WO2002002509A1 - Compounds and compositions for delivering active agents - Google Patents

Compounds and compositions for delivering active agents Download PDF

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Publication number
WO2002002509A1
WO2002002509A1 PCT/US2001/021073 US0121073W WO0202509A1 WO 2002002509 A1 WO2002002509 A1 WO 2002002509A1 US 0121073 W US0121073 W US 0121073W WO 0202509 A1 WO0202509 A1 WO 0202509A1
Authority
WO
WIPO (PCT)
Prior art keywords
insulin
active agent
hormone
composition
interferon
Prior art date
Application number
PCT/US2001/021073
Other languages
English (en)
French (fr)
Inventor
John J. Weidner
Bruce F. Variano
Shingai Majuru
Sataj Bhankarkar
William E. Bay
Lynn Shields
Original Assignee
Emisphere Technologies, Inc.
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
Priority to IL15329701A priority Critical patent/IL153297A0/xx
Priority to KR1020027017966A priority patent/KR100828668B1/ko
Priority to AU2001273153A priority patent/AU2001273153B2/en
Priority to CA002411754A priority patent/CA2411754C/en
Priority to US10/312,703 priority patent/US7351741B2/en
Priority to MXPA02012855A priority patent/MXPA02012855A/es
Priority to DK01952394T priority patent/DK1299348T3/da
Priority to JP2002507766A priority patent/JP2004521857A/ja
Priority to BR0112311-4A priority patent/BR0112311A/pt
Priority to DE60133555T priority patent/DE60133555T2/de
Application filed by Emisphere Technologies, Inc. filed Critical Emisphere Technologies, Inc.
Priority to AU7315301A priority patent/AU7315301A/xx
Priority to EP01952394A priority patent/EP1299348B1/en
Priority to NZ523017A priority patent/NZ523017A/en
Priority to SK118-2003A priority patent/SK1182003A3/sk
Priority to UA2003010772A priority patent/UA80248C2/uk
Publication of WO2002002509A1 publication Critical patent/WO2002002509A1/en
Priority to IL153297A priority patent/IL153297A/en
Priority to HK03107183A priority patent/HK1054918A1/xx
Priority to US11/183,039 priority patent/US7208178B2/en
Priority to AU2006200678A priority patent/AU2006200678B2/en
Priority to US11/734,591 priority patent/US7420085B2/en

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K38/00Medicinal preparations containing peptides
    • A61K38/16Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
    • A61K38/17Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans
    • A61K38/19Cytokines; Lymphokines; Interferons
    • A61K38/21Interferons [IFN]
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07CACYCLIC OR CARBOCYCLIC COMPOUNDS
    • C07C233/00Carboxylic acid amides
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K38/00Medicinal preparations containing peptides
    • A61K38/16Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
    • A61K38/17Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans
    • A61K38/22Hormones
    • A61K38/27Growth hormone [GH] (Somatotropin)
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K38/00Medicinal preparations containing peptides
    • A61K38/16Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
    • A61K38/17Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans
    • A61K38/22Hormones
    • A61K38/28Insulins
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K45/00Medicinal preparations containing active ingredients not provided for in groups A61K31/00 - A61K41/00
    • A61K45/06Mixtures of active ingredients without chemical characterisation, e.g. antiphlogistics and cardiaca
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07CACYCLIC OR CARBOCYCLIC COMPOUNDS
    • C07C235/00Carboxylic acid amides, the carbon skeleton of the acid part being further substituted by oxygen atoms
    • C07C235/42Carboxylic acid amides, the carbon skeleton of the acid part being further substituted by oxygen atoms having carbon atoms of carboxamide groups bound to carbon atoms of six-membered aromatic rings and singly-bound oxygen atoms bound to the same carbon skeleton
    • C07C235/44Carboxylic acid amides, the carbon skeleton of the acid part being further substituted by oxygen atoms having carbon atoms of carboxamide groups bound to carbon atoms of six-membered aromatic rings and singly-bound oxygen atoms bound to the same carbon skeleton with carbon atoms of carboxamide groups and singly-bound oxygen atoms bound to carbon atoms of the same non-condensed six-membered aromatic ring
    • C07C235/58Carboxylic acid amides, the carbon skeleton of the acid part being further substituted by oxygen atoms having carbon atoms of carboxamide groups bound to carbon atoms of six-membered aromatic rings and singly-bound oxygen atoms bound to the same carbon skeleton with carbon atoms of carboxamide groups and singly-bound oxygen atoms bound to carbon atoms of the same non-condensed six-membered aromatic ring with carbon atoms of carboxamide groups and singly-bound oxygen atoms, bound in ortho-position to carbon atoms of the same non-condensed six-membered aromatic ring
    • C07C235/60Carboxylic acid amides, the carbon skeleton of the acid part being further substituted by oxygen atoms having carbon atoms of carboxamide groups bound to carbon atoms of six-membered aromatic rings and singly-bound oxygen atoms bound to the same carbon skeleton with carbon atoms of carboxamide groups and singly-bound oxygen atoms bound to carbon atoms of the same non-condensed six-membered aromatic ring with carbon atoms of carboxamide groups and singly-bound oxygen atoms, bound in ortho-position to carbon atoms of the same non-condensed six-membered aromatic ring having the nitrogen atoms of the carboxamide groups bound to hydrogen atoms or to acyclic carbon atoms
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/0087Galenical forms not covered by A61K9/02 - A61K9/7023
    • A61K9/0095Drinks; Beverages; Syrups; Compositions for reconstitution thereof, e.g. powders or tablets to be dispersed in a glass of water; Veterinary drenches
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y02TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
    • Y02PCLIMATE CHANGE MITIGATION TECHNOLOGIES IN THE PRODUCTION OR PROCESSING OF GOODS
    • Y02P20/00Technologies relating to chemical industry
    • Y02P20/50Improvements relating to the production of bulk chemicals
    • Y02P20/55Design of synthesis routes, e.g. reducing the use of auxiliary or protecting groups

Definitions

  • the present invention relates to compounds for delivering active agents, such as biologically or chemically active agents, to a target. These compounds are well suited for forming non-covalent mixtures with active agents for oral, intracolonic, pulmonary, or other routes of administration to animals. Methods for the preparation and administration of such compositions are also disclosed.
  • barriers are imposed by the body. Examples of physical barriers are the skin, lipid bi-layers and various organ membranes that are relatively impermeable to certain active agents but must be traversed before reaching a target, such as the circulatory system. Chemical barriers include, but are not limited to, pH variations in the gastrointestinal (GI) tract and degrading enzymes. These barriers are of particular significance in the design of oral delivery systems. Oral delivery of many biologically or chemically active agents would be the route of choice for administration to animals if not for biological, chemical, and physical barriers.
  • GI gastrointestinal
  • biologically or chemically active peptides such as calcitonin and insulin
  • polysaccharides such as heparin; heparinoids; antibiotics; and other organic substances.
  • mucopolysaccharides including, but not limited to, heparin; heparinoids; antibiotics; and other organic substances.
  • these agents may be rapidly rendered ineffective or destroyed in the gastro-intestinal tract by acid hydrolysis, enzymes, and the like.
  • the size and structure of r ⁇ acromolecular drugs may prohibit absorption.
  • RNA molecules have relied on the co-administration of adjuvants (e.g., resorcinols and non-ionic surfactants such as polyoxyethylene oleyl ether and n-hexadecylpolyethylene ether) to increase artificially the permeability of the intestinal walls, as well as the co-administration of enzymatic inhibitors (e.g., pancreatic trypsin inhibitors, diisopropylfluorophosphate (DFF) and trasylol) to inhibit enzymatic degradation.
  • adjuvants e.g., resorcinols and non-ionic surfactants such as polyoxyethylene oleyl ether and n-hexadecylpolyethylene ether
  • enzymatic inhibitors e.g., pancreatic trypsin inhibitors, diisopropylfluorophosphate (DFF) and trasylol
  • proteinoid microspheres have been used to deliver pharmaceuticals.
  • proteinoid microspheres have been used to deliver pharmaceuticals.
  • certain modified amino acids have been used to deliver pharmaceuticals. See, e.g., US 5,629,020; US 5,643,957; US 5,766,633; US 5,776,888; and US 5,866,536.
  • compositions that are useful in the delivery of active agents are provided.
  • the present invention encompasses compounds having the following formula, or salts thereof, or mixtures thereof.
  • compositions of the present invention comprise at least one active agent, preferably a biologically or chemically active agent, and at least one of the compounds, or salts thereof, of the present invention. Methods for the preparation and administration of such compositions are also provided. Also provided are dosage unit forms comprising the compositions.
  • the dosage unit form may be in the form of a solid (such as a tablet, capsule or particle such as a powder or sachet) or a liquid.
  • Methods for administering a biologically active agent to an animal in need of the agent, especially by the oral, intracolonic or pulmonary routes, with the compositions of the present invention, are also provided, as well as methods of treatment using such compositions.
  • a method of treating a disease in an animal comprising administering a composition of the present invention to the animal in need thereof is provided.
  • the compounds may be in the form of the carboxylic acid and/or their salts .
  • Salts include but are not limited to organic and inorganic salts, for example alkali-metal salts, such as sodium, potassium and lithium; alkaline-earth metal salts, such as magnesium, calcium or barium; ammonium salts; basic amino acids such as lysine or arginine; and organic amines, such as dimethylamine or pyridine .
  • the salts are sodium salts .
  • the salts may be mono- or multi- valent salts, such as monosodium salts and di-sodium salts.
  • the salts may also be solvates including ethanol solvates.
  • poly amino acids and peptides comprising one or more of these compound may be used.
  • amino acid is any carboxylic acid having at least one free amine group and includes naturally occurring and synthetic amino acids .
  • Poly amino acids are either peptides (which are two or more amino acids joined by a peptide bond) or are two or more amino acids linked by a bond formed by other groups which can be linked by, e.g., an ester or an anhydride linkage.
  • Peptides can vary in length from dipeptides with two amino acids to polypeptides with several hundred amino acids .
  • One or more of the amino acids or peptide units may be acylated or sulfonated.
  • the compounds described herein may be derived from amino acids and can be readily prepared from amino acids by methods within the skill of those in the art based upon the present disclosure and the methods described in WO96/30036, WO97/36480, US 5,643,957 and US 5,650,386.
  • the compounds may be prepared by reacting the single amino acid with the appropriate acylating or amine-modifying agent, which reacts with a free amino moiety present in the amino acid to form amides.
  • Protecting groups may be used to avoid unwanted side reactions as would be known to those skilled in the art.
  • Salts of the present compound may be made by methods known in the art.
  • sodium salts may be made by dissolving the compound in ethanol and adding aqueous sodium hydroxide .
  • the compound may be purified by recrystallization or by fractionation on one or more solid chromatographic supports, alone or linked in tandem.
  • Suitable recrystallization solvent systems include, but are not limited to, acetonitrile, methanol, and tetrahydrofuran. Fractionation may be performed on a suitable chromatographic support such as alumina, using methanol/n-propanol mixtures as the mobile phase; reverse phase chromatography using trifluoroacetic acid/acetonitrile mixtures as the mobile phase; and ion exchange chromatography using water or an appropriate buffer as the mobile phase.
  • anion exchange chromatography preferably a 0-500 mM sodium chloride gradient is employed.
  • the compound is employed in its anhydrous form.
  • Active agents suitable for use in the present invention include biologically active agents and chemically active agents, including, but not limited to, pesticides, pharmacological agents, and therapeutic agents.
  • biologically or chemically active agents suitable for use in the present invention include, but are not limited to, proteins; polypeptides; peptides; hormones; polysaccharides, and particularly mixtures of muco- polysaccharides; carbohydrates; lipids; other organic compounds; and particularly compounds which by themselves do not pass (or which pass only a fraction of the administered dose) through the gastro-intestinal mucosa and/or are susceptible to chemical cleavage by acids and enzymes in the gastro-intestinal tract; or any combination thereof.
  • growth hormones including human growth hormones
  • hGH recombinant human growth hormones
  • rhGH recombinant human growth hormones
  • bovine growth hormones bovine growth hormones
  • porcine growth hormones growth hormone- releasing hormones
  • interferons including ot, ⁇ and y
  • interleukin-1 interleukin-2
  • insulin including porcine, bovine, human, and human recombinant, optionally having counter ions including sodium, zinc, calcium and ammonium
  • heparin including unfractionated heparin, heparinoids, dermatans, chondroitins, low molecular weight heparin, very low molecular weight heparin and ultra low molecular weight heparin
  • calcitonin including salmon, eel, porcine and human
  • erythropoietin atrial naturetic factor
  • antigens monoclonal antibodies
  • somatostatin protease inhibitors
  • compositions of the present invention comprise a delivery agent and one or more active agents .
  • one or more of the delivery agent compounds, or salts of these compounds, or poly amino acids or peptides of which these compounds or salts form one or more of the units thereof, may be used as a delivery agent by mixing with the active agent prior to administration.
  • the administration compositions may be in the form of a liquid.
  • the dosing vehicle may be water (for example, for salmon calcitonin, parathyroid hormone, and erythropoietin) , 25% aqueous propylene glycol (for example, for heparin) and phosphate buffer (for example, for rhGH) .
  • Other dosing vehicles include polyethylene glycols, sorbitol, maltitol, and sucrose.
  • Dosing solutions may be prepared by mixing a solution of the delivery agent compound with a solution of the active agent, just prior to administration. Alternately, a solution of the delivery agent (or active agent) may be mixed with the solid form of the active agent (or delivery agent) .
  • the delivery agent compound and the active agent may also be mixed as dry powders .
  • the delivery agent compound and the active agent can also be admixed during the manufacturing process.
  • the dosing solutions may optionally contain additives such as phosphate buffer salts, citric acid, glycols, or other dispersing agents. Stabilizing additives may be incorporated into the solution, preferably at a concentration ranging between about 0.1 and 20% (w/v) .
  • the administration compositions may alternately be in the form of a solid, such as a tablet, capsule or particle, ' such as a powder or sachet.
  • Solid dosage forms may be prepared by mixing the solid form of the compound with the solid form of the active agent.
  • a solid may be obtained from a solution of compound and active agent by methods known in the art, such as freeze drying, precipitation, crystallization and solid dispersion.
  • the administration compositions of the present invention may also include one or more enzyme inhibitors .
  • enzyme inhibitors include, but are not limited to, compounds such as actinonin or epiactinonin and derivatives thereof.
  • Other enzyme inhibitors include, but are not limited to, aprotinin (Trasylol) and Bowman-Birk inhibitor.
  • the amount of active agent used in an administration composition of the present invention is an amount effective to accomplish the purpose of the particular active agent for the target indication.
  • the amount of active agent in the compositions typically is a pharmacologically, biologically, therapeutically, or chemically effective amount.
  • the amount can be less than that amount when the composition is used in a dosage unit form because the dosage unit form may contain a plurality of compound/active agent compositions or may contain a divided pharmacologically, biologically, therapeutically, or chemically effective amount.
  • the total effective amount can then be administered in cumulative units containing, in total, an effective amount of the active agent.
  • the total amount of active agent to be used can be determined by methods known to those skilled in the art.
  • the compositions may deliver active agents more efficiently than prior compositions, lower amounts of biologically or chemically active agents than those used in prior dosage unit forms or delivery systems can be administered to the subject, while still achieving the same blood levels and/or therapeutic effects.
  • Dosage unit forms can also include any one or combination of excipients, diluents, disintegrants, lubricants, plasticizers, colorants, flavorants, taste-masking agents, sugars, sweeteners, salts, and dosing vehicles, including, but not limited to, water, 1,2-propane diol, ethanol, olive oil, or any combination thereof.
  • the compounds and compositions of the subject invention are useful for administering biologically or chemically active agents to any animals, including but not limited to birds such as chickens; mammals, such as rodents, cows, pigs, dogs, cats, primates, and particularly humans; and insects.
  • the system is particularly advantageous for delivering chemically or biologically active agents that would otherwise be destroyed or rendered less effective by conditions encountered before the active agent reaches its target zone (i.e. the area in which the active agent of the delivery composition is to be released) and within the body of the animal to which they are administered.
  • target zone i.e. the area in which the active agent of the delivery composition is to be released
  • the compounds and compositions of the present invention are useful in orally administering active agents, especially those that are not ordinarily orally deliverable, or those for which improved delivery is desired.
  • compositions comprising the compounds and active agents have utility in the delivery of active agents to selected biological systems and in an increased or improved bioavailability of the active agent compared to administration of the active agent without the delivery agent. Delivery can be improved by delivering more active agent over a period of time, or in delivering active agent in a particular time period (such as to effect quicker or delayed delivery) or over a period of time (such as sustained delivery) .
  • the active agent present in the composition or dosage unit form is taken up into the circulation.
  • the bioavailability of the agent is readily assessed by measuring a known pharmacological activity in blood, e.g. an increase in blood clotting time caused by heparin, or a decrease in circulating calcium levels caused by calcitonin. Alternately, the circulating levels of the active agent itself can be measured directly.
  • 4-Chlorosalicylic acid (10. Og, 0.0579 mol) was added to a one-neck 250 ml round-bottomed flask containing about 50 ml methylene chloride. Stirring was begun and continued for the remainder of the reaction.
  • Coupling agent 1,1- carbonyldii idazole (9.39g, 0.0579 mol) was added as a solid in portions to the flask. The reaction was stirred at room temperature for approximately 20 minutes after all of the coupling agent had been added and then ethyl-4-aminobutyrate hydrochloride (9.7 g , 0.0579 mol) was added to the flask with stirring.
  • Triethylamine (10.49 ml, 0.0752 mol) was added dropwise from an addition funnel. The addition funnel was rinsed with methylene chloride. The reaction was allowed to stir at room temperature overnight.
  • the reaction was poured into a separatory funnel and washed with 2N HC1 and an emulsion formed.
  • the emulsion was left standing for two days .
  • the emulsion was then filtered through celite in a fritted glass funnel.
  • the filtrate was put back in a separatory funnel to separate the layers .
  • the organic layer was dried over sodium sulfate, which was then filtered off and the filtrate concentrated by rotary evaporation.
  • the resulting solid material was hydrolyzed with 2N NaOH, stored overnight under refrigeration, and then hydrolyzing resumed.
  • the solution was acidified with 2N HC1 and the solids that formed were isolated, dried under vacuum, and recrystallized twice using methanol/water .
  • 4-Chlorosalicylic acid (25. Og, 0.1448 mol) was added to a one-neck 250 ml round-bottomed flask containing about 75-100 ml methylene chloride. Stirring was begun and continued to the remainder of the reaction.
  • Coupling agent 1,1- carbonyldii idazole (23.5g, 0.1448 mol) was added as a solid in portions to the flask. The reaction was stirred at room temperature for approximately 20 minutes after all of the coupling agent had been added and then ethyl-4-aminobutyrate hydrochloride (24.3g 0.1448 mol) was added to the flask with stirring.
  • Triethylamine (26.0 ml, 0.18824 mol) was added dropwise from an addition funnel. The addition funnel was rinsed with methylene chloride. The reaction was allowed to stir at room temperature overnight.
  • the reaction was poured into a separatory funnel and washed with 2N HC1 and an emulsion formed.
  • the emulsion was filtered through celite in a fritted glass funnel.
  • the filtrate was put back in a separatory funnel to separate the layers.
  • the organic layer was washed with water and brine, then dried over sodium sulfate, which was then filtered off and the filtrate concentrated by rotary evaporation.
  • the resulting solid material was hydrolyzed with 2N NaOH overnight.
  • the solution was acidified with 2N HC1 and the brown solids that formed were recrystallized using methanol/water, hot filtering off insoluble black material.
  • a 22 L, five neck, round bottom flask was equipped with an overhead stirrer, 1 L Dean-Stark trap with reflux condenser, thermocouple temperature read out, and heating mantle.
  • the following reaction was run under a dry nitrogen atmosphere.
  • Reagent n-butanol (5000 L) and 4-chlorosalicylic acid (2000 g, 11.59 mol) were charged to the reaction flask.
  • the Dean-Stark trap was filled with n-butanol (1000 mL) .
  • the mixture was distilled until the pot temperature rose to between 140 and 150 °C.
  • the distillation was switched from atmospheric distillation to vacuum distillation.
  • the pressure in the distillation setup was slowly lowered to 100 mmHg.
  • the pot temperature fell and the remaining n-butanol and n-butyl ether (a reaction byproduct) distilled off.
  • the heating was stopped and the reaction mixture allowed to cool to ambient temperature.
  • the vacuum was broken with dry nitrogen.
  • the crude butyl ester was transferred to a 5 L pot flask of a vacuum distillation setup.
  • the crude butyl ester was distilled at a pressure between 0.2 and 0.5 mmHg.
  • the forerun collected at a head temperature of ⁇ 40° C was discarded.
  • the butyl 4-chloro-2-hydroxybenzoate fraction was collected at a head temperature between 104 and 112 °C. This fraction had a weight of 2559 g. The yield was 96%.
  • a 22 L, five neck, round bottom flask was equipped with an overhead stirrer, reflux condenser, thermocouple temperature read out, and a heating mantle. The reactor was purged with nitrogen.
  • Butyl 4-chloro-2-hydroxybenzoate (2559 g, 11.2 moles) and reagent methanol (10,000 mL) were charged to the reaction flask, and the contents were stirred until a solution was obtained.
  • the reaction mixture was filtered through a Buchner funnel and returned to the reactor.
  • the stirring rate was increased, and gaseous ammonia was added rapidly to the headspace of the reactor.
  • the ammonia gas addition was continued until the temperature of the reactor reached 45 °C.
  • the addition of the ammonia was suspended and the agitation rate lowered.
  • the reaction was allowed to cool to ambient temperature.
  • Ammonia gas addition, as described above, was repeated until the reaction was complete as indicated by liquid chromatography. Seven ammonia charges over five days were needed to complete the reaction. Approximately half of the solvent was removed by atmospheric distillation.
  • the reaction mixture was cooled to ambient temperature and 5 L of deionized water was added.
  • a 22 L, five neck, round bottom flask was equipped with an overhead stirrer, reflux condenser, addition funnel, thermocouple temperature read out, and a heating mantle.
  • the reactor was purged with nitrogen.
  • Acetonitrile (4700 mL) and 4-chloro-2-hydroxybenzamide (1782 g, 10.4 mol) were charged to the reaction flask and the stirring was started.
  • Pyridine (1133 mL, 14.0 mol) was charged to the reactor.
  • the resulting reaction slurry was cooled to less than 10 °C with an ice bath.
  • Ethyl chloroformate (1091 mL, 1237 g, 11.4 mol) was placed in the addition funnel and charged slowly to the stirred reaction mixture such that the temperature of the reaction mixture did not exceed 15 °C during the addition. The temperature of the reaction mixture was held between 10 and 15 °C for 30 minutes after the ethyl chloroformate addition was complete. The ice bath was removed, and the reaction mixture was warmed to ambient temperature. The reaction mixture was then slowly heated to reflux and held at that temperature for 18 hours. Liquid chromatographic analysis of the reaction mixture indicated that the reaction was only 80% complete. Approximately half of the solvent was removed by atmospheric distillation. The reaction mixture was cooled first to ambient temperature and then to ⁇ 10 °C with an ice bath.
  • the solid product was collected by vacuum filtration through a large sintered glass funnel.
  • the product filter cake was washed with deionized water and vacuum dried at 50 °C for 18 hours to give 1914 g of 7-chloro-2H-l,3- benzoxazine-2, 4 (3H) -dione as a tan solid.
  • the yield was 83%.
  • a 22 L, five neck, round bottom flask was equipped with an overhead stirrer, reflux condenser, thermocouple temperature read out, and heating mantle. The following reaction was run under a dry nitrogen atmosphere.
  • a 12 L, stainless steel reactor was equipped with an overhead stirrer, reflux condenser, thermocouple temperature read out, addition funnel, and heating mantle.
  • the following reaction was run under a dry nitrogen atmosphere.
  • Water (3 L) and ethyl 3- (4-butanoate) -7-chloro ⁇ 2H-l, 3-benzoxazine-2, 4- (3H) -dione (1118 g, 3.58 mol) were charged to the reactor and stirring was started.
  • a solution of sodium hydroxide (574 g, 14.34 mol) in water (2 L) was added slowly to the reaction slurry.
  • the reaction was heated to 70 °C for 6 hours, and then allowed to cool slowly to ambient temperature.
  • the reaction mixture was filtered through a Buchner funnel.
  • a 22 L five neck round bottom flask was equipped with an overhead stirrer, reflux condenser, thermocouple temperature read out, and an addition funnel.
  • Deionized water (1880 mL) and concentrated hydrochloric acid (1197 g, 12.04 mol) were charged to the reactor.
  • the hydrolysate from above was added slowly via addition funnel to the acid solution.
  • the pH of the resulting slurry was adjusted to 3 by adding additional hydrochloric acid (160 mL, 1.61 mol) .
  • the product solids were collected by filtration through a sintered glass funnel and dried in a vacuum oven at 50 °C for 24 hours to give 1109.3 g of 4- [ (4-chloro-2-hydroxy-benzoyl) amino] butanoic acid as an off white solid.
  • the yield was quantitative.
  • a one liter, four neck round bottom flask was equipped with an overhead stirrer, reflux condenser, thermocouple temperature read out, and heating mantle.
  • the following reaction was run under a dry nitrogen atmosphere.
  • Isopropanol (400 L) and 4- [ (4-chloro-2-hydroxy-benzoyl) amino] butanoic acid (25.0 g, 0.09 mol) were charged to the reactor and stirring was started.
  • the reaction slurry was heated to 50 °C until a hazy brown solution was obtained.
  • the warm solution was filtered through a warm pressure filter dressed with Whatman #1 paper into a clean 1 L reactor.
  • the clear yellow filtrate was heated to 62 °C while stirring.
  • Capsules for primate dosing containing the monosodium salt of compound 1 (as prepared in example Id) and insulin were prepared as follows.
  • the compound 1 monosodium salt and QA307X zinc insulin crystals human: proinsulin derived (recombinant DNA origin) (available from Eli-Lilly & Co . of Indianapolis, IN) were first screened through a 35 mesh Tyler standard sieve and the required amount weighed. Screened compound 1 monosodium salt and insulin were blended using geometric sieving method in a suitably sized glass mortar. The materials in the mortar were mixed well with a glass pestle. A spatula was used for scrapping the sides of the mortar. The resulting formulation was transferred to a plastic weigh boat for capsule filling.
  • the formulation was hand packaged into size #0 Torpac hard gelatin capsules (available from Torpac, Inc. of Fairfield, NJ) . Each capsule fill weight was dependent on the individual animal weight. Capsules doses of compound 1 were 100 mg/kg, 75 mg/kg and 50 mg/kg (as monosodium salt). Capsule doses of insulin were 0.25 to 0.5 mg per kg.
  • compositions of delivery agent compound prepared as in Example la or lb as indicated below
  • zinc human recombinant insulin available from Calbiochem- Novabiochem Corp., La Jolla, CA (Catalog # 407694)
  • PO Oral dosing
  • 500 mg of delivery agent compound was added to 1.5 ml of water.
  • the free acid of the delivery agent compound was converted to the sodium salt by stirring the resultant solution and adding one equivalent of sodium hydroxide. The solution was vortexed, then heated (about 37°C) and sonicated. The pH was adjusted to about 7 to 8.5 with NaOH or HCl.
  • the dosing and sampling protocols were as follows. Male Sprague-Dawley rats weighing between about 200-250g were fasted for 24 hours and administered ketamine (44 mg/kg) and chlorpromazine (1.5 mg/kg) 15 minutes prior to dosing and again as needed to maintain anesthesia. A dosing group of five animals was administered one of the dosing solutions.
  • an 11 cm Rusch 8 French catheter was adapted to a 1 ml syringe with a pipette tip. The syringe was filled with dosing solution by drawing the solution through the catheter, which was then wiped dry. The catheter was placed down the esophagus leaving 1 cm of tubing past the incisors.
  • Serum insulin levels were determined with an Insulin ELISA Test Kit (Kit # DSL-10-1600 from Diagnostic Systems Laboratories, Inc., Webster, TX) , modifying the standard protocol in order to optimize the sensitivity and linear range of the standard curve for the volumes and concentrations of the samples used in the present protocol. Serum human insulin concentrations ( ⁇ U/ml) were measured for each time point for each of the five animals in each dosing group. The five values for each time point were averaged and the results plotted as serum insulin concentration versus time. The maximum (peak) and the area under the curve (AUC) are reported below in Table 1. Previous experiments revealed no measurable levels of human insulin following oral dosing with human insulin alone.
  • the dosing protocol for administering the capsules to each animal was as follows . Baseline plasma samples were obtained from the animals prior to dosing. Groups of four cynomolgus monkeys, two males and two females, weighing 2-3 kg were fasted for 4 hours prior to dosing and up to 2 hours after dosing. The animals were anesthetized with an intramuscular injection of 10 mg/kg ketamine hydrochloride immediately prior to dosing. Each animal was administered varying doses of compound 1 (25-100 mg/kg) in combination with varying doses of insulin 0.25-0.5 mg/kg insulin as 1 capsule.
  • Citrated blood samples (1 mL each) were collected by venipuncture from an appropriate vein at 1 hour before dosing and at 10, 20, 30, 40, and 50 minutes and 1, 1.5, 2, 3, 4, and 6 hours after dosing. Each harvested plasma sample was divided into two portions. One portion was frozen at -80°C and shipped to another location for insulin assay. The other portion was used in the blood glucose assay. Four monkeys also received insulin subcutaneously (0.02 mg/kg). Blood samples were collected and analyzed as described above.
  • Insulin Assays Serum insulin levels were measured using the Insulin ELISA Test Kit (DSL, Webster, TX.).
  • Glucose Assays Blood glucose measurements were performed using ONETOUCH ® Glucose Monitoring System from Live Scan Inc., Newtown, PA.
  • Dosing solutions containing a delivery agent compound (prepared as in Example lb) and cromolyn, disodium salt (cromolyn) (Sigma, Milwaukee, Wisconsin) were prepared in deionized water.
  • the free acid of the delivery agent compound was converted to the sodium salt with one equivalent of sodium hydroxide.
  • This mixture was vortexed and placed in a sonicator (about 37°C) .
  • the pH was adjusted to about 7-7.5 with aqueous NaOH. Additional NaOH was added, if necessary, to achieve uniform solubility, and the pH re-adjusted.
  • the mixture was vortexed to produce a uniform solution, also using sonication and heat if necessary.
  • the delivery agent compound solution was mixed with cromolyn from a stock solution (175 mg cromolyn/ml in deionized water, pH adjusted, if necessary, with NaOH or HCl to about 7.0, stock solution stored frozen wrapped in foil, then thawed and heated to about 30°C before using) .
  • the mixture was vortexed to produce a uniform solution, also using sonication and heat if necessary.
  • the pH was adjusted to about 7-7.5 with aqueous NaOH.
  • the solution was then diluted with water to the desired volume (usually 2.0 ml) and concentration and stored wrapped in foil before use.
  • the final delivery agent compound and cromolyn doses, and the dose volumes are listed below in Table 2.
  • the typical dosing and sampling protocols were as follows. Male Sprague-Dawley rats weighing between 200-250g were fasted for 24 hours and were anesthetized with ketamine (44 mg/kg) and chlorpromazine (1.5 mg/kg) 15 minutes prior to dosing and again as needed to maintain anesthesia. A dosing group of five animals was administered one of the dosing solutions. An 11cm Rusch 8 French catheter was adapted to a 1 ml syringe with a pipette tip. The syringe was filled with dosing solution by drawing the solution through the catheter, which was then wiped dry. The catheter was placed down the esophagus leaving 1 cm of tubing past the incisors.
  • Samples were prepared as follows: 100 ⁇ l serum was combined with 100 ⁇ l 3N HCl and 300 ⁇ l ethyl acetate in an eppendorf tube. The tube was vortexed for 10 minutes and then centrifuged for 10 minutes at 10,000 rpm. 200 ⁇ l ethyl acetate layer was transferred to an eppendorf tube containing 67 ⁇ l 0.1 M phosphate buffer. The tube was vortexed for 10 minutes and then centrifuged for 10 minutes at 10,000 rpm.
  • results from the animals in each group were averaged for each time point and the highest of these averages (i.e., mean peak serum cromolyn concentration) is reported below in Table 2.
  • Example 4 Recombinant Human Growth Hormone (rhGH) - Oral Delivery Oral gavage (PO) dosing solutions of delivery agent compound (prepared as in Example la or lb as indicated in Table 3 below) and rhGH were prepared in phosphate buffer. The free acid of the delivery agent compound was converted to the sodium salt with one equivalent of sodium hydroxide. Typically, a solution of the compound was prepared in phosphate buffer and stirred, adding one equivalent of sodium hydroxide (1.0 N) when making the sodium salt. Additional NaOH was added, if necessary, to achieve uniform solubility, and the pH re-adjusted.
  • the final dosing solutions were prepared by mixing the compound solution with an rhGH stock solution (15 mg rhGH/ml made by mixing as powders 15 mg rhGH, 75 mg D-mannitol, 15 mg glycine and 3.39 mg dibasic sodium phosphate, then diluting with 2% glycerol) and diluting to the desired volume (usually 3.0 ml).
  • rhGH stock solution 15 mg rhGH/ml made by mixing as powders 15 mg rhGH, 75 mg D-mannitol, 15 mg glycine and 3.39 mg dibasic sodium phosphate, then diluting with 2% glycerol) and diluting to the desired volume (usually 3.0 ml).
  • the compound and rhGH doses and the dose volumes are listed below in Table 3.
  • the typical dosing and sampling protocols were as follows.
  • results from the animals in each group were averaged for each time point.
  • the maximum of these averages i.e., the mean peak serum rhGH concentration
  • SD standard deviation
  • SE standard error
  • Dosing solutions of delivery agent compound prepared as in Example lb and human interferon (IFN) were prepared in deionized water.
  • the free acid of the delivery agent compound was converted to the sodium salt with one equivalent of sodium hydroxide.
  • a solution of the delivery agent compound was prepared in water and stirred, adding one equivalent of sodium hydroxide (1.0 N) when making the sodium salt.
  • This mixture was vortexed and placed in a sonicator (about 37°C) .
  • the pH was adjusted to about 7.0 to 8.5 with aqueous NaOH.
  • the mixture was vortexed to produce a uniform suspension or solution, also using sonication and heat if necessary.
  • the delivery agent compound solution was mixed with an IFN stock solution (about 22.0 to 27.5 mg/ml in phosphate buffered saline) and diluted to the desired volume (usually 3.0 ml) .
  • the final delivery agent compound and IFN doses, and the dose volumes are listed below in Table 4.
  • the typical dosing and sampling protocols were as follows. Male Sprague-Dawley rats weighing between 200-250g were fasted for 24 hours and administered ketamine (44 mg/kg) and chlorpromazine (1.5 mg/kg) 15 minutes prior to dosing and again as needed to maintain anesthesia. A dosing group of five animals was administered one of the dosing solutions. An 11cm Rusch 8 French catheter was adapted to a 1 ml syringe with a pipette tip. The syringe was filled with dosing solution by drawing the solution through the catheter, which was then wiped dry. The catheter was placed down the esophagus leaving 1 cm of tubing past the incisors .

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