JP7456721B2 - 5-メチル-1-フェニル-2-(1h)-ピリドンの顆粒製剤及びその製造方法 - Google Patents
5-メチル-1-フェニル-2-(1h)-ピリドンの顆粒製剤及びその製造方法 Download PDFInfo
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- JP7456721B2 JP7456721B2 JP2018551222A JP2018551222A JP7456721B2 JP 7456721 B2 JP7456721 B2 JP 7456721B2 JP 2018551222 A JP2018551222 A JP 2018551222A JP 2018551222 A JP2018551222 A JP 2018551222A JP 7456721 B2 JP7456721 B2 JP 7456721B2
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Description
5-メチル-1-フェニル-2-(1H)-ピリドン(ピルフェニドンとも呼ばれる)は、185.23ダルトンの分子量を有する非ペプチド合成分子である。その化学元素はC12H11NOとして表され、その構造は既知である。ピルフェニドンは、TNF-α発現の低下、PDGF発現の低下、及びコラーゲン発現の低下を介した抗線維化特性を有する。
本開示の一実施形態は、線維化状態及び他のサイトカイン媒介性障害を治療するための方法を提供する。これらの方法は、本開示の製剤を、それを必要とする患者に投与することを含む。本明細書で使用される場合、「ピルフェニドン療法を必要とする」患者は、ピルフェニドンの投与から利益を得る患者である。患者は、ピルフェニドン療法が症状の改善に有用であり得る任意の疾患または状態に罹患し得る。ピルフェニドンは既知の抗線維化剤であるため、そのような障害は、肺、腎臓、肝臓、心臓、または他の器官の線維性障害等の線維性障害を含む。ピルフェニドンを用いた療法から利益を得る他の障害は、炎症性障害または自己免疫障害を含む。ピルフェニドンを用いた治療から利益を得るさらに他の障害は、線維症をもたらす疾患、または随伴する線維症が、梗塞(組織死)、感染症、癌、硬変等の疾患の症状または合併症の原因の一部となる疾患を含む。例えば、そのような疾患または障害は、肺線維症、突発性肺線維症、閉塞性細気管支炎、慢性肺移植拒絶反応、強皮症、原発性巣状分節性糸球体硬化症(FSGC)または膜性増殖性糸球体腎炎(MPGN)、特発性間質性肺炎、全身性硬化症における間質性肺疾患、肺の線維症状態、自己免疫肺疾患、良性前立腺肥大、冠状動脈または心筋梗塞、心房細動、脳梗塞、心筋線維症、筋骨格線維症、術後癒着、肝硬変、腎臓の線維性疾患、線維性血管疾患、強皮症、ヘルマンスキー・パドラック症候群、神経線維腫症、アルツハイマー病、糖尿病性網膜症、及び/または皮膚病変、HIVに関連するリンパ節線維症、慢性閉塞性肺疾患(COPD)、炎症性肺線維症、関節リウマチ、リウマチ性脊椎炎、変形性関節症、痛風、他の関節炎状態、敗血症、敗血症性ショック、内毒素ショック、グラム陰性敗血症、毒性ショック症候群、筋筋膜性疼痛症候群(MPS)、細菌性赤痢、喘息、成人呼吸窮迫症候群、炎症性腸疾患、クローン病、乾癬、湿疹、潰瘍性大腸炎、糸球体腎炎、強皮症、慢性甲状腺炎、グレーブス病、オーモンド病、自己免疫性胃炎、重症筋無力症、自己免疫性溶血性貧血、自己免疫性好中球減少症、血小板減少症、膵臓線維症、肝線維症を含む慢性活動性肝炎、急性及び慢性の腎疾患、腎線維症、糖尿病性腎症、過敏性腸症候群、発熱、再狭窄、脳マラリア、脳卒中及び虚血性損傷、神経外傷、アルツハイマー病、ハンチントン病、パーキンソン病、急性及び慢性の疼痛、アレルギー性鼻炎及びアレルギー性結膜炎を含むアレルギー、心肥大、慢性心不全、急性冠症候群、悪液質、マラリア、ハンセン病、リーシュマニア症、ライム病、ライター症候群、急性滑膜炎、筋変性、滑液包炎、腱炎、腱鞘炎、ヘルニア性、破裂性、または脱出性の椎間板症候群、大理石骨病、血栓症、珪肺症、肺性サルコシス、骨粗鬆症または多発性骨髄腫関連骨障害等の骨吸収疾患、転移性乳癌、結腸直腸癌、悪性黒色腫、胃癌、及び非小細胞肺癌を含むがこれらに限定されない癌、移植片対宿主反応、及び自己免疫疾患、例えば多発性硬化症、狼瘡及び線維筋痛症、AIDS及び他のウイルス性疾患、例えば、帯状疱疹、単純ヘルペスウイルス1型または2型、インフルエンザウイルス、重症急性呼吸器症候群(SARS)及びサイトメガロウイルス、ならびに糖尿病を含む。さらに、実施形態の方法は、増殖性疾患(良性及び悪性の過形成の両方を含む)、例えば、急性骨髄性白血病、慢性骨髄性白血病、カポジ肉腫、転移性黒色腫、多発性骨髄腫、転移性乳癌を含む乳癌、結腸直腸癌、悪性黒色腫、胃癌、または非小細胞肺癌NSCLC)、骨転移等、神経筋痛、頭痛、癌性疼痛、歯痛及び関節炎痛を含む疼痛障害、固形腫瘍血管新生、眼血管新生、及び乳児血管腫を含む血管新生障害、プロスタグランジンエンドペルオキシドシンターゼ-2に関連する状態(浮腫、発熱、痛覚消失、及び疼痛を含む)を含むシクロオキシゲナーゼ及びリポキシゲナーゼシグナル伝達経路に関連する状態、器官低酸素症、トロンビン誘発血小板凝集、原虫病を治療するために使用することができる。例えば、IPF及び強皮症(または全身性硬化症)に関連する間質性肺疾患(SSc-ILD)は、重複する病理学的経路、最も顕著には線維芽細胞の活性化及び増殖、線維形成性サイトカイン及び増殖因子の発現、ならびに進行性間質線維症を共有する(Tzouvelekis et al.2005;Castro and Jimenez 2010;Collard et al.2010;Hummers 2010;van den Blink et al.2010;Richards et al.2012;Vij and Noth 2012)。IPF及びSSc-ILDはまた、CCL18、SP-A、SP D、KL 6、ICAM-1、VCAM1、CCL2、YKL-40、及びvWFを含む共通のバイオマーカーを有する
顆粒内流動促進剤を含むピルフェニドン製剤(実施例1の製剤)と顆粒内流動促進剤を含まないピルフェニドン製剤(比較例)との比較を行った。比較製剤は以下の成分を有していた。
流れ関数係数(FFC)は、粉末流の尺度である。約4未満の値は、粉末加工には不十分であり、最適ではないと考えられる。4~10の値は、粉末加工に許容される流動値であると考えられる。以下の表3に示すように、純粋なピルフェニドン(賦形剤なし)、及び約1重量%のシリカまたは約2重量%のシリカのいずれかと混合したピルフェニドンと微結晶性セルロースとの二成分粉末混合物について流動挙動を分析した。成分をターブラミキサーで混合し、ブレンドの異なる流動特性を測定した。
約100~170MPaの圧縮力を適用し、主圧縮力の20~30%である予圧縮力を用いることによって、実施例1の製剤から錠剤を形成した。そのような圧縮力は、87%~93%の固体画分値及び1.6MPaより大きい引張強度値の錠剤コアを生成した。錠剤は、良好な摩耗特性(0.5%未満の摩耗)を示した。
驚くべきことに、本開示の実施形態によるピルフェニドン錠剤の崩壊は、錠剤の投与強度とは無関係に固体画分のパーセンテージ(正規化された錠剤の厚さ)によって制御することができることが発見された。ピルフェニドンの粒子サイズが錠剤コア硬度に影響を及ぼすことが分かったが、錠剤コアの薬物放出特性に影響を及ぼすことが判明したのは、引張強度ではなく固体画分である。この関係は、50~150μmのd90から広範囲のピルフェニドン粒子径にわたって確認された。この関係を特定することにより、固体画分を制御する錠剤コアの厚さを、錠剤コア硬度の代わりに錠剤圧縮工程における標的パラメータとして使用することができた。
本開示による製剤を有するフィルムコート錠と、顆粒内流動促進剤を有しないピルフェニドン製剤である市販のカプセル製剤(ESBRIET(登録商標)カプセルとして販売される)との間の生物学的同等性を実証する生物学的等価性試験を実施した。
実施例6に開示された製剤を有する、本開示によるフィルムコート錠のin vitro性能を、以下を使用して、下に示す条件のマトリックスに従って評価した:Ph Eur./USP装置II、回転パドル、またはPh Eur./USP装置I、回転バスケット、及び37℃の記載される媒体1000mL。
本開示の製剤中の原薬の粒子径は、錠剤が同じ固体画分を有する場合、該製剤から形成された錠剤の溶出に影響を及ぼすとは認められなかった。2つの異なる供給源からの原薬を含む製剤を評価した。以下の錠剤は、試験した供給源の粒度分布情報を提供する。
圧縮力は、溶出の初期段階で、一般的に15分未満後に、溶出プロファイルに影響を及ぼす可能性がある。3つの投与強度(801mg、534mg、及び267mg)の溶出に対する圧縮力の影響を5KNから25KNの範囲にわたって調べた。溶出プロファイルは、圧縮力の影響を受ける可能性があり、一般的に、初期溶出段階(約0~15分)の間にプロファイルの形状における変化という形で現れる。図21及び22は、圧縮力を変化させることによって生じる可能性のある534mg錠剤及び267mg錠剤の初期溶出プロファイルにおける変化をそれぞれ示している。
8つのバッチを、それぞれ、目的の8つの流動床造粒及び乾燥設定のうちの1つで製造し、最終ブレンドに加工した。各最終ブレンドを2つのバッチに分割し、それぞれを異なる硬度設定(120N及び200N)になるよう錠剤に圧縮した。
Claims (33)
- 5-メチル-1-フェニル-2-(1H)-ピリドン、流動促進剤、崩壊剤、充填剤、及び結合剤を含む顆粒と、
顆粒外流動促進剤と場合により滑沢剤及び/又は崩壊剤とを含む1つ以上の顆粒外賦形剤
とを含む、5-メチル-1-フェニル-2-(1H)-ピリドンの製剤であって、該顆粒は、該製剤の総重量に基づいて少なくとも1重量%の量で該流動促進剤を含み、そして該流動促進剤及び該顆粒外流動促進剤はそれぞれ、シリカである、製剤。 - 前記製剤は、前記製剤の総重量に基づいて0.1重量%~5重量%の量で、顆粒外成分として流動促進剤を含む、請求項1に記載の製剤。
- 前記5-メチル-1-フェニル-2-(1H)-ピリドンは、前記製剤の総重量に基づいて、60重量%~95重量%の量で存在する、請求項1又は2に記載の製剤。
- 前記崩壊剤は、寒天、アルギン、炭酸カルシウム、カルボキシメチルセルロース及びその塩、セルロース、粘土、コーンスターチ、クロスカルメロースナトリウム、クロスポビドン、ガム、メチルセルロース、ポラクリリンカリウム、アルギン酸ナトリウム、架橋ポリビニルピロリドン、デンプングリコール酸ナトリウム、デンプン、ならびにそれらの組み合わせからなる群から選択され;
前記結合剤は、ヒドロキシメチルセルロース、ヒドロキシプロピルセルロース、ポリビニルピロリドン、炭酸カルシウム、リン酸二カルシウム、カルボマー、酢酸フタル酸セルロース、コポビドン、ヒドロキシプロピルメチルセルロース、エチレングリコール及びビニルグリコールグラフト化コポリマー、イソマルト、ポロキサマー、ポリエチレンオキシド、ポリメタクリレート、ならびにそれらの組み合わせからなる群から選択され;そして
前記充填剤は、炭酸カルシウム、リン酸カルシウム、二塩基性リン酸カルシウム、ケイ酸カルシウム、三塩基性硫酸カルシウム、カルシウムカルボキシメチルセルロース及びその塩、セルロース、デキストリン誘導体、デキストリン、ブドウ糖、フルクトース、イソマルト、カオリン、ラクチトール、ラクトース、炭酸マグネシウム、酸化マグネシウム、マルチトール、マルトデキストリン、マルトース、マンニトール、微結晶性セルロース、炭酸水素ナトリウム、炭酸ナトリウム、ソルビトール、デンプン、スクロース、糖、キシリトール、ならびにそれらの組み合わせからなる群から選択される、請求項1に記載の製剤。 - 前記結合剤は、前記製剤の総重量に基づいて1重量%~10重量%の量で存在し、
前記崩壊剤は、前記製剤の総重量に基づいて最大で10重量%の量で存在し、
前記充填剤は、前記製剤の総重量に基づいて2重量%~30重量%の量で存在し、そして
前記滑沢剤は、前記製剤の総重量に基づいて0.05重量%~2重量%の量で存在する、請求項1又は4に記載の製剤。 - 前記充填剤は微結晶性セルロースであり、前記流動促進剤はシリカであり、前記顆粒外流動促進剤はシリカであり、前記結合剤はポリビニルピロリドンであり、前記崩壊剤はクロスカルメロースナトリウムであり、前記滑沢剤はステアリン酸マグネシウムである、請求項1に記載の製剤。
- 請求項1~6のいずれか一項に記載の製剤であって、
前記顆粒は、
前記製剤の総重量に基づいて1重量%~3重量%の量の前記流動促進剤、
前記製剤の総重量に基づいて1重量%~10重量%の量の前記結合剤、及び
2重量%~30重量%の量の前記充填剤、ならびに
前記1つ以上の顆粒外賦形剤として、
前記製剤の総重量に基づいて0重量%~10重量%の量の前記崩壊剤、及び
前記製剤の総重量に基づいて0.05重量%~2重量%の量の前記滑沢剤のうちの1つ以上、を含む、製剤。 - 請求項1~7のいずれか一項に記載の製剤であって、
前記顆粒は、
前記製剤の総重量に基づいて1重量%~2.5重量%の量の前記流動促進剤、
前記製剤の総重量に基づいて3重量%~5重量%の量の前記結合剤、及び
3重量%~10重量%の量の前記充填剤、を含み、ならびに
前記製剤は、顆粒外成分として、
前記製剤の総重量に基づいて1重量%~3重量%の量の前記崩壊剤、
前記製剤の総重量に基づいて0.1重量%~0.8重量%の量の前記滑沢剤、及び
前記製剤の総重量に基づいて0.2重量%~0.6重量%の量の前記流動促進剤のうちの1つ以上、を含む、製剤。 - 前記顆粒は、少なくとも4の前記製剤の流れ関数係数を提供するのに有効な量の流動促進剤を含む、請求項1~8のいずれか一項に記載の製剤。
- 請求項1~9のいずれか一項に記載の製剤を含む、単位用量剤。
- 請求項1~9のいずれか一項に記載の製剤を含む、錠剤。
- 200mg~1100mgの量の前記5-メチル-1-フェニル-2-(1H)-ピリドンを含む、請求項11に記載の錠剤。
- 前記5-メチル-1-フェニル-2-(1H)-ピリドンを200mg、267mg、534mg、600mgまたは801mgの量で含む、請求項12に記載の錠剤。
- 5-メチル-1-フェニル-2-(1H)-ピリドンの製剤の製造方法であって、
流動床造粒機中で前記5-メチル-1-フェニル-2-(1H)-ピリドンと、流動促進剤、崩壊剤、結合剤、及び充填剤を含む顆粒内賦形剤とを混合して顆粒を形成すること、及び
顆粒外流動促進剤と場合により滑沢剤及び/又は崩壊剤とを含む1つ以上の顆粒外賦形剤を前記顆粒に添加することを含み、該顆粒は、該製剤の総重量に基づいて少なくとも1重量%の量で該流動促進剤を含み、そして該流動促進剤及び該顆粒外流動促進剤はそれぞれ、シリカである、製造方法。 - 前記顆粒を乾燥させることをさらに含む、請求項14に記載の方法。
- 前記顆粒を流動床乾燥機で乾燥させる、請求項15に記載の方法。
- 前記顆粒を、乾燥減量によって測定した場合に3%未満の含水量まで乾燥させる、請求項15または16に記載の方法。
- 前記充填剤は、前記製剤の総重量に基づいて2重量%~30重量%の量で存在し;そして
前記結合剤は、前記製剤の総重量に基づいて1重量%~10重量%の量で存在し;
前記結合剤は、ヒドロキシメチルセルロース、ヒドロキシプロピルセルロース、ポリビニルピロリドン、炭酸カルシウム、リン酸二カルシウム、カルボマー、酢酸フタル酸セルロース、コポビドン、ヒドロキシプロピルメチルセルロース、エチレングリコール及びビニルグリコールグラフト化コポリマー、イソマルト、ポロキサマー、ポリエチレンオキシド、ポリメタクリレート、ならびにそれらの組み合わせからなる群から選択される、請求項14に記載の方法。 - 前記滑沢剤は、前記製剤の総重量に基づいて0.05重量%~2重量%の量で存在し;そして
前記崩壊剤は、前記製剤の総重量に基づいて0.1重量%~10重量%の量で存在する、請求項14に記載の方法。 - 前記滑沢剤は、寒天、ステアリン酸カルシウム、オレイン酸エチル、ラウリン酸エチル、グリセリン、ベヘン酸グリセリル、パルミトステアリン酸グリセリル、硬化植物油、酸化マグネシウム、ステアリン酸マグネシウム、マンニトール、ポロキサマー、グリコール、安息香酸ナトリウム、ラウリル硫酸ナトリウム、ソルビトール、ステアリン酸、タルク、ステアリン酸亜鉛、及びそれらの組み合わせからなる群から選択され;そして
前記崩壊剤は、寒天、アルギン、炭酸カルシウム、カルボキシメチルセルロース及びその塩、セルロース、粘土、コーンスターチ、クロスカルメロースナトリウム、クロスポビドン、ガム、メチルセルロース、ポラクリリンカリウム、アルギン酸ナトリウム、架橋ポリビニルピロリドン、デンプングリコール酸ナトリウム、デンプン、ならびにそれらの組み合わせからなる群から選択される、請求項18又は19に記載の方法。 - 前記顆粒外流動促進剤は、前記製剤の総重量に基づいて0.1重量%~5重量%の量で存在する、請求項14~20のいずれか一項に記載の方法。
- 前記製剤に圧縮圧力を加えて錠剤を形成することをさらに含む、請求項14~21のいずれか一項に記載の方法。
- ピルフェニドン療法を、それを必要とする患者に施行するための、請求項1~9のいずれか一項に記載の製剤。
- 線維化状態を治療するためまたはサイトカインの作用を阻害するための、請求項1~9のいずれか一項に記載の製剤。
- 前記線維化状態は、肺線維症、肝線維症、心臓線維症、ケロイド、真皮線維症、冠動脈再狭窄、術後癒着、及びそれらの組み合わせからなる群より選択される、請求項24に記載の製剤。
- 前記肺線維症は、特発性肺線維症及びヘルマンスキー・パドラック症候群からなる群から選択される、請求項25に記載の製剤。
- 前記サイトカインは、TNF-α、TGF-β1、bFGF、PDGF、及びEGFからなる群から選択される1つ以上を含む、請求項24に記載の製剤。
- 前記サイトカインの作用の阻害は、多発性硬化症、関節炎、喘息、慢性鼻炎、及び浮腫からなる群から選択される障害の治療のためである、請求項27に記載の製剤。
- 前記製剤は、錠剤として提供される、請求項23~28のいずれか一項に記載の製剤。
- 前記錠剤は、267mg、534mg、または801mgの前記5-メチル-1-フェニル-2-(1H)-ピリドンを含む、請求項29に記載の製剤。
- 前記5-メチル-1-フェニル-2-(1H)-ピリドンの全摂取量は、800mg/日~2405mg/日である、請求項23~30のいずれか一項に記載の製剤。
- 267mgの前記5-メチル-1-フェニル-2-(1H)-ピリドンを1日3回投与するための、請求項31に記載の製剤。
- 534mgの前記5-メチル-1-フェニル-2-(1H)-ピリドンを1日3回投与するため、又は801mgの前記5-メチル-1-フェニル-2-(1H)-ピリドンを1日3回投与するための、請求項31に記載の製剤。
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WO2017172602A1 (en) | 2017-10-05 |
AU2022275529A1 (en) | 2023-01-19 |
EP3895696A1 (en) | 2021-10-20 |
EP3895696B1 (en) | 2023-08-09 |
PL3435985T3 (pl) | 2021-11-22 |
AU2017241530A1 (en) | 2018-10-04 |
KR20180123067A (ko) | 2018-11-14 |
CA2937365C (en) | 2018-09-18 |
AR107990A1 (es) | 2018-07-04 |
IL261745B2 (en) | 2023-06-01 |
US20170281609A1 (en) | 2017-10-05 |
JP2022087115A (ja) | 2022-06-09 |
CN108883072A (zh) | 2018-11-23 |
CA2937365A1 (en) | 2016-12-22 |
IL261745A (en) | 2018-10-31 |
CN114533688A (zh) | 2022-05-27 |
AU2017241530B2 (en) | 2022-12-15 |
KR102552615B1 (ko) | 2023-07-06 |
US20180243277A1 (en) | 2018-08-30 |
JP2019513145A (ja) | 2019-05-23 |
EP3435985A1 (en) | 2019-02-06 |
EP3435985B1 (en) | 2021-05-12 |
ES2883595T3 (es) | 2021-12-09 |
US10188637B2 (en) | 2019-01-29 |
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