WO2005089317A2 - Immune response modifier formulations and methods - Google Patents

Immune response modifier formulations and methods Download PDF

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Publication number
WO2005089317A2
WO2005089317A2 PCT/US2005/008576 US2005008576W WO2005089317A2 WO 2005089317 A2 WO2005089317 A2 WO 2005089317A2 US 2005008576 W US2005008576 W US 2005008576W WO 2005089317 A2 WO2005089317 A2 WO 2005089317A2
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weight
alkyl
formulation
amines
substituted
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PCT/US2005/008576
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French (fr)
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WO2005089317A3 (en
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Terri F. Busch
Leo W. Kueper, Iii
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3M Innovative Properties Company
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Priority to ES05725623.2T priority Critical patent/ES2665342T3/en
Priority to US10/598,824 priority patent/US20070167479A1/en
Priority to JP2007504030A priority patent/JP4991520B2/en
Priority to CA2559607A priority patent/CA2559607C/en
Priority to AU2005222995A priority patent/AU2005222995B2/en
Priority to EP05725623.2A priority patent/EP1729768B1/en
Publication of WO2005089317A2 publication Critical patent/WO2005089317A2/en
Publication of WO2005089317A3 publication Critical patent/WO2005089317A3/en

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00—Medicinal preparations containing organic active ingredients
    • A61K31/185—Acids; Anhydrides, halides or salts thereof, e.g. sulfur acids, imidic, hydrazonic or hydroximic acids
    • A61K31/19—Carboxylic acids, e.g. valproic acid
    • A61K31/20—Carboxylic acids, e.g. valproic acid having a carboxyl group bound to a chain of seven or more carbon atoms, e.g. stearic, palmitic, arachidic acids
    • A61K31/202—Carboxylic acids, e.g. valproic acid having a carboxyl group bound to a chain of seven or more carbon atoms, e.g. stearic, palmitic, arachidic acids having three or more double bonds, e.g. linolenic
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00—Medicinal preparations containing organic active ingredients
    • A61K31/33—Heterocyclic compounds
    • A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/435—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
    • A61K31/4353—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom ortho- or peri-condensed with heterocyclic ring systems
    • A61K31/4375—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom ortho- or peri-condensed with heterocyclic ring systems the heterocyclic ring system containing a six-membered ring having nitrogen as a ring heteroatom, e.g. quinolizines, naphthyridines, berberine, vincamine
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00—Medicinal preparations containing organic active ingredients
    • A61K31/33—Heterocyclic compounds
    • A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/435—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
    • A61K31/47—Quinolines; Isoquinolines
    • A61K31/4738—Quinolines; Isoquinolines ortho- or peri-condensed with heterocyclic ring systems
    • A61K31/4745—Quinolines; Isoquinolines ortho- or peri-condensed with heterocyclic ring systems condensed with ring systems having nitrogen as a ring hetero atom, e.g. phenantrolines
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00—Medicinal preparations characterised by special physical form
    • A61K9/0012—Galenical forms characterised by the site of application
    • A61K9/0014—Skin, i.e. galenical aspects of topical compositions
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00—Medicinal preparations characterised by special physical form
    • A61K9/10—Dispersions; Emulsions
    • A61K9/107—Emulsions ; Emulsion preconcentrates; Micelles
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P17/00—Drugs for dermatological disorders
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P17/00—Drugs for dermatological disorders
    • A61P17/02—Drugs for dermatological disorders for treating wounds, ulcers, burns, scars, keloids, or the like
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P17/00—Drugs for dermatological disorders
    • A61P17/12—Keratolytics, e.g. wart or anti-corn preparations
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P31/00—Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
    • A61P31/12—Antivirals
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P35/00—Antineoplastic agents
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P37/00—Drugs for immunological or allergic disorders
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P37/00—Drugs for immunological or allergic disorders
    • A61P37/02—Immunomodulators
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P37/00—Drugs for immunological or allergic disorders
    • A61P37/02—Immunomodulators
    • A61P37/04—Immunostimulants
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P43/00—Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00

Definitions

  • Pharmaceutical formulations containing IRM compounds are disclosed in U.S. Patent Nos. 5,238,944; 5,939,090; and 6,425,776; European Patent 0 394 026; and U.S. Patent Publication 2003/0199538.
  • IRM compounds include preservatives such as methylparaben, sorbic acid, propylene glycol, etc.
  • the mechanism for the antiviral and antitumor activity of these IRM compounds is thought to be due in substantial part to enhancement of the immune response by induction of various important cytokines (e.g., interferons, interleukins, tumor necrosis factor, etc.).
  • cytokines e.g., interferons, interleukins, tumor necrosis factor, etc.
  • Such compounds have been shown to stimulate a rapid release of certain monocyte/macrophage-derived cytokines and are also capable of stimulating B cells to secrete antibodies, which play an important role in these IRM compounds' antiviral and antitumor activities.
  • IFN interferon
  • IL-1 Interleukin-1
  • IL-6 Interleukin-6
  • IRMs SUMMARY OF THE INVENTION
  • factors include, e.g., irritation of the skin to which the formulation is applied; formulation wash away; insolubility and/or degradation of the IRM compound in the formulation; physical instability of the formulation (e.g., separation of components, thickening, precipitation/agglomeration of active ingredient, and the like); degradation of excipients; poor permeation; and undesired systemic delivery of the topically applied IRM compound.
  • IRMs containing a 2-aminopyridine moiety fused to a five-membered nitrogen- containing heterocyclic ring interact with preservatives such as sorbic acid, resulting in decreased concentrations (relative to the initial concentrations in the freshly prepared formulation) of both the IRM and preservative, with the resulting formation of unwanted impurities.
  • IRMs interact with intennediates and products resulting from autoxidation of the sorbic acid preservative. It has been discovered that stability can be improved through the addition of a compound acting as an antioxidant.
  • the antioxidant may beneficially have hydrogen atom donating functionality.
  • stability of the formulation maybe further improved by adding a chelating agent.
  • the present invention provides a pharmaceutical formulation that includes: an immune response modifier (IRM) compound having a 2- aminopyridme moiety fused to a five-membered nitrogen-containing heterocyclic ring; a preservative system that includes sorbic acid, esters thereof, salts thereof, or combinations thereof; and an antioxidant.
  • IRM immune response modifier
  • a chelating agent may also beneficially be included in any of the formulations described herein.
  • a fatty acid, a hydrophobic, aprotic component miscible with the fatty acid and including a hydrocarbyl group of 7 or more carbon atoms, or combinations thereof may also be included in any of the formulations described herein.
  • the present invention provides a pharmaceutical formulation that includes: an immune response modifier (IRM) compound having a 2-aminopyridine moiety fused to a five-membered nitrogen- containing heterocyclic ring; a preservative system that includes a sorbic acid preservative selected from the group consisting of sorbic acid, esters thereof, salts thereof, and combinations thereof; an antioxidant having hydrogen atom donating functionality; a fatty acid; and a hydrophobic, aprotic component miscible with the fatty acid and having a hydrocarbyl group of 7 or more carbon atoms.
  • a chelating agent may also beneficially be included.
  • the present invention provides a pharmaceutical formulation that includes: 0.001% by weight to 5.0% by weight of an immune response modifier (IRM) compound having a 2-aminopyridine moiety fused to a five-membered nitrogen-containing heterocyclic ring (preferably, an imidazonaphthyridine amine, and more preferably 2-methyl-l-(2-methylpropyl)-lH-imidazo[4,5-c][l,5]naphthyridin-4- amine); a preservative system; 0.001% by weight to 0.2% by weight of an antioxidant having hydrogen atom donating functionality; 0 to 0.1% by weight of a chelating agent; 1 % by weight to 30% by weight of a fatty acid; 1 % by weight to 15% by weight of a medium-chain triglyceride; 0.2% by weight to 2.0% by weight of a viscosity enhancing agent; 0.1 % by weight to 6.0% by weight of an emulsifier; and water; wherein the formulation
  • the preservative system includes: 0.02% by weight to 0.2% by weight of a sorbic acid preservative selected from the group consisting of sorbic acid, esters thereof, salts thereof, and combinations thereof; 0 to 10.0% by weight of a preservative enhancing solubilizer; and 0.05% by weight to 0.2% by weight of a secondary preservative compound.
  • a sorbic acid preservative selected from the group consisting of sorbic acid, esters thereof, salts thereof, and combinations thereof
  • 0 to 10.0% by weight of a preservative enhancing solubilizer and 0.05% by weight to 0.2% by weight of a secondary preservative compound.
  • Certain embodiments of the present invention include a hydrophilic viscosity agent, such as those selected from cellulose ethers and carbomers. If used, the hydrophilic viscosity agent is preferably present in an amount of 0.2% by weight to 2.0% by weight.
  • Other useful additives include, for example, a p ⁇ adjuster, an e
  • the present invention also provides methods.
  • the present invention provides a method of stabilizing a pharmaceutical formulation that includes: an immune response modifier (IRM) compound having a 2-aminopyridine moiety fused to a five-membered nitrogen- containing heterocyclic ring; and a preservative system that includes a sorbic acid preservative selected from the group consisting of sorbic acid, esters thereof, salts thereof, and combinations thereof.
  • the method includes adding an antioxidant and optionally a chelating agent to the formulation.
  • the present invention provides a method for delivering an immune response modifier (IRM) to a dermal surface. The method includes selecting a formulation of the present invention and applying the selected formulation to the dermal and/or mucosal surface.
  • the present invention provides a method of treating a dermal associated condition (particularly, actinic keratosis).
  • the method includes applying to a dermal surface of a patient in need thereof a pharmaceutical formulation of the present invention.
  • a "sorbic acid preservative" means sorbic acid, esters of sorbic acid, salts of sorbic acid, or combinations thereof.
  • “remains substantially constant” means that the concentration of sorbic acid preservative in an IRM-containing formulation does not decrease by more than 15% of the initial concentration (i.e., its concentration when initially formulated) when stored for at least 6 months at 40°C and 75% relative humidity.
  • the present invention provides pharmaceutical formulations that include an immune response modifier containing a 2-aminopyridine fused to a five-membered nitrogen-containing heterocyclic ring, a preservative system that includes a sorbic acid preservative (i.e., sorbic acid, esters of sorbic acid, salts of sorbic acid, or combinations thereof).
  • a sorbic acid preservative i.e., sorbic acid, esters of sorbic acid, salts of sorbic acid, or combinations thereof.
  • sorbic acid preservative i.e., sorbic acid, esters of sorbic acid, salts of sorbic acid, or combinations thereof.
  • such formulations are stabilized through the inco ⁇ oration of an antioxidant, more preferably an antioxidant having hydrogen atom donating functionality. Additional stability, particularly of the antioxidant, can be obtained through the inco ⁇ oration of a chelating agent.
  • the concentration of the sorbic acid preservative in an IRM-containing formulation remains substantially constant relative to its initial concentration (i.e., its concentration when initially formulated) when stored for at least 6 months at 40°C and 75% relative humidity.
  • “remains substantially constant” means that the concentration of sorbic acid preservative in an IRM-containing formulation does not decrease by more than 15% of the initial concentration (i.e., its concentration when initially formulated) when stored for at least 6 months at 40°C and 75% relative humidity.
  • the concentration of the sorbic acid preservative in an IRM-containing formulation does not decrease by more than 10% of the initial concentration when stored for at least 6 months at 40°C and 75% relative humidity.
  • formulations described herein can be in the form of an oil-in-water emulsion such as a cream or a lotion.
  • an emulsion can include an oil phase that includes one or more IRM compounds, a fatty acid in an amount sufficient to solubilize the IRM compound(s), a hydrophobic, aprotic component; and an aqueous phase that includes a preservative system, and a hydrophilic viscosity enhancing agent.
  • Such components, as well as all others of the formulations described herein, are preferably pharmaceutically acceptable.
  • the present invention provides a formulation that includes an immune response modifier containing a 2-aminopyridine moiety fused to a five- membered nitrogen-containing heterocyclic ring.
  • Immune response modifier compounds include compounds that possess potent immunomodulating activity including but not limited to antiviral and antitumor activity.
  • Certain IRMs modulate the production and secretion of cytokines.
  • certain IRM compounds induce the production and secretion of cytokines such as, e.g., Type I interferons, TNF- ⁇ , IL-1, IL-6, IL-8, IL-10, IL-12, MIP-1, and/or MCP-1.
  • IRM compounds can inhibit production and secretion of certain T H cytokines, such as IL-4 and IL-5. Additionally, some IRM compounds are said to suppress IL-1 and TNF (U.S. Patent No. 6,518,265).
  • IRM compounds suitable for use in the invention include compounds having a
  • 2-aminopyridine fused to a five-membered nitrogen-containing heterocyclic ring Such compounds include, for example, imidazoquinoline amines including, but not limited to, substituted imidazoquinoline amines such as, for example, amide substituted imidazoquinoline amines, sulfonamide substituted imidazoquinoline amines, urea substituted imidazoqumolme amines, aryl ether substituted imidazoquinoline amines, heterocyclic ether substituted imidazoquinoline amines, amido ether substituted imidazoquinoline amines, sulfonamido ether substituted imidazoquinoline amines, urea substituted imidazoquinoline ethers, thioether substituted imidazoquinoline amines, and 6-, 7-, 8-, or 9-aryl or heteroaryl substituted imidazoquinoline amines; tetrahydroimidazoquinoline amines including, but not limited to,
  • the IRM compound can be chosen from lH-imidazo[4,5-c]quinolin-4-amines defined by one of Formulas I-V below:
  • Rn is selected from alkyl of one to ten carbon atoms, hydroxyalkyl of one to six carbon atoms, acyloxyalkyl wherein the acyloxy moiety is alkanoyloxy of two to four carbon atoms or benzoyloxy, and the alkyl moiety contains one to six carbon atoms, benzyl, (phenyl)ethyl and phenyl, said benzyl, (phenyl)ethyl or phenyl substituent being optionally substituted on the benzene ring by one or two moieties independently selected from alkyl of one to four carbon atoms, alkoxy of one to four carbon atoms and halogen, with the proviso that if said benzene ring is substituted by two of said moieties, then said moieties together contain no more than six carbon atoms; R ⁇ is selected from hydrogen, alkyl of one to eight carbon atoms, benzyl, (phenyl)e
  • R 14 is -CHR x Ry wherein R y is hydrogen or a carbon-carbon bond
  • R y is hydrogen or a carbon-carbon bond
  • R x is alkoxy of one to four carbon atoms, hydroxyalkoxy of one to four carbon atoms, 1 -alkynyl of two to ten carbon atoms, tefrahydropyranyl, alkoxyalkyl wherein the alkoxy moiety contains one to four carbon atoms and the alkyl moiety contains one to four carbon atoms, or 2-, 3-, or 4-pyridyl
  • R 24 is selected from hydrogen, alkyl of one to four carbon atoms, phenyl, and substituted phenyl wherein
  • R ⁇ 5 is selected from hydrogen; straight chain or branched chain alkyl containing one to ten carbon atoms and substituted straight chain or branched chain alkyl containing one to ten carbon atoms, wherein the substituent is selected from cycloalkyl containing three to six carbon atoms and cycloalkyl containing three to six carbon atoms substituted by straight chain or branched chain alkyl containing one to four carbon atoms; straight chain or branched chain alkenyl containing two to ten carbon atoms and substituted straight chain or branched chain alkenyl containing two to ten carbon atoms, wherein the substituent is selected from cycloalkyl containing three to six carbon atoms and cycloalkyl containing three to six carbon atoms substituted by straight chain or branched chain alkyl containing one to four carbon atoms; hydroxyalkyl of one to six carbon atoms; alkoxyalkyl wherein the alkoxy moiety contains
  • R T are independently selected from hydrogen, alkyl of one to four carbon atoms, phenyl, and substituted phenyl wherein the substituent is selected from alkyl of one to four carbon atoms, alkoxy of one to four carbon atoms, and halogen;
  • X is selected from alkoxy containing one to four carbon atoms, alkoxyalkyl wherein the alkoxy moiety contains one to four carbon atoms and the alkyl moiety contains one to four carbon atoms, hydroxyalkyl of one to four carbon atoms, haloalkyl of one to four carbon atoms, alkylamido wherem the alkyl group contains one to four carbon atoms, amino, substituted amino wherein the substituent is alkyl or hydroxyalkyl of one to four carbon atoms, azido, chloro, hydroxy, 1-mo ⁇ holino, 1-pynolidino, alkylthio of one to four carbon atoms; and R 5 is selected from hydrogen,
  • R 16 is selected from hydrogen; cyclic alkyl of three, four, or five carbon atoms; sfraight chain or branched chain alkyl containing one to ten carbon atoms and substituted sfraight chain or branched chain alkyl containing one to ten carbon atoms, wherein the substituent is selected from cycloalkyl containing three to six carbon atoms and cycloalkyl containing three to six carbon atoms substituted by straight chain or branched chain alkyl containing one to four carbon atoms; fluoro- or chloroalkyl containing from one to ten carbon atoms and one or more fluorine or chlorine atoms; straight chain or branched chain alkenyl containing two to ten carbon atoms and substituted straight chain or branched chain alkenyl containing two to ten carbon atoms, wherein the substituent is selected from cycloalkyl containing three to six carbon atoms
  • (phenyl)ethyl or phenyl substituent being optionally substituted on the benzene ring by one or two moieties independently selected from alkyl of one to four carbon atoms, alkoxy of one to four carbon atoms, and halogen, with the proviso that when said benzene ring is substituted by two of said moieties, then the moieties together contain no more than six carbon atoms; and -CHR x R y wherein R y is hydrogen or a carbon-carbon bond, with the proviso that when R y is hydrogen R x is alkoxy of one to four carbon atoms ' , hydroxyalkoxy of one to four carbon atoms, 1 -alkynyl of two to ten carbon atoms, tefrahydropyranyl, alkoxyalkyl wherein the alkoxy moiety contains one to four carbon atoms and the alkyl moiety contains one to four carbon atoms, 2-, 3-, or 4-pyr
  • the IRM compound can be chosen from imidazopyridine amines defined by Formula VII below:
  • Z is selected from -(CH 2 ) P - wherein p is 1 to 4; -(CH2) a -C(RDRE)(CH 2 )b-, wherein a and b are integers and a+b is 0 to 3, RD is hydrogen or alkyl of one to four carbon atoms, and R E is selected from alkyl of one to four carbon atoms, hydroxy, -ORp wherein R F is alkyl of one to four carbon atoms, and
  • R G and R' G are independently hydrogen or alkyl of one to four carbon atoms; and -(CH 2 ) a -(Y)-(CH 2 )b- wherein a and b are integers and a+b is 0 to 3, and Y is O, S, or -NRj- wherein Rj is hydrogen or alkyl of one to four carbon atoms; q is O or l; and R 8 is selected from alkyl of one to four carbon atoms, alkoxy of one to four carbon atoms, and halogen, and pharmaceutically acceptable salts thereof.
  • the IRM compound can be chosen from thiazoloquinoline amines, oxazoloquinoline amines, thiazolopyridine amines, oxazolopyridine amines, thiazolonaphthyridine amines and oxazolonaphthyridine amines defined by Fonnula IX below:
  • R ⁇ 9 is selected from oxygen, sulfur and selenium;
  • R 29 is selected from -hydrogen; -alkyl; -alkyl-OH; -haloalkyl; -alkenyl; -alkyl-X-alkyl; -alkyl-X-alkenyl; -alkenyl-X-alkyl; -alkenyl-X-alkenyl; -alkyl-N(R 59 ) 2 ; -alkyl-N 3 ; -alkyl-O-C(O)-N(R 59 ) 2 ; -heterocyclyl; -alkyl-X-heterocyclyl; -alkenyl-X-heterocyclyl; -aryl; -alkyl-X-aryl;
  • R 39 and R ⁇ are each independently: -hydrogen; -X-alkyl; -halo; -haloalkyl; -N(R 59 ) 2 ; or when taken together, R 39 and Rj 9 form a fused aromatic, heteroaromatic, cycloalkyl or heterocyclic ring;
  • X is selected from-O-, -S- -NR 59 - -C(O)-, -C(O)O-, -OC(O)-, and a bond; and each R 59 is independently H or C ⁇ - 8 alkyl; and pharmaceutically acceptable salts thereof.
  • the IRM compound can be chosen from imidazonaphthyridine amines and imidazotefrahydronaphthyridine
  • Ri ⁇ o is selected from: - hydrogen; -C 1 . 20 alkyl or C 2 .
  • 2C alkenyl that is unsubstituted or substituted by one or more substituents selected from: -aryl; -heteroaryl; -heterocyclyl; -O-C 1 -20 alkyl; -O-(C 1 - 20 alkyl) 0 .i-aryl; -O-(C ⁇ -2o alkyl)o- ⁇ -heteroaryl; -O-(C ⁇ - 20 alkyl) 0 - ⁇ -heterocyclyl; -CO-O-d-20 alkyl; -S(O)o-2 -C ⁇ .2o alkyl; -S(O)o.
  • Y is -N- or -CR-;elected from: -hydrogen; -C ⁇ -10 alkyl;
  • each R 3 ⁇ o is independently selected from hydrogen and C ⁇ - 10 alkyl; and each R is independently selected from hydrogen, C ⁇ - ⁇ 0 alkyl, C ⁇ - 10 alkoxy, halogen and trifluoromethyl;
  • B is -NR-C(R) 2 -C(R) 2 -C(R) 2 -; -C(R) 2 -NR-C(R) 2 -C(R) 2 -; -C(R) 2 -C(R) 2 -NR-C(R) 2 - or -C(R) 2 -C(R) 2 -C(R) 2 -NR-;
  • R 111 is selected from: - hydrogen; -Ci.
  • o alkyl or C 2 -2o alkenyl that is unsubstituted or substituted by one or more substituents selected from: -aryl; -heteroaryl; -heterocyclyl; -O-C ⁇ - 20 alkyl; -O-(Ci. 2 o alkyl)o-i-aryl; -O-(C !
  • alkenyl-NRsn-Q-X-Rm wherein Q is - CO- or -SO 2 -; X is a bond, -O- or -NR3 11 - and Rm is aryl; heteroaryl; heterocyclyl; or ⁇ Ci- 20 alkyl or C 2 - 2 0 alkenyl that is unsubstituted or substituted by one or more substituents selected from: -aryl; -heteroaryl; -heterocyclyl; -O-C ⁇ - 20 alkyl; -O-(C 1 .
  • Y is -N- or -CR-;elected from: -hydrogen;
  • the IRM compound can be chosen from 1H- imidazo[4,5-c]quinolin-4-amines and tefrahydro- lH-imidazo[4,5-c]quinolin-4-amines defined by Formulas XII, XIII and XIV below:
  • R112 is -alkyl-NR ⁇ -CO-Ri ⁇ or -alkenyl-NR 3 i2-CO- R_n 2 wherein R 4 ⁇ 2 is aryl, heteroaryl, alkyl or alkenyl, each of which may be unsubstituted or substituted by one or more substituents selected from: -alkyl; -alkenyl; -alkynyl; -(alkyl)o- ⁇ -aryl; -(alkyl)o- ⁇ -(substituted aryl);
  • R412 is wherein R512 is an aryl, (substituted aryl), heteroaryl, (substituted heteroaryl), heterocyclyl or (substituted heterocyclyl) group; R 212 is selected from: -hydrogen; -alkyl; -alkenyl; -aryl; -(substituted aryl); -heteroaryl; -(substituted heteroaryl); -heterocyclyl; -(substituted heterocyclyl); -alkyl-O-alkyl; -alkyl-O-alkenyl; and -alkyl or alkenyl substituted by one or more substituents selected from: -OH; -halogen; -N(R 3 ⁇ 2 )
  • R ⁇ 3 is -alkyl-NR 3 i3- SO 2 -X-R413 or -alkenyl-NR 313 - SO 2 -X-R413 ;
  • X is a bond or -NR 5 ⁇ 3 -;
  • R» 3 is aryl, heteroaryl, heterocyclyl, alkyl or alkenyl, each of which may be unsubstituted or substituted by one or more substituents selected from: -alkyl; -alkenyl; -aryl; -heteroaryl; -heterocyclyl; -substituted cycloalkyl;
  • R 2 ⁇ is selected from: -hydrogen; -alkyl; -alkenyl; -aryl; -substituted aryl; -heteroaryl; -substituted heteroaryl; - alkyl-O-alkyl; - alkyl-O- alkenyl; and - alkyl or alkenyl substituted by one or more substituents selected from: -OH; -halogen; -CO-Ci-io alkyl; -CO-O-Ci.io alkyl; -N 3 ; -aryl; -substi
  • the IRM compound can be chosen from 1H- irnidazo[4,5-c]quinolin-4-amines and tefrahydro- lH-imidazo[4,5-c]quinolin-4-amines defined by Formulas XV, XVI, XVII, XVIII, XIX, XX, XXI, XXII, XXIII, XXIV,
  • X is -C ⁇ R 5 ⁇ 5 -, -CHR 5 ⁇ 5 -alkyl-, or -CHR 5 i 5 -alkenyl-;
  • Rn 5 is selected from: -R 41 5-CR 31 S-Z-R615— alkyl; -lUis-CR ⁇ s-Z-Reis — alkenyl; -R 4 i5-CR 3 i 5 -Z-R 6 i5— aryl; -R-us-CR ⁇ s-Z-Reis — heteroaryl; - HS -CR 31S -Z-R 015 — heterocyclyl; -R 41 5-NR 71 5 -C 31 5-R ⁇ 1S— alkyl; -R415-NR7.5 -CR 3 i 5 -R ⁇ 5i 5 — alkenyl; -R 4 i 5 -NR 7 ⁇ 5 -CR 3 i 5 -R 6 i 5 -aryl; -R
  • X is -CHR 5 ⁇ 6 -, -CHR 5 ⁇ 6 -alkyl-, or -CHR 5 ⁇ 6 -alkenyl-;
  • R ⁇ i 6 is selected from: -R4 1 6-CR 3 i6-Z-R6i6 — lkyl; -R416-CR316-Z-R6I6 — aryl; - H6 -CR3 l ⁇ -Z-R ⁇ i ⁇ — heteroaryl; -R 41 6-CR316-Z-R ⁇ 16 — heterocyclyl; -R416- R716 -CR 3 i6-R6i 6 — alkyl; -R-H6-NR716 -CR316-R6I6 — alkenyl; -R 4 i 6 -NR7i6-CR3i 6 -R 6 i 6 -aryl; -R i6-NR7i6-CR3i6-R6i6-hetero
  • X is -CHR 317 -, -CHR 3 i -alkyl-, or -CHR 3 i 7 -alkenyl-;
  • Ri i 7 is selected from: -alkenyl; -aryl; and -R- -aryl;
  • R 2 ⁇ is selected from: -hydrogen; -alkyl; -alkenyl; -aryl; -heteroaryl; -heterocyclyl; -alkyl-Y-alkyl; -alkyl- Y- alkenyl; -alkyl- Y-aryl; and - alkyl or alkenyl substituted by one or more substituents selected from: -OH; -halogen; -N(R 3 ⁇ 7 ) 2 ; -CO-Ci-io alkyl; -CO-O-C MO alkyl; -N 3 ; -aryl; -heteroaryl;
  • X is -CHR 3 ⁇ 8 -, -CHR 3 ⁇ 8 -alkyl-, or -CHR 3 ⁇ 8 -alkenyl-;
  • R ⁇ s is selected from: -aryl; -alkenyl; and -R t is-aryl;
  • R 2 ⁇ 8 is selected from: -hydrogen; -alkyl; -alkenyl; -aryl; -heteroaryl; -heterocyclyl; -alkyl-Y-alkyl; -alkyl- Y-aryl; - alkyl- Y- alkenyl; and - alkyl or alkenyl substituted by one or more substituents selected from: -OH; -halogen; -N(R 3 ⁇ s) 2 ; -CO-N(R 3 ⁇ 8 ) 2 ; -CO-CMO alkyl; -CO-O-CMO alkyl; -N 3
  • X is -CHR 319 -, -CHR 3 j 9 -alkyl-, or -CHR 3 ⁇ 9 -alkenyl-;
  • Rn is selected from: -heteroaryl; -heterocyclyl; -R 4 i 9 - heteroaryl; and -Rnsr-heterocyclyl;
  • R 2 ⁇ 9 is selected from: -hydrogen; -alkyl; -alkenyl; -aryl; -heteroaryl; -heterocyclyl; -alkyl-Y-alkyl; -alkyl- Y- alkenyl; -alkyl- Y-aryl; and - alkyl or alkenyl substituted by one or more substituents selected from: -OH; -halogen; -N(R 3 ⁇ 9 ) 2 ; -CO-N(R 3 ⁇ 9 ) 2 ; -CO-CMO
  • X is -CHR 32 o-, -CHR 32 o-alkyl-, or -CHR 32 o-alkenyl-;
  • R120 is selected from: -heteroaryl; -heterocyclyl; -R420- heteroaryl; and -R 42 o-heterocyclyl;
  • R220 is selected from: -hydrogen; -alkyl; -alkenyl; -aryl; -heteroaryl; -heterocyclyl; -alkyl-Y-alkyl; -alkyl- Y- alkenyl; -alkyl- Y-aryl; and - alkyl or alkenyl substituted by one or more substituents selected from: -OH; -halogen; -CO-C ⁇ -10 alkyl; -CO-O-C MO alkyl; -N 3 ; -aryl; -heteroaryl; -heter
  • X is -CHR 52 ⁇ -, -CHR 5 2i -alkyl-, or -CHR 52 ⁇ -alkenyl- Rm is selected from: - m— NR321— SO 2 —R621— alkyl; -R421— R321 — SO 2 — R — alkenyl; -R 42 i-NR 32 i-S ⁇ 2 -R 62 ⁇ -aryl; -R 42 i-NR 32 i-S ⁇ 2 -R 62 ⁇ -heteroaryl; -R 2 ⁇ -NR 32 i-S ⁇ 2 -R 62 i-heterocyclyl; -R421— NR321— SO 2 — R721; -R 42 i-NR 32 i-SO 2 -NR 52 i-R 62 i-alkyl; -R 42 ⁇ -NR 32 i-SO 2 -NR 52 i-R 62 i-al
  • R ⁇ 22 is selected from: -Rt22— NR322— SO 2 — R6 22 — alkyl; - r2 2 — R322 — SO2 — R ⁇ 22 — alkenyl; -R 422 -NR 322 -SO 2 -R 622 -aryl; -R 422 -NR 322 -SO 2 -R 6 22-heteroaryl; -R 422 -NR 322 -SO 2 -R 622 -heterocyclyl; -R422 — NR322 — SO 2 — R722; -R 22 -NR 322 -SO 2 -NR 522 -R 622 -alkyl; -R 2 2 -NR 322 -SO 2 -NR 522 -R 622 -alkyl; -R 2 2 -NR 322 -SO 2 -NR 522 -R 622 -alkyl; -R 2 2 -NR
  • R 222 is selected from: -hydrogen; -alkyl; -alkenyl; -aryl; -heteroaryl; -heterocyclyl; -alkyl-Y-alkyl; -alkyl-Y- alkenyl; -alkyl-Y-aryl; and - alkyl or alkenyl substituted by one or more substituents selected from: -OH; -halogen; -N(R 522 ) 2 ; -CO-N(R 522 ) 2 ; -CO-Ci-io alkyl; -CO-O-CMO alkyl; -N 3 ; -aryl; -heteroaryl; -heterocyclyl; -CO-aryl; and -CO-heteroaryl;
  • Y is -O- or -S(O)o- 2 -;
  • R 322 is H, CMO alkyl, or arylalkyl; each R- ⁇ 22 is independently alkyl or alkenyl, which may be interrupted by one or more -O- groups; or R 322 and R « 2 can join together to form a ring;
  • each R 52 2 is independently H, C O alkyl, or C2-10 alkenyl;
  • Rg22 is a bond, alkyl, or alkenyl, which may be interrupted by one or more -O- groups;
  • R 722 is CMO alkyl; or R 322 and R 722 can join together to form a ring;
  • v is 0 to 4; and each R 22 present is independently selected from C MO alkyl, C MO alkoxy, hydroxy, halogen, and trifluoromethyl;
  • X is -CHR 323 -, -CHR 3 3-alkyl-, or -CHR 323 -alkenyl-;
  • Z is -S-, -SO-, or-SO 2 -;
  • R123 is selected from: -alkyl; -aryl; -heteroaryl; -heterocyclyl; -alkenyl; -R 423 -aryl; -R423- heteroaryl; and -R 423 -heterocyclyl;
  • R223 is selected from: -hydrogen; -alkyl; -alkenyl; -aryl; -heteroaryl; -heterocyclyl; -alkyl-Y-alkyl; - alkyl- Y- alkenyl; -alkyl- Y-aryl; and - alkyl or alkenyl substituted by one or more substituents selected from: -OH; -hal
  • X is -CHR 32 -, -CHR 324 -alkyl-, or -CHR 324 -alkenyl-;
  • Z is -S-, -SO-, or-SO 2 -;
  • Ri2 4 is selected from: -alkyl; -aryl; -heteroaryl; -heterocyclyl; -alkenyl; -R424- heteroaryl; and -R 4 2 4 -heterocyclyl;
  • R22 4 is selected from: -hydrogen; -alkyl; -alkenyl; -aryl; -heteroaryl; -heterocyclyl; -alkyl-Y-alkyl; - alkyl- Y- alkenyl; -alkyl- Y-aryl; and - alkyl or alkenyl substituted by one or more substituents selected from: -OH; -halogen; -N(R
  • R 125 is selected from: -R 42 S-NRS 2 S-CR32S— R 525 -Z-R6 25 -alkyl; -R 25 -NR 825 -CR 325 — NR 525 -Z-R 625 -alkenyl; - 125 -NR 525 -CR3 2S — NR 525 -Z-R 625 -aryl; -R42y R825-CR32 ⁇ — NR 525 -Z-R 625 -heteroaryl; -R425-NR825 — CR325 — NR525R725; -R 425 -NR 825 -CR 32 5— R 925 -Z— ⁇ s-alkyl; -R 425 -NR 825 -CR 3 5 — R
  • X is -CHR 526 -, -CHR 52 6-alkyl-, or -CHR 526 -alkenyl-;
  • R 126 is selected from: -R 126 - RS26-CR326— R 526 -Z-R 626 -alkyl; -R 26 -NR 826 -CR 3 26— -NR 526 -Z-R 626 -alkenyl; -R 2 6 -NR 826 -CR 3 2 6 — NR 526 -Z-R 626 -aryl; -R 4 26- R 826 -CR32 6 — NR 526 -Z-R 626 -heteroaryl; -R 426 -NR 826 -CR 326 — NR 526 -Z-R 626 -heterocyclyl; -R426— NR 8 26— CR 326 — NR 526 R7 2 6; -R 426 -NR 826
  • X is alkylene or alkenylene; Y is -CO- or-CS; Z is a bond, -O-, or -S-;
  • R 127 is aryl, heteroaryl, heterocyclyl, alkyl or alkenyl, each of which may be unsubstituted or substituted by one or more substituents independently selected from: -alkyl; -alkenyl; -aryl; -heteroaryl; -heterocyclyl; -substituted cycloalkyl; -substituted aryl; -substituted heteroaryl; -substituted heterocyclyl; -O-alkyl; -O-(alkyl) 0 -i-aryl; -O-(alkyl)o- ⁇ -(substituted aryl); -O-(alkyl)o- ⁇ -heteroaryl; -O-(alkyl)o
  • R22 7 is selected from: -hydrogen; -alkyl; 20 -alkenyl; -aryl; -substituted aryl; -heteroaryl; -substituted heteroaryl; 25 -alkyl-O-alkyl; -alkyl-S-alkyl; -alkyl-O-aryl; -alkyl-S-aryl: -alkyl-O- alkenyl; 30 -alkyl-S- alkenyl; and -alkyl or
  • R 328 and R 28 are independently selected from hydrogen, alkyl, alkenyl, halogen, alkoxy, amino, alkylamino, dialkylamino, and alkylthio; R 528 is H or C MO
  • Ri 29 is aryl, heteroaryl, heterocyclyl, alkyl or alkenyl, each of which may be unsubstituted or substituted by one or more substituents independently selected from: -alkyl; -alkenyl; -aryl; -heteroaryl; -heterocyclyl; -substituted cycloalkyl; 5 -substituted aryl; -substituted heteroaryl; -substituted heterocyclyl; -O-alkyl; -O-(alkyl)o- ⁇ -aryl; 10 -O-(alkyl)o- ⁇ -(substituted aryl); -O-(alkyl)o
  • R 29 are independently selected from hydrogen, alkyl, alkenyl, halogen, alkoxy, amino, alkylamino, dialkylamino, and alkylthio;
  • R 529 is H or C MO alkyl, or R 5 2 9 can join with X to form a ring that contains one or two heteroatoms;
  • each R ⁇ 29 is independently H or C ⁇ - ⁇ oalkyl;
  • R 729 is H or C MO alkyl which may be interrupted by a heteroatom; or when Ri 29 is alkyl, R ? 2 9 and R12 9 can join to form a ring; and pharmaceutically acceptable salts thereof.
  • the IRM compound can be chosen from 1 -position ether or thioether substituted lH-imidazo[4,5-c]pyridm-4-amines defined by Formula XXX below:
  • XXX wherein: X is -C ⁇ (R 53 o)-, -CH(R 530 )-alkylene-, -CH(R 530 )-alkenylene- or CH(R 53 o)-alkylene-Y-alkylene-; Y is -O- or-S(O) 0 - 2 -; -W-RBO is selected from -O-RBO-I-5 and -S(O)o- 2 -Ri3o- 6 ; RBO-I-S is selected from -R 63 o-C(R 7 3o)-Z-R 83 o— alkyl; -R 63 o-C(R 7 3o)-Z-R 8 3o— alkenyl; -R 63 o-C(R 7 3o)-Z-R 83 o— aryl; -R 630 -C(R7 3 o)-Z-Rs3o — heteroaryl; -
  • R BO - 6 is selected from: -alkyl; -aryl; -heteroaryl; -heterocyclyl; -alkenyl; -R 630 -aryl; -R 6 3o- heteroaryl; and -R 630 -heterocyclyl; each R 53 o is independently hydrogen, CMO alkyl, or C 2 - ⁇ o alkenyl; R ⁇ o is alkylene, alkenylene, or alkynylene, which may be interrupted by one or more -O- groups; R
  • R1030 is hydrogen or C M O alkyl; or R 9 3o and R1030 can join together to form a ring selected from RI O is CMO alkyl; or R 9 3o and R 1130 can join together to form a ring having the structure
  • R1230 is C 2 - 7 alkylene which is straight chain or branched, wherein the branching does not prevent fonnation of the ring; and R230, R330 and R 4 3o are independently selected from hydrogen and non- interfering substitutents; and pharmaceutically acceptable salts thereof.
  • Illustrative non-interfering R230 substituents include: -alkyl; -alkenyl; -aryl; -heteroaryl; -heterocyclyl; -alkylene- Y-alkyl; -alkylene- Y- alkenyl; -alkylene- Y-aryl; and - alkyl or alkenyl substituted by one or more substituents selected from the group consisting of: -OH; -halogen; -N(R 53 o) 2 ; -C(O)-C ⁇ - ⁇ o alkyl; -C(O)-O-CMO alkyl; -N 3 ; -aryl; -heteroaryl; -heterocyclyl; -C(O)-aryl; and -C(O)-heteroaryl.
  • Illustrative non-interfering R 33 o and R4 3 o substitutents include: CMO alkyl, C2-10 alkenyl, C2-10 alkynyl, CMO alkoxy, C MO alkylthio, amino, alkylamino, dialkylamino, halogen, and nitro.
  • the IRM compound can be chosen from IH-imidazo dimers of the formula (XXXI):
  • A is a divalent linking group selected from the group consisting of: sfraight or branched chain C 4 _ 2 o alkylene; straight or branched chain C 4 .2o alkenylene; straight or branched chain C 4 _2o alkynylene; and -Z-Y-W-Y-Z-; each Z is independently selected from the group consisting of: straight or branched chain C2-20 alkylene; straight or branched chain C -2o alkenylene; and straight or branched chain C 4 .
  • each Y is independently selected from the group consisting of: a bond; -N(R 53 ⁇ )C(O)-; -N(R 53 ⁇ )C(O)N(R 53 ⁇ )-; - N(R 53 ⁇ )S(O) 2 -; -S(O) 2 N(R 53 ⁇ )-; -OC(O)O-; -OC(O)-; -C(O)O-; -N(R 53 ⁇ )C(O)O-; and -OC(O)N(R 531 )-;
  • W is selected from the group consisting of: straight or branched chain C 2 - 20 alkylene; straight or branched chain C 2 - 2 o alkenylene; straight or branched chain C 4 . 20 alkynylene; straight or branched chain perfluoro C 2 - 2 o alkylene; C alkylene; -C(O)-; -S(O) 2 -; -OC(O)O-; -N(R 53 i)C(O)N(R 53 i)-;
  • trans-5-norbornen-2,3-diyl wherein n is 0 - 4; each R is independently selected from the group consisting of C ⁇ - 4 alkyl, C ⁇ -4 alkoxy, and halogen; and Q is selected from the group consisting of a bond, -CH 2 -, and -O-;
  • R 2 ⁇ is selected from the group consisting of: -hydrogen; -alkyl; -alkenyl; -aryl; -substituted aryl; -heteroaryl; -substituted heteroaryl; -alkyl-X-alkyl; -alkyl-X-aryl; -alkyl-X- alkenyl; and -alkyl or alkenyl substituted by one or more substituents selected from the group consisting of: -OH; -halogen; -N(R 63 ⁇ ) 2 ; -C(O)-N(R 63 ⁇ ) 2 ; -C(S)-N(R 63 ⁇ ) 2 ; -N(R 63 i)-C(O)-Ci.,o alkyl; -N(R63I)-C(S)-CMO alkyl; -N(R63i)- S(O) 2 -CMO alkyl
  • each R ⁇ ⁇ is independently hydrogen or C MO alkyl; R 73 ⁇ is C . 8 alkylene; and X is -O- or -S-; with the proviso that if W is -C(O)-, -S(O) 2 -, -OC(O)O-, or -N(R 53! )C(O)N(R 531 )- then each Y is a bond; and pharmaceutically acceptable salts thereof.
  • the IRM compound can be chosen from 6-, 1-, 8-, or 9- position aryl or heteroaryl substituted lH-imidazo[4,5-c]quinolin-4-amines of the following Formula (XXXII):
  • R 32 is selected from the group consisting of alkyl, alkoxy, hydroxy, and trifluoromethyl; n is 0 or 1 ; R B2 and R232 are independently selected from the group consisting of hydrogen and non-interfering substitutents; R 33 2 is selected from the group consisting of: -Z-Ar, -Z-Ar'-X-Y-R 432 , -Z-Ar'-X-R 532 ; Ar is selected from the group consisting of aryl and heteroaryl both of which can be unsubstituted or can be substituted by one or more substituents independently selected from the group consisting of alkyl, alkenyl, alkoxy, methylenedioxy, haloalkyl, haloalkoxy, halogen, nitro, hydroxy, hydroxyalkyl, mercapto, cyano, carboxy, formyl, aryl, aryloxy, arylalkoxy, heteroaryl, heteroaryloxy,
  • Ri 32 is selected from the group consisting of hydrogen, alkyl, alkenyl, alkynyl, aryl, arylalkylenyl, aryloxyalkylenyl, alkylarylenyl, heteroaryl, heteroarylalkylenyl, heteroaryloxyalkylenyl, alkylheteroarylenyl, and heterocyclyl wherein the alkyl, alkenyl, alkynyl, aryl, arylalkylenyl, aryloxyalkylenyl, alkylarylenyl, heteroaryl, heteroarylalkylenyl, heteroaryloxyalkylenyl, alkylheteroarylenyl, and heterocyclyl groups can be unsubstituted or substituted by one or more substituents independently selected from the group consisting of alkyl,
  • A is selected from the group consisting of -O-, -C(O)-, -S(O)o- 2 -, -CH 2 -, and - N(R4 32 )-;
  • W is selected from the group consisting of a bond, -C(O)-, and -S(O)
  • each X is independently selected from the group consisting of alkylene, alkenylene, alkynylene, arylene, heteroarylene, and heterocyclylene wherein the alkylene, alkenylene, and alkynylene groups can be optionally interrupted or terminated with arylene, heteroarylene, or heterocyclylene, and optionally interrupted by one or more -O- groups; each Y is independently selected from the group consisting of: -S(O)o-2-, -C(R 632 )-, -C(R 632 )-O-, -O-C(O)-O-, -N(R 832 )-Q-,
  • R 43 2 is selected from the group consisting of hydrogen, alkyl, alkenyl, alkynyl, aryl, arylalkylenyl, aryloxyalkylenyl, alkylarylenyl, heteroaryl, heteroarylalkylenyl, heteroaryloxyalkylenyl, alkylheteroarylenyl, and heterocyclyl wherein the alkyl, alkenyl, alkynyl, aryl, arylalkylenyl, aryloxyalkylenyl, alkylarylenyl, heteroaryl, heteroarylalkylenyl, heteroaryloxyalkylenyl, alkylheteroarylenyl, and heterocyclyl groups can be unsubstituted or substituted by one or more substituents independently selected from the group consisting of alkyl, alkoxy, hydroxyalkyl, haloalkyl, haloalkoxy, halogen
  • each W is mdependently selected from the group consisting of a bond, -C(O)-, and-S(O) 2 -; and a and b are independently integers from 1 to 6 with the proviso that a + b is ⁇ 7;
  • Illustrative non-interfering R232 substitutents include:
  • X is selected from the group consisting of alkylene, alkenylene, alkynylene, arylene, heteroarylene, and heterocyclylene wherein the alkylene, alkenylene, and alkynylene groups can be optionally interrupted or terminated with arylene, heteroarylene, or heterocyclylene, and optionally interrupted by one or more -O- groups;
  • Y is selected from the group consisting of: -S(O) 2 -N(R 832 )-,
  • R 432 is selected from the group consisting of hydrogen, alkyl, alkenyl, alkynyl, aryl, arylalkylenyl, aryloxyalkylenyl, alkylarylenyl, heteroaryl, heteroarylalkylenyl, heteroaryloxyalkylenyl, alkylheteroarylenyl, and heterocyclyl wherein the alkyl, alkenyl, alkynyl, aryl, arylalkylenyl, aryloxyalkylenyl, alkylarylenyl, heteroaryl, heteroarylalkylenyl, heteroaryloxyalkylenyl, alkylheteroarylenyl, and heterocyclyl groups can be unsubstituted or substituted by one or more substituents mdependently selected from the group consisting of alkyl, alkoxy, hydroxyalkyl, haloalkyl, haloalkoxy,
  • A is selected from the group consisting of -O-, -C(O)-, -S(O)o- 2 -, -CH 2 -, and - N(R4 32 )-;
  • W is selected from the group consisting of a bond, -C(O)-, and -S(O
  • alkyl As used herein, the terms "alkyl”, “alkenyl”, “alkynyl” and the prefix “alk-” are inclusive of both straight chain and branched chain groups and of cyclic groups, i.e. cycloalkyl and cycloalkenyl. Unless otherwise specified, these groups contain from 1 to
  • alkenyl and alkynyl groups containing from 2 to 20 carbon atoms. In some embodiments, these groups have a total of up to 10 carbon atoms, up to 8 carbon atoms, up to 6 carbon atoms, or up to 4 carbon atoms.
  • Cyclic groups can be monocyclic or polycyclic and preferably have from 3 to 10 ring carbon atoms. Exemplary cyclic groups include cyclopropyl, cyclopropylmethyl, cyclopentyl, cyclohexyl, adamantyl, and substituted and unsubstituted bornyl, norbornyl, and norbornenyl.
  • alkylene alkenylene
  • alkynylene alkynylene
  • an arylalkenyl group comprises an alkylene moiety to which an aryl group is attached.
  • haloalkyl is inclusive of groups that are substituted by one or more halogen atoms, including perfluorinated groups. This is also true of other groups that include the prefix "halo-”. Examples of suitable haloalkyl groups are chloromethyl, trifluoromethyl, and the like.
  • aryl as used herein includes carbocyclic aromatic rings or ring systems.
  • aryl groups include phenyl, naphthyl, biphenyl, fluorenyl, and indenyl.
  • hetero atom refers to the atoms O, S, or N.
  • heteroaryl includes aromatic rings or ring systems that contain at least one ring hetero atom.
  • Suitable heteroaryl groups include furyl, thienyl, pyridyl, quinolinyl, isoquinolinyl, indolyl, isoindolyl, triazolyl, pyrrolyl, tetrazolyl, imidazolyl, pyrazolyl, oxazolyl, thiazolyl, benzofuranyl, benzothiophenyl, carbazolyl, benzoxazolyl, pyrimidinyl, benzimidazolyl, quinoxalinyl, benzothiazolyl, naphthyridinyl, isoxazolyl, isothiazolyl, purinyl, quinazolinyl, pyrazinyl, 1- oxidopyridyl, pyridazinyl, triazinyl, tetrazinyl, oxadiazolyl, thiadiazolyl, and so on.
  • heterocyclyl includes non-aromatic rings or ring systems that contain at least one ring hetero atom and includes all of the fully saturated and partially unsaturated derivatives of the above mentioned heteroaryl groups.
  • exemplary heterocyclic groups include pyrrolidinyl, tefrahydrofuranyl, mo ⁇ holinyl, thiomo ⁇ holinyl, piperidinyl, piperazinyl, thiazolidinyl, imidazolidinyl, isothiazolidinyl, tefrahydropyranyl, quinuclidinyl, homopiperidinyl, homopiperazinyl, and the like.
  • arylene “heteroarylene,” and “heterocyclylene” are the divalent forms of the "aryl,” “heteroaryl,” and “heterocyclyl” groups defined above.
  • arylenyl “heteroarylenyl,” and “heterocyclylenyl” are the divalent forms of the "aryl,” “heteroaryl,” and “heterocyclyl” groups defined above.
  • an alkylarylenyl group comprises an arylene moiety to which an alkyl group is attached.
  • the aryl, heteroaryl, and heterocyclyl groups of Formulas IX - XXX can be unsubstituted or substituted by one or more substituents independently selected from the group consisting of alkyl, alkoxy, methylenedioxy, ethylenedioxy, alkylthio, haloalkyl, haloalkoxy, haloalkylthio, halogen, nitro, hydroxy, mercapto, cyano, carboxy, formyl, aryl, aryloxy, arylthio, arylalkoxy, arylalkylthio, heteroaryl, heteroaryloxy, heteroarylthio, heteroarylalkoxy, heteroarylalkylthio, amino, alkylamino, dialkylamino, heterocyclyl, heterocycloalkyl, alkylcarbonyl, alkenylcarbonyl, alkoxycarbonyl, haloalkylcarbonyl, halo
  • the IRM compounds and salts thereof described herein include any of their pharmaceutically acceptable forms, such as isomers (e.g., diastereomers and enantiomers), solvates, polymo ⁇ hs, and the like.
  • the invention specifically includes the use of each of the compound's enantiomers as well as racemic mixtures of the enantiomers.
  • the topical formulations of the present invention are prepared using the free base form of the IRM compound.
  • the IRM is an imidazonaphthyridine amine.
  • the IRM is 2-methyl-l-(2-methylpropyl)-lH-imidazo[4,5- c] [1 ,5]naphthyridin-4-amine.
  • the amount of an IRM compound that will be therapeutically effective in a specific situation will depend on such things as the activity of the particular compound, the dosing regimen, the application site, the particular formulation and the condition being treated.
  • a therapeutically effective amount means an amount of the compound sufficient to induce a therapeutic or prophylactic effect, such as cytokine induction, inhibition of TH2 immune response, antiviral or antitumor activity, reduction or elimination of postsurgical scarring, reduction or resolution of actinic keratosis or pre-actinic keratosis lesions, reduction in the recurrence of actinic keratosis, or protection against uv-induced epidermal neoplasia, or as an adjuvant for therapeutic and prophylactic vaccines, including DNA, whole cell, protein subunit, attenuated virus, and all other vaccines, where the formulation may be applied before, during and/or after vaccine delivery.
  • a therapeutic or prophylactic effect such as cytokine induction, inhibition of TH2 immune response, antiviral or antitumor activity, reduction or elimination of postsurgical scarring, reduction or resolution of actinic keratosis or pre-actinic keratosis lesions, reduction
  • the amount of the IRM compound present in a topical formulation of the invention will be an amount effective to treat a targeted condition, to prevent recurrence of the condition, or to promote immunity against the condition.
  • the amount or concentration of the IRM compound is at least 0.0001% by weight, such as, for example, at least 0.001%, at least 0.003%, at least 0.005%, at least 0.01%, at least 0.03%, at least 0.10%, at least 0.20%, at least 0.25%, at least 0.27%, at least 0.30%, and at least 1.0%, by weight based on the total weight of the formulation.
  • the amount of the IRM compound is at most 10% by weight, such as, for example, at most 5.0%, at most 3.0%, at most 1.0%, at most 0.5%, at most 0.4%, at most 0.35%, at most 0.33%, and at most 0.3%, by weight based on the total weight of the formulation.
  • the formulation includes a preservative system.
  • the preservative system includes one or more compounds that inhibit microbial growth (e.g., fungal and bacterial growth) within the formulation (for example, during manufacturing and use).
  • the preservative system includes at least one preservative compound chosen from sorbic acid, esters or salts thereof, such as, for example, isopropyl sorbate, calcium sorbate, potassium sorbate, sodium sorbate, and triethanolammonium sorbate. Combinations of these may be used in formulations of the present invention. Such preservatives adversely affect the stability of the formulations as described herein.
  • the sorbic acid preservative i.e., sorbic acid, esters or salts thereof, or combinations thereof
  • a formulation in an amount of at least 0.005% by weight, more preferably at least 0.01% by weight, even more preferably at least 0.02% by weight, even more preferably at least 0.05% by weight, and even more preferably at least 0.08% by weight, based on the total weight of the formulation.
  • the sorbic acid preservative is preferably present in a formulation in an amount of no greater than 1% by weight, more preferably no greater than 0.5% by weight, even more preferably no greater than 0.2% by weight, even more preferably no greater than 0.12% by weight, and even more preferably, no greater than 0.10% by weight, based on the total weight of the formulation.
  • the preservative system will generally include at least one additional (i.e., secondary) preservative compound, such as, for example, methylparaben, ethylparaben, propylparaben, butylparaben, and phenoxyethanol. Various combinations of these compounds can be included in the preservative system.
  • the secondary preservative compound is methylparaben. In some embodiments of the invention, the secondary preservative compound is present in an amount of at least 0.01% by weight, such as for example, at least 0.02%, at least 0.03%, at least 0.04%, and at least 0.05%, by weight based on the total weight of the formulation. In other embodiments of the invention the secondary preservative compound is present in an amount of at most 0.5 %, such as for example, at most 0.4%, at most 0.3%, and at most 0.2%, by weight based on the total weight of the formulation.
  • the preservative system may also include a preservative enhancing solubilizer which enhances the solubility of the preservative in the aqueous phase, examples of which include diethylene glycol monoethyl ether, propylene glycol, and polyethylene glycol)(4) monolaurate. Combinations of such enhancing solubilizers can be used in formulations of the present invention.
  • propylene glycol is present in an amount of at least 1.0% by weight, such as for example, at least 2.0%, at least 3.0%, at least 4.0%, and at least 5.0%, by weight based on the total weight of the formulation.
  • propylene glycol is present in at most 10.0% by weight, such as for example, at most 8.0%, at most 6.0%, and at most 5.0%, by weight based on the total weight of the formulation.
  • Antioxidants suitable for use herein are those that inhibit the autoxidation of the sorbic acid preservative.
  • antioxidants having hydrogen atom o donating functionality have demonstrated much greater improvement than others.
  • autoxidation intermediates typically, radicals
  • Suitable antioxidants are those that are pharmaceutically acceptable and5 described in the International Cosmetic Ingredient Dictionary and Handbook, Ninth Edition, Volume 4, 2002, and in the USP NF 2004: The United States Pharmacopeia, 27 th Revision and The National Formulary, 22 nd Edition.
  • antioxidants examples include ascorbic acid (D and/or L enantiomers), ascorbyl palmitate (D and or L enantiomers), butylated hydroxyanisole0 (BHA), butylated hydroxytoluene (BHT), cysteine (D and/or L enantiomers), propyl gallate, sodium formaldehyde sulfoxylate, sodium thiosulfate, sulfur dioxide, tocopherol, including all of its stereoisomers, and tocopherol polyethylene glycol 1000 succinate, including all of its stereoisomers.
  • Prefened antioxidants are those containing hydrogen atom donating functional5 groups.
  • antioxidants examples include ascorbic acid, ascorbyl palmitate, BHT, BHA, cysteine, propyl gallate, sodium formaldehyde sulfoxylate, tocopherol including all of its stereoisomers, and tocopherol polyethylene glycol 1000 succinate, including all of its stereoisomers.
  • More prefened antioxidants are those containing aromatic hydroxy groups0 capable of hydrogen atom donation. Examples of such antioxidants include BHA, BHT, propyl gallate, tocopherol, including all of its stereoisomers, and tocopherol polyethylene glycol 1000 succinate, including all of its stereoisomers. Most prefened antioxidants are BHA and BHT, which can be used in combination.
  • the antioxidant is preferably present in a formulation in an amount of at least 0.001% by weight, more preferably at least 0.005% by weight, even more preferably at least 0.008% by weight, and even more preferably at least 0.01% by weight, based on the total weight of the formulation.
  • the antioxidant is preferably present in a formulation in an amount of no greater than 0.3% by weight, more preferably no greater than 0.2% by weight, and even more preferably no greater than 0.012% by weight, and even more preferably no greater than 0.1% by weight, based on the total weight of the formulation.
  • the sorbic acid preservative (i.e., sorbic acid ester/salt) to antioxidant weight ratio is preferably at least 1 :20, more preferably at least 1:1, and even more preferably at least 5:1.
  • the sorbic acid to antioxidant weight ratio is preferably no greater than 1000: 1 , more preferably no greater than 20: 1 , and even more preferably no greater than 10: 1.
  • the formulation can also include at least one chelating agent.
  • the chelating agent functions to stabilize the antioxidant(s) present in the formulation.
  • Chelating agents are compounds that complex with metal ions. Suitable chelating agents are those that are pharmaceutically acceptable and described in the International Cosmetic Ingredient Dictionary and Handbook, Ninth Edition, Volume 4,
  • Suitable chelating agents include ethylenediaminetetraacetic acid (EDTA) and citric acid, hydrates thereof, salts thereof, and hydrates of the salts thereof.
  • EDTA ethylenediaminetetraacetic acid
  • Examples of such chelating agents include ethylenediaminetetraacetic acid disodium salt, ethylenediaminetetraacetic acid disodium salt dihydrate, and citric acid monohydrate.
  • EDTA ethylenediaminetetraacetic acid
  • citric acid monohydrate ethylenediaminetetraacetic acid disodium salt
  • Various combinations of chelating agents can be used if desired.
  • the chelating agent is preferably present in a formulation in an amount of at least 0.001% by weight, more preferably at least 0.005% by weight, even more preferably at least 0.01% by weight, and even more preferably at least 0.05% by weight, based on the total weight of the formulation.
  • the chelating agent is preferably present in a formulation in an amount of no greater than 0.2% by weight, and more preferably no greater than 0.1% by weight, based on the total weight of the formulation.
  • the antioxidant to chelating agent weight ratio is preferably at least 1 :200, more preferably at least 1:10, and even more preferably at least 1:5.
  • the antioxidant to chelating agent weight ratio is preferably no greater than 300:1, more preferably no greater than 10:1, and even more preferably no greater than 2:1.
  • the topical formulations of the invention can additionally include a fatty acid.
  • fatty acid means a carboxylic acid, either saturated or unsaturated having 6 to 28 carbon atoms, such as, for example, from 10 to 22 carbon atoms.
  • Non-limiting examples of such fatty acids include isostearic acid, oleic acid, and linear- or branched-chain carboxylic acids of 6 to 18 carbon atoms.
  • the fatty acid may be present in the formulation in an amount sufficient to solubilize the IRM compound.
  • the amount of the fatty acid is at least 0.05% by weight, at least 1.0% by weight, at least 3.0% by weight, at least 5.0% by weight, at least 6.0% by weight, at least 7.0% by weight, at least 10% by weight, at least 15% by weight, or at least 25% by weight, based on the total weight of the formulation. In certain embodiments, the amount of the fatty acid is at most 40% by weight, at most 30% by weight, at most 15% by weight, at most 10% by weight, or at most 8.0% by weight based on the total weight of the formulation.
  • the fatty acid component of the formulation can comprise one or more fatty acids.
  • the topical formulations of the invention can additionally include at least one hydrophobic, aprotic component miscible with the fatty acid and comprising a hydrocarbyl group of 7 or more carbon atoms.
  • hydrophobic is meant that the component is essentially insoluble in water, i.e. immiscible with water and unable to form a micelle in water, and does not contain polyoxyethylene or acid salt groups.
  • the hydrophobic, aprotic component has a hydrophilic lipophilic balance (HLB) of less than 2.
  • HLB of a component may be determined as described, for example, in Attwood, D., Florence, A. T. Surfactant Systems: Their Chemistry,
  • aprotic is meant that the component cannot donate a proton to the IRM and does not contain groups such as carboxyl, hydroxy, primary and secondary amino, primary and secondary amido, or quaternary ammonium groups.
  • this component has a pKa of at least 14.2 and does not substantially solubilize or form a complex such as an acid-base pair or complex or a hydrogen bond complex with the IRM compound.
  • not substantially is meant that the ratio of the IRM compound's solubility in the hydrophilic, aprotic component to that in isostearic acid is less than 1:40.
  • Formulations intended for dermal or topical use typically have amounts of an oil phase and a hydrophobic, aprotic component sufficient to provide desirable qualities such as spreadability and feel.
  • useful hydrophobic, aprotic components include but are not limited to fatty acid esters, for example, isopropyl mysristate, isopropyl palmitate, diisopropyl dimer dilinoleate; medium-chain (e.g., 8 to 14 carbon atoms) triglycerides, for example, caprylic/capric triglyceride; cetyl esters; hydrocarbons of 8 or more carbon atoms, for example, light mineral oil, white petrolatum; and waxes, for example, beeswax.
  • fatty acid esters for example, isopropyl mysristate, isopropyl palmitate, diisopropyl dimer dilinoleate
  • the hydrophobic, aprotic component is chosen from one or more of isopropyl mysristate, isopropyl palmitate, caprylic/capric triglyceride, and diisopropyl dimer dilinoleate. Various combinations of such hydrophobic, aprotic components can be used if desired.
  • the amount of the hydrophobic, aprotic component is at least 1.0% by weight, at least 3.0% by weight, at least 3.5% by weight, at least 4.0% by weight, at least 4.5% by weight, at least 5.0% by weight, or at least 10% by weight, based on the total weight of the formulation.
  • the amount of the hydrophobic, aprotic component is at most 30% by weight, at most 15% by weight, at most 10% by weight, or at most 5.0% by weight based on the total weight of the formulation.
  • the weight ratio of the hydrophobic, aprotic component to the fatty acid can be 0.025:1 to 600:1, for example, 0.5:1 to 50:1, and 2:1 to 30:1.
  • the combined amount (weight percent of the total topical formulation weight) of the hydrophobic, aprotic component and the fatty acid can be 2% to 50% by weight, for example 2% to 30%, 5% to 30%, 5% to 20%, and 10% to 20%.
  • the fonnulations of the present invention can also comprise a viscosity enhancing agent.
  • the viscosity enhancing agent When water is the continuous phase, the viscosity enhancing agent will be a hydrophilic viscosity enhancing agent.
  • suitable hydrophilic viscosity enhancing agents include cellulose ethers such as hydroxypropylmethylcellulose, hydroxyetliylcellulose, hydroxypropylcellulose, and carboxymethylcellulose; polysaccharide gums such as xanthan gum; and homopolymers and copolymers of acrylic acid crosslinked with allyl sucrose or allyl pentaerythriol such as those polymers designated as carbomers in the United States Pharmacopoeia.
  • Suitable carbomers include, for example, those available as CARBOPOL 934P,
  • CARBOPOL 97 IP, CARBOPOL 940, CARBOPOL 974P, CARBOPOL 980, and PEMULEN TR-1 (USP/NF Monograph; Carbomer 1342), all available from Noveon,
  • the viscosity enhancing agent is chosen from CARBOPOL 974P and 980.
  • the amount of the viscosity enhancing agent, when used is at least 0.1% by weight, at least 0.2% by weight, at least 0.5% by weight, at least 0.6% by weight, at least 0.7% by weight, at least 0.9% by weight, or at least 1.0% by weight, based on the total weight of the formulation.
  • the amount of the viscosity enhancing agent, when used is at most 10% by weight, at most 5.0% by weight, at most 3.0% by weight, at most 2.0% by weight, or at most 1.5% by weight, based on the total weight of the formulation.
  • Emulsifiers of the invention can additionally comprise an emulsifier.
  • Suitable emulsifiers include non-ionic surfactants such as, for example, polysorbate 60, sorbitan monostearate, polyglyceryl-4 oleate, polyoxyethylene(4) lauryl ether, etc.
  • the emulsifier is chosen from poloxamers (e.g., PLURONIC F68, also known as POLOXAMER 188, a poly(ethylene glycol)-block-poly(propylene glycol)-block-poly(ethylene glycol), available from BASF, Ludwigshafen, Germany) and sorbitan trioleate (e.g., SPAN 85 available from Uniqema, New Castle, DE).
  • the emulsifier is generally present in an amount of 0.1% to 10% by weight of total formulation weight, for example, from 0.5% to 5.0% by weight, and from 0.75% to 3.5% by weight. In certain embodiments, the amount of the emulsifier, if used, is present in an amount of at least 0.1% by weight, at least 0.5% by weight, at least 0.75% by weight, at least 1.0% by weight, at least 2.5% by weight, at least 3.5% by weight, or at least 5.0% by weight, based on the total weight of the formulation. In certain embodiments, the amount of the emulsifier, if used, is present in an amount of at most 10% by weight, at most 5.0% by weight, or at most 3.5% by weight, based on the total weight of the formulation.
  • the formulations of the present invention may additionally include at least one pH adjuster.
  • Suitable pH adjusters include organic bases and inorganic bases such as, for example, KOH and NaOH (e.g., aqueous formulations).
  • the pH of the topical formulations of the present invention generally ranges from 3.5 to 7.0. In one embodiment, the pH of the topical formulations of the present invention can range from 4.0 to 6.0, preferably 5.0.
  • Illustrative Formulations Prefened fonnulations of the present invention are as follows. The water used is typically purified water.
  • a pharmaceutical formulation includes: 0.001% by weight to 5.0% by weight of an imidazonaphthyridine amine (preferably, 2-methyl-l-(2-metl ylpropyl)-lH-imidazo[4,5-c][l,5]naphthyridin-4- amine); 0.02% by weight to 0.2% by weight of a sorbic acid preservative selected from the group consisting of sorbic acid, esters thereof, salts thereof, and combinations thereof; 0 to 10.0% by weight of propylene glycol; 0.05% by weight to 0.2% by weight of methylparaben; 0.001% by weight to 0.2% by weight of butylated hydroxyanisole, butylated hydroxytoluene, or combinations thereof; 0 to 0.1% by weight of ethylenediaminetetraacetic acid, a hydrate thereof, a salt thereof, a hydrate of a the salt thereof, or combinations thereof; 1 % by weight to 30% by weight of an imidazonap
  • a pharmaceutical formulation includes: 0.3% by weight of 2-methyl-l-(2-methylpropyl)-lH-imidazo[4,5- c][l,5]naphthyridin-4-amine; 0.15% by weight sorbic acid; 5.0% by weight propylene glycol; 0.2% by weight methylparaben; 0.1% by weight butylated hydroxyanisole; 0.05% by weight ethylenediaminetetraacetic acid disodium salt dihydrate;
  • a pharmaceutical formulation includes: 0.30% by weight of 2-methyl-l-(2-methylpropyl)-lH-imidazo[4,5-aphthyridin-4-amine;
  • caprylic/capric triglyceride 4.00% by weight of caprylic/capric triglyceride
  • a pharmaceutical formulation includes: 0.3% by weight of 2-methyl-l-(2-methyl ⁇ ropyl)-lH-irnidazo[4,5- aphthyridin-4-amine;
  • caprylic/capric triglyceride 4.0% by weight of caprylic/capric triglyceride; 1.0% by weight of a carbomer;
  • a pharmaceutical formulation includes:
  • sorbic acid 0.15% by weight sorbic acid; 5.0% by weight propylene glycol;
  • a pharmaceutical formulation includes: 0.1% by weight of 2-methyl-l-(2-methylpropyl)-lH-imidazo[4,5- c] [ 1 ,5]naphthyridin-4-amine; 0.15% by weight sorbic acid; 5.0% by weight propylene glycol; 0.2% by weight methylparaben; 0.1% by weight butylated hydroxyanisole; 0.05% by weight ethylenediaminetetraacetic acid disodium salt dihydrate; 5.0% by weight isostearic acid; 4.0% by weight of caprylic/capric triglyceride; 1.0% by weight of a carbomer; 3.5% by weight of a poloxamer; 0.8% by weight of an aqueous solution of 20% by weight NaO ⁇ in water; and 80.1 % by weight water; wherein the weight percentages are based on the total weight of the formulation.
  • Formulations according to the present invention can be applied to any suitable location, for example topically to dermal and/or mucosal surfaces, or internally to a particular tissue location.
  • the therapeutic effect of the IRM compound may extend only to the superficial layers of the dermal surface or to tissues below the dermal surface.
  • another aspect of the present invention is directed to a method for the treatment of a dermal and/or mucosal associated condition comprising applying to skin one of the foregoing formulations.
  • a "dermal and/or mucosal associated condition” means an inflammatory, infectious, neoplastic or other condition that involves a dermal and/or mucosal surface or that is in sufficient proximity to a dermal and/or mucosal surface to be affected by a therapeutic agent topically applied to the surface.
  • a dermal and/or mucosal associated condition include warts, atopic dermatitis, postsurgical scars, lesions caused by a he ⁇ es virus, and epidermal neoplasias, such as for example actinic keratosis, pre- actinic keratosis lesions, malignant melanomas, basal cell carcinoma, and squamous cell carcinoma.
  • the formulations can be applied to the surface of skin for treatment of actinic keratosis (AK).
  • Actinic keratoses are premalignant lesions considered biologically to be either carcinoma in-situ or squamous intraepidermal neoplasia.
  • AK is the most frequent epidermal tumor and is induced by ultraviolet (UV) radiation, typically from sunlight. Because of its precancerous nature, AK may be o considered the most important manifestation of sun-induced skin damage.
  • UV ultraviolet
  • the above described formulations are particularly advantageous for dermal and/or mucosal application for a period of time sufficient to obtain a desired therapeutic effect without undesired systemic abso ⁇ tion of the IRM.
  • the precise amount of formulation effective for treating a dermal and/or5 mucosal associated condition will vary according to factors known in the art including but not limited to the particular IRM compound, the particular formulation, the intended dosing regimen, the particular condition being treated, the state of the subject's immune system (e.g., suppressed, compromised, stimulated), and the species to which the formulation is being administered.
  • the amount of formulation is0 an amount sufficient to deliver a dose of about 0.02 mg to about 15 mg of IRM compound.
  • the amount of formulation is an amount sufficient to deliver a dose of about 0.2 mg to about 2.5 mg of IRM compound.
  • the amount of formulation is an amount sufficient to deliver a dose of about 0.5 mg to about 1.7 mg of IRM compound.
  • a dose5 of 0.75 mg of IRM compound is delivered. In another particular embodiment a dose of 1.5 mg of IRM compound is delivered.
  • the dosing regimen will vary at least in part on many factors known in the art including but not limited to the particular IRM compound, the particular formulation, the amount of formulation being administered, the particular condition being treated,0 the state of the subject's immune system (e.g., suppressed, compromised, stimulated), and the species to which the formulation is being administered.
  • the formulation is administered at least once a week, at least twice a week, or at least three times a week. In other embodiments the formulation is administered at most seven times a week, at most six times a week, at most five times a week, or at most four times a week.
  • the formulation is administered for at least two weeks, for at least four weeks, for at least six weeks, or for at least eight weeks. In other embodiments the formulation is administered for at most sixteen weeks, for at most twelve weeks, or for at most eight weeks. In some embodiments, about 200 to about 600 mg of formulation is administered twice a week for eight weeks. In one particular embodiment, about 250 mg of the formulation described in Example 22 below is administered twice a week for eight weeks. In another particular embodiment, about 500 mg of the formulation described in Example 22 below is administered twice a week for eight weeks.
  • ⁇ PLC parameters Analytical column: ZORBAX RX-C8, 5.0 micron particle, 150 x 4.6 mm (available from Agilent Technologies, Wilmington, Delaware, USA); Column temperature: 30°C; Detector: UV at 254 nm; Flow Rate: 1.0 mL/min; Injection volume: 25 ⁇ L; Mobile phase A: 62% aqueous (0.2% sodium 1-octanesulfonate, 0.2% triethylamine, 0.2% of 85% phosphoric acid), 21% acetonitrile, 17% methanol; Mobile Phase B: 20% aqueous (0.2% sodium 1-octanesulfonate, 0.2% triethylamine, 0.2% of 85% phosphoric acid), 42% acetonitrile, 38% methanol; Data acquisition time: 23 minutes; HPLC run time: approximately 30 minutes.
  • IRM Compound 1 sample solution A portion of the cream formulation (1000 mg for creams containing 0.01, 0.03, 0.05 and 0.1% IRM and 250 mg for creams containing 0.3, 0.6, and 1.0% IRM) was accurately weighed into a volumetric flask (50 mL for the 1000 mg samples and 100 mL for the 250 mg samples). Approximately 40 mL of diluent (prepared by combing 200 parts of acetonitrile, 790 parts water, and 10 parts phosphoric acid, all parts by volume) was added to the 50 mL flask or 80 mL to the 100 mL flask. The flask was sonicated with occasional shaking for 20 minutes or until the cream was completely dispersed.
  • diluent prepared by combing 200 parts of acetonitrile, 790 parts water, and 10 parts phosphoric acid, all parts by volume
  • Sorbic acid sample solution A 250 mg portion of cream was accurately weighed into a 100 mL volumetric flask. Approximately 80 mL of diluent (prepared by combing 200 parts of acetonitrile, 790 parts water, and 10 parts phosphoric acid, all parts by volume) was added to the flask. The flask was sonicated with occasional shaking for 20 minutes or until the cream was completely dispersed. The solution was allowed to cool to ambient temperature and then diluted to volume with diluent.
  • Test Method 2 A gradient reversed phase high performance liquid chromatography (HPLC) method was used to determine the amount of BHA in cream formulations containing IRM Compound 1.
  • HPLC parameters Analytical column: ZORBAX Bonus RP, 3.5 micron particle, 150 x 3.0 mm; Column temperature: 40°C; Detector: UV at 290 nm; Flow Rate: 0.5 mL/min; Injection volume: 20 ⁇ L; Mobile phase A: 0.1% formic acid in water; Mobile Phase B: 0.05% formic acid in acetonitrile; Data acquisition time: 12 minutes; HPLC run time: approximately 20 minutes. Gradient program: 0 minutes: 60% mobile phase A, 40% mobile phase B; 10 minutes: 5% mobile phase A, 95% mobile phase B; 12 minutes: 5% mobile phase A, 95% mobile phase B; 13 minutes: 60% mobile phase A, 40% mobile phase B; 20 minutes: 60% mobile phase A, 40% mobile phase B.
  • Sample solution A portion (approximately 1000 mg) of the cream formulation was accurately weighed into a 100 mL volumetric flask. Approximately 80 mL of diluent (prepared by combining 600 parts of acetonitrile, 400 parts of water, and 1 part formic acid, all parts by volume) was added and the flask was sonicated with occasional shaking for 10 minutes or until the cream was well dispersed. The solution was allowed to cool to ambient temperature and then diluted to volume with diluent. A portion of the solution was filtered using a syringe equipped with a 0.2 micron PTFE filter to provide the sample solution.
  • diluent prepared by combining 600 parts of acetonitrile, 400 parts of water, and 1 part formic acid, all parts by volume
  • Test Method 3 IRM Compound 1 Content
  • HPLC high performance liquid chromatography
  • ⁇ PLC parameters Analytical column: ZORBAX Bonus RP, 3.5 micron particle, 150 x 4.6 mm (available from Agilent Technologies, Wilmington, Delaware, USA); Column temperature: 35°C; Detector: UV at 240 nm; Flow Rate: 1.0 mL/min; Injection volume: 30 ⁇ L; Mobile phase A: 0.05% frifluoroacetic acid in water; Mobile Phase B: 0.05% frifluoroacetic acid in acetonitrile; Data acquisition time: 25 minutes; HPLC run time: 35 minutes.
  • Gradient program 0 minutes: 80% mobile phase A, 20% mobile phase B; 5 minutes: 80% mobile phase A, 20% mobile phase B; 15 minutes: 75% mobile phase A, 25% mobile phase B; 25 minutes: 35% mobile phase A, 65% mobile phase B; 28 minutes: 10% mobile phase A, 90% mobile phase B; 29 minutes: 80% mobile phase A, 20% mobile phase B; 35 minutes: 80% mobile phase A, 20% mobile phase B.
  • Sample solution A portion of the cream formulation (2500 mg for creams containing 0.03% IRM; 1500 mg for creams containing 0.1% IRM; and 500 mg for creams containing 0.3% IRM) was accurately weighed into a volumetric flask (50 mL for creams containing 0.03% IRM; 100 mL for creams containing 0.1 or 0.3% IRM). Approximately 40 mL of diluent (prepared by combing 200 parts of acetonitrile, 790 parts water, and 10 parts phosphoric acid, all parts by volume) was added to the 50 mL flask or 80 mL to the 100 mL flask.
  • diluent prepared by combing 200 parts of acetonitrile, 790 parts water, and 10 parts phosphoric acid, all parts by volume
  • the flask was shaken or vortexed to dislodge any cream from the neck of the flask and then sonicated with occasional shaking for 10 minutes or until the cream was completely dispersed.
  • the solution was allowed to cool to ambient temperature and then diluted to volume with diluent. A portion of the solution was filtered using a syringe equipped with a 0.2 micron PTFE filter to provide the sample solution.
  • HPLC high performance liquid chromatography
  • Sample solution A portion (approximately 1000 mg) of the cream formulation was accurately weighed into a 100 mL volumetric flask. Approximately 80 mL of diluent (prepared by combining 600 parts of acetonitrile, 400 parts of water, and 1 part frifluoroacetic acid, all parts by volume) was added and the flask was sonicated with occasional shaking for 10 minutes or until the cream was well dispersed. The solution was allowed to cool to ambient temperature and then diluted to volume with diluent. A portion of the solution was filtered using a syringe equipped with a 0.45 micron PTFE filter to provide the sample solution.
  • Cream Formulations The cream formulations in the Examples below were prepared using the following general method.
  • Oil phase preparation The IRM compound and the BHA or BHT were dissolved in the isostearic acid and medium chain triglycerides, with heat if necessary.
  • CARBOPOL 980 was then dispersed in the oil phase.
  • Water phase preparation Edetate disodium dihydrate, methylparaben, sorbic acid, propylene glycol, and POLOXAMER 188 were added to the water and mixed until dissolved, with heat if necessary. If the CARBOPOL was not dispersed in the oil phase, it was dispersed in the water phase.
  • Phase combination The oil phase was added to the water phase at ambient conditions. The emulsion was then homogenized.
  • Table 1 summarizes topical formulations made in accordance with the present invention in a percentage weight-by-weight basis. The formulations were packaged in aluminum tubes with an epoxy phenolic lacquer liner.
  • Example 1-6 The creams of Examples 1-6 were stored at 40°C at 75% relative humidity. At selected time points samples were analyzed for IRM 1, sorbic acid (SA), and BHA content. The results are shown in Table 2 below. The initial values (0 month) are the average of 6 independent determinations (2 samples from each of 3 tubes); the values for the later time points are the average of 2 independent determinations (2 samples from 1 tube). Values are not normalized for weight loss that may have occuned during storage. Test Method 1 was used to determine the IRM 1 content and sorbic acid content. Test Method 2 was used to determine the BHA content.
  • Table 3 summarizes topical formulations made in accordance with the present invention in a percentage weight-by- weight basis and a formulation prepared without an antioxidant (CI). The formulations were packaged in glass containers.
  • the creams of Examples 7, 8, and CI were stored at 40°C at 75% relative humidity and at 55°C at ambient humidity. At selected time points samples were analyzed using Test Method 1 described above for IRM 1 and sorbic acid content. The results are shown in Table 4 below where each value is for 1 sample from 1 container of cream. Values were not normalized for weight loss that may have occuned during storage.
  • Examples 9-18 Table 5 summarizes topical formulations made in accordance with the present invention in a percentage weight-by-weight basis.
  • the formulations were packaged in aluminum tubes with an epoxy phenolic lacquer liner.
  • the formulations of Examples 9- 18 were stored at 40°C at 75% relative humidity.
  • samples were analyzed for IRM 1, sorbic acid (SA), and BHA content.
  • the results are shown in Table 6 below where the initial values of IRM and SA are the average of 6 independent determinations (2 samples from each of 3 tubes), the initial BHA values are the average of 3 independent determinations (1 sample from each of 3 tubes), and the values for later time points are the values for one sample from 1 tube. Values are not normalized for weight loss that may have occuned during storage.
  • Test Method 1 was used to determine the IRM 1 content and sorbic acid content.
  • Test Method 2 was used to determine the BHA content.
  • Examples 19-24 Table 7 summarizes topical formulations made in accordance with the present invention in a percentage weight-by-weight basis.
  • the formulations were packaged in aluminum tubes with an epoxy phenolic lacquer liner.
  • the formulations of Examples 19-24 were stored at 40°C at 75% relative humidity.
  • samples were analyzed for IRM 1, sorbic acid (SA), and BHA content.
  • the results are shown in Table 8 below where the initial values of IRM SA, and BHA are the average of 3 independent determinations, and the values for later time points are from 1 tube. Values are not normalized for weight loss that may have occuned during storage.
  • Test Method 3 was used to determine IRM 1 content.
  • Test Method 4 was used to determine SA and BHA content.
  • Table 9 summarizes topical formulations made in accordance with the present invention in a percentage weight-by-weight basis. The formulations were packaged in aluminum tubes with an epoxy phenolic lacquer liner.

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Abstract

Pharmaceutical formulations including an immune response modifier (IRM) compound having a 2-aminopyridine moiety fused to a five-membered nitrogen-containing heterocyclic ring; a preservative system including a sorbic acid preservative selected from the group consisting of sorbic acid, esters thereof, salts thereof, and combinations thereof; an antioxidant; and an optional chelating agent.

Description

IMMUNE RESPONSE MODIFIER FORMULATIONS AND METHODS
CROSS-REFERENCE TO RELATED APPLICATIONS The present invention claims priority to U.S. Provisional Patent Application Serial No. 60/553148, filed on March 15,2004, which is incoφorated herein by reference.
BACKGROUND There has been a major effort in recent years to find compounds that modulate the immune system. Examples of such compounds, which have demonstrated cytokine inducing and immunomodulating activity, are disclosed in U.S. Patent Nos. 4,689,338;
4,929,624; 5,266,575 5,268,376; 5,346,905; 5,352,784; 5,389,640; 5,446,153; 5,482,936; 5,756,747 6,110,929; 6,194,425; 6,331,539; 6,376,669; 6,451,810; 6,525,064; 6,541,485 6,545,016; 6,545,017; 6,573,273; 6,656,938; 6,660,735; 6,660,747; 6,664,260 6,664,264; 6,664,265; 6,667,312; 6,670,372; 6,677,347; 6,677,348; 6,677,349 6,683,088; 6,756,382; 6,797,718; and 6,818,650; and U.S. Patent Publication Nos. 2004/0091491; 2004/0147543; and 2004/0176367. . Many of these compounds, also known as immune response modifiers (IRMs), are small organic molecules, for example, imidazoquinoline amine derivatives (see, e.g., U.S. 4,689,338), but a number of other compound classes are known as well (see, e.g., U.S. 5,446,153), and more are still being discovered. Pharmaceutical formulations containing IRM compounds are disclosed in U.S. Patent Nos. 5,238,944; 5,939,090; and 6,425,776; European Patent 0 394 026; and U.S. Patent Publication 2003/0199538. Many such formulations include preservatives such as methylparaben, sorbic acid, propylene glycol, etc. The mechanism for the antiviral and antitumor activity of these IRM compounds is thought to be due in substantial part to enhancement of the immune response by induction of various important cytokines (e.g., interferons, interleukins, tumor necrosis factor, etc.). Such compounds have been shown to stimulate a rapid release of certain monocyte/macrophage-derived cytokines and are also capable of stimulating B cells to secrete antibodies, which play an important role in these IRM compounds' antiviral and antitumor activities. One of the predominant immunostimulating responses to these compounds is the induction of interferon (IFN)-α production, which is believed to be very important in the acute antiviral and antitumor activities seen. Moreover, up regulation of other cytokines, such as, for example, tumor necrosis factor (TNF), Interleukin-1 (IL-1) and IL-6 also have potentially beneficial activities and are believed to contribute to the antiviral and antitumor properties of these compounds. Accordingly, in view of their importance and potential benefit, there is a continuing need for new formulations of these unique compounds.
SUMMARY OF THE INVENTION Although some of the beneficial effects of IRMs are known, the ability to provide therapeutic benefit via topical application of an IRM compound for treatment of a particular condition at a particular location may be hindered by a variety of factors. These factors include, e.g., irritation of the skin to which the formulation is applied; formulation wash away; insolubility and/or degradation of the IRM compound in the formulation; physical instability of the formulation (e.g., separation of components, thickening, precipitation/agglomeration of active ingredient, and the like); degradation of excipients; poor permeation; and undesired systemic delivery of the topically applied IRM compound. It has now been found that formulations of IRM compounds containing a 2- aminopyridine moiety fused to a five-membered nitrogen- containing heterocyclic ring in combination with sorbic acid may suffer impaired stability of both the IRM compound and the sorbic acid. However, it has further been found that addition of a pharmaceutically acceptable antioxidant compound to the formulation can reduce degradation of the IRM compound and sorbic acid, thereby providing improved stability. Sorbic acid and related salts and esters are often used as preservative systems and can be particularly suitable for use in a multi-dose dispenser formulation (see, for example, U.S. Patent No. 6,245,776 (Skwierczynski et al.)), but stability is an important issue for formulations and can reduce shelf life of a product or even jeopardize regulatory approvability. In particular, it appears that IRMs containing a 2-aminopyridine moiety fused to a five-membered nitrogen- containing heterocyclic ring interact with preservatives such as sorbic acid, resulting in decreased concentrations (relative to the initial concentrations in the freshly prepared formulation) of both the IRM and preservative, with the resulting formation of unwanted impurities. Although not intending to be bound to any particular theory or mechanism, it is hypothesized that these IRMs interact with intennediates and products resulting from autoxidation of the sorbic acid preservative. It has been discovered that stability can be improved through the addition of a compound acting as an antioxidant. The antioxidant may beneficially have hydrogen atom donating functionality. Moreover, when an antioxidant compound is included with the IRM compound and sorbic acid, stability of the formulation maybe further improved by adding a chelating agent. In one embodiment, the present invention provides a pharmaceutical formulation that includes: an immune response modifier (IRM) compound having a 2- aminopyridme moiety fused to a five-membered nitrogen-containing heterocyclic ring; a preservative system that includes sorbic acid, esters thereof, salts thereof, or combinations thereof; and an antioxidant. A chelating agent may also beneficially be included in any of the formulations described herein. Furthermore, a fatty acid, a hydrophobic, aprotic component miscible with the fatty acid and including a hydrocarbyl group of 7 or more carbon atoms, or combinations thereof, may also be included in any of the formulations described herein. For example, in another embodiment, the present invention provides a pharmaceutical formulation that includes: an immune response modifier (IRM) compound having a 2-aminopyridine moiety fused to a five-membered nitrogen- containing heterocyclic ring; a preservative system that includes a sorbic acid preservative selected from the group consisting of sorbic acid, esters thereof, salts thereof, and combinations thereof; an antioxidant having hydrogen atom donating functionality; a fatty acid; and a hydrophobic, aprotic component miscible with the fatty acid and having a hydrocarbyl group of 7 or more carbon atoms. A chelating agent may also beneficially be included. In another embodiment, the present invention provides a pharmaceutical formulation that includes: 0.001% by weight to 5.0% by weight of an immune response modifier (IRM) compound having a 2-aminopyridine moiety fused to a five-membered nitrogen-containing heterocyclic ring (preferably, an imidazonaphthyridine amine, and more preferably 2-methyl-l-(2-methylpropyl)-lH-imidazo[4,5-c][l,5]naphthyridin-4- amine); a preservative system; 0.001% by weight to 0.2% by weight of an antioxidant having hydrogen atom donating functionality; 0 to 0.1% by weight of a chelating agent; 1 % by weight to 30% by weight of a fatty acid; 1 % by weight to 15% by weight of a medium-chain triglyceride; 0.2% by weight to 2.0% by weight of a viscosity enhancing agent; 0.1 % by weight to 6.0% by weight of an emulsifier; and water; wherein the formulation has a pΗ of 4.0 to 6.0 and the weight percentages are based on the total weight of the formulation. In this embodiment, the preservative system includes: 0.02% by weight to 0.2% by weight of a sorbic acid preservative selected from the group consisting of sorbic acid, esters thereof, salts thereof, and combinations thereof; 0 to 10.0% by weight of a preservative enhancing solubilizer; and 0.05% by weight to 0.2% by weight of a secondary preservative compound. Certain embodiments of the present invention include a hydrophilic viscosity agent, such as those selected from cellulose ethers and carbomers. If used, the hydrophilic viscosity agent is preferably present in an amount of 0.2% by weight to 2.0% by weight. Other useful additives include, for example, a pΗ adjuster, an emulsifier, or combinations thereof. The present invention also provides methods. In one embodiment, the present invention provides a method of stabilizing a pharmaceutical formulation that includes: an immune response modifier (IRM) compound having a 2-aminopyridine moiety fused to a five-membered nitrogen- containing heterocyclic ring; and a preservative system that includes a sorbic acid preservative selected from the group consisting of sorbic acid, esters thereof, salts thereof, and combinations thereof. The method includes adding an antioxidant and optionally a chelating agent to the formulation. In another embodiment, the present invention provides a method for delivering an immune response modifier (IRM) to a dermal surface. The method includes selecting a formulation of the present invention and applying the selected formulation to the dermal and/or mucosal surface. In another embodiment, the present invention provides a method of treating a dermal associated condition (particularly, actinic keratosis). The method includes applying to a dermal surface of a patient in need thereof a pharmaceutical formulation of the present invention. As used herein, a "sorbic acid preservative" means sorbic acid, esters of sorbic acid, salts of sorbic acid, or combinations thereof. As used herein "remains substantially constant" means that the concentration of sorbic acid preservative in an IRM-containing formulation does not decrease by more than 15% of the initial concentration (i.e., its concentration when initially formulated) when stored for at least 6 months at 40°C and 75% relative humidity. As used herein, "a" or "an" or "the" are used interchangeably with "at least one," to mean "one or more" of the listed element. The above summary of the present invention is not intended to describe each disclosed embodiment or every implementation of the present invention. The description that follows more particularly exemplifies illustrative embodiments. In several places throughout the application, guidance is provided through lists of examples, which examples can be used in various combinations. In each instance, the recited list serves only as a representative group and should not be inteφreted as an exclusive list. DETAILED DESCRIPTION OF ILLUSTRATIVE EMBODIMENTS The present invention provides pharmaceutical formulations that include an immune response modifier containing a 2-aminopyridine fused to a five-membered nitrogen-containing heterocyclic ring, a preservative system that includes a sorbic acid preservative (i.e., sorbic acid, esters of sorbic acid, salts of sorbic acid, or combinations thereof). Suφrisingly, such formulations are stabilized through the incoφoration of an antioxidant, more preferably an antioxidant having hydrogen atom donating functionality. Additional stability, particularly of the antioxidant, can be obtained through the incoφoration of a chelating agent. Through the use of an antioxidant and an optional chelating agent, the concentration of the sorbic acid preservative in an IRM-containing formulation remains substantially constant relative to its initial concentration (i.e., its concentration when initially formulated) when stored for at least 6 months at 40°C and 75% relative humidity. As used herein "remains substantially constant" means that the concentration of sorbic acid preservative in an IRM-containing formulation does not decrease by more than 15% of the initial concentration (i.e., its concentration when initially formulated) when stored for at least 6 months at 40°C and 75% relative humidity. Preferably, the concentration of the sorbic acid preservative in an IRM-containing formulation does not decrease by more than 10% of the initial concentration when stored for at least 6 months at 40°C and 75% relative humidity. More preferably, the concentration of the sorbic acid preservative in an IRM-containing formulation does not decrease by more than 5% of the initial concentration when stored for at least 6 months at 40°C and 75% relative humidity. In certain embodiments, formulations described herein can be in the form of an oil-in-water emulsion such as a cream or a lotion. Such an emulsion can include an oil phase that includes one or more IRM compounds, a fatty acid in an amount sufficient to solubilize the IRM compound(s), a hydrophobic, aprotic component; and an aqueous phase that includes a preservative system, and a hydrophilic viscosity enhancing agent. Such components, as well as all others of the formulations described herein, are preferably pharmaceutically acceptable.
Immune Response Modifiers In one aspect, the present invention provides a formulation that includes an immune response modifier containing a 2-aminopyridine moiety fused to a five- membered nitrogen-containing heterocyclic ring. Immune response modifier compounds ("IRMs") include compounds that possess potent immunomodulating activity including but not limited to antiviral and antitumor activity. Certain IRMs modulate the production and secretion of cytokines. For example, certain IRM compounds induce the production and secretion of cytokines such as, e.g., Type I interferons, TNF-α, IL-1, IL-6, IL-8, IL-10, IL-12, MIP-1, and/or MCP-1. As another example, certain IRM compounds can inhibit production and secretion of certain TH cytokines, such as IL-4 and IL-5. Additionally, some IRM compounds are said to suppress IL-1 and TNF (U.S. Patent No. 6,518,265). IRM compounds suitable for use in the invention include compounds having a
2-aminopyridine fused to a five-membered nitrogen-containing heterocyclic ring. Such compounds include, for example, imidazoquinoline amines including, but not limited to, substituted imidazoquinoline amines such as, for example, amide substituted imidazoquinoline amines, sulfonamide substituted imidazoquinoline amines, urea substituted imidazoqumolme amines, aryl ether substituted imidazoquinoline amines, heterocyclic ether substituted imidazoquinoline amines, amido ether substituted imidazoquinoline amines, sulfonamido ether substituted imidazoquinoline amines, urea substituted imidazoquinoline ethers, thioether substituted imidazoquinoline amines, and 6-, 7-, 8-, or 9-aryl or heteroaryl substituted imidazoquinoline amines; tetrahydroimidazoquinoline amines including, but not limited to, amide substituted tetrahydroimidazoquinoline amines, sulfonamide substituted tetrahydroimidazoquinoline amines, urea substituted tefrahydroimidazoquinoline amines, aryl ether substituted tetrahydroimidazoquinoline amines, heterocyclic ether substituted tetrahydroimidazoquinoline amines, amido ether substituted tetrahydroimidazoquinoline amines, sulfonamido ether substituted tetrahydroimidazoquinoline amines, urea substituted tefrahydroimidazoquinoline ethers, and thioether substituted tetrahydroimidazoquinoline amines; imidazopyridine amines including, but not limited to, amide substituted imidazopyridine amines, sulfonamide substituted imidazopyridine amines, urea substituted imidazopyridine amines, aryl ether substituted imidazopyridine amines, heterocyclic ether substituted imidazopyridine amines, amido ether substituted imidazopyridine amines, sulfonamido ether substituted imidazopyridine amines, urea substituted imidazopyridine ethers, and thioether substituted imidazopyridine amines; 1,2-bridged imidazoquinoline amines; 6,7-fused cycloalkylimidazopyridme arnines; imidazonaphthyridine amines; tetrahydroimidazonaphthyridine amines; oxazoloquinoline amines; thiazoloquinoline amines; oxazolopyridine amines; fliiazolopyridme amines; oxazolonaphthyridine amines; thiazolonaphthyridine amines; imidazoquinoline- 1,4-diamines; and IH-imidazo dimers fused to pyridine amines, quinoline amines, tetrahydroquinoline amines, naphthyridine amines, or tetrahydronaphthyridine amines. These immune response modifier compounds, methods of making them, methods of using them and compositions containing them are disclosed in U.S. Patent Nos. 4,689,338; 4,929,624; 4,988,815; 5,037,986; 5,175,296; 5,238,944; 5,266,575; 5,268,376; 5,346,905; 5,352,784; 5,367,076; 5,389,640; 5,395,937; 5,446,153; 5,482,936; 5,693,811; 5,741,908; 5,756,747; 5,939,090; 6,039,969; 6,069,149; 6,083,505; 6,110,929; 6,194,425; 6,245,776; 6,331,539; 6,376,669; 6,451,810;
6,525,064; 6,541,485; 6,545,016; 6,545,017; 6,558,951; 6,573,273; 6,656,938; 6,660,735; 6,660,747; 6,664,260; 6,664,264; 6,664,265; 6,667,312; 6,670,372; 6,677,347; 6,677,348; 6,677,349; 6,683,088; 6,743,920; 6,756,382; 6,797,718; and 6,818,650; European Patent 0 394 026; U.S. Patent Publication Nos. 2002/0016332; 2002/0055517; 2002/0110840; 2003/0133913; 2003/0161797; 2003/0199538;
2004/0014779;2004/0147543; 2004/0175336; 2004/0176367; 2004/0180919; 2004/0181130; 2004/0181211; and 2004/0192585. As noted above, many of the IRM compounds useful in the present invention have demonstrated immunomodulating activity. In certain embodiments of the present invention the IRM compound can be chosen from lH-imidazo[4,5-c]quinolin-4-amines defined by one of Formulas I-V below:
Figure imgf000010_0001
I wherein Rn is selected from alkyl of one to ten carbon atoms, hydroxyalkyl of one to six carbon atoms, acyloxyalkyl wherein the acyloxy moiety is alkanoyloxy of two to four carbon atoms or benzoyloxy, and the alkyl moiety contains one to six carbon atoms, benzyl, (phenyl)ethyl and phenyl, said benzyl, (phenyl)ethyl or phenyl substituent being optionally substituted on the benzene ring by one or two moieties independently selected from alkyl of one to four carbon atoms, alkoxy of one to four carbon atoms and halogen, with the proviso that if said benzene ring is substituted by two of said moieties, then said moieties together contain no more than six carbon atoms; R ι is selected from hydrogen, alkyl of one to eight carbon atoms, benzyl, (phenyl)ethyl and phenyl, the benzyl, (phenyl)ethyl or phenyl substituent being optionally substituted on the benzene ring by one or two moieties independently selected from alkyl of one to four carbon atoms, alkoxy of one to four carbon atoms and halogen, with the proviso that when the benzene ring is substituted by two of said moieties, then the moieties together contain no more than six carbon atoms; and each Rj is independently selected from alkoxy of one to four carbon atoms, halogen, and alkyl of one to four carbon atoms, and n is an integer from 0 to 2, with the proviso that if n is 2, then said RΪ groups together contain no more than six carbon atoms;
Figure imgf000011_0001
II wherein R12 is selected from straight chain or branched chain alkenyl containing two to ten carbon atoms and substituted straight chain or branched chain alkenyl containing two to ten carbon atoms, wherein the substituent is selected from straight chain or branched chain alkyl containing one to four carbon atoms and cycloalkyl containing three to six carbon atoms; and cycloalkyl containing three to six carbon atoms substituted by straight chain or branched chain alkyl containing one to four carbon atoms; and R22 is selected from hydrogen, straight chain or branched chain alkyl containing one to eight carbon atoms, benzyl, (phenyl)ethyl and phenyl, the benzyl, (phenyl)ethyl or phenyl substituent being optionally substituted on the benzene ring by one or two moieties independently selected from straight chain or branched chain alkyl containing one to four carbon atoms, straight chain or branched chain alkoxy containing one to four carbon atoms, and halogen, with the proviso that when the benzene ring is substituted by two such moieties, then the moieties together contain no more than six carbon atoms; and each R2 is independently selected from straight chain or branched chain alkoxy containing one to four carbon atoms, halogen, and straight chain or branched chain alkyl containing one to four carbon atoms, and n is an integer from zero to 2, with the proviso that if n is 2, then said R2 groups together contain no more than six carbon atoms;
Figure imgf000012_0001
III wherein R23 is selected from hydrogen, straight chain or branched chain alkyl of one to eight carbon atoms, benzyl, (phenyl)ethyl and phenyl, the benzyl, (phenyl)ethyl or phenyl substituent being optionally substituted on the benzene ring by one or two moieties independently selected from straight chain or branched chain alkyl of one to four carbon atoms, straight chain or branched chain alkoxy of one to four carbon atoms, and halogen, with the proviso that when the benzene ring is substituted by two such moieties, then the moieties together contain no more than six carbon atoms; and each R3 is independently selected from straight chain or branched chain alkoxy of one to four carbon atoms, halogen, and straight chain or branched chain alkyl of one to four carbon atoms, and n is an integer from zero to 2, with the proviso that if n is 2, then said R3 groups together contain no more than six carbon atoms;
Figure imgf000012_0002
IV wherein R14 is -CHRxRy wherein Ry is hydrogen or a carbon-carbon bond, with the proviso that when Ry is hydrogen Rx is alkoxy of one to four carbon atoms, hydroxyalkoxy of one to four carbon atoms, 1 -alkynyl of two to ten carbon atoms, tefrahydropyranyl, alkoxyalkyl wherein the alkoxy moiety contains one to four carbon atoms and the alkyl moiety contains one to four carbon atoms, or 2-, 3-, or 4-pyridyl, and with the further proviso that when Ry is a carbon-carbon bond Ry and Rx together form a tetrahydrofuranyl group optionally substituted with one or more substituents independently selected from hydroxy and hydroxyalkyl of one to four carbon atoms; R24 is selected from hydrogen, alkyl of one to four carbon atoms, phenyl, and substituted phenyl wherein the substituent is selected from alkyl of one to four carbon atoms, alkoxy of one to four carbon atoms, and halogen; and R-v is selected from hydrogen, straight chain or branched chain alkoxy containing one to four carbon atoms, halogen, and straight chain or branched chain alkyl containing one to four carbon atoms;
Figure imgf000013_0001
v wherein Rι5 is selected from hydrogen; straight chain or branched chain alkyl containing one to ten carbon atoms and substituted straight chain or branched chain alkyl containing one to ten carbon atoms, wherein the substituent is selected from cycloalkyl containing three to six carbon atoms and cycloalkyl containing three to six carbon atoms substituted by straight chain or branched chain alkyl containing one to four carbon atoms; straight chain or branched chain alkenyl containing two to ten carbon atoms and substituted straight chain or branched chain alkenyl containing two to ten carbon atoms, wherein the substituent is selected from cycloalkyl containing three to six carbon atoms and cycloalkyl containing three to six carbon atoms substituted by straight chain or branched chain alkyl containing one to four carbon atoms; hydroxyalkyl of one to six carbon atoms; alkoxyalkyl wherein the alkoxy moiety contains one to four carbon atoms and the alkyl moiety contains one to six carbon atoms; acyloxyalkyl wherein the acyloxy moiety is alkanoyloxy of two to four carbon atoms or benzoyloxy, and the alkyl moiety contains one to six carbon atoms; benzyl; (phenyl)ethyl; and phenyl; said benzyl, (phenyl)ethyl or phenyl substituent being optionally substituted on the benzene ring by one or two moieties independently selected from alkyl of one to four carbon atoms, alkoxy of one to four carbon atoms, and halogen, with the proviso that when said benzene ring is substituted by two of said moieties, then the moieties together contain no more than six carbon atoms;
Figure imgf000014_0001
wherein Rs and RT are independently selected from hydrogen, alkyl of one to four carbon atoms, phenyl, and substituted phenyl wherein the substituent is selected from alkyl of one to four carbon atoms, alkoxy of one to four carbon atoms, and halogen; X is selected from alkoxy containing one to four carbon atoms, alkoxyalkyl wherein the alkoxy moiety contains one to four carbon atoms and the alkyl moiety contains one to four carbon atoms, hydroxyalkyl of one to four carbon atoms, haloalkyl of one to four carbon atoms, alkylamido wherem the alkyl group contains one to four carbon atoms, amino, substituted amino wherein the substituent is alkyl or hydroxyalkyl of one to four carbon atoms, azido, chloro, hydroxy, 1-moφholino, 1-pynolidino, alkylthio of one to four carbon atoms; and R5 is selected from hydrogen, sfraight chain or branched chain alkoxy containing one to four carbon atoms, halogen, and straight chain or branched chain alkyl containing one to four carbon atoms; and pharmaceutically acceptable salts of any of the foregoing. In another embodiment, the IRM compound can be chosen from 6,7 fused cycloalkylimidazopyridine amines defined by Formula VI below:
Figure imgf000014_0002
VI wherein m is 1, 2, or 3; R16 is selected from hydrogen; cyclic alkyl of three, four, or five carbon atoms; sfraight chain or branched chain alkyl containing one to ten carbon atoms and substituted sfraight chain or branched chain alkyl containing one to ten carbon atoms, wherein the substituent is selected from cycloalkyl containing three to six carbon atoms and cycloalkyl containing three to six carbon atoms substituted by straight chain or branched chain alkyl containing one to four carbon atoms; fluoro- or chloroalkyl containing from one to ten carbon atoms and one or more fluorine or chlorine atoms; straight chain or branched chain alkenyl containing two to ten carbon atoms and substituted straight chain or branched chain alkenyl containing two to ten carbon atoms, wherein the substituent is selected from cycloalkyl containing three to six carbon atoms and cycloalkyl containing three to six carbon atoms substituted by straight chain or branched chain alkyl containing one to four carbon atoms; hydroxyalkyl of one to six carbon atoms; alkoxyalkyl wherein the alkoxy moiety contains one to four carbon atoms and the alkyl moiety contains one to six carbon atoms; acyloxyalkyl wherein the acyloxy moiety is alkanoyloxy of two to four carbon atoms or benzoyloxy, and the alkyl moiety contains one to six carbon atoms, with the proviso that any such alkyl, substituted alkyl, alkenyl, substituted alkenyl, hydroxyalkyl, alkoxyalkyl, or acyloxyalkyl group does not have a fully carbon substituted carbon atom bonded directly to the nitrogen atom; benzyl; (phenyl)ethyl; and phenyl; said benzyl,
(phenyl)ethyl or phenyl substituent being optionally substituted on the benzene ring by one or two moieties independently selected from alkyl of one to four carbon atoms, alkoxy of one to four carbon atoms, and halogen, with the proviso that when said benzene ring is substituted by two of said moieties, then the moieties together contain no more than six carbon atoms; and -CHRxRy wherein Ry is hydrogen or a carbon-carbon bond, with the proviso that when Ry is hydrogen Rx is alkoxy of one to four carbon atoms', hydroxyalkoxy of one to four carbon atoms, 1 -alkynyl of two to ten carbon atoms, tefrahydropyranyl, alkoxyalkyl wherein the alkoxy moiety contains one to four carbon atoms and the alkyl moiety contains one to four carbon atoms, 2-, 3-, or 4-pyridyl, and with the further proviso that when Ry is a carbon-carbon bond Ry and Rx together form a tetrahydrofuranyl group optionally substituted with one or more substituents independently selected from hydroxy and hydroxyalkyl of one to four carbon atoms, R 6 is selected from hydrogen; straight chain or branched chain alkyl containing one to eight carbon atoms; straight chain or branched chain hydroxyalkyl containing one to six carbon atoms; moφholinoalkyl; benzyl; (phenyl)efhyl; and phenyl, the benzyl, (phenyl)ethyl, or phenyl substituent being optionally substituted on the benzene ring by a moiety selected from methyl, methoxy, and halogen; and -C(Rs)(Rτ)(X) wherein Rs and Rx are independently selected from hydrogen, alkyl of one to four carbon atoms, phenyl, and substituted phenyl wherein the substituent is selected from alkyl of one to four carbon atoms, alkoxy of one to four carbon atoms, and halogen; X is selected from alkoxy containing one to four carbon atoms, alkoxyalkyl wherein the alkoxy moiety contains one to four carbon atoms and the alkyl moiety contains one to four carbon atoms, haloalkyl of one to four carbon atoms, alkylamido wherem the alkyl group contains one to four carbon atoms, amino, substituted amino wherein the substituent is alkyl or hydroxyalkyl of one to four carbon atoms, azido, alkylthio of one to four carbon atoms, and moφholinoalkyl wherein the alkyl moiety contains one to four carbon atoms, and Rό is selected from hydrogen, fluoro, chloro, straight chain or branched chain alkyl containing one to four carbon atoms, and straight chain or branched chain fluoro- or chloroalkyl containing one to four carbon atoms and at least one fluorine or chlorine atom; and pharmaceutically acceptable salts thereof.
In another embodiment, the IRM compound can be chosen from imidazopyridine amines defined by Formula VII below:
Figure imgf000017_0001
VII wherein Rι7 is selected from hydrogen; -CH2R wherein Rw is selected from straight chain, branched chain, or cyclic alkyl containing one to ten carbon atoms, straight chain or branched chain alkenyl containing two to ten carbon atoms, straight chain or branched chain hydroxyalkyl containing one to six carbon atoms, alkoxyalkyl wherein the alkoxy moiety contains one to four carbon atoms and the alkyl moiety contains one to six carbon atoms, and phenylethyl; and -CH=CRzRz wherein each Rz is independently straight chain, branched chain, or cyclic alkyl of one to six carbon atoms; R 7 is selected from hydrogen; straight chain or branched chain alkyl containing one to eight carbon atoms; straight chain or branched chain hydroxyalkyl containing one to six carbon atoms; alkoxyalkyl wherein the alkoxy moiety contains one to four carbon atoms and the alkyl moiety contains one to six carbon atoms; benzyl, (phenyl)ethyl and phenyl, the benzyl, (phenyl)ethyl and phenyl being optionally substituted on the benzene ring by a moiety selected from methyl, methoxy, and halogen; and moφholinoalkyl wherein the alkyl moiety contains one to four carbon atoms; R67 and R77 are independently selected from hydrogen and alkyl of one to five carbon atoms, with the proviso that Re7 and R77 taken together contain no more than six carbon atoms, and with the further proviso that when R7 is hydrogen then R67 is other than hydrogen and R27 is other than hydrogen or moφholinoalkyl, and with the further proviso that when R67 is hydrogen then R77 and R27 are other than hydrogen; and pharmaceutically acceptable salts thereof. In another embodiment, the IRM compound can be chosen from 1,2-bridged imidazoquinoline amines defined by Formula VIII below:
Figure imgf000018_0001
VIII wherein Z is selected from -(CH2)P- wherein p is 1 to 4; -(CH2)a-C(RDRE)(CH2)b-, wherein a and b are integers and a+b is 0 to 3, RD is hydrogen or alkyl of one to four carbon atoms, and RE is selected from alkyl of one to four carbon atoms, hydroxy, -ORp wherein RF is alkyl of one to four carbon atoms, and
-NRGR'G wherein RG and R'G are independently hydrogen or alkyl of one to four carbon atoms; and -(CH2)a-(Y)-(CH2)b- wherein a and b are integers and a+b is 0 to 3, and Y is O, S, or -NRj- wherein Rj is hydrogen or alkyl of one to four carbon atoms; q is O or l; and R8 is selected from alkyl of one to four carbon atoms, alkoxy of one to four carbon atoms, and halogen, and pharmaceutically acceptable salts thereof.
In another embodiment, the IRM compound can be chosen from thiazoloquinoline amines, oxazoloquinoline amines, thiazolopyridine amines, oxazolopyridine amines, thiazolonaphthyridine amines and oxazolonaphthyridine amines defined by Fonnula IX below:
Figure imgf000019_0001
IX wherein: Rι9 is selected from oxygen, sulfur and selenium; R29 is selected from -hydrogen; -alkyl; -alkyl-OH; -haloalkyl; -alkenyl; -alkyl-X-alkyl; -alkyl-X-alkenyl; -alkenyl-X-alkyl; -alkenyl-X-alkenyl; -alkyl-N(R59)2; -alkyl-N3; -alkyl-O-C(O)-N(R59)2; -heterocyclyl; -alkyl-X-heterocyclyl; -alkenyl-X-heterocyclyl; -aryl; -alkyl-X-aryl;
U -alkenyl-X-aryl; -heteroaryl; -alkyl-X-heteroaryl; and -alkenyl-X-heteroaryl; R39 and R^ are each independently: -hydrogen; -X-alkyl; -halo; -haloalkyl; -N(R59)2; or when taken together, R39 and Rj9 form a fused aromatic, heteroaromatic, cycloalkyl or heterocyclic ring; X is selected from-O-, -S- -NR59- -C(O)-, -C(O)O-, -OC(O)-, and a bond; and each R59 is independently H or Cι-8alkyl; and pharmaceutically acceptable salts thereof. In another embodiment, the IRM compound can be chosen from imidazonaphthyridine amines and imidazotefrahydronaphthyridine amines defined by Formulas X and XI below:
Figure imgf000020_0001
X wherein A is =N-CR=CR-CR=; =CR-N=CR-CR=; =CR-CR=N-CR=; or =CR-CR=CR-N=; Ri ιo is selected from: - hydrogen; -C1.20 alkyl or C2.20 alkenyl that is unsubstituted or substituted by one or more substituents selected from: -aryl; -heteroaryl; -heterocyclyl; -O-Cι-20 alkyl; ■O-(Cι-20 alkyl)o-ι-aryl; -O-(Ci-2o alkyl)0-i -heteroaryl; -O-(Cι-20 alkyl)o-ι-heterocyclyl; -CO-O-Cι-20 alkyl; -S(O)o-2 -Cι-20 alkyl; -S(O)0-2-(Ci-2o alkyl)0-i-aryl; -S(O)o-2-(Cι-2o alkyl)0-ι-heteroaryl; -S(O)o-2 -(Cι-20 alkyl)0-i-heterocyclyl; -N(R3ιo)2; -N3; oxo; -halogen; -NO2; -OH; and -SH; and -Cι-20 alkyl-NR^o-Q-X-Ruo or -C2-2C) alkenyl-NR o-Q-X-R-uo wherem Q is - CO- or -SO2-; X is a bond, -O- or -NR3ι0- and I uo is aryl; heteroaryl; heterocyclyl; or ■ Cι-20 alkyl or C2.2C) alkenyl that is unsubstituted or substituted by one or more substituents selected from: -aryl; -heteroaryl; -heterocyclyl; -O-C1-20 alkyl; -O-(C1-20 alkyl)0.i-aryl; -O-(Cι-2o alkyl)o-ι -heteroaryl; -O-(Cι-20 alkyl)0-ι-heterocyclyl; -CO-O-d-20 alkyl; -S(O)o-2 -Cι.2o alkyl; -S(O)o.2-(Ci-2o alkyl)o.ι-aryl; -S(O)0-2-(C1-2o alkyl)o-ι-heteroaryl; -S(O)0-2 -(Ct-20 alkyl)0-ι-heterocyclyl; -N(R3ι0)2; -NR310-CO-O-C1.20 alkyl; -N3; oxo; -halogen; -NO2; -OH; and -SH; or R4ι0 is
Figure imgf000022_0001
wherein Y is -N- or -CR-;elected from: -hydrogen; -Cι-10 alkyl;
-C -ιo alkenyl; -aryl;
-Ci-io alkyl-O-Ci-io alkyl; -Ci-io alkyl-O-C2-ιo alkenyl; and -Ci-io alkyl or C2-10 alkenyl substituted by one or more substituents selected from: -OH; -halogen; -N(R310)2; -CO-N(R3ιo)2; -CO-C O alkyl; -N3; -aryl; -heteroaryl; -heterocyclyl; -CO-aryl; and -CO-heteroaryl; each R3ιo is independently selected from hydrogen and Cι-10 alkyl; and each R is independently selected from hydrogen, Cι-ι0 alkyl, Cι-10 alkoxy, halogen and trifluoromethyl;
Figure imgf000023_0001
XI wherein B is -NR-C(R)2-C(R)2-C(R)2-; -C(R)2-NR-C(R)2-C(R)2-; -C(R)2-C(R)2-NR-C(R)2- or -C(R)2-C(R)2-C(R)2-NR-; R111 is selected from: - hydrogen; -Ci. o alkyl or C2-2o alkenyl that is unsubstituted or substituted by one or more substituents selected from: -aryl; -heteroaryl; -heterocyclyl; -O-Cι-20 alkyl; -O-(Ci.2o alkyl)o-i-aryl; -O-(C!-2o alkyl)0-ι -heteroaryl; -O-(Cι-2o alkyl)0-i-heterocyclyl; -CO-O-d-20 alkyl; -S(O)0-2 -Ci-20 alkyl; -S(O)o-2-(Ci-20 alkyiyraryl; -S(O)o-2 -(Ci-20 alkyl)o-ι-heteroaryl; -S(O)o-2-(Ci-20 alkyl)0-ι-heterocyclyl; -N(R3n)2; -N3; oxo; -halogen; -NO2; -OH; and -SH; and -Ci-20 alkyl-NR3ιι-Q-X-R4ιι or -C2.20 alkenyl-NRsn-Q-X-Rm wherein Q is - CO- or -SO2-; X is a bond, -O- or -NR311- and Rm is aryl; heteroaryl; heterocyclyl; or ■ Ci-20 alkyl or C2-20 alkenyl that is unsubstituted or substituted by one or more substituents selected from: -aryl; -heteroaryl; -heterocyclyl; -O-Cι-20 alkyl; -O-(C1.2o alkyrjo-i-aryl; -O-(Ci-2o alkyl)0-i -heteroaryl; -O-(Cι-20 alkyl)0.1-heterocyclyl; -CO-O-d-20 alkyl; -S(O)o-2 -Cι.2o alkyl; -S(O)o.; ,-(Cι-20 alkyl)o-ι-aryl;
Figure imgf000025_0001
-S(O)o-; !-(Cι-20 alkyl)0-ι-heterocyclyl; -N(R3n )2; - R311- CO-O-Cι-20 alkyl; -N3; oxo; -halogen; -NO2; -OH; and
Figure imgf000025_0002
Figure imgf000025_0003
wherein Y is -N- or -CR-;elected from: -hydrogen;
-Ci-10 alkyl; -C2-10 alkenyl; -aryl;
-Ci-10 alkyl -O-d-10-alkyl; -Ci-io alkyl-O-d-io alkenyl; and
-Ci-10 alkyl or C2-10 alkenyl substituted by one or more substituents selected from: -OH; -halogen; -N(R3n)2; -CO-N(R3n)2; -CO-Ci-io alkyl; -N3; -aryl; -heteroaryl; -heterocyclyl; -CO-aryl; and -CO-heteroaryl; - each R311 is independently selected from hydrogen and CMO alkyl; and each R is independently selected from hydrogen, Ci-10 alkyl, Ci-10 alkoxy, halogen, and trifluoromethyl; and pharmaceutically acceptable salts thereof. In another embodiment, the IRM compound can be chosen from 1H- imidazo[4,5-c]quinolin-4-amines and tefrahydro- lH-imidazo[4,5-c]quinolin-4-amines defined by Formulas XII, XIII and XIV below:
Figure imgf000026_0001
XII
wherein R112 is -alkyl-NR^-CO-Riπ or -alkenyl-NR3i2-CO- R_n2 wherein R4ι2 is aryl, heteroaryl, alkyl or alkenyl, each of which may be unsubstituted or substituted by one or more substituents selected from: -alkyl; -alkenyl; -alkynyl; -(alkyl)o-ι-aryl; -(alkyl)o-ι -(substituted aryl);
-(alkyl)o-ι-heteroaryl;
-(alkyl)o-ι-(substituted heteroaryl);
-O-alkyl; -O-(alkyl)0-i-aryl;
-O-(alkyl)o-ι -(substituted aryl);
-O-(alkyl)0-ι -heteroaryl;
-O-(alkyl)o-ι -(substituted heteroaryl);
-CO-aryl; -CO-(substituted aryl);
-CO-heteroaryl;
-CO-(substituted heteroaryl);
-COOH;
-CO-O-alkyl; -CO-alkyl;
-S(O)o-2 -alkyl;
-S(O)o-2-(alkyl)o-i-aryl;
-S(O)o-2-(alkyl)o-i-(substituted aryl);
-S(O)o-2 -(alkyl)o-ι -heteroaryl; -S(O)o-2-(alkyl)o-ι-(substituted heteroaryl);
-P(O)(OR3ι2)2;
-NR3i2-CO-O-alkyl;
-N3;
-halogen; -NO2;
-CN;
-haloalkyl;
-O-haloalkyl;
-CO-haloalkyl; -OH; -SH; and in the case that Ru2 is alkyl, alkenyl, or heterocyclyl, oxo; or R412 is
Figure imgf000028_0001
wherein R512 is an aryl, (substituted aryl), heteroaryl, (substituted heteroaryl), heterocyclyl or (substituted heterocyclyl) group; R212 is selected from: -hydrogen; -alkyl; -alkenyl; -aryl; -(substituted aryl); -heteroaryl; -(substituted heteroaryl); -heterocyclyl; -(substituted heterocyclyl); -alkyl-O-alkyl; -alkyl-O-alkenyl; and -alkyl or alkenyl substituted by one or more substituents selected from: -OH; -halogen; -N(R3ι2)2; -CO-N(R3ι2)2; -CO-Ci-10 alkyl; -CO-O-d-io alkyl; -N3; -aryl; -(substituted aryl); -heteroaryl; -(substituted heteroaryl); -heterocyclyl; -(substituted heterocyclyl); -CO-aryl; and -CO-heteroaryl; each R3ι is independently selected from hydrogen; Ci-io alkyl-heteroaryl; Cι-ι0 alkyl-(substituted heteroaryl); CLIO alkyl-aryl; Ci-io alkyl-(substituted aryl) and Ci-io alkyl; v is 0 to 4; and each Rι present is independently selected from Ci-io alkyl, Ci-io alkoxy, halogen, and trifluoromethyl;
Figure imgf000029_0001
XIII wherein Rπ3 is -alkyl-NR3i3- SO2 -X-R413 or -alkenyl-NR313- SO2 -X-R413 ; X is a bond or -NR5ι3-; R»3 is aryl, heteroaryl, heterocyclyl, alkyl or alkenyl, each of which may be unsubstituted or substituted by one or more substituents selected from: -alkyl; -alkenyl; -aryl; -heteroaryl; -heterocyclyl; -substituted cycloalkyl;
-substituted aryl;
-substituted heteroaryl;
-substituted heterocyclyl; -O-alkyl;
-O-(alkyl)o-ι-aryl;
-O-(alkyl)o-ι -substituted aryl;
-O-(alkyl)0-ι -heteroaryl;
-O-(alkyl)o-ι -substituted heteroaryl; -O-(alkyl)o-ι-heterocyclyl;
-O-(alkyl)0-i-substituted heterocyclyl;
-COOH;
-CO-O-alkyl;
-CO-alkyl; -S(O)o-2 -alkyl;
-S(O)o-2-(alkyl)o-ι-aryl;
-S(O)o-2 -(alkyl)o-ι -substituted aryl;
-S(O)o-2 -(alkyl)o-ι -heteroaryl;
-S(O)o-2 -(alkyl)o-ι -substituted heteroaryl; -S(O)o-2 -(alkyl)o-ι -heterocyclyl;
-S(O)o-2 -(alkyl)o-ι-substituted heterocyclyl;
-(alkyl)o-ι-NR3i3R3i3;
-(alkyl)0-ι-NR3 i3-CO-O-alkyl;
-(alkyl)0-ι-NR3 ι3-CO-alkyl; -(alkyl)0-i-NR313-CO-aryl;
-(alkyl)o-ι-NR313-CO-substituted aryl;
-(alkyl)o-ι -NR313 -CO-heteroaryl;
-(alkyl)o-ι-NR3i3-CO-substituted heteroaryl;
-N3; -halogen; -haloalkyl; -haloalkoxy; -CO-haloalkyl; -CO-haloalkoxy; -NO2; -CN; -OH; -SH; and in the case that n3 is alkyl, alkenyl, or heterocyclyl, oxo; R2ι is selected from: -hydrogen; -alkyl; -alkenyl; -aryl; -substituted aryl; -heteroaryl; -substituted heteroaryl; - alkyl-O-alkyl; - alkyl-O- alkenyl; and - alkyl or alkenyl substituted by one or more substituents selected from: -OH; -halogen;
Figure imgf000031_0001
-CO-Ci-io alkyl; -CO-O-Ci.io alkyl; -N3; -aryl; -substituted aryl; -heteroaryl; -substituted heteroaryl; -heterocyclyl; -substituted heterocyclyl; -CO-aryl; -CO-(substituted aryl); -CO-heteroaryl; and -CO-(substituted heteroaryl); each R313 is independently selected from hydrogen and CMO alkyl; or when X is a bond R313 and R4B can join to form a 3 to 7 membered heterocyclic or substituted heterocyclic ring; R5B is selected from hydrogen and CMO alkyl, or Ru3 and R5ι3 can combine to form a 3 to 7 membered heterocyclic or substituted heterocyclic ring; v is 0 to 4; and each R13 present is independently selected from C O alkyl, C O alkoxy, halogen, and trifluoromethyl;
Figure imgf000032_0001
XIV wherein R114 is -alkyl-NR3ι -CY-NR51 -X-R4i4 or -alkenyl-NR3ι4-CY- NR5ι -X- Rn4 wherein Y is =O or =S; X is a bond, -CO- or -SO2-; I n4 is aryl, heteroaryl, heterocyclyl, alkyl or alkenyl, each of which may be unsubstituted or substituted by one or more substituents selected from: -alkyl; -alkenyl;
-aryl;
-heteroaryl;
-heterocyclyl; -substituted aryl;
-substituted heteroaryl;
-substituted heterocyclyl;
-O-alkyl;
-O-(alkyl)0-ι-aryl; -O-(alkyl)o-1 -substituted aryl;
-O-(alkyl)o-ι-heteroaryl;
-O-(alkyl)o-ι-substituted heteroaryl;
-O-(alkyl)0-ι-heterocyclyl;
-O-(alkyl)o-i| -substituted heterocyclyl; -COOH;
-CO-O-alkyl;
-CO-alkyl;
-S(O)o-2 -alkyl;
-S(O)o-2-(alkyl)o-ι-aryl; -S(O)0-2 -(alkyl)o-ι -substituted aryl;
-S(O)0-2 -(alkyl)o-ι -heteroaryl;
-S(O)0-2 -(alkyl)0-i -substituted heteroaryl;
-S(O)o-2 -(alky^o-! -heterocyclyl;
-S(O)o-2 -(alkyι)o-ι -substituted heterocyclyl; -(alkyl)0-,-NR3ι4R3i4;
-(alkyl)0.i-NR3i4-CO-O-alkyl;
-(alkyl)o-ι-NR314-CO-alkyl;
-(alkyl^-NRsM-CO-aryl;
-(alkyl)0-ι -NR3 ι -CO-substituted aryl; -(alkyl)0.ι-NR3 ι4-CO-heteroaryl; -(alkyl)0-ι-NR3 ι4-CO-substituted heteroaryl; -N3; -halogen; -haloalkyl; -haloalkoxy; -CO-haloalkoxy; -NO2; -CN; -OH; -SH; and, in the case that R4ι4 is alkyl, alkenyl or heterocyclyl, oxo; with the proviso that when X is a bond R-n4 can additionally be hydrogen; 214 is selected from: -hydrogen; -alkyl; -alkenyl; -aryl; -substituted aryl; -heteroaryl; -substituted heteroaryl; - alkyl-O-alkyl; -alkyl-O- alkenyl; and - alkyl or alkenyl substituted by one or more substituents selected from: -OH; -halogen; -N(R3ι4)2; -CO-N(R3ι4)2; -CO-CMO alkyl; -CO-O-CMO alkyl; -N3; -aryl; -substituted aryl; -heteroaryl; -substituted heteroaryl; -heterocyclyl; -substituted heterocyclyl; -CO-aryl; -CO-(substituted aryl); -CO-heteroaryl; and -CO-(substituted heteroaryl); each R3ι4 is independently selected from hydrogen and C O alkyl; R5ι4 is selected from hydrogen and CMO alkyl, or n4 and R5ι4 can combine to form a 3 to 7 membered heterocyclic or substituted heterocyclic ring; v is 0 to 4; and each Rι4 present is independently selected from CMO alkyl, CMO alkoxy, halogen, and trifluoromethyl; and phannaceutically acceptable salts thereof. In another embodiment, the IRM compound can be chosen from 1H- irnidazo[4,5-c]quinolin-4-amines and tefrahydro- lH-imidazo[4,5-c]quinolin-4-amines defined by Formulas XV, XVI, XVII, XVIII, XIX, XX, XXI, XXII, XXIII, XXIV,
XXV, and XXVI below:
Figure imgf000035_0001
XV
wherein: X is -CΗR5ι5-, -CHR5ι5-alkyl-, or -CHR5i5-alkenyl-; Rn5 is selected from: -R415-CR31S-Z-R615— alkyl; -lUis-CRπs-Z-Reis — alkenyl; -R4i5-CR3i5-Z-R6i5— aryl; -R-us-CR^s-Z-Reis — heteroaryl; - HS-CR31S-Z-R015 — heterocyclyl;
Figure imgf000036_0001
-R415-NR715 -C 315-RΘ1S— alkyl; -R415-NR7.5 -CR3i5-R<5i5 — alkenyl; -R4i5-NR7ι5-CR3i5-R6i5-aryl; -R415-NR7i5-CR315-R6i5-heteroaryl; -R4ι5-NR7ι5-CR3ι5-R6i5-heterocyclyl; and -R415-NR715 -CR315-R815; Z is -NRsis- -O-, or -S-; R2i5 is selected from: -hydrogen; -alkyl; -alkenyl; -aryl; -heteroaryl; -heterocyclyl; -alkyl-Y-alkyl; -alkyl- Y- alkenyl; -alkyl-Y-aryl; and - alkyl or alkenyl substituted by one or more substituents selected from: -OH; -halogen; -N(R5ι5)2; -CO-N(R5,5)2; -CO-Cι-10 alkyl; -CO-O-CMO alkyl; -N3; -aryl; -heteroaryl; -heterocyclyl; -CO-aryl; and -CO-heteroaryl; R3ι5 is =O or =S; R4i5 is alkyl or alkenyl, which may be interrupted by one or more -O- groups; each R5ι5 is independently H or CMO alkyl; Rδis is a bond, alkyl, or alkenyl, which may be interrupted by one or more -O- groups; R7ι5 is H, CMO alkyl, or arylalkyl; or R4ι5 and R7ι5 can join together to fonn a ring; R8ι5 is H or CMO alkyl; or R7ι5 and Rsι5 can join together to form a ring; Y is -O- or-S(O)o-2S v is 0 to 4; and each R15 present is independently selected from CMO alkyl, CMO alkoxy, hydroxy, halogen, and trifluoromethyl;
Figure imgf000037_0001
wherein: X is -CHR5ι6-, -CHR5ι6-alkyl-, or -CHR5ι6-alkenyl-; Rιi6 is selected from: -R416-CR3i6-Z-R6i6 — lkyl;
Figure imgf000038_0001
-R416-CR316-Z-R6I6 — aryl; - H6-CR3 lό-Z-Rόiό — heteroaryl; -R416-CR316-Z-Rό 16 — heterocyclyl;
Figure imgf000038_0002
-R416- R716 -CR3i6-R6i6 — alkyl; -R-H6-NR716 -CR316-R6I6 — alkenyl; -R4i6-NR7i6-CR3i6-R6i6-aryl; -R i6-NR7i6-CR3i6-R6i6-heteroaryl; -R 16-NR7ι6-CR3ι6-R6ι6-heterocyclyl; and -R416-NR716 -CR316-R816;
Figure imgf000038_0003
R216 is selected from: -hydrogen; -alkyl; -alkenyl; -aryl; -heteroaryl; -heterocyclyl; -alkyl- Y-alkyl; -alkyl-Y- alkenyl; -alkyl- Y-aryl; and - alkyl or alkenyl substituted by one or more substituents selected from: -OH; -halogen; -N(R5]6)2; -CO-N(R5ι6)2; -CO-CMO alkyl; -CO-O-CMO alkyl; -N3; -aryl; -heteroaryl; -heterocyclyl; -CO-aryl; and -CO-heteroaryl; R3ι6 is =O or =S; Ru6 is alkyl or alkenyl, which may be interrupted by one or more -O- groups; each R5i6 is independently H or CMO alkyl; Reι6 is a bond, alkyl, or alkenyl, which may be interrupted by one or more -O- groups; R7ι6 is H, CMO alkyl, arylalkyl; or ue and R7ι6 can join together to form a ring; R8ι6 is H or CMO alkyl; or R7ι6 and Rsι6 can join together to form a ring; Y is -O- or-S(O)o-2-; v is 0 to 4; and each Rι6 present is independently selected from CMO alkyl, CMO alkoxy, hydroxy, halogen, and trifluoromethyl;
Figure imgf000039_0001
XVII
wherein: X is -CHR317-, -CHR3i -alkyl-, or -CHR3i7-alkenyl-; Ri i7 is selected from: -alkenyl; -aryl; and -R- -aryl; R2π is selected from: -hydrogen; -alkyl; -alkenyl; -aryl; -heteroaryl; -heterocyclyl; -alkyl-Y-alkyl; -alkyl- Y- alkenyl; -alkyl- Y-aryl; and - alkyl or alkenyl substituted by one or more substituents selected from: -OH; -halogen; -N(R3ι7)2;
Figure imgf000040_0001
-CO-Ci-io alkyl; -CO-O-CMO alkyl; -N3; -aryl; -heteroaryl; -heterocyclyl; -CO-aryl; and -CO-heteroaryl; ιi7 is alkyl or alkenyl, which may be interrupted by one or more -O- groups; each R3π is independently H or CMO alkyl; each Y is independently -O- or -S(O)o-2-; v is 0 to 4; and each Rπ present is independently selected from CMO alkyl, C O alkoxy, hydroxy, halogen, and trifluoromethyl;
Figure imgf000041_0001
XVIII
wherein: X is -CHR3ι8-, -CHR3ι8-alkyl-, or -CHR3ι8-alkenyl-; Rπs is selected from: -aryl; -alkenyl; and -Rtis-aryl; R2ι8 is selected from: -hydrogen; -alkyl; -alkenyl; -aryl; -heteroaryl; -heterocyclyl; -alkyl-Y-alkyl; -alkyl- Y-aryl; - alkyl- Y- alkenyl; and - alkyl or alkenyl substituted by one or more substituents selected from: -OH; -halogen; -N(R3ιs)2; -CO-N(R3ι8)2; -CO-CMO alkyl; -CO-O-CMO alkyl; -N3; -aryl; -heteroaryl; -heterocyclyl; -CO-aryl; and -CO-heteroaryl; Rus is alkyl or alkenyl, which may be interrupted by one or more -O- groups; each R318 is independently H or CMO alkyl; each Y is independently -O- or -S(O)o-2-; v is 0 to 4; and each Ris present is independently selected CMO alkyl, CMO alkoxy, hydroxy, halogen, and trifluoromethyl;
Figure imgf000042_0001
wherein: X is -CHR319-, -CHR3j9-alkyl-, or -CHR3ι9-alkenyl-; Rn is selected from: -heteroaryl; -heterocyclyl; -R4i9- heteroaryl; and -Rnsr-heterocyclyl; R2ι9 is selected from: -hydrogen; -alkyl; -alkenyl; -aryl; -heteroaryl; -heterocyclyl; -alkyl-Y-alkyl; -alkyl- Y- alkenyl; -alkyl- Y-aryl; and - alkyl or alkenyl substituted by one or more substituents selected from: -OH; -halogen; -N(R3ι9)2; -CO-N(R3ι9)2; -CO-CMO alkyl; -CO-O-CMO alkyl; -N3; -aryl; -heteroaryl; -heterocyclyl; -CO-aryl; and -CO-heteroaryl; R41 is alkyl or alkenyl, which may be interrupted by one or more -O- groups; each R3i9 is independently H or CMO alkyl; each Y is mdependently -O- or -S(O)o-2-; v is 0 to 4; and each R19 present is independently selected from CMO alkyl, CMO alkoxy, hydroxy, halogen, and trifluoromethyl;
Figure imgf000044_0001
XX
wherein: X is -CHR32o-, -CHR32o-alkyl-, or -CHR32o-alkenyl-; R120 is selected from: -heteroaryl; -heterocyclyl; -R420- heteroaryl; and -R42o-heterocyclyl; R220 is selected from: -hydrogen; -alkyl; -alkenyl; -aryl; -heteroaryl; -heterocyclyl; -alkyl-Y-alkyl; -alkyl- Y- alkenyl; -alkyl- Y-aryl; and - alkyl or alkenyl substituted by one or more substituents selected from: -OH; -halogen;
Figure imgf000044_0002
-CO-Cι-10 alkyl; -CO-O-CMO alkyl; -N3; -aryl; -heteroaryl; -heterocyclyl; -CO-aryl; and -CO-heteroaryl; R120 is alkyl or alkenyl, which may be interrupted by one or more -O- groups; each R320 is independently H or CMO alkyl; each Y is independently -O- or -S(O)o-2-; v is 0 to 4; and each R20 present is independently selected from CMO alkyl, CMO alkoxy, hydroxy, halogen, and trifluoromethyl;
Figure imgf000045_0001
wherein: X is -CHR52ι-, -CHR52i -alkyl-, or -CHR52ι-alkenyl- Rm is selected from: - m— NR321— SO2—R621— alkyl; -R421— R321 — SO2 — R — alkenyl; -R42i-NR32i-Sθ2-R62ι-aryl; -R42i-NR32i-Sθ2-R62ι-heteroaryl; -R 2ι-NR32i-Sθ2-R62i-heterocyclyl; -R421— NR321— SO2— R721; -R42i-NR32i-SO2-NR52i-R62i-alkyl; -R42ι-NR32i-SO2-NR52i-R62i-alkenyl; -R42ι-NR32ι-SO2-NR52i-R62i-aryl; -R421-NR32ι-SO2-NR52ι-R62i-heteroaryl; -R421 -NR321 -SO2-NR521 -R621 -heterocyclyl; and
Figure imgf000046_0001
R22ι is selected from: -hydrogen; -alkyl; -alkenyl; -aryl; -heteroaryl; -heterocyclyl; -alkyl-Y-alkyl; -alkyl- Y- alkenyl; -alkyl-Y-aryl; and - alkyl or alkenyl substituted by one or more substituents selected from: -OH; -halogen; -N(R52ι)2; -CO-N(R52ι)2; -CO-CMO alkyl; -CO-O-CMO alkyl; -N3; -aryl; -heteroaryl; -heterocyclyl; -CO-aryl; and -CO-heteroaryl; Y is -O- or -S(O)o-2-; R32i is H, CMO alkyl, or arylalkyl; each Ri l is independently alkyl or alkenyl, which may be interrupted by one or more -O— groups; or R321 and R421 can join together to form a ring; each R52i is independently H, CMO alkyl, or C2-10 alkenyl; Rό2i is a bond, alkyl, or alkenyl, which may be interrupted by one or more -O- groups; R721 is CMO alkyl; or R32i and R721 can join together to form a ring; v is 0 to 4; and each R21 present is independently selected from CMO alkyl, CMO alkoxy, hydroxy, halogen, and trifluoromethyl;
Figure imgf000047_0001
XXII
wherein: X is -CHR522-, -CHR522-alkyl-, or -CHR522-alkenyl-; Rι22 is selected from: -Rt22— NR322— SO2— R622— alkyl; - r22 — R322 — SO2 — Rδ22 — alkenyl; -R422-NR322-SO2-R622-aryl; -R422-NR322-SO2-R622-heteroaryl; -R422-NR322-SO2-R622-heterocyclyl; -R422 — NR322 — SO2 — R722; -R 22-NR322-SO2-NR522-R622-alkyl; -R 22-NR322-SO2-NR522-R622-alkenyl; -R422-NR322-Sθ2-NR522-R622-aryl; -R 22-NR322-SO2-NR522-R622-heteroaryl; -R422-NR322-SO2-NR522-R622-heterocyclyl; and
Figure imgf000048_0001
R222 is selected from: -hydrogen; -alkyl; -alkenyl; -aryl; -heteroaryl; -heterocyclyl; -alkyl-Y-alkyl; -alkyl-Y- alkenyl; -alkyl-Y-aryl; and - alkyl or alkenyl substituted by one or more substituents selected from: -OH; -halogen; -N(R522)2; -CO-N(R522)2; -CO-Ci-io alkyl; -CO-O-CMO alkyl; -N3; -aryl; -heteroaryl; -heterocyclyl; -CO-aryl; and -CO-heteroaryl;
Y is -O- or -S(O)o-2-; R322 is H, CMO alkyl, or arylalkyl; each R-ι22 is independently alkyl or alkenyl, which may be interrupted by one or more -O- groups; or R322 and R«2 can join together to form a ring; each R522 is independently H, C O alkyl, or C2-10 alkenyl; Rg22 is a bond, alkyl, or alkenyl, which may be interrupted by one or more -O- groups; R722 is CMO alkyl; or R322 and R722 can join together to form a ring; v is 0 to 4; and each R22 present is independently selected from CMO alkyl, CMO alkoxy, hydroxy, halogen, and trifluoromethyl;
Figure imgf000049_0001
XXIII
wherein: X is -CHR323-, -CHR3 3-alkyl-, or -CHR323 -alkenyl-; Z is -S-, -SO-, or-SO2-; R123 is selected from: -alkyl; -aryl; -heteroaryl; -heterocyclyl; -alkenyl; -R423-aryl; -R423- heteroaryl; and -R423-heterocyclyl; R223 is selected from: -hydrogen; -alkyl; -alkenyl; -aryl; -heteroaryl; -heterocyclyl; -alkyl-Y-alkyl; - alkyl- Y- alkenyl; -alkyl- Y-aryl; and - alkyl or alkenyl substituted by one or more substituents selected from: -OH; -halogen;
Figure imgf000050_0001
-CO-N(R323)2; -CO-CMO alkyl; -CO-O-CMO alkyl; -N3; -aryl; -heteroaryl; -heterocyclyl; -CO-aryl; and -CO-heteroaryl; each R323 is independently H or CMO alkyl; each R423 is independently alkyl or alkenyl; each Y is independently -O- or -S(O)o-2-; v is 0 to 4; and each R23 present is independently selected from CMO alkyl, CMO alkoxy, hydroxy, halogen, and trifluoromethyl;
Figure imgf000051_0001
XXIV
wherein: X is -CHR32 -, -CHR324-alkyl-, or -CHR324-alkenyl-; Z is -S-, -SO-, or-SO2-; Ri24 is selected from: -alkyl; -aryl; -heteroaryl; -heterocyclyl; -alkenyl;
Figure imgf000051_0002
-R424- heteroaryl; and -R424-heterocyclyl; R224 is selected from: -hydrogen; -alkyl; -alkenyl; -aryl; -heteroaryl; -heterocyclyl; -alkyl-Y-alkyl; - alkyl- Y- alkenyl; -alkyl- Y-aryl; and - alkyl or alkenyl substituted by one or more substituents selected from: -OH; -halogen; -N(R324)2; -CO-N(R324)2; -CO-Ci-io alkyl; -CO-O-CMO alkyl; -N3; -aryl; -heteroaryl; -heterocyclyl; -CO-aryl; and -CO-heteroaryl; each R324 is independently H or CMO alkyl; each R424 is mdependently alkyl or alkenyl; each Y is independently -O- or -S(O)o-2-; v is 0 to 4; and each R24 present is independently selected from CMO alkyl, CMO alkoxy, hydroxy, halogen, and trifluoromethyl;
Figure imgf000052_0001
wherein: X is -CHR5 5-, -CHR525-alkyl-, or -CHR525-alkenyl-; R125 is selected from: -R42S-NRS2S-CR32S— R525-Z-R625-alkyl; -R 25-NR825-CR325— NR525-Z-R625-alkenyl; - 125-NR525-CR32S— NR525-Z-R625-aryl; -R42y R825-CR32ϊ— NR525-Z-R625-heteroaryl;
Figure imgf000053_0001
-R425-NR825 — CR325 — NR525R725; -R425-NR825-CR325— R925-Z— ^s-alkyl; -R425-NR825-CR3 5— R925-Z— R625-alkenyl; 5 -R 25-NR825-CR325— R925-Z— R625-aryl; -R425-NR825-CR325 — NR925-Z — R^s-heteroaryl; and - 12S-NRS25-CR32S — R925-Z — R^-heterocyclyl; R2 5 is selected from: -hydrogen; 10 -alkyl; -alkenyl; -aryl; -heteroaryl; -heterocyclyl; 15 -alkyl-Y-alkyl; -alkyl- Y- alkenyl; -alkyl- Y-aryl; and - alkyl or alkenyl substituted by one or more substituents selected from: 20 -OH; -halogen; -N(R525)2;
Figure imgf000053_0002
-CO-CMO alkyl; 25 -CO-O-CMO alkyl; -N3; -aryl; -heteroaryl; -heterocyclyl; 30 -CO-aryl; and -CO-heteroaryl; each R32S is =O or =S; each t25 is independently alkyl or alkenyl, which may be interrupted by one or more -O- groups; each R52s is independently H or CMO alkyl; Rό25 is a bond, alkyl, or alkenyl, which may be interrupted by one or more -O- groups; R725 is H or CMO alkyl which may be interrupted by a hetero atom, or R725 can join with R525 to form a ring; R825 is H, CMO alkyl, or arylalkyl; or R425 and R825 can join together to form a ring; R 2s is CMO alkyl which can join together with R825 to form a ring; each Y is independently -O- or -S(O)0-2-; Z is a bond, -CO- or -SO2-; v is 0 to 4; and each R25 present is independently selected CMO alkyl, CMO alkoxy, hydroxy, halogen, and trifluoromethyl;
Figure imgf000054_0001
wherein: X is -CHR526-, -CHR526-alkyl-, or -CHR526-alkenyl-; R126 is selected from: -R126- RS26-CR326— R526-Z-R626-alkyl; -R 26-NR826-CR326— -NR526-Z-R626-alkenyl; -R 26-NR826-CR326— NR526-Z-R626-aryl; -R426- R826-CR326 — NR526-Z-R626-heteroaryl; -R426-NR826-CR326— NR526-Z-R626-heterocyclyl; -R426— NR826— CR326— NR526R726; -R426-NR826-CR326— NR926-Z— R626-alkyl; - 126-NRS26-CRS20— NR926-Z— R626-alkenyl; 5 -R 26-NR826-CR326— NR926-Z— ^R626-aryl;
Figure imgf000055_0001
and -R 26-NR826-CR326 — R926-Z — R<526-heterocyclyl; R226 is selected from: -hydrogen; 10 -alkyl; -alkenyl; -aryl; -heteroaryl; -heterocyclyl; 15 -alkyl-Y-alkyl; -alkyl-Y- alkenyl; -alkyl-Y-aryl; and - alkyl or alkenyl substituted by one or more substituents selected from: 20 -OH; -halogen; -N(R526)2; -CO-N(R526)2; -CO-CMO alkyl; 25 -CO-O-CMO alkyl; -N3; -aryl; -heteroaryl; -heterocyclyl; 30 -CO-aryl; and -CO-heteroaryl; each R326 is =O or =S; each i26 is independently alkyl or alkenyl, which may be interrupted by one or more -O- groups; each R526 is independently H or d-io alkyl; Rβ26 is a bond, alkyl, or alkenyl, which may be interrupted by one or more -O- groups; R726 is H or CMO alkyl which may be interrupted by a hetero atom, or R726 can join with R526 to form a ring; R826 is H, CMO alkyl, or arylalkyl; or R 26 and R826 can join together to form a ring; R926 is CMO alkyl which can join together with R826 to form a ring; each Y is independently -O- or -S(O)o-2-; Z is a bond, -CO-, or -SO2-; v is 0 to 4; and each R26 present is independently selected from CMO alkyl, CMO alkoxy, hydroxy, halogen, and trifluoromethyl; and pharmaceutically acceptable salts of any of the foregoing. In another embodiment, the IRM compound can be chosen from 1H- imidazo[4,5-c]pyridin-4-amines defined by Formula XXVII below:
Figure imgf000056_0001
XXVII
wherein X is alkylene or alkenylene; Y is -CO- or-CS; Z is a bond, -O-, or -S-; R127 is aryl, heteroaryl, heterocyclyl, alkyl or alkenyl, each of which may be unsubstituted or substituted by one or more substituents independently selected from: -alkyl; -alkenyl; -aryl; -heteroaryl; -heterocyclyl; -substituted cycloalkyl; -substituted aryl; -substituted heteroaryl; -substituted heterocyclyl; -O-alkyl; -O-(alkyl)0-i-aryl; -O-(alkyl)o-ι-(substituted aryl); -O-(alkyl)o-ι-heteroaryl; -O-(alkyl)o-1 -(substituted heteroaryl); -O-(alkyl)o-ι -heterocyclyl; -©-(alkyrjo-! -(substituted heterocyclyl); -COOH; -CO-O-alkyl; -CO-alkyl; -S(O)o-2 -alkyl; -S(O)o-2-(alkyl)o.ι-aryl; -S(O)o-2 -(alkyl)o-ι -(substituted aryl); -S(O)o-2 -(alkyl)o-ι-heteroaryl; -S(O)o-2-(alkyl)o-ι-(substituted heteroaryl); -S(O)o-2 -(alkyl)o-ι -heterocyclyl; -S(O)o-2 -(alkyl)o-ι -(substituted heterocyclyl); -(alkyl)o-ι-N(R627)2; -(alkyl)o-1-NR627-CO-O-alkyl; -(alkyl)o-1-NR627-CO-alkyl; -(alkyl)0-i-NR627-CO-aryl; -(alkyl)o-ι-NR627-CO-(substituted aryl); 5 -(alkyl)o-1-NR6 7-CO-heteroaryl; -(alkyl)o-! -NRδ27-CO-(substituted heteroaryl); -N3; -halogen; -haloalkyl; 10 -haloalkoxy; -CO-haloalkyl; -CO-haloalkoxy; -NO2; -CN; 15 -OH; -SH; and in the case of alkyl, alkenyl, and heterocyclyl, oxo; R227 is selected from: -hydrogen; -alkyl; 20 -alkenyl; -aryl; -substituted aryl; -heteroaryl; -substituted heteroaryl; 25 -alkyl-O-alkyl; -alkyl-S-alkyl; -alkyl-O-aryl; -alkyl-S-aryl: -alkyl-O- alkenyl; 30 -alkyl-S- alkenyl; and -alkyl or alkenyl substituted by one or more substituents selected from: -OH; -halogen; -N(R627)2;
Figure imgf000059_0001
-CS-N(R627)2; -SO2-N(R627)2; -NR6 7-CO-CM0 alkyl; -NR627-CS-Cι-ιo alkyl; -NR627-Sθ2-Cι-ιo alkyl; -CO-Ci-io alkyl; -CO-O-CMO alkyl; -N3; -aryl; -substituted aryl; -heteroaryl; -substituted heteroaryl; -heterocyclyl; -substituted heterocyclyl; -CO-aryl; -CO-(substituted aryl); -CO-heteroaryl; and -CO-(substituted heteroaryl); R327 and R<i27 are independently selected from hydrogen, alkyl, alkenyl, halogen, alkoxy, amino, alkylamino, dialkylamino, and alkylthio; R527 is H or CMO alkyl, or R527 can join with X to form a ring that contains one or two heteroatoms; or when R127 is alkyl, R527 and R127 can join to form a ring; each R^7 is independently H or d-ioalkyl; and pharmaceutically acceptable salts thereof. In another embodiment, the IRM compound can be chosen from 1H- imidazo[4,5-c]pyridin-4-arnines defined by Formula XXVIII below:
Figure imgf000060_0001
wherein X is alkylene or alkenylene; Y is -SO2-;
Figure imgf000060_0002
Ri28 is aryl, heteroaryl, heterocyclyl, alkyl or alkenyl, each of which may be unsubstituted or substituted by one or more substituents independently selected from: -alkyl; -alkenyl; -aryl; -heteroaryl; -heterocyclyl; -substituted cycloalkyl; -substituted aryl; -substituted heteroaryl; -substituted heterocyclyl; -O-alkyl; -O-(alkyl)0-ι-aryl; -O-(alkyl)o-ι-(substituted aryl); -O-(alkyl)o-ι -heteroaryl; -O-(alkyl)o-ι-(substituted heteroaryl); -O-(alkyl)o-ι -heterocyclyl; -O-(alkyl)o-ι-(substituted heterocyclyl); -COOH; -CO-O-alkyl; 5 -CO-alkyl; -S(O)o-2 -alkyl; -S(O)o-2-(alkyl)o-i-aryl; -S(O)o-2 -(alkyl)o-ι -(substituted aryl); -S(O)o-2 -(alkyl)o-i-heteroaryl; 10 -S(O)o-2-(alkyl)o-ι -(substituted heteroaryl); -S(O)o-2-(alkyl)o-ι-heterocyclyl; -S(O)o-2-(alkyl)o-ι-(substituted heterocyclyl); -(alkyl)o-ι-N(R628)2;
Figure imgf000061_0001
15 -(alkyl)o-ι-NR628-CO-alkyl; -(alkyl)o-ι-NR628-CO-aryl; -(alkyl)o-ι-NR628-CO-(substituted aryl); -(alkyl)o-ι -NR628-CO-heteroaryl; -(alkyl)o-i-NR628-CO-(substituted heteroaryl); 20 -N3; -halogen; -haloalkyl; -haloalkoxy; -CO-haloalkyl; 25 -CO-haloalkoxy; -NO2; -CN; -OH; -SH; and in the case of alkyl, alkenyl, and heterocyclyl, oxo; 30 R228 is selected from: -hydrogen; -alkyl; -alkenyl; -aryl; 5 -substituted aryl; -heteroaryl; -substituted heteroaryl; -alkyl-O-alkyl; -alkyl-S-alkyl; 10 -alkyl-O-aryl; -alkyl-S-aryl: -alkyl-O- alkenyl; -alkyl-S- alkenyl; and -alkyl or alkenyl substituted by one or more substituents selected 15 from: -OH; -halogen;
Figure imgf000062_0001
20 -CS-N(R628)2;
Figure imgf000062_0002
-NR628-CO-CMO alkyl; -NR628-CS-CMO alkyl; -NR628-Sθ2-d-ι0 alkyl; 25 -CO-CMO alkyl; -CO-O-CMO alkyl; -N3; -aryl; -substituted aryl; 30 -heteroaryl; -substituted heteroaryl; -heterocyclyl; -substituted heterocyclyl; -CO-aryl; -CO-(substituted aryl); -CO-heteroaryl; and -CO-(substituted heteroaryl); R328 and R 28 are independently selected from hydrogen, alkyl, alkenyl, halogen, alkoxy, amino, alkylamino, dialkylamino, and alkylthio; R528 is H or CMO alkyl, or R528 can join with X to form a ring; or when Ri28 is alkyl, R528 and Ri28 can join to form a ring; each R(528 is independently H or Cι-ιoalkyl; and pharmaceutically acceptable salts thereof. In another embodiment, the IRM compound can be chosen from 1H- imidazo[4,5-c]pyridin-4-amines defined by Formula XXIX below:
Figure imgf000063_0001
XXIX
wherein X is alkylene or alkenylene; Y is -CO- or-CS; Z is -NRs29-, -NR629-CO-, -NR629-SO2-, or-NR729-; Ri29 is aryl, heteroaryl, heterocyclyl, alkyl or alkenyl, each of which may be unsubstituted or substituted by one or more substituents independently selected from: -alkyl; -alkenyl; -aryl; -heteroaryl; -heterocyclyl; -substituted cycloalkyl; 5 -substituted aryl; -substituted heteroaryl; -substituted heterocyclyl; -O-alkyl; -O-(alkyl)o-ι-aryl; 10 -O-(alkyl)o-ι -(substituted aryl); -O-(alkyl)o-ι-heteroaryl; -O-(alkyl)o-ι -(substituted heteroaryl); -O-(alkyl)o-ι-heterocyclyl; -O-(alkyl)o-ι -(substituted heterocyclyl); 15 -COOH; -CO-O-alkyl; -CO-alkyl; -S(O)o-2 -alkyl; -S(O)o-2-(alkyl)0-i-aryl; 20 -S(O)o-2 -(alkyl)o-ι -(substituted aryl); -S(O)o-2 -(alkyl)o-ι -heteroaryl; -S(O)o-2 -(alkyl)o-ι -(substituted heteroaryl); -S(O)o-2-(alkyl)o-i-heterocyclyl; -S(O)o-2 -(alkyl)o-ι-(substituted heterocyclyl); 25 -(alkyl)o-ι-N(Re29)2; -(alkyl)o-1-NR629-CO-O-alkyl; -(alkyl)o-ι-NR629-CO-alkyl; -(alkyl)o-ι-NR629-CO-aryl; -(alkyl)o-ι -NRό29-CO-(substituted aryl); 30 -(alkyl)0-i-NR629-CO-heteroaryl; -(alkyl)o-ι-NR629-CO-(substituted heteroaryl); -P(O)(O-alkyl)2; -N3; -halogen; 5 -haloalkyl; -haloalkoxy; -CO-haloalkyl; -CO-haloalkoxy; -NO2; 10 -CN; -OH; -SH; and in the case of alkyl, alkenyl, and heterocyclyl, oxo; R229 is selected from: -hydrogen; 15 -alkyl; -alkenyl; -aryl; -substituted aryl; -heteroaryl; 20 -substituted heteroaryl; -alkyl-O-alkyl; -alkyl-S-alkyl; -alkyl-O-aryl; -alkyl-S-aryl: 25 -alkyl-O- alkenyl; -alkyl-S- alkenyl; and -alkyl or alkenyl substituted by one or more substituents selected from: -OH; 30 -halogen; -N(R629)2;
Figure imgf000066_0001
-CS-N(R629)2; -SO2-N(R629)2; -NR629-CO-Cι-10 alkyl; -NR629-CS-d-ιo alkyl; -NR629-SO2-Cι-ιo alkyl; -CO-Ci-,o alkyl; -CO-O-CMO alkyl; -N3; -aryl; -substituted aryl; -heteroaryl; -substituted heteroaryl; -heterocyclyl; -substituted heterocyclyl; -CO-aryl; -CO-(substituted aryl); -CO-heteroaryl; and -CO-(substituted heteroaryl); R329 and Rf.29 are independently selected from hydrogen, alkyl, alkenyl, halogen, alkoxy, amino, alkylamino, dialkylamino, and alkylthio; R529 is H or CMO alkyl, or R529 can join with X to form a ring that contains one or two heteroatoms; each Rό29 is independently H or Cι-ιoalkyl; R729 is H or CMO alkyl which may be interrupted by a heteroatom; or when Ri29 is alkyl, R?29 and R129 can join to form a ring; and pharmaceutically acceptable salts thereof. In another embodiment, the IRM compound can be chosen from 1 -position ether or thioether substituted lH-imidazo[4,5-c]pyridm-4-amines defined by Formula XXX below:
Figure imgf000067_0001
XXX wherein: X is -CΗ(R53o)-, -CH(R530)-alkylene-, -CH(R530)-alkenylene- or CH(R53o)-alkylene-Y-alkylene-; Y is -O- or-S(O)0-2-; -W-RBO is selected from -O-RBO-I-5 and -S(O)o-2-Ri3o-6; RBO-I-S is selected from -R63o-C(R73o)-Z-R83o— alkyl; -R63o-C(R73o)-Z-R83o— alkenyl; -R63o-C(R73o)-Z-R83o— aryl; -R630-C(R73o)-Z-Rs3o — heteroaryl; -R63o-C(R73o)-Z-Rs3o — heterocyclyl; -R630-C(R730)-Z-H; -R63o-N(R93o)-C(R73o)-R830— alkyl; -R63o-N(R93o)-C(R73o)-R83o— alkenyl; -R63o-N(R93o)-C(R73o)-R83o-aryl; -R63o-N(R93o)-C(R730)-R830-heteroaryl; -R63o-N(R930)-C(R73o)-R83o-heterocyclyl; -R630-N(R93o)-C(R73o)-Rιo30; -R630—N(R930)—SO2—R830— alkyl; -R63o—N(R930)—SO2—R830— alkenyl; -R63o-N(R93o)-SO2-R83o-aryl; -R630-N(R93o)-SO2-R83o-heteroaryl; -R630-N(R93o)-SO2-R83o-heterocyclyl; -R630— N(R930)— SO2— Rio30;
-R63o-N(R930)-SO2-N(R530)-R83o-alkyl;
-R63o-N(R930)-SO2-N(R530)-R83o-alkenyl;
-R63o-N(R930)-SO2-N(R53o)-R830-aryl;
-R63o-N(R93o)-SO2-N(R53o)-R830-heteroaryl; -R63o-N(R93o)-SO2-N(R53o)-R830-heterocyclyl;
-R63o-N(R93o)-SO2- H2;
-R63o-N(R93o)-C(R73o)— N(R530)-Q-R83o-alkyl;
-R63o-N(R93o)-C(R73o)— N(R53o)-Q-R830-alkenyl;
-R63o-N(R93o)-C(R73o)— N(R530)-Q-R83o-aryl; -R630-N(R93o)- C(R730)— N(R53o)-Q-R83o-heteroaryl;
-R63o-N(R93o)- C(R730)— N(R530)-Q-R83o-heterocyclyl;
-R630-N(R930)— C(R730)— N(R530)2; β~β -R630-N(R930)-C(R730)- N A ;
-R63o-N(R93o)-C(R73o)— N(Rπ3o)-Q— R830-alkyl; -R63o-N(R93o)-C(R73o)— N(Rι ι30)-Q— R830-alkenyl;
-R630-N(R93o)-C(R73o)— N(RiBo)-Q— R83o-aryl;
-R630-N(R930)- C(R73o)— N(Rι ι30)-Q— Rs3o-heteroaryl;
-R630-N(R930)- C(R73o)— N(Rι ι30)-Q— R830-heterocyclyl;
-R630-N(R93o)- C(R73o)— N(Rι BO)H; -alkenyl;
-aryl;
-R630-aryl;
-heteroaryl;
-heterocyclyl; -R63o- heteroaryl; and -R630-heterocyclyl; Z is-N(R530)- -O- or -S-; Q is a bond, -CO- or -SO2-; A represents the atoms necessary to provide a 5- or 6-membered heterocyclic or heteroaromatic ring that contains up to three heteroatoms; RBO-6 is selected from: -alkyl; -aryl; -heteroaryl; -heterocyclyl; -alkenyl; -R630-aryl; -R63o- heteroaryl; and -R630-heterocyclyl; each R53o is independently hydrogen, CMO alkyl, or C2-ιo alkenyl; Rό o is alkylene, alkenylene, or alkynylene, which may be interrupted by one or more -O- groups; R73o is =O or =S; R83o is a bond, alkylene, alkenylene, or alkynylene, which may be intenupted by one or more -O- groups; R93o is hydrogen, CMO alkyl, or arylalkyl; or R93o can join together with any carbon atom of R63o to form a ring of the formula
Figure imgf000069_0001
R1030 is hydrogen or CMO alkyl; or R93o and R1030 can join together to form a ring selected from
Figure imgf000070_0001
RI O is CMO alkyl; or R93o and R1130 can join together to form a ring having the structure
Figure imgf000070_0002
R1230 is C2-7 alkylene which is straight chain or branched, wherein the branching does not prevent fonnation of the ring; and R230, R330 and R43o are independently selected from hydrogen and non- interfering substitutents; and pharmaceutically acceptable salts thereof. Illustrative non-interfering R230 substituents include: -alkyl; -alkenyl; -aryl; -heteroaryl; -heterocyclyl; -alkylene- Y-alkyl; -alkylene- Y- alkenyl; -alkylene- Y-aryl; and - alkyl or alkenyl substituted by one or more substituents selected from the group consisting of: -OH; -halogen; -N(R53o)2; -C(O)-Cι-ιo alkyl; -C(O)-O-CMO alkyl; -N3; -aryl; -heteroaryl; -heterocyclyl; -C(O)-aryl; and -C(O)-heteroaryl. Illustrative non-interfering R33o and R43o substitutents include: CMO alkyl, C2-10 alkenyl, C2-10 alkynyl, CMO alkoxy, CMO alkylthio, amino, alkylamino, dialkylamino, halogen, and nitro. In another embodiment, the IRM compound can be chosen from IH-imidazo dimers of the formula (XXXI):
Figure imgf000071_0001
XXXI wherein: A is a divalent linking group selected from the group consisting of: sfraight or branched chain C4_2o alkylene; straight or branched chain C4.2o alkenylene; straight or branched chain C4_2o alkynylene; and -Z-Y-W-Y-Z-; each Z is independently selected from the group consisting of: straight or branched chain C2-20 alkylene; straight or branched chain C -2o alkenylene; and straight or branched chain C4.2o alkynylene; any of which may be optionally interrupted by -O-, -N(R53ι)-, or -S(O)2-; each Y is independently selected from the group consisting of: a bond; -N(R53ι)C(O)-; -N(R53ι)C(O)N(R53ι)-; - N(R53ι)S(O)2-; -S(O)2N(R53ι)-; -OC(O)O-; -OC(O)-; -C(O)O-; -N(R53ι)C(O)O-; and -OC(O)N(R531)-;
W is selected from the group consisting of: straight or branched chain C2-20 alkylene; straight or branched chain C2-2o alkenylene; straight or branched chain C4.20 alkynylene; straight or branched chain perfluoro C2-2o alkylene; C
Figure imgf000072_0002
alkylene; -C(O)-; -S(O)2-; -OC(O)O-; -N(R53i)C(O)N(R53i)-;
Figure imgf000072_0003
1,5-naphfhylene; 2,6-pyridmylene; 1 ,2-cyclohexylene; 1 ,3-cyclohexylene; 1 ,4-cyclohexylene; trans- 1 ,4-cyclohexylene;
Figure imgf000073_0001
trans-5-norbornen-2,3-diyl; wherein n is 0 - 4; each R is independently selected from the group consisting of Cι-4 alkyl, Cι-4 alkoxy, and halogen; and Q is selected from the group consisting of a bond, -CH2-, and -O-;
R2 ι is selected from the group consisting of: -hydrogen; -alkyl; -alkenyl; -aryl; -substituted aryl; -heteroaryl; -substituted heteroaryl; -alkyl-X-alkyl; -alkyl-X-aryl; -alkyl-X- alkenyl; and -alkyl or alkenyl substituted by one or more substituents selected from the group consisting of: -OH; -halogen; -N(R63ι)2; -C(O)-N(R63ι)2; -C(S)-N(R63ι)2;
Figure imgf000074_0001
-N(R63i)-C(O)-Ci.,o alkyl; -N(R63I)-C(S)-CMO alkyl; -N(R63i)- S(O)2-CMO alkyl; -C(O)-CMO alkyl; -C(O)-O-Ci.io alkyl; -N3; -aryl; -substituted aryl; -heteroaryl; -substituted heteroaryl; -heterocyclyl; -substituted heterocyclyl; -C(O)-aryl; -C(O)-(substituted aryl); -C(O)-heteroaryl; and -C(O)-(substituted heteroaryl); R431 are each independently selected from the group consisting of: -hydrogen;
-halogen; -alkyl; -alkenyl; -X-alkyl; and
Figure imgf000074_0002
or when taken together, R33ι and
Figure imgf000074_0003
form a fused aryl or heteroaryl ring that is unsubstituted or substituted by one or more substituents selected from the group consisting of: -halogen; -alkyl; -alkenyl; -X-alkyl; and
Figure imgf000075_0001
or when taken together, R331 and R431 form a fused 5 to 7 membered saturated ring, containing 0 to 2 heteroatoms and unsubstituted or substituted by one or more substituents selected from the group consisting of: -halogen; -alkyl; -alkenyl; -X-alkyl; and
Figure imgf000075_0002
each R53i is independently selected from the group consisting of: hydrogen; Cι-6 alkyl; d-7 cycloalkyl; and benzyl; or when Y is -N(R53i)C(O)-, -C(O)N(R53ι)-, -N(R53ι)C(O)N(R53ι)-, -N(R53ι)S(O)2-, -S(O2)N(R53ι)-, -N(R53ι)C(O)O-, or -OC(O)N(R53ι)- and the nitrogen of the N(R531) group is bonded to Z, then R531 can join with Z to form a ring having the structure
Figure imgf000075_0003
each Rδ ι is independently hydrogen or CMO alkyl; R73ι is C .8 alkylene; and X is -O- or -S-; with the proviso that if W is -C(O)-, -S(O)2-, -OC(O)O-, or -N(R53!)C(O)N(R531)- then each Y is a bond; and pharmaceutically acceptable salts thereof. In another embodiment, the IRM compound can be chosen from 6-, 1-, 8-, or 9- position aryl or heteroaryl substituted lH-imidazo[4,5-c]quinolin-4-amines of the following Formula (XXXII):
Figure imgf000076_0001
wherein: R32 is selected from the group consisting of alkyl, alkoxy, hydroxy, and trifluoromethyl; n is 0 or 1 ; RB2 and R232 are independently selected from the group consisting of hydrogen and non-interfering substitutents; R332 is selected from the group consisting of: -Z-Ar,
Figure imgf000076_0002
-Z-Ar'-X-Y-R432,
Figure imgf000076_0003
-Z-Ar'-X-R532; Ar is selected from the group consisting of aryl and heteroaryl both of which can be unsubstituted or can be substituted by one or more substituents independently selected from the group consisting of alkyl, alkenyl, alkoxy, methylenedioxy, haloalkyl, haloalkoxy, halogen, nitro, hydroxy, hydroxyalkyl, mercapto, cyano, carboxy, formyl, aryl, aryloxy, arylalkoxy, heteroaryl, heteroaryloxy, heteroarylalkoxy, heterocyclyl, heterocyclylalkyl, amino, alkylamino, and dialkylamino; Ar' is selected from the group consisting of arylene and heteroarylene both of which can be unsubstituted or can be substituted by one or more substituents independently selected from the group consisting of alkyl, alkenyl, alkoxy, haloalkyl, haloalkoxy, halogen, nifro, hydroxy, hydroxyalkyl, mercapto, cyano, carboxy, formyl, aryl, aryloxy, arylalkoxy, heteroaryl, heteroaryloxy, heteroarylalkoxy, heterocyclyl, heterocyclylalkyl, amino, alkylamino, and dialkylamino; X is selected from the group consisting of alkylene, alkenylene, alkynylene, arylene, heteroarylene, and heterocyclylene wherein the alkylene, alkenylene, and alkynylene groups can be optionally interrupted or terminated with arylene, heteroarylene, or heterocyclylene, and optionally interrupted by one or more -O- groups; Y is selected from the group consisting of:
Figure imgf000077_0001
-S(O)2-N(R832)-, -C(Re32)-, -C(R632)-O-, -O-C(R632)-, -O-C(O)-O-, -N(R832)-Q-, -C(R632)-N(R832)-,
Figure imgf000077_0002
Figure imgf000078_0001
Z is selected from the group consisting of a bond, alkylene, alkenylene, and alkynylene; Ri32 is selected from the group consisting of hydrogen, alkyl, alkenyl, alkynyl, aryl, arylalkylenyl, aryloxyalkylenyl, alkylarylenyl, heteroaryl, heteroarylalkylenyl, heteroaryloxyalkylenyl, alkylheteroarylenyl, and heterocyclyl wherein the alkyl, alkenyl, alkynyl, aryl, arylalkylenyl, aryloxyalkylenyl, alkylarylenyl, heteroaryl, heteroarylalkylenyl, heteroaryloxyalkylenyl, alkylheteroarylenyl, and heterocyclyl groups can be unsubstituted or substituted by one or more substituents independently selected from the group consisting of alkyl, alkoxy, hydroxyalkyl, haloalkyl, haloalkoxy, halogen, nitro, hydroxy, mercapto, cyano, aryl, aryloxy, arylalkyleneoxy, heteroaryl, heteroaryloxy, heteroarylalkyleneoxy, heterocyclyl, amino, alkylamino, dialkylamino, (dialkylamino)alkyleneoxy, and in the case of alkyl, alkenyl, alkynyl, and heterocyclyl, oxo; R532 is selected from the group consisting of:
Figure imgf000078_0002
each Rg32 is independently selected from the group consisting of =O and =S; each R732 is independently C2-7 alkylene; each R832 is independently selected from the group consisting of hydrogen, alkyl, alkoxyalkylenyl, and arylalkylenyl; R 32 is selected from the group consisting of hydrogen and alkyl; each R1032 is independently C3.8 alkylene; A is selected from the group consisting of -O-, -C(O)-, -S(O)o-2-, -CH2-, and - N(R432)-; Q is selected from the group consisting of a bond, -C(Re32)-, -C(R632)-C(R632), -S(O)2-, -C(R632)-N(R832)-W-, -S(O)2-N(R832)-, -C(R632)-O-, and -
Figure imgf000079_0001
V is selected from the group consisting of -C(R632)-, -O-C(R632)-, -N(R832)-C(R632)-, and -S(O)2-; W is selected from the group consisting of a bond, -C(O)-, and -S(O)2-; and a and b are independently integers from 1 to 6 with the proviso that a + b is < 7; and pharmaceutically acceptable salts thereof. Illustrative non-interfering Rι32 substituents include: -R432,
Figure imgf000079_0002
-X-R532; wherein: each X is independently selected from the group consisting of alkylene, alkenylene, alkynylene, arylene, heteroarylene, and heterocyclylene wherein the alkylene, alkenylene, and alkynylene groups can be optionally interrupted or terminated with arylene, heteroarylene, or heterocyclylene, and optionally interrupted by one or more -O- groups; each Y is independently selected from the group consisting of: -S(O)o-2-,
Figure imgf000079_0003
-C(R632)-, -C(R632)-O-,
Figure imgf000079_0004
-O-C(O)-O-, -N(R832)-Q-,
Figure imgf000080_0001
R432 is selected from the group consisting of hydrogen, alkyl, alkenyl, alkynyl, aryl, arylalkylenyl, aryloxyalkylenyl, alkylarylenyl, heteroaryl, heteroarylalkylenyl, heteroaryloxyalkylenyl, alkylheteroarylenyl, and heterocyclyl wherein the alkyl, alkenyl, alkynyl, aryl, arylalkylenyl, aryloxyalkylenyl, alkylarylenyl, heteroaryl, heteroarylalkylenyl, heteroaryloxyalkylenyl, alkylheteroarylenyl, and heterocyclyl groups can be unsubstituted or substituted by one or more substituents independently selected from the group consisting of alkyl, alkoxy, hydroxyalkyl, haloalkyl, haloalkoxy, halogen, nitro, hydroxy, mercapto, cyano, aryl, aryloxy, arylalkyleneoxy, heteroaryl, heteroaryloxy, heteroarylalkyleneoxy, heterocyclyl, amino, alkylamino, dialkylamino, (dialkylamino)alkyleneoxy, and in the case of alkyl, alkenyl, alkynyl, and heterocyclyl, oxo; R532 is selected from the group consisting of:
Figure imgf000081_0001
each Rδ32 is independently selected from the group consisting of =O and =S; each R732 is independently C2-7 alkylene; each R832 is independently selected from the group consisting of hydrogen, alkyl, alkoxyalkylenyl, and arylalkylenyl; each R932 is independently selected from the group consisting of hydrogen and alkyl; each Rιo32 is independently C3-8 alkylene; A is selected from the group consisting of -O-, -C(O)-, -S(O)0-2-, -CH2-, and - each Q is independently selected from the group consisting of a bond, -C(R632)-, -C(R632)-C(R632)-, -S(O)2-, -C(R632)-N(R832)-W-, -S(O)2-N(R832)-, -C(R632)-O-, and -C(R632)-N(OR932)-; each V is independently selected from the group consisting of -C(Rδ32)-,
-O-C(R632)-, -N(R832)-C(R632)-, and -S(O)2-; each W is mdependently selected from the group consisting of a bond, -C(O)-, and-S(O)2-; and a and b are independently integers from 1 to 6 with the proviso that a + b is < 7; Illustrative non-interfering R232 substitutents include:
Figure imgf000081_0002
wherein: X is selected from the group consisting of alkylene, alkenylene, alkynylene, arylene, heteroarylene, and heterocyclylene wherein the alkylene, alkenylene, and alkynylene groups can be optionally interrupted or terminated with arylene, heteroarylene, or heterocyclylene, and optionally interrupted by one or more -O- groups; Y is selected from the group consisting of:
Figure imgf000082_0001
-S(O)2-N(R832)-,
Figure imgf000082_0002
-O-C(O)-O-, -N(R832)-Q-, -C(R632)-N(R832)-, -O-C(R632)-N(R832)-, -C(R632)-N(OR932)-,
Figure imgf000082_0003
R432 is selected from the group consisting of hydrogen, alkyl, alkenyl, alkynyl, aryl, arylalkylenyl, aryloxyalkylenyl, alkylarylenyl, heteroaryl, heteroarylalkylenyl, heteroaryloxyalkylenyl, alkylheteroarylenyl, and heterocyclyl wherein the alkyl, alkenyl, alkynyl, aryl, arylalkylenyl, aryloxyalkylenyl, alkylarylenyl, heteroaryl, heteroarylalkylenyl, heteroaryloxyalkylenyl, alkylheteroarylenyl, and heterocyclyl groups can be unsubstituted or substituted by one or more substituents mdependently selected from the group consisting of alkyl, alkoxy, hydroxyalkyl, haloalkyl, haloalkoxy, halogen, nitro, hydroxy, mercapto, cyano, aryl, aryloxy, arylalkyleneoxy, heteroaryl, heteroaryloxy, heteroarylalkyleneoxy, heterocyclyl, amino, alkylamino, dialkylamino, (dialkylamino)alkyleneoxy, and in the case of alkyl, alkenyl, alkynyl, and heterocyclyl, oxo; R532 is selected from the group consisting of:
Figure imgf000083_0001
each Rβ32 is independently selected from the group consisting of =O and =S; each R732 is independently C2-7 alkylene; each R832 is independently selected from the group consisting of hydrogen, alkyl, alkoxyalkylenyl, and arylalkylenyl; R932 is selected from the group consisting of hydrogen and alkyl; each R1032 is independently C3.8 alkylene; A is selected from the group consisting of -O-, -C(O)-, -S(O)o-2-, -CH2-, and - N(R432)-; Q is selected from the group consisting of a bond, -C(R632)-, -C(R632)-C(R632)-, -S(O)2-, -C(R632)-N(R832)-W-, -S(O)2-N(R832)-, -C(R632)-O-, and -
Figure imgf000083_0002
V is selected from the group consisting of -C(R632)-, -O-C(R632)-, -N(R832)-C(R632)-, and -S(O)2-; W is selected from the group consisting of a bond, -C(O)-, and -S(O)2-; and a and b are independently integers from 1 to 6 with the proviso that a + b is < 7; Herein, "non-interfering" means that the ability of the compound or salt to modulate (e.g., induce or inhibit) the biosynthesis of one or more cytokines is not destroyed by the non-interfering substituent. As used herein, the terms "alkyl", "alkenyl", "alkynyl" and the prefix "alk-" are inclusive of both straight chain and branched chain groups and of cyclic groups, i.e. cycloalkyl and cycloalkenyl. Unless otherwise specified, these groups contain from 1 to
20 carbon atoms, with alkenyl and alkynyl groups containing from 2 to 20 carbon atoms. In some embodiments, these groups have a total of up to 10 carbon atoms, up to 8 carbon atoms, up to 6 carbon atoms, or up to 4 carbon atoms. Cyclic groups can be monocyclic or polycyclic and preferably have from 3 to 10 ring carbon atoms. Exemplary cyclic groups include cyclopropyl, cyclopropylmethyl, cyclopentyl, cyclohexyl, adamantyl, and substituted and unsubstituted bornyl, norbornyl, and norbornenyl. Unless otherwise specified, "alkylene", "alkenylene", and "alkynylene" are the divalent forms of the "alkyl", "alkenyl", and "alkynyl" groups defined above. For example, an arylalkenyl group comprises an alkylene moiety to which an aryl group is attached. The term "haloalkyl" is inclusive of groups that are substituted by one or more halogen atoms, including perfluorinated groups. This is also true of other groups that include the prefix "halo-". Examples of suitable haloalkyl groups are chloromethyl, trifluoromethyl, and the like. The term "aryl" as used herein includes carbocyclic aromatic rings or ring systems. Examples of aryl groups include phenyl, naphthyl, biphenyl, fluorenyl, and indenyl. The term "hetero atom" refers to the atoms O, S, or N. The term "heteroaryl" includes aromatic rings or ring systems that contain at least one ring hetero atom. Suitable heteroaryl groups include furyl, thienyl, pyridyl, quinolinyl, isoquinolinyl, indolyl, isoindolyl, triazolyl, pyrrolyl, tetrazolyl, imidazolyl, pyrazolyl, oxazolyl, thiazolyl, benzofuranyl, benzothiophenyl, carbazolyl, benzoxazolyl, pyrimidinyl, benzimidazolyl, quinoxalinyl, benzothiazolyl, naphthyridinyl, isoxazolyl, isothiazolyl, purinyl, quinazolinyl, pyrazinyl, 1- oxidopyridyl, pyridazinyl, triazinyl, tetrazinyl, oxadiazolyl, thiadiazolyl, and so on. The term "heterocyclyl" includes non-aromatic rings or ring systems that contain at least one ring hetero atom and includes all of the fully saturated and partially unsaturated derivatives of the above mentioned heteroaryl groups. Exemplary heterocyclic groups include pyrrolidinyl, tefrahydrofuranyl, moφholinyl, thiomoφholinyl, piperidinyl, piperazinyl, thiazolidinyl, imidazolidinyl, isothiazolidinyl, tefrahydropyranyl, quinuclidinyl, homopiperidinyl, homopiperazinyl, and the like. The terms "arylene," "heteroarylene," and "heterocyclylene" are the divalent forms of the "aryl," "heteroaryl," and "heterocyclyl" groups defined above. Likewise,
"arylenyl," "heteroarylenyl," and "heterocyclylenyl" are the divalent forms of the "aryl," "heteroaryl," and "heterocyclyl" groups defined above. For example, an alkylarylenyl group comprises an arylene moiety to which an alkyl group is attached. Unless otherwise specified, the aryl, heteroaryl, and heterocyclyl groups of Formulas IX - XXX can be unsubstituted or substituted by one or more substituents independently selected from the group consisting of alkyl, alkoxy, methylenedioxy, ethylenedioxy, alkylthio, haloalkyl, haloalkoxy, haloalkylthio, halogen, nitro, hydroxy, mercapto, cyano, carboxy, formyl, aryl, aryloxy, arylthio, arylalkoxy, arylalkylthio, heteroaryl, heteroaryloxy, heteroarylthio, heteroarylalkoxy, heteroarylalkylthio, amino, alkylamino, dialkylamino, heterocyclyl, heterocycloalkyl, alkylcarbonyl, alkenylcarbonyl, alkoxycarbonyl, haloalkylcarbonyl, haloalkoxycarbonyl, alkylthiocarbonyl, arylcarbonyl, heteroarylcarbonyl, heterocyclylcarbonyl, aryloxycarbonyl, heteroaryloxycarbonyl, arylthiocarbonyl, heteroarylthiocarbonyl, alkanoyloxy, alkanoylthio, alkanoylamino, aroyloxy, aroylthio, aroylamino, alkylaminosulfonyl, alkylsulfonyl, arylsulfonyl, heteroarylsulfonyl, aryldiazinyl, alkylsulfonylamino, arylsulfonylamino, arylalkylsulfonylamino, alkylcarbonylamino, alkenylcarbonylamino, arylcarbonylamino, arylalkylcarbonylamino, heteroarylcarbonylamino, heteroarylalkycarbonylamino, alkylsulfonylamino, alkenylsulfonylamino, arylsulfonylamino, arylalkylsulfonylamino, heteroarylsulfonylamino, heteroarylalkylsulfonylamino, alkylaminocarbonyl, dialkylaminocarbonyl, arylaminocarbonyl, arylalkylaminocarbonyl, alkenylaminocarbonyl, heteroarylaminocarbonyl, heteroarylalkylaminocarbonyl, alkylaminocarbonylamino, alkenylaminocarbonylamino, arylaminocarbonylamino, arylalkylarninocarbonylamino, heteroarylarninocarbonylainino, heteroarylalkylaminocarbonylamino and, in the case of heterocyclyl, oxo. If any other groups are identified as being "substituted" or "optionally substituted", then those groups can also be substituted by one or more of the above enumerated substituents. The IRM compounds and salts thereof described herein include any of their pharmaceutically acceptable forms, such as isomers (e.g., diastereomers and enantiomers), solvates, polymoφhs, and the like. In particular, if a compound is optically active, the invention specifically includes the use of each of the compound's enantiomers as well as racemic mixtures of the enantiomers.
In some embodiments, the topical formulations of the present invention are prepared using the free base form of the IRM compound. In certain embodiments, the IRM is an imidazonaphthyridine amine. In other embodiments, the IRM is 2-methyl-l-(2-methylpropyl)-lH-imidazo[4,5- c] [1 ,5]naphthyridin-4-amine. The amount of an IRM compound that will be therapeutically effective in a specific situation will depend on such things as the activity of the particular compound, the dosing regimen, the application site, the particular formulation and the condition being treated. As such, it is generally not practical to identify specific administration amounts herein; however, those skilled in the art will be able to determine appropriate therapeutically effective amounts based on the guidance provided herein, information available in the art pertaining to these compounds, and routine testing. The term "a therapeutically effective amount" means an amount of the compound sufficient to induce a therapeutic or prophylactic effect, such as cytokine induction, inhibition of TH2 immune response, antiviral or antitumor activity, reduction or elimination of postsurgical scarring, reduction or resolution of actinic keratosis or pre-actinic keratosis lesions, reduction in the recurrence of actinic keratosis, or protection against uv-induced epidermal neoplasia, or as an adjuvant for therapeutic and prophylactic vaccines, including DNA, whole cell, protein subunit, attenuated virus, and all other vaccines, where the formulation may be applied before, during and/or after vaccine delivery. In general, the amount of the IRM compound present in a topical formulation of the invention will be an amount effective to treat a targeted condition, to prevent recurrence of the condition, or to promote immunity against the condition. In certain embodiments, the amount or concentration of the IRM compound is at least 0.0001% by weight, such as, for example, at least 0.001%, at least 0.003%, at least 0.005%, at least 0.01%, at least 0.03%, at least 0.10%, at least 0.20%, at least 0.25%, at least 0.27%, at least 0.30%, and at least 1.0%, by weight based on the total weight of the formulation.
In other embodiments, the amount of the IRM compound is at most 10% by weight, such as, for example, at most 5.0%, at most 3.0%, at most 1.0%, at most 0.5%, at most 0.4%, at most 0.35%, at most 0.33%, and at most 0.3%, by weight based on the total weight of the formulation.
Preservative System The formulation includes a preservative system. The preservative system includes one or more compounds that inhibit microbial growth (e.g., fungal and bacterial growth) within the formulation (for example, during manufacturing and use). The preservative system includes at least one preservative compound chosen from sorbic acid, esters or salts thereof, such as, for example, isopropyl sorbate, calcium sorbate, potassium sorbate, sodium sorbate, and triethanolammonium sorbate. Combinations of these may be used in formulations of the present invention. Such preservatives adversely affect the stability of the formulations as described herein. According to the present invention, the sorbic acid preservative (i.e., sorbic acid, esters or salts thereof, or combinations thereof) is preferably present in a formulation in an amount of at least 0.005% by weight, more preferably at least 0.01% by weight, even more preferably at least 0.02% by weight, even more preferably at least 0.05% by weight, and even more preferably at least 0.08% by weight, based on the total weight of the formulation. The sorbic acid preservative is preferably present in a formulation in an amount of no greater than 1% by weight, more preferably no greater than 0.5% by weight, even more preferably no greater than 0.2% by weight, even more preferably no greater than 0.12% by weight, and even more preferably, no greater than 0.10% by weight, based on the total weight of the formulation. hi certain embodiments, in addition to the sorbic acid preservative, the preservative system will generally include at least one additional (i.e., secondary) preservative compound, such as, for example, methylparaben, ethylparaben, propylparaben, butylparaben, and phenoxyethanol. Various combinations of these compounds can be included in the preservative system. In some embodiments of the invention, the secondary preservative compound is methylparaben. In some embodiments of the invention, the secondary preservative compound is present in an amount of at least 0.01% by weight, such as for example, at least 0.02%, at least 0.03%, at least 0.04%, and at least 0.05%, by weight based on the total weight of the formulation. In other embodiments of the invention the secondary preservative compound is present in an amount of at most 0.5 %, such as for example, at most 0.4%, at most 0.3%, and at most 0.2%, by weight based on the total weight of the formulation. The preservative system may also include a preservative enhancing solubilizer which enhances the solubility of the preservative in the aqueous phase, examples of which include diethylene glycol monoethyl ether, propylene glycol, and polyethylene glycol)(4) monolaurate. Combinations of such enhancing solubilizers can be used in formulations of the present invention. In some embodiments of the present invention, propylene glycol is present in an amount of at least 1.0% by weight, such as for example, at least 2.0%, at least 3.0%, at least 4.0%, and at least 5.0%, by weight based on the total weight of the formulation. In other embodiments of the present invention, propylene glycol is present in at most 10.0% by weight, such as for example, at most 8.0%, at most 6.0%, and at most 5.0%, by weight based on the total weight of the formulation.
5 Antioxidants Suφrisingly, it has been discovered that the stability issue of the IRM/sorbic acid preservative combination can be addressed through the addition of one or more antioxidants. Antioxidants suitable for use herein are those that inhibit the autoxidation of the sorbic acid preservative. In particular, antioxidants having hydrogen atom o donating functionality have demonstrated much greater improvement than others. Although not intending to be limiting, it is believed that antioxidants react with autoxidation intermediates (typically, radicals) of the sorbic acid preservative to form products that do not react with the IRM. Suitable antioxidants are those that are pharmaceutically acceptable and5 described in the International Cosmetic Ingredient Dictionary and Handbook, Ninth Edition, Volume 4, 2002, and in the USP NF 2004: The United States Pharmacopeia, 27th Revision and The National Formulary, 22nd Edition. Examples of suitable antioxidants include ascorbic acid (D and/or L enantiomers), ascorbyl palmitate (D and or L enantiomers), butylated hydroxyanisole0 (BHA), butylated hydroxytoluene (BHT), cysteine (D and/or L enantiomers), propyl gallate, sodium formaldehyde sulfoxylate, sodium thiosulfate, sulfur dioxide, tocopherol, including all of its stereoisomers, and tocopherol polyethylene glycol 1000 succinate, including all of its stereoisomers. Prefened antioxidants are those containing hydrogen atom donating functional5 groups. Examples of such antioxidants include ascorbic acid, ascorbyl palmitate, BHT, BHA, cysteine, propyl gallate, sodium formaldehyde sulfoxylate, tocopherol including all of its stereoisomers, and tocopherol polyethylene glycol 1000 succinate, including all of its stereoisomers. More prefened antioxidants are those containing aromatic hydroxy groups0 capable of hydrogen atom donation. Examples of such antioxidants include BHA, BHT, propyl gallate, tocopherol, including all of its stereoisomers, and tocopherol polyethylene glycol 1000 succinate, including all of its stereoisomers. Most prefened antioxidants are BHA and BHT, which can be used in combination. According to the present invention, the antioxidant is preferably present in a formulation in an amount of at least 0.001% by weight, more preferably at least 0.005% by weight, even more preferably at least 0.008% by weight, and even more preferably at least 0.01% by weight, based on the total weight of the formulation. The antioxidant is preferably present in a formulation in an amount of no greater than 0.3% by weight, more preferably no greater than 0.2% by weight, and even more preferably no greater than 0.012% by weight, and even more preferably no greater than 0.1% by weight, based on the total weight of the formulation. According to the present invention, the sorbic acid preservative (i.e., sorbic acid ester/salt) to antioxidant weight ratio is preferably at least 1 :20, more preferably at least 1:1, and even more preferably at least 5:1. The sorbic acid to antioxidant weight ratio is preferably no greater than 1000: 1 , more preferably no greater than 20: 1 , and even more preferably no greater than 10: 1.
Chelating Agents In certain embodiments of the present invention, the formulation can also include at least one chelating agent. The chelating agent functions to stabilize the antioxidant(s) present in the formulation. Chelating agents are compounds that complex with metal ions. Suitable chelating agents are those that are pharmaceutically acceptable and described in the International Cosmetic Ingredient Dictionary and Handbook, Ninth Edition, Volume 4,
2002. Suitable chelating agents include ethylenediaminetetraacetic acid (EDTA) and citric acid, hydrates thereof, salts thereof, and hydrates of the salts thereof. Examples of such chelating agents include ethylenediaminetetraacetic acid disodium salt, ethylenediaminetetraacetic acid disodium salt dihydrate, and citric acid monohydrate. Various combinations of chelating agents can be used if desired. According to the present invention, if included, the chelating agent is preferably present in a formulation in an amount of at least 0.001% by weight, more preferably at least 0.005% by weight, even more preferably at least 0.01% by weight, and even more preferably at least 0.05% by weight, based on the total weight of the formulation. The chelating agent is preferably present in a formulation in an amount of no greater than 0.2% by weight, and more preferably no greater than 0.1% by weight, based on the total weight of the formulation. According to the present invention, if included, the antioxidant to chelating agent weight ratio is preferably at least 1 :200, more preferably at least 1:10, and even more preferably at least 1:5. The antioxidant to chelating agent weight ratio is preferably no greater than 300:1, more preferably no greater than 10:1, and even more preferably no greater than 2:1.
Fatty Acids The topical formulations of the invention can additionally include a fatty acid. As used herein, the term "fatty acid" means a carboxylic acid, either saturated or unsaturated having 6 to 28 carbon atoms, such as, for example, from 10 to 22 carbon atoms. Non-limiting examples of such fatty acids include isostearic acid, oleic acid, and linear- or branched-chain carboxylic acids of 6 to 18 carbon atoms. The fatty acid may be present in the formulation in an amount sufficient to solubilize the IRM compound. In certain embodiments, the amount of the fatty acid is at least 0.05% by weight, at least 1.0% by weight, at least 3.0% by weight, at least 5.0% by weight, at least 6.0% by weight, at least 7.0% by weight, at least 10% by weight, at least 15% by weight, or at least 25% by weight, based on the total weight of the formulation. In certain embodiments, the amount of the fatty acid is at most 40% by weight, at most 30% by weight, at most 15% by weight, at most 10% by weight, or at most 8.0% by weight based on the total weight of the formulation. The fatty acid component of the formulation can comprise one or more fatty acids. Hydrophobic Component The topical formulations of the invention can additionally include at least one hydrophobic, aprotic component miscible with the fatty acid and comprising a hydrocarbyl group of 7 or more carbon atoms. By "hydrophobic" is meant that the component is essentially insoluble in water, i.e. immiscible with water and unable to form a micelle in water, and does not contain polyoxyethylene or acid salt groups. Preferably the hydrophobic, aprotic component has a hydrophilic lipophilic balance (HLB) of less than 2. The HLB of a component may be determined as described, for example, in Attwood, D., Florence, A. T. Surfactant Systems: Their Chemistry,
Pharmacy, and Biology; New York: Chapman & Hall, 471-473, 1983. By "aprotic" is meant that the component cannot donate a proton to the IRM and does not contain groups such as carboxyl, hydroxy, primary and secondary amino, primary and secondary amido, or quaternary ammonium groups. Preferably this component has a pKa of at least 14.2 and does not substantially solubilize or form a complex such as an acid-base pair or complex or a hydrogen bond complex with the IRM compound. By "not substantially" is meant that the ratio of the IRM compound's solubility in the hydrophilic, aprotic component to that in isostearic acid is less than 1:40. Formulations intended for dermal or topical use typically have amounts of an oil phase and a hydrophobic, aprotic component sufficient to provide desirable qualities such as spreadability and feel. Examples of useful hydrophobic, aprotic components include but are not limited to fatty acid esters, for example, isopropyl mysristate, isopropyl palmitate, diisopropyl dimer dilinoleate; medium-chain (e.g., 8 to 14 carbon atoms) triglycerides, for example, caprylic/capric triglyceride; cetyl esters; hydrocarbons of 8 or more carbon atoms, for example, light mineral oil, white petrolatum; and waxes, for example, beeswax. In some embodiments, the hydrophobic, aprotic component is chosen from one or more of isopropyl mysristate, isopropyl palmitate, caprylic/capric triglyceride, and diisopropyl dimer dilinoleate. Various combinations of such hydrophobic, aprotic components can be used if desired. In certain embodiments, the amount of the hydrophobic, aprotic component is at least 1.0% by weight, at least 3.0% by weight, at least 3.5% by weight, at least 4.0% by weight, at least 4.5% by weight, at least 5.0% by weight, or at least 10% by weight, based on the total weight of the formulation. In certain embodiments, the amount of the hydrophobic, aprotic component is at most 30% by weight, at most 15% by weight, at most 10% by weight, or at most 5.0% by weight based on the total weight of the formulation. The weight ratio of the hydrophobic, aprotic component to the fatty acid can be 0.025:1 to 600:1, for example, 0.5:1 to 50:1, and 2:1 to 30:1. The combined amount (weight percent of the total topical formulation weight) of the hydrophobic, aprotic component and the fatty acid can be 2% to 50% by weight, for example 2% to 30%, 5% to 30%, 5% to 20%, and 10% to 20%.
Viscosity Enhancing Agent The fonnulations of the present invention can also comprise a viscosity enhancing agent. When water is the continuous phase, the viscosity enhancing agent will be a hydrophilic viscosity enhancing agent. Examples of suitable hydrophilic viscosity enhancing agents include cellulose ethers such as hydroxypropylmethylcellulose, hydroxyetliylcellulose, hydroxypropylcellulose, and carboxymethylcellulose; polysaccharide gums such as xanthan gum; and homopolymers and copolymers of acrylic acid crosslinked with allyl sucrose or allyl pentaerythriol such as those polymers designated as carbomers in the United States Pharmacopoeia.
Suitable carbomers include, for example, those available as CARBOPOL 934P,
CARBOPOL 97 IP, CARBOPOL 940, CARBOPOL 974P, CARBOPOL 980, and PEMULEN TR-1 (USP/NF Monograph; Carbomer 1342), all available from Noveon,
Cleveland, Ohio. In one embodiment of the present invention, the viscosity enhancing agent is chosen from CARBOPOL 974P and 980. In certain embodiments, the amount of the viscosity enhancing agent, when used, is at least 0.1% by weight, at least 0.2% by weight, at least 0.5% by weight, at least 0.6% by weight, at least 0.7% by weight, at least 0.9% by weight, or at least 1.0% by weight, based on the total weight of the formulation. In certain embodiments, the amount of the viscosity enhancing agent, when used, is at most 10% by weight, at most 5.0% by weight, at most 3.0% by weight, at most 2.0% by weight, or at most 1.5% by weight, based on the total weight of the formulation.
Emulsifier The formulations of the invention can additionally comprise an emulsifier. Suitable emulsifiers include non-ionic surfactants such as, for example, polysorbate 60, sorbitan monostearate, polyglyceryl-4 oleate, polyoxyethylene(4) lauryl ether, etc. In certain embodiments, the emulsifier is chosen from poloxamers (e.g., PLURONIC F68, also known as POLOXAMER 188, a poly(ethylene glycol)-block-poly(propylene glycol)-block-poly(ethylene glycol), available from BASF, Ludwigshafen, Germany) and sorbitan trioleate (e.g., SPAN 85 available from Uniqema, New Castle, DE). If included, the emulsifier is generally present in an amount of 0.1% to 10% by weight of total formulation weight, for example, from 0.5% to 5.0% by weight, and from 0.75% to 3.5% by weight. In certain embodiments, the amount of the emulsifier, if used, is present in an amount of at least 0.1% by weight, at least 0.5% by weight, at least 0.75% by weight, at least 1.0% by weight, at least 2.5% by weight, at least 3.5% by weight, or at least 5.0% by weight, based on the total weight of the formulation. In certain embodiments, the amount of the emulsifier, if used, is present in an amount of at most 10% by weight, at most 5.0% by weight, or at most 3.5% by weight, based on the total weight of the formulation.
pH Adjuster The formulations of the present invention may additionally include at least one pH adjuster. Suitable pH adjusters include organic bases and inorganic bases such as, for example, KOH and NaOH (e.g., aqueous formulations). The pH of the topical formulations of the present invention generally ranges from 3.5 to 7.0. In one embodiment, the pH of the topical formulations of the present invention can range from 4.0 to 6.0, preferably 5.0. Illustrative Formulations Prefened fonnulations of the present invention are as follows. The water used is typically purified water.
In one embodiment of the present invention, a pharmaceutical formulation includes: 0.001% by weight to 5.0% by weight of an imidazonaphthyridine amine (preferably, 2-methyl-l-(2-metl ylpropyl)-lH-imidazo[4,5-c][l,5]naphthyridin-4- amine); 0.02% by weight to 0.2% by weight of a sorbic acid preservative selected from the group consisting of sorbic acid, esters thereof, salts thereof, and combinations thereof; 0 to 10.0% by weight of propylene glycol; 0.05% by weight to 0.2% by weight of methylparaben; 0.001% by weight to 0.2% by weight of butylated hydroxyanisole, butylated hydroxytoluene, or combinations thereof; 0 to 0.1% by weight of ethylenediaminetetraacetic acid, a hydrate thereof, a salt thereof, a hydrate of a the salt thereof, or combinations thereof; 1 % by weight to 30% by weight of isostearic acid; 1% by weight to 15% by weight of a medium-chain triglyceride; 0.2% by weight to 2.0% by weight of a carbomer; 0.1 % by weight to 6.0% by weight of a poloxamer; and water; wherein the formulation has a pΗ of 4.0 to 6.0 and the weight percentages are based on the total weight of the formulation.
In one embodiment, a pharmaceutical formulation includes: 0.3% by weight of 2-methyl-l-(2-methylpropyl)-lH-imidazo[4,5- c][l,5]naphthyridin-4-amine; 0.15% by weight sorbic acid; 5.0% by weight propylene glycol; 0.2% by weight methylparaben; 0.1% by weight butylated hydroxyanisole; 0.05% by weight ethylenediaminetetraacetic acid disodium salt dihydrate;
7.0% by weight isostearic acid; 4.0% by weight of caprylic/capric triglyceride; 1.0% by weight of a carbomer; 3.5% by weight of a poloxamer; 0.8% by weight of an aqueous solution of 20% by weight NaOH in water; and
77.9% by weight water; wherein the weight percentages are based on the total weight of the formulation.
In one embodiment, a pharmaceutical formulation includes: 0.30% by weight of 2-methyl-l-(2-methylpropyl)-lH-imidazo[4,5-aphthyridin-4-amine;
0.10% by weight sorbic acid;
5.00% by weight propylene glycol;
0.20% by weight methylparaben; 0.01% by weight butylated hydroxyanisole;
0.05% by weight ethylenediaminetetraacetic acid disodium salt dihydrate;
7.00% by weight isostearic acid;
4.00% by weight of caprylic/capric triglyceride;
1.00% by weight of a carbomer; 3.50% by weight of a poloxamer;
0.80% by weight of an aqueous solution of 20% by weight NaOΗ in water; and
78.04% by weight water; wherein the weight percentages are based on the total weight of the formulation.
h one embodiment, a pharmaceutical formulation includes: 0.3% by weight of 2-methyl-l-(2-methylρropyl)-lH-irnidazo[4,5- aphthyridin-4-amine;
0.1% by weight sorbic acid;
5.0% by weight propylene glycol; 0.2% by weight methylparaben;
0.01% by weight butylated hydroxyanisole;
0.05% by weight ethylenediaminetetraacetic acid disodium salt dihydrate;
7.0% by weight isostearic acid;
4.0% by weight of caprylic/capric triglyceride; 1.0% by weight of a carbomer;
3.5% by weight of a poloxamer;
0.8% by weight of an aqueous solution of 20% by weight NaOΗ in water; and
78.0% by weight water; wherein the weight percentages are based on the total weight of the formulation.
h one embodiment, a pharmaceutical formulation includes:
0.03% by weight of 2-methyl-l-(2-methylpropyl)-lH-imidazo[4,5-aphthyridin-4-amine;
0.15% by weight sorbic acid; 5.0% by weight propylene glycol;
0.2% by weight methylparaben;
0.1% by weight butylated hydroxyanisole;
0.05% by weight ethylenediaminetetraacetic acid disodium salt dihydrate;
5.0% by weight isostearic acid; 4.0% by weight of caprylic/capric triglyceride;
1.0% by weight of a carbomer;
3.5% by weight of a poloxamer;
0.8% by weight of an aqueous solution of 20% by weight NaOΗ in water; and
80.17% by weight water; wherein the weight percentages are based on the total weight of the formulation. In one embodiment, a pharmaceutical formulation includes: 0.1% by weight of 2-methyl-l-(2-methylpropyl)-lH-imidazo[4,5- c] [ 1 ,5]naphthyridin-4-amine; 0.15% by weight sorbic acid; 5.0% by weight propylene glycol; 0.2% by weight methylparaben; 0.1% by weight butylated hydroxyanisole; 0.05% by weight ethylenediaminetetraacetic acid disodium salt dihydrate; 5.0% by weight isostearic acid; 4.0% by weight of caprylic/capric triglyceride; 1.0% by weight of a carbomer; 3.5% by weight of a poloxamer; 0.8% by weight of an aqueous solution of 20% by weight NaOΗ in water; and 80.1 % by weight water; wherein the weight percentages are based on the total weight of the formulation.
Methods of Application Formulations according to the present invention can be applied to any suitable location, for example topically to dermal and/or mucosal surfaces, or internally to a particular tissue location. In the case of dermal application, for example, depending on the IRM compound concentration, formulation composition, and dermal surface, the therapeutic effect of the IRM compound may extend only to the superficial layers of the dermal surface or to tissues below the dermal surface. Thus, another aspect of the present invention is directed to a method for the treatment of a dermal and/or mucosal associated condition comprising applying to skin one of the foregoing formulations. As used herein, a "dermal and/or mucosal associated condition" means an inflammatory, infectious, neoplastic or other condition that involves a dermal and/or mucosal surface or that is in sufficient proximity to a dermal and/or mucosal surface to be affected by a therapeutic agent topically applied to the surface. Examples of a dermal and/or mucosal associated condition include warts, atopic dermatitis, postsurgical scars, lesions caused by a heφes virus, and epidermal neoplasias, such as for example actinic keratosis, pre- actinic keratosis lesions, malignant melanomas, basal cell carcinoma, and squamous cell carcinoma. 5 In one embodiment, the formulations can be applied to the surface of skin for treatment of actinic keratosis (AK). Actinic keratoses are premalignant lesions considered biologically to be either carcinoma in-situ or squamous intraepidermal neoplasia. AK is the most frequent epidermal tumor and is induced by ultraviolet (UV) radiation, typically from sunlight. Because of its precancerous nature, AK may be o considered the most important manifestation of sun-induced skin damage. In some embodiments, the above described formulations are particularly advantageous for dermal and/or mucosal application for a period of time sufficient to obtain a desired therapeutic effect without undesired systemic absoφtion of the IRM. The precise amount of formulation effective for treating a dermal and/or5 mucosal associated condition will vary according to factors known in the art including but not limited to the particular IRM compound, the particular formulation, the intended dosing regimen, the particular condition being treated, the state of the subject's immune system (e.g., suppressed, compromised, stimulated), and the species to which the formulation is being administered. In some embodiments the amount of formulation is0 an amount sufficient to deliver a dose of about 0.02 mg to about 15 mg of IRM compound. In other embodiments the amount of formulation is an amount sufficient to deliver a dose of about 0.2 mg to about 2.5 mg of IRM compound. In other embodiments the amount of formulation is an amount sufficient to deliver a dose of about 0.5 mg to about 1.7 mg of IRM compound. In one particular embodiment a dose5 of 0.75 mg of IRM compound is delivered. In another particular embodiment a dose of 1.5 mg of IRM compound is delivered. The dosing regimen will vary at least in part on many factors known in the art including but not limited to the particular IRM compound, the particular formulation, the amount of formulation being administered, the particular condition being treated,0 the state of the subject's immune system (e.g., suppressed, compromised, stimulated), and the species to which the formulation is being administered. In some embodiments the formulation is administered at least once a week, at least twice a week, or at least three times a week. In other embodiments the formulation is administered at most seven times a week, at most six times a week, at most five times a week, or at most four times a week. In some embodiments the formulation is administered for at least two weeks, for at least four weeks, for at least six weeks, or for at least eight weeks. In other embodiments the formulation is administered for at most sixteen weeks, for at most twelve weeks, or for at most eight weeks. In some embodiments, about 200 to about 600 mg of formulation is administered twice a week for eight weeks. In one particular embodiment, about 250 mg of the formulation described in Example 22 below is administered twice a week for eight weeks. In another particular embodiment, about 500 mg of the formulation described in Example 22 below is administered twice a week for eight weeks.
EXAMPLES The following Examples are provided to further describe various IRM formulations and methods according to the invention. The examples, however, are not intended to l nit the formulations and methods within the spirit and scope of the invention.
TEST METHODS Test Method 1 - IRM 1 Compound Content and Sorbic Acid Content A gradient reversed phase high performance liquid cliromatography (HPLC) method was used to determine the amount of 2-methyl- 1 -(2-methylpropyl)- 1H- imidazo[4,5-c][l,5]naphthyridin-4-amine (IRM Compound 1) and sorbic acid in cream formulations. ΗPLC parameters: Analytical column: ZORBAX RX-C8, 5.0 micron particle, 150 x 4.6 mm (available from Agilent Technologies, Wilmington, Delaware, USA); Column temperature: 30°C; Detector: UV at 254 nm; Flow Rate: 1.0 mL/min; Injection volume: 25 μL; Mobile phase A: 62% aqueous (0.2% sodium 1-octanesulfonate, 0.2% triethylamine, 0.2% of 85% phosphoric acid), 21% acetonitrile, 17% methanol; Mobile Phase B: 20% aqueous (0.2% sodium 1-octanesulfonate, 0.2% triethylamine, 0.2% of 85% phosphoric acid), 42% acetonitrile, 38% methanol; Data acquisition time: 23 minutes; HPLC run time: approximately 30 minutes. Gradient program: 0 minutes: 100% mobile phase A, 0% mobile phase B; 2.5 minutes: 100% mobile phase A, 0% mobile phase B; 10 minutes: 49% mobile phase A, 51% mobile phase B; 14 minutes: 49% mobile phase A, 51% mobile phase B; 20 minutes: 0% mobile phase A, 100% mobile phase B; 23 minutes: 0% mobile phase A, 100% mobile phase B; 25 minutes: 100% mobile phase A, 0% mobile phase B; 30 minutes: 100% mobile phase A, 0% mobile phase B. IRM Compound 1 sample solution: A portion of the cream formulation (1000 mg for creams containing 0.01, 0.03, 0.05 and 0.1% IRM and 250 mg for creams containing 0.3, 0.6, and 1.0% IRM) was accurately weighed into a volumetric flask (50 mL for the 1000 mg samples and 100 mL for the 250 mg samples). Approximately 40 mL of diluent (prepared by combing 200 parts of acetonitrile, 790 parts water, and 10 parts phosphoric acid, all parts by volume) was added to the 50 mL flask or 80 mL to the 100 mL flask. The flask was sonicated with occasional shaking for 20 minutes or until the cream was completely dispersed. The solution was allowed to cool to ambient temperature and then diluted to volume with diluent. A portion of the solution was filtered using a syringe equipped with a 0.2 micron PTFE filter to provide the sample solution. Sorbic acid sample solution: A 250 mg portion of cream was accurately weighed into a 100 mL volumetric flask. Approximately 80 mL of diluent (prepared by combing 200 parts of acetonitrile, 790 parts water, and 10 parts phosphoric acid, all parts by volume) was added to the flask. The flask was sonicated with occasional shaking for 20 minutes or until the cream was completely dispersed. The solution was allowed to cool to ambient temperature and then diluted to volume with diluent. A portion of the solution was filtered using a syringe equipped with a 0.2 micron PTFE filter to provide the sample solution. Test Method 2 - BHA Content A gradient reversed phase high performance liquid chromatography (HPLC) method was used to determine the amount of BHA in cream formulations containing IRM Compound 1. HPLC parameters: Analytical column: ZORBAX Bonus RP, 3.5 micron particle, 150 x 3.0 mm; Column temperature: 40°C; Detector: UV at 290 nm; Flow Rate: 0.5 mL/min; Injection volume: 20 μL; Mobile phase A: 0.1% formic acid in water; Mobile Phase B: 0.05% formic acid in acetonitrile; Data acquisition time: 12 minutes; HPLC run time: approximately 20 minutes. Gradient program: 0 minutes: 60% mobile phase A, 40% mobile phase B; 10 minutes: 5% mobile phase A, 95% mobile phase B; 12 minutes: 5% mobile phase A, 95% mobile phase B; 13 minutes: 60% mobile phase A, 40% mobile phase B; 20 minutes: 60% mobile phase A, 40% mobile phase B. Sample solution: A portion (approximately 1000 mg) of the cream formulation was accurately weighed into a 100 mL volumetric flask. Approximately 80 mL of diluent (prepared by combining 600 parts of acetonitrile, 400 parts of water, and 1 part formic acid, all parts by volume) was added and the flask was sonicated with occasional shaking for 10 minutes or until the cream was well dispersed. The solution was allowed to cool to ambient temperature and then diluted to volume with diluent. A portion of the solution was filtered using a syringe equipped with a 0.2 micron PTFE filter to provide the sample solution.
Test Method 3 - IRM Compound 1 Content A gradient reversed phase high performance liquid chromatography (HPLC) method was used to determine the amount of 2-methyl-l -(2-methylpropyl)- IH- imidazo [4, 5-c][l,5]naphthyridin-4-amine (IRM Compound 1) in cream formulations using BΗA and BΗT as the antioxidants. ΗPLC parameters: Analytical column: ZORBAX Bonus RP, 3.5 micron particle, 150 x 4.6 mm (available from Agilent Technologies, Wilmington, Delaware, USA); Column temperature: 35°C; Detector: UV at 240 nm; Flow Rate: 1.0 mL/min; Injection volume: 30 μL; Mobile phase A: 0.05% frifluoroacetic acid in water; Mobile Phase B: 0.05% frifluoroacetic acid in acetonitrile; Data acquisition time: 25 minutes; HPLC run time: 35 minutes. Gradient program: 0 minutes: 80% mobile phase A, 20% mobile phase B; 5 minutes: 80% mobile phase A, 20% mobile phase B; 15 minutes: 75% mobile phase A, 25% mobile phase B; 25 minutes: 35% mobile phase A, 65% mobile phase B; 28 minutes: 10% mobile phase A, 90% mobile phase B; 29 minutes: 80% mobile phase A, 20% mobile phase B; 35 minutes: 80% mobile phase A, 20% mobile phase B. Sample solution: A portion of the cream formulation (2500 mg for creams containing 0.03% IRM; 1500 mg for creams containing 0.1% IRM; and 500 mg for creams containing 0.3% IRM) was accurately weighed into a volumetric flask (50 mL for creams containing 0.03% IRM; 100 mL for creams containing 0.1 or 0.3% IRM). Approximately 40 mL of diluent (prepared by combing 200 parts of acetonitrile, 790 parts water, and 10 parts phosphoric acid, all parts by volume) was added to the 50 mL flask or 80 mL to the 100 mL flask. The flask was shaken or vortexed to dislodge any cream from the neck of the flask and then sonicated with occasional shaking for 10 minutes or until the cream was completely dispersed. The solution was allowed to cool to ambient temperature and then diluted to volume with diluent. A portion of the solution was filtered using a syringe equipped with a 0.2 micron PTFE filter to provide the sample solution.
Test Method 4 - Sorbic Acid and BHA Content A gradient reversed phase high performance liquid chromatography (HPLC) method was used to determine the amount of sorbic acid and BHA in cream formulations containing IRM Compound 1. HPLC parameters: Analytical column: ZORBAX Bonus RP, 3.5 micron particle, 150 x 4.6 mm; Column temperature: 35°C; Detector: UV at 285 nm; Flow Rate: 1.0 mL/min; Injection volume: 25 μL; Mobile phase A: 0.05% frifluoroacetic acid in water; Mobile Phase B: 0.05% frifluoroacetic acid in acetonitrile; Data acquisition time: 12 minutes; HPLC run time: 18 minutes. Gradient program: 0 minutes: 60% mobile phase A, 40% mobile phase B; 10 minutes: 5% mobile phase A, 95% mobile phase B; 12 minutes: 5% mobile phase A, 95% mobile phase B; 13 minutes: 60% mobile phase A, 40% mobile phase B; 18 minutes: 60% mobile phase A, 40% mobile phase B. Sample solution: A portion (approximately 1000 mg) of the cream formulation was accurately weighed into a 100 mL volumetric flask. Approximately 80 mL of diluent (prepared by combining 600 parts of acetonitrile, 400 parts of water, and 1 part frifluoroacetic acid, all parts by volume) was added and the flask was sonicated with occasional shaking for 10 minutes or until the cream was well dispersed. The solution was allowed to cool to ambient temperature and then diluted to volume with diluent. A portion of the solution was filtered using a syringe equipped with a 0.45 micron PTFE filter to provide the sample solution.
Preparation of Cream Formulations The cream formulations in the Examples below were prepared using the following general method. Oil phase preparation: The IRM compound and the BHA or BHT were dissolved in the isostearic acid and medium chain triglycerides, with heat if necessary. Generally the CARBOPOL 980 was then dispersed in the oil phase. Water phase preparation: Edetate disodium dihydrate, methylparaben, sorbic acid, propylene glycol, and POLOXAMER 188 were added to the water and mixed until dissolved, with heat if necessary. If the CARBOPOL was not dispersed in the oil phase, it was dispersed in the water phase. Phase combination: The oil phase was added to the water phase at ambient conditions. The emulsion was then homogenized. Sodium hydroxide was added either before or after phase combination. The cream was mixed until smooth and uniform. The pH of the cream was measured and a pH adjustment was made with additional sodium hydroxide solution, if necessary, to meet the in-process target of pH 5. Examples 1-6 Table 1 summarizes topical formulations made in accordance with the present invention in a percentage weight-by-weight basis. The formulations were packaged in aluminum tubes with an epoxy phenolic lacquer liner.
Figure imgf000105_0001
GTCC-PN (Croda, Inc) and MIGLYOL 812N (Sasol). The creams of Examples 1-6 were stored at 40°C at 75% relative humidity. At selected time points samples were analyzed for IRM 1, sorbic acid (SA), and BHA content. The results are shown in Table 2 below. The initial values (0 month) are the average of 6 independent determinations (2 samples from each of 3 tubes); the values for the later time points are the average of 2 independent determinations (2 samples from 1 tube). Values are not normalized for weight loss that may have occuned during storage. Test Method 1 was used to determine the IRM 1 content and sorbic acid content. Test Method 2 was used to determine the BHA content.
Figure imgf000106_0001
Figure imgf000107_0001
Examples 7 & 8 Table 3 summarizes topical formulations made in accordance with the present invention in a percentage weight-by- weight basis and a formulation prepared without an antioxidant (CI). The formulations were packaged in glass containers.
*(
Figure imgf000108_0001
CRODAMOL GTCC-PN (Croda, Inc) and MIGLYOL 812N (Sasol).
The creams of Examples 7, 8, and CI were stored at 40°C at 75% relative humidity and at 55°C at ambient humidity. At selected time points samples were analyzed using Test Method 1 described above for IRM 1 and sorbic acid content. The results are shown in Table 4 below where each value is for 1 sample from 1 container of cream. Values were not normalized for weight loss that may have occuned during storage.
Figure imgf000109_0001
Figure imgf000110_0001
Examples 9-18 Table 5 summarizes topical formulations made in accordance with the present invention in a percentage weight-by-weight basis. The formulations were packaged in aluminum tubes with an epoxy phenolic lacquer liner. The formulations of Examples 9- 18 were stored at 40°C at 75% relative humidity. At selected time points samples were analyzed for IRM 1, sorbic acid (SA), and BHA content. The results are shown in Table 6 below where the initial values of IRM and SA are the average of 6 independent determinations (2 samples from each of 3 tubes), the initial BHA values are the average of 3 independent determinations (1 sample from each of 3 tubes), and the values for later time points are the values for one sample from 1 tube. Values are not normalized for weight loss that may have occuned during storage. Test Method 1 was used to determine the IRM 1 content and sorbic acid content. Test Method 2 was used to determine the BHA content.
Figure imgf000112_0001
*Caprylic/capric triglyceride available under the trade names CRODAMOL GTCC-PN (Croda, Inc) and ** qs to pH 5
*** qs to lOO
N>
Figure imgf000113_0001
Figure imgf000114_0001
O-
Examples 19-24 Table 7 summarizes topical formulations made in accordance with the present invention in a percentage weight-by-weight basis. The formulations were packaged in aluminum tubes with an epoxy phenolic lacquer liner. The formulations of Examples 19-24 were stored at 40°C at 75% relative humidity. At selected time points samples were analyzed for IRM 1, sorbic acid (SA), and BHA content. The results are shown in Table 8 below where the initial values of IRM SA, and BHA are the average of 3 independent determinations, and the values for later time points are from 1 tube. Values are not normalized for weight loss that may have occuned during storage. Test Method 3 was used to determine IRM 1 content. Test Method 4 was used to determine SA and BHA content.
*(
Figure imgf000115_0001
GTCC-PN (Croda, Inc) and MIGLYOL 812N (Sasol).
Figure imgf000116_0001
*ND = not determined Table 9 summarizes topical formulations made in accordance with the present invention in a percentage weight-by-weight basis. The formulations were packaged in aluminum tubes with an epoxy phenolic lacquer liner.
Figure imgf000117_0001
*Caprylic/capric triglyceride available under the trade names CRODAMOL GTCC-PN (Croda, Inc) and MIGLYOL 812N (Sasol).
The complete disclosures of the patents, patent documents, and publications cited herein are incoφorated by reference in their entirety as if each were individually incoφorated, except that if there is any apparent conflict or inconsistency the present disclosure is controlling. Various modifications and alterations to this invention will become apparent to those skilled in the art without departing from the scope and spirit of this invention. It should be understood that this invention is not intended to be unduly limited by the illustrative embodiments and examples set forth herein and that such examples and embodiments are presented by way of example only with the scope of the invention intended to be limited only by the claims set forth herein as follows.

Claims

What is Claimed is:
1. A pharmaceutical formulation comprising: an immune response modifier (IRM) compound comprising a 2-aminopyridine moiety fused to a five-membered nitrogen-containing heterocyclic ring; a preservative system comprising a sorbic acid preservative selected from the group consisting of sorbic acid, esters thereof, salts thereof, and combinations thereof; and an antioxidant.
2. A pharmaceutical formulation comprising: an immune response modifier (IRM) compound comprising a 2-aminopyridine moiety fused to a five-membered nitrogen-containing heterocyclic ring; a preservative system comprising a sorbic acid preservative selected from the group consisting of sorbic acid, esters thereof, salts thereof, and combinations thereof; an antioxidant comprising hydrogen atom donating functionality; a fatty acid; and a hydrophobic, aprotic component miscible with the fatty acid and comprising a hydrocarbyl group of 7 or more carbon atoms.
3. The formulation of claim 1 further comprising a fatty acid.
4. The formulation of claim 1 or claim 3 further comprising a hydrophobic, aprotic component miscible with a fatty acid and comprising a hydrocarbyl group of 7 or more carbon atoms.
5. The formulation of claim 2 or claim 4 wherein the hydrophobic, aprotic component has a hydrophilic lipophilic balance (HLB) of less than 2.
6. The formulation of any one of claims 2, 4, and 5 wherein the hydrophobic, aprotic component has a pKa of at least 14.2.
7. The formulation of any one of claims 2 and 4 through 6 wherein the hydrophobic, aprotic component is selected from the group consisting of fatty acid esters, medium-chain triglycerides, cetyl esters, hydrocarbons of 8 or more carbon atoms, waxes, and combinations thereof.
8. The formulation of claim 7 wherem the hydrophobic, aprotic component is selected from the group consisting of isopropyl mysristate, isopropyl palmitate, caprylic/capric triglyceride, diisopropyl dimer dilinoleate, and combinations thereof.
9. The formulation of any one of claims 2 and 4 through 8 wherein the hydrophobic, aprotic component is present in an amount of 1% by weight to 30% by weight, based on the total weight of the formulation.
10. The formulation of any one of claims 1, 3, 4, and claims 5 through 9 except as dependent on claim 2 wherein the antioxidant comprises hydrogen atom donating functionality.
11. The formulation of any one of claims 1 through 10 wherein the antioxidant is selected from the group consisting of compounds containing aromatic hydroxy groups capable of hydrogen atom donation.
12. The formulation of any one of claims 1, 3, 4, and claims 5 through 9 except as dependent on claim 2 wherein the antioxidant is selected from the group consisting of ascorbic acid, ascorbyl palmitate, butylated hydroxyanisole, butylated hydroxytoluene, cysteine, propyl gallate, sodium formaldehyde sulfoxylate, sodium thiosulfate, sulfur dioxide, tocopherol, and combinations thereof.
13. The formulation of claim 12 wherein the antioxidant is selected from the group consisting of ascorbic acid, ascorbyl palmitate, butylated hydroxyanisole, butylated hydroxytoluene, cysteine, propyl gallate, sodium formaldehyde sulfoxylate, tocopherol, and combinations thereof.
14. The formulation of claim 13 wherein the antioxidant is selected from the group consisting of butylated hydroxyanisole, butylated hydroxytoluene, propyl gallate, tocopherol, and combinations thereof.
15. The formulation of claim 14 wherein the antioxidant is selected from the group consisting of butylated hydroxyanisole, butylated hydroxytoluene, and combinations thereof
16. The formulation of any one of claims 1 through 15 wherein the antioxidant is present in an amount of 0.001% by weight to 0.3% by weight, based on the total weight of the formulation.
17. The formulation of any one of claims 2, 3 and 4 through 16 wherein the fatty acid has
6 to 28 carbon atoms.
18. The fonnulation of claim 17 wherein the fatty acid is selected from the group consisting of isostearic acid, oleic acid, linear- or branched-chain carboxylic acids of 6 to 18 carbon atoms, and combinations thereof.
19. The formulation of any one of claims 2, 3, and claims 4 through 18 except as they depend directly or indirectly on claim 1, wherein the fatty acid is present in an amount of 0.05% by weight to 40% by weight, based on the total weight of the formulation.
20. The formulation of any one of claims 2, 19, and claims 4 through 18 except as they depend directly or indirectly on claim 1, wherein the ratio of the hydrophobic, aprotic component to the fatty acid is within a range of 0.025:1 to 600:1.
21. The formulation of any one of claims 1 through 20 wherein the preservative system comprises sorbic acid, isopropyl sorbate, calcium sorbate, potassium sorbate, sodium sorbate, triethanolamine sorbate, or combinations thereof.
22. The formulation of any one of claims 1 through 21 wherein the sorbic acid preservative is present in an amount of 0.005% by weight to 1% by weight, based on the total weight of the formulation.
23. The formulation of claim 22 wherein the sorbic acid preservative is present in an amount of 0.02% by weight to 0.2% by weight, based on the total weight of the formulation.
24. The formulation of claim 23 wherein the sorbic acid preservative is present in an amount of 0.05% by weight to 0.15% by weight, based on the total weight of the formulation.
25. The fonnulation of any one of claims 1 through 24 wherein the weight ratio of the sorbic acid preservative to the antioxidant is within a range of 1:20 to 1000:1.
26. The formulation of any one of claims 1 through 25 wherein the preservative system further includes a preservative enhancing solubilizer.
27. The formulation of claim 26 wherein the preservative enhancing solubilizer is selected from the group consisting of diethylene glycol monoethyl ether, propylene glycol, polyethylene glycol)(4) monolaurate, and combinations thereof.
28. The formulation of any one of claims 1 through 27 further comprising a chelating agent.
29. The formulation of claim 28 wherein the chelating agent is selected from the group consisting of ethylenediaminetetraacetic acid, citric acid, hydrates thereof, salts thereof, hydrates of the salts thereof, and combinations thereof.
30. The formulation of claim 29 wherein the chelating agent is selected from the group consisting of ethylenediaminetetraacetic acid disodium salt, ethylenediaminetetraacetic acid disodium salt dihydrate, citric acid monohydrate, and combinations thereof.
31. The formulation of any one of claims 28 through 30 wherein the chelating agent is present in an amount of 0.001% by weight to 0.2% by weight, based on the total weiglit of the formulation.
32. The formulation of any one of claims 28 through 31 wherein the weight ratio of the antioxidant to the chelating agent is within a range of 1 :200 to 300: 1.
33. The formulation of any one of claims 1 through 32 wherein the preservative system further includes methylparaben, ethylparaben, propylparaben, butylparaben, phenoxyethanol, or combinations thereof.
34. The formulation of any one of claims 1 through 33 further comprising a hydrophilic viscosity enhancing agent.
35. The formulation of claim 34 wherein the hydrophilic viscosity enhancing agent is selected from cellulose ethers and carbomers.
36. The formulation of claim 34 or claim 35 wherein the hydrophilic viscosity enhancing agent is present in an amount of 0.2% by weight to 2.0% by weight, based on the total weight of the formulation.
37. The formulation of any one of claims 1 through 36 further comprising a pH adjuster, an emulsifier, or combinations thereof.
38. A pharmaceutical formulation comprising:
0.001% by weight to 5.0% by weight of an immune response modifier (IRM) compound comprising a 2-aminopyridine moiety fused to a five-membered nitrogen- containing heterocyclic ring; a preservative system comprising: 0.02% by weight to 0.2%o by weight of a sorbic acid preservative selected from the group consisting of sorbic acid, esters thereof, salts thereof, and combinations thereof; 0 to 10.0% by weight of a preservative enhancing solubilizer; and 0.05% by weight to 0.2% by weight of a secondary preservative compound; 0.001% by weight to 0.2% by weight of an antioxidant comprising hydrogen atom donating functionality; 0 to 0.1% by weight of a chelating agent; 1% by weight to 30% by weight of a fatty acid; 1% by weight to 15% by weight of a medium-chain triglyceride; 0.2% by weight to 2.0% by weight of a viscosity enhancing agent; 0.1 % by weight to 6.0% by weight of an emulsifier; and water; wherein the formulation has a pH of 4.0 to 6.0 and the weight percentages are based on the total weight of the formulation.
39. The formulation of any one of claims 1 through 38 wherein the IRM is selected from the group consisting of imidazoquinoline amines, tetrahydroimidazoquinoline amines, imidazopyridine amines, 6,7-fused cycloalkylimidazopyridine amines, 1,2-bridged imidazoquinoline amines, imidazonaphthyridine amines, tetrahydroimidazonaphthyridine amines, oxazoloquinoline amines, thiazoloquinoline amines, oxazolopyridine amines, thiazolopyridine amines, oxazolonaphthyridine amines, thiazolonaphthyridine amines, imidazoquinoline- 1,4-diamines, IH-imidazo dimers fused to pyridine amines, quinoline amines, tetrahydroquinoline amines, naphthyridine amines, tefrahydronaphthyridine amines, and combinations thereof.
40. The formulation of claim 39 wherein the IRM is selected from the group consisting of amide substituted imidazoquinoline amines, sulfonamide substituted imidazoquinoline amines, urea substituted imidazoquinoline amines, aryl ether substituted imidazoquinoline amines, heterocyclic ether substituted imidazoquinoline amines, amido ether substituted imidazoquinoline amines, sulfonamido ether substituted imidazoquinoline amines, urea substituted imidazoquinoline ethers, thioether substituted imidazoquinoline amines, 6-, 7-, 8-, or 9-aryl or heteroaryl substituted imidazoquinoline amines, amide substituted tetrahydroimidazoquinoline amines, sulfonamide substituted tetrahydroimidazoquinoline amines, urea substituted tetrahydroimidazoquinoline amines, aryl ether substituted tetrahydroimidazoquinoline amines, heterocyclic ether substituted tetrahydroimidazoquinoline amines, amido ether substituted tetrahydroimidazoquinoline amines, sulfonamido ether substituted tetrahydroimidazoquinoline amines, urea substituted tetrahydroimidazoquinoline ethers, thioether substituted tetrahydroimidazoquinoline amines, amide substituted imidazopyridine amines, sulfonamide substituted imidazopyridine amines, urea substituted imidazopyridine amines, aryl ether substituted imidazopyridine, amines, heterocyclic ether substituted imidazopyridine amines, amido ether substituted imidazopyridine amines, sulfonamido ether substituted imidazopyridine amines, urea substituted imidazopyridine ethers, thioether substituted imidazopyridine amines, and combinations thereof.
41. The formulation of claim 39 wherein the IRM is an imidazonaphthyridine amine.
42. The formulation of any one of claims 1 through 41 wherein the IRM is present in an amount of 0.03% by weight to 0.3% by weight, based on the total weight of the formulation.
43. A pharmaceutical formulation comprising: 0.001% by weight to 5.0% by weight of an imidazonaphthyridine amine; 0.02% by weight to 0.2% by weight of a sorbic acid preservative selected from the group consisting of sorbic acid, esters thereof, salts thereof, and combinations thereof; 0 to 10.0% by weight of propylene glycol; 0.05% by weight to 0.2% by weight of methylparaben;
0.001% by weight to 0.2% by weight of butylated hydroxyanisole, butylated hydroxytoluene, or combinations thereof; 0 to 0.1% by weight of ethylenediaminetetraacetic acid, a hydrate thereof, a salt thereof, a hydrate of a the salt thereof, or combinations thereof; 1 % by weight to 30% by weight of isostearic acid; 1% by weight to 15% by weight of a medium-chain triglyceride; 0.2% by weight to 2.0% by weight of a carbomer; 0.1% by weight to 6.0% by weight of a poloxamer; and water; wherein the formulation has a pH of 4.0 to 6.0 and the weight percentages are based on the total weight of the formulation.
44. The formulation of claim 43 wherein the imidazonaphthyridine amine is 2-methyl-l- (2-methylpropyl)-lH-imidazo[4,5-c] [ 1 ,5]naphthyridin-4-amine.
45. A method for delivering an immune response modifier (IRM) to a dermal and/or mucosal surface, the method comprising: selecting a formulation of any one of claims 1 through 44; and applying the selected formulation to the dermal and/or mucosal surface.
46. A method of treating a dermal associated condition, the method comprising applying to a dermal surface of a patient in need thereof the pharmaceutical formulation of any one of claims 1 through 45.
47. The method of claim 46 wherein the dermal associated condition is actinic keratosis.
48. A method of stabilizing a pharmaceutical formulation comprising: an immune response modifier (IRM) compound comprising a 2-aminopyridine moiety fused to a five-membered nitrogen-containing heterocyclic ring; and a preservative system comprising a sorbic acid preservative selected from the group consisting of sorbic acid, esters thereof, salts thereof, and combinations thereof; the method comprising: adding an antioxidant to the formulation.
49. A method of stabilizing a pharmaceutical formulation comprising: an immune response modifier (IRM) compound comprising a 2-aminopyridine moiety fused to a five-membered nitrogen-containing heterocyclic ring; a preservative system comprising a sorbic acid preservative selected from the group consisting of sorbic acid, esters thereof, salts thereof, and combinations thereof; a fatty acid; and a hydrophobic, aprotic component miscible with the fatty acid and comprising a hydrocarbyl group of 7 or more carbon atoms, the method comprising: adding an antioxidant comprising hydrogen atom donating functionality to the fonnulation.
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