Claims for Patent: 11,986,481

Summary for Patent: 11,986,481

Title:	Method of synthesizing thyroid hormone analogs and polymorphs thereof
Abstract:	The disclosure describes methods of synthesis of pyridazinone compounds as thyroid hormone analogs and their prodrugs. Preferred methods according to the disclosure allow for large-scale preparation of pyridazinone compounds having high purity. In some embodiments, preferred methods according to the disclosure also allow for the preparation of pyridazinone compounds in better yield than previously used methods for preparing such compounds. Also disclosed are morphic forms of a pyridazinone compound. Further disclosed is a method for treating resistance to thyroid hormone in a subject having at least one TRβ mutation.
Inventor(s):	Martha J. Kelly, Rebecca Taub, Edward Hung Yang Chiang
Assignee:	Hoffmann La Roche Inc , Madrigal Pharmaceuticals Inc
Application Number:	US18/393,813
Patent Claims:	1. A method for treating a fatty liver disease in a subject, comprising: administering to the subject 2-(3,5-dichloro-4-((5-isopropyl-6-oxo-1,6-dihydropyridazin-3-yl)oxy)phenyl)-3,5-dioxo-2,3,4,5-tetrahydro-1,2,4-triazine-6-carbonitrile or a pharmaceutically acceptable salt thereof at a dosage of from about 20 mg to about 100 mg per day. 2. The method of claim 1, wherein the fatty liver disease is nonalcoholic steatohepatitis. 3. The method of claim 1, wherein 2-(3,5-dichloro-4-((5-isopropyl-6-oxo-1,6-dihydropyridazin-3-yl)oxy)phenyl)-3,5-dioxo-2,3,4,5-tetrahydro-1,2,4-triazine-6-carbonitrile or the pharmaceutically acceptable salt thereof is administered at a dosage of about 100 mg per day. 4. The method of claim 1, wherein 2-(3,5-dichloro-4-((5-isopropyl-6-oxo-1,6-dihydropyridazin-3-yl)oxy)phenyl)-3,5-dioxo-2,3,4,5-tetrahydro-1,2,4-triazine-6-carbonitrile or the pharmaceutically acceptable salt thereof is administered orally. 5. The method of claim 4, wherein a tablet comprising 2-(3,5-dichloro-4-((5-isopropyl-6-oxo-1,6-dihydropyridazin-3-yl)oxy)phenyl)-3,5-dioxo-2,3,4,5-tetrahydro-1,2,4-triazine-6-carbonitrile or the pharmaceutically acceptable salt thereof is administered orally. 6. The method of claim 1, wherein 2-(3,5-dichloro-4-((5-isopropyl-6-oxo-1,6-dihydropyridazin-3-yl)oxy)phenyl)-3,5-dioxo-2,3,4,5-tetrahydro-1,2,4-triazine-6-carbonitrile or the pharmaceutically acceptable salt thereof is administered daily as a single dose. 7. The method of claim 1, wherein 2-(3,5-dichloro-4-((5-isopropyl-6-oxo-1,6-dihydropyridazin-3-yl)oxy)phenyl)-3,5-dioxo-2,3,4,5-tetrahydro-1,2,4-triazine-6-carbonitrile or the pharmaceutically acceptable salt thereof has a purity of 95% or greater. 8. The method of claim 7, wherein 2-(3,5-dichloro-4-((5-isopropyl-6-oxo-1,6-dihydropyridazin-3-yl)oxy)phenyl)-3,5-dioxo-2,3,4,5-tetrahydro-1,2,4-triazine-6-carbonitrile or the pharmaceutically acceptable salt thereof has a purity of 98% or greater. 9. The method of claim 1, wherein 2-(3,5-dichloro-4-((5-isopropyl-6-oxo-1,6-dihydropyridazin-3-yl)oxy)phenyl)-3,5-dioxo-2,3,4,5-tetrahydro-1,2,4-triazine-6-carbonitrile is administered. 10. A method for treating a fatty liver disease in a subject, comprising: administering to the subject a pharmaceutical composition comprising: 2-(3,5-dichloro-4-((5-isopropyl-6-oxo-1,6-dihydropyridazin-3-yl)oxy)phenyl)-3,5-dioxo-2,3,4,5-tetrahydro-1,2,4-triazine-6-carbonitrile or a pharmaceutically acceptable salt thereof; and at least one pharmaceutically acceptable excipient or carrier; wherein the pharmaceutical composition is suitable for administering 2-(3,5-dichloro-4-((5-isopropyl-6-oxo-1,6-dihydropyridazin-3-yl)oxy)phenyl)-3,5-dioxo-2,3,4,5-tetrahydro-1,2,4-triazine-6-carbonitrile or the pharmaceutically acceptable salt thereof at a dosage of from about 20 mg to about 100 mg per day. 11. The method of claim 10, wherein the fatty liver disease is nonalcoholic steatohepatitis. 12. The method of claim 10, wherein the pharmaceutical composition is suitable for administering 2-(3,5-dichloro-4-((5-isopropyl-6-oxo-1,6-dihydropyridazin-3-yl)oxy)phenyl)-3,5-dioxo-2,3,4,5-tetrahydro-1,2,4-triazine-6-carbonitrile or the pharmaceutically acceptable salt thereof at a dosage of about 100 mg per day. 13. The method of claim 10, wherein the pharmaceutical composition is administered orally. 14. The method of claim 13, wherein the pharmaceutical composition is a tablet. 15. The method of claim 10, wherein the pharmaceutical composition is suitable for administering 2-(3,5-dichloro-4-((5-isopropyl-6-oxo-1,6-dihydropyridazin-3-yl)oxy)phenyl)-3,5-dioxo-2,3,4,5-tetrahydro-1,2,4-triazine-6-carbonitrile or the pharmaceutically acceptable salt thereof daily as a single dose. 16. The method of claim 10, wherein 2-(3,5-dichloro-4-((5-isopropyl-6-oxo-1,6-dihydropyridazin-3-yl)oxy)phenyl)-3,5-dioxo-2,3,4,5-tetrahydro-1,2,4-triazine-6-carbonitrile or the pharmaceutically acceptable salt thereof has a purity of 95% or greater. 17. The method of claim 16, wherein 2-(3,5-dichloro-4-((5-isopropyl-6-oxo-1,6-dihydropyridazin-3-yl)oxy)phenyl)-3,5-dioxo-2,3,4,5-tetrahydro-1,2,4-triazine-6-carbonitrile or the pharmaceutically acceptable salt thereof has a purity of 98% or greater. 18. The method of claim 10, wherein the pharmaceutical composition comprises: 2-(3,5-dichloro-4-((5-isopropyl-6-oxo-1,6-dihydropyridazin-3-yl)oxy)phenyl)-3,5-dioxo-2,3,4,5-tetrahydro-1,2,4-triazine-6-carbonitrile; and at least one pharmaceutically acceptable excipient or carrier.