Compounds and methods of use to treat schizophrenia
US-2017114037-A1 · Apr 27, 2017 · US
US11560382B2 · US · B2
| Field | Value |
|---|---|
| Publication number | US-11560382-B2 |
| Application number | US-202017124224-A |
| Country | US |
| Kind code | B2 |
| Filing date | Dec 16, 2020 |
| Priority date | Apr 4, 2014 |
| Publication date | Jan 24, 2023 |
| Grant date | Jan 24, 2023 |
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This invention relates to particular substituted heterocycle fused gamma-carbolines, their prodrugs, in free, solid, pharmaceutically acceptable salt and/or substantially pure form as described herein, pharmaceutical compositions thereof, and methods of use in the treatment of diseases involving 5-HT2A receptor, serotonin transporter (SERT) and/or pathways involving dopamine D1/D2 receptor signaling systems, and/or the treatment of residual symptoms.
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The invention claimed is: 1. A method for the treatment of a central nervous system disorder selected from anxiety, depression, psychosis, schizophrenia, post-traumatic stress disorder, impulse control disorders and intermittent explosive disorder, comprising administering to a patient in need thereof a therapeutically effective amount of compound of formula I: wherein: R 1 is CH 3 ; R 2 and R 3 are each independently H or D; R 4 and R 5 are each H; provided that R 2 and R 3 are not both H, and wherein D is deuterium; in free or salt form; wherein the compound of formula I is administered in the form of a sustained or delayed release pharmaceutical composition comprising the compound of formula I dispersed or dissolved in a polymeric matrix, and wherein the pharmaceutical composition is formulated for administration by injection. 2. The method according to claim 1 , wherein R 2 and R 3 are both D. 3. The method according to claim 1 , wherein R 2 is D and R 3 is H. 4. The method according to claim 1 , wherein said compound is in salt form. 5. The method according to claim 4 , wherein the salt is a toluenesulfonic acid addition salt. 6. The method according to claim 1 , wherein said disorder is selected from a group consisting of anxiety, depression, psychosis, and schizophrenia. 7. The method according to claim 6 , wherein said disorder is schizophrenia. 8. The method according to claim 6 , wherein said disorder is anxiety. 9. The method according to claim 1 , wherein the polymeric matrix comprises a polylactide, a polyglycolide, and/or a poly(d,l-lactide-co-glycolide) (PLGA). 10. The method according to claim 9 , wherein the polymeric matrix comprises PLGA 50:50, PLGA 75:25, PLGA 85:15, PLGA 90:10, or a combination thereof. 11. The method according to claim 9 , wherein the polymeric matrix comprises PLGA copolymer having a 75:25 to 50:50 molar ratio of lactide to glycolide. 12. The method according to claim 9 , wherein the polymeric matrix comprises PLGA copolymer having a weight-average molecular weight of 5,000 to 500,000 daltons, or a weight average molecular weight of about 150,000 daltons. 13. The method according to claim 1 , wherein the composition is formulated for intramuscular or subcutaneous injection. 14. The method according to claim 1 , wherein the composition releases the compound of formula I upon degradation of the polymeric matrix over a period of 30 to 180 days. 15. The method according to claim 1 , wherein the composition releases the compound of formula I upon degradation of the polymeric matrix over a period of 14 to 30 days. 16. The method according to claim 1 , wherein the composition comprises the polymeric matrix in the form of microparticles. 17. The method according to claim 1 , wherein the composition does not comprise the polymeric matrix in the form of microparticles. 18. The method according to claim 1 , wherein the composition comprises the polymeric matrix admixed with a water-miscible diluent or carrier. 19. The method according to claim 1 , wherein R 2 is D and R 3 is D, and wherein the compound of formula I is in the form of a toluenesulfonic acid addition salt, and wherein the polymeric matrix comprises a polylactide, a polyglycolide, and/or a poly(d,l-lactide-co-glycolide) (PLGA), and wherein the composition is formulated for intramuscular or subcutaneous injection. 20. The method according to claim 19 , wherein the polymeric matrix comprises PLGA copolymer having a 75:25 to 50:50 molar ratio of lactide to glycolide. 21. The method according to claim 20 , wherein the composition comprises the polymeric matrix admixed with a water-miscible diluent or carrier. 22. The method according to claim 1 , wherein R 2 is D and R 3 is D, and wherein the compound of formula I is free base form, and wherein the polymeric matrix comprises a polylactide, a polyglycolide, and/or a poly(d,l-lactide-co-glycolide) (PLGA), and wherein the composition is formulated for intramuscular or subcutaneous injection. 23. The method according to claim 22 , wherein the polymeric matrix comprises PLGA copolymer having a 75:25 to 50:50 molar ratio of lactide to glycolide. 24. The method according to claim 23 , wherein the composition comprises the polymeric matrix admixed with a water-miscible diluent or carrier. 25. The method according to claim 1 , wherein said disorder is bipolar depression.
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