KR20020096440A - Controlled release formulation containing Apomophine for oral - Google Patents

Controlled release formulation containing Apomophine for oral Download PDF

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KR20020096440A
KR20020096440A KR1020010034884A KR20010034884A KR20020096440A KR 20020096440 A KR20020096440 A KR 20020096440A KR 1020010034884 A KR1020010034884 A KR 1020010034884A KR 20010034884 A KR20010034884 A KR 20010034884A KR 20020096440 A KR20020096440 A KR 20020096440A
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apomorphine
weight
granules
coating
coated
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KR1020010034884A
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Korean (ko)
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박동우
김수균
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일양약품주식회사
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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
    • A61K9/48Preparations in capsules, e.g. of gelatin, of chocolate
    • A61K9/50Microcapsules having a gas, liquid or semi-solid filling; Solid microparticles or pellets surrounded by a distinct coating layer, e.g. coated microspheres, coated drug crystals
    • A61K9/5005Wall or coating material
    • A61K9/5021Organic macromolecular compounds
    • A61K9/5036Polysaccharides, e.g. gums, alginate; Cyclodextrin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/435Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/14Particulate form, e.g. powders, Processes for size reducing of pure drugs or the resulting products, Pure drug nanoparticles
    • A61K9/16Agglomerates; Granulates; Microbeadlets ; Microspheres; Pellets; Solid products obtained by spray drying, spray freeze drying, spray congealing,(multiple) emulsion solvent evaporation or extraction
    • A61K9/1605Excipients; Inactive ingredients
    • A61K9/1617Organic compounds, e.g. phospholipids, fats

Abstract

PURPOSE: A process of preparing an apomorphine formulation for oral use by granulation of apomorphine, spraying a coating liquid at low temperature and spraying the coating liquid at high speed while floating the coating liquid at low temperature is provided. Whereby, the formulation is excellent in treatment of erectile dysfunction. CONSTITUTION: An excipient, binder and solvent are added to a mixed powder containing 1 to 10% by weight of apomorphine or acid salts thereof, 20 to 40% by weight of ascorbic acid, 10 to 20% by weight of domperidone to produce apomorphine granules. A coating liquid comprising 1 to 30% by weight of a coating base, 0.1 to 1.0% by weight of a plasticizer and a solvent is coated on 30 to 40% by weight of the granules at 30 to 40deg.C to produce first coated granules. A coating liquid comprising 1 to 30% by weight of a coating base and 0.1 to 1.0% by weight of a plasticizer is coated on 30 to 40% by weight of the first coated granules at 30 to 40deg.C to produce second coated granules. Thereafter, 40 to 50% by weight of apomorphine, 20 to 30% by weight of the first coated granules and 30% by weight of the second coated granules are mixed.

Description

아포모르핀 방출조절형 경구제제 및 그의 제조방법{Controlled release formulation containing Apomophine for oral}Controlled release formulation containing Apomophine for oral

본 발명은 아포모르핀 또는 그의 산부가염을 함유하고, 부작용을 감소시킨아포모르핀 방출조절형 경구제제 및 그의 제조방법에 관한 것이다.The present invention relates to apomorphine controlled release oral preparations containing apomorphine or acid addition salts thereof and having reduced side effects, and methods for preparing the same.

아포모르핀(Apomorphine)제제는 대개 심인성 발기부전남성환자들에게 설하정의 형태로 투여되고 있는데, 성행위전 대략 15분에서 20분전에 복용하는 것이 효과적인 것으로 알려져 있다. 아포모르핀은 실제로 이들 남성 환자들에게서 발기를 유도할 수 있는 것으로 알려져 있으나, 발기반응을 유발할 수 있는 아포모르핀투여량이 메스꺼움이나 두통, 고혈압, 발한 등의 부작용을 수반하는 것으로 알려져 있다.Apomorphine is usually administered in the form of sublingual tablets to patients with psychogenic erectile dysfunction, which is known to be effective approximately 15 to 20 minutes before sexual activity. Although apomorphine is actually known to induce erection in these male patients, it is known that apomorphine dosing, which can cause an erection reaction, has side effects such as nausea, headache, high blood pressure, and sweating.

본 발명에서는 이러한 부작용이 아포모르핀의 급격한 생체흡수에 따른 현상이라 규정짓고 아포모르핀의 흡수를 제어할 수 있는 방출조절형 경구투여제제를 개발하였다. 본 발명에서의 경구투여제제는 아포모르핀을 안정화제, 진토제 등과 과립화하고 이를 단계적으로 코팅해 약물방출시간을 조절함으로서 약물의 급격한 흡수로 인한 부작용을 막고 상대적으로 기존 설하정보다는 오랫동안 약효농도를 유지할 수 있는 방출조절형 경구용 캡슐제제에 관한 것이다.In the present invention, such side effects are defined as a phenomenon due to the rapid bioabsorption of apomorphine, and a controlled release oral dosage form that can control the absorption of apomorphine has been developed. In the present invention, the oral dosage agent granulates apomorphine with a stabilizer, an anti-emetic agent, and coats it stepwise to control drug release time, thereby preventing side effects due to rapid absorption of the drug and maintaining the drug concentration for a relatively longer time than the existing sublingual setting. It relates to a controlled release oral capsule formulation that can be.

남성발기부전은 육체관계를 할 수 있을 정도로 발기가 충분히 지속되지 못하는 질병으로 정의되어지며, 그 원인으로는 심리적인 요인과 생리적인 요인 그리고 신경학적인 요인 및 이들의 복합적인 요인으로 생각되어 진다.Male erectile dysfunction is defined as a disease in which erections do not last long enough to have a physical relationship, and the causes are thought to be psychological, physiological and neurological factors, and a combination of these factors.

발기부전환자는 미국에서만 3,000만명정도로 추정되며 사회가 노령화되고 스트레스를 비롯한 여러 가지 환경적 원인에 의해서 그 수는 급진적으로 증가하는 경향에 있다. 발기부전에 대한 치료법으로는 음경이식, 알프로스타딜(alprostadil)의 음경내 주입등이 있으며, 1998년에는 실데나필(sildenafil)제제가 남성의 발기부전치료에 경구제로는 최초의 승인을 받으면서 커다란 사회적 반향을 일으킨 바 있다.The number of erectile divers is estimated at 30 million in the United States alone, and the number tends to increase dramatically due to aging society, stress and various environmental causes. Treatments for erectile dysfunction include penile transplantation and intra- penis injection of alprostadil, and in 1998, sildenafil was first approved as an oral drug for treating erectile dysfunction in men. It has reverberated.

최근에는 파파베린(Papaverine), 하이드랄라진(hydralazine), 니트로프룻사이드 (nitroprusside), 페녹시벤자민(Phenoxybenzamine)이나 펜톨아민 (Phentolamine) 등의 혈관확장제를 함유하는 발기부전에 효과를 갖는 연고제도 소개된 바 있다.(US Pat. No. 4,801,587, 진 보스등 참고).Recently, ointments that have an effect on erectile dysfunction containing vasodilators such as papaverine, hydralazine, nitroprusside, phenoxybenzamine or phentolamine have been introduced. (See US Pat. No. 4,801,587, Jean Boss et al.).

아포모르핀은 파킨슨병의 치료에 이용되는 도파민수용체 작용체로서 심인성요인의 남성발기부전에 효과가 있는 것으로 알려져 있다. 그러나 실제로 발기반응을 유발하는데 필요한 아포모르핀의 양은 전술한 바와 같이 메스꺼움이나 고혈압, 어지러움, 안면홍조 등의 부작용을 수반하는 것으로 알려져 있다. 이런 부작용을 막기 위해 항히스타민제나 진토제등의 복합처방이 제시되고 있으며, 이는 실제로 부작용을 경감시켜주는 것으로 알려져 있다.Apomorphine is a dopamine receptor agonist used in the treatment of Parkinson's disease and is known to have effects on male erectile dysfunction of psychogenic factors. However, the amount of apomorphine required to actually cause an erection reaction is known to be accompanied by side effects such as nausea, hypertension, dizziness, hot flashes, as described above. In order to prevent such side effects, a combination prescription such as antihistamines or anti-emetic drugs has been proposed, which is actually known to reduce side effects.

아포모르핀은 주로 설하정의 형태로 투여되며 이는 피하주사에 비해 13%정도의 생체이용율을 갖고 있다. 그래서 대략 2∼8mg의 용량으로 설하정의 형태로 투여되고 있으며 이는 경구제에 비해 4배정도의 생체이용율을 지니고 있다.(US Pat. No. 5,994,363, 라갑 엘-라시디등 참고). 그러나 아포모르핀설하정은 일반적으로 투여후 15분경에 Tmax를 나타내고 이러한 급격한 생체내흡수로 인하여 상기부작용들을 나타내고 있으며 이는 약물선택을 회피하게 되는 주요한 원인이 되고 있다(US Pat. No. 6,121,276, 라갑 엘-라시디등 참고).Apomorphine is mainly administered in the form of sublingual tablets, which has a bioavailability of about 13% compared to subcutaneous injection. Thus, it is administered in the form of sublingual tablets at a dose of about 2 to 8 mg, which has a bioavailability of about four times that of oral preparations (see US Pat. No. 5,994,363, Ragab el-Lassidi et al.). Apomorphine sublingual tablets, however, generally exhibit Tmax at 15 minutes after administration and exhibit these side effects due to such rapid in vivo absorption, which is a major cause of avoiding drug selection (US Pat. No. 6,121,276, Ragab El- See Rashidi et al.).

본 발명의 목적은 경구투여시 부작용이 없이 약효만 발현하는 아포모르핀 경구투여제형 및 이의 제법을 제공하는 것이다. 본 발명의 제제는 기존의 설하정이 급격한 생체내흡수로 인해 부작용을 발현하고 또한 작용시간이 짧은것에 비해 복용이 훨씬 간편하고 방출조절로 인해 부작용을 현저히 감소시키며 작용발현시간을 오랫동안 유지하도록 한 것이다.It is an object of the present invention to provide an apomorphine oral dosage form and a method for preparing the apomorphine, which express only drug efficacy without side effects upon oral administration. The preparation of the present invention expresses side effects due to the rapid sublingual absorption of the existing sublingual tablets, and it is much easier to take compared to the short action time, and significantly reduces the side effects due to release control, and to maintain the action expression time for a long time.

본 발명에서는 아포모르핀을 과립화하고 이를 각종코팅기제를 이용해 코팅함으로서 서로 붕해시간이 조절된 코팅아포모르핀과립의 발명을 기본으로 하고 있다.In the present invention is based on the invention of the coated apomorphine granules in which the disintegration time is controlled by granulating apomorphine and coating it using various coating agents.

코팅기제로는 각종 고분자와 천연물추출원료로부터 얻어지며 이를 적절히 배합하고 코팅량을 조절함으로서 약물의 방출시간이 다른 코팅과립을 제조한다. 그 다음 코팅이 안된 약물과립과 방출시간이 10분정도 지연된 코팅과립, 그리고 약물방출시간이 30분정도 지연된 코팅과립을 일정비율씩 섞어 캡슐제화함으로서 기존 설하정보다는 간편하고 또한 아포모르핀의 급격한 생체흡수를 막아 부작용의 발현을 막아주는 작용을 하며, 나아가 약효발현시간은 상대적으로 오래 지속시키는 효과가 있다.The coating base is obtained from a variety of polymers and natural extracts of the raw material, and by appropriately mixing and controlling the amount of coating to produce a coating granule different in the release time of the drug. Next, the capsules are mixed with uncoated drug granules, coated granules with a 10-minute delay in release time, and coated granules with a 30-minute delay in drug release, which is simpler than the existing sublingual setting, and also rapidly absorbs apomorphine. It prevents the onset of side effects by preventing the drug, and the effect of drug expression is relatively long lasting effect.

도1은 아포모르핀 과립(), 1차코팅과립(△)및 2차코팅과립()의 장액에서 아포모르핀 용출실험에 관한 비교그래프이고,1 is apomorphine granules ( ), Primary coating granules (△) and secondary coating granules ( Comparative graph of apomorphine elution test in serous)

도2는 비글견에서 본 발명의 캡슐제인 샘플 A(), 샘플 B(), 샘플 C(△)및 샘플 D(◇)의 아포모르핀 혈중농도 비교그래프이며,Figure 2 is a capsule A of the present invention in a beagle dog Sample A ( ), Sample B ( ), Sample C (△) and sample D (◇) apomorphine blood concentration comparison graph,

도3은 비글견에서 공지의 설하정()과 본 발명의 캅셀제()투여후 아포모르핀의 혈중농도에 관한 비교그래프이고,Figure 3 is a known sublingual tablet of beagle dogs ( ) And the capsule of the present invention ( Comparative graph of blood concentration of apomorphine after administration,

도4는 위약(), 설하정() 및 본 발명 캅셀제(△)의 음경원주 비교그래프이며,4 is a placebo ( ), Sublingual ) And the penis columnar comparative graph of the present invention capsule (△),

도5는 위약(), 설하정() 및 본 발명 캅셀제(△)의 음경경도 비교그래프이다.5 is a placebo ( ), Sublingual ) And penile hardness comparison graph of the capsule (Δ) of the present invention.

본 발명의 발기부전치료용 아포모르핀 방출조절형 경구제제는 하기와 같은 구성을 갖는다.Apomorphine-release-controlled oral formulation for treating erectile dysfunction of the present invention has the following configuration.

1)아포모르핀 또는 산부가염 1-10중량 %, 안정화제인 아스코르빈산 20∼40중량%, 진토제인 돔페리돈 10∼20중량 % 및 기타 부형제, 결합제, 용제로 구성된 아포모르핀 과립과,1) apomorphine granules consisting of 1-10% by weight of apomorphine or acid addition salt, 20-40% by weight of ascorbic acid as a stabilizer, 10-20% by weight of domeperidone as an antiseptic agent, and other excipients, binders and solvents;

2)1)의 아포모르핀 과립 30∼40중량%를 코팅기제 1∼30중량%, 가소제 0.1∼1.0중량% 및 용제로 구성된 코팅액으로 코팅된 아포모르핀 1차 코팅과립과,2) 1 to 30% by weight of the apomorphine granules of 1), 1 to 30% by weight of the coating base, 0.1 to 1.0% by weight of the plasticizer, and apomorphine primary coated granules coated with a solvent;

3)2)의 1차 코팅과립 30∼40중량%를 코팅기제 1∼30%, 가소제 0.1∼1.0중량 및 용제로 구성된 코팅액으로 코팅된 아포모르핀 2차 코팅과립으로 구성되며,3) 30% to 40% by weight of the primary coating granules of 2) are composed of apomorphine secondary coating granules coated with a coating liquid consisting of 1 to 30% of the coating base, 0.1 to 1.0% of the plasticizer, and a solvent.

4)아포모르핀 과립 40∼50중량%, 아포모르핀 1차 코팅과립 20∼30중량% 및 아포모르핀 2차 코팅과립 30중량%의 비율로 함유된 발기부전치료용 아포모르핀 방출조절형 경구제제 조성물이다.4) Apomorphine controlled release oral formulation for erectile dysfunction containing 40-50% by weight of apomorphine granules, 20-30% by weight of apomorphine primary coated granules and 30% by weight of apomorphine secondary coated granules. .

또한, 본 발명의 조성물의 제조방법은 하기와 같은 고정으로 구성된다.In addition, the method for producing a composition of the present invention is composed of the following fixing.

1)아포모르핀 또는 그의 산부가염 1∼10중량 %, 안정화제인 아스코르빈산 20∼40중량 %, 진토제인 돔페리돈 10∼20중량 % 혼합분말에 부형제, 결합제, 용제를 가하여 아포모르핀 과립을 제조한후,1) Apomorphine granules were prepared by adding 1 to 10% by weight of apomorphine or its acid addition salt, 20 to 40% by weight of ascorbic acid as a stabilizing agent, and 10 to 20% by weight of domeperidone as a stabilizer, by adding an excipient, a binder and a solvent. after,

2)1)의 아포모르핀 과립 30∼40중량%에, 코팅기제 1∼30중량%, 가소제 0.1∼1.0중량% 및 용제로 구성된 코팅액으로 30∼40℃에서 코팅하여 아포모르핀 1차코팅과립을 제조하고,2) Apomorphine primary coating granules were prepared by coating at 30 to 40 ° C. with a coating liquid consisting of 1 to 30% by weight of a coating agent, 0.1 to 1.0% by weight of a plasticizer and a solvent in 30 to 40% by weight of the apomorphine granules of 1). and,

3)2)의 아포모르핀 1차코팅과립 30∼40중량%에, 코팅기제 1∼30중량%, 가소제 0.1∼1.0중량% 및 용제로 구성된 코팅액으로 30∼40℃에서 코팅하여 아포모르핀 2차코팅과립을 제조한 다음,3) 2) apomorphine secondary coating by coating at 30-40 ° C. with the coating liquid consisting of 1-30% by weight of coating base, 0.1-1.0% by weight of plasticizer and solvent in 30-40% by weight of apomorphine primary coating granule of 2). After preparing the granules,

4)아포모르핀 과립 40∼50중량%, 아포모르핀 1차 코팅과립 20∼30중량% 및 아포모르핀 2차코팅과립 30중량%를 혼합, 균질화함을 특징으로하는 발기부전치료용 아포모르핀 방출 조절형 경구제제조성물의 제조방법이다.4) Apomorphine release controlled type for erectile dysfunction treatment, characterized by mixing and homogenizing 40-50% by weight of apomorphine granules, 20-30% by weight of apomorphine primary coated granules and 30% by weight of apomorphine secondary coated granules. It is a manufacturing method of oral preparation composition.

본 발명의 조성물의 제조방법을 부연한다면, 먼저 아포모르핀을 안정화제, 진토제등과 함께 과립을 만들고, 이렇게 만들어진 아포모르핀과립을 저온하에 부유시키면서 고속으로 코팅액을 1차 분무하고, 이에 따라 형성된 코팅과립을 저온하에 부유시키면서 고속으로 코팅액을 2차분무하여 이중으로 코팅된 과립을 얻은후, 얻어진 아포모르핀과립, 1차 및 2차코팅과립을 혼합함을 특징으로하는 방출조절형 아포모르핀캡슐제의 제조방법이다.In detail, the method for preparing the composition of the present invention, first, apomorphine is granulated together with a stabilizer, an anti-emetic agent, and the like, and the sprayed coating solution is first sprayed at high speed while the apomorphine granules are suspended at a low temperature, thereby forming a coated granule. Preparation of controlled release apomorphine capsules characterized by mixing the obtained apomorphine granules, primary and secondary coating granules after obtaining a double coated granules by secondary spraying the coating liquid at high speed while floating under low temperature It is a way.

본 발명에 따르면, 먼저 아포모르핀 또는 아포모르핀하이드로클로라이드 1∼10중량%, 아스코르빈산 20∼40중량%, 돔페리돈 10∼20중량%분말을 고루 혼합한 다음, 부형제 및 결합제 30∼60중량%를 가해 과립을 제조한다. 과립은 건식법과 습식법이 있으나, 여기서는 주로 물이나 알코올, 아세톤 등을 단독 또는 혼합하여 사용하는 습식법을 사용한다. 부형제 및 결합제로는 하이드록시프로필메칠셀룰로오스, 전분, 저치환도 하이드록시프로필셀룰로오스, 카라기난, 펙틴, 구아검, 잔탄검, 젤란검, 아라비아검, 메칠셀룰로오스류, 에칠셀룰로오스류, 대두단백 및 소두단백 또는 이를 인위적으로 가공한 유사물질, 키틴 또는 키틴산류, 알긴산나트륨, 탄소수 6∼12개의 중쇄 지방산류 등을 단독으로 또는 둘이상을 혼합하여 사용할 수 있다.According to the present invention, first, a mixture of 1 to 10% by weight of apomorphine or apomorphine hydrochloride, 20 to 40% by weight of ascorbic acid, and 10 to 20% by weight of domperidone are mixed, and then 30 to 60% by weight of an excipient and a binder. Is added to prepare granules. Granules have a dry method and a wet method, but here, a wet method using water, alcohol, acetone, or the like alone or in combination is used. Excipients and binders include hydroxypropylmethylcellulose, starch, low-substituted hydroxypropylcellulose, carrageenan, pectin, guar gum, xanthan gum, gellan gum, gum arabic, methylcellulose, ethylcellulose, soy protein and soy protein. Alternatively, the artificially processed analogous material, chitin or chitin acid, sodium alginate, heavy carbon fatty acids having 6 to 12 carbon atoms, etc. may be used alone or in combination of two or more thereof.

본 발명에서 아포모르핀과립의 1차 및 2차코팅에 사용되는 코팅기제로는 옥수수단백추출물과 이를 인위적으로 가공한 유사물질, 알긴산나트륨, 알긴산, 유드라짓(Eudragit)류(폴리메타크릴산, 폴리메타크릴레이트), 쉘락(Shellac)류, 카보폴(Carbopol)류(카보머, 카복시비닐폴리머), 하이드록시프로필메칠셀룰로오스프탈레이트류, 하이드록시프로필메칠셀룰로오스 아세테이트숙시네이트, 카르복시메칠셀룰로오스, 셀룰로오스아세테이트프탈레이트류, 하이드록시프로필셀룰로오스, 에칠셀룰로오스, 메칠셀룰로오스류, 대두단백 또는 소두단백 또는 이를 인위적으로 가공한 유사물질, 키틴, 키틴산 또는 이를 인위적으로 가공한 유사물질, 한천, 카라기난(Carrageenan), 펙틴(Pectin), 구아검(Guar gum), 로우커스트 검(Locust bean gum), 잔탄검(Xanthan gum), 젤란 검(Gellan gum), 아라비아 검(Arabic gum), 탄소수 6∼12개의 중쇄 지방산류 등을 단독으로 또는 둘 이상 혼합하여 사용할 수 있다.In the present invention, the coating bases used in the primary and secondary coating of apomorphine granules are corn protein extracts and artificially processed analogous substances, sodium alginate, alginic acid, Eudragit о (polymethacrylic acid, polymethacrylate), shellac (shellac ⓡ) acids, Carbopol (Carbopol ⓡ) acids (Carbomer ⓡ, carboxyvinyl polymer), hydroxypropyl methyl cellulose phthalates, hydroxypropyl methyl cellulose acetate succinate, carboxy methyl cellulose , Cellulose acetate phthalates, hydroxypropyl cellulose, ethyl cellulose, methyl cellulose, soy protein or small soy protein or artificially processed analogues, chitin, chitin acid or artificially processed analogs, agar, carrageenan (Carrageenan ), Pectin, Guar gum, Locust bean gum, Xanthan gum, Zelan Gel gum, Arabic gum, C6-12 heavy chain fatty acids, etc. may be used alone or in combination of two or more thereof.

코팅액제조를 위한 기제의 사용량은 아포모르핀과립을 기준으로 하여 1내지 60중량%이며, 바람직하게는 1 내지 30중량%이다.The amount of base used for preparing the coating liquid is 1 to 60% by weight based on apomorphine granules, preferably 1 to 30% by weight.

본 코팅에서 가소제는 폴리에틸렌글리콜류, 글리세린지방산에스테르류, 소르비탄지방산에스테르류, 프로필렌글리콜, 글리세린, 디부틸프탈레이트, 트리에틸사이트레이트, 구연산트리에틸, 트리아세틴, 세틸알코올, 스테아릴알코올 등으로 이를 단독 혹은 둘이상 혼합하여 사용할 수 있으며, 가소제의 사용량은 아포모르핀 사용량을 기준으로 하여 0.1 내지 5.0중량%이며, 바람직하게는 0.1 내지 1.0중량%이다.The plasticizer in the coating is polyethylene glycol, glycerin fatty acid ester, sorbitan fatty acid ester, propylene glycol, glycerin, dibutyl phthalate, triethyl citrate, triethyl citrate, triacetin, cetyl alcohol, stearyl alcohol, etc. It can be used alone or in a mixture of two or more, the amount of plasticizer is 0.1 to 5.0% by weight, preferably 0.1 to 1.0% by weight based on the amount of apomorphine.

상기 코팅기제 및 가소제의 사용량 범위를 벗어난 경우 코팅과립의 붕해가 늦어져 신속한 약효발현을 기대할 수 없게된다.If the coating base and the plasticizer are out of the used range, disintegration of the coating granules is delayed, so that rapid drug expression cannot be expected.

본 코팅에 사용된 용매로는 물, 에틸알코올, 아세톤, 아세토니트릴, 메칠렌클로라이드, 에테르, 헥산, 클로로포름, 1,4-디옥산, 테트라하이드로푸란, 디메틸설폭사이드, 에칠아세테이트, 메칠아세테이트 또는 이들의 혼합물을 포함한다.Solvents used in the coating include water, ethyl alcohol, acetone, acetonitrile, methylene chloride, ether, hexane, chloroform, 1,4-dioxane, tetrahydrofuran, dimethylsulfoxide, ethyl acetate, methyl acetate or these It contains a mixture of.

코팅에 사용된 장치는 일명 "유동층조립기"(Fluid bed coater), 또는 이와 유사한 장치로서 본 발명에서는 유동층조립기 SFC-MINI(Freund Co., Japan)를 사용하였으나, 이와 유사한 장치로도 상기 제제에 대한 제조가 가능하다.The apparatus used for coating is a so-called "Fluid bed coater", or a similar apparatus in the present invention used a fluidized bed granulator SFC-MINI (Freund Co., Japan), but similar apparatus for the formulation Manufacturing is possible.

유동층조립기에서 아포모르핀과립을 코팅할 때의 조건으로, 유입공기의 온도는 40℃∼70℃의 범위이고, 유입공기의 풍량은 10∼30m3/min가 바람직하다. 또한 배기풍량은 5∼10m3/min가 적당하다. 로우터의 회전수는 100∼500rpm, 코팅기제의 교반속도는 200∼800rpm, 럼프 브레이커의 회전수는 1500rpm이상이 바람직하고, 분무액의 속도는 7∼25ml/min, 분사공기의 풍량은 10∼50m3/min가 적당하며, 코팅중 과립의 온도는 30∼40℃를 유지하는 것이 과립끼리의 응집을 막기 위해서는 바람직하다.As a condition when coating apomorphine granules in a fluidized bed granulator, the temperature of the inlet air is in the range of 40 ° C to 70 ° C, and the air volume of the inlet air is preferably 10 to 30m 3 / min. In addition, the exhaust air volume is appropriately 5 to 10 m 3 / min. The rotation speed of the rotor is preferably 100 to 500 rpm, the stirring speed of the coating base is 200 to 800 rpm, the rotation speed of the lump breaker is 1500 rpm or more, the speed of the spray liquid is 7 to 25 ml / min, and the air volume of the injection air is 10 to 50 m. 3 / min is suitable, and it is preferable to maintain the temperature of the granules in the coating at 30 to 40 ° C. in order to prevent aggregation of the granules.

상기방법에 의해서 제조된 아포모르핀코팅과립은 12∼14호체를 통과하고 200호를 통과하지 않는 것으로 하며, 이들 과립의 붕해시간을 측정하여 검증한다.Apomorphine-coated granules prepared by the above method should pass through No. 12 to No. 14 and do not pass No. 200, and are verified by measuring the disintegration time of these granules.

경구용캡슐제에 충전할 아포모르핀과립은 세가지 종류를 일정비율씩 혼합하여 넣는데, 대략 아포모르핀과립 40∼50중량%, 아포모르핀 1차 코팅과립 20∼30중량 % 및 아포모르핀 2차 코팅과립 30중량%의 비율로 혼합한다. 더욱 바람직한 비율은 40:30:30중량%이다. 약물용출시험을 통하여(실험예 1참고), 코팅이 안된 아포모르핀과립과 상기코팅기제로 코팅하여 아포모르핀과립에 비해 10∼15분정도 약물방출이 지연된 아포모르핀 1차코팅과립, 그리고 1차코팅과립을 상기코팅기제로 코팅하여 약물방출시간이 25∼30분정도 지연된 아포모르핀 2차코팅과립을 확인하고, 이들을 각각 전술한 바와 같은 일정비율씩 혼합하여 캡슐제로 만든다. 이로 인하여 기존 설하정과 비교해볼때 Cmax가 경구제로는 특이하게 오랫동안 유지되는 특성을 지니게 되는 것이다.(실험예 2참고)Apomorphine granules to be filled in oral capsules are mixed in three proportions, approximately 40-50% by weight of apomorphine granules, 20-30% by weight of apomorphine primary coated granules and 30% of apomorphine secondary coated granules 30 Mix in proportions by weight. A more preferable ratio is 40:30:30 weight%. Through drug dissolution test (see Experimental Example 1), uncoated apomorphine granules and acomorphine primary coated granules with delayed drug release for 10-15 minutes compared to apomorphine granules by coating with the coating agent, and primary coated granules Coated with the coating base to confirm apomorphine secondary coating granules with a drug release time delayed by about 25 to 30 minutes, and these were mixed by a predetermined ratio as described above to make capsules. Because of this, compared to the existing sublingual tablets, Cmax has the characteristic that it is maintained for an unusually long time as an oral drug (see Experimental Example 2).

본 발명은 발기부전환자들을 대상으로 하는 임상실험으로 그 효과를 입증하였다(실험예 3). 실험예 3에서 방출제어된 아포모르핀 코팅과립캡슐제는 음경의 원주증가 및 경도에서 설하정에 비해 오래 지속되는 장점을 보여준다. 또한 성애물비디오를 관람한 즉시 효과가 설하정과 거의 동일하게 음경의 원주증가 및 경도증가를 보임으로서 약효발현이 뒤쳐지지 않음을 나타내고, 애초에 의도한대로 급격한 약물흡수를 막아준 덕에 설하정에 비해 현격히 감소된 부작용을 나타내었다.The present invention has proved its effectiveness in clinical trials with erectile dysfunction (Experimental Example 3). The controlled release of apomorphine-coated granule capsule in Experimental Example 3 shows a long-lasting advantage compared to sublingual setting in circumferential increase and hardness of the penis. In addition, the effect of immediately watching the sexual intercourse video showed that the circumference of the penis and the hardness increased almost the same as the sublingual tablet, indicating that the drug efficacy was not lagging behind, and that it prevented the rapid absorption of the drug as intended. Reduced side effects.

하기 실시예로 본 발명에 따른 아포모르핀과립의 코팅방법 및 코팅제조공정이 구체적으로 설명되나, 본 발명을 예시하기 위한 목적으로 기재될 뿐, 본 발명의 청구범위가 이들 실시예에 한정하고자 하는 것은 아니다.Although the coating method and coating manufacturing process of the apomorphine granules according to the present invention are described in detail with reference to the following examples, it is only described for the purpose of illustrating the present invention, and the claims of the present invention are to be limited to these examples no.

(실시예1)Example 1

아포모르핀과립의 제조Preparation of Apomorphine Granules

(표 1)Table 1

아포모르핀 하이드로클로라이드Apomorphine Hydrochloride 7.7 중량%7.7 wt% 아스코르빈산Ascorbic acid 30.8 중량%30.8 wt% 돔페리돈Domperidone 15.4 중량%15.4 wt% 미결정셀룰로오스Microcrystalline cellulose 12.3 중량%12.3 wt% 저치환도히드록시프로필셀룰로오스Low Substituted Hydroxypropyl Cellulose 3.1 중량%3.1 wt% 히드록시프로필셀룰로오스Hydroxypropyl cellulose 3.1 중량%3.1 wt% water 3.1 중량%3.1 wt% 에틸알코올Ethyl alcohol 24.5 중량%24.5 wt%

상기 표 1처방에 따른 성분을 혼합하여 이를 18∼20호체를 통과할 정도의 크기로 조립한다. 통과된 과립을 30∼50℃에서 3∼5시간동안 전기오븐에서 건조시키고 이를 과립으로 하여 이후 진행될 코팅작업의 Seed로 쓴다.Mix the components according to the prescription of Table 1 and assemble them to a size enough to pass through No. 18 to No. 20 sieve. The granules passed are dried in an electric oven at 30 to 50 ° C. for 3 to 5 hours and used as granules, which are then used as a seed for the subsequent coating operation.

(실시예2)Example 2

아포모르핀과립의 제조Preparation of Apomorphine Granules

(표 2)Table 2

아포모르핀 하이드로클로라이드Apomorphine Hydrochloride 7.5 중량%7.5 wt% 아스코르빈산Ascorbic acid 30.5 중량%30.5 wt% 돔페리돈Domperidone 15.0 중량%15.0 wt% 만니톨Mannitol 20.0 중량%20.0 wt% 히드록시프로필셀룰로오스Hydroxypropyl cellulose 4.5 중량%4.5 wt% water 3.0 중량%3.0 wt% 에틸알코올Ethyl alcohol 19.5 중량%19.5 wt%

상기 표 2처방에 따른 성분을 혼합하여 이를 상기 실시예 1에서와 같이 과립을 만들고 이를 이후 진행될 코팅작업의 Seed로 쓴다.Mixing the ingredients according to the Table 2 prescription to make granules as in Example 1 and write them as Seed of the coating operation to be carried out afterwards.

(실시예3)Example 3

아포모르핀과립의 코팅Coating of Apomorphine Granules

(표 3)Table 3

1차코팅 SeedPrimary Coating Seed 아포모르핀과립Apomorphine Granules 500g500 g 코팅기제Coating base 하이드록시프로필메칠셀룰로오스Hydroxypropyl Methyl Cellulose 50g50 g 가소제Plasticizer PEG 6000PEG 6000 5g5 g 색소Pigment 청색 1호Blue 1 0.5g0.5g 코팅액Coating solution water 200ml200 ml 에틸알코올Ethyl alcohol 800ml800 ml 2차코팅 Seed2nd Coating Seed 1차코팅된 아포모르핀과립Primary Coated Apomorphine Granules 500g500 g 코팅기제Coating base 하이드록시프로필메칠셀룰로오스Hydroxypropyl Methyl Cellulose 50g50 g 가소제Plasticizer PEG 6000PEG 6000 5g5 g 색소Pigment 황색 1호Yellow No. 1 0.5g0.5g 코팅액Coating solution water 200ml200 ml 에틸알코올Ethyl alcohol 800ml800 ml

상기 실시예 1에서 제조한 아포모르핀과립을 유동층조립기에서 부유시키면서 상기 표 3의 코팅액을 분사하며 코팅한다. 유동층조립기의 분무액속도는 10내지 20ml/min, 분사공기 풍량은 30∼40m3/min으로 하고 유동층조립기 내의 온도는 30∼40℃의 범위를 벗어나지 않게 한다.The apomorphine granules prepared in Example 1 are coated while spraying the coating solution of Table 3 while floating in a fluidized bed granulator. The spray liquid velocity of the fluidized bed granulator is 10 to 20 ml / min, the air volume of the sprayed air is 30 to 40 m 3 / min, and the temperature in the fluidized bed granulator is not within the range of 30 to 40 ° C.

(실시예4)Example 4

아포모르핀과립의 코팅Coating of Apomorphine Granules

(표 4)Table 4

1차코팅 SeedPrimary Coating Seed 아포모르핀과립Apomorphine Granules 500g500 g 코팅기제Coating base 하이드록시프로필메칠셀룰로오스Hydroxypropyl Methyl Cellulose 40g40 g 가소제Plasticizer 글리세린glycerin 4g4 g 색소Pigment 청색 1호Blue 1 0.5g0.5g 코팅액Coating solution water 200ml200 ml 에틸알코올Ethyl alcohol 800ml800 ml 2차코팅 Seed2nd Coating Seed 1차 코팅된 아포모르핀과립Primary Coated Apomorphine Granules 500g500 g 코팅기제Coating base 에틸셀룰로오스Ethyl cellulose 30g30 g 가소제Plasticizer 디에틸프탈레이트Diethylphthalate 3g3 g 색소Pigment 황색 1호Yellow No. 1 0.5g0.5g 코팅액Coating solution 에틸알코올Ethyl alcohol 1000ml1000 ml

상기 실시예 2에서 제조한 아포모르핀과립을 유동층조립기에서 부유시키면서상기(표4)의 코팅액을 분사하며 코팅한다. 코팅은 상기 실시예 3에서와 동일한 방법으로 실시한다.The apomorphine granules prepared in Example 2 are coated while spraying the coating liquid of the above (Table 4) while floating in a fluidized bed granulator. Coating is carried out in the same manner as in Example 3.

(실시예5)Example 5

아포모르핀과립의 코팅Coating of Apomorphine Granules

(표 5)Table 5

1차코팅 SeedPrimary Coating Seed 아포모르핀과립Apomorphine Granules 500g500 g 코팅기제Coating base 메칠셀룰로오스Methyl Cellulose 20g20 g 가소제Plasticizer 트리에틸사이트레이트Triethyl citrate 3g3 g 색소Pigment 청색 1호Blue 1 0.4g0.4g 코팅액Coating solution 에틸알코올Ethyl alcohol 900ml900 ml 2차코팅 Seed2nd Coating Seed 1차 코팅된 아포모르핀과립Primary Coated Apomorphine Granules 500g500 g 코팅기제Coating base 하이드록시프로필메칠셀룰로오스Hydroxypropyl Methyl Cellulose 60g60 g 가소제Plasticizer PEG 6000PEG 6000 5g5 g 색소Pigment 황색 1호Yellow No. 1 0.5g0.5g 코팅액Coating solution water 200ml200 ml 에틸알코올Ethyl alcohol 800ml800 ml

상기 실시예 1에서 제조한 아포모르핀과립을 유동층조립기에서 부유시키면서 상기 표5의 코팅액을 분사하며 코팅한다. 코팅은 상기 실시예 3에서와 동일한 방법으로 실시한다.The apomorphine granules prepared in Example 1 are coated while spraying the coating solution of Table 5 while floating in a fluidized bed granulator. Coating is carried out in the same manner as in Example 3.

(실시예 6)(Example 6)

아포모르핀과립의 코팅Coating of Apomorphine Granules

(표 6)Table 6

1차코팅 SeedPrimary Coating Seed 아포모르핀과립Apomorphine Granules 500g500 g 코팅기제Coating base 하이드록시프로필메칠셀룰로오스Hydroxypropyl Methyl Cellulose 50g50 g 가소제Plasticizer PEG 6000PEG 6000 5g5 g 색소Pigment 청색 1호Blue 1 0.5g0.5g 코팅액Coating solution water 200ml200 ml 에틸알코올Ethyl alcohol 800ml800 ml 2차코팅 Seed2nd Coating Seed 1차코팅된 아포모르핀과립Primary Coated Apomorphine Granules 500g500 g 코팅기제Coating base 카르복시메틸셀룰로오스Carboxymethyl Cellulose 40g40 g 가소제Plasticizer PEG 6000PEG 6000 5g5 g 색소Pigment 황색 1호Yellow No. 1 0.5g0.5g 코팅액Coating solution water 500ml500 ml 에틸알코올Ethyl alcohol 500ml500 ml

기 실시예1에서 제조한 아포모르핀과립을 유동층조립기에서 부유시키면서 상기 표 6의 코팅액을 분사하며 코팅한다. 코팅은 상기 실시예 3에서와 동일한 방법으로 실시한다.Apomorphine granules prepared in Example 1 were coated while spraying the coating solution of Table 6 while floating in a fluidized bed granulator. Coating is carried out in the same manner as in Example 3.

(실시예 7)(Example 7)

상시 실시예 1및 3에서 제조한 아포모르핀과립, 1차코팅된 아포모르핀 1차코팅과립, 2차까지 코팅된 아포모르핀 2차코팅과립을 다음 표 7의 비율에 따라 섞어 캡슐제를 제조하였다.A capsules were prepared by mixing the apomorphine granules prepared in Examples 1 and 3, the first coated apomorphine primary coated granules, and the second coated apomorphine secondary coated granules according to the ratio of the following Table 7.

(표 7)Table 7

캡슐제내의 아포모르핀과립 및 아포모르핀 1, 2차코팅과립의 비율Ratio of apomorphine granules and apomorphine primary and secondary coating granules in capsules

(단위 : 중량%)(Unit: weight%)

아포모르핀과립Apomorphine Granules 1차코팅된 아포모르핀코팅과립(1차)Primary coated apomorphine coated granules (primary) 2차까지 코팅된 아포모르핀코팅과립(2차)Apomorphine-coated granules coated up to 2nd (2nd) Sample ASample A 33.4 %33.4% 33.3 %33.3% 33.3 %33.3% Sample BSample B 40.0 %40.0% 30.0 %30.0% 30.0 %30.0% Sample CSample C 50.0 %50.0% 20.0 %20.0% 30.0 %30.0% Sample DSample D 50.0 %50.0% 40.0 %40.0% 10.0 %10.0%

(실험예1)Experimental Example 1

과립별 장액에서 아포모르핀 용출비교시험.Apomorphine Dissolution Comparison Test in Granular Serum.

상기 실시예 1 및 3에서 얻은 아포모르핀과립과 아포모르핀 1차코팅과립, 아포모르핀 2차코팅과립을 각각 약전시험기준에 의거해 장액에서 약물용출시험을 실시하고, 그 결과를 도 1에 나타내었다.Apomorphine granules obtained in Examples 1 and 3, apomorphine primary coated granules and apomorphine secondary coated granules were each tested for drug dissolution in intestinal fluids based on pharmacopoeial test criteria, and the results are shown in FIG. 1. .

약물용출실험에서 도 1의 볼수 있는 바와 같이, 코팅이 안된 아포모르핀과립 ()과 1차로 코팅된 아포모르핀 1차코팅과립(△), 그리고 1차코팅된 후 2차코팅까지 된 아포모르핀 2차코팅과립()의 약물방출이 10∼20분씩 차이가 나는 것으로 나타났다. 이를 바탕으로 캡슐제를 제조하여 약물방출이 일정시간동안 일정한 농도로 지속되는 경구제를 제조하였다.As shown in Figure 1 in the drug dissolution experiment, uncoated apomorphine granules ( ) And primary coated apomorphine primary coated granules (△), and apomorphine secondary coated granules first coated and then secondary coated ( ), The drug release was different by 10-20 minutes. Capsules were prepared on the basis of this to prepare oral drugs in which drug release continued at a constant concentration for a period of time.

(실험예2)Experimental Example 2

캡슐제 혈중농도 비교시험.Capsule blood concentration comparison test.

상기 실시예 1에서 용출시험을 거친 아포모르핀과립을 가지고 실시예 7의 표 7에 따라 4가지처방의 캡슐제를 제조하였다.In Example 1, four capsules were prepared according to Table 7 of Example 7 with the apomorphine granules that had undergone the dissolution test.

아포모르핀과립, 1차코팅된 아포모르핀 1차코팅과립, 2차 코팅된 아포모르핀 2차코팅과립을 아포모르핀중량기준으로 표에 따라 섞어 4가지의 캡슐제를 제조하였고, 총량은 아포모르핀기준으로 2mg이 되도록 하였다. 그리고 이를 10Kg의 비글견에 경구로 투여한후, 아포모르핀의 혈중농도를 측정하여 도 2에 나타내었다.Four capsules were prepared by mixing apomorphine granules, primary coated apomorphine primary coated granules, and secondary coated apomorphine secondary coated granules according to the apomorphine weight based on the table, and the total amount was based on apomorphine. To 2 mg. After oral administration to 10Kg of beagle dogs, blood concentration of apomorphine was measured and shown in FIG. 2.

위의 결과에서 sample D는 너무 빨리 Cmax에 도달하는 경향이 있고 sample A는 유효혈중농도에 너무 늦게 도달하는 경향을 보여준다. Sample B와 sample C가적당할 것으로 생각되나 유효혈중농도에서 상대적으로 오랜시간동안 머무르는 sample B가 적당할 것으로 생각되어 다음에 이어지는 임상실험은 Sample B로 진행하였다. 이 실험결과에서는 코팅아포모르핀과립의 처방비율에 따라서 여러형태의 혈중농도곡선을 얻을 수 있음을 보여주며, 이는 실제로 임상적용시 개인에 따라 각각의 처방비율을 결정해 부작용이 없고 효과를 오래 지속시킬수 있는 처방선정이 가능하리라 생각된다.In the above results, sample D tends to reach Cmax too quickly and sample A tends to reach effective blood concentration too late. Sample B and sample C may be appropriate, but sample B, which stays in the effective blood concentration for a relatively long time, is considered to be appropriate. According to the experimental results, various types of blood concentration curves can be obtained according to the prescription ratio of coated apomorphine granules. In practice, each prescription ratio can be determined according to the individual for clinical application. I think it is possible to make a prescription.

(실험예 3)Experimental Example 3

설하정과 본 발명의 캡슐제의 혈중농도 비교시험.Comparison of blood levels of sublingual tablets and capsules of the present invention.

상기 실시예에서 제조한 아포모르핀코팅과립을 가지고 비글견에서의 혈중농도를 기존 공지의 설하정과 비교하였다. 설하정은 US Pat. No.6,121,276호의 Table IV의 설하정(아포모르핀하이드로클로라이드 5.0㎎, 아스코르빈산 5.0㎎, 만니톨 58.9㎎, 스테아린산마그네슘 1.0㎎, 돔페리돈 10.0㎎, 베타사이클로텍스트린 20.0㎎, D & C Yellow 10 Aluminum Lake 0.1㎎, total 100㎎)을 제조해 0.2㎎/㎏의 농도로 실험에 이용하였고, 본 발명의 방출제어형 경구용캡슐제제(실시예 7 샘플 B)는 실시예 1에 따라 아포모르핀과립을 제조하고 이를 실시예 3에 따라 코팅을 실시한다음, 실시예 1에서 제조한 아포모르핀과립과 1차코팅된 아포모르핀코팅과립, 2차까지 코팅된 아포모르핀코팅과립을 각각 40:30:30의 비율로 섞어 캡슐내에 아포모르핀의 총량이 설하정과 같은 0.2㎎/㎏이 되도록 한것이다. 비글견에게 투여한후, 각각의 아포모르핀의 혈중농도를 측정하여 도3에 나타내었다.Blood concentrations in beagle dogs with the apomorphine-coated granules prepared in the above examples were compared with existing known sublingual tablets. Sublingual tablet US Pat. Sublingual tablet of Table IV of No.6,121,276 (5.0 mg of apomorphine hydrochloride, 5.0 mg of ascorbic acid, 58.9 mg of mannitol, 1.0 mg of stearate, 10.0 mg of domperidone, 20.0 mg of betacyclotextine, D & C Yellow 10 Aluminum Lake 0.1 mg, total 100 mg) was prepared and used in the experiment at a concentration of 0.2 mg / kg, the controlled release oral capsule formulation of the present invention (Example 7 Sample B) to prepare apomorphine granules according to Example 1 Then, the coating was carried out according to Example 3, and then the apomorphine-coated granules prepared in Example 1, the acomorphine-coated granules coated first, and the apomorphine-coated granules coated up to the second were 40:30:30, respectively. Mix it so that the total amount of apomorphine in the capsule is 0.2 mg / kg equal to the sublingual tablet. After administration to beagle dogs, blood concentrations of each apomorphine were measured and shown in FIG. 3.

위의 결과에서 코팅과립을 혼합한 본 발명의 캡슐제제는 기존 설하정에 비해완만한 혈중농도상승을 보여주었고, 또한 오랜시간동안 유효약물농도에 머무를 수 있는 것으로 나타났다. 이는 의도한대로 부작용을 감소시키고 약효작용시간을 늘여주는 역할을 할 것으로 기대된다.In the above results, the capsule preparation of the present invention mixed with the coated granules showed a moderate increase in blood concentration compared to the existing sublingual tablets, and also appeared to stay at the effective drug concentration for a long time. This is expected to play a role in reducing side effects and increasing the effect time as intended.

(실험예4)Experimental Example 4

발기부전임상시험 및 부작용 발현관찰.Erectile Dysfunction Clinical Trial and Observation of Side Effects.

기존의 아포모르핀설하정과 위약 그리고 상기 실험에서 사용된 방출제어형 캡슐제를 가지고 발기부전환자를 대상으로 임상실험을 실시하였다. 설하정은 US Pat. No. 6,121,276호의 Table IV의 설하정(아포모르핀하이드로클로라이드 5.0㎎, 아스코르빈산 5.0㎎, 만니톨 58.9㎎, 스테아린산마그네슘 1.0㎎, 돔페리돈 10.0㎎, 베타사이클로텍스트린 20.0mg, D & C Yellow 10 Aluminum Lake 0.1㎎, total 100㎎)을 제조해 실험에 이용하였고, 본 발명의 방출제어형 경구용캡슐제제(실시예 7 샘플 B) 실시예 1에 따라 아포모르핀과립을 제조하고 이를 실시예 3에 따라 코팅을 실시한다음, 실시예 1에서 제조한 아포모르핀과립과 1차코팅된 아포모르핀코팅과립, 2차까지 코팅된 아포모르핀코팅과립을 각각 40:30:30의 비율로 섞어 캡슐내에 아포모르핀의 총량이 5㎎이 되도록 한것을 실험에 사용하였다.Clinical trials were performed on erectile dysfunction patients with conventional apomorphine sublingual tablets, placebo and controlled release capsules used in the above experiments. Sublingual tablet US Pat. No. Sublingual tablet of Table IV of Table 6,121,276 (5.0 mg apomorphine hydrochloride, 5.0 mg ascorbic acid, 58.9 mg mannitol, 1.0 mg magnesium stearate, 10.0 mg domeperidone, 20.0 mg betacyclotextine, D & C Yellow 10 Aluminum Lake 0.1 Mg, total 100 mg) was used in the experiment, controlled release oral capsule formulation of the present invention (Example 7 Sample B) Apomorphine granules were prepared according to Example 1 and coated according to Example 3. Next, apomorphine granules prepared in Example 1, acomorphine-coated granules coated first, and apomorphine-coated granules coated up to the second were mixed at a ratio of 40:30:30, respectively, and the total amount of apomorphine in the capsule was 5 mg. This was used for the experiment.

임상실험에는 비뇨기과의사들로부터 정신적 발기부전증상을 판정받은 환자들로서 30세에서 50세미만의 연령대에서 15명이 선택되었다. 이들은 5명씩 세그룹으로 나누어 각각 위약, 아포모르핀설하정과 방출제어형 캡슐제를 투여받고 10분후에 10분짜기 성애물 비디오단편을 시청함으로서 성적 자극을 주었다. 투약후 120분까지 음경의 귀두부분의 경도와 음경의 원주의 증가를 측정함으로서 이들 약물의 효과를 측정하였다. 음경원주의 측정과 음경귀두부분의 경도는 표 8 및 표 9 기준에 따라 이들의 스코어를 기록하였다. 약물투여후 11분, 20분, 40분, 60분, 80분, 100분, 120분에 측정하고 또한 약물투여후에 나타나는 각종 부작용은 환자 각각 상세히 기록하여 부작용의 발현을 조사하였다. 음경원주의 측정결과치는 도 4에, 음경경도의 측정결과치는 도 5에 나타내었으며, 부작용발현 조사결과는 표 10에 나타내었다.In clinical trials, 15 patients were selected from the ages of 30 to 50 years who were diagnosed with mental dysfunction by urologists. They were divided into three groups of five people, each receiving a placebo, apomorphine sublingual tablet, and a controlled release capsule 10 minutes after 10 minutes of sexual video stimulation. The effects of these drugs were measured by measuring the hardness of the glans of the penis and the increase in the circumference of the penis until 120 minutes after dosing. Measurement of the penile columnar and the hardness of the penis head region recorded their scores according to Table 8 and Table 9 criteria. 11, 20, 40, 60, 80, 100, and 120 minutes after the administration of the drug, and the various side effects appearing after the drug was recorded in detail in each patient to investigate the expression of the side effects. The measurement result of penile columnar is shown in FIG. 4, and the measurement result of penis hardness is shown in FIG. 5, and the results of side effect expression investigation are shown in Table 10.

(표 8)Table 8

음경원주의 증가에 의한 발기기능측정표Erectile function measurement table due to increase in penile columnar

음경원주의 증가(㎝)Penile columnar increase (cm) 스코어Score 0 - < 0.50-<0.5 1One 0.5 - < 0.50.5-<0.5 22 1.0 - < 1.51.0-<1.5 33 1.5 - < 2.01.5-<2.0 44 2.0 - < 2.52.0-<2.5 55 2.5 - < 3.02.5-<3.0 66

(표 9)Table 9

음경경도에 따른 발기기능측정표Erectile function measurement table according to penis hardness

음경경도(%)Penile Hardness (%) 스코어Score 0 - < 100-<10 1One 10 - < 2010-<20 22 20 - < 3020-<30 33 30 - < 4030-<40 44 40 - < 5040-<50 55 50 - < 6050-<60 66 60 - < 7060-<70 77 70 - < 8070-<80 88 80 - < 9080-<90 99 90 - < 10090-<100 1010

위의 실험결과에서 기존공지의 설하정과 본 발명의 방출제어형 캡슐제는 복용후 성애물비디오를 관람한 즉시 두 제제에서 발기 반응이 성공적으로 나타난 것을 알 수 있었다. 그러나 시간이 경과함에 따라 본 발명의 방출제어형 캡슐제는 공지의 설하정에 비해 음경의 원주증가 및 경도가 월등히 오래 지속되는 것을 관찰 할 수 있었다. 특히 아포모르핀 복용후 1시간이 경과했을 때 공지의 설하정은 그 결과가 대부분 소실되는 것에 반하여, 본 발명의 방출제어형 캡슐제는 120분까지 발기기능이 지속되는 것을 관찰할 수 있었다.From the above experimental results, it was found that the erectile response of the previously known sublingual tablets and the controlled release capsule of the present invention was successful in both formulations immediately after watching the sexual intercourse video. However, as time passed, the release-controlled capsule of the present invention was observed that the circumferential increase and hardness of the penis last much longer than the known sublingual tablet. In particular, when one hour elapsed after taking apomorphine, the known sublingual tablets mostly lost the results, whereas the controlled release capsule of the present invention was observed to have an erection function lasting up to 120 minutes.

(표 10)Table 10

위약, 설하정, 방출제어형 캡슐제투여에 따른 부작용발현Side effects due to placebo, sublingual tablet, controlled release capsule

실 험 군Experimental group 부 작 용Side Effect 위약투여군Placebo group 환자 #1환자 #2환자 #3환자 #4환자 #5Patient # 1 Patient # 2 Patient # 3 Patient # 4 Patient # 5 관찰되지 않음관찰되지 않음관찰되지 않음관찰되지 않음관찰되지 않음Not Observed Not Observed Not Observed Not Observed 설하정투여군Sublingual administration group 환자 #1환자 #2환자 #3환자 #4환자 #5Patient # 1 Patient # 2 Patient # 3 Patient # 4 Patient # 5 투여후 8분경 오심, 구토증상 호소, 어지러움 호소, 안면이 상기됨, 48분경까지 지속투여후 5분부터 하품시작, 8분경 두통호소, 어지러움 호소, 안면이 상기됨, 40분경까지 지속관찰되지 않음투여후 4분부터 하품시작, 28분경까지 지속투여후 5분경부터 하품시작 및 안면이 상기됨, 12분경 두통호소, 58분경까지 지속8 minutes after administration nausea, vomiting complaints, dizziness complaints, and facial recalled, lasting up to 48 minutes, starting yawning from 5 minutes after administration, headache complaints, dizziness, recalled facials, not observed until 40 minutes Start yawning from 4 minutes after administration, lasting until 28 minutes Start yawning and facial from 5 minutes after dosing, headache complaint about 12 minutes, last until 58 minutes 방출제어형 캡슐제투여군Controlled Release Capsule 환자 #1환자 #2환자 #3환자 #4환자 #5Patient # 1 Patient # 2 Patient # 3 Patient # 4 Patient # 5 관찰되지 않음관찰되지 않음관찰되지 않음투여10분후 하품시작, 68분경까지 간헐적인 하품지속투여14분경 일시적인 두통관찰, 안면이 상기됨 42분경 회복Not observed Not observed Not observed Start yawning 10 minutes after treatment, Intermittent yawning until around 68 minutes Temporary headache observation, Recall of facial recovery 42 minutes

상기 표 10에서 볼수 있는 바와 같이, 공지의 설하정투여군은 총5명중 4명이 부작용을 나타내는 것으로 나타났으며, 이중 하품은 일반적으로도 나타날 수 있는 경미한 부작용으로 고려한다면 5명중 3명(60%)에서 두통, 어지러움을 비롯한 약물의 부작용이 나타났다고 볼 수 있었다. 그러나, 본 발명의 방출제어형 캡슐제투여군에서는 5명중 3명이 완전히 부작용이 나타나지 않았고, 1명에서는 하품만이 나타났으며 일시적인 두통을 호소한 환자만을 고려한다면 5명중 1명(20%)이 약물부작용이 나타났다고 할 수 있다. 이 결과로 미루어볼 때 아포모르핀의 약효발현시 나타나는 부작용은 약물의 점진적인 흡수를 통해 방지할 수 있으며 본 발명에 따른 코팅과립을 통한 방출제어형 아포모르핀캡슐제는 기존 공지제제에 비해 부작용을 줄일 수 있는 우수한 제형인 것으로 사료된다.As can be seen in Table 10, the well-known sublingual tablet administration group was found to have side effects in four out of five, three of the five (60%) considering the minor side effects that can also appear generally Had side effects such as headaches and dizziness. However, in the controlled-release capsule-administered group of the present invention, 3 out of 5 patients did not show any adverse effects, only 1 yawn appeared, and only 1 of 5 (20%) patients had drug side effects when considering only patients with temporary headache. It can be said that this appeared. As a result, the side effects of apomorphine drug expression can be prevented through the gradual absorption of the drug and the controlled release apomorphine capsules through the coating granules according to the present invention can reduce the side effects compared to conventional known agents. It is considered to be a good formulation.

본 발명에 따르면, 약물방축속도가 다른 아포모르핀 과립, 1차 코팅과립, 2차코팅과립을 제조한후 이를 일정비율로 함유하여 경구투여함으로써, 약물의 흡수속도가 점진적으로 조절되어 두통이나 어지러움등의 부작용을 줄일 수 있고 발기 부전 치료효과가 우수한 아포모르핀 방출제어형 경구제제를 제공할 수 있어, 본 발명은 산업적으로 매우 유용한 발명임이 틀림없다.According to the present invention, by preparing the apomorphine granules, the primary coating granules, the secondary coating granules with different drug anti-shrinkage rate and containing them in a constant ratio, oral administration, the absorption rate of the drug is gradually controlled, such as headache or dizziness. It can reduce the side effects of and can provide an apomorphine controlled release oral preparation excellent in the effect of treating erectile dysfunction, the present invention must be very useful industrially.

Claims (9)

하기의 구성을 갖는 발기부전치료용 아포모르핀 방출조절형 경구제제조성물.Apomorphine release-controlled oral formulation for treating erectile dysfunction having the following configuration. 1)아포모르핀 또는 그의 산부가염 1∼10중량 %, 안정화제인 아스코르빈산 20∼40중량%, 진토제인 돔페리돈 10∼20중량 % 및 기타 부형제, 결합제, 용제로 구성된 아포모르핀 과립과1) 1 to 10% by weight of apomorphine or acid addition salt thereof, 20 to 40% by weight of ascorbic acid as a stabilizer, 10 to 20% by weight of domperidone as an antiseptic agent, and apomorphine granules composed of other excipients, binders and solvents; 2)1)의 아포모르핀 과립 30∼40중량%을 코팅기제 1∼30중량, 가소제 0.1∼1.0중량% 및 용제로 구성된 코팅액으로 코팅된 아포모르핀 1차 코팅 과립과,2) apomorphine primary coated granules coated with a coating liquid consisting of 30 to 40% by weight of the apomorphine granules of 1) in a coating liquid consisting of 1 to 30% by weight of a coating base, 0.1 to 1.0% by weight of a plasticizer, and a solvent; 3)2)의 1차 코팅과립 30∼40중량%을 코팅기제 1∼30중량%, 가소제 0.1∼1.0중량 % 및 용제로 구성된 코팅액으로 코팅된 아포모르핀 2차 코팅과립으로 구성되며,3) 2) 30 to 40% by weight of the primary coating granules is composed of apomorphine secondary coating granules coated with a coating liquid consisting of 1 to 30% by weight of the coating base, 0.1 to 1.0% by weight of the plasticizer and a solvent, 4)아포모르핀 과립 40∼50중량%, 아포모르핀 1차 코팅과립 20∼30중량 % 및 아포모르핀 2차 코팅과립 30중량%의 비율로 함유된 발기부전치료용 아포모르핀 방출조절형 경구제제 조성물.4) Apomorphine controlled release oral formulation for treating erectile dysfunction containing 40-50% by weight of apomorphine granules, 20-30% by weight of apomorphine primary coated granules and 30% by weight of apomorphine secondary coated granules. 청구항 1에 있어서, 코팅기제가 하이드록시프로필메틸셀룰로오스, 메틸셀룰로오스류, 에틸셀룰로오스류, 카르복시메틸셀룰로오스류, 하이드록시프로필셀룰로오스류, 잔탄검, 아라비아검중에서 단독 또는 둘이상의 혼합물인 조성물.The composition according to claim 1, wherein the coating base is hydroxypropylmethylcellulose, methylcellulose, ethylcellulose, carboxymethylcellulose, hydroxypropylcellulose, xanthan gum, gum arabic or a mixture of two or more thereof. 청구항 1에 있어서, 아포모르핀과립, 아포모르핀 1차 코팅과립 및 아포모르핀 2차코팅과립의 혼합비율이 40:30:30중량 %인 조성물.The composition of claim 1, wherein the mixing ratio of the apomorphine granules, the apomorphine primary coated granules, and the apomorphine secondary coated granules is 40: 30: 30% by weight. 청구항 1 또는 3 중 어느 한항에 있어서, 경구제제가 캡슐제인 조성물.The composition of claim 1, wherein the oral formulation is a capsule. 하기의 공정으로 구성된 발기부전치료용 아포모르핀 방출조절형경구제제조성물의 제조방법.Method for producing apomorphine-release controlled oral formulation composition for treating erectile dysfunction consisting of the following steps. 1)아포모르핀 또는 그의 산부가염 1∼10중량%, 안정화제인 아스코르빈산 20∼40중량%, 진토제인 돔페리돈 10∼20중량%, 혼합분말에 부형제, 결합제, 용제를 가하여 아포모르핀 과립을 제조한후,1) 1 to 10% by weight of apomorphine or its acid addition salt, 20 to 40% by weight of ascorbic acid as a stabilizer, 10 to 20% by weight of domperidone as an antiseptic agent, and excipients, binders and solvents are added to the mixed powder to prepare apomorphine granules. After that, 2)1)의 아포모르핀 과립 30∼40중량%에, 코팅기제 1∼30중량%, 가소제 0.1∼1.0중량% 및 용제로 구성된 코팅액을 30∼40℃에서 코팅하여 아포모르핀 1차 코팅과립을 제조하고,2) Apomorphine primary coated granules were prepared by coating a coating solution consisting of 1 to 30% by weight of a coating base, 0.1 to 1.0% by weight of a plasticizer and a solvent at 30 to 40 ° C in 30 to 40% by weight of the apomorphine granules of 1). and, 3)2)의 1차코팅과립 30∼40중량%에 코팅기제 1∼30중량%, 가소제 0.1∼1.0중량%및 용제로 구성된 코팅액으로 30∼40℃에서 코팅하여 아포모르핀 2차 코팅과립을 제조한 다음,3) Apomorphine secondary coated granules were prepared by coating at 30 to 40 ° C. with a coating liquid consisting of 1 to 30 wt% of the coating base, 0.1 to 1.0 wt% of the plasticizer, and a solvent in 30 to 40 wt% of the primary coating granule of 2). next, 4)아포모르핀 40∼50중량%, 아포모프닌 1차코팅과립 20∼30중량% 및 아포모르핀 2차코팅과립 30중량%를 혼합, 균질화함을 특징으로하는 발기부전치료용 아포모르핀 방출 조절형 경구제제조성물의 제조방법.4) Apomorphine release controlled type for erectile dysfunction treatment, characterized by mixing and homogenizing 40 to 50% by weight of apomorphine, 20 to 30% by weight of apomorphine primary coated granules, and 30% by weight of apomorphine secondary coated granules. Method for preparing oral preparation composition. 청구항 5에 있어서, 코팅기제가 하이드록시프로필메틸셀룰로오스, 메틸셀룰로오스류, 에틸셀룰로오스류, 카르복시메틸셀룰로오스류, 하이드록시프로필셀룰로오스류, 잔탄검, 아라비아검중에서 단독 또는 둘이상의 혼합물인 제조방법.The method according to claim 5, wherein the coating base is hydroxypropylmethylcellulose, methylcellulose, ethylcellulose, carboxymethylcellulose, hydroxypropylcellulose, xanthan gum, gum arabic or a mixture of two or more thereof. 청구항 5에 있어서, 아포모르핀과립, 아포모르핀 1차코팅과립 및 아포모르핀 2차코팅과립의 혼합비율이 40:30:30중량%인 제조방법.The method according to claim 5, wherein the mixing ratio of the apomorphine granules, apomorphine primary coating granules and apomorphine secondary coating granules is 40: 30: 30% by weight. 청구항 5 또는 7 중 어느 한항에 있어서, 경구제제가 캡슐제인 제조방법.The method according to any one of claims 5 to 7, wherein the oral preparation is a capsule. 청구항 5에 있어서, 코팅작업은 유동층 조립기의 내부온도를 30∼40℃로 유지하여 실시하는 제조방법.The method according to claim 5, wherein the coating operation is performed by maintaining the internal temperature of the fluidized bed granulator at 30 to 40 ℃.
KR1020010034884A 2001-06-20 2001-06-20 Controlled release formulation containing Apomophine for oral KR20020096440A (en)

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