US2015182517A1PendingUtilityA1

Pharmaceutical Compositions of (R)-1-(2,2-Difluorobenzo[D][1,3]dioxol-5-yl)-N-(1-(2,3-dihydroxypropyl)-6-fluoro-2-(1-hydroxy-2-methylpropan-2-yl)-1H-indol-5-yl) cyclopropanecarboxamide and Administration Thereof

Assignee: VERTEX PHARMAPriority: Jul 16, 2012Filed: Mar 12, 2015Published: Jul 2, 2015
Est. expiryJul 16, 2032(~5.9 yrs left)· nominal 20-yr term from priority
A61K 9/2054A61K 31/47A61K 9/1652A61P 43/00A61K 45/06A61K 31/36A61K 31/404
56
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Claims

Abstract

A pharmaceutical composition comprising Compound 1, (R)-1-(2,2-difluorobenzo[d][1,3]dioxol-5-yl)-N-(1-(2,3-dihydroxypropyl)-6-fluoro-2-(1-hydroxy-2-methylpropan-2-yl)-1H-indol-5-yl)cyclopropanecarboxamide, and at least one excipient selected from: a filler, a disintegrant, a surfactant, a glidant and a lubricant, the composition being suitable for oral administration to a patient in need thereof to treat a CFTR mediated disease such as Cystic Fibrosis. Methods for treating a patient in need thereof include administering the pharmaceutical composition of Compound 1 are also disclosed.

Claims

exact text as granted — not AI-modified
We claim: 
     
         1 . A method for treating cystic fibrosis in a patient, comprising coadministering:
 a) a pharmaceutical composition comprising 5 to 250 mg of (R)-1-(2,2-difluorobenzo[d][1,3]dioxol-5-yl)-N-(1-(2,3-dihydroxypropyl)-6-fluoro-2-(1-hydroxy-2-methylpropan-2-yl)-1H-indol-5-yl)cyclopropanecarboxamide (Compound 1) and a pharmaceutically acceptable carrier; and   b) a pharmaceutical composition comprising 100 to 300 mg N-(5-hydroxy-2,4-ditert-butyl-phenyl)-4-oxo-1H-quinoline-3-carboxamide (Compound 2) and a pharmaceutically acceptable carrier;   wherein the patient has a defective gene that causes a deletion of phenylalanine at position 508 of the cystic fibrosis transmembrane conductance regulator amino acid sequence.   
     
     
         2 . The method of  claim 1 , wherein the pharmaceutically acceptable carrier in part a) comprises:
 a. a filler;   b. a disintegrant;   c. a lubricant; and   d. a glidant.   
     
     
         3 . The method of  claim 1 , wherein the 5 to 250 mg of Compound 1 is administered prior to the 100 to 300 mg of Compound 2. 
     
     
         4 . The method of  claim 1 , wherein the 5 to 250 mg of Compound 1 is administered concurrently with the 100 to 300 mg of Compound 2. 
     
     
         5 . The method of  claim 1 , wherein the 5 to 250 mg of Compound 1 is administered subsequent to the 100 to 300 mg of Compound 2. 
     
     
         6 . The method of  claim 1 , wherein Compound 1 is in the form of Compound 1 Amorphous Form. 
     
     
         7 . The method of  claim 1 , wherein Compound 1 or Compound 1 Amorphous Form is present in the tablet in an amount of about 10 mg. 
     
     
         8 . The method of  claim 1 , wherein Compound 1 or Compound 1 Amorphous Form is present in the tablet in an amount of about 30 mg. 
     
     
         9 . The method of  claim 1 , wherein Compound 1 or Compound 1 Amorphous Form is present in the tablet in an amount of about 100 mg. 
     
     
         10 . The method of  claim 1 , wherein the tablet has the formulation set forth in the following table: 
       
         
           
                 
                 
                 
                 
               
                     
                 
                     
                     
                   Final Blend 
                     
                 
                     
                     
                   Composition 
                 
                   Component 
                   Function 
                   % w/w 
                   Tablet (mg/tablet) 
                 
                     
                 
                     
                 
                 
                 
                 
                 
               
                   50% Compound 1/ 
                   Active as a 
                   50.00 
                   10.0 SDD 
                 
                   49.5% HPMCAS- 
                   spray dried 
                     
                   (5.00 Compound 1) 
                 
                   HG/0.5% sodium 
                   dispersion 
                 
                   lauryl sulfate 
                   (SSD) 
                 
                   Microcrystalline 
                   Filler 
                   22.62 
                   4.52 
                 
                   cellulose 
                 
                   Lactose 
                   Filler 
                   22.63 
                   4.53 
                 
                   Monohydrate 
                 
                   Crosscarmelose 
                   Disintegrant 
                   3.00 
                   0.60 
                 
                   Sodium 
                 
                   Magnesium Stearate 
                   Lubricant 
                   0.25 
                   0.05 
                 
                   Colloidal Silica 
                   Glidant 
                   1.00 
                   0.20 
                 
                   Dioxide 
                     
                     
                 
                     
                   Intragranular 
                   99.5 
                 
                     
                   content 
                 
                   Extragranular Blend 
                 
                   Colloidal Silica 
                   Glidant 
                   0.25 
                   0.05 
                 
                   Dioxide 
                 
                   Magnesium Stearate 
                   Lubricant 
                   0.25 
                   0.05 
                 
                     
                   Extragranular 
                   0.5 
                 
                     
                   content 
                     
                     
                 
                     
                   Total 
                   100.00 
                   20.0 
                 
                     
                 
             
                
                
                
                
                
               
               
                
               
            
             
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
               
            
           
         
       
     
     
         11 . The method of  claim 1 , wherein the tablet has the formulation set forth in the following table: 
       
         
           
                 
                 
                 
                 
               
                     
                 
                     
                     
                   Final Blend 
                     
                 
                     
                     
                   Composition 
                 
                   Component 
                   Function 
                   % w/w 
                   Tablet (mg/tablet) 
                 
                     
                 
                     
                 
                 
                 
                 
                 
               
                   50% Compound 1/ 
                   Active as a 
                   9.53 
                   20.00 SDD 
                 
                   49.5% HPMCAS- 
                   spray dried 
                     
                   (10.00 Compound 1) 
                 
                   HG/0.5% sodium 
                   dispersion 
                 
                   lauryl sulfate 
                   (SSD) 
                 
                   Microcrystalline 
                   Filler 
                   43.24 
                   90.80 
                 
                   cellulose 
                 
                   Lactose 
                   Filler 
                   43.24 
                   90.80 
                 
                   Monohydrate 
                 
                   Crosscarmelose 
                   Disintegrant 
                   3.00 
                   6.30 
                 
                   Sodium 
                 
                   Magnesium Stearate 
                   Lubricant 
                   0.50 
                   1.05 
                 
                   Colloidal Silica 
                   Glidant 
                   0.50 
                   1.05 
                 
                   Dioxide 
                     
                     
                     
                 
                     
                   Total 
                   100.00 
                   210.0 
                 
                     
                 
             
                
                
                
                
                
               
               
                
               
            
             
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
               
            
           
         
       
     
     
         12 . The method of  claim 1 , wherein the tablet has the formulation set forth in the following table: 
       
         
           
                 
                 
                 
                 
               
                     
                 
                     
                     
                   Final Blend 
                     
                 
                     
                     
                   Composition 
                 
                   Component 
                   Function 
                   % w/w 
                   Tablet (mg/tablet) 
                 
                     
                 
                     
                 
                 
                 
                 
                 
               
                   50% Compound 1/ 
                   Active as a 
                   50.00 
                   100.0 SDD 
                 
                   49.5% HPMCAS- 
                   spray dried 
                     
                   (50.00 
                 
                   HG/0.5% sodium 
                   dispersion 
                     
                   Compound 1) 
                 
                   lauryl sulfate 
                   (SSD) 
                 
                   Microcrystalline 
                   Filler 
                   22.62 
                   45.20 
                 
                   cellulose 
                 
                   Lactose Monohydrate 
                   Filler 
                   22.63 
                   45.30 
                 
                   Crosscarmelose 
                   Disintegrant 
                   3.00 
                   6.0 
                 
                   Sodium 
                 
                   Magnesium Stearate 
                   Lubricant 
                   0.25 
                   0.5 
                 
                   Colloidal Silica 
                   Glidant 
                   1.00 
                   2.0 
                 
                   Dioxide 
                     
                     
                 
                     
                   Intragranular 
                   99.5 
                 
                     
                   content 
                 
                   Extragranular Blend 
                 
                   Colloidal Silica 
                   Glidant 
                   0.25 
                   0.5 
                 
                   Dioxide 
                 
                   Magnesium Stearate 
                   Lubricant 
                   0.25 
                   0.5 
                 
                     
                   Extragranular 
                   0.5 
                 
                     
                   content 
                     
                     
                 
                     
                   Total 
                   100.00 
                   200.0 
                 
                     
                 
             
                
                
                
                
                
               
               
                
               
            
             
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
               
            
           
         
       
     
     
         13 . The method of  claim 1 , wherein the tablet has the formulation set forth in the following table: 
       
         
           
                 
                 
                 
                 
               
                     
                 
                     
                     
                   Final Blend 
                     
                 
                     
                     
                   Composition 
                 
                   Component 
                   Function 
                   % w/w 
                   Tablet (mg/tablet) 
                 
                     
                 
                     
                 
                 
                 
                 
                 
               
                   50% Compound 1/ 
                   Active as a 
                   50.00 
                   200.0 SDD 
                 
                   49.5% HPMCAS- 
                   spray dried 
                     
                   (100.00 
                 
                   HG/0.5% SLS 
                   dispersion 
                     
                   Compound 1) 
                 
                     
                   (SSD) 
                 
                   Microcrystalline 
                   Filler 
                   22.63 
                   90.5 
                 
                   cellulose (Avicel 
                 
                   PH101) 
                 
                   Lactose Monohydrate 
                   Filler 
                   22.63 
                   90.5 
                 
                   (Foremost 310) 
                 
                   Crosscarmelose 
                   Disintegrant 
                   3.00 
                   12.0 
                 
                   Sodium (AcDiSol) 
                 
                   Magnesium Stearate 
                   Lubricant 
                   0.25 
                   1.0 
                 
                   Colloidal Silica 
                   Glidant 
                   1.00 
                   4.0 
                 
                   Dioxide (Cabot M5P) 
                     
                     
                 
                     
                   Intragranular 
                   99.5 
                 
                     
                   content 
                 
                   Extragranular Blend 
                 
                   Colloidal Silica 
                   Glidant 
                   0.25 
                   1.0 
                 
                   Dioxide (Cabot M5P) 
                 
                   Magnesium Stearate 
                   Lubricant 
                   0.25 
                   1.0 
                 
                     
                   Extragranular 
                   0.5 
                 
                     
                   content 
                     
                     
                 
                     
                   Total 
                   100.00 
                   400.0 
                 
                     
                 
             
                
                
                
                
                
               
               
                
               
            
             
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
               
            
           
         
       
     
     
         14 . The method of  claim 1 , wherein the tablet has the formulation set forth in the following table: 
       
         
           
                 
                 
                 
                 
               
                     
                 
                     
                     
                   Final Blend 
                     
                 
                     
                     
                   Composition 
                 
                   Component 
                   Function 
                   % w/w 
                   Tablet (mg/tablet) 
                 
                     
                 
                     
                 
                 
                 
                 
                 
               
                   50% Compound 1/ 
                   Active as a 
                   50.00 
                   500.0 SDD 
                 
                   49.5% HPMCAS- 
                   spray dried 
                     
                   (250.00 
                 
                   HG/0.5% SLS 
                   dispersion 
                     
                   Compound 1) 
                 
                     
                   (SSD) 
                 
                   Microcrystalline 
                   Filler 
                   22.63 
                   226.3 
                 
                   cellulose (Avicel 
                 
                   PH101) 
                 
                   Lactose Monohydrate 
                   Filler 
                   22.63 
                   226.3 
                 
                   (Foremost 310) 
                 
                   Crosscarmelose 
                   Disintegrant 
                   3.00 
                   30.0 
                 
                   Sodium (AcDiSol) 
                 
                   Magnesium Stearate 
                   Lubricant 
                   0.25 
                   2.5 
                 
                   Colloidal Silica 
                   Glidant 
                   1.00 
                   10.0 
                 
                   Dioxide (Cabot M5P) 
                     
                     
                 
                     
                   Intragranular 
                   99.5 
                 
                     
                   content 
                 
                   Extragranular Blend 
                 
                   Colloidal Silica 
                   Glidant 
                   0.25 
                   2.5 
                 
                   Dioxide (Cabot M5P) 
                 
                   Magnesium Stearate 
                   Lubricant 
                   0.25 
                   2.5 
                 
                     
                   Extragranular 
                   0.5 
                 
                     
                   content 
                     
                     
                 
                     
                   Total 
                   100.00 
                   1000.0 
                 
                     
                 
             
                
                
                
                
                
               
               
                
               
            
             
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
               
            
           
         
       
     
     
         15 . The method of  claim 1 , wherein Compound 1 is administered once a day. 
     
     
         16 . The method of  claim 1 , wherein 150 mg of Compound 2 is administered. 
     
     
         17 . The method of  claim 1 , wherein 250 mg of Compound 2 is administered. 
     
     
         18 . The method of  claim 1 , wherein Compound 1 is administered every 12 hours. 
     
     
         19 . The method of  claim 1 , wherein Compound 2 is administered every 12 hours. 
     
     
         20 . The method of  claim 1 , wherein the method comprises administering an additional therapeutic agent. 
     
     
         21 . The method of  claim 20 , wherein the additional therapeutic agent is a mucolytic agent, bronchodialator, an antibiotic, an anti-infective agent, an anti-inflammatory agent, a CFTR modulator other than Compound 2, or a nutritional agent. 
     
     
         22 . The method of  claim 20 , wherein the additional therapeutic agent is a CFTR modulator other than Compound 2. 
     
     
         23 . The method of  claim 1 , wherein the patient is homozygous for the defective gene.

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