CN101327186A - Anticancer implantation agent - Google Patents
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- CN101327186A CN101327186A CNA2008103008550A CN200810300855A CN101327186A CN 101327186 A CN101327186 A CN 101327186A CN A2008103008550 A CNA2008103008550 A CN A2008103008550A CN 200810300855 A CN200810300855 A CN 200810300855A CN 101327186 A CN101327186 A CN 101327186A
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Abstract
An anticancer implant is characterized in that active anticancer ingredient is wrapped into pharmaceutical excipient to be made into the sustained-released implant or sustained injection. The active anticancer ingredient is the combination of anti-metabolism anticancer medicine and synergistic agent thereof. The synergistic agent is made from mustine drug and/or antimitotic drug and/or plant alkaloids. The pharmaceutical excipient is made from polylactic acid, copolymer of polyglycolic acid and glycolic acid, ethylene-vinyl acetate copolymer, FAD: sebacic acid (SA) copolymer and/or polifeprosan, etc. The sustained-release injection is composed of sustained release microspheres and menstruum, and the menstruum is classified into common menstruum and special menstruum with suspending agent. The suspending agent is made from sodium carboxymethyl cellulose, mannite, etc. and is used for suspending active anticancer ingredients or sustained-release gains or microspheres containing active anticancer ingredients so as to facilitate injection. Partial tumor placement or sustained-release agent injection can reduce medicine systemic toxicity effect as well as can selectively increase medicine concentration at partial tumor to enhance the curative effect of non-operative treatments such as chemotherapeutic drug, radiation therapy, etc.
Description
(1) technical field
The present invention relates to a kind of anticancer implant, belong to technical field of pharmaceuticals.
(2) background technology
Treatment for cancer mainly comprises methods such as operation, radiotherapy and chemotherapy.Therefore wherein operative treatment not only can not be removed the oncocyte that is dispersed in, and often recurs or causes tumor cell to stimulate diffusion transfer because of operation; Radiotherapy and traditional chemotherapy are not had a selectivity, and be difficult to tumor by local and form effective drug level or therapeutic dose, weak effect, toxicity is big, improves the restriction that medicine or radiological dose are subjected to general toxic reaction again merely.Referring to " placing cisplatin adding system carmustine treatment rat brain tumor in the tumor " " surgery tumor magazine " 69 phase 76-82 pages or leaves such as Kong Qingzhong, (Kong Q et al., J Surg Oncol.1998 Oct in 1998; 69 (2): 76-82).
The local placement of antitumor drug can overcome above defective preferably, not only can obviously improve the drug level of tumor by local, and can significantly reduce general toxic reaction.A large amount of internal and external tests have demonstrated the therapeutic effect to entity tumor, referring to " placing cisplatin adding system carmustine treatment rat brain tumor in the tumor " " surgery tumor magazine " 69 phase 76-82 pages or leaves such as Kong Qingzhongs, (Kong Q et al., J Surg Oncol.1998 Oct in 1998; 69 (2): 76-82) and Kong Qingzhong etc. " place cisplatin in the tumor and cure the former carbuncle in the occipital region tumor of rat " " surgery tumor magazine " 64 phase 268-273 pages or leaves, 1997 years (Kong Q et al., JSurg Oncol.1997 Oct; 64:268-273).Also can be referring to referring to Chinese patent ZL00111093.4; ZL96115937.5; Chinese patent application 001111264,001111272 and U.S.'s patent of invention 6,376,525B1; 5,651,986; 5,626,862 (patent No.s).
Yet, entity tumor is made up of tumor cell and mesenchyma stroma of tumors, wherein the blood vessel in the mesenchyma stroma of tumors not only provides support and requisite nutrient substance for the growth of tumor cell, also influenced chemotherapeutics around tumor and infiltration and diffusion in the tumor tissues, " situation of extracellular matrix is to the influence of medicine running in the entity tumor " " cancer research " 60 phase 2497-503 page or leaf such as carry referring to the Buddhist nun, (Netti PA, Cancer Res.2000,60 (9): 2497-503) in 2000.Moreover, the blood vessel in the mesenchyma stroma of tumors often causes the enhancing of tumor cell to the toleration of cancer therapy drug to conventional chemotherapy medicine and insensitive, consequently treatment failure.
In addition, the cancer drug therapy of low dosage not only can increase the Drug tolerance of cancerous cell, but also can promote its infiltrative growth, referring to beam etc. " increased after the cancer therapy drug pulse screening human lung carcinoma cell Drug tolerance and external invade the profit ability and with the change of gene expression " " international journal of cancer " 111 phase 484-93 page or leaf, (Liang Y in 2004, etal., Int J Cancer.2004; 111 (4): 484-93).
Therefore, develop a kind of effective cancer therapy drug or Therapeutic Method and just become a current important topic.
(3) summary of the invention
The present invention is directed to the deficiencies in the prior art, a kind of anticancer implant is provided, more specifically, is entity-tumor-resistant medicine composition.Decapacitation suppresses can also increase the sensitivity of tumor cell to cancer therapy drug, thereby can better treat tumor outside the tumor growth, reduces recurrence.
Anticancer implant of the present invention comprises anticancer effective component and pharmaceutic adjuvant, anticancer effective component is the combination of anti-metabolism cancer therapy drug and its synergist, and wherein anti-metabolism cancer therapy drug synergist is selected from a kind of or its combination in chlormethine series pharmaceuticals, anti-mitosis medicine and/or the plant alkaloid.
Antimetabolitas is selected from one of following or combination: comprise, pemetrexed (Alimta), pemetrexed disodium, Rumi Qu Sai, doxifluridine (Doxifloridine, fortulon), the 5-doxifluridine, floxuridine (fluridine), propylthiouracil, fluorouracil (Fluoracil, Fluracil), the fluorobutane uracil, 5-fluorouracil (Fluorouracil, 5-FU), tegadifurum, the 5-fluoxydin, sulfomercaprine sodium, mercaptopurine (Mercaptopurine, happy disease is peaceful, 6-MP), mercapto miaow purine, Ismipur, the adenine hydrochlorate, Benin, thioguanine (thioguanine, 6-TG), sulfur crow purine, tisupurin, Hydrazinium sulfate, dianhydrogalactitol, Aziridinyl Benzoquinone, but sweet smell Luoning, isoeuxanthone, chalone, chlorine is bent phosphoric acid, clastoban, cycloleucine, look into the Chinese holly woods, methyl yellow is looked into the Chinese holly woods sourly, Bai Ruikuaer, oxipurinol, Australia Ma Lite, bromine crust acid (sodium), Brytoslatin-I, bromine urea glycosides, fluorine urea hexylamine, folic acid, methotrexate (methotrexate, MTX), 10-ethyl denitrification aminopterin (deaza-aminopterin), fluoromethotrexate, the dioxy methotrexate, 5, the 10-lonetrexol, N5-Methyltetrahydrohmofotic Acid, buthiopurin, his amide of Dinke, Guang azepine crow glycosides, carmofur (Carmofur), ftorafur (Tegafur, tegafur, FT-207), Tegafur-uracil mixt., 6-prenylindole, 6-thioinosine, UFT (Tegafur-Uracil, UFT), coralyne, N-foymylsarcolysin, ammonia (base) pterin (aminopterin), aminopterin sodium (AminopterinSodium), 8-azaguanine (8-azaguanine), 6-dimethylamino-8-azaadenosine, (nitro) imuran (azathioprine), uracil, 5-mercaptomethyluracil, azaserine (azaserine), Raltitrexed (Raltitrexed, ZD1694), nolatrexed dihydrochloride, sophoridine, formyl tetrahydrofolic acid, 5-methyltetrahydrohomofolate, Zoledronate, thunder accounts for for song, the temozolomide, bicalutamide, asparaginase (L-Asparaginase, left-handed asparagine), calcium levofolinate, calcium folinate (CalciumLevofolinate, calcium leucovorin), Quinespar, triazinate, trimetrexate, tramadol, the 5-chlorobarbituric acid, 5-diazonium uracil, piracetam, hycamtin, topotecan hydrochloride, ZD-9331, BHAC, SM108, cytosine arabinoside (cytosine arabinoside, Cytarabine (Ara-C)), ancitabine (cyclotidine, Cyclocytidine), hydroxyurea (Hydroxycarbamide, hydroxyurea), the hydroxyl guanidine, the 5-fluorouracil nucleoside, the 5-fluorouracil deoxynucleoside claims fluorouracil deoxynucleoside (floxuridine) again, glycerol Citrus chachiensis Hort. alkali, A Lei can loose, HCFU, 5 ' DFUR, TK-177, isoxazole acetic acid, aminoglutethimide (ethylbenzene amine piperidones, aminoglutethimidium, aminoglutethimide), amonafide, 5-chloro-5-deoxyarabinosylcytosine, atamestane, azacytidine (Azacitidine, 5-azacytidine, the atropic cytidine, AzGR), chloramphenalan (betamerphalan, Betamerphalan), decitabing, dexrazoxane (Dexrazoxane), crisnatol, cristatic acid, carat is sharp flat, the sharp guest of carat, zalcitabine, emtricitabine, galocitabine (Galocitabine), gemcitabine (Gemcitabine), ibacitabine (Ibacitabine), enocitabine (Enocitabine), ancitabine (Ancitabine), decitabine (Decitabine), flurocitabine (Flurocitabine), capecitabine (Capecitabine), his shore of imidazoles, the non-Shandong of Crane, the OK a karaoke club amide, carzolamide, carbazylquinone, CB-1-252, curcumin, the curcumin diketone, ketotrexate, trimetrexate, Si Poguning, deoxidation Si Poguning, naphthalene urea phosphamide, Ditercalinium Chloride, F-ara AMP-2, fluorine benzyl thiophene ketone, gamlogic acid, goserelin, nitrogen Chinese holly mountain range, Hellebrigenin, inosine dialdehyde, metoprine, mitobronitol (Dibromomannitol, Mitobronitol), mitolactol (Mitolactol), Ke is for ground, Persian, eriolangin, dopan (Chlorethylaminouracil, Dopan), Mei Luogerui, Methyl GAG, rice holder quinone, mitotane, fazarabine (Fazarabine), fludarabine (fludarabine), cladribine (cladribine), pentoside (pentostatin), phenaline, benzene comes U.S. special, phosphemide, hair Buddhist nun azoles, Polyprenic Acid, Pteroylaspartic Acid, pteroyltriglutamic acid, fast rice tongue pool, riboprine, simtrazene, Schizophyllan, sodium bromebrate, Solvent Yellow 3, bent fourth sulphur ester, TEM, triaziquone, triciribine, TCN-P NSC-280594, triptolide, triptorelin, nine cloth Lip river azoles, UFT, vitamin, Wei Maining, z azepine adenosine, prick western cytidine, epipropidine (Epipropidine), the A Monuo phase, adozelesin (Adozelesin), acronine (Acronine), alanosine (Alanosine), ametantrone (Ametantrone), Anastrozole, the A Naxi army, anaxirone (Anaxirone), A Si Yin wakes up, acivicin (Acivicin), atevirdine (Atevirdine), idoxifene (idoxifene), AT-236, hold high and rather study carefully Ji, individual Lu Dabuxin, antineoplaston, antineoplaston, asaphan, Aspargus Granule, AT-346, Bai Ruikuaer (sodium), (hydrochloric acid) Orang Crush, granisetron, tropisetron, dacarbazine, ondansetron, thymosin, tramadol, imatinib mesylate, diclofenac, Thalidomide, the holder fluorine kills star, toremifene, ambroxol, lappaconitine, anti-general etc. because of, thymosin, flutamide, ethyliminum, amine benzene, neoquini oxydum, the N-methylformamide, the jail can reach azoles, NSC-56045, oxisuran, oxylycorine, paphencyl 6, it is fixed to moor damp Nip, the penberol, prospidine chloride, protoanemonin, good generation born of the same parents, retelliptine, Sensorad, M3, solapalmitine, solaziquonum, stibenemidine, Temozoromide, the many Shillongs of platform, thiaolivacine, the pyridine of nitre ammonia bifurcation, SN-11841,2-Amino-6-methyl-5-(pyridin-4-ylsulfanyl)-3H-quinazolin-4-one (nolatrexed dihydrochloride, AG337) or GW1843.
Above-mentioned antimetabolitas is with Ismipur, 5-fluorouracil (5-FU), pemetrexed, pemetrexed disodium, Rumi Qu Sai, doxifluridine, floxuridine, mercaptopurine, thioguanine, methotrexate, carmofur, ftorafur, zalcitabine, emtricitabine, galocitabine, ibacitabine, ancitabine, decitabine, flurocitabine, enocitabine, his shore of imidazoles, rice holder quinone, mitotane, cytosine arabinoside, hydroxyurea, the 5-fluorouracil nucleoside, capecitabine, gemcitabine, fludarabine, thunder accounts for for song, Raltitrexed, dexrazoxane, cladribine, 2-Amino-6-methyl-5-(pyridin-4-ylsulfanyl)-3H-quinazolin-4-one or pentoside are preferred.Antimetabolitas can stop the synthetic of DNA in different links respectively, suppresses cell division propagation, and cell cycle and DNA are synthetic to play a role by influencing.
Chlormethine series pharmaceuticals as synergist is selected from mechlorethaminoxide (Mechlorethaminoxide), glyforfin (Glyfosfin), chlornaphazine (Chlornaphazine), chlormethine (Mustine, Mechlorethamine, Chlormethine), nitrocaphane (Nitrocaphane, nitrocaphanum, AT-1258), betamerphalan (Betamerphalan), ocaphane (Ocaphane), the card mustard, methoxymerphalan (Methoxymerphalan), AGN 1414, trichlormethine (Trimustine), desmofosfamide, ocaphane (Ocaphane), Am, Thyminalkylamine, uracil mustard, imidazole mustard, mannomustin, mannomustine, 1-(2-Chloroethyl)-3-neopentyl-1-nitrosourea, nitro can moisten, novoembichin, AT 581., phenesterine, PM, the tower chlorethyl cyclohexyl nitrosourea, cyclophosphamide, melphalan, nimustine, bendamustine, a kind of or combination in Chlorambucil or the uraphetinum.
Above chlormethine series pharmaceuticals also comprises their salt, as, but be not limited to, sulfate, phosphate, hydrochlorate, Lactobionate, acetate, aspat, nitrate, citrate, purine or pyrimidine salt, succinate and maleate etc.,
The preferred chlormethine of above-mentioned chlormethine series pharmaceuticals, methoxymerphalan, trichlormethine, nitrocaphanum, mustine hydrochlcride, Thyminalkylamine, uracil mustard, imidazole mustard, mannomustin, mannomustine, novoembichin, AT 581., phenesterine, PM, tower chlorethyl cyclohexyl nitrosourea, cyclophosphamide, melphalan, nimustine, bendamustine, Chlorambucil, uraphetinum or chlormethine uracil.
Anti-mitosis medicine will make tumor cell stop at the different links of cell cycle.Anti-mitosis medicine is selected from cytochalasin (podophyllotoxin), Datelliptium Chloride, ellipticine, 2-Methylellipticine, mitoclomine (Mitoclomine), mitoflaxone (Mitoflaxone), mitoguazone (Mitoguazone), mitonafide (Mitonafide), mitopodozide (Mitopodozide), mitoquidone (Mitoquidone), mitosper (Mitosper), mitotane (Mitotane), mitotenamine (Mitotenamine), mitozolomide (Mitozolomide), Flavone acetic acid, colchisal (colchisal), colchiceinamide (Colchiceinamide), colchicine (Colchicine), 7-acetamido-10-hydroxy-1,2,3-trimethoxy-6,7-dihydrobenzo[a (colchiceine), sulfo--colchicine (thio-colchicine), Demecolcine (Demecolcine), Colchiceinamidum, Colchicine, B cytochalasin B (cytochalasins) is (as A-E, H, J), okadaic acid, carbaryl (sevin, carbaryl), naphthols (naphthol), alpha-Naphthol (1-naphthol), betanaphthol (2-naphthol), alpha-phosphate naphthols (1-naphthylphosphate), malonate, acodazole (Acodazole), procodazole (Procodazole), arsenicum (arsenic trioxide), giracodazole (Giracodazole), nocodazole (nocodazole), a kind of or combination in malonic acid or the malonate.
Above anti-mitosis medicine also comprises its salt, as, but be not limited to sulfate, phosphate, hydrochlorate, Lactobionate, acetate, aspat, nitrate, citrate, purine or pyrimidine salt, succinate and maleate etc.
Above-mentioned anti-mitosis medicine serves as preferred with cytochalasin, mitoclomine, mitoflaxone, mitoguazone, mitonafide, mitopodozide, mitoquidone, mitosper, mitotane, mitotenamine, mitozolomide, Flavone acetic acid, colchisal, colchicine, Demecolcine, B cytochalasin B, naphthols, alpha-Naphthol, betanaphthol, alpha-phosphate naphthols, acodazole, procodazole, arsenicum, giracodazole and nocodazole.
Chlormethine series pharmaceuticals shared ratio in implant is decided because of concrete condition, and generally speaking, percentage by weight can be good with 1%-50% from 0.01%-80%, is best with 5%-30%.
The percentage by weight of above-mentioned anti-mitosis medicine in implant can be 0.01%-80%, is good with 1%-50%, and 5%-30% is best.
Plant alkaloid as synergist is the anti-tumor botanical that derives from plant, be selected from one of following or combination: vinblastine, leurosidine, the Changchun indole, the Changchun chlormethine, the oxo bridge vinblastine, vincristine (Vincristine, leurocristine), Podophyllinic Acid (mitopodozide), vincristine sulfate, vincaleucoblastine (Vinblastine), the tartaric acid F 81097, the tartaric acid leurosine, leurosine, the tartaric acid catharanthine, Hainanensine, Hainanolide, vinpocetine, vinorelbine (Vinorelbine, Vinorebine), Vinorelbine monotartrate, the two tartrates of vinorelbine, Vinorelbine tartrate, Vinmegallate (Vinmegallate), vinleurosine (Vinleurosine), vinleucinol (Vinleucinol), vinglycinate (Vinglycinate), Deacetylvincaleucoblastine 4-(N,N-dimethylglycinate) sesquisulfate, virosine, vinfosiltine (Vinfosiltine), vinformide (Vinformide), vinflunine (Vinflunine), vinepidine (Vinepidine), vindesine (Vindesine, vindesine), vinzolidine (Vinzolidine), vintriptol (Vintriptol), vinrosidine (Vinrosidine), oxymatrine, cephalotaxin (Cephalotaxin), 3(R)-Deoxyharringtonine, homoharringtonine (Homoharringtonine), aranotin, monocrotaline (Monocrotaline), maitansine, elliptinium acetate, total alkaloid of harmaline, heart chrysanthemum lactone, Mei Dengsu, rubescensine A, pretazettine, thalictrine, thalidasine, 2,3,5,6-tetramethoxyphenanthro[9,10:6',7', tylophorimidine or white cottonrose hibiscus alkali.Above plant alkaloid cancer therapy drug also comprises its salt, as, but be not limited to sulfate, phosphate, hydrochlorate, Lactobionate, acetate, aspat, nitrate, citrate, purine or pyrimidine salt, tartrate, succinate and maleate etc.
Above plant alkaloid serves as preferred with vincristine, vincaleucoblastine, vinorelbine, vindesine, Vinmegallate, vinleurosine, vinleucinol, vinglycinate, vinfosiltine, vinformide, vinflunine, vinepidine, vinzolidine, vintriptol, vinrosidine, monocrotaline or cephalotaxin.
Plant alkaloid shared ratio in compositions is decided because of concrete condition, and generally speaking, percentage by weight can be good with 1%-50% from 0.01%-99.99%, is best with 5%-30%.
The synergist decapacitation suppresses can also increase the sensitivity of tumor cell to antimetabolitas outside the tumor growth; Slow-release auxiliary material is used as the carrier holder of medicine, thereby the local concentration of medicine is improved and kept to the rate of release of may command medicine and time.
The content of synergist in slow releasing agent is 0.01%-60%, is good with 1%-40%, is best with 5%-30%, more than all be weight percentage.
Adjuvant is selected from copolymer (PLGA), ethylene vinyl acetate copolymer (EVAc), polifeprosan, certain herbaceous plants with big flowers diacid and one of FAD copolymer, xylitol, oligosaccharide, chrondroitin, chitin, hyaluronic acid, collagen protein, gelatin and albumin or its combination of polylactic acid (PLA), polyglycolic acid and hydroxyacetic acid.
Polylactic acid in the above-mentioned slow-release auxiliary material (PLA) molecular weight peak value can be, but is not limited to 5,000~100,000, and with 20,000~60,000 is preferred, and with 30,000~50,000 for most preferably; The molecular weight of polyglycolic acid (PGA) can be, but is not limited to 5,000~100,000, and with 20,000~60,000 is preferred, and with 30,000~50,000 for most preferably; The molecular weight of the copolymer of polyglycolic acid and hydroxyacetic acid (PLGA) can be, but is not limited to 5,000~100,000, but with 20,000~60, and 000 is preferred, and with 30,000~50,000 for most preferably; The blend weight ratio of glycolic and hydroxyacetic acid is 10/90-90/10, polifeprosan (poly-(1,3-two (to the carboxyl phenoxy group) propane decanedioic acid) in, to the weight ratio 10/90-90/10 of carboxy phenyl propane (p-CPP) with certain herbaceous plants with big flowers diacid (SA), preferred 20/80-75/25; In certain herbaceous plants with big flowers diacid and the FAD copolymer, the weight ratio 20/90-80/20 of certain herbaceous plants with big flowers diacid (SA) and FAD, preferred 30/70-70/30.
The used pharmaceutic adjuvant of sustained-release implant can be any or multiple material in the above-mentioned pharmaceutic adjuvant, but with the high molecular weight water soluble polymer is main separation, in various high molecular polymers, with polylactic acid, certain herbaceous plants with big flowers diacid, the mixture or the copolymer that contain the macromolecule polymer of polylactic acid or certain herbaceous plants with big flowers diacid is first-selection, mixture and copolymer can be selected from, but be not limited to the mixture or the copolymer of the mixture of PLA, PLGA, PLA and PLGA, certain herbaceous plants with big flowers diacid and fragrant polyanhydride or aliphatic polyanhydride.Polylactic acid (PLA) and polyglycolic acid the blend ratio be 10/90-90/10 (weight), 25/75-75/25 (weight) preferably.The method of blend is arbitrarily.Content when glycolic and lactic acid copolymerization is respectively percentage by weight 10-90% and 90-10%.The representative of fragrance polyanhydride is to carboxy phenyl propane (p-CPP), content during to carboxy phenyl propane (p-CPP) and the copolymerization of certain herbaceous plants with big flowers diacid is respectively percentage by weight 10-60% and 20-90%, the blend weight ratio is 10-40: 50-90, preferably weight ratio 15-30: 65-85.
Pharmaceutic adjuvant has a detailed description in " pharmaceutic adjuvant complete works " (the 123rd page, Sichuan science tech publishing house published in 1993, Luo Mingsheng and Gao Tianhui chief editor).In addition, Chinese patent (application number 96115937.5; 91109723.6; 9710703.3; 01803562.0) and U.S.'s patent of invention (patent No. 5,651,986) also enumerated some pharmaceutic adjuvants.Comprise filler, solubilizing agent, absorption enhancer, film former, gellant, system (or causing) hole agent, excipient or blocker.Above pharmaceutic adjuvant has has multiple action, and therefore the material of the same race that has is listed in different classifications.The available holder of anticancer implant of the present invention can be any or multiple material in the above-mentioned pharmaceutic adjuvant, and not exclusively comes the technical characterictic of limit combination according to its classification or definition.
The effective ingredient of anticancer implant can be packaged in the whole pharmaceutic adjuvant equably, also can be packaged in carrier holder center or its surface; Can effective ingredient be discharged by direct diffusion and/or the mode of degrading through polymer.
The characteristics of anti-cancer sustained-released implantation agent of the present invention are that used pharmaceutic adjuvant removes the high molecular polymerization beyond the region of objective existence, also contain above-mentioned any one or multiple other pharmaceutic adjuvant.The pharmaceutic adjuvant that adds is referred to as additive.Additive can be divided into filler, porogen, excipient, dispersant, isotonic agent, preservative agent, blocker, solubilizing agent, absorption enhancer, film former, gellant etc. according to its function.
Main Ingredients and Appearance of the present invention can be made into multiple dosage form.As, but be not limited to capsule, slow releasing agent, implant, slow releasing agent implant etc.; Be multiple shape, as, but be not limited to granule, pill, tablet, powder, granule, sphere, bulk, needle-like, bar-shaped, column and membranaceous.In various dosage forms, serve as preferred slowly to discharge implant in the body.
The most preferred dosage form of anti-cancer sustained-released implantation agent of the present invention is that the slow releasing agent that biocompatibility, degradable absorb is implanted, and can make different shape and various dosage form because of the clinical needs of difference.The packing method of its Main Ingredients and Appearance and step in United States Patent (USP) (US5651986) have a detailed description, comprise the some kinds of methods that prepare slow releasing preparation: as, but be not limited to, (i) carrier holder powder and medicament mixed be pressed into implant then, promptly so-called mixing method; (ii) carrier holder fusing, mix solid cooled then, promptly so-called fusion method mutually with medicine to be packaged; (iii) the carrier holder is dissolved in the solvent, medicine dissolution to be packaged or be scattered in the polymer solution, evaporating solvent then, the universe is dry, promptly so-called dissolution method; (iv) spray drying method; And (v) freeze-drying etc.
The another technical characterictic of implant of the present invention is that implant is a slow releasing injection.The anti-cancer medicine slow release implant also can be made into injection, is made up of sustained-release micro-spheres and solvent:
(A) sustained-release micro-spheres comprises:
Anticancer effective component 0.5-60%
Slow-release auxiliary material 40-99%
More than be weight percentage
With
(B) solvent is for common solvent or contain the special solvent of suspending agent.
Wherein, anticancer effective component is the hormone anti-cancer medicine and/or the hormone anti-cancer medicine synergist of effective anticancer, and synergist is selected from chlormethine series pharmaceuticals and/or anti-mitosis medicine and/or plant alkaloid; Slow-release auxiliary material is selected from one of copolymer (PLGA), ethylene vinyl acetate copolymer (EVAc), polifeprosan, xylitol, oligosaccharide, chrondroitin, chitin, hyaluronic acid, collagen protein, gelatin and albumin of polylactic acid (PLA), polyglycolic acid and hydroxyacetic acid or its combination; Common solvent is selected from distilled water, water for injection, physiology towards liquid, dehydrated alcohol, phosphate or carbonate buffer solution; Suspending agent is selected from one of sodium carboxymethyl cellulose, (iodine) glycerol, simethicone, propylene glycol, carbomer, mannitol, sorbitol, surfactant, soil temperature 20, soil temperature 40 and soil temperature 80 or its combination.Suspending agent helps the suspension of slow releasing pharmaceutical and then makes things convenient for drug administration by injection.The content of suspending agent is 0.1-30% volume weight percentage ratio in the special solvent, is preferably as follows:
A) 0.5-5% sodium carboxymethyl cellulose and 0.1-0.5% Tween 80; Or
B) 5-20% mannitol and 0.1-0.5% Tween 80; Or.
C) 0.5-5% sodium carboxymethyl cellulose, 5-20% sorbitol and 0.1-0.5% Tween 80.
The above-mentioned volume weight percentage ratio that is contains the weight of suspending agent in the common solvent of unit volume, as g/ml, and kg/l.Down together.
Effective ingredient can be made microsphere for supporting by adjuvant, and its method is arbitrarily, as, but be not limited to (i) fusion method: pharmaceutic adjuvant and medicine are directly pulverized mixed, melt, cool off the preparation slow-releasing granules then; (ii) dissolution method: pharmaceutic adjuvant and medicine dissolution in organic solvent, remove solvent then and prepare sustained-release micro-spheres; (iii) spray drying method for preparation microsphere; (iv) freezing (drying) comminuting method is made micropowder; (v) dissolution method is made micropowder in conjunction with freezing (drying) comminuting method; (vi) liposome bag medicine method and (vii) preparation such as emulsion process sustained-release micro-spheres.The particle size range of made microsphere can be at 5-400um, is preferred with 10-300um, with 20-200um for most preferably.
The percentage by weight of anticancer effective component is 0.5%-60% in sustained-release microparticle, is good with 2%-40%, is best with 5%-30%.
The percentage by weight of slow-release auxiliary material in sustained-release microparticle is 40-99.5%, one of the copolymer (PLGA) of the preferred polylactic acid of slow-release auxiliary material (PLA), polyglycolic acid and hydroxyacetic acid, ethylene vinyl acetate copolymer (EVAc), polifeprosan, certain herbaceous plants with big flowers diacid and FAD copolymer or its combination.
Polylactic acid in the above-mentioned slow-release auxiliary material (PLA) molecular weight peak value can be, but is not limited to 5,000~100,000, and with 20,000~60,000 is preferred, and with 30,000~50,000 for most preferably; The molecular weight of polyglycolic acid (PGA) can be, but is not limited to 5,000~100,000, and with 20,000~60,000 is preferred, and with 30,000~50,000 for most preferably; The molecular weight of the copolymer of polyglycolic acid and hydroxyacetic acid (PLGA) can be, but is not limited to 5,000~100,000, but with 20,000~60, and 000 is preferred, and with 30,000~50,000 for most preferably; The blend weight ratio of glycolic and hydroxyacetic acid is 10/90-90/10, polifeprosan (poly-(1,3-two (to the carboxyl phenoxy group) propane decanedioic acid) in, to the weight ratio 10/90-90/10 of carboxy phenyl propane (p-CPP) with certain herbaceous plants with big flowers diacid (SA), preferred 20/80-75/25.In certain herbaceous plants with big flowers diacid and the FAD copolymer, the weight ratio 20/90-80/20 of certain herbaceous plants with big flowers diacid (SA) and FAD, preferred 30/70-70/30.
Sustained-release microparticle can be microgranule, granule, spherical piller, microsphere or micropowder.Be to regulate drug releasing rate, the composition and the proportioning that can change the monomer component of polymer or molecular weight, interpolation or regulate pharmaceutic adjuvant are added any one or multiple other pharmaceutic adjuvant as additive.Additive can be divided into filler, porogen, excipient, dispersant, isotonic agent, preservative agent, blocker, solubilizing agent, absorption enhancer, film former, gellant etc. according to its function, and its content is decided because of concrete condition.Slow release or pharmaceutic adjuvant are in Luo Mingsheng and Gao Tianhui chief editor's " pharmaceutic adjuvant complete works " the 123rd page, had a detailed description in " pharmaceutics " People's Health Publisher in May, 85 version of chief editors such as Sichuan science tech publishing house in March, 1993 version and Tu Xide, in addition, Chinese patent (application number 96115937.5,91109723.6,9710703.3,01803562.0) and U.S.'s patent of invention (patent No. 5,651,986) also enumerate some pharmaceutic adjuvant, comprised filler, solubilizing agent, absorption enhancer, film former, gellant, system (or causing) hole agent, cross-linking agent, the binding agent, excipient or blocker.Above pharmaceutic adjuvant has has multiple action, and therefore the material of the same race that has is listed in different classifications.The available holder of the present invention can be any or multiple material in the above-mentioned pharmaceutic adjuvant, and not exclusively comes the technical characterictic of limit combination according to its classification or definition.
Sustained-release micro-spheres can separate the packing respectively of independent sterilization back, storage, suspendible, injection again during use with the injection solvent; Also sustained-release micro-spheres can be mixed back sterilization, packing with a certain proportion of suspending agent, it is suspended in the common solvent or special solvent of the packing of separately sterilizing during use.Used common solvent refers to clinical injection commonly used, as, but be not limited to, the buffer that distilled water, water for injection, physiology are prepared towards liquid, dehydrated alcohol or various salt is as phosphate or carbonate buffer solution etc.Special solvent is the common solvent that contains a kind of or several suspending agents; Sustained-release micro-spheres is sterilized after also can being suspended in the injection solvent, packing, and the time spent direct injection can add a certain amount of antiseptic in such cases.
Slow releasing injection of the present invention can be further divided into gel-type slow releasing injection, solution-type slow releasing injection, suspension type slow releasing injection, microcapsule-type slow releasing injection, microspheric slow releasing injection, block copolymer micelle injection or liposome slow releasing injection.More than in the multiple slow releasing injection, preferred suspension type slow releasing injection, gel-type slow releasing injection, microspheric slow releasing injection, block copolymer micelle injection.Wherein, the suspension type slow releasing injection is the preparation that the sustained-release microparticle that will contain anticancer component is suspended in gained in the injection.Gel-type slow releasing injection system is dissolved in some amphipathic solvent with biological degradation polyalcohol (as PLA, PLGA or DL-LA and epsilon-caprolactone copolymer), add medicine miscible with it (or suspendible) back again and form flowability gel preferably, can be through tumor week or intratumor injection.In case inject, amphipathic solvent diffuses to body fluid very soon, the moisture in the body fluid then infiltrates gel, makes polymer cure, slowly discharges medicine.The microspheric slow releasing injection comprises microparticulate preparations such as microsphere, sub-micro ball, microemulsion, nanosphere, liposome or gel, and used pharmaceutical carrier is above-mentioned any one or its combination.The block copolymer micelle injection is formed in aqueous solution by hydrophobic hydrophilic block copolymers, has the spherical inner core shell mechanism, and hydrophobic block forms kernel, and hydrophilic block forms shell.The carrier micelle injection enters the purpose that reaches control drug release or targeted therapy in the body.Used pharmaceutical carrier is above-mentioned any one or its combination.Wherein preferred molecular weight is 1,000-15,000 Polyethylene Glycol (PEG) are as the hydrophilic block of micelle copolymer, and preferred biological degradation polyalcohol is (as PLA, polylactide, polycaprolactone and copolymer thereof (molecular weight 1,500-25,000) as the hydrophobic block of micelle copolymer.The particle size range of block copolymer micelle can be at 10-300um, between the 20-200um serving as preferred.
In above-mentioned all kinds of slow releasing injection with the suspension type slow releasing injection for most preferably, the suspension type slow releasing injection is the preparation that the sustained-release microparticle that will contain anticancer component is suspended in gained in the injection, used adjuvant is a kind of or its combination in the above-mentioned slow-release auxiliary material.The mode that suspends is divided into multiple, but based on following three kinds, the one, the sustained-release microparticle of pastille is packed with suspending agent, before injection, it is suspended in the common solvent, i.e. " sustained-release microparticle and suspending agent+common solvent " scheme; The 2nd, the sustained-release microparticle of pastille is packed separately, before injection, it is suspended in the special solvent, i.e. " sustained-release microparticle+special solvent " scheme; The 3rd, with the packing of behind suspending agent and common solvent suspendible, sterilizing of the sustained-release microparticle of pastille, time spent direct injection.
The used pharmaceutic adjuvant of slow releasing injection is above-mentioned a kind of or several adjuvants, can import in the body cavity, in the tumor or tumor all; The gel-type slow releasing injection is biological degradation polyalcohol PLA, PLGA, hyaluronic acid, chrondroitin, collagen protein, gelatin, albumin etc. to be dissolved with the amphiphilic solvent phase make polymer solution, make after miscible with medicine then, be fruit jelly shape, paste or ointment isogel type; The solution-type slow releasing injection can be selected vegetable oil for use, as, but be not limited to, iodine glycerol, certain herbaceous plants with big flowers acid esters, carnic acid, Oleum sesami, Oleum Ricini, Oleum Glycines, Semen arachidis hypogaeae wet goods are made holder; The suspension type slow releasing injection also can be with medicine separately or be packaged in and make oil suspension after the high molecular polymer, medicine and macromolecular compound be combined into the indissoluble salt suspensoid or with the suspension of medicine and reactant salt formation drug salts crystalline solid.
Antimetabolitas in the anticancer effective component can be above-mentioned any one or its combination, but preferred Ismipur, 5-fluorouracil (5-FU), pemetrexed, pemetrexed disodium, Rumi Qu Sai, doxifluridine, floxuridine, mercaptopurine, thioguanine, methotrexate, carmofur, ftorafur, galocitabine, ibacitabine, enocitabine, ancitabine, decitabine, flurocitabine, enocitabine, his shore of imidazoles, rice holder quinone, mitotane, cytosine arabinoside, hydroxyurea, the 5-fluorouracil nucleoside, capecitabine, gemcitabine, fludarabine, thunder accounts for for song, Raltitrexed, the atropic cytidine, dexrazoxane, cladribine, 2-Amino-6-methyl-5-(pyridin-4-ylsulfanyl)-3H-quinazolin-4-one or pentoside.
Chlormethine series pharmaceuticals can be above-mentioned any one or its combination, but preferred chlormethine, methoxymerphalan, trichlormethine, nitrocaphanum, mustine hydrochlcride, Thyminalkylamine, uracil mustard, imidazole mustard, mannomustin, mannomustine, novoembichin, AT 581., phenesterine, PM, tower chlorethyl cyclohexyl nitrosourea, uraphetinum or chlormethine uracil.
Above-mentioned anti-mitosis medicine can be above-mentioned any one or its combination, but preferred cytochalasin, mitoclomine, mitoflaxone, mitoguazone, mitonafide, mitopodozide, mitoquidone, mitosper, mitotane, mitotenamine, mitozolomide, Flavone acetic acid, colchisal, colchicine, Demecolcine, B cytochalasin B, naphthols, alpha-Naphthol, betanaphthol, alpha-phosphate naphthols, acodazole, procodazole, arsenicum, giracodazole and nocodazole.
Plant alkaloid in the anticancer effective component can be above-mentioned any one or its combination, but preferred vincristine, vincaleucoblastine, vinorelbine, vindesine, Vinmegallate, vinleurosine, vinleucinol, vinglycinate, vinfosiltine, vinformide, vinflunine, vinepidine, vinzolidine, vintriptol, vinrosidine, monocrotaline or cephalotaxin.
The sustained-release micro-spheres anticancer effective component that sustained-release implant of the present invention and being used for prepares slow releasing injection is preferably:
(1) Ismipur of 5-30%, 5-fluorouracil (5-FU), pemetrexed, pemetrexed disodium, Rumi Qu Sai, doxifluridine, floxuridine, mercaptopurine, thioguanine, methotrexate, carmofur, ftorafur, zalcitabine, emtricitabine, galocitabine, ibacitabine, enocitabine, ancitabine, decitabine, flurocitabine, his shore of imidazoles, rice holder quinone, mitotane, cytosine arabinoside, hydroxyurea, the 5-fluorouracil nucleoside, capecitabine, gemcitabine, fludarabine, thunder accounts for for song, Raltitrexed, dexrazoxane, cladribine, the chlormethine of 2-Amino-6-methyl-5-(pyridin-4-ylsulfanyl)-3H-quinazolin-4-one or pentoside and 5-30%, methoxymerphalan, trichlormethine, nitrocaphanum, mustine hydrochlcride, Thyminalkylamine, uracil mustard, imidazole mustard, mannomustin, mannomustine, novoembichin, AT 581., phenesterine, PM, the tower chlorethyl cyclohexyl nitrosourea, cyclophosphamide, melphalan, nimustine, bendamustine, Chlorambucil, the combination of uraphetinum or chlormethine uracil; Or
(2) Ismipur of 5-30%, 5-fluorouracil (5-FU), pemetrexed, pemetrexed disodium, Rumi Qu Sai, doxifluridine, floxuridine, mercaptopurine, thioguanine, methotrexate, carmofur, ftorafur, zalcitabine, emtricitabine, galocitabine, ibacitabine, ancitabine, decitabine, flurocitabine, enocitabine, his shore of imidazoles, rice holder quinone, mitotane, cytosine arabinoside, hydroxyurea, the 5-fluorouracil nucleoside, capecitabine, gemcitabine, fludarabine, thunder accounts for for song, Raltitrexed, dexrazoxane, cladribine, the cytochalasin of 2-Amino-6-methyl-5-(pyridin-4-ylsulfanyl)-3H-quinazolin-4-one or pentoside and 5-30%, mitoclomine, mitoflaxone, mitoguazone, mitonafide, mitopodozide, mitoquidone, mitosper, mitotane, mitotenamine, mitozolomide, Flavone acetic acid, colchisal, colchicine, Demecolcine, B cytochalasin B, naphthols, alpha-Naphthol, betanaphthol, the alpha-phosphate naphthols, acodazole, procodazole, arsenicum, the combination of giracodazole or nocodazole; Or
(3) Ismipur of 5-30%, 5-fluorouracil (5-FU), pemetrexed, pemetrexed disodium, Rumi Qu Sai, doxifluridine, floxuridine, mercaptopurine, thioguanine, methotrexate, carmofur, ftorafur, zalcitabine, emtricitabine, galocitabine, ibacitabine, ancitabine, decitabine, flurocitabine, enocitabine, his shore of imidazoles, rice holder quinone, mitotane, cytosine arabinoside, hydroxyurea, the 5-fluorouracil nucleoside, capecitabine, gemcitabine, fludarabine, thunder accounts for for song, Raltitrexed, dexrazoxane, cladribine, the vincristine of 2-Amino-6-methyl-5-(pyridin-4-ylsulfanyl)-3H-quinazolin-4-one or pentoside and 5-30%, vincaleucoblastine, vinorelbine, vindesine, Vinmegallate, vinleurosine, vinleucinol, vinglycinate, vinfosiltine, vinformide, vinflunine, vinepidine, vinzolidine, vintriptol, vinrosidine, the combination of monocrotaline or cephalotaxin.Below all be weight percentage.
The route of administration of slow releasing agent of the present invention depends on multiple factor, wherein depends primarily on its dosage form.For reaching effect concentration at former or position, metastatic tumour place, can give through number of ways, as approach medicine in subcutaneous, intracavity (in abdominal cavity, thoracic cavity and canalis spinalis), the tumor, in all, the selective arterial injection of tumor, lymph node and in the bone marrow, anti-cancer sustained-released implantation agent is placed through puncture or operation, and slow-releasing anticarcinogen injection can reach drug administration by injection, but embedding in all can performing the operation, is coated with and spreads, pour into.With in selective arterial, intracavity, the tumor, tumor week injection or be placed as preferred.
The present invention can be used to prepare the medicine of the various tumors for the treatment of people and animal, be mainly slow releasing injection or implant, the indication tumor comprises former or cancer or sarcoma or the carcinosarcoma that shifts that originates from brain, central nervous system, kidney, liver, gallbladder, incidence, oral cavity, thyroid, skin, mucosa, body of gland, blood vessel, osseous tissue, lymph node, lungs, esophagus, stomach, mammary gland, pancreas, eyes, nasopharynx part, uterus, ovary, endometrium, cervix uteri, prostate, bladder, colon, rectum.
The present invention also can add other medicinal ingredient, as, but be not limited to antibiotics, antalgica, anticoagulant medicine, hemorrhage etc.
By following test excellent results of the present invention is further described.
Test 1, plant alkaloid press down the potentiation of tumor to antimetabolitas.
Used tumor cell comprises CNS-1, C6,9L, gastric gland epithelial cancer (SA), bone tumor (BC), breast carcinoma (BA), pulmonary carcinoma (LH), papillary adenocarcinoma of thyroid (PAT), hepatocarcinoma etc.Antimetabolitas and plant alkaloid are added in 24 hours the various tumor cells of In vitro culture by the 10ug/ml drug level, continue to cultivate counting cells sum after 48 hours.Its growth of tumour cell suppresses effect and is shown in Table 1.
Table 1
Oncocyte | Vincristine | Vincaleucoblastine | 5-FU | Vincristine+5-FU | Vincaleucoblastine+5-FU | Vinorelbine | Pemetrexed | Vinorelbine+pemetrexed |
CNS | 62% | 64% | 60% | 88% | 94% | 56% | 56% | 92% |
C6 | 62% | 64% | 58% | 86% | 96% | 60% | 62% | 88% |
SA | 58% | 60% | 68% | 92% | 88% | 54% | 64% | 92% |
BC | 54% | 64% | 52% | 84% | 96% | 64% | 60% | 88% |
BA | 54% | 64% | 60% | 94% | 98% | 62% | 60% | 90% |
LH | 60% | 58% | 66% | 90% | 92% | 62% | 54% | 88% |
PAT | 54% | 56% | 68% | 88% | 94% | 58% | 58% | 88% |
Above result shows, growth all has the obvious suppression effect to kinds of tumor cells when this concentration is used separately for used various antimetabolitas (5-FU, pemetrexed) and plant alkaloid (vincristine, vincaleucoblastine, vinorelbine), when use in conjunction, plant alkaloid can significantly strengthen the tumor-inhibiting action of antimetabolitas.
Test 2, anti-mitosis medicine press down the potentiation of tumor to antimetabolitas.
Used tumor cell comprises carcinoma of prostate, carcinoma of endometrium, breast carcinoma, pulmonary carcinoma, cancer of pancreas, hepatocarcinoma and rectal cancer.Antimetabolitas and anti-mitosis medicine are added in 24 hours the various tumor cells of In vitro culture by the 10ug/ml drug level, continue to cultivate counting cells sum after 48 hours.Its growth of tumour cell suppresses effect and is shown in Table 2.
Table 2
Oncocyte | Acodazole | Methotrexate | Carmofur | Ftorafur | Acodazole+methotrexate | Acodazole+carmofur | Acodazole+ftorafur |
Carcinoma of prostate | 78% | 60% | 60% | 52% | 92% | 88% | 94% |
Carcinoma of endometrium | 60% | 64% | 50% | 42% | 94% | 88% | 90% |
Breast carcinoma | 68% | 64% | 52% | 52% | 88% | 88% | 90% |
Pulmonary carcinoma | 58% | 54% | 50% | 42% | 94% | 84% | 88% |
Cancer of pancreas | 54% | 54% | 44% | 54% | 92% | 92% | 92% |
Hepatocarcinoma | 60% | 48% | 34% | 56% | 90% | 92% | 86% |
Rectal cancer | 62% | 48% | 38% | 48% | 94% | 94% | 94% |
Above result shows, growth all has the obvious suppression effect to kinds of tumor cells when this concentration is used separately for used anti-mitosis medicine (acodazole) and antimetabolitas (methotrexate, carmofur, ftorafur), when use in conjunction, anti-mitosis medicine can significantly strengthen the tumor-inhibiting action of antimetabolitas.
Test 3, chlormethine series pharmaceuticals press down the potentiation of tumor to antimetabolitas.
Used tumor cell comprises carcinoma of prostate, carcinoma of endometrium, breast carcinoma, pulmonary carcinoma, cancer of pancreas, hepatocarcinoma and rectal cancer.Antimetabolitas and methoxymerphalan are added in 24 hours the various tumor cells of In vitro culture by the 10ug/ml drug level, continue to cultivate counting cells sum after 48 hours.Its growth of tumour cell suppresses effect and is shown in Table 3.
Table 3
Oncocyte | Bendamustine | Zalcitabine | Emtricitabine | Galocitabine | Methoxymerphalan+zalcitabine | Methoxymerphalan+emtricitabine | Methoxymerphalan+galocitabine |
Carcinoma of prostate | 68% | 58% | 58% | 58% | 92% | 92% | 92% |
Carcinoma of endometrium | 52% | 60% | 52% | 48% | 94% | 84% | 94% |
Breast carcinoma | 54% | 52% | 46% | 50% | 86% | 94% | 90% |
Pulmonary carcinoma | 46% | 54% | 54% | 46% | 92% | 88% | 86% |
Cancer of pancreas | 44% | 46% | 46% | 54% | 92% | 98% | 92% |
Hepatocarcinoma | 52% | 52% | 36% | 58% | 92% | 90% | 88% |
Rectal cancer | 58% | 44% | 44% | 58% | 94% | 92% | 94% |
Above result shows, growth all has the obvious suppression effect to kinds of tumor cells when this concentration is used separately for used chlormethine series pharmaceuticals (bendamustine) and antimetabolitas (zalcitabine, emtricitabine, galocitabine), when use in conjunction, chlormethine series pharmaceuticals can significantly strengthen the tumor-inhibiting action of antimetabolitas.
Test 4, chlormethine series pharmaceuticals are to pressing down the potentiation of tumor in the anti-metabolism medicament slow release injection body
With the rat is subjects, with 2 * 10
5Individual breast cancer tumour cell subcutaneous injection is in its hypochondrium, treats that tumor growth after 14 days is divided into it following 10 groups (seeing Table 4).First group is contrast, and the 2nd to 10 group is the treatment group, and slow releasing injection is through intratumor injection.Drug dose is 5mg/kg.The treatment back was measured gross tumor volume size, relatively therapeutic effect (seeing Table 4) on the 10th day.
Table 4
Test group (n) | Suffered treatment | Gross tumor volume (cm 3) | The P value |
1(6) | Contrast | 78±12 | |
2(6) | Nitrocaphanum | 58±7 | <0.05 |
3(6) | Decitabine | 54±5.2 | <0.01 |
4(6) | Nitrocaphanum+decitabine | 38±2.6 | <0.001 |
5(6) | Mannomustine | 50±3.2 | <0.01 |
6(6) | Flurocitabine | 46±3.2 | <0.01 |
7(6) | Mannomustine+flurocitabine | 26±2.6 | <0.001 |
8(6) | PM | 36±3.6 | <0.01 |
9(6) | Enocitabine | 38±3.8 | <0.01 |
10(6) | PM+enocitabine | 20±2.8 | <0.001 |
Above result shows, growth all has the obvious suppression effect to kinds of tumor cells when this concentration is used separately for used various chlormethine series pharmaceuticals and antimetabolitas (decitabine, flurocitabine, enocitabine), when use in conjunction, chlormethine series pharmaceuticals can significantly strengthen the tumor-inhibiting action of antimetabolitas.
Test 5, anti-mitosis medicine press down the potentiation of tumor to anti-metabolism medicament slow release injection
With the rat is subjects, with 2 * 10
5Individual pancreatic tumor cell subcutaneous injection is in its hypochondrium, treats that tumor growth after 14 days is divided into it following 10 groups (seeing Table 5).First group is contrast, and the 2nd to 10 group is the treatment group, and slow releasing injection is through intratumor injection.Dosage is 5mg/kg.The treatment back was measured gross tumor volume size, relatively therapeutic effect (seeing Table 5) on the 10th day.
Table 5
Test group (n) | Suffered treatment | Gross tumor volume (cm 3) | The P value |
1(6) | Contrast | 78±128 | |
2(6) | Procodazole | 48±5.4 | <0.05 |
3(6) | Capecitabine | 44±4.0 | <0.01 |
4(6) | Capecitabine+procodazole | 22±2.4 | <0.001 |
5(6) | Arsenicum | 46±5.0 | <0.01 |
6(6) | Gemcitabine | 44±4.0 | <0.01 |
7(6) | Gemcitabine+arsenicum | 22±2.2 | <0.001 |
8(6) | Giracodazole | 46±6 | <0.01 |
9(6) | Fludarabine | 48±5.6 | <0.01 |
10(6) | Fludarabine+giracodazole | 16±2.2 | <0.001 |
Above result shows, growth all has the obvious suppression effect to kinds of tumor cells when this concentration is used separately for used anti-mitosis medicine (procodazole, arsenicum, giracodazole) and antimetabolitas (capecitabine, gemcitabine, fludarabine), when use in conjunction, anti-mitosis medicine can significantly strengthen the tumor-inhibiting action of antimetabolitas.
Test 6, plant alkaloid slow releasing injection are to pressing down the potentiation of tumor in the anti-metabolism medicament slow release implant body
With the rat is subjects, with 2 * 10
5Individual prostate tumor cells subcutaneous injection is in its hypochondrium, treats that tumor growth after 14 days is divided into it following 10 groups (seeing Table 6).First group is contrast, and the 2nd to 10 group is the treatment group, and sustained-release implant is placed in tumor.Dosage is 5mg/kg.The treatment back was measured gross tumor volume size, relatively therapeutic effect (seeing Table 6) on the 10th day.
Table 6
Test group (n) | Suffered treatment | Gross tumor volume (cm 3) | The P value |
1(6) | Contrast | 88±14 | |
2(6) | Vindesine | 52±5.2 | <0.05 |
3(6) | Cytosine arabinoside | 50±4.0 | <0.01 |
4(6) | Vindesine+cytosine arabinoside | 36±2.4 | <0.001 |
5(6) | Vinleurosine | 54±3.2 | <0.01 |
6(6) | Raltitrexed | 48±3.4 | <0.01 |
7(6) | Vinleurosine+Raltitrexed | 20±2.0 | <0.001 |
8(6) | Vinrosidine | 50±3.6 | <0.01 |
9(6) | Cladribine | 30±3.0 | <0.01 |
10(6) | Vinrosidine+cladribine | 20±2.0 | <0.001 |
Above result shows, used various plant alkaloid (vindesine, vinleurosine, vinrosidine) and antimetabolitas (cytosine arabinoside, Raltitrexed, cladribine) and when this concentration is used separately, kinds of tumor cells growth is all had the obvious suppression effect, when use in conjunction, plant alkaloid can significantly strengthen the tumor-inhibiting action of antimetabolitas.
In a word, result of the test clearlys show, growth all has the obvious suppression effect to used various medicine to kinds of tumor cells when finite concentration is used separately, and when use in conjunction, chlormethine series pharmaceuticals, anti-mitosis medicine and plant alkaloid all can significantly strengthen the tumor-inhibiting action of antimetabolitas.Though its potentiation remains a new step research, used drug regimen has proved absolutely the remarkable potentiation to the antimetabolitas tumor-inhibiting action of chlormethine series pharmaceuticals, anti-mitosis medicine or plant alkaloid, and has remarkable representativeness.Therefore, anticancer effective component of the present invention is any one chlormethine series pharmaceuticals, anti-mitosis medicine and or the combination of plant alkaloid and any one antimetabolitas.The medicine that contains above effective ingredient can be made into sustained-release micro-spheres or the slow releasing injection or the implant of dosage form arbitrarily, wherein with sustained-release implant and with suspendible slow releasing injection that the special solvent that contains suspending agent is combined to form serve as preferred.
(4) specific embodiment
Below each embodiment, anticancer effective component is made sustained-release micro-spheres or the arbitrarily slow releasing injection or the implant of dosage form.When making slow releasing injection, the content of suspending agent is volume weight percentage ratio in the special solvent, promptly contains the weight of suspending agent in the common solvent of unit volume, as g/ml, and kg/l.The content of anticancer effective component all is weight percentage in the sustained-release microparticle (ball).
Embodiment 1.
With 70mg molecular weight peak value is the polyglycolic acid of 20000-40000 and the copolymer (PLGA of hydroxyacetic acid, 65: 35) put into container, add 100 milliliters of dichloromethane, behind the dissolving mixing, add 10mg colchicine (anti-mitosis medicine) and 20mg5-FU (antimetabolitas), shake up the dry organic solvent of removing of final vacuum again.Dried solid composite is shaped immediately, and ray sterilizing after the packing makes the anticancer implant that contains 10% colchicine and 20%5-FU.The drug release time of this anticancer implant in external normal saline is 15-25 days, and implanting the subcutaneous drug release time of mice is 30-40 days.
Embodiment 2.
The method step that is processed into anticancer implant is identical with embodiment 1, but different is that the contained anticancer effective component of anticancer implant is:
The Ismipur of 5-30%, 5-fluorouracil (5-FU), pemetrexed, pemetrexed disodium, Rumi Qu Sai, doxifluridine, floxuridine, mercaptopurine, thioguanine, methotrexate, carmofur, ftorafur, zalcitabine, emtricitabine, galocitabine, ibacitabine, ancitabine, decitabine, flurocitabine, enocitabine, his shore of imidazoles, rice holder quinone, mitotane, cytosine arabinoside, hydroxyurea, the 5-fluorouracil nucleoside, capecitabine, gemcitabine, fludarabine, thunder accounts for for song, Raltitrexed, dexrazoxane, cladribine, the cytochalasin of 2-Amino-6-methyl-5-(pyridin-4-ylsulfanyl)-3H-quinazolin-4-one or pentoside and 5-30%, mitoclomine, mitoflaxone, mitoguazone, mitonafide, mitopodozide, mitoquidone, mitosper, mitotane, mitotenamine, mitozolomide, Flavone acetic acid, colchisal, colchicine, Demecolcine, B cytochalasin B, naphthols, alpha-Naphthol, betanaphthol, the alpha-phosphate naphthols, acodazole, procodazole, arsenicum, the combination of giracodazole or nocodazole.
Embodiment 3.
With 70mg molecular weight peak value is the polylactic acid (PLGA of 15000-25000,50: 50) put into container, add 100 milliliters of dichloromethane, behind the dissolving mixing, add 20mg pemetrexed (antimetabolitas) and 10mg nitrocaphanum (chlormethine series pharmaceuticals), shake up the dry organic solvent of removing of final vacuum again.Dried solid composite is shaped immediately, and ray sterilizing after the packing must contain the anticancer implant of 20% pemetrexed and 10% nitrocaphanum.The drug release time of this anticancer implant in external normal saline is 15-25 days, and being placed on the subcutaneous drug release time of mice is 20-40 days.
Embodiment 4.
The method step that is processed into anticancer implant is identical with embodiment 3, but different is that the contained anticancer effective component of anticancer implant is:
20% Ismipur, 5-fluorouracil (5-FU), pemetrexed, pemetrexed disodium, Rumi Qu Sai, doxifluridine, floxuridine, mercaptopurine, thioguanine, methotrexate, carmofur, ftorafur, zalcitabine, emtricitabine, galocitabine, ibacitabine, ancitabine, decitabine, flurocitabine, enocitabine, his shore of imidazoles, rice holder quinone, mitotane, cytosine arabinoside, hydroxyurea, the 5-fluorouracil nucleoside, capecitabine, gemcitabine, fludarabine, thunder accounts for for song, Raltitrexed, dexrazoxane, cladribine, 2-Amino-6-methyl-5-(pyridin-4-ylsulfanyl)-3H-quinazolin-4-one or pentoside and 10% chlormethine, methoxymerphalan, trichlormethine, nitrocaphanum, mustine hydrochlcride, Thyminalkylamine, uracil mustard, imidazole mustard, mannomustin, mannomustine, novoembichin, AT 581., phenesterine, PM, the tower chlorethyl cyclohexyl nitrosourea, cyclophosphamide, melphalan, nimustine, bendamustine, Chlorambucil, the combination of uraphetinum or chlormethine uracil.Below all be weight percentage.
Embodiment 5.
With 70mg molecular weight peak value is that 30000-50000 polifeprosan (to carboxy phenyl propane: certain herbaceous plants with big flowers diacid weight ratio is 20: 80) copolymer is put into container, add 100 milliliters of dichloromethane, behind the dissolving mixing, add 10mg vinorelbine (plant alkaloid) and 20mg methotrexate (antimetabolitas), shake up the dry organic solvent of removing of final vacuum again.Dried solid composite is shaped immediately, and ray sterilizing after the packing must contain the anticancer implant of 10% vinorelbine and 20% exemestane.All be weight percentage.The drug release time of this anticancer implant in external normal saline is 15-20 days, and being placed on the subcutaneous drug release time of mice is 30-40 days.
Embodiment 6.
The method step that is processed into anticancer implant is identical with embodiment 5, but different is that contained anticancer effective component is:
20% Ismipur, 5-fluorouracil (5-FU), pemetrexed, pemetrexed disodium, Rumi Qu Sai, doxifluridine, floxuridine, mercaptopurine, thioguanine, methotrexate, carmofur, ftorafur, zalcitabine, emtricitabine, galocitabine, ibacitabine, ancitabine, decitabine, flurocitabine, enocitabine, his shore of imidazoles, rice holder quinone, mitotane, cytosine arabinoside, hydroxyurea, 5 fluorouracil nucleosides, capecitabine, gemcitabine, fludarabine, thunder accounts for for song, Raltitrexed, dexrazoxane, cladribine, 2-Amino-6-methyl-5-(pyridin-4-ylsulfanyl)-3H-quinazolin-4-one or pentoside and 10% vincristine, vincaleucoblastine, vinorelbine, vindesine, Vinmegallate, vinleurosine, vinleucinol, vinglycinate, vinfosiltine, vinformide, vinflunine, vinepidine, vinzolidine, vintriptol, vinrosidine, the combination of monocrotaline or cephalotaxin.Below all be weight percentage.
Embodiment 7.
(EVAc) puts into container with the 80mg ethylene vinyl acetate copolymer, add 100 milliliters of dichloromethane dissolving mixings after, adds 10 milligrams of vincaleucoblastines and 10mg decitabine, shake up the dry removal of final vacuum organic solvent again.Dried solid composite is shaped immediately, and ray sterilizing after the packing obtains containing the anticancer implant of 10% vincaleucoblastine and 10% decitabine.All be weight percentage.The drug release time of this anticancer implant in external normal saline is 15-20 days, is 30-40 days at the subcutaneous drug release time of mice.
Embodiment 8.
The method step that is processed into anticancer implant is identical with embodiment 7, and different is that used adjuvant is polifeprosan (weight ratio to carboxy phenyl propane and certain herbaceous plants with big flowers diacid is 20: 80), must make anticancer implant contain 10% vincristine and 10% enocitabine.
Embodiment 9.
With 80mg molecular weight peak value is that 25000 polylactic acid (PLGA, 75: 25) is put into container, adds 100 milliliters of dichloromethane, behind the dissolving mixing, adds 10mg vindesine and 10mg capecitabine, shakes up the dry organic solvent of removing of final vacuum again.Dried pastille solid composite freezing and pulverizing is made the micropowder that contains 10% vindesine and 10% capecitabine, be suspended in then in the normal saline that contains 1.5% sodium carboxymethyl cellulose, make corresponding suspension type slow releasing injection.The drug release time of this slow releasing injection in external normal saline is 10-15 days, is 20-30 days at the subcutaneous drug release time of mice.
Embodiment 10.
The method step that is processed into slow releasing injection is identical with embodiment 9, but different is that contained anticancer effective component is:
The Ismipur of 5-30%, 5-fluorouracil (5-FU), pemetrexed, pemetrexed disodium, Rumi Qu Sai, doxifluridine, floxuridine, mercaptopurine, thioguanine, methotrexate, carmofur, ftorafur, zalcitabine, emtricitabine, galocitabine, ibacitabine, ancitabine, decitabine, flurocitabine, enocitabine, his shore of imidazoles, rice holder quinone, mitotane, cytosine arabinoside, hydroxyurea, the 5-fluorouracil nucleoside, capecitabine, gemcitabine, fludarabine, thunder accounts for for song, Raltitrexed, dexrazoxane, cladribine, the vincristine of 2-Amino-6-methyl-5-(pyridin-4-ylsulfanyl)-3H-quinazolin-4-one or pentoside and 5-30%, vincaleucoblastine, vinorelbine, vindesine, Vinmegallate, vinleurosine, vinleucinol, vinglycinate, vinfosiltine, vinformide, vinflunine, vinepidine, vinzolidine, vintriptol, vinrosidine, the combination of monocrotaline or cephalotaxin.Below all be weight percentage.
Embodiment 11.
80mg polifeprosan (to carboxy phenyl propane: certain herbaceous plants with big flowers diacid weight ratio is 20: 80) copolymer is put into container, add 100 milliliters of dichloromethane, behind the dissolving mixing, add 10mg gemcitabine and 10mg arsenicum, shake up the back contains 10% gemcitabine and 10% arsenicum with spray drying method for preparation injectable microsphere again.Then microsphere is suspended in the normal saline that contains 15% mannitol, makes corresponding suspension type slow releasing injection.The drug release time of this slow releasing injection in external normal saline is 10-15 days, is 20-30 days at the subcutaneous drug release time of mice.
Embodiment 12
The method step that is processed into slow releasing injection is identical with embodiment 11, but different is that contained anticancer effective component is:
10% Ismipur, 5-fluorouracil (5-FU), pemetrexed, pemetrexed disodium, Rumi Qu Sai, doxifluridine, floxuridine, mercaptopurine, thioguanine, methotrexate, carmofur, ftorafur, zalcitabine, emtricitabine, galocitabine, ibacitabine, ancitabine, decitabine, flurocitabine, enocitabine, his shore of imidazoles, rice holder quinone, mitotane, cytosine arabinoside, hydroxyurea, the 5-fluorouracil nucleoside, capecitabine, gemcitabine, fludarabine, thunder accounts for for song, Raltitrexed, dexrazoxane, cladribine, 2-Amino-6-methyl-5-(pyridin-4-ylsulfanyl)-3H-quinazolin-4-one or pentoside and 10% cytochalasin, mitoclomine, mitoflaxone, mitoguazone, mitonafide, mitopodozide, mitoquidone, mitosper, mitotane, mitotenamine, Flavone acetic acid, colchisal, colchicine, Demecolcine, B cytochalasin B, naphthols, alpha-Naphthol, betanaphthol, the alpha-phosphate naphthols, acodazole, procodazole, arsenicum, the combination of giracodazole or nocodazole.Below all be weight percentage.
Embodiment 13.
With 70mg molecular weight peak value 45000 polylactic acid (PLGA, 75: 25) put into container, add 100 milliliters of dichloromethane, behind the dissolving mixing, add 10mg giracodazole and 20mg fludarabine, shake up the back contains 10% giracodazole and 20% fludarabine with spray drying method for preparation injectable microsphere again.Then microsphere is suspended in the normal saline that contains 1.5% sodium carboxymethyl cellulose and 15% sorbitol and 0.2% Tween 80, makes corresponding suspension type slow releasing injection.
Embodiment 14.
The method step that is processed into slow releasing injection is identical with embodiment 13, but different is that contained anticancer effective component is: the 20%6-purinethol, 5-fluorouracil (5-FU), pemetrexed, pemetrexed disodium, Rumi Qu Sai, doxifluridine, floxuridine, mercaptopurine, thioguanine, methotrexate, carmofur, ftorafur, zalcitabine, emtricitabine, galocitabine, ibacitabine, ancitabine, decitabine, flurocitabine, enocitabine, his shore of imidazoles, rice holder quinone, mitotane, cytosine arabinoside, hydroxyurea, the 5-fluorouracil nucleoside, capecitabine, gemcitabine, fludarabine, thunder accounts for for song, Raltitrexed, dexrazoxane, cladribine, 2-Amino-6-methyl-5-(pyridin-4-ylsulfanyl)-3H-quinazolin-4-one or pentoside and 10% cytochalasin, mitoclomine, mitoflaxone, mitoguazone, mitonafide, mitopodozide, mitoquidone, mitosper, mitotane, mitotenamine, Flavone acetic acid, colchisal, colchicine, Demecolcine, B cytochalasin B, naphthols, alpha-Naphthol, betanaphthol, the alpha-phosphate naphthols, acodazole, procodazole, arsenicum, the combination of giracodazole or nocodazole.
Embodiment 15.
The method step that is processed into slow releasing injection is identical with embodiment 1-14, but different is used slow-release auxiliary material is one of following or its combination:
A) molecular weight is polylactic acid (PLA);
B) molecular weight is the copolymer (PLGA) of polyglycolic acid and hydroxyacetic acid, and wherein, the ratio of polyglycolic acid and hydroxyacetic acid is 50-95: 50-5;
C) ethylene vinyl acetate copolymer (EVAc);
D) to carboxy phenyl propane (p-CPP): certain herbaceous plants with big flowers diacid (SA) copolymer (polifeprosan);
E) FAD: certain herbaceous plants with big flowers diacid (SA) copolymer;
F) xylitol, oligosaccharide, chrondroitin, chitin, potassium salt, sodium salt, hyaluronic acid, collagen protein, gelatin or albumin.
Embodiment 16.
The method step that is processed into slow releasing injection is identical with embodiment 1-15, but different is used suspending agent is respectively one of following or its combination:
A) 0.5-3.0% carboxymethyl cellulose or sodium carboxymethyl cellulose;
B) 5-15% mannitol;
C) 5-15% sorbitol;
D) 0.1-1.5% surfactant;
E) 0.1-0.5% polysorbas20;
F) 0.5-5% sodium carboxymethyl cellulose and 0.1-0.5% Tween 80;
G) 5-20% mannitol and 0.1-0.5% Tween 80;
H) 0.5-5% sodium carboxymethyl cellulose, 5-20% sorbitol and 0.-10.5% Tween 80.
Claims (1)
1. an anticancer implant comprises anticancer effective component and pharmaceutic adjuvant, it is characterized in that anticancer effective component is the combination of anti-metabolism cancer therapy drug and its synergist;
Wherein anti-metabolism cancer therapy drug synergist is selected from chlormethine series pharmaceuticals;
The component of described anticancer implant is following combination:
Anticancer effective component is 20% pemetrexed and 10% nitrocaphanum, and slow-release auxiliary material is the polylactic acid of 15000-25000 for the molecular weight peak value.
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