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(12) Patent Application Publication (10) Pub. No.: US 2017/0035784 A1 Lancaster Et Al US 20170035784A1 (19) United States (12) Patent Application Publication (10) Pub. No.: US 2017/0035784 A1 Lancaster et al. (43) Pub. Date: Feb. 9, 2017 (54) COMPOSITIONS OF OBETICHOLIC ACID (22) Filed: Apr. 26, 2016 AND METHODS OF USE Related U.S. Application Data (71) Applicants: Intercept Pharmaceuticals, Inc., New York, NY (US); Sumitomo Dainippon (60) Provisional application No. 62/153,040, filed on Apr. Pharma Co., Ltd., Osaka (JP) 27, 2015, provisional application No. 62/317,933, filed on Apr. 4, 2016. (72) Inventors: Richard Gail Lancaster, San Diego, CA (US); Kay K. Olmstead, Publication Classification Escondido, CA (US); Masashi Kagihiro, Osaka (JP); Mitsuhiro (51) Int. Cl. Matono, Osaka (JP); Ikuko Taoka, A 6LX 3/575 (2006.01) Osaka (JP); Mark Pruzanski, New A6II 45/06 (2006.01) York, NY (US); David Shapiro, A69/20 (2006.01) Rancho Sante Fe, CA (US); Roya (52) U.S. Cl. Hooshmand-Rad, San Diego, CA (US); CPC ........... A61K3I/575 (2013.01); A61K 9/2059 Richard Pencek, San Diego, CA (US); (2013.01); A61 K9/2054 (2013.01); A61 K Cathi Sciacca, San Diego, CA (US); 45/06 (2013.01); A61K 9/2072 (2013.01) Lise Eliot, San Diego, CA (US); Jeffrey Edwards, San Diego, CA (US); (57) ABSTRACT Leigh A. MacConell, Encinitas, CA (US); Tonya K. Marmon, San Diego, The disclosure relates to obeticholic acid formulations with CA (US) improved stability, dissolution, and/or solubility, methods of preparing the same for use and methods of treating various (21) Appl. No.: 15/139,138 diseases and conditions. Patent Application Publication Feb. 9, 2017. Sheet 1 of 37 US 2017/0035784 A1 C O O O O ve C O S ve O v O v O O v cs N sv OO 5 O V O os 8 an cs 9 CD 5 <C od S. oS 25 c Ois qs O ne OO v - H v H qs O ve C c. c. c. c. c. N N Cn vs O (%) (SueO eunON Patent Application Publication Feb. 9, 2017. Sheet 2 of 37 US 2017/0035784 A1 C O O O O ve C O O O ve OO 92 O 92 O O v g - N S2 E 5 S, CN aOO 5 CN 2 ccS 32t as CD s S n S - 75 .9 s 9 s O O H MO H d ve C C C C e O s CN O (%) (Sued eunON Patent Application Publication Feb. 9, 2017. Sheet 3 of 37 US 2017/0035784 A1 pact of AP Agglomeration and Jet Willing on the Dissolution of OCA fablets, 10 ng (900 in dissolution volune) G. &O. :-38.-- 8.------------------------------------------------------------------------------------------------------------------------------------------------------------------------- * Unmilled Non-Agglomerated AP (OCA) & Unmilled. Agglomerated AP (OCA) ... Jeti-MiEled AP (OCA) Patent Application Publication Feb. 9, 2017. Sheet 4 of 37 US 2017/0035784 A1 FG. 4 Patent Application Publication Feb. 9, 2017. Sheet 5 of 37 US 2017/0035784 A1 Buffers Dissolutioi Vedium Free acid BCS imit (5 mg) BCS imit (10 mg) F.G. 5 Patent Application Publication Feb. 9, 2017. Sheet 6 of 37 US 2017/0035784 A1 -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Biorelevant buffers Proposed disso medium Free acid BCS imit (5 mg) BCS imit (10 mg) 0.O O - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - F.G. 6 Patent Application Publication Feb. 9, 2017. Sheet 7 of 37 US 2017/0035784 A1 |sodTs 90UDpunqW 9ADey e3UDPunqW eN.De Patent Application Publication Feb. 9, 2017. Sheet 8 of 37 US 2017/0035784 A1 000|| Z/UU 8/'5)|–| 08 09 07 0Z 00|| 08 09 07 OZ e3UDpundy eNDey 00600800/00900900,700200Z Patent Application Publication Feb. 9, 2017. Sheet 10 of 37 US 2017/0035784 A1 090||000|09600609800809/100/09900909G097007099,009, (z/u.)96JD?.0-01-SSDWºsasjun00 Patent Application Publication Feb. 9, 2017. Sheet 11 of 37 US 2017/0035784 A1 09 / 99 07 Sdo (Sueu Patent Application Publication Feb. 9, 2017. Sheet 12 of 37 US 2017/0035784 A1 0960' (Z)?ODI?qnSpº?deudy#6]IgNHWNOGLI=fidu!(SuDOSÇZ‘uluuLLZ'yl-G60'y])uDOSISEH n) OO N. co r n CN Patent Application Publication Feb. 9, 2017. Sheet 13 of 37 US 2017/0035784 A1 * 3: 8 : : {x : & & & & & as 3. it g 2 is at 3 38 : : is 38 x s & is 38 FIG. 10 Patent Application Publication Feb. 9, 2017. Sheet 16 of 37 US 2017/0035784 A1 3. FIG. 13 Patent Application Publication Feb. 9, 2017. Sheet 17 of 37 US 2017/0035784 A1 & 2 S E 3i 3 Baselirie LP is FIG. 14A Patent Application Publication Feb. 9, 2017. Sheet 18 of 37 US 2017/0035784 A1 Titti s 2 . s" so st Baselire 8, Pi: F.G. 14B Patent Application Publication Feb. 9, 2017. Sheet 19 of 37 US 2017/0035784 A1 i.s t - 3 3 8 Baseline 8, Pil F.G. 14C Patent Application Publication Feb. 9, 2017. Sheet 20 of 37 US 2017/0035784 A1 e SE All : 3: AP Nixia Rate s Time entis F.G. 15A Patent Application Publication Feb. 9, 2017. Sheet 21 of 37 US 2017/0035784 A1 eat SE fotai Esilii is: x *ise: it is: 8s 33 : 383, itratigrit 3E30: 3: ; 38, i8 regit}E 8:3 Title initis FIG. 15B Patent Application Publication Feb. 9, 2017. Sheet 22 of 37 US 2017/0035784 A1 s 8:338 8:38: 388:8g F.G. 16 Patent Application Publication Feb. 9, 2017. Sheet 23 of 37 US 2017/0035784 A1 S tear (SE {{ { } {g actiherapy {{A : rig -- is A. ** 8 x : :a::seisse 883 : F.G. 17A Patent Application Publication Feb. 9, 2017. Sheet 24 of 37 US 2017/0035784 A1 Mono : +UCA = 6 r = : r = 1 n = 9. Mean BLALP 401 (UIL) 445 (UL : 307 (UL) 304 (UFL) - - 250- : O Placebo -30- OCA 10 mg FIG. 17B Patent Application Publication Feb. 9, 2017. Sheet 25 of 37 US 2017/0035784 A1 §§***** 88%(5948 Patent Application Publication US 2017/0035784 A1 woo-oinel-----…-…-…-- w Siempsa peaf et JOIlluo e Siempse Sufia:A lot OC WOO-OOÁIÐ o s: SerpSociate CIOO uOeuueuOO eul Patent Application Publication Feb. 9, 2017. Sheet 27 of 37 US 2017/0035784 A1 VOOfiuGZVOO6uuO|VOOG eSOO-efuS eSOO-ed nW Patent Application Publication Feb. 9, 2017. Sheet 28 of 37 US 2017/0035784 A1 -------------------------------------------------------------- fas: 30: 38 s cs :::::::32: Y:3: 888 *-------3-------+-------#-------+---+---+-------&-------+-------&------+------+------+-------* $33A 8,883 w : ers -o- Ole Patent Application Publication Feb. 9, 2017. Sheet 29 of 37 US 2017/0035784 A1 8: 8. w 33:83 :X: 3883. yO ful O. Patent Application Publication Feb. 9, 2017. Sheet 30 of 37 US 2017/0035784 A1 g N (D as -.2 g d 2 O b s e ge Se se (u?u-Ju) (931&O'onw s 2 t 3. 3. E w l C HH Y (5N HH. HIH s (u/5u-Ju) (93.200nw Patent Application Publication Feb. 9, 2017. Sheet 31 of 37 US 2017/0035784 A1 Off Treatment 0.2 O 24 48 72 96 Weeks -H OCA -e- Placebo FIG. 24A Patent Application Publication Feb. 9, 2017. Sheet 32 of 37 US 2017/0035784 A1 Off Treatment O 24 48 72 96 Weeks -- OCA -e- Placebo FIG. 24B Patent Application Publication Feb. 9, 2017. Sheet 33 of 37 US 2017/0035784 A1 s Off Treatment O 0.4 - SS up 0.2 9,E?) is LL 0.063. C Z O -0.2 v -0.4 u O 24 48 72 96 Weeks -- OCA -e Placebo FIG. 24C Patent Application Publication Feb. 9, 2017. Sheet 34 of 37 US 2017/0035784 A1 isia: {}{A :8: - s a s : s ; :8: wisc 3&c. s is C3 V ???oddÁëO9 {{i;82; wago. 383. Olde pode Patent Application Publication Feb. 9, 2017. Sheet 35 of 37 US 2017/0035784 A1 ra | | s: Patent Application Publication Feb. 9, 2017. Sheet 36 of 37 US 2017/0035784 A1 38: 8 &A 8883 s ::::::::::38 23: aSOO-efuS asochrad, Patent Application Publication Feb. 9, 2017. Sheet 37 of 37 US 2017/0035784 A1 4. :-***·*** 3******************************************************************************••••••••••••••• *::::::::} : 3323:33. WOO ful ga. US 2017/0035784 A1 Feb. 9, 2017 COMPOSITIONS OF OBETICHOLIC ACID wherein obeticholic acid or a pharmaceutically acceptable AND METHODS OF USE salt, ester, or amino acid conjugate thereof is in the form of particles, and wherein at least 50% of the particles have a BACKGROUND diameter of less than 200 um. Such compositions include all those described herein. 0001. The farnesoid X receptor (FXR), also known as the 0005. Another aspect of the disclosure relates to treating bile acid receptor (BAR) or NR1H4, is a member of the a disease or condition described herein in a patient in need nuclear receptor Superfamily of ligand-activated transcrip thereof by administering a composition that includes obet tion factors. FXR forms with retinoid X receptor (RXR) a icholic acid, or a pharmaceutically acceptable salt, ester, or heterodimer receptor crucial for bile acid homeostasis. FXR amino acid conjugate thereof, where the obeticholic acid or is expressed in various tissues including the liver, kidney, a pharmaceutically acceptable salt, ester, or amino acid intestine, colon, ovary, and adrenal gland, and is activated by conjugate thereof is in the form of particles. a variety of naturally occurring bile acids, including the 0006 Another aspect of the disclosure relates to treating primary bile acid chenodeoxycholic acid (CDCA) and its a disease or condition described herein in a patient in need taurine and glycine conjugates. Upon activation, the FXR thereof by administering a composition that includes obet RXRheterodimer binds the promoter region of target genes icholic acid, or a pharmaceutically acceptable salt, ester, or and regulates their expression. amino acid conjugate thereof, where the obeticholic acid or 0002 6-Ethyl-chenodeoxycholic acid (6-ECDCA, or a pharmaceutically acceptable salt, ester, or amino acid obeticholic acid, or OCA), a bile acid derivative, shows a conjugate thereof is in the form of particles, and wherein at potent FXR activating activity, and accordingly offers great least 50% of the particles have a diameter of 200 um or less.
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