Classifications

• • C—CHEMISTRY; METALLURGY
  • C07—ORGANIC CHEMISTRY
  • C07H—SUGARS; DERIVATIVES THEREOF; NUCLEOSIDES; NUCLEOTIDES; NUCLEIC ACIDS
  • C07H17/00—Compounds containing heterocyclic radicals directly attached to hetero atoms of saccharide radicals
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P29/00—Non-central analgesic, antipyretic or antiinflammatory agents, e.g. antirheumatic agents; Non-steroidal antiinflammatory drugs [NSAID]
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P31/00—Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
  • A61P31/04—Antibacterial agents
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P33/00—Antiparasitic agents
  • A61P33/02—Antiprotozoals, e.g. for leishmaniasis, trichomoniasis, toxoplasmosis
• • C—CHEMISTRY; METALLURGY
  • C07—ORGANIC CHEMISTRY
  • C07H—SUGARS; DERIVATIVES THEREOF; NUCLEOSIDES; NUCLEOTIDES; NUCLEIC ACIDS
  • C07H17/00—Compounds containing heterocyclic radicals directly attached to hetero atoms of saccharide radicals
  • C07H17/04—Heterocyclic radicals containing only oxygen as ring hetero atoms
  • C07H17/08—Hetero rings containing eight or more ring members, e.g. erythromycins

Definitions

• This invention relates to new isostructural pseudopolymorphs of 9-deoxo-9a-aza-9a- methyl-9a-homoerythromycin A, to a process for the preparation of such pseudopolymorphs, to pharmaceutical formulations incorporating the same and to methods of use of such formulations in the treatment of bacterial and protozoan infections, and inflammation-related diseases.
• 9-deoxo-9a-aza-9a-methyl-9a-homoerythromycin A occurs in amorphous form, and in several different crystal forms characterized by different arrangements of the atoms in the crystal network. Most of the forms are crystalline, their crystal unit cells containing, in addition to 9-deoxo-9a-aza-9a-methyl-9a-homoerythromycin A, different numbers of water molecules and/or solvent molecules (pseudopolymorphs).
• Anhydrous amorphous 9-deoxo-9a-aza-9a-methyl-9a-homoerythromycin A having a melting point of 113-115°C, is described in U.S. Patent No. 4,517,359. It may be obtained by evaporation ofthe solvent from a chloroform solution of crude 9-deoxo-9a-aza-9a-methyl-9a- homoerythromycin A. It is not crystalline but rather an amorphous product, resembling a solid foaming mass.
• a pure laboratory scale product may be obtained, either by chromatography of the crude final product or by dissolution of pure crystalline 9-deoxo-9a- aza-9a-methyl-9a-homoerythromycin A monohydrate or dihydrate in an organic solvent, followed by evaporation of the solvent. Pure amorphous anhydrous 9-deoxo-9a-aza-9a- methyl-9a-homoerythromycin A may be thus obtained. This procedure is not suitable for large-scale manufacture.
• Non-hygroscopic 9-deoxo-9a-aza-9a-methyl-9a-homoerythromycin A dihydrate was prepared as early as the mid-1980's by neutralization of an acidic solution of 9-deoxo-9a-aza- 9a-methyl-9a-homoerythromycin A in an acetone-water mixture.
• This invention relates to new isostructural pseudopolymorphs of 9-deoxo-9a-aza-9a- methyl-9a-homoerythromycin A, having the formula I
• S is an organic solvent which is at least partially miscible with water
• x is 1, 1.25, 1.5 or 2
• y is 0, 0.5, or 1
• the isostructural pseudopolymorphs hereof comprise the individual crystal entities identified as compounds la-Im in Table 1 below, whose crystal packing is illustrated in Figures 2-14 of the annexed drawings. As illustrated, they are compounds having unique crystal packing with discrete channel formation within their unit cells (see Figure 15). As a consequence of the channel formation water and/or solvent molecules can be fitted into their cavities and removed upon (irying to provide isostructural solid state forms, i.e., the pseudopolymorphs ofthe invention, which have unique crystalline structures as characterized by their monoclinic space group 2 ⁇ and the lengths of their crystal axes and intermediate angles of their unit cells.
• nitrofurantoin crystallizes in two distinct monohydrate solid state forms with exactly the same water content (C 8 H 6 N 4 O 5 • H 2 O) but with clearly distinct crystallographic data, namely monohydrate I crystallizes in the monoclinic space group P 2 ⁇ /n while monohydrate II crystallizes in the orthorhombic space group P bca (E. W. Pienaar, M. Caira, A. P. Lotter, J. Crystallogr. Spectrosc. Res 23 (1993) 739-744; CSDB codes HAXBUD and HAXBUD01).
• Isostructural solid state forms e.g., pseudopolymorphs
• the specific crystalline structures of a group of stable isostructural pseudopolymorphs of 9-deoxo-9a-aza-9a-methyl-9a- homoerythromycin A have been determined, at least one of which pseudopolymorphs possesses a number of superior properties as compared with previously described forms of 9-deoxo-9a-aza-9a-methyl-9a-homoerythromycin A.
• that pseudopolymorph may, unlike the dihydrate, be reproducibly prepared under a wide range of preparative conditions.
• this new pseudopolymorph may be prepared in high purity and pharmaceutically acceptable quality.
• the new pseudopolymorph is an air-stable, free- flowing form of 9-deoxo-9a- aza-9a-methyl-9a-homoerythromycin A (based on the granulated habit of its small crystals, see Figure 16.).
• the new pseudopolymorph has significantly better dissolution rates in both acid and neutral media as compared with the dihydrate.
• the intrinsic dissolution rate (IDR) of the pseudopolymorph is significantly higher than the dissolution rate of the dihydrate.
• the new pseudopolymorph may be used in the preparation of a variety of pharmaceutical preparations intended for immediate, controlled or sustained release applications.
• the present invention further relates to a process for the preparation of the new isostructural 9-deoxo-9a-aza-9a-methyl-9a-homoerythromycin A pseudopolymorphs of Formula I, which process comprises:
• the present invention also relates to pharmaceutical formulations comprising the new isostructural pseudopolymorphs of 9-deoxo-9a-aza-9a-methyl-9a-homoerythromycin A in combination with one or more pharmaceutically acceptable carriers and other excipients, and to a method for the treatment of bacterial and protozoan infections, and inflammation- related diseases in humans or animals subject thereto, involving the administration of such pharmaceutical formulations to subjects in need of such treatment.
• FIGURE 1 is a crystal packing diagram of the current commercially-available 9- deoxo-9a-aza-9a-methyl-9a-homoerythromycin A dihydrate (the structure coded GEGJAD, described in the Cambridge Crystallographic database);
• FIGURE 2 is a crystal packing diagram of an isostructural pseudopolymorph of
• FIGURE 4 is a crystal packing diagram of a further isostructural pseudopolymorph of
• FIGURE 15 is an illustration of channel formation within the unit cell of the isostructural pseudopolymo ⁇ h of 9-deoxo-9a-aza-9a-methyl-9a-homoerythromycin A of general formula I.
• FIGURE 17 is a graph comparing the dissolution rates ofthe pseudopolymo ⁇ h ofthe invention and the known 9-deoxo-9a-aza-9a-methyl-9a-homoerythromycin A dihydrate, at pH 3 and 37°C;
• FIGURE 18 is a graph comparing the dissolution rates ofthe pseudopolymo ⁇ h ofthe invention and the known 9-deoxo-9a-aza-9a-methyl-9a-homoerythromycin A dihydrate, at pH 6 and 37°C;
• FIGURE 21 is a graph illustrating the whole blood profile ofthe pseudopolymo ⁇ h of
• FIGURE 22 is a graph comparing the dissolution rates ofthe pseudopolymo ⁇ h Ik of the invention and the known 9-deoxo-9a-aza-9a-methyl-9a-homoerythromycin A dihydrate, at H 6 and 37°C; DETAILED DESCRIPTION OF THE INVENTION
• the term "substantially pure” denotes a pseudopolymo ⁇ h of Formula I characterized by the monoclinic space group P 2 ⁇ and the average unit cell parameters identified above, that is at least 90% pure.
• the phrase "at least 90% pure” refers to the pseudopolymo ⁇ hs of the present invention that contain no more than 10% of another compound, particularly not more than 10% of some other crystalline or amo ⁇ hous form of 9-deoxo-9a-aza-9a-methyl-9a- homoerythromycin A.
• the "substantially pure” pseudopolymo ⁇ h of the present invention is “essentially pure,” that is it contains 5% or less of any other compound or some other crystalline or amo ⁇ hous form of 9-deoxo-9a-aza-9a-methyl-9a-homoerythromycin A.
• 9-deoxo-9a-aza-9a-methyl-9a- homoerythromycin A material utilized in step (a) ofthe process for forming the isostructural pseudopolymo ⁇ hs of 9-deoxo-9a-aza-9a-methyl-9a-homoerythromycin A hereof, refers to any form of 9-deoxo-9a-aza-9a-methyl-9a-homoerythromycin A, including crude or purified 9-deoxo-9a-aza-9a-methyl-9a-homoerythromycin A or a solvate or hydrate thereof, in either crystalline or amo ⁇ hous form; or the "native solution" of 9-deoxo-9a-aza-9a-methyl-9a- homoerythromycin A formed during the last step of its syntheses (e.g.
• 9-deoxo-9a-aza- 9a-homoerythromycin A (“9a-DeMet"), as one of its last intermediates).
• the term "crude 9-deoxo-9a-aza-9a-methyl-9a-homoerythromycin A” is intended to include 9-deoxo-9a-aza-9a-methyl-9a-homoerythromycin A of any purity less than pharmaceutically acceptable purity, including 9-deoxo-9a-aza-9a-methyl-9a- homoerythromycin A obtained prior to final purification thereof.
• the term "native solutions of 9-deoxo-9a-aza-9a-methyl-9a- homoerythromycin A” refers to solutions of 9-deoxo-9a-aza-9a-methyl-9a- homoerythromycin A in water or any organic solvents, or admixtures thereof, utilized in the final step of preparing 9-deoxo-9a-aza-9a-methyl-9a-homoerythromycin A from its last intermediates (e.g. from 9a-DeMet), prior to isolation of crude 9-deoxo-9a-aza-9a-methyl-9a- homoerythromycin A.
• 9-Deoxo-9a-aza-9a-homoerythromycin A (9a-DeMet) used as starting material in the presently claimed methods is also referred to in the art as ll-aza-lO-deoxo-10- dihydroerythromycm A (10-dihydro-10-deoxo-ll-azaerythromycin A) (US 4,328.334; J. Chem Res. (M) 1988, 1239). It is known and obtainable e.g. by conventional methods (see:
• Solvents utilized in the native solutions of 9-deoxo-9a-aza-9a-methyl-9a- homoerythromycin A may include water, chlorinated solvents, e.g. haloalkanes having one or two carbon atoms such as chloroform or dichloromethane; esters of acetic acid with a C 2 -C lower alkyl group such as ethyl acetate, isopropyl acetate or n-butyl acetate; monohydric C 2 - C 4 alkanols such as isopropanol or 2-butanol; C ⁇ -C 4 ketones such as ' acetone or isobutylketone; or aromatic or substituted aromatic solvents such as toluene.
• chlorinated solvents e.g. haloalkanes having one or two carbon atoms such as chloroform or dichloromethane
• esters of acetic acid with a C 2 -C lower alkyl group such as
• Step (a) Dissolving the 9-deoxo-9a-aza-9a-methyl-9a-homoerythromycin A Material
• the 9-deoxo-9a-aza-9a-methyl-9a-homoerythromycin A material is dissolved in step (a) of the process for the preparation of the isostructural pseudopolymo ⁇ hs ofthe invention in (1) an organic solvent which is at least partially water- miscible, (2) a mixture of such organic solvents, (3) a mixture of the organic solvent and water or (4) a mixture of water and at least one mineral or organic acid.
• Organic solvents which are so useful include lower aliphatic straight or branched-chain alkanols such as methanol, ethanol, ⁇ -propanol, isopropanol, ra-butanol, wobutanol, sec-butanol, tert-butanol or allyl alcohol; cycloalkanols, such as cyclopentanol or cyclohexanol; arylalkanols, such as benzyl alcohol; diols, such as 1,2-ethanediol, 1,2-propanediol, 1,3-propanediol, 1,4- butanediol or 2-butene-l,4-diol; triols, such as glycerol; ethers, such as diethyl ether, monoglyme, diglyme or 1,4-dioxane; ketones, such as acetone, 2-butanone; esters,
• (a) of the process for forming the pseudopolymo ⁇ hs hereof may comprise any common mineral or organic acid. Suitable examples include, but are not limited to, hydrochloric, sulfuric, sulfurous, phosphoric, carbonic, formic, acetic, propionic, citric, tartaric, maleic, oxalic, chloroacetic, benzoic, methanesulfonic or >-toluene sulfonic acid.
• step (a) The dissolution ofthe 9-deoxo-9a-aza-9a-methyl-9a-homoerythromycin A material in step (a) is carried out at temperatures of from about 0° to about 100°C, preferably at from about 0° to about 80°C and, most desirably, at temperatures of from about 5° to about 60°C.
• step (b) Crystallization of the Pseudopolymorphs
• the new isostructural pseudopolymo ⁇ hs of the invention are crystallized from the
• step (b) of the process hereof by either controlled cooling, isothermal saturation of the solution with water until slight turbidity of the solution occurs, or by neutralization of the acidic solution with a common inorganic or organic base.
• Inorganic bases which may be so utilized include common inorganic bases, such as the hydroxides, oxides or carbonates of Groups I or II of The Periodic Table Of The Elements, e.g., the alkali metal or alkaline earth metal bases such as lithium, sodium, potassium, barium, magnesium or calcium hydroxide; sodium, magnesium or calcium oxide; sodium or potassium carbonate; ammonia solutions.
• Organic bases which are so useful include organic amines, such as trimethylamine, triethylamine, piperidine, 3-methylpyridine, piperazine, triethanolamine or ethylene diamine; or quaternary organic hydroxides, such as tetramethyl-, tetraethyl- or tetrabutyl-ammoiiium hydroxide.
• the crystallization may be carried out with or without crystal seeding i.e., by the addition of small amounts of one of the pseudopolymo ⁇ hs of the present invention, in amounts of from about 0.1 to about 5.0% based on the amount of the initial 9-deoxo-9a-aza- 9a-methyl-9a-homoerythromycin A material treated.
• the crystallization whether performed by controlled cooling, isothermal saturation or neutralization of the acidic solution with base, is carried out at temperatures of from about -10°C to about 80°C, preferably from about 0°C to about 40°C, and most desirably at temperatures of from about 5°C to about 25°C.
• the crystallization is completed in a period of from about 30 minutes to about 7 days. Step (c Isolating the Isostructural Pseudopolymo ⁇ hs
• the crystalline isostructural pseudopolymo ⁇ hs hereof are isolated in step (c) in conventional manner, e.g., by centrifugation, filtration or the like, operating under reduced, atmospheric or elevated pressures.
• the isolated pseudopolymo ⁇ h is then washed in a water- miscible organic solvent (such as those described hereinabove) or in such a solvent admixed with water.
• the resulting intermediate product is then dried in conventional manner, e.g., by fluid bed drying, operating under atmospheric pressure at temperatures of from about 20° to about 120°C, or under reduced pressures of from about 2 to about 80 kPa and at temperatures of from about 30°C to about 120°C.
• the improved properties of that pseudopolymo ⁇ h relative to the commercially available 9-deoxo-9a-aza-9a-methyl-9a-homoerythromycin A dihydrate are more fully disclosed in Examples 25-27 below.
• the new isostructural 9-deoxo-9a-aza-9a-methyl-9a-homoerythromycin A pseudopolymo ⁇ hs of the present invention can be utilized in the preparation of rapid, controlled and sustained release pharmaceutical formulations, suitable for oral, rectal, parenteral, transdermal, buccal, nasal, sublingual, subcutaneous or intravenous administration.
• Such formulations may be useful for the treatment of bacterial and protozoan infections in humans and animals, as well as other conditions such as inflammatory diseases.
• oral preparations are preferably administered orally, in the form of rapid or controlled release tablets, microparticles, mini tablets, capsules and oral solutions or suspensions, or powders for the preparation thereof.
• oral preparations may optionally include various standard pharmaceutical carriers and excipients, such as binders, fillers, buffers, lubricants, glidants, disintegrants, odorants, sweeteners, surfactants and coatings. Some excipients may have multiple roles in the formulations, e. g., act as both binders and disintegrants.
• Examples of pharmaceutically acceptable disintegrants for oral formulations useful in the present invention include, but are not limited to, starch, pre-gelatinized starch, sodium starch glycolate, sodium carboxymethylcellulose, croscarmellose sodium, microcrystalline cellulose, alginates, resins, surfactants, effervescent compositions, aqueous aluminum silicates and crosslinked polyvinylpyrrolidone.
• binders for oral formulations useful herein include, but are not limited to, acacia; cellulose derivatives, such as methylcellulose, carboxymethylcellulose, hydroxypropylmethylcellulose, hydroxypropylcellulose or hydroxyethylcellulose; gelatin, glucose, dextrose, xylitol, polymethacrylates, polyvmylpyrrolidone, sorbitol, starch, pre-gelatinized starch, tragacanth, xanthane resin,
• alginates magnesium-aluminum silicate, polyethylene glycol or bentonite.
• Examples of pharmaceutically acceptable fillers for oral formulations include, but are not limited to, lactose, anhydrolactose, lactose monohydrate, sucrose, dextrose, mannitol, sorbitol, starch, cellulose (particularly microcrystalline cellulose), dihydro- or anhydro- calcium phosphate, calcium carbonate and calcium sulfate.
• Examples of pharmaceutically acceptable lubricants useful in the formulations of the invention include, but are not limited to, magnesium stearate, talc, polyethylene glycol, polymers of ethylene oxide, sodium lauryl sulfate, magnesium lauryl sulfate, sodium oleate, sodium stearyl fumarate, DL-leucine and colloidal silicon dioxide
• suitable pharmaceutically acceptable odorants for the oral formulations include, but are not limited to, synthetic aromas and natural aromatic oils such as extracts of oils, flowers, fruits and combinations thereof. Preferable are vanilla and fruit aromas, including banana, apple, sour cherry, peach and similar aromas. Their use depends on many factors, the most important being the organoleptic acceptability for the population that will be taking the pharmaceutical formulations.
• suitable pharmaceutically acceptable dyes for the oral formulations include, but are not limited to, synthetic and natural dyes such as titanium dioxide, beta- carotene and extracts of grapefruit peel.
• suitable pharmaceutically acceptable coatings for the oral formulations typically used to facilitate swallowing, modify the release properties, improve the appearance, and/or mask the taste of the formulations include, but are not limited to, hydroxypropylmethylcellulose, hydroxypropylcellulose and acrylate-methacrylate copolymers.
• Suitable examples of pharmaceutically acceptable sweeteners for the oral formulations include, but are not limited to, aspartame, saccharin, saccharin sodium, sodium cyclamate, xylitol, mannitol, sorbitol, lactose and sucrose.
• Suitable examples of pharmaceutically acceptable buffers include, but are not limited to, citric acid, sodium citrate, sodium bicarbonate, dibasic sodium phosphate, magnesium oxide, calcium carbonate and magnesium hydroxide.
• Suitable examples of pharmaceutically acceptable surfactants include, but are not limited to, sodium lauryl sulfate and polysorbates.
• Formulations of the isostructural 9-deoxo-9a-aza-9a-methyl-9a-homoerythromycin A pseudopolymo ⁇ hs of the present invention can also be administered intravenously or intraperitoneally, by infusion or injection.
• Dispersions can also be prepared in a liquid carrier or intermediate, such as glycerin, liquid polyethylene glycols, triacetin oils, and mixtures thereof. To improve storage stability, such preparations may also contain a preservative to prevent the growth of microorganisms.
• compositions suitable for injection or infusion may be in the form of a sterile aqueous solution, a dispersion or a sterile powder that contains the active ingredient, adjusted, if necessary, for preparation of such a sterile solution or dispersion suitable for infusion or injection. This may optionally be encapsulated into liposomes. In all cases, the final preparation must be sterile, liquid, and stable under production and storage conditions.
• the liquid carrier or intermediate can be a solvent or liquid dispersive medium that contains, for example, water, ethanol, a polyol (e. g. glycerol, propylene glycol or the like), vegetable oils, non-toxic glycerine esters and suitable mixtures thereof.
• Suitable flowability may be maintained, by generation of liposomes, administration of a suitable particle size in the case of dispersions, or by the addition of surfactants.
• Prevention of the action of microorganisms can be achieved by the addition of various antibacterial and antifungal agents, e. g. paraben, chlorobutanol, or sorbic acid, h many cases isotonic substances are recommended, e. g. sugars, buffers and sodium chloride to assure osmotic pressure similar to those of body fluids, particularly blood.
• Prolonged abso ⁇ tion of such injectable mixtures can be achieved by introduction of abso ⁇ tion-delaying agents, such as aluminium monostearate or gelatin.
• Sterile injectable solutions can be prepared by mixing the 9-deoxo-9a-aza-9a-methyl- 9a-homoerythromycin A isostructural pseudopolymo ⁇ hs with an appropriate solvent and one or more of the aforementioned excipients, followed by sterile filtering.
• preferable preparation methods include drying in vacuum and lyophilization, which provide powdery mixtures of the isostructural pseudopolymo ⁇ hs and desired excipients for subsequent preparation of sterile solutions.
• the compounds of the present invention may also be used for the preparation of locally acting, topical formulations.
• Such formulations may also contain other pharmaceutically acceptable excipients, such as polymers, oils, liquid carriers, surfactants, buffers, preservatives, stabilizers, antioxidants, moisturizers, emollients, colorants and odorants.
• Examples of pharmaceutically acceptable polymers suitable for such topical formulations include, but are not limited to, acrylic polymers; cellulose derivatives, such as carboxymethylcellulose sodium, methylcellulose or hydroxypropylcellulose; natural polymers, such as alginates, tragacanth, pectin, xanthan and cytosan.
• suitable pharmaceutically acceptable oils which are so useful include but are not limited to, mineral oils, silicone oils, fatty acids, alcohols, and glycols.
• suitable pharmaceutically acceptable liquid carriers include, but are not limited to, water, alcohols or glycols such as ethanol, isopropanol, propylene glycol, hexylene glycol, glycerol and polyethylene glycol, or mixtures thereof in which the pseudopolymo ⁇ h is dissolved or dispersed, optionally with the addition of non-toxic anionic, cationic or non- ionic surfactants, and inorganic or organic buffers.
• Suitable examples of pharmaceutically acceptable preservatives include, but are not limited to, various antibacterial and antifungal agents such as solvents, for example ethanol, propylene glycol, benzyl alcohol, chlorobutanol, quaternary ammonium salts, and parabens (such as methyl paraben, ethyl paraben, propyl paraben, etc.).
• solvents for example ethanol, propylene glycol, benzyl alcohol, chlorobutanol, quaternary ammonium salts, and parabens (such as methyl paraben, ethyl paraben, propyl paraben, etc.).
• Suitable examples of pharmaceutically acceptable stabilizers and antioxidants include, but are not limited to, ethylenediaminetetraacetic acid (EDTA), thiourea, tocopherol and butyl hydroxyanisole.
• EDTA ethylenediaminetetraacetic acid
• thiourea thiourea
• tocopherol thiourea
• butyl hydroxyanisole ethylenediaminetetraacetic acid
• Suitable examples of pharmaceutically acceptable moisturizers include, but are not limited to, glycerine, sorbitol, urea and polyethylene glycol.
• Suitable examples of pharmaceutically acceptable emollients include, but are not limited to, mineral oils, isopropyl myristate, and isopropyl palmitate.
• the use of dyes and odorants in topical formulations ofthe present invention depends on many factors of which the most important is organoleptic acceptability to the population that will be using the pharmaceutical formulations.
• the therapeutically acceptable quantity of the 9-deoxo-9a-aza-9a-methyl-9a- homoerythromycin A isostructural pseudopolymo ⁇ hs of the present invention administered varies, dependent on the selected compound, the mode of administration, treatment conditions, age and status ofthe patient or animal species, and is subject to the final decision ofthe physician, clinician or veterinary doctor monitoring the course of treatment.
• Suitable oral and parenteral doses may vary within the range of from about 1 to about 200 mg per kg of body weight per day, preferably from about 5 to about 100 mg per kg of body weight and more preferably from about 5 to about 50 mg per kg of body weight per day.
• the 9-deoxo-9a-aza-9a-methyl-9a-homoerythromycin A pseudopolymo ⁇ hs may be formulated in a single dosage form that contains from about 1 to about 3000 mg, preferably from about 100 to about 200 mg, and more desirably from about 150 to about 600 mg ofthe active substance per unit dose.
• the isostructural pseudopolymo ⁇ hs of the present invention were prepared as described in Examples 1-22 below, utilizing 9-deoxo-9a-aza-9a-methyl-9a- homoerythromycin A in various purities and crystalline forms, including anhydrous, hydrated and solvated forms, as substrates initially used therein.
• the various 9-deoxo-9a-aza-9a- methyl-9a-homoerythromycin A materials so utilized were commercially available or prepared in the manner disclosed in the prior art, to the extent that the conditions therein could be ascertained.
• the reaction mixture was thereafter cooled and activated charcoal was added thereto. After stirring the mixture was filtered, and the charcoal remaining on the filter was washed with acetone (0.5-2.0 1/kg of the 9a-DeMet substrate). The combined acetone solution (both the filtrate and the wash) was then added to the water (10-20 1/kg of the 9a-DeMet). Product crystals were thus partially precipitated.
• the resulting mixture was alkalized stepwise with 10% sodium hydroxide to a pH of 9.8, and then stirred at room temperature for 2 hours.
• the precipitate was filtered, washed with an aqueous acetone solution (10% VN) and dried at room temperature under atmospheric pressure to constant weight. A minimum of 0J mole of the isostructural pseudopolymo ⁇ h was thus prepared.
• the isostructural pseudopolymo ⁇ h was characterized, identified as compound II in Table 1 below. The specific conditions utilized in the preparation of that pseudopolymo ⁇ h are summarized in Table 2.
• Example 1 i.e. it was heated to its boiling point and stirred at that temperature for 4 hours.
• the reaction mixture was then cooled and activated charcoal was added thereto. After stirring the mixture was filtered, and the charcoal remaining on the filter was washed with isopropanol (0.5-2.0 1/kg of the 9a-DeMet substrate). The combined isopropanol solution (both the filtrate and the wash) was then added to the water (10-20 1/kg of the 9a-DeMet). Product crystals were thus precipitated.
• the resulting mixture was alkalized stepwise with 10% sodium hydroxide to a pH of 9.8, and then stirred at room temperature for a further 2 hours.
• the precipitate was filtered, washed with an aqueous isopropanol solution (10% V/N) and dried to constant weight at a temperature of 70°C to 80°C, under a reduced pressure of 3 to 5 kPa.
• a minimum of 0.7 mole of the isostructural pseudopolymo ⁇ h le was thus prepared.
• the isostructural pseudopolymo ⁇ h was characterized as identified in Table 1. The specific conditions utilized in the preparation are disclosed in Table 2.
• distillation was slowly cooled from 90 °C to 0 °C over a period of 30 hours.
• the precipitate was filtered, washed with a cold aqueous solution of 1,2-ethanediol (10 % VN) and dried to constant weight under atmospheric pressure and at a temperature of 0 °C to 10
• the precipitate thus formed was filtered and washed with an aqueous acetone solution (10 % VN).
• Example 14 Example 16:
• the resulting pseudopolymo ⁇ h la characterized in Table 1, was identical in form and yield to that obtained in Example 14.
• the crude commercial 9-deoxo-9a-aza-9a-methyl-9a-homoerythromycin A (100 g) was suspended in 500 ml of water and acidified stepwise at room temperature during a period of 105 minutes to a pH of 5.2 using 10 % hydrochloric acid.
• the resulting solution was then added drop wise for about 35 minutes to 1360 ml of approximately 3 % acetone (formed by adding 1320 ml of water to 40 ml of acetone) at room temperature.
• a 10% sodium hydroxide solution was added dropwise during 55 minutes at room temperature, until a pH of 9.8 was obtained.
• the mixture was then heated to 40 °C, stirred at that temperature for 120 minutes and then cooled to 30 °C.
• the crude commercial 9-deoxo-9a-aza-9a-methyl-9a-homoerythromycin A (40 g) was suspended in 200 ml of water and acidified stepwise at room temperature for about 60 minutes to a pH of 5.5.
• the resulting solution was added dropwise to 600 ml of a 10% acetone solution (formed by adding 60 ml of acetone to 540 ml of water) at room temperature during 30 minutes.
• the resulting solution was added dropwise to 600 ml of a 10% acetone solution (formed by adding 60 ml of acetone to 540 ml of water) at room temperature during 30 minutes.
• Water, co-solvents glycerol, polyethylene glycol
• preservatives methyl and propylparaben
• stasbilizer and gelling polymer are homogenized by standard technique to form an aqueous phase.
• a typical pseudopolymo ⁇ h-containing formulation thus prepared is given in Table 5.
• a wide range of concentrations of the isostructural pseudopolymo ⁇ hs of 9-deoxo-9a-aza-9a-methyl-9a-homoerythromycin A can be utilized; a preservative may also be inco ⁇ orated in the preparation depending on the dosage form (i.e., multidose or monodose).
• the intrinsic dissolution rates (TDR's) for the new pseudopolymo ⁇ h ofthe invention and the commercial dihydrate, at pH 3 and pH 6 and 37°C, were determined by Intrinsic Dissolution Tester, Nan Kel Type.
• the IDR for the new pseudopolymo ⁇ h was about 2.5-2.8 mg min "! cm "2 , about 40 to 50% higher than the IDR of the prior art 9-deoxo-9a-aza-9a-methyl-9a-homoerythromycin A dihydrate (about 1.8 mg mn 'cm " ⁇ .
• a similarity factor (f2) of between 50 and 100 suggests that two dissolution profiles compared are similar and suggests that they have similar bioavailability.
• f2 values below 50 indicate significant differences in two dissolution profiles and hence in their relative bioavailability.
• % RH percent relative humidities
• Example 28 In Vivo Pharmacokinetic Profiles Of New Pseudopolymorph la Of The Invention vs. Commercial 9-deoxo-9a-aza-9a-methyl-9a-homoerythromycin A Dihydrate.
• homoerythromycin A pseudopolymorph la of the invention as compared with the
• the calculated AUC value for the first 0-12 hours, AUQo-u), is su ⁇ risingly approximately 20% higher for the 9-deoxo-9a-aza-9a-mefhyl-9a-homoerythromycin A
• pseudopolymo ⁇ h la relative to the commercial 9-deoxo-9a-aza-9a-methyl-9a- homoerythromycin A dihydrate product in both whole blood and plasma.

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