Formulations of 2-(4-chlorophenyl)-N-((2-(2,6-dioxopiperidin-3-yl)-1-oxoisoindolin-5-yl)methyl)-2,2-difluoroacetamide
Provided herein are lyophilized formulations of 2-(4-chlorophenyl)—N—((2-(2,6-dioxopiperidin-3-yl)-1-oxoisoindolin-5-yl)methyl)-2,2-difluoroacetamide or a stereoisomer or mixture of stereoisomers, pharmaceutically acceptable salt, tautomer, prodrug, solvate, hydrate, co-crystal, clathrate, or polymorph thereof. Methods of using the formulations and dosage forms for treating, managing, and/or preventing cancer are also provided herein.
1. A lyophilized formulation comprising a solid form of 2-(4-chlorophenyl)-N-((2-(2,6-dioxopiperidin-3-yl)-1-oxoisoindolin-5-yl)methyl)-2,2-difluoroacetamide, a buffer and a bulking agent, wherein the solid form is selected from Form A, Form B, Form C, Form D and Form E, wherein
Form A has an X-ray powder diffraction pattern comprising peaks at about 15.6, 16.6, 17.2 or 24.8 degrees 2θ;
Form B has an X-ray powder diffraction pattern comprising peaks at about 16.7, 25.6, 15.4 or 16.3 degrees 2θ;
Form C has an X-ray powder diffraction pattern comprising peaks at about 16.7, 16.9, 17.7 or 24.7 degrees 2θ;
Form D has an X-ray powder diffraction pattern comprising peaks at about 14.1, 14.3, 18.8 or 19.1 degrees 2θ; and
Form E has an X-ray powder diffraction pattern comprising peaks at about 16.1, 17.0, 21.2 or 22.9 degrees 2θ.
2. The lyophilized formulation of claim 1 , wherein the solid form is Form A having an X-ray powder diffraction pattern substantially as shown in FIG. 2 .
3. The lyophilized formulation of claim 1 , wherein the solid form is Form B having an X-ray powder diffraction pattern substantially as shown in FIG. 9 .
4. The lyophilized formulation of claim 1 , wherein the solid form is Form C having an X-ray powder diffraction pattern substantially as shown in FIG. 16 .
5. The lyophilized formulation of claim 1 , wherein the solid form is Form D having an X-ray powder diffraction pattern substantially as shown in FIG. 23 .
6. The lyophilized formulation of claim 1 , wherein the solid form is Form E having an X-ray powder diffraction pattern substantially as shown in FIG. 25 .
7. The lyophilized formulation of claim 1 , wherein the solid form is present in about 0.36% based on the total weight of the lyophilized formulation.
8. The lyophilized formulation of claim 1 , wherein the buffer is a citrate buffer.
9. The lyophilized formulation of claim 8 , wherein citrate buffer comprises anhydrous citric acid and anhydrous sodium citrate.
10. The lyophilized formulation of claim 9 , wherein anhydrous citric acid is present in an amount from about 2% to about 10% based on total weight of the lyophilized formulation.
11. The lyophilized formulation of claim 9 , wherein anhydrous sodium citrate is present in an amount from about 2% to about 15% based on total weight of the lyophilized formulation.
12. The lyophilized formulation of claim 1 , wherein the bulking agent is selected from mannitol, sulfobutylether-β-cyclodextrin, β-cyclodextrin, hydroxypropyl β-cyclodextrin and methylated β-cyclodextrin.
13. The lyophilized formulation of claim 1 , wherein the bulking agent is present in an amount from about 70% to about 95% based on total weight of the lyophilized formulation.
14. The lyophilized formulation of claim 1 , wherein the solid form is present in about 0.36%, and the lyophilized formulation comprises anhydrous citric acid in about 6.41%, anhydrous sodium citrate in about 6.37% and hydroxypropyl β-cyclodextrin in about 86.86% based on total weight of the lyophilized formulation.
15. A reconstituted formulation obtained from the lyophilized formulation of claim 1 comprising a diluent.
16. The reconstituted formulation of claim 15 , wherein the formulation has a pH of about 4.3.
17. A method of treating cancer comprising administering to a mammal having cancer the reconstituted formulation of claim 15 .
18. The method of claim 17 , wherein the cancer is leukemia.
19. The method of claim 18 , wherein the leukemia is an acute myeloid leukemia.
20. The method of claim 18 , wherein the leukemia is relapsed, refractory or resistant to conventional therapy.
21. The method of claim 17 , further comprising administering a therapeutically effective amount of a second active agent or a support care therapy.
22. The method of claim 21 , wherein the second active agent is 1) a therapeutic antibody that specifically binds to a cancer antigen or a pharmacologically active mutant thereof, 2) a hematopoietic growth factor, 3) a cytokine, 4) an anti-cancer agent, 5) an antibiotic, 6) a cox-2 inhibitor, 7) an immunomodulatory agent, 8) an immunosuppressive agent, or 9) a corticosteroid.
23. The method of claim 17 , wherein the cancer is a solid tumor.
24. The method of claim 23 , wherein the cancer is a cancer of bladder, bone, blood, brain, breast, cervix, chest, colon, endometrium, esophagus, eye, head, kidney, liver, lymph nodes, lung, mouth, neck, ovaries, pancreas, prostate, rectum, stomach, testis, throat, or uterus.
25. The method of claim 17 , further comprising administering calcium, calcitriol, and vitamin D supplementation.
26. A process for preparing a lyophilized formulation, comprising: dissolving a bulking agent and a solid form of 2-(4-chlorophenyl)-N-((2-(2,6-dioxopiperidin-3-yl)-1-oxoisoindolin-5-yl)methyl)-2,2-difluoroacetamide, in a buffer solution to produce a solution; and lyophilizing the resulting solution to produce a powder, wherein the solid form is selected from Form A, Form B, Form C, Form D and Form E, wherein
Form A has an X-ray powder diffraction pattern comprising peaks at about 15.6, 16.6, 17.2 or 24.8 degrees 2θ;
Form B has an X-ray powder diffraction pattern comprising peaks at about 16.7, 25.6, 15.4 or 16.3 degrees 2θ;
Form C has an X-ray powder diffraction pattern comprising peaks at about 16.7, 16.9, 17.7 or 24.7 degrees 2θ;
Form D has an X-ray powder diffraction pattern comprising peaks at about 14.1, 14.3, 18.8 or 19.1 degrees 2θ; and
Form E has an X-ray powder diffraction pattern comprising peaks at about 16.1, 17.0, 21.2 or 22.9 degrees 2θ.