TW202341973A - Therapeutic compounds, formulations, and use thereof - Google Patents
Therapeutic compounds, formulations, and use thereof Download PDFInfo
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- TW202341973A TW202341973A TW112107355A TW112107355A TW202341973A TW 202341973 A TW202341973 A TW 202341973A TW 112107355 A TW112107355 A TW 112107355A TW 112107355 A TW112107355 A TW 112107355A TW 202341973 A TW202341973 A TW 202341973A
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/14—Particulate form, e.g. powders, Processes for size reducing of pure drugs or the resulting products, Pure drug nanoparticles
- A61K9/141—Intimate drug-carrier mixtures characterised by the carrier, e.g. ordered mixtures, adsorbates, solid solutions, eutectica, co-dried, co-solubilised, co-kneaded, co-milled, co-ground products, co-precipitates, co-evaporates, co-extrudates, co-melts; Drug nanoparticles with adsorbed surface modifiers
- A61K9/146—Intimate drug-carrier mixtures characterised by the carrier, e.g. ordered mixtures, adsorbates, solid solutions, eutectica, co-dried, co-solubilised, co-kneaded, co-milled, co-ground products, co-precipitates, co-evaporates, co-extrudates, co-melts; Drug nanoparticles with adsorbed surface modifiers with organic macromolecular compounds
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/16—Amides, e.g. hydroxamic acids
- A61K31/18—Sulfonamides
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P35/00—Antineoplastic agents
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/20—Pills, tablets, discs, rods
- A61K9/2004—Excipients; Inactive ingredients
- A61K9/2022—Organic macromolecular compounds
- A61K9/2027—Organic macromolecular compounds obtained by reactions only involving carbon-to-carbon unsaturated bonds, e.g. polyvinyl pyrrolidone, poly(meth)acrylates
Abstract
Description
無 交叉參照 without cross reference
本申請案主張2022年3月1日提申的U.S.臨時專利申請案第63/268,723號之利益及優先權,其完整內容係以引用方式併入本文中。This application claims the benefit and priority of U.S. Provisional Patent Application No. 63/268,723, filed on March 1, 2022, the entire content of which is incorporated herein by reference.
無without
於某些實施方式中,本文中揭露者係包含式(I)化合物及聚合物賦形劑的固體非晶形分散體、製造該等分散體的方法、包含該等分散體的組成物、包含該等組成物的口服劑型、以及包含投予包含該等組成物的口服劑型的治療疾病或病症(例如癌症、纖維化、發炎性疾病或病症)的方法。In certain embodiments, disclosed herein are solid amorphous dispersions comprising a compound of Formula (I) and a polymeric excipient, methods of making such dispersions, compositions comprising such dispersions, Oral dosage forms of such compositions, and methods of treating diseases or conditions (e.g., cancer, fibrosis, inflammatory diseases or conditions) comprising administering oral dosage forms containing such compositions.
於某些實施方式中,本文中揭露者係固體非晶形分散體,其包含: a)式(I)化合物: (I) 或其醫藥上可接受的鹽;及 b)聚合物賦形劑。 In certain embodiments, disclosed herein are solid amorphous dispersions comprising: a) a compound of formula (I): (I) or a pharmaceutically acceptable salt thereof; and b) polymeric excipient.
於某些實施方式中,本文中揭露者係固體非晶形分散體,其包含: a)式(I)化合物: (I) 或其醫藥上可接受的鹽,其量為該分散體之約40% w/w至約60% w/w;及 b)聚合物賦形劑,其量為該分散體之約40%至約60% w/w。 In certain embodiments, disclosed herein are solid amorphous dispersions comprising: a) a compound of formula (I): (I) or a pharmaceutically acceptable salt thereof in an amount of about 40% w/w to about 60% w/w of the dispersion; and b) a polymeric excipient in an amount of about 60% w/w of the dispersion 40% to about 60% w/w.
於某些實施方式中,本文中揭露者係固體非晶形分散體,其包含: a)至少150 mg的式(I)化合物: (I) 或其醫藥上可接受的鹽;及 b)聚合物賦形劑。 In certain embodiments, disclosed herein are solid amorphous dispersions comprising: a) at least 150 mg of a compound of formula (I): (I) or a pharmaceutically acceptable salt thereof; and b) polymeric excipient.
於某些實施方式中,本文中揭露者係組成物,其包含: a)固體非晶形分散體,其包含: i)至少150 mg的式(I)化合物: (I) 或其醫藥上可接受的鹽;及 ii)聚合物賦形劑,其量為該組成物之約20-35% w/w; b)結晶抑制性聚合物,其量為該組成物之約15-35% w/w; c)稀釋劑或填充劑,其量為該組成物之約5-25%; d)崩解劑,其量為該組成物之約1-8% w/w;及 e)潤滑劑,其量為該組成物之約0.1-3% w/w。 In certain embodiments, disclosed herein are compositions comprising: a) a solid amorphous dispersion comprising: i) at least 150 mg of a compound of formula (I): (I) or a pharmaceutically acceptable salt thereof; and ii) polymeric excipients in an amount of about 20-35% w/w of the composition; b) crystallization-inhibiting polymers in an amount of the composition About 15-35% w/w of the composition; c) Diluent or filler, the amount is about 5-25% of the composition; d) Disintegrant, the amount is about 1-8% of the composition w/w; and e) lubricant in an amount of about 0.1-3% w/w of the composition.
於某些實施方式中,本文中揭露者係組成物,其包含: a)固體非晶形分散體,其包含: i)至少150 mg的式(I)化合物: (I) 或其醫藥上可接受的鹽;及 ii)聚合物賦形劑,其量為該組成物之約15-25% w/w; b)結晶抑制性聚合物,其量為該組成物之約15-25% w/w; c)稀釋劑或填充劑,其量為該組成物之約20-35%; d)崩解劑,其量為該組成物之約3-8% w/w;及 e)潤滑劑,其量為該組成物之約1-3% w/w。 In certain embodiments, disclosed herein are compositions comprising: a) a solid amorphous dispersion comprising: i) at least 150 mg of a compound of formula (I): (I) or a pharmaceutically acceptable salt thereof; and ii) polymeric excipients in an amount of about 15-25% w/w of the composition; b) crystallization-inhibiting polymers in an amount of the composition About 15-25% w/w of the composition; c) Diluent or filler, the amount is about 20-35% of the composition; d) Disintegrant, the amount is about 3-8% of the composition w/w; and e) lubricant in an amount of about 1-3% w/w of the composition.
於某些實施方式中,本文中揭露者係固體口服劑型,其包含式(I)化合物。In certain embodiments, disclosed herein are solid oral dosage forms comprising a compound of Formula (I).
於某些實施方式中,本文中揭露者係固體口服劑型,其包含本文中揭露的組成物。In certain embodiments, those disclosed herein are solid oral dosage forms comprising the compositions disclosed herein.
於某些實施方式中,本文中揭露者係對需要治療癌症的個體治療癌症的方法,該方法包含向該個體投予本文中揭露的口服劑型。In certain embodiments, disclosed herein are methods of treating cancer in a subject in need of treatment of cancer, the method comprising administering to the subject an oral dosage form disclosed herein.
於某些實施方式中,本文中揭露者係對需要治療纖維化的個體治療纖維化的方法,該方法包含向該個體投予本文中揭露的口服劑型。In certain embodiments, disclosed herein are methods of treating fibrosis in a subject in need of treatment of fibrosis, the method comprising administering to the subject an oral dosage form disclosed herein.
於某些實施方式中,本文中揭露者係對需要治療發炎性疾病或病症的個體治療發炎性疾病或病症的方法,該方法包含向該個體投予本文中揭露的口服劑型。In certain embodiments, disclosed herein are methods of treating an inflammatory disease or disorder in a subject in need of treatment thereof, the method comprising administering to the subject an oral dosage form disclosed herein.
於某些實施方式中,本文中揭露者係對需要治療化學治療誘發性周邊神經病變、糖尿病神經病變、或家族性類澱粉蛋白多發性神經病變的個體治療化學治療誘發性周邊神經病變、糖尿病神經病變、或家族性類澱粉蛋白多發性神經病變的方法,該方法包含向該個體投予本文中揭露的口服劑型。In certain embodiments, the disclosures herein provide for the treatment of chemotherapy-induced peripheral neuropathy, diabetic neuropathy, or familial amyloid polyneuropathy in an individual in need of treatment of chemotherapy-induced peripheral neuropathy, diabetic neuropathy, or familial amyloid polyneuropathy. or familial amyloid polyneuropathy, the method comprising administering to the individual an oral dosage form disclosed herein.
於某些實施方式中,本文中揭露者係對需要治療惡病體質的個體治療惡病體質的方法,該方法包含向該個體投予本文中揭露的口服劑型。In certain embodiments, disclosed herein are methods of treating cachexia in an individual in need of treatment of cachexia, the method comprising administering to the individual an oral dosage form disclosed herein.
於某些實施方式中,本文中揭露者係對需要治療嚴重過敏的個體治療嚴重過敏的方法,該方法包含向該個體投予本文中揭露的口服劑型。In certain embodiments, disclosed herein are methods of treating severe allergy in an individual in need of treatment of severe allergy, the method comprising administering to the individual an oral dosage form disclosed herein.
由考慮以下 實施方式、 實施例、及 申請專利範圍,其他目標及優勢對於發明所屬技術領域中具有通常知識者而言會變得明顯。 Other objects and advantages will become apparent to those of ordinary skill in the art to which the invention belongs from consideration of the following embodiments , examples , and claims .
如於本文中一般性地敘述的,本文之揭露內容(部分)提供包含式(I)化合物及聚合物賦形劑的固體非晶形分散體、製造該等分散體的方法、包含該等分散體的組成物、包含該等組成物的口服劑型、以及包含投予包含該等組成物的口服劑型的治療疾病或病症(例如癌症、纖維化、發炎性疾病或病症)的方法。 定義 As generally described herein, the disclosure herein provides (in part) solid amorphous dispersions comprising compounds of formula (I) and polymeric excipients, methods of making such dispersions, including such dispersions. Compositions, oral dosage forms comprising the compositions, and methods of treating a disease or condition (e.g., cancer, fibrosis, inflammatory disease or condition) comprising administering an oral dosage form comprising the compositions. definition
用於本文中說明書,「一(「a」或「an」)」可意指一或多。用於本文中,當組合字詞「包含」使用時,字詞「一」可意指一或多於一。用於本文中,「另一」可意指至少第二或更多。再進一步,術語「具有」、「包括」、「含有」、及「包含」係可互換的且發明所屬技術領域中具有通常知識者會察知此等術語係開放式術語。本發明之一些實施方式可由本發明之一或多個元件、方法步驟、及/或方法組成或基本上由本發明之一或多個元件、方法步驟、及/或方法組成。以下者被視為係可能的:本文中敘述的任何方法、化合物、或組成物可組合本文中敘述的任何其他方法、化合物、或組成物實施。As used in this specification, "a" or "an" may mean one or more. As used herein, the word "a" when used in conjunction with the word "comprises" may mean one or more than one. As used herein, "another" may mean at least a second or more. Furthermore, the terms "having," "includes," "containing," and "includes" are interchangeable and a person of ordinary skill in the art to which the invention pertains will recognize that these terms are open-ended terms. Some embodiments of the invention may consist of or consist essentially of one or more elements, method steps, and/or methods of the invention. It is considered possible that any method, compound, or composition described herein may be practiced in combination with any other method, compound, or composition described herein.
「約」及「大約」應大體上意指鑒於測量之本質或精確度所測量的量之可接受程度的誤差。例示性誤差程度係在給定值或值範圍之百分之20(%)內,典型在10%內,且更典型在5%內。"About" and "approximately" shall generally mean an acceptable degree of error in the quantity measured given the nature or precision of the measurement. Illustrative error levels are within 20 percent (%) of a given value or range of values, typically within 10%, and more typically within 5%.
用於本文中,「醫藥上可接受的鹽」係指於合理醫學判斷之範圍內適用於與人類及更低等的動物之組織接觸而無過度毒性、刺激、過敏反應、等等且與合理利益/風險比例相稱的鹽。醫藥上可接受的鹽於發明所屬技術領域中係眾所周知的。例如,Berge等人於J. Pharmaceutical Sciences (1977) 66:1-19中詳細敘述醫藥上可接受的鹽。本發明之化合物之醫藥上可接受的鹽包括源自適合的無機及有機酸及鹼者。醫藥上可接受的非毒性酸加成鹽之實例係胺基與無機酸(諸如鹽酸、氫溴酸、磷酸、硫酸、及過氯酸)或與有機酸(諸如醋酸、草酸、順丁烯二酸、酒石酸、檸檬酸、琥珀酸、或丙二酸)形成的鹽或藉由使用於發明所屬技術領域中使用的其他方法(諸如離子交換)形成的鹽。其他醫藥上可接受的鹽包括己二酸鹽、藻酸鹽、抗壞血酸鹽、天冬胺酸鹽、苯磺酸鹽、苯甲酸鹽、硫酸氫鹽、硼酸鹽、丁酸鹽、樟腦酸鹽、樟腦磺酸鹽、檸檬酸、環戊烷丙酸鹽、二葡萄糖酸鹽、十二基硫酸鹽、乙磺酸鹽、甲酸鹽、延胡索酸鹽、葡萄庚酸鹽、甘油磷酸鹽、葡萄糖酸鹽、半硫酸鹽、庚酸鹽、已酸鹽、碘化氫鹽、2-羥基-乙磺酸鹽、乳糖醛酸鹽、乳酸鹽、月桂酸鹽、月桂基硫酸鹽、蘋果酸鹽、順丁烯二酸鹽、丙二酸鹽、甲磺酸鹽、2-萘磺酸鹽、菸鹼酸鹽、硝酸鹽、油酸鹽、草酸鹽、棕櫚酸鹽、撲酸鹽、果凍酸鹽、過氧硫酸鹽、3-苯基丙酸鹽、磷酸鹽、苦味酸鹽、三甲基乙酸鹽、丙酸鹽、硬脂酸鹽、琥珀酸酯、硫酸鹽、酒石酸鹽、硫氰酸鹽、對甲苯磺酸鹽、十一酸鹽、戊酸鹽、等等。衍生自適當的鹼的醫藥上可接受的鹽包括鹼金屬、鹼土金屬、銨、及N +(C 1-4烷基) 4鹽。代表性鹼金屬或鹼土金屬鹽包括鈉、鋰、鉀、鈣、鎂、等等。進一步的醫藥上可接受的鹽包括(當適當時)非毒性銨、四級銨、及使用相對離子(諸如鹵根、氫氧根、羧酸根、硫酸根、磷酸根、硝酸根、低級烷基磺酸根、及芳基磺酸根)形成的胺陽離子。 As used herein, "pharmaceutically acceptable salts" means salts suitable for use in contact with tissues of humans and lower animals without undue toxicity, irritation, allergic reaction, etc. and with reasonable Salt of proportionate benefit/risk ratio. Pharmaceutically acceptable salts are well known in the art to which this invention belongs. For example, Berge et al., J. Pharmaceutical Sciences (1977) 66:1-19, describe pharmaceutically acceptable salts in detail. Pharmaceutically acceptable salts of the compounds of the invention include those derived from suitable inorganic and organic acids and bases. Examples of pharmaceutically acceptable non-toxic acid addition salts are amines with inorganic acids (such as hydrochloric acid, hydrobromic acid, phosphoric acid, sulfuric acid, and perchloric acid) or with organic acids (such as acetic acid, oxalic acid, maleic acid). acid, tartaric acid, citric acid, succinic acid, or malonic acid) or by other methods (such as ion exchange) used in the technical field to which the invention belongs. Other pharmaceutically acceptable salts include adipate, alginate, ascorbate, aspartate, benzenesulfonate, benzoate, bisulfate, borate, butyrate, camphorate , camphorsulfonate, citric acid, cyclopentane propionate, digluconate, dodecyl sulfate, ethanesulfonate, formate, fumarate, grape enanthate, glycerophosphate, gluconic acid Salt, hemisulfate, enanthate, caproate, hydrogen iodide salt, 2-hydroxy-ethanesulfonate, lactosurate, lactate, laurate, lauryl sulfate, malate, cis Butenedioate, malonate, methanesulfonate, 2-naphthalenesulfonate, nicotinate, nitrate, oleate, oxalate, palmitate, pamateate, jellyate , peroxysulfate, 3-phenylpropionate, phosphate, picrate, trimethylacetate, propionate, stearate, succinate, sulfate, tartrate, thiocyanate , p-toluenesulfonate, undecanoate, valerate, etc. Pharmaceutically acceptable salts derived from appropriate bases include alkali metal, alkaline earth metal, ammonium, and N + (C 1-4 alkyl) 4 salts. Representative alkali metal or alkaline earth metal salts include sodium, lithium, potassium, calcium, magnesium, and the like. Further pharmaceutically acceptable salts include, where appropriate, non-toxic ammonium, quaternary ammonium, and salts using counter ions such as halide, hydroxide, carboxylate, sulfate, phosphate, nitrate, lower alkyl amine cations formed by sulfonates, and arylsulfonates).
術語「口服劑型」用於本文中且除非另外指出,係指已經調配或否則製備以用於口服投予(諸如呈分離的形式)的醫藥組成物。The term "oral dosage form" as used herein and unless otherwise indicated, refers to a pharmaceutical composition that has been formulated or otherwise prepared for oral administration (such as in discrete form).
用於本文中,至其投予被視為係可能的「個體」包括(但不限於)人類(即任何年齡群的男性或女性,例如兒科個體(例如嬰兒、幼兒、青少年)或成年個體(例如青年、中年、或老年))及/或非人類動物,例如哺乳動物,諸如靈長動物(例如食蟹獼猴、恆河猴)、牛、豬、馬、綿羊、山羊、囓齒動物、貓、及/或狗。於一些實施方式中,該個體係人類。於一些實施方式中,該個體係非人類動物。術語「人類」、「患者」、及「個體(subject及individual)」於本文中係可互換地使用。此等術語中無一需要醫護人員之主動監督。As used herein, "individuals" to whom administration is considered possible include, but are not limited to, humans (i.e., males or females of any age group, such as pediatric individuals (e.g., infants, toddlers, adolescents) or adult individuals ( (e.g. young, middle-aged, or old)) and/or non-human animals, such as mammals, such as primates (e.g., macaques, rhesus monkeys), cattle, pigs, horses, sheep, goats, rodents, cats , and/or dogs. In some embodiments, the system is human. In some embodiments, the system is non-human animal. The terms "human," "patient," and "subject and individual" are used interchangeably herein. None of these terms require active supervision by a medical professional.
疾病、病症、及病況於本文中係可互換地使用。Disease, disorder, and condition are used interchangeably herein.
用於本文中,且除非另外具體指出,術語「治療(「treat」、「treating」、及「treatment」)」將以下者視為係可能的:於個體正在患有所具體指出的疾病、病症、或病況時發生的行動,該行動減低該疾病、病症、或病況之嚴重性、或逆轉或減緩該疾病、病症、或病況之進展(亦即「治療性治療」)。As used herein, and unless otherwise specifically stated, the terms "treat," "treating," and "treatment" are considered to be possible when an individual is suffering from the specified disease, disorder, or condition. , or an action that occurs during a disease, illness, or condition that reduces the severity of the disease, illness, or condition, or reverses or slows the progression of the disease, illness, or condition (also known as "therapeutic treatment").
一般而言,化合物之「有效量」係指足以誘發所欲的生物反應的量。如發明所屬技術領域中具有通常知識者會理解的,本發明之化合物之有效量可基於諸如所欲的生物指標、化合物之藥物動力學、正在治療的疾病、投予模式、及個體之年齡、重量、健康、及病況的因子而變化。化合物之「治療有效量」係足以於治療疾病、病症、或病況中提供治療性益處(例如治療、預防、及/或減輕個體之癌症、或抑制個體中由SH2功能域介導的蛋白質-蛋白質交互作用,於適用於任何醫學治療的合理利益/風險比例下)的量或足以延遲或最小化一或多種與該疾病、病症、或病況相關的症狀的量。化合物之治療有效量意指治療性藥劑的量,其單獨或與其他療法組合於治療疾病、病症、或病況提供治療性益處。術語「治療有效量」可包括改善整體治療、減少或避免疾病或病況之症狀或病因、或增強另一治療性藥劑之治療效力的量。化合物之「預防有效量」係足以預防疾病、病症、或病況、或一或多種與該疾病、病症、或病況有關的症狀、或預防其復發的量。化合物之預防有效量意指治療性藥劑之量,其單獨或與其他藥劑組合於預防疾病、病症、或病況提供預防性益處。術語「預防有效量」可包括改善整體預防或增強另一預防性藥劑之預防效力的量。「預防性治療」將以下者視為係可能的:於個體患有所具體指出的疾病、病症、或病況前發生的行動。 組成物、調配物、口服劑型 Generally speaking, an "effective amount" of a compound is an amount sufficient to induce the desired biological response. As one of ordinary skill in the art will understand, the effective amount of a compound of the present invention may be based on factors such as the desired biological indicator, the pharmacokinetics of the compound, the disease being treated, the mode of administration, and the age of the subject, Varies based on weight, health, and medical conditions. A "therapeutically effective amount" of a compound is sufficient to provide a therapeutic benefit in treating a disease, disorder, or condition (e.g., treating, preventing, and/or alleviating cancer in an individual, or inhibiting a protein-protein mediated by the SH2 domain in an individual) interaction, a reasonable benefit/risk ratio applicable to any medical treatment) or an amount sufficient to delay or minimize one or more symptoms associated with the disease, disorder, or condition. A therapeutically effective amount of a compound means an amount of a therapeutic agent that, alone or in combination with other therapies, provides a therapeutic benefit in treating a disease, disorder, or condition. The term "therapeutically effective amount" may include an amount that improves overall treatment, reduces or avoids symptoms or causes of a disease or condition, or enhances the therapeutic efficacy of another therapeutic agent. A "prophylactically effective amount" of a compound is an amount sufficient to prevent a disease, disorder, or condition, or one or more symptoms associated with the disease, disorder, or condition, or to prevent the recurrence thereof. A prophylactically effective amount of a compound means an amount of a therapeutic agent that, alone or in combination with other agents, provides a prophylactic benefit in preventing a disease, disorder, or condition. The term "prophylactically effective amount" may include an amount that improves overall prophylaxis or enhances the prophylactic efficacy of another prophylactic agent. "Preventive treatment" considers actions that may occur before an individual suffers from a specified disease, disorder, or condition. Compositions, formulations, oral dosage forms
式(I)化合物(亦稱為TTI-101)係高度不可溶的(「磚塵(brick dust)」)。其在水溶液中不可溶且在大多數溶劑中具有相對低的溶解度。此外,式(I)化合物具有有高晶格能的結晶結構,導致該化合物自溶液快速沉澱或結晶。其低溶解度及高結晶度已導致於製備適用於在人類個體中投予的調配物的種種困難。目前的調配物係透過膠囊遞送的液體調配物。例如,溶解於60:40 Labrasol®/PEG400中並封裝至硬明膠膠囊(單一劑量:36 mg)中且於3劑定群顯示令人鼓舞的結果的式(I)化合物之調配物無法進展到第四患者定群(25.6 mg/kg/日,以12.8 mg/kg每日兩次(BID)劑的形式),而此係因為無法接受地高的丸劑負擔。例如,於定群4的70 kg個體每日會需要分成BID劑的60顆膠囊。其他包含式(I)化合物的口服劑型(例如呈自乳化藥物分散體,例如包含Kolliphor® RH 40(PEG-40氫化蓖麻油)、PEG600、聚山梨糖醇酯20、Labrasol®、及檸檬酸)相較於該二組份系統能夠減低丸劑負擔(例如該二組份系統之每日60顆膠囊對比使用自乳化藥物分散體的相同定群4之每日22顆膠囊);然而,如此調配物仍具有有限的每單一口服劑型藥物裝載量且可能需要(例如)冷藏(例如2-8 °C)儲存條件。The compound of formula (I) (also known as TTI-101) is highly insoluble ("brick dust"). It is insoluble in aqueous solutions and has relatively low solubility in most solvents. In addition, the compound of formula (I) has a crystalline structure with high lattice energy, resulting in rapid precipitation or crystallization of the compound from solution. Its low solubility and high crystallinity have resulted in difficulties in preparing formulations suitable for administration in human subjects. Current formulations are liquid formulations delivered via capsules. For example, a formulation of a compound of formula (I) dissolved in 60:40 Labrasol®/PEG400 and encapsulated into hard gelatin capsules (single dose: 36 mg) and showing encouraging results in a 3-dose cohort could not be progressed to The fourth patient was assigned to the cohort (25.6 mg/kg/day in a 12.8 mg/kg twice daily (BID) dose) because of an intolerance to the high bolus burden. For example, a 70 kg individual in cohort 4 would require 60 capsules divided into BID doses daily. Other oral dosage forms containing compounds of formula (I) (e.g. in self-emulsifying pharmaceutical dispersions, e.g. containing Kolliphor® RH 40 (PEG-40 hydrogenated castor oil), PEG600, polysorbate 20, Labrasol®, and citric acid) The pill burden can be reduced compared to the two-component system (e.g. 60 capsules per day for the two-component system versus 22 capsules per day for the same cohort 4 using self-emulsifying drug dispersions); however, such a formulation Still have a limited drug load per single oral dosage form and may require, for example, refrigerated (e.g., 2-8 °C) storage conditions.
於某些實施方式中,本文中揭露者係固體口服劑型,該固體口服劑型包含固體非晶形分散體,該固體非晶形分散體包含式(I)化合物: (I) 或其醫藥上可接受的鹽、及醫藥上可接受的賦形劑,該賦形劑提供式(I)化合物之高裝載量、提供式(I)化合物之高生體可用率的良好能力、良好的穩定性(例如化學及/或物理穩定性)、及/或降低接受包括投予式(I)化合物的治療的個體之丸劑負擔。 In certain embodiments, disclosed herein are solid oral dosage forms comprising a solid amorphous dispersion comprising a compound of formula (I): (I) or a pharmaceutically acceptable salt thereof, and a pharmaceutically acceptable excipient, which provides a high loading capacity of the compound of formula (I) and good bioavailability of the compound of formula (I). ability, good stability (e.g., chemical and/or physical stability), and/or reduced pill burden for individuals undergoing treatment involving administration of a compound of Formula (I).
本文中揭露的賦形劑或賦形劑之組合提供改善的式(I)化合物之溶解度、改善的物理穩定性(例如式(I)化合物之低結晶度、良好的溶解度、及/或分散)、改善的式(I)化合物之化學穩定性、改善的式(I)化合物之(例如口服)生體可用率、無任何液體滲漏(例如相較於加條帶膠囊)、較長的架儲期、有利的儲存條件(例如改善的該等組成物、調配物、及口服劑型之於環境條件下的儲存條件,例如需要較少的對抗氧化及/或潮濕的保護)、及/或所欲功效或治療功效,而丸劑負擔易處理(例如每日少於10顆丸劑(例如每日8顆丸劑或更少)或本文中敘述的其他量)及/或減低(例如相對於本文中敘述的二組份賦形劑系統及本文中敘述的自乳化藥物分散系統)。於一些實施方式中,該賦形劑或賦形劑之組合適用於將式(I)化合物維持於非晶形狀態或使其穩定於非晶形狀態(例如呈穩定非晶形分散體)。於一些實施方式中,本文中揭露的組成物於式(I)化合物在胃腸(GI)道中釋放時減低或防止該化合物之結晶。An excipient or combination of excipients disclosed herein provides improved solubility of the compound of Formula (I), improved physical stability (e.g., low crystallinity, good solubility, and/or dispersion of the compound of Formula (I)) , improved chemical stability of the compound of formula (I), improved (e.g. oral) bioavailability of the compound of formula (I), no liquid leakage (e.g. compared to strip capsules), longer shelf life shelf life, favorable storage conditions (such as improved storage conditions under ambient conditions for such compositions, formulations, and oral dosage forms, such as requiring less protection against oxidation and/or moisture), and/or the Efficacy or therapeutic efficacy is desired while the pill burden is manageable (e.g., less than 10 pills per day (e.g., 8 pills per day or less) or other amounts described herein) and/or reduced (e.g., relative to those described herein The two-component excipient system and the self-emulsifying drug dispersion system described in this article). In some embodiments, the excipient or combination of excipients is suitable for maintaining or stabilizing a compound of Formula (I) in an amorphous state (eg, in a stable amorphous dispersion). In some embodiments, compositions disclosed herein reduce or prevent the crystallization of a compound of Formula (I) upon release in the gastrointestinal (GI) tract.
於一些實施方式中,本文中敘述的分散體、組成物、及口服劑型包含呈醫藥上可接受的鹽、水合物、或溶劑合物的式(I)化合物。In some embodiments, the dispersions, compositions, and oral dosage forms described herein include compounds of Formula (I) in the form of a pharmaceutically acceptable salt, hydrate, or solvate.
於一些實施方式中,本文中揭露的組成物係如表1中闡明的(例如其中該組成物中的總wt. %不超過100%)。
表 1 :例示性固體非晶形分散體組成物
本文中敘述的固體非晶形分散體係使用噴霧乾燥分散體(SDD)技術製備。SDD產生在聚合物基質中的API之單相非晶形分子分散體(固溶體)。一般而言,SDD係藉由將API(例如TTI-101)及聚合物賦形劑溶解在溶劑中然後接著噴霧乾燥溶液來獲得。此程序之關鍵係鑑認出使溶劑自TTI-101及聚合物賦形劑之噴霧溶液之微滴快速蒸發而使時間不足以使溶液內的TTI-101或聚合物賦形劑相分離或溶液中的TTI-101結晶的聚合物賦形劑及程序條件。The solid amorphous dispersions described in this article were prepared using spray drying dispersion (SDD) technology. SDD produces a single-phase amorphous molecular dispersion (solid solution) of API in a polymer matrix. Generally, SDD is obtained by dissolving the API (eg TTI-101) and polymeric excipients in a solvent and then spray drying the solution. The key to this procedure is the identification of droplets of solvent that evaporate rapidly from the spray solution of TTI-101 and polymeric excipients without sufficient time for the TTI-101 or polymeric excipients in the solution to phase separate or dissolve. Polymer excipients and procedural conditions for TTI-101 crystallization.
於一些實施方式中,於SDD技術中利用以溶解TTI-101的溶劑選自:二氯甲烷、甲醇、乙醇、丙酮、四氫呋喃、醋酸乙酯、水、或其等之混合物。於一些實施方式中,於SDD技術中利用以製備包含TTI-101及聚合物賦形劑的固體非晶形分散體的溶劑係丙酮:水之混合物。In some embodiments, the solvent utilized in SDD technology to dissolve TTI-101 is selected from: methylene chloride, methanol, ethanol, acetone, tetrahydrofuran, ethyl acetate, water, or mixtures thereof. In some embodiments, a solvent-based acetone:water mixture is utilized in SDD technology to prepare a solid amorphous dispersion containing TTI-101 and polymeric excipients.
於一些實施方式中,該聚合物賦形劑係一或多種纖維素或其等之衍生物(例如微晶纖維素、羧甲基纖維素、羥丙基甲基纖維素(HPMC)或羥丙甲纖維素、醋酸羥丙基甲基纖維素琥珀酸酯(HPMCAS)或醋酸羥丙甲纖維素琥珀酸酯(例如HPMCAS-LG、HPMCAS-MG、HPMCAS-HG)、HPMC酞酸酯(HPMCP)(例如HPMCP-HP55、HPMCP-HP55S)、Methocel™(例如Methocel™ E3(例如Methocel™ E3LV)))、羥丙基纖維素、羥乙基纖維素、乙基纖維素、及醋酸纖維素酞酸酯)、聚丙烯酸酯(例如聚甲基丙烯酸酯(例如包含甲基丙烯酸及甲基丙烯酸甲酯的共聚物、包含甲基丙烯酸及丙烯酸乙酯的共聚物、包含甲基丙烯酸N,N-二甲基胺基乙酯、甲基丙烯酸甲酯、及甲基丙烯酸丁酯的共聚物(例如Eudragit®、(例如Eduragit® EPO、Eudragit® L30 D-55、Eudragit® L100、Eudragit® L100-55))))、聚乙烯基吡咯啶酮(PVP)、聚乙烯基吡咯啶酮醋酸乙烯酯(PVPVA)、其他共聚物(例如包含聚乙二醇、聚乙烯基己內醯胺、及聚醋酸乙烯酯的共聚物(例如聚醋酸酞酸乙烯酯(PVAP);聚乙烯基己內醯胺-聚醋酸乙烯酯-聚乙二醇接枝共聚物))(例如Soluplus®)、或包含醋酸乙烯酯及N-乙烯基-2-吡咯啶酮的共聚物(例如Plasdone™(例如Plasdone™ S630(例如Plasdone™ S630 Ultra))、或其等之混合物。In some embodiments, the polymeric excipient is one or more cellulose or derivatives thereof (such as microcrystalline cellulose, carboxymethyl cellulose, hydroxypropyl methylcellulose (HPMC) or hydroxypropyl cellulose). Methylcellulose, hydroxypropylmethylcellulose acetate succinate (HPMCAS) or hypromellose acetate succinate (e.g. HPMCAS-LG, HPMCAS-MG, HPMCAS-HG), HPMC phthalate (HPMCP) (e.g. HPMCP-HP55, HPMCP-HP55S), Methocel™ (e.g. Methocel™ E3 (e.g. Methocel™ E3LV)), hydroxypropylcellulose, hydroxyethylcellulose, ethylcellulose, and cellulose acetate phthalate esters), polyacrylates (such as polymethacrylates (such as copolymers containing methacrylic acid and methyl methacrylate, copolymers containing methacrylic acid and ethyl acrylate, N,N-dimethacrylate containing Copolymers of methylaminoethyl ester, methyl methacrylate, and butyl methacrylate (e.g. Eudragit®, (e.g. Eduragit® EPO, Eudragit® L30 D-55, Eudragit® L100, Eudragit® L100-55) ))), polyvinylpyrrolidone (PVP), polyvinylpyrrolidone vinyl acetate (PVPVA), other copolymers (such as polyethylene glycol, polyvinylcaprolactam, and polyvinyl acetate Copolymers of esters (e.g. polyvinyl acetate phthalate (PVAP); polyvinyl caprolactam-polyvinyl acetate-polyethylene glycol graft copolymer) (e.g. Soluplus®), or containing vinyl acetate and copolymers of N-vinyl-2-pyrrolidone (such as Plasdone™ (such as Plasdone™ S630 (such as Plasdone™ S630 Ultra)), or mixtures thereof.
於一些實施方式中,該聚合物賦形劑選自:羥丙基甲基纖維素(HPMC)、包含甲基丙烯酸的共聚物、包含醋酸乙烯酯及N-乙烯基-2-吡咯啶酮的共聚物、及其等之組合。In some embodiments, the polymeric excipient is selected from: hydroxypropyl methylcellulose (HPMC), copolymers containing methacrylic acid, vinyl acetate and N-vinyl-2-pyrrolidone. Copolymers, and combinations thereof.
於一些實施方式中,該聚合物賦形劑係醋酸羥丙基甲基纖維素琥珀酸酯(HPMC AS)。於一些實施方式中,該HPMC AS係HPMC AS L級(HPMC AS-L)。In some embodiments, the polymeric excipient is hydroxypropylmethylcellulose acetate succinate (HPMC AS). In some embodiments, the HPMC AS is HPMC AS Grade L (HPMC AS-L).
於一些實施方式中,該聚合物賦形劑係包含甲基丙烯酸及丙烯酸乙酯的共聚物、包含甲基丙烯酸及甲基丙烯酸甲酯的共聚物、或包含甲基丙烯酸N,N-二甲基胺基乙酯、甲基丙烯酸甲酯、及甲基丙烯酸丁酯的共聚物。於一些實施方式中,該聚合物賦形劑係包含甲基丙烯酸及丙烯酸乙酯的共聚物。於一些實施方式中,該聚合物賦形劑係約1.4:1至約1:1.4甲基丙烯酸及丙烯酸乙酯的共聚物。於一些實施方式中,該聚合物賦形劑係約1.2:1至約1:1.2甲基丙烯酸及丙烯酸乙酯的共聚物。於一些實施方式中,該聚合物賦形劑係1:1甲基丙烯酸及丙烯酸乙酯的共聚物。In some embodiments, the polymeric excipient is a copolymer comprising methacrylic acid and ethyl acrylate, a copolymer comprising methacrylic acid and methyl methacrylate, or a copolymer comprising N,N-dimethyl methacrylate. Copolymer of methylaminoethyl ester, methyl methacrylate, and butyl methacrylate. In some embodiments, the polymeric excipient is a copolymer of methacrylic acid and ethyl acrylate. In some embodiments, the polymeric excipient is a copolymer of about 1.4:1 to about 1:1.4 methacrylic acid and ethyl acrylate. In some embodiments, the polymeric excipient is a copolymer of about 1.2:1 to about 1:1.2 methacrylic acid and ethyl acrylate. In some embodiments, the polymeric excipient is a 1:1 copolymer of methacrylic acid and ethyl acrylate.
該聚合物賦形劑亦可起結晶抑制劑的作用,而結晶抑制劑有助於當TTI-101在GI道中自調配物釋放時減緩或抑制其結晶或介導過飽和穩定化(例如過飽和溶液穩定化)。The polymeric excipient may also act as a crystallization inhibitor, which may help slow or inhibit the crystallization of TTI-101 as it is released from the formulation in the GI tract or mediate supersaturated stabilization (e.g., supersaturated solution stabilization change).
於一些實施方式中,該固體非晶形分散體包含約40% w/w至約80% w/w的式(I)化合物或其醫藥上可接受的鹽。於一些實施方式中,該固體非晶形分散體包含約40% w/w至約70% w/w的式(I)化合物或其醫藥上可接受的鹽。於一些實施方式中,該固體非晶形分散體包含約40% w/w至約60% w/w的式(I)化合物或其醫藥上可接受的鹽。於一些實施方式中,該固體非晶形分散體包含約45% w/w至約55% w/w的式(I)化合物或其醫藥上可接受的鹽。於一些實施方式中,該固體非晶形分散體包含約40% w/w的式(I)化合物或其醫藥上可接受的鹽。於一些實施方式中,該固體非晶形分散體包含約45% w/w的式(I)化合物或其醫藥上可接受的鹽。於一些實施方式中,該固體非晶形分散體包含約50% w/w的式(I)化合物或其醫藥上可接受的鹽。於一些實施方式中,該固體非晶形分散體包含約55% w/w的式(I)化合物或其醫藥上可接受的鹽。於一些實施方式中,該固體非晶形分散體包含約60% w/w的式(I)化合物或其醫藥上可接受的鹽。於一些實施方式中,該固體非晶形分散體包含約65% w/w的式(I)化合物或其醫藥上可接受的鹽。於一些實施方式中,該固體非晶形分散體包含約70% w/w的式(I)化合物或其醫藥上可接受的鹽。於一些實施方式中,該固體非晶形分散體包含約75% w/w的式(I)化合物或其醫藥上可接受的鹽。於一些實施方式中,該固體非晶形分散體包含約80% w/w的式(I)化合物或其醫藥上可接受的鹽。In some embodiments, the solid amorphous dispersion comprises from about 40% w/w to about 80% w/w of a compound of Formula (I) or a pharmaceutically acceptable salt thereof. In some embodiments, the solid amorphous dispersion comprises from about 40% w/w to about 70% w/w of a compound of Formula (I) or a pharmaceutically acceptable salt thereof. In some embodiments, the solid amorphous dispersion comprises from about 40% w/w to about 60% w/w of a compound of Formula (I) or a pharmaceutically acceptable salt thereof. In some embodiments, the solid amorphous dispersion comprises from about 45% w/w to about 55% w/w of a compound of Formula (I) or a pharmaceutically acceptable salt thereof. In some embodiments, the solid amorphous dispersion contains about 40% w/w of a compound of formula (I) or a pharmaceutically acceptable salt thereof. In some embodiments, the solid amorphous dispersion contains about 45% w/w of a compound of formula (I) or a pharmaceutically acceptable salt thereof. In some embodiments, the solid amorphous dispersion contains about 50% w/w of a compound of formula (I) or a pharmaceutically acceptable salt thereof. In some embodiments, the solid amorphous dispersion contains about 55% w/w of a compound of Formula (I) or a pharmaceutically acceptable salt thereof. In some embodiments, the solid amorphous dispersion contains about 60% w/w of a compound of formula (I) or a pharmaceutically acceptable salt thereof. In some embodiments, the solid amorphous dispersion comprises about 65% w/w of a compound of formula (I) or a pharmaceutically acceptable salt thereof. In some embodiments, the solid amorphous dispersion comprises about 70% w/w of a compound of formula (I) or a pharmaceutically acceptable salt thereof. In some embodiments, the solid amorphous dispersion contains about 75% w/w of a compound of formula (I) or a pharmaceutically acceptable salt thereof. In some embodiments, the solid amorphous dispersion comprises about 80% w/w of a compound of formula (I) or a pharmaceutically acceptable salt thereof.
於一些實施方式中,該固體非晶形分散體包含約40% w/w至約80% w/w的該聚合物賦形劑。於一些實施方式中,該固體非晶形分散體包含約40% w/w至約70% w/w的該聚合物賦形劑。於一些實施方式中,該固體非晶形分散體包含約40% w/w至約60% w/w的該聚合物賦形劑。於一些實施方式中,該固體非晶形分散體包含約45% w/w至約55% w/w的該聚合物賦形劑。於一些實施方式中,該固體非晶形分散體包含約40% w/w的該聚合物賦形劑。於一些實施方式中,該固體非晶形分散體包含約45% w/w的該聚合物賦形劑。於一些實施方式中,該固體非晶形分散體包含約50% w/w的該聚合物賦形劑。於一些實施方式中,該固體非晶形分散體包含約55% w/w的該聚合物賦形劑。於一些實施方式中,該固體非晶形分散體包含約60% w/w的該聚合物賦形劑。於一些實施方式中,該固體非晶形分散體包含約65% w/w的該聚合物賦形劑。於一些實施方式中,該固體非晶形分散體包含約70% w/w的該聚合物賦形劑。於一些實施方式中,該固體非晶形分散體包含約75% w/w的該聚合物賦形劑。於一些實施方式中,該固體非晶形分散體包含約80% w/w的該聚合物賦形劑。In some embodiments, the solid amorphous dispersion includes from about 40% w/w to about 80% w/w of the polymeric excipient. In some embodiments, the solid amorphous dispersion includes from about 40% w/w to about 70% w/w of the polymeric excipient. In some embodiments, the solid amorphous dispersion includes from about 40% w/w to about 60% w/w of the polymeric excipient. In some embodiments, the solid amorphous dispersion includes from about 45% w/w to about 55% w/w of the polymeric excipient. In some embodiments, the solid amorphous dispersion includes about 40% w/w of the polymeric excipient. In some embodiments, the solid amorphous dispersion includes about 45% w/w of the polymeric excipient. In some embodiments, the solid amorphous dispersion includes about 50% w/w of the polymeric excipient. In some embodiments, the solid amorphous dispersion includes about 55% w/w of the polymeric excipient. In some embodiments, the solid amorphous dispersion includes about 60% w/w of the polymeric excipient. In some embodiments, the solid amorphous dispersion includes about 65% w/w of the polymeric excipient. In some embodiments, the solid amorphous dispersion includes about 70% w/w of the polymeric excipient. In some embodiments, the solid amorphous dispersion includes about 75% w/w of the polymeric excipient. In some embodiments, the solid amorphous dispersion includes about 80% w/w of the polymeric excipient.
於一些實施方式中,本文中提供者係包含有效量的本文中敘述的固體非晶形分散體及至少一種另外的組份的組成物。於一些實施方式中,該組成物包含約5% w/w至約50% w/w的式(I)化合物或其醫藥上可接受的鹽。於一些實施方式中,該組成物包含約5% w/w至約40% w/w的式(I)化合物或其醫藥上可接受的鹽。於一些實施方式中,該組成物包含約10% w/w至約40% w/w的式(I)化合物或其醫藥上可接受的鹽。於一些實施方式中,該組成物包含約15% w/w至約40% w/w的式(I)化合物或其醫藥上可接受的鹽。於一些實施方式中,該組成物包含約20% w/w至約40% w/w的式(I)化合物或其醫藥上可接受的鹽。於一些實施方式中,該組成物包含約5% w/w至約30% w/w的式(I)化合物或其醫藥上可接受的鹽。於一些實施方式中,該組成物包含約10% w/w至約30% w/w的式(I)化合物或其醫藥上可接受的鹽。於一些實施方式中,該組成物包含約20% w/w至約35% w/w的式(I)化合物或其醫藥上可接受的鹽。於一些實施方式中,該組成物包含約25% w/w至約35% w/w的式(I)化合物或其醫藥上可接受的鹽。於一些實施方式中,該組成物包含約15% w/w至約30% w/w的式(I)化合物或其醫藥上可接受的鹽。於一些實施方式中,該組成物包含約15% w/w至約25% w/w的式(I)化合物或其醫藥上可接受的鹽。於一些實施方式中,該組成物包含約20% w/w至約25% w/w的式(I)化合物或其醫藥上可接受的鹽。於一些實施方式中,該組成物包含約25% w/w至約30% w/w的式(I)化合物或其醫藥上可接受的鹽。In some embodiments, provided herein are compositions comprising an effective amount of a solid amorphous dispersion described herein and at least one additional component. In some embodiments, the composition includes about 5% w/w to about 50% w/w of a compound of Formula (I) or a pharmaceutically acceptable salt thereof. In some embodiments, the composition includes about 5% w/w to about 40% w/w of a compound of Formula (I) or a pharmaceutically acceptable salt thereof. In some embodiments, the composition includes from about 10% w/w to about 40% w/w of a compound of Formula (I) or a pharmaceutically acceptable salt thereof. In some embodiments, the composition includes from about 15% w/w to about 40% w/w of a compound of Formula (I) or a pharmaceutically acceptable salt thereof. In some embodiments, the composition includes about 20% w/w to about 40% w/w of a compound of Formula (I) or a pharmaceutically acceptable salt thereof. In some embodiments, the composition includes from about 5% w/w to about 30% w/w of a compound of Formula (I) or a pharmaceutically acceptable salt thereof. In some embodiments, the composition includes about 10% w/w to about 30% w/w of a compound of Formula (I) or a pharmaceutically acceptable salt thereof. In some embodiments, the composition includes from about 20% w/w to about 35% w/w of a compound of Formula (I) or a pharmaceutically acceptable salt thereof. In some embodiments, the composition includes about 25% w/w to about 35% w/w of a compound of Formula (I) or a pharmaceutically acceptable salt thereof. In some embodiments, the composition includes about 15% w/w to about 30% w/w of a compound of Formula (I) or a pharmaceutically acceptable salt thereof. In some embodiments, the composition includes about 15% w/w to about 25% w/w of a compound of Formula (I) or a pharmaceutically acceptable salt thereof. In some embodiments, the composition includes about 20% w/w to about 25% w/w of a compound of Formula (I) or a pharmaceutically acceptable salt thereof. In some embodiments, the composition includes about 25% w/w to about 30% w/w of a compound of Formula (I) or a pharmaceutically acceptable salt thereof.
於一些實施方式中,該組成物包含約5% w/w的式(I)化合物或其醫藥上可接受的鹽。於一些實施方式中,該組成物包含約10% w/w的式(I)化合物或其醫藥上可接受的鹽。於一些實施方式中,該組成物包含約15% w/w的式(I)化合物或其醫藥上可接受的鹽。於一些實施方式中,該組成物包含約20% w/w的式(I)化合物或其醫藥上可接受的鹽。於一些實施方式中,該組成物包含約25% w/w的式(I)化合物或其醫藥上可接受的鹽。於一些實施方式中,該組成物包含約30% w/w的式(I)化合物或其醫藥上可接受的鹽。於一些實施方式中,該組成物包含約35% w/w的式(I)化合物或其醫藥上可接受的鹽。於一些實施方式中,該組成物包含約40% w/w的式(I)化合物或其醫藥上可接受的鹽。In some embodiments, the composition includes about 5% w/w of a compound of formula (I) or a pharmaceutically acceptable salt thereof. In some embodiments, the composition includes about 10% w/w of a compound of formula (I) or a pharmaceutically acceptable salt thereof. In some embodiments, the composition includes about 15% w/w of a compound of formula (I) or a pharmaceutically acceptable salt thereof. In some embodiments, the composition includes about 20% w/w of a compound of formula (I) or a pharmaceutically acceptable salt thereof. In some embodiments, the composition includes about 25% w/w of a compound of formula (I) or a pharmaceutically acceptable salt thereof. In some embodiments, the composition includes about 30% w/w of a compound of formula (I) or a pharmaceutically acceptable salt thereof. In some embodiments, the composition includes about 35% w/w of a compound of formula (I) or a pharmaceutically acceptable salt thereof. In some embodiments, the composition includes about 40% w/w of a compound of formula (I) or a pharmaceutically acceptable salt thereof.
於一些實施方式中,該組成物包含約5% w/w至約50% w/w的該聚合物賦形劑。於一些實施方式中,該組成物包含約5% w/w至約40% w/w的該聚合物賦形劑。於一些實施方式中,該組成物包含約10% w/w至約40% w/w的該聚合物賦形劑。於一些實施方式中,該組成物包含約15% w/w至約40% w/w的該聚合物賦形劑。於一些實施方式中,該組成物包含約20% w/w至約40% w/w的該聚合物賦形劑。於一些實施方式中,該組成物包含約5% w/w至約30% w/w的該聚合物賦形劑。於一些實施方式中,該組成物包含約10% w/w至約30% w/w的該聚合物賦形劑。於一些實施方式中,該組成物包含約20% w/w至約35% w/w的該聚合物賦形劑。於一些實施方式中,該組成物包含約25% w/w至約35% w/w的該聚合物賦形劑。於一些實施方式中,該組成物包含約15% w/w至約30% w/w的該聚合物賦形劑。於一些實施方式中,該組成物包含約15% w/w至約25% w/w的該聚合物賦形劑。於一些實施方式中,該組成物包含約20% w/w至約25% w/w的該聚合物賦形劑。於一些實施方式中,該組成物包含約25% w/w至約30% w/w的該聚合物賦形劑。In some embodiments, the composition includes from about 5% w/w to about 50% w/w of the polymeric excipient. In some embodiments, the composition includes from about 5% w/w to about 40% w/w of the polymeric excipient. In some embodiments, the composition includes from about 10% w/w to about 40% w/w of the polymeric excipient. In some embodiments, the composition includes from about 15% w/w to about 40% w/w of the polymeric excipient. In some embodiments, the composition includes from about 20% w/w to about 40% w/w of the polymeric excipient. In some embodiments, the composition includes from about 5% w/w to about 30% w/w of the polymeric excipient. In some embodiments, the composition includes from about 10% w/w to about 30% w/w of the polymeric excipient. In some embodiments, the composition includes from about 20% w/w to about 35% w/w of the polymeric excipient. In some embodiments, the composition includes from about 25% w/w to about 35% w/w of the polymeric excipient. In some embodiments, the composition includes from about 15% w/w to about 30% w/w of the polymeric excipient. In some embodiments, the composition includes from about 15% w/w to about 25% w/w of the polymeric excipient. In some embodiments, the composition includes from about 20% w/w to about 25% w/w of the polymeric excipient. In some embodiments, the composition includes from about 25% w/w to about 30% w/w of the polymeric excipient.
於一些實施方式中,該組成物包含約5% w/w的該聚合物賦形劑。於一些實施方式中,該組成物包含約10% w/w的該聚合物賦形劑。於一些實施方式中,該組成物包含約15% w/w的該聚合物賦形劑。於一些實施方式中,該組成物包含約20% w/w的該聚合物賦形劑。於一些實施方式中,該組成物包含約25% w/w的該聚合物賦形劑。於一些實施方式中,該組成物包含約30% w/w的該聚合物賦形劑。於一些實施方式中,該組成物包含約35% w/w的該聚合物賦形劑。於一些實施方式中,該組成物包含約40% w/w的該聚合物賦形劑。In some embodiments, the composition includes about 5% w/w of the polymeric excipient. In some embodiments, the composition includes about 10% w/w of the polymeric excipient. In some embodiments, the composition includes about 15% w/w of the polymeric excipient. In some embodiments, the composition includes about 20% w/w of the polymeric excipient. In some embodiments, the composition includes about 25% w/w of the polymeric excipient. In some embodiments, the composition includes about 30% w/w of the polymeric excipient. In some embodiments, the composition includes about 35% w/w of the polymeric excipient. In some embodiments, the composition includes about 40% w/w of the polymeric excipient.
於一些實施方式中,該組成物包含以w/w %計1:1的式(I)化合物或其醫藥上可接受的鹽對比該聚合物賦形劑。於一些實施方式中,該組成物包含以w/w %計1:1.5的式(I)化合物或其醫藥上可接受的鹽對比該聚合物賦形劑。於一些實施方式中,該組成物包含以w/w %計1.5:1的式(I)化合物或其醫藥上可接受的鹽對比該聚合物賦形劑。於一些實施方式中,該組成物包含以w/w %計1:2的式(I)化合物或其醫藥上可接受的鹽對比該聚合物賦形劑。於一些實施方式中,該組成物包含以w/w %計2:1的式(I)化合物或其醫藥上可接受的鹽對比該聚合物賦形劑。In some embodiments, the composition comprises 1:1, on a w/w % basis, a compound of formula (I) or a pharmaceutically acceptable salt thereof versus the polymeric excipient. In some embodiments, the composition comprises 1:1.5 on a w/w % basis of a compound of formula (I) or a pharmaceutically acceptable salt thereof versus the polymeric excipient. In some embodiments, the composition comprises 1.5:1 on a w/w % basis of a compound of formula (I) or a pharmaceutically acceptable salt thereof to the polymeric excipient. In some embodiments, the composition comprises 1:2 on a w/w % basis of a compound of formula (I) or a pharmaceutically acceptable salt thereof to the polymeric excipient. In some embodiments, the composition comprises 2:1 on a w/w % basis of a compound of formula (I) or a pharmaceutically acceptable salt thereof to the polymeric excipient.
於一些實施方式中,該組成物包含結晶抑制性聚合物作為該另外的組份。一般而言,該結晶抑制性聚合物有助於當TTI-101在GI道中自調配物釋放時減緩或抑制其結晶、介導過飽和穩定化(例如穩定化過飽和溶液)。結晶抑制性聚合物之實例包括(但不限於)纖維素及其衍生物(例如微晶纖維素、羧甲基纖維素、羥丙基甲基纖維素(HPMC)或羥丙甲纖維素、醋酸羥丙基甲基纖維素琥珀酸酯(HPMCAS)或醋酸羥丙甲纖維素琥珀酸酯(例如HPMCAS-LG、HPMCAS-MG、HPMCAS-HG、HPMCAS-LF、HPMCAS-LMP)、HPMC酞酸酯(HPMCP)(例如HPMCP-HP55、HPMCP-HP55S)、Methocel™(例如Methocel™ E3(例如Methocel™ E3LV))、羥丙基纖維素、羥乙基纖維素、乙基纖維素、及醋酸纖維素酞酸酯)。In some embodiments, the composition includes a crystallization inhibiting polymer as the additional component. Generally speaking, the crystallization-inhibiting polymer helps slow or inhibit the crystallization of TTI-101 as it is released from the formulation in the GI tract, mediate supersaturated stabilization (eg, stabilize supersaturated solutions). Examples of crystallization inhibiting polymers include, but are not limited to, cellulose and its derivatives (such as microcrystalline cellulose, carboxymethyl cellulose, hydroxypropyl methylcellulose (HPMC) or hypromellose, acetate Hydroxypropyl methylcellulose succinate (HPMCAS) or hypromellose acetate succinate (such as HPMCAS-LG, HPMCAS-MG, HPMCAS-HG, HPMCAS-LF, HPMCAS-LMP), HPMC phthalate (HPMCP) (such as HPMCP-HP55, HPMCP-HP55S), Methocel™ (such as Methocel™ E3 (such as Methocel™ E3LV)), hydroxypropyl cellulose, hydroxyethyl cellulose, ethyl cellulose, and cellulose acetate Phthalates).
於一些實施方式中,該結晶抑制性聚合物係甲基纖維素或HPMC。於一些實施方式中,該結晶抑制性聚合物係HPMC。於一些實施方式中,該結晶抑制性聚合物係HPMCAS(例如HPMCAS-LF、HPMCAS-LMP)。In some embodiments, the crystallization inhibiting polymer is methylcellulose or HPMC. In some embodiments, the crystallization inhibiting polymer is HPMC. In some embodiments, the crystallization-inhibiting polymer is HPMCAS (eg, HPMCAS-LF, HPMCAS-LMP).
於一些實施方式中,該組成物包含約1% w/w至約40% w/w的該結晶抑制性聚合物。於一些實施方式中,該組成物包含約5% w/w至約40% w/w的該結晶抑制性聚合物。於一些實施方式中,該組成物包含約10% w/w至約40% w/w的該結晶抑制性聚合物。於一些實施方式中,該組成物包含約5% w/w至約30% w/w的該結晶抑制性聚合物。於一些實施方式中,該組成物包含約15% w/w至約35% w/w的該結晶抑制性聚合物。於一些實施方式中,該組成物包含約10% w/w至約30% w/w的該結晶抑制性聚合物。於一些實施方式中,該組成物包含約15% w/w至約40% w/w的該結晶抑制性聚合物。於一些實施方式中,該組成物包含約20% w/w至約40% w/w的該結晶抑制性聚合物。於一些實施方式中,該組成物包含約5% w/w至約30% w/w的該結晶抑制性聚合物。於一些實施方式中,該組成物包含約10% w/w至約30% w/w的該結晶抑制性聚合物。於一些實施方式中,該組成物包含約15% w/w至約30% w/w的該結晶抑制性聚合物。於一些實施方式中,該組成物包含約15% w/w至約25% w/w的該結晶抑制性聚合物。於一些實施方式中,該組成物包含約20% w/w至約30% w/w的該結晶抑制性聚合物。In some embodiments, the composition includes from about 1% w/w to about 40% w/w of the crystallization inhibiting polymer. In some embodiments, the composition includes from about 5% w/w to about 40% w/w of the crystallization inhibiting polymer. In some embodiments, the composition includes from about 10% w/w to about 40% w/w of the crystallization inhibiting polymer. In some embodiments, the composition includes from about 5% w/w to about 30% w/w of the crystallization inhibiting polymer. In some embodiments, the composition includes from about 15% w/w to about 35% w/w of the crystallization inhibiting polymer. In some embodiments, the composition includes from about 10% w/w to about 30% w/w of the crystallization inhibiting polymer. In some embodiments, the composition includes from about 15% w/w to about 40% w/w of the crystallization inhibiting polymer. In some embodiments, the composition includes from about 20% w/w to about 40% w/w of the crystallization inhibiting polymer. In some embodiments, the composition includes from about 5% w/w to about 30% w/w of the crystallization inhibiting polymer. In some embodiments, the composition includes from about 10% w/w to about 30% w/w of the crystallization inhibiting polymer. In some embodiments, the composition includes from about 15% w/w to about 30% w/w of the crystallization inhibiting polymer. In some embodiments, the composition includes from about 15% w/w to about 25% w/w of the crystallization inhibiting polymer. In some embodiments, the composition includes about 20% w/w to about 30% w/w of the crystallization inhibiting polymer.
於一些實施方式中,該組成物包含約1% w/w的該結晶抑制性聚合物。於一些實施方式中,該組成物包含約2% w/w的該結晶抑制性聚合物。於一些實施方式中,該組成物包含約3% w/w的該結晶抑制性聚合物。於一些實施方式中,該組成物包含約4% w/w的該結晶抑制性聚合物。於一些實施方式中,該組成物包含約5% w/w的該結晶抑制性聚合物。於一些實施方式中,該組成物包含約10% w/w的該結晶抑制性聚合物。於一些實施方式中,該組成物包含約15% w/w的該結晶抑制性聚合物。於一些實施方式中,該組成物包含約20% w/w的該結晶抑制性聚合物。於一些實施方式中,該組成物包含約25% w/w的該結晶抑制性聚合物。於一些實施方式中,該組成物包含約30% w/w的該結晶抑制性聚合物。於一些實施方式中,該組成物包含約35% w/w的該結晶抑制性聚合物。於一些實施方式中,該組成物包含約40% w/w的該結晶抑制性聚合物。In some embodiments, the composition includes about 1% w/w of the crystallization inhibiting polymer. In some embodiments, the composition includes about 2% w/w of the crystallization inhibiting polymer. In some embodiments, the composition includes about 3% w/w of the crystallization inhibiting polymer. In some embodiments, the composition includes about 4% w/w of the crystallization inhibiting polymer. In some embodiments, the composition includes about 5% w/w of the crystallization inhibiting polymer. In some embodiments, the composition includes about 10% w/w of the crystallization inhibiting polymer. In some embodiments, the composition includes about 15% w/w of the crystallization inhibiting polymer. In some embodiments, the composition includes about 20% w/w of the crystallization inhibiting polymer. In some embodiments, the composition includes about 25% w/w of the crystallization inhibiting polymer. In some embodiments, the composition includes about 30% w/w of the crystallization inhibiting polymer. In some embodiments, the composition includes about 35% w/w of the crystallization inhibiting polymer. In some embodiments, the composition includes about 40% w/w of the crystallization inhibiting polymer.
於一些實施方式中,當該用於組成物的所選結晶抑制性聚合物與該聚合物賦形劑相同時,該組成物包含約20%至約60% w/w的該結晶抑制性聚合物/聚合物賦形劑。於一些實施方式中,當該用於組成物的結晶抑制性聚合物與該聚合物賦形劑相同時,該組成物包含約20%至約50% w/w的該結晶抑制性聚合物/聚合物賦形劑。於一些實施方式中,當該用於組成物的結晶抑制性聚合物與該聚合物賦形劑相同時,該組成物包含約30%至約60% w/w的該結晶抑制性聚合物/聚合物賦形劑。於一些實施方式中,當該用於組成物的結晶抑制性聚合物與該聚合物賦形劑相同時,該組成物包含約30%至約50% w/w的該結晶抑制性聚合物/聚合物賦形劑。於一些實施方式中,當該用於組成物的結晶抑制性聚合物與該聚合物賦形劑相同時,該組成物包含約40%至約60% w/w的該結晶抑制性聚合物/聚合物賦形劑。於一些實施方式中,當該用於組成物的結晶抑制性聚合物與該聚合物賦形劑相同時,該組成物包含約40%至約50% w/w的該結晶抑制性聚合物/聚合物賦形劑。In some embodiments, when the selected crystallization-inhibiting polymer used in the composition is the same as the polymeric excipient, the composition includes about 20% to about 60% w/w of the crystallization-inhibiting polymer. Material/polymer excipient. In some embodiments, when the crystallization-inhibiting polymer used in the composition is the same as the polymeric excipient, the composition includes about 20% to about 50% w/w of the crystallization-inhibiting polymer/ Polymeric excipients. In some embodiments, when the crystallization-inhibiting polymer used in the composition is the same as the polymeric excipient, the composition includes about 30% to about 60% w/w of the crystallization-inhibiting polymer/ Polymeric excipients. In some embodiments, when the crystallization-inhibiting polymer used in the composition is the same as the polymeric excipient, the composition includes about 30% to about 50% w/w of the crystallization-inhibiting polymer/ Polymeric excipients. In some embodiments, when the crystallization-inhibiting polymer used in the composition is the same as the polymeric excipient, the composition includes about 40% to about 60% w/w of the crystallization-inhibiting polymer/ Polymeric excipients. In some embodiments, when the crystallization-inhibiting polymer used in the composition is the same as the polymeric excipient, the composition includes about 40% to about 50% w/w of the crystallization-inhibiting polymer/ Polymeric excipients.
於一些實施方式中,當該用於組成物的結晶抑制性聚合物與該聚合物賦形劑相同時,該組成物包含約20% w/w的該結晶抑制性聚合物/聚合物賦形劑。於一些實施方式中,當該用於組成物的結晶抑制性聚合物與該聚合物賦形劑相同時,該組成物包含約30% w/w的該結晶抑制性聚合物/聚合物賦形劑。於一些實施方式中,當該用於組成物的結晶抑制性聚合物與該聚合物賦形劑相同時,該組成物包含約40% w/w的該結晶抑制性聚合物/聚合物賦形劑。於一些實施方式中,當該用於組成物的結晶抑制性聚合物與該聚合物賦形劑相同時,該組成物包含約50% w/w的該結晶抑制性聚合物/聚合物賦形劑。於一些實施方式中,當該用於組成物的結晶抑制性聚合物與該聚合物賦形劑相同時,該組成物包含約60% w/w的該結晶抑制性聚合物/聚合物賦形劑。In some embodiments, when the crystallization-inhibiting polymer used in the composition is the same as the polymeric excipient, the composition includes about 20% w/w of the crystallization-inhibiting polymer/polymer excipient. agent. In some embodiments, when the crystallization-inhibiting polymer used in the composition is the same as the polymeric excipient, the composition includes about 30% w/w of the crystallization-inhibiting polymer/polymer excipient. agent. In some embodiments, when the crystallization-inhibiting polymer used in the composition is the same as the polymeric excipient, the composition includes about 40% w/w of the crystallization-inhibiting polymer/polymer excipient. agent. In some embodiments, when the crystallization-inhibiting polymer used in the composition is the same as the polymeric excipient, the composition includes about 50% w/w of the crystallization-inhibiting polymer/polymer excipient. agent. In some embodiments, when the crystallization-inhibiting polymer used in the composition is the same as the polymeric excipient, the composition includes about 60% w/w of the crystallization-inhibiting polymer/polymer excipient. agent.
於一些實施方式中,該組成物進一步包含抗氧化劑。In some embodiments, the composition further includes an antioxidant.
於一些實施方式中,該抗氧化劑係維生素E。於一些實施方式中,該抗氧化劑係棕櫚酸抗壞血酸酯。於一些實施方式中,該抗氧化劑係丁基化羥基甲苯。於一些實施方式中,該抗氧化劑係檸檬酸三乙酯。於一些實施方式中,該抗氧化劑係檸檬酸。於一些實施方式中,該抗氧化劑係抗壞血酸。In some embodiments, the antioxidant is vitamin E. In some embodiments, the antioxidant is ascorbyl palmitate. In some embodiments, the antioxidant is butylated hydroxytoluene. In some embodiments, the antioxidant is triethyl citrate. In some embodiments, the antioxidant is citric acid. In some embodiments, the antioxidant is ascorbic acid.
於一些實施方式中,該抗氧化劑係以約0.05至約5%(例如約0.1至約3%、約0.2至約1%)的% w/w存在於該組成物中。於一些實施方式中,該抗氧化劑係以約0.05%的% w/w存在於該組成物中。於一些實施方式中,該抗氧化劑係以約0.1%的% w/w存在於該組成物中。於一些實施方式中,該抗氧化劑係以約0.2%的% w/w存在於該組成物中。於一些實施方式中,該抗氧化劑係以約0.3%的% w/w存在於該組成物中。於一些實施方式中,該抗氧化劑係以約0.4%的% w/w存在於該組成物中。於一些實施方式中,該抗氧化劑係以約0.5%的% w/w存在於該組成物中。於一些實施方式中,該抗氧化劑係以約0.6%的% w/w存在於該組成物中。於一些實施方式中,該抗氧化劑係以約0.7%的% w/w存在於該組成物中。於一些實施方式中,該抗氧化劑係以約0.8%的% w/w存在於該組成物中。於一些實施方式中,該抗氧化劑係以約0.9%的% w/w存在於該組成物中。於一些實施方式中,該抗氧化劑係以約1%的% w/w存在於該組成物中。於一些實施方式中,該抗氧化劑係以約2%的% w/w存在於該組成物中。於一些實施方式中,該抗氧化劑係以約3%的% w/w存在於該組成物中。於一些實施方式中,該抗氧化劑係以約4%的% w/w存在於該組成物中。於一些實施方式中,該抗氧化劑係以約5%的% w/w存在於該組成物中。In some embodiments, the antioxidant is present in the composition at a % w/w of from about 0.05 to about 5% (eg, from about 0.1 to about 3%, from about 0.2 to about 1%). In some embodiments, the antioxidant is present in the composition at about 0.05% % w/w. In some embodiments, the antioxidant is present in the composition at about 0.1% % w/w. In some embodiments, the antioxidant is present in the composition at about 0.2% % w/w. In some embodiments, the antioxidant is present in the composition at about 0.3% % w/w. In some embodiments, the antioxidant is present in the composition at about 0.4% % w/w. In some embodiments, the antioxidant is present in the composition at about 0.5% % w/w. In some embodiments, the antioxidant is present in the composition at about 0.6% % w/w. In some embodiments, the antioxidant is present in the composition at about 0.7% % w/w. In some embodiments, the antioxidant is present in the composition at about 0.8% % w/w. In some embodiments, the antioxidant is present in the composition at about 0.9% % w/w. In some embodiments, the antioxidant is present in the composition at about 1% % w/w. In some embodiments, the antioxidant is present in the composition at about 2% % w/w. In some embodiments, the antioxidant is present in the composition at about 3% % w/w. In some embodiments, the antioxidant is present in the composition at about 4% % w/w. In some embodiments, the antioxidant is present in the composition at about 5% % w/w.
於一些實施方式中,該組成物進一步包含界面活性劑。In some embodiments, the composition further includes a surfactant.
於一些實施方式中,該界面活性劑係包含聚氧丙烯及聚氧乙烯的共聚物、聚氧40氫化蓖麻油、或天然維生素E之水溶性衍生物(例如D-α-生育酚聚乙二醇琥珀酸酯(維生素E TPGS))。於一些實施方式中,該界面活性劑係泊洛沙姆(Poloxamer)188、泊洛沙姆407、Kolliphor® RH40、或維生素E TPGS。In some embodiments, the surfactant includes a copolymer of polyoxypropylene and polyoxyethylene, polyoxy40 hydrogenated castor oil, or a water-soluble derivative of natural vitamin E (such as D-α-tocopherol polyethylene glycol). alcohol succinate (vitamin E TPGS)). In some embodiments, the surfactant is Poloxamer 188, Poloxamer 407, Kolliphor® RH40, or Vitamin E TPGS.
於一些實施方式中,該界面活性劑係以約0.01至約10%的% w/w存在於該組成物中。於一些實施方式中,該界面活性劑係以約0.01至約5%的% w/w存在於該組成物中。於一些實施方式中,該界面活性劑係以約0.1至約5%的% w/w存在於該組成物中。於一些實施方式中,該界面活性劑係以約0.5至約5%的% w/w存在於該組成物中。於一些實施方式中,該界面活性劑係以約1至約5%的% w/w存在於該組成物中。於一些實施方式中,該界面活性劑係以約1%的% w/w存在於該組成物中。於一些實施方式中,該界面活性劑係以約2%的% w/w存在於該組成物中。於一些實施方式中,該界面活性劑係以約3%的% w/w存在於該組成物中。於一些實施方式中,該界面活性劑係以約4%的% w/w存在於該組成物中。於一些實施方式中,該界面活性劑係以約5%的% w/w存在於該組成物中。In some embodiments, the surfactant is present in the composition at a % w/w of from about 0.01 to about 10%. In some embodiments, the surfactant is present in the composition at a % w/w of from about 0.01 to about 5%. In some embodiments, the surfactant is present in the composition at a % w/w of about 0.1 to about 5%. In some embodiments, the surfactant is present in the composition at a % w/w of about 0.5 to about 5%. In some embodiments, the surfactant is present in the composition at a % w/w of about 1 to about 5%. In some embodiments, the surfactant is present in the composition at about 1% % w/w. In some embodiments, the surfactant is present in the composition at about 2% % w/w. In some embodiments, the surfactant is present in the composition at about 3% % w/w. In some embodiments, the surfactant is present in the composition at about 4% % w/w. In some embodiments, the surfactant is present in the composition at about 5% % w/w.
於一些實施方式中,該組成物包含150 mg的式(I)化合物或其醫藥上可接受的鹽。於一些實施方式中,該組成物包含至少160 mg的式(I)化合物或其醫藥上可接受的鹽。於一些實施方式中,該組成物包含至少170 mg的式(I)化合物或其醫藥上可接受的鹽。於一些實施方式中,該組成物包含至少180 mg的式(I)化合物或其醫藥上可接受的鹽。於一些實施方式中,該組成物包含至少190 mg的式(I)化合物或其醫藥上可接受的鹽。於一些實施方式中,該組成物包含至少200 mg的式(I)化合物或其醫藥上可接受的鹽。於一些實施方式中,該組成物包含至少220 mg的式(I)化合物或其醫藥上可接受的鹽。於一些實施方式中,該組成物包含至少240 mg的式(I)化合物或其醫藥上可接受的鹽。於一些實施方式中,該組成物包含至少260 mg的式(I)化合物或其醫藥上可接受的鹽。於一些實施方式中,該組成物包含至少280 mg的式(I)化合物或其醫藥上可接受的鹽。於一些實施方式中,該組成物包含至少300 mg的式(I)化合物或其醫藥上可接受的鹽。In some embodiments, the composition includes 150 mg of a compound of formula (I) or a pharmaceutically acceptable salt thereof. In some embodiments, the composition contains at least 160 mg of a compound of formula (I) or a pharmaceutically acceptable salt thereof. In some embodiments, the composition contains at least 170 mg of a compound of formula (I) or a pharmaceutically acceptable salt thereof. In some embodiments, the composition includes at least 180 mg of a compound of formula (I) or a pharmaceutically acceptable salt thereof. In some embodiments, the composition contains at least 190 mg of a compound of formula (I) or a pharmaceutically acceptable salt thereof. In some embodiments, the composition contains at least 200 mg of a compound of formula (I) or a pharmaceutically acceptable salt thereof. In some embodiments, the composition includes at least 220 mg of a compound of formula (I) or a pharmaceutically acceptable salt thereof. In some embodiments, the composition contains at least 240 mg of a compound of formula (I) or a pharmaceutically acceptable salt thereof. In some embodiments, the composition includes at least 260 mg of a compound of formula (I) or a pharmaceutically acceptable salt thereof. In some embodiments, the composition includes at least 280 mg of a compound of formula (I) or a pharmaceutically acceptable salt thereof. In some embodiments, the composition contains at least 300 mg of a compound of formula (I) or a pharmaceutically acceptable salt thereof.
於一些實施方式中,本文中提供者係固體口服劑型,該固體口服劑型包含式(I)化合物或其醫藥上可接受的鹽。In some embodiments, provided herein are solid oral dosage forms comprising a compound of Formula (I) or a pharmaceutically acceptable salt thereof.
於一些實施方式中,本文中提供者係固體口服劑型,該固體口服劑型包含本文中敘述的固體非晶形分散體或組成物。於一些實施方式中,該口服劑型係錠劑。於一些實施方式中,該口服劑型包含至少100 mg的式(I)化合物或其醫藥上可接受的鹽。於一些實施方式中,該口服劑型包含至少110 mg的式(I)化合物或其醫藥上可接受的鹽。於一些實施方式中,該口服劑型包含至少120 mg的式(I)化合物或其醫藥上可接受的鹽。於一些實施方式中,該口服劑型包含至少130 mg的式(I)化合物或其醫藥上可接受的鹽。於一些實施方式中,該口服劑型包含至少140 mg的式(I)化合物或其醫藥上可接受的鹽。於一些實施方式中,該口服劑型包含至少150 mg的式(I)化合物或其醫藥上可接受的鹽。於一些實施方式中,該口服劑型包含至少160 mg的式(I)化合物或其醫藥上可接受的鹽。於一些實施方式中,該口服劑型包含至少170 mg的式(I)化合物或其醫藥上可接受的鹽。於一些實施方式中,該口服劑型包含至少180 mg的式(I)化合物或其醫藥上可接受的鹽。於一些實施方式中,該口服劑型包含至少190 mg的式(I)化合物或其醫藥上可接受的鹽。於一些實施方式中,該口服劑型包含至少200 mg的式(I)化合物或其醫藥上可接受的鹽。於一些實施方式中,該口服劑型包含至少300 mg的式(I)化合物或其醫藥上可接受的鹽。於一些實施方式中,該口服劑型包含至少400 mg的式(I)化合物或其醫藥上可接受的鹽。於一些實施方式中,該口服劑型包含至少500 mg的式(I)化合物或其醫藥上可接受的鹽。In some embodiments, provided herein are solid oral dosage forms comprising a solid amorphous dispersion or composition described herein. In some embodiments, the oral dosage form is a lozenge. In some embodiments, the oral dosage form contains at least 100 mg of a compound of formula (I) or a pharmaceutically acceptable salt thereof. In some embodiments, the oral dosage form contains at least 110 mg of a compound of formula (I) or a pharmaceutically acceptable salt thereof. In some embodiments, the oral dosage form contains at least 120 mg of a compound of formula (I) or a pharmaceutically acceptable salt thereof. In some embodiments, the oral dosage form contains at least 130 mg of a compound of formula (I) or a pharmaceutically acceptable salt thereof. In some embodiments, the oral dosage form contains at least 140 mg of a compound of formula (I) or a pharmaceutically acceptable salt thereof. In some embodiments, the oral dosage form contains at least 150 mg of a compound of formula (I) or a pharmaceutically acceptable salt thereof. In some embodiments, the oral dosage form contains at least 160 mg of a compound of formula (I) or a pharmaceutically acceptable salt thereof. In some embodiments, the oral dosage form contains at least 170 mg of a compound of formula (I) or a pharmaceutically acceptable salt thereof. In some embodiments, the oral dosage form contains at least 180 mg of a compound of formula (I) or a pharmaceutically acceptable salt thereof. In some embodiments, the oral dosage form contains at least 190 mg of a compound of formula (I) or a pharmaceutically acceptable salt thereof. In some embodiments, the oral dosage form contains at least 200 mg of a compound of formula (I) or a pharmaceutically acceptable salt thereof. In some embodiments, the oral dosage form contains at least 300 mg of a compound of formula (I) or a pharmaceutically acceptable salt thereof. In some embodiments, the oral dosage form contains at least 400 mg of a compound of formula (I) or a pharmaceutically acceptable salt thereof. In some embodiments, the oral dosage form contains at least 500 mg of a compound of formula (I) or a pharmaceutically acceptable salt thereof.
於一些實施方式中,該口服劑型包含約200 mg的式(I)化合物或其醫藥上可接受的鹽。於一些實施方式中,該口服劑型包含約250 mg的式(I)化合物或其醫藥上可接受的鹽。於一些實施方式中,該口服劑型包含約300 mg的式(I)化合物或其醫藥上可接受的鹽。於一些實施方式中,該口服劑型包含約350 mg的式(I)化合物或其醫藥上可接受的鹽。於一些實施方式中,該口服劑型包含約400 mg的式(I)化合物或其醫藥上可接受的鹽。於一些實施方式中,該口服劑型包含約450 mg的式(I)化合物或其醫藥上可接受的鹽。於一些實施方式中,該口服劑型包含約500 mg的式(I)化合物或其醫藥上可接受的鹽In some embodiments, the oral dosage form contains about 200 mg of a compound of Formula (I) or a pharmaceutically acceptable salt thereof. In some embodiments, the oral dosage form contains about 250 mg of a compound of Formula (I) or a pharmaceutically acceptable salt thereof. In some embodiments, the oral dosage form contains about 300 mg of a compound of Formula (I) or a pharmaceutically acceptable salt thereof. In some embodiments, the oral dosage form contains about 350 mg of a compound of Formula (I) or a pharmaceutically acceptable salt thereof. In some embodiments, the oral dosage form contains about 400 mg of a compound of Formula (I) or a pharmaceutically acceptable salt thereof. In some embodiments, the oral dosage form contains about 450 mg of a compound of Formula (I) or a pharmaceutically acceptable salt thereof. In some embodiments, the oral dosage form contains about 500 mg of a compound of formula (I) or a pharmaceutically acceptable salt thereof
於一些實施方式中,該組成物進一步包含至少一種另外的組份。該組份可係改善錠劑製造之加工性(例如軋輥壓實、壓錠、膜衣塗層之加工性)的粒內或粒外組份。該另外的組份亦可賦予正壓縮的材料良好的粉末流動及壓縮特性。該另外的組份之所欲特性可包括高可壓縮性以允許於低壓縮力下製造強錠劑;可改善該組成物中其他賦形劑之粉末流動的良好粉末流動特性;及內聚性,例如以防止錠劑於加工、運送、及處理期間粉碎。其他給予完成的錠劑物理特性的組份係著色劑及矯味劑(例如於咀嚼錠之例子中)。另外的組份之實例係於(例如)醫藥賦形劑手冊(the Handbook of Pharmaceutical Excipients)(第5版), Raymond C Rowe, Paul J. Sheskey, 及Sian C. Owen編輯;出版商:Pharmaceutical Press中敘述。In some embodiments, the composition further includes at least one additional component. The component may be an intragranular or extragranular component that improves processability in tablet manufacturing (eg, roll compaction, tableting, film coating processability). This additional component may also impart good powder flow and compression characteristics to the material being compressed. Desirable properties of the additional components may include high compressibility to allow for the manufacture of strong tablets at low compression forces; good powder flow properties that may improve powder flow for other excipients in the composition; and cohesion. , for example, to prevent tablets from shattering during processing, transportation, and handling. Other ingredients that impart physical properties to the finished tablet are coloring agents and flavoring agents (such as in the case of chewable tablets). Examples of additional components are found, for example, in the Handbook of Pharmaceutical Excipients (5th ed.), edited by Raymond C Rowe, Paul J. Sheskey, and Sian C. Owen; Publisher: Pharmaceutical Press narrated in.
於一些實施方式中,該另外的組份包括(但不限於)稀釋劑、黏合劑、填充劑、崩解劑、界面活性劑、潤滑劑、矯味劑、及色素。該另外的組份可起多重功能。例如,稀釋劑亦可起填充劑功能。作為另一實例,界面活性劑亦可起潤滑劑功能。In some embodiments, the additional components include, but are not limited to, diluents, binders, fillers, disintegrants, surfactants, lubricants, flavoring agents, and colors. This additional component can serve multiple functions. For example, diluents can also function as fillers. As another example, surfactants can also function as lubricants.
於一些實施方式中,添加稀釋劑或填充劑,例如以增加摻混物之散重,導致壓縮用實用大小。可使用的稀釋劑或填充劑包括以下者之一或多者:鈣鹽,諸如磷酸氫鈣、及糖,諸如乳糖、蔗糖、右旋糖、微晶纖維素、甘露糖醇、及麥芽糊精。醫藥上可接受的填充劑及醫藥上可接受的稀釋劑之實例包括(但不限於)粉糖、可壓縮糖、葡萄糖結合劑(dextrate)、糊精、右旋糖、乳糖、甘露糖醇、微晶纖維素、粉末化纖維素、山梨糖醇、蔗糖、及滑石。於一些實施方式中,該稀釋劑或填充劑係微晶纖維素,其可藉由α-纖維素之受控水解製造。於一些實施方式中,適合的微晶纖維素具有約20 nm至約200 nm的平均粒度。適合的微晶纖維素包括Avicel PH 101、Avicel PH 102、Avicel PH 103、Avicel PH 105、及Avicel PH 200。於一些實施方式中,該稀釋劑或填充劑係矽化微晶纖維素,諸如ProSolv® SMCC 50或ProSolv® SMCC HD 90。於一些實施方式中,該稀釋劑或填充劑係乳糖。於一些實施方式中,該稀釋劑或填充劑係二或多種稀釋劑或填充劑之混合物。於一些實施方式中,該稀釋劑或填充劑係微晶纖維素、矽化微晶纖維素、或粉末化纖維素、或其等之混合物。In some embodiments, diluents or fillers are added, for example, to increase the bulk weight of the blend, resulting in a practical size for compression. Diluents or fillers that may be used include one or more of: calcium salts, such as calcium hydrogen phosphate, and sugars, such as lactose, sucrose, dextrose, microcrystalline cellulose, mannitol, and malto paste. Refined. Examples of pharmaceutically acceptable fillers and pharmaceutically acceptable diluents include (but are not limited to) powdered sugar, compressible sugar, dextrate, dextrin, dextrose, lactose, mannitol, Microcrystalline cellulose, powdered cellulose, sorbitol, sucrose, and talc. In some embodiments, the diluent or filler is microcrystalline cellulose, which can be produced by controlled hydrolysis of alpha-cellulose. In some embodiments, suitable microcrystalline cellulose has an average particle size of about 20 nm to about 200 nm. Suitable microcrystalline celluloses include Avicel PH 101, Avicel PH 102, Avicel PH 103, Avicel PH 105, and Avicel PH 200. In some embodiments, the diluent or filler is silicified microcrystalline cellulose, such as ProSolv® SMCC 50 or ProSolv® SMCC HD 90. In some embodiments, the diluent or filler is lactose. In some embodiments, the diluent or filler is a mixture of two or more diluents or fillers. In some embodiments, the diluent or filler is microcrystalline cellulose, silicified microcrystalline cellulose, or powdered cellulose, or mixtures thereof.
於一些實施方式中,該組成物中利用的稀釋劑或填充劑之量係約5%至約50% w/w。於一些實施方式中,該組成物中利用的稀釋劑或填充劑之量係約5%至約40% w/w。於一些實施方式中,該組成物中利用的稀釋劑或填充劑之量係約5%至約30% w/w。於一些實施方式中,該組成物中利用的稀釋劑或填充劑之量係約5%至約25% w/w。於一些實施方式中,該組成物中利用的稀釋劑或填充劑之量係約5%至約20% w/w。於一些實施方式中,該組成物中利用的稀釋劑或填充劑之量係約5%至約15% w/w。於一些實施方式中,該組成物中利用的稀釋劑或填充劑之量係約5%至約10% w/w。於一些實施方式中,該組成物中利用的稀釋劑或填充劑之量係約10%至約50% w/w。於一些實施方式中,該組成物中利用的稀釋劑或填充劑之量係約10%至約40% w/w。於一些實施方式中,該組成物中利用的稀釋劑或填充劑之量係約10%至約30% w/w。於一些實施方式中,該組成物中利用的稀釋劑或填充劑之量係約10%至約20% w/w。於一些實施方式中,該組成物中利用的稀釋劑或填充劑之量係約15%至約40% w/w。於一些實施方式中,該組成物中利用的稀釋劑或填充劑之量係約15%至約35% w/w。於一些實施方式中,該組成物中利用的稀釋劑或填充劑之量係約15%至約30% w/w。於一些實施方式中,該組成物中利用的稀釋劑或填充劑之量係約15%至約20% w/w。於一些實施方式中,該組成物中利用的稀釋劑或填充劑之量係約20%至約50% w/w。於一些實施方式中,該組成物中利用的稀釋劑或填充劑之量係約20%至約40% w/w。於一些實施方式中,該組成物中利用的稀釋劑或填充劑之量係約20%至約35% w/w。於一些實施方式中,該組成物中利用的稀釋劑或填充劑之量係約5%至約20% w/w。於一些實施方式中,該組成物中利用的稀釋劑或填充劑之量係約20%至約30% w/w。於一些實施方式中,該組成物中利用的稀釋劑或填充劑之量係約5% w/w。於一些實施方式中,該組成物中利用的稀釋劑或填充劑之量係約10% w/w。於一些實施方式中,該組成物中利用的稀釋劑或填充劑之量係約15% w/w。於一些實施方式中,該組成物中利用的稀釋劑或填充劑之量係約20% w/w。於一些實施方式中,該組成物中利用的稀釋劑或填充劑之量係約25% w/w。於一些實施方式中,該組成物中利用的稀釋劑或填充劑之量係約30% w/w。於一些實施方式中,該組成物中利用的稀釋劑或填充劑之量係約35% w/w。於一些實施方式中,該組成物中利用的稀釋劑或填充劑之量係約40% w/w。於一些實施方式中,該組成物中利用的稀釋劑或填充劑之量係約45% w/w。於一些實施方式中,該組成物中利用的稀釋劑或填充劑之量係約50% w/w。In some embodiments, the amount of diluent or filler utilized in the composition is from about 5% to about 50% w/w. In some embodiments, the amount of diluent or filler utilized in the composition is from about 5% to about 40% w/w. In some embodiments, the amount of diluent or filler utilized in the composition is from about 5% to about 30% w/w. In some embodiments, the amount of diluent or filler utilized in the composition is from about 5% to about 25% w/w. In some embodiments, the amount of diluent or filler utilized in the composition is from about 5% to about 20% w/w. In some embodiments, the amount of diluent or filler utilized in the composition is from about 5% to about 15% w/w. In some embodiments, the amount of diluent or filler utilized in the composition is from about 5% to about 10% w/w. In some embodiments, the amount of diluent or filler utilized in the composition is from about 10% to about 50% w/w. In some embodiments, the amount of diluent or filler utilized in the composition is from about 10% to about 40% w/w. In some embodiments, the amount of diluent or filler utilized in the composition is from about 10% to about 30% w/w. In some embodiments, the amount of diluent or filler utilized in the composition is from about 10% to about 20% w/w. In some embodiments, the amount of diluent or filler utilized in the composition is from about 15% to about 40% w/w. In some embodiments, the amount of diluent or filler utilized in the composition is from about 15% to about 35% w/w. In some embodiments, the amount of diluent or filler utilized in the composition is from about 15% to about 30% w/w. In some embodiments, the amount of diluent or filler utilized in the composition is from about 15% to about 20% w/w. In some embodiments, the amount of diluent or filler utilized in the composition is from about 20% to about 50% w/w. In some embodiments, the amount of diluent or filler utilized in the composition is from about 20% to about 40% w/w. In some embodiments, the amount of diluent or filler utilized in the composition is from about 20% to about 35% w/w. In some embodiments, the amount of diluent or filler utilized in the composition is from about 5% to about 20% w/w. In some embodiments, the amount of diluent or filler utilized in the composition is from about 20% to about 30% w/w. In some embodiments, the amount of diluent or filler utilized in the composition is about 5% w/w. In some embodiments, the amount of diluent or filler utilized in the composition is about 10% w/w. In some embodiments, the amount of diluent or filler utilized in the composition is about 15% w/w. In some embodiments, the amount of diluent or filler utilized in the composition is about 20% w/w. In some embodiments, the amount of diluent or filler utilized in the composition is about 25% w/w. In some embodiments, the amount of diluent or filler utilized in the composition is about 30% w/w. In some embodiments, the amount of diluent or filler utilized in the composition is about 35% w/w. In some embodiments, the amount of diluent or filler utilized in the composition is about 40% w/w. In some embodiments, the amount of diluent or filler utilized in the composition is about 45% w/w. In some embodiments, the amount of diluent or filler utilized in the composition is about 50% w/w.
於一些實施方式中,該組成物進一步包括潤滑劑。典型地添加潤滑劑以防止製錠材料凝集在一起及防止其黏到製錠衝床(tablet punch)上、於壓錠期間最小化摩擦力、及以允許所壓的錠劑自模具移出。如此潤滑劑以通常小於每重量的組成物以重量計5的量包括在最終錠劑混合物中。潤滑劑之實例包括(但不限於)膠體二氧化矽、三矽酸鎂、滑石、碳酸鎂、硬脂酸、氧化鎂、百荷伯酸甘油酯(glycerylbehaptate)、聚乙二醇、環氧乙烷聚合物、月桂基硫酸鈉、硬脂酸鎂、硬脂酸鋁、硬脂酸鈣、硬脂基延胡索酸鈉、硬脂酸、月桂基硬脂酸鎂、及硬脂酸鎂與月桂基硫酸鈉之混合物。於一些實施方式中,該潤滑劑係月桂基硫酸鈉或硬脂基延胡索酸鈉、或其等之混合物。於一些實施方式中,該潤滑劑係二或多種潤滑劑之混合物。In some embodiments, the composition further includes a lubricant. Lubricant is typically added to prevent the tableting material from clumping together and sticking to the tablet punch, to minimize friction during tableting, and to allow the pressed tablet to be removed from the mold. The lubricant is thus included in the final tablet mixture in an amount generally less than 5% by weight per weight of the composition. Examples of lubricants include (but are not limited to) colloidal silica, magnesium trisilicate, talc, magnesium carbonate, stearic acid, magnesium oxide, glyceryl behaptate, polyethylene glycol, ethylene oxide Alkane polymer, sodium lauryl sulfate, magnesium stearate, aluminum stearate, calcium stearate, sodium stearyl fumarate, stearic acid, magnesium lauryl stearate, and magnesium stearate and lauryl sulfate Sodium mixture. In some embodiments, the lubricant is sodium lauryl sulfate or sodium stearyl fumarate, or a mixture thereof. In some embodiments, the lubricant is a mixture of two or more lubricants.
於一些實施方式中,該組成物中利用的潤滑劑之量係約0.01至約5.0% w/w。於一些實施方式中,該組成物中利用的潤滑劑之量係約0.01至約4.0% w/w。於一些實施方式中,該組成物中利用的潤滑劑之量係約0.01至約3.0% w/w。於一些實施方式中,該組成物中利用的潤滑劑之量係約0.1至約3.0% w/w。於一些實施方式中,該組成物中利用的潤滑劑之量係約0.01至約2.0% w/w。於一些實施方式中,該組成物中利用的潤滑劑之量係約0.05至約2.0% w/w。於一些實施方式中,該組成物中利用的潤滑劑之量係約0.1至約2.0% w/w。於一些實施方式中,該組成物中利用的潤滑劑之量係約0.01至約1.5% w/w。於一些實施方式中,該組成物中利用的潤滑劑之量係約0.05至約1.5% w/w。於一些實施方式中,該組成物中利用的潤滑劑之量係約0.1至約1.5% w/w。於一些實施方式中,該組成物中利用的潤滑劑之量係約0.5至約4.0% w/w。於一些實施方式中,該組成物中利用的潤滑劑之量係約0.5至約3.5% w/w。於一些實施方式中,該組成物中利用的潤滑劑之量係約0.5至約3.0 w/w。於一些實施方式中,該組成物中利用的潤滑劑之量係約0.5至約2.5% w/w。於一些實施方式中,該組成物中利用的潤滑劑之量係約0.5至約2.0% w/w。於一些實施方式中,該組成物中利用的潤滑劑之量係約0.5至1.5% w/w。於一些實施方式中,該組成物中利用的潤滑劑之量係約1.0至約3.0% w/w。於一些實施方式中,該組成物中利用的潤滑劑之量係約1.0至約2.5% w/w。於一些實施方式中,該組成物中利用的潤滑劑之量係約1.0至約2.0% w/w。於一些實施方式中,該組成物中利用的潤滑劑之量係約1.5至約2.0% w/w。於一些實施方式中,該組成物中利用的潤滑劑之量係約0.5至1.0% w/w。於一些實施方式中,該組成物中利用的潤滑劑之量係約0.1% w/w。於一些實施方式中,該組成物中利用的潤滑劑之量係約0.2% w/w。於一些實施方式中,該組成物中利用的潤滑劑之量係約0.3% w/w。於一些實施方式中,該組成物中利用的潤滑劑之量係約0.4% w/w。於一些實施方式中,該組成物中利用的潤滑劑之量係約0.5% w/w。於一些實施方式中,該組成物中利用的潤滑劑之量係約0.6% w/w。於一些實施方式中,該組成物中利用的潤滑劑之量係約0.7% w/w。於一些實施方式中,該組成物中利用的潤滑劑之量係約0.8% w/w。於一些實施方式中,該組成物中利用的潤滑劑之量係約0.9% w/w。於一些實施方式中,該組成物中利用的潤滑劑之量係約1.0% w/w。於一些實施方式中,該組成物中利用的潤滑劑之量係約1.5% w/w。於一些實施方式中,該組成物中利用的潤滑劑之量係約1.8% w/w。於一些實施方式中,該組成物中利用的潤滑劑之量係約2.0% w/w。於一些實施方式中,該組成物中利用的潤滑劑之量係約2.5% w/w。In some embodiments, the amount of lubricant utilized in the composition is from about 0.01 to about 5.0% w/w. In some embodiments, the amount of lubricant utilized in the composition is from about 0.01 to about 4.0% w/w. In some embodiments, the amount of lubricant utilized in the composition is from about 0.01 to about 3.0% w/w. In some embodiments, the amount of lubricant utilized in the composition is from about 0.1 to about 3.0% w/w. In some embodiments, the amount of lubricant utilized in the composition is from about 0.01 to about 2.0% w/w. In some embodiments, the amount of lubricant utilized in the composition is from about 0.05 to about 2.0% w/w. In some embodiments, the amount of lubricant utilized in the composition is from about 0.1 to about 2.0% w/w. In some embodiments, the amount of lubricant utilized in the composition is from about 0.01 to about 1.5% w/w. In some embodiments, the amount of lubricant utilized in the composition is from about 0.05 to about 1.5% w/w. In some embodiments, the amount of lubricant utilized in the composition is from about 0.1 to about 1.5% w/w. In some embodiments, the amount of lubricant utilized in the composition is from about 0.5 to about 4.0% w/w. In some embodiments, the amount of lubricant utilized in the composition is from about 0.5 to about 3.5% w/w. In some embodiments, the amount of lubricant utilized in the composition is from about 0.5 to about 3.0 w/w. In some embodiments, the amount of lubricant utilized in the composition is from about 0.5 to about 2.5% w/w. In some embodiments, the amount of lubricant utilized in the composition is from about 0.5 to about 2.0% w/w. In some embodiments, the amount of lubricant utilized in the composition is about 0.5 to 1.5% w/w. In some embodiments, the amount of lubricant utilized in the composition is from about 1.0 to about 3.0% w/w. In some embodiments, the amount of lubricant utilized in the composition is from about 1.0 to about 2.5% w/w. In some embodiments, the amount of lubricant utilized in the composition is from about 1.0 to about 2.0% w/w. In some embodiments, the amount of lubricant utilized in the composition is from about 1.5 to about 2.0% w/w. In some embodiments, the amount of lubricant utilized in the composition is about 0.5 to 1.0% w/w. In some embodiments, the amount of lubricant utilized in the composition is about 0.1% w/w. In some embodiments, the amount of lubricant utilized in the composition is about 0.2% w/w. In some embodiments, the amount of lubricant utilized in the composition is about 0.3% w/w. In some embodiments, the amount of lubricant utilized in the composition is about 0.4% w/w. In some embodiments, the amount of lubricant utilized in the composition is about 0.5% w/w. In some embodiments, the amount of lubricant utilized in the composition is about 0.6% w/w. In some embodiments, the amount of lubricant utilized in the composition is about 0.7% w/w. In some embodiments, the amount of lubricant utilized in the composition is about 0.8% w/w. In some embodiments, the amount of lubricant utilized in the composition is about 0.9% w/w. In some embodiments, the amount of lubricant utilized in the composition is about 1.0% w/w. In some embodiments, the amount of lubricant utilized in the composition is about 1.5% w/w. In some embodiments, the amount of lubricant utilized in the composition is about 1.8% w/w. In some embodiments, the amount of lubricant utilized in the composition is about 2.0% w/w. In some embodiments, the amount of lubricant utilized in the composition is about 2.5% w/w.
於一些實施方式中,添加助流劑(glidant),例如以藉由減低顆粒間摩擦力及內聚性改善錠劑粉末之流動性。助流劑之實例包括硬脂酸鎂、碳酸鎂、矽石(例如膠態二氧化矽(諸如以Aerosil之名販售的等級))、澱粉、及滑石。助流劑可以0.01至約5% w/w的量存在於該組成物中。於一些實施方式中,該組成物中利用的助流劑之量係約0.01至約4.0% w/w。於一些實施方式中,該組成物中利用的助流劑之量係約0.01至約3.0% w/w。於一些實施方式中,該組成物中利用的助流劑之量係約0.01至約2.0% w/w。於一些實施方式中,該組成物中利用的助流劑之量係約0.05至約2.0% w/w。於一些實施方式中,該組成物中利用的助流劑之量係約0.1至約2.0% w/w。於一些實施方式中,該組成物中利用的助流劑之量係約0.01至約1.5% w/w。於一些實施方式中,該組成物中利用的助流劑之量係約0.05至約1.5% w/w。於一些實施方式中,該組成物中利用的助流劑之量係約0.1至約1.5% w/w。於一些實施方式中,該組成物中利用的助流劑之量係約0.5至1.5% w/w。於一些實施方式中,該組成物中利用的助流劑之量係約0.5至1.0% w/w。於一些實施方式中,該組成物中利用的助流劑之量係約0.1% w/w。於一些實施方式中,該組成物中利用的助流劑之量係約0.2% w/w。於一些實施方式中,該組成物中利用的助流劑之量係約0.3% w/w。於一些實施方式中,該組成物中利用的助流劑之量係約0.4% w/w。於一些實施方式中,該組成物中利用的助流劑之量係約0.5% w/w。於一些實施方式中,該組成物中利用的助流劑之量係約0.6% w/w。於一些實施方式中,該組成物中利用的助流劑之量係約0.7% w/w。於一些實施方式中,該組成物中利用的助流劑之量係約0.8% w/w。於一些實施方式中,該組成物中利用的助流劑之量係約0.9% w/w。於一些實施方式中,該組成物中利用的助流劑之量係約1.0% w/w。於一些實施方式中,該組成物中利用的助流劑之量係約2.0% w/w。In some embodiments, a glidant is added, for example, to improve the flowability of the tablet powder by reducing inter-particle friction and cohesion. Examples of glidants include magnesium stearate, magnesium carbonate, silica (eg, colloidal silica (such as grades sold under the name Aerosil)), starch, and talc. Glidants may be present in the composition in an amount from 0.01 to about 5% w/w. In some embodiments, the amount of glidant utilized in the composition is from about 0.01 to about 4.0% w/w. In some embodiments, the amount of glidant utilized in the composition is from about 0.01 to about 3.0% w/w. In some embodiments, the amount of glidant utilized in the composition is from about 0.01 to about 2.0% w/w. In some embodiments, the amount of glidant utilized in the composition is from about 0.05 to about 2.0% w/w. In some embodiments, the amount of glidant utilized in the composition is from about 0.1 to about 2.0% w/w. In some embodiments, the amount of glidant utilized in the composition is from about 0.01 to about 1.5% w/w. In some embodiments, the amount of glidant utilized in the composition is from about 0.05 to about 1.5% w/w. In some embodiments, the amount of glidant utilized in the composition is from about 0.1 to about 1.5% w/w. In some embodiments, the amount of glidant utilized in the composition is about 0.5 to 1.5% w/w. In some embodiments, the amount of glidant utilized in the composition is about 0.5 to 1.0% w/w. In some embodiments, the amount of glidant utilized in the composition is about 0.1% w/w. In some embodiments, the amount of glidant utilized in the composition is about 0.2% w/w. In some embodiments, the amount of glidant utilized in the composition is about 0.3% w/w. In some embodiments, the amount of glidant utilized in the composition is about 0.4% w/w. In some embodiments, the amount of glidant utilized in the composition is about 0.5% w/w. In some embodiments, the amount of glidant utilized in the composition is about 0.6% w/w. In some embodiments, the amount of glidant utilized in the composition is about 0.7% w/w. In some embodiments, the amount of glidant utilized in the composition is about 0.8% w/w. In some embodiments, the amount of glidant utilized in the composition is about 0.9% w/w. In some embodiments, the amount of glidant utilized in the composition is about 1.0% w/w. In some embodiments, the amount of glidant utilized in the composition is about 2.0% w/w.
於一些實施方式中,錠劑崩解劑係以一量存在於該組成物中,例如以加速溶解(例如增加錠劑崩解速率)。崩解劑係當將劑型放置在水性環境中時可抵抗錠劑中的粒子鍵結之物理力的賦形劑。崩解劑包括澱粉衍生物及羧甲基纖維素之鹽。醫藥上可接受的崩解劑之實例包括(但不限於)澱粉,例如澱粉羥乙酸鈉、預糊化澱粉;黏土;纖維素;藻酸鹽;樹膠(gum);交聯聚合物,例如交聯聚乙烯基吡咯啶酮(例如聚乙烯聚吡咯啶酮、PVPP、crospovidone、crospolividone)、交聯羧甲基纖維素鈣及交聯羧甲基纖維素鈉(交聯羧甲基纖維素(croscarmellose)鈉);及多醣。於一些實施方式中,該崩解劑係二或多種崩解劑之混合物。In some embodiments, a tablet disintegrant is present in the composition in an amount, such as to accelerate dissolution (eg, increase the rate of tablet disintegration). Disintegrants are excipients that resist the physical forces of particle bonding in the tablet when the dosage form is placed in an aqueous environment. Disintegrants include starch derivatives and salts of carboxymethylcellulose. Examples of pharmaceutically acceptable disintegrants include (but are not limited to) starch, such as sodium starch glycolate, pregelatinized starch; clay; cellulose; alginate; gum; cross-linked polymers, such as cross-linked polymers; croscarmellose calcium and croscarmellose sodium ) sodium); and polysaccharides. In some embodiments, the disintegrant is a mixture of two or more disintegrants.
大體上,崩解劑之量可係該組成物之0.1至約25% w/w。於一些實施方式中,崩解劑之量係該組成物之約1%至約15% w/w。於一些實施方式中,崩解劑之量係該組成物之約1%至約10% w/w。於一些實施方式中,崩解劑之量係該組成物之約1%至約8% w/w。於一些實施方式中,崩解劑之量係該組成物之約5%至約10% w/w。於一些實施方式中,崩解劑之量係該組成物之約3%至約10% w/w。於一些實施方式中,崩解劑之量係該組成物之約3%至約8% w/w。於一些實施方式中,崩解劑之量係該組成物之約5%至約10% w/w。於一些實施方式中,崩解劑之量係該組成物之約5%至約15% w/w。於一些實施方式中,崩解劑之量係該組成物之約1%至約5% w/w。於一些實施方式中,崩解劑之量係該組成物之約1% w/w。於一些實施方式中,崩解劑之量係該組成物之約2% w/w。於一些實施方式中,崩解劑之量係該組成物之約3% w/w。於一些實施方式中,崩解劑之量係該組成物之約4% w/w。於一些實施方式中,崩解劑之量係該組成物之約5% w/w。於一些實施方式中,崩解劑之量係該組成物之約6% w/w。於一些實施方式中,崩解劑之量係該組成物之約7% w/w。於一些實施方式中,崩解劑之量係該組成物之約8% w/w。於一些實施方式中,崩解劑之量係該組成物之約9% w/w。於一些實施方式中,崩解劑之量係該組成物之約10% w/w。於一些實施方式中,崩解劑之量係該組成物之約15% w/w。Generally, the amount of disintegrant may range from 0.1 to about 25% w/w of the composition. In some embodiments, the amount of disintegrant is from about 1% to about 15% w/w of the composition. In some embodiments, the amount of disintegrant is from about 1% to about 10% w/w of the composition. In some embodiments, the amount of disintegrant is from about 1% to about 8% w/w of the composition. In some embodiments, the amount of disintegrant is from about 5% to about 10% w/w of the composition. In some embodiments, the amount of disintegrant is from about 3% to about 10% w/w of the composition. In some embodiments, the amount of disintegrant is from about 3% to about 8% w/w of the composition. In some embodiments, the amount of disintegrant is from about 5% to about 10% w/w of the composition. In some embodiments, the amount of disintegrant is from about 5% to about 15% w/w of the composition. In some embodiments, the amount of disintegrant is from about 1% to about 5% w/w of the composition. In some embodiments, the amount of disintegrant is about 1% w/w of the composition. In some embodiments, the amount of disintegrant is about 2% w/w of the composition. In some embodiments, the amount of disintegrant is about 3% w/w of the composition. In some embodiments, the amount of disintegrant is about 4% w/w of the composition. In some embodiments, the amount of disintegrant is about 5% w/w of the composition. In some embodiments, the amount of disintegrant is about 6% w/w of the composition. In some embodiments, the amount of disintegrant is about 7% w/w of the composition. In some embodiments, the amount of disintegrant is about 8% w/w of the composition. In some embodiments, the amount of disintegrant is about 9% w/w of the composition. In some embodiments, the amount of disintegrant is about 10% w/w of the composition. In some embodiments, the amount of disintegrant is about 15% w/w of the composition.
於一些實施方式中,調配物係如
表 2或
表 3中闡明(例如其中該組成物中的總wt. %不超過100%)。
表 2 :例示性調配物
錠劑可係素、膜衣、塗糖、對分、壓花、層狀、及/或持續釋放的。其等可以各種各樣的大小、形狀、及顏色製作。錠劑可吞嚥、咀嚼、或在口腔中或舌下溶解。Tablets may be plain, film-coated, sugar-coated, halved, embossed, layered, and/or sustained-release. They can be made in a variety of sizes, shapes, and colors. Lozenges may be swallowed, chewed, or dissolved in the mouth or under the tongue.
本發明之錠劑可經塗層或否則經調製以提供提供以下優勢的劑型:長期作用、保護錠劑成分免於劣化、使大型或工作令人不快(unpleasant-tasking)的錠劑較容易吞嚥、或對抗胃之酸狀況的保護。例如,錠劑或丸劑可包含內部劑量及外部劑量組份,後者呈在前者上的外膜之形式。此二組份可由腸溶層分開,該腸溶層在胃中起抵抗崩解的作用且允許內部組份完整通過胃至十二指腸中或以延遲釋放。可將各種各樣的材料用於如此腸溶層或腸溶衣,如此材料包括一些聚合酸及聚合酸與諸如蟲膠、鯨臘醇、及醋酸纖維素的材料之混合物。Tablets of the present invention may be coated or otherwise formulated to provide a dosage form that provides the following advantages: long-term action, protection of the tablet ingredients from deterioration, and easier swallowing of large or unpleasant-tasking tablets , or protection against acid conditions in the stomach. For example, a tablet or pill may contain an inner dosage component and an outer dosage component, the latter in the form of an outer film formed on the former. The two components may be separated by an enteric layer that resists disintegration in the stomach and allows the inner component to pass intact through the stomach into the duodenum or to be released with a delay. A wide variety of materials may be used for such enteric layers or coatings, including some polymeric acids and mixtures of polymeric acids with materials such as shellac, cetyl alcohol, and cellulose acetate.
於某些實施方式中,該錠劑係以聚合物塗層。於某些實施方式中,該錠劑係以Opadry® EZ白塗層。In certain embodiments, the tablet is polymer coated. In certain embodiments, the tablets are Opadry® EZ white coated.
於某些實施方式中,本文中敘述的組成物係以在醫藥上可接受的載劑中的懸浮液的形式投予(例如視需要於將該等組成物或固體口服劑型壓碎成供懸浮用的細末之後)。於某些實施方式中,該懸浮液係口服投予。於某些實施方式中,該懸浮液係通過餵食管(例如通過經皮內視鏡美食學(PEG)管或G管)投予。PEG允許放置餵食管穿過腹壁進入胃中,允許直接將該組成物置入胃中,避開口部及食道。 製備固體非晶形分散體之方法 In certain embodiments, the compositions described herein are administered as a suspension in a pharmaceutically acceptable carrier (e.g., such compositions or solid oral dosage forms may be crushed, if necessary, for suspension After using fine powder). In certain embodiments, the suspension is administered orally. In certain embodiments, the suspension is administered through a feeding tube (eg, through a percutaneous endoscopic gastroenterology (PEG) tube or G-tube). PEG allows placement of a feeding tube through the abdominal wall and into the stomach, allowing the composition to be placed directly into the stomach, avoiding the mouth and esophagus. Method for preparing solid amorphous dispersions
於某些實施方式中,本文中揭露者係製備式I化合物之固體非晶形分散體之方法,其包含: i)將式(I)化合物 或其醫藥上可接受的鹽、及聚合物賦形劑溶解在溶劑中以形成溶液;及 ii)將步驟(I)之溶液霧化至噴霧乾燥分散裝置中的乾燥室中以製備該固體非晶形分散體。 In certain embodiments, disclosed herein are methods for preparing solid amorphous dispersions of compounds of formula I, comprising: i) adding a compound of formula (I) or a pharmaceutically acceptable salt thereof, and polymer excipients are dissolved in a solvent to form a solution; and ii) the solution of step (I) is atomized into a drying chamber in a spray drying dispersion device to prepare the solid non- Crystalline dispersion.
於一些實施方式中,該方法進一步包含於步驟(I)溶解結晶抑制性聚合物。 使用方法 In some embodiments, the method further comprises dissolving the crystallization inhibiting polymer in step (I). Instructions
於某些實施方式中,本文中亦提供者係使用包含固體非晶形分散體的組成物的方法,該固體非晶形分散體包含式(I)化合物及聚合物賦形劑,該方法用於諸如本文中敘述的治療或其他方法。於一些實施方式中,該等方法包括使用(例如包含投予)式(I)化合物,其中式(I)化合物係以本文中敘述的方式調配(例如係存在於本文中敘述的組成物中)。於一些實施方式中,式(I)化合物(例如如本文中調配的,例如呈口服劑型)係於用於治療由STAT3介導的疾病或病症或否則可以STAT3抑制劑治療的疾病或病症的方法中利用。於特定實施方式中,本文中提供者係治療癌症的方法。於其他特定實施方式中,本文中提供者係治療纖維化的方法。於又其他特定實施方式中,本文中提供者係治療發炎性疾病/病症的方法。In certain embodiments, also provided herein are methods of using compositions comprising a solid amorphous dispersion comprising a compound of formula (I) and a polymeric excipient, such as treatments or other methods described in this article. In some embodiments, the methods include using (e.g., comprising administering) a compound of Formula (I), wherein the compound of Formula (I) is formulated in a manner described herein (e.g., is present in a composition described herein) . In some embodiments, a compound of Formula (I) (e.g., as formulated herein, e.g., in an oral dosage form) is a method for treating a disease or disorder mediated by STAT3 or a disease or disorder that is otherwise treatable with a STAT3 inhibitor. utilized. In certain embodiments, provided herein are methods of treating cancer. In other specific embodiments, provided herein are methods of treating fibrosis. In yet other specific embodiments, provided herein are methods of treating inflammatory diseases/disorders.
本文之某些實施方式中提供者係對需要治療或預防癌症或減低其風險或嚴重性的個體治療或預防癌症或減低其風險或嚴重性的方法,該方法包含向該個體投予任何本文中敘述的組成物或口服劑。於一些實施方式中,根據本文中提供的方法治療的癌症係肝癌、肺癌、頭頸癌、乳癌、皮膚癌、腎臟癌、睪丸癌、結腸癌、直腸癌、胃癌(gastric cancer)、皮膚癌、轉移性黑色素瘤、前列腺癌、卵巢癌、子宮頸癌、骨癌、脾臟癌、膽囊癌、腦癌、胰臟癌、胃癌(stomach cancer)、肛門癌、前列腺癌、多發性骨髓瘤、移植後淋巴增生性疾病、再狹窄、骨髓化生不良症候群、白血病、淋巴瘤、或急性骨髓性白血病。於一些實施方式中,根據本文中提供的方法治療的癌症係肝癌、肺癌、肝上皮細胞癌、肝細胞上皮細胞癌、頭頸鱗狀細胞癌、非小細胞肺癌、或雌性素受體陽性乳癌。於一些實施方式中,根據本文中提供的方法治療的癌症係頭頸癌、肺癌、肝癌、乳癌、卵巢癌、結腸癌、多發性骨髓瘤、白血病、或胰臟癌。於一些實施方式中,該白血病係急性骨髓性白血病。於一些實施方式中,該胃癌(gastric cancer)係胃腺癌。In certain embodiments provided herein are methods of treating or preventing cancer or reducing the risk or severity of cancer in an individual in need of treatment or prevention or reducing the risk or severity thereof, the method comprising administering to the individual any of the methods described herein Described compositions or oral dosage forms. In some embodiments, the cancer treated according to the methods provided herein is liver cancer, lung cancer, head and neck cancer, breast cancer, skin cancer, kidney cancer, testicular cancer, colon cancer, rectal cancer, gastric cancer, skin cancer, metastasis melanoma, prostate cancer, ovarian cancer, cervical cancer, bone cancer, spleen cancer, gallbladder cancer, brain cancer, pancreatic cancer, stomach cancer, anal cancer, prostate cancer, multiple myeloma, post-transplant lymphoma Proliferative disease, restenosis, myelodysplasia syndrome, leukemia, lymphoma, or acute myelogenous leukemia. In some embodiments, the cancer treated according to the methods provided herein is liver cancer, lung cancer, liver epithelial cell carcinoma, hepatocellular epithelial cell carcinoma, head and neck squamous cell carcinoma, non-small cell lung cancer, or estrogen receptor-positive breast cancer. In some embodiments, the cancer treated according to the methods provided herein is head and neck cancer, lung cancer, liver cancer, breast cancer, ovarian cancer, colon cancer, multiple myeloma, leukemia, or pancreatic cancer. In some embodiments, the leukemia is acute myelogenous leukemia. In some embodiments, the gastric cancer is gastric adenocarcinoma.
本文之某些實施方式中提供者係對需要治療或預防發炎性疾病/病症或減低其風險或嚴重性的個體治療或預防發炎性疾病/病症或減低其風險或嚴重性的方法,該方法包含向該個體投予任何本文中敘述的組成物或口服劑。於一些實施方式中,本文中治療的發炎性疾病/病症係發炎性腸病(IBD)、潰瘍性結腸炎、克隆氏病、氣喘、嚴重過敏、癌症惡病體質、慢性腎臟疾病惡病體質、非酒精性脂肪性肝炎(NASH)、乾癬、眼色素層炎、鞏膜炎、多發性硬化症、或胰臟炎。於一些實施方式中,本文中治療的發炎係發炎性腸病(IBD)、潰瘍性結腸炎、克隆氏病、氣喘、嚴重過敏、癌症惡病體質、慢性腎臟疾病惡病體質、或非酒精性脂肪性肝炎(NASH)。於一些實施方式中,該嚴重過敏包含嚴重過敏性休克。Certain embodiments herein provide methods for treating or preventing, or reducing the risk or severity of, an inflammatory disease/disorder in an individual in need of treatment or prevention, or reducing the risk or severity thereof, the method comprising The individual is administered any of the compositions or oral agents described herein. In some embodiments, the inflammatory disease/disorder treated herein is inflammatory bowel disease (IBD), ulcerative colitis, Crohn's disease, asthma, severe allergies, cancer cachexia, chronic kidney disease cachexia, Nonalcoholic steatohepatitis (NASH), psoriasis, uveitis, scleritis, multiple sclerosis, or pancreatitis. In some embodiments, the inflammation treated herein is inflammatory bowel disease (IBD), ulcerative colitis, Crohn's disease, asthma, severe allergies, cancer cachexia, chronic kidney disease cachexia, or non-alcoholic Steatohepatitis (NASH). In some embodiments, the severe allergy includes severe anaphylactic shock.
本文之某些實施方式中提供者係對需要治療或預防纖維變性疾病/病症或減低其風險或嚴重性的個體治療或預防纖維變性疾病/病症或減低其風險或嚴重性的方法,該方法包含向該個體投予任何本文中敘述的組成物或口服劑。於某些實施方式中,該纖維變性疾病/病症係皮膚纖維化(skin fibrosis或dermal fibrosis)、心臟纖維化、肝硬化、肺纖維化、骨髓纖維化(bone marrow fibrosis)、腸纖維化、胰臟纖維化、關節纖維化、肝臟纖維化、腹膜後腔、腎臟纖維化、骨髓纖維化(myelofibrosis)、非酒精性脂肪肝疾病、脂肪性肝炎、全身性硬化症(包括彌漫性全身性硬化症或限制型全身性硬化症)、心肌內膜纖維化、心肌梗塞、心房纖維化、縱膈纖維化、進行性大規模纖維化、腎源性全身纖維化、瘢瘤、關節纖維化、黏連性滑膜囊炎、或囊腫纖維化。於某些實施方式中,該纖維化係皮膚纖維化(硬皮病)、心臟纖維化、肝硬化、肺纖維化、骨髓纖維化(bone marrow fibrosis)、腸纖維化、胰臟纖維化、關節纖維化、肝臟纖維化、腹膜後腔、骨髓纖維化(myelofibrosis)、非酒精性脂肪肝疾病、脂肪性肝炎、或全身性硬化症。於某些實施方式中,該纖維化係皮膚纖維化(硬皮病)、心臟纖維化、肝硬化、或肺纖維化。Certain embodiments herein provide methods for treating or preventing, or reducing the risk or severity of, a fibrotic disease/disorder in an individual in need of treatment or prevention, or reducing the risk or severity thereof, the method comprising The individual is administered any of the compositions or oral agents described herein. In certain embodiments, the fibrotic disease/disorder is skin fibrosis or dermal fibrosis, cardiac fibrosis, liver cirrhosis, pulmonary fibrosis, bone marrow fibrosis, intestinal fibrosis, pancreatic fibrosis Visceral fibrosis, arthrofibrosis, liver fibrosis, retroperitoneal cavity, renal fibrosis, myelofibrosis, non-alcoholic fatty liver disease, steatohepatitis, systemic sclerosis (including diffuse systemic sclerosis or restrictive systemic sclerosis), endomyocardial fibrosis, myocardial infarction, atrial fibrosis, mediastinal fibrosis, progressive massive fibrosis, nephrogenic systemic fibrosis, keloids, arthrofibrosis, adhesive Bursitis, or cystic fibrosis. In certain embodiments, the fibrosis is cutaneous fibrosis (scleroderma), cardiac fibrosis, liver cirrhosis, pulmonary fibrosis, bone marrow fibrosis, intestinal fibrosis, pancreatic fibrosis, joint Fibrosis, hepatic fibrosis, retroperitoneal cavity, myelofibrosis, non-alcoholic fatty liver disease, steatohepatitis, or systemic sclerosis. In certain embodiments, the fibrosis is cutaneous fibrosis (scleroderma), cardiac fibrosis, liver cirrhosis, or pulmonary fibrosis.
於某些實施方式中,該纖維變性疾病/病症係暴露至某些藥物(諸如化學治療)後的纖維化、暴露至環境或其他毒素或過敏原後的纖維化、局部缺血/再灌注損傷(諸如心肌梗塞或低血壓)後發生的纖維化、輻射後發生的纖維化、由酒精、毒素、藥物、或感染誘發的肝炎後的纖維化、原發性膽汁性肝硬化、涉及心臟、肝臟、或肺臟的病毒感染後的纖維化、及/或特發性腹膜後纖維化。In certain embodiments, the fibrotic disease/disorder is fibrosis following exposure to certain drugs (such as chemotherapy), fibrosis following exposure to the environment or other toxins or allergens, ischemia/reperfusion injury (such as myocardial infarction or hypotension), fibrosis after radiation, fibrosis after hepatitis induced by alcohol, toxins, drugs, or infection, primary biliary cirrhosis, involving the heart, liver , or fibrosis after viral infection of the lungs, and/or idiopathic retroperitoneal fibrosis.
本文之某些實施方式中提供者係對需要治療或預防肌肉消耗疾病/病症、肌肉虛弱疾病/病症、或惡病體質或減低其風險或嚴重性的個體治療或預防肌肉消耗疾病/病症、肌肉虛弱疾病/病症、或惡病體質或減低其風險或嚴重性的方法,該方法包含向該個體投予任何本文中敘述的組成物或口服劑。該肌肉虛弱及/或肌肉消耗及/或惡病體質可具有未知的病因或其可與根源病況相關。該根源病況可係分解代謝病況。於一些實施方式中,該與惡病體質相關的根源醫學病況係最小腎臟疾病或衰竭、癌症、AIDS、HIV感染、慢性阻塞性肺病(包括肺氣腫)、多發性硬化症、鬱血性心臟衰竭、結核病、家族性類澱粉蛋白多發性神經病變、肢痛症、激素缺乏、代謝性酸中毒、感染性疾病、慢性胰臟炎、自體免疫病症、乳糜瀉、克隆氏病、電解質不平衡、艾迪森氏病、敗血症、燒傷、創傷、發燒、長骨骨折、甲狀腺機能亢進、長期類固醇治療、手術、骨髓移植、非典型肺炎、布氏桿菌病、心內膜炎、B型肝炎、肺臟膿腫、肥胖細胞增多症、伴腫瘤性症候群、結節性多動脈炎、類肉瘤病、全身性紅斑性狼瘡、肌炎、多發性肌炎、皮肌炎、風濕病學疾病、自體免疫疾病、膠原血管病、內臟性利什曼病、長期臥床休息、及/或藥物(諸如安非他命、鴉片類藥物、或巴比妥酸鹽)成癮。Certain embodiments herein provide for the treatment or prevention of muscle wasting diseases/disorders, muscle weakness diseases/disorders, or cachexia in individuals in need of treatment or prevention of, or reduction of the risk or severity of, muscle wasting diseases/disorders, muscle wasting diseases/disorders, muscle weakness diseases/disorders, or cachexia. A method of reducing the risk or severity of a debilitating disease/condition, or cachexia, comprising administering to the subject any of the compositions or oral agents described herein. The muscle weakness and/or muscle wasting and/or cachexia may have an unknown cause or it may be related to an underlying condition. The underlying condition may be a catabolic condition. In some embodiments, the underlying medical condition associated with cachexia is renal disease or failure, cancer, AIDS, HIV infection, chronic obstructive pulmonary disease (including emphysema), multiple sclerosis, congestive heart failure , tuberculosis, familial amyloid polyneuropathy, crotalgia, hormone deficiencies, metabolic acidosis, infectious diseases, chronic pancreatitis, autoimmune disorders, celiac disease, Crohn's disease, electrolyte imbalance, Addison's disease, sepsis, burns, trauma, fever, long bone fractures, hyperthyroidism, long-term steroid therapy, surgery, bone marrow transplant, SARS, brucellosis, endocarditis, hepatitis B, lungs Abscesses, obesocytosis, neoplastic syndromes, polyarteritis nodosa, sarcoidosis, systemic lupus erythematosus, myositis, polymyositis, dermatomyositis, rheumatological diseases, autoimmune diseases, Collagen vasculopathy, visceral leishmaniasis, prolonged bed rest, and/or addiction to drugs (such as amphetamines, opioids, or barbiturates).
本文之某些實施方式中提供者係對需要治療或預防過敏反應或減低其風險或嚴重性的個體治療或預防過敏反應或減低其風險或嚴重性的方法,該方法包含向該個體投予本文中敘述的任何組成物、或口服劑量。於一些實施方式中,該過敏反應係於暴露至過敏原後誘發。於一些實施方式中,該過敏原係食物過敏原(諸如奶、豆、貝介類、樹堅果、蛋、魚、大豆、及小麥)、環境過敏原或季節性過敏原(諸如花粉或黴菌)、毒液過敏原(諸如來自胡蜂(wasp)、蜜蜂、螞蟻、大黃蜂(hornet)、黃蜂(yellow jacket)、或角螲)、藥物過敏原(諸如麻醉劑、β-內醯胺抗生素、乙醯柳酸、非類固醇抗發炎藥物、化學治療、疫苗、魚精蛋白、或草藥製劑)、或乳膠。於一些實施方式中,該過敏反應係嚴重過敏、嚴重過敏性休克、過敏性鼻炎、蕁麻疹、食物過敏、藥物過敏、膜翅類過敏、支氣管收縮、氣喘、或濕疹。Certain embodiments herein provide for a method of treating or preventing an allergic reaction or reducing the risk or severity of an allergic reaction in an individual in need of treatment or prevention of an allergic reaction, the method comprising administering to the individual the method herein Any composition, or oral dosage, described in. In some embodiments, the allergic reaction is induced upon exposure to an allergen. In some embodiments, the allergen is a food allergen (such as milk, soy, shellfish, tree nuts, eggs, fish, soy, and wheat), an environmental allergen, or a seasonal allergen (such as pollen or mold) , venom allergens (such as from wasps, bees, ants, hornets, yellow jackets, or hornets), drug allergens (such as anesthetics, beta-lactam antibiotics, acetylcholine) acids, non-steroidal anti-inflammatory drugs, chemotherapy, vaccines, protamine, or herbal preparations), or latex. In some embodiments, the allergic reaction is severe allergy, severe anaphylactic shock, allergic rhinitis, urticaria, food allergy, drug allergy, hymenopteran allergy, bronchoconstriction, asthma, or eczema.
STAT3亦於病毒感染及致病性扮演重要角色(Chang Z, 等人 STAT3於病毒感染的角色:抗病毒或促病毒?(STAT3 roles in viral infection: antiviral or proviral?). Future Virol.2018;13(8):557-574)。本文之某些實施方式中提供者係對需要治療或預防病毒感染或減低其風險或嚴重性的個體治療或預防病毒感染或減低其風險或嚴重性的方法,該方法包含向該個體投予任何本文中敘述的組成物或口服劑。於一些實施方式中,該病毒感染係慢性病毒感染。於一些實施方式中,該慢性病毒感染係AIDS、HIV感染、B型肝炎感染、C型肝炎病毒感染、或艾司坦氏-巴爾氏病毒感染, STAT3 also plays an important role in viral infection and pathogenicity (Chang Z, et al. STAT3 roles in viral infection: antiviral or proviral?). Future Virol. 2018;13 (8):557-574). In certain embodiments herein, the provider is a method of treating or preventing a viral infection or reducing the risk or severity of a viral infection in an individual in need of it, the method comprising administering to the individual any The compositions or oral dosage forms described herein. In some embodiments, the viral infection is a chronic viral infection. In some embodiments, the chronic viral infection is AIDS, HIV infection, hepatitis B infection, hepatitis C virus infection, or Einstein-Barr virus infection,
本文之某些實施方式中提供者係治療或預防以下者或減低其風險或嚴重性的方法:移植物抗宿主疾病、肺淋巴管平滑肌瘤病、卻格司氏病性心肌病、年齡相關性黃斑退化、類澱粉蛋白變性症、阿滋海默氏病或其他神經退化性疾病中的星狀細胞增生、或家族性類澱粉蛋白多發性神經病變。Certain embodiments herein provide methods of treating or preventing, or reducing the risk or severity of, graft-versus-host disease, pulmonary lymphangioleiomyomatosis, Chogeustic cardiomyopathy, age-related macular degeneration, amyloidosis, stellate cell hyperplasia in Alzheimer's disease or other neurodegenerative diseases, or familial amyloid polyneuropathy.
本文之某些實施方式中提供者係治療或預防神經退化性疾病或減低其風險或嚴重性的方法。於一些實施方式中,該神經退化性疾病係化學治療誘發性周邊神經病變、糖尿病神經病變、或化療腦。本文之某些實施方式中提供者係對需要治療或預防疼痛或減低其風險或嚴重性的個體治療或預防疼痛或減低其風險或嚴重性的方法,該方法包含向該個體投予任何本文中敘述的組成物或口服劑。於一些實施方式中,疼痛係神經病性疼痛。Certain embodiments herein provide methods of treating or preventing neurodegenerative diseases or reducing the risk or severity thereof. In some embodiments, the neurodegenerative disease is chemotherapy-induced peripheral neuropathy, diabetic neuropathy, or chemotherapy brain. Certain embodiments herein provide for a method of treating or preventing pain or reducing the risk or severity of pain in an individual in need of treatment or prevention of pain or reducing the risk or severity thereof, the method comprising administering to the individual any of the methods described herein Described compositions or oral dosage forms. In some embodiments, the pain is neuropathic pain.
本文之某些實施方式中提供者係對需要治療或預防胰島素抗性或減低其風險或嚴重性的個體治療或預防胰島素抗性或減低其風險或嚴重性的方法,該方法包含向該個體投予任何本文中敘述的組成物或口服劑。於一些實施方式中,該胰島素抗性係根源病況之結果。於一些實施方式中,該胰島素抗性與正在治療的個體之肌肉有關。於一些實施方式中,該胰島素抗性由該個體之任何理由(諸如血液中自由脂肪酸升高、肥胖、為過重、有內臟肥胖、有高果糖攝入、有發炎、為不活動的、腸微生物相失衡、及/或有遺傳傾向)造成。於某些實施方式中,任何本文中提供的方法係治療諸如例如以下者的與胰島素抗性有關或至少部分為胰島素抗性之併發症的醫學病況或減低其風險或嚴重性的方法:嚴重高血糖;嚴重低血糖;心臟病發作;中風;腎臟疾病(包括慢性,例如慢性腎臟疾病(CKD));眼睛問題;癌症;非酒精性脂肪肝疾病(NAFLD);多囊性卵巢症候群(PCOS);代謝性症候群;糖尿病;或阿滋海默氏疾病。於某些實施方式中,該胰島素抗性係代謝性症候群及第2型糖尿病之特點。代謝性症候群係一群與第2型糖尿病及心臟病有關的風險因子。其症狀包括高血三酸甘油酯、血壓、腹部肥胖、及血糖、以及低HDL(好)膽固醇水平。Certain embodiments herein provide a method of treating or preventing insulin resistance or reducing the risk or severity of insulin resistance in an individual in need thereof, the method comprising administering to the individual Administer any of the compositions or oral dosage forms described herein. In some embodiments, the insulin resistance is the result of an underlying condition. In some embodiments, the insulin resistance is associated with muscle in the individual being treated. In some embodiments, the insulin resistance is caused by any reason for the individual (such as having elevated free fatty acids in the blood, being obese, being overweight, having visceral obesity, having high fructose intake, having inflammation, being inactive, having an inactive gut microbiome) phase imbalance, and/or genetic predisposition). In certain embodiments, any of the methods provided herein are methods of treating or reducing the risk or severity of a medical condition associated with, or at least in part a complication of, insulin resistance, such as, for example: severe high Blood sugar; severe hypoglycemia; heart attack; stroke; kidney disease (including chronic, such as chronic kidney disease (CKD)); eye problems; cancer; non-alcoholic fatty liver disease (NAFLD); polycystic ovary syndrome (PCOS) ; metabolic syndrome; diabetes; or Alzheimer's disease. In certain embodiments, the insulin resistance is a characteristic of metabolic syndrome and type 2 diabetes. Metabolic syndrome is a group of risk factors associated with type 2 diabetes and heart disease. Symptoms include high blood triglycerides, blood pressure, abdominal obesity, blood sugar, and low HDL (good) cholesterol levels.
於一些實施方式中,本文中討論的丸劑負擔與任何適合的式(I)化合物之治療性(例如每日)劑量及/或式(I)化合物之在該口服劑型中的裝載量(諸如本文中敘述的任何劑量或量)有關。In some embodiments, the bolus burden discussed herein is consistent with any suitable therapeutic (e.g., daily) dose of a compound of Formula (I) and/or loading of a compound of Formula (I) in the oral dosage form (such as herein any dose or amount described in).
於某些實施方式中,該方法包含向該個體投予至少1 mg/kg/日的式(I)化合物。於某些實施方式中,該方法包含向該個體投予至少10 mg/kg/日的式(I)化合物。於某些實施方式中,該方法包含向該個體投予至少20 mg/kg/日的式(I)化合物。於某些實施方式中,該方法包含向該個體投予至少25 mg/kg/日的式(I)化合物。In certain embodiments, the method comprises administering to the individual at least 1 mg/kg/day of a compound of Formula (I). In certain embodiments, the method comprises administering to the subject at least 10 mg/kg/day of a compound of Formula (I). In certain embodiments, the method comprises administering to the subject at least 20 mg/kg/day of a compound of Formula (I). In certain embodiments, the method comprises administering to the subject at least 25 mg/kg/day of a compound of Formula (I).
於一些實施方式中,一些不良事件係相較於SEDD調配物使用SDD調配物減少。於一些實施方式中,不良事件之嚴重性係相較於SEDD調配物使用SDD調配物減少。於一些實施方式中,一些個體經歷相較於SEDD調配物使用SDD調配物減少的不良事件。於一些實施方式中,該不良事件係腹瀉。 實施例 實施例 1. 用於 TTI-101 之固體非晶形分散體的聚合物及界面活性劑篩選 In some embodiments, some adverse events are reduced with SDD formulations compared to SEDD formulations. In some embodiments, the severity of adverse events is reduced using SDD formulations compared to SEDD formulations. In some embodiments, some individuals experience reduced adverse events using the SDD formulation compared to the SEDD formulation. In some embodiments, the adverse event is diarrhea. EXAMPLES Example 1. Polymer and surfactant screening for solid amorphous dispersions of TTI-101
使用液體-液體相分離(LLPS)以鑑認在模擬禁食狀態的腸液(FaSSIF)中會防止TTI-101溶液之過飽和溶液之結晶及沉澱的聚合物。於此研究中篩選的聚合物包括:HPMC AS-MPP、HPMC AS-HG、HPMC AS-LG、HPMC-3、PVPVA64、及Eudragit L100。基於HPMC的聚合物顯示良好的性能,於整個實驗(240分鐘)中保持TTI-101之過飽和濃度。Eudragit L100於最初50分鐘顯示類似的性能。Liquid-liquid phase separation (LLPS) was used to identify polymers that prevent crystallization and precipitation of supersaturated solutions of TTI-101 in intestinal fluid simulating the fasting state (FaSSIF). The polymers screened in this study included: HPMC AS-MPP, HPMC AS-HG, HPMC AS-LG, HPMC-3, PPVVA64, and Eudragit L100. The HPMC-based polymer showed good performance, maintaining the supersaturation concentration of TTI-101 throughout the experiment (240 minutes). Eudragit L100 showed similar performance during the first 50 minutes.
此外,製備HPMC AS-LG/HPMC-E3 +/- 5% w/w界面活性劑及HPMAC AS-LG +/-5% w/w界面活性劑之混合物並以LLPS評估其等。此研究中使用的界面活性劑包括:泊洛沙姆188、泊洛沙姆407、Kolliphor RH40、及維生素E TPGS。對於HPMC AS-LG / HPMC-E3之混合物,加入泊洛沙姆407、Kolliphor RH40、及維生素E TPGS提供LLPS性能之微小改善。 實施例 2. TTI-101 噴霧乾燥分散體( SDD ) In addition, a mixture of HPMC AS-LG/HPMC-E3 +/- 5% w/w surfactant and HPMAC AS-LG +/- 5% w/w surfactant was prepared and evaluated by LLPS. Surfactants used in this study include: Poloxamer 188, Poloxamer 407, Kolliphor RH40, and Vitamin E TPGS. For the HPMC AS-LG / HPMC-E3 mixture, the addition of Poloxamer 407, Kolliphor RH40, and Vitamin E TPGS provided a slight improvement in LLPS performance. Example 2. TTI-101 spray-dried dispersion ( SDD )
藉由微粉化及奈米碾磨的TTI-101之粒度減小提供差的生體可用率(例如比TTI-101之溶液低10-20倍的生體可用率)。使用熱熔擠出法(HME)並使用DSC互溶性、DSC可擠製性、及流變學研究評估所得分散體。所嘗試的聚合物系統包括:Soluplus;Soluplus + Kolliphor RH40;Soluplus + 維生素E TPGS;及PVPVA64 + Kolliphor RH40。使用HME製作的TTI-101之分散體於生物相關性試管內過飽和動態溶解顯示高TTI-101降解及性能。Particle size reduction of TTI-101 by micronization and nanomilling provides poor bioavailability (eg, 10-20 times lower bioavailability than solutions of TTI-101). The resulting dispersions were evaluated using hot melt extrusion (HME) and using DSC miscibility, DSC extrudability, and rheology studies. Polymer systems tried include: Soluplus; Soluplus + Kolliphor RH40; Soluplus + Vitamin E TPGS; and PPVVA64 + Kolliphor RH40. The dispersion of TTI-101 produced using HME showed high TTI-101 degradation and performance in supersaturated dynamic dissolution in biorelevant test tubes.
為防止TTI-101降解,使用SDD技術以產生包含TTI-101的組成物。以
表 4中顯示的聚合物系統及TTI-101之濃度製備例示性SDD組成物。
表 4 :例示性 SDD 組成物
組成物1-5於過飽和動態溶解(SSKD)中展現微小的性能。組成物1-5之特徵界定顯示其等並非完全非晶形。另一方面,組成物6-10係完全非晶形。將結晶抑制性聚合物(CIP)(諸如HPMC AS-LG)加至該等組成物改善TTI-101之尖峰濃度及過飽和。組成物11及12展現良好的穩定性而組成物13展現兩個玻璃轉移溫度(Tg),顯示在SDD中的相分離且亦顯示於穩定性評估期間的TTI-101結晶。組成物14顯示於穩定性評估期間的Tg之改變且組成物15及16展現兩個Tg,顯示SDD中的相分離。Compositions 1-5 exhibit slight performance in supersaturated dynamic dissolution (SSKD). Characterization of compositions 1-5 shows that they are not completely amorphous. On the other hand, compositions 6-10 are completely amorphous. The addition of a crystallization inhibiting polymer (CIP), such as HPMC AS-LG, to these compositions improves the peak concentration and supersaturation of TTI-101. Compositions 11 and 12 exhibited good stability while composition 13 exhibited two glass transition temperatures (Tg), showed phase separation in the SDD and also showed crystallization of TTI-101 during stability evaluation. Composition 14 showed a change in Tg during stability evaluation and compositions 15 and 16 exhibited two Tgs, indicating phase separation in SDD.
其他所使用的CIP包括:MC-A4M、HPMC-E4M、及HPMC-K4M。具有MC-A4M的組成物與具有HPMC AS-LG作為CIP的組成物表現類似。 實施例 3. 用於 TTI-101 之基於 SDD 的組成物的抗氧化劑篩選 Other CIPs used include: MC-A4M, HPMC-E4M, and HPMC-K4M. The composition with MC-A4M behaved similarly to the composition with HPMC AS-LG as CIP. Example 3. Antioxidant screening of SDD - based compositions for TTI-101
將抗氧化劑(諸如檸檬酸、抗壞血酸、或棕櫚酸抗壞血酸酯(各1% w/w))加至具有HPMC AS-LG或Eudragit L100-55的TTI-101之SDD組成物。所得組成物於穩定性評估期間展現Tg之改變且提供該基於SDD的組成物之化學穩定性之微小改善。 實施例 4. 用於 TTI-101 之基於 SDD 的組成物的 CIP 篩選 Antioxidants such as citric acid, ascorbic acid, or ascorbyl palmitate (1% w/w each) were added to the SDD composition of TTI-101 with HPMC AS-LG or Eudragit L100-55. The resulting composition exhibited a change in Tg during stability evaluation and provided a slight improvement in the chemical stability of the SDD-based composition. Example 4. CIP screening of SDD - based compositions for TTI-101
將CIP加至具有HPMC AS-LG或Eudragit L100-55的TTI-101之SDD組成物。所篩選的CIP包括:HPMC AS-LG、MC-A4M、HPMC-E4M、及HPMC-K4M。具有MC-A4M的組成物與具有HPMC AS-LG作為CIP的組成物表現類似。HPMC AS-LG濃度係:10%、15%、及25 %w/w(HPMC AS-LG(CIP)對比SDD的比率。具有25 % w/w HPMC AS-LG對比SDD的組成物於整個試驗期間(6小時)顯示最高的TTI-101濃度及TTI-101之穩定上升而無濃度落下( 圖 1)。 實施例 5. 錠劑調配物 CIP was added to the SDD composition of TTI-101 with HPMC AS-LG or Eudragit L100-55. The screened CIPs include: HPMC AS-LG, MC-A4M, HPMC-E4M, and HPMC-K4M. The composition with MC-A4M behaved similarly to the composition with HPMC AS-LG as CIP. HPMC AS-LG concentration system: 10%, 15%, and 25% w/w (HPMC AS-LG (CIP) vs. SDD ratio. The composition with 25% w/w HPMC AS-LG vs. SDD was used throughout the trial The period (6 hours) showed the highest TTI-101 concentration and a steady increase in TTI-101 without a drop in concentration ( Figure 1 ). Example 5. Tablet Formulation
以TTI-101及甲基丙烯酸與丙烯酸乙酯共聚物作為聚合物賦形劑的SDD製備例示性錠劑調配物(
表 5)。混合調配物、軋輥壓實(RC)、碾磨、摻混、壓縮、並以膜衣塗層以形成例示性錠劑。添加粒內及粒外組份以改善軋輥壓實、壓錠、及膜衣塗層之加工性。
表 5 : 實施例 200 mg TTI-101 錠劑調配物
於此研究中,在大鼠中評估基於SDD的調配物之藥物動力學及口服生體可用率。調配物A-D係根據
表 6-7製備。調配物E係根據WO2021150912中敘述的方法製備。
表 6 :例示性調配物 A-B
表 8顯示向大鼠投予的TTI-101之例示性劑量及各調配物中的%TTI-101。
表 8 :大鼠中的 TTI-101 調配物之投予
調配物F(IV)係在5/2/43/50 %v/v的DMSO/EtOH/PEG400/食鹽水中製備(TTI-101 5 mg/mL)。對於口服調配物,調配物A-E相對於調配物F的絕對口服生體可用率分別係0.183、0.156、0.229、0.139、及0.173。C最大係:調配物F(77000 ng/mL)、調配物E(10300 ng/mL)、調配物C(5500 ng/mL)、調配物D(4490 ng/mL)、調配物A(4060 ng/mL)、及調配物B(3500 ng/mL)。AUC最終係調配物F(188000 h*ng/mL)、調配物C(41800 h*ng/mL)、調配物E(31400 h*ng/mL)、調配物A(30700 h*ng/mL)、調配物B(28600 h*ng/mL)、及調配物D(25800 h*ng/mL)。Formulation F(IV) was prepared in 5/2/43/50 % v/v DMSO/EtOH/PEG400/saline (TTI-101 5 mg/mL). For oral formulations, the absolute oral bioavailability of Formulations A-E relative to Formulation F were 0.183, 0.156, 0.229, 0.139, and 0.173, respectively. C max series: Formulation F (77000 ng/mL), Formulation E (10300 ng/mL), Formulation C (5500 ng/mL), Formulation D (4490 ng/mL), Formulation A (4060 ng /mL), and Formulation B (3500 ng/mL). The final AUC is Formulation F (188000 h*ng/mL), Formulation C (41800 h*ng/mL), Formulation E (31400 h*ng/mL), Formulation A (30700 h*ng/mL) , Formulation B (28600 h*ng/mL), and Formulation D (25800 h*ng/mL).
以上結果顯示具有諸如HPMC AS LF的CIP的包含實施例2之組成物7的調配物相較於TTI-101之膠囊調配物(調配物E)顯示較高的生體可用率且具有諸如HPMC AS LG的CIP的包含實施例2之組成物7的調配物相較於TTI-101之調配物E(Kolliphor RH40: PEG600: 聚山梨糖醇酯20: Labrasol: 檸檬酸: TTI-101約27.1:38.8:10.8:13.5:0.5:9.2)顯示類似的生體可用率。調配物E係包含80 mg的TTI-101的膠囊調配物,而本文中敘述的例示性錠劑調配物包含200 mg TTI-101。 實施例 7. 患有晚期癌症的患者中的口服 STAT3 抑制劑 TTI-101 The above results show that the formulation containing Composition 7 of Example 2 with CIP such as HPMC AS LF showed higher bioavailability compared to the capsule formulation of TTI-101 (Formulation E) and with CIP such as HPMC AS The formulation of LG's CIP containing Composition 7 of Example 2 compared to Formulation E of TTI-101 (Kolliphor RH40: PEG600: Polysorbate 20: Labrasol: Citric Acid: TTI-101 - about 27.1:38.8 :10.8:13.5:0.5:9.2) showed similar bioavailability. Formulation E is a capsule formulation containing 80 mg of TTI-101, while the exemplary tablet formulation described herein contains 200 mg of TTI-101. Example 7. Oral STAT3 inhibitor TTI-101 in patients with advanced cancer
於此第I期研究中,在患有晚期癌症的患者及健康患者中評估TTI-001。In this Phase I study, TTI-001 was evaluated in patients with advanced cancer and healthy patients.
簡言之,如於先前的實施例中地製備調配物1-3。第一定群的患者(n=15)接受調配物1、第二定群的患者(n=47)接受調配物2、且第三定群的患者(n=48)接受調配物3。對於患有晚期癌症的患者,試驗係類似於以下
表 9中略述地進行。
表 9. 患有晚期癌症的患者中的 TTI-101 之試驗資訊
使用SEDD調配物(調配物2)觀察到的最常見的治療相關性不良事件係腹瀉,其在以TTI-101 SEDD治療的47名患者之44.7%被報導(
表 10)。48名患者係以TTI-101之SDD調配物(調配物3)治療,且如下表顯示的較少的患者報導腹瀉(6.3%),且無等級2或等級3腹瀉事件。注意,以調配物3治療的患者相較於以Labrasol/PEG調配物(調配物1)給藥者亦具有較少的腹瀉事件。
表 10. 使用調配物 1-3 觀察到的治療相關性不良事件
此外,相較於第1期研究(以調配物2給藥),來自健康自願者之研究(以調配物3給藥)的藥物動力學數據展現平均暴露係相等的。進一步,對於STAT3依賴性生長,在曲線中於每個時間點的患者暴露皆超過IC90(數據未顯示)。Additionally, pharmacokinetic data from the study in healthy volunteers (dose with Formulation 3) compared to the Phase 1 study (dose with Formulation 2) showed that the average exposure was equivalent. Further, for STAT3-dependent growth, patient exposure exceeded the IC90 at every time point in the curve (data not shown).
總而言之,調配物3相較於調配物2具有顯著較低的帳單負擔、減少的導因於治療的不良事件之比率及嚴重性、且與調配物2具有類似的暴露。Overall, Formulation 3 had a significantly lower billing burden, a reduced rate and severity of treatment-attributable adverse events, and similar exposures to Formulation 2 compared to Formulation 2.
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[ 圖 1]顯示監視達6小時的具有10%、15%、或25% CIP的TTI-101組成物之在FaSSIF(pH 6.5)中的動態溶解度。 [ Figure 1] shows the dynamic solubility of TTI-101 compositions with 10%, 15%, or 25% CIP in FaSSIF (pH 6.5) monitored for 6 hours.
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