The 5-fluorouracil floating in stomach that is used for curing gastric cancer is detained double-layer sustained release tablets
Technical field
The present invention relates to a kind of oral slow-releasing preparation at the stomach treating malignant tumor, the characteristics of said preparation are that it can rise rapidly after oral and float, and swim in all the time on the gastric juice, the drug slow of drug-loaded layer discharges lastingly, thereby tumor stomach is produced persistent lethal effect.Therefore, the prepared preparation of the present invention late gastric cancer patient of treatment that can be used for to undergo surgery.
Background technology
Gastric cancer is a kind of common malignant disease, is the main diseases therefore of causing death in the global range, and brings very big difficulty to clinical treatment.Because the gastric cancer onset is concealment, the patients with gastric cancer major part of present domestic clinical definite all belongs to progressive stage, and the Patients with Gastric Cancer of early discovery is less than 50%.The treatment effect of advanced gastric carcinoma is unsatisfactory, domestic document announcement, 5 years survival rates of advanced gastric carcinoma only about 15%, and foreign data also only has 5~40%.Treatment at present is as follows in the method that treatment gastric cancer adopts often:
Surgical radical treatment: effective Therapeutic Method of gastric cancer is still based on the radical-ability surgical operation at present, and behind the early gastric cancer radical excision, survival rate can reach more than 90% in 5 years.But at present great majority belong to middles and advanced stage in China's patients with gastric cancer of going to a doctor, and cell transfer makes the 50% patient excision that can't undergo surgery, and for such patient, 5 years survival rates of postoperative also have only 20%~30%.
Intravenous drip chemotherapy: use low dose of persistent instillation 5-fluorouracil treatment gastric cancer, obtained preferably curative effect and caused extensive concern.Treated 35 routine gastric cancer in 240 hours with the 5-fluorouracil persistent instillation, persistent instillation group effective percentage is 51.4%, and conventional intravenous drip group effective percentage only is 25.0%.But, continue intravenous drip and compare with conventional intravenous drip 5-fluorouracil, bigger to the digestive tract mucosa injury.
Interventional therapy: but for the patients with advanced gastric cancer of radical resection, before the surgery art, postoperative can implement tremulous pulse and get involved chemotherapy; To patients with advanced gastric cancer that can not radical resection, also can select corresponding interventional therapy.Owing to be local application, systemic drug concentration obviously lowers than intravenous chemotherapy, and incidence of vomiting is very low.Perfusion thromboembolism posterior tuberosity body ischemia makes microcirculation form obstacle, and along with the prolongation of time, the toxic action of chemotherapeutics makes the oncocyte necrosis.
Compare with systemic chemotherapy, interventional therapy can make the lesion tissue local concentration improve really, and still, chemotherapeutics unavoidably enters other organ-tissue with blood flow, not only causes the waste of medicine, also other histoorgan is caused certain harm.In addition, because chemotherapeutics is to pass through intravenously administrable, medicine all can produce certain effect to each organ of whole body, toxicity is bigger, if the medicine of treatment gastric cancer can be located release under one's belt, then can reduce the toxic and side effects of medicine greatly, but because the influence of physiologic factor such as gastric peristalsis and diet, medicine is short stay under one's belt only.Therefore, needs are a kind of can be at the new oral targeted drug preparation of stomach site-specific delivery of drugs, and this treatment to gastric cancer has crucial meaning.
Description of the invention
The objective of the invention is to provide a kind of side effect low and have 5-fluorouracil floating in stomach retention sustained-release sheet of targeting characteristics and preparation method thereof.
The present invention also aims to provide a kind of double-deck gastric floating slow-release preparation of being formed by drug-loaded layer and floating layer, it is characterized in that said drug-loaded layer regulates material by 5-fluorouracil, hydrophilic macromolecule gel rubber material, drug release and forms, form by hydrophilic macromolecule gel rubber material, foaming agent, expanding material and auxiliary floating material for said floating layer.
In the present invention, the gross weight of drug-loaded layer is between 150~250mg, and the gross weight of floating layer is between 150~250mg, and preferred weight is 200mg, and the content of 5-fluorouracil is between 50~120mg in the drug-loaded layer.
In the present invention, used hydrophilic high molecular material can be selected from high viscosity hydroxypropyl emthylcellulose, sodium alginate or their mixture in the drug-loaded layer, and it is optional from polyvinylpyrrolidone, Polyethylene Glycol, microcrystalline Cellulose, low-viscosity hydroxypropylmethylc,llulose or their mixture that drug release is regulated material; The hydrophilic macromolecule gel rubber material of said floating layer can be selected from the high viscosity hydroxypropyl emthylcellulose, foaming agent can be selected from sodium bicarbonate, swollen magnesium carbonate or their mixture, expanding material is card pool nurse 934, and auxiliary floating material can be selected from magnesium stearate, starch or and derivant or their mixture.
In the present invention, as the viscosity of the high viscosity hydroxypropyl emthylcellulose of drug-loaded layer hydrophilic high mol gel between 4000~100000 centipoises, said polyvinylpyrrolidone is PVP K29~32, said Polyethylene Glycol can be selected from PEG4000, PEG6000 or its mixture, and said low-viscosity hydroxypropylmethylc,llulose is HPMC E15 LV; The viscosity of said hydroxypropyl emthylcellulose as floating layer hydrophilic high mol gel is between 4000~100000 centipoises.
In one embodiment of the invention, the ratio of hydrophilic macromolecule gel rubber material and foaming agent is 1: 0.1 to 1: 1.0 in the floating layer, and the ratio of hydrophilic macromolecule gel rubber material and auxiliary floating material is 1: 2.5 to 1: 3.5.
Tablet of the present invention is to be prepared with method commonly used in the prior art, for example, drug-loaded layer and floating layer can be pulverized 80~00 mesh sieves with used raw material and used part or all of adjuvant respectively, mix homogeneously, adopt wet granulation technique or in method granulation technique or two kinds of granulation techniques that method of granulating combines, mixture to raw material and various adjuvants is granulated, and fills it into successively then in the punch die, with diameter 8~12mm mould tabletting.The hardness of the prepared tablet of the present invention is generally between about 30~100N.
The detection method of tablet of the present invention relevant dissolution in according to Pharmacopoeia of the People's Republic of China version appendix in 2000 is measured for the release medium carries out external medicine stripping with the simulated gastric fluid, all can satisfy following release rule: release 10~35% in 1 hour, release 30~45% in 2 hours, release 40~60% in 3 hours, release 50~75% in 5 hours, and release was more than 90% in 6 hours.In the example of the present invention all floating tablets the external flotation time all greater than 6 hours.
The double-deck floating slow-release tablet of the present invention preparation is met the foaming agent that gastric juice can aerogenesis because floating layer contains, and therefore, and can expand after gastric juice contacts, and makes the density of whole double-layer tablet be lower than density of medium, can swim in above the gastric juice.The macromolecular material of floating layer with can form gel after gastric juice contacts, the prevention bubble breaks, and therefore, can produce persistent buoyancy.The hydrophilic macromolecule gel rubber material of drug-loaded layer contacts the back and forms gel with water, the mode that combines by corrosion and diffusion with other material is controlled the release of medicine.Therefore, contained medicine can slowly continue to discharge in flotation process, keeps a constant relatively drug level in the gastric part.
Come the present invention is further detailed with following embodiment, but these embodiment can not produce any restriction to the present invention.
Description of drawings
Fig. 1 has represented the floating and release mechanism of the double-deck floating Entogastric lingering slow releasing tablet of 5-fluorouracil of the present invention.
Embodiment
Example 1: with the 5-fluorouracil is model drug, the component of drug-loaded layer: 1 part of 5 fluorouracil, 0.1 part of HPMC K15MCR, 0.3 part of HPMC E15LV, 0.3 part of PEG-4000,0.01 part of PVPK29~32,2 part starch or derivatives thereof, 0.1 part of microcrystalline Cellulose mix, the granule for preparing drug-loaded layer by wet granulation technology: the component of floating layer: 1 part of HPMCK100MCR, 0.4 part of sodium bicarbonate, 3 parts of starch or derivatives thereofs mix, wet granulation, then, in this granule, add 0.3 part of card pool nurse and 0.2 part of magnesium stearate again, mix.In 1: 1~1: 1.5 ratio was in the punch die of 11mm to diameter with drug-loaded layer and the particles filled of floating layer respectively successively, tabletting.
Example 2: with the 5-fluorouracil is model drug, and drug-loaded layer comprises: 1 part of 5-fluorouracil and 0.2 part of HPMC K15MCR, 0.3 part of HPMC E15LV, 0.1 part of PEG-4000,2 parts of starch or derivatives thereofs prepare the granule of drug-loaded layer by wet granulation technology; The composition of floating layer and preparation method are in the punch die of 11mm to diameter with drug-loaded layer and the particles filled of floating layer with example 1 respectively in 1: 1~1: 1.5 ratio successively, tabletting.
Example 3: with the 5-fluorouracil is model drug, drug-loaded layer: 1 part of 5-fluorouracil mixes with 0.15 part of HPMC K15MCR, 0.2 part of HPMC E15LV, 0.2 part of PEG-4000,0.3 part of PVPK29~32,2 part starch or derivatives thereof, 0.15 part of microcrystalline Cellulose, prepares the granule of drug-loaded layer by wet granulation technology; The composition of floating layer and preparation method are in the punch die of 11mm to diameter with drug-loaded layer and the particles filled of floating layer with example 1 respectively in 1: 1~1: 1.5 ratio successively, tabletting.
Example 4: with the 5-fluorouracil is model drug, with drug-loaded layer: 1 part of 5-fluorouracil mixes with 0.2 part of HPMC K15MCR, 0.3 part of HPMC E15LV, 0.1 part of PEG-4000,0.3 part of PVPK29~32,2 part starch or derivatives thereof, 0.1 part of microcrystalline Cellulose, prepares the granule of drug-loaded layer by wet granulation technology; The composition of floating layer and preparation method are in the punch die of 11mm to diameter with drug-loaded layer and the particles filled of floating layer with example 1 respectively in 1: 1~1: 1.5 ratio successively, tabletting.
Example 5: with the 5-fluorouracil is model drug, drug-loaded layer is: 1 part of 5-fluorouracil and 0.24 part of HPMC K15MCR, 0.3 part of HPMC E15LV, 0.15 part of PEG-4000,0.15 part of PVP K29~32,1.8 part starch or derivatives thereof, 0.3 microcrystalline Cellulose prepare the granule of drug-loaded layer by wet granulation technology; The composition of floating layer and preparation method are in the punch die of 11mm to diameter with drug-loaded layer and the particles filled of floating layer with example 1 respectively in 1: 1~1: 1.5 ratio successively, tabletting.