Complexes of ivacaftor and its salts and derivatives, process for the preparation thereof and pharmaceutical compositions containing them
Disclosed herein are pharmaceutically acceptable complex formulations comprising complexes of Ivacaftor, or a salt or derivative thereof, together with complexation agents and pharmaceutically acceptable excipients; processes for the preparation thereof; and pharmaceutical compositions containing them. The complexes possess instantaneous redispersibility, increased apparent solubility and permeability compared to KALYDECO, no observable food effect which deliver the opportunity of precise dosing and ease of administration of the reconstituted complex Ivacaftor in solution form.
1. A method of treatment of a cystic fibrosis transmembrane conductance regulator (CFTR) mediated disease in a patient in need thereof, comprising administering to the patient a therapeutically effective amount of a complex comprising:
a) Ivacaftor, or a salt thereof;
b) at least one complexing agent which is a copolymer of vinylpyrrolidone and vinyl acetate; and
c) a pharmaceutically acceptable excipient which is sodium lauryl sulfate;
wherein said complex has a particle size between 10 nm and 600 nm.
2. The method as recited in claim 1 , wherein said complex has a particle size in the range between 10 nm and 400 nm.
3. The method as recited in claim 1 , wherein said complex exhibits X-ray amorphous character in the solid form.
4. The method as recited in claim 1 , wherein said complex further comprises a poloxamer.
5. The method as recited in claim 1 , wherein said complex has an apparent solubility in water of at least 1 mg/mL.
6. The method as recited in claim 1 , wherein said complex has a PAMPA permeability of at least 0.5×10 −6 cm/s.
7. The method as recited in claim 1 , wherein said complex is suitable for oral, pulmonary, rectal, colonic, parenteral, intracisternal, intravaginal, intraperitoneal, ocular, otic, local, buccal, nasal, or topical administration.
8. The method as recited in claim 1 , wherein said complex is suitable for oral administration.
9. The method as recited in claim 1 , wherein said complex is administered in solution form.
10. The method as recited in claim 1 , wherein said complex is formulated as fast dissolving granules.
11. The method as recited in claim 10 , wherein granules are suitable for the preparation of sachet dosage form.
12. The method as recited in claim 1 , wherein said CFTR mediated disease is selected from cystic fibrosis, asthma, smoke induced COPD, chronic bronchitis, rhinosinusitis, constipation, pancreatitis, pancreatic insufficiency, male infertility caused by congenital bilateral absence of the vas deferens (CBAVD), mild pulmonary disease, idiopathic pancreatitis, allergic bronchopulmonary aspergillosis (ABPA), liver disease, hereditary emphysema, hereditary hemochromatosis, coagulation-fibrinolysis deficiencies, such as protein C deficiency, Type 1 hereditary angioedema, lipid processing deficiencies, such as familial hypercholesterolemia, Type 1 chylomicronemia, abetalipoproteinemia, lysosomal storage diseases, such as I-cell disease/pseudo-Hurler, mucopolysaccharidoses, Sandhof/Tay-Sachs, Crigler-Najjar type II, polyendocrinopathy/hyperinsulemia, Diabetes mellitus, Laron dwarfism, myleoperoxidase deficiency, primary hypoparathyroidism, melanoma, glycanosis CDG type 1, congenital hyperthyroidism, osteogenesis imperfecta, hereditary hypofibrinogenemia, ACT deficiency, Diabetes insipidus (DI), neurophyseal DI, neprogenic DI, Charcot-Marie Tooth syndrome, Perlizaeus-Merzbacher disease, neurodegenerative diseases such as Alzheimer's disease, Parkinson's disease, amyotrophic lateral sclerosis, progressive supranuclear plasy, Pick's disease, several polyglutamine neurological disorders such as Huntington's, spinocerebullar ataxia type I, spinal and bulbar muscular atrophy, dentatorubal pallidoluysian, and myotonic dystrophy, as well as spongiform encephalopathies, such as hereditary Creutzfeldt-Jakob disease (due to prion protein processing defect), Fabry disease, Straussler-Scheinker syndrome, COPD, dry-eye disease, or Sjogren's disease, Osteoporosis, Osteopenia, bone healing and bone growth (including bone repair, bone regeneration, reducing bone resorption and increasing bone deposition), Gorham's Syndrome, chloride channelopathies such as myotonia congenita (Thomson and Becker forms), Bartter's syndrome type III, Dent's disease, hyperekplexia, epilepsy, lysosomal storage disease, Angelman syndrome, and Primary Ciliary Dyskinesia (PCD), a term for inherited disorders of the structure and/or function of cilia, including PCD with situs inversus (also known as Kartagener syndrome), PCD without situs inversus and ciliary aplasia.
13. The method as recited in claim 10 , wherein said CFTR mediated disease is selected from cystic fibrosis.
14. The method as recited in claim 1 , wherein prior to administering the complex, the method further comprises informing the patient that administration of the complex exhibits no food effect.