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WO2024223450A1 - Tablet comprising 6-((5-methyl-3-(6-methylpyridin-3-yl)isoxazol-4-yl)methoxy)- n-(tetrahydrapyran-4-yl)pyridazine-3-carboxamide - Google Patents

Tablet comprising 6-((5-methyl-3-(6-methylpyridin-3-yl)isoxazol-4-yl)methoxy)- n-(tetrahydrapyran-4-yl)pyridazine-3-carboxamide Download PDF

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Publication number
WO2024223450A1
WO2024223450A1 PCT/EP2024/060856 EP2024060856W WO2024223450A1 WO 2024223450 A1 WO2024223450 A1 WO 2024223450A1 EP 2024060856 W EP2024060856 W EP 2024060856W WO 2024223450 A1 WO2024223450 A1 WO 2024223450A1
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WO
WIPO (PCT)
Prior art keywords
weight
kernel
total weight
tablet
filler
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Pending
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PCT/EP2024/060856
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French (fr)
Inventor
Felix DITZINGER
Reto Maurer
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
F Hoffmann La Roche AG
Hoffmann La Roche Inc
Original Assignee
F Hoffmann La Roche AG
Hoffmann La Roche Inc
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Publication date
Application filed by F Hoffmann La Roche AG, Hoffmann La Roche Inc filed Critical F Hoffmann La Roche AG
Priority to AU2024262426A priority Critical patent/AU2024262426A1/en
Priority to CN202480027196.5A priority patent/CN121001709A/en
Publication of WO2024223450A1 publication Critical patent/WO2024223450A1/en
Priority to IL323739A priority patent/IL323739A/en
Priority to MX2025012538A priority patent/MX2025012538A/en
Anticipated expiration legal-status Critical
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/0087Galenical forms not covered by A61K9/02 - A61K9/7023
    • A61K9/0095Drinks; Beverages; Syrups; Compositions for reconstitution thereof, e.g. powders or tablets to be dispersed in a glass of water; Veterinary drenches
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/495Heterocyclic 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
    • A61K31/50Pyridazines; Hydrogenated pyridazines
    • A61K31/501Pyridazines; Hydrogenated pyridazines not condensed and containing further heterocyclic rings
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/20Pills, tablets, discs, rods
    • A61K9/2004Excipients; Inactive ingredients
    • A61K9/2013Organic compounds, e.g. phospholipids, fats
    • A61K9/2018Sugars, or sugar alcohols, e.g. lactose, mannitol; Derivatives thereof, e.g. polysorbates
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/20Pills, tablets, discs, rods
    • A61K9/2004Excipients; Inactive ingredients
    • A61K9/2022Organic macromolecular compounds
    • A61K9/205Polysaccharides, e.g. alginate, gums; Cyclodextrin
    • A61K9/2054Cellulose; Cellulose derivatives, e.g. hydroxypropyl methylcellulose

Definitions

  • the present invention relates to a tablet comprising 6-((5-methyl-3-(6-methylpyridin-3- yl)isoxazol-4-yl)methoxy)-7V-(tetrahydropyran-4-yl)pyridazine-3 -carboxamide, to processes for its preparation, kits comprising it, and its use in medical treatment.
  • GABAA selective gamma-aminobutyric acid type A
  • PAM subunit-containing receptor positive allosteric modulator
  • Alogabat is currently in Phase II clinical trials to investigate its pharmacokinetics and safety in children and adolescents with Angelman Syndrome (AS), and to investigate its efficacy, safety, and tolerability in patients with autism spectrum disorder (ASD).
  • AS Angelman Syndrome
  • ASD autism spectrum disorder
  • alogabat was administered filled in hard capsules.
  • hard capsules may not be suitable for administering the API to patients suffering from AS or ASD, especially pediatric AS or ASD patients, because they are more likely to suffer from anxiety disorders, and/or be more sensitive to tastes and textures than the average population, making it potentially difficult for them to swallow hard capsules. Therefore, an alternative to the Phase I capsule formulation was needed.
  • W02018104419 discloses tablet formulations comprising alogabat.
  • the tablet formulations disclosed in WO2018104419 suffer from the same drawbacks outlined above for the capsule formulation.
  • lactose as filler in tablet formulations, as described in WO2018104419, is incompatible with the physical properties of the API, especially at high drug loads (see Example 4).
  • a taste assessment with five healthy volunteers was conducted, which revealed that the API has an unpleasant bitter taste. This may make swallowing tablets comprising alogabat even more challenging for patients having difficulties swallowing, such as pediatric AS and ASD patients.
  • the present invention provides a tablet that can be dispersed in a liquid, such as water or apple juice, prior to administration.
  • a liquid such as water or apple juice
  • Dispersing the tablet in an acidic beverage, such as apple juice also overcomes the problem of the unpleasant bitter taste of the API, since it was found that the API has a low solubility at acidic pH.
  • the API will not dissolve, preventing it from unfolding its unpleasant bitter taste.
  • a superdisintegrant was added to the formulation.
  • thetablet formulation of the invention it was surprisingly found that, at high drug loads of >25%, lamination and capping occurred upon compressing the formulation blends into tablet kernels.
  • the reason for this behavior might be found in the intrinsic mechanical properties of the API. Namely, it was found that the API exhibits an extreme plastic behavior even at low compaction pressures. Consequently, the tablets according to the invention have a drug load of ⁇ 25%.
  • the API is not compatible with excipients that exhibit a low tensile strength- and a high compaction pressure value, such as lactose, especially in formulations with a high drug load. Excipients with low tensile strength- and a high compaction pressure value like lactose were therefore excluded when developing the tablet formulation according to the invention.
  • the present invention provides a tablet comprising a kernel and optionally a coating, wherein said kernel comprises:
  • a lubricant wherein the amount of API is ⁇ 25% ⁇ 1% relative to the total weight of the kernel, preferably ⁇ 20% ⁇ 1% relative to the total weight of the kernel; and wherein said kernel does not comprise lactose.
  • the tablets according to the invention can be manufactured on an industrial scale, have a low content standard deviation and show a fast disintegration.
  • Figure 1 depicts a flow chart of a process for manufacturing a tablet according to the invention.
  • Figure 2 depicts a flow chart of a process for manufacturing a tablet comprising a sweetener and a flavor according to the invention.
  • Figure 3 depicts a flow chart of a process for manufacturing a tablet comprising a sweetener according to the invention.
  • Figure 4 depicts dissolution profiles of tablets according to the invention with various dose strengths. Detailed description of the invention
  • dose strength relates to the absolute amount of the compound of Formula I in its free base form contained in a tablet formulation according to the invention, expressed in milligrams (mg). Consequently, if the compound of formula I is used in the form of a pharmaceutically acceptable salt, the term “dose strength” relates to the respective free base equivalent.
  • filler refers to a substance added to a pharmaceutical composition to increase the weight and/or size of the pharmaceutical composition.
  • Pharmaceutically acceptable fillers are described in Remington’s Pharmaceutical Sciences and listed in Handbook of Pharmaceutical Excipients, Sheskey et al., 2017.
  • Non-limiting examples of fillers are starch (e.g., pregelatinized starch), cellulose (e.g., microcrystalline cellulose) and lactose (e.g., lactose monohydrate).
  • Preferred, yet non-limiting examples of fillers are cellulose and lactose.
  • disintegrant refers to a substance added to a pharmaceutical composition to help break apart (disintegrate), e.g., after administration, and release the active ingredient.
  • Pharmaceutically acceptable disintegrants are described in Remington’s Pharmaceutical Sciences and listed in Handbook of Pharmaceutical Excipients, Sheskey et al., 2017. Non-limiting examples of disintegrants are low substituted hydroxypropyl cellulose alginic acid. A preferred, yet non-limiting example of a disintegrant is alginic acid.
  • superdisintegrant refers to highly effective disintegrants that, when used at low levels, provide rapid disintegration and dissolution of a tablet or capsule dosage form (see USP ⁇ 1059> “Exipient performance”, as well as USP 41-NF 36 General Chapter ⁇ 2040> “Superdisintegrants”).
  • superdisintegrants are croscamellose sodium and crospovidone.
  • a particularly preferred example of a superdisintegrant is croscarmellose sodium.
  • lubricant refers to a substance added to a pharmaceutical composition to help reduce the adherence of a granule of powder to equipment surfaces.
  • Pharmaceutically acceptable lubricants are described in Remington’s Pharmaceutical Sciences and listed in Handbook of Pharmaceutical Excipients, Sheskey et al., 2017.
  • Non-limiting examples of lubricants are sodium stearyl fumarate and magnesium stearate.
  • a preferred, yet non-limiting example of a lubricant is sodium stearyl fumarate.
  • glidant refers to a substance added to a pharmaceutical composition to enhance product flow by reducing interparticulate friction.
  • Pharmaceutically acceptable glidants are described in Remington’s Pharmaceutical Sciences and listed in Handbook of Pharmaceutical Excipients, Sheskey et al., 2017.
  • Non-limiting examples of glidants include silicon dioxide (colloidal), polyethylene glycol PEG 6000, fumed silicon dioxide Aerosil® 200, talc and the like.
  • a preferred, yet non-limiting example of a glidant is colloidal silicon dioxide.
  • sweetener refers to a substance providing sweet taste and has taste similar to a sugar to make the product more palatable. This includes natural and synthetic sugars, natural and artificial sweeteners, natural extracts, and any material that initiates a sweet sensation in a subject.
  • Sweeteners illustratively include glucose, fructose, sucrose, xylitol, tagatose, sucralose, maltitol, isomaltulose, isomaltulose, lactitol, sorbitol, erythritol, trehalose, maltodextrin, polydextrose, and the like.
  • sweeteners illustratively include glycerin, inulin, erythritol, acesulfame, and salts thereof, e.g., acesulfame potassium, alitame, aspartame, neotame, sodium cyclamate, saccharin and salts thereof, e.g., saccharin sodium or saccharin calcium, neohesperidin dihydrochalcone, stevioside, thaumatin, and the like.
  • a particularly preferred sweetener is sucralose.
  • flavor refers to a substance can be used to mask unpleasant tasting active ingredients and improve the acceptance that the patient will complete a course of medication. Flavorings may be natural (e.g. fruit extract) or artificial.
  • API refers to active pharmaceutical ingredient.
  • the API used in the tablets according to the invention is 6-((5-methyl-3-(6-methylpyridin-3-yl)isoxazol-4- yl)methoxy)-N-(tetrahydropyran-4-yl)pyridazine-3-carboxamide (I), or a pharmaceutically acceptable salt thereof, also known as alogabat or RO7017773.
  • the term “acidic” means having a pH ⁇ 7.
  • treating means an alleviation, in whole or in part, of a disorder, disease or condition, or one or more of the symptoms associated with a disorder, disease, or condition, or slowing or halting of further progression or worsening of those symptoms, or alleviating or eradicating the cause(s) of the disorder, disease, or condition itself.
  • the term “preventing” includes: preventing or delaying the appearance of clinical symptoms of the state, disorder or condition developing in a mammal and especially 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.
  • the term “patient” refers to a human. Tablet Formulations
  • the present invention provides a tablet comprising a kernel and optionally a coating, wherein said kernel comprises:
  • a lubricant wherein the amount of API is ⁇ 25% ⁇ 1% relative to the total weight of the kernel, preferably ⁇ 20% ⁇ 1% relative to the total weight of the kernel; and wherein said kernel does not comprise lactose.
  • the invention provides a tablet as described herein, wherein
  • the weight of said API represents 2% ⁇ 1% to 20% ⁇ 1% of the total weight of the kernel
  • the weight of said superdisintegrant represents 3% ⁇ 1% of the total weight of the kernel
  • the weight of said first filler represents 46% ⁇ 1% to 57% ⁇ 1% of the total weight of the kernel
  • the weight of said second filler represents 26% ⁇ 1% to 32% ⁇ 1% of the total weight of the kernel
  • the weight of said lubricant represents 3% ⁇ 1% of the total weight of the kernel.
  • the invention provides a tablet as described herein, wherein
  • the weight of said API represents 20% ⁇ 1% of the total weight of the kernel
  • the weight of said superdisintegrant represents 3% ⁇ 1% of the total weight of the kernel
  • the weight of said first filler represents 46% ⁇ 1% of the total weight of the kernel
  • the weight of said second filler represents 26% ⁇ 1% of the total weight of the kernel
  • the weight of said lubricant represents 3% ⁇ 1% of the total weight of the kernel.
  • the present invention provides a method for administering a tablet according to the invention to a patient, comprising dispersing the tablet in an acidic beverage.
  • said acidic beverage is apple juice.
  • the bitter taste of the API may be masked by adding a sweetener and/or a flavor to the tablet formulation. This is particularly useful in case the patient prefers to swallow the tablet as a whole, rather than dispersing it in a liquid prior to administration.
  • the present invention provides a tablet as described herein, further comprising:
  • the weight of said sweetener represents 0.3% ⁇ 0. 1% to 0.5% ⁇ 0.1% of the total weight of the kernel.
  • said sweetener is sucralose.
  • the present invention provides a tablet as described herein, wherein
  • the weight of said API represents 2% ⁇ 1% of the total weight of the kernel
  • the weight of said superdisintegrant represents 3% ⁇ 1% of the total weight of the kernel
  • the weight of said first filler represents 57% ⁇ 1% of the total weight of the kernel
  • the weight of said second filler represents 32% ⁇ 1% of the total weight of the kernel
  • the weight of said lubricant represents 3% ⁇ 1% of the total weight of the kernel
  • the weight of said sweetener represents 0.3% ⁇ 0.1% of the total weight of the kernel.
  • the present invention provides a tablet as described herein, wherein
  • the weight of said superdisintegrant represents 3% ⁇ 1% of the total weight of the kernel
  • the weight of said first filler represents 57% ⁇ 1% of the total weight of the kernel
  • the weight of said second filler represents 32% ⁇ 1% of the total weight of the kernel
  • the weight of said lubricant represents 3% ⁇ 1% of the total weight of the kernel
  • the weight of said sweetener represents 0.3% ⁇ 0.1% of the total weight of the kernel.
  • the present invention provides a tablet as described herein, wherein
  • the weight of said superdisintegrant represents 3% ⁇ 1% of the total weight of the kernel
  • the weight of said first filler represents 54% ⁇ 1% of the total weight of the kernel
  • the weight of said second filler represents 30% ⁇ 1% of the total weight of the kernel
  • the weight of said lubricant represents 3% ⁇ 1% of the total weight of the kernel; and (vii) the weight of said sweetener represents 0.3% ⁇ 0.1% of the total weight of the kernel.
  • the present invention provides a tablet as described herein, wherein
  • the weight of said superdisintegrant represents 3% ⁇ 1% of the total weight of the kernel
  • the weight of said first filler represents 48% ⁇ 1% of the total weight of the kernel
  • the weight of said second filler represents 27% ⁇ 1% of the total weight of the kernel
  • the weight of said lubricant represents 3% ⁇ 1% of the total weight of the kernel
  • the weight of said sweetener represents 0.3% ⁇ 0.1% of the total weight of the kernel.
  • the present invention provides a tablet as described herein, further comprising:
  • the weight of said flavor represents 1% ⁇ 0.5% of the total weight of the kernel.
  • said flavor is strawberry flavor.
  • the present invention provides a tablet as described herein, further comprising:
  • the present invention provides a tablet as described herein, wherein:
  • the weight of said API represents 20% ⁇ 1% of the total weight of the kernel
  • the weight of said superdisintegrant represents 3% ⁇ 1% of the total weight of the kernel
  • the weight of said first filler represents 45% ⁇ 1% of the total weight of the kernel;
  • the weight of said second filler represents 26% ⁇ 1% of the total weight of the kernel;
  • the weight of said lubricant represents 3% ⁇ 1% of the total weight of the kernel
  • the weight of said sweetener represents 0.5% ⁇ 0.1% of the total weight of the kernel
  • the weight of said flavor represents 1% ⁇ 0.5% of the total weight of the kernel.
  • the present invention provides a tablet as described herein, wherein:
  • said disintegrant is croscarmellose sodium
  • said second filler is microcrystalline cellulose
  • said glidant is colloidal silicon dioxide
  • said lubricant is sodium stearyl fumarate.
  • the present invention provides a tablet as described herein, wherein the dose strength is 0.5 mg to 375 mg, preferably 2.5 mg to 375 mg, more preferably 3 mg to 200 mg, more preferably 3 mg to 150 mg, more preferably 3 mg to 125 mg, for example 3 mg, 4 mg, 5 mg, 10 mg, 20 mg, 25 mg, or 125 mg.
  • the present invention provides a tablet as described herein, wherein the dose strength is 2.5 mg to 375 mg.
  • the present invention provides a tablet as described herein, wherein the dose strength is 3 mg to 125 mg.
  • the present invention provides a tablet as described herein, wherein the dose strength is 3 mg.
  • the present invention provides a tablet as described herein, wherein the dose strength is 4 mg.
  • the present invention provides a tablet as described herein, wherein the dose strength is 5 mg. In a particularly preferred embodiment, the present invention provides a tablet as described herein, wherein the dose strength is 10 mg.
  • the present invention provides a tablet as described herein, wherein the dose strength is 20 mg.
  • the present invention provides a tablet as described herein, wherein the dose strength is 25 mg.
  • the present invention provides a tablet as described herein, wherein the dose strength is 125 mg.
  • the present invention provides a tablet as described herein, comprising a coating.
  • the weight of said coating is 3% ⁇ 1% of the weight of the kernel.
  • said coating comprises:
  • the weight of said titanium dioxide represents 26% ⁇ 1% of the total weight of the coating
  • the weight of said polyethylene glylcol 3350 represents 12% ⁇ 1% of the total weight of the coating.
  • said coating is Opadry II white 32F280008.
  • the present invention provides a tablet which is: a A commercially available film-coating mixture (e.g., Opadry [32F280008]) may be used; it has the same composition as that described above. b Purified water (USP/NF, Ph.Eur.) is used for aqueous film coating; it is essentially removed during processing.
  • a commercially available film-coating mixture e.g., Opadry [32F280008]
  • b Purified water USP/NF, Ph.Eur.
  • USP/NF Purified water
  • the present invention provides a tablet which is:
  • a A commercially available film-coating mixture (e.g., Opadry [32F280008]) may be used; it has the same composition as that described above.
  • b Purified water (USP, Ph.Eur.) is used for aqueous film coating; it is essentially removed during processing.
  • the present invention provides a tablet which is:
  • a A commercially available film-coating mixture (e.g., Opadry [32F280008]) may be used; it has the same composition as that described above.
  • b Purified water (USP/NF, Ph.Eur.) is used for aqueous film coating; it is essentially removed during processing.
  • the present invention provides a tablet which is:
  • a Purified water (USP/NF, Ph.Eur.) is used for aqueous film coating; it is essentially removed during processing.
  • the present invention provides a tablet which is:
  • a Purified water (USP/NF, Ph.Eur.) is used for aqueous film coating; it is essentially removed during processing.
  • the present invention provides a tablet which is:
  • a Purified water (USP/NF, Ph.Eur.) is used for aqueous film coating; it is essentially removed during processing.
  • the present invention provides a tablet which is:
  • a Purified water (USP/NF, Ph.Eur.) is used for aqueous film coating; it is essentially removed during processing.
  • the tablet according to the invention be dispersible in water and acidic beverages, such as apple juice. This requirement was achieved, i.a., by adding a superdisintegrant to the formulation.
  • the present invention provides a tablet as described herein, wherein the tablet has a disintegration time of ⁇ 3 minutes in purified water at 37°C (see Example 3).
  • the present invention provides a process for manufacturing a tablet described herein, comprising: (i) Weighing the API and the first filler into a container and screening the two components to afford a blend;
  • step (ii) Adding the second filler, the superdisintegrant, the glidant, and optionally a sweetener and/or a flavor to the blend from step (i) and screening all components;
  • step (iii) Blending the screened material from step (ii) to afford a powder blend; (iv) Screening the lubricant, adding it to the powder blend from step (iii) and blending; (v) Screening the material from step (iv);
  • step (vii) Compressing the blend from step (vi) into tablet kernels
  • step (viii) Spraying a film coating suspension onto the tablet kernels from step (vii).
  • the present invention provides a tablet as described herein, for use as a medicament.
  • the present invention provides a method for treating or preventing a GABAA a5 receptor related disease in a patient, comprising administering one or more tablets described herein to the patient.
  • the present invention provides a tablet described herein, for use in a method of treating or preventing a GABAA a5 receptor related disease in a patient.
  • the present invention provides the use of a tablet described herein in a method of treating or preventing a GABAA a5 receptor related disease in a patient.
  • said GABAA a5 receptor related disease is selected from Alzheimer’s disease, mild cognitive impairment (MCI), age-related cognitive decline, negative and/or cognitive symptoms associated with schizophrenia, bipolar disorders, autism spectrum disorder (ASD), Angelman syndrome, Rett syndrome, Prader-Willi syndrome, epilepsy, post-traumatic stress disorder (PTSD), amyotrophic lateral sclerosis (ALS), and fragile-X disorder.
  • said GABAA a5 receptor related disease is selected from autism spectrum disorder and Angelman syndrome.
  • said GABAA a5 receptor related disease is autism spectrum disorder.
  • said GABAA a5 receptor related disease is Angelman syndrome.
  • Example 1 Tablet Dissolution Behaviour
  • Figure 4 highlights the release behavior of the formulations according to the invention in 500 mL citrate buffer.
  • the dissolution was determined according to USP 711 and harmonized with Ph. Eur. 2.9.3, using a paddle apparatus.
  • the test preparations were then tested by HPLC.
  • the manufacturability of the tablets was assessed on a representative batch by using the highest dose strength of 20 mg (see Example 7) since this is presumed most critical for the formulation performance.
  • the solid fraction (SF) is the fraction of the volume of the compact that is solid.
  • the porosity is one minus the solid fraction.
  • a change of 10% to 20% in a mechanical property may occur with each 0.01 change in solid fraction. Therefore, it is critical to compare materials at the same solid fraction (Hiestand, E.N. and Smith, D.P., (1984). “Indices of tableting performance”, Powder Technology, 38(2), pp. 145-159).
  • the tablet disintegration behaviour was monitored during routine manufacturing of the batches.
  • the disintegration was performed using “Apparatus A” method in purified water at 37°C, adapted from USP 701 and Ph. Eur. 2.9.1 for dispersible tablets.
  • the measurements were performed on cubic samples compressed at 3 different solid fractions in triplicate (duplicate or single coupons for limited amounts).
  • the dynamic response of the materials was characterized by a high-speed indentation with a spherical pendulum that impacts on a mayor face of the specimen (dynamic hardness Hd).
  • the tensile strength of a compact was determined by measuring the force necessary to cause tensile failure under transverse compression. This is analogous to the measurement of tablet crushing force or hardness. The experimental conditions and compact formation are well controlled in these studies, making results more reproducible and quantitative. Desirable tensile strengths that indicate strong compact formation are > 1 MPa. It was fund that the present API has a low tensile strength value of about 0.79 MPa.
  • Example 5 125 mg Film-Coated Tablet a
  • a commercially available film-coating mixture e.g., Opadry [32F280008]
  • b Purified water USP/NF, Ph.Eur.
  • USP/NF Purified water
  • a A commercially available film-coating mixture (e.g., Opadry [32F280008]) may be used; it has the same composition as that described above.
  • b Purified water (USP, Ph.Eur.) is used for aqueous film coating; it is essentially removed during processing.
  • a Purified water (USP/NF, Ph.Eur.) is used for aqueous film coating; it is essentially removed during processing.
  • Example 8 Sweetened 10 mg Film-Coated Tablet
  • a Purified water (USP/NF, Ph.Eur.) is used for aqueous film coating; it is essentially removed during processing.
  • a Purified water (USP/NF, Ph.Eur.) is used for aqueous film coating; it is essentially removed during processing.
  • a Purified water (USP/NF, Ph.Eur.) is used for aqueous film coating; it is essentially removed during processing.
  • Example 11 Process for Tablet Manufacturing
  • step (ii) Adding microcrystalline cellulose, croscarmellose sodium, colloidal silicon dioxide, and optionally sucralose and/or strawberry flavor to the blend from step (i) and screening all components; (iii) Blending the screened material from step (ii) to afford a powder blend;
  • step (iv) Screening sodium stearyl fumarate, adding it to the powder blend from step (iii) and blending;
  • step (vi) Blending the screened material from step (v); (vii) Compressing the blend from step (vi) into tablet kernels; and (viii) Spraying a film coating suspension onto the tablet kernels from step (vii).
  • Screening can be performed mechanically or manually, as needed.
  • the blend from step (vi) is compressed into tablet kernels by direct compression.
  • step (i) was a metal drum. Powder blends were mixed with a Servolift blender. A Korsch XL 100 Wipcon rotary tableting press was used to press tablet kernels by direct compression. Film coating was performed using a Glatt GMPC 1 apparatus.

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Abstract

The present invention relates to a tablet comprising 6-((5-methyl-3-(6-methylpyridin-3- yl)isoxazol-4-yl)methoxy)-N-(tetrahydropyran-4-yl)pyridazine-3-carboxamide, to processes for its preparation, kits comprising it, and its use in medical treatment.

Description

TABLET COMPRISING 6-((5-METHYL-3-(6-METHYLPYRIDIN-3- YL)ISOXAZOL-4-YL)METHOXY)-7V-(TETRAHYDRAPYRAN-4-YL)PYRIDAZINE-3- CARBOXAMIDE
Field of the invention
The present invention relates to a tablet comprising 6-((5-methyl-3-(6-methylpyridin-3- yl)isoxazol-4-yl)methoxy)-7V-(tetrahydropyran-4-yl)pyridazine-3 -carboxamide, to processes for its preparation, kits comprising it, and its use in medical treatment.
Background of the invention
6-((5-methyl-3-(6-methylpyridin-3-yl)isoxazol-4-yl)methoxy)-7V-(tetrahydropyran-4- yl)pyridazine-3 -carboxamide (I), also known as alogabat (WHO Drug Information, Vol. 35, No. 2, 2021, 366), is a small molecule, selective gamma-aminobutyric acid type A (GABAA) 5 subunit-containing receptor positive allosteric modulator (PAM).
Figure imgf000002_0001
Alogabat is currently in Phase II clinical trials to investigate its pharmacokinetics and safety in children and adolescents with Angelman Syndrome (AS), and to investigate its efficacy, safety, and tolerability in patients with autism spectrum disorder (ASD).
For Phase I clinical trials, alogabat was administered filled in hard capsules. However, hard capsules may not be suitable for administering the API to patients suffering from AS or ASD, especially pediatric AS or ASD patients, because they are more likely to suffer from anxiety disorders, and/or be more sensitive to tastes and textures than the average population, making it potentially difficult for them to swallow hard capsules. Therefore, an alternative to the Phase I capsule formulation was needed.
W02018104419 discloses tablet formulations comprising alogabat. However, the tablet formulations disclosed in WO2018104419 suffer from the same drawbacks outlined above for the capsule formulation. In addition, it was found that using lactose as filler in tablet formulations, as described in WO2018104419, is incompatible with the physical properties of the API, especially at high drug loads (see Example 4). Furthermore, as part of the Phase I clinical studies, a taste assessment with five healthy volunteers was conducted, which revealed that the API has an unpleasant bitter taste. This may make swallowing tablets comprising alogabat even more challenging for patients having difficulties swallowing, such as pediatric AS and ASD patients.
In summary, there is an unmet need for new formulations of alogabat.
Summary of the invention
As a solution to the problems outlined above in relation to the Phase I capsule formulation and the tablet formulations disclosed in WO2018104419, the present invention provides a tablet that can be dispersed in a liquid, such as water or apple juice, prior to administration. This greatly facilitates the administration of alogabat to ASD and Angelman syndrome patients, in particular pediatric ASD and Angelman syndrome patients. Dispersing the tablet in an acidic beverage, such as apple juice, also overcomes the problem of the unpleasant bitter taste of the API, since it was found that the API has a low solubility at acidic pH. In other words, when a tablet according to the invention is dispersed in an in an acidic beverage, such as apple juice, the API will not dissolve, preventing it from unfolding its unpleasant bitter taste. In order to promote the disintegration of the tablets in water and acidic beverages, respectively, a superdisintegrant was added to the formulation.
During the development of thetablet formulation of the invention, it was surprisingly found that, at high drug loads of >25%, lamination and capping occurred upon compressing the formulation blends into tablet kernels. The reason for this behavior might be found in the intrinsic mechanical properties of the API. Namely, it was found that the API exhibits an extreme plastic behavior even at low compaction pressures. Consequently, the tablets according to the invention have a drug load of <25%.
Furthermore, due to the plastic behaviour and low tensile strength value of the API, the API is not compatible with excipients that exhibit a low tensile strength- and a high compaction pressure value, such as lactose, especially in formulations with a high drug load. Excipients with low tensile strength- and a high compaction pressure value like lactose were therefore excluded when developing the tablet formulation according to the invention. In summary, in a first aspect, the present invention provides a tablet comprising a kernel and optionally a coating, wherein said kernel comprises:
(i) the API 6-((5-methyl-3-(6-methylpyridin-3-yl)isoxazol-4-yl)methoxy)-7V- (tetrahydropyran-4-yl)pyridazine-3 -carboxamide (I), or a pharmaceutically acceptable salt thereof,
Figure imgf000004_0001
(ii) a superdisintegrant;
(iii) a first filler;
(iv) a second filler;
(v) a glidant; and
(vi) a lubricant; wherein the amount of API is <25% ± 1% relative to the total weight of the kernel, preferably <20% ± 1% relative to the total weight of the kernel; and wherein said kernel does not comprise lactose.
The tablets according to the invention can be manufactured on an industrial scale, have a low content standard deviation and show a fast disintegration.
Brief Description of the Figures
Figure 1 depicts a flow chart of a process for manufacturing a tablet according to the invention.
Figure 2 depicts a flow chart of a process for manufacturing a tablet comprising a sweetener and a flavor according to the invention.
Figure 3 depicts a flow chart of a process for manufacturing a tablet comprising a sweetener according to the invention.
Figure 4 depicts dissolution profiles of tablets according to the invention with various dose strengths. Detailed description of the invention
Definitions
Features, integers, characteristics, compounds, chemical moieties or groups described in conjunction with a particular aspect, embodiment or example of the invention are to be understood to be applicable to any other aspect, embodiment or example described herein, unless incompatible therewith. All of the features disclosed in this specification (including any accompanying claims, abstract and drawings), and/or all of the steps of any method or process so disclosed, may be combined in any combination, except combinations where at least some of such features and/or steps are mutually exclusive. The invention is not restricted to the details of any foregoing embodiments. The invention extends to any novel one, or any novel combination, of the features disclosed in this specification (including any accompanying claims, abstract and drawings), or to any novel one, or any novel combination, of the steps of any method or process so disclosed.
As used herein, the term “dose strength” relates to the absolute amount of the compound of Formula I in its free base form contained in a tablet formulation according to the invention, expressed in milligrams (mg). Consequently, if the compound of formula I is used in the form of a pharmaceutically acceptable salt, the term “dose strength” relates to the respective free base equivalent.
As used herein, the term “filler” refers to a substance added to a pharmaceutical composition to increase the weight and/or size of the pharmaceutical composition. Pharmaceutically acceptable fillers are described in Remington’s Pharmaceutical Sciences and listed in Handbook of Pharmaceutical Excipients, Sheskey et al., 2017. Non-limiting examples of fillers are starch (e.g., pregelatinized starch), cellulose (e.g., microcrystalline cellulose) and lactose (e.g., lactose monohydrate). Preferred, yet non-limiting examples of fillers are cellulose and lactose.
As used herein, the term “disintegrant” refers to a substance added to a pharmaceutical composition to help break apart (disintegrate), e.g., after administration, and release the active ingredient. Pharmaceutically acceptable disintegrants are described in Remington’s Pharmaceutical Sciences and listed in Handbook of Pharmaceutical Excipients, Sheskey et al., 2017. Non-limiting examples of disintegrants are low substituted hydroxypropyl cellulose alginic acid. A preferred, yet non-limiting example of a disintegrant is alginic acid.
As used herein , the term “superdisintegrant” refers to highly effective disintegrants that, when used at low levels, provide rapid disintegration and dissolution of a tablet or capsule dosage form (see USP <1059> “Exipient performance”, as well as USP 41-NF 36 General Chapter <2040> “Superdisintegrants”). Preferred, yet non-limiting examples of superdisintegrants are croscamellose sodium and crospovidone. A particularly preferred example of a superdisintegrant is croscarmellose sodium.
As used herein, the term “lubricant” refers to a substance added to a pharmaceutical composition to help reduce the adherence of a granule of powder to equipment surfaces. Pharmaceutically acceptable lubricants are described in Remington’s Pharmaceutical Sciences and listed in Handbook of Pharmaceutical Excipients, Sheskey et al., 2017. Non-limiting examples of lubricants are sodium stearyl fumarate and magnesium stearate. A preferred, yet non-limiting example of a lubricant is sodium stearyl fumarate.
As used herein, the term “glidant” refers to a substance added to a pharmaceutical composition to enhance product flow by reducing interparticulate friction. Pharmaceutically acceptable glidants are described in Remington’s Pharmaceutical Sciences and listed in Handbook of Pharmaceutical Excipients, Sheskey et al., 2017. Non-limiting examples of glidants include silicon dioxide (colloidal), polyethylene glycol PEG 6000, fumed silicon dioxide Aerosil® 200, talc and the like. A preferred, yet non-limiting example of a glidant is colloidal silicon dioxide.
As used herein, the term “sweetener” refers to a substance providing sweet taste and has taste similar to a sugar to make the product more palatable. This includes natural and synthetic sugars, natural and artificial sweeteners, natural extracts, and any material that initiates a sweet sensation in a subject. Sweeteners illustratively include glucose, fructose, sucrose, xylitol, tagatose, sucralose, maltitol, isomaltulose, isomaltulose, lactitol, sorbitol, erythritol, trehalose, maltodextrin, polydextrose, and the like. Other sweeteners illustratively include glycerin, inulin, erythritol, acesulfame, and salts thereof, e.g., acesulfame potassium, alitame, aspartame, neotame, sodium cyclamate, saccharin and salts thereof, e.g., saccharin sodium or saccharin calcium, neohesperidin dihydrochalcone, stevioside, thaumatin, and the like. A particularly preferred sweetener is sucralose.
As used herein, the term “flavor” refers to a substance can be used to mask unpleasant tasting active ingredients and improve the acceptance that the patient will complete a course of medication. Flavorings may be natural (e.g. fruit extract) or artificial.
As used herein, the term “API” refers to active pharmaceutical ingredient. The API used in the tablets according to the invention is 6-((5-methyl-3-(6-methylpyridin-3-yl)isoxazol-4- yl)methoxy)-N-(tetrahydropyran-4-yl)pyridazine-3-carboxamide (I), or a pharmaceutically acceptable salt thereof, also known as alogabat or RO7017773.
Figure imgf000007_0001
As used herein, the term “acidic” means having a pH <7.
As used herein, the term “treating” means an alleviation, in whole or in part, of a disorder, disease or condition, or one or more of the symptoms associated with a disorder, disease, or condition, or slowing or halting of further progression or worsening of those symptoms, or alleviating or eradicating the cause(s) of the disorder, disease, or condition itself.
As used herein, the term “preventing” includes: preventing or delaying the appearance of clinical symptoms of the state, disorder or condition developing in a mammal and especially 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.
As used herein, the term “patient” refers to a human. Tablet Formulations
In a first aspect, the present invention provides a tablet comprising a kernel and optionally a coating, wherein said kernel comprises:
(i) the API 6-((5-methyl-3-(6-methylpyridin-3-yl)isoxazol-4-yl)methoxy)-7V- (tetrahydropyran-4-yl)pyridazine-3 -carboxamide (I), or a pharmaceutically acceptable salt thereof,
Figure imgf000008_0001
(ii) a superdisintegrant;
(iii) a first filler;
(iv) a second filler;
(v) a glidant; and
(vi) a lubricant; wherein the amount of API is <25% ± 1% relative to the total weight of the kernel, preferably <20% ± 1% relative to the total weight of the kernel; and wherein said kernel does not comprise lactose.
In one embodiment, the invention provides a tablet as described herein, wherein
(i) the weight of said API represents 2% ± 1% to 20% ± 1% of the total weight of the kernel;
(ii) the weight of said superdisintegrant represents 3% ± 1% of the total weight of the kernel;
(iii) the weight of said first filler represents 46% ± 1% to 57% ± 1% of the total weight of the kernel;
(iv) the weight of said second filler represents 26% ± 1% to 32% ± 1% of the total weight of the kernel;
(v) the weight of said glidant represents 2% ± 1% of the total weight of the kernel; and
(vi) the weight of said lubricant represents 3% ± 1% of the total weight of the kernel. In one embodiment, the invention provides a tablet as described herein, wherein
(i) the weight of said API represents 20% ± 1% of the total weight of the kernel;
(ii) the weight of said superdisintegrant represents 3% ± 1% of the total weight of the kernel;
(iii) the weight of said first filler represents 46% ± 1% of the total weight of the kernel;
(iv) the weight of said second filler represents 26% ± 1% of the total weight of the kernel;
(v) the weight of said glidant represents 2% ± 1% of the total weight of the kernel; and
(vi) the weight of said lubricant represents 3% ± 1% of the total weight of the kernel.
As part of the Phase I clinical studies, a taste assessment with five healthy volunteers was conducted, which revealed that the API has an unpleasant bitter taste. This is an additional problem that is addressed by the tablets of the present invention. Thus, it was found that the API has a low solubility at acidic pH. Consequently, when a tablet according to the invention is dispersed in an acidic beverage, such as apple juice, the API will not dissolve, preventing it from unfolding its unpleasant taste.
In one aspect, the present invention provides a method for administering a tablet according to the invention to a patient, comprising dispersing the tablet in an acidic beverage.
In a preferred embodiment, said acidic beverage is apple juice.
As an alternative to dispersing the tablet in an acidic beverage, the bitter taste of the API may be masked by adding a sweetener and/or a flavor to the tablet formulation. This is particularly useful in case the patient prefers to swallow the tablet as a whole, rather than dispersing it in a liquid prior to administration.
Thus, in one embodiment, the present invention provides a tablet as described herein, further comprising:
(vii) a sweetener.
In one embodiment, the weight of said sweetener represents 0.3% ± 0. 1% to 0.5% ± 0.1% of the total weight of the kernel.
In one embodiment, said sweetener is sucralose. In one embodiment, the present invention provides a tablet as described herein, wherein
(i) the weight of said API represents 2% ± 1% of the total weight of the kernel;
(ii) the weight of said superdisintegrant represents 3% ± 1% of the total weight of the kernel;
(iii) the weight of said first filler represents 57% ± 1% of the total weight of the kernel;
(iv) the weight of said second filler represents 32% ± 1% of the total weight of the kernel;
(v) the weight of said glidant represents 2% ± 1% of the total weight of the kernel;
(vi) the weight of said lubricant represents 3% ± 1% of the total weight of the kernel; and
(vii) the weight of said sweetener represents 0.3% ± 0.1% of the total weight of the kernel.
In one embodiment, the present invention provides a tablet as described herein, wherein
(i) the weight of said API represents 3% ± 1% of the total weight of the kernel;
(ii) the weight of said superdisintegrant represents 3% ± 1% of the total weight of the kernel;
(iii) the weight of said first filler represents 57% ± 1% of the total weight of the kernel;
(iv) the weight of said second filler represents 32% ± 1% of the total weight of the kernel;
(v) the weight of said glidant represents 2% ± 1% of the total weight of the kernel;
(vi) the weight of said lubricant represents 3% ± 1% of the total weight of the kernel; and
(vii) the weight of said sweetener represents 0.3% ± 0.1% of the total weight of the kernel.
In one embodiment, the present invention provides a tablet as described herein, wherein
(i) the weight of said API represents 8% ± 1% of the total weight of the kernel;
(ii) the weight of said superdisintegrant represents 3% ± 1% of the total weight of the kernel;
(iii) the weight of said first filler represents 54% ± 1% of the total weight of the kernel;
(iv) the weight of said second filler represents 30% ± 1% of the total weight of the kernel;
(v) the weight of said glidant represents 2% ± 1% of the total weight of the kernel;
(vi) the weight of said lubricant represents 3% ± 1% of the total weight of the kernel; and (vii) the weight of said sweetener represents 0.3% ± 0.1% of the total weight of the kernel.
In one embodiment, the present invention provides a tablet as described herein, wherein
(i) the weight of said API represents 16% ± 1% of the total weight of the kernel;
(ii) the weight of said superdisintegrant represents 3% ± 1% of the total weight of the kernel;
(iii) the weight of said first filler represents 48% ± 1% of the total weight of the kernel;
(iv) the weight of said second filler represents 27% ± 1% of the total weight of the kernel;
(v) the weight of said glidant represents 2% ± 1% of the total weight of the kernel;
(vi) the weight of said lubricant represents 3% ± 1% of the total weight of the kernel; and
(vii) the weight of said sweetener represents 0.3% ± 0.1% of the total weight of the kernel.
In one embodiment, the present invention provides a tablet as described herein, further comprising:
(viii) a flavor.
In one embodiment, the weight of said flavor represents 1% ± 0.5% of the total weight of the kernel.
In one embodiment, said flavor is strawberry flavor.
In one embodiment, the present invention provides a tablet as described herein, further comprising:
(vii) a sweetener; and
(viii) a flavor.
In one embodiment, the present invention provides a tablet as described herein, wherein:
(i) the weight of said API represents 20% ± 1% of the total weight of the kernel;
(ii) the weight of said superdisintegrant represents 3% ± 1% of the total weight of the kernel;
(iii) the weight of said first filler represents 45% ± 1% of the total weight of the kernel; (iv) the weight of said second filler represents 26% ± 1% of the total weight of the kernel;
(v) the weight of said glidant represents 2% ± 1% of the total weight of the kernel;
(vi) the weight of said lubricant represents 3% ± 1% of the total weight of the kernel;
(vii) the weight of said sweetener represents 0.5% ± 0.1% of the total weight of the kernel; and
(viii) the weight of said flavor represents 1% ± 0.5% of the total weight of the kernel.
In one embodiment, the present invention provides a tablet as described herein, wherein:
(ii) said disintegrant is croscarmellose sodium;
(iii) said first filler is isomalt;
(iv) said second filler is microcrystalline cellulose;
(v) said glidant is colloidal silicon dioxide; and
(vi) said lubricant is sodium stearyl fumarate.
In one embodiment, the present invention provides a tablet as described herein, wherein the dose strength is 0.5 mg to 375 mg, preferably 2.5 mg to 375 mg, more preferably 3 mg to 200 mg, more preferably 3 mg to 150 mg, more preferably 3 mg to 125 mg, for example 3 mg, 4 mg, 5 mg, 10 mg, 20 mg, 25 mg, or 125 mg.
In one embodiment, the present invention provides a tablet as described herein, wherein the dose strength is 2.5 mg to 375 mg.
In a preferred embodiment, the present invention provides a tablet as described herein, wherein the dose strength is 3 mg to 125 mg.
In a particularly preferred embodiment, the present invention provides a tablet as described herein, wherein the dose strength is 3 mg.
In a particularly preferred embodiment, the present invention provides a tablet as described herein, wherein the dose strength is 4 mg.
In a particularly preferred embodiment, the present invention provides a tablet as described herein, wherein the dose strength is 5 mg. In a particularly preferred embodiment, the present invention provides a tablet as described herein, wherein the dose strength is 10 mg.
In a particularly preferred embodiment, the present invention provides a tablet as described herein, wherein the dose strength is 20 mg.
In a particularly preferred embodiment, the present invention provides a tablet as described herein, wherein the dose strength is 25 mg.
In a particularly preferred embodiment, the present invention provides a tablet as described herein, wherein the dose strength is 125 mg.
In a preferred embodiment, the present invention provides a tablet as described herein, comprising a coating.
In one embodiment, the weight of said coating is 3% ± 1% of the weight of the kernel.
In one embodiment, said coating comprises:
(i) hydroxypropyl methylcellulose;
(ii) lactose monohydrate;
(iii) titanium dioxide; and
(iv) polyethylene glylcol 3350.
In one embodiment, in the coating:
(i) the weight of said hydroxypropyl methylcellulose represents 34% ± 1% of the total weight of the coating;
(ii) the weight of said lactose monohydrate represents 28% ± 1% of the total weight of the coating;
(iii) the weight of said titanium dioxide represents 26% ± 1% of the total weight of the coating; and
(iv) the weight of said polyethylene glylcol 3350 represents 12% ± 1% of the total weight of the coating.
In a preferred embodiment, said coating is Opadry II white 32F280008.
In a particularly preferred embodiment, the present invention provides a tablet which is:
Figure imgf000014_0001
a A commercially available film-coating mixture (e.g., Opadry [32F280008]) may be used; it has the same composition as that described above. b Purified water (USP/NF, Ph.Eur.) is used for aqueous film coating; it is essentially removed during processing.
In a particularly preferred embodiment, the present invention provides a tablet which is:
Figure imgf000015_0001
a A commercially available film-coating mixture (e.g., Opadry [32F280008]) may be used; it has the same composition as that described above. b Purified water (USP, Ph.Eur.) is used for aqueous film coating; it is essentially removed during processing.
In a particularly preferred embodiment, the present invention provides a tablet which is:
Figure imgf000016_0001
a A commercially available film-coating mixture (e.g., Opadry [32F280008]) may be used; it has the same composition as that described above. b Purified water (USP/NF, Ph.Eur.) is used for aqueous film coating; it is essentially removed during processing.
In a particularly preferred embodiment, the present invention provides a tablet which is:
Figure imgf000017_0001
a Purified water (USP/NF, Ph.Eur.) is used for aqueous film coating; it is essentially removed during processing.
In a particularly preferred embodiment, the present invention provides a tablet which is:
Figure imgf000018_0001
a Purified water (USP/NF, Ph.Eur.) is used for aqueous film coating; it is essentially removed during processing.
In a particularly preferred embodiment, the present invention provides a tablet which is:
Figure imgf000019_0001
a Purified water (USP/NF, Ph.Eur.) is used for aqueous film coating; it is essentially removed during processing.
In a particularly preferred embodiment, the present invention provides a tablet which is:
Figure imgf000020_0001
a Purified water (USP/NF, Ph.Eur.) is used for aqueous film coating; it is essentially removed during processing.
As outlined above, it was found to be important that the tablet according to the invention be dispersible in water and acidic beverages, such as apple juice. This requirement was achieved, i.a., by adding a superdisintegrant to the formulation. In a particularly preferred embodiment, the present invention provides a tablet as described herein, wherein the tablet has a disintegration time of <3 minutes in purified water at 37°C (see Example 3).
Manufacturing Process
In one aspect, the present invention provides a process for manufacturing a tablet described herein, comprising: (i) Weighing the API and the first filler into a container and screening the two components to afford a blend;
(ii) Adding the second filler, the superdisintegrant, the glidant, and optionally a sweetener and/or a flavor to the blend from step (i) and screening all components;
(iii) Blending the screened material from step (ii) to afford a powder blend; (iv) Screening the lubricant, adding it to the powder blend from step (iii) and blending; (v) Screening the material from step (iv);
(vi) Blending the screened material from step (v);
(vii) Compressing the blend from step (vi) into tablet kernels; and
(viii) Spraying a film coating suspension onto the tablet kernels from step (vii).
In a preferred embodiment, the process according to the invention is as shown in Figures 1- 3.
Uses
In one aspect, the present invention provides a tablet as described herein, for use as a medicament.
In one aspect, the present invention provides a method for treating or preventing a GABAA a5 receptor related disease in a patient, comprising administering one or more tablets described herein to the patient.
In one aspect, the present invention provides a tablet described herein, for use in a method of treating or preventing a GABAA a5 receptor related disease in a patient.
In one aspect, the present invention provides the use of a tablet described herein in a method of treating or preventing a GABAA a5 receptor related disease in a patient.
In one embodiment, said GABAA a5 receptor related disease is selected from Alzheimer’s disease, mild cognitive impairment (MCI), age-related cognitive decline, negative and/or cognitive symptoms associated with schizophrenia, bipolar disorders, autism spectrum disorder (ASD), Angelman syndrome, Rett syndrome, Prader-Willi syndrome, epilepsy, post-traumatic stress disorder (PTSD), amyotrophic lateral sclerosis (ALS), and fragile-X disorder.
In a preferred embodiment, said GABAA a5 receptor related disease is selected from autism spectrum disorder and Angelman syndrome.
In a particularly preferred embodiment, said GABAA a5 receptor related disease is autism spectrum disorder.
In a particularly preferred embodiment, said GABAA a5 receptor related disease is Angelman syndrome. Examples
The following examples are provided for illustration of the invention. They should not be considered as limiting the scope of the invention, but merely as being representative thereof.
Example 1 — Tablet Dissolution Behaviour
Figure 4 highlights the release behavior of the formulations according to the invention in 500 mL citrate buffer. The dissolution was determined according to USP 711 and harmonized with Ph. Eur. 2.9.3, using a paddle apparatus. The test preparations were then tested by HPLC.
Example 2 — Manufacturability (T ablet Hardness / Solid Fraction Profiles)
The manufacturability of the tablets was assessed on a representative batch by using the highest dose strength of 20 mg (see Example 7) since this is presumed most critical for the formulation performance. The solid fraction (SF) is the fraction of the volume of the compact that is solid. The porosity is one minus the solid fraction. A change of 10% to 20% in a mechanical property may occur with each 0.01 change in solid fraction. Therefore, it is critical to compare materials at the same solid fraction (Hiestand, E.N. and Smith, D.P., (1984). “Indices of tableting performance”, Powder Technology, 38(2), pp. 145-159).
Figure imgf000022_0001
Example 3 - Tablet Disintegration Behaviour in Dependence of Tablet Hardness
The tablet disintegration behaviour was monitored during routine manufacturing of the batches. The disintegration was performed using “Apparatus A” method in purified water at 37°C, adapted from USP 701 and Ph. Eur. 2.9.1 for dispersible tablets.
Figure imgf000022_0002
Figure imgf000023_0001
Example 4 — Plastic Behaviour of API
The measurements were performed on cubic samples compressed at 3 different solid fractions in triplicate (duplicate or single coupons for limited amounts). The dynamic response of the materials was characterized by a high-speed indentation with a spherical pendulum that impacts on a mayor face of the specimen (dynamic hardness Hd).
In summary, it is important to highlight the extreme plastic behaviour of the API even at a lower compaction pressure, which is represented by the dynamic hardness (Hd) of 40.4 MPa, which is out of the desirable range of 100 - 200 MPa (Amidon, G.E., (1995), “Physical and mechanical property characterization of powders”, In Brittain HG, editor Physical Characterization of Pharmaceutical) .
The tensile strength of a compact was determined by measuring the force necessary to cause tensile failure under transverse compression. This is analogous to the measurement of tablet crushing force or hardness. The experimental conditions and compact formation are well controlled in these studies, making results more reproducible and quantitative. Desirable tensile strengths that indicate strong compact formation are > 1 MPa. It was fund that the present API has a low tensile strength value of about 0.79 MPa.
In summary, due to the plastic behaviour and low tensile strength value of the API, the API is not compatible with excipients that exhibit a low tensile strength- and a high compaction pressure value, such as lactose, especially in formulations with a high drug load. Example 5 — 125 mg Film-Coated Tablet
Figure imgf000024_0001
a A commercially available film-coating mixture (e.g., Opadry [32F280008]) may be used; it has the same composition as that described above. b Purified water (USP/NF, Ph.Eur.) is used for aqueous film coating; it is essentially removed during processing.
Example 6 — Sweetened and Flavoured 125 mg Film-Coated Tablet
Figure imgf000025_0001
a A commercially available film-coating mixture (e.g., Opadry [32F280008]) may be used; it has the same composition as that described above. b Purified water (USP, Ph.Eur.) is used for aqueous film coating; it is essentially removed during processing.
Example 7 — Sweetened 20 mg Film-Coated Tablet
Figure imgf000026_0001
a Purified water (USP/NF, Ph.Eur.) is used for aqueous film coating; it is essentially removed during processing.
Example 8 — Sweetened 10 mg Film-Coated Tablet
Figure imgf000027_0001
a Purified water (USP/NF, Ph.Eur.) is used for aqueous film coating; it is essentially removed during processing.
Example 9 - Sweetened 4 mg Film-Coated Tablet
Figure imgf000028_0001
a Purified water (USP/NF, Ph.Eur.) is used for aqueous film coating; it is essentially removed during processing.
Example 10 — Sweetened 3 mg Film-Coated Tablet
Figure imgf000029_0001
a Purified water (USP/NF, Ph.Eur.) is used for aqueous film coating; it is essentially removed during processing.
Example 11 — Process for Tablet Manufacturing
Processes for manufacturing the tablets according to the invention are shown in Figures 1- .
The process steps can be summarized as follows: (i) Weighing the API and isomalt into a container and screening the two components to afford a blend;
(ii) Adding microcrystalline cellulose, croscarmellose sodium, colloidal silicon dioxide, and optionally sucralose and/or strawberry flavor to the blend from step (i) and screening all components; (iii) Blending the screened material from step (ii) to afford a powder blend;
(iv) Screening sodium stearyl fumarate, adding it to the powder blend from step (iii) and blending;
(v) Screening the material from step (iv);
(vi) Blending the screened material from step (v); (vii) Compressing the blend from step (vi) into tablet kernels; and (viii) Spraying a film coating suspension onto the tablet kernels from step (vii).
Screening can be performed mechanically or manually, as needed.
Preferably, the blend from step (vi) is compressed into tablet kernels by direct compression.
Equipment The container used in step (i) was a metal drum. Powder blends were mixed with a Servolift blender. A Korsch XL 100 Wipcon rotary tableting press was used to press tablet kernels by direct compression. Film coating was performed using a Glatt GMPC 1 apparatus.

Claims

Claims
1. A tablet comprising a kernel and optionally a coating, wherein said kernel comprises:
(i) the API 6-((5-methyl-3-(6-methylpyridin-3-yl)isoxazol-4-yl)methoxy)-A- (tetrahydropyran-4-yl)pyridazine-3 -carboxamide (I), or a pharmaceutically acceptable salt thereof,
Figure imgf000031_0001
(ii) a superdisintegrant;
(iii) a first filler;
(iv) a second filler;
(v) a glidant; and
(vi) a lubricant; wherein the amount of API is <25% ± 1% relative to the total weight of the kernel, preferably <20% ± 1% relative to the total weight of the kernel; and wherein said kernel does not comprise lactose.
2. The tablet according to claim 1, wherein
(i) the weight of said API represents 2% ± 1% to 20% ± 1% of the total weight of the kernel;
(ii) the weight of said superdisintegrant represents 3% ± 1% of the total weight of the kernel;
(iii) the weight of said first filler represents 46% ± 1% to 57% ± 1% of the total weight of the kernel;
(iv) the weight of said second filler represents 26% ± 1% to 32% ± 1% of the total weight of the kernel;
(v) the weight of said glidant represents 2% ± 1% of the total weight of the kernel; and
(vi) the weight of said lubricant represents 3% ± 1% of the total weight of the kernel.
3. The tablet according to claim 1, wherein (i) the weight of said API represents 20% ± 1% of the total weight of the kernel;
(ii) the weight of said superdisintegrant represents 3% ± 1% of the total weight of the kernel;
(iii) the weight of said first filler represents 46% ± 1% of the total weight of the kernel;
(iv) the weight of said second filler represents 26% ± 1% of the total weight of the kernel;
(v) the weight of said glidant represents 2% ± 1% of the total weight of the kernel; and
(vi) the weight of said lubricant represents 3% ± 1% of the total weight of the kernel.
4. The tablet according to claim 1 or 2, further comprising:
(vii) a sweetener.
5. The tablet according to claim 4, wherein the weight of said sweetener represents 0.3% ± 0.1% to 0.5% ± 0.1% of the total weight of the kernel.
6. The tablet according to claim 4, wherein
(i) the weight of said API represents 2% ± 1% of the total weight of the kernel;
(ii) the weight of said superdisintegrant represents 3% ± 1% of the total weight of the kernel;
(iii) the weight of said first filler represents 57% ± 1% of the total weight of the kernel;
(iv) the weight of said second filler represents 32% ± 1% of the total weight of the kernel;
(v) the weight of said glidant represents 2% ± 1% of the total weight of the kernel;
(vi) the weight of said lubricant represents 3% ± 1% of the total weight of the kernel; and
(vii) the weight of said sweetener represents 0.3% ± 0.1% of the total weight of the kernel.
7. The tablet according to claim 4, wherein
(i) the weight of said API represents 3% ± 1% of the total weight of the kernel;
(ii) the weight of said superdisintegrant represents 3% ± 1% of the total weight of the kernel;
(iii) the weight of said first filler represents 57% ± 1% of the total weight of the kernel;
(iv) the weight of said second filler represents 32% ± 1% of the total weight of the kernel; (v) the weight of said glidant represents 2% ± 1% of the total weight of the kernel;
(vi) the weight of said lubricant represents 3% ± 1% of the total weight of the kernel; and
(vii) the weight of said sweetener represents 0.3% ± 0.1% of the total weight of the kernel.
8. The tablet according to claim 4, wherein
(i) the weight of said API represents 8% ± 1% of the total weight of the kernel;
(ii) the weight of said superdisintegrant represents 3% ± 1% of the total weight of the kernel;
(iii) the weight of said first filler represents 54% ± 1% of the total weight of the kernel;
(iv) the weight of said second filler represents 30% ± 1% of the total weight of the kernel;
(v) the weight of said glidant represents 2% ± 1% of the total weight of the kernel;
(vi) the weight of said lubricant represents 3% ± 1% of the total weight of the kernel; and
(vii) the weight of said sweetener represents 0.3% ± 0.1% of the total weight of the kernel.
9. The tablet according to claim 4, wherein
(i) the weight of said API represents 16% ± 1% of the total weight of the kernel;
(ii) the weight of said superdisintegrant represents 3% ± 1% of the total weight of the kernel;
(iii) the weight of said first filler represents 48% ± 1% of the total weight of the kernel;
(iv) the weight of said second filler represents 27% ± 1% of the total weight of the kernel;
(v) the weight of said glidant represents 2% ± 1% of the total weight of the kernel;
(vi) the weight of said lubricant represents 3% ± 1% of the total weight of the kernel; and
(vii) the weight of said sweetener represents 0.3% ± 0.1% of the total weight of the kernel.
10. The tablet according to any one of claims 1, 2, 4 and 5, further comprising:
(viii) a flavor.
11. The tablet according to claim 10, wherein the weight of said flavor represents 1% ± 0.5% of the total weight of the kernel.
12. The tablet according to claim 10, wherein
(i) the weight of said API represents 20% ± 1% of the total weight of the kernel;
(ii) the weight of said superdisintegrant represents 3% ± 1% of the total weight of the kernel;
(iii) the weight of said first filler represents 45% ± 1% of the total weight of the kernel;
(iv) the weight of said second filler represents 26% ± 1% of the total weight of the kernel;
(v) the weight of said glidant represents 2% ± 1% of the total weight of the kernel;
(vi) the weight of said lubricant represents 3% ± 1% of the total weight of the kernel;
(vii) the weight of said sweetener represents 0.5% ± 0.1% of the total weight of the kernel; and
(viii) the weight of said flavor represents 1% ± 0.5% of the total weight of the kernel.
13. The e tablet according to any one of claims 1 to 12, wherein:
(ii) said superdisintegrant is croscarmellose sodium;
(iii) said first filler is isomalt;
(iv) said second filler is microcrystalline cellulose;
(v) said glidant is colloidal silicon dioxide; and
(vi) said lubricant is sodium stearyl fumarate.
14. The tablet according to any one of claims 4 to 12, wherein said sweetener is sucralose.
15. The tablet according to any one of claims 10 to 12, wherein said flavor is strawberry flavor.
16. The tablet according to any one of claims 1 to 15, wherein the dose strength is 0.5 mg to 375 mg, preferably 2.5 mg to 375 mg, more preferably 3 mg to 200 mg, more preferably
3 mg to 150 mg, more preferably 3 mg to 125 mg, for example 3 mg, 4 mg, 5 mg, 10 mg, 20 mg, 25 mg, or 125 mg.
17. The tablet according to any one of claims 1 to 16, comprising a coating.
18. The tablet according to claim 17, wherein the weight of said coating is 3% ± 1% of the weight of the kernel.
19. The tablet according to claim 17 or 18, wherein said coating comprises: (i) hydroxypropyl methylcellulose;
(ii) lactose monohydrate;
(iii) titanium dioxide; and
(iv) polyethylene glylcol 3350.
20. The tablet according to claim 19, wherein:
(i) the weight of said hydroxypropyl methylcellulose represents 34% ± 1% of the total weight of the coating;
(ii) the weight of said lactose monohydrate represents 28% ± 1% of the total weight of the coating;
(iii) the weight of said titanium dioxide represents 26% ± 1% of the total weight of the coating; and
(iv) the weight of said polyethylene glylcol 3350 represents 12% ± 1% of the total weight of the coating.
21. The tablet according to any one of claims 1 to 20, wherein the tablet has a disintegration time of <3 minutes in purified water at 37°C.
22. A process for manufacturing a tablet according to any one of claims 1 to 21, comprising:
(i) Weighing the API and the first filler into a container and screening the two components to afford a blend;
(ii) Adding the second filler, the superdisintegrant, the glidant, and optionally a sweetener and/or a flavor to the blend from step (i) and screening all components;
(iii) Blending the screened material from step (ii) to afford a powder blend;
(iv) Screening the lubricant, adding it to the powder blend from step (iii) and blending;
(v) Screening the material from step (iv);
(vi) Blending the screened material from step (v);
(vii) Compressing the blend from step (vi) into tablet kernels; and
(viii) Spraying a film coating suspension onto the tablet kernels from step (vii).
23. A kit comprising a tablet according to any one of claims 1 to 21 and instructions for using the tablet.
24. A tablet according to any one of claims 1 to 21, for use as a medicament.
25. A method for treating or preventing a GABAA a5 receptor related disease in a patient, comprising administering one or more tablets according to any one of claims 1 to 21 to the patient.
26. The method according to claim 25, wherein said administration comprises dispersing the one or more tablet in a liquid.
27. The method according to claim 26, wherein said liquid is water or an acidic beverage, in particular apple juice.
28. A tablet according to any one of claims 1 to 21, for use in a method according to any one of claims 25 to 27.
29. Use of a tablet according to any one of claims 1 to 21 in a method according to any one of claims 25 to 27.
30. A method for administering a tablet according to any one of claims 1 to 21 to a patient, comprising dispersing the tablet in an acidic beverage.
31. The method according to claim 30, wherein said acidic beverage is apple juice.
32. The invention as described hereinbefore.
PCT/EP2024/060856 2023-04-24 2024-04-22 Tablet comprising 6-((5-methyl-3-(6-methylpyridin-3-yl)isoxazol-4-yl)methoxy)- n-(tetrahydrapyran-4-yl)pyridazine-3-carboxamide Pending WO2024223450A1 (en)

Priority Applications (4)

Application Number Priority Date Filing Date Title
AU2024262426A AU2024262426A1 (en) 2023-04-24 2024-04-22 Tablet comprising 6-((5-methyl-3-(6-methylpyridin-3-yl)isoxazol-4-yl)methoxy)- n-(tetrahydrapyran-4-yl)pyridazine-3-carboxamidee
CN202480027196.5A CN121001709A (en) 2023-04-24 2024-04-22 Tablets containing 6-((5-methyl-3-(6-methylpyridin-3-yl)isoxazol-4-yl)methoxy)-N-(tetrahydropyran-4-yl)pyridazine-3-carboxamide
IL323739A IL323739A (en) 2023-04-24 2025-09-30 -(tetrahydrapyran-4-yl)pyridazine-3-carboxamide
MX2025012538A MX2025012538A (en) 2023-04-24 2025-10-21 TABLET COMPRISING 6-((5-METHYL-3-(6-METHYLPYRIDIN-3-YL)ISOXAZOL-4-YL)METHOXY)- <i>N</i>-(TETRAHYDRAPYRAN-4-YL)PYRIDAZINE-3-CARBOXAMIDE

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
EP23169355 2023-04-24
EP23169355.7 2023-04-24

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WO2024223450A1 true WO2024223450A1 (en) 2024-10-31

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CN (1) CN121001709A (en)
AU (1) AU2024262426A1 (en)
IL (1) IL323739A (en)
MX (1) MX2025012538A (en)
TW (1) TW202506123A (en)
WO (1) WO2024223450A1 (en)

Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2018104419A1 (en) 2016-12-08 2018-06-14 F. Hoffmann-La Roche Ag New isoxazolyl ether derivatives as gaba a alpha5 pam

Patent Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2018104419A1 (en) 2016-12-08 2018-06-14 F. Hoffmann-La Roche Ag New isoxazolyl ether derivatives as gaba a alpha5 pam

Non-Patent Citations (4)

* Cited by examiner, † Cited by third party
Title
"Handbook of Pharmaceutical Excipients", 1 January 2006, PHARMACEUTICAL PRESS, article ANONYMOUS: "Starch, Pregelatinized", pages: 731 - 731, XP093116082 *
ANONYMOUS: "A 2 Part, Randomized, Open-Label, Single Dose, Crossover Study to Assess the Relative Bioavailabilty of Phase II Tablet Formulation Compared to the Current Phase I Capsule Formulation and the Effect of Food and Taste Assessment on the Phase II Tablet Formulation in Healthy Participants", 26 February 2019 (2019-02-26), pages 443 - 531, XP093116035, Retrieved from the Internet <URL:https://classic.clinicaltrials.gov/ProvidedDocs/87/NCT03847987/Prot_000.pdf> [retrieved on 20240104] *
HIESTAND, E.N.SMITH, D.P.: "Indices of tableting performance", POWDER TECHNOLOGY, vol. 38, no. 2, 1984, pages 145 - 159
WHO DRUG INFORMATION,, vol. 35, no. 2, 2021, pages 366

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TW202506123A (en) 2025-02-16
IL323739A (en) 2025-11-01

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