Arimoclomol formulation

1. A method of reducing inhibition of OCT2 in an individual in need of reduced inhibition of OCT2 and in need of treatment with an agent selected from the group consisting of: N-[2-hydroxy-3-(1-piperidinyl)-propoxy]-pyridine-1-oxide-3-carboximidoyl chloride, a stereoisomer of N-[2-hydroxy-3-(1-piperidinyl)-propoxy]-pyridine-1-oxide-3-carboximidoyl chloride, an acid addition salt of N-[2-hydroxy-3-(1-piperidinyl)-propoxy]-pyridine-1-oxide-3-carboximidoyl chloride and an addition salt of a stereoisomer of N-[2-hydroxy-3-(1-piperidinyl)-propoxy]-pyridine-1-oxide-3-carboximidoyl chloride; comprising:

administering an effective amount of an extended-release pharmaceutical formulation in an oral dosage form comprising:

an active pharmaceutical ingredient selected from the group consisting of: N-[2-hydroxy-3-(1-piperidinyl)-propoxy]-pyridine-1-oxide-3-carboximidoyl chloride, a stereoisomer of N-[2-hydroxy-3-(1-piperidinyl)-propoxy]-pyridine-1-oxide-3-carboximidoyl chloride, an acid addition salt of N-[2-hydroxy-3-(1-piperidinyl)-propoxy]-pyridine-1-oxide-3-carboximidoyl chloride and an addition salt of a stereoisomer of N-[2-hydroxy-3-(1-piperidinyl)-propoxy]-pyridine-1-oxide-3-carboximidoyl chloride; and

a release-controlling excipient that provides for extended release of said active pharmaceutical ingredient reducing inhibition of OCT2 as compared to an immediate-release formulation of an equivalent amount of the active pharmaceutical ingredient;

wherein the extended-release pharmaceutical formulation provides for a Cmax of the active pharmaceutical ingredient of less than 15 μM, and wherein the agent is present in one dosage form or formulation unit in a total amount of 5-1000 mg per dosage, thereby reducing inhibition of OCT2 in the individual.

2. The method according to claim 1 , wherein said individual is selected from the group consisting of:

a patient having increased serum creatinine; and a patient having a disease selected from the group consisting of: a kidney disease, nephropathy, diabetes mellitus type I, diabetes mellitus type II, and hypertension.

3. A method of treating a lysosomal storage disease (LSD), said method comprising:

administering to an individual in need of reduced inhibition of OCT2 and in need of treatment of LSD an effective amount of an extended-release pharmaceutical formulation which is an oral dosage form comprising: an active pharmaceutical ingredient selected from the group consisting of: N-[2-hydroxy-3-(1-piperidinyl)-propoxy]-pyridine-1-oxide-3-carboximidoyl chloride, a stereoisomer of N-[2-hydroxy-3-(1-piperidinyl)-propoxy]-pyridine-1-oxide-3-carboximidoyl chloride, an acid addition salt of N-[2-hydroxy-3-(1-piperidinyl)-propoxy]-pyridine-1-oxide-3-carboximidoyl chloride and an addition salt of a stereoisomer of N-[2-hydroxy-3-(1-piperidinyl)-propoxy]-pyridine-1-oxide-3-carboximidoyl chloride; and

a release-controlling excipient that provides for extended release of said active pharmaceutical ingredient as compared to an immediate-release formulation of an equivalent amount of the active pharmaceutical ingredient;

wherein the extended-release pharmaceutical formulation provides for a Cmax of the active pharmaceutical ingredient of less than 15 μM, and wherein the active pharmaceutical ingredient is present in one dosage form or formulation unit in a total amount of 5-1000 mg per dosage.

4. A method of reducing inhibition of OCT2 in an individual in need of reduced inhibition of OCT2 and in need of treatment with an agent selected from the group consisting of: N-[2-hydroxy-3-(1-piperidinyl)-propoxy]-pyridine-1-oxide-3-carboximidoyl chloride, a stereoisomer of N-[2-hydroxy-3-(1-piperidinyl)-propoxy]-pyridine-1-oxide-3-carboximidoyl chloride, an acid addition salt of N-[2-hydroxy-3-(1-piperidinyl)-propoxy]-pyridine-1-oxide-3-carboximidoyl chloride and an addition salt of a stereoisomer of N-[2-hydroxy-3-(1-piperidinyl)-propoxy]-pyridine-1-oxide-3-carboximidoyl chloride; comprising:

administering an effective amount of an extended-release pharmaceutical formulation in an oral dosage form comprising:

an active pharmaceutical ingredient selected from the group consisting of: N-[2-hydroxy-3-(1-piperidinyl)-propoxy]-pyridine-1-oxide-3-carboximidoyl chloride, a stereoisomer of N-[2-hydroxy-3-(1-piperidinyl)-propoxy]-pyridine-1-oxide-3-carboximidoyl chloride, an acid addition salt of N-[2-hydroxy-3-(1-piperidinyl)-propoxy]-pyridine-1-oxide-3-carboximidoyl chloride and an addition salt of a stereoisomer of N-[2-hydroxy-3-(1-piperidinyl)-propoxy]-pyridine-1-oxide-3-carboximidoyl chloride; and

a release-controlling excipient that provides for extended release of said active pharmaceutical ingredient reducing inhibition of OCT2 as compared to an immediate-release formulation of an equivalent amount of the active pharmaceutical ingredient; wherein the extended-release pharmaceutical formulation provides for a dissolution rate of 10 to 90% of the active pharmaceutical ingredient released at 3 to 5 hours after oral administration, and wherein the agent is present in one dosage form or formulation unit in a total amount of 5-1000 mg per dosage, thereby reducing inhibition of OCT2 in the individual.

5. The method according to claim 1 or 4 , wherein the pharmaceutical formulation comprises: an inner matrix and at least one outer extended-release coating, or wherein the pharmaceutical formulation comprises extended-release granules.

6. The method according to claim 5 , wherein said inner matrix comprises the active pharmaceutical ingredient.

7. The method according to claim 5 , wherein said extended-release granules are produced by hot melt extrusion (HME).

8. The method according to claim 5 , wherein said inner matrix is selected from the group consisting of a tablet, a mini-tablet and a micro-tablet.

9. The method according to claim 5 , wherein said formulation is selected from the group consisting of a coated tablet, a coated mini-tablet and a coated micro-tablet.

10. The method according to claim 5 , wherein said outer coating does not comprise the active pharmaceutical ingredient.

11. The method according to claim 4 , wherein the dissolution rate is determined using a dissolution apparatus USP 2 at 37° C. in a USP pH 6.8 phosphate buffer or 0.1 M HCl in 1000 mL dissolution volume at 100 rpm paddle speed.

12. The method according to claim 2 , wherein the patient with kidney disease has non-inflammatory nephropathy, nephrosis, inflammatory nephropathy, nephritis, or decreased renal function.

13. The method according to claim 2 , wherein the patient with kidney disease is a patient having a condition selected from the group consisting of: IgA nephropathy, focal segmental glomerulosclerosis, drug-induced chronic tubulointerstitial nephritis, toxin-induced chronic tubulointerstitial nephritis, xanthine oxidase deficiency, polycystic kidney disease, acute kidney injury (AKI), chronic kidney disease (CKD), glomerulonephritis, renal artery stenosis, ischemic nephropathy, hemolytic-uremic syndrome, vasculitis, obstructive kidney disease, kidney stones, prostate disease, long-term exposure to lead or is salts; nephropathy caused by a chronic condition, lupus nephritis, diabetic nephropathy, hypertensive nephropathy, chronic kidney disease of unknown origin (CKDu), and Mesoamerican nephropathy.

14. A method of treating amyotrophic lateral sclerosis (ALS), said method comprising:

administering to an individual in need of reduced inhibition of OCT2 and in need of treatment of ALS an effective amount of an extended-release pharmaceutical formulation which is an oral dosage form comprising: an active pharmaceutical ingredient selected from the group consisting of: N-[2-hydroxy-3-(1-piperidinyl)-propoxy]-pyridine-1-oxide-3-carboximidoyl chloride, a stereoisomer of N-[2-hydroxy-3-(1-piperidinyl)-propoxy]-pyridine-1-oxide-3-carboximidoyl chloride, an acid addition salt of N-[2-hydroxy-3-(1-piperidinyl)-propoxy]-pyridine-1-oxide-3-carboximidoyl chloride and an addition salt of a stereoisomer of N-[2-hydroxy-3-(1-piperidinyl)-propoxy]-pyridine-1-oxide-3-carboximidoyl chloride; and

a release-controlling excipient that provides for extended release of said active pharmaceutical ingredient as compared to an immediate-release formulation of an equivalent amount of the active pharmaceutical ingredient;

wherein the extended-release pharmaceutical formulation provides for a Cmax of the active pharmaceutical ingredient of less than 15 μM, and wherein the active pharmaceutical ingredient is present in one dosage form or formulation unit in a total amount of 5-1000 mg per dosage.

15. A method of treating Niemann-Pick disease type C (NPC), said method comprising:

administering to an individual in need of reduced inhibition of OCT2 and in need of treatment of NPC an effective amount of an extended-release pharmaceutical formulation which is an oral dosage form comprising: an active pharmaceutical ingredient selected from the group consisting of: N-[2-hydroxy-3-(1-piperidinyl)-propoxy]-pyridine-1-oxide-3-carboximidoyl chloride, a stereoisomer of N-[2-hydroxy-3-(1-piperidinyl)-propoxy]-pyridine-1-oxide-3-carboximidoyl chloride, an acid addition salt of N-[2-hydroxy-3-(1-piperidinyl)-propoxy]-pyridine-1-oxide-3-carboximidoyl chloride and an addition salt of a stereoisomer of N-[2-hydroxy-3-(1-piperidinyl)-propoxy]-pyridine-1-oxide-3-carboximidoyl chloride; and

a release-controlling excipient that provides for extended release of said active pharmaceutical ingredient as compared to an immediate-release formulation of an equivalent amount of the active pharmaceutical ingredient;

wherein the extended-release pharmaceutical formulation provides for a Cmax of the active pharmaceutical ingredient of less than 15 μM, and wherein the active pharmaceutical ingredient is present in one dosage form or formulation unit in a total amount of 5-1000 mg per dosage.