WO2007004957A1 - Novel crystalline form - Google Patents
Novel crystalline form Download PDFInfo
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- WO2007004957A1 WO2007004957A1 PCT/SE2006/000825 SE2006000825W WO2007004957A1 WO 2007004957 A1 WO2007004957 A1 WO 2007004957A1 SE 2006000825 W SE2006000825 W SE 2006000825W WO 2007004957 A1 WO2007004957 A1 WO 2007004957A1
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- Prior art keywords
- ethoxy
- amino
- hexyl
- phenylethyl
- propanoic acid
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07C—ACYCLIC OR CARBOCYCLIC COMPOUNDS
- C07C235/00—Carboxylic acid amides, the carbon skeleton of the acid part being further substituted by oxygen atoms
- C07C235/02—Carboxylic acid amides, the carbon skeleton of the acid part being further substituted by oxygen atoms having carbon atoms of carboxamide groups bound to acyclic carbon atoms and singly-bound oxygen atoms bound to the same carbon skeleton
- C07C235/04—Carboxylic acid amides, the carbon skeleton of the acid part being further substituted by oxygen atoms having carbon atoms of carboxamide groups bound to acyclic carbon atoms and singly-bound oxygen atoms bound to the same carbon skeleton the carbon skeleton being acyclic and saturated
- C07C235/18—Carboxylic acid amides, the carbon skeleton of the acid part being further substituted by oxygen atoms having carbon atoms of carboxamide groups bound to acyclic carbon atoms and singly-bound oxygen atoms bound to the same carbon skeleton the carbon skeleton being acyclic and saturated having at least one of the singly-bound oxygen atoms further bound to a carbon atom of a six-membered aromatic ring, e.g. phenoxyacetamides
- C07C235/20—Carboxylic acid amides, the carbon skeleton of the acid part being further substituted by oxygen atoms having carbon atoms of carboxamide groups bound to acyclic carbon atoms and singly-bound oxygen atoms bound to the same carbon skeleton the carbon skeleton being acyclic and saturated having at least one of the singly-bound oxygen atoms further bound to a carbon atom of a six-membered aromatic ring, e.g. phenoxyacetamides having the nitrogen atoms of the carboxamide groups bound to hydrogen atoms or to acyclic carbon atoms
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P3/00—Drugs for disorders of the metabolism
Definitions
- the present invention relates to a novel crystalline form of the fert-butylamine salt of (2S)- 2- ethoxy- 3 - (4- ⁇ 2- [hexyl(2-phenylethyl)amino] -2- oxoethoxy ⁇ phenyl)propanoic acid. Further, the present invention also relates to processes for preparation thereof, pharmaceutical formulations comprising it and its use as active ingredient in the manufacture of a medicament for use in treatment of clinical conditions including lipid disorders (dyslipidemias) whether or not associated with insulin resistance or with other manifestations of the metabolic syndrome and to methods for their therapeutic use.
- lipid disorders dislipidemias
- the drug substance In the formulation of drug compositions, it is important for the drug substance to be in a form in which it can be conveniently handled and processed. This is of importance, not only from the point of view of obtaining a commercially viable manufacturing process, but also from the point of view of subsequent manufacture of pharmaceutical formulations comprising the active compound.
- the drug substance, and compositions containing it should be capable of being effectively stored over appreciable periods of time, without exhibiting a significant change in the physico-chemical characteristics of the active component, e.g. its chemical composition, density, hygroscopicity and solubility.
- Amorphous materials may present problems in this regard. For example, such materials are typically more difficult to handle and to formulate, provide for unreliable solubility, and are often found to be more unstable.
- Figure 1 is an X-ray powder diffractogram of the tert-butylamine (4- ⁇ 2-[hexyl(2-phenylethyl)amino]-2-oxoethoxy ⁇ phenyl)propanoic acid, Form III.
- Figure 2 is an X-ray powder diffractogram of the tert-butylamine salt of (2>S)-2-ethoxy-3- (4- ⁇ 2-[hexyl(2-phenylethyl)amino]-2-oxoethoxy ⁇ phenyl)propanoic acid, Form I.
- Figure 3 is an X-ray powder diffractogram of the tert-butylamine salt of (26')-2-ethoxy-3- (4- ⁇ 2-[hexyl(2-phenylethyl)amino]-2-oxoethoxy ⁇ phenyl)propanoic acid, Form II.
- Form II a substantially X-ray amorphous form, referred to as "Form II", having the XRPD pattern as dislosed in Figure 3.
- Form IE which forms part of this invention, is having the XRPD pattern as dislosed in Figure 1.
- Form IH relates to the order in time in which the forms were created, not to their relative tliermodynamic stability.
- This crystalline form can be crystallized at elevated temperatures, specifically at or above 35° C, even up to around 75° C.
- the compound of the invention has the advantage that it is believed to be the presently known most terrnodynamically stable form. Thus giving improved chemical and solid state stability with the effect that the compound may be stable when stored over prolonged periods.
- the tert-butylamine salt of (2 1 S)-2-ethoxy-3-(4- ⁇ 2-[hexyl(2-phenylethyl)amino]-2- oxoethoxy ⁇ phenyl)propanoic acid Form III is a crystalline form also exhibiting advantageous properties, such as convenient handling.
- Form HI further has the advantage of being manufacturable at elevated temperatures, thus giving process advantages like higher yields and avoiding thick slurries obtained at lower temperatures and less consumption of solvents due to increased solubility with higher temperature of solvents, ease of achieving supersaturation by temperature decrease, etc.
- Crystallization of the compound of the present invention from an appropriate solvent system, containing at least one solvent may be achieved by attaining supersaturation in a solvent system by solvent evaporation, by temperature decrease, and/or via the addition of anti-solvent (i.e. a solvent in which the compounds of the invention are poorly soluble).
- the solvent system utilized in the crystallisation process may be one single solvent or a mixture of solvents. However, it is preferred that the crystallization is made from a mixed solvent system.
- the fert-butylamine salt of (25)-2-ethoxy-3-(4- ⁇ 2-[hexyl(2-phenylethyl)amino]-2- oxoethoxy ⁇ phenyl)propanoic acid Form III is obtained upon crystallization from isopropyl acetate at tempertures at or above 35 ? C, e.g. 45 ? C or 72 ? C.
- the compound/polymorf of the invention can be incorporated into pharmaceutical formulations for later administration to patients in need thereof.
- the tert-butylamine salt of (2_S>2-ethoxy-3-(4- ⁇ 2-[hexyl(2-phenylethyl)amino]-2- oxoethoxy ⁇ phenyl)propanoic acid Form III is characterized in providing an X-ray powder diffraction pattern, as in figure 1 , exhibiting substantially the following d- values and intensities;
- the Form UI of the tert-butylamine salt of (2S)-2-ethoxy-3-(4- ⁇ 2-[hexyl(2- phenylethyl)amino-2-oxoethoxyphenyl)propanoic acid is characterized in providing an X- ray powder diffraction pattern exhibiting peaks at substantially the following d- values: I 0 4.77, 5.6, 6.0, 8.2 and 19.0 A.
- the Form III of the tert-butylarnine salt of (2£)-2-ethoxy-3-(4- ⁇ 2- [hexyl(2-phenylethyl)amino-2-oxoethoxyphenyl)propanoic acid is characterized in providing an X-ray powder diffraction pattern exhibiting peaks at substantially the is following d- values: 3.81, 4.48, 4.57, 4.77, 5.3, 5.4, 5.6, 5.7, 6.0, 8.2, 11.6 and 19.0 A.
- the Form III of the tert-butylamine salt of (2S)-2-ethoxy-3-(4- ⁇ 2- [hexyl(2-phenylethyl)amino-2-oxoethoxyphenyl)propanoic acid is characterized in providing an X-ray powder diffraction pattern exhibiting peaks at substantially the 20 following d- values: 3.05, 3.30, 3.75, 3.81, 4.08, 4.26, 4.34, 4.44, 4.48, 4.57, 4.77, 5.00, 5.3, 5.4, 5.6, 5.7, 6.0, 8.2, 11.6 and 19.0 A.
- Crystallization of the compound of the present invention from an appropriate solvent system, containing at least one solvent may be achieved by attaining supersaturation in a solvent system by solvent evaporation, by temperature decrease, and/or via the addition of anti-solvent (i.e. a solvent in which the compounds of the invention are poorly soluble).
- anti-solvent i.e. a solvent in which the compounds of the invention are poorly soluble.
- liquid aliphatic ketones or liquid aliphatic esters preferably at room temperature liquid aliphatic ketones or at room temperature liquid aliphatic esters, more preferably at room temperature liquid aliphatic ketones or at room temperature liquid aliphatic esters, most preferably at room temperature aliphatic liquid ketones or esters selected from the group consisting of isopropylacetate or methyl- isobutyl-ketone.
- ketones or esters that are solid at room temperature but liquid at higher temperatures, i.e. those having a melting point below the lowest process temperature, can be utilized in the processes of the invention, either alone or mixed with solvents liquid at room temperature.
- a low-polar or non-polar solvents preferably aliphatic alkanes or aliphatic ethers, more preferably at room temperature liquid aliphatic alkanes or at room temperature liquid aliphatic ethers, and most preferably at room temperature liquid aliphatic alkanes or at room temperature liquid aliphatic ethers selected from the group. consisting of isooctane (2,2,4 -trimethylpentan), n-hexan, petroleum ether and t-butyl- methyl- ether.
- Crystallization of the compound of the present invention can be achieved starting from pure fert-butylamine salt of (2£)-2-ethoxy-3-(4- ⁇ 2-[hexyl(2-phenylethyl)amino]-2- oxoethoxy ⁇ phenyl)propanoic acid of any polymorphic form, or mixtures of any forms thereof. Whether ansolvate or solvate crystallizes is related to the kinetics and equilibrium conditions of the respective forms at the specific conditions. Thus, as may be appreciated by the skilled person, the crystalline form that is obtained depends upon both the kinetics and the thermodynamics of the crystallization process.
- one crystalline form may be more stable than another (or indeed any other).
- crystalline forms that have a relatively low thermodynamic stability may be kinetically favored.
- kinetic factors such as time, impurity profile, agitation, the presence or absence of seeds, etc. may also influence which form that crystallizes.
- the tert-butylamine salt of (26')-2-ethoxy-3-(4- ⁇ 2-[hexyl(2-phenylethyl)amino]-2- oxoethoxy ⁇ phenyl)propanoic acid Form III is obtained upon crystallization from isopropyl acetate at tempertures at or above 35 ? C, e.g. 45 ? C or 72 ? C.
- the tert-butylamine salt of (26 r )-2-ethoxy-3-(4- ⁇ 2-[hexyl(2- ⁇ henylethyl)amino]-2- oxoethoxy ⁇ phenyl)propanoic acid Form III, obtained according to the present invention is substantially free from other crystal and non-crystal forms of the tert-butylamine salt of (25)-2-ethoxy-3-(4- ⁇ 2-[hexyl(2-phenylethyl)amino-2-oxoethoxyphenyl)propanoic acid.
- tert-butyl-amine salt contains less than 40%, preferably less than 20%, more preferably less than 10% of the sum of any other crystal or non-crystal forms of the tert-butyl-amine salt of ⁇ S ⁇ -ethoxy- 3-(4- ⁇ 2-[hexyl(2-phenylethyl)amino]-2-oxoethoxy ⁇ phenyl)propanoic acid.
- One object of the present invention is to provide processes for the preparation of Form HI of the tert-butylamine salt of (2S)-2-ethoxy-3-(4- ⁇ 2- [hexyl(2-phenylethyl)amino]-2- oxoethoxy ⁇ phenyl)propanoic acid.
- crystallization is initiated and/or effected without seeding with crystals.
- crystallization is initiated and/or effected with seeding with crystals of the appropriate crystalline form, i.e. Form III, of the tert-butylamine salt of (2S)-2-ethoxy-3-(4- ⁇ 2- [hexyl(2-phenylethyl)amino]-2- oxoethoxy ⁇ phenyl)propanoic acid.
- the process is characterized by comprising the following steps; I) having the (26)-2-ethoxy-3-(4- ⁇ 2-[hexyl(2-phenylethyl)amino]-2- oxoethoxy ⁇ phenyl)propanoic acid dissolved in a suitable solvent or solvent mixture and adding tert-butylamine II) optionallly adding an anti- solvent or anti- solvent mixture
- T) having the tert-butylamine salt of (2 1 S')-2-ethoxy-3-(4- ⁇ 2-[hexyl(2-phenylethyl)amino]-2- oxoethoxy ⁇ phenyl)propanoic acid or any polymorpic form thereof dissolved in a suitable solvent or solvent mixture
- the process is further characterized by that the ratio of (2,S)-2-ethoxy-3-(4- ⁇ 2-[hexyl(2- phenylethyl)amino]-2-oxoethoxy ⁇ phenyl)propanoic acid to tert-butylamine is from 0.8:1 to 1.2: 1 on equivalents basis or more preferably from 0.9: 1 to 1.1 : 1 on equivalents basis or most preferred from 0.95:1 to 1.05:1 on equivalents basis.
- the compound of the invention will normally be administered via the oral, parenteral, intravenous, intramuscular, subcutaneous or in other injectable ways, buccal, rectal, vaginal, transdermal and/or nasal route and/or via inhalation, in the form of a pharmaceutically acceptable dosage form, i.e. a pharmaceutical formulation.
- a pharmaceutically acceptable dosage form i.e. a pharmaceutical formulation.
- the compositions may be administered at varying doses.
- Suitable daily doses of the compound of the invention in therapeutical treatment of humans are about 0.0001-100 mg/kg body weight, preferably 0.001-10 mg/kg body weight.
- Oral formulations are preferred, particularly tablets or capsules which may be formulated by methods known to those skilled in the art, to provide doses of the active compound in the range of 0.5mg to 500mg for example 1 mg, 3 mg, 5 mg, 10 mg, 25mg, 50mg, lOOmg and 250mg.
- a pharmaceutical formulation including the compound of the invention in admixture with at least one pharmaceutically acceptable excipient, such as e.g., diluents and/or carriers.
- the compound of the invention is useful for the prophylaxis and/or treatment of clinical conditions associated with inherent or induced reduced sensitivity to insulin (insulin resistance) and associated metabolic disorders (also known as metabolic syndrome). These clinical conditions will include, but will not be limited to, general obesity, abdominal obesity, arterial hypertension, hyperinsulinaemia, hyperglycaemia, type 2 diabetes and the dyslipidaemia characteristically appearing with insulin resistance.
- This dyslipidaemia also known as the atherogenic lipoprotein profile, is characterised by moderately elevated non- esterified fatty acids, elevated very low density lipoprotein (VLDL) triglyceride rich particles, high Apo B levels, low high density lipoprotein (HDL) levels associated with low apoAI particle levels and high Apo B levels in the presence of small, dense, low density lipoproteins (LDL) particles, phenotype B.
- VLDL very low density lipoprotein
- HDL low high density lipoprotein
- LDL low density lipoprotein
- the compound of the present invention is expected to be useful in treating patients with combined or mixed hyperlipidemias or various degrees of hypertriglyceridemias and postprandial dyslipidemia with or without other manifestations of the metabolic syndrome.
- Treatment with the present compounds is expected to lower the cardiovascular morbidity and mortality associated with atherosclerosis due to their antidyslipidaemic as well as antiinflammatory properties.
- the cardiovascular disease conditions include macro- angiopathies of various internal organs causing myocardial infarction, congestive heart failure, cerebrovascular disease and peripheral arterial insufficiency of the lower extremities. Because of its insulin sensitizing effect the compound is also expected to prevent or delay the development of type 2 diabetes from the metabolic syndrome and diabetes of pregnancy.
- the compound may be useful in treatment of various conditions outside the cardiovascular system whether or not associated with insulin resistance, like polycystic ovarian syndrome, obesity, cancer and states of inflammatory disease including neurodegenerative disorders such as mild cognitive impairment, Alzheimer's disease, Parkinson's disease and multiple sclerosis.
- the compound of the present invention is expected to be useful in controlling glucose levels in patients suffering from type 2 diabetes.
- the present invention provides a method of treating or preventing dyslipidemias, the insulin resistance syndrome and/or metabolic disorders (as defined above) comprising the administration of the compound of the present invention to a mammal (particularly a human) in need thereof.
- the present invention provides a method of treating or preventing type 2 diabetes comprising the administration of an effective amount of the compound of the present invention to a mammal (particularly a human) in need thereof.
- the present invention provides the use of the compound of the present invention as a medicament.
- the present invention provides the use of the compound of the present invention in the manufacture of a medicament for the treatment of insulin resistance and/or metabolic disorders.
- the compound of the invention may be combined with another therapeutic agent that is useful in the treatment of disorders associated with the development and progress of atherosclerosis such as hypertension, hyperlipidaemias, dyslipidaemias, diabetes and obesity.
- the compound of the invention may be combined with another therapeutic agent that decreases the ratio of LDL:HDL or an agent that causes a decrease in circulating levels of LDL-cholesterol.
- the compound of the invention may also be combined with therapeutic agents used to treat complications related to micro- 5 angiopathies.
- a compound of the invention may be used alongside other therapies for the treatment of metabolic syndrome or type 2 diabetes and its associated complications, these include biguanide drugs, for example metformin, phenformin and buformin, insulin (synthetic o insulin analogues, amylin) and oral antihyperglycemics (these are divided into prandial glucose regulators and alpha-glucosidase inhibitors).
- biguanide drugs for example metformin, phenformin and buformin
- insulin synthetic o insulin analogues, amylin
- oral antihyperglycemics these are divided into prandial glucose regulators and alpha-glucosidase inhibitors.
- An example of an alpha- glucosidase inhibitor is acarbose or voglibose or miglitol.
- An example of a prandial glucose regulator is repaglinide or nateglinide.
- the compound of the invention may be administered in association with a PPAR modulating agent.
- PPAR modulating agents include but are not limited to a PPAR alpha and/or gamma and/or delta agonist, or pharmaceutically acceptable salts, solvates, solvates of such salts or prodrugs thereof.
- Suitable PPAR alpha and/or gamma agonists, pharmaceutically acceptable salts, solvates, solvates of such salts 0 or prodrugs thereof are well known in the art.
- a PPAR alpha and/or gamma and/or delta agonist refers to muraglitazar (BMS 298585), rivoglitazone (CS-OI l), netoglitazone (MCC-555), balaglitazone (DRF-2593, NN-2344), clofibrate, fenof ⁇ brate, bezaf ⁇ brate, gemfibrozil , ciprofibrate, pioglitazone, o rosiglitazone, AVE-0847, AVE-8134, CLX-0921, DRF-10945, DRF-4832, LY-518674, LY-818, LY-929, 641597, GW-590735, GW-677954, GW-501516, MBX-102, ONO- 5129, KRP-101, R-483 (BM131258), TAK-559 or TAK-654.
- BMS 298585 muraglitazar
- a PPAR alpha and/or gamma and/or delta agonist refers to tesaglitazar ((S) ⁇ 2-ethoxy-3-[4-(2- ⁇ 4- methanesulphonyl-oxyphenyl ⁇ ethoxy)phenyl] propanoic acid) and pharmaceutically acceptable salts thereof.
- the compound of the invention may be used in conjunction with a sulfonylurea for example: glimepiride, glibenclamide (glyburide), gliclazide, glipizide, gliquidone, chloropropamide, tolbutamide, acetohexamide, glycopyramide, carbutamide, glibonuride, glisoxepid, glybuthiazole, glibuzole, glyhexamide, glymidine, glypinamide, phenbutamide, tolcylamide and tolazamide.
- a sulfonylurea for example: glimepiride, glibenclamide (glyburide), gliclazide, glipizide, gliquidone, chloropropamide, tolbutamide, acetohexamide, glycopyramide, carbutamide, glibonuride, glisoxepid, glybuthiazole, glibuzole,
- the sulfonylurea is glimepiride.
- the present invention includes administration of a compound of the present invention in conjunction with one, two or more existing therapies described in this combination section.
- the doses of the other existing therapies for the treatment of type 2 diabetes and its associated complications will be those known in the art and approved for use by regulatory bodies for example the FDA and may be found in the Orange Book published by the FDA. Alternatively smaller doses may be used as a result of the benefits derived from the combination.
- the present invention also includes the compound of the present invention in combination with a cholesterol- lowering agent.
- the cholesterol- lowering agents referred to in this application include but are not limited to inhibitors of HMG-CoA reductase (3- hydroxy-3-methylglutaryl coenzyme A reductase).
- HMG-CoA reductase inhibitor is a statin selected from the group consisting of atorvastatin, bervastatin, cerivastatin, dalvastatin, fluvastatin, itavastatin, lovastatin, mevastatin, nicostatin, nivastatin, pravastatin and simvastatin, or a pharmaceutically acceptable salt, especially sodium or calcium, or a solvate thereof, or a solvate of such a salt.
- a particular statin is atorvastatin, or a pharmaceutically acceptable salt, solvate, solvate of such a salt or a prodrug thereof.
- a more particular statin is atorvastatin calcium salt.
- a particularly preferred statin is, however, a compound with the chemical name (E)-7-[4-(4- fluorophenyl)-6-isopropyl-2-[methyl(methylsulfonyl)-amino]-pyrimidin-5-yl](3R,5S)-3,5- dihydroxyhept-6-enoic acid, [also known as (E)-7-[4-(4-fluorophenyl)-6-isopropyl ⁇ 2-[JV- metliyl-iV-(methylsulfonyl)-amino]pyrimidin-5-yl](3R,5S)-3,5-dihydroxyhept-6-enoic acid ] or a pharmaceutically acceptable salt or solvate thereof, or a
- cholesterol- lowering agent also includes chemical modifications of the E-MG-CoA reductase inhibitors, such as esters, prodrugs and metabolites, whether active or inactive.
- the present invention also includes the compound of the present invention in combination with a bile acid sequestering agent, for example colestipol or cholestyramine or cholestagel.
- a bile acid sequestering agent for example colestipol or cholestyramine or cholestagel.
- the present invention also includes the compound of the present invention in combination with an inhibitor of the ileal bile acid transport system (IBAT inhibitor).
- IBAT inhibitor an inhibitor of the ileal bile acid transport system
- Suitable compounds possessing IBAT inhibitory activity have been described, see for instance the compounds described in WO 93/16055, WO 94/18183, WO 94/18184, WO 96/05188, WO 96/08484, WO 96/16051, WO 97/33882, WO 98/07449, WO 98/03818, WO 98/38182, WO 99/32478, WO 99/35135, WO 98/40375, WO 99/35153, WO
- IBAT inhibitors suitable for use in the present invention are benzothiepines, and the compounds described in the claims, particularly claim 1, of WO 00/01687, WO 96/08484 and WO 97/33882 are incorporated herein by reference.
- Other 5 suitable classes of IBAT inhibitors are the 1,2-benzothiazepines, 1 ,4-benzothiazepines and 1,5-benzothiazepines.
- a further suitable class of IBAT inhibitors is the 1,2,5- benzothiadiazepines .
- IBAT inhibitory activity is (3i?,5i?)-3-butyl- i o 3-ethyl- 1 ,1 -dioxido-5-phenyl-2,3,4,5-tetrahydro- 1 ,4-benzothiazepin- 8-yl ⁇ -D- glucopyranosiduronic acid (EP 864 582).
- IBAT inhibitors include one of: l,l-dioxo-3,3- ⁇ butyl-5-phenyl-7-methylthio-8-(N- ⁇ (R)-l'-phenyl-r-[iV'-(carboxymethyl) carbamoyl]methyl ⁇ carbamoylmethoxy)-2,3,4,5-tetrahydro-l,5-benzothiazepine; l,l-dioxo-3,3-dibutyl-5-phenyl-7-methylthio-8-(N- ⁇ (R)- ⁇ -[N'- 15 (carboxymethyl)carbamoyl]-4-hydroxybenzyl ⁇ carbamoylmethoxy)-2,3,4,5-tetrahydro-l,5- benzothiazepine; l,l-dioxo-3,3-dibutyl-5-phenyl-7-methylthio-8-(iV- ⁇ (R)-l 1 -phenyl
- a combination treatment comprising the administration of an effective amount of the compound of the present invention optionally together with a pharmaceutically acceptable diluent or carrier, with the simultaneous, sequential or separate administration of one or more of the following agents selected from: a CETP (cholesteryl ester transfer protein) inhibitor, for example those referenced and described in WO 00/38725 page 7 line 22 - page 10, line 17 which are incorporated herein by reference; a cholesterol absorption antagonist for example azetidinones such as SCH 58235 and those described in US 5,767,115 which are incorporated herein by reference; a MTP (microsomal transfer protein) inhibitor for example those described in Science, 282,
- a nicotinic acid derivative including slow release and combination products, for example, nicotinic acid (niacin), acipimox and niceritrol; a phytosterol compound for example stanols; probucol; an omega-3 fatty acid for example OmacorTM; an anti-obesity compound for example orlistat (EP 129,748) and sibutramine (GB
- an antihypertensive compound for example an angiotensin converting enzyme (ACE) inhibitor, an angiotensin II receptor antagonist, an andrenergic blocker, an alpha andrenergic blocker, a beta andrenergic blocker for example metoprolol, a mixed alpha/beta andrenergic blocker, an andrenergic stimulant, calcium channel blocker, an AT-
- ACE angiotensin converting enzyme
- aspirin a Melanin concentrating hormone (MCH) antagonist; a PDK inhibitor; or modulators of nuclear receptors for example LXR, FXR, RXR, and RORalpha; or a pharmaceutically acceptable salt, solvate, solvate of such a salt or a prodrug thereof, optionally together with a pharmaceutically acceptable diluent or carrier to a warmblooded animal, such as man, in need of such therapeutic treatment.
- MCH Melanin concentrating hormone
- PDK inhibitor a PDK inhibitor
- modulators of nuclear receptors for example LXR, FXR, RXR, and RORalpha
- a pharmaceutically acceptable salt, solvate, solvate of such a salt or a prodrug thereof optionally together with a pharmaceutically acceptable diluent or carrier to a warmblooded animal, such as man, in need of such therapeutic treatment.
- Particular ACE inhibitors or pharmaceutically acceptable salts, solvates, solvate of such salts or a prodrugs thereof, including active metabolites, which can be used in combination with the compound of the invention include but are not limited to, the following compounds: alacepril, alatriopril, altiopril calcium, ancovenin, benazepril, benazepril hydrochloride, benazeprilat, benzoylcaptopril, captopril, captopril- cysteine, captopril- glutathione, ceranapril, ceranopril, ceronapril, cilazapril, cilazaprilat, delapril, delapril- diacid, enalapril, enalaprilat, enapril, epicaptopril, foroxymithine, fosfenopril, fosenopril, fosenopril sodium, fosinopril
- Preferred ACE inhibitors for use in the present invention are ramipril, ramiprilat, lisinopril, enalapril and enalaprilat. More preferred ACE inhibitors for uses in the present invention are ramipril and ramiprilat.
- Preferred angiotensin II antagonists, pharmaceutically acceptable salts, solvates, solvate of such salts or a prodrugs thereof for use in combination with a compound of the invention include, but are not limited to, compounds: candesartan, candesartan cilexetil, losartan, valsartan, irbesartan, tasosartan, telmisartan and eprosartan.
- Particularly preferred angiotensin II antagonists or pharmaceutically acceptable derivatives thereof for use in the present invention are candesartan and candesartan cilexetil.
- a method for for the treatment of type 2 diabetes and its associated complications in a warm-blooded animal, such as man, in need of such treatment which comprises administering to said animal an effective amount of the compound of the present invention in simultaneous, sequential or separate administration with an effective amount of one the other compounds described in this combination section, or a pharmaceutically acceptable salt, solvate, solvate of such a salt or a prodrug thereof.
- a method of treating hyperlipidemic conditions in a warm-blooded animal, such as man, in need of such treatment which comprises administering to said animal an effective amount of the compound of the present invention in simultaneous, sequential or separate administration with an effective amount of one the other compounds described in this combination section or a pharmaceutically acceptable salt, solvate, solvate of such a salt or a prodrug thereof.
- a pharmaceutical composition which comprises the compound of the present invention and one of the other compounds described in this combination section or a pharmaceutically acceptable salt, solvate, solvate of such a salt or a prodrug thereof, in association with a pharmaceutically acceptable diluent or carrier.
- kits comprising the compound of the present invention and one of the other compounds described in this combination section or a pharmaceutically acceptable salt, solvate, solvate of such a salt or a prodrug thereof.
- kits comprising: a) the compound of the present invention in a first unit dosage form; b) one of the other compounds described in this combination section or a pharmaceutically acceptable salt, solvate, solvate of such a salt or a prodrug thereof; in a second unit dosage form; and c) container means for containing said first and second dosage forms.
- kits comprising: a) the compound of the present invention together with a pharmaceutically acceptable diluent or carrier, in a first unit dosage form; b) one of the other compounds described in this combination section or a pharmaceutically acceptable salt, solvate, solvate of such a salt or a prodrug thereof, in a second unit dosage form; and c) container means for containing said first and second dosage forms.
- a combination treatment comprising the administration of an effective amount of the compound of the present invention optionally together with a pharmaceutically acceptable diluent or carrier, with the simultaneous, sequential or separate administration of an effective amount of one of the other compounds described in this combination section, or a pharmaceutically acceptable salt, solvate, solvate of such a salt or a prodrug thereof, optionally together with a pharmaceutically acceptable diluent or carrier to a warm-blooded animal, such as man, in need of such therapeutic treatment.
- treatment includes the therapeutic treatment, as well as the prophylaxis, of a condition.
- X-ray powder diffraction analysis was performed on samples prepared according to standard methods, for example those described in Giacovazzo, C. et al (1995), Fundamentals of Crystallography, Oxford University Press; Jenkins, R. and Snyder, R. L. (1996), Introduction to X-Ray Powder Diffractometry, John Wiley & Sons, New York; Bunn, C. W. (1948), Chemical Crystallography, Clarendon Press, London; or Klug, H. P. & Alexander, L. E. (1974), X-ray Diffraction Procedures, John Wiley and Sons, New York.
- X-ray analyses were performed using a Siemens D5000 diffractometer and/or a Philips X'Pert MPD.
- XRPD distance values may vary in the range ⁇ 2 on the last given decimal place.
- the salt (3 g) was dissolved in isopropyl acetate (39 ml) at 72°C, followed by filtration, I 0 washing the filter with isopropyl acetate (6 ml) and addition of isooctane (45 ml). Then a cooling profile was started, from 72-20 0 C in 5 hrs.
- the product (2.07 g) was filtered off and washed with isopropyl acetate/isooctane mixture (12 ml) and dried in vacuum/40°C. The product was confirmed with XRPD.
- fert-butylamine (lmol/1, 6.55 ml) was added at 40°C, followed by addition of a portion of seeds (142.8 mg), which all dissolved, followed by addition of isooctane (30 ml) and then heating to 72°C, whereafter a cooling profile is started: 72-30°C/4 hrs, ageing at 30°C for 13 hrs. At 64°C one more portion of seed (60 mg) was added and the precipitation starts.
- the product (2.77 g) was filtered off and washed with isopropyl acetate (22 ml) and dried in vacuum/25°C. The product was confirmed with XRPD and NMR.
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Abstract
The present invention relates to a novel crystalline form of the tert-butylamine salt of (2S)-2-ethoxy-3-(4-{2-[hexyl(2-phenylethyl)amino-2-oxoethoxyphenyl)propanoic acid. Further, the present invention also relates to processes for preparing it.
Description
NOVEL CRYSTALLINE FORM
Field of the invention The present invention relates to a novel crystalline form of the fert-butylamine salt of (2S)- 2- ethoxy- 3 - (4- {2- [hexyl(2-phenylethyl)amino] -2- oxoethoxy }phenyl)propanoic acid. Further, the present invention also relates to processes for preparation thereof, pharmaceutical formulations comprising it and its use as active ingredient in the manufacture of a medicament for use in treatment of clinical conditions including lipid disorders (dyslipidemias) whether or not associated with insulin resistance or with other manifestations of the metabolic syndrome and to methods for their therapeutic use.
Background of the invention and prior art
In the formulation of drug compositions, it is important for the drug substance to be in a form in which it can be conveniently handled and processed. This is of importance, not only from the point of view of obtaining a commercially viable manufacturing process, but also from the point of view of subsequent manufacture of pharmaceutical formulations comprising the active compound.
Further, in the manufacture of oral drug compositions, it is important that a reliable, reproducible and constant plasma concentration profile of drug is provided following administration to a patient.
Chemical stability, solid state stability, dissolution rate poperties and "shelf life" of the active ingredients are also very important factors. The drug substance, and compositions containing it, should be capable of being effectively stored over appreciable periods of time, without exhibiting a significant change in the physico-chemical characteristics of the active component, e.g. its chemical composition, density, hygroscopicity and solubility.
Amorphous materials may present problems in this regard. For example, such materials are typically more difficult to handle and to formulate, provide for unreliable solubility, and are often found to be more unstable.
5 Thus, in the manufacture of commercially viable and pharmaceutically acceptable drug compositions, it is important, wherever possible, to provide the drug in a substantially crystalline and stable form.
Previously, certain (2.S')-3-(4-{2-[amino]-2-oxoethoxy}phenyl)-2-ethoxypropanoic acid I0 derivatives were disclosed in WO 03/051821 Al .
Salts of the (25>2-emoxy-3-(4-{2-[hexyl(2-phenylethyl)amino]-2- oxoethoxy}phenyl)propanoic acid were disclosed in WO 2004/110984 Al . In that application a crystalline polymorf with the XRPD pattern given in Ex. 6, Figure C (on p. I5 35), was disclosed; a polymorph hereinafter referred to as "Form I".
Brief description of the drawings
20 Figure 1 is an X-ray powder diffractogram of the tert-butylamine
(4-{2-[hexyl(2-phenylethyl)amino]-2-oxoethoxy}phenyl)propanoic acid, Form III.
Figure 2 is an X-ray powder diffractogram of the tert-butylamine salt of (2>S)-2-ethoxy-3- (4-{2-[hexyl(2-phenylethyl)amino]-2-oxoethoxy}phenyl)propanoic acid, Form I.
25
Figure 3 is an X-ray powder diffractogram of the tert-butylamine salt of (26')-2-ethoxy-3- (4-{2-[hexyl(2-phenylethyl)amino]-2-oxoethoxy}phenyl)propanoic acid, Form II.
0 Description of the invention
It has now surprisingly been found that the tert-butylamine salt of (2£)-2-ethoxy-3-(4-{2- [hexyl(2-phenylethyl)amino]-2-oxoethoxy}phenyl)propanoic acid exists in further crystal forms.
One such form is a substantially X-ray amorphous form, referred to as "Form II", having the XRPD pattern as dislosed in Figure 3.
Another such crystal form can be obtained when preparing this t-butylamine salt at higher temperatures than previously. This crystal form is hereinafter also referred to as "Form IE", which forms part of this invention, is having the XRPD pattern as dislosed in Figure 1.
The notation "Form IH" relates to the order in time in which the forms were created, not to their relative tliermodynamic stability.
It is thus an object of the present invention to provide a crystalline form of the tert- butylamine salt of(21S)-2-ethoxy-3-(4-{2-[hexyl(2-phenylethyl)amino]-2- oxoethoxy}phenyl)propanoic acid with advantageous properties.
This crystalline form can be crystallized at elevated temperatures, specifically at or above 35° C, even up to around 75° C.
The compound of the invention has the advantage that it is believed to be the presently known most terrnodynamically stable form. Thus giving improved chemical and solid state stability with the effect that the compound may be stable when stored over prolonged periods.
The tert-butylamine salt of (21S)-2-ethoxy-3-(4-{2-[hexyl(2-phenylethyl)amino]-2- oxoethoxy}phenyl)propanoic acid Form III is a crystalline form also exhibiting advantageous properties, such as convenient handling.
Form HI further has the advantage of being manufacturable at elevated temperatures, thus giving process advantages like higher yields and avoiding thick slurries obtained at lower
temperatures and less consumption of solvents due to increased solubility with higher temperature of solvents, ease of achieving supersaturation by temperature decrease, etc. Crystallization of the compound of the present invention from an appropriate solvent system, containing at least one solvent, may be achieved by attaining supersaturation in a solvent system by solvent evaporation, by temperature decrease, and/or via the addition of anti-solvent (i.e. a solvent in which the compounds of the invention are poorly soluble).
The solvent system utilized in the crystallisation process may be one single solvent or a mixture of solvents. However, it is preferred that the crystallization is made from a mixed solvent system.
The fert-butylamine salt of (25)-2-ethoxy-3-(4-{2-[hexyl(2-phenylethyl)amino]-2- oxoethoxy}phenyl)propanoic acid Form III is obtained upon crystallization from isopropyl acetate at tempertures at or above 35?C, e.g. 45?C or 72?C.
The Form I disclosed in WO 2004/110984 Al is obtained upon crystallization at room temperature from acetone and isooctane.
The compound/polymorf of the invention can be incorporated into pharmaceutical formulations for later administration to patients in need thereof.
Detailed description of the invention
The tert-butylamine salt of (2_S>2-ethoxy-3-(4- {2-[hexyl(2-phenylethyl)amino]-2- oxoethoxy}phenyl)propanoic acid Form III, according to the present invention, is characterized in providing an X-ray powder diffraction pattern, as in figure 1 , exhibiting substantially the following d- values and intensities;
Definitions used:
% Relative intensity* Definition
70-100 vs (very strong)
32-70 s (strong)
14-32 m (medium)
5-14 w (weak)
<5 vw (very weak)
*The relative intensities are derived from diffractograms measured with variable slits.
The peaks, identified with d- values calculated from the Bragg formula and intensities, have been extracted from the diffractogram of the tert-butylamine salt of (2>S)-2-ethoxy-3-(4-{2- 5 [hexyl(2-phenylethyl)amino]-2-oxoethoxy}phenyl)propanoic acid Form III.
The Form UI of the tert-butylamine salt of (2S)-2-ethoxy-3-(4- {2-[hexyl(2- phenylethyl)amino-2-oxoethoxyphenyl)propanoic acid, is characterized in providing an X- ray powder diffraction pattern exhibiting peaks at substantially the following d- values: I0 4.77, 5.6, 6.0, 8.2 and 19.0 A.
More preferably, the Form III of the tert-butylarnine salt of (2£)-2-ethoxy-3-(4-{2- [hexyl(2-phenylethyl)amino-2-oxoethoxyphenyl)propanoic acid, is characterized in providing an X-ray powder diffraction pattern exhibiting peaks at substantially the is following d- values: 3.81, 4.48, 4.57, 4.77, 5.3, 5.4, 5.6, 5.7, 6.0, 8.2, 11.6 and 19.0 A.
Most preferably, the Form III of the tert-butylamine salt of (2S)-2-ethoxy-3-(4-{2- [hexyl(2-phenylethyl)amino-2-oxoethoxyphenyl)propanoic acid, is characterized in providing an X-ray powder diffraction pattern exhibiting peaks at substantially the 20 following d- values: 3.05, 3.30, 3.75, 3.81, 4.08, 4.26, 4.34, 4.44, 4.48, 4.57, 4.77, 5.00, 5.3, 5.4, 5.6, 5.7, 6.0, 8.2, 11.6 and 19.0 A.
NMR data from the polymorf of the invention, the tert-butylamine salt of (25)-2-ethoxy-3- (4-{2-[hexyl(2-phenylethyl)amino]-2-oxoethoxy}phenyl)propanoic acid Form III; 5
1H-NMR (500 MHz, CDCl3):
7.4-7.1 (7H, m), 6.9 (IH, d), 6.7 (IH5 d), 4.7 (IH, s), 4.4 (IH, s), 3.8 (IH, m), 3.7 (IH, m), 3.6 (2H, m), 3.4 (IH, t), 3.2 (2H, m), 3.0 (IH, m), 2.9 (3H, m), 1.6 (2H, br m), 1.4 (9H, br s), 1.3 (6H, br m), 1.1 (3H, t), 0.9 (3H, m)
The Form III has been shown to be an ansolvate (/anhydrate) with TGA and GC methodology.
Solvent systems
Crystallization of the compound of the present invention from an appropriate solvent system, containing at least one solvent, may be achieved by attaining supersaturation in a solvent system by solvent evaporation, by temperature decrease, and/or via the addition of anti-solvent (i.e. a solvent in which the compounds of the invention are poorly soluble).
As solvent are suitably used liquid aliphatic ketones or liquid aliphatic esters, preferably at room temperature liquid aliphatic ketones or at room temperature liquid aliphatic esters, more preferably at room temperature liquid aliphatic ketones or at room temperature liquid aliphatic esters, most preferably at room temperature aliphatic liquid ketones or esters selected from the group consisting of isopropylacetate or methyl- isobutyl-ketone.
It is also contemplated that ketones or esters that are solid at room temperature but liquid at higher temperatures, i.e. those having a melting point below the lowest process temperature, can be utilized in the processes of the invention, either alone or mixed with solvents liquid at room temperature.
As anti-solvents are suitably used a low-polar or non-polar solvents, preferably aliphatic alkanes or aliphatic ethers, more preferably at room temperature liquid aliphatic alkanes or at room temperature liquid aliphatic ethers, and most preferably at room temperature liquid aliphatic alkanes or at room temperature liquid aliphatic ethers selected from the group. consisting of isooctane (2,2,4 -trimethylpentan), n-hexan, petroleum ether and t-butyl- methyl- ether.
Crystallization of the compound of the present invention can be achieved starting from pure fert-butylamine salt of (2£)-2-ethoxy-3-(4-{2-[hexyl(2-phenylethyl)amino]-2- oxoethoxy}phenyl)propanoic acid of any polymorphic form, or mixtures of any forms thereof.
Whether ansolvate or solvate crystallizes is related to the kinetics and equilibrium conditions of the respective forms at the specific conditions. Thus, as may be appreciated by the skilled person, the crystalline form that is obtained depends upon both the kinetics and the thermodynamics of the crystallization process. Under certain thermodynamic conditions (solvent system, temperature, pressure and concentration of compound of the invention), one crystalline form may be more stable than another (or indeed any other). However, crystalline forms that have a relatively low thermodynamic stability may be kinetically favored. Thus, in addition, kinetic factors, such as time, impurity profile, agitation, the presence or absence of seeds, etc. may also influence which form that crystallizes.
Process
The tert-butylamine salt of (26')-2-ethoxy-3-(4-{2-[hexyl(2-phenylethyl)amino]-2- oxoethoxy}phenyl)propanoic acid Form III is obtained upon crystallization from isopropyl acetate at tempertures at or above 35?C, e.g. 45?C or 72?C.
The Form I disclosed in WO 2004/110984 Al is obtained upon crystallization at room temperature from acetone and isooctane.
In order to ensure that a particular crystalline form is substantially free from other crystal and non-crystal forms of the tert-butylamine salt of (2S)-2-ethoxy-3-(4-{2-[hexyl(2- phenylethyl)amino]-2-oxoethoxy}phenyl)propanoic acid it is prepared in the substantial absence of other crystalline forms, such that crystallization is preferably carried out by seeding with seed crystals of the desired crystalline form.
The tert-butylamine salt of (26r)-2-ethoxy-3-(4-{2-[hexyl(2-ρhenylethyl)amino]-2- oxoethoxy}phenyl)propanoic acid Form III, obtained according to the present invention is substantially free from other crystal and non-crystal forms of the tert-butylamine salt of (25)-2-ethoxy-3-(4-{2-[hexyl(2-phenylethyl)amino-2-oxoethoxyphenyl)propanoic acid.
The term "substantially free from other crystal and non- crystal forms of the tert-butylamine salt of (2£)-2-ethoxy-3~(4- {2- [hexyl(2-phenylethyl)amino]-2-oxoethoxy }phenyl)propanoic acid" shall be understood to mean that the desired crystal form of this t-butylamine salt of (2ιS)-2-ethoxy-3-(4- {2- [hexyl(2-phenylethyl)ammo]-2-oxoethoxy }ρhenyl)proρanoic acid. contains less than 40%, preferably less than 20%, more preferably less than 10% of the sum of any other crystal or non-crystal forms of the tert-butyl-amine salt of ^S^-ethoxy- 3-(4-{2-[hexyl(2-phenylethyl)amino]-2-oxoethoxy}phenyl)propanoic acid.
One object of the present invention is to provide processes for the preparation of Form HI of the tert-butylamine salt of (2S)-2-ethoxy-3-(4- {2- [hexyl(2-phenylethyl)amino]-2- oxoethoxy}phenyl)propanoic acid.
In one aspect of the processes of the invention, crystallization is initiated and/or effected without seeding with crystals.
In another aspect of the processes of the invention, crystallization is initiated and/or effected with seeding with crystals of the appropriate crystalline form, i.e. Form III, of the tert-butylamine salt of (2S)-2-ethoxy-3-(4- {2- [hexyl(2-phenylethyl)amino]-2- oxoethoxy}phenyl)propanoic acid.
The process is characterized by comprising the following steps; I) having the (26)-2-ethoxy-3-(4-{2-[hexyl(2-phenylethyl)amino]-2- oxoethoxy}phenyl)propanoic acid dissolved in a suitable solvent or solvent mixture and adding tert-butylamine II) optionallly adding an anti- solvent or anti- solvent mixture
III) adjusting the temperature to a temperature at or above 350C
IV) stirring for at least 15-25 hours or more
V) separating off the product
VI) optionally washing with a suitable solvent VII) drying the product
Or
T) having the (25)-2-ethoxy-3-(4-{2-[hexyl(2-phenylethyl)amino]-2- oxoethoxy}phenyl)propanoic acid dissolved in a suitable solvent or solvent mixture and adding tert-butylamine II) optionallly adding an anti- solvent or anti- solvent mixture
III) adjusting the temperature to a temperature at or above 35° C
IV) seeding with Form III at any stage after step I)
V) cooling the mixture slowly at a temperature decreasing rate not higher than 15°C/hour
VI) separating off the product VII) optionally washing with a suitable solvent Vπi) drying the product Or
I) having the (2S)-2-ethoxy~3-(4-{2-[hexyl(2-phenylethyl)amino]-2- oxoethoxy}phenyl)propanoic acid dissolved in a suitable solvent or solvent mixture and adding tert-butylamine
II) optionallly adding an anti-solvent or antihsolvent mixture
III) adjusting the temperature to a temperature at or above 35°C
TV) cooling the mixture slowly at a temperature decreasing rate not higher than 15°C/hour
V) separating off the product VI) optionally washing with a suitable solvent
VII) drying the product
Or
I) having the (25)-2-ethoxy-3-(4-{2-[hexyl(2-phenylethyl)amino]-2- oxoethoxy}phenyl)propanoic acid dissolved in a suitable solvent or solvent mixture and adding tert-butylamine
II) optionallly adding an anti-solvent or anti-solvent mixture
III) adjusting the temperature to a temperature at or above 35°C TV) stirring for at least 15-25 hours or more V) cooling the mixture slowly at a temperature decreasing rate not higher than 15°C/hour
VI) separating off the product
VII) optionally washing with a suitable solvent Vπi) drying the product Or
T) having the tert-butylamine salt of (21S')-2-ethoxy-3-(4-{2-[hexyl(2-phenylethyl)amino]-2- oxoethoxy}phenyl)propanoic acid or any polymorpic form thereof dissolved in a suitable solvent or solvent mixture
II) adjusting the temperature to a temperature at or above 35°C
III) optionallly adding an anti- solvent or antt solvent mixture
IV) cooling the mixture slowly at a temperature decreasing rate not higher than 15°C/hour V) optionally washing with a suitable solvent
VI) drying the product
The process is further characterized by that the ratio of (2,S)-2-ethoxy-3-(4-{2-[hexyl(2- phenylethyl)amino]-2-oxoethoxy}phenyl)propanoic acid to tert-butylamine is from 0.8:1 to 1.2: 1 on equivalents basis or more preferably from 0.9: 1 to 1.1 : 1 on equivalents basis or most preferred from 0.95:1 to 1.05:1 on equivalents basis.
Pharmaceutical formulations
The compound of the invention will normally be administered via the oral, parenteral, intravenous, intramuscular, subcutaneous or in other injectable ways, buccal, rectal, vaginal, transdermal and/or nasal route and/or via inhalation, in the form of a pharmaceutically acceptable dosage form, i.e. a pharmaceutical formulation. Depending upon the disorder and patient to be treated and the route of administration, the compositions may be administered at varying doses.
Suitable daily doses of the compound of the invention in therapeutical treatment of humans are about 0.0001-100 mg/kg body weight, preferably 0.001-10 mg/kg body weight.
Oral formulations are preferred, particularly tablets or capsules which may be formulated by methods known to those skilled in the art, to provide doses of the active compound in
the range of 0.5mg to 500mg for example 1 mg, 3 mg, 5 mg, 10 mg, 25mg, 50mg, lOOmg and 250mg.
According to a further aspect of the invention there is thus provided a pharmaceutical formulation including the compound of the invention in admixture with at least one pharmaceutically acceptable excipient, such as e.g., diluents and/or carriers.
Pharmacological properties
The compound of the invention is useful for the prophylaxis and/or treatment of clinical conditions associated with inherent or induced reduced sensitivity to insulin (insulin resistance) and associated metabolic disorders (also known as metabolic syndrome). These clinical conditions will include, but will not be limited to, general obesity, abdominal obesity, arterial hypertension, hyperinsulinaemia, hyperglycaemia, type 2 diabetes and the dyslipidaemia characteristically appearing with insulin resistance. This dyslipidaemia, also known as the atherogenic lipoprotein profile, is characterised by moderately elevated non- esterified fatty acids, elevated very low density lipoprotein (VLDL) triglyceride rich particles, high Apo B levels, low high density lipoprotein (HDL) levels associated with low apoAI particle levels and high Apo B levels in the presence of small, dense, low density lipoproteins (LDL) particles, phenotype B.
The compound of the present invention is expected to be useful in treating patients with combined or mixed hyperlipidemias or various degrees of hypertriglyceridemias and postprandial dyslipidemia with or without other manifestations of the metabolic syndrome. Treatment with the present compounds is expected to lower the cardiovascular morbidity and mortality associated with atherosclerosis due to their antidyslipidaemic as well as antiinflammatory properties. The cardiovascular disease conditions include macro- angiopathies of various internal organs causing myocardial infarction, congestive heart failure, cerebrovascular disease and peripheral arterial insufficiency of the lower extremities. Because of its insulin sensitizing effect the compound is also expected to prevent or delay the development of type 2 diabetes from the metabolic syndrome and diabetes of pregnancy. Therefore the development of long-term complications associated
with chronic hyperglycaemia in diabetes mellitus such as the micro-angiopathies causing renal disease, retinal damage and peripheral vascular disease of the lower limbs are expected to be delayed. Furthermore the compound may be useful in treatment of various conditions outside the cardiovascular system whether or not associated with insulin resistance, like polycystic ovarian syndrome, obesity, cancer and states of inflammatory disease including neurodegenerative disorders such as mild cognitive impairment, Alzheimer's disease, Parkinson's disease and multiple sclerosis.
The compound of the present invention is expected to be useful in controlling glucose levels in patients suffering from type 2 diabetes.
The present invention provides a method of treating or preventing dyslipidemias, the insulin resistance syndrome and/or metabolic disorders (as defined above) comprising the administration of the compound of the present invention to a mammal (particularly a human) in need thereof.
The present invention provides a method of treating or preventing type 2 diabetes comprising the administration of an effective amount of the compound of the present invention to a mammal (particularly a human) in need thereof.
In a further aspect the present invention provides the use of the compound of the present invention as a medicament.
In a further aspect the present invention provides the use of the compound of the present invention in the manufacture of a medicament for the treatment of insulin resistance and/or metabolic disorders.
Combination Therapy
The compound of the invention may be combined with another therapeutic agent that is useful in the treatment of disorders associated with the development and progress of atherosclerosis such as hypertension, hyperlipidaemias, dyslipidaemias, diabetes and
obesity. The compound of the invention may be combined with another therapeutic agent that decreases the ratio of LDL:HDL or an agent that causes a decrease in circulating levels of LDL-cholesterol. In patients with diabetes mellitus the compound of the invention may also be combined with therapeutic agents used to treat complications related to micro- 5 angiopathies.
A compound of the invention may be used alongside other therapies for the treatment of metabolic syndrome or type 2 diabetes and its associated complications, these include biguanide drugs, for example metformin, phenformin and buformin, insulin (synthetic o insulin analogues, amylin) and oral antihyperglycemics (these are divided into prandial glucose regulators and alpha-glucosidase inhibitors). An example of an alpha- glucosidase inhibitor is acarbose or voglibose or miglitol. An example of a prandial glucose regulator is repaglinide or nateglinide.
5 In another aspect of the invention, the compound of the invention, may be administered in association with a PPAR modulating agent. PPAR modulating agents include but are not limited to a PPAR alpha and/or gamma and/or delta agonist, or pharmaceutically acceptable salts, solvates, solvates of such salts or prodrugs thereof. Suitable PPAR alpha and/or gamma agonists, pharmaceutically acceptable salts, solvates, solvates of such salts 0 or prodrugs thereof are well known in the art. These include the compounds described in WO 01/12187, WO 01/12612, WO 99/62870, WO 99/62872, WO 99/62871, WO 98/57941, WO 01/40170, WO 04/000790, WO 04/000295, WO 04/000294, WO 03/051822, WO 03/051821, WO 02/096863, WO 03/051826, WO 02/085844, WO 01/040172, J Med Chem, 1996, 39, 665, Expert Opinion on Therapeutic Patents, 10 (5), S 623-634 (in particular the compounds described in the patent applications listed on page 634) and J Med Chem, 2000, 43, 527 which are all incorporated herein by reference. Particularly a PPAR alpha and/or gamma and/or delta agonist refers to muraglitazar (BMS 298585), rivoglitazone (CS-OI l), netoglitazone (MCC-555), balaglitazone (DRF-2593, NN-2344), clofibrate, fenofϊbrate, bezafϊbrate, gemfibrozil , ciprofibrate, pioglitazone, o rosiglitazone, AVE-0847, AVE-8134, CLX-0921, DRF-10945, DRF-4832, LY-518674, LY-818, LY-929, 641597, GW-590735, GW-677954, GW-501516, MBX-102, ONO- 5129, KRP-101, R-483 (BM131258), TAK-559 or TAK-654. Particularly a PPAR alpha
and/or gamma and/or delta agonist refers to tesaglitazar ((S)~2-ethoxy-3-[4-(2-{4- methanesulphonyl-oxyphenyl}ethoxy)phenyl] propanoic acid) and pharmaceutically acceptable salts thereof.
In addition the compound of the invention may be used in conjunction with a sulfonylurea for example: glimepiride, glibenclamide (glyburide), gliclazide, glipizide, gliquidone, chloropropamide, tolbutamide, acetohexamide, glycopyramide, carbutamide, glibonuride, glisoxepid, glybuthiazole, glibuzole, glyhexamide, glymidine, glypinamide, phenbutamide, tolcylamide and tolazamide. Preferably the sulfonylurea is glimepiride or glibenclamide (glyburide). More preferably the sulfonylurea is glimepiride. The present invention includes administration of a compound of the present invention in conjunction with one, two or more existing therapies described in this combination section. The doses of the other existing therapies for the treatment of type 2 diabetes and its associated complications will be those known in the art and approved for use by regulatory bodies for example the FDA and may be found in the Orange Book published by the FDA. Alternatively smaller doses may be used as a result of the benefits derived from the combination. The present invention also includes the compound of the present invention in combination with a cholesterol- lowering agent. The cholesterol- lowering agents referred to in this application include but are not limited to inhibitors of HMG-CoA reductase (3- hydroxy-3-methylglutaryl coenzyme A reductase). Suitably the HMG-CoA reductase inhibitor is a statin selected from the group consisting of atorvastatin, bervastatin, cerivastatin, dalvastatin, fluvastatin, itavastatin, lovastatin, mevastatin, nicostatin, nivastatin, pravastatin and simvastatin, or a pharmaceutically acceptable salt, especially sodium or calcium, or a solvate thereof, or a solvate of such a salt. A particular statin is atorvastatin, or a pharmaceutically acceptable salt, solvate, solvate of such a salt or a prodrug thereof. A more particular statin is atorvastatin calcium salt. A particularly preferred statin is, however, a compound with the chemical name (E)-7-[4-(4- fluorophenyl)-6-isopropyl-2-[methyl(methylsulfonyl)-amino]-pyrimidin-5-yl](3R,5S)-3,5- dihydroxyhept-6-enoic acid, [also known as (E)-7-[4-(4-fluorophenyl)-6-isopropyl~2-[JV- metliyl-iV-(methylsulfonyl)-amino]pyrimidin-5-yl](3R,5S)-3,5-dihydroxyhept-6-enoic acid ] or a pharmaceutically acceptable salt or solvate thereof, or a solvate of such a salt. The compound (E)-7- [4-(4-fluorophenyl)-6-isopropyl-2- [methyl-(methylsulfonyl)-amino]-
pyrimidin-5-yl](3R,5S)-3,5-dihydroxyhept-6-enoic acid, and its calcium and sodium salts are disclosed in European Patent Application, Publication No. EP-A-0521471, and in Bioorganic and Medicinal Chemistry, (1997), 5(2), 437-444. This latter statin is now known under its generic name rosuvastatin.
In the present application, the term "cholesterol- lowering agent" also includes chemical modifications of the E-MG-CoA reductase inhibitors, such as esters, prodrugs and metabolites, whether active or inactive.
The present invention also includes the compound of the present invention in combination with a bile acid sequestering agent, for example colestipol or cholestyramine or cholestagel.
The present invention also includes the compound of the present invention in combination with an inhibitor of the ileal bile acid transport system (IBAT inhibitor).
Suitable compounds possessing IBAT inhibitory activity have been described, see for instance the compounds described in WO 93/16055, WO 94/18183, WO 94/18184, WO 96/05188, WO 96/08484, WO 96/16051, WO 97/33882, WO 98/07449, WO 98/03818, WO 98/38182, WO 99/32478, WO 99/35135, WO 98/40375, WO 99/35153, WO
99/64409, WO 99/64410, WO 00/01687, WO 00/47568, WO 00/61568, WO 00/62810, WO 01/68906, DE 19825804, WO 00/38725, WO 00/38726, WO 00/38727, WO 00/38728, WO 00/38729, WO 01/68906, WO 01/66533, WO 02/32428, WO 02/50051, EP 864 582, EP489423, EP549967, EP573848, EP624593, EP624594, EP624595 and EP624596 and the contents of these patent applications are incorporated herein by reference. Further suitable compunds possessing IBAT inhibitory activity have been described in WO 94/24087, WO 98/56757, WO 00/20392, WO 00/20393, WO 00/20410, WO 00/20437, WO 01/34570, WO 00/35889, WO 01/68637, WO 02/08211, WO 03/020710, WO 03/022825, WO 03/022830, WO 03/022286, WO 03/091232, WO 03/106482, JP 10072371, US 5070103, EP 251 315, EP 417 725, EP 869 121, EP 1 070 703 and EP 597 107 and the contents of these patent applications are incorporated herein by reference.
Particular classes of IBAT inhibitors suitable for use in the present invention are benzothiepines, and the compounds described in the claims, particularly claim 1, of WO 00/01687, WO 96/08484 and WO 97/33882 are incorporated herein by reference. Other 5 suitable classes of IBAT inhibitors are the 1,2-benzothiazepines, 1 ,4-benzothiazepines and 1,5-benzothiazepines. A further suitable class of IBAT inhibitors is the 1,2,5- benzothiadiazepines .
One particular suitable compound possessing IBAT inhibitory activity is (3i?,5i?)-3-butyl- i o 3-ethyl- 1 ,1 -dioxido-5-phenyl-2,3,4,5-tetrahydro- 1 ,4-benzothiazepin- 8-yl β -D- glucopyranosiduronic acid (EP 864 582). Other suitable IBAT inhibitors include one of: l,l-dioxo-3,3-ώbutyl-5-phenyl-7-methylthio-8-(N-{(R)-l'-phenyl-r-[iV'-(carboxymethyl) carbamoyl]methyl}carbamoylmethoxy)-2,3,4,5-tetrahydro-l,5-benzothiazepine; l,l-dioxo-3,3-dibutyl-5-phenyl-7-methylthio-8-(N-{(R)-α-[N'- 15 (carboxymethyl)carbamoyl]-4-hydroxybenzyl}carbamoylmethoxy)-2,3,4,5-tetrahydro-l,5- benzothiazepine; l,l-dioxo-3,3-dibutyl-5-phenyl-7-methylthio-8-(iV-{(R)-l1-phenyl-r-[N'-(2- sulphoethyl)carbamoyl]methyl}carbamoylmethoxy)-2,3,4,5-tetrahydro-l,5- benzothiazepine; 20 l,l-dioxo-3-butyl-3-ethyl-5-phenyl-7-methylthio-8-(N-{(R)-r-phenyl-r-[N'-(2- sulphoethyl)carbamoyl]methyl}carbamoylmethoxy)-2,3,4,5-tetrahydro-l,5- benzothiazepine; l,l-dioxo-3,3-dibutyl-5-phenyl-7-methylthio-8-(iV-{(R)-α-[N'-(2-sulphoethyl)carbamoyl]-
4-hydroxybenzyl}carbamoylmethoxy)-2,3,4,5-tetrahydro-l,5-benzothiazepine; 5 l,l-dioxo-3-butyl-3-ethyl-5-phenyl-7-methylthio-8-(N-{(R)-α-[7Vr'-(2-sulphoethyl) carbamoyl]-4-hydroxyberi2yl} carbamoylmethoxy) -2,3 ,4,5-tetrahydro- 1 ,5-benzothiazepine; l,l-dioxo-3-butyl-3-ethyl-5-phenyl-7-methyltbio-8-(iV-{(R)-α-[N'-(2- carboxyethyl)carbamoyl]benzyl}carbamoylmethoxy)-2,3,4,5-tetrahydro-l,5- benzothiazepine; 0 l,l-dioxo-3,3-dibutyl-5-phenyl-7-methylthio-8-(iV-{(R)-α-[N'-(2- carboxyethyl)carbamoyl]-4-hydroxybenzyl}carbamoylmethoxy)-2,3,4,5-tetrahydro-l,5- benzothiazepine;
l,l-doxo-3-butyl-3-ethyl-5-phenyl-7-me%lthio-8-(iV-{(R)-α-[iV''-(5-carboxypentyl) carbamoyl]benzyl } carbamoylmethoxy) -2,3 ,4,5-tetrahydro- 1 ,5-benzothiazepine; l,l-dioxo-3,3-dibutyl-5-phenyl-7-me%ltWo-8-(N-{(R)-a-[N'-(2-carboxyethyl)carbamoyl] benzyl}carbamoylmethoxy)-2,3 ,4,5-tetrahydro- 1 ,5-benzothiazepine; l,l-dioxo-3,3-cu'bu1yl-5-phenyl-7-me%ltMo-8-(N-{α-[iV-(2-sulphoethyl)carbarnoyl]-2- fluorobenzyl } carbamoylmethoxy) -2,3 ,4,5-tetrahydro- 1 ,5-benzothiazepine; l,l-dioxo-3-butyl-3-ethyl-5-phenyl-7-me%lthio-8-(iV-{(R)-α-[iV'-(R)-(2-hydroxy-l- carboxyethyl)carbamoyl]benzyl } carbamoylmethoxy)-2,3 ,4,5-tetrahydro- 1 ,5- benzothiazepine; l,l-dioxo-3,3-dibutyl-5-phenyl-7-methylthio-8-(iV-{(R)-α-[iV'-(R)-(2-hydroxy-l- carboxyethyl)carbamoyl]benzyl}carbamoylmethoxy)-2,3,4,5-tetrahydro-l,5- benzothiazepine;
1 , 1 -dioxo-3,3-dibutyl-5-phenyl-7-me%lthio-8- {N- [(R)-Cc-(TV'- ((R)-I- [iV"-(R)-(2-hydroxy- l-carboxyethyl)carbamoyl]-2-hydroxyethyl}carbamoyl)benzyl]carbamoylmethoxy}- 2,3,4,5-tetrahydro- 1 ,5-benzothiazepine; l,l-doxo-3-butyl-3-ethyl-5-phenyl-7-methyltMo-8-(iV-{α-[N-(carboxymethyl)carbamoyl] benzyl}carbamoylmethoxy)-2,3,4,5-tetrahydro- 1 ,5-benzothiazepine; l,l-dioxo-3-butyl-3-ethyl-5-phenyl-7-methylthio-8-(iV-{α-[iV'- ((ethoxy)(methyl)phosphoryl-methyl)carbamoyl]benzyl}carbamoylmethoxy)-2,3,4,5- tetrahydro-l,5-benzothiazepine;
1 , l-dioxo-3-butyl-3-ethyl-5-phenyl-7-methylthio-8- {N- [(R)-OL-(N'- {2- [(hydroxy)(methyl)phosphoryl]ethyl}carbamoyl)benzyl]carbamoylmethoxy} -2,3,4,5- tetrahydro- 1 ,5-benzothiazepine; 1 , 1 -dioxo-3 ,3-dibutyl-5-phenyl-7-metliylthio-8-(iV- {(R)-α- [iV'-(2-methylthio- 1 - carboxyethyl)carbamoyl]benzyl}carbamoylmethoxy)-2,3,4,5-tetrahydro-l,5- benzothiazepine; l,l-dioxo-3,3-dibutyl-5-phenyl-7-methylthio-8-{iV-[(R)-α-(N'-{2-[(methyl)(ethyl) phosphoryl]ethyl}carbamoyl)-4-hydroxybenzyl]carbamoylmethoxy}-2,3,4,5-tetrahydro- 1 ,5-benzotliiazepine;
l,l-dioxo-3,3-dibutyl-5-phenyl-7-me%lthio-8-{7V'-[(R)-α-(iV''-{2-[(inethyl)(hydroxy) phosphoryl]ethyl}carbamoyl)-4-hydroxyben2yl]carbamoylmethoxy}-2,3,4,5-tetrahydro- 1 ,5-benzothiazepine; l,l-dioxo-3,3-dibutyl-5-phenyl-7-me%lMo-8-(iV-{(R)-α-[(R)-iV'-(2-inethylsulphinyl-l- 5 carboxyethyl)carbamoyl]benzyl}carbamoylmethoxy)-2,3,4,5-tetrahydro- 1 ,5- benzothiazepine; l,l-dioxo-3,3-dibutyl-5-phenyl-7-methoxy-8-[iV-{(R)-α-[N-(2-sulphoetliyl)carbamoyl]-4- liydroxybenzyl}carbamoylmethoxy]-2,3,4,5-tetrahydro-l,5-benzothiazepine; l,l-dioxo-3,3-dibutyl-5-phenyl-7-methylthio-8-(N-{(R)-α-[iV-((R)-l-carboxy-2- i o methylthio - ethyl)carbamoyl] -4-hydroxybenzyl } carbamoylmethoxy) -2,3 ,4, 5-tetrahydro- 1 ,2,5-benzothiadiazepine; l,l-dioxo-3,3-dibutyl-5-phenyl-7-me%lthio-8-(N-{(R)-α-[iV-((S)-l-carboxy-2-(R)- hydroxypropyl)carbamoyl]-4-hydroxybenzyl}carbamoylmethoxy)-2,3,4,5-tetrahydro- 1 ,2,5-benzothiadiazepine; is l,l-dioxo-3,3-dibutyl-5-phenyl-7-methylthio-8-(N-{(R)-α-[N-((S)-l-carboxy-2- methylpropyl)carbamoyl]-4-hydroxybenzyl}carbamoylmethoxy)-2,3,4,5-tetrahydro-l,2,5- benzothiadiazepine; l,l-dioxo-3,3-dibutyl-5-phenyl-7-methylthio-8-(N-{CR)-α-[iVr-((S)-l-carboxybutyl) carbamoyl]-4-hydroxybenzyl}carbamoylmethoxy)-2,3,4,5-tetrahydro- 1 ,2,5-
20 benzothiadiazepine; l,l-dioxo-3,3-dibutyl-5-ρhenyl-7-methylthio-8-(N-{(R)-α-[N-((S)-l-carboxypropyl) carbanioyl]benzyl}carbamoylmethoxy)-2,3,4,5-tetrahydro-l,2,5-benzothiadiazepine; l,l-dioxo-3,3-dibutyl-5-phenyl-7-me%ltbio-8-(iV-{(R)-α-[N-((S)-l-carboxyethyl) carbamoyl]benzyl}carbamoylmethoxy)-2,3,4,5-tetrahydro-l,2,5-benzothiadiazepine; 5 1 , 1 -dioxo-3 ,3-dibutyl-5-phenyl-7-methylthio-8-(N- {(R)-α- [iV-((S> 1 -carboxy-2-(R> hydroxypropyl)carbamoyl]benzyl}carbamoylmethoxy)-2,3,4,5-tetrahydro-l,2,5- benzothiadiazepine; l,l-dioxo-3,3-dibu1yl-5-ρhenyl-7-me%ltbio-8-(iV'-{(R)-α-[iV'-(2-sulphoethyl)carbamoyl]- 4-hydroxybenzyl } carbamoylmethoxy) -2,3 ,4,5-tetrahydro- 1 ,2,5-benzothiadiazepine;
l^-dioxo-S^-dibutyl-S-phenyl-y-methylthio-S-CN-lrø-α-CiV-CCS)-!- carboxyethyl)carbamoyl]-4-hydroxybenzyl}carbamoylmethoxy)-2,3,4,5-tetrahydro-l,2,5- benzothiadiazepine; l,l-dioxo-3,3-dibu1yl-5-phenyl-7-metiiylthio-8-(iV-{(R)-α-[iVr-((R)-l-carboxy-2- niethylthioethyl)carbamoyl]benzyl}carbamoylmethoxy)-2,3,4,5-tetrahydro- 1 ,2,5- benzothiadiazepine;
1 , l-dioxo-3 ,3-dibutyl-5-phenyl-7-methylthio-8-(iV- {(R)-α- [N- ((S)- 1 - [N-((S)-2-hydroxy- 1 - carboxyethyl)carbamoyl]propyl} carbamoyl]benzyl } carbamoylmethoxy) -2,3 ,4,5- tetrahydro- 1 ,2,5-benzothiadiazepine; l,l-dioxo-3,3-dibutyl-5-phenyl-7-me%lthio-8-(N-{(R)-α-[iV-((S)-l-carboxy-2- methylpropyl)carbamoyl]benzyl}carbamoylmethoxy)-2,3,4,5-tetrahydro-l,2,5- benzothiadiazepine; l,l-Dioxo-3,3-dibutyl-5-phenyl-7-methylthio-8-(iV"-{(R)-α-[N-((S)-l-carboxypropyl) carbamoyl]-4-hydroxybenzyl} carbamoylmethoxy) -2,3, 4,5-tetrahydro- 1,2,5- benzothiadiazepine; l,l-Dioxo-3,3-dibutyl-5-phenyl-7-methylthio-8-[iV-((R/S)-α-{7V-[l-CR.)-2-(S)-l-hydroxy-l-
(3,4-dihydroxyphenyl)prop-2-yl]carbamoyl} -4-hydroxybenzyl)carbamoylmethoxy]-
2,3,4,5-tetrahydro- 1 ,2,5-benzothiadiazepine; l,l-Dioxo-3,3-dibutyl-5-phenyl-7-methylthio-8-(N-{(R)-α-[N-(2-(S)-3-(R)-4-(R)-5-(R)- 2,3,4,5,6-pentahydroxyhexyl)carbamoyl]-4-hydroxybenzyl}carbamoyhnethoxy)-2,3,4,5- tetrahydro-l,2,5-benzothiadiazepine; and l,l-Dioxo-3,3-dibutyl-5-phenyl-7-methylthio-8-(N-{(R)-α-[iV-(2-(S)-3-(R)-4-(R)-5-(R)-
2,3,4,5,6-pentahydroxyhexyl)carbamoyl]benzyl}carbamoylmethoxy)-2,3,4,5-tetrahydro-
1 ,2,5-benzothiadiazepine; or a pharmaceutically acceptable salt, solvate, solvate of such a salt or a prodrug thereof.
According to an additional further aspect of the present invention there is provided a combination treatment comprising the administration of an effective amount of the compound of the present invention optionally together with a pharmaceutically acceptable diluent or carrier, with the simultaneous, sequential or separate administration of one or more of the following agents selected from:
a CETP (cholesteryl ester transfer protein) inhibitor, for example those referenced and described in WO 00/38725 page 7 line 22 - page 10, line 17 which are incorporated herein by reference; a cholesterol absorption antagonist for example azetidinones such as SCH 58235 and those described in US 5,767,115 which are incorporated herein by reference; a MTP (microsomal transfer protein) inhibitor for example those described in Science, 282,
751-54, 1998 which are incorporated herein by reference; a nicotinic acid derivative, including slow release and combination products, for example, nicotinic acid (niacin), acipimox and niceritrol; a phytosterol compound for example stanols; probucol; an omega-3 fatty acid for example Omacor™; an anti-obesity compound for example orlistat (EP 129,748) and sibutramine (GB
2,184,122 and US 4,929,629); an antihypertensive compound for example an angiotensin converting enzyme (ACE) inhibitor, an angiotensin II receptor antagonist, an andrenergic blocker, an alpha andrenergic blocker, a beta andrenergic blocker for example metoprolol, a mixed alpha/beta andrenergic blocker, an andrenergic stimulant, calcium channel blocker, an AT-
1 blocker, a saluretic, a diuretic or a vasodilator; a CBl antagonist or inverse agonist for example as described in WOO 1/70700 and EP
65635 ; aspirin; a Melanin concentrating hormone (MCH) antagonist; a PDK inhibitor; or modulators of nuclear receptors for example LXR, FXR, RXR, and RORalpha; or a pharmaceutically acceptable salt, solvate, solvate of such a salt or a prodrug thereof, optionally together with a pharmaceutically acceptable diluent or carrier to a warmblooded animal, such as man, in need of such therapeutic treatment.
Particular ACE inhibitors or pharmaceutically acceptable salts, solvates, solvate of such salts or a prodrugs thereof, including active metabolites, which can be used in combination with the compound of the invention include but are not limited to, the following
compounds: alacepril, alatriopril, altiopril calcium, ancovenin, benazepril, benazepril hydrochloride, benazeprilat, benzoylcaptopril, captopril, captopril- cysteine, captopril- glutathione, ceranapril, ceranopril, ceronapril, cilazapril, cilazaprilat, delapril, delapril- diacid, enalapril, enalaprilat, enapril, epicaptopril, foroxymithine, fosfenopril, fosenopril, fosenopril sodium, fosinopril, fosinopril sodium, fosinoprilat, fosinoprilic acid, glycopril, hemorphin-4, idrapril, imidapril, indolapril, indolaprilat, libenzapril, lisinopril, lyciumin A, lyciumin B, mixanpril, moexipril, moexiprilat, moveltipril, muracein A, muracein B, muracein C, pentopril, perindopril, perindoprilat, pivalopril, pivopril, quinapril, quinapril hydrochloride, quinaprilat, ramipril, ramiprilat, spirapril, spirapril hydrochloride, spiraprilat, spiropril, spiropril hydrochloride, temocapril, temocapril hydrochloride, teprotide, trandolapril, trandolaprilat, utibapril, zabicipril, zabiciprilat, zofenopril and zofenoprilat. Preferred ACE inhibitors for use in the present invention are ramipril, ramiprilat, lisinopril, enalapril and enalaprilat. More preferred ACE inhibitors for uses in the present invention are ramipril and ramiprilat. Preferred angiotensin II antagonists, pharmaceutically acceptable salts, solvates, solvate of such salts or a prodrugs thereof for use in combination with a compound of the invention include, but are not limited to, compounds: candesartan, candesartan cilexetil, losartan, valsartan, irbesartan, tasosartan, telmisartan and eprosartan. Particularly preferred angiotensin II antagonists or pharmaceutically acceptable derivatives thereof for use in the present invention are candesartan and candesartan cilexetil.
Therefore in an additional feature of the invention, there is provided a method for for the treatment of type 2 diabetes and its associated complications in a warm-blooded animal, such as man, in need of such treatment which comprises administering to said animal an effective amount of the compound of the present invention in simultaneous, sequential or separate administration with an effective amount of one the other compounds described in this combination section, or a pharmaceutically acceptable salt, solvate, solvate of such a salt or a prodrug thereof.
Therefore in an additional feature of the invention, there is provided a method of treating hyperlipidemic conditions in a warm-blooded animal, such as man, in need of such treatment which comprises administering to said animal an effective amount of the
compound of the present invention in simultaneous, sequential or separate administration with an effective amount of one the other compounds described in this combination section or a pharmaceutically acceptable salt, solvate, solvate of such a salt or a prodrug thereof.
According to a further aspect of the invention there is provided a pharmaceutical composition which comprises the compound of the present invention and one of the other compounds described in this combination section or a pharmaceutically acceptable salt, solvate, solvate of such a salt or a prodrug thereof, in association with a pharmaceutically acceptable diluent or carrier.
According to a further aspect of the present invention there is provided a kit comprising the compound of the present invention and one of the other compounds described in this combination section or a pharmaceutically acceptable salt, solvate, solvate of such a salt or a prodrug thereof.
According to a further aspect of the present invention there is provided a kit comprising: a) the compound of the present invention in a first unit dosage form; b) one of the other compounds described in this combination section or a pharmaceutically acceptable salt, solvate, solvate of such a salt or a prodrug thereof; in a second unit dosage form; and c) container means for containing said first and second dosage forms.
According to a further aspect of the present invention there is provided a kit comprising: a) the compound of the present invention together with a pharmaceutically acceptable diluent or carrier, in a first unit dosage form; b) one of the other compounds described in this combination section or a pharmaceutically acceptable salt, solvate, solvate of such a salt or a prodrug thereof, in a second unit dosage form; and c) container means for containing said first and second dosage forms.
According to another feature of the invention there is provided the use of the compound of the present invention of the present invention and one of the other compounds described in
this combination section, or a pharmaceutically acceptable salt, solvate, solvate of such a salt or a prodrug thereof, in the manufacture of a medicament for use in the the treatment of metabolic syndrome or type 2 diabetes and its associated complications in a warm-blooded animal, such as man.
According to another feature of the invention there is provided the use of the compound of the present invention and one of the other compounds described in this combination section, or a pharmaceutically acceptable salt, solvate, solvate of such a salt or a prodrug thereof, in the manufacture of a medicament for use in the treatment of hyperlipidaemic conditions in a warm-blooded animal, such as man.
According to a further aspect of the present invention there is provided a combination treatment comprising the administration of an effective amount of the compound of the present invention optionally together with a pharmaceutically acceptable diluent or carrier, with the simultaneous, sequential or separate administration of an effective amount of one of the other compounds described in this combination section, or a pharmaceutically acceptable salt, solvate, solvate of such a salt or a prodrug thereof, optionally together with a pharmaceutically acceptable diluent or carrier to a warm-blooded animal, such as man, in need of such therapeutic treatment.
For the avoidance of doubt, "treatment" includes the therapeutic treatment, as well as the prophylaxis, of a condition.
The invention is illustrated, but in no way limited, by the following examples.
Examples
General Procedures X-ray powder diffraction analysis (XRPD) was performed on samples prepared according to standard methods, for example those described in Giacovazzo, C. et al (1995),
Fundamentals of Crystallography, Oxford University Press; Jenkins, R. and Snyder, R. L. (1996), Introduction to X-Ray Powder Diffractometry, John Wiley & Sons, New York; Bunn, C. W. (1948), Chemical Crystallography, Clarendon Press, London; or Klug, H. P. & Alexander, L. E. (1974), X-ray Diffraction Procedures, John Wiley and Sons, New York. X-ray analyses were performed using a Siemens D5000 diffractometer and/or a Philips X'Pert MPD.
XRPD distance values may vary in the range ±2 on the last given decimal place.
Example 1
Preparation of 2-methylpropan-2-aminium (2S)-2-ethoxy-3-(4-{2-[hexyl(2- phenylethyI)amino]-2-oxoethoxy}phenyl)propanoate form III
The Form JJI of the salt of Jfert-butylamine and (2£)-2-ethoxy-3-(4-{2-[hexyl(2- phenylethyl)amino]-2-oxoethoxy}phenyl)propanoate acid was crystallized from isopropyl acetate at 45°C.
To a solution of (26)-2-Ethoxy-3-(4-{2-[hexyl(2-phenylethyl)amino]-2- oxoethoxy}phenyl)propanoic acid in isopropyl acetate (9.5 ml, 2g of acid), was added more isopropyl acetate (40 ml), followed by addition of fert-butylamine (0.93 ml), and water (0.24 ml). The solution was stirred at 45°C for 20 hrs, then the product (1.71 g) was filtered off, washed with isopropyl acetate (2X8 ml), and dried at ambient temperature. The product was confirmed with XRPD and DSC.
Example 2
Preparation of 2-methylpropan-2-aminium (2S)-2 -ethoxy-3 -(4-{2-[hexyl(2- phenylethyl)amino]-2-oxoethoxy}phenyl)propanoate form HI
The Form III of the salt of Jert-butylamine and (25)-2-ethoxy-3-(4-{2-[hexyl(2- phenylethyl)amino]-2-oxoethoxy}phenyl)propanoate acid was crystallized from isopropyl acetate and isooctane at 35°C.
To a solution of (2»S)-2-Ethoxy-3-(4- {2-[hexyl(2-ρhenylethyl)amino]-2- oxoethoxy}ρhenyl)propanoic acid (1.72 g) in isopropyl acetate (26 ml), fe/t-butylamine (0.4 ml) was added, followed by addition of some seeds (3.86 mg) and isooctane (26 ml). Then the solution was stirred at 35°C for at least 16 hrs, followed by a cooling down to 200C in 2 hrs. The product (1.68 g) was filtered off and washed with isopropyl acetate/isooctane mixture (26 ml) and was dried in room temperature. The product was confirmed with NMR and XEtPD.
Example 3 Preparation of 2-methyIpropan-2-aminium (2S)-2-ethoxy-3-(4-{2-[hexyI(2- phenylethyl)amino]-2-oxoethoxy}phenyI)propanoate form IH
The Form III of the salt of Tert-butylamine and (25)-2-ethoxy-3-(4-{2-[hexyl(2- phenylethyl)amino]-2-oxoethoxy}phenyl)propanoate acid was crystallized from MiBK and isooctane at 55°C.
To a solution of (25)-2-Ethoxy-3-(4-{2-[hexyl(2-phenylethyl)amino]-2- oxoethoxy}phenyl)propanoic acid (2 g) in MIBK (30 ml), tert-butylamine (0.46 ml) was added at 55°C, followed by addition of isooctane (15 ml). Then some seeds (13.3 mg) and one more portion of isooctane (30 ml) was added. Then a cooling profile was started, from 55-3O0C in 5 hrs, followed by ageing at 30°C for at least 13 hrs. The product (1.56 g) was filtered off and washed with MiBK/isooctane mixture (8 ml) and dried in vacuum/40°C. The product was confirmed with XRPD.
Example 4
Preparation of 2-methylpropan-2-aminium (2S)-2-ethoxy-3-(4-{2-[hexyl(2- phenylethyI)amino]-2-oxoethoxy}phenyl)propanoate form III
5 The Form III of the salt of tert-butylamine and (2S)-2-ethoxy-3~(4-{2-[hexyl(2- phenylethyl)amino]-2-oxoethoxy}phenyl)propanoate acid was recrystallized from isopropyl acetate and isooctane at 72°C.
The salt (3 g) was dissolved in isopropyl acetate (39 ml) at 72°C, followed by filtration, I0 washing the filter with isopropyl acetate (6 ml) and addition of isooctane (45 ml). Then a cooling profile was started, from 72-200C in 5 hrs. The product (2.07 g) was filtered off and washed with isopropyl acetate/isooctane mixture (12 ml) and dried in vacuum/40°C. The product was confirmed with XRPD.
I5
Example 5
Preparation of 2-methylpropan-2-aminium (2S)-2-ethoxy-3-(4-{2-[hexyl(2- phenylethyI)amino]-2-oxoethoxy}phenyl)propanoate form III
20 The Form III of the salt of Tert-butylamine and (2,S)-2-ethoxy-3-(4- {2- [hexyl(2- phenylethyl)amino]-2-oxoethoxy}phenyl)propanoate acid was crystallized from isopropyl acetate and isooctane at 72°C.
To a solution of (2S)-2-Ethoxy-3-(4-{2-[hexyl(2-phenylethyl)amino]-2- s oxoethoxy}phenyl)propanoic acid (2.97 g) in isopropyl acetate (11 ml), more isopropyl acetate (29 ml) was added. Then fert-butylamine (lmol/1, 6.55 ml) was added at 40°C, followed by addition of a portion of seeds (142.8 mg), which all dissolved, followed by addition of isooctane (30 ml) and then heating to 72°C, whereafter a cooling profile is started: 72-30°C/4 hrs, ageing at 30°C for 13 hrs. At 64°C one more portion of seed (60
mg) was added and the precipitation starts. The product (2.77 g) was filtered off and washed with isopropyl acetate (22 ml) and dried in vacuum/25°C. The product was confirmed with XRPD and NMR.
Example 6
Preparation of 2-methylpropan-2-aminium (25)-2-ethoxy-3-(4-{2-[hexyl(2- phenylethyl)amino]-2-oxoethoxy}phenyl)propanoate Form II
The Form II of the salt of Tert-butylamine and (2S)-2-ethoxy-3-(4-{2-[hexyl(2- phenylethyl)amino]-2-oxoethoxy}phenyl)propanoate acid was crystallized from isopropyl acetate at -100C.
To a solution of (25)-2-Ethoxy-3-(4-{2-[hexyl(2-phenylethyl)amino]-2- oxoethoxy}phenyl)propanoic acid (1.75g) in isopropyl acetate (8 ml), tert-butylamine (1.2 mole equivalents, 0.2 mol/1) was added at -100C. Then addition of some seed, (1.0 w/w%) of Form I, was done. Then the solution was stirred at- 100C for at least 19 hrs. The product (1.05 g) was filtered off and washed with isopropyl acetate (14 ml) and was dried in vacuum/40°C for about 20 hrs. The product (Form II) was confirmed with XRPD.
Example 7
Reference Example Form I prepared according to prior art (WO 2004/110984 Al, Ex. 6)fert-butylamine salt of (2S)-2-emoxy-3-(4-{2-[hexyl(2-phenylethyl)amino]-2- oxoethoxy}phenyl)propanoic acid, now referred to as "Form I".
(25)-2-Ethoxy-3-(4- {2-[hexyl(2-phenylethyl)amino]-2-oxoethoxy }phenyl)propano ic acid (0,49 g) and tert-butylamine (0,077 g) were mixed in acetone(8 ml/g), followed by addition of isooctane (8 ml/g) and stirred at room temperature. The product (0.36 g) was filtered off
and washed with isooctane ( 4 ml/g) and was dried in room temperature. The product was confirmed with NMR and XRPD.
1H-NMR (400 MHz, CDCi): 7.3-7.0 (7H, m), 6.7 (IH, d), 6.6 (IH, d), 4.6 (IH, s), 4.3 (IH, s), 3.7 (IH, m), 3.6 (IH, m), 3.5 (2H, m), 3.3 (IH, t), 3.1 (2H, m), 2.9 (IH, m), 2.7 (3H, m), 1.5 (2H, br m), 1.3 (9H, br s), 1.2 (6H, br s), 1.0 (3H, t), 0.8 (3H, m)
Example 8
Preparation of 2-methylpropan-2-aminium (2S)-2 -ethoxy-3 -(4-{2-[hexyl(2- phenyIethyI)amino]-2-oxoethoxy}phenyl)propanoate Form II
The Form II of the salt of Tert-butylamine and (2S)-2-ethoxy-3-(4-{2-[hexyl(2- phenylethyl)amino]-2-oxoethoxy}phenyl)propanoate acid was crystallized from isopropyl acetate and isooctane at ambient temperature.
To a solution of (26)-2-Ethoxy-3-(4-{2-[hexyl(2-phenylethyl)amino]-2- oxoethoxy}phenyl)propanoic acid in isopropyl acetate (120 ml), was added tert-butylamine (1.86 ml) at ambient temperature. Then isooctane (60 ml) was added, followed by seeding with Form I (85 mg) and one more portion of isooctane (60 ml). The slurry was stirred at ambient temperature for at least 23 hrs. The product (4.46 g) was filtered off and washed with isopropyl acetate/isooctane 1/1 (24 ml), and was dried in vacuum/40°C for about 21 hrs. The product (Form II) was confirmed with XRPD.
Claims
1. Form III of the fert-butylamine salt of (26)-2-ethoxy-3-(4- {2- [hexyl(2- phenylethyl)amino-2-oxoethoxyphenyl)propanoic acid, characterized in providing an X-ray powder diffraction pattern exhibiting peaks at substantially the following d- values: 4.77, 5.6, 6.0, 8.2 and 19.0 A.
2. Form III of the fert-butylamine salt of (2S)-2-ethoxy-3-(4-{2-[hexyl(2- phenylethyl)amino-2-oxoethoxyphenyl)propanoic acid, characterized in providing an X-ray powder diffraction pattern exhibiting peaks at substantially the following d- values: 3.81, 4.48, 4.57, 4.77, 5.3, 5.4, 5.6, 5.7, 6.0, 8.2, 11.6 and 19.0 A.
3. Form III of the tert-butylamine salt of (2S)-2-ethoxy-3-(4-{2-[hexyl(2- phenylethyl)amino-2-oxoethoxyphenyl)propanoic acid, characterized in providing an X-ray powder diffraction pattern exhibiting peaks at substantially the following d- values: 3.05, 3.30, 3.75, 3.81, 4.08, 4.26, 4.34, 4.44, 4.48, 4.57, 4.77, 5.00, 5.3, 5.4, 5.6,
5.7, 6.0, 8.2, 11.6 and 19.0 A.
4. A process for the preparation of the tert-butylamine salt of (2S)-2-ethoxy-3-(4-{2- [hexyl(2-phenylethyl)amino-2-oxoethoxyphenyl)propanoic acid form III as defined in any of claims 1-3, comprising the steps of:
I) having the (2S)-2-ethoxy-3-(4-{2-[hexyl(2-phenylemyl)amino]-2- oxoethoxy}phenyl)propanoic acid dissolved in a suitable solvent or solvent mixture and adding tert-butylamine
II) optionallly adding an anti-solvent or anti-solvent mixture III) adjusting the temperature to a temperature at or above 350C
IV) stirring for at least 15-25 hours or more
V) separating off the product
VI) optionally washing with a suitable solvent
VII) drying the product.
5. A process for the preparation of the tert-butylamine salt of (2>S)-2-ethoxy-3-(4-{2- [hexyl(2-phenylethyl)amino-2-oxoethoxyphenyl)propanoic acid form m as defined in any of claims 1-3, comprising the steps of:
I) having the (2,S)-2-ethoxy-3-(4-{2-[hexyl(2-phenylethyl)amino]-2- oxoethoxy}phenyl)propanoic acid dissolved in a suitable solvent or solvent mixture and adding tert-butylamine
II) optionallly adding an anti-solvent or anti-solvent mixture
III) adjusting the temperature to a temperature at or above 35°C
IV) seeding with Form III at any stage after step I) V) cooling the mixture slowly at a temperature decreasing rate not higher than 15°C/hour
VI) separating off the product
VII) optionally washing with a suitable solvent
VIII) drying the product
6. A process for the preparation of the tert-butylamine salt of (2£)-2-ethoxy-3-(4-{2- [hexyl(2-phenylethyl)amino-2-oxoethoxyphenyl)propanoic acid form III as defined in any of claims 1-3, comprising the steps of:
I) having the (2S)-2-ethoxy-3-(4-{2-|>exyl(2-phenylemyl)amino]-2- oxoethoxy}phenyl)propanoic acid dissolved in a suitable solvent or solvent mixture and adding tert-butylamine
II) optionallly adding an anti-solvent or anti-solvent mixture
III) adjusting the temperature to a temperature at or above 35° C
IV) cooling the mixture slowly at a temperature decreasing rate not higher than 15°C/hour V) separating off the product
VI) optionally washing with a suitable solvent
VII) drying the product
7. A process for the preparation of the tert-butylamine salt of(26)-2-ethoxy-3-(4-{2- [hexyl(2-phenylethyl)amino-2-oxoethoxyphenyl)propanoic acid form IH as defined in any of claims 1-3, comprising the steps of: I) having the (2S)-2-ethoxy-3-(4-{2-[hexyl(2-phenylethyl)amino]-2- oxoethoxy}ρhenyl)propanoic acid dissolved in a suitable solvent or solvent mixture and adding tert-butylamine
II) optionallly adding an anti-solvent or anti-solvent mixture III) adjusting the temperature to a temperature at or above 35°C
IV) stirring for at least 15-25 hours or more
V) cooling the mixture slowly at a temperature decreasing rate not higher than 15°C/hour
VI) separating off the product
VII) optionally washing with a suitable solvent Vπi) drying the product
8. A process for the preparation of the tert-butylamine salt of (2S)-2-ethoxy-3-(4-{2- [hexyl(2-phenylethyl)amino-2-oxoethoxyphenyl)propanoic acid form HI as defined in any of claims 1-3, comprising the steps of: I) having the tert-butylamine salt of (25)-2-ethoxy-3-(4-{2-[hexyl(2-phenylethyl)ammo]-2- oxoethoxy}phenyl)propanoic acid or any polymorpic form thereof dissolved in a suitable solvent or solvent mixture
II) adjusting the temperature to a temperature at or above 35°C
III) optionallly adding an anti-solvent or anti-solvent mixture IV) cooling the mixture slowly at a temperature decreasing rate not higher than 15°C/hour V) optionally washing with a suitable solvent VT) drying the product
9. A process for the preparation of the tert-butylamine salt of (2S)-2-ethoxy-3-(4-{2- [hexyl(2-phenylethyl)amino-2-oxoethoxyphenyl)propanoic acid form IH as defined in any of claims 4-8, wherein the ratio of (25)-2-ethoxy-3-(4-{2-[hexyl(2- phenylethyl)amino]-2-oxoethoxy}phenyl)propanoic acid to tert-butylamine is from 0.8:1 to 1.2:1 on equivalents basis.
10. A process for the preparation of the tert-butylamine salt of (25)-2-ethoxy-3-(4-{2- [hexyl(2-phenylethyl)amino-2-oxoethoxyphenyl)propanoic acid form III as defined in any of claims 4-8, wherein the ratio of (2«S)-2-ethoxy-3-(4-{2-[hexyl(2- phenylethyl)amino]-2-oxoethoxy}phenyl)propanoic acid to tert-butylamine is from 0.9:1 to 1.1:1 on equivalents basis.
11. A process for the preparation of the tert-butylamine salt of (2S)-2-ethoxy-3-(4-{2- [hexyl(2-phenylethyl)amino-2-oxoethoxyphenyl)propanoic acid form EI as defined in any of claims 4-8, wherein the ratio of (2»S)-2~ethoxy-3-(4-{2-[hexyl(2- phenylethyl)amino]-2-oxoethoxy}phenyl)propanoic acid to tert-butylamine is from 0.95:1 to 1.05:1 on equivalents basis.
12. A pharmaceutical formulation comprising Form III of the tert-butylamine salt of (2S)- 2-ethoxy-3-(4-{2-[hexyl(2-phenylethyl)amino-2-oxoethoxyphenyl)propanoic acid, as defined in any of claims 1-3, in admixture with at least one pharmaceutically acceptable excipient.
13. The use of the Form III of the tert-butylamine salt of (2S)-2-ethoxy-3-(4-{2-[hexyl(2- phenylethyl)amino-2-oxoethoxyphenyl)propanoic acid as defined in any of claims 1-3, in therapy.
14. The use of the Form III of the tert-butylamine salt of (25)-2-ethoxy-3-(4-{2-[hexyl(2- phenylethyl)amino-2-oxoethoxyphenyl)propanoic acid as defined in any of claims 1-3, as active ingredient in the manufacture of a medicament for use in treatment of lipid disorders (dyslipidemias) whether or not associated with insulin resistance or with other manifestations of the metabolic syndrome.
15. A method of treatment of lipid disorders (dyslipidemias) whether or not associated with insulin resistance or with other manifestations of the metabolic syndrome, which comprises administration of a therapeutically effective amount of Form III of the tert- butylamine salt of (2)S)-2-ethoxy-3-(4- {2-[hexyl(2-phenylethyl)amino-2- oxoethoxyphenyl)propanoic acid as defined in any of claims 1-3, to a patient suffering therefrom.
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| SE0501578 | 2005-07-05 | ||
| SE0501578-9 | 2005-07-05 |
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| WO2007004957A1 true WO2007004957A1 (en) | 2007-01-11 |
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| Application Number | Title | Priority Date | Filing Date |
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| PCT/SE2006/000825 Ceased WO2007004957A1 (en) | 2005-07-05 | 2006-07-03 | Novel crystalline form |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| RU2666368C2 (en) * | 2013-04-26 | 2018-09-07 | Элобикс Аб | Crystalline modification |
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2003051821A1 (en) * | 2001-12-19 | 2003-06-26 | Astrazeneca Ab | Substituted phenylpropionic acid derivatives as agonists to human peroxisome proliferator-activated receptor alpha (ppar) |
| WO2004056748A1 (en) * | 2002-12-21 | 2004-07-08 | Astrazeneca Ab | Therapeutic agents |
| WO2004110984A1 (en) * | 2003-06-18 | 2004-12-23 | Astrazeneca Ab | Pharmaceutically useful salts of carboxylic acid derivates |
| WO2004110985A1 (en) * | 2003-06-18 | 2004-12-23 | Astrazeneca Ab | Pharmaceutically useful salts of carboxylic acid derivates |
| WO2004110982A1 (en) * | 2003-06-18 | 2004-12-23 | Astrazeneca Ab | Processes for preparing (2s)-3-(4-{2-[amino]-2-oxoethoxy}phenyl)-2-ethoxypropanoic acid derivatives |
| WO2004113270A2 (en) * | 2003-06-18 | 2004-12-29 | Astrazeneca Ab | Propionic acid derivatives useful in the treatment of lipid disorders |
-
2006
- 2006-07-03 WO PCT/SE2006/000825 patent/WO2007004957A1/en not_active Ceased
Patent Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2003051821A1 (en) * | 2001-12-19 | 2003-06-26 | Astrazeneca Ab | Substituted phenylpropionic acid derivatives as agonists to human peroxisome proliferator-activated receptor alpha (ppar) |
| WO2004056748A1 (en) * | 2002-12-21 | 2004-07-08 | Astrazeneca Ab | Therapeutic agents |
| WO2004110984A1 (en) * | 2003-06-18 | 2004-12-23 | Astrazeneca Ab | Pharmaceutically useful salts of carboxylic acid derivates |
| WO2004110985A1 (en) * | 2003-06-18 | 2004-12-23 | Astrazeneca Ab | Pharmaceutically useful salts of carboxylic acid derivates |
| WO2004110982A1 (en) * | 2003-06-18 | 2004-12-23 | Astrazeneca Ab | Processes for preparing (2s)-3-(4-{2-[amino]-2-oxoethoxy}phenyl)-2-ethoxypropanoic acid derivatives |
| WO2004113270A2 (en) * | 2003-06-18 | 2004-12-29 | Astrazeneca Ab | Propionic acid derivatives useful in the treatment of lipid disorders |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| RU2666368C2 (en) * | 2013-04-26 | 2018-09-07 | Элобикс Аб | Crystalline modification |
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