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TW201300106A - Pharmaceutical compositions for treating HCV infections - Google Patents

Pharmaceutical compositions for treating HCV infections Download PDF

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TW201300106A
TW201300106A TW100140577A TW100140577A TW201300106A TW 201300106 A TW201300106 A TW 201300106A TW 100140577 A TW100140577 A TW 100140577A TW 100140577 A TW100140577 A TW 100140577A TW 201300106 A TW201300106 A TW 201300106A
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pyrimidin
amino
tetrahydrofuran
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TW100140577A
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Chinese (zh)
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Michael Thomas Brandl
Karen Elizabeth Olocco
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Hoffmann La Roche
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    • A61K31/7068Compounds having saccharide radicals and heterocyclic rings having nitrogen as a ring hetero atom, e.g. nucleosides, nucleotides containing six-membered rings with nitrogen as a ring hetero atom containing condensed or non-condensed pyrimidines having oxo groups directly attached to the pyrimidine ring, e.g. cytidine, cytidylic acid
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    • A61K9/205Polysaccharides, e.g. alginate, gums; Cyclodextrin
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    • A61P31/00Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
    • A61P31/12Antivirals
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    • A61P31/22Antivirals for DNA viruses for herpes viruses

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Abstract

The present inventions related to new pharmaceutical solid tablet and capsule formulations which used the HCV polymerase inhibitor 4-amino-1-((2R, 3R, 4R, 5R)-3-fluoro-4-hydroxy-5-hydroxymethyl-3-methyl-tetrahydro-furan-2-yl)-1H-pyrimidin-2-one (Ia).

Description

治療HCV感染之醫藥組合物Pharmaceutical composition for treating HCV infection

本發明提供一種用於治療HCV感染之包含4-胺基-1-((2R,3R,4R,5R)-3-氟-4-羥基-5-羥甲基-3-甲基-四氫呋喃-2-基)-1H-嘧啶-2-酮(Ia: PSI-6130)及至少一種其他抗病毒劑之新穎調配物,其中Ia為一種以HCV聚合酶抑制劑替代常用生物非活性賦形劑並允許更高劑量之呈易消化劑型之活性醫藥成份(API)的稀釋劑。The present invention provides a 4-amino-1-((2R,3R,4R,5R)-3-fluoro-4-hydroxy-5-hydroxymethyl-3-methyl-tetrahydrofuran-containing compound for the treatment of HCV infection. Novel formulation of 2-yl)-1H-pyrimidin-2-one (Ia: PSI-6130) and at least one other antiviral agent, wherein Ia is a replacement of commonly used bioinactive excipients with HCV polymerase inhibitors A higher dose of a diluent for the active pharmaceutical ingredient (API) of the digestible dosage form is permitted.

對患者提供適宜療法之商業可製造醫藥調配物之發展為藥物發展過程之關鍵步驟。壓縮錠劑為一種通用、便利及廣泛接受之劑型。藥物之安全性、效能及可接受性受可限制調配物選擇之治療活性劑之理化性及生物醫藥性顯著地影響。摻合成份之直接壓縮為一種簡易製程但經常因與粉末之流動、含量均一性及壓縮有關之問題而不成功。解決生物醫藥問題之常用方法包括但不限於粒徑改質、脂質溶液、固體分散或非晶型之使用。諸如濕式或幹式製粒、流化床製粒、熱熔擠壓及高剪切製粒之製造技術為解決製造難題一般使用之方法。製粒為聚集絮狀壓縮性不佳之粉末的製程。因此,常使用新穎方法來達成可製造性、穩定性、生物可利用性及患者便利性之最優結果。The development of commercially viable pharmaceutical formulations that provide appropriate therapies for patients is a critical step in the drug development process. Compressed tablets are a versatile, convenient and widely accepted dosage form. The safety, efficacy, and acceptability of a drug are significantly affected by the physicochemical and biopharmaceutical properties of the therapeutically active agent selected for the limited formulation. Direct compression of the blended component is a simple process but often unsuccessful due to problems associated with powder flow, content uniformity and compression. Common methods for solving biomedical problems include, but are not limited to, particle size modification, lipid solution, solid dispersion, or amorphous use. Manufacturing techniques such as wet or dry granulation, fluidized bed granulation, hot melt extrusion, and high shear granulation are commonly used to solve manufacturing problems. Granulation is a process in which a flocculent powder having poor compressibility is aggregated. Therefore, novel methods are often used to achieve optimal results in manufacturability, stability, bioavailability, and patient convenience.

藉由常用錠劑壓縮及包覆技術製造之常規錠劑常需要使用除活性劑外之相對高百分比之賦形劑以最優化可便於製造錠劑及製造易投與至患者之最終產品之成份之物理性質。此等賦形劑可包括填料、黏合劑、分解劑、潤滑劑、抗黏劑、助流劑、著色劑、聚合物塗料及增塑劑。填料或稀釋劑為惰性填充劑以提供充足材料將粉末壓縮成錠劑。處理不佳顆粒性質(例如流動及壓縮性質)之明確方法亦包括諸如製粒、冷凍乾燥及顆粒分級之處理步驟。然而,在一些情形下,賦形劑含量可依藥物性質及錠劑之所期用途超過90%之錠劑重量。當可接受療法需高劑量濃度之API時,此可導致皆負面影響遵醫囑性之難以被一些患者消化之大錠劑或需消化多個錠劑。因此,需識別可容納較高劑量濃度之活性醫藥成份之新穎劑型。Conventional lozenges made by conventional tablet compression and coating techniques often require the use of a relatively high percentage of excipients other than the active agent to optimize the ease of manufacture of the lozenge and the manufacture of the final product which is readily administered to the patient. Physical properties. Such excipients can include fillers, binders, decomposers, lubricants, anti-adherents, glidants, colorants, polymeric coatings, and plasticizers. The filler or diluent is an inert filler to provide sufficient material to compress the powder into a tablet. Well-defined methods for handling poor particle properties, such as flow and compression properties, also include processing steps such as granulation, freeze drying, and particle grading. However, in some cases, the amount of excipient may exceed the weight of the lozenge by more than 90% depending on the nature of the drug and the intended use of the tablet. When an acceptable regimen requires a high dose of API, this can result in a large lozenge that is negatively affected by the patient's ability to be digested by some patients or that requires digestion of multiple lozenges. Therefore, it is desirable to identify novel dosage forms that can hold higher dose concentrations of active pharmaceutical ingredients.

本發明提供一種包括含有4-胺基-1-((2R,3R,4R,5R)-3-氟-4-羥基-5-羥甲基-3-甲基-四氫呋喃-2-基)-1H-嘧啶-2-酮(Ia)及至少一種選自由下列組成之群之額外醫藥活性抗病毒成份及黏合劑之顆粒之固體口服錠劑或膠囊組合物:4-氟-1,3-二氫-異吲哚-2-羧酸(Z)-(1S,4R,6S,14S,18R)-14-第三丁氧基羰基胺基-4-環丙烷磺醯基胺基羰基-2,15-二側氧基-3,16-二氮雜-三環[14.3.0.04,6]十九-7-烯-18-基酯(II)、異丁酸(2R,3R,4R,5R)-5-(4-胺基-2-側氧基-2H-嘧啶-1-基)-4-氟-2-異丁醯氧基甲基-4-甲基-四氫呋喃-3-基酯(Ib)或異丁酸(2R,3S,4R,5R)-5-(4-胺基-2-側氧基-2H-嘧啶-1-基)-2-疊氮基-3,4-雙異丁醯氧基-四氫呋喃-2-基甲基酯(III)。本發明提供一種調配物,其可產生改良之HCV聚合酶及/或蛋白酶抑制劑全身濃度,適用於治療感染HCV患者。The present invention provides a method comprising 4-amino-1-((2R,3R,4R,5R)-3-fluoro-4-hydroxy-5-hydroxymethyl-3-methyl-tetrahydrofuran-2-yl)- Solid oral lozenge or capsule composition of 1H-pyrimidin-2-one (Ia) and at least one granule selected from the group consisting of additional pharmaceutically active antiviral components and binders: 4-fluoro-1,3-di Hydrogen-isoindole-2-carboxylic acid (Z)-(1S,4R,6S,14S,18R)-14-t-butoxycarbonylamino-4-cyclopropanesulfonylaminocarbonyl-2, 15-tertiaryoxy-3,16-diaza-tricyclo[14.3.0.0 4,6 ]19- 7-en-1-yl ester (II), isobutyric acid (2R, 3R, 4R, 5R)-5-(4-Amino-2-epoxy-2H-pyrimidin-1-yl)-4-fluoro-2-isobutyloxymethyl-4-methyl-tetrahydrofuran-3-yl Ester (Ib) or isobutyric acid (2R, 3S, 4R, 5R)-5-(4-amino-2-oxo-2H-pyrimidin-1-yl)-2-azido-3,4 - Biisobutyloxy-tetrahydrofuran-2-ylmethyl ester (III). The present invention provides a formulation that produces a systemic concentration of an improved HCV polymerase and/or protease inhibitor suitable for treating a patient infected with HCV.

在本發明之另一態樣中,提供包括含有Ia及至少一種額外醫藥活性抗病毒成份及黏合劑之顆粒之固體口服錠劑或膠囊組合物,其可產生改良之抗病毒藥物及HCV蛋白酶抑制劑的全身濃度,適用於治療感染HCV患者。In another aspect of the invention, there is provided a solid oral lozenge or capsule composition comprising granules comprising Ia and at least one additional pharmaceutically active antiviral component and a binder which produces improved antiviral drugs and HCV protease inhibition The systemic concentration of the agent is suitable for the treatment of patients with HCV infection.

包含低劑量之活性醫藥成份(API)之固體錠劑及膠囊劑型一般係藉由錠劑壓縮或於硬明膠膠囊中囊封粉末而製成。就相當低含量之API而言,可添加提供有效製錠或囊封及穩定固體劑型所需之緊實性、流動性及潤滑性之賦形劑。典型之此類賦形劑視需要包括稀釋劑、黏合劑、崩解劑、潤滑劑、助流劑、著色劑、塗佈劑及調味劑。直接壓縮為最簡單程式;然而,常會出現關於API均一分佈於劑型之問題。Solid lozenges and capsules containing low doses of the active pharmaceutical ingredient (API) are generally prepared by compressing the tablet or encapsulating the powder in a hard gelatin capsule. For relatively low levels of API, excipients that provide the potency, flow and lubricity required to effectively tablet or encapsulate and stabilize the solid dosage form can be added. Such excipients typically include diluents, binders, disintegrants, lubricants, glidants, colorants, coating agents, and flavoring agents as needed. Direct compression is the simplest program; however, there is often a problem with uniform distribution of APIs to dosage forms.

當因需要大劑量,或混合物緊實性不佳及/或流動性不佳而實際上無法直接壓縮時,經常宜應用製粒技術。濕式製粒為一種將液體或包含黏合劑或黏著劑之液體添加至API及賦形劑中,使所得混合物均質化形成更稠密顆粒之方法。所產生之潮濕顆粒可研磨或篩選成均一大小,乾燥及然後與導致最終劑型性質之其他賦形劑一起壓縮。在製粒過程中添加惰性填料,以提供足以壓縮之質量,其一般包括乳糖、甘露醇、蔗糖、纖維素、微晶纖維素、乾澱粉、粉末狀糖、高嶺土、磷酸二鈣、硫酸鈣及氯化鈉。(E. Rudnic,Oral Solid Dosage Forms in Remington: The Science and Practice of Pharmacy,第19版,A. R. Gennaro,Ed.;Mack Publishing Company: Easton,Pa.,1995,第II卷第1617頁)。常包括在攝取後利於壓縮調配物崩解之崩解劑。常添加潤滑劑以預防黏附至製錠機及減少顆粒間摩擦。Granulation techniques are often applied when large doses are required, or when the mixture is not sufficiently compact and/or fluid is not practical and cannot be directly compressed. Wet granulation is a process in which a liquid or a liquid comprising a binder or an adhesive is added to an API and an excipient to homogenize the resulting mixture to form denser granules. The resulting moist particles can be ground or screened to a uniform size, dried and then compressed with other excipients that result in the properties of the final dosage form. An inert filler is added during the granulation to provide a quality sufficient for compression, which generally includes lactose, mannitol, sucrose, cellulose, microcrystalline cellulose, dry starch, powdered sugar, kaolin, dicalcium phosphate, calcium sulfate, and Sodium chloride. (E. Rudnic, Oral Solid Dosage Forms in Remington: The Science and Practice of Pharmacy, 19th ed., A. R. Gennaro, Ed.; Mack Publishing Company: Easton, Pa., 1995, Vol. II, p. 1617). It is often included as a disintegrant that facilitates disintegration of the compressed formulation after ingestion. Lubricants are often added to prevent sticking to the tablet machine and reduce friction between the particles.

熱熔擠壓為一種製造適合進一步加工成最終調配物之顆粒之替代性技術,其中API及賦形劑之均質熔融混合物經擠壓以產生可進一步處理之固體溶液或懸浮液。(J. Breitenbach「Melt Extrusion: from Process to Drug Delivery」,Eur. J. Pharmaceutics and Biopharmaceutics 2002 54:107-117;F.A. Alvarez-Nunez等人「Formulation of a Poorly Soluble Drug Using a Hot Melt Extrusion」Amer. Pharm. Rev. 2004 7(4):88-92;K. Coppens等人,「Evaluation of Formulations Produced via Hot Melt Extrusion that Contain high API Loading and Exhibit Controlled Release,2007 AASP Meeting and Exposition,San Diego,CA,11月11-15,2007;M. Brandl等人「Early Clinical and Preclinical Formulations of R1626」,2008 AASP Meeting and Exposition,Atlanta,GA,11月16-20,2008)。Hot melt extrusion is an alternative technique for making granules suitable for further processing into a final formulation wherein a homogeneous molten mixture of API and excipients is extruded to produce a solid solution or suspension that can be further processed. (J. Breitenbach "Melt Extrusion: from Process to Drug Delivery", Eur. J. Pharmaceutics and Biopharmaceutics 2002 54: 107-117; FA Alvarez-Nunez et al. "Formulation of a Poorly Soluble Drug Using a Hot Melt Extrusion" Amer. Pharm. Rev. 2004 7(4): 88-92; K. Coppens et al., "Evaluation of Formulations Produced via Hot Melt Extrusion that Contain high API Loading and Exhibit Controlled Release, 2007 AASP Meeting and Exposition, San Diego, CA, November 11-15, 2007; M. Brandl et al. "Early Clinical and Preclinical Formulations of R1626", 2008 AASP Meeting and Exposition, Atlanta, GA, November 16-20, 2008).

相比而言,當需要高劑量(>250 mg)之API時,加入稀釋劑或賦形劑以賦予特定性質之可能性受限於錠劑或膠囊之物理大小。在抗病毒藥物之特定情形中,大劑量常用於維持高血含量之API以降低產生抗性群之風險。近期試驗已使用多達1500 mg(Ib: R7128)之BID及QID之劑量。(S. Le Pogam等人,「Evidence of R7128 Drug Resistance After Up To 4 Weeks Treatment of GT1,2 and 3 Hepatitis C Virus Infected Individuals」,44th Annual Meeting of the European Association for the Study of the Liver(EASL),Copenhagen,Denmark,4月22-4月26,2009)。In contrast, when a high dose (>250 mg) of API is required, the possibility of adding a diluent or excipient to impart a particular property is limited by the physical size of the tablet or capsule. In the specific case of antiviral drugs, large doses are often used to maintain high blood content APIs to reduce the risk of developing resistant populations. A dose of up to 1500 mg (Ib: R7128) of BID and QID has been used in recent trials. (S. Le Pogam et al., "Evidence of R7128 Drug Resistance After Up To 4 Weeks Treatment of GT1, 2 and 3 Hepatitis C Virus Infected Individuals", 44th Annual Meeting of the European Association for the Study of the Liver (EASL), Copenhagen, Denmark, April 22-4, 26, 2009).

Ib為一種抑制HCV複製之HCV聚合酶抑制劑及當前正進行II階段試驗。(B.-K. Chun等人,於2007年6月14日刊出之WO 2007065829,其全文係以引用之方式併入本文)。Ib具有可變體積密度,需添加賦形劑及大量處理以製造粉末,其中該體積密度足以用於製錠機中。Ib is an HCV polymerase inhibitor that inhibits HCV replication and is currently undergoing Phase II trials. (B.-K. Chun et al., WO 2007065829, issued Jun. 14, 2007, the entire disclosure of which is incorporated herein by reference. Ib has a variable bulk density, requires the addition of excipients and extensive processing to produce a powder, wherein the bulk density is sufficient for use in a tablet machine.

抗病毒療法通常採用多藥物處理方案及在此等狀況下,若組分可組合於單錠劑或膠囊中或若可最大程度地降低所需錠劑數量,則可提高遵醫囑性。HCV蛋白酶抑制劑II(R7227)(L. Blatt等人,於2005年4月15日刊出之WO 2005/037214,其全文係以引用之方式併入本文)抑制HCV複製。然而,II展示不佳的固有溶解度及溶解性(固有溶解度為0.004 mg/mL)。II(批號:TXMH001)之固有溶解速率係在不含胰酶之pH 7.4模擬胃液(SIF)中確定及發現為0.14 mg.cm-2min-1時難以壓縮成錠劑。Ib(0.18 mg/mL)及II之有限溶解度限制口服生物利用率。Ib為Ia之前藥(J. Clark,於2005年1月13日刊出之WO2005003147 A3,其全文係以引用之方式併入本文)。Ib較母核苷Ia(水溶解度:60 mg/mL)具有較佳消化道膜滲透性但較差溶解度,但腸滲透性增強。較低水溶解度限制輸送通過GI膜可得的API溶解量。Antiviral therapies typically employ a multi-drug treatment regimen and, under such conditions, can be improved if the components can be combined in a single tablet or capsule or if the desired amount of tablet is minimized. HCV Protease Inhibitor II (R7227) (L. Blatt et al., WO 2005/037214, filed on Apr. 15, 2005, the entire disclosure of which is incorporated herein by reference). However, II exhibited poor intrinsic solubility and solubility (intrinsic solubility of 0.004 mg/mL). The intrinsic dissolution rate of II (batch number: TXMH001) was determined to be difficult to compress into tablets when it was determined to be 0.14 mg.cm -2 min -1 in pH 7.4 simulated gastric juice (SIF) without trypsin. The limited solubility of Ib (0.18 mg/mL) and II limits oral bioavailability. Ib is a prodrug of Ia (J. Clark, WO2005003147 A3, issued Jan. 13, 2005, the entire disclosure of which is incorporated herein by reference). Ib has better digestive membrane permeability but poor solubility than parent nucleoside Ia (water solubility: 60 mg/mL), but intestinal permeability is enhanced. Lower water solubility limits the amount of API dissolved that can be delivered through the GI membrane.

現已出人意料地發現Ia可在固體口服HCV調配物中用作水溶性填料,從而替代惰性賦形劑以提供更小錠劑及改良之可製造性,同時導致更高全身濃度之HCV聚合酶。It has now surprisingly been found that Ia can be used as a water soluble filler in solid oral HCV formulations to replace inert excipients to provide smaller tablets and improved manufacturability while resulting in higher systemic concentrations of HCV polymerase.

如文中所用,以下術語具有下列闡明之意思。As used herein, the following terms have the meanings set forth below.

術語「API」表示活性醫藥成份。The term "API" means an active pharmaceutical ingredient.

術語「賦形劑」表示用作活性醫藥成份之載劑的惰性物質。賦形劑可用來促進活性醫藥成份之吸收、脹大調配物以助於製造或助於穩定活性醫藥成份。賦形劑之非限制性說明性實例包括抗黏劑、黏合劑、塗佈劑、崩解劑、填料/稀釋劑、香料及色素、助流劑、潤滑劑、防腐劑、吸附劑及甜味劑。The term "excipient" means an inert substance used as a carrier for an active pharmaceutical ingredient. Excipients can be used to promote absorption of the active pharmaceutical ingredient, swelling the formulation to aid in the manufacture or aid in stabilizing the active pharmaceutical ingredient. Non-limiting illustrative examples of excipients include anti-adhesives, binders, coating agents, disintegrants, fillers/diluents, perfumes and pigments, glidants, lubricants, preservatives, adsorbents, and sweeteners. Agent.

文中所用之術語「稀釋劑」或「填料」表示為調節體積以製造實際壓縮大小所添加之惰性賦形劑。一般稀釋劑包括磷酸二鈣、硫酸鈣、乳糖、纖維素、高嶺土、甘露醇、氯化鈉澱粉及粉末狀糖。足量之稀釋劑(諸如甘露醇、乳糖、山梨糖醇、蔗糖及肌醇)有助於錠劑崩解並常用於可咀嚼錠劑中。微晶纖維素()在濕式製粒及直接壓縮調配物中用作賦形劑。As used herein, the term "diluent" or "filler" is used to mean the inert excipient added to adjust the volume to produce the actual compressed size. Typical diluents include dicalcium phosphate, calcium sulfate, lactose, cellulose, kaolin, mannitol, sodium chloride starch, and powdered sugar. A sufficient amount of diluent, such as mannitol, lactose, sorbitol, sucrose, and inositol, aids in the disintegration of the tablet and is commonly used in chewable tablets. Microcrystalline cellulose Used as an excipient in wet granulation and direct compression formulations.

文中所用之術語「黏合劑」表示為賦予粉末黏結性以使壓縮錠劑保持其完整性所添加之賦形劑。常用作黏合劑之物質包括澱粉、明膠及糖,諸如蔗糖、葡萄糖、右旋糖、糖蜜及乳糖。一些調配物中亦可使用天然及合成樹膠用作黏合劑,包括阿拉伯膠、藻酸鈉、決明子(panwar)樹膠、茄替(ghatti)樹膠、羧甲基纖維素、甲基纖維素、聚乙烯吡咯啶酮、乙基纖維素及羥丙基甲基纖維素。The term "binder" as used herein is used to mean an excipient that is added to impart viscosity to the powder to maintain its integrity. Substances commonly used as binders include starch, gelatin and sugars such as sucrose, glucose, dextrose, molasses and lactose. Natural and synthetic gums can also be used as binders in some formulations, including gum arabic, sodium alginate, panwar gum, ghatti gum, carboxymethylcellulose, methylcellulose, polyethylene. Pyrrolidone, ethyl cellulose and hydroxypropyl methylcellulose.

如本文所使用之術語「潤滑劑」係指為防止錠劑材料黏附至染料及衝頭表面所添加之賦形劑。常用潤滑劑包括滑石、硬脂酸鎂、硬脂酸鈣、硬脂酸、氫化植物油及PEG。水溶性潤滑劑包括苯甲酸鈉、苯甲酸鈉與乙酸鈉之混合物、氯化鈉、亮胺酸及Carbowax 4000。The term "lubricant" as used herein refers to an excipient added to prevent the tablet material from sticking to the dye and the surface of the punch. Commonly used lubricants include talc, magnesium stearate, calcium stearate, stearic acid, hydrogenated vegetable oil, and PEG. Water soluble lubricants include sodium benzoate, mixtures of sodium benzoate and sodium acetate, sodium chloride, leucine and Carbowax 4000.

如本文所使用之術語「助流劑」係指為改良錠劑粉末之流動特性所添加之賦形劑。膠體二氧化矽()係一種常見助流劑。滑石可用作潤滑劑/助流劑組合。The term "glidant" as used herein refers to an excipient added to improve the flow characteristics of a tablet powder. Colloidal cerium oxide Is a common glidant. Talc can be used as a lubricant/glidant combination.

如本文所使用之術語「崩解劑」係指為投與後促進破裂或崩解所添加之賦形劑。乾粉狀玉米澱粉或馬鈴薯澱粉係常見崩解劑。其等具有高水親和力且潤濕時會膨脹,導致錠劑破裂。稱為超級崩解劑之材料群包括交聯羧甲基纖維素鈉、交聯纖維素、交聯聚維酮、交聯聚合物及澱粉羥乙酸鈉、交聯澱粉。交聯聚維酮()係一種合成、不可溶、但可快速膨脹之交聯N-乙烯基-吡咯啶酮均聚物。The term "disintegrant" as used herein refers to an excipient that is added to promote rupture or disintegration after administration. Dry powdered corn starch or potato starch is a common disintegrant. They have a high water affinity and swell when wet, causing the tablet to rupture. A material group called a super disintegrant includes croscarmellose sodium, crosslinked cellulose, crospovidone, crosslinked polymer, and sodium starch glycolate, crosslinked starch. Cross-linked povidone Is a synthetic, insoluble, but rapidly expandable crosslinked N-vinyl-pyrrolidone homopolymer.

術語「醫藥可接受」,如醫藥可接受載劑、賦形劑等,意指對接受投與特定化合物之個體而言,係醫藥上可接受且實質上無毒性。The term "pharmaceutically acceptable", such as a pharmaceutically acceptable carrier, excipient, and the like, is meant to be pharmaceutically acceptable and substantially non-toxic to the individual to whom the particular compound is administered.

術語「醫藥可接受鹽」係指保留本發明化合物之生物有效性及性質且由適宜無毒性有機或無機酸或有機或無機鹼形成之習知酸加成鹽或鹼加成鹽。酸加成鹽樣品包括彼等自諸如鹽酸、氫溴酸、氫碘酸、硫酸、胺基磺酸、磷酸及硝酸之無機酸獲得者,及彼等自諸如對甲苯磺酸、水楊酸、甲磺酸、草酸、琥珀酸、檸檬酸、蘋果酸、乳酸、富馬酸及類似者之有機酸獲得者。鹼加成鹽樣品包括自銨、鉀、鈉及四級銨氫氧化物(如,例如,四甲基氫氧化銨)獲得之彼等物。使醫藥化合物(即,藥物)化學改質成鹽係醫藥化學家熟知的一項技術以獲得改良之化合物物理及化學穩定性、吸濕性及溶解性。參見,例如,H. Ansel等人,Pharmaceutical Dosage Forms and Drug Delivery Systems(第6版,1995)第196頁及1456-1457。The term "pharmaceutically acceptable salts" refers to conventional acid addition or base addition salts which retain the biological effectiveness and properties of the compounds of the invention and which are formed from suitable non-toxic organic or inorganic acids or organic or inorganic bases. Acid addition salt samples include those derived from inorganic acids such as hydrochloric acid, hydrobromic acid, hydroiodic acid, sulfuric acid, aminosulfonic acid, phosphoric acid, and nitric acid, and such as from p-toluenesulfonic acid, salicylic acid, A winner of organic acids of methanesulfonic acid, oxalic acid, succinic acid, citric acid, malic acid, lactic acid, fumaric acid, and the like. Base addition salt samples include those obtained from ammonium, potassium, sodium, and quaternary ammonium hydroxides such as, for example, tetramethylammonium hydroxide. Chemically modifying a pharmaceutical compound (ie, a drug) into a technique well known to salt medicinal chemists to obtain improved physical and chemical stability, hygroscopicity, and solubility of the compound. See, for example, H. Ansel et al., Pharmaceutical Dosage Forms and Drug Delivery Systems (6th Ed., 1995) at pages 196 and 1456-1457.

術語「前藥」表示轉變後展示其藥理作用之化合物。為克服醫藥問題之藥物化學改質亦稱為「藥物潛化」。藥物潛化為生物活性化合物之化學改質,以形成新穎化合物,其將在體內釋放母體化合物。母體化合物之化學改變使物化性質之改變會影響吸收、分佈及酶代謝。術語前藥、潛化藥物及生物可逆衍生物可互換使用。術語前藥為藥劑通稱,其在體內轉變後展示其藥理作用。The term "prodrug" means a compound that exhibits its pharmacological action after conversion. The medicinal chemical modification to overcome medical problems is also known as "drug potential." The drug is submerged into a chemical modification of the biologically active compound to form a novel compound that will release the parent compound in vivo. Chemical changes in the parent compound cause changes in physicochemical properties that affect absorption, distribution, and enzymatic metabolism. The terms prodrug, latent drug, and bioreversible derivative are used interchangeably. The term prodrug is a generic term for a drug that exhibits its pharmacological effects upon transformation in vivo.

術語「粒外」表示添加至Ia及Ib、II或III及黏合劑之熱熔或濕顆粒混合物(即,第一顆粒組份)中之錠劑成份。然而,明晰起見,錠劑或膠囊可包含一種以上的顆粒組份。The term "extragranular" means the tablet component of a hot melt or wet particulate mixture (i.e., the first particulate component) added to Ia and Ib, II or III and a binder. However, for the sake of clarity, the tablet or capsule may contain more than one particulate component.

在本發明之一實施例中,提供一種包括含有4-胺基-1-((2R,3R,4R,5R)-3-氟-4-羥基-5-羥甲基-3-甲基-四氫呋喃-2-基)-1H-嘧啶-2-酮(Ia)及至少一種選自由下列組成之群之額外醫藥活性抗病毒成份及黏合劑之第一顆粒組份之固體口服錠劑或膠囊組合物:4-氟-1,3-二氫-異吲哚-2-羧酸(Z)-(1S,4R,6S,14S,18R)-14-第三丁氧基羰基胺基-4-環丙烷磺醯基胺基羰基-2,15-二側氧基-3,16-二氮雜-三環[14.3.0.04,6]十九-7-烯-18-基酯(II)、異丁酸(2R,3R,4R,5R)-5-(4-胺基-2-側氧基-2H-嘧啶-1-基)-4-氟-2-異丁醯氧基甲基-4-甲基-四氫呋喃-3-基酯(Ib)或異丁酸(2R,3S,4R,5R)-5-(4-胺基-2-側氧基-2H-嘧啶-1-基)-2-疊氮基-3,4-雙異丁醯氧基-四氫呋喃-2-基甲基酯(III)。In one embodiment of the invention, there is provided a method comprising 4-amino-1-((2R,3R,4R,5R)-3-fluoro-4-hydroxy-5-hydroxymethyl-3-methyl- Solid oral lozenge or capsule combination of tetrahydrofuran-2-yl)-1H-pyrimidin-2-one (Ia) and at least one additional pharmaceutically active antiviral component selected from the group consisting of the first granule component of a binder and a first granule component of a binder Compound: 4-fluoro-1,3-dihydro-isoindole-2-carboxylic acid (Z)-(1S,4R,6S,14S,18R)-14-t-butoxycarbonylamino-4- Cyclopropanesulfonylaminocarbonyl-2,15-di-oxy-3,16-diaza-tricyclo[14.3.0.0 4,6 ]19--7-en-18-yl ester (II) Isobutyric acid (2R,3R,4R,5R)-5-(4-amino-2-oxo-2H-pyrimidin-1-yl)-4-fluoro-2-isobutyloxymethyl 4-methyl-tetrahydrofuran-3-yl ester (Ib) or isobutyric acid (2R, 3S, 4R, 5R)-5-(4-amino-2-yloxy-2H-pyrimidin-1-yl 2-azido-3,4-bisisobutyloxy-tetrahydrofuran-2-ylmethyl ester (III).

在本發明之第二實施例中,提供一種包括含有4-胺基-1-((2R,3R,4R,5R)-3-氟-4-羥基-5-羥甲基-3-甲基-四氫呋喃-2-基)-1H-嘧啶-2-酮(Ia)(其中,該額外醫藥活性抗病毒成份為(II))及黏合劑之顆粒之固體口服錠劑或膠囊組合物。In a second embodiment of the invention, there is provided a process comprising 4-amino-1-((2R,3R,4R,5R)-3-fluoro-4-hydroxy-5-hydroxymethyl-3-methyl A solid oral lozenge or capsule composition of granules of tetrahydrofuran-2-yl)-1H-pyrimidin-2-one (Ia) wherein the additional pharmaceutically active antiviral component is (II) and a binder.

在本發明之第三實施例中,提供一種包括含有4-胺基-1-((2R,3R,4R,5R)-3-氟-4-羥基-5-羥甲基-3-甲基-四氫呋喃-2-基)-1H-嘧啶-2-酮(Ia)(其中,該額外醫藥活性抗病毒成份為(II))及泊洛沙姆(poloxomer)作為黏合劑之顆粒之固體口服錠劑或膠囊組合物。In a third embodiment of the present invention, there is provided a method comprising 4-amino-1-((2R,3R,4R,5R)-3-fluoro-4-hydroxy-5-hydroxymethyl-3-methyl a solid oral ingot of tetrahydrofuran-2-yl)-1H-pyrimidin-2-one (Ia) (wherein the additional pharmaceutically active antiviral component is (II)) and poloxomer as a binder particle Agent or capsule composition.

在本發明之第四實施例中,提供一種固體口服錠劑或膠囊組合物,其中該第一顆粒組份包括20-40% wt/wt之II、40至60% wt/wt之Ia及15-30% wt/wt之泊洛沙姆188。In a fourth embodiment of the present invention, there is provided a solid oral lozenge or capsule composition, wherein the first particulate component comprises 20-40% wt/wt II, 40 to 60% wt/wt Ia and 15 -30% wt/wt of poloxamer 188.

在本發明之第五實施例中,提供一種固體口服錠劑或膠囊組合物,其中該第一顆粒組份包括25-30% wt/wt之II、50至60% wt/wt之Ia及17-23% wt/wt之泊洛沙姆188。In a fifth embodiment of the present invention, there is provided a solid oral lozenge or capsule composition, wherein the first particulate component comprises 25-30% wt/wt II, 50 to 60% wt/wt Ia and 17 -23% wt/wt of poloxamer 188.

在本發明之第六實施例中,提供一種固體口服錠劑或膠囊組合物,其中該第一顆粒組份包括27% wt/wt之II、53% wt/wt之Ia及20% wt/wt之泊洛沙姆188。In a sixth embodiment of the present invention, there is provided a solid oral lozenge or capsule composition, wherein the first particulate component comprises 27% wt/wt II, 53% wt/wt Ia and 20% wt/wt Polosham 188.

在本發明之第七實施例中,提供一種包括含有4-胺基-1-((2R,3R,4R,5R)-3-氟-4-羥基-5-羥甲基-3-甲基-四氫呋喃-2-基)-1H-嘧啶-2-酮(Ia)、(II)及泊洛沙姆之第一顆粒組分及含有第三抗病毒化合物及至少一種額外稀釋劑、載劑及/或賦形劑之第二顆粒組份之固體口服錠劑或膠囊組合物。In a seventh embodiment of the present invention, there is provided a method comprising 4-amino-1-((2R,3R,4R,5R)-3-fluoro-4-hydroxy-5-hydroxymethyl-3-methyl a first particulate component of -tetrahydrofuran-2-yl)-1H-pyrimidin-2-one (Ia), (II) and poloxamer and comprising a third antiviral compound and at least one additional diluent, carrier and / or a solid oral lozenge or capsule composition of the second granule component of the excipient.

在本發明之第八實施例中,提供一種包括含有4-胺基-1-((2R,3R,4R,5R)-3-氟-4-羥基-5-羥甲基-3-甲基-四氫呋喃-2-基)-1H-嘧啶-2-酮(Ia)、(II)及泊洛沙姆之顆粒之固體口服錠劑或膠囊組合物及粒外組份進一步包括Ib及至少一種額外稀釋劑、載劑及/或賦形劑。In an eighth embodiment of the present invention, there is provided a method comprising 4-amino-1-((2R,3R,4R,5R)-3-fluoro-4-hydroxy-5-hydroxymethyl-3-methyl Solid oral lozenges or capsule compositions and extragranular components of granules of tetrahydrofuran-2-yl)-1H-pyrimidin-2-one (Ia), (II) and poloxamer further comprising Ib and at least one additional Diluent, carrier and/or excipient.

在本發明之第九實施例中,提供一種包括191 mg含有53%(Ia)、27%(II)及20%泊洛沙姆188之顆粒之固體口服錠劑或膠囊組合物及粒外組份進一步包括449 mg(Ib)、15 mg交聯羧甲纖維素鈉、18 mg微晶纖維素(PH102)、20 mg滑石及7 mg硬脂基富馬酸鈉。In a ninth embodiment of the present invention, there is provided a solid oral lozenge or capsule composition comprising 191 mg of granules containing 53% (Ia), 27% (II) and 20% poloxamer 188 and an extragranular group The preparation further comprises 449 mg (Ib), 15 mg of croscarmellose sodium, 18 mg of microcrystalline cellulose (pH 102), 20 mg of talc and 7 mg of sodium stearyl fumarate.

在本發明之第十實施例中,提供一種包括含有(Ia)(其中該額外醫藥活性抗病毒成份為(III))及黏合劑之顆粒之固體口服錠劑或膠囊組合物。In a tenth embodiment of the present invention, there is provided a solid oral lozenge or capsule composition comprising granules comprising (Ia) wherein the additional pharmaceutically active antiviral component is (III) and a binder.

在本發明之第十一實施例中,提供一種包括含有4-胺基-1-((2R,3R,4R,5R)-3-氟-4-羥基-5-羥甲基-3-甲基-四氫呋喃-2-基)-1H-嘧啶-2-酮(Ia)及至少一種額外醫藥活性抗病毒成份及黏合劑之第一顆粒組份之固體口服錠劑或膠囊組合物。In an eleventh embodiment of the present invention, there is provided a method comprising 4-amino-1-((2R,3R,4R,5R)-3-fluoro-4-hydroxy-5-hydroxymethyl-3-methyl Solid oral lozenge or capsule composition of the first granule component of benzyl-tetrahydrofuran-2-yl)-1H-pyrimidin-2-one (Ia) and at least one additional pharmaceutically active antiviral component and binder.

在本發明之第十二實施例中,提供一種包括含有4-胺基-1-((2R,3R,4R,5R)-3-氟-4-羥基-5-羥甲基-3-甲基-四氫呋喃-2-基)-1H-嘧啶-2-酮(Ia)及至少一種額外醫藥活性抗病毒成份及泊洛沙姆作為黏合劑之第一顆粒組份之固體口服錠劑或膠囊組合物。In a twelfth embodiment of the present invention, there is provided a method comprising 4-amino-1-((2R,3R,4R,5R)-3-fluoro-4-hydroxy-5-hydroxymethyl-3-methyl Solid oral lozenge or capsule combination of base-tetrahydrofuran-2-yl)-1H-pyrimidin-2-one (Ia) and at least one additional pharmaceutically active antiviral component and poloxamer as the first granule component of the binder Things.

下列實例說明本發明範圍內之固體錠劑及膠囊之製備。提供下列該等實例及製法以使擅長該項技術者更清晰地理解及實踐本發明。其不應視為限制本發明之範圍,而僅視為說明及代表。技術熟練之醫藥科學家應意識到賦形劑、稀釋劑及載劑可互換使用及此等變化不會脫離本發明之精神。The following examples illustrate the preparation of solid tablets and capsules within the scope of the invention. The following examples and methods are provided to enable those skilled in the art to more clearly understand and practice the invention. They are not to be considered as limiting the scope of the invention, A skilled medical scientist will recognize that the excipients, diluents, and carriers are used interchangeably and that such changes do not depart from the spirit of the invention.

實例1Example 1 包含HCV蛋白酶抑制劑II及HCV聚合酶抑制劑Ia之熱熔顆粒錠劑Hot melt granule lozenge comprising HCV protease inhibitor II and HCV polymerase inhibitor Ia

熔融成份首先利用Turbula混合器摻合及隨後熔融並利用美國莱斯特瑞兹型號微-18/62/40D擠壓機(American Leistritz model Micro-18/62/40D extruder)擠壓。擠壓物利用研磨機研磨以通過18篩網。將擠壓物顆粒與具有下列組成之粒外賦形劑摻合:The molten components were first blended with a Turbula mixer and subsequently melted and extruded using a US Leistritz model Micro-18/62/40D extruder. The extrudate was ground using a grinder to pass through a 18 mesh screen. The extrudate particles are blended with an extragranular excipient having the following composition:

利用Carver壓力機,以2000 lbs、0秒駐留時間及尺寸約0.304"×0.576"之扁圓凹衝頭,由包含各熱熔顆粒之粉末摻合物製備錠劑。來自不同批次擠壓物之代表性錠劑重達471及436 mg並分別包含92及93 mg II及100及196 mg Ia。A tablet was prepared from a powder blend containing each of the hot melt particles using a Carver press with an embossing punch of 2000 lbs, 0 seconds dwell time and a size of about 0.304" x 0.576". Representative tablets from different batches of extrudate weighed 471 and 436 mg and contained 92 and 93 mg II and 100 and 196 mg Ia, respectively.

實例2Example 2

包含HCV蛋白酶抑制劑II及HCV聚合酶抑制劑Ia及Ib之熱熔顆粒錠劑Hot melt granule lozenge comprising HCV protease inhibitor II and HCV polymerase inhibitors Ia and Ib

II b之濕式製粒b wet granulation

Ib之顆粒係利用Turbula混合器藉由摻合乾燥成份而製備。滴加水並利用刮勺混合直至獲得滿意的顆粒。顆粒在50℃下乾燥21小時,冷卻並利用研缽及研杵研磨以通過20篩網。The particles of Ib were prepared by blending dry ingredients using a Turbula mixer. Water was added dropwise and mixed with a spatula until satisfactory particles were obtained. The granules were dried at 50 ° C for 21 hours, cooled and ground using a mortar and pestle to pass through a 20 mesh screen.

兩種不同II/Ia/Ib組合錠劑調配物係藉由摻合兩種不同II/Ia顆粒與Ib顆粒及粒外賦形劑製備。利用Carver壓力機,以2000 lbs、0秒駐留時間及尺寸約0.328"×0.619"之扁圓凹衝頭製備錠劑。Two different II/Ia/Ib combination lozenge formulations were prepared by blending two different II/Ia particles with Ib particles and extragranular excipients. Tablets were prepared using a Carver press at 2000 lbs, 0 second dwell time, and an oblate circular punch having a size of about 0.328" x 0.619".

實例3Example 3 III與Ia組合之錠劑Lozenges in combination with III and Ia

熔融成份首先利用Turbula混合器摻合及隨後熔融並利用美國莱斯特瑞兹型號微-18/62/40D擠壓機(American Leistritz model Micro-18/62/40D extruder)擠壓。研磨擠壓物以通過18篩網。隨後將擠壓物顆粒與粒外賦形劑摻合。The molten components were first blended with a Turbula mixer and subsequently melted and extruded using a US Leistritz model Micro-18/62/40D extruder. The extrudate was ground to pass through a 18 mesh screen. The extrudate particles are then blended with the extragranular excipients.

製備包括0 mg(對照)、77 mg及177 mg Ia之三份500 mg III(呈游離鹼)錠劑調配物。錠劑組成列於下表中。藉由在一調配物中以Ia替代粒外甘露醇產生Ia之最高負載量。利用Carver壓力機,以2000 lbs、0秒駐留時間及尺寸約0.325"×0.7874"之改質之膠囊型凹衝頭製備錠劑。Three 500 mg III (as free base) lozenge formulations including 0 mg (control), 77 mg, and 177 mg Ia were prepared. Tablet compositions are listed in the table below. The highest loading of Ia is produced by replacing the extragranular mannitol with Ia in a formulation. Tablets were prepared using a Carver press with a modified capsule type concave punch of 2000 lbs, 0 second residence time and a size of approximately 0.325" x 0.7874".

實例4Example 4

包含Ib及Ia作為填料替代微晶纖維素之組合物之濕式製粒Wet granulation comprising a composition of Ib and Ia as a filler in place of microcrystalline cellulose

稱取6 g批量大小之粒內成份。將API與粒內交聯羧甲纖維素鈉摻合在一起並轉移至瑪瑙研缽及研杵。將聚維酮K30及月桂基硫酸鈉溶於1.8 g製粒流體中,加入API摻合物中並利用研缽及研杵混合。將濕顆粒轉移至盤中並50℃乾燥過夜。研磨乾燥顆粒通過18篩網並稱重。Weigh 6 g batch size of the granules. The API was blended with intragranular croscarmellose sodium and transferred to an agate mortar and pestle. Povidone K30 and sodium lauryl sulfate were dissolved in 1.8 g of granulation fluid, added to the API blend and mixed using a mortar and pestle. The wet granules were transferred to a pan and dried overnight at 50 °C. The dried particles were ground through a 18 mesh and weighed.

使粒外膠體二氧化矽及硬脂酸鎂通過30篩網,然後分配至各組中。將除硬脂酸鎂之外的所有粒外賦形劑添加至研磨乾燥顆粒中並Turbula混合器混合2分鐘。然後將硬脂酸鎂添加至粉末摻合物中並Turbula混合器另混合2分鐘。The extragranular colloidal cerium oxide and magnesium stearate were passed through a 30 mesh screen and then distributed to each group. All extragranular excipients except magnesium stearate were added to the mill dried granules and mixed for 2 minutes in a Turbula mixer. Magnesium stearate was then added to the powder blend and the Turbula mixer was mixed for an additional 2 minutes.

實例5Example 5 溶解測試Dissolution test

HCV組合錠劑之溶解測試係在具有蠕動泵及Vankel VK8000取樣台之Vankel VK7000溶解系統中進行。使用具有10 μm截止值之Varian過濾器。50 RPM下之取樣時間為10、20、30、45及60 min,然後250 RPM下之15 min最終自旋。在各時間點收集5 mL樣本體積並進行60秒清除及吹掃,然後收集樣本。溶解媒介為1 L 20 mM磷酸鹽緩衝液(pH 6.8,利用氦氣脫氣,維持在37℃)。The dissolution test of the HCV combination tablet was carried out in a Vankel VK7000 dissolution system with a peristaltic pump and a Vankel VK8000 sampling station. A Varian filter with a cutoff of 10 μm was used. The sampling time at 50 RPM was 10, 20, 30, 45, and 60 min, followed by a final spin at 15 RPM for 15 min. A 5 mL sample volume was collected at each time point and purged and purged for 60 seconds, and the samples were collected. The dissolution medium was 1 L of 20 mM phosphate buffer (pH 6.8, degassed with helium, maintained at 37 ° C).

利用4.6×100 mm Mac Mod Analytical,Halo C18(2.7 μm)以HPLC分析進行樣本分析,以下列梯度洗脫同時保持樣本及柱在37℃。流率為1.5 mL/min。操作時間為5 min,其中2 min重新平衡。Sample analysis was performed by HPLC analysis using 4.6 x 100 mm Mac Mod Analytical, Halo C18 (2.7 μm), eluting with the following gradient while maintaining the sample and column at 37 °C. The flow rate was 1.5 mL/min. The operating time was 5 min, of which 2 min was rebalanced.

圖1a及1b包括釋放之標準化數據,表明Ia及II分別自如實例1中所述而製備之顆粒之有效釋放。Figures 1a and 1b include normalized data for release indicating the effective release of particles prepared by Ia and II, respectively, as described in Example 1.

於上文中或以下專利申請範圍中所揭示,以其等具體形式或實施所揭示功能的方式,或用於獲得所揭示結果之方法或製程表示之特徵視情況可單獨地或以此等特徵之任何組合形式用於實現本發明之多種形式。The features disclosed in the above or in the following patent applications, in the form of their specific forms or implementations of the disclosed functions, or the methods or process representations used to obtain the disclosed results, may be individually or in accordance with the features. Any combination is used to implement the various forms of the invention.

為簡明及理解之目的,上文已藉由說明及實例在一定程度上具體闡述。對於熟習本項技術者,顯然,可在附接專利申請範圍內實施改變及修改。因此,應理解,以上論述趨於說明而非限制。因此,本發明之範圍不應由以上論述決定,而應由附接技術方案及此等技術方案之等效內容的全部範圍來決定。For the purposes of brevity and understanding, the foregoing has been explained in some detail by way of illustration and example. It will be apparent to those skilled in the art that changes and modifications can be implemented within the scope of the attached patent application. Therefore, it should be understood that the above discussion is intended to be illustrative rather than limiting. Therefore, the scope of the invention should not be determined by the above description, but should be determined by the full scope of the attached technical solutions and equivalents of such technical solutions.

文中參考之專利、出版申請案及科學文獻確立擅長該項技術者之知識並以引用之方式全文併入,該引用程度就如同特定地及個別地以引用之方式併入一般。任何文中所引之參考與該說明之特定教示之間之任何衝突係以有利於後者來解決。同樣地,詞語或習語之技術上理解之定義與該說明中特定教示之詞語或習語之定義之間之任何衝突係以有利於後者來解決。The patents, publications, and scientific literature referenced herein are incorporated by reference in their entirety to the extent of the disclosure of the disclosures of Any conflict between any reference cited in the text and the specific teachings of the description is intended to facilitate the latter. Similarly, any conflict between the definition of a technical understanding of a word or idiom and the definition of a particular teaching or idiom in that description is intended to facilitate the latter.

圖1a描繪Ia自包括含有Ia及Ib之顆粒之錠劑中釋放之結果。Figure 1a depicts the results of the release of Ia from a lozenge comprising particles comprising Ia and Ib.

圖1b描繪II自包括含有Ia及Ib之顆粒之錠劑中釋放之結果。Figure 1b depicts the results of II release from a lozenge comprising particles comprising Ia and Ib.

(無元件符號說明)(no component symbol description)

Claims (13)

一種固體口服錠劑或膠囊組合物,其包括含有4-胺基-1-((2R,3R,4R,5R)-3-氟-4-羥基-5-羥甲基-3-甲基-四氫呋喃-2-基)-1H-嘧啶-2-酮(Ia)及至少一種選自由下列組成之群之額外醫藥活性抗病毒成份及黏合劑之第一顆粒組分:4-氟-1,3-二氫-異吲哚-2-羧酸(Z)-(1S,4R,6S,14S,18R)-14-第三丁氧基羰基胺基-4-環丙烷磺醯基胺基羰基-2,15-二側氧基-3,16-二氮雜-三環[14.3.0.04,6]十九-7-烯-18-基酯(II)、異丁酸(2R,3R,4R,5R)-5-(4-胺基-2-側氧基-2H-嘧啶-1-基)-4-氟-2-異丁醯氧基甲基-4-甲基-四氫呋喃-3-基酯(Ib)或異丁酸(2R,3S,4R,5R)-5-(4-胺基-2-側氧基-2H-嘧啶-1-基)-2-疊氮基-3,4-雙異丁醯氧基-四氫呋喃-2-基甲基酯(III) A solid oral lozenge or capsule composition comprising 4-amino-1-((2R,3R,4R,5R)-3-fluoro-4-hydroxy-5-hydroxymethyl-3-methyl- a first granule component of tetrahydrofuran-2-yl)-1H-pyrimidin-2-one (Ia) and at least one additional pharmaceutically active antiviral component and binder selected from the group consisting of 4-fluoro-1,3 -Dihydro-isoindole-2-carboxylic acid (Z)-(1S,4R,6S,14S,18R)-14-t-butoxycarbonylamino-4-cyclopropanesulfonylaminocarbonyl- 2,15-di-oxy-3,16-diaza-tricyclo[14.3.0.0 4,6 ]dodec-7-en-18-yl ester (II), isobutyric acid (2R, 3R, 4R,5R)-5-(4-Amino-2-oxo-2H-pyrimidin-1-yl)-4-fluoro-2-isobutyloxymethyl-4-methyl-tetrahydrofuran-3 -yl ester (Ib) or isobutyric acid (2R,3S,4R,5R)-5-(4-amino-2-oxo-2H-pyrimidin-1-yl)-2-azido-3 ,4-bisisobutyloxy-tetrahydrofuran-2-ylmethyl ester (III) 如請求項1之組合物,其中該額外醫藥活性抗病毒成份為(II)。The composition of claim 1, wherein the additional pharmaceutically active antiviral component is (II). 如請求項2之組合物,其進一步包括泊洛沙姆(poloxamer)。The composition of claim 2, further comprising a poloxamer. 如請求項3之組合物,其中該第一顆粒組份包括20-40% wt/wt之II、40至60% wt/wt之Ia及15-30% wt/wt之泊洛沙姆188。The composition of claim 3, wherein the first particulate component comprises 20-40% wt/wt II, 40 to 60% wt/wt Ia, and 15-30% wt/wt poloxamer 188. 如請求項3之組合物,其中該第一顆粒組份包括25-30% wt/wt之II、50至60% wt/wt之Ia及17-23% wt/wt之泊洛沙姆188。The composition of claim 3, wherein the first particulate component comprises 25-30% wt/wt II, 50 to 60% wt/wt Ia, and 17-23% wt/wt poloxamer 188. 如請求項5之組合物,其中該第一顆粒組份包括27% wt/wt之II、53% wt/wt之Ia及20% wt/wt之泊洛沙姆188。The composition of claim 5, wherein the first particulate component comprises 27% wt/wt II, 53% wt/wt Ia, and 20% wt/wt poloxamer 188. 如請求項3之組合物,其進一步包括含有第三抗病毒化合物及至少一種額外稀釋劑、載劑及/或賦形劑之第二顆粒組份。The composition of claim 3, further comprising a second particulate component comprising a third antiviral compound and at least one additional diluent, carrier and/or excipient. 如請求項7之組合物,其中該第三抗病毒化合物為如式Ib之化合物。The composition of claim 7, wherein the third antiviral compound is a compound of formula Ib. 如請求項8之組合物,該組合物包括: The composition of claim 8 which comprises: 如請求項1之組合物,其中該額外醫藥活性抗病毒成份為異丁酸(2R,3S,4R,5R)-5-(4-胺基-2-側氧基-2H-嘧啶-1-基)-2-疊氮基-3,4-雙異丁醯氧基-四氫呋喃-2-基甲基酯(III)。The composition of claim 1, wherein the additional pharmaceutically active antiviral component is isobutyric acid (2R, 3S, 4R, 5R)-5-(4-amino-2-oxo-2H-pyrimidin-1- 2-Azido-3,4-bisisobutyloxy-tetrahydrofuran-2-ylmethyl ester (III). 一種包括第一顆粒組份之固體口服錠劑或膠囊組合物,其包含4-胺基-1-((2R,3R,4R,5R)-3-氟-4-羥基-5-羥甲基-3-甲基-四氫呋喃-2-基)-1H-嘧啶-2-酮(Ia)及至少一種額外醫藥活性抗病毒成份及黏合劑。A solid oral lozenge or capsule composition comprising a first particulate component comprising 4-amino-1-((2R,3R,4R,5R)-3-fluoro-4-hydroxy-5-hydroxymethyl 3-methyl-tetrahydrofuran-2-yl)-1H-pyrimidin-2-one (Ia) and at least one additional pharmaceutically active antiviral component and binder. 如請求項11之固體口服錠劑或膠囊組合物,其中該黏合劑為泊洛沙姆。The solid oral lozenge or capsule composition of claim 11, wherein the binder is a poloxamer. 一種以如請求項1至12中之任一項之組合物於製造用於治療HCV感染之藥物的用途。Use of a composition according to any one of claims 1 to 12 for the manufacture of a medicament for the treatment of HCV infection.
TW100140577A 2010-11-09 2011-11-07 Pharmaceutical compositions for treating HCV infections TW201300106A (en)

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