JP2008208137A - Heparin pharmaceutical preparation and method for stabilizing it - Google Patents

Heparin pharmaceutical preparation and method for stabilizing it Download PDF

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JP2008208137A
JP2008208137A JP2008116366A JP2008116366A JP2008208137A JP 2008208137 A JP2008208137 A JP 2008208137A JP 2008116366 A JP2008116366 A JP 2008116366A JP 2008116366 A JP2008116366 A JP 2008116366A JP 2008208137 A JP2008208137 A JP 2008208137A
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heparin
preparation
sodium
salt
concentration
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Takashi Imagawa
昴 今川
Koji Munechika
公司 棟近
Hideto Kodaira
英人 小平
Munetomo Matsuda
宗智 松田
Hiroyuki Uenodan
博之 上ノ段
Sachiko Nakagawa
祥子 中川
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Mitsubishi Tanabe Pharma Corp
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Mitsubishi Tanabe Pharma Corp
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Abstract

<P>PROBLEM TO BE SOLVED: To provide a highly stable heparin pharmaceutical preparation obtained from livers, lungs or intestinal mucosa of healthy edible animals and having actions for blood anticoagulation and clarification of lipid serum. <P>SOLUTION: The heparin pharmaceutical preparation is stabilized by blending heparin or its salt, and citric acid, phosphoric acid, carbonic acid, tris(hydroxymethyl)aminomethane or their salts as a stabilizer. <P>COPYRIGHT: (C)2008,JPO&INPIT

Description

本発明はヘパリン製剤およびその安定化方法に関する。   The present invention relates to a heparin preparation and a method for stabilizing the same.

ヘパリンは、健康な食用獣の肝、肺あるいは腸粘膜から得られ、血液凝固阻止作用、脂血清澄作用を有する。ヘパリンはムコ多糖類の硫酸エステルであり、ウロン酸とグルコサミンが交互に1,4結合した構造を有する。分子量は5000〜20000程度である。   Heparin is obtained from the liver, lungs or intestinal mucosa of healthy edible animals and has blood coagulation inhibitory action and fat serum clearing action. Heparin is a sulfate of mucopolysaccharide, and has a structure in which uronic acid and glucosamine are alternately linked by 1,4. The molecular weight is about 5000 to 20000.

ヘパリン製剤としては、ナトリウム塩、カルシウム塩などが知られている。ナトリウム塩は日本薬局方品である。ヘパリンナトリウム注射液は1mL当たり1000単位のヘパリンナトリウムを含有する注射剤で、無色〜淡黄色澄明の水性のものであり、pHは5.5〜8、浸透圧比は約1(生理食塩液に対する比)等の性状を有する。   As heparin preparations, sodium salts, calcium salts and the like are known. Sodium salt is a Japanese pharmacopoeia product. Heparin sodium injection is an injection containing 1000 units of heparin sodium per mL and is colorless to pale yellow clear aqueous, pH is 5.5 to 8, and osmotic pressure ratio is about 1 (ratio to physiological saline) ) Etc.

また、本製剤は添加剤としてベンジルアルコール、パラオキシ安息香酸メチル、パラオキシ安息香酸プロピル等の保存剤を含有する。これらの添加剤は防腐・保存を目的として添加されているが、特にベンジルアルコールは大量に投与すると呼吸困難やアレルギー反応を起こすとの報告(Drug Intell.Clin.Pharm.,9,p154,1975年発行)もあり、安全性の面で必ずしも問題がないとは言えない。また、ベンジルアルコールは、ブチルゴム栓に吸着することからテフロン(登録商標)等でコーティングされたゴム栓を使用する必要があり、光により分解されることから遮光下で製剤を保存する必要がある(非特許文献1)。   In addition, this preparation contains preservatives such as benzyl alcohol, methyl paraoxybenzoate, propyl paraoxybenzoate as additives. These additives have been added for the purpose of preserving and preserving, but in particular, benzyl alcohol has been reported to cause dyspnea and allergic reactions when administered in large amounts (Drug Intel. Clin. Pharm., 9, p154, 1975) Issue), and it is not necessarily safe. Further, since benzyl alcohol is adsorbed to a butyl rubber stopper, it is necessary to use a rubber stopper coated with Teflon (registered trademark) or the like, and since it is decomposed by light, it is necessary to store the preparation under light shielding ( Non-patent document 1).

さらに、当該製剤の滅菌法としては、間歇滅菌などの手法が採用されているが、これらの方法単独では確実かつ完全に無菌化することは困難であることから、防腐・保存剤と組み合わせて利用されているのが現状である。従って、上記の問題点はやはり解決されていない。上記の防腐・保存剤を用いる以外にも、無菌濾過などの手法が採用されているが、ヘパリンナトリウムにpH緩衝能がないことから、保存期間中にpHの低下に伴って、力価の低下が認められる。
医薬品添加物ハンドブック、316頁、丸善株式会社、1988年発行
In addition, intermittent methods such as intermittent sterilization have been adopted as sterilization methods for these preparations, but these methods alone cannot be reliably and completely sterilized, so they can be used in combination with preservatives and preservatives. This is the current situation. Therefore, the above problems are still not solved. In addition to using the preservatives and preservatives described above, methods such as sterile filtration are adopted, but since heparin sodium does not have a pH buffering capacity, the titer decreases as the pH decreases during the storage period. Is recognized.
Pharmaceutical Additive Handbook, 316 pages, Maruzen Co., Ltd., published in 1988

本発明の課題は安定性に優れたヘパリン製剤を提供することにある。   The subject of this invention is providing the heparin formulation excellent in stability.

本発明者らは上記の事情を考慮して研究を進めた結果、安定化剤としてクエン酸、リン酸、炭酸、トリスヒドロキシメチルアミノメタンまたはそれらの塩を配合することにより、加熱滅菌時・長期保存時の安定性に優れたヘパリン製剤を調製できることを見出し、本発明を完成した。以下に本発明を詳細に説明する。   As a result of conducting research in consideration of the above circumstances, the present inventors have incorporated citric acid, phosphoric acid, carbonic acid, trishydroxymethylaminomethane, or a salt thereof as a stabilizer, which can be used during heat sterilization for a long time. The inventors have found that a heparin preparation excellent in stability during storage can be prepared, and have completed the present invention. The present invention is described in detail below.

本発明によれば、従来のヘパリン製剤のように保存剤・防腐剤を配合しなくても、安定性に優れたヘパリン製剤を提供することができる。すなわち、長期保存時・加熱滅菌時の安定性を確保したヘパリン製剤を提供できる。   According to the present invention, it is possible to provide a heparin preparation having excellent stability without blending a preservative / preservative like conventional heparin preparations. That is, it is possible to provide a heparin preparation that ensures stability during long-term storage and heat sterilization.

本発明のヘパリンは公知のものを使用できる。すなわち、(1)健康な食用獣の肝、肺あるいは腸粘膜から得られ、血液凝固阻止作用、脂血清澄作用を有する、(2)ムコ多糖類の硫酸エステルであり、ウロン酸とグルコサミンが交互に1,4結合した構造を有する、(3)分子量は5000〜20000程度、等のものであればよい。 Known heparins can be used. (1) It is obtained from the liver, lungs or intestinal mucosa of a healthy edible animal, and has blood coagulation inhibitory action and fat serum clearing action. (2) Mucopolysaccharide sulfate, with uronic acid and glucosamine alternately (3) The molecular weight should just be about 5000-20000.

ヘパリンの調製は公知の方法に準じて行われる。例えば、日本薬局方に開示された方法等が利用できる。   Heparin is prepared according to a known method. For example, a method disclosed in the Japanese Pharmacopoeia can be used.

ヘパリンの塩としては、ナトリウム塩、カルシウム塩などが例示される。ナトリウム塩は日本薬局方収載品として、カルシウム塩はイギリス薬局方収載品として入手可能である。   Examples of heparin salts include sodium salts and calcium salts. Sodium salt is available as a Japanese pharmacopoeia product, and calcium salt is available as a British pharmacopoeia product.

ヘパリンナトリウムは白色〜帯灰褐色の粉末または粒で、においはない、水にやや溶け易く、エタノールあるいはエーテルにはほとんど溶けない、吸湿性である、等の性状を有するものであればよい。   Heparin sodium may be any white or ash-brown powder or granule that has no odor, is slightly soluble in water, hardly dissolves in ethanol or ether, and is hygroscopic.

本発明では、クエン酸、リン酸、炭酸、トリスヒドロキシメチルアミノメタンまたはそれらの塩を配合することにより、ヘパリン製剤の安定性を確保・改善することができる。塩としては、ナトリウム、カリウム等のアルカリ土類金属塩、カルシウム等のアルカリ金属塩、塩酸塩などが例示される。添加濃度としては0.1〜10mM程度が例示される。   In the present invention, the stability of the heparin preparation can be secured and improved by blending citric acid, phosphoric acid, carbonic acid, trishydroxymethylaminomethane, or a salt thereof. Examples of the salt include alkaline earth metal salts such as sodium and potassium, alkali metal salts such as calcium, and hydrochloride. The added concentration is exemplified by about 0.1 to 10 mM.

本製剤のpHとして好ましくは6〜8程度が例示される。本製剤では、pH6以上の緩衝能を持たせることにより、本製剤の安定性を確保・改善することができる。具体的には、本製剤のpHを6以上に調整でき、当該pHで緩衝能を有するような公知のpH調節剤を配合することができる。   The pH of this preparation is preferably about 6-8. In the present preparation, the stability of the present preparation can be ensured / improved by providing a buffer capacity of pH 6 or higher. Specifically, the pH of the present preparation can be adjusted to 6 or more, and a known pH adjusting agent having a buffering ability at the pH can be blended.

本製剤では、安全性を高めるため、従来のヘパリン製剤で配合されている保存剤・防腐剤を配合しない。   In order to increase safety, this preparation does not contain preservatives and preservatives that are included in conventional heparin preparations.

本製剤では加熱滅菌処理を施すことが可能となり、無菌性の保証された安全な製剤を提供することができる。加熱滅菌処理の具体的な方法としては、高圧蒸気滅菌などが挙げられる。高圧蒸気滅菌時の安定性については、上記の安定化剤の配合により確保されている。高圧蒸気滅菌の好適条件としては、温度105〜130℃、時間1〜60分間程度が例示される。   This preparation can be subjected to heat sterilization treatment, and a safe preparation with guaranteed sterility can be provided. A specific method of heat sterilization includes high pressure steam sterilization. The stability during high-pressure steam sterilization is ensured by blending the above-mentioned stabilizer. Suitable conditions for high-pressure steam sterilization include a temperature of 105 to 130 ° C. and a time of about 1 to 60 minutes.

本製剤におけるヘパリンまたはその塩の濃度としては1〜1000単位/mL程度が例示される。また、浸透圧比は生理学的に許容される程度であればよく、具体的には約1(生理食塩液に対する比)程度が例示される。   The concentration of heparin or a salt thereof in this preparation is exemplified by about 1 to 1000 units / mL. Moreover, the osmotic pressure ratio should just be a physiologically acceptable grade, and specifically, about 1 (ratio with respect to physiological saline) is illustrated.

本製剤には、塩化ナトリウム等の塩類、ブドウ糖等の糖類を等張化剤として配合してもよい。また、水酸化ナトリウム、水酸化カリウム、塩酸等をpH調節剤として配合してもよい。   In this preparation, salts such as sodium chloride and saccharides such as glucose may be added as an isotonic agent. Moreover, you may mix | blend sodium hydroxide, potassium hydroxide, hydrochloric acid, etc. as a pH regulator.

本製剤は、下記の数式により求められる値以下の硫酸濃度を有することが好ましい。   The preparation preferably has a sulfuric acid concentration equal to or lower than the value determined by the following mathematical formula.

硫酸濃度(mmol/L)=ヘパリン濃度(単位/mL)×0.0006   Sulfuric acid concentration (mmol / L) = heparin concentration (unit / mL) × 0.0006

すなわち、本製剤に含まれる硫酸濃度が当該値以下であれば、製剤の安定性が良好であり、当該値を超えると製剤の安定性が悪化することを意味する。   That is, if the concentration of sulfuric acid contained in this preparation is lower than the value, the stability of the preparation is good, and if it exceeds the value, the stability of the preparation deteriorates.

こうして調製された本発明のヘパリン製剤は、加熱滅菌時・長期保存時の安定性に優れている。また、光安定性も良好に保持されている。   The heparin preparation of the present invention thus prepared is excellent in stability during heat sterilization and long-term storage. Moreover, the light stability is also kept favorable.

本製剤の効能効果としては、汎発性血管内血液凝固症候群の治療、体外循環装置使用時・血管カテーテル挿入時・輸血および血液検査時の血液凝固防止、血栓閉塞症の予防治療等が挙げられる。用時、そのままあるいはブドウ糖液、生理食塩液、リンゲル液等で10〜30単位/mL程度に希釈して、静脈内、皮下、筋肉内に注射する。   Efficacy effects of this preparation include treatment of generalized intravascular blood coagulation syndrome, prevention of blood coagulation at the time of using extracorporeal circulation device, insertion of vascular catheter, blood transfusion and blood test, prevention treatment of thrombosis, etc. . At the time of use, it is injected as it is or diluted with glucose solution, physiological saline, Ringer's solution or the like to about 10 to 30 units / mL, and then injected intravenously, subcutaneously or intramuscularly.

本発明をさらに詳細に説明するための実施例および実験例を挙げるが、本発明はこれらにより何ら限定されるものではない。   EXAMPLES Examples and experimental examples for explaining the present invention in more detail are given below, but the present invention is not limited by these.

実施例1
以下の組成からなるヘパリン製剤(注射剤)を調製した。すなわち、ヘパリンナトリウム(日本薬局方品)1000単位、塩化ナトリウム9.0mgおよびクエン酸ナトリウム(終濃度で1mM)を適量の注射用水に溶解し、適量の水酸化ナトリウム液を添加して全量を1mLとした。ガラスアンプルに充填し、121℃で15分間の高圧蒸気滅菌を施した。得られたヘパリン製剤は無色澄明の水溶液であり、pHは6.55、浸透圧比は約1(生理食塩液に対する比)等の性状を有していた。
Example 1
A heparin preparation (injection) having the following composition was prepared. That is, heparin sodium (Japanese Pharmacopoeia) 1000 units, sodium chloride 9.0 mg and sodium citrate (final concentration 1 mM) are dissolved in an appropriate amount of water for injection, and an appropriate amount of sodium hydroxide solution is added to make a total volume of 1 mL. It was. Glass ampules were filled and subjected to autoclaving at 121 ° C. for 15 minutes. The obtained heparin preparation was a colorless and clear aqueous solution, and had properties such as a pH of 6.55 and an osmotic pressure ratio of about 1 (ratio to physiological saline).

実施例2
以下の組成からなるヘパリン製剤(注射剤)を調製した。すなわち、ヘパリンナトリウム(日本薬局方品)1000単位、クエン酸ナトリウム(終濃度で1mM)を適量の注射用水に溶解し、適量の水酸化ナトリウム液を添加して全量を1mLとした。ガラスアンプルに充填し、121℃で15分間の高圧蒸気滅菌を施した。
Example 2
A heparin preparation (injection) having the following composition was prepared. That is, 1000 units of sodium heparin (Japanese Pharmacopoeia) and sodium citrate (final concentration: 1 mM) were dissolved in an appropriate amount of water for injection, and an appropriate amount of sodium hydroxide solution was added to make the total volume 1 mL. Glass ampules were filled and subjected to autoclaving at 121 ° C. for 15 minutes.

比較例
以下の組成からなるヘパリン製剤(注射剤)を調製した。すなわち、ヘパリンナトリウム(日本薬局方品)1000単位および塩化ナトリウム9.0mgを適量の注射用水に溶解し、適量の水酸化ナトリウム液を添加して全量を1mLとした。ガラスアンプルに充填し、121℃で15分間の高圧蒸気滅菌を施した。得られたヘパリン製剤は無色澄明の水溶液であり、pHは6.11、浸透圧比は約1(生理食塩液に対する比)等の性状を有していた。
Comparative Example A heparin preparation (injection) having the following composition was prepared. That is, 1000 units of heparin sodium (Japanese Pharmacopoeia) and 9.0 mg of sodium chloride were dissolved in an appropriate amount of water for injection, and an appropriate amount of sodium hydroxide solution was added to make the total volume 1 mL. Glass ampules were filled and subjected to autoclaving at 121 ° C. for 15 minutes. The obtained heparin preparation was a colorless and clear aqueous solution, and had properties such as pH of 6.11, and osmotic pressure ratio of about 1 (ratio to physiological saline).

実験例1
実施例1および比較例から得られたヘパリン製剤を80℃で7日間保存した。保存後のpHおよびヘパリン力価を測定し、力価についてはその残存率を算出した。結果を表1に示す。
Experimental example 1
The heparin preparations obtained from Example 1 and the comparative example were stored at 80 ° C. for 7 days. The pH and heparin titer after storage were measured, and the residual rate was calculated for the titer. The results are shown in Table 1.

Figure 2008208137
Figure 2008208137

実験例2
以下の組成からなるヘパリン製剤(注射剤)を調製した。すなわち、ヘパリンナトリウム(日本薬局方品)1000単位、塩化ナトリウム9.0mgおよび各種添加剤を配合し、適量の注射用水に溶解して全量を1mLとした。添加剤(水酸化ナトリウムを除く)の添加濃度は1mM、pHは6〜8に調整した。121℃、20分間の高圧蒸気滅菌を施し、さらに80℃で7日間保存したときのpHおよびヘパリン力価を測定した。滅菌前の力価を100%とした時の力価残存率を算出した。結果を表2に示す。
Experimental example 2
A heparin preparation (injection) having the following composition was prepared. That is, 1000 units of heparin sodium (Japanese Pharmacopoeia), 9.0 mg of sodium chloride and various additives were blended and dissolved in an appropriate amount of water for injection to make a total volume of 1 mL. The additive concentration (excluding sodium hydroxide) was adjusted to 1 mM and pH was adjusted to 6-8. High-pressure steam sterilization was performed at 121 ° C. for 20 minutes, and the pH and heparin titer when stored at 80 ° C. for 7 days were measured. The residual titer rate when the titer before sterilization was 100% was calculated. The results are shown in Table 2.

Figure 2008208137
Figure 2008208137

クエン酸ナトリウム、炭酸水素ナトリウム、リン酸緩衝液を用いた場合に、ヘパリンの安定性は良好であった。   The stability of heparin was good when sodium citrate, sodium bicarbonate, and phosphate buffer were used.

実験例3
実験例2で例示した、水酸化ナトリウムを添加した製剤を25℃(7カ月)、40℃(2カ月)、80℃(7日)で、クエン酸ナトリウムを添加した製剤を80℃(7日)でそれぞれ保存した。ただし、ヘパリンナトリウムは100単位を用いた。保存後のヘパリン力価および溶液中の硫酸濃度を測定した。結果を表3に示す。
Experimental example 3
The formulation to which sodium hydroxide was added exemplified in Experimental Example 2 was 25 ° C. (7 months), 40 ° C. (2 months), 80 ° C. (7 days), and the formulation to which sodium citrate was added was 80 ° C. (7 days). ). However, 100 units of heparin sodium were used. The heparin titer after storage and the sulfuric acid concentration in the solution were measured. The results are shown in Table 3.

Figure 2008208137
Figure 2008208137

水酸化ナトリウムを添加した製剤では、力価の低下に伴い、硫酸濃度が増加した。一方、クエン酸ナトリウムを添加した製剤では、力価が保持され、硫酸の生成も認められなかった。   In the preparation to which sodium hydroxide was added, the sulfuric acid concentration increased as the titer decreased. On the other hand, in the preparation to which sodium citrate was added, the titer was maintained and the production of sulfuric acid was not observed.

Claims (7)

ヘパリンまたはその塩を含有し、安定化剤としてクエン酸ナトリウムおよびpH調節剤として水酸化ナトリウムを配合してなるヘパリン製剤であって、保存剤および防腐剤を含まないヘパリン製剤。   A heparin preparation containing heparin or a salt thereof and containing sodium citrate as a stabilizer and sodium hydroxide as a pH regulator, and does not contain preservatives and preservatives. 製剤のpHが6以上である請求項1記載のヘパリン製剤。   The heparin preparation according to claim 1, wherein the pH of the preparation is 6 or more. 製剤に含まれる硫酸が下記の数式により求められる濃度以下である請求項1記載のヘパリン製剤。
硫酸濃度(mmol/L)=ヘパリン濃度(力価/mL)×0.0006
The heparin preparation according to claim 1, wherein the sulfuric acid contained in the preparation is not more than a concentration determined by the following formula.
Sulfuric acid concentration (mmol / L) = heparin concentration (titer / mL) × 0.0006
光安定性が改善された請求項1記載のヘパリン製剤。   The heparin preparation according to claim 1, which has improved light stability. 高圧蒸気滅菌を施してなる請求項1〜4いずれか1項に記載のヘパリン製剤。   The heparin preparation according to any one of claims 1 to 4, which is subjected to autoclaving. ヘパリンまたはその塩に、クエン酸ナトリウムおよび水酸化ナトリウムを配合する工程を含む、保存剤および防腐剤を含まないヘパリン製剤の安定化方法。   A method for stabilizing a heparin preparation containing no preservative and preservative, comprising a step of blending sodium citrate and sodium hydroxide with heparin or a salt thereof. さらに高圧蒸気滅菌を施す工程を含む、請求項6に記載の安定化方法。   Furthermore, the stabilization method of Claim 6 including the process of performing high pressure steam sterilization.
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