CN106029082A - 用于减轻外周炎症和疼痛的含有姜黄(Curcuma longa)和狭叶松果菊提取物的组合物 - Google Patents
用于减轻外周炎症和疼痛的含有姜黄(Curcuma longa)和狭叶松果菊提取物的组合物 Download PDFInfo
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Abstract
本发明涉及组合物,其含有作为其仅有活性成分的姜黄属物种提取物(任选地作为与磷脂的复合物形式的姜黄素),以及选自松果菊属物种提取物或花椒属物种亲脂提取物的提取物,所述组合物可用于外周疼痛,以及表面和深度炎症与疼痛病症的局部和全身治疗。根据本发明的组合物在不能耐受NSAIDs或甾体类的长期治疗的患者的骨关节炎和类风湿性关节炎的治疗中是特别有效的。
Description
发明概述
本发明涉及组合物,其含有作为其仅有活性成分的姜黄属物种(Curcuma spp)提取物(任选地作为与磷脂的复合物形式的姜黄素),以及选自松果菊属物种(Echinaceaspp)提取物或花椒属物种(Zanthoxylum spp)亲脂提取物的提取物,所述组合物可用于外周疼痛以及表面和深度炎症与疼痛病症的局部和全身治疗。根据本发明的组合物在不能耐受NSAIDs或甾体类的长期治疗的患者的骨关节炎和类风湿性关节炎(rheumatoidarthritis)的治疗中,是特别有效的。
现有技术状况
骨关节炎是老年人身体障碍的主要原因之一。除降低全世界数百万个体的生活质量之外,其还为家庭和社会带来经济损失,因为与护理相关的花费是非常高的。
骨关节炎的常规治疗涉及用镇痛药的对症治疗,以及用非甾体抗炎药物的治疗,所述治疗已知产生严重副作用,该副作用经常致使治疗中断。类似的考虑也适用于类风湿性关节炎。由于所述原因,研究还已普遍关注于植物治疗药物和天然植物疗法。
由于其异丁酰胺含量,松果菊属物种的亲脂提取物和酒精提取物具有局部和全身抗炎活性,异丁酰胺类是CB1和CB2大麻素受体和辣椒素(vanilloid)受体TRPV1的配体。由于其高异丁酰胺含量,EP 0464298中所述的狭叶松果菊(Echinacea angustifolia)亲脂提取物在该方面是特别有效的。
远古以来,姜黄(姜黄属(Curcuma))的根和根茎已在印度用作香料,并且今天,其还在许多工业化国家使用。其活性成分是姜黄素,该黄色化合物构成咖喱和其他传统印度菜肴的主要成分。传统药物中所述的用途包括消化不良、肠胃气胀和腹泻的治疗,并且尤其是长期治疗后的炎症病症和关节疼痛的治疗。已经通过体外生物化学试验或药理学确证了许多所述传统用途。
现在,从生物化学角度来看,姜黄素是最常研究的分子之一,并且在近些年,除了难确定科学价值的大量出版物,还根据现代临床药理学方案,已经进行对照双盲临床试验。初步的临床试验已显示该分子的低生物利用度,其在肠道pH下是不稳定的(pH 7下的半衰期<10min),以及显示其低的口服吸收,这限制了许多体外试验中指示的用途。施用12g化合物后,报道血浆浓度为50ng,还测量了次级代谢产物、葡糖醛酸苷类和硫酸酯类。
如同许多多酚类,姜黄素难溶于水和脂肪。因此,本申请人设计了专利WO2007101551,其描述姜黄素与磷脂的复合,以提高姜黄素的生物利用度。磷脂-复合形式的姜黄素提供提高的全身和局部吸收,这使得其可被施用至人类。
对患骨关节炎的患者进行的临床试验已显示用磷脂-复合的姜黄素长期治疗(Belcaro等人,Alternative Medicine Review,4,338,2010)产生有益的结果,但由于疼痛降低的水平低,其仍是不充足的结果,这迫使患者服用NSAIDs。
然而,显著的改善仅在8个月的治疗后获得,并且许多患者必须服用NSAIDs或其他镇痛药,已减轻疼痛。
发明描述
现在,令人吃惊地发现含有作为仅有活性成分的姜黄属物种提取物以及选自松果菊属物种提取物或花椒属物种亲脂提取物的提取物的组合物具有潜在的镇痛和抗炎活性,所述活性比将所述提取物单独使用时发现的活性更大。
用含有磷脂-复合姜黄素和狭叶松果菊亲脂提取物的组合物,已观察到特别有益的结果。
通过用其他含有高异丁酰胺含量的植物提取物尤其是花椒属物种亲脂提取物代替松果菊属物种提取物,也已得到良好的结果。
因此,本发明的目标是基本上由与可接受的赋形剂混合的姜黄属物种提取物或姜黄素以及选自狭叶松果菊提取物或者花椒(Zanthoxylum bungeanum)亲脂提取物的提取物构成的组合物。
本发明特别涉及基本上由与可接受的赋形剂混合的姜黄属物种提取物或姜黄素以及选自狭叶松果菊提取物或者花椒亲脂提取物的提取物构成的组合物。
可将根据本发明的组合物口服或局部施用。
根据一优选方面,每口服剂量单位,口服施用的组合物将含有100-1000mg的量的磷脂-复合的姜黄素,以及1-200mg的量的松果菊属提取物,或者替代的5-25mg的量的花椒属物种亲脂提取物。根据一特别优选方面,每口服剂量单位,口服施用的组合物将含有500mg磷脂-复合的姜黄素,以及5mg松果菊属提取物或者替代的10mg花椒属物种亲脂提取物。
根据一优选方面,局部施用的组合物将含有0.1-0.5重量%的量的磷脂-复合的姜黄素,以及0.05-0.5重量%的量的松果菊属提取物或者替代的0.1-1重量%的量的花椒属物种亲脂提取物。根据一特别优选方面,局部施用的组合物将含有0.2重量%磷脂-复合的姜黄素,以及0.2重量%的松果菊属提取物或者替代的0.5重量%的花椒属物种亲脂提取物。
可将根据本发明的组合物用于治疗所有种类的外周疼痛,从糖尿病神经病变至各种起源的关节和肌肉疼痛。特别重要的是,根据本发明的组合物在胃肠道中不引起副作用,从而允许有胃部问题而不能耐受NSAIDs的患者使用。
可通过用醇、酮或脂肪族醚或者优选地根据EP464298用超临界条件下的二氧化碳提取根部或根茎,得到松果菊属的亲脂提取物。
也含有药理活性量的异丁酰胺的松果菊属酒精提取物已证实是有效的,前提是至少将1mg最小剂量的异丁胺复合物施用至患者。对于平均体重70Kg,活性临床剂量是0.5mg-10mg,优选5mg。
花椒属物种亲脂提取物可根据WO 00/02570制备。
然而,根据本发明的组合物几乎立即缓解患者症状,而不需要使用其他药物。患有胃食管反流和溃疡前阶段的患者也能服用根据本发明的组合物。
药理学试验
1.大鼠甩尾试验
将根据本发明组合物的镇痛活性(磷脂-复合的姜黄素和松果菊属提取物的组合)与单独向大鼠施用的个体成分的活性进行比较。结果显示根据本发明组合物的两种组分间有清楚的协同作用,如下表1中所示。
用大鼠甩尾试验评价镇痛活性。治疗前,对动物进行3次基本测量,以保证他们适合于相关的操作和设备。所用的参数是15V辐射热和15-秒断开(以防止对动物的不可逆伤害),评价甩尾。用0.1ml实施例4中所述的组合物软膏,距离尾底部5cm,治疗动物。施用后15和30min,测量镇痛作用。
用相同试验模型,用含有与实施例4中所述组合物相同量的活性成分之一的两种单独制剂,评价组合物的两种个体成分。将对照动物用0.1ml用于溶解两种成分的油(载体)治疗。
表1
2.人中的镇痛活性
将40患有持续痛膝盖骨病的患者随机分组,并用实施例1一天两片治疗,上午一片,晚上一片;或者用安慰剂(仅由载体构成)治疗;或者用与实施例1中所述制剂的相同浓度添加到安慰制剂中的个体成分治疗。
根据0-10分的国际模拟疼痛测量表,将效力进行评分,10分表明最大疼痛,且0分表明疼痛消失。在片剂施用后的第二天,上午治疗后60和120分钟,评价效果。
下表2中列出结果。
表2
3.对骨关节炎的作用
表3显示用根据本发明的组合物治疗至多3个月后,在招募的患者的骨关节炎的总体作用得到的结果,对于效力的选择和评价,根据卡诺夫斯基量表(Karnofsky Scale)(J.Clin.Oncology 1984;2:187-193)。
在设定至3Km/h和10%倾角的跑台上,通过测量没有疼痛的条件下移行的距离,并用不同的疼痛程度,进行评价。将患有膝盖骨关节炎的80名患者分成两组。随机分组后,将一组用安慰剂治疗,并且另一组用实施例1中所述的组合物治疗。治疗期间,用WOMAC指标,每周评价疼痛,并且每月评价体液参数,所述参数构成炎症参数指标。(表4).
表3.跑台上移行距离的结果
Xx由于伦理原因离开试验的患者或者用其他药物治疗的患者。
表4.一些炎症标记物的评价
已证实凝胶剂、乳膏剂和软膏剂形式的药物组合物特别用于外周疼痛以及表面和深度炎症和疼痛病症的局部治疗。所述组合可在溶解其的油中直接施用至皮肤,或者可被引入适合施用的乳膏剂或软膏剂中。可以每天1-3次向受疼痛病患影响的身体部位施用0.5-5g剂量的局部制剂,完成治疗。
根据另一方面,可将根据本发明的组合物与具有有用的或互补活性的其他物质一起施用。
可以根据常规技术例如“Remington’s Pharmaceutical Handbook”,MackPublishing Co.,N.Y.,USA中所述的那些,配制本发明的组合物。
下面的实施例进一步解释本发明。
实施例1–含有磷脂-复合的姜黄素和松果菊亲脂提取物的片剂
实施例2–软明胶胶囊
磷脂-复合的姜黄素 300.00mg
用CO2提取的狭叶松果菊 5.00mg
标准化至25%异丁酰胺
亚麻籽油 至700mg
实施例3-含有磷脂-复合的姜黄素和松果菊酒精提取物的片剂
实施例4-含有磷脂-复合的姜黄素和狭叶松果菊亲脂提取物的软膏剂
Claims (11)
1.组合物,其基本上由与可接受的赋形剂混合的姜黄属物种提取物或姜黄素以及选自狭叶松果菊提取物或者花椒亲脂提取物的提取物构成。
2.根据权利要求1的组合物,其中姜黄素是与磷脂复合的。
3.根据权利要求1的组合物,其中通过用超临界二氧化碳提取,制备狭叶松果菊提取物和花椒提取物。
4.根据上述权利要求的组合物,其用于口服施用。
5.根据权利要求4的组合物,其每口服剂量单位含有作为仅有的活性成分的100-1000mg的量的与磷脂复合的姜黄素,以及1-20mg的量的松果菊属提取物或者替代的5-25mg的量的花椒属物种亲脂提取物。
6.根据权利要求5所述的组合物,其每口服单位剂量含有作为仅有的活性成分的500mg与磷脂复合的姜黄素,以及5mg松果菊属提取物或者替代的10mg花椒属物种亲脂提取物。
7.根据权利要求1-3所述的组合物,其用于局部施用。
8.根据权利要求7所述的组合物,其含有0.1%-0.5%w/w的量的与磷脂复合的姜黄素,以及0.05%-0.5%w/w的量的松果菊属提取物,或者0.1-1%w/w的量的花椒属物种亲脂提取物。
9.根据权利要求8所述的组合物,其含有0.2%w/w与磷脂复合的姜黄素,以及0.2%w/w的松果菊属提取物,或者替代的0.5%w/w的花椒属物种亲脂提取物。
10.根据权利要求1-9所述的组合物,其用于治疗外周疼痛、关节和肌肉疼痛、炎症性以及表面和深度疼痛病症。
11.根据权利要求10所述的组合物,其用于治疗骨关节炎和类风湿性关节炎。
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AU2016373576B2 (en) * | 2015-12-16 | 2022-06-02 | Vivek Anand PARACHUR | Tri-molecular complex of natural compounds |
ITUB20161030A1 (it) | 2016-02-24 | 2017-08-24 | Indena Spa | Composizioni utili nella prevenzione e/o nel trattamento dell’infiammazione e del dolore |
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