Pharmaceuticl compositions comprising bile acid compounds for oral delivery of therapeutic peptides

An oral pharmaceutical composition comprising a therapeutic polypeptide, a bile acid compound, a CYP450 inhibitor, and one or more pharmaceutically acceptable excipients;

• wherein the bile acid compound is a compound having the structure of Formula (I):
• or an enantiomer, a mixture of enantiomers, a diastereomer, a mixture of two or more diastereomers, a tautomer, a mixture of two or more tautomers thereof;
• or a pharmaceutically acceptable salt, solvate, or hydrate thereof;
• wherein:
• R1 and R2 are each independently hydrogen or —OH;
• R3 is —N(H)—X—Z—R4, heterocyclyl, or —OH;
• R4 is C1-6 alkyl, C1-6 heteroalkyl, C7-15 aralkyl, heterocyclyl, —OH, or —N(H) R4a,
• R4a is C1-6 alkyl, C1-6 heteroalkyl, or C7-15 aralkyl;
• X is a bond, C1-6 alkylene, or C1-6 heteroalkylene;
• and
• Z is a bond, —C(O)—, or —S(O2)—;
• wherein each alkyl, alkylene, heteroalkyl, heteroalkylene, aralkyl, and heterocyclyl is optionally substituted with one or more substituents Q, wherein each Q is independently selected from:
• (a) deuterium, cyano, halo, imino, nitro, and oxo;
• (b) C1-6 alkyl, C1-6 heteroalkyl, C2-6 alkenyl, C2-6 alkynyl, C3-10 cycloalkyl, C6-14 aryl, C7-15 aralkyl, heteroaryl, and heterocyclyl, each of which is further optionally substituted with one or more substituents Qa;
• and (c) —C(O)Ra, —C(O)ORa, —C(O)NRbRc, —C(O)SRa, —C(NRa)NRbRc, —C(S)Ra, —C(S)ORa, —C(S)NRbRc, —ORa, —OC(O)Ra, —OC(O)ORa, —OC(O)NRbRc, —OC(O)SRa, —OC(NRa)NRbRc, —OC(S)Ra, —OC(S)ORa, —OC(S)NRbRc, —OS(O)Ra, —OS(O)2Ra, —OS(O)NRbRc, —OS(O)2NRbRc, —NRbRc, —NRaC(O)Rd, —NRaC(O)ORd, —NRaC(O)NRbRc, —NRaC(O)SRd, —NRaC(NRd)NRbRc, —NRaC(S)Rd, —NRaC(S)ORd, —NRaC(S)NRbRc, —NRaS(O)Rd, —NRaS(O)2Rd, —NRaS(O)NRbRc, —NRaS(O)2NRbRc, —SRa, —S(O)Ra, —S(O)2Ra, —S(O)NRbRc, and —S(O)2NRbRc, wherein each Ra, Rb, Rc, and Rd is independently (i) hydrogen or deuterium;
• (ii) C1-6 alkyl, C1-6 heteroalkyl, C2-6 alkenyl, C2-6 alkynyl, C3-10 cycloalkyl, C6-14 aryl, C7-15 aralkyl, heteroaryl, or heterocyclyl, each of which is optionally substituted with one or more substituents Qa;
• or (iii) Rb and Rc together with the N atom to which they are attached form heterocyclyl, optionally substituted with one or more substituents Qa;
• wherein each Qa is independently selected from:
• (a) deuterium, cyano, halo, nitro, imino, and oxo;
• (b) C1-6 alkyl, C2-6 alkenyl, C2-6 alkynyl, C3-10 cycloalkyl, C6-14 aryl, C7-15 aralkyl, heteroaryl, and heterocyclyl;
• and (c) —C(O)Re, —C(O)ORe, —C(O)NRfRg, —C(O)SRe, —C(NRe)NRfRg, —C(S)Re, —C(S)ORe, —C(S)NRfRg, —ORe, —OC(O)Re, —OC(O)ORe, —OC(O)NRfRg, —OC(O)SRe, —OC(NRe)NRfRg, —OC(S)Re, —OC(S)ORe, —OC(S)NRfRg, —OS(O)Re, —OS(O)2Re, —OS(O)NRfRg, —OS(O)2NRfRg, —NRfRg, —NReC(O)Rh, —NReC(O)ORf, —NReC(O)NRfRg, —NReC(O)SRf, —NReC(NRh)NRfRg, —NReC(S)Rh, —NReC(S)ORf, —NReC(S)NRfRg, —NReS(O)Rh, —NReS(O)2Rh, —NReS(O)NRfRg, —NReS(O)2NRfRg, —SRe, —S(O)Re, —S(O)2Re, —S(O)NRfRg, and —S(O)2NRfRg;
• wherein each Re, Rf, Rg, and Rh is independently (i) hydrogen or deuterium;
• (ii) C1-6 alkyl, C2-6 alkenyl, C2-6 alkynyl, C3-10 cycloalkyl, C6-14 aryl, C7-15 aralkyl, heteroaryl, or heterocyclyl;
• or (iii) Rf and Rg together with the N atom to which they are attached form heterocyclyl;
• or
• wherein the bile acid compound is chenodeoxycholic acid, cholic acid, dehydro-cholic acid, deoxycholic acid, glycochenodeoxycholic acid, glycocholic acid, lithocholic acid, taurocholic acid, taurodeoxycholic acid, or ursodeoxycholic acid.