CN109498547A - A kind of Local injection of Bleomycin A_5 preparation and preparation method thereof - Google Patents

A kind of Local injection of Bleomycin A_5 preparation and preparation method thereof Download PDF

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Publication number
CN109498547A
CN109498547A CN201811562611.XA CN201811562611A CN109498547A CN 109498547 A CN109498547 A CN 109498547A CN 201811562611 A CN201811562611 A CN 201811562611A CN 109498547 A CN109498547 A CN 109498547A
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bleomycin
preparation
local injection
phosphatide
glyceride
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CN109498547B (en
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蔡育
周小顺
牟东升
刘文双
李进
贺容丽
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WUHAN KEFU NEW DRUG Co Ltd
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WUHAN KEFU NEW DRUG Co Ltd
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/0012Galenical forms characterised by the site of application
    • A61K9/0019Injectable compositions; Intramuscular, intravenous, arterial, subcutaneous administration; Compositions to be administered through the skin in an invasive manner
    • A61K9/0024Solid, semi-solid or solidifying implants, which are implanted or injected in body tissue
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K38/00Medicinal preparations containing peptides
    • A61K38/04Peptides having up to 20 amino acids in a fully defined sequence; Derivatives thereof
    • A61K38/14Peptides containing saccharide radicals; Derivatives thereof, e.g. bleomycin, phleomycin, muramylpeptides or vancomycin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/06Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
    • A61K47/08Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite containing oxygen, e.g. ethers, acetals, ketones, quinones, aldehydes, peroxides
    • A61K47/14Esters of carboxylic acids, e.g. fatty acid monoglycerides, medium-chain triglycerides, parabens or PEG fatty acid esters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/06Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
    • A61K47/24Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite containing atoms other than carbon, hydrogen, oxygen, halogen, nitrogen or sulfur, e.g. cyclomethicone or phospholipids
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P35/00Antineoplastic agents

Abstract

The present invention discloses a kind of Local injection of Bleomycin A_5 preparation and preparation method thereof.The Local injection of Bleomycin A_5 preparation includes the bleomycin A5 hydrochloride of 0.05-0.1g, 2-5ml ethyl alcohol, 15-25g phosphatide, 20-30g glyceride and 2-3g stabilizer;Bleomycin A5 hydrochloride, ethyl alcohol, phosphatide, glyceride and stabilizer are uniformly mixed, Local injection of Bleomycin A_5 preparation is obtained.Local injection of Bleomycin A_5 preparation of the invention is serious, located subcutaneously deeper hemangioma for treating by lesion, has the effect of long-acting slow-release, and compatibility is good in vivo, is easy to be metabolized.

Description

A kind of Local injection of Bleomycin A_5 preparation and preparation method thereof
Technical field
The invention belongs to drug fields, and in particular to a kind of Local injection of Bleomycin A_5 preparation and preparation method thereof.
Background technique
Hemangioma (hemangioma) is formed be common in skin and soft group by angioblast hyperplasia during embryo Interior congenital benign tumour or hemangioma are knitted, when being more common in baby due or after birth soon.Remaining embryo is thin at blood vessel Born of the same parents, active endothelium sample plumule are invaded to adjacent tissue, form endothelium batten rope, be connected with left blood vessel through Guan Huahou and Hemangioma is formed, blood vessel self-organizing system in tumor is not connected with peripheral vessels.Hemangioma can betide whole body everywhere, wherein mostly Number betides facial skin, subcutaneous tissue and mucous membrane of mouth, such as tongue, lip, mouth bottom tissue, and minority betides in jawbone or deep Tissue.
Currently, having drug therapy, operation excision, laser therapy, injection of sclerosing agent etc. to hemangioma cure common method, answer Suitable treatment means are selected according to factors such as the type of lesion, position, the depth and the ages of patient.At present to it is located subcutaneously compared with The hemangioma infant of deep position being in a bad way other treatment means effects in addition to operative treatment are all undesirable.If operative treatment Since lesion locations rich blood vessel, blood volume are big, surgical procedure risk is larger, is not suitable for infant.Laser therapy is to shallow Hemangioma cure effect is obvious, and side effect is smaller, but can not treat deep-level blood vessel tumor.Injection of sclerosing agent can make vascular tissue Fibrosis, locking generate cicatricial contraction, reduce knurl, but after injection of sclerosing agent, lesion locations vascular tissue fibrosis, in turn The local function of body is influenced, and is not suitable for the hemangioma for the treatment of key position and large volume.
Drug therapy hemangioma is a kind of important means, and treating angiomatous drug has Propranolol, timolol, puts down Positive mycin etc..Bleomycin A5 (Pingyangmycin) is isolated anti-tumor from the unwrapping wire bacteria culture fluid in soil Raw element, it is close with external bleomycin ingredient through studying, the synthesis and cutting DNA chain of cancer cell DNA can be inhibited, it is thin to influence cancer Born of the same parents' metabolic function promotes tumor cell degeneration, necrosis.Bleomycin A5 is mainly used for treating G. cephalantha, malignant lymphoma, mammary gland Cancer, the cancer of the esophagus and nasopharyngeal carcinoma etc. also can be used for the squamous carcinoma of its elsewhere such as lung, cervix and skin.Application No. is 200710051885.8 Chinese patent disclose it is a kind of treat angiomatous injection, by bleomycin A5, interferon, fill in rice Pine, adrenaline, lidocaine and water for injection are made.But its half-life short, short-term large dosage use the drug, it may The toxicity of whole body is caused, wherein pulmonary fibrosis is one of side effect the most serious.
When using class of medications, different dosage forms can be selected according to different lesion situations.Such as skin surface Hemangioma, can be using external preparations such as cream preparation or patches;Internal lesser hemangioma, can use oral preparation;And Serious for lesion, located subcutaneously deeper hemangioma, external preparation are difficult to achieve the effect that treatment, take orally because of topical remedy Concentration not high be also extremely difficult to therapeutic effect.Drug injection is a kind of common pharmaceutical dosage form, effect rapidly it is reliable, not by PH, enzyme, food etc. influence, no first pass effect, can play whole body or local positioning effect.But normal injection agent is easy to be diffused into Whole body, can not be to diseased region long-acting treatment.
Therefore, clinic needs a kind of Local injection of Bleomycin A_5 durative action preparation, provides that a kind of lesion is serious, position for treating It, can be with sustained release drugs after diseased region injection in the locally injecting preparation of subcutaneously deeper vascular malformation.
Summary of the invention
In response to the problems existing in the prior art, the purpose of the present invention is to provide a kind of Local injection of Bleomycin A_5 preparations, use In treatment lesion, serious, located subcutaneously deeper hemangioma, has the effect of long-acting slow-release, and compatibility is good in vivo, holds Easily metabolism.
To achieve the above object, the technical solution adopted by the present invention is that:
A kind of Local injection of Bleomycin A_5 preparation, bleomycin A5 hydrochloride, 2-5ml ethyl alcohol including 0.05-0.1g, 15-25g Phosphatide, 20-30g glyceride and 2-3g stabilizer.
Further, the phosphatide includes one or both of soybean lecithin and egg yolk lecithin, preferably soybean ovum Phosphatide.
Further, the glyceride includes one in glyceryl dioleate, olein and tristerin Kind is a variety of, preferably glyceryl dioleate.
Further, the stabilizer is poloxamer188 or low-molecular-weight polyethylene glycol.
The present invention also provides the preparation methods of the Local injection of Bleomycin A_5 preparation: by bleomycin A5 hydrochloride, phosphatide, Glycerolipid and stabilizer, which are uniformly mixed, obtains working fluid, finally through filtration sterilization, obtains Local injection of Bleomycin A_5 preparation.
Compared with prior art, the beneficial effects of the present invention are:
(1) carrier of the lyotropic liquid crystal material as the ejection preparation of bleomycin A5 is used, compared to common liquid injection Preparation can discharge for a long time drug in lesion locations, and the peak valley effect drop of drug is reduced while improving diseased region curative effect The toxic side effect of low whole body, can be used for treating that lesion is serious, located subcutaneously deeper hemangioma.
(2) select phosphatide and glyceride as lyotropic liquid crystal material, easy metabolism good with human compatibility is manufactured flat The viscosity of positive mycin locally injecting preparation is small, convenient for injection;Chance water is transformed into liquid crystal after being injected into lesion locations, plays good Slow releasing function, slow-release time are more than 20 days.
(3) stabilizer is added in the formulation, is conducive to the stability for improving solute liquid crystal, extends slow-release time.
Detailed description of the invention
Fig. 1 is that Local injection of Bleomycin A_5 agent in vitro is sustained accumulative release rate curve;
Fig. 2 is Local injection of Bleomycin A_5 preparation rabbit plasma concentration curve.
Specific embodiment
Below in conjunction with the embodiment of the present invention, technical solution of the present invention is clearly and completely described, it is clear that Described embodiments are only a part of the embodiments of the present invention, instead of all the embodiments.Based on the implementation in the present invention Example, those of ordinary skill in the art's all other embodiment obtained under the conditions of not making creative work belong to The scope of protection of the invention.
Embodiment 1
A kind of Local injection of Bleomycin A_5 preparation, including 0.05g bleomycin A5 hydrochloride, 2ml dehydrated alcohol, 15g soybean ovum Phosphatide, 20g glyceryl dioleate and 2g poloxamer188.The preparation method is as follows: by 0.05g bleomycin A5 hydrochloride first with 2ml Dehydrated alcohol mixing, formed suspension, then again with 15g soybean lecithin, 20g glyceryl dioleate and 2g poloxamer188 Mixing, persistently stirs 2h, finally through filtration sterilization, obtains Local injection of Bleomycin A_5 preparation A1.
Embodiment 2
A kind of Local injection of Bleomycin A_5 preparation, including 0.08g bleomycin A5 hydrochloride, 4ml dehydrated alcohol, 20g soybean ovum Phosphatide, 25g glyceryl dioleate and 2g polyethylene glycol 200.The preparation method is as follows: by 0.08g bleomycin A5 hydrochloride first with 4ml Dehydrated alcohol mixing, formed suspension, then again with 20g soybean lecithin, 25g glyceryl dioleate and 2g polyethylene glycol 200 Mixing, persistently stirs 3h, finally through filtration sterilization, obtains Local injection of Bleomycin A_5 preparation A2.
Embodiment 3
A kind of Local injection of Bleomycin A_5 preparation, including 0.06g bleomycin A5 hydrochloride, 3ml dehydrated alcohol, 20g yolk ovum Phosphatide, 30g olein and 3g poloxamer188.The preparation method is as follows: by 0.06g bleomycin A5 hydrochloride, 20g yolk Lecithin, 30g olein and the mixing of 3g poloxamer188, persistently stir 4h, finally through filtration sterilization, obtain Pingyang Mycin locally injecting preparation A3.
Embodiment 4
A kind of Local injection of Bleomycin A_5 preparation, including 0.1g bleomycin A5 hydrochloride, 5ml dehydrated alcohol, 25g yolk lecithin Rouge, 20g tristerin and 2g polyethylene glycol 400.The preparation method is as follows: by 0.1g bleomycin A5 hydrochloride first with 5ml without Water-ethanol mixing, forms suspension, then mixed with 25g egg yolk lecithin, 20g tristerin and 2g polyethylene glycol 400 again It closes, persistently stirs 2h, finally through filtration sterilization, obtain Local injection of Bleomycin A_5 preparation A4.
Reference examples 1
A kind of Local injection of Bleomycin A_5 preparation, including it is big including 0.08g bleomycin A5 hydrochloride, 4ml dehydrated alcohol, 20g Beans lecithin and 25g glyceryl dioleate.The preparation method is as follows: 0.08g bleomycin A5 hydrochloride is mixed with 4ml dehydrated alcohol first It closes, forms suspension, then persistently stir 3h with 20g soybean lecithin and 25g glyceryl dioleate again, finally by filtering out Bacterium obtains Local injection of Bleomycin A_5 preparation B1.
Reference examples 2
A kind of Local injection of Bleomycin A_5 preparation, including 0.08g bleomycin A5 hydrochloride, 4ml dehydrated alcohol, 25g yolk ovum Phosphatide, 15g olein and 2g polyethylene glycol 200.The preparation method is as follows: by 0.08g bleomycin A5 hydrochloride first with 4ml Dehydrated alcohol mixing, formed suspension, then again with 25g egg yolk lecithin, 15g olein and 2g polyethylene glycol 200, 4h is persistently stirred, finally through filtration sterilization, obtains Local injection of Bleomycin A_5 preparation B2.
Reference examples 3
A kind of Local injection of Bleomycin A_5 preparation, including 0.08g bleomycin A5 hydrochloride, 4ml dehydrated alcohol, 10g yolk ovum Phosphatide, 30g olein and 2g polyethylene glycol 200.The preparation method is as follows: by 0.08g bleomycin A5 hydrochloride first with 4ml Dehydrated alcohol mixing, formed suspension, then again with 10g egg yolk lecithin, 30g olein and 2g polyethylene glycol 200, 4h is persistently stirred, finally through filtration sterilization, obtains Local injection of Bleomycin A_5 preparation B3.
Application examples
Local injection of Bleomycin A_5 preparation anti-washout capacity and syringeability experiment:
Take respectively the Local injection of Bleomycin A_5 preparation A1-A4 prepared in 0.5ml embodiment 1-4 and comparative example 1-3, B1-B3 is placed in 5ml centrifuge tube, and 4ml water is added, and has seen whether that diffusion phenomena, no diffusion phenomena illustrate that preparation resists dilute dissipate It is functional.Diffusion is denoted as "-", does not spread and is denoted as "+".It takes Local injection of Bleomycin A_5 preparation A1-A4, B1-B3 respectively again, adopts Syringeability experiment is carried out with 1ml sterilizing syringe and No. 5 syringe needles, preparation, which can be injected smoothly, shows that its syringeability is good.It is smoothly logical Overwriting is "+", cannot pass through and be denoted as "-".Test result is as shown in table 1.
Table 1: anti-washout capacity and syringeability experiment
Sample number Anti-washout capacity Syringeability
A1 + +
A2 + +
A3 + +
A4 + +
B1 - +
B2 + -
B3 - +
The sustained release experiment of Local injection of Bleomycin A_5 agent in vitro:
Local injection of Bleomycin A_5 preparation A1-A4, B1-B3 of Example 1-4, reference examples 1-3, using Bag filter method into The experiment of row extracorporeal releasing characteristic is investigated.Dissolution medium is water.Specific experiment step are as follows: take 1g Local injection of Bleomycin A_5 system respectively The water of equivalent is added in agent, stands 0.5h and forms liquid crystal.Then it is added in bag filter, both ends are clamped with clip, and bag filter is put into In the water of 300ml, it is T=37 DEG C that water-bath, which keeps temperature, and revolving speed 30r/min seals whole system, prevents from evaporating, respectively In the 0.5th, 1,2,3,4,5,6,7,8,9,10,11,12 day sampling 1mL, 1mL water is filled into again every time.The sample of taking-up crosses 0.22 μm Miillpore filter, HPLC measure Pinyangmycin concentration.The accumulative release rate Q at each time point is calculated, as shown in Figure 1.
From figure 1 it appears that either embodiment 1-4 has the technical effect being well sustained, and more than 10 days Can just be sustained terminates, thus proves the technical effect that locally injecting preparation made of bleomycin A5 hydrochloride is had long-acting slow-release. And stabilizer is not used in B1, anti-washout capacity is poor, and bleomycin A5 hydrochloride is water solubility, and the locally injecting preparation of formation is in water Rate of release it is too fast, the general 3 days time reaches maximum release rate.The proportion of B2 and B3 glyceride and phosphatide falls in guarantor It protects except range, although there is the presence of stabilizer, the liquid crystal stability formed is poor, causes rate of release also very fast, B2 sample 4 days release rates of product are higher than 90%, but the last release rate of B3 sample is only above 80%, and possible reason is B3 phosphatide Content is higher, and bleomycin A5 hydrochloride is water soluble drug, poor with the intersolubility of phosphatide, and it is stagnant to will lead to part bleomycin A5 hydrochloride It stays.But in vivo, it can be realized the complete release of bleomycin A5 hydrochloride since phosphatide can be degraded by human body.
The experiment of Local injection of Bleomycin A_5 preparation animal plasma:
The same batch sample of Example 2 carries out animal plasma experiment.Choose 1 adult healthy rabbit, weight About 2kg.Sample 1ml is subcutaneously injected to rabbit, then respectively the 1st, 2,3,4,5,6,7,8,9,10,12,14,16,18,20 It takes blood 1ml to rabbit.The method recorded using " two middle bleomycin A5 hydrochlorides of " Chinese Pharmacopoeia " version in 2015 ", by efficient The blood concentration of liquid chromatography for measuring bleomycin A5.Experimental result is as shown in Fig. 2, minimal detectable concentration 10ng/mL.
From figure 2 it can be seen that bleomycin A5 reached peak concentration of drug at the 5th day in the intracorporal sustained release of rabbit, about 120ng/mL;The 4-7 days blood concentrations keep relatively stable, are 100ng/mL or so.The 1-3 days blood concentrations are continuously and healthily Increase, mainly the slow release effect due to Local injection of Bleomycin A_5 preparation;And the 8th day blood concentration is greatly reduced, mainly Since the result with the internal consumption superposition of drug is greatly reduced in slow release speed.In addition, it is found that the compared with sustained release result in vitro Being greatly reduced for blood concentration may be to lead since environment is destroyed Local injection of Bleomycin A_5 preparation structure in vivo within 8-9 days Causing locally injecting preparation at the about the 7th day, almost sustained release is complete.Blood concentration persistently reduces within the 10-12 days, and be in compared with Low concentration, terminating below detectable concentration.Dawn will also realize that by blood medicine curve, if injection application again, rabbit at the 8th or the 9th day Blood concentration can smoothly reach certain concentration, reach preferable therapeutic effect.
It although an embodiment of the present invention has been shown and described, for the ordinary skill in the art, can be with A variety of variations, modification, replacement can be carried out to these embodiments without departing from the principles and spirit of the present invention by understanding And modification, the scope of the present invention is defined by the appended.

Claims (8)

1. a kind of Local injection of Bleomycin A_5 preparation, which is characterized in that bleomycin A5 hydrochloride, 2-5ml second including 0.05-0.1g Alcohol, 15-25g phosphatide, 20-30g glyceride and 2-3g stabilizer.
2. a kind of Local injection of Bleomycin A_5 preparation according to claim 1, which is characterized in that the phosphatide includes soybean One or both of lecithin and egg yolk lecithin.
3. a kind of Local injection of Bleomycin A_5 preparation according to claim 1, which is characterized in that the phosphatide is yolk ovum Phosphatide.
4. a kind of Local injection of Bleomycin A_5 preparation according to claim 1, which is characterized in that the ethyl alcohol is anhydrous second Alcohol.
5. a kind of Local injection of Bleomycin A_5 preparation according to claim 1, which is characterized in that the glyceride packet Include one of glyceryl dioleate, olein and tristerin or a variety of.
6. a kind of Local injection of Bleomycin A_5 preparation according to claim 1, which is characterized in that the glyceride is two oil Acid glyceride.
7. a kind of Local injection of Bleomycin A_5 preparation according to claim 1, which is characterized in that the stabilizer is pool Lip river Husky nurse 407 or low-molecular-weight polyethylene glycol.
8. the preparation method of any one of the claim 1-7 Local injection of Bleomycin A_5 preparation, which is characterized in that put down hydrochloric acid Positive mycin, ethyl alcohol, phosphatide, glycerolipid and stabilizer are uniformly mixed, and are obtained working fluid, finally through filtration sterilization, are obtained Pingyang Mycin locally injecting preparation.
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Cited By (1)

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CN109431997A (en) * 2018-12-20 2019-03-08 武汉科福新药有限责任公司 A kind of rapamycin locally injecting preparation and preparation method thereof

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