WO2018078049A1 - Aldosterone synthase inhibitor - Google Patents
Aldosterone synthase inhibitor Download PDFInfo
- Publication number
- WO2018078049A1 WO2018078049A1 PCT/EP2017/077511 EP2017077511W WO2018078049A1 WO 2018078049 A1 WO2018078049 A1 WO 2018078049A1 EP 2017077511 W EP2017077511 W EP 2017077511W WO 2018078049 A1 WO2018078049 A1 WO 2018078049A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- cyanophenyl
- pyridine
- tetrahydroimidazolium
- dihydrogen phosphate
- compound
- Prior art date
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Classifications
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D471/00—Heterocyclic compounds containing nitrogen atoms as the only ring hetero atoms in the condensed system, at least one ring being a six-membered ring with one nitrogen atom, not provided for by groups C07D451/00 - C07D463/00
- C07D471/02—Heterocyclic compounds containing nitrogen atoms as the only ring hetero atoms in the condensed system, at least one ring being a six-membered ring with one nitrogen atom, not provided for by groups C07D451/00 - C07D463/00 in which the condensed system contains two hetero rings
- C07D471/04—Ortho-condensed systems
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P5/00—Drugs for disorders of the endocrine system
- A61P5/38—Drugs for disorders of the endocrine system of the suprarenal hormones
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P9/00—Drugs for disorders of the cardiovascular system
- A61P9/04—Inotropic agents, i.e. stimulants of cardiac contraction; Drugs for heart failure
Definitions
- the present invention relates to a compound selected from (R)-(+)-5-(p-cyanophenyl)- 5,6,7,8-tetrahydroimidazo[l,5-a]pyridine and a pharmaceutically acceptable salt thereof, and in particular to the phosphate salt of (R)-(+)-5-(p-cyanophenyl)-5, 6,7,8- tetrahydroimidazo[l,5-a]pyridine, both having preferably an enantiomeric excess of the (R) form higher than or equal to 97%.
- the present invention relates to pharmaceutical compositions comprising the same, their use as a medicament and in methods of treatment of diseases and disorders in which aldosterone over-exposure contributes to the deleterious effects of said diseases or disorders including in premenopausal women and pediatric patients, as well as processes for preparing said inventive compounds.
- Aldosterone synthase (CYP11B2) inhibition has emerged as a new option for the treatment of hypertension, heart failure and renal disorders, in addition to mineralocorticoid receptor (MR) blockade.
- the aim is to decrease aldosterone concentrations in both plasma and tissues, thereby decreasing MR-dependent and MR- independent effects in the cardiac, vascular and renal target organs.
- Aldosterone is produced in the zona glomerulosa of the adrenal gland by the enzymatic action of aldosterone synthase (CYP11B2) on deoxycorticosterone (M. Azizi et al., Nephrol Dial Transplant (2013) 28: 36-43).
- aromatase inhibition may lead to developmental disorders.
- the need for a very high purity and avoidance of contaminants and impurities of such drugs, which are usually applied for a long period of time or even for lifetime, is evident.
- solubility in water and stability including enantiomeric stability over an extended period of time in order to exclude any conversion to aromatase-inhibiting moieties, as well as the processability of such a drug, particularly into forms of administration suitable of oral administration such as tablets, are further combined prerequisites for a pharmaceutical preparation of such a drug.
- the inventors have further surprisingly found that the phosphate salt of (R)-(+)-5-(p-cyanophenyl)-5, 6,7,8- tetrahydroimidazo[l,5-a]pyridine, and in particular (R)-(+)-5-(p-cyanophenyl)-5,6,7,8- tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate, is non-hygroscopic and stable over an extended period of time, in particular with respect to purity, water content as well as enantiomeric purity.
- the inventors have surprisingly found that the phosphate salt of (R)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazo[l,5-a]pyridine, and in particular (R)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate is crystalline in one stable form.
- the inventive compounds furthermore possess a decreased and very low aromatase activity, and consequently an increased and very high aldosterone synthase activity, which makes the inventive compounds very suitable as candidates for clinical development in humans, in particular for premenopausal women and pediatric patients.
- the very low aromatase activity is believed to be even a prerequisite for clinical development and registered use as a medicament to treat diseases and disorders associated with aldosterone overexposure, in particular for premenopausal women, and thus women of child bearing potential, and pediatric patients.
- the latter is in particular true since and although the amount of aromatase and the percentage conversion of androgen to estrogen may be quantitatively small in extra-gonadal tissues, often being below 1% in any tissue, the effects in terms of hormonal action still may be great (Blakemore and Naftolin, Physiology (2016) 31 :258-269).
- the inventive compounds provide for the possibility of life-time treatment of disorders negatively affected by aldosterone production due to minimizing the contamination and negative and unwanted effects caused by the potent aromatase inhibiting (S)-enantiomer.
- the present invention provides for a compound selected from (R)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazo[l,5-a]pyridine of formula (I) and a pharmaceutically acceptable salt thereof, wherein said compound has an ee of the (R) form higher than or equal to 97%, preferably higher than or equal to 98%, more preferably higher than or equal to 99%, and again more preferably higher than or equal to 99.5%, again more preferably higher than or equal to 99.8%>, e.g. 99.9%.
- the present invention provides for (R)-(+)-5-(p- cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate, typically and preferably having an ee of the (R) form higher than or equal to 97%, preferably higher than or equal to 98%, more preferably higher than or equal to 99%, and again more preferably higher than or equal to 99.5%, again more preferably higher than or equal to 99.8%, e.g. 99.9%) and which has been surprisingly found to be non-hygroscopic and stable over an extended period of time, and hereby in particular with respect to purity, water content and chiral purity.
- the phosphate salt of (R)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazo[l,5-a]pyridine, and in particular (R)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate is crystalline in one stable form. Unstable polymorphic forms typically affect negatively pharmaceutical efficacy properties.
- the present invention provides in further aspects for ( ?)-(+)-5-(p- cyanophenyl)-5,6,7,8-tetrahydroimidazo[l,5-a]pyridine as well as the phosphate salt thereof, preferably the (R)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate, typically and preferably having an ee of the (R) form higher than or equal to 97%, preferably higher than or equal to 98%, more preferably higher than or equal to 99%, and again more preferably higher than or equal to 99.5%, again more preferably higher than or equal to 99.8%>, e.g.
- a disease or disorder in humans including women of child bearing potential and pediatric patients, in which aldosterone over-exposure contributes to the deleterious effects of said disease or disorder
- said disease or disorder is typically and preferably selected from primary and secondary hyperaldosteronism, heart failure, chronic renal failure, hypertension, restenosis, obesity, nephropathy, post-myocardial infarction, renal fibrosis, and coronary heart disease; and wherein further preferably said disease or disorder is selected from primary and secondary hyperaldosteronism.
- said method is in particular suited for use in humans including preferably for women of child bearing potential and pediatric patients.
- the inventive phosphate salt of (R)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazo[l,5- ajpyridine preferably the (R)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l,5- ajpyridine dihydrogen phosphate, inhibits aldosterone production (aldosterone synthase activity) and estradiol production (aromatase activity) by NCI-H295R adrenal cells with IC 5 o's of 8.1 nM and 5760 nM, respectively; thus demonstrating a more than 700-fold greater inhibition of aldosterone synthase activity as compared to aromatase activity evidencing a highly beneficial safety profile for the inventive phosphate salt of (R)-(+)-5-(p-cyanophenyl)-
- the present invention is in particular suited for application in humans, in particular for premenopausal women and pediatric patients.
- the very low aromatase activity is believed to be even a prerequisite for clinical development and use as a medicament for aldosterone-associated diseases and disorders, in particular for premenopausal women, and thus women of child bearing potential, and pediatric patients.
- the present invention provides for (R)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazo[l,5-a]pyridine or a pharmaceutically acceptable salt thereof, in particular the phosphate salt thereof, more preferably the (R)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate, having an IC 50 value for aromatase higher than or equal to 700 nM determined by the cell-free human recombinant aromatase enzyme assay described in Example 8, in which the phosphate salt of (R)-(+)-5-(p-cyanophenyl)-5,6,7,8- tetrahydroimidazo[l,5-a]pyridine, preferably the (R)-(+)-5-(p-cyanophenyl)-5,6,7,8- tetrahydroimidazo
- the present invention provides for a compound selected from (R)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazo[l,5-a]pyridine and a pharmaceutically acceptable salt thereof, in particular the phosphate salt thereof, more preferably the (R)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate, wherein said compound inhibits aldosterone synthase in the NCI- H295R adrenal cell assay described in Example 8 with an IC 50 of 100 nM or less.
- the present invention provides for a process for preparing a compound selected from (R)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazo[l,5-a]pyridine and a pharmaceutically acceptable salt thereof characterized by enantioselective crystallization of the (-)-0,0'-dibenzoyl-L-tartaric acid salt of (R)-(+)-5-(p-cyanophenyl)- 5,6,7,8-tetrahydroimidazo[l,5-a]pyridine, and wherein very preferably said pharmaceutically acceptable salt is the dihydrogen phosphate thereof.
- the present invention provides for a compound selected from (R)-
- said compound is (R)- (+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate and has a specific optical rotation [ ⁇ ] ⁇ 20 (CH 3 CN:H 2 0 1 : 1 (v/v)) of at least +95°, preferably of at least +96°, more preferably of at least +97°, even more preferably of at least +98°, and wherein preferably said compound inhibits aromatase activity in the cell-free human recombinant aromatase enzyme assay described in Example 8 with an IC 50 of 700 nM or more, preferably 1000 nM or more, and more preferably 1500 nM or more; and wherein further preferably said compound inhibits aldosterone synthase in the NCI-H295R adrenal cell assay described in Example 8 with an IC 50 of 100 nM or less, preferably 50 nM or
- the present invention provides for a compound selected from (R)- (+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazo[l,5-a]pyridine and a pharmaceutically acceptable salt thereof, wherein said compound has a specific optical rotation [ ⁇ ] ⁇ 20 (CH 3 CN:H 2 0 1 : 1 (v/v)), [a] D 20 (ethanol) or [a] D 25 (ethanol), preferably [a] D 20 (CH 3 CN:H 2 0 1 : 1 (v/v)), of at least +95°, preferably of at least +96°, more preferably of at least +97°, even more preferably of at least +98°, and wherein preferably said compound is (R)-(+)-5-(p- cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate, and wherein further preferably said compound has a selectivity
- said compound is (R)-(+)-5-(p- cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate and has a specific optical rotation [ ⁇ ] ⁇ 20 (CH 3 CN:H 2 0 1 :1 (v/v)) of at least +95°, preferably of at least +96°, more preferably of at least +97°, even more preferably of at least +98°, and wherein preferably said compound has a selectivity for aldosterone synthase over aromatase of 50 or more, preferably 100 or more, most preferably 700 or more; wherein said selectivity is determined by the ratio of the IC 50 values for inhibition of aromatase and aldosterone synthase; wherein the IC 50 values for inhibition of aldosterone synthase and aromatase are both measured, preferably concomitantly, in the NCI-H2
- the present invention provides for a compound selected from (R)-
- the present invention provides for a compound selected from (R)- (+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazo[l,5-a]pyridine and a pharmaceutically acceptable salt thereof, wherein said compound inhibits aldosterone synthase in the NCI- H295R adrenal cell assay described in Example 8 with an IC 50 of 100 nM or less, preferably 50 nM or less, and more preferably 10 nM or less; and wherein preferably said compound has an enantiomeric excess of the (R) form higher than or equal to 97%, and wherein further preferably said compound is (R)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l,5- ajpyridine dihydrogen phosphate.
- the present invention provides for a compound selected from (R)- (+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazo[l,5-a]pyridine and a pharmaceutically acceptable salt thereof, wherein said compound has a selectivity for aldosterone synthase over aromatase of 50 or more, preferably 100 or more, most preferably 700 or more; wherein said selectivity is determined by the ratio of the IC 50 values for inhibition of aromatase and aldosterone synthase; wherein the IC 50 values for inhibition of aldosterone synthase and aromatase are both measured, preferably concomitantly, in the NCI-H295R adrenal cell assay described in Example 8; and wherein preferably said compound has an enantiomeric excess of the (R) form higher than or equal to 97%, and wherein further preferably said compound is (R)-(+)-5-(p-cyanophenyl)
- FIG. 1 X-ray powder diffraction (XRPD) diffractogram of (R)-(+)-5-(p-cyanophenyl)- 5,6,7,8-tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate.
- the Y-axis of the diffractogram records the intensity in counts per second whereas the X-axis the degrees 2- theta.
- FIG. 2 Thermal gravimetric analysis (TGA)/differential scanning calorimetry (DSC) of (R)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate.
- the upper panel shows a TGA thermogram of (R)-(+)-5-(p-cyanophenyl)-5,6,7,8- tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate.
- the lower panel shows a DSC thermogram of (R)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate.
- the thermogram indicates a mass loss of 1.4% up to a temperature of 225°C (upper panel) which is beyond the melting point of 189°C (lower panel).
- the thermogram indicates a melting point with an onset at 188 °C and peaking at 189°C.
- FIG. 3 Chiral purity of (R)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l,5- ajpyridine dihydrogen phosphate determined by high pressure liquid chromatography (HPLC). The chromatogram demonstrates an enantiomeric excess of the R-(+) enantiomer (retention time 14.459 min) of higher than 99.9% ee (retention time of the S-(-)-enantiomer: 9.814 min).
- FIG. 4 Dynamic vapor sorption (DVS) isotherm plot of (R)-(+)-5-(p-cyanophenyl)- 5,6,7,8-tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate (overlay of two sorption/desorption cycles).
- the dynamic isotherm plot shows a mass increase, respectively hygroscopicity of up to 1%.
- FIG. 5 Dynamic vapor sorption (DVS) mass plot change of (R)-(+)-5-(p- cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate (dotted curve: relative change in mass; dashed curve: target relative humidity (RH)).
- the mass plot indicates a reversible water uptake of up to 1%.
- FIG. 6 X-ray powder diffraction (XRPD) diffractograms of (R)-(+)-5-(p- cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate measured before (upper pattern) and after (lower pattern) DVS cycles.
- the overlayed diffractograms indicate that DVS treatment does not affect the reflection patterns respectively the crystal form.
- FIG. 7 Crystal structure and absolute configuration of (R)-(+)-5-(p-cyanophenyl)- 5,6,7,8-tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate determined by single crystal X-ray analysis. The single X-ray determination confirms the R-(+)-configuration on carbon 5.
- a R is the area of the (i?)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazo[l,5- ajpyridine peak in the HPLC chromatogram of the sample solution and As is the area of the (5)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazo[l,5-a]pyridine peak in the HPLC chromatogram of the sample solution.
- pharmaceutically acceptable salt refers to a salt that is pharmaceutically acceptable and that possesses the desired pharmacological activity of the parent compound.
- Such salts include acid addition salts formed with inorganic acids or organic acids known to the skilled person in the art (P. Heinrich Stahl (Editor), Camille G. Wermuth (Editor); Handbook of Pharmaceutical Salts: Properties, Selection, and Use, 2nd Revised Edition, March 2011, Wiley- VCH, ISBN: 978-3-90639-051-2).
- a particularly preferred pharmaceutically acceptable salt in the present invention is an acid addition salt formed with phosphoric acid, i.e. a dihydrogen phosphate.
- phosphate salt refers to compounds comprising (R)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazo[l,5-a]pyridine in its protonated form, i.e. the (R)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l,5- ajpyridine cation and further comprising anions derived from phosphoric acid, wherein said anions are typically and preferably selected from dihydrogen phosphate [H 2 P0 4 ] and hydrogen phosphate [HP0 4 ] 2" .
- phosphate salt refers to the compound of formula (I) dihydrogen phosphate, that is, wherein the compound of formula (I) is protonated once and the counterion is [H 2 P0 4 ] (see FIG. 7 for single crystal X-ray structure) and, thus, the stoichiometry of mono-protonated (R)-(+)-5-(p- cyanophenyl)-5,6,7,8-tetrahydroimidazo[l,5-a]pyridine to dihydrogen phosphate is 1 : 1.
- the latter compound is referred herein as (R)-(+)-5-(p-cyanophenyl)-5,6,7,8- tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate.
- aromatase refers to CYP19, a member of the cytochrome P450 superfamily, and is also known as estrogen synthase.
- aldosterone synthase refers to the steroid hydroxylase cytochrome P450 enzyme CYP11B2.
- amorphous as used herein, means a supercooled liquid or a viscous liquid which looks like a solid but does not have a regularly repeating arrangement of molecules that is maintained over a long range and does not have a melting point but rather softens or flows above its glass transition temperature.
- crystalline and “crystalline purity” refer to a solid having a regularly repeating arrangement of molecules or external face planes.
- the terms “crystalline” and “crystalline purity” when referring to (R)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l,5- ajpyridine dihydrogen phosphate comprising (R)-(+)-5-(p-cyanophenyl)-5,6,7,8- tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate refers to the crystalline form I, wherein said crystalline form I is present of at least 60% by total weight, preferably of at least 70% by total weight, further preferably of at least 80% by total weight, again further preferably of at least 90% by total weight, and again further preferably of at least 95% by total weight.
- Further components may be, for example, amorphous (R)-(+)-5-(p-cyanophenyl)- 5,6,7,8-tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate.
- Crystalline purity may be determined by means of XRPD as described herein.
- said XRPD can be determined using the following device, parameters and measuring conditions: Instrument: Bruker AXS D2 PHASER; Irradiation: CuKa (30kV, 10 mA); scan range: 5 to 45° (2 theta value), sample rotation 5 rpm, 0.5s/step, 0.010°/step, 3.0mm detector slit.
- crystalline form I refers to the (R)-(+)-5-(p-cyanophenyl)- 5,6,7,8-tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate, wherein said (R)-(+)-5- (p-cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate has an X-ray powder diffraction pattern comprising the following 2 ⁇ values measured using CuKa radiation: 19.504; 21.919 and 24.159, wherein each peak may vary by ⁇ 1 or preferably by ⁇ 0.5, or further preferably by ⁇ 0.2 degrees.
- crystalline form I refers to the (R)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l,5- ajpyridine dihydrogen phosphate, wherein said (R)-(+)-5-(p-cyanophenyl)-5, 6,7,8- tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate has an X-ray powder diffraction pattern comprising the following 2 ⁇ values measured using CuKa radiation, 19.504; 21.919 and 24.159, wherein each peak may vary by ⁇ 1 or preferably by ⁇ 0.5, or further preferably by ⁇ 0.2 degrees.
- crystalline form I refers to the (R)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate, wherein said (R)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l,5- ajpyridine dihydrogen phosphate has an X-ray powder diffraction pattern comprising the following 2 ⁇ values measured using CuKa radiation, 19.504; 21.919 and 24.159, wherein each peak may vary by ⁇ 0.5, or preferably by ⁇ 0.2 degrees.
- the term "crystalline form I" as used herein refers to the (R)-(+)-5-(p- cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate, wherein said (R)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate has an X-ray powder diffraction pattern comprising the following 2 ⁇ values measured using CuKa radiation, 19.504; 21.919 and 24.159, wherein each peak may vary by ⁇ 0.2 degrees.
- crystalline form I refers to the (R)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate, wherein said (R)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l,5- ajpyridine dihydrogen phosphate has an X-ray powder diffraction pattern comprising the following 2 ⁇ values measured using CuKa radiation: 19.504; 21.919; 24.159; 16.003; 26.101; 27.168; 27.542 and 29.029, wherein each peak may vary by ⁇ 1 or preferably by ⁇ 0.5, or further preferably by ⁇ 0.2 degrees.
- crystalline form I refers to the (R)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l,5- ajpyridine dihydrogen phosphate, wherein said (R)-(+)-5-(p-cyanophenyl)-5,6,7,8- tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate has an X-ray powder diffraction pattern comprising the following 2 ⁇ values measured using CuKa radiation: 19.504; 21.919; 24.159; 16.003; 26.101; 27.168; 27.542 and 29.029, wherein each peak may vary by ⁇ 0.5, or preferably by ⁇ 0.2 degrees.
- anhydrous refers to a crystalline form which contains less than 3%, preferably less than 2.5%, more preferably less than 2%, more preferably less than 1.5%, most preferably less than 1 % water of hydration.
- non-hygroscopic means the ability by the inventive pharmaceutically acceptable salts of (R)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazo[l,5-a]pyridine, and in particular of the phosphate salt of (R)-(+)-5-(p-cyanophenyl)-5, 6,7,8- tetrahydroimidazo[l,5-a]pyridine, more preferably the (R)-(+)-5-(p-cyanophenyl)-5, 6,7,8- tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate, when they occur as powders or granules, to withstand exposure to the water vapor of an ambient atmosphere for 24 hours, weeks, months or years as a premise for commercial use without giving rise to adverse phenomena of aggregating, agglomerating, absorbing water, or deliquescing.
- non- hygroscopic as used herein and referring to the phosphate salt of (R)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazo[l,5-a]pyridine, and preferably when referring to the (R)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate, means that on storage in the open under normal ambient conditions, typically and preferably at 20-25 °C and a relative humidity of between 20% and 80%, preferably between 30%> and 60%>, it preserves its consistency as (preferably free-flowing) powder or granules over a period of at least one day, preferably one week, further preferably one month, again further preferably over a period of at least 3 months, and again further preferably for at least 6 months, and again further preferably or at least 1 year or
- non- hygroscopic as used herein and referring to the phosphate salt of (R)-(+)-5-(p-cyanophenyl)-5, 6,7,8- tetrahydroimidazo[l,5-a]pyridine, and preferably when referring to the (R)-(+)-5-(p- cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate, means that on storage in the open under normal ambient conditions, typically and preferably at 20-25 °C and a relative humidity of between 20% and 80%, preferably between 30%> and 60%>, for a period of 24 hours, typically and preferably as determined in Example 5, it shows a weight increase of less than 5%, preferably of less than 3%, further preferably of less than 2%, again further preferably of less than 1%.
- non-hygroscopic as used herein and referring to the phosphate salt of (R)-(+)-5-(p-cyanophenyl)-5, 6,7,8- tetrahydroimidazo[l,5-a]pyridine, and preferably when referring to the (R)-(+)-5-(p- cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate, means that on storage in the open under normal ambient conditions, typically and preferably at room temperature, most preferably at 20-25 °C and at a relative humidity of between 20% and 80%, preferably between 30% and 60%, for a period of 24 hours, typically and preferably as determined in Example 5, said phosphate salt, preferably said (R)-(+)-5-(p-cyanophenyl)- 5,6,7,8-tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate, means that on
- non- hygroscopic as used herein and referring to the phosphate salt of (R)-(+)-5-(p- cyanophenyl)-5,6,7,8-tetrahydroimidazo[l,5-a]pyridine, and preferably when referring to the (R)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate, means that on storage in the open under normal ambient conditions, typically and preferably at 25 °C and a relative humidity of between of about 60%, for a period of 24 hours, preferably for a period of one month, further preferably for a period of at least 3 months, and again further preferably for at least 6 months, and again further preferably or at least 1 year, typically and preferably as determined in Example 9, the water content is less than 0.5 w/w%, preferably less than 0.4 w/w%, and
- pharmaceutically acceptable excipient includes any physiologically inert additive that is routinely used in pharmaceutical dosage forms.
- Pharmaceutically acceptable excipients are selected from the group comprising binders, diluents, carriers, lubricants, glidants, coating additives or combinations thereof.
- solubility refers to simplified descriptive solubilities (e.g. in water) in accordance with the U.S. Pharmacopoeia, Chapter “General Notices”, ⁇ 5.30 “Description and Solubility” (and as defined below):
- woman of childbearing potential refers to a premenopausal female capable of becoming pregnant.
- the term "pediatric patient” as used herein refers to patient in the age category 0-18, preferably 0-16 years and include preterm and term newborn infants (0-27 days), infants and toddlers (28 days to 23 months), children (2-11 years) and adolescents (2 to 16/18 years).
- IC 50 refers to the half maximal inhibitory concentration as commonly known in the art.
- the IC 50 for aromatase is determined by the cell-free human recombinant aromatase assay described in Example 8.
- the IC 50 for aldosterone synthase is determined by the human NCI-H295R cell assay described in Example 8.
- both the IC 50 for aldosterone synthase and the IC 50 for aromatase are determined, preferably concomitantly, by the human NCI-H295R cell assay described in Example 8.
- the phosphate salt of (R)-(+)-5-(p-cyanophenyl)-5, 6,7,8- tetrahydroimidazo[l,5-a]pyridine preferably the (R)-(+)-5-(p-cyanophenyl)-5,6,7,8- tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate, inhibits aldosterone production (aldosterone synthase activity) and estradiol production (aromatase activity) by NCI-H295R adrenal cells with ICso's of 8.1 nM and 5760 nM, respectively (Example 8, Tables 10 and 11); thus demonstrating a selectivity of about 700 for aldosterone synthase over aromatase.
- a disorder or "a disease” refers to any derangement or abnormality of function; a morbid physical or mental state. See Dorland's Illustrated Medical Dictionary (VSIB. Saunders Co. 27th ed. 1988).
- the expression "disease or disorder in which aldosterone over-exposure contributes to the deleterious effects of said disease or disorder” preferably refers to a disease and disorder which is due to the abnormal or inappropriate activity/expression of aldosterone synthase and the biological activity or process which is associated with the abnormal or inappropriate expression of aldosterone synthase.
- diseases or disorders that are due to abnormal or inappropriate activity/expression of aldosterone synthase are primary and secondary hyperaldosteronism, heart failure, chronic renal failure, hypertension, restenosis, obesity, nephropathy, post-myocardial infarction, renal fibrosis, and coronary heart disease.
- abnormal activity of aldosterone synthase refers to an activity of aldosterone synthase which differs from the activity of the wild-type or native gene or protein, or which differs from the activity of the gene or protein in a healthy subject.
- the abnormal activity can be stronger or weaker than the normal activity.
- the term "inappropriate activity of aldosterone synthase” refers to the activity of aldosterone synthase of the wild-type or native gene or protein or to the activity of the gene or protein in a healthy subject, which is considered as appropriate in a healthy subject, but the same said activity is considered inappropriate for a diseased subject, i.e. said activity is too strong or too weak for a diseased subject.
- treating or “treatment” of any disease or disorder refers to ameliorating the disease or disorder (i.e., arresting or reducing the development of the disease or at least one of the clinical symptoms thereof).
- the term "specific optical rotation" refers to the specific optical rotation of a solution of the respective compound in a solvent, wherein said solvent is typically and preferably ethanol or CH 3 CN:H 2 0 1 : 1 (v/v), further preferably CH 3 CN:H 2 0 1
- rotation is abbreviated as [ ⁇ ] ⁇ or [ ⁇ ] ⁇ .
- the sign of the rotation (+ or -) and its actual value is indicated herein or [ ⁇ ] ⁇ 20 or [a]o 25 is provided by way of its sign of the rotation (+ or -) and its actual value indicated in degrees (°).
- the complete unit as determined above (deg dm "1 cm 3 g "1 ) is typically omitted for the sake of clarity.
- the present invention provides for a compound selected from (R)-(+)-5- (p-cyanophenyl)-5,6,7,8-tetrahydroimidazo[l ,5-a]pyridine of formula (I) and a pharmaceutically acceptable salt thereof having an enantiomeric excess (ee) of the (R) form higher than or equal to 97%, preferably higher than or equal to 98%, more preferably higher than or equal to 99%, and again more preferably higher than or equal to 99.5%, again more preferably higher than or equal to 99.8%>, e.g. 99.9%.
- the present invention provides for (R)-(+)-5-(p- cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l ,5-a]pyridine dihydrogen phosphate, typically and preferably having an ee of the (R) form higher than or equal to 97%, preferably higher than or equal to 98%, more preferably higher than or equal to 99%, and again more preferably higher than or equal to 99.5%, again more preferably higher than or equal to 99.8%, e.g. 99.9%) and which has been surprisingly found to be non-hygroscopic and stable over an extended period of time, in particular with respect to purity, water content and chiral purity.
- the phosphate salt of (R)-(+)-5-(p-cyanophenyl)-5, 6,7,8- tetrahydroimidazo[l ,5-a]pyridine, and in particular (R)-(+)-5-(p-cyanophenyl)-5,6,7,8- tetrahydroimidazolium[l ,5-a]pyridine dihydrogen phosphate is crystalline in one stable form, typically and preferably in said crystalline form I.
- the water uptake of the inventive (R)-(+)-5-(p-cyanophenyl)-5,6,7,8- tetrahydroimidazolium[l ,5-a]pyridine dihydrogen phosphate as measured by Dynamic Vapour Sorption studies is less than 1% at greater than 90% humidity (Fig. 4) and in addition the water uptake is reversible (Fig. 5). Furthermore, the mass loss upon heating up to a temperature of 225 °C was only 1.4% (Fig. 2).
- the inventive phosphate salt preferably the (R)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l ,5-a]pyridine dihydrogen phosphate, is not hygroscopic.
- the inventive (R)-(+)-5-(p- cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l ,5-a]pyridine dihydrogen phosphate can be stored in bulk in customary pharmaceutical containment vessels at ambient conditions.
- inventive (i?)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l ,5- ajpyridine dihydrogen phosphate has been found to be highly crystalline and having a high level of crystalline purity.
- inventive (R)-(+)-5-(p- cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate with the described exceptional chiral purity is present in one single crystalline form with a defined x- ray structure and R-(+)- absolute configuration on carbon 5, its chiral center (Fig. 1 and Table l; Fig. 7).
- polymorphs Multiple crystalline forms - so called polymorphs - complicate the manufacturing of pharmaceutical preparations because such forms can interconvert requiring additional provisions to prevent such interconversion.
- Different polymorphs behave differently in the formulation of pharmaceutical products; they can affect micronization, tablet formation, solubility and also bioavailability. Since even the smallest compound may have hundreds of thousands of possible arrangements of its molecules in a solid crystal, predicting crystal structures and their properties are a great scientific challenge and it is not possible to know a priori whether polymorphism will actually occur for a given molecule. Polymorphism is thus a serious concern when seeking to provide safe and efficacious forms of a drug.
- the present invention provides crystalline (R)-(+)-5-(p- cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate, preferably anhydrous crystalline (R)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l,5- ajpyridine dihydrogen phosphate, more preferably anhydrous crystalline (R)-(+)-5-(p- cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate having an ee of the (R) form higher than or equal to 97%, preferably higher than or equal to 98%, more preferably higher than or equal to 99%, and again more preferably higher than or equal to 99.5%), again more preferably higher than or equal to 99.8%>, e.g.
- crystals of (R)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l,5- ajpyridine dihydrogen phosphate are characterized by XRPD (Fig. 1) with the following angles, lattice spacings (d values) and relative line intensities (intensity) of their X-ray powder pattern (Table 1). Table 1. XRPD Peak list of (R)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l,5- ajpyridine dihydrogen phosphate crystalline form I
- a crystalline form I of (R)-(+)-5-(p-cyanophenyl)- 5,6,7,8-tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate characterized by an X- ray powder diffraction pattern comprising the following 2 ⁇ values measured as described in the Examples section: 19.504; 21.919 and 24.159.
- a crystalline form I of (R)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate characterized by an X-ray powder diffraction pattern comprising the following 2 ⁇ values measured as described in the Examples section: 19.504; 21.919 and 24.159, wherein each peak may vary by ⁇ 1 or preferably by ⁇ 0.5, or further preferably by ⁇ 0.2 degrees.
- said X-ray powder diffraction pattern further comprises the following 2 ⁇ values: 16.003; 26.101; 27.168; 27.542 and 29.029.
- said X-ray powder diffraction pattern further comprises the following 2 ⁇ values: 16.003; 26.101; 27.168; 27.542 and 29.029, wherein each peak may vary by ⁇ 1 or preferably by ⁇ 0.5, or further preferably by ⁇ 0.2 degrees.
- a crystalline form I of (R)-(+)-5-(p-cyanophenyl)-5, 6,7,8- tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate characterized by an X-ray powder diffraction pattern comprising at least one, more preferably 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16 or all of the following 2 ⁇ values: 6.023129; 9.969034; 11.26224; 11.22848; 11.96566; 12.77761; 13.79347; 14.39314; 15.3394; 16.00317; 16.27337; 17.07502; 17.27593; 17.9904; 18.38238; 18.65471; 18.96096; 19.14281; 19.504; 20.01265; 20.58808; 20.43302; 20.72112; 21.12683; 21.91906; 22.59202; 24.44788; 24.15917; 24.48119; 25.
- a crystalline form I of (R)-(+)-5- (p-cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate characterized by an X-ray powder diffraction pattern comprising at least one, more preferably 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16 or all of the following 2 ⁇ values: 6.023129; 9.969034; 11.26224; 11.22848; 11.96566; 12.77761; 13.79347; 14.39314; 15.3394; 16.00317; 16.27337; 17.07502; 17.27593; 17.9904; 18.38238; 18.65471; 18.96096; 19.14281; 19.504; 20.01265; 20.58808; 20.43302; 20.72112; 21.12683; 21.91906; 22.59202; 24.44788; 24.15917; 24.48119; 25.70071
- a crystalline form I of (R)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate characterized by an X-ray powder diffraction pattern comprising at least one, more preferably 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16 or all of the following 2 ⁇ values: 6.023129; 9.969034; 11.26224; 11.22848; 11.96566; 12.77761; 13.79347; 14.39314; 15.3394; 16.00317; 16.27337; 17.07502; 17.27593; 17.9904; 18.38238; 18.65471; 18.96096; 19.14281; 19.504; 20.01265; 20.58808; 20.43302; 20.72112; 21.12683; 21.91906; 22.59202; 24.44788; 24.15917; 24.48119; 25.70071
- the three largest peaks of crystalline form I in the XRPD diffractogram have a relative intensity of 1 to 0.85 to 0.55, especially of 1 to 0,9 to 0.6, more especially of 1 to 0.95 to 0.65, e.g. of 1 to 0.97 to 0.68 (obtainable by integration of each of the peaks in the XRPD diagrams).
- the largest peak is at a 2-theta ( ⁇ ) value of about 21.919 and the second- largest peak is at a 2-theta ( ⁇ ) value of about 19.504 and the third- largest peak is at a 2-theta ( ⁇ ) value of about 24.159, respectively.
- the largest peak is at a 2-theta ( ⁇ ) value of about 21.919 ⁇ 0.5, or preferably by ⁇ 0.2 degrees
- the second- largest peak is at a 2-theta ( ⁇ ) value of about 19.504 ⁇ 0.5, or preferably by ⁇ 0.2 degrees
- the third-largest peak is at a 2-theta ( ⁇ ) value of about 24.159 ⁇ 0.5, or preferably by ⁇ 0.2 degrees, respectively.
- Preferred is the (R)- (+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate showing an XRPD diffractogram as shown in Fig. 1.
- (R)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate having a melting point of equal or between 184 °C to 193 °C, and wherein preferably said (R)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l,5- ajpyridine dihydrogen phosphate has a melting point of equal or between 188 °C to 190 °C , typically and preferably using thermogravimetry analysis/differential scanning calorimetry (TGA/DSC).
- TGA/DSC thermogravimetry analysis/differential scanning calorimetry
- the present invention provides for (R)-(+)-5-(p-cyanophenyl)- 5,6,7,8-tetrahydroimidazo[l,5-a]pyridine having a specific optical rotation [ ⁇ ] ⁇ 25 (ethanol) of at least +120°, preferably of at least +121°, further preferably of at least +122°, again further preferably of at least +123°, again further preferably of at least +124°, again further preferably of at least +125°, again further preferably of at least +126°, and again further preferably of at least +127°.
- the present invention provides for (R)- (+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l,5-a]pyridine chloride having a specific optical rotation [ ⁇ ] ⁇ 20 (ethanol) of at least +95°, preferably of at least +96°, further preferably of at least +97°, more preferably of at least +98°, even more preferably of at least +99°, further preferably of at least +100°, more preferably of at least +101°, even more preferably of at least +102°, and again more preferably of at least +103°, even more preferably of at least +104°.
- the present invention provides (R)-(+)-5-(p-cyanophenyl)- 5,6,7,8-tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate, preferably crystalline (R)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate, more preferably anhydrous crystalline (R)-(+)-5-(p-cyanophenyl)-5,6,7,8- tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate.
- the present invention provides (R)- (+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate, preferably crystalline (R)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l,5- ajpyridine dihydrogen phosphate, more preferably anhydrous crystalline (R)-(+)-5-(p- cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate, having an ee of the (R) form higher than or equal to 97%, preferably higher than or equal to 98%, more preferably higher than or equal to 99%, and again more preferably higher than or equal to 99.5%), again more preferably higher than or equal to 99.8%>, e.g. 99.
- the present invention provides crystalline (R)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate, preferably anhydrous crystalline (R)-(+)-5-(p-cyanophenyl)-5, 6,7,8- tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate, having an ee of the (R) form higher than or equal to 97%, preferably higher than or equal to 98%, more preferably higher than or equal to 99%, and again more preferably higher than or equal to 99.5%, again more preferably higher than or equal to 99.8%>, e.g.
- said (R)-(+)-5- (p-cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate is a crystalline form I of (R)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate, wherein said crystalline form I has an X-ray powder diffraction pattern comprising the following 2 ⁇ values measured using CuKa radiation: 19.504; 21.919 and 24.159, wherein each peak may vary by ⁇ 0.5, or preferably by ⁇ 0.2 degrees.
- the present invention provides crystalline (R)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate, preferably anhydrous crystalline (R)-(+)-5-(p-cyanophenyl)-5,6,7,8- tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate, having an ee of the (R) form higher than or equal to 97%, preferably higher than or equal to 98%, more preferably higher than or equal to 99%, and again more preferably higher than or equal to 99.5%, again more preferably higher than or equal to 99.8%, e.g.
- said (R)-(+)-5-(p- cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate is a crystalline form I of (R)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate, wherein said crystalline form I has an X-ray powder diffraction (XRPD) pattern comprising the following 2 ⁇ values measured using CuKa radiation: 19.504; 21.919 and 24.159, wherein each peak may vary by ⁇ 0.5, or preferably by ⁇ 0.2 degrees, wherein preferably said XRPD can be determined using the following device, parameters and measuring conditions: Instrument: Bruker AXS D2 PHASER; Irradiation: CuKa (30kV, 10 mA); scan range: 5 to 45° (2 theta value
- the present invention provides crystalline (R)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate, preferably anhydrous crystalline (R)-(+)-5-(p-cyanophenyl)-5,6,7,8- tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate, having an ee of the (R) form higher than or equal to 97%, preferably higher than or equal to 98%, more preferably higher than or equal to 99%, and again more preferably higher than or equal to 99.5%, again more preferably higher than or equal to 99.8%>, e.g.
- said (R)-(+)-5-(p- cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate is a crystalline form I of (R)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate, wherein said crystalline form I has an X-ray powder diffraction pattern comprising the following 2 ⁇ values measured using CuKa radiation: 19.504; 21.919 and 24.159, wherein each peak may vary by ⁇ 0.5, or preferably by ⁇ 0.2 degrees, said XRPD can be determined using the following device, parameters and measuring conditions: Instrument: Bruker AXS D2 PHASER; Irradiation: CuKa (30kV, 10 mA); scan range: 5 to 45° (2 theta value), sample rotation 5 rpm,
- the present invention provides for anhydrous (i?)-(+)-5-(p-cyanophenyl)-5,6,7,8- tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate having an ee of the (R) form higher than or equal to 97%, preferably higher than or equal to 98%, more preferably higher than or equal to 99%, and again more preferably higher than or equal to 99.5%, again more preferably higher than or equal to 99.8%>, e.g. 99.9%.
- the present invention provides for anhydrous (i?)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate crystalline form I.
- the present invention provides for anhydrous (i?)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate crystalline form I as defined herein, having an ee of the (R) form higher than or equal to 97%, preferably higher than or equal to 98%, more preferably higher than or equal to 99%, and again more preferably higher than or equal to 99.5%, again more preferably higher than or equal to 99.8%>, e.g. 99.9%.
- the present invention provides for a compound selected from (R)-(+)-5-(p-cyanophenyl)-5, 6,7,8- tetrahydroimidazo[l,5-a]pyridine and a pharmaceutically acceptable salt thereof, in particular the phosphate salt thereof, further preferably the (R)-(+)-5-(p-cyanophenyl)-5,6,7,8- tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate, wherein said compound inhibits aromatase activity in the cell-free human recombinant aromatase enzyme assay described in Example 8 with an IC 50 of 700 nM or more, preferably 750 nM or more, more preferably 800 nM or more, more preferably 850 nM or more, more preferably 900 nM or more, more preferably 950 nM or more, more preferably 1000 nM or more, more preferably 1050 nM
- the present invention provides for a compound selected from (R)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazo[l,5-a]pyridine and a pharmaceutically acceptable salt thereof, in particular the phosphate salt thereof, further preferably the (R)-(+)- 5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l ,5-a]pyridine dihydrogen phosphate, wherein said compound inhibits aldosterone synthase in the NCI-H295R adrenal cell assay described in Example 8 with an IC 50 of 100 nM or less.
- the compounds of the invention inhibit aldosterone synthase in the NCI-H295R adrenal cell assay described in Example 8 with an IC 50 of 90 nM or less, 80 nM or less, 70 nM or less, 60 nM or less, 50 nM or less, 40 nM or less, 35 nM or less, 30 nM or less, 25 nM or less, or 20 nM or less; in particular 15 nM or less, e.g., 15 nM, 14 nM, 13 nM, 12 nM, 11 nM, 10 nM, 9 nM, 8 nM, 7 nM, 6 nM, 5 nM, 4 nM, 3 nM, 2 nM or 1 nM or less.
- the compounds of the invention inhibit aldosterone synthase in the NCI-H295R adrenal cell assay described in Example 8 with an IC 50 of 10 nM or less
- the present invention provides for a compound selected from (R)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazo[l,5-a]pyridine and a pharmaceutically acceptable salt thereof, wherein said compound has a selectivity for aldosterone synthase over aromatase of 30 or more, preferably 50 or more, more preferably 100 or more, more preferably 150 or more, more preferably 200 or more, more preferably 250 or more, more preferably 300 or more, more preferably 350 or more, more preferably 400 or more, more preferably 450 or more, more preferably 500 or more, more preferably 550 or more, more preferably 600 or more, more preferably 650 or more, most preferably 700 or more, wherein said selectivity is determined by the ratio of the IC 50 values for inhibition of aromatase and aldosterone synthase; and wherein the IC 50 values for inhibition of aldosterone synthase and aroma
- the present invention provides crystalline (R)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate, preferably anhydrous crystalline (R)-(+)-5-(p-cyanophenyl)-5,6,7,8- tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate, having an ee of the (R) form higher than or equal to 97%, preferably higher than or equal to 98%, more preferably higher than or equal to 99%, and again more preferably higher than or equal to 99.5%, again more preferably higher than or equal to 99.8%>, e.g.
- said (R)-(+)-5-(p- cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate is a crystalline form I of (R)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate, wherein said crystalline form I has an X-ray powder diffraction pattern comprising the following 2 ⁇ values measured using CuKa radiation: 19.504; 21.919 and 24.159, wherein each peak may vary by ⁇ 0.5, or preferably by ⁇ 0.2 degrees, said XRPD can typically and preferably be determined using the following device, parameters and measuring conditions: Instrument: Bruker AXS D2 PHASER; Irradiation: CuKa (30kV, 10 mA); scan range: 5 to 45° (2 theta value), sample rotation 5 r
- the present invention provides crystalline (R)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate, preferably anhydrous crystalline (R)-(+)-5-(p-cyanophenyl)-5,6,7,8- tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate, having an ee of the (R) form higher than or equal to 97%, preferably higher than or equal to 98%, more preferably higher than or equal to 99%, and again more preferably higher than or equal to 99.5%, again more preferably higher than or equal to 99.8%>, e.g.
- said (R)-(+)-5-(p- cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate is a crystalline form I of (R)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate, wherein said crystalline form I has an X-ray powder diffraction pattern comprising the following 2 ⁇ values measured using CuKa radiation: 19.504; 21.919 and 24.159, wherein each peak may vary by ⁇ 0.5, or preferably by ⁇ 0.2 degrees, said XRPD can typically and preferably be determined using the following device, parameters and measuring conditions: Instrument: Bruker AXS D2 PHASER; Irradiation: CuKa (30kV, 10 mA); scan range: 5 to 45° (2 theta value), sample rotation 5 r
- the present invention provides crystalline (R)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate, preferably anhydrous crystalline (R)-(+)-5-(p-cyanophenyl)-5,6,7,8- tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate, having an ee of the (R) form higher than or equal to 97%, preferably higher than or equal to 98%, more preferably higher than or equal to 99%, and again more preferably higher than or equal to 99.5%, again more preferably higher than or equal to 99.8%>, e.g.
- said (R)-(+)-5-(p- cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate is a crystalline form I of (R)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate, wherein said crystalline form I has an X-ray powder diffraction pattern comprising the following 2 ⁇ values measured using CuKa radiation: 19.504; 21.919 and 24.159, wherein each peak may vary by ⁇ 0.5, or preferably by ⁇ 0.2 degrees, said XRPD can typically and preferably be determined using the following device, parameters and measuring conditions: Instrument: Bruker AXS D2 PHASER; Irradiation: CuKa (30kV, 10 mA); scan range: 5 to 45° (2 theta value), sample rotation 5
- the present invention provides for ( ?)-(+)-5-(p-cyanophenyl)-5, 6,7,8- tetrahydroimidazo[l,5-a]pyridine having an ee of the (R) form higher than or equal to 97%, preferably higher than or equal to 98%, more preferably higher than or equal to 99%, and again more preferably higher than or equal to 99.5%, again more preferably higher than or equal to 99.8%, e.g. 99.9% for use as a medicament.
- the present invention provides for ( ?)-(+)-5-(p-cyanophenyl)- 5,6,7,8-tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate for use as a medicament, wherein preferably said dihydrogen phosphate has an ee of the (R) form higher than or equal to 97%, preferably higher than or equal to 98%, more preferably higher than or equal to 99%, and again more preferably higher than or equal to 99.5%, again more preferably higher than or equal to 99.8%, e.g. 99.9%.
- the present invention further provides for ( ?)-(+)-5-(p-cyanophenyl)-5, 6,7,8- tetrahydroimidazo[l,5-a]pyridine as well as the phosphate salt thereof, preferably the (R)-(+)- 5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l ,5-a]pyridine dihydrogen phosphate, typically and preferably having an ee of the (R) form higher than or equal to 97%, preferably higher than or equal to 98%, more preferably higher than or equal to 99%, and again more preferably higher than or equal to 99.5%, again more preferably higher than or equal to 99.8%), e.g.
- a disease or disorder in humans including women of child bearing potential and pediatric patients, in which aldosterone overexposure contributes to the deleterious effects of said disease or disorder, typically and preferably, wherein said disease or disorder is selected from primary and secondary hyperaldosteronism, heart failure, chronic renal failure, hypertension, restenosis, obesity, nephropathy, post-myocardial infarction, renal fibrosis, and coronary heart disease.
- the present invention provides for ( ?)-(+)-5-(p-cyanophenyl)-5, 6,7,8- tetrahydroimidazo[l,5-a]pyridine as well as the phosphate salt thereof, preferably the (R)-(+)- 5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l ,5-a]pyridine dihydrogen phosphate, typically and preferably having an ee of the (R) form higher than or equal to 97%, preferably higher than or equal to 98%, more preferably higher than or equal to 99%, and again more preferably higher than or equal to 99.5%, again more preferably higher than or equal to 99.8%), e.g.
- a disease or disorder selected from primary and secondary hyperaldosteronism, heart failure, chronic renal failure, hypertension, restenosis, obesity, nephropathy, post-myocardial infarction, renal fibrosis, and coronary heart disease.
- said method is in particular suited for use in humans including preferably for women of child bearing potential and pediatric patients.
- the present invention provides for provides crystalline (R)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate, preferably anhydrous crystalline (R)-(+)-5-(p-cyanophenyl)-5,6,7,8- tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate, having an ee of the (R) form higher than or equal to 97%, preferably higher than or equal to 98%, more preferably higher than or equal to 99%, and again more preferably higher than or equal to 99.5%, again more preferably higher than or equal to 99.8%>, e.g.
- a disease or disorder in a human wherein said disease or disorder is selected from primary and secondary hyperaldosteronism, heart failure, chronic renal failure, hypertension, restenosis, obesity, nephropathy, post-myocardial infarction, renal fibrosis, and coronary heart disease, wherein preferably said human is a woman of child bearing potential or a pediatric patient.
- the present invention provides for provides crystalline (R)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate, preferably anhydrous crystalline (R)-(+)-5-(p-cyanophenyl)-5,6,7,8- tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate, having an ee of the (R) form higher than or equal to 97%, preferably higher than or equal to 98%, more preferably higher than or equal to 99%, and again more preferably higher than or equal to 99.5%, again more preferably higher than or equal to 99.8%>, e.g.
- a disease or disorder in a human wherein said disease or disorder is selected from primary and secondary hyperaldosteronism, heart failure, chronic renal failure, hypertension, restenosis, obesity, nephropathy, post-myocardial infarction, renal fibrosis, and coronary heart disease, wherein preferably said human is a woman of child bearing potential or a pediatric patient, and wherein said (R)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate inhibits aromatase activity in the cell-free human recombinant aromatase enzyme assay described in Example 8 with an IC 50 of 700 nM or more, preferably 750 nM or more, more preferably 800 nM or more, more preferably 850 nM or more, more preferably 900 nM or more, more preferably 950 nM or
- the present invention provides for a process for preparing a compound selected from (R)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazo[l,5-a]pyridine and a pharmaceutically acceptable salt thereof, and wherein very preferably said pharmaceutically acceptable salt is the phosphate salt thereof, and further preferably the (R)- (+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l ,5-a]pyridine dihydrogen phosphate.
- the inventive processes comprise the steps of: (i) reacting racemic 5-(p-cyanophenyl)- 5,6,7,8-tetrahydroimidazo[l ,5-a]pyridine with a (-)-0,0'-acylated L-tartaric acid, in particular (-)-0,0'-dibenzoyl-L-tartaric acid to form the diastereomeric (R)-(+)-5-(p- cyanophenyl)-5,6,7,8-tetrahydroimidazo[l ,5-a]pyridine dibenzoyl-L-tartrate salt; and (ii) recrystallizing at least once the tartrate salt obtained in step i; and (iii) liberating the free base (R)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazo[l ,5-a]pyridine by adding a base to a solution of said tartrate salt obtained in step
- said (i) reacting racemic 5-(p-cyanophenyl)-5, 6,7,8- tetrahydroimidazo[l ,5-a]pyridine with a (-)-0,0'-acylated L-tartaric acid, in particular (-)- 0,0'-dibenzoyl-L-tartaric acid to form the diastereomeric (R)-(+)-5-(p-cyanophenyl)-5, 6,7,8- tetrahydroimidazo[l ,5-a]pyridine dibenzoyl-L-tartrate salt is effected in an alcoholic solution, preferably in a solution of ethanol, at a temperature of below about 50°C, preferably of below about 45°C, and further preferably of below about 40°C.
- said (ii) recrystallizing at least once the tartrate salt obtained in step (i) is effected in an aqueous- alcoholic solution, preferably in an aqueous ethanolic solution, wherein preferably the ratio of water:ethanol is of about 2.4: about 10.
- the process for preparing a compound selected from (R)-(+)-5-(p- cyanophenyl)-5,6,7,8-tetrahydroimidazo[l ,5-a]pyridine and a pharmaceutically acceptable salt thereof of the invention does not comprise a step of chiral resolution of 5-(p- cyanophenyl)-5,6,7,8-tetrahydroimidazo[l ,5-a]pyridine (fadrozole) by means of chiral preparative HPLC, wherein preferably said process for preparing a compound selected from (R)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazo[l ,5-a]pyridine and a pharmaceutically acceptable salt thereof of the invention does not comprise a step of chiral resolution of 5-(p- cyanophenyl)-5,6,7,8-tetrahydroimidazo[l ,5-a]pyridine (fa
- the process of the invention yields (R)-(+)-5-(p- cyanophenyl)-5,6,7,8-tetrahydroimidazo[l ,5-a]pyridine and its pharmaceutically acceptable salts thereof, in particular the phosphate salt thereof, further preferably the (R)-(+)-5-(p- cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l ,5-a]pyridine dihydrogen phosphate, with an ee of the (R) form higher than or equal to 97%, preferably higher than or equal to 98%, more preferably higher than or equal to 99%, and again more preferably higher than or equal to 99.5%, again more preferably higher than or equal to 99.8%, e.g. 99.9%.
- the process of the invention yields (R)-(+)-5-(p- cyanophenyl)-5,6,7,8-tetrahydroimidazo[l ,5-a]pyridine and its pharmaceutically acceptable salts thereof, in particular the phosphate salt thereof, further preferably (R)-(+)-5-(p- cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l ,5-a]pyridine dihydrogen phosphate, wherein said (i?)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazo[l ,5-a]pyridine and its pharmaceutically acceptable salts thereof inhibit aromatase activity in the cell-free human recombinant aromatase enzyme assay described in Example 8 with an IC 50 of of 700 nM or more, preferably 750 nM or more, more preferably 800 nM or more, more preferably 850
- inventive processes utilize crystallization to obtain ( ?)-(+)-5-(p- cyanophenyl)-5,6,7,8-tetrahydroimidazo[l ,5-a]pyridine and its pharmaceutically acceptable salts thereof, and very preferably its phosphate salt thereof, and again further the (R)-(+)-5-(p- cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l ,5-a]pyridine dihydrogen phosphate, in exceptional high chiral purity for commercial pharmaceutical use.
- crystallization is much more advantageous being more economical than chromatographic resolution by allowing for larger batch preparation, less expensive equipment and facilities, and not requiring specialized expertise.
- a pharmaceutical composition comprising (R)-(+)-5-(p- cyanophenyl)-5,6,7,8-tetrahydroimidazo[l ,5-a]pyridine or a pharmaceutically acceptable salt thereof, in particular a phosphate salt, more preferably the (R)-(+)-5-(p-cyanophenyl)-5,6,7,8- tetrahydroimidazolium[l ,5-a]pyridine dihydrogen phosphate, as described herein in admixture with at least one pharmaceutically acceptable excipient.
- said pharmaceutical composition is provided in the form of tablets, pills, dispersible granules, cachets, capsules, powders, lozenges, suppositories or retention enemas.
- the Specific Optical Rotation [ ⁇ ] ⁇ measurements were performed in solution using the sodium D-line at 589.3 nm of a standard Perkin Elmer Polarimeter 343.
- 1 gram of (R)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazo[l,5-a]pyridine-dihydrogen- phosphate was dissolved in 100 ml of the respective solvent and this solution was transferred in an optical cuvette of 1 decimeter length. The measurement was done at a temperature of 20°C or 25°C, respectively.
- Elemental analysis was performed on standard equipment (e.g. vario EL cube elemental analyzer) and the values for carbon, hydrogen and nitrogen were determined.
- the X-ray powder diffraction studies were performed using a Bruker AXS D2 PHASER in Bragg-Brentano configuration. Using a Cu anode at 30kV, 10 mA; sample stage standard rotating; monochromatisation by a ⁇ -filter (0.5% Ni).
- Detector Linear detector LYNXEYE with receiving slit 5° detector opening. The standard sample holder (0.1 mm cavity in (510) silicon wafer) had a minimal contribution to the background signal.
- Measurement conditions scan range 5 to 45° 2theta, sample rotation 5 rpm, 0.5s/step, 0.010°/step, 3.0mm detector slit; and all measuring conditions were logged in the instrument control file. As system suitability, corundum sample A26-826-S (NIST standard) was measured daily.
- thermogravimetric analysis and differential scanning calorimetry (TGA/DSC) studies were performed using a Mettler Toledo TGA/DSCl STARe System with a 34-position auto sampler.
- the samples were made using AI crucibles (40 ⁇ ; pierced). Typically 5 - 10 mg of sample was loaded into a pre-weighed Al crucible and was kept at 30°C for 5 minutes, after which it was heated at 10°C/min from 30°C to 350°C. A nitrogen purge of 40 ml/min was maintained over the sample.
- the software used for data collection and evaluation was STARe Software vl2.10 build 5937. No corrections were applied to the thermogram.
- DSC Dynamic analysis and differential scanning calorimetry
- the DSC studies were performed using a Mettler Toledo DSC1 STARe System.
- the samples were made using Al crucibles (40 ⁇ ; pierced). Typically 1 - 8 mg of sample was loaded onto a pre-weighed Al crucible and was kept at 30°C for 5 minutes, after which it was heated at 10°C/min from 30°C to 350 °C and kept at 350°C for 1 minute. A nitrogen purge of 40 ml/min was maintained over the sample. As system suitability check Indium and Zinc were used as references.
- the software used for data collection and evaluation was STARe Software vl2.10 build 5937. No corrections were applied to the thermogram.
- the Dynamic Vapour Sorption (DVS) studies were performed using a Surface Measurement Systems Ltd. DVS-1 No Video.
- the sample was loaded into a balance pan, typically 20-30 mg, and equilibrated at 0% RH. After the material was dried, the RH was increased with 10% per step for 1 hour per increment, ending at 95% RH. After completion of the sorption cycle, the sample was dried using the same method.
- the software used for data collection was DVSWin v3.01 No Video. Data analysis was performed using DVS Standard Analysis Suite v6.3.0 (Standard).
- the solubility was determined using the shake- flask method; the solubility was visually determined at 20°C.
- the listed solvents were added stepwise to 10 mg of compound, with 15 minutes in between additions, until complete dissolution was obtained or a solubility of less than 0.05 mg/ml was reached.
- Solids were dispensed using a Freeslate Core Module Protege Solid Dispense System in classic and SV-hopper configuration with a Sartorius balance. Hoppers that were used were 25 ml classic hoppers with 8 mm valve size and 4 to 3 mm funnel size, 10 ml classic hoppers with 8 mm valve size and 4 to 3 mm funnel size and SV hoppers with standard 4 ml glass vials.
- the title compound (fadrozole) may be prepared e.g., according to the procedure described by L. J. Browne et al. (J. Med. Chem. 1991, 34, 725.) or obtained by commercial suppliers such as Sigma-Aldrich.
- EXAMPLE 1 The title compound (fadrozole) may be prepared e.g., according to the procedure described by L. J. Browne et al. (J. Med. Chem. 1991, 34, 725.) or obtained by commercial suppliers such as Sigma-Aldrich.
- Step 1 Preparation of (R)-(+)-5-(p-cyanophenyl)-5,6, 7,8-tetrahydroimidazolium[l,5- a ] pyridine dibenzoyl-L-tartrate
- Step 2 RecrystaUization of (R)-(+)-5-(p-cyanophenyl)-5,6, 7,8-tetrahydroimidazolium[l,5- a ] pyridine dibenzoyl-L-tartrate
- Step 3 Preparation of (R)-(+)-5-(p-cyanophenyl)-5,6, 7,8-tetrahydroimidazo[l,5-a]pyridine (free base)
- Step 4 (R)-(+)-5-(p-cyanophenyl)-5,6, 7 8-tetrahydroimidazoliumfl ,5-aJpyridine dihydrogen phosphate
- Hygroscopicity 1.0% at >90% relative humidity (RH) as determined by DVS. Water uptake is reversible and crystalline form does not change upon DVS treatment (Figs. 4 to 6). Mass loss upon heating up until 225°C is 1.4% as determined by TGA/DSC (Fig. 2).
- the crystals of (R)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazolium[l,5-a]pyridine dihydrogen phosphate were further characterized by their elemental analysis, which is in accordance with the values calculated from the molecular formula Ci 4 Hi 6 N 3 0 4 P (MW:321.27): C 52.4 %; H 5.1 %; N 13.03 %.
- the material is very soluble in water, freely soluble in methanol and acetic acid, very slightly soluble in ethanol and practically insoluble in the other tested solvents.
- Table 8 the XRPD results of the performed measurements on either the solids of the slurry or the solids of the solution after evaporation are given.
- Solvents and co-solvents were added in different ratios. The different ratios were 100% solvent and 0%> co-solvent, 80%> solvent and 20%> co-solvent, 60%> solvent and 40%> co- solvent, 40%) solvent and 60%> co-solvent, 20%> solvent and 80%> co-solvent and 5% solvent and 95%) co-solvent, subsequently.
- Table 9 shows the layout of the study conditions and the respective XRPD conclusions on polymorphic forms.
- NCI-H295R cells a continuous cell line derived from an invasive primary adrenocortical carcinoma were obtained from CLS cell line services GmbH (catalog No. 300483). Because NCI-H295R cells produce both aldosterone and estradiol, they enable measuring aldosterone synthase activity and aromatase activity under identical conditions. Prior to being used for the assays the cells were maintained in DMEM/Ham's medium with 15 mM HEPES and 1.2 g NaHC0 3 supplemented with 5% steroid- free serum replacement, Panexin BMM (PAN Biotech, Aldenbach, Germany; cat. no.
- P04-9515A2 1% Penicillin/Streptomycin, 1.25 % L-Glutamine, and 6.25 ⁇ g/ml insulin, 6.25 ng/ml selenium, 5.35 ⁇ g/ml linoleic acid and 1.25 mg/ml bovine serum albumin.
- the cells were maintained at 37°C under an atmosphere of 95 % air/5 % C0 2 .
- the cells were sub-cultured at a density of 5 x 10 5 cells per well in 24-well plates and grown until 50-60% confluency (48 h).
- the growth medium then was replaced with 500 ⁇ serum-free DMEM: Ham's F12 containing the test compound dissolved in ethanol/water 1 : 1 (v/v) so that the final concentration in the assay consisted of 0.5% ethanol.
- Six concentrations were evaluated, and control samples with no compound were supplemented with 0.5% ethanol.
- the cells with compound were incubated at 37°C under 95% air/5% C0 2 for 6h. After which the supernatant was removed and stored at -20°C until analysis.
- the cells were evaluated to assure viability by optical evaluation utilizing phase contrast microscopy examination for morphological changes and by the resazurin method which measures the conversion of resazurin into a fluorescent end product resorufm.
- Non-viable cells lack the metabolic capacity to make the conversion.
- the conversion was quantified by measuring the fluorescence at 544 nm /590 nm (extinction / emission) respectively using a Wallac 1420 Multiple Counter Victor Fluorometer/Luminator (Perkin Elmer, Wlatham, MA).
- LC-MS Quantification of aldosterone concentration as a measure of aldosterone synthase activity was accomplished by LC-MS as follows. Prior to analysis acetonitrile was used to precipitate the sample protein and following centrifugation the particle free supernatant was subject to LC-MS.
- the HPLC system consisted of an Accela U-HPLC pump and Accela Open auto sampler (Thermo Fisher Scientific, Waltham, MA). Mass spectrometry was performed using a Q-Exactive MS (Orbitrap) equipped with a heated electrospray (H-ESI) interface connected to a PC running the standard Xcalibur software 2.2 (Thermo Fisher Scientific, Waltham, MA).
- the LC was performed in the gradient mode using acetonitrile with 0.1 % formic acid (solvent A) and aqueous 0.1 % formic acid solvent B.
- the pump flow rate was set to 600 ⁇ /min, and separation was performed on a Kinetex Phenyl-Hexyl 2.6 ⁇ , 50 x 2.1 mm analytical column (Phenomenex, Germany) with a C6-Phenyl, 4x 2.0 mm ID pre-column for quantification.
- MS tune file a generic tune file was used and as a lock mass for internal calibration the [M+H] + ion of the disooctyl phthalate (m/z 391.28492) present in the solvent system was used.
- aHigh conc the lowest concentration of the test item that inhibits by at least 50% (10 nM)
- Low conc the highest concentration of the test item that inhibits less than 50% (1 nM)
- Highi n percent inhibition achieved at the High conc of the test item (60.8%>)
- IC 50 8.1 nM for inhibition of aldosterone production (aldosterone synthase activity)
- Aromatase activity was measured by quantification of the estradiol concentration in the supernatant from incubation of NCI-H295R cells as described above for determination of aldosterone synthase activity except that much higher concentrations of the inhibitor, as indicated below were used to obtain an IC50. Quantification of estradiol concentration was accomplished using a 17-beta-estradiol ELISA kit from IBL-Hamburg (Hamburg, Germany) according to the manufacturer's instructions. A standard curve was generated by plotting the absorbance of each reference standard (y-axis) against the corresponding log concentration (x-axis).
- High conc the lowest concentration of the test item that inhibits by at least 50% (10 ⁇ )
- Low conc the highest concentration of the test item that inhibits less than 50% (1 ⁇ )
- Highi n percent inhibition achieved by the High conc of the test item (68.6%>)
- Aromatase (CYP19) activity was measured using a human CYP19 assay kit (Corning®, Corning, NY; Product #456260) according to the manufacturer's instructions.
- the assay system utilized a recombinant human enzyme, a fluorometric substrate MFC ( 7-methyl-4- trifluoro-methyl-Coumarin), and an NADPH regenerating system consisting of glucose-6- phosphate dehydrogenase, NADP + , and glucose-6-phospahate.
- concentrations of the test compounds which inhibited the enzyme activity by 50% (IC 50 ) eight test concentrations were tested.
- test compounds were dissolved in ethanol/water 1 : 1 (v/v) so that the final ethanol concentration in the assay was 1%.
- the test compounds at various concentrations along with the NADPH regenerating system were added to 96-well plates. After a 10 min pre-incubation the reaction was started by the addition of pre-warmed enzyme substrate mix and allowed to continue for an additional 30 min at 37° C. The reaction was then stopped by the addition of a solution of 80%> acetonitrile and 20%> 0.5M Tris base (stop solution). To control for background fluorescence, blank wells (containing no test samples) were also assayed but these wells had the stop solution added prior to the addition of the enzyme substrate mixture.
- the fluorescent product formed, 7-hydroxy-4-triflouro-methyl- Coumarine (HFC) was detected using a Wallac 1420 Multiple Counter Victor Fluorometer/Luminator (Perkin Elmer, Wlatham, MA).
- the wave lengths for excitation and emission were 405 and 535 nm, respectively.
- the data was compiled with standard software Wallac 1420 Manager 3.0.
- each test substance was pre-tested for auto-fluorescence.
- the NADPH generating system (co factor mix) and the enzyme/substrate-mix were replaced by a comparable mixture of control protein, assay buffer, and test compound solvent. These control samples were then pre-incubated and assayed and as described above.
- Three independent determinations of the IC 50 were made from line of best fit plots of % inhibition versus inhibitor concentration (Table 12).
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KR1020237007198A KR20230037680A (en) | 2016-10-27 | 2017-10-26 | Aldosterone synthase inhibitor |
MX2019004937A MX2019004937A (en) | 2016-10-27 | 2017-10-26 | Aldosterone synthase inhibitor. |
AU2017350484A AU2017350484B2 (en) | 2016-10-27 | 2017-10-26 | Aldosterone synthase inhibitor |
US16/345,209 US10822332B2 (en) | 2016-10-27 | 2017-10-26 | Aldosterone synthase inhibitor |
CN201780065333.4A CN109890389B (en) | 2016-10-27 | 2017-10-26 | Aldosterone synthase inhibitors |
EP17787936.8A EP3532056A1 (en) | 2016-10-27 | 2017-10-26 | Aldosterone synthase inhibitor |
CA3040803A CA3040803A1 (en) | 2016-10-27 | 2017-10-26 | Aldosterone synthase inhibitor |
IL301471A IL301471A (en) | 2016-10-27 | 2017-10-26 | Aldosterone synthase inhibitor |
JP2019522665A JP7130636B2 (en) | 2016-10-27 | 2017-10-26 | Aldosterone synthase inhibitor |
BR112019007954A BR112019007954A2 (en) | 2016-10-27 | 2017-10-26 | aldosterone synthase inhibitor |
KR1020197011358A KR102506380B1 (en) | 2016-10-27 | 2017-10-26 | aldosterone synthase inhibitors |
CN202210638632.5A CN114853755A (en) | 2016-10-27 | 2017-10-26 | Aldosterone synthase inhibitors |
SG11201903803UA SG11201903803UA (en) | 2016-10-27 | 2017-10-26 | Aldosterone synthase inhibitor |
IL266056A IL266056B2 (en) | 2016-10-27 | 2019-04-16 | Aldosterone synthase inhibitor |
ZA2019/03149A ZA201903149B (en) | 2016-10-27 | 2019-05-20 | Aldosterone synthase inhibitor |
US16/991,856 US11447491B2 (en) | 2016-10-27 | 2020-08-12 | Aldosterone synthase inhibitor |
AU2022201401A AU2022201401B2 (en) | 2016-10-27 | 2022-03-01 | Aldosterone synthase inhibitor |
US17/883,732 US20230047158A1 (en) | 2016-10-27 | 2022-08-09 | Aldosterone synthase inhibitor |
JP2022133021A JP2022176994A (en) | 2016-10-27 | 2022-08-24 | Aldosterone synthase inhibitor |
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US16/345,209 A-371-Of-International US10822332B2 (en) | 2016-10-27 | 2017-10-26 | Aldosterone synthase inhibitor |
US16/991,856 Continuation US11447491B2 (en) | 2016-10-27 | 2020-08-12 | Aldosterone synthase inhibitor |
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Cited By (2)
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WO2019211394A1 (en) * | 2018-05-03 | 2019-11-07 | Damian Pharma Ag | R-fadrozole for use in the treatment of aldostonerism |
WO2024079324A1 (en) | 2022-10-14 | 2024-04-18 | Damian Pharma Ag | Once daily aldosterone synthase inhibitor (r)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazo[l,5-a]pyridine |
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Cited By (5)
Publication number | Priority date | Publication date | Assignee | Title |
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WO2019211394A1 (en) * | 2018-05-03 | 2019-11-07 | Damian Pharma Ag | R-fadrozole for use in the treatment of aldostonerism |
JP2021522289A (en) * | 2018-05-03 | 2021-08-30 | ダミアン ファーマ アーゲー | R-fadrozole for use in the treatment of aldosteronism |
JP7470050B2 (en) | 2018-05-03 | 2024-04-17 | ダミアン ファーマ アーゲー | R-fadrozole for use in the treatment of aldosteronism |
US11992479B2 (en) | 2018-05-03 | 2024-05-28 | Damian Pharma Ag | R-fadrozole for use in the treatment of aldostonerism |
WO2024079324A1 (en) | 2022-10-14 | 2024-04-18 | Damian Pharma Ag | Once daily aldosterone synthase inhibitor (r)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazo[l,5-a]pyridine |
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