# US 11,304,924 B2 · Pharmaceutical compositions comprising nitroxyl donors

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- Number: US 11,304,924 B2
- Document ID: US11304924B2
- Status: Granted
- Kind: B2
- Application number: 16/779,015
- Filed: 2020-01-31
- Published: 2020-05-28
- Granted: 2022-04-19
- Earliest claimed: 2013-01-18
- Assignees: Cardioxyl Pharmaceuticals, Inc.
- Applicants: Cardioxyl Pharmaceuticals, Inc.
- Inventors: Vincent Jacob Kalish; John Reardon; Frederick Arthur Brookfield; Stephen Martin Courtney; Lisa Marie Frost; John P. Toscano
- Web page: https://patentgrep.com/patent/US11304924B2

## CPC

- A61K 31/341: not condensed with another ring, e.g. ranitidine, furosemide, bufetolol, muscarine
- A61K 9/0019: {Injectable compositions; Intramuscular, intravenous, arterial, subcutaneous administration; Compositions to be administered through the skin in an invasive manner (non-active ingredients are additionally classified in A61K47/00)}
- A61K 9/08: Solutions {(composition of solutions A61K47/00)}
- A61K 31/18: Sulfonamides (compounds containing a para-N-benzene-sulfonyl-N- group A61K31/63)
- A61K 31/222: with compounds having aromatic groups, e.g. dipivefrine, ibopamine
- A61K 31/24: having an amino or nitro group
- A61K 31/255: of sulfoxy acids or sulfur analogues thereof
- A61K 31/343: condensed with a carbocyclic ring, e.g. coumaran, bufuralol, befunolol, clobenfurol, amiodarone
- A61K 31/381: having five-membered rings
- A61K 31/404: Indoles, e.g. pindolol
- A61K 31/42: Oxazoles
- A61K 31/433: Thidiazoles
- A61K 31/4436: containing a heterocyclic ring having sulfur as a ring hetero atom
- A61K 31/5377: not condensed and containing further heterocyclic rings, e.g. timolol
- A61K 31/538: ortho- or peri-condensed with carbocyclic ring systems
- A61K 47/12: Carboxylic acids; Salts or anhydrides thereof
- A61K 47/40: Cyclodextrins; Derivatives thereof
- A61P 9/04: Inotropic agents, i.e. stimulants of cardiac contraction; Drugs for heart failure
- C07C 317/14: having sulfone or sulfoxide groups bound to carbon atoms of six-membered aromatic rings
- C07D 307/64: Sulfur atoms
- A61K: PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES (devices or methods specially adapted for bringing pharmaceutical products into particular physical or administering forms A61J3/00; chemical aspects of, or use of materials for deodorisation of air, for disinfection or sterilisation, or for bandages, dressings, absorbent pads or surgical articles A61L; soap compositions C11D)
- A61P: SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- C07C: ACYCLIC OR CARBOCYCLIC COMPOUNDS
- C07D: HETEROCYCLIC COMPOUNDS (macromolecular compounds C08)

## Abstract

The present disclosure provides nitroxyl donating pharmaceutical compositions comprising N-substituted hydroxylamine derivatives. The compositions are highly efficacious in treating cardiovascular diseases (e.g., heart failure), have a suitable toxicological profile, and are sufficiently stable for intravenous or oral administration.

## Claims

### Claim 1

A method of treating heart failure, comprising intravenously administering to a human patient a nitroxyl donor composition comprising a compound of the formula (1):
wherein said composition is administered at a pH of from about 5 to about 6.5 and at a dose of about 1 μg/kg/min to about 30 μg/kg/min.

### Claim 2 (depends on 1)

The method of claim 1, wherein the composition is administered at a pH of from about 5.5 to about 6.

### Claim 3 (depends on 1)

The method of claim 1, wherein the composition is administered at a pH of about 6.

### Claim 4 (depends on 1)

The method of claim 1, wherein the composition further comprises a stabilizing agent.

### Claim 5 (depends on 4)

The method of claim 4, wherein the stabilizing agent is a cyclodextrin.

### Claim 6 (depends on 5)

The method of claim 5, wherein the cyclodextrin is a β-cyclodextrin.

### Claim 7

A method of treating acute decompensated heart failure, comprising intravenously administering to a human patient a nitroxyl donor composition comprising a compound of the formula (1):
wherein said composition is administered at a pH of from about 5 to about 6.5 and at a dose of about 1 μg/kg/min to about 30 μg/kg/min.

### Claim 8 (depends on 7)

The method of claim 7, wherein the composition is administered at a pH of from about 5.5 to about 6.

### Claim 9 (depends on 7)

The method of claim 7, wherein the composition is administered at a pH of about 6.

### Claim 10 (depends on 7)

The method of claim 7, wherein the composition further comprises a stabilizing agent.

### Claim 11 (depends on 10)

The method of claim 10, wherein the stabilizing agent is a cyclodextrin.

### Claim 12 (depends on 11)

The method of claim 11, wherein the cyclodextrin is a β-cyclodextrin.

### Claim 13 (depends on 1)

The method of claim 1, wherein the composition is administered at a dose of at least 2.5 μg/kg/min.

### Claim 14 (depends on 1)

The method of claim 1, wherein the composition is administered in an amount of at least 5 μg/kg/min.

### Claim 15 (depends on 1)

The method of claim 1, wherein the composition is administered at a dose of at least 7.5 μg/kg/min.

### Claim 16 (depends on 1)

The method of claim 1, wherein the composition is administered at a dose of at least 12 μg/kg/min.

### Claim 17 (depends on 1)

The method of claim 1, wherein the composition is administered at a dose of at least 15 μg/kg/min.

### Claim 18 (depends on 7)

The method of claim 7, wherein the composition is administered at a dose of at least 2.5 μg/kg/min.

### Claim 19 (depends on 7)

The method of claim 7, wherein the composition is administered in an amount of at least 5 μg/kg/min.

### Claim 20 (depends on 7)

The method of claim 7, wherein the composition is administered at a dose of at least 7.5 μg/kg/min.

### Claim 21 (depends on 7)

The method of claim 7, wherein the composition is administered at a dose of at least 12 μg/kg/min.

### Claim 22 (depends on 7)

The method of claim 7, wherein the composition is administered at a dose of at least 15 μg/kg/min.
