Process for the production of crystalline forms of the lithium, potassium and magnesium salts of cytidindiphosphocholine, the crystalline forms thus obtained and their pharmaceutical use

Abstract: A process for the production of crystalline forms of salts of cytidindiphosphocholine (cyticholine) with monovalent cations of lithium (Li⁺) and potassium (K⁺) and with the bivalent cation of magnesium (Mg⁺⁺) is described. The process comprises the salification of the cyticholine in its form of free acid with the oxides, hydroxides, carbonates or bicarbonates of their cations and the crystallization of the salts with acetone. The new crystalline forms obtained can be advantageously used in the treatment of the diseases of the nervous system.

Description: The present invention relates to a process for the production of crystalline forms of salts of the acid molecule cytidindiphosphocholine (herebelow indicated as cyticholine) having the following general formula wherein Me⁺ indicates Li⁺, K⁺, or half Mg⁺⁺. Cyticholine is a normal metabolite present in the nervous tissue of man and of the other higher animals, where it acts as intermedium metabolite in the biosynthesis of phosphatidilcholines (lecithins) essential components of all the cell membranes and in particular of the nervous tissue (Balint et al, J. Lipid Research, 8 , 486 (1967)). Cyticholine also influences indirectly the biosynthesis of other phospholipids, of the ribonucleic acid and of the proteins of the nervous tissue, controls the ATP-asic activity, the mitochondrial respiration, the lipemia and the aggreggation of blood platelets. Cyticholine has been used for more than ten years, under the form of sodic salt, and in parenteral administration, in the therapy of various traumatic, organic and functional disorders of the central nervous system: aftereffects and disorders of the consciousness as a result of cerebral injuries, of operations on the brain and of serious cerebral alterations, such as cerebral haemorrhage, thrombosis and infarcts; cerebral arteriosclerosis; Parkinson's disease; senile dementia; depressions (J. Am. Med. Assoc. No. 1, January 1986). In the normally used dosages in the intramuscular and intravenous therapy, up to mg 1000 pro dose, the use of the sodic salt of cyticholine can give rise to disturbances due to electrolytical unbalance, particularly in cardiopathic subjects, in which the heavy introduction of the cation sodium may give rise to a worsening of the pathological pattern. Cyticholine salts with other cations are not described in the present state of the art; this is due to the fact that the salification with other alkaline or alkaline earth bases leads, after drying, to syrupy or vitreous products, which do not show a crystalline solid form. Also the use of mixtures of solvents leads to the formation of a biphasic liquid system. This makes the application and storage of the product difficult and moreover makes the dosage of the same more difficult. It has now been surprisingly found that a process comprising a treatment step with acetone of the not completely dried syrup obtained after evaporation of the water solution obtained from the salification of the acid cyticholine with a suitable alkaline or alkaline earth base, makes possible the production of crystalline forms of the lithium, potassium and magnesium salts of cyticholine. Subject of the present invention is therefore a process for the production of crystalline forms of potassium, lithium and magnesium salts of cytidindiphosphocholine (cyticholine) through reaction in water solution of stoichiometric quantities of cytidindiphosphocholine in acid form, and of an oxide, hydroxide, carbonate or bicarbonate of potassium, lithium or magnesium until, after a non complete evaporation, a non completely dried, syrupy reaction product is obtained, characterized in that: a) said reaction product is treated with acetone up to the formation of a precipitate; and b) said formed precipitate is separated through filtration, washed another time with acetone and then vacuum dried. According to the process of the present invention crystalline forms, well defined from a chemical standpoint, easily water soluble, are obtained, which can usefully substitute the sodic salt of cyticholine showing even advantages due to the specific pharmacological activity of the individual cations used, at the same time allowing optimal storage and dosage of the product obtained. The crystalline form of the potassic salt of cyticholine can be particularly used in conditions of hypopotassemia, such as the conditions resulting from the use of diuretics, especially if associated to drugs containing digitalis in cardiopathic patients. The crystalline form of the magnesium salt of cyticholine can be used in view of the sedative action of magnesium when administered parenterally and in view of the choleretic action when administered orally. The crystalline form of the lithium salt of cyticholine can be used for the anti-depressant activity of the lithium cation. Obviously, all the specific pharmacological activities of the individual cations used join up to the eutrophic action on the nervous system of cyticholine and to its various above referred uses in the pharmaceutical field. According to the process of the present invention, crystalline forms of alkaline and alkaline earth salts of cyticholine are available which show a pharmacological activity more specific than that of the commonly used sodium salt, said crystalline forms being adaptable to particular pathological conditions in which the sodic salt is not suitable. Example of production Crystalline form of the potassic salt of cyticholine. A water solution of acid cyticholine, obtained by the repeated passage of a solution of sodic cyticholine on a cationic exchanger resin, is neutralized with the equivalent quantity of potassium carbonate or bicarbonate; the solution obtained is evaporated at reduced pressure up to a syrupy but not yet vitreous consistency. The syrup thus obtained is slowly treated under agitation with an excess of acetone: a microcrystalline precipitate is formed which is collected on a filter, washed with acetone and dried under vacuum. The yield is about 95%. The crystalline form of the potassium salt of cyticholine is soluble in 0,5 parts of water. It is deliquescent. Crystalline form of the magnesium salt of cyticholine Following the process described for the preparation of the crystalline form of the potassium salt, but using a magnesium oxide, the crystalline form of the magnesium salt of cyticholine is obtained, which is soluble in 1 part of water. Crystalline form of the lithium salt of cyticholine Following the process described for the production of the potassium salt, but this time using lithium hydroxide, the crystalline form of the lithium salt of cyticholine is obtained, which is soluble in 1 part of water. It is to be pointed out that these salts in solid crystalline form cannot be obtained using any one of the traditional methods of crystalization: neither starting from hydroalcoholic solutions (from which the sodic salt easily crystalizes), nor starting from a mixture of water with other organic solvents, mixable with water. When a fixed concentration of organic solvent is reached clouding and separation of a second liquid phase which is dense and syrupy, are observed. Said phase solidifies neither upon cooling nor upon addition of a primer. The crystalline forms of the salts of cyticholine produced according to the process of the present invention can be used in injectable preparations in a sterile water solution for parenteral administration (intramuscular or intravenous) or in preparations for oral administration (capsules, pills, solutions) or rectal administration (suppositories).

Claims: A process for the production of crystalline forms of potassium, lithium or magnesium salts of cytidindiphosphocholine through reaction in water solution of stoichiometric quantities of cytidindiphosphocholine, under the form of an acid and of an oxide, hydroxide, carbonate or bicarbonate of potassium, lithium or magnesium until a syrupy reaction product not completely dried is obtained, after a non complete evaporation, characterized by the fact that: a) said reaction product is treated by acetone under agitation up to the formation of a precipitate; and b) said precipitate is separated through filtration, washed with acetone and dried under vacuum. Crystalline form of the potassium salt of cytidindiphosphocholine obtained according to the process as claimed in claim 1. Crystalline form of the lithium salt of cytidindiphosphocholine obtained according to the process as claimed in claim 1. Crystalline form of the magnesium salt of cytidindiphosphocholine obtained according to the process as claimed in claim 1. Use of the crystalline form of the potassium salt of cytidindiphosphocholine as claimed in claim 2, for the production of a drug for the treatment of patients under the necessity of cytidindiphosphocholine and moreover of potassium and unable to tolerate a high dosage of sodium. Use of the crystalline form of the lithium salt of cytidindiphosphocholine as claimed in claim 3, for the production of a drug for the treatment of patients under the necessity of cytidindiphosphocholine and moreover of lithium. Use of the crystalline form of the magnesium salt of cytidindiphosphocholine as claimed in claim 4, for the production of a drug for the treatment of patients under the necessity of cytidindiphosphocholine and moreover of magnesium and unable to tolerate a high dosage of sodium.

Inventors: CASINI GIOVANNI, CASINI, GIOVANNI
Applicants: NUOVO CONSOR SANITAR NAZIONALE, NUOVO CONSORZIO SANITARIO NAZIONALE DEL DOTT. PAOLO MALIZIA & C. - S.A.S.
Application year: 1989
Main classification: C07H19
IPC codes: C07H19