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US010292951B2 (12 ) United States Patent ( 10) Patent No. : US 10 ,292 , 951 B2 Glick et al. (45 ) Date of Patent: May 21, 2019 (54 ) METHODS AND COMPOSITIONS FOR (58 ) Field of Classification Search TREATING CONDITIONS ASSOCIATED CPC ...... A61K 31 / 167 WITH AN ABNORMAL INFLAMMATORY See application file for complete search history . RESPONSES (56 ) References Cited (71 ) Applicant: First Wave Bio , Inc ., Ann Arbor, MI U .S . PATENT DOCUMENTS (US ) 3 , 079 ,297 A 2 / 1963 Schraufstatter et al. (72 ) Inventors : Gary D . Glick , Ann Arbor, MI (US ) ; 5 ,663 , 155 A * 9 / 1997 McCaffrey ...... A61K 31/ 70 Luigi Franchi, Ann Arbor, MI (US ) ; 514 / 45 Giancarlo Santus, Milan ( IT ) ( Continued ) (73 ) Assignee : First Wave Bio , Inc ., Ann Arbor , MI FOREIGN PATENT DOCUMENTS (US ) CN 105063018 A * 11 / 2015 ( * ) Notice : Subject to any disclaimer, the term of this EP 0938338 9 /2009 patent is extended or adjusted under 35 (Continued ) U . S . C . 154 (b ) by 0 days . OTHER PUBLICATIONS (21 ) Appl . No. : 15 /255 , 102 CureZone .org ( http : // www . curezone .org / forums/ fm .asp ? i = ( 22 ) Filed : Sep . 1 , 2016 2146880 # i, accessed May 15 , 2017, dated Feb . 2 , 2014 ). * (Continued ) (65 ) Prior Publication Data Primary Examiner — Benjamin J Packard US 2017 /0056347 A1 Mar. 2 , 2017 (74 ) Attorney , Agent, or Firm — Fish & Richardson P .C . (57 ) ABSTRACT This disclosure features chemical entities (e .g ., a compound Related U . S . Application Data exhibiting activity as a mitochondrial uncoupling agent or a (60 ) Provisional application No . 62/ 213 ,016 , filed on Sep . pharmaceutically acceptable and / or hydrate and /or coc 1 , 2015 , provisional application No. 62 / 241, 508 , filed rystal thereof ; e . g . , a compound , such as or a on Oct. 14 , 2015 . pharmaceutically acceptable salt and /or hydrate and /or coc rystal thereof; e . g . , a compound , such as a niclosamide (51 ) Int. Ci. analog , or a pharmaceutically acceptable salt and /or hydrate A61K 31/ 167 ( 2006 .01 ) and / or cocrystal thereof ) that are useful, e . g ., for treating one A61K 9 /00 ( 2006 .01 ) or more symptoms of a pathology characterized by an (Continued ) abnormal inflammatory response ( e . g . , inflammatory bowel (52 ) U .S . CI. diseases ) in a subject ( e . g ., a human ) . This disclosure also CPC . . .. . A61K 31/ 167 (2013 .01 ) ; A61K 9 / 0031 features compositions as well as other methods of using and ( 2013 .01 ) ; A61K 9 / 10 ( 2013 .01 ) ; making the same. (Continued ) 60 Claims, 7 Drawing Sheets

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(51 ) Int . CI. OTHER PUBLICATIONS A61K 45 /06 ( 2006 .01 ) Sanphui et al (Cryst . Growth Des. , 2012 , 12 (9 ) , pp . 4588 -4599 ). * A61K 9 / 10 ( 2006 .01 ) Frizelle and Coils ( Dis Colon Rectum , Feb . 2005 , v48 n2 , 393 A61K 47 / 32 ( 2006 .01 ) 396 ) . * A61K 47 / 38 (2006 .01 ) Transcript of a telephonic : hearing before the Honorable Leonard P. A61K 9 / 16 ( 2006 .01 ) Stark , which included counsel for Plaintiffs and counsel for Defen ( 52 ) U .S . CI. dants, concerning Plaintiffs ' motion for a temporary restraining CPC order , Jun . 9 , 2017 . Case IFM Therapeutics, Inc. , First Wave Bio , ...... A61K 45 / 06 ( 2013 .01 ) ; A61K 9 / 1635 Inc. , Gary D . Glick and Luigi Franchi v . Lycera Corporation ( 2013 .01 ); A61K 47 /32 ( 2013 .01 ); A61K 47/ 38 ( 17 - CV - 608 ) ( D . Del. ) . ( 2013. 01 ) Memorandum Order issued by the Honorable Leonard P . Stalk on Jun . 12 , 2017, Case IFM Therapeutics, Inc ., First Wave Bio , Inc. , ( 56 ) References Cited Gary D . Glick, and Luigi Franchi v. Lycera Corporation (17 -cv 608 ) ( D . Del. ) . U . S . PATENT DOCUMENTS Answer and Counterclaim filed by the Defendant on Jun . 16 , 2017 ., 5 , 905 , 090 A 5/ 1999 Bertolini Case IFM Therapeutics, Inc. , First Wave Bio , Inc. , Gary D . Glick , 7 , 132 ,546 B2 11/ 2006 Kato et al. and Luigi Franchi v . Lycera Corporation ( 17 -cv -608 ) ( D . Del. ) . 7 ,691 , 578 B2 4 / 2010 Spiegelman Grifasi et al. , “ Using Salt Cosrystals to Improve the of 7 ,927 ,613 B2 4 / 2011 Almarsson et al. Niclosamide , " Cryst . Growth Des. 2015 , 15 : 1939 - 1948 . 7 ,989 , 498 B2 8 / 2011 Saunders CureZone .org , dated Feb . 2 , 2014 , retrieved on May 15, 2017 , 8 , 097 , 759 B2 1 / 2012 Muto et al. retrieved from http : / /www .curezone . org / forums/ fm .asp ? i = 8 , 148 , 328 B2 4 / 2012 Fogelman 2146880 # i , 2 pages. 8 , 262 ,657 B2 9 / 2012 Muto et al . Filipski et al. , “ Intestinal targeting of : rational design approaches 9 , 308 ,213 B2 4 / 2016 Bannister et al . and challenges , ” Current Topics in Medicinal . , 13 ( 7 ) :776 9 , 546 ,211 B2 1 /2017 Singh 802 , 2013 . 9 ,598 , 422 B2 3 / 2017 Beck et al. Imramovsky et al . , “ Crystal Structure of the 5 - Chloro : 2004 / 0091523 A1 * 5 / 2004 Weibel .. . . A61K 9 /0095 424 /452 Three Different Types of the H -bonding Influenced Linear Chain 2005 / 0123571 A1 6 / 2005 Rossini et al. Formation in the Solid State ,” Crystals. , 2 :349 - 361, Epub May 3 , 2009 /0062396 Al 3 / 2009 Olesen et al. 2012 . 2012 / 0035106 Al 2 / 2012 Betancourt et al. International Search Report and Written Opinion in International 2013 / 0078226 A 3 / 2013 Nakauchi et al. Application No. PCT/ US2016 /050012 , dated Jan . 23 , 2017 , 22 2013/ 0231312 AL 9 / 2013 Jin pages . 2013 / 0243886 AL 9 / 2013 Hu et al. Lawrance et al. , “ A murine model of chronic inflammation - induced 2014 /0256661 A1 * 9 / 2014 Armstrong ...... A61K 9 / 0031 intestinal fibrosis down - regulated by antisense NF -kappa B , ” Gas 514 / 29 troenterology. , 125 (6 ): 1750 -1761 , Dec . 2003 . 2015 /0056160 A1 2 / 2015 Bachynsky et al. Luedeker et al. , “ Crystal Engineering of Pharameutical Co -crystals : 2015 /0133405 Al 5 / 2015 Pelletier et al . “ NMR Crystallography " of Niclosamide Co - crystals ,” Cryst. Growth 2016 /0243117 AL 8 /2016 Menon et al. Des. 2016 16 :3087 - 3100 . Mook et al ., Bioorg . Med Chem 2015 , 23, 5829 . FOREIGN PATENT DOCUMENTS Morin et al ., “ Niclosamide Prevents Systemic Sclerosis in a Reac tive Oxygen Species - Induced Mouse Model, ” J Immunol, 2016 , EP 3168211 5 / 2017 197 :3018 - 3028 . WO WO 2004 /006906 1 / 2004 Sanphui et al ., “ Pharmaceutical Cocrystals of Niclosamide, " Cryst . WO WO 2006 / 120178 11/ 2006 WO WO 2010 / 048114 4 / 2010 Growth Des . 12 ( 9 ) : 4588 -4599 , 2012 . WO WO 2011 /035321 3 / 2011 IFM Therapeutics, Inc. , First Wave Bio , Inc ., Gary D . Glick , and WO WO 2012 /068274 5 / 2012 Luigi Franchi, Plantiff , v . , Lycera Corporation , Defendant, C . A . WO WO 2012 / 143377 10 / 2012 No . 17 -608 -LPS , Memorandun Opinion , Aug. 31 , 2018 , 25 pages . WO WO 2014 / 108571 7 / 2014 WO WO 2005 /017755 2 / 2015 * cited by examiner U . S . Patent May 21, 2019 Sheet 1 of 7 US 10 ,292 , 951 B2

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METHODS AND COMPOSITIONS FOR tory or immunosuppressive drugs . Salicylazosulfapyridine TREATING CONDITIONS ASSOCIATED and 5 -aminosalicylic are used to treat mild IBD and as WITH AN ABNORMAL INFLAMMATORY maintenance therapy if disease remission can be achieved . RESPONSES are used in patients with moderate to severe disease . However, clinical remission can only be obtained in CROSS REFERENCE TO RELATED ~ 60 % of patients , and just about half of these stay in APPLICATIONS remission after treatment is discontinued . This last point is significant because long- term use of corticosteroids carries a This application claims the benefit of U . S . Provisional significant risk of serious . Application No . 62/ 213 , 016 , filed on Sep . 1 , 2015 and U . S . 10 Immunosuppressive drugs can also be used to treat mod Provisional Application No . 62 /241 , 508 , filed on Oct . 14 , erate to severe cases of IBD , often as a replacement for 2015 ; each of these prior applications is incorporated herein therapy. However , immunosuppressive drugs ( e . g . , by reference in its entirety . ) usually cannot ensure control of symptoms, and treatment is accompanied by numerous contraindica TECHNICAL FIELD 15 tions and severe side effects . Drugs that often show the best efficacy in treating IBD are This disclosure features chemical entities ( e .g ., a com - systemically administered (via injection or infusion ) mono pound exhibiting activity as a mitochondrial uncoupling clonal antibodies that block TNF -alpha , a pro - inflammatory agent or a pharmaceutically acceptable salt, and / or hydrate , cytokine overproduced during all forms of IBD ( e . g ., UC , and / or cocrystal, and /or combination thereof; e . g . , a 20 CD , graft - versus -host disease , celiac disease , iatrogenic compound , such as niclosamide or a pharmaceutically colitis such as that induced by checkpoint inhibitors, etc . ) . acceptable salt , and / or hydrate , and / or cocrystal, and / or drug Reducing levels of TNF - alpha in the context of IBD has two combination thereof; e. g ., a compound , such as a niclos - consequences . First, as an inflammatory cytokine , TNF amide analog, or a pharmaceutically acceptable salt, and / or alpha mediates tissue damage . Second , high levels of TNF hydrate , and / or drug combination , and / or cocrystal thereof) 25 alpha help disease causing T cells to survive and blocking that are useful , e . g ., for treating one or more symptoms of a TNF -alpha activity eventually leads to T cell death . Indeed , pathology characterized by an abnormal inflammatory the induction of cell death by anti - TNF - alpha drugs like response ( e . g ., inflammatory bowel diseases ) in a subject infliximab can predict clinical improvement in patients . ( e . g . , a human ) . This disclosure also features compositions Although effective , use of anti- TNF - alpha drugs is asso as well as other methods of using and making the same. 30 ciated with severe , systemic side effects including, re activation of latent pathogens, hypersensitivity phenomena , BACKGROUND , and the formation of autoantibodies . Some patients are inherently resistant to anti - TNF - alpha drugs and over (UC ) and Crohn ' s disease (CD ) are the time, almost half of all patients that do show a response , predominant chronic, inflammatory bowel diseases ( IBD ) in 35 develop resistance . humans. These disorders are autoimmune in nature and From the foregoing it is clear that there is need for new occur in the absence of . IBD effects up to 2 ,000 , drugs to treat IBD that are more effective , less toxic , less 000 Americans ( increasing ~ 15 % annually ) and it is asso expensive , and more convenient to administer versus stan ciated with unacceptably high rates of morbidity and mor - dard of care . tality . IBD is also a significant burden on the U . S . health care 40 Niclosamide (5 -chloro -N -( 2 - chloro - 4 -nitrophenyl ) -2 -hy system as the most effective treatments are biological drugs drobenzamide ) is a halogenated that belongs that are quite costly . to a group of medicines known as . Anthel IBD occurs as the result of inappropriate immune mintics are medicines used in the treatment of worm infec responses in genetically susceptible individuals mediated by tions. Niclosamide , which has low systemic complex interactions between environmental stimuli , micro - 45 and an excellent safety profile , is used to treat broad or fish bial factors , and the intestinal immune system . The hallmark tapeworm , dwarf tapeworm , and beef tapeworm . of IBD is represented by excessive immune responses that It is believed that Niclosamide inhibits oxidative phospho mediate gastrointestinal tissue damage , either directly or rylation and stimulates triphosphatase activity in through the release of soluble , pro - inflammatory mediators. the mitochondria of cestodes ( e . g . , tapeworm ), killing the T cells are a type of immune cell that infiltrate the 50 scolex and proximal segments of the tapeworm both in vitro intestinal mucosa and are key drivers of gastrointestinal and in vivo ( see , Li, Y ., et al. , Cancer Lett. 2014 349 , 8 - 14 .) . tissue damage in IBD . These cells persist and accumulate in Recent studies have also identified other potential uses of the intestinal mucosa because normal physiologic mecha - niclosamide ; e . g ., as a potential anticancer agent (Id . ) ; and as nisms designed to censor or eliminate activated T cells are an agent for treating , preventing and / or alleviating the inoperative in the context of IBD . While the exact basis for 55 symptoms of type II and diabetes -related disorders T cell accumulation in IBD is not fully elucidated , chronic or complications ( see , e . g . , WO 2012 /068274 ) . U . S . Pat . No . activation by microbial stimuli along with the cytokine 8 , 148 , 328 discloses that niclosamide enhances the oral bio milieu at the sites of inflammation within gastrointestinal availability of certain . tissue are thought to be important. Regardless of how these cells persist , enhancing T cell death in the intestinalmucosa 60 SUMMARY is linked with resolution of IBD and drugs that are most effective in managing IBD function ( in part ), by killing This disclosure features chemical entities ( e. g ., a com pathogenic T cells resident in the gut. pound exhibiting activity as a mitochondrial uncoupling Although different forms of IBD show pathophysiological agent or a pharmaceutically acceptable salt, and / or hydrate , and clinical differences , the therapeutic approach to manag - 65 and / or cocrystal, and / or drug combination thereof; e . g . , a ing IBD shares many common elements . Medical manage compound , such as niclosamide or a pharmaceutically ment of IBD is largely empirical, employing anti - inflamma acceptable salt, and / or hydrate , and/ or cocrystal , and / or drug US 10 , 292 , 951 B2 combination thereof; e. g ., a compound , such as a niclos - resistant patient populations , e . g. , one that is nonresponsive amide analog , or a pharmaceutically acceptable salt , and / or or resistant to treatment an anti - TNFalpha therapy ( e . g . , hydrate , and / or drug combination , and / or cocrystal thereof) Humira , Enbrel , Remicade) . that are useful, e. g. , for treating one or more symptoms of a In one aspect , methods for inducing cell death of one or pathology characterized by an abnormal inflammatory 5 more T cells ( e . g ., in the digestive and /or gastrointestinal response ( e .g ., inflammatory bowel diseases) in a subject tract (GI ) , skin , eyes , or joints ) , of a subject are provided . ( e. g ., a human ). This disclosure also features compositions The methods include contacting the one or more T cells with as well as other methods of using and making the same. an effective amount of a chemical entity ( e . g . , a compound This disclosure is based , in part , on the finding that exhibiting activity as a mitochondrial uncoupling agent or a niclosamide kills pathogenic T cells isolated from IBD " pharmaceutically acceptable salt and /or hydrate and / or coc patients and is effective in murine models of IBD . While not rystal thereof ; e . g . , a compound , such as niclosamide or a wishing to be bound by theory , it is believed that the pharmaceutically acceptable salt and /or hydrate and /or coc chemical entities described herein ( e . g ., niclosamide or a rystal thereof; e . g ., a compound , such as a niclosamide pharmaceutically acceptable salt and / or hydrate and / or coc - 16 analog , or a pharmaceutically acceptable salt and / or hydrate rystal thereof) uncouple mitochondrial respiration from oxi- and /or cocrystal thereof) as defined anywhere herein . dative phosphorylation in one or more T cells , thereby I n another aspect, methods for treating a subject having a disrupting the mitochondrial energy cycle in the one or more condition associated with unregulated (abnormal , elevated ) T cells and inducing cell death of the one or more T cells recruitment and /or retention of one or more T cells ( e . g ., at ( e. g ., activated T cells ). It has been surprisingly found that 20 the digestive and /or (GI ) , skin , eyes, or the chemical entities described herein selectively target and joints ) of the subject are provided . The methods include kill T cells associated with pathologies characterized by an contacting the one or more T cells with an effective amount abnormal inflammatory response ( e . g . , pathogenic T cells in of a chemical entity ( e . g ., a compound exhibiting activity as the intestinal mucosa ). a mitochondrial uncoupling agent or a pharmaceutically The chemical entities , methods, and compositions 25 acceptable salt and / or hydrate and / or cocrystal thereof; e . g . , described herein not only provide treatment options that are a compound , such as niclosamide or a pharmaceutically highly efficient and effective at killing T cells , but also ones acceptable salt and / or hydrate and / or cocrystal thereof; e . g . , that address the toxicity , cost , and convenience issues asso a compound , such as a niclosamide analog , or a pharma ciated with some standard methods of treatment. ceutically acceptable salt and / or hydrate and / or cocrystal In certain embodiments , the methods described herein can 30 thereof ) as defined anywhere herein . be carried out using niclosamide , a that has In a further aspect, methods for treating a subject having an established and good safety profile and is an FDA a condition associated with unregulated (abnormal , approved drug . elevated ) activation of one or more T cells ( e . g ., in the Additionally , the chemical entities described herein can digestive and / or gastrointestinal tract (GI ) , skin , eyes , or be readily and efficiently administered locally, such that the 35 joints ) of the subject are provided . The methods include resultant systemic bioavailability of the administered chemi- contacting the one or more activated T cells with an effective cal entity is relatively low , and the resultant local bioavail - amount of a cocrystal comprising (i ) a mitochondrial uncou ability of the administered chemical entity is relatively high . pling agent or a pharmaceutically acceptable salt and /or Local (non - systemic ) administration of the chemical entity hydrate thereof; and ( ii ) one or more pharmaceutically at a desired area of treatment ( e . g . , gastrointestinal tract) 40 acceptable coformers as defined anywhere herein . significantly reduces the likelihood that a patient will expe - In aspect, methods for treating a condition (or one or more rience systemic toxicities associated with some current symptoms thereof) characterized by an abnormal inflamma standards of care . The foregoing can be achieved , for tory response in a subject in need thereof are provided ( e . g . , example, by selecting chemical entities having a relatively an autoimmune disorder , e . g . , an inflammatory bowel dis low oral bioavailability ( F ) and / or by employing formula - 45 ease ) . The methods include administering to the subject an tions that are chemically and / or structurally predisposed to effective amount of a chemical entity ( e . g . , a compound minimize systemic exposure of the chemical entity ( e . g ., the exhibiting activity as a mitochondrial uncoupling agent or a formulations can be designed to release the chemical entity pharmaceutically acceptable salt and /or hydrate and / or coc at a pH that is present in the target area of the GI tract ) . rystal thereof ; e . g . , a compound , such as niclosamide or a In view of the foregoing advantages and features delin - 50 pharmaceutically acceptable salt and / or hydrate and / or coc eated above , the chemical entities , methods, and composi- rystal thereof; e . g . , a compound , such as a niclosamide tions described herein are also expected to be functional in analog , or a pharmaceutically acceptable salt and / or hydrate diverse patient populations and /or less sensitive to blocks in and / or cocrystal thereof) as defined anywhere herein . cell death mechanisms. Further , the ability to utilize tradi- In another aspect, methods for treating a condition (or one tional small molecules, such as niclosamide , can help reduce 55 or more symptoms thereof) characterized by an abnormal cost and facilitate patient administration . inflammatory response in a subject in need thereof are In some embodiments , the methods and compositions provided ( e. g ., an autoimmune disorder, e. g. , an inflamma described herein are suitable for use in combination therapy tory bowel disease ). The methods include topically and with various other therapeutic regimens ( e . g . , locally administering to the subject an effective amount of a and / or radiation ) . In certain embodiments , the chemical 60 chemical entity ( e . g . , a compound exhibiting activity as a entities and methods described herein can be used to treat mitochondrial uncoupling agent or a pharmaceutically side effects produced by such therapeutic regimens , e . g ., acceptable salt and /or hydrate and/ or cocrystal thereof; e . g . , inflammatory bowel diseases induced by chemotherapeutic a compound , such as niclosamide or a pharmaceutically immunomodulators , e . g . , checkpoint inhibitors , which in acceptable salt and /or hydrate and /or cocrystal thereof; e . g . , some cases can be prohibitively severe . Additionally , the 65 a compound , such as a niclosamide analog , or a pharma chemical entities, methods, and compositions described ceutically acceptable salt and/ or hydrate and /or cocrystal herein are also expected to be useful in certain treatment - thereof) as defined anywhere herein . US 10 ,292 , 951 B2 In a further aspect, methods for treating autoimmune mitochondrial uncoupling agent or a pharmaceutically colitis ( or one or more symptoms thereof ) in a subject are acceptable salt and /or hydrate and / or cocrystal thereof; e . g . , provided . The methods include topically and locally admin a compound , such as niclosamide or a pharmaceutically istering to the subject an effective amount of a chemical acceptable salt and / or hydrate and /or cocrystal thereof, e. g ., entity ( e . g . , a compound exhibiting activity as a mitochon - 5 a compound , such as a niclosamide analog , or a pharma drial uncoupling agent or a pharmaceutically acceptable salt ceutically acceptable salt and / or hydrate and / or cocrystal and / or hydrate and/ or cocrystal thereof; e . g ., a compound , thereof) being administered which will relieve to some such as niclosamide or a pharmaceutically acceptable salt extent one or more of the symptoms of the disease or and / or hydrate and / or cocrystal thereof, e . g . , a compound , condition being treated . The result includes reduction and /or such as a niclosamide analog , or a pharmaceutically accept - 10 alleviation of the signs, symptoms, or causes of a disease , or able salt and / or hydrate and /or cocrystal thereof ) as defined any other desired alteration of a biological system . For anywhere herein . example , an " effective amount" for therapeutic uses is the In one aspect, methods for treating a condition ( or one or amount of the composition comprising a compound as more symptoms thereof) selected from the group consisting disclosed herein required to provide a clinically significant of celiac disease, , mucositis , 15 decrease in disease symptoms. An appropriate " effective ” uveitis , collagenous colitis , lymphocytic colitis , microscopic amount in any individual case is determined using any colitis, radiation enteritis , rheumatoid arthritis , lupus, sclero suitable technique , such as a dose escalation study . derma, psoriasis , cutaneous T - cell lymphoma, acute graft vs The term " excipient” or “ pharmaceutically acceptable host disease and chronic graft vs . host disease in a subject excipient” means a pharmaceutically -acceptable material, are provided . The methods include topically and locally 20 composition , or vehicle , such as a liquid or solid filler , administering to the subject an effective amount of a chemi- diluent, carrier , solvent, or encapsulating material. In one cal entity ( e .g . , a compound exhibiting activity as a mito - embodiment, each component is “ pharmaceutically accept chondrial uncoupling agent or a pharmaceutically accept- able” in the sense of being compatible with the other able salt and /or hydrate and /or cocrystal thereof, e . g . , a ingredients of a pharmaceutical formulation , and suitable for compound , such as niclosamide or a pharmaceutically 25 use in contact with the tissue or organ of humans and acceptable salt and / or hydrate and /or cocrystal thereof; e . g ., animals without excessive toxicity , irritation , allergic a compound , such as a niclosamide analog , or a pharma response, immunogenicity , or other problems or complica ceutically acceptable salt and /or hydrate and /or cocrystal tions , commensurate with a reasonable benefit / risk ratio . thereof ) as defined anywhere herein . See , e . g . , Remington : The Science and Practice of Phar In one aspect, a cocrystal is provided , which includes: (i ) 30 macy , 21st ed .; Lippincott Williams & Wilkins: Philadel a mitochondrial uncoupling agent or a pharmaceutically phia , Pa ., 2005 ; Handbook of Pharmaceutical Excipients , acceptable salt and / or hydrate thereof, and ( ii ) one or more 6th ed .; Rowe et al. , Eds. ; The Pharmaceutical Press and the pharmaceutically acceptable coformers . American Pharmaceutical Association : 2009 ; Handbook of Pharmaceutical Additives, 3rd ed . ; Ash and Ash Eds. ; Definitions 35 Gower Publishing Company : 2007 ; Pharmaceutical Prefor mulation and Formulation , 2nd ed . ; Gibson Ed . ; CRC Press To facilitate understanding of the disclosure set forth LLC : Boca Raton , Fla ., 2009. herein , a number of terms are defined below . Generally , the The term “ pharmaceutically acceptable salt ” refers to a nomenclature used herein and the laboratory procedures in formulation of a compound that does not cause significant organic chemistry , medicinal chemistry , and pharmacology 40 irritation to an organism to which it is administered and does described herein are those well -known and commonly not abrogate the biological activity and properties of the employed in the art . Unless defined otherwise , all technical compound . In certain instances , pharmaceutically accept and scientific terms used herein generally have the same able salts are obtained by reacting a compound described meaning as commonly understood by one of ordinary skill herein , with such as , hydrobromic in the art to which this disclosure belongs. Each of the 45 acid , sulfuric acid , nitric acid , phosphoric acid , methanesul patents , applications, published applications , and other pub - fonic acid , ethanesulfonic acid , p - toluenesulfonic acid , sali lications that are mentioned throughout the specification and cylic acid and the like . In some instances, pharmaceutically the attached appendices are incorporated herein by reference acceptable salts are obtained by reacting a compound having in their entireties . acidic group described herein with a to form a salt such The term " digestive tract” is understood to include the 50 as an salt , an metal salt , such as a mouth , pharynx , esophagus, , ( duo or a potassium salt , an alkaline earth metal salt, such as a denum , jejunum , ileum ), large intestine (cecum , colon , rec or a salt, a salt of organic bases such as tum ) and anus. dicyclohexylamine , N -methyl - D - glucamine , (hydroxym The term “ oral cavity ” is understood to include the mouth , ethyl) methylamine , and salts with amino acids such as the pharynx and the esophagus . 55 , , and the like, or by other methods previously The term “ gastrointestinal tract” , or “ GI tract” is under - determined . The pharmacologically acceptable salt s not stood to include the stomach , small intestine (duodenum , specifically limited as far as it can be used in medicaments . jejunum , ileum ) , large intestine ( cecum , colon , rectum ) and Examples of a salt that the compounds described hereinform anus . with a base include the following : salts thereof with inor The term “ acceptable " with respect to a formulation , 60 ganic bases such as sodium , potassium , magnesium , cal composition or ingredient, as used herein , means having no cium , and aluminum ; salts thereof with organic bases such persistent detrimental effect on the general health of the as methylamine , ethylamine and ethanolamine; salts thereof subject being treated . with basic amino acids such as lysine and ornithine ; and " API” refers to an active pharmaceutical ingredient . ammonium salt . The salts may be acid addition salts , which The terms “ effective amount” or “ therapeutically effective 65 are specifically exemplified by acid addition salts with the amount, ” as used herein , refer to a sufficient amount of a following : acids such as hydrochloric acid , hydro chemical entity ( e . g . , a compound exhibiting activity as a bromic acid , , sulfuric acid , nitric acid , and US 10 , 292 , 951 B2 phosphoric acid :organic acids such as formic acid , acetic tuted or unsubstituted Illustrative substituents include acid , , oxalic acid ,malonic acid , succinic acid , alkoxy , aryloxy, sulfhydryl, alkylthio , arylthio , halide , fumaric acid , maleic acid , , malic acid , tartaric hydroxyl, fluoroalkyl, perfluoralkyl, amino , aminoalkyl, dis acid , , methanesulfonic acid , and ethanesulfonic ubstituted amino , quaternary amino , hydroxyalkyl, carboxy acid ; acidic amino acids such as and glutamic 5 alkyl, and carboxyl groups. acid . The details of one or more embodiments of the invention The term “ pharmaceutical composition ” refers to a mix are set forth in the accompanying drawings and the descrip ture of a compound described herein with other chemical tion below . Other features and advantages of the invention components ( referred to collectively herein as “ excipients ” ) , will be apparent from the description and drawings , and such as carriers, stabilizers , diluents , dispersing agents , 10 from the claims. suspending agents, and / or thickening agents . The pharma ceutical composition facilitates administration of the com DESCRIPTION OF DRAWINGS pound to an organism . Multiple techniques of administering a compound exist in the art including , but not limited to : FIG . 1 contains graphs showing that Niclosamide induces rectal, oral, intravenous , aerosol, parenteral, ophthalmic , 15 cell death in lamina propria T cell from active IBD . LPMC pulmonary , and topical administration . (lamina propria mononuclear cells ) from IBD subjects were The term “ subject” refers to an animal, including , but not isolated from macroscopically inflamed intestinal area and limited to , a primate ( e . g ., human ), monkey , cow , pig , sheep , treated with DMSO or niclosamide (10 uM ) for 16 hours . goat , horse , dog , cat , rabbit , rat, or mouse . The terms ?ell death in lamina propria T cell (CD3 + ) was determined “ subject ” and “ patient ” are used interchangeably herein in 20 by measuring 7 - AAD staining by flow cytometry. reference , for example , to a mammalian subject, such as a FIG . 2 includes graphs and images showing that niclos human . amide exhibits robust efficacy in murine TNBS model of The terms “ treat, ” “ treating , ” and “ treatment, ” in the ulcerative colitis when administered rectally ( locally ) , but context of treating a disease or disorder , are meant to include not by intraperitoneal injection systemically ) . alleviating or abrogating a disorder, disease , or condition , or 25 FIGS . 3A - 3C show the components of a representative one or more of the symptoms associated with the disorder, enema delivery device (FIG . 3A shows the bottle , FIG . 3B disease , or condition ; or to slowing the progression , spread shows the breakable capsule , and FIG . 3C shows the rectal or worsening of a disease , disorder or condition or of one or cannula (upper arrow ) and single flow pack ( lower arrow ). more symptoms thereof. Often , the beneficial effects that a FIG . 4A is a graph showing that niclosamide suspension subject derives from a therapeutic agent do not result in a 30 administered rectally at a dose of 30 mg/ kg on days 1 and 2 complete cure of the disease , disorder or condition . results in recovery of body weight initially last due to As used herein , the terms “ alkyl” and the prefix " alk -” are TNBS -induced colitis . There is no recovery of weight in inclusive of both straight chain and branched chain groups untreated or vehicle control treated mice . and of cyclic groups, i .e ., cycloalkyl. A “ C2- 10 alkenyl” FIG . 4B is a graph showing that niclosamide suspension refers to a branched or unbranched hydrocarbon group 35 administered rectally at a dose of 30 mg/ kg on days 1 and 2 containing one or more double bonds and having front 2 to results in a significantly lower colitis score compared to 10 carbon atoms. A “ C2- 10 alkynyl ” refers to a branched or vehicle control treated mice or mice that received TNBS and unbranched hydrocarbon group containing one or more no other treatment, based on H & E analysis of colon biop triple bonds and having from 2 to 10 carbon atoms. A “ C2- 6 sies . heterocyclyl” refers to a stable 5 - to 7 -membered monocy - 40 FIG . 4C includes graphs that demonstrate expression of clic or 7 - to 14 -membered bicyclic heterocyclic ring that is inflammatory cytokines in intestinal biopsied tissue detected saturated , partially unsaturated or unsaturated ( aromatic ) , by real - time PCR . TNBS exposure in presence of vehicle and that consists of 2 to 6 carbon atoms and 1, 2 , 3 or 4 increases expression of TNFa , IFNy and IL - 17A compared heteroatoms independently selected from the group consist to EtOH control animals that receive no TNBS . Niclosamide ing of N , O , and S and including any bicyclic group in which 45 administered rectally at 0 .03 , 3. 0 and 30 mg per kg body any of the above -defined heterocyclic rings is fused to a weight dose - dependently reduces the level of RNA of each ring . A “ C6- 12 aryl” refers to an aromatic group cytokine relative to expression of RNA for B - actin , used as having a ring system comprised of carbon atoms with a housekeeping gene for normalization . conjugated electrons ( e .g ., phenyl) . A "C u alkaryl” refers FIG . 5 is a graph showing that niclosamide at 5 uM causes to an alkyl substituted by an aryl group ( e .g ., benzyl, 50 a decrease in human LPMCs T cells that produce pro phenethyl, or 3 , 4 -dichlorophenethyl ) having from 7 to 14 inflammatory cytokines including TNF , IFN , and IL - 17A carbon atoms A “ C3- 10 alkheterocyclyl ” refers to an alkyl relative to vehicle only negative control substituted heterocyclic group . A “ C1- 10 heteroalkyl ” refers FIG . 6 is a graph showing that niclosamide at 5 uM causes to a branched or unbranched alkyl, alkenyl , or alkynyl group a decrease in AYm in human LPMCs T cells relative to having from 1 to 10 carbon atoms in addition to one or more 55 negative control. heteroatoms, where one or more methylenes (CH ) or methines ( CH ) are replaced by , oxygen , , DETAILED DESCRIPTION carbonyl, thiocarbonyl, phosphoryl, or sulfonyl . The term " acyl” refers to a chemical moiety with the formula R - C This disclosure features chemical entities ( e . g ., a com ( 0 ) , where R is selected from C1- 10 alkyl, C1- 10 alkenyl, 60 pound exhibiting activity as a mitochondrial uncoupling C1- 10 alkynyl , C2- 6 heterocyclyl , C6- 12 aryl. C7- 14 alkaryl , agent or a pharmaceutically acceptable salt , and / or hydrate , C3- 10 alkheterocyclyl. C1- 10 heteroalkyl, and the like. In and / or cocrystal, and / or drug combination thereof; e . g . , a certain embodiments , acyl is a chemical moiety with the compound , such as niclosamide or a pharmaceutically formula R - C (O ) - , where R is selected from C1- 10 alkyl, acceptable salt, and /or hydrate , and/ or cocrystal, and /or drug C1- 10 alkenyl, C1- 10 alkynyl, C2- 6 heterocyclyl, C6 - 12 aryl, 65 combination thereof; e. g ., a compound , such as a niclos C7- 14 alkaryl. C3- 10 alkheterocyclyl, and C1- 10 heteroalkyl. amide analog , or a pharmaceutically acceptable salt , and /or Each of the foregoing groups can be independently substi - hydrate , and /or drug combination , and /or cocrystal thereof) US 10 , 292 ,951 B2 10 that are useful, e . g. , for treating one or more symptoms of a in which Fa = fraction absorbed ; Fg = fraction escaping gut pathology characterized by an abnormal inflammatory ; and Fh = fraction escaping hepatic metabolism response (e .g . , inflammatory bowel diseases ) in a subject ( see Filipski, K . J ., et al. , Current Topics in Medicinal ( e . g . , a human ) . This disclosure also features compositions Chemistry, 2013 , 13 , 776 -802 ) . As the skilled artisan will as well as other methods of using and making the same. 5 appreciate , the degree of oral bioavailability can be influ Chemical Entities enced by various physicochemical attributes , such as Evaluating Chemical Entities for Activity as Mitochon molecular weight ( “MW ” ) , log P , number of bond drial Uncoupling Agents donors (“ HBD ” ) , number of hydrogen bond acceptors While not wishing to be bound by theory , it is believed (“ HBA ” ) , number of rotatable bonds ( “ RB ” ) , and polar that the chemical entities described herein are capable of 10 surface area (“ PSA ” ). It has been recognized that good oral uncoupling mitochondrial respiration from oxidative phos - bioavailability is typically observed in compounds having phorylation in one or more T cells , thereby disrupting the the following attributes: MWs500 , Log Ps5 , HBDs5 , mitochondrial energy cycle in the one or more T cells , and HBA510 , rotatable bonds (RB ) < 10 , PSAs140 ( Id .) . Accord inducing cell death of the one or more T cells ( e . g ., activated ingly, a non - limiting strategy for designing and selecting T cells ). The ability of a chemical entity to uncouple 15 chemical entities having a relatively low oral bioavailability mitochondrial respiration from oxidative phosphorylation in (F ) can include selecting physicochemical attributes that one or more T cells can be evaluated using conventional confer properties outside of the preferred oral drug space assays that are known in the art. (Id . ) . By way of example , the Jurkat T cell model can be used In some embodiments , the chemical entities described to study the potential effects of compounds on T cells m 20 herein ( including their pharmaceutically acceptable salts vitro . This cell line allows investigation of stimuli and and /or hydrates and/ or cocrystals thereof) have an oral mechanisms that regulate T cell mitochondrial function and bioavailability (F ) of less than about 50 % , or less than about survival. As T cells , Jurkats have a lymphocyte appearance 40 % , or less than about 30 % , or less than about 20 % , or less and replicate in culture in suspension . Jurkats also contain than about 10 % , or less than about 5 % , or less than about respiring mitochondria and , as such , response to mitochon - 25 2 % , or less than about 1 % . In certain embodiments , the drial uncouplers, e . g . , niclosamide , may be assessed . Uncou - chemical entities described herein have an oral bioavailabil pling is identified and quantified by a detecting a drop in the ity ( F ) of less than about 20 % , e . g . , less than about 19 % , less electrochemical gradient across the mitochondrial inner than about 18 % , less than about 17 % , less than about 16 % , membrane (AYm ) that is not associated with a correspond - less than about 15 % , less than about 14 % , less than about ing increase in oxidative phosphorylation . Experiments to 13 % , less than about 12 % , less than about 11 % , less than detect changes in A ' m were performed by including con - 30 about 10 % , less than about 9 % , less than about 8 % , less than ditions in which a concentration of oligomycin was added to about 7 % , less than about 6 % , less than about 5 % , less than irreversibly inhibit the F , Fc- ATPase and block oxidative about 4 % , less than about 3 % , less than about 2 % , less than phosphorylation to demonstrate that the fall in A ' m repre - about 1 % , or less than about 0 .5 % . sents uncoupling since it occurred independent of an In some embodiments , the chemical entities described increase in mitochondrial oxidative phosphorylation . See 35 herein ( including their pharmaceutically acceptable salts Example 1 . and / or hydrates and / or cocrystals thereof) have a relatively As another example, lamina propria mononuclear cells low aqueous solubility . Low aqueous solubility refers to a (LPMC ) in the human intestine are comprised in part by T compound having a solubility in water which is less than or cells which mediate physiological and pathological pro equal to 10 mg/mL , when measured at 20° C . In certain cesses including inflammatory bowel disease . LPMCs can 40 embodiments , the chemical entities described herein have be isolated from human tissue biopsies. After isolation aqueous solubility of less than or equal to 900 , 800 , 700 , LPMCs T cells remain viable ex vivo under appropriate 600 , 500 , 400 , 300 , 200 150 100 , 90 , 80 , 70 , 60 , 50 , 40 , 30 , culture conditions for periods of time that allow ex vivo 20 micrograms/mL . or further 10 . 5 or 1 micrograms/mL . or experiments . These cells can be used to investigate mecha further 900 , 800 , 700 , 600 , 500 , 400 , 300 , 200 150 , 100 90 , nisms that regulate their mitochondrial function and sur - 45 80 . 70 . 60 . 50 . 40 , 30 , 20 , or 10 ng /mL , or less than 10 vival. ng/ mL when measured at 20° C . They contain respiring mitochondria and as such their In some embodiments , the chemical entities described response to mitochondrial uncouplers such as niclosamide herein ( including their pharmaceutically acceptable salts may be assessed . This cellular model can be used in con and /or hydrates and / or cocrystals thereof) have a relatively junction with oligomycin that blocks oxidative phosphory - 50 low drug permeability . Permeability measurements are lation and TMRM to monitor AYm as described in Example based indirectly on the extent of absorption of a drug 1 . See Example 2 . substance in humans and directly on the measurement of Chemical entities that exhibit mitochondrial uncoupling rates of mass transfer across human intestinal membrane . agent activity can also include those that exhibit mild Alternatively , non -human systems capable of predicting uncoupling, which refers to a level of proton leak that is 55 drug absorption in humans can be used ( such as in - vitro compensated for by increased mitochondrial oxygen con culture methods ) . A drug substance is considered highly sumption so as to prevent a significant drop in the trans permeable when the extent of absorption in humans is membrane potential. determined to be about 90 % or more of the administered Physicochemical Properties of Chemical Entities dose based on a mass -balance determination or in compari In some embodiments , it is advantageous when the resulUl. 60 son to an intravenous dose . tant systemic bioavailability of the administered chemical Otherwise , the drug substance is considered to be poorly entity is relatively low , and the resultant local bioavailability permeable ( see , e . g . , https : / /books . google . com / of the administered chemical entity is relatively high . The books? id = 4cfzT2ZY8hUC & pg = PA102 & lpg = PA102 & dq = foregoing can be achieved , for example , by selecting chemi- low + permeability + drug + definition & source = cal entities having a relatively low oral bioavailability ( F ) , 65 bl& ots = WXEDT3COsL & sig = gllaf7e47KJ wherein : SSV410NSRSs _ sM & hl = en & sa = X & ved = F = FaxFgxFh OCFAQ6AEwBmoVCHMIrv _ US 10 ,292 ,951 B2 11 12 60L7FxwIVxBmSChO2ugoi# v = onepage & q = -continued low % 20permeatility % 20drug % 20definition & f = false ) . In some embodiments , the chemical entities described herein can be a BCS class 11 drug , or pharmaceutically R38R38, vi acceptable salt and /or hydrate and /or cocrystal thereof. In s? R27, other embodiments , the chemical entities described herein Z can be a BCS class IV drug , or pharmaceutically acceptable R26 salt and /or hydrate and / or cocrystal thereof. Chemical Entities 10 Niclosamide and Niclosamide Analogs In some embodiments , the chemical entity can be niclos amide or a pharmaceutically acceptable salt and / or hydrate = = R40 thereof; e . g ., a compound , such as a niclosamide analog , or a pharmaceutically acceptable salt and /or hydrate . Niclos - 15 R41 amide analogues refer to compounds, in which one or more atoms, functional groups , or substructures in niclosamide is / are replaced with one or more different atoms, groups , or In compounds of formula I , R3 and R4 are independently substructures. selected from the group consisting of C = O , C = S , In certain embodiments , the chemical entity can be a 20 C = NR42 ,NH ,NR43 , CHOR44 , CHg, and the like Groups R2 compound having formula I: and R4; X and R4: RS and R ; R and R3 may combine to form a six -membered ring , using connections described by one of the groups: R8 (1 ) 25 XV P >

R X po 30 ZR2 R45 XVI where X is N or CR10 ; Y is N or CR11; Z is N or CR12, 35 and each of R1, R², RS, R , R ?, R8 , R9, R10 ,R1 and R12 is independently selected from H , halide ( F , C1, Br, or I ) , NO2, R47 OH , OR13 , SR14 , NR1R16 , CN , CF3 , C1- 10 alkyl . C2- 10 E3- R46 or alkenyl, C2- 10 alkynyl , C2- 6 heterocyclyl, Co- 12 aryl, C7- 14 XVII alkaryl, C3- 10alkheterocyclyl, C1- 10 heteroalkyl, or is 40 described by one of the following formulas: im

F3 El 45

N R 18 NONN For compounds of formula I, each El is independently 0 , R17 S , or NR42; each E2 is independently CR49R50, O or S , each R 19 R20 E3 is independently CRS1R52, O , S , or NR53; each Q is , / / independently , O , S , or NR54 . and R14 are each inde RS R28 pendently , acyl, C1 - 10alkyl, C2- 10 alkenyl, C2- 10alkynyl, C2- 6 heterocyclyl , C6- 12 aryl, C7- 14 alkaryl, C3- 10 alkheterocyclyl, C1- 10 heteroalkyl, R18 , R23, R28, R29, R30, R42, R54 are each , R22 R24 independently , C1- 10 alkyl , C2- 10 alkenyl, C2- 10 alkynyl, C2- 6 R31 A heterocyclyl, C6- 12 aryl , C7- 14 alkaryl, C3- 10 alkheterocyclyl , - C . 10 heteroalkyl; R15 , R16 , R17 , R19 , R20, R21, R22 , R24 , R29 OR 30 R32, R25 , R26, R27 , R43 , R44, R45 , R46 , R47 , R48 ,R1 , R52, and R53 are each, independently , H , C1- 10 alkyl, C2- 10 alkenyl , C2- 10 R33 alkynyl, C2- 6 heterocyclyl, C6- 12 aryl, C7- 14 alkaryl, C3 -10 R35 alkheterocyclyl, C1- 10 heteroalkyl ; R31 , R32 , R33 , R34, R35 , R 34 R36 , R37 , R38 , R39 , R40 , R41 , R49 , and R50 are each , inde pendently , H , halide , NO2, CN , CF3, C1- 10 alkyl, C2- 10 alkenyl, C2- 10 alkynyl , C2- 6 heterocyclyl, C6- 12 aryl , C7- 14 65 alkaryl , C3- 10 alkheterocyclyl , or C1- 10 heteroalkyl . In certain embodiments , the chemical entity can be a compound having any one of formulas XVIII- XXI: US 10 ,292 ,951 B2 14 one is H or OH , while the other is halogen ( e . g . , Cl, Br, or XVIII F ) . In other embodiments , one of R1, R2, R10 , R11 , and R12 PP is H or OH , one of R ' , R2, R10 , R ! ! , and R12 is halogen ( e . g ., Cl, Br, or F ), and the others are hydrogen . 5 In these and certain other embodiments , only two of R ” , R®, , RS , and R are presentand these are NO2 and halogen R X ( e. g. , C1, Br, or F ) In other embodiments , one of RS, R ", R ? , R®, and Rº is NO2, one of R ", R " , R ?, R8, and R9 is halogen ( e . g . , Cl, Br, or F ) , and the rest are hydrogen . In certain OH 10 embodiments niclosamide analogues include , but are not XIX limited to niclosamide analogues in which one halogen group is relocated within the same ring or both halogen R9 groups are relocated within the same ring , niclosamides in which the nitro group is relocated within the same ring , 15 niclosamide analogues where the hydroxyl group is relo R cated within the same ring , niclosamide analogues where Y R6 both halogen and hydroxy and / or nitro groups are relocated while keeping the substituents within the aromatic ring , o El compounds , except having except ( 3 - chloro - 4 -nitrophenyl ) XX 20 in place of ( 2 - chloro - 4 - nitrophenyl) , niclosamide analogues having a nitro - and a hydroxyl group relocation , niclosamide analogues comprising a single halogen exchange , niclos amide analogues comprising a double halogen exchange , niclosamide analogs comprising an exchange of ci— to 25 Br — , niclosamide analogs comprising an exchange of Cl RO to F — , and the like . In certain embodiments the niclosamide analogues Z O R47 R48 RP RS include , but are not limited to compounds according to XXI 30 Formula XXIII .

XXIII PS halide N R6 35 NH OH R2 V 23 halide or H 40 wherein R1, R2, R3, R4, and RS, are independently present wherein X , Y , Z , E ', R ', R?, RØ, R7, R8, Rº, R47 , and R48 or absent, and when present are independently selected from are as defined above . the group consisting of Cl, Br, alkyl, methyl, hydroxyalkyl, In certain embodiments , the chemical entity can be a and the like . These analogues are meant to be illustrative and compound having Formula XXII : 45 not limiting . In certain embodiments , the chemical entity can be a compound having formula XXIV , or a pharmaceutically XXII acceptable salt and /or hydrate thereof:

Po 50 RIO R8 (XXIV ) Po R RS 55 RII R12 RS Ril wherein R1, R², RS, RÓ, R7, R8, R9, RIO, R1 and R12 are 60 independently selected from the group consisting of H , R12 halide, No2, CF3, OH , acyl, CN , C , -C10 alkyl (preferably C , -Cz alkyl) , C , -C10 heteroalkyl (preferably C , -CZ het wherein R ' , R², RS, RÓ, R7, R8, Rº, R1 , R11 and R12 are eroalkyl) , and wherein R3 and R4 are as defined above . In independently selected from the group consisting of H , certain embodiments , R² is C = 0 , while R * is NH or R is 65 halide, NO2, CF3, OH , acyl, CN , C7 -C10 alkyl (preferably NH while R4 is C = 0 . In these and certain other embodi - C - Cz s alkyl) , and C - C10 heteroalkyl (preferably C , -CZ ments , only two of R1, R2, R19 , R11 , and R12 are present , and heteroalkyl) ; and wherein R3 is C — 0 , and R * is NH ; or R3 US 10 ,292 ,951 B2 15 16 is NH , and R4 is C = 0 , wherein at least one of R1, R2, RS , TABLE 1 - continued RÓ, R ?, R8, R9 , R10 , R11 and R12 is other than H . In certain of these embodiments , two of R1, R2, R10 , R11 ?? and R12 are independently selected from halide , NO2, CF3, OH , acyl, CN , C1- C10 alkyl (preferably C , -Cz alkyl) , and C -C10 heteroalkyl (preferably C -Cz heteroalkyl) , and the others are H ; and two of RS, R " , R ? , R8, and R9 are ONS independently selected from halide , NO2, CF3 , OH , acyl, CN , C7- C10 alkyl (preferably C , -Cz alkyl) , and C1- C10 10 heteroalkyl ( preferably C , - Cz heteroalkyl ) , and the others are H . HO In certain embodiments , the chemical entity can be a compound having formula XXV, or a pharmaceutically ON acceptable salt and /or hydrate thereof. 15

( XXV )

HO NH

ON wherein one or more of R ' , R2 , R3 , R1, and R5 is halide , NO2, CF3, OH , acyl, CN , C7 -C10 alkyl (preferably C7 -C3 alkyl ), or CZ -C10 heteroalkyl (preferably C , -Cz heteroalkyl) ; 30 and the others are hydrogen . HO Examples of niclosamide analogues include, but are not limited to those delineated in Tables 1 - 3 . TABLE 1

o ansOH O2N

ON

HO NO , O HO

ON HO HO

O2N Do ?àON US 10 ,292 ,951 B2 17 18 TABLE 1- continued TABLE 1 - continued

HO OH 5 ON

10

OH HO O2N 15

ON

?? 20 Br

OH 0 masaa25 quisqueUN OH 30 paso ON que 35 HO

40

- OH qua : asON 45 Br HO

50 NO ,

ON IV

55

OH HO

60 ON

65 US 10 , 292 , 951 B2 19 20 TABLE 1 -continued TABLE 1 - continued ?? ?? ON

ON

Br 10 HO OH - OH

ON ON

NO , O 20 OH Q OH

25 ON

HO 05 - ci CI OH

OH Br ON QON NO2 N OH

Br HO

NO O

OH ON

Br

OH HO

UN

02N US 10 ,292 ,951 B2 21 U81939 ,951 82 22 TABLE 1- continued TABLE 1 - continued The ?? ON

ON

Br 10 ?? HO

O2N 02N CI

20

ci O2N que 25 ana OH OH

ON

OH ON

ON

ON

ON pasos - C1 OH

ON . Bra Br ON Q OH 60 ON ON OH wategies65 US 10 ,292 ,951 B2 23 24 TABLE 1 - continued TABLE 2

HN HO HNS NO2

ON CL

HO HN - NO2

-OH ON OMe HN - NO2

ON - OH

HN

HO ON H NO2

TABLE 3 ON

NH ~ ?? n = 0 ; R = C1 HO = 1 ; R = H = 2 ; R = H ON 50 - C1 In certain embodiments , the chemical entity can be a compound having formula (XXVI ) :

55 (XXVI )

OH HO ON 60 EZ

IV R2 Y R Br R3 65 R ' represents C1- talkyl . C2- galkenyl , C2- galkynyl , C3- gcy cloalkyl, C4- cycloalkenyl or aryl, all of which may option US 10 ,292 , 951 B2 25 26 ally be further substituted with C1- galkyl, C3- gcycloalkyl . In certain embodiments , the chemical entity can be a C4- cycloalkenyl or phenyl: or Rl represents a bicyclo - compound having formula XXVII : C4- 10alkyl or tricyclo -C4 - 10 - alkyl; and wherein , when Rl is C3- cycloalkyl, bicyclo - C4- 10alkyl , tricyclo -C4 - 10 -alkyl or aryl, R may optionally be substituted with one or more (XXVII ) substituents selected from halogen , hydroxy, cyano, nitro , C1- alkyl , C2- galkenyl , C2 - galkynyl, C3- cycloalkyl, C4- 8cy cloalkenyl, C1- talkoxy , C1- 6haloalkoxy and C1- 6haloalkyl ; R² and R4 independently represent hydrogen , halogen , Cl- galkyl, C2- galkenyl, C2- galkynyl, C3- cycloalkyl, C43cy Y R6 Rs cloalkenyl or C -Galkoxy ; z R2 at least one of R® , R and R represents C1- Ghaloalkoxy , and the remaining of RS , R and R7 independently represent 15 hydrogen , nitro , cyano, halogen , C1- alkyl , C2- galkenyl, where X is N or CR10 ; Y is N or CR11; Z is N or CR12 , C , alkynyl, C , cycloalkyl, Caecycloalkenyl, C , cha - and each of R ' , R , R " , Rº, R ' , Rº, R®, R " , R " and R " - is loalkyl, OR , NRI' R ! ! , C ( O )ORIO , COR10 , independently selected from H , halide (F , C1, Br, or I ), NO2, - C ( O )NRIOR !! , SH , S ( O ) ORIO, - S (O ), NR1°R " , 20 OH , OR13 , SR14 , NRISR16 , CN ticis, CF3, deyi acyl, ,CBE C1 - 10 Oralkyl D ,, NO C2 .- 10 - S ( O ) , R " , aryl or heteroaryl, wherein said aryl or het alkenyl, C2- 10 alkynyl , C2- 6 heterocyclyl, C6- 12 aryl, C7- 14 eroaryl may optionally be substituted with one or more alkarylKarpi, , C3- collynyl 1oalkheterocyclyl. C, , C1- 10 heteroalkyl, or is C1- alkyl , halogen , hydroxy or phenyl ; R3 represents hydro described by one of the following formulas : gen , halogen , cyano , OR10 , NRI' R !! , - C (O )ORIO , CORPO, - C ( O ) NR1°R ! ! , - S ( O ), R10 , - S ( O ) NRI' R ! 1 , 25 NHCOR10 or NHSO R10 ; n is 0 , 1 , or 2 ; and N R18 each R10 and Rll are selected independently from the - SZ group consisting of hydrogen . C1- 6alkyl, C2- galkenyl , 30 RI R19 ? ' C2- 6alkynyl, C3- cycloalkyl, C4- 8cycloalkenyl , C1- 6ha ç . loalkyl and C1- 6 haloalkoxy ; and pharmaceutically accept O _ R23 - R25 able salts , solvates and thereof. Further examples of niclosamide analogues include , but R22 R24 are not limited to those delineated in Table 4 . TABLE 4 5 -Chloro - N - ( 4 - cyano - 2 -trifluoromethoxy -phenyl ) - 3 - ( 1 , 1 - dimethyl- propyl )- 2 hydroxy - 3- tert -Butyl -N -( 4- cyano - 2- trifluoromethoxy -phenyl ) - 2 - hydroxy - 5 - methanesulfonyl 6 -methyl - benzamide 3 - Bromo- 5 - tert -butyl - N - ( 4 - cyano - 2 -trifluoromethoxy -phenyl ) - 6 - hydroxy - 2 -methyl benzamide 5 - Bromo- 3 - tert - butyl- N -( 4 -cyano - 2 -trifluoromethoxy - phenyl ) - 2 -hydroxy -benzamide 5 -Chloro - 3- tert- butyl - N - (4 -cyano -2 -trifluoromethoxy - phenyl )- 2 - hydroxy -6 -methyl benzamide 3 -tert - Butyl - N - ( 4 - cyano- 2 - trifluoromethoxy -phenyl ) - 5 - fluoro - 2 - hydroxy - 6 -methyl benzamide 3 - tert -Butyl - N - ( 4 - cyano- 2 - trifluoromethoxy -phenyl ) - 2 - hydroxy - 5 -methoxy - 6 methyl -benzamide 3- tert -Butyl -N -( 4- cyano - 2- trifluoromethoxy -phenyl ) - 6 - ethyl -2 - hydroxy -5 - methoxy benzamide 3- tert- Butyl -N -( 4- cyano - 2- trifluoromethoxy -phenyl ) - 5 - ethanesulfonylamino -2 hydroxy- 6 -methyl - benzamide 3 - tert -Butyl - N - ( 4- cyano - 2 -trifluoromethoxy -phenyl ) - 2- hydroxy- 6 -methyl - 5 ( - 1 -sulfonylamino ) -benzamide 3 - tert- Butyl- N - ( 4 - cyano - 2 - trifluoromethoxy -phenyl ) - 2 -hydroxy - 6 -methyl - 5 (propane - 2 - sulfonylamino ) -benzamide 3- tert -Butyl -5 - cyano -N -( 4 - cyano -2 - trifluoromethoxy -phenyl ) - 2 - hydroxy -6 -methyl benzamide 3- Acetyl -5 -tert - butyl- N -( 4 -cyano -2 -trifluoromethoxy - phenyl) - 6 -hydroxy - 2- methyl benzamide3 -tert - Butyl - N - (4 - cyano- 2 - trifluoromethoxy -phenyl ) - 2 -hydroxy - 5 -methanesulfinyl - 6 methyl- benzamide 3 - tert - Butyl - N - ( 4 -cyano - 2 - trifluoromethoxy -phenyl ) - 2 - hydroxy - 6 -methyl - 5 methylsulfanyl- benzamide 3 - tert -Butyl - N - ( 4 -cyano - 2 - trifluoromethoxy -phenyl ) - 2 -hydroxy - 5 methanesulfonylamino - 6 -methyl -benzamide ; and 3 - Acetylamino - 5 - tert -butyl - N - (4 -cyano - 2 -trifluoromethoxy - phenyl) - 6 -hydroxy - 2 methyl - benzamide US 10 ,292 ,951 B2 27 28 R36 , R37 , R38 , R39, R40 , R41 , R49 , and R50 are each , inde -continued pendently , H , halide, NO2, CN , CF3, C1- 10 alkyl, C2- 10 alkenyl , C2- 10 alkynyl, C2- 6 heterocyclyl , C6- 12 aryl, C7- 14 alkaryl, C3- 10 alkheterocyclyl, or C1- 10 heteroalkyl. R28 Further examples of niclosamide analogues include , but are not limited to those delineated in Table 5 . R26 TABLE 5 R AN NO2 R29, or OR 30 D R32, 1010 OH O

R33 R35 NH R34 -R36

pas it OH O

R38 'N - R27, R26 R39 NO2 Homepage- R40 : Muoo 30 NH In compounds of formula XXVII , R3 and R4 are indepen dently selected from the group consisting of C = O , C S , C = NR42 , NH , NR43 , CHOR44, C1- 6 alkylene (e .g ., CH2) , S = O , S (O )2 , NHC1-6 alkylene ( e .g ., NHCH2) , C1- 6 alkyle neNH ( e. g. , CH _NH ), C1- 6 alkylene NR43 , NHC (O ) , C ( O ) NH . Groups R2 and R4, X and R4; R and R ; R and R3 may combine to form a six -membered ring , using connections OH 0 described by one of the groups : 40

45 R 46 TR47 R45 E3 R48 or (e . g . - OC (0 ) - ) im OH 0 " NH2 50 N F3 ? E !

For compounds of formula I, each E ' is independently 0 , 55 S , or NR42; each E2 is independently CR49R50, O or S ; each E3 is independently CRSIR52 , O , S , or NR53; each Q is , independently , O , S , or NR54 . R13 and R14 are each inde o=n0 pendently , acyl, C (O )OC1 - 6 alkyl. C1- 10 alkyl, C2- 10 alkenyl, OH O CH3 C2- 10 alkynyl, C2- 6 heterocyclyl , C6- 12 aryl , C7- 14 alkaryl , 60 C3- 10 alkheterocyclyl , C1- 10 heteroalkyl; R18 , R23 , R28 , R29 , R30, R42 , RS4 are each, independently, H , C1- 10 alkyl , C2- 10 alkenyl , C2- 10 alkynyl, C2- 6 heterocyclyl , C6- 12 aryl, C7- 14 alkaryl, C3- 10 R14, R45 , R46 , R47, R48 , RSI, R52 , and R53 are each , independently , H , C1 - 10 alkyl, C2- 10 alkenyl, C2- 10 65 alkynyl, C2- 6 heterocyclyl, C6- 12 aryl, C7- 14 alkaryl, C3- 10 alkheterocyclyl, C - 10 heteroalkyl; R31 , R32 , R33 , R34 , R35 , US 10 , 292 , 951 ?2 29 30 TABLE 5 -continued TABLE 5 - continued ?? ?? ? ?? ? N IZ

?

?? ? N

?? ??. N ?? ? N ?? ? ?

?? o

?? ? N

?? ? N “ CF3

N

CF3 ?? ?? ? US 10 ,292 , 951 B2 31 32 TABLE 5 - continued TABLE 5 - continued CF3 Cl CHHO 0H 0 N CH ,

0 H0 ) N

( H

H0 ) LZ ????? CF3 HO 0 0

HO 0

CF3 Haco OH N N

NO2 C6H5CC R N

NO2 Et , CF3

7 . N US 10 ,292 ,951 B2 33 34 TABLE 5 -continued TABLE 6 - continued

CF3

???

CF3

+2 OH OzZ+ NO2 HO

HO polos HN

In certain of the foregoing embodiments , acyl is a chemi cal moiety with the formula R - C ( O ) - , where R is selected from C1- 10 alkyl, C2- 6 heterocyclyl (e .g ., heteroaromatic ), and C6- 12 aryl OH Further examples of niclosamide analogues include, but are not limited to those delineated in Table 6 . 35 HN TABLE 6 to HO HN HN

O = MX OH OH

O and OH HO HN To

HN

O0 = OH US 10 ,292 ,951 B2 35 36 TABLE 6 - continued the compound can be found in , e . g . , Stuart Warren and Paul Wyatt, Workbook for Organic Synthesis: The Disconnection CICI Approach , second Edition , Wiley , 2010 . See also , e. g ., U . S . Pat. No. 8 , 148 , 328 , which is incorporated herein by refer ence in its entirety and Mook , et al. , Bioorg . Med . Chem HO 2015 , 23 , 5829 , which is incorporated herein by reference in its entirety . HN In other embodiments , the chemical entity can be selected from the compounds that are disclosed generically , sub 10 generically and specifically in any one or more of WO 2004 /006906 ; WO 2006 / 120178 , US 2009 /0062396 ; WO 2012 /143377 , WO 2012 / 068274 , U . S . Pat . Nos. 7 , 132 ,546 ; 7 ,989 ,498 ; and 8, 263 , 857 ; each of which is incorporated herein by reference in its entirety . NH , 15 Other Chemical Entities In some embodiments , the chemical entity can be an In certain embodiments . the chemical entity is niclos - anthelminthic agent selected from , closantel , amide or a pharmaceutically acceptable salt or hydrate pamoate , and salinomycin . See , e . g ., Senkowski, W ., et al. , Mol . Cancer Ther. 2015 , 14 , 1504 . thereof. “ Niclosamide” refers to a compound having the 20 Cocrystals of Chemical Entities following chemical structure: Overview In some embodiments , the chemical entity can be in the form of a cocrystal that includes ( i) the chemical entity ( e .g ., a mitochondrial uncoupling agent (e . g ., niclosamide or a 25 niclosamide analogue ) or a pharmaceutically acceptable salt and /or hydrate thereof; and ( ii ) one or more pharmaceuti cally acceptable coformers . The term “ co - crystal ” as used herein refers to a crystalline material comprised of two or N more unique solids at room temperature in a stoichiometric 30 or non - stoichiometric ratio , which are held together in the crystal lattice by one or more non - covalent interactions ( e . g ., hydrogen bonds, pi- stacking , guest- host complexation and Niclosamide is known by the IUPAC designation : 25 . van der Waals interactions ) . dichloro - 4 ' - nitrosalicylanilide and by the CAS designation : In some embodiments , at least one of the one or more CAS : 5 - chloro - N - ( 2 - chloro - 4 -nitrophenyl ) - 2 - hydroxybenz - 35 non - covalent interactions is a hydrogen bond. In certain of amide . Niclosamide has a relatively low water solubility at these embodiments , the chemical entity is the hydrogen about from 5 - 8 mg/ L at 20° C ., is sparingly soluble in , bond donor, and one of one or more coformers is the and , and is soluble in . The hydrogen bond acceptor . In other embodiments , the chemi ethanolamine salt dissolves in distilled water 180 - 280 ml/ L cal entity is the hydrogen bond acceptor, and one of one or at 20° C . 40 more coformers is the hydrogen bond donor. Niclosamide is available in a various salt or solvated The co - crystals described herein can include one or more forms. These include , but are not limited to , the etha - solvate ( e .g . , water or an organic solvent containing one or nolamine salt known by the IUPAC designation 5 - chloro - more hydroxyl groups , e . g . , a C , -Co or diol, e . g . , a salicyl - ( 2 -chloro - 4 -nitro ) anilide 2 -aminoethanol salt or the C1 -C6 alcohol or diol , e .g ., ethanol or propylene glycol) CAS designation 5 -chloro -N - ( 2 - chloro - 4 - nitrophenyl) - 2 - 45 molecules in the crystalline lattice . However , solvates of hydroxybenzamide with 2 - aminoethanol ( 1 : 1 ) — see , e . g ., chemical entities that do not further comprise a coformer US 2013 /0231312 , the salt known by the IUPAC ( e . g ., a solid conformer ) are not encompassed by the co designation 5 - chloro -salicyl - ( 2 -chloro - 4 -nitro ) anilide pip crystal definition set forth in this disclosure . erazine salt or the CAS designation 5 - chloro - N - ( 2 - chloro - In some embodiments , the cocrystal includes more than 4 - nitrophenyl) - 2 -hydroxybenzamide with piperazine ( 2 : 1 ) ; 50 one coformer. For example , two , three , four, five , or more co and niclosamide monohydrate known by the IUPAC desig - formers can be incorporated in a co -crystal with the chemi nation 5 - chloro -salicyl - ( 2 -chloro - 4 - nitro ) anilide monohy - cal entity . The ratio of the chemical entity to each of the one drate or the CAS designation 5 -chloro - N - (2 - chloro -4 -nitro or more pharmaceutically acceptable coformers may be phenyl) - 2 -hydroxybenzamide with monohydrate ( 1 : 1 ) . stoichiometric or non - stoichiometric . As a non - limiting Niclosamide is commercially available in a variety of 55 example , 1 : 1 , 1 : 1 . 5 and 1 : 2 ratios of chemical entity : co formulations including , but not limited to BAYER 73® , former are contemplated . BAYER 2353® , BAYER 25 648® , BAYLUSCID® , BAY - The chemical entity and each of the one or more phar LUSCIDE? , CESTOCID®, CLONITRALID , DICHLO - maceutically acceptable coformers may each be indepen SALE® , FENASAL® , HL 2447® , IOMESAN® , IOME - dently specified as a free form , or more specifically , a free ZAN® , LINTEX® , MANOSIL® , NASEMO? , 60 acid , free base , or zwitter ; a salt, ormore specifically for NICLOSAMIDE , PHENASAL® , TREDEMINE® , SUL - example , an inorganic base addition salt such as sodium , QUI? , VERMITIDE , VERMITIN® , YOMESAN® , and potassium , , calcium , magnesium , ammonium , alu the like . minum salts or organic base addition salts , or an inorganic Compounds disclosed herein are commercially available acid addition salts such as HBr, HCl, sulfuric , nitric , or or can be readily prepared from commercially available 65 phosphoric acid addition salts or an organic acid addition starting materials according to established methodology in salt such as acetic, proprionic , pyruvic , malanic , succinic , the art of organic synthesis . Generalmethods of synthesizing malic , maleic , fumaric , tartaric , citric , benzoic , methanesul US 10 , 292 , 951 B2 37 38 fonic , ethanesulforic , stearic or lactic acid addition salt ; an haloalkyl, nitro , heterocyclic ring, heteroaryl ring , epoxide, anhydrate or hydrate of a free form or salt , or more specifi - peroxide , and hydroxamic acid . cally , for example , a hemihydrate , monohydrate , dihydrate , In certain embodiments , each of the one of the one or trihydrate , quadrahydrate , pentahydrate ; or a solvate of a more pharmaceutically acceptable coformers is indepen 5 dently selected from acetamide , benzamide , ( + / - ) - limonene , free form or salt . 1 - ( phenylazo )- 2 -naphthylamine , 1 , 2 , 6 -hexanetriol , 1 , 2 The Chemical Entity dimyristoyl- sn - glycero - 3 - ( phospho - s - ( 1 - ) ) , 1 , 2 In some embodiments , the chemical entity ( e . g ., a mito dimyristoyl -sn - glycero -3 - , 1, 2 -dioleoyl - sn chondrial uncoupling agent ( i. e ., component ( i ) above ) can glycero - 3 -phosphocholine , 1 , 2 -dipalmitoyl - sn - glycero - 3 form one or more hydrogen bonds with the one or more 10 (phospho - rac - ( 1 - glycerol ) ) , 1 , 2 - distearoyl- sn - glycero - 3 pharmaceutically acceptable coformers in the cocrystal. In (phospho -rac - ( 1 -glycerol ) ) , 1 ,2 -distearoyl - sn - glycero - 3 some embodiments , the chemical entity can accept one or phosphocholine , 1 , 5 - naphthalene - disulfonic acid , more hydrogen bonds from the one or more pharmaceuti 1 -hydroxy - 2 -naphthoic acid , 1 -o - tolylbiguanide , 2- ethyl- 1, cally acceptable coformers in the cocrystal. In some embodi 6 -hexanediol , 4 - aminobenzoic acid , 4 - aminopyridine , ments , the chemical entity can form one or more hydrogen 15 4 -aminosalicylic acid . 4 -chlorobenzene -sulfonic acid . bonds with the one or more pharmaceutically acceptable 4 - ethoxyphenyl , 7 - oxo -dhea , acacia , acacia mucilage , coformers , and the chemical entity can accept one or more acacia syrup , acesulfame, acesulfame potassium , acetohy hydrogen bonds with the one or more pharmaceutically droxamic acid , acetone , acetylated lanolin acceptable coformers in the cocrystal. , acetylated monoglycerides, , acetyl In some embodiments, the chemical entity ( e . g ., a mito - 20 tributyl citrate , acrylates copolymer , acrylic acid - isooctyl chondrial uncoupling agent (i . e ., component (i ) above ) acrylate copolymer , , adipic acid , , albumin includes one or more functional groups selected from the aggregated , albumin colloidal, albumin human , albumins , group consisting of: ether, thioether, hydroxy , sulfhydryl, , alkyl ammonium sulfonic acid betaine, alkyl aldehyde, ketone, thioketone , nitrate ester , phosphate ester, aryl sodium sulfonate , allantoin , allopurineol, allyl alpha thiophosphate ester, ester , thioester , sulfate ester , carboxylic 25 ionone, alpha -terpineol , alpha - tocopherol, alpha - tocopherol acid , phosphonic acid , phosphinic acid , sulfonic acid , , aminobenzoate sodium , amyl acetate , , amido , primary , secondary amine , , tertiary anhydrous citric acid , anhydrous dextrose, anhydrous lac amino , sp2 amino , thiocyanate, , , nitrile , tose , anhydrous tribasic sodium phosphate , anhydrous tri diazo , haloalkyl, nitro , heterocyclic ring , heteroaryl ring , sodium citrate, arginine , arlacel, asafetida , ascorbic acid , epoxide, peroxide, and hydroxamic acid . 30 ascorbyl palmitate , asparagine , aspartame, aspartic acid , In some embodiments, the chemical entity ( e . g ., a mito - bacteriostatic injection , , chondrial uncoupling agent (i . e ., component (i ) above ) is benzalkonium chloride, benzenesulfonic acid , benzetho niclosamide or a pharmaceutically acceptable salt or hydrate nium chloride, benzododecinium , benzoic acid , thereof; or a niclosamide analog , or a pharmaceutically benzyl acetate , benzyl alcohol, benzyl benzoate , benzyl acceptable salt or hydrate thereof. In some of these embodi- 35 chloride, beta- carotene , betanaphthol, betose , bibapcitide, ments , the chemical entity can be a compound having any bismuth subcarbonate , bismuth subgallate , boric acid , bro one of formulas (I ) and (XVIII ) - (XXV ) , e . g ., formula XXIV , crinat, butyl stearate , butylated hydroxyanisole , butylated XXV, or XXVII ; or any one of the list of coformers hydroxytoluene , butylparaben , butyric acid , C - 11 - 1 -amino delineated below . In certain of these embodiments , the cyclohexanecarboxylic acid , C12 - 15 alkyl lactate , , chemical entity can be a niclosamide analogue having any 40 calcobutrol, caldiamide sodium , caloxetate trisodium , cal one of formulas ( I) and (XVIII ) - (XXV ) , e . g ., formula XXIV teridol calcium , camphoric acid , capric acid , captan , capti or XXV ; or XXVI; or any one of the list of coformers sol, carboxypolymethylene, carmine, carnauba wax , car delineated below . In certain of these embodiments , the nauba yellow wax , carrageenan , carrageenan calcium , chemical entity can be a niclosamide or a pharmaceutically carrageenan salt, carrageenan sodium , ceresin , ceteareth - 12 , acceptable salt or hydrate thereof (e .g ., niclosamide ). 45 ceteareth -15 , ceteareth - 30 , cetearyl alcohol/ ceteareth - 20 , Coformers cetearyl ethylhexanoate , ceteth - 10 , ceteth - 2 , ceteth - 20 , cet In some embodiments , at least one of the one or more eth -23 , cetostearyl alcohol, cetrimonium chloride, cetyl pharmaceutically acceptable coformers can form one or alcohol, cetyl esters wax , cetyl palmitate , cetylpyridinium more hydrogen bonds with the chemical entity in the coc - chloride , chlorocresol, chloroxylenol, , , rystal. In some embodiments , at least one of the one or more 50 , cinnamic acid , citrate, citric acid , citric pharmaceutically acceptable coformers can accept one or acid monohydrate, , cocamide ether sulfate , more hydrogen bonds from the chemical entity in the cocamine oxide , coco betaine , coco diethanolamide , coco cocrystal. In some embodiments , at least one of the one or monoethanolamide , coco - caprylate , coco - glycerides , cre more pharmaceutically acceptable coformers can form one atine , creatinine , cresol, cupric sulfate, cyclamic acid , or more hydrogen bonds with the chemical entity in the 55 cyclomethicone , cyclomethicone 5 , , dalfampridine, cocrystal, and at least one of the one or more pharmaceu - decyl methyl sulfoxide , dehydroacetic acid , denatonium tically acceptable coformers can accept one or more hydro - benzoate , deoxycholic acid , , dextran 40 , dextrates , gen bonds from the chemical entity in the cocrystal. , dextrose , dextrose monohydrate, diacetylated In some embodiments , at least one of the one or more monoglycerides , diatrizoic acid , dibasic anhydrous sodium pharmaceutically acceptable coformers comprises one or 60 phosphate , dibasic sodium phosphate , dibasic sodium phos more functional groups selected from the group consisting phate dihydrate , dibasic sodium phosphate dodecahydrate , of: ether, thioether, hydroxy , sulfhydryl , aldehyde , ketone , dibasic sodium phosphate heptahydrate , dibutyl , thioketone, nitrate ester, phosphate ester, thiophosphate dibutyl sebacate , diethyl phthalate , diethyl pyrocarbonate , ester , ester, thioester, sulfate ester, , phos - diethyl sebacate , diethylaminoethyl stearamide phosphate , phonic acid , phosphinic acid , sulfonic acid , amido , primary 65 diethylene glycol monoethyl ether , diethylene glycol amine , secondary amine, ammonia , tertiary amino , sp2 monomethyl ether, diethylhexyl phthalate , diisopropyl adi amino , thiocyanate , cyanamide, oxime , nitrile , diazo , pate , diisopropyl dilinoleate , diisopropylbenzothiazyl- 2 US 10 , 292 , 951 B2 39 40 sulfenamide, dimethicone medical fluid 360 , dimethyl myristyl lactate , niacinamide, , nicotinic acid , isosorbide, dimethyl phthalate, dimethyl sulfoxide, dimeth N -methyl glucamine, octanoic acid , oleth - 20 , oleyl alcohol, yldioctadecylammonium bentonite , , dim oleyl oleate , orotic acid , oxalic acid , oxidronate disodium , ethylsiloxane /methylvinylsiloxane copolymer , dinoseb - am oxyquinoline , palmitamine oxide , palmitic acid , pamoic monium , dipropylene glycol, disodium 5 acid , pentadecalactone, cocoate , pentaso cocoamphodiacetate , disodium hydrogen citrate , disodium dium pentetate , pentetate calcium trisodium , pentetic acid , laureth sulfosuccinate, disodium lauryl sulfosuccinate , diso , phenonip , phenoxyethanol, , phenyl dium oleamido monoethanolamine sulfosuccinate , disodium ethyl alcohol, phospholipid , piperazine, piperazine hexahy sulfosalicylate , disofenin , dl- a350 lactic acid , dl- acetyltryp - drate , , product wat , , propenyl guaethol, tophan , dl- alpha -tocopherol , dl- alpha- tocopherol acetate , dl- 10 propyl gallate , propylene , propylene glycol, pro dipalmitoylphosphatidylglycerol, dl- distearoylphosphati pylene glycol - , propylene glycol alginate , propyl dylcholine , dl- , dl- , d -mannose , ene glycol diacetate , propylene glycol dicaprylate , propyl dmdm , docosanol, sodium , d - , ene glycol monolaurate , propylene glycol edetate calcium disodium , edetate disodium , edetate sodium , monopalmitostearate , propylene glycol palmitostearate , pro edetic acid , egg phosphatidyl glycerol, egg phospholipids, 15 pylene glycol ricinoleate , propylene glycol/ diazolidinyl entsufon , entsufon sodium , epilactose , epitetracycline urea/ methylparaben /propylparben , propylparaben , propyl hydrochloride , erythorbic acid , erythritol, ethanolamine sodium , p -toluenesulfonic acid , pyridoxamine , hydrochloride , ethyl maltol, ethyl oleate , ethyl vanillate , pyridoxine ( 4 -pyridoxic acid ) , , , ribo ethyl vanillin , dihydrochloride , ethylhexyl flavin , saccharin , saccharin calcium , saccharin sodium , sac hydroxystearate , , eucalyptol , eugenol, exam - 20 charin sodium anhydrous, , saturated etazime, fatty acid esters , fatty acid glycerides , fatty acid esters , sebacic acid , , sodium 1 , 2 -ethanedisulfonate , pentaerythriol ester , fatty acids , fatty alcohol citrate , fatty sodium 2 -naphthalenesulfonate , , sodium alcohols, ferric chloride , ferric oxide , ferrosoferric oxide , acetate anhydrous , sodium alginate , sodium alkyl sulfate , ferrous fumarate , ferrous oxide , fluorescein , fructose , sodium silicate , , sodium ben fumaric acid , fumaryl diketopiperazine , oxide , 25 zoate , sodium , , sodium bisul galactaric acid , , gamma cyclodextrin , , fate acetone, sodium bisulfite , sodium bitartrate , sodium gentisic acid , gentisic acid ethanolamide , gentisic acid etha borate , sodium borate decahydrate , , nolamine , gluceptate sodium , gluconic acid , gluconolactone, sodium carbonate decahydrate , sodium carbonate monohy , , glucuronic acid , glutamic acid , glu drate , sodium carboxymethyl beta - glucan ( ds 065 -085 ) , tamic acid hydrochloride, , glutaric acid , gluta - 30 sodium caseinate , sodium cellulose , sodium cetostearyl sul thione , glyceryl caprylate , glyceryl dibehenate , glyceryl fate, sodium chlorate , sodium chloride , sodium chloride distearate , glyceryl isostearate , glyceryl laurate , glyceryl injection , sodium cholesteryl sulfate , sodium citrate , sodium monostearate , glyceryl oleate , glyceryl palmitate , glyceryl citrate hydrous, sodium cocoyl sarcosinate , sodium cycla palmitostearate , glyceryl ricinoleate , glyceryl stearate , glyc - mate , sodium desoxycholate , sodium dithionite , sodium eryl stearate _ laureth - 23 , glyceryl stearate /peg stearate , 35 dodecylbenzenesulfonate , sodium ethylparaben , sodium glyceryl stearate /peg - 100 stearate , glyceryl stearate / peg -40 sulfoxylate , sodium gluconate , sodium stearate , glyceryl stearate - stearamidoethyl diethylamine , , , , sodium glyceryl trioleate , , glycine hydrochloride , glycol lactate , sodium laureth - 2 sulfate , sodium laureth - 3 sulfate , distearate, glycol stearate , glycolic acid , , guani sodium laureth - 5 sulfate , sodium lauroyl Sarcosinate , dine hydrochloride, hexylresorcinol, hippuric acid , , 40 sodium lauryl sulfate , sodium lauryl sulfoacetate , sodium hyaluronate sodium , hydroquinone, metabisulfite , , sodium oleate , sodium phos hydrous - citric acid , hydroxyethylpiperazine ethane sulfonic phate , sodium phosphate dihydrate , sodium phosphite , acid , hydroxyoctacosanyl hydroxystearate , hydroxyproges - sodium polyacrylate , sodium polyacrylate ( 2500000 MW ) , terone caproate , hydroxypropyl beta -cyclodextrin , hystrene , sodium polymetaphosphate , sodium propionate , sodium illicium anisatum , , imidurea , indigotindisulfonate 45 pyrophosphate , sodium pyrrolidone , sodium sodium , , hydrochloride , iprifla glycolate , sodium starch glycolate type a corn , vone, isoleucine, isopropyl isostearate , isopropyl myristate , sodium starch glycolate type a potato , type B potato sodium isopropyl myristatemyristyl alcohol, isopropyl palmitate , starch glycolate , sodium stearate , sodium stearyl fumarate , isopropyl stearate , isostearic acid , isostearyl alcohol, lactate , sodium succinate hexahydrate , , sodium sul monohydrate , lactobionic acid , lactose, landalgine , 50 fate anhydrous, sodium sulfate decahydrate , sodium sulfite , lanolin , lauralkonium chloride , lauramine oxide , laureth sodium sulfosuccinated undecyclenic monoalkylolamide , sulfate , lauric acid , lauric diethanolamide, lauric myristic , sodium thioglycolate, sodium thiomalate , diethanolamide, lauroyl , lauryl lactate , lauryl sul- sodium , anhydrous, sodium fate , lecithin , leucine , levomenthol, levulinic acid , lidofenin , trimetaphosphate , sodium tripolyphosphate , sodium I -sodium lactate , lysine , maleic acid , malic acid , malonic 55 sulfonate , sorbic acid , sorbitan , sorbitan isostearate , sorbitan acid , maltitol, , maltol, anhydrous, monolaurate , sorbitan monooleate , sorbitan monopalmitate , , , maprofix , mebrofenin , medium sorbitan monostearate , sorbitan sesquioleate , sorbitan tri chain triglycerides, medronate disodium , medronic acid , oleate , sorbitan tristearate , , squalane , stannous , metacresol, , , methyl 2 - ethylhexanoate , stearalkonium chloride, stearalkonium stearate , methylchloroisothiazolinone , methylisothiazoli 60 hectorite / propylene carbonate , stearamidoethyl diethylam none , methylparaben , methylparaben sodium , miripirium ine, stearates , stearic acid , stearic diethanolamide , stearoxyt chloride , mono and diglyceride , monobasic sodium phos - rimethylsilane , stearyl alcohol, succinic acid , sucralose , phate , monobasic sodium phosphate anhydrous, monobasic suesucrose , distearate , sucrose laurate , sucrose palmi sodium phosphate dihydrate , monobasic sodium phosphate tate , sucrose polyesters , sucrose stearate , sucrose syrup , monohydrate , monoglyceride citrate , monoglycerides , 65 sulfacetamide sodium , sulfobutylether beta - cyclodextrin , , monosodium glutamate, monostearyl tagatose , tartaric acid , tegacid , tert - butylhydroquinone , tet citrate , monothioglycerol, myristic acid , myristyl alcohol, rofosmin , , thimerosal, threonine , , US 10 , 292 , 951 B2 42 tocopherol, tocophersolan , tragacanth , triacetin , tribasic , acetophenide , , acetosulfone , sodium phosphate , tribasic sodium phosphate monohydrate , , acetrizoat, acetyl, , acetylcho tribehenin , tricaprylin , triceteareth -4 phosphate , trietha line, , acetylcysteine, acetylleucine , acetyl nolamine lauryl sulfate , triethyl citrate , trihydroxystearin , , acetylsalicylate , acetylsalicylic acid , , trilaneth - 4 phosphate , trilaureth - 4 phosphate , trimyristin , 5 acifran , acipimox , acitazanolast, acitretin , aclarubicin , acla tris , trisodium citrate dihydrate , trisodium hedta , tristearin , tonium , , Acranil® , acriflavine , acrisorcin , acriv trolamine, tromantadine, tromethamine , , tylox - astine, , actagardine derivative , actarit , ACTH , apol, , , urea , urethane , ursodiol, acyclovir , adapalene , ADCON - L , adefovir , adefovir dipiv valine, vanillin , versetamide , viscarin , vitamin E , vitamin E oxil , adenoscan , , ADEPT , adinazo acetate , vitamin K5 , xylitol, and sulfate . See also U . S . 10 lam , adiphenine, ADL - 10 - 0101 , , adrenalone, adre Pat. No . 7 ,927 ,613 , which is incorporated herein by refer - nochrome , adrogolide , AEOL - 10150 , aesthinol, AET, ence in its entirety . Other pharmaceutically acceptable AF - 2259 , , AG -041R , AG -2037 , AGN -194310 , coformers include those delineated in the “ Generally , ahistan , AHL - 157, AIT- 034 , AIT- 202 , Regarded as Safe ” ( “ GRAS” ) and /or the US FDA “ Every - AJ - 9677 , AJG - 049 , , akzo , alacepril , thing Added to in the United States ” (“ EAFUS " ) lists . 15 alapivoxil , , , albuterol , albutoin , In certain embodiments , at least one of the one or more , , alcuronium , aldioxa , aldol, pharmaceutically acceptable coformers is selected from the , alendronate, alendronic acid , alexidine , alfacal group consisting of caffeine , urea , p - aminobenzoic acid , cidol, , , , alfimeprase , alfu theophylline, benzyl benzoate , and nicotinamide . In other zosin , , algestone , algestone , algin , alglucerase , embodiments , the one or more pharmaceutically acceptable 20 alibendol, aliskiren , alitertinoin , , alkannin , alko coformers is other than those selected from the group fanone , allantoin , , , allyl isothiocya consisting of caffeine , urea , p -aminobenzoic acid , theoph nate , , , , , ylline, benzyl benzoate , and nicotinamide . In other embodi- , aloe - , aloin , , alovudine, alox ments , the one or more pharmaceutically acceptable coform - iprin , alpha - , alpha - 1 protease , alphaprodine, , ers is other than those selected from the group consisting of 25 alpiropride, , , alsactide , ALT- 711 , acetamide , benzamide , 2 - aminothiazole , and isoniazide . In Althiazid , , altretamine , aluminium chloride hexa still other embodiments , the one or more pharmaceutically hydrate , aluminon , aluminum acetate solution , aluminum acceptable coformers is an ( e . g . , proline, e . g ., chlorate , aluminum hydroxychloride , aluminum potassium D - proline or L - proline , or racemic proline ) . In another sulfate , aluminum sodium sulfate , alusulf , , alvimo embodiment, the one or more pharmaceutically acceptable 30 pan , alvocidib , ALX -0646 , AM - 24 , AM - 36 , AM -477 , aman coformers is a 5 - 10 ( e . g . , 5 - 9 , 5 - 6 , or 5 ) membered het - tadine , amantanium , ambazon , ambenonium , , eroaryl, e . g ., a nitrogen - containing heteroaryl, e . g ., imida - , ambucaine, , ambusid , ambutonium zole . bromide , , AMD -3100 , amdinocillin , amdinocil In certain embodiments , at least one of the one or more lin pivoxil, amdoxovir , amelubant, americaine , amezinium , pharmaceutically acceptable coformers is a second API. In 35 , , amidinomycin , amifostine, amiglu certain of these embodiments , the second API is indepen - mide, amikacin , , aminacrine, , amini dently selected from ( - ) - , ( - ) -halofenate , ( R ) - trozole , amino acid preparations, aminocaproic acid , amino , ( R ) - salbutamol, ( R , R ) - , ( S ) -doxa - , aminoguanidine , aminohippurate , zosin , ( S ) - , ( S ) -oxybutynin , 1 , 2 -naphthoquinone , aminometradine , aminopentamide , , amino 17 - , 17a - hydroxyprogesterone, 195mPt- 40 , aminopyrine , aminoquinuride , , amio cisplatin , 1 - naphthyl salicylate , 1 -naphthylamine - 4 - , 1 - theo - darone , amiodipine , , amiprilose, , bromineacetic , la -hydroxycholecalciferol , 2 , 4 , 6 - tribromo - , amitriptyline + , , m -cresol , 2 ,6 -diamino -2 ' - butyl oxy - 3 ,5 '- azopyridine , 2 - [[ [ (I , ammoniacum , ammoniated mercuric chloride, r ) - 2 - ( h - imidazol- 4 - yl) - 1 -methylethyl ] imino ] phenylmethyl] - , ammonium mandelate , ammonium phenol, 21 - acetoxypregnenolone , 2 -amino - 4 -picoline , 45 salicylate , ammonium valerate , , amocarzine , 2 -aminothiazole , 2 -ethoxybenzoic acid , 2 -naphthol , 2 - naph - amodiaquin , , amoscanat, , amotriph thyl benzoate , 2 -naphthyl lactate , 2 - naphthyl salicylate , 2 - p - ene , , , amoxicillin + potassium clavu sulfanilylanilinoethanol, 2 - thiouracil, 3 ', 3 " , 5 ', 5 " - tetra -bro lan , AMPAlex , , amphetaminil , amphotericin mophenolphthalein , 3 -amino - 4 -hydroxybutyric acid , B , ampicillin , , ampligen , amprenavir , 3 -Bromo - D -camphor , 3 -Hydroxycamphor , 3 - O -Lau - 50 amrinose , amrubicin , amsacrine, amtolmetin guacil , amylo roylpyridoxol Diacetate , 3 - pentadecylcatechol, 3 -quinucli - caine , AN - 152 , anabolic , anagestone , , dinol, 4 , 4 '- oxydi - 2 -butanol , 4 , 4 ' -sulfinyldianiline , 4 -amino - , anazolene , ancitabine , , andolast, 3 -hydroxybutyric acid , 4 -amino - 3 -phenylbutyric acid , , , anecortave , anethole , anet 4 - aminosalicylic acid , 4 - chloro - m -cresol , 4 -hexylresorcinol , hole trithione , angiogenix , angiotensin , anhydrovinblastine , 4 -salicyloylmorpholine , 5 -nitro - 2 '- propoxyacetanilide , 55 , anilerdine , , , aniso 5 - aminolevulinic acid , 5 - azacitidine , 5 - bromosalicyl- hy mycin , anisotropine, , , anthiolimine , droxamic acid , 5F -DF -203 , 5 - FU , 5 -HT3 antagonists , anthralin , , anthrarobin , anthrax inhibitor, anti 6 - azauridine , 6 -mercaptopurine , 8 -hydroxyquinoline , angiogenic , anticort, , anti - invasins, anti 9 - aminocamptothecin , A - 151892 , A - 5021 , , aba - mony potassium tartrate , sodium thioglycollate , peridone , , , , abetimus , abirater - 60 antimony thioglycollamide , antiprogestin , antipyrine , anti one , ABLC , ABT- 751 , AC - 5216 , acadesine, , pyrine salicylate , III , , AP -521 , acamprosate , acarbose , acebrophylline , , acecain AP- 5280 , apalcillin , apaziquone , apazone , apocodeine , apo ide , , , acedapsone , acediasulfone , mine , , , , , , , aceglutamide, , aceno , apronalide , aprotinin , , AQ4N , aqua coumarol, aceponate , acetal, acetamidoeugenol, acetamino - 65 van , AR - 116081 , AR - A2 , , , phen , acetaminosalol, acetanilide , acetarsone, acetazol arbekacin , arbidol, , arcitumomab , ardeparin , amide , acetiamine, , acetohydroxamic acid , , , arginine , Ariflor , , arof US 10 ,292 , 951 B2 44 ylline, , arsacetin , arsenic trioxide , arsphenamine, buformin , , bumadizon , , , arteether , arteflene, , , , arte bunamiodyl sodium , , , , sunate , , AS - 3201, ASA , , ascorbic , , , buramate , , acid , , , asocarboxazid , , , busulfan , busulfan , , , buta asoxime, aspartic acid , aspidin , aspidinol, , aspirin 5 cetin , , , , , buta , aspoxicillin , AST- 120 , , asulacrine , mirate , butanilicaine , , butaverine , butazol AT - 1015 , , atazanavir , , atenolol + chlo amide, butedronic acid , , butethal, butethamate , rthalidone , atenolol + , , , butethamine , , buthiazide , butibufen , , atiprimod dimaleate , ATL - 146e , , atorvastatin , butobendine , , butoctamide , , butor atosiban , , atovaquone + , atracurium , 10 phanol, butoxycaine , , butropium , butylthiolau atrasentan , atrial natriuretic , atrolactamide, , aug rate , butyrate propio , buzepide, BVT- 5182 , BXT- 51072 , mentin , auranofin , , avasimibe , avobenzone , C - 1311 , , cabergoline, cacodylic acid , cactino AWD - 12 - 281 , azacitidine , , , mycin , cadexomer iodine , salicylate , , , azaserine , azasertron , , azathip - cafaminol, caffeine , calcifediol, calcipotriene , calcipotriol, prine , AZD -4282 , AZD -6140 , , , azel - 15 calcipotriol+ , calcitriol, calcium 3 - aurothio nidipine , azidamfenicol, azidocillin , , azintamide , 2 - propanol- 1 - sulfonate , calcium acetylsalicylate , calcium azithromycin , azlocillin , , aztreonam , azulene , bromolactobionate , , , bacampicillin , bacitracin , , , balofloxacin , calcium glycerophosphate, calcium hopantothenate , calcium , , , , , iodobehenate, calcium iodosterate, calcium lactate , calcium , , BAS - 118 , basic alumina , baslilximab , 20 levulinate , calcium mesoxalate , calcium N - carbamoylaspar batimastat , batroxobin , Bay - 41 - 2272 , Bay -41 - 8543 , BAY tate , calcium polycarbophil , calcium propionate , calcium 43 - 9006 , BAY -57 - 1293 , bazedoxifen , BBR - 3464 , BBR succinate, caldaret , , , camostat , cam 3576 , BBR - 3610 , BCH -1868 , bebeerine , , beclo phor, camphorate , camphotamide , camptothecin , candesar metasone , , , , , tan , candesartan cilexetil , , , can benazepril , , , , 25 renone, cantharidin , cantuzumab mertansine, capecitabine , benetonide , benexate , , benfotiamine, benfurodil , capobenic acid , capravirine , capromab , cream , , benorylate , , benoxinate , benperi - captodiamine , captopril, captopril + HCTZ , capuride , carab dol, , , , , ersat, , , , , car bentoquatam , benzafibrate , benzalkonium , benzarone , ben - bamide peroxide , carbarsone , carbaryl, carbazochrome, car zathine, , benzethonium , benzetimide , ben - 30 bendazim , carbenicillin , , carbetapentane, zilonium , benziodarone, benznidazole, , benzo - carbicarb , , carbidopa + levodopa - 1 , carbimazole , ctamine , , benzoxonium chloride , benzoyl , carbocloral, carbocysteine , carbon tetra peroxide , benzoylpas , , benzpiperylon , ben - chloride , carbonate gel , carboplatin , carboprost, carboprost , zquinamide , benzthiazide , benztropine, , ben carboquone , , , , , zyl benzoate , benzylhydrochloro - , , 35 carfimate, carglumic acid , cargutocin , carindacillin , cari bephenium , , , , , ber - poride , cariporide, , carmofur, carmoxirole , car gapten , bermoprofen , besipirdine , , betaine, mustine , carnitine , , , carphenazine , , betamipron , betasine , , , , , carsalam , , carticaine , bethanechol, , betoxycaine , , bevo - carubicin , carumonam , carvacrol, , carvone , cas nium , bexarotene , , BG - 9928 , BIA - 2 -024 , BIA - 40 carillin , , , cathepsin K inhibitors , 2 - 093 , BIA - 3 - 202 , bialamicol , biapenem, bibenzonium, cathepsin S inhibitors , CC -401 , CCI- 779 , CCR5 antago bibrocathol, , , bicisate , bicyclic , nists , CDC - 394 , CDC - 801, CEE - 03 -310 , cefactor, bidisomide , bietamiverine , bietanautine , , bifer - cefadroxil , cefalexin , cefalexin pivoxil , cefamandole , cefa melane, , , bimatoprost, bimoclomol, trizine , cefazedone , cefazolin , cefbuperazone , cefcapene bimosiamose , binifibrate , binodenoson , biomed - 101, biotin , 45 pivoxil, cefclidin , cefdinir , cefditoren pivoxil, cefepime, biperiden , biriperone , birlcodar , , bisantrene , bis - cefetamet , cefetamet pivoxil , cefixime, cefmenoxime, cef bentiamine, bisdequalinium , bismuth , bismuth , bismuth , metazole , cefminox , cefodizime, cefonicid , cefoperazone , bismuth aluminate , bismuth ethyl , bismuth sodium , bismuth cefoperazone + sulbactam , ceforanide , cefoselis, cefotazime, sodium triglycollamate , bismuth subcarbonate , bismuth sub - cefotetan , cefotiam , cefotiam hexetil , cefoxitin , cefozopran , gallate , bismuth subnitrate , , biso - 50 cefpimizole , cefpiramide, cefpirome, cefpodoxime, cefpro prolol, + HCTZ , bisoprolol + trichloromethiazide , zil, cefroxadine , cefsulodin , ceftazidime, cefteram , ceft bisoxatin , , , bitoscanat, BL - 3875 , bleo ezole , ceftibuten , ceftizoxime, ceftizoxime, ceftriaxone , mycin , , BMS - 184476 , BMS -387032 , , cefuroxime axetil , cefuzonam , , cel BN -82451 , BNP - 7787 , BO - 653, , , gosivir , , cellulose ethyl, CEP - 1347 , CEP - 701 , , , bornyl chloride, bornyl salicylate , 55 cephacetrile , cephaeline, cephalexin , cephaloglycin , cepha bortezomib , , bradycor, brain natriuretic , brallobar loridine , cephalosporin C , cephalothin , cephapirin , cephra bital , , brequinar , , brilliant green , dine, cerivastatin , ceronapril, certoparin , , cer , brinzolamide, brivudin , brodimoprim , bro viprost , cetalkonium , , cethexonium , cethromycin , mazepam , , bromide, bromindione, , , cetirizine , cetirizine + , bromisovalum , , bromo - , 60 ?etotiamine, cetoxime, , cetrimonium , , bromoform , , bromo -salicychloranilide , bro - cetyldimethylethyl- ammonium , cetylpyridinium , cevime mperidol, , broparoestrol, bropirimine , line , CG - 1521 , chaulmoogric acid , chenodiol, CHF - 3381 , brostallicin , , brovincamine , , bro chlophedianol , chloracizine , , chlorambucil , zuridine , brucine , bucetin , bucillamine , , chloramine - B , chloramine - T , chloramino - , , , buclosamide , bucolome, bucricaine , 65 chlorazanil , , chlorbetamide , chlorcycliz , , budesonide + formoterol, , ine , , chlorguanide , chlorhexadol, chlorhexi budralazine , bufeniode , , , , dine , chloriazepoxide , , chlormadinone , US 10 , 292 ,951 B2 45 46 , , , chlornap pristin , dalteparin , daltroban , , , danthron , hazine, chloroazodin , chlorophyll , , chlo , , dapivirine , , , roprocaine , , , , chlo daptomycin , darbepoetin alfa, , daunorubicin , rothiazide, , , chloroxylenol, DAX < SciClone, DB -67 , D -camphocarboxylic , DCF -987 , chlorozotocin , , chlorphenesin , chlorpheni- 5 DDT, deaminooxytocin , deanol, debrisoquin , decametho ramine , chlorphenoxamide, , chlorphen - nium , decimemide , decitabine , declopramide, deferiprone , termine , , , chlorproguanil + deferoxamine , , defosfamide, , dehy dapsone, , , , droascorbic acid , , dehyrdocholic acid , dela , chlortetracycline, chlorthalidone , chlorth - pri + , delapril, , delmadinone , delmo enoxazine ( e ) , , cholic acid , , choline 10 pinol, , , demanyl, demecarium , theophyllinate , choline - L - alfoscerate , chromocarb , chromo - , , , demexiptilline , nar, chrysoidine , CHS - 828 , CI - 1031 , CI- 1040 , cibenzoline , denaverine , dendrimers, denileukin diftitox , , , , , , ciclosidom denopterin , deoxycholic acid , deoxycorticosterone, deoxy ine , ciclosporin A , cidofovir , cifenline, , cilasta dihydro - , , depreotide, depsi tin , cilazapril, cilengitide , , , , 15 , , , dersalazine , , , cimetropium , cinacalcet, cinchonidine, cincho - desferrioxamine , , , deslanoside , nine , cinchophen , , , cinepazide , cini , , desmopressin , desogestrel , deso tapride , cinmetacin , , , cinolaze - gestrel + , desogestrel + ethinylestrad ( 1 ) , desomor pam , cinoxacin , cinoxate , cinromide , , phine, , , detaxtran , devacade , dex cipamfylline, cipralisant , ciprofibrate , , cipro - 20 amethasone , , dexecadotril, dexefaroxan , floxacin + , , cisatracurium , cisplatin , cit dexetimide, , , dexloxiglumide, alopram , , Citiolone , citrate, citric acid , citrulline , , , dexpanthenol, cizolirtine, CJ- 13610 , CKD -602 , cladribine, clanobutin , dexrazoxane , dextran - 1 , dextranomer , , , clavulan , clavulanate disodium , clavulanic , , , acid , , , clemizol, , clenti - 25 , DF - 1012 , DFA - IV , D - fenchone , D - glucuronolac azem , , clevudine, clidanac , clidinium , clina - tone, Diab II, , , diamthazole , diathy floxacin , , clindamycin , clindamycin + tretinoin , mosulfone , , , diaziquone , , clinofibrate , clinprost, , clobenfurol, clobenoside, dibekacin , , dibromopropamidine , dibucaine , , , , , clo - , dichloramine T , , dichlo betasone , , , , clocon - 30 robenzyl alcohol, dichlorohydrin , , dichloro , , clodronate , clodronic acid , clofarabine, phenarsine, dichlorphenamide , , diclofenac + HA , clofazimine , , clofibrat, clofibric acid , cloflucar , , dicumarol , dicyclomine , didanos ban , clofoctol, , clomacran , clomestrone , clometa - ine , dideoxyadenosine , didox , , , cin , , clometocillin , clomiphene , clomip - dienogest + estradiol, diethadione , diethazine , diethylamide , ramine , clomocycline, , , , 35 diethylbromo- acetamide, , diethylpro clonitrate , , clopamid , , , pion , , , , , , clopirac , , , clorazepic , diflomotecan , , difloxacin , diflu acid , , cloricromene , , clorprenaline , cortolone, , , digitalin , , , clospirazine, , clothiapine, clotiaz - , , , , dihy epam , , clotrimazole + betamethasone, cloxacil - 40 drocodeinone enol, , dihydroergocryp lin , , cloxotestosterone , cloxyquin , , tine , , , dihydrostrepto CMI- 392 , CMT- 3 , CNI- 1493 , CNS -5161 , cobamamide , mycin , dihydrotachysterol, dihydroxyaluminum , , , , cofactor, colchicine, cole - , diisopropyl paraoxon , diisopropylamine , sevelam , colestilan , colestipol, daropate , colfos , dilevalol, , , dimecrotic acid , ceril, collagraft, colocynthin , colpormon , coluracetam , com - 45 , dimeglumine , dimemotfan , , bretastatin A - 4 , compound B , conivaptin conjugate , , , , , connettivina , convallatoxin , coparaffinate , dimethadione , , dimethindene , dimethisoquin , ovine, , , , cosyntropin , dimethisterone , , , dimethyl sul cotamine , , co - trimazine , coumetarol, CP - 248 , foxide , , , dimorpholamine , CP - 461 , CPC - 211 , CPI- 1189 , CRA -0450 , creatinol- O - phos - 50 dinoprostone , , diosmin , dioxadrol, dioxaphetyl , phate , CRL - 5861 , crobenetine , , cromoglicic dioxethedrine , dioxybenzone , diphemanil , , acid , cromolyn , cropropamide , crotamiton , crotethamide , diphencyprone , diphenhydramine , diphenidol , diphenoxy crystacide , CS -502 , CS -758 , CS - 834 , CT -052923 , late , , diphetarsone , diphtheria & tetanus CT -32228 , cupric citrate , cuproxoline , CVT - 2584 , toxoids and acellular pertussis vaccine adsorbed , dipi CX -659S , cyacetacide , , cyanidin , CYC400 , 55 panone , dipivefrin , dipyridamole , dipyridamole , dipyro cyclacillin , , , cyclexanone , cyclex cetyl, dipyrone , , dirithromycin , disodium edrine, cyclidrol , cyclin DI inhibitors, , cyclobar - pamidronate , disofenin , , distigmine, disulf bital, cyclobendazole , , cyclobutyrol, amide, , ditazol, dithiazanine , dithranol, ditiocarb , cyclocumarol, cyclodrine, , cycloguanil, cyclom - dixanthogen , , DJ- 927 , DK - 507k , DL - Lactic ethycaine, cycloniumelodide , , cyclopenthi- 60 Acid , DMDC , DMXAA , DNA Stealth , dobesilate , dobuta azide , , cyclopentolate , cyclophosph - mine , docarpamine, , docosahexaenoic acid , doco amide, cyclopiroxalamine, , , sanol, docusate , , mesilate , , cyclovalone , cymarin , cymserine, cynarin ( e ) , cyp26 inhibi domiphen , domitroban , , , donitrip tors , , , cysteamine , cystic fibro - tan , , , doramapimod , doranidazole , sis ther, cytarabine , D - 24851, D - 4418 , DA - 5018 , DA -6034 , 65 doripenem , dorzolamide , dorzolamide + , dosmalfate , DA - 7867 , DA - 7911 , DA - 8159 , dacarbazine , daclizumab , dosulepine , , dothiepin , doxacurium , , dactinomycin , dalbavancin , dalfopristin , dalfopristin + quinu , , doxenitoin , , doxercalcif US 10 ,292 , 951 B2 48 erol, doxifluridine, , doxorubicin , , , febuprol, , , , , DPC -817 , DPI- 3290 , DQ - 113 , drofenine , , , felypressin , , fenbenicillin , , drometrizole, dromostanolone , dronabinol, , , fencamfamine , , fenclozic , , droprenilamine , , acid , , fendosal , , , feni , , , , , 5 pentol, fenofibrate , , , , fen droxidopa , DU - 125530 , , duramycin , durapatite , overine , , fenoxedil, , , , DW - 1141, DW - 286a , DW - 471, DX - 9065a , , , , fenquizone , fenre DY- 9760e , dyclonine , dydrogesterone , dymanthine, dyph - tinide , , , , fenticlor, fenticon yllin , E - 1010 , E - 2101 , E2F antagonists , E - 3620 , E - 5564 , azole , , fepradinol, , ferric E - 5842, E -6259 , EAA - 90 , , , ebroti - 10 sodium edetate , ferrioxamine B , ferrocholinate , ferrous glu dine , ebselen , eburnamonine , ecabapide , ecabet , , conate , ferumoxytol, fesoterodine , , fibrostat, ecgonidine, ecgonine , echothiophate , , , fidarestat, fiduxosin , , , , FK - 960 , ecraprost , ectylurea , ED -71 , edaravone, edatrexate , edetate flavopiridol , flavoxate , , fleroxacin , , fli calcium disodium , edetate disodium , edetate sodium , edetate banserin , , flomoxef, , florantyrone , trisodium , edonentan , edotreotide , edoxudine, edrecolomab , 15 flosequinan , floxacillin , floxuridine , , , edrophonium , efalith , efaproxiral, , efletirizine , fluarizine, fluasterone , , flucloronide , flucloxacil eflornithine, efloxate , eflucimibe , , EGIS - 7229 , lin , , , fludarabine , fludeoxyglucose , egualen , elarofiban , elcatonin , elcosapentaenoic F18 , , , , fluindi acid , eledoisin , , elgodipine , , ellip one , , flumecinol, flumequine , flumethasone , flu tinium , , elvucitabine , , embelin , 20 methiazide, , , , fluo , , emepronium , , emitefur, cinolone acetonide , SAL , , EMM - 210525 , emodin , emorfazone , EMR -62203 , emtricit - butyl, , fluorescein , fluoresone , fluo abine , , enalapril, enalaprilat , enallylpropymal, rometholone, fluorosalan , fluorouracil , fluoxetine, flu , , , enfenamic acid , enflu - , , , , flupir rane, enilconazole , eniluracil , ENMD -0995 , enocitabine , 25 tine , acetate , , , enol - 3 - IPA , enoxacin , enoxaparin , , , flurandrenolide , , , flurithromycin , , enrasentan , , entecavir , enviomycin , flurogestone , , fluroxen , , , eoinephrine , epalrestat, epavir , EPC -KI , , epervu - , , , , flutro dine , , epicillin , , , epirizole , pium bromide , fluvastatin , , folic acid , folinic epirubicin , , , , epopros - 30 acid , , , fomivirsen , fomocaine , fon tenol, epostane, , , eprosartan , eprozi azine , , , , , nol, , eptaplatin , eptastigmine , , eptifi- formoterol, fosamprenavir , foscarnet, , fosflucon batide , , , ERA - 923 , , azole , fosfomycin , fosfomycin , fosfosal, fosinopril, fosphe , ergocorninine, mesylates, ergonovine , nytoin , fotemustine , fropenem , , fructose , fruc , , eritadenine , , ertapenem , 35 tose - 1 , 6 - diphosphate , FTC , FTY- 720 , fudosteine , erythrityl tetranitrate , erythrocentaurin , acis - , fumagiline, , furaltadone , , trate , erythromycin erythrophleine , erythromycin estolate , , furazolium chloride , furonazide , , erythromycin glucoheptonate , erythromycin lactobionate , fursultiamine, furtrethonium , fusidic acid , GI, YM BioSci erythromycin propionate, erythromycin stearate , erythromy ences , G25 , GABA - A Alpha5 , , gabexate , gabox cin stinoprate , esaprazole , , esculin , eseridine , 40 adol, gadobenat, , , gadolinium , esmolol, , , ester , estradiol, estradiol, , , , gadoxetic , , , , , etafe acid , , galanthamine, galarubicin , gallamine tri drine , etafenone , etamiphyllin , etanercept, etanidazole , ethiodide , gallic acid , gallium maltolate , gallium nitrate , , , ethacridine , ethacrynic acid , , , ganciclovir , , ganstigmine , ethadion , ethambutol, ethamivan , ethamsylate , etha- 45 gantofiban , garenoxacin , garnocestim , gatifloxacin , gefar nolamine , ethaverine , , , ethiaz- nate , , gemcabene, gemcitabine , gemeprost , gemfi ide , , ethinyl estradiol, ethinyl estradiol, ethinyl brozil, gemifloxacin , gentamicin , gentian violet, gentiopi estradiol, ethionamide, , , ethopro crin , gentisic acid , , , , pazine , , , , ethybenz - gestodene + ethinylest, , , tropine , ethyl alcohol, , ethyl chloride, 50 gimatecan , giractide, gitoxin , GL -406349 , , glati ethyl , ethyl ether , ethyl icosapentate , ethyl r amer, , , , , gliq loflazepate , , ethylamine , , ethyl- uidone , glisolamide , glisoxepid , globulin ( human ), gluca estrenol, ethylidene , ethylmethyl- thiambutene, ethylmor - metacin , glucoheptonic acid , gluconic acid , glucosamine , phine, ethylnorepinephrine , ethynodiol, ethynylcytidine , eti glucosulfone, glufosfamide , glutamic acid , glutaraldehyde , docaine , etidronate , etidronic acid , etifelmin , , 55 glutethimide, glyburide, glybuthiazol( e ) , glybuzole , glyc etilefrin , , , etiroxate , , etod erol, glycerophosphate , glycocyamine , glycol salicylate , olac, , , etofibrate , etofylline , etof- glyconiazide, glycopyrrolate , glyhexamide, glymidine , ylline clofibrate , etofylline nicotinate , etoglucid , , glypinamide , GMDP, gold sodium , , GPI- 1485 , etomidoline , , , , etopo - GPI- 5693 , graftskin , , grepafloxacin , griseoful side, etoposide phosphate , , , , 60 vin , guaiacol , guaiapate , guaiazulene , , guaime etretinate , etryptamine , , eucatropine , eugenol, sal, gualacolsulfonate, guamecycline, , , EUK - 134 , EUK - 189 , , everolimus, exalamide , , , , , gugu exametazime, exatecan , , exifone , exisulind , lipid , gusperimus, GW - 280430A , GW -320659 , GYKI Exosurf® , ezetimibe , Factor IX , Factor VIII , Factor XIII , 16084 , , , , halobetasol, fadolmidine , , falecalcitriol, famciclovir , famoti - 65 , , , , halo dine , fampridine, fandofloxacin , , faropenem , progin , , , , harkoseride , faropenem daloxate , fasidotril , , , HE - 2000 , healos, , hepronicate , heptabar US 10 ,292 , 951 B2 49 50 bital , , , hetastarch , hexacetonide , , carbonate , , laquinimod , , hexadimethrine, hexafluorenium , hexam - , latamoxef, latanoprost, lauroguadine , lauro ethonium , , , hexedine, , linium acetate , lawsone , LAX - 111, , LB - 30057 , hexestrol Bis ( B - diethylaminoethyl ether ), , hexeti - L - cysteine , , leflunomide, leflunomide, leiopyr dine , , , methyl sul- 5 role , lenampicillin , lentinan , , , lerise fate , , hextend , , HF -0299 , HGP- 2 , tron , , leteprinim , , , leucocya HGP -6A , hidrosmin , , , , nidin , leuprolide, leuprolide acetate , , HM - 101, HMN - 214 , homatropine , homocamfin , homochlo , levaminsole , levcromakalim , , rcyclizine, , HP - 228 , , hyaluro - , , , , nan , hycanthone, hydnocarpic acid , , , 10 , levodopa, , , hydrastinine , , , hydrocor - levomethadyl acetate , , , tamate , hydrocortisone , hydrocortisone, hydroflumethiaz - , , , levosi ide , , hydroquinidine, hydroquinine, hydro mendan , levosulpride , , levovirin , lexidronam , quinone, hydroxid , , lexipafant, LF - 15 - 0195 , LF - 16 - 0687, LGD - 1550 , LH , LH hydroxyamphetamine, , , 15 RH , liarozote , licofelone, , lidadronate , lidamidine , hydroxyethyl ether , hydroxynaphthoate , , , lidofenin , , limaprost, lincomycin , lin , hydroxypropyl cellulose, hydroxystilb - dan , , linoleic acid , linolenic acid , liothyronine , amidine, hydroxytetracaine, , Hylan G - F 20 , lipase, lipo - , lipo - flurbiprofen , Lipogel HA , hymecromone , , , IACFT , ibandronic LiquiVent, liranaftate , lisinopril, lisofyllin , , lithium , acid , , ibopamine , Ibritumomab , ibrolipim , ibudi- 20 , lixivaptan , LJP - 1082 , LLUAlpha , LMP - 160 , last, Ibufenac , , ibuprofen piconol, , LMP- 420 , loanzapine , lobaplatin , , lobenzarit , , ICA - 17043 , , idarubicin , , IdB - , , , , loflucarban , 1016 , idebenone, IDN -5109 , idoxifen , , idrocil - lomefloxacin , , lomifylline, lomustine , lona amide , , ifosfamide , iguratimod , , ilo - farnib , lonapalene , , , , lop mastat , , trometamol, ILX23 - 7553 , 25 eramide oxide, , loprinone, loracarbef, , , imidapril , , , imip - , , lorcainide , , lornoxi ramine , N -Oxide , imiquimod , imolamine , impli - cam , losartan , , lotrafiban , , , tapide , improsulfan , inactivated , , incadronate , loxiglumide, , Lu -35 - 138 , , lubipro incadronic acid , , indanazoline , , inde - stone , lucanthone, lucanthone , , , cainid , , indeloxazine , , , 30 lurtotecan , lutetium texaphyrin , LV - 216 , LX - 104 , , indisetron , indisulam , , indocyanine LY- 156735, LY- 293111, LY - 293558 , LY- 355703 , lyapolate , green , , , , induclem , lymecycline , , lypressin , lysine acetylsalicylate , infliximab , inhibitor , inhibitors , pranobex , , lysine salicylate , lysophospholipids , M - 40403 , mabuprofen , inositol niacinate , inverse Mer , iobenguane , ioben - , macrophage colony - stimulating factor, MADU , zamic acid , , , , iod - 35 mafenide , mafosfamide , , magenta I , magnesium , amide , iodide , iodine, iodipamide , , iodoalphionic , , magnesium cit acid , iodochlorhydroxyquin , iodoform , iodopyracet , iodopy - rate , magnesium gluconate , magnesium lactate , magnesium rrole , iodoquinol, iodosubgallate , iofetamine 1231 , ioglyca - salicylate, malathion , malotilate , mandelic acid , mandelic mic acid , , iomeglamic acid , , , acid isoamyl, , manidipine , mannomustine , , , iophendylate, iophenoxic acid , 40 mannose -6 - phosphate, maprotilline , maribavir , marimastat, , iopronic acid , , iopydone , iothalamic maxacalcitol, , , MC - 5723 ,MCC - 478 , acid , , , , , IP - 751 , ipi- MCI- 154 , m -cresyl acetate , MDAM , MDI- 101, MDI- 403 , dacrine , IPL - 576092 , ipodate , iponiazid , ipratpopium , ipra MDL - 100907 , , , mebhydroline , tropium , , , ipriflavone , mebrofenin , , , mechlore , iproclozid , ipsapiron , irbesartan , IRF1 -042 , IRFI- 45 thamine , mechlorethamine oxide , mecillinam , , 165 , iridomyrmecin , irindalone , irinotecan , irofulven , iron meclocycline , meclofenamate , , sorbitex , , IS -741 , isaglitazone, ISAtx - 247 , , , , , isbogrel, isepamicin , , isobutyl p - aminobenzoate , , , medronic acid , medroxypro , isoetharine , isofloxythepin , , iso - gesterone , , , , mefex flurophate, isoladol, , , isoni - 50 amide , , , megestrol, meglumin , azid , isonixin , , iodide, iso - meglutol, melagatran , - 4 agonist, melarsoprol, propyl alcohol, isopropyl unoprostone , isoproterenol, melengestrol, , melinamide, , meloxi isosorbide , isosorbide dinitrate , isosorbide mononitrate , iso - cam , , melphalan , meluadrine , , MEN thipendyl , isotretinoin , isovaleryl, isoxepac , , isox - 10700 , MEN - 10755 , menadiol, menadione, menadoxime, suprine , , , ISV - 403 , itasetron , ITF - 282 , 55 menbutone , menogaril , MENT, menthol , menthyl valerate , , , itramin , itriglumide, iturelix , ivabra - meobentine , meparfynol, mepartricin , mepazine , mepenzo dine, ixabepilone, J- 104132 , J- 107088, J- 113397, Janex - 1, late bromide, meperidine, , , josamycin , JTV -519 , K -777 , , kalimate , kallidin , , , mephobarbital, , KB - 130015, KCB -328 , , ketamine , , , , , , , kethoxal , , , ketopro - 60 , meproscillarin , , , fen , , ketorolac , , khellin , kinetin , KNI meralein , , merbromin , mercaptomerin , mercu 272, KP - 103 , KP - 157 , KP - 544 , KRN -5500 , KT- 136 , KUL - mallylic acid , mercuric oleate , mercuric oxycyanide, mer 7211 , KW -2170 , KW -6002 , KW - 7158 , L - 365260 , L - 5 - imepodib , meropenem , , mertiatide, mesalamine , hydroxy - tryptophan , L -745337 , L - 758298 , L - 826141 , , , , , mester , , lactic acid , lactitol, , lafuti - 65 olone , , mesulfen , , metampicillin , dine , lamifiban , , , , lanic , metaproterenol , , , emine , laniquidar, lanoconazole , lanoteplase, lanreotide, , metformin , methacholine , methacycline , US 10 ,292 , 951 B2 51 52 , methafurylene , , , nalol, , , nifurfoline , , methandrostenolone , , , meth - nifuroxime, nifurpirinol, nifurprazine , nifurtimox , nifurtoi aqualone , , methazolamide, , meth nol, , NIK -254 , , , nilvad enamine , methenolone , , methetoin , methicillin , ipine , , , , , methimazole , methiodal, methionic acid , methionine , 5 nimustine , ninopterin , NIP - 142 , NIP - 531, , nip methisazone, , methixene , , radilol , , , nitazoxanide, nitisinone , , , methotrimeprazine , methoxam - nitracrine , , , nitroflurbiprofen , nitro ine , methoxsalen , methoxycinnamate, , furantoin , , nitroglycerin , nitromersol, , methoxypromazine , methscopolamine , nitronaproxen , , nitroxoline , , methsuximide , , methyl blue , methyl nico - 10 nizofenone , NM - 3 , NM -702 , N -methylephedrine , N -meth tinate , methyl propyl ether, methyl salicylate , methyl tert- ylepinephrine , N -methylglucamine , NN -414 , NNC -05 butyl ether, methylbenzethonium chloride , methylbromide , 1869, nobel, nogalamycin , nolatrexed , nolomirole , nolpitan methylcobalamin , , , methyler - tium , , , noprylsulfamide, gonovine , methylhexaneamide, , methyl- norbolethone , , nordefrin , nordihydroguaiaretic , , methylprednisolone , 15 acid , , , , methylthiouracil , methyltrienolone , , methy - norethindrone , norethynodrel , , norfloxacin , sergide , metiazinic acid , , , norgesterone , , , , nor iodide , metofenazate , , metopimaz - levorphanol, , , , ine , , , , , norphenazone , , norpseudoephedrine , nortrip , metron s , , metyrosine, mexazo - 20 tyline, , , novembichin , novobiocin , lam , mexenone , , mezlocillin , MFH - 244 , mian - noxiptillin , noxythiolin , NS - 1209 , NS - 1231 , NS - 126 , serin , , miboplatin , , , NS -220 , NS -2330 , NS5A inhibitors, NS- 7 , NS - 8 , NSC micronomicin , midaxifyline , , midecamycin , 330507 , NSC -619534 , NSC -697726 , N -sulfanilyl - 3 , 4 - xyl midecamycin acetate , midesteine, , midostaurin , amide, NU -6027 , NV -07 , NVP - SRA880 , , miglitol, miglustat, mildronate , , 25 NW - 1029 , NXY- 059 , Nylidrin , NZ -314 , NZ -419 , obidox miloxacin , , , , , ime chloride , OC - 108 , , octabenzone , octacaine , minodronic acid , , miokamycin , , , octaverine , octenidine , , , , mitemcinal, , mitobronitol , mito octotiamine , , octyl, , oleandrin , oleic guazone, mitolactol, mitomycin , , mitoxantrone , acid , olmesartan - medoxomil , o - lodohippurate , olopata mitoxantrone, MIV - 210 , mivacurium , , mizolas - 30 dine , olpadronic acid , , oltipraz , OM - 294DP, oma tine, mizoribine , MKC - 733 , MLN - 519 , MLN - 576 , moclo - cor, omapatrilat, , , , bemide , , moexipril, mofarotene , , , , ONO -3403 , ONO - 4128 , ONO , mofetil, mofezolac , MOL -6131 , , 8815 Ly, ONT- 093 , OPC - 14523 , OPC - 31260, OPC -51803 , molsidomine , , , monobenzone, OPC -6535 , opiniazide , , , oraz monoethanolamine , monolaurin , monoterpene diols , mon - 35 amide , orazipone , Org - 12962, Org - 24448 , oritavancin , orl telukast, monteplase, , mopidamol, , istat, , , ornipressin , omithine, orno , , moricizine , moroxydine , morphazi - prostil , orotic acid , , , osalmid , namide , , morphine - 6 - glucuronide , , osanetantOsa , , oseltamivir , OSI- 7836 , OSI- 7904 , , motexafin , motretinide , moveltipril , moxa , , ouabain , , oxacil lactam , , , , moxifloxacin , 40 lin , , oxaliplatin , oxalyt- C , oxamarin , oxameta , , M - PGA , MPI- 5010 , MPI- 5020 , cine , , , , oxapropanium , MPL , MRS - 1754 , MS- 209 , MS - 275 , MS- 325 , MS - 377 , , , , , , , muscarin , , MX - 1013 , mycopheno - , , oxethazaine , oxetoron , , late , , , N - (hydroxymethyl ) oxidronic acid , oxiniacic acid , , oxitropium , oxo nicotinamide , N , N , N , N -tetraethylphthalamide , N -14 - 4 - ( 2 - 45 lamin , oxolinix acid , oxophenarsine , , oxyben methoxyphenyl) - 1- piperazinyl ] butyl ]naphthalene -2 zone , oxybutynin , oxycinchophen , , oxygent, carboxamide , N2- formyl- sulfisomidine , N4 -sulfanilylsul oxymesterone , , , oxymethu fanilamide, N4- B -D -glucosylsulfanilamide , nabilone, nabu rea , , oxypendyl, , oxyphenbuta metone , N -acetylcysteine , N -acetylmethionine , nadifloxa zonerea , , oxyphenisatin , oxyphenonium , cin , , , , , , 50 oxypinocamphone , oxypurinol, oxytedrine , , nafronyl, naftidofuryl, , , , nali - Ozagrel , p - (benzylsulfonamido ) - benzoic acid , P - 100 , dixic acid , , , , , P - 1202 , P32 / 98 , PA -824 , PACAP 38 , pactitaxel, PADRE , NAMI, naminidil , , napadisilate , , , PAI inhibs, palindore , palivizumab , palonose naphthalene , , naproxen betainate, , nar tron , pamabrom , , pamicogral, pamidronate , ceine , , , , N -butyldeoxy - 55 p -aminobenzoic acid , p - , p -amino - pro nojirimycin , N -butylscopolammonium Bromide, NC - 503 , piophenone, p - aminosalicylic acid , panavir , pancuronium , NC -531 , NCX - 1000 , NCX - 4016 , NCX -456 , NCX -950 , panipenem , pantethine , , , n -docosanol , NE - 100 , , , nebostinel, papain , , , paraflutizide, , nebracetam , nedaplatin , , , nefirac - , , paranyline, parathyroid etam , , negamycin , , , neo - 60 hormone , , parethoxycaine , , paricalcitol, stigmine , , , neridronic acid , neriifo - , , , parsalmide , lin , N - ethylamphetamine, neticonazole , netilmicin , patrin - 2 , , pazufloxacin , p - bromoacetanilide , , NGD - 98 -2 , , , nicametate , PC -NSAIDs , PD -0166285 , pecilocin , pefloxacin , pegviso nicaraven , , , niceritrol, niclosamide, mant, pelletierine , , pemirolast , , pem nicoclonate , nicofuranose , nicomol, , nic - 65 pidine , PEN - 203 , penamecillin , , penciclovir, orandil , nicotinamide , , nicotinic acid , nicotinic acid penethamate , , penicillamine , G , peni benzyl ester , , nifedipine, , nife- cillin G Procaine, penicillin N , penicillin 0 , penicillin V , US 10 , 292 , 951 B2 53 54 penimepicycline, penntuss , pentaerythritol, pentaerythritol, line , , pralnacasan , , , pentaerythritol chloral, , pentagestrone , penta pramiverin , pramlintide , pramoxine, , pranlu lyte , pentam thonium , , , pentetate , kast , pranoprofen , , pratosartan , pravastatin , pentetic acid , pentetreotide , , pentifyllin , pen , , , , predni tigetide, pentisomide , , , , 5 mustine , prednisolone , prednisolone 21 - diethylaminoac pentosan , pentostatin , , pentoxyl, pentrinitrol, etate , prednisolone farnesil, prednisolone sodium , pred pentylenetetrazole, peplomycin , peptide , peptide , , nisone, prednival , , , pregnan -3a -ol perfiromycin , , perfosfamide , , perhexi- 20 -one , premarin + , , , line , pericyazine, perifosine, perillyl alcohol, perimethazine , , prezatide , , prifinium , , pri perindopril, periodyl, perisoxal , , permanganate , 10 maquine , , prinomastat , PRO - 2000 , probenecid , , , , petroleum benzin , probucol, , procaine, , , PH - 10 , , pharmacor, pharmaprojects no . 6362 , , procodazol, procyclidine , , pharmaprojects no . 4994 , pharmaprojects no . 5325 , phar - prodipine, proflavine , , , proglumeta maprojects no . 5972 , pharmaprojects no . 6446 , pharmaproj - cin , , , , , prolo ects no . 6590 , pharmaprojects no . 6656 , pharmaprojects no. 15 nium , promazine, promedol, , , 6691 , pharmaprojects no . 6743, pharmaprojects no . 6748 , , , , , phenacaine , , , , phe propagermanium , , , propane - 1, 2 nallymal, phenamet , phenamide , , phenazopyri diol, , propantheline , proparacaine, propatyl, pro dine , phenbutamide, , , penidazole , , propicillin , , pro , phenesterine , phenetharbital , phenethicillin , 20 pionic acid , propionyl I- carnitine , propipocaine , , pheneturide, phenformin , phenglutarimide, , propiverine, , , , propoxy , , , , phene, , , , propy , phenobutiodil , phenocoll, phenoctide, phe Ithiouracil, , , proscillaridin , nolphthalein , phenolphthalol, phenolsulfonphthalein , phe - , E1, prostaglandin E2, prosta nol- tetrachlorophthalein , , phenosulfazole , 25 glandin F2a , prosultiamine, , protheobromine , , , , , , protionamide, protizinic acid , pro , phenserine , , , totoanemonin , protoklol, protoporphyrin IX , , phentetiothalein , , phenyl acetylsalicylate , pro - , , proxetil , proxibarbal, proxigerma phenyl , phenyl salicylate , , nium , , prozapine , , prulifloxacin , , , phenylmercury , phe - 30 pseudococaine, pseudoephedrine , pseudoephedrine , pseu nylmethylbarbituric acid , , phenylpro doephedrine + , , PSK - 3841, p - sulfani pyl- methylamine , , phenyramidol, pheny - lyl- , PT- 141, pteropterin , puromycin , PX - 12 , toin , phethenylate , , , , , pyrazinamide , pyridinol , pyridostig phoramide , phosphate , phosphate , phosphocreatine , phos - mine , pyridoxal 5 - phosphate, pyridoxine , pyrilamine , phocysteamine, , , 35 , pyrinoline , pyrisuccideanol, pyrithione , phthalysulfacetamide , p -hydroxyephedrine , phylloquinone , , , pyrocatechol, pyrogallol, pyronari , , PI- 88 , , , dine, pyrophosphate , , pyroxylin , pyrrobuta , picloxydine , picoperine , picosulfate , , mine, pyrrocaine , pyrrolntrin , pyrvinium pamoate , quaze picumast , pidotimod , pifarnine , , , pam , quercetin , , quinacillin , quinacrine , pilocarpine , piloplex , , , pimecroli - 40 , quinapril, quinaprilat , quinapyramine , quinbo mus, pimefylline, pimilprost, , , lone , quinestradiol, , , quinfamide , , , pinaverium , , , pio , , quinocide , , quinupristin , glitazone, pipacycline , pipamazine, , R - 107500 , R -667 , , , racemetho pipazethate , pipebuzone , pipecurium , pipecuronium , rphan , , raltitrexed , , ramifenazone , pipemidic acid , , , pip - 45 ramipril, , Ramot project No . 1097 , ranimustine , eracillin , piperazine adipate , , , pipe - , ranitidine bismuth , , ranpirnase , rapa rilate , analogues , , piperonal, piper - curonium , , raubasine , , raxofelast , oxan , , pipobroman , piposulfan , , razoxane , RC -529 , , rebimastat, reboxetime, pipoxolan , , piprozolin , , pirarubicin , , , reminetant, , ren pirazolac , , pirenoxine , , , 50 zapride , , repertaxin L - lysine salt , , pirfenidone , , , pirifibrate , , repirinast , , , rescimetol, , res piritrexim , , pirmenol, piroctone , , erpiline , , resibufogenin , resiquimod , resorcinol , piromidic acid , , piroxicam betadex , piroxicam , , retinoic acid , revimid , R - flurbiprofen , cinnamate , pirozadil, , pitavastatin , , rho ( D ) immune , rho -kinase inhibitors, ribavirin , riboflavin , pivaloyloxymethyl, pivalylbenzhydrazine, pivampicillin , 55 ribostamycin , ricinoleic acid , ridogrel, rifabutin , rifalazil, pivampicillin / pivmecillinam , pivcefalexin , pivmecillinam , rifametane , rifamide , + trimethoprim , rifampin , pixantrone, , pizotyline , PKI- 166 , p - lactophenetide , rifamycin SV , rifapentine , , rifaximine cream , ril plafibride , , plasmocid , platonin , mazafone, , , , , plaunotol, PLD - 118 , PLD - 147 , pleconaril, , , , , riodoxol, rioprostil , rise p -methyldiphenhydramine , PMS- 601 , Pneumococcal, PNU - 60 dronate, risedronic acid , , , ritipenem , 288034 , podophyllotoxin , polaprezinc , methylsul- , , rituximab , rivastigmine, , fate , , polidexide , polidocanol, poliovirus vac - RJR - 2403 , RNA Stealth , Ro -0094889 , Ro - 61 - 1790 , rociv cine , poly - ADPRT inhibitors , polyestradiol, polyphenon E , erine , rocuronium , , , rokitamycin , , porfimer, , posatirelin , potas , rolitetracycline , romurtide, ronifibrate , , sium , potassium , potassium , , potassium 65 , roquinimex , rosaprostol, rosaramicin , rose ben gluconate , potassium p - aminobenzoate , povidone , povi- gal, , rosoxacin , rostaporfin , rosuvastatin , done -iodine , PP -117 , PR - 2699, PR -608 , , prajma , rotraxate , roxarsone, roxatidine, roxifiban , rox US 10 , 292 , 951 B2 55 56 indol, , RPR - 109881A , RPR - 130401, R -ros - nic acid , , , sulfoxone , , covitine , RS- 0406 , RSR - 13 , rubijervine , rubitecan , sulisatin , sulisobenzone, sulmarin , sulmazole , , ruboxistaurin , , rufloxacin , , rutin , sulphan blue, , sultamicillin , sulthiame, , RWJ- 54428 , S - 0139, S - 15535 , S - 18886 , S - 34730 , S -3578 , sultosilic acid , , , SUN - N8075 , S -36496 , S - 36527 , S - 5751, S - 8510 , S - 8921 , sabcomeline , 5 suplatast, , , surfactant TA , , suxi , S -adenosylmethionine , , salacet buzone , SYM - 1010 , SYM -2081 , SYM -2207 , symclosene , amide, salazosulfadimidine , salbutamol, , salicyl Syn - 1253 , Syn - 2190 , Syn - 2869, , , alcohol, , salicylamide O - , salicy - T - 1095 , T -1249 , T - 3912 , T- 588 , T- 67 , T -82 , TA -2005 , lanilide , salicylic acid , salicylsilfuric acid , salinazid , salme - TA -2005 , TA - 993 , tabimorelin , tacalcitol, tacedinaline , terol, , salverine , samarium 153Sm , sampatrilat, san - 10 , , , , tafluposide, TAK cycline , saperconazole , sapropterin , saquinavir, saralasin , 375 , TAK - 427, TAK - 559 , taka -diastase , , talam , saredutant , , sarizotan , , picillin , talaporfin , , , , , sarpogrelate , satigrel, satigrel, satraplatin , satraplatin , satu - talnetant, talniflumate , taltirelin , , , tan momab , satumomab , SB - 237376 , SB - 237376 , SB - 238039 , dospirone , tannoform , taprostene, tariquidar , TAS - 103 , SB -238039 , SB -277011 , SB - 277011 , scarlet red , SCH - 15 tasosartan , taurocholic acid , , tazanolast, tazaro 00013 , SCH -00013 , Sch - 23863 , Sch - 23863 , Sch -57790 , tene, tazobactam , tazobactam + piperacillin , TBC - 3711, Sch -63390 , scillarenin , , scopolamine, scopol- TCH -346 , tebipenem , teboroxime, tecadenoson , tecastem amine N -oxide , SCS technology , secalciferol, , izole , Technetium 99Tc, teclothiazide , , , , , selenomethionine , sematilide , , tegafur, tegafur + , , teicoplanin , tel semotiadil, seocalcitol, sepimostat, , sertacon - 20 bivudine , , telithromycin , telmesteine , telmisar azole , , , sertindole , , ser - tan , telomerase inhibs, , temiverine , temocapril , traline , sestamibi, , setastine , sevelamer , sevelamer, temocillin , temoporfin , temozolomide , , , sevoflurane, SG - 210 , , siccanin , , , teniposide , tenofovir , tenofovir diso , , silprostone , silver lactate , silver picrate , proxil , , , tenuazonic acid , silver , simetride , simfibrate , , sin - 25 , , , , , calide , sintropium bromide, sisomicin , sitafloxacin , sitama , , terlipressin , , terofenamate , quine, sitaxsentan , sivelestat, SJA -6017 , SL - 65 - 1498 , SLV - , tertalolol, tert - pentyl alcohol , tesaglitazar, tesmil 306 , SLV - 308 , Sm153 lexidronam , S -methylmethionine , ifene , , , , , SMP -300 , SN - 38 , SNAP -7941 , SOA - 132 , soblidotin , , , tetrachloroethylene , tetracine , tet , sobuzoxane , sodium arsanilate , sodium arsphe - 30 racycline , tetrahydrozoline , , tetrantoin , tetraze namine, sodium chloride, sodium dibunate, sodium , pam , tetrofosmin , tetroxoprim , Tevenel® , tezacitabine , sodium formaldehydesulfoxylate, sodium hyaluronate , , , thenaldine , , theo sodium iodomethamate , , sodium nitroprus - bromine, theofibrate , theophylline , thiabendazole , thiaceta side , , sodium phenol- sulfonate , sodium zone , thiacymserine , , thiamine , thiamiprine , phenylbutyrate , sodium phosphate , sodium prasterone sul- 35 , , thiazesim , thiazinamium , thiaz fate , sodium propionate , , sodium tetrade - olinobutazone , thiazolsulfone , thibenzazoline , thiemalat, cyl sulfate , , solasulfone , , sorbinicate , , thimerfonate , thimerosal, , sorbitol, sorivudine , , soterenol, sozoiodolic acid , , thiocarbamizine , thiocarbarsone , thio spaglumic acid , sparfloxacin , , SPA - S -843 , spas colchicine , thiocresol, thioctic acid , thioglycerol, thiogua molytol, SPD - 754 , spectinomycin , SPI- 339 , , spi- 40 nine , thioimrag, thiopental , thiophosphoramide, thiopro rapril , spirogermanium , , SR - 121463 , pazate , , , thiosulfate , SR - 144190 , SR - 146131, SR - 271425 , SR - 27897 , SR - 31747 , thiothixene , thiovir , thiphenamil , thiram , , tho SR -58611 , SS732 , SS -750 , SSR - 149415 , SSR - 180575 , zalinone, thromboplastin , thurfyl nicotinate , thymectacin , SSR - 181507 , SSR -591813 , SST - 101, SSY -726 , ST- 200 , thymol, thymopentin , thymyl N - isoamylcarbamate , thyro stachyfilin , stallimycin , stampidine , stannous , stannsoporfin , 45 propic acid , thyroxine, tiadenol, , , stanolone , , staph aureus ther , STAT4 inhibitors , , , , tiaramide, tiazofurin , stavudine , , stepronim , stibocaptate , , tibezonium , , ticarcillin , , ticrynafen , stilbamidine , , streptodornase , streptomycin , tiemonium , tigecycline , tigemonam , tigloidine , , tili streptonicozid , streptonigrin , streptozocin , strontium solol, tilmacoxib , tiludronic acid , timentin , timepidium , ranelate , strontium - 89 chloride, succimer, , suc - 50 , timolol , timonacic , tin ethyl etiopurpurin , tina cinylcholine , succinylcholine , , suc - zoline , , tinoridine , tiocarlide , tioclomarol, tiocon cisulfone , suclofenide , , , sulbactam , sul azole , tiopronin , tiotropium , tioxolone , , tipifarnib , bactam + ampicillin , sulbenicillin , , sulbutiamine , tipranavir , tiquizium , tirapazamine , tiratricol, , tiro , suleptanate , sulesomab , sulfabenzamide , sul fiban , , titanium sulfate, tiuxetan , , facetamide , sulfachlorpyridazine , sulfachrysoidine , sulfacy - 55 , TLK - 199 , TLK - 286 , TNF - B analogue , TNP - 470 , tine, sulfadiazine , sulfadicramide , sulfadimethoxine, sulfa TO - 186 , tobramycin , , tocamphyl, tocladesine , doxine , sulfaethidole , , sulfaguanole , tocoretinate , todralazine , , tofimilast , , , sulfaloxic acid , sulfamerazine , sulfameter , sul tolazamid , tolazolin , , , , tol famethazine , , sulfamethomidine , sulfame- cyclamide , tolevamer, , tolindate , , thoxazole , sulfamethoxypyrazine, sulfamethoxypyridazine , 60 , , , tolonium , , tolp sulfametrole, sulfamidochrysoidine , sulfamoxole , sulfanil - erisone , , tolrestat, tolserine , , amide, sulfanilic acid , sulfanilylurea , sulfaperine, sulfa - , tolycaine , , topoisomerase , , phenazole , sulfaproxyline , sulfapyrazine , sulfapyridine , sul , torcetapib , torcitabine , , torsemide , farside , sulfarsphenamine , , sulfasomizole , tositumomab , tosulfloxacin , , , tran sulfasymazine, , sulfathiourea , , 65 dolapril, tranexamic acid , tranilast, trans- retinoic acid , tra , sulfiram , sulfisomidine , sulfisoxazole , sul- nylcypromine , , , travoprost , traxanox , fobromophthalein , sulfonethylmethane , sulfoniazide , sulfo - , , tremacamra , , trenge US 10 , 292 , 951 B2 57 58 stone , treosulfan , , treprostinol, tretinoin , treto in the “ Generally Regarded as Safe ” ( “ GRAS ” ) and /or the quinol, TRH , TRI- 50b , triacetin , , triamcino US FDA “ Everything Added to Food in the United States" lone , triamcinolone, , , (“ EAFUS ) lists. triapine , triaziquone , , tribenoside , tribromophen - In some embodiments, at least one of the one or more ate , trichlorfon , , trichlormethine , trichlo - 5 pharmaceutically acceptable coformers is niclosamide or a roethylene, triclobisonium , , triclofenol pipera pharmaceutically acceptable salt or hydrate thereof; or a zine , , , tricromyl, iodide , niclosamide analog , or a pharmaceutically acceptable salt or hydrate thereof. In some of these embodiments , at least one trientine , triethanolamine, triethylenemelamine , trifluopera of the one or more pharmaceutically acceptable coformers zine, , , trifluridine , , tri 10 can be a compound having any one of formulas (I ), (XVIII ) flutate , trihexyphenidyl, , , , (XXV ) , and XXVII , e . g . , formula XXIV or XXV ; or any one trimeprazine , , , trimethaphan , of the compounds delineated above. In certain of these , trimethoprim , , , embodiments , at least one of the one or more pharmaceu , trimoprostil , triolstane, trioxsalen , tripamide , tically acceptable coformers can be a niclosamide analogue triparanol, , triprolidine , triptorelinrelin , tri- 15 having any one of formulas ( I) , (XVIII ) - (XXV ) , and XXVII , tiozine , , TRK - 530, TRK - 820, troclosene, tro e . g . , formula XXIV or XXV ; or XXVI; or any one of the fosfamide , , , trolnitrate , troman compounds specifically delineated above. In certain of these tadine, trometamol, trometamol, tromethamine , embodiments , the chemical entity can be a niclosamide or a tromethamine , tropacine , tropesin , tropicamide , tropine , tro - pharmaceutically acceptable salt or hydrate thereof ( e . g ., pisetron , trospectomycin , trospium , trovafloxacin , troxacit - 20 niclosamide ) . abine, troxerutin , , trypan red , tryparsamide , tryp - Non - Limiting Combinations tophan , TSH , TSN -09 , TU -2100 , , In some embodiments, the cocrystal includes ( i) niclos tubercidin , , , TV - 3326 , amide or a niclosamide analog ; and ( ii) a pharmaceutically TY- 11223 , TY - 12533 , TYB -3215 , , , acceptable salt and /or hydrate of niclosamide ; or a pharma , , tyropanoate , , ufenamate , 25 ceutically acceptable salt and/ or hydrate of a niclosamide undecylenic acid , unoprostone , UR - 8880 , uracil mustard , analog . uralyt- U , , urea , uredepa, urethan , 5 '- triphos In some embodiments , the cocrystal includes ( i ) niclos phate , urinastatin , ursodeoxycholic acid , ursodiol, ushercell , amide ; and ( ii ) a pharmaceutically acceptable salt and /or uzarin , vaccine , Diphtheria Vaccine , Polyvalent Vaccine , hydrate of niclosamide ; or a pharmaceutically acceptable valacyclovir , , valdetamide , valethamate , valgan - 30 salt and/ or hydrate of niclosamide of a niclosamide analog . ciclovir, , valomaciclovir , , valproic In some embodiments , the cocrystal includes ( i ) niclos acid , , valrocemide, valrubicin , valsartan , val a mide or a niclosamide analog ; and ( ii ) a second API. spodar, , varespladib , varicella virus , vatanidipine , In some embodiments , the cocrystal includes ( i ) a phar VEA , vecuronium , velnacrine , , , maceutically acceptable salt and / or hydrate of niclosamide , , verteporfin , , vetrabutine , VF - 233 , 35 or a pharmaceutically acceptable salt and /or hydrate of V1 -0134 , vidarabine , , , , niclosamide of a niclosamide analog ; and ( ii ) a second API. , , vinblastine , , , In some embodiments, the cocrystal includes ( i ) niclos vinconate , vincristine, vindesine , vinflunine , vinorelbine , amide; and ( ii ) a second API. , vinyl ether, , viquidil , viridin , visna - In some embodiments, the cocrystal includes ( i) a phar dine , vitamin A , vitamin B12 , vitamin C , vitamin D2 , 40 maceutically acceptable salt and / or hydrate of niclosamide ; vitamin D3 , vitamin K5 , prenatal vitamins , VLA - 4 antago - or a pharmaceutically acceptable salt and /or hydrate of nists , VNP -4010M , voglibose , , vorozole , niclosamide of a niclosamide analog ; and ( ii ) an amino acid VUF -K -8788 , , WF -10 , WMC - 79, wound healing (e .g ., proline , e. g. , D -proline , or L -proline , or racemic pro matrix , WP - 170 , , , xanomeline , xan - line ) . thinol niacinate , xemilofiban , xenbucin , , xibornol, 45 In some embodiments , the cocrystal includes ( i ) niclos , ximoprofen , , , XR -5118 , amide ; and ( ii ) an amino acid ( e . g ., proline , e . g . , D - proline , XR - 5944 , , xylose, YH - 1885 , YM -511 , or L - proline , or racemic proline ) . YM - 598 , , YT - 146 , Z -321 , Z -335 , , In some embodiments , the cocrystal includes ( i) a phar zalcitabine, zaldaride, , , , maceutically acceptable salt and /or hydrate of niclosamide ; zanapezil, zatebradine , ZD - 0473 , ZD - 0947 , ZD -6126 , 50 or a pharmaceutically acceptable salt and /or hydrate of ZD - 9331, zebularine , zelandopam , zenarestat, , niclosamide of a niclosamide analog ; and (ii ) a 5 - 10 ( e . g . , , , zimeldine , zinc acetate , zinc acexam 5 - 9 , 5 - 6 , or 5 ) membered heteroaryl, e . g . , a nitrogen - con ate , zinc ibuprofenate , zinc p - phenolsulfonate , zinc salicy - taining heteroaryl, e . g . , imidazole. late , zinostatin , zinostatin stimalamer , , , In some embodiments , the cocrystal includes (i ) niclos zofenopril , zofenpril + HCTZ , zoledronic acid , , 55 amide; and ( ii ) a 5 - 10 ( e . g ., 5 - 9 , 5 - 6 , or 5 ) membered , , , , zoniporide , heteroaryl, e. g ., a nitrogen - containing heteroaryl, e .g ., imi , , zopolrestat, zorubicin , zosuquidar, dazole . , ZP - 123 , Z - tamoxifen , , al - antit For examples , see Sanphui , P . Cryst. Growth Des. 2012 , rypsin , a - bisabolol , a - , a - ethylbenzyl alcohol, 12 , 4588 ; Imramovský, A . Crystals 2012 , 2 , 349 - 361 ; and d -glucose - 1- phosphate , A -phenylbutyramide , - , 60 Grifasi , F . Cryst. Growth Des . 2015 , 15 , 4588 . a - terpineol, a - tocopherol, B - alethine , B -benzalbutyramide , Properties ß -carotene , B - eucaine , B - propiolactone , B - sitosterol, In some embodiments , the resulting co - crystals confer y - aminobutyric acid , y -hydroxybutyrate , y - linolenic acid , enhanced and / or new and beneficial properties to the chemi d - aminolevulinic acid , E - acetamidocaproic , and e -amin - cal entity ( and / or to one or more of the conformers , e . g . , ocaproic acid . See also U . S . Pat. No. 7 , 927 ,613 , which is 65 when a conformer is a second API) as compared to the incorporated herein by reference in its entirety . Other phar - chemical entity in a free form ( including free acids, free maceutically acceptable coformers include those delineated bases , and zwitter , hydrates, solvates, etc . ) , or an acid US 10 ,292 , 951 B2 59 60 or base salt thereof particularly with respect to , e . g . , solu - human serum albumin , buffer substances such as phos bility , dissolution , bioavailability , stability , Cmax , Tmax , phates , tris, glycine, sorbic acid , potassium sorbate , partial permeability processability , therapeutic plasma concentra - glyceride mixtures of saturated vegetable fatty acids, water , tion , hygroscopicity , localized concentration , crystallization salts or electrolytes, such as sulfate , disodium of amorphous compounds , decrease in form diversity ( in - 5 hydrogen phosphate , potassium hydrogen phosphate , cluding polymorphism and crystal habit ) , change in mor sodium -chloride , zinc salts , colloidal silica , magnesium tri phology or crystal habit . silicate , polyvinyl pyrrolidone , cellulose -based substances, In some embodiments , the cocrystals have an oral bio - , sodium carboxymethyl cellulose , poly availability ( F ) of less than about 50 % / a , or less than about acrylates , waxes, polyethylene -polyoxypropylene -block 40 % , or less than about 30 % , or less than about 20 % , or less 10 polymers, and wool fat . Cyclodextrins such as a -, B , and than about 10 % , or less than about 5 % , or less than about y -cyclodextrin , or chemically modified derivatives such as 2 % , or less than about 1 % . In certain embodiments , the hydroxyalkylcyclodextrins, including 2 - and 3 -hydroxypro chemical entities described herein have an oral bioavailabil - pyl- ß -cyclodextrins , or other solubilized derivatives can also ity ( F ) of less than about 20 % , e . g ., less than about 19 % , less be used to enhance delivery of compounds described herein . than about 18 % , less than about 17 % , less than about 16 % , 15 Dosage forms or compositions containing a chemical entity less than about 15 % , less than about 14 % , less than about as described herein in the range of 0 . 005 % to 100 % with the 13 % , less than about 12 % , less than about 1 % , less than balance made up from non - toxic excipient may be prepared . about 10 % , less than about 9 % , less than about 8 % , less than The contemplated compositions may contain 0 .001 % - 100 % about 7 % , less than about 6 % , less than about 5 % , less than of a chemical entity provided herein , in one embodiment about 4 % , less than about 3 % , less than about 2 % , less than 20 0 . 1 - 95 % , in another embodiment 75 - 85 % , in a further about 1 % , or less than about 0 . 5 % . embodiment 20 - 80 % . Actual methods of preparing such In some embodiments , the cocrystals have a relatively dosage forms are known, or will be apparent, to those skilled low aqueous solubility . Low aqueous solubility refers to a in this art ; for example , see Remington : The Science and compound having a solubility in water which is less than or Practice of Pharmacy , 22nd Edition (Pharmaceutical Press , equal to 10 mg/ mL , when measured at 20° C . In certain 25 , UK . 2012 ) . embodiments , the chemical entities described herein have In some embodiments , the chemical entities described aqueous solubility of less than or equal to 900 , 800 , 700 , herein or a pharmaceutical composition thereof can be 600 , 500 , 400 , 300 , 200 150 100 , 90 , 80 , 70 , 60 , 50 , 40 , 30 , administered to subject in need thereof by any accepted 20 micrograms/ mL , or further 10 , 5 or 1 micrograms/ mL , or . Acceptable routes of administration further 900 , 800 , 700 , 600 , 500 , 400 , 300 , 200 150 , 100 90 , 30 include, but are not limited to , buccal, cutaneous , endocer 80 , 70 , 60 , 50 , 40 , 30 , 20 , or 10 ng /mL , or less than 10 vical, endosinusial , endotracheal , enteral, epidural, intersti ng /mL when measured at 20° C . . tial, intra -abdominal , intra -arterial , intrabronchial, intrabur In some embodiments , the cocrystals have a relatively sal, intracerebral, intracisternal, intracoronary , intradermal, low drug permeability . intraductal, intraduodenal, intradural , intraepidermal, intrae Pharmaceutical Compositions and Administration 35 sophageal, intragastric , intragingival , intraileal, intralym General phatic , intramedullary, intrameningeal , intramuscular, A chemical entity (e . g ., a compound exhibiting activity as intraovarian , intraperitoneal, intraprostatic , intrapulmonary , a mitochondrial uncoupling agent or a pharmaceutically intrasinal, intraspinal, intrasynovial, intratesticular , intrath acceptable salt and / or hydrate and /or cocrystal thereof; e . g . , ecal, intratubular, intratumor, intrauterine , intravascular, a compound , such as niclosamide or a pharmaceutically 40 intravenous, nasal , nasogastric , oral , parenteral , percutane acceptable salt and / or hydrate and /or cocrystal thereof; e. g ., ous , peridural, rectal, respiratory ( inhalation ) , subcutaneous , a compound , such as a niclosamide analog, or a pharma sublingual, submucosal, topical, transdermal, transmucosal, ceutically acceptable salt and / or hydrate and / or cocrystal transtracheal, ureteral, urethral and vaginal. thereof) is administered to a subject in need thereof by any Local Administration route which makes the compound bioavailable ( e . g ., locally 45 In some embodiments , the chemical entities described bioavailable ). herein or a pharmaceutical composition thereof are suitable In some embodiments , a chemical entity ( e . g ., a com - for local administration , e . g . , local administration by way of pound exhibiting activity as a mitochondrial uncoupling topically administering the chemical entity or composition agent or a pharmaceutically acceptable salt and /or hydrate thereof at a particular treatment site , ( e . g . , the digestive tract, and / or cocrystal thereof; e . g . , a compound , such as niclos - 50 the gastrointestinal (“ GI” ) tract , eye , joint, or skin ) so as to amide or a pharmaceutically acceptable salt and /or hydrate provide local administration of the chemical entity to the and / or cocrystal thereof, e . g . , a compound , such as a niclos area in need of treatment ( e . g . , oral cavity ; GI tract, e . g . , the amide analog, or a pharmaceutically acceptable salt and / or colon ; eye ; skin ; or joint ) . In certain embodiments , minimal hydrate and /or cocrystal thereof) is administered as a phar - systemic exposure of the chemical entity occurs during said maceutical composition that includes the chemical entity 55 local administration . Examples of such compositions and one or more pharmaceutically acceptable excipients, include , without limitation , compositions for rectal admin and optionally one or more other therapeutic agents as istration , oral administration , dermal administration , or described herein . implant. In certain embodiments , compositions are for other In some embodiments , the chemical entities can be than oral administration . administered in combination with one or more conventional 60 In some embodiments , the chemical entities described pharmaceutical excipients . Pharmaceutically acceptable herein or a pharmaceutical composition thereof are suitable excipients include, but are not limited to , ion exchangers , for local administration to the GI tract . In certain embodi alumina , aluminum stearate , lecithin , self- emulsifying drug ments , upon administration , the local concentration of the delivery systems (SEDDS ) such as d - a - tocopherol polyeth - chemical entity in the GI tract is higher ( e . g . , from about 2 ylene glycol 1000 succinate , surfactants used in pharmaceu - 65 times higher to about 50 times higher, from about 5 times tical dosage forms such as Tweens, poloxamers or other higher to about 50 times higher; from about 5 times higher similar polymeric delivery matrices, serum proteins, such as to about 25 times higher; from about 5 times higher to about US 10 ,292 , 951 B2 62 15 times higher, e . g . , about 50 times higher , about 25 time includes a first component and a second component, in higher , about 20 times higher, about 15 times higher , about which : (i ) the first component ( e . g ., contained in a sachet ) 10 times higher , about 5 times higher, e . g . , at least about 10 includes the chemical entity ( as described anywhere herein ) times higher ) than the concentration of the chemical entity and optionally one or more pharmaceutically acceptable in the plasma compartment. In certain of these embodi- 5 excipients ( e . g . , together formulated as a solid preparation , ments, the chemical entity in the plasma compartment is e . g . , together formulated as a wet granulated solid prepara subject to first pass metabolism . tion ) ; and ( ii ) the second component ( e . g ., contained in a vial In some embodiments , the chemical entities described or bottle ) includes one or more liquids and optionally one or herein or a pharmaceutical composition thereof are suitable more other pharmaceutically acceptable excipients together for local administration to one or more specific locations 10 forming a liquid carrier. Prior to use ( e . g . , immediately prior within the digestive or GI tract . For example , at least some to use ) , the contents of ( i) and ( ii ) are combined to form the of the chemical entity is present in the upper GI tract ( e . g . , desired enema formulation , e . g . , as a suspension . In other stomach ) ; or at least some of the agent is present in the lower embodiments , each of component ( i ) and ( ii ) is provided in GI tract ( e . g ., the large intestine, e . g . , the colon , e . g . , the its own separate or pack . ascending colon and / or transverse colon and /or distal colon ; 15 In some embodiments , each of the one or more liquids is or the small bowel) . As a further example , at least some of water , or a physiologically acceptable solvent, or a mixture the chemical entity is present in the ascending colon and/ or of water and one or more physiologically acceptable sol the transverse colon and / or the distal colon and /or the small vents . Typical such solvents include , without limitation , bowel and/ or the stomach . Methods of said local adminis - glycerol, ethylene glycol, propylene glycol, polyethylene tration can include , without limitation , rectal administration 20 glycol and polypropylene glycol. In certain embodiments , and /or oral administration . each of the one or more liquids is water. In other embodi In certain embodiments , the chemical entities described ments , each of the one or more liquids is an oil , e . g . natural herein or a pharmaceutical composition thereof are suitable and /or synthetic oils that are commonly used in pharmaceu for local, topical administration to the digestive or GI tract , tical preparations . e . g ., rectal administration . Rectal compositions include , 25 Further pharmaceutical excipients and carriers that may without limitation , , rectal gels , rectal foams, rectal be used in the pharmaceutical products herein described are aerosols , suppositories , jelly suppositories , and enemas listed in various handbooks ( e . g . D . E . Bugay and W . P . ( e . g . , retention enemas ) . Findlay ( Eds ) Pharmaceutical excipients (Marcel Dekker, Pharmacologically acceptable excipients usable in the New York , 1999 ), E - M Hoepfner , A . Reng and P . C . Schmidt rectal composition as a gel, cream , enema , or rectal sup - 30 (Eds ) Fiedler Encyclopedia of Excipients for Pharmaceuti pository , include , without limitation , any one or more of cals , Cosmetics and Related Areas (Edition Cantor, Munich , cocoa butter glycerides , synthetic polymers such as polyvi - 2002 ) and H . P . Fielder ( Ed ) Lexikon der Hilfsstoffe für nylpyrrolidone, PEG ( like PEG ointments ) , glycerine, glyc Pharmazie , Kosmetik and angrenzende Gebiete (Edition erinated gelatin , hydrogenated vegetable oils , poloxamers , Cantor Aulendorf, 1989 ) ) . mixtures of polyethylene glycols of various molecular 35 In some embodiments , each of the one or more pharma weights and fatty acid esters of polyethylene glycol Vase - ceutically acceptable excipients can be independently line , anhydrous lanolin , shark oil , sodium saccharinate , selected from thickeners, viscosity enhancing agents , bulk menthol, sweet almond oil , sorbitol, , ing agents , mucoadhesive agents , penetration enhancers, anoxid SBN , vanilla essential oil , aerosol, in buffers , preservatives, diluents , binders, lubricants , glidants , phenoxyethanol, sodium methyl p -oxybenzoate , sodium 40 disintegrants , fillers, solubilizing agents , pH modifying propyl p -oxybenzoate , diethylamine, carbomers , carbopol, agents , preservatives, stabilizing agents , anti -oxidants , wet methyloxybenzoate , cetostearyl ether , cocoyl ting or emulsifying agents , suspending agents , pigments , caprylocaprate , , propylene glycol, liquid colorants , isotonic agents , chelating agents , emulsifiers , and paraffin , xanthan gum , carboxy - metabisulfite , sodium ede - diagnostic agents . tate, sodium benzoate , potassium metabisulfite , grapefruit 45 In certain embodiments , each of the one or more phar seed extract, methyl sulfonyl methane (MSM ) , lactic acid , maceutically acceptable excipients can be independently glycine , vitamins , such as vitamin A and E and potassium selected from thickeners , viscosity enhancing agents , acetate . mucoadhesive agents , buffers , preservatives , diluents , bind In certain embodiments , suppositories can be prepared by e rs , lubricants , glidants , disintegrants , and fillers . mixing the chemical entities described herein with suitable 50 In certain embodiments , each of the one or more phar non - irritating excipients or carriers such as cocoa butter, maceutically acceptable excipients can be independently polyethylene glycol or a suppository wax which are solid at selected from thickeners, viscosity enhancing agents , bulk ambient temperature but liquid at body temperature and ing agents , mucoadhesive agents , buffers, preservatives , and therefore melt in the rectum and release the active com - fillers . pound . In other embodiments , compositions for rectal 55 In certain embodiments , each of the one or more phar administration are in the form of an enema. maceutically acceptable excipients can be independently Enema Formulations selected from diluents , binders , lubricants , glidants , and In some embodiments , enema formulations containing the disintegrants . chemical entities described herein are provided in “ ready Examples of thickeners , viscosity enhancing agents , and to - use " form . 60 mucoadhesive agents include without limitation : gums, e . g . In some embodiments , enema formulations containing the xanthan gum , guar gum , locust bean gum , tragacanth gums, chemical entities described herein are provided in one or karaya gum , ghatti gum , cholla gum , psyllium seed gum and more kits or packs. In certain embodiments , the kit or pack gum arabic ; poly ( carboxylic acid -containing ) based poly includes two or more separately contained /packaged com - mers , such as poly (acrylic , maleic , itaconic , citraconic , ponents , e . g . two components, which when mixed together , 65 hydroxyethyl methacrylic or methacrylic ) acid which have provide the desired formulation ( e . g . , as a suspension ). In strong hydrogen -bonding groups, or derivatives thereof such certain of these embodiments , the two component system as salts and esters ; cellulose derivatives, such as methyl US 10 ,292 , 951 B2 63 64 cellulose , ethyl cellulose ,methylethyl cellulose , hydroxym con dioxide , synthetic magnesium silicate , fine granulated ethyl cellulose , hydroxyethyl cellulose, hydroxypropyl cel silicon oxide , starch , sodium laurylsulfate, boric acid , mag lulose, hydroxyethyl ethyl cellulose , carboxymethyl cellu nesium oxide , waxes , hydrogenated oil, polyethylene glycol , lose, hydroxypropylmethyl cellulose or cellulose esters or sodium benzoate , stearic acid glycerol behenate , polyethyl or derivatives or salts thereof; clays such as mano - 5 ene glycol, and . In certain embodiments , the morillonite clays , e . g . Veegun , attapulgite clay ; polysaccha glidant/ lubricant is magnesium stearate , , and / or colloi rides such as dextran , pectin , amylopectin , agar, mannan or dal silica ; e . g ., magnesium stearate and / or talc . polygalactonic acid or such as hydroxypropyl starch Examples of diluents , also referred to as “ fillers ” or or carboxymethyl starch ; polypeptides such as casein , glu - " bulking agents ” include without limitation : dicalcium ten , gelatin , fibrin glue ; chitosan , e . g . lactate or glutamate or 10 phosphate dihydrate , calcium sulfate , lactose ( e . g . , lactose carboxymethyl chitin ; glycosaminoglycans such as monohydrate ), sucrose ,mannitol , sorbitol, cellulose , micro ; metals or water soluble salts of alginic acid crystalline cellulose , kaolin , sodium chloride , dry starch , such as sodium alginate or magnesium alginate ; schlerog- hydrolyzed starches, pregelatinized starch , silicone dioxide , lucan ; adhesives containing bismuth oxide or aluminium titanium oxide, magnesium aluminum silicate and powdered oxide ; atherocollagen ; polyvinyl polymers such as car - 15 sugar. In certain embodiments , the diluent is lactose ( e. g ., boxyvinyl polymers ; (povidone ) ; lactose monohydrate ) . polyvinyl alcohol ; polyvinyl , polyvinylmethyl Examples of binders include without limitation : starch , ethers, polyvinyl chlorides, polyvinylidenes , and /or the like ; pregelatinized starch , gelatin , sugars ( including sucrose , polycarboxylated vinyl polymers such as polyacrylic acid as glucose , dxtrose , lactose and sorbitol) , polyethylene glycol, mentioned above ; polysiloxanes ; polyethers; polyethylene 20 waxes, natural and synthetic gums such as acacia tragacanth , oxides and glycols ; polyalkoxys and polyacrylamides and sodium alginate cellulose , including hydroxypropylmethyl derivatives and salts thereof. Preferred examples can include cellulose , hydroxypropylcellulose , ethylcellulose, and cellulose derivatives, such as , ethyl cellu veegum , and synthetic polymers such as acrylic acid and lose , methylethyl cellulose , hydroxymethyl cellulose , methacrylic acid copolymers, methacrylic acid copolymers , hydroxyethyl cellulose , hydroxypropyl cellulose , hydroxy - 25 methyl methacrylate copolymers , aminoalkyl methacrylate ethyl ethyl cellulose , carboxymethyl cellulose , hydroxypro - copolymers , polyacrylic acid /polymethacrylic acid and pylmethyl cellulose or cellulose esters or ethers or deriva - polyvinylpyrrolidone (povidone ) . In certain embodiments , tives or salts thereof (e .g . ,methyl cellulose ) ; and polyvinyl the binder is polyvinylpyrrolidone (povidone ). polymers such as polyvinylpyrrolidone (povidone ). In some embodiments , enema formulations containing the Examples of preservatives include without limitation : 30 chemical entities described herein include water and one or benzalkonium chloride, benzoxonium chloride , benzetho - more ( e . g . , all) of the following excipients : nium chloride , cetrimide, sepazonium chloride, cetylpyri One or more ( e. g ., one, two, or three ) thickeners , viscosity dinium chloride , domiphen bromide (Bradosol® ) , thiomer enhancing agents, binders , and / or mucoadhesive agents sal , phenylmercuric nitrate , phenylmercuric acetate , ( e . g ., cellulose or cellulose esters or ethers or deriva phenylmercuric borate , methylparaben , propylparaben , 35 tives or salts thereof ( e . g . , methyl cellulose ) ; and poly , benzyl alcohol, phenyl ethyl alcohol, chlo vinyl polymers such as polyvinylpyrrolidone (povi rohexidine, polyhexamethylene , sodium perbo done ); rate , imidazolidinyl urea , sorbic acid , Purite® ), Poly One or more ( e . g . , one or two ; e . g ., two ) preservatives , quart® ) , and sodium perborate tetrahydrate and the like . such as a paraben , e .g . , methyl 4 -hydroxybenzoate In certain embodiments , the preservative is a paraben , or 40 (methylparaben ), or a pharmaceutically acceptable salt a pharmaceutically acceptable salt thereof. In some embodi or ester thereof, propyl 4 -hydroxybenzoate (propylpa ments , the paraben is an alkyl substituted 4 - hydroxybenzo raben ) , or a pharmaceutically acceptable salt or ester ate , or a pharmaceutically acceptable salt or ester thereof. In thereof, or a combination thereof; certain embodiments , the alkyl is a C1- C4 alkyl. In certain One or more ( e . g . , one or two ; e . g . , two ) buffers, such as embodiments , the preservative is methyl 4 -hydroxybenzoate 45 phosphate buffer system ( e . g . , sodium dihydrogen (methylparaben ) , or a pharmaceutically acceptable salt or phospahate dehydrate , dodecahy ester thereof, propyl 4 -hydroxybenzoate ( propylparaben ), or drate ) ; a pharmaceutically acceptable salt or ester thereof, or a One or more ( e . g . , one or two, e . g . , two ) glidants and /or combination thereof . lubricants , such as magnesium stearate and/ or talc ; Examples of buffers include without limitation : phosphate 50 One or more (e .g ., one or two ; e . g. , one ) disintegrants , buffer system ( sodium dihydrogen phospahate dehydrate , such as crospovidone ; and disodium phosphate dodecahydrate , bibasic sodium phos One or more ( e . g . , one or two ; e . g ., one ) diluents , such as phate , anhydrous monobasic sodium phosphate ) , bicarbon lactose ( e . g . , lactose monohydrate ) . ate buffer system , and bisulfate buffer system . In certain of these embodiments , the chemical entity is Examples of disintegrants include, without limitation : 55 niclosamide , or a pharmaceutically acceptable salt and /or carmellose calcium , low substituted hydroxypropyl cellu - hydrate and / or cocrystal thereof; e . g ., niclosamide . lose ( L -HPC ) , carmellose , croscarmellose sodium , partially In certain embodiments , enema formulations containing pregelatinized starch , dry starch , carboxymethyl starch the chemical entities described herein include water, methyl sodium , crospovidone , polysorbate 80 (polyoxyethylenesor - cellulose , povidone , methylparaben , propylparaben , sodium bitan oleate ) , starch , sodium starch glycolate , hydroxypropyl 60 dihydrogen phospahate dehydrate , disodium phosphate cellulose pregelatinized starch , clays , cellulose , alginine , dodecahydrate, crospovidone , lactose monohydrate , magne gums or cross linked polymers , such as cross -linked PVP sium stearate , and talc . In certain of these embodiments, the ( Polyplasdone XL from GAF Chemical Corp ). In certain chemical entity is niclosamide , or a pharmaceutically embodiments , the disintegrant is crospovidone . acceptable salt and / or hydrate and /or cocrystal thereof; e . g . , Examples of glidants and lubricants (aggregation inhibi- 65 niclosamide . tors ) include without limitation : talc , magnesium stearate , In certain embodiments , enema formulations containing calcium stearate, colloidal silica , stearic acid , aqueous sili - the chemical entities described herein are provided in one or US 10 , 292 , 951 B2 65 66 more kits or packs . In certain embodiments , the kit or pack percent to about 0 . 5 weight percent; e . g ., about 0 .27 weight includes two separately contained /packaged components , percent) of the lubricant ( e . g ., magnesium stearate ) . which when mixed together , provide the desired formulation In certain embodiments (when component ( i) includes one ( e. g ., as a suspension ). In certain of these embodiments , the or more lubricants , such as talc ), component (i ) includes two component system includes a first component and a 5 from about 0 . 5 weight percent to about 5 weight percent ( e . g ., from about 0 . 5 weight percent to about 3 weight second component, in which : (i ) the first component ( e . g ., percent, from about 1 weight percent to about 3 weight contained in a sachet ) includes the chemical entity (as percent; from about 1 . 5 weight percent to about 2 . 5 weight described anywhere herein ) and one or more pharmaceuti percent; from about 1 .8 weight percent to about 2 .2 weight cally acceptable excipients ( e . g . , together formulated as a 10 percent; about 1 .93 weight percent) of the lubricant (e . g. , solid preparation , e . g . , together formulated as a wet granu talc ) . lated solid preparation ); and ( ii) the second component ( e . g . , In certain of these embodiments , each of ( a ) , ( b ), ( c ), and contained in a vial or bottle ) includes one or more liquids ( d ) above is present. and one or more one or more other pharmaceutically accept In certain embodiments , component ( i) includes the ingre able excipients together forming a liquid carrierrier . In onerother 1515 dients and amounts as shown in Table 7 . embodiments , each of component ( i ) and ( ii ) is provided in its own separate kit or pack . TABLE 7 In certain of these embodiments , component ( i ) includes the chemical entity ( e . g . , niclosamide , or a pharmaceutically Ingredient Weight Percent acceptable salt and /or hydrate and / or cocrystal thereof ; e . g ., 20 niclosamide 40 weight percent to about 80 weight niclosamide) and one or more ( e . g . , all ) of the following percent ( e . g . , from about 50 weight percent to about 70 weight percent , from about 55 excipients : weight percent to about 70 weight percent ; ( a ) One or more ( e . g ., one ) binders ( e . g ., a polyvinyl from about 60 weight percent to about 65 polymer , such as polyvinylpyrrolidone (povidone ); weight percent; e . g ., about 62 .1 weight (b ) One or more ( e . g . , one or two , e .g . , two ) glidants 25 percent) and /or lubricants , such as magnesium stearate and / or Crospovidone 0 . 5 weight percent to about 5 weight (Kollidon CL ) percent ( e . g . , from about 0 . 5 weight talc ; percent to about 3 weight percent , from ( c ) One or more ( e . g ., one or two ; e . g . , one ) disintegrants , about 1 weight percent to about 3 weight such as crospovidone; and percent; about 1 . 93 weight percent ( d ) One or more ( e . g ., one or two ; e . g ., one ) diluents , such 30 lactose monohydrate about 10 weight percent to about 50 weight (Pharmatose 200M ) percent ( e . g ., from about 20 weight percent as lactose ( e . g . , lactose monohydrate ) . to about 40 weight percent , from about 25 In certain embodiments , component ( i ) includes from weight percent to about 35 weight percent; about 40 weight percent to about 80 weight percent ( e . g . , e . g . , about 31 .03 weight percent from about 50 weight percent to about 70 weight percent, Povidone (Kollidon K30 ) about 0 . 5 weight percent to about 5 weight percent ( e . g . , from about 1 . 5 weight from about 55 weight percent to about 70 weight percent ; 35 percent to about 4 . 5 weight percent, from from about 60 weight percent to about 65 weight percent; about 2 weight percent to about 3 . 5 weight e . g . , about 62 . 1 weight percent ) of the chemical entity ( e . g . , percent; e . g . , about 2 . 76 weight percent niclosamide , or a pharmaceutically acceptable salt and /or tale 0 . 5 weight percent to about 5 weight percent ( e . g ., from about 0 . 5 weight hydrate and / or cocrystal thereof; e . g ., niclosamide ) . percent to about 3 weight percent , from In certain embodiments , component ( i) includes from 40 about 1 weight percent to about 3 weight about 0 . 5 weight percent to about 5 weight percent ( e .g ., percent; from about 1 . 5 weight percent to about 2 . 5 weight percent ; from about 1 . 8 from about 1 . 5 weight percent to about 4 . 5 weight percent, weight percent to about 2 . 2 weight from about 2 weight percent to about 3 . 5 weight percent; percent ; e . g . , about 1 . 93 weight percent e. g ., about 2 .76 weight percent ) of the binder ( e . g ., povi - Magnesium stearate about 0 .05 weight percent to about 1 done ). 45 weight percent (e . g . , from about 0 .05 weight percent to about 1 weight percent ; In certain embodiments , component ( i ) includes from from about 0 . 1 weight percent to about 1 about 0 . 5 weight percent to about 5 weight percent ( e . g . , weight percent ; from about 0 . 1 weight from about 0 . 5 weight percent to about 3 weight percent, percent to about 0 . 5 weight percent; e . g . , from about 1 weight percent to about 3 weight percent; about about 0 . 27 weight percent 2 weight percent e . g ., about 1 . 9 weight percent) of the 50 – disintegrant ( e .g ., crospovidone ). In certain embodiments , component ( i) includes from d In certain embodiments , component (i ) includes the ingre about 10 weight percent to about 50 weight percent ( e . g ., dients and amounts as shown in Table 8 . from about 20 weight percent to about 40 weight percent, from about 25 weight percent to about 35 weight percent; 55 TABLE 8 e . g . , about 31. 03 weight percent) of the diluent ( e . g . , lactose , Ingredient Weight Percent e . g ., lactose monohydrate ). niclosamide About 62 . 1 weight percent ) In certain embodiments , component ( i ) includes from Crospovidone (Kollidon CL ) About 1 . 93 weight percent about 0 . 05 weight percent to about 5 weight percent ( e . g ., lactose monohydrate (Pharmatose 200M ) About 31. 03 weight percent from about 0 .05 weight percent to about 3 weight percent ) 60 Povidone (Kollidon K30 ) About 2 . 76 weight percent of the glidants and /or lubricants . talc About 1 .93 weight percent In certain embodiments (e . g. , when component (6i ) Magnesium. stearate About 0 .27 weight percent includes one or more lubricants , such as magnesium stear ate ), component ( i ) includes from about 0 .05 weight percent In certain embodiments , component ( i) is formulated as a to about 1 weight percent (e . g ., from about 0 .05 weight 65 wet granulated solid preparation . In certain of these embodi percent to about 1 weight percent; from about 0 . 1 weight m ents an internal phase of ingredients (the chemical entity , percent to about 1 weight percent; from about 0 . 1 weight disintegrant, and diluent) are combined and mixed in a US 10 , 292 , 951 B2 68 high - shear granulator. A binder (e . g ., povidone ) is dissolved (b " ) a first preservative, such as a paraben , e .g ., propyl in water to form a granulating solution . This solution is 4 - hydroxybenzoate (propylparaben ) , or a pharmaceu added to the Inner Phase mixture resulting in the develop tically acceptable salt or ester thereof; ment of granules . While not wishing to be bound by theory, ( b " ) a second preservative , such as a paraben , e . g . , methyl granule development is believed to be facilitated by the 5 4 -hydroxybenzoate (methylparaben ) , or a pharmaceu interaction of the polymeric binder with the materials of the tically acceptable salt or ester thereof, internal phase . Once the granulation is formed and dried , an ( c " ) a first buffer, such as phosphate buffer system ( e . g . , external phase (e . g ., one or more lubricants — not an intrinsic disodium phosphate dodecahydrate ) ; component of the dried granulation ) , is added to the dry ( c '" ) a second buffer, such as phosphate buffer system granulation . It is believed that lubrication of the granulation 10 ( e . g . , sodium dihydrogen phospahate dehydrate ) , is important to the flowability of the granulation , in particu - In certain embodiments , component ( ii ) includes from lar for packaging . See, e . g ., Example 8 . about 0 .05 weight percent to about 5 weight percent (e . g. , In certain of the foregoing embodiments , component ( ii ) from about 0 . 05 weight percent to about 3 weight percent, includes water and one or more ( e . g . , all ) of the following from about 0 . 1 weight percent to about 3 weight percent; excipients : 15 e . g ., about 1 . 4 weight percent) of ( a " ) . ( a ') One or more ( e . g ., one, two ; e . g . , two ) thickeners , In certain embodiments, component ( ii ) includes from viscosity enhancing agents , binders , and /or mucoadhe - about 0 .05 weight percent to about 5 weight percent ( e. g ., sive agents ( e . g ., cellulose or cellulose esters or ethers from about 0 . 05 weight percent to about 3 weight percent , or derivatives or salts thereof ( e . g . , methyl cellulose ) ; from about 0 . 1 weight percent to about 2 weight percent; and polyvinyl polymers such as polyvinylpyrrolidone 20 e . g . , about 1 .0 weight percent) of ( a "" ). (povidone ); In certain embodiments , component ( ii ) includes from ( b ') One or more ( e . g ., one or two ; e . g ., two ) preserva - about 0 . 005 weightpercent to about 0 . 1 weight percent ( e . g . , tives , such as a paraben , e . g . , methyl 4 -hydroxybenzo - from about 0 . 005 weight percent to about 0 .05 weight ate (methylparaben ) , or a pharmaceutically acceptable percent; e . g ., about 0 .02 weight percent) of ( b " ) . salt or ester thereof, propyl 4 -hydroxybenzoate ( pro - 25 In certain embodiments , component ( ii ) includes from pylparaben ) , or a pharmaceutically acceptable salt or about 0 .05 weight percent to about 1 weight percent ( e . g . , ester thereof, or a combination thereof; and from about 0 .05 weight percent to about 0 .5 weight percent; ( c ') One or more ( e . g ., one or two; e . g . , two ) buffers, such e . g . , about 0 .20 weight percent) of ( b '" ' ) . as phosphate buffer system ( e . g ., sodium dihydrogen In certain embodiments , component ( ii ) includes from phospahate dihydrate , disodium phosphate dodecahy - 30 about 0 .05 weight percent to about 1 weight percent ( e . g . , drate ) ; from about 0 . 05 weightpercent to about 0 .5 weight percent ; In certain of the foregoing embodiments , component ( ii) e .g . , about 0 .15 weight percent) of ( c" ). includes water and one or more ( e . g . , all ) of the following In certain embodiments , component ( ii ) includes from excipients : about 0 . 005 weight percent to about 0 . 5 weightpercent ( e . g ., ( a " ) a first thickener , viscosity enhancing agent, binder, 35 from about 0 .005 weight percent to about 0 .3 weight per and /or mucoadhesive agent (e . g. , a cellulose or cellu cent; e .g ., about 0 .15 weight percent) of (c " " ). lose ester or ether or derivative or salt thereof ( e . g . , In certain of these embodiments , each of ( a " ) - ( c '" ' ) is methyl cellulose ) ) ; present. ( a "" ) a second thickener, viscosity enhancing agent, In certain embodiments , component ( ii ) includes water binder , and /or mucoadhesive agent (e .g . , a polyvinyl 40 (up to 100 % ) and the ingredients and amounts as shown in polymer, such as polyvinylpyrrolidone (povidone )) ; Table 9 . TABLE 9 Ingredient Weight Percent methyl cellulose (Methocel A15C 0 .05 weight percent to about 5 weight premium ) percent ( e . g . , from about 0 .05 weight percent to about 3 weight percent, from about 0 . 1 weight percent to about 3 weight percent ; e . g . , about 1 . 4 weight percent Povidone (Kollidon K30 ) 0 .05 weight percent to about 5 weight percent ( e . g ., from about 0 .05 weight percent to about 3 weight percent, from about 0 .1 weight percent to about 2 weight percent; e .g . , about 1. 0 weight percent propyl 4 -hydroxybenzoate about 0 .005 weight percent to about 0 . 1 weight percent ( e . g ., from about 0 .005 weight percent to about 0 . 05 weight percent; e . g . , about 0 . 02 weight percent) methyl 4 -hydroxybenzoate about 0 .05 weight percent to about 1 weight percent ( e . g ., from about 0 .05 weight percent to about 0 . 5 weight percent; e . g . , about 0 .20 weight percent ) disodium phosphate dodecahydrate about 0 .05 weight percent to about 1 weight percent ( e . g ., from about 0 .05 weight percent to about 0 . 5 weight percent; e . g . , about 0 .15 weight percent ) US 10 ,292 ,951 B2 69 TABLE 9 - continued Ingredient Weight Percent sodium dihydrogen phospahate dihydrate about 0 .005 weight percent to about 0 .5 weight percent (e . g ., from about 0 .005 weight percent to about 0 . 3 weight percent; e . g . , about 0 . 15 weight percent )

In certain embodiments , component ( ii ) includes water 10 paraffin , f) absorption accelerators such as quaternary ( up to 100 % ) and the ingredients and amounts as shown in ammonium compounds, g ) wetting agents such as, for Table 10 . example , cetyl alcohol and glycerol monostearate , h ) absor bents such as kaolin and bentonite clay , and i ) lubricants TABLE 10 such as talc , calcium stearate , magnesium stearate , solid 15 polyethylene glycols , sodium lauryl sulfate , and mixtures Ingredient Weight Percent thereof. In the case of capsules , tablets and pills , the dosage methyl cellulose (Methocel A15C about 1 . 4 weight percent form may also comprise buffering agents . Solid composi premium ) tions of a similar type may also be employed as fillers in soft Povidone (Kollidon K30 ) about 1 . 0 weight percent and hard - filled gelatin capsules using such excipients as propyl 4 -hydroxybenzoate about 0 .02 weight percent methyl 4 -hydroxybenzoate about 0 . 20 weight percent 20 lactose or milk sugar as well as high molecular weight disodium phosphate dodecahydrate about 0 . 15 weight percent polyethylene glycols and the like . sodium dihydrogen phospahate dihydrate about 0 . 15 weight percent In one embodiment, the compositions will take the form of a unit dosage form such as a pill or tablet and thus the composition may contain , along with a chemical entity Ready - to - use ” enemas are generally be provided in a 25s provided herein , a diluent such as lactose , sucrose , dical “ single - use” sealed disposable container of plastic or glass . " cium phosphate , or the like ; a lubricant such as magnesium Those formed of a polymeric material preferably have stearate or the like ; and a binder such as starch , gum acacia , sufficient flexibility for ease of use by an unassisted patient. polyvinylpyrrolidine , gelatin , cellulose , cellulose deriva Typical plastic containers can be made of polyethylene . tives or the like . In another solid dosage form , a powder, These containers may comprise a tip for direct introduction 30 marume, solution or suspension ( e. g ., in propylene carbon into the rectum . Such containers may also comprise a tube ate , vegetable oils , PEG ’ s , poloxamer 124 or triglycerides ) between the container and the tip . The tip is preferably is encapsulated in a capsule (gelatin or cellulose base provided with a protective shield which is removed before capsule ) . Unit dosage forms in which one or more chemical use. Optionally the tip has a lubricant to improve patient entities provided herein or additional active agents are compliance . 35 physically separated are also contemplated ; e . g . , capsules In some embodiments , the enema formulation ( e . g . , sus - with granules ( or tablets in a capsule ) of each drug ; two pension ) is poured into a bottle for delivery after it has been layer tablets ; two - compartment gel caps, etc . Enteric coated prepared in a separate container. In certain embodiments , the or delayed release oral dosage forms are also contemplated . bottle is a plastic bottle ( e . g . , flexible to allow for delivery Other physiologically acceptable compounds include wet by squeezing the bottle ) , which can be a polyethylene bottle 40 ting agents, emulsifying agents , dispersing agents or preser ( e . g . , white in color ). In some embodiments, the bottle is a vatives that are particularly useful for preventing the growth single chamber bottle , which contains the suspension or or action ofmicroorganisms . Various preservatives are well solution . In other embodiments , the bottle is a multichamber known and include , for example, phenol and ascorbic acid . bottle , where each chamber contains a separate mixture or In certain embodiments the excipients are sterile and solution . In still other embodiments , the bottle can further 45 generally free of undesirable matter . These compositions can include a tip or rectal cannula for direct introduction into the be sterilized by conventional , well - known sterilization tech rectum . In some embodiments , the enema formulation can niques . For various oral dosage form excipients such as be delivered in the device shown in FIGS . 3A - 3C , which tablets and capsules sterility is not required . The USP /NF includes a plastic bottle , a breakable capsule , and a rectal standard is usually sufficient. cannula and single flow pack . 50 In certain embodiments , solid oral dosage forms can Oral Delivery further include one or more components that chemically In other embodiments , the chemical entities described and / or structurally predispose the composition for delivery herein or a pharmaceutical composition thereof are suitable of the chemical entity to the stomach or the lower GI; e . g . , for local delivery to the digestive or GI tract by way of oral the ascending colon and /or transverse colon and /or distal administration ( e . g ., solid or liquid dosage forms. ). 55 colon and /or small bowel. Exemplary formulation tech Solid dosage forms for oral administration include cap - niques are described in , e . g . , Filipski, K . J. , et al. , Current sules , tablets , pills , powders , and granules . In such solid Topics in Medicinal Chemistry , 2013, 13 , 776 - 802 , which is dosage forms, the chemical entity is mixed with one or more incorporated herein by reference in its entirety . pharmaceutically acceptable excipients , such as sodium Examples include upper- GI targeting techniques, e. g . , citrate or dicalcium phosphate and/ or: a ) fillers or extenders 60 Accordion Pill ( Intec Pharma ) , floating capsules, and mate such as starches, lactose, sucrose , glucose , mannitol, and rials capable of adhering to mucosal walls . silicic acid , b ) binders such as, for example , carboxymeth - Other examples include lower -GI targeting techniques . ylcellulose , alginates, gelatin , polyvinylpyrrolidinone , For targeting various regions in the intestinal tract, several sucrose, and acacia , c ) humectants such as glycerol, d ) enteric /pH -responsive coatings and excipients are available . disintegrating agents such as agar - agar, calcium carbonate , 65 These materials are typically polymers that are designed to potato or tapioca starch , alginic acid , certain silicates , and dissolve or erode at specific pH ranges , selected based upon sodium carbonate , e ) solution retarding agents such as the GI region of desired drug release . These materials also US 10 , 292 , 951 B2 72 function to protect acid labile drugs from gastric fluid or dosage may be divided and administered in portions limit exposure in cases where the active ingredient may be throughout the day or by means providing continuous deliv irritating to the upper GI ( e . g ., hydroxypropyl methylcellu - ery . lose phthalate series, Coateric (polyvinyl acetate phthalate ), In some embodiments , a chemical entity ( e . g . , a com cellulose acetate phthalate , hydroxypropyl methylcellulose 5 pound exhibiting activity as a mitochondrial uncoupling acetate succinate , Eudragit series (methacrylic acid -methyl agent or a pharmaceutically acceptable salt and /or hydrate and / or cocrystal thereof; e . g ., a compound , such as niclos methacrylate copolymers ), and Marcoat) . Other techniques amide or a pharmaceutically acceptable salt and /or hydrate include dosage forms that respond to local flora in the GI and/ or cocrystal thereof, e . g ., a compound , such as a niclos tract , Pressure - controlled colon delivery capsule , and 10 amide analog , or a pharmaceutically acceptable salt and /or Pulsincap . hydrate and / or cocrystal thereof) is administered is admin Liquid dosage forms for oral administration include phar istered at a dosage of from about 0 .01 mg/ Kg to about 200 maceutically acceptable emulsions, microemulsions , solu mg/ Kg ( e . g ., from about 0 .01 mg/ Kg to about 150 mg/ Kg ; tions, suspensions, syrups and elixirs . In addition to the from about 0 .01 mg/ Kg to about 100 mg/ Kg ; from about chemical entities described herein , the liquid dosage forms 15 0 .01 mg/ Kg to about 50 mg/ Kg : from about 0 .01 mg /Kg to may contain inert diluents commonly used in the art such as , about 10 mg/ Kg ; from about 0 .01 mg /Kg to about 5 mg/ Kg ; for example , water or other solvents , solubilizing agents and from about 0 . 1 mg/ Kg to about 200 mg /Kg ; from about 0 . emulsifiers such as ethyl alcohol, isopropyl alcohol, ethyl 1 mg/ Kg to about 150 mg/ Kg ; from about 0 . 1 mg/ Kg to carbonate , ethyl acetate , benzyl alcohol, benzyl benzoate , about 100 mg/ Kg ; from about 0 . 1 mg/Kg to about 50 propylene glycol, 1, 3 -butylene glycol, dimethylformamide, 20 mg/ Kg ; from about 0 . 1 mg/ Kg to about 10 mg/Kg ; from oils ( in particular , cottonseed , groundnut, corn , germ , olive , about 0 . 1 mg/Kg to about 5 mg/ Kg ) . castor , and sesame oils ), glycerol, tetrahydrofurfuryl alco In certain embodiments , the chemical entity is adminis hol, polyethylene glycols and fatty acid esters of sorbitan , tered at a dosage of from about 15 mg/ Kg to about 100 and mixtures thereof. Besides inert diluents, the oral com - mg/ Kg (e . g ., from about 15 mg/ Kg to about 90 mg/Kg , from positions can also include adjuvants such as wetting agents , 25 about 20 mg/ Kg to about 100 mg/ Kg ; from about 20 mg /Kg emulsifying and suspending agents , sweetening , flavoring , to about 90 mg/ Kg ; from about 20 mg /Kg to about 80 and perfuming agents . In certain embodiments , the liquid mg/ Kg ; from about 30 mg/Kg to about 90 mg/ Kg ; from dosage form is a . In certain embodiments , such about 30 mg/ Kg to about 80 mg/ Kg ; from about 35 mg/ Kg liquid oral dosage forms are useful for local and topical to about 75 mg/ Kg ; from about 10 mg /Kg to about 50 administration to the digestive or GI tract , e . g . , digestive 30 mg/ Kg ; from about 15 mg/ Kg to about 45 mg/ Kg ; e . g . , about tract, e . g . , oral cavity. 35 mg/ Kg or about 75 mg/ Kg ) . In other embodiments , the Other Forms of Delivery chemical entity is administered at a dosage of from about 0 . 1 In some embodiments , the chemical entities described mg/ Kg to about 10 mg/ Kg (e . g. , from about 0 .1 mg/ Kg to herein or a pharmaceutical composition thereof are suitable about 5 mg/ Kg ; from about 1 mg/ Kg to about 10 mg/ Kg ; for local and topical administration to the eye ( e . g . , eye 35 from about 1 mg/ Kg to about 5 mg/ Kg ) . drops ) . Ocular compositions can include , without limitation , In some embodiments , enema formulations include from one or more of any of the following: viscogens ( e . g ., about 0 . 5 mg to about 2500 mg ( e . g . , from about 0 . 5 mg to Carboxymethylcellulose , Glycerin , Polyvinylpyrrolidone , about 2000 mg, from about 0 .5 mg to about 1000 mg , from Polyethylene glycol) ; Stabilizers ( e . g . , Pluronic ( triblock about 0 . 5 mg to about 750 mg, from about 0 . 5 mg to about copolymers ), Cyclodextrins ) ; Preservatives ( e . g ., Benzalko - 40 600 mg, from about 0 . 5 mg to about 500 mg, from about 0 . 5 nium chloride , ETDA , SofZia (boric acid , propylene glycol, mg to about 400 mg, from about 0 . 5 mg to about 300 mg, sorbitol, and ; Alcon Laboratories, Inc . ) , Purite from about 0 . 5 mg to about 200 mg; e . g . , from about 5 mg ( stabilized oxychloro complex ; Allergan , Inc . )) . to about 2500 mg, from about 5 mg to about 2000 mg, from In some embodiments , the chemical entities described about 5 mg to about 1000 mg; from about 5 mg to about 750 herein or a pharmaceutical composition thereof are suitable 45 mg; from about 5 mg to about 600 mg; from about 5 mg to for local and topical administration to skin ( e . g . , ointments about 500 mg; from about 5 mg to about 400 mg; from about and creams) . Ointments are semisolid preparations that are 5 mg to about 300 mg; from about 5 mg to about 200 mg ; typically based on petrolatum or other petroleum deriva - e . g ., from about 50 mg to about 2000 mg, from about 50 mg tives . Creams containing the selected active agent are typi- to about 1000 mg, from about 50 mg to about 750 mg, from cally viscous liquid or semisolid emulsions , often either 50 about 50 mg to about 600 mg, from about 50 mg to about oil - in -water or water - in - oil. Cream bases are typically water - 500 mg, from about 50 mg to about 400 mg, from about 50 washable , and contain an oil phase , an emulsifier and an mg to about 300 mg, from about 50 mg to about 200 mg; aqueous phase . The oil phase , also sometimes called the e . g . , from about 100 mg to about 2500 mg, from about 100 “ internal” phase , is generally comprised of petrolatum and a mg to about 2000 mg, from about 100 mg to about 1000 mg, fatty alcohol such as cetyl or stearyl alcohol; the aqueous 55 from about 100 mg to about 750 mg, from about 100 mg to phase usually , although not necessarily , exceeds the oil about 700 mg, from about 100 mg to about 600 mg, from phase in volume, and generally contains a humectant. The about 100 mg to about 500 mg, from about 100 mg to about emulsifier in a cream formulation is generally a nonionic , 400 mg, from about 100 mg to about 300 mg, from about anionic , cationic or amphoteric surfactant. As with other 100 mg to about 200 mg; e . g ., from about 150 mg to about carriers or vehicles , an ointment base should be inert , stable , 60 2500 mg, from about 150 mg to about 2000 mg , from about nonirritating and non - sensitizing . 150 mg to about 1000 mg, from about 150 mg to about 750 Dosages mg, from about 150 mg to about 700 mg, from about 150 mg The dosagesmay be varied depending on the requirement to about 600 mg, from about 150 mg to about 500 mg, from of the patient, the severity of the condition being treating and about 150 mg to about 400 mg, from about 150 mg to about the particular compound being employed . Determination of 65 300 mg, from about 150 mg to about 200 mg; e . g . , from the proper dosage for a particular situation can be deter - about 150 mg to about 500 mg; e . g ., from about 300 mg to mined by one skilled in the medical arts . The total daily about 2500 mg , from about 300 mg to about 2000 mg , from US 10 , 292 , 951 B2 73 74 about 300 mg to about 1000 mg, from about 300 mg to about doses per day ) or non -daily basis ( e . g ., every other day, 750 mg, from about 300 mg to about 700 mg, from about every two days, every three days , once weekly , twice weeks , 300 mg to about 600 mg; e . g . , from about 400 mg to about once every two weeks, once a month ) . In certain embodi 2500 mg, from about 400 mg to about 2000 mg, from about ments, dosages can be administered for about 1 week , about 400 mg to about 1000 mg, from about 400 mg to about 750 5 2 weeks , about 3 weeks, about 4 weeks , about 5 weeks, mg, from about 400 mg to about 700 mg, from about 400 mg about 6 weeks, about 7 weeks, about 8 weeks, about 3 to about 600 from about 400 mg to about 500 mg; e . g . , 150 months , about 6 months, about 1 year, or beyond . For mg or 450 mg ) of the chemical entity in from about 1 mL to example , dosages ( e . g . , about 2 . 5 mg/ mL or about 7 . 5 about 3000 mL ( e . g ., from about 1 mL to about 2000 ml, mg/ mL ) of the chemical entity in liquid carrier can be from about 1 mL to about 1000 mL , from about 1 mL to 10 administered twice a day on a daily basis for about 6 weeks . about 500 mL , from about 1 mL to about 250 mL , from In certain of these embodiments , the chemical entity is about 1 mL to about 100 mL , from about 10 mL to about niclosamide , or a pharmaceutically acceptable salt and/ or 1000 mL , from about 10 mL to about 500 mL , from about hydrate and /or cocrystal thereof. For example , about 2 . 5 10 mL to about 250 mL, from about 10 mL to about 100 mL , mg/mL or about 7 . 5 mg /mL of niclosamide in liquid carrier from about 30 mL to about 90 mL , from about 40 mL to 15 can be administered twice a day on a daily basis for about about 80 mL ; from about 50 mL to about 70 mL; e . g . , about 6 weeks . Representative liquid carriers include , e . g ., those 1 mL , about 5 mL , about 10 mL , about 15 mL , about 20 mL , previously described in conjunction with component ( ii ). about 25 mL , about 30 mL , about 35 mL , about 40 mL , Methods of Treatment about 45 mL , about 50 mL , about 55 mL , about 60 mL, In some embodiments, methods for inducing cell death of about 65 mL , about 70 mL , about 75 mL , about 100 mL , 20 one or more T cells (e . g. , in the digestive and /or gastroin about 250 mL, or about 500 mL , or about 1000 mL , or about testinal tract (GI ) , skin , eyes, or joints ) , of a subject are 2000 mL , or about 3000 mL ; e . g ., 60 mL ) of liquid carrier. provided . The methods include contacting the one or more In certain embodiments , enema formulations include from T cells with an effective amount of a chemical entity ( e . g . , about 50 mg to about 250 mg ( e. g . , from about 100 mg to a compound exhibiting activity as a mitochondrial uncou about 200 ; e . g . , about 150 mg) of the chemical entity in from 25 pling agent or a pharmaceutically acceptable salt and / or about 10 mL to about 100 mL ( e . g ., from about 20 mL to hydrate and /or cocrystal thereof; e . g ., a compound , such as about 100 mL , from about 30 mL to about 90 mL , from niclosamide or a pharmaceutically acceptable salt and /or about 40 mL to about 80 mL ; from about 50 mL to about 70 hydrate and /or cocrystal thereof; e .g ., a compound , such as mL ) of liquid carrier. In certain embodiments , enema for a niclosamide analog , or a pharmaceutically acceptable salt mulations include about 150 mg of the chemical entity in 30 and / or hydrate and / or cocrystal thereof ) as defined anywhere about 60 mL of the liquid carrier. In certain of these herein . In certain embodiments , the methods consist essen embodiments , the chemical entity is niclosamide , or a phar tially or consist of the contacting step described above in this maceutically acceptable salt and / or hydrate and / or cocrystal paragraph . thereof. For example , enema formulations can include about In some embodiments, methods for treating a subject 150 mg of niclosamide in about 60 mL of the liquid carrier . 35 having a condition associated with unregulated ( abnormal, In certain embodiments , enema formulations include from elevated ) recruitment and /or retention of one or more T cells about 350 mg to about 550 mg ( e . g . , from about 400 mg to ( e . g . , at the digestive and /or gastrointestinal tract (GI ) , skin , about 500 ; e . g . , about 450 mg) of the chemical entity in from eyes , or joints ) of the subject are provided . The methods about 10 mL to about 100 mL ( e . g . , from about 20 mL to include contacting the one or more T cells with an effective about 100 mL , from about 30 mL to about 90 mL , from 40 so amount of a chemical entity ( e . g ., a compound exhibiting about 40 mL to about 80 mL ; from about 50 mL to about 70 activity as a mitochondrial uncoupling agent or a pharma mL ) of liquid carrier. In certain embodiments , enema for- ceutically acceptable salt and /or hydrate and / or cocrystal mulations include about 450 mg of the chemical entity in thereof; e . g . , a compound , such as niclosamide or a phar about 60 mL of the liquid carrier. In certain of these maceutically acceptable salt and / or hydrate and /or cocrystal embodiments , the chemical entity is niclosamide , or a phar - 45 thereof; e . g . , a compound , such as a niclosamide analog , or maceutically acceptable salt and /or hydrate and /or cocrystal a pharmaceutically acceptable salt and /or hydrate and /or thereof. For example , enema formulations can include about cocrystal thereof) as defined anywhere herein . In certain 450 mg of niclosamide in about 60 mL of the liquid carrier. embodiments , the methods consist essentially of or consist In some embodiments , enema formulations include from of the contacting step described above in this paragraph . about from about 0 .01 mg / mL to about 50 mg/ mL ( e . g ., from 50 In some embodiments , methods for treating a subject about 0 .01 mg/ mL to about 25 mg/mL ; from about 0 .01 having a condition associated with unregulated (abnormal , mg/ mL to about 10 mg/mL ; from about 0 .01 mg /mL to about elevated ) activation of one or more T cells ( e . g . , in the 5 mg/ mL ; from about 0 . 1 mg/ mL to about 50 mg/ mL ; from digestive and / or gastrointestinal tract (GI ) , skin , eyes , or about 0 .01 mg/ mL to about 25 mg/ mL ; from about 0 . 1 joints ) of the subject are provided . The methods include mg/ mL to about 10 mg/ mL ; from about 0 . 1 mg/ mL to about 55 contacting the one or more activated T cells with an effective 5 mg/ mL ; from about 1 mg/ mL to about 10 mg/ mL ; from amount of a cocrystal comprising (i ) a mitochondrial uncou about 1 mg/ mL to about 5 mg/mL ; from about 5 mg/ mL to pling agent or a pharmaceutically acceptable salt and /or about 10 mg /mL , e . g ., about 2 . 5 mg /mL or about 7 . 5 hydrate thereof; and ( ii ) one or more pharmaceutically mg/ mL ) of the chemical entity in liquid carrier. In certain of acceptable coformers as defined anywhere herein . In certain these embodiments , the chemical entity is niclosamide , or a 60 embodiments , the methods consist essentially of or consist pharmaceutically acceptable salt and / or hydrate and / or coc of the contacting step described above in this paragraph . rystal thereof. For example, enema formulations can include In some embodiments , inducing cell death of the one or about 2 . 5 mg/mL or about 7 . 5 mg/mL of niclosamide in more T cells includes one or more of the following path liquid carrier . ways: Programmed cell death , Necroptosis , Apoptosis , The foregoing dosages can be administered on a daily 65 Necrosis , Pyroptosis , Ferroptosis , Anoikis , Mitotic cathas basis ( e . g ., as a single dose per day ; or as two or more trophe , Paraptosis , Pyronecrosis , Entosis , Netosis , Parthana divided doses per day ; or a two or more doses ; e . g ., two tos, Autophagic cell death , RGD : regulated cell death , US 10 ,292 , 951 B2 75 76 Non -apoptotic programmed cell -death , Caspase - indepen are provided ( e. g ., an autoimmune disorder, e. g ., an inflam dent programmed cell - death inducing necrosis or apoptosis matory bowel disease ). The methods include topically and of the one or more T cells , e . g ., necrosis or apoptosis of the locally administering to the subject an effective amount of a one or more T cells . In certain embodiments , the effective chemical entity ( e . g . , a compound exhibiting activity as a amount is an amount sufficient to induce cell death of at least 5 mitochondrial uncoupling agent or a pharmaceutically one of the one or more T cells ( e . g . , by any one or more of acceptable salt and /or hydrate and / or cocrystal thereof; e . g . , the pathways described above, e . g . , necrosis or apoptosis of a compound, such as niclosamide or a pharmaceutically the one or more T cells ) . In some embodiments , the one or more T cells include one acceptable salt and / or hydrate and / or cocrystal thereof; e . g ., or more activated T cells , e . g ., one or more activated T cells 10 a compound , such as a niclosamide analog , or a pharma is independently selected from the group consisting of: ceutically acceptable salt and / or hydrate and/ or cocrystal CD45 + CD3 + TCRaß + CD62L - ; thereof) as defined anywhere herein . In certain embodi CD45 + CD3 + TCRaß + CD62L - CCR7 – ; ments , the methods consist essentially of or consist of the CD45 + CD3 + TCRaß + CD62L - CD69 + ; administering step described above in this paragraph . CD45 + CD3 + TCRaß + CD62L -CD69 + PD - 1 + ; 15 In some embodiments , methods for treating autoimmune CD45 + CD3 + TCRaß + CD62L -CTLA4 + ; colitis (or one or more symptoms thereof) in a subject are CD45 + CD3 + TCRAB + CD62L - PD - 1 + + CTLA4 + ; provided . The methods include topically and locally admin CD45 + CD3 + TCRY& + CD62L - ; istering to the subject an effective amount of a chemical CD45 + CD3 + TCRyd + CD62L - CCR7 - ; entity ( e. g. , a compound exhibiting activity as a mitochon CD45 + CD3 + TCRY8 + CD62L - CD69 + ; 20 drial uncoupling agent or a pharmaceutically acceptable salt CD45 + CD3 + TCRYO + CD62L - CD69 + PD - 1 + ; and /or hydrate and /or cocrystal thereof; e .g ., a compound , CD45 + CD3 + CD62L - TCRyo +CTLA4 + ; and such as niclosamide or a pharmaceutically acceptable salt CD45 + CD3 + TCRY & + CD62L - PD - 1 + + CTLA4 + . and / or hydrate and / or cocrystal thereof; e . g ., a compound , In certain embodiments, the effective amount is an such as a niclosamide analog , or a pharmaceutically accept amount sufficient to induce cell death of at least one of the 25 able salt and /or hydrate and/ or cocrystal thereof) as defined one or more activated T cells ( e .g ., by any one ormore of the anywhere herein . In certain embodiments , the methods pathways described above , e . g . , necrosis or apoptosis of the consist essentially of or consist of the administering step one or more activated T cells ) . described above in this paragraph . In some embodiments , the one or more T cells are present In some embodiments , methods for treating a condition within the intestinal epithelium and / or within the lamina 30 (or one or more symptoms thereof) selected from the group propria and / or within the Peyer ' s patches (PP ) and/ or within consisting of celiac disease , irritable bowel syndrome, the GALT (gut associated lymphoid tissue ) and / or within the mucositis , uveitis , collagenous colitis , lymphocytic colitis , intestinal mucosa and / or within the intestinal submucosa microscopic colitis , radiation enteritis , rheumatoid arthritis , and / or within the intestinalmuscular layer and /or within the lupus, scleroderma, psoriasis , cutaneous T - cell lymphoma , intestinal serosa . 35 acute graft vs . host disease and chronic graft vs host disease In some embodiments , the one or more T cells comprise in a subject are provided . The methods include topically and one or more gut tropic T cells . In certain embodiments , each locally administering to the subject an effective amount of a of the one or more gut tropic T cells independently expresses chemical entity ( e . g . , a compound exhibiting activity as a one or more gut- homing receptors selected from the group mitochondrial uncoupling agent or a pharmaceutically consisting of: 40 acceptable salt and / or hydrate and / or cocrystal thereof; e . g . , (CD3 + CCR9 + ; a compound , such as niclosamide or a pharmaceutically CD3 + 24 + or CD3 + B7 + ; acceptable salt and/ or hydrate and / or cocrystal thereof ; e . g . , CD3 + 24 + B7 + ; a compound , such as a niclosamide analog , or a pharma CD3 + 31 + ; ceutically acceptable salt and / or hydrate and / or cocrystal CD3 + a4 + 1 + ; 45 thereof ) as defined anywhere herein . In certain embodi CD3 + LFA1; ments , the methods consist essentially of or consist of the CD3 + CCR4 + ; and administering step described above in this paragraph . CD3 + CCR10 + . In certain of these embodiments , the condition is an In some embodiments , methods for treating a condition autoimmune disease . In certain embodiments , the condition ( or one or more symptoms thereof ) characterized by an 50 is an inflammatory bowel disease . In certain embodiments , abnormal inflammatory response in a subject in need thereof the condition is Crohn ' s disease , autoimmune colitis , iatro are provided ( e . g . , an autoimmune disorder , e . g ., an inflam - genic autoimmune colitis , ulcerative colitis, colitis induced matory bowel disease ) . The methods include administering by one or more chemotherapeutic agents , colitis induced by to the subject an effective amount of a chemical entity ( e . g ., treatment with adoptive cell therapy, colitis associated by a compound exhibiting activity as a mitochondrial uncou - 55 one or more alloimmune diseases ( such as graft - vs - host pling agent or a pharmaceutically acceptable salt and /or disease , e . g ., acute graft vs. host disease and chronic graft vs. hydrate and /or cocrystal thereof; e . g . , a compound , such as host disease ) , radiation enteritis , collagenous colitis , lym niclosamide or a pharmaceutically acceptable salt and / or phocytic colitis , microscopic colitis , and radiation enteritis . hydrate and / or cocrystal thereof; e . g ., a compound , such as In certain of these embodiments , the condition is alloim a niclosamide analog , or a pharmaceutically acceptable salt 60 mune disease ( such as graft -vs -host disease , e .g ., acute graft and / or hydrate and / or cocrystal thereof ) as defined anywhere vs . host disease and chronic graft vs . host disease ) , celiac herein . In certain embodiments , the methods consist essen - disease , irritable bowel syndrome, rheumatoid arthritis , tially of or consist of the administering step described above lupus , scleroderma, psoriasis , cutaneous T- cell lymphoma, in this paragraph . uveitis , and mucositis ( e .g ., oral mucositis , esophageal In some embodiments , methods for treating a condition 65 mucositis or intestinal mucositis ) . ( or one or more symptoms thereof) characterized by an In certain embodiments, the condition is autoimmune abnormal inflammatory response in a subject in need thereof colitis . US 10 , 292 , 951 B2 77 78 In certain of these embodiments , the autoimmune colitis This disclosure contemplates both monotherapy regimens is induced by one or more chemotherapeutic agents , e . g . , a as well as combination therapy regimens . chemotherapeutic immunomodulator, e . g . , an immune In some embodiments, monotherapy includes administer checkpoint inhibitor. In certain of these embodiments , the ing ( e . g . , topically and locally ) to a subject an effective immune checkpoint inhibitor targets an immune checkpoint 5 amount of a chemical entity ( e .g ., a compound exhibiting selected from the group consisting of CTLA - 4 , activity as a mitochondrial uncoupling agent or a pharma PD - 1 , PD -L1 , PD - 1 - PD -L1 , PD - 1 - PD -L2 , - 2 (IL ceutically acceptable salt and /or hydrate and /or cocrystal 2 ), indoleamine 2 ,3 -dioxygenase ( IDO ) , IL - 10 , transforming - B ( TGFB ) , T cell immunoglobulin and mucin thereof; e . g ., a compound , such as niclosamide or a phar 3 (TIM3 or HAVCR2 ), Galectin 9 — TIM3, Phosphatidyl - 10 maceutically acceptable salt and / or hydrate and/ or cocrystal serine _ TIM3 , lymphocyte activation gene 3 protein thereof; e .g ., a compound , such as a niclosamide analog, or (LAG3 ) , MHC class II — LAG3 , 4 - 1BB - 4 - BB , a pharmaceutically acceptable salt and /or hydrate and /or OX40 -OX40 ligand , GITR , GITR ligand — GITR , CD27 , cocrystal thereof) as defined anywhere herein , but excludes CD70 -CD27 , TNFRSF25 , TNFRSF25 - TL1A , CD40L , the administration of other therapeutic agents (e . g ., the CD40 - CD40 ligand . HVEM -LIGHT - LTA . HVEM . 15 active compounds , e . g . , peptides , disclosed in U . S . Pat . No . HVEM - BTLA , HVEM - CD160 , HVEM - LIGHT, 8 , 148 ,328 , which is incorporated herein by reference in its HVEM -BTLA -CD160 , CD80 , CD80 - PDL - 1 , PDL2 — entirety ) . CD80 , CD244 , CD48 - CD244 , CD244 , ICOS, ICOS - ICOS In some embodiments , themethods described herein can ligand , B7- H3 , B7- H4 , VISTA , TMIGD2, HHLA2 further include administering a second therapeutic agent or TMIGD2, Butyrophilins , including BTNL2 , Siglec family , 20 regimen . TIGIT and PVR family members , KIRS, ILTs and LIRs, In certain embodiments , the second therapeutic agent or NKG2D and NKG2A , MICA and MICB , CD244 , CD28 , regimen is administered to the subject prior to contacting CD86 _ CD28, CD86 — CTLA , CD80 —_ CD28 , CD39 , with or administering the chemical entity (e . g. , about one CD73 Adenosine -CD39 -CD73 , CXCR4- CXCL12 , Phos hour prior, or about 6 hours prior, or about 12 hours prior , phatidylserine , TIM3, PhosphatidylserineTIM3, SIRPA - 25 or about 24 hours prior, or about 48 hours prior, or about 1 CD47 , VEGF, Neuropilin , CD160 , CD30 , and CD155 ; e . g ., week prior , or about 1 month prior ) . CTLA -4 or PD1 or PD - L1) . See, e. g ., Postow , M . J . Clin . In other embodiments , the second therapeutic agent or Oncol. 2015 , 33 , 1 . In certain of these embodiments, the immune checkpoint regimen is administered to the subject at about the same time inhibitor is selected from the group consisting of: Urelumab , 30 as contacting with or administering the chemical entity . By PF -05082566 , MEDI6469 , TRX518 , Varlilumab , way of example , the second therapeutic agent or regimen CP -870893 , Pembrolizumab (PD1 ) , Nivolumab (PD1 ) , and the chemical entity are provided to the subject simul Atezolizumab ( formerly MPDL3280A ) ( PDL1) ,MEDI4736 taneously in the same dosage form . As another example , the (PD -L1 ), Avelumab (PD -L1 ), PDR001 (PD1 ), BMS second therapeutic agent or regimen and the chemical entity 986016 , MGA271 , Lirilumab , IPH2201, Emactuzumab , 3535 are providedi to the subject concurrently in separate dosage INCB024360, Galunisertib , Ulocuplumab , BKT140 , Bavi - Torms. tuximab , CC - 90002, , and MNRP1685A , and In still other embodiments , the second therapeutic agent MGA271. or regimen is administered to the subject after contacting In certain of these embodiments , the immune checkpoint with or administering the chemical entity ( e . g . , about one inhibitor targets CTLA - 4 , e . g. , an antibody , e. g . , ipilimumab 40 hour after, or about 6 hours after, or about 12 hours after, or or tremelimumab . abuabout 24 hours after, or about 48 hours after, or about 1 week In certain of these embodiments , the immune checkpoint after , or about 1 month after ). inhibitor targets PD1 or PD - LI, e . g ., nivolumab , lambroi- In certain embodiments , the second therapeutic agent is a zumab , or BMS - 936559 . chemotherapeutic immunomodulator, e . g . , an immune In certain embodiments , the condition is mucositis , also 45 checkpoint inhibitor, which can be as defined anywhere known as stomatitits , which can occur as a result of che herein . In other embodiments , the second therapeutic agent motherapy or radiation therapy , either alone or in combina - or regimen is one or more anti- inflammatory agents or tion as well as damage caused by exposure to radiation immunomodulator acting locally in the GI tract. In other outside of the context of radiation therapy . Chemotherapeu embodiments , the second therapeutic agent or regimen is tic agents which may induce mucositis when used alone or 50 5 - AS in combination include, but are not limited to , platinum , 5 -ASA (and associated delivery systems) , anti -SMAD7 anti cisplatin , carboplatin , oxaliplatin , mechlorethamine, cyclo sense , orally formulated anti - TNFs , anti- , sulfasala phosphamide , chlorambucil, azathioprine, mercaptopurine , zine , balsalazide, steroids , azathioprine , and methotrexate . vincristine, vinblastine , vinorelbine , vindesine, etoposide In further embodiments, the second therapeutic agent or and teniposide, , docetaxel, irinotecan , topotecan , 55ss "regimen is radiation or surgery . amsacrine, etoposide , etoposide phosphate , teniposide , In certain embodiments , the second therapeutic agent is 5 - fluorouracil, leucovorin , methotrexate , gemcitabinee , tax platinum , cisplatin , carboplatin , oxaliplatin , mechlore ane , leucovorin , mitomycin C , tegafur -uracil , idarubicin , thamine, , chlorambucil , azathioprine , fludarabine , mitoxantrone, ifosfamide and doxorubicin . mercaptopurine , vincristine, vinblastine, vinorelbine, vin Additional agents include inhibitors ofmTOR (mammalian 60 desine , etoposide and teniposide , paclitaxel, docetaxel, iri target of rapamycin ) , including but not limited to rapamycin , notecan , topotecan , amsacrine, etoposide , etoposide phos everolimus, temsirolimus and deforolimus. phate , teniposide , 5 - fluorouracil, leucovorin , methotrexate , In certain embodiments , the condition is uveitis, which is gemcitabine , taxane , leucovorin , mitomycin C , tegafur- ura inflammation of the uvea ( e . g . , anterior uveitis , e . g . , irido - cil, idarubicin , fludarabine , mitoxantrone , ifosfamide and cyclitis or iritis ; intermediate uveitis ( also known as pars 65 doxorubicin . Additional agents include inhibitors of mTOR planitis ) ; posterior uveitis ; or chorioretinitis , e. g . , pan - (mammalian target of rapamycin ), including but not limited uveitis ) . to rapamycin , everolimus , temsirolimus and deforolimus . US 10 , 292 ,951 B2 79 80 In still other embodiments, the second therapeutic agent adding 50 mL of heat inactivated FBS and 5 mL of peni can be selected from those delineated above ( see U . S . Pat. cillin / streptomycin to 500 mL DMEM . This medium was No . 7 ,927 ,613 , which is incorporated herein by reference in stored at 4° C . Before use , the medium was warmed to 37° its entirety ). C . in a water bath . Jurkat cells were seeded at an initial In some embodiments , the methods described herein 5 density of 5x104 cells/ mL in 24 -well plates. The cells were further include the step of identifying a subject ( e . g ., a allowed to grow for 18 hours prior to treatment being added . patient) in need of such treatment ( e . g ., by way of biopsy, Treatment with niclosamide . Niclosamide was dissolved endoscopy , or other conventionalmethod known in the art ) . in dimethyl sulfoxide (DMSO ) and added to the culture In some embodiments , the chemical entities, methods , medium to achieve concentrations of 500 , 100 , 50 , 10 , 5 or and compositions described herein can be administered to 10 1 uM . Oligomycin was dissolved in DMSO then added to certain treatment- resistant patient populations , e . g ., one that test wells in 10 uL to achieve a final concentration of 1 uL . is nonresponsive or resistant to treatment with an anti - Samples were incubated for 60 minutes at 37° C . TMRM TNFalpha therapy ( e . g . , Humira , Enbrel, Remicade, Cimzia , dissolved in DMSO then added to the test wells in 10 uL to Simponi, Enbrel, derivatives , e . g . , pentoxifylline achieve a final concentration of 5 uM and allowed to and Bupropion ; ( R )- DOI, TCB - 2 , LSD and LA -SS - Az ). In 15 incubate at 37° C . for an additional 30 min . A vehicle only certain embodiments , the patient is undergoing and / or has control ( in place of niclosamide ) was run concurrently with undergone treatment with an anti - TNFalpha therapy (e . g ., each experiment. A flow cytometer providing excitation at Humira , Enbrel, Remicade , Cimzia , Simponi, Enbrel, xan - 560 nm and detection at 590 nm emission was used for thine derivatives , e . g . , pentoxifylline and Bupropion ; ( R ) - quantification of TMRM fluorescence . DOI, TCB - 2 , LSD and LA - SS - Az ). 20 Measuring mitochondrial membrane potential changes To further illustrate this invention , the following (AYm ) . TMRM has advantages over other cationic dyes in examples are included . The examples should not, of course , that it can selectively enter into mitochondria and reversibly be construed as specifically limiting the invention . Varia accumulate as the membrane potential increases . The accu tions of these examples within the scope of the claims are mulation of TMRM in mitochondria has been shown to be within the purview of one skilled in the art and are consid - 25 driven by their membrane potential. Moreover, because of ered to fall within the scope of the invention as described , reduced hydrophobic character, this probe exhibits poten and claimed herein . The reader will recognize that the tial - independent binding to cells that is 10 to 20 times lower skilled artisan , armed with the present disclosure, and skill than that seen with other probes . TMRM has been described in the art is able to prepare and use the invention without as one of the best fluorescent dyes for dynamic and in situ exhaustive examples . 30 quantitative measurements because it is rapidly and revers ibly taken up by live cells and mitochondria . EXAMPLES Calculation of relative decrease in mitochondrial mem brane potential. Median fluorescence intensity was com Example 1: Niclosamide Uncouples Mitochondrial puted for all concentrations of niclosamide relative to Respiration from Oxidative Phosphorylation Jurkat 35 vehicle -only negative controls in the presence of oligomy T Cells cin . Ratios of the fluorescence intensity of each treated sample to the control sample mean were then calculated as Objective . To measure the dose - response effect of niclos a measure of relative decrease in A ' m . For statistical amide on mitochondrial transmembrane potential in Jurkat T comparisons, 95 % confidence intervals were computed and cells using the lipophilic cationic dye, tetramethylrhod - 40 graphed with the mean values of this ratio . By utilizing the amine ,methyl ester ( TMRM ). 95 % confidence intervals , the probability of a type I error Model. The Jurkat T cell model is commonly used to was set at the nominal 5 % level. study the potential effects of compounds on T cells in vitro . Results . Niclosamide exhibits a dose -related decrease in This cell line allows investigation of stimuli and mecha - AYm in Jurkat cells with concentrations of niclosamide of nisms that regulate T cell mitochondrial function and sur- 45 5 uM and above significantly decreased (p < 0 .05 ) relative to vival. As T cells , Jurkats have a lymphocyte appearance and negative controls . replicate in culture in suspension . They contain respiring mitochondria and as such response to mitochondrial uncou Example 2 : Niclosamide Uncouples Mitochondrial plers such as niclosamide may be assessed . Uncoupling is Respiration from Oxidative Phosphorylation in T identified and quantified by a detecting a drop in the elec - 50 Cells Isolated from the Lamina Propria of Human trochemical gradient across the mitochondrial inner mem Intestine brane (AYm ) that is not associated with a corresponding increase in oxidative phosphorylation . Experiments to detect Objective . The objective of this experiment is to deter changes in A ' m were performed by including conditions in mine if niclosamide can directly reduce the mitochondrial which a concentration of oligomycin was added to irrevers - 55 transmembrane potential in T cells isolated from human ibly inhibit the F , F . -ATPase and block oxidative phospho - intestine lamina propria in a manner similar to effects rylation to demonstrate that the fall in A ' m represents observed in Jurkat T cells . uncoupling since it occurred independent of an increase in Model. Lamina propria mononuclear cells (LPMC ) in the mitochondrial oxidative phosphorylatio . human intestine are comprised in part by T cells, which Cell culture . Jurkat T cells were purchased from the 60 mediate physiological and pathological processes including American Type Culture Collection (Manassas , Va . ) and inflammatory bowel disease . LPMCs can be isolated from sub - cultured according to instructions from the supplier. human tissue biopsies After isolation LPMCs T cells remain Prior to experiments , cells were cultured in RPMI 1640 viable ex vivo under appropriate culture conditions for containing 10 % FBS -HI , 50 units penicillin /mL and 50 ug periods of time that allow ex vive experiments . These cells streptomycin /mL , and maintained in log phase prior to 65 can be used to investigate mechanisms that regulate their experimental setup . Cells were grown in a 5 % CO , humidi- mitochondrial function and survival. They contain respiring fied incubator at 37° C . Growth medium was made by mitochondria and as such their response to mitochondrial US 10 , 292 ,951 B2 81 82 uncouplers such as niclosamide may be assessed . This Model . The human LPMC model as described in Example cellular model is used in conjunction with oligomycin that 2 was used . blocks oxidative phosphorylation and TMRM to monitor Cell isolation and culture . Cell isolation and culture A ' m as described in Example 1 . procedures were as detailed in Example 2 . Cell isolation and culture . Cells are obtained from biopsy 5 Treatment with Niclosamide . Niclosamide was dissolved specimens of the small or large intestine or rectum of in dimethyl sulfoxide (DMSO ) and added to the culture humans from areas of normal gastrointestinal tissue or with moderate to severe Crohn ' s disease (CD ), ulcerative colitis medium to achieve concentrations of 500 , 100 , 50 , 10 , 5 or (UC ) , or celiac disease . For the isolation of lamina propria 1 uM . Samples were incubated for 60 minutes at 37° C . mononuclear cells (LPMCs ) , the specimens are initially Cultured cells were incubated with DMSO ( negative con washed in Hank ' s balanced salt solution (HBSS ) then are cut 10 trol) , or stimulated with a human monoclonal anti -FAS into 0 . 5 -cm pieces, and are incubated with stirring in pre activating antibody (positive control, final concentration , 1 warmed HBSS containing 1 mM DTT at 370 C for 15 ug/ mL ) , or concentrations of niclosamide at 37° C . for 24 minutes. The supernatant is removed and the sample is hours . After treatment cells were exposed to ! UM VAAD washed with stirring with HBSS for 5 minutes twice . then incubated a further 60 minutes at 37° C . Live cells and Samples are incubated with stirring in pre -warmed HBSS 15 dead cells were enumerated by flow cytometer using a containing 5 mM EDTA for 30 minutes . The supernatant is FACSVerse cytometer set to excite and measure emitted removed and the sample is washed with stirring with HBSS fluorescence of 7 - AAD at appropriate wavelengths . for 5 minutes three times . The tissue is then digested further Detecting viable and dead cells . 7 - AAD is excluded from in RPMI 1640 containing 2 mg/mL Liberase and 0 .01 ug /mL live cells but free to enter dead cells where it undergoes a DNase I for 1 hour at 37° C . with stirring . After , 20 spectral shift after interacting with cellular DNA. Thus dead the mononuclear cells in suspension are collected and are cells are selectively labeled with 7 -AAD resulting in their centrifuged at 400 g for 10 minutes . After two washings in detection with an emission maxima of 647 nm . Use of this HBS , the pellet is resuspended in a 40 % Percoll solution and reagent allows viable cells and dead cells to be simultane is layered on the top of a Percoll solution ( 100 % , 60 % , 40 % , ously enumerated . In order to specifically distinguish T cells and 30 % Percoll in HBSS .) . The tube is centrifuged at 400 25 from other cells in LPMCs, anti -CD3 g for 25 minutes, and LPMCs at the 60 % - 40 % Percoll layer labeled with FITC ( excitation at 494 nm with emission interface are collected . The isolated cells are counted and detected at 521 nm ) will be used . This antibody specifically checked for viability using 0 . 1 % (viability binds human CD3 antigen that is selectively expressed on T ranges from 86 % to 94 % ) . Cells are washed out of Percoll cells . Cell viability and death was determined specifically in with HBSS and are resuspended in RPMI 1640 supple - 30 T cells by measuring 7 - AAD fluorescence in cells labeled by mented with 10 % heat inactivated FBS , 1 % L - glutamine , anti - CD3 FITC . 100 U /mL penicillin , and 100 mg/ mL streptomycin at a Calculation of T cell death . The fluorescence intensity of concentration of 1x10 cells/ mL and are plated in 96 -well 7 -AAD detected at 647 nm was measured specifically T the culture plates ( 200000 cells/ well) (Nat Protoc. 2007 ; 2 (10 ): cell population that was first defined as described in 2307 - 11 ). 35 Example 2 by FITC -anti - CD3 antibody fluorescence . In Treatment with test material. The protocol as noted in each experiment the 7 - AAD fluorescence intensity value Example 1 is followed . In addition , anti - CD3 monoclonal below which > 950 % of untreated control ( live ) T cells were antibody conjugated to FITC ( excitation at 494 nm with detected was used as a cut point to calculate viability Using emission detected at 521 nm ) is additionally added during this cut- point, the fraction of dead cells in a sample of incubation with TMRM at 37° C . for 30 minutes . 40 > 10 .000 individual cells was calculated for each condition Measurement of and calculation of change of A ' m in T and expressed as mean values. For statistical comparisons , cells . In order to specifically distinguish T cells from other 950 % confidence intervals were computed and graphed with cells in LPMCs , anti -CD3 monoclonal antibody labeled with the mean values . FITC is used . This antibody specifically binds human CD3 Results . Niclosamide exhibits a dose -related increase in antigen that is selectively expressed on T cells. LPMC T 45 LPMC T cell death . Concentrations ofniclosamide of 5 uM cells are first defined by their fluorescence emission at 521 and above significantly increase death ( p < 0 .05 ) relative to nm resulting from labeling with FITC - anti -CD3 antibody . negative controls with vehicle alone . Concentrations below The n fluorescence intensity of TMRM detected at 590 nm 5 uM fail to induce T cell death . The dose - response rela in the T cell population is measured Median fluorescence tionships of niclosamide -associated T cell death and niclos intensity of the TMRM signal are computed . Ratios of the 50 amide associated uncoupling in LPMCs were compared . median fluorescence intensity of each treated sample to the The overlapping nature of these dose relationships indicates control sample mean are then calculated as a measure of an association between niclosamide induced mitochondrial relative decrease in AYm . For statistical comparisons , 95 % uncoupling and cell death . confidence intervals are computed and graphed with the mean values of this ratio . 55 Example 4 : Niclosamide is an Effective Treatment Results . Niclosamide induces a dose - related decrease in for Inflammatory Bowel Disease in Mice A ' m in human LPMCs T cells with concentrations of niclosamide of 5 uM and above ( p < 0 . 05 ) relative to negative Objective . The objective of this experiment is to deter controls . mine if niclosamide is an effective treatment in a rodent 60 model of colits . Example 3 : Niclosamide Induces Death of LPMC Model . The TNBS- induced colitis is a commonly used T Cells at Concentrations that Cause Mitochondrial experimentalmodel for Inflammatory Bowel Disease ( IBD ) . Uncoupling TNBS (trinitrobenzenesulfonic acid ) is a chemical admin istered rectally in the form of an enema to mice or rats in Objective . The objective of this experiment was to deter - 65 combination with ethanol, which disrupts the mucous bar mine if concentrations of niclosamide that uncouple mito - rier, and induces colitis by haptenating proteins within the chondria in LPMC induce cell death . gut, causing them to become preferential targets for immune US 10 ,292 , 951 B2 83 84 cells . The severity of TNBS - induced colitis depends largely Results . Niclosamide exhibits a dose -related decrease in on the dosage applied and the strain of animal used . In colitis clinical scores and histologic scores. Therapeutic chronic , relapsing form of the model, animals are sensitized doses of niclosamide of 3 mg/ kg and above significantly by escalating , intracolonic doses of TNBS . Disease is moni reduce both clinical and histologic scores ( p < 0 .05 ) relative tored in - life by weight loss . Histology of colon specimens is 5 to vehicle control. used to determine disease severity at study termination (Gastroenterology , 2003 December ; 125 ( 6 ) - 1750 -61 , Example 5 : Therapeutic Doses of Niclosamide in Inflamm Bowel Dis . 2006 October ; 12 ( 10 ) :995 - 9 . ) Mice are Associated with a Colon to Plasma Mouse strain and housing . C BL /6J female mice ( 9 - weeks old ) are purchased by Jackson and are housed at a 10 Exposure Ratio that Exceeds 10 : 1 temperature ranging from 68 to 74° F . with a diurnal 12 hour light cycle in a specific pathogen - free facility in ventilated Objective . The objective of this experiment is to deter cages . Food and water is provided ad libitum . Animals are mine plasma and colon concentration and calculate colon to acclimated to local microbiota for 7 days before the begin plasma exposure in mice dosed rectally with niclosamide . ning of the experiment. Cell isolation and culture procedures 15 Model . Mice are used as an effective model to correlate are as noted in Example 2 . therapeutic responses with the drug concentrations that can Conditioning to induce colitis . To perform the studies of be measured in the (serum or plasma fraction ) and in relapsing hapten - induced colitis 4 escalating doses of TNBS tissues to determine the effectiveness of a treatment strategy in 50° ethanol are administered atweekly intervals to lightly designed to provide colon topical administration as opposed anesthetized mice through a 3 . 5 Fr catheter inserted into the 20 to systemic absorption . By measuring test agent concentra rectum . The catheter tip is inserted 4 cm proximal to the anal tions in the strain of mice in which therapeutic responses to verge, and 150 uL of fluid is slowly instilled into the colon , colitis are observed , conclusions can be reached as to after which the mouse is held in a vertical position for 30 whether topical colonic delivery produces a high colon : seconds per rectum at weekly intervals . The first and second plasma ratio of drug exposure and sufficient colon concen doses are 0 .5 mg TNBS , whereas the third and fourth doses 25 trations of the test agent to account for therapeutic effects are 0 .75 and 1 mg TNBS . A control group is administered that are independent of absorption and systemic exposure to every week with 50 % ethanol using the same procedure . the test agent. Animal niclosamide is dissolved in water and is adminis Mice . Nine week old Ca BL /6J female mice are pur tered at 1, 3 , 10 , 30 , 100 mg/ kg at daily intervals to lightly chased by Jackson and are housed at a temperature ranging anesthetized mice through a 3 .5 Fr catheter inserted into the 30 from 68 to 74° F . with a diurnal 12 hour light cycle in a rectum . Control mice are administered with water using the specific pathogen - free facility in ventilated cages . Food and same procedure . water is provided ad libitum . Animals are acclimated to local Clinical assessment of disease . For the clinical assessment of colitis , animal weight, (0 = absent; 1 = present) , microbiota for 7 days before the beginning of the experi rectal prolapse ( 0 = absent, 1 = present ) and presence of blood 35 ment. in the stool (0 = absent; 1 = present ) is recorded daily. Niclosamide administration . Niclosamide is dissolved in Histological assessment of disease . For histologic analy water and a single dose administered at 3 mg/ kg to lightly sis , tissues are fixed in OCT, are cut into sections, and are anesthetized mice through a 3 . 5 Fr catheter inserted into the stained with H & E . Histology scoring for individual mice is rectum . performed by a pathologist blinded to the samples , and the 40 Pharmacokinetic study design . At 0 . 25 , 0 . 5 , 1 , 2 , 4 , 8 16 degree of inflammation on microscopic cross - sections of the hours after niclosamide administration , plasma and colon colon is graded semiquantitatively from 0 to 4 . Tissues that specimens are collected from 3 mice per time point and are removed from mice at indicated times of death are fixed high - performance liquid chromatography is used to measure in 10 % formalin solution , are embedded in paraffin , are cut the tissue concentrations niclosamide and its metabolites . into tissue sections and are stained with hematossiline and 45 Calculation of plasma and colon ratio . The mean concen eosine Stained sections are examined for evidence of colitis tration of niclosamide colon concentration (mg / mg ) and using different criteria such as the presence of lymphocyte niclosamide plasma concentration (mg / mL ) is plotted and infiltration , elongation and /or distortion of crypts , frank the ratio is calculated . ulceration and thickening of the bowel wall. The degree of Results . Niclosamide exhibits a colon to plasma exposure inflammation on microscopic cross -sections of the colon is 50 ratio that exceeds 10 : 1 . graded from 0 to 4 as follows: 0 : no evidence of inflamma tion ; 1 : low level of lymphocyte infiltration with infiltration Example 6 : Doses of Niclosamide that are seen in a < 10 % high -power field (hpf = high power field ) , no Therapeutic Against Colitis Result in Colonic structural changes observed ; 2 : moderate lymphocyte infil Exposure Levels in Mice that are Associated with tration with infiltration seen in < 10 - 25 % hpf, crypt elonga - 55 Mitochondrial Uncoupling tion , bowel wall thickening which does not extend beyond mucosal layer; 3 : high level of lymphocyte infiltration with Objective . To determine if niclosamide colonic exposure infiltration seen in < 25 - 50 % hpf, thickening of bowel wall is associated with niclosamide concentrations that induce which extends beyond mucosal layer , 4 : marked degree of mitochondrial uncoupling . lymphocyte infiltration with infiltration seen in > 50 % hpf, 60 Model. Results from Examples 2 and 5 are used together. high vascular density , crypt elongation with distortion , trans - Example 2 is used to define a dose - response relationship mural bowel wall - thickening with ulceration ( J Exp Med between Niclosamide concentration and mitochondrial 1995 Nov. 1 ; 182 (5 ) : 1281 - 90 ; Current Protocol Immunol uncoupling . Using the pharmacokinetic data from Example ogy 15 .19 DOI: 10 . 1002 /0471142735 . im1519s49 ) . 5 , the maximum Niclosamide concentration in colon is Calculation of therapeutic effects . For statistical compari - 65 determined . This concentration is directly compared to the sons , two -way Anova test with Bonferroni correction is dose - response data to determine if efficacious exposure is calculated with GraphPrism software . sufficient to induce mitochondrial uncoupling in colon . US 10 ,292 , 951 B2 85 86 Niclosamide administration . Niclosamide is dissolved in mixture is added 5 drops of ethanol. The sample is milled for water and a single dose is administered at 1 or 3 mg /kg to 15 minutes after which time conversion to co - crystal is lightly anesthetized mice through a 3 . 5 Fr catheter inserted substantially complete . into the rectum . The above example is meant to illustrate but not limit the Pharmacokinetic study design . At 0 . 25, 0 . 5 , 1 , 2 , 4 , 8 , and invention . Other methods for achieving the described inven 16 hours after niclosamide administration , colon specimens tion include grinding with a mortar and pestle , co -milling , are collected from 3 mice per time point per group and slurry conversion , and concentration of a solution of both high -pressure liquid chromatography is used to measure the components . tissue concentrations of niclosamide and its metabolites. 10 Calculation of target coverage . The average area under the Example 8: Preparation of Enema Formulation colon concentration versus time curve (AUC ) and the peak Components concentration is calculated and is plotted and is graphed . Y axis represents niclosamide concentration in uM while X The liquid carrier shown in Table 11 below were prepared axis represents time. To estimate target coverage, the graph 15 according to the following procedure , propyl 4 -hydroxyben includes a horizontal line at the level in which niclosamide zoate and methyl 4 -hydroxybenzoate were dissolved in hot induces mitochondrial uncoupling in lamina propria T cell. water. The solution was allowed to cool to room tempera Results . At doses below maximal efficacy ( e. g. 1 mg/ kg ) , ture , and additional water was added to compensate water niclosamide does not reach 5 uM concentration in the colon . 20 loss due to evaporation that occurred in the prior step . The At therapeutic dosage of 3 mg/ kg Niclosamide reaches a were added and dissolved under stirring for 10 colon peak concentration > 5 UM . Since 5 uM is the niclos minutes (pH : 6 .5 -7 . 5 ). Methylcellulose and povidone were amide concentration able to induce mitochondrial uncou dispersed using a turbomixer ( 9000 rpm , 30' ) . The prepara tion was allowed to stand for several hours to let foam pling more than 50 % of in lamina propria T cell, this data ,25 decant. Typically , the preparation of the liquid carrier was indicate that efficacious exposures result in colon concen not stored and used immediately . However, when stored , the tration of niclosamide that are associated with mitochondrial liquid carriers were stored in 500 mL polyethylene bottles . uncoupling and demonstrate that the therapeutic mechanism The liquid carrier exhibited the properties shown in Table is associated with mitochondrial uncoupling. 11 . FIG . 1. Niclosamide induces cell death in lamina propria T cell from active IBD . LPMC (lamina propria mononuclear TABLE 11 cells ) from IBD subjects were isolated from macroscopically inflamed intestinal area and treated with DMSO or niclos Quantity ( % ) amide ( 10 uM ) for 16 hours . Cell death in lamina propria T 35 cell ( CD3 + ) was determined by measuring 7 - AAD staining Components by flow cytometry. FIG . 2 includes graphs and images showing that niclos - Metyl cellulose (Methocel A15C premium ) 1 . 40 amide exhibits robust efficacy in murine TNBS model of Povidone (Kollidon K30 ) 1 . 00 ulcerative colitis when administered rectally ( locally ), but 40 Propyl parahydroxybenzoate 0 . 02 not by intraperitoneal injection ( systemically ) . Methyl parahydroxybenzoate 0 . 20 Disodium phosphate dodecahydrate 0 . 15 Example 7 : Synthesis of Co -Crystals Sodium dihydrogen phosphate dihydrate 0 . 05 45 Water purified Up to 100 A ) L -Proline ( 35 .2 mg) and niclosamide (100 mg ) are Technological characterization ( as IPC ) combined in a steel vessel containing a steel ball. To this mixture is added 5 drops of ethanol. The sample is milled for Appearance Clear to opalescent 15 minutes after which time conversion to co - crystal is 50 colloidal dispersion substantially complete . Dynamic viscosity * 41 mPas s The above example is meant to illustrate but not limit the PH 7 .023 invention . Other methods for achieving the described inven tion include grinding with a mortar and pestle , co -milling , Density 1. 0075 g/ mL slurry conversion , and concentration of a solution of both 55 components . The wet granulation preparations shown in Table 12 were It is understood by those skilled in the art that a similar prepared according to the following procedure. The internal co - crystal can be produced from D - proline and from mix - phase ingredients are combined and mixed in a high - shear tures of L - and D - proline such as a thereof. so granulator. A granulating solution was prepared from water B ) L -Proline ( 35. 2 mg) and niclosamide ( 100 mg) are and the indicated agents . This solution is added to the combined in a steel vessel containing a steel ball . To this mixture of the inner phase resulting in the formation of mixture is added 5 drops of propylene glycol. The sample is granules. Once the granulation was formed and dried , the milled for 15 minutes after which time conversion to coc external phase ingredients were added to the dry granula rystal is substantially complete . 65 tion . The resultant wet granulation preparations can be C ) Imidazole ( 20 . 8 mg) and niclosamide ( 100 mg) are suspended in the above- described liquid carriers using con combined in a steel vessel containing a steel ball . To this ventional procedures . US 10 ,292 ,951 B2 87 88 TABLE 12 Niclosamide strength 450 mg 450 mg Component ( % ) Inner Niclosamide 100 98 .5 77 66 50 61 .64 phase Colloidal silicon dioxide ( Aerosil 200 ) 1 . 0 Magnesium stearate 05 Cellulose microcrystalline ( Avicel PH101 ) 34 50 Crospovidone (Kollidon CL ) 1 . 92 Lactose monohydrate (Pharmatose 200M ) | - 30 .82 Granulating Povidone (Kollidon K30 ) 2 .74 solution Sodium lauryl sulfate | 0 .68 Purified water External Talc 1 .92 phase Magnesium stearate 0 . 27 Theoretical units weight (mg ) 450 456 . 9 593 . 4 692 . 3 913. 8 730 .0 * quantity used : 123 mg/units , removed during the process Process Parameter 1 ) Calibration step raw materials Manual calibration 1 . 1 ) Calibration sieve Size 1 . 0 mm 2 ) Mixing step Turbula , glass container 2 . 1 ) Mixing time - rotation speed 5 ' - 34 rpm 3 ) Granulation step Manual granulation 3 . 1 ) wet granulate sieve 1 . 0 mm Technological characterization Granulate Loss on drying ( 105° C . for 10 ') 1 . 4 % Final mix Flowability * 10 . 0 It did not pass It did not pass Flow throw an orifice 15 . 0 It did not pass 6 . 1 g /sec of Ø (mm ): 25 . 0 It did not pass 17. 8 g sec Suspendability Not homogeneous Rapid and suspendability and very Homogeneous poor mixture wettability pH 6 . 9 * 100 g of granulate have to pass through an orifice of increasing size 10 or 15 or 25 ( etc . ) mm diameter and the size of the orifice is increased if the powder is not passing through . When it passes the time is taken so that the smaller the diameter of the orifice and higher the amount / second the better it is for the flow properties of the granulate Analytical test Niclosamide assay ( % ) - 58 . 84 %

Example 9. Niclosamide Suspension Administered 45 inflammatory damage and evidence of pro - inflammatory Rectally as an Enema has Efficacy in a Mouse cytokines detected in colon tissue . Model of Ulcerative Colitis Animals and Treatments : Studies of TNBS colitis were performed in 8 - to 12 -week - old male Balb / c mice ( Jackson Laboratories, stock number 000651 ) . For induction of coli Objective : The objective of this experiment was to deter 50 tis , 2 .5 mg of TNBS (Sigma - Aldrich , Milan , ) in 50 % mine if niclosamide suspension administered rectally as an ethanol was administered to lightly anesthetized mice enema to mice with colitis reduces disease activity . through a 3 . 5 F catheter inserted into the rectum . The Model : Intra - rectal administration of trinitrobenzene sul catheter tip was inserted 4 cm proximal to the anal verge , fonic acid ( TNBS ) to mice results in colitis . TNBS elicits and 150 uL of fluid was slowly instilled into the colon , after cell- mediated ediated immune responses and induces transmural 55 which the mouse was held in a vertical position for 30 inflammation in the gut with morphological and histopatho seconds. Mice were exposed to TNBS or 50 % ethanol logical features similar to those of human inflammatory vehicle (EtOH ) on Day 0 . TNBS or EtOH exposed mice bowel disease . TNBS induces diffuse colonic inflammation , were subsequently dosed rectally with either nothing , characterized by increased leukocyte infiltration , edema, and vehicle used for niclosamide ( phosphate buffered ) or ulceration . It is very well reported that administration of 60 niclosamide enema suspension ( 0 .03 ; 3 ; 30 mg/ kg as indi TNBS is associated with predominant activation of Th1- cated ) by administering a 150 ul volume of niclosamide mediated immune response manifested by increased cytok - suspension prepared as a 4 ; 0 . 4 ; 0 .04 mg/ ml suspension of ines such as interferon - y ( IFN - y ) , tumor necrosis factor- a niclosamide (Sigma - Aldrich ) in phosphate buffered saline . ( TNF - a ) and interleukin - 17A ( IL - 17A ) as well as dense Niclosamide or vehicle only were administered on day 1 and infiltration of CD4 + T cells . Disease activity in the TNBS 65 day 2 . Weight changes were recorded daily and tissues were model can be determined by loss of body weight, histo - collected for histologic study and RNA analysis at the end of pathological evaluation of the colon showing evidence of the study . US 10 , 292 , 951 B2 89 90 Histopathology : For histologic analysis , tissues were ex vivo under appropriate culture conditions for periods of fixed in 10 % neutral buffered formalin solution , embedded time that allow ex vivo experiments. These cells can be used in paraffin , cut into tissue sections , and stained with hemao to investigate if test agents affect their production of pro toxylin & eosin ( H & E ). For TNBS- induced colitis , stained inflammatory cytokines including interferon - gamma (IFN ) , sections were examined for evidence of colitis and assigned 5 tumor necrosis factor -alpha ( TNF ) and interleukin 17A a colitis score ( 0 - 5 ) by considering the presence of acute and (IL - 17A ) , to determine if a test agent affects the pro chronic inflammatory infiltrates , elongation and /or distor inflammatory cytokines that mediate inflammatory bowel tion of crypts, frank ulceration , and thickening of the bowel disease , including UC . wall . RNA Extraction , cDNA Preparation , and Real - Time PCR 10 Cell Isolation and Culture Cells were obtained from for Cytokine Detection : colon biopsy specimens of a human from areas with mod RNA was extracted from fresh mucosal samples of treated erate to severe UC . For the isolation of lamina propria mice using Trizol reagent according to the manufacturer ' s mononuclear cells (LPMCs ), the specimens were initially instructions (Invitrogen , Carlsbad , Calif . ). A constant washed in Hank ' s balanced salt solution ( HBSS) then cut amount of RNA ( 1 mg per sample ) was reverse - transcribed 15 into 0 . 5 - cm pieces , and incubated with stirring in pre into cDNA , and this was amplified using a sybergreen - based warmed HBSS containing 1 mM DTT at 37° C . for 15 PCR (Bio -Rad . Hercules , Calif . ) using PCR conditions and minutes. The supernatant was removed and the sample primer sequences appropriate for specific detection of washed with stirring with HBSS for 5 minutes twice . IL - 17A , IFN - y and TNF -a . ß -actin was used as a house Samples were incubated with stirring in pre -warmed HBSS keeping gene to determine relative expression . Gene expres - 20 containing 5 mM EDTA for 30 minutes . The supernatantwas sion was calculated using the AACt algorithm . removed and the sample washed with stirring with HBSS for Results and Conclusions — As shown in FIG . 4A , niclos - 5 minutes three times . The tissue was then digested further amide suspension administered rectally at a dose of 30 in RPMI 1640 containing 2 mg/ml Liberase and 0 .01 ug /ml mg/ kg on days 1 and 2 results in recovery of body weight DNase I for 1 hours at 37° C . with stirring . After digestion , initially last due to TNBS - induced colitis . There is no 25 the mononuclear cells in suspension were collected and recovery of weight in untreated or vehicle control treated centrifuged at 400 g for 10 minutes. After two washings in mice . HBS, the pellet was resuspended in a 40 % Percoll solution As shown in FIG . 4B , niclosamide suspension adminis - and layered on the top of a Percoll solution ( 100 % , 60 % , tered rectally at a dose of 30 mg/ kg on days 1 and 2 results 40 % , and 30 % Percoll in HBSS .) . The tube was centrifuged in a significantly lower colitis score compared to vehicle 30 at 400 g for 25 minutes, and LPMCs at the 60 % -40 % Percoll control treated mice or mice that received TNBS and no other treatment, based on H & E analysis of colon biopsies . layer interface were collected . The isolated cells were FIG . 4C demonstrates expression of inflammatory cytok counted and checked for viability using 0 . 1 % trypan blue ines in intestinal biopsied tissue detected by real- time PCR . (viability ranged from 86 % to 94 % ) . Cells were washed out TNBS exposure in presence of vehicle increases expression os35 of Percoll with HBSS and resuspended in RPMI 1640 of TNFa , IFNy and IL - 17A compared to EtOH control supplemented with 10 % heat inactivated FBS , 1 % L - gluta animals that receive no TNBS Niclosamide administered mine, 100 U /mL penicillin , and 100 mg/mL streptomycin at rectally at 0 . 03 , 3 .0 and 30 mg per kg body weight dose a concentration of 1x100 cells/ mL and plated in 96 -well dependently reduces the level of RNA of each cytokine culture plates ( 200000 cells /well ) (Nat Protoc . 2007 ; 2 ( 10 ): relative to expression of RNA for ß -actin , used as a house - 40 2307 -11 ) keeping gene for normalization . Treatment with Test Material Niclosamide — Niclosamide The results support the conclusions that rectally admin - (purchased from Sigma ) was dissolved in dimethyl sulfoxide istered niclosamide suspension treats colitis in a mouse (DMSO ) and added to the culture medium to achieve a model of human inflammatory bowel disease that recapitu - concentration of 5 UM Samples were incubated for 24 h at lates features of human disease including colon infiltration 45 37° C . A vehicle only control ( in place of niclosamide ) was by T cells and increased expression of pro - inflammatory run concurrently. cytokines . The treatment response to niclosamide suspen Measuring pro - inflammatory cytokines. After treatment sion administered rectally includes dose - dependent modu - with either niclosamide or vehicle control as described lation of pro - inflammatory cytokine gene expression . Col - above , LPMC were stimulated with PMA ( 10 ng /mL ) , lectively, these results exemplify the claim that rectal 50 ionomycin ( 1 ug /mL ), and brefeldinA ( 10 ug /mL : eBiosci administration of niclosamide suspension is a treatment for ence , San Diego , Calif .) . After 5 h , cells were stained with inflammatory diseases of the colon . the following Abs : anti -CD3 - PerCP ( 1 :50 , final dilution , BD Biosciences , San Jose , Calif .) and fixed with 1 % formalde Example 10 . Niclosamide Reduces the hyde for 20 '. Subsequently cells were permeabilized with Pro - Inflammatory Potential of T Cells Isolated from 55 0 . 5 % saponin in 1 % BSA FACS buffer and stained with the the Lamina Propria of Human Intestine following Abs : anti -IFN - Y -PE ( 1 : 50 , final dilution ; clone XMG1. 2 , BD Biosciences ), anti - IL - 17A - APC ( 1 .50 , final Objective: The objective of this experiment was to deter dilution , clone eBio17B7 Affymetrix eBioscience ) , Anti mine if niclosamide directly reduces the proinflammatory TNF - PEcy7 ( 1 : 50 final dilution , clone MP6 -XT22 Affyme potential of human T cells isolated from the lamina propria 60 trix ). Appropriate isotype -matched controls from BD Bio sampled as a biopsy from a person with ulcerative colitis sciences were included in all of the experiments . A flow (UC ). cytometer FACSVerse flow cytometer and FACSSuite soft Model : Lamina propria mononuclear cells ( LPMC ) in the ware [BD Biosciences ) was used for to analyze results . human intestine are comprised in part by T cells which Results and Conclusion - Niclosamide at 5 uM causes a mediate pathological processes including inflammatory 65 decrease in human LPMCs T cells that produce pro - inflam bowel disease . LPMCs can be isolated from human intestine matory cytokines including TNF, IFN , and IL - 17A relative tissue biopsies. After isolation LPMCs T cells remain viable to vehicle only negative control (FIG . 5 ) . US 10 , 292 , 951 B2 91 92 Example 11 . Administration of Niclosamide Using mitochondrial function and survival. They contain respiring a Formulation that Results in a Concentration of mitochondria and as such their response to test agents may Niclosamide in the Rectal Mucosa that is Both be assessed Uncoupling is identified and quantified by a Detectable and Significantly Greater than the detecting a drop in the electrochemical gradient across the Corresponding Plasma Niclosamide Concentration 5 mitochondrial inner membrane ( AYm ) . Cell Isolation and Culture Cells were obtained from Rabbits (New Zealand White KBL Rabbit (SPF : Specific biopsy specimens of the small or large intestine or rectum of Pathogen Free ), naïve to any experimental procedures , humans from areas of gastrointestinal tissue with moderate to severe Crohn ' s disease (CD ) . For the isolation of lamina Charles River Laboratories S . p . A . Italia . — only males bidewill 10 propria mononuclear cells (LPMCs ) , the specimens were be used ) were treated with a single dose of niclosamide initially washed in Hank ' s balanced salt solution (HBSS ) suspensions containing magnesium stearate and colloidal then cut into 0 . 5 - cm pieces , and incubated with stirring in silica ( 98 . 5 % Niclosamide, 1 % Silica , colloidal hydrated , pre -warmed HBSS containing 1 mM DTT at 37° C . for 15 and 0 . 5 % Magnesium stearate - manually crushed with minutes . The supernatant was removed and the sample mortar and pestle then sieved through 60 mesh (250 um ) and 15 washed with stirring with HBSS for 5 minutes twice . then suspended in the liquid carrier described in Example 8 ) Samples were incubated with stirring in pre -warmed HBSS at the dose levels specified . Following dosing, blood containing 5 mM EDTA for 30 minutes. The supernatant was samples and rectal mucosa was obtained at indicated time removed and the sample washed with stirring with HBSS for points . See Tables 13 and 14 . 5 minutes three times . The tissue was then digested further 20 in RPMI 1640 containing 2 mg/ ml Liberase and 0 .01 ug /ml TABLE 13 DNase I for 1 hours at 37° C . with stirring . After digestion , Niclosamide Plasma Concentrations (ng /mL ) the mononuclear cells in suspension were collected and Treatment B 7 . 5 centrifuged at 400 g for 10 minutes. After two washings in ( Study Niclosamide : Evaluation of the HBS , the pellet was resuspended in a 40 % Percoll solution following a Single 25 and layered on the top of a Percoll solution ( 100 % , 60 % , Rectal Administration to NZW Rabbits ) 40 % , and 30 % Percoll in HBSS. ) . The tube was centrifuged Sub - Sub Sub - Sub - Sub at 400 g for 25 minutes , and LPMCs at the 60 % - 40 % Percoll Time jectjectjectjectject Mean layer interface were collected . The isolated cells were Hours 666 667 668 669 670 ng /ml Std dev counted and checked for viability using 0 . 1 % trypan blue BLQ BLQ BLQ BLQ BLO N / A N / A 30 ( viability ranged from 86 % to 94 % ) . Cells were washed out 5 . 79 2 . 98 2 . 81 4 . 13 BLQ 3 . 9275 1 . 3731321 of Percoll with HBSS and resuspended in RPMI 1640 5 . 19 3 . 26 50 . 7 19 .716667 26 .849701 supplemented with 10 % / a heat inactivated FBS , 1 % L - glu BLQ 21 . 7 2 . 21 11 . 955 13 . 781511 tamine , 100 U /mL penicillin , and 100 mg/ mL streptomycin autoo 4 . 73 4 .63 BLQ 4 . 68 0 .0707107 at a concentration of 1x100 cells /mL and plated in 96 -well 24 BLQ 1 .07 BLQ 1 .07 N / A . 35 culture plates ( 200000 cells/ well) (Nat Protoc. 2007; 2 ( 10 ) : 2307 - 11 ) Treatment with Test Material Niclosamide — Niclosamide TABLE 14 (purchased from Sigma) was dissolved in dimethyl sulfoxide (DMSO ) and added to the culture medium to achieve a Niclosamide Rectal Concentration ( ng /ml ) after 1 hour - 40 concentration of 5 UM . Samples were incubated for 60 min Subejct 669 Subject 670 Mean Std dev at 37° C . JC - 1 was purchased from Thermo Fisher Scientific , dissolved in DMSO then added to the test wells to achieve 12 . 3 32 .8 22 .55 14 .4957 a final concentration of 10 ug /ml and allowed to incubate at 37° C . for an additional 30 min . A vehicle only control ( in Rectal administration of niclosamide ( 7 . 5 mg ) results in 45 place of niclosamide ) was run concurrently . A flow cytom mean rectal niclosamide concentration of 22 .55 ng /ml (stdev eter FACSVerse flow cytometer and FACSSuite software 14 .49 ) compared to a plasma concentration of 3 . 93 ng/ ml [BD Biosciences ) was used for quantification of JC - 1 fluo (stdev 1 . 37 ) 1 hour following dosing . This difference means rescence in CD45 + CD3 + cells . that the rectal concentration of niclosamide is more than Measuring mitochondrial membrane potential changes 5 - times the plasma concentration at 1 hr . 50 (AYm ) . JC - 1 is a widely used indicator of mitochondrial membrane potential. JC - 1 has advantages over other cat Example 12 . Niclosamide Reduces Mitochondrial ionic dyes in that it exhibits potential- dependent accumula Membrane Potential in T Cells Isolated from the tion in mitochondria indicated by a fluorescence emission Lamina Propria of Human Intestine shift from green ( ~ 525 nm ) to red ( ~ 590 nm ). Consequently , 55 mitochondrial depolarization is indicated by a decrease in Objective — The objective of this experimentwas to deter the red / green fluorescence intensity ratio . The potential mine if niclosamide can directly reduce the mitochondrial sensitive color shift is due to concentration dependent for transmembrane potential in T cells isolated from human mation of red fluorescent J - aggregates . intestine lamina propria . Measurement of and Calculation of Change of A ' m in T The Model - Lamina propria mononuclear cells (LPMC ) 60 Cells — In order to specifically distinguish T cells from other in the human intestine are comprised in part by T cells which cells in LPMCs, LPMC were stained with anti - CD45 and mediate physiological and pathological processes including anti -CD3 antibodies . Anti -CD45 monoclonal antibody inflammatory bowel disease . LPMCs can be isolated from labeled with PerCP -Cyanine5 . 5 (Ex488 Em695 ) was pur human tissue biopsies . After isolation LPMCs T cells remain chased from Ebioscience ( clone 2D1) ; anti -CD3 monoclonal viable ex vivo under appropriate culture conditions for 65 antibody labeled with eFluor® 450 (Ex405 Em455 ) was periods of time that allow ex vivo experiments . These cells purchased from Ebioscience ( clone OKT3 ) . The anti -CD45 can be used to investigate mechanisms that regulate their antibody binds human CD45 antigen , that is expressed in by US 10 , 292 , 951 B2 93 94 all hematopoietic cells excluding circulating erythrocytes 12 . The composition of claim 1 , wherein the composition and . The anti -CD3 antibody specifically binds comprises from about 0 . 05 weight percent to about 5 weight human CD3 antigen that is selectively expressed on T cells . percent of the one or more glidants and / or lubricants . LPMC CD45 + CD3 + T cells were first defined by their 13 . The composition of claim 1 , wherein each of the one fluorescence emission from labeling with eFluor® 450 - anti - 5 or more glidants and / or lubricants is independently selected CD3 antibody and PerCP - Cyanine5. 5 - anti - CD3 antibody . from the group consisting of: talc , magnesium stearate , The fluorescence intensity of JC - 1 detected at - 525 nm and calcium stearate , colloidal silica , stearic acid , aqueous sili ~ 590 nm in the CD45 + CD3 + T cell population was then con dioxide, synthetic magnesium silicate , fine granulated measured . Results and Conclusion - Niclosamide at 5 uM causes a 10 silicon oxide, starch , sodium laurylsulfate , boric acid , mag decrease in A ' m in human LPMCs T cells relative to nesium oxide, waxes, hydrogenated oil, polyethylene glycol, negative control ( see FIG . 6 ) . sodium benzoate , stearic acid glycerol behenate , polyethyl A number of embodiments of the invention have been ene glycol, and mineral oil. described . Nevertheless, it will be understood that various 14 . The composition of claim 1 , wherein each of the one modifications may be made without departing from the spirit 15 or more glidants and / or lubricants is independently selected from the group consisting of: magnesium stearate and talc . and scope of the invention . Accordingly , other embodiments 15 . A solid pharmaceutical composition , which com are within the scope of the following claims. prises: What is claimed is : an inner phase which is a wet granulated solid preparation 1 . A solid pharmaceutical composition , which comprises: 20 comprising niclosamide, or a pharmaceutically accept an inner phase which is a wet granulated solid preparation able salt thereof; crospovidone; lactose monohydrate ; comprising niclosamide, or a pharmaceutically accept and povidone; and able salt thereof; one or more disintegrants ; one or an external phase comprising magnesium stearate and more diluents ; and one or more binders ; and talc . an external phase comprising one or more glidants and/ or 25 16 . The composition of claim 15 , wherein the composi one or more lubricants . tion comprises from about 40 weight percent to about 80 2 . The composition of claim 1 , wherein the composition weight percent of niclosamide, or a pharmaceutically comprises from about 40 weight percent to about 80 weight acceptable salt thereof. percent of niclosamide, or a pharmaceutically acceptable 17 . The composition of claim 15 , wherein the composi salt thereof. 30 tion comprises from about about 55 weight percent to about 3 . The composition of claim 1 , wherein the composition 70 weight percent of niclosamide , or a pharmaceutically comprises from about 0 . 5 weight percent to about 5 weight acceptable salt thereof. percent of the one or more disintegrants. 18 . The composition of claim 15 , wherein the composi 4 . The composition of claim 1 , wherein each of the one or tion comprises from about 0 . 5 weight percent to about 5 more disintegrants is independently selected from the group 35 weight percent of crospovidone. consisting of: carmellose calcium , low substituted hydroxy - 19 . The composition of claim 15 , wherein the composi propyl cellulose ( L -HPC ), carmellose , croscarmellose tion comprises from about 1 weight percent to about 3 sodium , partially pregelatinized starch , dry starch , car - weight percent of crospovidone . boxymethyl starch sodium , crospovidone, polysorbate 80 2 0 . The composition of claim 15 , wherein the composi (polyoxyethylenesorbitan oleate ), starch , sodium starch gly - 40 tion comprises from about 0 . 5 weight percent to about 5 colate , hydroxypropyl cellulose pregelatinized starch , clays , weight percent of povidone . cellulose , alginine, gums, and cross - linked PVP . 21 . The composition of claim 15 , wherein the composi 5 . The composition of claim 1 , wherein the one or more tion comprises from about 1 . 5 weight percent to about 4 . 5 disintegrants is crospovidone . weight percent of povidone . 6 . The composition of claim 1 , wherein the composition 45 22 . The composition of claim 15 , wherein the composi comprises from about 0 . 5 weight percent to about 5 weight tion comprises from about 10 weight percent to about 50 percent of the one or more binders . weight percent of lactose monohydrate . 7 . The composition of claim 1 , wherein each of the one or 23 . The composition of claim 15 , wherein the composi more binders is independently selected from the group tion comprises from about 20 weight percent to about 40 consisting of: starch , pregelatinized starch , gelatin , sugars , 50 weight percent of lactose monohydrate. polyethylene glycol, waxes, natural and synthetic gums, 24 . The composition of claim 15 , wherein the composi sodium alginate cellulose, veegum , and synthetic polymers . tion comprises from about 0 . 5 weight percent to about 5 8 . The composition of claim 1 , wherein the one or more weight percent of talc . binders is povidone . 25 . The composition of claim 15 , wherein the composi 9 . The composition of claim 1 , wherein the composition 55 tion comprises from about 1 weight percent to about 3 comprises from about 10 weight percent to about 50 weight weight percent of talc . percent of the one or more diluents . 26 . The composition of claim 15 , wherein the composi 10 . The composition of claim 1 , wherein each of the one tion comprises from about 0 .05 weight percent to about 1 or more diluents is independently selected from the group weight percent of magnesium stearate . consisting of: dicalcium phosphate dihydrate , calcium sul- 60 27 . The composition of claim 15 , wherein the composi fate , lactose , sucrose , mannitol, sorbitol, cellulose , microc - tion comprises from about 0 . 1 weight percent to about 1 rystalline cellulose , kaolin , sodium chloride, dry starch , weight percent of magnesium stearate . hydrolyzed starches , pregelatinized starch , silicone dioxide, 28 . The composition of claim 15 , wherein the composi titanium oxide, magnesium aluminum silicate and powdered tion comprises : sugar. 65 from about 40 weight percent to about 80 weight percent 11 . The composition of claim 1, wherein each of the one of niclosamide, or a pharmaceutically acceptable salt or more diluents is lactose monohydrate . thereof; US 10 , 292 , 951 B2 95 96 from about 0 . 5 weight percent to about 5 weight percent 33 . The enema preparation of claim 32 , wherein compo of crospovidone ; nent ( ii ) comprises water and one or more of the following from about 0 . 5 weight percent to about 5 weight percent excipients : of povidone ; from about 10 weight percent to about 50 weight percent 5 ( a ' ) one or more thickeners , viscosity enhancing agents , of lactose monohydrate; binders , and /or mucoadhesive agents ; from about 0. 5 weight percent to about 5 weight percent ( b ') one or more preservatives; and of talc ; and ( c ) one or more buffers . from about 0 .05 weight percent to about 1 weight percent of magnesium stearate . 34 . The enema preparation of claim 32 , wherein compo 29 . The composition of claim 15 , wherein the composi nent ( ii ) comprises water and one or more of the following tion comprises : excipients : from about 50 weight percent to about 70 weight percent (a " ) a first thickener , viscosity enhancing agent, binder , of niclosamide , or a pharmaceutically acceptable salt and /or mucoadhesive agent; thereof; 15 (a ' " ) a second thickener , viscosity enhancing agent, from about 0 .5 weight percent to about 3 weight percent of crospovidone ; binder, and /or mucoadhesive agent; from about 1 . 5 weight percent to about 4 . 5 weight percent ( b " ) a first preservative ; of povidone ; (b " ) a second preservative ; from about 20 weight percent to about 40 weight percent 20 of lactose monohydrate; ( c" ) a first buffer ; and (c ' " ) a second buffer. from about 0 .5 weight percent to about 3 weight percent 35 . The enema preparation of claim 34 , wherein compo of tale ; and nent ( ii ) comprises: from about 0 .05 weight percent to about from about 0 . 1 weight percent to about 1 weight percent 5 weight percent of (a " ); from about 0 .05 weight percent to of magnesium stearate . 25 about 5 weight percent of (a '" ) ; from about 0 .005 weight 30 . The composition of claim 15 , wherein the composi percent to about 0 . 1 weight percent of ( b " ) ; from about 0 .05 tion comprises : weight percent to about 1 weight percent of ( b '" ) ; from about from about 60 weight percent to about 65 weight percent 0 .05 weight percent to about 1 weight percent of ( c " ) ; and of niclosamide , or a pharmaceutically acceptable salt from about 0 . 005 weight percent to about 0 . 5 weight percent thereof; 30 of (c ' " ); and up to 100 % of water . from about 1 weight percent to about 3 weight percent of 36 . The enema preparation of claim 34 . wherein ( a " ) and crospovidone ; from about 2 weight percent to about 3 . 5 weight percent (a '" ) are independently selected from the group consisting of povidone ; of: a cellulose or cellulose ester or ether or derivative or salt from about 25 weight percent to about 35 weight percent+ 3535 thereof and a polyvinyl polymer; (b " ) and ( b " ) are each an of lactose monohydrate; independently selected paraben ; and ( c " ) and ( c '' ' ) are each from about 1 . 5 weight percent to about 2 . 5 weight percent an independently selected phosphate buffer system . of talc ; and 37 . The enema preparation of claim 32 , wherein compo from about 0 . 1 weight percent to about 0 . 5 weight percent n ent ( ii) comprises water ; methyl cellulose ; Povidone ; pro of magnesium stearate . 40 pyl 4 - hydroxybenzoate ; methyl 4 -hydroxybenzoate ; diso 31 . The composition of claim 15 , wherein the composi - dium phosphate dodecahydrate ; and sodium dihydrogen tion comprises: phospahate dehydrate . 38 . The enema preparation of claim 37 , wherein compo nent ( ii ) comprises : from about 0 . 05 weight percent to about Ingredient Weight Percent 45 5 weight percent of methyl cellulose ; from about 0 . 05 niclosamide about 62. 1 weight percent) weight percent to about 5 weight percent of Povidone ; from Crospovidone about 1 . 93 weight percent about 0 .005 weight percent to about 0 . 1 weight percent of lactose monohydrate about 31. 03 weight percent propyl 4 -hydroxybenzoate ; from about 0 .05 weight percent Povidone about 2 . 76 weight percent talc about 1. 93 weight percent to about 1 weight percent of methyl 4 -hydroxybenzoate ; Magnesium stearate about 0 .27 weight percent. from about 0 .05 weightpercent to about 1 weight percent of disodium phosphate dodecahydrate ; from about 0 . 005 32 . An enema preparation comprising a separately con weight percent to about 0 . 5 weight percent of sodium tained first component and a separately contained second dihydrogen phospahate dihydrate ; and up to 100 % of water. component, wherein : 55 39 . The enema preparation of claim 37 , wherein compo ( i ) the first component comprises a solid pharmaceutical nent ( ii ) comprises : from about 0 . 1 weight percent to about composition , which comprises : 3 weight percent of methyl cellulose ; from about 0 . 1 weight an inner phase which is a wet granulated solid prepa percent to about 2 weight percent of Povidone; from about ration comprising niclosamide , or a pharmaceuti 0 . 005 weight percent to about 0 .05 weight percent of propyl cally acceptable saltsalt thereof:; one oror more disintedisinte .- 6060 4 -hydroxybenzoate ; from about 0 .05 weight percent to about grants ; one or more diluents ; and one or more 0 . 5 weight percent of methyl 4 -hydroxybenzoate ; from binders ; about 0 .05 weight percent to about 0 . 5 weight percent of an external phase comprising one or more glidants disodium phosphate dodecahydrate ; from about 0 .005 weight percent to about 0 . 3 weight percent of sodium ( ii ) theand second/ or one component or more lubricants comprises ; andone or more liquids 65 dihydrogen phospahate dihydrate ; and up to 100 % of water. and optionally one or more other pharmaceutically 40 . The enema preparation of claim 37 , wherein compo acceptable excipients together forming a liquid carrier. nent ( ii ) comprises : US 10 , 292 ,951 B2 97 98 3 ( TIM3 or HAVCR2) , Galectin 9 - TIM3, Phosphatidyl Ingredient Weight Percent serineTIM3, lymphocyte activation gene 3 protein (LAG3 ) , MHC class II -LAG3 , 4 - 1BB - 4 - 1BB ligand ,OX40 methyl cellulose about 1 . 4 weight percent OX40 ligand , GITR , GITR ligand — GITR , CD27 , CD70 Povidone about 1 . 0 weight percent propyl 4 - hydroxybenzoate about 0 .02 weight percent CD27 , TNFRSF25 , TNFRSF25 - TL1A , CD40L , CD40 methyl 4 - hydroxybenzoate about 0 .20 weight percent CD40 ligand , HVEM -LIGHT - LTA , HVEM , HVEM disodium phosphate dodecahydrate about 0 . 15 weight percent BTLA , HVEM - CD160 ,HVEM - LIGHT, HVEM -BTLA sodium dihydrogen phospahate about 0 . 15 weight percent CD160 , CD80 , CD80 -PDL - 1 , PDL2 – CD80 , CD244 , dehydrate CD48 / CD244 , CD244 , ICOS , ICOS -ICOS ligand , B7 -H3 , water up to 100 % . B7- H4 , VISTA , TMIGD2, HHLA2 - TMIGD2 , Butyrophi - 10 lins, including BTNL2, Siglec family , TIGIT and PVR 41. The enema preparation of claim 32 , wherein the first family members , KIRS , ILTs and LIRs, NKG2D and component comprises the solid pharmaceutical composition NKG2A , MICA and MICB , CD244 , CD28 , CD86 - CD28 , as claimed in claim 15 . CD86 - CTLA , CD80CD28 , CD39 , CD73 Adenosine 42 . The enema preparation of claim 32 , wherein the first 15 CD39 -CD73 , CXCR4 -CXCL12 , Phosphatidylserine , TIM3 , component comprises the solid pharmaceutical composition Phosphatidylserine — TIM3, SIRPA -CD47 , VEGF , Neuropi as claimed in claim 28 . lin , CD160 , CD30 , and CD155 . 43 . The enema preparation of claim 32 , wherein the first 52 . The method of claim 51, wherein the immune check component comprises the solid pharmaceutical composition point inhibitor is selected from the group consisting of: as claimed in claim 29 . 20 Urelumab , PF -05082566 , MEDI6469 , TRX518 , Varlilumab , 44 . The enema preparation of claim 32 , wherein the first CP -870893 , Pembrolizumab ( PD1) , Nivolumab (PD1 ) , component comprises the solid pharmaceutical composition Atezolizumab ( formerly MPDL3280A ) (PDL1 ) , MEDI4736 as claimed in claim 30 . (PD -L1 ) , Avelumab (PD - L1) , PDR001 (PD1 ) , BMS 45 . An enema formulation comprising water ; methyl 986016 , MGA271, Lirilumab , IPH2201 , Emactuzumab , cellulose ; povidone ;methylparaben ; propylparaben ; sodium 25 INCB024360, Galunisertib , Ulocuplumab , BKT140 , Bavi dihydrogen phosphate dehydrate ; disodium phosphate tuximab , CC - 90002 , Bevacizumab , and MNRP1685A , and dodecahydrate ; crospovidone ; lactose monohydrate ; magne MGA271. sium stearate ; talc ; and niclosamide , or a pharmaceutically 53. The method of claim 51 , wherein the immune check acceptable salt thereof . point inhibitor targets CTLA - 4 . 46 . A method for treating iatrogenic autoimmune colitis in 30 54 . The method of claim 53 , wherein the immune check a subject, the method comprising administering by enema an point inhibitor is an antibody . effective amount of the enema formulation as claimed in 55 . The method of claim 54 , wherein the antibody is claim 45 to the subject . ipilimumab or tremelimumab . 47 . The method of claim 46 , wherein the iatrogenic 56 . The method of claim 51, wherein the immune check autoimmune colitis is selected from the group consisting ofof 35as pointP inhibitor targets PD1 or PD -L1 . colitis induced by one or more chemotherapeutic agents , 57 . The method of claim 56 , wherein the immune check colitis induced by treatment with adoptive cell therapy , and point inhibitor is selected from nivolumab , lambroizumab , colitis associated by one or more alloimmune diseases. and BMS - 936559 . 48 . The method of claim 47 wherein the iatrogenic 58 . The method of claim 46 , wherein the subject is a autoimmune colitis is colitis induced by one or more che - 40 human . motherapeutic agents . 59 . The composition of claim 1 , wherein each of the one 49 . The method of claim 48 , wherein at least one of the or more binders is independently selected from the group one or more chemotherapeutic agents is a chemotherapeutic consisting of: sucrose , glucose , dextrose , lactose and sorbi immunomodulator . tol, acacia tragacanth , hydroxypropylmethylcellulose, 50 . The method of claim 49, wherein the chemotherapeu - 45 hydroxypropylcellulose, ethylcellulose , acrylic acid , meth tic immunomodulator is an immune checkpoint inhibitor. * acrylic acid copolymers, methacrylic acid copolymers , 51 . The method of claim 50, wherein the immune check methyl methacrylate copolymers , aminoalkyl methacrylate point inhibitor targets an immune checkpoint receptor copolymers , polyacrylic acid / polymethacrylic acid , and selected from the group consisting of CTLA - 4 , PD - 1 , polyvinylpyrrolidone (povidone ) . PD -L1 , PD - 1- PD - L1, PD - 1- PD - L2 , interleukin - 2 (IL -2 ), 50 60 . The composition of claim 1 , wherein the composition indoleamine 2 , 3 - dioxygenase ( IDO ) , IL - 10 , transforming is suitable for rectal administration . growth factor- ß ( TGFB ) , T cell immunoglobulin and mucin