Disclosure of Invention
In order to solve the problems related to freeze-thawing stability of the injection water preparation, the invention provides a human recombinant follicle-stimulating hormone injection water preparation, which comprises the following components:
a therapeutically effective amount of human recombinant follicle stimulating hormone, stabilizer 2-10% w/v;
the mass ratio of the stabilizer is 3-4: 1 lactose and maltose;
the pH of the injection water preparation is 6.5-7.5.
Further, the stabilizer is prepared from the following components in percentage by mass: 1 and maltose.
Further, the water preparation also comprises 0.01-0.2% (w/v) of antioxidant, 0.3-2% (w/v) of preservative and 0.01-0.2% (w/v) of nonionic surfactant.
Still further, the antioxidant is selected from any one or more of methionine, ascorbic acid, sodium bisulphite, sodium metabisulfite, sodium thiosulfate, preferably methionine or ascorbic acid;
the preservative is selected from any one or more of m-cresol, benzyl alcohol, chlorocresol, chlorobutanol, phenol and cresol, preferably m-cresol or benzyl alcohol;
the nonionic surfactant is selected from poloxamer or polysorbate, preferably poloxamer 188 or polysorbate 20.
Further, the aqueous injection formulation is pH adjusted with a buffer of 6.5-7.5; the buffer is selected from phosphate, succinate, acetate and/or citrate.
Still further, the buffer is a phosphate; the phosphate is selected from sodium dihydrogen phosphate and/or disodium hydrogen phosphate.
Further, the injectable aqueous formulation comprises the following components:
300-900IU/mL of human recombinant follicle-stimulating hormone, 5-8% (w/v) of stabilizing agent, 0.01-0.1% (w/v) of antioxidant, 0.3-1% (w/v) of preservative, 0.01-0.1% (w/v) of nonionic surfactant, and buffering agent, wherein the buffering agent adjusts the pH value of the injection water preparation to 6.5-7.5.
Still further, the aqueous formulation comprises the following ingredients:
600IU/mL of human recombinant follicle-stimulating hormone, 6% (w/v) of a stabilizing agent, 0.01% (w/v) of an antioxidant, 0.3% (w/v) of a preservative, 0.01% (w/v) of a nonionic surfactant, and a buffer which adjusts the pH of the injectable aqueous formulation to 6.7-7.3.
Still further, the aqueous formulation comprises the following ingredients:
human recombinant follicle-stimulating hormone 600IU/mL, mass ratio 3:1 (w/v), methionine 0.01% (w/v), m-cresol 0.3% (w/v), poloxamer 1880.01% (w/v), and sodium dihydrogen phosphate and disodium hydrogen phosphate as buffers, which adjust the pH of the aqueous formulation to 6.7-7.3.
In another aspect, the present invention also provides a method of preparing a human recombinant follicle stimulating hormone injection, comprising the steps of:
1) Taking water for injection with the formula amount of 60-80%, and sequentially adding a buffer, lactose, maltose, an antioxidant, a nonionic surfactant and a preservative for dissolution to obtain a solution A;
2) Adding the recombinant follicle-stimulating hormone with the required effective amount for treatment into the solution A, supplementing the rest water for injection, and stirring for more than 20min to obtain a solution B;
3) Detecting the pH of the solution B, adding a buffering agent according to the requirement to control the pH to be within the range of 6.7-7.3, sub-packaging in a card bottle sterilized by an external package after filtering and sterilizing, plugging and packaging a rubber plug sterilized by damp and heat, and transferring to a cold storage at the temperature of 2-8 ℃ for storage.
Advantageous effects
The invention uses lactose and maltose with specific proportion as stabilizing agent in FSH liquid agent, which has excellent freeze thawing stability, can keep high stability parameter meeting application requirement after 5 freeze thawing cycles, and has stability level obviously superior to human FSH liquid agent added with other stabilizing agent under the same test condition, including the present marketProvides a guarantee for patients to realize the drug administration freedom, and has market popularization and application values.
It should be apparent that, in light of the foregoing, various modifications, substitutions and alterations can be made herein without departing from the spirit and scope of the invention as defined by the appended claims.
The above-described aspects of the present invention will be described in further detail below with reference to specific embodiments in the form of examples. It should not be understood that the scope of the above subject matter of the present invention is limited to the following examples only. All techniques implemented based on the above description of the invention are within the scope of the invention.
Detailed Description
EXAMPLE 1 recombinant follicle stimulating hormone injection of the present inventors
The unit dose formula comprises:
human recombinant follicle stimulating hormone rhFSH 33 μg (corresponding to 450 IU)
Mass ratio 3:1 lactose and maltose (stabilizer) 60mg
Methionine (antioxidant) 0.1mg
M-cresol (preservative) 3.0mg
Poloxamer 188 (nonionic surfactant) 0.1mg
Na 2 HPO 4 ·2H 2 O (buffer) 1.1mg
NaH 2 PO 4 ·H 2 O (buffer) 0.45mg
Sufficient water for injection to 1mL
The preparation process comprises the following steps:
1) Taking water for injection with the formula amount of 60-80%, and sequentially adding a buffer, lactose, maltose, an antioxidant, a nonionic surfactant and a preservative according to the formula amount to dissolve to obtain a solution A;
2) Obtaining rhFSH by referring to the method of the embodiment of the applicant in the prior patent CN110305903B, adding the rhFSH into the solution A, supplementing the rest water for injection, and stirring for more than 20 minutes to obtain a solution B;
3) Detecting the pH of the solution B, using a buffering agent to control the pH to be within the range of 6.7-7.3 according to the requirement, sub-packaging in a card bottle sterilized by an external package after filtering and sterilizing, plugging and packaging a rubber plug sterilized by damp and heat, and transferring to a cold storage at the temperature of 2-8 ℃ for storage.
EXAMPLE 2 recombinant follicle stimulating hormone injection of the present invention
Single dose formulation:
44. Mu.g (corresponding to 600 IU) of human recombinant follicle stimulating hormone,
mass ratio 3:1 lactose and maltose (stabilizer) 50mg
Methionine (antioxidant) 0.1mg
M-cresol (preservative) 3.0mg
Poloxamer 188 (nonionic surfactant) 0.1mg
Na 2 HPO 4 ·2H 2 O (buffer) 1.1mg
NaH 2 PO 4 ·H 2 O (buffer) 0.45mg
Sufficient water for injection to 1mL
The preparation process comprises the following steps:
the same formulation procedure as in example 1 was used
EXAMPLE 3 recombinant follicle stimulating hormone injection of the present invention
The unit dose formula comprises:
55. Mu.g (corresponding to 750 IU) of human recombinant follicle stimulating hormone,
mass ratio 4:1 lactose and maltose (stabilizer) 80mg
Methionine (antioxidant) 0.1mg
Benzyl alcohol (preservative) 10mg
Poloxamer 188 (nonionic surfactant) 0.1mg
Na 2 HPO 4 ·2H 2 O 1.1mg
NaH 2 PO 4 ·H 2 O 0.45mg
Sufficient water for injection to 1mL
The preparation process comprises the following steps:
the same formulation procedure as in example 1 was used
EXAMPLE 4 recombinant follicle stimulating hormone injection of the present inventors
The unit dose formula comprises:
human recombinant follicle-stimulating hormone 44 μg (corresponding to 600 IU)
Mass ratio 4:1 lactose and maltose (stabilizer) 80mg
Methionine (antioxidant) 0.1mg
Benzyl alcohol (preservative) 10mg
Polysorbate 20 (non-ionic surfactant) 0.2mg
Na 2 HPO 4 ·2H 2 O 1.1mg
NaH 2 PO 4 ·H 2 O 0.45mg
Sufficient water for injection to 1mL
The preparation process comprises the following steps:
the same formulation procedure as in example 1 was used
The advantageous effects of the present invention are described below by way of test examples.
Test example 1 freeze thawing stability of human recombinant follicle-stimulating hormone injection water formulation
Test group 1 single dose liquid formulations were prepared based on lactose/maltose (3:1) as stabilizer
1. Preparation of the formulation
After lactose/maltose mass ratio 3:1 is used as a stabilizer to be compounded with different antioxidants, different nonionic surfactants or different preservatives, stability parameters of the lactose/maltose mass ratio after 5 freeze thawing cycles are tested, and specific prescriptions are shown in tables 1-2:
TABLE 1 prescription information for FSH Single dose formulations
Component/ml
|
Prescription 1
|
Prescription 2
|
Prescription 3
|
Prescription 4
|
rhFSH
|
600IU
|
600IU
|
600IU
|
600IU
|
Na 2 HPO 4 ·2H 2 O
|
1.1mg
|
1.1mg
|
1.1mg
|
1.1mg
|
NaH 2 PO 4 ·H 2 O
|
0.45mg
|
0.45mg
|
0.45mg
|
0.45mg
|
Methionine
|
0.1mg
|
0.1mg
|
0.1mg
|
0.1mg
|
Ascorbic acid
|
—
|
—
|
—
|
—
|
Poloxamer 188
|
0.1mg
|
—
|
0.1mg
|
—
|
Tween 20
|
—
|
0.2mg
|
—
|
0.2mg
|
M-cresol
|
3.0mg
|
3.0mg
|
—
|
—
|
Benzyl alcohol
|
—
|
—
|
10mg
|
10mg
|
Lactose and lactose
|
45mg
|
45mg
|
45mg
|
45mg
|
Maltose
|
15mg
|
15mg
|
15mg
|
15mg
|
Water for injection
|
Sufficient to 1ml
|
Sufficient to 1ml
|
Sufficient to 1ml
|
Sufficient to 1ml |
TABLE 2 prescription information for FSH Single dose formulations
Test group 2 single dose liquid formulations were prepared based on lactose/maltose (4:1) as stabilizer
After lactose/maltose mass ratio of 4:1 is used as a stabilizer to be compounded with different antioxidants, different nonionic surfactants or different preservatives, stability parameters after 5 freeze thawing cycles are tested, and specific prescriptions are shown in tables 3-4:
TABLE 3 prescription information for FSH Single dose formulations
Component/ml
|
Prescription 9
|
Prescription 10
|
Prescription 11
|
Prescription 12
|
rhFSH
|
600IU
|
600IU
|
600IU
|
600IU
|
Na 2 HPO 4 ·2H 2 O
|
1.1mg
|
1.1mg
|
1.1mg
|
1.1mg
|
NaH 2 PO 4 ·H 2 O
|
0.45mg
|
0.45mg
|
0.45mg
|
0.45mg
|
Methionine
|
0.1mg
|
0.1mg
|
0.1mg
|
0.1mg
|
Ascorbic acid
|
—
|
—
|
—
|
—
|
Poloxamer 188
|
0.1mg
|
—
|
0.1mg
|
—
|
Tween 20
|
—
|
0.2mg
|
—
|
0.2mg
|
M-cresol
|
3.0mg
|
3.0mg
|
—
|
—
|
Benzyl alcohol
|
—
|
—
|
10mg
|
10mg
|
Lactose and lactose
|
48mg
|
48mg
|
48mg
|
48mg
|
Maltose
|
12mg
|
12mg
|
12mg
|
12mg
|
Water for injection
|
Sufficient to 1ml
|
Sufficient to 1ml
|
Sufficient to 1ml
|
Sufficient to 1ml |
TABLE 4 prescription information for FSH Single dose formulations
Component/ml
|
Prescription 13
|
Prescription 14
|
Prescription 15
|
Prescription 16
|
rhFSH
|
600IU
|
600IU
|
600IU
|
600IU
|
Na2HPO4·2H2O
|
1.1mg
|
1.1mg
|
1.1mg
|
1.1mg
|
NaH2PO4·H2O
|
0.45mg
|
0.45mg
|
0.45mg
|
0.45mg
|
Methionine
|
—
|
—
|
—
|
—
|
Ascorbic acid
|
0.1mg
|
0.1mg
|
0.1mg
|
0.1mg
|
Poloxamer 188
|
0.1mg
|
—
|
—
|
0.1mg
|
Tween 20
|
—
|
0.2mg
|
0.2mg
|
—
|
M-cresol
|
3.0mg
|
3.0mg
|
—
|
—
|
Benzyl alcohol
|
—
|
—
|
10mg
|
10mg
|
Lactose and lactose
|
48mg
|
48mg
|
48mg
|
48mg
|
Maltose
|
12mg
|
12mg
|
12mg
|
12mg
|
Water for injection
|
Sufficient to 1ml
|
Sufficient to 1ml
|
Sufficient to 1ml
|
Sufficient to 1ml |
Comparative group 1 Single dose liquid formulation based on different proportions of lactose/maltose as stabilizer
After the lactose/maltose other mass ratio is used as a stabilizer to be compounded with a preferable antioxidant, a nonionic surfactant and a preservative, stability parameters after 5 freeze thawing cycles are tested, and a specific prescription is shown in table 5:
TABLE 5 formulation of comparative FSH Single dose liquid formulations
Component/ml
|
Comparative prescription 1
|
Comparative prescription 2
|
Comparative prescription 3
|
Comparative prescription 4
|
Comparative prescription 5
|
rhFSH
|
600IU
|
600IU
|
600IU
|
600IU
|
600IU
|
Na 2 HPO 4 ·2H 2 O
|
1.1mg
|
1.1mg
|
1.1mg
|
1.1mg
|
1.1mg
|
NaH 2 PO 4 ·H 2 O
|
0.45mg
|
0.45mg
|
0.45mg
|
0.45mg
|
0.45mg
|
Methionine
|
0.1mg
|
0.1mg
|
0.1mg
|
0.1mg
|
0.1mg
|
Poloxamer 188
|
0.1mg
|
0.1mg
|
0.1mg
|
0.1mg
|
0.1mg
|
M-cresol
|
3.0mg
|
3.0mg
|
3.0mg
|
3.0mg
|
3.0mg
|
Lactose and lactose
|
50mg
|
30mg
|
10mg
|
60mg
|
—
|
Maltose
|
10mg
|
30mg
|
50mg
|
—
|
60mg
|
Water for injection
|
Sufficient to 1ml
|
Sufficient to 1ml
|
Sufficient to 2ml
|
Sufficient to 1ml
|
Sufficient to 1ml |
Comparative group 2 Single dose liquid formulations based on stabilizers of different saccharides or classes
After different saccharides or amino acids are used as stabilizers to be compounded with preferred antioxidants, nonionic surfactants and preservatives, stability parameters after 5 freeze thawing cycles are tested, and specific prescriptions are shown in table 6:
TABLE 6 formula for single dose liquid FSH formulations of comparative examples
FSH liquid preparation and its preparing method
Preparation example
The liquid preparation for FSH injection of each prescription in the test group and the comparison group is prepared according to the general rule of the injection water needle process, and is specifically as follows:
1) According to the prescription information in tables 1-6, buffer, stabilizer, antioxidant, nonionic surfactant and preservative dosed according to specific batch requirements were added to 4L of water for injection to dissolve to obtain solution A, and the temperature was maintained at 2-10℃during the formulation of solution A.
2) FSH stock solution prepared according to the prior patent CN110305903B of the applicant is added into the solution A prepared in the step 1), and the volume is fixed to 5L by using water for injection to obtain solution B. The pH of the solution B was measured, the dilution was adjusted to pH7.0 using a 1mol/LNaOH solution or 1mol/LHCl, mixed well, stirred for 20min, and then filtered sterilized with a 0.22 μm cellulose acetate membrane (Sartobran 150 from Sartor IUs Co.).
Before 0.22 mu m cellulose acetate membrane filtration, the integrity test of the sterilizing filter is carried out by adopting a bubble point test method, and the integrity test is carried out before and after the filtration sample. The testing method comprises the following steps: the filter is fully soaked by ultrapure water (room temperature), the exhaust hole is closed, the liquid inlet end is connected with the pressure gauge and sterile compressed air by a high-strength pipeline, the air inlet valve is gradually opened to introduce air, the change of the number of the pressure gauge is observed, and after bubbles at the outlet of the rear part of the filter are uniform, the value of the pressure gauge is read, namely the bubble point. Filter integrity is satisfactory when the bubble point of the filter is not below the minimum bubble point specified in the product specification. If the filter is not qualified, the newly assembled filter is replaced and the integrity check is carried out, and the filtering can be started after the integrity check of the filter is qualified. After filtration, the filtration system should be qualified for integrity checking under the bubble point test method. And if the failure is treated according to the deviation treatment management system. The ingredients are made of stainless steel or disposable sterile liquid storage bags as much as possible. The time from preparation to filtration is controlled within 10 hours.
3) Subpackaging the solution B prepared in the step 2) into card-type bottles with sterilized outer packages in a sterile environment, and plugging and packaging the rubber plugs subjected to damp-heat sterilization, and transferring to a cold storage with the temperature of 2-8 ℃ for storage.
2. Detection and results
Test mode and standard:
in examining the freeze-thawing stability, the accelerated test stability and the long-term stability of the formulation, the preset standards used in the invention for representing the stability of the formulation are: the pH value is in the range of 6.7-7.3, jie Liya base is less than or equal to 5.0%, alpha subunit oxide is less than or equal to 8.0%, total oxide is less than or equal to 10.0%, protein content is 90.0-110.0%, polymer is less than or equal to 2.0%, and monomer SEC purity is more than or equal to 97.0%.
The following table sets forth various test conditions for formulation stability:
2.1 examination of the Freeze thawing stability of the liquid FSH formulations
As shown in tables 7-10, each of the prescribed FSH liquid formulations in test group 1 still had good freeze-thaw stability after undergoing 5 freeze-thaw cycles, each of the prescribed FSH liquid formulations in test group 2 was within the preset standard range of stability after undergoing 5 freeze-thaw cycles, although some of the prescriptions detected polymers, and the other indicators exhibited excellent performance, specifically as follows:
TABLE 7 Freeze-thaw stability data for liquid formulations of formulations 1-4 of test group 1
TABLE 8 Freeze-thaw stability data for liquid formulations of formulations 5-8 of test group 1
TABLE 9 Freeze-thaw stability data for liquid formulations of formulations 9-12 of trial group 2
TABLE 10 Freeze-thaw stability data for liquid formulations of formulations 13-16 of test group 2
As shown in table 11, varying the ratio of lactose/maltose interactions, e.g., 5:1, 1:1 or 1:5, or lactose or maltose alone, based on the use of the two interactions as a stabilizer, the resulting liquid formulations had significantly altered stability levels after 5 freeze-thaw cycles, as follows:
TABLE 11 Freeze-thaw stability data for liquid formulations of comparative formulas 1-5 in comparative group 1
As shown in table 12, in the case that the FSH liquid preparation is a preferred component for other components, the stabilizer is changed to other saccharides or amino acid stabilizer, and the stability level of the obtained liquid preparation is significantly changed after 5 freeze thawing cycles, specifically as follows:
TABLE 12 Freeze-thaw stability data for comparative formulas 6-11 in comparative group 2
Conclusion of freeze-thaw stability test:
1. based on tables 7-10, when lactose/maltose is compounded as a stabilizer in a mass ratio of 3:1 or 4:1, the resulting FSH liquid formulation is able to maintain satisfactory stability parameters after 5 freeze-thaw cycles, indicating that it has ideal freeze-thaw stability, even if other additive components change the compounding. The lactose/maltose 3:1 formulation, when used as a stabilizer, showed extremely excellent freeze-thaw stability results, with all prescriptions still no polymer detected after five freeze-thaw cycles. When lactose/maltose 4:1 is compounded to be used as a stabilizer, polymers are detected in most groups, but the detected amount is obviously lower than the standard amount and still belongs to a prescription with ideal freeze thawing stability which accords with the preset standard.
2. Based on table 11, when the mass ratio of lactose/maltose is further changed or when either is added alone, the resulting liquid cannot maintain good stability parameters after five freeze-thawing cycles, which are manifested to various degrees by an increase in dissociated subunit content, an increase in oxide, a decrease in protein content, an increase in polymer and a decrease in purity, making it impossible to meet preset criteria for stability.
3. Based on Table 12, it is understood that when other saccharide stabilizers or amino acid stabilizers are used, the resulting liquid preparation also fails to maintain good stability parameters after 5 freeze-thawing cycles, even if it is freshly groundNor can the prescription of (c) maintain the stability parameters after 5 freeze-thaw cycles all meet the preset criteria.
The above experimental data indicate that selecting lactose/maltose interactions as stabilizers and controlling their mass ratio in the range of 3:1-4:1 is a key technical means to achieve excellent freeze-thaw stability of FSH liquid formulations.
2.2 investigation of test group 1-2 accelerated test stability and Long term stability
As shown in the above freeze-thaw stability data, each of the prescribed FSH liquid formulations in test groups 1-2 has excellent freeze-thaw stability, and in order to verify whether it has overall stability performance, the accelerated test stability and long-term stability of each of the prescribed FSH liquid formulations in test groups 1-2 are continuously tested, and specific results are shown in tables 13-16:
TABLE 13 stability data for each prescription acceleration test in example 1
TABLE 14 Long term stability data for each formulation in example 1
TABLE 15 stability data for each prescription acceleration test in example 2
TABLE 16 Long term stability data for each prescription in example 2
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Conclusion of accelerated test stability and long term stability test
Based on tables 13-16, each prescription FSH liquid preparation of test group 1-2 has excellent freeze thawing stability, and also has good stability in acceleration test and long-term test, and the FSH liquid preparation adopting lactose/maltose to be compounded at a ratio of 3:1 or 4:1 as a stabilizer is indicated to be capable of meeting the stability requirements of storage, transportation and environmental change of the required FSH liquid preparation in daily use, so that the quality risk caused by poor freeze thawing stability of the FSH instant injection liquid preparation in the prior art is solved.
In conclusion, the invention uses lactose and maltose with specific proportions as the stabilizer in the FSH liquid agent, so that the FSH liquid agent has excellent freeze thawing stability, can still keep high stability parameters meeting application requirements after 5 freeze thawing cycles, has stability level obviously superior to that of the human FSH liquid agent added with other stabilizers under the same test condition, and comprises the liquid agent which is currently sold in the marketHas market popularization and application value. />