HRP20210599T1 - Otopina levodope za infuziju - Google Patents
Otopina levodope za infuziju Download PDFInfo
- Publication number
- HRP20210599T1 HRP20210599T1 HRP20210599TT HRP20210599T HRP20210599T1 HR P20210599 T1 HRP20210599 T1 HR P20210599T1 HR P20210599T T HRP20210599T T HR P20210599TT HR P20210599 T HRP20210599 T HR P20210599T HR P20210599 T1 HRP20210599 T1 HR P20210599T1
- Authority
- HR
- Croatia
- Prior art keywords
- aqueous
- solution
- acid
- sodium
- levodopa
- Prior art date
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- WTDRDQBEARUVNC-LURJTMIESA-N L-DOPA Chemical compound OC(=O)[C@@H](N)CC1=CC=C(O)C(O)=C1 WTDRDQBEARUVNC-LURJTMIESA-N 0.000 title claims 19
- WTDRDQBEARUVNC-UHFFFAOYSA-N L-Dopa Natural products OC(=O)C(N)CC1=CC=C(O)C(O)=C1 WTDRDQBEARUVNC-UHFFFAOYSA-N 0.000 title claims 19
- 229960004502 levodopa Drugs 0.000 title claims 19
- 239000003978 infusion fluid Substances 0.000 title 1
- 239000000243 solution Substances 0.000 claims 35
- 239000003186 pharmaceutical solution Substances 0.000 claims 23
- 230000003139 buffering effect Effects 0.000 claims 21
- DNIAPMSPPWPWGF-UHFFFAOYSA-N Propylene glycol Chemical compound CC(O)CO DNIAPMSPPWPWGF-UHFFFAOYSA-N 0.000 claims 12
- KRKNYBCHXYNGOX-UHFFFAOYSA-N citric acid Chemical compound OC(=O)CC(O)(C(O)=O)CC(O)=O KRKNYBCHXYNGOX-UHFFFAOYSA-N 0.000 claims 12
- CIWBSHSKHKDKBQ-JLAZNSOCSA-N Ascorbic acid Chemical compound OC[C@H](O)[C@H]1OC(=O)C(O)=C1O CIWBSHSKHKDKBQ-JLAZNSOCSA-N 0.000 claims 10
- LYCAIKOWRPUZTN-UHFFFAOYSA-N Ethylene glycol Chemical compound OCCO LYCAIKOWRPUZTN-UHFFFAOYSA-N 0.000 claims 10
- PEDCQBHIVMGVHV-UHFFFAOYSA-N Glycerine Chemical compound OCC(O)CO PEDCQBHIVMGVHV-UHFFFAOYSA-N 0.000 claims 10
- 239000003381 stabilizer Substances 0.000 claims 10
- 102100038238 Aromatic-L-amino-acid decarboxylase Human genes 0.000 claims 8
- SECXISVLQFMRJM-UHFFFAOYSA-N N-Methylpyrrolidone Chemical compound CN1CCCC1=O SECXISVLQFMRJM-UHFFFAOYSA-N 0.000 claims 8
- 108010035075 Tyrosine decarboxylase Proteins 0.000 claims 8
- 238000000034 method Methods 0.000 claims 8
- 239000011550 stock solution Substances 0.000 claims 8
- -1 at least 6 Chemical compound 0.000 claims 7
- QTBSBXVTEAMEQO-UHFFFAOYSA-N Acetic acid Chemical compound CC(O)=O QTBSBXVTEAMEQO-UHFFFAOYSA-N 0.000 claims 6
- IAZDPXIOMUYVGZ-UHFFFAOYSA-N Dimethylsulphoxide Chemical compound CS(C)=O IAZDPXIOMUYVGZ-UHFFFAOYSA-N 0.000 claims 6
- LFQSCWFLJHTTHZ-UHFFFAOYSA-N Ethanol Chemical compound CCO LFQSCWFLJHTTHZ-UHFFFAOYSA-N 0.000 claims 6
- FFEARJCKVFRZRR-BYPYZUCNSA-N L-methionine Chemical compound CSCC[C@H](N)C(O)=O FFEARJCKVFRZRR-BYPYZUCNSA-N 0.000 claims 6
- 239000002253 acid Substances 0.000 claims 6
- 239000000872 buffer Substances 0.000 claims 6
- 229930182817 methionine Natural products 0.000 claims 6
- 229960004452 methionine Drugs 0.000 claims 6
- GVJHHUAWPYXKBD-UHFFFAOYSA-N (±)-α-Tocopherol Chemical compound OC1=C(C)C(C)=C2OC(CCCC(C)CCCC(C)CCCC(C)C)(C)CCC2=C1C GVJHHUAWPYXKBD-UHFFFAOYSA-N 0.000 claims 4
- VBICKXHEKHSIBG-UHFFFAOYSA-N 1-monostearoylglycerol Chemical compound CCCCCCCCCCCCCCCCCC(=O)OCC(O)CO VBICKXHEKHSIBG-UHFFFAOYSA-N 0.000 claims 4
- IIZPXYDJLKNOIY-JXPKJXOSSA-N 1-palmitoyl-2-arachidonoyl-sn-glycero-3-phosphocholine Chemical compound CCCCCCCCCCCCCCCC(=O)OC[C@H](COP([O-])(=O)OCC[N+](C)(C)C)OC(=O)CCC\C=C/C\C=C/C\C=C/C\C=C/CCCCC IIZPXYDJLKNOIY-JXPKJXOSSA-N 0.000 claims 4
- WRMNZCZEMHIOCP-UHFFFAOYSA-N 2-phenylethanol Chemical compound OCCC1=CC=CC=C1 WRMNZCZEMHIOCP-UHFFFAOYSA-N 0.000 claims 4
- CFKMVGJGLGKFKI-UHFFFAOYSA-N 4-chloro-m-cresol Chemical compound CC1=CC(O)=CC=C1Cl CFKMVGJGLGKFKI-UHFFFAOYSA-N 0.000 claims 4
- VTYYLEPIZMXCLO-UHFFFAOYSA-L Calcium carbonate Chemical compound [Ca+2].[O-]C([O-])=O VTYYLEPIZMXCLO-UHFFFAOYSA-L 0.000 claims 4
- YASYEJJMZJALEJ-UHFFFAOYSA-N Citric acid monohydrate Chemical compound O.OC(=O)CC(O)(C(O)=O)CC(O)=O YASYEJJMZJALEJ-UHFFFAOYSA-N 0.000 claims 4
- 229920000858 Cyclodextrin Polymers 0.000 claims 4
- KCXVZYZYPLLWCC-UHFFFAOYSA-N EDTA Chemical compound OC(=O)CN(CC(O)=O)CCN(CC(O)=O)CC(O)=O KCXVZYZYPLLWCC-UHFFFAOYSA-N 0.000 claims 4
- DHMQDGOQFOQNFH-UHFFFAOYSA-N Glycine Chemical compound NCC(O)=O DHMQDGOQFOQNFH-UHFFFAOYSA-N 0.000 claims 4
- VEXZGXHMUGYJMC-UHFFFAOYSA-N Hydrochloric acid Chemical compound Cl VEXZGXHMUGYJMC-UHFFFAOYSA-N 0.000 claims 4
- SHBUUTHKGIVMJT-UHFFFAOYSA-N Hydroxystearate Chemical compound CCCCCCCCCCCCCCCCCC(=O)OO SHBUUTHKGIVMJT-UHFFFAOYSA-N 0.000 claims 4
- FXHOOIRPVKKKFG-UHFFFAOYSA-N N,N-Dimethylacetamide Chemical compound CN(C)C(C)=O FXHOOIRPVKKKFG-UHFFFAOYSA-N 0.000 claims 4
- MBBZMMPHUWSWHV-BDVNFPICSA-N N-methylglucamine Chemical compound CNC[C@H](O)[C@@H](O)[C@H](O)[C@H](O)CO MBBZMMPHUWSWHV-BDVNFPICSA-N 0.000 claims 4
- ISWSIDIOOBJBQZ-UHFFFAOYSA-N Phenol Chemical compound OC1=CC=CC=C1 ISWSIDIOOBJBQZ-UHFFFAOYSA-N 0.000 claims 4
- 229920003171 Poly (ethylene oxide) Polymers 0.000 claims 4
- CDBYLPFSWZWCQE-UHFFFAOYSA-L Sodium Carbonate Chemical compound [Na+].[Na+].[O-]C([O-])=O CDBYLPFSWZWCQE-UHFFFAOYSA-L 0.000 claims 4
- VMHLLURERBWHNL-UHFFFAOYSA-M Sodium acetate Chemical compound [Na+].CC([O-])=O VMHLLURERBWHNL-UHFFFAOYSA-M 0.000 claims 4
- QAOWNCQODCNURD-UHFFFAOYSA-N Sulfuric acid Chemical compound OS(O)(=O)=O QAOWNCQODCNURD-UHFFFAOYSA-N 0.000 claims 4
- WNLRTRBMVRJNCN-UHFFFAOYSA-N adipic acid group Chemical group C(CCCCC(=O)O)(=O)O WNLRTRBMVRJNCN-UHFFFAOYSA-N 0.000 claims 4
- 239000003963 antioxidant agent Substances 0.000 claims 4
- 235000006708 antioxidants Nutrition 0.000 claims 4
- 235000010323 ascorbic acid Nutrition 0.000 claims 4
- 239000011668 ascorbic acid Substances 0.000 claims 4
- 229960005070 ascorbic acid Drugs 0.000 claims 4
- 229960000686 benzalkonium chloride Drugs 0.000 claims 4
- WPYMKLBDIGXBTP-UHFFFAOYSA-N benzoic acid Chemical compound OC(=O)C1=CC=CC=C1 WPYMKLBDIGXBTP-UHFFFAOYSA-N 0.000 claims 4
- SESFRYSPDFLNCH-UHFFFAOYSA-N benzyl benzoate Chemical compound C=1C=CC=CC=1C(=O)OCC1=CC=CC=C1 SESFRYSPDFLNCH-UHFFFAOYSA-N 0.000 claims 4
- CADWTSSKOVRVJC-UHFFFAOYSA-N benzyl(dimethyl)azanium;chloride Chemical compound [Cl-].C[NH+](C)CC1=CC=CC=C1 CADWTSSKOVRVJC-UHFFFAOYSA-N 0.000 claims 4
- KGBXLFKZBHKPEV-UHFFFAOYSA-N boric acid Chemical compound OB(O)O KGBXLFKZBHKPEV-UHFFFAOYSA-N 0.000 claims 4
- 239000004327 boric acid Substances 0.000 claims 4
- 229960002645 boric acid Drugs 0.000 claims 4
- 235000010338 boric acid Nutrition 0.000 claims 4
- 229960004205 carbidopa Drugs 0.000 claims 4
- TZFNLOMSOLWIDK-JTQLQIEISA-N carbidopa (anhydrous) Chemical compound NN[C@@](C(O)=O)(C)CC1=CC=C(O)C(O)=C1 TZFNLOMSOLWIDK-JTQLQIEISA-N 0.000 claims 4
- 210000003169 central nervous system Anatomy 0.000 claims 4
- 229960001927 cetylpyridinium chloride Drugs 0.000 claims 4
- YMKDRGPMQRFJGP-UHFFFAOYSA-M cetylpyridinium chloride Chemical compound [Cl-].CCCCCCCCCCCCCCCC[N+]1=CC=CC=C1 YMKDRGPMQRFJGP-UHFFFAOYSA-M 0.000 claims 4
- OSASVXMJTNOKOY-UHFFFAOYSA-N chlorobutanol Chemical compound CC(C)(O)C(Cl)(Cl)Cl OSASVXMJTNOKOY-UHFFFAOYSA-N 0.000 claims 4
- 229960004106 citric acid Drugs 0.000 claims 4
- 229960002303 citric acid monohydrate Drugs 0.000 claims 4
- ZBCBWPMODOFKDW-UHFFFAOYSA-N diethanolamine Chemical compound OCCNCCO ZBCBWPMODOFKDW-UHFFFAOYSA-N 0.000 claims 4
- XBDQKXXYIPTUBI-UHFFFAOYSA-N dimethylselenoniopropionate Natural products CCC(O)=O XBDQKXXYIPTUBI-UHFFFAOYSA-N 0.000 claims 4
- NUVBSKCKDOMJSU-UHFFFAOYSA-N ethylparaben Chemical compound CCOC(=O)C1=CC=C(O)C=C1 NUVBSKCKDOMJSU-UHFFFAOYSA-N 0.000 claims 4
- RWSXRVCMGQZWBV-WDSKDSINSA-N glutathione Chemical compound OC(=O)[C@@H](N)CCC(=O)N[C@@H](CS)C(=O)NCC(O)=O RWSXRVCMGQZWBV-WDSKDSINSA-N 0.000 claims 4
- 235000011187 glycerol Nutrition 0.000 claims 4
- 229960005150 glycerol Drugs 0.000 claims 4
- 229940072106 hydroxystearate Drugs 0.000 claims 4
- 239000003112 inhibitor Substances 0.000 claims 4
- 239000000787 lecithin Substances 0.000 claims 4
- 235000010445 lecithin Nutrition 0.000 claims 4
- 229940067606 lecithin Drugs 0.000 claims 4
- 229960003511 macrogol Drugs 0.000 claims 4
- 229960003194 meglumine Drugs 0.000 claims 4
- 235000006109 methionine Nutrition 0.000 claims 4
- 239000000203 mixture Substances 0.000 claims 4
- PJUIMOJAAPLTRJ-UHFFFAOYSA-N monothioglycerol Chemical compound OCC(O)CS PJUIMOJAAPLTRJ-UHFFFAOYSA-N 0.000 claims 4
- 229920001983 poloxamer Polymers 0.000 claims 4
- 239000003755 preservative agent Substances 0.000 claims 4
- 229960004063 propylene glycol Drugs 0.000 claims 4
- 235000013772 propylene glycol Nutrition 0.000 claims 4
- 239000001632 sodium acetate Substances 0.000 claims 4
- 235000017281 sodium acetate Nutrition 0.000 claims 4
- GEHJYWRUCIMESM-UHFFFAOYSA-L sodium sulfite Chemical compound [Na+].[Na+].[O-]S([O-])=O GEHJYWRUCIMESM-UHFFFAOYSA-L 0.000 claims 4
- 239000002904 solvent Substances 0.000 claims 4
- LENZDBCJOHFCAS-UHFFFAOYSA-N tris Chemical compound OCC(N)(CO)CO LENZDBCJOHFCAS-UHFFFAOYSA-N 0.000 claims 4
- GVJHHUAWPYXKBD-IEOSBIPESA-N α-tocopherol Chemical compound OC1=C(C)C(C)=C2O[C@@](CCC[C@H](C)CCC[C@H](C)CCCC(C)C)(C)CCC2=C1C GVJHHUAWPYXKBD-IEOSBIPESA-N 0.000 claims 4
- HDTRYLNUVZCQOY-UHFFFAOYSA-N α-D-glucopyranosyl-α-D-glucopyranoside Natural products OC1C(O)C(O)C(CO)OC1OC1C(O)C(O)C(O)C(CO)O1 HDTRYLNUVZCQOY-UHFFFAOYSA-N 0.000 claims 2
- PUPZLCDOIYMWBV-UHFFFAOYSA-N (+/-)-1,3-Butanediol Chemical compound CC(O)CCO PUPZLCDOIYMWBV-UHFFFAOYSA-N 0.000 claims 2
- BJEPYKJPYRNKOW-REOHCLBHSA-N (S)-malic acid Chemical compound OC(=O)[C@@H](O)CC(O)=O BJEPYKJPYRNKOW-REOHCLBHSA-N 0.000 claims 2
- HZAXFHJVJLSVMW-UHFFFAOYSA-N 2-Aminoethan-1-ol Chemical compound NCCO HZAXFHJVJLSVMW-UHFFFAOYSA-N 0.000 claims 2
- QTWJRLJHJPIABL-UHFFFAOYSA-N 2-methylphenol;3-methylphenol;4-methylphenol Chemical compound CC1=CC=C(O)C=C1.CC1=CC=CC(O)=C1.CC1=CC=CC=C1O QTWJRLJHJPIABL-UHFFFAOYSA-N 0.000 claims 2
- QCDWFXQBSFUVSP-UHFFFAOYSA-N 2-phenoxyethanol Chemical compound OCCOC1=CC=CC=C1 QCDWFXQBSFUVSP-UHFFFAOYSA-N 0.000 claims 2
- CYDQOEWLBCCFJZ-UHFFFAOYSA-N 4-(4-fluorophenyl)oxane-4-carboxylic acid Chemical compound C=1C=C(F)C=CC=1C1(C(=O)O)CCOCC1 CYDQOEWLBCCFJZ-UHFFFAOYSA-N 0.000 claims 2
- 239000005711 Benzoic acid Substances 0.000 claims 2
- LVDKZNITIUWNER-UHFFFAOYSA-N Bronopol Chemical compound OCC(Br)(CO)[N+]([O-])=O LVDKZNITIUWNER-UHFFFAOYSA-N 0.000 claims 2
- 239000004255 Butylated hydroxyanisole Substances 0.000 claims 2
- LZZYPRNAOMGNLH-UHFFFAOYSA-M Cetrimonium bromide Chemical compound [Br-].CCCCCCCCCCCCCCCC[N+](C)(C)C LZZYPRNAOMGNLH-UHFFFAOYSA-M 0.000 claims 2
- FBPFZTCFMRRESA-FSIIMWSLSA-N D-Glucitol Natural products OC[C@H](O)[C@H](O)[C@@H](O)[C@H](O)CO FBPFZTCFMRRESA-FSIIMWSLSA-N 0.000 claims 2
- FBPFZTCFMRRESA-KVTDHHQDSA-N D-Mannitol Chemical compound OC[C@@H](O)[C@@H](O)[C@H](O)[C@H](O)CO FBPFZTCFMRRESA-KVTDHHQDSA-N 0.000 claims 2
- CIWBSHSKHKDKBQ-DUZGATOHSA-N D-araboascorbic acid Natural products OC[C@@H](O)[C@H]1OC(=O)C(O)=C1O CIWBSHSKHKDKBQ-DUZGATOHSA-N 0.000 claims 2
- FBPFZTCFMRRESA-JGWLITMVSA-N D-glucitol Chemical compound OC[C@H](O)[C@@H](O)[C@H](O)[C@H](O)CO FBPFZTCFMRRESA-JGWLITMVSA-N 0.000 claims 2
- 229920002307 Dextran Polymers 0.000 claims 2
- 239000001116 FEMA 4028 Substances 0.000 claims 2
- 229930091371 Fructose Natural products 0.000 claims 2
- 239000005715 Fructose Substances 0.000 claims 2
- RFSUNEUAIZKAJO-ARQDHWQXSA-N Fructose Chemical compound OC[C@H]1O[C@](O)(CO)[C@@H](O)[C@@H]1O RFSUNEUAIZKAJO-ARQDHWQXSA-N 0.000 claims 2
- WQZGKKKJIJFFOK-GASJEMHNSA-N Glucose Natural products OC[C@H]1OC(O)[C@H](O)[C@@H](O)[C@@H]1O WQZGKKKJIJFFOK-GASJEMHNSA-N 0.000 claims 2
- 108010024636 Glutathione Proteins 0.000 claims 2
- 239000004471 Glycine Substances 0.000 claims 2
- DGAQECJNVWCQMB-PUAWFVPOSA-M Ilexoside XXIX Chemical compound C[C@@H]1CC[C@@]2(CC[C@@]3(C(=CC[C@H]4[C@]3(CC[C@@H]5[C@@]4(CC[C@@H](C5(C)C)OS(=O)(=O)[O-])C)C)[C@@H]2[C@]1(C)O)C)C(=O)O[C@H]6[C@@H]([C@H]([C@@H]([C@H](O6)CO)O)O)O.[Na+] DGAQECJNVWCQMB-PUAWFVPOSA-M 0.000 claims 2
- XUJNEKJLAYXESH-REOHCLBHSA-N L-Cysteine Chemical compound SC[C@H](N)C(O)=O XUJNEKJLAYXESH-REOHCLBHSA-N 0.000 claims 2
- QAQJMLQRFWZOBN-LAUBAEHRSA-N L-ascorbyl-6-palmitate Chemical compound CCCCCCCCCCCCCCCC(=O)OC[C@H](O)[C@H]1OC(=O)C(O)=C1O QAQJMLQRFWZOBN-LAUBAEHRSA-N 0.000 claims 2
- 239000011786 L-ascorbyl-6-palmitate Substances 0.000 claims 2
- CKLJMWTZIZZHCS-REOHCLBHSA-N L-aspartic acid Chemical compound OC(=O)[C@@H](N)CC(O)=O CKLJMWTZIZZHCS-REOHCLBHSA-N 0.000 claims 2
- 229930195725 Mannitol Natural products 0.000 claims 2
- QPCDCPDFJACHGM-UHFFFAOYSA-N N,N-bis{2-[bis(carboxymethyl)amino]ethyl}glycine Chemical compound OC(=O)CN(CC(O)=O)CCN(CC(=O)O)CCN(CC(O)=O)CC(O)=O QPCDCPDFJACHGM-UHFFFAOYSA-N 0.000 claims 2
- GRYLNZFGIOXLOG-UHFFFAOYSA-N Nitric acid Chemical compound O[N+]([O-])=O GRYLNZFGIOXLOG-UHFFFAOYSA-N 0.000 claims 2
- 229910019142 PO4 Inorganic materials 0.000 claims 2
- RVGRUAULSDPKGF-UHFFFAOYSA-N Poloxamer Chemical compound C1CO1.CC1CO1 RVGRUAULSDPKGF-UHFFFAOYSA-N 0.000 claims 2
- 229920002565 Polyethylene Glycol 400 Polymers 0.000 claims 2
- 239000002202 Polyethylene glycol Substances 0.000 claims 2
- 229920002685 Polyoxyl 35CastorOil Polymers 0.000 claims 2
- OFOBLEOULBTSOW-UHFFFAOYSA-N Propanedioic acid Natural products OC(=O)CC(O)=O OFOBLEOULBTSOW-UHFFFAOYSA-N 0.000 claims 2
- 208000005793 Restless legs syndrome Diseases 0.000 claims 2
- UIIMBOGNXHQVGW-DEQYMQKBSA-M Sodium bicarbonate-14C Chemical compound [Na+].O[14C]([O-])=O UIIMBOGNXHQVGW-DEQYMQKBSA-M 0.000 claims 2
- HDTRYLNUVZCQOY-WSWWMNSNSA-N Trehalose Natural products O[C@@H]1[C@@H](O)[C@@H](O)[C@@H](CO)O[C@@H]1O[C@@H]1[C@H](O)[C@@H](O)[C@@H](O)[C@@H](CO)O1 HDTRYLNUVZCQOY-WSWWMNSNSA-N 0.000 claims 2
- BAECOWNUKCLBPZ-HIUWNOOHSA-N Triolein Natural products O([C@H](OCC(=O)CCCCCCC/C=C\CCCCCCCC)COC(=O)CCCCCCC/C=C\CCCCCCCC)C(=O)CCCCCCC/C=C\CCCCCCCC BAECOWNUKCLBPZ-HIUWNOOHSA-N 0.000 claims 2
- PHYFQTYBJUILEZ-UHFFFAOYSA-N Trioleoylglycerol Natural products CCCCCCCCC=CCCCCCCCC(=O)OCC(OC(=O)CCCCCCCC=CCCCCCCCC)COC(=O)CCCCCCCC=CCCCCCCCC PHYFQTYBJUILEZ-UHFFFAOYSA-N 0.000 claims 2
- 229930003427 Vitamin E Natural products 0.000 claims 2
- ZOIORXHNWRGPMV-UHFFFAOYSA-N acetic acid;zinc Chemical compound [Zn].CC(O)=O.CC(O)=O ZOIORXHNWRGPMV-UHFFFAOYSA-N 0.000 claims 2
- 239000001361 adipic acid Substances 0.000 claims 2
- 235000011037 adipic acid Nutrition 0.000 claims 2
- 150000005215 alkyl ethers Chemical class 0.000 claims 2
- 229940087168 alpha tocopherol Drugs 0.000 claims 2
- HDTRYLNUVZCQOY-LIZSDCNHSA-N alpha,alpha-trehalose Chemical compound O[C@@H]1[C@@H](O)[C@H](O)[C@@H](CO)O[C@@H]1O[C@@H]1[C@H](O)[C@@H](O)[C@H](O)[C@@H](CO)O1 HDTRYLNUVZCQOY-LIZSDCNHSA-N 0.000 claims 2
- BJEPYKJPYRNKOW-UHFFFAOYSA-N alpha-hydroxysuccinic acid Natural products OC(=O)C(O)CC(O)=O BJEPYKJPYRNKOW-UHFFFAOYSA-N 0.000 claims 2
- 230000003078 antioxidant effect Effects 0.000 claims 2
- 239000012062 aqueous buffer Substances 0.000 claims 2
- 235000010385 ascorbyl palmitate Nutrition 0.000 claims 2
- 235000003704 aspartic acid Nutrition 0.000 claims 2
- 229960005261 aspartic acid Drugs 0.000 claims 2
- 239000000440 bentonite Substances 0.000 claims 2
- 229910000278 bentonite Inorganic materials 0.000 claims 2
- 229940092782 bentonite Drugs 0.000 claims 2
- 235000012216 bentonite Nutrition 0.000 claims 2
- SVPXDRXYRYOSEX-UHFFFAOYSA-N bentoquatam Chemical compound O.O=[Si]=O.O=[Al]O[Al]=O SVPXDRXYRYOSEX-UHFFFAOYSA-N 0.000 claims 2
- UREZNYTWGJKWBI-UHFFFAOYSA-M benzethonium chloride Chemical compound [Cl-].C1=CC(C(C)(C)CC(C)(C)C)=CC=C1OCCOCC[N+](C)(C)CC1=CC=CC=C1 UREZNYTWGJKWBI-UHFFFAOYSA-M 0.000 claims 2
- 229960001950 benzethonium chloride Drugs 0.000 claims 2
- 235000010233 benzoic acid Nutrition 0.000 claims 2
- 229960004365 benzoic acid Drugs 0.000 claims 2
- 229960002903 benzyl benzoate Drugs 0.000 claims 2
- OQFSQFPPLPISGP-UHFFFAOYSA-N beta-carboxyaspartic acid Natural products OC(=O)C(N)C(C(O)=O)C(O)=O OQFSQFPPLPISGP-UHFFFAOYSA-N 0.000 claims 2
- 229960004853 betadex Drugs 0.000 claims 2
- 229910021538 borax Inorganic materials 0.000 claims 2
- 229960003168 bronopol Drugs 0.000 claims 2
- 235000019282 butylated hydroxyanisole Nutrition 0.000 claims 2
- CZBZUDVBLSSABA-UHFFFAOYSA-N butylated hydroxyanisole Chemical compound COC1=CC=C(O)C(C(C)(C)C)=C1.COC1=CC=C(O)C=C1C(C)(C)C CZBZUDVBLSSABA-UHFFFAOYSA-N 0.000 claims 2
- 229940043253 butylated hydroxyanisole Drugs 0.000 claims 2
- VSGNNIFQASZAOI-UHFFFAOYSA-L calcium acetate Chemical compound [Ca+2].CC([O-])=O.CC([O-])=O VSGNNIFQASZAOI-UHFFFAOYSA-L 0.000 claims 2
- 235000011092 calcium acetate Nutrition 0.000 claims 2
- 239000001639 calcium acetate Substances 0.000 claims 2
- 229960005147 calcium acetate Drugs 0.000 claims 2
- 239000000648 calcium alginate Substances 0.000 claims 2
- 235000010410 calcium alginate Nutrition 0.000 claims 2
- 229960002681 calcium alginate Drugs 0.000 claims 2
- 229910000019 calcium carbonate Inorganic materials 0.000 claims 2
- 235000010216 calcium carbonate Nutrition 0.000 claims 2
- MKJXYGKVIBWPFZ-UHFFFAOYSA-L calcium lactate Chemical compound [Ca+2].CC(O)C([O-])=O.CC(O)C([O-])=O MKJXYGKVIBWPFZ-UHFFFAOYSA-L 0.000 claims 2
- 239000001527 calcium lactate Substances 0.000 claims 2
- 235000011086 calcium lactate Nutrition 0.000 claims 2
- 229960002401 calcium lactate Drugs 0.000 claims 2
- 229940057801 calcium lactate pentahydrate Drugs 0.000 claims 2
- 239000001506 calcium phosphate Substances 0.000 claims 2
- 229910000389 calcium phosphate Inorganic materials 0.000 claims 2
- 235000011010 calcium phosphates Nutrition 0.000 claims 2
- CJZGTCYPCWQAJB-UHFFFAOYSA-L calcium stearate Chemical compound [Ca+2].CCCCCCCCCCCCCCCCCC([O-])=O.CCCCCCCCCCCCCCCCCC([O-])=O CJZGTCYPCWQAJB-UHFFFAOYSA-L 0.000 claims 2
- 235000013539 calcium stearate Nutrition 0.000 claims 2
- 239000008116 calcium stearate Substances 0.000 claims 2
- 229940078456 calcium stearate Drugs 0.000 claims 2
- OKHHGHGGPDJQHR-YMOPUZKJSA-L calcium;(2s,3s,4s,5s,6r)-6-[(2r,3s,4r,5s,6r)-2-carboxy-6-[(2r,3s,4r,5s,6r)-2-carboxylato-4,5,6-trihydroxyoxan-3-yl]oxy-4,5-dihydroxyoxan-3-yl]oxy-3,4,5-trihydroxyoxane-2-carboxylate Chemical compound [Ca+2].O[C@@H]1[C@H](O)[C@H](O)O[C@@H](C([O-])=O)[C@H]1O[C@H]1[C@@H](O)[C@@H](O)[C@H](O[C@H]2[C@H]([C@@H](O)[C@H](O)[C@H](O2)C([O-])=O)O)[C@H](C(O)=O)O1 OKHHGHGGPDJQHR-YMOPUZKJSA-L 0.000 claims 2
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- A61K31/19—Carboxylic acids, e.g. valproic acid
- A61K31/195—Carboxylic acids, e.g. valproic acid having an amino group
- A61K31/197—Carboxylic acids, e.g. valproic acid having an amino group the amino and the carboxyl groups being attached to the same acyclic carbon chain, e.g. gamma-aminobutyric acid [GABA], beta-alanine, epsilon-aminocaproic acid or pantothenic acid
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- A61K47/08—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite containing oxygen, e.g. ethers, acetals, ketones, quinones, aldehydes, peroxides
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- Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)
Claims (23)
1. Vodena farmaceutska otopina za primjenu u liječenju bolesti centralnog živčanog sustava (CNS), vodena farmaceutska otopina koja sadrži,
najmanje 5 mg/ml otopljene levodope, inhibitor dopa dekarboksilaze (DDC) karbidopu i koji ima pH u opsegu od 3.0 do 8.5, pri čemu se navedena otopina osigurava miješanjem;
a) vodene izvorne otopine koja sadrži levodopu i karbidopu, i pri čemu spomenuta izvorna otopina ima pH manji od 2.8 na 25 °C; i
b) vodene otopine za puferiranje, za povećanje pH navedene izvorne otopine, koja sadrži najmanje jednu pufersku komponentu, pri čemu spomenuta otopina za puferiranje ima pH najmanje 4.0 na 25 °C,
pri čemu se vodena otopina za puferiranje i vodena izvorna otopina neprekidno miješaju i tako dobivena vodena farmaceutska otopina kontinuirano administrira subjektu koji pati od bolesti centralnog živčanog sustava (CNS) u roku od 2 sata, 1 sata, 30 minuta, 20 minuta, 10 minuta, 5 minuta ili 1 minuta od miješanja vodene izvorne otopine i vodene otopine za puferiranje i
pri čemu je bolest centralnog živčanog sistema izabrana iz grupe koja se sastoji od Parkinsonove bolesti, atipičnog parkinsonizma, Alzheimerove bolesti i sindroma nemirnih nogu (RLS – Restless Legs Syndrome).
2. Vodena farmaceutska otopina za primjenu prema patentnom zahtjevu 1, pri čemu vodena farmaceutska otopina je farmaceutska infuzija ili otopina za injekcije.
3. Vodena farmaceutska otopina za primjenu prema bilo kojem od patentnih zahtjeva 1 do 2, pri čemu se vodena farmaceutska otopina administrira enteralno ili parenteralno.
4. Vodena farmaceutska otopina za primjenu prema bilo kojem od patentnih zahtjeva 1 do 3, pri čemu je primjena kontinuirana tokom do 24 sata.
5. Vodena farmaceutska otopina, za primjenu prema bilo kojem od patentnih zahtjeva 1 do 4, pri čemu vodena farmaceutska otopina sadrži najmanje 5 mg/ml otopljene levodope, kao što je najmanje 6, 7, 8, 9, 10, 15 ili 20 mg/ml otopljene levodope; pri čemu je poželjno da je koncentracija levodope u opsegu od 5 do 20 mg/ml otopljene levodope, kao što je u opsegu od 5 do 15 mg/ml ili 5 do 10 mg/ml otopljene levodope; i/ili
vodena farmaceutska otopina ima pH od 3.5 do 8.0, kao što je 4.0 do 7.5, 4.5 do 7.0 ili 5.0 do 5.5.
6. Vodena farmaceutska otopina za primjenu u skladu sa bilo kojim od patentnih zahtjeva 1 do 5, pri čemu vodena izvorna otopina sadrži najmanje 10 mg/ml levodope, kao što je najmanje 15, 20, 25, 30, 35 ili 40 mg/ml levodope.
7. Vodena farmaceutska otopina za primjenu u skladu sa bilo kojim od patentnih zahtjeva 1 do 6, pri čemu vodena izvorna otopina sadrži najmanje jednu fiziološki prihvatljivu kiselinu i
pri čemu je fiziološki prihvatljiva kiselina poželjno mineralna kiselina, kao što je klorovodična kiselina, sumporna kiselina, dušična kiselina ili octena kiselina.
8. Vodena farmaceutska otopina za primjenu u skladu sa bilo kojim od patentnih zahtjeva 1 do 7, pri čemu vodena otopina za puferiranje ima pH od najmanje 4.0; pri čemu je poželjno da pH vodene otopine za puferiranje bude između 4.0 i 12, kao što je između 4.0 i 9, 4.0 i 7.5, ili 4.0 i 6: i/ili vodena otopina za puferiranje sadrži najmanje jednu pufersku komponentu koja ima najmanje jednu vrijednost pKa u opsegu od 3 do 9, kao što je u opsegu od 5 do 7.5,
pri čemu je poželjno da je puferska komponenta adipinska kiselina, borna kiselina, kalcij karbonat, kalcij laktat, kalcij fosfat, dietanolamin, glicin, maleinska kiselina, meglumin, metionin, mononatrij glutamat, kalij citrat, natrij acetat, natrij bikarbonat, natrij, natrij karbonat, natrij citrat dihidrat, natrij laktat, natrij fosfat dvobazni, natrij fosfat monobazni ili smjese dva ili više njih,
pri čemu je još poželjnije da se puferska komponenta bira iz grupe koja se sastoji od limunske kiseline, limunske kiseline i fosfata i trometamola (tris(hidroksimetil) aminometan).
9. Vodena farmaceutska otopina za primjenu prema bilo kojem od patentnih zahtjeva 1 do 8, pri čemu vodena otopina za puferiranje dalje sadrži najmanje jedan solubilizator,
pri čemu je po mogućnosti solubilizator izabran iz grupe koja se sastoji od: glutationa, cisteina, HP-beta-ciklodekstrina, N-metil pirolidinona (NMP), dimetilacetamida (DMA), kolidona, Kolliphor-a HS 15, PEG 400, propilenglikola, polisorbata 80, glicerina, etanola, kremofora EL, DMSO, metionina, EDTA, askorbinske kiseline, asparaginske kiseline, benzalkonij klorida, benzil benzoata, cetilpiridinij klorida, hidroksipropil betadeksa, lecitina, makrogol 15 hidroksistearata, meglumina, fosfolipida, poloksamera, polioksietilen alkil etara, polioksietilen derivatа ulja ricinusa, polioksietilen sorbitan estera masnih kiselina, pirolidona, trioleina, vitamin E polietilen glikol sukcinata ili smjesa dva ili više njih.
10. Vodena farmaceutska otopina za primjenu u skladu sa bilo kojim od patentnih zahtjeva 1 do 9, pri čemu vodena otopina za puferiranje dalje sadrži najmanje jedan stabilizator, pri čemu je stabilizator izabran iz grupe koja se sastoji od sredstava za stabilizaciju, antioksidanasa i konzervanasa ili njihove kombinacije,
pri čemu je poželjan agens za stabilizaciju fiziološki prihvatljiv šećer, kao što je glukoza, i/ili agens za stabilizaciju je izabran iz grupe koja se sastoji od bentonita, kalcij alginata, kalcij stearata, karboksimetil celuloze kalcij, ceratonije, ciklodekstrina, dekstrana, dietanolamina, etilen glikol palmitostearata, fruktoze, gliceril monostearata, lecitina, makrogol 15 hidroksistearata, manitola, monoetanolamina, propilen glikola, natrij acetata, natrij borata, sorbitola, sulfobutiletar beta-ciklodekstrina, trehaloze ili cink acetata, i/ili
pri čemu se poželjno antioksidans bira iz grupe koja se sastoji od alfa tokoferola, askorbinske kiseline, askorbil palmitata, butiliranog hidroksianizola, monohidrata limunske kiseline, eritorbinske kiseline, jabučne kiseline, metionina, monotioglicerola, pentetinske kiseline, kalij metabisulfita, propionske kiseline, natrij formaldehid sulfoksilata, natrij metabisulfita, natrij sulfita, natrij tiosulfata i/ili
pri čemu se poželjno konzervans bira iz grupe koja se sastoji od benzalkonij klorida, benzetonij klorida, benzojeve kiseline, borne kiseline, bronopola, butilen glikola, kalcij acetata, kalcij laktat pentahidrata, cetrimida, cetilpiridinijum klorida, klorobutanola, klorokrezola, monohidrata limunske kiseline, krezola, edetinske kiseline, etil parahidroksibenzoata, glicerola, imiduree, metil parahidroksibenzoata, monotioglicerola, fenola, fenoksietanola i feniletil alkohola.
11. Komplet za osiguravanje vodene farmaceutske otopine za primjenu u skladu sa bilo kojim od prethodnih patentnih zahtjeva, pri čemu vodena farmaceutska otopina sadrži najmanje 5 mg/ml otopljene levodope, inhibitor dopa dekarboksilaze (DDC) karbidopu i ima pH u opsegu od 3.0 do 8.5, pri čemu spomenuti komplet sadrži;
a) vodenu izvornu otopinu koja sadrži levodopu u skladu sa bilo kojim od prethodnih patentnih zahtjeva, spomenuta vodena izvorna otopina koja ima pH manji od 2.8 na 25 °C,
b) vodena otopina za puferiranje prema bilo kojem od prethodnih patentnih zahtjeva, za povećanje pH spomenutog vodenog izvornog otopina, koja sadrži pufer i ima pH od najmanje 4.0 na 25 °C;
c) sredstvo (1) za miješanje, za miješanje navedenih otopina a) i b); i
d) izlazno sredstvo (2) za spomenute pomiješane otopine iz koraka c).
12. Komplet prema patentnom zahtjevu 11, pri čemu izlazno sredstvo (2) sadrži ili je povezano sa sredstvom (20) za ubrizgavanje ili infuziju.
13. Komplet prema bilo kojem od patentnih zahtjeva 11 do 12, pri čemu sredstvo (1) za miješanje sadrži dva odjeljka (3A, 3B), pumpu (4) i komoru (10) za miješanje, pri čemu prvi odjeljak (3A) sadrži sredstvo za prijem kontejnera koji sadrži vodenu izvornu otopinu, a drugi odjeljak (3B) sadrži sredstvo za prijem kontejnera koji sadrži vodenu otopinu za puferiranje, pri čemu je pumpa (4) postavljena za transport vodene izvorne otopine i vodene otopine za puferiranje iz odjeljaka (3A, 3B) u komoru (10) za miješanje, pri čemu je komora (10) za miješanje postavljena da osigura miješanje primljene vodene izvorne otopine i primljene vodene otopine za puferiranje, a gdje je pumpa (4) dalje postavljena za transport pomiješanih vodenih farmaceutskih otopina iz komore za miješanje do izlaznog sredstva (2).
14. Komplet prema patentnom zahtjevu 13, pri čemu je komora (10) za miješanje povezana direktno, bez upotrebe cjevovoda, na odjeljke (3A, 3B) koji sadrže vodenu izvornu otopinu, odnosno vodenu otopinu za puferiranje, redom.
15. Komplet u skladu sa bilo kojim od patentnih zahtjeva 13 do 14, pri čemu je komora (10) za miješanje dvokraki Y-konektor (11), poželjno Y'-konektor postavljen u dva pravca; ili
pri čemu komora (10) za miješanje sadrži spiralno oblikovani kanal (12) za miješanje dvije otopine; ili
pri čemu komora (10) za miješanje sadrži venturijevu miješalicu (13); ili
pri čemu komora (10) za miješanje sadrži motorizirani alat (14) za miješanje, kao što je klip, vijak, propeler ili sličan uređaj.
16. Komplet u skladu sa bilo kojim od patentnih zahtjeva 13 do 15, pri čemu komplet dalje sadrži kontrolna sredstva (7) za upravljanje pumpom (pumpama) (4), omogućavajući kontrolu brzine protoka pumpe (pumpi) (4).
17. Postupak kontinuirane pripreme vodene farmaceutske otopine, pri čemu je vodena farmaceutska otopina pogodna za kontinuiranu parenteralnu ili enteralnu primjenu, pri čemu postupak obuhvaća:
kontinuirano miješanje toka izvorne otopine koja sadrži levodopu i inhibitor dopa dekarboksilaze (DDC) karbidopu, pri čemu spomenuta izvorna otopina ima pH manji od 2.8 na 25°C i toka vodene otopine za puferiranje, pri čemu spomenuta otopina za puferiranje ima pH od najmanje 4.0 na 25°C; i
kontinuirano dobivanje iz spomenutog miješanja kontinuiranog toka vodene farmaceutske otopine koja sadrži najmanje 5 mg/ml otopljene levodope, inhibitor dopa dekarboksilaze (DDC) karbidopu i koji ima pH u opsegu od 3.0 do 8.5, kao što je najmanje 6, 7 , 8, 9, 10, 15 ili 20 mg/ml otopljene levodope; pri čemu je poželjno da koncentracija levodope bude u opsegu od 5 do 20 mg/ml otopljene levodope, kao što je u opsegu 5 do 15 mg/ml ili 5 do 10 mg/ml otopljene levodope.
18. Postupak prema patentnom zahtjevu 17, pri čemu vodena farmaceutska otopina ima pH od 3.5 do 8.0, kao što je 4.0 do 7.5, 4.5 do 7.0 ili 5.0 do 5.5.
19. Postupak prema patentnom zahtjevu 17 ili 18, pri čemu vodena izvorna otopina sadrži najmanje 10 mg/ml levodope, kao što je najmanje 15, 20, 25, 30, 35 ili 40 mg/ml levodope.
20. Postupak prema bilo kojem od patentnih zahtjeva 17 do 19, pri čemu vodena izvorna otopina sadrži najmanje jednu fiziološki prihvatljivu kiselinu i
pri čemu je fiziološki prihvatljiva kiselina poželjno mineralna kiselina, kao što je klorovodična kiselina, sumporna kiselina ili dušična kiselina ili octena kiselina.
21. Postupak prema bilo kojem od patentnih zahtjeva 17 do 20, pri čemu vodena otopina za puferiranje ima pH od najmanje 4.0; pri čemu je poželjno da je pH vodene otopine za puferiranje između 4.0 i 12, kao što je između 4.0 i 9, 4.0 i 7.5, ili 4.0 i 6; i/ili vodena otopina za puferiranje sadrži najmanje jednu pufersku komponentu koja ima najmanje jednu vrijednost pKa u opsegu od 3 do 9, kao što je u opsegu od 5 do 7.5,
pri čemu je poželjno da je puferska komponenta adipinska kiselina, borna kiselina, kalcij karbonat, kalcij laktat, kalcij fosfat, dietanolamin, glicin, maleinska kiselina, meglumin, metionin, mononatrij glutamat, kalij citrat, natrij acetat, natrij bikarbonat, natrij, natrij karbonat, natrij citrat dihidrat, natrij laktat, natrij fosfat dvobazni, natrij fosfat monobazan i slično ili smjese dvije ili više njih, i
pri čemu je najpoželjnije da se puferska komponenta bira iz grupe koja sadrži limunsku kiselinu, limunsku kiselinu i fosfat i trometamol (tris(hidroksimetil) aminometan).
22. Postupak prema bilo kojem od patentnih zahtjeva 17 do 21, pri čemu vodena otopina za puferiranje dalje sadrži najmanje jedan solubilizator,
pri čemu je poželjno solubilizator izabran iz grupe koja se sastoji od: glutationa, cisteina, HP-beta-ciklodekstrina, N-metil pirolidinona (NMP), dimetilacetamida (DMA), kolidona, Kolliphor-a HS 15, PEG 400, propilenglikola, polisorbata 80, glicerina, etanola, kremofora EL, DMSO, metionina, EDTA, askorbinske kiseline, asparaginske kiseline, benzalkonij klorida, benzil benzoata, cetilpiridinij klorida, hidroksipropil betadeksa, lecitina, makrogol 15 hidroksistearata, meglumina, fosfolipida, poloksamera, polioksietilen alkil etera, polioksietilen derivata ricinus ulja, polioksietilen sorbitan estera masnih kiselina, pirolidona, trioleina, vitamin E polietilen glikol sukcinata ili smjesa dva ili više njih.
23. Postupak u skladu sa bilo kojim od patentnih zahtjeva 17 do 22, pri čemu vodena otopina za puferiranje dalje sadrži najmanje jedan stabilizator, pri čemu je stabilizator izabran iz grupe koja se sastoji od agenasa za stabilizaciju, antioksidanasa i konzervanasa ili njihove kombinacije,
pri čemu poželjni agens za stabilizaciju je fiziološki prihvatljiv šećer, kao što je glukoza, i/ili agens za stabilizaciju je bentonit, kalcij alginat, kalcij stearat, karboksimetil celuloza kalcij, ceratonija, ciklodekstrini, dekstran, dietanolamin, etilen glikol palmitostearat, fruktoza, gliceril monostearat, lecitin, makrogol 15 hidroksistearat, manitol, monoetanolamin, propilen glikol, natrij acetat, natrij borat, sorbitol, sulfobutiletar beta-ciklodekstrin, trehaloza ili cink acetat i/ili
pri čemu je poželjno antioksidans izabran iz grupe koja se sastoji od alfa tokoferola, askorbinske kiseline, askorbil palmitata, butiliranog hidroksianizola, monohidrata limunske kiseline, eritorbinske kiseline, jabučne kiseline, metionina, monotioglicerola, pentetinske kiseline, kalij metabisulfita, propionske kiseline, natrij formaldehid sulfoksilata, natrij metabisulfita, natrij sulfita, natrij tiosulfata i/ili
pri čemu je poželjno konzervans izabran iz grupe koja se sastoji od benzalkonij klorida, benzetonij klorida, benzojeve kiseline, borne kiseline, bronopola, butilen glikola, kalcij acetata, kalcij laktat pentahidrata, cetrimida, cetilpiridinij klorida, klorobutanola, klorokrezola, monohidrata limunske kiseline, krezola, edetinske kiseline, etil parahidroksibenzoata, glicerola, imiduree, metil parahidroksibenzoata, monotioglicerola, fenola, fenoksietanola i feniletil alkohola.
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JPS54105221A (en) | 1978-02-02 | 1979-08-18 | Sankyo Co Ltd | Preparation of stable concentrated dopa injection |
SE512655C2 (sv) | 1993-11-17 | 2000-04-17 | Medmera Sweden Hb C O Nil Dizd | Infusionslösning för medicinskt bruk innehållande L-dopa |
DE19757224A1 (de) | 1997-12-22 | 1999-07-01 | Bayer Ag | Verfahren und Vorrichtung zur in-situ-Formulierung einer Arzneistofflösung zur parenteralen Applikation |
US8815950B2 (en) | 2003-08-29 | 2014-08-26 | Janssen Biotech, Inc. | Pharmaceutical compositions and method of using levodopa and carbidopa |
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