Pharmaceutical compositions comprising 4-((6bR, 10aS)-3-methyl-2,3,6b,9,10,10a-hexahydro-1H,7H-pyrido[3′,4′:4,5]pyrrolo[1,2,3-de]quinoxalin-8-yl)-1-(4-fluorophenyl)butan-1-one for treating central nervous system disorders

Inventors

Li, PengZhang, QiangDavis, RobertWennogle, Lawrence P.

Assignees

Intra Cellular Therapies Inc

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Publication Number

US-12264160-B2

Patent

Publication Date

2025-04-01

Expiration Date


Abstract

The invention relates to pharmaceutical compositions comprising compounds of Formula Q: wherein W is —N(CH3)—, and Y is —C(O)—, in free base or pharmaceutically acceptable salt form, and methods of use in the treatment of diseases involving 5-HT2A receptor, serotonin transporter (SERT) pathway and/or the dopamine D2 receptor pathway, and methods of treating conditions of the central nervous system therewith.

Core Innovation

The invention relates to pharmaceutical compositions comprising a pharmaceutically acceptable diluent or carrier in admixture with a compound of Formula Q and a polymeric matrix. The compound of Formula Q is provided in free base or pharmaceutically acceptable salt form, and the composition is a sustained-release injectable composition or a delayed-release injectable composition in a non-aqueous form where the pharmaceutically acceptable diluent or carrier is an organic solvent.

A central aspect is the use of a polymeric matrix in which the compound of Formula Q is dissolved or dispersed to enable sustained release or delayed release formulations. The document describes non-aqueous formulations using an organic solvent as the pharmaceutically acceptable diluent or carrier, including polymeric matrices suitable for extended pharmacokinetic profiles.

The document describes the clinical problem as the need for CNS disorder treatment strategies that address central nervous system disorders by improving pharmacokinetics through extended, sustained, or delayed release formulations. It further characterizes pharmacological pathway involvement including 5-HT2A receptor activity, serotonin transporter (SERT), and/or dopamine D2 receptor signaling, and describes therapeutic use in anxiety, depression, psychosis/schizophrenia, sleep disorders, migraine, and related CNS indications.

In addition, the document describes depot and prodrug formulation concepts in which prodrug forms can be cleaved to release an active compound. It also defines broad chemical coverage for substituted heterocycle fused gamma-carbolines through Formula I, Formula II, Formula III, and Formula IV, including pharmaceutically acceptable salt forms and selected diastereomeric purity ranges.

Claims Coverage

The partial claim set includes one independent claim. The independent claim covers a non-aqueous sustained-release or delayed-release injectable pharmaceutical composition comprising a compound of Formula Q and a polymeric matrix, with an organic-solvent carrier, and dependent claims narrow solvent properties, salt/free-base form, polymeric matrix configuration, and sustained-release duration windows.

Non-aqueous sustained-release or delayed-release injectable composition with formula Q in polymeric matrix

A pharmaceutical composition comprising a pharmaceutically acceptable diluent or carrier in admixture with a compound of Formula Q in free base or pharmaceutically acceptable salt form and a polymeric matrix, wherein the compound of Formula Q is dissolved or dispersed in the pharmaceutical composition and the pharmaceutical composition is formulated as a sustained-release injectable composition or a delayed-release injectable composition, and wherein the pharmaceutically acceptable diluent or carrier is an organic solvent and the pharmaceutical composition is non-aqueous.

Organic solvent is water-miscible

The pharmaceutical composition wherein the pharmaceutically acceptable diluent or carrier is an organic solvent and the organic solvent is water-miscible.

Formula Q salt form and poly(d,l-lactide-co-glycolide) polymeric matrix

A pharmaceutical composition in which the compound of Formula Q is a toluenesulfonic acid addition salt, the polymeric matrix includes a poly(D,L-lactide-co-glycolide) polymer, and the organic solvent is water-miscible.

Microspheric polymeric matrix configuration

A pharmaceutical composition wherein the polymeric matrix is a microspheric polymeric matrix made from poly(D,L-lactide-co-glycolide) and a compound of Formula Q.

Sustained-release duration windows

A pharmaceutical composition for controlled-release or sustained-release of the compound of Formula Q over specified time periods of 7, 14, 30, 60, or 90 days.

Method inhibiting serotonin 5-hydroxytryptamine-2a receptor activity by administering the composition

A method of inhibiting serotonin 5-hydroxytryptamine-2A receptor activity in a patient by administering a therapeutically effective amount of the pharmaceutical composition.

Overall, the claim coverage is centered on non-aqueous sustained-release or delayed-release injectable pharmaceutical compositions using a compound of Formula Q dissolved or dispersed in a polymeric matrix with an organic-solvent carrier. Dependent features narrow the organic solvent to water-miscible solvents, specify Formula Q salt forms, define polymer and microspheric matrix configurations, add sustained-release duration windows, and include method coverage directed to inhibiting serotonin 5-hydroxytryptamine-2A receptor activity by administering the composition.

Stated Advantages

Extended-release behavior is supported, including longer Tmax and longer T1/2 for prodrugs compared with the parent Formula Q/active compound.

Sustained-release or delayed-release injectable formulations are described for extended release over time periods (including 7 to 180 days in the described embodiments).

Documented Applications

Therapeutic use includes inhibiting serotonin 5-hydroxytryptamine-2A (5-HT2A) receptor activity in a patient by administering a therapeutically effective amount of the pharmaceutical composition.

Oral controlled delivery is described using an osmotic controlled release oral delivery system (OROS) device with a layered capsule structure and an exit orifice for controlled oral delivery.

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