challenges and opportunities of development of salts of ......case study 1: disproportionation is...
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Challenges and Opportunities of Development of Salts
of Weak Bases
Anand Sistla, PhD
(Suman Luthra, PhD)
September 10, 2018
Drug Delivery and Formulation Summit, San Francisco, CA
Phase 1 Phase 2PreclinicalLead Optimization LD
Influence
Chemistry
Formulate for Exposure
Formulate for Patients
“the estimated average pre-tax industry cost per new prescription drug approval (inclusive of
failures and capital costs) is $2.5 billion”- TUFTS 2014 SDD study
Fail Smart and Fail Early!
Reduce Attrition In
The Earliest
Stages Of Discovery
Select the right Form
and Formulation
About 40% of marketed drugs are
practically insoluble (<0.1mg/mL)
Ta
ka
gi,
Mo
lPh
arm
3:
2006
Enabling Technologies
Pfizer Confidential │ 3
Technology Solubility
Increase
Considerations
Nanomilling 1X Increase dissolution rate
Amorphous Polymer
Dispersions
5-100X May require high polymer content to sustain
in vivo
Salt/ cocrystals 5-1000X May not be sustained as API supersaturation
and precipitation can occur
SEDDS/ sSEDDS 10-1000X Risk of precipitation upon dilution, limited to
logP>4
Cosolvent 10-1000X Risk of precipitation upon dilution/limited for
safety studies
Outline
Why salts?
How is the Form selection done in current development process?
Do you consider salt disproportionation/ dissociation and when?
Pfizer Confidential │ 4
Why salts: Revision of what we already know…..
Bioperformance
Manufacturability
Stability/ Quality
Pfizer Confidential │ 5
• Increase in dissolution rate → Improve Cmax
• For poor crystallizers→ may improve AUC
• Better stability for strong/ more reactive bases
• Optimize process chemistry, ease of isolation and achieve
high purity
• Improve crystallinity, reduce hygroscopicity
• Optimize flow/ mechanical properties/ particle size/ habit
• Polymorphism http://dx.doi.org/1
0.1016/j.xphs.2017
.01.023
~50% approved API are
Salts
Trends in the Industry
Pfizer Confidential │ 6
Med. Chem. Commun., 2011, 2, 91–105
Salt selection 1.0
Pfizer Confidential │ 7
Tier 1: Candidate compliance for manufacturability:
Crystallinity, Melting point, hygroscopicity, solid
state stability
Tier 2: Solubility, intrinsic dissolution rate→
Improve oral BA
pKa = 11.8
Higher salt
solubility →
Higher exposure
in ratsFree base MP =
74.7°C
Maleate salt MP
= 163°C
Seo et al, 2015, Drug Design, Development and Therapy, v9 3961–3968
Serajuddin, IJP 337,
2007, 210
Reactive Engagement after Form Selection
• pKa= 3.8
• Wet granulation
• Tablet hardness
increased➔
Disintegration
times increased
• Citric acid addeddoi:10.1016/j.ijpharm.2004.01.042
Pfizer Confidential │ 8
• pKa = 6.3
• Salt selected to
improve MP and
dissolution rate
• Salt → Free base
in Tablets
• Free base was
volatile → Loss in
potencyIJP 337 (2007) 210–218
• pKa = 6.8
• < 1w at 40◦C/ 75%
RH, >20% reduction
in extent of
dissolution at 60
min.
• Mesylic acid formed
a complex with
Croscarmellose NaRohrs, Pharm. Res. 16, 1999, 1850-1856
• pKa = 5.1- 5.5
• HCl selected to
improve solubility
• IR film coated
tablets showed
lower oral BA in
clinical study in
patients with 1H
pump inhibitors
Unger, N. Engl. J. Med. 2009, 361, 942
S
NH
N
NNH
NH
NOO
OCH4O3S
N
S
O
F
O
O
HCl
9
Let’s think it through!!
pH – Solubility of Weak Bases; Solution Chemistry
• At pH= pHmax, salt (BHA) and free form (B)
are in equilibrium with saturated solution
• At pH > pHmax free form is stable
• At pH < pH max, salt is stable
Pfizer Confidential │ 10Solubility of Pharmaceuticals and Their Salts As a Function of pH dx.doi.org/10.1021/ie302064h | Ind. Eng. Chem. Res. 2013, 52, 2721−2731
pHmax
Lower pKa →lower pHmax
More soluble salts → lower
pHmax
Lower intrinsic
solubility→lower pHmax
pH
[so
lub
ilit
y]𝑝𝐻𝑚𝑎𝑥 = 𝑝𝐾𝑎 +𝑆𝑜
𝐾𝑠𝑝
Mechanistic Understanding Of API Phase Transformation In
solid state in DP
Monolayer
adsorption
Solid
Solution
Formation
Crystalline API Form
(salt/ cocrystal/ Hydrate/
Solvate) with defects
RH/ T
This adsorbed water either
“dissolves” the components and/ or
“enhances the mobility” of surface
species.
Assumption: Solution mediated
acid/ base chemistry occurs in this
adsorbed layer of water. Once
initiated at the activated sites,
reaction continues in the bulk
In presence of basic excipients,
microenvironment pH>pHmax ➔
Salt disproportionation is favored
• pKa
• Free base solubility
• Salt solubility
• Formulation composition
• T, RH
• Particle Size
Factors
Common Perpetrators in IR tablet formulations
Lubricants
• Mg Stearate
• Mg Stearyl Fumarate
Disintegrants
• Crosscarmellose Sodium
• Sodium starch Glycolate
pKa = 5.6
Free base S = 0.001mg/
mL
HCl salt solubility
= 0.4mg/m
L
pHmax ~ 3.0
PharmRes 2013: 30, 1626
Case study 1: Impact of pKa and pH max
• All of the salts (5%A) compressed as
standard IR formulations
– MCC, Lactose Monohydrate/ Dicalcium
Phosphate→ Fillers
– Magnesium Stearate→ Lubricant (1%)
– Explotab- Disintegrant (3%)
Pfizer Confidential │ 13
Name MW pKa
(UV)
∆pKa
Methane
sulfonic acid
pKa = -1.9
Free Base
Solubility
(mg/mL)
Mesylate salt
Solubility
(mg/mL)
pH Max
PF- Test 439 4.0 5.9 0.49 423.7 1.1
Ziprasidone 413 6.0 7.9 0.00025 0.9 2.4
Doxazosin 451 6.9 8.8 0.02 3.0 4.7
Sertraline 306 9.0 10.9 0.0003 8.5 4.5
Placebo BlendMicroenvironnement
pH by DRS(Hancock PharmRes 2006)
MCC: Lactose 5.0
MCC: DCP 4.4
PF-Test and
Ziprasidone
Mesylate salts
should
disproportionate
Microenvironment pH > pHmax
Luthra, AAPS NERDG Apr 2016
Case study 1: Disproportionation is instant in solution state:
at pH > pHmax
• Doxazosin Mesylate slurry in water ➔ No disproportionation observed.
• As pH increased to 2 units above pHmax (~4.7), significant conversion to amorphous form observed
instantaneously (orthogonal measurement via in-situ Raman as well).
Pfizer Confidential │ 14
Anhydrous Form B
In Water = Anhydrous Form B
Monohydrate Form F
In Buffer =Amorphous/poorly crystalline
Luthra, AAPS NERDG Apr 2016
Case study 1: Dispersive Raman Spectroscopy on tablets
• ~4-6% water adsorbed @ 30-40°C
• All samples were observed to be physically stable in refrigerated conditions.
• PF-test, the salt with lowest pH max showed disproportionation in IR compacts except in MCC: DCP @ 40°C/ 50%RH
• None of the other salts showed physical instability including Ziprasidone!!
Pfizer Confidential │ 15
IR
Formulations
1 Week 2 Week 4 Week 5 Week
40°C/50% 40°C/75% 30°C/75% 40°C/50% 40°C/75% 30°C/75% 40°C/50% 40°C/75% 30°C/75% 2-8°C
Doxazosin w/ MCC:Lactose N/A N/A N/A No No No No No No N.D
PF-Test w/ MCC: Lactose Yes Yes Possible Yes Yes Yes Yes Yes Yes No
Sertraline w/ MCC:Lactose N/A N/A N/A No No No No No No N.D
Ziprasidone w/ MCC: Lactose N/A N/A N/A No No No No No No N.D
Ziprasidone w/ MCC:DCP N/A N/A N/A No No No No No No N.D
PF- Test w/ MCC: DCP N/A Yes Possible No Yes Yes No Yes Yes No
Sertraline w/ MCC:DCP N/A N/A N/A No No No No No No N.D
Doxazosin w/ MCC: DCP N/A N/A N/A No No No No No No N.D
Luthra, AAPS NERDG Apr 2016
Microenvironment pH can influence salt disproportionation at high RH
Case study 2: Impact of polymorphic form
• 3 Forms of Miconazole Mesylate investigated
• Binary mixtures with TsPd (Trisodium phosphate dodecahydrate) or CCS (Croscarmellose Na)
Pfizer Confidential │ 16
pka = 6.7Solid Form of MM Solubility of free
base mg/mL
Thermodynamic Kinetics Calculated pHmax Solid form after 48
hr
AMO 9.98E-04 - 1125 ± 25 mg/ml 0.65 ± 0.01 Dihydrate
AH 9.98E-04 - 115 ± 10 mg/ml 1.64 ± 0.06 Dihydrate
DH 9.98E-04 48 ± 1 mg/ml 50 ± 2 mg/ml 2.02 ± 0.01 Dihydrate
Patel, GRC 2017, manuscript submitted to MolPharm
Case study 2: Impact of polymorphic form
• Rate and extent of salt disproportionation for different solid forms of MM is significantly different.
• AMO and AH form of the drug were found to be susceptible to disproportionation, while the DH form of MM
was resistant over the time period studied.
• AMO and AH forms also convert to DH.
Pfizer Confidential │ 17
CCSTsPd
Patel, GRC 2017, manuscript submitted to MolPharm
Case study# 2: Polymorphic Form
CCS pH TSPd pH
pKa MCZ
• Extent of disproportionation for AMO was
about six times higher in presence of TSPd as
compared to CCS.
• Similarly, the amount of disproportionation for
AH was also higher (~three times) with TSPd
as compared to CCS.
• Competitive kinetics observed between
disproportionation and hydrate formation.
• Lack of detectable disproportionation of DH
cannot be explained based on consideration of
pHmax values
Patel, GRC 2017, manuscript submitted to MolPharm
An Interesting Observation: Absence of Salt Bridge
Pfizer Confidential │ 19
• Molecule does not directly form a salt bridge with the mesylate ion.
• Molecule forms a hydrogen bond with a water molecule, which forms a second hydrogen bond with
another water molecule and this water molecule then forms a hydrogen bond with mesylate ion.
• Hypothesis: Hydrogen bonding network is shielding the salt bridge and inhibiting the proton transfer
needed for salt disproportionation to occur?
Miconazole
Mesylate Dihydrate
Patel, GRC 2017, manuscript submitted to MolPharm
Cast Study #3: Impact of Buffer Capacity and acidic/ neutral excipients
• F1- Standard IR formulation with
Explotab as disintegrant and
Magnesium Stearate as lubricant
• F2- Modified IR formulation with
low pH Explotab as disintegrant
and Stearic acid as lubricant
Pfizer Confidential │ 20
S
N
N2
H pKa
Salt
solubility
mg/mL
Free Base
solubility
mg/mL
pH Max
HCl Salt 5.1 286 0.34 2.2
Oxalate salt 5.1 60 0.34 2.9
Oxalate Salt
HCl Salt
Neel Shah, Sweta Modi, Heather Frericks, Suman
Luthra:Buffer capacity:
HCl salt> Oxalate salt
Summary of Salt Disproportionation Risks
• Opportunities: Numerous advantages associated with making a salt of an ionizable compound.
Salt formation generally yields enhanced dissolution rate and solubility and, potentially oral
BA. Salts also can improve physicochemical properties of drug substances such as chemical
stability, manufacturability, melting point, moisture sorption, hydrate or polymorph landscape,
etc…
• Considerations:
– Only select the salt form if needed for long term development
– Consider long-term physical and chemical stability in presence of excipients and processing
and storage conditions over a 2-year period.
• Microenvironmental pH (excipients and impurities), pH of maximum solubility of salt
• Crystal structure of the salt
• Buffer capacity of salt and excipients
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Salt selection 2.0
1
• Measured pKa of free form
• Candidate compliance for manufacturability: Crystallinity, Melting point >125°C, hygroscopicity, solid state chemical stability
2
• Thermodynamic solubility
• pHmax
3
Solid state instability risk in presence of common basic excipientsAssessment of supersaturation/ precipitation potential
Pfizer Confidential │ 22
Acknowledgements
• Sheri Shamblin
• Joe Krzyzaniak
• Sweta Modi
• Heather Frericks Schmidt
• Albert Chen
• Neel Shah
• Prof. Lynne Taylor (Purdue University)
• Mitul Patel (Purdue University)
Pfizer Confidential │ 23
Summary
• Salts of weak bases may promote dissolution and supersaturation resulting in
enhanced oral bioavailability compared to free forms.
• Due to manufacturing processes and formulation with basic excipients, risk of
disproportionation should be actively evaluated for the design of robust solid dosage
forms of weak bases.
• Solubility of the salt and pHmax are good starting points for evaluation of risk of salt
disproportionation in drug product and in-vivo.
• Formulations as free base using either particle size reduction or as an amorphous
drug-polymer dispersions are recommended for increasing oral absorption for low
solubility weak bases.
Pfizer Confidential │ 24