WO2023091107A1 - Preparation of new drug formulations capable of exhibiting an anti-viral effect and investigation of their effect against covid-19 - Google Patents
Preparation of new drug formulations capable of exhibiting an anti-viral effect and investigation of their effect against covid-19 Download PDFInfo
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- WO2023091107A1 WO2023091107A1 PCT/TR2022/050180 TR2022050180W WO2023091107A1 WO 2023091107 A1 WO2023091107 A1 WO 2023091107A1 TR 2022050180 W TR2022050180 W TR 2022050180W WO 2023091107 A1 WO2023091107 A1 WO 2023091107A1
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- Prior art keywords
- drug according
- derivatives
- ratio
- drug
- starch
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- 208000025721 COVID-19 Diseases 0.000 title claims abstract description 20
- 239000000203 mixture Substances 0.000 title abstract description 13
- 238000009472 formulation Methods 0.000 title abstract description 12
- 230000000694 effects Effects 0.000 title abstract description 9
- 238000002360 preparation method Methods 0.000 title description 4
- 230000000840 anti-viral effect Effects 0.000 title description 3
- 230000001747 exhibiting effect Effects 0.000 title description 3
- 239000002547 new drug Substances 0.000 title description 3
- 238000011835 investigation Methods 0.000 title description 2
- HTNPEHXGEKVIHG-ZJTJHKMLSA-N molnupiravir Chemical compound CC(C)C(=O)OC[C@H]1O[C@H](C(O)C1O)N1C=C\C(NC1=O)=N\O HTNPEHXGEKVIHG-ZJTJHKMLSA-N 0.000 claims abstract description 25
- 229940075124 molnupiravir Drugs 0.000 claims abstract description 25
- UCHDWCPVSPXUMX-TZIWLTJVSA-N Montelukast Chemical compound CC(C)(O)C1=CC=CC=C1CC[C@H](C=1C=C(\C=C\C=2N=C3C=C(Cl)C=CC3=CC=2)C=CC=1)SCC1(CC(O)=O)CC1 UCHDWCPVSPXUMX-TZIWLTJVSA-N 0.000 claims abstract description 20
- 229960005127 montelukast Drugs 0.000 claims abstract description 20
- 239000013543 active substance Substances 0.000 claims abstract description 14
- 239000003814 drug Substances 0.000 claims description 32
- 229940079593 drug Drugs 0.000 claims description 30
- 238000011282 treatment Methods 0.000 claims description 17
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- HQKMJHAJHXVSDF-UHFFFAOYSA-L magnesium stearate Chemical compound [Mg+2].CCCCCCCCCCCCCCCCCC([O-])=O.CCCCCCCCCCCCCCCCCC([O-])=O HQKMJHAJHXVSDF-UHFFFAOYSA-L 0.000 claims description 10
- 229920002472 Starch Polymers 0.000 claims description 9
- 239000000546 pharmaceutical excipient Substances 0.000 claims description 9
- 229940032147 starch Drugs 0.000 claims description 9
- 235000019698 starch Nutrition 0.000 claims description 9
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- DBMJMQXJHONAFJ-UHFFFAOYSA-M Sodium laurylsulphate Chemical compound [Na+].CCCCCCCCCCCCOS([O-])(=O)=O DBMJMQXJHONAFJ-UHFFFAOYSA-M 0.000 claims description 7
- 239000008108 microcrystalline cellulose Substances 0.000 claims description 7
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- UFVKGYZPFZQRLF-UHFFFAOYSA-N hydroxypropyl methyl cellulose Chemical compound OC1C(O)C(OC)OC(CO)C1OC1C(O)C(O)C(OC2C(C(O)C(OC3C(C(O)C(O)C(CO)O3)O)C(CO)O2)O)C(CO)O1 UFVKGYZPFZQRLF-UHFFFAOYSA-N 0.000 claims description 5
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- OSGAYBCDTDRGGQ-UHFFFAOYSA-L calcium sulfate Chemical compound [Ca+2].[O-]S([O-])(=O)=O OSGAYBCDTDRGGQ-UHFFFAOYSA-L 0.000 claims description 4
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- FUFJGUQYACFECW-UHFFFAOYSA-L calcium hydrogenphosphate Chemical compound [Ca+2].OP([O-])([O-])=O FUFJGUQYACFECW-UHFFFAOYSA-L 0.000 claims description 2
- 239000002537 cosmetic Substances 0.000 claims description 2
- 235000019700 dicalcium phosphate Nutrition 0.000 claims description 2
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- QIQXTHQIDYTFRH-UHFFFAOYSA-N octadecanoic acid Chemical compound CCCCCCCCCCCCCCCCCC(O)=O QIQXTHQIDYTFRH-UHFFFAOYSA-N 0.000 claims description 2
- OQCDKBAXFALNLD-UHFFFAOYSA-N octadecanoic acid Natural products CCCCCCCC(C)CCCCCCCCC(O)=O OQCDKBAXFALNLD-UHFFFAOYSA-N 0.000 claims description 2
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- WXMKPNITSTVMEF-UHFFFAOYSA-M sodium benzoate Chemical compound [Na+].[O-]C(=O)C1=CC=CC=C1 WXMKPNITSTVMEF-UHFFFAOYSA-M 0.000 claims description 2
- 235000010234 sodium benzoate Nutrition 0.000 claims description 2
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- 239000007916 tablet composition Substances 0.000 abstract description 3
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- 238000004519 manufacturing process Methods 0.000 description 1
- 150000004712 monophosphates Chemical class 0.000 description 1
- 231100001079 no serious adverse effect Toxicity 0.000 description 1
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- RWWYLEGWBNMMLJ-MEUHYHILSA-N remdesivir Drugs C([C@@H]1[C@H]([C@@H](O)[C@@](C#N)(O1)C=1N2N=CN=C(N)C2=CC=1)O)OP(=O)(N[C@@H](C)C(=O)OCC(CC)CC)OC1=CC=CC=C1 RWWYLEGWBNMMLJ-MEUHYHILSA-N 0.000 description 1
- RWWYLEGWBNMMLJ-YSOARWBDSA-N remdesivir Chemical compound NC1=NC=NN2C1=CC=C2[C@]1([C@@H]([C@@H]([C@H](O1)CO[P@](=O)(OC1=CC=CC=C1)N[C@H](C(=O)OCC(CC)CC)C)O)O)C#N RWWYLEGWBNMMLJ-YSOARWBDSA-N 0.000 description 1
- 230000001932 seasonal effect Effects 0.000 description 1
- 229960002063 sofosbuvir Drugs 0.000 description 1
- TTZHDVOVKQGIBA-IQWMDFIBSA-N sofosbuvir Chemical compound N1([C@@H]2O[C@@H]([C@H]([C@]2(F)C)O)CO[P@@](=O)(N[C@@H](C)C(=O)OC(C)C)OC=2C=CC=CC=2)C=CC(=O)NC1=O TTZHDVOVKQGIBA-IQWMDFIBSA-N 0.000 description 1
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- DRTQHJPVMGBUCF-UHFFFAOYSA-N uracil arabinoside Natural products OC1C(O)C(CO)OC1N1C(=O)NC(=O)C=C1 DRTQHJPVMGBUCF-UHFFFAOYSA-N 0.000 description 1
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P11/00—Drugs for disorders of the respiratory system
- A61P11/06—Antiasthmatics
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/33—Heterocyclic compounds
- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/435—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
- A61K31/47—Quinolines; Isoquinolines
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/70—Carbohydrates; Sugars; Derivatives thereof
- A61K31/7042—Compounds having saccharide radicals and heterocyclic rings
- A61K31/7052—Compounds having saccharide radicals and heterocyclic rings having nitrogen as a ring hetero atom, e.g. nucleosides, nucleotides
- A61K31/706—Compounds having saccharide radicals and heterocyclic rings having nitrogen as a ring hetero atom, e.g. nucleosides, nucleotides containing six-membered rings with nitrogen as a ring hetero atom
- A61K31/7064—Compounds having saccharide radicals and heterocyclic rings having nitrogen as a ring hetero atom, e.g. nucleosides, nucleotides containing six-membered rings with nitrogen as a ring hetero atom containing condensed or non-condensed pyrimidines
- A61K31/7068—Compounds having saccharide radicals and heterocyclic rings having nitrogen as a ring hetero atom, e.g. nucleosides, nucleotides containing six-membered rings with nitrogen as a ring hetero atom containing condensed or non-condensed pyrimidines having oxo groups directly attached to the pyrimidine ring, e.g. cytidine, cytidylic acid
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/20—Pills, tablets, discs, rods
- A61K9/2004—Excipients; Inactive ingredients
- A61K9/2022—Organic macromolecular compounds
- A61K9/205—Polysaccharides, e.g. alginate, gums; Cyclodextrin
- A61K9/2054—Cellulose; Cellulose derivatives, e.g. hydroxypropyl methylcellulose
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/48—Preparations in capsules, e.g. of gelatin, of chocolate
- A61K9/4841—Filling excipients; Inactive ingredients
- A61K9/4866—Organic macromolecular compounds
Definitions
- This invention relates to a drug formulation in a tablet/capsule form containing active substances Molnupiravir and Montelukast, prepared for effective use in the treatment of Covid- 19.
- Patent document No. US 2020/0323843 Al relates to a formulation containing a combination of active substances levocetirizine and montelukast which are effective against Corona virus.
- the present invention relates to the formulation of active substances Molnupiravir and Montelukast together into tablet formulations that meet the above-mentioned needs, eliminate the disadvantages and bring some additional advantages and to the activity of these formulations against Covid- 19.
- the main object of the invention is to propose new solutions against the Covid- 19 pandemic, which also seriously affects Turkey, and to contribute to the country’s economy with new drug formulations that can be developed.
- Another object of this invention is to reduce the number of inpatients in the intensive care units of hospitals due to Covid-19 disease.
- the invention is a capsule/tablet drug formulation that can be used in the treatment of Covid- 19, has high stability and is easy to manufacture in the pharmaceutical industry.
- the drug formulation according to the invention is possible for the drug formulation according to the invention to be used in the treatment of other diseases that threaten the immune system, as well as similar viral infections apart from Covid- 19.
- the drug used in the treatment of viral infections contains the active substances of Molnupiravir in the range of 400-800 mg and Montelukast in the range of 5-10 mg, and at least one excipient.
- the drug formulation according to the invention preferably contains active substances of Molnupiravir of 800 mg and Montelukast of 5 mg.
- Molnupiravir reached the maximum concentration within 1.00 to 1.75 hours at doses between 50 and 1600 mg in single or divided doses (twice daily) and its geometric half-life was 1 hour. At doses between 600 and 1600 mg, its Cmax and tmax mean value were found to be 13.2 ng/ml and 0.25 and 0.75 hours, respectively. It has been shown not to accumulate in tissues. The amount of molnupiravir detected in the urine is very small, and probably molnupiravir is eliminated from the body by breaking down into cytidine and uridine. Absorption is not affected by the food intake. The use of molnupiravir is well tolerated and does not exhibit any serious adverse events at the level of stage 3-4. In one case, treatment was terminated due to rash. The rash was improved with antihistamine and steroid therapy. There was no serious adverse event reflected on the laboratory.
- Montelukast is a product currently used in the treatment of asthma.
- the conventional Montelukast dose for adult use is 2 x 5 mg. It was shown that montelukast inhibited the SARS COV-2 protease activity in the laboratory study performed with the invention.
- the invention is in the form of a solid drug such as a capsule/tablet that can be taken orally, consisting of Molnupiravir in the range of 400-800 mg and Montelukast in the range of 5-10 mg as active substances.
- a single formulation preferably contains 800 mg of molnupiravir and 5 mg of Montelukast. Two active substances are contained in the formulation together with the excipients.
- the drug used in the treatment of viral infections according to the invention contains the active substances of Molnupiravir in the range of 400-800 mg and Montelukast in the range of 5-10 mg, and at least one excipient.
- the excipient includes fillers, binders, dispersants, solubility enhancers, dyestuffs, lubricant agents, anti-caking agents and disintegration agents.
- Filler used as excipient can be selected among lactose and its derivatives, starch and its derivatives, mannitol, sorbitol, calcium sulfate, compressible sugar, microcrystalline cellulose, polyvinyl pyrrolidone and its derivatives, and dibasic calcium phosphate.
- Dispersant can be selected among starch and its derivatives, sodium starch glycolate, cellulose derivatives, such as cross-linked carboxy methyl cellulose, cross-linked polyvinylpyrrolidone, microcrystalline cellulose, alginic acid and hydroxy propyl methyl cellulose.
- starch and its derivatives sodium starch glycolate
- cellulose derivatives such as cross-linked carboxy methyl cellulose, cross-linked polyvinylpyrrolidone, microcrystalline cellulose, alginic acid and hydroxy propyl methyl cellulose.
- Binder can be selected among polyvinyl pyrrolidone and its derivatives, gum arabic, gum tragacanth, xanthan gum, pectin, starch, sorbitol, glucose, sucrose, gelatin, alginic acid and its derivatives and cellulose derivatives.
- Solubility enhancer can be selected among sodium lauryl sulfate and tween 80 (Polyoxyethylene Sorbitan Monooleate).
- the dyestuff is a dyestuff having DC (drug and cosmetics) code.
- Lubricant agent can be selected among Glidant/lubricant, stearic acid, sodium benzoate, sodium lauryl sulfate, PEG 6000, colloidal silicon dioxide, magnesium stearate and H 2 Mg 3 0i 2 Si 4 .
- the invention is designed for oral use, and microcrystalline cellulose, lactose, polyvinylpyrrolidone K30 (PVP K30), crospovidone, starch, hydroxypropyl methylcellulose, sodium lauryl sulfate, red iron oxide, titanium dioxide, colloidal silicon dioxide, talc and magnesium stearate are contained in the solid drug formulation as an excipient.
- Lactose and its derivatives, microcrystalline cellulose, polyvinylpyrrolidone K30 (PVP K30), Crospovidone and starch are used as fillers, separately or together at a ratio of 10-75% (w/w) in the formulation.
- Hydroxypropyl methylcellulose was used as a dispersant at a ratio of 5- 25% (w/w).
- Red iron oxide and titanium dioxide were used as dyestuffs at a ratio of 0-20% (w/w), colloidal silicon dioxide, talc and magnesium stearate were preferred at the ratios of 0- 25% (w/w) as lubricant agents, anti-caking agents, disintegration agents, respectively.
- the bulk, compacted and actual densities of the active pharmaceutical ingredients and filler to be used for the preparation of the capsule formulation were calculated.
- the amount of filler to be used in the respective capsule was calculated based on the density calculation.
- the active pharmaceutical ingredients and the filler used were mixed until a homogeneous mixture was obtained. Then the capsule was filled by means of the filling device.
- Direct compression method was used in the preparation of tablet formulations. Calculated amounts of active pharmaceutical ingredients, excipients and filler were mixed until homogeneous. The tablet press device was optimized at a specified tablet weight. Finally, the powders mixed homogeneously were loaded into the tablet press device for the pressing process and the tablets were pressed. Based on both Cmax and AUC levels obtained in the phase 1 study, sufficient plasma exposure to be effective in treating seasonal and pandemic influenza and preventing transmission of SARS-CoV-2 in animal models in humans is obtained at doses between 400 and 800 mg. Headache is the most common side effect of a single high-dose sequential (1600 mg) administration. It was concluded that the 2 x (400-800 mg) dose schedule would be suitable for patients, since the effect is maximum and the side effects are minimal.
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Abstract
This invention relates to the formulation of active substances Molnupiravir and Montelukast together into tablet/capsule formulations and to the activity of these formulations against Covid-19.
Description
PREPARATION OF NEW DRUG FORMULATIONS CAPABLE OF EXHIBITING
AN ANTI-VIRAL EFFECT AND INVESTIGATION OF THEIR EFFECT AGAINST
COVID-19
Technical Field of the Invention
This invention relates to a drug formulation in a tablet/capsule form containing active substances Molnupiravir and Montelukast, prepared for effective use in the treatment of Covid- 19.
State of the Art of the Invention (Prior Art)
There are not many proprietary medicines against the Covid- 19 disease, a viral disease declared as a pandemic by the World Health Organization on March 11, 2020. It is critical to propose and implement novel treatment methods and different solutions against this serious disease that affects the whole world. There are various studies on the effects of Molnupiravir, of which clinical trial is still ongoing, on Covid- 19. In addition, it is expected that potency of drugs capable of exhibiting anti-viral effects will be increased and they will show a synergistic effect with their new formulations.
Molnupiravir is an effective anti-viral drug candidate that has recently been developed for the treatment of Covid- 19 and of which Phase-2 and Phase-3 studies are still ongoing. There are 5 studies intended for clinical trials on the website clinicaltrials.gov (https://clinicaltrials.gov/ct2/results?cond=&term=molnupiravir&cntry=&state=&city=&dist= ). In addition, it is known that 5 clinical trials are still ongoing for the active component Montelukast, which is known as a Leukotriene antagonist and an asthma medicine in the market (https://clinicaltrials.gov/ct2/results?cond=&term=Montelukast+and+Covidl9&cntry=&state =&city=&dist=).
The urgent need for an effective anti-COVID-19 treatment has led to studying “older drugs” currently used for other pathology treatments of which safety profile has already been
evaluated. Among the various drugs fit for purpose studied against SARS-CoV-2, nucleoside analogues have recently played a central role. Of these, the uridine monophosphate analog sofosbuvir, the modified cytidine molnupiravir, the adenosine analog GS-441524, and its monophosphate prodrug remdesivir, have shown promotive results, justifying the latest FDA approval as the only specific anti-COVID-19 therapeutic agent of this last drug.
As is known, the number of combined drug studies are quite high, especially recently, and the number of studies that can be effective in the treatment of Covid- 19 are increasing day by day.
Patent document No. US 2020/0323843 Al relates to a formulation containing a combination of active substances levocetirizine and montelukast which are effective against Corona virus.
In a study to Robert M. Cox et al. it is stated that the active substance Molnupiravir is effective against COVID-19.
However, there is no formulation in which active substances Molnupiravir and Montelukast are combined in a single form for the treatment of Covid- 19 in the state of the art.
Brief Description and Objects of the Invention
The present invention relates to the formulation of active substances Molnupiravir and Montelukast together into tablet formulations that meet the above-mentioned needs, eliminate the disadvantages and bring some additional advantages and to the activity of these formulations against Covid- 19.
The main object of the invention is to propose new solutions against the Covid- 19 pandemic, which also seriously affects Turkey, and to contribute to the country’s economy with new drug formulations that can be developed.
With the invention, it is aimed to prepare a drug formulation containing active substances Molnupiravir and Montelukast, and to provide higher efficiency for the treatment of Covid- 19 compared to Molnupiravir.
Another object of this invention is to reduce the number of inpatients in the intensive care units of hospitals due to Covid-19 disease.
The invention is a capsule/tablet drug formulation that can be used in the treatment of Covid- 19, has high stability and is easy to manufacture in the pharmaceutical industry.
It is possible for the drug formulation according to the invention to be used in the treatment of other diseases that threaten the immune system, as well as similar viral infections apart from Covid- 19.
The drug used in the treatment of viral infections contains the active substances of Molnupiravir in the range of 400-800 mg and Montelukast in the range of 5-10 mg, and at least one excipient.
The drug formulation according to the invention preferably contains active substances of Molnupiravir of 800 mg and Montelukast of 5 mg.
In the human phase 1 study, Molnupiravir reached the maximum concentration within 1.00 to 1.75 hours at doses between 50 and 1600 mg in single or divided doses (twice daily) and its geometric half-life was 1 hour. At doses between 600 and 1600 mg, its Cmax and tmax mean value were found to be 13.2 ng/ml and 0.25 and 0.75 hours, respectively. It has been shown not to accumulate in tissues. The amount of molnupiravir detected in the urine is very small, and probably molnupiravir is eliminated from the body by breaking down into cytidine and uridine. Absorption is not affected by the food intake. The use of molnupiravir is well tolerated and does not exhibit any serious adverse events at the level of stage 3-4. In one case, treatment was terminated due to rash. The rash was improved with antihistamine and steroid therapy. There was no serious adverse event reflected on the laboratory.
Preliminary data suggest that Molnupiravir can be effective in the treatment of covid 19 only if it is taken in the early period and at the highest dose.
Montelukast is a product currently used in the treatment of asthma. The conventional Montelukast dose for adult use is 2 x 5 mg.
It was shown that montelukast inhibited the SARS COV-2 protease activity in the laboratory study performed with the invention.
It is aimed to benefit from the synergistic effect of molnupiravir and montelukast on sars-cov2 in the drug formulation.
For this reason, it is considered that 800 mg of Molnupiravir and 5 mg of Montelukast are present in 1 capsule in the drug formulation, and the daily use posology is 2 x 1 capsule.
Detailed Description of the Invention
The invention is in the form of a solid drug such as a capsule/tablet that can be taken orally, consisting of Molnupiravir in the range of 400-800 mg and Montelukast in the range of 5-10 mg as active substances. In the invention, a single formulation preferably contains 800 mg of molnupiravir and 5 mg of Montelukast. Two active substances are contained in the formulation together with the excipients.
The drug used in the treatment of viral infections according to the invention contains the active substances of Molnupiravir in the range of 400-800 mg and Montelukast in the range of 5-10 mg, and at least one excipient. The excipient includes fillers, binders, dispersants, solubility enhancers, dyestuffs, lubricant agents, anti-caking agents and disintegration agents.
Filler used as excipient can be selected among lactose and its derivatives, starch and its derivatives, mannitol, sorbitol, calcium sulfate, compressible sugar, microcrystalline cellulose, polyvinyl pyrrolidone and its derivatives, and dibasic calcium phosphate.
Dispersant can be selected among starch and its derivatives, sodium starch glycolate, cellulose derivatives, such as cross-linked carboxy methyl cellulose, cross-linked polyvinylpyrrolidone, microcrystalline cellulose, alginic acid and hydroxy propyl methyl cellulose.
Binder can be selected among polyvinyl pyrrolidone and its derivatives, gum arabic, gum tragacanth, xanthan gum, pectin, starch, sorbitol, glucose, sucrose, gelatin, alginic acid and its derivatives and cellulose derivatives.
Solubility enhancer can be selected among sodium lauryl sulfate and tween 80 (Polyoxyethylene Sorbitan Monooleate).
The dyestuff is a dyestuff having DC (drug and cosmetics) code.
Lubricant agent can be selected among Glidant/lubricant, stearic acid, sodium benzoate, sodium lauryl sulfate, PEG 6000, colloidal silicon dioxide, magnesium stearate and H2Mg30i2Si4.
The invention is designed for oral use, and microcrystalline cellulose, lactose, polyvinylpyrrolidone K30 (PVP K30), crospovidone, starch, hydroxypropyl methylcellulose, sodium lauryl sulfate, red iron oxide, titanium dioxide, colloidal silicon dioxide, talc and magnesium stearate are contained in the solid drug formulation as an excipient.
Lactose and its derivatives, microcrystalline cellulose, polyvinylpyrrolidone K30 (PVP K30), Crospovidone and starch are used as fillers, separately or together at a ratio of 10-75% (w/w) in the formulation. Hydroxypropyl methylcellulose was used as a dispersant at a ratio of 5- 25% (w/w). Sodium lauryl sulfate, preferred as solubility enhancer, was used at a ratio of 0- 20% (w/w). Red iron oxide and titanium dioxide were used as dyestuffs at a ratio of 0-20% (w/w), colloidal silicon dioxide, talc and magnesium stearate were preferred at the ratios of 0- 25% (w/w) as lubricant agents, anti-caking agents, disintegration agents, respectively.
The bulk, compacted and actual densities of the active pharmaceutical ingredients and filler to be used for the preparation of the capsule formulation were calculated. The amount of filler to be used in the respective capsule was calculated based on the density calculation. The active pharmaceutical ingredients and the filler used were mixed until a homogeneous mixture was obtained. Then the capsule was filled by means of the filling device.
Direct compression method was used in the preparation of tablet formulations. Calculated amounts of active pharmaceutical ingredients, excipients and filler were mixed until homogeneous. The tablet press device was optimized at a specified tablet weight. Finally, the powders mixed homogeneously were loaded into the tablet press device for the pressing process and the tablets were pressed.
Based on both Cmax and AUC levels obtained in the phase 1 study, sufficient plasma exposure to be effective in treating seasonal and pandemic influenza and preventing transmission of SARS-CoV-2 in animal models in humans is obtained at doses between 400 and 800 mg. Headache is the most common side effect of a single high-dose sequential (1600 mg) administration. It was concluded that the 2 x (400-800 mg) dose schedule would be suitable for patients, since the effect is maximum and the side effects are minimal.
Claims
CLAIMS A drug used in the treatment of viral infections, characterized in that; it contains the active substances of Molnupiravir in the range of 400-800 mg and Montelukast in the range of 5-10 mg, and at least one excipient. Drug according to Claim 1, characterized in that; it contains the active substances of Molnupiravir of 800 mg and Montelukast of 5 mg. Drug according to Claim 1 or 2, characterized in that; it is in form of tablet or capsule. Drug according to Claim 1 or 2, characterized in that; the excipient includes fillers, binders, dispersants, solubility enhancers, dyestuffs, lubricant agents, anti-caking agents and disintegration agents. Drug according to Claim 4, characterized in that; the filler is selected among lactose and its derivatives, starch and its derivatives, mannitol, sorbitol, calcium sulfate, compressible sugar, microcrystalline cellulose, polyvinyl pyrrolidone and its derivatives, and dibasic calcium phosphate. Drug according to Claim 5, characterized in that; the filler is selected among lactose and its derivatives, microcrystalline cellulose, polyvinylpyrrolidone K30 (PVP K30), Crospovidone and starch at a ratio of 10-75% (w/w). Drug according to Claim 4, characterized in that; the dispersant is selected among starch and its derivatives, sodium starch glycolate, cellulose derivatives, such as crosslinked carboxy methyl cellulose, cross-linked polyvinylpyrrolidone, microcrystalline cellulose, alginic acid and hydroxy propyl methyl cellulose. Drug according to Claim 7, characterized in that; the dispersant is hydroxypropyl methylcellulose at a ratio of 5-25% (w/w). Drug according to Claim 4, characterized in that; the binder is selected among polyvinyl pyrrolidone and its derivatives, gum arabic, gum tragacanth, xanthan gum,
7
pectin, starch, sorbitol, glucose, sucrose, gelatin, alginic acid and its derivatives and cellulose derivatives. Drug according to Claim 4, characterized in that; the solubility enhancer is selected among sodium lauryl sulfate and tween 80 (Polyoxyethylene Sorbitan Monooleate). Drug according to Claim 10, characterized in that; the dispersant is sodium lauryl sulfate at a ratio of 0-20% (w/w). Drug according to Claim 4, characterized in that; the dyestuff is a dyestuff having DC (drug and cosmetics) code. Drug according to Claim 12, characterized in that; the dispersant is red iron oxide or titanium dioxide at a ratio of 0-20% (w/w). Drug according to Claim 4, characterized in that; the lubricant agent is selected among Glidant/lubricant, stearic acid, sodium benzoate, sodium lauryl sulfate, PEG 6000, colloidal silicon dioxide, magnesium stearate, EEMgsOnSi^ Drug according to Claim 14, characterized in that; the lubricant agent is colloidal silicon dioxide at a ratio of 0-25% (w/w). Drug according to Claim 4, characterized in that; the anti-caking agent is talc at a ratio of 0-25% (w/w). Drug according to Claim 4, characterized in that; the disintegration agent is magnesium stearate at a ratio of 0-25%. Drug according to Claim 1, characterized in that; it is administered orally. Drug according to Claim 1, characterized in that; it is used in the treatment of COVID- 19 disease.
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Citations (1)
Publication number | Priority date | Publication date | Assignee | Title |
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WO2011159821A1 (en) * | 2010-06-16 | 2011-12-22 | Bruce Chandler May | Use of levocetirizine and montelukast in the treatment of influenza, common cold and inflammation |
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2022
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Publication number | Priority date | Publication date | Assignee | Title |
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WO2011159821A1 (en) * | 2010-06-16 | 2011-12-22 | Bruce Chandler May | Use of levocetirizine and montelukast in the treatment of influenza, common cold and inflammation |
Non-Patent Citations (3)
Title |
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ANONYMOUS: "Merck and Ridgeback's Investigational Oral Antiviral Molnupiravir Reduced the Risk of Hospitalization or Death by Approximately 50 Percent Compared to Placebo for Patients with Mild or Moderate COVID-19 in Positive Interim Analysis of Phase 3 Study ", BUSINESSWIRE, 1 October 2021 (2021-10-01), XP093069854, Retrieved from the Internet <URL:https://www.businesswire.com/news/home/20211001005189/en> [retrieved on 20230802] * |
FIDAN CIHAN; AYDOğDU AYşE: "As a potential treatment of COVID-19: Montelukast", MEDICAL HYPOTHESES, EDEN PRESS, PENRITH., US, vol. 142, 11 May 2020 (2020-05-11), US , XP086252212, ISSN: 0306-9877, DOI: 10.1016/j.mehy.2020.109828 * |
FISCHER WILLIAM, ERON JOSEPH J., HOLMAN WAYNE, COHEN MYRON S., FANG LEI, SZEWCZYK LAURA J., SHEAHAN TIMOTHY P, BARIC RALPH, MOLLAN: "Molnupiravir, an Oral Antiviral Treatment for COVID-19", MEDRXIV, 17 June 2021 (2021-06-17), XP055922951, Retrieved from the Internet <URL:https://www.medrxiv.org/content/10.1101/2021.06.17.21258639v1.full.pdf> [retrieved on 20220519], DOI: 10.1101/2021.06.17.21258639 * |
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