CN100569230C - 含有双氯芬酸钠和β-环糊精的可注射药物组合物 - Google Patents

含有双氯芬酸钠和β-环糊精的可注射药物组合物 Download PDF

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CN100569230C
CN100569230C CNB2005100768303A CN200510076830A CN100569230C CN 100569230 C CN100569230 C CN 100569230C CN B2005100768303 A CNB2005100768303 A CN B2005100768303A CN 200510076830 A CN200510076830 A CN 200510076830A CN 100569230 C CN100569230 C CN 100569230C
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乔治·佐佩蒂
纳迪娅·普皮尼
马尔科·皮祖蒂
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Abstract

本发明公开了一类可注射药物组合物,含有双氯芬酸钠、β-环糊精和聚山梨醇酯,它们适合用于皮下和肌肉给药。

Description

含有双氯芬酸钠和β-环糊精的可注射药物组合物
发明领域
本发明涉及药物组合物领域,特别涉及一种基于双氯芬酸钠的新型可注射药物组合物。
技术现状
双氯芬酸钠,即2-[(2,6-二氯苯基)氨基]苯乙酸单钠盐,具有公认的抗炎活性,并因此很久以来在用于治疗包括外伤引起的和手术后引起的疼痛症状和所有风湿类疾病的各种类型药物制剂中被用作有效成分。
双氯芬酸通过抑制前列素合成而起作用,这是引起炎症和疼痛的主要原因。为了获得最大的疼痛减轻效果,有效成分必须要尽可能地在用药后到达体循环,所以,可注射形式对于治疗肌肉-骨骼系统的急性炎症是特别受欢迎的。
假定双氯芬酸钠是一种微溶于水的化合物,则目前可获得的基于这种有效成分的可注射药物制剂,将含有等于75mg溶解在3ml溶剂中的数量,溶剂由30vol%丙二醇和70vol%水组成。
尽管如此,但是,这种制剂对于病人来说不是令人愉快的,这是因为它令人感觉疼痛;而且,对于给定的单一剂量的总体积来说,用药只有通过肌肉或静脉注射才是可能的。
为了克服因双氯芬酸在水中的低溶解度引起的这些问题,制备了一类组合物,在这类组合物中,双氯芬酸或其盐与环糊精结合。从这类主题的文献已经知道,由于环糊精能与这种有效成分形成一种水溶复合物,所以它们能提高双氯芬酸的溶解性,
但是,还知道即使在羟丙基-β-环糊精帮助下,如果双氯芬酸钠的浓度需要提高,例如,从25mg/ml提高到75mg/ml,则适合于注射的药物组合物,无论如何也不能得到,这是因为会形成双氯芬酸钠的晶体,如欧洲专利第658347B1号中所述。
所以,确定一种具有双氯芬酸钠浓度大于25mg/ml但不存在前述已知药物组合物缺点的可注射制剂的问题,还没有得到解决。
发明概述
本申请人已发现,通过添加非常精确浓度极限的聚山梨醇酯到一种含β-环糊精和浓度大于25mg/ml水的双氯芬酸钠的水溶液中,晶体形成就可得到完全抑制,从而获得在室温和4℃下能够长期保持清澈和稳定的溶液。
因此,本发明目的是一种呈水溶液形式的可注射药物组合物,包括浓度大于25mg/ml水的双氯芬酸钠和β-环糊精,其特征在于它含有至少一种聚山梨醇酯,其数量为所述溶液总体积的0.01~0.06wt%。
本发明药物组合物的特征和优点将在下文中作更详细的描述。
附图简要说明
图1:给出了双氯芬酸钠的血浆浓度相对于时间(在对三个健康志愿者使用实施例1组合物进行肌肉用药(-◆-)和皮下用药(--Δ--)后960分钟)的两个曲线。
发明详细说明
在本发明药物组合物中,优选使用的聚山梨醇酯是聚山梨醇酯20、或聚氧乙烯山梨糖醇单月桂酸酯,可在市场上以商品名
Figure C20051007683000051
20购得。本发明所述组合物中的聚山梨醇酯数量,相对于所述溶液总体积,为0.01~0.06wt%。
本申请人已经发现,如果同样聚山梨醇酯在前述范围之外的浓度进行使用,则无论是在室温还是在4℃,都不能获得令人满意的组合物稳定性结果。
如下文对比例2所述,聚山梨醇酯溶液浓度低于0.01%w/v,则会形成低温时双氯芬酸溶解性不能令人满意的组合物;事实上,在4℃经过一个相对简短贮存后,溶液中就会形成双氯芬酸晶体。从下文给出的对比例3,可以清楚地看出,如果在室温进行贮存,则聚山梨醇酯溶液浓度大于0.06%w/v,会给出相似的溶液稳定性不能令人满意的结果。
根据本发明药物组合物的特别优选实施方式,聚山梨醇酯数量,相对于溶液总体积,等于0.05wt%。
根据本发明优选实施方式,双氯芬酸钠与β-环糊精的摩尔比是在1∶1~1∶1.3范围之间。
β-环糊精优选为羟丙基β-环糊精。
除了有效成分环糊精和聚山梨醇酯之外,本发明药物组合物还可含有药物学可接受的赋形剂,它们选自于那些常用于药物组合物之中用以获得可注射溶液的赋形剂,可注射溶液对于通过肌肉方式或通过皮下方式是可注射的,并可用于治疗疼痛症状。
本发明组合物可以多种配制方法制备得到,特别地按照优选剂量单位75mg双氯芬酸钠制得。
本发明的药物组合物,可通过混合一种聚山梨醇酯水溶液与一种环糊精水溶液和接着添加双氯芬酸钠而制备得到。
已经发现,以前述水溶液形式制得的药物组合物,是长期稳定的,并且在制备后至少三个月没有晶体形成,无论是在室温还是在4℃。
下述的本发明非限制性实施例,是为说明目的而给出的。
实施例1
制备具有0.05%w/v
Figure C20051007683000061
20的双氯芬酸钠和羟丙基β-环糊精 复合物
制备下述两种溶液:
-溶液A:将1003mg的
Figure C20051007683000062
20溶解在20ml脱离子水中。
-溶液B:在搅拌作用下将6.6g羟丙基β-环糊精溶解在约10ml脱离子水中,直到获得透明无色溶液。
在搅拌作用下,将1.50g的双氯芬酸钠和0.2ml前述制备的溶液A,添加到溶液B中。接着采用脱离子水,使该溶液达到20ml的最终体积,并使之处于搅拌作用之下达约40分钟。
在过滤通过0.22μm过滤器后,得到透明无色溶液,发现其双氯芬酸钠溶液浓度(采用UV分析)为72.91mg/ml。
此溶液按照可注射药物制剂采用的常用方法进行包装和贮存,于室温和4℃条件下,在多于三个月的时间仍保持清澈,没有晶体形成。
实施例2(对比例)
制备具有0.005%w/v
Figure C20051007683000071
20的双氯芬酸钠和羟丙基β-环糊精 复合物
制备下述两种溶液:
-溶液A:将100.3mg的
Figure C20051007683000072
20溶解在20ml脱离子水中。
-溶液B:在搅拌作用下将6.6g羟丙基β-环糊精溶解在约10ml脱离子水中,直到获得透明无色溶液。
在搅拌作用下,将1.51g的双氯芬酸钠和0.2ml前述制备的溶液A,添加到溶液B中。接着采用脱离子水,使该溶液达到20ml的最终体积,并使之处于搅拌作用之下达约40分钟。接着,溶液过滤通过0.22μm过滤器,得到透明无色溶液,发现其双氯芬酸钠溶液浓度(采用UV分析)为79.14mg/ml。
此溶液按照可注射药物制剂采用的常用方法进行包装和贮存,于室温条件下,在多于三个月的时间仍保持清澈,没有晶体形成,但在4℃条件下,在仅1个月之后,就观察到有呈酸形式和钠盐形式的双氯芬酸晶体形成。
实施例3(对比例)
制备具有0.18%w/v
Figure C20051007683000073
20的双氯芬酸钠和羟丙基β-环糊精 复合物
在搅拌作用下将17.4g羟丙基β-环糊精溶解在约28ml脱离子水中,直到获得透明无色溶液。在搅拌作用下,将3.75g的双氯芬酸钠和90.1mg的20,添加到其中。
接着采用脱离子水,使该溶液达到50ml的最终体积,并使之处于搅拌作用之下达约40分钟。接着,溶液过滤通过0.22μm过滤器,得到透明无色溶液,发现其双氯芬酸钠溶液浓度(采用UV分析)为80.49mg/ml。
此溶液按照可注射药物制剂采用的常用方法进行包装和贮存。贮存在4℃下的溶液保持清澈,但贮存在室温条件下的相同溶液仅在贮存一周后就观察到混浊。
实施例4
人体的皮下药物动力学
将实施例1所述制备得到的且含有72.91mg/ml的双氯芬酸钠的溶液,于每个含75mg的双氯芬酸钠的小瓶中,在无菌状态下通过消毒过滤法进行消毒。
将该剂量消毒液(75mg)皮下注射到三个健康志愿者的大腿上部,在给药前,从这三个志愿者提取血液样品,在给药后,以一定时间间隔提取血液样品,直到960分钟。
在图1中,给出了血浆双氯芬酸钠水平随时间的变化曲线,由虚线与对应于检测的单个数值的三角形表示。
实施例5
人体的肌肉药物动力学
将实施例1所述制备得到的且含有72.91mg/ml的双氯芬酸钠的溶液,于每个含75mg的双氯芬酸钠的小瓶中,在无菌状态下通过消毒过滤法进行消毒。
将该剂量消毒液(75mg)肌肉注射到三个健康志愿者的大腿上部,在给药前,从这三个志愿者提取血液样品,在给药后,以一定时间间隔提取血液样品,直到960分钟。
在图1中,给出了血浆双氯芬酸水平随时间的变化曲线,由实线与对应于检测的单个数值的菱形表示。

Claims (5)

1、一种呈水溶液形式的注射用药物组合物,含有羟丙基-β-环糊精和浓度大于25mg/ml的双氯芬酸钠;其中,所述组合物还含有聚山梨醇酯20,其数量相对于所述溶液总体积,是在0.01~0.06wt%之间。
2、权利要求1所述药物组合物,其中,所述聚山梨醇酯20存在的数量,相对于所述溶液总体积,为0.05wt%。
3、权利要求1所述药物组合物,其中,双氯芬酸钠与羟丙基-β-环糊精的摩尔比是在1∶1~1∶1.3范围之间。
4、权利要求1所述药物组合物,其中,所述溶液中双氯芬酸钠浓度是75mg/ml。
5、权利要求1所述药物组合物,呈单位剂量含75mg的双氯芬酸钠的形式。
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US20050282776A1 (en) 2005-12-22
ITMI20041245A1 (it) 2004-09-22
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