Title of Invention

CRYSTALLINE ANTIFUNGAL POLYMORPH

Abstract The crystalline polymorph Form I of (-)-4-[4-[4-[4-[[(2R-cis)-S- (2,4-difluorophenyl) tetrahydro-5-(l H- 1,2,4-triazol-1-ylmethyl)furan –3-yl] methoxy] phenyl]-1-pipera:zmx~]phenyl-2,4-dihydro-2-[ (S)-1-ethyl-2(S)- hydroxylpropyl]-3H-l,2,4-triazol-3-one represented by the formula I Pharmaceutical compositions containing such a polymorph and methods of using such a polymorph to treat fungal infections in mammals are disclosed.
Full Text This invention relates to the most stable crystalline polymorph Form I of (-)-4-[4-[4-[4-[[(2R-cis)-5-(2,4-difluorophenyl}tetrahydro-5-(lH-l,2,4-triazol-l-ylmethyl)furan-3-yl]methoxy]phenyl]-l-piperazinyl]phenyl-2,4-dihydro-2-[(S)-l-ethyl-2(S)-hydroxylpropyl]-3H-l/2,4-triazol-3-one represented by the formula I (hereinafter "the compound of formula I")

pharmaceutical compositions containing such polymorph and methods of using such polymorph to treat fungal infections in mammals.
International Publication Numbers WO/95/17407{published 29 June 1995 and WO 96/38443(published 5 December 1996) disclose methods of making the compound of formula I and using it to treat antifungal infections in mammals. These International Patent Publications do not disclose or refer to, or even suggest the possible existence of a crystalline polymorph of the compound of formula I; the synthetic procedures disclosed therein produce the compound of formula I as an amorphous solid .

To prepare pharmaceutical compositions containing the compound of formula I for administration to mammals in accordance with exacting health registration requirements of the U.S. and international health registration authorities, e.g. the FDA"s Good Manufacturing Practices("GMP")requirements, there is a need to produce the compound of formula I in as pure a form as possible, especially a form having constant physical properties.
Summary of the Invention
It was found that the compound of formula I can exist in the form of three crystalline polymorphs, each having distinctly different from each other and from the amorphous form in their physico-chemical data, their physical properties and their methods of preparation. These three novel crystalline polymorph forms described in this specification are hereinafter referreds to as form I, form II and Form HI. Of the three forms. Form I is the most stable.
Accordingly, this invention provides a crystalline polymorph Form I of (-)-4-[4-[4-[4-[[(2R-cis)-5-(2,4-difluorophenyl)tetrahydro-5-(lH-l/24-rriazol-l-ylmethylJfuran-S-ylJmethoxyJphenylJ-l-piperazinylJphenyl^^ dihydro-2-f (S)-l-ethyl-2(S)-hydroxyIpropyl]-3H-l,2,4-triazol-3-one represented by formula I

and characterized by the following x-ray powder diffraction pattern expressed in terms of "d" spacing and relative intensitiesf"RT):


This invention also provides a crystalline polymorph Form I of(-)-4-[4-[4-[4-[[(2R-cis)-5-(2,4rdifluorophenyl)tetrahydro-5-(lH-l,2,4-triazol-l-ylmethyl)furan-3-yl]methoxy]phenyl]-l-piperazinyl]phenyl-2,4-dihydro-2-[ (S)-l-ethyl-2(S)-hydroxylpropyl]-3H-l,2,4-triazol-3-one characterized by the following x-ray powder diffraction pattern (Table l)expressed in terms of "d" spacings and relative intensities ("RI")(S=strong, M=medium, W=weak, V=very , D=diffuse and VWD , for example = very weak diffuse):



This invention further provides pharmaceutical composition containing the crystalline polymorph of Forms I,and methods of treating and/or preventing fungal infections using such a crystalline polymorph.
BRIEF DESCRIPTION OF THE FIGURF.fi Figure 1 presents a characteristic x-ray powder diffraction pattern of the cyrstalline polymorph of form I [Vertical Axis: Intensity (CPS, counts (square root)); Horizontal Axis: Two Theta(degrees)].

Figure 2 presents a characteristic x-ray powder diffraction pattern of the polymorph of form II [Vertical Axis: Intensity ( CPS, counts (square root)); Horizontal Axis: Two Theta(degrees)]; x-ray diffraction indicates form II is partially amorphous.
Figure 3 presents a characteristic x-ray powder diffraction pattern of the cyrstalline polymorph of form III [Vertical Axis: Intensity,(CPS, counts (square root)); Horizontal Axis: Two Theta(degrees)]
Figure 4 presents a characteristic infrared spectrum of the crystalline polymorph of form I in a potassium bromide pellet[Vertical Axis; Transmittance(Percent); Horizontal Axis: wavenumber (cm-*)]- _
Figure 5 presents a characteristic infrared spectrum of the crystalline polymorph of form II in a potassium bromide pellet[Vertical Axis; Transmittance(Percent); Horizontal Axis: wavenumber (cm"l)J-
Figure 6 presents a characteristic infrared spectrum of the crystalline polymorph of form III in a potassium bromide pelletfVertical Axis; Transmittance(Percent); Horizontal Axis: wavenumber (cm"l)l-
Figure 7 presents a characteristic differential scanning calorimetry thermogram of the crystalline polymorph of form I [taken on a DuPont 2100 :Thermal Analysis under a nitrogen atmosphere; 10° C /min scan rate; single endotherm, onset temperature: about 166° QVertical Axis;Heat Flow in cal/sec/g; about 166° Horizontal Axis:Temperature in degrees centigrade].
Figure 8 presents a characteristic differential scanning calorimetry thermogram of the crystalline polymorph of form II [taken on a DuPont 2100 :Thermal Analysis under a nitrogen atmosphere; 10° C /min scan rate; endotherm, onset temperature about 26° C; endotherm, onset temperature about 90° C; exotherm, start temperature about 113° C; endotherm onset temperature about 163° C; Vertical Axis;Heat Flow in cal/sec/g; Horizontal Axis:Temperature in degrees centigrade]
Figure 9 presents a characteristic differential scanning calorimetry thermogram of the crystalline polymorph of form m [taken on a DuPont 2100 :Thermal Analysis under a nitrogen atmosphere; 10° C /min scan rate; endotherm, onset temperature about 98° C; exotherm, start temperature about 124° C; endotherm, onset temperature about 168° C; Vertical Axis;Heat Flow in cal/sec/g; Horizontal Axis:Temperature in degrees centigrade]

Figure 10 presents a characteristic *H nmr spectrum of the crystalline polymorph of formsl, n and m[taken on a Vvarian XL400 in CDCI3 at 400 MHz with TMS as an internal standard].
Detailed Description of the Invention
The crystalline polymorph Form I of(-)-4-[4-[4-[4-[[(2R-cis)-5-(2,4-difiuorophenyI) terra hydro-5-(lH-1,2,4-triazol-1-y lmethyl)ruran-3-yl]merhoxy]phenyl]-l-piperazinyl]phenyl-2,4-dihydro-2-[ (S)-l-ethyl-2(S)-hydroxyIpropyl]-3H-l,2,4-triazoI-3-one provides an antifungal drug having the following advantages compared to its amorphous form in the prior art: lower impurity content and more consistent product quality i.e., more consistent physical characteristics including more consistent color, rate of dissolution and ease of handling; as well as a longer term stability.
The three crystalline polymorphic forms of the compound of formula designated as Form 1, II and HI can readily be distinguished from one another by examination of the characteristic
x-ray Diffraction patterns (see Figures 1-3), the characteristic infrared spectra (see Figures 4-6) and the characteristic Differential Scanning Calorimetry (DSL) thermograms (Figures 7-9). Form 1, the most stable form/ did not convert into any other form under normal storage conditions (15°-30°C and protected from light) or under the following stress conditions:
150°C for 2 hours
75°C for 6 weeks
97% relative humidity at ambient temperature for 2 minutes
75% relative humidity at 40°C for 6 weeks
The DSC thermograms shown in Figures 8 and 9indicate that Form II and Form III thermally convert into the more stable Form I at temperatures between 100 and 125°C .The characteristic physico-chemical data of crystalline polymorph Form I of the compound of Formula I are summarized in the following Table.


All of these advantages inherent in the crystalline polymorph Form I of the compound of this invention would be useful in the development and approval of a pharmaceutical product containing the antifungal drug of formula I.
The crystalline polymorphic form of the compound of Form I may be formed by crystallizing the compound of formula I (as the free base) using a solvent system such as acetonitrile, methanol in combination with water in a v/v ratio of 1.5:1 tol:1.5, preferably about 1:1; and isopropyl alcohol in combination withwater in a volume/volume (v/v) ratio of 1.5:1 to 1:1.5, preferably about 1:1. The solvent or solvent system were typically healed to reflux and slowly cooled to 60-40°C with agitation and thereafter cooled slowly to room temperature (20°-25°C) or even 0° (with acetonitrile)

with continued agitation for 1/2 to 1 hour . The crystalline polymorphic form of the compound of form n may be formed by crystallizing the compound of formula I (as the free base) using a solvent system such as acetone-water in a volume/volume (v/v) ratio of 1.5:1 to 1:1.5, preferably about 1:1., or methylene chloride. The Form III product obtained from methylene chloride also containedsome amorphous form. The solvent or solvent system were typically healed to reflux and slowly cooled without agitation to room temperature (20°-25°C) The crystalline polymorphic form of the compound of form III may be formed by adding the compound of formula I (as the free base) to a solvent system such as boiling methanol and allowing the resulting solution to cool without agitation to room temperature.
The infrared spectrum of the crystalline polymorph of form I taken in the form of a potassium bromide pellet is characterized by the following peaks:

The complete infrared spectrum of the crystalline polymorph of form II taken in the form of a potassium bromide pellet is characterized by the following peaks:


The complete infrared spectrum of the crystalline polymorph of form HI taken in the form of a potassium bromide pellet is characterized by the following peaks:
The infrared spectra were obtained on a Mattson Galaxy 6021 FTIR spectrometer. The potassium bromide pellets were prepared in accordance with the USP procedure «197K>, U.S. Pharmacopeia, National Formulary, USP XXIH, NF XVIII.
The x-ray powder diffraction patterns were measured on a Philips APD3720 automated diffractometer system (model PW 1800). The radiation source was copper (K-alpha) and the long fine focus tube connected to a Philips XRG 3100 x-ray generator operated at 45 KV and 40

inA. The take-off angle was 6 degrees and a graphite monochromator as used. A scintillation detector was employed and data was acquired with a scan rate of 0.025 degrees per second, a step size of 0.010 and a step time of 40 seconds per degree.
The x-ray powder diffraction pattern distinctive for polymorph form 1 descarbonylethoxyloratadine expressed in terms of the following distinctive "d" spacing and relative intensties("RI") is provided hereinbelow:
d spacing (± 0.04) EI
6.10 Medium
4.63 Medium
4.10 Wide
3.69 Wide
3.05 Wide
A more complete x-ray powder diffraction pattern for the crystalline polymorph of the compound of formula I expressed in "d" spacings and relative intensities("RI") with V, M, W, V, and D defined as herein above is provided hereinbelow in Table 1:



The crystalline polymorph Form II of(-)-4-[4-[4-[4-[[(2R-cis)-5-(2,4-difluorophenyl)tetrahydro-5-(lH-l,2,4-triazol-l-ylmethyl)furan-3-yl]methoxy]phenyl]-l-piperazinyl]phenyl-2,4-dihydro-2-[ (S)-l-ethyI-2(S)-hydroxylpropyl]-3H-l,2,4-triazol-3-one is characterized by the following x-

f ray powder diffraction pattern expressed in terms of "d" spacing and relative intensities("RI"):


f
d spacing (± 0.04) RI
6.59 Wide
4.14 Medium
3.58 Very Strong
3.53 Medium
The crystalline polymorph form III of(-)-4-[4-[4-[4-[[(2R-cis)-5-(Z^-difluorophenylJtetrahydro-S-flH-l^^-triazol-l-ylmethylJfuran-S-yl]methoxy]phenyl]-l-piperazinyI]phenyl-2,4-dihydro-2-[ (S)-l-ethyl-2(S)-hydroxylpropyl]-3H-l,2,4-triazol-3-one is characterized by the following x-ray powder diffraction pattern expressed in terms of "d" spacings and relative intensities ("RI")(S= strong, M=medium/ W=weak, V=very , D=diffuse and VWD , for example = very weak diffuse):



Pharmaceutical Compositions
Pharmaceutical compositions of this invention may contain in addition to an anti-fungally effective amount of crystalline polymorph of the compound of formula I as the active ingredient, inert pharma-ceutically acceptable carriers that may be solids or liquids. Solid form compositions include powders, tablets, dispersible granules, capsules, cachets, and

suppositories. A solid carrier can be one or more substances which may also act as diluants, flavoring agents, solubilizers, lubricants, suspending agents, binders or tablet disintegration agents; it can also be an encapsulating material. In powders, the carrier is a finely divided solid which is in admixture with the finely divided active compound. In the tablet the active compound is mixed with carrier having the necessary binding properties in suitable proportions and compacted in the shape and size desired. The powders and tablets preferably contain from about 5 to about 20 percent of the active ingredient. Suitable solid carriers are magnesium carbonate, magnesium stearate, talc, sugar, lactose, pectin, dextrin, starch, gelatin, rragacanth, methycelulose, sodium carboxymethyl-cellulose, a low melting wax. cocoa butter and the like. The term "compositions" is intended to include the formulation of the active compound with encapsulating material as carrier providing a capsule in which the active component (with or without other carriers) is surrounded by carrier, which is thus in association with it. Similarly, caches are included. Tablets, powders, cachets and capsules can be used as solid dosage forms suitable for oral administration.
For preparing suppositories, a low melting wax such as a mixture of fatty acid glycerides or cocoa butter is first melted, and the active ingredient is dispersed homogeneously therein as by stirring. The molten homogeneous mixture is then poured into convenient sized molds, allowed to cool and thereby solidify.
Liquid form preparations include solutions, suspensions and emulsions. As an example may be mentioned water or water-propylene glycol solutions for topical administration. Liquid preparations can also be formulated in solution in aqueous polyethylene glycol solution. Aqueous solutions suitable for oral use can be prepared by adding the active component in water and adding suitable colorants, flavors, stabilizing, sweetening, solubilizing and thickening agents as desired. Aqueous suspensions suitable for oral use can he made by dispersing the finely divided active component in water with viscous material, i.e., natural or synthetic gums, resins, methylceHulose, sodium carboxymethylcellulose and other well-known suspending agents.

Topical formulation useful for nasal or ophthalmic administration are also contemplated. Topical formulation suitable for nasal administration may be solutions or suspensions. Ophthalmic formulations may be solutions, suspension or ointments. Ointments usually contain lipophilic carriers such as mineral oil and/or petrolatum. Solution for ophthalmic administration may contain sodium chloride, acid and/or base to adjust the pH as well as purified water and preservatives, which normally contains a non-toxic, pharmaceutically acceptable topical carrier may be applied daily to the affected skin until the condition has improved.
The anti-fungally effective amount of the crystalline polymorph of the compound of formula I for topical administration varies from 0.1 to 20% by weight of the total pharmaceutical composition, which normally contains one or more non-toxic, pharmaceutically acceptable topical carriers; the pharmaceutical composition may be applied daily to the affected area of the skin until the fungal infection has been irradiated The preferred amount varies from 0.5 to 10% by weight of the total pharmaceutical composition.
The anti-fungally effective amount of the crystalline polymorph of the compound of formula I for oral administration varies from about 1 to 30 mg/day, more preferably about 1 to 20 mg/day and most preferably about 1 to 10 mg/day in single or divided doses.
Parenteral forms to be injected intravenously, intramuscularly, or subcutaneously are usually in the form of a sterile soluon, and may contain salts or glucose to make the solution isotonic.
In general, the parenteral dosage for humans for antifungal use ranges from abou.25 mg per kilogram of body weight per day to about 20 mg kilogram of body weight per day being preferred.
The exact amount, frequency and period of administration of the compound of the present invention for antifungal use will vary, of

/
course, depending upon the sex, age and medical condition of the patent as well as the severity of the antifungal infection as determined by the attending clinician.
GENERAL EXPERIMENTAL The compounds of this invention are prepared in accordance with the following Examples using commercially available starting materials.
In solution, no crystalline form exists, and thus the physiochemical solution characteristics, i.e. "H nmr spectra, ultraviolet spectra and specific rotations of the crystalline polymorph and amorphous forms of the compound of formula I are the same. The "H nmr shown in Figure 10 is consistent with the structure of the compound of formula I. The specific rotation as measured at the D line of sodium at 25°C is -29.4.
EXAMPLE 1 Preparation of crystalline polymorph Form I of (-)-4-[4-[4-[4-[[(2R-cis)-5-(2,4-difluorophenyl)tetrahydro-5-{lH-l,2,4-triazol-l-ylmethyl)furan-3-yl]-methoxy]phenyI>l-piperazinyl]phenyl-2,4-dihydro-2-[(S)-l-ethyl-2(S)-hydroxylpropyl]-3H-l,2,4-triazol-3-one
One hundred and sixty four grams of the crude product produced in accordance with Example 32 of International Patent Publication No. WO 95/17407 published 29 June 1995 was dissolved in refluxing methanol (1.64L). The hot solution was filtered through a pad of celite, and warmed back to reflux. To the solution was added water (984 ml) while maintaining a reflux temperature. The solution was allowed to cool slowly to about 45°C. The resulting mixture was agitated for 1 hour at this temperature, then cooled slowly to room temperature and further agitated for 1 hour. The solids that formed were collected by filtration and washed with chilled methanol-water (1:1, about 524 ml). The product was then dried in an oven (45°C, 29 psi vacuum, 24 hours) to yield 156.5 g of white crystals.

EXAMPLE 2 Preparation of crystalline polymorph Form I of (-)-4-[4-[4-[4-[[(2R-cis)-5-(2,4-

methoxyIphenyII-l-piperazinyl]phenyl-2^-dihydro-2-[(S)-l-ethyl-2(S)-hydroxyIpropyI]-3H-l,2,4-triazol-3-one
Two grams (2g) of crude the starting material prepared in accordance with Example 1 was dissolved in refluxing isopropyl alcohol (20 mL). vTo the solution was added water (20 ml) while maintaining a reflux temperature. The solution was allowed to cool slowly to about 63°C when crystalization occurred. The resulting mixture was agitated for 10 mins at this temperature, then cooled slowly to room temperature and further agitated for 1 hour. The solids that formed were collected by filtration . The product was then dried in a draft oven (45°C, 24 hours) to yield a white solid.
EXAMPLE 3
Preparation of crystalline polymorph Form I of (-)-4-[4-[4-[4-[[(2R-cis)-5-(2,4-
difluorophenyDtetrahydro-S-dH-l^^-triazoI-l-ylmethylJfuran-S-yl]-
methoxylphenylI-l-piperazinyl]phenyl-2,4-dihydro-2-[(S)-l-ethyl-2(S)-hydroxyIpropyl]-3H-l,2,4-triazol-3-one
Five grams (5g)of the crude starting material prepared in accordance with Example 1 was dissolved in refluxing acetonitrile (lOOmL). The solution
was allowed to cool slowly to about 50 °C when crystallization occurred. The resulting mixture was agitated for 30 mins at this temperature, then
cooled slowly to 0 C and further agitated for 30 mins.The solids that formed were collected by filtration and washed with chilled acetonitrile (25 mL).
The product was then dried in an oven ( 40 °C, 29 psi vacuum, 12 hours) to yield 3.9 g of white crystals.

EXAMPLE 4 Preparation of crystalline polymorph Form 11 of (-)-4-[4-[4-[4-[[(2R-cis)-5-(2,4-difluorophenylHetrahydra-5-(lH-lA4-triazol-l-ylmethyl)furan-3-yl]-
metiioxy]phenyI]-l-piperazinyl]phenyl-24-dihydro-2-[(S)-l-ethyl-2(S)-hydroxylpropyl]-3H-l,2,4-triazoI-3-one
Approximately 1 g of crude starting material prepared as described in Example 1 was dissolved in refluxing acetone (10 mL), Water (3 mL) was added to this mixture while maintaining a reflux temperature. The resulting yellow solution was allowed to cool without agitation to room temperature. The solids that formed were collected by filtration and washed with acetone-water (1:1, about 5 ml). The product was then dried in an oven (45°C, 29 psi vacuum, 24 hours) to yield 0.63 g of white crystals.
EXAMPLE 5 Preparation of crystalline polymorph Form 11 of (-)-4-[4-[4-[4-[[(2R-cis)-5-(2,4-difluorophenyl)tetrahydro-5-(lH-lA4-triazol-l-ylmethyl)furan-3-yl]-methoxy]phenyI]-l-piperazinyl]phenyl-2,4-dihydro-2-[ (S)-l-ethyl-2(S)-hydroxylpropyl]-3H-l,2,4-triazol-3-one
Approximately 1 g of crude starting material prepared as described in Example 1 was dissolved in hot 5ml methylene chloride and was allowed to dry slowly in a fume hood. A form II material was obtained together with some amorphous form.
EXAMPLE 6
Preparation of crystalline polymorph Form 11 lof (-)-4-[4-[4-[4-[[(2R-cis)-5-
(24-difluorophenyl)tetrahydro-5-(lH-l,2,4-triazol-l-ylmethyl)furan-3-yl]-
methoxy]phenyl]-l-piperazinyl]phenyl-2^-dihydro-2-[(S)-l-ethyl-2(S)-
hydroxylpropyl]-3H-l,2,4-triazol-3-one
Approximately 2g g of crude starting material prepared as described in Example 1 was dissolved in hot 10ml methanol. The resulting solution was allowed to cool without agitation to room temperature in a fume hood. The solids that formed were collected by filtration and dried in the fume hood.


WE CLAIM:
(1) A crystalline poiymorphjorm I of(-M-[4-[4-[4-[[(2R-cis)-5-(2,4-
difluorophenyl)tetrahydro-5-(lH-lA4-triazol-l-ylmethyl)furan-3-yl]-memoxy]phenyl]4-piperazinyl]phenyl-2,4-dihydro-2-[ (S)-l-ethyl-2(S)-hydroxylpropylj-SH-l^-triazol-S-one represented by formula I

and characterized by the following x-ray powder diffraction pattern expressed in terms of "d" spacing and relative intensities("RI"):

(2) A crystalline polymorph form I of(-)-4-[4-[4-[4-[[(2R-cis)-5-(2,4-difluorophenyl)tetrahydro-5-(lH-l,2/4-triazol-l-ylmethyl)furan-3-yl]-methoxy]phenyl]-l-piperazinyl]phenyl-2,4-dihydro-2-[ (S)-l-ethyl-2(S)-hydroxylpropyI]-3H-l,2,4-triazol-3-one characterized by the following

x-ray powder diffraction pattern expressed (Table 1) in terms of "d" spacing and relative intensities("RI") (S=strong, M=medium, W=weak, V=very and D=diffuse)




(4) A pharmaceutical composition comprising an anti-fungally effective amount of
the crystalline polymorph form 1 as claimed in claim 1 and a pharmaceutically
acceptable carrier.
(5) A crystalline polymorph form 1, substantially as hereinabove described and
illustrated with reference to the accompanying drawings.

Documents:

2232-mas-1998 abstract-duplicate.pdf

2232-mas-1998 abstract.jpg

2232-mas-1998 abstract.pdf

2232-mas-1998 claims-duplicate.pdf

2232-mas-1998 claims.pdf

2232-mas-1998 correspondence-others.pdf

2232-mas-1998 correspondence-po.pdf

2232-mas-1998 description (complete)-duplicate.pdf

2232-mas-1998 description (complete).pdf

2232-mas-1998 drawings.pdf

2232-mas-1998 form-1.pdf

2232-mas-1998 form-19.pdf

2232-mas-1998 form-26.pdf

2232-mas-1998 form-4.pdf

2232-mas-1998 form-6.pdf

2232-mas-1998 petition.pdf

2232mas1998.jpg


Patent Number 202128
Indian Patent Application Number 2232/MAS/1998
PG Journal Number 05/2007
Publication Date 02-Feb-2007
Grant Date 13-Oct-2006
Date of Filing 06-Oct-1998
Name of Patentee M/S. SCHERING CORPORATION
Applicant Address 2000 GALLOPING HILL ROAD, KENILWORTH, NEW JERSEY 07033-0530
Inventors:
# Inventor's Name Inventor's Address
1 WILLIAM LEONG 705 CARLETON ROAD, WESTFIELD, NEW JERSEY 07090
2 DAVID R. ANDREWS 449 BALDWIN ROAD, MAPLEWOOD, NEW JERSEY 07040
3 ANANTHA R. SUDHAKAR 18 SNOWDEN ROAD, EAST BRUNSWICK, NEW JERSEY 08816
PCT International Classification Number C07D 405/14
PCT International Application Number N/A
PCT International Filing date
PCT Conventions:
# PCT Application Number Date of Convention Priority Country
1 08/946, 183 1997-10-07 U.S.A.