Abstract

Pemafibrate is a new generation of anti-hyperlipidemia drugs. However, its poor solubility in water (0.410 mg/mL at 25 °C) has limited its oral bioavailability. In this study, we aimed to improve the solubility and consequently the oral bioavailability of pemafibrate via a new polymorph. A new polymorph Form II was successfully obtained by controlling the crystallization temperature and characterized by multiple analysis methods. The thermodynamic properties of Form I and Form II are almost the same, the melting points of crystal Form I [differential scanning calorimetry (DSC) onset: 97.5 °C, melting entropy: −76 J/g] and crystal Form II (DSC onset: 96.6 °C, melting entropy: −80 J/g) are very close, and the crystallinity of both is very high. In pure water, Form II is about 1.9 times that of Form I in terms of the intrinsic dissolution rate (IDR) and powder solubility. In medium, the IDR characterization was performed in a pH 6.8 buffer. The solubility of this Form II in 0.1 M HCl (pH 1.0) and phosphate buffers (pH 6.8) was investigated, and the results showed that the solubility of Form II was 2.1 and 2.0 times that of Form I, respectively. The crystal structure of Form II shows that the hydrophilic carboxyl groups of the compound are arranged outside the unit cell, which may be the reason for the increased solubility. We also studied the pharmacokinetics of beagle dogs. The mean AUC0–24h of Form II is about 2.6 times that of Form I, indicating that the solubility and bioavailability of pemafibrate can indeed be improved by forming the new polymorph Form II. It may become an ideal solid form of active pharmaceutically ingredient suitable for pharmaceutical preparations, and it can be further studied in the later period.
Introduction
In recent years, the research on polymorphs has become increasingly fierce, especially in the pharmaceutical industry.1−3 In the pharmaceutical field, a drug polymorph means that the same drug is affected by crystallization conditions during the crystallization process, resulting in different internal molecular arrangement structures, leading to the diversity of drug crystallinity. To the best of our knowledge, there are polymorphic, amorphous, salt-forming, and cocrystal methods for changing the properties, especially solubility of pharmaceutical active ingredients.4−10 Although amorphous drugs can improve certain solubility, their stability is generally problematic. Although salt formation can greatly improve the solubility of drugs, there are certain requirements for the degree of ionization. Although the cocrystal can improve the solubility,11−25 it will introduce other ligands besides the active ingredient of the drug and requires intermolecular forces between the ligand and the drug molecule. Polymorphs can change the solubility, bioavailability, and solid stability of the drug. It does not require ionizable groups or the introduction of other ligands. A peroxisome proliferator-activated receptor (PPAR) is known as a member of the nuclear receptor family, and it is known that there are currently three sub types of ruthenium and osmium.26−30 Activated PPAR α can treat hyperlipidemia,31−34 activation of PPAR γ causes obesity,35−37 and activation of PPAR δ causes high-density lipoprotein elevation,38 so drugs that can selectively activate PPAR α are very important. Pemafibrate (Scheme 1) is a drug that selectively activate PPAR α. It is well known that the crystal form of a drug has a great influence on the bioavailability and efficacy, and this drug has been reported to be an anhydrous type Form I.39 The poor solubility in water (0.410 mg/mL at 25 °C) has limited its oral bioavailability. This paper reports a new type of anhydrous type Form II, which has higher solubility than the reported crystal Form I. The thermodynamic properties of Form I and Form II are almost the same, the melting points of crystal Form I [differential scanning calorimetry (DSC) onset: 97.5 °C, melting entropy: −76 J/g] and crystal Form II (DSC onset: 96.6 °C, melting entropy: −80 J/g) are very close, and the crystallinity of both is very high. The appearance of this new crystal form can provide a new choice for formulation research.
Scheme 1. Chemical Structures of Pemafibrate.
Results and Discussion
Crystal Structure
Single-crystal X-ray analysis of new Form II reveals that the structure of new Form II belongs to the monoclinic, P21 space group. The pemafibrate molecule contains one hydrogen bond donor groups (the carboxylic acid) and one acceptor groups (the benzoxazol aromatic nitrogen). The hydrogen bond between the carboxylic acid and the benzoxazol aromatic nitrogen linked molecules together to be a 1-D line (Figure 1). Besides the classical hydrogen bonds, the C–H···O interactions really exist, the van der Waals’ forces between the benzene CH and the methoxy linked the 1-D line to be a 2-D supermolecular layer (Figure 2). There are many π–π stacking interactions existing in the crystal. The π–π stacking interactions also exist between two benzene rings of pemafibrate from different 2-D layers [3.704(4) Å, 0.000(4)°], which connected these 2-D layers to be a 3-D supermolecular structure (Figure 3). In the crystal Form II, the hydrophilic carboxyl groups of the compound are arranged outside the unit cell, which can increase the contact area between carboxyl groups and water molecules. The carboxyl groups can form hydrogen bonds with water molecules to increase the solubility of molecules, which may have a great effect on improving the solubility of the compound.
Figure 1.
1-D chain constructed by the hydrogen bonds in new Form II.
Figure 2.
View of the 2-D supermolecular layer in new Form II.
Figure 3.

A part of 3-D structure with double layers for new Form II.
Powder X-ray Diffraction and Thermal Analyses
Powder X-ray diffraction (PXRD) was used to check the crystalline phase purity of new Form II. The result shows that all the peaks displayed in the measured pattern of new Form II closely match those in the simulated pattern generated from single-crystal diffraction data and completely different from the PXRD pattern of the reported Form I (Figure 4), demonstrating the formation of pure crystalline phase of the new form. The DSC and thermogravimetric analysis (TGA) curves of new Form II are shown in Figures 5 and 6. From these figures, it can be found that new Form II melts at 96 °C and then the new form starts to decompose at the temperature of 220 °C. From Figure 5, we can see that the thermodynamic properties of Form I and Form II are almost the same, the melting points of crystal Form I and crystal Form II are very close.
Figure 4.
Simulated and experimental PXRD patterns for new form II.
Figure 5.
(a) DSC pattern of the reported Form I and (b) DSC pattern of new Form II.
Figure 6.
TGA pattern of new Form II.
Powder Dissolution and IDR Studies
The powder solubility of the drug substance has a great impact on the design of the formulation and the bioavailability of the drug. This is an important parameter that must be considered in drug development. The powder solubility curve of new Form II and the reported Form I in pH 1.0 hydrochloric acid solution and pH 6.8 phosphate-buffered saline (PBS) are shown in Figure 7. It can be seen from the curve that the solubility and dissolution rate of new Form II are much larger than that of the reported Form I, and it can be seen that the solubility can indeed be improved after becoming a new polymorph. The maximum solubility of new Form II in pH 1.0 hydrochloric acid solution and pH 6.8 PBS is 2.2 times and 2.0 times as large as those of Form I. It can be found from the curve that Form II reaches the maximum solubility of pemafibrate quickly, then reaches a plateau, and is always higher than the solubility of Form I. This solubility curve is very suitable for the pharmaceutical industry.40−42
Figure 7.

Powder dissolution profiles for Form II and Form I in 0.1 M HCl (a) and 0.02 M phosphate buffer of pH 6.8 (b) at 37 °C within 48 h.
As far as we know, the intrinsic dissolution rate (IDR) of a drug has a great correlation with the absorption kinetics of the drug in the body. In order to obtain the data of the IDR of the drug, Form II and Form I were tested in pH 6.8 PBS. Several sampling tests were carried out within an hour. It can also be found from the curve (Figure 8) that the linear correlation of Form II (R2 = 0.992) and Form I (R2 = 0.996) are very good. It can be seen from the curve that the IDR of Form II is much greater than that of Form I. The above experiment results show that the new polymorph Form II can be used as a potential drug crystal for improving solubility and solubility rate in pemafibrate formulations.
Figure 8.

IDR profiles for Form II and Form I in 0.02 M phosphate buffer of pH 6.8 at 37 °C.
Pharmacokinetics in Beagle Dogs Plasma
Generally speaking, the increase in the powder solubility and IDR of the drug will help to improve the bioavailability of the drug in vivo. It can be seen from the experimental results of the powder solubility and IDR of Form II and Form I that the solubility and IDR of pemafibrate drugs have been greatly improved after the formation of the new polymorph Form II. In order to verify whether this increase is helpful for the increase in the bioavailability of pemafibrate in vivo, we designed and conducted a beagle pharmacokinetics experiments. The experiments show that the beagle group taking Form II and the beagle group taking Form I have almost the same Tmax, and the AUC0–24h and Cmax of the beagle taking Form II are more than 2.6 times that of the beagle taking Form I (Table 1). From mean plasma concentrations versus time profiles (Figure 9), it can be known that between 0 and 1 h, the blood drug concentration of beagle dogs taking Form II is very high, which is very helpful for the treatment of diseases, and between 1 and 24 h, the blood drug concentration of beagle dogs taking Form II has decreased a lot, but it is still much higher than that of beagle dogs taking Form I. It can be seen from these experimental results that after the formation of new polymorph Form II, the powder solubility, intrinsic dissolution, and bioavailability in vivo are greatly improved. These results have greatly encouraged the continued development of pemafibrate drugs.
Table 1. Mean Pharmacokinetics Parameters of Form I and Form II in Male Beagle Dogs.
| parameter | Form I | Form II |
|---|---|---|
| AUC0–24h (h·ng/mL) | 360 | 926 |
| Cmax (ng/mL) | 52 | 110 |
| Tmax (h) | 1.12 | 1.25 |
Figure 9.

Mean plasma concentrations versus time profiles of pemafibrate following oral administration of Form I (red square) and Form II (black circle) in male beagle dogs. Each point represents the mean ± SD (n = 3).
Stability Test
The new form and the reported crystal form were subjected to stability tests under conditions of high temperature, high humidity, and light. The results showed that for the new form and the reported crystal form, the same degree of degradation occurs under illumination, and both forms are stable under high temperature, high humidity, and light conditions. Both crystal forms have not changed after a 30-days stability test. The results are shown in Table 2. Through other water suspension experiments, we also found that the above two crystal forms did not change after being suspended in an aqueous solution at 37 °C for 12 h, and both forms were quite stable in water.
Table 2. Stability Data for Form I and Form II.
| time |
|||
|---|---|---|---|
| crystal form | test condition | 0 days | 30 days |
| Form II | 60 °C | PXRD/Form II chemistry purity: 99.65% | PXRD/Form II purity: 99.19% |
| 92.5% RH | PXRD/Form II purity: 99.32% | ||
| 4500 lux | PXRD/Form II purity: 98.75% | ||
| Form I | 60 °C | PXRD/Form I chemistry purity: 99.72% | PXRD/Form I purity: 99.35% |
| 92.5% RH | PXRD/Form I purity: 99.38% | ||
| 4500 lux | PXRD/Form I purity: 98.69% | ||
Dynamic Vapor Sorption
Although pemafibrate forms a new polymorph Form II, the increase in solubility, IDR, and bioavailability is very interesting, will this increase greatly improve the hygroscopicity of active pharmaceutical ingredient (API) solids and affect their storage and preparation processes? Therefore, we conducted dynamic vapor sorption (DVS) tests on Form II and Form I to obtain their moisture absorption data. It can be seen from Figure 10 that after forming the new polymorph, the moisture absorption of Form II in the humidity range of 0–90% is about 2 times higher than that of Form I. Although the hygroscopicity has been greatly improved, its actual value is still very low (<0.2%). In the pharmaceutical industry, this value indicates that it has no hygroscopicity. So, Form II and Form I still show non-hygroscopicity after forming a new polymorph. This property indicates that the new polymorph Form II is very suitable for use as a pharmaceutical preparation.
Figure 10.

DVS isotherm plots for Form II and Form I at 25 °C.
Conclusions
For pemafibrate, a poorly soluble drug, we carried out a crystal engineering design on it, hoping to obtain a solid with improved solubility and bioavailability. After conducting the experiment, we successfully obtained a new polymorph Form II. For this new polymorph, we performed element analysis, thermal analysis, and PXRD detection. Its single-crystal structure shows that there are many intermolecular hydrogen bonding forces in the new polymorph molecule, so that new Form II molecule can exist stably. Not only that, the powder solubility, IDR, and in vivo pharmacokinetics data of Form II have been greatly improved compared with Form I. Meanwhile, the hygroscopicity experiment after forming the new polymorph shows that it has almost no hygroscopicity, which is very beneficial for the storage of API and the production and preparation process of the formulation. In short, the acquisition of the new polymorph is of great significance for the subsequent development of the drug pemafibrate. Not only that, these findings also provide a good reference for the development of other innovative drugs.
Experimental Section
Materials and General Methods
Pemafibrate (>99%) was provided by Sichuan Kelun Pharmaceutical Research Institute Co., Ltd. Methanol and acetonitrile of high-performance liquid chromatography (HPLC) grade were purchased from Merck. All the other reagents were of analytical grade and commercially available without further purification. Elemental analyses were characterized by an PerkinElmer 2400 II elemental analyzer. TGA was recorded on a TGA (Mettler Toledo) instrument with a heating rate of 10 °C/min. DSC was recorded on a DSC1 (Mettler Toledo) instrument with a heating rate of 10 °C/min. PXRD patterns were obtained on a PANalytical XPert3 powder diffractometer with Cu Kα radiation (45 kV, 40 mA).
Preparation of New Form II
A sample of 5.0 g of pemafibrate was weighed and heated to 70 °C in a mixed solvent of 30 mL of cyclohexane and 15 mL of ethyl acetate to dissolve and clarify, the temperature was lowered to 45 °C, reslurried for 24 h, filtered, and dried to collect a solid. Anal. Calcd for C28H30N2O6: C, 68.49; H, 6.11; N, 5.71%. Found: C, 68.53; H, 6.14; N, 5.63%.
Preparation of the Reported Form I
A sample of 5.0 g of pemafibrate was weighed and heated to 60 °C in a mixed solvent of 45 mL of ethyl acetate and 20 mL of n-heptane to dissolve and clarify, reduced to 25 °C, crystallized for 2 h, and 70 mL of n-heptane was added to stir and crystalize for 2 h, filtered, and dried to collect a solid. Anal. Calcd for C28H30N2O6: C, 68.49; H, 6.11; N, 5.71%. Found: C, 68.56; H, 6.06; N, 5.55%.
Single-Crystal X-ray Diffraction
Single-crystal X-ray diffraction data for Form II was collected on a Xcalibur Eos diffractometer system with graphite monochromated Mo Kα radiation (λ = 0.71073 Å). The crystal was kept at 293.15 K during data collection. Using Olex2,43 the structure was solved with the Superflip44−46 structure solution program using charge flipping and refined with the ShelXL47 refinement package using least squares minimization. All nonhydrogen atoms were refined anisotropically. Hydrogen atoms were set in calculated positions and refined by a riding mode, with a common thermal parameter. The crystallographic data and experimental details for the structure analysis are summarized in Table 3, and the hydrogen bonding distances and angles are given in Table 4.
Table 3. Experimental Data for New Form II.
| compounds | Form II |
| empirical formula | C28H30N2O6 |
| formula weight | 490.54 |
| temperature/K | 293.15 |
| crystal system | Monoclinic |
| space group | P21 |
| a/Å | 11.6007(8) |
| b/Å | 5.3802(3) |
| c/Å | 20.9518(16) |
| α/deg | 90 |
| β/deg | 105.418(8) |
| γ/deg | 90 |
| volume/Å3 | 1260.63(16) |
| Z | 2 |
| ρcalc (g/cm3) | 1.292 |
| F(000) | 520.0 |
| index ranges | –14 ≤ h ≤ 13, –6 ≤ k ≤ 6, –26 ≤ l ≤ 25 |
| independent reflections | 4664 [Rint = 0.0195, Rsigma = 0.0421] |
| goodness-of-fit on F2 | 1.052 |
| final R indexes [I ≥ 2σ (I)] | R1 = 0.0633, wR2 = 0.1350 |
| final R indexes [all data] | R1 = 0.0927, wR2 = 0.1534 |
| largest diff. peak/hole/e Å–3 | 0.60/–0.34 |
| flack parameter | –0.09(4) |
Table 4. Hydrogen Bond Distances and Angles for New Form II.
| D–H···A | d(D···A) (Å) | ∠(DHA) (deg) | symmetry codes |
|---|---|---|---|
| O(4)–H(4)···N(1) | 1.857(3) | 165.1 | x – 1, y, z |
Powder Dissolution Experiments
Pemafibrate new Form II and reported Form I were ground to obtain a fine powder, sieving with multiple screens, and the powder with size in the range of 58–115 μm was collected for the powder solubility test. 100 mg new Form II powder and 100 mg reported Form I powder were thrown into the solution of hydrochloric acid medium (50 mL, 0.1 M, pH 1.0) and PBS (50 mL, 0.02 M, pH 6.8) to ensure that the solids can be excessive. It was continuously stirred at a speed of 100 rpm at 37 °C, and multiple samples at the specified time were taken and the solubility was tested. The obtained solution was filtered, diluted, and placed in the HPLC column (Aglient 1260) for detection with a wavelength of 254 nm. The analytical column was XBridge C18 (4.6 × 150 mm, 3.5 μm). The column temperature was 30 °C, injection volume was 20 mL, and the injection concentration was 0.2 mg/mL with dipotassium hydrogen phosphate buffer solution (20 mM, pH 10.5) (eluent A) and acetonitrile (eluent B) at a flow rate of 1.0 mL/min. The gradient elution program started with 20% B, keeps it for 3 min, increases to 40% within 13 min, increases to 80% within 3 min, keeps it for 3 min, then reduces to 25% within 3 min and keeps it for 3 min.
Pharmacokinetics in Beagle Dogs Plasma
The male beagle dogs used in the experiment were provided by the animal research center of Sichuan Kelun Pharmaceutical Research Institute Co., Ltd. All animal experiments were carried out in accordance with institutional guidelines in compliance with regulations formulated by Sichuan Kelun Pharmaceutical Research Institute Co., Ltd. The experimental protocol was approved by the Institutional Animal Care and Use Committee of Sichuan Kelun Pharmaceutical Research Institute Co., Ltd. The pharmacokinetics experiments used six male beagle dogs, all weighing around 15 kg, new Form II and reported Form I were administered orally to the beagle dogs at a specification of 1 mg/kg. After oral administration, at the following time intervals: 0.2, 0.5, 0.8, 1.1, 1.5, 3, 8, and 24 h, blood samples were taken. The blood (10 min, 5000 rpm) was centrifuged and stored at −70 °C. The supernatant was taken and mixed with the methanol/water mixture (1:1) and injected for LC–MS/MS analysis (Aglient 6120B).
Dynamic Vapor Sorption
DVS study was performed on a DVS intrinsic instrument (Surface Measurement Systems, U.K.). The dried sample was placed in a nitrogen environment and after equilibrium at 25 °C for 1 h. The DVS experiment was started. The relative humidity is gradually increased from 0 to 90% with an interval of 10%, and the balance time is achieved by the DM/DT (change rate of quality over time) mode, and DM/DT less than 0.05%/s. Then, it is desorbed from 90 to 0% in the same way.
Acknowledgments
This work was supported by the Natural Science Foundation of China (no. 21567004).
Supporting Information Available
The Supporting Information is available free of charge at https://pubs.acs.org/doi/10.1021/acsomega.0c04005.
The authors declare no competing financial interest.
Notes
These data can be obtained free of charge via www.ccdc.cam.ac.uk/data_request/cif, or by emailing data_request@ccdc.cam.ac.uk, or by contacting The Cambridge Crystallographic Data Centre, 12, Union Road, Cambridge CB2 1EZ, UK; fax: +44 1223 336033.
Supplementary Material
References
- Foster J. A.; Damodaran K. K.; Maurin A.; Day G. M.; Thompson H. P. G.; Cameron G. J.; Gary J.; Bernal J. C.; Steed J. W. Pharmaceutical polymorph control in a drug-mimetic supramolecular gel. Chem. Sci. 2017, 8, 78–84. 10.1039/C6SC04126D. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Miller J. M.; Collman B. M.; Greene L. R.; Grant D. J. W.; Blackburn A. C. Identifying the Stable Polymorph Early in the Drug Discovery–Development Process. Pharm. Dev. Technol. 2005, 10, 291–297. 10.1081/pdt-54467. [DOI] [PubMed] [Google Scholar]
- Yamano M. Approach to Crystal Polymorph in Process Research of New Drug. J. Synth. Org. Chem., Jpn. 2007, 65, 907–913. 10.5059/yukigoseikyokaishi.65.907. [DOI] [Google Scholar]
- Bommaka M. K.; Mannava M. K. C.; Suresh K.; Gunnam A.; Nangia A. Entacapone: Improving Aqueous Solubility, Diffusion Permeability, and Cocrystal Stability with Theophylline. Cryst. Growth Des. 2018, 18, 6061–6069. 10.1021/acs.cgd.8b00921. [DOI] [Google Scholar]
- Taylor L. S.; Zhang G. G. Z. Physical chemistry of supersaturated solutions and implications for oral absorption. Adv. Drug Delivery Rev. 2016, 101, 122–142. 10.1016/j.addr.2016.03.006. [DOI] [PubMed] [Google Scholar]
- Berry D. J.; Steed J. W. Pharmaceutical cocrystals, salts and multicomponent systems; intermolecular interactions and property based design. Adv. Drug Delivery Rev. 2017, 117, 3–24. 10.1016/j.addr.2017.03.003. [DOI] [PubMed] [Google Scholar]
- Bernstein J.Some exemplary studies of conformational polymorphism. Polymorphism in Molecular Crystals, 2nd ed.; Oxford University Press: New York, 2002; pp 169–183. [Google Scholar]
- Bak A.; Gore A.; Yanez E.; Stanton M.; Tufekcic S.; Syed R.; Akrami A.; Rose M.; Surapaneni S.; Bostick T.; King A.; Neervannan S.; Ostovic D.; Koparkar A. The Co-Crystal Approach to Improve the Exposure of a Water-Insoluble Compound: AMG 517Sorbic Acid Co-Crystal Characterization and Pharmacokinetics. J. Pharm. Sci. 2008, 97, 3942–3956. 10.1002/jps.21280. [DOI] [PubMed] [Google Scholar]
- Shan N.; Perry M. L.; Weyna D. R.; Zaworotko M. J. Impact of pharmaceutical cocrystals: the effects on drug pharmacokinetics. Expert Opin. Drug Metab. Toxicol. 2014, 10, 1255–1271. 10.1517/17425255.2014.942281. [DOI] [PubMed] [Google Scholar]
- Schultheiss N.; Newman A. Pharmaceutical Cocrystals and Their Physicochemical Properties. Cryst. Growth Des. 2009, 9, 2950–2967. 10.1021/cg900129f. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hughes L. D.; Palmer D. S.; Nigsch F.; Mitchell J. B. O. Why Are Some Properties More Difficult To Predict than Others? A Study of QSPR Models of Solubility, Melting Point, and Log P. J. Chem. Inf. Model. 2008, 48, 220–232. 10.1021/ci700307p. [DOI] [PubMed] [Google Scholar]
- Kumar S. S.; Thakuria R.; Nangia A. Pharmaceutical cocrystals and a nitrate salt of voriconazole. CrystEngComm 2014, 16, 4722–4731. 10.1039/c3ce42324g. [DOI] [Google Scholar]
- Li A.-Y.; Xu L.-L.; Chen J.-M.; Lu T.-B. Solubility and Dissolution Rate Enhancement of Triamterene by a Cocrystallization Method. Cryst. Growth Des. 2015, 15, 3785–3791. 10.1021/acs.cgd.5b00439. [DOI] [Google Scholar]
- Yao J.; Chen J.-M.; Xu Y.-B.; Lu T.-B. Enhancing the Solubility of 6-Mercaptopurine by Formation of Ionic Cocrystal with Zinc Trifluoromethanesulfonate: Single-Crystal-to-Single-Crystal Transformation. Cryst. Growth Des. 2014, 14, 5019–5025. 10.1021/cg5005819. [DOI] [Google Scholar]
- He H.; Zhang Q.; Wang J.-R.; Mei X. Structure, physicochemical properties and pharmacokinetics of resveratrol and piperine cocrystals. CrystEngComm 2017, 19, 6154–6163. 10.1039/c7ce01468f. [DOI] [Google Scholar]
- Shevchenko A.; Bimbo L. M.; Miroshnyk I.; Haarala J.; Jelínková K.; Syrjanen K.; van Veen B.; Kiesvaara J.; Santos H. A.; Yliruusi J. A new cocrystal and salts of itraconazole: Comparison of solid-state properties, stability and dissolution behavior. Int. J. Pharm. 2012, 436, 403–409. 10.1016/j.ijpharm.2012.06.045. [DOI] [PubMed] [Google Scholar]
- Yan Y.; Chen J.-M.; Geng N.; Lu T.-B. Improving the Solubility of Agomelatine via Cocrystals. Cryst. Growth Des. 2012, 12, 2226–2233. 10.1021/cg201423q. [DOI] [Google Scholar]
- Good D. J.; Rodríguez-Hornedo N. Solubility Advantage of Pharmaceutical Cocrystals. Cryst. Growth Des. 2009, 9, 2252–2264. 10.1021/cg801039j. [DOI] [Google Scholar]
- Shiraki K.; Takata N.; Takano R.; Hayashi Y.; Terada K. Dissolution Improvement and the Mechanism of the Improvement from Cocrystallization of Poorly Water-soluble Compounds. Pharm. Res. 2008, 25, 2581–2592. 10.1007/s11095-008-9676-2. [DOI] [PubMed] [Google Scholar]
- Aakeröy C. B.; Forbes S.; Desper J. Using Cocrystals To Systematically Modulate Aqueous Solubility and Melting Behavior of an Anticancer Drug. J. Am. Chem. Soc. 2009, 131, 17048. 10.1021/ja907674c. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Song J.-X.; Chen J.-M.; Lu T.-B. Lenalidomide–Gallic Acid Cocrystals with Constant High Solubility. Cryst. Growth Des. 2015, 15, 4869–4875. 10.1021/acs.cgd.5b00699. [DOI] [Google Scholar]
- Rodríguez-Hornedo N.; Nehm S. J.; Seefeldt K. F.; Pagán-Torres Y.; Falkiewicz C. J. Reaction Crystallization of Pharmaceutical Molecular Complexes. Mol. Pharmaceutics 2006, 3, 362–367. 10.1021/mp050099m. [DOI] [PubMed] [Google Scholar]
- Wang J.-R.; Ye C.; Zhu B.; Zhou C.; Mei X. Pharmaceutical cocrystals of the anti-tuberculosis drug pyrazinamide with dicarboxylic and tricarboxylic acids. CrystEngComm 2015, 17, 747–752. 10.1039/c4ce02044h. [DOI] [Google Scholar]
- Paluch K. J.; Tajber L.; Elcoate C. J.; Corrigan O. I.; Lawrence S. E.; Healy A. M. Solid-state characterization of novel active pharmaceutical ingredients: Cocrystal of a salbutamol hemiadipate salt with adipic acid (2:1:1) and salbutamol hemisuccinate salt. J. Pharm. Sci. 2011, 100, 3268–3283. 10.1002/jps.22569. [DOI] [PubMed] [Google Scholar]
- Cherukuvada S.; Babu N. J.; Nangia A. Nitrofurantoin–p-aminobenzoic acid cocrystal: Hydration stability and dissolution rate studies. J. Pharm. Sci. 2011, 100, 3233–3244. 10.1002/jps.22546. [DOI] [PubMed] [Google Scholar]
- Issemann I.; Green S. Activation of a member of the steroid hormone receptor superfamily by peroxisome proliferators. Nature 1990, 347, 645–650. 10.1038/347645a0. [DOI] [PubMed] [Google Scholar]
- Dreyer C.; Krey G.; Keller H.; Givel F.; Helftenbein G.; Wahli W. Control of the peroxisomal β-oxidation pathway by a novel family of nuclear hormone receptors. Cell 1992, 68, 879–887. 10.1016/0092-8674(92)90031-7. [DOI] [PubMed] [Google Scholar]
- Auwerx J.; Baulieu E.; Beato M.; Becker-Andre M. A unified nomenclature system for the nuclear receptor superfamily. Cell 1999, 97, 161–163. 10.1016/s0092-8674(00)80726-6. [DOI] [PubMed] [Google Scholar]
- Schoonjans K.; Staels B.; Auwerx J. The peroxisome proliferator activated receptors (PPARS) and their effects on lipid metabolism and adipocyte differentiation. Biochim. Biophys. Acta, Lipids Lipid Metab. 1996, 1302, 93–109. 10.1016/0005-2760(96)00066-5. [DOI] [PubMed] [Google Scholar]
- Willson T. M.; Brown P. J.; Sternbach D. D.; Henke B. R. The PPARs: From Orphan Receptors to Drug Discovery†. J. Med. Chem. 2000, 43, 527–550. 10.1021/jm990554g. [DOI] [PubMed] [Google Scholar]
- Auwerx J.; Schoonjans K.; Fruchart J.-C.; Staels B. Regulation of triglyceride metabolism by PPARs: fibrates and thiazolidinediones have distinct effects. Atheroscler. Thromb. 1996, 3, 81–89. 10.5551/jat1994.3.81. [DOI] [PubMed] [Google Scholar]
- Torra I. P.; Gervois P.; Staels B. Peroxisome proliferator–activated receptor alpha in metabolic disease, inflammation, atherosclerosis and aging. Curr. Opin. Lipidol. 1999, 10, 151–160. 10.1097/00041433-199904000-00009. [DOI] [PubMed] [Google Scholar]
- Fruchart J.-C.; Duriez P.; Staels B.; Zaworotko M. J. Peroxisome proliferator-activated receptor-alpha activators regulate genes governing lipoprotein metabolism, vascular inflammation and atherosclerosis. Curr. Opin. Lipidol. 1999, 10, 245–258. 10.1097/00041433-199906000-00007. [DOI] [PubMed] [Google Scholar]
- Vamecq J.; Latruffe N. Medical significance of peroxisome proliferator-activated receptors. Lancet 1999, 354, 141–148. 10.1016/s0140-6736(98)10364-1. [DOI] [PubMed] [Google Scholar]
- Oberfield J. L.; Collins J. L.; Holmes C. P.; Goreham D. M.; Cooper J. P.; Cobb J. E.; Lenhard J. M.; Hull-Ryde E. A.; Mohr C. P.; Blanchard S. G.; Parks D. J.; Moore L. B.; Lehmann J. M.; Plunket K.; Miller A. B.; Milburn M. V.; Kliewer S. A.; Willson T. M. A peroxisome proliferator-activated receptor γ ligand inhibits adipocyte differentiation. Proc. Natl. Acad. Sci. U.S.A. 1999, 96, 6102–6106. 10.1073/pnas.96.11.6102. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Wright H. M.; Clish C. B.; Mikami T.; Hauser S.; Yanagi K.; Hiramatsu R.; Serhan C. N.; Spiegelman B. M. A synthetic antagonist for the peroxisome proliferator-activated receptor gamma inhibits adipocyte differentiation. J. Biol. Chem. 2000, 275, 1873–1877. 10.1074/jbc.275.3.1873. [DOI] [PubMed] [Google Scholar]
- Yamauchi T.; Waki H.; Kamon J.; Murakami K.; Motojima K.; Komeda K.; Miki H.; Kubota N.; Terauchi Y.; Tsuchida A.; Tsuboyama-Kasaoka N.; Yamauchi N.; Ide T.; Hori W.; Kato S.; Fukayama M.; Akanuma Y.; Ezaki O.; Itai A.; Nagai R.; Kimura S.; Tobe K.; Kagechika H.; Shudo K.; Kadowaki T. Inhibition of RXR and PPARγ ameliorates diet-induced obesity and type 2 diabetes. J. Clin. Invest. 2001, 108, 1001–1013. 10.1172/jci12864. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Oliver W. R. Jr.; Shenk J. L.; Snaith M. R.; Russell C. S.; Plunket K. D.; Bodkin N. L.; Lewis M. C.; Winegar D. A.; Sznaidman M. L.; Lambert M. H.; Xu H. E.; Sternbach D. D.; Kliewer S. A.; Hansen B. C.; Willson T. M. A selective peroxisome proliferator-activated receptor δ agonist promotes reverse cholesterol transport. Proc. Natl. Acad. Sci. U.S.A. 2001, 98, 5306–5311. 10.1073/pnas.091021198. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Shin S.Pharmaceutical Composition. WO 2019004452 A1, 2019.
- Stanton M. K.; Bak A. Physicochemical Properties of Pharmaceutical Co-Crystals: A Case Study of Ten AMG 517 Co-Crystals. Cryst. Growth Des. 2008, 8, 3856–3862. 10.1021/cg800173d. [DOI] [Google Scholar]
- Stanton M. K.; Tufekcic S.; Morgan C.; Bak A. Drug Substance and Former Structure Property Relationships in 15 Diverse Pharmaceutical Co-Crystals. Cryst. Growth Des. 2009, 9, 1344–1352. 10.1021/cg8005019. [DOI] [Google Scholar]
- Cheney M. L.; Weyna D. R.; Shan N.; Hanna M.; Wojtas L.; Zaworotko M. J. Supramolecular Architectures of Meloxicam Carboxylic Acid Cocrystals, a Crystal Engineering Case Study. Cryst. Growth Des. 2010, 10, 4401–4413. 10.1021/cg100514g. [DOI] [Google Scholar]
- Dolomanov O. V.; Bourhis L. J.; Gildea R. J.; Howard J. A. K.; Puschmann H. OLEX2: a complete structure solution, refinement and analysis program. J. Appl. Crystallogr. 2009, 42, 339–341. 10.1107/s0021889808042726. [DOI] [Google Scholar]
- Palatinus L.; Chapuis G. SUPERFLIP - a computer program for the solution of crystal structures by charge flipping in arbitrary dimensions. J. Appl. Crystallogr. 2007, 40, 786–790. 10.1107/s0021889807029238. [DOI] [Google Scholar]
- Palatinus L.; van der Lee A. Symmetry determination following structure solution in P1. J. Appl. Crystallogr. 2008, 41, 975–984. 10.1107/s0021889808028185. [DOI] [Google Scholar]
- Palatinus L.; Prathapa S. J.; van Smaalen S. EDMA: a computer program for topological analysis of discrete electron densities. J. Appl. Crystallogr. 2012, 45, 575–580. 10.1107/s0021889812016068. [DOI] [Google Scholar]
- Sheldrick G. M. Crystal structure refinement with SHELXL. Acta Crystallogr., Sect. C: Struct. Chem. 2015, 71, 3–8. 10.1107/s2053229614024218. [DOI] [PMC free article] [PubMed] [Google Scholar]
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