WO2013169007A1 - Sustained-release complex preparations for treating diabetes with improved drug compliance and method for preparing same - Google Patents

Sustained-release complex preparations for treating diabetes with improved drug compliance and method for preparing same Download PDF

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Publication number
WO2013169007A1
WO2013169007A1 PCT/KR2013/004039 KR2013004039W WO2013169007A1 WO 2013169007 A1 WO2013169007 A1 WO 2013169007A1 KR 2013004039 W KR2013004039 W KR 2013004039W WO 2013169007 A1 WO2013169007 A1 WO 2013169007A1
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WO
WIPO (PCT)
Prior art keywords
release
sustained
diabetes
treatment
carbomer
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PCT/KR2013/004039
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French (fr)
Korean (ko)
Inventor
어진
정현근
이종권
윤주용
신제용
Original Assignee
안국약품 주식회사
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Publication of WO2013169007A1 publication Critical patent/WO2013169007A1/en

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/20Pills, tablets, discs, rods
    • A61K9/2072Pills, tablets, discs, rods characterised by shape, structure or size; Tablets with holes, special break lines or identification marks; Partially coated tablets; Disintegrating flat shaped forms
    • A61K9/2086Layered tablets, e.g. bilayer tablets; Tablets of the type inert core-active coat
    • A61K9/209Layered tablets, e.g. bilayer tablets; Tablets of the type inert core-active coat containing drug in at least two layers or in the core and in at least one outer layer
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/13Amines
    • A61K31/155Amidines (), e.g. guanidine (H2N—C(=NH)—NH2), isourea (N=C(OH)—NH2), isothiourea (—N=C(SH)—NH2)
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/20Pills, tablets, discs, rods
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P3/00Drugs for disorders of the metabolism
    • A61P3/08Drugs for disorders of the metabolism for glucose homeostasis
    • A61P3/10Drugs for disorders of the metabolism for glucose homeostasis for hyperglycaemia, e.g. antidiabetics

Definitions

  • the present invention relates to a combination preparation for treating sustained release diabetes mellitus with improved dose compliance and a preparation method thereof.
  • Type 2 diabetes also called adult diabetes, insulin-independent diabetes, or diabetes mellitus, is a disease in which the body processes and uses carbohydrates, fats, and proteins. Each of these nutrients is a source of glucose and serves as the body's most basic energy source.
  • glucose enters the cells of the body with the help of insulin.
  • Insulin produced by the pancreas, acts as a gatekeeper.
  • Glucose enters the cells of the body with the help of insulin, and without insulin, glucose cannot cross the cell wall. Thus, cells rely on inefficient fuels for energy.
  • Crab type 2 diabetes occurs when cells do not effectively react to the insulin produced by the pancreas. This condition is called insulin resistance. People with insulin resistance initially produce more insulin to maintain normal blood sugar.
  • Type 2 diabetes part of a disease known as metabolic syndrome, was originally called icicle X, a collection of symptoms that increase the risk of developing heart disease and stroke.
  • Risk factors that constitute metabolic syndrome include obesity, insulin resistance accompanied by elevated blood glucose, elevated blood insulin levels, high blood pressure, elevated triglycerides, and low concentrations of high-density lipoproteins. These problems often occur simultaneously and Has a genetic or metabolic association Metabolic syndrome and type 2 diabetes are both risk factors for the development of heart disease, stroke and peripheral arterial disease.
  • sulfonyl urea drugs have been mainly used, and such drugs include drugs such as glyclazide and glimepiride.
  • Sulfonylurea-based drugs have a mechanism to regulate hyperglycemia by gradually increasing insulin secretion from beta cells.
  • long-term use of sulfonylurea-based drugs has side effects such as hypoglycemia, weight gain, and deterioration of blood lipid status.
  • drug resistance occurs during long-term use, which requires co-administration of the drug.
  • Such a combination drug for treating diabetes may include aguanide-based metformin, sulfonylurea-based glimepiride, glyburide, acarbose, alpha-glucosidase inhibitors such as acarbose, bolibos, migrile, or thiazolidinedine, and troglitazone, Rosiglitazone and the like can be used.
  • metformin is a biguanide type 2 diabetes treatment, and a typical dosage is 500 to 1000 mg orally 2-3 times a day. It is known to be slowly and incompletely absorbed by the gastrointestinal tract and mainly absorbed in the upper intestine. The half-life of blood is known to be 2-6 hours.
  • the drug itself has a very high solubility, very low absorption, and a short half-life.
  • glymepyride is a sulfonylurea type 2 diabetes treatment agent, and a typical dosage is orally administered 1 to 2 nig once a day. It is almost completely absorbed by the gastrointestinal tract, and the drug half-life by continuous administration is about 9 hours, and the half-life of the drug itself is long, so that the drug is absorbed by rapid drug release.
  • the drug is put into the body to maintain a constant blood concentration above the effective concentration can maximize the therapeutic effect of the drug.
  • the metformin-glymepiride combination should be a combination formulation that has a sustained release of the drug from the formulation in the case of metformin with a short blood retention time of the drug, and an immediate release of the drug from the formulation in the case of glymepiride, which has a long blood retention time.
  • each drug concentration can be kept constant in the blood to obtain an appropriate therapeutic effect.
  • the conventional method of blood citron time of the drug is to prepare other drugs in a single preparation are short drug in the blood retention time is long portion and a blood retention time to allow the release of the drug can be slowly drug is rapid drug release This is made by separately preparing the parts to be made by compression molding into a single tablet.
  • W02003 / 026637 adds an immediate release composition comprising a long-term functional sulfonylurea and a release control composition comprising a biguanide.
  • a dosage form for treating diabetes and conditions associated therewith is disclosed.
  • US Patent Nos. 6, 682 and 759 do not separate each drug layer so that drug release requiring rapid release of the outer layer is prevented by the high viscosity polymer of the inner layer to properly obtain the desired rapid release. There is a problem that can not be.
  • International Publication No. W02003 / 026637 also provides dosage forms for treating diabetes and related conditions further comprising an immediate release composition comprising a long-acting sulfonylurea and a release control composition comprising a biguanide. Is disclosed.
  • the water-insoluble coating layer must use an organic solvent such as methanol, isopropyl alcohol, methylene chloride, acetone in order to dissolve or disperse the coating material, which is at least 100 times higher than the raw material price.
  • facilities in the manufacturing process require explosion-proof facilities to prevent the risk of explosion caused by organic solvents.In addition to the discharge of organic solvents, facilities for treating organic solvents in air and organic solvents in sewage treatment facilities are required. This is necessary. This will cost several hundred million won.
  • 2006-0051510 discloses a) metformin or its pharmaceutical An inner layer comprising an acceptable salt, a swellable polymer and a pharmaceutically acceptable excipient; b) an interlayer comprising a water soluble polymer, free of drugs; And c) an outer layer comprising a sulfonylurea-based drug and a release modulator, wherein the swellable polymer is a high-viscosity cellulose derivative (example: hydroxymethyl sallo).
  • the inventors of the present invention are effective in that each drug is effectively released without interfering with each other even if two different drugs requiring different dissolution patterns as immediate and sustained releases because of different blood retention times are used as one agent. It is possible to make the effective blood concentration maintenance time of constant, and to reduce the size of tablets, it is easy for elderly people to take it.
  • An object of the present invention is to maintain the effective blood concentration of the drug by taking only once a day, the two drugs with different release patterns do not interfere with each other in the drug release effectively and elute effectively, reducing the size of the elderly
  • the present invention is to provide a sustained release diabetes mellitus formulation that is easy for patients to take the drug.
  • An inner layer comprising a carrier and a pharmaceutically acceptable excipient
  • a sustained release treatment of diabetes characterized in that: C) a sulfonylurea-based drugs, and in a combined preparation for the treatment of diabetes for oral administration comprising an outer layer comprising a controlled release material, to use a carbomer as the sustained release carrier Provide a combination formulation.
  • a combination preparation for treating diabetes comprising an inner layer, an intermediate layer containing metformin, and an outer layer containing a sulfonylurea-based drug
  • a combination preparation for treating diabetes which is conventionally used by using a carbomer as a sustained release carrier of the inner layer It shows an emission pattern equivalent to that of Jane Amaryl Mex, and the sustained release carriers are mostly decomposed after 24 hours, and do not cause gastrointestinal disorders.
  • Example 1 is a photograph showing a sustained release tablet prepared according to Example 1 of the present invention and a conventional preparation for treating diabetes mellitus.
  • Figure 2 is a graph showing the dissolution test results for metformin in eluate pH 6.8 of the sustained-release tablet prepared in Example 1 of the present invention and the conventional combination therapy for diabetes treatment
  • Figure 3 is a graph showing the dissolution test results for glymepiride in the eluate pH 6.8 of the sustained-release tablet prepared in Example 1 of the present invention and the conventional preparation for treating diabetes mellitus.
  • Figure 4 is a graph showing the dissolution test results for metformin in the eluate pH 6.8 of the sustained-release tablet prepared in accordance with Examples 1 and 4-7 of the present invention and the conventional combination therapy for diabetes treatment.
  • Figure 5 is a graph showing the dissolution test results for metformin in the eluate pH 6.8 according to the sustained release carrier of the sustained release tablet prepared according to the present invention.
  • an inner layer comprising metformin or a pharmaceutically acceptable salt thereof, a sustained release carrier and a pharmaceutically acceptable excipient
  • a combination preparation for diabetes treatment for oral administration comprising an outer layer comprising a sulfonylurea-based drug and a release control agent, wherein the combination preparation for treating sustained-release diabetes is characterized in that a carbomer is used as the sustained release carrier.
  • the amount of metformin or a pharmaceutically acceptable salt thereof is preferably 55 ⁇ 60 weight 3 ⁇ 4 to the total weight of the inner layer ⁇ more preferably, 250 mg to oo mg is added, Even more preferably, 1000 mg of 500 i j fl may be added.
  • the pharmaceutically acceptable salt of metformin is, for example, hydrochloride, succinate, fumarate, bromate, P-chlorophenoxyacetate or embonate, preferably hydrochloride.
  • the sulfonylurea-based drug is, for example, glymepiride glyburide, glyclagit, glyborneuride, glynuxamide, fenbutamide, llaramide, ebutamide , Cyclamide, carbutamide, chlorpropamide or pharmaceutically acceptable salts thereof can be used.
  • glymepiride with a high frequency of clinical application can be used.
  • the glymepyride is preferably included in an amount of 1 mg to 8 mg, more preferably 1 mg to 2 mg.
  • the sustained release carrier is a release controlling substance for releasing drugs in the inner layer by constituting the inner layer, and it is preferable to use a hydrophilic carbomer as the sustained release carrier.
  • the carbomer was found to release the drug slowly in the inner layer than other sustained release carriers (hydroxypropylmethylcellose (HPMC), polyethylene oxide (PE0), etc.), Since the drug is released within 24 hours after drug release, it does not cause gastrointestinal disorders and the like, and thus can be usefully used as a sustained release carrier.
  • HPMC hydroxypropylmethylcellose
  • PE0 polyethylene oxide
  • the carbomer used as the hydrophilic sustained release carrier in the present invention is preferably a granular carbomer having a viscosity of 4,00 11,000 centipoas (cps). If a powder type carbomer is used, there is a problem in that the fluidity is low and the machine is disturbed during mass production.
  • the carbomer may be used in an amount of 10 to 25% by weight relative to the total weight of the inner layer.
  • the present invention may further include polyethylene oxide and / or hydroxypropylmetholose in the carbomer as an auxiliary substance for improving processability or controlling drug release.
  • the polyethylene oxide may be used having an average molecular weight of 100, 000-7,000, 000, it may be used by mixing two or more polyethylene oxide of different molecular weight.
  • the hydroxypropyl methyl cellulose may be used a polymer having a viscosity of 4,000-100,000 centipoise.
  • the pharmaceutically acceptable excipient may be at least one component selected from microcrystalline cellulose, di-mannitol, lactose and magnesium stearate.
  • the intermediate layer containing the water-soluble polymer is formed in the outer layer before the drug release of the outer layer is inhibited by the high viscosity polymer in the inner layer when the agent is exposed to the dissolution medium. By stripping, the two cases are quickly separated and the release of the drug from the outer layer is controlled quickly to minimize the effect of the inner and outer layers on each other's release.
  • the intermediate layer also minimizes the effects on the drug stability of each other that can occur when the two drugs are formulated and stored for a long time.
  • the water polymer which is the main component of the intermediate layer to perform this action, is preferably a polymer having a viscosity of 6 centipoise or less.
  • the water-soluble polymer is preferably a polymer having a viscosity of 6 centipoise or less.
  • HPMC Hydroxypropylmethyl Cellulose
  • CMC Carboxymethyl Cellulose
  • MCC Microcrystalline Cellulose
  • Ethyl Cellulose Ethyl Cellulose
  • MC Methyl Salulose
  • HPC Hydroxypropyl Cellulose
  • the release controlling agent is preferably a polymer having a viscosity of 6 centipoise or less. Also preferred are water soluble to hydrophilic polymers, particularly preferably water soluble polymers.
  • the release control agent for example, a cotton noodle, hydroxypropyl methyl cellulose (HPMC), carboxymethyl cellulose (CMC) microcrystalline cellulose (MCC), ethyl cellulose (EC), methyl cellulose ( MC), hydroxypropyl cellulose (HPC),
  • HPMC hydroxypropyl methyl cellulose
  • CMC carboxymethyl cellulose
  • MCC microcrystalline cellulose
  • EC ethyl cellulose
  • MC methyl cellulose
  • HPC hydroxypropyl methyl cellulose
  • HPC hydroxypropyl cellulose
  • HPMCP Hydroxypropylmethylcellulose phthalate
  • One or more components selected from cellulose derivatives such as hydroxypropylmethylmethyl cellulose acetate succinate (HPMCAS) and polymethacrylate can be used. It is preferable to use the water-based coating which uses water as a water-soluble coating liquid at the time of forming a thick layer and forming an outer layer of the formulation of this invention. In forming the outer layer, the hydrophobic drug is homogeneously dispersed in the solution, Surfactants, fatty acids, oils, polyethylene glycols, alcohols, or propylene glycols may be used in combination with the coating material for rapid release.
  • the surfactant is 0.1 to 10% by weight of sodium lauryl sulfate, Preferably it can be used in the range of 0.1 to 5% by weight.
  • Preparation of the coating liquid may be carried out according to a conventional method for preparing a coating liquid.
  • the coating solution may include a pigment and a shielding agent. ;
  • the co-formulation according to the present invention has an intermediate layer of water-soluble polymers, and thus does not affect the release of drugs of different layers, so that the drug release from the vortex is much faster, and the drug release from each other becomes effective, resulting in effective use of individual drugs.
  • the blood concentration maintenance time can be made constant, and also the stability of the drug can be maintained higher.
  • the formulation of the present invention is not a multi-layered tablet, but forms a drug layer for different drugs in the form of a coating, which is less expensive to produce than the multi-layered tablets.
  • the use of waterborne coatings eliminates the need for explosion-proof facilities, reduces production costs, and can be manufactured without environmental pollution and without adverse effects on workers, and can be administered to long-term patients without the side effects of residual solvents.
  • the preparation of the present invention exhibits a release pattern equivalent to that of Amaryl Mex, which is a conventional combination therapy for diabetes treatment, by using carbomer as a sustained release carrier, and does not cause gastrointestinal tract obstruction as most of the sustained release carriers are decomposed after 24 hours, By minimizing the weight of the tablet to reduce the size of the tablet is easy to take, thus increasing the patient's dose.
  • the manufacturing method of the composite preparation according to the present invention for example.
  • metformin preparations such as granules, tablets and pills can be used. It may be prepared by a conventional method for preparing a sustained release formulation. That is, the inner layer may contain metformin or a pharmaceutically acceptable salt thereof and a pharmaceutically acceptable excipient with water. It can be prepared by adding a mixer to the homogenous dispersion, homogeneously dispersing it, forming it into granules, drying and preparing granules of a predetermined size and then compression-mixing the sustained release carrier and a pharmaceutically acceptable excipient after mixing.
  • the intermediate layer may be prepared by coating a waterborne polymer solution previously dissolved in water on an inner layer introduced into a coating apparatus.
  • the outer layer is first disperse the drug, surfactant, and pigment or shielding agent in water through a dispersing device and then uniformly disperse it in a water-soluble polymer solution dissolved in water, and then stir the insects coated with intermediate insects while continuing stirring.
  • a combined preparation of the invention composition is preferably administered orally in the form of a tablet.
  • Preferred dosages of the co-formulations of the invention vary depending on the condition and weight of the patient, the extent and duration of the disease, but may be appropriately selected by those skilled in the art. Administration is preferably performed once a day.
  • metformin Homogeneously mix hydroxypropylmethylcellose, microcrystallinecelloseose, A portion of hydroxypropylmethylsalose was mixed with a binder solution dissolved in purified water to form granules. The resulting granules were dried in a fluid bed dryer and sieved through a No. 30 mesh sieve. Carbomer and polyethylene oxide were added thereto and mixed for 30 minutes. Finally, magnesium stearate was mixed with a No. 30 mesh sieve in a mixer for 10 minutes and then compressed to obtain a metformin inner layer.
  • Ethane and hydroxypropyl methylcellose and polyethylene glycol were dissolved in purified water to prepare a coating solution.
  • the mixed composition was sprayed to the inner layer in a tablet coating machine after passing through No. 120 mesh sieve and coated
  • the metformin-glymepiride complex preparation was prepared in the same manner as in Example 1 except for using the composition shown in Table 1 below. Table 1
  • FIG. 1 is a photograph showing a sustained-release tablet prepared according to Example 1 of the present invention and a conventional preparation for treating diabetes (Amaryl Mex).
  • the combination preparation according to the present invention was found to reduce the size of the tablet compared to Amaryl Mex tablet of Handok Pharmaceutical by minimizing the weight of the inner layer using a carbomer having a low molecular weight as a sustained release carrier.
  • the Amaryl Mex tablet of Handok Pharmaceutical Co., Ltd. was 20.0 mm in length and 8.9 mm in width, whereas the combined preparation according to the present invention was 18.5 mm in length and 8.4 mm in width. The size was probably smaller than the € Mex tablet. Since the combination preparation prepared according to the present invention is smaller in size than the conventional preparation for treating diabetes, it is also taken by elderly patients. It is easy.
  • the dissolution test was performed on the formulation and the reference agent of Example 1 using the eluate of 1 6.8 under the condition of 50 rpm of paddle (Paddle) by the comparative dissolution test method of the drug equivalence criteria to see the drug release pattern according to the biological conditions. It was.
  • the dissolution test was carried out by diluting the metformin and glymepiride dissolution rate, as a reference formulation was used 'Amaryl Mex' of Handok medicine used as a conventional combination therapy for diabetes treatment.
  • Figure 2 is a graph showing the dissolution test results for metformin in the eluate pH 6.8 of the sustained release tablet prepared according to Example 1 of the present invention and a conventional combination therapy for treating diabetes.
  • Figure 3 is a graph showing the dissolution test results for glymepiride in the eluate pH 6.8 of the sustained-release tablet prepared in Example 1 of the present invention and the conventional combination therapy for diabetes treatment.
  • the composite formulation prepared according to the present invention showed an elution pattern equivalent to the reference formulation.
  • the dissolution rate for metformin in Examples 1 and 4 ′ 7 was also measured and shown in FIG. 4.
  • Figure 4 is a graph showing the dissolution test results for metformin in the eluate pH 6.8 of the sustained-release tablet prepared in accordance with Examples 1 and 4-7 of the present invention and the conventional combination therapy for diabetes treatment.
  • the combination preparation prepared according to the present invention exhibits an elution pattern equivalent to that of the reference preparation (Amaryl Mex), thereby controlling rapid release of the drug over time and enabling continuous release. It can be seen that the emission concentration increases up to 12 hours.
  • the following test was carried out to determine the change in the dissolution rate of the inner layer (sustained release layer) according to the type of the sustained release carrier.
  • Figure 5 is a graph showing the dissolution test results for metformin in the eluate pH 6.8 according to the sustained release carrier of the sustained release tablet prepared according to the present invention.
  • the carbomer when used as the sustained release carrier of the inner layer in the preparation of the composite formulation, the same weight of other hydrophilic sustained release carriers (hydroxypropylmethylcellose polyethylene oxide) It has been shown to delay dissolution rate. Therefore, it can be seen that the use of carbomer as a sustained release carrier in the composite preparation according to the present invention is effective in lowering the dissolution rate.
  • Experimental Example 4 Formulation Degradation Test According to Sustained Release Carrier Type
  • the following test was performed to determine the degree of degradation after administration of the preparation according to the type of sustained release carrier.
  • Example 1 prepared according to the present invention and Amaryl Mex tablet of Handok Pharmaceutical Co., Ltd., which is used as a conventional combination preparation for diabetes treatment, were placed in an eluate having a pH of 6.8 to observe the form of the preparation over time.
  • Shown in Figure 6 is a photograph showing the change in the shape of the sustained-release tablet over time during the dissolution test in the eluate pH 6.8 of the sustained-release tablet prepared in accordance with the present invention and the conventional formulation for treating diabetes.
  • the Amaryl Mex tablet of Handok Pharmaceuticals expands without melting over time, and may maintain gastrointestinal disorders by maintaining its form after 24 hours, but the combination preparation according to the present invention
  • carbomer as a sustained release carrier causes the preparation to dissolve and decompose upon release of the drug and most of the decompose after 24 hours, causing no concern for gastrointestinal disorders. Therefore, the present invention is a combination preparation for treating diabetes, comprising an inner layer, an intermediate layer, and an outer layer, including a sulfonylurea-based drug, including metformin, wherein the carbomer is used as a sustained release carrier of the inner layer.
  • a combination preparation for treating diabetes comprising an inner layer, an intermediate layer containing metformin, and an outer layer containing a sulfonylurea-based drug
  • a combination preparation for treating diabetes which is conventionally used by using a carbomer as a sustained release carrier of an inner insect, It shows an emission pattern equivalent to that of Jane Amaryl Mex and does not cause gastrointestinal tract obstruction as most of the sustained release carriers are decomposed after 24 hours. Therefore, it may be useful for the preparation of sustained-release diabetes combinations.

Abstract

The present invention relates to sustained-release complex preparations for the treatment of diabetes with improved drug compliance and to a method for preparing same. More particularly, the present invention relates to sustained-release complex oral preparations for the treatment of diabetes, which comprise: a) an inner layer that includes Metformin or pharmaceutically acceptable salts thereof, sustained-release carriers and a pharmaceutically acceptable excipient; b) an intermediate layer that does not include drugs and that includes a water-soluble polymer; and c) an outer layer that includes sulfonylurea-based drugs and a control release formulation, wherein Carbomer is used as the sustained-release carriers. According to the present invention, complex preparations for the treatment of diabetes, comprising the inner layer including Metformin, the intermediate layer and the outer layer including sulfonylurea-based drugs, use Carbomer as the sustained-release carriers of the inner layer, thus exhibiting the same release pattern as that of Amaryl Mex which has been used in conventional complex preparations for the treatment of diabetes. Furthermore, the greater part of the sustained-release carriers is decomposed after 24 hours, thus avoiding gastrointestinal tract disorders. The weight of the inner layer is minimized to reduce the size of a tablet to allow for ease of medicine taking, thus improving drug compliance of a patient.

Description

【명세서 】  【Specification 】
【발명의 명칭 】  【Name of Invention】
복용순응도가 향상된 서방성 당뇨병 치료용 복합제제 및 이의 제조방법  Administration of sustained release diabetes with improved compliance and preparation method
【기술분야 】 【Technical Fields】
본 발명은 복용순응도가 향상된 서방성 당뇨병 치료용 복합제제 및 이의 제조방법에 관한 것이다. 【배경기술 】  The present invention relates to a combination preparation for treating sustained release diabetes mellitus with improved dose compliance and a preparation method thereof. Background technology
2형 당뇨병은 성인형 당뇨병, 인슐린 비의존형 당뇨병, 또는 당뇨병으로 불리는 병으로, 우리 몸에서 탄수화물, 지방, 단백질을 처리하고 이용하는 과정에 이상이 생기는 병이다. 이들 영양소는 각각 포도당의 원료로서 신체의 가장 기본적인 에너지원 역할을 한다. 우리 몸에서 포도당은 인슐린의 도움으로 체내 세포로 들어가는데 췌장에서 생성되는 인술린은 문지기와 같은 역할을 한다. 포도당은 인슬린의 도움으로 체내 세포로 들어가며 , 인슬린이 없다면 포도당은 세포벽을 통과할 수 없다. 따라서 세포는 에너지를 얻기 위해서 비효율적인 연료에 의존하게 된다. 게 2형 당뇨병은 세포가 췌장에서 생성된 인술린에 효과적으로 반웅하지 않는 경우에 발생하는데 이러한 상태를 인슐린 저항성이라고 부른다. 인슬린 저항성이 있는 사람들은 처음에는 정상적인 혈당을 유지하기 위해 추가적으로 더 많은 인슐린을 생산한다 . 그러나 결국 인술린 저항성이 진행하여 췌장이 인슐린 요구량올 감당할 수 없게 되고, 혈당이 상승하게 되는 것이다ᅳ 약 95%의 당뇨병 환자들이 제 2형 당뇨병 환자이며, 40세 이상의 사람들에게 호발하고 가족 내에서 발병하는 경향이 있다. 2형 당뇨병은 대사증후군으로 알려져 있는 질환의 한 부분으로 원래는 신드름 X라고 불렸는데, 심장병과 뇌졸중의 발생 위험을 증가시키는 증후들을 모아서 대사성증후군이라고 부르게 되었다. 대사증후군을 구성하는 위험인자들로는 비만 , 혈당 상승을 동반하는 인슐린 저항성, 혈중 인슐린 농도의 상승, 고혈압, 중성지방의 상승과 낮은 농도의 고밀도 지단백 등이 있다. 이들 문제는 흔히 동시에 발생하고 서로 유전적 또는 대사적인 연관성을 가지고 있다. 대사증후군과 제 2형 당뇨병은 모두 심장 질환, 뇌졸중 그리고 말초동맥질환 발생의 위험요인이다. 이러한 당뇨병의 치료제로서, 기존에는 설포닐우레아계 (sulfonyl urea) 약물이 주로 이용되었으며, 이러한 약물로는 글리클라짓 (glyclazide), 글리메피리드 (glimepiride) 등의 약물들이 있다. 설포닐우레아계 약물은 베타세포로부터 인슐린 분비를 점차적으로 늘리는 방법을 통해 고혈당증을 조절하는 기전을 가지고 있다. 그러나 설포닐우레아계 약물의 장기복용시에 저혈당 유발, 체중의 증가, 혈중지질상태 악화 등의 부작용이 있다. 또한 장기 복용시 약물의 내성이 발생하여 약물의 병용투여가 필요하다. 이러한 이유로, 설포닐우레아계 약물과 최근 병용투여되는 약물로 비구아니드 약물이 있으며, 이 약물은 약물학적 기전의 차이로 인한 할당조절 기능이 서로 상승적임을 확인하고, 이러한 상승효과를 이용하여 병용투여하는 방법이 임상적으로 시행되었다. 그러나 두 가지 이상의 경구용 혈당강하제를 사용할 경우 이들의 약물특성이 달라 복용방법이 다른 경우가 빈번하므로 장기복용 환자의 약물복용에 대한 순웅도가 높지 않다. 이에, 약물의 혈중유지시간이 다른 약물을 하나의 복합제제로 제조하고자 하는 시도가 이루어져 왔다. 실제로 경구용 혈당강하제의 병용요법에서 투여방식에 따른 환자의 복용순웅도를 비교한 연구에 따르면 각각을 따로 복용한 피험자군의 순웅도는 54%에 머무르는데 비해 복합제를 복용한 피험자군의 순웅도는 77%로 나타나 복합제가 장기간 병용요법에 있어 실질적 이득을 줄 수 있음이 입증된 바 있다. 이러한 당뇨병 치료용 복합제제는 비구아니드계의 메트포르민 등, 설포닐우레아계의 글리메피리드, 글리부라이드 등, 알파글루코시다제 억제제의 아카보스, 보글리보스, 미그리를 등 또는 티아졸리디네디은제제 중 트로글리타존, 로시글리타존 등이 이용될 수 있다. 예를 들면, 메트포르민은 비구아니드계의 제 2형 당뇨병치료제로서 통상적인 투여용량은 1일 2 - 3회 500 내지 1000 mg을 경구투여한다. 위장관에서 천천히 불완전하게 흡수되며 주로 장관상부에서 흡수가 이루어지는 것으로 알려져 있다. 혈중 반감기는 2 - 6 시간으로 알려져 있으며 약물자체의 용해도는 매우 높고 흡수는 매우 낮으며 약물 반감기가 짧아 약물을 천천히 방출시키는 서방형으로의 제제화가 필요하다. 반면, 예를 들면 , 글리메피리드는 설포닐우레아계의 제 2형 당뇨병치료제로서 통상적인 투여용량은 1일 1회 1 내지 2 nig을 경구투여한다. 위장관에서 거의 완전히 흡수되며 지속적인 투여에 의한 약물반감기는 약 9시간으로 약물자체의 반감기가 길어 신속한 약물방출에 의한 약물흡수가 필요하나 약물의 용해도가 매우 낮아 용해도를 높여 빠른 용출이 되도록 해야 한다. 그런데 , 일반적으로 약물은 체내에 투입되어 유효농도 이상의 혈중농도를 일정하게 유지시켜야 약물의 치료효과를 극대화시킬 수 있다. 따라서 메트포르민과 글리메피리드 복합제제는, 약물의 혈중유지시간이 짧은 메트포르민의 경우는 제제로부터 약물의 지속적인 방출이 이루어지고 약물의 혈중유지시간이 긴 글리메피리드의 경우에는 제제로부터 약물의 즉각적인 방출이 이루어지는 복합제제이어야 실제 각각의 약물 농도를 혈중에서 일정하게 유지할 수 있어 적절한 치료효과를 얻을 수 있다. ' 그런데 약물의 혈중유자시간이 다른 약물을 하나의 제제로 제조하고자 하는 종래의 방식은 혈중유지시간이 짧은 약물은 약물의 방출이 서서히 이루어질 수 있게 하는 부분과 혈중유지시간이 긴 약물은 빠른 약물방출이 이루어질 수 있게 하는 부분으로 따로 제조하여 하나의 정제로 압축 성형하여 제조하는 것이다. 그러나 이렇게 따로 제조하여 하나의 정제로 압축성형하여 제조하는 경우는 다층정을 제조할 수 있는 특수한 타정기를 필요로 하게 되고, 원활한 압축성형을 위해 필요이상의 부형제를 사용하게 되어 정제의 크기가 커지게 되며 약물의 양이 매우 적은 경우 일정한 약물함량을 가지는 정제를 얻기 힘든 문제점이 있었다. 이러한 문제점을 해결하고자 하는 시도가 있었는 바, 미국특허 제 6, 682,759호에는 즉시방출층과 지속방출층 두 가지로 구성된 정제로 즉시방출층을 지속방출정제에 피복하여 제조하는 방법이 개시되어 있으며, 국제공개번호 W02003/026637에는 장기간 작용성 술포닐우레아를 포함하는 즉시 방출조성물 , 그리고 비구아니드를 포함하는 방출제어 조성물을 추가로 포함하는, 당뇨병 및 그와 관련된 상태를 치료하기 위한 투여형태에 대하여 개시되어 있다. 하지만, 미국특허 제 6, 682, 759호의 경우 각각의 약물층이 서로 분리되어 있지 않아 외층의 속방출을 요하는 약물방출이, 내층의 고점도 고분자중합체에 의해 방해받아 목적으로 하는 속방출을 제대로 얻을 수 없다는 문제점이 있다. 또한 국제공개번호 W02003/026637에는 장기간 작용성 설포닐우레아를 포함하는 즉시 방출조성물, 그리고 비구아니드를 포함하는 방출제어 조성물을 추가로 포함하는 당뇨병 및 그와 관련된 상태를 치료하기 위한 투여형태에 대하여 개시되어 있다. 상기 특허에서는 수불용성 중합체 중간층을 일부 언급하고 있으나, 실질적으로 수불용성 중간층의 존재는 내층의 약물방출을 지나치게 서방화하여 최종적으로 목적으로 하는 약물방출양상을 얻기 힘들다 . 또한 수불용성 코팅층은 코팅물질을 녹이거나 분산시키기 위해 반드시 에탄을, 메탄올, 이소프로필알콜, 메틸렌클로라이드, 아세톤등의 유기용매를 사용해야 하는데 이는 물에 비해 원료가격이 최소한 100배 이상 높아지게 된다. 이외에도 제조과정 중의 설비는 유기용매에 의한 폭발위험을 방지하기 위한 방폭시설을 필요로 하며 유기용매의 배출과 관련해서도 공기중의 유기용매처리를 위한 시설과 하수중의 유기용매처리를 위한 처리시설이 필요하게 된다. 이는 수 억원의 설비비가 소요된다. 그러나 처리과정을 거치더라도 환경의 오염원이 될 수 있으며 항상 화재의 위험이 상존하게 되고 가장 치명적인 것은 제조과정 중에 작업자에게 장기적으로 노출될 경우 중추신경계와 간손상 등을 일으킬 수 있다. 뿐만 아니라 유기용매는 제조과정 중에 완전히 사라지지 않고 잔류 되어 제제를 복용하는 사람들, 특히 당뇨병환자와 같이 장기간 제제를 복용해야 하는 환자들에게는 매우 위험하다 . 또한, 한독약품에서는 이러한 문제를 해결하기 위하여 대한민국 공개특허 제 2006-0051510호에 a) 메트포르민 또는 그의 약제학적으로 허용되는 염, 팽윤성 중합체 및 약제학적으로 허용되는 부형제를 포함하는 내층; b) 약물이 포함되지 않은, 수용성 중합체를 포함하는 중간층; 및 c) 설포닐우레아계 약물 및 방출조절제를포함하는 외층을 포함하는, 경구투여를 위한 당뇨병 치료용 약제학적 복합제제에 있어서, 팽윤성 중합체가 고점도 셀를로오스 유도체 (실시예:하이드록시메틸샐를로오스 100,000cps)인 것을 개시하고, 제품으로서 한독 아마릴 Mex 를 출시하였으나, 상기 제품은 정제의 크기가 크므로 (직경 : 20.0 mm), 노인들의 복용이 어렵고, 복용 후에 서방화 담체가 녹지 않고 팽창하며, 약물의 방출이 끝난 후에도 그 형태를 유지함으로써 위장관 장애를 일으킬 가능성이 있다. 이에, 본 발명자들은 혈중유지시간이 서로 달라서 속방형과 서방형으로서 서로 다른 용출패턴을 요하는 두 가지의 서로 다른 약물을 하나의 제제로 하여도 서로의 약물방출이 방해받지 않고 효과적으로 이루어져 결국 개개 약물의 유효 혈중농도 유지시간을 일정하게 할 수 있으며, 정제의 크기를 줄임으로써 노인들도 복용이 용이하며 복용 후 서방화 담체가 용이하게 분해되는 당뇨병 치료용 약제학적 복합제제를 제공하기 위하여 연구하던 중, 서방형으로 제조되는 내층의 서방화 담체로서 카보머를 최적비율로 사용함으로써 11일일 11희회 복용시에도 지속적인 약물방출을 유지할 수 있고, 정제의 크기를 최소화시켜 노인들도 복용이 용이하여 복용순응도를 높일 수 있고, 복용 후 서방화 담체가 24시간 내에 분해되어 위장관 장애를 일으키지 않음을 확인하고, 본 발명을 완성하였다. 【발명의 상세한 설명 】 Type 2 diabetes, also called adult diabetes, insulin-independent diabetes, or diabetes mellitus, is a disease in which the body processes and uses carbohydrates, fats, and proteins. Each of these nutrients is a source of glucose and serves as the body's most basic energy source. In our body, glucose enters the cells of the body with the help of insulin. Insulin, produced by the pancreas, acts as a gatekeeper. Glucose enters the cells of the body with the help of insulin, and without insulin, glucose cannot cross the cell wall. Thus, cells rely on inefficient fuels for energy. Crab type 2 diabetes occurs when cells do not effectively react to the insulin produced by the pancreas. This condition is called insulin resistance. People with insulin resistance initially produce more insulin to maintain normal blood sugar. However, insulin resistance eventually progresses, causing the pancreas to fail to meet its insulin requirements and raise blood sugar levels. About 95% of people with diabetes are type 2 diabetics, who develop over the age of 40 and develop in the family. Tend to. Type 2 diabetes, part of a disease known as metabolic syndrome, was originally called icicle X, a collection of symptoms that increase the risk of developing heart disease and stroke. Risk factors that constitute metabolic syndrome include obesity, insulin resistance accompanied by elevated blood glucose, elevated blood insulin levels, high blood pressure, elevated triglycerides, and low concentrations of high-density lipoproteins. These problems often occur simultaneously and Has a genetic or metabolic association Metabolic syndrome and type 2 diabetes are both risk factors for the development of heart disease, stroke and peripheral arterial disease. In the past, as a treatment for diabetes, sulfonyl urea drugs have been mainly used, and such drugs include drugs such as glyclazide and glimepiride. Sulfonylurea-based drugs have a mechanism to regulate hyperglycemia by gradually increasing insulin secretion from beta cells. However, long-term use of sulfonylurea-based drugs has side effects such as hypoglycemia, weight gain, and deterioration of blood lipid status. In addition, drug resistance occurs during long-term use, which requires co-administration of the drug. For this reason, sulfonylurea-based drugs have recently been coadministered with biguanide drugs, which confirm that synergistic control functions due to differences in pharmacological mechanisms are synergistic with each other. The method of administration was performed clinically. However, when two or more oral hypoglycemic agents are used, their drug characteristics are different, so the dosage method is often different. Thus, attempts have been made to prepare drugs with different blood retention times in one combination. In fact, according to the study comparing the patient's dose rate according to the administration method in the combination therapy of oral hypoglycemic agent, the patient's dose level was 54%, but the patient's dose level was 54%. Was 77%, demonstrating that the combination can provide substantial benefits for long-term combination therapy. Such a combination drug for treating diabetes may include aguanide-based metformin, sulfonylurea-based glimepiride, glyburide, acarbose, alpha-glucosidase inhibitors such as acarbose, bolibos, migrile, or thiazolidinedine, and troglitazone, Rosiglitazone and the like can be used. For example, metformin is a biguanide type 2 diabetes treatment, and a typical dosage is 500 to 1000 mg orally 2-3 times a day. It is known to be slowly and incompletely absorbed by the gastrointestinal tract and mainly absorbed in the upper intestine. The half-life of blood is known to be 2-6 hours. The drug itself has a very high solubility, very low absorption, and a short half-life. On the other hand, for example, glymepyride is a sulfonylurea type 2 diabetes treatment agent, and a typical dosage is orally administered 1 to 2 nig once a day. It is almost completely absorbed by the gastrointestinal tract, and the drug half-life by continuous administration is about 9 hours, and the half-life of the drug itself is long, so that the drug is absorbed by rapid drug release. However, in general, the drug is put into the body to maintain a constant blood concentration above the effective concentration can maximize the therapeutic effect of the drug. Therefore, the metformin-glymepiride combination should be a combination formulation that has a sustained release of the drug from the formulation in the case of metformin with a short blood retention time of the drug, and an immediate release of the drug from the formulation in the case of glymepiride, which has a long blood retention time. In fact, each drug concentration can be kept constant in the blood to obtain an appropriate therapeutic effect. "However, the conventional method of blood citron time of the drug is to prepare other drugs in a single preparation are short drug in the blood retention time is long portion and a blood retention time to allow the release of the drug can be slowly drug is rapid drug release This is made by separately preparing the parts to be made by compression molding into a single tablet. However, in the case of manufacturing separately and compression molding into a single tablet requires a special tableting machine to produce a multi-layered tablet, the use of more than necessary excipients for smooth compression molding, the size of the tablet becomes large. If the amount of the drug is very small, there was a problem that it is difficult to obtain a tablet having a constant drug content. Attempts have been made to solve this problem. US Pat. No. 6,682,759 discloses a tablet comprising two immediate release layers and a continuous release layer. A method for preparing an immediate release layer by coating a sustained release tablet is disclosed, and International Publication No. W02003 / 026637 adds an immediate release composition comprising a long-term functional sulfonylurea and a release control composition comprising a biguanide. A dosage form for treating diabetes and conditions associated therewith is disclosed. However, US Patent Nos. 6, 682 and 759 do not separate each drug layer so that drug release requiring rapid release of the outer layer is prevented by the high viscosity polymer of the inner layer to properly obtain the desired rapid release. There is a problem that can not be. International Publication No. W02003 / 026637 also provides dosage forms for treating diabetes and related conditions further comprising an immediate release composition comprising a long-acting sulfonylurea and a release control composition comprising a biguanide. Is disclosed. Although the patent mentions some of the water-insoluble polymer interlayer, substantially the presence of the water-insoluble interlayer is too slow to release the drug release of the inner layer is difficult to finally obtain the desired drug release pattern. In addition, the water-insoluble coating layer must use an organic solvent such as methanol, isopropyl alcohol, methylene chloride, acetone in order to dissolve or disperse the coating material, which is at least 100 times higher than the raw material price. In addition, facilities in the manufacturing process require explosion-proof facilities to prevent the risk of explosion caused by organic solvents.In addition to the discharge of organic solvents, facilities for treating organic solvents in air and organic solvents in sewage treatment facilities are required. This is necessary. This will cost several hundred million won. However, even after treatment, it can be a source of environmental pollution, and there is always a risk of fire, and the most deadly one can cause central nervous system and liver damage if long-term exposure to workers during manufacturing process. In addition, organic solvents do not disappear completely during the manufacturing process and remain very dangerous for those who take the preparations, especially those with long-term needs, such as diabetics. In addition, in order to solve this problem, Handok Pharmaceuticals in Korea Patent Publication No. 2006-0051510 discloses a) metformin or its pharmaceutical An inner layer comprising an acceptable salt, a swellable polymer and a pharmaceutically acceptable excipient; b) an interlayer comprising a water soluble polymer, free of drugs; And c) an outer layer comprising a sulfonylurea-based drug and a release modulator, wherein the swellable polymer is a high-viscosity cellulose derivative (example: hydroxymethyl sallo). Oss 100,000 cps), and as a product was released Handok Amaryl Mex, but since the product is large tablet size (diameter: 20.0 mm), it is difficult for the elderly to take, and the sustained release carrier does not dissolve after dissolution It is possible to cause gastrointestinal disorders by maintaining its form even after the release of the drug. Accordingly, the inventors of the present invention are effective in that each drug is effectively released without interfering with each other even if two different drugs requiring different dissolution patterns as immediate and sustained releases because of different blood retention times are used as one agent. It is possible to make the effective blood concentration maintenance time of constant, and to reduce the size of tablets, it is easy for elderly people to take it. , By using carbomer as the optimum ratio of sustained release sustained release carrier produced in sustained release type, it is possible to maintain continuous drug release even when taking eleven times of 11 days. May increase the sustained release carrier within 24 hours after taking it, causing gastrointestinal disorders The present invention was completed. 【Detailed Description of the Invention】
[기술적 과제 ]  [Technical Challenges]
본 발명의 목적은 1일 1회 복용만으로도 지속적인 약물의 유효 혈중농도를 유지할 수 있고, 방출 패턴이 다른 두 약물이 서로의 약물방출에 있어 방해하지 않고 효과적으로 용출이 이루어지며, 정제의 크기를 줄여 노인 환자들의 약물 복용이 용이한 서방성 당뇨병 복합제제를 제공하는데 있다.  An object of the present invention is to maintain the effective blood concentration of the drug by taking only once a day, the two drugs with different release patterns do not interfere with each other in the drug release effectively and elute effectively, reducing the size of the elderly The present invention is to provide a sustained release diabetes mellitus formulation that is easy for patients to take the drug.
【기술적 해결방법 】 【Technical Solution】
상기 목적을 달성하기 위하여, 본 발명은  In order to achieve the above object, the present invention
a) 메트포르민 또는 그의 약제학적으로 허용되는 염 서방화 담체 및 약제학적으로 허용되는 부형제를 포함하는 내층; a) metformin or a pharmaceutically acceptable salt thereof sustained release An inner layer comprising a carrier and a pharmaceutically acceptable excipient;
b) 약물이 포함되지 않은, 수용성 중합체를 포함하는 증간층;  b) an intermediary layer comprising a water soluble polymer, free of drugs;
C) 설포닐우레아계 약물 및 방출조절체를 포함하는 외층을 포함하는 경구투여를 위한 당뇨병 치료용 복합제제에 있어서, 상기 서방화 담체로서 카보머를 사용하는 : 것을 특징으로 하는 서방성 당뇨병 치료용 복합제제를 제공한다. For sustained release treatment of diabetes, characterized in that: C) a sulfonylurea-based drugs, and in a combined preparation for the treatment of diabetes for oral administration comprising an outer layer comprising a controlled release material, to use a carbomer as the sustained release carrier Provide a combination formulation.
【유리한 효과】 Advantageous Effects
본 발명에 의하면, 메트포르민을 포함하는 내층, 중간층 및 설포닐우레아계 약물을 포함하는 외층으로 이루어진 당뇨병 치료용 복합제제에 있어서 , 카보머를 내층의 서방화 담체로 사용함으로써 종래 사용되던 당뇨병 치료용 복합제제인 아마릴 Mex 와 동등한 방출패턴을 나타내고, 서방화 담체가 24시간 후 대부분 분해됨으로써 위장관 장애를 일으키지 않으며 , 내층의 중량을 최소화시켜 정제의 크기가 줄어들어 복용이 용이하므로 환자의 복용순응도를 높일 수 있다.  According to the present invention, in a combination preparation for treating diabetes comprising an inner layer, an intermediate layer containing metformin, and an outer layer containing a sulfonylurea-based drug, a combination preparation for treating diabetes, which is conventionally used by using a carbomer as a sustained release carrier of the inner layer It shows an emission pattern equivalent to that of Jane Amaryl Mex, and the sustained release carriers are mostly decomposed after 24 hours, and do not cause gastrointestinal disorders.
【도면의 간단한 설명 】 【Brief Description of Drawings】
도 1은 본 발명의 실시예 1에 따라 제조된 서방성 정제와 종래 당뇨병 치료용 복합제제를 나타낸 사진이다.  1 is a photograph showing a sustained release tablet prepared according to Example 1 of the present invention and a conventional preparation for treating diabetes mellitus.
도 2는 본 발명의 실시예 1에 따라 제조된 서방성 정제와 종래 당뇨병 치료용 복합제제의 용출액 pH 6.8에서의 메트포르민에 대한 용출시험 결과를 나타내는 그래프이다  Figure 2 is a graph showing the dissolution test results for metformin in eluate pH 6.8 of the sustained-release tablet prepared in Example 1 of the present invention and the conventional combination therapy for diabetes treatment
도 3은 본 발명의 실시예 1에 하라 제조된 서방성 정제와 종래 당뇨병 치료용 복합제제의 용출액 pH 6.8에서의 글리메피리드에 대한 용출시험 결과를 나타내는 그래프이다.  Figure 3 is a graph showing the dissolution test results for glymepiride in the eluate pH 6.8 of the sustained-release tablet prepared in Example 1 of the present invention and the conventional preparation for treating diabetes mellitus.
도 4는 본 발명의 실시예 1 및 4— 7에 따라 제조된 서방성 정제와 종래 당뇨병 치료용 복합제제의 용출액 pH 6.8에서의 메트포르민에 대한 용출시험 결과를 나타내는 그래프이다.  Figure 4 is a graph showing the dissolution test results for metformin in the eluate pH 6.8 of the sustained-release tablet prepared in accordance with Examples 1 and 4-7 of the present invention and the conventional combination therapy for diabetes treatment.
도 5는 본 발명에 따라 제조된 서방성 정제의 서방화 담체에 따른 용출액 pH 6.8에서의 메트포르민에 대한 용출시험 결과를 나타내는 그래프이다.  Figure 5 is a graph showing the dissolution test results for metformin in the eluate pH 6.8 according to the sustained release carrier of the sustained release tablet prepared according to the present invention.
도 6은 본 발명에 따라 제조된 서방성 정제와 종래 당뇨병 치료용 복합제제의 용출액 pH 6.8에서의 용출시험 중 시간에 따른 서방성 정제의 모양 변화를 나타내는 사진이다. 6 is a time-dependent dissolution test in the eluate pH 6.8 of the sustained-release tablet prepared in accordance with the present invention and the conventional preparation for treating diabetes mellitus It is a photograph showing the change of the shape of a sustained release tablet.
【발명의 실시를 위한 최선의 형태 】 【Best Mode for Implementation of Invention】
이하, 본 발명을 상세히 설명한다. 본 발명은,  Hereinafter, the present invention will be described in detail. The present invention,
a) 메트포르민 또는 그의 약제학적으로 허용되는 염, 서방화 담체 및 약제학적으로 허용되는 부형제를 포함하는 내층;  a) an inner layer comprising metformin or a pharmaceutically acceptable salt thereof, a sustained release carrier and a pharmaceutically acceptable excipient;
b) 약물이 포함되지 않은, 수용성 중합체를 포함하는 중간층; 및  b) an interlayer comprising a water soluble polymer, free of drugs; And
c) 설포닐우레아계 약물 및 방출조절제를 포함하는 외층을 포함하는 경구투여를 위한 당뇨병 치료용 복합제제에 있어서, 상기 서방화 담체로서 카보머를 사용하는 것을 특징으로 하는 서방성 당뇨병 치료용 복합제제를 제공한다 . 본 발명에 따른 복합제제에 있어서, 상기 메트포르민 또는 그의 약제학적으로 허용되는 염의 양은 상기 내층 총 중량에 대하여 55ᅳ 60 중량¾인 것이 바람직하다ᅳ 더욱 바람직하게는, 250 mg 내지 oo mg을 첨가하고, 더욱 더 바람직하게는 500 ijfl지 1000 mg을 첨가할 수 있다 . 이때, 메트포르민의 약제학적으로 허용되는 염은 예를 들면 염산염, 숙신산염 , 푸마르산염 , 브롬산염, P-클로로페녹시아세트산염 또는 엠본산염 둥이며, 바람직하게는 염산염이다. 본 발명에 따른 복합제제에 있어서, 상기 설포닐우레아계 약물은, 예를 들면 , 글리메피리드 글리부라이드, 글리클라짓, 글리보르누리드, 글리핵사미드, 펜부타미드, 를라자미드, 를부타미드, 를시클라미드, 카르부타미드, 클로르프로파미드 또는 이들의 약제학적으로 허용되는 염을 사용할 수 있다. 특히 실제 임상적용 빈도가 높은 글리메피리드를 사용할 수 있다. 상기 글리메피리드는 1 mg 내지 8 mg의 양으로 포함되는 것이 바람직하며, 더욱 바람직하게는 1 mg 내지 2 mg이다 . c) A combination preparation for diabetes treatment for oral administration comprising an outer layer comprising a sulfonylurea-based drug and a release control agent, wherein the combination preparation for treating sustained-release diabetes is characterized in that a carbomer is used as the sustained release carrier. To provide. In the combination according to the present invention, the amount of metformin or a pharmaceutically acceptable salt thereof is preferably 55 바람직 60 weight ¾ to the total weight of the inner layer ᅳ more preferably, 250 mg to oo mg is added, Even more preferably, 1000 mg of 500 i j fl may be added. In this case, the pharmaceutically acceptable salt of metformin is, for example, hydrochloride, succinate, fumarate, bromate, P-chlorophenoxyacetate or embonate, preferably hydrochloride. In the co-formulation according to the present invention, the sulfonylurea-based drug is, for example, glymepiride glyburide, glyclagit, glyborneuride, glynuxamide, fenbutamide, llaramide, ebutamide , Cyclamide, carbutamide, chlorpropamide or pharmaceutically acceptable salts thereof can be used. In particular, glymepiride with a high frequency of clinical application can be used. The glymepyride is preferably included in an amount of 1 mg to 8 mg, more preferably 1 mg to 2 mg.
상기 설포닐우레아계 약물은 약물특성상 매우 물에 녹기 어려워 약물의 표면적을 최대화함으로써 약물의 용출을 향상시킬 수 있고 제제 중 함유되는 양이 미량인 관계로 제제에 적용시 입자의 크기를 줄여서 적용하여 약물이 제제 중에 균일하게 분포하도록 하는 것이 바람직하다 본 발명에 따른 복합제제에 있어서, 상기 서방화 담체는 내층을 구성하여 내층에서 약물을 서서히 방출시키기 위한 방출조절물질이며, 상기 서방화 담체로는 친수성인 카보머를 사용하는 것이 바람직하다 . 서방화 담체에 따른 약물의 용출율 실험에서 상기 카보머는 다른 서방화 담체 (하이드록시프로필메틸셀를로오스 (HPMC), 폴리에틸렌옥시드 (PE0) 등)보다 내층에서 약물을 서서히 방출시키는 것으로 나타났으며, 약물 방출 후에는 24시간 내에 분해되므로 위장관 장애 등을 일으키지 않으므로, 서방화 담체로서 유용하게 사용될 수 있다. The sulfonylurea-based drug is very difficult to dissolve in water due to the characteristics of the drug, thereby maximizing the surface area of the drug to improve the dissolution of the drug, and the amount contained in the preparation is small, so when applied to the preparation by reducing the particle size of the drug Uniform distribution in this formulation In the co-formulation according to the present invention, the sustained release carrier is a release controlling substance for releasing drugs in the inner layer by constituting the inner layer, and it is preferable to use a hydrophilic carbomer as the sustained release carrier. In the dissolution rate experiment of the drug according to the sustained release carrier, the carbomer was found to release the drug slowly in the inner layer than other sustained release carriers (hydroxypropylmethylcellose (HPMC), polyethylene oxide (PE0), etc.), Since the drug is released within 24 hours after drug release, it does not cause gastrointestinal disorders and the like, and thus can be usefully used as a sustained release carrier.
이때 , 본 발명에서 친수성 서방화 담체로 사용되는 카보머는 점도 4,00으 11,000 센티포아스 (cps)를 가지는 과립형 카보머인 것이 바람직하다. 만일 파우더 (powder) 형태의 카보머를 사용하는 경우 , 유동성이 적어 대량생산시 기계에 장애를 일으키는 문제가 있다.  At this time, the carbomer used as the hydrophilic sustained release carrier in the present invention is preferably a granular carbomer having a viscosity of 4,00 11,000 centipoas (cps). If a powder type carbomer is used, there is a problem in that the fluidity is low and the machine is disturbed during mass production.
상기 카보머는 내층 총 중량에 대하여 10 내지 25 중량 %의 양으로 사용될 수 있다.  The carbomer may be used in an amount of 10 to 25% by weight relative to the total weight of the inner layer.
이러한 범위에서의 카보머 사용은 전체 복합제제의 증량을 감소시켜 환자의 복약 순웅도를 개선시킬 수 있다. 나아가, 본 발명은 가공성을 높이거나 약물방출조절을 위한 보조물질로서 상기 카보머에 폴리에틸렌옥시드 및 /또는 하이드록시프로필메 셀롤로오스를 더 포함할 수 있다. 이때 , 상기 폴리에틸렌옥시드는 평균 분자량이 100, 000-7 ,000, 000인 것을 사용할 수 있으며, 분자량이 다른 둘 이상의 폴리에틸렌옥시드를 흔합하여 사용할 수 있다 . 상기 하이드록시프로필메틸셀를로오스는 4,000- 100,000 센티포아스의 점도를 갖는 중합체를 사용할 수 있다. 본 발명에 따른 복합제제에 있어서, 상기 약제학적으로 허용되는 부형제로는 미결정셀를로오스, 디―만니틀, 유당 및 스테아르산마그네슘으로부터 선택되는 하나 이상의 성분일 수 있다. 본 발명에 따른 복합제제에 있어서, 상기 수용성 중합체를 포함하는 중간층은 제제가 용출매질에 노출되었을 때 내층의 고점도 중합체에 의해 외층의 약물방출!이 저해되기 전에 외층을 탈피시킴으로써 신속하게 두 증이 분리되어 외층으로부터의 약물의 방출이 신속하도록 조절함으로써 내층과 외층이 서로의 방출에 미치는 영향을 최소화시킨다. 또한 상기 중간층은, 두 약물이 여러 공정을 거치고 제형화되어 장시간 보관될 경우에 발생할 수 있는 서로의 약물 안정성에 미치는 영향을 최소화시킨다. Carbomer use in this range can improve the patient's medication mileage by reducing the increase in total co-formulation. In addition, the present invention may further include polyethylene oxide and / or hydroxypropylmetholose in the carbomer as an auxiliary substance for improving processability or controlling drug release. In this case, the polyethylene oxide may be used having an average molecular weight of 100, 000-7,000, 000, it may be used by mixing two or more polyethylene oxide of different molecular weight. The hydroxypropyl methyl cellulose may be used a polymer having a viscosity of 4,000-100,000 centipoise. In the co-formulation according to the present invention, the pharmaceutically acceptable excipient may be at least one component selected from microcrystalline cellulose, di-mannitol, lactose and magnesium stearate. In the composite preparation according to the present invention, the intermediate layer containing the water-soluble polymer is formed in the outer layer before the drug release of the outer layer is inhibited by the high viscosity polymer in the inner layer when the agent is exposed to the dissolution medium. By stripping, the two cases are quickly separated and the release of the drug from the outer layer is controlled quickly to minimize the effect of the inner and outer layers on each other's release. The intermediate layer also minimizes the effects on the drug stability of each other that can occur when the two drugs are formulated and stored for a long time.
따라서, 이러한 작용을 할 중간층의 주 구성성분인 상기 수 중합체는, 6 센티포아스 이하의 점도를 갖는 중합체인 바람직하다. 상기 수용성 중합체로서 예를  Accordingly, the water polymer, which is the main component of the intermediate layer to perform this action, is preferably a polymer having a viscosity of 6 centipoise or less. Examples of the water-soluble polymer
하이드록시프로필메틸셀를로오스 (HPMC), 카르복시메틸셀를로오스 (CMC ) 미결정셀를로오스 (MCC), 에칠셀를로오스 (EC), 메틸샐롤로오스 (MC), 하이드록시프로필셀를로오스 (HPC), Hydroxypropylmethyl Cellulose (HPMC), Carboxymethyl Cellulose (CMC) Microcrystalline Cellulose (MCC), Ethyl Cellulose (EC), Methyl Salulose (MC), Hydroxypropyl Cellulose ( HPC)
셀를로오스아세테이트프탈레이트 (CAP) I Cellulose Acetate Phthalate (CAP) I
하이드록시프로필메틸샐를로오스프탈레 '이트 (HPMCP), As hydroxypropylmethyl saelreul O soup Frontale 'Sites (HPMCP),
하이드록시프로필메틸셀를로오스아세테이트숙시네이트 (HPMCAS) 등의 셀롤로오스 유도체 및 폴리메타아크 레이트 중합체로부터 선택된 1종 이상의 성분을 사용할 수 있다. 본 발명에 따른 복합제제에 있어서 , 상기 방줄조절제는 외중을 구성하여 외층으로부터 약물을 신속히 방출시킬 수 있는 중합체라면 어느 것이라도 사용될 수 있다 . 따라서 상기 방출조절제는 바람직하게는 6 센티포아스 이하의 점도를 갖는 중합체이다. 또한 수용성 내지 친수성 중합체가 바람직하며 특히 바람직하게는 수용들것용성 중합체이다. 상기 방출조절제로서는 예를 들면성면이, 하이드록시프로필메틸셀를로오스 (HPMC) , 카르복시메틸샐를로오스 (CMC) 미결정샐를로오스 (MCC) , 에칠샐를로오스 (EC), 메틸셀를로오스 (MC), 하이드록시프로필셀롤로오스 (HPC), One or more components selected from cellulose derivatives, such as hydroxypropylmethylcelloseroseacetatesuccinate (HPMCAS), and polymethacrylate polymers can be used. In the co-formulation according to the present invention, any one of the polymers that can release the drug from the outer layer by constituting the external agent can be used. Therefore, the release controlling agent is preferably a polymer having a viscosity of 6 centipoise or less. Also preferred are water soluble to hydrophilic polymers, particularly preferably water soluble polymers. As the release control agent, for example, a cotton noodle, hydroxypropyl methyl cellulose (HPMC), carboxymethyl cellulose (CMC) microcrystalline cellulose (MCC), ethyl cellulose (EC), methyl cellulose ( MC), hydroxypropyl cellulose (HPC),
셀를로오스아세테이트프탈레이트 (CAP), Cellulose acetate phthalate (CAP),
하이드록시프로필메틸셀롤로오스프탈레이트 (HPMCP) , Hydroxypropylmethylcellulose phthalate (HPMCP),
하이드록프로필시메틸샐를로오스아세테이트숙시네이트 (HPMCAS) 등의 셀를로오스 유도체, 및 폴리메타아크릴레이트로부터 선택된 1종 이상의 성분을 사용할 수 있다. ; 본 발명의 제제의 증간층 형성 및 외층 형성시 수용성 코팅액으로 물을 사용하는 수계코팅을 사용하는 것이 바람직하다. 외층 형성시에는 소수성 약물이 용액 내에서 균질하게 분산되고 신속히 방출되도록 하기 위해 계면활성제류, 지방산류, 오일류, 폴리에틸렌글리콜류, 알콜류 또는 프로필렌글리콜류 등을 피복물질과 섞어 사용할 수 있으며, 바람직하게는 계면활성제로서 라우릴 황산 나트륨을 0.1 내지 10 중량 %, 바람직하게는 0.1 내지 5 중량 %의 범위에서 사용할 수 있다. 코팅액의 제조는 통상적인 코팅액의 제조방법에 따라 수행될 수 있다. 내층에 포함되는 물질이 빛의 차단을 필요로 하는 경우 상기 코팅액에 색소 및 차폐제를 포함시킬 수 있다. ; One or more components selected from cellulose derivatives such as hydroxypropylmethylmethyl cellulose acetate succinate (HPMCAS) and polymethacrylate can be used. It is preferable to use the water-based coating which uses water as a water-soluble coating liquid at the time of forming a thick layer and forming an outer layer of the formulation of this invention. In forming the outer layer, the hydrophobic drug is homogeneously dispersed in the solution, Surfactants, fatty acids, oils, polyethylene glycols, alcohols, or propylene glycols may be used in combination with the coating material for rapid release. Preferably, the surfactant is 0.1 to 10% by weight of sodium lauryl sulfate, Preferably it can be used in the range of 0.1 to 5% by weight. Preparation of the coating liquid may be carried out according to a conventional method for preparing a coating liquid. When the material included in the inner layer requires the blocking of light, the coating solution may include a pigment and a shielding agent. ;
본 발명에 따르는 복합제제는, 수용성 중합체로 된 중간층이 존재하여 서로 다른 층의 약물의 방출에 서로 영향을 미치지 않아 와층으로부터의 약물방출이 훨씬 빠르고, 서로의 약물방출이 효과적으로 이루어져 결국 개개 약물의 유효 혈중농도 유지시간을 일정하게 할 수 있으며, 또한 보다 약물의 안정성을 높게 유지할 수 있다.  The co-formulation according to the present invention has an intermediate layer of water-soluble polymers, and thus does not affect the release of drugs of different layers, so that the drug release from the vortex is much faster, and the drug release from each other becomes effective, resulting in effective use of individual drugs. The blood concentration maintenance time can be made constant, and also the stability of the drug can be maintained higher.
또한, 본 발명의 제제는 다층정 형태가 아닌 코팅의 형태로서 서로 다른 약물에 대하여 각 약물층을 형성시키기 때문에 다층정에 비하여 생산설비 비용이 저렴하며, 또한 조성물 특성상 제조시 유기용매를 사용하지 않고 수계코팅을 이용할 수 있기 때문에 방폭시설이 필요없고 생산단가를 줄일 수 있을 뿐만 아니라 환경오염 없이 그리고 작업자에게 위해작용없이 제조될 수 있고, 장기 복용환자에게도 잔류용매에 의한 부작용 없이 투여될 수 있다.  In addition, the formulation of the present invention is not a multi-layered tablet, but forms a drug layer for different drugs in the form of a coating, which is less expensive to produce than the multi-layered tablets. The use of waterborne coatings eliminates the need for explosion-proof facilities, reduces production costs, and can be manufactured without environmental pollution and without adverse effects on workers, and can be administered to long-term patients without the side effects of residual solvents.
나아가, 본 발명의 제제는 서방화 담체로서 카보머를 사용함으로써 종래 사용되던 당뇨병 치료용 복합제제인 아마릴 Mex 와 동등한 방출패턴을 나타내고, 서방화 담체가 24시간 후 대부분 분해됨으로써 위장관 장애를 일으키지 않으며 , 내층의 중량을 최소화시켜 정제의 크기가 줄어들어 복용이 용이하므로 환자의 복용순웅도를 높일 수 있다. 본 발명에 따르는 복합제제의 제조방법을 예를 들어 설명하면 다음과 같다.  Furthermore, the preparation of the present invention exhibits a release pattern equivalent to that of Amaryl Mex, which is a conventional combination therapy for diabetes treatment, by using carbomer as a sustained release carrier, and does not cause gastrointestinal tract obstruction as most of the sustained release carriers are decomposed after 24 hours, By minimizing the weight of the tablet to reduce the size of the tablet is easy to take, thus increasing the patient's dose. Referring to the manufacturing method of the composite preparation according to the present invention, for example.
본 발명의 제제 중 내층으로서 과립, 정제, 환제 등의 메트포르민 제제를 사용할 수 있다. 이는 통상적인 서방출형 제제의 제조방법에 의해 제조될 수 있다. 즉, 내층은 메트포르민 또는 그의 약제학적으로 허용되는 염 및 약제학적으로 허용되는 부형제를 물과 함께 흔합기에 투입하여 균질하게 분산시키고 이를 과립상으로 성형하고 건조한 후 일정한 크기와 과립을 제조한 다음, 서방화 담체 및 약제학적으로 허용되는 부형제를 후혼합하여 압축 성형하여 제조될 수 있다. As the inner layer in the formulation of the present invention, metformin preparations such as granules, tablets and pills can be used. It may be prepared by a conventional method for preparing a sustained release formulation. That is, the inner layer may contain metformin or a pharmaceutically acceptable salt thereof and a pharmaceutically acceptable excipient with water. It can be prepared by adding a mixer to the homogenous dispersion, homogeneously dispersing it, forming it into granules, drying and preparing granules of a predetermined size and then compression-mixing the sustained release carrier and a pharmaceutically acceptable excipient after mixing.
중간층은 미리 물에 녹인 수号성 중합체 용액을 코팅장치에 투입된 내층에 피복하여 제조될 수 있다.  The intermediate layer may be prepared by coating a waterborne polymer solution previously dissolved in water on an inner layer introduced into a coating apparatus.
외층은 우선 약물, 계면활성제 , 및 색소 또는 차폐제를 분산장치를 통해 물에 일정하게 분산시키고 따로 물에 녹인 수용성 증합체 용액에 이를 흔합하여 일정하게 분산시킨 후 계속 교반하면서 중간충이 도포된 내충이 투입된 코팅장치에서 약물의 최종량이 피복될 때까지 피복하여 제조할 수 있다  The outer layer is first disperse the drug, surfactant, and pigment or shielding agent in water through a dispersing device and then uniformly disperse it in a water-soluble polymer solution dissolved in water, and then stir the insects coated with intermediate insects while continuing stirring. Can be prepared by coating until the final amount of drug in the coating device
본 발명의, 복합제제 조성물은 정제의 형태로 경구투여되는 것이 바람직하다 . , A combined preparation of the invention composition is preferably administered orally in the form of a tablet.
본 발명의 복합제제의 바람직한 투여량은 환자의 상태 및 체중, 질병의 정도 및 기간에 따라 다르지만, 당업자에 의해 적절하게 선택될 수 있다. 투여는 1일 1회 이루어지는 것이 바람직하다.  Preferred dosages of the co-formulations of the invention vary depending on the condition and weight of the patient, the extent and duration of the disease, but may be appropriately selected by those skilled in the art. Administration is preferably performed once a day.
【발명의 실시를 위한 형태 】 【Mode for Implementation of the Invention】
이하, 본 발명을 실시예에 의해 상세히 설명한다 . 단, 하기 실시예는 본 발명을 예시하는 것일 뿐 , 본 발명의 내용이 하기 실시예에 한정되는 것은 아니다.
Figure imgf000013_0001
발명에 따른 메트포르민 리메피리드 복합제제의 제조 ;
Hereinafter, the present invention will be described in detail by way of examples. However, the following examples are merely to illustrate the invention, but the content of the present invention is not limited to the following examples.
Figure imgf000013_0001
Preparation of a metformin limepiride complex preparation according to the invention;
(i) 메트포르민 내층의 제조  (i) Preparation of Metformin Inner Layer
메트포르민 염산염 500 g 하이드록시프로필메틸셀를로오스 (Methocel 165 g 미결정셀를로오스 20 g 폴리에틸렌옥시드 25 g 카보머 (Type A) 180 g 스테아르산마그네슘 10 g  Metformin hydrochloride 500 g hydroxypropylmethyl cellulose (Methocel 165 g microcrystalline cellulose 20 g polyethylene oxide 25 g carbomer (Type A) 180 g magnesium stearate 10 g
900 g 메트포르민
Figure imgf000013_0002
하이드록시프로필메틸셀를로오스, 미결정셀를로오스를 균질하게 흔합하고, 하이드록시프로필메틸샐를로오스 일부를 정제수에 녹인 결합액으로 흔합하여 과립물을 생성하였다. 생성된 과립물은 유동층건조기에서 건조 후, 제 30호 메쉬체로 체과하였다. 여기에 카보머, 폴리에틸렌옥시드를 넣고 30분 동안 흔합하였다. 최종적으로 스테아르산마그네슘을 제 30호 메쉬체로 체과 후 10분간 흔합기에서 흔합 후 압축하여 메트포르민 내층을 얻었다.
900 g metformin
Figure imgf000013_0002
Homogeneously mix hydroxypropylmethylcellose, microcrystallinecelloseose, A portion of hydroxypropylmethylsalose was mixed with a binder solution dissolved in purified water to form granules. The resulting granules were dried in a fluid bed dryer and sieved through a No. 30 mesh sieve. Carbomer and polyethylene oxide were added thereto and mixed for 30 minutes. Finally, magnesium stearate was mixed with a No. 30 mesh sieve in a mixer for 10 minutes and then compressed to obtain a metformin inner layer.
(2) 중간층의 제조 (2) Preparation of Interlayer
하이드록시프로필메틸셀를로오스 (Pharmacoat 645)  Hydroxypropylmethylcellose (Pharmacoat 645)
폴리에틸렌글리콜 (PEG 6000)  Polyethylene Glycol (PEG 6000)
에탄을과 .정제수에 하이드록시프로필메틸셀를로오스 및 폴리에틸렌글리콜을 용해시켜 코팅액을 조제하였다. 혼합한 조성물은 제 120호 메쉬체를 통과시킨 후 정제코팅기에서 내층에 분사시켜 피복하였다 Ethane and hydroxypropyl methylcellose and polyethylene glycol were dissolved in purified water to prepare a coating solution. The mixed composition was sprayed to the inner layer in a tablet coating machine after passing through No. 120 mesh sieve and coated
(3) 글리메피리드 외층의 제조 (3) Preparation of Glimepiride Outer Layer
글리메피리드 2.0 g 라우릴황산나트륨 2.0 g 하이드록시프로필메틸셀를로오스 (Pharmacoat 645) 23.1 g 산화티탄 2.9 g 폴리에틸렌글리콜 (PEG 5.0 g  Glymepiride 2.0 g Sodium lauryl sulfate 2.0 g Hydroxypropylmethylcellose (Pharmacoat 645) 23.1 g Titanium oxide 2.9 g Polyethylene glycol (PEG 5.0 g
35 g 글리메피리드, 라우릴황산나트륨, 하이드록시프로필메틸셀를로오스, 산화티탄, 폴리에틸렌글리콜을 정제수에 흔합하여 게 120호 메쉬체 통과시킨 후 상기 제조된 중간층에 정제코팅기를 이용하여 최종 피복하여 메트포르민-글리메피리드 복합제제를 제조하였다.  35 g of glymepiride, sodium lauryl sulfate, hydroxypropylmethylcellose, titanium oxide, and polyethylene glycol were mixed with purified water and passed through a Crab No. 120 mesh sieve. Composite formulations were prepared.
<실시예 2-3> <Example 2-3>
하기 표 1에 나타낸 조성을 사용하는 것을 제외하고는 실시예 1과 동일한 방법으로 수행하여 메트포르민-글리메피리드 복합제제를 제조하였다. 【표 1】 The metformin-glymepiride complex preparation was prepared in the same manner as in Example 1 except for using the composition shown in Table 1 below. Table 1
Figure imgf000015_0001
<실시예 4-9>
Figure imgf000015_0001
<Example 4-9>
본 발명에 따른 복합제제 제조시 내층에 대하여 하기 표 2에 나타낸 조성을 사용하는 것을 제외하고는 실시예 1과 동일한 방법으로 수행하여 메트포르민ᅳ글리메피리드 복합제제를 제조하였다.  In the preparation of the composite preparation according to the present invention, except that the composition shown in Table 2 was used for the inner layer, it was carried out in the same manner as in Example 1 to prepare a metforminopenlymphide complex preparation.
【표 2】  Table 2
Figure imgf000016_0001
Figure imgf000016_0001
<실험예 1> 정제의 크기 비교 Experimental Example 1 Size Comparison
본 발명에 따라 제조된 실시예 1의 복합제제와 기준제제로서 종래 당뇨병 치료용 복합제제로 사용돠는 한독약품의 아마릴 Mex 정제를 도 1에 나타내었으며, 두 정제의 크기를 측정하여 비교하였다. 도 1은 본 발명의 실시예 1에 따라 제조된 서방성 정제와 종래 당뇨병 치료용 복합제제 (아마릴 Mex)를 나타낸 사진이다.  The Amaryl Mex tablet of Handok Pharmaceutical Co., Ltd. used as a conventional formulation for treating diabetes as a combination formulation of Example 1 prepared according to the present invention is shown in FIG. 1, and the sizes of the two tablets were measured and compared. 1 is a photograph showing a sustained-release tablet prepared according to Example 1 of the present invention and a conventional preparation for treating diabetes (Amaryl Mex).
·  ·
도 1에 나타낸 바와 같이, 본 발명에 따른 복합제제는 서방화 담체로서 분자량이 작은 카보머를 사용하여 내층의 중량을 최소화 함으로써 한독약품의 아마릴 Mex 정제에 비하여 정제의 크기가 줄어든 것으로 나타났으며, 실제로 정제의 크기 측정 결과, 한독약품의 아마릴 Mex 정제의 경우, 길이가 20.0 mm이고, 폭이 8.9 醒인 반면, 본 발명에 따른 복합제제는 길이가 18.5 讓이고, 폭이 8.4 !誦로서 정제의 크기가 아마€ Mex 정제보다 더 작은 것으로 나타났다. 띠—라서 본 발명에 따라 제조된 복합제제는 종래 당뇨병 치료용 복합제제보다 정제의 크기가 작음으로써 노인 환자들도 복용ᄋ 용이하다. As shown in FIG. 1, the combination preparation according to the present invention was found to reduce the size of the tablet compared to Amaryl Mex tablet of Handok Pharmaceutical by minimizing the weight of the inner layer using a carbomer having a low molecular weight as a sustained release carrier. As a result of measuring the size of tablets, the Amaryl Mex tablet of Handok Pharmaceutical Co., Ltd. was 20.0 mm in length and 8.9 mm in width, whereas the combined preparation according to the present invention was 18.5 mm in length and 8.4 mm in width. The size was probably smaller than the € Mex tablet. Since the combination preparation prepared according to the present invention is smaller in size than the conventional preparation for treating diabetes, it is also taken by elderly patients. It is easy.
<실험예 2> 비교용출시험 Experimental Example 2 Comparative Dissolution Test
서방성 제제의 경우 투여된 다음 위에서 약물의 일부가 용출되고 2시간 정도 후에 소장으로 이동하여 대부분 소장에서 약물을 방출하게 된다 . 따라서 생체조건에 맞는 약물방출패턴을 보고자 의약품 동등성 기준의 비교용출시험법에 의해 패들 (Paddle) 50 rpm의 조건으로 1 6.8인 용출액을 이용하여 실시예 1의 제제 및 기준제제에 대하여 용출시험을 수행하였다. 용출시험은 메트포르민과 글리메피리드의 용출율로 나누어서 수행하였으며, 기준제제로는 종래 당뇨병 치료용 복합제제로 사용되는 한독약품의 '아마릴 Mex' 를 사용하였다. In the case of sustained-release preparations, some of the drug is released from the stomach after it has been eluted and moved to the small intestine for about 2 hours to release the drug from the small intestine. Therefore, the dissolution test was performed on the formulation and the reference agent of Example 1 using the eluate of 1 6.8 under the condition of 50 rpm of paddle (Paddle) by the comparative dissolution test method of the drug equivalence criteria to see the drug release pattern according to the biological conditions. It was. The dissolution test was carried out by diluting the metformin and glymepiride dissolution rate, as a reference formulation was used 'Amaryl Mex' of Handok medicine used as a conventional combination therapy for diabetes treatment.
상기 측정결과를 도 2 및 도 3에! 나타내었다. 도 2는 본 발명의 실시예 1에 따라 제조된 서방성 정제와 종래 당뇨병 치료용 복합제제의 용출액 pH 6.8에서의 메트포르민에 대한 용출시험 결과를 나타내는 그래프이다. 도 3은 본 발명의 실시예 1에 따라 제조된 서방성 정제와 종래 당뇨병 치료용 복합제제의 용출액 pH 6.8에서의 글리메피리드에 대한 용출시험 결과를 나타내는 그래프이다. 도 2 및 도 3에 나타낸 바와 같이, 본 발명에 따라 제조된 복합제제는 기준제제와 동등한 용출패턴을 나타내었다. 또한, 실시예 1 및 4ᅳ 7에 대하여도 메트포르민에 대한 용출율을 측정하여 도 4에 나타내었다 . 도 4는 본 발명의 실시예 1 및 4-7에 따라 제조된 서방성 정제와 종래 당뇨병 치료용 복합제제의 용출액 pH 6.8에서의 메트포르민에 대한 용출시험 결과를 나타내는 그래프이다. 도 4에 나타낸 바와 같이 본 발명에 따라 제조된 복합제제는 기준제제 (아마릴 Mex)와 동등한 용출패턴을 나타냄으로써 , 시간별로 약물의 급속한 방출을 제어하고 , 지속적인 방출이 가능하게 함으로써 12시간까지 방출농도가 증가함을 확인할 수 있다 . 2 and 3 to the measurement results! Indicated. Figure 2 is a graph showing the dissolution test results for metformin in the eluate pH 6.8 of the sustained release tablet prepared according to Example 1 of the present invention and a conventional combination therapy for treating diabetes. Figure 3 is a graph showing the dissolution test results for glymepiride in the eluate pH 6.8 of the sustained-release tablet prepared in Example 1 of the present invention and the conventional combination therapy for diabetes treatment. As shown in Figures 2 and 3, the composite formulation prepared according to the present invention showed an elution pattern equivalent to the reference formulation. In addition, the dissolution rate for metformin in Examples 1 and 4 ′ 7 was also measured and shown in FIG. 4. Figure 4 is a graph showing the dissolution test results for metformin in the eluate pH 6.8 of the sustained-release tablet prepared in accordance with Examples 1 and 4-7 of the present invention and the conventional combination therapy for diabetes treatment. As shown in FIG. 4, the combination preparation prepared according to the present invention exhibits an elution pattern equivalent to that of the reference preparation (Amaryl Mex), thereby controlling rapid release of the drug over time and enabling continuous release. It can be seen that the emission concentration increases up to 12 hours.
<실험예 3> 서방화 담체 종류에 따른 비교용출시험 Experimental Example 3 Comparative Dissolution Test According to Sustained Release Carrier Type
본 발명에 따른 복합제제의 제조에 있어서, 서방화 담체의 종류에 따른 내층 (서방층)의 용출률의 변화를 알아보고자 다음과 같은 시험을 수행하였다.  In the preparation of the composite preparation according to the present invention, the following test was carried out to determine the change in the dissolution rate of the inner layer (sustained release layer) according to the type of the sustained release carrier.
본 발명에 따른 복합제제 제조시 내층에 대하여 하기 표 3과 같이 서방화 담체의 종류로서, 카보머를 포함하는 복합제제 (A)와 카보머 대신 하이드록시프로필메틸셀롤로오스 또는 폴리에틸렌옥시드 단독으로 넣은 복합제제 (B, C)를 실시예 1과 동일한 방법으로 제조하여, 의약품 동등성 기준의 비교용출시험법에 의해 패들 (Paddle) 50rpm의 조건으로 pH 6.8인 용출액을 이용하여 용출시험을 수행하고, 그 결과를 도 5에 나타내었다.  When preparing a composite preparation according to the present invention as shown in Table 3 below as a type of sustained release carrier, the composite preparation containing a carbomer (A) and hydroxypropylmethylcellulose or polyethylene oxide alone instead of carbomer The prepared composite formulation (B, C) was prepared in the same manner as in Example 1, and the dissolution test was performed using an eluate having a pH of 6.8 at a paddle of 50 rpm by a comparative dissolution test method of drug equivalence criteria, The results are shown in FIG.
【표 3】  Table 3
Figure imgf000018_0001
도 5는 본 발명에 따라 제조된 서방성 정제의 서방화 담체에 따른 용출액 pH 6.8에서의 메트포르민에 대한 용출시험 결과를 나타내는 그래프이다. 도 5에 나타낸 바와 같이, 복합제제 제조시 내층의 서방화 담체로서 카보머를 사용하는 경우, 동일한 중량의 다른 친수성 서방화 담체 (하이드록시프로필메틸셀를로오스ᅵ 폴리에틸렌옥시드)보다 용출율을 지연시키는 것으로 나타났다. 따라서 , 본 발명에 따른 복합제제에 있어서 서방화 담체로서 카보머를 사용하는 것이 용출율을 낮추는 데에 효과적임을 알 수 있다. <실험예 4> 서방화 담체 종류에 따른 제제 분해 시험
Figure imgf000018_0001
Figure 5 is a graph showing the dissolution test results for metformin in the eluate pH 6.8 according to the sustained release carrier of the sustained release tablet prepared according to the present invention. As shown in Fig. 5, when the carbomer is used as the sustained release carrier of the inner layer in the preparation of the composite formulation, the same weight of other hydrophilic sustained release carriers (hydroxypropylmethylcellose polyethylene oxide) It has been shown to delay dissolution rate. Therefore, it can be seen that the use of carbomer as a sustained release carrier in the composite preparation according to the present invention is effective in lowering the dissolution rate. Experimental Example 4 Formulation Degradation Test According to Sustained Release Carrier Type
본 발명에 따른 복합제제의 제조에 있어서, 서방화 담체의 종류에 따른 제제의 투여후 분해 정도를 알아보고자 다음과 같은 시험을 수행하였다.  In the preparation of the composite preparation according to the present invention, the following test was performed to determine the degree of degradation after administration of the preparation according to the type of sustained release carrier.
본 발명에 따라 제조된 실시예 1의 복합제제와 기준제제로서 종래 당뇨병 치료용 복합제제로 사용되는 한독약품의 아마릴 Mex 정제를 pH 6.8인 용출액에 넣고 시간이 지남에 따라 제제의 형태를 관찰하여 도 6에 나타내었다. 도 6은 본 발명에 따라 제조된 서방성 정제와 종래 당뇨병 치료용 복합제제의 용출액 pH 6.8에서의 용출시험 중 시간에 따른 서방성 정제의 모양 변화를 나타내는 사진이다. 도 6에 나타낸 바와 같이, 한독약품의 아마릴 Mex 정제는 시간이 지날수록 녹지 않고 팽창하며, 24시간이 지난 후에도 그 형태를 유지함으로써 위장관 장애를 일으킬 가능성이 있으나, 본 발명에 따른 복합제제는 내층의 서방화 담체로서 카보머를 사용함으로써 약물 방출에 따라 제제가 녹아 분해되기 시작하여 24시간 후에는 대부분 분해되어 없어지므로 위장관 장애에 대한 우려를 일으키지 않는다 . 따라서 , 본 발명은 메트포르민을 포함하는 내층, 중간층 및 설포닐우레아계 약물을 포함하는 외층으로 이루어진 당뇨병 치료용 복합제제에 있어서, 카보머를 내층의 서방화 담체로 사용함으로써 종래 사용되던 당뇨병 치료용 복합제제인 아마릴 Mex 와 동등한 방출패턴을 나타내고, 서방화 담체가 24시간 후 대부분 분해됨으로써 위장관 장애를 일으키지 않으며, 내층의 중량을 최소화시켜 정제의 크기가 줄어들어 복용이 용이하므로 , 환자의 복용순응도를 높일 수 있다. 【산업상 이용가능성 】 The composite preparation of Example 1 prepared according to the present invention and Amaryl Mex tablet of Handok Pharmaceutical Co., Ltd., which is used as a conventional combination preparation for diabetes treatment, were placed in an eluate having a pH of 6.8 to observe the form of the preparation over time. Shown in Figure 6 is a photograph showing the change in the shape of the sustained-release tablet over time during the dissolution test in the eluate pH 6.8 of the sustained-release tablet prepared in accordance with the present invention and the conventional formulation for treating diabetes. As shown in Figure 6, the Amaryl Mex tablet of Handok Pharmaceuticals expands without melting over time, and may maintain gastrointestinal disorders by maintaining its form after 24 hours, but the combination preparation according to the present invention The use of carbomer as a sustained release carrier causes the preparation to dissolve and decompose upon release of the drug and most of the decompose after 24 hours, causing no concern for gastrointestinal disorders. Therefore, the present invention is a combination preparation for treating diabetes, comprising an inner layer, an intermediate layer, and an outer layer, including a sulfonylurea-based drug, including metformin, wherein the carbomer is used as a sustained release carrier of the inner layer. It shows an emission pattern equivalent to that of Jane Amaryl Mex and does not cause gastrointestinal disorders because most of the sustained release carriers are decomposed after 24 hours, and the size of the tablet is reduced by minimizing the weight of the inner layer, which makes it easy to take the patient. . 【Industrial Availability】
본 발명에 의하면, 메트포르민을 포함하는 내층, 중간층 및 설포닐우레아계 약물을 포함하는 외층으로 이루어진 당뇨병 치료용 복합제제에 있어서, 카보머를 내충의 서방화 담체로 사용함으로써 종래 사용되던 당뇨병 치료용 복합제제인 아마릴 Mex 와 동등한 방출패턴을 나타내고, 서방화 담체가 24시간 후 대부분 분해됨으로써 위장관 장애를 일으키지 않으며, 내층의 중량을 최소화시켜 정제의 크기가 즐어들어 복용이 용이하므로 환자의 복용순웅도를 높일 수 있으므로, 서방성 당뇨병 복합제제의 제조에 유용할 수 있다ᅳ  According to the present invention, in a combination preparation for treating diabetes comprising an inner layer, an intermediate layer containing metformin, and an outer layer containing a sulfonylurea-based drug, a combination preparation for treating diabetes, which is conventionally used by using a carbomer as a sustained release carrier of an inner insect, It shows an emission pattern equivalent to that of Jane Amaryl Mex and does not cause gastrointestinal tract obstruction as most of the sustained release carriers are decomposed after 24 hours. Therefore, it may be useful for the preparation of sustained-release diabetes combinations.

Claims

19 【청구의 범위 】 19 【Scope of claim】
【청구항 1】  [Claim 1]
a) 메트포르민 또는 그의 약제학적으로 허용되는 염, 서방화 담체 및 약제학적으로 허용되는 부형제를 포함하는 내층 ;  a) an inner layer comprising metformin or a pharmaceutically acceptable salt thereof, a sustained release carrier and a pharmaceutically acceptable excipient;
b) 약물이 포함되지 않은, 수용성 중합체를 포함하는 중간층; c) 설포닐우레아계 약물 및 방출조절제를 포함하는 외층을 포함하는 경구투여를 위한 당뇨병 치료용 복합제제에 있어서, 상기 서방화 담체로서 카보머를 사용하는 것을 특징으로 하는 서방성 당뇨병 치료용 복합제제 .  b) an interlayer comprising a water soluble polymer, free of drugs; c) a combination preparation for diabetes treatment for oral administration comprising an outer layer comprising a sulfonylurea-based drug and a release control agent, wherein the combination preparation for treating sustained-release diabetes is characterized in that a carbomer is used as the sustained release carrier. .
【청구항 2】 [Claim 2]
제 1항에 있어서,  The method of claim 1,
상기 카보머는 4,000-11,000 센티포아스의 점도를 가지는 과립형 카보머인 것을 특징으로 하는 서방성 당뇨병 치료용 복합제제 .  The carbomer is a combination preparation for the treatment of sustained release diabetes, characterized in that the granular carbomer having a viscosity of 4,000-11,000 centipois.
【청구항 3】 [Claim 3]
게 1항에 있어서,  According to claim 1,
상기 카보머는 전체 복합제제의 중량을 감소시켜 복약순응도를 개선시키는 것을 특징으로 하는 서방성 당뇨병 치료용 복합제제 .  The carbomer is a combination for the treatment of sustained-release diabetes, characterized in that to reduce the weight of the total combination to improve medication compliance.
【청구항 4】 [Claim 4]
제 1항에 있어서 ,  The method of claim 1,
상기 카보머는 복합제제의 내층 총 중량에 대하여 10-25 중량%인 것을 특징으로 하는 서방성 당뇨병 치료용 복합제제 .  The carbomer is a combination formulation for treating sustained release diabetes, characterized in that 10-25% by weight relative to the total weight of the inner layer of the combination.
【청구항 5】 ' [5.] "
제 1항에 있어서,  The method of claim 1,
보조물질로서 상기 카보머에 폴리에틸렌옥시드 또 하이드록시프로필메틸셀를로오스를 더 포함하는 것을 특징으로 하 서방성 당뇨병 치료용 복합제제 .  A composite preparation for the treatment of sustained-release diabetes, wherein the carbomer further comprises polyethylene oxide and hydroxypropylmethylcellose.
【청구항 6】 [Claim 6]
제 1항에 있어서,  The method of claim 1,
활성성분인 메트포르민은 메트포르민을 포함한 내층의 총 중량에 대하여 55-60 중량 %인 것을 특징으로 하는 서방성 당뇨병 치료용 복합제제 . Metformin as an active ingredient is a combination formulation for the treatment of sustained-release diabetes, characterized in that 55 to 60% by weight relative to the total weight of the inner layer containing metformin.
【청구항 7】 [Claim 7]
제 1항에 있어서,  The method of claim 1,
상기 약제학적으로 허용되는 부형제는 미결정셀를로오스, 디ᅳ 만니를, 유당 및 스테아르산마그네슘으로부터 선택되는 하나 이상의 성분인 것을 특징으로 하는 서방성 당뇨병 치료용 복합제제 .  Wherein the pharmaceutically acceptable excipient is microcrystalline cellulose, Dijon Manni, lactose and magnesium stearate, characterized in that at least one component selected from the combination for the treatment of sustained-release diabetes.
【청구항 8】 [Claim 8]
제 1항에 있어서 ,  The method of claim 1,
상기 중간층의 수용성 중합체와 외층의 방출조절제는 6 센티포아스 이하의 점도를 가지는 중합체인 것을 특징으로 하는 서방성 당뇨병 치료용 복합제제 .  The water-soluble polymer of the intermediate layer and the release control agent of the outer layer is a composite preparation for the treatment of sustained-release diabetes, characterized in that the polymer having a viscosity of 6 centipois or less.
PCT/KR2013/004039 2012-05-11 2013-05-08 Sustained-release complex preparations for treating diabetes with improved drug compliance and method for preparing same WO2013169007A1 (en)

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