WO2025062425A1 - An oral solid pharmaceutical formulation of enzalutamide - Google Patents
An oral solid pharmaceutical formulation of enzalutamide Download PDFInfo
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- WO2025062425A1 WO2025062425A1 PCT/IN2024/051781 IN2024051781W WO2025062425A1 WO 2025062425 A1 WO2025062425 A1 WO 2025062425A1 IN 2024051781 W IN2024051781 W IN 2024051781W WO 2025062425 A1 WO2025062425 A1 WO 2025062425A1
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- WO
- WIPO (PCT)
- Prior art keywords
- enzalutamide
- cellulose
- mixture
- solid oral
- oral composition
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/20—Pills, tablets, discs, rods
- A61K9/2004—Excipients; Inactive ingredients
- A61K9/2022—Organic macromolecular compounds
- A61K9/205—Polysaccharides, e.g. alginate, gums; Cyclodextrin
- A61K9/2054—Cellulose; Cellulose derivatives, e.g. hydroxypropyl methylcellulose
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/33—Heterocyclic compounds
- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/41—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with two or more ring hetero atoms, at least one of which being nitrogen, e.g. tetrazole
- A61K31/4164—1,3-Diazoles
- A61K31/4166—1,3-Diazoles having oxo groups directly attached to the heterocyclic ring, e.g. phenytoin
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/20—Pills, tablets, discs, rods
- A61K9/2095—Tabletting processes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/14—Particulate form, e.g. powders, Processes for size reducing of pure drugs or the resulting products, Pure drug nanoparticles
- A61K9/141—Intimate drug-carrier mixtures characterised by the carrier, e.g. ordered mixtures, adsorbates, solid solutions, eutectica, co-dried, co-solubilised, co-kneaded, co-milled, co-ground products, co-precipitates, co-evaporates, co-extrudates, co-melts; Drug nanoparticles with adsorbed surface modifiers
- A61K9/146—Intimate drug-carrier mixtures characterised by the carrier, e.g. ordered mixtures, adsorbates, solid solutions, eutectica, co-dried, co-solubilised, co-kneaded, co-milled, co-ground products, co-precipitates, co-evaporates, co-extrudates, co-melts; Drug nanoparticles with adsorbed surface modifiers with organic macromolecular compounds
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D233/00—Heterocyclic compounds containing 1,3-diazole or hydrogenated 1,3-diazole rings, not condensed with other rings
- C07D233/54—Heterocyclic compounds containing 1,3-diazole or hydrogenated 1,3-diazole rings, not condensed with other rings having two double bonds between ring members or between ring members and non-ring members
- C07D233/66—Heterocyclic compounds containing 1,3-diazole or hydrogenated 1,3-diazole rings, not condensed with other rings having two double bonds between ring members or between ring members and non-ring members with hetero atoms or with carbon atoms having three bonds to hetero atoms with at the most one bond to halogen, e.g. ester or nitrile radicals, directly attached to ring carbon atoms
- C07D233/86—Oxygen and sulfur atoms, e.g. thiohydantoin
Definitions
- the present invention relates to novel oral solid pharmaceutical formulation of enzalutamide or pharmaceutically acceptable salt thereof and one or more pharmaceutically acceptable excipient.
- the present invention also provides an improved process for preparation of enzalutamide oral solid pharmaceutical formulation.
- Enzalutamide is non-steroidal anti-androgen (NSAA) agent used in the treatment of patients with metastatic castration-resistant prostate cancer. Structurally, enzalutamide is represented as below:
- Prostate cancer is a common cancer in men, especially in the US and in Europe. Prostate cancer is reported to grow slowly and can, if detected in an early stage, be cured by the radical removal of the prostate. However, if not detected early prostate cancer can progress and result in an aggressive prostate cancer and the cancer cells may metastasize to other parts of the body and thus affect vitally important organs, such the lymph nodes, lungs, bones and the gastrointestinal tract.
- XTANDI® is a liquid-filled soft gelatin capsule for oral administration comprising enzalutamide. The dosage form is reported to be used for the treatment of patients with metastatic castration- resistant prostate cancer.
- WO2015/022349 discloses a formulation that contains enzalutamide in dissolved form. Further, invention uses a solvent that has HLB value responsible for forming water-in-oil type of emulsion.
- the dosage form is a capsule, preferably a soft gelatin capsule.
- W02014/043208 claims a solid dispersion tablet composition
- a solid dispersion tablet composition comprising granulate consisting of a co-precipitate on a substrate, wherein the co-precipitate comprises enzalutamide in amorphous form and a cellulosic concentration enhancing polymer.
- the cellulosic concentration enhancing polymer is selected from hydroxylpropylmethylcellulose acetate succinate (HPMCAS) and hydroxypropylmethylcellulose phthalate (HPMCP). Only the solubility of 25% enzalutamide in the solid dispersion in HPMCAS-M was comparable to soft gelatine capsules comprising Labrasol solution.
- WO2019/008426 discloses novel formulations of enzalutamide preferably in hard gelatin capsule dosage form with pharmaceutically acceptable excipients and method of preparation thereof.
- the solution containing Labrasol® ALF and enzalutamide is sprayed on lactose anhydrous for surface adsorption during the granulation stage.
- Hard gelatin capsule formulation of enzalutamide obtained in such a way exhibits superior stability with respect to dissolution data as well as product stability.
- the present dose of XTANDI® is 160mg, and is administered orally once daily in the form of four capsules each containing 40mg of active pharmaceutical ingredient, wherein the administration of XTANDI® is reported to be independent of food uptake.
- Labrasol® ALF The solvent Labrasol® ALF is require for dissolution.
- Labrasol® is a critical excipient for dissolving Enzalutamide such that the size of Xtandi® capsules are determined based on the amount of Labrasol® required to dissolve Enzalutamide, resulting in large capsule size. Bigger capsule size and more number of capsules causes difficulty in swallowing.
- the above-mentioned formulation comprising enzalutamide shows a dissolution behavior at acidic conditions, especially under simulated gastric fluid, which appears to be incomplete. In particular, the API does not remain dissolved but seems to precipitate.
- IIG limit for Labrasol® ALF is not within range of recommended daily dose by USFDA.
- the present invention discloses tablet formulation of Enzalutamide. Dissolution in the present invention is observed at pH 7.5 without the need of surfactant. These problem are also solved in the present invention which does not use Labrasol® ALF. Therefore, toxic events and side effects associated with Labrasol® ALF are ruled out. The present invention thus provides economic improvement and technical advancement over existing prior arts.
- Soft gelatin capsules pose manufacturing challenges, wherein temperature and humidity have to be maintained and such formulations need dedicated manufacturing line. Soft gelatin capsules need special handling procedures during manufacturing, packaging and transporting the material, which makes the entire process more complicated and less economical.
- the tablet dosage form of enzalutamide provides a very simple and economical process. Importantly, the dosage of the tablet can be increased from 40mg to 80mg and 160mg. Further, tablet dosage form of enzalutamide can be stored without special precautions of humidity which is essential in case of soft gelatin capsule during storage as well as manufacturing process. Further, the present invention provides oral solid pharmaceutical formulation of enzalutamide. The stability of active ingredients in the liquid forms is generally considered less as compared to in the solid form.
- the primary object of the present invention is to provide to novel oral solid pharmaceutical formulation of enzalutamide as a tablet.
- One more object of the present invention is to provide a stable fixed oral solid dose comprising Enzalutamide and one or more polymers.
- Another object of the present invention is to provide solid pharmaceutical composition comprising a premix containing enzalutamide and mixture of polymers.
- Yet another object of the present invention is to provide formulation lhaving dissolution in absence of Labrasol® ALF.
- Another object of the present invention is to provide a process for preparation of oral solid dosage formulation of enzalutamide by inclusion complex, direct compression, wet granulation, dry granulation, top spray granulation or hot melt granulation techniques.
- an oral solid pharmaceutical formulation comprising enzalutamide as active pharmaceutical ingredient and one or more pharmaceutically acceptable excipients and method of preparation thereof.
- an oral solid pharmaceutical formulation as per the present invention may be in the form of a tablet, capsule, caplet, pellets, beads, granules or powder.
- One more aspect of the present invention involves an oral solid pharmaceutical formulation of enzalutamide with one or more pharmaceutically acceptable polymers that improves drug dissolution, release and absorption profiles.
- Another object of the present invention is to provide solid pharmaceutical composition comprising a premix containing enzalutamide and mixture of polymers.
- Embodiments of the pharmaceutical formulation may include enzalutamide as an active ingredient with one or more selected from pharmaceutically acceptable excipients like polymers, diluent, disintegrants, glidants, lubricants, and the like, within the IIG level.
- an oral solid pharmaceutical formulation as per the present invention may be prepared by processes known to the person having ordinary skill in the art of pharmaceutical technology such as inclusion complex, direct compression, wet granulation, dry granulation, top spray granulation or hot melt granulation.
- pharmaceutical formulation as per the present invention is in the form of an oral solid dose comprising: a) preparing solid dispersion of Enzalutamide with one or more matrix polymers by using solvent, b) spray drying the solid dispersion of Enzalutamide for the removal of solvents using a spray drying equipment, c) sifting solid dispersion of Enzalutamide through co-sift with fillers and glidant d) sifting the lubricant, e) pre-slugging the sifted material of step (c) into blender and lubricating the blend with lubricant of step (d), f) slugging and de-slugging, g) blending & lubricate with lubricant, h) compressing into a tablet, i) coating with coating agent in purified water to form a film coated tablet.
- drug or “active ingredient” or “active pharmaceutical ingredient (API)” herein refers to enzalutamide or a pharmaceutically acceptable salt thereof.
- enzalutamide as used herein according to the present invention includes, enzalutamide in the form of free base, a pharmaceutically acceptable salt thereof, amorphous, crystalline, any isomer, derivative, hydrate, solvate or prodrug or a combination thereof.
- oral dosage forms as may include one or more of forms syrup, oral solution, oral suspension, oral drop, oral emulsion, mixture, linctus, elixir and like.
- drug solution as used herein according to the present invention includes solution obtained by dissolving enzalutamide or its pharmaceutically acceptable salt thereof in solvent and (or) mixture of solvents.
- an oral solid pharmaceutical formulation of enzalutamide comprising enzalutamide as an active ingredient with pharmaceutically acceptable excipients in oral solid dosage forms, preferably herein present invention in form of a tablet, capsule, caplet, pellets, beads, granules or powder.
- Enzalutamide is a small molecule with no ionizable groups at biologically relevant pH; therefore, enzalutamide solubility is not affected by pH over the physiological range.
- Enzalutamide exhibits limited aqueous solubility (2.0 pg/mL at relevant pH range), high permeability across Caco-2 monolayer (mean apparent permeability coefficient (31 x 10 -6 cm/sec), and is not a substrate for P-glycoprotein. As it has low solubility and high permeability, enzalutamide is considered a Biopharmaceutics Classification System (BCS) Class 2 drug substance.
- BCS Biopharmaceutics Classification System
- an oral solid pharmaceutical formulation of enzalutamide comprising of enzalutamide as an active ingredient with pharmaceutically acceptable excipients is provided.
- the present invention comprises an oral solid pharmaceutical formulation comprising enzalutamide premix obtained by mixing with one or more pharmaceutically acceptable polymers wherein the Enzalutamide:polymer ratio is in the range from about 1 :1 to about 1 :20, preferably from 1 :1 to 1 :10, more preferably 1 :7.
- the combination of the cellulosic polymer and non-cellulosic polymer is in a ratio of 0.1 % to 99.9% w/w and 99.9% to 0.1 %w/w.
- the premix is prepared by spray drying any other methods such as fluid bed processing or evaporation.
- Excipients used in pharmaceutical formulation for oral administration of pharmaceutically acceptable excipients in pharmaceutical formulations are physiologically inert compounds that are within IIG limit and included in the formulation to facilitate the administration of the dosage form, e.g., pourability, palatability, to protect the formulation from issues regarding physical and chemical stability and to enhance the solubility of the therapeutic agent.
- Pharmaceutical formulation commonly contains a wide range of excipients, the details of which are provided below.
- pharmaceutically acceptable excipients refers to excipients those are routinely used in pharmaceutical formulations.
- the pharmaceutically acceptable excipients may comprise of polymers, diluent, disintegrants, glidants, lubricants, and combinations thereof. The list of excipients used are listed in tables below although it is not limited to the said excipients.
- Suitable polymers may include but are not limited to one or more from of cellulosic polymers from cyclodextrin such as Hydroxy propyl p cylodextrin, CAAdP- cellulose acetate adipate propionate; CAPhth- cellulose acetate phthalate; CA Sub- cellulose acetate suberate; CA Adp- cellulose acetate adipate; CA seb- cellulose acetate sebacate; CHC- 5-carboxypentyl hydroxypropyl cellulose; CMC- carboxymethyl cellulose; CMCAB-carboxymethyl cellulose acetate butyrate; EC- ethylcellulose; HEC-hydroxyethyl cellulose; HPC- hydroxypropyl cellulose; HPC- Pen106-AA-H-hydroxypropyl pent-4-enyl cellulose; HPMC- hydroxypropylmethyl cellulose; HPMCAS- hydroxypropylmethylcellulose acetyl succinate; HP
- the tablet formulation includes one or more polymers in an amount so as to establish a weight percentage of from about 2% to about 95% based on the total tablet weight, preferably from about 10% to about 80% in the formulation.
- the formulation preferably comprises cellulosic polymer in an amount of from 5% to 80% of the total tablets weight, preferably from about 5% to about 75% and non- cellulosic polymer in an amount of from about 1 % to about 50% of the total tablet weight, preferably from about 2% to about 30%;
- Suitable diluents may include but are not limited to one or more of sugars such as lactose, sucrose glucose, fructose, dextrose, galactose, starch; carbonates like calcium carbonate; sugar alcohols such as mannitol, sorbitol, erythritol; magnesium carbonate, calcium phosphates kaolin, magnesium oxide, magnesium hydroxide; and cellulose derivative such as microcrystalline cellulose, cellulose ethers such as methylcellulose, hydroxypropyl methylcellulose, cellulose esters such as cellulose acetate and cellulose acetate phthalate and the like.
- sugars such as lactose, sucrose glucose, fructose, dextrose, galactose, starch
- carbonates like calcium carbonate sugar alcohols such as mannitol, sorbitol, erythritol
- magnesium carbonate calcium phosphates kaolin, magnesium oxide, magnesium hydroxide
- cellulose derivative such as microcrystalline
- Suitable disintegrant may include but are not limited to one or more from crospovidone, croscarmellose sodium, starch, potato starch, pregelatinized starch, corn starch, sodium starch glycolate, microcrystalline cellulose, low substituted hydroxypropyl cellulose and the like.
- Suitable glidant and lubricant may include but are not limited to one or more of talc, metallic stearates such as magnesium stearate, calcium stearate, zinc stearate; colloidal silicon dioxide, finely divided silicon dioxide, stearic acid, hydrogenated vegetable oil, glyceryl palmitostearate, glyceryl monostearate, glyceryl behenate, polyethylene glycols, powdered cellulose, starch, sodium stearyl fumarate, sodium benzoate, mineral oil, magnesium trisilicate, kaolin; and mixtures thereof.
- metallic stearates such as magnesium stearate, calcium stearate, zinc stearate
- colloidal silicon dioxide finely divided silicon dioxide
- stearic acid colloidal silicon dioxide
- finely divided silicon dioxide finely divided silicon dioxide
- stearic acid hydrogenated vegetable oil
- glyceryl palmitostearate glyceryl monostearate
- glyceryl behenate
- Solvents play key roles in designing drug delivery systems (DDSs). Specifically, organic solvents are commonly used in the pharmaceutical industry as reaction media. Solvents are uniquely able to dissolve drugs safely and effectively into these medicinal formulations. Further, solvents suitable for preparing binding solution may include one or more of water, organic solvents such as ethanol, isopropyl alcohol (IPA), acetone, propylene glycol, glycerin, methylene dichloride and the like.
- organic solvents such as ethanol, isopropyl alcohol (IPA), acetone, propylene glycol, glycerin, methylene dichloride and the like.
- One embodiment of the present invention provides novel oral dosage formulation of anti-cancer active pharmaceutical ingredient preferably as solid dosage form with pharmaceutically acceptable excipients and method of preparation thereof.
- an oral solid pharmaceutical formulation comprising enzalutamide as active pharmaceutical ingredient and one or more pharmaceutically acceptable excipients.
- an oral solid pharmaceutical formulation as per the present invention may be in the form of a tablet, capsule, caplet, pellets, beads, granules or powder.
- the present invention involves an oral solid pharmaceutical formulation of enzalutamide along one or more pharmaceutically acceptable polymers.
- the combination of polymers facilitates manufacturing processes and improves drug release and absorption profiles.
- an oral solid pharmaceutical formulation as per the present invention may be prepared by processes known to the person having ordinary skill in the art of pharmaceutical technology such as direct compression, wet granulation, dry granulation, top spray granulation or hot melt granulation.
- Embodiments of the pharmaceutical formulation may include enzalutamide as an active ingredient with one or more selected from pharmaceutically acceptable excipients like polymers, diluents, disintegrants, glidants, lubricants, and the like.
- pharmaceutical formulation as per the present invention is prepared by spray drying technique.
- pharmaceutical formulation as per the present invention is prepared by hot melt extrusion process.
- pharmaceutical formulation as per the present invention is inclusion complex prepared by spray drying process.
- an oral solid pharmaceutical formulation as per the present invention comprising coating agent applied to the surface of the tablet.
- Inventors of the present invention have surprisingly arrived at better intact property of composition and improvement in release profile when mixture of one or more polymers are in ratio of 1 : 1 to 1 : 10.
- the addition of one or more polymers preferably in ratio of 1 :1 to 1 :10 for preparation for composition enhances the release profile and solubility.
- the dissolution profile was similar to reference product i.e., 40mg was found comparable to the higher strength i.e., 80mg. More than 85% drug release was observed in 15 minutes for both the strengths.
- oral administration means that the active agent is in a formulation designed to be ingested, i.e. designed to be delivered to the gastrointestinal system for absorption.
- solid oral composition comprises capsule, tablet (film coated tablet, controlled release tablet, modified release tablet, extended release, delayed release, immediate release etc.), micro tablet, powder, granule and pellets.
- Capsules used as oral dosage form can be soft or hard capsules, though oral dosage form of the present invention is tablet.
- % w/w refers to the relative value to total weight of granules or to total weight of pharmaceutical composition and “%v/v” refer to volume by total volume percentage.
- the pharmaceutical composition of the present specification is stable at 2 months accelerated storage conditions and throughout the shelf life when subjected to accelerated and long-term stability studies.
- the present invention complies with the ICH (Q3B).
- Manufacturing Procedure for Table 1 to Table 4 prepared by spray drying a. Prepare solid dispersion of Enzalutamide with one or more matrix polymers by using solvent, b. spray dry the solid dispersion of enzalutamide for the removal of solvents using a spray drying equipment, c. sift the solid dispersion of enzalutamide through co-sift with fillers and glidant d. sift the lubricant, e. pre-slugging the sifted material of step (c) into blender and lubricate the blend with lubricant of step (d), f. slugging and de-slugging, g. blending & lubricate with lubricant, h. compress into a tablet, i. coat with coating agent in purified water to form a film coated tablet.
- Table-6 Manufacturing Procedure for Table 5 and Table 6 prepared by Hot melt Extrusion Process a. Dispense Material as per Table 5 and Table 6, b. Co-sift Enzalutamide, polymers and colloidal silicone dioxide, c. Transfer the material of step (b) into the blender and carry out mixing, d. The blends are fed at a controlled rate and extruded at a controlled temperature, e. The extrudes are cooled at room temperature, f. Extrudes were collected and milled in to different sizes for further processing, g. The extra-granular materials such as i.e., microcrystalline cellulose PH 112, croscarmellose Sodium and Colloidal Silicon dioxide are sifted, h.
- the milled extrudes and sifted material are blended, i. Magnesium stearate is sifted, j.
- the blend of (h) is lubricated with the sifted magnesium stearate, k.
- the lubricated blend is compressed, l.
- Film coating is dispersed into the solvent mixture under stirring to obtain homogeneous dispersion, m.
- the core tablets are coated with the coating material.
- the above blend is lubricated with sifted magnesium stearate and slugged i. Co-sift croscarmellose Sodium, HPMC E 15 LV and colloidal silicon dioxide and transfer to blender, j. The blend is lubricate with sifted magnesium stearate and compressed k. Film coating material is dispersed into the solvent mixture and stirring to obtain a homogeneous dispersion. l. The core tablet is coated with coating dispersion.
- Dissolution rate is a critical property that is prerequisite for final dosage form Comparative dissolution profile of the product of present invention with a reference product was studied. It was found that dissolution of present invention vis-a-vis reference product was comparable. Complete release and hence, solubility enhancement was achieved.
- Dissolution study of the pharmaceutical dosage of the present invention was carried out by HPLC.
- the dissolution method employed in the present invention is USP Apparatus II with sinker at 50 RPM in 900 mL of Phosphate buffer pH 7.5, paddle at (37 ⁇ 0.5)°C. Samples were taken at 10, 15, 20 and 30 minutes. The sample was filtered through a 0.45pm syringe filter, transferred to HPLC vials and analyzed by HPLC. Tablet 4 depicts the comparative dissolution data of the Enzalutamide tablet of reference product vis-a-vis the product of the present invention.
- Table 9 Comparative dissolution study of Enzalutamide tablet of present invention with reference product Inference: Dissolution data of lower strength i.e. , 40mg found comparable to the higher strength i.e., 80mg. More than 85% drug release observed in 15 minutes for both strengths.
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Abstract
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Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| AU2024345540A AU2024345540A1 (en) | 2023-09-18 | 2024-09-18 | An oral solid pharmaceutical formulation of enzalutamide |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| IN202321062597 | 2023-09-18 | ||
| IN202321062597 | 2023-09-18 |
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| WO2025062425A1 true WO2025062425A1 (en) | 2025-03-27 |
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| PCT/IN2024/051781 Pending WO2025062425A1 (en) | 2023-09-18 | 2024-09-18 | An oral solid pharmaceutical formulation of enzalutamide |
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| Country | Link |
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| AU (1) | AU2024345540A1 (en) |
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Citations (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| IN2015CH04824A (en) * | 2015-09-10 | 2017-03-17 | ||
| WO2021064123A1 (en) * | 2019-10-03 | 2021-04-08 | Synthon B.V. | Pharmaceutical composition comprising enzalutamide |
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2024
- 2024-09-18 AU AU2024345540A patent/AU2024345540A1/en active Pending
- 2024-09-18 WO PCT/IN2024/051781 patent/WO2025062425A1/en active Pending
Patent Citations (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| IN2015CH04824A (en) * | 2015-09-10 | 2017-03-17 | ||
| WO2021064123A1 (en) * | 2019-10-03 | 2021-04-08 | Synthon B.V. | Pharmaceutical composition comprising enzalutamide |
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| AU2024345540A1 (en) | 2026-04-23 |
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