U.S. patent application number 17/691922 was filed with the patent office on 2022-07-07 for methods of treating neurological and other disorders using enantiopure deuterium-enriched bupropion.
The applicant listed for this patent is DeuteRx, LLC. Invention is credited to Sheila DeWitt, Vincent Jacques, Leonardus H.T. van der Ploeg.
Application Number | 20220213023 17/691922 |
Document ID | / |
Family ID | 1000006200319 |
Filed Date | 2022-07-07 |
United States Patent
Application |
20220213023 |
Kind Code |
A1 |
DeWitt; Sheila ; et
al. |
July 7, 2022 |
METHODS OF TREATING NEUROLOGICAL AND OTHER DISORDERS USING
ENANTIOPURE DEUTERIUM-ENRICHED BUPROPION
Abstract
The invention provides enantiopure deuterium-enriched bupropion,
pharmaceutical compositions, and methods of treating neurological
disorders, movement disorders, cardiovascular disorders, metabolic
disorders, and other disorders using enantiopure deuterium-enriched
bupropion. A preferred aspect of the invention provides methods of
treating obesity and sexual dysfunction using enantiopure
deuterium-enriched bupropion.
Inventors: |
DeWitt; Sheila; (Auburn,
NH) ; Jacques; Vincent; (Somerville, MA) ; van
der Ploeg; Leonardus H.T.; (Newton, MA) |
|
Applicant: |
Name |
City |
State |
Country |
Type |
DeuteRx, LLC |
Andover |
MA |
US |
|
|
Family ID: |
1000006200319 |
Appl. No.: |
17/691922 |
Filed: |
March 10, 2022 |
Related U.S. Patent Documents
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Application
Number |
Filing Date |
Patent Number |
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17158405 |
Jan 26, 2021 |
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17691922 |
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15646472 |
Jul 11, 2017 |
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17158405 |
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15103144 |
Jun 9, 2016 |
9732031 |
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PCT/US2014/071519 |
Dec 19, 2014 |
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15646472 |
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61919155 |
Dec 20, 2013 |
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Current U.S.
Class: |
1/1 |
Current CPC
Class: |
C07C 225/10 20130101;
C07B 2200/07 20130101; A61K 31/137 20130101 |
International
Class: |
C07C 225/10 20060101
C07C225/10; A61K 31/137 20060101 A61K031/137 |
Claims
1. A method of treating a disorder selected from the group
consisting of obesity, sexual dysfunction, neuropathic pain,
attention deficit disorder, attention deficit hyperactivity
disorder, and Parkinson's disease, comprising administering to a
patient in need thereof a therapeutically effective amount of a
deuterium-enriched compound of Formula I having an optical purity
of at least 75% enantiomeric excess to treat the disorder, wherein
Formula I is represented by: ##STR00030## or a pharmaceutically
acceptable salt thereof, wherein: A.sup.1, A.sup.2, A.sup.3, and
A.sup.4 are independently --C(R.sub.6)(R.sub.7)(R.sub.8); R.sub.1,
R.sub.2, R.sub.3, R.sub.4, and R.sub.5 are independently H or D;
R.sub.6, R.sub.7, and R.sub.8 each represent independently for each
occurrence H or D; and Z is H or D, provided that the abundance of
deuterium in Z is at least 30%.
2. The method of claim 1, wherein the disorder is obesity.
3. The method of claim 1, wherein the disorder is sexual
dysfunction.
4. The method of claim 1, wherein the disorder is female sexual
dysfunction.
5. The method of claim 1, wherein the disorder is neuropathic
pain.
6. The method of claim 5, wherein the neuropathic pain is a
postherpetic neuralgia, a trigeminal neuralgia, phantom limb pain,
pain associated with diabetic neuropathy, or pain associated with
carpal tunnel syndrome.
7. The method of claim 1, wherein the disorder is attention deficit
hyperactivity disorder.
8. A method of treating a disorder selected from the group
consisting of (i) seasonal affective disorder, (ii) depression in a
patient suffering from Parkinson's disease, and (iii)
treatment-resistant depression, comprising administering to a
patient in need thereof a therapeutically effective amount of a
deuterium-enriched compound of Formula I having an optical purity
of at least 75% enantiomeric excess to treat the disorder, wherein
Formula I is represented by: ##STR00031## or a pharmaceutically
acceptable salt thereof, wherein: A.sup.1, A.sup.2, A.sup.3, and
A.sup.4 are independently --C(R.sub.6)(R.sub.7)(R.sub.8); R.sub.1,
R.sub.2, R.sub.3, R.sub.4, and R.sub.5 are independently H or D;
R.sub.6, R.sub.7, and R.sub.8 each represent independently for each
occurrence H or D; and Z is H or D, provided that the abundance of
deuterium in Z is at least 30%.
9. The method of claim 8, wherein the disorder is seasonal
affective disorder.
10. The method of claim 8, wherein the disorder is depression in a
patient suffering from Parkinson's disease.
11. A method of treating a neurological disorder selected from the
group consisting of Alzheimer's disease, tardive dyskinesia,
Tourette syndrome, Huntington's disease, Rett syndrome,
Prader-Willi syndrome, restless leg syndrome, narcolepsy, ataxia,
corticobasal ganglionic degeneration dyskinesia, dystonia, tremors,
multiple system atrophy, progressive supranuclear palsy,
olivopontocerebellar atrophy, diffuse Lewy body disease, stiff man
syndrome, apathy, generalized anxiety, panic disorder, addiction,
bipolar disorder, social anxiety disorder, obsessive compulsive
disorder, post-traumatic stress disorder, a sleep disorder, an
eating disorder, a neuropathic condition, diabetic neuropathy, a
cognitive disorder, a psychotic disorder, psychosexual dysfunction,
prostate hypertrophy, migraine, bipolar depression, depression in a
patient suffering from Alzheimer's disease, depression in a patient
suffering from dementia, and depression in a patient suffering from
hypothyroidism, comprising administering to a patient in need
thereof a therapeutically effective amount of a deuterium-enriched
compound of Formula I having an optical purity of at least 75%
enantiomeric excess to treat the disorder, wherein Formula I is
represented by: ##STR00032## or a pharmaceutically acceptable salt
thereof, wherein: A.sup.1, A.sup.2, A.sup.3, and A.sup.4 are
independently --C(R.sub.6)(R.sub.7)(R.sub.8); R.sub.1, R.sub.2,
R.sub.3, R.sub.4, and R.sub.5 are independently H or D; R.sub.6,
R.sub.7, and R.sub.8 each represent independently for each
occurrence H or D; and Z is H or D, provided that the abundance of
deuterium in Z is at least 30%.
12. A method of treating a movement disorder selected from the
group consisting of hereditary spastic paraplegia, myoclonus,
spasticity, chorea, athetosis, ballism, stereotypy, tardive
dystonia, tics, hemiballismus, hemi-facial spasm, psychomotor
retardation, painful legs moving toes syndrome, a gait disorder,
and a drug-induced movement disorder, comprising administering to a
patient in need thereof a therapeutically effective amount of a
deuterium-enriched compound of Formula I having an optical purity
of at least 75% enantiomeric excess to treat the disorder, wherein
Formula I is represented by: ##STR00033## or a pharmaceutically
acceptable salt thereof, wherein: A.sup.1, A.sup.2, A.sup.3, and
A.sup.4 are independently --C(R.sub.6)(R.sub.7)(R.sub.8); R.sub.1,
R.sub.2, R.sub.3, R.sub.4, and R.sub.5 are independently H or D;
R.sub.6, R.sub.7, and R.sub.8 each represent independently for each
occurrence H or D; and Z is H or D, provided that the abundance of
deuterium in Z is at least 30%.
13. A method of treating a disorder selected from the group
consisting of inflammatory bowel disease, psoriasis, hypotension,
presyncope, syncope, Wilson's disease, shift work sleep disorder,
akinetic mutism, chronic fatigue syndrome, fibromyalgia,
premenstrual syndrome, premenstrual dysphoric disorder, pain, a
viral infection, a cardiovascular disease, hepatic steatosis,
diabetes, insulin resistance, sleep apnea, arthritis, vascular
dementia, gout, calculi, and a disorder requiring a stimulant
effect, comprising administering to a patient in need thereof a
therapeutically effective amount of a deuterium-enriched compound
of Formula I having an optical purity of at least 75% enantiomeric
excess to treat the disorder, wherein Formula I is represented by:
##STR00034## or a pharmaceutically acceptable salt thereof,
wherein: A.sup.1, A.sup.2, A.sup.3, and A.sup.4 are independently
--C(R.sub.6)(R.sub.7)(R.sub.8); R.sub.1, R.sub.2, R.sub.3, R.sub.4,
and R.sub.5 are independently H or D; R.sub.6, R.sub.7, and R.sub.8
each represent independently for each occurrence H or D; and Z is H
or D, provided that the abundance of deuterium in Z is at least
30%.
14. A method of reducing dependence by a patient to a substance
selected from the group consisting of an opioid, an amphetamine, a
tropane alkaloid, a hypnotic, an anti-depressant, a hallucinogen, a
pain medication, a sleep medication, and combinations thereof,
comprising administering to a patient in need thereof a
therapeutically effective amount of a deuterium-enriched compound
of Formula I having an optical purity of at least 75% enantiomeric
excess to reduce said substance dependence, wherein Formula I is
represented by: ##STR00035## or a pharmaceutically acceptable salt
thereof, wherein: A.sup.1, A.sup.2, A.sup.3, and A.sup.4 are
independently --C(R.sub.6)(R.sub.7)(R.sub.8); R.sub.1, R.sub.2,
R.sub.3, R.sub.4, and R.sub.5 are independently H or D; R.sub.6,
R.sub.7, and R.sub.8 each represent independently for each
occurrence H or D; and Z is H or D, provided that the abundance of
deuterium in Z is at least 30%.
15. The method of claim 14, wherein the substance dependence is
dependence on methamphetamine or cocaine.
16. The method of any one of claims 1-15, wherein R.sub.1, R.sub.2,
R.sub.3, R.sub.4, and R.sub.5 are H.
17. The method of any one of claims 1-15, wherein A.sup.1, A.sup.2,
A.sup.3, and A.sup.4 are --CH.sub.3.
18. The method of any one of claims 1-15, wherein the compound is a
compound of Formula I-A having an optical purity of at least 75%
enantiomeric excess, wherein Formula I-A is represented by:
##STR00036## or a pharmaceutically acceptable salt thereof, wherein
Z is H or D, provided that the abundance of deuterium in Z is at
least 30%.
19. The compound of any one of claims 1-18 wherein the abundance of
deuterium in Z is at least 60%.
20. The compound of any one of claims 1-18, wherein the abundance
of deuterium in Z is at least 75%.
21. The compound of any one of claims 1-18, wherein the abundance
of deuterium in Z is at least 90%.
22. The compound of any one of claims 1-21, wherein the compound
has an enantiomeric excess of at least 85%.
23. The compound of any one of claims 1-21, wherein the compound
has an enantiomeric excess of at least 90%.
24. The compound of any one of claims 1-21, wherein the compound
has an enantiomeric excess of at least 95%.
25. The method of any one of claims 1-15, wherein the compound is:
##STR00037## or a pharmaceutically acceptable salt thereof, each
having an optical purity of at least 90% enantiomeric excess.
26. The method of any one of claims 1-15, wherein the compound is:
##STR00038## having an optical purity of at least 90% enantiomeric
excess.
27. The method of any one of claims 1-15, wherein the compound is:
##STR00039## or a pharmaceutically acceptable salt thereof, each
having an optical purity of at least 95% enantiomeric excess.
28. The method of any one of claims 1-15, wherein the compound is:
##STR00040## having an optical purity of at least 95% enantiomeric
excess.
29. A method of treating a disorder selected from the group
consisting of obesity, sexual dysfunction, neuropathic pain,
attention deficit disorder, attention deficit hyperactivity
disorder, and Parkinson's disease, comprising administering to a
patient in need thereof a therapeutically effective amount of a
deuterium-enriched compound of Formula II having an optical purity
of at least 75% enantiomeric excess to treat the disorder, wherein
Formula II is represented by: ##STR00041## or a pharmaceutically
acceptable salt thereof, wherein: A.sup.1, A.sup.2, A.sup.3, and
A.sup.4 are independently --C(R.sub.6)(R.sub.7)(R.sub.8); R.sub.1,
R.sub.2, R.sub.3, R.sub.4, and R.sub.5 are independently H or D;
R.sub.6, R.sub.7, and R.sub.8 each represent independently for each
occurrence H or D; and Z is H or D, provided that the abundance of
deuterium in Z is at least 30%.
30. The method of claim 29, wherein the disorder is obesity.
31. The method of claim 29, wherein the disorder is sexual
dysfunction.
32. The method of claim 29, wherein the disorder is female sexual
dysfunction.
33. The method of claim 29, wherein the disorder is neuropathic
pain.
34. The method of claim 33, wherein the neuropathic pain is a
postherpetic neuralgia, a trigeminal neuralgia, phantom limb pain,
pain associated with diabetic neuropathy, or pain associated with
carpal tunnel syndrome.
35. The method of claim 29, wherein the disorder is attention
deficit hyperactivity disorder.
36. A method of treating a disorder selected from the group
consisting of (i) seasonal affective disorder, (ii) depression in a
patient suffering from Parkinson's disease, and (iii)
treatment-resistant depression, comprising administering to a
patient in need thereof a therapeutically effective amount of a
deuterium-enriched compound of Formula II having an optical purity
of at least 75% enantiomeric excess to treat the disorder, wherein
Formula II is represented by: ##STR00042## or a pharmaceutically
acceptable salt thereof, wherein: A.sup.1, A.sup.2, A.sup.3, and
A.sup.4 are independently --C(R.sub.6)(R.sub.7)(R.sub.8); R.sub.1,
R.sub.2, R.sub.3, R.sub.4, and R.sub.5 are independently H or D;
R.sub.6, R.sub.7, and R.sub.8 each represent independently for each
occurrence H or D; and Z is H or D, provided that the abundance of
deuterium in Z is at least 30%.
37. The method of claim 36, wherein the disorder is seasonal
affective disorder.
38. The method of claim 36, wherein the disorder is depression in a
patient suffering from Parkinson's disease.
39. A method of treating a neurological disorder selected from the
group consisting of Alzheimer's disease, tardive dyskinesia,
Tourette syndrome, Huntington's disease, Rett syndrome,
Prader-Willi syndrome, restless leg syndrome, narcolepsy, ataxia,
corticobasal ganglionic degeneration dyskinesia, dystonia, tremors,
multiple system atrophy, progressive supranuclear palsy,
olivopontocerebellar atrophy, diffuse Lewy body disease, stiff man
syndrome, apathy, generalized anxiety, panic disorder, addiction,
bipolar disorder, social anxiety disorder, obsessive compulsive
disorder, post-traumatic stress disorder, a sleep disorder, an
eating disorder, a neuropathic condition, diabetic neuropathy, a
cognitive disorder, a psychotic disorder, psychosexual dysfunction,
prostate hypertrophy, migraine, bipolar depression, depression in a
patient suffering from Alzheimer's disease, depression in a patient
suffering from dementia, and depression in a patient suffering from
hypothyroidism, comprising administering to a patient in need
thereof a therapeutically effective amount of a deuterium-enriched
compound of Formula II having an optical purity of at least 75%
enantiomeric excess to treat the disorder, wherein Formula II is
represented by: ##STR00043## or a pharmaceutically acceptable salt
thereof, wherein: A.sup.1, A.sup.2, A.sup.3, and A.sup.4 are
independently --C(R.sub.6)(R.sub.7)(R.sub.8); R.sub.1, R.sub.2,
R.sub.3, R.sub.4, and R.sub.5 are independently H or D; R.sub.6,
R.sub.7, and R.sub.8 each represent independently for each
occurrence H or D; and Z is H or D, provided that the abundance of
deuterium in Z is at least 30%.
40. A method of treating a movement disorder selected from the
group consisting of hereditary spastic paraplegia, myoclonus,
spasticity, chorea, athetosis, ballism, stereotypy, tardive
dystonia, tics, hemiballismus, hemi-facial spasm, psychomotor
retardation, painful legs moving toes syndrome, a gait disorder,
and a drug-induced movement disorder, comprising administering to a
patient in need thereof a therapeutically effective amount of a
deuterium-enriched compound of Formula II having an optical purity
of at least 75% enantiomeric excess to treat the disorder, wherein
Formula II is represented by: ##STR00044## or a pharmaceutically
acceptable salt thereof, wherein: A.sup.1, A.sup.2, A.sup.3, and
A.sup.4 are independently --C(R.sub.6)(R.sub.7)(R.sub.8); R.sub.1,
R.sub.2, R.sub.3, R.sub.4, and R.sub.5 are independently H or D;
R.sub.6, R.sub.7, and R.sub.8 each represent independently for each
occurrence H or D; and Z is H or D, provided that the abundance of
deuterium in Z is at least 30%.
41. A method of treating a disorder selected from the group
consisting of inflammatory bowel disease, psoriasis, hypotension,
presyncope, syncope, Wilson's disease, shift work sleep disorder,
akinetic mutism, chronic fatigue syndrome, fibromyalgia,
premenstrual syndrome, premenstrual dysphoric disorder, pain, a
viral infection, a cardiovascular disease, hepatic steatosis,
diabetes, insulin resistance, sleep apnea, arthritis, vascular
dementia, gout, calculi, and a disorder requiring a stimulant
effect, comprising administering to a patient in need thereof a
therapeutically effective amount of a deuterium-enriched compound
of Formula II having an optical purity of at least 75% enantiomeric
excess to treat the disorder, wherein Formula II is represented by:
##STR00045## or a pharmaceutically acceptable salt thereof,
wherein: A.sup.1, A.sup.2, A.sup.3, and A.sup.4 are independently
--C(R.sub.6)(R.sub.7)(R.sub.8); R.sub.1, R.sub.2, R.sub.3, R.sub.4,
and R.sub.5 are independently H or D; R.sub.6, R.sub.7, and R.sub.8
each represent independently for each occurrence H or D; and Z is H
or D, provided that the abundance of deuterium in Z is at least
30%.
42. A method of reducing dependence by a patient to a substance
selected from the group consisting of an opioid, an amphetamine, a
tropane alkaloid, a hypnotic, an anti-depressant, a hallucinogen, a
pain medication, a sleep medication, and combinations thereof,
comprising administering to a patient in need thereof a
therapeutically effective amount of a deuterium-enriched compound
of Formula II having an optical purity of at least 75% enantiomeric
excess to reduce said substance dependence, wherein Formula II is
represented by: ##STR00046## or a pharmaceutically acceptable salt
thereof, wherein: A.sup.1, A.sup.2, A.sup.3, and A.sup.4 are
independently --C(R.sub.6)(R.sub.7)(R.sub.8); R.sub.1, R.sub.2,
R.sub.3, R.sub.4, and R.sub.5 are independently H or D; R.sub.6,
R.sub.7, and R.sub.8 each represent independently for each
occurrence H or D; and Z is H or D, provided that the abundance of
deuterium in Z is at least 30%.
43. The method of claim 42, wherein the substance dependence is
dependence on methamphetamine or cocaine.
44. The method of any one of claims 29-43, wherein R.sub.1,
R.sub.2, R.sub.3, R.sub.4, and R.sub.5 are H.
45. The method of any one of claims 29-43, wherein A.sup.1,
A.sup.2, A.sup.3, and A.sup.4 are --CH.sub.3.
46. The method of any one of claims 29-43, wherein the compound is
a compound of Formula II-A having an optical purity of at least 75%
enantiomeric excess, wherein Formula II-A is represented by:
##STR00047## or a pharmaceutically acceptable salt thereof, wherein
Z is H or D, provided that the abundance of deuterium in Z is at
least 30%.
47. The compound of any one of claims 29-46, wherein the abundance
of deuterium in Z is at least 60%.
48. The compound of any one of claims 29-46, wherein the abundance
of deuterium in Z is at least 75%.
49. The compound of any one of claims 29-46, wherein the abundance
of deuterium in Z is at least 90%.
50. The compound of any one of claims 29-49, wherein the compound
has an enantiomeric excess of at least 85%.
51. The compound of any one of claims 29-49, wherein the compound
has an enantiomeric excess of at least 90%.
52. The compound of any one of claims 29-49, wherein the compound
has an enantiomeric excess of at least 95%.
53. The method of any one of claims 29-43, wherein the compound is:
##STR00048## or a pharmaceutically acceptable salt thereof, each
having an optical purity of at least 90% enantiomeric excess.
54. The method of any one of claims 29-43, wherein the compound is:
##STR00049## having an optical purity of at least 90% enantiomeric
excess.
55. The method of any one of claims 29-43, wherein the compound
is:
56. ##STR00050## or pharmaceutically acceptable salt thereof, each
having an optical purity of at least 95% enantiomeric excess.
57. The method of any one of claims 29-43, wherein the compound is:
##STR00051## having an optical purity of at least 9500 enantiomeric
excess.
58. The method of any one of claims 1-57, wherein the compound is
administered at a daily dose in the range of about 50 mg to 75 mg,
75 mg to 100 mg, 100 mg to 125 mg, 125 mg to 150 mg, 150 mg to 175
mg, 175 mg to 200 mg, 200 mg to 225 mg, 225 mg to 250 mg, 250 mg to
275 mg, or 275 mg to 300 mg.
59. The method of any one of claims 1-57, wherein the compound is
administered at a daily dose in the range of about 50 mg to 175 mg,
or about 125 mg to 175 mg.
Description
CROSS-REFERENCE TO RELATED APPLICATIONS
[0001] This application is a continuation of U.S. patent
application Ser. No. 17/158,405 filed Jan. 26, 2021, which is a
continuation of U.S. patent application Ser. No. 15/646,472 filed
Jul. 11, 2017 (Abandoned), which is a continuation of U.S. patent
application Ser. No. 15/103,144, filed Jun. 9, 2016, now U.S. Pat.
No. 9,732,031, issued on Aug. 15, 2017, which is the national stage
of International (PCT) Patent Application Serial No.
PCT/US2014/071519, filed Dec. 19, 2014, which claims the benefit of
and priority to U.S. Provisional Patent Application Ser. No.
61/919,155, filed Dec. 20, 2013, the contents of each of which are
hereby incorporated by reference in their entirety.
FIELD OF THE INVENTION
[0002] The invention provides enantiopure deuterium-enriched
bupropion, pharmaceutical compositions, and methods of treating
neurological disorders, movement disorders, cardiovascular
disorders, metabolic disorders, and other disorders using
enantiopure deuterium-enriched bupropion.
BACKGROUND
[0003] Multiple medical disorders are linked to dysfunction of one
or more neurotransmitter (e.g., dopamine, norepinephrine, and
acetylcholine) systems. One class of such medical disorders is
neurological disorders, such as Parkinson's disease, attention
deficit hyperactivity disorder, restless legs syndrome, and sexual
dysfunction, where dysfunction of the dopamine and/or
norepinephrine systems have been shown to play a significant role.
Dysfunction of the dopamine system has also been linked to drug
addiction. Drugs such as cocaine and amphetamine have been reported
to amplify the effects of dopamine. The dopamine system also has an
impact on patients' cognitive function. Too little dopamine or too
much dopamine has been reported to impair cognitive function, such
as working memory and attention.
[0004] Therapeutics have been commercialized for treating disorders
associated with dysfunction of neurotransmitter systems. One such
example is bupropion hydrochloride, which has been approved by the
United States Food and Drug Administration for treatment of
depression, seasonal affective disorder, and as an aid for smoking
cessation. Bupropion hydrochloride is marketed under the registered
trademark WELLBUTRIN.COPYRGT. and Zyban.RTM. and the prescribing
information for WELLBUTRIN.COPYRGT. explains that bupropion is an
inhibitor of neuronal uptake of norepinephrine and dopamine. It is
also reported that bupropion is a functional antagonist of
nicotinic acetylcholine receptor subtypes such as .alpha.3,
.alpha.4.beta.3, .alpha.3.beta.4, and al and that inhibition at
these receptors may affect bupropion pharmacological activity. The
commercialized form of bupropion hydrochloride is a racemic mixture
and multiple dose-dependent adverse side effects have been reported
in patients receiving this therapeutic. Exemplary side effects
include, for example, seizures, agitation, dry mouth, insomnia,
headache, migraine, nausea, vomiting, constipation, and tremor.
[0005] Due to the increasing number of patients suffering from
neurological and other disorders associated with dysfunction of
neurotransmitter systems, and the limitations of existing
therapies, such as adverse side effects, there is a need for new
therapeutic agents for treating medical disorders associated with
such dysfunction. Attention deficit hyperactivity disorder, for
example, has been reported to be one of the most common childhood
disorders, and reports indicate that the number of children being
diagnosed with attention deficit hyperactivity disorder is
increasing. Seasonal affective disorder is another neurological
disorder in need of improved therapy. Seasonal affective disorder
often causes patients to experience feelings of hopelessness,
increased appetite leading to weight gain, loss of energy,
inability to concentrate, loss of interest in work or other
activities, sluggish movements, social withdrawal, unhappiness,
and/or irritability. The present invention addresses these needs
and provides other related advantages.
SUMMARY OF THE INVENTION
[0006] The invention provides enantiopure deuterium-enriched
bupropion, pharmaceutical compositions, and methods of treating
neurological disorders, movement disorders, cardiovascular
disorders, metabolic disorders, and other medical disorders using
the enantiopure deuterium-enriched bupropion. The deuterated
bupropion contains deuterium enrichment at the chiral center of
bupropion and optionally in other locations in the compound.
Further, the deuterium-enriched bupropion is provided in
enantiomerically pure form. This enantiomerically pure,
deuterium-enriched bupropion provides for a better therapeutic
agent than non-deuterated bupropion and/or racemic mixtures of
deuterium-enriched bupropion.
[0007] Accordingly, one aspect of the invention provides a
deuterium-enriched compound of Formula I for use in the therapeutic
methods and pharmaceutical compositions described herein.
Desirably, the deuterium-enriched compound of Formula I has an
optical purity of at least 75% enantiomeric excess. Formula I is
represented by:
##STR00001##
[0008] or a pharmaceutically acceptable salt thereof, wherein:
[0009] A.sup.1, A.sup.2, A.sup.3, and A.sup.4 are independently
--C(R.sub.6)(R.sub.7)(R.sub.8);
[0010] R.sub.1, R.sub.2, R.sub.3, R.sub.4, and R.sub.5 are
independently H or D;
[0011] R.sub.6, R.sub.7, and R.sub.8 each represent independently
for each occurrence H or D; and
[0012] Z is H or D, provided that the abundance of deuterium in Z
is at least 30%.
[0013] In certain embodiments, the deuterium-enriched compound used
in the therapeutic methods and pharmaceutical compositions has the
following structure:
##STR00002##
or is a pharmaceutically acceptable salt thereof, each having an
optical purity of at least 90% enantiomeric excess.
[0014] Another aspect of the invention provides a
deuterium-enriched compound of Formula II for use in the
therapeutic methods and pharmaceutical compositions described
herein. Desirably, the deuterium-enriched compound of Formula II
has an optical purity of at least 75% enantiomeric excess. Formula
II is represented by:
##STR00003##
[0015] or a pharmaceutically acceptable salt thereof, wherein:
[0016] A.sup.1, A.sup.2, A.sup.3, and A.sup.4 are independently
--C(R.sub.6)(R.sub.7)(R.sub.8);
[0017] R.sub.1, R.sub.2, R.sub.3, R.sub.4, and R.sub.5 are
independently H or D;
[0018] R.sub.6, R.sub.7, and R.sub.8 each represent independently
for each occurrence H or D; and
[0019] Z is H or D, provided that the abundance of deuterium in Z
is at least 30%.
[0020] In certain embodiments, the deuterium-enriched compound used
in the therapeutic methods and pharmaceutical compositions has the
following structure:
##STR00004##
or is a pharmaceutically acceptable salt thereof, each having an
optical purity of at least 90% enantiomeric excess.
[0021] The deuterium-enriched compounds are particularly useful in
the treatment of medical disorders. Exemplary medical disorders
include, for example, neurological disorders, movement disorders,
cardiovascular disorders, and metabolic disorders. The compounds
are typically administered to a patient in the form of a
pharmaceutical composition. Particularly preferred medical
disorders include, for example, obesity, sexual dysfunction,
neuropathic pain, attention deficit disorder, attention deficit
hyperactivity disorder, and Parkinson's disease. Additional
preferred medical disorders include, for example, (i) seasonal
affective disorder and (ii) depression in a patient suffering from
Parkinson's disease.
[0022] Accordingly, one aspect of the invention provides a method
of treating a disorder selected from the group consisting of
obesity, sexual dysfunction, neuropathic pain, attention deficit
disorder, attention deficit hyperactivity disorder, and Parkinson's
disease. The method comprises administering to a patient in need
thereof a therapeutically effective amount of a deuterium-enriched
compound described herein, such as a compound of Formula I or
Formula II, having an optical purity of at least 75% enantiomeric
excess to treat the disorder. In certain embodiments, the
deuterium-enriched compound is a compound of Formula I. In certain
other embodiments, the deuterium-enriched compound is a compound of
Formula II.
[0023] Another aspect of the invention provides a method of
treating a disorder selected from the group consisting of (i)
seasonal affective disorder, (ii) depression in a patient suffering
from Parkinson's disease, and (iii) treatment-resistant depression.
The method comprises administering to a patient in need thereof a
therapeutically effective amount of a deuterium-enriched compound
described herein, such as a compound of Formula I or Formula II,
having an optical purity of at least 75% enantiomeric excess to
treat the disorder. In certain embodiments, the deuterium-enriched
compound is a compound of Formula I. In certain other embodiments,
the deuterium-enriched compound is a compound of Formula II.
[0024] Another aspect of the invention provides a method of
treating a neurological disorder selected from the group consisting
of Alzheimer's disease, tardive dyskinesia, Tourette syndrome,
Huntington's disease, Rett syndrome, Prader-Willi syndrome,
restless leg syndrome, narcolepsy, ataxia, corticobasal ganglionic
degeneration dyskinesia, dystonia, tremors, multiple system
atrophy, progressive supranuclear palsy, olivopontocerebellar
atrophy, diffuse Lewy body disease, stiff man syndrome, apathy,
generalized anxiety, panic disorder, addiction, bipolar disorder,
social anxiety disorder, obsessive compulsive disorder,
post-traumatic stress disorder, a sleep disorder, an eating
disorder, a neuropathic condition, diabetic neuropathy, a cognitive
disorder, a psychotic disorder, psychosexual dysfunction, prostate
hypertrophy, migraine, bipolar depression, depression in a patient
suffering from Alzheimer's disease, depression in a patient
suffering from dementia, and depression in a patient suffering from
hypothyroidism. The method comprises administering to a patient in
need thereof a therapeutically effective amount of a
deuterium-enriched compound described herein, such as a compound of
Formula I or Formula II, having an optical purity of at least 75%
enantiomeric excess to treat the disorder. In certain embodiments,
the deuterium-enriched compound is a compound of Formula I. In
certain other embodiments, the deuterium-enriched compound is a
compound of Formula II.
[0025] Another aspect of the invention provides a method of
treating a movement disorder selected from the group consisting of
hereditary spastic paraplegia, myoclonus, spasticity, chorea,
athetosis, ballism, stereotypy, tardive dystonia, tics,
hemiballismus, hemi-facial spasm, psychomotor retardation, painful
legs moving toes syndrome, a gait disorder, and a drug-induced
movement disorder. The method comprises administering to a patient
in need thereof a therapeutically effective amount of a
deuterium-enriched compound described herein, such as a compound of
Formula I or Formula II, having an optical purity of at least 75%
enantiomeric excess to treat the disorder. In certain embodiments,
the deuterium-enriched compound is a compound of Formula I. In
certain other embodiments, the deuterium-enriched compound is a
compound of Formula II.
[0026] Another aspect of the invention provides a method of
treating a disorder selected from the group consisting of
inflammatory bowel disease, psoriasis, hypotension, presyncope,
syncope, Wilson's disease, shift work sleep disorder, akinetic
mutism, chronic fatigue syndrome, fibromyalgia, premenstrual
syndrome, premenstrual dysphoric disorder, pain, a viral infection,
a cardiovascular disease, hepatic steatosis, diabetes, insulin
resistance, sleep apnea, arthritis, vascular dementia, gout,
calculi, and a disorder requiring a stimulant effect. The method
comprises administering to a patient in need thereof a
therapeutically effective amount of a deuterium-enriched compound
described herein, such as a compound of Formula I or Formula II,
having an optical purity of at least 75% enantiomeric excess to
treat the disorder. In certain embodiments, the deuterium-enriched
compound is a compound of Formula I. In certain other embodiments,
the deuterium-enriched compound is a compound of Formula II.
[0027] Another aspect of the invention provides a method of
reducing substance dependence by a patient selected from the group
consisting of dependence on an opioid, an amphetamine, a tropane
alkaloid, a hypnotic, a depressant, a hallucinogen, and
combinations thereof. The method comprises administering to a
patient in need thereof a therapeutically effective amount of a
deuterium-enriched compound described herein, such as a compound of
Formula I or Formula II, having an optical purity of at least 75%
enantiomeric excess to reduce said substance dependence.
BRIEF DESCRIPTION OF THE DRAWINGS
[0028] FIG. 1 is line graph and table of results from an assay
measuring inhibition of dopamine uptake in rat striatum
synaptosomes by enantiomers A and B, as defined in Example 2;
analysis in GraphPad Prism 6 (log(inhibitor) vs. response--variable
slope model); IC.sub.50 reported in M; as further described in
Example 4 where the abbreviation "Log C" refers to the logarithm of
the concentration of the stated enantiomer.
[0029] FIG. 2 is line graph and table of results from an assay
measuring inhibition of norepinephrine uptake in rat hypothalamus
synaptosomes by enantiomers A and B, as defined in Example 2;
analysis in GraphPad Prism 6 (log(inhibitor) vs. response--variable
slope model); IC.sub.50 reported in M; as further described in
Example 4 where the abbreviation "Log C" refers to the logarithm of
the concentration of the stated enantiomer.
[0030] FIG. 3 is a bar graph showing relative exposure (AUC) of
bupropion enantiomers (S-bupropion and R-bupropion), and the two
observed hydroxybuproprion diastereomeric metabolites (abbreviated
as "SS-hydroxy" and "RR-hydroxy") after oral gavage of 150 mg/kg
h-rac-bupropion (hollow bar), 75 mg/kg d-S-bupropion (light pattern
bar), and 75 mg/kg d-R-bupropion (dark pattern bar) in C57BL/6 male
mice, as further described in Example 7. As appreciated, the amount
of "S-bupropion" reported in FIG. 3 following administration of
deuterium-enriched bupropion is deuterium-enriched S-bupropion.
Similarly, (i) the amount of "R-bupropion" reported in FIG. 3
following administration of deuterium-enriched bupropion is
deuterium-enriched R-bupropion, (ii) the amount of "SS-hydroxy"
reported in FIG. 3 following administration of deuterium-enriched
bupropion is deuterium-enriched SS-hydroxybupropion metabolite, and
(iii) the amount of "RR-hydroxy" reported in FIG. 3 following
administration of deuterium-enriched bupropion is
deuterium-enriched RR-hydroxybupropion metabolite.
DETAILED DESCRIPTION
[0031] The invention provides enantiopure deuterium-enriched
bupropion, pharmaceutical compositions, and methods of treating
neurological disorders, movement disorders, cardiovascular
disorders, metabolic disorders, and other medical disorders using
enantiopure deuterium-enriched bupropion. Deuterium-enriched refers
to the feature that the compound has a quantity of deuterium that
is greater than in naturally occurring compounds or synthetic
compounds prepared from substrates having the naturally occurring
distribution of isotopes. The threshold amount of deuterium
enrichment is specified in certain instances in this disclosure,
and all percentages given for the amount of deuterium present are
mole percentages.
[0032] Deuterium (.sup.2H) is a stable, non-radioactive isotope of
.sup.1H hydrogen and has an atomic weight of 2.014. Hydrogen
naturally occurs as a mixture of the isotopes .sup.1H hydrogen
(i.e., protium), deuterium (H), and tritium (H). The natural
abundance of deuterium is 0.015%. One of ordinary skill in the art
recognizes that in all chemical compounds with an H atom, the H
atom actually represents a mixture of .sup.1H hydrogen, deuterium
(2H), and tritium (3H), where about 0.015% is deuterium. Thus,
compounds with a level of deuterium that has been enriched to be
greater than its natural abundance of 0.015% are considered
unnatural and, as a result, novel over their non-enriched
counterparts.
[0033] The deuterium-enriched bupropion described herein contains
deuterium enrichment at the chiral center of bupropion and
optionally in other locations in the compound. Deuterium-enrichment
at the chiral center reduces the rate at which the two enantiomers
of bupropion may interconvert. Further, the deuterium-enriched
bupropion described herein is provided in enantiomerically pure
form. This enantiomerically pure, deuterium-enriched bupropion
provides for a better therapeutic agent than non-deuterated
bupropion and/or racemic mixtures of the compound.
[0034] Exemplary compositions and methods of the present invention
are described in more detail in the following sections: I.
Deuterium-enriched Bupropion; II. Therapeutic Applications; III.
Dosing Considerations and Combination Therapy; and IV.
Pharmaceutical Compositions. Aspects of the invention described in
one particular section are not to be limited to any particular
section.
I. Deuterium-Enriched Bupropion
[0035] One aspect of the invention provides deuterium-enriched
compounds for use in the therapeutic methods and pharmaceutical
compositions described herein. The deuterium-enriched compounds are
provided in high enantiomeric purity in order to maximize
therapeutic benefit, such as maximal potency per dose of
therapeutic agent and minimize adverse side effects, such as
seizures.
[0036] One such deuterium-enriched compound is a family of
deuterium-enriched compounds represented by Formula I having an
optical purity of at least 75% enantiomeric excess:
##STR00005##
[0037] or a pharmaceutically acceptable salt thereof, wherein:
[0038] A.sup.1, A.sup.2, A.sup.3, and A.sup.4 are independently
--C(R.sub.6)(R.sub.7)(R.sub.8);
[0039] R.sub.1, R.sub.2, R.sub.3, R.sub.4, and R.sub.5 are
independently H or D;
[0040] R.sub.6, R.sub.7, and R.sub.8 each represent independently
for each occurrence H or D; and
[0041] Z is H or D, provided that the abundance of deuterium in Z
is at least 30%.
[0042] In certain embodiments, A.sup.1 is --CH.sub.3. In certain
embodiments, A.sup.2 is --CH.sub.3. In certain embodiments, A.sup.3
is --CH.sub.3. In certain embodiments, A.sup.4 is --CH.sub.3. In
certain other embodiments, A.sup.1, A.sup.2, A.sup.3, and A.sup.4
are --CH.sub.3.
[0043] In certain embodiments, R.sub.1 is H. In certain
embodiments, R.sub.2 is H. In certain embodiments, R.sub.3 is H. In
certain embodiments, R.sub.4 is H. In certain embodiments, R.sub.5
is H. In certain other embodiments, R.sub.1, R.sub.2, R.sub.3,
R.sub.4, and R.sub.5 are H.
[0044] The description above describes multiple embodiments
relating to compounds of Formula I. The patent application
specifically contemplates all combinations of the embodiments. For
example, the invention contemplates a compound of Formula I wherein
R.sub.1, R.sub.2, R.sub.3, R.sub.4, and R.sub.5 are H; and A.sup.1
is --CH.sub.3.
[0045] Another such deuterium-enriched compound is a family of
deuterium-enriched compounds represented by Formula I-A having an
optical purity of at least 75% enantiomeric excess:
##STR00006##
or a pharmaceutically acceptable salt thereof, wherein Z is H or D,
provided that the abundance of deuterium in Z is at least 30%.
[0046] The compounds of Formula I and Formula I-A can be further
characterized according to the abundance of deuterium at the
position defined by variable Z. In certain embodiments, the
abundance of deuterium in Z is selected from: (a) at least 40%, (b)
at least 50%, (c) at least 60%, (d) at least 70%, (e) at least 75%,
(f) at least 80%, (g) at least 90%, (h) at least 95%, (h) at least
97%, and (i) about 100%. Additional examples of the abundance of
deuterium in Z include 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41,
42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58,
59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74, 75,
76, 77, 78, 79, 80, 81, 82, 83, 84, 85, 86, 87, 88, 89, 90, 91, 92,
93, 94, 95, 96, 97, 98, 99 to about 100%.
[0047] In certain embodiments, the abundance of deuterium in Z is
at least 60%. In certain other embodiments, the abundance of
deuterium in Z is at least 75%. In yet other embodiments, the
abundance of deuterium in Z is at least 90%.
[0048] The compounds of Formula I and Formula I-A can be further
characterized according to their enantiomeric purity. In certain
embodiments, the deuterium-enriched compound has an enantiomeric
excess of at least 80%, 85%, 90%, 95%, or 98%. Still further
examples of the optical purity include an enantiomeric excess of at
least 71, 72, 73, 74, 75, 76, 77, 78, 79, 80, 81, 82, 83, 84, 85,
86, 87, 88, 89, 90, 91, 92, 93, 94, 95, 96, 97, 98, or 99%.
[0049] Still further such deuterium-enriched compounds are provided
in Tables 1 and 2 below.
TABLE-US-00001 TABLE 1 Compound No. Structure 1 ##STR00007## or a
pharmaceutically acceptable salt thereof, each having an optical
purity of at least 60% enantiomeric excess. 2 ##STR00008## having
an optical purity of at least 60% enantiomeric excess. 3
##STR00009## or a pharmaceutically acceptable salt thereof, each
having an optical purity of at least 75% enantiomeric excess. 4
##STR00010## having an optical purity of at least 75% enantiomeric
excess. 5 ##STR00011## or a pharmaceutically acceptable salt
thereof, each having an optical purity of at least 90% enantiomeric
excess. 6 ##STR00012## having an optical purity of at least 90%
enantiomeric excess. 7 ##STR00013## or a pharmaceutically
acceptable salt thereof, each having an optical purity of at least
95% enantiomeric excess. 8 ##STR00014## having an optical purity of
at least 95% enantiomeric excess.
TABLE-US-00002 TABLE 2 ##STR00015## Compound No. Variable
Definition 1 Z = D; R.sup.1, R.sup.2, R.sup.3, R.sup.4, and R.sup.5
are H; A.sup.1, A.sup.2, A.sup.3, and A.sup.4 are --CH.sub.3 2 Z =
D; R.sup.1 = D; R.sup.2, R.sup.3, R.sup.4, and R.sup.5 are H;
A.sup.1, A.sup.2, A.sup.3, and A.sup.4 are --CH.sub.3 3 Z = D;
R.sup.1 and R.sup.2 = D; R.sup.3, R.sup.4, and R.sup.5 are H;
A.sup.1, A.sup.2, A.sup.3, and A.sup.4 are --CH.sub.3 4 Z = D;
R.sup.1, R.sup.2, R.sup.3, R.sup.4, and R.sup.5 are H; A.sup.1 is
CD.sub.3; A.sup.2, A.sup.3 and A.sup.4 are --CH.sub.3 5 Z = D;
R.sup.1, R.sup.2, R.sup.3, R.sup.4, and R.sup.5 are H; A.sup.1 and
A.sup.2 are --CH.sub.3; A.sup.3 is --CD.sub.3; and A.sup.4 is
--CH.sub.3 6 Z = D; R.sup.1 and R.sup.2 = D; R.sup.3, R.sup.4 and
R.sup.5 are H; A.sup.1 and A.sup.2 are CD.sub.3; A.sup.3 and
A.sup.4 are --CH.sub.3
[0050] Another embodiment of the invention provides a compound in
Table 2 wherein the compound has an enantiomeric excess of at least
60%, 70%, 75%, 80%, 85%, 90%, 95%, or 98%.
[0051] Another such deuterium-enriched compound is a family of
deuterium-enriched compounds represented by Formula II having an
optical purity of at least 75% enantiomeric excess:
##STR00016##
[0052] or a pharmaceutically acceptable salt thereof, wherein:
[0053] A.sup.1, A.sup.2, A.sup.3, and A.sup.4 are independently
--C(R.sub.6)(R.sub.7)(R.sub.8);
[0054] R.sub.1, R.sub.2, R.sub.3, R.sub.4, and R.sub.5 are
independently H or D;
[0055] R.sub.6, R.sub.7, and R.sub.8 each represent independently
for each occurrence H or D; and
[0056] Z is H or D, provided that the abundance of deuterium in Z
is at least 30%.
[0057] In certain embodiments, A.sup.1 is --CH.sub.3. In certain
embodiments, A.sup.2 is --CH.sub.3. In certain embodiments, A.sup.3
is --CH.sub.3. In certain embodiments, A.sup.4 is --CH.sub.3. In
certain other embodiments, A.sup.1, A.sup.2, A.sup.3, and A.sup.4
are --CH.sub.3.
[0058] In certain embodiments, R.sub.1 is H. In certain
embodiments, R.sub.2 is H. In certain embodiments, R.sub.3 is H. In
certain embodiments, R.sub.4 is H. In certain embodiments, R.sub.5
is H. In certain other embodiments, R.sub.1, R.sub.2, R.sub.3,
R.sub.4, and R.sub.5 are H.
[0059] The description above describes multiple embodiments
relating to compounds of Formula II. The patent application
specifically contemplates all combinations of the embodiments. For
example, the invention contemplates a compound of Formula II
wherein R.sub.1, R.sub.2, R.sub.3, R.sub.4, and R.sub.5 are H; and
A.sup.1 is --CH.sub.3.
[0060] Another such deuterium-enriched compound is a family of
deuterium-enriched compounds represented by Formula II-A having an
optical purity of at least 75% enantiomeric excess:
##STR00017##
or a pharmaceutically acceptable salt thereof, wherein Z is H or D,
provided that the abundance of deuterium in Z is at least 30%.
[0061] The compounds of Formula II and Formula II-A can be further
characterized according to the abundance of deuterium at the
position defined by variable Z. In certain embodiments, the
abundance of deuterium in Z is selected from: (a) at least 40%, (b)
at least 50%, (c) at least 60%, (d) at least 70%, (e) at least 75%,
(f) at least 80%, (g) at least 90%, (h) at least 95%, (h) at least
97%, and (i) about 100%. Additional examples of the abundance of
deuterium in Z include 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41,
42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58,
59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74, 75,
76, 77, 78, 79, 80, 81, 82, 83, 84, 85, 86, 87, 88, 89, 90, 91, 92,
93, 94, 95, 96, 97, 98, 99 to about 100%.
[0062] In certain embodiments, the abundance of deuterium in Z is
at least 6000. In certain other embodiments, the abundance of
deuterium in Z is at least 75%. In yet other embodiments, the
abundance of deuterium in Z is at least 90%.
[0063] The compounds of Formula II and Formula II-A can be further
characterized according their enantiomeric purity. In certain
embodiments, the deuterium-enriched compound has an enantiomeric
excess of at least 80%, 85%, 90%, 95% or 98%. Still further
examples of the optical purity include an enantiomeric excess of at
least 71, 72, 73, 74, 75, 76, 77, 78, 79, 80, 81, 82, 83, 84, 85,
86, 87, 88, 89, 90, 91, 92, 93, 94, 95, 96, 97, 98, or 99%.
[0064] Still further such deuterium-enriched compounds are provided
in Tables 3 and 4 below.
TABLE-US-00003 TABLE 3 Compound No. Structure 1 ##STR00018## or a
pharmaceutically acceptable salt thereof, each having an optical
purity of at least 60% enantiomeric excess. 2 ##STR00019## having
an optical purity of at least 60% enantiomeric excess. 3
##STR00020## or a pharmaceutically acceptable salt thereof, each
having an optical purity of at least 75% enantiomeric excess. 4
##STR00021## having an optical purity of at least 75% enantiomeric
excess. 5 ##STR00022## or a pharmaceutically acceptable salt
thereof, each having an optical purity of at least 90% enantiomeric
excess. 6 ##STR00023## having an optical purity of at least 90%
enantiomeric excess. 7 ##STR00024## or a pharmaceutically
acceptable salt thereof, each having an optical purity of at least
95% enantiomeric excess. 8 ##STR00025## having an optical purity of
at least 95% enantiomeric excess.
TABLE-US-00004 TABLE 4 ##STR00026## Compound No. Variable
Definition 1 Z = D; R.sup.1, R.sup.2, R.sup.3, R.sup.4, and R.sup.5
are H; A.sup.1, A.sup.2, A.sup.3, and A.sup.4 are --CH.sub.3 2 Z =
D; R.sup.1 = D; R.sup.2, R.sup.3, R.sup.4, and R.sup.5 are H;
A.sup.1, A.sup.2, A.sup.3, and A.sup.4 are --CH.sub.3 3 Z = D;
R.sup.1 and R.sup.2 = D; R.sup.3, R.sup.4, and R.sup.5 are H;
A.sup.1, A.sup.2, A.sup.3, and A.sup.4 are --CH.sub.3 4 Z = D;
R.sup.1, R.sup.2, R.sup.3, R.sup.4, and R.sup.5 are H; A.sup.1 is
CD.sub.3; A.sup.2, A.sup.3 and A.sup.4 are --CH.sub.3 5 Z = D;
R.sup.1, R.sup.2, R.sup.3, R.sup.4, and R.sup.5 are H; A.sup.1 and
A.sup.2 are --CH.sub.3; A.sup.3 is --CD.sub.3; and A.sup.4 is
--CH.sub.3 6 Z = D; R.sup.1 and R.sup.2 = D; R.sup.3, R.sup.4 and
R.sup.5 are H; A.sup.1 and A.sup.2 are CD.sub.3; A.sup.3 and
A.sup.4 are --CH.sub.3
[0065] Another embodiment of the invention provides a compound in
Table 4 wherein the compound has an enantiomeric excess of at least
60%, 70%, 75%, 80%, 85%, 90%, 95%, or 98%.
[0066] It is understood that the deuterium-enriched compounds
described herein can be combined with a pharmaceutically acceptable
carrier to form a pharmaceutical composition.
[0067] Deuterium-enriched compounds of the invention can generally
be prepared by substituting a deuterium-enriched reagent for a
non-isotopically labeled reagent in synthetic schemes reported in
the literature for making non-isotopically labeled bupropion.
Scheme 1 below illustrates a general method for preparing deuterium
enriched bupropion. The scheme is provided for the purpose of
illustrating the invention, and should not be regarded in any
manner as limiting the scope or the spirit of the invention. In
Scheme 1, deuterated ethyl magnesium bromide is reacted with
3-chlorobenzonitrile (A) to provide to provide 1-(3-chlorophenyl)
propan-1-one (B). Then, ketone B is reacted with bromine to provide
.alpha.-bromo-ketone C. Subsequent reaction of .alpha.-bromo-ketone
C with tert-butyl amine provides amine D. Reaction of amine D with
D.sub.2O provides racemic deutero-amine E. The R-enantiomer and
S-enantiomer of deutero-amine E are separated using chiral
chromatography, such as chiral high-performance liquid
chromatography. Alternatively, the R-enantiomer and S-enantiomer of
deutero-amine E may be separated by reaction with a chiral
carboxylic acid to form a salt, followed by separation of the
resulting diastereomeric salts, and conversion of the separated
salts back to deuterated bupropion free base in enantio-pure
form.
##STR00027##
[0068] Compounds having deuterium enrichment at a position other
than the methyl adjacent to the carbonyl group can be prepared
using non-deuterated ethyl magnesium bromide and using a deuterated
3-chlorobenzonitrile and/or deuterated tert-butyl amine. Further,
compounds can be made having deuterium enrichment at the methyl
adjacent to the carbonyl group and one or both of (i) deuterium
enrichment on the phenyl portion of bupropion and (ii) deuterium
enrichment on one or more of the methyl groups of the tert-butyl
amine portion of bupropion.
[0069] Compounds having deuterium enrichment only at the
.alpha.-carbonyl position can be prepared by reacting
non-isotopically enriched bupropion with D.sub.2O in a buffer for
an extended duration to provide bupropion having deuterium
enrichment at the .alpha.-carbonyl position. Further description of
such procedures is provided in, for instance, the Examples in the
present application.
[0070] Compounds described herein can be provided in isolated or
purified form. Isolated or purified compounds are a group of
compounds that have been separated from their environment, such as
from a crude reaction mixture if made in a laboratory setting or
removed from their natural environment if naturally occurring.
Examples of the purity of the isolated compound include, for
example, at least 50%, 55%, 60%, 65%, 70%, 75%, 80%, 85%, 90%, 95%,
to 100% by weight.
[0071] Another aspect of the invention provides a unit quantum of a
deuterium-enriched compound described herein, such as an amount of
at least (a) one g of a disclosed deuterium-enriched compound, (b)
one mg, or (c) one gram. In further embodiments, the quantum is,
for example, at least 0.01, 0.02, 0.03, 0.04, 0.05, 0.1, 0.2, 0.3,
0.4, 0.5, or 1 mole of the compound. The present amounts also cover
lab-scale (e.g., gram scale including 1, 2, 3, 4, 5 g, etc.),
kilo-lab scale (e.g., kilogram scale including 1, 2, 3, 4, 5 kg,
etc.), and industrial or commercial scale (e.g., multi-kilogram or
above scale including 100, 200, 300, 400, 500 kg, etc.) quantities
as these will be more useful in the actual manufacture of a
pharmaceutical. Industrial/commercial scale refers to the amount of
product that would be produced in a batch that was designed for
clinical testing, formulation, sale/distribution to the public,
etc.
II. Therapeutic Applications
[0072] The invention provides methods of using deuterium-enriched
compounds described herein to treat medical disorders. Preferred
medical disorders for treatment include neurological disorders,
movement disorders, metabolic disorders, and cardiovascular
disorders. Use of the deuterium-enriched compounds having high
enantiomeric purity is contemplated to maximize therapeutic
benefit, such as achieving increased potency per dose of
therapeutic agent and minimize adverse side effects. The
deuterium-enriched compound can be, for example, a compound of
Formula I, Formula I-A, Formula II, Formula II-A, or one of the
other deuterium-enriched compounds described in Section I
above.
[0073] Accordingly, one aspect of the invention provides a method
of treating a disorder selected from the group consisting of
obesity, sexual dysfunction, neuropathic pain, attention deficit
disorder, attention deficit hyperactivity disorder, and Parkinson's
disease. The method comprises administering to a patient in need
thereof a therapeutically effective amount of a deuterium-enriched
compound described herein, such as a compound of Formula I or
Formula II, having an optical purity of at least 75% enantiomeric
excess to treat the disorder. In certain embodiments, the
deuterium-enriched compound is a compound of Formula I. In certain
other embodiments, the deuterium-enriched compound is a compound of
Formula II.
[0074] Obesity generally refers to the medical condition in which
the patient suffers from excess body fat. Obesity is a leading
preventable cause of death worldwide, and is considered by various
authorities to be a serious public health problem. As such, in
certain embodiments, the disorder to be treated is obesity.
[0075] Sexual dysfunction generally refers to difficulty
experienced by an individual during any stage of normal sexual
activity, including physical pleasure, desire, preference, arousal
or orgasm. Sexual dysfunction can have a significant impact on an
individual's perceived quality of sexual life. As such, in certain
embodiments, the disorder to be treated is sexual dysfunction. The
sexual dysfunction can be female sexual dysfunction, which can be
characterized by one or more of the following insofar as the event
causes distress: hypoactive sexual desire, sexual aversion, sexual
arousal disorder, and/or orgasmic disorder. In certain other
embodiments, the sexual dysfunction is female hyposexual desire
disorder. In yet other embodiments, the sexual dysfunction is male
sexual dysfunction, such as premature ejaculation or male
hyposexual desire disorder.
[0076] Neuropathic pain generally refers to pain caused by damage
or disease that affects the somatosensory system. Neuropathic pain
can result from disorders of the peripheral nervous system or the
central nervous system (e.g., brain and spinal cord). A substantial
percentage of the population, particularly the European population
suffers from neuropathic pain. As such, in certain embodiments, the
disorder to be treated is neuropathic pain. The neuropathic pain
can be, for example, a postherpetic neuralgia, a trigeminal
neuralgia, phantom limb pain, pain associated with diabetic
neuropathy, and/or pain associated with carpal tunnel syndrome.
[0077] Attention deficit hyperactivity disorder generally refers to
the art-recognized condition in which a patient suffers from
significant problems of attention and/or hyperactivity and acting
impulsively that are not appropriate for a person's age. An
increasing number of children are being diagnosed with attention
deficit disorder and attention deficit hyperactivity disorder, and
a significant percentage of children with attention deficit
hyperactivity disorder or attention deficit disorder continue to
suffer from the disorder in adulthood. As such, in certain
embodiments, the disorder to be treated is attention deficit
hyperactivity disorder.
[0078] In certain embodiments, the attention deficit disorder is
adult attention deficit disorder.
Facilitating Weight Loss and or Reducing Cholesterol
[0079] Another aspect of the invention provides a method of
facilitating weight loss in a patient. The method comprises
administering to a patient in need thereof an effective amount of a
deuterium-enriched compound described herein, such as a compound of
Formula I or Formula II, having an optical purity of at least 75%
enantiomeric excess to facilitate weight loss. In certain
embodiments, the deuterium-enriched compound is a compound of
Formula I. In certain other embodiments, the deuterium-enriched
compound is a compound of Formula II.
[0080] In certain embodiments, the method produces at least a 1%,
2%, or 5% reduction in bodyweight of the patient.
[0081] Another aspect of the invention provides a method of
reducing the amount of cholesterol in a patient. The method
comprises administering to a patient in need thereof an effective
amount of a deuterium-enriched compound described herein, such as a
compound of Formula I or Formula II, having an optical purity of at
least 75% enantiomeric excess to reduce the amount of cholesterol
in the patient. In certain embodiments, the deuterium-enriched
compound is a compound of Formula I. In certain other embodiments,
the deuterium-enriched compound is a compound of Formula II.
[0082] In certain embodiments, the method produces at least a 1%,
2%, or 5% reduction in the amount of cholesterol in the
patient.
Treating Seasonal Affective Disorder, Depression in Parkinson's
Disease Patients, and Treatment-Resistant Depression
[0083] Another aspect of the invention provides a method of
treating a disorder selected from the group consisting of (i)
seasonal affective disorder, (ii) depression in a patient suffering
from Parkinson's disease, and (iii) treatment-resistant depression.
The method comprises administering to a patient in need thereof a
therapeutically effective amount of a deuterium-enriched compound
described herein, such as a compound of Formula I or Formula II,
having an optical purity of at least 75% enantiomeric excess to
treat the disorder. In certain embodiments, the deuterium-enriched
compound is a compound of Formula I. In certain other embodiments,
the deuterium-enriched compound is a compound of Formula II.
[0084] Seasonal affective disorder generally refers to the
recurrent major depressive disorder that coincides with the
seasonal pattern that occurs at a specific time of the year and
fully remits otherwise. Patients suffering from seasonal affective
disorder may experience difficulty waking up in the morning,
morning sickness, tendency to oversleep and overeat, and cravings
for carbohydrates. This disorder is sometimes more prevalent in
winter months, particularly in geographies that experience reduced
daylight hours. Winter seasonal affective disorder is characterized
by the onset of depression in the fall or winter followed by
recovery in the spring. As such, in certain embodiments, the
disorder to be treated is seasonal affective disorder.
[0085] Depression in patients suffering from Parkinson's disease is
a frequent complication. The Parkinson's Disease Foundation has
reported that up to sixty percent of patients suffering from
Parkinson's disease exhibit mild to moderate depression. As such,
in certain embodiments, the disorder to be treated is depression in
a patient suffering from Parkinson's disease.
Treating Neurological Disorders
[0086] Another aspect of the invention provides a method of
treating a neurological disorder selected from the group consisting
of Alzheimer's disease, tardive dyskinesia, Tourette syndrome,
Huntington's disease, Rett syndrome, Prader-Willi syndrome,
restless leg syndrome, narcolepsy, ataxia, corticobasal ganglionic
degeneration dyskinesia, dystonia, tremors, multiple system
atrophy, progressive supranuclear palsy, olivopontocerebellar
atrophy, diffuse Lewy body disease, stiff man syndrome, apathy,
generalized anxiety, panic disorder, addiction, bipolar disorder,
social anxiety disorder, obsessive compulsive disorder,
post-traumatic stress disorder, a sleep disorder, an eating
disorder, a neuropathic condition, diabetic neuropathy, a cognitive
disorder, a psychotic disorder, psychosexual dysfunction, prostate
hypertrophy, migraine, bipolar depression, depression in a patient
suffering from Alzheimer's disease, depression in a patient
suffering from dementia, and depression in a patient suffering from
hypothyroidism. The method comprises administering to a patient in
need thereof a therapeutically effective amount of a
deuterium-enriched compound described herein, such as a compound of
Formula I or Formula II, having an optical purity of at least 75%
enantiomeric excess to treat the disorder. In certain embodiments,
the deuterium-enriched compound is a compound of Formula I. In
certain other embodiments, the deuterium-enriched compound is a
compound of Formula II.
[0087] In certain embodiments, the neurological disorder is a sleep
disorder, such as hypersomnia and/or sleep apnea.
[0088] In certain embodiments, the neurological disorder is a
cognitive disorder, such as cognitive impairment and/or memory
impairment. The cognitive impairment may be, for example, cognitive
impairment associated with ADHD, Alzheimer's disease, Prader-Willi
syndrome, senile dementia, traumatic brain injury, and/or
pathogenic brain injury. In certain other embodiments, the
neurological disorder is an eating disorder, such as bulimia.
[0089] In certain embodiments, the neurological disorder is
addiction, such as gambling addiction, sex addiction, or drug
addiction, such as addiction to one or more of a stimulant,
cocaine, tobacco, an opioid, nicotine, alcohol, an amphetamine, or
a psychostimulant. In certain embodiments, the drug addiction is
methamphetamine dependence. In yet other embodiments, the drug
addiction is an addiction to one or more of an opioid, a stimulant,
a hypnotic, a depressant, or a hallucinogen.
[0090] Another aspect of the invention provides a method of
improving cognition in a patient suffering from a neurological
disorder, such as Alzheimer's disease, Parkinson's disease,
attention deficit hyperactivity disorder, dementia (such as senile
dementia), or one of the other neurological disorders described
herein. The method comprises administering to a patient in need
thereof a therapeutically effective amount of a deuterium-enriched
compound described herein, such as a compound of Formula I or
Formula II, having an optical purity of at least 75% enantiomeric
excess to improve cognition.
[0091] Another aspect of the invention provides a method of
reducing a withdrawal symptom associated with reduced consumption
of an illicit drug by a patient. The method comprises administering
to a patient in need thereof a therapeutically effective amount of
a deuterium-enriched compound described herein, such as a compound
of Formula I or Formula II, having an optical purity of at least
75% enantiomeric excess to reduce the frequency or intensity of a
withdrawal symptom associated with reduced consumption of an
illicit drug by a patient. The withdrawal symptom may be, for
example, anxiety, restlessness, irritability, insomnia, headache,
poor concentration, depression, social isolation, sweating, racing
heart, palpitations, muscle tension, tightness in the chest,
difficulty breathing, tremor, nausea, vomiting, diarrhea,
hallucination, stroke, heart attack, and/or grand mal seizure. The
illicit drug may be an opioid, a stimulant, a hypnotic, a
depressant, or a hallucinogen. In yet other embodiments, the
illicit drug may be an opioid (e.g., heroin), an amphetamine
stimulant (e.g., methamphetamine or mephedrone), a tropane alkaloid
(e.g., cocaine), a hypnotic, a depressant, or a hallucinogen. In
certain embodiments, the deuterium-enriched compound is a compound
of Formula I. In certain other embodiments, the deuterium-enriched
compound is a compound of Formula II.
[0092] Another aspect of the invention provides a method of
reducing a rewarding effect of an illicit drug upon consumption of
the illicit drug by the patient. The method comprises administering
to a patient in need thereof a therapeutically effective amount of
a deuterium-enriched compound described herein, such as a compound
of Formula I or Formula II, having an optical purity of at least
75% enantiomeric excess to reduce the reward effect produced by an
illicit drug upon consumption of the illicit drug by the patient.
The rewarding effect may be, for example, euphoria and/or increased
energy. The illicit drug may be an opioid, a stimulant, a hypnotic,
a depressant, or a hallucinogen. In yet other embodiments, the
illicit drug may be an opioid (e.g., heroin), an amphetamine
stimulant (e.g., methamphetamine or mephedrone), a tropane alkaloid
(e.g., cocaine), a hypnotic, a depressant, or a hallucinogen.
[0093] Another aspect of the invention provides a method for
treating the effects of ethanol in a patient. The method comprises
administering to a patient in need thereof a therapeutically
effective amount of a deuterium-enriched compound described herein,
such as a compound of Formula I or Formula II, having an optical
purity of at least 75% enantiomeric excess to treat the effects of
ethanol. In certain embodiments, the deuterium-enriched compound is
a compound of Formula I. In certain other embodiments, the
deuterium-enriched compound is a compound of Formula II.
Treating Movement Disorders
[0094] Another aspect of the invention provides a method of
treating a movement disorder selected from the group consisting of
hereditary spastic paraplegia, myoclonus, spasticity, chorea,
athetosis, ballism, stereotypy, tardive dystonia, tics,
hemiballismus, hemifacial spasm, psychomotor retardation, painful
legs moving toes syndrome, a gait disorder, and a drug-induced
movement disorder. The method comprises administering to a patient
in need thereof a therapeutically effective amount of a
deuterium-enriched compound described herein, such as a compound of
Formula I or Formula II, having an optical purity of at least 75%
enantiomeric excess to treat the disorder. In certain embodiments,
the deuterium-enriched compound is a compound of Formula I. In
certain other embodiments, the deuterium-enriched compound is a
compound of Formula II.
[0095] In certain embodiments, the chorea is Sydenham's chorea.
Treating Additional Medical Disorders
[0096] Another aspect of the invention provides a method of
treating a disorder selected from the group consisting of
inflammatory bowel disease, psoriasis, hypotension, presyncope,
syncope, Wilson's disease, shift work sleep disorder, akinetic
mutism, chronic fatigue syndrome, fibromyalgia, premenstrual
syndrome, premenstrual dysphoric disorder, pain, a viral infection,
a cardiovascular disease (e.g., hypertension, heart failure,
dyslipidemia, hypercholesterolemia, hypertriglyceridemia, or
hyperlipoproteinemia), hepatic steatosis, diabetes, insulin
resistance, sleep apnea, arthritis, vascular dementia, gout,
calculi, and a disorder requiring a stimulant effect. The method
comprises administering to a patient in need thereof a
therapeutically effective amount of a deuterium-enriched compound
described herein, such as a compound of Formula I or Formula II,
having an optical purity of at least 75% enantiomeric excess to
treat the disorder. In certain embodiments, the deuterium-enriched
compound is a compound of Formula I. In certain other embodiments,
the deuterium-enriched compound is a compound of Formula II.
[0097] In certain embodiments, the disorder is pain, such as
chronic pain, pain associated with depression, persistent headache,
or reflex sympathetic dystrophy. In certain embodiments, the
disorder is a cardiovascular disease, such as hypertension, heart
failure, dyslipidemia, hypercholesterolemia, hypertriglyceridemia,
or hyperlipoproteinemia.
Reducing Substance Dependence
[0098] Another aspect of the invention provides a method of
reducing dependence by a patient to a substance selected from the
group consisting of an opioid, an amphetamine, a tropane alkaloid,
a hypnotic, an anti-depressant, a hallucinogen, a pain medication,
a sleep medication, and combinations thereof. The method comprises
administering to a patient in need thereof a therapeutically
effective amount of a deuterium-enriched compound described herein,
such as a compound of Formula I or Formula II, having an optical
purity of at least 75% enantiomeric excess to reduce said substance
dependence. The reduction in dependence may be at least a 10%, 25%,
50%, 75% or 95% reduction in dependence according to the standard
test for measuring substance dependence used in current U.S.
medical practice. In certain embodiments, the substance may be an
opioid (e.g., heroin), an amphetamine (e.g., methamphetamine or
mephedrone), a tropane alkaloid (e.g., cocaine), a hypnotic, an
anti-depressant, or a hallucinogen. In certain embodiments, the
substance is methamphetamine or cocaine.
[0099] Another aspect of the invention provides a method of
reducing dependence by a patient to a benzodiazepine. The method
comprises administering to a patient in need thereof a
therapeutically effective amount of a deuterium-enriched compound
described herein, such as a compound of Formula I or Formula II,
having an optical purity of at least 75% enantiomeric excess to
reduce said dependence on a benzodiazepine. The reduction in
dependence may be at least a 10%, 25%, 50%, 75% or 95% reduction in
dependence according to the standard test for measuring
benzodiazepine dependence used in current U.S. medical
practice.
Additional Features of Therapeutic Methods
[0100] The therapeutic methods can be further characterized
according to blood plasma stability of the deuterated enantiomer of
bupropion administered to the patient. In certain embodiments, the
molar ratio of S-enantiomer to R-enantiomer of deuterated bupropion
present in the patient's blood plasma measured at 30 minutes (or 1
hr, 2 hr, 3 hr, 4 hr, 5 hr, or 6 hr) after administration of the
deuterated bupropion is within 10% (or 5%, 15%, 20%, 25%, 30%, 35%,
40%, 45%, or 50%) of the molar ratio of S-enantiomer to
R-enantiomer of deuterated bupropion administered to the
patient.
[0101] The therapeutic methods can be further characterized
according to the magnitude of improvement in efficacy relative to
administering an equimolar amount of non-isotopically enriched
bupropion, e.g., non-isotopically enriched bupropion having the
same ratio of S-enantiomer to R-enantiomer as that
deuterium-enriched bupropion administered to the patient. In
certain embodiments, the magnitude of improvement is at least a
10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, 90%, 100%, 125%, 150%,
175%, 200%, 250%, 300%, 350%, or 400% improvement. In certain
embodiments, the magnitude of improvement is in the range of about
10% to 30%, about 30% to 50%, about 50% to 70%, about 70% to 90%,
about 90% to 100%, about 100% to 125%, about 125% to 150%, about
150% to 175%, or about 175% to 200% improvement.
[0102] The therapeutic methods can be further characterized
according to the magnitude of reduction in an adverse side effect
(e.g., seizure) relative to administering an equimolar amount of
non-isotopically enriched bupropion, e.g., non-isotopically
enriched bupropion having the same ratio of S-enantiomer to
R-enantiomer as that deuterium-enriched bupropion administered to
the patient. In certain embodiments, the magnitude of reduction in
an adverse side effect (e.g., seizure) is at least a 10%, 20%, 30%,
40%, 50%, 60%, 70%, 80%, 90%, 100%, 125%, 150%, 175%, 200%, 250%,
300%, 350%, or 400%. In certain embodiments, the magnitude of
reduction in an adverse side effect is in the range of about 10% to
30%, about 30% to 50%, about 50% to 70%, about 70% to 90%, about
90% to 100%, about 100% to 125%, about 125% to 150%, about 150% to
175%, or about 175% to 200%. In certain embodiments, the side
effect is seizure, hepatic impairment, cardiovascular disorder
(e.g., hypertension, hypotension, or palpitations), renal
impairment, dizziness, constipation, anorexia, headache, dry mouth,
agitation, or blurred vision. In certain embodiments, the side
effect is seizure.
[0103] The therapeutic methods can be further characterized
according to the magnitude of improvement in therapeutic index
relative to administering an equimolar amount of non-isotopically
enriched bupropion, e.g., non-isotopically enriched bupropion
having the same ratio of S-enantiomer to R-enantiomer as that
deuterium-enriched bupropion administered to the patient. In
certain embodiments, the magnitude of improvement is at least a
1.5, 2, 5, 10, 15, 20, 25, 30, 35, 40, 45, 50, 55, 60, 65, or 70
fold improvement. In certain embodiments, the magnitude of
improvement is at least a 30, 35, 40, 45, or 50 fold improvement.
In certain embodiments, the magnitude of improvement is in the
range of a 2-10, 10-20, 20-30, 30-40, 40-50, or 50-60 fold
improvement.
Manufacture of Medicaments
[0104] Another aspect of the invention provides for the use of a
deuterium-enriched compound described herein for the manufacture of
a medicament. The medicament may be for treating one or more of the
medical disorders described herein, such as treating obesity,
sexual dysfunction, neuropathic pain, or attention deficit
hyperactivity disorder.
III. Dosing Considerations and Combination Therapy
[0105] Doses of a compound provided herein, or a pharmaceutically
acceptable salt thereof, vary depending on factors such as:
specific indication to be treated; age and condition of a patient;
and amount of second active agent used, if any. Generally, a
compound provided herein, or a pharmaceutically acceptable salt
thereof, may be used in an amount of from about 0.1 mg to about 1 g
per day, or from about 0.1 mg to about 500 mg per day, and can be
adjusted in a conventional fashion (e.g., the same amount
administered each day of the treatment), in cycles (e.g., one week
on, one week off), or in an amount that increases or decreases over
the course of treatment. In other embodiments, the dose can be from
about 1 mg to 1000 mg, from about 1 mg to about 450 mg, from about
0.1 mg to about 150 mg, from about 1 mg to about 300 mg, from about
10 mg to about 100 mg, from about 0.1 mg to about 50 mg, from about
1 mg to about 50 mg, from about 10 mg to about 50 mg, from about 20
mg to about 30 mg, or from about 1 mg to about 20 mg. In yet other
embodiments, the daily dose can be from about 50 mg to 75 mg, 75 mg
to 100 mg, 100 mg to 125 mg, 125 mg to 150 mg, 150 mg to 175 mg,
175 mg to 200 mg, 200 mg to 225 mg, 225 mg to 250 mg, 250 mg to 275
mg, 275 mg to 300 mg, 300 mg to 325 mg, 325 mg to 350 mg, 350 mg to
375 mg, 375 mg to 400 mg, 400 mg to 425 mg, or 425 mg to 450 mg. In
certain embodiments, the deuterium-enriched bupropion is
administered at a daily dosage in the range of about 125 mg to 150
mg, 150 mg to 175 mg, 175 mg to 200 mg, 200 mg to 225 mg, 225 mg to
250 mg, 250 mg to 275 mg, or 275 mg to 300 mg. In certain
embodiments, the deuterium-enriched bupropion is administered at a
daily dosage in the range of about 50 mg to 75 mg, 75 mg to 100 mg,
100 mg to 125 mg, 125 mg to 150 mg, 150 mg to 175 mg, 175 mg to 200
mg, 200 mg to 225 mg, 225 mg to 250 mg, 250 mg to 275 mg, or 275 mg
to 300 mg. In certain embodiments, the deuterium-enriched bupropion
is administered at a daily dosage in the range of about 125 mg to
150 mg or 150 mg to 175 mg. In certain embodiments, the
deuterium-enriched bupropion is administered at a daily dosage in
the range of about 125 mg to 175 mg. In certain embodiments, the
deuterium-enriched bupropion is administered at a daily dosage in
the range of about 140 mg to 160 mg. In yet other embodiments, the
deuterium-enriched bupropion is administered at a daily dosage in
the range of about 50 mg to 175 mg, or about 125 mg to 175 mg. In
yet other embodiments, the daily dose is less than about 50 mg, 75
mg, 100 mg, 125 mg, 150 mg, 175 mg, 200 mg, 225 mg, 250 mg, 275 mg,
300 mg, 325 mg, 350 mg, 375 mg, 400 mg, 425 mg, or 450 mg. In yet
other embodiments, the daily dose is less than about 125 mg, 150
mg, or 175 mg.
[0106] In certain aspects, the therapeutic agents provided herein
are cyclically administered to a patient. Cycling therapy involves
the administration of an active agent for a period of time,
followed by a rest (i.e., discontinuation of the administration)
for a period of time, and repeating this sequential administration.
Cycling therapy can reduce the development of resistance to one or
more of the therapies. These regimens can avoid or reduce the side
effects of one of the therapies, and/or improve the efficacy of the
treatment.
[0107] Consequently, in another aspect, a compound provided herein
is administered daily in a single or divided doses in a four to six
week cycle with a rest period of about a week or two weeks. Cycling
therapy further allows the frequency, number, and length of dosing
cycles to be increased. Thus, another aspect encompasses the
administration of a compound provided herein for more cycles than
are typical when it is administered alone. In yet another aspect, a
compound provided herein is administered for a greater number of
cycles than would typically cause dose-limiting toxicity in a
patient to whom a second active ingredient is not also being
administered.
[0108] In another aspect, a compound provided herein is
administered daily and continuously for three or four weeks at a
dose of from about 0.1 mg to about 1000 mg per day, followed by a
rest of one or two weeks. In other embodiments, the dose can be
from about 1 mg to about 450 mg, from about 0.1 mg to about 150 mg,
from about 1 mg to about 300 mg, from about 10 mg to about 100 mg,
from about 0.1 mg to about 50 mg, from about 1 mg to about 50 mg,
from about 10 mg to about 50 mg, from about 20 mg to about 30 mg,
or from about 1 mg to about 20 mg, followed by a rest.
[0109] In another aspect, a compound provided herein and a second
active ingredient are administered orally or parenterally, with
administration of the compound provided herein occurring prior to
(e.g., about 30 to 60 minutes) the second active ingredient, during
a cycle of four to six weeks. In certain embodiments, the compound
and second active agent are administered as a single dosage or they
are administered separately. In another aspect, the combination of
a compound provided herein and a second active ingredient is
administered by intravenous infusion over about 90 minutes every
cycle.
[0110] Typically, the number of cycles during which the combination
treatment is administered to a patient will be from about one to
about 24 cycles, from about two to about 16 cycles, or from about
three to about four cycles.
Combination Therapy
[0111] A compound provided herein, or a pharmaceutically acceptable
salt thereof, can be combined with other pharmacologically active
compounds ("second active agents") in methods and compositions
provided herein. Certain combinations may work synergistically in
the treatment of particular types of diseases or disorders, and
conditions and symptoms associated with such diseases or disorders.
A compound provided herein, or a pharmaceutically acceptable salt
thereof, can also work to alleviate adverse effects associated with
certain second active agents, and vice versa.
[0112] One or more second active ingredients or agents can be used
in the methods and compositions provided herein. Second active
agents can be large molecules (e.g., proteins) or small molecules
(e.g., synthetic inorganic, organometallic, or organic
molecules).
[0113] In certain embodiments, the combination therapy comprises a
deuterium-enriched compound described herein and one or more of
naltrexone, liraglutide, topiramate, and phentermine. Such
combination therapy can be particular useful for the treatment of
obesity or metabolic syndrome.
[0114] In certain embodiments, the combination therapy comprises a
deuterium-enriched compound described herein and zonisamide. In
certain embodiments, the combination therapy comprises a
deuterium-enriched compound described herein and naltrexone. Such
combination therapies can be particular useful for the treatment of
obesity.
[0115] In certain other embodiments, the combination therapy
comprises a deuterium-enriched compound described herein and
trazodone. Such combination therapy can be particular useful for
the treatment of sexual dysfunction.
[0116] In certain other embodiments, the combination therapy
comprises a deuterium-enriched compound described herein and
escitalopram. Such combination therapy can be particular useful for
the treatment of bipolar disorder.
[0117] Administration of a compound provided herein, or a
pharmaceutically acceptable salt thereof, and the second active
agents to a patient can occur simultaneously or sequentially by the
same or different routes of administration. The suitability of a
particular route of administration employed for a particular active
agent will depend on the active agent itself (e.g., whether it can
be administered orally without decomposing prior to entering the
blood stream) and the disease being treated. One route of
administration for compounds provided herein is oral. Routes of
administration for the second active agents or ingredients are
known to those of ordinary skill in the art. See, e.g., Physicians'
Desk Reference (60.sup.th Ed., 2006).
IV. Pharmaceutical Compositions
[0118] The invention provides pharmaceutical compositions
comprising a deuterium-enriched compound described herein, such as
a compound of Formula I or II, and a pharmaceutically acceptable
carrier. In certain embodiments, the pharmaceutical compositions
comprise a therapeutically-effective amount of a deuterium-enriched
compound described herein, such as a compound of Formula I or II,
formulated together with one or more pharmaceutically acceptable
carriers (additives) and/or diluents. As described in detail below,
the pharmaceutical compositions of the present invention may be
specially formulated for administration in solid or liquid form,
including those adapted for the following: (1) oral administration,
for example, drenches (aqueous or non-aqueous solutions or
suspensions), tablets (e.g., those targeted for buccal, sublingual,
and/or systemic absorption), boluses, powders, granules, pastes for
application to the tongue; (2) parenteral administration by, for
example, subcutaneous, intramuscular, intravenous or epidural
injection as, for example, a sterile solution or suspension, or
sustained-release formulation; (3) topical application, for
example, as a cream, ointment, or a controlled-release patch or
spray applied to the skin; (4) intravaginally or intrarectally, for
example, as a pessary, cream or foam; (5) sublingually; (6)
ocularly; (7) transdermally; or (8) nasally.
[0119] Pharmaceutical compositions can be used in the preparation
of individual, single unit dosage forms. Pharmaceutical
compositions and dosage forms provided herein comprise a compound
provided herein, or a pharmaceutically acceptable salt thereof.
Pharmaceutical compositions and dosage forms can further comprise
one or more excipients. Additionally, pharmaceutical compositions
and dosage forms provided herein can comprise one or more
additional active ingredients. Examples of optional second, or
additional, active ingredients are described above.
[0120] Single unit dosage forms provided herein are suitable for
oral, mucosal (e.g., nasal, sublingual, vaginal, buccal, or
rectal), parenteral (e.g., subcutaneous, intravenous, bolus
injection, intramuscular, or intraarterial), topical (e.g., eye
drops or other ophthalmic preparations), transdermal or
transcutaneous administration to a patient. Examples of dosage
forms include, but are not limited to: tablets; caplets; capsules,
such as soft elastic gelatin capsules; cachets; troches; lozenges;
dispersions; suppositories; powders; aerosols (e.g., nasal sprays
or inhalers); gels; liquid dosage forms suitable for oral or
mucosal administration to a patient, including suspensions (e.g.,
aqueous or non-aqueous liquid suspensions, oil-in-water emulsions,
or water-in-oil liquid emulsions), solutions, and elixirs; liquid
dosage forms suitable for parenteral administration to a patient;
eye drops or other ophthalmic preparations suitable for topical
administration; and sterile solids (e.g., crystalline or amorphous
solids) that can be reconstituted to provide liquid dosage forms
suitable for parenteral administration to a patient.
[0121] The composition, shape, and type of dosage forms will
typically vary depending on their use. For example, a dosage form
used in the acute treatment of a disease may contain larger amounts
of one or more of the active ingredients it comprises than a dosage
form used in the chronic treatment of the same disease. Similarly,
a parenteral dosage form may contain smaller amounts of one or more
of the active ingredients it comprises than an oral dosage form
used to treat the same disease. These and other ways in which
specific dosage forms are used will vary from one another and will
be readily apparent to those skilled in the art. See, e.g.,
Remington's Pharmaceutical Sciences, 18th ed., Mack Publishing,
Easton Pa. (1990).
[0122] The suitability of a particular excipient may depend on the
specific active ingredients in the dosage form. For example, the
decomposition of some active ingredients may be accelerated by some
excipients such as lactose, or when exposed to water. Active
ingredients that comprise primary or secondary amines are
particularly susceptible to such accelerated decomposition.
Consequently, provided are pharmaceutical compositions and dosage
forms that contain little, if any, lactose other mono- or
disaccharides. As used herein, the term "lactose-free" means that
the amount of lactose present, if any, is insufficient to
substantially increase the degradation rate of an active
ingredient. Lactose-free compositions can comprise excipients that
are well known in the art and are listed, for example, in the U.S.
Pharmacopeia (USP) 25-NF20 (2002). In general, lactose-free
compositions comprise active ingredients, a binder/filler, and a
lubricant in pharmaceutically compatible and pharmaceutically
acceptable amounts. In another aspect, lactose-free dosage forms
comprise active ingredients, microcrystalline cellulose,
pre-gelatinized starch, and magnesium stearate.
[0123] Also provided are anhydrous pharmaceutical compositions and
dosage forms comprising active ingredients. Anhydrous
pharmaceutical compositions and dosage forms can be prepared using
anhydrous or low moisture containing ingredients and low moisture
or low humidity conditions. Pharmaceutical compositions and dosage
forms that comprise lactose and at least one active ingredient that
comprises a primary or secondary amine are preferably anhydrous if
substantial contact with moisture and/or humidity during
manufacturing, packaging, and/or storage is expected. An anhydrous
pharmaceutical composition should be prepared and stored such that
its anhydrous nature is maintained. Accordingly, anhydrous
compositions are, in another aspect, packaged using materials known
to prevent exposure to water such that they can be included in
suitable formulary kits. Examples of suitable packaging include,
but are not limited to, hermetically sealed foils, plastics, dose
containers (e.g., vials), blister packs, and strip packs.
[0124] Also provided are pharmaceutical compositions and dosage
forms that comprise one or more compounds that reduce the rate by
which an active ingredient will decompose. Such compounds, which
are referred to herein as "stabilizers," include, but are not
limited to, antioxidants such as ascorbic acid, pH buffers, or salt
buffers.
[0125] Like the amounts and types of excipients, the amounts and
specific types of active ingredients in a dosage form may differ
depending on factors such as, but not limited to, the route by
which it is to be administered to patients. In another aspect,
dosage forms comprise a compound provided herein in an amount of
from about 0.10 to about 500 mg. Examples of dosages include, but
are not limited to, 0.1, 1, 2, 5, 7.5, 10, 12.5, 15, 17.5, 20, 25,
50, 100, 150, 200, 250, 300, 350, 400, 450, or 500 mg.
[0126] In another aspect, dosage forms comprise the second active
ingredient in an amount of 1 to about 1000 mg, from about 5 to
about 500 mg, from about 10 to about 350 mg, or from about 50 to
about 200 mg. Of course, the specific amount of the second active
agent will depend on the specific agent used, the diseases or
disorders being treated or managed, and the amount(s) of a compound
provided herein, and any optional additional active agents
concurrently administered to the patient.
[0127] Pharmaceutical compositions that are suitable for oral
administration can be provided as discrete dosage forms, such as,
but not limited to, tablets (e.g., chewable tablets), caplets,
capsules, and liquids (e.g., flavored syrups). Such dosage forms
contain predetermined amounts of active ingredients, and may be
prepared by methods of pharmacy well known to those skilled in the
art. See generally, Remington's Pharmaceutical Sciences, 18th ed.,
Mack Publishing, Easton Pa. (1990).
[0128] Oral dosage forms provided herein are prepared by combining
the active ingredients in an intimate admixture with at least one
excipient according to conventional pharmaceutical compounding
techniques. Excipients can take a wide variety of forms depending
on the form of preparation desired for administration. For example,
excipients suitable for use in oral liquid or aerosol dosage forms
include, but are not limited to, water, glycols, oils, alcohols,
flavoring agents, preservatives, and coloring agents. Examples of
excipients suitable for use in solid oral dosage forms (e.g.,
powders, tablets, capsules, and caplets) include, but are not
limited to, starches, sugars, micro-crystalline cellulose,
diluents, granulating agents, lubricants, binders, and
disintegrating agents.
[0129] In another aspect, the invention provides oral dosage forms
that are tablets or capsules, in which case solid excipients are
employed. In another aspect, the tablets can be coated by standard
aqueous or non-aqueous techniques. Such dosage forms can be
prepared by any of the methods of pharmacy. In general,
pharmaceutical compositions and dosage forms are prepared by
uniformly and intimately admixing the active ingredients with
liquid carriers, finely divided solid carriers, or both, and then
shaping the product into the desired presentation if necessary.
[0130] For example, a tablet can be prepared by compression or
molding. Compressed tablets can be prepared by compressing in a
suitable machine the active ingredients in a free-flowing form such
as powder or granules, optionally mixed with an excipient. Molded
tablets can be made by molding in a suitable machine a mixture of
the powdered compound moistened with an inert liquid diluent.
[0131] Examples of excipients that can be used in oral dosage forms
provided herein include, but are not limited to, binders, fillers,
disintegrants, and lubricants. Binders suitable for use in
pharmaceutical compositions and dosage forms include, but are not
limited to, corn starch, potato starch, or other starches, gelatin,
natural and synthetic gums such as acacia, sodium alginate, alginic
acid, other alginates, powdered tragacanth, guar gum, cellulose and
its derivatives (e.g., ethyl cellulose, cellulose acetate,
carboxymethyl cellulose calcium, sodium carboxymethyl cellulose),
polyvinyl-pyrrolidone, methyl cellulose, pre-gelatinized starch,
hydroxypropyl methyl cellulose, (e.g., Nos. 2208, 2906, 2910),
microcrystalline cellulose, and mixtures thereof.
[0132] Examples of fillers suitable for use in the pharmaceutical
compositions and dosage forms provided herein include, but are not
limited to, talc, calcium carbonate (e.g., granules or powder),
microcrystalline cellulose, powdered cellulose, dextrates, kaolin,
mannitol, silicic acid, sorbitol, starch, pre-gelatinized starch,
and mixtures thereof. The binder or filler in pharmaceutical
compositions is, in another aspect, present in from about 50 to
about 99 weight percent of the pharmaceutical composition or dosage
form.
[0133] Disintegrants may be used in the compositions to provide
tablets that disintegrate when exposed to an aqueous environment.
Tablets that contain too much disintegrant may disintegrate in
storage, while those that contain too little may not disintegrate
at a desired rate or under the desired conditions. Thus, a
sufficient amount of disintegrant that is neither too much nor too
little to detrimentally alter the release of the active ingredients
may be used to form solid oral dosage forms. The amount of
disintegrant used varies based upon the type of formulation, and is
readily discernible to those of ordinary skill in the art. In
another aspect, pharmaceutical compositions comprise from about 0.5
to about 15 weight percent of disintegrant, or from about 1 to
about 5 weight percent of disintegrant. Disintegrants that can be
used in pharmaceutical compositions and dosage forms include, but
are not limited to, agar-agar, alginic acid, calcium carbonate,
microcrystalline cellulose, croscarmellose sodium, crospovidone,
polacrilin potassium, sodium starch glycolate, potato or tapioca
starch, pre-gelatinized starch, other starches, clays, other
algins, other celluloses, gums, and mixtures thereof.
[0134] Lubricants that can be used in pharmaceutical compositions
and dosage forms include, but are not limited to, calcium stearate,
magnesium stearate, mineral oil, light mineral oil, glycerin,
sorbitol, mannitol, polyethylene glycol, other glycols, stearic
acid, sodium lauryl sulfate, talc, hydrogenated vegetable oil
(e.g., peanut oil, cottonseed oil, sunflower oil, sesame oil, olive
oil, corn oil, and soybean oil), zinc stearate, ethyl oleate, ethyl
laurate, agar, and mixtures thereof. Additional lubricants include,
for example, a Syloid.RTM. silica gel (AEROSIL200, manufactured by
W. R. Grace Co. of Baltimore, Md.), a coagulated aerosol of
synthetic silica (marketed by Degussa Co. of Piano, Tex.),
CAB-O-SIL (a pyrogenic silicon dioxide product sold by Cabot Co. of
Boston, Mass.), and mixtures thereof. If used at all, lubricants
may be used in an amount of less than about 1 weight percent of the
pharmaceutical compositions or dosage forms into which they are
incorporated.
[0135] In another aspect, the invention provides a solid oral
dosage form comprising a compound provided herein, anhydrous
lactose, microcrystalline cellulose, polyvinylpyrrolidone, stearic
acid, colloidal anhydrous silica, and gelatin.
[0136] Active ingredients provided herein can also be administered
by controlled release means or by delivery devices that are well
known to those of ordinary skill in the art. Examples include, but
are not limited to, those described in U.S. Pat. Nos. 3,845,770;
3,916,899; 3,536,809; 3,598,123; 4,008,719, 5,674,533, 5,059,595,
5,591,767, 5,120,548, 5,073,543, 5,639,476, 5,354,556, and
5,733,566, each of which is incorporated in its entirety herein by
reference. Such dosage forms can be used to provide slow or
controlled-release of one or more active ingredients using, for
example, hydroxypropyl methyl cellulose, other polymer matrices,
gels, permeable membranes, osmotic systems, multilayer coatings,
microparticles, liposomes, microspheres, or a combination thereof
to provide the desired release profile in varying proportions.
Suitable controlled-release formulations known to those of ordinary
skill in the art, including those described herein, can be readily
selected for use with the active agents provided herein. In another
aspect, the invention provides single unit dosage forms suitable
for oral administration such as, but not limited to, tablets,
capsules, gel caps, and caplets that are adapted for
controlled-release.
[0137] Parenteral dosage forms can be administered to patients by
various routes including, but not limited to, subcutaneous,
intravenous (including bolus injection), intramuscular, and
intraarterial. Administration of a parenteral dosage form bypasses
a patient's natural defenses against contaminants, and thus, in
these aspects, parenteral dosage forms are sterile or capable of
being sterilized prior to administration to a patient. Examples of
parenteral dosage forms include, but are not limited to, solutions
ready for injection, dry products ready to be dissolved or
suspended in a pharmaceutically acceptable vehicle for injection,
suspensions ready for injection, and emulsions. Suitable vehicles
that can be used to provide parenteral dosage forms are well known
to those skilled in the art. Examples include, but are not limited
to: Water for Injection USP; aqueous vehicles such as, but not
limited to, Sodium Chloride Injection, Ringer's Injection, Dextrose
Injection, Dextrose and Sodium Chloride Injection, and Lactated
Ringer's Injection; water-miscible vehicles such as, but not
limited to, ethyl alcohol, polyethylene glycol, and polypropylene
glycol; and non-aqueous vehicles such as, but not limited to, corn
oil, cottonseed oil, peanut oil, sesame oil, ethyl oleate,
isopropyl myristate, and benzyl benzoate.
[0138] Compounds that increase the solubility of one or more of the
active ingredients disclosed herein can also be incorporated into
the parenteral dosage forms. For example, cyclodextrin and its
derivatives can be used to increase the solubility of a compound
provided herein. See, e.g., U.S. Pat. No. 5,134,127, which is
incorporated in its entirety herein by reference.
[0139] Topical and mucosal dosage forms provided herein include,
but are not limited to, sprays, aerosols, solutions, emulsions,
suspensions, eye drops or other ophthalmic preparations, or other
forms known to one of skill in the art. See, e.g., Remington's
Pharmaceutical Sciences, 16th and 18th eds., Mack Publishing,
Easton Pa. (1980 & 1990); and Introduction to Pharmaceutical
Dosage Forms, 4th ed., Lea & Febiger, Philadelphia (1985).
Dosage forms suitable for treating mucosal tissues within the oral
cavity can be formulated as mouthwashes or as oral gels.
[0140] Suitable excipients (e.g., carriers and diluents) and other
materials that can be used to provide topical and mucosal dosage
forms encompassed herein are well known to those skilled in the
pharmaceutical arts, and depend on the particular tissue to which a
given pharmaceutical composition or dosage form will be applied. In
another aspect, excipients include, but are not limited to, water,
acetone, ethanol, ethylene glycol, propylene glycol,
butane-1,3-diol, isopropyl myristate, isopropyl palmitate, mineral
oil, and mixtures thereof to form solutions, emulsions or gels,
which are nontoxic and pharmaceutically acceptable. Moisturizers or
humectants can also be added to pharmaceutical compositions and
dosage forms. Examples of additional ingredients are well known in
the art. See, e.g., Remington's Pharmaceutical Sciences, 16th and
18th eds., Mack Publishing, Easton Pa. (1980 & 1990).
[0141] The pH of a pharmaceutical composition or dosage form may
also be adjusted to improve delivery of one or more active
ingredients. Also, the polarity of a solvent carrier, its ionic
strength, or tonicity can be adjusted to improve delivery.
Compounds such as stearates can also be added to pharmaceutical
compositions or dosage forms to alter the hydrophilicity or
lipophilicity of one or more active ingredients so as to improve
delivery. In other aspects, stearates can serve as a lipid vehicle
for the formulation, as an emulsifying agent or surfactant, or as a
delivery-enhancing or penetration-enhancing agent. In other
aspects, salts of the active ingredients can be used to further
adjust the properties of the resulting composition.
[0142] In another aspect, the active ingredients provided herein
are not administered to a patient at the same time or by the same
route of administration. In another aspect, provided are kits which
can simplify the administration of appropriate amounts of active
ingredients.
[0143] In another aspect, the invention provides a kit comprising a
dosage form of a compound provided herein. Kits can further
comprise additional active ingredients or a pharmacologically
active mutant or derivative thereof, or a combination thereof.
Examples of the additional active ingredients include, but are not
limited to, those disclosed herein.
[0144] In other aspects, the kits can further comprise devices that
are used to administer the active ingredients. Examples of such
devices include, but are not limited to, syringes, drip bags,
patches, and inhalers.
V. Definitions
[0145] To facilitate an understanding of the present invention, a
number of terms and phrases are defined below.
[0146] The term "compound" refers to a quantity of molecules that
is sufficient to be weighed, tested for its structural identity,
and to have a demonstrable use (e.g., a quantity that can be shown
to be active in an assay, an in vitro test, or in vivo test, or a
quantity that can be administered to a patient and provide a
therapeutic benefit).
[0147] Unless indicated otherwise, when a D is specifically recited
at a position or is shown in a formula, this D represents a mixture
of hydrogen and deuterium where the amount of deuterium is about
100% (i.e., the abundance of deuterium ranges from greater than 90%
up to 100%). In certain embodiments, the abundance of deuterium in
D is from 95% to 100%, or from 97% to 100%.
[0148] The term "patient" refers to organisms to be treated by the
methods of the present invention. Such organisms preferably
include, but are not limited to, mammals (e.g., murines, simians,
equines, bovines, porcines, canines, felines, and the like), and
most preferably includes humans.
[0149] As used herein, the term "effective amount" refers to the
amount of a compound sufficient to effect beneficial or desired
results. An effective amount can be administered in one or more
administrations, applications or dosages and is not intended to be
limited to a particular formulation or administration route. As
used herein, the term "treating" includes any effect, e.g.,
lessening, reducing, modulating, ameliorating or eliminating, that
results in the improvement of the condition, disease, disorder, and
the like, or ameliorating a symptom thereof.
[0150] "Therapeutically effective amount" includes an amount of a
compound of the invention that is effective when administered alone
or in combination to treat the desired condition or disorder.
"Therapeutically effective amount" includes an amount of the
combination of compounds claimed that is effective to treat the
desired condition or disorder. The combination of compounds can be
additive and is preferably a synergistic combination. Synergy, as
described, for example, by Chou and Talalay, Adv. Enzyme Regul.
1984, 22:27-55, occurs when the effect of the compounds when
administered in combination is greater than the additive effect of
the compounds when administered alone as a single agent. In
general, a synergistic effect is most clearly demonstrated at
sub-optimal concentrations of the compounds. Synergy can be in
terms of lower incidence of adverse side effects and/or toxicity,
increased efficacy, or some other beneficial effect of the
combination compared with the individual components.
[0151] "Pharmaceutically acceptable salts" refer to derivatives of
the disclosed compounds wherein the parent compound is modified by
making acid or base salts thereof. Examples of pharmaceutically
acceptable salts include, but are not limited to, mineral or
organic acid salts of the basic residues. The pharmaceutically
acceptable salts include the conventional quaternary ammonium salts
of the parent compound formed, for example, from non-toxic
inorganic or organic acids. These salts can be prepared in situ in
the administration vehicle or the dosage form manufacturing
process, or by separately reacting a purified compound of the
invention in its free base form with a suitable organic or
inorganic acid, and isolating the salt thus formed during
subsequent purification. For example, such conventional non-toxic
salts include, but are not limited to, those derived from inorganic
and organic acids selected from 1,2-ethanedisulfonic,
2-acetoxybenzoic, 2-hydroxyethanesulfonic, acetic, ascorbic,
benzenesulfonic, benzoic, bicarbonic, bisulfonic, carbonic, citric,
edetic, ethane sulfonic, fumaric, glucoheptonic, gluconic,
glutamic, glycolic, glycollyarsanilic, hexylresorcinic, hydrabamic,
hydrobromic, hydrochloric, hydroiodic, hydroxymaleic,
hydroxynaphthoic, isethionic, lactic, lactobionic, lauric, lauryl
sulfonic, maleic, malic, mandelic, methanesulfonic, napsylic,
naphthylic, nitric, oleic, oxalic, palimitic, pamoic, pantothenic,
phenylacetic, phosphoric, polygalacturonic, propionic, salicyclic,
stearic, succinic, sulfamic, sulfanilic, sulfuric, tannic,
tartaric, toluenesulfonic, and valeric. (See, for example, Berge et
al. (1977) "Pharmaceutical Salts", J. Pharm. Sci. 66:1-19.). In
certain embodiments, the pharmaceutically acceptable salt is a
hydrochloric acid salt. In certain other embodiments, the
pharmaceutically acceptable salt is a hydrobromic acid salt.
[0152] For therapeutic use, salts of the compounds of the present
invention are contemplated as being pharmaceutically acceptable.
However, salts of acids and bases that are non-pharmaceutically
acceptable may also find use, for example, in the preparation or
purification of a pharmaceutically acceptable compound.
[0153] As used herein, the term "pharmaceutical composition" refers
to the combination of an active agent with a carrier, inert or
active, making the composition especially suitable for diagnostic
or therapeutic use in vivo or ex vivo.
[0154] As used herein, the term "pharmaceutically acceptable
carrier" refers to any of the standard pharmaceutical carriers,
such as a phosphate buffered saline solution, water, emulsions
(e.g., such as oil/water or water/oil emulsions), and various types
of wetting agents. The compositions also can include stabilizers
and preservatives. For examples of carriers, stabilizers and
adjuvants, see e.g., Martin, Remington's Pharmaceutical Sciences,
15th Ed., Mack Publ. Co., Easton, Pa. [1975].
[0155] Throughout the description, where compositions are described
as having, including, or comprising specific components, or where
processes and methods are described as having, including, or
comprising specific steps, it is contemplated that, additionally,
there are compositions of the present invention that consist
essentially of, or consist of, the recited components, and that
there are processes and methods according to the present invention
that consist essentially of, or consist of, the recited processing
steps.
[0156] As a general matter, if a variable is not accompanied by a
definition, then the previous definition of the variable
controls.
[0157] Finally, the invention may be embodied in other specific
forms without departing from the spirit or essential attributes
thereof. This invention encompasses all combinations of aspects and
embodiments of the invention noted herein. It is understood that
any and all aspects of the invention may be taken in conjunction
with any other aspects and/or embodiments to describe additional
aspects. It is also to be understood that each individual element
of the aspects is intended to be taken individually as its own
independent aspect. Furthermore, any element of an aspect is meant
to be combined with any and all other elements from any aspect to
describe an additional aspect.
EXAMPLES
[0158] The invention now being generally described, will be more
readily understood by reference to the following examples, which
are included merely for purposes of illustration of certain aspects
and embodiments of the present invention, and are not intended to
limit the invention.
Example 1--Preparation of Racemic Deuterated Bupropion,
RAC-1-(m-chlorophenyl)-2-(tert-butylamino)-(2-.sup.2H)-propan-1-one
##STR00028##
[0160]
rac-1-(m-Chlorophenyl)-2-(tert-butylamino)-(2-.sup.2H)-propan-1-one
having the chemical structure shown above was prepared by
proton/deuterium (H/D) exchange reaction in deuterated potassium
phosphate buffer. This compound was then converted to a deuterated
trifluoroacetic acid salt. The procedures are described below.
Preparation of 25 mM Deuterated pH=7 Phosphate Buffer:
[0161] Deuterated phosphate buffer (100 mM, pH=7) was prepared by
dissolving 259.5 mg of potassium phosphate (K.sub.3PO.sub.4) in
deuterated water (D.sub.2O, 12.0 mL) and adding 264 .mu.L 20%
deuterium chloride (DCl) in D.sub.2O. The resulting 100 mM solution
was diluted with 3 times the volume of D.sub.2O to give a 25 mM
pH=7 buffer.
Synthesis of
rac-1-(m-chlorophenyl)-2-(tert-butylamino)-(2-.sup.2H)-propan-1-one
[0162] Bupropion,
rac-1-(m-chlorophenyl)-2-(tert-butylamino)-propan-1-one (500 mg,
2.09 mmol) was dissolved in 20 mL of 25 mM deuterated pH=7
phosphate buffer. The solution was shaken at room temperature while
monitoring H/D exchange by LCMS. After 11 days, LC-MS analysis
showed almost complete deuterium incorporation with % D=99.7% at
the chiral center. The reaction mixture was washed with a saturated
solution of sodium bicarbonate (satd NaHCO.sub.3, 80 mL) and ethyl
acetate (EtOAc, 400 mL) for just 1 min in order to minimize
exposure of the deuterated material to the aqueous solution. The
organic layer was quickly separated and dried over sodium sulfate
(Na.sub.2SO.sub.4). The reaction was repeated starting with 437 mg
of bupropion (1.82 mmol) and the organic layers were combined. The
solvent (750 mL total) was evaporated in vacuo to give 0.91 g (3.78
mmol) of
rac-1-(m-chlorophenyl)-2-(tert-butylamino)-(2-.sup.2H)-propan-1-one
as a colorless oil. Overall yield: 0.91 g (3.78 mmol, 97%); %
D=99.2% at the chiral center.
Synthesis of
rac-1-(m-chlorophenyl)-2-(tert-butylamino)-(2-.sup.2H)-propan-1-one
deuterated trifluoroacetic Acid Salt
[0163]
rac-1-(m-Chlorophenyl)-2-(tert-butylamino)-(2-.sup.2H)-propan-1-one
(0.91 g, 3.78 mmol) was dissolved in 25 mL EtOAc. Deuterated
trifluoroacetic (d-TFA, 291 .mu.L, 3.78 mmol., 1 eq.) was added at
once. Another batch of 32 mg of
rac-1-(m-chlorophenyl)-2-(tert-butylamino)-(2-.sup.2H)-propan-1-one
was treated similarly. The solutions were combined and concentrated
to an oil. The residual solvent was removed by dissolving the oil
in dichloromethane (DCM, 5 mL) followed by concentration. The
procedure was repeated a second time to give the d-TFA salt of
rac-1-(m-chlorophenyl)-2-(tert-butylamino)-(2-.sup.2H)-propan-1-one
as a white solid which was dried under high vacuum for 1 h. Yield:
1.2037 g (3.374 mmol, 86%, 81% over two steps); % D=98.7% at the
chiral center.
Example 2--Isolation of Enantiomers A and B of Deuterated Bupropion
as Deuterium Chloride Salts from Deuterated Racemic Bupropion
Deutero-Trifluoroacetic Acid Salt
[0164] The d-TFA salt of
rac-1-(m-chlorophenyl)-2-(tert-butylamino)-(2-.sup.2H)-propan-1-one
(1.2 g) was dissolved in 54 mL of a mixture of hexane and
2-propanol (80:20 (v/v)) and separated by HPLC using a Chiralcel
OD-H column and a mobile phase system of hexane: 2-propanol:
2-propylamine:trifluoroacetic acid (90:10:0.025:0.03 (v/v)). Peaks
were detected by their UV signal at 275 nm. Pooled fractions of
Enantiomer A (first eluting peak, ca. 300 mL) were concentrated
under reduced pressure at 25.degree. C. The resultant oily residue
was dissolved in EtOAc (38 mL), washed quickly with satd
NaHCO.sub.3 (0.64 g in 15 mL HPLC quality water; 152 mmol) and
water (15 mL) then dried over anhydrous magnesium sulfate (1.2 g).
Following filtration and washing the filter cake with additional
EtOAc (2.times.10 mL), the filtrates were concentrated. The DCl
salt was formed by dissolving the resulting oil in a mixture of
hexane and perdeuterated (.sup.2H.sub.8)-2-propanol 90:10 (v/v)
followed by dropwise addition of a 1 M solution of DCl in diethyl
ether (Et.sub.2O, 3 mL), and evaporation of the solvents in vacuo.
Pooled fractions of Enantiomer B (second eluting peak) were treated
separately following the same protocol. After separation, 325 mg
(1.164 mmol) and 367 mg (1.314 mmol) of the DCl salts of
Enantiomers A and B of deuterium-enriched bupropion were obtained.
Overall yield: 792 mg of (R)- and (S)-enantiomers (2.478 mmol,
73%).
[0165] Enantiomer A: 99.4% ee; .sup.1H NMR (200 MHz, d.sub.6-DMSO)
.delta. (ppm): 8.27 (s, 1H), 8.15 (d, 1H), 7.86 (d, 1H), 7.67 (t,
1H), 1.51 (s, 3H), 1.31 (s, 9H); elemental analysis: Anal. Calcd
for C13H.sub.16[.sup.2H].sub.3ClNO: C, 55.93; H, 6.86; N, 5.02; Cl,
25.40. Found: C, 55.59; H, 6.65; N, 4.94; Cl, 25.19.
[0166] Enantiomer B: 96.6% ee; .sup.1H NMR (200 MHz, d.sub.6-DMSO)
.delta. (ppm): 8.27 (s, 1H), 8.15 (d, 1H), 7.86 (d, 1H), 7.67 (t,
1H), 1.51 (s, 3H), 1.31 (s, 9H); elemental analysis: Anal. Calcd
for C13H.sub.16[.sup.2H].sub.3ClNO: C, 55.93; H, 6.86; N, 5.02; Cl,
25.40. Found: C, 55.34; H, 6.70; N, 4.76; Cl, 24.31.
Example 3--Determination of Absolute Configuration of
1-(m-chlorophenyl)-2-(tert-butylamino)-(2-.sup.2H)-propan-1-one
enantiomers A and B by their CYP2B6-Catalyzed Metabolism
[0167] Phase I metabolism of bupropion by CYP2B6 is known to lead
to formation of the metabolite hydroxybupropion (Scheme 2). This
metabolic transformation has been shown to be stereoselective,
i.e., metabolism of (S)-bupropion preferentially leads to formation
of (S,S)-hydroxybupropion while (R)-bupropion is mostly metabolized
to (R,R)-hydroxybupropion (Coles R. and Kharasch E.D. Pharm. Res.
25 (2008), 1405-1411). CYP2B6-catalyzed phase I metabolism of
racemic protonated or deuterated bupropion results the (R,R) and
(S,S) stereoisomers of hydroxybupropion.
##STR00029##
[0168] Thus, the deuterium chloride salts of enantiomers A and B of
1-(m-chlorophenyl)-2-(tert-butylamino)-(2-.sup.2H)-propan-1-one (40
.mu.M) were incubated at 37.degree. C. in the presence of CYP2B6
Supersomes.TM. at two CYP2B6 concentrations (2.5 and 25 pmol/mL).
Aliquots were taken after 0, 10, and 30 minutes of incubation.
Reactions were stopped by addition of a solution containing water,
acetonitrile, and formic acid (92:5:3 v/v/v). Control reactions
consisted of incubation of the test compounds for 30 minutes with
insect control Supersomes.TM. at protein content equivalent to 2.5
and 25 pmol/mL CYP2B6 to confirm the absence of non-CYP2B6
catalyzed reaction of the test compounds. CYP2B6 Supersomes.TM.
were also incubated for 30 minutes in the absence of test substance
to check for microsomal-related material that could interfere with
the analysis. Finally the metabolic viability of the Supersomes.TM.
was evaluated by incubation of rac-bupropion as a model substrate
(duplicate incubations for 10 min at 25 pmol/mL CYP2B6).
[0169] Bupropion enantiomers and the (S,S)- and
(R,R)-hydroxybupropion metabolites in the incubation samples were
separated by chiral HPLC on a Chiralpak AGP column (100.times.2 mm,
5 m, Chiral Technologies, West Chester, Pa.), equipped with a
Chiralpak AGP guard column (10.times.2 mm, Chiral Technologies,
West Chester, Pa.) with gradient elution using a mobile phase
consisting of solvent A (aqueous 20 mM ammonium formate, pH=5.7)
and solvent B (methanol). Peaks were detected by mass spectrometry
as their molecular ion (m z=241 and 257 for deuterated bupropion
and deuterated hydroxybupropion, respectively). Enantiomers A and B
of deuterated bupropion eluted at 8.3 and 4.0 min while (S,S)- and
(R,R)-hydroxybupropion gave peaks at 4.5 and 9.2 min. Enantiomer A
was shown to be metabolized to (S,S)-hydroxybupropion while
enantiomer B gave (R,R)-hydroxybupropion.
[0170] The (S)-absolute configuration was assigned to enantiomer A
in Example 2. The (R)-absolute configuration was assigned to
enantiomer B in Example 2.
[0171] Finally, approximately 82% of
(S)-1-(m-chlorophenyl)-2-(tert-butylamino)-(2-.sup.2H)-propan-1-one
(d-S-bupropion) remained after 30 min of incubation, while the
deuterated (R) enantiomer (d-R-bupropion) appeared more stable with
approximately 90% remaining after 30 min of incubation.
Example 4--Inhibitory Activity of
1-(m-chlorophenyl)-2-(tert-butylamino)-(2-.sup.2H)-propan-1-one
(S)- and (R)-Enantiomers on the Dopamine Transporter and
Norepinephrine Transporter
[0172] The inhibitory activity of the (S)- and (R)-enantiomers of
1-(m-chlorophenyl)-2-(tert-butylamino)-(2-.sup.2H)-propan-1-one on
the dopamine transporter and norepinephrine transporter were
tested. Experimental procedures and results are described
below.
Dopamine Transporter (DAT) Inhibition
[0173] The inhibitory activity of the (S)- and (R)-enantiomers of
1-(m-chlorophenyl)-2-(tert-butylamino)-(2-.sup.2H)-propan-1-one was
evaluated in the rat synaptosome assay (Cerep, France). Briefly,
each compound was incubated for 15 min at 37.degree. C. with rat
striatum synaptosomes in the presence of tritiated dopamine (DA).
The uptake of radiolabeled DA by the synaptosomes was measured by
scintillation counting as a function of compound concentration.
Inhibition of the dopamine transporter is observed when the amount
of radioactivity in the synaptosomes is lower in the presence of
the test article than in its absence. Analysis of the data was
performed using the log(inhibitor) vs. response--variable slope
(four parameters) model in GraphPad Prism 6.0 (GraphPad Software,
Inc., La Jolla, Calif.), where response is % inhibition (%
inhibition=100 [(DA uptake).sub.control-(DA
uptake).sub.compound)]/(DA uptake)vehicle). Both inhibition curves
were characterized by Hill slopes close to 1.
[0174] Results of the assay are shown in FIG. 1. The (S)-enantiomer
was found to be approximately 10-fold more potent than the
(R)-enantiomer at inhibiting uptake of DA in rat striatum
synaptosomes.
(S)-1-(m-chlorophenyl)-2-(tert-butylamino)-(2-.sup.2H)-propan-1-one
had an IC.sub.50=0.42 in this assay, while
(R)-1-(m-chlorophenyl)-2-(tert-butylamino)-(2-.sup.2H)-propan-1-one
had an IC.sub.50=4.2 .mu.M in this assay.
Norepinephrine Transporter (NET) Inhibition Assay
[0175] The inhibitory activity of the (S)- and (R)-enantiomers of
1-(m-chlorophenyl)-2-(tert-butylamino)-(2-.sup.2H)-propan-1-one was
evaluated in the rat synaptosome assay (Cerep, France). Briefly,
compounds were incubated for 20 min at 37.degree. C. with rat
hypothalamus synaptosomes in the presence of tritiated
norepinephrine (NE). The uptake of radiolabeled NE by the
synaptosomes was measured as a function of compound concentration.
Inhibition of the transporter is observed when the amount of
radioactivity in the synaptosomes is lower in the presence of test
article. Analysis of the data was performed using the
log(inhibitor) vs. response--variable slope (four parameters) model
in GraphPad Prism 6.0 (GraphPad Software, Inc., La Jolla, Calif.),
where response is % inhibition (% inhibition=100 [(NE
uptake).sub.control-(NE uptake).sub.compound)]/(NE uptake)vehicle).
Both inhibition curves were characterized by Hill slopes close to
1.
[0176] Results of the assay are shown in FIG. 2. The (S)-enantiomer
was found to be approximately 2.5-fold more potent than the
(R)-enantiomer at inhibiting uptake of NE in rat hypothalamus
synaptosomes.
(S)-1-(m-chlorophenyl)-2-(tert-butylamino)-(2-.sup.2H)-propan-1-one
had an IC.sub.50=2.30 in this assay, while
(R)-1-(m-chlorophenyl)-2-(tert-butylamino)-(2-.sup.2H)-propan-1-one
had an IC.sub.50=5.76 .mu.M in this assay.
Example 5--Functional Characterization of the Enantiomers of
1-(meta-chlorophenyl)-2-(tert-butylamino)-(2-.sup.2H)-propan-1-one
(deuterated bupropion) at human .alpha.7 and .alpha.4.beta.2
nicotinic acetylcholine receptors (nACHRs)
[0177] Inhibition of human .alpha.7 and .alpha.4.beta.2 nicotinic
acetylcholine receptors by the (S)-enantiomer of
1-(m-chlorophenyl)-2-(tert-butylamino)-(2-.sup.2H)-propan-1-one
(hereinafter "d-S-bupropion") and the (R)-enantiomer of
1-(m-chlorophenyl)-2-(tert-butylamino)-(2-.sup.2H)-propan-1-one
(hereinafter "d-R-bupropion") was evaluated. Experimental
procedures and results are provided below.
Part I--Experimental Procedure
[0178] Evaluation of the antagonist activity of the enantiomers of
deuterated bupropion at .alpha.7 and .alpha.4.beta.2 nicotinic
acetylcholine receptors (nAChRs) was carried out in Xenopus Laevis
oocytes prepared and injected with the corresponding cDNA using
standard procedures. Receptor expression was examined two days
after injection. For .alpha.4.beta.2 nAChR, the two cDNAs were
injected in equimolar amounts. All experiments were performed at
18.degree. C. and cells were superfused with OR2 medium containing
82.5 mM sodium chloride, 2.5 mM potassium chloride, 5 mM HEPES, 1.8
mM calcium chloride, and 1 mM magnesium chloride at pH 7.4. A
two-electrode voltage-clamp configuration was used to record
currents evoked by acetylcholine addition. Data acquisition and
analysis was performed in Matlab (Mathworks, Inc., Natick, Mass.).
Statistical analysis was executed in Excel (Microsoft Corp,
Redmond, Wash.) or Matlab (Mathwork, Inc., Natick, Mass.). All
experiments were carried out using at least 3 oocytes.
Part II--Results
[0179] Results from the assay are provided in Table 5 below, which
shows data on inhibition of acetylcholine induced current by the
enantiomers of deuterated bupropion in Xenopus Laevis oocytes
overexpressing .alpha.4.beta.2 or .alpha.7 nicotinic acetylcholine
receptors. The assay results showed that both d-S-bupropion and
d-R-bupropion inhibited the two nAChRs tested in a dose-dependent
manner. Both d-S-bupropion and d-R-bupropion were more potent
antagonists at .alpha.4.beta.2 than at .alpha.7. d-S-Bupropion was
approximately 5-fold more potent than d-R-bupropion at inhibiting
the .alpha.4.beta.2 receptor. d-S-Bupropion was approximately
1.5-fold less potent than d-R-bupropion at inhibiting .alpha.7.
TABLE-US-00005 TABLE 5 d-S-bupropion d-R-bupropion IC.sub.50
.alpha.4.beta.2 (.mu.M) 0.81 3.72 IC.sub.50 .alpha.7 (.mu.M) 43.2
28.7
Example 6--Behavioral Effects of the (S)- and (R)-enantiomers of
1-(meta-chlorophenyl)-2-(tert-butylamino)-(2-.sup.2H)-propan-1-one
in female cd-1 mice
[0180] The behavioral effects of the (S)-enantiomer of
1-(m-chlorophenyl)-2-(tert-butylamino)-(2-.sup.2H)-propan-1-one
(hereinafter "d-S-bupropion") and the behavioral effects of the
(R)-enantiomer of
1-(m-chlorophenyl)-2-(tert-butylamino)-(2-.sup.2H)-propan-1-one
(hereinafter "d-R-bupropion") were evaluated in female CD-1 mice.
Experimental procedures and results are provided below.
Part I--Experimental Procedure
[0181] Female CD-1 mice (Harlan Laboratories Inc., Indianapolis,
Ind.) were randomized to treatment groups (n=7-10 per group)
consisting of a single intraperitoneal (i.p.) injection of
d-S-bupropion and d-R-bupropion, respectively, at 100, 125, or 150
mg/kg and 10 mL/kg in 0.9% sodium chloride. Individual body weights
were used for dose volume calculations. Equal numbers of animals
per group were tested each day. After dosing, study animals were
housed individually in standard clear Plexiglas mouse cages and
observed for a period of 2 h. Animals were also observed 24 h
post-dose. During the 2 h observation period, presence or absence
of ataxic gait, paralysis, hyperactivity, hypoactivity, and
catatonic episodes was recorded. Number, time of onset, duration,
and intensity of convulsions were also recorded. Duration of each
convulsion was graded as short (1 to 10 s), medium (11 to 30 s), or
long (>31 s). Intensity of convulsion was similarly graded as
mild, moderate, or severe. Any animal showing a single episode of
severe seizure longer than 1 min or experiencing greater than 40
consecutive episodes of severe convulsions over 1 h or less was
euthanized.
Part II--Results
[0182] Experimental results are provided in Table 6 below, which
shows the number of female CD-1 mice per dose group (in %)
experiencing behavioral effects upon intraperitoneal injection of
d-S-bupropion (d-S) or d-R-bupropion (d-R) at a dosage of 100, 125,
or 150 mg/kg. Intraperitoneal administration of d-S-bupropion
resulted in fewer animals experiencing catatonic events than dosing
of d-R-bupropion at all dose levels. Hypoactivity was observed in
all mice dosed with d-R-bupropion, while hypoactivity was only
observed at a high dose of d-S-bupropion. Conversely, hyperactivity
was present only in mice administered d-S-bupropion and in
decreasing numbers with increasing dose.
TABLE-US-00006 TABLE 6 Behavior 100 mg/kg 125 mg/kg 150 mg/kg
Effect d-S d-R d-S d-R d-S d-R convulsions 40% 33% 70% 60% 100%
100% ataxia 70% 56% 89% 80% 100% 90% catatonia 10% 78% 44% 90% 80%
100% hyperactivity 100% 0% 78% 0% 20% 0% hypoactivity 0% 100% 0%
100% 80% 100%
Example 7--Analysis of Pharmacokinetics of the (S)- and
(R)-enantiomers of
1-(meta-chlorophenyl)-2-(tert-butylamino)-(2-.sup.2H)-propan-1-one
in Comparison with
rac-1-(meta-chlorophenyl)-2-(tert-butylamino)-propan-1-one in
Mice
[0183] The pharmacokinetic (PK) profiles of the (S)-enantiomer of
1-(m-chlorophenyl)-2-(tert-butylamino)-(2-.sup.2H)-propan-1-one
(hereinafter "d-S-bupropion") and the (R)-enantiomer of
1-(m-chlorophenyl)-2-(tert-butylamino)-(2-.sup.2H)-propan-1-one
(hereinafter "d-R-bupropion") were evaluated in comparison with
racemic-1-(m-chlorophenyl)-2-(tert-butylamino)-propan-1-one
(hereinafter "h-rac-bupropion") in mice. Experimental procedures
and results are provided below.
Part I--Experimental Procedure
[0184] The PK profiles of d-S-bupropion and d-R-bupropion were
compared to that of h-rac-bupropion in mice. As appreciated,
h-rac-bupropion is a 1:1 mixture of the two protonated enantiomers
h-S-bupropion and h-R-bupropion. Male C57BL/6 mice were
administered by oral gavage d-S-bupropion, d-R-bupropion, or
h-rac-bupropion at 75, 75, and 150 mg/kg respectively, to adjust
for levels of the enantiomers in h-rac-bupropion. Animals were
euthanized at preset time points (n=3 per time point). Plasma
samples were collected and analyzed by chiral HPLC/MS-MS for the
enantiomers of protonated and deuterated bupropion, i.e.,
h-S-bupropion, h-R-bupropion, d-S-bupropion, and d-R-bupropion, and
the active diastereomers of protonated and deuterated metabolite
hydroxybupropion, i.e., SS- and RR-hydroxybupropion, respectively.
The HPLC method was similar to that described above in Example 3.
Quantitative data was analyzed in Excel (Microsoft Corp, Redmond,
Wash.) using the PKSolver add-in (version 2, as described by Zhang
et al. in ComputMethods Programs Biomed 99 (2010) 306-314) to
determine PK parameters.
Part II--Results
[0185] Experimental results are shown in FIG. 3 and Tables 7 and 8.
FIG. 3 graphically compares exposure to each enantiomer of
bupropion as the sum of both protonated and deuterated isotopomers,
and the exposure to each of the two observed diastereomers of
hydroxybupropion as the sum of both protonated and deuterated
isotopomers, after oral gavage. Tables 7 and 8 collectively provide
data on elimination half-lives, t.sub.1/2, and area under the
curve, AUC.sub.0-t, for the enantiomers of protonated and
deuterated bupropion and the diastereomers of protonated and
deuterated hydroxybupropion metabolites obtained by analysis of PK
data collected in male C57BL/6 mice after oral gavage with 150
mg/kg h-rac-bupropion, 75 mg/kg d-S-bupropion or 75 mg/kg
d-R-bupropion. The abbreviations hR, hS, dR, dS, hRR, hSS, dRR, and
dSS stand for h-R-bupropion, h-S-bupropion, d-R-bupropion,
d-S-bupropion, h-RR-hydroxybupropion, h-SS-hydroxybupropion,
d-RR-hydroxybupropion, and d-SS-hydroxybupropion, respectively.
[0186] When mice were gavaged with each deuterated enantiomer of
bupropion, exposure to the corresponding enantiomer of bupropion or
hydroxybupropion was unchanged compared to what was observed after
administration of the racemate, h-rac-bupropion. Animals gavaged
with d-S-bupropion showed almost exclusive exposure to
(S)-bupropion and (S,S)-hydroxybupropion and very little
(R)-bupropion and (R,R)-hydroxybupropion. Likewise, animals
administered d-R-bupropion exhibited very limited exposure to
(S)-bupropion and (S,S)-hydroxybupropion. Limited
deuterium/hydrogen exchange was evidenced by the minimal exposure
to the protonated enantiomers of bupropion and diastereomers of
hydroxybupropion in mice administered either d-R-bupropion or
d-S-bupropion.
[0187] In all 3 dose groups, exposure to the diastereomers of
hydroxybupropion was higher than to the enantiomers of bupropion
(RR/R.about.3 and SS/S.about.1.3). Elimination half-lives of the
enantiomers of bupropion and the diastereomers of hydroxybupropion
were also unaffected by deuteration.
TABLE-US-00007 TABLE 7 Com- t.sub.1/2 (h) pound hR hS hRR hSS dR dS
dRR dSS h-rac- 1.1 1.2 4.7 2.6 -- -- -- -- bupropion d-S- 1.4 1.1
-- -- -- 0.9 -- 2.2 bupropion d-R- 1.7 -- 2.5 -- 1.7 -- 2.5 --
bupropion
TABLE-US-00008 TABLE 8 Com- AUC.sub.0-t (ng h/mL) pound hR hS hRR
hSS dR dS dRR dSS h-rac- 6798 5265 18393 6591 -- -- -- -- bupropion
d-S- 269 469 1129 395 -- 4763 -- 6545 bupropion d-R- 496 340 1685
169 7342 -- 22059 -- bupropion
INCORPORATION BY REFERENCE
[0188] All references listed herein are individually incorporated
in their entirety by reference.
EQUIVALENTS
[0189] Numerous modifications and variations of the invention are
possible in light of the above teachings. It is therefore to be
understood that within the scope of the appended claims, the
invention may be practiced otherwise that as specifically described
herein.
* * * * *