CN1596105A - 含有甾类激素和含有丙二醇单辛酸酯的透皮治疗系统 - Google Patents

含有甾类激素和含有丙二醇单辛酸酯的透皮治疗系统 Download PDF

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CN1596105A
CN1596105A CNA028239059A CN02823905A CN1596105A CN 1596105 A CN1596105 A CN 1596105A CN A028239059 A CNA028239059 A CN A028239059A CN 02823905 A CN02823905 A CN 02823905A CN 1596105 A CN1596105 A CN 1596105A
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F·特奥巴尔德
R·艾夫勒
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LTS Lohmann Therapie Systeme AG
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    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
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    • AHUMAN NECESSITIES
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    • A61K9/7046Transdermal patches of the drug-in-adhesive type, i.e. comprising drug in the skin-adhesive layer the adhesive comprising macromolecular compounds
    • A61K9/7053Transdermal patches of the drug-in-adhesive type, i.e. comprising drug in the skin-adhesive layer the adhesive comprising macromolecular compounds obtained by reactions only involving carbon to carbon unsaturated bonds, e.g. polyvinyl, polyisobutylene, polystyrene
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    • A61K47/14Esters of carboxylic acids, e.g. fatty acid monoglycerides, medium-chain triglycerides, parabens or PEG fatty acid esters
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Abstract

本发明涉及含有至少一种甾类激素和作为渗透促进剂的丙二醇单辛酸酯的透皮治疗系统。本发明也涉及所述治疗系统的制备方法,以及其在激素替代治疗和避孕中的使用。

Description

含有甾类激素和含有丙二醇单辛 酸酯的透皮治疗系统
透皮治疗系统(TTS)是一种药物制剂形式,其具有层状结构,有一个不渗透活性成分的背衬层、一个含有活性成分的储库层及可以保证牢固接触使用者皮肤表面的粘贴层。有整体基质系统的类型,其中含有活性成分的储库层和粘贴层是同一的;有储库的类型,其中附加的速度-控制膜被置于含有活性成分的储库层与粘贴层之间;有具有至少两个含有活性成分的储库层的多层基质系统的类型,以及含有微储库的TTS类型。共同的是,在整个给药期间它们能持续地提供活性成分。因此在它们的浓度时间关系上同样是持续滴注。现今在医药市场上有许多具有不同活性成分的透皮治疗系统。
对于透皮治疗系统,最重要的适应征领域之一是激素替代治疗。特别是绝经后的激素替代可以有利地通过透皮治疗系统实现。在初期主要使用含有雌激素的单一制剂于绝经后的激素替代,随后的趋势是使用含有雌激素和促孕激素的透皮组合贴剂的组合。这样的用于避孕的活性成分的组合的应用同样可以借助透皮治疗系统。
睾酮,这种雄性激素同样也在甾类激素中应用于激素替代治疗(例如,用于治疗性腺功能减退)。
为了达到对于上述适应征所需要的血浆浓度,经常需要所谓的渗透促进剂(渗透增强剂)。它们增强活性成分从透皮治疗系统到血循环的转移。另外,它们增强透皮治疗系统活性成分的利用,同样也是药学-经济的原因所要求和值得做的。这意味着同样的治疗效果是可能以负载在透皮治疗系统中较少的活性成分达到。对于患者使用这种渗透促进剂的优点是,透皮治疗系统应用的面积减少,由此可以增加使用者的顺应性。
US 5,122,383公开了脱水山梨糖醇酯的使用,US 4,863,738公开了甘油单油酸酯的使用,已知分别在透皮治疗系统甾类的应用中作为渗透促进剂。
EP-A-279 977描述了丙二醇月桂酸酯和丙二醇二壬酸酯作为渗透促进剂用于性激素(孕酮和雌二醇)的透皮给药。
EP-A-272 987公开了丙二醇的单和双脂肪酸酯的使用,特别是丙二醇单和双月桂酸酯、丙二醇单棕榈酸酯、丙二醇单硬脂酸酯和丙二醇单油酸酯在透皮治疗系统中作为经皮的吸收增强剂,其中活性成分还可以有甾类和芬太尼或芬太尼衍生物。
现在令人惊奇地发现,在丙二醇单脂肪酸酯的使用中,在现有技术中作为渗透促进剂使用的众多丙二醇脂肪酸酯中未提及的,即丙二醇单辛酸酯在含有甾类激素的透皮系统中作为渗透促进剂的使用得到了意料不到的高的活性成分转运流,特别是促孕激素类和睾酮。根据本发明考虑下列用作为甾类激素:雌二醇、乙炔雌二醇,作为促孕激素类的孕酮、甲羟基孕酮、羟基孕酮、左炔诺孕酮、醋酸炔诺酮、炔诺孕酮、利奈孕酮、双醋炔诺醇、烯丙雌醇、孕激素(17α)-17-羟基-11-亚甲基-19-去甲孕甾-4,15-二烯-20-炔-3-酮(Org 30659的命名,由Organon,Oss,NL提供)以及其它,如雄性激素睾酮(在此并非受限于所列举的)。
以下实施例1和2显示,使用5%丙二醇单辛酸酯可以提高活性成分的转运约15%(促孕激素类)或约20%(睾酮)。
测量按以下执行:使用一种经修饰的Franz扩散细胞和分别使用4.1cm2有效扩散面积的透皮治疗系统。测试温度是32℃。在人类皮肤的表皮测量活性成分的转运流。使用的受体是0.1%羟丙基-β-环糊精+0.1%NaN3的水溶液,受体的体积是9ml(32、48、56和72小时后体积变化)。
实施例1
配方     重量%     3天后经累积的活性成分量[μg/cm2]
促孕激素(0rg 30659)Durotak 2287     5.095.0     44.7
促孕激素(Org 30659)Durotak 2287丙二醇单辛酸酯     5.090.05.0     51.3
实施例2
配方     重量%     3天后经累积的活性成分量[μg/cm2]
睾酮(Org 30659)Durotak 2287     2.098.0     30.2
睾酮(Org 30659)Durotak 2287丙二醇单辛酸酯     2.093.05.0     36.2

Claims (10)

1.透皮治疗系统,其含有至少一种甾类激素和作为渗透促进剂的丙二醇单辛酸酯。
2.根据权利要求1的透皮治疗系统,其特征在于,作为甾类激素使用雌二醇、乙炔雌二醇、孕酮、甲羟基孕酮、羟基孕酮、左炔诺孕酮、(17α)-17-羟基-11-亚甲基-19-去甲孕甾-4,15-二烯-20-炔-3-酮(Org30659)、醋酸炔诺酮、炔诺孕酮(Norgestrel)、利奈孕酮、烯丙雌醇、双醋炔诺醇或睾酮。
3.根据权利要求1或2的透皮治疗系统,其特征在于,含有促孕激素与活性成分雌二醇或乙炔基雌二醇的组合。
4.根据权利要求3的透皮治疗系统,其特征在于,作为促孕激素含有以Org30659命名的化合物。
5.根据前述权利要求一项或多项的透皮治疗系统,其特征在于,含有活性成分的基质由一种聚合物选自聚丙烯酸酯、聚二甲基硅氧烷、聚异丁烯、聚苯乙烯、苯乙烯-异戊二烯-苯乙烯嵌段共聚物、苯乙烯-丁二烯-苯乙烯嵌段共聚物、树脂、乙基乙烯乙酸酯或至少两种上述聚合物的组合物组成。
6.根据前述权利要求一项或多项的透皮治疗系统,其特征在于,丙二醇单辛酸酯的含量为1-20重量%,优选为2-10重量%。
7.根据前述权利要求一项或多项的透皮治疗系统,其特征在于,用于激素替代治疗。
8.根据权利要求1-6中一项或多项的透皮治疗系统,其特征在于,用于避孕。
9.丙二醇单辛酸酯用于提高甾类激素的透皮活性成分转运的用途。
10.根据权利要求9的用途,其特征在于,相关的甾类激素选自雌二醇、乙炔雌二醇、孕酮、甲羟孕酮、羟基孕酮、左炔诺孕酮、(17α)-17-羟基-11-亚甲基-19-去甲孕甾-4,15-二烯-20-炔-3-酮(Org30659)、醋酸炔诺酮、炔诺孕酮、利奈孕酮、烯丙雌醇、双醋炔诺醇或睾酮。
CNA028239059A 2001-12-01 2002-11-16 含有甾类激素和含有丙二醇单辛酸酯的透皮治疗系统 Pending CN1596105A (zh)

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DE10159120A DE10159120B4 (de) 2001-12-01 2001-12-01 Steroidhormonhaltige transdermale therapeutische Systeme enthaltend Propylenglycolmonocaprylat und seine Verwendung
DE10159120.9 2001-12-01

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CN111542311A (zh) * 2017-12-27 2020-08-14 东亚St株式会社 用于治疗痴呆症的含有多奈哌齐的透皮吸收制剂
CN111542311B (zh) * 2017-12-27 2023-07-14 东亚St株式会社 用于治疗痴呆症的含有多奈哌齐的透皮吸收制剂

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JP2005531493A (ja) 2005-10-20
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US20050118244A1 (en) 2005-06-02
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IL162196A0 (en) 2005-11-20
AU2002365624A1 (en) 2003-06-17
MXPA04005211A (es) 2004-08-19
DE10159120A1 (de) 2003-06-12
CA2465395A1 (en) 2003-06-12
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