Combination formulation of two antiviral compounds

Abstract

Disclosed are pharmaceutical compositions comprising Compound I, having the formula: and an effective amount of sofosbuvir wherein the sofosbuvir is substantially crystalline. Also disclosed are methods of use for the pharmaceutical composition.

1 . A pharmaceutical composition comprising:
 a) an effective amount of a Compound I having the formula:   
       
         
           
           
               
               
           
         
         wherein Compound I is substantially amorphous; and 
         b) an effective amount of sofosbuvir having the formula: 
       
       
         
           
           
               
               
           
         
         wherein the sofosbuvir is substantially crystalline. 
       
     
     
         2 . The pharmaceutical composition of  claim 1 , wherein Compound I is formulated as a solid dispersion comprising Compound I dispersed within a polymer matrix formed by a pharmaceutically acceptable polymer. 
     
     
         3 . The pharmaceutical composition of  claim 2 , wherein the polymer is hydrophilic. 
     
     
         4 . The pharmaceutical composition of  claim 2 , wherein the polymer is a non-ionic polymer. 
     
     
         5 . The pharmaceutical composition of  claim 1 , wherein the polymer is hypromellose, copovidone, povidone, or polyvinyl caprolactam-polyvinyl acetate-polyethylene glycol. 
     
     
         6 . The pharmaceutical composition of  claim 5 , wherein the polymer is copovidone. 
     
     
         7 . The pharmaceutical composition of  claim 2 , wherein the polymer is an ionic polymer. 
     
     
         8 . The pharmaceutical composition of  claim 7 , wherein the ionic polymer is hydroxypropyl methylcellulose acetate-succinate, hydroxypropyl methylcellulose phthalate, or cellulose acetate phthalate. 
     
     
         9 . The pharmaceutical composition of  claim 2 , wherein the weight ratio of Compound I to polymer in the solid dispersion is from about 5:1 to about 1:5. 
     
     
         10 . The pharmaceutical composition of  claim 9 , wherein the weight ratio of Compound I to polymer in the solid dispersion is from about 2:1 to about 1:2. 
     
     
         11 . The pharmaceutical composition of  claim 10 , wherein the weight ratio of Compound I to polymer in the solid dispersion is about 1:1. 
     
     
         12 . The pharmaceutical composition of  claim 10 , wherein the weight ratio of Compound I to polymer in the solid dispersion is about 1:2. 
     
     
         13 . The pharmaceutical composition of  claim 9 , comprising from about 30% to about 70% w/w of sofosbuvir. 
     
     
         14 . The pharmaceutical composition of  claim 13 , comprising from about 35% to about 45% w/w of sofosbuvir. 
     
     
         15 . The pharmaceutical composition of  claim 14 , comprising about 40% w/w of sofosbuvir. 
     
     
         16 . The pharmaceutical composition of  claim 13 , comprising from about 60% to about 70% w/w of sofosbuvir. 
     
     
         17 . The pharmaceutical composition of  claim 14 , comprising about 67% w/w of sofosbuvir. 
     
     
         18 . The pharmaceutical composition of  claim 13 , comprising from about 1% to about 45% w/w of the solid dispersion comprising Compound I. 
     
     
         19 . The pharmaceutical composition of  claim 18 , comprising from about 1% to about 25% w/w of the solid dispersion comprising Compound I. 
     
     
         20 . The pharmaceutical composition of  claim 19 , comprising about 1% w/w, about 8% w/w, or about 20% w/w of the solid dispersion comprising Compound I. 
     
     
         21 . The pharmaceutical composition according to  claim 13 , wherein the crystalline sofosbuvir has XRPD 2θ-reflections at about:
 (1) 7.5, 9.6, and 18.3 °2θ±0.2; 
 (2) 5.0, 7.3, and 18.1 °2θ±0.2; 
 (3) 6.9, 24.7, and 25.1 °2θ±0.2; 
 (4) 19.7, 20.6, and 24.6 °2θ±0.2; 
 (5) 5.0, 6.8, and 24.9 °2θ±0.2; 
 (6) 5.2, 6.6, and 19.1 °2θ±0.2; or 
 (7) 6.1, 20.1, and 20.8 °2θ±0.2. 
 
     
     
         22 . The pharmaceutical composition of  claim 21 , wherein the crystalline sofosbuvir has XRPD 2θ-reflections at about: 6.1, 8.2, 10.4, 12.7, 17.2, 17.7, 18.0, 18.8, 19.4, 19.8, 20.1, 20.8, 21.8, and 23.3 °2θ±0.2. 
     
     
         23 . The pharmaceutical composition of  claim 22 , wherein the crystalline sofosbuvir has XRPD 2θ-reflections at about: 6.1 and 12.7 °2θ±0.2. 
     
     
         24 . The pharmaceutical composition of  claim 2 , further comprising a diluent, a disintegrant, a lubricant, and any combination thereof. 
     
     
         25 . The pharmaceutical composition of  claim 24 , wherein the diluent is selected from the group consisting of dicalcium phosphate, cellulose, compressible sugars, dibasic calcium phosphate dehydrate, lactose, lactose monohydrate, mannitol, microcrystalline cellulose, starch, tribasic calcium phosphate, and combinations thereof. 
     
     
         26 . The pharmaceutical composition of  claim 25 , wherein the diluent is microcrystalline cellulose and is present in an amount from about 5 to about 40% w/w. 
     
     
         27 . The pharmaceutical composition of  claim 24 , wherein the disintegrant is selected from the group consisting of croscarmellose sodium, crospovidone, microcrystalline cellulose, modified corn starch, povidone, pregelatinized starch, sodium starch glycolate, and combinations thereof. 
     
     
         28 . The pharmaceutical composition of  claim 27 , wherein the disintegrant is croscarmellose sodium and is present in an amount from about 1 to about 10% w/w. 
     
     
         29 . The pharmaceutical composition of  claim 24 , wherein the lubricant is selected from the group consisting of calcium stearate, magnesium stearate, polyethylene glycol, sodium stearyl fumarate, stearic acid, talc, and combinations thereof. 
     
     
         30 . The pharmaceutical composition of  claim 29 , wherein the lubricant is magnesium stearate and is present in an amount from about 0.5 to about 3% w/w. 
     
     
         31 . The pharmaceutical composition of  claim 24 , comprising:
 a) about 30 to about 70% w/w of sofosbuvir; and   b) about 1 to about 45% w/w of the solid dispersion comprising Compound I.   
     
     
         32 . The pharmaceutical composition of  claim 31 , comprising
 a) about 40% w/w of sofosbuvir; and   b) about 20% w/w of the solid dispersion comprising Compound I.   
     
     
         33 . The pharmaceutical composition of  claim 32 , further comprising
 b) about 5 to about 40% w/w microcrystalline cellulose,   c) about 1 to about 10% w/w croscarmellose sodium,   e) about 0.1 to about 3% w/w magnesium stearate.   
     
     
         34 . The pharmaceutical composition of  claim 31 , comprising
 a) about 67% w/w of sofosbuvir and   b) about 8% w/w of the solid dispersion comprising Compound I.   
     
     
         35 . The pharmaceutical composition of  claim 34 , further comprising
 b) about 5 to about 25% w/w microcrystalline cellulose,   c) about 1 to about 10% w/w croscarmellose sodium,   e) about 0.1 to about 3% w/w magnesium stearate.   
     
     
         36 . The pharmaceutical composition of  claim 1 , wherein the composition is formulated for immediate release. 
     
     
         37 . A pharmaceutical dosage form comprising the pharmaceutical composition of  claim 1 , comprising from about 5 to about 450 mg of Compound I. 
     
     
         38 . The pharmaceutical dosage form of  claim 37 , comprising from about 5 to about 150 mg of Compound I. 
     
     
         39 . The pharmaceutical dosage form of  claim 38 , comprising about 100 mg of Compound I. 
     
     
         40 . The pharmaceutical dosage form of  claim 38 , comprising about 25 mg of Compound I. 
     
     
         41 . The pharmaceutical dosage form of  claim 37 , comprising from about 200 to about 600 mg of sofosbuvir. 
     
     
         42 . The pharmaceutical dosage form of  claim 37 , comprising from about 300 to about 500 mg of sofosbuvir. 
     
     
         43 . The pharmaceutical dosage form of  claim 37 , comprising about 400 mg of sofosbuvir. 
     
     
         44 . A tablet comprising the pharmaceutical dosage form of  claim 37 . 
     
     
         45 . The tablet of  claim 44 , further comprising a film coating. 
     
     
         46 . The tablet of  claim 45 , wherein the film coating is a polyvinylalcohol-based coating. 
     
     
         47 . A method of treating a patient infected with hepatitis C virus comprising administering to the patient a therapeutically effective amount of a pharmaceutical composition of  claim 1 . 
     
     
         48 . The method of  claim 47 , wherein the pharmaceutical composition is administered for about 12 weeks or less. 
     
     
         49 . The method of  claim 47 , wherein the pharmaceutical composition is administered for about 8 weeks or less. 
     
     
         50 . The method of  claim 47 , wherein the pharmaceutical composition is administered for about 4 weeks or less. 
     
     
         51 . The method of  claim 47 , wherein a sustained virologic response is achieved by about 4 weeks. 
     
     
         52 . The method of  claim 47 , wherein a sustained virologic response is achieved by about 12 weeks. 
     
     
         53 . The method of  claim 47 , wherein a sustained virologic response is achieved by about 6 months. 
     
     
         54 . The method of  claim 47 , further comprising administering an additional therapeutic agent. 
     
     
         55 . The method of  claim 54 , wherein the additional therapeutic agent is ribavirin. 
     
     
         56 . A method of treating a patient infected with hepatitis C virus comprising administering to the patient a therapeutically effective amount of ribavirin and a therapeutically effective amount of a pharmaceutical composition of  claim 1 ; wherein the ribavirin and pharmaceutical composition is administered for about 12 weeks or less. 
     
     
         57 . The method of  claim 56 , wherein the ribavirin and the pharmaceutical composition is administered for about 8 weeks or less. 
     
     
         58 . The method of  claim 56 , wherein the ribavirin and the pharmaceutical composition is administered for about 4 weeks or less. 
     
     
         59 . The method of  claim 47 , wherein the pharmaceutical composition is administrable without regard to food. 
     
     
         60 . The method of  claim 47 , wherein the pharmaceutical composition is administered for about 24 weeks or less. 
     
     
         61 . The method of  claim 47 , wherein the pharmaceutical composition is administered for about 6 weeks or less. 
     
     
         62 . The method of  claim 47 , wherein the pharmaceutical composition is administered once daily for about 12 weeks or less and wherein the hepatitis C virus is genotype 1, 2, 3, 4, 5, or 6. 
     
     
         63 . The method of  claim 47 , wherein the pharmaceutical composition is administered once daily for about 8 weeks or less and wherein the hepatitis C virus is genotype 1, 2, 3, 4, 5, or 6.