Ritonavir (Kempf, D. J.; Marsh, K. C., Denissen, J. F.;
McDonald, E.; Vasavanonda, S.; Flentge, C. A.; Green, B. E.;
Fino, L.; Park, C. H.; Kong, X. P.; Wideburg, N. E.; Saldivar,
A.; Ruitz, L.; Kati, W. M.; Sham, H. L.; Robins, T.; Stewart,
K. D.; Hsu, A.; Plattner, J. J.; Leonard, J. M.; Norbeck, D. W.
Proc. Natl. Acad. Sci.
U.S.A.
1995, 92, 2484) is Abbott's novel
protease inhibitor, for human immunodeficiency virus (HIV),
the causative organism of acquired immunodeficiency syndrome
(AIDS). It is marketed as Norvir. From the discovery of
ritonavir until the new drug application (NDA) filing, only one
crystalline form was known to exist. Attempts to identify other
possible crystal forms were unsuccessful. Two years after the
launch of Norvir to the market, some lots of Norvir capsules
failed a dissolution specification. Investigation of this phenomena revealed the existence of a crystal form of ritonavir other
than the one already known (Form I). This new crystal form
was designated as Form II. The two crystal forms are polymorphs and differ substantially in their physical properties such
as solubility. In this article, we will discuss the challenges these
polymorphs created for the bulk drug substance as well as for
the formulation, and how we dealt with these challenges.