Solid forms of emetine
Crystalline forms of emetine dihydrochloride (Compound I dihydrochloride) were prepared and characterized in the solid state: Also provided are processes of manufacture and methods of using the crystalline forms of Compound I dihydrochloride.
1. A crystalline form of Compound I dihydrochloride having the formula:
selected from: Compound I dihydrochloride Form 7B, Compound I dihydrochloride Form 2, Compound I dihydrochloride Form 3, Compound I dihydrochloride Form 4, Compound I dihydrochloride Form 5, Compound I dihydrochloride Form 6, Compound I dihydrochloride Form 7A, and Compound I dihydrochloride Form 8.
2. A crystalline form of Compound I dihydrochloride having the formula:
characterized by an X-ray powder diffractogram comprising the following peaks: 4.5, 9.1, 11.9, and 14.4 °2θ+0.2 °2θ, as determined on a diffractometer using Cu-Kα radiation.
3. The crystalline form of claim 2 , wherein the diffractogram further comprises one or more peaks at: 18.1, 20.0, or 22.3 °2θ+0.2°2θ.
4. The crystalline form of claim 2 , wherein the crystalline form is characterized by the X-ray powder diffractogram as substantially shown in FIG. 1 .
5. The crystalline form of claim 1 , wherein the crystalline form is Compound I dihydrochloride Form 2 characterized by an X-ray powder diffractogram comprising the following peaks: 6.4, 10.2, 13.6, and 17.0 °2θ+0.2 °2θ, as determined on a diffractometer using Cu-Kα radiation.
6. The crystalline form of claim 1 , wherein the crystalline form is Compound I dihydrochloride Form 4 characterized by an X-ray powder diffractogram comprising the following peaks: 3.6, 6.2, and 8.6 °2θ+0.2 °2θ, as determined on a diffractometer using Cu-Kα radiation.
7. The crystalline form of claim 1 , wherein the crystalline form is Compound I dihydrochloride Form 5 characterized by an X-ray powder diffractogram comprising the following peaks: 5.8, 13.0, and 14.2 °2θ+0.2 °2θ, as determined on a diffractometer using Cu-Kα radiation.
8. The crystalline form of claim 1 , wherein the crystalline form Compound I dihydrochloride Form 6 is characterized by an X-ray powder diffractogram comprising the following peaks: 8.7, 15.7, and 24.8 °2θ+0.2 °2θ, as determined on a diffractometer using Cu-Kα radiation.
9. A pharmaceutical composition comprising a crystalline form of claim 1 and a pharmaceutically acceptable carrier.
10. The pharmaceutical composition of claim 9 , wherein at least 99% of Compound I dihydrochloride is in a crystalline form characterized by an X-ray powder diffractogram comprising the following peaks: 4.5, 9.1, 11.9, and 14.4 °2θ+0.2 °2θ, as determined on a diffractometer using Cu-Kα radiation.
11. A pharmaceutical composition of claim 9 , further comprising one or more additional therapeutic agents.
12. The pharmaceutical composition of claim 11 , wherein the one or more additional therapeutic agents is an antiparasitic agent.
13. The pharmaceutical composition of claim 12 , wherein the antiparasitic agent is chloroquine or hydroxychloroquine.
14. The pharmaceutical composition of claim 11 , wherein the one or more additional therapeutic agents is an antibiotic.
15. The pharmaceutical composition of claim 14 , wherein the antibiotic is azithromycin.
16. The pharmaceutical composition of claim 11 , wherein the one or more additional therapeutic agents is an antiviral agent.
17. The pharmaceutical composition of claim 16 , wherein the antiviral agent is interferon, ribavirin, adefovir, tenofovir, acyclovir, brivudin, cidofovir, fomivirsen, foscarnet, ganciclovir, penciclovir, amantadine, rimantadine, lopinavir, ritonavir, zanamivir, or a combination thereof.
18. The pharmaceutical composition of claim 16 , wherein the antiviral agent is remdesivir.
19. The pharmaceutical composition of claim 11 , wherein the one or more additional therapeutic agents is an agent useful for controlling a cytokine storm.
20. The pharmaceutical composition of claim 19 , wherein the agent useful for controlling a cytokine storm is ozanimod or fingolimod.
21. A method of treating a viral infection in a subject in need thereof, the method comprising administering to the subject a therapeutically effective amount of a crystalline form of claim 1 , wherein the viral infection is a Flavivirus infection.
22. The method of claim 21 , wherein the Flavivirus infection is Zika virus, West Nile virus, dengue virus, tick-borne encephalitis virus, Japanese encephalitis virus, St. Louis encephalitis virus, or yellow fever virus.
23. A method of treating a viral infection in a subject in need thereof, the method comprising administering to the subject a therapeutically effective amount of a crystalline form of claim 1 , wherein the viral infection is caused by Zika virus (ZIKV), Ebola virus (EBOV), Rabies lyssavirus (RABV), cytomegalovirus (CMV), human immunodeficiency virus 1 (HIV-1), influenza A virus, Rift Valley fever virus (RVFV), echovirus 1 (EV1), human metapneumorivus (HMPV), or herpes simplex virus type 2 (HSV-2).
24. A method of treating a viral infection in a subject in need thereof, the method comprising administering to the subject a therapeutically effective amount of a crystalline form of claim 1 , wherein the viral infection is caused by a coronavirus, wherein the coronavirus is 229E, NL63, OC43, HKU1, MERS-COV, SARS-COV, or SARS-COV-2.
25. A method of treating a viral infection in a subject in need thereof, the method comprising administering to the subject a therapeutically effective amount of a crystalline form of claim 1 , wherein the viral infection is caused by severe acute respiratory syndrome coronavirus 2 (SARS-COV-2), and wherein the subject does not require hospitalization.
26. A method of treating a disease caused by severe acute respiratory syndrome coronovirus 2 (SARS-COV-2), in a subject in need thereof, comprising administering a therapeutically effective amount of a crystalline form of claim 1 , and wherein the disease is COVID-19 and the subject does not require hospitalization.
27. The method of claim 25 , wherein the subject does not exhibit severe symptoms of Cytokine Release Syndrome (cytokine storm).