The specific embodiment
A kind of recombinant human somatropin's injection that can directly use comprises the component of following concentration proportioning:
Recombinant human somatropin 0.67~10mg/ml, citrate 5~20mmol/L, poloxamer 188 is 3~5mg/ml, glycine 0.5~1.5mg/ml, mannitol 30~60mg/ml; The pH value of said injection is 5.5~7.0.Poloxamer 188 wherein is as a kind of surfactant, aspect cytoprotective, also demonstrates unique effect, its with the Polysorbate of routine for example polysorbas20 or Tween 80 compare, poloxamer 188 can not cause hemolytic reaction; Thereby citrate buffer agent is used to regulate the pH value of injection guarantees that the recombinant human somatropin is unaffected; Glycine act as stabilizing agent, keep the ambient stable of liquid, and certain force of strain; Mannitol is in order to keep equating of its osmotic pressure of injection and plasma osmotic pressure.The clinical use of this injection is convenient, easy; This injection is after depositing 18 months under 2~8 ℃ of conditions, and each item inspection index is all up to specification.
Preferred described citrate is a sodium citrate, and its concentration is 5mmol/L.
Preferred poloxamer concentration is 4.5mg/ml.
Preferred glycine concentration is 0.9mg/ml.
Preferred mannitol concentration is 45mg/ml.
The pH value of said injection is 5.5~7.0, and the pH value of preferred said injection is 6.2.
Under above-mentioned preferred ingredients and concentration conditions, this injection after depositing 18 months under 2~8 ℃ of conditions, good stability, each item index all meets relevant regulations.
Described injection is a plurality of specifications, makes things convenient for selection of clinical to use.Particularly treat the children growth of endogenous growth hormone due to lacking slowly and severe burn treat two aspect indications; Clinical dosage is various; The patient can select suitable specification according to s own situation; Reduce drug waste, and avoided repeatedly using the dangerous and antiseptic risk of the germ contamination that brings.
Described injection adopts pre-encapsulated injector as inner container.Pre-encapsulated injector has accurately that dosage presets, and clinical use is convenient, easy, can obviously reduce nosocomial infection's probability, adopts suitable needle gauge and syringe, uses more flexibly, is suitable for the patient and injects voluntarily.
Injection of the present invention has omitted the lyophilizing program in process of production, has practiced thrift production time and cost greatly.
Injection of the present invention has in use omitted once more dissolved step, has greatly made things convenient for the patient to inject voluntarily, and has reduced germ contamination equivalent risk in the injection process.
Specifically preparation process of injection of the present invention is: at first preparation contains the stabilizing agent mother solution of sodium citrate, poloxamer 188, glycine, mannitol; Measure recombinant human somatropin's stock solution of assay approval then by recipe quantity, slowly add in the stabilizing agent mother solution.With dilute hydrochloric acid, diluted sodium hydroxide solution adjustment aforesaid liquid pH value, after-teeming is penetrated and is diluted with water to required concentration requirement, and mixing again, and dilute hydrochloric acid and diluted sodium hydroxide solution concentration are 0.1mmol/L; The solution that contains the recombinant human somatropin that will prepare at last with 0.22 μ m filter membrane aseptic filtration after, divide the pre-encapsulated injector of packing into.
Embodiment 1
Get sodium citrate 5mmol, poloxamer 188 3000mg, glycine 500mg, mannitol 30000mg add water for injection 500ml in container, and behind the dissolving mixing, it is subsequent use to get the stabilizing agent mother solution;
Measure recombinant human somatropin's stock solution of 670mg assay approval, slowly add in the stabilizing agent mother solution, with dilute hydrochloric acid, diluted sodium hydroxide solution adjustment aforesaid liquid pH to 5.5, after-teeming is penetrated water and is settled to 1000ml, mixing;
The solution that contains the recombinant human somatropin for preparing with 0.22 μ m filter membrane aseptic filtration after, divide the pre-encapsulated injector of packing into.
Embodiment 2
Get sodium citrate 20mmol, poloxamer 188 5000mg, glycine 1500mg, mannitol 60000mg add water for injection 500ml in container, and behind the dissolving mixing, it is subsequent use to get the stabilizing agent mother solution;
Measure recombinant human somatropin's stock solution of 3330mg assay approval, slowly add in the stabilizing agent mother solution, with dilute hydrochloric acid, diluted sodium hydroxide solution adjustment aforesaid liquid pH to 7.0, after-teeming is penetrated water and is settled to 1000ml, mixing;
The solution that contains the recombinant human somatropin for preparing with 0.22 μ m filter membrane aseptic filtration after, divide the pre-encapsulated injector of packing into.
Embodiment 3
Get sodium citrate 10mmol, poloxamer 188 4500mg, glycine 900mg, mannitol 45000mg add water for injection 500ml in container, and behind the dissolving mixing, it is subsequent use to get the stabilizing agent mother solution;
Measure recombinant human somatropin's stock solution of 5330mg assay approval, slowly add in the stabilizing agent mother solution, with dilute hydrochloric acid, diluted sodium hydroxide solution adjustment aforesaid liquid pH to 6.2, after-teeming is penetrated water and is settled to 1000ml, mixing;
The solution that contains the recombinant human somatropin for preparing with 0.22 μ m filter membrane aseptic filtration after, adopt the pre-encapsulated injector fill.
Embodiment 4
Get sodium citrate 10mmol, poloxamer 188 4500mg, glycine 900mg, mannitol 45000mg add water for injection 500ml in container, and behind the dissolving mixing, it is subsequent use to get the stabilizing agent mother solution;
Measure recombinant human somatropin's stock solution of 10000mg assay approval, slowly add in the stabilizing agent mother solution, with dilute hydrochloric acid, diluted sodium hydroxide solution adjustment aforesaid liquid pH to 6.2, after-teeming is penetrated water and is settled to 1000ml, mixing;
The solution that contains the recombinant human somatropin for preparing adopts the pre-encapsulated injector fill after with 0.22 μ m filter membrane aseptic filtration.
Embodiment 5
Get sodium citrate 20mmol, poloxamer 188 4500mg, glycine 900mg, mannitol 45000mg add water for injection 500ml in container, and behind the dissolving mixing, it is subsequent use to get the stabilizing agent mother solution;
Measure recombinant human somatropin's stock solution of 10000mg assay approval, slowly add in the stabilizing agent mother solution, with dilute hydrochloric acid, diluted sodium hydroxide solution adjustment aforesaid liquid pH to 6.2, after-teeming is penetrated water and is settled to 1000ml, mixing;
The solution that contains the recombinant human somatropin for preparing adopts the pre-encapsulated injector fill after with 0.22 μ m filter membrane aseptic filtration.
In order to confirm prescription of the present invention and method for preparing stability; Respectively prescription of the present invention is carried out study on the stability,, investigate its appearance character, pH, content, macromolecule protein, associated protein, index such as aseptic respectively at 0 month, March, June, JIUYUE, December, sampling in 18 months.The result: prescription of the present invention is after depositing 18 months under 2~8 ℃ of conditions of actual storage requirement near medicine, and each item inspection index is all up to specification.Concrete outcome is seen table 2.
Table 1: the stability test result who stores under 4 ℃ of conditions of recombinant human somatropin's injection:
Can know that by last table each item index of this injection all meets the investigation index.
Recombinant human somatropin's injection of the present invention is used for the slow and severe burn treatment of children growth due to the endogenous growth hormone shortage.Raw material is the recombinant human somatropin who utilizes technique for gene engineering to obtain.
Recombinant human somatropin's injection of the present invention is used to promote that the dosage of children growth varies with each individual, and recommended dose is 0.1~0.15IU/kg body weight/day, every day 1 time, and subcutaneous injection, be 3 months to 3 years the course of treatment, or follow the doctor's advice.Recombinant human somatropin's injection of the present invention, being used for severe burn treatment recommended dose is 0.2~0.4IU/kg body weight/day, every day 1 time, subcutaneous injection is about the course of treatment in general two weeks.Wherein 1IU is about 0.333mg/ml.
These article GHD (GHD) patient has carried out 6 months clinical treatment test.The result shows the effect that significantly short growth in stature is arranged, and ripe nothing of stone age is obviously quickened influence, and this medicine is clinical safe in utilization, non-evident effect.
The index situation of different time height, body weight before and after the table 3 experimenter medication
The clinical test results of syndrome treated with recombinant human growth hormone severe burn proves: rhGH can significantly improve the wound healing percentage rate, dwindles the wound surface area, shortens wound healing time, thereby shortens the length of patient stay, reduces hospitalization cost.
This clinical trial dosage adopts the variable dose design, the result of the test prompting, and rhGH should correctly select rational dosage according to the practical situation of conditions of patients and body in the clinical practice of treatment burn.
Wound healing index situation before and after the table 4 experimenter medication