Field of the Invention
[0001] This invention relates to a new crystalline form of (10
R)-7-amino-12-fluoro-2,10,16-trimethyl-15-oxo-10,15,16,17-tetrahydro-2
H-8,4-(metheno)pyrazolo[4,3-
h][2,5,11]benzoxadiaza-cyclotetradecine-3-carbonitrile (lorlatinib) free base (Form
7) and to Form 7 for use in the treatment of abnormal cell growth in mammals.
Background of the Invention
[0002] The compound (10
R)-7-amino-12-fluoro-2,10,16-trimethyl-15-oxo-10,15,16,17-tetrahydro-2
H-8,4-(metheno)pyrazolo[4,3-
h][2,5,11]benzoxadiazacyclotetradecine-3-carbonitrile (PF-06463922), represented by
the formula (I):

has been assigned the International Nonproprietary Name (INN) lorlatinib, as described
in
WHO Drug Information, Vol. 29, No. 4, page 541 (2015). Lorlatinib is a potent, macrocyclic inhibitor of both wild type and resistance
mutant forms of anaplastic lymphoma kinase (ALK) and c-ros oncogene 1 (ROS1) receptor
tyrosine kinase.
[0003] Preparation of the free base of lorlatinib as an amorphous solid is disclosed in
International Patent Publication No.
WO 2013/132376 and in United States Patent No.
8,680,111. Solvated forms of lorlatinib free base are disclosed in International Patent Publication
No.
WO 2014/207606.
[0004] Human cancers comprise a diverse array of diseases that collectively are one of the
leading causes of death in developed countries throughout the world (American Cancer
Society, Cancer Facts and Figures 2005. Atlanta: American Cancer Society; 2005). The
progression of cancers is caused by a complex series of multiple genetic and molecular
events including gene mutations, chromosomal translocations, and karyotypic abnormalities
(
Hanahan & Weinberg, The hallmarks of cancer. Cell 2000; 100: 57-70). Although the underlying genetic causes of cancer are both diverse and complex,
each cancer type has been observed to exhibit common traits and acquired capabilities
that facilitate its progression. These acquired capabilities include dysregulated
cell growth, sustained ability to recruit blood vessels (i.e., angiogenesis), and
ability of tumor cells to spread locally as well as metastasize to secondary organ
sites (Hanahan & Weinberg 2000). Therefore, the ability to identify novel therapeutic
agents that inhibit molecular targets that are altered during cancer progression or
target multiple processes that are common to cancer progression in a variety of tumors
presents a significant unmet need.
[0005] Receptor tyrosine kinases (RTKs) play fundamental roles in cellular processes, including
cell proliferation, migration, metabolism, differentiation, and survival. RTK activity
is tightly controlled in normal cells. The constitutively enhanced RTK activities
from point mutation, amplification, and rearrangement of the corresponding genes have
been implicated in the development and progression of many types of cancer. (
Gschwind et al., The discovery of receptor tyrosine kinases: targets for cancer therapy.
Nat. Rev. Cancer 2004; 4, 361-370;
Krause & Van Etten, Tyrosine kinases as targets for cancer therapy. N. Engl. J. Med.
2005; 353: 172-187.)
[0006] Anaplastic lymphoma kinase (ALK) is a receptor tyrosine kinase, grouped together
with leukocyte tyrosine kinase (LTK) to a subfamily within the insulin receptor (IR)
superfamily. ALK was first discovered as a fusion protein with nucleophosmin (NPM)
in anaplastic large cell lymphoma (ALCL) cell lines in 1994. (
Morris et al., Fusion of a kinase gene, ALK, to a nucleolar protein gene, NPM, in
non-Hodgkin's lymphoma. Science 1994; 263:1281-1284.) NPM-ALK, which results from a chromosomal translocation, is implicated in the pathogenesis
of human anaplastic large cell lymphoma (ALCL) (
Pulford et al., Anaplastic lymphoma kinase proteins in growth control and cancer.
J. Cell Physiol., 2004; 199: 330-58). The roles of aberrant expression of constitutively active ALK chimeric proteins
in the pathogenesis of ALCL have been defined (
Wan et. al., Anaplastic lymphoma kinase activity is essential for the proliferation
and survival of anaplastic large cell lymphoma cells. Blood, 2006; 107:1617-1623). Other chromosomal rearrangements resulting in ALK fusions have been subsequently
detected in ALCL (50-60%), inflammatory myofibroblastic tumors (27%), and non-small-cell
lung cancer (NSCLC) (2-7%). (
Palmer et al., Anaplastic lymphoma kinase: signaling in development and disease. Biochem.
J. 2009; 420:345-361.)
[0008] ROS1 is a proto-oncogene receptor tyrosine kinase that belongs to the insulin receptor
subfamily, and is involved in cell proliferation and differentiation processes. (
Nagarajan et al. Proc Natl Acad Sci 1986; 83:6568-6572). ROS1 is expressed, in humans, in epithelial cells of a variety of different tissues.
Defects in ROS1 expression and/or activation have been found in glioblastoma, as well
as tumors of the central nervous system (
Charest et al., Genes Chromos. Can. 2003; 37(1): 58-71). Genetic alterations involving ROS1 that result in aberrant fusion proteins of ROS1
kinase have been described, including the FIG-ROS1 deletion translocation in glioblastoma
(Charest et al. (2003);
Birchmeier et al. Proc Natl Acad Sci 1987; 84:9270-9274; and NSCLC (
Rimkunas et al., Analysis of Receptor Tyrosine Kinase ROS1-Positive Tumors in Non-Small
Cell Lung Cancer: Identification of FIG-ROS1 Fusion, Clin Cancer Res 2012; 18:4449-4457), the SLC34A2-ROS1 translocation in NSCLC (
Rikova et al. Cell 2007;131:1190-1203), the CD74-ROS1 translocation in NSCLC (Rikova et al. (2007)) and cholangiocarcinoma
(
Gu et al. PLoS ONE 2011; 6(1): e15640), and a truncated, active form of ROS1 known to drive tumor growth in mice (
Birchmeier et al. Mol. Cell. Bio. 1986; 6(9):3109-3115). Additional fusions, including TPM3-ROS1, SDC4-ROS1, EZR-ROS1 and LRIG3-ROS1, have
been reported in lung cancer patient tumor samples (
Takeuchi et al., RET, ROS1 and ALK fusions in lung cancer, Nature Medicine 2012; 18(3):378-381).
[0010] Thus, ALK and ROS1 are attractive molecular targets for cancer therapeutic intervention.
There remains a need to identify compounds having novel activity profiles against
wild-type and mutant forms of ALK and ROS1.
[0011] The present invention provides a novel crystalline form of lorlatinib free base (Form
7) having desirable properties, such as high crystallinity, high purity, low hygroscopicity,
and favorable dissolution and mechanical properties. In particular, Form 7 provides
improved physical stability in the drug product formulation relative to the acetic
acid solvate disclosed in International Patent Publication No.
WO 2014/207606. Such solvated forms may present challenges for drug development, in particular with
respect to physical stability. Consequently, there remains a need to identify novel
forms having desirable physicochemical properties.
Summary of the Invention
[0012] In one aspect, the invention provides a novel crystalline form of lorlatinib free
base (Form 7). Form 7 of lorlatinib free base is characterized by one or more of the
following methods: (1) powder X-ray diffraction (PXRD) (2θ); (2) Raman spectroscopy
(cm
-1); (3)
13C solid state NMR spectroscopy (ppm); or (4)
19F solid state NMR spectroscopy (ppm).
[0013] In a first aspect, the invention provides an anhydrous, non-solvated crystalline
form of (10
R)-7-amino-12-fluoro-2,10,16-trimethyl-15-oxo-10,15,16,17-tetrahydro-2
H-8,4-(metheno)pyrazolo[4,3-
h][2,5,11]benzoxadiaza-cyclotetradecine-3-carbonitrile (lorlatinib) free base (Form
7), which is characterized by having a
19F solid state NMR spectrum comprising resonance (ppm) values of -108.2 and -115.2
ppm ± 0.2 ppm, relative to an external standard of 50/50 volume/volume of trifluoroacetic
acid and water, setting its resonances to -76.54 ppm.
[0014] The anhydrous, non-solvated crystalline form of lorlatinib free base (Form 7) is
also characterized by having:
- (1) a powder X-ray diffraction (PXRD) pattern (2θ) measured using copper wavelength
radiation_comprising: (a) one, two, three, four, five, or more than five peaks selected
from the group consisting of the peaks in Table 1 in °2θ ± 0.2 °2θ; (b) one, two,
three, four, five, or more than five peaks selected from the group consisting of the
characteristic peaks in Table 1 in °2θ ± 0.2 °2θ; or (c) peaks at 2θ values essentially
the same as shown in Figure 1; or
- (2) a Raman spectrum comprising: (a) one, two, three, four, five, or more than five
wavenumber (cm-1) values selected from the group consisting of the values in Table 2 in cm-1 ± 2 cm-1; (b) one, two, three, four, five, or more than five wavenumber (cm-1) values selected from the group consisting of the characteristic values in Table
2 in cm-1 ± 2 cm-1; or (c) wavenumber (cm-1) values essentially the same as shown in Figure 2; or
- (3) a 13C solid state NMR spectrum (ppm) comprising: (a) one, two, three, four, five, or more
than five resonance (ppm) values selected from the group consisting of the values
in Table 3 in ppm ± 0.2 ppm; (b) one, two, three, four, five, or more than five resonance
(ppm) values selected from the group consisting of the characteristic values in Table
3 in ppm ± 0.2 ppm; or (c) resonance (ppm) values essentially the same as shown in
Figure 3, relative to an external standard of crystalline adamantane, setting its
upfield resonance to 29.5 ppm;
or a combination of any one, two, or three of the foregoing embodiments (1)(a)-(c),
(2)(a)-(c), or (3)(a)-(c), with the
19F solid state NMR spectrum as described herein, provided they are not inconsistent
with each other.
[0015] In another aspect, the invention further provides a pharmaceutical composition comprising
lorlatinib free base (Form 7), according to any of the embodiments described herein,
and a pharmaceutically acceptable carrier or excipient.
[0016] In another aspect, the invention provides lorlatinib free base (Form 7), according
to any of the embodiments described herein for use in the treatment of abnormal cell
growth in a mammal, including a human.
[0017] In another aspect, the invention provides a pharmaceutical composition comprising
lorlatinib free base (Form 7), according to any of the aspects or embodiments described
herein, for use in the treatment of abnormal cell growth in a mammal.
[0018] In frequent embodiments, the abnormal cell growth is cancer. In one embodiment, the
abnormal cell growth is cancer mediated by ALK or ROS1. In some such embodiments,
the abnormal cell growth is cancer mediated by ALK. In other such embodiments, the
abnormal cell growth is cancer mediated by ROS1. In further embodiments, the abnormal
cell growth is cancer mediated by at least one genetically altered tyrosine kinase,
such as a genetically altered ALK or a genetically altered ROS1 kinase.
[0019] In some such embodiments, the cancer is selected from lung cancer, bone cancer, pancreatic
cancer, skin cancer, cancer of the head or neck, cutaneous or intraocular melanoma,
uterine cancer, ovarian cancer, rectal cancer, cancer of the anal region, stomach
cancer, colon cancer, breast cancer, carcinoma of the fallopian tubes, carcinoma of
the endometrium, carcinoma of the cervix, carcinoma of the vagina, carcinoma of the
vulva, Hodgkin's Disease, cancer of the esophagus, cancer of the small intestine,
cancer of the endocrine system, cancer of the thyroid gland, cancer of the parathyroid
gland, cancer of the adrenal gland, sarcoma of soft tissue, cancer of the urethra,
cancer of the penis, prostate cancer, chronic or acute leukemia, lymphocytic lymphomas,
cancer of the bladder, cancer of the kidney or ureter, renal cell carcinoma, carcinoma
of the renal pelvis, neoplasms of the central nervous system (CNS), primary CNS lymphoma,
spinal axis tumors, brain stem glioma, or pituitary adenoma, and combinations thereof.
[0020] In other such embodiments, the cancer is selected from the group consisting of non-small
cell lung cancer (NSCLC), squamous cell carcinoma, hormone-refractory prostate cancer,
papillary renal cell carcinoma, colorectal adenocarcinoma, neuroblastoma, anaplastic
large cell lymphoma (ALCL) and gastric cancer. In specific embodiments, the cancer
is non-small cell lung cancer (NSCLC). In particular embodiments, the cancer is NSCLC
mediated by ALK or ROS1, and more particularly, NSCLC mediated by a genetically altered
ALK or a genetically altered ROS1.
Brief Description of the Drawings
[0021]
Figure 1. PXRD pattern of lorlatinib free base (Form 7).
Figure 2. FT-Raman spectrum of lorlatinib free base (Form 7).
Figure 3. Carbon CPMAS spectrum of lorlatinib free base (Form 7).
Figure 4. Fluorine MAS spectrum of lorlatinib free base (Form 7).
Figure 5. PXRD pattern of lactose tablet of lorlatinib free base (Form 7).
Figure 6. PXRD pattern of dibasic calcium phosphate (DCP) tablet of lorlatinib free
base (Form 7).
Figure 7. FT-Raman spectrum of lactose tablet of lorlatinib free base (Form 7).
Figure 8. FT-Raman spectrum of DCP tablet of lorlatinib free base (Form 7).
Detailed Description of the Invention
[0022] The present invention may be understood more readily by reference to the following
detailed description of the embodiments of the invention and the Examples included
herein. It is to be understood that the terminology used herein is for the purpose
of describing specific embodiments only and is not intended to be limiting. It is
further to be understood that unless specifically defined herein, the terminology
used herein is to be given its traditional meaning as known in the relevant art.
[0023] As used herein, the singular form "a", "an", and "the" include plural references
unless indicated otherwise. For example, "a" substituent includes one or more substituents.
[0024] The term "about" means having a value falling within an accepted standard of error
of the mean, when considered by one of ordinary skill in the art.
[0025] As used herein, the term "essentially the same" means that variability typical for
a particular method is taken into account. For example, with reference to X-ray diffraction
peak positions, the term "essentially the same" means that typical variability in
peak position and intensity are taken into account. One skilled in the art will appreciate
that the peak positions (2θ) will show some variability, typically as much as ± 0.2°.
Further, one skilled in the art will appreciate that relative peak intensities will
show inter-apparatus variability as well as variability due to degree of crystallinity,
preferred orientation, prepared sample surface, and other factors known to those skilled
in the art, and should be taken as qualitative measures only. Similarly, Raman spectrum
wavenumber (cm
-1) values show variability, typically as much as ± 2 cm
-1, while
13C and
19F solid state NMR spectrum (ppm) show variability, typically as much as ± 0.2 ppm.
[0026] The term "crystalline" as used herein, means having a regularly repeating arrangement
of molecules or external face planes. Crystalline forms may differ with respect to
thermodynamic stability, physical parameters, x-ray structure and preparation processes.
[0027] The term "amorphous" refers to a disordered solid state.
[0028] The term "solvate" as used herein, means having on a surface, in a lattice or on
a surface and in a lattice, a stoichiometric or non-stoichiometric amount of a solvent
such as water, acetic acid, methanol, etc., or mixtures thereof, bound by non-covalent
intermolecular forces. The term "hydrate" may be used specifically to describe a solvate
comprising water.
[0029] The term "anhydrous" as used herein, means a crystalline form containing less than
about 1% (w/w) of adsorbed moisture as determined by standard methods, such as a Karl
Fisher analysis.
[0030] The invention described herein may be suitably practiced in the absence of any element(s)
not specifically disclosed herein. Thus, for example, in each instance herein any
of the terms "comprising", "consisting essentially of", and "consisting of" may be
replaced with either of the other two terms.
[0031] In one aspect, the invention provides lorlatinib free base (Form 7). As disclosed
herein, Form 7 is an anhydrous, non-solvated crystalline form of lorlatinib free base
having physical stability, manufacturability and mechanical properties that are favorable
for use in pharmaceutical formulations. The methods described herein provide lorlatinib
free base (Form 7) which is substantially pure and free of alternative forms, including
the solvated forms disclosed previously.
[0032] As described herein, Form 7 was characterized by PXRD, Raman spectroscopy, and
13C and
19F solid state NMR spectroscopy. Such crystalline forms may be further characterized
by additional techniques, such as Fourier-Transform InfraRed Spectroscopy (FTIR),
Differential Scanning Calorimetry (DSC), Thermogravimetric Analysis (TGA) or Differential
Thermal Analysis (DTA).
[0033] In some embodiments of each of the aspects of the invention, lorlatinib free base
(Form 7) is characterized by its powder X-ray diffraction (PXRD) pattern. In other
embodiments of each of the aspects of the invention, lorlatinib free base (Form 7)
is characterized by its Raman spectrum. In other embodiments of each of the aspects
of the invention, lorlatinib free base (Form 7) is characterized by its
13C solid state NMR spectrum. In still other embodiments of each of the aspects of the
invention, lorlatinib free base (Form 7) is characterized by its
19F solid state NMR spectrum.
[0034] In further embodiments, lorlatinib free base (Form 7) is characterized by a combination
of two, three or four of these methods. Exemplary combinations including two or more
of the following are provided herein: powder X-ray diffraction (PXRD) pattern (2θ);
Raman spectrum wavenumber values (cm
-1);
13C solid state NMR spectrum (ppm); or
19F solid state NMR spectrum (ppm). It will be understood that other combinations of
two, three or four techniques may be used to uniquely characterize lorlatinib free
base (Form 7) disclosed herein.
[0035] In one embodiment, lorlatinib free base (Form 7) has a PXRD pattern comprising two
or more peaks at 2θ values selected from the group consisting of: 9.6, 10.1, 14.3,
16.2 and 17.3 °2θ ± 0.2 °2θ. In another embodiment, lorlatinib free base (Form 7)
has a PXRD pattern comprising three or more peaks at 2θ values selected from the group
consisting of: 9.6, 10.1, 14.3, 16.2 and 17.3 °2θ± 0.2 °2θ.
[0036] In another embodiment, Form 7 has a PXRD pattern comprising peaks at 2θ values of:
9.6, 10.1 and 16.2 °2θ ± 0.2 °2θ. In some such embodiments, Form 7 has a PXRD pattern
further comprising a peak at the 2θ value of: 17.3 °2θ ± 0.2 °2θ. In other such embodiments,
Form 7 has a PXRD pattern further comprising a peak at the 2θ value of: 14.3 °2θ ±
0.2 °2θ.
[0037] In another embodiment, lorlatinib free base (Form 7) has a PXRD pattern comprising
peaks at 2θ values of: 9.6, 10.1, 16.2 and 17.3 °2θ ± 0.2 °2θ. In another embodiment,
lorlatinib free base (Form 7) has a PXRD pattern comprising peaks at 2θ values of:
9.6, 10.1, 14.3 and 16.2 °2θ ± 0.2 °2θ. In yet another embodiment, lorlatinib free
base (Form 7) has a PXRD pattern comprising peaks at 2θ values of: 9.6, 10.1, 14.3,
16.2 and 17.3 °2θ ± 0.2 °2θ. In some such embodiments, the PXRD pattern further comprises
one or more additional peaks at 2θ values selected from the group consisting of the
peaks in Table 1.
[0038] In specific embodiments, lorlatinib free base (Form 7) has a PXRD pattern comprising:
peaks at 2θ values essentially the same as shown in Figure 1.
[0039] In one embodiment, lorlatinib free base (Form 7) has a Raman spectrum comprising
two or more wavenumber (cm
-1) values selected from the group consisting of: 774, 1553, 1619, 2229 and 2240 cm
-1 ± 2 cm
-1. In another embodiment, lorlatinib free base (Form 7) has a Raman spectrum comprising
three or more wavenumber (cm
-1) values selected from the group consisting of: 774, 1553, 1619, 2229 and 2240 cm
-1 ± 2 cm
-1.
[0040] In another embodiment, lorlatinib free base (Form 7) has a Raman spectrum comprising
wavenumber (cm
-1) values of: 2229 and 2240 cm
-1 ± 2 cm
-1. In some such embodiments, Form 7 has a Raman spectrum further comprising the wavenumber
(cm
-1) value of: 1619 cm
-1 ± 2 cm
-1. In other such embodiments, Form 7 has a Raman spectrum further comprising the wavenumber
(cm
-1) value of: 1553 cm
-1 ± 2 cm
-1. In still other such embodiments, Form 7 has a Raman spectrum further comprising
the wavenumber (cm
-1) value of: 774 cm
-1 ± 2 cm
-1.
[0041] In another embodiment, Form 7 has a Raman spectrum comprising wavenumber (cm
-1) values of 1619, 2229 and 2240 cm
-1 ± 2 cm
-1. In another embodiment, Form 7 has a Raman spectrum comprising wavenumber (cm
-1) values of: 1553, 2229 and 2240 cm
-1 ± 2 cm
-1. In still another embodiment, Form 7 has a Raman spectrum comprising wavenumber (cm
-1) values of: 774, 2229 and 2240 cm
-1 ± 2 cm
-1. In a further embodiment, Form 7 has a Raman spectrum comprising wavenumber (cm
-1) values of: 774, 1619, 2229 and 2240 cm
-1 ± 2 cm
-1. In another embodiment, Form 7 has a Raman spectrum comprising wavenumber (cm
-1) values of: 774, 1553, 2229 and 2240 cm
-1 ± 2 cm
-1. In yet another embodiment, Form 7 has a Raman spectrum comprising wavenumber (cm
-1) values of: 774, 1553, 1619, 2229 and 2240 cm
-1 ± 2 cm
-1.
[0042] In specific embodiments, lorlatinib free base (Form 7) has a Raman spectrum comprising=wavenumber
(cm
-1) values essentially the same as shown in Figure 2.
[0043] In one embodiment, lorlatinib free base (Form 7) has a
13C solid state NMR spectrum comprising two or more resonance (ppm) values selected
from the group consisting of: 25.8, 39.1, 112.3, 117.7 and 142.1 ppm ± 0.2 ppm. In
another embodiment, lorlatinib free base (Form 7) has a
13C solid state NMR spectrum comprising three or more resonance (ppm) values selected
from the group consisting of: 25.8, 39.1, 112.3, 117.7 and 142.1 ppm ± 0.2 ppm.
[0044] In some embodiments, Form 7 has a
13C solid state NMR spectrum comprising the resonance (ppm) values of: 39.1 and 142.1
ppm ± 0.2 ppm. In some such embodiments, Form 7 has a
13C solid state NMR spectrum further comprising the resonance (ppm) value of: 112.3
ppm ± 0.2 ppm. In other such embodiments, Form 7 has a
13C solid state NMR spectrum further comprising the resonance (ppm) value of: 25.8 ppm
± 0.2 ppm. In still other such embodiments, Form 7 has a
13C solid state NMR spectrum further comprising the resonance (ppm) value of: 117.7
ppm ± 0.2 ppm.
[0045] In another embodiment, Form 7 has a
13C solid state NMR spectrum comprising the resonance (ppm) values of: 39.1, 112.3 and
142.1 ppm ± 0.2 ppm. In another embodiment, Form 7 has a
13C solid state NMR spectrum comprising the resonance (ppm) values of: 25.8, 39.1 and
142.1 ppm ± 0.2 ppm. In another embodiment, Form 7 has a
13C solid state NMR spectrum comprising the resonance (ppm) values of: 39.1, 117.7 and
142.1 ppm ± 0.2 ppm. In another embodiment, Form 7 has a
13C solid state NMR spectrum comprising the resonance (ppm) values of: 25.8, 39.1, 112.3,
117.7 and 142.1 ppm ± 0.2 ppm.
[0046] In specific embodiments, lorlatinib free base (Form 7) has a
13C solid state NMR spectrum (ppm) comprising resonance (ppm) values essentially the
same as shown in Figure 3.
[0047] In one embodiment, lorlatinib free base (Form 7) has a
19F solid state NMR spectrum comprising resonance (ppm) values of: -108.2 and -115.2
ppm ± 0.2 ppm.
[0048] In another embodiment, Form 7 has a
19F solid state NMR spectrum (ppm) comprising resonance (ppm) values essentially the
same as shown in Figure 4.
[0049] In further embodiments, lorlatinib free base (Form 7) is characterized by a combination
of the
19F solid state NMR spectrum as described herein with one, two, or three of the other
embodiments described above that are not inconsistent with each other. Exemplary embodiments
that may be used to uniquely characterize Form 7 of lorlatinib free base are provided
below.
[0050] In one embodiment, lorlatinib free base (Form 7) has a
19F solid state NMR spectrum comprising resonance (ppm) values of: -115.2 and -108.2
ppm ± 0.2 ppm.
[0051] In another embodiment, lorlatinib free base (Form 7) additionally has a powder X-ray
diffraction pattern comprising peaks at 2θ values of: 9.6, 10.1 and 16.2 °2θ ± 0.2
°2θ.
[0052] In another embodiment, lorlatinib free base (Form 7) additionally has a powder X-ray
diffraction pattern comprising peaks at 2θ values of: 9.6, 10.1, 16.2 and 17.3 °2θ
± 0.2 °2θ.
[0053] In another embodiment, lorlatinib free base (Form 7) additionally has a powder X-ray
diffraction pattern comprising peaks at 2θ value of: 9.6, 10.1, 16.2 14.3 and 17.3
°2θ ± 0.2 °2θ.
[0054] In a further embodiment, lorlatinib free base (Form 7) additionally has: (a) a powder
X-ray diffraction pattern comprising peaks at 2θ value of: 9.6, 10.1, 16.2 °2θ ± 0.2
°2θ; and (b) a Raman spectrum comprising wavenumber (cm
-1) values of: 2229 and 2240 cm
-1 ± 2 cm
-1.
[0055] In yet another embodiment, lorlatinib free base (Form 7) additionally has: (a) a
powder X-ray diffraction pattern comprising peaks at 2θ values of: 9.6, 10.1 and 16.2
°2θ ± 0.2 °2θ; and (b) a
13C solid state NMR spectrum comprising resonance (ppm) values of: 39.1 and 142.1 ppm
± 0.2 ppm.
[0056] In another embodiment, lorlatinib free base (Form 7) additionally has a Raman spectrum
comprising wavenumber (cm
-1) values of: 2229 and 2240 cm
-1 ± 2 cm
-1.
[0057] In another embodiment, lorlatinib free base (Form 7) additionally has a Raman spectrum
comprising wavenumber (cm
-1) values of: 1619, 2229 and 2240 cm
-1 ± 2 cm
-1.
[0058] In still another embodiment, lorlatinib free base (Form 7) additionally has a Raman
spectrum comprising wavenumber (cm
-1) values of: 1553, 1619, 2229 and 2240 cm
-1 ± 2 cm
-1.
[0059] In yet another embodiment, lorlatinib free base (Form 7) additionally has a Raman
spectrum comprising wavenumber (cm
-1) values of: 774, 1553, 1619, 2229 and 2240 cm
-1 ± 2 cm
-1.
[0060] In another embodiment, lorlatinib free base (Form 7) additionally has: (a) a Raman
spectrum comprising wavenumber (cm
-1) values of: 2229 and 2240 cm
-1 ± 2 cm
-1; and (b) a
13C solid state NMR spectrum comprising resonance (ppm) values of: 39.1 and 142.1 ppm
± 0.2 ppm.
[0061] In another embodiment, lorlatinib free base (Form 7) additionally has a
13C solid state NMR spectrum comprising resonance (ppm) values of: 39.1 and 142.1 ppm
± 0.2 ppm.
[0062] In another embodiment, lorlatinib free base (Form 7) additionally has a
13C solid state NMR spectrum comprising resonance (ppm) values of: 39.1, 112.3 and 142.1
ppm ± 0.2 ppm.
[0063] In yet embodiment, lorlatinib free base (Form 7) additionally has a
13C solid state NMR spectrum comprising resonance (ppm) values of: 25.8, 39.1, 112.3
and 142.1 ppm ± 0.2 ppm.
[0064] In still another embodiment, lorlatinib free base (Form 7) additionally has a
13C solid state NMR spectrum comprising resonance (ppm) values of: 25.8, 39.1, 112.3,
117.7 and 142.1 ppm ± 0.2 ppm.
[0065] In another aspect, the description provides a pharmaceutical composition comprising
lorlatinib free base (Form 7) characterized according to any of the embodiments described
herein, and a pharmaceutically acceptable carrier or excipient.
[0066] In another aspect, the description provides a pharmaceutical composition of the invention
for the treatment of abnormal cell growth in a mammal, preferably a human.
[0067] The term "therapeutically effective amount" as used herein refers to that amount
of a compound being administered which will relieve to some extent one or more of
the symptoms of the disorder being treated. In reference to the treatment of cancer,
a therapeutically effective amount refers to that amount which has the effect of (1)
reducing the size of the tumor, (2) inhibiting (that is, slowing to some extent, preferably
stopping) tumor metastasis, (3) inhibiting to some extent (that is, slowing to some
extent, preferably stopping) tumor growth or tumor invasiveness, and/or (4) relieving
to some extent (or, preferably, eliminating) one or more signs or symptoms associated
with the cancer.
[0068] As used herein, "mammal" refers to a human or animal subject. In certain preferred
embodiments, the mammal is a human.
[0069] The term "treating", as used herein, unless otherwise indicated, means reversing,
alleviating, inhibiting the progress of, or preventing the disorder or condition to
which such term applies, or one or more symptoms of such disorder or condition. The
term "treatment", as used herein, unless otherwise indicated, refers to the act of
treating as "treating" is defined immediately above. The term "treating" also includes
adjuvant and neo-adjuvant treatment of a subject.
[0070] "Abnormal cell growth", as used herein, unless otherwise indicated, refers to cell
growth that is independent of normal regulatory mechanisms (e.g., loss of contact
inhibition). Abnormal cell growth may be benign (not cancerous), or malignant (cancerous).
In frequent embodiments of the methods provided herein, the abnormal cell growth is
cancer.
[0071] As used herein "cancer" refers to any malignant and/or invasive growth or tumor caused
by abnormal cell growth. The term "cancer" includes but is not limited to a primary
cancer that originates at a specific site in the body, a metastatic cancer that has
spread from the place in which it started to other parts of the body, a recurrence
from the original primary cancer after remission, and a second primary cancer that
is a new primary cancer in a person with a history of previous cancer of different
type from latter one.
[0072] In some embodiments, the abnormal cell growth is cancer mediated by an anaplastic
lymphoma kinase (ALK). In some such embodiments, the ALK is a genetically altered
ALK. In other embodiments, the abnormal cell growth is cancer mediated by ROS1 kinase.
In some such embodiments, the ROS1 kinase is a genetically altered ROS1 kinase. In
frequent embodiments, the abnormal cell growth is cancer, in particular NSCLC. In
some such embodiments, the NSCLC is mediated by ALK or ROS1. In specific embodiments,
the cancer is NSCLC is mediated by genetically altered ALK or genetically altered
ROS1.
[0073] Pharmaceutical compositions of the present description may, for example, be in a
form suitable for oral administration as a tablet, capsule, pill, powder, sustained
release formulations, solution, suspension, for parenteral injection as a sterile
solution, suspension or emulsion, for topical administration as an ointment or cream
or for rectal administration as a suppository. The pharmaceutical composition may
be in unit dosage forms suitable for single administration of precise dosages. The
pharmaceutical composition will include a conventional pharmaceutical carrier or excipient
and a compound according to the invention as an active ingredient. In addition, it
may include other medicinal or pharmaceutical agents, carriers, adjuvants, etc.
[0074] Exemplary parenteral administration forms include solutions or suspensions of active
compounds in sterile aqueous solutions, for example, aqueous propylene glycol or dextrose
solutions. Such dosage forms can be suitably buffered, if desired.
[0075] Suitable pharmaceutical carriers include inert diluents or fillers, water and various
organic solvents. The pharmaceutical compositions may, if desired, contain additional
ingredients such as flavorings, binders, excipients and the like. Thus for oral administration,
tablets containing various excipients, such as citric acid may be employed together
with various disintegrants such as starch, alginic acid and certain complex silicates
and with binding agents such as sucrose, gelatin and acacia. Additionally, lubricating
agents such as magnesium stearate, sodium lauryl sulfate and talc are often useful
for tableting purposes. Solid compositions of a similar type may also be employed
in soft and hard filled gelatin capsules. Preferred materials include lactose or milk
sugar and high molecular weight polyethylene glycols. When aqueous suspensions or
elixirs are desired for oral administration the active compound therein may be combined
with various sweetening or flavoring agents, coloring matters or dyes and, if desired,
emulsifying agents or suspending agents, together with diluents such as water, ethanol,
propylene glycol, glycerin, or combinations thereof.
Examples
[0077] The examples and preparations provided below further illustrate and exemplify particular
aspects and embodiments of the invention.
General Method 1. Powder X-ray Diffraction (PXRD)
[0078] The PXRD data in Figure 1 were collected according to the following general protocol.
Instrument Method:
[0079] PXRD patterns were collected on a Bruker-AXS Ltd. D4 powder X-ray diffractometer
fitted with an automatic sample changer, a theta-theta goniometer, automatic beam
divergence slit, and a PSD Vantec-1 detector. The X-ray tube voltage and amperage
were set to 40 kV and 40 mA respectively. The diffractometer was aligned and a calibration
check performed using a corundum reference material on the day of data collection.
Data was collected at the Cu wavelength using a step size of 0.018 degrees and scan
time of 11.3 hours scanning from 2.0 to 65.0 degrees 2-theta. The sample powders were
prepared by placing the powder in a slightly greased low background holder. The sample
powder was pressed by a glass slide to ensure that a proper sample height was achieved
and rotated during collection. Data were collected using Bruker DIFFRAC software and
analysis was performed by DIFFRAC EVA software (Version 3.1).
[0080] The PXRD patterns collected were imported into Bruker DIFFRAC EVA software. The measured
PXRD pattern for Form 7 of the active pharmaceutical ingredient (API) was aligned
with the simulated pattern from single crystal data prior to selecting the peak positions.
A peak search was performed using the Bruker software. The peak selection was carefully
checked to ensure that all peaks had been captured and all peak positions had been
accurately assigned.
Peak picking method:
[0081] Peak picking was achieved using the peak search algorithm in the EVA software (Version
3.1). A threshold value of 1 and a width value of 0.27 (max 0.55, minimum 0.02) were
used to make preliminary peak assignments. The output of automated assignments was
visually checked to ensure validity and adjustments were manually made if necessary.
Peak intensities were normalized relative to highest intensity peak equaling 100%.
Peaks with relative intensity of ≥ 2% were generally chosen. A typical error of ±
0.2° 2-theta in peak position applies to this data. The minor error associated with
this measurement can occur as a result of a variety of factors including: (a) sample
preparation (e.g., sample height), (b) instrument, (c) calibration, (d) operator (including
those errors present when determining the peak locations), and (e) the nature of the
material (e.g. preferred orientation and transparency errors). Therefore peaks are
considered to have a typical associated error of ± 0.2° 2-theta. When two peaks, in
the list, are considered to overlap (± 0.2° 2-theta) the less intense peak has been
removed from the listing. Peaks existing as shoulders, on a higher intensity adjacent
peak, have also been removed from the peak list.
[0082] Ideally the powder pattern should be aligned against a reference. This could either
be the simulated powder pattern from the crystal structure of the same form, or an
internal standard e.g. silica. The measured PXRD pattern for Form 7 of the API used
to generate the peak listing in Table 1 was aligned to the simulated pattern from
the single crystal structure.
General Method 2. Raman Spectroscopy
[0083] The Raman spectral data in Figure 2 were collected according to the following general
protocol.
Instrument Method:
[0084] Raman spectra were collected using a RAM II FT Raman module attached to a Vertex
70 FTIR spectrometer (Bruker, UK). The instrument is equipped with a 1064 nm Nd:YAG
laser and a liquid nitrogen cooled germanium detector. Prior to data acquisition,
instrument performance and calibration verifications were conducted using a white
light source, and polystyrene and naphthalene references.
[0085] Samples were analyzed in truncated NMR tubes (5 mm diameter) that were spun during
spectral collection. The backscattered Raman signal from the sample in the rotator
was optimized and spectra from each sample were acquired using the following parameters:
| Laser power: |
500 mW |
| Spectral resolution: |
2 cm-1 |
| Collection range: |
4000 - 50 cm-1 |
| Number of scans: |
512 |
| Apodization function: |
Blackmann-Harris 4-term |
[0086] The variability in the peak positions in this experimental configuration is within
± 2 cm
-1.
Peak picking method
[0087] Prior to peak picking the intensity scale of the Stokes scattered Raman signal was
normalized to 1.00. Peaks positions were then identified using the peak picking functionality
in the GRAMS/AI v.9.1 software (Thermo Fisher Scientific) with the threshold set to
0.007.
[0088] Peaks with relative intensities between 1.00 and 0.75, 0.74 and 0.30, and below 0.29
were labelled as strong, medium and weak respectively.
It is expected that, since FT-Raman and dispersive Raman are similar techniques, peak
positions reported herein for FT-Raman spectra would be consistent with those which
would be observed using a dispersive Raman measurement, assuming appropriate instrument
calibration.
General Method 3. Solid state NMR (ssNMR) Spectroscopy:
[0089] The carbon CPMAS and fluorine MAS ssNMR data in Figures 3 and 4 were collected according
to the following general protocol.
Instrument Method:
[0090] Solid state NMR (ssNMR) analysis was conducted at ambient temperature and pressure
on a Bruker-BioSpin CPMAS probe positioned into a Bruker-BioSpin Avance III 500 MHz
(
1H frequency) NMR spectrometer. The packed rotor was oriented at the magic angle and
spun at 14.5 kHz. The carbon ssNMR spectrum was collected using a proton decoupled
cross-polarization magic angle spinning experiment. A phase modulated proton decoupling
field of 80-90 kHz was applied during spectral acquisition. The cross-polarization
contact time was set to 2 ms and the recycle delay to 5 seconds. The number of scans
was adjusted to obtain an adequate signal to noise ratio. The carbon spectrum was
referenced using an external standard of crystalline adamantane, setting its upfield
resonance to 29.5 ppm (as determined from neat TMS). The fluorine ssNMR spectrum was
collected using a proton decoupled direct polarization magic angle spinning experiment.
A phase modulated proton decoupling field of 80-90 kHz was applied during spectral
acquisition. The recycle delay was set to 60 seconds. The number of scans was adjusted
to obtain an adequate signal to noise ratio. The fluorine chemical shift scale was
referenced using a direct polarization experiment on an external standard of 50/50
volume/volume of trifluoroacetic acid and water, setting its resonances to -76.54
ppm.
Peak picking method:
[0091] Automatic peak picking was performed using Bruker-BioSpin TopSpin version 3.2 software.
Generally, a threshold value of 5% relative intensity was used to preliminary select
peaks. The output of the automated peak picking was visually checked to ensure validity
and adjustments were manually made if necessary.
[0092] Although specific
13C and
19F solid state NMR peak values are reported herein there does exist a range for these
peak values due to differences in instruments, samples, and sample preparation. This
is common practice in the art of solid state NMR because of the variation inherent
in peak values. A typical variability for a
13C and
19F chemical shift x-axis value is on the order of plus or minus 0.2 ppm for a crystalline
solid. The solid state NMR peak heights reported herein are relative intensities.
The solid state NMR intensities can vary depending on the actual setup of the experimental
parameters and the thermal history of the sample.
Example 1
Lab Scale Preparation of Form 7 of (10R)-7-amino-12-fluoro-2,10,16-trimethyl-15-oxo-10,15,16,17-tetrahydro-2H-8,4-(metheno)pyrazolo[4,3-h][2,5,11]benzoxadiazacyclotetradecine-3-carbonitrile (lorlatinib) Free Base
[0093]

[0094] Form 7 of lorlatinib free base was prepared by de-solvation of the acetic acid solvate
of lorlatinib (Form 3), prepared as described in International Patent Publication
No.
WO 2014/207606, via an intermediate methanol solvate hydrate form of lorlatinib (Form 2).
[0095] The acetic acid solvate of lorlatinib (Form 3) (5 g, 10.72 mmol) was slurried in
methanol (10 mL/g, 1235.9 mmol) at room temperature in an Easymax flask with magnetic
stirring to which triethylamine (1.2 equiv., 12.86 mmol) was added over 10 minutes.
The resulting solution was heated to 60°C and water (12.5 mL/g, 3469.3 mmol) was added
over 10 minutes, while maintaining a temperature of 60°C. Crystallization was initiated
by scratching the inside of the glass vessel to form a rapidly precipitating suspension
which was triturated to make the system mobile. The suspension was then cooled to
25°C over 1 hour, then cooled to 5°C and granulated for 4 hours. The white slurry
was filtered and washed with 1 mL/g chilled water/methanol (1:1) then dried under
vacuum at 50°C overnight to provide the methanol solvate hydrate Form 2 of lorlatinib.
[0096] Form 7 was then prepared via a re-slurry of the methanol solvate hydrate Form 2 of
lorlatinib in heptane. 100 mg of lorlatinib Form 2 was weighed into a 4-dram vial
and 3 mL of heptane was added. The mixture was slurried at room temperature on a roller
mixer for 2 hours. Form conversion was confirmed by PXRD revealing complete form change
to Form 7 of lorlatinib free base.
Example 2
Alternative Preparation of Form 7 of (10R)-7-amino-12-fluoro-2,10,16-trimethyl-15-oxo-10,15,16,17-tetrahydro-2H-8,4-(metheno)pyrazolo[4,3-h][2,5,11]benzoxadiazacyclotetradecine-3-carbonitrile (lorlatinib) Free Base
[0097]

[0098] Into a 100 mL Easymax reactor equipped with an overhead stirrer, was added the bis-Boc
protected macrocycle
1 (prepared as described in International Patent Publication No.
WO 2014/207606 at Example 4) (7g, 10 mmol) and methanol (28 mL; 4 mL/g of PF-06668559). The slurry
was heated to 60°C and treated with 6N hydrochloric acid (9 mL, 54 mmol) and held
for 3 hours. Once reaction was determined complete, the mixture was cooled to 40°C
and treated with 1N sodium hydroxide (39mL, 39 mmol) to partially neutralize the mixture.
The mixture was treated with 2-methyltetrahydrofuran (53 mL), followed by neutralization
to pH 7 with 1 N sodium hydroxide (13.5 mL, 13.5 mmol). The mixture was treated with
sodium chloride (10.1 g, 173 mmol) and warmed to 60°C. The bottom aqueous layer was
removed using a separatory funnel. The organic phase was washed with water (50 mL)
at 60°C. The water wash was removed by separatory funnel. The organic layer was speck
free filtered into a clean 125 mL reactor fitted with overhead agitator and distillation
head. Additional 2-methyltetrahydrofuran (70mL) was added to the organic mixture and
the mixture was concentrated by atmospheric distillation to a volume of approximately
30 mL. The solution was treated with 2-methyltetrahydrofuran (12 mL) and adjusted
to 60°C.
[0099] The solution was treated with n-heptane (10.5 mL), followed by seeding with Form
7 of lorlatinib free base (45 mg, 0.11mmol). After aging the slurry for 1 hour, n
heptane (73.5 mL) was added over 2 hours at 60°C. The resultant slurry was held for
1 hour at 60°C followed by cooling to 20°C over 1 hour and granulated for 16 hours.
The slurry was filtered, and the product cake was washed with n heptane (12 mL). The
solids were dried in the oven at 60°C for 12 hours to give Form 7 of PF-0463922 free
base (8.24 mmol, 3.36 g) as a white solid in 82% yield with >98% purity.
Characterization of Lorlatinib Free Base (Form 7)
PXRD Data
[0100] Figure 1 shows PXRD data for lorlatinib free base (Form 7), collected according to
General Method 1. A list of PXRD peaks at diffraction angles 2-Theta ° (°2θ) ± 0.2
°2θ and their relative intensities is provided in Table 1. Characteristic PXRD peaks
distinguishing Form 7 are indicated by an asterisk (*).
Table 1: PXRD Peak List for Form 7 (2-Theta °)
| Angle °2θ ± 0.2 °2θ |
Intensity % |
| 7.5 |
2.6 |
| 9.6* |
12.9 |
| 10.1* |
13.0 |
| 11.0 |
1.3 |
| 11.8 |
6.0 |
| 12.6* |
19.9 |
| 14.3* |
22.1 |
| 15.0 |
13.9 |
| 16.2* |
100.0 |
| 17.3* |
72.1 |
| 18.3 |
14.0 |
| 19.3* |
31.4 |
| 19.9 |
20.3 |
| 20.3 |
7.6 |
| 21.2 |
60.7 |
| 22.1 |
3.2 |
| 22.5 |
13.7 |
| 23.3 |
25.2 |
| 24.0 |
17.2 |
| 24.6 |
9.8 |
FT-Raman Data
[0101] Figure 2 shows the FT-Raman spectrum of lorlatinib free base (Form 7), collected
according to General Method 2. A list of FT-Raman peaks (cm
-1) and qualitative intensities is provided in Table 2 in cm
-1 ± 2 cm
-1. Characteristic FT-Raman peaks (cm
-1) peaks distinguishing Form 7 are indicated by an asterisk (*). Normalized peak intensities
are indicated as follows: W= weak; M= medium; S= strong.
Table 2: FT Raman Peak List for Form 7 (cm
-1)
| Wave number cm-1 ± 2 cm-1 |
Normalized peak intensity |
| 3064 |
w |
| 3012 |
w |
| 2983 |
w |
| 2937 |
w |
| 2917 |
w |
| 2871 |
w |
| 2240* |
m |
| 2229* |
m |
| 1645 |
w |
| 1619* |
s |
| 1572 |
w |
| 1553* |
s |
| 1440 |
m |
| 1422 |
m |
| 1396 |
w |
| 1367 |
w |
| 1347 |
w |
| 1335 |
w |
| 1315 |
m |
| 1301 |
w |
| 1260 |
w |
| 1232 |
w |
| 1220 |
w |
| 1203 |
w |
| 1155 |
w |
| 1143 |
w |
| 1085 |
w |
| 1068 |
w |
| 1035 |
w |
| 972 |
w |
| 949 |
w |
| 937 |
w |
| 908 |
w |
| 903 |
w |
| 889 |
w |
| 862 |
w |
| 807 |
w |
| 774* |
w |
| 733 |
w |
| 702 |
w |
| 693 |
w |
| 663 |
w |
| 641 |
w |
| 633 |
w |
| 623 |
w |
| 601 |
w |
| 590 |
w |
| 570 |
w |
| 559 |
w |
| 492 |
w |
| 472 |
w |
| 460 |
w |
| 442 |
w |
| 426 |
w |
| 383 |
w |
| 321 |
w |
| 287 |
w |
| 263 |
w |
| 256 |
w |
| 234 |
w |
ssNMR data
[0102] Figure 3 shows the carbon CPMAS spectrum of lorlatinib free base (Form 7), which
was collected according to General Method 3. Chemical shifts are expressed in parts
per million (ppm) and are referenced to external sample of solid phase adamantane
at 29.5 ppm. A list of ssNMR
13C chemical shifts (ppm) for Form 7 is provided in Table 3 in ppm ± 0.2 ppm. Characteristic
ssNMR
13C chemical shifts (ppm) distinguishing Form 7 are indicated by an asterisk (*).
Table 3: ssNMR
13C Chemical Shifts for Form 7 (ppm)
| 13C Chemical Shifts [ppm ± 0.2 ppm] |
Intensity |
| 21.6 |
88 |
| 25.8* |
85 |
| 27.3 |
68 |
| 34.7 |
70 |
| 38.2 |
73 |
| 39.1* |
77 |
| 46.7 |
51 |
| 48.2 |
50 |
| 71.3 |
68 |
| 73.2 |
68 |
| 110.9 |
12 |
| 112.3* |
75 |
| 114.1 |
78 |
| 114.5 |
64 |
| 116.3 |
37 |
| 117.7* |
84 |
| 120.1 |
51 |
| 125.5 |
33 |
| 127.6 |
76 |
| 129.8 |
48 |
| 131.8 |
60 |
| 132.1 |
62 |
| 134.1 |
42 |
| 137.2 |
33 |
| 139.5 |
62 |
| 139.9 |
68 |
| 142.1* |
100 |
| 143.8 |
55 |
| 144.9 |
50 |
| 150.8 |
39 |
| 151.8 |
38 |
| 162.8 |
27 |
| 163.8 |
29 |
| 164.9 |
17 |
| 165.9 |
16 |
| 168.1 |
37 |
| 170.3 |
41 |
[0103] Figure 4 shows the fluorine MAS (ssNMR) spectrum of lorlatinib free base (Form 7),
collected according to General Method 3. Chemical shifts are expressed in parts per
million (ppm) referenced to an external sample of trifluoroacetic acid (50% V/V in
H
2O) at - 76.54 ppm.
[0104] The ssNMR
19F chemical shift (ppm) for Form 7 is provided in Table 4 in ppm ± 0.2 ppm. The characteristic
ssNMR
19F chemical shifts (ppm) distinguishing Form 7 are indicated by an asterisk (*).
Table 4: ssNMR
19F Chemical Shifts for Form 7 (ppm)
| 19F Chemical Shifts [ppm ± 0.2 ppm] |
Intensity |
| -115.2* |
100 |
| -108.2* |
76 |
Reference Example 3
Representative Drug Product Formulations of Lorlatinib Free Base (Form 7)
[0105] Immediate release (IR) tablets comprising lorlatinib free base (Form 7) may be prepared
using conventional excipients commonly used in tableted formulations.
[0106] Tablets typically contain from 1-30% of lorlatinib on a w/w basis. Microcrystalline
cellulose, dibasic calcium phosphate anhydrous (DCP) and lactose monohydrate may be
used as tablet fillers, and sodium starch glycolate may be used as a disintegrant.
Magnesium stearate may be used as a lubricant.
[0107] A typical IR tablet formulation of Form 7 containing Dibasic Calcium Phosphate Anhydrous
(DCP) as a tablet filler (DCP tablet) is provided in Table 5.
Table 5. Typical Composition of IR Tablet using Dibasic Calcium Phosphate Anhydrous
(DCP) as a tablet filler
| |
|
% composition |
| Form 7 |
Active Ingredient |
1-30 |
| Microcrystalline Cellulose |
Filler |
35-60 |
| Dibasic Calcium Phosphate Anhydrous |
Filler |
10-35 |
| Sodium Starch Glycolate |
Disintegrant |
2-5 |
| Magnesium Stearate |
Lubricant |
0.5-1.5 |
| Total Tablet Weight |
100.0 |
[0108] A typical IR tablet formulation of Form 7 containing lactose as a tablet filler (lactose
tablet) is provided in Table 6.
Table 6. Typical Composition of IR Tablet using lactose as a tablet filler
| |
|
% composition |
| Form 7 |
Active Ingredient |
1-30 |
| Microcrystalline Cellulose |
Filler |
35-60 |
| Lactose monohydrate |
Filler |
10-35 |
| Sodium Starch Glycolate |
Disintegrant |
2-5 |
| Magnesium Stearate |
Lubricant |
0.5-1.5 |
| Total Tablet Weight |
100.0 |
[0109] IR tablets of lorlatinib free base (Form 7) may be manufactured using a dry granulation
process prior to compression. In this process the crystalline material is blended
with some proportion of the excipients falling within the ranges outline above and
the blend is dry granulated using a roller compactor. The granule is milled as part
of this process. The granules are blended with remainder of any of the excipients
(e.g., magnesium stearate) prior to compression.
[0110] Figures 5 and 6 show the PXRD patterns of a prototype lactose tablet and DCP tablet,
respectively, comprising 10% w/w of lorlatinib free base (Form 7). Figures 7 and 8
show the FT-Raman spectrum of a prototype lactose tablet and DCP tablet, respectively,
comprising 10% w/w of lorlatinib free base (Form 7).
Example 4
Thermodynamic Stability of Lorlatinib Free Base (Form 7)
[0111] The thermodynamic stability of anhydrous lorlatinib free base (Form 7) was evaluated
employing slurry experiments under a range of water activity and temperature conditions.
Suspensions of Form 7 were equilibrated for two weeks in diverse solvent systems at
three different temperatures: 5°C, room temperature and 40°C and water activities
0.25 to 1.00. After 2 weeks, the solids in equilibrium were isolated and the solid
form was evaluated by PXRD.
[0112] The results summarized in Table 7 demonstrate that anhydrous Form 7 API could form
solvated forms in several solvent systems and a hydrate in pure water, but does not
convert to a different anhydrous solid state under the conditions explored.
Table 7. Slurry Output for anhydrous lorlatinib Form 7. Form 5, 13, 16 and 20 are
solvated forms of the lorlatinib free base and Form 18 is a hydrate.
| Solvent |
Water activity |
5°C |
RT |
40°C |
| nBuOH |
0 |
Form 7 |
Form 20 |
Form 7 |
| iProAc |
0 |
Form 7 |
Form 7 |
Form 7 |
| MiBK |
0 |
Form 7 |
Form 7 |
Form 7 |
| TBME |
0 |
Form 7 |
Form 7 |
Form 7 |
| Toluene |
0 |
Form 7 |
Form 7 |
Form 7 |
| IPA |
0.25 |
Form 16 |
Form 7 |
Form 7 |
| IPA |
0.50 |
Form 13 |
Form 13 |
Form 5 |
| IPA |
0.70 |
Form 13 |
Form 13 |
Form 5 |
| IPA |
0.90 |
Form 13 |
Form 13 |
Form 13 |
| Water |
1.00 |
Form 7+Form 18 |
Form 18 |
Form 7 |
Example 5
Solid-state Physical Stability of anhydrous lorlatinib free base (Form 7) and Drug
Product
[0113] The physical stability of anhydrous lorlatinib free base (Form 7) API was investigated
at elevated relative humidities (%RH) for extended time period and at accelerated
stability conditions for shorter period. Form 7 stored at ambient temperature and
humidity levels of 75%RH and 90%RH for 12 months and at 70°C/75%RH and 80°C/75%RH
for 1 week did not undergo any physical change. Results are shown in Table 8.
Table 8. Long term stability of Form 7 API
| Conditions |
Time |
Solid Form |
| 75%RH, ambient temperature |
12 months |
Form 7 |
| 90%RH, ambient temperature |
12 months |
Form 7 |
| 70°C/75%RH |
1 week |
Form 7 |
| 80°C/40%RH |
1 week |
Form 7 |
[0114] A representative drug product formulation of Form 7 demonstrated superior physical
stability relative to the acetic acid solvate of lorlatinib free base disclosed in
WO 2014/207606.
[0115] The physical stabilities of lorlatinib Form 7 and acetic acid solvate in the drug
product were investigated under a variety of conditions using FT-Raman and Solid State
NMR spectroscopy. Results are summarized in Table 9.
Table 9. Physical stability of Form 7 drug product vs. acetic acid solvate comparing
amount of physical impurity
| Conditions |
Time |
lorlatinib acetic acid solvate |
lorlatinib free base Form 7 |
| 70°C/75%RH |
1 week |
impurity >50% |
No change detected |
| 50°C/75%RH |
2 weeks |
>10% impurity<50% |
No change detected |
| 70°C/40%RH |
2 weeks |
impurity >50% |
No change detected |
| 70°C/10%RH |
3 weeks |
impurity >50% |
No change detected |
| 25°C/60%RH |
12 months |
>10% impurity<50% |
No change detected |
| 30°C/65%RH |
12 months |
>10% impurity<50% |
No change detected |
Table 10. Summary of physical stability studies for Lorlatinib Free Base Form 7 for
several drug product formulations
| Conditions |
Excipients |
Time |
Output Solid Form |
| 50°C/75%RH |
tablet with lactose, magnesium stearate, Polyplasdone XL |
2 weeks |
Form 7 |
| 50°C/75%RH |
tablet with DCP, stearic acid, Explotab |
2 weeks |
Form 7 |
| 50°C/75%RH |
tablet with mannitol, magnesium stearate, Explotab |
2 weeks |
Form 7 |
| 50°C/75%RH |
tablet with DCP, stearic acid, Polyplasdone XL |
2 weeks |
Form 7 |
| 50°C/75%RH |
tablet with lactose, stearic acid, Explotab |
2 weeks |
Form 7 |
| 50°C/75%RH |
tablet with DCP, magnesium stearate, Polyplasdone XL |
2 weeks |
Form 7 |
| 50°C/75%RH |
tablet with mannitol, stearic acid, Polyplasdone XL |
2 weeks |
Form 7 |
| 50°C/75%RH |
tablet with DCP, magnesium stearate, Explotab |
2 weeks |
Form 7 |
Reference Example 6
Representative Tablet Formulations
[0116] Immediate release, film coated tablets were prepared in 25 mg, 50 mg and 100 mg immediate
dosages using a dry granulation manufacturing process. The compositions of the tablets
are provided in Table 11.
Table 11. Compositions of IR tablets of three different strengths
| Component |
Component Role |
25 mg tablet (mg/tablet) |
50 mg tablet (mg/tablet) |
100 mg tablet (mg/tablet) |
| lorlatinib free base (Form 7) |
Active ingredient |
25.000 |
50.000 |
100.00 |
| Microcrystalline Cellulose |
Filler |
143.325 |
286.650 |
355.540 |
| Dibasic Calcium Phosphate Anhydrous |
Filler |
71.675 |
143.350 |
177.800 |
| Sodium Starch Glycolate |
Disintegrant |
7.500 |
15.000 |
20.000 |
| Magnesium Stearate |
Lubricant |
2.500 |
5.000 |
13.330 |
| Tablet core weight |
|
250.00 |
500.00 |
666.670 |
| Opadry II Tan or Lavender |
Coating agent |
7.500 |
15.000 |
20.000 |
| Sterile water for irrigation* |
|
(42.500) |
(85.000) |
(113.330) |
| Total weight (mg) |
|
257.500 |
515.000 |
686.670 |
| *removed during processing. Does not appear in final product |
Example 7
Chemical Stability of Representative Tablet Formulation
[0117] Chemical stability data was generated at 25°C/60%RH and 30°C/75%RH for 12 months
and at 40°C/75%RH for 6 months for the 25 mg tablets prepared according to Example
6. Three main degradation products (amide, formaldehyde dimer and oxidative photodegradant)
were monitored to assess the chemical stability of the test formulation. The chemical
stability data for these chemical impurities is provided in Table 12.
Table 12. Summary of chemical stability data for 25 mg IR film coated tablet of lorlatinib
Form 7
| Impurity |
12 months |
12 months |
6 months |
| 25°C/60%RH |
30°C/75%RH |
40°C/75%RH |
| amide |
NMT 0.05 |
0.08 |
0.15 |
| dimer |
0.09 |
0.16 |
0.19 |
| photodegradant |
NMT 0.05 |
NMT 0.05 |
NMT 0.05 |
1. An anhydrous, non-solvated crystalline form of (10R)-7-amino-12-fluoro-2,10,16-trimethyl-15-oxo-10,15,16,17-tetrahydro-2H-8,4-(metheno)pyrazolo[4,3-h][2,5,11] benzoxadiazacyclotetradecine-3-carbonitrile (lorlatinib) free base, having
a 19F solid state NMR spectrum comprising resonance (ppm) values of: -108.2 and -115.2
ppm ± 0.2 ppm, relative to an external standard of 50/50 volume/volume of trifluoroacetic
acid and water, setting its resonances to -76.54 ppm.
2. The crystalline form of claim 1, having a powder X-ray diffraction (PXRD) pattern
measured using copper wavelength radiation comprising two or more peaks at 2θ values
selected from the group consisting of: 9.6, 10.1, 14.3, 16.2 and 17.3 °2θ ± 0.2 °2θ.
3. The crystalline form of claim 2, having a PXRD pattern comprising peaks at 2θ value
of: 9.6, 10.1 and 16.2 °2θ ± 0.2 °2θ.
4. The crystalline form of claim 3, having a PXRD pattern further comprising a peak at
the 2θ value of: 17.3 °2θ ± 0.2 °2θ.
5. The crystalline form of claim 3 or 4, having a PXRD pattern further comprising a peak
at the 2θ value of: 14.3 °2θ ± 0.2 °2θ.
6. The crystalline form of any one of claims 2 to 5, having a Raman spectrum comprising
wavenumber (cm-1) values of: 2229 and 2240 cm-1 ± 2 cm-1.
7. The crystalline form of any one of claims 2 to 6, having a 13C solid state NMR spectrum comprising resonance (ppm) values of: 39.1 and 142.1 ppm
± 0.2 ppm, relative to an external standard of crystalline adamantane, setting its
upfield resonance to 29.5 ppm.
8. A crystalline form of lorlatinib free base as claimed in claim 1 having a Raman spectrum
comprising two or more wavenumber (cm-1) values selected from the group consisting of: 774, 1553, 1619, 2229 and 2240 cm-1 ± 2 cm-1.
9. The crystalline form of claim 8, having a Raman spectrum comprising the wavenumber
(cm-1) value of: 2229 and 2240 cm-1 ± 2 cm-1.
10. The crystalline form of claim 9, having a Raman spectrum further comprising the wavenumber
(cm-1) value of: 1619 cm-1 ± 2 cm-1.
11. The crystalline form of claim 9 or 10, having a Raman spectrum further comprising
the wavenumber (cm-1) value of: 1553 cm-1 ± 2 cm-1.
12. The crystalline form of claim 9, 10 or 11, having a Raman spectrum further comprising
the wavenumber (cm-1) value of: 774 cm-1 ± 2 cm-1.
13. The crystalline form of any one of claims 8 to 12, having a 13C solid state NMR spectrum comprising resonance (ppm) values of: 39.1 and 142.1 ppm
± 0.2 ppm, relative to an external standard of crystalline adamantane, setting its
upfield resonance to 29.5 ppm.
14. A crystalline form of lorlatinib free base as claimed in claim 1 having a 13C solid state NMR spectrum comprising two or more resonance (ppm) values selected
from the group consisting of: 25.8, 39.1, 112.3, 117.7 and 142.1 ppm ± 0.2 ppm, relative
to an external standard of crystalline adamantane, setting its upfield resonance to
29.5 ppm.
15. The crystalline form of claim 14, having a 13C solid state NMR spectrum comprising resonance (ppm) values of: 39.1 and 142.1 ppm
± 0.2 ppm.
16. The crystalline form of claim 15, having a 13C solid state NMR spectrum further comprising the resonance (ppm) value of: 112.3
ppm ± 0.2 ppm.
17. The crystalline form of claim 15 or 16, having a 13C solid state NMR spectrum further comprising the resonance (ppm) value of: 25.8 ppm
± 0.2 ppm.
18. The crystalline form of claim 15, 16 or 17, having a 13C solid state NMR spectrum further comprising the resonance (ppm) value of: 117.7
ppm ± 0.2 ppm.
19. A crystalline form of lorlatinib free base according to any one of claims 1 to 18
for use in the treatment of abnormal cell growth in a mammal.
20. The lorlatinib free base for use of claim 19, wherein the abnormal cell growth is
cancer.
21. The lorlatinib free base for use of claim 20, wherein the cancer is mediated by anaplastic
lymphoma kinase (ALK) or c-ros oncogene 1 receptor tyrosine kinase (ROS1).
22. The lorlatinib free base for use of claim 20 or 21, wherein the cancer is non-small
cell lung cancer (NSCLC).
1. Wasserfreie, nicht-solvatisierte, kristalline Form der freien Base von (10R)-7-Amino-12-fluor-2,10,16-trimethyl-15-oxo-10,15,16,17-tetrahydro-2H-8,4-(metheno)pyrazolo[4,3-h][2,5,11]benzoxadiazacyclotetradecin-3-carbonitril
(Lorlatinib) mit einem 19F-Festphasen-NMR-Spektrum, umfassend Resonanzwerte (ppm): -108,2 und -115,2 ppm ±
0,2 ppm, in Bezug auf einen externen Standard von 50/50 V/V von Trifluoressigsäure
und Wasser, der seine Resonanzen auf -76,54 ppm festlegt.
2. Kristalline Form gemäß Anspruch 1 mit einem Pulver-Röntgenbeugungs (PXRD)-Muster,
gemessen unter Verwendung von Kupfer-Wellenlängenstrahlung mit zwei oder mehr Peaks
bei 2θ-Werten, ausgewählt aus der Gruppe, bestehend aus 9,6, 10,1, 14,3, 16,2 und
17,3 °2θ ± 0,2 °2θ.
3. Kristalline Form gemäß Anspruch 2 mit einem PXRD-Muster, umfassend Peaks bei 2θ-Werten:
9,6, 10,1 und 16,2 °2θ ± 0,2 °2θ.
4. Kristalline Form gemäß Anspruch 3 mit einem PXRD-Muster, umfassend einen Peak bei
dem 2θ-Wert: 17,3 °2θ ± 0,2 °2θ.
5. Kristalline Form gemäß Anspruch 3 oder 4 mit einem PXRD-Muster, umfassend einen Peak
bei dem 2θ-Wert: 14,3 °2θ ± 0,2 °2θ.
6. Kristalline Form gemäß einem der Ansprüche 2 bis 5 mit einem Raman-Spektrum, umfassend
Wellenzahlenwert (cm-1) : 2229 und 2240 cm-1 ± 2 cm-1.
7. Kristalline Form gemäß einem der Ansprüche 2 bis 6 mit einem 13C-Festphasen-NMR-Spektrum, umfassend Resonanzwerte (ppm) : 39, 1 und 142,1 ppm ± 0,2
ppm, in Bezug auf einen externen Standard von kristallinem Adamantan, der die Hochfeldresonanz
auf 29,5 ppm festlegt.
8. Kristalline Form der freien Base von Lorlatinib gemäß Anspruch 1 mit einem Raman-Spektrum,
umfassend zwei oder mehr Wellenzahlenwerte (cm-1), ausgewählt aus der Gruppe, bestehend aus: 774, 1553, 1619, 2229 und 2240 cm-1 ± 2 cm-1.
9. Kristalline Form gemäß Anspruch 8 mit einem Raman-Spektrum, umfassend die Wellenzahlenwerte
(cm-1) : 2229 und 2240 cm-1 ± 2 cm-1.
10. Kristalline Form gemäß Anspruch 9 mit einem Raman-Spektrum, des Weiteren umfassend
den Wellenzahlenwert (cm-1): 1619 cm-1 ± 2 cm-1.
11. Kristalline Form gemäß Anspruch 9 oder 10 mit einem Raman-Spektrum, des Weiteren umfassend
den Wellenzahlenwert (cm-1): 1553 cm-1 ± 2 cm-1.
12. Kristalline Form gemäß Anspruch 9, 10 oder 11 mit einem Raman-Spektrum, des Weiteren
umfassend den Wellenzahlenwerte (cm-1) : 774 cm-1 ± 2 cm-1.
13. Kristalline Form gemäß einem der Ansprüche 8 bis 12 mit einem 13C-Festphasen-NMR-Spektrum, umfassend Resonanzwerte (ppm) : 39, 1 und 142,1 ppm ± 0,2
ppm, in Bezug auf einen externen Standard von kristallinem Adamantan, der die Hochfeldresonanz
auf 29,5 ppm festlegt.
14. Kristalline Form der freien Base von Lorlatinib gemäß Anspruch 1 mit einem 13C-Festphasen-NMR-Spektrum, umfassend zwei oder mehr Resonanzwerte (ppm), ausgewählt
aus der Gruppe, bestehend aus: 25,8, 39,1, 112,3, 117,7 und 142,1 ppm ± 0,2 ppm, bezogen
auf einen externen Standard von kristallinem Adamantan, der die Hochfeldresonanz auf
29,5 ppm festlegt.
15. Kristalline Form gemäß Anspruch 14 mit einem 13C-Festphasen-NMR-Spektrum, umfassend Resonanzwerte (ppm): 39,1 und 142,1 ppm ± 0,2
ppm.
16. Kristalline Form gemäß Anspruch 15 mit einem 13C-Festphasen-NMR-Spektrum, umfassend den Resonanzwert (ppm): 112,3 ppm ± 0,2 ppm.
17. Kristalline Form gemäß Anspruch 15 oder 16 mit einem 13C-Festphasen-NMR-Spektrum, umfassend den Resonanzwert (ppm): 25,8 ppm ± 0,2 ppm.
18. Kristalline Form gemäß Anspruch 15, 16 oder 17 mit einem 13C-Festphasen-NMR-Spektrum, umfassend den Resonanzwert (ppm): 117,7 ppm ± 0,2 ppm.
19. Kristalline Form der freien Base von Lorlatinib gemäß einem der Ansprüche 1 bis 18
zur Verwendung in der Behandlung von abnormalem Zellwachstum in einem Säuger.
20. Freie Base von Lorlatinib zur Verwendung gemäß Anspruch 19, wobei das abnormale Zellwachstum
Krebserkrankung ist.
21. Freie Base von Lorlatinib zur Verwendung gemäß Anspruch 20, wobei die Krebserkrankung
durch anaplastischer Lymphomkinase (ALK) oder c-ros-Onkogen-1-Rezeptortyrosinkinase
(ROS1) vermittelt ist.
22. Freie Base von Lorlatinib zur Verwendung gemäß Anspruch 20 oder 21, wobei die Krebserkrankung
nichtkleinzelliges Lungenkarzinom (NSCLC) ist.
1. Forme cristalline non solvatée anhydre de base libre de (10R)-7-amino-12-fluoro-2,10,16-triméthyl-15-oxo-10,15,16,17-tétrahydro-2H-8,4-(méthéno)pyrazolo[4,3-h] [2,5,11] benzoxadiazacyclotétradécine-3-carbonitrile (lorlatinib), ayant un spectre
RMN à l'état solide de 19F comprenant des valeurs de résonance (en ppm) de : -108,2 et -115,2 ppm ± 0,2 ppm,
par rapport à un étalon externe de 50/50 volume/volume d'acide trifluoroacétique et
d'eau, établissant ses résonances à -76,54 ppm.
2. Forme cristalline selon la revendication 1, ayant un profil de diffraction aux rayons
X sur poudre (PXRD) mesuré à l'aide d'un rayonnement de longueur d'onde du cuivre
comprenant deux pics ou plus à des valeurs 2θ sélectionnées dans le groupe constitué
par : 9,6, 10,1, 14,3, 16,2 et 17,3 °2θ ± 0,2 °2θ.
3. Forme cristalline selon la revendication 2, ayant un profil PXRD comprenant des pics
à la valeur 2θ de : 9,6, 10,1 et 16,2 °2θ ± 0,2 °2θ.
4. Forme cristalline selon la revendication 3, ayant un profil PXRD comprenant en outre
un pic à la valeur 2θ de : 17,3 °2θ ± 0,2 °2θ.
5. Forme cristalline selon la revendication 3 ou 4, ayant un profil PXRD comprenant en
outre un pic à la valeur 2θ de : 14,3 °2θ ± 0,2 °2θ
6. Forme cristalline selon l'une des revendications 2 à 5, ayant un spectre de Raman
comprenant des valeurs de nombre d'ondes (en cm-1) de : 2229 et 2240 cm-1 ± 2 cm-1
7. Forme cristalline selon l'une des revendications 2 à 6, ayant un spectre RMN à l'état
solide de 13C comprenant des valeurs de résonance (en ppm) de : 39,1 et 142,1 ppm ± 0,2 ppm, par
rapport à un étalon externe d'adamantane cristallin, établissant sa résonance avancée
à 29,5 ppm.
8. Forme cristalline de base libre de lorlatinib selon la revendication 1 ayant un spectre
de Raman comprenant deux valeurs de nombre d'ondes (en cm-1) ou plus sélectionnées dans le groupe constitué par : 774, 1553, 1619, 2229 et 2240
cm-1 ± 2 cm-1.
9. Forme cristalline selon la revendication 8, ayant un spectre de Raman comprenant la
valeur du nombre d'ondes (en cm-1) de : 2229 et 2240 cm-1 ± 2 cm-1.
10. Forme cristalline selon la revendication 9, ayant un spectre de Raman comprenant en
outre la valeur du nombre d'ondes (en cm-1) de : 1619 cm-1 ± 2 cm-1.
11. Forme cristalline selon la revendication 9 ou 10, ayant un spectre de Raman comprenant
en outre la valeur du nombre d'ondes (en cm-1) de : 1553 cm-1 ± 2 cm-1.
12. Forme cristalline selon la revendication 9, 10 ou 11, ayant un spectre de Raman comprenant
en outre la valeur du nombre d'ondes (en cm-1) de : 774 cm-1 ± 2 cm-1.
13. Forme cristalline selon l'une des revendications 8 à 12, ayant un spectre RMN à l'état
solide de 13C comprenant des valeurs de résonance (en ppm) de : 39,1 et 142,1 ppm ± 0,2 ppm, par
rapport à un étalon externe d'adamantane cristallin, établissant sa résonance avancée
à 29,5 ppm.
14. Forme cristalline de base libre de lorlatinib selon la revendication 1 ayant un spectre
RMN à l'état solide de 13C comprenant deux valeurs de résonance (en ppm) ou plus sélectionnées dans le groupe
constitué par : 25,8, 39,1, 112,3, 117,7 et 142,1 ppm ± 0,2 ppm, par rapport à un
étalon externe d'adamantane cristallin, établissant sa résonance avancée à 29,5 ppm.
15. Forme cristalline selon la revendication 14, ayant un spectre RMN à l'état solide
de 13C comprenant des valeurs de résonance (en ppm) de : 39,1 et 142,1 ppm ± 0,2 ppm.
16. Forme cristalline selon la revendication 15, ayant un spectre RMN à l'état solide
de 13C comprenant la valeur de résonance (en ppm) de : 112,3 ppm ± 0,2 ppm.
17. Forme cristalline selon la revendication 15 ou 16, ayant un spectre RMN à l'état solide
de 13C comprenant la valeur de résonance (en ppm) de : 25,8 ppm ± 0,2 ppm.
18. Forme cristalline selon la revendication 15, 16 ou 17 ayant un spectre RMN à l'état
solide de 13C comprenant en outre la valeur de résonance (en ppm) de : 117,7 ppm ± 0,2 ppm.
19. Forme cristalline de base libre de lorlatinib, selon l'une des revendications 1 à
18 pour une utilisation dans le traitement d'une croissance cellulaire anormale chez
un mammifère.
20. Base libre de lorlatinib pour une utilisation selon la revendication 19, dans laquelle
la croissance cellulaire anormale est un cancer.
21. Base libre de lorlatinib pour une utilisation selon la revendication 20, dans laquelle
le cancer est médié par la kinase du lymphome anaplasique (ALK) ou le récepteur à
tyrosine kinase oncogène c-ros 1 (ROS1).
22. Base libre de lorlatinib pour une utilisation selon la revendication 20 ou 21, dans
laquelle le cancer est un cancer du poumon non à petites cellules (NSCLC).