WO2024263856A1 - Oral formulations comprising avatrombopag and related uses - Google Patents
Oral formulations comprising avatrombopag and related uses Download PDFInfo
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- WO2024263856A1 WO2024263856A1 PCT/US2024/034931 US2024034931W WO2024263856A1 WO 2024263856 A1 WO2024263856 A1 WO 2024263856A1 US 2024034931 W US2024034931 W US 2024034931W WO 2024263856 A1 WO2024263856 A1 WO 2024263856A1
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- avatrombopag
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/14—Particulate form, e.g. powders, Processes for size reducing of pure drugs or the resulting products, Pure drug nanoparticles
- A61K9/16—Agglomerates; Granulates; Microbeadlets ; Microspheres; Pellets; Solid products obtained by spray drying, spray freeze drying, spray congealing,(multiple) emulsion solvent evaporation or extraction
- A61K9/1605—Excipients; Inactive ingredients
- A61K9/1617—Organic compounds, e.g. phospholipids, fats
- A61K9/1623—Sugars or sugar alcohols, e.g. lactose; Derivatives thereof; Homeopathic globules
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/33—Heterocyclic compounds
- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/495—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/14—Particulate form, e.g. powders, Processes for size reducing of pure drugs or the resulting products, Pure drug nanoparticles
- A61K9/16—Agglomerates; Granulates; Microbeadlets ; Microspheres; Pellets; Solid products obtained by spray drying, spray freeze drying, spray congealing,(multiple) emulsion solvent evaporation or extraction
- A61K9/1605—Excipients; Inactive ingredients
- A61K9/1629—Organic macromolecular compounds
- A61K9/1652—Polysaccharides, e.g. alginate, cellulose derivatives; Cyclodextrin
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/14—Particulate form, e.g. powders, Processes for size reducing of pure drugs or the resulting products, Pure drug nanoparticles
- A61K9/16—Agglomerates; Granulates; Microbeadlets ; Microspheres; Pellets; Solid products obtained by spray drying, spray freeze drying, spray congealing,(multiple) emulsion solvent evaporation or extraction
- A61K9/1682—Processes
- A61K9/1694—Processes resulting in granules or microspheres of the matrix type containing more than 5% of excipient
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/20—Pills, tablets, discs, rods
- A61K9/2004—Excipients; Inactive ingredients
- A61K9/2022—Organic macromolecular compounds
- A61K9/205—Polysaccharides, e.g. alginate, gums; Cyclodextrin
- A61K9/2054—Cellulose; Cellulose derivatives, e.g. hydroxypropyl methylcellulose
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/20—Pills, tablets, discs, rods
- A61K9/2072—Pills, tablets, discs, rods characterised by shape, structure or size; Tablets with holes, special break lines or identification marks; Partially coated tablets; Disintegrating flat shaped forms
- A61K9/2077—Tablets comprising drug-containing microparticles in a substantial amount of supporting matrix; Multiparticulate tablets
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P7/00—Drugs for disorders of the blood or the extracellular fluid
- A61P7/02—Antithrombotic agents; Anticoagulants; Platelet aggregation inhibitors
Definitions
- thrombocytopenia is a potentially serious condition characterized by a deficiency of platelets in the circulatory system. It is associated with an increased risk of bleeding, particularly from small capillaries, resulting in thrombocytopenic purpura.
- the causes of thrombocytopenia include decreases in platelet production in the bone marrow and decreases in platelet survival in the blood.
- thrombocytopenia is primarily based on platelet transfusion.
- approximately 30% of transfusions are associated with serious complications, including alloimmunization, febrile and allergic reactions, circulatory overload, acute pulmonary injury and bacterial or viral infections.
- HLA human leukocyte antigen
- the present disclosure provides solid particle formulations, comprising: avatrombopag or a pharmaceutically acceptable salt thereof, and one or more pharmaceutically acceptable excipients.
- the present disclosure provides methods of preparing a. dispersed particle formulation, comprising dispersing the particle formulation disclosed herein in a media. [0005] In certain aspects, the present disclosure provides dispersed particle formulations, being prepared by the method disclosed herein. [0006] In certain aspects, the present disclosure provides methods of treating or preventing a disease in a subject, comprising administering to the subject the dispersed particle formulation disclosed herein. [0007] In certain aspects, the present disclosure provides uses of the dispersed particle formulation disclosed herein in the manufacture of a medicament for treating or preventing a disease in a subject. [0008] In certain aspects, the present disclosure provides the dispersed particle formulation disclosed herein for use in treating or preventing a disease in a subject.
- the present disclosure provides methods of treating a disease in a subject, comprising administering to the subject the dispersed particle formulation disclosed herein.
- the present disclosure provides uses of the dispersed particle formulation disclosed herein in the manufacture of a medicament for treating a disease in a subject.
- the present disclosure provides the dispersed particle formulation disclosed herein for use in treating a disease in a subject.
- all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this disclosure belongs. In the specification, the singular forms also include the plural unless the context clearly dictates otherwise.
- FIG.1 is a graph that illustrates the dissolution profiles for capsule of avatrombopag powder for oral suspension, 10 mg.
- FIG.2 is a graph that illustrates the dissolution profiles of capsules of avatrombopag for oral suspension, 10 mg from development and clinical batches.
- FIG.3 is a flow chart that illustrates the manufacturing process.
- FIG.4 is a bar graph that shows the particle size distribution of avatrombopag granules.
- “avatrombopag” refers to a compound having the following structure: which may be identified by CAS No.570406-98-3, and/or by IUPAC name 1-[3-Chloro-5-[[4- (4-chlorothiophen-2-yl)-5-(4-cyclohexylpiperazin-1-yl)-1,3-thiazol-2-yl]carbamoyl]pyridin- 2-yl]piperidine-4-carboxylic acid. [0019] Without wishing to be bound by theory, it is noted that a tablet formulation of avatrombopag may not be appropriate for a subject who cannot or will not swallow a tablet.
- an IV route of administration of avatrombopag may not be a preferred route for out- patient use and may be difficult to develop due to solubility. Therefore, the formulation of the present disclosure may be an age-appropriate formulation of avatrombopag that could allow for administration of avatrombopag to a subject between the ages of 1 month and ⁇ 18 years who cannot swallow tablets, or a subject of any age who is not able to swallow a tablet, or is unwilling to swallow a tablet.
- the present disclosure provides solid particle formulations, comprising: avatrombopag, or a pharmaceutically acceptable salt thereof, and one or more pharmaceutically acceptable excipients.
- the formulation is substantially free from lactose.
- Solid Particle [0022] In certain embodiments, the solid particle is a powder or granule. [0023] In certain embodiments, the solid particle is a granule. [0024] In certain embodiments, the population of solid particles has an average diameter of about 100 ⁇ m to about 1000 ⁇ m. In certain embodiments, the population of solid particles has an average diameter of about 100 ⁇ m to about 900 ⁇ m. In certain embodiments, the population of solid particles has an average diameter of about 100 ⁇ m to about 800 ⁇ m. In certain embodiments, the population of solid particles has an average diameter of about 100 ⁇ m to about 700 ⁇ m.
- the population of solid particles has an average diameter of about 100 ⁇ m to about 600 ⁇ m. In certain embodiments, the population of solid particles has an average diameter of about 100 ⁇ m to about 500 ⁇ m. In certain embodiments, the population of solid particles has an average diameter of about 100 ⁇ m to about 400 ⁇ m. In certain embodiments, the population of solid particles has an average diameter of about 100 ⁇ m to about 300 ⁇ m. In certain embodiments, the population of solid particles has an average diameter of about 100 ⁇ m to about 200 ⁇ m. In certain embodiments, the population of solid particles has an average diameter of about 200 ⁇ m to about 1000 ⁇ m. In certain embodiments, the population of solid particles has an average diameter of about 200 ⁇ m to about 900 ⁇ m.
- the population of solid particles has an average diameter of about 200 ⁇ m to about 800 ⁇ m. In certain embodiments, the population of solid particles has an average diameter of about 200 ⁇ m to about 700 ⁇ m. In certain embodiments, the population of solid particles has an average diameter of about 200 ⁇ m to about 600 ⁇ m. In certain embodiments, the population of solid particles has an average diameter of about 200 ⁇ m to about 500 ⁇ m. In certain embodiments, the population of solid particles has an average diameter of about 200 ⁇ m to about 400 ⁇ m. In certain embodiments, the population of solid particles has an average diameter of about 200 ⁇ m to about 300 ⁇ m. In certain embodiments, the population of solid particles has an average diameter of about 300 ⁇ m to about 1000 ⁇ m.
- the population of solid particles has an average diameter of about 300 ⁇ m to about 900 ⁇ m. In certain embodiments, the population of solid particles has an average diameter of about 300 ⁇ m to about 800 ⁇ m. In certain embodiments, the population of solid particles has an average diameter of about 300 ⁇ m to about 700 ⁇ m. In certain embodiments, the population of solid particles has an average diameter of about 300 ⁇ m to about 600 ⁇ m. In certain embodiments, the population of solid particles has an average diameter of about 300 ⁇ m to about 500 ⁇ m. In certain embodiments, the population of solid particles has an average diameter of about 300 ⁇ m to about 400 ⁇ m. In certain embodiments, the population of solid particles has an average diameter of about 400 ⁇ m to about 1000 ⁇ m.
- the population of solid particles has an average diameter of about 400 ⁇ m to about 900 ⁇ m. In certain embodiments, the population of solid particles has an average diameter of about 400 ⁇ m to about 800 ⁇ m. In certain embodiments, the population of solid particles has an average diameter of about 400 ⁇ m to about 700 ⁇ m. In certain embodiments, the population of solid particles has an average diameter of about 400 ⁇ m to about 600 ⁇ m. In certain embodiments, the population of solid particles has an average diameter of about 400 ⁇ m to about 500 ⁇ m. In certain embodiments, the population of solid particles has an average diameter of about 500 ⁇ m to about 1000 ⁇ m. In certain embodiments, the population of solid particles has an average diameter of about 500 ⁇ m to about 900 ⁇ m.
- the population of solid particles has an average diameter of about 500 ⁇ m to about 800 ⁇ m. In certain embodiments, the population of solid particles has an average diameter of about 500 ⁇ m to about 700 ⁇ m. In certain embodiments, the population of solid particles has an average diameter of about 500 ⁇ m to about 600 ⁇ m. In certain embodiments, the population of solid particles has an average diameter of about 600 ⁇ m to about 1000 ⁇ m. In certain embodiments, the population of solid particles has an average diameter of about 600 ⁇ m to about 900 ⁇ m. In certain embodiments, the population of solid particles has an average diameter of about 600 ⁇ m to about 800 ⁇ m. In certain embodiments, the population of solid particles has an average diameter of about 600 ⁇ m to about 700 ⁇ m.
- the population of solid particles has an average diameter of about 700 ⁇ m to about 1000 ⁇ m. In certain embodiments, the population of solid particles has an average diameter of about 700 ⁇ m to about 900 ⁇ m. In certain embodiments, the population of solid particles has an average diameter of about 700 ⁇ m to about 800 ⁇ m. In certain embodiments, the population of solid particles has an average diameter of about 800 ⁇ m to about 1000 ⁇ m. In certain embodiments, the population of solid particles has an average diameter of about 800 ⁇ m to about 900 ⁇ m. In certain embodiments, the population of solid particles has an average diameter of about 900 ⁇ m to about 1000 ⁇ m. [0025] In certain embodiments, the population of solid particles has an average diameter of about 300 ⁇ m.
- the population of solid particles has an average diameter of about 350 ⁇ m. In certain embodiments, the population of solid particles has an average diameter of about 400 ⁇ m. In certain embodiments, the population of solid particles has an average diameter of about 450 ⁇ m. In certain embodiments, the population of solid particles has an average diameter of about 500 ⁇ m. In certain embodiments, the population of solid particles has an average diameter of about 550 ⁇ m. In certain embodiments, the population of solid particles has an average diameter of about 600 ⁇ m. In certain embodiments, the population of solid particles has an average diameter of about 650 ⁇ m. In certain embodiments, the population of solid particles has an average diameter of about 700 ⁇ m.
- the population of solid particles has an average diameter of about 750 ⁇ m. In certain embodiments, the population of solid particles has an average diameter of about 800 ⁇ m. In certain embodiments, the population of solid particles has an average diameter of about 850 ⁇ m. [0026] In certain embodiments, the population of solid particles has a bulk density of about 0.54 g/mL to about 0.78 g/mL. In certain embodiments, the population of solid particles has a bulk density of about 0.54 g/mL to about 0.74 g/mL. In certain embodiments, the population of solid particles has a bulk density of about 0.54 g/mL to about 0.70 g/mL.
- the population of solid particles has a bulk density of about 0.54 g/mL to about 0.66 g/mL. In certain embodiments, the population of solid particles has a bulk density of about 0.54 g/mL to about 0.62 g/mL. In certain embodiments, the population of solid particles has a bulk density of about 0.54 g/mL to about 0.58 g/mL. In certain embodiments, the population of solid particles has a bulk density of about 0.58 g/mL to about 0.78 g/mL. In certain embodiments, the population of solid particles has a bulk density of about 0.58 g/mL to about 0.74 g/mL.
- the population of solid particles has a bulk density of about 0.58 g/mL to about 0.70 g/mL. In certain embodiments, the population of solid particles has a bulk density of about 0.58 g/mL to about 0.66 g/mL. In certain embodiments, the population of solid particles has a bulk density of about 0.58 g/mL to about 0.62 g/mL. In certain embodiments, the population of solid particles has a bulk density of about 0.62 g/mL to about 0.78 g/mL. In certain embodiments, the population of solid particles has a bulk density of about 0.62 g/mL to about 0.74 g/mL.
- the population of solid particles has a bulk density of about 0.62 g/mL to about 0.70 g/mL. In certain embodiments, the population of solid particles has a bulk density of about 0.62 g/mL to about 0.66 g/mL. In certain embodiments, the population of solid particles has a bulk density of about 0.66 g/mL to about 0.78 g/mL. In certain embodiments, the population of solid particles has a bulk density of about 0.66 g/mL to about 0.74 g/mL. In certain embodiments, the population of solid particles has a bulk density of about 0.66 g/mL to about 0.70 g/mL.
- the population of solid particles has a bulk density of about 0.70 g/mL to about 0.78 g/mL. In certain embodiments, the population of solid particles has a bulk density of about 0.70 g/mL to about 0.74 g/mL. In certain embodiments, the population of solid particles has a bulk density of about 0.74 g/mL to about 0.78 g/mL. [0027] In certain embodiments, the population of solid particles has a bulk density of about 0.58 g/mL. In certain embodiments, the population of solid particles has a bulk density of about 0.60 g/mL. In certain embodiments, the population of solid particles has a bulk density of about 0.61 g/mL.
- the population of solid particles has a bulk density of about 0.62 g/mL. In certain embodiments, the population of solid particles has a bulk density of about 0.63 g/mL. In certain embodiments, the population of solid particles has a bulk density of about 0.64 g/mL. In certain embodiments, the population of solid particles has a bulk density of about 0.65 g/mL. In certain embodiments, the population of solid particles has a bulk density of about 0.66 g/mL. In certain embodiments, the population of solid particles has a bulk density of about 0.68 g/mL. In certain embodiments, the population of solid particles has a bulk density of about 0.70 g/mL.
- the population of solid particles has a bulk density of about 0.72 g/mL.
- Avatrombopag [0028] In certain embodiments, the formulation comprises avatrombopag. [0029] In certain embodiments, the formulation comprises a pharmaceutically acceptable salt of avatrombopag. [0030] In certain embodiments, the pharmaceutically acceptable salt of avatrombopag is avatrombopag maleate salt. [0031] In certain embodiments, the pharmaceutically acceptable salt of avatrombopag is avatrombopag monomaleate salt. [0032] In certain embodiments, the formulation comprises avatrombopag maleate salt.
- the formulation comprises avatrombopag monomaleate salt.
- the formulation comprises a population of solid particles of avatrombopag or a pharmaceutically acceptable salt thereof.
- the formulation comprises a population of solid particles of avatrombopag.
- the formulation comprises a population of solid particles of the pharmaceutically acceptable salt of avatrombopag.
- the formulation comprises a population of solid particles of avatrombopag maleate salt.
- the formulation comprises a population of solid particles of monomaleate salt.
- the avatrombopag or a pharmaceutically acceptable salt thereof is present in an amount ranging from about 5.0% w/w to about 18.0% w/w. In certain embodiments, the avatrombopag or a pharmaceutically acceptable salt thereof is present in an amount ranging from about 5.0% w/w to about 16.0% w/w. In certain embodiments, the avatrombopag or a pharmaceutically acceptable salt thereof is present in an amount ranging from about 5.0% w/w to about 14.0% w/w. In certain embodiments, the avatrombopag or a pharmaceutically acceptable salt thereof is present in an amount ranging from about 5.0% w/w to about 12.0% w/w.
- the avatrombopag or a pharmaceutically acceptable salt thereof is present in an amount ranging from about 5.0% w/w to about 10.0% w/w. In certain embodiments, the avatrombopag or a pharmaceutically acceptable salt thereof is present in an amount ranging from about 5.0% w/w to about 8.0% w/w. [0040] In certain embodiments, the avatrombopag or a pharmaceutically acceptable salt thereof is present in an amount ranging from about 7.0% w/w to about 18.0% w/w. In certain embodiments, the avatrombopag or a pharmaceutically acceptable salt thereof is present in an amount ranging from about 7.0% w/w to about 16.0% w/w.
- the avatrombopag or a pharmaceutically acceptable salt thereof is present in an amount ranging from about 7.0% w/w to about 14.0% w/w. In certain embodiments, the avatrombopag or a pharmaceutically acceptable salt thereof is present in an amount ranging from about 7.0% w/w to about 12.0% w/w. In certain embodiments, the avatrombopag or a pharmaceutically acceptable salt thereof is present in an amount ranging from about 7.0% w/w to about 10.0% w/w. In certain embodiments, the avatrombopag or a pharmaceutically acceptable salt thereof is present in an amount ranging from about 7.0% w/w to about 8.0% w/w.
- the avatrombopag or a pharmaceutically acceptable salt thereof is present in an amount ranging from about 9.0% w/w to about 18.0% w/w. In certain embodiments, the avatrombopag or a pharmaceutically acceptable salt thereof is present in an amount ranging from about 9.0% w/w to about 16.0% w/w. In certain embodiments, the avatrombopag or a pharmaceutically acceptable salt thereof is present in an amount ranging from about 9.0% w/w to about 14.0% w/w. In certain embodiments, the avatrombopag or a pharmaceutically acceptable salt thereof is present in an amount ranging from about 9.0% w/w to about 12.0% w/w.
- the avatrombopag or a pharmaceutically acceptable salt thereof is present in an amount ranging from about 9.0% w/w to about 10.0% w/w. [0042] In certain embodiments, the avatrombopag or a pharmaceutically acceptable salt thereof is present in an amount ranging from about 11.0% w/w to about 18.0% w/w. In certain embodiments, the avatrombopag or a pharmaceutically acceptable salt thereof is present in an amount ranging from about 11.0% w/w to about 16.0% w/w. In certain embodiments, the avatrombopag or a pharmaceutically acceptable salt thereof is present in an amount ranging from about 11.0% w/w to about 14.0% w/w.
- the avatrombopag or a pharmaceutically acceptable salt thereof is present in an amount ranging from about 11.0% w/w to about 12.0% w/w. [0043] In certain embodiments, avatrombopag is present in an amount of about 10.0% w/w, or avatrombopag monomaleate is present in an amount of about 11.8% w/w.
- Pharmaceutically Acceptable Excipients [0044] In certain embodiments, the solid particle formulation comprises one or more pharmaceutically acceptable excipients. Diluent [0045] In certain embodiments, the formulation comprises a diluent.
- the diluent is selected from of lactose, sucrose (e.g., Dipac®), dextrose, dextrates, maltodextrin, mannitol, xylitol (e.g., Xylitab®), sorbitol, cyclodextrins, calcium phosphate, calcium sulfate, starches, modified starches, cellulose, microcrystalline cellulose (e.g., Avicel®), microcellulose, and talc.
- the diluent comprises microcrystalline cellulose.
- the diluent comprises mannitol.
- the diluent comprises microcrystalline cellulose and mannitol. [0048] In certain embodiments, the diluent is present in an amount ranging from about 66.0 w/w% to about 86.0 w/w%. In certain embodiments, the diluent is present in an amount ranging from about 66.0 w/w% to about 82.0 w/w%. In certain embodiments, the diluent is present in an amount ranging from about 66.0 w/w% to about 78.0 w/w%. In certain embodiments, the diluent is present in an amount ranging from about 66.0 w/w% to about 74.0 w/w%.
- the diluent is present in an amount ranging from about 66.0 w/w% to about 70.0 w/w%. In certain embodiments, the diluent is present in an amount ranging from about 70.0 w/w% to about 86.0 w/w%. In certain embodiments, the diluent is present in an amount ranging from about 70.0 w/w% to about 82.0 w/w%. In certain embodiments, the diluent is present in an amount ranging from about 70.0 w/w% to about 78.0 w/w%. In certain embodiments, the diluent is present in an amount ranging from about 70.0 w/w% to about 74.0 w/w%.
- the diluent is present in an amount ranging from about 74.0 w/w% to about 86.0 w/w%. In certain embodiments, the diluent is present in an amount ranging from about 74.0 w/w% to about 82.0 w/w%. In certain embodiments, the diluent is present in an amount ranging from about 74.0 w/w% to about 78.0 w/w%. In certain embodiments, the diluent is present in an amount ranging from about 78.0 w/w% to about 86.0 w/w%. In certain embodiments, the diluent is present in an amount ranging from about 78.0 w/w% to about 82.0 w/w%.
- the diluent is present in an amount of about 66.0 w/w%. In certain embodiments, the diluent is present in an amount of about 68.0 w/w%. In certain embodiments, the diluent is present in an amount of about 70.0 w/w%. In certain embodiments, the diluent is present in an amount of about 72.0 w/w%. In certain embodiments, the diluent is present in an amount of about 74.0 w/w%. In certain embodiments, the diluent is present in an amount of about 76.0 w/w%. In certain embodiments, the diluent is present in an amount of about 78.0 w/w%.
- the diluent is present in an amount of about 80.0 w/w%. In certain embodiments, the diluent is present in an amount of about 82.0 w/w%. In certain embodiments, the diluent is present in an amount of about 84.0 w/w%. In certain embodiments, the diluent is present in an amount of about 86.0 w/w%.
- the diluent is present in an amount of about 77.2 ⁇ 20.0 w/w%, about 77.2 ⁇ 15.0 w/w%, about 77.2 ⁇ 10.0 w/w%, about 77.2 ⁇ 9.0 w/w%, about 77.2 ⁇ 8.0 w/w%, about 77.2 ⁇ 7.0 w/w%, about 77.2 ⁇ 6.0 w/w%, about 77.2 ⁇ 5.0 w/w%, about 77.2 ⁇ 4.0 w/w%, about 77.2 ⁇ 3.0 w/w%, about 77.2 ⁇ 2.0 w/w%, or about 77.2 ⁇ 1.0 w/w% (e.g., about 77.2 w/w%).
- the diluent comprises microcrystalline cellulose, and the microcrystalline cellulose is present in an amount of about 28.0% w/w.
- the diluent comprises mannitol, and the mannitol is present in an amount of about 49% w/w.
- the diluent comprises microcrystalline cellulose and mannitol, the microcrystalline cellulose is present in an amount of about 28.0% w/w, and the mannitol is present in an amount of about 49% w/w.
- Binder [0054] In certain embodiments, the formulation comprises a binder.
- the binder is selected from polyvinylpyrrolidone (PVP) (e.g., PVP Kl 5, PVP K19, PVP K25, PVP K30, Povidone® CL, Kollidon® CL, Polyplasdone® XL- 10, and Povidone® K-12), cross-linked polyvinyl N-pyrrolidone (crospovidone), hydroxy propyl cellulose (HPC), hydroxy propyl methyl cellulose (HPMC), microcrystalline cellulose (MCC), sodium carboxy methyl cellulose, methylcellulose, lactose, sucrose, sorbitol, xylitol, mannitol, starch, sodium alginate, gelatin, and polyethylene glycol (PEG).
- PVP polyvinylpyrrolidone
- PEG polyethylene glycol
- the binder comprises crospovidone. [0057] In certain embodiments, the binder is present in an amount ranging from about 2.0 w/w% to about 8.0 w/w%. In certain embodiments, the binder is present in an amount ranging from about 2.0 w/w% to about 7.0 w/w%. In certain embodiments, the binder is present in an amount ranging from about 2.0 w/w% to about 6.0 w/w%. In certain embodiments, the binder is present in an amount ranging from about 2.0 w/w% to about 5.0 w/w%. In certain embodiments, the binder is present in an amount ranging from about 2.0 w/w% to about 4.0 w/w%.
- the binder is present in an amount ranging from about 2.0 w/w% to about 3.0 w/w%. In certain embodiments, the binder is present in an amount ranging from about 3.0 w/w% to about 8.0 w/w%. In certain embodiments, the binder is present in an amount ranging from about 3.0 w/w% to about 7.0 w/w%. In certain embodiments, the binder is present in an amount ranging from about 3.0 w/w% to about 6.0 w/w%. In certain embodiments, the binder is present in an amount ranging from about 3.0 w/w% to about 5.0 w/w%.
- the binder is present in an amount ranging from about 3.0 w/w% to about 4.0 w/w%. In certain embodiments, the binder is present in an amount ranging from about 4.0 w/w% to about 8.0 w/w%. In certain embodiments, the binder is present in an amount ranging from about 4.0 w/w% to about 7.0 w/w%. In certain embodiments, the binder is present in an amount ranging from about 4.0 w/w% to about 6.0 w/w%. In certain embodiments, the binder is present in an amount ranging from about 4.0 w/w% to about 5.0 w/w%.
- the binder is present in an amount ranging from about 5.0 w/w% to about 8.0 w/w%. In certain embodiments, the binder is present in an amount ranging from about 5.0 w/w% to about 7.0 w/w%. In certain embodiments, the binder is present in an amount ranging from about 5.0 w/w% to about 6.0 w/w%. In certain embodiments, the binder is present in an amount ranging from about 6.0 w/w% to about 8.0 w/w%. In certain embodiments, the binder is present in an amount ranging from about 6.0 w/w% to about 7.0 w/w%.
- the binder is present in an amount of about 2.0 w/w%. In certain embodiments, the binder is present in an amount of about 2.5 w/w%. In certain embodiments, the binder is present in an amount of about 3.0 w/w%. In certain embodiments, the binder is present in an amount of about 3.5 w/w%. In certain embodiments, the binder is present in an amount of about 4.0 w/w%. In certain embodiments, the binder is present in an amount of about 4.5 w/w%. In certain embodiments, the binder is present in an amount of about 5.0 w/w%. In certain embodiments, the binder is present in an amount of about 5.5 w/w%.
- the binder is present in an amount of about 6.0 w/w%. In certain embodiments, the binder is present in an amount of about 6.5 w/w%. In certain embodiments, the binder is present in an amount of about 7.0 w/w%. In certain embodiments, the binder is present in an amount of about 7.5 w/w%. In certain embodiments, the binder is present in an amount of about 8.0 w/w%. [0059] In certain embodiments, the binder is present in an amount of about 5.0 ⁇ 3.0 w/w%. In certain embodiments, the binder is present in an amount of about 5.0 ⁇ 2.8 w/w%.
- the binder is present in an amount of about 5.0 ⁇ 2.6 w/w%. In certain embodiments, the binder is present in an amount of about 5.0 ⁇ 2.4 w/w%. In certain embodiments, the binder is present in an amount of about 5.0 ⁇ 2.2 w/w%. In certain embodiments, the binder is present in an amount of about 5.0 ⁇ 2.0 w/w%. In certain embodiments, the binder is present in an amount of about 5.0 ⁇ 1.8 w/w%. In certain embodiments, the binder is present in an amount of about 5.0 ⁇ 1.6 w/w%. In certain embodiments, the binder is present in an amount of about 5.0 ⁇ 1.4 w/w%.
- the binder is present in an amount of about 5.0 ⁇ 1.2 w/w%. In certain embodiments, the binder is present in an amount of about 5.0 ⁇ 1.0 w/w%. In certain embodiments, the binder is present in an amount of about 5.0 ⁇ 0.8 w/w%. In certain embodiments, the binder is present in an amount of about 5.0 ⁇ 0.6 w/w%. In certain embodiments, the binder is present in an amount of about 5.0 ⁇ 0.4 w/w%. In certain embodiments, the binder is present in an amount of about 5.0 ⁇ 0.2 w/w% (e.g., 5.0 w/w%).
- the binder comprises crospovidone, and the crospovidone is present in an amount of about 5.0% w/w.
- Disintegrating Agent [0061] In certain embodiments, the formulation comprises a disintegrating agent. [0062] In certain embodiments, the disintegrating agent is selected from natural starch, a pregelatinized starch, a sodium starch, methylcrystalline cellulose, methylcellulose (e.g., Methocel®), croscarmellose, croscarmellose sodium, cross-linked sodium carboxymethy1 cellulose, cross-linked carboxymethyl cellulose, cross-linked croscarmellose, cross-linked starch such as sodium starch glycolate, cross-linked polymer such as crospovidone, cross- linked polyvinylpyrrolidone, sodium alginate, a clay, and a gum.
- the disintegrating agent is selected from natural starch, a pregelatinized starch, a sodium starch, methylcrystalline cellulose, methylcellulose (e.g., Me
- the formulation comprises a surfactant.
- the surfactant comprises sodium lauryl sulfate.
- the surfactant is present in an amount ranging from about 2.0 w/w% to about 8.0 w/w%. In certain embodiments, the surfactant is present in an amount ranging from about 2.0 w/w% to about 7.0 w/w%. In certain embodiments, the surfactant is present in an amount ranging from about 2.0 w/w% to about 6.0 w/w%. In certain embodiments, the surfactant is present in an amount ranging from about 2.0 w/w% to about 5.0 w/w%.
- the surfactant is present in an amount ranging from about 2.0 w/w% to about 4.0 w/w%. In certain embodiments, the surfactant is present in an amount ranging from about 2.0 w/w% to about 3.0 w/w%. In certain embodiments, the surfactant is present in an amount ranging from about 3.0 w/w% to about 8.0 w/w%. In certain embodiments, the surfactant is present in an amount ranging from about 3.0 w/w% to about 7.0 w/w%. In certain embodiments, the surfactant is present in an amount ranging from about 3.0 w/w% to about 6.0 w/w%.
- the surfactant is present in an amount ranging from about 3.0 w/w% to about 5.0 w/w%. In certain embodiments, the surfactant is present in an amount ranging from about 3.0 w/w% to about 4.0 w/w%. In certain embodiments, the surfactant is present in an amount ranging from about 4.0 w/w% to about 8.0 w/w%. In certain embodiments, the surfactant is present in an amount ranging from about 4.0 w/w% to about 7.0 w/w%. In certain embodiments, the surfactant is present in an amount ranging from about 4.0 w/w% to about 6.0 w/w%.
- the surfactant is present in an amount ranging from about 4.0 w/w% to about 5.0 w/w%. In certain embodiments, the surfactant is present in an amount ranging from about 5.0 w/w% to about 8.0 w/w%. In certain embodiments, the surfactant is present in an amount ranging from about 5.0 w/w% to about 7.0 w/w%. In certain embodiments, the surfactant is present in an amount ranging from about 5.0 w/w% to about 6.0 w/w%. In certain embodiments, the surfactant is present in an amount ranging from about 6.0 w/w% to about 8.0 w/w%.
- the surfactant is present in an amount ranging from about 6.0 w/w% to about 7.0 w/w%. [0066] In certain embodiments, the surfactant is present in an amount of about 2.0 w/w%. In certain embodiments, the surfactant is present in an amount of about 2.5 w/w%. In certain embodiments, the surfactant is present in an amount of about 3.0 w/w%. In certain embodiments, the surfactant is present in an amount of about 3.5 w/w%. In certain embodiments, the surfactant is present in an amount of about 4.0 w/w%. In certain embodiments, the surfactant is present in an amount of about 4.5 w/w%.
- the surfactant is present in an amount of about 5.0 w/w%. In certain embodiments, the surfactant is present in an amount of about 5.5 w/w%. In certain embodiments, the surfactant is present in an amount of about 6.0 w/w%. In certain embodiments, the surfactant is present in an amount of about 6.5 w/w%. In certain embodiments, the surfactant is present in an amount of about 7.0 w/w%. In certain embodiments, the surfactant is present in an amount of about 7.5 w/w%. In certain embodiments, the surfactant is present in an amount of about 8.0 w/w%.
- the surfactant is present in an amount of about 5.0 ⁇ 3.0 w/w%. In certain embodiments, the surfactant is present in an amount of about 5.0 ⁇ 2.8 w/w%. In certain embodiments, the surfactant is present in an amount of about 5.0 ⁇ 2.6 w/w%. In certain embodiments, the surfactant is present in an amount of about 5.0 ⁇ 2.4 w/w%. In certain embodiments, the surfactant is present in an amount of about 5.0 ⁇ 2.2 w/w%. In certain embodiments, the surfactant is present in an amount of about 5.0 ⁇ 2.0 w/w%. In certain embodiments, the surfactant is present in an amount of about 5.0 ⁇ 1.8 w/w%.
- the surfactant is present in an amount of about 5.0 ⁇ 1.6 w/w%. In certain embodiments, the surfactant is present in an amount of about 5.0 ⁇ 1.4 w/w%. In certain embodiments, the surfactant is present in an amount of about 5.0 ⁇ 1.2 w/w%. In certain embodiments, the surfactant is present in an amount of about 5.0 ⁇ 1.0 w/w%. In certain embodiments, the surfactant is present in an amount of about 5.0 ⁇ 0.8 w/w%. In certain embodiments, the surfactant is present in an amount of about 5.0 ⁇ 0.6 w/w%. In certain embodiments, the surfactant is present in an amount of about 5.0 ⁇ 0.4 w/w%.
- the surfactant is present in an amount of about 5.0 ⁇ 0.2 w/w% (e.g., 5.0 w/w%).
- the surfactant comprises sodium lauryl sulfate, and the surfactant is present in an amount of about 5.0% w/w.
- Lubricant [0069] In certain embodiments, the formulation comprises a lubricant. [0070] In certain embodiments, the lubricant comprises magnesium stearate. [0071] In certain embodiments, the lubricant is present in an amount ranging from about 0.1 w/w% to about 3.0 w/w%.
- the lubricant is present in an amount ranging from about 0.1 w/w% to about 2.5 w/w%. In certain embodiments, the lubricant is present in an amount ranging from about 0.1 w/w% to about 2.0 w/w%. In certain embodiments, the lubricant is present in an amount ranging from about 0.1 w/w% to about 1.5 w/w%. In certain embodiments, the lubricant is present in an amount ranging from about 0.1 w/w% to about 1.0 w/w%. In certain embodiments, the lubricant is present in an amount ranging from about 0.1 w/w% to about 0.5 w/w%.
- the lubricant is present in an amount ranging from about 0.5 w/w% to about 3.0 w/w%. In certain embodiments, the lubricant is present in an amount ranging from about 0.5 w/w% to about 2.5 w/w%. In certain embodiments, the lubricant is present in an amount ranging from about 0.5 w/w% to about 2.0 w/w%. In certain embodiments, the lubricant is present in an amount ranging from about 0.5 w/w% to about 1.5 w/w%. In certain embodiments, the lubricant is present in an amount ranging from about 0.5 w/w% to about 1.0 w/w%.
- the lubricant is present in an amount ranging from about 0.8 w/w% to about 3.0 w/w%. In certain embodiments, the lubricant is present in an amount ranging from about 0.8 w/w% to about 2.5 w/w%. In certain embodiments, the lubricant is present in an amount ranging from about 0.8 w/w% to about 2.0 w/w%. In certain embodiments, the lubricant is present in an amount ranging from about 0.8 w/w% to about 1.5 w/w%. In certain embodiments, the lubricant is present in an amount ranging from about 0.8 w/w% to about 1.0 w/w%.
- the lubricant is present in an amount ranging from about 1.2 w/w% to about 3.0 w/w%. In certain embodiments, the lubricant is present in an amount ranging from about 1.2 w/w% to about 2.5 w/w%. In certain embodiments, the lubricant is present in an amount ranging from about 1.2 w/w% to about 2.0 w/w%. In certain embodiments, the lubricant is present in an amount ranging from about 1.2 w/w% to about 1.5 w/w%. In certain embodiments, the lubricant is present in an amount ranging from about 1.5 w/w% to about 3.0 w/w%.
- the lubricant is present in an amount ranging from about 1.5 w/w% to about 2.5 w/w%. In certain embodiments, the lubricant is present in an amount ranging from about 1.5 w/w% to about 2.0 w/w%. [0072] In certain embodiments, the lubricant is present in an amount of about 0.1 w/w%. In certain embodiments, the lubricant is present in an amount of about 0.2 w/w%. In certain embodiments, the lubricant is present in an amount of about 0.3 w/w%. In certain embodiments, the lubricant is present in an amount of about 0.4 w/w%.
- the lubricant is present in an amount of about 0.5 w/w%. In certain embodiments, the lubricant is present in an amount of about 0.6 w/w%. In certain embodiments, the lubricant is present in an amount of about 0.7 w/w%. In certain embodiments, the lubricant is present in an amount of about 0.8 w/w%. In certain embodiments, the lubricant is present in an amount of about 0.9 w/w%. In certain embodiments, the lubricant is present in an amount of about 1.0 w/w%. In certain embodiments, the lubricant is present in an amount of about 1.1 w/w%.
- the lubricant is present in an amount of about 1.2 w/w%. In certain embodiments, the lubricant is present in an amount of about 1.3 w/w%. In certain embodiments, the lubricant is present in an amount of about 1.4 w/w%. In certain embodiments, the lubricant is present in an amount of about 1.5 w/w%. In certain embodiments, the lubricant is present in an amount of about 1.6 w/w%. In certain embodiments, the lubricant is present in an amount of about 1.8 w/w%. In certain embodiments, the lubricant is present in an amount of about 2.0 w/w%.
- the lubricant is present in an amount of about 2.2 w/w%. In certain embodiments, the lubricant is present in an amount of about 2.4 w/w%. In certain embodiments, the lubricant is present in an amount of about 2.6 w/w%. In certain embodiments, the lubricant is present in an amount of about 2.8 w/w%. In certain embodiments, the lubricant is present in an amount of about 3.0 w/w%. [0073] In certain embodiments, the surfactant is present in an amount of about 1.0 ⁇ 0.5 w/w%. In certain embodiments, the surfactant is present in an amount of about 1.0 ⁇ 0.4 w/w%.
- the surfactant is present in an amount of about 1.0 ⁇ 0.3 w/w%. In certain embodiments, the surfactant is present in an amount of about 1.0 ⁇ 0.2 w/w%. In certain embodiments, the surfactant is present in an amount of about 1.0 ⁇ 0.1 w/w% (e.g., 1.0 w/w%).
- the lubricant comprises magnesium stearate, and the lubricant is present in the particle formulation in an amount of about 1.0% w/w.
- the one or more pharmaceutically acceptable excipients comprises a diluent, a binder, a surfactant; and a lubricant.
- the formulation comprises a diluent, a binder, a surfactant, and a lubricant.
- the avatrombopag and the diluent are present in the formulation at a ratio of about 12:77.
- the diluent and the binder are present in the formulation at a ratio of about 77:5.
- the diluent and the surfactant are present in the formulation at a ratio of about 77:5.
- the diluent and the lubricant are present in the formulation at a ratio of about 77:1.
- the diluent, the binder, the surfactant, and the lubricant are present in the formulation at a ratio of about 12:77:5:5:1.
- the formulation comprises: about 11.8 ⁇ 3.0 w/w% of the avatrombopag monomaleate; about 77.2 ⁇ 20.0 w/w% of the diluent; about 5.0 ⁇ 3.0 w/w% of the binder; about 5.0 ⁇ 3.0 w/w% of the surfactant; and about 1.0 ⁇ 0.5 w/w% of the lubricant.
- the formulation comprises: about 11.8 ⁇ 3.0 mg of the avatrombopag monomaleate; about 49.2 ⁇ 10.0 mg of mannitol; about 28.0 ⁇ 10.0 mg of microcrystalline cellulose; about 5.0 ⁇ 3.0 mg of Crospovidone Type A; about 5.0 ⁇ 3.0 mg of sodium laurilsulfate; and about 1.0 ⁇ 0.5 mg of magnesium stearate.
- the formulation comprises: about 11.8 mg of the avatrombopag monomaleate; about 49.2 mg of mannitol; about 28.0 mg of microcrystalline cellulose; about 5.0 mg of Crospovidone Type A; about 5.0 mg of sodium laurilsulfate; and about 1.0 mg of magnesium stearate.
- Dosage Form [0085] In certain aspects, the present disclosure provides oral dosage forms, comprising the solid particle formulation disclosed herein. [0086] In certain embodiments, the oral dosage form is a capsule. [0087] In certain embodiments, the capsule is configured to be easily opened.
- the present disclosure provides methods of preparing a dispersed particle formulation, comprising dispersing the particle formulation disclosed herein in a media.
- the media is a solid media or a liquid media.
- the media is an aqueous media.
- the present disclosure provides dispersed particle formulations, being prepared by the method disclosed herein.
- the present disclosure provides methods of treating or preventing a disease in a subject, comprising administering to the subject the dispersed particle formulation disclosed herein.
- the present disclosure provides uses of the dispersed particle formulation disclosed herein in the manufacture of a medicament for treating or preventing a disease in a subject.
- the present disclosure provides the dispersed particle formulation disclosed herein for use in treating or preventing a disease in a subject.
- the present disclosure provides methods of treating a disease in a subject, comprising administering to the subject the dispersed particle formulation disclosed herein.
- the present disclosure provides uses of the dispersed particle formulation disclosed herein in the manufacture of a medicament for treating a disease in a subject.
- the present disclosure provides the dispersed particle formulation disclosed herein for use in treating a disease in a subject.
- the disease or disorder is thrombocytopenia.
- thrombocytopenia is idiopathic thrombocytopenic purpura (ITP), thrombotic thrombocytopenic purpura (TTP), hemolytic-uremic syndrome (HUS), disseminated intravascular coagulation (DIC), paroxysmal nocturnal hemoglobinuria (PNH), antiphospholipid syndrome, systemic lupus erythematosus (SLE), post transfusion purpura, neonatal alloimmune thrombocytopenia (NAITP), splenic sequestration of platelets due to hypersplenism, dengue fever, thrombocytopenia of myelodysplastic syndromes (MDS), or chemotherapy-induced thrombocytopenia, severe aplastic anemia (SAA), post-hematopoietic stem cell transplant (HSCT), Evan’s syndrome, or genetic thrombocytopenias.
- ITP idiopathic thrombocytopenic purpura
- the disease or disorder is immune thrombocytopenia (ITP).
- the patient is a pediatric patient.
- the patient is less than 18 years old. In certain embodiments, the patient is less than 5 years old. In certain embodiments, the patient is not able to swallow tablets or pills.
- the patient has had primary ITP for ⁇ 6 months duration or has an insufficient response to previous treatment.
- the patient has an average of two platelet counts of ⁇ 30 ⁇ 10 9 /L, with no single count of >35 ⁇ 10 9 /L.
- a “subject” to which administration is contemplated includes, but is not limited to, humans (i.e., a male or female of any age group, e.g., a pediatric subject (e.g, infant, child, adolescent) or an adult subject (e.g., young adult, middle aged adult or senior adult) and/or a non-human animal, e.g., a mammal such as primates (e.g., cynomolgus monkeys, rhesus monkeys), cattle, pigs, horses, sheep, goats, rodents, cats, and/or dogs.
- the subject is a human.
- the subject is a patient.
- an “effective amount” means the amount of a compound that, when administered to a subject for treating or preventing a disease, is sufficient to affect such treatment or prevention.
- the “effective amount” can vary depending on the compound, the disease and its severity, and the age, weight, etc., of the subject to be treated.
- a “therapeutically effective amount” refers to the effective amount for therapeutic treatment.
- a “prophylatically effective amount” refers to the effective amount for prophylactic treatment.
- “Preventing”, “prevention” or “prophylactic treatment” refers to a reduction in risk of acquiring or developing a disease or disorder (i.e., causing at least one of the clinical symptoms of the disease not to develop in a subject not yet exposed to a disease-causing agent, or in a subject who is predisposed to the disease in advance of disease onset).
- the term “prophylaxis” is related to “prevention,” and refers to a measure or procedure, the purpose of which is to prevent, rather than to treat or cure a disease.
- Non limiting examples of prophylactic measures may include the administration of vaccines; the administration of low molecular weight heparin to hospital patients at risk for thrombosis due, for example, to immobilization, and the administration of an anti-malarial agent such as chloroquine, in advance of a visit to a geographical region where malaria is endemic or the risk of contracting malaria is high.
- “Treating” or “treatment” or “therapeutic treatment” of any disease or disorder refers, in one embodiment, to ameliorating the disease or disorder (i.e., arresting the disease or reducing the manifestation, extent or severity of at least one of the clinical symptoms thereof).
- “treating” or “treatment” refers to ameliorating at least one physical parameter, which may not be discernible by the subject.
- “treating” or “treatment” refers to modulating the disease or disorder, either physically, (e.g., stabilization of a discernible symptom), physiologically, (e.g., stabilization of a physical parameter), or both.
- “treating” or “treatment” relates to slowing the progression of the disease.
- the term “subject in need thereof” refers to a subject having a disease or disorder disclosed herein, or having an increased risk of developing the disease or disorder disclosed herein.
- a subject in need thereof can be one who has been previously diagnosed or identified as having a disease or disorder disclosed herein.
- a subject in need thereof can also be one who is suffering from a disease or disorder disclosed herein.
- a subject in need thereof can be one who has an increased risk of developing such disease or disorder relative to the population at large (i.e., a subject who is predisposed to developing such disease or disorder relative to the population at large).
- a subject in need thereof can have a refractory or resistant a disease or disorder disclosed herein (i.e., a disease or disorder disclosed herein that does not respond or has not yet responded to treatment). The subject may be resistant at start of treatment or may become resistant during treatment.
- the subject in need thereof received and failed all known effective therapies for a disease or disorder disclosed herein. In some embodiments, the subject in need thereof received at least one prior therapy.
- the term “treating” or “treat” describes the management and care of a patient for the purpose of combating a disease or disorder and includes the administration of a compound of the present disclosure, or a pharmaceutically acceptable salt, polymorph or solvate thereof, to alleviate the symptoms or complications of the disease or disorder, or to eliminate the disease or disorder.
- the term “treat” can also include treatment of a cell in vitro or an animal model. It is to be appreciated that references to “treating” or “treatment” include the alleviation of established symptoms of a condition.
- Treating” or “treatment” of a state, disorder or condition therefore includes: (1) preventing or delaying the appearance of clinical symptoms of the state, disorder or condition developing in a human that may be afflicted with or predisposed to the state, disorder or condition but does not yet experience or display clinical or subclinical symptoms of the state, disorder or condition, (2) inhibiting the state, disorder or condition, i.e., arresting, reducing or delaying the development of the disease or a relapse thereof (in case of maintenance treatment) or at least one clinical or subclinical symptom thereof, or (3) relieving or attenuating the disease, i.e., causing regression of the state, disorder or condition or at least one of its clinical or subclinical symptoms.
- the term “pharmaceutical composition” is a formulation containing the compounds of the present disclosure in a form suitable for administration to a subject.
- the pharmaceutical composition is in bulk or in unit dosage form.
- the unit dosage form is any of a variety of forms, including, for example, a capsule, an IV bag, a tablet, a single pump on an aerosol inhaler or a vial.
- the active compound is mixed under sterile conditions with a pharmaceutically acceptable carrier, and with any preservatives, buffers, or propellants that are required.
- the term “pharmaceutically acceptable” refers to those compounds, anions, cations, materials, compositions, carriers, and/or dosage forms which are, within the scope of sound medical judgment, suitable for use in contact with the tissues of human beings and animals without excessive toxicity, irritation, allergic response, or other problem or complication, commensurate with a reasonable benefit/risk ratio.
- pharmaceutically acceptable excipient means an excipient that is useful in preparing a pharmaceutical composition that is generally safe, non-toxic and neither biologically nor otherwise undesirable, and includes excipient that is acceptable for veterinary use as well as human pharmaceutical use.
- compositions containing active compounds of the present disclosure may be manufactured in a manner that is generally known, e.g., by means of conventional mixing, dissolving, granulating, dragee-making, levigating, emulsifying, encapsulating, entrapping, or lyophilising processes.
- Pharmaceutical compositions may be formulated in a conventional manner using one or more pharmaceutically acceptable carriers comprising excipients and/or auxiliaries that facilitate processing of the active compounds into preparations that can be used pharmaceutically.
- “Pharmaceutically acceptable salt” refers to a salt of a compound of the disclosure that is pharmaceutically acceptable and that possesses the desired pharmacological activity of the parent compound.
- such salts are non-toxic may be inorganic or organic acid addition salts and base addition salts.
- the ratio of the compound to the cation or anion of the salt can be 1:1, or any ratio other than 1:1, e.g., 3:1, 2:1, 1:2, or 1:3.
- the phrase “compound of the disclosure” refers to those compounds which are disclosed herein, both generically and specifically.
- the compound disclosed herein and any pharmaceutically acceptable salts thereof comprise stereoisomers, mixtures of stereoisomers, polymorphs of all isomeric forms of said compound.
- the compound disclosed herein may be presented in one particular configuration, such particular configuration is not to be construed as limiting the disclosure to one or another isomer, tautomer, regioisomer or stereoisomer, nor does it exclude mixtures of isomers, tautomers, regioisomers or stereoisomers.
- the presentation of a compound herein in a particular configuration intends to encompass, and to refer to, each of the available isomers, tautomers, regioisomers, and stereoisomers of the compound, or any mixture thereof; while the presentation further intends to refer to the specific configuration of the compound.
- the term “isomerism” means compounds that have identical molecular formulae but differ in the sequence of bonding of their atoms or in the arrangement of their atoms in space.
- stereoisomers that differ in the arrangement of their atoms in space are termed “stereoisomers.” Stereoisomers that are not mirror images of one another are termed “diastereoisomers,” and stereoisomers that are non-superimposable mirror images of each other are termed “enantiomers” or sometimes optical isomers. A mixture containing equal amounts of individual enantiomeric forms of opposite chirality is termed a “racemic mixture.” [0124] As used herein, the term “geometric isomer” means the diastereomers that owe their existence to hindered rotation about double bonds or a cycloalkyl linker (e.g., 1,3-cyclobutyl).
- a cycloalkyl linker e.g., 1,3-cyclobutyl
- atropic isomers are a type of stereoisomer in which the atoms of two isomers are arranged differently in space. Atropic isomers owe their existence to a restricted rotation caused by hindrance of rotation of large groups about a central bond. Such atropic isomers typically exist as a mixture, however as a result of recent advances in chromatography techniques, it has been possible to separate mixtures of two atropic isomers in select cases.
- tautomer is one of two or more structural isomers that exist in equilibrium and is readily converted from one isomeric form to another. This conversion results in the formal migration of a hydrogen atom accompanied by a switch of adjacent conjugated double bonds. Tautomers exist as a mixture of a tautomeric set in solution. In solutions where tautomerisation is possible, a chemical equilibrium of the tautomers will be reached. The exact ratio of the tautomers depends on several factors, including temperature, solvent and pH. The concept of tautomers that are interconvertible by tautomerisations is called tautomerism. Of the various types of tautomerism that are possible, two are commonly observed.
- keto-enol tautomerism a simultaneous shift of electrons and a hydrogen atom occurs.
- Ring-chain tautomerism arises as a result of the aldehyde group (-CHO) in a sugar chain molecule reacting with one of the hydroxy groups (-OH) in the same molecule to give it a cyclic (ring-shaped) form as exhibited by glucose.
- -CHO aldehyde group
- -OH hydroxy groups
- tautomers may have a higher level of activity than others.
- isomers Compounds that have the same molecular formula but differ in the nature or sequence of bonding of their atoms or the arrangement of their atoms in space are termed “isomers”. Isomers that differ in the arrangement of their atoms in space are termed “stereoisomers”. Stereoisomers that are not mirror images of one another are termed “diastereomers” and those that are non-superimposable mirror images of each other are termed “enantiomers”. When a compound has an asymmetric center, for example, it is bonded to four different groups, a pair of enantiomers is possible.
- An enantiomer can be characterized by the absolute configuration of its asymmetric center and is described by the R- and S-sequencing rules of Cahn and Prelog, or by the manner in which the molecule rotates the plane of polarised light and designated as dextrorotatory or levorotatory (i.e., as (+) or (-)-isomers respectively).
- a chiral compound can exist as either individual enantiomer or as a mixture thereof.
- a mixture containing equal proportions of the enantiomers is called a “racemic mixture”.
- the compounds of this disclosure may possess one or more asymmetric centers; such compounds can therefore be produced as individual (R)- or (S)-stereoisomers or as mixtures thereof.
- EXAMPLARY EMBODIMENTS EXAMPLARY EMBODIMENT 1.
- a solid particle formulation comprising: avatrombopag, having the structure of , or a pharmaceutically acceptable salt thereof, and one or more pharmaceutically acceptable excipients.
- EXAMPLARY EMBODIMENT 3 The solid particle formulation of any one of the preceding exemplary embodiments, wherein the solid particle is a granule.
- EXAMPLARY EMBODIMENT 4 The solid particle formulation of any one of the preceding exemplary embodiments, wherein the population of solid particles has an average particle diameter of about 400 ⁇ m to about 600 ⁇ m.
- EXAMPLARY EMBODIMENT 5. The solid particle formulation of any one of the preceding exemplary embodiments, wherein the population of solid particles has bulk density of about 0.58 g/mL to about 0.66 g/mL.
- solid particle formulation of any one of the preceding exemplary embodiments wherein the avatrombopag is present in an amount of about 10.0 ⁇ 5% w/w, or the pharmaceutically acceptable salt of avatrombopag is present in an amount of about 11.8 ⁇ 5% w/w.
- EXAMPLARY EMBODIMENT 8 The solid particle formulation of any one of the preceding exemplary embodiments, wherein one or more pharmaceutically acceptable excipients comprise a diluent, a binder, a surfactant, or a lubricant.
- diluent is selected from lactose, sucrose (e.g., Dipac®), dextrose, dextrates, maltodextrin, mannitol, xylitol (e.g., Xylitab®), sorbitol, cyclodextrins, calcium phosphate, calcium sulfate, starches, modified starches, cellulose, microcrystalline cellulose (e.g., Avicel®), microcellulose, and talc.
- lactose sucrose
- dextrose e.g., dextrates
- maltodextrin mannitol
- xylitol e.g., Xylitab®
- sorbitol cyclodextrins
- calcium phosphate calcium sulfate
- starches modified starches
- cellulose e.g., microcrystalline cellulose (e.g., Avicel®), microcellulose, and talc.
- EXAMPLARY EMBODIMENT 11 The solid particle formulation of any one of the preceding exemplary embodiments, wherein the diluent comprises microcrystalline cellulose and mannitol.
- the diluent comprises microcrystalline cellulose and mannitol, wherein the microcrystalline cellulose is present in an amount of about 30.0 ⁇ 5.0% w/w, and the mannitol is present in an amount of about 49.0 ⁇ 5.0% w/w.
- the binder is selected from polyvinylpyrrolidone (PVP) (e.g., PVP Kl 5, PVP K19, PVP K25, PVP K30, Povidone® CL, Kollidon® CL, Polyplasdone® XL-10, and Povidone® K-12), cross-linked polyvinyl N-pyrrolidone (crospovidone), hydroxy propyl cellulose (HPC), hydroxy propyl methyl cellulose (HPMC), microcrystalline cellulose (MCC), sodium carboxy methyl cellulose, methylcellulose, lactose, sucrose, sorbitol, xylitol, mannitol, starch, sodium alginate, gelatin, and polyethylene glycol (PEG).
- PVP polyvinylpyrrolidone
- crospovidone cross-linked polyvinyl N-pyrrolidone
- HPMC hydroxy propyl cellulose
- HPMC hydroxy propyl methyl cellulose
- MCC microcrystalline cellulose
- EXAMPLARY EMBODIMENT 14 The solid particle formulation of any one of the preceding exemplary embodiments, wherein the binder is present in an amount of from about 2.0 w/w% to about 8.0 w/w%.
- EXAMPLARY EMBODIMENT 15 The solid particle formulation of any one of the preceding exemplary embodiments, wherein the binder comprises crospovidone, and the crospovidone is present in an amount of about 5.0 w/w%.
- EXAMPLARY EMBODIMENT 16 The solid particle formulation of any one of the preceding exemplary embodiments, wherein the surfactant comprises sodium lauryl sulfate.
- EXAMPLARY EMBODIMENT 18 The solid particle formulation of any one of the preceding exemplary embodiments, wherein the surfactant comprises sodium lauryl sulfate, and the sodium lauryl sulfate is present in an amount of about 5.0 w/w%.
- EXAMPLARY EMBODIMENT 19 The solid particle formulation of any one of the preceding exemplary embodiments, wherein the lubricant comprises magnesium stearate. EXAMPLARY EMBODIMENT 20.
- the solid particle formulation of any one of the preceding exemplary embodiments comprising: about 11.8 ⁇ 3.0 w/w% of the avatrombopag monomaleate; about 77.0 ⁇ 20.0 w/w% of the diluent; about 5.0 ⁇ 3.0 w/w% of the binder; about 5.0 ⁇ 3.0 w/w% of the surfactant; and about 1.0 ⁇ 0.9 w/w% of the lubricant.
- EXAMPLARY EMBODIMENT 23 comprising: about 11.8 ⁇ 3.0 w/w% of the avatrombopag monomaleate; about 77.0 ⁇ 20.0 w/w% of the diluent; about 5.0 ⁇ 3.0 w/w% of the binder; about 5.0 ⁇ 3.0 w/w% of the surfactant; and about 1.0 ⁇ 0.9 w/w% of the lubricant.
- the solid particle formulation of any one of the preceding exemplary embodiments comprising: about 11.8 ⁇ 3.0 mg of the avatrombopag monomaleate; about 49.2 ⁇ 10.0 mg of mannitol; about 28.0 ⁇ 10.0 mg of microcrystalline cellulose; about 5.0 ⁇ 3.0 mg of Crospovidone Type A; about 5.0 ⁇ 3.0 mg of sodium laurilsulfate; and about 1.0 ⁇ 0.9 mg of magnesium stearate.
- the solid particle formulation of any one of the preceding exemplary embodiments comprising: about 11.8 mg of the avatrombopag monomaleate; about 49.2 mg of mannitol; about 28.0 mg of microcrystalline cellulose; about 5.0 mg of Crospovidone Type A; about 5.0 mg of sodium laurilsulfate; and about 1.0 mg of magnesium stearate.
- EXAMPLARY EMBODIMENT 25 The solid particle formulation of any one of the preceding exemplary embodiments, wherein the formulation is substantially free from lactose.
- the method of any one of the preceding exemplary embodiments, wherein the media is a solid media or a liquid media.
- EXAMPLARY EMBODIMENT 32 A dispersed particle formulation, being prepared by the method of any one of the preceding exemplary embodiments.
- EXAMPLARY EMBODIMENT 33 A method of treating or preventing a disease in a subject, comprising administering to the subject the dispersed particle formulation of any one of the preceding exemplary embodiments.
- EXAMPLARY EMBODIMENT 34 Use of the dispersed particle formulation of any one of the preceding exemplary embodiments in the manufacture of a medicament for treating or preventing a disease in a subject.
- EXAMPLARY EMBODIMENT 35 A dispersed particle formulation, being prepared by the method of any one of the preceding exemplary embodiments.
- EXAMPLARY EMBODIMENT 33 A method of treating or preventing a disease in a subject, comprising administering to the subject the dispersed particle formulation of any one of the preceding exemplary embodiments.
- EXAMPLARY EMBODIMENT 34 Use of the dispersed particle formulation of any one
- ITP
- EXAMPLARY EMBODIMENT 37 The method, use, or particle formulation for use of any one of the preceding exemplary embodiments, wherein the disease or disorder is immune thrombocytopenia (ITP).
- ITP immune thrombocytopenia
- Example 1. Exemplary Capsule Formulations [0134] Capsules of Avatrombopag Powder for Oral Suspension, 10 mg, consist of white/light blue capsules containing white to off-white granules were prepared.
- This drug product consists of granules of drug product contained in a two-piece hard gelatin capsule that is specifically designed to be easily opened by patients and which enables users to dose the contents of a capsule in a consistent manner.
- This capsule offers a more convenient and simple way to sprinkle drugs on food or in beverages as compared to standard capsules that require sufficient dexterity to open the capsule locking mechanism.
- Components [0138] A dry granulation process was developed for the formulation using conventional excipients suitable for dry granulation. The excipients for Capsules of Avatrombopag Powder for Oral Suspension, 10 mg, were selected to optimize dissolution of the drug product and are shown in Table E3. Table E3.
- Capsules of Avatrombopag Powder for Oral Suspension, 10 mg, for the proposed clinical studies and intended commercial manufacturing scale are described below.
- Drug Substance Avatrombopag maleate was used.
- Excipients [0141] The compatibility of the drug substance, avatrombopag maleate, with potential excipients was assessed focusing on the stability of the formulation. Binary mixtures of API and the excipients in a ratio of API/excipient (1:10) were prepared and exposed to elevated temperature and humidity conditions for a period of 4 weeks. The samples were analyzed for evidence of avatrombopag degradation.
- a sprinkle capsule consists of a two-piece, hard, hypromellose capsule that is specifically designed to be easily opened by patients and which enables users to dose the contents of a capsule in a consistent manner.
- This capsule would offer a more convenient and simple way to sprinkle drugs on food or in beverages as compared to standard capsules that require sufficient dexterity and strength to reopen the strong capsule locking mechanism.
- the two-piece Vcaps® Plus hypromellose capsules sourced from Capsugel® are manufactured from non-animal sourced materials and have an innovative closure that needs less force to open so it can be opened much easier and safer.
- Dissolution Development for Capsules of Avatrombopag Powder for Oral Suspension, 10 mg [0147] The development of dissolution conditions for Capsules of Avatrombopag Powder for Suspension, 10 mg, began by initially assessing the suitability of the dissolution parameters successfully developed for avatrombopag film-coated tablets.
- the dissolution method parameters developed for the avatrombopag film-coated tablets were not appropriate for the granules due to differences in the physical nature of the capsule granules versus the tablets. Due to the suspension granules immediately settling to the bottom of the vessel in a cone formation at sample introduction, which impeded complete dissolution, the dissolution vessels were upgraded to peak dissolution vessels that contain a “dimple” at the bottom of the vessel to minimize coning of the drug product. In addition, due to the greater surface area of the granules versus the tablets, the paddle speed and surfactant concentration were adjusted to provide a more discriminatory dissolution profile for the granules.
- Capsules of Avatrombopag Powder for Oral Suspension 10 mg, were opened and the granules were transferred to a media bottle.
- the contents of the capsules were combined with the food vehicles in the proportion of 3 capsules per 5 mL of vehicle.
- the study evaluated the suitability of the drug product at the time of administration after being exposed to apple sauce, strawberry jelly, Pedialyte ® , and orange juice. Following exposure to the food substance, potency, stability, homogeneity, and dissolution were performed on the drug product/food substance mixture along with a drug product control sample.
- Microbiological Attributes All excipients used for the manufacturing of Capsules of Avatrombopag Powder for Suspension, 10 mg, are of pharmacopeia quality. In accordance with good manufacturing practice requirements and to ensure a high level of quality control, the finished product specification includes microbiological testing appropriate for an oral formulation using the compendial methods listed below: [0155] USP ⁇ 61>/ Ph. Eur. 2.6.12. / JP 4.05 Microbiological Examination of Non-sterile Products: Microbial Enumeration Tests. [0156] USP ⁇ 62>/ Ph. Eur. 2.6.13. / JP 4.05 Microbiological Examination of Non-sterile Products: Tests for Specified Microorganisms.
- steps 6 – 7 a total of 4 passes, collecting the milled granules retained on the #50 mesh screen as acceptable granules. Charge all acceptable retained granules to the slant cone blender and blend. 9. The blended granulation is placed in containers and encapsulated on an automatic encapsulator. During encapsulation, the granule fill weight is 100 mg ⁇ 5 mg. In-process weight checks are performed. 10. The weight-sorted filled capsules are collected in a plastic drum with lid, double-lined with polyethylene bags, with one desiccant between the polyethylene bags and one desiccant between the polyethylene bag and the drum. 11. The bulk capsules are packaged into HDPE bottles with child-resistant caps.
- CPP Critical process parameter a second pass is for granules that passed through the #50 mesh screen (manufacturing process step #7) [0163] Ribbon thickness, roll pressure, roll speed, and auger speed may all be related to the dissolution, which is a Critical Quality Attribute (CQA) for Capsules of Avatrombopag Powder for Oral Suspension, 10 mg.
- CQA Critical Quality Attribute
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Abstract
Description
Claims
Priority Applications (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| AU2024311302A AU2024311302A1 (en) | 2023-06-23 | 2024-06-21 | Oral formulations comprising avatrombopag and related uses |
| CONC2025/0015967A CO2025015967A2 (en) | 2023-06-23 | 2025-11-20 | Oral formulations comprising avatrombopag and related uses |
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| US202363509862P | 2023-06-23 | 2023-06-23 | |
| US63/509,862 | 2023-06-23 |
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| WO2024263856A1 true WO2024263856A1 (en) | 2024-12-26 |
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| PCT/US2024/034931 Pending WO2024263856A1 (en) | 2023-06-23 | 2024-06-21 | Oral formulations comprising avatrombopag and related uses |
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| Country | Link |
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| AU (1) | AU2024311302A1 (en) |
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|---|---|---|---|---|
| CN114010638A (en) * | 2021-11-17 | 2022-02-08 | 南京唯创远医药科技有限公司 | Alvatripopa maleate preparation composition, tablet or capsule prepared from same and preparation method |
| CN114377147A (en) * | 2020-10-16 | 2022-04-22 | 广东东阳光药业有限公司 | Alvatripopa clathrate compound, composition and preparation method thereof |
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2024
- 2024-06-21 AU AU2024311302A patent/AU2024311302A1/en active Pending
- 2024-06-21 WO PCT/US2024/034931 patent/WO2024263856A1/en active Pending
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN114377147A (en) * | 2020-10-16 | 2022-04-22 | 广东东阳光药业有限公司 | Alvatripopa clathrate compound, composition and preparation method thereof |
| CN114010638A (en) * | 2021-11-17 | 2022-02-08 | 南京唯创远医药科技有限公司 | Alvatripopa maleate preparation composition, tablet or capsule prepared from same and preparation method |
Non-Patent Citations (1)
| Title |
|---|
| J. MARCH: "Advanced Organic Chemistry", 2001, JOHN WILEY AND SONS |
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