CN117100712A - Pulse release drug 3D printed multi-unit gastric retention sheet - Google Patents
Pulse release drug 3D printed multi-unit gastric retention sheet Download PDFInfo
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- CN117100712A CN117100712A CN202311266922.2A CN202311266922A CN117100712A CN 117100712 A CN117100712 A CN 117100712A CN 202311266922 A CN202311266922 A CN 202311266922A CN 117100712 A CN117100712 A CN 117100712A
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- 229960004583 pranlukast Drugs 0.000 description 1
- UAJUXJSXCLUTNU-UHFFFAOYSA-N pranlukast Chemical compound C=1C=C(OCCCCC=2C=CC=CC=2)C=CC=1C(=O)NC(C=1)=CC=C(C(C=2)=O)C=1OC=2C=1N=NNN=1 UAJUXJSXCLUTNU-UHFFFAOYSA-N 0.000 description 1
- IENZQIKPVFGBNW-UHFFFAOYSA-N prazosin Chemical compound N=1C(N)=C2C=C(OC)C(OC)=CC2=NC=1N(CC1)CCN1C(=O)C1=CC=CO1 IENZQIKPVFGBNW-UHFFFAOYSA-N 0.000 description 1
- 229960001289 prazosin Drugs 0.000 description 1
- 229960005205 prednisolone Drugs 0.000 description 1
- OIGNJSKKLXVSLS-VWUMJDOOSA-N prednisolone Chemical compound O=C1C=C[C@]2(C)[C@H]3[C@@H](O)C[C@](C)([C@@](CC4)(O)C(=O)CO)[C@@H]4[C@@H]3CCC2=C1 OIGNJSKKLXVSLS-VWUMJDOOSA-N 0.000 description 1
- 229960002288 procaterol Drugs 0.000 description 1
- FKNXQNWAXFXVNW-BLLLJJGKSA-N procaterol Chemical compound N1C(=O)C=CC2=C1C(O)=CC=C2[C@@H](O)[C@@H](NC(C)C)CC FKNXQNWAXFXVNW-BLLLJJGKSA-N 0.000 description 1
- 239000000186 progesterone Substances 0.000 description 1
- 229960003387 progesterone Drugs 0.000 description 1
- 229960003712 propranolol Drugs 0.000 description 1
- MIXMJCQRHVAJIO-TZHJZOAOSA-N qk4dys664x Chemical compound O.C1([C@@H](F)C2)=CC(=O)C=C[C@]1(C)[C@@H]1[C@@H]2[C@@H]2C[C@H]3OC(C)(C)O[C@@]3(C(=O)CO)[C@@]2(C)C[C@@H]1O.C1([C@@H](F)C2)=CC(=O)C=C[C@]1(C)[C@@H]1[C@@H]2[C@@H]2C[C@H]3OC(C)(C)O[C@@]3(C(=O)CO)[C@@]2(C)C[C@@H]1O MIXMJCQRHVAJIO-TZHJZOAOSA-N 0.000 description 1
- IBBLRJGOOANPTQ-JKVLGAQCSA-N quinapril hydrochloride Chemical compound Cl.C([C@@H](C(=O)OCC)N[C@@H](C)C(=O)N1[C@@H](CC2=CC=CC=C2C1)C(O)=O)CC1=CC=CC=C1 IBBLRJGOOANPTQ-JKVLGAQCSA-N 0.000 description 1
- 229960003042 quinapril hydrochloride Drugs 0.000 description 1
- 229960001404 quinidine Drugs 0.000 description 1
- 125000003410 quininyl group Chemical group 0.000 description 1
- 229960003401 ramipril Drugs 0.000 description 1
- HDACQVRGBOVJII-JBDAPHQKSA-N ramipril Chemical compound C([C@@H](C(=O)OCC)N[C@@H](C)C(=O)N1[C@@H](C[C@@H]2CCC[C@@H]21)C(O)=O)CC1=CC=CC=C1 HDACQVRGBOVJII-JBDAPHQKSA-N 0.000 description 1
- 239000002994 raw material Substances 0.000 description 1
- 230000002829 reductive effect Effects 0.000 description 1
- 230000001105 regulatory effect Effects 0.000 description 1
- 229960002646 scopolamine Drugs 0.000 description 1
- 229960003310 sildenafil Drugs 0.000 description 1
- 210000000813 small intestine Anatomy 0.000 description 1
- 229940083542 sodium Drugs 0.000 description 1
- 238000001228 spectrum Methods 0.000 description 1
- LXMSZDCAJNLERA-ZHYRCANASA-N spironolactone Chemical compound C([C@@H]1[C@]2(C)CC[C@@H]3[C@@]4(C)CCC(=O)C=C4C[C@H]([C@@H]13)SC(=O)C)C[C@@]21CCC(=O)O1 LXMSZDCAJNLERA-ZHYRCANASA-N 0.000 description 1
- 229960002256 spironolactone Drugs 0.000 description 1
- 238000013268 sustained release Methods 0.000 description 1
- 239000012730 sustained-release form Substances 0.000 description 1
- 229960005187 telmisartan Drugs 0.000 description 1
- 229960000195 terbutaline Drugs 0.000 description 1
- 229960000278 theophylline Drugs 0.000 description 1
- 238000001757 thermogravimetry curve Methods 0.000 description 1
- 229960004929 tirofiban hydrochloride Drugs 0.000 description 1
- HWAAPJPFZPHHBC-FGJQBABTSA-N tirofiban hydrochloride Chemical compound O.Cl.C1=CC(C[C@H](NS(=O)(=O)CCCC)C(O)=O)=CC=C1OCCCCC1CCNCC1 HWAAPJPFZPHHBC-FGJQBABTSA-N 0.000 description 1
- 229960005342 tranilast Drugs 0.000 description 1
- NZHGWWWHIYHZNX-CSKARUKUSA-N tranilast Chemical compound C1=C(OC)C(OC)=CC=C1\C=C\C(=O)NC1=CC=CC=C1C(O)=O NZHGWWWHIYHZNX-CSKARUKUSA-N 0.000 description 1
- 229960005294 triamcinolone Drugs 0.000 description 1
- GFNANZIMVAIWHM-OBYCQNJPSA-N triamcinolone Chemical compound O=C1C=C[C@]2(C)[C@@]3(F)[C@@H](O)C[C@](C)([C@@]([C@H](O)C4)(O)C(=O)CO)[C@@H]4[C@@H]3CCC2=C1 GFNANZIMVAIWHM-OBYCQNJPSA-N 0.000 description 1
- 229960004699 valsartan Drugs 0.000 description 1
- SJSNUMAYCRRIOM-QFIPXVFZSA-N valsartan Chemical compound C1=CC(CN(C(=O)CCCC)[C@@H](C(C)C)C(O)=O)=CC=C1C1=CC=CC=C1C1=NN=N[N]1 SJSNUMAYCRRIOM-QFIPXVFZSA-N 0.000 description 1
- 229960001722 verapamil Drugs 0.000 description 1
- 229960004764 zafirlukast Drugs 0.000 description 1
- 229960002769 zofenopril Drugs 0.000 description 1
- IAIDUHCBNLFXEF-MNEFBYGVSA-N zofenopril Chemical compound C([C@@H](C)C(=O)N1[C@@H](C[C@@H](C1)SC=1C=CC=CC=1)C(O)=O)SC(=O)C1=CC=CC=C1 IAIDUHCBNLFXEF-MNEFBYGVSA-N 0.000 description 1
Classifications
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- 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
- A61K9/0012—Galenical forms characterised by the site of application
- A61K9/0053—Mouth and digestive tract, i.e. intraoral and peroral administration
- A61K9/0065—Forms with gastric retention, e.g. floating on gastric juice, adhering to gastric mucosa, expanding to prevent passage through the pylorus
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K45/00—Medicinal preparations containing active ingredients not provided for in groups A61K31/00 - A61K41/00
-
- 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
- A61K9/20—Pills, tablets, discs, rods
- A61K9/2072—Pills, tablets, discs, rods characterised by shape, structure or size; Tablets with holes, special break lines or identification marks; Partially coated tablets; Disintegrating flat shaped forms
- A61K9/2086—Layered tablets, e.g. bilayer tablets; Tablets of the type inert core-active coat
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P11/00—Drugs for disorders of the respiratory system
- A61P11/06—Antiasthmatics
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P29/00—Non-central analgesic, antipyretic or antiinflammatory agents, e.g. antirheumatic agents; Non-steroidal antiinflammatory drugs [NSAID]
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P3/00—Drugs for disorders of the metabolism
- A61P3/08—Drugs for disorders of the metabolism for glucose homeostasis
- A61P3/10—Drugs for disorders of the metabolism for glucose homeostasis for hyperglycaemia, e.g. antidiabetics
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P9/00—Drugs for disorders of the cardiovascular system
- A61P9/10—Drugs 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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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P9/00—Drugs for disorders of the cardiovascular system
- A61P9/12—Antihypertensives
-
- B—PERFORMING OPERATIONS; TRANSPORTING
- B33—ADDITIVE MANUFACTURING TECHNOLOGY
- B33Y—ADDITIVE MANUFACTURING, i.e. MANUFACTURING OF THREE-DIMENSIONAL [3-D] OBJECTS BY ADDITIVE DEPOSITION, ADDITIVE AGGLOMERATION OR ADDITIVE LAYERING, e.g. BY 3-D PRINTING, STEREOLITHOGRAPHY OR SELECTIVE LASER SINTERING
- B33Y70/00—Materials specially adapted for additive manufacturing
-
- B—PERFORMING OPERATIONS; TRANSPORTING
- B33—ADDITIVE MANUFACTURING TECHNOLOGY
- B33Y—ADDITIVE MANUFACTURING, i.e. MANUFACTURING OF THREE-DIMENSIONAL [3-D] OBJECTS BY ADDITIVE DEPOSITION, ADDITIVE AGGLOMERATION OR ADDITIVE LAYERING, e.g. BY 3-D PRINTING, STEREOLITHOGRAPHY OR SELECTIVE LASER SINTERING
- B33Y80/00—Products made by additive manufacturing
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Abstract
The invention discloses a multi-unit gastric retention tablet capable of pulse releasing medicine, which can be retained in stomach for a long time and can pulse releasing medicine, and application of the tablet in preparation of medicine for treating hypertension, angina pectoris, bronchial asthma, rheumatism and diabetes. The multi-unit gastric retention sheet comprises a quick release unit, a blocking unit and a delayed release unit. The quick release unit quickly releases the medicine in the stomach, the blocking unit slowly dissolves, the delay release unit starts to release the medicine after a certain delay time, the pulse release medicine effect is obtained, and the medicine is released in the stomach all the time. The volume of the quick release unit is designed according to the dosage required by the medicine to be released for the first time, the volume of the blocking unit is designed according to the length of the delay time, and the volume of the delay release unit is designed according to the dosage required by the medicine to be released by the pulse. The form and volume of these units can be individually designed according to the treatment requirements and the patient's needs. The multi-unit gastric retentive sheet is preferably a 3D printing preparation method.
Description
Technical Field
The invention relates to the technical field of medical treatment and health, in particular to a multi-unit gastric retention tablet for pulse release of medicines.
Background
The Gastric Retention Drug Delivery System (GRDDS) is a type of drug delivery system which can be retained in the stomach for a long time after being orally taken, prolongs the release time of the drug in the stomach, can obtain the effects of slowly and controllably releasing the drug, improving the drug absorption, enhancing the local treatment effect of the drug in the stomach, reducing adverse reaction and administration times, improving clinical curative effect and the like. Gastric retentive drug delivery systems typically include gastric floating formulations, gastric distending formulations, bioadhesive formulations, and high density formulations.
Gastric retentive drug delivery systems are advantageous for achieving adequate efficacy of a variety of drugs, such as drugs with sites of action in the stomach, drugs with a narrow absorption window in the stomach or upper small intestine. In addition, drugs that degrade in the intestinal or colonic environment and drugs that are poorly soluble at alkaline pH values are also suitable for formulation into gastric retentive drug delivery systems.
Currently, most of the gastric retentive drug delivery systems are sustained release formulations, which release drugs in the stomach. Gastric retention administration has the advantages of reducing the administration times, improving the patient compliance, improving the drug bioavailability and the like, and the gastric retention preparations on the market comprise Madopa HbS (drug: levodopa and benserazide) of Roche company, varelease (drug: diazepam), glucophage XR (drug: metformin hydrochloride) of Shinobel company, cifranod (drug: ciprofloxacin) of Lanbosai company and the like. They are all capable of slowly releasing the drug in the stomach.
A pulsatile drug delivery system is defined as a drug delivery system that rapidly releases a drug in a predetermined pattern. Pulse release is similar to physiological release of hormones in humans, such as the release of hormones like insulin. Has rhythmicity on the onset of illness without long-time maintenance of the constant drug concentration in the body, such as hypertension, angina pectoris, bronchial asthma, rheumatism, diabetes and the like, and has good curative effect by pulse administration and reduced adverse reaction of the drug.
3D printing, also known as additive manufacturing, is a rapid prototyping technology developed by the university of Massachusetts at the end of the 80 s of the 20 th century, and the basic principle is to bind powders together with viscous liquids to form a three-dimensional structure. The U.S. FDA approved the first new drug of levetiracetam 3D print tablet worldwide using 3D printing technology in 8 months 2015. The 3D printed formulation represents a perfect combination of pharmaceutical raw materials, pharmaceutical excipients, pharmaceutical dosage forms, pharmaceutical equipment and manufacturing techniques (including software design and computer control). The 3D printing preparation is characterized by being capable of being personalized and individually designed according to the disease treatment characteristics and individual requirements, and realizing accurate drug delivery and treatment.
Disclosure of Invention
The present inventors devised and prepared a multi-unit gastric retentive tablet of a pulsatile release drug which can be retained in the stomach for a long period of time and which can pulsatively release the drug.
The invention discloses an application of a pulse-release drug multi-unit gastric retention tablet in preparing drugs for treating hypertension, angina pectoris, bronchial asthma, rheumatism and diabetes.
The invention discloses a multi-unit gastric retention tablet for pulse release of medicines, which comprises a quick release unit, a blocking unit and a delay release unit. The quick release unit comprises a drug, a binder, and a disintegrant. The retarding element comprises a hydrophobic material and an adhesive. The delayed release unit comprises a drug, a binder, and a disintegrant. The medicament in the quick release unit and the delayed release unit may or may not be the same medicament, preferably the same medicament. The binder and disintegrant in the quick release unit and the delayed release unit may be the same or different, preferably the same binder and disintegrant. The delay release unit is completely surrounded by the blocking unit. The quick release unit is outermost.
The multi-unit gastric retention tablet for pulse release of the medicine in the invention has the advantages that the quick release unit quickly releases the medicine in the stomach, the blocking unit slowly dissolves, the delay release unit starts to release the medicine after a certain delay time, the effect of pulse release of the medicine is obtained, and the medicine is always released in the stomach.
The volume of the quick release unit of the pulse drug release multi-unit gastric retention tablet is designed according to the dosage required by the drug release for the first time, the volume of the blocking unit is designed according to the length of delay time, and the volume of the delay release unit is designed according to the dosage required by the pulse drug release.
The pulse drug-releasing multi-unit gastric retention tablet can be personalized according to the treatment requirements and the patient requirements by the form and the volume of the quick release unit, the blocking unit and the delay release unit.
The pulse-released drug multi-unit gastric retention tablet of the invention stays in the stomach for more than 8 hours, and the pulse-released drug takes more than 6 hours.
The preparation method of the pulse-release drug multi-unit gastric retentive tablet is not limited, and is preferably a 3D printing method. The 3D printing method is selected from fused deposition type 3D printing method, optical three-dimensional printing 3D printing method, laser fused 3D printing method, powder bonding 3D printing method, semisolid extrusion 3D printing method, preferably semisolid extrusion 3D printing method.
When the semisolid extrusion 3D printing method is used for preparing the pulse release drug multi-unit gastric retention tablet, the preparation process is as follows:
(1) Adding wetting agent into the medicine, the adhesive and the disintegrating agent to prepare a medicine-containing pasty mixture, and filling the mixture into a charging barrel;
(2) Adding wetting agent into hydrophobic material and adhesive to prepare blank pasty mixture, and filling into a charging barrel;
(3) Printing by adopting double spray heads, wherein one spray head is loaded with a medicine-containing pasty mixture, the other spray head is loaded with a blank pasty mixture, extruding from the tip of a 3D printer charging barrel according to designed model parameters, and depositing onto a platform layer by layer to obtain a wet multi-cell sheet:
(4) Naturally drying the wet multi-unit tablet at room temperature or heating and drying or decompressing and drying to obtain the multi-unit gastric retention tablet for pulse release medicine.
The wetting agent in the above preparation is selected from water, ethanol, water and ethanol mixture, preferably water.
The binder in the quick release unit, the retarding unit and the delayed release unit is selected from polyvinylpyrrolidone, hypromellose, methylcellulose, gelatin and poloxamer, preferably polyvinylpyrrolidone and hypromellose. The disintegrating agent in the quick release unit and the delayed release unit is selected from pregelatinized starch, croscarmellose sodium, low substituted hydroxypropylcellulose, sodium carboxymethyl starch, crospovidone, further preferably from croscarmellose sodium, sodium carboxymethyl starch, crospovidone, most preferably croscarmellose sodium. The hydrophobic material in the retardation unit is selected from cetyl alcohol, stearyl alcohol, ethyl cellulose, cellulose acetate, acrylic resin, and polycaprolactone, preferably from cetyl alcohol, stearyl alcohol, and ethyl cellulose.
The pulse-release drug multi-unit gastric retention tablet is not limited, and can select various drugs, preferably antimalarial drugs, antibacterial drugs, drugs for treating angina pectoris, antihypertensive drugs and drugs for treating asthma.
The antimalarial agent is selected from quinine antimalarial agent and artemisinin antimalarial agent. The quinine antimalarial is selected from chloroquine, quinidine, mefloquine and primaquine. The artemisinin antimalarial is selected from artemisinin, dihydroartemisinin, artesunate, artemether, arteether and dihydroartemisinin, preferably artesunate. The antibacterial agent is selected from tetracycline, doxycycline, and clindamycin. Correspondingly, the multi-unit gastric retention tablet of the pulsatile release drug is selected from the group consisting of chloroquine pulsatile release multi-unit gastric retention tablet, quinine Ding Maichong release multi-unit gastric retention tablet, mefloquine pulsatile release multi-unit gastric retention tablet, primaquine pulsatile release multi-unit gastric retention tablet, artemisinin pulsatile release multi-unit gastric retention tablet, dihydroartemisinin pulsatile release multi-unit gastric retention tablet, artemether pulsatile release multi-unit gastric retention tablet, arteether pulsatile release multi-unit gastric retention tablet, dihydroartemisinin pulsatile release multi-unit gastric retention tablet, tetracycline pulsatile release multi-unit gastric retention tablet, doxycycline pulsatile release multi-unit gastric retention tablet, clindamycin pulsatile release multi-unit gastric retention tablet, preferably artesunate pulsatile release multi-unit gastric retention tablet.
The medicine for treating angina pectoris is selected from nitroglycerin, isosorbide dinitrate, isosorbide mononitrate, betaxolol, metoprolol succinate, nifedipine, atorvastatin, amlodipine, cilostazol, verapamil, diltiazem hydrochloride, lercanidipine, carvedilol, nilvadipine, nicorandil, benidipine, bisoprolol fumarate, atenolol, celecoxib, trinitrate, progesterone, tirofiban hydrochloride, and efodipine hydrochloride.
Antihypertensive agents include, but are not limited to, sildenafil, amlodipine, felodipine, cilnidipine, nifedipine, nitrapyrin, enalapril, fosinopril, lisinopril, perindopril, imidacloprid, ramipril, perindopril, spiropril, zofenopril, quinapril hydrochloride, benazepril, losartan, valsartan, irbesartan, telmisartan, losartan, olmesartan, hydrochlorothiazide, chlorthalidone, indapamide, metoprolol, bisoprolol, atenolol, labetalol, propranolol, carvedilol phosphate, clonidine, betaxolol, atorvastatin, diltiazem hydrochloride, spirolactone, iloprost, prazosin.
Drugs for the treatment of asthma include, but are not limited to, theophylline, fluticasone furoate, etanercept, abamectin, glycopyrrolate, budesonide, formoterol fumarate, dasatinib, beclomethasone propionate, montelukast sodium, imatinib, ipratropium bromide, mometasone furoate, triamcinolone, dexamethasone, salbutamol, terbutaline, procaterol, scopolamine isopropyl, albuterol, mometasone, levocetirizine hydrochloride, prednisolone, ebastine, pranlukast, doxofylline, flunisolide, cromolyn sodium, zafirlukast, pemirolast hydrochloride, epinastine hydrochloride, nedocromil, tolterol, mizostatin, promulgated, tranilast, methylprednisolone, and rapiroxostat.
The pulse released medicine multi-unit gastric retention tablet features that the pulse released medicine is released in stomach and the material, form and volume of the retarding unit are regulated to obtain different delay time and gastric retention time.
Drawings
FIG. 1. 3D model design of artesunate tablet, (A) artesunate quick release tablet, (B) artesunate pulse release multi-unit gastric retention tablet of 7mm diameter, (C) artesunate pulse release multi-unit gastric retention tablet of 8mm, (D) artesunate quick release tablet cross-sectional view, (E) artesunate pulse release multi-unit gastric retention tablet of 7mm diameter, and (F) artesunate pulse release multi-unit gastric retention tablet cross-sectional view of 8 mm.
FIG. 2 scanning electron microscope image (A) artesunate, (B) physical mixture, (C) artesunate immediate release tablet, (D) artesunate pulse release multi-unit gastric retention tablet.
Figure 3. IR spectrum. Artesunate, polyvinylpyrrolidone, croscarmellose sodium, physical mixture, artesunate quick release tablet, artesunate pulse release multi-unit gastric retentive tablet are shown in figure 3.
Figure 4. X-ray diffraction pattern. Artesunate, polyvinylpyrrolidone, croscarmellose sodium, physical mixture, artesunate immediate release tablet, artesunate pulse release multicell gastric retentive tablet are illustrated in figure 4.
Figure 5 thermogravimetric analysis of artesunate, polyvinylpyrrolidone, croscarmellose sodium, physical mixture, immediate release tablet of artesunate is shown in figure 5.
FIG. 6 in vitro release profile of artesunate pulse release multiple unit gastric retentive tablets of different diameter sizes.
FIG. 7. In vitro residence time of artesunate pulse release multiple units of gastric retentive tablets of different diameter sizes.
Figure 8.6 mm artesunate immediate release tablet image and in vivo residence time under X-ray.
FIG. 9.7 mm artesunate pulse release multi-unit gastric retentive tablet images and in vivo residence time under X-ray.
FIG. 10.8 mm artesunate pulse release multi-unit gastric retentive tablet images and in vivo residence time under X-ray.
Detailed Description
EXAMPLE 1 artesunate pulse release multiple unit gastric retentive tablet
Weighing 4g artesunate, 0.56g polyvinylpyrrolidone K30 and 0.44g croscarmellose sodium, grinding and mixing uniformly for 10 minutes, adding 4mL of water, stirring continuously to obtain an artesunate pasty mixture, and loading into a 3D printer charging barrel; weighing 3g of stearyl alcohol, 1g of hydroxypropyl methylcellulose K15M and 0.5g of polyvinylpyrrolidone K30, grinding and uniformly mixing for 10 minutes, adding 4mL of ethanol into 0.2g of poloxamer 188 for dissolution, then adding into the mixture, continuously stirring, adding 1mL of water, continuously stirring to obtain a blank pasty mixture, and loading into a 3D printer charging barrel; modeling by using 3D design software, and designing the forms and volumes of a quick release unit, a retarding unit and a delay release unit, wherein the quick release unit is a cylinder with the diameter of 6.93mm and the height of 1.5mm and is positioned at the top of the retarding unit, the retarding unit is a cylinder with the diameter of 7mm and the height of 4mm, and the center inside the retarding unit is provided with a cylinder with the diameter of 6mm and the height of 2 mm; the model is converted into a recognizable parameter file of a 3D printer, the printing parameters comprise a quick release unit containing medicine and a delay release unit, the printing speed is 10mm/s, the printing temperature is 25 ℃, the layer height is 0.5mm, the printing speed of a retarding unit is 10mm/s, the printing temperature is 4 ℃, the layer height is 0.5mm, and the artesunate pulse release multi-unit gastric retentive tablet with the diameter of 7mm is prepared.
The 3D printing design diagram is shown in fig. 1B, the cross section diagram is shown in fig. 1E, and the 3D printing design diagram consists of a quick release unit, a blocking unit and a delay release unit at the top.
The artesunate is replaced by other medicines, so that the corresponding multi-unit gastric retention tablet for pulse release of medicines can be achieved. The form and volume of each unit can be appropriately adjusted according to the requirements.
The artesunate pulse release multi-unit gastric retention tablet with the diameter of 8mm is obtained by setting the diameter of the retarding unit to 8mm, the 3D printing design drawing is shown in fig. 1C, the sectional drawing is shown in fig. 1F, and the artesunate pulse release multi-unit gastric retention tablet consists of a quick release unit, a retarding unit and a delayed release unit at the top.
Experimental example 1 artesunate quick-release tablet
Weighing 4g artesunate, 0.56g polyvinylpyrrolidone K30 and 0.44g croscarmellose sodium, grinding and mixing uniformly for 10 minutes, adding 4mL of water, stirring continuously to obtain an artesunate pasty mixture, and loading into a 3D printer charging barrel; modeling by using 3D design software to obtain a cylinder with the diameter of 6mm and the height of 4 mm; and converting the model into a 3D printer identifiable parameter file, wherein the printing parameters are that the printing speed is 10mm/s, the printing temperature is 25 ℃, the layer height is 0.5mm, and the artesunate quick-release tablet with the diameter of 6mm is prepared.
The 3D printing design drawing of the artesunate quick-release tablet is shown in figure 1A, and the cross-sectional drawing of the artesunate quick-release tablet is shown in figure 1D.
Experimental example 2 Property investigation of artesunate pulse-released Multi-Unit gastric-retentive tablet
Materials: a6 mm diameter quick release tablet of artesunate prepared according to experimental example 1, a 7mm and 8mm diameter pulse release multi-unit gastric retentive tablet of artesunate prepared according to example 2, artesunate, croscarmellose sodium, polyvinylpyrrolidone K30.
The method comprises the following steps: samples were taken and analyzed by Fourier transform infrared spectrometer (FTIR, spectrum Two) with a scan range of 4000cm -1 ~650cm -1 Resolution of 1cm -1 The number of scans was 8. Samples were taken and analyzed by an X-ray powder diffractometer (Empyrean) under conditions of Cu target, X-ray wavelength 0.15406nm, tube voltage 40kV, tube current 40mA, step size 0.02 DEG, scan speed 5 DEG/min, scan range 5 DEG-60 DEG, nitrogen atmosphere 60mL/min. The sample is taken and measured by a differential scanning calorimeter (Q20) under the condition that the heating rate is 10 ℃/min and the heating range is 30-200 ℃. Taking artesunate, artesunate quick release tablet and artesunate pulse release multi-unit gastric retention tablet, and performing scanning electron microscope (CUBE 2) observation and photographing record on the cross sections.
Results: the observation result of the artesunate bulk drug on a scanning electron microscope shows (figure 2A), and the artesunate exists mainly in a block form. It can be observed that the drug is present in the physical mixture in a large amount in the physical mixture (fig. 2B). The presence of artesunate particles inside the tablet was also observed on the surface of the 3D printed artesunate immediate release tablet and in the section of the 3D printed artesunate pulse release multi-unit gastroretentive tablet (figures 2C and 2D). The infrared spectra show (figure 3) that both the 3D printed artesunate quick release tablet and the 3D printed artesunate pulse release multi-unit gastric retentive tablet show the same telescopic vibration peaks as artesunate at the above wavelengths, and the characteristic peaks have no obvious deviation, disappearance or new peak types. The X-ray diffraction pattern showed (FIG. 4) that the peak pattern of the rapid 3D printed artesunate release tablet and the 3D printed artesunate pulse release multi-unit gastric retentive tablet was substantially the same as the five peak patterns described above. The thermogram shows that artesunate bulk drug has sharp endothermic peak at 141 ℃ (figure 5), and in 3D printed artesunate immediate release tablet, endothermic peak is found near 153 ℃, which is presumed to be artesunate endothermic peak. The absorption peak is basically the same as that of the artesunate bulk drug, but the heat absorption quantity is smaller than that of the artesunate bulk drug, which is related to the content of the drug. In conclusion, the characterization results of XRD, FTIR, thermogravimetric analysis and the like are combined, so that the medicine exists in the 3D printed artesunate quick-release tablet, does not react with auxiliary materials, does not generate a new crystal form, and has good compatibility with the auxiliary materials.
Experimental example 3 drug Release of artesunate immediate Release tablet
Materials: a6 mm diameter artesunate gastric retentive tablet prepared according to experimental example 1.
The method comprises the following steps: the artesunate gastric retention tablets with the diameter of 6mm are respectively placed in stainless steel rotary baskets, hydrochloric acid solution with the pH value of 1 is used as a dissolution medium, 900mL of dissolution medium is taken out from each dissolution cup, the rotary basket rotating speed is 75rpm, the water bath temperature is 37 ℃, 5mL of the dissolution medium is respectively sampled at a sampling point at fixed time, the sample is filtered through a microporous filter membrane with the diameter of 0.45 mu m, the subsequent filtrate is taken, isothermal and equivalent fresh dissolution medium is supplemented, and the cumulative release amount of the artesunate gastric retention tablets is measured by an ultraviolet spectrophotometer. Samples were taken at 0, 0.083, 0.167, 0.25, 0.5, 0.75, 1, 2, 4 and 6 hours, 5mL each time, the samples were passed through a 0.45 μm microfiltration membrane, the subsequent filtrate was taken and replenished with an isothermal equivalent amount of fresh dissolution medium, and the absorbance of the subsequent filtrate at 237nm was measured with an ultraviolet-visible spectrophotometer. The dissolution assay was performed with 3 artesunate gastric-retentive tablets of 6mm diameter. Comparing the measured filtrate with artesunate standard solution, calculating to obtain artesunate amount in the solution, and drawing artesunate release curve of artesunate gastric retention tablet with diameter of 6 mm.
Results: the in vitro release profile of the 6mm diameter artesunate immediate release tablet is shown in figure 6. The artesunate quick-release tablet with the diameter of 6mm can reach more than 85% after 1 hour of in-vitro drug release.
Experimental example 4 drug Release of artesunate pulse-released Multi-Unit gastric-retentive tablet
Materials: a7 mm diameter artesunate pulse release multi-unit gastric retentive tablet prepared as in example 1.
The method comprises the following steps: the artesunate pulse release multi-unit gastric retention tablets with the diameter of 7mm are respectively placed in stainless steel rotary baskets, hydrochloric acid solution with the pH value of 1 is used as a dissolution medium, 900mL of each dissolution cup is used as a dissolution medium, the rotary basket rotating speed is 75rpm, the water bath temperature is 37 ℃, 5mL of each sample is sampled at the sampling point at fixed time, the samples are respectively filtered through a microporous filter membrane with the diameter of 0.45 mu m, continuous filtrate is taken, isothermal and equivalent fresh dissolution medium is supplemented, and the cumulative release amount of the artesunate pulse release multi-unit gastric retention tablets is measured by an ultraviolet spectrophotometer. Samples were taken at 0, 0.083, 0.167, 0.25, 0.5, 1, 2, 4, 6, 8, 10, 12, 14 and 20 hours, 5mL each, and the samples were passed through a 0.45 μm microfiltration membrane to obtain a subsequent filtrate, and an isothermal equivalent of fresh dissolution medium was supplemented, and the absorbance of the subsequent filtrate at 237nm was measured with an ultraviolet-visible spectrophotometer. The dissolution assay was performed with 37 mm diameter artesunate pulse release multi-unit gastric retentive tablets. Comparing the measured filtrate with artesunate standard solution, calculating to obtain artesunate amount in the filtrate, and drawing artesunate release curve chart of artesunate pulse release multi-unit gastric retention tablet with diameter of 7 mm.
Results: the in vitro release profile of the 7mm diameter artesunate pulse release multi-unit gastric retentive tablet is shown in figure 6. The artesunate pulse release multi-unit gastric retention tablet with the diameter of 7mm can release more than 60% of the drug within 2 hours. From 2 hours to 6 hours, there is little drug release due to the retarding action of the retarding element, limiting the drug release of the internal delayed release element. After 6 hours, a rapid release period is entered, up to 12 hours, which is a pulse release.
Experimental example 5.8 mm diameter artesunate pulse-release drug Release of Multi-Unit gastric-retentive tablet
Materials: the 8mm diameter artesunate pulse release multi-unit gastric retentive tablet prepared in reference example 1.
The method comprises the following steps: the artesunate pulse release multi-unit gastric retention tablets with the diameter of 8mm are respectively placed in stainless steel rotary baskets, hydrochloric acid solution with the pH value of 1 is used as a dissolution medium, 900mL of each dissolution cup is used as a dissolution medium, the rotary basket rotating speed is 75r/min, the water bath temperature is 37 ℃, 5mL of each sample is sampled at the sampling point at fixed time, the samples are respectively filtered through a microporous filter membrane with the diameter of 0.45 mu m, continuous filtrate is obtained, isothermal and equivalent fresh dissolution medium is supplemented, and the cumulative release amount of the artesunate pulse release multi-unit gastric retention tablets is measured by an ultraviolet spectrophotometer. Samples were taken at 0, 0.083, 0.167, 0.25, 0.5, 1, 2, 4, 6, 8, 10, 12, 14, 16, 20 and 24 hours, 5mL each, the samples were passed through a 0.45 μm microporous filter membrane, the subsequent filtrate was taken, and an isothermal equivalent amount of fresh dissolution medium was replenished, and the absorbance of the subsequent filtrate at 237nm was measured with an ultraviolet-visible spectrophotometer. Dissolution assays were performed with 3 8mm diameter artesunate pulse release multi-unit gastric retentive tablets. Comparing the measured filtrate with artesunate standard solution, calculating to obtain artesunate amount in the filtrate, and drawing artesunate release curve chart of artesunate pulse release multi-unit gastric retention tablet with diameter of 8 mm.
Results: the in vitro release profile of the 8mm diameter artesunate pulse release multi-unit gastric retentive tablet is shown in figure 6. The artesunate pulse release multi-unit gastric retention tablet with the diameter of 8mm can release more than 30% of the drug within 2 hours. From 2 hours to 8 hours, there is little drug release due to the retarding action of the retarding element, limiting the drug release of the internal delayed release element. After 8 hours, a rapid release period is entered, until 15 hours, which is a pulse release.
The experiment proves that the initial time of pulse release can be adjusted by adjusting the thickness of the blocking unit in the artesunate pulse release multi-unit gastric retentive tablet.
Experimental example 6 in vitro Floating time of artesunate pulse released multiple units gastric retentive tablet
Materials: a7 mm and 8mm diameter artesunate pulse release multi-unit gastric retentive tablet prepared as in example 1.
The method comprises the following steps: the artesunate pulse release multi-unit gastric retentive tablets with the diameters of 7mm and 8mm are respectively placed in a 250mL conical flask, hydrochloric acid solution with the pH value of 1 is used as a dissolution medium, the dissolution medium is placed in a shaking table for simulating gastric floating time, the rotation speed of the shaking table is 75rpm, the temperature is 37 ℃, and the floating condition of the tablet is observed in 0, 1, 2, 4, 6, 8, 12, 16 and 24 hours respectively.
Results: the 7mm diameter artesunate pulse release multi-unit gastric retentive tablet floats in vitro for up to 8 hours (figure 7). The 8mm diameter artesunate pulse release multi-unit gastric retentive tablet floats in vitro for up to 12 hours (figure 7). The artesunate pulse release multi-unit gastric retention tablets with the diameters of 7mm and 8mm have strong floating capacity and can be retained in the stomach for a long time.
Experimental example 7 in vivo residence time of artesunate immediate Release tablet
Materials: a6 mm diameter immediate release tablet of artesunate (with the addition of contrast agent barium sulphate to the drug-containing mixture) was prepared as in experimental example 1.
The method comprises the following steps: the artesunate quick-release tablet containing the contrast agent is pushed into the stomach of New Zealand rabbits by a catheter, and the retention condition of the artesunate quick-release tablet containing the contrast agent is observed by a portable X-ray machine at 0, 2, 4 and 6 hours respectively.
Results: x-ray shows that in the artesunate quick-release tablet containing barium sulfate, the whole tablet is black, and is shown in figure 8. With the extension of time, the artesunate quick-release tablet containing barium sulfate is gradually dissolved, and after the artesunate quick-release tablet stays in the body for 4 hours, the medicine is not seen, so that the artesunate quick-release tablet has no obvious gastric retention effect and is always at the bottom of the stomach.
Experimental example 8 in vivo residence time of artesunate gastric-retentive tablet
Materials: a7 mm and 8mm diameter artesunate pulse release multi-unit gastric retentive tablet prepared as in example 1, wherein the contrast agent barium sulfate was added to the drug-containing mixture.
The method comprises the following steps: the artesunate pulse release multi-unit gastric retention tablet containing the contrast agent is pushed into the stomach of New Zealand rabbits by a catheter, and the retention condition of the artesunate pulse release multi-unit gastric retention tablet containing the contrast agent is observed by a portable X-ray machine at different times.
Results: x-rays show that in the artesunate pulse release multi-unit gastric retentive tablet containing barium sulfate and with the diameter of 7mm, the quick release unit is a shaded part in the figure, and comprises a quick release unit and a delayed release unit, and is shown in figure 9. The 7mm diameter artesunate pulse release multicell gastroretentive tablet containing barium sulfate was gradually dissolved and at 0 to 2 hours, the shaded portion of the quick release unit was seen. After 4 hours, only the shadow of the delayed release unit was observed and after 12 hours of residence time in the body, the tablet disappeared, demonstrating that the 7mm diameter size artesunate pulse release multi-unit gastric retentive tablet containing barium sulfate was capable of residence in the stomach for 12 hours with a longer residence time than the artesunate immediate release tablet, which was associated with the encapsulation of the former by the blank layer retardation unit.
X-ray shows that in the 8mm diameter artesunate pulse release multi-unit gastric retentive tablet containing barium sulfate, the quick release part is a shaded part in the figure, and comprises a quick release unit and a delayed release unit, and is shown in figure 10. The 8mm diameter artesunate pulse release multicell gastroretentive tablet containing barium sulfate was gradually dissolved and at 0 to 2 hours, the shaded portion of the quick release unit was seen. At 2 hours, the quick release unit gradually dissolved and detached from the tablet. After 4 hours, only the shadow of the delayed release unit was observed and after 20 hours of residence in the body, the contrast of the sheet gradually decreased, demonstrating that the 8mm diameter artesunate pulse release multi-unit gastric retentive sheet containing barium sulfate was capable of residence in the stomach for 20 hours, with a residence time longer than the artesunate immediate release sheet and the 7mm diameter artesunate pulse release multi-unit gastric retentive sheet, which was related to the encapsulation of the former by the blocking unit.
In the future, a proper prescription and a proper process of the artesunate pulse release multi-unit gastric retention tablet can be selected according to the requirements of drug treatment so as to realize long-time retention.
Claims (10)
1. A multi-unit gastric retentive tablet for pulse releasing medicine comprises a quick release unit, a blocking unit, and a delayed release unit.
2. The application of pulse released medicine multi-unit gastric retention tablet in preparing medicine for treating hypertension, angina pectoris, bronchial asthma, rheumatism and diabetes includes fast release unit, retarding unit and delayed release unit.
3. The multi-unit gastroretentive tablet of claim 1 and the use of claim 2, wherein the quick release unit comprises a drug, a binder, a disintegrant, the retarding unit comprises a hydrophobic material, a binder, and the delayed release unit comprises a drug, a binder, a disintegrant.
4. The multi-unit gastroretentive tablet of claim 1 and the use of claim 2, wherein the drug in the quick release unit and the delayed release unit is the same drug.
5. The multi-unit gastroretentive tablet of claim 1 and the use of claim 2, wherein the binder and disintegrant in the quick release unit and the delayed release unit are the same.
6. The multi-unit gastroretentive sheet of claim 1 and the use of claim 2, wherein the delayed release unit is fully enclosed by the blocking unit, the quick release unit being outermost.
7. The multi-unit gastroretentive tablet of claim 1 and the use of claim 2, wherein the quick release unit releases the drug quickly in the stomach, the blocking unit dissolves slowly, the delayed release unit starts to release the drug after a certain delay, the effect of pulse release of the drug is obtained, and the drug is released in the stomach at all times.
8. The multi-unit gastroretentive tablet of claim 1 and the use of claim 2, wherein the volume of the quick release unit is designed according to the dose required for the first release of the drug, the volume of the blocking unit is designed according to the length of the delay time, and the volume of the delay release unit is designed according to the dose required for the pulsed release of the drug.
9. The multi-unit gastric retentive sheet of claim 1 and the use of claim 2, wherein the multi-unit gastric retentive sheet is retained in the stomach for a period of time exceeding 8 hours and the time for pulsatile release of the drug is greater than 6 hours.
10. The multi-unit gastroretentive sheet of claim 1 and the use of claim 2, wherein the preparation method of the multi-unit gastroretentive sheet is a 3D printing method.
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