Compositions and uses of amidine derivatives
Use of a compound of formula (I): wherein A, X, Y, R 1 and R 2 as defined herein, in treating hereditary angioedema is disclosed. A composition containing the compounds, a polar organic solvent or a mixture thereof; and optionally a co-solvent, is also disclosed.
1. An oral unit dosage form composition for use in a method of treating a disease or condition treatable via a mechanism of plasma kallikrein inhibition in a human subject, the method comprising orally administering to the human subject a therapeutically effective amount of a compound of formula I:
wherein:
X is CH or N;
Y is CH or N;
A is C═O or CH 2 ;
R 1 is hydrogen or a C 1-4 alkoxy group; and
R 2 is a C 1-4 alkyl group or a C 3-6 cycloalkyl group, optionally substituted by 1 or 2 hydroxyl groups;
or a pharmaceutically acceptable salt, solvate, ester or prodrug thereof and wherein the compound of formula I is administered in an excipient mixture comprising 50% to 80% of a polyethylene glycol having a number average molecular weight of 200 to 1000, 0.1% to 1% of a vitamin E and 20% to 30% of a vitamin E poly(C 2-3 )alkylene glycol dicarboxylic ester, the percentages expressed by weight of the total weight of the excipients.
2. The oral unit dosage form composition of claim 1 , wherein the disease or condition is hereditary angioedema, type I hereditary angioedema, type II hereditary angioedema or acquired angioedema.
3. The oral unit dosage form composition of claim 1 , wherein the therapeutically effective amount is administered according to a dosing interval of once a day or twice a day.
4. The oral unit dosage form composition of claim 1 , wherein the therapeutically effective amount is administered according to a dosing interval of once a day or twice a day and a single unit dosage form is administered at each dosing interval.
5. The oral unit dosage form composition of claim 1 , wherein the unit dose form provides an amount of a compound of formula I between 100 mg and 1000 mg.
6. The oral unit dosage form composition of claim 1 , wherein the pharmaceutically acceptable salt is a hydrochloride salt.
7. The oral unit dosage form composition of claim 1 , wherein the oral unit dose form is a solid oral dosage form.
8. The oral unit dosage form composition of claim 1 , wherein the oral unit dose form is a tablet, capsule, powder, solution, elixir, syrup or gel.
9. The oral unit dosage form composition of claim 1 , wherein the oral unit dose form is a capsule containing a pharmaceutically acceptable excipient comprising 1% to 99% of at least one polar protic solvent and one or more co-solvents, the percentages expressed by weight of the total weight of the excipients.
10. The oral unit dosage form composition of claim 1 , wherein the polyethylene glycol having a number average molecular weight of 200 to 1000 is polyethylene glycol 600, the vitamin E is D-α-tocopherol and the vitamin E poly(C 2-3 )alkylene glycol dicarboxylic ester is D-α-tocopherol polyethylene glycol 1000 succinate.
11. The oral unit dosage form composition of claim 1 , comprising 70% to 75% of polyethylene glycol having a number average molecular weight (Mn) of 200 to 1000, 0.1% to 5% of a vitamin E, citric acid or a combination thereof, and 24% to 28% of a vitamin E poly(C 2-3 )alkylene glycol dicarboxylic ester, the percentages expressed by weight of the total weight of the excipients.
12. The oral unit dosage form composition of claim 11 , wherein the polyethylene glycol having a number average molecular weight of 200 to 1000 is polyethylene glycol 600, the vitamin E is D-α-tocopherol and the vitamin E poly(C 2-3 )alkylene glycol dicarboxylic ester is D-α-tocopherol polyethylene glycol 1000 succinate.
13. The oral unit dosage form composition of claim 1 , wherein the compound of formula I is:
14. The oral unit dosage form composition of claim 1 , wherein the compound of formula I is:
15. An oral unit dose form composition comprising an effective amount of a compound of the formula (I):
wherein
X is CH or N;
Y is CH or N;
R 1 is hydrogen or a C 1-4 alkoxy group and
R 2 is a C 1-4 alkyl group or a C 3-6 cycloalkyl group, optionally substituted by 1 or 2 hydroxyl groups;
or a pharmaceutically acceptable salt, solvate, ester or prodrug thereof and wherein the compound of formula I is administered in an excipient mixture comprising 50% to 80% of a polyethylene glycol having a number average molecular weight of 200 to 1000, 0.1% to 1% of a vitamin E and 20% to 30% of a vitamin E poly(C 2-3 )alkylene glycol dicarboxylic ester, the percentages expressed by weight of the total weight of the excipients.
16. The oral unit dose form composition of claim 15 , wherein the unit dose form provides an amount of a compound of formula I between 100 mg and 1000 mg.
17. The oral unit dose form composition of claim 15 , wherein the unit dose form provides an amount of a compound of formula I of 100 mg, 200 mg, 300 mg, 400 mg, 500 mg, 600 mg, 700 mg or 800 mg.
18. The oral unit dose form composition of claim 15 , wherein the pharmaceutically acceptable salt is a hydrochloride salt.
19. The oral unit dose form composition of claim 15 , wherein the oral unit dose form is a solid oral dosage form.
20. The oral unit dose form composition of claim 15 , wherein the oral unit dose form is a tablet, capsule, powder, solution, elixir, syrup or gel.
21. The oral unit dose form composition of claim 15 , wherein the oral unit dose form is a capsule containing a pharmaceutically acceptable excipient comprising 1% to 99% of at least one polar protic solvent and one or more co-solvents, the percentages expressed by weight of the total weight of the excipients.
22. The oral unit dose form composition of claim 15 , wherein the polyethylene glycol having a number average molecular weight of 200 to 1000 is polyethylene glycol 600, the vitamin E is D-α-tocopherol and the vitamin E poly(C 2-3 )alkylene glycol dicarboxylic ester is D-α-tocopherol polyethylene glycol 1000 succinate.
23. The oral unit dose form composition of claim 15 , comprising 70% to 75% of polyethylene glycol having a number average molecular weight (Mn) of 200 to 1000, 0.1% to 5% of a vitamin E, citric acid or a combination thereof, and 24% to 28% of a vitamin E poly(C 2-3 )alkylene glycol dicarboxylic ester, the percentages expressed by weight of the total weight of the excipients.
24. The oral unit dose form composition of claim 23 , wherein the polyethylene glycol having a number average molecular weight of 200 to 1000 is polyethylene glycol 600, the vitamin E is D-α-tocopherol and the vitamin E poly(C 2-3 )alkylene glycol dicarboxylic ester is D-α-tocopherol polyethylene glycol 1000 succinate.
25. The oral unit dose form composition of claim 15 , wherein the compound of formula I is:
26. The oral unit dose form composition of claim 15 , wherein the compound of formula I is: