Methods and compositions for treating conditions associated with an abnormal inflammatory response

Inventors

Glick, Gary D.Franchi, LuigiSantus, Giancarlo

Assignees

Entero Therapeutics Inc

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Publication Number

US-10772854-B2

Patent

Publication Date

2020-09-15

Expiration Date


Abstract

This disclosure features chemical entities (e.g., a compound exhibiting activity as a mitochondrial uncoupling agent or a pharmaceutically acceptable salt and/or hydrate and/or cocrystal thereof; e.g., a compound, such as niclosamide or a pharmaceutically acceptable salt and/or hydrate and/or cocrystal thereof; e.g., a compound, such as a niclosamide analog, or a pharmaceutically acceptable salt and/or hydrate and/or cocrystal thereof) that are useful, e.g., for treating one or more symptoms of a pathology characterized by an abnormal inflammatory response (e.g., inflammatory bowel diseases) in a subject (e.g., a human). This disclosure also features compositions as well as other methods of using and making the same.

Core Innovation

The invention describes a method for treating colitis by administering, by enema, an effective amount of a formulation prepared by mixing a first component comprising a solid pharmaceutical composition and a second component comprising one or more liquids and optionally one or more other pharmaceutically acceptable excipients forming a liquid carrier. The solid pharmaceutical composition comprises an inner phase and an external phase, and the inner phase is a wet granulated solid preparation comprising niclosamide, or a pharmaceutically acceptable salt thereof, together with one or more disintegrants, one or more diluents, and one or more binders.

The external phase comprises one or more glidants and/or one or more lubricants, providing a defined two-phase solid composition structure for combination with the liquid carrier. The document further characterizes niclosamide and niclosamide analogs as chemical entities including salts, hydrates, and cocrystals, and associates their use with treating symptoms of inflammatory pathologies with abnormal inflammatory responses.

The mechanism is proposed as mitochondrial uncoupling in pathogenic T cells leading to T-cell death, and the document emphasizes local administration to reduce systemic toxicity. Colitis treatment is described for inflammatory bowel disease such as ulcerative colitis and Crohn’s disease.

Claims Coverage

The independent claim coverage centers on a colitis treatment method with enema administration of a two-component formulation built from a wet-granulated niclosamide solid inner phase, an external phase, and a liquid carrier. Across the input items, three inventive features are consistently present.

Enema administration of a two-component mixed formulation

Administering by enema an effective amount of a formulation prepared by mixing together a solid pharmaceutical composition and a second component comprising one or more liquids and optionally one or more other pharmaceutically acceptable excipients together forming a liquid carrier.

Inner wet-granulated niclosamide solid phase with disintegrants, diluents, and binders

A solid pharmaceutical composition comprising an inner phase that is a wet granulated solid preparation comprising niclosamide, or a pharmaceutically acceptable salt thereof, one or more disintegrants, one or more diluents, and one or more binders.

External glidant and/or lubricant phase

The solid pharmaceutical composition comprises an external phase comprising one or more glidants and/or one or more lubricants.

Overall, the claim coverage is anchored on enema delivery of a formulation that combines a wet-granulated inner phase containing niclosamide or a pharmaceutically acceptable salt with defined disintegrants, diluents, and binders, an external phase containing glidants and/or lubricants, and a liquid carrier made from one or more liquids and optional pharmaceutically acceptable excipients.

Stated Advantages

Aims to reduce systemic toxicity by emphasizing local administration.

Treats symptoms of inflammatory pathologies with abnormal inflammatory responses, including inflammatory bowel diseases.

Provides local delivery via enema, supported by discussion of local concentration versus plasma concentration.

States enhanced properties for niclosamide/cocrystal-based compositions including solubility, dissolution, bioavailability, and stability.

Provides therapeutic efficacy in colitis models and modulation of cytokines (e.g., IFN-γ, TNF-α, IL-17A) as described in the partial content.

Documented Applications

Treating colitis in a subject by administering an enema of a formulation prepared from a solid pharmaceutical composition and a liquid carrier.

Treatment of inflammatory bowel disease, specifically ulcerative colitis and Crohn’s disease.

Therapeutic efficacy supported in TNBS-induced colitis models with reported colon-to-plasma exposure considerations and cytokine modulation.

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