KR100371062B1 - Injectable taxi brush compositions with improved stability and methods of formulating them - Google Patents

Injectable taxi brush compositions with improved stability and methods of formulating them Download PDF

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KR100371062B1
KR100371062B1 KR1019940702575A KR19940702575A KR100371062B1 KR 100371062 B1 KR100371062 B1 KR 100371062B1 KR 1019940702575 A KR1019940702575 A KR 1019940702575A KR 19940702575 A KR19940702575 A KR 19940702575A KR 100371062 B1 KR100371062 B1 KR 100371062B1
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solution
acid
taxol
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ethanol
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로빈 루이스 엘리오트
그레고리 포울 핸드렉크
데이비드 카르베르
티모시 프로우트
헤르니타 에왈드
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에프.에이치.포울딩 앤드 컴퍼니 리미티드
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/0012Galenical forms characterised by the site of application
    • A61K9/0019Injectable compositions; Intramuscular, intravenous, arterial, subcutaneous administration; Compositions to be administered through the skin in an invasive manner
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/335Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/06Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
    • A61K47/08Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite containing oxygen, e.g. ethers, acetals, ketones, quinones, aldehydes, peroxides
    • A61K47/10Alcohols; Phenols; Salts thereof, e.g. glycerol; Polyethylene glycols [PEG]; Poloxamers; PEG/POE alkyl ethers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/06Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
    • A61K47/08Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite containing oxygen, e.g. ethers, acetals, ketones, quinones, aldehydes, peroxides
    • A61K47/12Carboxylic acids; Salts or anhydrides thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/44Oils, fats or waxes according to two or more groups of A61K47/02-A61K47/42; Natural or modified natural oils, fats or waxes, e.g. castor oil, polyethoxylated castor oil, montan wax, lignite, shellac, rosin, beeswax or lanolin

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  • Medicinal Preparation (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)

Abstract

본 발명의 안정성이 향상된 주사가능한 택솔 용액은 pH가 8.1 이하, 바람직하게는 1∼8, 더욱 바람직하게는 5∼7.5 이다. 상기 pH는 산, 바람직하게는 시트르산의 첨가에 의해 조절되고, 바람직한 조성물은 택솔, 크레모포르 EL(TM), 시트르산 및 에탄올을 함유한다.Injectable taxol solutions with improved stability of the present invention have a pH of 8.1 or less, preferably 1 to 8, more preferably 5 to 7.5. The pH is adjusted by the addition of acid, preferably citric acid, and the preferred composition contains taxol, cremophor EL (TM), citric acid and ethanol.

Description

안정성이 향상된 주사가능한 택솔 조성물 및 이를 제형화하는 방법Injectable Taxol compositions with improved stability and methods of formulating the same

택솔(taxol)운 서양 주목, 택서스 브레비폴리아(Taxus brevifolia)의 나무껍질로부터 추출한 화합물로서, 이것의 항종양성이 공지되어 있다. 그 예가 문헌 [Merck Index, Eleventh Edition 1989, monograph 9049]에 기재되어 있다.Taxol is a compound extracted from the bark of Western yew, Taxus brevifolia, and its antitumor properties are known. An example is described in the Merck Index, Eleventh Edition 1989, monograph 9049.

1977년, 택솔은 그 고유의 작용메카니즘과, IP 이식 b16 흑색종 및 사람 MX-1 유방종량 이종 이식편에 대한 우수한 세포독성활성 때문에, 항종양제 개발을 위해 선택되었다.In 1977, Taxol was chosen for antitumor development because of its inherent mechanism of action and excellent cytotoxic activity against IP transplanted b16 melanoma and human MX-1 breast tumor xenografts.

택솔은 시험관내에서 유사분열 방추체 저해제(spindle poison)로서, 그리고 세포 복제에 대한 강력한 억제제로서 작용하는 것으로 믿어진다. 다른 유사분열 방추체 저해제(콜히친 및 포도필로톡신)은 미소관 조립체(microtubule assembly)를 저해한다. 택솔은 폴리머 조립체 쪽으로 중합/해중합 평형을 이동시키고, 미소관의 신속한 분해를 일으키는 조건하에서 해중합에 대하여 미소관을 안정시키는 것으로 보이기 때문에 상이한 작용 메카니즘을 수행한다. 세포 내 중합/해중합 주기에 대한 간섭은 세포의 복제 및 이동을 방해하는 것으로 보인다.Taxol is believed to act in vitro as a mitotic spindle poison and as a potent inhibitor against cell replication. Other mitotic spindle inhibitors (colchicine and podophyllotoxin) inhibit microtubule assembly. Taxol performs a different mechanism of action because it appears to shift the polymerization / depolymerization equilibrium towards the polymer assembly and to stabilize the microtubules against depolymerization under conditions that cause rapid degradation of the microtubules. Interference with the intracellular polymerization / depolymerization cycle appears to interfere with cell replication and migration.

마우스 종양 모델에서 광범위한 전 임상 검진을 한 후, 1983년 택솔을 임상시험에 도입하였다. 지난 몇 년 동안, 택솔은 빈카 알칼로이드(vinca alkaloid) 또는 시스플라틴 치료로부터 효과를 보지 못했던 난소암 및 유방암 환자들의 치료에서 탁월한 효과를 보임이 증명되었다. 또한, 페암, 흑색종, 림프종 머리 및 목 등을 포함하는 다른 종류의 암환자에게서도 고무적인 결과를 보였다.After extensive preclinical examination in mouse tumor models, Taxol was introduced in 1983 in clinical trials. In the past few years, Taxol has been shown to be excellent in the treatment of ovarian and breast cancer patients who have not benefited from vinca alkaloid or cisplatin treatment. In addition, other types of cancer patients, including lung cancer, melanoma, lymphoma head and neck, have shown encouraging results.

또 다른 정보로는, 1991년 개정된 택솔에 대한 미국 내셔널 캔서 인스티튜트(US national Cancer Institute, NCL) 임상 브로셔 및 1992년 9월 23일 -24일에 미국 버지니아 알렉산드리아에서 개최된 택서스 및 택솔에 대한 제2차 내셔널 캔서 인스티튜트 워크샵에서 제시된 논문들이 참고가 될 수 있다.For further information, see the US National Cancer Institute (NCL) Clinical Brochure for Taxol Revised in 1991 and Taxus and Taxol held in Alexandria, Virginia, September 23-24, 1992. Papers presented at the 2nd National Cancer Institute Workshop may be helpful.

본 발명은 안정성이 향상된 택솔 용액에 관한 것이다.The present invention relates to a taxol solution with improved stability.

공지된 제제는 택솔, 크레모포르(Cremophor), 크레모포르 EL(가용화제로서 작용하는 폴리에톡실화 피마자유) 및 에탄올을 포함한다. 공지된 제제는 8℃ 이하에서 보관하지 않으면 내부의 택솔의 품질이 저하하여 제제의 저장 수명이 만족스럽지 못하는 단점이 있었기 때문에, 안정성이 향상된 택솔 용액을 필요로 하게 되었다.Known formulations include Taxol, Cremophor, Cremophor EL (polyethoxylated castor oil that acts as a solubilizer) and ethanol. Known formulations have a disadvantage that the storage life of the formulation is not satisfactory because the quality of the internal taxol is not stored when stored at 8 ° C. or lower, thereby requiring a stable taxol solution.

따라서, 일반적인 측면에서 본 발명의 목적은 택솔을 포함하는 용액, 약학적으로 허용가능한 가용화제(예: 폴리에톡실화 피마자유) 및 약학적으로 허용가능한 유기 용매(예: 에탄올)을 함유하고, 산 첨가에 의해 pH가 8.1 이하, 바람직하게는 1-8의 범위로 조절된 용액을 제공하는 것이다. 시트르산과 같은 분말 형태의 산이 황산과 같이 물을 함유하는 산보다 바람직하다. 본 발명에서의 사용을 위한 가장 바람직한 산은 무수 시트르산이나, 하기 산을 포함하여 광범위한 산이 사용될 수있다:Thus, in a general aspect the object of the present invention is to contain a solution comprising taxol, a pharmaceutically acceptable solubilizer (e.g. polyethoxylated castor oil) and a pharmaceutically acceptable organic solvent (e.g. ethanol), The addition of an acid provides a solution whose pH is adjusted to below 8.1, preferably in the range 1-8. Acids in powder form such as citric acid are preferred over acids containing water such as sulfuric acid. Most preferred acids for use in the present invention are citric anhydride, but a wide range of acids can be used, including the following acids:

시트르산 - 일수화, 시트르산 - 무수, 시트르산 - 수화,Citric acid-monohydrate, citric acid-anhydride, citric acid-hydration,

아세트산, 포름산, 아스코르브산, 아스파르트산, 벤젠술폰산, 벤조산, 염산, 황산, 인산, 질산, 타르타르산, 디아트리조산(diatrizoic acid), 글루탐산, 락트산, 말레산, 숙신산.Acetic acid, formic acid, ascorbic acid, aspartic acid, benzenesulfonic acid, benzoic acid, hydrochloric acid, sulfuric acid, phosphoric acid, nitric acid, tartaric acid, diatrizoic acid, glutamic acid, lactic acid, maleic acid, succinic acid.

택솔은 물에 대한 용해도가 제한되기 때문에, 일반적으로 크레모포르 EL(가용화제로서 작용하는 폴리에톡실화 캐스터 오일) 및 에탄올을 포함한 비히클 내에서 제조되고 투약된다. NCT 택솔 임상 브로셔에 기술된 바와 같은 제제(공지의 제제)에 의해 제조된 용액은 pH 9.1을 갖는다.Taxols are generally prepared and dosed in a vehicle that includes ethanol and cremophor EL (polyethoxylated castor oil that acts as a solubilizer) because of its limited solubility in water. Solutions prepared with the formulations (known formulations) as described in the NCT Taxol clinical brochure have a pH 9.1.

상기한 바와 같이, 본 발명은 본질적으로 택솔 제제에 산을 첨가하여 택솔 제제의 pH를 8.1 이하의 범위, 바람직하게는 1 내지 8의 범위, 더욱 바람직하게는 5 내지 7.5의 범위로 조절한다.As mentioned above, the present invention essentially adds an acid to the Taxol formulation to adjust the pH of the Taxol formulation to a range of 8.1 or less, preferably in the range of 1 to 8, more preferably in the range of 5 to 7.5.

본 발명자에 의해 채택된 바람직한 공정은 하기 단계에 의해 수행되나, 여기에 제한되는 것은 아니다.Preferred processes adopted by the inventors are carried out by the following steps, but not limited thereto.

혼합공정Mixing process

용액 1Solution 1

무수 알콜 8ml에 대하여 시트르산 1g의 비율로 에탄올에 시트르산을 용해시키고, 그 용액을 15분간 교반하였다.Citric acid was dissolved in ethanol at a rate of 1 g of citric acid relative to 8 ml of anhydrous alcohol, and the solution was stirred for 15 minutes.

용액 2Solution 2

크레모포르 EL을 주 혼합 용기에 주입하였다.Cremophor EL was injected into the main mixing vessel.

용액 3Solution 3

용액 1을 용액 2에 첨가한 다음, 용액 2에서 사용된 용기를 최소량의 무수 알콜로 세척하여 시트르산을 완전히 옮겼다. 용액 3을 질소와 혼합하여 적어도 15분간 버블링시켰다. 무수 알콜 8ml 대 택솔 1g의 비율을 이용하여 무수 알콜을 칭량하고 무수 알콜을 이용하여 슬러리시켰다. 슬러리된 택솔을 용액 3에 첨가하고 슬러리 용기를 최소량의 무수 알콜로 세척하였다. 무수 알콜을 사용하여 용액 3을 소망 부피의 75%로 조정하고, 완전히 용해될 때까지 적어도 45분간 충분히 교반시켰다. 일단 완전히 용해되자, 무수 알콜로 소망 부피를 모두 채웠고, 최종 용액을 5분간 교반하였다.Solution 1 was added to Solution 2, and then the vessel used in Solution 2 was washed with a minimum amount of anhydrous alcohol to completely transfer citric acid. Solution 3 was mixed with nitrogen and bubbled for at least 15 minutes. Anhydrous alcohols were weighed using a ratio of 8 ml of anhydrous alcohols to 1 g of taxol and slurried with anhydrous alcohols. Slurry Taxol was added to Solution 3 and the slurry vessel was washed with a minimum amount of anhydrous alcohol. Solution 3 was adjusted to 75% of the desired volume with anhydrous alcohol and stirred sufficiently for at least 45 minutes until complete dissolution. Once completely dissolved, the desired volume was filled with anhydrous alcohol and the final solution was stirred for 5 minutes.

실시예 1Example 1

하기의 제제를 이용하여 용액을 제조하였다.The solution was prepared using the following formulation.

제조물 : (샘플 1)Preparation: (Sample 1)

크레모포르 EL : 0.5 mlCremophor EL: 0.5 ml

시트르산(무수) : 2.0 mgCitric acid (anhydrous): 2.0 mg

택솔 : 6.0 mgTaxol: 6.0 mg

무수 알콜 : 전체용액 1.00ml이 될 때까지 잔량을 가한다.Anhydrous alcohol: Add remaining amount until 1.00 ml of total solution is added.

이 용액의 pH는 6.1로 측정되었다.The pH of this solution was measured at 6.1.

이 샘플의 안정성을 pH가 9.1인 NCI 택솔 임상 브로셔에 기재된 조제물(하기와 같음)에 의해 제조한 샘플(샘플 2)과 비교하였다.The stability of this sample was compared to a sample (sample 2) prepared by the formulation described below in the NCI Taxol Clinical Brochure (pH 2) with a pH of 9.1.

(샘플 2) mL당(Sample 2) per mL

택솔 : 6 mgTaxol: 6 mg

크레모포르 EL : 0.5mLCremophor EL: 0.5mL

탈수 알콘 USP : 전체 용액 1.00mL이 될 때까지 잔량을 가한다.Dehydrated Alcon USP: Add remaining amount until 1.00 mL of total solution is obtained.

이 용액을 클리어 타입 1 의 5ml 유리 바이알에 채우고 고무마개로 봉하였다.This solution was filled into a 5 ml glass vial of Clear Type 1 and sealed with a rubber stopper.

상기 용액을 40℃에서 7일간 보관한 후의 안정성 결과는 다음과 같았다.The stability of the solution after 7 days at 40 ° C. was as follows.

샘플 1은 샘플 2에 비해 안정성이 상당히 상승되었음이 명백히 나타난다.It is evident that Sample 1 has significantly increased stability compared to Sample 2.

실시예 2Example 2

하기의 제제를 사용하여 용액을 제조하였다.The solution was prepared using the following formulation.

조제물 - 샘플 3Formulation-Sample 3

크레모포르 EL : 0.5mlCremophor EL: 0.5ml

택솔 : 6mgTaxol: 6mg

무수 알콜 : 전체용액 1.00ml이 될 때까지 잔량을 가한다.Anhydrous alcohol: Add remaining amount until 1.00 ml of total solution is added.

1.0M 아세트산을 사용하여 pH를 6.6으로 조정한다.Adjust pH to 6.6 with 1.0 M acetic acid.

이 용액을 클리어 타입 1의 5ml 바이알에 채우고, 고무마개로 봉한다.This solution is filled into 5 ml vials of clear type 1 and sealed with a rubber stopper.

상기 용액을 40℃에서 7일간 보관한 후에 특정된 안정성 결과를 샘플 2에 대해 나타낸 것과 비교한다.The solution is stored at 40 ° C. for 7 days and then the specified stability results are compared to that shown for Sample 2.

본 발명의 조제물(샘플 3)의 안정성이 상당히 우수한 것으로 재차 입증되었다.It was again proved that the stability of the preparation of the present invention (sample 3) was quite good.

추가시험Additional test

아기 표 1, 2 및 3은 크레모포르 EL, 택솔 및 무수 알콜을 함유하는 제제를 특정 산을 첨가하여 특정 pH 레벨로 만들고, 40℃에서 4 주간 안정성을 시험한 추가 시험을 요약한 것이다.Babies Tables 1, 2 and 3 summarize additional tests where formulations containing Cremophor EL, Taxol and anhydrous alcohols were added to specific pH levels to specific pH levels and tested for 4 weeks stability at 40 ° C.

[표1]Table 1

총 불순물(HPLC 영역 표준에 의해)Total Impurities (by HPLC Region Standards)

*무수*myriad

[표2][Table 2]

주 불순물(HPLC 영역 표준에 의해)Major impurities (by HPLC region standard)

[표3]Table 3

역사(HLPC)History (HLPC)

pH 5 내지 7.5에서 시트르산에 의해 최상의 결과가 얻어지고, 이 시트르산은 무수 형태가 바람직하며, pH 6.1의 제제가 총 불순물 및 개별 주 불순물이 가장 낮은 레벨을 나타내는 것이 명백하다. 일반적으로 본 발명은 상술한 상세한 설명에제한되지 않음이 이해되어야 할 것이다.Best results are obtained with citric acid at pH 5 to 7.5, the citric acid being in anhydrous form, and it is clear that formulations at pH 6.1 exhibit the lowest levels of total impurities and individual main impurities. In general, it is to be understood that the invention is not limited to the foregoing detailed description.

Claims (13)

택솔, 폴리에톡실화 피마자유, 유기산 및 에탄올을 함유하고, pH가 5 - 7.5인 것을 특징으로 하는 주사가능한 택솔 조성물.An injectable taxol composition comprising taxol, polyethoxylated castor oil, organic acid and ethanol, wherein the pH is from 5 to 7.5. 제1항에 있어서, 상기 조성물은 pH가 5 내지 7인 것을 특징으로 하는 주사가능한 택솔 조성물.The injectable taxol composition according to claim 1, wherein the composition has a pH of 5-7. 제2항에 있어서, 상기 조싱물은 pH가 6.1인 것을 특징으로 하는 주사가능한 택솔 조성물.3. The injectable taxol composition according to claim 2, wherein the bath has a pH of 6.1. 제1항에 있어서, 상기 유기산은 하기 화합물로 구성된 군 중에서 선택되는 것을 특징으로 하는 주사가능한 택솔 조성물.The injectable taxol composition according to claim 1, wherein the organic acid is selected from the group consisting of the following compounds. 시트르산 - 일수화물, 시트르산 - 무수물, 시트르산 - 수화물,Citric acid-monohydrate, citric acid-anhydride, citric acid-hydrate, 아세트산, 포름산, 아스코르브산, 아스파르트산, 벤젠술폰산, 벤조산,Acetic acid, formic acid, ascorbic acid, aspartic acid, benzenesulfonic acid, benzoic acid, 타르타르산, 디아트리조산(diatrizoic acid),Tartaric acid, diatrizoic acid, 글루탐산, 락트산, 말레산, 숙신산.Glutamic acid, lactic acid, maleic acid, succinic acid. 제4항에 있어서, 상기 유기산은 시트르산인 것을 특징으로 하는 주사가능한 택솔 조성물.5. The injectable taxol composition according to claim 4, wherein the organic acid is citric acid. 제1항에 있어서, 상기 폴리에톡실화 피마자유는 크레모포르 EL(TM)인 것을 특징으로 하는 주사가능한 택솔 조성물.The injectable taxol composition of claim 1, wherein the polyethoxylated castor oil is Cremophor EL (TM). (a) 담체물질로서 유기산과 에탄올을 혼합하여 제1 용액을 제조하는 단계,(a) mixing the organic acid and ethanol as a carrier material to prepare a first solution, (b) 상기 제1 용액을 폴리에톡실화 피마자유와 혼합하여 제2 용액을 제조하는 단계,(b) mixing the first solution with polyethoxylated castor oil to prepare a second solution, (c) 택솔과 에탄올을 혼합하여 슬러리를 제조하는 단계,(c) preparing a slurry by mixing taxol and ethanol, (d) 상기 슬러리와 상기 제2 용액을 혼합하여 제3 용액을 제조하는 단계 및(d) mixing the slurry with the second solution to prepare a third solution; and (e) 에탄올을 추가하여 상기 제3 용액의 부피를 보정하여 pH 5 내지 7.5의 택솔 용액을 제조하는 단계를 포함하는 것을 특징으로 하는, 보존 안정성이 향상된 주사가능한 택솔 용액의 제형화방법.(e) adding ethanol to calibrate the volume of the third solution to produce a Taxol solution of pH 5 to 7.5, wherein the storage stability improved injectable Taxol solution formulation method. 택솔, 크레모포르 EL(TM), 시트르산 및 에탄올을 함유하고, pH가 5 - 7.5 인 것을 특징으로 하는 주사가능한 택솔 조성물.An injectable taxol composition comprising taxol, cremophor EL (TM), citric acid and ethanol and having a pH between 5 and 7.5. 제8항에 있어서, 상기 조성물의 pH가 5 - 7인 것을 특징으로 하는 주사가능한 택솔 조성물.The injectable taxol composition according to claim 8, wherein the pH of the composition is 5-7. 제9항에 있어서, 상기 조성물의 pH가 약 6.1인 것을 특징으로 하는 주사가능한 택솔 조성물.10. The injectable taxol composition according to claim 9, wherein the pH of the composition is about 6.1. (a) 에탄올에 무수 시트르산을 용해시켜 제1 용액을 제조하는 단계,(a) dissolving citric anhydride in ethanol to prepare a first solution, (b) 크레모포르 EL(TM)을 상기 제1 용액과 혼합하여 제2 용액을 제조하는 단계,(b) mixing Cremophor EL (TM) with the first solution to prepare a second solution, (c) 택솔을 에탄올과 혼합하여 슬러리를 제조하는 단계,(c) mixing taxol with ethanol to produce a slurry, (d) 슬러리를 제2 용액과 혼합하여 제3 용액을 제조하는 단계 및(d) mixing the slurry with the second solution to produce a third solution, and (e) 에탄올을 가하여 제2 용액의 체적을 채워서 pH가 5 - 7.5인 주사가능한 용액을 제조하는 단계로 이루어진 것을 특징으로 하는 보존안정성이 향상된 주사가능한 택솔용액을 제형화하는 방법.(e) adding ethanol to fill the volume of the second solution to produce an injectable solution having a pH of 5 to 7.5. 제11항에 있어서, 상기 주사가능한 용액은 pH가 5 - 7 인 것을 특징으로 하는 보존안정성이 향상된 주사가능한 택솔 용액을 제형화하는 방법.The method of claim 11, wherein the injectable solution has a pH of 5-7. 제12항에 있어서, 상기 주사가능한 용액은 pH가 약 6.1 인 것을 특징으로 하는 보존안정성이 향상된 주사가능한 택솔 용액을 제형화하는 방법.The method of claim 12, wherein the injectable solution has a pH of about 6.1.
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