RU2016144479A - Фармацевтические композиции для лечения заболеваний, опосредопосредованных муковисцидозным трансмембранным регулятором проводимости - Google Patents
Фармацевтические композиции для лечения заболеваний, опосредопосредованных муковисцидозным трансмембранным регулятором проводимости Download PDFInfo
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- 201000010099 disease Diseases 0.000 title 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 title 1
- 230000001404 mediated effect Effects 0.000 title 1
- 239000008194 pharmaceutical composition Substances 0.000 title 1
- 238000010922 spray-dried dispersion Methods 0.000 claims 12
- 238000000034 method Methods 0.000 claims 6
- PURKAOJPTOLRMP-UHFFFAOYSA-N ivacaftor Chemical compound C1=C(O)C(C(C)(C)C)=CC(C(C)(C)C)=C1NC(=O)C1=CNC2=CC=CC=C2C1=O PURKAOJPTOLRMP-UHFFFAOYSA-N 0.000 claims 5
- MJUVRTYWUMPBTR-MRXNPFEDSA-N 1-(2,2-difluoro-1,3-benzodioxol-5-yl)-n-[1-[(2r)-2,3-dihydroxypropyl]-6-fluoro-2-(1-hydroxy-2-methylpropan-2-yl)indol-5-yl]cyclopropane-1-carboxamide Chemical compound FC=1C=C2N(C[C@@H](O)CO)C(C(C)(CO)C)=CC2=CC=1NC(=O)C1(C=2C=C3OC(F)(F)OC3=CC=2)CC1 MJUVRTYWUMPBTR-MRXNPFEDSA-N 0.000 claims 4
- ZUAAPNNKRHMPKG-UHFFFAOYSA-N acetic acid;butanedioic acid;methanol;propane-1,2-diol Chemical compound OC.CC(O)=O.CC(O)CO.OC(=O)CCC(O)=O ZUAAPNNKRHMPKG-UHFFFAOYSA-N 0.000 claims 4
- 239000000314 lubricant Substances 0.000 claims 4
- HQKMJHAJHXVSDF-UHFFFAOYSA-L magnesium stearate Chemical compound [Mg+2].CCCCCCCCCCCCCCCCCC([O-])=O.CCCCCCCCCCCCCCCCCC([O-])=O HQKMJHAJHXVSDF-UHFFFAOYSA-L 0.000 claims 4
- 239000000546 pharmaceutical excipient Substances 0.000 claims 4
- 201000003883 Cystic fibrosis Diseases 0.000 claims 3
- 239000001866 hydroxypropyl methyl cellulose Substances 0.000 claims 3
- 235000010979 hydroxypropyl methyl cellulose Nutrition 0.000 claims 3
- 229920003088 hydroxypropyl methyl cellulose Polymers 0.000 claims 3
- UFVKGYZPFZQRLF-UHFFFAOYSA-N hydroxypropyl methyl cellulose Chemical compound OC1C(O)C(OC)OC(CO)C1OC1C(O)C(O)C(OC2C(C(O)C(OC3C(C(O)C(O)C(CO)O3)O)C(CO)O2)O)C(CO)O1 UFVKGYZPFZQRLF-UHFFFAOYSA-N 0.000 claims 3
- 229920002785 Croscarmellose sodium Polymers 0.000 claims 2
- 229920000168 Microcrystalline cellulose Polymers 0.000 claims 2
- 108700005075 Regulator Genes Proteins 0.000 claims 2
- DBMJMQXJHONAFJ-UHFFFAOYSA-M Sodium laurylsulphate Chemical compound [Na+].CCCCCCCCCCCCOS([O-])(=O)=O DBMJMQXJHONAFJ-UHFFFAOYSA-M 0.000 claims 2
- DPXJVFZANSGRMM-UHFFFAOYSA-N acetic acid;2,3,4,5,6-pentahydroxyhexanal;sodium Chemical group [Na].CC(O)=O.OCC(O)C(O)C(O)C(O)C=O DPXJVFZANSGRMM-UHFFFAOYSA-N 0.000 claims 2
- 229960001681 croscarmellose sodium Drugs 0.000 claims 2
- 235000010947 crosslinked sodium carboxy methyl cellulose Nutrition 0.000 claims 2
- 239000007884 disintegrant Substances 0.000 claims 2
- 239000002552 dosage form Substances 0.000 claims 2
- 235000019359 magnesium stearate Nutrition 0.000 claims 2
- 235000019813 microcrystalline cellulose Nutrition 0.000 claims 2
- 239000008108 microcrystalline cellulose Substances 0.000 claims 2
- 229940016286 microcrystalline cellulose Drugs 0.000 claims 2
- 230000035772 mutation Effects 0.000 claims 2
- 239000000843 powder Substances 0.000 claims 2
- 235000019333 sodium laurylsulphate Nutrition 0.000 claims 2
- 239000000945 filler Substances 0.000 claims 1
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- A61K31/403—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with one nitrogen as the only ring hetero atom, e.g. sulpiride, succinimide, tolmetin, buflomedil condensed with carbocyclic rings, e.g. carbazole
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Claims (34)
1. Фармацевтическая комбинация, содержащая
первую высушенную распылением дисперсию и вторую высушенную распылением дисперсию, где первая высушенная распылением дисперсия содержит от 25 мг до 125 мг аморфного (R)-1-(2,2-дифторбензо[d][1,3]диоксол-5-ил)-N-(1-(2,3-дигидроксипропил)-6-фтор-2-(1-гидрокси-2-метилпропан-2-ил)-1H-индол-5-ил)циклопропанкарбоксамида и от 10 мас.% до 30 мас.% гидроксипропилметилцеллюлозы, и вторая высушенная распылением дисперсия содержит от 100 мг до 200 мг аморфного N-[2,4-бис(1,1-диметилэтил)-5-гидроксифенил]-1,4-дигидро-4-оксохинолин-3-карбоксамида.
2. Фармацевтическая комбинация по п. 1, где вторая высушенная распылением дисперсия также содержит сукцинат ацетата гипромеллозы.
3. Фармацевтическая комбинация по п. 1, где вторая высушенная распылением дисперсия содержит от 10 мас.% до 30 мас.% сукцината ацетата гипромеллозы.
4. Фармацевтическая комбинация по п. 1, где первая высушенная распылением дисперсия содержит 100 мг (R)-1-(2,2-дифторбензо[d][1,3]диоксол-5-ил)-N-(1-(2,3-дигидроксипропил)-6-фтор-2-(1-гидрокси-2-метилпропан-2-ил)-1H-индол-5-ил)циклопропанкарбоксамида.
5. Фармацевтическая комбинация по п. 1, где вторая высушенная распылением дисперсия содержит 150 мг N-[2,4-бис(1,1-диметилэтил)-5-гидроксифенил]-1,4-дигидро-4-оксохинолин-3-карбоксамида.
6. Фармацевтическая комбинация по п. 1, содержащая один или более эксципиентов, выбранных из наполнителя, разрыхлителя, смазывающего агента или любого их сочетания.
7. Фармацевтическая комбинация по п. 1, содержащая от 30 мас.% до 50 мас.% наполнителя.
8. Фармацевтическая комбинация по п. 7, где наполнитель представляет собой микрокристаллическую целлюлозу.
9. Фармацевтическая комбинация по п. 1, содержащая от 1 мас.% до 10 мас.% разрыхлителя.
10. Фармацевтическая комбинация по п. 9, где разрыхлитель представляет собой кроскармеллозу натрия.
11. Фармацевтическая комбинация по п. 1, содержащая около 1 мас.% смазывающего агента.
12. Фармацевтическая комбинация по п. 11, где смазывающий агент включает стеарат магния.
13. Фармацевтическая комбинация по п. 1, содержащая от 100 мг до 300 мг наполнителя.
14. Фармацевтическая комбинация по п. 1, содержащая от 12 мг до 36 мг разрыхлителя.
15. Фармацевтическая комбинация по п. 1, где таблетка содержит 5,9 мг смазывающего агента.
16. Фармацевтическая комбинация по п. 1, где
первая высушенная распылением дисперсия содержат 100 мг аморфного (R)-1-(2,2-дифторбензо[d][1,3]диоксол-5-ил)-N-(1-(2,3-дигидроксипропил)-6-фтор-2-(1-гидрокси-2-метилпропан-2-ил)-1H-индол-5-ил)циклопропанкарбоксамида и 20 мг гидроксипропилметилцеллюлозы, и
вторая высушенная распылением дисперсия содержит 150 мг аморфного N-[2,4-бис(1,1-диметилэтил)-5-гидроксифенил]-1,4-дигидро-4-оксохинолин-3-карбоксамида, 36,6 мг сукцината ацетата гипромеллозы и 0,9 мг лаурилсульфата натрия.
17. Фармацевтическая комбинация по п. 1, где
первая высушенная распылением дисперсия содержат 100 мг аморфного (R)-1-(2,2-дифторбензо[d][1,3]диоксол-5-ил)-N-(1-(2,3-дигидроксипропил)-6-фтор-2-(1-гидрокси-2-метилпропан-2-ил)-1H-индол-5-ил)циклопропанкарбоксамида и 20 мг гидроксипропилметилцеллюлозы, и
вторая высушенная распылением дисперсия содержит 150 мг аморфного N-[2,4-бис(1,1-диметилэтил)-5-гидроксифенил]-1,4-дигидро-4-оксохинолин-3-карбоксамида, 36,6 мг сукцината ацетата гипромеллозы и 0,9 мг лаурилсульфата натрия,
243,9 мг микрокристаллической целлюлозы,
29,6 мг кроскармеллозы натрия, и
5,9 мг стеарата магния.
18. Фармацевтическая комбинация по любому из пп. 1-17, где
фармацевтическая комбинация находится в дозированной форме.
19. Фармацевтическая комбинация по п. 18, где дозированная форма представляет собой таблетку.
20. Способ лечения муковисцидоза у пациента, включающий введение пациенту фармацевтической комбинации по любому из пп. 1-19.
21. Способ по п. 20, где фармацевтическую комбинацию вводят пациенту перорально.
22. Способ по любому из пп. 20-21, где пациент является гомозиготным в мутации ΔF508 гена муковисцидозного трансмембранного регулятора проводимости.
23. Способ по любому из пп. 20-21, где пациент является гетерозиготным в мутации ΔF508 гена муковисцидозного трансмембранного регулятора проводимости.
24. Способ по любому из пп. 20-21, где фармацевтическую комбинацию вводят один раз в сутки.
25. Способ по п. 24, где за введением фармацевтической комбинации следует введение 150 мг N-[2,4-бис(1,1-диметилэтил)-5-гидроксифенил]-1,4-дигидро-4-оксохинолин-3-карбоксамида один раз в сутки.
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