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Title:
SOLID FORMS OF MESEMBRINE AND THERAPEUTIC USES THEREOF
Document Type and Number:
WIPO Patent Application WO/2023/076533
Kind Code:
A1
Abstract:
Solid forms of mesembrine are provided, along with related methods of manufacture. The solid form compositions are useful, for example, in the preparation of pharmaceutical compositions.

Inventors:
WANG XIAOYANG (CN)
LIU PENGJIAN (CN)
Application Number:
PCT/US2022/048126
Publication Date:
May 04, 2023
Filing Date:
October 28, 2022
Export Citation:
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Assignee:
SENSORIUM THERAPEUTICS INC (US)
International Classes:
A61K31/403; A61K31/404; C07D209/08; A61K31/192
Foreign References:
US6288104B12001-09-11
US20180186797A12018-07-05
CN106727752A2017-05-31
US20160174603A12016-06-23
Other References:
SRINIVAS PATNALA, ISADORE KANFER: "Chemotaxonomic studies of mesembrine-type alkaloids in Sceletium plant species", SOUTH AFRICAN JOURNAL OF SCIENCE, vol. 109, no. 3/4, pages 1 - 5, XP055127140, ISSN: 00382353, DOI: 10.1590/sajs.2013/882
JEFFS P. W., RICHARD L. HAWKS, D.S. FARRIER: "Structure of the Mesembranols and the Absolute Configuration of Mesembrine and Related Alkaloids", JOURNAL OF THE AMERICAN CHEMICAL SOCIETY, vol. 91, no. 14, 1 July 1969 (1969-07-01), pages 3831 - 3839, XP093066242, DOI: 10.1021/ja01042a025
Attorney, Agent or Firm:
GORDON, Dana, M. et al. (US)
Download PDF:
Claims:
37

Claims:

1. A solid form comprising mesembrine (e.g., (-) mesembrine).

2. The solid form of claim 1, wherein the solid form is crystalline (e.g., a crystalline salt).

3. The solid form of claim 1 or 2, wherein the solid form comprises a coformer.

4. The solid form of claim 3, wherein the coformer is selected from the coformers in Table 4.

5. A method of making a solid form salt of mesembrine (e.g., (-) mesembrine) according to the procedure described in example 4.

6. A solid form salt or solvate of mesembrine (e.g., (-) mesembrine) obtained by a process comprising the steps described in example 4.

7. A solid form described in example 4.

8. A method of making a solid form salt of mesembrine (e.g., (-) mesembrine) according to the procedure described in example 5.

9. A solid form salt or solvate of mesembrine (e.g., (-) mesembrine) obtained by a process comprising the steps described in example 5.

10. A solid form described in example 5.

11. A method of making a solid form salt of mesembrine (e.g., (-) mesembrine) according to the procedure described in example 6.

12. A solid form salt or solvate of mesembrine (e.g., (-) mesembrine) obtained by a process comprising the steps described in example 6.

13. A solid form described in example 6.

14. A method of making a solid form salt of mesembrine (e.g., (-) mesembrine) according to the procedure described in example 7.

15. A solid form salt or solvate of mesembrine (e.g., (-) mesembrine) obtained by a process comprising the steps described in example 7. 38

16. A solid form described in example 7.

17. A method of making a solid form salt of mesembrine (e.g., (-) mesembrine) according to the procedure described in example 8.

18. A solid form salt or solvate of mesembrine (e.g., (-) mesembrine) obtained by a process comprising the steps described in example 8.

19. A solid form described in example 8.

20. A method of making a solid form salt of mesembrine (e.g., (-) mesembrine) according to the procedure described in example 9.

21. A solid form salt or solvate of mesembrine (e.g., (-) mesembrine) obtained by a process comprising the steps described in example 9.

22. A solid form described in example 9.

23. A method of making a solid form salt of mesembrine (e.g., (-) mesembrine) according to the procedure described in example 10.

24. A solid form salt or solvate of mesembrine (e.g., (-) mesembrine) obtained by a process comprising the steps described in example 10.

25. A solid form described in example 10.

26. A method of making a solid form salt of mesembrine (e.g., (-) mesembrine) according to the procedure described in example 11.

27. A solid form salt or solvate of mesembrine (e.g., (-) mesembrine) obtained by a process comprising the steps described in example 11.

28. A solid form described in example 11.

29. A pharmaceutical composition, comprising a solid form of any one of claims 1-28; and a pharmaceutically acceptable excipient.

30. A pharmaceutical composition, formed by a process comprising dissolving in a solvent a solid form any one of claims 1-28.

31. A method of treating a mental health disorder, comprising administering to a mammal in need thereof an effective amount of a solid form according to any one of claims 1-28 or a composition of claim 29 or 30.

32. The method of claim 31, wherein the mental health disorder is anxiety, stress, or depression.

33. The method of claim 31, wherein the mental health disorder is anxiety.

34. The method of claim 31, wherein the mental health disorder is stress.

35. The method of claim 31, wherein the mental health disorder is depression.

36. The method of any one of claims 31-35, wherein the mammal is a human.

37. A composition comprising a solid form of mesembrine in combination with one or more compounds selected from the group consisting of valerenic acid, betulinic acid, 4- aminobenzoic acid, D-mannitol, L-proline, nicotinamide, isonicotinamide, glycine, n- methyl-D-glucamine, urea, L-phenylalanine, L-arginine, L-lysine, choline, glucose, nicotinic acid, palmitic acid, naphthalene-2-sulfonic acid, pamoic acid, saccharin, biotin, folic acid, and ascorbic acid.

38. The composition of claim 37, wherein the mesembrine is (-) mesembrine.

39. The composition of any one of claims 37-38, wherein the composition comprises a combination of the mesembrine and valerenic acid.

40. The composition of any one of claims 37-39, wherein the composition comprises a combination of the mesembrine and betulinic acid.

Description:
SOLID FORMS OF MESEMBRINE AND THERAPEUTIC USES THEREOF

RELATED APPLICATIONS

This application claims the benefit of priority to U.S. Provisional Patent Application No. 63/273,728, filed October 29, 2021.

TECHNICAL FIELD

This disclosure relates to solid forms of mesembrine, and related therapeutic methods of inhibiting the sodium-dependent serotonin transporter (SERT).

BACKGROUND

Plants of the genus Sceletium contain indole alkaloids having biological activity useful in treating mental health conditions such as mild to moderate depression. Natural extracts of Sceletium tortuosum, an indigenous herb of South Africa also referred to as "kougoed", "channa" or "kanna," can contain the pharmacologically active alkaloids. Mesembrine and mesembrenol are pharmacologically active alkaloids present in Sceletium tortuosum extracts used for treatment of anxiety, stress and mental health conditions.

Natural products obtained from plants of the genus Sceletium contain varying amounts of (-) mesembrine and (+)/(-) mesembrenone. The structure of mesembrine, also known as 3a-(3,4-dimethoxyphenyl)-octahydro-l-methyl-6H-indol-6-one, has been reported by Popelak et al., Naturwiss.47,156 (1960), and the configuration by P W Jeffs et al., J. Am. Chem. Soc. 91, 3831 (1969). Naturally occurring (-) mesembrine from Sceletium tortuosum has been reported as having serotonin (5-HT) uptake inhibitory activity useful in treating mental health conditions such as mild to moderate depression. Naturally occurring (+)/(-) mesembrenone from Sceletium tortuosum is reported as a potent selective serotonin reuptake inhibitor (Ki = 27 nM).

(-) mesembrine (+)/(-) mesembrenone

Polymorphs, solvates and salts of various drugs have been described in the literature as imparting novel properties to the drugs. Organic small drug molecules have a tendency to self-assemble into various polymorphic forms depending on the environment that drives the self-assembly. Heat and solvent mediated effects can also lead to changes that transform one polymorphic form into another.

Identifying which polymorphic form is the most stable under each condition of interest and the processes that lead to changes in the polymorphic form is crucial to the design of the drug manufacturing process in order to ensure that the final product is in its preferred polymorphic form. Different polymorphic forms of an active pharmaceutical ingredient (API) can lead to changes in the drug's solubility, dissolution rate, pharmacokinetics and ultimately its bioavailability and efficacy in patients.

SUMMARY OF THE INVENTION

Described are solid forms of mesembrine (e.g., (-) mesembrine). In some embodiments, solid forms of mesembrine comprise the product of the processes disclosed herein. For example, in some embodiments, mesembrine compositions can be obtained by a process comprising the steps of (a) forming a solution of mesembrine in a solvent, (b) combining the solution from step (a) with a coformer, and (c) obtaining a solid form from the composition of step (b).

In some embodiments, the solid form is crystalline (e.g., a crystalline salt).

In some embodiments, the solid form comprises a coformer.

In some embodiments, the coformer is selected from the coformers in Table 4.

In some embodiments, a solid form salt or solvate of mesembrine (e.g., (-) mesembrine) is obtained by a process comprising the steps described in example 4. In some embodiments, a solid form salt or solvate is prepared according to example 4.

In some embodiments, a solid form is one of the solid forms described in example 4.

In some embodiments, a solid form salt or solvate of mesembrine (e.g., (-) mesembrine) is obtained by a process comprising the steps described in example 5.

In some embodiments, a solid form salt or solvate is prepared according to example 5.

In some embodiments, a solid form is one of the solid forms described in example 5.

In some embodiments, a solid form salt or solvate of mesembrine (e.g., (-) mesembrine) is obtained by a process comprising the steps described in example 6.

In some embodiments, a solid form salt or solvate is prepared according to example 6.

In some embodiments, a solid form is one of the solid forms described in example 6.

In some embodiments, a solid form salt or solvate of mesembrine (e.g., (-) mesembrine) is obtained by a process comprising the steps described in example 7.

In some embodiments, a solid form salt or solvate is prepared according to example 7.

In some embodiments, a solid form is one of the solid forms described in example 7.

In some embodiments, a solid form salt or solvate of mesembrine (e.g., (-) mesembrine) is obtained by a process comprising the steps described in example 8.

In some embodiments, a solid form salt or solvate is prepared according to example 8.

In some embodiments, a solid form is one of the solid forms described in example 8.

In some embodiments, a solid form salt or solvate of mesembrine (e.g., (-) mesembrine) is obtained by a process comprising the steps described in example 9.

In some embodiments, a solid form salt or solvate is prepared according to example 9.

In some embodiments, a solid form is one of the solid forms described in example 9.

In some embodiments, a solid form salt or solvate of mesembrine (e.g., (-) mesembrine) is obtained by a process comprising the steps described in example 10. In some embodiments, a solid form salt or solvate is prepared according to example

10.

In some embodiments, a solid form is one of the solid forms described in example 10.

In some embodiments, a solid form salt or solvate of mesembrine (e.g., (-) mesembrine) is obtained by a process comprising the steps described in example 11.

In some embodiments, a solid form salt or solvate is prepared according to example 11.

In some embodiments, a solid form is one of the solid forms described in example 11.

In some embodiments, a pharmaceutical composition comprises a solid form described herein; and a pharmaceutically acceptable excipient.

In some embodiments, a pharmaceutical composition is formed by a process comprising dissolving a solid form described herein.

In some embodiments, a method of treating a mental health disorder, comprises administering to a mammal in need thereof an effective amount of a solid form described herein or a pharmaceutical composition described herein. In some embodiments, the mental health disorder is anxiety, stress, or depression. In some embodiments, the mammal is a human.

BRIEF DESCRIPTION OF THE DRAWINGS

Figure 1 XRPD overlay of screening samples with 1 equiv. of glucose by slurry equilibration-RC2;

Figure 2 XRPD overlay of screening samples with 1 equiv. of Lactose by slurry equilibration-RC4;

Figure 3 ’ FHl¬-NMR spectrum of screening samples with 1 equiv. of Lactose by slurry equilibration-RC4;

Figure 4 1H-NMR spectrum of Lactose;

Figure 5 XRPD overlay of screening samples with 1 equiv. of L-lysine by slurry equilibration-RC5; Figure 6 XRPD overlay of screening samples with 1 equiv. of L-arginine by slurry equilibration-RC6;

Figure 7 XRPD overlay of screening samples with 1 equiv. of L-phenylalanine by slurry equilibration-RC7;

Figure 8 XRPD overlay of screening samples with 1 equiv. of meglumine by slurry equilibration-RC9;

Figure 9 XRPD overlay of screening samples with 1 equiv. of glycine by slurry equilibration-RC 10;

Figure 10 XRPD overlay of screening samples with 1 equiv. of nicotinamide by slurry equilibration-RCl 1;

Figure 11 XRPD overlay of screening samples with 1 equiv. of isonicotinamide by slurry equilibration-RC 12;

Figure 12 ’H-NMR spectrum of screening samples with 1 equiv. of isonicotinamide by slurry equilibration-RC 12;

Figure 13 'H-NMR spectrum of isonicotinamide;

Figure 14 XRPD overlay of screening samples with 1 equiv. of L-proline by slurry equilibration-RC 13 ;

Figure 15 XRPD overlay of screening samples with 1 equiv. of D-mannitol by slurry equilibration-RC 14;

Figure 16 XRPD overlay of screening samples with 1 equiv. of valerenic acid by slurry equilibration-RC 17;

Figure 17 XRPD overlay of screening samples with 1 equiv. of betulinic acid by slurry equilibration-RC 18;

Figure 18 XRPD overlay of screening samples with 1 equiv. of pamoic acid by slurry equilibration-RC 19;

Figure 19 XRPD overlay of screening samples with 1 equiv. of pamoic acid by slurry equilibration-RC29-l;

Figure 20 'H-NMR spectrum of screening samples with 1 equiv. of pamoic acid by slurry equilibration in ACN/pyridine (90:10, v/v)-RC29; Figure 21 XRPD overlay of screening samples with 1 equiv. of pamoic acid by slurry equilibration-RC29-2;

Figure 22 DSC thermogram of screening samples with 1 equiv. of pamoic acid by slurry equilibration-RC19;

Figure 23 'H-NMR spectrum of screening samples with 1 equiv. of Pamoic acid by slurry equilibration-RC19;

Figure 24 ’H-NMR spectrum of batch 2;

Figure 25 'H-NMR spectrum of Pamoic acid;

Figure 26 'H-NMR spectrum of screening samples with 0.5 equiv. of Pamoic acid by slurry equilibration-RC27;

Figure 27 XRPD overlay of screening samples with 1 equiv. of palmitic acid by slurry equilibration-RC21;

Figure 28 'H-NMR spectrum of screening samples with 1 equiv. of palmitic acid by slurry equilibration-RC21;

Figure 29 'H-NMR spectrum of palmitic acid;

Figure 30 XRPD overlay of screening samples with 1 equiv. of nicotinic acid by slurry equilibration-RC22;

Figure 31 XRPD overlay of screening samples with 1 equiv. of folic acid by slurry equilibration-RC24;

Figure 32 XRPD overlay of screening samples with 1 equiv. of biotin by slurry equilibration-RC25;

Figure 33 XRPD overlay of screening samples with 1 equiv. of isonicotinamide by slow evaporation-SE12; and

Figure 34 XRPD overlay of screening samples by salt metathesis.

DETAILED DESCRIPTION OF THE INVENTION

Applicants have discovered novel solid forms of mesembrine (e.g., (-) mesembrine). Although (-) mesembrine is bioactive with certain desirable pharmacologic effects, certain other properties are less than ideal for use as a therapeutic. Solid forms of mesembrine (e.g., crystalline salts of mesembrine) are described herein. In some embodiments, solid forms of mesembrine comprise the product of the processes disclosed herein. For example, in some embodiments, mesembrine compositions can be obtained by a process comprising the steps of (a) forming a solution of mesembrine in a solvent, (b) combining the solution from step (a) with a coformer, and (c) obtaining a solid form from the compositon of step (b). In some embodiments, solid forms of mesembrine comprise the product of the processes disclosed herein. For example, in some embodiments, mesembrine compositions can be obtained by a process comprising the step of (a) forming a solution of mesembrine in a solvent selected from the group consisting of an alcohol such as methanol, acetone/water or acetonitrile. In some embodiments, mesembrine compositions can be obtained by a process comprising the step of (b) combining the solution from step (a) with a coformer selected from the coformers in Table 2. In some embodiments, mesembrine compositions can be obtained by a process comprising the step of (c) obtaining a solid form from the composition of step (b) by a process selected from the group consisting of slurry equilibration, cooling, temperature cycle and slow evaporation.

Mesembrine can occur in solid forms as an amorphous solid form or in a crystalline solid form or in mixtures of solid forms. Crystalline solid forms of mesembrine can exist in one or more unique solid forms, which can additionally comprise one or more equivalents of water or solvent (i.e., hydrates or solvates, respectively).

Crystalline form(s) of mesembrine having distinct characteristic XRPD peaks are provided herein. Accordingly, provided herein are crystalline mesembrine solid forms, pharmaceutical compositions thereof, and methods of preparing those crystalline mesembrine solid forms and methods of use thereof.

In some embodiments, the solid form comprises mesembrine. In some embodiments, the solid form is crystalline. In some embodiments, the solid form comprises a coformer. In some embodiments, the coformer is selected from the coformers in Table 4.

In some embodiments, a solid form salt or solvate of mesembrine (e.g., (-) mesembrine) is obtained by a process comprising the steps described in example 4. In some embodiments, a solid form salt or solvate is prepared according to example 4. In some embodiments, a solid form is one of the solid forms described in example 4.

In some embodiments, a solid form salt or solvate of mesembrine (e.g., (-) mesembrine) is obtained by a process comprising the steps described in example 5. In some embodiments, a solid form salt or solvate is prepared according to example 5. In some embodiments, a solid form is one of the solid forms described in example 5.

In some embodiments, a solid form salt or solvate of mesembrine (e.g., (-) mesembrine) is obtained by a process comprising the steps described in example 6. In some embodiments, a solid form salt or solvate is prepared according to example 6. In some embodiments, a solid form is one of the solid forms described in example 6.

In some embodiments, a solid form salt or solvate of mesembrine (e.g., (-) mesembrine) is obtained by a process comprising the steps described in example 7. In some embodiments, a solid form salt or solvate is prepared according to example 7. In some embodiments, a solid form is one of the solid forms described in example 7.

In some embodiments, a solid form salt or solvate of mesembrine (e.g., (-) mesembrine) is obtained by a process comprising the steps described in example 8. In some embodiments, a solid form salt or solvate is prepared according to example 8. In some embodiments, a solid form is one of the solid forms described in example 8.

In some embodiments, a solid form salt or solvate of mesembrine (e.g., (-) mesembrine) is obtained by a process comprising the steps described in example 9. In some embodiments, a solid form salt or solvate is prepared according to example 9. In some embodiments, a solid form is one of the solid forms described in example 9.

In some embodiments, a solid form salt or solvate of mesembrine (e.g., (-) mesembrine) is obtained by a process comprising the steps described in example 10. In some embodiments, a solid form salt or solvate is prepared according to example 10. In some embodiments, a solid form is one of the solid forms described in example 10.

In some embodiments, a solid form salt or solvate of mesembrine (e.g., (-) mesembrine) is obtained by a process comprising the steps described in example 11. In some embodiments, a solid form salt or solvate is prepared according to example 11. In some embodiments, a solid form is one of the solid forms described in example 11.

In some embodiments, mesembrine solid form compositions comprise a product of any one of the processes disclosed herein. For example, in some embodiments, mesembrine compositions can be obtained by a process comprising the steps of (a) forming a solution of mesembrine in a solvent comprising methanol or acetonitrile (ACN), (b) combining the solution from step (a) with a conformer (e.g., 1 equiv. conformer), and (c) obtaining a solid form from the composition of step (b). In some embodiments, step (c) can comprise the step of adding L-phenyl alanine to the solution of step (b). In some embodiments, step (c) can comprise the step of adding valerenic acid or betulinic acid to the solution of step (b). In some embodiments, step (c) can comprise the step of adding acetone/water (e.g., 9: 1, v/v) to the solution of step (b). In some embodiments, step (c) can comprise the step of adding ACN/water (e.g., 95:5, v/v) to the solution of step (b). In some embodiments, step (c) can comprise the step of adding pamoic acid to the solution of step (b). In some embodiments, step (c) can comprise the step of adding acetone/water (e.g., 9: 1, v/v) to the solution of step (b). In some embodiments, step (c) can comprise the step of adding pamoic acid were added into 0.54 mL ACN/pyridine (e.g., 90: 10, v/v) or 0.5mL ACN/water/pyridine (e.g., 90:5:5, v/v) to the solution of step (b). In some embodiments, the mesembrine composition is obtained by a process further comprising step (d) of isolating the solid mesembrine composition from the solution of step (b) or step (c).

In some embodiments, the coformer in step (b) is an amino acid. In some embodiments, the conformer in step (b) is selected from glucose, choline, lactose, L-lysine, L-arginine, L-phenylalanine, urea, N-methyl-D-glucamine, glycine, nicotinamide, isonicotinamide, L-proline, D-mannitol, aminobenzoic acid, saccharin, valarenic acid, or betulinic acid. In some embodiments, the conformer in step (b) is selected from pamoic acid, naphthalene-2-sulfonic acid, palmitic acid, nicotinic acid, Vitamin C, folic acid, or biotin.

In some embodiments, the coformer is added as a 0.5-1.0 equiv. amount in step (b). In some embodiments, the coformer is added as 0.5, 0.8 or 1.0 equiv. amount in step (b). In some embodiments, the coformer is added as 1.0 equiv. amount in step (b).

In some embodiments, mesembrine solid form compositions comprise (-) mesembrine and one or more compounds selected from glucose, choline, lactose, L-lysine, L-arginine, L- phenylalanine, urea, N-methyl-D-glucamine, glycine, nicotinamide, isonicotinamide, L- proline, D-mannitol, aminobenzoic acid, saccharin, valarenic acid, and betulinic acid. In some embodiments, mesembrine solid form compositions comprise (-) mesembrine and sodium lauryl sulfonate.

In some embodiments, mesembrine solid form compositions comprise (-) mesembrine and a sugar. In some embodiments, mesembrine solid form compositions comprise (-) mesembrine and glucose, lactose, or D-mannitol. In some embodiments, mesembrine solid form compositions comprise (-) mesembrine and a choline. In some embodiments, mesembrine solid form compositions comprise (-) mesembrine and an amino acid. In some embodiments, mesembrine solid form compositions comprise (-) mesembrine and a glucose derivative. In some embodiments, mesembrine solid form compositions comprise (-) mesembrine and N-methyl-D-glucamine. In some embodiments, mesembrine solid form compositions comprise (-) mesembrine and niacin or a niacin derivative (e.g., nicotinamide or isonicotinamide). In some embodiments, mesembrine solid form compositions comprise (-) mesembrine and an aminobenzoic acid (e.g., PABA). In some embodiments, mesembrine solid form compositions comprise (-) mesembrine and saccharin. In some embodiments, mesembrine solid form compositions comprise (-) mesembrine and L-lysine, L-arginine, L- phenylalanine, glycine, or L-proline. In some embodiments, mesembrine solid form compositions comprise (-) mesembrine and valarenic acid. In some embodiments, mesembrine solid form compositions comprise (-) mesembrine and betulinic acid.

In some embodiments, a pharmaceutical composition comprises a solid form described herein; and a pharmaceutically acceptable excipient. In some embodiments, a pharmaceutical composition is formed by a process comprising dissolving a solid form described herein.

In some embodiments, a method of treating a mental health disorder, comprises administering to a mammal in need thereof an effective amount of a solid form described herein or a pharmaceutical composition described herein. In some embodiments, the mental health disorder is anxiety, stress, or depression. In some embodiments, the mammal is a human Pharmaceutical Compositions & Methods of Treatment

In some embodiments, pharmaceutical compositions comprising mesembrine, and pharmaceutically acceptable salts and hydrates thereof are provided. The pharmaceutical composition can comprise mesembrine in one or more solid forms provided herein, such as crystalline mesembrine in a hydrated or anhydrous solid form. A pharmaceutical composition, as used herein, refers to a mixture of mesembrine optionally further comprising other pharmaceutically acceptable components, such as carriers, stabilizers, diluents, dispersing agents, suspending agents, thickening agents, and/or excipients. The pharmaceutical composition can facilitate administration of the compound to a mammal, including compositions formulated for oral administration of mesembrine to a mammal (e.g., capsules or tablets).

In some embodiments, crystalline mesembrine is incorporated into pharmaceutical compositions to provide solid oral dosage forms. In other embodiments, crystalline mesembrine is used to prepare pharmaceutical compositions prepared for oral solid dosage forms. In some embodiments, the pharmaceutical composition comprises an active pharmaceutical ingredient (API) comprising, consisting essentially of, or consisting of mesembrine prepared under applicable Good Manufacturing Practice (GMP). For example, the pharmaceutical composition can be a batch composition comprising mesembrine, wherein the batch composition adheres to Good Manufacturing Practices (e.g., ICH Harmonised Tripartite Guideline, Good Manufacturing Practice Guide for Active Pharmaceutical Ingredients Q7, Current Step 4 version dated 10 Nov. 2010). More preferably, the GMP batch composition can be a homogenous blended batch comprising mesembrine. The FDA (Food and Drug Administration) provides applicable guidance on Good Manufacturing Practice (GMP) for the manufacturing of active pharmaceutical ingredients (APIs) under an appropriate system for managing quality. As used with respect to manufacture of API under GMP, “manufacturing” is defined to include all operations of receipt of materials, production, packaging, repackaging, labelling, relabelling, quality control, release, storage and distribution of APIs and the related controls. An “API Starting Material” is a raw material, intermediate, or an API that is used in the production of an API and that is incorporated as a significant structural fragment into the structure of the API. An API Starting Material can be an article of commerce, a material purchased from one or more suppliers under contract or commercial agreement, or produced in-house. API Starting Materials normally have defined chemical properties and structure.

The pharmaceutical compositions comprising mesembrine can be administered to patients in need thereof, to provide a therapeutically effective amount of a compound of mesembrine.

In practicing the methods of treatment or use provided herein, therapeutically effective amounts of mesembrine are administered in a pharmaceutical composition to a mammal having a disease, disorder, or condition to be treated. In some embodiments, the disease, disorder, or condition is a central nervous system disorder or an inflammatory condition. In some embodiments, pharmaceutical compositions reported herein can be provided in a unit dosage form container (e.g., in a vial or bag or the like). In some embodiments, methods of treating a patient suffering from a disease comprise administering to a patient a composition comprising a compound disclosed herein for the treatment or prevention of a mental health disorder. In some embodiments, methods of treating a patient suffering from a disease comprise administering to a patient a composition comprising a compound disclosed herein for the treatment or prevention of a diagnosed condition selected from anxiety and depression. In some embodiments, the compound disclosed herein is administered to the patient in a unit dose. In some embodiments, a method comprises the administration to a patient in need thereof of a therapeutically effective amount of a mesembrine composition for the treatment of a disease selected from the group consisting of mild to moderate depression and major depressive episodes. In some embodiments, a method comprises the administration to a patient in need thereof of a therapeutically effective amount of a mesembrine composition for the treatment of anxiety. In some embodiments, a method comprises the administration to a patient in need thereof of a therapeutically effective amount of a mesembrine composition for the treatment of depression. In some embodiments, a method comprises the administration to a patient in need thereof of a therapeutically effective amount of a mesembrine composition for the treatment of a condition selected from the group consisting of: anxiety associated with depression, anxiety with depression, mixed anxiety and depressive disorder. In some embodiments, a method comprises the administration to a patient in need thereof of a therapeutically effective amount of a mesembrine composition for the treatment of anxiety and hysteria or anxiety and depression.

In some embodiments, pharmaceutical compositions reported herein can be provided in an oral dosage form. In some embodiments, an oral dosage form of mesembrine can be a capsule. In some embodiments, an oral dosage form of mesembrine is a tablet. In some embodiments, an oral dosage form comprises a filler. In some embodiments, an oral dosage form comprises two fillers. In some embodiments, an oral dosage form comprises one or more fillers. In some embodiments, an oral dosage form comprises one or more disintegrants. In some embodiments, the oral dosage form comprises one or more lubricants. In some embodiments, an oral dosage form comprises one or more glidants, anti-adherents and/or anti-statics. In some embodiments, an oral dosage form is prepared via dry blending. In some embodiments, an oral dosage form is a tablet and is prepared via dry granulation. Examples

Unless otherwise indicated, the following abbreviations as used herein are defined as indicated in the charts below.

Example 1 - Startins material used for cocrystal screening

Table 1 Starting material

Example 2 Solubility screening

About 5 mg of batch 1 was weighed into a 2mL glass vial and aliquots of 20 pL of each solvent were added to get a clear solution. Max. volume of each solvent added was 1 mL. Approximate solubility was determined by visual observation at 25°C.

Based on the solubility results and previous experience, methanol, acetone/water (9: 1, v/v) and acetonitrile were selected as screening solvents.

Table 1 Approximate solubility at 25°C

Exp. ID Solvent Solubility (mg/mL, 25°C)

Example 3 In Silico rankins of cocrystal formers

Coformer selection: 15 coformers were selected to pursue potential cocrystal opportunities (Table 2). Table 2 Coformers used for cocrystal screening

Example 4 Screenins experiments

With the selected coformers and the selected solvents, slurry equilibration, cooling, temperature cycle and slow evaporation were applied as screening methods.

The screening results were summarized in Table 3, Table 4, Table 6, Table 8 and Table 9. All these cocrystal hits will be further characterized.

Example 5 Slurry equilibration Experiment-1 (Table 3)

1. 750-800 mg of batch 1 was dissolved into 4.8 ml of methanol or 4.5 mL of ACN. Obtained clear solutions were dispensed into 2 ml vials. 1 equiv. of coformers was added into the glass vial (RC2A-RC6A, RC7A-RC16A, RC2C-RC6C and RC7C-RC16C).

2. About 30mg of batch 2 and 1 equiv. of L-phenylalanine were added into MeOH or ACN in a 2mL glass vial, respectively.

3. About 30mg of batch 2 and 1 equiv. of valerenic acid or betulinic acid were added into MeOH or acetone/water (9:1, v/v) or ACN in a 2mL glass vial, respectively.

4. About 600 mg of batch 2 was dissolved into 6 ml of acetone/water (9: 1, v/v). Obtained clear solutions were dispensed into 2 ml vials. 1 equiv. of coformer was added into the glass vial (RC2B-RC6B and RC7B-RC16B).

Obtained above mixtures were stirred at 50°C for 1 hour and then at 25°C for 4 days.

Example 6 Slurry equilibration Experiment-2 (Table 6)

1. About 30mg of batch 2 and 1 equiv. of coformers were added into water in a 2mL glass vial, respectively. (RC19D-RC19E)

2. About 210 mg of batch 2 was dissolved into 2.1 ml of ACN/water (95:5, v/v). Obtained clear solutions were dispensed into 2 ml vials. 1 equiv. of coformer was added into the glass vial. (RC19E-RC24E) 3. About 30 mg of batch 2 was dissolved into 0.3 ml of water or ACN/water (95:5, v/v). Obtained solutions were dispensed into 2 ml vials. 1 equiv. of biotin was added into the glass vial. (RC25D and RC25E)

4. About 50 mg of batch 3 was dissolved into 0.3 ml of ACN/water (95:5, v/v). Obtained clear solutions were dispensed into 2 ml vials. 0.5 equiv. of pamoic acid was added into the glass vial. (RC27E)

5. The sample of RC27-E and additional 0.3 equiv. of pamoic acid were slurried in mother liquid of RC27-E, after stirred at 25°C for about 1 day. Additional 0.3 ml of ACN/water (95:5, v/v) was added into the glass vial. (RC28E)

Obtained above mixtures were stirred at 50°C for 1 hour and then at 25°C for 10-11 days.

Example 7 Slurry e uilibration Experiment-3 (Table 3)

1. About 50mg of batch 3 and 1 equiv. of pamoic acid were added into 0.54mL ACN/pyridine (90: 10, v/v) or 0.5mL ACN/water/pyridine (90:5:5, v/v) in a 2mL glass vial, respectively. Obtained mixtures were stirred at 50°C for 1 hour and then at 25°C.

Obtained suspensions were filtered through a 0.45pm nylon membrane filter by centrifugation at 14,000 rpm. Solids were analyzed by XRPD (Table 3, Table 4 and Table 5). Thin suspension samples were used for equilibration under temperature cycle attempting to obtain sufficient solids for characterization. Obtained clear solutions were placed at 5°C to get precipitate. If still no solids precipitate, then the solutions were treated by slow evaporation at ambient condition.

Table 3 Slurry equilibration- 1

Table 4 Slurry equilibration-2

Example 8 Coolins Experiments

The clear solutions obtained from slurry equilibration experiments were further cooled to 5°C. The results were summarized in Table 6 and Table 7.

Table 6 Cooling experiments- 1

Table 7 Cooling experiments-2

Explanation Not carried out. Example 9 Equilibration under temperature cycle

For samples with thin suspension obtained from slurry equilibration, they were further used for equilibration under temperature cycle between 5°C and 50°C. The results were summarized in Table 8.

Table 8 Equilibration under temperature cycle

Explanation Not carried out

Example 10 Slow evaporation

Clear solutions obtained from slow cooling experiments were further treated by slow evaporation under ambient condition.

The results were summarized in Table 9 and Table 10.

Table 9 Slow evaporation-1

Table 10 Slow evaporation-2

Explanation Not carried out.

Example 11 Salt metathesis

About 30mg ofbatch 2 was dissolved into 0.215 ml of water. (Thin suspension) 1.05 equiv. of HC1 (0.895mL) was added into the glass vial. (Clear solution) Then 1.0 equiv. of Sodium lauryl sulfonate slowly charged into the clear solutions. (Clear solution) 0.3mL of obtained clear solutions (Obtained from Slurry equilibration-2-2) were dispensed into 2 ml vials. 1.05 equiv. of HC1 (0.895mL) was added into the glass vial. (Clear solution) Then 1.0 equiv. of Sodium lauryl sulfonate slowly charged into the clear solutions. (Thin suspension) Obtained mixtures was stirred at 25ºC for 11 days.

Obtained suspensions were filtered through a 0.45pm nylon membrane filter by centrifugation at 14,000 rpm. Solids were analyzed by XRPD.

The screening results were summarized in Table 11.

Table 11 Salt metathesis

Explanation “AF”: Amorphous form.

Example 12 Characterization of cocrystal hits

According to the cocrystal screening results (Table 3), obtained cocrystal hits will be further characterized by DSC, TGA, 'H-NMR, IC, and KF. Example 13 Preparation of cocrystal candidates

Cocrystal candidates will be prepared to 500-1000 mg and evaluated in comparison of free form.

Example 14 Solubility

Accurate 20 mg of free form will be weighed into a 20 mL vial. For cocrystal 1, X mg (equal to 20mg free form) will be weighed into a 20 mL glass vial. lOmL aqueous buffer will be added, respectively. These suspensions will be stirred at 37°C with 400 rpm. These suspensions will be taken out at 2 hours and 24 hours, then centrifuged at 14,000 rpm for 5min. The supernatants will be analyzed by HPLC. Solids obtained (wet cakes) will be characterized by XRPD. Instrumentation and Methods

Unless otherwise indicated, the following instrumentation and methods were used in the working examples as described herein. Method 2 (About 4 min, for evaluation samples)

Method 3 (About 2 min, for cocrystal screening samples)

Differential Scanning Calorimetric (DSC) Thermal Gravimetric Analysis (TGA)

Dynamic Vapor Sorption (DVS)

Karl Fischer (KF)

Polarized Light Microscope (PLM)

Nuclear Magnetic Resonance (NMR) HPLC method Wave length:

Column:

Detector:

Column temperature:

Flow rate:

Mobile phase A:

Mobile phase B:

Diluent:

Injection volume:

Gradient:

Time (min) Mobile Phase A (%) Mobile Phase B (%)

INCORPORATION BY REFERENCE

All of the U.S. patents and U.S. patent application publications cited herein are hereby incorporated by reference. EQUIVALENTS

Those skilled in the art will recognize, or be able to ascertain using no more than routine experimentation, many equivalents to the specific embodiments of the invention described herein. Such equivalents are encompassed by the following claims.