CN1718239A - Oral adhering piece for treating oral exulceratio, and its prepn. method - Google Patents
Oral adhering piece for treating oral exulceratio, and its prepn. method Download PDFInfo
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- CN1718239A CN1718239A CN 200510004909 CN200510004909A CN1718239A CN 1718239 A CN1718239 A CN 1718239A CN 200510004909 CN200510004909 CN 200510004909 CN 200510004909 A CN200510004909 A CN 200510004909A CN 1718239 A CN1718239 A CN 1718239A
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Abstract
An oral sticking sheet of the recombinant human granulocyte-macrophage colony stimulating factor for treating oral ulcer is composed of a water-insoluble protecting layer and an adhesive layer containing said active medicine, adhesive, the stabilizer for stabilizing the activity of protein and percutaneous absorption promoter.
Description
Technical field
The present invention relates to a kind of Oralease thing macrophage colony stimulating factor of recombinant human granulocyte oral cavity sticking tablet and preparation method thereof.
Background technology
Oral ulcer is a kind of commonly encountered diseases, frequently-occurring disease.Its sickness rate accounts for about 15% of the total case of oral cavity outpatient service.The reason that oral ulcer causes has multiple, and is low as autoimmunity; Vitamin deficiency; Individual wound healing obstacle; Various viruses are invaded the oral cavity; Reasons such as the blood middle leukocytes level is low can cause oral ulcer.Though the non-serious disease of oral ulcer, because the morbidity people has at each age group, and the course of disease is long, is difficult to healing, influences diet even talk, so that extensive patients is looked forward to having is a kind of easy to use, and eutherapeutic pharmaceutical dosage form.
At present, the medicine of treatment oral ulcer has severally, and Chinese medicine has powders such as XILEI SAN, BINGPENG SAN, but the inconvenience when using of this dosage form, even and it is applied to the affected part, run off also very soon with saliva, limited giving full play to of its medicine.Western medicine has gargarism, aureomycin hydrochloride crystalline ointment, the membrane of B2 film and some other medicines, the antiulcer pharmaceutical grade protein product that also do not go on the market now.Gargarism is shorter action time; Ointment is difficult to be applied to the affected part; Though membrane can be affixed on ulcer surface, generally dissolving disappears about a few minutes, and the drug osmotic effect is not enough, and the effect performance is not enough.The domestic medicine membrane of having produced that is used for oral ulcer has sitoesterol film (pharmaceutical factory, the Yellow River), rifamoin membrane (Beijing the 6th pharmaceutical factory), bacteriolyze enzyme membrane (biological pharmaceutical factory, Wuhan), the clotrimazole film, Lac regis apis serous coat (Wuhan the 3rd pharmaceutical factory), dexamethasone Chinese medicine and western medicine compound stomatocase-treating film, dexamethasone acetate plaster (Mrs's Pharmaceutical).Above membrane is the monolayer membrane of membrane material with polyalkenylalcohols or sodium carboxymethyl cellulose all, and retention time generally is no more than 5 minutes in the oral cavity, and longer administration time can not be arranged.The domestic sticking tablet that is used for oral ulcer has the metronidazole stomatocace sticking tablet, can stick in the oral cavity long period, but thickness is bigger, and shortcomings such as sense of discomfort and drug loss are big are arranged.Dexamethasone acetate plaster has overcome above deficiency, but because the effect of its principal agent restriction, the oral ulcer that only the part cause of disease is caused works, as because the oral ulcer that causes during leukopenia that HIV or a variety of causes cause does not just have due effect.
PHarm.Int., 6,196-200,1985 have reported a kind of double-deck oral ulcer sticking tablet commodity that contain triamcinolone acetonide (triamcinolone acetonide) that Japan releases in the eighties, commodity are called AFTACH.Pastille bed thickness 0.4mm is an alite paste with carbopol and hydroxypropyl cellulose; Backing bed thickness 0.7mm is a substrate with the lactose, can stick in the oral cavity for a long time.
Japan Kyukyu yakuhin Kogyo K.K. releases a kind of double-deck membrane that contains triamcinolone acetonide in the nineties, and commodity are called WAPLON-P.Gross thickness is 0.16mm, and diameter is 12mm, and protective layer is a hydroxypropyl methylcellulose phthalic acid fat, and adhered layer substrate is hydroxypropyl methylcellulose and PVP.These product can stop in the oral cavity about 30 minutes.
British patent (1279214) has been introduced the double-deck membrane of a kind of sodium alginate and calcium alginate, and medicine is an amphotericin, is used for the treatment of oral ulcer.
J.PHarm.Sci., 73,548-552,1989 have reported with the neutral methacrylic acid of part to be the oral cavity pasting film treatment oral mucosal injury of substrate.
J.Clin.PHarm.Ther., 14,153-158,1989 have reported that the stickup tablet betamethasone made from macromolecule CMC-Na is a principal agent, can keep four hours nine.
J.PHarm.Sci., 79,116-119,1990 have reported the tablet of oral cavity pasting, the application of its material HPC and Carbopol
J.Control Rel., 6,123-131,1987 have reported the three layers of sticking tablet in oral cavity, the long-time cortisone hormones of carrying in the oral cavity.
Int.J.PHarmaceut, 49,231-240,1989 have reported the hydrogel stickup film that contains notacoria.
Int.J.PHarmaceut, 49,231-240,1989 have reported a kind of double-deck oral cavity pasting film, and one deck is the impermeability notacoria, and one deck is the hydrogel that contains hormone.
Still do not have at present the sticking tablet that uses macrophage colony stimulating factor of recombinant human granulocyte to make, more not having one deck is the adhesion layer that contains pharmaceutical grade protein; Another layer is the report of the double-deck oral cavity sticking tablet agent of water-fast protective layer.
Macrophage colony stimulating factor of recombinant human granulocyte is the important cytokine of discovered in recent years, because it has the various biological activity, multiple hematopoietic lineage and antiinflammatory reaction is had clearly effect, and be subjected to increasing attention.The hematopoietic cell of GM-CSF in having the atomization that stimulates proliferation, the function of regulating the medullary system mature cell is also played an important role.When the part of human body such as oral ulcer, GM-CSF plays the effect of weak chemical inhibitor, and it can leave inflammation part by the inflammation-inhibiting cell, and can with the G-CSF synergism.Metcalf thinks that GM-CSF and other colony stimulating factor are worked in coordination with in inflammatory reaction and plays a role.GM-CSF can activate neutrophilic granulocyte.Because the effect neutrophilic granulocyte of GM-CSF presents high response to chemotactic factor etc., and strengthens its oxidative metabolism, film depolarization and phagocytic function, simultaneously GM-CSF can also the activated mononuclear cell, macrophage and acidophil in blood and the tissue, and stimulate its propagation, strengthen its function, in addition, GM-CSF also can stimulate other cytokine such as TNF, and the generation of IL-1 etc. this shows, GM-CSF can regulate immunologic function, and has certain immunological enhancement.
In order to illustrate that GM-CSF can strengthen the anti-infective effect, 32 routine patients have selected in University of Munich, wherein 22 examples were accepted the antibiotic therapy more than 3 kinds, all the other 10 examples were also used the antifungal drug of general, found that, numeration of leukocyte is elevated to normal person rapidly behind every use GM-CSF, and its required antibiotic therapy time obviously fails rapidly than numeration of leukocyte behind those uses GM-CSF that rising person lacks, and this result illustrates that effectively GM-CSF has certain anti-infection ability.When tumor patient needs chemicotherapy, usually can be with the ulcer of parts of body, wherein stomatocace is than common phenomena.We once gargled with the aqueous solution of GM-CSF or adopted the method for local application to use the effect that can play healing to patient, the stomatocace that causes in radiotherapy year at position such as human GM-CSF collutory such as Rovirosa treatment cervical region for example: have the state of an illness of 9 examples (75%) to be clearly better among 12 patients, 50% patient feels hypodynia, do not see other side effect that GM-CSF is relevant, in contrast, 12 routine patients' ulcer all has and increases the weight of, none example takes a turn for the better, and the presentation of results GM-CSF oral ulcer that leukopenia causes behind the low and chemicotherapy to immune function has tangible effect.Wandl has reported the skin ulcer for the treatment of the patient with breast cancer with GM-CSF, has also obtained gratifying effect.For the infection that a lot of complicated reasons cause, GM-CSF also has significant effect.Think that as Jiang Li people such as rue GM-CSF plays an important role in the process with immunity of causing a disease of dengue virus.
We confirm further that by zoopery GM-CSF antagonism herpes simplex infections is effective in cure.More than the explanation macrophage colony stimulating factor of recombinant human granulocyte is a kind of anti-infectives safely and effectively, has been widely used in improving leukocyte clinically.As topical, macrophage colony stimulating factor of recombinant human granulocyte gel as China Patent No. 02150093.2 and China Patent No. 0310044.X invention, the ulcer of main treatment skin burn, scald and skin or mucosa, but the time that gel is detained in the skin affected part is short, be removed easily, especially oral cavity medicine, thus gel is not reached the very good effect of treatment oral ulcer especially easily by saliva watering down.And oral cavity sticking tablet has just overcome this shortcoming, especially uses new technology that macrophage colony stimulating factor of recombinant human granulocyte is made the double-deck tablet of pasting, and has embodied its distinctive feature especially.This high molecular weight protein class medicine preparation in report was yet once arranged.
Summary of the invention
The purpose of this invention is to provide a kind of with the oral cavity sticking tablet of Granulocyte Colony-stimulating as the treatment oral ulcer of active component.
A further object of the present invention provides preparation with the method for Granulocyte Colony-stimulating as the oral cavity sticking tablet of the treatment oral ulcer of active component.
The oral cavity sticking tablet of treatment oral ulcer of the present invention with the Granulocyte Colony-stimulating as active component; and this tablet is divided into two-layer; one deck is the adhesion layer that contains active component; one deck is water-fast protective layer; the mass ratio of adhesion layer and protective layer is 1: 1～5: 1, with 4: 1 as preferably.Through repeatedly a large amount of tests, screened a large amount of prescriptions, determined that the adhesion layer of this oral cavity sticking tablet is made up of principal agent, stabilizing agent, cutaneous permeable agent and adhesive agent.Wherein with listed as parts by weight, principal agent accounts for 0.01～0.5 part of preferred 0.05 weight portion, 10～50 parts of stabilizer comprises, cutaneous permeable agent and accounts for 0.01～0.5 part, adhesive agent and account for 0.5～20 part.
The stabilizing agent of oral cavity sticking tablet of the present invention comprises glycerol, propylene glycol, vitamin B2, human albumin, lactose, sodium alginate, hyaluronic group complex stabilizer for one or more are selected from, preferred described stabilizing agent is that vitamin B2, sodium alginate, human albumin, lactose are united as stabilizing agent, and its weight ratio is 1: 5: 1: 10.This stabilizing agent not only keeps the effective biological activity of principal agent for a long time, and has improved the drug effect of sticking tablet effectively.
The cutaneous permeable agent of oral cavity sticking tablet of the present invention comprises lecithin, sodium cholate for one or more are selected from, the material of the group of NaTDC, oleic acid, sodium lauryl sulphate, polyoxyethylene sorbitan monoleate, Brij, preferred described cutaneous permeable agent is lecithin and polyoxyethylene sorbitan monoleate, and its weight ratio is 1: 1～4: 1.This compound cutaneous permeable agent not only can biodegradation, biomembrane is not had any destruction, and it can improve the part of principal agent body or the bioavailability of whole body fully.
The adhesive agent of oral cavity sticking tablet of the present invention comprises that for one or more are selected from adhesive agent (or claiming adhesive) is the material by the group of carbomer, sodium carboxymethyl cellulose, hydroxypropyl cellulose, hydroxypropyl emthylcellulose, magnesium stearate, preferred described adhesive agent is carbomer, hydroxypropyl cellulose and magnesium stearate, and its weight ratio is 20: 10: 0.1.
The protective layer of oral cavity sticking tablet of the present invention comprises acrylic resin, polyvinyl alcohol 17-88, and glycerol, flavochrome, dioctyl phthalate, and its weight ratio is 25: 30: 5: 4: 3, used pigment was a flavochrome.
The preparation method of oral cavity sticking tablet of the present invention may further comprise the steps:
1) preparation contains the granule of macrophage colony stimulating factor of recombinant human granulocyte: with macrophage colony stimulating factor of recombinant human granulocyte and propylene glycol, vitamin B2, stabilizing agents such as human albumin are with urging cutaneous permeable agent by 0.05～1.0: 5～20: 0.4 weight ratio is mixed and made into solution, with hyaluronic acid, stabilizing agent such as sodium alginate and lactose with adhesive agent by 25～50: 10～40 weight ratio is made mixed-powder, then solution is joined and fully mixed in the powder 10～20 minutes, after crossing 20 mesh sieves, 35 ℃～42 ℃ dryings 1～3 hour are crossed 18 mesh sieve granulate;
2) tabletting, the adhesive agent of adding 0.5～20 weight portion, tabletting then;
3) at tablet surface spraying protective layer: polyvinyl alcohol 17-88 is added in 70ml～100ml distilled water by 3.0～8.0 weight portion; 80 ℃ of heating make dissolving fully. and again by weight 8.0: 3.0: 1.0: 0.5 adds glycerol, acrylic resin, dioctyl phthalate, flavochrome grinding evenly; evenly be sprayed at the tablet surface with Membrane jetter; after 25 ℃～40 ℃ dryings, form the protective layer of tablet.
The present invention is to provide a kind of macrophage colony stimulating factor of recombinant human granulocyte oral cavity sticking tablet, this sticking tablet is the bilayer tablet that contains protein drug that adopts a kind of novelty that the anti-water-based of solubility bioadhesive macromolecular material that macro-molecular protein is shielded and slightly solubility water makes.Wherein one deck is the adhesion layer of pastille, and the composition that contains in this layer not only strengthens the tablet adhesiveness, but also has guaranteed the stability of principal agent, improves the drug effect of medicine, makes the medicine nonirritant, is absorbed by skin or mucosa affected part easily; Water-fast another layer is a protective layer; can delay medicine at intraoral course of dissolution; prevent that medicine is to the two-way adhesion at gums and oral mucosa of the dissolving of the offside of oral mucosa and tablet; thereby medicine is infiltrated to ulcer surface; also reduce simultaneously the sense of discomfort of this sticking tablet in the oral cavity; increase the action time of medicine, improve the curative effect of local action medicine.In listing treatment stomatocace medicine, also do not have pharmaceutical grade protein, more do not have the macrophage colony stimulating factor of recombinant human granulocyte oral cavity sticking tablet.The principal agent that this mouthful paster is selected for use is the pharmaceutical grade protein macrophage colony stimulating factor of recombinant human granulocyte that antiulcer action is arranged, and this factor oral ulcer that low and leukopenia etc. causes for immunocompetence has specially good effect.So being made the oral cavity pasting tablet, principal agent not only can the long period stick on wound surface, make the part have medicine higher, the long period to be detained and to keep curative effect preferably, and compare with the injection of this principal agent, the dosage of same treatment oral disease reduces greatly, and has reduced the whole body side reaction.In addition, as oral cavity sticking tablet, not appearing in the newspapers as yet so far has this protein-based dosage form.In this oral cavity sticking tablet, the content of principal agent macrophage colony stimulating factor of recombinant human granulocyte is 0.01～0.5 weight portion, is preferably 0.05 weight portion.
As mentioned above, macrophage colony stimulating factor of recombinant human granulocyte oral cavity sticking tablet of the present invention is the agent of a kind of protein double-layer paster, and it is different from existing independent chemical antiinflammatory paster and common hormone medicine on the market, and is without any side effects.Drug effect is clear and definite, and drug safety, life-time service do not have any potential danger factor yet.This double-layer paster agent is the complex tablet of the unidirectional release of a kind of bilayer.Wherein one deck is the adhered layer of the macromolecule composition pastille of solubility, and another layer is the protective layer of the molecular not pastille of insoluble high score.
Aforesaid macrophage colony stimulating factor of recombinant human granulocyte oral cavity sticking tablet, its preparation method is: with containing the complex stabilizer vitamin B2, the phosphate buffer solution of human albumin and compound cutaneous permeable agent lecithin and polyoxyethylene sorbitan monoleate is diluted to certain concentration with the stock solution of macrophage colony stimulating factor of recombinant human granulocyte, mix the back then granulates with lactose, dry back adds carbomer (carbopol), sodium alginate and magnesium stearate, tabletting behind the mix homogeneously, to contain acrylic resin again, polyvinyl alcohol 17-88, o-phthalic acid dibutyl ester, the solution spraying of glycerol and pigment obtains the macrophage colony stimulating factor of recombinant human granulocyte oral cavity sticking tablet in the tablet surface after the drying.Used macrophage colony stimulating factor of recombinant human granulocyte is to contain macrophage colony stimulating factor of recombinant human granulocyte secretions by what the thalline fermentation expression went out, through slightly carry, essence puies forward the macrophage colony stimulating factor of recombinant human granulocyte stock solution that obtains meeting national quality testing standard.Other adjuvant is other adjuvant of pharmaceutical grade.
To product process of the present invention illumination (2500LUX), high temperature (25 ℃, 37 ℃), high humidity (RH60%, 75%, 90%), each 10 days influence factor test of air at room temperature, the study on the stability that accelerated test (37 ℃, RH75%) three months and room temperature kept sample 30 months, the outward appearance of preparation, PH, microbial limit, pharmaceutically active, dissolubility etc. have no significant change.
The specific embodiment
Embodiment one:
1, component:
Principal agent: macrophage colony stimulating factor of recombinant human granulocyte (GM-CSF) is according to " Chinese biological goods rules " (2000 editions), adopts the thalline fermentation, the stock solution of column chromatography technology preparation.
Stabilizing agent: propylene glycol, human albumin, lactose are the pharmaceutical grade commercially available prod.
Cutaneous permeable agent: NaTDC, oleic acid are the pharmaceutical grade commercially available prod.
Adhesive agent: carbomer, magnesium stearate are the pharmaceutical grade commercially available prod.
The adjuvant of protective layer: acrylic resin, polyvinyl alcohol 17-88 is the commercially available product that produce.
2, prepare 1000 principal agent and adjuvant throwing amount:
GM-CSF:0.1g propylene glycol: 5.0g
Human albumin: 5.0g lactose: 40.0g
NaTDC: 0.12g oleic acid: 0.08g
Carbomer: 13.9g magnesium stearate 0.2g
Acrylic resin: 8.9g polyvinyl alcohol 17-88:6.0g
Glycerol: 1.0g
3, preparation method
3.1 preparation contains the granule of principal agent
Get macrophage colony stimulating factor of recombinant human granulocyte stock solution, and take by weighing propylene glycol, human albumin, oleic acid by inventory, with PBS preparation macrophage colony stimulating factor of recombinant human granulocyte diluent 10ml, wherein the concentration of macrophage colony stimulating factor of recombinant human granulocyte is 10.0mg/ml.Take by weighing lactose, carbomer, magnesium stearate by inventory and add airtight material pot, add the macrophage colony stimulating factor of recombinant human granulocyte solution that has prepared again, start mixed 10 minutes, crossed 20 mesh sieves and granulated, and 40 ℃ of dryings were crossed 18 mesh sieve granulate after 1 hour.
3.2 tabletting
With diameter 8 flat stampings promptly, every nearly weighs 100mg, contains macrophage colony stimulating factor of recombinant human granulocyte 10ug (10IU).
3.3 preparation paster protective layer
6.0g polyvinyl alcohol 17-88 is added in the 95ml distilled water, and 80 ℃ of heating make dissolving fully.Add glycerol 1.0g again, acrylic resin 8.9g grinds evenly, evenly is sprayed at the tablet surface with Membrane jetter, after 25 ℃～37 ℃ dryings, forms the protective layer of tablet.
Embodiment two:
1, component:
Principal agent: macrophage colony stimulating factor of recombinant human granulocyte (GM-CSF) is according to " Chinese biological goods rules " (2000 editions), adopts the thalline fermentation, the stock solution of column chromatography technology preparation.
Stabilizing agent: glycerol, lactose, hyaluronic acid are the pharmaceutical grade commercially available prod.
Cutaneous permeable agent: lecithin, oleic acid are the pharmaceutical grade commercially available prod.
Adhesive agent: carbomer, magnesium stearate are the pharmaceutical grade commercially available prod.
The adjuvant of protective layer: polyvinyl alcohol 17-88, dioctyl phthalate, flavochrome is the commercially available prod.
2, prepare 1000 principal agent and adjuvant throwing amount:
GM-CSF:0.3g glycerol: 2.0g
Hyaluronic acid: 5.0g lactose: 30.1g
Lecithin: 0.1g oleic acid: 0.1g
Carbomer: 15.2g magnesium stearate 0.2g
Flavochrome: 0.5g polyvinyl alcohol 17-88:6.0g
Dioctyl phthalate: 2.5g glycerol: 8.0g
3, preparation method
3.1 preparation contains the granule of principal agent
Get macrophage colony stimulating factor of recombinant human granulocyte stock solution, and take by weighing glycerol, hyaluronic acid, oleic acid, lecithin by inventory, with PBS preparation macrophage colony stimulating factor of recombinant human granulocyte diluent 6ml, wherein the concentration of macrophage colony stimulating factor of recombinant human granulocyte is 50.0mg/ml.Take by weighing lactose, carbomer, magnesium stearate by inventory and add airtight material pot, add the macrophage colony stimulating factor of recombinant human granulocyte solution that has prepared again, start mixed 20 minutes, crossed 20 mesh sieves and granulated, and 37 ℃ of dryings were crossed 18 mesh sieve granulate after 2 hours.
3.2 tabletting
With diameter 8 flat stampings promptly, every nearly weighs 80mg, contains macrophage colony stimulating factor of recombinant human granulocyte 30ug (30IU).
3.3 preparation paster protective layer
6.0g polyvinyl alcohol 17-88 is added in the 95ml distilled water, and 80 ℃ of heating make dissolving fully, add glycerol 8.0g again; dioctyl phthalate 2.5g, flavochrome 0.5g grinds evenly, evenly is sprayed at the tablet surface with Membrane jetter; after drying, form the protective layer of tablet.
Embodiment three:
1, component:
Principal agent: macrophage colony stimulating factor of recombinant human granulocyte (GM-CSF) is according to " Chinese biological goods rules " (2000 editions), adopts the thalline fermentation, the stock solution of column chromatography technology preparation.
Stabilizing agent: human albumin, vitamin B2, lactose, sodium alginate are the pharmaceutical grade commercially available prod.
Cutaneous permeable agent: lecithin, polyoxyethylene sorbitan monoleate are the pharmaceutical grade commercially available prod.
Adhesive agent: carbomer, hydroxypropyl cellulose, magnesium stearate are the pharmaceutical grade commercially available prod.The adjuvant of protective layer: acrylic resin, polyvinyl alcohol 17-88, glycerol, dioctyl phthalate, flavochrome is the commercially available prod.
2, prepare 1000 principal agent and adjuvant throwing amount:
GM-CSF： 0.05g
Human albumin: 2.0g vitamin B2: 2.0g
Sodium alginate: 10.0g lactose: 19.8g
Lecithin: 0.15g polyoxyethylene sorbitan monoleate: 0.05g
Carbomer: 20.0g magnesium stearate 0.1g
Hydroxypropyl cellulose: 10.0g glycerol: 8.0g
Acrylic resin: 3.0g polyvinyl alcohol 17-88:3.5g
Dioctyl phthalate: 1.0g flavochrome: 0.5g
3, preparation method
3.1 preparation contains the granule of principal agent
Get macrophage colony stimulating factor of recombinant human granulocyte stock solution, and take by weighing vitamin B2, human albumin, lecithin, polyoxyethylene sorbitan monoleate by inventory, with PBS preparation macrophage colony stimulating factor of recombinant human granulocyte diluent 8ml, wherein the concentration of macrophage colony stimulating factor of recombinant human granulocyte is 6.25mg/ml.Take by weighing sodium alginate, lactose, carbomer, hydroxypropyl cellulose, magnesium stearate by inventory and add airtight material pot, add the macrophage colony stimulating factor of recombinant human granulocyte solution that has prepared again, start mixed 15 minutes, crossing 20 mesh sieves granulates, 37 ℃ of dryings were crossed 18 mesh sieve granulate after 2 hours.
3.2 tabletting
With diameter 8 flat stampings promptly, every nearly weighs 80mg, contains macrophage colony stimulating factor of recombinant human granulocyte 50ug (50IU).
3.3 preparation paster protective layer
4.0g polyvinyl alcohol 17-88 is added in the 95ml distilled water, and 80 ℃ of heating make dissolving fully.Add glycerol 8.0g again, acrylic resin 3.0g, dioctyl phthalate 1.0g, flavochrome 0.5g grinds evenly, evenly is sprayed at the tablet surface with Membrane jetter, after drying, forms the protective layer of tablet.
Embodiment four:
1, component:
Principal agent: macrophage colony stimulating factor of recombinant human granulocyte (GM-CSF) is according to " Chinese biological goods rules " (2000 editions), adopts the thalline fermentation, the stock solution of column chromatography technology preparation;
Stabilizing agent: propylene glycol, human albumin, lactose, sodium alginate are the pharmaceutical grade commercially available prod.
Cutaneous permeable agent: lecithin, sodium lauryl sulphate are the pharmaceutical grade commercially available prod.
Adhesive agent: carbomer, hydroxypropyl cellulose, magnesium stearate are the pharmaceutical grade commercially available prod.
The adjuvant of protective layer: acrylic resin, polyvinyl alcohol 17-88, glycerol, dioctyl phthalate, flavochrome is the commercially available prod.
2, prepare 1000 principal agent and adjuvant throwing amount:
GM-CSF： 0.1g
Human albumin: 3.0g propylene glycol: 5.0g sea
Sodium alginate: 10.3g lactose: 25.1g
Lecithin: 0.1g sodium lauryl sulphate: 0.1g
Carbomer: 20.0g magnesium stearate 0.1g
Hydroxypropyl cellulose: 15.0g glycerol: 8.0g
Acrylic resin: 3.0g polyvinyl alcohol 17-88:4.0g
Dioctyl phthalate: 1.0g flavochrome: 0.5g
3, preparation method:
Preparation method embodiment is with three.
Embodiment five:
1, component:
Principal agent: macrophage colony stimulating factor of recombinant human granulocyte (GM-CSF) is according to " Chinese biological goods rules " (2000 editions), adopts the thalline fermentation, the stock solution of column chromatography technology preparation;
Stabilizing agent: lactose, sodium alginate, hyaluronic acid are the pharmaceutical grade commercially available prod.
Cutaneous permeable agent: lecithin, Brij are the pharmaceutical grade commercially available prod.
Adhesive agent: carbomer, hydroxypropyl cellulose, magnesium stearate are the pharmaceutical grade commercially available prod.
The adjuvant of protective layer: polyvinyl alcohol 17-88, glycerol, dioctyl phthalate, flavochrome is the commercially available prod.
2, prepare 1000 principal agent and adjuvant throwing amount:
GM-CSF： 0.05g
Sodium alginate: 6.0g lactose: 30.0g
Hyaluronic acid: 2.0g lecithin: 0.1g
Brij: 0.1g carbomer: 20.0g
Hydroxypropyl cellulose: 10.0g magnesium stearate 0.1g
Glycerol: 8.0g polyvinyl alcohol 17-88:4.0g
Dioctyl phthalate: 1.0g flavochrome: 0.5g
3, preparation method:
Preparation method embodiment is with three.
Embodiment six:
1, component:
Principal agent: macrophage colony stimulating factor of recombinant human granulocyte (GM-CSF) is according to " Chinese biological goods rules " (2000 editions), adopts the thalline fermentation, the stock solution of column chromatography technology preparation;
Stabilizing agent: human albumin, lactose, sodium alginate are the pharmaceutical grade commercially available prod.
Cutaneous permeable agent: sodium cholate, polyoxyethylene sorbitan monoleate are the pharmaceutical grade commercially available prod.
Adhesive agent: carbomer, sodium carboxymethyl cellulose, magnesium stearate are the pharmaceutical grade commercially available prod.
The adjuvant of protective layer: acrylic resin, glycerol, dioctyl phthalate, flavochrome is the commercially available prod.
2, prepare 1000 principal agent and adjuvant throwing amount:
GM-CSF： 0.2g
Human albumin: 2.0g lactose: 30.0g
Sodium cholate: 0.15g sodium alginate: 5.0g
Polyoxyethylene sorbitan monoleate: 0.05g carbomer: 25.0
Sodium carboxymethyl cellulose: 10.0g magnesium stearate 0.1g
Glycerol: 7.0g acrylic resin: 3.0g
Dioctyl phthalate: 1.0g flavochrome: 0.5g
3, preparation method:
Preparation method embodiment is with three.
Above embodiment is used to describe the present invention, but not as limitation of the present invention.
The experimental result of embodiment compares:
Experimental example one: penetrate mucosa, adhesion and dissolving and stability experiment
1. saturating mucosa test:
(1) experiment material: test specimen: be macrophage colony stimulating factor of recombinant human granulocyte oral cavity sticking tablet according to embodiment three preparations.Reference substance: according to the macrophage colony stimulating factor of recombinant human granulocyte oral cavity sticking tablet that does not contain short cutaneous permeable agent of embodiment three preparations.Biomembrane is commercially available chicken gizzard capsule.Frank discharges the pond, couveuse, and high-pressure liquid phase instrument is the commercially available prod.
(2) experimental technique:
Get the chicken gizzard capsule as biomembrane, wash, put in the normal saline stand-by.Try to please long-pending 2ml, diameter is that the Frank of 1cm discharges the pond, puts biological mucosa between two ponds, puts this oral cavity sticking tablet a slice at a side supply chamber of film; Opposite side is accepted the pond and is added the 2ml normal saline, then in 37 ℃ of insulations.2ml solution is taken out every 1h in the release pond of sample and reference substance, replenishes the 2ml normal saline simultaneously.To take out the liquid high effective liquid chromatography for measuring, compare, draw the sample of mensuration and reference substance takes out the macrophage colony stimulating factor of recombinant human granulocyte of solution in the release pond content with the standard macrophage colony stimulating factor of recombinant human granulocyte.
(3) experimental result:
| Time | The 1st hour | The 2nd hour | The 3rd hour | The 4th hour | The 5th hour | The 6th hour |
| Reference substance (ug/ml) | 0.81 | 1.13 | 1.39 | 1.56 | 1.51 | 1.53 |
| Sample (ug/ml) | 1.09 | 1.96 | 2.37 | 2.52 | 2.66 | 2.58 |
The saturating mucosa effect of this product is stronger than the transdermal effect of the common sticking tablet of macrophage colony stimulating factor of recombinant human granulocyte that does not contain short transdermal agent, the amount that 6h this product sees through mucosa is 26.32% of a labelled amount, and the common stickup tablet of macrophage colony stimulating factor of recombinant human granulocyte to see through the amount of mucosa be 15.86% of labelled amount.
2. adhesion and solubility test:
(1) experiment material:
Test specimen: be macrophage colony stimulating factor of recombinant human granulocyte oral cavity sticking tablet according to embodiment three preparations.
Reference substance: according to the macrophage colony stimulating factor of recombinant human granulocyte oral cavity sticking tablet that does not contain short cutaneous permeable agent of embodiment three preparations.
Biomembrane is fresh eggshell membrane.
Artificial saliva is that commercially available analytically pure sodium hydrogen phosphate, potassium dihydrogen phosphate, sodium chloride are formulated.
(2) experimental technique:
Test according to method and adhesion determinator that China Medicine University's journal the 32nd the 2nd phase of volume of calendar year 2001 is introduced.
The one side of tablet to be measured is pasted on the slide 1, after getting fresh eggshell membrane and soaking 45min with artificial saliva, clip 1cm
2Be pasted on the slide 2, with a small amount of artificial saliva with the tablet moistened surface after, the slide 2 that will be stained with eggshell membrane rapidly covers thereon, and eggshell membrane is closely contacted with tablet, applies external force 1N simultaneously, lasting 5min.Remove external force behind the 5min, adjusting infusion flow is 2 of per seconds.The gross weight of water when weighing slide 2 comes off in the plastic bag and slide 2 is the size of tablet adhesion.
Tablet being pasted in the beaker of tablet digestion instrument (leaving the about 1cm of liquid level), is substrate with the artificial saliva, 37 ℃ of temperature, oar method, 100r/min, record tablet disappearance required time.
(3) experimental result:
| Embodiment one | Embodiment two | Embodiment three | Embodiment four | Embodiment five | Embodiment six | |
| Adhesion (g/cm 2) | 151.31 | 160.52 | 164.15 | 161.28 | 163.83 | 156.76 |
| Dissolution time (min) | 23.5 | 26.5 | 37.0 | 37.5 | 35.0 | 33.5 |
According to above-mentioned experiment; select the main lactose of forming: carbomer: hydroxypropyl cellulose is that 20: 20: 10 and protective layer are by acrylic resin; polyvinyl alcohol 17-88; glycerol; dioctyl phthalate; the prescription of flavochrome is because the existing long adhesion of this prescription can keep the dissolution time that is fit to again.
3. stability test:
(1) experiment material: test specimen is respectively according to embodiment one, two, three, four, five and the six macrophage colony stimulating factor of recombinant human granulocyte oral cavity sticking tablets that prepare.Used instrument and equipment such as calorstat, refrigerator, pH meter are the commercially available prod, and used cell culture medium RM1640, serum and TF1 cell are the commercially available prod.
(2) experimental technique:
Determination of activity: the macrophage colony stimulating factor of recombinant human granulocyte oral cavity sticking tablet is dissolved with 1640 cell culture fluids, measure according to the method for " biological product rules " 2000 editions rule P417.
PH value is measured: with macrophage colony stimulating factor of recombinant human granulocyte oral cavity sticking tablet dissolved in distilled water, utilize pH meter to measure again.
Adhesion is measured, and dissolubility is measured all the same.
(3) experimental result:
Test specimen is through accelerated test, promptly place under 37 ℃ of situations, under 0,1,2,3 month and 25 ℃ of room temperature situations, place, measured 5 stability experiment indexs such as its character, pH value, adherence force, active quantities, dissolubility at 0,1,3,6 month, the sample that compares six kinds of embodiment, 5 indexs of the sample of embodiment three all do not have significant change with 0 month initial situation, and other five kinds all changes to some extent on different indexs.
EXPERIMENTAL EXAMPLE two: pharmacology and toxicity experiment
1, the pharmaceutical research of animal experiment
(1) experiment material: Cavia porcellus, white mice, cat is commercially available animal; The macrophage colony stimulating factor of recombinant human granulocyte oral cavity sticking tablet is: respectively with principal agent 10ug/ sheet, 50ug/ sheet, 100ug/ sheet, 200ug/ sheet, 500ug/ sheet, according to the accessory formula of embodiment three and the sample of method preparation.
(2) experimental technique:
1. macrophage colony stimulating factor of recombinant human granulocyte oral cavity sticking tablet 10ug/ only organizes, 50ug/ only organizes, 100ug/ only organizes, 200ug/ only organizes, 500ug/ five dosage, divide every day 2 times, continuous 7 days, be affixed on Cavia porcellus body surface affected part, observe whether the experimental monovesicle viral herpes of Cavia porcellus is had obvious inhibitory action; Whether strengthen with its dose intensity.
2. sticking tablet 10ug/ is only organized, 50ug/ only organizes, 100ug/ only organizes, 200ug/ only organizes, 500ug/ only organizes and smears the mice damaged skin, observe medicine then its autonomic activities had or not obvious influence;
3. cat is anaesthetized, stick this sticking tablet 10ug sheet/only, 50ug sheet/only, 100ug sheet/only, 200ug sheet/only, 500ug sheet/only, observe medicine its blood pressure, heart rate, respiratory frequency, respiratory depth and electrocardiogram are had or not obvious influence then at its damaged oral mucosa place.
(3) experimental result:
Medicine has obvious inhibitory action to the experimental monovesicle viral herpes of Cavia porcellus, and its intensity strengthens with dosage; The white mice autonomic activities there is not obvious influence; Postanesthetic cat blood pressure, heart rate, respiratory frequency, respiratory depth and electrocardiogram there is not obvious influence.Method is described identical with pharmacodynamic experiment.Observation is to the inhibitory action of ulcer; Influence to the mice autonomic activities; Blood pressure, heart beating, respiratory frequency, respiratory depth and electrocardiogram to cat have or not obvious influence.
2, the acute toxicity testing of animal
(1) experiment material: rat is commercially available animal; The macrophage colony stimulating factor of recombinant human granulocyte oral cavity sticking tablet---be that principal agent is that the 2500ug/ sheet is according to the accessory formula of embodiment three and the sample of method preparation.
(2) experimental technique:, observed recording exceptional phenomenon and death toll continuously 7 days with the body surface damaged skin place that macrophage colony stimulating factor of recombinant human granulocyte oral cavity sticking tablet maximum dosage-feeding 4 * 2500ug/ sheet/kg is affixed on rat.
(3) experimental result: none death of rat in 7 days, abnormal response does not also appear, and this dosage is equivalent to 1.2 * 10 of clinical dosage
4Doubly, so clinical application is as safe as a house.
3, the long term toxicity research experiment of animal
(1) experiment material: rat is commercially available animal; The macrophage colony stimulating factor of recombinant human granulocyte oral cavity sticking tablet is the sample of embodiment three preparations,
(2) experimental technique: the skin place administration that the macrophage colony stimulating factor of recombinant human granulocyte oral cavity sticking tablet is affixed on rat ulcer by a 50ug/ sheet/dosage, once a day, continuous 28 days (be equivalent to clinical plan with 4 times of cycle), compare with reference substance, observe activity, body weight, dietary amount, amount of drinking water, routine blood test, blood biochemistry index, the organ coefficient of rat and carry out histopathological examination, recording exceptional phenomenon and death toll.
(3) experimental result: compare with matched group, to the observed equal Non Apparent Abnormality of each index.Successive administration after 28 days again drug withdrawal observed the equal Non Apparent Abnormality of above-mentioned each index 14 days.
EXPERIMENTAL EXAMPLE three: security inspection experiment
1, the anaphylaxis research experiment of animal
(1) experiment material: Cavia porcellus is commercially available animal; The macrophage colony stimulating factor of recombinant human granulocyte oral cavity sticking tablet is the medicine of embodiment three preparations, and drug content is 50ug/ sheet/80mg; The negative reference substance of the oral cavity sticking tablet that does not conform to macrophage colony stimulating factor of recombinant human granulocyte by embodiment three preparations; Commercially available 2, the positive reference substance of 4-dinitro-chloro-benzene.
(2) experimental technique: after the guinea pig back depilation, it is divided into three, each group is used the macrophage colony stimulating factor of recombinant human granulocyte oral cavity sticking tablet respectively, the negative control product are pressed dosage 0.24g/ time, positive reference substance is by concentration 0.1%, 0.2 milliliter/time carry out sensitization contact, then at 7 days and 14 days, respectively repeat once with same method, again through 14 days, to be subjected to the reagent thing with same dosage, negative control product and positive reference substance are applied to agents area and excite and contact, remove after 6 hours, at once observe the skin allergy situation, then in 24,48, observed once the record reacting phenomenon in 72 hours again.
(3) experimental result: not anaphylaxis such as swollen, the necrosis of show of medicine group and negative control group monarch, positive controls then has tangible anaphylactic reaction.
2, the irritant experiment of animal
(1) experiment material: Cavia porcellus is commercially available animal; Oral cavity sticking tablet is the medicine of embodiment three preparations, and active unit is 5.0 * 10
4IU/g.
(2) experimental technique: according to " new drug (Western medicine) clinical research guideline compilation ", bureau of drug administration of Ministry of Health of the People's Republic of China, in July, 1993, " the new Chinese medicine development with declare " of 205 pages of methods and Wang Beiying, Chinese medicine publishing house publishes, and 262 pages method experimentizes.
(3) experimental result: the macrophage colony stimulating factor of recombinant human granulocyte oral cavity sticking tablet is pressed 50ug/ sheet/time dosage, is affixed on skin in continuous 7 days, to Cavia porcellus intact skin and the reaction of damaged skin nonirritant.
EXPERIMENTAL EXAMPLE four: main pharmacodynamics experiment
1. the pharmacodynamic experiment of animal
(1) experiment material: Cavia porcellus is commercially available animal; The macrophage colony stimulating factor of recombinant human granulocyte oral cavity sticking tablet is: respectively with principal agent 10ug/ sheet, 50ug/ sheet, 100ug/ sheet, 200ug/ sheet, 500ug/ sheet, according to the accessory formula of embodiment three and the sample of method preparation.
(2) experimental technique:
The animal pharmacophore model adopted Cavia porcellus before product of the present invention was clinical, and challenge virus is cooked exanthema virus merely with I type and II type.Concrete grammar is that two groups of Cavia porcellus oral mucosas are scratched, smear a certain amount of I type respectively and the II type is cooked exanthema virus merely for two groups, cause oral ulcer behind 4～5d, the modeling Cavia porcellus divided equally 5 groups by lesion degree: model group, positive drug control group, macrophage colony stimulating factor of recombinant human granulocyte paster 10ug/ only organize, 50ug/ only organizes, 100ug/ only organizes, 200IU/ only organizes, 500IU/ only.
Each is organized Cavia porcellus and sticks respectively at ulcer spot and respectively be subjected to the reagent thing, and model group sticks isopyknic blank substrate tablet, 1 paste/time, 2 times/day, about successive administration 7d.Respectively at carrying out the sxemiquantitative scoring according to the ulcer healing degree by following standards of grading before the administration, during the administration and to finishing, the result carries out statistical procedures.About 16h after the last administration puts to death Cavia porcellus, gets the oral mucosa of ulcer spot and puts in the 10% neutral formalin solution, carries out histopathologic examination.
Standards of grading
| Lesion degree | Standards of grading |
| Oral mucosa does not have significant change | 0 |
| The oral mucosa redness, be dispersed in vesicle | 1 |
| Vesicle is broken and is formed small circular ulcer | 2 |
| Small circular ulcer accumulates the large tracts of land erosion | 3 |
| The oral mucosa redness alleviates, ulcer surface begins to dwindle | 2 |
| Ulcer surface continues to reduce, form a scab | 1 |
| The stomatocace face heals fully | 0 |
(3) experimental result: after each dosage group administration of product of the present invention, Cavia porcellus oral mucosa redness alleviates, ulcer surface dwindles, form a scab and heal fully until ulcer surface.Histopathologic examination and matched group do not see that the mucosa morphosis is unusual.
EXPERIMENTAL EXAMPLE four: clinical experiment
The indication that product of the present invention is used for the treatment of the oral mucositis that herpetic stomatitis, recurrent oral ulceration and chemicotherapy cause has carried out 318 routine patients' clinical experiment.Single at random blind method, experimental group (macrophage colony stimulating factor of recombinant human granulocyte mouth paster) 206 examples, matched group (comfort group) 112 examples, dosage: a slice (50IU/ sheet), 2 times on the one are adopted in experiment.The course of treatment: herpetic stomatitis and recurrent aphtha 7 days; Chemicotherapy mucositis 14 days.The result shows: test group and matched group total effective rate are respectively 93.89% and 32.19%.Herpetic stomatitis effective percentage 93.88% and 28.65% wherein; Recurrent oral ulceration 91.85% and 38.52%; Anti-chemotherapy mucositis 91.98% and 22.79%.Learn by statistics and handle, P＜0.03 shows that test group has significant curative effect, and statistical significance is arranged.
Claims (12)
1, a kind of oral cavity sticking tablet for the treatment of oral ulcer; it is characterized in that described paster with the Granulocyte Colony-stimulating as active component; and this tablet is divided into two-layer; one deck is the adhesion layer that contains active component; one deck is water-fast protective layer, and two-layer weight ratio is 1: 1～5: 1.
2, oral cavity sticking tablet as claimed in claim 1, it is characterized in that adhesion layer and protective layer weight ratio preferably be 4: 1.
3, oral cavity sticking tablet as claimed in claim 1 is characterized in that the adhesion layer of this sticking tablet contains 0.01～0.5 part of Granulocyte Colony-stimulating, 10～50 parts of stabilizing agents, 0.01～0.5 part of cutaneous permeable agent, 0.5～20 part of adhesive agent by weight.
4, oral cavity sticking tablet as claimed in claim 1 is characterized in that the content of Granulocyte Colony-stimulating in preferred this adhesion layer is 0.05 weight portion.
5, oral cavity sticking tablet as claimed in claim 3 is characterized in that described stabilizing agent comprises glycerol, propylene glycol, vitamin B2, human albumin, lactose, sodium alginate, hyaluronic group material for one or more are selected from.
6, oral cavity sticking tablet as claimed in claim 3 it is characterized in that preferred described stabilizing agent is that vitamin B2, sodium alginate, human albumin, lactose are united as stabilizing agent, and its weight ratio is 1: 5: 1: 10.
7, oral cavity sticking tablet as claimed in claim 3 is characterized in that described cutaneous permeable agent comprises lecithin, sodium cholate, the material of the group of NaTDC, oleic acid, sodium lauryl sulphate, polyoxyethylene sorbitan monoleate, Brij for one or more are selected from.
8, oral cavity sticking tablet as claimed in claim 3 it is characterized in that preferred described cutaneous permeable agent is lecithin and polyoxyethylene sorbitan monoleate, and its weight ratio is 1: 1～4: 1.
9, oral cavity sticking tablet as claimed in claim 3 is characterized in that described adhesive agent comprises that for one or more are selected from adhesive agent is the material by the group of carbomer, sodium carboxymethyl cellulose, hydroxypropyl cellulose, hydroxypropyl emthylcellulose, magnesium stearate.
10, the described oral cavity sticking tablet of claim 3 it is characterized in that preferred described adhesive agent is carbomer, hydroxypropyl cellulose and magnesium stearate, and its weight ratio is 20: 10: 0.1.
11, oral cavity sticking tablet as claimed in claim 1 it is characterized in that described protective layer comprises acrylic resin, polyvinyl alcohol 17-88, glycerol, flavochrome, dioctyl phthalate, and its weight ratio is 25: 30: 5: 4: 3.
12, the preparation method of oral cavity sticking tablet as claimed in claim 1 may further comprise the steps:
1) preparation contains the granule of macrophage colony stimulating factor of recombinant human granulocyte: macrophage colony stimulating factor of recombinant human granulocyte and stabilizing agent are urged cutaneous permeable agent together by 0.05～1.0: 5～20: 0.4 weight ratio is mixed and made into solution, with stabilizing agent with adhesive agent by 25～50: 10～40 weight ratio is made mixed-powder, then solution is joined and fully mixed in the powder 10～20 minutes, after crossing 20 mesh sieves, 35 ℃～42 ℃ dryings 1～3 hour are crossed 18 mesh sieve granulate;
2) tabletting, the adhesive agent of adding 0.5～20 weight portion, tabletting then;
3) at tablet surface spraying protective layer: polyvinyl alcohol 17-88 is added in 70ml～100ml distilled water by 3.0～8.0 weight portion; 80 ℃ of heating make dissolving fully again by weight 8.0: 3.0: 1.0: 0.5 adds glycerol, acrylic resin, dioctyl phthalate, flavochrome grinding evenly; evenly be sprayed at the tablet surface with Membrane jetter; after 25 ℃～40 ℃ dryings, form the protective layer of tablet.
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| CN103110610B (en) * | 2009-09-11 | 2014-08-20 | 上海微丸医药开发有限公司 | Mouth mucosa sustained-release preparation for treating oral and periodontal diseases by chlorhexidine |
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| CN109568340B (en) * | 2018-12-10 | 2021-01-15 | 中国农业科学院兰州畜牧与兽药研究所 | Medicine for treating stomatitis |
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