CN112472668A - Method for preparing amiodarone hydrochloride injection - Google Patents

Method for preparing amiodarone hydrochloride injection Download PDF

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CN112472668A
CN112472668A CN202011207802.1A CN202011207802A CN112472668A CN 112472668 A CN112472668 A CN 112472668A CN 202011207802 A CN202011207802 A CN 202011207802A CN 112472668 A CN112472668 A CN 112472668A
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injection
amiodarone hydrochloride
water
polysorbate
liquid medicine
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CN112472668B (en
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方小东
郭鸿旭
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Taiyangsheng Bozhou Biomedical Technology 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
    • A61K9/08Solutions
    • 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
    • A61K47/10Alcohols; Phenols; Salts thereof, e.g. glycerol; Polyethylene glycols [PEG]; Poloxamers; PEG/POE alkyl ethers
    • 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
    • A61K47/26Carbohydrates, e.g. sugar alcohols, amino sugars, nucleic acids, mono-, di- or oligo-saccharides; Derivatives thereof, e.g. polysorbates, sorbitan fatty acid esters or glycyrrhizin
    • 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P9/00Drugs for disorders of the cardiovascular system
    • A61P9/06Antiarrhythmics
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P9/00Drugs for disorders of the cardiovascular system
    • A61P9/10Drugs for disorders of the cardiovascular system for treating ischaemic or atherosclerotic diseases, e.g. antianginal drugs, coronary vasodilators, drugs for myocardial infarction, retinopathy, cerebrovascula insufficiency, renal arteriosclerosis

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Abstract

There is provided a method for preparing amiodarone hydrochloride injection, which comprises the steps of: weighing: weighing the prescribed amount of polysorbate, amiodarone hydrochloride, benzyl alcohol and water for injection; liquid preparation: adding polysorbate to obtain a polysorbate solution and amiodarone hydrochloride to obtain an amiodarone hydrochloride solution while controlling a part of the water for injection to be at a temperature in a range of 60-75 ℃ and charging nitrogen, then cooling the amiodarone hydrochloride solution to room temperature and adding benzyl alcohol, and making up the remaining part of the water for injection to obtain a liquid medicine; and (3) filtering: sterilizing and filtering the liquid medicine; and a potting step: filling the filtered liquid medicine into a container while filling nitrogen, wherein the method does not adopt a sterilization step. The method can prepare amiodarone hydrochloride injection with low impurity content with high production efficiency.

Description

Method for preparing amiodarone hydrochloride injection
Technical Field
The invention belongs to the technical field of medicines, and particularly relates to a method for preparing amiodarone hydrochloride injection.
Background
Amiodarone hydrochloride injection is one of the commonly used drugs for arrhythmia and angina pectoris in clinic. The amiodarone hydrochloride injection can selectively expand the blood flow of coronary artery, simultaneously reduce the oxygen consumption of myocardium, slow down heart rate, reduce the atrioventricular conduction speed, has the effect similar to that of a beta-receptor blocker, and has excellent treatment effects on supraventricular and ventricular tachycardia, paroxysmal atrial flutter and fibrillation, pre-excitation syndrome, refractory paroxysmal tachycardia, chronic coronary insufficiency, angina pectoris and the like.
The existing preparation process of amiodarone hydrochloride injection has higher production cost and higher impurity content, thereby generating hidden danger to medication safety.
Therefore, it is necessary to develop an amiodarone hydrochloride injection with low impurity content to ensure the safety of medication.
Disclosure of Invention
In view of the problems of the prior art, the present inventors have conducted intensive studies and found that the production efficiency problem caused by indissolvability of amiodarone hydrochloride can be solved and the problem of high impurity content of the injection produced by the existing method can be solved by controlling the temperature of the solution preparation and the charging sequence during the solution preparation process, thereby completing the present invention.
Accordingly, it is an object of the present invention to provide a method for preparing amiodarone hydrochloride injection which can prepare amiodarone hydrochloride injection having a low impurity content with high productivity.
To this end, the present invention provides a method for preparing amiodarone hydrochloride injection, comprising the steps of: weighing: weighing the prescribed amount of polysorbate, amiodarone hydrochloride, benzyl alcohol and water for injection; liquid preparation: adding polysorbate to obtain a polysorbate solution and amiodarone hydrochloride to obtain an amiodarone hydrochloride solution while controlling a part of the water for injection to be at a temperature in a range of 60-75 ℃ and charging nitrogen, then cooling the amiodarone hydrochloride solution to room temperature and adding benzyl alcohol, and making up the remaining part of the water for injection to obtain a liquid medicine; and (3) filtering: sterilizing and filtering the liquid medicine; and a potting step: filling the filtered liquid medicine into a container while filling nitrogen, wherein the method does not adopt a sterilization step.
The method according to the present invention further comprises a step of holding at 70-75 ℃ for more than 1 hour after the potting step.
According to the method of the present invention, further, the part of the water for injection accounts for 60 to 80 vol% of the total amount of the water for injection.
Further, according to the method of the present invention, each 3mL of the injection solution contains 150mg of amiodarone hydrochloride, 60mg of benzyl alcohol and 300mg of polysorbate.
Advantageous effects
The method according to the present invention can prepare amiodarone hydrochloride injection having a low impurity content with high production efficiency. In addition, the method can further eliminate the crystallization phenomenon of the amiodarone hydrochloride injection.
Detailed Description
The method according to the invention comprises the following steps: weighing: weighing the prescribed amount of polysorbate, amiodarone hydrochloride, benzyl alcohol and water for injection; liquid preparation: adding polysorbate to obtain a polysorbate solution and amiodarone hydrochloride to obtain an amiodarone hydrochloride solution while controlling a part of the water for injection to be at a temperature in a range of 60-75 ℃ and charging nitrogen, then cooling the amiodarone hydrochloride solution to room temperature and adding benzyl alcohol, and making up the remaining part of the water for injection to obtain a liquid medicine; and (3) filtering: sterilizing and filtering the liquid medicine; and a potting step: filling the filtered liquid medicine into a container while filling nitrogen, wherein the method does not adopt a sterilization step.
The method according to the invention uses an aseptic production process, since the sterilization process will lead to a significant growth of the substances involved.
In one or more embodiments, each 3mL injection may contain 150mg of amiodarone hydrochloride, 60mg of benzyl alcohol, and 300mg of polysorbate.
According to the present invention, the liquid preparation step is very critical for controlling the amount of the relevant substances. The order of addition and temperature should be controlled during the compounding step. When amiodarone hydrochloride is first added to water for injection, amiodarone hydrochloride is poorly soluble in water and dissolves slowly, especially at a dissolution temperature below 60 ℃. When the polysorbate is added firstly and then the amiodarone hydrochloride is added, the polysorbate can greatly promote the dissolution speed of the amiodarone hydrochloride. Therefore, the polysorbate should be added to the water prior to amiodarone hydrochloride. Benzyl alcohol should be added last. When benzyl alcohol is added first, turbidity of the solution is caused, and thus it is not preferable. Therefore, the charging sequence of the invention is determined to be polysorbate-amiodarone hydrochloride-benzyl alcohol. On the basis, when preparing the polysorbate solution and the amiodarone hydrochloride solution, the temperature of the preparation solution should be 60-75 ℃. Incomplete dissolution may occur when the temperature is below 60 ℃; and when the temperature is higher than 75 ℃, the related substances can be remarkably increased. When benzyl alcohol was added, the amiodarone hydrochloride solution was cooled to room temperature to further reduce the amount of related substances. In addition, according to the invention, nitrogen is filled in the liquid preparation process, so that the quantity of related substances can be further reduced.
According to the invention, the filtration step can be carried out using syringe filters of PVDF and PTFE. According to the present invention, the filtered chemical liquid is filled into the container, and nitrogen gas is introduced during the filling process in order to further reduce the amount of the relevant substances.
According to the invention, the method can also comprise a step of keeping the temperature at 70-75 ℃ for more than 1 hour after the encapsulating step so as to eliminate the crystallization phenomenon. The holding time should be more than 1 hour, and crystallization cannot be eliminated when the holding time is less than 1 hour. The holding temperature should be 70-75 ℃. When the temperature is lower than 70 ℃, the crystallization cannot be eliminated, and when the temperature is higher than 75 ℃, the amount of the substance related to the liquid medicine is remarkably increased, which is not preferable.
Examples
Preliminary test-influence of temperature of liquid preparation and sequence of addition of material to dissolution of drug substance
Taking two parts of experimental injection water at 50 ℃, 60 ℃, 70 ℃ and 80 ℃, respectively, and adding the amiodarone hydrochloride raw material medicine into one part of the experimental injection water for dissolving; adding polysorbate 80(II) into the other part, and adding the raw materials after completely dissolving. The dissolution and stability results are shown in table 1 below.
TABLE 1
Figure BDA0002749969680000031
Taking two parts of experimental water for injection respectively, wherein one part is added with benzyl alcohol, and then sequentially added with polysorbate 80(II) and amiodarone hydrochloride; and adding polysorbate 80(II) into the other part, and then sequentially adding amiodarone hydrochloride and benzyl alcohol. The dissolution and stability results are shown in Table 2 below.
TABLE 2
Figure BDA0002749969680000032
Figure BDA0002749969680000041
According to the results shown in tables 1 and 2, the order of addition was determined to be polysorbate 80(II) -amiodarone hydrochloride-benzyl alcohol, and the temperature of the solution preparation was initially set to 60-80 ℃.
Example 1
150g of amiodarone hydrochloride, 60g of benzyl alcohol, 300g of polysorbate 80(II) and 3L of water for injection were weighed. Taking 80 volume percent of water for injection, controlling the temperature of the water for injection at 70 ℃, charging nitrogen, controlling the dissolved oxygen amount to be less than 2mg/L, adding polysorbate 80(II) into the water for injection until the polysorbate is completely dissolved, adding amiodarone hydrochloride until the amiodarone hydrochloride is completely dissolved, cooling the liquid medicine to room temperature, adding benzyl alcohol until the amiodarone hydrochloride is completely dissolved, and fixing the volume to the total amount of the liquid medicine.
The drug solution was filtered using a 0.2 μm pVDF millipore filter. Filling the liquid medicine into a 5ml colorless medium borosilicate glass ampoule bottle with the filling amount of 3.2ml while filling nitrogen, and controlling the dissolved oxygen to be less than 2mg/L and the residual oxygen to be less than 3 percent; the sample was placed in an oven at 70 ℃ and held for 1 h.
Example 2
150g of amiodarone hydrochloride, 60g of benzyl alcohol, 300g of polysorbate 80(II) and 3L of water for injection were weighed. Taking 80 volume percent of water for injection, controlling the temperature of the water for injection at 70 ℃, charging nitrogen, controlling the dissolved oxygen amount to be less than 2mg/L, adding polysorbate 80(II) into the water for injection until the polysorbate is completely dissolved, adding amiodarone hydrochloride until the amiodarone hydrochloride is completely dissolved, cooling the liquid medicine to room temperature, adding benzyl alcohol until the amiodarone hydrochloride is completely dissolved, and fixing the volume to the total amount of the liquid medicine.
The drug solution was filtered using a 0.2 μm pVDF millipore filter. Filling the liquid medicine into a 5ml colorless medium borosilicate glass ampoule bottle with the filling amount of 3.2ml while filling nitrogen, and controlling the dissolved oxygen to be less than 2mg/L and the residual oxygen to be less than 3 percent; the sample was placed in a sterilizer at 70 ℃ for 0.5 h.
Example 3
150g of amiodarone hydrochloride, 60g of benzyl alcohol, 300g of polysorbate 80(II) and 3L of water for injection were weighed. Taking 80 volume percent of water for injection, controlling the temperature of the water for injection at 60 ℃, charging nitrogen, controlling the dissolved oxygen amount to be less than 2mg/L, adding polysorbate 80(II) into the water for injection until the polysorbate is completely dissolved, adding amiodarone hydrochloride until the amiodarone hydrochloride is completely dissolved, cooling the liquid medicine to room temperature, adding benzyl alcohol until the amiodarone hydrochloride is completely dissolved, and fixing the volume to the total amount of the liquid medicine.
The drug solution was filtered using a 0.2 μm pVDF millipore filter. Filling the liquid medicine into a 5ml colorless medium borosilicate glass ampoule bottle with the filling amount of 3.2ml while filling nitrogen, and controlling the dissolved oxygen to be less than 2mg/L and the residual oxygen to be less than 3 percent; the sample was placed in an oven at 70 ℃ and held for 1 h.
Comparative example 1
150g of amiodarone hydrochloride, 60g of benzyl alcohol, 300g of polysorbate 80(II) and 3L of water for injection were weighed. Taking 80 volume percent of water for injection, controlling the temperature of the water for injection at 80 ℃, charging nitrogen, controlling the dissolved oxygen amount to be less than 2mg/L, adding polysorbate 80(II) into the water for injection until the polysorbate is completely dissolved, adding amiodarone hydrochloride until the amiodarone hydrochloride is completely dissolved, cooling the liquid medicine to room temperature, adding benzyl alcohol until the amiodarone hydrochloride is completely dissolved, and fixing the volume to the total amount of the liquid medicine.
The drug solution was filtered using a 0.2 μm pVDF millipore filter. Filling the liquid medicine into a 5ml colorless medium borosilicate glass ampoule bottle with the filling amount of 3.2ml while filling nitrogen, and controlling the dissolved oxygen to be less than 2mg/L and the residual oxygen to be less than 3 percent; the sample was placed in an oven at 70 ℃ and held for 1 h.
Comparative example 2
150g of amiodarone hydrochloride, 60g of benzyl alcohol, 300g of polysorbate 80(II) and 3L of water for injection were weighed. Taking 80 volume percent of water for injection, controlling the temperature of the water for injection at 60 ℃, adding polysorbate 80(II) into the water for injection until the dissolution is complete, adding amiodarone hydrochloride until the dissolution is complete, cooling the liquid medicine to room temperature, adding benzyl alcohol until the dissolution is complete, and metering the volume to the total amount of the liquid medicine.
The drug solution was filtered using a 0.2 μm pVDF millipore filter. Encapsulating the liquid medicine in a 5ml colorless medium borosilicate glass ampoule bottle with the filling amount of 3.2 ml; the sample was placed in an oven at 70 ℃ and held for 1 h.
Method for measuring substance concerned
(1) Instruments and appliances: analytical balance, high performance liquid chromatograph (ultraviolet detector), acidimeter, solvent filter, 0.45 μm organic microporous filter membrane (matched with solvent filter), ultrasonic instrument, beaker, and C18(4.6 × 250mm, 5 μm) chromatographic column.
(2) Reagent and test solution: purified water, methanol (chromatographic purity), acetonitrile (chromatographic purity), glacial acetic acid, ammonia water, amiodarone hydrochloride reference, impurity A reference, impurity B reference, impurity C reference, impurity D reference, impurity E reference, impurity F reference and impurity G reference.
(3) Operation of
Mobile phase: using buffer solution (taking glacial acetic acid 3.0ml, adding water 800ml, adjusting pH value to 4.9 with ammonia test solution, adding water to dilute to 1000ml) -methanol-acetonitrile (30: 40)
Detection wavelength: 240nm
Column temperature: 30 deg.C
Sample introduction volume: 20 μ l
Operating time: 60min
Blank solvent: water-methanol-acetonitrile (20: 30: 50)
Test solution: precisely measuring 1ml of the product, placing the product in a 100ml measuring flask, adding a solvent to dilute the product to a scale, and shaking up.
Control solution: respectively weighing appropriate amount of amiodarone hydrochloride, impurity A, impurity B, impurity C, impurity D, impurity E, impurity F and impurity G as reference substances, precisely weighing, adding solvent to dissolve and dilute to obtain a solution containing about 8 μ G of impurity D, 1 μ G of amiodarone hydrochloride and other known impurities per 1 ml.
Precisely measuring 20 mu l of reference solution, injecting into a liquid chromatograph, recording a chromatogram, and sequentially eluting impurities A, D, E, B, C, G, F and amiodarone, wherein the separation degree between peaks of each chromatogram is in accordance with the requirement. The determination method comprises the following steps: precisely measuring the above solutions each 20 μ l, injecting into liquid chromatograph, and recording chromatogram.
The substances related to the drug solution were measured by the above-described measurement method and the crystallization of the drug solution sample was observed. The results are shown in Table 3.
TABLE 3
Figure BDA0002749969680000061
As shown in table 3, by comparing example 1 with comparative example 1, it can be seen that the amount of the drug solution-related substance significantly increased when the temperature of the water for injection was increased from 70 ℃ to 80 ℃; by comparing example 3 with comparative example 2, it can be seen that the amount of the substance related to the chemical solution is significantly reduced in the case where nitrogen gas is introduced during the liquid preparation and potting processes. As can be seen from example 2, when the incubation time was 0.5h, the devitrification phenomenon could not be eliminated.
The above-described embodiments are merely illustrative of the present invention and are not intended to limit the present invention. It will be appreciated by those skilled in the art that modifications and variations to the embodiments of the present invention are within the scope of the present invention without departing from the spirit and scope of the invention.

Claims (4)

1. A process for preparing amiodarone hydrochloride injection, which process comprises:
weighing: weighing the prescribed amount of polysorbate, amiodarone hydrochloride, benzyl alcohol and water for injection;
liquid preparation: adding polysorbate to obtain a polysorbate solution and amiodarone hydrochloride to obtain an amiodarone hydrochloride solution while controlling a part of the water for injection to be at a temperature in a range of 60-75 ℃ and charging nitrogen, then cooling the amiodarone hydrochloride solution to room temperature and adding benzyl alcohol, and making up the remaining part of the water for injection to obtain a liquid medicine;
and (3) filtering: sterilizing and filtering the liquid medicine; and
encapsulating: filling the filtered liquid medicine into a container while filling nitrogen,
wherein the method does not employ a sterilization step.
2. The method of claim 1, further comprising the step of incubating at 70-75 ℃ for more than 1 hour after the potting step.
3. The method according to claim 1 or 2, wherein the portion of water for injection is 60-80 vol.% of the total amount of water for injection.
4. The method according to claim 1 or 2, wherein 150mg amiodarone hydrochloride, 60mg benzyl alcohol and 300mg polysorbate are contained per 3mL injection.
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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
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Denomination of invention: Method for preparing amiodarone hydrochloride injection

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