The present invention provides a novel salt of treprostinil and crystalline forms thereof.
Treprostinil (CAS No. 81846-19-7), the chemical name of which is (1R,2R,3aS,9aS)-[[2,3,3a,4,9,9a-Hexahydro-2-hydroxy-1-[(3S)-3-hydroxyoctyl]-1H-benz[f]inden-5-yl]oxy]acetic acid has the following formula:
It has a molecular weight of 390.5 and a molecular formula of C23H34O5.
Treprostinil is the active ingredient in Remodulin®, Tyvaso® and Orenitran™, which are indicated for the treatment of pulmonary arterial hypertension to diminish symptoms associated with exercise (Remodulin®) and to improve exercise ability (Tyvaso® and Orenitran™). Tyvaso® and Orenitran™ are, respectively, inhalation and oral dosage forms, and Remodulin® is indicated for subcutaneous or intravenous use as a continuous infusion.
Currently approved formulations of treprostinil include the sodium salt and free acid, but the physical and chemical stability of these forms of treprostinil, are sensitive to the conditions in which they are tested, stored and used, particularly in terms of thermal stability and hygroscopicity, and thus require specific processes and equipment, including rigid temperature and humidity controls.
Thus, there is a need for improved forms of treprostinil with superior properties that do not require such rigid environmental controls.
Previous efforts to identify improved forms of treprostinil have been undertaken. For example, U.S. Pat. No. 8,252,839 describes a diethanolamine salt of treprostinil, and states that the compounds described therein have enhanced oral bioavailability to the free acid or salt forms. Similarly, U.S. Pat. No. 8,350,079 describes a monohydrate form of treprostinil made from diethanolamine salt that is stated to provide improved stability at room temperature. Finally, U.S. Pat. No. 9,701,611 describes Group IA or IIA metal salts of treprostinil and states that such salts have improved solubility.
Nevertheless, the need remains for new forms of treprostinil with superior physical properties, and which may be handled, stored and used in analytical and/or manufacturing settings without the need for unduly burdensome environmental controls.
Due to the sensitivity of treprostinil free acid and treprostinil sodium salt—the two most common physical forms of treprostinil—to environmental conditions, efforts were undertaken to identify a form of treprostinil with superior physical properties. It was discovered that the erbumine salt of treprostinil has surprisingly superior physical properties, including reduced sensitivity to moisture and improved thermal stability. The improved thermal stability of the erbumine salt allows for improved performance under drying conditions, and simplifies shipping, storage and analysis.
In one aspect, the present invention provides treprostinil erbumine salt having the following structure.
In another embodiment, the present invention provides treprostinil erbumine salt in crystalline form characterized by an X-ray powder diffraction (XRD) pattern obtained from CuKα source (λ=1.54060 Å) which comprises peaks at 5.1° and at least one of 10.2°, 20.5° and 6.8° with a tolerance for the diffraction angles of 0.2°.
In another embodiment, the present invention provides treprostinil erbumine salt in crystalline form characterized by an XRD pattern obtained from CuKα source (λ=1.54060 Å) which comprises peaks at 5.1° and at each of 10.2°, 20.5° and 6.8° with a tolerance for the diffraction angles of 0.2°.
In another embodiment, the present invention provides treprostinil erbumine salt in crystalline form characterized by an XRD pattern obtained from CuKα source (λ=1.54060 Å) which comprises peaks at 5.1°, 10.2°, 20.5°, 6.8° and at least one of 13.7°, 14.5°, 16.3°, 18.7°, 19.6° and 21.5° with a tolerance for the diffraction angles of 0.2°.
In another embodiment, the present invention provides treprostinil erbumine salt in crystalline form characterized by an XRD pattern obtained from CuKα source (λ=1.54060 Å) which comprises peaks at 5.1°, 10.2°, 20.5°, 6.8°, 13.7°, 14.5°, 16.3°, 18.7°, 19.6° and 21.5° with a tolerance for the diffraction angles of 0.2°.
In another aspect, the present invention provides a pharmaceutical composition comprising any of the above-described treprostinil erbumine salts and at least one of a pharmaceutically acceptable carrier, excipient or diluent.
In certain embodiments, the pharmaceutical composition further comprises an additional substance with pharmacological activity. In certain embodiments, the additional substance with pharmacological activity is an insulin. In certain embodiments, the insulin is insulin lispro.
In another aspect, the present invention provides a method of treating or preventing hyperglycemia in a patient in need thereof comprising administering a therapeutically effective amount of a pharmaceutical composition comprising any of the above-described treprostinil erbumine salts, at least one of a pharmaceutically acceptable carrier, excipient or diluent, and an insulin.
In another aspect, the present invention provides a method of treating or preventing hypertension in a subject in need thereof comprising administering a pharmaceutically effective amount of any of the above-described treprostinil erbumine salts.
In another aspect, the present invention provides use of any of the above-described treprostinil erbumine salts in treating or preventing hypertension.
In another aspect, the present invention provides use of any of the above-described treprostinil erbumine salts in the manufacture of a medicament for treating or preventing hypertension.
In another aspect, the present invention provides use of any of the above-described treprostinil erbumine salts as a reference standard for determining the potency of treprostinil in a composition comprising treprostinil.
In another aspect, the present invention provides a method of manufacturing the treprostinil erbumine salt of any of the above-described embodiments comprising:
As noted above, treprostinil is the approved active agent in several products approved for the treatment of pulmonary arterial hypertension. Treprostinil has also been described for use in other therapeutic areas, including improving kidney functions (see U.S. Pat. No. 7,199,157), treating ischemic lesions (see U.S. Pat. No. 8,765,813), treating neuropathic diabetic foot ulcers (see U.S. Pat. No. 8,563,614), treating intersitial lung disease and asthma (U.S. Application Number 2014018431), and treatment of vasculopathy (see U.S. Application Number 2014193379).
Treprostinil has also been described as being capable of accelerating the time action profile of an insulin (see U.S. Pat. No. 9,439,952). When used herein, the term “insulin” refers to human insulin, bovine insulin, porcine insulin, or any analog or derivative thereof, including the rapid acting acting insulin analogs insulin lispro, insulin aspart and insulin glulisine.
Erbumine (CAS number 107133-36-8), which may also be referred to as t-butylamine, has the formula (CH3)3CNH2, a molar mass of 73.14, and the following structure:
The treprostinil erbumine salt of the present invention has the following structure:
It will be recognized that the treprostinil erbumine salt of the present invention may be suitable for use in any of the contexts described above.
In addition, in view of its reduced sensitivity to moisture, the treprostinil erbumine salt of the present invention is also useful as a reference standard for use in analyzing a sample comprising any form of treprostinil.
Treprostinil free acid (100 mg) is added to acetone (2 mL) while stirring at room temperature. The suspension is heated to 50° C. In a separate vessel, t-butylamine (26 mg, 1.4 equiv) is mixed with acetone (1 mL). The base solution is added dropwise and the suspension becomes a solution for a few minutes, after which time a suspension forms. Acetone (1 mL) is added and mixing continues for 2 hours. The mixture is stirred and cooled overnight. The white solid is isolated by vacuum filtration on Whatman paper. The resulting cake of white solid is air dried in place to give 99 mg (83% yield) of the title compound.
X-Ray Powder Diffraction (XRD) of Crystalline Treprostinil Erbumine
The XRD patterns of crystalline solids are obtained on a Bruker D4 Endeavor X-ray powder diffractometer, equipped with a CuKα source λ=1.54060 Å and a Vantec detector, operating at 35 kV and 50 mA. The sample is scanned between 4 and 400 in 2θ, with a step size of 0.008° in 2θ and a scan rate of 0.5 seconds/step, and with 0.6 mm divergence, 5.28 fixed anti-scatter, and 9.5 mm detector slits. The dry powder is packed on a quartz sample holder and a smooth surface is obtained using a glass slide. The crystal form diffraction patterns are collected at ambient temperature and relative humidity. It is well known in the crystallography art that, for any given crystal form, the relative intensities of the diffraction peaks may vary due to preferred orientation resulting from factors such as crystal morphology and habit. Where the effects of preferred orientation are present, peak intensities are altered, but the characteristic peak positions of the polymorph are unchanged. See, e.g. The United States Pharmacopeia #23, National Formulary #18, pages 1843-1844, 1995. Furthermore, it is also well known in the crystallography art that for any given crystal form the angular peak positions may vary slightly. For example, peak positions can shift due to a variation in the temperature or humidity at which a sample is analyzed, sample displacement, or the presence or absence of an internal standard. In the present case, a peak position variability of ±0.2 in 20 will take into account these potential variations without hindering the unequivocal identification of the indicated crystal form. Confirmation of a crystal form may be made based on any unique combination of distinguishing peaks (in units of ° 20), typically the more prominent peaks. The crystal form diffraction patterns, collected at ambient temperature and relative humidity, are adjusted based on NIST 675 standard peaks at 8.853 and 26.774° 2θ.
A prepared sample of the crystalline erbumine salt is analyzed by XRD as described above and is characterized by an XRD pattern as having diffraction peaks as described in Table 1 below, and in particular having peaks at 5.1° in combination with one or more of the peaks selected from the group consisting of 10.2°, 20.5°, and 6.8°; with a tolerance for the diffraction angles of 0.2°.
Thermal Characterization of Treprostinil Erbumine Salt and Free Acid
The thermal stability of samples of treprostinil erbumine salt, prepared as described above, and treprostinil free acid, purchased from a chemical supply company, are analyzed through thermal gravimetric analyses (TGA) performed on a TA Instruments TGA-Q5000 thermal gravimetric analyzer and differential scanning calorimetry (DSC) performed on a TA Instruments Q2000 differential scanning calorimeter.
Hygroscopicity of Treprostinil Erbumine Salt and Sodium Salt
Hygroscopicity analyses of treprostinil erbumine salt, prepared as described above, and treprostinil sodium, purchased from a chemical supply company, are performed on a TA Instruments Q5000SA sorption analyzer. Hygroscopicity profiles are generated on dried samples at 25° C., increasing relative humidity by 5% up to 95%, then decreasing in 5% intervals back down to 5% relative humidity. The samples are equilibrated at each increment until weight percent change is <0.0100 for 5 min.
Dynamic vapor sorption/resorption isotherms are provided in
Filing Document | Filing Date | Country | Kind |
---|---|---|---|
PCT/US2019/050632 | 9/11/2019 | WO |
Publishing Document | Publishing Date | Country | Kind |
---|---|---|---|
WO2020/060823 | 3/26/2020 | WO | A |
Number | Name | Date | Kind |
---|---|---|---|
4306075 | Aristoff | Dec 1981 | A |
5153222 | Tadepalli et al. | Oct 1992 | A |
5981594 | Okamoto et al. | Nov 1999 | A |
6756033 | Cloutier et al. | Jun 2004 | B2 |
6765117 | Moriarty et al. | Jul 2004 | B2 |
6809223 | Moriarty et al. | Oct 2004 | B2 |
7199157 | Wade et al. | Apr 2007 | B2 |
7417070 | Phares et al. | Aug 2008 | B2 |
7999007 | Jeffs et al. | Aug 2011 | B2 |
8252839 | Phares et al. | Aug 2012 | B2 |
8324157 | Olsen et al. | Dec 2012 | B2 |
8349892 | Phares | Jan 2013 | B2 |
8350079 | Walsh | Jan 2013 | B2 |
8461393 | Sharma | Jun 2013 | B2 |
8481782 | Batra et al. | Jul 2013 | B2 |
8497393 | Batra et al. | Jul 2013 | B2 |
8536363 | Phares et al. | Sep 2013 | B2 |
8563614 | Wade et al. | Oct 2013 | B2 |
8609728 | Rothblatt et al. | Dec 2013 | B2 |
8653137 | Jeffs et al. | Feb 2014 | B2 |
8658694 | Jeffs et al. | Feb 2014 | B2 |
8747897 | Kidane et al. | Jun 2014 | B2 |
8765813 | Wade et al. | Jul 2014 | B2 |
9050311 | Phares et al. | Jun 2015 | B2 |
20050282901 | Phares et al. | Dec 2005 | A1 |
20090036465 | Roscigno et al. | Feb 2009 | A1 |
20090075976 | Verbeuren et al. | Mar 2009 | A1 |
20120004307 | Wade et al. | Jan 2012 | A1 |
20120010159 | Rothblatt et al. | Jan 2012 | A1 |
20120216801 | Olschewski et al. | Aug 2012 | A1 |
20130331593 | Mcgowan et al. | Dec 2013 | A1 |
20140018431 | Wade et al. | Jan 2014 | A1 |
20140193379 | Jeffs et al. | Jul 2014 | A1 |
20140275262 | Phares et al. | Sep 2014 | A1 |
20140275616 | Batra et al. | Sep 2014 | A1 |
20140323567 | Laing | Oct 2014 | A1 |
20150065423 | Laulicht et al. | Mar 2015 | A1 |
20150164834 | Cloutier et al. | Jun 2015 | A1 |
20160243064 | Trehan | Aug 2016 | A1 |
20170056478 | Akers | Mar 2017 | A1 |
Number | Date | Country |
---|---|---|
0001124 | Mar 1979 | EP |
2500020 | Sep 2014 | EP |
2003094956 | Nov 2003 | WO |
2005007081 | Jan 2005 | WO |
2010023666 | Mar 2010 | WO |
2010149772 | Dec 2010 | WO |
2012088607 | May 2012 | WO |
2012080362 | Jun 2012 | WO |
2015073314 | May 2015 | WO |
2015120457 | Aug 2015 | WO |
2015171484 | Nov 2015 | WO |
2018106632 | Jun 2018 | WO |
Entry |
---|
Blaise, S., et al., “Cathodal lontophoresis of Treprostinil Induces a Sustained Increase in Cutaneous Blood Flux in Healthy Volunteers,” J. Clin. Pharmacol., vol. 53, Issue 1, DD. 58-66 (2012). |
Gille, A., et al., “Nicotinic Acid: Pharmacological Effects and Mechanisms of Action,” Annu. Rev. Pharmacol. Toxicol., vol. 48, oo. 79-106 (2008). |
Mathier, M., et al., “Subcutaneous Treprostinil in Pulmonary Arterial Hypertension: Practical Considerations,” J. Heart Luna Transplant., vol. 29, DD. 1210-1217 (2010). |
Mcswain, C., et al., “Dose Proportionality of Treprostinil Sodium Administered by Continuous Subcutaneous and Intravenous Infusion,” J. Clin. Pharmacol., vol. 48, DD. 19-25 (2008). |
Menon, R., et al., “Insulin Absorption Accelerated by a-Adrenergic Blockade at Injection Site,” Diabetes Care, vol. 10, No. 4, DD. 470-472 (1987). |
Moriarty, R., et al., “The Intramolecular Asymmetric Pauson-Khand Cyclization as a Novel and General Stereoselective Route to Benzindene Prostacyclins: Synthesis of UT-15 (Treprostinil),” J. Org. Chem, vol. 69, DD. 1890-1902 (2004). |
NDA 21-272, RemodulinTM, Clinical Pharmacology & Biopharmaceutics Review(s), available at http://www.accessdata.fda.gov/drugsatfda_docs/nda/2002/21-272_Remodullin.cfm, pp. 1-112, (Jul. 31, 2002). |
NDA 21-272, RemodulinTM, Medical Review, available at http://wwww.accessdata_fda.gov/drugsatfda_docs/nda/2002/21-272_Remodulin.ofm, pp. 1-195, (Jul. 31, 2002). |
Owens, D., et al., “The Influence of Aprotinin on Regional Absorption of Soluble Human Insulin,” Br. J. Clin. Pharmac., vol. 25, DD. 453-456 (1988). |
REMODULIN® (treprostinil) Injection Package Insert, pp. 1-17, (May 2002). |
Skoro-Sajer, Nika, et al., “Treprostinil for Pulmonary Hypertension,” Vascular Health and Risk Management, Jan. 1, 2008, pp. 507-513. |
Vora, J., et al., “Relationship Between Absorption of Radiolabeled Soluble Insulin, Subcutaneous Blood Flow, and Anthrooometrv,” Diabetes Care, vol. 15, No. 11, DD. 1484-1493 (1992). |
Wade, M., et al., “Absolute Bioavailability and Pharmacokinetics of Treprostinil Sodium Administered by Acute Subcutaneous Infusion,” J. Clin. Pharmacol., vol. 44, oo. 83-88 (2004). |
Waki, et. al., Insulin Resistance in Endothelium and Aging, Heart View; vol. 17, No. 4, p. 53(385)-60(392), 2013. |
Whittle, B.J. et al., “Binding and activity of the prostacyclin receptor (IP) agonists, treprostinil and iloprost, at human prostanoid receptors: Treprostinil is a potent DP, and EP2 agonist,” Biochemical Pharmacolonv, 84 (2012) 68-75. |
Williams, G., et al., “Subcutaneous Aprotinin Causes Local Hyperaemia,” Diabetologia, vol. 24, pp. 91-94 (1983). |
Williams, G., et al., “Prostaglandin E1 Accelerates Subcutaneous Insulin Absorption in Insulin-Dependent Diabetic Patients,” Diabetic Medicine, oo.109-113 (1984). |
Patent Cooperation Treaty International Search Report pertaining to International Application No. PCT/US2019/050632; International Filing Date: Sep. 11, 2019; Date of Mailing: Nov. 4, 2019. |
Patent Cooperation Treaty Written Opinion of the International Searching Authority pertaining to International Application No. PCT/US2019/018757; International Filing Date: Sep. 11, 2019; Date of Mailing: Nov. 4, 2019. |
Hirayama, N., “Handbook for preparing organic compound crystals, Principle and know-how,” 2008, Maruzen Publishing, Japan, 320 pages. |
Kawaguchi, Y. et. al., “Drug and crystal polymorphism,” Journal of Human Environmental Engineering, 2002, vol. 4, No. 2, p. 310-317. |
Number | Date | Country | |
---|---|---|---|
20220047535 A1 | Feb 2022 | US |
Number | Date | Country | |
---|---|---|---|
62732799 | Sep 2018 | US |