Weigh the mixture and calculate the amount of magnesium stearate required for the ingredient. The magnesium stearate is fed into a suitable container and mixed with a portion of the mixture from step 4. 15 6. The premix was passed through a 5 micron screen and into the remaining mixture in the mixing tank. The final mixture is mixed. 7. Press the mixture from step 6 using a suitable compacting machine fitted with a suitable tool to produce a bond having the desired weight and hardness. 8. Dust removal, check weight and visual inspection of the finished tablets. 20 Example 7: Single dose study between three sustained release formulations and one immediate release formulation of the scutellaria serrata. This study is a three-transformed release formulation and an immediate release type. Single dose, randomized, 4-cycle, crossover, and bioequivalence studies between healthy formulations on healthy subjects. Fasting overnight. 67 200800198 After at least 10,000 hours, the dose is administered orally. The formulation used in this study was 53⁄4 g immediate release (IR), 5 mg modified rapid release formulation (MR (fast)), 5 mg modified towel release formulation (10) R (Medium speed)) and 53⁄4 grams of modified slow release formulation (MR (slow speed)). These 5 formulations &amp; are provided in Example 3. 0.5, 1, 1, 5, 2, 3, 4, 6, 8, 1 , 3, 4, 6, 8, 1 , 12, 16, 24, 30, 36, and 48 within 2 hours of the test object, administration, and after administration of the test object At the hour, blood samples for the analysis of the broth were obtained. For the four-cycle crossover study, the variance analysis was used to compare the plasma concentration data and ρκ parameters of the scutellaria platans between the four formulations. An additional estimate of the geometric mean (log-to-conversion) of the maximum observed concentration (Cmax) of the squash meat is relative to the bioavailability, the area under the concentration-time curve (AUC), and the time from the AUC to the last measurable concentration ( AUCT) and its 90% confidence limit determine the amount of difference between these four formulations. The immediate release of the tablet was used as a reference treatment. Using a two-pass test, the logarithmic scale is used to construct a 90% confidence limit for parameter evaluation. When the 90% confidence limit falls within the interval (0·80, 1.25), the four treatments (formulations) are judged to have bioequivalence. A total of 20 subjects were involved in the pharmacokinetic data for this analysis. Figure 1 provides the average concentration versus time for the four formulations. As shown in Figure 1, the average Cmax of the IR formulation was 278.5 ng/ml. 2〇 The average value of the modified release formulation is less than 100 Ng/ml. The Cmax values for the MR (fast) and MR (medium speed) formulations were 99.7 and 95.1 ng/ml, respectively. The MR (slow speed) formulation had a Cmax value of 58.4 ng/ml. The Tmax of this IR formulation occurred at 0.88 hours. The Tmax values for MR (fast), MR (medium speed), and MR (slow speed) occur at 5.63, 8.83, and 7.90 hours, respectively. 200800198 The AUC values for this IR, MR (fast) and MR (medium speed) formulations ranged from 2058.8 to 2246.8 ngh/ml. The MR (slow) formulation has an AUC value of 1565.0 ngh/ml. For MR (fast) and MR (medium speed), the average AUC ratio of MR to IR formulations is greater than 1%. The average ratio of MR (slow speed) to the AUC of IR 5 was 79.3%. The average ratio of Cmax squash concentration at 24 hours (Cmax/C2 ratio) ranges from 23 (for IR formulations) to values 2·8, 2.3, and 3.5 (different to MR (fast) ), MR (medium speed), MR (slow speed) for the formulation). Example 8: Multiple dose study between three sustained release formulations of scutellaria and an immediate release 10 release formulation This study was a randomized, double-blind, placebo-controlled study to assess the following Safety, financial acceptability, pharmacokinetics, and pharmacodynamics studies: 1) Oral administration of multiple doses of 0.5, 1, 1, 2.5, and 5 mg of scutellaria using an immediate release (IR) formulation (eg, Two doses per dose (ql2h)) 15 to patients with mild to appropriate Alzheimer's disease (AD; age range = 53 to 80 years); and 2) use of sustained release (SR) formulations, 10 mg of multiple doses are administered orally (eg, once per dose (QD)) to patients with mild to appropriate Alzheimer's disease. Part 1: IR Formulation 20 In the 0.5, 1, and 2.5 mg dose groups (Groups 1-3), six subjects received scutellaria and 2 received placebo; however, at 5 mg Of the dose groups (group 4), there were 2 subjects receiving scutellaria and 4 receiving placebo. On days 1 and 28, within 2 hours of administration of the test object and after administration of the test object, 5, 1, 1.5, 2, 4, 8, 24 (only day 1) 69 200800198 At 28 hours (only on the 28th day), a sample of money for the analysis of the broth was obtained. Part 2: SR Formulations In this study, 12 subjects received a sputum meat emulsion (1 mg mg. 5 QD SR formulation) and 4 received a placebo. On the first day, in the first two doses (within 2 hours of test object giving), after 5, i, i5, and 24 hours of dose; and on the 28th day, at the initial dose, 1, After the 2, 4, 8, 24, 48 and 72 hour doses, blood samples for the analysis of the broth were obtained. ® A total of 11 AD patients (age range = 52 to 90 years) participated in 10 pharmacokinetic data for this analysis. After single and multiple doses of the SR formulation, a plateau-like concentration versus time curve (up to a 24-hour period) can be seen for all Bayesian subjects, and peak/bottom fluctuations (ie, Cmax) at steady state /Cmin)=1.9. After 24 hours, it can be seen that the concentration of the squash is beginning to decrease. In Part 1, after administration of both single and multiple doses, it can be seen that the average tmax of the column 15 and the 1R formulation ranged from 1 to 1.5 hours. In comparison, after - single and multiple doses, the mean value of the scutellaria and SR formulations were different for each • 8 and 4 hours. After a single dose of the SR formulation, the dose-dependent pharmacokinetic parameters Cmax and AUCq24 at doses of 5 mg and 1 mg are as follows: · 5 mg of SR single dose: Cmax = 99 7 Ng / ml, 20 AUC〇_24=1845 Nike hours/ml; 1〇mg^^ single dose··

Cmax^lOj奈克/毫升’ AUC〇_24= 3 7 3 8.3奈克小時/毫升。 根據以5毫克之SR調配物所獲得的單一劑量血漿濃度 資料之藥物動力學模型,可預測在穩定狀態下,該Sr調配 物的QD攝藥法預測可達成類似的曝露(AucG_24)、較低的 70 200800198Cmax^lOj Nek/ml ' AUC〇_24= 3 7 3 8.3 Ngh/ml. Based on a pharmacokinetic model of single-dose plasma concentration data obtained with a 5 mg SR formulation, it is predicted that the QD drug prediction of the Sr formulation predicts similar exposure (AucG_24), lower at steady state. Of the 70 200800198

Cmax及類似的cmin(與ql2h攝藥法和IR調配物比較)。與這些 預測一致,在AD患者中,於給藥5毫克的ql2hIR調配物後, 平均列扣肉坦穩定狀態每曰總曝露(AUCo-24)為5788奈克* 小時/毫升;及在給藥10毫克之QDSR調配物後為6111奈克* 5 小時/毫升。5毫克的ql2h IR攝藥法之平均列扣肉坦穩定狀 態Cmax為450奈克/毫升(預測的模型=425奈克/毫升),與1〇 - 毫克的QD SR調配物比較,其平均穩定狀態Cmax為353奈克/ 毫升(預測的模型=319奈克/毫升)。對5毫克的ql2h IR及10Cmax and similar cmin (compared to ql2h and IR formulations). Consistent with these predictions, in AD patients, after administration of 5 mg of ql2hIR formulation, the average decoction of sulphate was steadily rated (AUCo-24) at 5788 ng*hr/ml; After 10 mg of the QDSR formulation, it was 6111 Nike* 5 hours/ml. The average value of 5 mg of ql2h IR was consistent with a Cmax of 450 Ng/ml (predicted model = 425 Ng/ml), which was stable compared to the 1 〇-mg QD SR formulation. State Cmax is 353 Ng/ml (predicted model = 319 Ng/ml). For 5 mg of ql2h IR and 10

• 毫克的QD SR調配物來說,在劑量區間的最後處之谷底濃 10 度各別為180奈克/毫升及184奈克/毫升。對10毫克的QD SR 調配物來說,在穩定狀態下之平均Cmax/cmin比率為1.91。對 5毫克的q 12h IR來說,在穩定狀態下之平均Cmax/Cmin比率為 2.4。5毫克的ql2h IR攝藥法之平均tmaj〇.8,同時1〇毫克 的QD SR調配物之平均tmax為4.2。 15 實例9 :副作用 ' 下表可闡明在以持續釋放型調配物列扣肉坦治療後的 • 副作用之發生率減低(如與列扣肉坦的立即釋放型調配物 比較)。 71 200800198 緊急副作用的治療(TEAEs) 立即釋放型(IR)對持續釋放型調配物 TEAE 列扣肉坦5毫克 IR 列扣肉坦5毫克 SR-快速 列扣肉坦5毫克 SR-中速 頭痛 1 0 0 頭昏眼花 9 0 1 感覺異常 1 0 0 視覺失常 2 0 0 耳鳴 1 0 0 總共 14 0 1 雖然為了清楚了解的目的已以實例來詳細描述出前述 5卷明,但將應由技工明瞭的是,可由該公告理解到可在所 附加的申凊專利範圍之範圍内實施某些改變及改質而沒有 過度實驗,其經由說明來顯現但不為限制。 在上文中所引用的全部公告及專利文件,其全文藉此 以參考方式併入本文而用於全部目的,其程度與如每篇如 10於此各別指示出般相同。 【陶式簡單說明】 士第1圖為在給藥單一劑量5毫克的列扣肉坦後,三種持 釋放型調配物與一種立即釋放型調配物之平均列扣肉坦 濃度對時間的曲線圖。 15 弟2圖為在接受多重口服劑量之立即釋放(每日兩次5 :中)及^續釋放(每日—次1G毫克)調配物的阿兹海默症患 ★其平均列扣肉坦錢濃度料麟狀曲線圖。 第圖為在接受單一及多重口服劑量购之毫克列 72 200800198 扣肉坦持續釋放型調配物(如描述在實例8的部分2中)的阿 茲海默症患者中,其列扣肉坦血漿濃度對時間數據之曲線 圖。第1天顯示出0至24小時的資料。第28天顯示出0至72小 時的資料。 5 第4圖為在接受多重口服劑量IR(5毫克)及SR(10毫克 QD)調配物的阿茲海默症患者中,列扣肉坦平均血漿濃度對 時間數據之比較曲線圖。 【主要元件符號說明】 (無) 73• For milligrams of QD SR formulation, the bottom 10° concentration at the end of the dose interval is 180 Ng/mL and 184 Ng/mL. For a 10 mg QD SR formulation, the average Cmax/cmin ratio at steady state was 1.91. For 5 mg of q 12h IR, the average Cmax/Cmin ratio at steady state is 2.4. 5 mg of ql2h IR for the mean tmaj 〇.8, and 1 〇 mg of the QD SR formulation for the average tmax Is 4.2. 15 Example 9: Side effects' The table below illustrates the reduction in the incidence of side effects after treatment with a sustained release formulation (eg, compared to the immediate release formulation of the scutellaria). 71 200800198 Treatment of emergency side effects (TEAEs) Immediate release type (IR) for sustained release formulations TEAE stalks of sardine 5 mg IR sirloin 5 mg SR-fast stalks of sardine 5 mg SR-medium speed headache 1 0 0 Dizziness 9 0 1 Paresthesia 1 0 0 Visual disorder 2 0 0 Tinnitus 1 0 0 Total 14 0 1 Although the above 5 volumes have been described in detail for the purpose of clarity, it should be clear to the skilled worker. It will be understood from the disclosure that certain changes and modifications may be made without departing from the scope of the appended claims. All of the publications and patent documents cited above are hereby incorporated by reference in their entirety for all purposes in the same extent as the same as the same. [Simple description of pottery] Figure 1 is a graph showing the average concentration of sulphate versus time for three release-release formulations and one immediate release formulation after administration of a single dose of 5 mg of scutellaria. . 15 Brother 2 picture shows Alzheimer's disease in immediate release (5 times a day) and continuous release (daily-time 1G mg) of multiple oral doses. The money concentration is a sinogram. The figure is a sample of Alzheimer's disease in a dose of 72 200800198 scutellaria sustained release formulation (as described in Part 2 of Example 8) in a single and multiple oral doses. A plot of concentration versus time data. The first day showed 0 to 24 hours of data. The 28th day shows data from 0 to 72 hours. 5 Figure 4 is a graph comparing the mean plasma concentration versus time data for patients with Alzheimer's disease who received multiple oral doses of IR (5 mg) and SR (10 mg QD). [Main component symbol description] (none) 73

Claims (1)

200800198 十、申請專利範圍: 1. -種包括將-口服劑型給藥至患者的方法,其中該劑型 包含列扣肉坦與-醫藥上可接受的制,且其可在患者 5200800198 X. Patent Application Range: 1. A method comprising administering an oral-administered dosage form to a patient, wherein the dosage form comprises a scutellaria and a pharmaceutically acceptable system, and the pharmaceutically acceptable system is 15 20 中達成一最大血漿濃度(c_)及在患者患者中達成Γ24 小時血漿濃度(c24),其中該在患者群中的‘A之平 均比率從約5 : 1至約ι·ι : 1。 2·如申請專利範圍第1項之方法,其中在將單1量之σ 服劑型給藥至患者後測量及^值。 3. ^申請專利範圍第2項之方法,其中該口服劑型包含約$ 宅克的列扣肉坦。 申請專利範圍'第2項之方法,其中該在患者群中 Γ 炎从士士,士 η . 均Cmax為約1〇〇奈克/毫升或較低 5·如申請專利範圍第丨項之方法,其中該在患者群中的 Cmax/C24i平均比率從約3 : i至約u ·· ^。 6·如申請專利範圍第5項 具中在將早一劑量的口 服咖給藥至患者後測量該c_及c24值。 7.c如申請專利範圍第1項之方法,其中該在患者群中的 max/C24之平均比率從約2.8 : 1至約u ·· J。 8·如申請專利範圍第1 弟項之方法,其中該在患者群中的 max 24之平均比率從約2.3 : 1至約u ·· J。 9.如申請專利範圍第1 在患者群中的平 max為約3·5小時或較多。 1〇·如申請專利範圍第1 均t “方法’其中該在患者群中的平 gtmax為約5小時或較多。 74 200800198 11· 一種包括將一 口服劑型給藥至患者的方法,其中該劑型 包括列扣肉坦與一醫藥上可接受的載劑,且其可在患者 中達成一最大血漿濃度(cmax)及在患者中達成一 24小時 血聚濃度(c24),其巾該在患者群巾之‘瓜的平均比 5 率從約2.4 : 1至約1.1 : 1。 12.如申請專利範圍第丨丨項之方法,其中在禁食群中,於穩 定狀態下測量該Cmax及C24值。 13·如申請專利範圍fl2項之方法,其中每日對患者提供約 !〇毫克的列扣肉坦。 1〇 I4·如中請專利範圍第12項之方法,其中該平均Cmax為約 350奈克/毫升。 以如申請專利範圍第n項之方法,其中該在患者群中的 Cmax/c24之平均比率從約2.3 : 1至約u : i。 Μ &amp;如中請專利範圍第叫之方法,其中該在患者群中的 Cmax/C24之平均比率從約2 : 1至約1.1 : 1。 17. 如申請專利範圍第丨丨項之方法,其中該在患者群中的 Cmax/C24之平均比率從約1#9 : 1至約u : i。 18. 如申請專利範圍第U項之方法’其中該在患者群中的 Cmax/c24之平均比率從約15 : 1至約u : 1。 20 1Q y•—種包括將一 口服劑型給藥至患者的方法,其中該劑型 包含列扣肉坦與一醫藥上可接受的載劑,且其可在患者 群中達成一平均最大血漿濃度(Cmax)及在患者群中達成 一平均24小時血漿濃度(C24),其中該平均Cmax/平均c24 之比率從約5 : 1至約0.5 : 1。 75 200800198 20·如申請專利範圍第19項之方法,其中在將單一劑量的口 服劑型給藥至患者後,測量Cmax及c24值。 21.如申請專利範圍第20項之方法,其中該口服劑型包含約 5毫克的列扣肉坦。 • 5 22.如申請專利範圍第19項之方法,其中該平均Cmax/平均 • C24的比率從約2.8 ·· 1至約1.1 : 1。 23·如申請專利範圍第19項之方法,其中該平均平均 Φ c24的比率從約2 : 1至約1.1 : 1。 %如申請專利範圍第19項之方法,其中該Cmax/平均C24的 10 比率從約1.5 : 1至約1.1 : ;!。 &amp;-種包括將-π服咖給藥至患者的方法,其中該劑型 包含列扣肉坦與一醫藥上可接受的載劑,且其可在患者 群中達成-平均最大企漿濃度(Cmax)及在患者群中核 一平均12小時血漿濃度仏),其中該平均C_/平均Cl2 15 之比率從約3 : 1至約0.5 : 1。 • 26·如申請專利範圍第18項之方法,其中該平均Cmax/平均 Ci2的比率從約2 : 1至約ι·ι : 1。 27.如申請專利範圍第18項之方法,其中該平狀_/平均 c12的比率從約丨·5 : 1至約Li : 1。 如28·-種用來減少與將列扣肉坦給藥至患者相關之負面副 作用的方法,其包括將―口服劑型給藥至患者,其中該 劑型包含列扣肉坦與—醫藥可接受的㈣,且可在患者 中達成隶大血漿濃度(cmax)及在患者中達成一24小時 血漿濃度(c24),其中該在患者群中之C_/C24的平均比 76 200800198 率從約5 : 1至約l.i : 1。 29.如申請專利範圍第28項之方法,其中在將單一劑量之口 服劑型給藥至患者後,測量Cmax及c24值。 3 〇 · 一種絲減少與將列扣肉坦給藥至患者相關的負面副 作用之方法,其包括將一 口服劑型給藥至患者,其中該 劑型包含列扣肉坦與―醫藥上可接受的制,且可在患 f中達成-最大血漿濃度(Cmax)及在患纟中達成一 24小 時血漿濃度(c24),其中該在患者群中的Cmax/C24之平均 比率從約2·4 : 1至約1.1 ·· i。 31.如申請專利範圍第30項之方法,其中在禁食群中,於穩 定狀態下測量cmax及c24值。 ^ 3 2 · -種用來減少與將列扣肉坦給藥至患者相關的負面副 作用之方法,其包括: 透過給藥列扣肉坦來鑑別患者其在負面副作用上 的風險;及 將-口服劑型給藥至患者,其中該劑型包含列扣肉 坦與-醫藥上可接受的載劑,且可在患者中達成一最大 血漿濃度(cmax)及在患者中達成一 24小時血漿濃度 (C24),其中該在患者群中之C-/C24的平均比率從約5: 1 至約 1.1 : 1。 奸如申請專利範圍第32項之方法,其中在將單—劑量之口 服劑型給藥至患者後,測4CmjC24值。 申請專利範圍第32項之方法,其中該負面副作用為頭 痛、頭昏眼花、感覺異常、視覺失常、耳„烏或心且人。、 77 200800198 Μ.如申請專利範圍第32項之方法,其中該負面副作用的發 生率可減低。 36.-種用來減少與將列扣肉坦給藥至患者相關的負面副 作用之方法,其包括·· 透過給藥列扣肉坦來鑑別患者其在負面副作用上 的風險;及 將- 口服劑型給藥至患者,其中該劑型包含列扣肉 坦及一醫藥上可接受的載劑,可在患者中達成一最大血 水/辰度(Cmax)及在患者中達成一24小時血漿濃度(Gy, 其中該在患者群中之Cmax/C24的平均比率從約2·4: i至約 1.1 ·· 1 〇 37.如申請專利範圍第36項之方法,其中在禁食群中,於穩 定狀態下測量cmax及c24值。 38·如申料他圍第36項之方法,其巾該負面副作用為頭 痛、頭昏眼花、感覺異常、視覺失常、耳鳴或其組合。 39·如申請專利範圍第36項之方法,其中該負面副作用的發 生率可減低。 4〇·—種將列扣肉坦給藥至患者的方法,該方法包括將一口 服θ彳型給藥至患者,其中該劑型包含列扣肉坦與一醫藥 上可接受的載劑,其中當在USP型式II溶解裝置中,以 50 rpm,在900毫升USP pH 6.8之磷酸鹽緩衝液中,於 37°C下測量,且對每個劑型使用一沉降劑時,該劑型具 有一試管内溶解曲線,其中: 在该裝置中,於約2小時的測量處釋放不超過4〇%之 78 200800198 列扣肉坦;及 在该裝置中,於約十二小時的測量處釋放約5〇%至 約85%之列扣肉坦。 41. -種將列扣肉坦給藥至患者的方法,該方法包括將—口 服劑型給藥至患者,其巾該㈣包含列扣肉坦與—醫藥 上可接受的載劑,及其 (1)可在患者群中達成一平均^,其少於從立即 釋放型調配物將相等劑量的列扣肉坦給藥至患者群時 所獲得之平均&lt;:^,; (ii) 可在患者群中達成一平均tmax,其大於從立即釋 放型調配物將相等劑量的列扣肉坦給藥至患者群時所 獲得之tmax ;及 (iii) 可達成一列扣肉坦濃度對時間的曲線,該曲線 在患者群中具有一在曲線下之面積(AUC),其實質上與 從立即釋放劑型將相等劑量的列扣肉坦給藥至患者群 時所獲得之AUC相同。 42. 如申請專利範圍第41項之方法,其中該口服劑型可達成 約1〇〇奈克/毫升或較少的平均cmax。 43·如申請專利範圍第42項之方法,其中當在給藥單一劑量 之口服劑形後,測icmax。 44.如申請專利範圍第43項之方法,其中該口服劑型包含約 5毫克的列扣肉坦。 45·如申請專利範圍第41項之方法,其中該口服劑型可達成 約4小時至約8小時的平均tmax。 79 200800198 46·如申請專利範_41項之方法其帽口服劑型可達成 約2_至約2500奈克小時/毫升的平均狐。 47. 如申請專利範圍第46項之方法,其中當在給藥單一劑量 的口服劑型後,測量平均AUC。A maximum plasma concentration (c_) is reached in 15 20 and a 24-hour plasma concentration (c24) is achieved in the patient patient, wherein the average ratio of 'A in the patient population ranges from about 5:1 to about ι·ι:1. 2. The method of claim 1, wherein the single-quantity sigma dosage form is administered to a patient and measured. 3. ^ The method of claim 2, wherein the oral dosage form comprises about $1 gram of squash. The method of claim 2, wherein the sputum in the patient population is from the priest, the η. The Cmax is about 1 〇〇N/ml or lower. 5. The method of claim 丨Wherein the average ratio of Cmax/C24i in the patient population ranges from about 3: i to about u··^. 6. The value of c_ and c24 is measured in the fifth application of the patent application after the administration of the morning dose of the oral coffee to the patient. 7.c. The method of claim 1, wherein the average ratio of max/C24 in the patient population is from about 2.8:1 to about u··J. 8. The method of claim 1, wherein the average ratio of max 24 in the patient population ranges from about 2.3:1 to about u··J. 9. If the patent application range is 1 in the patient population, the flat max is about 3.5 hours or more. 1〇·If the scope of the patent application is 1st, the method “where the flat gtmax in the patient population is about 5 hours or more. 74 200800198 11· A method comprising administering an oral dosage form to a patient, wherein The dosage form comprises a medicinal carrier and a pharmaceutically acceptable carrier, and which achieves a maximum plasma concentration (cmax) in the patient and a 24-hour blood concentration (c24) in the patient, the towel being in the patient The average ratio of the melons of the group of towels is from about 2.4:1 to about 1.1:1. 12. The method of claim 2, wherein in the fasting group, the Cmax and C24 are measured under steady state. The method of claim 2, wherein the method of providing the patient with a daily dose of about 〇 〇 〇 肉 肉 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 350 Ng/ml. In the method of claim n, wherein the average ratio of Cmax/c24 in the patient population is from about 2.3:1 to about u: i. Μ &amp; a method in which the average ratio of Cmax/C24 in the patient population is from 2: 1 to about 1.1: 1. 17. The method of claim </ RTI> wherein the average ratio of Cmax/C24 in the patient population ranges from about 1 #9:1 to about u:i. The method of claim U, wherein the average ratio of Cmax/c24 in the patient population ranges from about 15:1 to about u: 1. 20 1Q y•-type includes administering an oral dosage form to the patient. The method wherein the dosage form comprises a scutellaria and a pharmaceutically acceptable carrier, and which achieves an average maximum plasma concentration (Cmax) in the patient population and an average 24-hour plasma concentration in the patient population (C24) And wherein the ratio of the average Cmax/average c24 is from about 5:1 to about 0.5: 1. 75. The method of claim 19, wherein after administering a single dose of the oral dosage form to the patient, The method of claim 20, wherein the oral dosage form comprises about 5 mg of the squash stalk. • 5 22. The method of claim 19, wherein the average Cmax / average • C24 ratio from about 2.8 · 1 to about 1.1 : 1. 23 · Apply The method of claim 19, wherein the ratio of the average average Φ c24 is from about 2:1 to about 1.1: 1. %, as in the method of claim 19, wherein the Cmax/average C24 ratio is from about 1.5. : 1 to about 1.1 : ;!. &amp;-A method comprising administering a -π coffee to a patient, wherein the dosage form comprises a scutellaria and a pharmaceutically acceptable carrier, and which can be achieved in the patient population - an average maximum plasma concentration ( Cmax) and an average 12-hour plasma concentration 仏 in the patient population, wherein the ratio of the average C_/average Cl2 15 is from about 3:1 to about 0.5:1. • 26. The method of claim 18, wherein the average Cmax/average Ci2 ratio is from about 2:1 to about ι·ι:1. 27. The method of claim 18, wherein the ratio of the flat _/average c12 is from about 丨·5:1 to about Li:1. A method for reducing the negative side effects associated with administering a gentamicin to a patient, comprising administering an "oral dosage form" to a patient, wherein the dosage form comprises a scutellaria and a pharmaceutically acceptable (d), and can achieve a plasma concentration (cmax) in the patient and a 24-hour plasma concentration (c24) in the patient, wherein the average ratio of C_/C24 in the patient group is 76 200800198 from about 5:1 To about li: 1. 29. The method of claim 28, wherein the Cmax and c24 values are measured after a single dose of the oral dosage form is administered to the patient. 3 A method of reducing the negative side effects associated with administration of a scutellaria to a patient, comprising administering an oral dosage form to a patient, wherein the dosage form comprises a scutellaria and a pharmaceutically acceptable system And can achieve - maximum plasma concentration (Cmax) in the disease f and achieve a 24-hour plasma concentration (c24) in the sputum, wherein the average ratio of Cmax / C24 in the patient population is from about 2 · 4 : 1 To about 1.1 ·· i. 31. The method of claim 30, wherein in the fasting group, the cmax and c24 values are measured in a stable state. ^ 3 2 - a method for reducing the negative side effects associated with administration of a scutellaria to a patient, comprising: identifying a patient's risk of negative side effects by administering a scutellite; and The oral dosage form is administered to a patient, wherein the dosage form comprises a scutellaria and a pharmaceutically acceptable carrier, and a maximum plasma concentration (cmax) can be achieved in the patient and a 24-hour plasma concentration is achieved in the patient (C24) ), wherein the average ratio of C-/C24 in the patient population ranges from about 5:1 to about 1.1:1. The method of claim 32, wherein the 4CmjC24 value is measured after administration of the single-dose oral dosage form to the patient. The method of claim 32, wherein the negative side effect is headache, dizziness, paresthesia, visual abnormality, ear, or heart and human. 77 200800198 Μ. The method of claim 32, wherein The incidence of this negative side effect can be reduced. 36. A method for reducing the negative side effects associated with administration of a scutellaria to a patient, which includes identifying the patient by negatively administering the stalk The risk of side effects; and the administration of the oral dosage form to the patient, wherein the dosage form comprises a medicinal carrier and a pharmaceutically acceptable carrier, which achieves a maximum blood/increase (Cmax) in the patient and in the patient A 24-hour plasma concentration (Gy, wherein the average ratio of Cmax/C24 in the patient population is from about 2:4: i to about 1.1 ··1 〇37. The method of claim 36, wherein In the fasting group, the cmax and c24 values are measured under steady state. 38. If the method of claim 36 is applied, the negative side effects of the towel are headache, dizziness, paresthesia, visual disorder, tinnitus or Combination. 39· The method of claim 36, wherein the incidence of the negative side effect can be reduced. 4. A method for administering a scutellaria to a patient, the method comprising administering an oral θ 彳 to a patient, Wherein the dosage form comprises a cinnabar and a pharmaceutically acceptable carrier, wherein in a USP Type II dissolution apparatus, at 50 rpm in 900 ml of USP pH 6.8 phosphate buffer at 37 ° C When measured and used as a settling agent for each dosage form, the dosage form has an in-tube dissolution profile wherein: in the apparatus, no more than 4% of the 78 is released at the measurement of about 2 hours. And in the device, releasing about 5% to about 85% of the stalks at about 12 hours of measurement. 41. A method of administering a medicinal to a patient, the method comprising: Oral dosage form for administration to a patient, wherein the (4) comprises a medicinal carrier and a pharmaceutically acceptable carrier, and (1) an average of ^ can be achieved in the patient population, which is less than an immediate release formulation Obtained when an equal dose of scutellaria is administered to a patient population The average &lt;:^,; (ii) an average tmax can be achieved in the patient population that is greater than the tmax obtained when an equal dose of the acesulfame is administered to the patient population from the immediate release formulation; Iii) a score of concentration of carnitine versus time can be achieved, the curve having an area under the curve (AUC) in the patient population, which is substantially equivalent to the administration of equal doses of the drug to the immediate release dosage form. The AUC obtained in the patient group is the same. 42. The method of claim 41, wherein the oral dosage form achieves an average cmax of about 1 〇〇N/ml or less. 43. The method of claim 42, wherein the icmax is measured after administration of a single dose of the oral dosage form. 44. The method of claim 43, wherein the oral dosage form comprises about 5 mg of scutellaria. 45. The method of claim 41, wherein the oral dosage form achieves an average tmax of from about 4 hours to about 8 hours. 79 200800198 46. The method of applying the patent _41 can achieve an average fox of about 2 to about 2500 ngh/ml. 47. The method of claim 46, wherein the average AUC is measured after administration of a single dose of the oral dosage form. 10 1510 15 48. 如一申請專利範圍第47項之方法,其中該口服劑型包含約 5毫克的列扣肉坦。 49.如申料魏圍第41項之方法,其巾該口_型可達成 少於400奈克/毫升的平均。 5〇.如申請專·㈣49項之私,其帽口服咖可達成 約350奈克/毫升的平均。 51.如申請專利範圍第49項之方法,其中當在禁食群中,於 穩定狀態下測量該Cmax〇 A如申請專利範圍第51項之方法,其中每日將iq毫克的列 扣肉坦給藥至患者。 ’其中該口服劑量形式可 max ° ’其中該口服劑型可達成 53.如申請專利範圍第41項之方法 達成約4小時至約8小時的平均 54·如申請專利範圍第41項之方法 約5500至約6300奈克小時/毫升的平均AUC。 55.-種用來減少與將列扣肉坦給藥至患者相關的負面副 作用之方法’該方法包括將—口服劑型給藥至患者,其 中該劑型包含列扣肉坦與—醫藥上可接受的載劑,及其 ⑴可在患者群中達成-平均Cmax,其少於從立^ 釋放型調配物將相等劑量的列扣肉坦給藥至患者群時 所獲得之平均cmax; 20 200800198 (ii)可在患者群中達成一平均tmax,其大於從立即釋 放型調配物將相等劑量的列扣肉坦給藥至患者群時所 獲得之tmax ;及 (in)可達成一列扣肉坦濃度對時間的曲線,該曲線 在患者群中具有一在曲線下之面積(AUC),其實質上與 從立即釋放劑量形式將相等劑量的列扣肉坦給藥至患 者群時所獲得之AUC相同。48. The method of claim 47, wherein the oral dosage form comprises about 5 mg of scutellaria. 49. If the method of claim 41 of Wei Wei is applied, the mouth _ type can achieve an average of less than 400 Ng/ml. 5〇. If you apply for the special (4) 49 items, the cap oral coffee can reach an average of about 350 Ng / ml. 51. The method of claim 49, wherein in the fasting group, the Cmax 〇 A is measured in a steady state as in the method of claim 51, wherein the iq mg is labeled daily. Administration to the patient. 'Where the oral dosage form can be max ° ' wherein the oral dosage form can be achieved. 53. The method of claim 41 of the patent application achieves an average of about 4 hours to about 8 hours. 54. The method of claim 41 is about 5500. The average AUC to about 6300 ngh/ml. 55. A method for reducing the negative side effects associated with administering a gentamicin to a patient&apos; comprising administering an oral dosage form to a patient, wherein the dosage form comprises a scutellite and is pharmaceutically acceptable The carrier, and (1) thereof, can be achieved in the patient population - an average Cmax which is less than the average cmax obtained when a similar dose of the scutellaria is administered to the patient population from the immediate release formulation; 20 200800198 ( Ii) an average tmax can be achieved in the patient population that is greater than the tmax obtained from the immediate release formulation when an equal dose of the scutellaria is administered to the patient population; and (in) a list of scutellaria concentrations can be achieved A curve versus time that has an area under the curve (AUC) in the patient population that is substantially the same as the AUC obtained when the equivalent dose of the scutellaria is administered to the patient population from the immediate release dosage form. . 56· —種用來減少與將列扣肉坦給藥至患者相關的負面副 作用之方法,其包括: 透過給藥列扣肉坦來鑑別患者其在負面副作用上 的風險;及 將一口服劑型給藥至患者,其中該劑型包含列扣肉 坦與一醫藥上可接受的載劑,及其 ⑴可在患者群中達成-平均c_,其少於從立即 釋放型調配物將相等劑量的列扣肉坦給藥至患者群時 所獲得之平均&lt;^^ ; 放型調配物將相等劑量的列扣肉 獲得之平均tmax;及 ⑻可在患者群中達成_平印_,其大於從立即釋 坦給藥至患者群時所 (ϋ〇可達成一 一列扣肉坦濃度對時間的曲線56. A method for reducing the side effects associated with administering a scutellaria to a patient, comprising: identifying a patient's risk of adverse side effects by administering a scutellaria; and administering an oral dosage form Administering to a patient, wherein the dosage form comprises a dextromethorphan and a pharmaceutically acceptable carrier, and (1) is achievable in the patient population - an average c_ which is less than the equivalent dose from the immediate release formulation The average value obtained when the medicinal medicinal administration is administered to the patient population is &lt;^^; the average tmax obtained by the release formulation of equal doses of the sessile meat; and (8) may be achieved in the patient population _ lithographic _, which is greater than When the immediate release of the drug is administered to the patient group, the curve of the concentration of the carcass to the time can be achieved. 群時所獲得之AUC相同。 線,該曲線 在曲線下之面積(AUC),其實質上 〔相等劑量的列扣肉坦給藥至患者 其包括將一列扣肉坦 —種治療阿茲海默症患者之方法, 81 200800198 的持續釋放型調配物給藥至該患者。 5The AUC obtained at the time of the group is the same. Line, the area under the curve (AUC) of the curve, which is essentially [equal doses of dextromethorphan administered to patients including a method of treating a patient with Alzheimer's disease, 81 200800198 The sustained release formulation is administered to the patient. 5 10 1510 15 20 58· —種列扣肉坦的用途,其可使用來製備一包含其與一醫 藥上可接受的載劑之口服劑型形式的藥劑,且其可在患 者中達成一最大血漿濃度(cmax)及在患者中達成一24小 時血漿濃度(CM,其中在患者群中之平均比 率從約5 : 1至約1.1 : 1。 59.—種列扣肉坦的用途,其可使用來製備一包含列扣肉坦 與一醫藥上可接受的載劑之口服劑型形式的藥劑,且可 在患者中達成一最大血漿濃度(cmax)及在患者中達成一 24小時血漿濃度(C24),其巾該在患者群巾之的 平均比率從約2.4 : 1至約ΐ·ΐ : 1。 6〇·-種列扣肉坦_途,其可使用來製備—包含列扣肉坦 與-醫藥上可接受的_之口服劑型形式的藥劑,且可 在患者群中達成-平均最大血漿濃度(c_)及在患者群 中達成一平均24小時也漿濃度仏),其中該平均cw 平均C24之比率從約5 : 1至約〇.5 : i。 61· 一種列t肉坦的用途,其可使用來製備一包含列扣肉坦 與-醫樂上可接雙的載劑之口服劑型形式的藥劑,且可 ^成在患者群巾1均最大錢濃度(^)及在患者群 中-平:靴聚濃度(Ci2),其中該平 Cl2之比率從約3: 1至約〇·5: !。 一種列扣肉坦的用途,其可使用來製備—能減少與將列 ^肉坦給藥至患者相_貞面副翻之口服劑型形式 的樂劑,其中如服劑型包含列扣肉垣與—醫藥上可接 82 02. 200800198 受的載劑,且可在患者中達成一最大血漿濃度(cmax)及 在患者中達成一24小時血漿濃度(Cm),其中該在患者群 中的Cmax/C24之平均比率從約5 ·· 1至約u ·· 1。 63·—種列扣肉坦的用途,其可使用來製備一能減少與將列 5 扣肉坦給藥至患者相關的負面副作用之口服劑型形式 的藥劑,其中該口服劑型包含列扣肉坦與一醫藥上可接 受的載劑,且可在患者中達成一最大灰漿濃度(Cmax)及 在患者中達成一24小時血漿濃度(C24),其中該在患者群 中之Cmax/C24的平均比率從約2.4 : 1至約1 1 : 1 〇 10 64·—種列扣肉坦的用途,其可使用來製備一包含列扣肉坦 與一鲁藥上可接受的載劑之口服劑型形式的藥劑,其中 虽在USP型式II溶解裝置中,以5〇 rpm,在9〇〇毫升usp pH 6.8之磷酸鹽緩衝液中,於37它下測量,且對每個劑 型使用一沉降劑時,該劑型具有一試管内溶解曲線,其 15 中: 在忒裝置中’於約2小時的測量處將釋放出不超過 40%之列扣肉坦;及 在該裝置中’於約十二小時的測量處將釋放出約 50%至約85%之列扣肉坦。 〇 65.種列扣肉坦的用途,其可使用來製備一可使用於患者 而包含列扣肉坦與一醫藥上可接受的載劑之口服劑型 形式的藥劑,及其 (1)可在患者群中達成一平均Cmax,其少於從立即 釋放型調配物將相等劑量的列扣肉坦給藥至患者群時 83 200800198 所獲得之平均Cmax ; (ii) 可在患者群中達成一平均tmax,其大於從立即釋 放型調配物將相等劑量的列扣肉坦給藥至患者群時所 獲得之tmax;及 (iii) 可達成一列扣肉坦的濃度對時間之曲線,該曲 線在患者群中具有一在曲線下之面積(AUC),其實質上 與從立即釋放劑型將相等劑量的列扣肉坦給藥至患者 群時所獲得之AUC相同。 66. -種列扣肉坦_途,可使用來製備—可使用於患者而 包含列扣肉坦與一醫藥上可接受的载劑之口服劑型形 式的藥劑,及其 ⑴可在患者群中達成一平均Cmax,其少於從立即 釋放型調配物將相等劑量的列扣肉坦給藥至患者群時 所獲得之平均cmax; ⑼可在患者群中達成一平均tmax,其大於從立即釋 放型調配物將相等劑量的列扣肉垣給藥至患者群時所 獲得之tmax;及 ㈣可達成-列扣肉坦的濃度對時間之曲線,該曲 線在患者群巾具有-在曲線τ之面積(Auc),其實質上 與從立即釋放劑量形式將相等劑量的列扣肉坦給藥至 患者群時所獲得之AUC相同。 67. -種列扣肉坦的用途’其可使用來製備—能減少與將列 扣肉坦給藥至患者相關的負面副作用之口服劑型形式 的藥劑,其包括: 84 200800198 透過給藥列扣肉坦來鑑別患者在負面副作用上的 風險;及 將一包含列扣肉坦與一醫藥上可接受的載劑之口 服劑型給藥至患者,及其 5 (i)可在患者群中達成一平均Cmax,其少於從立即 釋放型調配物將相等劑量的列扣肉坦給藥至患者群時 所獲得之平均Cmax ; (ii) 可在患者群中達成一平均tmax,其大於從立即釋 放型調配物將相等劑量的列扣肉坦給藥至患者群時所 10 獲得之平均tmax ;及 (iii) 可達成一列扣肉坦的濃度對時間之曲線,該曲 線在患者群中具有一在曲線下之面積(AUC),其實質上 與從立即釋放劑型將相等劑量的列扣肉坦給藥至患者 群時所獲得之AUC相同。 15 68.如申請專利範圍第57至66項之任何一項的用途,其中該 藥劑可使用來治療患者的阿茲海默症。 8520 58 - The use of a scutellaria can be used to prepare an agent comprising an oral dosage form in combination with a pharmaceutically acceptable carrier, and which achieves a maximum plasma concentration (cmax) in a patient And achieving a 24-hour plasma concentration in the patient (CM, wherein the average ratio in the patient population is from about 5:1 to about 1.1:1. 59. - the use of the species of scutellaria, which can be used to prepare a An agent in the form of an oral dosage form with a pharmaceutically acceptable carrier, and which achieves a maximum plasma concentration (cmax) in the patient and a 24-hour plasma concentration (C24) in the patient. The average ratio of patients in the group of towels is from about 2.4:1 to about ΐ·ΐ: 1. 6〇·----------------------------------------------------------------------------------------------- An oral dosage form of the agent, and which can be achieved in the patient population - mean maximum plasma concentration (c_) and an average 24 hour plasma concentration in the patient population), wherein the average cw average C24 ratio is from about 5 : 1 to about 〇.5 : i. 61. The use of a t-tank which can be used to prepare an agent in the form of an oral dosage form comprising a carrier which can be conjugated to a medicinal agent and can be doubled in the patient group 1 The concentration of money (^) and in the patient population - flat: the concentration of the boots (Ci2), wherein the ratio of the flat Cl2 is from about 3: 1 to about 〇·5: !. A use of a scutellaria sulphate which can be used to prepare an oral dosage form which is capable of reducing the administration of a medicinal preparation to a patient, wherein the dosage form comprises a squid and - The drug can be administrated with 82 02. 200800198, and a maximum plasma concentration (cmax) can be achieved in the patient and a 24-hour plasma concentration (Cm) can be achieved in the patient, where the Cmax in the patient population The average ratio of C24 is from about 5 ··1 to about u ··1. 63. The use of a squash, which can be used to prepare an agent in an oral dosage form that reduces the side effects associated with administering a scutellaria to a patient, wherein the oral dosage form comprises a squash And a pharmaceutically acceptable carrier, and a maximum mortar concentration (Cmax) can be achieved in the patient and a 24-hour plasma concentration (C24) is achieved in the patient, wherein the average ratio of Cmax/C24 in the patient population From about 2.4: 1 to about 1 1 : 1 〇 10 64 · - the use of a variety of stalks, which can be used to prepare an oral dosage form comprising a lysine and a pharmaceutically acceptable carrier An agent, although measured in a USP Type II dissolution apparatus at 5 rpm in 9 mM usp pH 6.8 phosphate buffer at 37, and using a settling agent for each dosage form, The dosage form has an in-tube dissolution profile, in which: 15 in the crucible device, no more than 40% of the decals will be released at the measurement of about 2 hours; and in the device, the measurement is performed in about 12 hours. About 50% to about 85% of the meat will be released. 〇 65. The use of a scutellaria can be used to prepare an agent in an oral dosage form which can be used in a patient and which comprises a medicinal carrier and a pharmaceutically acceptable carrier, and (1) An average Cmax is achieved in the patient population, which is less than the average Cmax obtained from the immediate release formulation when an equal dose of scutellaria is administered to the patient population 83 200800198; (ii) an average can be achieved in the patient population Tmax, which is greater than the tmax obtained when an equal dose of the acesulfame is administered to the patient population from the immediate release formulation; and (iii) a concentration versus time curve for the drug can be achieved, the curve being in the patient The population has an area under the curve (AUC) that is substantially the same as the AUC obtained when an equal dose of the acesulfame is administered to the patient population from the immediate release dosage form. 66. - a type of agent that can be used to prepare an oral dosage form that can be used in a patient to contain a medicinal carrier and a pharmaceutically acceptable carrier, and (1) can be used in a patient population An average Cmax is achieved which is less than the average cmax obtained when an equal dose of the acesulfame is administered to the patient population from the immediate release formulation; (9) an average tmax can be achieved in the patient population that is greater than immediate release a tmax obtained by administering a dose of the same amount of the chopped meat emulsion to the patient population; and (iv) a achievable-cluster concentration versus time curve, the curve having a curve in the patient group - in the curve τ Area (Auc), which is substantially the same as the AUC obtained when an equal dose of dextromethorphan is administered to a patient population from an immediate release dosage form. 67. - The use of a scutellaria sulphate - which can be used to prepare - an oral dosage form that reduces the negative side effects associated with administration of a scutellaria to a patient, including: 84 200800198 Meat to identify the risk of a patient with negative side effects; and to administer an oral dosage form comprising a tyrosin and a pharmaceutically acceptable carrier to the patient, and 5 (i) can achieve a patient population The average Cmax, which is less than the average Cmax obtained when an equal dose of acesulfame is administered to the patient population from an immediate release formulation; (ii) an average tmax can be achieved in the patient population that is greater than immediate release The formula determines the mean tmax obtained by administering an equal dose of scutellaria to the patient population; and (iii) achieving a concentration versus time curve of the scutellaria, the curve having one in the patient population The area under the curve (AUC), which is essentially the same as the AUC obtained when an equal dose of the acesulfame is administered to the patient population from the immediate release dosage form. The use of any one of claims 57 to 66, wherein the agent is used to treat Alzheimer's disease in a patient. 85
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US8134029B2 (en) 2002-09-16 2012-03-13 Sunovion Pharmaceuticals Inc. Treatment of CNS disorders with trans 4-(3,4-dichlorophenyl)-1,2,3,4-tetrahydro-1-napthalenamine
CN101553217A (en) 2005-07-06 2009-10-07 塞普拉科公司 Combinations of eszopiclone and trans 4-(3,4-dichlorophenyl)-1,2,3,4-tetrahydro-n-methyl-1-napthalenamine or trans 4-(3,4-dichlorophenyl)-1,2,3,4-tetrahydro-1-napthalenamine, and methods of treatment
JP2012526832A (en) * 2009-05-13 2012-11-01 スノビオン プハルマセウトイカルス インコーポレイテッド Composition comprising transnorsertraline and serotonin receptor 1A agonist / antagonist and use thereof

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PL203217B1 (en) * 2000-09-29 2009-09-30 Solvay Pharm Bv Ion-strength independent sustained release pharmaceutical formulation
GB2407498B (en) * 2003-10-30 2008-06-11 Cipla Ltd Oral formulations for 5-HT receptor agonists with reduced degradation of active ingredient
US20050215561A1 (en) * 2004-03-19 2005-09-29 Krishnendu Ghosh Pharmaceutical dosage forms and compositions
CN101137648A (en) * 2005-03-01 2008-03-05 惠氏公司 Crystalline and amorphous 4-cyano-n-{(2r)-2-[4-(2,3-dihydro-benzo[1,4]dioxin-5-yl)-piperazin -1-yl]-propyl}-n-pyridin-2-yl-benzamide hydrochloride

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CR9800A (en) 2008-04-28
CN101258146A (en) 2008-09-03
RU2008108216A (en) 2009-10-20
AU2006287543A1 (en) 2007-03-15
BRPI0615771A2 (en) 2011-05-24
PE20070334A1 (en) 2007-05-08
EP1928863A2 (en) 2008-06-11
ECSP088236A (en) 2008-04-28
AR058033A1 (en) 2008-01-23
WO2007030589A2 (en) 2007-03-15
KR20080043855A (en) 2008-05-19
NO20081100L (en) 2008-06-03
JP2009507850A (en) 2009-02-26
WO2007030589A3 (en) 2007-11-01
IL189827A0 (en) 2008-11-03
GT200600403A (en) 2007-09-19

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