CN111514100A - Aprepitant injection - Google Patents
Aprepitant injection Download PDFInfo
- Publication number
- CN111514100A CN111514100A CN201910104324.2A CN201910104324A CN111514100A CN 111514100 A CN111514100 A CN 111514100A CN 201910104324 A CN201910104324 A CN 201910104324A CN 111514100 A CN111514100 A CN 111514100A
- Authority
- CN
- China
- Prior art keywords
- aprepitant
- injection
- phosphatidylethanolamine
- phospholipid
- ethanol
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Pending
Links
- ATALOFNDEOCMKK-OITMNORJSA-N aprepitant Chemical compound O([C@@H]([C@@H]1C=2C=CC(F)=CC=2)O[C@H](C)C=2C=C(C=C(C=2)C(F)(F)F)C(F)(F)F)CCN1CC1=NNC(=O)N1 ATALOFNDEOCMKK-OITMNORJSA-N 0.000 title claims abstract description 99
- 229960001372 aprepitant Drugs 0.000 title claims abstract description 99
- 239000007924 injection Substances 0.000 title claims abstract description 56
- 238000002347 injection Methods 0.000 title claims abstract description 56
- LFQSCWFLJHTTHZ-UHFFFAOYSA-N Ethanol Chemical compound CCO LFQSCWFLJHTTHZ-UHFFFAOYSA-N 0.000 claims abstract description 157
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Chemical compound O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 claims abstract description 53
- JZNWSCPGTDBMEW-UHFFFAOYSA-N Glycerophosphorylethanolamin Natural products NCCOP(O)(=O)OCC(O)CO JZNWSCPGTDBMEW-UHFFFAOYSA-N 0.000 claims abstract description 44
- 150000008104 phosphatidylethanolamines Chemical class 0.000 claims abstract description 44
- 150000003904 phospholipids Chemical class 0.000 claims abstract description 28
- 239000008215 water for injection Substances 0.000 claims abstract description 25
- WTJKGGKOPKCXLL-RRHRGVEJSA-N phosphatidylcholine Chemical compound CCCCCCCCCCCCCCCC(=O)OC[C@H](COP([O-])(=O)OCC[N+](C)(C)C)OC(=O)CCCCCCCC=CCCCCCCCC WTJKGGKOPKCXLL-RRHRGVEJSA-N 0.000 claims abstract description 21
- 239000000839 emulsion Substances 0.000 claims description 29
- 238000010438 heat treatment Methods 0.000 claims description 26
- 238000002360 preparation method Methods 0.000 claims description 25
- 239000000203 mixture Substances 0.000 claims description 22
- BCKXLBQYZLBQEK-KVVVOXFISA-M Sodium oleate Chemical compound [Na+].CCCCCCCC\C=C/CCCCCCCC([O-])=O BCKXLBQYZLBQEK-KVVVOXFISA-M 0.000 claims description 21
- 229930006000 Sucrose Natural products 0.000 claims description 21
- 239000005720 sucrose Substances 0.000 claims description 21
- CZMRCDWAGMRECN-UGDNZRGBSA-N Sucrose Chemical compound O[C@H]1[C@H](O)[C@@H](CO)O[C@@]1(CO)O[C@@H]1[C@H](O)[C@@H](O)[C@H](O)[C@@H](CO)O1 CZMRCDWAGMRECN-UGDNZRGBSA-N 0.000 claims description 20
- 238000001914 filtration Methods 0.000 claims description 13
- 238000010008 shearing Methods 0.000 claims description 13
- 238000003756 stirring Methods 0.000 claims description 13
- 150000003839 salts Chemical class 0.000 claims description 11
- QTBSBXVTEAMEQO-UHFFFAOYSA-N Acetic acid Chemical compound CC(O)=O QTBSBXVTEAMEQO-UHFFFAOYSA-N 0.000 claims description 6
- HEMHJVSKTPXQMS-UHFFFAOYSA-M Sodium hydroxide Chemical compound [OH-].[Na+] HEMHJVSKTPXQMS-UHFFFAOYSA-M 0.000 claims description 6
- KRKNYBCHXYNGOX-UHFFFAOYSA-N citric acid Chemical compound OC(=O)CC(O)(C(O)=O)CC(O)=O KRKNYBCHXYNGOX-UHFFFAOYSA-N 0.000 claims description 6
- PEDCQBHIVMGVHV-UHFFFAOYSA-N Glycerine Chemical compound OCC(O)CO PEDCQBHIVMGVHV-UHFFFAOYSA-N 0.000 claims description 5
- VEXZGXHMUGYJMC-UHFFFAOYSA-N Hydrochloric acid Chemical compound Cl VEXZGXHMUGYJMC-UHFFFAOYSA-N 0.000 claims description 4
- NBIIXXVUZAFLBC-UHFFFAOYSA-N Phosphoric acid Chemical compound OP(O)(O)=O NBIIXXVUZAFLBC-UHFFFAOYSA-N 0.000 claims description 4
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 claims description 4
- 238000000034 method Methods 0.000 claims description 3
- WRIDQFICGBMAFQ-UHFFFAOYSA-N (E)-8-Octadecenoic acid Natural products CCCCCCCCCC=CCCCCCCC(O)=O WRIDQFICGBMAFQ-UHFFFAOYSA-N 0.000 claims description 2
- SLKDGVPOSSLUAI-PGUFJCEWSA-N 1,2-dihexadecanoyl-sn-glycero-3-phosphoethanolamine zwitterion Chemical compound CCCCCCCCCCCCCCCC(=O)OC[C@H](COP(O)(=O)OCCN)OC(=O)CCCCCCCCCCCCCCC SLKDGVPOSSLUAI-PGUFJCEWSA-N 0.000 claims description 2
- LVNGJLRDBYCPGB-UHFFFAOYSA-N 1,2-distearoylphosphatidylethanolamine Chemical group CCCCCCCCCCCCCCCCCC(=O)OCC(COP([O-])(=O)OCC[NH3+])OC(=O)CCCCCCCCCCCCCCCCC LVNGJLRDBYCPGB-UHFFFAOYSA-N 0.000 claims description 2
- NEZDNQCXEZDCBI-UHFFFAOYSA-N 2-azaniumylethyl 2,3-di(tetradecanoyloxy)propyl phosphate Chemical compound CCCCCCCCCCCCCC(=O)OCC(COP(O)(=O)OCCN)OC(=O)CCCCCCCCCCCCC NEZDNQCXEZDCBI-UHFFFAOYSA-N 0.000 claims description 2
- ZLGYVWRJIZPQMM-HHHXNRCGSA-N 2-azaniumylethyl [(2r)-2,3-di(dodecanoyloxy)propyl] phosphate Chemical compound CCCCCCCCCCCC(=O)OC[C@H](COP(O)(=O)OCCN)OC(=O)CCCCCCCCCCC ZLGYVWRJIZPQMM-HHHXNRCGSA-N 0.000 claims description 2
- LQJBNNIYVWPHFW-UHFFFAOYSA-N 20:1omega9c fatty acid Natural products CCCCCCCCCCC=CCCCCCCCC(O)=O LQJBNNIYVWPHFW-UHFFFAOYSA-N 0.000 claims description 2
- QSBYPNXLFMSGKH-UHFFFAOYSA-N 9-Heptadecensaeure Natural products CCCCCCCC=CCCCCCCCC(O)=O QSBYPNXLFMSGKH-UHFFFAOYSA-N 0.000 claims description 2
- QTBSBXVTEAMEQO-UHFFFAOYSA-M Acetate Chemical compound CC([O-])=O QTBSBXVTEAMEQO-UHFFFAOYSA-M 0.000 claims description 2
- KRKNYBCHXYNGOX-UHFFFAOYSA-K Citrate Chemical compound [O-]C(=O)CC(O)(CC([O-])=O)C([O-])=O KRKNYBCHXYNGOX-UHFFFAOYSA-K 0.000 claims description 2
- FBPFZTCFMRRESA-KVTDHHQDSA-N D-Mannitol Chemical compound OC[C@@H](O)[C@@H](O)[C@H](O)[C@H](O)CO FBPFZTCFMRRESA-KVTDHHQDSA-N 0.000 claims description 2
- WQZGKKKJIJFFOK-GASJEMHNSA-N Glucose Natural products OC[C@H]1OC(O)[C@H](O)[C@@H](O)[C@@H]1O WQZGKKKJIJFFOK-GASJEMHNSA-N 0.000 claims description 2
- 229930195725 Mannitol Natural products 0.000 claims description 2
- 239000005642 Oleic acid Substances 0.000 claims description 2
- ZQPPMHVWECSIRJ-UHFFFAOYSA-N Oleic acid Natural products CCCCCCCCC=CCCCCCCCC(O)=O ZQPPMHVWECSIRJ-UHFFFAOYSA-N 0.000 claims description 2
- 229910019142 PO4 Inorganic materials 0.000 claims description 2
- TVXBFESIOXBWNM-UHFFFAOYSA-N Xylitol Natural products OCCC(O)C(O)C(O)CCO TVXBFESIOXBWNM-UHFFFAOYSA-N 0.000 claims description 2
- 229910000147 aluminium phosphate Inorganic materials 0.000 claims description 2
- WQZGKKKJIJFFOK-VFUOTHLCSA-N beta-D-glucose Chemical compound OC[C@H]1O[C@@H](O)[C@H](O)[C@@H](O)[C@@H]1O WQZGKKKJIJFFOK-VFUOTHLCSA-N 0.000 claims description 2
- MWRBNPKJOOWZPW-CLFAGFIQSA-N dioleoyl phosphatidylethanolamine Chemical compound CCCCCCCC\C=C/CCCCCCCC(=O)OCC(COP(O)(=O)OCCN)OC(=O)CCCCCCC\C=C/CCCCCCCC MWRBNPKJOOWZPW-CLFAGFIQSA-N 0.000 claims description 2
- 239000008103 glucose Substances 0.000 claims description 2
- 235000001727 glucose Nutrition 0.000 claims description 2
- 235000011187 glycerol Nutrition 0.000 claims description 2
- QXJSBBXBKPUZAA-UHFFFAOYSA-N isooleic acid Natural products CCCCCCCC=CCCCCCCCCC(O)=O QXJSBBXBKPUZAA-UHFFFAOYSA-N 0.000 claims description 2
- 239000000594 mannitol Substances 0.000 claims description 2
- 235000010355 mannitol Nutrition 0.000 claims description 2
- HEBKCHPVOIAQTA-UHFFFAOYSA-N meso ribitol Natural products OCC(O)C(O)C(O)CO HEBKCHPVOIAQTA-UHFFFAOYSA-N 0.000 claims description 2
- ZQPPMHVWECSIRJ-KTKRTIGZSA-N oleic acid Chemical compound CCCCCCCC\C=C/CCCCCCCC(O)=O ZQPPMHVWECSIRJ-KTKRTIGZSA-N 0.000 claims description 2
- 239000010452 phosphate Substances 0.000 claims description 2
- NBIIXXVUZAFLBC-UHFFFAOYSA-K phosphate Chemical compound [O-]P([O-])([O-])=O NBIIXXVUZAFLBC-UHFFFAOYSA-K 0.000 claims description 2
- 239000011780 sodium chloride Substances 0.000 claims description 2
- 235000002639 sodium chloride Nutrition 0.000 claims description 2
- 239000000811 xylitol Substances 0.000 claims description 2
- 235000010447 xylitol Nutrition 0.000 claims description 2
- HEBKCHPVOIAQTA-SCDXWVJYSA-N xylitol Chemical compound OC[C@H](O)[C@@H](O)[C@H](O)CO HEBKCHPVOIAQTA-SCDXWVJYSA-N 0.000 claims description 2
- 229960002675 xylitol Drugs 0.000 claims description 2
- 239000003002 pH adjusting agent Substances 0.000 claims 1
- 239000008181 tonicity modifier Substances 0.000 claims 1
- 230000007774 longterm Effects 0.000 abstract description 5
- JQWAHKMIYCERGA-UHFFFAOYSA-N (2-nonanoyloxy-3-octadeca-9,12-dienoyloxypropoxy)-[2-(trimethylazaniumyl)ethyl]phosphinate Chemical compound CCCCCCCCC(=O)OC(COP([O-])(=O)CC[N+](C)(C)C)COC(=O)CCCCCCCC=CCC=CCCCCC JQWAHKMIYCERGA-UHFFFAOYSA-N 0.000 description 41
- 239000003921 oil Substances 0.000 description 29
- 235000019198 oils Nutrition 0.000 description 29
- 239000003549 soybean oil Substances 0.000 description 17
- 235000012424 soybean oil Nutrition 0.000 description 17
- 239000000243 solution Substances 0.000 description 7
- 230000000052 comparative effect Effects 0.000 description 6
- 239000003814 drug Substances 0.000 description 6
- 229960003957 dexamethasone Drugs 0.000 description 5
- UREBDLICKHMUKA-CXSFZGCWSA-N dexamethasone Chemical compound C1CC2=CC(=O)C=C[C@]2(C)[C@]2(F)[C@@H]1[C@@H]1C[C@@H](C)[C@@](C(=O)CO)(O)[C@@]1(C)C[C@@H]2O UREBDLICKHMUKA-CXSFZGCWSA-N 0.000 description 5
- 229940079593 drug Drugs 0.000 description 5
- 206010047700 Vomiting Diseases 0.000 description 4
- 229960002344 dexamethasone sodium phosphate Drugs 0.000 description 4
- PLCQGRYPOISRTQ-FCJDYXGNSA-L dexamethasone sodium phosphate Chemical compound [Na+].[Na+].C1CC2=CC(=O)C=C[C@]2(C)[C@]2(F)[C@@H]1[C@@H]1C[C@@H](C)[C@@](C(=O)COP([O-])([O-])=O)(O)[C@@]1(C)C[C@@H]2O PLCQGRYPOISRTQ-FCJDYXGNSA-L 0.000 description 4
- 239000004006 olive oil Substances 0.000 description 4
- 235000008390 olive oil Nutrition 0.000 description 4
- 239000002245 particle Substances 0.000 description 4
- 239000003369 serotonin 5-HT3 receptor antagonist Substances 0.000 description 4
- MKBLHFILKIKSQM-UHFFFAOYSA-N 9-methyl-3-[(2-methyl-1h-imidazol-3-ium-3-yl)methyl]-2,3-dihydro-1h-carbazol-4-one;chloride Chemical compound Cl.CC1=NC=CN1CC1C(=O)C(C=2C(=CC=CC=2)N2C)=C2CC1 MKBLHFILKIKSQM-UHFFFAOYSA-N 0.000 description 3
- 238000002512 chemotherapy Methods 0.000 description 3
- 239000003995 emulsifying agent Substances 0.000 description 3
- 229960000770 ondansetron hydrochloride Drugs 0.000 description 3
- UFTFJSFQGQCHQW-UHFFFAOYSA-N triformin Chemical compound O=COCC(OC=O)COC=O UFTFJSFQGQCHQW-UHFFFAOYSA-N 0.000 description 3
- LDVVTQMJQSCDMK-UHFFFAOYSA-N 1,3-dihydroxypropan-2-yl formate Chemical compound OCC(CO)OC=O LDVVTQMJQSCDMK-UHFFFAOYSA-N 0.000 description 2
- 229940113081 5 Hydroxytryptamine 3 receptor antagonist Drugs 0.000 description 2
- 102100021260 Galactosylgalactosylxylosylprotein 3-beta-glucuronosyltransferase 1 Human genes 0.000 description 2
- 101000894906 Homo sapiens Galactosylgalactosylxylosylprotein 3-beta-glucuronosyltransferase 1 Proteins 0.000 description 2
- 206010028980 Neoplasm Diseases 0.000 description 2
- 108010040718 Neurokinin-1 Receptors Proteins 0.000 description 2
- 102000002002 Neurokinin-1 Receptors Human genes 0.000 description 2
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- DNIAPMSPPWPWGF-UHFFFAOYSA-N monopropylene glycol Natural products CC(O)CO DNIAPMSPPWPWGF-UHFFFAOYSA-N 0.000 description 2
- 229940042880 natural phospholipid Drugs 0.000 description 2
- QZAYGJVTTNCVMB-UHFFFAOYSA-N serotonin Chemical compound C1=C(O)C=C2C(CCN)=CNC2=C1 QZAYGJVTTNCVMB-UHFFFAOYSA-N 0.000 description 2
- 239000000126 substance Substances 0.000 description 2
- 239000008348 synthetic phosphatidyl choline Substances 0.000 description 2
- TYAQXZHDAGZOEO-UHFFFAOYSA-N (2-octadecanoyloxy-3-tetradecanoyloxypropyl) 2-(trimethylazaniumyl)ethyl phosphate Chemical compound CCCCCCCCCCCCCCCCCC(=O)OC(COP([O-])(=O)OCC[N+](C)(C)C)COC(=O)CCCCCCCCCCCCC TYAQXZHDAGZOEO-UHFFFAOYSA-N 0.000 description 1
- QDZOEBFLNHCSSF-PFFBOGFISA-N (2S)-2-[[(2R)-2-[[(2S)-1-[(2S)-6-amino-2-[[(2S)-1-[(2R)-2-amino-5-carbamimidamidopentanoyl]pyrrolidine-2-carbonyl]amino]hexanoyl]pyrrolidine-2-carbonyl]amino]-3-(1H-indol-3-yl)propanoyl]amino]-N-[(2R)-1-[[(2S)-1-[[(2R)-1-[[(2S)-1-[[(2S)-1-amino-4-methyl-1-oxopentan-2-yl]amino]-4-methyl-1-oxopentan-2-yl]amino]-3-(1H-indol-3-yl)-1-oxopropan-2-yl]amino]-1-oxo-3-phenylpropan-2-yl]amino]-3-(1H-indol-3-yl)-1-oxopropan-2-yl]pentanediamide Chemical compound C([C@@H](C(=O)N[C@H](CC=1C2=CC=CC=C2NC=1)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CC(C)C)C(N)=O)NC(=O)[C@@H](CC=1C2=CC=CC=C2NC=1)NC(=O)[C@H](CCC(N)=O)NC(=O)[C@@H](CC=1C2=CC=CC=C2NC=1)NC(=O)[C@H]1N(CCC1)C(=O)[C@H](CCCCN)NC(=O)[C@H]1N(CCC1)C(=O)[C@H](N)CCCNC(N)=N)C1=CC=CC=C1 QDZOEBFLNHCSSF-PFFBOGFISA-N 0.000 description 1
- CITHEXJVPOWHKC-UUWRZZSWSA-N 1,2-di-O-myristoyl-sn-glycero-3-phosphocholine Chemical compound CCCCCCCCCCCCCC(=O)OC[C@H](COP([O-])(=O)OCC[N+](C)(C)C)OC(=O)CCCCCCCCCCCCC CITHEXJVPOWHKC-UUWRZZSWSA-N 0.000 description 1
- MLKLDGSYMHFAOC-AREMUKBSSA-N 1,2-dicapryl-sn-glycero-3-phosphocholine Chemical compound CCCCCCCCCC(=O)OC[C@H](COP([O-])(=O)OCC[N+](C)(C)C)OC(=O)CCCCCCCCC MLKLDGSYMHFAOC-AREMUKBSSA-N 0.000 description 1
- KILNVBDSWZSGLL-KXQOOQHDSA-N 1,2-dihexadecanoyl-sn-glycero-3-phosphocholine Chemical compound CCCCCCCCCCCCCCCC(=O)OC[C@H](COP([O-])(=O)OCC[N+](C)(C)C)OC(=O)CCCCCCCCCCCCCCC KILNVBDSWZSGLL-KXQOOQHDSA-N 0.000 description 1
- IJFVSSZAOYLHEE-SSEXGKCCSA-N 1,2-dilauroyl-sn-glycero-3-phosphocholine Chemical compound CCCCCCCCCCCC(=O)OC[C@H](COP([O-])(=O)OCC[N+](C)(C)C)OC(=O)CCCCCCCCCCC IJFVSSZAOYLHEE-SSEXGKCCSA-N 0.000 description 1
- SNKAWJBJQDLSFF-NVKMUCNASA-N 1,2-dioleoyl-sn-glycero-3-phosphocholine Chemical compound CCCCCCCC\C=C/CCCCCCCC(=O)OC[C@H](COP([O-])(=O)OCC[N+](C)(C)C)OC(=O)CCCCCCC\C=C/CCCCCCCC SNKAWJBJQDLSFF-NVKMUCNASA-N 0.000 description 1
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- PZNPLUBHRSSFHT-RRHRGVEJSA-N 1-hexadecanoyl-2-octadecanoyl-sn-glycero-3-phosphocholine Chemical compound CCCCCCCCCCCCCCCCCC(=O)O[C@@H](COP([O-])(=O)OCC[N+](C)(C)C)COC(=O)CCCCCCCCCCCCCCC PZNPLUBHRSSFHT-RRHRGVEJSA-N 0.000 description 1
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- 108010040722 Neurokinin-2 Receptors Proteins 0.000 description 1
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- ATHVAWFAEPLPPQ-LNVKXUELSA-N [3-octadecanoyloxy-2-[(z)-octadec-9-enoyl]oxypropyl] 2-(trimethylazaniumyl)ethyl phosphate Chemical compound CCCCCCCCCCCCCCCCCC(=O)OCC(COP([O-])(=O)OCC[N+](C)(C)C)OC(=O)CCCCCCC\C=C/CCCCCCCC ATHVAWFAEPLPPQ-LNVKXUELSA-N 0.000 description 1
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- LVGKNOAMLMIIKO-QXMHVHEDSA-N ethyl oleate Chemical compound CCCCCCCC\C=C/CCCCCCCC(=O)OCC LVGKNOAMLMIIKO-QXMHVHEDSA-N 0.000 description 1
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/08—Solutions
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/33—Heterocyclic compounds
- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/535—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with at least one nitrogen and one oxygen as the ring hetero atoms, e.g. 1,2-oxazines
- A61K31/5375—1,4-Oxazines, e.g. morpholine
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Abstract
The invention provides an aprepitant injection which contains aprepitant, phospholipid, ethanol, oil for injection and water for injection. The phospholipid contains phosphatidylcholine and phosphatidylethanolamine, wherein the phosphatidylcholine accounts for not less than 68% of the total weight of the phospholipid, and the phosphatidylethanolamine accounts for not more than 9% of the total weight of the phospholipid, preferably 3% -9%, and more preferably 6% -9%. Further, the weight ratio of ethanol to phosphatidylethanolamine is 1:1 to 7:1, preferably 1:1 to 5: 1. The aprepitant injection provided by the invention has good compatibility stability after long-term storage.
Description
Technical Field
The invention relates to the technical field of medicaments, in particular to an aprepitant injection.
Background
Nausea and vomiting are among the more common adverse effects of current malignant patients after chemotherapy, and can be classified into acute, delayed and full-term according to the occurrence time. Untimely control of the symptoms will lead to a reduction in the quality of life of the patient and reduced treatment compliance. The NK-1 inhibitor is widely applied to the treatment of nausea and vomiting in chemotherapy at present, and has a remarkable curative effect. Aprepitant is a representative drug in NK-1 inhibitors, blocks the action point of substance P by combining with NK-1 receptors, can occupy the NK-1 receptors in the brain through a blood brain barrier, has high selectivity and high affinity, has low affinity to NK-2 and NK-3 receptors, and has better nausea and vomiting reducing effect than other drugs.
Aprepitant oral preparation is approved by FDA in the United states and marketed in 2003, but due to poor water solubility and membrane permeability of aprepitant, the aprepitant oral preparation has poor oral absorption and low bioavailability. To ameliorate the deficiencies of oral formulations, Heron treatment developed aprepitant as a fat emulsion injection and obtained FDA approval for marketing in 2017.
Patent CN102379845A discloses an aprepitant microemulsion for injection and a preparation method thereof, which solves the problems of inconvenient clinical application, poor absorption, low bioavailability and the like of an aprepitant oral preparation and provides preparation methods of a small water injection, an infusion solution and a freeze-dried preparation of the aprepitant microemulsion.
Patent CN106852118A discloses an aprepitant emulsion containing 11% -15% of emulsifier, the ratio of oil to aprepitant is 10:1 to 15:1, the ratio of emulsifier to aprepitant is 15:1 to 30:1, and the ratio of emulsifier to oil is 1:1 to 3: 1. The aprepitant emulsion preparation provided by the aprepitant emulsion preparation can keep physical stability and chemical stability under certain storage conditions.
The American clinical tumor society takes aprepitant together with a 5-hydroxytryptamine 3(5-HT3) receptor antagonist and dexamethasone triple therapy as a recommended scheme, and the 2014 version of Chinese tumor treatment-related emesis prevention and treatment guideline released in China recommends that the triple scheme, namely aprepitant, a 5-HT3 antagonist and dexamethasone are combined to be used as a first-line treatment scheme for chemotherapy and antiemetic. In clinical use, aprepitant is often used simultaneously with a 5HT3 receptor antagonist and dexamethasone.
The aprepitant injection, the 5-HT3 receptor antagonist and dexamethasone are used in a compatible way, so that the liquid preparation step can be reduced, the possibility of drug contamination can be reduced, and the pain of clinical medication of patients can be greatly relieved. However, in the research of the preparation, not only the stability of each index of the preparation itself needs to be considered, but also the stability of the compatibility of the drug after long-term storage should be studied due to the complexity of clinical compatibility, so as to avoid the risk of clinical use. Therefore, the aprepitant injection provided by the application can still have good compatibility stability after long-term storage.
Disclosure of Invention
The invention provides an aprepitant injection with good compatibility stability after long-term storage.
In order to achieve the above object, the technical solution of the present invention is as follows:
the invention provides an aprepitant injection which contains aprepitant, phospholipid, ethanol, oil for injection and water for injection, wherein the phospholipid contains phosphatidylcholine and phosphatidylethanolamine, the phosphatidylcholine accounts for not less than 68% of the total weight of the phospholipid, and the phosphatidylethanolamine accounts for not more than 9% of the total weight of the phospholipid. When the aprepitant injection is compatible with 5-hydroxytryptamine antagonist and dexamethasone after being stored for 12 months, the content of aprepitant is not changed, PFAT5 is at a lower level, and the clinical safety is higher.
In the aprepitant injection, the phosphatidylethanolamine accounts for 3-9 wt% of the total amount of phospholipid.
In the aprepitant injection, the phosphatidylethanolamine accounts for 6-9 wt% of the total amount of phospholipid.
In the aprepitant injection, the weight percentage of the phosphatidylcholine in the total amount of the phospholipid is 72-85%.
In the aprepitant injection, the content of each component is as follows:
in the aprepitant injection, the weight ratio of the ethanol to the phosphatidylethanolamine is 1:1 to 7:1, preferably 1:1 to 5: 1.
In the aprepitant injection, the phospholipid is selected from natural phospholipid and salt thereof, synthetic or semisynthetic phospholipid and salt thereof or combination thereof. The natural phospholipid refers to phospholipid extracted from natural materials such as soybean and egg yolk.
In the aprepitant injection, the phosphatidylcholine is selected from natural phosphatidylcholine and salts thereof, synthetic or semi-synthetic phosphatidylcholine and salts thereof or any combination thereof; the synthetic or semi-synthetic phosphatidylcholine is selected from distearoylphosphatidylcholine, dioleoylphosphatidylcholine, dipalmitoylphosphatidylcholine, dimyristoylphosphatidylcholine, didecanoylphosphatidylcholine, dilauroylphosphatidylcholine, erucylphosphatidylcholine, 1-stearoyl-2-oleoylphosphatidylcholine, 1-palmitoyl-2-oleoylphosphatidylcholine, 1-myristoyl-2-oleoylphosphatidylcholine, 1-stearoyl-2-palmitoylphosphatidylcholine, 1-stearoyl-2-myristoylphosphatidylcholine, 1-palmitoyl-2-stearoylphosphatidylcholine, 1-palmitoyl-2-myristoylphosphatidylcholine, 1-myristoyl-2-stearoyl phosphatidylcholine, 1-myristoyl-2-palmitoyl phosphatidylcholine, or a combination thereof.
In the aprepitant injection, the phosphatidylethanolamine is selected from natural phosphatidylethanolamine and salts thereof, synthetic or semi-synthetic phosphatidylethanolamine and salts thereof or any combination of the synthetic or semi-synthetic phosphatidylethanolamine and the salts thereof; the synthetic or semi-synthetic phosphatidylethanolamine is selected from distearoylphosphatidylethanolamine, dioleoylphosphatidylethanolamine, dipalmitoylphosphatidylethanolamine, dimyristoylphosphatidylethanolamine, erucic phosphatidylethanolamine, dilauroyl phosphatidylethanolamine or a combination thereof.
The aprepitant injection further comprises a pH regulator, wherein the pH regulator is selected from sodium oleate, oleic acid, sodium hydroxide, hydrochloric acid, phosphoric acid, phosphate, citric acid, citrate, acetic acid, acetate or a combination thereof.
The aprepitant injection further comprises a tonicity adjusting agent, wherein the tonicity adjusting agent is selected from sucrose, sodium chloride, glycerol, glucose, mannitol, xylitol or a combination thereof.
In the aprepitant injection, the oil for injection is selected from soybean oil, safflower oil, cottonseed oil, olive oil, coconut oil, castor oil, fish oil, medium-chain monoglyceride, medium-chain diglyceride, medium-chain triglyceride, ethyl oleate, acetylated monoglyceride, propylene glycol diester, linoleic acid glyceride, polyethylene glycol lauric acid glyceride or a combination thereof.
The preparation method of the aprepitant injection comprises the following steps:
(1) taking aprepitant, phospholipid and ethanol, and heating to dissolve the aprepitant, the phospholipid and the ethanol;
(2) adding the mixture obtained in the step (1) into oil for injection, and heating and dissolving to obtain an oil phase;
(3) adding a tension regulator and a pH regulator into water for injection, and uniformly stirring to obtain a water phase;
(4) adding the oil phase in the step (2) into the water phase in the step (3), and shearing at high speed to obtain primary emulsion;
(5) homogenizing the primary emulsion in the step (4) under high pressure;
(6) filtering and filling.
Detailed Description
The amounts of ethanol in the comparative examples and examples of the present invention are the amounts of ethanol in the final product after considering the amount of ethanol evaporated in the preparation process.
Example 1
Composition (I) | Dosage (g) |
Aprepitant | 7.2 |
Egg yolk lecithin | 144 |
Soybean oil | 94 |
Ethanol | 30 |
Sucrose | 55.6 |
Sodium oleate | 5.5 |
Water for injection | Adding to 1000ml |
The content of phosphatidylcholine in the egg yolk lecithin was 80%, and the content of phosphatidylethanolamine was 3%. (the weight ratio of ethanol to phosphatidylethanolamine is 7:1)
The preparation method comprises the following steps:
(1) taking aprepitant, egg yolk lecithin and ethanol, and heating to dissolve the aprepitant, the egg yolk lecithin and the ethanol;
(2) adding the mixture obtained in the step (1) into soybean oil, and heating and dissolving to obtain an oil phase;
(3) adding sucrose and sodium oleate into water for injection, and stirring uniformly to obtain a water phase;
(4) adding the oil phase in the step (2) into the water phase in the step (3), and shearing at high speed to obtain primary emulsion;
(5) homogenizing the primary emulsion in the step (4) under high pressure;
(6) filtering and filling.
Example 2
The content of phosphatidylcholine in the egg yolk lecithin is 80%, and the content of phosphatidylethanolamine is 6%. (the weight ratio of ethanol to phosphatidylethanolamine is 3.5:1)
The preparation method comprises the following steps:
(1) taking aprepitant, egg yolk lecithin and ethanol, and heating to dissolve the aprepitant, the egg yolk lecithin and the ethanol;
(2) adding the mixture obtained in the step (1) into soybean oil, and heating and dissolving to obtain an oil phase;
(3) adding sucrose and sodium oleate into water for injection, and stirring uniformly to obtain a water phase;
(4) adding the oil phase in the step (2) into the water phase in the step (3), and shearing at high speed to obtain primary emulsion;
(5) homogenizing the primary emulsion in the step (4) under high pressure;
(6) filtering and filling.
Example 3
Composition (I) | Dosage (g) |
Aprepitant | 7.2 |
Egg yolk lecithin | 144 |
Soybean oil | 94 |
Ethanol | 30 |
Sucrose | 55.6 |
Sodium oleate | 5.5 |
Water for injection | Adding to 1000ml |
The content of phosphatidylcholine in the egg yolk lecithin was 80%, and the content of phosphatidylethanolamine was 7%. (the weight ratio of ethanol to phosphatidylethanolamine is 3:1)
The preparation method comprises the following steps:
(1) taking aprepitant, egg yolk lecithin and ethanol, and heating to dissolve the aprepitant, the egg yolk lecithin and the ethanol;
(2) adding the mixture obtained in the step (1) into soybean oil, and heating and dissolving to obtain an oil phase;
(3) adding sucrose and sodium oleate into water for injection, and stirring uniformly to obtain a water phase;
(4) adding the oil phase in the step (2) into the water phase in the step (3), and shearing at high speed to obtain primary emulsion;
(5) homogenizing the primary emulsion in the step (4) under high pressure;
(6) filtering and filling.
Example 4
Composition (I) | Dosage (g) |
Aprepitant | 7.2 |
Egg yolk lecithin | 144 |
Soybean oil | 94 |
Ethanol | 30 |
Sucrose | 55.6 |
Sodium oleate | 5.5 |
Water for injection | Adding to 1000ml |
The content of phosphatidylcholine in the egg yolk lecithin was 80%, and the content of phosphatidylethanolamine was 9%. (the weight ratio of ethanol to phosphatidylethanolamine is 2.3:1)
The preparation method comprises the following steps:
(1) taking aprepitant, egg yolk lecithin and ethanol, and heating to dissolve the aprepitant, the egg yolk lecithin and the ethanol;
(2) adding the mixture obtained in the step (1) into soybean oil, and heating and dissolving to obtain an oil phase;
(3) adding sucrose and sodium oleate into water for injection, and stirring uniformly to obtain a water phase;
(4) adding the oil phase in the step (2) into the water phase in the step (3), and shearing at high speed to obtain primary emulsion;
(5) homogenizing the primary emulsion in the step (4) under high pressure;
(6) filtering and filling.
Example 5
Composition (I) | Dosage (g) |
Aprepitant | 7.2 |
Egg yolk lecithin | 144 |
Soybean oil | 94 |
Ethanol | 30 |
Sucrose | 55.6 |
Sodium oleate | 5.5 |
Water for injection | Adding to 1000ml |
The content of phosphatidylcholine in the egg yolk lecithin was 80%, and the content of phosphatidylethanolamine was 2.1%. (the weight ratio of ethanol to phosphatidylethanolamine is 10:1)
The preparation method comprises the following steps:
(1) taking aprepitant, egg yolk lecithin and ethanol, and heating to dissolve the aprepitant, the egg yolk lecithin and the ethanol;
(2) adding the mixture obtained in the step (1) into soybean oil, and heating and dissolving to obtain an oil phase;
(3) adding sucrose and sodium oleate into water for injection, and stirring uniformly to obtain a water phase;
(4) adding the oil phase in the step (2) into the water phase in the step (3), and shearing at high speed to obtain primary emulsion;
(5) homogenizing the primary emulsion in the step (4) under high pressure;
(6) filtering and filling.
Comparative example 1
Composition (I) | Dosage (g) |
Aprepitant | 7.2 |
Egg yolk lecithin | 144 |
Soybean oil | 94 |
Ethanol | 30 |
Sucrose | 55.6 |
Sodium oleate | 5.5 |
Water for injection | Adding to 1000ml |
The content of phosphatidylcholine in the egg yolk lecithin is 80%, and the content of phosphatidylethanolamine is 12%.
The preparation method comprises the following steps:
(1) taking aprepitant, egg yolk lecithin and ethanol, and heating to dissolve the aprepitant, the egg yolk lecithin and the ethanol;
(2) adding the mixture obtained in the step (1) into soybean oil, and heating and dissolving to obtain an oil phase;
(3) adding sucrose and sodium oleate into water for injection, and stirring uniformly to obtain a water phase;
(4) adding the oil phase in the step (2) into the water phase in the step (3), and shearing at high speed to obtain primary emulsion;
(5) homogenizing the primary emulsion in the step (4) under high pressure;
(6) filtering and filling.
Comparative example 2
The content of phosphatidylcholine in the egg yolk lecithin was 80%, and the content of phosphatidylethanolamine was 15%.
The preparation method comprises the following steps:
(1) taking aprepitant, egg yolk lecithin and ethanol, and heating to dissolve the aprepitant, the egg yolk lecithin and the ethanol;
(2) adding the mixture obtained in the step (1) into soybean oil, and heating and dissolving to obtain an oil phase;
(3) adding sucrose and sodium oleate into water for injection, and stirring uniformly to obtain a water phase;
(4) adding the oil phase in the step (2) into the water phase in the step (3), and shearing at high speed to obtain primary emulsion;
(5) homogenizing the primary emulsion in the step (4) under high pressure;
(6) filtering and filling.
Test example 1 compatibility stability study of aprepitant injection.
The aprepitant injections of examples 1 to 5 and comparative examples 1 to 2 were stored at 2 to 8 ℃ and subjected to compatibility examination at 0 month, 6 months and 12 months, respectively.
Stability test after compatibility with 5-HT3 antagonist injection and dexamethasone sodium phosphate injection
1 piece of ondansetron hydrochloride injection (specification: 4mg/2ml), dexamethasone sodium phosphate injection (specification: 5mg/1ml) and the aprepitant injection of examples 1-5 and comparative examples 1-2 are compatible, 0.9% sodium chloride injection is adopted as a diluent, and the dilution volume is 150 ml. After the solution is mixed evenly, the appearance, the average particle size, the PFAT5 and the content of aprepitant are respectively detected within 0h and 3 h.
The chemical stability of the compatible solution is detected by taking the content of aprepitant in the compatible solution at 0h as 100%, and the content of aprepitant in the compatible solution at 3h is detected to be equivalent to the percentage content of aprepitant at 0 h.
The amount of PFAT5 in the formulated sample was determined by reference to USP729 second method (photoresistance method).
Appearance 5ml of the above compatible solution was sampled at each time point and placed in a clean and transparent 10ml Zener's cuvette for observation.
The results are shown in the following table:
note: + indicates a stable and unchanged appearance. -means that particles are observed.
According to the detection results, the aprepitant injection prepared in the examples 1-4 has stable and unchanged appearance when being compatible with the ondansetron hydrochloride injection and the dexamethasone sodium phosphate injection after long-term storage, the content of aprepitant is not influenced, and the PFAT5 is at a lower level (lower than 0.05%); the aprepitant injection prepared in example 5 can keep stable after 0 month and 6 months of compatibility, and the increase of PFAT5 is large after 12 months of compatibility; the aprepitant injection of the comparative examples 1-2 can keep stable indexes such as residual rate, pH value, average particle size and the like when being combined for 0-12 months, but PFAT5 is obviously deteriorated in 6 months and PFAT5 is obviously over 0.05% in 12 months along with the increase of storage time, so that the combination stability is obviously deteriorated, and potential safety hazards are brought to clinical use.
Example 6
Composition (I) | Content (g) |
Aprepitant | 7 |
Egg yolk lecithin | 140 |
Soybean oil | 50g |
Medium chain triglycerides | 50g |
Ethanol | 28 |
Sucrose | 55.6 |
Sodium oleate | 5.5 |
Water for injection | Adding to 1000ml |
The content of phosphatidylcholine in the egg yolk lecithin was 85%, and the content of phosphatidylethanolamine was 5%. (the weight ratio of ethanol to phosphatidylethanolamine is 4:1)
The preparation method comprises the following steps:
(1) taking aprepitant, egg yolk lecithin and ethanol, and heating to dissolve the aprepitant, the egg yolk lecithin and the ethanol;
(2) adding the mixture obtained in the step (1) into soybean oil and medium chain triglyceride, and heating and dissolving to obtain an oil phase;
(3) adding sucrose and sodium oleate into water for injection, and stirring uniformly to obtain a water phase;
(4) adding the oil phase in the step (2) into the water phase in the step (3), and shearing at high speed to obtain primary emulsion;
(5) homogenizing the primary emulsion in the step (4) under high pressure;
(6) filtering and filling.
Example 7
Composition (I) | Content (g) |
Aprepitant | 7.5 |
Egg yolk lecithin | 130 |
Olive oil | 45 |
Medium chain triglycerides | 45 |
Ethanol | 10 |
Sucrose | 55.6 |
Sodium oleate | 5.5 |
Water for injection | Adding to 1000ml |
The content of phosphatidylcholine in the egg yolk lecithin was 86%, and the content of phosphatidylethanolamine was 7.5%. (the weight ratio of ethanol to phosphatidylethanolamine is 1:1)
The preparation method comprises the following steps:
(1) taking aprepitant, egg yolk lecithin and ethanol, and heating to dissolve the aprepitant, the egg yolk lecithin and the ethanol;
(2) adding the mixture obtained in the step (1) into olive oil and medium-chain triglyceride, and heating and dissolving to obtain an oil phase;
(3) adding sucrose and sodium oleate into water for injection, and stirring uniformly to obtain a water phase;
(4) adding the oil phase in the step (2) into the water phase in the step (3), and shearing at high speed to obtain primary emulsion;
(5) homogenizing the primary emulsion in the step (4) under high pressure;
(6) filtering and filling.
Example 8
Composition (I) | Content (g) |
Aprepitant | 8 |
Egg yolk lecithin | 150 |
Soybean oil | 95 |
Ethanol | 40 |
Sucrose | 55.6 |
Sodium oleate | 5.5 |
Water for injection | Adding to 1000ml |
The content of phosphatidylcholine in the egg yolk lecithin was 72%, and the content of phosphatidylethanolamine was 8.5%. (the weight ratio of ethanol to phosphatidylethanolamine is 3:1)
The preparation method comprises the following steps:
(1) taking aprepitant, egg yolk lecithin and ethanol, and heating to dissolve the aprepitant, the egg yolk lecithin and the ethanol;
(2) adding the mixture obtained in the step (1) into soybean oil, and heating and dissolving to obtain an oil phase;
(3) adding sucrose and sodium oleate into water for injection, and stirring uniformly to obtain a water phase;
(4) adding the oil phase in the step (2) into the water phase in the step (3), and shearing at high speed to obtain primary emulsion;
(5) homogenizing the primary emulsion in the step (4) under high pressure;
(6) filtering and filling.
Example 9
The content of phosphatidylcholine in the egg yolk lecithin was 89%, and the content of phosphatidylethanolamine was 3%. (the weight ratio of ethanol to phosphatidylethanolamine is 5:1)
The preparation method comprises the following steps:
(1) taking aprepitant, egg yolk lecithin and ethanol, and heating to dissolve the aprepitant, the egg yolk lecithin and the ethanol;
(2) adding the mixture obtained in the step (1) into olive oil, and heating and dissolving to obtain an oil phase;
(3) adding sucrose and sodium oleate into water for injection, and stirring uniformly to obtain a water phase;
(4) adding the oil phase in the step (2) into the water phase in the step (3), and shearing at high speed to obtain primary emulsion;
(5) homogenizing the primary emulsion in the step (4) under high pressure;
(6) filtering and filling.
When the samples prepared in examples 6-9 were formulated with ondansetron hydrochloride injection and dexamethasone sodium phosphate injection after 12 months of storage, the appearance, pH, mean particle size and aprepitant content remained stable, with PFAT5 at a lower level (less than 0.05%).
The foregoing has described in detail preferred embodiments of the present invention. However, the present invention is not limited to the specific details of the above-described embodiments, and various simple modifications may be made to the technical solution of the present invention within the technical idea of the present invention, and these simple modifications are within the protective scope of the present invention.
It should be noted that the respective technical features described in the above embodiments may be combined in any manner without contradiction. The invention is not described in detail in order to avoid unnecessary repetition.
In addition, any combination of the various embodiments of the present invention is also possible, and the same should be considered as the disclosure of the present invention as long as the idea of the present invention is not violated.
Claims (10)
1. An aprepitant injection contains aprepitant, phospholipid, ethanol, oil for injection and water for injection, and is characterized in that the phospholipid contains phosphatidylcholine and phosphatidylethanolamine, the phosphatidylcholine accounts for not less than 68% of the total weight of the phospholipid, and the phosphatidylethanolamine accounts for not more than 9% of the total weight of the phospholipid.
2. The aprepitant injection as claimed in claim 1, wherein the weight percentage of the phosphatidylethanolamine in the total amount of the phospholipids is 3-9%.
3. The aprepitant injection as claimed in claim 2, wherein the weight percentage of the phosphatidylethanolamine in the total amount of the phospholipids is 6-9%.
4. The aprepitant injection according to any one of claims 1-3, wherein the content of each component is:
0.7-0.8 wt/wt% of aprepitant
Phospholipid 13-15 wt/wt%
Ethanol 1-4 wt/wt%
9-10 wt/wt% of oil for injection
The water for injection is added to 100% wt/wt%.
5. Aprepitant injection according to claim 4, wherein the weight ratio of ethanol to phosphatidylethanolamine is 1:1 to 7:1, preferably 1:1 to 5: 1.
6. The aprepitant injection according to claim 1, wherein the phospholipid is selected from a natural source phospholipid and salts thereof, a synthetic or semi-synthetic phospholipid and salts thereof, or a combination thereof.
7. The aprepitant injection according to claim 1, wherein the phosphatidylethanolamine is selected from a natural source of phosphatidylethanolamine and salts thereof, a synthetic or semi-synthetic phosphatidylethanolamine and salts thereof, or any combination thereof; the synthetic or semi-synthetic phosphatidylethanolamine is selected from distearoylphosphatidylethanolamine, dioleoylphosphatidylethanolamine, dipalmitoylphosphatidylethanolamine, dimyristoylphosphatidylethanolamine, erucic phosphatidylethanolamine, dilauroyl phosphatidylethanolamine or a combination thereof.
8. The aprepitant injection according to any one of claims 1-7, further comprising a pH adjusting agent selected from the group consisting of sodium oleate, oleic acid, sodium hydroxide, hydrochloric acid, phosphoric acid, phosphate, citric acid, citrate, acetic acid, acetate, or a combination thereof.
9. An aprepitant injection according to any one of claims 1-7 further comprising a tonicity modifier selected from sucrose, sodium chloride, glycerin, glucose, mannitol, xylitol or combinations thereof.
10. A process for the preparation of an aprepitant injection of any one of claims 1-9 comprising the steps of:
(1) taking aprepitant, phospholipid and ethanol, and heating to dissolve the aprepitant, the phospholipid and the ethanol;
(2) adding the mixture obtained in the step (1) into oil for injection, and heating and dissolving to obtain an oil phase;
(3) adding a tension regulator and a pH regulator into water for injection, and uniformly stirring to obtain a water phase;
(4) adding the oil phase in the step (2) into the water phase in the step (3), and shearing at high speed to obtain primary emulsion;
(5) homogenizing the primary emulsion in the step (4) under high pressure;
(6) filtering and filling.
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Citations (6)
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US20160082013A1 (en) * | 2014-09-19 | 2016-03-24 | Heron Therapeutics, Inc. | Emulsion formulations of aprepitant |
CN105878250A (en) * | 2014-10-29 | 2016-08-24 | 北京乐嘉宝医药科技有限责任公司 | Aprepitant nano composition |
CN104622806A (en) * | 2015-02-04 | 2015-05-20 | 北京蓝丹医药科技有限公司 | Propanidid-containing pharmaceutical composition and preparation method of pharmaceutical composition |
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US20170216205A1 (en) * | 2016-02-01 | 2017-08-03 | Heron Therapeutics, Inc. | Emulsion formulations of an nk-1 receptor antagonist and uses thereof |
CN107049942A (en) * | 2016-12-30 | 2017-08-18 | 北京普德康利医药科技发展有限公司 | A kind of alprostadil injection |
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