JP2018538290A5 - - Google Patents

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JP2018538290A5
JP2018538290A5 JP2018529574A JP2018529574A JP2018538290A5 JP 2018538290 A5 JP2018538290 A5 JP 2018538290A5 JP 2018529574 A JP2018529574 A JP 2018529574A JP 2018529574 A JP2018529574 A JP 2018529574A JP 2018538290 A5 JP2018538290 A5 JP 2018538290A5
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estradiol
vaginal
vaginal suppository
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Priority claimed from PCT/US2016/065466 external-priority patent/WO2017100378A2/en
Publication of JP2018538290A publication Critical patent/JP2018538290A/en
Publication of JP2018538290A5 publication Critical patent/JP2018538290A5/ja
Priority to JP2021070619A priority Critical patent/JP2021119155A/en
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外陰膣萎縮症(VVA)の症状を治療する膣坐剤であって、該膣坐剤は、
4μg〜25μgのエストラジオールを含み、
VVAを患う被験体に対して投与されるものであり
前記投与は、毎日2週間、その後は週2回にわたり実施されるものであり、
前記治療が、最初の膣坐剤を投与した際、又は、最初の膣坐剤を投与してから2週間以内に効果がある、膣坐剤
A vaginal suppository for treating symptoms of vulva vaginal atrophy (VVA), wherein the vaginal suppository comprises:
4 μg~25μg estradiol only free,
Administered to a subject suffering from VVA ,
The administration is performed for two weeks every day and thereafter twice a week,
A vaginal suppository , wherein the treatment is effective when the first vaginal suppository is administered or within 2 weeks after administering the first vaginal suppository .
前記エストラジオールの投与に関連する頭痛以外の有害事象が、プラセボの投与に関連する有害事象と有意差がない、請求項1に記載の膣坐剤3. The vaginal suppository of claim 1, wherein the adverse events other than headache associated with administration of estradiol are not significantly different from the adverse events associated with administration of placebo. VVAの該症状が、膣乾燥、性交疼痛、膣または外陰部の刺激、灼熱感、もしくはかゆみ、排尿障害、および性的活動に関連する膣出血から選択される1つ以上の症状を含む、請求項1または2に記載の膣坐剤Wherein the symptoms of VVA include one or more symptoms selected from vaginal dryness, dyspareunia, vaginal or vulvar irritation, burning or itching, dysuria, and vaginal bleeding associated with sexual activity. Item 14. A vaginal suppository according to item 1 or 2. 前記治療が、下記(i)〜(vii)のうちの1つまたは複数を含む、請求項1に記載の膣坐剤
(i)前記被験体の膣分泌のレベルの増加が、目視検査によって評価されること;
(ii)前記被験体の膣粘膜皺数の増加が、目視検査によって評価されること;
(iii)前記被験体の膣出血または点状出血の減少が、目視検査によって評価される
(iv)前記被験体の膣粘膜の色の、透明からピンクへの、または淡いピンクからピンクへの変化が、目視検査によって評価されること;
(v)膣乾燥の重症度を、最初の膣坐剤を投与した際、又は、最初の膣坐剤を投与してから2週間以内に低下させること;
(vi)外陰部または膣のかゆみの重症度を、最初の膣坐剤を投与した際、又は、最初の膣坐剤を投与してから2週間以内に低下させること;
(vii)性交疼痛の重症度を、最初の膣坐剤を投与した際、又は、最初の膣坐剤を投与してから2週間以内に低下させること。
The vaginal suppository of claim 1, wherein the treatment comprises one or more of the following (i) to (vii) .
(I) increasing the level of vaginal secretion in the subject is assessed by visual inspection ;
(Ii) an increase in the number of vaginal mucosal wrinkles in the subject is assessed by visual inspection ;
(Iii) the reduction of vaginal or petechial bleeding in the subject is assessed by visual inspection ;
(Iv) the change in color of the subject's vaginal mucosa from transparent to pink or pale pink to pink is assessed by visual inspection ;
(V) reducing the severity of vaginal dryness when the first vaginal suppository is administered or within two weeks after the administration of the first vaginal suppository ;
(Vi) reducing the severity of vulvar or vaginal itching upon administration of the first vaginal suppository or within two weeks of administering the first vaginal suppository ;
(Vii) To reduce the severity of dyspareunia upon administration of the first vaginal suppository or within two weeks of administering the first vaginal suppository .
溶化剤をさらに含み、該可溶化剤が、少なくとも1つのC6〜C12脂肪酸またはグリコール、そのモノグリセリド、ジグリセリド、もしくはトリグリセリドエステルを含む、請求項1に記載の膣坐剤Further comprising a solubilizing agent, solubilizing agent, at least one C6~C12 fatty acids or glycol, the mono-, di-, or triglycerides ester, vaginal suppositories of claim 1. 4μgのエストラジオールを含む、請求項1に記載の膣坐剤The vaginal suppository of claim 1, comprising 4 μg of estradiol. (a)前記膣坐剤の投与が、該患者からの血漿試料において、以下から選択される1つ以上のパラメータを与える
1)1日目の評価で約73.3pg*時間/mL〜約114.7pg*時間/mLに及ぶエストラジオールの未調整算術平均曲線下面積(AUC)0-24
2)1日目の評価で約3.1pg/mL〜約4.8pg/mLに及ぶエストラジオールの補正算術平均ピーク血漿濃度(Cavg[0-24]);
3)14日目の評価で約69.7pg*時間/mL〜約108.9pg*時間/mLに及ぶエストラジオールの未調整算術平均曲線下面積(AUC)0-24;および
4)14日目の評価で約2.8pg/mL〜約4.6pg/mLに及ぶエストラジオールの補正算術平均ピーク血漿濃度(Cavg [0-24];または、
(b)前記膣坐剤の投与が、該患者からの血漿試料において、1日目の評価で約2.0pg/mL〜約3.3pg/mLに及ぶエストラジオールの補正幾何平均ピーク血漿濃度(Cmax)を与えるか;
(c)前記膣坐剤の投与が、該患者からの血漿試料において、14日目の評価で約1.0pg/mL〜約1.7pg/mLに及ぶエストラジオールの補正幾何平均ピーク血漿濃度(Cmax)を与えるか;
(d)前記膣坐剤の投与が、該患者からの血漿試料において、1日目の評価で約9.5pg*時間/mL〜15.1pg*時間/mLに及ぶエストラジオールの補正幾何平均曲線下面積(AUC)0-24を与えるか;または、
(e)前記膣坐剤の投与が、該患者からの血漿試料において、14日目の評価で約5.7pg*時間/mL〜約9.1pg*時間/mLに及ぶエストラジオールの補正幾何平均曲線下面積(AUC)0-24を与える、
請求項6に記載の膣坐剤
(A) administration of the vaginal suppositories in plasma samples from the patient, or provide one or more parameters selected from:
1) about 73.3Pg * time rating of 1 day / mL to about 114.7Pg * unadjusted arithmetic mean area under the curve of estradiol ranging time / mL (AUC) 0-24;
2) Estradiol corrected arithmetic mean peak plasma concentration (C avg [0-24] ) ranging from about 3.1 pg / mL to about 4.8 pg / mL on day 1 evaluation;
3) the area under the unadjusted arithmetic mean curve (AUC) of estradiol ranging from about 69.7 pg * h / mL to about 108.9 pg * h / mL on day 14, 0-24 ;
4) a corrected arithmetic mean peak plasma concentration of estradiol ranging from about 2.8 pg / mL to about 4.6 pg / mL on day 14 (C avg [0-24] ) ; or
(B) Corrected geometric mean peak plasma concentration (C max ) of estradiol ranging from about 2.0 pg / mL to about 3.3 pg / mL as assessed on day 1 in administration of the vaginal suppository in a plasma sample from the patient. Or give ;
Administration of (c) the vaginal suppositories in plasma samples from the patient, corrected geometric mean peak plasma concentration of estradiol up to about 1.0p g / mL to about 1.7p g / mL in the evaluation of day 14 (C max ) ;
(D) the area under the corrected geometric mean curve of estradiol, wherein administration of the vaginal suppository ranges from about 9.5 pg * h / mL to 15.1 pg * h / mL in a plasma sample from the patient, as assessed on day 1 ( AUC) gives 0-24 ; or
(E) the area under the corrected geometric mean curve of estradiol, wherein administration of the vaginal suppository ranges from about 5.7 pg * h / mL to about 9.1 pg * h / mL, as assessed on day 14, in a plasma sample from the patient. (AUC) gives 0-24 ,
A vaginal suppository according to claim 6 .
10μgのエストラジオールを含む、請求項1に記載の膣坐剤The vaginal suppository of claim 1, comprising 10 μg of estradiol. (a)前記膣坐剤の投与が、該患者からの血漿試料において、以下から選択される1つ以上のパラメータを与えるか;
1)1日目の評価で約110.3pg*時間/mL〜約172.6pg*時間/mLに及ぶエストラジオールの未調整算術平均曲線下面積(AUC)0-24
2)1日目の評価で約4.6pg/mL〜約7.8pg/mLに及ぶエストラジオールの補正算術平均ピーク血漿濃度(Cavg [0-24]);
3)14日目の評価で約87.9pg*時間/mL〜約137.4pg*時間/mLに及ぶエストラジオールの未調整算術平均曲線下面積(AUC)0-24;および
4)14日目の評価で約3.6pg/mL〜約5.8pg/mLに及ぶエストラジオールの補正算術平均ピーク血漿濃度(Cavg [0-24];
(b)前記膣坐剤の投与が、該患者からの血漿試料において、1日目の評価で約4.7pg/mL〜約7.6pg/mLに及ぶエストラジオールの補正幾何平均ピーク血漿濃度(Cmax)を与えるか;
(c)前記膣坐剤の投与が、該患者からの血漿試料において、14日目の評価で約2.3pg/mL〜約3.8pg/mLに及ぶエストラジオールの補正幾何平均ピーク血漿濃度(Cmax)を与える
(d)前記膣坐剤の投与が、該患者からの血漿試料において、1日目の評価で約17.5pg*時間/mL〜約27.4pg*時間/mLに及ぶエストラジオールの補正幾何平均曲線下面積(AUC)0-24を与えるか;
(e)前記膣坐剤の投与が、該患者からの血漿試料において、14日目の評価で約10.9pg*時間/mL〜約17.2pg*時間/mLに及ぶエストラジオールの補正幾何平均曲線下面積(AUC)0-24を与えるか;
(f)前記膣坐剤の投与が、該患者からの血漿試料において、1日目の評価で約0.6pg/mL〜約1.1pg/mLに及ぶエストラジオールの補正幾何平均ピーク血漿濃度(Cavg)を与えるか;または、
(g)前記膣坐剤の投与が、該患者からの血漿試料において、14日目の評価で約0.1pg/mL〜約0.3pg/mLに及ぶエストラジオールの補正幾何平均ピーク血漿濃度(Cavg)を与える、請求項8に記載の膣坐剤。
(A) whether the administration of the vaginal suppository provides one or more parameters selected from the following in a plasma sample from the patient ;
1) The area under the unadjusted arithmetic mean curve (AUC) of estradiol ranging from about 110.3 pg * hr / mL to about 172.6 pg * hr / mL on the first day, 0-24 ;
2) Estradiol corrected arithmetic mean peak plasma concentration (C avg [0-24] ) ranging from about 4.6 pg / mL to about 7.8 pg / mL on day 1 evaluation;
3) the area under the unadjusted arithmetic mean curve (AUC) of estradiol ranging from about 87.9 pg * hr / mL to about 137.4 pg * hr / mL on day 14, 0-24 ;
4) Estradiol corrected arithmetic mean peak plasma concentration (C avg [0-24] ) ranging from about 3.6 pg / mL to about 5.8 pg / mL on day 14 ;
(B) Corrected geometric mean peak plasma concentration (C max ) of estradiol ranging from about 4.7 pg / mL to about 7.6 pg / mL as assessed on day 1 in a plasma sample from the patient wherein administration of the vaginal suppository. Or give ;
(C) the administration of the vaginal suppository results in a corrected geometric mean peak plasma concentration (C max ) of estradiol ranging from about 2.3 pg / mL to about 3.8 pg / mL as assessed on day 14 in a plasma sample from the patient. Give ;
(D) the area under the corrected geometric mean curve of estradiol, wherein administration of the vaginal suppository ranges from about 17.5 pg * hr / mL to about 27.4 pg * hr / mL in a plasma sample from the patient as assessed on day 1 (AUC) Give 0-24 ;
(E) the area under the corrected geometric mean curve of estradiol, wherein administration of the vaginal suppository ranges from about 10.9 pg * hr / mL to about 17.2 pg * hr / mL in a plasma sample from the patient as assessed on day 14; (AUC) Give 0-24 ;
(F) Corrected geometric mean peak plasma concentration of estradiol (C avg ) ranging from about 0.6 pg / mL to about 1.1 pg / mL as assessed on day 1 in the plasma sample from said patient, wherein administration of said vaginal suppository. Or; or
(G) Corrected geometric mean peak plasma concentration (C avg ) of estradiol, wherein administration of the vaginal suppository ranges from about 0.1 pg / mL to about 0.3 pg / mL in a plasma sample from the patient, as assessed on day 14 The vaginal suppository of claim 8 , which provides
25μgのエストラジオールを含む、請求項1に記載の膣坐剤Containing estradiol 2 5 [mu] g, vaginal suppositories of claim 1. (a)前記膣坐剤の投与が、該患者からの血漿試料において、以下から選択される1つ以上のパラメータを与えるか;
1)1日目の評価で約173.5pg*時間/mL〜約271.3pg*時間/mLに及ぶエストラジオールの未調整算術平均曲線下面積(AUC)0-24
2)1日目の評価で約7.2pg/mL〜約11.4pg/mLに及ぶエストラジオールの補正算術平均ピーク血漿濃度(Cavg [0-24]);
3)14日目の評価で約137.5pg*時間/mL〜約215.1pg*時間/mLに及ぶエストラジオールの未調整算術平均曲線下面積(AUC)0-24;および
4)14日目の評価で約5.7pg/mL〜約9.0pg/mLに及ぶエストラジオールの補正算術平均ピーク血漿濃度(Cavg [0-24];または、
(b)前記膣坐剤の投与が、該患者からの血漿試料において、1日目の評価で約20.9pg/mL〜約32.8pg/mLに及ぶエストラジオールの補正幾何平均ピーク血漿濃度(Cmax)を与えるか;
(c)前記膣坐剤の投与が、該患者からの血漿試料において、14日目の評価で約9.5pg/mL〜約15.1pg/mLに及ぶエストラジオールの補正幾何平均ピーク血漿濃度(Cmax)を与えるか;
(d)前記膣坐剤の投与が、該患者からの血漿試料において、1日目の評価で約104.3pg*時間/mL〜約163.1pg*時間/mLに及ぶエストラジオールの補正幾何平均曲線下面積(AUC)0-24を与えるか;
(e)前記膣坐剤の投与が、該患者からの血漿試料において、14日目の評価で約67.6pg*時間/mL〜約105.8pg*時間/mLに及ぶエストラジオールの補正幾何平均曲線下面積(AUC)0-24を与えるか;
(f)前記膣坐剤の投与が、該患者からの血漿試料において、1日目の評価で約4.3pg/mL〜約6.8pg/mLに及ぶエストラジオールの補正幾何平均ピーク血漿濃度(Cavg)を与えるか;
(g)前記膣坐剤の投与が、該患者からの血漿試料において、14日目の評価で約2.7pg/mL〜約4.4pg/mLに及ぶエストラジオールの補正幾何平均ピーク血漿濃度(Cavg)を与えるか;または、
(h)前記膣坐剤の投与が、該患者からの血漿試料において、約0.25時間〜約2時間のエストラジオールのピーク血漿濃度到達補正幾何平均時間(Tmax)を与える
請求項10に記載の膣坐剤。
(A) administration of the vaginal suppositories in plasma samples from the patient, or provide one or more parameters selected from the following;
1) The area under the unadjusted arithmetic mean curve (AUC) of estradiol ranging from about 173.5 pg * h / mL to about 271.3 pg * h / mL on day 1; 0-24 ;
2) Estradiol corrected arithmetic mean peak plasma concentration (C avg [0-24] ) ranging from about 7.2 pg / mL to about 11.4 pg / mL on day 1 evaluation;
3) Unadjusted arithmetic mean area under estradiol curve (AUC) 0-24 ranging from about 137.5 pg * hr / mL to about 215.1 pg * hr / mL on day 14;
4) a corrected arithmetic mean peak plasma concentration of estradiol ranging from about 5.7 pg / mL to about 9.0 pg / mL on the 14th day (C avg [0-24] ) ; or
(B) Corrected geometric mean peak plasma concentration (C max ) of estradiol, wherein administration of the vaginal suppository ranges from about 20.9 pg / mL to about 32.8 pg / mL in a plasma sample from the patient as assessed on day 1 Or give ;
(C) the administration of the vaginal suppository results in a corrected geometric mean peak plasma concentration (C max ) of estradiol ranging from about 9.5 pg / mL to about 15.1 pg / mL as assessed on day 14 in a plasma sample from the patient. Or give ;
(D) the area under the corrected geometric mean curve of estradiol, wherein administration of the vaginal suppository ranges from about 104.3 pg * h / mL to about 163.1 pg * h / mL in a plasma sample from the patient, as assessed on day 1; (AUC) Give 0-24 ;
(E) the area under the corrected geometric mean curve of estradiol, wherein administration of the vaginal suppository ranges from about 67.6 pg * h / mL to about 105.8 pg * h / mL in a plasma sample from the patient, as assessed on day 14; (AUC) Give 0-24 ;
(F) Corrected geometric mean peak plasma concentrations of estradiol (C avg ) ranging from about 4.3 pg / mL to about 6.8 pg / mL on day 1 in plasma samples from the patient after administration of the vaginal suppository. Or give ;
(G) Corrected geometric mean peak plasma concentration of estradiol (C avg ) ranging from about 2.7 pg / mL to about 4.4 pg / mL as assessed on day 14 in administration of the vaginal suppository in a plasma sample from the patient. Or; or
(H) administration of the vaginal suppository gives a corrected geometric mean time to peak plasma concentration of estradiol (T max ) of about 0.25 hours to about 2 hours in a plasma sample from the patient ;
A vaginal suppository according to claim 10.
(i)前記可溶化剤中に親水性ゲル形成生体接着剤を含まないか;
(ii)前記膣坐剤においてエストラジオールが唯一の活性ホルモンであるか;または、
(iii)前記被験体が、前記膣坐剤の投与の約5分後に開始し、該膣坐剤の投与の約4時間後に終了する期間にわたって歩行可能な状態を維持する、
請求項1に記載の膣坐剤
(I) whether or not the solubilizing agent contains a hydrophilic gel-forming bioadhesive ;
(Ii) estradiol is the only active hormone in the vaginal suppository ; or
(Iii) the subject is started after about 5 minutes of administration of the vaginal suppositories, maintaining a walkable state for a period ending about 4 hours after the administration of the vaginal suppositories,
A vaginal suppository according to claim 1 .
女性性機能障害を治療する膣坐剤であって、前記膣坐剤は、それを必要とする女性被験体に対して投与されるものであり、
前記膣坐剤は、(a)治療有効量のエストラジオール;カプリル酸/カプリン酸トリグリセリド;ステアリン酸PEG-6およびパルミトステアリン酸エチレングリコールを含む非イオン性界面活性剤を含む液体組成物であり、前記治療有効量のエストラジオールとして約1マイクログラム〜約25マイクログラムのエストラジオールを含み、且つ、該膣坐剤においてエストラジオールが唯一の活性ホルモンである、液体組成物;ならびに(b)軟質ゼラチンカプセルを含む
膣坐剤
There vaginal suppositories to treat female sexual dysfunction, the vaginal suppository is to be administered it against the female subject in need,
The vaginal suppositories are, (a) a therapeutically effective amount of estradiol; a liquid composition comprising a nonionic surfactant comprising stearate PEG-6 and palmitostearate ethylene glycol; caprylic / capric triglyceride A liquid composition comprising from about 1 microgram to about 25 micrograms of estradiol as the therapeutically effective amount of estradiol, and wherein estradiol is the only active hormone in the vaginal suppository ; and (b) a soft gelatin capsule. Including ,
Vaginal suppositories .
前記液体組成物中に親水性ゲル形成生体接着剤を含まない、請求項13に記載の膣坐剤 14. The vaginal suppository of claim 13 , wherein the liquid composition does not include a hydrophilic gel-forming bioadhesive. 前記女性性機能障害の治療が、該被験体の欲求、性的興奮、潤滑、満足、および/またはオーガズムの増加を含む、請求項13に記載の膣坐剤14. The vaginal suppository of claim 13 , wherein the treatment of female sexual dysfunction comprises increasing the subject's desire, sexual arousal, lubrication, satisfaction, and / or orgasm. 前記治療が、女性性機能指数を用いて評価される、請求項15に記載の膣坐剤 16. The vaginal suppository of claim 15 , wherein the treatment is evaluated using a female sexual function index. 前記被験体に2週間にわたって毎日投与され、その後は週2回投与される、請求項13に記載の膣坐剤 14. The vaginal suppository of claim 13 , wherein the subject is administered daily for two weeks and thereafter twice a week. 約4μgのエストラジオールを含むか、
約10μgのエストラジオールを含むか、または、
約25μgのエストラジオールを含む、
請求項13に記載の膣坐剤
Contains about 4 μg of estradiol,
Contains about 10 μg estradiol, or
Containing about 25 μg estradiol,
A vaginal suppository according to claim 13 .
膣乾燥又は性交疼痛を治療するための膣坐剤であって、前記膣坐剤は、それを必要とする女性被験体に対して投与されるものであり、
前記膣坐剤は、(a)治療有効量のエストラジオール;カプリル酸/カプリン酸トリグリセリド;ステアリン酸PEG-6およびパルミトステアリン酸エチレングリコールを含む非イオン性界面活性剤を含む液体組成物であり、前記治療有効量のエストラジオールとして約1マイクログラム〜約25マイクログラムのエストラジオールを含み、且つ、該膣坐剤においてエストラジオールが唯一の活性ホルモンである、液体組成物;ならびに(b)軟質ゼラチンカプセルを含む、膣坐剤
A vaginal suppository for treating vaginal dryness or dyspareunia , wherein the vaginal suppository is to be administered to a female subject in need thereof .
The vaginal suppositories are, (a) a therapeutically effective amount of estradiol; a liquid composition comprising a nonionic surfactant comprising stearate PEG-6 and palmitostearate ethylene glycol; caprylic / capric triglyceride A liquid composition comprising from about 1 microgram to about 25 micrograms of estradiol as the therapeutically effective amount of estradiol, and wherein estradiol is the only active hormone in the vaginal suppository ; and (b) a soft gelatin capsule. Including , vaginal suppositories .
前記液体組成物中に親水性ゲル形成生体接着剤を含まない、請求項19に記載の膣坐剤 20. The vaginal suppository of claim 19 , wherein the liquid composition does not include a hydrophilic gel-forming bioadhesive. 約4μgのエストラジオールを含むか、
約10μgのエストラジオールを含むか、または、
約25μgのエストラジオールを含む、
請求項19に記載の膣坐剤
Contains about 4 μg of estradiol ,
Contains about 10 μg estradiol, or
Containing about 25 μg estradiol,
A vaginal suppository according to claim 19 .
前記投与が、2週間にわたって毎日、その後は週2回実施され、
前記治療が、膣乾燥を2週間以内に緩和させる、
請求項19に記載の膣坐剤
The administration is performed daily for two weeks and thereafter twice a week,
Said treatment alleviates vaginal dryness within two weeks,
A vaginal suppository according to claim 19 .
前記投与が、2週間にわたって毎日、その後は週2回実施され、
前記治療が、最初の膣坐剤を投与した際、又は、最初の膣坐剤を投与してから2週間以内に、性交疼痛を緩和させる、請求項19に記載の膣坐剤
The administration is performed daily for two weeks and thereafter twice a week,
20. The vaginal suppository of claim 19, wherein the treatment alleviates dyspareunia upon administration of the first vaginal suppository or within two weeks of administering the first vaginal suppository .
膣、陰唇、または外陰部を再エストロゲン化する膣坐剤であって、前記膣坐剤は、それを必要とする女性被験体に対して投与されるものであり、(a)治療有効量のエストラジオール;カプリル酸/カプリン酸トリグリセリド;ステアリン酸PEG-6およびパルミトステアリン酸エチレングリコールを含む非イオン性界面活性剤を含む液体組成物であり、前記治療有効量のエストラジオールとして約1マイクログラム〜約25マイクログラムのエストラジオールを含み、且つ、該膣坐剤においてエストラジオールが唯一の活性ホルモンである、液体組成物;ならびに(b)軟質ゼラチンカプセルを含む、膣坐剤Vagina, there labia or vaginal suppository of re estrogen the vulva, the vaginal suppository is to be administered it against the female subject in need of (a) a therapeutically effective amount of estradiol; caprylic / capric triglycerides; a liquid composition comprising a nonionic surfactant comprising stearate PEG-6 and palmitostearate ethylene glycol, about 1 microgram to as estradiol of the therapeutically effective amount comprises about 25 micrograms of estradiol, and the only active hormone estradiol in vaginal suppositories, liquid composition; and (b) a soft gelatin capsule including vaginal suppositories. 前記被験体に2週間にわたって毎日投与され、その後は週2回投与される、請求項24に記載の膣坐剤 25. The vaginal suppository of claim 24 , wherein the subject is administered daily for two weeks and thereafter twice a week. 約4μgのエストラジオールを含む
約10μgのエストラジオールを含むか、または、
約25μgのエストラジオールを含む、
請求項24に記載の膣坐剤
It contains estradiol of about 4μg,
Contains about 10 μg estradiol, or
Containing about 25 μg estradiol,
A vaginal suppository according to claim 24 .
前記液体組成物中に親水性ゲル形成生体接着剤を含まない、請求項24に記載の膣坐剤 25. The vaginal suppository of claim 24 , wherein the liquid composition does not include a hydrophilic gel-forming bioadhesive.
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