Salts of (2R, 6R)-hydroxynorketamine, their crystal forms, and methods of making the same
The disclosure provides salts of (2R,6R)-hydroxynorketamine (HNK), wherein the salt is with an organic acid chosen from malonic acid, salicylic acid, ethane sulfonic acid, glycolic acid, stearic acid, or capric acid, and their crystal forms.
1 . A crystalline addition salt of (2R,6R)-hydroxynorketamine and an organic acid, wherein the organic acid is malonic acid, salicylic acid, ethane sulfonic acid, glycolic acid, stearic acid, or capric acid,
wherein the crystalline addition salt of (2R,6R)-hydroxynorketamine and malonic acid exhibit a XRPD spectrum having peaks at the following values: 9.4, 12.6, and 15.2 degrees 2θ+/−0.2 degrees 2θ; and
wherein the crystalline addition salt of (2R,6R)-hydroxynorketamine and salicylic acid exhibits a XRPD spectrum having peaks at the following values: 9.8, 10.2, and 25.5 degrees 2θ+/−0.2 degrees 2θ.
2 . The crystalline addition salt of claim 1 , wherein the crystalline addition salt of (2R,6R)-hydroxynorketamine and malonic acid exhibits a XRPD spectrum having one, two, or three further peaks of the following values: 18.7, 21.6, and 25.7 degrees 2θ+/−0.2 degrees 2θ.
3 . The crystalline addition salt of claim 1 , wherein the crystalline addition salt of (2R,6R)-hydroxynorketamine and malonic acid exhibits a XRPD spectrum having one, two, three, four, five, six, or seven further peaks of the following values: 13.8, 14.4, 18.7, 21.6, 22.7, 23.5, and 25.7 degrees 2θ+/−0.2 degrees 2θ.
4 . The crystalline addition salt of claim 1 , wherein the crystalline addition salt of (2R,6R)-hydroxynorketamine and malonic acid exhibits a XRPD spectrum having peaks of any combination of at least 3, at least 5, at least 8, or at least 10 of the following values: 9.4, 12.6, 13.8, 14.4, 15.2, 17.2, 17.7, 18.7, 20.2, 20.7, 21.6, 22.7, 23.5, 24.1, 25.7, and 29.4 degrees 2θ+/−0.2 degrees 2θ.
5 . The crystalline addition salt of claim 1 , exhibiting a XRPD spectrum substantially as shown in FIG. 3 .
6 . The crystalline addition salt of claim 1 , wherein the crystalline addition salt of (2R,6R)-hydroxynorketamine and salicylic acid exhibits a XRPD spectrum having one, two, or three further peaks of the following values: 16.1, 16.7, and 20.3 degrees 2θ+/−0.2 degrees 2θ.
7 . The crystalline addition salt of claim 1 , wherein the crystalline addition salt of (2R,6R)-hydroxynorketamine and salicylic acid exhibits a XRPD spectrum having one, two, three, four, five, six, or seven peaks of the following values: 9.8, 10.2, 16.1, 16.7, 20.3, 22.1, and 25.5 degrees 2θ+/−0.2 degrees 2θ.
8 . The crystalline addition salt of claim 1 , wherein the crystalline addition salt of (2R,6R)-hydroxynorketamine and salicylic acid exhibits a XRPD spectrum having peaks of any combination of at least 3, at least 5, at least 8, or at least 10 of the following values: 9.8, 10.2, 13.4, 13.7, 16.1, 16.7, 19.6, 19.8, 20.3, 22.1, 22.8, and 25.5 degrees 2θ+/−0.2 degrees 2θ.
9 . The crystalline addition salt of claim 1 , exhibiting a XRPD spectrum substantially as shown in FIG. 6 .
10 . The crystalline addition salt of claim 1 , wherein the salt is
a crystalline form of (2R,6R)-hydroxynorketamine ethane sulfonate exhibiting a XRPD spectrum having peaks at the following values: 6.0, 14.9, and 16.5 degrees 2θ+/−0.2 degrees 2θ, optionally having one, two, three, or four further peaks of the following values: 11.8, 18.3, 24.2, and 25.3 degrees 2θ+/−0.2 degrees 2θ, or a XRPD spectrum having peaks of any combination of at least 3, at least 5, at least 8, or at least 10 of the following values: 6.0, 7.1, 9.2, 10.6, 11.5, 11.8, 12.7, 13.7, 14.1, 14.9, 15.8, 16.5, 18.3, 20.4, 22.3, 23.0, 24.2, 24.8, and 25.3 degrees 2θ+/−0.2 degrees 2θ;
a crystalline form of (2R,6R)-hydroxynorketamine glycolate exhibiting a XRPD spectrum having peaks at the following values: 7.3 and 8.3 degrees 2θ+/−0.2 degrees 2θ, optionally having one or two further peaks of the following values: 14.7 and 16.6 degrees 2θ+/−0.2 degrees 2θ, or a XRPD spectrum having one, two, three, four, or five peaks of the following values: 7.3, 8.3, 14.7, 16.6, and 22.1 degrees 2θ+/−0.2 degrees 2θ;
a crystalline form of (2R,6R)-hydroxynorketamine stearate exhibiting a XRPD spectrum having peaks at the following values: 6.1, 6.7, and 10.2 degrees 2θ+/−0.2 degrees 2θ, optionally having one, two, or three further peaks of the following values: 11.2, 14.2, and 37.0 degrees 2θ+/−0.2 degrees 2θ, or a XRPD spectrum having peaks of any combination of at least 3, at least 5, at least 8, or at least 10 of the following values: 4.1, 4.5, 6.1, 6.7, 10.2, 11.2, 14.2, 15.6, 18.3, 20.3, 24.4, 28.6, 32.7, and 37.0 degrees 2θ+/−0.2 degrees 2θ; or
a crystalline form of (2R,6R)-hydroxynorketamine caprate exhibiting a XRPD spectrum having peaks at the following values: 3.0 and 3.9 degrees 2θ+/−0.2 degrees 2θ, optionally having one or two further peaks of the following values: 8.9 and 11.6 degrees 2θ+/−0.2 degrees 2θ, or a XRPD spectrum having peaks of any combination of at least 3, at least 5, at least 8, or at least 10 of the following values: 3.0, 3.9, 8.9, 11.6, 14.3, 14.8, 17.8, 19.3, 21.1, 21.6, 23.8, and 28.2 degrees 2θ+/−0.2 degrees 2θ.
11 . The crystalline addition salt of claim 1 , wherein the salt is
a crystalline form of (2R,6R)-hydroxynorketamine ethane sulfonate exhibiting a XRPD spectrum substantially as shown in FIG. 7 ;
a crystalline form of (2R,6R)-hydroxynorketamine glycolate exhibiting a XRPD spectrum substantially as shown in FIG. 8 ;
a crystalline form of (2R,6R)-hydroxynorketamine stearate exhibiting a XRPD spectrum substantially as shown in FIG. 9 ; or
a crystalline form of (2R,6R)-hydroxynorketamine caprate exhibiting a XRPD spectrum substantially as shown in FIG. 10 .
12 . The crystalline addition salt of claim 1 , wherein the crystalline form contains no detectable amounts of other hydroxynorketamine or hydroxynorketamine salts crystalline forms as determined by x-ray powder diffraction.
13 . A pharmaceutical composition comprising the crystalline addition salt of claim 1 and a pharmaceutically acceptable carrier; specifically wherein the pharmaceutical composition is a solid oral pharmaceutical composition.
14 . A method of treating a depressive disorder, an anxiety disorder, Psychotic Depression, Suicidal Ideation, Disruptive Mood Dysregulation Disorder, Persistent Depressive Disorder (Dysthymia), Premenstrual Dysphoric Disorder, Substance/Medication-Induced Depressive Disorder, Depressive Disorder Due to Another Medical Condition, Other Specified Depressive Disorder, Unspecified Depressive Disorder, Separation Anxiety Disorder, Selective Mutism, Specific Phobia, Social Anxiety Disorder (Social Phobia), Panic Disorder, Panic Attack (Specifier), Agoraphobia, Generalized Anxiety Disorder, Substance/Medication-Induced Anxiety Disorder, Anxiety Disorder Due to Another Medical Condition, Other Specified Anxiety Disorder, Anhedonia, Post Traumatic Stress Disorder, Unspecified Anxiety Disorder, or fatigue, wherein the method comprises
administering an effective amount of the crystalline addition salt of claim 1 to a patient in need of such treatment.