Morphic forms of hexadecyloxypropyl-phosphonate esters and methods of synthesis thereof
The disclosure describes methods of synthesis of phosphonate ester compounds. The methods according to the disclosure allow for large-scale preparation of phosphonate ester compounds having high purity and stability. Also disclosed are morphic forms of phosphonate ester compounds.
1. A method of treating a viral infection in a subject in need thereof, the method comprising administering to the subject in need thereof a therapeutically effective amount of morphic Form II of phosphonic acid, [[(S)-2-(4-amino-2-oxo-1(2H)-pyrimidinyl)-1-(hydroxymethyl) ethoxy]methyl]mono[3-(hexadecyloxy)propyl] ester.
2. The method of claim 1 , wherein the morphic Form II is characterized by an X-ray diffraction pattern including peaks at about 2.81 and about 5.63 degrees 2θ.
3. The method of claim 1 , wherein the morphic Form II is characterized by an X-ray diffraction pattern with three or more peaks expressed in degrees 2θ (±0.2) selected from 2.81, 5.63, 11.30, 12.05, 13.22, 13.45, 13.81, 14.32, 14.92, 15.64, 16.25, 16.41, 17.00, 17.67, 17.87, 18.15, 18.35, 18.50, 19.00, 19.57, 19.85, 20.22, 20.96, 21.06, 21.89, 22.76, 23.70, 23.95, 24.32, 24.70, 25.54, 26.12, 26.52, 26.81, 27.07, 27.48, 27.71, 29.11, 29.36, and 29.61.
4. The method of claim 1 , wherein the subject is an immunodeficient subject.
5. The method of claim 1 , wherein the morphic Form II is administered orally.
6. The method of claim 5 , wherein the morphic Form II is administered in the form of a tablet or capsule.
7. The method of claim 1 , wherein the morphic Form II is administered at a dose of about 200 mg once a week.
8. The method of claim 1 , wherein the morphic Form II has a purity of at least 91%.
9. The method of claim 1 , wherein the viral infection is cytomegalovirus infection.
10. The method of claim 1 , wherein the viral infection is BK virus infection.
11. The method of claim 1 , wherein the subject is a pre-organ or pre-tissue transplantation subject.
12. The method of claim 1 , wherein the subject is a post-organ or post-tissue transplantation subject.
13. The method of claim 1 , wherein the viral infection is resistant to valganciclovir hydrochloride or ganciclovir.
14. The method of claim 1 , wherein the subject exhibits side effects to valganciclovir hydrochloride or ganciclovir.
15. The method of claim 1 , wherein the subject is a stem cell transplant patient and there is a risk for bone marrow toxicity from ganciclovir in the subject.
16. A method of preventing a viral infection in a subject in need thereof, the method comprising administering to the subject in need thereof a therapeutically effective amount of morphic Form II of phosphonic acid, [[(S)-2-(4-amino-2-oxo-1(2H)-pyrimidinyl)-1-(hydroxymethyl) ethoxy]methyl]mono[3-(hexadecyloxy)propyl] ester.
17. The method of claim 16 , wherein the morphic Form II is characterized by an X-ray diffraction pattern including peaks at about 2.81 and about 5.63 degrees 2θ.
18. The method of claim 16 , wherein the morphic Form II is characterized by an X-ray diffraction pattern with three or more peaks expressed in degrees 2θ (±0.2) selected from 2.81, 5.63, 11.30, 12.05, 13.22, 13.45, 13.81, 14.32, 14.92, 15.64, 16.25, 16.41, 17.00, 17.67, 17.87, 18.15, 18.35, 18.50, 19.00, 19.57, 19.85, 20.22, 20.96, 21.06, 21.89, 22.76, 23.70, 23.95, 24.32, 24.70, 25.54, 26.12, 26.52, 26.81, 27.07, 27.48, 27.71, 29.11, 29.36, and 29.61.
19. The method of claim 16 , wherein the subject is an immunodeficient subject.
20. The method of claim 16 , wherein the morphic Form II is administered orally.
21. The method of claim 20 , wherein the morphic Form II is administered in the form of a tablet or capsule.
22. The method of claim 16 , wherein the morphic Form II is administered at a dose of about 200 mg once a week.
23. The method of claim 16 , wherein the morphic Form II has a purity of at least 91%.
24. The method of claim 16 , wherein the viral infection is cytomegalovirus infection.
25. The method of claim 16 , wherein the viral infection is BK virus infection.
26. The method of claim 16 , wherein the morphic Form II is administered prior to the onset of the viral infection.
27. The method of claim 16 , wherein the subject is a pre-organ or pre-tissue transplantation subject.
28. The method of claim 16 , wherein the subject is a post-organ or post-tissue transplantation subject.
29. The method of claim 16 , wherein the subject exhibits side effects to valganciclovir hydrochloride or ganciclovir.
30. The method of claim 16 , wherein the subject is a stem cell transplant patient and there is a risk for bone marrow toxicity from ganciclovir in the subject.