WO1997003654A2 - Pharmaceutical compositions - Google Patents

Pharmaceutical compositions Download PDF

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Publication number
WO1997003654A2
WO1997003654A2 PCT/EP1996/003066 EP9603066W WO9703654A2 WO 1997003654 A2 WO1997003654 A2 WO 1997003654A2 EP 9603066 W EP9603066 W EP 9603066W WO 9703654 A2 WO9703654 A2 WO 9703654A2
Authority
WO
WIPO (PCT)
Prior art keywords
rapamycin
composition
compositions
weight
carrier medium
Prior art date
Application number
PCT/EP1996/003066
Other languages
French (fr)
Other versions
WO1997003654A3 (en
Inventor
Patrice Guitard
Barbara Haeberlin
Rainer Link
Friedrich Richter
Original Assignee
Novartis Ag
Novartis-Erfindungen Verwaltungsgesellschaft M.B.H
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Family has litigation
First worldwide family litigation filed litigation Critical https://patents.darts-ip.com/?family=26307397&utm_source=google_patent&utm_medium=platform_link&utm_campaign=public_patent_search&patent=WO1997003654(A2) "Global patent litigation dataset” by Darts-ip is licensed under a Creative Commons Attribution 4.0 International License.
Priority claimed from GBGB9514397.0A external-priority patent/GB9514397D0/en
Priority claimed from GBGB9515025.6A external-priority patent/GB9515025D0/en
Priority to SI9630671T priority Critical patent/SI0839028T1/en
Priority to IL144684A priority patent/IL144684A/en
Priority to NZ313633A priority patent/NZ313633A/en
Priority to US08/981,952 priority patent/US6004973A/en
Priority to CA002225960A priority patent/CA2225960C/en
Priority to JP9506264A priority patent/JPH11509223A/en
Priority to IL12290596A priority patent/IL122905A/en
Priority to HU9900391A priority patent/HU226774B1/en
Priority to DK96925741T priority patent/DK0839028T3/en
Priority to DE69631422T priority patent/DE69631422T2/en
Priority to SK44-98A priority patent/SK283571B6/en
Application filed by Novartis Ag, Novartis-Erfindungen Verwaltungsgesellschaft M.B.H filed Critical Novartis Ag
Priority to AU66152/96A priority patent/AU706174B2/en
Priority to AT96925741T priority patent/ATE258429T1/en
Priority to SK186-2002A priority patent/SK283572B6/en
Priority to PL324502A priority patent/PL191933B1/en
Priority to EP96925741A priority patent/EP0839028B1/en
Priority to BR9609537A priority patent/BR9609537A/en
Publication of WO1997003654A2 publication Critical patent/WO1997003654A2/en
Publication of WO1997003654A3 publication Critical patent/WO1997003654A3/en
Priority to NO19980081A priority patent/NO314924B1/en
Priority to HK99101280A priority patent/HK1016081A1/en
Priority to NO20025089A priority patent/NO317702B1/en
Priority to US10/454,017 priority patent/US6956043B2/en
Priority to CL200302715A priority patent/CL2003002715A1/en
Priority to US11/255,359 priority patent/US20060115533A1/en

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    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00—Medicinal preparations containing organic active ingredients
    • A61K31/33—Heterocyclic compounds
    • A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/435—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
    • A61K31/47—Quinolines; Isoquinolines
    • A61K31/4738—Quinolines; Isoquinolines ortho- or peri-condensed with heterocyclic ring systems
    • A61K31/4745—Quinolines; Isoquinolines ortho- or peri-condensed with heterocyclic ring systems condensed with ring systems having nitrogen as a ring hetero atom, e.g. phenantrolines
    • A—HUMAN NECESSITIES
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    • A61K31/33—Heterocyclic compounds
    • A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/435—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
    • A61K31/4353—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom ortho- or peri-condensed with heterocyclic ring systems
    • A61K31/436—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom ortho- or peri-condensed with heterocyclic ring systems the heterocyclic ring system containing a six-membered ring having oxygen as a ring hetero atom, e.g. rapamycin
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    • A61K31/435—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
    • A61K31/44—Non condensed pyridines; Hydrogenated derivatives thereof
    • A61K31/445—Non condensed piperidines, e.g. piperocaine
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    • A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/50—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates
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Definitions

  • This invention relates to oral pharmaceutical compositions comprising a macrolide, e.g. a rapamycin or an ascomycin, in a solid dispersion.
  • a macrolide e.g. a rapamycin or an ascomycin
  • Rapamycin is an immunosuppressive lactam macrolide produceable, for example by Streptomyces hygroscopicus.
  • the structure of rapamycin is given in Kesseler, H., et al.; 1993; Helv. Chim. Acta; 76: 117.
  • Rapamycin is an extremely potent immunosuppressant and has also been shown to have antitumor and antifungal activity. Its utility as a pharmaceutical, however, is restricted by its very low and variable bioavailability.
  • rapamycin is highly insoluble in aqueous media, e.g. water, making it difficult to formulate stable galenic compositions. Numerous derivatives of rapamycin are known.
  • rapamycins are disclosed in WO 94/02136, the contents of which are incorporated herein by reference.
  • 40-O-substituted rapamycins are described in, e.g., in US 5 258 389 and WO 94/09010 (O-aryl and O-alkyl rapamycins); WO 92/05179 (carboxylic acid esters), US 5 118 677 (amide esters), US 5 118 678 (carbamates), US 5 100 883 (fluorinated esters), US 5 151 413 (acetals), US 5 120 842 (silyl ethers), WO 93/11130 (methylene rapamycin and derivatives), WO 94/02136 (methoxy derivatives), WO 94/02385 and WO 95/14023 (alkenyl derivatives) all of which are incorporated herein by reference. 32-O-dihydro or substituted rapamycin are described, e
  • Rapamycin and its structurally similar analogues and derivatives are termed collectively herein as "rapamycins".
  • solid rapamycins e.g. rapamycin
  • Simple mixtures are known for rapamycins, e.g. rapamycin, with conventional pharmaceutical excipients; however, disadvantages encountered with these compositions include unpredictable dissolution rates, irregular bioavailability profiles, and instability.
  • disadvantages encountered with these compositions include unpredictable dissolution rates, irregular bioavailability profiles, and instability.
  • this invention provides a pharmaceutical composition in the form of a solid dispersion comprising a rapamycin and a carrier medium.
  • compositions of this invention provide a high bioavailability of drug substance, are convenient to administer, and are stable.
  • rapamycin used in the compositions of this invention may be any rapamycin or derivative thereof, for example as disclosed above or in the above-mentioned patent applications.
  • rapamycin used in the solid dispersion compositions of this invention may be rapamycin or an O-substituted derivative in which the hydroxyl group on the cyclohexyl ring of rapamycin is replaced by -OR ! in which R, is hydroxyalkyl, hydroxyalkoxyalkyl, acylaminoalkyl and aminoalkyl; e.g.
  • rapamycin derivative may be a 26- or 28-substituted derivative.
  • Preferred rapamycins for use in the solid dispersion compositions of this invention include rapamycin, 40-0-(2-hydroxy)ethyl rapamycin, 32-deoxorapamycin and 16-pent-2-ynyloxy- 32(S)-dihydrorapamycin.
  • a more preferred rapamycin is 40-0-(2-hydroxy)ethyl rapamycin (hereinafter referred to as compound X).
  • Numbering of rapamycin derivatives as used herein refers to the structure disclosed as Formula A at page 4 of published PCT application WO 96/13273, the contents of which are inco ⁇ orated herein by reference.
  • solid dispersion as used herein is understood to mean a co-precipitate of the rapamycin, e.g. 40-0-(2-hydroxy)ethyl rapamycin or rapamycin, with the carrier medium.
  • the rapamycin is in amo ⁇ hous or substantially amo ⁇ hous form and is physically bound to the carrier medium.
  • compositions of this invention may be administered in any convenient form, for example tablet, capsule, granule or powder form, e.g. in a sachet.
  • the rapamycin may be present in the composition in an amount of about 0.01 to about 30- weight-% based on the weight of the composition (% w/w), and preferably in an amount of 1 to 20 % w/w based on the total weight of the composition.
  • the carrier medium is present in an amount of up to 99.99% by weight, for example 10 to 95 wt-%, based on the total weight of the composition.
  • the carrier medium comprises a water-soluble polymer, preferably a cellulose derivative such as hydroxypropyimethylcellulose (HPMC), hydroxypropyimethylcellulose phthalate, or poly viny lpyrrrolidone (PNP).
  • HPMC hydroxypropyimethylcellulose
  • PNP poly viny lpyrrrolidone
  • HPMC with a low apparent dynamic viscosity, e.g. below 100 cps as measured at 20°C for a 2 % by weight aqueous solution, e.g below 50 cps, preferably below 20 cps, for example HPMC 3 cps.
  • HPMC is well-known and described, for example, in the Handbook of Pharmaceutical Excipients, Second Edition, pub.
  • HPMC HPMC 3cps
  • Pharmacoat 603 from the Shinetsu company.
  • PVP is available, for example, under the name Povidone (Handbook of Pharmaceutical Excipients), and a PNP having an average molecular weight between about 8,000 and about 50,000 Daltons is preferred.
  • the carrier medium comprises hydroxypropylcellulose (HPC) or a derivative thereof.
  • HPC derivatives include those having low dynamic viscosity in aqueous media, e.g. water, e.g below about 400 cps, e.g below 150 cps as measured in a 2% aqueous solution at 25°C.
  • Preferred HPC derivatives have a low degree of substitution, and an average molecular weight below about 200,000 Daltons, e.g. between 50,000 and 150,000 Daltons.
  • HPC available commercially include Klucel LF, Klucel EF and Klucel IF from the Aqualon company; and ⁇ isso HPC-L available from Nippon Soda Ltd;
  • PEG polyethylene glycol
  • examples include PEGs having an average molecular weight between 1000 and 9000 Daltons, e.g. between about 1800 and 7000, for example PEG 2000, PEG 4000 or PEG 6000 (Handbook of Pharmaceutical Excipients);
  • a saturated polyglycolised glyceride available for example under the trade mark Gelucir, e.g. Gelucir 44/14, 53/10, 50/13, 42/12, or 35/10 from the Gattefosse company; or
  • a cyclodextrin for example a ⁇ -cyclodextrin or an ⁇ -cyclodextrin.
  • suitable ⁇ -cyclodextrins include methy 1- ⁇ -cyclodextrin; dimethyl- ⁇ -cyclodextrin; hydroxypropyl- ⁇ -cyclodextrin; glycosyl- ⁇ -cyclodextrin; maltosyl- ⁇ -cyclodextrin; sulfo- ⁇ - cyclodextrin; sulfo-alkylethers of ⁇ -cyclodextrin, e.g. sulfo-C M -alkyl ethers.
  • GC-cyclodextrins include glucosyl- ⁇ -cyclodextrin and maltosyl- ⁇ -cyclodextrin.
  • the carrier medium may further comprise a water-soluble or water-insoluble saccharose or other acceptable carrier or filler such as lactose, or microcrystalline cellulose.
  • the filler if present, is generally in an amount of up to about 30% by weight, e.g. 0.5 to 20 wt-%, preferably, from about 5 to about 15% by weight of the composition.
  • Microcrystalline cellulose is available commercially under the trade name Avicel, for example from FMC Co ⁇ oration.
  • the carrier medium may further comprise one or more surfactants, for example a non ⁇ ionic, ionic, anionic or amphoteric surfactant. Examples of suitable surfactants include
  • a preferred polyoxyethylene-polyoxypropylene block polymer is Poloxamer 188 available from the BASF company;
  • ethoxylated cholesterins known, for example, under the trade name Solulan, for example Solulan C24 commercially available from the Amerchol company;
  • vitamin derivatives e.g. vitamin E derivatives such as tocopherol polyethylene glycol succinate (TPGS) available from the Eastman company;
  • TPGS tocopherol polyethylene glycol succinate
  • a bile acid or salt thereof for example cholic acid, glycolic acid or a salt, e.g. sodium cholate; or
  • the surfactant(s) is generally in an amount of up to about 20%, for example 1 to 15% by weight.
  • One or more disintegrants may be included in the compositions of this invention.
  • disintegrants include Polyplasdone (Handbook of Pharmaceutical Excipients) available commercially from the ISP company; sodium starch glycolate available commercially from the Generichem company; and crosscarmelose sodium available under the trade mark Ac-di-sol from FMC Co ⁇ oration.
  • One or more lubricants for example magnesium stearate or colloidal silicon dioxide, may further be included in the composition of this invention in an amount of up to about 5 weight %, e.g. 0.5 to 2wt-%, based on the weight of the composition.
  • flavouring agents may be included in the compositions of this invention.
  • this invention provides a surfactant-free solid dispersion composition comprising a rapamycin as described herein.
  • Antioxidants and/or stabilisers may be included in the compositions of this invention in an amount of up to about 1 % by weight, for example between 0.05 and 0.5 % by weight.
  • antioxidants include butylated hydroxytoluene, DL- ⁇ -tocopherol, propyl gallate, ascobyl palmitate and fumaric acid. Malonic acid is an appropriate stabiliser.
  • the composition comprises up to 30% by weight, e.g. 1 to 20 wt-%, 40-0-(2-hydroxy)ethyl rapamycin, and up to 95 %, e.g. 30 to 90%, HPMC by weight.
  • the weight ratio of the rapamycin to carrier medium in the compositions of this invention is generally no more than 1:3, preferably less than 1:4.
  • this invention provides a process for preparing a solid dispersion composition as described herein.
  • compositions of this invention may be obtained by dissolving or suspending the rapamycin and carrier medium in a solvent or solvent mixture.
  • the solvent may be a single solvent or mixture of solvents, and the order of dissolution and suspension of the rapamycin with the carrier medium in the solvent may be varied.
  • Solvents suitable for use in preparing solid dispersion compositions of this invention may be organic solvents such as an alcohol, for example methanol, ethanol, or isopropanol; an ester, e.g. ethylacetate; an ether, e.g. diethyl ether; a ketone, e.g. acetone; or a halogenated hydrocarbon, e.g. dichloroethane.
  • a convenient solvent mixture is an ethanol/acetone mixture having a weight ratio of ethanol to acetone of between about 1:10 to about 10:1, for example 1:5 to 5:1.
  • the rapamycin and carrier medium are present in a ratio by weight with the solvent of 1:0.1 to 1:20.
  • the solvent may be evaporated and the rapamycin co-precipitated with carrier medium.
  • the resulting residue may be dried, for example under reduced pressure, sieved and milled.
  • the milled dispersion may be combined with other excipients and, for example, compressed as a tablet, or filled into sachets or gelatin capsules.
  • the solid dispersion compositions may be prepared by melting the carrier medium to form a melt, and combining the melt with the rapamycin, e.g. by stirring, optionally in the presence of a solvent or solvent mixture as described herein.
  • solid dispersions of this invention may be prepared by spray drying techniques as described, for example, in Theory and Practice of Industrial Pharmacy,
  • a suspension as formed above is dispersed through a nozzle into a chamber maintained at, for example, 20 to 80°C.
  • the solvent is evaporated on passing through the nozzle, and finely dispersed particles are collected.
  • compositions of this invention after milling, typically have a mean particle size of less than about 0.5mm, for example less than about 350 ⁇ m, e.g. about 100 to about 300 ⁇ m.
  • compositions of this invention are useful for the known indications of the rapamycin, e.g. the following conditions:
  • a) Treatment and prevention of organ or tissue allo- or xeno-transplant rejection e.g. for the treatment of recipients of e.g. heart, lung, combined heart-lung, liver, kidney, pancreatic, skin or corneal transplants. They are also indicated for the prevention of graft-versus-host disease, such as following bone marrow transplantation.
  • arthritis for example rheumatoid arthritis, arthritis chronica progred- iente and arthritis deformans
  • autoimmune diseases for which the compounds of the invention may be employed include, autoimmune hematological disorders (including e.g. hemolytic anaemia, aplastic anaemia, pure red cell anaemia and idiopathic thrombocytopenia), systemic lupus erythematosus, polychondritis, sclerodoma, Wegener granulamatosis, dermatomyositis, chronic active hepatitis, myasthenia gravis, psoriasis, Steven-Johnson syndrome, idiopathic sprue, autoimmune inflammatory bowel disease (including e.g.
  • ulcerative colitis and Crohn's disease endocrine ophthalmopathy
  • Graves disease sarcoidosis, multiple sclerosis, primary billiary cirrhosis, juvenile diabetes (diabetes mellitus type I), uveitis (anterior and posterior), keratoconjunctivitis sicca and vernal keratoconjunctivitis, interstitial lung fibrosis, psoriatic arthritis, glomerulonephritis (with and without nephrotic syndrome, e.g. including idiopathic nephrotic syndrome or minimal change nephropathy) and juvenile dermatomyositis.
  • Treatment and prevention of asthma Treatment and prevention of asthma.
  • MDR multi-drug resistance
  • the compositions are therefore useful for enhancing the efficacy of other chemotherapeutic agents in the treatment and control of multidrug resistant conditions such as multidrug resistant cancer or multidrug resistant AIDS.
  • e) Treatment of proliferative disorders, e.g. tumors, hype ⁇ roliferative skin disorder and the like.
  • f) Treatment of fungal infections.
  • g) Treatment and prevention of inflammation, especially in potentiating the action of steroids.
  • each unit dosage will suitably contain between lmg and 100 mg of the drug substance, more preferably between 10 and 50 mg; for example 15, 20, 25, or 50 mg.
  • Such unit dosage forms are suitable for administration 1 to 5 times daily depending upon the particular pu ⁇ ose of therapy, the phase of therapy and the like.
  • compositions to be administered depends on several factors, for example the desired duration of treatment and the rate of release of the rapamycin.
  • compositions can be observed in standard clinical tests in, for example, known indications of active agent dosages giving equivalent blood levels of active agent; for example using dosages in the range of 1 mg to 1000 mg, e.g. 5mg to lOOmg, of active agent per day for a 75 kilogram adult and in standard animal models.
  • the increased bioavailability of the drug substance provided by the compositions can be observed in standard animal tests and in clinical trials.
  • the dosage form used may be coated, for example using an enteric coating.
  • Suitable coatings may comprise cellulose acetate phthalate; hydroxypropyimethylcellulose phthalate; a polymethyacrylic acid copolymer, e.g. Eudragit L, S; or hydroxypropyimethylcellulose succinate.
  • the rapamycin used in the compositions of this invention may be in crystalline or amo ⁇ hous form prior to formation of the solid dispersion.
  • An advantage, therefore, of this invention is that the rapamycin need not be crystalline.
  • the rapamycin may be used directly in combination, for example with a solvent, and does not have to be isolated in advance.
  • Another advantage of the invention is that dissolution rates of the solid dispersion are higher than dissolution rates found for a crystalline rapamycin or an amo ⁇ hous rapamycin in a simple mixture.
  • this invention provides a pharmaceutical composition in the form of a solid dispersion comprising an ascomycin and a carrier medium.
  • Suitable ascomycins for use in the solid dispersion compositions of this invention include ascomycin or a derivative thereof, e.g. 33-epi-chloro-33-desoxy- ascomycin.
  • this invention provides a pharmaceutical composition in the form of a solid dispersion comprising 33-epi-chloro-33- desoxy-ascomycin and a carrier medium.
  • compositions of this invention provide a high bioavailability of drug substance, are convenient to administer, and are stable.
  • the ascomycin e.g. compound Y
  • the carrier medium may comprise any of the aforementioned components in amounts by wt-% as described above.
  • Suitable water-soluble polymers, cyclodextrins and other excipients, e.g. surfactants, for use in the 33-epi-chloro-33-desoxy-ascomycin compositions of this invention are as described above.
  • this invention provides a surfactant-containing composition
  • a surfactant-containing composition comprising an ascomycin, e.g. compound Y, in the form of a solid dispersion as described herein.
  • the weight ratio of the ascomycin, e.g. compound Y, to carrier medium is generally no more than 1:3, preferably less than 1:4.
  • the ascomycin e.g. compound Y
  • solid dispersion compositions may be prepared in analogous manner to the processes described above.
  • compositions of compound Y disclosed herein are useful, for example, in the treatment of inflammatory and hype ⁇ roliferative skin diseases and of cutaneous manifestations of immunologically-mediated diseases. More specifically, the compositions of this invention are useful as antiinflammatory and as immunosuppressant and antiprohferative agents for use in the prevention and treatment of inflammatory conditions and of conditions requiring immunosuppression, such as a) the prevention and treatment of rejection of organ or tissue transplantation, e.g.
  • graft-versus-host disease such as following bone marrow grafts, autoimmune diseases such as rheumatoid arthritis, systemic lupus erythematosus, Hashimoto's thyroidis, multiple sclerosis, Myasthenia gravis, diabetes type I and uveitis, - cutaneous manifestations of immunologically-mediated illnesses;
  • inflammatory and hype ⁇ roliferative skin diseases such as psoriasis, atopical dermatitis, contact dermatitis and further eczematous dermatitises, seborrhoeic dermatitis, Lichen planus, Pemphigus, bullous Pemphigoid, Epidermolysis bullosa, urticaria, angioedemas, vasculitides, erythemas, cutaneous eosinophilias, Lupus erythematosus and acne; and
  • each unit dosage will suitably contain between lmg and 100 mg of the drug substance, more preferably between 10 and 50 mg; for example 15, 20, 25, or 50 mg.
  • Such unit dosage forms are suitable for administration 1 to 5 times daily depending upon the particular pu ⁇ ose of therapy, the phase of therapy and the like.
  • the composition comprises 30% by weight compound Y and 70 % by weight HPMC in a dosage of e.g. 10 to 50mg per day for use in, e.g. psoriasis, atopical dermatitis or contact dermatitis.
  • compositions to be administered depends on several factors, for example the desired duration of treatment and the rate of release of compound Y.
  • compositions containing compound Y can be observed in standard clinical tests in, for example, known indications of active agent dosages giving equivalent blood levels of active agent; for example using dosages in the range of 1 mg to 1000 mg of active agent per day for a 75 kilogram adult and in standard animal models.
  • the increased bioavailability of the drug substance provided by the compositions can be observed in standard animal tests and in clinical trials.
  • Example 1 A solid dispersion composition is prepared containing the following ingredients (in parts by weight):
  • Lactose 200 mesh 9.1 The composition (Form A) is prepared by dissolving the rapamycin and carrier medium in an ethanol/acetone mixture. Absolute ethanol is used in a 1:1 ratio by weight with the acetone. The solvents are then evaporated, and the resulting dry residue milled to a fine powder with mean particle size ⁇ 0.5 mm.
  • a solid dispersion composition is prepared containing the following ingredients (in parts by weight):
  • Poloxamer 188 (from BASF) 16.7
  • composition (Form B) is prepared in analogous manner to that in Example 1.
  • a solid dispersion composition is prepared containing the following ingredients (in parts by weight):
  • composition (Form C) is prepared in analogous manner to that in Example 1.
  • a solid dispersion composition is prepared containing the following ingredients (in parts by weight):
  • compositions Forms A to D may be formed into tablets, filled into capsules, or powdered and packaged in sachets.
  • 0.5 ml aqueous dispersions of the Compound X compositions were administered by gastric intubation during a short inhalation anaesthesia with a 1 ml syringe, attached to a polyethylene tube. Six animals were used for each composition Forms A, B, C and D.
  • the blood samples were analysed using reversed phase HPLC.
  • Table 1 shows the pharmacokinetic data collected after administration of Compound X to rats.
  • a solid dispersion composition is prepared containing the following ingredients (in parts by weight):
  • HPMC 3 cps 80 The composition (Form E) is prepared by dissolving compound Y and carrier medium in an ethanol/acetone mixture. The solvents are then evaporated, and the resulting dry residue milled.
  • Example 6 The composition (Form E) is prepared by dissolving compound Y and carrier medium in an ethanol/acetone mixture. The solvents are then evaporated, and the resulting dry residue milled.
  • a solid dispersion composition is prepared containing the following ingredients (in parts by weight):
  • a solid dispersion composition is prepared containing the following ingredients (in parts by weight):
  • composition (Form G) is prepared in analogous manner to that in Example 5.
  • compositions Forms E to G may be formed into tablets, filled into capsules, or powdered and packaged in sachets.
  • the blood samples were analysed using reversed phase HPLC.
  • Figure 1 shows that Form F resulted in blood levels substantially higher than blood levels observed after administration of Form E or Form G.
  • Figure 2 shows that Form F resulted in high blood levels when administered with food.
  • Compound Y is in amo ⁇ hous form in the compositions E, F and G on formation and after 6 months storage as determined by X-ray diffraction.
  • Forms E, F and G are tested for respective dissolution rates. On stirring in a solution of 0.2 wt% sodium dodecylsulfate in water at 37°C, it is found that over 80% available compound Y is released and dissolved from each milled composition containing lOmg compound Y after 30 minutes. 92% available compound Y is released from Form E. This compares with approximately 5% release after 30 minutes from an equivalent amount of crystalline compound Y.

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Abstract

A pharmaceutical composition in the form of a solid dispersion comprising a macrolide, e.g. a rapamycin or an ascomycin, and a carrier medium.

Description

Pharmaceutical compositions
This invention relates to oral pharmaceutical compositions comprising a macrolide, e.g. a rapamycin or an ascomycin, in a solid dispersion.
Rapamycin is an immunosuppressive lactam macrolide produceable, for example by Streptomyces hygroscopicus. The structure of rapamycin is given in Kesseler, H., et al.; 1993; Helv. Chim. Acta; 76: 117. Rapamycin is an extremely potent immunosuppressant and has also been shown to have antitumor and antifungal activity. Its utility as a pharmaceutical, however, is restricted by its very low and variable bioavailability. Moreover, rapamycin is highly insoluble in aqueous media, e.g. water, making it difficult to formulate stable galenic compositions. Numerous derivatives of rapamycin are known. Certain 16-O-substituted rapamycins are disclosed in WO 94/02136, the contents of which are incorporated herein by reference. 40-O-substituted rapamycins are described in, e.g., in US 5 258 389 and WO 94/09010 (O-aryl and O-alkyl rapamycins); WO 92/05179 (carboxylic acid esters), US 5 118 677 (amide esters), US 5 118 678 (carbamates), US 5 100 883 (fluorinated esters), US 5 151 413 (acetals), US 5 120 842 (silyl ethers), WO 93/11130 (methylene rapamycin and derivatives), WO 94/02136 (methoxy derivatives), WO 94/02385 and WO 95/14023 (alkenyl derivatives) all of which are incorporated herein by reference. 32-O-dihydro or substituted rapamycin are described, e.g., in US 5 256 790, incoφorated herein by reference.
Further rapamycin derivatives are described in PCT application number EP96/02441, for example 32-deoxorapamycin as described in Example 1, and 16-pent-2-ynyloxy-32(S)- dihydrorapamycin as described in Examples 2 and 3. The contents of PCT application number EP96/02441 are incorporated herein by reference.
Rapamycin and its structurally similar analogues and derivatives are termed collectively herein as "rapamycins". On oral administration to humans, solid rapamycins, e.g. rapamycin, may not be absorbed to any significant extent into the bloodstream. Simple mixtures are known for rapamycins, e.g. rapamycin, with conventional pharmaceutical excipients; however, disadvantages encountered with these compositions include unpredictable dissolution rates, irregular bioavailability profiles, and instability. To date there is no conveniently administrable oral solid formulation available for rapamycin or a derivative thereof.
Accordingly, in one aspect, this invention provides a pharmaceutical composition in the form of a solid dispersion comprising a rapamycin and a carrier medium.
The compositions of this invention provide a high bioavailability of drug substance, are convenient to administer, and are stable.
The rapamycin used in the compositions of this invention may be any rapamycin or derivative thereof, for example as disclosed above or in the above-mentioned patent applications.
Thus the rapamycin used in the solid dispersion compositions of this invention may be rapamycin or an O-substituted derivative in which the hydroxyl group on the cyclohexyl ring of rapamycin is replaced by -OR! in which R, is hydroxyalkyl, hydroxyalkoxyalkyl, acylaminoalkyl and aminoalkyl; e.g. as described in WO94/09010, for example 40-O-(2- hydroxy)ethyl-rapamycin, 40-O-(3-hydroxy)propyl-rapamycin, 40-O-[2-(2- hydroxy)ethoxy]ethyl-rapamycin and 40-O-(2-acetaminoethyl)-rapamycin. The rapamycin derivative may be a 26- or 28-substituted derivative.
Preferred rapamycins for use in the solid dispersion compositions of this invention include rapamycin, 40-0-(2-hydroxy)ethyl rapamycin, 32-deoxorapamycin and 16-pent-2-ynyloxy- 32(S)-dihydrorapamycin. A more preferred rapamycin is 40-0-(2-hydroxy)ethyl rapamycin (hereinafter referred to as compound X).
Numbering of rapamycin derivatives as used herein refers to the structure disclosed as Formula A at page 4 of published PCT application WO 96/13273, the contents of which are incoφorated herein by reference.
The term solid dispersion as used herein is understood to mean a co-precipitate of the rapamycin, e.g. 40-0-(2-hydroxy)ethyl rapamycin or rapamycin, with the carrier medium. In the solid dispersion, the rapamycin is in amoφhous or substantially amoφhous form and is physically bound to the carrier medium.
Compositions of this invention may be administered in any convenient form, for example tablet, capsule, granule or powder form, e.g. in a sachet.
The rapamycin may be present in the composition in an amount of about 0.01 to about 30- weight-% based on the weight of the composition (% w/w), and preferably in an amount of 1 to 20 % w/w based on the total weight of the composition.
The carrier medium is present in an amount of up to 99.99% by weight, for example 10 to 95 wt-%, based on the total weight of the composition.
In one embodiment the carrier medium comprises a water-soluble polymer, preferably a cellulose derivative such as hydroxypropyimethylcellulose (HPMC), hydroxypropyimethylcellulose phthalate, or poly viny lpyrrrolidone (PNP). Good results may be obtained using HPMC with a low apparent dynamic viscosity, e.g. below 100 cps as measured at 20°C for a 2 % by weight aqueous solution, e.g below 50 cps, preferably below 20 cps, for example HPMC 3 cps. HPMC is well-known and described, for example, in the Handbook of Pharmaceutical Excipients, Second Edition, pub.
Pharmaceutical Society of Great Britain and American Pharmaceutical Association, 1994, p.229 to 232, the contents of which are incoφorated herein by reference. HPMC, including HPMC 3cps, is available commercially under the trade name Pharmacoat 603 from the Shinetsu company.
PVP is available, for example, under the name Povidone (Handbook of Pharmaceutical Excipients), and a PNP having an average molecular weight between about 8,000 and about 50,000 Daltons is preferred.
In another embodiment the carrier medium comprises hydroxypropylcellulose (HPC) or a derivative thereof. Examples of HPC derivatives include those having low dynamic viscosity in aqueous media, e.g. water, e.g below about 400 cps, e.g below 150 cps as measured in a 2% aqueous solution at 25°C. Preferred HPC derivatives have a low degree of substitution, and an average molecular weight below about 200,000 Daltons, e.g. between 50,000 and 150,000 Daltons. Examples of HPC available commercially include Klucel LF, Klucel EF and Klucel IF from the Aqualon company; and Νisso HPC-L available from Nippon Soda Ltd;
a polyethylene glycol (PEG). Examples include PEGs having an average molecular weight between 1000 and 9000 Daltons, e.g. between about 1800 and 7000, for example PEG 2000, PEG 4000 or PEG 6000 (Handbook of Pharmaceutical Excipients);
a saturated polyglycolised glyceride, available for example under the trade mark Gelucir, e.g. Gelucir 44/14, 53/10, 50/13, 42/12, or 35/10 from the Gattefosse company; or
a cyclodextrin, for example a β-cyclodextrin or an α-cyclodextrin. Examples of suitable β-cyclodextrins include methy 1-β-cyclodextrin; dimethyl-β-cyclodextrin; hydroxypropyl-β-cyclodextrin; glycosyl-β-cyclodextrin; maltosyl-β-cyclodextrin; sulfo-β- cyclodextrin; sulfo-alkylethers of β-cyclodextrin, e.g. sulfo-CM-alkyl ethers. Examples of GC-cyclodextrins include glucosyl-α-cyclodextrin and maltosyl-α-cyclodextrin.
The carrier medium may further comprise a water-soluble or water-insoluble saccharose or other acceptable carrier or filler such as lactose, or microcrystalline cellulose. The filler, if present, is generally in an amount of up to about 30% by weight, e.g. 0.5 to 20 wt-%, preferably, from about 5 to about 15% by weight of the composition. Microcrystalline cellulose is available commercially under the trade name Avicel, for example from FMC Coφoration. The carrier medium may further comprise one or more surfactants, for example a non¬ ionic, ionic, anionic or amphoteric surfactant. Examples of suitable surfactants include
polyoxyethylene-polyoxypropylene co-polymers and block co-polymers known, for example, under the trade names Pluronic or Poloxamer, e.g. as described in Fiedler, H. P. "Lexikon der Hilfsstoffe fur Pharmazie, Kosmetik und angrenzende Gebiete", Editio
Cantor, D-7960 Aulendorf, 3rd revised and expanded edition (1989), the contents of which are hereby incoφorated by reference. A preferred polyoxyethylene-polyoxypropylene block polymer is Poloxamer 188 available from the BASF company;
ethoxylated cholesterins known, for example, under the trade name Solulan, for example Solulan C24 commercially available from the Amerchol company;
vitamin derivatives, e.g. vitamin E derivatives such as tocopherol polyethylene glycol succinate (TPGS) available from the Eastman company;
sodium dodecylsulfate or sodium laurylsulfate;
a bile acid or salt thereof, for example cholic acid, glycolic acid or a salt, e.g. sodium cholate; or
lecithin.
If present in the compositions of this invention, the surfactant(s) is generally in an amount of up to about 20%, for example 1 to 15% by weight.
One or more disintegrants may be included in the compositions of this invention. Examples of disintegrants include Polyplasdone (Handbook of Pharmaceutical Excipients) available commercially from the ISP company; sodium starch glycolate available commercially from the Generichem company; and crosscarmelose sodium available under the trade mark Ac-di-sol from FMC Coφoration. One or more lubricants, for example magnesium stearate or colloidal silicon dioxide, may further be included in the composition of this invention in an amount of up to about 5 weight %, e.g. 0.5 to 2wt-%, based on the weight of the composition.
It may be advantageous to include one or more flavouring agents in the compositions of this invention.
The present applicants have obtained good results using surfactant-free rapamycin compositions. In another aspect, therefore, this invention provides a surfactant-free solid dispersion composition comprising a rapamycin as described herein.
Antioxidants and/or stabilisers may be included in the compositions of this invention in an amount of up to about 1 % by weight, for example between 0.05 and 0.5 % by weight. Examples of antioxidants include butylated hydroxytoluene, DL-α-tocopherol, propyl gallate, ascobyl palmitate and fumaric acid. Malonic acid is an appropriate stabiliser.
In one embodiment of this invention, the composition comprises up to 30% by weight, e.g. 1 to 20 wt-%, 40-0-(2-hydroxy)ethyl rapamycin, and up to 95 %, e.g. 30 to 90%, HPMC by weight.
The weight ratio of the rapamycin to carrier medium in the compositions of this invention is generally no more than 1:3, preferably less than 1:4.
In another aspect, this invention provides a process for preparing a solid dispersion composition as described herein.
In one embodiment the compositions of this invention may be obtained by dissolving or suspending the rapamycin and carrier medium in a solvent or solvent mixture. The solvent may be a single solvent or mixture of solvents, and the order of dissolution and suspension of the rapamycin with the carrier medium in the solvent may be varied. Solvents suitable for use in preparing solid dispersion compositions of this invention may be organic solvents such as an alcohol, for example methanol, ethanol, or isopropanol; an ester, e.g. ethylacetate; an ether, e.g. diethyl ether; a ketone, e.g. acetone; or a halogenated hydrocarbon, e.g. dichloroethane. A convenient solvent mixture is an ethanol/acetone mixture having a weight ratio of ethanol to acetone of between about 1:10 to about 10:1, for example 1:5 to 5:1.
Typically the rapamycin and carrier medium are present in a ratio by weight with the solvent of 1:0.1 to 1:20. The solvent may be evaporated and the rapamycin co-precipitated with carrier medium. The resulting residue may be dried, for example under reduced pressure, sieved and milled. The milled dispersion may be combined with other excipients and, for example, compressed as a tablet, or filled into sachets or gelatin capsules.
In another embodiment, the solid dispersion compositions may be prepared by melting the carrier medium to form a melt, and combining the melt with the rapamycin, e.g. by stirring, optionally in the presence of a solvent or solvent mixture as described herein.
Alternatively the solid dispersions of this invention may be prepared by spray drying techniques as described, for example, in Theory and Practice of Industrial Pharmacy,
Lachmann et al., 1986. A suspension as formed above is dispersed through a nozzle into a chamber maintained at, for example, 20 to 80°C. The solvent is evaporated on passing through the nozzle, and finely dispersed particles are collected.
The compositions of this invention, after milling, typically have a mean particle size of less than about 0.5mm, for example less than about 350 μm, e.g. about 100 to about 300 μm.
The oral compositions of this invention are useful for the known indications of the rapamycin, e.g. the following conditions:
a) Treatment and prevention of organ or tissue allo- or xeno-transplant rejection, e.g. for the treatment of recipients of e.g. heart, lung, combined heart-lung, liver, kidney, pancreatic, skin or corneal transplants. They are also indicated for the prevention of graft-versus-host disease, such as following bone marrow transplantation. b) Treatment and prevention of autoimmune disease and of inflammatory conditions, in particular inflammatory conditions with an etiology including an autoimmune component such as arthritis (for example rheumatoid arthritis, arthritis chronica progred- iente and arthritis deformans) and rheumatic diseases. Specific autoimmune diseases for which the compounds of the invention may be employed include, autoimmune hematological disorders (including e.g. hemolytic anaemia, aplastic anaemia, pure red cell anaemia and idiopathic thrombocytopenia), systemic lupus erythematosus, polychondritis, sclerodoma, Wegener granulamatosis, dermatomyositis, chronic active hepatitis, myasthenia gravis, psoriasis, Steven-Johnson syndrome, idiopathic sprue, autoimmune inflammatory bowel disease (including e.g. ulcerative colitis and Crohn's disease) endocrine ophthalmopathy, Graves disease, sarcoidosis, multiple sclerosis, primary billiary cirrhosis, juvenile diabetes (diabetes mellitus type I), uveitis (anterior and posterior), keratoconjunctivitis sicca and vernal keratoconjunctivitis, interstitial lung fibrosis, psoriatic arthritis, glomerulonephritis (with and without nephrotic syndrome, e.g. including idiopathic nephrotic syndrome or minimal change nephropathy) and juvenile dermatomyositis. c) Treatment and prevention of asthma. d) Treatment of multi-drug resistance (MDR). MDR is particularly problematic in cancer patients and AIDS patients who will not respond to conventional chemotherapy because the medication is pumped out of the cells by Pgp. The compositions are therefore useful for enhancing the efficacy of other chemotherapeutic agents in the treatment and control of multidrug resistant conditions such as multidrug resistant cancer or multidrug resistant AIDS. e) Treatment of proliferative disorders, e.g. tumors, hypeφroliferative skin disorder and the like. f) Treatment of fungal infections. g) Treatment and prevention of inflammation, especially in potentiating the action of steroids. h) Treatment and prevention of infection, especially infection by pathogens having Mip or Mip-like factors. i) Treatment of overdoses of FK-506 and other macrophilin binding immunosuppressants.
Where the pharmaceutical composition of this invention is in unit dosage form, e.g. as a tablet, capsule, granules or powder, each unit dosage will suitably contain between lmg and 100 mg of the drug substance, more preferably between 10 and 50 mg; for example 15, 20, 25, or 50 mg. Such unit dosage forms are suitable for administration 1 to 5 times daily depending upon the particular puφose of therapy, the phase of therapy and the like.
The exact amount of the compositions to be administered depends on several factors, for example the desired duration of treatment and the rate of release of the rapamycin.
The utility of the pharmaceutical compositions can be observed in standard clinical tests in, for example, known indications of active agent dosages giving equivalent blood levels of active agent; for example using dosages in the range of 1 mg to 1000 mg, e.g. 5mg to lOOmg, of active agent per day for a 75 kilogram adult and in standard animal models. The increased bioavailability of the drug substance provided by the compositions can be observed in standard animal tests and in clinical trials.
The dosage form used, e.g. a tablet, may be coated, for example using an enteric coating. Suitable coatings may comprise cellulose acetate phthalate; hydroxypropyimethylcellulose phthalate; a polymethyacrylic acid copolymer, e.g. Eudragit L, S; or hydroxypropyimethylcellulose succinate.
The rapamycin used in the compositions of this invention, e.g. 40-0-(2-hydroxy)ethyl rapamycin or rapamycin, may be in crystalline or amoφhous form prior to formation of the solid dispersion. An advantage, therefore, of this invention is that the rapamycin need not be crystalline. Thus the rapamycin may be used directly in combination, for example with a solvent, and does not have to be isolated in advance. Another advantage of the invention is that dissolution rates of the solid dispersion are higher than dissolution rates found for a crystalline rapamycin or an amoφhous rapamycin in a simple mixture.
In another aspect, this invention provides a pharmaceutical composition in the form of a solid dispersion comprising an ascomycin and a carrier medium.
Examples of suitable ascomycins for use in the solid dispersion compositions of this invention include ascomycin or a derivative thereof, e.g. 33-epi-chloro-33-desoxy- ascomycin.
To date there is no conveniently administrable oral solid formulation available for 33-epi- chloro-33-desoxy-ascomycin. In another aspect, therefore, this invention provides a pharmaceutical composition in the form of a solid dispersion comprising 33-epi-chloro-33- desoxy-ascomycin and a carrier medium.
The compound 33-epi-chloro-33-desoxy-ascomycin is described in published European application EP 427 680 under Example 66a.
33-epi-chloro-33-desoxy-ascomycin will be referred to hereinafter as Compound Y.
The ascomycin, e.g. compound Y, compositions of this invention provide a high bioavailability of drug substance, are convenient to administer, and are stable.
The ascomycin, e.g. compound Y, may be present in the composition in an amount of about 0.01 to about 30% w/w, and preferably in an amount of 1 to 20 % w/w.
The carrier medium may comprise any of the aforementioned components in amounts by wt-% as described above. Suitable water-soluble polymers, cyclodextrins and other excipients, e.g. surfactants, for use in the 33-epi-chloro-33-desoxy-ascomycin compositions of this invention are as described above.
In a preferred aspect, this invention provides a surfactant-containing composition comprising an ascomycin, e.g. compound Y, in the form of a solid dispersion as described herein.
The weight ratio of the ascomycin, e.g. compound Y, to carrier medium is generally no more than 1:3, preferably less than 1:4.
The ascomycin, e.g. compound Y, solid dispersion compositions may be prepared in analogous manner to the processes described above.
The oral compositions of compound Y disclosed herein are useful, for example, in the treatment of inflammatory and hypeφroliferative skin diseases and of cutaneous manifestations of immunologically-mediated diseases. More specifically, the compositions of this invention are useful as antiinflammatory and as immunosuppressant and antiprohferative agents for use in the prevention and treatment of inflammatory conditions and of conditions requiring immunosuppression, such as a) the prevention and treatment of rejection of organ or tissue transplantation, e.g. of heart, kidney, liver, bone marrow and skin, graft-versus-host disease, such as following bone marrow grafts, autoimmune diseases such as rheumatoid arthritis, systemic lupus erythematosus, Hashimoto's thyroidis, multiple sclerosis, Myasthenia gravis, diabetes type I and uveitis, - cutaneous manifestations of immunologically-mediated illnesses;
b) the treatment of inflammatory and hypeφroliferative skin diseases, such as psoriasis, atopical dermatitis, contact dermatitis and further eczematous dermatitises, seborrhoeic dermatitis, Lichen planus, Pemphigus, bullous Pemphigoid, Epidermolysis bullosa, urticaria, angioedemas, vasculitides, erythemas, cutaneous eosinophilias, Lupus erythematosus and acne; and
c) Alopecia areata. Where the pharmaceutical composition of this invention is in unit dosage form, e.g. as a tablet, capsule or powder, each unit dosage will suitably contain between lmg and 100 mg of the drug substance, more preferably between 10 and 50 mg; for example 15, 20, 25, or 50 mg. Such unit dosage forms are suitable for administration 1 to 5 times daily depending upon the particular puφose of therapy, the phase of therapy and the like.
In one embodiment of this invention, the composition comprises 30% by weight compound Y and 70 % by weight HPMC in a dosage of e.g. 10 to 50mg per day for use in, e.g. psoriasis, atopical dermatitis or contact dermatitis.
The exact amount of the compositions to be administered depends on several factors, for example the desired duration of treatment and the rate of release of compound Y.
The utility of the pharmaceutical compositions containing compound Y can be observed in standard clinical tests in, for example, known indications of active agent dosages giving equivalent blood levels of active agent; for example using dosages in the range of 1 mg to 1000 mg of active agent per day for a 75 kilogram adult and in standard animal models. The increased bioavailability of the drug substance provided by the compositions can be observed in standard animal tests and in clinical trials.
Following is a description by way of example only of solid dispersion compositions of this invention.
Example 1 A solid dispersion composition is prepared containing the following ingredients (in parts by weight):
Compound X 9.1
HPMC 3 cps 81.8
Lactose 200 mesh 9.1 The composition (Form A) is prepared by dissolving the rapamycin and carrier medium in an ethanol/acetone mixture. Absolute ethanol is used in a 1:1 ratio by weight with the acetone. The solvents are then evaporated, and the resulting dry residue milled to a fine powder with mean particle size < 0.5 mm.
Example 2
A solid dispersion composition is prepared containing the following ingredients (in parts by weight):
Compound X 16.7
HPMC 3 cps 66.7
Poloxamer 188 (from BASF) 16.7
The composition (Form B) is prepared in analogous manner to that in Example 1.
Example 3
A solid dispersion composition is prepared containing the following ingredients (in parts by weight):
Compound X 16.7
HPMC 3 cps 66.7 TPGS* 16.7
The composition (Form C) is prepared in analogous manner to that in Example 1.
* tocopherol polyethylene glycol succinate
Example 4
A solid dispersion composition is prepared containing the following ingredients (in parts by weight):
Compound X 10
HPMC 3 cps 80
Solulan C24 (from Amerchol) 10 The composition (Form D) is prepared in analogous manner to that in Example 1.
The above compositions Forms A to D may be formed into tablets, filled into capsules, or powdered and packaged in sachets. Pharmacokinetics after administration of 40-0-f2-hydroxy)ethyl rapamycin to rats a) Drug administration
0.5 ml aqueous dispersions of the Compound X compositions (corresponding to 4.0 mg active ingredient/rat) were administered by gastric intubation during a short inhalation anaesthesia with a 1 ml syringe, attached to a polyethylene tube. Six animals were used for each composition Forms A, B, C and D.
b) Blood sampling
The animals received a permanent cannula into a vena jugularis one day prior to this experiment. 0.5 ml venous blood (vena jugularis) was collected from each rat and stored in 2.5 ml EDTA tubes. The blood samples of 2 animals (1 and 2, 3 and 4, 5 and 6) were pooled and stored at -80 °C until drug analysis. Samples were taken before administration and 10 minutes (m), 30m, 60m, 120m, 300m, 480m and 1440m after drug administration.
c) Bioanalytics
The blood samples were analysed using reversed phase HPLC.
Table 1 shows the pharmacokinetic data collected after administration of Compound X to rats.
Table 1
Summary Profiles (averages of 2-3 pools)
blood concentration (ng ml)
time (h) Form A Form B Form C Form D
0 7 7 7 7
0.17 118 117 85 68
0.5 422 131 125 74
1 375 129 96 66
2 277 82 89 54
5 573 92 58 39
8 496 66 45 34
24 93 30 34 30
Cmax (ng/ml) 573 135 131 81
Tmax (hr) 5.00 0.50 0.50 0.50
AUC 0-8h 3502 720 565 376 [(ng/ml).h]
AUC 0-24h 8213 1487 1192 886 [(ng/ml).h]
Form A resulted in blood levels higher than those after administration of surfactant- containing compositions. Dog Study
Following the above promising results, a relative bioavailability study was performed in fasted beagle dogs using a dose of 1 mg/kg body weight. Hard gelatin capsules each containing lOmg compound X were administered to 8 dogs in a 4-way latin square design; the dogs were fed 6 hours post administration of the capsules, and blood levels of compound X were determined over 48 hours. Similar blood concentration profiles of compound X were observed for all the dogs, with a terminal halflife of compound X in blood between 10 and 40 hours. Median peak levels of 140 ng/ml and median AUC levels of 0-48 hr ca. 1600 ng.h/ml were observed. Example 5
A solid dispersion composition is prepared containing the following ingredients (in parts by weight):
Compound Y 20
HPMC 3 cps 80 The composition (Form E) is prepared by dissolving compound Y and carrier medium in an ethanol/acetone mixture. The solvents are then evaporated, and the resulting dry residue milled. Example 6
A solid dispersion composition is prepared containing the following ingredients (in parts by weight):
Compound Y 20
HPMC 3 cps 70
Poloxamer 188 10
The composition (Form F) is prepared in analogous manner to that in Example 5. Example 7
A solid dispersion composition is prepared containing the following ingredients (in parts by weight):
Compound Y 20
HPMC 3 cps 75 Sodium laurylsulfate 5
The composition (Form G) is prepared in analogous manner to that in Example 5.
The above compositions Forms E to G may be formed into tablets, filled into capsules, or powdered and packaged in sachets. Pharmacokinetics after administration of 33-epi-chloro-33-desoxy-ascomycin to rats a) Drug administration
0.5 ml aqueous dispersions of the drug compositions (corresponding to 4.0 mg active ingredient/rat) were administered by gastric intubation during a short inhalation anaesthesia with a 1 ml syringe, attached to a polyethylene tube. Six animals were used for each composition Forms E, F, and G. b) Blood sampling
The animals received a permanent cannula into a vena jugularis one day prior to this experiment. 0.5 ml venous blood (vena jugularis) was collected from each rat and stored in 2.5 ml EDTA tubes. The blood samples of 2 animals (1 and 2, 3 and 4, 5 and 6) were pooled and stored at -80 °C until drug analysis. Samples were taken before administration and 10 minutes (m), 30m, 60m, 120m, 300m, 480m and 1440m after drug administration. c) Bioanalytics
The blood samples were analysed using reversed phase HPLC.
The results are plotted in Figures 1 and 2, in which ng/ml (vertical axis) is plotted against time in hours (horizontal axis).
Figure 1 shows that Form F resulted in blood levels substantially higher than blood levels observed after administration of Form E or Form G. Figure 2 shows that Form F resulted in high blood levels when administered with food.
Compound Y is in amoφhous form in the compositions E, F and G on formation and after 6 months storage as determined by X-ray diffraction.
Forms E, F and G are tested for respective dissolution rates. On stirring in a solution of 0.2 wt% sodium dodecylsulfate in water at 37°C, it is found that over 80% available compound Y is released and dissolved from each milled composition containing lOmg compound Y after 30 minutes. 92% available compound Y is released from Form E. This compares with approximately 5% release after 30 minutes from an equivalent amount of crystalline compound Y.

Claims

Claims
1. A pharmaceutical composition in the form of a solid dispersion comprising a rapamycin or an ascomycin and a carrier medium.
2. A composition as claimed in claim 1 wherein the carrier medium comprises a water¬ soluble polymer or a cyclodextrin.
3. A pharmaceutical composition in the form of a solid dispersion comprising rapamycin or 40-0-(2-hydroxy)ethyl rapamycin and a carrier medium comprising a water-soluble polymer.
4. A composition as claimed in claim 3 wherein the polymer is hydroxypropyimethylcellulose or polyvinylpyrrolidone.
5. A composition as claimed in any preceding claim comprising up to 30% by weight of the rapamycin.
6. A composition as claimed in any one of claims 2, 3 or 4, wherein the water-soluble polymer is hydroxypropyimethylcellulose in an amount by weight of up to about 95%.
7. A composition as claimed in any one of claims 2 to 6, wherein the weight ratio of rapamycin to polymer is less than 1:4.
8. A pharmaceutical composition in the form of a solid dispersion comprising 33-epi- chloro-33-desoxy-ascomycin and a carrier medium.
9. A composition as claimed in claim 8 wherein the carrier medium comprises a water¬ soluble polymer or a cyclodextrin.
10. A composition as claimed in claim 8 or claim 9, further comprising a surfactant.
RECTIFIED SHEET (RULE 91) ISA7EP
PCT/EP1996/003066 1995-07-14 1996-07-12 Pharmaceutical compositions WO1997003654A2 (en)

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PL324502A PL191933B1 (en) 1995-07-14 1996-07-12 Pharmaceutic compositions
EP96925741A EP0839028B1 (en) 1995-07-14 1996-07-12 Solid dispersions of rapamycin
BR9609537A BR9609537A (en) 1995-07-14 1996-07-12 Pharmaceutical compositions
AT96925741T ATE258429T1 (en) 1995-07-14 1996-07-12 SOLID DISPERSION OF RAPAMYCIN
NZ313633A NZ313633A (en) 1995-07-14 1996-07-12 Pharmaceutical composition containing rapamycin in a solid dispersion with a carrier medium
US08/981,952 US6004973A (en) 1995-07-14 1996-07-12 Pharmaceutical compositions comprising rafamycin coprecipitates
CA002225960A CA2225960C (en) 1995-07-14 1996-07-12 Pharmaceutical compositions
JP9506264A JPH11509223A (en) 1995-07-14 1996-07-12 Pharmaceutical composition
IL12290596A IL122905A (en) 1995-07-14 1996-07-12 Pharmaceutical compositions in the form of a solid dispersion comprising a rapamycin
HU9900391A HU226774B1 (en) 1995-07-14 1996-07-12 Pharmaceutical compositions in the form of a solid dispersion containing rapamycins
DK96925741T DK0839028T3 (en) 1995-07-14 1996-07-12 Solid dispersions of rapamycin
DE69631422T DE69631422T2 (en) 1995-07-14 1996-07-12 FIXED DISPERSION OF RAPAMYCIN
SK44-98A SK283571B6 (en) 1995-07-14 1996-07-12 Pharmaceutical compositions in the form of solid dispersion comprising rapamycin, process for its preparation and use
SI9630671T SI0839028T1 (en) 1995-07-14 1996-07-12 Solid dispersions of rapamycin
AU66152/96A AU706174B2 (en) 1995-07-14 1996-07-12 Pharmaceutical compositions
IL144684A IL144684A (en) 1995-07-14 1996-07-12 Pharmaceutical composition for oral administration in the form of a solid dispersion comprising 33-epi-chloro-33-desoxy-ascomycin
SK186-2002A SK283572B6 (en) 1995-07-14 1996-07-12 Pharmaceutical composition in the form of a solid dispersion comprising an ascomycin
NO19980081A NO314924B1 (en) 1995-07-14 1998-01-08 A pharmaceutical composition comprising rapamycin or a derivative thereof and a process for the preparation thereof
HK99101280A HK1016081A1 (en) 1995-07-14 1999-03-29 Pharmaceutical compositions
NO20025089A NO317702B1 (en) 1995-07-14 2002-10-23 Pharmaceutical preparations
US10/454,017 US6956043B2 (en) 1995-07-14 2003-06-04 Pharmaceutical compositions comprising 33-epi-chloro-33-desoxy-ascomycin solid dispersions
CL200302715A CL2003002715A1 (en) 1995-07-14 2003-12-22 PHARMACEUTICAL COMPOSITION IN THE FORM OF SOLID DISPERSION THAT INCLUDES 40-O- (2-HYDROXY) ETHYL-RAPAMYCIN AND A VEHICLE; USEFUL AS A IMMUNOSUPPRESSOR.
US11/255,359 US20060115533A1 (en) 1995-07-14 2005-10-21 Pharmaceutical compositions

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Cited By (41)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH10259131A (en) * 1997-03-14 1998-09-29 American Home Prod Corp Rapamycin formulation for oral administration
FR2786771A1 (en) * 1998-12-07 2000-06-09 Novartis Ag PROCESS FOR THE STABILIZATION OF A POLY-ENE MACROLIDE AND PHARMACEUTICAL COMPOSITION CONTAINING SUCH A COMPOUND
EP1054019A1 (en) * 1999-05-18 2000-11-22 Shin-Etsu Chemical Co., Ltd. Low-substituted hydroxypropyl cellulose
EP1064942A1 (en) * 1998-03-26 2001-01-03 Fujisawa Pharmaceutical Co., Ltd. Sustained release preparations
US6197781B1 (en) 1995-07-14 2001-03-06 Novartis Ag Pharmaceutical compositions
US6525192B2 (en) 1998-05-12 2003-02-25 Shin-Etu Chemical Co., Ltd. Low-substituted hydroxypropyl cellulose and process for producing same
US6565859B1 (en) 1993-05-27 2003-05-20 Novartis Ag Galenical formulations
US6602995B2 (en) 2000-01-14 2003-08-05 Shin-Etsu Chemical Co., Ltd. Method for the formation of low-substituted hydroxypropyl cellulose particles
US6680069B1 (en) 1999-11-09 2004-01-20 Shin-Etsu Chemical Co., Ltd. Low-substituted hydroxypropyl cellulose and process for manufacturing the same
AU2003200370B2 (en) * 1998-12-07 2005-10-27 Novartis Ag Stabilization of macrolides
WO2006026531A1 (en) * 2004-08-27 2006-03-09 Cordis Corporation Solvent free amorphous rapamycin
EP1980263A1 (en) 1999-05-10 2008-10-15 Novartis AG Combinations of immunosuppressive agents for the treatment or prevention of graft rejections
US7655442B2 (en) 2004-01-29 2010-02-02 Eisai R&D Management Co., Ltd. Method for stabilizing macrolide compounds
US7883855B2 (en) 2006-07-21 2011-02-08 Abbott Laboratories Immunosuppressant drug extraction reagent for immunoassays
US7914999B2 (en) 2006-12-29 2011-03-29 Abbott Laboratories Non-denaturing lysis reagent
US7993851B2 (en) 2006-12-29 2011-08-09 Abbott Laboratories Lysis reagent for use with capture-in-solution immunoassay
US8129127B2 (en) 2006-12-29 2012-03-06 Abbott Laboratories Assay for immunosuppressant drugs
KR101151890B1 (en) * 2011-08-11 2012-05-31 동아제약주식회사 Method of preparing a stabilized and solubilized formulation of sirolimus derivatives
US8221986B2 (en) 2006-12-29 2012-07-17 Abbott Laboratories Diagnostic test for the detection of a molecule or drug in whole blood
WO2013022201A1 (en) * 2011-08-11 2013-02-14 Dong-A Pharm. Co., Ltd. Process of preparing a stabilized and solubilized formulation of sirolimus derivatives
WO2013050419A1 (en) 2011-10-06 2013-04-11 Novartis Ag Pharmaceutical compositions comprising 40 - o - ( 2 - hydroxy) ethyl - rapamycin
US8617598B2 (en) 2001-09-28 2013-12-31 Novartis Ag Pharmaceutical compositions comprising colloidal silicon dioxide
US20140250836A1 (en) * 2013-03-07 2014-09-11 Abbott Cardiovascular Systems Inc. Method Of Fabricating An Implantable Medical Device Comprising A Rapamycin Derivative
WO2014147567A1 (en) 2013-03-19 2014-09-25 Novartis Ag Pharmaceutical compositions comprising everolimus
WO2015073644A1 (en) 2013-11-13 2015-05-21 Novartis Ag Mtor inhibitors for enhancing the immune response
WO2015090229A1 (en) 2013-12-20 2015-06-25 Novartis Ag Regulatable chimeric antigen receptor
WO2015123219A1 (en) 2014-02-11 2015-08-20 Lam Therapeutics, Inc. Rapamycin for the treatment of lymphangioleiomyomatosis
WO2016014530A1 (en) 2014-07-21 2016-01-28 Novartis Ag Combinations of low, immune enhancing. doses of mtor inhibitors and cars
US9387169B2 (en) 2014-11-07 2016-07-12 Civitas Therapeutics, Inc. Rapamycin powders for pulmonary delivery
WO2016130645A1 (en) 2015-02-10 2016-08-18 Lam Therapeutics, Inc. Rapamycin for the treatment of lymphangioleiomyomatosis
US9642796B2 (en) 2009-06-08 2017-05-09 Abbvie Inc. Pharmaceutical dosage form for oral administration of a bcl 2 family inhibitor
US10213433B2 (en) 2010-10-29 2019-02-26 Abbvie Inc. Solid dispersions containing an apoptosis-inducing agent
US10307370B2 (en) 2013-10-08 2019-06-04 AI Therapeutics, Inc. Rapamycin for the treatment of lymphangioleiomyomatosis
US10307371B2 (en) 2014-02-11 2019-06-04 AI Therapeutics, Inc. Rapamycin for the treatment of lymphangioleiomyomatosis
US10383860B2 (en) 2015-07-28 2019-08-20 Nippon Kayaku Kabushiki Kaisha Pharmaceutical composition comprising rapamycin or derivative thereof, and method for producing the same
EP3741367A1 (en) 2019-05-21 2020-11-25 Premark Pharma GmbH Treatment of ocular disease
US11103449B2 (en) 2014-04-04 2021-08-31 AI Therapeutics, Inc. Inhalable rapamycin formulation for treating age-related conditions
US11369599B2 (en) 2010-10-29 2022-06-28 Abbvie Inc. Melt-extruded solid dispersions containing an apoptosis-inducing agent
US11491143B2 (en) 2014-10-07 2022-11-08 AI Therapeutics, Inc. Inhalable rapamycin formulation for the treatment of pulmonary hypertension
US11813246B2 (en) 2008-03-28 2023-11-14 Astrazeneca Ab Pharmaceutical composition
WO2024209038A1 (en) 2023-04-06 2024-10-10 Premark Pharma Gmbh Use of pimecrolimus for the treatment of dry eye in patients characterized by a corneal staining score of 4 or 5 on the oxford grading scale

Families Citing this family (112)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20060240070A1 (en) * 1998-09-24 2006-10-26 Cromack Keith R Delivery of highly lipophilic agents via medical devices
EP1210121A2 (en) 1999-08-24 2002-06-05 Cellgate Inc. Enhancing drug delivery across and into epithelial tissues using oligo arginine moieties
US20070032853A1 (en) 2002-03-27 2007-02-08 Hossainy Syed F 40-O-(2-hydroxy)ethyl-rapamycin coated stent
US7364752B1 (en) 1999-11-12 2008-04-29 Abbott Laboratories Solid dispersion pharamaceutical formulations
CA2359945C (en) 1999-11-12 2011-04-26 Abbott Laboratories Inhibitors of crystallization in a solid dispersion
IL134701A0 (en) * 2000-02-23 2001-04-30 J P M E D Ltd Homogeneous solid matrix containing vegetable proteins
DE10026698A1 (en) * 2000-05-30 2001-12-06 Basf Ag Self-emulsifying active ingredient formulation and use of this formulation
US20040018228A1 (en) * 2000-11-06 2004-01-29 Afmedica, Inc. Compositions and methods for reducing scar tissue formation
US20030119797A1 (en) * 2001-05-09 2003-06-26 Salah-Dine Chibout Methods for selective immunomodulation
US6641611B2 (en) 2001-11-26 2003-11-04 Swaminathan Jayaraman Therapeutic coating for an intravascular implant
US20040137066A1 (en) * 2001-11-26 2004-07-15 Swaminathan Jayaraman Rationally designed therapeutic intravascular implant coating
AU2006218279B2 (en) * 2001-09-28 2009-12-10 Novartis Ag Pharmaceutical compositions comprising colloidal silicon dioxide
US7682387B2 (en) * 2002-04-24 2010-03-23 Biosensors International Group, Ltd. Drug-delivery endovascular stent and method for treating restenosis
US6939376B2 (en) 2001-11-05 2005-09-06 Sun Biomedical, Ltd. Drug-delivery endovascular stent and method for treating restenosis
KR100956195B1 (en) 2002-02-01 2010-05-06 어리어드 파마슈티칼스, 인코포레이티드 Phosphorus-containing compounds ? uses thereof
DE60320940D1 (en) * 2002-02-01 2008-06-26 Pfizer Prod Inc PHARMACEUTICAL COMPOSITIONS OF AMORPHOUS DISPERSIONS OF ACTIVE SUBSTANCES AND LIPOPHILIC MICROPHASE-BASED MATERIALS
EP1469829B1 (en) * 2002-02-01 2016-01-27 Bend Research, Inc Immediate release dosage forms containing solid drug dispersions
JP3956114B2 (en) * 2002-06-28 2007-08-08 インターナショナル・ビジネス・マシーンズ・コーポレーション Display control method, program using the same, information processing apparatus, and optical character reader
RU2005118750A (en) * 2002-11-15 2006-03-20 Новартис АГ (CH) ORGANIC COMPOUNDS
AR043504A1 (en) * 2003-03-17 2005-08-03 Novartis Ag PHARMACEUTICAL COMPOSITIONS THAT INCLUDE RAPAMYCIN FOR THE TREATMENT OF INFLAMMATORY DISEASES
US7160867B2 (en) * 2003-05-16 2007-01-09 Isotechnika, Inc. Rapamycin carbohydrate derivatives
US20050118344A1 (en) 2003-12-01 2005-06-02 Pacetti Stephen D. Temperature controlled crimping
MXPA06000370A (en) * 2003-07-09 2006-03-28 Chong Kun Dang Pharm Corp The solid dispersion of tacrolimus.
BRPI0413277A (en) 2003-08-04 2006-10-10 Pfizer Prod Inc pharmaceutical compositions of amorphous drug adsorbates and lipophilic microphase forming materials
US8377952B2 (en) * 2003-08-28 2013-02-19 Abbott Laboratories Solid pharmaceutical dosage formulation
US8025899B2 (en) 2003-08-28 2011-09-27 Abbott Laboratories Solid pharmaceutical dosage form
RU2345999C2 (en) * 2003-09-03 2009-02-10 Уайт Amorphous 42-ester of rapamycin and 3-hydroxy-2(hydroxymethyl)-2-methylpropanoic acid and pharmaceutical compositions containg it
CA2539324A1 (en) 2003-09-18 2005-03-31 Macusight, Inc. Transscleral delivery
US7780973B2 (en) * 2003-12-15 2010-08-24 Ethicon Endo-Surgery, Inc. Method and device for minimally invasive implantation of biomaterial
US20050142161A1 (en) * 2003-12-30 2005-06-30 Freeman Lynetta J. Collagen matrix for soft tissue augmentation
MXPA06007829A (en) * 2004-01-08 2006-09-01 Wyeth Corp Directly compressible pharmaceutical composition for the oral admimistration of cci-779.
AU2005237523A1 (en) 2004-04-23 2005-11-10 Cydex Pharmaceuticals, Inc. DPI formulation containing sulfoalkyl ether cyclodextrin
JP2008514706A (en) * 2004-09-29 2008-05-08 コーディス・コーポレイション Pharmaceutical dosage forms of stable amorphous rapamycin-like compounds
US20060088591A1 (en) * 2004-10-22 2006-04-27 Jinghua Yuan Tablets from a poorly compressible substance
KR100678824B1 (en) * 2005-02-04 2007-02-05 한미약품 주식회사 Amorphous taclolimus solid dispersion having an enhanced solubility and pharmaceutical composition comprising same
US8663639B2 (en) 2005-02-09 2014-03-04 Santen Pharmaceutical Co., Ltd. Formulations for treating ocular diseases and conditions
DK1848431T3 (en) 2005-02-09 2016-04-18 Santen Pharmaceutical Co Ltd LIQUID FORMULATIONS FOR TREATMENT OF DISEASES OR CONDITIONS
EP1858511A1 (en) * 2005-03-08 2007-11-28 LifeCycle Pharma A/S Pharmaceutical compositions comprising sirolimus and/or an analogue thereof
JP5271697B2 (en) * 2005-03-23 2013-08-21 アボット ラボラトリーズ Delivery of highly lipophilic drugs through medical devices
US20060240108A1 (en) * 2005-04-26 2006-10-26 Bernard Bobby L Cellulosic films incorporating a pharmaceutically acceptable plasticizer with enhanced wettability
DE102005026755A1 (en) * 2005-06-09 2006-12-14 Basf Ag Production of solid solutions of sparingly soluble active ingredients by short-term overheating and rapid drying
US7629331B2 (en) 2005-10-26 2009-12-08 Cydex Pharmaceuticals, Inc. Sulfoalkyl ether cyclodextrin compositions and methods of preparation thereof
EP1962839A4 (en) 2005-11-14 2010-08-25 Ariad Pharma Inc Administration of mntor inhibitor to treat patients with cancer
US7700614B2 (en) 2005-12-14 2010-04-20 Abbott Laboratories One pot synthesis of tetrazole derivatives of rapamycin
AU2007212271B2 (en) 2006-02-09 2012-11-01 Santen Pharmaceutical Co., Ltd. Stable formulations, and methods of their preparation and use
BRPI0709016A2 (en) 2006-03-23 2011-06-21 Macusight Inc formulations and methods for diseases or conditions related to vascular permeability
EP1938800A1 (en) 2006-12-06 2008-07-02 Ranbaxy Laboratories Limited Sirolimus nanodispersion
EP1952807A1 (en) * 2007-01-24 2008-08-06 LEK Pharmaceuticals D.D. Sirolimus formulation
WO2009117152A1 (en) 2008-03-20 2009-09-24 Virun, Inc. Emulsions including a peg-derivative of tocopherol
CA2743491C (en) 2008-11-11 2016-10-11 Zelton Dave Sharp Inhibition of mammalian target of rapamycin
FR2943539B1 (en) 2009-03-31 2011-07-22 Ethypharm Sa PHARMACEUTICAL COMPOSITION COMPRISING A IMMUNOSUPPRESSIVE MACROLIDE OF THE LIMUS FAMILY.
US8728516B2 (en) * 2009-04-30 2014-05-20 Abbvie Inc. Stabilized lipid formulation of apoptosis promoter
TWI532484B (en) * 2009-06-08 2016-05-11 艾伯維有限公司 Solid dispersions containing an apoptosis-promoting agent
US9283211B1 (en) 2009-11-11 2016-03-15 Rapamycin Holdings, Llc Oral rapamycin preparation and use for stomatitis
US20170079962A1 (en) 2009-11-11 2017-03-23 Rapamycin Holdings, Llc Oral Rapamycin Preparation and Use for Stomatitus
MX2012007325A (en) * 2009-12-22 2012-07-20 Abbott Lab Abt-263 capsule.
CN103037708B (en) 2010-03-23 2015-05-20 维尔恩公司 Nanoemulsion including sucrose fatty acid ester
CN102844049B (en) 2010-04-27 2016-06-01 罗切格利卡特公司 The conjoint therapy of the antibody of CD20 without fucosylation and mTOR inhibitors
IT1400977B1 (en) * 2010-07-01 2013-07-05 Euticals Spa NEW COMPLEXES OF PHARMACEUTICAL, SOLID, SOLUBLE IN WATER AND THEIR WATER SOLUTIONS FOR ORAL, OPHTHALMIC, TOPICAL OR PARENTERAL USE, CONTAINING A MACROLIDE AND SOME CYCLODEXTRINES.
AU2011332043C1 (en) 2010-11-23 2016-11-10 Abbvie Inc. Salts and crystalline forms of an apoptosis-inducing agent
WO2012071374A1 (en) 2010-11-23 2012-05-31 Abbott Laboratories Methods of treatment using selective bcl-2 inhibitors
WO2012092421A2 (en) * 2010-12-30 2012-07-05 Surmodics, Inc. Composition for intravascular delivery of therapeutic composition
US9896730B2 (en) 2011-04-25 2018-02-20 OSI Pharmaceuticals, LLC Use of EMT gene signatures in cancer drug discovery, diagnostics, and treatment
US20120303115A1 (en) * 2011-05-25 2012-11-29 Dadino Ronald C Expandable devices coated with a rapamycin composition
WO2012170384A1 (en) 2011-06-06 2012-12-13 Chevron Phillips Chemical Company Lp Use of metallocene compounds for cancer treatment
EP2594260A1 (en) * 2011-11-18 2013-05-22 LEK Pharmaceuticals d.d. Solid preparations comprising sirolimus with desired bioavailability and method for its preparation
US8912215B2 (en) * 2011-12-13 2014-12-16 Everon Biosciences, Inc. Rapamycin composition
KR200477251Y1 (en) * 2011-12-30 2015-05-22 엘에스산전 주식회사 Main contact position indicating mechanism for molded case circuit breaker
CN103585122B (en) * 2012-08-17 2017-12-05 山东新时代药业有限公司 A kind of tablet containing everolimus and preparation method thereof
US20150290176A1 (en) 2012-10-12 2015-10-15 The Board Of Regents Of The University Of Texas System Use of mtor inhibitors to treat vascular cognitive impairment
US20160030401A1 (en) 2013-03-13 2016-02-04 The Board Of Regents Of The University Of Texas System Use of mtor inhibitors for prevention of intestinal polyp growth and cancer
US20140275082A1 (en) 2013-03-14 2014-09-18 Abbvie Inc. Apoptosis-inducing agents for the treatment of cancer and immune and autoimmune diseases
US10682415B2 (en) 2013-07-22 2020-06-16 Wisconsin Alumni Research Foundation Thermogel formulation for combination drug delivery
CN103610646B (en) * 2013-12-05 2015-07-15 江苏奥赛康药业股份有限公司 Composition containing everolimus and preparation method thereof, and pharmaceutical preparation containing composition
AU2014366047B2 (en) 2013-12-19 2021-03-25 Novartis Ag Human mesothelin chimeric antigen receptors and uses thereof
CN104721158B (en) * 2013-12-24 2018-01-30 正大天晴药业集团股份有限公司 A kind of everolimus tablet of stabilization
US9700544B2 (en) 2013-12-31 2017-07-11 Neal K Vail Oral rapamycin nanoparticle preparations
CA3206208A1 (en) 2013-12-31 2015-07-09 Rapamycin Holdings, Llc Oral rapamycin nanoparticle preparations and use
JP2017513818A (en) 2014-03-15 2017-06-01 ノバルティス アーゲー Treatment of cancer using chimeric antigen receptors
WO2015149001A1 (en) 2014-03-27 2015-10-01 The Brigham And Women's Hospital, Inc. Metabolically-activated drug conjugates to overcome resistance in cancer therapy
HRP20240874T1 (en) 2014-04-07 2024-10-11 Novartis Ag Treatment of cancer using anti-cd19 chimeric antigen receptor
CA2950589A1 (en) 2014-06-02 2015-12-10 Children's Medical Center Corporation Methods and compositions for immunomodulation
CA2955154C (en) 2014-07-21 2023-10-31 Novartis Ag Treatment of cancer using a cd33 chimeric antigen receptor
WO2016014553A1 (en) 2014-07-21 2016-01-28 Novartis Ag Sortase synthesized chimeric antigen receptors
US20170209492A1 (en) 2014-07-31 2017-07-27 Novartis Ag Subset-optimized chimeric antigen receptor-containing t-cells
EP3180359A1 (en) 2014-08-14 2017-06-21 Novartis AG Treatment of cancer using gfr alpha-4 chimeric antigen receptor
ES2791248T3 (en) 2014-08-19 2020-11-03 Novartis Ag Anti-CD123 chimeric antigen receptor (CAR) for use in cancer treatment
AU2015317608B2 (en) 2014-09-17 2021-03-11 Novartis Ag Targeting cytotoxic cells with chimeric receptors for adoptive immunotherapy
RU2743657C2 (en) 2014-10-08 2021-02-20 Новартис Аг Biomarkers predicting a therapeutic response to therapy with a chimeric antigen receptor, and use thereof
WO2016135740A1 (en) 2015-02-23 2016-09-01 Natco Pharma Limited Process for preparing stable oral compositions of everolimus
US20180140602A1 (en) 2015-04-07 2018-05-24 Novartis Ag Combination of chimeric antigen receptor therapy and amino pyrimidine derivatives
EP3283619B1 (en) 2015-04-17 2023-04-05 Novartis AG Methods for improving the efficacy and expansion of chimeric antigen receptor-expressing cells
EP3286211A1 (en) 2015-04-23 2018-02-28 Novartis AG Treatment of cancer using chimeric antigen receptor and protein kinase a blocker
CN107847491A (en) 2015-05-20 2018-03-27 诺华公司 Everolimus (EVEROLIMUS) and the medicinal combination up to Tuoli former times cloth (DACTOLISIB)
WO2017038612A1 (en) * 2015-08-28 2017-03-09 日本化薬株式会社 Pharmaceutical composition containing rapamycin or derivative thereof
WO2017038925A1 (en) * 2015-09-03 2017-03-09 日本化薬株式会社 Pharmaceutical composition containing rapamycin or derivative thereof
US20190290631A1 (en) 2016-05-27 2019-09-26 Nippon Kayaku Kabushiki Kaisha Pharmaceutical composition comprising rapamycin or derivative thereof
CA3031542A1 (en) 2016-07-20 2018-01-25 University Of Utah Research Foundation Cd229 car t cells and methods of use thereof
WO2018066551A1 (en) * 2016-10-04 2018-04-12 日本化薬株式会社 Method for producing solid dispersion containing rapamycin derivative
TW202340473A (en) 2016-10-07 2023-10-16 瑞士商諾華公司 Treatment of cancer using chimeric antigen receptors
AU2017363970A1 (en) 2016-11-23 2019-06-20 Novartis Ag Methods of enhancing immune response with everolimus, dactolisib or both
CN107080738A (en) * 2017-04-26 2017-08-22 四川制药制剂有限公司 The preparation method of acetylspiramycin tablet
US20200055948A1 (en) 2017-04-28 2020-02-20 Novartis Ag Cells expressing a bcma-targeting chimeric antigen receptor, and combination therapy with a gamma secretase inhibitor
ES2871499T3 (en) 2017-05-15 2021-10-29 Bard Inc C R Medical device with drug elution coating and interlayer
US10596165B2 (en) 2018-02-12 2020-03-24 resTORbio, Inc. Combination therapies
EP3784351A1 (en) 2018-04-27 2021-03-03 Novartis AG Car t cell therapies with enhanced efficacy
US20210396739A1 (en) 2018-05-01 2021-12-23 Novartis Ag Biomarkers for evaluating car-t cells to predict clinical outcome
US11541152B2 (en) 2018-11-14 2023-01-03 Lutonix, Inc. Medical device with drug-eluting coating on modified device surface
US20220176084A1 (en) 2019-04-08 2022-06-09 Bard Peripheral Vascular, Inc. Medical device with drug-eluting coating on modified device surface
JPWO2020261619A1 (en) * 2019-06-26 2020-12-30
AU2020410545A1 (en) * 2019-12-19 2022-08-11 Triviumvet Dac Veterinary formulations comprising rapamycin and methods of using the same for treating animal diseases
EP4370160A1 (en) 2021-07-15 2024-05-22 President And Fellows Of Harvard College Compositions and methods relating to cells with adhered particles

Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0240773A1 (en) * 1986-04-02 1987-10-14 Fujisawa Pharmaceutical Co., Ltd. Solid dispersion composition of FR-900506 substance

Family Cites Families (75)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3852421A (en) 1970-03-23 1974-12-03 Shinetsu Chemical Co Excipient and shaped medicaments prepared therewith
ZA737247B (en) 1972-09-29 1975-04-30 Ayerst Mckenna & Harrison Rapamycin and process of preparation
US4127647A (en) * 1975-04-08 1978-11-28 Meiji Seika Kaisha, Ltd. Process for preparation of stable amorphous macrolide antibiotic solids
US4248856A (en) 1979-07-10 1981-02-03 American Home Products Corporation Sustained release pharmaceutical compositions
JPS5620513A (en) 1979-07-31 1981-02-26 Eisai Co Ltd Sugar-coated tablet containing fat-soluble drug
US4309405A (en) 1979-08-09 1982-01-05 American Home Products Corporation Sustained release pharmaceutical compositions
US4309404A (en) 1979-08-09 1982-01-05 American Home Products Corporation Sustained release pharmaceutical compositions
AU543727B2 (en) 1980-06-02 1985-05-02 Ayerst Mckenna & Harrison Inc. Injectable composition of rapamycin
FR2525108B1 (en) * 1982-04-19 1989-05-12 Elan Corp Ltd HIGH-SOLUBILITY MEDICINES AND PROCESS FOR OBTAINING THEM
US4415547A (en) 1982-06-14 1983-11-15 Sterling Drug Inc. Sustained-release pharmaceutical tablet and process for preparation thereof
US4650666A (en) 1983-11-30 1987-03-17 Dainippon Pharmaceutical Co., Ltd. Pullulan and sugar coated pharmaceutical composition
US4753801A (en) 1985-10-25 1988-06-28 Eli Lilly And Company Sustained release tablets
US4659336A (en) 1986-03-28 1987-04-21 Texaco Inc. Motor fuel composition
US5026560A (en) 1987-01-29 1991-06-25 Takeda Chemical Industries, Ltd. Spherical granules having core and their production
DE3823702A1 (en) 1988-07-13 1990-01-25 Bayer Ag PROCESS FOR PREPARING POLYESTERS CONTAINING ACRYLOYL GROUPS AND THEIR USE AS PAINT BINDERS
GB2222683B (en) 1988-08-17 1992-04-15 Hydramotion Ltd Device for moisture measurement of particulate material
PT93772A (en) * 1989-04-17 1991-01-08 Searle & Co PROCESS FOR THE PREPARATION OF COMPOSITIONS FOR THE TREATMENT OF NEOPLASMS, CONTAINING AN ANTI-NEOPLASTIC AGENT, FOR EXAMPLE DOXORUBICIN AND A PROTEIN AGENT TO REDUCE THE SIDE EFFECTS, FOR EXAMPLE CARBETIMER
US5100899A (en) 1989-06-06 1992-03-31 Roy Calne Methods of inhibiting transplant rejection in mammals using rapamycin and derivatives and prodrugs thereof
US5352671A (en) * 1989-11-09 1994-10-04 Sandoz Ltd. Heteroatoms-containing tricyclic compounds
DK0427680T3 (en) * 1989-11-09 1995-12-18 Sandoz Ltd Heteroatom-containing cyclic compounds
JPH03240726A (en) * 1990-02-15 1991-10-28 Fujisawa Pharmaceut Co Ltd Chemotherapeutic effect enhancer
US5260301A (en) 1990-03-01 1993-11-09 Fujisawa Pharmaceutical Co., Ltd. Pharmaceutical solution containing FK-506
JP2542122B2 (en) 1990-04-18 1996-10-09 旭化成工業株式会社 Spherical nucleus, spherical granule and method for producing the same
CA2081474A1 (en) 1990-05-08 1991-11-09 Manzer Durrani Direct spray-dried drug/lipid powder composition
US5135934A (en) 1990-07-06 1992-08-04 Du Pont Merck Pharmaceutical Company 3-phenyl-5,6-dihydrobenz(c) acridine-7-carboxylic acids and related compounds as immunosuppressive agents
KR100215167B1 (en) 1990-08-10 1999-08-16 위샤르트 아이 시 Immunosuppressive compositions
US5145684A (en) 1991-01-25 1992-09-08 Sterling Drug Inc. Surface modified drug nanoparticles
US5078999A (en) * 1991-02-22 1992-01-07 American Home Products Corporation Method of treating systemic lupus erythematosus
IL101353A0 (en) 1991-04-03 1992-11-15 American Home Prod Pharmaceutical compositions for treating diabetes
US5100883A (en) 1991-04-08 1992-03-31 American Home Products Corporation Fluorinated esters of rapamycin
KR0182801B1 (en) * 1991-04-16 1999-05-01 아만 히데아키 Method of manufacturing solid dispersion
ATE198708T1 (en) * 1991-04-26 2001-02-15 Fujisawa Pharmaceutical Co USE OF MACROLIDE COMPOUNDS AGAINST EYE DISEASES
ATE135583T1 (en) 1991-06-18 1996-04-15 American Home Prod USE OF RAPAMYCIN TO TREAT T-CELL LYMPHOMA/LEUKEMIA IN ADULTS
IL102414A (en) * 1991-07-25 1996-08-04 Univ Louisville Res Found Pharmaceutical compositions for treating ocular inflammation comprising rapamycin
US5457111A (en) 1991-09-05 1995-10-10 Abbott Laboratories Macrocyclic immunomodulators
US5286730A (en) * 1991-09-17 1994-02-15 American Home Products Corporation Method of treating immunoinflammatory disease
US5817333A (en) 1991-10-31 1998-10-06 Fujisawa Pharmaceutical Co., Ltd. Liposome preparation containing a tricyclic compound
WO1993019763A1 (en) 1992-03-30 1993-10-14 American Home Products Corporation Rapamycin formulation for iv injection
AU670937B2 (en) 1992-04-28 1996-08-08 Wyeth Method of treating hyperproliferative vascular disease
US5472954A (en) * 1992-07-14 1995-12-05 Cyclops H.F. Cyclodextrin complexation
US5315246A (en) 1992-08-19 1994-05-24 Eastman Kodak Company Rotating source for generating a magnetic field for use with a currency detector
GB9221220D0 (en) * 1992-10-09 1992-11-25 Sandoz Ag Organic componds
US5457194A (en) 1993-03-17 1995-10-10 Abbott Laboratories Substituted aliphatic amine-containing macrocyclic immunomodulators
GB2278780B (en) 1993-05-27 1998-10-14 Sandoz Ltd Macrolide formulations
CH686761A5 (en) 1993-05-27 1996-06-28 Sandoz Ag Pharmaceutical formulations.
GB2279006A (en) * 1993-06-03 1994-12-21 Fujisawa Pharmaceutical Co Treatment of amyotrophic lateral sclerosis
US5352783A (en) 1993-06-09 1994-10-04 Merck & Co., Inc. Microbial transformation product having immunosuppressive activity
DE4322826A1 (en) 1993-07-08 1995-01-12 Galenik Labor Freiburg Gmbh Pharmaceutical preparation
IL110787A0 (en) 1993-08-27 1994-11-11 Sandoz Ag Biodegradable polymer, its preparation and pharmaceutical composition containing it
DE4329503A1 (en) 1993-09-01 1995-03-02 Galenik Labor Freiburg Gmbh Pharmaceutical preparations for the targeted treatment of Crohn's disease and ulcerative colitis
US5516770A (en) 1993-09-30 1996-05-14 American Home Products Corporation Rapamycin formulation for IV injection
US5616588A (en) 1993-09-30 1997-04-01 American Home Products Corporation Rapamycin formulation for IV injection
IL111003A0 (en) * 1993-09-30 1994-11-28 American Home Prod Multi-component oral rapamycin formulation
AU688782B2 (en) 1993-09-30 1998-03-19 Wyeth Rapamycin formulations for oral administration
US5536729A (en) 1993-09-30 1996-07-16 American Home Products Corporation Rapamycin formulations for oral administration
IL111004A (en) 1993-09-30 1998-06-15 American Home Prod Oral rapamycin formulations
GB9326284D0 (en) 1993-12-23 1994-02-23 Erba Carlo Spa Pyrrolydenemethyl-derivatives and process for their preparation
WO1995033490A1 (en) 1994-06-02 1995-12-14 Enzon, Inc. Method of solubilizing substantially water insoluble materials
FR2722984B1 (en) * 1994-07-26 1996-10-18 Effik Lab PROCESS FOR THE PREPARATION OF DRY PHARMACEUTICAL FORMS AND THE PHARMACEUTICAL COMPOSITIONS THUS PRODUCED
SE9403846D0 (en) 1994-11-09 1994-11-09 Univ Ohio State Res Found Small particle formation
US5585115A (en) 1995-01-09 1996-12-17 Edward H. Mendell Co., Inc. Pharmaceutical excipient having improved compressability
US5759577A (en) 1995-01-17 1998-06-02 American Home Products Corporation Controlled release of steroids from sugar coatings
US5547948A (en) 1995-01-17 1996-08-20 American Home Products Corporation Controlled release of steroids from sugar coatings
ES2154806T3 (en) 1995-02-06 2001-04-16 Elan Pharma Int Ltd FORMULATIONS OF COMPOUNDS AS DISPERSIONS OF NANOPARTICLES IN OILS OR DIGERABLE FATTY ACIDS.
US5573783A (en) 1995-02-13 1996-11-12 Nano Systems L.L.C. Redispersible nanoparticulate film matrices with protective overcoats
JP3934705B2 (en) * 1995-05-26 2007-06-20 ノバルティス ファーマ株式会社 Cyclodextrin composition
PT840813E (en) * 1995-06-07 2003-02-28 Conoco Inc EXTRUSION OF CARBON FIBERS FROM SOLVATED ASPHALTS
US5616595A (en) * 1995-06-07 1997-04-01 Abbott Laboratories Process for recovering water insoluble compounds from a fermentation broth
WO1996041807A1 (en) 1995-06-09 1996-12-27 Novartis Ag Rapamycin derivatives
IE80467B1 (en) * 1995-07-03 1998-07-29 Elan Corp Plc Controlled release formulations for poorly soluble drugs
BE1009856A5 (en) 1995-07-14 1997-10-07 Sandoz Sa Pharmaceutical composition in the form of a solid release including macrolide and a vehicle.
US5766623A (en) 1996-03-25 1998-06-16 State Of Oregon Acting By And Through The Oregon State Board Of Higher Education On Behalf Of Oregon State University Compactable self-sealing drug delivery agents
DE19635999A1 (en) 1996-09-05 1998-03-12 Dystar Textilfarben Gmbh & Co Dye mixtures of fiber-reactive azo dyes and their use for dyeing fiber material containing hydroxyl and / or carbonamide groups
US5989591A (en) 1997-03-14 1999-11-23 American Home Products Corporation Rapamycin formulations for oral administration
US5985325A (en) 1997-06-13 1999-11-16 American Home Products Corporation Rapamycin formulations for oral administration

Patent Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0240773A1 (en) * 1986-04-02 1987-10-14 Fujisawa Pharmaceutical Co., Ltd. Solid dispersion composition of FR-900506 substance

Cited By (80)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6565859B1 (en) 1993-05-27 2003-05-20 Novartis Ag Galenical formulations
US7025975B2 (en) 1993-05-27 2006-04-11 Novartis Ag Galenical formulations
US6197781B1 (en) 1995-07-14 2001-03-06 Novartis Ag Pharmaceutical compositions
US6599535B2 (en) 1995-07-14 2003-07-29 Novartis Ag Pharmaceutical compositions
US6956043B2 (en) 1995-07-14 2005-10-18 Novartis Ag Pharmaceutical compositions comprising 33-epi-chloro-33-desoxy-ascomycin solid dispersions
JPH10259131A (en) * 1997-03-14 1998-09-29 American Home Prod Corp Rapamycin formulation for oral administration
EP2198858A1 (en) * 1998-03-26 2010-06-23 Astellas Pharma Inc. Sustained release preparation of a macrolide compound like tacrolimus
EP1064942A1 (en) * 1998-03-26 2001-01-03 Fujisawa Pharmaceutical Co., Ltd. Sustained release preparations
US6884433B2 (en) 1998-03-26 2005-04-26 Fujisawa Pharmaceutical Co., Ltd. Sustained release formulation containing tacrolimus
EP1064942A4 (en) * 1998-03-26 2002-09-04 Fujisawa Pharmaceutical Co Sustained release preparations
EP1421939A1 (en) * 1998-03-26 2004-05-26 Fujisawa Pharmaceutical Co., Ltd. Sustained release preparation of a macrolide compound like tacrolimus
US8551522B2 (en) 1998-03-26 2013-10-08 Astellas Pharma Inc. Sustained-release formulation
US6576259B2 (en) 1998-03-26 2003-06-10 Fujisawa Pharmaceutical Co., Ltd. Sustained release formulations containing tacrolimus
US6525192B2 (en) 1998-05-12 2003-02-25 Shin-Etu Chemical Co., Ltd. Low-substituted hydroxypropyl cellulose and process for producing same
EP2279751A2 (en) * 1998-12-07 2011-02-02 Novartis AG Stabilisation of macrolides
WO2000033878A3 (en) * 1998-12-07 2000-11-02 Novartis Ag Stabilization of macrolides
EP1743657A3 (en) * 1998-12-07 2007-03-28 Novartis AG Stabilisation of macrolides
WO2000033878A2 (en) * 1998-12-07 2000-06-15 Novartis Ag Stabilization of macrolides
US6852729B2 (en) 1998-12-07 2005-02-08 Novartis Ag Macrolides
US7297703B2 (en) 1998-12-07 2007-11-20 Novartis Ag Macrolides
BE1012869A3 (en) * 1998-12-07 2001-04-03 Novartis Ag Stabilization method of poly-ene macrolide and pharmaceutical composition containing a compound tel.
AU2003200370B2 (en) * 1998-12-07 2005-10-27 Novartis Ag Stabilization of macrolides
EP2269651A3 (en) * 1998-12-07 2011-03-09 Novartis AG Stabilisation of macrolides
EP2279751A3 (en) * 1998-12-07 2011-02-16 Novartis AG Stabilisation of macrolides
JP2006111637A (en) * 1998-12-07 2006-04-27 Novartis Ag Stabilization of macrolide
EP1743657A2 (en) * 1998-12-07 2007-01-17 Novartis AG Stabilisation of macrolides
FR2786771A1 (en) * 1998-12-07 2000-06-09 Novartis Ag PROCESS FOR THE STABILIZATION OF A POLY-ENE MACROLIDE AND PHARMACEUTICAL COMPOSITION CONTAINING SUCH A COMPOUND
EP2269651A2 (en) * 1998-12-07 2011-01-05 Novartis AG Stabilisation of macrolides
US7741338B2 (en) 1998-12-07 2010-06-22 Novartis Ag Macrolides
US6605613B2 (en) 1998-12-07 2003-08-12 Novartis Ag Macrolides
US7572804B2 (en) 1998-12-07 2009-08-11 Novartis Ag Macrolides
EP1980263A1 (en) 1999-05-10 2008-10-15 Novartis AG Combinations of immunosuppressive agents for the treatment or prevention of graft rejections
EP1054019A1 (en) * 1999-05-18 2000-11-22 Shin-Etsu Chemical Co., Ltd. Low-substituted hydroxypropyl cellulose
US6380381B1 (en) 1999-05-18 2002-04-30 Shin-Etsu Chemical Co., Ltd. Low-substituted hydroxypropyl cellulose
US6680069B1 (en) 1999-11-09 2004-01-20 Shin-Etsu Chemical Co., Ltd. Low-substituted hydroxypropyl cellulose and process for manufacturing the same
US6602995B2 (en) 2000-01-14 2003-08-05 Shin-Etsu Chemical Co., Ltd. Method for the formation of low-substituted hydroxypropyl cellulose particles
US8617598B2 (en) 2001-09-28 2013-12-31 Novartis Ag Pharmaceutical compositions comprising colloidal silicon dioxide
US7655442B2 (en) 2004-01-29 2010-02-02 Eisai R&D Management Co., Ltd. Method for stabilizing macrolide compounds
US7393952B2 (en) 2004-08-27 2008-07-01 Cordis Corporation Solvent free amorphous rapamycin
WO2006026531A1 (en) * 2004-08-27 2006-03-09 Cordis Corporation Solvent free amorphous rapamycin
US7883855B2 (en) 2006-07-21 2011-02-08 Abbott Laboratories Immunosuppressant drug extraction reagent for immunoassays
US8541554B2 (en) 2006-07-21 2013-09-24 Abbott Laboratories Immunosuppressant drug extraction reagent for immunoassays
US7993851B2 (en) 2006-12-29 2011-08-09 Abbott Laboratories Lysis reagent for use with capture-in-solution immunoassay
US8697365B2 (en) 2006-12-29 2014-04-15 Abbott Laboratories Non-denaturing lysis reagent
US8329415B2 (en) 2006-12-29 2012-12-11 Abbott Laboratories Lysis reagent for use with capture-in-solution immunoassay
US8221986B2 (en) 2006-12-29 2012-07-17 Abbott Laboratories Diagnostic test for the detection of a molecule or drug in whole blood
US8404452B2 (en) 2006-12-29 2013-03-26 Abbott Laboratories Assay for immunosuppressant drugs
US7914999B2 (en) 2006-12-29 2011-03-29 Abbott Laboratories Non-denaturing lysis reagent
US8440416B2 (en) 2006-12-29 2013-05-14 Abbott Laboratories Diagnostic test for the detection of a molecule or drug in whole blood
US8129127B2 (en) 2006-12-29 2012-03-06 Abbott Laboratories Assay for immunosuppressant drugs
US11813246B2 (en) 2008-03-28 2023-11-14 Astrazeneca Ab Pharmaceutical composition
US9642796B2 (en) 2009-06-08 2017-05-09 Abbvie Inc. Pharmaceutical dosage form for oral administration of a bcl 2 family inhibitor
US11369599B2 (en) 2010-10-29 2022-06-28 Abbvie Inc. Melt-extruded solid dispersions containing an apoptosis-inducing agent
US10213433B2 (en) 2010-10-29 2019-02-26 Abbvie Inc. Solid dispersions containing an apoptosis-inducing agent
KR101151890B1 (en) * 2011-08-11 2012-05-31 동아제약주식회사 Method of preparing a stabilized and solubilized formulation of sirolimus derivatives
WO2013022201A1 (en) * 2011-08-11 2013-02-14 Dong-A Pharm. Co., Ltd. Process of preparing a stabilized and solubilized formulation of sirolimus derivatives
WO2013050419A1 (en) 2011-10-06 2013-04-11 Novartis Ag Pharmaceutical compositions comprising 40 - o - ( 2 - hydroxy) ethyl - rapamycin
US9610385B2 (en) 2013-03-07 2017-04-04 Abbott Cardiovascular Systems Inc. Method of fabricating an implantable medical device comprising a rapamycin derivative
US20140250836A1 (en) * 2013-03-07 2014-09-11 Abbott Cardiovascular Systems Inc. Method Of Fabricating An Implantable Medical Device Comprising A Rapamycin Derivative
WO2014147567A1 (en) 2013-03-19 2014-09-25 Novartis Ag Pharmaceutical compositions comprising everolimus
EP3738592A1 (en) 2013-10-08 2020-11-18 AI Therapeutics, Inc. Rapamycin for the treatment of lymphangioleiomyomatosis
US10307370B2 (en) 2013-10-08 2019-06-04 AI Therapeutics, Inc. Rapamycin for the treatment of lymphangioleiomyomatosis
US11744797B2 (en) 2013-10-08 2023-09-05 AI Therapeutics, Inc. Rapamycin for the treatment of lymphangioleiomyomatosis
US11123289B2 (en) 2013-10-08 2021-09-21 AI Therapeutics, Inc. Rapamycin for the treatment of lymphangioleiomyomatosis
WO2015073644A1 (en) 2013-11-13 2015-05-21 Novartis Ag Mtor inhibitors for enhancing the immune response
WO2015090229A1 (en) 2013-12-20 2015-06-25 Novartis Ag Regulatable chimeric antigen receptor
EP4420663A2 (en) 2013-12-20 2024-08-28 Novartis AG Regulatable chimeric antigen receptor
WO2015123219A1 (en) 2014-02-11 2015-08-20 Lam Therapeutics, Inc. Rapamycin for the treatment of lymphangioleiomyomatosis
US10307371B2 (en) 2014-02-11 2019-06-04 AI Therapeutics, Inc. Rapamycin for the treatment of lymphangioleiomyomatosis
EP4218742A1 (en) 2014-04-04 2023-08-02 AI Therapeutics, Inc. An inhalable rapamycin formulation for treating age-related conditions
US11648199B2 (en) 2014-04-04 2023-05-16 Al Therapeutics, Inc. Inhalable rapamycin formulation for treating age-related conditions
US11103449B2 (en) 2014-04-04 2021-08-31 AI Therapeutics, Inc. Inhalable rapamycin formulation for treating age-related conditions
WO2016014530A1 (en) 2014-07-21 2016-01-28 Novartis Ag Combinations of low, immune enhancing. doses of mtor inhibitors and cars
US11491143B2 (en) 2014-10-07 2022-11-08 AI Therapeutics, Inc. Inhalable rapamycin formulation for the treatment of pulmonary hypertension
US9387169B2 (en) 2014-11-07 2016-07-12 Civitas Therapeutics, Inc. Rapamycin powders for pulmonary delivery
WO2016130645A1 (en) 2015-02-10 2016-08-18 Lam Therapeutics, Inc. Rapamycin for the treatment of lymphangioleiomyomatosis
US10383860B2 (en) 2015-07-28 2019-08-20 Nippon Kayaku Kabushiki Kaisha Pharmaceutical composition comprising rapamycin or derivative thereof, and method for producing the same
WO2020234389A1 (en) 2019-05-21 2020-11-26 Premark Pharma Gmbh Treatment of ocular disease
EP3741367A1 (en) 2019-05-21 2020-11-25 Premark Pharma GmbH Treatment of ocular disease
WO2024209038A1 (en) 2023-04-06 2024-10-10 Premark Pharma Gmbh Use of pimecrolimus for the treatment of dry eye in patients characterized by a corneal staining score of 4 or 5 on the oxford grading scale

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