Patent Description:
In further embodiment, the disclosure relates to the regulation of release behavior of the oral formulation of the glucokinase activator in human body, so as to achieve the purpose of exerting better efficacy and reduced side effects. The modified release of the oral formulation of the glucokinase activator disclosed herein in human body matches the pharmacokinetics (PK) with the pharmacodynamics (PD) (PK/PD Correlation) during disease treatment. The modified release includes the modified release of the oral formulation of the glucokinase activator in gastrointestinal tract of human body and the rapid release of the oral formulation of the glucokinase activator in small intestine of human body. The disclosure relates to the solid dispersion of the glucokinase activator used in the oral formulation of the glucokinase activator, the composition of the solid dispersion of the glucokinase activator and the preparation method thereof, as well as the types of the polymer carriers. The disclosure further relates to the preparation method of the oral formulation of the glucokinase activator.

The disclosure relates to the use of the oral formulation of the glucokinase activator, solid dispersion and solid dispersion composition, for treating and/or preventing selected diseases and medical disorders, particularly one or more diseases selected from the group consisting of type I diabetes, type II diabetes, impaired glucose tolerance, impaired fasting glucose and hyperglycemia. In addition, the disclosure relates to a method of treating and/or preventing said diseases and medical disorders, comprising administering a therapeutically effective amount of the oral formulations disclosed herein, including the oral modified release formulation, to a patient in need thereof.

Diabetes mellitus has become a prevalent disease worldwide, with <NUM> million patients over the world, and <NUM> million patients in China (International Diabetes Federation, Diabetes Atlas, <NUM>). Type II diabetes, i.e., non-insulin dependent diabetes mellitus (NIDDM), accounts for more than <NUM>% of the patients with diabetes. This is a hyperglycemic, chronic, metabolic dysfunction resulting from an imbalance of blood glucose homeostasis in human body caused by insulin secretion disorder and insulin resistance. The blood glucose balance of the human body is mainly coordinated by two hormones that control blood glucose, including insulin and glucagon. GLP-<NUM> (glucagon-like peptide-<NUM>) is involved in the regulation of insulin secretion, and is also a molecular factor and a therapeutic drug for diabetes that plays an important role in the blood glucose balance in human body. Insulin and GLP-<NUM> analogues have become important drugs for the treatment of diabetes.

Glucokinase (GK) is hexokinase isoform IV (<NPL>), and the change of its activity is regulated by the glucose concentration. It can sense the change of glucose concentration in the body, regulate the secretion of hormones of glucose metabolism, including insulin, glucagon and GLP-<NUM>, and meanwhile rapidly convert the glucose uptaken after meal into hepatic glycogen in liver to maintain blood sugar balance. Glucokinase therefore plays a central role in stabilizing the blood glucose balance in human body. Maturity-onset type II diabetes (MODY-<NUM>) is a functional impairment caused by functional mutation of the glucokinase gene, making the mutated glucokinase to be activated with higher concentrations of glucose. This impairs the glucose-stimulated insulin secretion function in islets of patients, and reduces the ability of hepatic glycogen synthesis, and finally resulting in hyperglycemia. Studies have shown that the expression and function of glucokinase in the liver and islets of patients with type II diabetes are significantly lower than those in healthy population. Therefore, up-regulating the activity of glucokinase in diabetic patients is beneficial for the treatment of hyperglycemia and type II diabetes caused by impaired glucose tolerance.

Glucokinase is mainly distributed in the liver, which rapidly converts glucose into hepatic glycogen for storage in response to elevated blood glucose, and meanwhile lowering the glucose level in the blood. Glucokinase is expressed in endocrine cells, alpha cells and beta cells of islets, and L cells in the gut, and is a major functional protein that regulates the secretion of glucagon, insulin, and GLP-<NUM> stimulated by glucose. Glucokinase activators are developed according to the characteristics of this target, which are capable of systematically stabilizing the blood glucose level in the body by improving the sensitivity of alpha cells, beta cells and L cells to the changes of glucose concentration; improving the secretion functionality of insulin, glucagon and GLP-<NUM> regulated by glucose; regulating hepatic glucose export to promote hepatic glycogen synthesis and other synergistic mechanisms. Glucokinase activators have become one of the most popular targets for the development of new drugs for type II diabetes (type <NUM> diabetes) (<NPL>).

Decreased expression and function of glucokinase causes early-phase insulin secretion disorders and hepatic glycogen generation disorders. Drugs for diabetes in current clinical use, including insulin, cannot solve this problem. There is a clinical need to be met in the field of diabetes. (S)-<NUM>-[<NUM>-(<NUM>-chloro-phenoxy)-<NUM>-oxo-<NUM>,<NUM>-dihydro-pyrrol-<NUM>-yl]-<NUM>- methyl-pentanoic acid [<NUM>-((R)-<NUM>,<NUM>-dihydroxy-propyl)-lH-pyrazol-<NUM>-yl]-amide (hereinafter referred to as HMS5552) is currently the most promising drug for diabetes treatment that may meet the above mentioned clinical needs. Oral hypoglycemic drugs are the first choice for clinical use because of their ease of administration and portability as well as safety. The novel drugs of the glucokinase activator are also suitable for oral formulations, especially oral solid formulations. Oral formulations can be categorized into oral solid formulations and oral liquid formulations. The oral solid formulations include tablets, capsules, granules, powders, lozenges, pills, and the like.

<CIT> discloses in-vivo studies for determining the glucokinase activity, the study comprising the oral administration of a glucokinase activator formulation comprising (S)-<NUM>-[<NUM>-(<NUM>-chloro-phenoxy)-<NUM>-oxo-<NUM>,<NUM>-dihydro-pyrrol-l-yl]-<NUM>-methylpentanoic acid [<NUM>-((R)-<NUM>,<NUM>-dihydroxy-propyl)-lH-pyrazol-<NUM>-yl]-amide (HMS5552) or (S)-<NUM>-[<NUM>(<NUM>-chloro-phenoxy)-<NUM>-oxo-<NUM>,<NUM>-dihydro-pyrrol-l-yl]-<NUM>-methyl-pentanoic acid [<NUM>-((S)-<NUM>,3dihydroxypropyl)-lH-pyrazol-<NUM>-yl]-amide in ethanol : Gelucire ® <NUM>/<NUM> : PEG400 to mice.

In combination of the characteristics of blood glucose fluctuations in diabetic patients throughout the day, including regulation of fasting and postprandial blood glucose, the target and mechanism of glucokinase, its distribution in human body, and function of blood glucose regulating sensor, etc., the inventors design and provide an oral formulation suitable for glucokinase activators, in which the pharmacokinetics (PK) and pharmacodynamics (PD) are matched (PK/PD Correlation).

Since the major targeting organs of the glucokinase distribute in the liver, pancreas and intestine, the present disclosure contemplates to achieve a timely or simultaneous activation of the targeting each target organ by the glucokinase activator, thereby ensuring the efficacy and safety of the drug.

The oral formulation of the glucokinase activator of the present disclosure is designed to: <NUM>) achieve an appropriately reduced release in stomach, and a rapid release in small intestine; <NUM>) utilize the intestinal pH environment to regulate the release and absorption of the glucokinase activator. The rapid release of the glucokinase activator in human small intestine is beneficial to the timely or simultaneous arrival of drugs in the gut, islets and liver target organs, achieving a multi-point target, synergistic hypoglycemic clinical advantage, and exhibiting a better therapeutic effect and reduced toxic or side effects.

Accordingly, one object of the disclosure is to provide an oral formulation of the glucokinase activator, in particular, an oral, modified release formulation, and the preparation method thereof, wherein the formulation comprises a solid dispersion of the glucokinase activator and excipients.

Another object of the disclosure is a solid dispersion comprising the glucokinase activator, including the composition of the solid dispersion, the preparation method, and the types of polymer carriers.

Another object of the disclosure is a solid dispersion composition comprising the glucokinase activator, including the solid dispersion of the disclosure and excipients.

A further object of the disclosure is to provide a method and use for the treatment and/or prevention of one or more diseases selected from the group consisting of type I diabetes, type II diabetes, impaired glucose tolerance, impaired fasting glucose and hyperglycemia, comprising using the oral formulation of the glucokinase activator, including the oral, modified release formulation, the solid dispersion or the solid dispersion composition.

Other objects of the disclosure will be apparent to those skilled in the art from the description and examples.

The present invention provides a solid dispersion according to claim <NUM>, a tablet according to claim <NUM>, a capsule according to claim <NUM>, a method of preparing the solid dispersion according to claim <NUM> and a method of preparing the tablet according to claim <NUM>.

As used herein, the term "about" means ±<NUM>% of the specified value.

Weight % (wt%) means the weight percent relative to the total weight of the solid dispersion.

Solid dispersion (SD) means a solid dispersion system generated by dispersing one or more pharmaceutical active ingredients into inactive adjuvants or carriers. In the solid dispersion, the drugs in the carriers are in the form of molecule, colloid, microcrystalline, amorphous or the mixture thereof, and the like (<NPL>). Depending on the distribution of the drug molecules in the solid carriers, the type of solid dispersion includes: a co-melting mixture; a solid solution, including a continuous solid solution and a discontinuous solid solution; a substitutional crystallization solution; a gap-type crystallization solution; an amorphous solid solution; glassy solution, and glassy suspension, etc. (<NPL>). Solid dispersion can be prepared by solid hot melt extrusion, liquid spray drying, and melt-solvent methods, and the like (<NPL>).

EUDRAGIT® is the trade name of a synthetic pharmaceutical adjuvant, which includes methacrylic acid copolymer and methacrylate copolymer, commonly known as polyacrylic resins. Polyacrylic resins are classified into different models depending on their composition, ratio and degree of polymerization. Among them, Eudragit® E is a polymer of dimethylaminoethyl methacrylate and methacrylate; Eudragit® L is a polymer of methacrylic acid and methyl methacrylate, wherein free carboxyl: ester = <NUM>:<NUM>, Eudragit® S is a polymer of methacrylic acid and methyl methacrylate, wherein free carboxyl: ester = <NUM>:<NUM>.

The terms "effective amount" or "therapeutically effective amount" refer to an amount of the agent sufficient to provide the desired biological result. The biological result may be a reduction and/or alleviation of the signs, symptoms, or causes of a disease, or any other desired alteration of a biological system. For example, an "effective amount" for therapeutic use is the necessary amount of the composition comprising a compound as disclosed herein for providing a clinically significant decrease in a disease. An appropriate "effective" amount in any individual embodiment may be determined by one of ordinary skill in the art using routine experimentation. Thus, the expression "effective amount" generally refers to the quantity for which the active substance has therapeutic effects.

As used herein, the terms "treat" or "treatment" are synonymous with the term "prevent" and are meant to indicate a postponement of development of diseases, preventing the development of diseases, and/or reducing severity of such symptoms that will or are expected to develop. Thus, these terms include ameliorating existing disease symptoms, preventing additional symptoms, ameliorating or preventing the underlying metabolic causes of symptoms, inhibiting the disorder or disease, e.g., preventing the development of the disorder or disease, relieving the disorder or disease, causing a regression of the disorder or disease, relieving a condition caused by the disease or disorder, or stopping the symptoms of the disease or disorder.

By "pharmaceutically acceptable" or "pharmacologically acceptable", it is meant a material which is not biologically or otherwise undesirable, i.e., the material may be administered to an individual without causing a minimum of undesirable biological effects or interacting in a deleterious manner with any of the components of the composition in which it is contained.

As used herein, the term "subject" encompasses mammals and non-mammals. Examples of mammals include, but are not limited to, any member of the mammalian class: humans, non-human primates such as chimpanzees, and other apes and monkey species; farm animals such as cattle, horses, sheep, goats, swine; domestic animals such as rabbits, dogs, and cats; laboratory animals including rodents, such as rats, mice and guinea pigs, and the like. Examples of non-mammals include, but are not limited to, birds, fish and the like. In one embodiment of the present disclosure, the mammal is a human.

The compounds that can be used as the active ingredient of the present solid dispersion of the glucokinase activator can form salts which are also within the scope of this disclosure. Reference to a compound disclosed herein is understood to include reference to salts thereof, unless otherwise indicated. The term "salt(s)", as used herein, denotes acidic salts formed with inorganic and/or organic acids, as well as basic salts formed with inorganic and/or organic bases. In addition, when a compound contains both a basic moiety, such as, but not limited to a pyridine or imidazole, and an acidic moiety, such as, but not limited to a carboxylic acid, zwitterions ("inner salts") may be formed and are included within the term "salt(s)" as used herein. Pharmaceutically acceptable (i.e., non-toxic, physiologically acceptable) salts are preferred, although other salts are also useful. Salts of the compounds may be formed, for example, by reacting the compound disclosed herein with an amount of acid or base, such as an equivalent amount, in a medium such as a medium from which the salt precipitates or in an aqueous medium (lyophilization after reaction).

Various compound and the salts, solvates, esters and prodrugs thereof, and their polymorphs thereof are intended to be included in the disclosure.

It is to be understood that the terminology employed herein is for the purpose of describing particular embodiments, and is not intended to be limiting. Further, although any methods, devices and materials similar or equivalent to those described herein can be used in the practice or testing of the invention, the preferred methods, devices and materials are now described.

As used herein, the term "alkyl", alone or in combination with other groups, refers to a branched or straight monovalent saturated aliphatic hydrocarbon radical of one to twenty carbon atoms, preferably one to sixteen carbon atoms, more preferably one to ten carbon atoms.

The term "lower alkyl", alone or in combination with other groups, refers to a branched or straight alkyl radical of one to nine carbon atoms, preferably one to six carbon atoms. This term is further exemplified by radicals such as methyl, ethyl, n-propyl, isopropyl, n-butyl, s-butyl, isobutyl, t-butyl, n-pentyl, <NUM>-ethylpropyl, <NUM>-methylbutyl, n-hexyl, <NUM>-ethylbutyl and the like. Especially preferred are methyl and ethyl.

As used herein, the term "lower alkenyl", alone or in combination with other groups, refers to a straight or branched hydrocarbon group of one to nine carbon atoms, preferably one to six carbon atoms having an olefinic bond. Preferred lower alkenyl is <NUM>-propenyl.

The term "cycloalkyl" refers to a monovalent mono- or polycarbocyclic radical of three to ten, preferably three to seven carbon atoms and more preferably four to six carbon atoms. This term is further exemplified by radicals such as cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, cycloheptyl, bomyl, adamantyl, bicyclo[<NUM>. <NUM>]heptyl, indenyl and the like. In a preferred embodiment, "cycloalkyl" means cyclobutyl, cyclopentyl or cyclohexyl.

The term "heterocyclyl" denotes a mono- or polycyclic saturated ring, wherein one, two or three of the carbon ring atoms is replaced by a heteroatom such as N, O or S. Examples of heterocyclyl groups include, but are not limited to, morpholinyl, thiomorpholinyl, piperazinyl, piperidinyl, pyrrolidinyl, tetrahydropyranyl, tetrahydrofuranyl, <NUM>,<NUM>-dioxanyl and the like. Preferred heterocyclyl groups are pyrrolidinyl, piperidinyl, morpholinyl or tetrahydropyranyl. The heterocyclyl groups may be unsubstituted or substituted and attachment may be through their carbon frame or through their heteroatom(s) where appropriate, with the understanding that said substituents are not, in turn, further substituted unless indicated otherwise in the Examples or claims below.

The term "aryl" refers to an aromatic mono- or polycarbocyclic radical of <NUM> to <NUM> carbon atoms having at least one aromatic ring. Examples of such groups include, but are not limited to, phenyl, naphthyl, <NUM>,<NUM>,<NUM>,<NUM>-tetrahydronaphtalene, <NUM>,<NUM>-dihydronaphtalene, indanyl, lH-indenyl and the like. Preferred aryl groups are phenyl or naphthyl, with phenyl being especially preferred.

The term "heteroaryl" refers to an aromatic mono- or polycyclic radical of <NUM> to <NUM> atoms having at least one aromatic ring containing one, two, or three ring heteroatoms selected from N, O, and S, with the remaining ring atoms being C. One or two ring carbon atoms of the heteroaryl group may be replaced with a carbonyl group. Preferred heteroaryl rings are selected from the group consisting of pyrrolyl, pyrazolyl, imidazolyl, triazolyl, tetrazolyl, oxazolyl, oxadiazolyl, isoxazolyl, thiadiazolyl, thiazolyl, furanyl, thienyl, pyranyl, pyridyl, pyrazinyl, pyrimidinyl, pyridazinyl, indolyl, isoindolyl, indazolyl, <NUM>-azaindolyl, quinolinyl, isoquinolinyl, cinnolinyl, pyrazolo[l,<NUM>-a]pyridyl, imidazo[l,<NUM>-a]pyridyl, quinoxalinyl, benzofuranyl, benzoxazinyl, benzothiazolyl, benzotriazolyl, chromenyl, chromanyl, isochromanyl, coumarinyl, isocoumarinyl and benzopyranyl. Preferred heteroaryl groups are selected from the group consisting of <NUM>H-pyrazol-<NUM>-yl, thiazol-<NUM>-yl, [<NUM>,<NUM>,<NUM>]thiadiazol-<NUM>-yl, [<NUM>,<NUM>,<NUM>]thiadiazol-<NUM>-yl, pyridyl, pyrazinyl and pyrimidinyl.

The term "heteroaryl," refers to an aromatic mono- or polycyclic radical of <NUM> to <NUM> atoms having at least one aromatic ring containing one, two, or three ring heteroatoms selected from N, O, and S, with the remaining ring atoms being C. One or two ring carbon atoms of the heteroaryl group may be replaced with a carbonyl group.

As used herein, the term "lower alkoxy" means the group R'-O-, wherein R' is lower alkyl and the term "lower alkyl" has the previously given definition. Examples of lower alkoxy groups are methoxy, ethoxy, n-propoxy, isopropoxy, n-butoxy, isobutoxy, sec-butoxy and tert-butoxy, preferably methoxy and ethoxy.

The term "lower alkoxyalkyl" refers to the group -R''-O-R', wherein R' signifies a lower alkyl group as defined herein before and R" represents a lower alkylene group such as methylene, ethylene or propylene. Examples of lower alkoxyalkyl groups are methoxymethyl or <NUM>-methoxy-ethyl.

As used herein, the term "halogen" means a fluorine, chlorine, bromine or iodine radical, preferably a fluorine, chlorine or bromine radical, and more preferably a fluorine or chlorine radical.

The term "lower haloalkyl" refers to lower alkyl groups as defined above wherein at least one of the hydrogen atoms of the lower alkyl group is replaced by a halogen atom, preferably fluoro or chloro, most preferably fluoro. Among the preferred halogenated lower alkyl groups are trifluoromethyl, difluoromethyl, trifluoroethyl, <NUM>,<NUM>-difluoroethyl, fluoromethyl and chloromethyl, with trifluoromethyl being especially preferred.

The term "carboxyl" means the group -COOH, whereas the term "aminocarbonyl" refers to the group -CO-NH<NUM>.

The term "lower alkoxycarbonyl" refers to the group -CO-OR' wherein R' is lower alkyl and the term "lower alkyl" has the previously given definition. Preferred lower alkoxycarbonyl groups are methoxycarbonyl or ethoxycarbonyl.

"lower alkylthioalkyl" refers to the group -R"-S-R', wherein R' is lower alkyl as defined above, and R" represents lower alkylene such as methylene, ethylene and propylene. Instances of lower alkylthioalkyl is methylthiomethyl or <NUM>-methylthio-ethyl.

"Lower alkoxycarbonylamino" refers to a group -NH-CO-OR', wherein R' is lower alkyl.

The term "lower alkenyloxycarbonyl" refers to a group -CO-OR*, wherein R* is a lower alkenyl group. A preferred "lower alkenyloxycarbonyl" group is <NUM>-propen-<NUM>-yloxycarbonyl or allyloxycarbonyl.

As used herein, the term "lower alkanoyl" means a group -CO-R' wherein R' is lower alkyl and the term "lower alkyl" has the previously given definition. Preferred lower alkanoyl group is acetyl.

Compounds used as active ingredients have one or more asymmetric carbon atoms and can exist in the form of optically pure enantiomers, mixtures of enantiomers such as, for example, racemates, optically pure diastereoisomers, mixtures of diastereoisomers, diastereoisomeric racemates or mixtures of diastereoisomeric racemates. The optically active forms can be obtained for example by resolution of the racemates, by asymmetric synthesis or asymmetric chromatography (chromatography with a chiral adsorbents or eluent). The disclosure embraces all of these forms.

The dose of the compound of the present disclosure depends on a number of factors, such as, for example, the manner of administration, the age and the body weight of the patient, and the condition of the patient to be treated, and ultimately will be decided by the attending physician or veterinarian. Such an amount of the active compound as determined by the attending physician or veterinarian is referred to herein, and in the claims, as a "therapeutically effective amount". For example, the dose of the compound of the present disclosure is typically in the range of about <NUM> to about <NUM> per day. Preferably, the therapeutically effective amount is in an amount of from about <NUM> to about <NUM> per day.

The preparation methods of solid dispersion include melting method, solvent method, solvent-melting method, spray drying method, freeze drying method, grinding method, and the like. Melting method refers to mixing and melting a drug with a carrier material and rapidly cooling to solid, and then placing the solid at a certain temperature to become a fragile substance, such as a dropping pill. The method is suitable for thermally stable drugs and for carrier materials with low melting point and poorly solubility in an organic solvent, such as PEG, citric acid, sugar, and the like. The solvent method is also called co-precipitation method, which means that the drug and the carrier are co-dissolved in an organic solvent and then the solvent is evaporated, so that the drug and the carrier material are precipitated simultaneously. The solid dispersion of the drug and the carrier material is thus obtained after drying. The method is suitable for the carrier materials which are volatile, thermally unstable, and soluble in organic solvents.

Spray drying is a method in which fluidized technology is applied for drying liquid materials. The basic principle is that the liquid material system (solution, suspension, emulsion, etc.) is atomized by gas in a drying tower (chamber). By contacting with hot air, moisture (solvent) is rapidly vaporized, and finally a dried powder product is obtained. The method can be used directly to dry a solution, a suspension, an emulsion and the like into a powdery or granular product, thereby eliminating the procedures of evaporation and pulverization.

Spray drying method includes pressure spray drying, centrifugal spray drying and airflow spray drying.

Spray drying methods are widely used in the food industry (such as milk powder), pharmaceutical industry (drying of Traditional Chinese Medicine, solid dispersion preparation, particle size reduction, etc.), chemical industry, plastics industry and ceramics production.

The disclosure relates to the modified release technique of the glucokinase activator. Particularly, the disclosure relates to the design and preparation of the oral formulation of the glucokinase activator. The oral formulation, preferably an oral, modified release formulation, and further preferably an oral, modified release, solid formulation, is released in a small amount in gastric juice, but rapidly released and gradually absorbed in the intestinal tract, so that the pharmacokinetics (PK) is matched with the pharmacodynamics (PD) (PK/PD Correlation) in human body. The plasma concentration versus time cure (C~t curve) in human body has an inverted U shape.

In one embodiment, the disclosure relates to a solid dispersion, which comprises the glucokinase activator, or isotope labeled analogues thereof or pharmaceutically acceptable salts thereof and polymer carriers.

In one embodiment, the disclosure relates to a solid dispersion, wherein the glucokinase activator is a compound of formula (Ia),
<CHM>
wherein:.

In one embodiment, the disclosure relates to a solid dispersion, wherein the glucokinase activator is selected from the following compounds, or isotope labeled analogues or pharmaceutically acceptable salts thereof:.

In one embodiment, the disclosure relates to a solid dispersion, wherein the glucokinase activator is the compound HMS5552, or isotope labeled analogues or pharmaceutically acceptable salts thereof:
<CHM>.

In one embodiment, the disclosure relates to a solid dispersion, wherein the glucokinase activator is selected from the group consisting of:
<CHM>
<CHM>
<CHM>
<CHM>
<CHM>
<CHM>
or isotope labeled analogues or pharmaceutically acceptable salts thereof.

In one embodiment, the disclosure relates to a solid dispersion, wherein the glucokinase activator is selected from the group consisting of TTP399, PF-<NUM>, RO4597014 and LY2608204, or isotope labeled analogues or pharmaceutically acceptable salts thereof.

In one embodiment, the disclosure relates to a solid dispersion, wherein the polymer carriers are controlled release carriers.

In one embodiment, the disclosure relates to a solid dispersion, wherein the polymer carriers are polyacrylic resin polymers.

In one embodiment, the disclosure relates to a solid dispersion, wherein the polymer carriers are selected from the group consisting of methacrylic acid copolymer and methacrylate copolymer.

In one embodiment, the disclosure relates to a solid dispersion, wherein the polymer carriers are selected from the group consisting of copolymer of butyl methacrylate, dimethylaminoethyl methacrylate and methyl methacrylate; copolymer of methacrylic acid and ethyl acrylate; copolymer of methacrylic acid and methyl methacrylate; copolymer of ethyl acrylate, methyl methacrylate and chlorotrimethylamino ethyl methacrylate; copolymer of ethyl acrylate and methyl methacrylate; copolymer of methacrylic acid, methyl acrylate and methyl methacrylate; copolymer of methacrylic acid and butyl acrylate.

In one embodiment, the disclosure relates to an oral formulation of the glucokinase activator, wherein the polymer carriers are selected from the group consisting of butyl methacrylate, copolymer of dimethylaminoethyl methacrylate and methyl methacrylate (<NUM>:<NUM>:<NUM>), copolymer of methacrylic acid and ethyl acrylate (<NUM>:<NUM>), copolymer of methacrylic acid and methyl methacrylate (<NUM>:<NUM>), copolymer of ethyl acrylate, methyl methacrylate and chlorotrimethylamino ethyl methacrylate (<NUM>:<NUM>:<NUM>), copolymer of ethyl acrylate, methyl methacrylate, and chlorotrimethylamino ethyl methacrylate (<NUM>:<NUM>:<NUM>), copolymer of ethyl acrylate and methyl methacrylate (<NUM>:<NUM>), copolymer of methacrylic acid and butyl acrylate (<NUM>:<NUM>), copolymer of methacrylic acid and methyl methacrylate (<NUM>:<NUM>), copolymer of methacrylic acid and methyl methacrylate (<NUM>:<NUM>), copolymer of methacrylic acid and methyl methacrylate (<NUM>:<NUM>).

In one embodiment, the disclosure relates to a solid dispersion, wherein the polymer carrier is selected from Eudragit®.

In one embodiment, the disclosure relates to a solid dispersion, wherein the polymer carriers are selected from the group consisting of Eudragit® E, Eudragit® L, Eudragit® S.

In one embodiment, the disclosure relates to a solid dispersion, wherein the polymer carriers are selected from the group consisting Eudragit® L100, Eudragit® S <NUM>, Eudragit® E PO, Eudragit® E100 and Eudragit® L100-<NUM>.

In one embodiment, the disclosure relates to a solid dispersion, wherein the polymer carriers are Eudragit® L100, i.e., methacrylic acid copolymer A TYPE, which is anion copolymer of methacrylic acid and methyl methacrylate (<NUM>:<NUM>).

In one embodiment, the disclosure relates to a solid dispersion, wherein the weight ratio of the glucokinase activator to polymer carriers is <NUM>:<NUM> to <NUM>:<NUM>.

In one embodiment, the disclosure relates to a solid dispersion, wherein the weight ratio of the glucokinase activator to polymer carriers is <NUM>:<NUM> to <NUM>:<NUM>, <NUM>:<NUM> to <NUM>:<NUM>, <NUM>:<NUM> to <NUM>:<NUM>, <NUM>:<NUM> to <NUM>:<NUM>, <NUM>:<NUM> to <NUM>:<NUM>, <NUM>:<NUM> to <NUM>:<NUM> or <NUM>:<NUM> to <NUM>:<NUM>.

In one embodiment, the disclosure relates to a solid dispersion, wherein the weight ratio of the glucokinase activator to polymer carriers is <NUM>:<NUM>.

In one embodiment, the disclosure relates to a solid dispersion, wherein the amount of the glucokinase activator accounts for <NUM> weight% to <NUM> weight% of the solid dispersion.

In one embodiment, the disclosure relates to a solid dispersion, wherein the amount of the glucokinase activator accounts for <NUM> weight% of the solid dispersion.

In one embodiment, the disclosure relates to a solid dispersion, wherein the amount of polymer carriers accounts for <NUM> weight% to <NUM> weight% of the solid dispersion.

In one embodiment, the disclosure relates to a solid dispersion, wherein the solid dispersion is obtained by spray drying.

In one embodiment, the disclosure relates to a solid dispersion composition, which comprises the solid dispersion of the disclosure and excipients.

In one embodiment, the disclosure relates to a solid dispersion composition, wherein the excipients are selected from one or more consisting of diluent, sweeteners or flavoring agents, surfactants, fillers, binders, disintegrants, lubricants, glidant/antiadherents, release modifiers, stabilizers, coating agents, emulsifier and/or solubilizer, and perfumes.

In one embodiment, the disclosure relates to an oral formulation of the glucokinase activator, which comprises the solid dispersion or the solid dispersion composition.

In one embodiment, the disclosure relates to an oral formulation of the glucokinase activator, which is the oral, modified release formulation of the glucokinase activator.

In one embodiment, the disclosure relates to an oral formulation of the glucokinase activator, which is the oral, modified release, solid formulation of the glucokinase activator.

In one embodiment, the disclosure relates to an oral formulation of the glucokinase activator, wherein the oral, modified release, solid formulation of the glucokinase activator is selected from the group consisting of tablet, capsule, granule, powder, lozenge and pill.

In one embodiment, the disclosure relates to an oral formulation of the glucokinase activator, wherein the oral, modified release, solid formulation of the glucokinase activator is tablet.

In one embodiment, the disclosure relates to an oral formulation of the glucokinase activator, wherein the tablet comprises the solid dispersion of the disclosure, the fillers, the binders, the disintegrants and the lubricants.

In one embodiment, the disclosure relates to an oral formulation of the glucokinase activator, wherein in the tablet the content of solid dispersion of the glucokinase activator is <NUM> weight% to <NUM> weight%, the content of fillers is <NUM> weight% to <NUM> weight%, the content of binders is <NUM> weight% to <NUM> weight%, the content of disintegrants is <NUM> weight% to <NUM> weight%, and the content of lubricants is <NUM> weight% to <NUM> weight%.

In one embodiment, the disclosure relates to an oral formulation of the glucokinase activator, wherein in the tablet the fillers are silicified microcrystalline cellulose, microcrystalline cellulose or lactose, the binders are hydroxypropyl cellulose, hydroxypropylmethyl cellulose or polyvinyl pyrrolidone, the disintegrants are croscarmellose sodium or sodium carboxymethyl starch, and the lubricants are magnesium stearate or sodium stearyl fumarate.

In one embodiment, the disclosure relates to an oral formulation of the glucokinase activator, wherein in the tablet the filler is silicified microcrystalline cellulose, the binder is hydroxypropyl cellulose, the disintegrant is croscarmellose sodium, and the lubricant is magnesium stearate.

In one embodiment, the disclosure relates to an oral formulation of the glucokinase activator, wherein the tablet is coated tablet.

In one embodiment, the disclosure relates to an oral formulation of the glucokinase activator, wherein the coated tablet comprise coating agents which are selected from the group consisting of sodium carboxymethylcellulose, cellulose acetate, cellulose acetate phthalate, ethylcellulose, gelatin, pharmaceutical glaze, hydroxypropyl cellulose, hydroxypropylmethyl cellulose, hydroxypropyl methylcellulose phthalate, methacrylic acid copolymer, methylcellulose, polyethylene glycol, polyvinyl acetate phthalate, shellac, sucrose, titanium dioxide, carnauba wax, microcrystalline wax, zein and Opadry®.

In one embodiment, the disclosure relates to an oral formulation of the glucokinase activator, wherein the coating agent in the coated tablet is Opadry®.

In one embodiment, the disclosure relates to an oral formulation of the glucokinase activator, wherein in the coated tablet the content of the solid dispersion of the glucokinase activator is <NUM> weight% to <NUM> weight%, the content of fillers is <NUM> weight% to <NUM> weight%, the content of binders is <NUM> weight% to <NUM> weight%, the content of disintegrants is <NUM> weight% to <NUM> weight%, the content of lubricants is <NUM> weight% to <NUM> weight%, and the content of coating agents is <NUM> weight% to <NUM> weight%.

In one embodiment, the disclosure relates to an oral formulation of the glucokinase activator, wherein the capsule is gelatin capsule, HPMC capsule of plant origin, enteric capsule or soft capsule.

In one embodiment, the disclosure relates to an oral formulation of the glucokinase activator, wherein the capsule comprises the solid dispersion of the disclosure, fillers and/or binder, and/or disintegrant and/or lubricant.

In one embodiment, the disclosure relates to an oral formulation of the glucokinase activator, wherein in the capsule formulation the content of the solid dispersion is <NUM> weight% to <NUM> weight%, the content of fillers is <NUM> weight% to <NUM> weight%, the content of binders is <NUM> weight% to <NUM> weight%, the content of disintegrants is <NUM> weight% to <NUM> weight%, and the content of lubricants is <NUM> weight% to <NUM> weight%.

In one embodiment, the disclosure relates to an oral formulation of the glucokinase activator, wherein in the capsule formulation the content of the solid dispersion is <NUM> weight% to <NUM> weight%, the content of fillers is <NUM> weight% to <NUM> weight%, and the content of binders is <NUM> weight% to <NUM> weight%.

In one embodiment, the disclosure relates to an oral formulation of the glucokinase activator, wherein in the capsule formulation the content of the solid dispersion is <NUM> weight% to <NUM> weight%, the content of fillers is <NUM> weight% to <NUM> weight%, and the content of disintegrants is <NUM> weight% to <NUM> weight%.

In one embodiment, the disclosure relates to an oral formulation of the glucokinase activator, wherein in the capsule the filler is silicified microcrystalline cellulose, the binder is hydroxypropyl cellulose, the disintegrant is croscarmellose sodium and the lubricant is magnesium stearate.

In one embodiment, the disclosure relates to an oral formulation of the glucokinase activator, which has a dissolution rate of <<NUM>% at pH <NUM>~<NUM> at <NUM>, and a dissolution rate of ><NUM>% at pH <NUM>~<NUM> at <NUM>.

In one embodiment, the disclosure relates to an oral formulation of the glucokinase activator wherein the tablet has a dissolution rate of <<NUM>% at pH <NUM>~<NUM> at <NUM>, and a dissolution rate of ><NUM>% at pH6. <NUM>~<NUM> at <NUM>.

In one embodiment, the disclosure relates to an oral formulation of the glucokinase activator which is tablet having a dissolution rate of <<NUM>% at pH1. <NUM> at <NUM>, a dissolution rate of <<NUM>% at pH4. <NUM> at <NUM>, and a dissolution rate of ><NUM>% at pH6. <NUM> at <NUM>.

In one embodiment, the disclosure relates to an oral formulation of the glucokinase activator, wherein the tablet is coated tablet, which has a dissolution rate of is <<NUM>% at pH1. <NUM> at <NUM>, a dissolution rate of <<NUM>% at pH4. <NUM> at <NUM>, and a dissolution rate of ><NUM>% at pH6. <NUM> at <NUM>.

In one embodiment, the disclosure relates to an oral formulation of the glucokinase activator which is capsule having a dissolution rate of <<NUM>% at pH1. <NUM> at <NUM>, a dissolution rate of <<NUM>% at pH4. <NUM> at <NUM>, and a dissolution rate of ><NUM>% at pH6. <NUM> at <NUM>.

In one embodiment, the disclosure relates to an oral formulation of the glucokinase activator, wherein in a unit formulation the amount of the glucokinase activator is about <NUM> to about <NUM>, and in a further embodiment, is about <NUM> to about <NUM>, in a further embodiment, is about <NUM> to about <NUM>, in a further embodiment, is about <NUM> to about <NUM>, and in a further embodiment, is about <NUM> to about <NUM>.

In one embodiment, the disclosure relates to an oral formulation of the glucokinase activator, wherein in a unit tablet the amount of the glucokinase activator is about <NUM> to about <NUM>, about <NUM> to about <NUM>, about <NUM> to about <NUM>, about <NUM> to about <NUM> or about <NUM> to about <NUM>.

In one embodiment, the disclosure relates to an oral formulation of the glucokinase activator, wherein in a unit coated tablet the amount of the glucokinase activator is about <NUM> to about <NUM>, about <NUM> to about <NUM>, about <NUM> to about <NUM>, about <NUM> to about <NUM> or about <NUM> to about <NUM>.

In one embodiment, the disclosure relates to the use of the solid dispersion, the solid dispersion composition or the oral formulation of the glucokinase activator in the preparation of a medicament for treating and/or preventing the selected diseases and disorders, particularly one or more diseases and disorders selected from the group consisting of type I diabetes, type II diabetes, impaired glucose tolerance, impaired fasting glucose and hyperglycemia.

In one embodiment, the disclosure relates to a method of treating and/or preventing the selected diseases and disorders, particularly one or more diseases or disorders selected from the group consisting of type I diabetes, type II diabetes, impaired glucose tolerance, impaired fasting glucose and hyperglycemia by the solid dispersion, the solid dispersion composition or the oral formulation of the glucokinase activator, comprising administering to a patient a therapeutically effective amount of the solid dispersion, the solid dispersion composition or the oral formulation of the glucokinase activator of the disclosure.

In one embodiment, the disclosure relates to a method of preparing the solid dispersion of the disclosure, including melting method, solvent method, solvent-melting method, spray drying method, freeze drying method, and grinding method.

In one embodiment, the disclosure relates to a method of preparing the solid dispersion of the disclosure, which comprises the steps of:.

wherein, the solvent is anhydrous ethanol, methanol, isopropanol, ethyl acetate, acetone, acetonitrile, isobutanol, n-hexane, benzene and toluene or a mixture thereof or a mixture of said solvent with water.

Particularly, in one embodiment of the disclosure, in the method of preparing the solid dispersion, in the spray drying step the temperature of inlet air is <NUM>-<NUM>, the flow of inlet air is in the range of <NUM>-<NUM><NUM>/min, the flow rate of atomized gas is <NUM>-<NUM>/min, and the speed of solution spray is <NUM>-<NUM>/min.

In one embodiment, the disclosure relates to an oral formulation of the glucokinase activator, which comprises the solid dispersion of the glucokinase activator or the solid dispersion composition and excipients.

In one embodiment, the disclosure relates to an oral formulation of the glucokinase activator, wherein the solid dispersion of the glucokinase activator comprise the glucokinase activator, or isotope labeled analogues thereof or pharmaceutically acceptable salts thereof and polymer carriers.

In one embodiment, the disclosure relates to an oral formulation of the glucokinase activator, wherein the glucokinase activator is a compound of formula (Ia)
<CHM>
wherein:.

In one embodiment, the disclosure relates to an oral formulation of the glucokinase activator, wherein the glucokinase activator is selected from the group consisting of the following compounds or isotope labeled analogues or pharmaceutically acceptable salts thereof:.

In one embodiment, the disclosure relates to an oral formulation of the glucokinase activator, wherein the glucokinase activator is the compound HMS5552 or isotope labeled analogues thereof or pharmaceutically acceptable salts thereof.

In one embodiment, the disclosure relates to an oral formulation of the glucokinase activator, wherein the glucokinase activator is selected from the group consisting of:
<CHM>
<CHM>
<CHM>
<CHM>
<CHM>
<CHM>
or isotope labeled analogues thereof or pharmaceutically acceptable salts thereof.

In one embodiment, the disclosure relates to an oral formulation of the glucokinase activator, wherein the glucokinase activator is selected from the group consisting of TTP399, PF-<NUM>, RO4597014 and LY2608204, isotope labeled analogues or pharmaceutically acceptable salts thereof.

In one embodiment, the disclosure relates to an oral formulation of the glucokinase activator, wherein the polymer carriers are controlled release carriers.

In one embodiment, the disclosure relates to an oral formulation of the glucokinase activator, wherein the polymer carriers are polyacrylic resin polymers.

In one embodiment, the disclosure relates to an oral formulation of the glucokinase activator, wherein the polymer carriers are selected from the group consisting of methacrylic acid copolymer and methacrylate copolymer.

In one embodiment, the disclosure relates to an oral formulation of the glucokinase activator, wherein the polymer carriers are selected from the group consisting of copolymer of butyl methacrylate, dimethylaminoethyl methacrylate and methyl methacrylate; copolymer of methacrylic acid and ethyl acrylate; copolymer of methacrylic acid and methyl methacrylate; copolymer of ethyl acrylate, methyl methacrylate and chlorotrimethylamino ethyl methacrylate; copolymer of ethyl acrylate and methyl methacrylate; copolymer of methacrylic acid, methyl acrylate and methyl methacrylate; copolymer of methacrylic acid and butyl acrylate.

In one embodiment, the disclosure relates to an oral formulation of the glucokinase activator, wherein the polymer carriers are selected from the group consisting of copolymer of butyl methacrylate, dimethylaminoethyl methacrylate and methyl methacrylate (<NUM>:<NUM>:<NUM>), copolymer of methacrylic acid and ethyl acrylate (<NUM>:<NUM>), copolymer of methacrylic acid and methyl methacrylate (<NUM>:<NUM>), copolymer of ethyl acrylate, methyl methacrylate and chlorotrimethylamino ethyl methacrylate (<NUM>:<NUM>:<NUM>), copolymer of ethyl acrylate, methyl methacrylate and chlorotrimethylamino ethyl methacrylate (<NUM>:<NUM>:<NUM>), copolymer of ethyl acrylate and methyl methacrylate (<NUM>:<NUM>), copolymer of methacrylic acid and butyl acrylate (<NUM>:<NUM>), copolymer of methacrylic acid and methyl methacrylate (<NUM>:<NUM>), copolymer of methacrylic acid and methyl methacrylate (<NUM>:<NUM>), copolymer of methacrylic acid and methyl methacrylate (<NUM>:<NUM>).

In one embodiment, the disclosure relates to an oral formulation of the glucokinase activator, wherein the polymer carrier is selected from Eudragit®.

In one embodiment, the disclosure relates to an oral formulation of the glucokinase activator, wherein the polymer carriers are selected from the group consisting of Eudragit® E, Eudragit® L, Eudragit® S.

In one embodiment, the disclosure relates to an oral formulation of the glucokinase activator, wherein the polymer carriers are selected from the group consisting of Eudragit® L100, Eudragit® S100, Eudragit® E PO, Eudragit® E <NUM> or Eudragit® L100-<NUM>.

In one embodiment, the disclosure relates to an oral formulation of the glucokinase activator, wherein the polymer carriers are Eudragit® L100, which is methacrylic acid copolymer A TYPE, and anion copolymer of methacrylic acid and methyl methacrylate (<NUM>:<NUM>). In one embodiment, the disclosure relates to an oral formulation of the glucokinase activator, wherein the amount of the glucokinase activator accounts for <NUM> weight% to <NUM> weight% of the solid dispersion.

In one embodiment, the disclosure relates to an oral formulation of the glucokinase activator, wherein the amount of the glucokinase activator accounts for <NUM> weight% to <NUM> weight% of the solid dispersion.

In one embodiment, the disclosure relates to an oral formulation of the glucokinase activator, wherein the amount of the glucokinase activator accounts for <NUM> weight% of the solid dispersion.

In one embodiment, the disclosure relates to an oral formulation of the glucokinase activator, wherein the amount of polymer carriers comprises <NUM> weight% to <NUM> weight% of the solid dispersion.

In one embodiment, the disclosure relates to an oral formulation of the glucokinase activator, wherein the solid dispersion is obtained by spray drying.

In one embodiment, the disclosure relates to an oral formulation of the glucokinase activator, wherein the excipients are selected from one or more of: diluent; sweetener or flavoring agent; surfactant; filler; binder; disintegrant; lubricant; glidant/antiadherent; release modifier; stabilizer; coating agents; emulsifier and/or solubilizer and perfumes.

In one embodiment, the disclosure relates to an oral formulation of the glucokinase activator, which is an oral, modified release formulation of the glucokinase activator.

In one embodiment, the disclosure relates to an oral formulation of the glucokinase activator, which is an oral, modified release, solid formulation of the glucokinase activator.

In one embodiment, the disclosure relates to an oral formulation of the glucokinase activator, which comprises the solid dispersion of the disclosure, and/or fillers, and/or binders, and/or disintegrants, and/or lubricants.

In one embodiment, the disclosure relates to an oral formulation of the glucokinase activator, wherein the oral, modified release solid formulation of the glucokinase activator is tablet.

In one embodiment, the disclosure relates to an oral formulation of the glucokinase activator, wherein the tablet comprises the solid dispersion of the disclosure, fillers, binders, disintegrants and lubricants.

In one embodiment, the disclosure relates to an oral formulation of the glucokinase activator, wherein in the tablet, the content of the solid dispersion of the glucokinase activator is <NUM> weight% to <NUM> weight%, the content of fillers is <NUM> weight% to <NUM> weight%, the content of binders is <NUM> weight% to <NUM> weight%, the content of disintegrants is <NUM> weight% to <NUM> weight%, and the content of lubricants is <NUM> weight% to <NUM> weight%.

In one embodiment, the disclosure relates to an oral formulation of the glucokinase activator, wherein in the tablet, the filler is silicified microcrystalline cellulose, microcrystalline cellulose or lactose, the binder is hydroxypropyl cellulose, hydroxypropylmethyl cellulose or polyvinyl pyrrolidone, the disintegrant is croscarmellose sodium or sodium carboxymethyl starch, and the lubricant is magnesium stearate or sodium stearyl fumarate.

In one embodiment, the disclosure relates to an oral formulation of the glucokinase activator, wherein the coated tablet comprises coating agents selected from the group consisting of sodium carboxymethylcellulose, cellulose acetate, cellulose acetate phthalate, ethylcellulose, gelatin, pharmaceutical glaze, hydroxypropyl cellulose, hydroxypropylmethyl cellulose, hydroxypropyl methylcellulose phthalate, methacrylic acid copolymer, methylcellulose, polyethylene glycol, polyvinyl acetate phthalate, shellac, sucrose, titanium dioxide, carnauba wax, microcrystalline wax, zein and Opadry®.

In one embodiment, the disclosure relates to an oral formulation of the glucokinase activator, wherein in the coated tablet, the content of the solid dispersion of the glucokinase activator is <NUM> weight% to <NUM> weight%, the content of filler is <NUM> weight% to <NUM> weight%, the content of binder is <NUM> weight% to <NUM> weight%, the content of disintegrant is <NUM> weight% to <NUM> weight%, the content of lubricant is <NUM> weight% to <NUM> weight%, and the content of coating agents is <NUM> weight% to <NUM> weight%.

In one embodiment, the disclosure relates to an oral formulation of the glucokinase activator, wherein the capsule comprises the solid dispersion of the disclosure, fillers and/or binders and/or disintegrants and/or lubricants.

In one embodiment, the disclosure relates to an oral formulation of the glucokinase activator, wherein in the capsule, the content of the solid dispersion is <NUM> weight% to <NUM> weight%, the content of fillers is <NUM> weight% to <NUM> weight%, and/or the content of the binders is <NUM> weight% to <NUM> weight%, and/or the content of disintegrants is <NUM> weight% to <NUM> weight%, and/or the content of lubricants is <NUM> weight% to <NUM> weight%.

In one embodiment, the disclosure relates to an oral formulation of the glucokinase activator, which is a tablet having a dissolution rate of <<NUM>% at pH <NUM>~<NUM> at <NUM>, and a dissolution rate of ><NUM>% at pH <NUM>~<NUM> at <NUM>.

In one embodiment, the disclosure relates to an oral formulation of the glucokinase activator, which is a tablet having a dissolution rate of <<NUM>% at pH <NUM> at <NUM>, a dissolution rate of <<NUM>% at pH <NUM> at <NUM>, and a dissolution rate of ><NUM>% at pH <NUM> at <NUM>.

In one embodiment, the disclosure relates to an oral formulation of the glucokinase activator, wherein the tablet is coated tablet having a dissolution rate of <<NUM>% at pH1. <NUM> at <NUM>, a dissolution rate of <<NUM>% at pH4. <NUM> at <NUM>, and a dissolution rate of ><NUM>% at pH6. <NUM> at <NUM>.

In one embodiment, the disclosure relates to an oral formulation of the glucokinase activator, which is a capsule having a dissolution rate of <<NUM>% at pH <NUM> at <NUM>, a dissolution rate of <<NUM>% at pH <NUM> at <NUM>, and a dissolution rate of ><NUM>% at pH <NUM> at <NUM>.

In one embodiment, the disclosure relates to an oral formulation of the glucokinase activator, wherein in a unit formulation, the amount of the glucokinase activator is about <NUM> to about <NUM>, in one embodiment is about <NUM> to about <NUM>, in one embodiment is about <NUM> to about <NUM>, in one embodiment is about <NUM> to about <NUM>, and in one embodiment is about <NUM> to about <NUM>.

In one embodiment, the disclosure relates to an oral formulation of the glucokinase activator, wherein in a unit tablet, the amount of the glucokinase activator is about <NUM> to about <NUM>, about <NUM> to about <NUM>, about <NUM> to about <NUM>, about <NUM> to about <NUM> or about <NUM> to about <NUM>.

In one embodiment, the disclosure relates to an oral formulation of the glucokinase activator, wherein in a unit coated tablet, the amount of the glucokinase activator is about <NUM> to about <NUM>, about <NUM> to about <NUM>, about <NUM> to about <NUM>, about <NUM> to about <NUM> or about <NUM> to about <NUM>.

In one embodiment, the disclosure relates to the use of the oral formulation of the glucokinase activator in the preparation of a medicament for treating and/or preventing the selected diseases and disorders, particularly one or more diseases and disorders selected from the group consisting of type I diabetes, type II diabetes, impaired glucose tolerance, impaired fasting glucose and hyperglycemia.

In one embodiment, the disclosure relates to a method of treating and/or preventing the selected diseases and disorders, particularly one or more diseases and disorders selected from the group consisting of type I diabetes, type II diabetes, impaired glucose tolerance, impaired fasting glucose and hyperglycemia by the oral formulation of the glucokinase activator, comprising administering to the patient a therapeutically effective amount of the oral formulation of the glucokinase activator of the disclosure.

In one embodiment, the disclosure relates to a method of preparing the solid dispersion, which comprises the steps of:.

Wherein the solvent is anhydrous ethanol, methanol, isopropanol, ethyl acetate, acetone, acetonitrile, isobutanol, n-hexane, benzene and toluene or a mixture thereof or a mixture of the solvent with water.

Particularly, in the spray drying step the inlet air temperature is <NUM>-<NUM>, the flow rate of the inlet air is in the range of <NUM>-<NUM><NUM>/min, the flow rate of atomized gas is <NUM>-<NUM>/min, and the speed of solution spray is <NUM>-<NUM>/min.

In one embodiment, the disclosure relates to the preparation method of the oral tablet of the glucokinase activator, which comprises the steps of:.

In one embodiment, the disclosure relates to the method of preparing the coated tablet of the glucokinase activator, which comprises the steps of:.

The present disclosure also relates to isotopically-labelled glucokinase activators which are identical to those recited herein, except the fact that one or more atoms are replaced by the atom having an atomic mass or mass number different from that usually found in nature. Examples of isotopes that can be incorporated into compounds of the disclosure include isotopes of hydrogen, carbon, nitrogen, oxygen, phosphorus, fluorine and chlorine, such as <NUM>H, <NUM>H, <NUM>C, <NUM>C, <NUM>N, <NUM>O, <NUM>O, <NUM>P, <NUM>P, <NUM>S, <NUM>F, and <NUM>Cl, respectively.

Certain isotopically-labelled compounds (e.g., those labeled with <NUM>H and <NUM>C) are useful in compound and/or substrate tissue distribution assays. Tritiated (i.e., <NUM>H) and carbon-<NUM> (i.e., <NUM>C) isotopes are particularly preferred for their ease of preparation and detectability. Further, substitution with heavier isotopes such as deuterium (i.e., H) may afford therapeutic advantages resulting from greater metabolic stability (e.g., increased in vivo half-life or reduced dosage requirements) and hence may be preferred in some circumstances. Isotopically labelled compounds can generally be prepared by procedures analogous to those disclosed in the Schemes and/or in the Examples hereinbelow, by substituting the non-isotopically labelled reagent with an appropriately isotopically labelled reagent.

In one embodiment of the disclosure, the oral modified release formulation is oral solid formulation and oral liquid formulation.

In one embodiment of the disclosure, the oral, solid formulation is selected from the group consisting of tablet, capsule, granule, powder, lozenge and pill.

In a further embodiment, the tablet is coated tablet.

In another aspect, the disclosure relates to a solid dispersion composition of the glucokinase activator, which comprises the solid dispersion of the glucokinase activator and excipients, and the excipients are selected from the group consisting of: diluent, for example diluent for tablet and/or capsule; sweetener or flavoring agent; antioxidant; surfactant; filler; binder; disintegrant, for example disintegrant for tablet; lubricant, for example lubricant for tablet and/or capsule; glidant/anti-adherent; release modifier; stabilizer; coating agents; colorant; chelating agent; emulsifier and/or solubilizer; flavoring agent and perfume; polymer carriers.

In the disclosure, the solid dispersion composition of the glucokinase activator disclosed herein can be used directly, or it can be made into different dosage forms according to the needs of treatment or prevention.

The solid dispersion composition of the glucokinase activator disclosed herein can be prepared into various dosage forms such as tablets, capsules, granules, powders, lozenge and pill, and can be produced by a known method. For example, the formulation may be prepared by formulating steps such as a mixing step, a granulation process, capsule filling or pressing and coating.

One embodiment of the present disclosure is a method of preparing the solid dispersion of the glucokinase activator of the present disclosure, and the method is selected from the group consisting of spray drying method, fluidized bed drying method, solvent method, melt extrusion method, and the like.

One embodiment of the present disclosure is the solid dispersion of the glucokinase activator prepared by the spray drying method, and the steps of the method include:.

In the embodiments of the present disclosure, solvents for the solid dispersion formulation of the glucokinase activator include, but are not limited to, alkanols, esters, nitriles, cycloalkanes, aromatic hydrocarbons, ketones and the like. Specifically, the solvents are selected from the group consisting of anhydrous ethanol, methanol, isopropanol, ethyl acetate, acetone, acetonitrile, isobutanol, n-hexane, benzene and toluene. It may be a single solvent or a mixed solvent, or a mixture of organic solvent(s) with water.

In a further embodiment of the disclosure, it relates to a method of treating and/or preventing the selected diseases and disorders, particularly one or more diseases and disorders selected from the group consisting of type I diabetes, type II diabetes, impaired glucose tolerance, impaired fasting glucose and hyperglycemia by the solid dispersion or formulation of the glucokinase activator of the disclosure, comprising administering to a patient a therapeutically effective amount of the oral formulation of the glucokinase activator of the disclosure.

In a further embodiment of the disclosure, it relates to use of the solid dispersion of the glucokinase activator or the formulation comprising the composition in the preparation of a medicament for treating and/or preventing the selected diseases and disorders, particularly one or more diseases and disorders selected from the group consisting of type I diabetes, type II diabetes, impaired glucose tolerance, impaired fasting glucose and hyperglycemia.

The amount of the glucokinase activator used in the solid dispersion of the glucokinase activator disclosed herein may vary in the range from about <NUM> weight% to about <NUM> weight%, based on the total weight of the solid dispersion. In one embodiment, the range of content of the glucokinase activator is about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight% or about <NUM> weight%, or any subrange therebetween. In one embodiment, the amount range of the glucokinase activator is about <NUM> weight% to about <NUM> weight%. In a further embodiment, the amount range of the glucokinase activator is about <NUM> weight% to about <NUM> weight%. In a further embodiment, the amount range of the glucokinase activator is about <NUM> weight% to about <NUM> weight%. In a further embodiment, the amount range of the glucokinase activator is about <NUM> weight% to about <NUM> weight%. In a further embodiment, the amount range of the glucokinase activator is about <NUM> weight% to about <NUM> weight%. In a further embodiment, the amount range of the glucokinase activator is about <NUM> weight% to about <NUM> weight%.

The amount of polymer carriers used in the solid dispersion of the glucokinase activator may vary in the range from about <NUM> weight% to about <NUM> weight%, based on the total weight of the solid dispersion. In one embodiment, the range of content of the polymer carriers is about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, about <NUM> weight%, or about <NUM> weight%, or any subrange thereof within it. In one embodiment of the disclosure, the range of content of polymer carriers is about <NUM> weight% to about <NUM> weight%. In a further embodiment, the range of content may be about <NUM> weight% to about <NUM> weight%. In a further embodiment, the range of content is about <NUM> weight% to about <NUM> weight%. In a further embodiment, the range of content is about <NUM> weight% to about <NUM> weight%. In a further embodiment, the range of content is about <NUM> weight% to about <NUM> weight%. In a further embodiment, the range of content is about <NUM> weight% to about <NUM> weight%.

Preferably, in the solid dispersion of the glucokinase activator of the present disclosure, the range of content of the glucokinase activator is <NUM>-<NUM> weight%, and that of polymer carriers is <NUM>-<NUM> weight%, on the basis of the total weight of the solid dispersion.

More preferably, in the solid dispersion of the glucokinase activator of the present disclosure, the range of content of the glucokinase activator is <NUM>-<NUM> weight%, and that of polymer carriers is <NUM>-<NUM> weight%, on the basis of the total weight of solid dispersion.

In one embodiment of the disclosure, the polymer carriers in the solid dispersion are selected from the group consisting of a polypropylene resin-based polymer, which is a polymeric compound derived from the polymerization of acrylic acid (or methacrylic acid and esters thereof such as methyl ester, ethyl esters and the like) (a monomer), or derived from the polymerization of two monomers (binary polymerization) or three monomers (ternary polymerization) in a certain ratio using acrylic acid and methacrylic acid (or its ester such as methyl ester, ethyl ester, dimethylaminoethyl ester, etc.).

The polymer carriers used in the solid dispersion of the present disclosure are selected from the group consisting of copolymer of butyl methacrylate, dimethylaminoethyl methacrylate and methyl methacrylate; copolymer of methacrylic acid and ethyl acrylate; copolymer of methacrylic acid and methyl methacrylate; copolymer of ethyl acrylate, methyl methacrylate and chlorotrimethylamino ethyl methacrylate; copolymer of ethyl acrylate and methyl methacrylate; copolymer of methacrylic acid, methyl acrylate and methyl methacrylate, and copolymer of methacrylic acid and butyl acrylate.

Furthermore, the polymer carriers are selected from the group consisting of copolymer of butyl methacrylate, dimethylaminoethyl methacrylate and methyl methacrylate (<NUM>:<NUM>:<NUM>), copolymer of methacrylic acid and ethyl acrylate (<NUM>:<NUM>), copolymer of methacrylic acid and methyl methacrylate (<NUM>:<NUM>), copolymer of ethyl acrylate, methyl methacrylate and chlorotrimethylamino ethyl methacrylate (<NUM>:<NUM>:<NUM>), copolymer of ethyl acrylate, methyl methacrylate and chlorotrimethylamino ethyl methacrylate (<NUM>:<NUM>:<NUM>), copolymer of ethyl acrylate and methyl methacrylate (<NUM>:<NUM>), copolymer of methacrylic acid and butyl acrylate (<NUM>:<NUM>), copolymer of methacrylic acid and methyl methacrylate (<NUM>:<NUM>), copolymer of methacrylic acid and methyl methacrylate (<NUM>:<NUM>).

Furthermore, the polymer carrier is Eudragit®, including Eudragit® E, Eudragit® L, Eudragit® S, Eudragit® RL and Eudragit® RS, wherein Eudragit® E is produced by the polymerization of dimethylamino methacrylate and other neutral methacryates, including copolymers of dimethylaminoethyl methacrylate and methacrylate; Eudragit® L and Eudragit® S is produced by the polymerization of methacrylic acid and methacrylates in various ratios, including methacrylic acid and methyl methacrylate, free carboxyl : ester=<NUM>:<NUM> or methacrylic acid and methyl methacrylate, free carboxyl : ester=<NUM>:<NUM>; Eudragit® RL and Eudragit® RS type is a copolymer of acrylic acid containing some quaternary amine groups and methacrylate, including the copolymer of acrylic acid containing <NUM>% quaternary amine group and methacrylate and the copolymer of acrylic acid containing <NUM>% quaternary amine group and methacrylate.

Furthermore, the polymer carriers are selected from the group consisting of:.

Eudragit® E100, which is copolymer of butyl methacrylate, dimethylaminoethyl methacrylate and methyl methacrylate (<NUM>:<NUM>:<NUM>), including Eudragit® E PO;.

Eudragit® L100, methacrylic acid copolymer A TYPE, which is anion copolymer of methacrylic acid and methyl methacrylate (<NUM>:<NUM>);.

Eudragit® S100, which is copolymer of methacrylic acid and methyl methacrylate (<NUM>:<NUM>);.

Also, it can be appreciated that the examples of additional excipients used in the solid dispersion composition and formulation of the glucokinase activator of the present disclosure include but not limiting to diluent such as diluent for tablet and/or capsule; sweetener or flavoring agent; antioxidant; surfactant; filler; binder; disintegrant such as disintegrant for tablet; lubricant such as lubricant for tablet and/or capsule; glidant/antiadherent; release modifier; stabilizer; coating agents; colorant; chelating agent; emulsifier and/or solubilizer; flavoring agent and perfume.

Examples of diluents that suitable for the use in the disclosure include but not limiting to omega-<NUM> fatty acids or derivatives thereof, lactose, dextrose, sucrose, mannitol, sorbitol, cellulose including silicified microcrystalline cellulose, sodium saccharin, glucose and/or glycine. Furthermore, in addition to those listed above, the tablet and/or capsule diluent that are suitable in the disclosure include but not limiting calcium carbonate, calcium hydrogen phosphate, calcium phosphate, calcium sulfate, cellulose powder, glucan binding agent, fructose, kaolin, starch, pregelatinized starch, compressible sugar and confectionery sugar and combinations thereof.

Examples of sweeteners or flavoring agents that are suitable for the disclosure include, but are not limited to, essential oils, water soluble extracts, sugar, monosaccharides, oligosaccharides, aldose, ketose, dextrose, maltose, lactose, glucose, fructose, sucrose, mannitol xylitol, D-sorbitol, erythritol, pentitol, hexitol, malitol, acesulfame potassium, talin, glycyrrhizin, sucralose, aspartame, saccharin, sodium saccharin, sodium cyclamate, eugenyl formate aldehyde flavorings and combinations thereof.

Examples of antioxidants that are suitable for the disclosure include, but are not limited to, α-tocopherol, ascorbic acid, ascorbyl palmitate, butylated hydroxyanisole, butylated hydroxytoluene, thioglycerol, potassium metabisulfite, propionic acid, propyl gallate, sodium ascorbate, sodium bisulfite, sodium metabisulfite and sodium sulfite and combinations thereof.

Examples of surfactants that are suitable for the disclosure include, but are not limited to a salt of an alkyl sulfate, such as a lauryl sulfate diethanol ammonium salt; an alkyl aryl sulfonate such as calcium dodecylbenzenesulfonate; an alkylphenol-oxyalkylene addition product such as nonylphenol-C18 ethoxylate; alcohol-alkylene oxide addition product, such as tridecyl alcohol-C16 ethoxylate; soap, such as sodium stearate; alkylnaphthalene-sulfonate, such as dibutyl naphthalene sodium; a dialkyl ester of a sulfosuccinate such as sodium bis(<NUM>-ethylhexyl)sulfosuccinate; a sorbitol ester such as sorbitol oleate; a quaternary ammonium such as lauryl methyl - ammonium chloride; a polyethylene glycol ester of a fatty acid, such as polyethylene glycol stearate; a block copolymer of ethylene oxide and propylene oxide; a salt of a monoalkyl phosphate and a salt of a dialkyl phosphate; a vegetable oil, Such as soybean oil, rapeseed oil, olive oil, castor oil, sunflower oil, coconut oil, corn oil, cottonseed oil, linseed oil, palm oil, peanut oil, safflower oil, sesame oil, tung oil, etc.; and the ester of the above vegetable oil and the combination of them.

Examples of fillers that are suitable for the disclosure include, but are not limited to, cellulose derivatives such as microcrystalline cellulose or lignocellulose (including microcrystalline cellulose and silicified microcrystalline cellulose), lactose, anhydrous lactose or lactose monohydrate, sucrose, starch, pregelatinized starch, dextrose, mannitol (including mannitol Pearlitol ® SD <NUM>), fructose, xylitol, sorbitol, corn starch, modified corn starch, inorganic salts such as calcium carbonate, calcium phosphate, dicalcium phosphate, calcium sulfate, dextrin/glucose binder, maltodextrin, compressible sugar and other known compatibilizers or fillers/or mixtures of two or more of them.

Examples of binders that are suitable for the disclosure include, but are not limited to, carboxymethylcellulose (including sodium carboxymethylcellulose), hydroxypropyl cellulose (including hydroxypropyl cellulose EXF), corn starch, pregelatinized starch, modified corn starch, polyvinyl pyrrolidone (PVP), hydroxypropylmethyl cellulose (HPMC) (including hydroxypropylmethyl cellulose <NUM>), lactose, gum arabic, ethylcellulose, cellulose acetate and wax binders such as carnauba wax, paraffin wax, cetyl wax, polyethylene or microcrystalline wax and other conventional binder and/or mixtures of two or more of them. Further, in addition to the above binders, tablet binders suitable for use in the present disclosure include, but are not limited to, alginic acid, microcrystalline cellulose, dextrin, gelatin, liquid glucose, guar gum, methylcellulose, polyethylene oxide, povidone and syrup, and the combination of them.

Examples of disintegrants that are suitable for the disclosure include, but are not limited to, croscarmellose sodium, crospovidone, starch, potato starch, pregelatinized starch, corn starch, sodium carboxymethyl starch, sodium starch glycolate, microcrystalline cellulose, low substituted hydroxypropyl cellulose and other known disintegrants. Several specific types of disintegrants are suitable for use in the formulations described herein. For example, any grade of crospovidone can be used including, for example, crospovidone XL-<NUM> and selected from Kollidon CL®, Polyplasdone XL®, Kollidon CL-M®, Polyplasdone XL-<NUM>® and Polyplasdone INF-<NUM>®. Further, in addition to the above disintegrants, the disintegrant suitable for use in the tablet of the present disclosure includes, but is not limited to, alginic acid, polakolin potassium, sodium starch glycolate and pregelatinized starch and combinations thereof.

Examples of lubricants that are suitable for the disclosure include, but are not limited to, magnesium stearate, zinc stearate, calcium stearate, talc, carnauba wax, stearic acid, palmitic acid, sodium stearyl fumarate, sodium lauryl sulfate, glyceryl palmitostearate, palmitic acid, myristic acid and hydrogenation vegetable oil and fat and other known lubricant and/or mixtures of two or more of them. Further, in addition to the above-mentioned lubricants, the lubricants suitable for use in the tablet and/or capsule of the present disclosure includes, but is not limited to, glyceryl behenate, light mineral oil, polyethylene glycol, hard-purified stearic acid, and combinations thereof.

Examples of glidants and/or antiadherents that are suitable for the disclosure include, but are not limited to, silica, colloidal silica, magnesium silicate, magnesium trisilicate, talc and other forms of silica such as aggregated silicate and hydrated silica.

Examples of release modifiers that are suitable for the disclosure include, but are not limited to, hydroxypropylmethyl cellulose, polyvinyl alcohol (PVA), ethylcellulose, methacrylic acid(ester) polymer, hydroxypropyl cellulose, starch, gum, cellulose ether, protein-derived material, nylon, acrylic resin, polylactic acid, polyvinyl chloride, polyvinyl pyrrolidone and cellulose acetate phthalate and the combination thereof.

Stabilizers that are suitable for the present disclosure include, but are not limited to, fatty acids such as oleic acid and its sodium salt, cholic acid and deoxycholic acid, cationic lipids such as stearamide, and anionic stabilizers such as phosphatidylethanolamine, phosphatidylserine, phospholipids acid and phosphatidyl glycerols and the combinations thereof. In one embodiment, the stabilizer is oleic acid.

Coating agents that are suitable for the present disclosure include, but are not limited to, sodium carboxymethylcellulose, cellulose acetate, cellulose acetate phthalate, ethylcellulose, gelatin, pharmaceutical glaze, hydroxypropyl cellulose, hydroxypropylmethyl cellulose, hydroxypropyl methylcellulose phthalate, methacrylic acid copolymer, methylcellulose, polyethylene glycol, polyvinyl acetate phthalate, shellac, sucrose, titanium dioxide, carnauba wax, microcrystalline wax, zein and Opadry® such as Opadry® 03K12429 and the combinations thereof.

Colorants that are suitable for the present disclosure include, but are not limited to, caramel, red colorant, yellow colorant, black colorant or blends thereof, ferric oxide and the combinations thereof.

Chelating agents that are suitable for the present disclosure include, but are not limited to, ethylenediamine tetraacetic acid and salts (EDTA), edetic acid, gentisic acid ethanolmaide, oxyquinoline sulfate and the combinations thereof.

Emulsifiers and/or solubilizers that are suitable for the present disclosure include, but are not limited to, acacia, cholesterol, diethanolamine, glyceryl monostearate, lanolin alcohols, lecithin, mono- and di-glycerides, monoethanolamine, oleic acid, oleyl alcohol, poloxamer, polyoxyethylene <NUM> stearate, polyoxyethylene <NUM> castor oil, polyoxyethylene <NUM> hydrogenated castor oil, polyoxyl <NUM> oleyl ether, polyoxyethylene <NUM> cetostearyl ether, polyoxyethylene <NUM> stearate, polysorbate <NUM>, polysorbate <NUM>, polysorbate <NUM>, polysorbate <NUM>, propylene glycol diacetate, propylene glycol monostearate, sodium lauryl sulfate, sodium stearate, sorbitan monolaurate, sorbitan monooleate, sorbitan monopalmitate, sorbitan monostearate, stearic acid, triethanolamine, emulsifying wax and the combinations thereof.

Flavoring agents and perfumes that are suitable for the present disclosure include, but are not limited to, anethole, benzaldehyde, ethyl vanillin, menthol, methyl salicylate, monosodium glutamate, orange flower oil, peppermint, peppermint oil, peppermint spirit, rose oil, stronger rose water, thymol, tolu balsam tincture, vanilla, vanilla tincture, vanillin and the combination thereof.

Solvents suitable for use in the present disclosure include, but are not limited to, acetone, alcohol, anhydrous ethanol, dilute alcohol, pentene hydrate, benzyl benzoate, butanol, carbon tetrachloride, chloroform, corn oil, cottonseed oil, ethyl acetate, glycerin, hexanediol, isopropanol, methanol, dichloromethane, methyl isobutyl ketone, mineral oil, peanut oil, polyethylene glycol, propylene carbonate, propylene glycol, sesame oil, water for injection, sterile water for injection, sterile rinse water, pure water and the combination thereof.

The amount of the active compound in a unit dosage formulation may vary or change from about <NUM> to about <NUM>, or preferably from about <NUM> to about <NUM>, more preferably from about <NUM> to about <NUM>, and more preferably from about <NUM> to about <NUM>, depending on the particular application.

Specifically, the content of the glucokinase activator in a unit tablet of the present disclosure is from about <NUM> to about <NUM>, preferably from about <NUM> to about <NUM>, and more preferably from about <NUM> to about <NUM>.

The invention will be further described with reference to the accompanying drawings and specific embodiments.

The chemical agents used in the disclosure were commercially available from companies including Shin-Etsu Japan, Evonik Germany, J. Baker US, SCR China, Ashland US, FMC US, JRS Germany, Colorcon US, Capsugel, BASF, Zhenxing China, and the like. Production equipments and analytical test equipments and the like were commercially available from such companies as Sartorius, Nikon, Sympatec, Bruker, Gea Niro, Korsch, Erweka, Agilent, Quadro Engineering, Canada; Warters, US; TA, US; SOTAX, Switzerland; Mettler Toledo Instrument Newark, DE,.

<NUM> Eudragit® L100 (Evonik Germany) was weighed, and added to anhydrous ethanol (J. Baker) under stirring. After it was completely dissolved, <NUM> of the compound HMS5552 was added. Stirring was continued after adding sufficient amount of anhydrous ethanol to obtain <NUM> solution in a yellow to orange color.

<NUM> Eudragit® L100 (Evonik Germany) was weighed, and added to anhydrous ethanol (Zhenxing China). After it was completely dissolved, <NUM> of the compound HMS5552 was added. Stirring was continued after adding sufficient amount of anhydrous ethanol to obtain <NUM> solution in a yellow to orange color.

The solid dispersion of the glucokinase activator was prepared by spray drying the solution prepared above. The numbering of the obtained solid dispersion corresponds to the numbering of the above examples. The spray drying devices that are suitable for the present disclosure include, but are not limited to, the spray drying devices produced by Niro GEA Process Engineering Inc. , Buchi Labortechnik AG, ProCept and SPX ANHYDROUS companies. The Spray drying can be performed by selecting an appropriate inlet air temperature of dry gas, inlet amount, feed rate, and atomization pressure, so that the droplets are sufficiently dried as they reach the device wall. This can make sure that the dried droplets are essentially solid and in a form of a fine powder, which will not stick to the wall, and is not difficult to collect in the cyclone. The resulting powder is subjected to a secondary drying to make sure the product meets quality requirement.

The solid dispersions were prepared by the spray drying the solution prepared in the above Examples <NUM>-<NUM>, wherein the inlet air temperature of the spray dryer was <NUM>-<NUM>, the flow rate of the inlet air was <NUM>-<NUM><NUM>/min, the flow rate of the air flow was <NUM>-<NUM>/min, and the spray rate of above solutions were <NUM>-<NUM>/min. Solid dispersions <NUM>-<NUM> were obtained by spray drying.

The solid dispersion was prepared by spray drying the solution prepared in the above Example <NUM>, wherein the inlet air temperature of the spray dryer was <NUM>-<NUM>, the flow rate of the inlet air was <NUM>-<NUM>/h, the flow rate of the air flow was <NUM>-<NUM>/h, and the spray rate of above solutions were <NUM>-<NUM>/min. Solid dispersion <NUM> was obtained by spray drying.

Solid dispersions <NUM>-<NUM> were prepared according to the process described above, wherein:
Mass percent of the compound HMS5552 in solid dispersion <NUM> was <NUM>%; mass percent of the compound HMS5552 in solid dispersion <NUM> was <NUM>%; mass percent of the compound HMS5552 in solid dispersion <NUM> was <NUM>%; mass percent of the compound HMS5552 in solid dispersion <NUM> was <NUM>%; mass percent of the compound HMS5552 in solid dispersion <NUM> was <NUM>%; mass percent of the compound HMS5552 in solid dispersion <NUM> was <NUM>%; mass percent of the compound HMS5552 in solid dispersion <NUM> was <NUM>%; mass percent of the compound HMS5552 in solid dispersion <NUM> was <NUM>%; and mass percent of the compound HMS5552 in solid dispersion <NUM> was <NUM>%.

The coated tablets may be prepared using the formulation as described in the captioned "Preparation of tablets of the glucokinase activator", or a separate formulation. The coating film mainly functions to increase the hardness, facilitate moisture resistance, increase the aesthetic appearance, facilitate swallowing, and the like. Preparation steps of coated tablet of the glucokinase activator comprises:.

The following coated tablets of the glucokinase activator with the following doses were prepared according to this method. The formulations of these coated tablets are listed below.

Example <NUM> Formulation of <NUM> tablet (based on <NUM> tablets), i.e., the amount of the active ingredient is <NUM>.

Example <NUM> Formulation of <NUM> coated tablet (based on <NUM> tablets), i.e., the amount of the active ingredient is <NUM>.

Example <NUM> Formulation of <NUM> coated tablet formula (based on <NUM> tablets), i.e., the amount of the active ingredient is <NUM>.

Example <NUM> Formulation of <NUM> capsule (based on <NUM> capsules), i.e., the amount of the active ingredient is <NUM>.

The comparative example <NUM> and comparative example <NUM> were prepared by replacing the solid dispersion <NUM> in Example <NUM> and Example <NUM> with the active pharmaceutical ingredient of the compound HMS5552, adjusting the amount of microcrystalline cellulose in the formulation, and keeping other components and their ratio unchanged, and using the above preparation process for the tablets of the glucokinase activator.

Comparative example <NUM> Formulation of <NUM> tablet (based on <NUM> tablets), i.e., the amount of the active ingredient is <NUM>.

The comparative example <NUM> and comparative example <NUM> were prepared by replacing the solid dispersion <NUM> in Example <NUM> and Example <NUM> with active pharmaceutical ingredient of the compound HMS5552, and Eudragit L100, keeping other components and their ratio unchanged, and using the preparation process for the tablets of the glucokinase activator above.

Tablets of the glucokinase activator in other doses or strengths can be prepared in the same manner.

Tablets prepared in the Examples above or in the same manner as the above-described Examples were used. In the Single Ascending Dose (SAD) test, plasma concentrations of the active ingredient increased rapidly after administration of a single oral dose of <NUM>, <NUM>, <NUM>, <NUM>, <NUM> and <NUM> of the active ingredient in healthy subjects, with an average peak time of <NUM>-<NUM> hours, followed by a steady drop, and the terminal elimination half-life was about <NUM>-<NUM> hours.

Tablets prepared in the Examples above or in the same manner as the above-described Examples were used. In the Multiple Ascending Dose (MAD) test, plasma concentrations of the active ingredient increased rapidly after administration of a single oral dose of <NUM>, <NUM>, <NUM>, <NUM>, and <NUM> of the active ingredient to patients with type <NUM> diabetes (T2DM), with an average peak time of <NUM>-<NUM> hours, followed by a steady drop, and the terminal elimination half-life was about <NUM>-<NUM> hours, which had no significant difference from that of the healthy subjects; when orally administrated at <NUM>, <NUM>, <NUM>, <NUM>, <NUM> twice per day for <NUM> consecutive days to achieve a steady state, the average time to reach the peak plasma concentration was <NUM>-<NUM> hours, and the terminal elimination half-life was about <NUM>-<NUM> hours. The plasma exposure was basically no accumulation as compared with the single administration to T2DM patients (the accumulation ratio range is <NUM>-<NUM>).

After a single oral administration of tablets of the compound HMS5552 as prepared in Example <NUM> in a strength of <NUM> of the active ingredient, i.e., two tablets with <NUM> of the active ingredient, to healthy subjects (HV) and T2DM patients (T2DM), the plasma drug concentration after single oral administration versus time curve is shown in <FIG>.

The PBPK model was established by using Simcyp software to simulate the absorption degree and main absorption site of the compound HMS5552 in human intestinal tract after an oral administration of a single dose of <NUM> HMS5552 tablet in fasting healthy subjects.

<FIG> is a graph showing the average dissolution rate and absorption profile of the oral formulation of the glucokinase activator in the intestine after a single dose of <NUM> oral formulation was administered to fasting healthy humans, simulated in the PBPK model. As seen from the figure, the oral formulation of the glucokinase activator is rapidly dissolved in the intestine, with a dissolution rate of <NUM>% or higher in <NUM> minutes; as compared with the dissolution, the glucokinase activator was completely absorbed but in a slightly slow manner, reaching the absorption plateau in about <NUM>-<NUM> hours after administration. The result is in consistent with the clinically observed peak plasma time for the glucokinase activator in human, suggesting that the model can give a good prediction of the dissolution rate and absorption of the glucokinase activator in human body.

<FIG> shows the absorption fraction of the glucokinase activator in different parts of the human intestine when a single dose of <NUM> was administered to fasting healthy humans, simulated in the PBPK model. It can be observed that after a single administration of the HMS5552 tablet in human body, the main absorption site is located in duodenum of the anterior end of intestine, the segment I of the jejunum and the segment II of the jejunum. The total absorption fraction of the three parts is <NUM>, accounting for <NUM>% of the total absorption percent (<NUM>).

The dissolution rate of the tablets and capsules were tested according the paddle method of the Chinese Pharmacopoeia (<NUM> edition), which was used to test the dissolution in three different dissolution medium at pH1. <NUM> and/or pH4. <NUM> and/or pH6. <NUM>, respectively, at <NUM> minutes, <NUM> minutes, <NUM> minutes, <NUM> minutes, <NUM> minutes and <NUM> minutes. Each of <NUM> sample was taken for HPLC analysis.

The above tablets and capsules in five dosage strength were tested for their dissolution according to the above test, and the results were shown below.

The oral formulations prepared by the solid dispersion technique of the present disclosure have significantly different dissolution rate at different pH; in contrast, the tablets prepared by the conventional processes do not exhibit this characteristic. As shown in <FIG>, although the preparation process and the composition of the tablets are the same or similar, different forms of the compound HMS5552 result in different dissolution rate of the active ingredient HMS5552 in the oral formulation , i.e., pure HMS5552 powder (comparative example <NUM>) or a simple mixture of HMS5552 + Eudragit® L100 (comparative example <NUM>) or solid dispersion form (Example <NUM>).

The above difference indicates that the dissolution of the tablet prepared by the solid dispersion technique of the present disclosure is pH-dependent. That is, the dissolution rate at <NUM> is not higher than <NUM>% at pH <NUM>~<NUM>, and the dissolution rate at <NUM> is not less than <NUM>% at pH <NUM>~<NUM> (Tables <NUM>-<NUM>).

Claim 1:
A solid dispersion, which comprises a glucokinase activator or isotope labeled glucokinase activator thereof or pharmaceutically acceptable salts thereof and polymer carriers,
wherein the glucokinase activator is selected from the group consisting of:

<TAB>

or isotope labeled analogues thereof or pharmaceutically acceptable salts thereof, wherein the glucokinase activator preferably is the compound HMS5552, or isotope labeled analogues or pharmaceutically acceptable salts thereof, and
wherein the polymer carriers are selected from the group consisting of copolymer of butyl methacrylate, dimethylaminoethyl methacrylate and methyl methacrylate (<NUM>:<NUM>:<NUM>), copolymer of methacrylic acid and ethyl acrylate (<NUM>:<NUM>), copolymer of methacrylic acid and methyl methacrylate (<NUM>:<NUM>), copolymer of ethyl acrylate, methyl methacrylate and chlorotrimethylamino ethyl methacrylate (<NUM>:<NUM>:<NUM>), copolymer of ethyl acrylate, methyl methacrylate and chlorotrimethylamino ethyl methacrylate (<NUM>:<NUM>:<NUM>), copolymer of ethyl acrylate and methyl methacrylate (<NUM>:<NUM>), copolymer of methacrylic acid and butyl acrylate (<NUM>:<NUM>), polymer of methacrylic acid and methyl methacrylate (<NUM>:<NUM>), and copolymer of methacrylic acid and methyl methacrylate (<NUM>:<NUM>), wherein the polymer carrier is preferably Eudragit®, wherein the polymer carrier more preferably is Eudragit® L100,
wherein optionally the weight ratio of the glucokinase activator to polymer carriers is selected from <NUM>:<NUM> to <NUM>:<NUM>, preferably <NUM>:<NUM> to <NUM>:<NUM>, <NUM>:<NUM> to <NUM>:<NUM>, <NUM>:<NUM> to <NUM>:<NUM>, <NUM>:<NUM> to <NUM>:<NUM>, <NUM>:<NUM> to <NUM>:<NUM>, <NUM>:<NUM> to <NUM>:<NUM>, or <NUM>:<NUM> to <NUM>:<NUM>.