Title of Invention

"A PHARMACEUTICAL COMPOSITION SUBSTANTIALLY ALCOHOL AND PROPYLENE FREE AND COMPRISING OF 5,6-DIHYDRO-4-HYDROXY-2-PYRONES COMPOUNDS"

Abstract A microcmulsion of pyranone protease inhibitor compounds that is substantially free of alcohol and propylcne glycol comprising a pyranone protease inhibitor, one or more pharmaceutically acceptable surfactants, and a polyethylene glycol solvent having a mean molecular weight of greater that 300 but lower than 600, and a lipophilic component comprising medium chain mono-arid di-glycerides, and optionally a basic amine.
Full Text ORAL DOSAGE SELF-EMULSIFYING FORMULATIONS OF
PYRANONE PROTEASE INHIBITORS
i application is a contimiation-in-part of prior provisional application U.S.S.N.
244,434 filed October 31,2000.
ACKGRQUNP OF THE INVENTION
Field of the Invention
The present invention relates to unique oral dosage formulations of 5,6-
dihydro-4-hydroxy-2-pyrones compounds. In particular, the present invention relates to a
substantially alcohol-free and propylene glycol-free, microemulsion formulation of 5,6-
dihydro-4-hydroxy-2-pyrone protease inhibitors, which formulation substantially
improves bioavailability and stability at room temperature.
Background of the Related Art
Since the identification of acquired immunodeficiency syndrome (AIDS) in
the early 1980s, AIDS and its devastating consequences have become a subject of intense
coverage in the press and study in the scientific literature. It is widely held that such
syndrome is due to infection with a retrovirus commonly referred to as the human
immunodeficiency virus (HTV). From its identification nearly twenty years ago until
today, AIDS has progressed from a medical curiosity affecting only a small population to
a problem of major proportion. Millions of people in the United States alone are believed
to be seropositive for HIV.
The first drug approved for the treatment of HIV infected individuals was
zidovudine (AZT) on March 20, 1987. Zidovudine or AZT was approved to treat AIDS
patients with recent initial episodes of pneumocystis carinii pneumonia, carinii pneumonia
or patients infected with the virus and having an absolute CD4 lymphocyte count of less
than 200/mm3 in the peripheral blood. AZT is believed to work by inhibiting viral reverse
transcriptase, an enzyme necessary for human immunodeficiency virus replication.
In a very short period of time, the number of approved anti-retroviral drugs
has increased from one drug with modest activity to twelve with substantial potency. The
approved anti-retroviral drugs represent three classes: the nucleoside analog reverse
transcriptase inhibitors; the non-nucleoside analog reverse transcriptase inhibitors; and the
protease inhibitors. Highly active anti-retroviral therapy (known as "HAART") almost
invariably includes a protease inhibitor in combination with one or more drugs from the
other classes. Protease inhibitors as a class demonstrate potent anti-retroviral activity.
The first protease inhibitor was approved by the U.S. Food and Drug
Administration ("U.S. FDA") in 1995, and such class of drugs can be said to have
revolutionized the treatment of HIV infection. The protease inhibitors may be
characterized as having converted what was once considered to be a uniformly fatal
disease to a more treatable, chronic infectious disease. Presently there are five protease
inhibitors approved by the U.S. FDA: amprenavir, indinavir, nelfinavir, ritonavir and
saquinavir.
Retroviral proteases are enzymes essential for maturation of viral particles
to their infectious stages. Inhibition of the proteases, or their absence or non-functionality,
results in the virus being unable to efficiently replicate, thereby preventing the production
of infective viral particles. For example, the retroviral protease "gag-protease," one of the
smallest enzymes yet characterized (consisting of only 99 arnino acids and demonstrating
homology to aspartyl proteases such as pepsin and renin) is responsible for the correct
proteolytic cleavage of the precursor proteins that are produced from the genome regions
coding for the "group specific antigens" ("gag"). The protease is believed to be encoded
by the "pol" region of the viral genome, which also contains regions for reverse
transcriptase and integrase. Gag-protease cleaves the major core protein p24 of HJV-1
and HIV-2 preferentially N-terminally of proline residues; for example, in the divalent
residues Phe-pro, Leu-Pro or Tyr-Pro. During cleavage, the structural proteins of the virus
core are liberated. In sum, gag-protease is needed for processing HIV-fusion polypeptide
precursors permitting maturation of the gag and gag/pol fusion polypeptides, including
capsid and replicative enzymes (e.g., reverse transcriptase, integrase).
A number of highly potent HIV protease inhibitors have been described in
the literature. By protease inhibitors it is meant a group of compounds that inhibit
aspartate proteases of viral origin and which are useful in the prophylaxis or treatment of
viral infections caused by retroviruses, such as HIV in mammals. Protease inhibitors can
be said to have revolutionized the treatment of HIV infection in that combination therapy
using such compounds with inhibitors of viral DNA polymerase reverse transcriptase can
result in the apparent complete suppression of virus replication. Resistance to protease
inhibitors is believed to be the result of mutations within the retroviral protease coding
domain. Unfortunately, with respect to the five currently approved protease inhibitors in
the United States, most of these mutations are able to contribute to cross-resistance
(Swanstrom et al., Pharmacol. Ther., 86(2): 145 - 170 (2000)).
HIV protease inhibitors may be peptidemimetic or non-peptideminietic in
nature.
Compounds of a reduced peptidic nature, or non-peptidic nature, generally
show improved pharmacokinetic profiles over their peptidic counterparts. Peptidic HTV
protease inhibitors frequently demonstrate low bioavailability and rapid excretion owing
to rapid gastrointestinal breakdown. In general, non-peptidic compounds have better
bioavailability and are not excreted as rapidly.
Presently available non-peptidic proteinase inhibitors may be characterized
as hydrophobic and/or lipophilic in character. Because of such solubility characteristic,
i.e., poor aqueous solubility, conventional solid and liquid pharmaceutical preparations
containing these inhibitors may not be absorbed in a satisfactory manner. Of the various
factors that can affect the bioavailability of a drug when administered orally (which
include aqueous solubility, drug absorption through the gastrointestinal tract, dosage
strength and first pass effect), aqueous solubility is often found to be among the most
important factors. Poorly water soluble compounds often exhibit either erratic or
incomplete absorption, and thus produce a less than desirable response.
5,6-dihydro-4-hydroxy-2-pyrone compounds are known to be potent
inhibitors of retroviral proteases. They are thus useful in inhibiting the replication of the
human immunodeficiency virus (strains of HTV-1 or HTV-2 and/or human T-cell leukemia
viruses (HTLV-I or HTLV-H) and in preventing AIDS. Such protease inhibitors,
however, generally demonstrate extremely poor aqueous solubility. For example, the free
acid form of the 5,6-dihydro-4-hydroxy-2-pyrone sulfonamide compound, tipranavir, has
an extremely low aqueous solubility of about 10 j-ig/ml at a pH of from about 6 to about
Nearly 15 capsules per dose, twice a day, of the disodium salt (4.5 grams) must be taken in
order to achieve a therapeutic drug level. Attempts to identify other salts of such
compounds in solid forms, which would substantially improve aqueous solubility, have
not been successful. Formulations of salts of these compounds generally are prone to
precipitation of the parent free-acid in the gastrointestinal tract.
Many attempts have been made to improve the bioavailability of nonpeptidic
protease inhibitors in general, and 5,6-dihydro-4-hydroxy-2-pyrone peptidase
inhibitors in particular. There is an art-recognized need for developing improved oral
dosage forms of HIV protease inhibitors, which will have suitable oral bioavailability,
stability and side effects profiles. Given the low solubility of many non-peptidic protease
inhibitors in free and salt form, a number of efforts have been undertaken to deliver the
drug in so-called "emulsified" formulations, that is, formulations containing the drug, a
hydrophilic phase, and a lipophilic phase. Such strategy may be borrowed from a similar
strategy undertaken with respect to solubilization of cyclic poly-N-methylated
undecapeptides of the cyclosporin class, the bioavailability of which were significantly.
improved by mixing them in an emulsion comprising a lipophilic phase of medium-chain
fatty acid triglycerides, a hydrophilic surfactant such as Cremophor RH 40 (BASF Corp.),
and propylerie glycol (See, EP Patent No. 0 539 319 Bl). So-called SEDDS (selfemulsifying
drug delivery system) formulations use high lipid and surfactant content to
adequately disperse the drug upon mixing with an aqueous medium.
International Application No. PCT/IJS97/20794 (WO 98/22106) to Abbott
Laboratories discloses an oral liquid SEDDS pharmaceutical composition which is said to
improve the oral bioavailability of HIV protease inhibitors, including certain protease
inhibitors of the 5,6-dihydro-4-hydroxy-2-pyrone class. Such composition comprises a
pharmaceutically acceptable emulsified composition comprising a long-chain fatty acid
composition, or a mixture of a pharmaceutically acceptable long-chain fatty acid and a
pharmaceutically acceptable alcohol, and optionally a surfactant (such as Cremophor EL,
BASF Corp.). Preferred compositions comprise ethanol or propylene glycol or both. It is
stated that it is preferred that the long-chain fatty acid composition comprises from about
40 to about 70 percent by weight of the total solution, the surfactant from about 5 to about
10 percent by weight of the total solution, and ethanol or propylene glycol comprises from
about 1 to about 15 percent by weight of the total solution. A study in beagles and
humans demonstrates that, for at least five HIV protease inhibitors, improved mean
bioavailability is seen over the free base and bis-toxylate salt of the HIV protease inhibitor
ritonavir.
U.S. Patent No. 5,484,801 to Abbott Laboratories covers a pharmaceutical
composition with an HIV protease inhibiting compound in a pharmaceutically acceptable
organic solvent which composition has: (a) a solvent selected from propylene glycol and
polyethylene glycol (in an amount of from about 10 percent to about 50 percent by weight
of the total solution) or (b) a solvent selected from polyoxyethyleneglycerol, triricinoleate,
polyethylene glycol 40 hydrogenated castor oil, fractionated coconut oil, polyoxyethylene
sorbitan monocleate and 2-(2-ethoxyethoxy)ethanol (in an amount of from about 5
percent to about 35 percent by weight of the total solution) or (c) a mixture thereof, and
ethanol or propylene glycol (in an amount of about 5 percent to about 45 percent by
weight of the total solution).
International Application No. PCT/EP96/02431 (WO 96/39142) and U.S.
Patent No. 6,008,228 to F, Hoffmann-La Roche AG teach a pharmaceutical composition
which is also said to improve the bioavailability of protease inhibitors. The composition
includes a pharmaceutically acceptable carrier comprising monoglycerides of mediumchain
fatty acids, which preferably include monoglycerides of saturated Ce to Ci2 fatty
acids and have an acid value of less than or equal to about 2.5. It is said that it is preferred
that the ratio of monoglycerides of medium chain fatty acid to the protease inhibitor be
about at least 1.5.
International Patent Nos. PCT/US95/0529 to UpJohn, mat discloses the
usefulness of 5,6-dihydro-4-hydroxy-2-pyrone compounds to treat retro viral infections,
does not recognize the inherent bioavailability problems of such compounds. The patent
teaches that such compounds may be prepared in conventional compressed tablets (mixing
the compounds with conventional ingredients such as talc, magnesium stearate, etc.), as
disodium salts, or prepared in conventional syrups and elixirs.
International Patent Applications PCT/US98/14816 (WO 99/06043),
PCT/US98/14817 (WO 99/06044), PCT/US98/14818 (WO 99/06024), and U.S. Patent
No. 6,121,313 to Pharmacia & UpJohn Company teach self-emulsifying formulations
containing alkaline active compounds which are said to provide for improved oral
bioavailabilty of such compounds. The patents disclose compositions including a mixture
of diglyceride and monoglycerides or basic amines along with one or more
pharmaceutically acceptable surfactants and solvents which are said to provide increased
absolute oral bioavailabilities. A preferred surfactant is Cremophor EL or Cremophor
RH40, and a preferred solvent is propylene glycol or a mixture comprising propylene
glycol and 95% (v/v) ethanol.
With respect to 5,6-dihydro~4-hydroxy-2-pyrone protease inhibitors,
PCT/US9S/14816 teaches that the solvent used may comprise polypropylene glycol,
propylene glycol, polyethylene glycol, glycerol, ethanol, triacetin, dimethyl isosorbide,
glycolfurol, propylene carbonate, water, dimethyl acetamide or a mixture thereof. The
preferred solvent for such compounds is said to be propylene glycol or a mixture
comprising propylene glycol and 95% (v/v) ethanol. In a mixture of propylene glycol and
ethanol, propylene glycol is said to be in an amount of from about 50% to about 95%. The
surfactants found useful with such compounds are disclosed to be non-ionic surfactants
including Polyoxyl 40 hydrogenated castor oil (e.g. Cremophor RH40), Polyoxyl 35 castor
oil (eg. Cremophor EL or Cremophor EL-P), polysorbates, Solutol HS-15, Tagat TO,
Peglicol 6-oleate, polyoxyethylene stearates, saturated polyglycolyzed glycerides, or
poloxaniers. The preferred surfactants for such emulsified compositions are specified to
be Cremophor RH40 or Cremophor EL. When amines are employed in the composition it
is disclosed that such should comprise lower alkylamines such as ethanolamine,
diethanolamine, triethanolamine, dimethylamino-ethanol, tris (hydroxymethyl)
aminomethane or ethylenediamine; quaternary ammoniums such as choline hydroxide;
and basic amino acids such as arginine, lysine or guanidine. The preferred lower
alkylamine is dimethylaminoethanol or tris(liydroxymethyl) aminomethane. When a
mixture of diglyceride and monoglyceride is included in the composition, such mixture
preferably comprises a ratio of from about 9:1 to about 6:4 by weight (diglyceride:
monoglyceride) wherein the diglyceride and monoglyceride are mono- or di- unsaturated
fatty acid esters of glycerol having sixteen to twenty-two carbon atom chain length. A
typical pyranone composition of the invention is said to comprise from 1 to 40 percent of
the drug, from about 5 to 35 percent of diglyceride and monoglyceride mixture, and from
about 10 to about 50 percent "by weight of the pharmaceutically acceptable solvent. A
basic amine may be optionally added in an amount of from about 0.1 to about 10 percent
by weight of the total composition.
Among the 5,6-dihydro-4-hydroxy-2-pyrones known to have protease
inhibitory activity, the 5,6-dihydro-4-hydroxy-2-pyrone sulfonamide class has in
particular been found to demonstrate high protease inhibitory activity (Turner et al., J
Med. Chem., 41(3): 3467 - 3476 (1998)). One in particular has shown excellent potency
against the viral aspartate proteases of a variety of HIV type 1 laboratory strains and
clinical isolates, including those resistant to the reverse transcriptase inhibitors zidovudine
and delavirdine — the non-peptide compound HIV protease inhibitor, tipranavir, (6R)-3-
[{(lR)-l-[3-( {[5-(trifluoromethyl)(2-pyridyl)]sulfonyl} amino)phenyl]propyl }-4-hydroxy-
6-(2-phenylethyl)-6-propyl-5,6-dihydro-2H-pyran-2-one (also published under the
designations U-140690 and FNU-140690):
Formula IV
Tipranavir (Formula IV) (M.W. = 602.98) is known to be highly active
against HIV-1 variants resistant to the peptidomimetic protease inhibitors (Poppe et al.,
Antimicrob. Agents Chemother., 41(5): 1058 - 1063 (1997)). In vitro studies with the
drug demonstrate a Ki value of about 8 pM (i.e., high enzymatic inhibition) and an IC90
value of about 100 nM in antiviral cell culture (Turner et al., J. Med. Chem., 41(18): 3467
- 3476 (1998)). It has a Log P of about 6.1, and pKas at 6.2 and 8.2. It is hypothesized
that tipranavir binds in a flexible matter to the protease active site, making it a better
protease inhibitor than the other presently available protease inhibitors (Larder et al.,
LAP AC 3rd International Workshop on HIV Drug Resistance and Treatment Strategies,
June 23 - 26 (1999)).
In an in vitro culture study of 134 clinical isolates with a wide range of
resistance to currently available peptidomimetic protease inhibitors, it was determined that
of 105 viruses with more than tenfold resistance to three or four proteinase inhibitors, and
an average of 6.1 mutations in the protease enzyme gene, ninety percent were susceptible
to tipranavir (Larder et al., AIDS, 14(13): 1943 - 1948 (2000)). In another study,
tipranavir has been shown to retain sustained antiviral activity against isolates resistant to
indinavir, ritonavir and nelfinavir, three presently available protease inhibitors (Rusconi et
al., Antimicrob. Agents Chemother., 44(5): 1328 -1332 (2000). Similar sustained activity
has also been reported with respect to saquinavir resistance (Larder et al., IAPAC 3rd
International Workshop on HIV Drug Resistance and Treatment Strategies, June 23 - 26
(1999)).
5,6-dihydro-4-hydroxy-2-pyrone protease inhibitors, and in particular the
5,6-dihydro-4-hydroxy-2-pyrone sulfonamide inhibitors, such as tipranavir, have been
found to be particularly difficult to formulate into oral dosage forms. Numerous attempts
have been undertaken to formulate such drugs into a reasonably bioavailable oral product.
Tipranavir, for example, forms highly hygroscopic salts, reducing the stability of the drug.
The innovator of tipranavir, after numerous years of attempting to define an optimal oral
formulation, currently produces an emulsified formulation comprising the drug, a
lipophilic phase comprising a mixture of diglycerides and monoglycerides, a surfactant, a
basic amine, and an aqueous phase comprising propylene glycol and alcohol, all packaged
in a soft gelatin capsule. Such formulation while providing good oral bioavailabilty of the
drug suffers from a number of drawbacks including: a tendency of the capsules to soften
and to stick to one another over time; a noticeable decrease in bioavailability after
encapsulation in a soft gelatin capsule; a need to refrigerate the formulation until use to
prevent change in capsule composition; and the requirement of complicated manufacturing
processes which must be employed to produce consistent capsule fills, especially due to
the highly volatile nature of ethanol.
There is a need therefore, for improved oral formulations of protease
inhibitors in general, more particularly of 5,6-dihydro-4-hydroxy-2-pyrone protease
inhibitors, and yet more particularly of 5,6-dihydro-4-hydroxy-2-pyrone sulfonamide
protease inhibitors such as tipranavir.
SUMMARY OF THE INVENTION
The present invention discloses improved oral formulations of pyranone
protease inhibitors and processes for manufacturing such formulations. Such formulations
provide for improved solubilization, stability and/or bioavailability of the pyranone drug
and permit less onerous manufacturing processes to be undertaken in the fill process and
allow the capsules to be stored at room temperature. In particular, advantageous oral
dosage formulations of tipranavir are provided.
By "pyranone" compounds, it is meant compounds of Formula I:
Formula I
wherein R: is H-; R2 is C3 - C5 alkyl, phenyl-(CH2)2-, het-SO2NH-(CH2)2-, cyclopropyl-
(CH2)2-, F-phenyi-(CH2)2-, het-SO2NH-phenyl-, or F3C-(CH2)2-; or R! and R2 taken
together are a double bond; R3 is R4-(CH2)n-CH(R5)-, H3C-[O(CH2)2 ]2-CH2-, C3 - C5
alkyl, phenyl-(CH2)2-, het-S02NH-(CH2)2-, (HOCH2)3C-NH-C(0)-NH-(CH2)3-
,(H02C)(H2N)CH- (CH2)2-C(0)-NH-(CH2)3-, piperazin- l-yl-C(0)-NH-(CH2)3,
HO3S(CH2)2-N(CH3)-C(0)-(CH2)6-C(O)-NH-(CH2)3-, cyclopropyl-(CH2)r, F-phenyl-
(CH2)2-, het-SO2 NH-phenyl, or F3C-(CH2)2-; n is 0,1 or 2; R^s phenyl, het, cyclopropyl,
H3C-[0(CH2)2]2-, het-S02NH-, Br-, N3-, or H03S(CH2)2-N(CH3)-C(OXCH2)6-C(O)-NH-;
R5 is -CH2-CH3, or -CH2-cyclopropyl; R« is cyclopropyl, CH3-CH2-, or t-butyl; R7 is -
NR8SO2-het, -NR8SO2-phenyl, optionally substituted with R9,-CH2-S02-phenyl,
optionally substituted with R9, or -CH2-SC>2-het; R8 is -H, or -CH3 ; R9 is -CN, -F, -OH, or
-NOo ; wherein het is a 5-, 6- or 1- membered saturated or unsaturated ring containing
from one to three heteroatoms selected from the group consisting of nitrogen, oxygen and
sulfur; and including any bicyclic group in which any of the above heterocyclic rings is
fused to a benzene ring or another heterocycle, optionally substituted with. -CHs, -CN, -
OH, -C(0)OC2H5, -CF3, -NH2, or
-C(0)-NH2; or a pharmaceutically acceptable salt thereof; and
Formula II Formula 111
as well as compounds of Formula II and Formula III:
wherein R!Qis H-, CH3O-, or CH3O-[(CH2)2O]3-; Ra is cyclopropyl, or -CH2-CH(CH3)2;
Rn is -NR14SO2-phenyl, optionally substituted with Ri5,-NR14SO2-het, -CH2-SO2-phenyl,
optionally substituted with R1S, or -CH2-S02-het; R13 is -H, -(CH2)2-CH3) -CH2-
cyclopropyl, or -CH2-phenyl; R14 is -H, or -CH3 ; R15 is -CN, -F, -CH3, -COOH, or -OH;
het is a 5-, 6- or 7-membered saturated or unsaturated ring containing from one to three
heteroatoms selected from the group consisting of nitrogen, oxygen and sulfur; and
including any bicyclic group in which any of the above heterocyclic rings is fused to a
benzene ring or another heterocycle; optionally substituted with one or two -CHs, -CN,
-C(O)OC?H5, or -OH; or a pharmaceutically acceptable salt thereof.
It has been discovered that much of the difficulty with present day
pyranone protease inhibitor oral formulations pertains to the use of ethanol and propylene
glycol in the formulation. As discussed above with respect to prior art disclosures, while
other solvents have been suggested to find utility in forming a microemulsion of pyranone
protease inhibitor compounds, the incorporation of ethanol and propylene glycol into such
microemulsion formulations has long been thought to be preferred and to lead to an
optimal formulation. These solvents, while very good in forming emulsions of pyranone
protease inhibitors, have been discovered to migrate into the gelatin shells surrounding
such microemulsion formulations, thereby causing a change in the phase composition of
the formulation, the solubility of the drug, and adversely affecting the structural integrity
of the capsule. As a result, the capsules become sticky at room temperature and therefore
require refrigerated storage condition.
Novel self-emulsifying formulations have been discovered which do not
require the inclusion of ethanol or propylene glycol in the formulation. As these
formulations are particularly stable at room temperature, a greatly improved
pharmaceutical, preparation for oral administration of pyranone protease inhibitors is
disclosed. Such formulation offers patients taking pyranone protease inhibitors the ability
to free their activities from, places within the reach of facilities offering adequate
refrigeration. Furthermore, such formulation shows a significantly more consistent
bioavailability profile than present day formulations which use significant amounts of
ethanol or propylene glycol in their formulations.
The present invention concerns a formulation that is substantially free of
significant amounts of ethanol and propylene glycol (preferably less than about 0.5%,
more preferably less than about 0.1%, alone or in combination) that provides for a
significantly more stable formulation of pyranone protease inhibitors and in particular
sulfonamide pyranone protease inhibitors such as tipranavir. Such formulations comprise
from about 1 to about 40 percent by weight of total composition pyranone protease
inhibitor, from about 5 to about 35 percent by weight of the total composition of a
lipophilic phase, preferably a mixture of diglycerides and monoglycerides, from about 20
to about 60 percent by weight of the total composition surfactant, and about 10 to about 40
percent by weight of the total composition of a polyethylene glycol having an average
molecular weight of greater than about 300 but less than 600, and from about 0.1 to about
10 percent by weight of the total composition of one or more basic amines.
Surprisingly, it has been determined by the present inventor that
polyethylene glycols having an average molecular weight of greater than about 300 but
less than 600 (preferably about 400) may be used in self-emulsifying microemulsion
formulations to solubilize pyranone protease inhibitors, in particular sulfonamide
pyranone protease inhibitors, without the need for alcohol or propylene glycol, and that
such polymers do not migrate into or adversely affect gelatin capsules.
Presented with numerous alternative possibilities for formulating the
pyranone protease inhibitors without alcohol or propylene glycol, numerous
rnicroemulsion phase studies were undertaken using various combinations of materials to
determine workable formulations having clinically significant bioavailabilities. After
numerous failed attempts, it was discovered that certain polyethylene glycols, of
appropriate molecular weight, could effectively replace propylene glycol and/or ethanol
used in conventional pyranone protease inhibitor formulations. Such alteration is
relatively cheap and effective, and was surprisingly found to significantly improve the
bioavailabilty and stability.
In one embodiment, there is disclosed a pharmaceutical composition
substantially free of alcohol and propylene glycol comprising a pyranone compound of
formula I, II or [II as a pharmaceutically active agent, one or more pharmaceutically
acceptable surfactants; and a polyethylene glycol having a mean molecular weight of
greater than 300 but lower than 600. The pharmaceutical preferably comprises a
compound of formula I, II or III in an amount from about 1% to about 40% by weight of
the total composition, and further comprises a basic amine in an amount from about 0.1%
to about 10% by weight of the total composition. The basic amine is preferably a lower
alkylamine, basic amino acid or choline hydroxide, with the lower alkylamine preferably
being selected from the group consisting of: ethanolamine, diethanolamine,
triethanolamine, ethylenediamine, dimethylaminoethanol or tris(hydroxymethyl)
aminomethane. The pharmaceutical composition may further comprise a mixture of
monoglycerides and diglycerides in an amount from about 5% to about 35% by weight of
the total composition, which preferably comprises Capmul MCM. The composition works
particularly well with the tipranavir, the compound of formula IV. It is further preferred
that the polyethylene glycol be in an amount from about 10% to about 40% by weight of
the total composition. It is advantageously preferred that the polyethylene glycol have an
average molecular weight of about 400. It is preferred that the pharmaceutically
acceptable surfactant comprise from about 20% to about 60% by Weight of the total
composition, and that the surfactant be selected from the group consisting of: Polyoxyl 40
hydrogenated castor oil, Polyoxyl 35 castor oil, Solutol HS-15, Tagat TO, Peglicol 6-
oleate, polyoxyethylene stearates, poloxamers, polysorbates, or saturated polyglycolyzed
glycerides. The preferred Polyoxyl 35 hydrogenated castor oil is Creniophor EL, or
Cremophor EL-P.
In another embodiment of the present invention, there is disclosed a
substantially alcohol and propylene glycol free pharmaceutical composition comprising
tipranavir (formula IV) in an amount from about 1 % to about 40% by weight of the total
composition; a lipophilic phase comprising from about 5% to about 35% by weight of the
total composition; polyethylene glycol having a mean molecular weight of greater than
about 300 but less than about 600 in an amount from about 10% to about 40% by weight
of the total composition; a pharmaceutical acceptable surfactant, preferably selected from
the group comprising: a polyoxyl castor oil, a polyoxyethylene glycerol triricinoleate, and
a saturated polyglycolyzed caprylic-capric glyceride, in an amount from about 20 to about
60 percent by weight of the total composition; and a basic amine, preferably selected from
the group comprising: a lower alkylamine, basic amino acid, or choline hydroxide, said
basic amine in an amount from about 0.1% to about 10% by weight of the total
composition. A preferred lipophilic phase comprises a mixture of medium-chain
monoglycerid.es and diglycerides, such as Capmul MCM.
And yet in another embodiment of the present invention, there is disclosed
a substantially alcohol and propylene glycol free pharmaceutical composition comprising:
tipranavir (Formula IV) in an amount from about 1% to about 40% by weight of the total
composition; a lipophilic phase, preferably selected from the group consisting of: Capmul
MCM, Labrafil M-1944 CS, Miglyol-812 and a combination thereof, said lipophilic phase
in an amount of from about 5% to about 35% by weight of the total composition;
polyethylene glycol having a mean molecular weight of greater than about 300 but less
than about 600 in an amount of from about 10% to about 40% by weight of the total
composition; and a pharmaceutically acceptable surfactant, preferably selected from the
group comprising: a polyoxyl castor oil, a polyoxyethylene glycerol triricinoleate, and a
saturated polyglycolyzed caprylic-capric glycende, in an amount from about 20 to about
60 percent by weight of the total composition. It is preferred that such composition
further comprise a basic amine, preferably selected from the group comprising: a lower
alkylamine, basic amino acid, or choline hydroxide, said basic amine preferably in an
amount from about 0.1% to about 10% by weight of the total composition.
BRIEF DESCRIPTION OF THE DRAWINGS
The above description, as well as further objects, features and advantages
of the present invention will be more fully understood with reference to the following
detailed description when taken in conjunction with the accompanying drawings, wherein:
Fig. 1 is a phase diagram of a microemulsion comprising Cremophor EL as
the surfactant, propylene glycol as the hydrophilic phase, and Capmul MCM as the
lipophilic phase, at different concentration ratios with respect to one another.
Fig. 2 is a phase diagram of a microemulsion comprising Cremophor EL as
the surfactant, PEG 400 as the hydrophilic phase, and Capmul MCM as the lipophilic
phase at different concentration ratios with respect to one another.
Fig. 3 is a phase diagram of a microemulsion comprising Cremophor EL as
the surfactant, PEG 400 as the hydrophilic phase, and Labrafil M-1944 CS as the
lipophilic phase at different concentration ratios with respect to one another.
Fig. 4 is a phase diagram of a microemulsion comprising Labrasol as the
surfactant, PEG 400 as the hydrophilic phase, and Capmul MCM as the lipophilic phase,
at different concentration ratios with respect to one another.
Fig. 5 is a graph of the in vitro dissolution of tipranavir from the two
microemulsion formulations set forth in Table 1 and Table 2.
Fz'g. 6 is a graph of the in vitro dissolution of tipranavir from the selfemulsifying
formulation as set forth in Table 2 encapsulated in a hydrophilic soft gel cap,
after storing for 3 months, at different temperatures and/or relative humidities.
Fig. 7 is a graph of the in vitro dissolution of tipranavir from the selfemulsifying
formulation set forth in Table 2 encapsulated in a lipophilic soft gel cap, after
storing for 3 months, at different temperatures and/or relative humidities.
DETAILED DESCRIPTION OF THE INVENTION
The present invention overcomes many of the problems associated with the
less than desirable stability and formulation characteristics of pyranone protease
inhibitors. The present invention provides novel formulations of pyranone protease
inhibitors that significantly improve the solubility and bioavailabilty of such protease
inhibitors in oral dosage forms.
Dissolution performance is an important consideration in any oral
formulation. Formulation, however, must also take into account the need for
economically practicable methods to produce a wide range of oral potencies that are
physiochemically stable. Further, components of any formulation must possess
satisfactory processing properties. The present invention provides for the economical
production and processing of physiochemically stable oral dosage forms of pyranone
protease inhibitors having improved bioavailability.
Compounds of Formulas I, II, III, and TV of this application are disclosed
and claimed in International Patent Application No. PCT/US95/05219 and may be
prepared according to the procedures described in International Patent Application No.
WO 95/30670, the disclosures of which are incorporated herein in their entirety by
reference. By "pyranoae protease inhibitor" is meant any compound defined by Formulas
I, II, III and IV which inhibit retroviral protease,
The self-emulsifying formulation of the present invention refers to a
composition comprising a pyranone protease inhibitor, a lipophilic phase, a hydrophilic
phase preferably with polyethylene glycol, one or more pharmaceutically acceptable
surfactants and a basic amine in the amount from 0.1% to about 10% by weight of total
composition. By "self-emulsifying formulation" it is meant a concentrated composition
capable of generating emulsions or micioemulsions upon mixing with sufficient aqueous
media. The emulsions or microemulsions generated from the present invention are
solutions comprising a hydrophilic phase and lipophilic phase. Microemulsions are also
characterized by their thermodynamic stability and small average droplet size, generally
less than about 0,15 microns.
By "basic amine" is meant lower alkylarnines such as, for example,
ethanolamine, diethanolamme, triethanolamine, dimethylaminoethanol, tris(hydroxymethyl)
aminomethane or ethylenediamine; quaternary ammoniums such as, for example,
choline hydroxide; basic amino acids such as, for example, arginine, lysine or guanidine.
The preferred lower alkylamiae is dimethylaminoethanol or tris(hydroxymethyl}
aminomethane.
By the term "pharmaceutically acceptable surfactant" is meant to include
non-ionic surfactants, including Polyoxyl 40 hydrogenated castor oil sold under the trade
name, among others, Cremophor RH40; Polyoxyl 35 castor oil sold under the trade name,
among others, Cremophor EL or Crernophor EL-P (BASF Corp.); Polysorbates; Solutol
HS-15; Tagat TO; Peglicol 6-oleate; Polyoxyethylene stearates; saturated polyglycolyzed
caprylic-capric glycerides sold under the trade name, among others, Labrasol (Gattefosse,
Westwood NJ); saturated polyglycolyzed glycerides; or poloxamers, all of which are
commercially availableThe preferred surfactant is Cremophor EL.
By "lipophilic component" or "lipophilic phase" is meant to include any
number of components exhibiting lipid-like properties, and high solubility in lipids, and
includes triglycerides of caprylic/capric acid, sold under the trade name, among others, of
Captex 300 (Abitec, Columbus OH), trans-esterification products of kernel oil and PEG
(or unsaturated polyglycolyzed glycerides obtained by partial alcoholyisis of apricot
kernel oil consisting of glycerides and PEG esters), known under the trade name, among
others, of Labrafil M 1944 CS (Gattefosse, Westwood, NJ); mono- and di- glycerides of
caprylic and capric acid in glycerol, known under the trade name, among others, as
Capmul MCM (Abitec, Columbus OH); and fractionated oil (such as coconut oil)
containing caprylic-capric acids triglycerides, known under the trade name, among others,
asMiglyo!812.
By the term "monoglyceride" is meant a fatty acid ester of glycerol having
structural formula HOCH2-CH(OH)-CH2(O2CR) or HOCH2-CH(02CR)-CH2OH, wherein
R is a mono-saturated or di-saturated alkyl group having eight to ten carbon atoms. By the
term "diglyceride" is meant a fatty acid ester of glycerol having structural formula
HOCH2-CH(O2CR) -CH2(O2CR)- or (RC02)CH2-CH(OH)-CH2(O2CR), wherein R is
mono-saturated or di-saturated alkyl group having eight to ten carbon atoms. A mixture of
diglyceride and monoglyceride may be prepared by mixing individual diglyceride and
monoglyceride in appropriate relative proportion and/or by partial hydrolysis of
triglyceride, or transesterifcation reaction of trigrycerides, diglycerides with glycerol.
By polyethylene glycol or PEG is meant a polymer having the general
formula HOCH2(CH2)CH2)mCH2OH, where m represents the average number of
oxyethylene groups. The number which follows PEG indicates the average molecular
weight of the polymer. Commercially, PEG may be obtained from the Union Carbide
Corp., among other sources.
In a particularly advantageous composition of the present invention with
respect to the composition of Formula IV (tipranavir), there is provided a PEG-based selfemulsifying
vehicle containing between about 10 percent to about 40 percent PEG 400
(more preferably about 15 percent to about 30 percent PEG 400), between about 20
percent to about 60 percent Cremophor EL (more preferably about 35 percent to about 50
percent Cremophor EL), between about 5 percent to about 35 percent Capmul MCM
(more preferably between about 7 percent to about 15 percent Capmul MCM), and
between about 0.1 percent to about 10 percent basic amine.
It has been noted that conventional self-emulsifying formulations of
pyranone protease inhibitors comprising propylene glycol and/or alcohol stored for
periods of time in soft gelatin capsules exhibit slower and less complete dispersion in
aqueous medium, and an approximately 40 percent decrease in dissolution compared to
comparable freshly made formulations. It has also been noted that the bioavailability of
these drags in humans is lower than that of a bulk solution of similar formulation that is
filled into gelatin capsules immediately before administration. It was hypothesized that
such effects could be attributable to solvent in the formulation migrating into the capsule.
Initial studies were undertaken to alter the gelatin formulation of the
capsule to prevent migration of solvents from the emulsifying formulation into the
capsule. Such attempts were not successful. Studies were then undertaken to determine if
the propylene glycol and alcohol solvents used in conventional formulations could be
replaced in whole or part with another solvent.
Microemulsion phase diagrams were constructed for systems containing
various lipophilic phases, hydrophilic phases, and surfactants. After numerous studies it
was determined that a number of pyranone protease inhibitors, including tipranavir, were
soluble in polyethylene glycols within a defined average molecular weight range, and
could be used to replace propylene glycol and ethanol found in conventional
microemulsion formulations of such drugs.
Fig. 1 is a phase diagram of a microemulsion comprising Cremophor EL as
the surfactant, Capmul MCM as the lipophilic phase and, as in conventional formulations
of pyranone protease inhibitors, propylene glycol as. the hydrophilic phase at different
concentration ratios with respect to one another. As can be seen, such composition
provides a stable microemulsion over a wide array of concentrations of each component.
As propylene glycol is soluble in the capsule surrounding the formulation, however, the
point defining the formulation in the phase diagram can vary considerably over time as
more propylene glycol is removed from the emulsion. Consequently, the solubility of the
drug in the formulation can change considerably over time.
Fig. 2 is a phase diagram of a microemulsion comprising Cremophor EL as
the surfactant, Capmul MCM as the lipophilic phase, and PEG-400 as the hydrophilic
phase again at different concentration ratios with r&spect to one another. The phase
diagram employing PEG-400 (rather than propylene glycol as in Fig. 1} can be
characterized as similar to that of that seen in Fig. 1.
Studies undertaken to determine the effect of the lipophilic phase on the
phase stability of the microemulsion of Fig. 2, suggest that it is preferred that the
lipophilic phase comprise a mixture of medium chain mono- and di- glycerides, such as
found in Caprnul MCM. Fig. 3 is a phase diagram of a microemulsion comprising
Cremophor EL as the surfactant, PEG 4-00 as the hydrophilic phase, and Labrafil-M-1944
CS as the lipophilic phase at different concentration ratios with respect to one another.
Labrafil-M-1944 is a trans-esterification product of kernel oil and PEG, that is,
unsaturated polyglycolyzed glycerides obtained by partial hydrolysis of apricot kernel oil,
consisting of glycerides and PEG esters. The stability of the microemulsion over a wide
range of concentrations of components was found to be more limited than the
microemulsion system of Fig. 2 which employed Capmul MCM as the lipophilic phase.
Capmul MCM is a mono- and di- glyceride mixture ofcaprylic/capric acid in glycerol.
Slight improvement in the stability of the microemulsion of Fig. 2 was
found by employing Labrasol as the surfactant rather than Cremophor EL. Fig. 4 is a
phase diagram of a microemulsion comprising Labrasol as the surfactant, PEG 400 as the
hydrophilic phase, and Capmul MCM as the lipophilic phase, at different concentration
ratios with respect to one another. While Labiasol provided improved stability, Labrasol
suffers from the disadvantage that its long term safety for oral use in humans has not yet
been demonstrated.
Fig. 5 is a graph of the in vitro dissolution of tipranavir from two selfemulsifying
formulations set forth in Table 1 and Table 2. The formulation set forth in
Table 2 differs from that in Table 1 in the replacement of the alcohol and propylene glycol
with PEG 400.
(Table Removed)
In vitro dissolution of the formulation of Table 2 (using PEG 400 instead of alcohol and
propylene glycol as hydrophilic solvent as used in the formulation of Table 1), was found
to be nearly identical to that of the formulation of Table 1 when such formulation was
freshly filled into the soft gelatin capsules. In vitro dissolution of the formulation of Table
2, on the other hand , was found to be substantially better over dissolution time than that
of the Formulation of Table 1 when the formulation of Table 1 was refrigerated in the soft
gelatin capsules at 4°C for 14 months.
The self-emulsifying formulation of Table 2 was found to offer exceedingly
good stability at room temperature as well as under refrigeration, whether stored in
hydrophilic or lipophilic soft gel capsules kept in induction-sealed HDPE bottles.
Fig. 6 is a graph of the in vitro dissolution of tipranavrr from the
formulation as set forth in Table 2 encapsulated in a hydrophilic soft gel capsule and
stored in induction-sealed HDPE bottles, after storing for different periods of time at
different temperatures and/or relative humidities. All three preparations depicted, those
kept for 3 months at 5°C, those kept at room temperature (25°C) for Smonths at 60%
relative humidity, and those kept at 30°C for 3 months at 70% relative humidity, resulted
in nearly identical dissolution profiles.
Fig. 7 is a graph of the in vitro dissolution of tipranavir from the
formulation as set forth in Table 2 encapsulated in a lipophilic soft gel cap, after storing
for different periods of time at different temperatures and/or relative humidities. Nearly
identical patterns as seen with the formulation encapsulated in hydrophilic soft gel
capsules were discerned. The formulation of Table 2 when stored in lipophilic soft gel
capsules demonstrated remarkable stability in dissolution profile when stored in inductionsealed
HDPE bottles for 3 months at 5°C or 30°C at a relative humidity of 70%.
Example 1 - Preparation of a PEG-Based Tipranavir SEDDS Formulation
455 mg of Cremophor EL, 75 mg of Capmul MCM, and 173 mg of PEG
400 were added to a mixing vessel and mixed (700 rpm) together while adding 2 mg of
propyl gallate as an antioxidant. Mixing was continued until the solution was clear, then
15 mg of Tris (predissolved in water in a 1:2 ratio) was added. Mixing was continued at
high speed (1600 rpm) as tipranavir (250mg) was added to the solution. When the
tipranavir was completely dissolved, mixing was subsequently stopped and the solution
allowed to stand for de-gassing.
Example 2 - Bioavajlability of PEG-Based Tipranavir Self-Emulsifying Formulation
Male beagle dogs were used for the in vivo oral bioavailability study. A
PEG-based tipranavir formulation as set forth in Table 2 was compared in dogs to the
propylene glycol/ethanol formulation as set forth in Table 1 after encapsulation in soft
gelatin capsules.. The bioavailability of the two formulations is found to be statistically
the same.
Further stability studies have been conducted with the formulation set forth
in Table 2 in standard soft gelatin capsules. Such studies have shown that the formulation
of the present invention presents less impurities and so appears to be more stable than the
formulation set forth in Table 1 in standard soft gelatin capsules. Additionally, the soft
gelatin capsules having the self-emulsifying formulation according to the present
invention were not sticky at six months, 30° C and 70% relative humidity.
While the invention has been described with respect to preferred
embodiments, those skilled in the art will readily appreciate that various changes and/or
modifications can be made to the invention without departing from the spirit or scope of
the invention as defined by the appended claims. All documents cited herein are
incorporated in their entirety by reference.




WE CLAIM:
1. A pharmaceutical composition with less that 0.5% of ethanol and propylene glycol, alone or in combination, comprising:
(a) from 1% to 40% by weight of a pyranone compound of Formula I as a pharmaceutically active agent,
(Formula Removed)
Formula I
R1 is H-; R2 is C3-C5 alkyl, phenyl-(CH2)2-, het-SO2NH-(CH2)2-, cyclopropyl-(CH2)2-, F-phenyl-(CH2)2-; het-SO2NH-phenyl-, or F3C-(CH2)2-; or R1 and R2 taken together are a double bond; R3 is R4 -(CH2)n-CH(R5)-, H3C-[O(CH2)2]2-CH2-C3-C5 alkyl, phenyl-(CH2)2-, het-SO2HN-(CH2)2-, (HOCH2)3C-NH-C(O)-NH-(CH2)3-, (HO2C)(H2N)CH-(CH2)2-C(O)-NH-(CH2)3-, piperazin-l-yl-C(O)-NH-(CH2)3, HO3S(CH2)2-N(CH3)-C(O)-(CH2)6-C(O)-NH-(CH2)3-cyclopropyl-(CH2)2-, F-phenyl-(CH2)2--, het-SO2 NH-phenyl, or F3-C-(CH2)2-; n is 0, 1 or 2; R4 is phenyl, het, cyclopropyl, H3C-[O(CH2)2]2-, het-SO2NH-, Br-, N3-, or HO3S(CH2)2-N(CH3)-C(O)-(CH2)6-C(O)-NH-; R5 is -CH2-CH3, or CH2-cyclopropyl; R6 is cyclopropyl, CH3-CH2-, or t-butyl; R7 is-NR8SO2-het, -NR8SO2-phenyl, optionally substituted with R9, -CH2-SO2-phenyl, optionally substituted with R9, or -CH2-SO2-het; Rs is -H or -CH3; R9 is -CH2-SO2-het; R8 is -H, or -CH3; R9 is -CN, -F, -OH, or -NO2; wherein het is a 5-, 6- of 7- membered saturated or unsaturated ring containing from one to three heteroatoms selected from the group consisting of nitrogen, oxygen and sulphur; and including any bicyclic group in which any of the above hetero-cyclic rings is fused to a benzene ring or another heterocycle, optionally substituted with -CH3, -CN, -OH, -C(O)OC2H5, -CF3, -NH2, or -C(O)-NH2; or a pharmaceutically acceptable salt thereof;

(b) from 20% to 60% by weight of one or more pharmaceutically acceptable surfactants, and
(c) from 10% to 40% by weight of a polyethylene glycol solvent having a mean molecular weight of greater that 300 but lower than 600; and
(d) a basic amine in an amount from 0.1% to 10% by weight of the total composition, wherein the basic amine is a loweralkylamine, basic amino acid or choline hydroxide, wherein the lower alkylamine is selected from the group consisting of: ethanolamine, diethanolamine, triethanolamine, ethylenediamine, dimethylaminoethanol or tris(hyrdoxymethyl) aminomethane.

2. The pharmaceutical composition as claimed in claim 1, further comprising a mixture of diglyceride and monoglycerides in an amount from 5% to 35% by weight of the total composition.
3. The pharmaceutical composition as claimed in claim 2, wherein the mixture of diglyceride and monoglycerides is a mono- and diglyceride mixture of caprylic and capric acid.
4. The pharmaceutical composition as claimed in claim 2, wherein the diglyceride and monoglycerides are mono- or di-saturated fatty acid esters of glycerol having eight to ten carbon chain length.
5. The pharmaceutical composition as claimed in claim 1, wherein the pyranone compound of Formula I is a compound of Formula IV:
(Formula Removed)

6. The pharmaceutical composition as claimed in claim 1, wherein the
polyethylene glycol has an average molecular weight of about 400.
7. The pharmaceutical composition as claimed in claim 1 comprising:
(a) a pyranone compound of Formula IV
(Formula Removed)
in an amount from 1% to 40% by weight of the total composition;
(b) a lipophilic phase comprising from 5% to 35% by weight of the total composition;
(c) polyethylene glycol having a mean molecular weight of greater than about 300 but less than about 600 in an amount from 10% to 40% by weight of the total composition;
(d) a surfactant selected from the group consisting of a polyoxyl castor oil, a polyoxyethylene glycol triricinoleate, and a saturated polyglycolyzed caprylic-capric glyceride, in an amount from 20 to 60 percent by weight of the total composition; and
(e) a basic amine selected from the group consisting of a lower alkyamine, basic amino acid, or choline hydroxide, said basic amine in an amount from 0.1% to 10% by weight of the total composition, wherein the lower alkylamine is selected from the group consisting of: ethanolamine, diethanolamine, triethanolamine, ethylenediamine, dimethylaminoethanol, or tris(hydroxymethyl) aminomethane.


8. The pharmaceutical composition as claimed in claim 7, wherein the lipophilic phase comprises a mixture of diglycerides and monoglycerides.
9. The pharmaceutical composition as claimed in claim 1, comprising (a) a pyranone compound of Formula IV
(Formula Removed)
in an amount from 1% to 40% by weight of the total composition:
(b) a lipophilic phase selected from the group consisting of:
a mono-and diglyceride mixture of caprylic and capric acid, a mixture of mono-, di- and triglycerides and mono- and di-fatty esters of polyethylene glycol, wherein the predominant fatty acid is oleic acid, and a mixture of triglycerides of caprylic and capric acid, and a combination thereof,
said lipohilic phase in an amount from 5% to 35% by weight of the total composition;
c) polyethylene glycol having a mean molecular weight of greater than about 300 but less than about 600 in an amount from 10% to 40% by weight of the total composition;
(d) a surfactant selected from the group consisting of a polyoxyl castor oil, a polyoxyethylene glycerol triricinoleate, and a saturated polyglycolyzed caprylic-capric glyceride, in an amount from 20% to 60% by weight of the total composition, and

(e) a basic amine selected from the group consisting of a lower alkylamine, basis amino acid, or choline hydroxide, wherein the lower alkylamine is selected from the group consisting of: ethanolamine, diethanolamine, triethanolamine, ethylenediamine, dimethylaminoethanol or tris(hydroxymethyl) aminomethane, said basic amine in an amount from 0.1% to 10% by weight of the total composition.
10. The composition as claimed in claim 9, which is in a form of a liquid which can be encapsuled in soft elastic capsules.
11. The composition as claimed in claim 9, which is in a form of a liquid which can be encapsuled in hard gelatin or non-gelatin capsules.
12. A pharmaceutical composition with less than 0.5% of ethanol and propylene glycol, alone or in combination, comprising:
(a) a pyranone compound of Formula I as a pharmaceutically active agent,
(Formula Removed)
Formula I R1 is H-; R2 is C3-C5 alkyl, phenyl-(CH2)2-, het-SO2NH-(CH2)2-, cyclopropyl-(CH2)2-, F-phenyl-(CH2)2-; het-SO2NH-phenyl-, or F3C-(CH2)2-; or R1 and R2 taken together are a double bond; R3 is R4 -(CH2)n-CH(R5)-, H3C-[O(CH2)2]2-CH2-C3-C5 alkyl, phenyl-(CH2)2-, het-S02HN-(CH2)2-, (H0CH2)3C-NH-C(O)-NH-(CH2)3-, (HO2C)(H2N)CH-(CH2)2-C(O)-NH-(CH2)3-, piperazin-l-yl-C(O)-NH-(CH2)3, H03S(CH2)2-N(CH3)-C(O)-(CH2)6-C(O)-NH-(CH2)3-cyclopropyl-(CH2)2-, F-phenyl-(CH2)2-, het-S02 NH-phenyl, or F3-C-(CH2)2-; n is 0, 1 or 2; R4 is phenyl, het, cyclopropyl, H3C-[0(CH2)2]2-, het-SO2NH-, Br-, N3-, or HO3S(CH2)2-N(CH3)-C(O)-(CH2)6-C(O)-NH-; R5 is -CH2-CH3, or CH2-cyclopropyl; Re is cyclopropyl, CH3-CH2-,

or t-butyl; R7 is-NR8SO2-het, -NR8SO2-phenyl, optionally substituted with R9, -CH2-SO2-phenyl, optionally substituted with R9, or -CH2-SO2-het; Rs is -H or -CH3; R9 is -CH2-SO2-het; Rs is -H, or -CH3; R9 is -CN, -F, -OH, or -NO2; wherein het is a 5-, 6- of 7- membered saturated or unsaturated ring containing from one to three heteroatoms selected from the group consisting of nitrogen, oxygen and sulphur; and including any bicyclic group in which any of the above hetero-cyclic rings is fused to a benzene ring or another heterocycle, optionally substituted with -CH3, -CN, -OH, -C(O)OC2H5, -CF3, -NH2, or -C(O)-NH2; or a pharmaceutically acceptable salt thereof;
(b) one or more pharmaceutically acceptable surfactants; and
(c) a polyethylene glycol solvent having a mean molecular weight of greater than 300 but lower than 600, and
(d) a mixture of diglyceride and monoglycerides in an amount from 5% to 35% by weight of the total composition, wherein the diglyceride and monoglyceride are mono-or di- saturated fatty acid esters of glycerol having eight to ten carbon chain length.

13. The pharmaceutical composition as claimed in claim 12, wherein said mixture of diglyceride and monoglycerides is a mono-and diglyceride mixture of caprylic and capric acid.
14. The pharmaceutical composition as claimed in claim 12, wherein the compound of Formula I is present in an amount from 1% to 40% by weight of the total composition.
15. The pharmaceutical composition as claimed in claim 12, further comprising a basic amine in an amount from 0.1% to 10% by weight of the total composition.
16. The pharmaceutical composition as claimed in claim 15, wherein the basic amine is a lower alkylamine, basic amino acid or choline hydroxide, wherein the

lower alkylamine is selected from the group consisting of ethanolamine, diethanolamine, triethanolamine, ethylenediamine, dimethylaminoethanol or tris(hydroxymethyl) aminomethane.
17. The pharmaceutical composition as claimed in claim 12, wherein pyranone compound of Formula I is a compound of Formula IV:

(Formula Removed)

The pharmaceutical composition as claimed in claim 12, wherein the polyethylene glycol is in an amount of from 10% to 40% by weight of the total composition.
19. The pharmaceutical composition as claimed in claim 18, wherein the polyethylene glycol has an average molecular weight of about 400.
20. The pharmaceutical composition as claimed in claim 12, wherein the surfactant comprises from 20% to 60% by weight of the total composition.

Documents:

00506-delnp-2003-abstract.pdf

00506-delnp-2003-claims.pdf

00506-delnp-2003-correspondence-others.pdf

00506-delnp-2003-description (complete)-19-08-2008.pdf

00506-delnp-2003-description (complete).pdf

00506-delnp-2003-drawings.pdf

00506-delnp-2003-form-1.pdf

00506-delnp-2003-form-18.pdf

00506-delnp-2003-form-2.pdf

00506-delnp-2003-form-3.pdf

00506-delnp-2003-form-5.pdf

00506-delnp-2003-gpa.pdf

00506-delnp-2003-pct-101.pdf

00506-delnp-2003-pct-210.pdf

00506-delnp-2003-pct-304.pdf

00506-delnp-2003-pct-306.pdf

00506-delnp-2003-pct-308.pdf

00506-delnp-2003-pct-332.pdf

00506-delnp-2003-pct-401.pdf

00506-delnp-2003-pct-402.pdf

00506-delnp-2003-pct-409.pdf

00506-delnp-2003-pct-416.pdf

506-DELNP-2003-Abstract-(06-02-2008).pdf

506-DELNP-2003-Claims-(06-02-2008).pdf

506-DELNP-2003-Claims-19-08-2008.pdf

506-DELNP-2003-Correspondence-Others-(06-02-2008).pdf

506-DELNP-2003-Drawings-(06-02-2008).pdf

506-DELNP-2003-Form-1-(06-02-2008).pdf

506-DELNP-2003-Form-2-(06-02-2008).pdf

506-DELNP-2003-GPA-(06-02-2008).pdf

506-DELNP-2003-Petition-137-(06-02-2008).pdf


Patent Number 223213
Indian Patent Application Number 00506/DELNP/2003
PG Journal Number 38/2008
Publication Date 19-Sep-2008
Grant Date 05-Sep-2008
Date of Filing 03-Apr-2003
Name of Patentee BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Applicant Address 900 RIDGEBURY ROAD, P.O. BOX 368, RIDGEFIELD, CONNECTICUT 06877, U.S.A.
Inventors:
# Inventor's Name Inventor's Address
1 SHIRLYNN CHEN 226 BRIARWOOD DRIVE, SOMERS, NY 10589, USA
2 JOCELYN A. GUNN 40 WOOD STREET, HAMDEN, CT 06517, USA
PCT International Classification Number A61K 31/00
PCT International Application Number PCT/US01/48683
PCT International Filing date 2001-10-30
PCT Conventions:
# PCT Application Number Date of Convention Priority Country
1 60/244,434 2000-10-31 U.S.A.