Title of Invention

MELDONIUM SALTS, PROCESS FOR THEIR PREPARATION AND PHARMACEUTICAL COMPOSITION COMPRISING THEM .

Abstract The invention discloses Meldonium salts having the general formula : X-(CH3) 3N+NHCH2CH2COOH wherein X- is an anion selected from the group consisting of dihydrogen phosphate, hydrogen fumarate and orotate anions. The invention is also for preparation of said salts and pharmaceutical composition comprising them.
Full Text DESCRIPTION
Meldonium Salts, Process for Their Preparation and
Pharmaceutical Composition Comprising Them
TECHNICAL FIELD
The present invention relates to 3-(2,2,2-trimethyIhydrazinium)propionate salts
of the general formula X"(CH3)3N+NHCH2CH2COOH where X" is an acid anion
selected from the group of acid phosphate, acid fumarate, acid oxalate, acid maleate
and/or acid pamoate, orotate, galactarate, sulfate, dichloroacetate, acid galactarate,
fumarate, taurate, maleate, acid aspartate, creatinate, acid sulfate, magnesium
succinate, acid citrate, citrate, succinate, acid succinate, adipinate, acid tartrate and
lactate, which distinguish from 3-(2,2,2-trimethylhydrazinium) propionate dihydrate
by low hygroscopicity and/or increased thermal stability and/or lasting action. This
invention relates also to the method of such salt preparation and to pharmaceutical
formulations containing the said salts.
BACKGROUND OF THE INVENTION
3-(2,2,2-Trimethylhydrazinium) propionate is disclosed in US Patent
No.4481218.
It is well known that 3-(2,2,2-trimethylhydrazinium) propionate as dihydrate
(this substance being known under its International Nonproprietary Name of
Meldonium) is widely used for controlling carnitine and gamma-butyrobetaine
concentration ratio and consequently the speed of fatty acid beta-oxidation in the body
(Dambrova M., Liepinsh E., Kalvinsh I. Mildronate: cardioprotective action through
carnitine-lowering effect. Review. // Trends Cardiovasc.Med. - 2002. - Vol. 12, N.6.
- P. 275-279. Rupp FL, Zarain-Herzberg A., Maisch B. The use of partial fatty acid
oxidation inhibitors for metabolic therapy of angina pectoris and heart failure // Herz,
2002. - Vol. 27, N.7. - P. 621-636. Mildronate, Met-88. Drugs Fut. 2001, 26(1),
p.82).
Due to these properties, Meldonium (registered with the trade mark of
,,MILDRONATS®" , "MILDRONATE®", "MPOHAT®") is extensively applied
in medicine as an anti-ischemic un stress-protective drug in treating various cardiovascular
diseases and other pathologies involving tissue ischemia (R.S.Karpov,
O.A.Koshelskaya, A.V.Vrublevsky, A.A.Sokolov, A.T.Teplyakov, I.Skarda,
V.Dzerve, D.Klintsare; A.Vitols, I.Kalvinsh, L.Matveyeva, D.Urbane. Clinical

efficacy and safety of Mildronate in patients with ischemic heart disease and chronic
heart failure. Kardiologiya, 2000 , Vol.6, - P.69-74.)
However, Meldonium as dihydrate has essential drawbacks, the first of which
consists in its rather high hygroscopiciry. Already after 24 hours maintenance at 100%
air humidity, Meldonium mass is increased by 10% because of water absorption, the
substance being transformed into a syrup.
Other essential drawback of Meldonium is caused by the half-elimination period
equalling 4-10 hours for humans while this drug must be used 2-4 times daily in the
clinic (V.Dzerve. Mildronats. PAS "Grindeks", 1999, p.l), though it is longer in trials
on rats (K.Yoshisue, Y.Yamomoto, K.Yoshida, M.Saeki, Y.Minami, Y.Esumi,
Y.Kawaguchi. Pharmacokinetics and biological fate of 3-(2,2,2-
trimethylhydrazinium)propionate (MET-88), a novel cardioprotective agent, in rats.
Drug Metabolism and Disposition, vol.28, No6, 687-694).
As Meldonium dihydrate is unsuitable for single daily oral introduction, it was
one of the aims of the present invention to find other pharmacologically acceptable
Meldonium forms which would be applicable for single daily use. It is generally
known that amino acid betaine salts usually have good solubility in water. If
pharmacologically acceptable acids are selected, resorption and elimination
pharmacokinetics and biological activity of these salts normally does not much differ
from the parameters of the initial compound.
Besides, Meldonium is not very stable: while heated, it fast loses the water of
the crystal hydrate. In turn, the anhydrous form of Meldonium is unstable and
extremely hygroscopic. In such form, this compound soon becomes coloured and gets
a specific annoying odour. Thus, the hygroscopicity and thermal non-stability of
Meldonium dihydrate are significant disadvantages restricting the possibilities of
preparing different oral and external drug dosage forms from this compound.
Furthermore, Meldonium dihydrate is actively dehydrated at temperatures so low as
40-45°C. This means that sure storage of Meldonium dosage forms containing crystal
hydrate is rather embarrassing in countries with hot climate.
Because Meldonium dihydrate is not readily applicable for producing drug oral
dosage forms, it was a further object of this invention to find other pharmacologically
acceptable salts of Meldonium which would lack hygroscopicity or/and, be thermally
stable and could be stored in any climatic zone for a long time.

DETAILED DESCRIPTION OF THE INVENTION
For most Meldonium salts, their pharmacokinetic properties practically do not
differ from those described for Meldonium. Therefore the use of these salts for
preparing pharmaceutical compositions seemingly have no advantage as compared to
Meldonium.
To our surprise, we suddenly found that Meldonium salts of some
pharmaceutically acceptable polybasic acids are an exception in this respect; although
readily soluble in water, they essentially differ from Meldonium by their
pharmacokinetic and pharmacodynamic properties.
It was an astonishing discovery since no theoretical argument exists why
Meldonium salts, which are easily soluble in water should have resorption and
elimination speed different from that of Meldonium.
Nevertheless, we succeeded in finding among the above salts some specific
Meldonium salts with appropriate pharmacokinetics and pharmacodynamics allowing
their single daily use; they are: X(CH3)3N+NHCH2CH2COOH where X" is the anion
of acids is selected from the group of mono-substituted fumaric acid, mono-
substituted phosphoric acid, mono-substituted oxalic acid, mono-substituted maleic
acid un mono- and/or di-substituted galactaric, pamoic acids and orotic acid.
It is common knowledge that betaines of amino acids are commonly relatively
stable substances. It is well known that these compounds are readily soluble in water
and the biological activity of their pharmacologically acceptable salts usually does not
differ from that of the initial compound.
However, Meldonium and monobasic, dibasic as well as tribasic
pharmaceutically acceptable acid salts have equal or even higher hygroscopicity than
Meldonium itself. Moreover, many of them cannot be prepared in crystalline form at
all because they form syrups containing variable quantity of water.
The salts of both strong and weak acids, viz. Meldonium sulfate, hydrogen
chloride, acetate, lactate, citrate as well as salts of many other pharmaceutically
acceptable acids are hygroscopic. Consequently, using these salts for preparation of
pharmaceutical compositions for oral use is deemed lacking preference to that of
Meldonium.
We noticed completely unexpectedly that Meldonium salts of some
pharmaceutically acceptable polybasic acids are exceptional in this regard; they

proved to be practically non-hygroscopic though easily soluble in water. We observed
that these compounds are also very stable while maintained at both room temperature
and temperatures up to at least 50 centigrade over a long period of time. Similarly we
gained the unanticipitated result that such specific monobasic acid as orotic acid
forms a non-hygroscopic Meldonium salt, too. All of 1he claimed salts proved more
stable thermally than Meldonium.
Orally administered Meldonium is easily bioavailable also from these salts,
therefore these salts are much more suitable for preparing various drug dosage forms
than the hygroscopic and thermally unstable Meldonium. It was an astounding
discovery because no theoretical underpinning suggests any difference of Meldonium
orotate or polybasic acid salts, which are also readily soluble in water, from other
salts as to hygroscopicity.
Since they are not hygroscopic and/or have increased thermal stability, these
salts can be easily handled and are favourably suitable for manufacturing solid
administration forms. Their aqueous solutions are less acid than those of the
corresponding chlorides: consequently these salts are also more suitable for
manufacturing injectable administration forms.
The following non-limiting examples illustrate the preparation of salts according
to the present invention.
EXAMPLE 1
The following methods may be applied for the preparation of these salts.
Meldonium is dissolved in water or other appropriate solvent, an equimolar quantity
of a polybasic acid selected from the group of fumaric acid, phosphoric acid, aspartic
acid, citric acid, lactic acid, maleic acid, oxalic acid, or orotic acid (the latter is taken
in semi-molar quantity) is added, and the mixture is stirred at temperature from 20 to
50°C till the corresponding salt is formed. At the second technological stage,
Meldonium salts are evaporated to dryness if necessary. At the third technological
stage, in case of need the obtained salts are recrystallised from a suitable solvent.
EXAMPLE 2
The said salts can also be prepared from the corresponding salts of Meldonium
production intermediates, viz. methyl- or ethyl-esters of 3(2,2,2,-
trimethylhydrazinium) propionate, the latter being heated together with the
corresponding acids in aqueous or aqueous-alcoholic solutions, and subsequent

treatment, eduction and purification being performed by analogy with the first method
of preparation.
EXAMPLE 3
Method of salt preparation from meldonium dihydrate. Meldonium and the
corresponding acid are dissolved in a small quantity of water at 40-50°C under
stirring. The obtained solution is evaporated in vacuum at 40-50°C. Acetone or
acetonitrile is added to the formed mass (what predominantly is viscous syrup), and
the mixture is grated. The precipitated crystalline mass is stirred in acetone or
acetonitrile during several hours, filtered off, washed with acetone or acetonitrile,
dried in vacuum at room temperature.
Sample hygroscopicity was tested by H2O content determination before the test
and after 24 hours maintenance at 100% humidity (keeping in a closed vessel over
water). On such conditions, Meldonium absorbs 10% water (as to mass increase)
during 24 hours. Water content was determined by titration by Fischer's method; in
cases of syrup formation water content is determined by sample mass increase.
The claimed invention is illustrated by, but not restricted to the following
examples of salts obtained by the above method:
EXAMPLE 4
Meldonium orotate (1:1). Mp. 211-214°C. 1H NMR spectrum (D2O), 5, ppm:
2.56 (2H, t, CH2COO-); 3.29 (2H, t, CH2N); 3.35 (9H, s, Me3N+); 6.18 (IH, s, -CH=).
Found, %: C 43.78; H6.01; N 18.48. Calculated, %: C 43.71; H 6.00; N 18.53.
Initially H2O content in the sample was 0.3919%; during 24 hours at 100% humidity
it remains unchanged.
EXAMPLE 5
Meldonium dihydrogen phosphate (1:1). Mp.l58-160°C. lH NMR spectrum (D2O), 5, ppm:
2.60 (2H, t, CH2COO-); 3.31 (2H, t, CH2N); 3.35 (9H, s, Me3N+). Found, %: C 29.64;
H 7.05; N 11.33 Calculated, %: C 29.51; H 7.02; N 11.47. Initially H2O content in the
sample was 0.0762%; during 24 hours at 100% humidity it remains unchanged.
EXAMPLE 6
Meldonium hydrogen fumarate (1:1). Mp. 140-142°C. 1H NMR spectrum, S, ppm: 2.57
(2H, t CH2); 3.29 (2H, t, CH2); 3.35 (9H, s, Me3N+), 6.72 (2H, s, -CH=CH-). Found.
%: C 45,46; H 6,94; N 10,72. Calculated, %: C 45,80; H 6,92; N 10.68. Initially H2O

content in the sample was 0.18%; during 24 hours a.t 100% humidity it remains
unchanged.
EXAMPLE 7
Meldonium oxalate (1:1). Mp. 123-125°C . 1H NMR spectrum (D2O), δ, ppm:
2.61 (2H, t, CH2COO-); 3.30 (2H, t, CH2N); 3.35 (9H, s, Me3N+). Found, %: C 40.86;
H 6.82; N 11.78 Calculated, %: C 40.68; H 6.83; N 11.86. Initially H2O content in
the sample was 0.1661%; after 24 hours maintenance at 100% humidity it was
3.1211%.
EXAMPLE 8
Meldoniuma maleate (1:1). Mp. 98-100°C lHNMR spectrum (D2O), 5, ppm:
2.60 (2H, t, CH2COO-); 3.31 (2H, t, NCH2); 3.35 (9H, s, Me3N+); 6.35 (2H, s, -
CH=CH-). Found, %: C 45.93; H 6.95; N 10.65. Computational, %: C 45.80; H 6.92;
N 10.68. Initially H2O content in the sample was 0.387%; after 24 hours maintenance
at 100% humidity it was 4.6844%.
EXAMPLE 9
Meldonium mucate (galactarate; 2:1; x H2O). Mp.l52-154°C. 1HNMR spectrum
(D2O), δ, ppm: 2.46 (4H, t, 2 x CH2COO-); 3.26 (4H, t, 2 xNCH2); 3.35 (18H, s,
2 x Me3N+); 3.98 un 4.31 - two singlets of low intensity, protons of mucic acid.
Found, %: C 42.13; H 7.58; N 10.77. Calculated, %: C 41.53; H 7.75; N 10.76.
Initially H2O content in the sample was 3.0414%; after 2.4 hours maintenance at 100%
humidity it was 7.6830%.
EXAMPLE 10
Meldonium pamoate (1:1; x H2O). Meldonium (5.46 g, 30 mmol) and pamoic
acid (5.82 g, 15 mmol) are mixed with water and acetone (15 + 15 ml), the formed
suspension is evaporated, 30-40 ml toluene is added to the residual viscous mass, it is
grated, and evaporation is repeated. If the residue is insufficiently dry, treatment with
toluene is repeated. Mp. 128-133°C (decomp.). ]H NMR spectrum (DMSO-d6),
δ, ppm: 2.41 (2H, t, CH2COO-); 3.14 (2H, t, CH2N); 3.25 (9H, s, Me3N+); 4.75 (2H, s,
-CH2-(pam.)); 7.12 (2H, t, Haram); 7.26 (2H, td, Harom); 7.77 (2H, d, Harom); 8.18 (2H, d,
Harom); 8.35 (2H, s, Harom). Found, %: C 62,90; H 5,83; N 4,98. Calculated, %: C
63,07; H 5,84; N 5,07. Initially H2O content in the sample was 1.71%; after 24 hours
maintenance at 100% humidity sample mass increased by 9% due to absorbed water.
EXAMPLE 11

Meldonium sulfate (2:1). Tm 80-182°C (decomp.)- 1H NMR spectrum (D2O),
δ, ppm: 2.60 (4H, t, 2 x CH2COO-); 3.30 (4H, t, 2 x CH2N); 3.35 (18H, s,
2 x Me3N+). Found, %: C 37.08; H 7.73; N 14.29; S 8.20. Calculated, % : C 36.91; H
7.74; N 14.35; S 8.21. Initially H2O content in the sample was 0.313%; after 24 hours
maintenance at 100% humidity sample mass increased by 11.8% due to absorbed
water.
EXAMPLE 12
Meldonium dichloroacetate (1:1). Mp. 86-88°C. 1H NMR spectrum (D2O), δ,
ppm: 2.61 (2H, t, CH2COO-); 3.31 (2H, t, CH2N); 3.35 (9H, s, Me3N+); 6.05 (1H, s, -
CHCl2). Found, %: C 35.13; H 5.85; N 10.10. Calculated, %: C 34.92; H 5.86; N
10.18. Initially H2O content in the sample was 1.17%; after 24 hours maintenance at
100% humidity sample mass increased by 12% due to absorbed water.
EXAMPLE 13
Meldonium mucate (galactarate; 1:1). Mp. 152-154°C. 1H NMR spectrum
(D2O), δ, ppm: 2.47 (2H, t, CH2COO-); 3.26 (2H, t, CH2N); 3.35 (9H, s, Me3N+); 3.71
and 3.98 - two singlets of low intensity, protons of the slightly soluble mucic acid.
Found, %: C 40.22; H 6.75; N 7,75%. Calculated, %: C 40,22; H 6,79; N 7,86.
Initially H2O content in the sample was 1.98%; after 24 hours maintenance at 100%
humidity it was 12.8 % .
EXAMPLE 14
Meldonium fumarate (2:1). Mp. 156-158°C. ]H NMR spectrum (D2O), 8, ppm:
2.53 (4H, t, 2 x CH2(meld)); 3.29 (4H, t, 2 x CH2(meld)); 3.35 (18H, s, 2 x Me3N+); 6.65
(2H, s, -CH=CH-(fum.ac.)). Found, %: C 46.68; H 7.91; N 13.69. Calculated, %: C
47.05; H 7.90; N 13.72. Initially H2O content in the sample was 1.5136%; after 24
hours maintenance at 100% humidity it was 13.4707%.
EXAMPLE 15
Meldonium 2-aminoethane sulfonate (taurate; 1:1; x 1.5H2O). Mp. 190-193°C
(with decomp.). 1H NMR spectrum (D2O), δ, ppm: 2.38 (2H, t, CH2COO-); 3.18-3.30
(4H, m, NCH2(meid.) + CH2(taur.)); 3.34 (9H, s, Me3N+); 3,42 (2H, t, CH2(taur.)). Found,
%: C 32.40; H 8.16; N 13.98; S 10.60. Calculated, %: C 32.21; H 8.11; N 14.08; S
10.75. Initially H2O content in the sample was 9,4824%; after 24 hours maintenance
at 100% humidity it was 17.0854%.

EXAMPLE 16
Meldonium maleate (2:1). Mp. 104-106°C. 1H NMR spectrum (D2O), δ, ppm:
2.54 (4H, t, CHaCOO-); 3.30 (4H, t, CH2N); 3.35 (18H, s, Me3N+); 6.42 (2H, s,
-CH=CH-). Found, %: C 46.59; H 7.88; N 13.50. Calculated: C 47.05; H 7.90; N
13.72. Initially H2O content in the sample was 1,3595%; after 24 hours maintenance
at 100% humidity sample mass increased by 18% due to absorbed water.
EXAMPLE 17
Meldonium L-(+)-aspartate (1:1; x2H2O). Mp. 146-148°C. 1H NMR spectrum
(D2O), δ, ppm: 2.49 (2H, t, CH2COO-); 2.70-2.99 (2H, m, CH2(asp)) 3.27 (2H, t,
CH2N); 3.35 (9H, s, MesN+); 3.95 (1H, dd, CHNH2). Found, %: C 37.71; H 7.85;
N 13.03. Calculated, %: C 38.09; H 7.99; N 13.33. Initially H2O content in the sample
was 12.5%; after 24 hours maintenance at 100% humidity sample mass increased by
18% due to absorbed water.
EXAMPLE 18
Meldonium creatinate (1:1; x3H2O). Mp. 227-228°C (decomp.). 1H NMR
spectrum (D2O), δ, ppm: 2.38 (2H, t, CH2COO-); 3.03 (3H, s, NMe(oreatlne)); 3.22 (2H,
t, CH2N); 3.35 (9H, s, MesN+); 3.92 (2H, s, NCH2(creatine,). Initially H2O content in the
sample was 15.8%; after 24 hours maintenance at 100% humidity sample mass
increased by 18% due to absorbed water.
EXAMPLE 19
Meldonium sulfate (1:1). Tm 98-100°C. 1H NMR spectrum (D2O), δ, ppm: 2.62
(2H, t, CH2COO-); 3.31 (2H, t, CH2N); 3.35 (9H, s, Me3N+). Found, % C: C 29.23; H
6.57; N 11.17; S 13.10. Calculated: C 29.50; H 6.60; N ] 1.47; S 13.13. Initially H2O
content in the sample was 1.4189%; after 24 hours maintenance at 100% humidity
sample mass increased by 20% due to absorbed water.
EXAMPLE 20
Meldonium magnesium succinate (1:1:1; x2H2O). (see Meldonium-magnesium
tartrate). Mp. 135-140°C (decomp.). 1HNMR spectrum (D2O), δ, ppm: 2.39 (2H, t,
CH2COO-); 2.46 (4H, s, -CH2-CH2-(succin.ac,)); 3.22 (2H, t, CH2N); 3.35 (9H, s,
MeaN+). Found, %: C 36.66; H 7.28; N 8.37. Calculated: C 37.23; H 6.87; N 8.68.
Initially H2O content in the sample was 10.1215%; after 24 hours maintenance at
100% humidity sample mass increased by 20% due to absorbed water.
EXAMPLE 21

Meldoniurn magnesium citrate (1:1:1; x2H2O) (see Meldonium-magnesium
tartrate). Mp. 195-200°C (decomp.). 2HNMR spectrum (D2O), δ, ppm: 2.48 (2H, t,
CH2COO-); 2.75 (4H, dd, 2xCH2(citr.)); 3.26 (2H, t, CH2N); 3.34 (9H, s, Me3N+).
Found, %: C 36.58; H 6.09; N 6.96. Calculated: C 36.34; H 6.10; N 7.06. Initially
H2O content in the sample was 9.45%; after 24 hours maintenance at 100% humidity
the sample diffused.
EXAMPLE 22
Meldonium citrate (1:1). Mp. 90-95°C (decomp.). lH NMR spectrum (D2O), δ,
ppm: 2.56 (2H, t, CH2COO-); 2.85 (4H, dd, 2xCH2(citr)); 3.28 (2H, t, CH2N); 3.35
(9H, s, Me3N4).
EXAMPLE 23
Meldonium citrate (2:1). Mp. 101-107°C (decomp.). 1H NMR spectrum
(D2O), 5, ppm: 2.51 (4H, t, 2xCH2COO-); 2.81 (4H, dd, 2xCH2(citr.)); 3.26 (4H,
t, 2xCH2N); 3.35 (18H, s, 2x Me3N+).
EXAMPLE 24
Meldonium succinate (1:1). Mp. 95-100°C (decomp.).1H NMR spectrum (D2O),
5, ppm: 2.51 (2H, t, CH2(meldon.)); 2.60 (4H, s, -CH2-CH2-(succin.ac)); 3.27 (2H, t,
CH2(meldon.)); 3.35 (9H, s, Me3N+).
EXAMPLE 25
Meldonium succinate (2:1). Mp. 103-107°C (decomp.).1H NMR spectrum
(D2O), δ, ppm: 2.47 (4H, t, 2 x CH2(meldon.)); 2.59 (4H, s, -CH2-CH2-(succin.ac.)); 3.29
(4H, t, 2 x CH2(meldon.)); 3.35 (18H, s, 2 x Me3N+).).
EXAMPLE 26
Meldonium adipinate (2:1). Mp. 110-114°C (decomp.).1H NMR spectrum
(D2O), δ, ppm: 1.55-1.70 (4H, m, 2xCH2(adip.)); 2.28-2.39 (4H, m, 2xCH2(adip.)); 2.45
(4H, t, 2xCH2(meIdon.)); 3.24 (4H, t,-2xCH2(meldon.)); 3.34 (18H, s, 2 x Me3N+).
EXAMPLE 27
Meldonium tartrate (1:1). Mp. 100-107°C (decomp.). 1H NMR spectrum (D2O),
8, ppm: 2.57 (2H, t, CH2COO-); 3.29 (2H, t, CH2(meldon.)); 3.35 (9H, s, Me3N+); 4.55
(2H, s, CH(tart.ac.)).
EXAMPLE 28

Meldonium lactate (1:1). Mp. 110-114°C (decomp.). 1H NMR spectrum (D2O),
δ, ppm: 1.33-1.48 (3H, m, Me(lact.ac.)); 2.50 (2H, t, CH2COO-); 3.26 (2H, t, CH2(mildr.));
3.35 (9H, s, Me3N+); 4.21 (1H, q, CH(lact.ac.)).
This invention relates also to pharmaceutical formulations containing at least
one of the Meldonium salts described herein as pharmaceutical active and
pharmaceutically acceptable solid or liquid excipients used in drug dosage form
production. Solid formulations suitable for producing dosage forms of oral
introduction as well as syrups and solutions containing the claimed salts and
excipients are preferable.
In case when the active substance(s) is (are) inserted into tablets, caplets, pills,
granules, powders, or capsules, they shall contain a Meldonium salt from 0,5 to 5 gr.
per tablet, caplet, pill, capsule or one portion of powder or granules.
The following non-limiting examples illustrate the pharmaceutical formulation
of salts for solid formulation
EXAMPLE 29 Formulation for manufacturing tablets:
A Meldonium salt 500 mg
according to the invention
Starch 20 mg
Talc 10 mg
Ca-stearate 1 mg
Total 531 mg
The following non-limiting examples illustrate composition suitable for
producing capsules is the following :
EXAMPLE 30
A Meldonium salt 500 mg
according to the invention
Starch 66mg
Talc 26 mg
Ca-stearate 3 mg
Total 602 mg

In case if the active(s) are introduced by injections or orally by means of drops,
a syrup or beverage, the pharmaceutical formulation shall contain a Meldonium salt
according to this invention in a ratio of 0,5 to 60% by weight and a pharmaceutically
admissible solvent, e.g. distilled water, an isotonic, glucose or buffer solution or
mixtures of them.
The following non-limiting examples illustrate the pharmaceutical formulation
of salts for injectable administration or/and orally administration:
EXAMPLE 31
Injection formulation:
A Meldonium salt 500 mg
according to the invention
Water for injections 5ml
EXAMPLE 32
A syrup formulation:
A Meldonium salt 25.00 mg
according to the invention
Methyl-p-hydroxybenzoate 0.20-0.60 g
Propyl-p-hydroxybenzoate 0.01-0.1 g
Propylene glycol 6.15-8.30g
Sorbit 120.00-150.50 g
Glycerine 10.00-15.00 g
Purified water 108ml
Total 250ml
In case of trans-dernial application of the actrve(s), it's (their) content in an
cream, gel, solution, ointment or plaster shall be 0.5-40% by weight.
The following non-limiting examples illustrate the pharmaceutical formulation
of salts for trans-dermal (local/topical) administration:
EXAMPLE 33
Gel formulation:
A Meldonium salt 10,00%
according to the invention

12
Sodium starch glycollate 4,00
type C,
Propylene glycol 2,00
Fumaric acid 0,40
Purified vater 83,40
In the case the salt are administered rectally their content in a suppository or
microenema accounts for 0.5 to 40 % by weight.

We claim:
1. Meldonium salts having the general formula'
X(CH3)3N+NHCH2CH2COOH
wherein X' is an anion selected from the group consisting of dihydrogen
phosphate, hydrogen fumarate and orotate anions.
2. A salt as claimed in claim 1 which is meldonium dihydrogen phosphate.
3. A salt as claimed in claim 1 which is meldonium hydrogen fumarate.
4. A salt as claimed in claim 1 which is meldonium orotate.
5. A process for producing the meldonium salts as claimed in any of claims 1 to 4
which process comprises:

(a) dissolving in a manner known per se meldonium having the formula 3-
(2,2,2-trimethyl hydrazinium) propionate in water or any other appropriate
solvent;
(b) adding an equimolar quantity of a polybasic acid selected from the group
consisting of fumaric acid, phosphoric acid, and orotic acid;
(c) stirring the mixture at a temperature of from 20 to 50°C until the
corresponding salt is formed, and evaporating the meldonium salt formed in
step (c) to dryness, if necessary; and optionally recrystallising it from a suitable
solvent.

6. A pharmaceutical composition comprising one of the salts as claimed in any of
claims 1 to 4 as an active ingredient, which composition is intended for oral or
sublingual administration and is in the form of tablets, with or without coating,
capsules, caplets, dragees, granules, powder or solution, which composition
contains from 0.5 to 5 g of the active ingredient in every tablet, capsule,
dragee, granule or powder dose, or in the form of a 0.5-40% by weight solution
or syrup for oral administration.
7. The pharmaceutical composition as claimed in claim 6, wherein the
pharmaceutically acceptable carrier is selected from the group consisting of
one or more of the following members: stearic acid and its salts, lactose,
glucose, saccharose, starch, talc, vegetable oils, polyethylene glycols,
microcrystalline cellulose, aerosil, aromatizers, flavoring agents, colorants,
ethyl alcohol and water.
8. A pharmaceutical composition comprising one of the salts as claimed in any of
claims 1 to 5 as an active ingredient which composition is intended for
parenteral administration and is in the form of a solution for injection, which
composition contains from 0.5 to 40% by weight of the active ingredient and a
pharmaceutically acceptable solvent.
9. The pharmaceutical composition as claimed in claim 8, wherein the pharma-
ceutically acceptable solvent is selected from the group consisting of one or
more of the following members, distilled water, isotonic solution, buffer solution
and glucose solution.
10. A pharmaceutical composition comprising one of the salts as claimed in any of
claims 1 to 5 as an active ingredient which composition is intended for
transcutaneous administration and is in the form of an ointment, cream, gel,
solution or plaster, which composition contains from 0.5 to 40% by weight of
the active ingredient and a pharmaceutically acceptable carrier
11. The pharmaceutical composition as claimed in claim 10, wherein the
pharmaceutically acceptable carrier is selected from the group consisting of
one or more of the following members, water, polyethylene glycols 400, 1500
and 4000, vegetable oils, fats, glycerine, preservants, emulgators, stabilizers,
norous polymer material, dimethylsulphoxide, alcohol and water.

12. A pharmaceutical composition comprising one of the salts as claimed in any of
claim 1 to 5 as an active ingredient which composition is intended for rectal
administration and is in the form of suppositories or microenema, which
composition contains from 0.5 to 40% by weight of the active ingredient and a
pharmaceutically acceptable carrier.
13. The pharmaceutical composition as claimed in claim 12, wherein the
pharmaceutically acceptable carrier is selected from the group consisting of
one or more of the following members: water, polyethylene glycols 400, 1500
and 4000, vegetable oils, fats, glycerine, preservants, emulgators and
stabilizers.

The invention discloses Meldonium salts having the general formula : X-(CH3)
3N+NHCH2CH2COOH wherein X- is an anion selected from the group consisting of
dihydrogen phosphate, hydrogen fumarate and orotate anions. The invention is also for
preparation of said salts and pharmaceutical composition comprising them.

Documents:

00090-kolnp-2006-abstract.pdf

00090-kolnp-2006-assignment.pdf

00090-kolnp-2006-description complete.pdf

00090-kolnp-2006-form 1.pdf

00090-kolnp-2006-form 3.pdf

00090-kolnp-2006-form 5.pdf

00090-kolnp-2006-international publication.pdf

00090-kolnp-2006-international search authority.pdf

00090-kolnp-2006-others.pdf

00090-kolnp-2006-pct forms.pdf

90-KOLNP-2006-(13-01-2012)-FORM-27.pdf

90-KOLNP-2006-CORRESPONDENCE..1.1.pdf

90-KOLNP-2006-CORRESPONDENCE.pdf

90-KOLNP-2006-FORM 27.1.1.pdf

90-KOLNP-2006-FORM 27.pdf

90-kolnp-2006-granted-abstract.pdf

90-kolnp-2006-granted-assignment.pdf

90-kolnp-2006-granted-claims.pdf

90-kolnp-2006-granted-correspondence.pdf

90-kolnp-2006-granted-description (complete).pdf

90-kolnp-2006-granted-examination report.pdf

90-kolnp-2006-granted-form 1.pdf

90-kolnp-2006-granted-form 18.pdf

90-kolnp-2006-granted-form 3.pdf

90-kolnp-2006-granted-form 5.pdf

90-kolnp-2006-granted-gpa.pdf

90-kolnp-2006-granted-reply to examination report.pdf

90-kolnp-2006-granted-specification.pdf


Patent Number 234135
Indian Patent Application Number 90/KOLNP/2006
PG Journal Number 19/2009
Publication Date 08-May-2009
Grant Date 06-May-2009
Date of Filing 10-Jan-2006
Name of Patentee JOINT STOCK COMPANY GRINDEKS
Applicant Address KRUSTPILS STREET 53, LV-1057, RIGA, LATVIA
Inventors:
# Inventor's Name Inventor's Address
1 KALVINSH, IVARS LIBIESHU STREET 25, LV-5052, IKSHKILE, LATVIA
2 BIRMANS, ANATOLIJS OZOLCIEMA STREET, 46/3-15, LV-1058, RIGA
PCT International Classification Number C07C 243/12
PCT International Application Number PCT/LV2004/000005
PCT International Filing date 2004-07-15
PCT Conventions:
# PCT Application Number Date of Convention Priority Country
1 P-03-87 2003-08-04 Latvia
2 P-03-88 2003-08-04 Latvia