MXPA06000430A - Multiparticle pharmaceutical dosage form containing a mucoadhesively formulated peptide or protein active substances method for producing said pharmaceutical dosage form - Google Patents
Multiparticle pharmaceutical dosage form containing a mucoadhesively formulated peptide or protein active substances method for producing said pharmaceutical dosage formInfo
- Publication number
- MXPA06000430A MXPA06000430A MXPA/A/2006/000430A MXPA06000430A MXPA06000430A MX PA06000430 A MXPA06000430 A MX PA06000430A MX PA06000430 A MXPA06000430 A MX PA06000430A MX PA06000430 A MXPA06000430 A MX PA06000430A
- Authority
- MX
- Mexico
- Prior art keywords
- active substance
- matrix
- pharmaceutical form
- polymer
- granules
- Prior art date
Links
- 239000000126 substance Substances 0.000 title claims abstract description 202
- 102000004169 proteins and genes Human genes 0.000 title claims abstract description 37
- 108090000623 proteins and genes Proteins 0.000 title claims abstract description 37
- 239000002552 dosage form Substances 0.000 title claims abstract description 19
- 238000004519 manufacturing process Methods 0.000 title claims description 36
- 239000011159 matrix material Substances 0.000 claims abstract description 123
- 229920000642 polymer Polymers 0.000 claims abstract description 80
- 229920001577 copolymer Polymers 0.000 claims abstract description 74
- 230000003232 mucoadhesive Effects 0.000 claims abstract description 53
- 125000000129 anionic group Chemical group 0.000 claims abstract description 21
- 239000007888 film coating Substances 0.000 claims abstract description 13
- 238000009501 film coating Methods 0.000 claims abstract description 11
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 claims description 78
- 239000008187 granular material Substances 0.000 claims description 74
- 239000010410 layer Substances 0.000 claims description 59
- 239000000203 mixture Substances 0.000 claims description 53
- -1 Sureteric®) Polymers 0.000 claims description 51
- 239000011248 coating agent Substances 0.000 claims description 50
- 238000000576 coating method Methods 0.000 claims description 47
- 239000006185 dispersion Substances 0.000 claims description 42
- 239000007921 spray Substances 0.000 claims description 39
- 239000002245 particle Substances 0.000 claims description 38
- 239000000243 solution Substances 0.000 claims description 34
- 239000000546 pharmaceutic aid Substances 0.000 claims description 32
- 238000000034 method Methods 0.000 claims description 30
- 239000003826 tablet Substances 0.000 claims description 26
- 229920001661 Chitosan Polymers 0.000 claims description 22
- 239000002253 acid Substances 0.000 claims description 22
- 239000004014 plasticizer Substances 0.000 claims description 22
- YQEMORVAKMFKLG-UHFFFAOYSA-N 2-stearoylglycerol Chemical compound CCCCCCCCCCCCCCCCCC(=O)OC(CO)CO YQEMORVAKMFKLG-UHFFFAOYSA-N 0.000 claims description 20
- 238000010521 absorption reaction Methods 0.000 claims description 20
- 239000002775 capsule Substances 0.000 claims description 20
- CERQOIWHTDAKMF-UHFFFAOYSA-N methacrylic acid Chemical compound CC(=C)C(O)=O CERQOIWHTDAKMF-UHFFFAOYSA-N 0.000 claims description 20
- 235000014113 dietary fatty acids Nutrition 0.000 claims description 19
- 239000000194 fatty acid Substances 0.000 claims description 19
- RTZKZFJDLAIYFH-UHFFFAOYSA-N diethyl ether Chemical class CCOCC RTZKZFJDLAIYFH-UHFFFAOYSA-N 0.000 claims description 18
- 150000002632 lipids Chemical class 0.000 claims description 18
- 102000004196 processed proteins & peptides Human genes 0.000 claims description 18
- 108090000765 processed proteins & peptides Proteins 0.000 claims description 18
- 150000002148 esters Chemical class 0.000 claims description 17
- 238000009472 formulation Methods 0.000 claims description 17
- 239000000843 powder Substances 0.000 claims description 17
- 238000002360 preparation method Methods 0.000 claims description 17
- 150000004665 fatty acids Chemical class 0.000 claims description 16
- 229920002807 Thiomer Polymers 0.000 claims description 14
- 150000003839 salts Chemical class 0.000 claims description 14
- 239000003995 emulsifying agent Substances 0.000 claims description 13
- LFQSCWFLJHTTHZ-UHFFFAOYSA-N ethanol Chemical compound CCO LFQSCWFLJHTTHZ-UHFFFAOYSA-N 0.000 claims description 13
- 239000011780 sodium chloride Substances 0.000 claims description 13
- 235000013343 vitamin Nutrition 0.000 claims description 13
- 239000011782 vitamin Substances 0.000 claims description 13
- 229930003231 vitamins Natural products 0.000 claims description 13
- VVQNEPGJFQJSBK-UHFFFAOYSA-N 2-methyl-2-propenoic acid methyl ester Chemical compound COC(=O)C(C)=C VVQNEPGJFQJSBK-UHFFFAOYSA-N 0.000 claims description 12
- 230000002776 aggregation Effects 0.000 claims description 12
- 239000003795 chemical substances by application Substances 0.000 claims description 12
- 238000002844 melting Methods 0.000 claims description 12
- 238000005054 agglomeration Methods 0.000 claims description 11
- 239000003921 oil Substances 0.000 claims description 11
- 239000000137 peptide hydrolase inhibitor Substances 0.000 claims description 11
- 210000002784 Stomach Anatomy 0.000 claims description 10
- 150000003904 phospholipids Chemical class 0.000 claims description 10
- 108010000437 Deamino Arginine Vasopressin Proteins 0.000 claims description 9
- 229960004281 desmopressin Drugs 0.000 claims description 9
- NFLWUMRGJYTJIN-PNIOQBSNSA-N desmopressin Chemical compound C([C@H]1C(=O)N[C@H](C(N[C@@H](CC(N)=O)C(=O)N[C@@H](CSSCCC(=O)N[C@@H](CC=2C=CC(O)=CC=2)C(=O)N1)C(=O)N1[C@@H](CCC1)C(=O)N[C@H](CCCNC(N)=N)C(=O)NCC(N)=O)=O)CCC(=O)N)C1=CC=CC=C1 NFLWUMRGJYTJIN-PNIOQBSNSA-N 0.000 claims description 9
- XHCGTVHIQUXPRM-SSIREWOPSA-N (2S)-N-[(2R,4S,7R)-7-acetamido-2-amino-4-[[(2S)-2-amino-6-[(5-amino-1H-1,2,4-triazol-3-yl)amino]hexanoyl]-[(2S)-2-[[(2R)-2-amino-6-[(5-amino-1H-1,2,4-triazol-3-yl)amino]hexanoyl]amino]-4-methylpentanoyl]carbamoyl]-1-(4-chlorophenyl)-8-naphthalen-2-yl-3,6- Chemical compound C([C@@H](N)C(=O)N[C@@H](CC(C)C)C(=O)N(C(=O)[C@@H](N)CCCCNC=1N=C(N)NN=1)C(=O)[C@@](CC(=O)[C@@H](CC=1C=C2C=CC=CC2=CC=1)NC(C)=O)(N(C(=O)[C@H](CO)NC(=O)[C@H](N)CC=1C=NC=CC=1)C(=O)[C@H]1N(CCC1)C(=O)[C@@H](N)CCCCNC(C)C)C(=O)[C@H](N)CC=1C=CC(Cl)=CC=1)CCCNC1=NNC(N)=N1 XHCGTVHIQUXPRM-SSIREWOPSA-N 0.000 claims description 8
- 210000004347 Intestinal Mucosa Anatomy 0.000 claims description 8
- 210000000936 Intestines Anatomy 0.000 claims description 8
- 102100009534 TNF Human genes 0.000 claims description 8
- 229940088594 Vitamin Drugs 0.000 claims description 8
- 150000001408 amides Chemical class 0.000 claims description 8
- KBZOIRJILGZLEJ-LGYYRGKSSA-N argipressin Chemical compound C([C@H]1C(=O)N[C@@H](CCC(N)=O)C(=O)N[C@@H](CC(N)=O)C(=O)N[C@@H](CSSC[C@@H](C(N[C@@H](CC=2C=CC(O)=CC=2)C(=O)N1)=O)N)C(=O)N1[C@@H](CCC1)C(=O)N[C@@H](CCCN=C(N)N)C(=O)NCC(N)=O)C1=CC=CC=C1 KBZOIRJILGZLEJ-LGYYRGKSSA-N 0.000 claims description 8
- 235000010980 cellulose Nutrition 0.000 claims description 8
- 229920002678 cellulose Polymers 0.000 claims description 8
- NOESYZHRGYRDHS-UHFFFAOYSA-N insulin Chemical compound N1C(=O)C(NC(=O)C(CCC(N)=O)NC(=O)C(CCC(O)=O)NC(=O)C(C(C)C)NC(=O)C(NC(=O)CN)C(C)CC)CSSCC(C(NC(CO)C(=O)NC(CC(C)C)C(=O)NC(CC=2C=CC(O)=CC=2)C(=O)NC(CCC(N)=O)C(=O)NC(CC(C)C)C(=O)NC(CCC(O)=O)C(=O)NC(CC(N)=O)C(=O)NC(CC=2C=CC(O)=CC=2)C(=O)NC(CSSCC(NC(=O)C(C(C)C)NC(=O)C(CC(C)C)NC(=O)C(CC=2C=CC(O)=CC=2)NC(=O)C(CC(C)C)NC(=O)C(C)NC(=O)C(CCC(O)=O)NC(=O)C(C(C)C)NC(=O)C(CC(C)C)NC(=O)C(CC=2NC=NC=2)NC(=O)C(CO)NC(=O)CNC2=O)C(=O)NCC(=O)NC(CCC(O)=O)C(=O)NC(CCCNC(N)=N)C(=O)NCC(=O)NC(CC=3C=CC=CC=3)C(=O)NC(CC=3C=CC=CC=3)C(=O)NC(CC=3C=CC(O)=CC=3)C(=O)NC(C(C)O)C(=O)N3C(CCC3)C(=O)NC(CCCCN)C(=O)NC(C)C(O)=O)C(=O)NC(CC(N)=O)C(O)=O)=O)NC(=O)C(C(C)CC)NC(=O)C(CO)NC(=O)C(C(C)O)NC(=O)C1CSSCC2NC(=O)C(CC(C)C)NC(=O)C(NC(=O)C(CCC(N)=O)NC(=O)C(CC(N)=O)NC(=O)C(NC(=O)C(N)CC=1C=CC=CC=1)C(C)C)CC1=CN=CN1 NOESYZHRGYRDHS-UHFFFAOYSA-N 0.000 claims description 8
- 229960003726 vasopressin Drugs 0.000 claims description 8
- 150000003722 vitamin derivatives Chemical class 0.000 claims description 8
- 102000018997 Growth Hormone Human genes 0.000 claims description 7
- 108010051696 Growth Hormone Proteins 0.000 claims description 7
- 108010000817 Leuprolide Proteins 0.000 claims description 7
- 229960004338 Leuprorelin Drugs 0.000 claims description 7
- 239000001913 cellulose Substances 0.000 claims description 7
- 239000000839 emulsion Substances 0.000 claims description 7
- 239000004615 ingredient Substances 0.000 claims description 7
- GFIJNRVAKGFPGQ-LIJARHBVSA-N leuprolide Chemical compound CCNC(=O)[C@@H]1CCCN1C(=O)[C@H](CCCNC(N)=N)NC(=O)[C@H](CC(C)C)NC(=O)[C@@H](CC(C)C)NC(=O)[C@@H](NC(=O)[C@H](CO)NC(=O)[C@H](CC=1C2=CC=CC=C2NC=1)NC(=O)[C@H](CC=1N=CNC=1)NC(=O)[C@H]1NC(=O)CC1)CC1=CC=C(O)C=C1 GFIJNRVAKGFPGQ-LIJARHBVSA-N 0.000 claims description 7
- 239000008185 minitablet Substances 0.000 claims description 7
- 238000005192 partition Methods 0.000 claims description 7
- 230000035515 penetration Effects 0.000 claims description 7
- 108010084340 Gonadotropin-Releasing Hormone Proteins 0.000 claims description 6
- OWMZNFCDEHGFEP-NFBCVYDUSA-N L-Histidyl-L-seryl-L-a-aspartylglycyl-L-threonyl-L-phenylalanyl-L-threonyl-L-seryl-L-a-glutamyl-L-leucyl-L-seryl-L-arginyl-L-leucyl-L-arginyl-L-a-glutamylglycyl -L-alanyl-L-arginyl-L-leucyl-L-glutaminyl-L-arginyl-L-leucyl-L-leucyl-L-glutaminylglycyl-L-leu Chemical compound C([C@@H](C(=O)N[C@H](C(=O)N[C@@H](CO)C(=O)N[C@@H](CCC(O)=O)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CO)C(=O)N[C@@H](CCCNC(N)=N)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CCCNC(N)=N)C(=O)N[C@@H](CCC(O)=O)C(=O)NCC(=O)N[C@@H](C)C(=O)N[C@@H](CCCNC(N)=N)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CCC(N)=O)C(=O)N[C@@H](CCCNC(N)=N)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CCC(N)=O)C(=O)NCC(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](C(C)C)C(N)=O)[C@@H](C)O)NC(=O)[C@@H](NC(=O)CNC(=O)[C@H](CC(O)=O)NC(=O)[C@H](CO)NC(=O)[C@@H](N)CC=1NC=NC=1)[C@@H](C)O)C1=CC=CC=C1 OWMZNFCDEHGFEP-NFBCVYDUSA-N 0.000 claims description 6
- ARIWANIATODDMH-UHFFFAOYSA-N Monolaurin Chemical compound CCCCCCCCCCCC(=O)OCC(O)CO ARIWANIATODDMH-UHFFFAOYSA-N 0.000 claims description 6
- 102100001186 SCT Human genes 0.000 claims description 6
- 108010086019 Secretin Proteins 0.000 claims description 6
- 229960002101 Secretin Drugs 0.000 claims description 6
- 238000005469 granulation Methods 0.000 claims description 6
- 230000003179 granulation Effects 0.000 claims description 6
- 238000002156 mixing Methods 0.000 claims description 6
- 230000036961 partial Effects 0.000 claims description 6
- 229950002350 secretin human Drugs 0.000 claims description 6
- PMATZTZNYRCHOR-CGLBZJNRSA-N (3S,6S,9S,12R,15S,18S,21S,24S,30S,33S)-30-ethyl-33-[(E,1R,2R)-1-hydroxy-2-methylhex-4-enyl]-1,4,7,10,12,15,19,25,28-nonamethyl-6,9,18,24-tetrakis(2-methylpropyl)-3,21-di(propan-2-yl)-1,4,7,10,13,16,19,22,25,28,31-undecazacyclotritriacontane-2,5,8,11,14,17 Chemical compound CC[C@@H]1NC(=O)[C@H]([C@H](O)[C@H](C)C\C=C\C)N(C)C(=O)[C@H](C(C)C)N(C)C(=O)[C@H](CC(C)C)N(C)C(=O)[C@H](CC(C)C)N(C)C(=O)[C@@H](C)NC(=O)[C@H](C)NC(=O)[C@H](CC(C)C)N(C)C(=O)[C@H](C(C)C)NC(=O)[C@H](CC(C)C)N(C)C(=O)CN(C)C1=O PMATZTZNYRCHOR-CGLBZJNRSA-N 0.000 claims description 5
- 229920002134 Carboxymethyl cellulose Polymers 0.000 claims description 5
- 108010036949 Cyclosporine Proteins 0.000 claims description 5
- 229940029983 VITAMINS Drugs 0.000 claims description 5
- 229940021016 Vitamin IV solution additives Drugs 0.000 claims description 5
- 239000007853 buffer solution Substances 0.000 claims description 5
- 235000010948 carboxy methyl cellulose Nutrition 0.000 claims description 5
- 229960001265 ciclosporin Drugs 0.000 claims description 5
- 239000003925 fat Substances 0.000 claims description 5
- 125000005456 glyceride group Chemical group 0.000 claims description 5
- 238000001556 precipitation Methods 0.000 claims description 5
- 239000003381 stabilizer Substances 0.000 claims description 5
- NOENHWMKHNSHGX-IZOOSHNJSA-N (2S)-1-[(2S)-2-[[(2S)-2-[[(2R)-2-[[(2R)-2-[[(2S)-2-[[(2R)-2-[[(2S)-2-[[(2R)-2-acetamido-3-naphthalen-2-ylpropanoyl]amino]-3-(4-chlorophenyl)propanoyl]amino]-3-pyridin-3-ylpropanoyl]amino]-3-hydroxypropanoyl]amino]-3-(4-hydroxyphenyl)propanoyl]amino]-6-(ca Chemical compound C([C@H](C(=O)N[C@H](CCCCNC(N)=O)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CCCCNC(C)C)C(=O)N1[C@@H](CCC1)C(=O)N[C@H](C)C(N)=O)NC(=O)[C@H](CO)NC(=O)[C@@H](CC=1C=NC=CC=1)NC(=O)[C@H](CC=1C=CC(Cl)=CC=1)NC(=O)[C@@H](CC=1C=C2C=CC=CC2=CC=1)NC(C)=O)C1=CC=C(O)C=C1 NOENHWMKHNSHGX-IZOOSHNJSA-N 0.000 claims description 4
- GJNXBNATEDXMAK-PFLSVRRQSA-N (2S)-1-[(2S)-2-[[(2S)-2-[[(2R)-2-[[(2S)-2-[[(2S)-2-[[(2R)-2-[[(2R)-2-[[(2R)-2-acetamido-3-naphthalen-2-ylpropanoyl]amino]-3-(4-chlorophenyl)propanoyl]amino]-3-pyridin-3-ylpropanoyl]amino]-3-hydroxypropanoyl]amino]-3-(4-hydroxyphenyl)propanoyl]amino]-6-[bi Chemical compound C([C@@H](C(=O)N[C@H](CCCCN=C(NCC)NCC)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CCCCN=C(NCC)NCC)C(=O)N1[C@@H](CCC1)C(=O)N[C@H](C)C(N)=O)NC(=O)[C@H](CO)NC(=O)[C@@H](CC=1C=NC=CC=1)NC(=O)[C@@H](CC=1C=CC(Cl)=CC=1)NC(=O)[C@@H](CC=1C=C2C=CC=CC2=CC=1)NC(C)=O)C1=CC=C(O)C=C1 GJNXBNATEDXMAK-PFLSVRRQSA-N 0.000 claims description 4
- WDYSQADGBBEGRQ-APSDYLPASA-N (2S)-2-[[(2R)-2-[[(2S)-2-[[(2S)-2-[[(2R)-2-[[(2R)-2-[[(2R)-2-acetamido-3-naphthalen-2-ylpropanoyl]amino]-3-(4-chlorophenyl)propanoyl]amino]-3-(1H-indol-3-yl)propanoyl]amino]-3-hydroxypropanoyl]amino]-3-(4-hydroxyphenyl)propanoyl]amino]-3-[(2R,3R,4R,5R,6S) Chemical compound C([C@H](C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CCCN=C(N)N)C(=O)N1[C@@H](CCC1)C(=O)NNC(N)=O)NC(=O)[C@H](CC=1C=CC(O)=CC=1)NC(=O)[C@H](CO)NC(=O)[C@@H](CC=1C2=CC=CC=C2NC=1)NC(=O)[C@@H](CC=1C=CC(Cl)=CC=1)NC(=O)[C@@H](CC=1C=C2C=CC=CC2=CC=1)NC(C)=O)O[C@@H]1O[C@@H](C)[C@H](O)[C@@H](O)[C@H]1O WDYSQADGBBEGRQ-APSDYLPASA-N 0.000 claims description 4
- CUWODFFVMXJOKD-UVLQAERKSA-N (2S)-N-[(2S)-1-[[(2S)-1-[[(2S)-1-[[(2S)-1-[[(2R)-1-[[(2S)-1-[[(2S)-5-(diaminomethylideneamino)-1-[(2S)-2-(ethylcarbamoyl)pyrrolidin-1-yl]-1-oxopentan-2-yl]amino]-4-methyl-1-oxopentan-2-yl]amino]-3-[(2-methylpropan-2-yl)oxy]-1-oxopropan-2-yl]amino]-3-(4-hy Chemical compound CCNC(=O)[C@@H]1CCCN1C(=O)[C@H](CCCN=C(N)N)NC(=O)[C@H](CC(C)C)NC(=O)[C@@H](COC(C)(C)C)NC(=O)[C@@H](NC(=O)[C@H](CO)NC(=O)[C@H](CC=1C2=CC=CC=C2NC=1)NC(=O)[C@H](CC=1NC=NC=1)NC(=O)[C@H]1NC(=O)CC1)CC1=CC=C(O)C=C1 CUWODFFVMXJOKD-UVLQAERKSA-N 0.000 claims description 4
- DEQANNDTNATYII-OULOTJBUSA-N (4R,7S,10S,13R,16S,19R)-10-(4-aminobutyl)-19-[[(2R)-2-amino-3-phenylpropanoyl]amino]-16-benzyl-N-[(2R,3R)-1,3-dihydroxybutan-2-yl]-7-[(1R)-1-hydroxyethyl]-13-(1H-indol-3-ylmethyl)-6,9,12,15,18-pentaoxo-1,2-dithia-5,8,11,14,17-pentazacycloicosane-4-carboxa Chemical compound C([C@@H](N)C(=O)N[C@H]1CSSC[C@H](NC(=O)[C@H]([C@@H](C)O)NC(=O)[C@H](CCCCN)NC(=O)[C@@H](CC=2C3=CC=CC=C3NC=2)NC(=O)[C@H](CC=2C=CC=CC=2)NC1=O)C(=O)N[C@H](CO)[C@H](O)C)C1=CC=CC=C1 DEQANNDTNATYII-OULOTJBUSA-N 0.000 claims description 4
- 102000005862 Angiotensin II Human genes 0.000 claims description 4
- 229950006323 Angiotensin ii Drugs 0.000 claims description 4
- 101800000733 Angiotensin-2 Proteins 0.000 claims description 4
- 229960003348 Anidulafungin Drugs 0.000 claims description 4
- 108010064760 Anidulafungin Proteins 0.000 claims description 4
- 101800001144 Arg-vasopressin Proteins 0.000 claims description 4
- 229960000495 Argipressin Drugs 0.000 claims description 4
- 108060001001 BRK1 Proteins 0.000 claims description 4
- QXZGBUJJYSLZLT-FDISYFBBSA-N Bradykinin Chemical compound NC(=N)NCCC[C@H](N)C(=O)N1CCC[C@H]1C(=O)N1[C@H](C(=O)NCC(=O)N[C@@H](CC=2C=CC=CC=2)C(=O)N[C@@H](CO)C(=O)N2[C@@H](CCC2)C(=O)N[C@@H](CC=2C=CC=CC=2)C(=O)N[C@@H](CCCNC(N)=N)C(O)=O)CCC1 QXZGBUJJYSLZLT-FDISYFBBSA-N 0.000 claims description 4
- 108010037003 Buserelin Proteins 0.000 claims description 4
- 229920000623 Cellulose acetate phthalate Polymers 0.000 claims description 4
- WZNRVWBKYDHTKI-UHFFFAOYSA-N Cellulose, acetate 1,2,4-benzenetricarboxylate Chemical compound OC1C(O)C(O)C(CO)OC1OC1C(CO)OC(O)C(O)C1O.OC1C(O)C(O)C(CO)OC1OC1C(CO)OC(O)C(O)C1O.CC(=O)OCC1OC(OC(C)=O)C(OC(C)=O)C(OC(C)=O)C1OC1C(OC(C)=O)C(OC(C)=O)C(OC(C)=O)C(COC(C)=O)O1.CC(=O)OCC1OC(OC(C)=O)C(OC(C)=O)C(OC(C)=O)C1OC1C(OC(C)=O)C(OC(C)=O)C(OC(C)=O)C(COC(C)=O)O1.OC(=O)C1=CC(C(=O)O)=CC=C1C(=O)OCC1C(OC2C(C(OC(=O)C=3C(=CC(=CC=3)C(O)=O)C(O)=O)C(OC(=O)C=3C(=CC(=CC=3)C(O)=O)C(O)=O)C(COC(=O)C=3C(=CC(=CC=3)C(O)=O)C(O)=O)O2)OC(=O)C=2C(=CC(=CC=2)C(O)=O)C(O)=O)C(OC(=O)C=2C(=CC(=CC=2)C(O)=O)C(O)=O)C(OC(=O)C=2C(=CC(=CC=2)C(O)=O)C(O)=O)C(OC(=O)C=2C(=CC(=CC=2)C(O)=O)C(O)=O)O1 WZNRVWBKYDHTKI-UHFFFAOYSA-N 0.000 claims description 4
- OFQNFLLLCMQNEP-MIPXGPCFSA-N Deterelix Chemical compound C([C@@H](C(=O)N[C@H](CCCCN=C(NCC)NCC)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CCCNC(N)=N)C(=O)N1[C@@H](CCC1)C(=O)N[C@H](C)C(N)=O)NC(=O)[C@H](CO)NC(=O)[C@@H](CC=1C2=CC=CC=C2NC=1)NC(=O)[C@@H](CC=1C=CC(Cl)=CC=1)NC(=O)[C@@H](CC=1C=C2C=CC=CC2=CC=1)NC(C)=O)C1=CC=C(O)C=C1 OFQNFLLLCMQNEP-MIPXGPCFSA-N 0.000 claims description 4
- 229950003747 Detirelix Drugs 0.000 claims description 4
- 229940028334 Follicle Stimulating Hormone Drugs 0.000 claims description 4
- 102000012673 Follicle Stimulating Hormone Human genes 0.000 claims description 4
- 108010079345 Follicle Stimulating Hormone Proteins 0.000 claims description 4
- 102100003313 GHRL Human genes 0.000 claims description 4
- 101700010630 GHRL Proteins 0.000 claims description 4
- 102400000932 Gonadoliberin-1 Human genes 0.000 claims description 4
- 108010069236 Goserelin Proteins 0.000 claims description 4
- 229960002913 Goserelin Drugs 0.000 claims description 4
- BLCLNMBMMGCOAS-URPVMXJPSA-N Goserelin Chemical compound C([C@@H](C(=O)N[C@H](COC(C)(C)C)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CCCN=C(N)N)C(=O)N1[C@@H](CCC1)C(=O)NNC(N)=O)NC(=O)[C@H](CO)NC(=O)[C@H](CC=1C2=CC=CC=C2NC=1)NC(=O)[C@H](CC=1NC=NC=1)NC(=O)[C@H]1NC(=O)CC1)C1=CC=C(O)C=C1 BLCLNMBMMGCOAS-URPVMXJPSA-N 0.000 claims description 4
- CZGUSIXMZVURDU-JZXHSEFVSA-N Ile(5)-angiotensin II dizwitterion Chemical compound C([C@@H](C(=O)N[C@@H]([C@@H](C)CC)C(=O)N[C@@H](CC=1NC=NC=1)C(=O)N1[C@@H](CCC1)C(=O)N[C@@H](CC=1C=CC=CC=1)C([O-])=O)NC(=O)[C@@H](NC(=O)[C@H](CCCNC(N)=[NH2+])NC(=O)[C@@H]([NH3+])CC([O-])=O)C(C)C)C1=CC=C(O)C=C1 CZGUSIXMZVURDU-JZXHSEFVSA-N 0.000 claims description 4
- 102000004877 Insulin Human genes 0.000 claims description 4
- 108090001061 Insulin Proteins 0.000 claims description 4
- 108010050904 Interferons Proteins 0.000 claims description 4
- 102000014150 Interferons Human genes 0.000 claims description 4
- 229940047122 Interleukins Drugs 0.000 claims description 4
- 102000015696 Interleukins Human genes 0.000 claims description 4
- 108010063738 Interleukins Proteins 0.000 claims description 4
- 102100011311 KNG1 Human genes 0.000 claims description 4
- 229940008250 Leuprolide Drugs 0.000 claims description 4
- 229940040129 Luteinizing Hormone Drugs 0.000 claims description 4
- 102000009151 Luteinizing Hormone Human genes 0.000 claims description 4
- 108010073521 Luteinizing Hormone Proteins 0.000 claims description 4
- GHBFNMLVSPCDGN-UHFFFAOYSA-N Monoctanoin Chemical class CCCCCCCC(=O)OCC(O)CO GHBFNMLVSPCDGN-UHFFFAOYSA-N 0.000 claims description 4
- WHNWPMSKXPGLAX-UHFFFAOYSA-N N-Vinylpyrrolidone Chemical compound C=CN1CCCC1=O WHNWPMSKXPGLAX-UHFFFAOYSA-N 0.000 claims description 4
- 101710008205 OXT Proteins 0.000 claims description 4
- 102100017240 OXT Human genes 0.000 claims description 4
- 108010016076 Octreotide Proteins 0.000 claims description 4
- 229960002700 Octreotide Drugs 0.000 claims description 4
- 229960001723 Oxytocin Drugs 0.000 claims description 4
- XNOPRXBHLZRZKH-DSZYJQQASA-N Oxytocin Chemical compound C([C@H]1C(=O)N[C@H](C(N[C@@H](CCC(N)=O)C(=O)N[C@@H](CC(N)=O)C(=O)N[C@@H](CSSC[C@H](N)C(=O)N1)C(=O)N1[C@@H](CCC1)C(=O)N[C@@H](CC(C)C)C(=O)NCC(N)=O)=O)[C@@H](C)CC)C1=CC=C(O)C=C1 XNOPRXBHLZRZKH-DSZYJQQASA-N 0.000 claims description 4
- 229950000277 Ramorelix Drugs 0.000 claims description 4
- 108010010056 Terlipressin Proteins 0.000 claims description 4
- BENFXAYNYRLAIU-QSVFAHTRSA-N Terlipressin Chemical compound NCCCC[C@@H](C(=O)NCC(N)=O)NC(=O)[C@@H]1CCCN1C(=O)[C@H]1NC(=O)[C@H](CC(N)=O)NC(=O)[C@H](CCC(N)=O)NC(=O)[C@H](CC=2C=CC=CC=2)NC(=O)[C@H](CC=2C=CC(O)=CC=2)NC(=O)[C@@H](NC(=O)CNC(=O)CNC(=O)CN)CSSC1 BENFXAYNYRLAIU-QSVFAHTRSA-N 0.000 claims description 4
- 229950011372 Teverelix Drugs 0.000 claims description 4
- 102000011923 Thyrotropin Human genes 0.000 claims description 4
- 108010061174 Thyrotropin Proteins 0.000 claims description 4
- 229940035626 Thyrotropin Class in ATC Drugs 0.000 claims description 4
- 229960004824 Triptorelin Drugs 0.000 claims description 4
- 108010001801 Tumor Necrosis Factor-alpha Proteins 0.000 claims description 4
- 108010023617 abarelix Proteins 0.000 claims description 4
- AIWRTTMUVOZGPW-HSPKUQOVSA-N abarelix Chemical group C([C@@H](C(=O)N[C@H](CC(N)=O)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CCCCNC(C)C)C(=O)N1[C@@H](CCC1)C(=O)N[C@H](C)C(N)=O)N(C)C(=O)[C@H](CO)NC(=O)[C@@H](CC=1C=NC=CC=1)NC(=O)[C@@H](CC=1C=CC(Cl)=CC=1)NC(=O)[C@@H](CC=1C=C2C=CC=CC2=CC=1)NC(C)=O)C1=CC=C(O)C=C1 AIWRTTMUVOZGPW-HSPKUQOVSA-N 0.000 claims description 4
- 229960002184 abarelix Drugs 0.000 claims description 4
- 229940072056 alginate Drugs 0.000 claims description 4
- 235000010443 alginic acid Nutrition 0.000 claims description 4
- 229920000615 alginic acid Polymers 0.000 claims description 4
- JHVAMHSQVVQIOT-MFAJLEFUSA-N anidulafungin Chemical compound C1=CC(OCCCCC)=CC=C1C1=CC=C(C=2C=CC(=CC=2)C(=O)N[C@@H]2C(N[C@H](C(=O)N3C[C@H](O)C[C@H]3C(=O)N[C@H](C(=O)N[C@H](C(=O)N3C[C@H](C)[C@H](O)[C@H]3C(=O)N[C@H](O)[C@H](O)C2)[C@@H](C)O)[C@H](O)[C@@H](O)C=2C=CC(O)=CC=2)[C@@H](C)O)=O)C=C1 JHVAMHSQVVQIOT-MFAJLEFUSA-N 0.000 claims description 4
- 108010070670 antarelix Proteins 0.000 claims description 4
- 239000002790 bombesin antagonist Substances 0.000 claims description 4
- 229960002719 buserelin Drugs 0.000 claims description 4
- 239000001768 carboxy methyl cellulose Substances 0.000 claims description 4
- 239000008112 carboxymethyl-cellulose Substances 0.000 claims description 4
- 229960003230 cetrorelix Drugs 0.000 claims description 4
- SBNPWPIBESPSIF-MHWMIDJBSA-N cetrorelix Chemical compound C([C@@H](C(=O)N[C@H](CCCNC(N)=O)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CCCNC(N)=N)C(=O)N1[C@@H](CCC1)C(=O)N[C@H](C)C(N)=O)NC(=O)[C@H](CO)NC(=O)[C@@H](CC=1C=NC=CC=1)NC(=O)[C@@H](CC=1C=CC(Cl)=CC=1)NC(=O)[C@@H](CC=1C=C2C=CC=CC2=CC=1)NC(C)=O)C1=CC=C(O)C=C1 SBNPWPIBESPSIF-MHWMIDJBSA-N 0.000 claims description 4
- 150000002191 fatty alcohols Chemical class 0.000 claims description 4
- 238000011049 filling Methods 0.000 claims description 4
- 229960003794 ganirelix Drugs 0.000 claims description 4
- XLXSAKCOAKORKW-AQJXLSMYSA-N gonadorelin Chemical compound C([C@@H](C(=O)NCC(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CCCNC(N)=N)C(=O)N1[C@@H](CCC1)C(=O)NCC(N)=O)NC(=O)[C@H](CO)NC(=O)[C@H](CC=1C2=CC=CC=C2NC=1)NC(=O)[C@H](CC=1N=CNC=1)NC(=O)[C@H]1NC(=O)CC1)C1=CC=C(O)C=C1 XLXSAKCOAKORKW-AQJXLSMYSA-N 0.000 claims description 4
- 229960001442 gonadorelin Drugs 0.000 claims description 4
- 239000003324 growth hormone secretagogue Substances 0.000 claims description 4
- 229920003132 hydroxypropyl methylcellulose phthalate Polymers 0.000 claims description 4
- 239000000178 monomer Substances 0.000 claims description 4
- WWZKQHOCKIZLMA-UHFFFAOYSA-M octanoate Chemical compound CCCCCCCC([O-])=O WWZKQHOCKIZLMA-UHFFFAOYSA-M 0.000 claims description 4
- 101700057139 oxyT Proteins 0.000 claims description 4
- 229920001888 polyacrylic acid Polymers 0.000 claims description 4
- 108010092834 ramorelix Proteins 0.000 claims description 4
- 229960003813 terlipressin Drugs 0.000 claims description 4
- 229960000874 thyrotropin Drugs 0.000 claims description 4
- 230000001748 thyrotropin Effects 0.000 claims description 4
- 150000003626 triacylglycerols Chemical class 0.000 claims description 4
- VXKHXGOKWPXYNA-PGBVPBMZSA-N triptorelin Chemical compound C([C@@H](C(=O)N[C@H](CC=1C2=CC=CC=C2NC=1)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CCCNC(N)=N)C(=O)N1[C@@H](CCC1)C(=O)NCC(N)=O)NC(=O)[C@H](CO)NC(=O)[C@H](CC=1C2=CC=CC=C2NC=1)NC(=O)[C@H](CC=1N=CNC=1)NC(=O)[C@H]1NC(=O)CC1)C1=CC=C(O)C=C1 VXKHXGOKWPXYNA-PGBVPBMZSA-N 0.000 claims description 4
- 108010049140 Endorphins Proteins 0.000 claims description 3
- 102000009025 Endorphins Human genes 0.000 claims description 3
- 108010092674 Enkephalins Proteins 0.000 claims description 3
- QRYFGTULTGLGHU-NBERXCRTSA-N Iturelix Chemical compound C([C@H](C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CCCCNC(C)C)C(=O)N1[C@@H](CCC1)C(=O)N[C@H](C)C(N)=O)NC(=O)[C@H](CCCCNC(=O)C=1C=NC=CC=1)NC(=O)[C@H](CO)NC(=O)[C@@H](CC=1C=NC=CC=1)NC(=O)[C@@H](CC=1C=CC(Cl)=CC=1)NC(=O)[C@@H](CC=1C=C2C=CC=CC2=CC=1)NC(C)=O)CCCNC(=O)C1=CC=CN=C1 QRYFGTULTGLGHU-NBERXCRTSA-N 0.000 claims description 3
- 125000003290 L-leucino group Chemical group [H]OC(=O)[C@@]([H])(N([H])[*])C([H])([H])C(C([H])([H])[H])([H])C([H])([H])[H] 0.000 claims description 3
- 229940067631 Phospholipids Drugs 0.000 claims description 3
- 108090000103 Relaxin Proteins 0.000 claims description 3
- 102000003743 Relaxin Human genes 0.000 claims description 3
- AEMRFAOFKBGASW-UHFFFAOYSA-M glycolate Chemical compound OCC([O-])=O AEMRFAOFKBGASW-UHFFFAOYSA-M 0.000 claims description 3
- 229940079322 interferon Drugs 0.000 claims description 3
- 239000004584 polyacrylic acid Substances 0.000 claims description 3
- 238000005507 spraying Methods 0.000 claims description 3
- 239000004094 surface-active agent Substances 0.000 claims description 3
- XTXRWKRVRITETP-UHFFFAOYSA-N vinyl acetate Chemical compound CC(=O)OC=C XTXRWKRVRITETP-UHFFFAOYSA-N 0.000 claims description 3
- RWHUEXWOYVBUCI-ITQXDASVSA-N (2S)-N-[(2S)-1-[[(2S)-1-[[(2S)-1-[[(2S)-1-[[(2R)-1-[[(2S)-1-[[(2S)-1-[(2S)-2-[(2-amino-2-oxoethyl)carbamoyl]pyrrolidin-1-yl]-5-(diaminomethylideneamino)-1-oxopentan-2-yl]amino]-4-methyl-1-oxopentan-2-yl]amino]-3-naphthalen-2-yl-1-oxopropan-2-yl]amino]-3-( Chemical compound C([C@@H](C(=O)N[C@H](CC=1C=C2C=CC=CC2=CC=1)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CCCN=C(N)N)C(=O)N1[C@@H](CCC1)C(=O)NCC(N)=O)NC(=O)[C@H](CO)NC(=O)[C@H](CC=1C2=CC=CC=C2NC=1)NC(=O)[C@H](CC=1NC=NC=1)NC(=O)[C@H]1NC(=O)CC1)C1=CC=C(O)C=C1 RWHUEXWOYVBUCI-ITQXDASVSA-N 0.000 claims description 2
- 239000000275 Adrenocorticotropic Hormone Substances 0.000 claims description 2
- 229940064005 Antibiotic throat preparations Drugs 0.000 claims description 2
- 229940083879 Antibiotics FOR TREATMENT OF HEMORRHOIDS AND ANAL FISSURES FOR TOPICAL USE Drugs 0.000 claims description 2
- 229940042052 Antibiotics for systemic use Drugs 0.000 claims description 2
- 229940042786 Antitubercular Antibiotics Drugs 0.000 claims description 2
- 241000972773 Aulopiformes Species 0.000 claims description 2
- 108060001064 Calcitonin Proteins 0.000 claims description 2
- 229960004015 Calcitonin Drugs 0.000 claims description 2
- 102400000113 Calcitonin Human genes 0.000 claims description 2
- 229920002301 Cellulose acetate Polymers 0.000 claims description 2
- 210000001136 Chorion Anatomy 0.000 claims description 2
- 101800000414 Corticotropin Proteins 0.000 claims description 2
- 102100010813 EGF Human genes 0.000 claims description 2
- 101700033006 EGF Proteins 0.000 claims description 2
- 229940116977 Epidermal Growth Factor Drugs 0.000 claims description 2
- 102100000899 GNRH1 Human genes 0.000 claims description 2
- 108060003199 Glucagon Proteins 0.000 claims description 2
- 229960004666 Glucagon Drugs 0.000 claims description 2
- MASNOZXLGMXCHN-ZLPAWPGGSA-N Glucagonum Chemical compound C([C@@H](C(=O)N[C@H](C(=O)N[C@@H](CCC(N)=O)C(=O)N[C@@H](CC=1C2=CC=CC=C2NC=1)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CCSC)C(=O)N[C@@H](CC(N)=O)C(=O)N[C@@H]([C@@H](C)O)C(O)=O)C(C)C)NC(=O)[C@H](CC(O)=O)NC(=O)[C@H](CCC(N)=O)NC(=O)[C@H](C)NC(=O)[C@H](CCCNC(N)=N)NC(=O)[C@H](CCCNC(N)=N)NC(=O)[C@H](CO)NC(=O)[C@H](CC(O)=O)NC(=O)[C@H](CC(C)C)NC(=O)[C@H](CC=1C=CC(O)=CC=1)NC(=O)[C@H](CCCCN)NC(=O)[C@H](CO)NC(=O)[C@H](CC=1C=CC(O)=CC=1)NC(=O)[C@H](CC(O)=O)NC(=O)[C@H](CO)NC(=O)[C@@H](NC(=O)[C@H](CC=1C=CC=CC=1)NC(=O)[C@@H](NC(=O)CNC(=O)[C@H](CCC(N)=O)NC(=O)[C@H](CO)NC(=O)[C@@H](N)CC=1NC=NC=1)[C@@H](C)O)[C@@H](C)O)C1=CC=CC=C1 MASNOZXLGMXCHN-ZLPAWPGGSA-N 0.000 claims description 2
- 108010086677 Gonadotropins Proteins 0.000 claims description 2
- 102000006771 Gonadotropins Human genes 0.000 claims description 2
- 229940093922 Gynecological Antibiotics Drugs 0.000 claims description 2
- 229940088597 Hormone Drugs 0.000 claims description 2
- 108010021062 Micafungin Proteins 0.000 claims description 2
- 229960002159 Micafungin Drugs 0.000 claims description 2
- XLXSAKCOAKORKW-KPKRHBJMSA-N N-[(2S)-1-[[(2S)-1-[[(2S)-1-[[(2S)-1-[[2-[[(2S)-1-[[(2S)-1-[(2S)-2-[(2-amino-2-oxoethyl)carbamoyl]pyrrolidin-1-yl]-5-(diaminomethylideneamino)-1-oxopentan-2-yl]amino]-4-methyl-1-oxopentan-2-yl]amino]-2-oxoethyl]amino]-3-(4-hydroxyphenyl)-1-oxopropan-2-yl] Chemical compound C([C@@H](C(=O)NCC(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CCCN=C(N)N)C(=O)N1[C@@H](CCC1)C(=O)NCC(N)=O)NC(=O)[C@H](CO)NC(=O)[C@H](CC=1C2=CC=CC=C2NC=1)NC(=O)[C@H](CC=1NC=NC=1)NC(=O)C1NC(=O)CC1)C1=CC=C(O)C=C1 XLXSAKCOAKORKW-KPKRHBJMSA-N 0.000 claims description 2
- 108010021717 Nafarelin Proteins 0.000 claims description 2
- 229960002333 Nafarelin Drugs 0.000 claims description 2
- 229940100467 POLYVINYL ACETATE PHTHALATE Drugs 0.000 claims description 2
- 101700026646 PVAP Proteins 0.000 claims description 2
- 206010033971 Paratyphoid fever Diseases 0.000 claims description 2
- 229940024982 Topical Antifungal Antibiotics Drugs 0.000 claims description 2
- 150000001242 acetic acid derivatives Chemical class 0.000 claims description 2
- IYKJEILNJZQJPU-UHFFFAOYSA-N acetic acid;butanedioic acid Chemical compound CC(O)=O.OC(=O)CCC(O)=O IYKJEILNJZQJPU-UHFFFAOYSA-N 0.000 claims description 2
- ZUAAPNNKRHMPKG-UHFFFAOYSA-N acetic acid;butanedioic acid;methanol;propane-1,2-diol Chemical compound OC.CC(O)=O.CC(O)CO.OC(=O)CCC(O)=O ZUAAPNNKRHMPKG-UHFFFAOYSA-N 0.000 claims description 2
- 230000003042 antagnostic Effects 0.000 claims description 2
- 239000005557 antagonist Substances 0.000 claims description 2
- 239000003242 anti bacterial agent Substances 0.000 claims description 2
- 230000003115 biocidal Effects 0.000 claims description 2
- BBBFJLBPOGFECG-VJVYQDLKSA-N calcitonin Chemical group N([C@H](C(=O)N[C@@H](CC(C)C)C(=O)NCC(=O)N[C@@H](CCCCN)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CO)C(=O)N[C@@H](CCC(N)=O)C(=O)N[C@@H](CCC(O)=O)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CC=1NC=NC=1)C(=O)N[C@@H](CCCCN)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CCC(N)=O)C(=O)N[C@@H]([C@@H](C)O)C(=O)N[C@@H](CC=1C=CC(O)=CC=1)C(=O)N1[C@@H](CCC1)C(=O)N[C@@H](CCCNC(N)=N)C(=O)N[C@@H]([C@@H](C)O)C(=O)N[C@@H](CC(N)=O)C(=O)N[C@@H]([C@@H](C)O)C(=O)NCC(=O)N[C@@H](CO)C(=O)NCC(=O)N[C@@H]([C@@H](C)O)C(=O)N1[C@@H](CCC1)C(N)=O)C(C)C)C(=O)[C@@H]1CSSC[C@H](N)C(=O)N[C@@H](CO)C(=O)N[C@@H](CC(N)=O)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CO)C(=O)N[C@@H]([C@@H](C)O)C(=O)N1 BBBFJLBPOGFECG-VJVYQDLKSA-N 0.000 claims description 2
- 229940081734 cellulose acetate phthalate Drugs 0.000 claims description 2
- 239000011247 coating layer Substances 0.000 claims description 2
- 239000002131 composite material Substances 0.000 claims description 2
- 229960000258 corticotropin Drugs 0.000 claims description 2
- IDLFZVILOHSSID-OVLDLUHVSA-N corticotropin Chemical compound C([C@@H](C(=O)N[C@@H](CO)C(=O)N[C@@H](CCSC)C(=O)N[C@@H](CCC(O)=O)C(=O)N[C@@H](CC=1NC=NC=1)C(=O)N[C@@H](CC=1C=CC=CC=1)C(=O)N[C@@H](CCCNC(N)=N)C(=O)N[C@@H](CC=1C2=CC=CC=C2NC=1)C(=O)NCC(=O)N[C@@H](CCCCN)C(=O)N1[C@@H](CCC1)C(=O)N[C@@H](C(C)C)C(=O)NCC(=O)N[C@@H](CCCCN)C(=O)N[C@@H](CCCCN)C(=O)N[C@@H](CCCNC(N)=N)C(=O)N[C@@H](CCCNC(N)=N)C(=O)N1[C@@H](CCC1)C(=O)N[C@@H](C(C)C)C(=O)N[C@@H](CCCCN)C(=O)N[C@@H](C(C)C)C(=O)N[C@@H](CC=1C=CC(O)=CC=1)C(=O)N1[C@@H](CCC1)C(=O)N[C@@H](CC(N)=O)C(=O)NCC(=O)N[C@@H](C)C(=O)N[C@@H](CCC(O)=O)C(=O)N[C@@H](CC(O)=O)C(=O)N[C@@H](CCC(O)=O)C(=O)N[C@@H](CO)C(=O)N[C@@H](C)C(=O)N[C@@H](CCC(O)=O)C(=O)N[C@@H](C)C(=O)N[C@@H](CC=1C=CC=CC=1)C(=O)N1[C@@H](CCC1)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CCC(O)=O)C(=O)N[C@@H](CC=1C=CC=CC=1)C(O)=O)NC(=O)[C@@H](N)CO)C1=CC=C(O)C=C1 IDLFZVILOHSSID-OVLDLUHVSA-N 0.000 claims description 2
- LUJQXGBDWAGQHS-UHFFFAOYSA-N ethenyl acetate;phthalic acid Chemical compound CC(=O)OC=C.OC(=O)C1=CC=CC=C1C(O)=O LUJQXGBDWAGQHS-UHFFFAOYSA-N 0.000 claims description 2
- 238000001125 extrusion Methods 0.000 claims description 2
- 239000002622 gonadotropin Substances 0.000 claims description 2
- 239000003102 growth factor Substances 0.000 claims description 2
- 239000005556 hormone Substances 0.000 claims description 2
- 229940031704 hydroxypropyl methylcellulose phthalate Drugs 0.000 claims description 2
- 229920000639 hydroxypropylmethylcellulose acetate succinate Polymers 0.000 claims description 2
- 239000002955 immunomodulating agent Substances 0.000 claims description 2
- 230000002584 immunomodulator Effects 0.000 claims description 2
- 229940121354 immunomodulators Drugs 0.000 claims description 2
- 229940079866 intestinal antibiotics Drugs 0.000 claims description 2
- 239000004922 lacquer Substances 0.000 claims description 2
- 235000010445 lecithin Nutrition 0.000 claims description 2
- 239000000787 lecithin Substances 0.000 claims description 2
- PIEUQSKUWLMALL-YABMTYFHSA-N micafungin Chemical compound C1=CC(OCCCCC)=CC=C1C1=CC(C=2C=CC(=CC=2)C(=O)N[C@@H]2C(N[C@H](C(=O)N3C[C@H](O)C[C@H]3C(=O)N[C@H](C(=O)N[C@H](C(=O)N3C[C@H](C)[C@H](O)[C@H]3C(=O)N[C@H](O)[C@H](O)C2)[C@H](O)CC(N)=O)[C@H](O)[C@@H](O)C=2C=C(OS(O)(=O)=O)C(O)=CC=2)[C@@H](C)O)=O)=NO1 PIEUQSKUWLMALL-YABMTYFHSA-N 0.000 claims description 2
- 229940005935 ophthalmologic Antibiotics Drugs 0.000 claims description 2
- 229920001277 pectin Polymers 0.000 claims description 2
- 235000010987 pectin Nutrition 0.000 claims description 2
- 239000001814 pectin Substances 0.000 claims description 2
- 229920000191 poly(N-vinyl pyrrolidone) Polymers 0.000 claims description 2
- 229920002689 polyvinyl acetate Polymers 0.000 claims description 2
- 229920002744 polyvinyl acetate phthalate Polymers 0.000 claims description 2
- 235000019515 salmon Nutrition 0.000 claims description 2
- 239000002562 thickening agent Substances 0.000 claims description 2
- 235000013311 vegetables Nutrition 0.000 claims description 2
- 102000003951 Erythropoietin Human genes 0.000 claims 2
- 108090000394 Erythropoietin Proteins 0.000 claims 2
- 229940105423 erythropoietin Drugs 0.000 claims 2
- 108010091893 Cosyntropin Proteins 0.000 claims 1
- 229960000533 Dornase alfa Drugs 0.000 claims 1
- 101700051132 HP55 Proteins 0.000 claims 1
- 101710015954 HVA1 Proteins 0.000 claims 1
- 102000002265 Human Growth Hormone Human genes 0.000 claims 1
- 108010000521 Human Growth Hormone Proteins 0.000 claims 1
- 239000000854 Human Growth Hormone Substances 0.000 claims 1
- 229960003444 IMMUNOSUPPRESSANTS Drugs 0.000 claims 1
- 101700065814 LEA2 Proteins 0.000 claims 1
- 101700021338 LEC Proteins 0.000 claims 1
- 101700077545 LECC Proteins 0.000 claims 1
- 101700028499 LECG Proteins 0.000 claims 1
- 101700063913 LECT Proteins 0.000 claims 1
- 101710034340 Os04g0173800 Proteins 0.000 claims 1
- 102100017630 POLG2 Human genes 0.000 claims 1
- 101710040002 POLG2 Proteins 0.000 claims 1
- 239000003463 adsorbent Substances 0.000 claims 1
- ZOEFCCMDUURGSE-SQKVDDBVSA-N cosyntropin Chemical compound C([C@@H](C(=O)N[C@@H](CO)C(=O)N[C@@H](CCSC)C(=O)N[C@@H](CCC(O)=O)C(=O)N[C@@H](CC=1NC=NC=1)C(=O)N[C@@H](CC=1C=CC=CC=1)C(=O)N[C@@H](CCCNC(N)=N)C(=O)N[C@@H](CC=1C2=CC=CC=C2NC=1)C(=O)NCC(=O)N[C@@H](CCCCN)C(=O)N1[C@@H](CCC1)C(=O)N[C@@H](C(C)C)C(=O)NCC(=O)N[C@@H](CCCCN)C(=O)N[C@@H](CCCCN)C(=O)N[C@@H](CCCNC(N)=N)C(=O)N[C@@H](CCCNC(N)=N)C(=O)N1[C@@H](CCC1)C(=O)N[C@@H](C(C)C)C(=O)N[C@@H](CCCCN)C(=O)N[C@@H](C(C)C)C(=O)N[C@@H](CC=1C=CC(O)=CC=1)C(=O)N1[C@@H](CCC1)C(O)=O)NC(=O)[C@@H](N)CO)C1=CC=C(O)C=C1 ZOEFCCMDUURGSE-SQKVDDBVSA-N 0.000 claims 1
- 238000004132 cross linking Methods 0.000 claims 1
- 108010067396 dornase alfa Proteins 0.000 claims 1
- 230000001861 immunosuppresant Effects 0.000 claims 1
- 239000003018 immunosuppressive agent Substances 0.000 claims 1
- 101700036391 lecA Proteins 0.000 claims 1
- 239000002523 lectin Substances 0.000 claims 1
- 101700001016 mbhA Proteins 0.000 claims 1
- 239000003488 releasing hormone Substances 0.000 claims 1
- 229960001423 tetracosactide Drugs 0.000 claims 1
- 239000008188 pellet Substances 0.000 abstract description 4
- 239000004902 Softening Agent Substances 0.000 abstract 1
- 239000002671 adjuvant Substances 0.000 abstract 1
- 230000000240 adjuvant Effects 0.000 abstract 1
- 235000018102 proteins Nutrition 0.000 description 30
- 238000003756 stirring Methods 0.000 description 25
- 239000011734 sodium Substances 0.000 description 24
- KRKNYBCHXYNGOX-UHFFFAOYSA-N citric acid Chemical compound OC(=O)CC(O)(C(O)=O)CC(O)=O KRKNYBCHXYNGOX-UHFFFAOYSA-N 0.000 description 19
- 238000001035 drying Methods 0.000 description 12
- PEDCQBHIVMGVHV-UHFFFAOYSA-N glycerine Chemical compound OCC(O)CO PEDCQBHIVMGVHV-UHFFFAOYSA-N 0.000 description 12
- 235000010482 polyoxyethylene sorbitan monooleate Nutrition 0.000 description 12
- 229920000053 polysorbate 80 Polymers 0.000 description 12
- 230000000968 intestinal Effects 0.000 description 11
- 239000001069 triethyl citrate Substances 0.000 description 11
- 235000013769 triethyl citrate Nutrition 0.000 description 11
- 229940068968 Polysorbate 80 Drugs 0.000 description 10
- DOOTYTYQINUNNV-UHFFFAOYSA-N Triethyl citrate Chemical compound CCOC(=O)CC(O)(C(=O)OCC)CC(=O)OCC DOOTYTYQINUNNV-UHFFFAOYSA-N 0.000 description 10
- CERQOIWHTDAKMF-UHFFFAOYSA-M methacrylate Chemical compound CC(=C)C([O-])=O CERQOIWHTDAKMF-UHFFFAOYSA-M 0.000 description 10
- 239000000049 pigment Substances 0.000 description 10
- 239000000244 polyoxyethylene sorbitan monooleate Substances 0.000 description 10
- NIXOWILDQLNWCW-UHFFFAOYSA-M acrylate Chemical compound [O-]C(=O)C=C NIXOWILDQLNWCW-UHFFFAOYSA-M 0.000 description 9
- 230000001264 neutralization Effects 0.000 description 9
- 235000019198 oils Nutrition 0.000 description 9
- HEMHJVSKTPXQMS-UHFFFAOYSA-M sodium hydroxide Chemical compound [OH-].[Na+] HEMHJVSKTPXQMS-UHFFFAOYSA-M 0.000 description 9
- WWZKQHOCKIZLMA-UHFFFAOYSA-N Caprylic acid Chemical compound CCCCCCCC(O)=O WWZKQHOCKIZLMA-UHFFFAOYSA-N 0.000 description 8
- JIGUQPWFLRLWPJ-UHFFFAOYSA-N Ethyl acrylate Chemical compound CCOC(=O)C=C JIGUQPWFLRLWPJ-UHFFFAOYSA-N 0.000 description 8
- 229920003143 Eudragit® FS 30 D Polymers 0.000 description 8
- 229920003134 Eudragit® polymer Polymers 0.000 description 8
- 238000007792 addition Methods 0.000 description 8
- 239000007931 coated granule Substances 0.000 description 8
- 239000003814 drug Substances 0.000 description 8
- 229940079593 drugs Drugs 0.000 description 8
- 239000011521 glass Substances 0.000 description 8
- LYCAIKOWRPUZTN-UHFFFAOYSA-N glycol Chemical compound OCCO LYCAIKOWRPUZTN-UHFFFAOYSA-N 0.000 description 8
- 239000000454 talc Substances 0.000 description 8
- 235000012222 talc Nutrition 0.000 description 8
- 229910052623 talc Inorganic materials 0.000 description 8
- 239000011230 binding agent Substances 0.000 description 7
- 239000000314 lubricant Substances 0.000 description 7
- 238000005259 measurement Methods 0.000 description 7
- 239000008363 phosphate buffer Substances 0.000 description 7
- POULHZVOKOAJMA-UHFFFAOYSA-N Lauric acid Chemical compound CCCCCCCCCCCC(O)=O POULHZVOKOAJMA-UHFFFAOYSA-N 0.000 description 6
- IPCSVZSSVZVIGE-UHFFFAOYSA-N Palmitic acid Chemical compound CCCCCCCCCCCCCCCC(O)=O IPCSVZSSVZVIGE-UHFFFAOYSA-N 0.000 description 6
- NIXOWILDQLNWCW-UHFFFAOYSA-N acrylic acid Chemical compound OC(=O)C=C NIXOWILDQLNWCW-UHFFFAOYSA-N 0.000 description 6
- 239000000654 additive Substances 0.000 description 6
- 239000002585 base Substances 0.000 description 6
- 230000005591 charge neutralization Effects 0.000 description 6
- 239000003112 inhibitor Substances 0.000 description 6
- 230000002401 inhibitory effect Effects 0.000 description 6
- 230000003993 interaction Effects 0.000 description 6
- 238000006386 neutralization reaction Methods 0.000 description 6
- 239000012071 phase Substances 0.000 description 6
- 239000002904 solvent Substances 0.000 description 6
- 230000035695 Efflux Effects 0.000 description 5
- 235000010469 Glycine max Nutrition 0.000 description 5
- 210000004940 Nucleus Anatomy 0.000 description 5
- 239000000227 bioadhesive Substances 0.000 description 5
- 150000001732 carboxylic acid derivatives Chemical class 0.000 description 5
- 238000004090 dissolution Methods 0.000 description 5
- 238000010438 heat treatment Methods 0.000 description 5
- HQKMJHAJHXVSDF-UHFFFAOYSA-L magnesium stearate Chemical compound [Mg+2].CCCCCCCCCCCCCCCCCC([O-])=O.CCCCCCCCCCCCCCCCCC([O-])=O HQKMJHAJHXVSDF-UHFFFAOYSA-L 0.000 description 5
- 239000000463 material Substances 0.000 description 5
- 229920001223 polyethylene glycol Polymers 0.000 description 5
- 229920000136 polysorbate Polymers 0.000 description 5
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 description 5
- QIQXTHQIDYTFRH-UHFFFAOYSA-M stearate Chemical compound CCCCCCCCCCCCCCCCCC([O-])=O QIQXTHQIDYTFRH-UHFFFAOYSA-M 0.000 description 5
- 239000000725 suspension Substances 0.000 description 5
- 239000005635 Caprylic acid (CAS 124-07-2) Substances 0.000 description 4
- ZAKOWWREFLAJOT-CEFNRUSXSA-N D-α-tocopherylacetate Chemical compound CC(=O)OC1=C(C)C(C)=C2O[C@@](CCC[C@H](C)CCC[C@H](C)CCCC(C)C)(C)CCC2=C1C ZAKOWWREFLAJOT-CEFNRUSXSA-N 0.000 description 4
- 229920003136 Eudragit® L polymer Polymers 0.000 description 4
- 102000015728 Mucins Human genes 0.000 description 4
- 108010063954 Mucins Proteins 0.000 description 4
- ZQPPMHVWECSIRJ-KTKRTIGZSA-N Oleic acid Chemical compound CCCCCCCC\C=C/CCCCCCCC(O)=O ZQPPMHVWECSIRJ-KTKRTIGZSA-N 0.000 description 4
- 102000035443 Peptidases Human genes 0.000 description 4
- 108091005771 Peptidases Proteins 0.000 description 4
- QIQXTHQIDYTFRH-UHFFFAOYSA-N Stearic acid Chemical compound CCCCCCCCCCCCCCCCCC(O)=O QIQXTHQIDYTFRH-UHFFFAOYSA-N 0.000 description 4
- QTBSBXVTEAMEQO-UHFFFAOYSA-N acetic acid Chemical group CC(O)=O QTBSBXVTEAMEQO-UHFFFAOYSA-N 0.000 description 4
- 229960001452 alpha-Tocopherol Acetate Drugs 0.000 description 4
- 238000007906 compression Methods 0.000 description 4
- 238000007334 copolymerization reaction Methods 0.000 description 4
- 235000019197 fats Nutrition 0.000 description 4
- 230000036571 hydration Effects 0.000 description 4
- 238000006703 hydration reaction Methods 0.000 description 4
- 230000002779 inactivation Effects 0.000 description 4
- 229960002446 octanoic acid Drugs 0.000 description 4
- 239000008389 polyethoxylated castor oil Substances 0.000 description 4
- DNIAPMSPPWPWGF-UHFFFAOYSA-N propylene glycol Chemical compound CC(O)CO DNIAPMSPPWPWGF-UHFFFAOYSA-N 0.000 description 4
- 230000002633 protecting Effects 0.000 description 4
- 230000001225 therapeutic Effects 0.000 description 4
- 125000000391 vinyl group Chemical group [H]C([*])=C([H])[H] 0.000 description 4
- KRKNYBCHXYNGOX-UHFFFAOYSA-K 2qpq Chemical compound [O-]C(=O)CC(O)(CC([O-])=O)C([O-])=O KRKNYBCHXYNGOX-UHFFFAOYSA-K 0.000 description 3
- 230000036912 Bioavailability Effects 0.000 description 3
- BHQCQFFYRZLCQQ-OELDTZBJSA-N Cholic acid Chemical compound C([C@H]1C[C@H]2O)[C@H](O)CC[C@]1(C)[C@@H]1[C@@H]2[C@@H]2CC[C@H]([C@@H](CCC(O)=O)C)[C@@]2(C)[C@@H](O)C1 BHQCQFFYRZLCQQ-OELDTZBJSA-N 0.000 description 3
- 210000001072 Colon Anatomy 0.000 description 3
- 229960002845 Desmopressin Acetate Drugs 0.000 description 3
- 210000001198 Duodenum Anatomy 0.000 description 3
- 229920003138 Eudragit® L 30 D-55 Polymers 0.000 description 3
- 210000004051 Gastric Juice Anatomy 0.000 description 3
- 240000007842 Glycine max Species 0.000 description 3
- VEXZGXHMUGYJMC-UHFFFAOYSA-N HCl Chemical compound Cl VEXZGXHMUGYJMC-UHFFFAOYSA-N 0.000 description 3
- 210000001630 Jejunum Anatomy 0.000 description 3
- 239000005639 Lauric acid Substances 0.000 description 3
- 229920000168 Microcrystalline cellulose Polymers 0.000 description 3
- 229940098695 Palmitic Acid Drugs 0.000 description 3
- 235000021314 Palmitic acid Nutrition 0.000 description 3
- 229940068917 Polyethylene Glycols Drugs 0.000 description 3
- 229920001214 Polysorbate 60 Polymers 0.000 description 3
- 239000004365 Protease Substances 0.000 description 3
- JNYAEWCLZODPBN-CTQIIAAMSA-N Sorbitan Chemical class OCC(O)C1OCC(O)[C@@H]1O JNYAEWCLZODPBN-CTQIIAAMSA-N 0.000 description 3
- 229940042585 Tocopherol Acetate Drugs 0.000 description 3
- DUXYWXYOBMKGIN-UHFFFAOYSA-N Trimyristin Chemical compound CCCCCCCCCCCCCC(=O)OCC(OC(=O)CCCCCCCCCCCCC)COC(=O)CCCCCCCCCCCCC DUXYWXYOBMKGIN-UHFFFAOYSA-N 0.000 description 3
- 229930003427 Vitamin E Natural products 0.000 description 3
- 229940046009 Vitamin E Drugs 0.000 description 3
- NWGKJDSIEKMTRX-AAZCQSIUSA-N [(2R)-2-[(2R,3R,4S)-3,4-dihydroxyoxolan-2-yl]-2-hydroxyethyl] (Z)-octadec-9-enoate Chemical compound CCCCCCCC\C=C/CCCCCCCC(=O)OC[C@@H](O)[C@H]1OC[C@H](O)[C@H]1O NWGKJDSIEKMTRX-AAZCQSIUSA-N 0.000 description 3
- CSCPPACGZOOCGX-UHFFFAOYSA-N acetone Chemical compound CC(C)=O CSCPPACGZOOCGX-UHFFFAOYSA-N 0.000 description 3
- 239000000443 aerosol Substances 0.000 description 3
- FPIPGXGPPPQFEQ-OVSJKPMPSA-N all-trans-retinol Chemical compound OC\C=C(/C)\C=C\C=C(/C)\C=C\C1=C(C)CCCC1(C)C FPIPGXGPPPQFEQ-OVSJKPMPSA-N 0.000 description 3
- 239000008346 aqueous phase Substances 0.000 description 3
- 235000012733 azorubine Nutrition 0.000 description 3
- 230000035514 bioavailability Effects 0.000 description 3
- SOGAXMICEFXMKE-UHFFFAOYSA-N butyl 2-methylprop-2-enoate Chemical compound CCCCOC(=O)C(C)=C SOGAXMICEFXMKE-UHFFFAOYSA-N 0.000 description 3
- 235000012730 carminic acid Nutrition 0.000 description 3
- 239000000969 carrier Substances 0.000 description 3
- 229940099352 cholate Drugs 0.000 description 3
- 150000001860 citric acid derivatives Chemical class 0.000 description 3
- YNKFCNRZZPFMEX-XHPDKPNGSA-N desmopressin acetate trihydrate Chemical compound O.O.O.CC(O)=O.C([C@H]1C(=O)N[C@H](C(N[C@@H](CC(N)=O)C(=O)N[C@@H](CSSCCC(=O)N[C@@H](CC=2C=CC(O)=CC=2)C(=O)N1)C(=O)N1[C@@H](CCC1)C(=O)N[C@H](CCCNC(N)=N)C(=O)NCC(N)=O)=O)CCC(=O)N)C1=CC=CC=C1 YNKFCNRZZPFMEX-XHPDKPNGSA-N 0.000 description 3
- PYGXAGIECVVIOZ-UHFFFAOYSA-N dibutyl decanedioate Chemical compound CCCCOC(=O)CCCCCCCCC(=O)OCCCC PYGXAGIECVVIOZ-UHFFFAOYSA-N 0.000 description 3
- 229940031954 dibutyl sebacate Drugs 0.000 description 3
- 229940042399 direct acting antivirals Protease inhibitors Drugs 0.000 description 3
- 230000000694 effects Effects 0.000 description 3
- 230000002255 enzymatic Effects 0.000 description 3
- 239000007788 liquid Substances 0.000 description 3
- 239000011777 magnesium Substances 0.000 description 3
- 235000019359 magnesium stearate Nutrition 0.000 description 3
- 239000008108 microcrystalline cellulose Substances 0.000 description 3
- 229940016286 microcrystalline cellulose Drugs 0.000 description 3
- 235000019813 microcrystalline cellulose Nutrition 0.000 description 3
- 239000006082 mold release agent Substances 0.000 description 3
- 125000005498 phthalate group Chemical class 0.000 description 3
- 229920001983 poloxamer Polymers 0.000 description 3
- CXMXRPHRNRROMY-UHFFFAOYSA-L sebacate(2-) Chemical class [O-]C(=O)CCCCCCCCC([O-])=O CXMXRPHRNRROMY-UHFFFAOYSA-L 0.000 description 3
- 239000002753 trypsin inhibitor Substances 0.000 description 3
- 235000019165 vitamin E Nutrition 0.000 description 3
- 239000011709 vitamin E Substances 0.000 description 3
- 150000003712 vitamin E derivatives Chemical class 0.000 description 3
- HVYWMOMLDIMFJA-DPAQBDIFSA-N (3β)-Cholest-5-en-3-ol Chemical compound C1C=C2C[C@@H](O)CC[C@]2(C)[C@@H]2[C@@H]1[C@@H]1CC[C@H]([C@H](C)CCCC(C)C)[C@@]1(C)CC2 HVYWMOMLDIMFJA-DPAQBDIFSA-N 0.000 description 2
- WSWCOQWTEOXDQX-MQQKCMAXSA-M (E,E)-sorbate Chemical compound C\C=C\C=C\C([O-])=O WSWCOQWTEOXDQX-MQQKCMAXSA-M 0.000 description 2
- 229920002818 (Hydroxyethyl)methacrylate Polymers 0.000 description 2
- CDOSHBSSFJOMGT-JTQLQIEISA-N (R)-linalool Natural products CC(C)=CCC[C@@](C)(O)C=C CDOSHBSSFJOMGT-JTQLQIEISA-N 0.000 description 2
- RFFOTVCVTJUTAD-UHFFFAOYSA-N 1,4-Cineole Chemical compound C1CC2(C)CCC1(C(C)C)O2 RFFOTVCVTJUTAD-UHFFFAOYSA-N 0.000 description 2
- JVKUCNQGESRUCL-UHFFFAOYSA-N 2-hydroxyethyl 12-hydroxyoctadecanoate Chemical compound CCCCCCC(O)CCCCCCCCCCC(=O)OCCO JVKUCNQGESRUCL-UHFFFAOYSA-N 0.000 description 2
- WOBHKFSMXKNTIM-UHFFFAOYSA-N 2-hydroxyethyl 2-methylacrylate Chemical compound CC(=C)C(=O)OCCO WOBHKFSMXKNTIM-UHFFFAOYSA-N 0.000 description 2
- 101710006356 ACTI Proteins 0.000 description 2
- PNEYBMLMFCGWSK-UHFFFAOYSA-N AI2O3 Inorganic materials [O-2].[O-2].[O-2].[Al+3].[Al+3] PNEYBMLMFCGWSK-UHFFFAOYSA-N 0.000 description 2
- 210000001124 Body Fluids Anatomy 0.000 description 2
- 101700046715 CSTI Proteins 0.000 description 2
- 229960001865 Cetrorelix acetate Drugs 0.000 description 2
- BXWNKGSJHAJOGX-UHFFFAOYSA-N Cetyl alcohol Chemical compound CCCCCCCCCCCCCCCCO BXWNKGSJHAJOGX-UHFFFAOYSA-N 0.000 description 2
- 229940080423 Cochineal Drugs 0.000 description 2
- 101700020566 DEFA4 Proteins 0.000 description 2
- 235000019749 Dry matter Nutrition 0.000 description 2
- 229920003135 Eudragit® L 100-55 Polymers 0.000 description 2
- 229920002683 Glycosaminoglycan Polymers 0.000 description 2
- PGOYMURMZNDHNS-MYPRUECHSA-N Hederagenin Chemical compound C1C[C@H](O)[C@@](C)(CO)[C@@H]2CC[C@@]3(C)[C@]4(C)CC[C@@]5(C(O)=O)CCC(C)(C)C[C@H]5C4=CC[C@@H]3[C@]21C PGOYMURMZNDHNS-MYPRUECHSA-N 0.000 description 2
- 101710006353 IP3R Proteins 0.000 description 2
- 101700035656 ISOTI Proteins 0.000 description 2
- 101700035039 ITI Proteins 0.000 description 2
- 101700052013 ITR2 Proteins 0.000 description 2
- 101700068039 ITRP Proteins 0.000 description 2
- 210000003405 Ileum Anatomy 0.000 description 2
- 208000008384 Ileus Diseases 0.000 description 2
- 102000003996 Interferon beta Human genes 0.000 description 2
- 108090000467 Interferon beta Proteins 0.000 description 2
- XMAYWYJOQHXEEK-OZXSUGGESA-N Ketoconazole Chemical compound C1CN(C(=O)C)CCN1C(C=C1)=CC=C1OC[C@@H]1O[C@@](CN2C=NC=C2)(C=2C(=CC(Cl)=CC=2)Cl)OC1 XMAYWYJOQHXEEK-OZXSUGGESA-N 0.000 description 2
- OYHQOLUKZRVURQ-IXWMQOLASA-N Linoleic acid Natural products CCCCC\C=C/C\C=C\CCCCCCCC(O)=O OYHQOLUKZRVURQ-IXWMQOLASA-N 0.000 description 2
- 101700036939 MTI Proteins 0.000 description 2
- 229920000881 Modified starch Polymers 0.000 description 2
- TUNFSRHWOTWDNC-UHFFFAOYSA-N Myristic acid Chemical compound CCCCCCCCCCCCCC(O)=O TUNFSRHWOTWDNC-UHFFFAOYSA-N 0.000 description 2
- 239000005642 Oleic acid Substances 0.000 description 2
- 229960005278 Poloxalene Drugs 0.000 description 2
- 239000002202 Polyethylene glycol Substances 0.000 description 2
- 101710008324 RPS24 Proteins 0.000 description 2
- CXMXRPHRNRROMY-UHFFFAOYSA-N Sebacic acid Chemical compound OC(=O)CCCCCCCCC(O)=O CXMXRPHRNRROMY-UHFFFAOYSA-N 0.000 description 2
- 229920001304 Solutol HS 15 Polymers 0.000 description 2
- 229940075554 Sorbate Drugs 0.000 description 2
- HVUMOYIDDBPOLL-XWVZOOPGSA-N Sorbitan monostearate Chemical compound CCCCCCCCCCCCCCCCCC(=O)OC[C@@H](O)[C@H]1OC[C@H](O)[C@H]1O HVUMOYIDDBPOLL-XWVZOOPGSA-N 0.000 description 2
- 239000004147 Sorbitan trioleate Substances 0.000 description 2
- 229960000391 Sorbitan trioleate Drugs 0.000 description 2
- 235000021355 Stearic acid Nutrition 0.000 description 2
- OIQPTROHQCGFEF-QIKYXUGXSA-L Sunset Yellow FCF Chemical compound [Na+].[Na+].OC1=CC=C2C=C(S([O-])(=O)=O)C=CC2=C1\N=N\C1=CC=C(S([O-])(=O)=O)C=C1 OIQPTROHQCGFEF-QIKYXUGXSA-L 0.000 description 2
- 101700062451 TI Proteins 0.000 description 2
- YXHBBEQKMVAJOH-GLCFPVLVSA-K Tartrazine Chemical compound [Na+].[Na+].[Na+].[O-]C(=O)C1=NN(C=2C=CC(=CC=2)S([O-])(=O)=O)C(O)=C1\N=N\C1=CC=C(S([O-])(=O)=O)C=C1 YXHBBEQKMVAJOH-GLCFPVLVSA-K 0.000 description 2
- 231100000765 Toxin Toxicity 0.000 description 2
- KWIUHFFTVRNATP-UHFFFAOYSA-N Trimethylglycine Chemical compound C[N+](C)(C)CC([O-])=O KWIUHFFTVRNATP-UHFFFAOYSA-N 0.000 description 2
- PRXRUNOAOLTIEF-XDTJCZEISA-N [2-[(2R,3S,4R)-4-hydroxy-3-[(Z)-octadec-9-enoyl]oxyoxolan-2-yl]-2-[(Z)-octadec-9-enoyl]oxyethyl] (Z)-octadec-9-enoate Chemical compound CCCCCCCC\C=C/CCCCCCCC(=O)OCC(OC(=O)CCCCCCC\C=C/CCCCCCCC)[C@H]1OC[C@@H](O)[C@@H]1OC(=O)CCCCCCC\C=C/CCCCCCCC PRXRUNOAOLTIEF-XDTJCZEISA-N 0.000 description 2
- QTBSBXVTEAMEQO-UHFFFAOYSA-M acetate Chemical compound CC([O-])=O QTBSBXVTEAMEQO-UHFFFAOYSA-M 0.000 description 2
- 239000008351 acetate buffer Substances 0.000 description 2
- 150000007513 acids Chemical class 0.000 description 2
- 150000001252 acrylic acid derivatives Chemical class 0.000 description 2
- 239000004480 active ingredient Substances 0.000 description 2
- 230000000996 additive Effects 0.000 description 2
- 125000001931 aliphatic group Chemical group 0.000 description 2
- 235000012735 amaranth Nutrition 0.000 description 2
- 239000004178 amaranth Substances 0.000 description 2
- 150000001412 amines Chemical class 0.000 description 2
- 229940053200 antiepileptics Fatty acid derivatives Drugs 0.000 description 2
- 239000007864 aqueous solution Substances 0.000 description 2
- 239000004176 azorubin Substances 0.000 description 2
- 235000013871 bee wax Nutrition 0.000 description 2
- 239000012166 beeswax Substances 0.000 description 2
- UHOVQNZJYSORNB-UHFFFAOYSA-N benzene Chemical compound C1=CC=CC=C1 UHOVQNZJYSORNB-UHFFFAOYSA-N 0.000 description 2
- 230000015572 biosynthetic process Effects 0.000 description 2
- 239000010839 body fluid Substances 0.000 description 2
- CQEYYJKEWSMYFG-UHFFFAOYSA-N butyl acrylate Chemical compound CCCCOC(=O)C=C CQEYYJKEWSMYFG-UHFFFAOYSA-N 0.000 description 2
- 239000011575 calcium Substances 0.000 description 2
- 239000004106 carminic acid Substances 0.000 description 2
- 239000004203 carnauba wax Substances 0.000 description 2
- 235000013869 carnauba wax Nutrition 0.000 description 2
- 239000004359 castor oil Substances 0.000 description 2
- 235000019438 castor oil Nutrition 0.000 description 2
- KFEFLCOCAHJBEA-ANRVCLKPSA-N cetrorelix acetate Chemical compound CC(O)=O.C([C@@H](C(=O)N[C@H](CCCNC(N)=O)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CCCNC(N)=N)C(=O)N1[C@@H](CCC1)C(=O)N[C@H](C)C(N)=O)NC(=O)[C@H](CO)NC(=O)[C@@H](CC=1C=NC=CC=1)NC(=O)[C@@H](CC=1C=CC(Cl)=CC=1)NC(=O)[C@@H](CC=1C=C2C=CC=CC2=CC=1)NC(C)=O)C1=CC=C(O)C=C1 KFEFLCOCAHJBEA-ANRVCLKPSA-N 0.000 description 2
- 229960000541 cetyl alcohol Drugs 0.000 description 2
- 238000005345 coagulation Methods 0.000 description 2
- 230000015271 coagulation Effects 0.000 description 2
- 239000003086 colorant Substances 0.000 description 2
- 238000001816 cooling Methods 0.000 description 2
- 239000002537 cosmetic Substances 0.000 description 2
- 230000003111 delayed Effects 0.000 description 2
- 239000003599 detergent Substances 0.000 description 2
- ONKUXPIBXRRIDU-UHFFFAOYSA-N diethyl decanedioate Chemical compound CCOC(=O)CCCCCCCCC(=O)OCC ONKUXPIBXRRIDU-UHFFFAOYSA-N 0.000 description 2
- 239000007884 disintegrant Substances 0.000 description 2
- KCXVZYZYPLLWCC-UHFFFAOYSA-N edta Chemical compound OC(=O)CN(CC(O)=O)CCN(CC(O)=O)CC(O)=O KCXVZYZYPLLWCC-UHFFFAOYSA-N 0.000 description 2
- 239000008344 egg yolk phospholipid Substances 0.000 description 2
- 238000004945 emulsification Methods 0.000 description 2
- 239000003623 enhancer Substances 0.000 description 2
- 230000002708 enhancing Effects 0.000 description 2
- 235000012732 erythrosine Nutrition 0.000 description 2
- 239000004174 erythrosine Substances 0.000 description 2
- 235000013305 food Nutrition 0.000 description 2
- 238000005755 formation reaction Methods 0.000 description 2
- 238000000227 grinding Methods 0.000 description 2
- 229910000041 hydrogen chloride Inorganic materials 0.000 description 2
- 230000002209 hydrophobic Effects 0.000 description 2
- 235000010979 hydroxypropyl methyl cellulose Nutrition 0.000 description 2
- 229920003088 hydroxypropyl methyl cellulose Polymers 0.000 description 2
- 238000000338 in vitro Methods 0.000 description 2
- 235000012738 indigotine Nutrition 0.000 description 2
- 239000004179 indigotine Substances 0.000 description 2
- KFZMGEQAYNKOFK-UHFFFAOYSA-N iso-propanol Chemical compound CC(C)O KFZMGEQAYNKOFK-UHFFFAOYSA-N 0.000 description 2
- 229960004125 ketoconazole Drugs 0.000 description 2
- 238000005461 lubrication Methods 0.000 description 2
- 229960003511 macrogol Drugs 0.000 description 2
- 229910052749 magnesium Inorganic materials 0.000 description 2
- 230000003340 mental Effects 0.000 description 2
- 239000001525 mentha piperita l. herb oil Substances 0.000 description 2
- 235000019426 modified starch Nutrition 0.000 description 2
- 239000006186 oral dosage form Substances 0.000 description 2
- 239000003960 organic solvent Substances 0.000 description 2
- 235000019477 peppermint oil Nutrition 0.000 description 2
- 230000035699 permeability Effects 0.000 description 2
- 239000008194 pharmaceutical composition Substances 0.000 description 2
- ISWSIDIOOBJBQZ-UHFFFAOYSA-N phenol Chemical compound OC1=CC=CC=C1 ISWSIDIOOBJBQZ-UHFFFAOYSA-N 0.000 description 2
- 229920000036 polyvinylpyrrolidone Polymers 0.000 description 2
- KWYUFKZDYYNOTN-UHFFFAOYSA-M potassium hydroxide Inorganic materials [OH-].[K+] KWYUFKZDYYNOTN-UHFFFAOYSA-M 0.000 description 2
- 230000002797 proteolythic Effects 0.000 description 2
- 238000005086 pumping Methods 0.000 description 2
- 238000010526 radical polymerization reaction Methods 0.000 description 2
- 230000002829 reduced Effects 0.000 description 2
- 229960003471 retinol Drugs 0.000 description 2
- 238000000926 separation method Methods 0.000 description 2
- 239000000377 silicon dioxide Substances 0.000 description 2
- 235000011069 sorbitan monooleate Nutrition 0.000 description 2
- 239000001593 sorbitan monooleate Substances 0.000 description 2
- 229940035049 sorbitan monooleate Drugs 0.000 description 2
- 235000011076 sorbitan monostearate Nutrition 0.000 description 2
- 239000001587 sorbitan monostearate Substances 0.000 description 2
- 229940035048 sorbitan monostearate Drugs 0.000 description 2
- 235000019337 sorbitan trioleate Nutrition 0.000 description 2
- 239000008347 soybean phospholipid Substances 0.000 description 2
- 238000011105 stabilization Methods 0.000 description 2
- 239000008117 stearic acid Substances 0.000 description 2
- PPBRXRYQALVLMV-UHFFFAOYSA-N styrene Chemical compound C=CC1=CC=CC=C1 PPBRXRYQALVLMV-UHFFFAOYSA-N 0.000 description 2
- 235000000346 sugar Nutrition 0.000 description 2
- QAOWNCQODCNURD-UHFFFAOYSA-L sulfate Chemical compound [O-]S([O-])(=O)=O QAOWNCQODCNURD-UHFFFAOYSA-L 0.000 description 2
- 235000012751 sunset yellow FCF Nutrition 0.000 description 2
- 239000004173 sunset yellow FCF Substances 0.000 description 2
- 235000012756 tartrazine Nutrition 0.000 description 2
- 239000004149 tartrazine Substances 0.000 description 2
- 239000003053 toxin Substances 0.000 description 2
- WEAPVABOECTMGR-UHFFFAOYSA-N triethyl 2-acetyloxypropane-1,2,3-tricarboxylate Chemical compound CCOC(=O)CC(C(=O)OCC)(OC(C)=O)CC(=O)OCC WEAPVABOECTMGR-UHFFFAOYSA-N 0.000 description 2
- 239000003981 vehicle Substances 0.000 description 2
- 239000001993 wax Substances 0.000 description 2
- GVJHHUAWPYXKBD-IEOSBIPESA-N α-tocopherol Chemical compound OC1=C(C)C(C)=C2O[C@@](CCC[C@H](C)CCC[C@H](C)CCCC(C)C)(C)CCC2=C1C GVJHHUAWPYXKBD-IEOSBIPESA-N 0.000 description 2
- NOOLISFMXDJSKH-UTLUCORTSA-N (+)-Neomenthol Chemical compound CC(C)[C@@H]1CC[C@@H](C)C[C@@H]1O NOOLISFMXDJSKH-UTLUCORTSA-N 0.000 description 1
- DTGKSKDOIYIVQL-WEDXCCLWSA-N (+)-borneol Chemical compound C1C[C@@]2(C)[C@@H](O)C[C@@H]1C2(C)C DTGKSKDOIYIVQL-WEDXCCLWSA-N 0.000 description 1
- PUSNGFYSTWMJSK-GSZQVNRLSA-N (2R,3R,4S,5R,6R)-2,3,4-trimethoxy-6-(methoxymethyl)-5-[(2S,3R,4S,5R,6R)-3,4,5-trimethoxy-6-(methoxymethyl)oxan-2-yl]oxyoxane;1-[[(2R,3R,4S,5R,6S)-3,4,5-tris(2-hydroxypropoxy)-6-[(2R,3R,4S,5R,6R)-4,5,6-tris(2-hydroxypropoxy)-2-(2-hydroxypropoxymethyl)oxan- Chemical compound CO[C@@H]1[C@@H](OC)[C@H](OC)[C@@H](COC)O[C@H]1O[C@H]1[C@H](OC)[C@@H](OC)[C@H](OC)O[C@@H]1COC.CC(O)CO[C@@H]1[C@@H](OCC(C)O)[C@H](OCC(C)O)[C@@H](COCC(O)C)O[C@H]1O[C@H]1[C@H](OCC(C)O)[C@@H](OCC(C)O)[C@H](OCC(C)O)O[C@@H]1COCC(C)O PUSNGFYSTWMJSK-GSZQVNRLSA-N 0.000 description 1
- GDBQQVLCIARPGH-ULQDDVLXSA-N (2S)-2-acetamido-N-[(2S)-1-[[(2S)-5-(diaminomethylideneamino)-1-oxopentan-2-yl]amino]-4-methyl-1-oxopentan-2-yl]-4-methylpentanamide Chemical compound CC(C)C[C@H](NC(C)=O)C(=O)N[C@@H](CC(C)C)C(=O)N[C@H](C=O)CCCN=C(N)N GDBQQVLCIARPGH-ULQDDVLXSA-N 0.000 description 1
- 239000001490 (3R)-3,7-dimethylocta-1,6-dien-3-ol Substances 0.000 description 1
- BOTWFXYSPFMFNR-PYDDKJGSSA-N (E)-Phytol Chemical compound CC(C)CCC[C@@H](C)CCC[C@@H](C)CCC\C(C)=C\CO BOTWFXYSPFMFNR-PYDDKJGSSA-N 0.000 description 1
- 239000001707 (E,7R,11R)-3,7,11,15-tetramethylhexadec-2-en-1-ol Substances 0.000 description 1
- FABAOYOFJNAVHB-KVVVOXFISA-N (Z)-octadec-9-enoic acid;propane-1,2,3-triol Chemical compound OCC(O)CO.CCCCCCCC\C=C/CCCCCCCC(O)=O FABAOYOFJNAVHB-KVVVOXFISA-N 0.000 description 1
- WBHHMMIMDMUBKC-QJWNTBNXSA-M (Z,12R)-12-hydroxyoctadec-9-enoate Chemical compound CCCCCC[C@@H](O)C\C=C/CCCCCCCC([O-])=O WBHHMMIMDMUBKC-QJWNTBNXSA-M 0.000 description 1
- LDQFLSUQYHBXSX-HPPMYKKZSA-N 1,2-Dioctadecanoyl-3-(galactosyl-B-1-6-galactosyl-B-1)-glycerol Chemical compound O[C@H]1[C@H](O)[C@@H](O)[C@H](OC[C@@H](COC(=O)CCCCCCCCCCCCCCCCC)OC(=O)CCCCCCCCCCCCCCCCC)OC1CO[C@H]1[C@H](O)[C@@H](O)[C@H](O)[C@@H](CO)O1 LDQFLSUQYHBXSX-HPPMYKKZSA-N 0.000 description 1
- CYAMZYIUAHNTBO-UHFFFAOYSA-N 11-hydroxy-17-[2-[2-[2-[2-[2-[2-[2-[2-[2-[2-[2-[2-[2-[2-(2-hydroxyethoxy)ethoxy]ethoxy]ethoxy]ethoxy]ethoxy]ethoxy]ethoxy]ethoxy]ethoxy]ethoxy]ethoxy]ethoxy]ethoxy]ethoxy]heptadecanoic acid Chemical compound OCCOCCOCCOCCOCCOCCOCCOCCOCCOCCOCCOCCOCCOCCOCCOCCCCCCC(O)CCCCCCCCCC(O)=O CYAMZYIUAHNTBO-UHFFFAOYSA-N 0.000 description 1
- ULQISTXYYBZJSJ-UHFFFAOYSA-M 12-hydroxyoctadecanoate Chemical compound CCCCCCC(O)CCCCCCCCCCC([O-])=O ULQISTXYYBZJSJ-UHFFFAOYSA-M 0.000 description 1
- 229940114069 12-hydroxystearate Drugs 0.000 description 1
- FUWVMBCPMRAWPG-UHFFFAOYSA-N 2,3-dihydroxypropyl 2-hydroxyoctadecanoate Chemical compound CCCCCCCCCCCCCCCCC(O)C(=O)OCC(O)CO FUWVMBCPMRAWPG-UHFFFAOYSA-N 0.000 description 1
- VUKAUDKDFVSVFT-UHFFFAOYSA-N 2-[6-[4,5-bis(2-hydroxypropoxy)-2-(2-hydroxypropoxymethyl)-6-methoxyoxan-3-yl]oxy-4,5-dimethoxy-2-(methoxymethyl)oxan-3-yl]oxy-6-(hydroxymethyl)-5-methoxyoxane-3,4-diol Chemical compound COC1C(OC)C(OC2C(C(O)C(OC)C(CO)O2)O)C(COC)OC1OC1C(COCC(C)O)OC(OC)C(OCC(C)O)C1OCC(C)O VUKAUDKDFVSVFT-UHFFFAOYSA-N 0.000 description 1
- QGLRLNOZVGHXCR-UHFFFAOYSA-N 2-ethenylpropanedioic acid Chemical compound OC(=O)C(C=C)C(O)=O QGLRLNOZVGHXCR-UHFFFAOYSA-N 0.000 description 1
- XLMXUUQMSMKFMH-UZRURVBFSA-N 2-hydroxyethyl (Z,12R)-12-hydroxyoctadec-9-enoate Chemical compound CCCCCC[C@@H](O)C\C=C/CCCCCCCC(=O)OCCO XLMXUUQMSMKFMH-UZRURVBFSA-N 0.000 description 1
- OMIGHNLMNHATMP-UHFFFAOYSA-N 2-hydroxyethyl prop-2-enoate Chemical compound OCCOC(=O)C=C OMIGHNLMNHATMP-UHFFFAOYSA-N 0.000 description 1
- MBWXNTAXLNYFJB-NKFFZRIASA-N 2-methyl-3-[(2E,7R,11R)-3,7,11,15-tetramethylhexadec-2-en-1-yl]-1,4-dihydronaphthalene-1,4-dione Chemical compound C1=CC=C2C(=O)C(C/C=C(C)/CCC[C@H](C)CCC[C@H](C)CCCC(C)C)=C(C)C(=O)C2=C1 MBWXNTAXLNYFJB-NKFFZRIASA-N 0.000 description 1
- FEWJPZIEWOKRBE-UHFFFAOYSA-M 3-carboxy-2,3-dihydroxypropanoate Chemical compound OC(=O)C(O)C(O)C([O-])=O FEWJPZIEWOKRBE-UHFFFAOYSA-M 0.000 description 1
- KRKNYBCHXYNGOX-UHFFFAOYSA-M 3-carboxy-2-(carboxymethyl)-2-hydroxypropanoate Chemical compound OC(=O)CC(O)(C(O)=O)CC([O-])=O KRKNYBCHXYNGOX-UHFFFAOYSA-M 0.000 description 1
- YBCVMFKXIKNREZ-UHFFFAOYSA-N AcOH acetic acid Chemical compound CC(O)=O.CC(O)=O YBCVMFKXIKNREZ-UHFFFAOYSA-N 0.000 description 1
- WETWJCDKMRHUPV-UHFFFAOYSA-N Acetyl chloride Chemical compound CC(Cl)=O WETWJCDKMRHUPV-UHFFFAOYSA-N 0.000 description 1
- 229920002126 Acrylic acid copolymer Polymers 0.000 description 1
- 235000019489 Almond oil Nutrition 0.000 description 1
- 239000005995 Aluminium silicate Substances 0.000 description 1
- PZZYQPZGQPZBDN-UHFFFAOYSA-N Aluminium silicate Chemical compound O=[Al]O[Si](=O)O[Al]=O PZZYQPZGQPZBDN-UHFFFAOYSA-N 0.000 description 1
- 235000009328 Amaranthus caudatus Nutrition 0.000 description 1
- 240000001592 Amaranthus caudatus Species 0.000 description 1
- 102000004400 Aminopeptidases Human genes 0.000 description 1
- 108090000915 Aminopeptidases Proteins 0.000 description 1
- 108010039627 Aprotinin Proteins 0.000 description 1
- 229940072107 Ascorbate Drugs 0.000 description 1
- 239000005878 Azadirachtin Substances 0.000 description 1
- FTNJWQUOZFUQQJ-NDAWSKJSSA-N Azadirachtin Chemical compound C([C@@H]([C@]1(C=CO[C@H]1O1)O)[C@]2(C)O3)[C@H]1[C@]23[C@]1(C)[C@H](O)[C@H](OC[C@@]2([C@@H](C[C@@H]3OC(=O)C(\C)=C\C)OC(C)=O)C(=O)OC)[C@@H]2[C@]32CO[C@@](C(=O)OC)(O)[C@@H]12 FTNJWQUOZFUQQJ-NDAWSKJSSA-N 0.000 description 1
- TVWOWDDBXAFQDG-DQRAZIAOSA-N Azorubine Chemical compound C1=CC=C2C(\N=N/C3=C(C4=CC=CC=C4C(=C3)S(O)(=O)=O)O)=CC=C(S(O)(=O)=O)C2=C1 TVWOWDDBXAFQDG-DQRAZIAOSA-N 0.000 description 1
- 229960003071 Bacitracin Drugs 0.000 description 1
- 108010001478 Bacitracin Proteins 0.000 description 1
- 229940076134 Benzene Drugs 0.000 description 1
- 229940050390 Benzoate Drugs 0.000 description 1
- VGGGPCQERPFHOB-MCIONIFRSA-N Bestatin Chemical compound CC(C)C[C@H](C(O)=O)NC(=O)[C@@H](O)[C@H](N)CC1=CC=CC=C1 VGGGPCQERPFHOB-MCIONIFRSA-N 0.000 description 1
- BVKZGUZCCUSVTD-UHFFFAOYSA-M Bicarbonate Chemical compound OC([O-])=O BVKZGUZCCUSVTD-UHFFFAOYSA-M 0.000 description 1
- 229940116229 Borneol Drugs 0.000 description 1
- CJZGTCYPCWQAJB-UHFFFAOYSA-L Calcium stearate Chemical compound [Ca+2].CCCCCCCCCCCCCCCCCC([O-])=O.CCCCCCCCCCCCCCCCCC([O-])=O CJZGTCYPCWQAJB-UHFFFAOYSA-L 0.000 description 1
- OSGAYBCDTDRGGQ-UHFFFAOYSA-L Calcium sulfate Chemical class [Ca+2].[O-]S([O-])(=O)=O OSGAYBCDTDRGGQ-UHFFFAOYSA-L 0.000 description 1
- FAKRSMQSSFJEIM-RQJHMYQMSA-N Captopril Chemical compound SC[C@@H](C)C(=O)N1CCC[C@H]1C(O)=O FAKRSMQSSFJEIM-RQJHMYQMSA-N 0.000 description 1
- 229960001631 Carbomer Drugs 0.000 description 1
- BVKZGUZCCUSVTD-UHFFFAOYSA-L Carbonate dianion Chemical compound [O-]C([O-])=O BVKZGUZCCUSVTD-UHFFFAOYSA-L 0.000 description 1
- YSVBPNGJESBVRM-ZPZFBZIMSA-L Carmoisine Chemical compound [Na+].[Na+].C1=CC=C2C(/N=N/C3=C(C4=CC=CC=C4C(=C3)S([O-])(=O)=O)O)=CC=C(S([O-])(=O)=O)C2=C1 YSVBPNGJESBVRM-ZPZFBZIMSA-L 0.000 description 1
- 229940031019 Carmoisine Drugs 0.000 description 1
- 210000000170 Cell Membrane Anatomy 0.000 description 1
- 229940106189 Ceramides Drugs 0.000 description 1
- 229940107111 Cholecalciferol Drugs 0.000 description 1
- 229940107161 Cholesterol Drugs 0.000 description 1
- 235000013162 Cocos nucifera Nutrition 0.000 description 1
- 240000007170 Cocos nucifera Species 0.000 description 1
- 235000007129 Cuminum cyminum Nutrition 0.000 description 1
- 240000004559 Cuminum cyminum Species 0.000 description 1
- RGHNJXZEOKUKBD-SQOUGZDYSA-M D-gluconate Chemical compound OC[C@@H](O)[C@@H](O)[C@H](O)[C@@H](O)C([O-])=O RGHNJXZEOKUKBD-SQOUGZDYSA-M 0.000 description 1
- AEMOLEFTQBMNLQ-AQKNRBDQSA-N D-glucopyranuronic acid Chemical compound OC1O[C@H](C(O)=O)[C@@H](O)[C@H](O)[C@H]1O AEMOLEFTQBMNLQ-AQKNRBDQSA-N 0.000 description 1
- IELOKBJPULMYRW-NJQVLOCASA-N D-α-Tocopheryl Acid Succinate Chemical compound OC(=O)CCC(=O)OC1=C(C)C(C)=C2O[C@@](CCC[C@H](C)CCC[C@H](C)CCCC(C)C)(C)CCC2=C1C IELOKBJPULMYRW-NJQVLOCASA-N 0.000 description 1
- DOIRQSBPFJWKBE-UHFFFAOYSA-N Dibutyl phthalate Chemical compound CCCCOC(=O)C1=CC=CC=C1C(=O)OCCCC DOIRQSBPFJWKBE-UHFFFAOYSA-N 0.000 description 1
- 241000723339 Diselma archeri Species 0.000 description 1
- LQZZUXJYWNFBMV-UHFFFAOYSA-N Dodecanol Chemical compound CCCCCCCCCCCCO LQZZUXJYWNFBMV-UHFFFAOYSA-N 0.000 description 1
- 240000002943 Elettaria cardamomum Species 0.000 description 1
- 239000004908 Emulsion polymer Substances 0.000 description 1
- 206010014599 Encephalitis Diseases 0.000 description 1
- 229940011411 Erythrosine Drugs 0.000 description 1
- 239000001856 Ethyl cellulose Substances 0.000 description 1
- ZZSNKZQZMQGXPY-UHFFFAOYSA-N Ethyl cellulose Chemical compound CCOCC1OC(OC)C(OCC)C(OCC)C1OC1C(O)C(O)C(OC)C(CO)O1 ZZSNKZQZMQGXPY-UHFFFAOYSA-N 0.000 description 1
- 229940044949 Eucalyptus oil Drugs 0.000 description 1
- 229920003137 Eudragit® S polymer Polymers 0.000 description 1
- 241000287828 Gallus gallus Species 0.000 description 1
- 102000009338 Gastric Mucins Human genes 0.000 description 1
- 108010009066 Gastric Mucins Proteins 0.000 description 1
- 210000003736 Gastrointestinal Contents Anatomy 0.000 description 1
- 229940049906 Glutamate Drugs 0.000 description 1
- RFDAIACWWDREDC-FRVQLJSFSA-N Glycocholic acid Chemical compound C([C@H]1C[C@H]2O)[C@H](O)CC[C@]1(C)[C@@H]1[C@@H]2[C@@H]2CC[C@H]([C@@H](CCC(=O)NCC(O)=O)C)[C@@]2(C)[C@@H](O)C1 RFDAIACWWDREDC-FRVQLJSFSA-N 0.000 description 1
- RFVNOJDQRGSOEL-UHFFFAOYSA-N Glycol stearate Chemical compound CCCCCCCCCCCCCCCCCC(=O)OCCO RFVNOJDQRGSOEL-UHFFFAOYSA-N 0.000 description 1
- 229960002897 Heparin Drugs 0.000 description 1
- ZFGMDIBRIDKWMY-PASTXAENSA-N Heparin Chemical compound CC(O)=N[C@@H]1[C@@H](O)[C@H](O)[C@@H](COS(O)(=O)=O)O[C@@H]1O[C@@H]1[C@@H](C(O)=O)O[C@@H](O[C@H]2[C@@H]([C@@H](OS(O)(=O)=O)[C@@H](O[C@@H]3[C@@H](OC(O)[C@H](OS(O)(=O)=O)[C@H]3O)C(O)=O)O[C@@H]2O)CS(O)(=O)=O)[C@H](O)[C@H]1O ZFGMDIBRIDKWMY-PASTXAENSA-N 0.000 description 1
- 229940089456 ISOPROPYL STEARATE Drugs 0.000 description 1
- ZPNFWUPYTFPOJU-LPYSRVMUSA-N Iniprol Chemical compound C([C@H]1C(=O)NCC(=O)NCC(=O)N[C@H]2CSSC[C@H]3C(=O)N[C@@H](CCCCN)C(=O)N[C@@H](C)C(=O)N[C@@H](CCCNC(N)=N)C(=O)N[C@H](C(N[C@H](C(=O)N[C@@H](CCCNC(N)=N)C(=O)N[C@@H](CC=4C=CC(O)=CC=4)C(=O)N[C@@H](CC=4C=CC=CC=4)C(=O)N[C@@H](CC=4C=CC(O)=CC=4)C(=O)N[C@@H](CC(N)=O)C(=O)N[C@@H](C)C(=O)N[C@@H](CCCCN)C(=O)N[C@@H](C)C(=O)NCC(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CSSC[C@H](NC(=O)[C@H](CC(O)=O)NC(=O)[C@H](CCC(O)=O)NC(=O)[C@H](C)NC(=O)[C@H](CO)NC(=O)[C@H](CCCCN)NC(=O)[C@H](CC=4C=CC=CC=4)NC(=O)[C@H](CC(N)=O)NC(=O)[C@H](CC(N)=O)NC(=O)[C@H](CCCNC(N)=N)NC(=O)[C@H](CCCCN)NC(=O)[C@H](C)NC(=O)[C@H](CCCNC(N)=N)NC2=O)C(=O)N[C@@H](CCSC)C(=O)N[C@@H](CCCNC(N)=N)C(=O)N[C@@H]([C@@H](C)O)C(=O)N[C@@H](CSSC[C@H](NC(=O)[C@H](CC=2C=CC=CC=2)NC(=O)[C@H](CC(O)=O)NC(=O)[C@H]2N(CCC2)C(=O)[C@@H](N)CCCNC(N)=N)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CCC(O)=O)C(=O)N2[C@@H](CCC2)C(=O)N2[C@@H](CCC2)C(=O)N[C@@H](CC=2C=CC(O)=CC=2)C(=O)N[C@@H]([C@@H](C)O)C(=O)NCC(=O)N2[C@@H](CCC2)C(=O)N3)C(=O)NCC(=O)NCC(=O)N[C@@H](C)C(O)=O)C(=O)N[C@@H](CCC(N)=O)C(=O)N[C@H](C(=O)N[C@@H](CC=2C=CC=CC=2)C(=O)N[C@H](C(=O)N1)C(C)C)[C@@H](C)O)[C@@H](C)CC)=O)[C@@H](C)CC)C1=CC=C(O)C=C1 ZPNFWUPYTFPOJU-LPYSRVMUSA-N 0.000 description 1
- 229960001388 Interferon-beta Drugs 0.000 description 1
- 229940047124 Interferons Drugs 0.000 description 1
- AXISYYRBXTVTFY-UHFFFAOYSA-N Isopropyl myristate Chemical compound CCCCCCCCCCCCCC(=O)OC(C)C AXISYYRBXTVTFY-UHFFFAOYSA-N 0.000 description 1
- XUGNVMKQXJXZCD-UHFFFAOYSA-N Isopropyl palmitate Chemical compound CCCCCCCCCCCCCCCC(=O)OC(C)C XUGNVMKQXJXZCD-UHFFFAOYSA-N 0.000 description 1
- 229920003085 Kollidon® CL Polymers 0.000 description 1
- TYQCGQRIZGCHNB-JLAZNSOCSA-N L-ascorbic acid Chemical compound OC[C@H](O)[C@H]1OC(O)=C(O)C1=O TYQCGQRIZGCHNB-JLAZNSOCSA-N 0.000 description 1
- WHUUTDBJXJRKMK-VKHMYHEASA-N L-glutamic acid Chemical compound OC(=O)[C@@H](N)CCC(O)=O WHUUTDBJXJRKMK-VKHMYHEASA-N 0.000 description 1
- ROHFNLRQFUQHCH-YFKPBYRVSA-N L-leucine Chemical compound CC(C)C[C@H](N)C(O)=O ROHFNLRQFUQHCH-YFKPBYRVSA-N 0.000 description 1
- 229940116335 LAURAMIDE Drugs 0.000 description 1
- 229960004873 LEVOMENTHOL Drugs 0.000 description 1
- GUBGYTABKSRVRQ-UUNJERMWSA-N Lactose Natural products O([C@@H]1[C@H](O)[C@H](O)[C@H](O)O[C@@H]1CO)[C@H]1[C@@H](O)[C@@H](O)[C@H](O)[C@H](CO)O1 GUBGYTABKSRVRQ-UUNJERMWSA-N 0.000 description 1
- 239000004166 Lanolin Substances 0.000 description 1
- 229920000126 Latex Polymers 0.000 description 1
- AGBQKNBQESQNJD-SSDOTTSWSA-N Lipoic acid Chemical compound OC(=O)CCCC[C@@H]1CCSS1 AGBQKNBQESQNJD-SSDOTTSWSA-N 0.000 description 1
- 101700013802 MCPI Proteins 0.000 description 1
- FIJGNIAJTZSERN-DQQGJSMTSA-N MONOGALACTOSYL-DIACYLGLYCEROL Chemical compound CCCCCCCCCCCCCCCC(=O)O[C@H](COC(=O)CCCCCCCCCCCC)CO[C@@H]1O[C@@H](CO)[C@H](O)[C@H](O)[C@@H]1O FIJGNIAJTZSERN-DQQGJSMTSA-N 0.000 description 1
- CECREIRZLPLYDM-KVPLUYHFSA-N Manool Natural products O[C@@](C=C)(CC[C@H]1C(=C)CC[C@@H]2C(C)(C)CCC[C@]12C)C CECREIRZLPLYDM-KVPLUYHFSA-N 0.000 description 1
- 229940057917 Medium chain triglycerides Drugs 0.000 description 1
- 229940041616 Menthol Drugs 0.000 description 1
- 235000021360 Myristic acid Nutrition 0.000 description 1
- LKQLRGMMMAHREN-YJFXYUILSA-N N-stearoylsphingosine-1-phosphocholine Chemical compound CCCCCCCCCCCCCCCCCC(=O)N[C@@H](COP([O-])(=O)OCC[N+](C)(C)C)[C@H](O)\C=C\CCCCCCCCCCCCC LKQLRGMMMAHREN-YJFXYUILSA-N 0.000 description 1
- NHOIBRJOQAYBJT-YKAYWHEFSA-N Nimbin Chemical compound C=1([C@@H]2C[C@H]3O[C@H]4[C@](C3=C2C)(C)[C@@H]([C@]2(C(=O)C=C[C@](C)([C@@H]2[C@@H]4OC(C)=O)C(=O)OC)C)CC(=O)OC)C=COC=1 NHOIBRJOQAYBJT-YKAYWHEFSA-N 0.000 description 1
- 239000006057 Non-nutritive feed additive Substances 0.000 description 1
- 229940049964 Oleate Drugs 0.000 description 1
- 229960002969 Oleic Acid Drugs 0.000 description 1
- WLJNZVDCPSBLRP-UHFFFAOYSA-N Pamoic acid Chemical compound C1=CC=C2C(CC=3C4=CC=CC=C4C=C(C=3O)C(=O)O)=C(O)C(C(O)=O)=CC2=C1 WLJNZVDCPSBLRP-UHFFFAOYSA-N 0.000 description 1
- 108090000445 Parathyroid hormone Proteins 0.000 description 1
- 102000003982 Parathyroid hormone Human genes 0.000 description 1
- 235000019483 Peanut oil Nutrition 0.000 description 1
- FAXGPCHRFPCXOO-LXTPJMTPSA-N Pepstatin Chemical compound OC(=O)C[C@H](O)[C@H](CC(C)C)NC(=O)[C@H](C)NC(=O)C[C@H](O)[C@H](CC(C)C)NC(=O)[C@H](C(C)C)NC(=O)[C@H](C(C)C)NC(=O)CC(C)C FAXGPCHRFPCXOO-LXTPJMTPSA-N 0.000 description 1
- 229950000964 Pepstatin Drugs 0.000 description 1
- MBWXNTAXLNYFJB-ODDKJFTJSA-N Phylloquinone Natural products C1=CC=C2C(=O)C(C\C=C(C)/CCC[C@H](C)CCC[C@H](C)CCCC(C)C)=C(C)C(=O)C2=C1 MBWXNTAXLNYFJB-ODDKJFTJSA-N 0.000 description 1
- BOTWFXYSPFMFNR-QYLFUYDXSA-N Phytol Natural products CC(C)CCC[C@@H](C)CCC[C@@H](C)CCC\C(C)=C/CO BOTWFXYSPFMFNR-QYLFUYDXSA-N 0.000 description 1
- 229960001898 Phytomenadione Drugs 0.000 description 1
- 235000010450 Pino mugo Nutrition 0.000 description 1
- 235000008331 Pinus X rigitaeda Nutrition 0.000 description 1
- 235000011613 Pinus brutia Nutrition 0.000 description 1
- 241000018646 Pinus brutia Species 0.000 description 1
- 229920003171 Poly (ethylene oxide) Polymers 0.000 description 1
- 229950005134 Polycarbophil Drugs 0.000 description 1
- 229920000148 Polycarbophil calcium Polymers 0.000 description 1
- 239000004698 Polyethylene (PE) Substances 0.000 description 1
- 229920002685 Polyoxyl 35CastorOil Polymers 0.000 description 1
- 239000004236 Ponceau SX Substances 0.000 description 1
- 229940024999 Proteolytic enzymes for treatment of wounds and ulcers Drugs 0.000 description 1
- WPPDXAHGCGPUPK-UHFFFAOYSA-N Red 2 Chemical compound C1=CC=CC=C1C(C1=CC=CC=C11)=C(C=2C=3C4=CC=C5C6=CC=C7C8=C(C=9C=CC=CC=9)C9=CC=CC=C9C(C=9C=CC=CC=9)=C8C8=CC=C(C6=C87)C(C=35)=CC=2)C4=C1C1=CC=CC=C1 WPPDXAHGCGPUPK-UHFFFAOYSA-N 0.000 description 1
- 229940066675 Ricinoleate Drugs 0.000 description 1
- 229940037312 STEARAMIDE Drugs 0.000 description 1
- DBMJMQXJHONAFJ-UHFFFAOYSA-M Sodium laurylsulphate Chemical compound [Na+].CCCCCCCCCCCCOS([O-])(=O)=O DBMJMQXJHONAFJ-UHFFFAOYSA-M 0.000 description 1
- 235000002595 Solanum tuberosum Nutrition 0.000 description 1
- 240000001016 Solanum tuberosum Species 0.000 description 1
- IJCWFDPJFXGQBN-BIFNRIDTSA-N Sorbitan tristearate Chemical compound CCCCCCCCCCCCCCCCCC(=O)OCC(OC(=O)CCCCCCCCCCCCCCCCC)[C@H]1OC[C@@H](O)[C@@H]1OC(=O)CCCCCCCCCCCCCCCCC IJCWFDPJFXGQBN-BIFNRIDTSA-N 0.000 description 1
- 229920002472 Starch Polymers 0.000 description 1
- GLDOVTGHNKAZLK-UHFFFAOYSA-N Stearyl alcohol Chemical compound CCCCCCCCCCCCCCCCCCO GLDOVTGHNKAZLK-UHFFFAOYSA-N 0.000 description 1
- ONAIRGOTKJCYEY-UHFFFAOYSA-N Sucrose monostearate Chemical compound CCCCCCCCCCCCCCCCCC(O)=O.OC1C(O)C(CO)OC1(CO)OC1C(O)C(O)C(O)C(CO)O1 ONAIRGOTKJCYEY-UHFFFAOYSA-N 0.000 description 1
- 101700054528 TCI1 Proteins 0.000 description 1
- 229920002253 Tannate Polymers 0.000 description 1
- 229960000943 Tartrazine Drugs 0.000 description 1
- WBWWGRHZICKQGZ-HZAMXZRMSA-N Taurocholic acid Chemical compound C([C@H]1C[C@H]2O)[C@H](O)CC[C@]1(C)[C@@H]1[C@@H]2[C@@H]2CC[C@H]([C@@H](CCC(=O)NCCS(O)(=O)=O)C)[C@@]2(C)[C@@H](O)C1 WBWWGRHZICKQGZ-HZAMXZRMSA-N 0.000 description 1
- AOBORMOPSGHCAX-DGHZZKTQSA-N Tocofersolan Chemical compound OCCOC(=O)CCC(=O)OC1=C(C)C(C)=C2O[C@](CCC[C@H](C)CCC[C@H](C)CCCC(C)C)(C)CCC2=C1C AOBORMOPSGHCAX-DGHZZKTQSA-N 0.000 description 1
- 229960001295 Tocopherol Drugs 0.000 description 1
- URAYPUMNDPQOKB-UHFFFAOYSA-N Triacetin Chemical compound CC(=O)OCC(OC(C)=O)COC(C)=O URAYPUMNDPQOKB-UHFFFAOYSA-N 0.000 description 1
- 229960002622 Triacetin Drugs 0.000 description 1
- QORWJWZARLRLPR-UHFFFAOYSA-H Tricalcium phosphate Chemical class [Ca+2].[Ca+2].[Ca+2].[O-]P([O-])([O-])=O.[O-]P([O-])([O-])=O QORWJWZARLRLPR-UHFFFAOYSA-H 0.000 description 1
- PVNIQBQSYATKKL-UHFFFAOYSA-N Tripalmitin Chemical compound CCCCCCCCCCCCCCCC(=O)OCC(OC(=O)CCCCCCCCCCCCCCC)COC(=O)CCCCCCCCCCCCCCC PVNIQBQSYATKKL-UHFFFAOYSA-N 0.000 description 1
- GSEJCLTVZPLZKY-UHFFFAOYSA-N Tris Chemical compound OCCN(CCO)CCO GSEJCLTVZPLZKY-UHFFFAOYSA-N 0.000 description 1
- 240000008529 Triticum aestivum Species 0.000 description 1
- 229950009811 UBENIMEX Drugs 0.000 description 1
- 229940045997 Vitamin A Drugs 0.000 description 1
- FPIPGXGPPPQFEQ-BOOMUCAASA-N Vitamin A Natural products OC/C=C(/C)\C=C\C=C(\C)/C=C/C1=C(C)CCCC1(C)C FPIPGXGPPPQFEQ-BOOMUCAASA-N 0.000 description 1
- 229930003779 Vitamin B12 Natural products 0.000 description 1
- 229940046008 Vitamin D Drugs 0.000 description 1
- 229930003316 Vitamin D Natural products 0.000 description 1
- QYSXJUFSXHHAJI-XFEUOLMDSA-N Vitamin D3 Natural products C1(/[C@@H]2CC[C@@H]([C@]2(CCC1)C)[C@H](C)CCCC(C)C)=C/C=C1\C[C@@H](O)CCC1=C QYSXJUFSXHHAJI-XFEUOLMDSA-N 0.000 description 1
- 229940046010 Vitamin K Drugs 0.000 description 1
- 229930003448 Vitamin K Natural products 0.000 description 1
- 229940019697 Vitamin K containing hemostatics Drugs 0.000 description 1
- 235000019498 Walnut oil Nutrition 0.000 description 1
- IDGUCWCSGWRLPK-LLPUSWRMSA-N [(2R)-2-[(2R,3R,4S)-3,4-di(octadecanoyloxy)oxolan-2-yl]-2-hydroxyethyl] octadecanoate Chemical compound CCCCCCCCCCCCCCCCCC(=O)OC[C@@H](O)[C@H]1OC[C@H](OC(=O)CCCCCCCCCCCCCCCCC)[C@H]1OC(=O)CCCCCCCCCCCCCCCCC IDGUCWCSGWRLPK-LLPUSWRMSA-N 0.000 description 1
- LWZFANDGMFTDAV-BURFUSLBSA-N [(2R)-2-[(2R,3R,4S)-3,4-dihydroxyoxolan-2-yl]-2-hydroxyethyl] dodecanoate Chemical compound CCCCCCCCCCCC(=O)OC[C@@H](O)[C@H]1OC[C@H](O)[C@H]1O LWZFANDGMFTDAV-BURFUSLBSA-N 0.000 description 1
- NWGKJDSIEKMTRX-BFWOXRRGSA-N [(2R)-2-[(3R,4S)-3,4-dihydroxyoxolan-2-yl]-2-hydroxyethyl] (Z)-octadec-9-enoate Chemical compound CCCCCCCC\C=C/CCCCCCCC(=O)OC[C@@H](O)C1OC[C@H](O)[C@H]1O NWGKJDSIEKMTRX-BFWOXRRGSA-N 0.000 description 1
- IYFATESGLOUGBX-NDUCAMMLSA-N [2-[(2R,3R,4S)-3,4-dihydroxyoxolan-2-yl]-2-hydroxyethyl] hexadecanoate Chemical compound CCCCCCCCCCCCCCCC(=O)OCC(O)[C@H]1OC[C@H](O)[C@H]1O IYFATESGLOUGBX-NDUCAMMLSA-N 0.000 description 1
- HVUMOYIDDBPOLL-XGKPLOKHSA-N [2-[(2R,3R,4S)-3,4-dihydroxyoxolan-2-yl]-2-hydroxyethyl] octadecanoate Chemical compound CCCCCCCCCCCCCCCCCC(=O)OCC(O)[C@H]1OC[C@H](O)[C@H]1O HVUMOYIDDBPOLL-XGKPLOKHSA-N 0.000 description 1
- NBIIXXVUZAFLBC-UHFFFAOYSA-K [O-]P([O-])([O-])=O Chemical compound [O-]P([O-])([O-])=O NBIIXXVUZAFLBC-UHFFFAOYSA-K 0.000 description 1
- 239000006096 absorbing agent Substances 0.000 description 1
- 239000000980 acid dye Substances 0.000 description 1
- 230000002378 acidificating Effects 0.000 description 1
- 239000000853 adhesive Substances 0.000 description 1
- WNLRTRBMVRJNCN-UHFFFAOYSA-L adipate(2-) Chemical compound [O-]C(=O)CCCCC([O-])=O WNLRTRBMVRJNCN-UHFFFAOYSA-L 0.000 description 1
- 238000004220 aggregation Methods 0.000 description 1
- 150000007933 aliphatic carboxylic acids Chemical class 0.000 description 1
- 229910052783 alkali metal Inorganic materials 0.000 description 1
- 150000001340 alkali metals Chemical class 0.000 description 1
- 229910052784 alkaline earth metal Inorganic materials 0.000 description 1
- 150000001342 alkaline earth metals Chemical class 0.000 description 1
- 125000005907 alkyl ester group Chemical group 0.000 description 1
- 239000008168 almond oil Substances 0.000 description 1
- 229940087168 alpha Tocopherol Drugs 0.000 description 1
- 108010041395 alpha-Endorphin Proteins 0.000 description 1
- 230000004075 alteration Effects 0.000 description 1
- 235000012211 aluminium silicate Nutrition 0.000 description 1
- 125000000539 amino acid group Chemical group 0.000 description 1
- 125000003277 amino group Chemical group 0.000 description 1
- QGZKDVFQNNGYKY-UHFFFAOYSA-N ammonia Chemical compound N QGZKDVFQNNGYKY-UHFFFAOYSA-N 0.000 description 1
- VHUUQVKOLVNVRT-UHFFFAOYSA-N ammonium hydroxide Chemical compound [NH4+].[OH-] VHUUQVKOLVNVRT-UHFFFAOYSA-N 0.000 description 1
- 239000000908 ammonium hydroxide Substances 0.000 description 1
- 239000010617 anise oil Substances 0.000 description 1
- 230000000111 anti-oxidant Effects 0.000 description 1
- 239000003963 antioxidant agent Substances 0.000 description 1
- 235000006708 antioxidants Nutrition 0.000 description 1
- 229960004405 aprotinin Drugs 0.000 description 1
- 239000012062 aqueous buffer Substances 0.000 description 1
- 239000003125 aqueous solvent Substances 0.000 description 1
- 239000010692 aromatic oil Substances 0.000 description 1
- 235000010323 ascorbic acid Nutrition 0.000 description 1
- 239000011668 ascorbic acid Substances 0.000 description 1
- 239000000987 azo dye Substances 0.000 description 1
- CLKOFPXJLQSYAH-ABRJDSQDSA-N bacitracin A Chemical compound C1SC([C@@H](N)[C@@H](C)CC)=N[C@@H]1C(=O)N[C@@H](CC(C)C)C(=O)N[C@H](CCC(O)=O)C(=O)N[C@@H]([C@@H](C)CC)C(=O)N[C@@H]1C(=O)N[C@H](CCCN)C(=O)N[C@@H]([C@@H](C)CC)C(=O)N[C@H](CC=2C=CC=CC=2)C(=O)N[C@@H](CC=2N=CNC=2)C(=O)N[C@H](CC(O)=O)C(=O)N[C@@H](CC(N)=O)C(=O)NCCCC1 CLKOFPXJLQSYAH-ABRJDSQDSA-N 0.000 description 1
- 239000011324 bead Substances 0.000 description 1
- WPYMKLBDIGXBTP-UHFFFAOYSA-M benzoate Chemical compound [O-]C(=O)C1=CC=CC=C1 WPYMKLBDIGXBTP-UHFFFAOYSA-M 0.000 description 1
- 229960003237 betaine Drugs 0.000 description 1
- 239000003613 bile acid Substances 0.000 description 1
- 239000000560 biocompatible material Substances 0.000 description 1
- 229930006709 borneol Natural products 0.000 description 1
- CPELXLSAUQHCOX-UHFFFAOYSA-M bromide Chemical compound [Br-] CPELXLSAUQHCOX-UHFFFAOYSA-M 0.000 description 1
- 125000000484 butyl group Chemical group [H]C([*])([H])C([H])([H])C([H])([H])C([H])([H])[H] 0.000 description 1
- 239000001506 calcium phosphate Substances 0.000 description 1
- 235000011010 calcium phosphates Nutrition 0.000 description 1
- 235000013539 calcium stearate Nutrition 0.000 description 1
- 239000008116 calcium stearate Substances 0.000 description 1
- 235000011132 calcium sulphate Nutrition 0.000 description 1
- 229960000830 captopril Drugs 0.000 description 1
- 150000001735 carboxylic acids Chemical class 0.000 description 1
- 235000005300 cardamomo Nutrition 0.000 description 1
- 235000013709 carrot oil Nutrition 0.000 description 1
- 230000015556 catabolic process Effects 0.000 description 1
- 150000001783 ceramides Chemical class 0.000 description 1
- 235000019480 chamomile oil Nutrition 0.000 description 1
- 239000010628 chamomile oil Substances 0.000 description 1
- 239000002738 chelating agent Substances 0.000 description 1
- 239000000460 chlorine Substances 0.000 description 1
- 229910052801 chlorine Inorganic materials 0.000 description 1
- ZAMOUSCENKQFHK-UHFFFAOYSA-N chlorine atom Chemical compound [Cl] ZAMOUSCENKQFHK-UHFFFAOYSA-N 0.000 description 1
- 235000012000 cholesterol Nutrition 0.000 description 1
- 239000010632 citronella oil Substances 0.000 description 1
- 239000010634 clove oil Substances 0.000 description 1
- 239000008199 coating composition Substances 0.000 description 1
- 125000003346 cobalamin group Chemical group 0.000 description 1
- 239000003240 coconut oil Substances 0.000 description 1
- 235000019864 coconut oil Nutrition 0.000 description 1
- 229960004729 colecalciferol Drugs 0.000 description 1
- 150000001875 compounds Chemical class 0.000 description 1
- 239000007891 compressed tablet Substances 0.000 description 1
- 238000010276 construction Methods 0.000 description 1
- 235000005687 corn oil Nutrition 0.000 description 1
- 239000002285 corn oil Substances 0.000 description 1
- 230000000875 corresponding Effects 0.000 description 1
- 235000012343 cottonseed oil Nutrition 0.000 description 1
- 239000002385 cottonseed oil Substances 0.000 description 1
- 238000005520 cutting process Methods 0.000 description 1
- 235000018417 cysteine Nutrition 0.000 description 1
- 150000001945 cysteines Chemical class 0.000 description 1
- 230000004059 degradation Effects 0.000 description 1
- 238000006731 degradation reaction Methods 0.000 description 1
- 230000001419 dependent Effects 0.000 description 1
- 230000001687 destabilization Effects 0.000 description 1
- 150000001982 diacylglycerols Chemical class 0.000 description 1
- JYFHYPJRHGVZDY-UHFFFAOYSA-M dibutyl phosphate Chemical compound CCCCOP([O-])(=O)OCCCC JYFHYPJRHGVZDY-UHFFFAOYSA-M 0.000 description 1
- 125000004177 diethyl group Chemical group [H]C([H])([H])C([H])([H])* 0.000 description 1
- RNPXCFINMKSQPQ-UHFFFAOYSA-M dihexadecyl phosphate Chemical compound CCCCCCCCCCCCCCCCOP([O-])(=O)OCCCCCCCCCCCCCCCC RNPXCFINMKSQPQ-UHFFFAOYSA-M 0.000 description 1
- HTDKEJXHILZNPP-UHFFFAOYSA-M dioctyl phosphate Chemical compound CCCCCCCCOP([O-])(=O)OCCCCCCCC HTDKEJXHILZNPP-UHFFFAOYSA-M 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- KHLVKKOJDHCJMG-QDBORUFSSA-L disodium;(2E)-3-oxo-2-(3-oxo-5-sulfonato-1H-indol-2-ylidene)-1H-indole-5-sulfonate Chemical compound [Na+].[Na+].N/1C2=CC=C(S([O-])(=O)=O)C=C2C(=O)C\1=C1/NC2=CC=C(S(=O)(=O)[O-])C=C2C1=O KHLVKKOJDHCJMG-QDBORUFSSA-L 0.000 description 1
- 239000002270 dispersing agent Substances 0.000 description 1
- 239000012153 distilled water Substances 0.000 description 1
- 238000009826 distribution Methods 0.000 description 1
- ILRSCQWREDREME-UHFFFAOYSA-N dodecanamide Chemical compound CCCCCCCCCCCC(N)=O ILRSCQWREDREME-UHFFFAOYSA-N 0.000 description 1
- MOTZDAYCYVMXPC-UHFFFAOYSA-N dodecyl hydrogen sulfate Chemical compound CCCCCCCCCCCCOS(O)(=O)=O MOTZDAYCYVMXPC-UHFFFAOYSA-N 0.000 description 1
- 229940043264 dodecyl sulfate Drugs 0.000 description 1
- 239000000975 dye Substances 0.000 description 1
- 235000013601 eggs Nutrition 0.000 description 1
- 238000007720 emulsion polymerization reaction Methods 0.000 description 1
- IINNWAYUJNWZRM-UHFFFAOYSA-L erythrosin B Chemical compound [Na+].[Na+].[O-]C(=O)C1=CC=CC=C1C1=C2C=C(I)C(=O)C(I)=C2OC2=C(I)C([O-])=C(I)C=C21 IINNWAYUJNWZRM-UHFFFAOYSA-L 0.000 description 1
- 125000004185 ester group Chemical group 0.000 description 1
- HQSFGCUUTBCFPF-UHFFFAOYSA-N ethane-1,2-diol;octadecanoic acid Chemical compound OCCO.CCCCCCCCCCCCCCCCCC(O)=O HQSFGCUUTBCFPF-UHFFFAOYSA-N 0.000 description 1
- IMROMDMJAWUWLK-UHFFFAOYSA-N ethenol Chemical compound OC=C IMROMDMJAWUWLK-UHFFFAOYSA-N 0.000 description 1
- SUPCQIBBMFXVTL-UHFFFAOYSA-N ethyl 2-methylprop-2-enoate Chemical compound CCOC(=O)C(C)=C SUPCQIBBMFXVTL-UHFFFAOYSA-N 0.000 description 1
- 235000019325 ethyl cellulose Nutrition 0.000 description 1
- 229920001249 ethyl cellulose Polymers 0.000 description 1
- SFNALCNOMXIBKG-UHFFFAOYSA-N ethylene glycol monododecyl ether Chemical compound CCCCCCCCCCCCOCCO SFNALCNOMXIBKG-UHFFFAOYSA-N 0.000 description 1
- 239000010642 eucalyptus oil Substances 0.000 description 1
- 238000011156 evaluation Methods 0.000 description 1
- 238000001704 evaporation Methods 0.000 description 1
- 230000002349 favourable Effects 0.000 description 1
- 239000010643 fennel seed oil Substances 0.000 description 1
- 238000004108 freeze drying Methods 0.000 description 1
- 238000007710 freezing Methods 0.000 description 1
- 229940050411 fumarate Drugs 0.000 description 1
- VZCYOOQTPOCHFL-UHFFFAOYSA-N fumaric acid Chemical compound OC(=O)C=CC(O)=O VZCYOOQTPOCHFL-UHFFFAOYSA-N 0.000 description 1
- 230000002496 gastric Effects 0.000 description 1
- 239000000499 gel Substances 0.000 description 1
- 239000007903 gelatin capsule Substances 0.000 description 1
- 229940050410 gluconate Drugs 0.000 description 1
- 229940097042 glucuronate Drugs 0.000 description 1
- 150000002314 glycerols Chemical class 0.000 description 1
- 125000003976 glyceryl group Chemical group [H]C([*])([H])C(O[H])([H])C(O[H])([H])[H] 0.000 description 1
- 235000013773 glyceryl triacetate Nutrition 0.000 description 1
- 239000004120 green S Substances 0.000 description 1
- 235000012701 green S Nutrition 0.000 description 1
- 239000000122 growth hormone Substances 0.000 description 1
- 229920000669 heparin Polymers 0.000 description 1
- HSEMFIZWXHQJAE-UHFFFAOYSA-N hexadecanamide Chemical compound CCCCCCCCCCCCCCCC(N)=O HSEMFIZWXHQJAE-UHFFFAOYSA-N 0.000 description 1
- 239000003906 humectant Substances 0.000 description 1
- 125000002887 hydroxy group Chemical group [H]O* 0.000 description 1
- 235000010977 hydroxypropyl cellulose Nutrition 0.000 description 1
- 239000001866 hydroxypropyl methyl cellulose Substances 0.000 description 1
- 229960003988 indigo carmine Drugs 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 238000009114 investigational therapy Methods 0.000 description 1
- PNDPGZBMCMUPRI-UHFFFAOYSA-N iodine Chemical compound II PNDPGZBMCMUPRI-UHFFFAOYSA-N 0.000 description 1
- 229910052740 iodine Inorganic materials 0.000 description 1
- 239000011630 iodine Substances 0.000 description 1
- 229940074928 isopropyl myristate Drugs 0.000 description 1
- 229940075495 isopropyl palmitate Drugs 0.000 description 1
- JVTAAEKCZFNVCJ-UHFFFAOYSA-M lactate Chemical compound CC(O)C([O-])=O JVTAAEKCZFNVCJ-UHFFFAOYSA-M 0.000 description 1
- 239000008101 lactose Substances 0.000 description 1
- GUBGYTABKSRVRQ-XLOQQCSPSA-N lactose Chemical compound O[C@@H]1[C@@H](O)[C@@H](O)[C@@H](CO)O[C@H]1O[C@@H]1[C@@H](CO)O[C@H](O)[C@H](O)[C@H]1O GUBGYTABKSRVRQ-XLOQQCSPSA-N 0.000 description 1
- 235000019388 lanolin Nutrition 0.000 description 1
- 239000004816 latex Substances 0.000 description 1
- 239000000171 lavandula angustifolia l. flower oil Substances 0.000 description 1
- 108010052968 leupeptin Proteins 0.000 description 1
- 229930007744 linalool Natural products 0.000 description 1
- 235000020778 linoleic acid Nutrition 0.000 description 1
- 238000011068 load Methods 0.000 description 1
- 150000004668 long chain fatty acids Chemical class 0.000 description 1
- 229940049920 malate Drugs 0.000 description 1
- BJEPYKJPYRNKOW-UHFFFAOYSA-L malate(2-) Chemical compound [O-]C(=O)C(O)CC([O-])=O BJEPYKJPYRNKOW-UHFFFAOYSA-L 0.000 description 1
- VZCYOOQTPOCHFL-UPHRSURJSA-L maleate(2-) Chemical compound [O-]C(=O)\C=C/C([O-])=O VZCYOOQTPOCHFL-UPHRSURJSA-L 0.000 description 1
- CECREIRZLPLYDM-QGZVKYPTSA-N manool Chemical compound CC1(C)CCC[C@]2(C)[C@@H](CC[C@](O)(C)C=C)C(=C)CC[C@H]21 CECREIRZLPLYDM-QGZVKYPTSA-N 0.000 description 1
- 238000000691 measurement method Methods 0.000 description 1
- 239000000155 melt Substances 0.000 description 1
- 125000005397 methacrylic acid ester group Chemical group 0.000 description 1
- 125000005395 methacrylic acid group Chemical group 0.000 description 1
- 229920000609 methyl cellulose Polymers 0.000 description 1
- 235000010981 methylcellulose Nutrition 0.000 description 1
- 239000004005 microsphere Substances 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000006011 modification reaction Methods 0.000 description 1
- 235000013923 monosodium glutamate Nutrition 0.000 description 1
- 239000012299 nitrogen atmosphere Substances 0.000 description 1
- 239000002736 nonionic surfactant Substances 0.000 description 1
- 230000003000 nontoxic Effects 0.000 description 1
- 231100000252 nontoxic Toxicity 0.000 description 1
- 235000016709 nutrition Nutrition 0.000 description 1
- 230000035764 nutrition Effects 0.000 description 1
- LYRFLYHAGKPMFH-UHFFFAOYSA-N octadecanamide Chemical compound CCCCCCCCCCCCCCCCCC(N)=O LYRFLYHAGKPMFH-UHFFFAOYSA-N 0.000 description 1
- WRKCIHRWQZQBOL-UHFFFAOYSA-N octyl dihydrogen phosphate Chemical compound CCCCCCCCOP(O)(O)=O WRKCIHRWQZQBOL-UHFFFAOYSA-N 0.000 description 1
- ZQPPMHVWECSIRJ-KTKRTIGZSA-M oleate Chemical compound CCCCCCCC\C=C/CCCCCCCC([O-])=O ZQPPMHVWECSIRJ-KTKRTIGZSA-M 0.000 description 1
- 239000004006 olive oil Substances 0.000 description 1
- 235000008390 olive oil Nutrition 0.000 description 1
- 239000008203 oral pharmaceutical composition Substances 0.000 description 1
- 150000007530 organic bases Chemical class 0.000 description 1
- 230000003204 osmotic Effects 0.000 description 1
- 108010043846 ovoinhibitor Proteins 0.000 description 1
- IPCSVZSSVZVIGE-UHFFFAOYSA-M palmitate Chemical compound CCCCCCCCCCCCCCCC([O-])=O IPCSVZSSVZVIGE-UHFFFAOYSA-M 0.000 description 1
- 244000045947 parasites Species 0.000 description 1
- 239000000199 parathyroid hormone Substances 0.000 description 1
- 229960001319 parathyroid hormone Drugs 0.000 description 1
- 238000007911 parenteral administration Methods 0.000 description 1
- 230000001717 pathogenic Effects 0.000 description 1
- 244000052769 pathogens Species 0.000 description 1
- 230000001575 pathological Effects 0.000 description 1
- 239000000312 peanut oil Substances 0.000 description 1
- 239000011049 pearl Substances 0.000 description 1
- ULDDEWDFUNBUCM-UHFFFAOYSA-N pentyl prop-2-enoate Chemical compound CCCCCOC(=O)C=C ULDDEWDFUNBUCM-UHFFFAOYSA-N 0.000 description 1
- 108010091212 pepstatin Proteins 0.000 description 1
- 230000008855 peristalsis Effects 0.000 description 1
- 239000008014 pharmaceutical binder Substances 0.000 description 1
- 235000021317 phosphate Nutrition 0.000 description 1
- 239000010452 phosphate Substances 0.000 description 1
- 235000019175 phylloquinone Nutrition 0.000 description 1
- 239000011772 phylloquinone Substances 0.000 description 1
- 239000010665 pine oil Substances 0.000 description 1
- 229940068196 placebo Drugs 0.000 description 1
- 239000000902 placebo Substances 0.000 description 1
- 229920001993 poloxamer 188 Polymers 0.000 description 1
- 229920000058 polyacrylate Polymers 0.000 description 1
- 229920000573 polyethylene Polymers 0.000 description 1
- 235000010989 polyoxyethylene sorbitan monostearate Nutrition 0.000 description 1
- 239000001818 polyoxyethylene sorbitan monostearate Substances 0.000 description 1
- 229920002503 polyoxyethylene-polyoxypropylene Polymers 0.000 description 1
- 229940113124 polysorbate 60 Drugs 0.000 description 1
- 239000001267 polyvinylpyrrolidone Substances 0.000 description 1
- 235000013855 polyvinylpyrrolidone Nutrition 0.000 description 1
- 239000005373 porous glass Substances 0.000 description 1
- 239000011148 porous material Substances 0.000 description 1
- ATMLPEJAVWINOF-UHFFFAOYSA-M prop-2-enoate;prop-2-enoic acid Chemical compound OC(=O)C=C.[O-]C(=O)C=C ATMLPEJAVWINOF-UHFFFAOYSA-M 0.000 description 1
- ZPWFUIUNWDIYCJ-UHFFFAOYSA-N propan-2-yl octadecanoate Chemical compound CCCCCCCCCCCCCCCCCC(=O)OC(C)C ZPWFUIUNWDIYCJ-UHFFFAOYSA-N 0.000 description 1
- OFOBLEOULBTSOW-UHFFFAOYSA-L propanedioate Chemical compound [O-]C(=O)CC([O-])=O OFOBLEOULBTSOW-UHFFFAOYSA-L 0.000 description 1
- 235000019833 protease Nutrition 0.000 description 1
- SMWDFEZZVXVKRB-UHFFFAOYSA-N quinoline Chemical compound N1=CC=CC2=CC=CC=C21 SMWDFEZZVXVKRB-UHFFFAOYSA-N 0.000 description 1
- 239000004172 quinoline yellow Substances 0.000 description 1
- 235000020944 retinol Nutrition 0.000 description 1
- 239000011607 retinol Substances 0.000 description 1
- 239000010668 rosemary oil Substances 0.000 description 1
- 229940058206 rosemary oil Drugs 0.000 description 1
- 239000010670 sage oil Substances 0.000 description 1
- YGSDEFSMJLZEOE-UHFFFAOYSA-M salicylate Chemical compound OC1=CC=CC=C1C([O-])=O YGSDEFSMJLZEOE-UHFFFAOYSA-M 0.000 description 1
- 229960001860 salicylate Drugs 0.000 description 1
- 235000003441 saturated fatty acids Nutrition 0.000 description 1
- 150000004671 saturated fatty acids Chemical class 0.000 description 1
- 239000003001 serine protease inhibitor Substances 0.000 description 1
- 239000008159 sesame oil Substances 0.000 description 1
- 235000011803 sesame oil Nutrition 0.000 description 1
- 231100000486 side effect Toxicity 0.000 description 1
- 210000000813 small intestine Anatomy 0.000 description 1
- KEAYESYHFKHZAL-UHFFFAOYSA-N sodium Chemical compound [Na] KEAYESYHFKHZAL-UHFFFAOYSA-N 0.000 description 1
- 229910052708 sodium Inorganic materials 0.000 description 1
- 235000019333 sodium laurylsulphate Nutrition 0.000 description 1
- 229940035044 sorbitan monolaurate Drugs 0.000 description 1
- 235000011071 sorbitan monopalmitate Nutrition 0.000 description 1
- 239000001570 sorbitan monopalmitate Substances 0.000 description 1
- 229940031953 sorbitan monopalmitate Drugs 0.000 description 1
- 239000008107 starch Substances 0.000 description 1
- 235000019698 starch Nutrition 0.000 description 1
- 229940114926 stearate Drugs 0.000 description 1
- 238000003860 storage Methods 0.000 description 1
- 239000000758 substrate Substances 0.000 description 1
- 229940086735 succinate Drugs 0.000 description 1
- KDYFGRWQOYBRFD-UHFFFAOYSA-L succinate(2-) Chemical compound [O-]C(=O)CCC([O-])=O KDYFGRWQOYBRFD-UHFFFAOYSA-L 0.000 description 1
- 229940035023 sucrose monostearate Drugs 0.000 description 1
- 150000003445 sucroses Chemical class 0.000 description 1
- 150000008163 sugars Chemical class 0.000 description 1
- LSNNMFCWUKXFEE-UHFFFAOYSA-N sulfonic acid Chemical compound OS(O)=O LSNNMFCWUKXFEE-UHFFFAOYSA-N 0.000 description 1
- 235000020238 sunflower seed Nutrition 0.000 description 1
- 230000001629 suppression Effects 0.000 description 1
- 239000000375 suspending agent Substances 0.000 description 1
- 150000003505 terpenes Chemical class 0.000 description 1
- 235000007586 terpenes Nutrition 0.000 description 1
- 238000009997 thermal pre-treatment Methods 0.000 description 1
- 238000004448 titration Methods 0.000 description 1
- 229960000984 tocofersolan Drugs 0.000 description 1
- 239000011732 tocopherol Substances 0.000 description 1
- 235000010384 tocopherol Nutrition 0.000 description 1
- 229950000300 tocopherol succinate Drugs 0.000 description 1
- 229930003799 tocopherols Natural products 0.000 description 1
- 230000002588 toxic Effects 0.000 description 1
- 231100000331 toxic Toxicity 0.000 description 1
- QZCLKYGREBVARF-UHFFFAOYSA-N tributyl 2-acetyloxypropane-1,2,3-tricarboxylate Chemical compound CCCCOC(=O)CC(C(=O)OCCCC)(OC(C)=O)CC(=O)OCCCC QZCLKYGREBVARF-UHFFFAOYSA-N 0.000 description 1
- ZFOZVQLOBQUTQQ-UHFFFAOYSA-N tributyl 2-hydroxypropane-1,2,3-tricarboxylate Chemical compound CCCCOC(=O)CC(O)(C(=O)OCCCC)CC(=O)OCCCC ZFOZVQLOBQUTQQ-UHFFFAOYSA-N 0.000 description 1
- 238000002604 ultrasonography Methods 0.000 description 1
- 235000021122 unsaturated fatty acids Nutrition 0.000 description 1
- 150000004670 unsaturated fatty acids Chemical class 0.000 description 1
- 235000019155 vitamin A Nutrition 0.000 description 1
- 239000011719 vitamin A Substances 0.000 description 1
- 235000019163 vitamin B12 Nutrition 0.000 description 1
- 239000011715 vitamin B12 Substances 0.000 description 1
- 235000019166 vitamin D Nutrition 0.000 description 1
- 239000011710 vitamin D Substances 0.000 description 1
- 150000003710 vitamin D derivatives Chemical class 0.000 description 1
- QYSXJUFSXHHAJI-YRZJJWOYSA-N vitamin D3 Chemical compound C1(/[C@@H]2CC[C@@H]([C@]2(CCC1)C)[C@H](C)CCCC(C)C)=C\C=C1\C[C@@H](O)CCC1=C QYSXJUFSXHHAJI-YRZJJWOYSA-N 0.000 description 1
- 235000005282 vitamin D3 Nutrition 0.000 description 1
- 239000011647 vitamin D3 Substances 0.000 description 1
- 235000019168 vitamin K Nutrition 0.000 description 1
- 239000011712 vitamin K Substances 0.000 description 1
- 150000003721 vitamin K derivatives Chemical class 0.000 description 1
- 239000008170 walnut oil Substances 0.000 description 1
- 235000021307 wheat Nutrition 0.000 description 1
- NXSIJWJXMWBCBX-NWKQFZAZSA-N α-Endorphin Chemical compound C([C@@H](C(=O)N[C@@H](CCSC)C(=O)N[C@@H]([C@@H](C)O)C(=O)N[C@@H](CO)C(=O)N[C@@H](CCC(O)=O)C(=O)N[C@@H](CCCCN)C(=O)N[C@@H](CO)C(=O)N[C@@H](CCC(N)=O)C(=O)N[C@@H]([C@@H](C)O)C(=O)N1[C@@H](CCC1)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](C(C)C)C(=O)N[C@@H]([C@@H](C)O)C(O)=O)NC(=O)CNC(=O)CNC(=O)[C@@H](N)CC=1C=CC(O)=CC=1)C1=CC=CC=C1 NXSIJWJXMWBCBX-NWKQFZAZSA-N 0.000 description 1
- 239000002076 α-tocopherol Substances 0.000 description 1
- 235000004835 α-tocopherol Nutrition 0.000 description 1
Abstract
The invention relates to an oral, multiparticle pharmaceutical dosage form containing pellets, the size of which ranges from 50 to 2500µm and which essentially consist of:a) an inner matrix layer containing an active substance which is a peptide or a protein, including the derivatives or conjugates thereof, and which is embedded in a matrix consisting of a polymer with mucoadhesive effect, and b) an outer film coating essentially consisting of an anionic polymer or copolymer, which can be optionally formulated with pharmaceutically conventional adjuvants, more particularly softening agents.
Description
PHARMACEUTICAL DOSAGE FORM OF MULTIPLE PARTICLES
WHICH CONTAINS A PEPTIDE FORMULATED MUCOADHESIVELY OR
ACTIVE PROTEIN SUBSTANCES AND A METHOD TO PRODUCE
THIS METHOD OF DOSAGE The invention relates to a multi-particle pharmaceutical form comprising a peptide formulated ucoadhesively and / or protein active substances and to a method for producing the pharmaceutical form. Prior art DE 1000 24 451 A1 describes the pharmaceutical dosage forms suitable for Parenteral use and comprises, in dissolved or dispersed form, peptides that are prone to aggregation. The peptides can, in this case, be present in various salt forms. The dosage forms comprise, in addition to free acids and, when appropriate, additional pharmaceutical excipients. WO 02/03955 discloses bioadhesive pharmaceutical forms, microspherically formulated for sublingual administration of the active substances. The microspheres have an average diameter of less than 50 μm and comprise the active substance, which may be, for example, a peptide, in a non-crystalline form in an icromatrix embedded in a bioadhesive polymer. The bioadhesive polymer can, among other things, be a cellulose, a chitosan or an acrylic copolymer. WO 02/64148 describes formulations comprising • a mucopolysaccharide and a method for its production. In this case a mucopolysaccharide, for example heparin, is formulated together with an adsorption enhancer, for example a chitosan, and then it is provided with a soluble coating in the intestinal juice, so that the active substance can be released in the middle segments. inferior of the small intestine. Examples of the soluble coatings in the intestinal juice are anionic acrylic copolymers of the Eudragit® L, S, L100-55 type. The formulations may include capsules, tablets and granules. WO 02/43767 describes the oral pharmaceutical compositions for the active substances of physiologically active peptide comprising the active substance that is coupled to a cell membrane translocator, an agent for lowering the pH and / or a protease inhibitor and a transport vehicle stable to the acid that protects the pharmaceutical composition when it passes through the patient's stomach and avoids contact with the protease present in the stomach. The transport vehicle can be capsules that are coated with acid resistant coatings composed of Eudragit® L30 D-55. WO 03/007913 describes oral pharmaceutical forms of multiple particles comprising the active substance in the form of a multiplicity called patches. A patch is a disc-shaped object made of a biocompatible material having a diameter from 500 μm to 5 mm and a weight of 100 to 1000 μm. The patch consists of two layers or sides, on one side having only low permeability for water or body fluids, for example made of ethylcellulose and on a second side comprising the active substance, for example, a peptide or protein, which can be present in a mixture with mucoadhesive polymers, for example chitosan, CMC, polyacrylic acid or pectin. The patches may be compressed to form a tablet or packaged in a capsule that is additionally provided with a coating soluble in the intestinal juice. The active substance preparations can also be combined with so-called enhancers such as fatty acids, fatty alcohols, esters, surface active substances and protease inhibitors. At the site of action, for example in a particular segment of the intestine, the capsule dissolves and releases the patches. The released patches can also adhere with their mucoadhesive side to the intestinal mucosa and thus deliver the active substance in a delayed manner and directly into the intestinal mucosa. The only slightly permeable side of the patches is intended to provide the active substance with a certain protection towards chemical or enzymatic inactivation from the side facing the intestinal lumen and also to prevent the active substance from escaping on this side. Problem and solution The solution offered by WO 03/007913 for the production of oral dosage forms, especially for active peptide or protein-based substances that are released in the intestinal lumen and that are intended to act there, is remarkable and must be recognized. One disadvantage of this solution is, among other things, the elaborate construction and the production of the two-layer patch structures. It appears to be particularly unfavorable, however, so that the dosage form can be provided as a capsule having a coating that is resistant to gastric juice and soluble in intestinal juice. The size distinctly of more than 2.5 mm results in this case in an inadequate therapeutic reproducibility. The time for the capsule to pass through the stomach can vary widely. In any case, a delayed insertion of action must be expected. In addition, the capsule itself can dissolve rapidly or slowly after partial dissolution of the coating. The two principles of the coating and the overlap of the capsule in an unfavorable manner, in this case, so that the release of the patches can generally be expected to be uncontrolled. The capsule can, in a situation where it is at least partially accessible to the intestinal juices, remain intact or substantially mechanically disintegrated, depending on the current intestinal contents or intestinal peristalsis. There may be on the one hand a sudden release of large amounts of patches, or on the other hand also an unwanted delay of release, depending on the disintegration of mechanical concentration in the structure of the initially coated capsule. Therefore, the delivery of an active substance that can usually be better controlled is desirable. It has been considered as one of the problems of the invention to provide a pharmaceutical form that is suitable for the targeted and efficient release of the active substances of proteins or peptides. The dosage form is intended to provide a high dose release and to be distributed well in the intestinal lumen after a rapid passage through the stomach. The active substances contained in proteins or peptides are even more intended to be substantially protected from physical, chemical or proteolytic inactivation and to be released at the defined site of action so that a large portion of the active substance can be absorbed by the body. The release site is intended to be adjusted in a variable and reliable manner depending on the therapeutic purpose. The problem is solved by a multiple particle oral dosage form comprising granules having a size in the range of 50 to 2500 μm, which are composed of a) an inner matrix layer comprising an active substance which is a peptide or a protein and which includes derivatives or conjugates thereof, and, is embedded in a matrix of a polymer having a mucoadhesive effect, wherein the matrix can, optionally, comprise the usual pharmaceutical excipients, b) an outer film coating consisting essentially of an anionic polymer or copolymer which can be optionally formulated with conventional pharmaceutical excipients, especially plasticizers, characterized in that, the multi-particle dosage form is formulated so that the contained granules are released in the pH range of the stomach, the outer coating is adjusted through the choice of anionic polymer or copolymer or its formulation with excipients and its layer thickness so that the coating dissolves in the pH ranges of 4.0 to 8.0 in the intestine in a period of 15 to 60 minutes, so that the mucoadhesive matrix layer containing the substance Active is exposed, and can adhere to the intestinal mucosa and release the active substance there, where the polymer having a mucoadhesive effect is chosen to exhibit a mucoadhesive effect at least of? = 150 to 1000 mPa »s and a water absorption of 10 to 750% in 15 minutes in a range of units of +/- 0.5 pH in relation to the pH at which the outer coating begins to dissolve, and the active substance content of the matrix layer is a maximum of 40% by weight of the content of the polymer having a mucoadhesive effect. Implementation of the invention The invention relates to an oral pharmaceutical form of multiple particles, in particular in the form of a tablet, mini-tablet, granules packed in capsules or sachets or reconstitutable powders, comprising granules having an average size or an average diameter. in the range of 50 to 2500, preferably 100 to 1000 um, which are composed of: a) an inner matrix layer comprising an active substance that is a peptide or a protein, including derivatives or conjugates thereof, and is embedded in a matrix of a polymer having a mucoadhesive effect, wherein the matrix may optionally or ordinarily comprise additional customary pharmaceutical excipients, b) an outer film coating consisting essentially of an anionic polymer or copolymer which may be optionally formulated with pharmaceutical excipients usual, especially plasticizers. The multi-particle pharmaceutical formula is formulated so that the contained granules are released in the range of the stomach's pH. The outer coating is adjusted through the choice of the anionic polymer or copolymer or its formulation with excipients and its layer thickness so that the coating dissolves at a pH in the range of 4.0 to 8.0, preferably 5.5 to 7.8, particularly preferred. from 5.8 to 7.5, in the intestine for 20 to 40 minutes, so that the mucoadh.esiva matrix layer containing the active substance is exposed, and can adhere to the intestinal mucosa and release the active substance there. The polymer or copolymer having a mucoadhesive effect is chosen so as to exhibit a mucoadhesive effect of. at least r | b = 150 to 1000, preferably 150 to 600, mPa »s and water absorption from 10 to 750, preferably from 10 to 250, particularly preferably from 10-160% in 15 minutes in a range of + / - 0.5, preferably +/- 0.3, units of pH in relation to the pH at which the outer coating begins to dissolve and the active substance content of the matrix layer is a minimum of 40, in particular 0.001 to 15 or 0.05 a 5% by weight of the content of the polymer having a mucoadhesive effect. Layer of the internal matrix The layer of the internal matrix acts as a carrier of active substance. The inner matrix layer additionally has the function of binding the active substance, by means of the contained mucoadhesive polymer, to the intestinal mucosa so that the active substance can enter the body from there. The internal matrix layer also has the function of protecting the active substance from physical, chemical or enzymatic inactivation. Formulations of active substances / active substance The matrix layer comprises an active substance which can be a protein or peptide, including derivatives or conjugates thereof, having an average molecular weight Mw from 300 to 1,000,000 (bulging). By derivatives is meant chemical or biochemical modifications of the primary or secondary structure. Examples are proteins or peptides that are derived from natural sources or that are completely synthetic or that have non-natural amino acid residues. Conjugates with covalent linkages of proteins or peptides to non-peptide compounds, for example proteins or peptides coupled to polyethylene glycol. Active substances The active substances used for the purposes of the invention are intended in particular for use on or in the human or animal body for the purpose of: 1. Curing, alleviating, preventing or diagnosing disorders, conditions, physical injuries or pathological symptoms; 2. Reveal the condition, condition or functions of the body or mental states; 3. Replace active substances or body fluids produced by the human or animal body. 4. Isolate, eliminate or render harmless pathogens, parasites or exogenous substances; or 5. Influence the condition, condition or functions of the body or mental state. The peptides and protein active substances can be used as free acids or bases. Examples of counterions that may be employed are physiologically acidic bases or alkaline earth metals or alkali metals or tolerated amines and, for example, acetate, adipate, ascorbate, alginate, benzoate, bensenosulfonate, bromide, carbonate, arboxymethylcellulose (free acid) ), citrate, chlorine, dibutyl phosphate, dihydrogen citrate, dioctyl phosphate, dihexadecyl phosphate, fumarate, gluconate, glucuronate, glutamate, hydrogen carbonate, hydrogen tartrate, hydrochloride, hydrogen citrate, iodine, lactate, alpha lipoate, malate, maleate, malonate, pamoate, palmitate, phosphate, salicylate, stearate, succinate, sulfate, tatrato, tannate, oleate, octyl phosphate. The active substance content of the matrix layer is a maximum of 40, in particular 0.001 to 15 or 0.05 to 5,% by weight of the content of the polymer having a mucoadhesive effect. Depending on the physical-chemical properties of the active substance, such as, for example, water-in-oil partition coefficient or isoelectric point, etc., the matrix layer may additionally comprise a carboxylic acid or Ce-a C2o fatty acid- preferably a carboxylic or fatty acid Cs_, Cι-, or C12- to C2o ~ and / or a C6- to C2o- / preferably C8-, C ?0-, or Ci0- to C2o ~ alcohol including its salts, ether, ester or derivatives of amine and / or a lipid and / or a phospholipid and / or a lipid-soluble vitamin and / or a protease inhibitor and / or a penetration promoter and / or an efflux pumping inhibitor, for example, ketoconazole or polyethylene 660 12-hydroxystearate (Slutol® HS15).
The active substance can be a protein or a peptide having an average molecular weight Mw of less than 3000 Da. Examples of these peptides are in particular abarelix, angiotensin II, anidulafungin, antide, argipressin, azaline and azaline B, bombesin antagonist, bradykinin, buserelin, cetrorelix, cyclosporin A, desmopressin, detirelix, encephalitis (Leu-, Met) ganirelix , gonadorelin, goserelin, growth hormone secretagogue, micafugin, nafrerelin, leuprolide, leuprorelin, octreotide, orntido, oxytocin, ramorelix, secretin, somatotropin, terlipressin, tetracosáctide, teverelix, triptorelin, tiroliberin, thyrotropin, vasopressin. It is preferred in this case that the matrix layer further comprises a carboxylic acid or C6- to C2o-f fatty acid, preferably C3-, Cio- or C1Z- to C2o- optionally to a carboxylic or fatty acid Co_ and / or C6- to C20 -, preferably C8-, Cio- or C? 2- to C2O ~? optionally up to C3o- alcohol, including its. salts and / or a phospholipid and / or a lipid soluble vitamin and / or an efflux pump inhibitor. The addition has the advantage that the solubility, stability and absorption of the active substance can be improved in this way. Suitable examples are fatty acid esters such as glycerol trimyristate, glycerol monostearate, glycerol tristereate, glycerol tripalmitate, glyceryl genic acid ester and fatty acid amides, aliphatic long chain carboxylic acids such as palmitic acid, stearic acid, acid lauric, cetyl alcohol and waxes such as carnauba wax, beeswax and phospholipids such as egg lecithin, soy lecithin and vitamins such as vitamin E. The active substance can be a protein or a peptide having an average molecular weight Mw from 3000 to 10,000 Da. Examples as proteins or peptides are in particular calcitonin, corticotrophin, endorphins, epithelial growth factor, glucagon, insulin, novilin, parathyroid hormone, por-somatostatin, salmon secretin. If the active substance is a protein or a peptide having an average molecular weight Mw from 3000 to 10 000, the matrix layer preferably comprises a carboxylic acid or fatty acid C6- a C2ct > preferably C8-, Cio- O CI2- a C2o ~ r when it is correct to alcohol Co-, including its salts, ether, ester or amide derivatives and / or a lipid and / or a phospholipid and / or a lipid-soluble vitamin and / or a protease inhibitor. The active substances of proteins or peptides having an average molecular weight Mw from 3000 to 10 000 are frequently particularly sensitive to enzymatic degradation through proteases, so that the addition of the protease inhibitors is particularly advantageous by itself, in addition to the stabilization of the active substance. Examples of pharmaceutically suitable protease inhibitors are antidolor, aprotinin, acitrazine, idina benzene, bestatin, captopril, ki ostatin, chicken ovoinhibitor, Na2 EDTA, chitosan-EDTA conjugates, Na glycocholates, leupeptin, pepstatin, trypsin inhibitors, soybean, thiorfan, tos-lis chloromethyl ketone, potato carboxypeptidase inhibitor. The active substance can be a protein or a peptide having an average molecular weight M w of more than 10,000. Examples of these proteins or peptides are in particular interferons (alpha, beta, gamma), interleukins
(IL1, IL2), somatotropin, erythroproietin, tumor necrosis factor (TNF alpha, beta), relaxin, endorphin, alpha domase, follicle stimulating hormone (FSH), chorion gonadotropin (HCG), growth hormone release factor human (HgRF), luteinizing hormone (LH) or epidermal growth factor. If the active substance is a protein or a peptide having an average molecular weight Mw of more than 10 000 Da, the matrix layer preferably further comprises a carboxylic or C6- to C20- fatty acid, preferably C8-, C- or C- ? 2- to C20-, where it is correct to a C3or alcohol including its saltsamide, ether, ester or derivatives of amide and / or a lipid and / or a phospholipid and / or a lipid soluble vitamin and / or a protease inhibitor and (or a penetration promoter) The addition of a penetration promoter is advantageous because the absorption of the active substance having a high average molecular weight Mw of more than 10 000 is comparatively favored by this The suitable penetration promoters are in particular plasticizers such as, for example, triethyl citrate, triethyl citrate acetyl , diethyl debate, dibutyl sebacate, polymers such as carbomer, chitosan, chitosan-cysteine, sodium camoxymethylcellulose, N-trimethylated chitosan, polycarbophil cysteines, long-chain fatty acids, their esters (eg, mono and diglycerides) and their salts such as lauric acid, laurinosulfonic acid, palmitic acid, caprylic acid, caprylic acid, oleic acid, acylcarnitines, chelating agents such as EDTA, asilicilatos, cyclodextins, acid two polyacrylates, bile acids such as coic acid, coliltaurin, colilsarcosine, kenodeoxycholic acid, and their salts such as Na cholate, Na glycolate, Na taurocholate, Na taurodihydrofusidate, Na glycidihydrofusidate, surfactants and emulsifiers such as, in particular polyethylene 12-hydroxystearate 660 (Solutol ® HS15) (Solutol HS15), polysorbate 80 (Tween 80), polyethoxylated castor oil (Cremophor EL), polyoxyethylene-polyoxypropylene glycol (Pluronic® F68), the toxin of zonula toxin (ZOT) and vitamins such as vitamin E ( tocopherol) or vitamin B12. If the active substance is a protein or a peptide having an average molecular weight Mw of more than 10 000 Da, the matrix layer preferably comprises an efflux pumping inhibitor such as, in particular, ketoconazole or polyethylene 12-hydroxystearate 660 ( Slutol HS15). Polymers that have a mucoadhesive effect The matrix layer further comprises polymers that have a uco-adhesive effect. Suitable polymers that have a mucoadhesive effect are in particular a chitosan
(chitosan and derivatives, chitosan), copolymers of
(meth) acrylate consisting of 20-45% by weight of methyl methacrylate and 55 to 80% by weight of methacrylic acid, celluloses, especially methyl celluloses such as carboxymethylcellulose Na (for example Blanose® or Metocel®). The polymer having a mucoadhesive effect is chosen to exhibit an absorption of water from 10 to 750, preferably from 10 to 250, particularly preferably from 10 to 160% in 15 minutes in a range of +/- 0.5, preferably + / - 0.3 pH units in relation to the pH at which the outer coating begins to dissolve. Measurement of mucoadhesive properties A suitable measurement method for characteristic mucoadhesive properties is contained in Hassan and Gallo (1990) (see Hassan EE and Gallo JM? A Simple Rheological Method for the in Vitro Assessment of Mucin-Polymer Bioadhesive Bond Strength "' ("A Simple Rheological Method for the In Vitro Evaluation of the Bioadhesive Bond Concentration of the Mucin Polymer" Phrma Res. 7 (5), 491 (1990).) The method is based on the hypothesis that the viscosity (? dynamic viscosity or viscosity coefficient) of a mixture of polymers with mucin is different from the total viscosities of the individual components.
The mixture of polymer with mucin represents the difference. A? B means higher mucoadhesive properties. The individual components are initially measured by their viscosity using a rotary viscometer. A concentration of 0.5% is used
(w / w) of aqueous solution of the mucoadhesive polymer and 15% resistance of a solution of porcine gastric mucin. To determine the mucoadhesive properties β, the mucin and polymer are measured alone and mixed at the concentrations mentioned. The polymer having a mucoadhesive effect is chosen to exhibit a mucoadhesive effect measured as viscosity? B from 150 to 1000, preferably from 150 to 600 mPa * s in a range of +/- 0.5, preferably +/- 0.3 pH units in relation to the pH at which the outer coating begins to dissolve. Hydration and water absorption The hydration of polymers is based on the affinity of the polymer to absorb water. The polymers swell due to their absorption of water. This is due to a lack of balance between the chemical potential of the water in the polymer and the water in the surrounding medium. the water is absorbed, due to the osmotic pressure of the polymer, until a balance is established between the interior and exterior phases. The polymer is then hydrated at 100%. The polymers having a low average molecular weight are then in the form of a solution. A gel is produced with polymers having a higher molecular weight or cross-linked polymers. The absorption of water up to equilibrium is established and can add, for example, up to 10 times the inherent weight, corresponding to 1000% of the weight of the polymer. Measurement of water percentage absorption The measurement of water absorption percentage is known to the authorized worker. A suitable method is described in the Lehrbuch der phar azeutischen Technologie / Rudolf Voigt, Basis: Verlag Chemie, 5th edition completely revised, 1984, page 151, 7.7.6 under "Aufsaugvermógen". The method makes use of the so-called Enslin apparatus, in which a glass suction filter funnel is connected by a tube to a graduated pipette. The pipette is mounted exactly horizontally in such a way that it is on the same level as the porous glass washer. A water absorption of 100% is defined in the present case as a water absorption of 1 ml of water per 1 g of polymer having a mucoadhesive effect in 15 minutes. The comparatively fast water absorption or hydration and the high degree of hydration, same time as the outer coating begins to dissolve, ensure a rapid protection of the active substance and a direct agglomeration to the intestinal mucosa. The agglomeration of the active substance in the mucoadhesive matrix should only be small, so that the active substance can pass directly from the intestinal mucosa into the body. Control of the pH of the matrix The mucoadhesive effect is dependent on the pH by many ucoadhesive polymers »The pH in the matrix can only be controlled in a specific way through the addition of an acid, a base or a buffer system. The inner matrix comprises as a polymer having a mucoadhesive effect, for example, a chitosan which is used together with an acetate buffer system. The acetate / acetate acetate NO, for example, adjusted to a pH of 5.0 to 5.5, can be present as an additive in the matrix or applied to a core in which the matrix is applied. It is thus possible to use a chitosan also in combination with film coatings that begin to dissolve at higher pH values, for example, pH from 6.0 to 8.0. Despite the high surrounding pH, the low pH is maintained in the matrix's micro-environment. In this way it is possible to use the mucoadhesive properties of the polymer in a pH range in which otherwise it would not have had a mucoadhesive effect or not in this measurement. This has the advantage that some protection can be achieved against proteases whose optimum pH is in the higher pH ranges. The same principle can also be applied inversely by raising the pH of the matrix by adding a base, and combining it with a film coating that dissolves at lower pH values. Examples of the selection of suitable mucoadhesive polymers The selection of suitable mucoadhesive polymers is based on their mucoadhesive properties and their water absorption capacity. The polymers must have a mucoadhesive effect of at least? B = 150 to 1000 mPa * s and an absorption of water from 10 to 750% in 15 minutes in the respective pH range. The following table presents a list by way of example. Chitosan is suitable, for example, for use in a surrounding pH region of 5.5 (duodenum) or in another pH of a surrounding region (ileus or colon) as long as the pH region of the matrix is adjusted, for example with the help of a buffer system, for the region around pH 5.5. The (meth) acrylate copolymer listed in the table is more suitable for a pH region with a pH of 7.2 than for a pH region around pH 5.5. Alginate Na is suitable for the pH region around a pH of 5.5 but not for a pH of 7.2. The carboxymethylcellulose Na and the crosslinked polyacrylic acid are suitable over a wide pH range from 5.5 to 7.2.
* - Copolymer of (meth) acrylate of 30% by weight of methyl methacrylate and 70% by weight of methacrylic acid. The outer coating of copolymers of anionic (meth) acrylate The outer coating of anionic polymers or copolymers serves as a coating resistant to gastric juice in order to protect the inner matrix layer of gastric juices. The outer coating additionally acts to protect the active substance from the proteolytic enzymes until the moment in which the coating reaches a section of intestine (duodenum, jejunum, ileum or colon) where it begins to dissolve. The outer coating in this case serves in particular for the so-called "gastrointestinal target", for example, the intended release of the inner matrix layer in the sections of the intestine determined by the prevailing pH therein, so that there is no impediment to the When the internal matrix layer is delivered, the (meth) acrylate copolymer of the outer coating must exhibit minimal or only slight interactions with the active substance or with the mucoadhesive polymer of the inner matrix layer, suitable anionic polymers or copolymers are glycolate cellulose (Duodcell®), cellulose acetate phthalate (CAP, Cellulosi acetates, PhEur, cellulose acetate phthalates, NF, Aquateric®), cellulose acetate succinate (CAS), cellulose acetate trimellitate (CAT), Hydroxypropylmethylcellulose phthalate (HPMCP, PH50, PH55), hydroxypropylmethylcellulose acetate succinate (HPMCAS-LF, -MF, -HF), polyvinyl acetate phthalate (PVAP, Suret eric®), vinyl acetate-vinylpyrrolidone copolymer (PVAc, Kollidon®, VA64), vinyl acetate: protonic acid 9: 1 copolymer (VAC: CRA, Kollicoat® VAC) and / or lacquer. These polymers and copolymers can in many cases be formulated in a perfectly satisfactory manner to allow the specific pH solution to be achieved. The outer film coating consists preferably in particular essentially of (meth) acrylate copolymers having a content of monomers having anionic groups of 5 to 60% by weight, which can optionally be formulated with usual pharmaceutical excipients, especially plasticizers. Compared to the polymers mentioned at the beginning, these copolymers of
Anionic (meth) acrylates make it possible within the scope of the invention in many cases to adjust the specific pH of the pH solution to adjust even more precisely and with reproducibility. Management and application is also usually considered less elaborate. The (meth) acrylate copolymer for the outer coating preferably consists of from 40 to 95, preferably from 45 to 90, in particular 30% by weight, polymerized C 1 to C free radical acrylic or polymeric methacrylic acid esters and can comprise from 5 to 60, preferably from 8 to 40, in particular from 20 to 35% by weight of (meth) acrylate monomers having an anionic group. The proportions mentioned normally add up to 100% by weight. However, it is possible in sum, without this leading to an inability or alteration of the essential properties, for small amounts in the region of 0 to 10, for example 1 to 5% by weight of additional monomers with vinyl copolymerization capacity, as for example, that hydroxyethyl methacrylate or hydroxyethyl acrylate is present. The alkyl esters of acrylic or methacrylic acid C 1 -C 4 are in particular methyl methacrylate, ethyl methacrylate, butyl methylacrylate, methyl acrylate, ethyl acrylate and butyl acrylate. A (meth) acrylate monomer having an anionic group may, for example, be an acrylic acid, but preferably a methacrylic acid. Also suitable are copolymers of
(meth) acrylate anionic compounds of 40 to 60% by weight of methacrylic acid and 60 to 40% by weight of methyl methacrylate or 60 to 40% by weight of ethyl acrylate (Eudragit @ L or Eudragit® Ll00-55). Eudragir®L is a copolymer of 50% by weight of methyl methacrylate and 50% by weight of methacrylic acid. Eudragit® L 30D is a dispersion comprising 30% by weight of Eudragit®L. This (meth) acrylate copolymer is particularly suitable for dissolution in the pH ranges of around pH 6.0 to 6.5 (jejunum).
Eudragit® L100-55 is a copolymer of 50% by weight of ethyl acrylate and 50% by weight of methacrylic acid. Eudragit® L 30-55 is a dispersion comprising 30% by weight of Eudragit® L 100-55. This (meth) acrylate copolymer is particularly suitable for dissolution in pH ranges of about pH 5 to 6.0 (duodenum). Equally suitable are the copolymers of
anionic (meth) acrylate from 20 to 40% by weight of methacrylic acid and from 80 to 60% by weight of methyl methacrylate
(type Eudragit® S). This (meth) acrylate copolymer is particularly suitable for dissolution in pH ranges of around pH 6.5 to 7.0 (jejunum and ileum). Particularly suitable are (meth) acrylate copolymers consisting of 10 to 30% by weight of methyl methacrylate, 50 to 70% by weight of methyl acrylate and 5 to 15% by weight of methacrylic acid. Eudragit® FS is a copolymer of 25% by weight of methyl methacrylate, 65% by weight of methyl acrylate and 10% by weight of methacrylic acid. Eudragit® FS 30D is a dispersion comprising 30% by weight of Eudragit® FS. This (meth) acrylate copolymer is particularly suitable for dissolution in the pH ranges of about pH 7.0 to 7.8 (ileus and colon). Additionally suitable is a copolymer composed of 20 to 34% by weight of methacrylic acid and / or acrylic acid, 20 to 69% by weight of methyl acrylate and 0 to 40% by weight of ethyl acrylate and / or where correct 0 10% by weight of additional monomers with vinyl copolymerization capacity. with the assumption that the transition temperature of the copolymer with respect to ISO 11357-2, subsection 3.3.3, is not more than 60 ° C. This (meth) acrylate copolymer is particularly suitable, due to its good elongation to the breaking properties, for compression of granules to tablets. Additionally suitable are copolymers composed of 20 to 33% by weight of methacrylic acid and / or acrylic acid 5 to 30% by weight of methyl acrylate and 20 to 40% by weight of ethyl acrylate and more than 10 to 30% by weight. weight of butyl methacrylate and where it is correct 0 to 10% by weight of additional monomers with vinyl copolymerization capacity, where the proportions of the monomers add up to 100% by weight, with the assumption that the glass transition temperature of the copolymer of According to ISO 11357-2, subsection 3.3.3 (midpoint temperature Tm), it is 55 to 70 ° C. Copolymers of this type are particularly suitable, due to their good mechanical properties, for compressing granules to tablets. The aforementioned copolymer is in particular composed of free radical polymerized units of from 20 to 33, preferably from 25 to 32, particularly preferably from 28 to 31% by weight of methacrylic acid or acrylic acid, preferably of methacrylic acid, from 5 to 30, preferably from 10 to 28, particularly preferably from 15 to 25,% by weight of methyl acrylate, 20 to 40, preferably from 25 to 35, particularly preferably from 18 to 22% by weight of ethyl acrylate, and more than 10 to 30 , preferably from 15 to 25, particularly preferably from 18 to 22% by weight of butyl methacrylate, wherein the monomer composition is chosen such that the glass transition temperature of the copolymer is 55 to 70 ° C, preferably 59 to 66, particularly preferably 60 to 65 ° C.
It is also possible to use mixtures of the said copolymers in order to adjust specific release profiles or release sites. The glass transition temperature means in this particular connection the mean temperature point Tmg according to ISO 11357-2, subsection 3.3.3. The measurement is carried out without added plasticizers, with residual monomer contents (REMO) of less than 100 ppm, with a heating rate of 10 ° C / min and under a nitrogen atmosphere. The copolymer consists essentially of exclusively 90, 95 or 99 to 100% by weight of the methacrylic acid monomers, methyl acrylate, ethyl acrylate and butyl methacrylate in the ranges of the amounts indicated above. However, it is possible, without this necessarily leading to an inability of the essential properties, for small quantities in the range of 0 to 10, for example 1 to 5% by weight of additional monomers with vinyl copolymerization capacity to be present additionally, such as, for example, methyl methacrylate, butyl acrylate, hydroxyethyl methacrylate, vinylpyrrolidone, vinylmalonic acid, styrene, vinyl alcohol, vinyl acetate and / or derivatives thereof. The copolymers are obtained in a manner known per se by free radical polymerization, bulk material, solution, beads or emulsion. Before processing, these must be brought to the range of the particle size of the invention through suitable grinding, drying or spraying processes. This can be carried out by simple grinding of extruded and cooled or hot-cut granules. The use of powders can be advantageous especially in the mixture with other powders or liquids. Apparatus suitable for producing powders are familiar to skilled workers, for example air jet mills, perforated disk mills, magazine mills. It is possible, where it is correct to include the correct cutting steps. A suitable laminator for large industrial quantities is for example an opposite jet laminator (Multi No. 4200) which is operated with an overpressure of 6 bars. Preparation of the Copolymer The (meth) acrylate copolymers can be obtained by free radical polymerization of the monomers (see, for example, EP 0 704 207 A2 and EP 0 704 208 A2). The copolymers can be prepared in a known manner by free-radical emulsion polymerization in the aqueous phase in the presence of, preferably, emulsifiers, for example through the process described in DE-C 2 135 073. Organic solution These (meth) copolymers ) acrylate can be provided in the form of an organic solution, for example, in a concentration of 10 to 30% by weight. Examples of the solvents that can be used are acetone, isopropanol or ethanol or the mixture thereof, which can, when correct, comprise water in proportions of up to about 10% by weight. However, aqueous dispersions are preferred. Dispersions The (meth) acrylate copolymers can be produced and used as emulsion polymers, preferably in the form of an aqueous dispersion with a concentration of 10 to 50 percent by weight, in particular at a concentration of 20 to 40 percent. The partial neutralization of methacrylic acid units can be dispatched for processing; however, it is possible, for example, to a certain extent up to 5 or 10 mol%, if a stabilization or thickening of the dispersion of the coating composition is desired. The average weight size of the latex particles is ordinarily 40 to 100 nm, preferably 50 to 70 nm, thus ensuring a viscosity below 1000 mPa »s, which is favorable for processing.
With higher degrees of neutralization, for example 10 to 50 mol% or complete neutralization, it is possible for the copolymer to be converted to a dissolved state. In order to make an anionic copolymer solution, it is usually necessary to neutralize the acid groups partially or completely. The anionic copolymer can, for example, be stirred gradually in water in a final concentration or from 1 to 40% by weight and at the same time be partially or completely neutralized by adding a basic substance such as, for example, NaOH, KOH, ammonium hydroxide, or organic bases such as, for example, triethanolamine. It is also possible to use a copolymer powder to which a base has been added during its preparation, for example NaOH, for the purpose of (partial) neutralization, so that the powder is a polymer that is already (partially) neutralized. The pH of the solution usually above 4, for example, in the range of 4 to about 7. The dispersion may, for example, also be sprayed, dried or frozen frozen in a manner known per se and provided in the form of a re-dispersed powder (see, for example, EP-A 0 262 326). The alternative processes are dried by freezing or coagulation or squeezed out of the water in an extruder with subsequent granulation (see for example EP-A 0 638 028). Surprisingly it has been found that spray copolymer- or freeze-drying dispersions and dispersing powders again exhibit increased shear stability. This is advantageous in particular in the case of spray application. This advantage is particularly evident when the copolymer present in the dispersion is partially neutralized to the extent of 2 to 10 mol% (based on acid groups present in the copolymer). Partial neutralization is preferred when adding NaOH for this purpose. An anionic emulsifier is preferably present in an amount from 0.1 to 2% by weight. Sodium lauryl sulfate is particularly preferred as an emulsifier. Thicknesses of the layer The thickness of the outer coating layer is preferably in the range of 20 to 200, preferably 50 to 150 μm. Production of a multi-particle dosage form The invention further relates to a process for producing a multi-particle dosage form through a) producing an inner matrix layer comprising an active substance, which is a peptide or protein, and a polymer having a mucoadhesive effect and, where appropriate, additional conventional pharmaceutical excipients by means of spray application in a core or through rotating agglomeration, precipitation or dew processes without a core, and subsequently b) application of an outer film coating consisting essentially of an anionic polymer, which optionally can be formulated with usual pharmaceutical excipients, especially plasticizers, by means of spray application so that the wrapped granules containing active substance are obtained, and c) processing of the resulting granules by means of pharmaceutical excipients In a manner known per se as a pharmaceutical form of multiple particles, in particular tablets containing granules, minitablets, capsules, sachets or reconstitutable powders, which are formulated so that the contained granules are released in the pH range of the stomach. Production of pre-granules and granules The granulation can be done in pearls free of active substance (colored tablets), or free core granules that can be produced. First, the internal matrix layer with or without a core is produced. This rounded layer still uncovered is referred to as a pre-granule (granule core).
It is possible by means of a fluidized bed to be processed to apply the liquid to the placebo granules or to other suitable carrier materials, with evaporation of the solvent or suspending agent. You can follow a drying step to the production process. The active substance of peptide or protein is introduced with the polymer having a mucoadhesive effect in an organic solvent or in water and mixed. In order to ensure a satisfactory spray process of the mixture, it is usually necessary to formulate a low viscosity mixture. It may be beneficial for this purpose to employ the polymer having a mucoadhesive effect at comparatively low concentrations, for example, from 1 to a maximum of 10, preferably from 2 to 5% by weight. The addition of a detergent, for example Tween, in concentrations of 0.1 to 20, preferably 0.5 to 10% by weight may be even more advantageous for reducing the surface tension. They can, in addition to the active substance, comprise additional pharmaceutical excipients: binders such as cellulose and derivatives thereof, polyvinylpyrrolidone (PVP), humectants, disintegration promoters, lubricants, disintegrants,
(meth) acrylates, starch and derivatives thereof, sugar solubilizers or others.
The correct application processes are revealed, for example in Bauer, Lehmann, Osterwald, Rothgang
"Überzogene Arzneiformen" Wissenschaftliche
Berlagsgesellschaft mbH Stuttgart, chapter 7, page 165-196. The details are further revealed for the authorized worker in textbooks, for example see: - Voigt, R. (1984): Lehrbuch der pharmazeutischen Technologie; Verlag Chemie Weinheim - Beerfield Beach / Florida - Basel. Sicker, H., Guchs, O., Speiser, P .: Pharmazeutische Technologie, Georg Thieme Verlag Stuttgart (1991), especially chapters 15 and 16, page 626-642. - Gennaro, A.R. (publisher), Remington's Pharmaceutical Sciences, Mack Publishing, Co., Easton
Pennsylvania (1985), Chapter 88, page 1567-1573. List, P.H. (1982): Arzneiformenlehre, Wissenschaftliche Verlagsgesellschaft mbH, Stuttgart. The inner matrix can also be produced without the assistance of an inert nucleus (colored tablets).
The ingredients of the internal matrix can in this case be rounded so that the uncovered granules
(pre-granules) of defined size, for example, 50 to 1000 μ,. through processes such as agglomeration by rotation, precipitation or spray processes, especially ultrasound fluidized spray processes. This has the advantage that the entire core volume is available to be loaded with active substance. The loading with the active substance can, in this way, be increased in addition to being additionally compared with the embodiment which has an inert core. After the production of the inner matrix (or of the pre-granules), these can be provided in exchange, preferably in the spray process, with the outer coating, to result in the finished granules. The granules are produced by spray application of the organic solution, or preferably by aqueous dispersions. It is decisive that uniform, pore-free coatings are produced for the implementation in this case. Top layer The granules can additionally be provided with pigmented coatings which, however, should not influence the pH of the solution. Suitable examples are coatings composed of pigmented hydroxypropylmethylcellulose and other polymers that are soluble in water or rapidly disintegrate in water. Usual pharmaceutical excipients Common excipients or additives can be added to these formulations of the invention during production.
It is, of course, always necessary for all substances used that are acceptable or toxicologically utilizable, particularly in medicines without a risk to patients. The amounts used and the use of usual additives in coatings or layers of medicines are familiar to be used by skilled workers. Possible examples of customary additives are plasticizers, release agents, pigments, stabilizers, antioxidants, pore formers, penetration promoters, gloss agents, flavoring substances, detergents, lubricants or flavorings. These serve as a processing aid and are intended to ensure a reliable and reproducible production process as well as good long-term storage stability, or they can achieve additional advantageous properties in the pharmaceutical form. They are added to the polymer preparations before processing and can influence the permeability of the coatings, it being possible to use this when appropriate as an additional control parameter. • Release agents Release agents usually have lipophilic properties and are usually added to spray suspensions. These avoid the agglomeration of the cores during the film coating. Preference is given to using talc, Mg stearate or Ca stearate, ground silica, kaolin or nonionic emulsifiers having an HLB of between 3 and 8. The usual amounts of release agent used in the coating agents or binders of the invention they are between 0.5 and 100% by weight based on the copolymer. • Pigments: Pigments incompatible with the coating agent are in particular pigments that, if they are added directly to the dispersion of the (meth) acrylate copolymer, for example by stirring, in the usual amounts used, for example, 20 to 400% by weight on the dry weight basis of the copolymer of
(meth) acrylate, lead to destabilization of the dispersion, coagulation, for signs of inhomogeneity or similar undesired effects. The pigments to be used are still, of course, non-toxic and suitable for pharmaceutical purposes. Regarding this, see also, for example: Deutsche Forschungsgemeinschaft, Farbstoffe für Lebensmi ttel, Harald Boldt, Verlag KG, Boppard (1978); Deutsche Lebensmittelrundschau 74, No. 4 page 156 (1978): Arzneimittelfarbstoffverordnung AmFarbV of 25.08.1980.
The pigments incompatible with the coating agent can be, for example, alumina pigments. Examples of incompatible pigments are orange yellow, red cochineal carmine lake, alumina-based color pigments or azo dyes, sulfonic acid dyes, orange yellow S (E110, CI 15985, Yellow 6 FD &C), indigo carmine (E132, CI 73015, Blue 2 FD &C), tartrazine (E 102, CI 19140, Yellow 5 FD &C), 4R punch (E 125, CI 16255, Red Carmine Cochineal A FD &C), yellow quinoline (E 104, CI 47005, Yellow 10 FD &C), erythrosine (E127, CI 45430, Red 3 FD &C), azorubine (E 122, CI 14720, Carmoisine FC &C), amaranth (E 123, CI 16185, Red 2 FD &C), bright green acid (E 142, CI 44090, Green S FD &C). The numbering with E is indicated for the pigments related to the numbering of the United States. Concerning this, see also "Deutsche Forschungsgemeinschaft, Farbstoffe, für Lebensmittel, Harald Boldt Verlag Kg, Boppard (1978), Deutsche Lebensmittelrundschau 74, No. 4, page 156 (1978), Arsneimittelfarbstoffverordnung AmBarbV dated 08.25.1980. C are related to the Food, Drug and Cosmetic approval of the Food and Drug Administration (FDA) of the United States described in: Food and Drug Administration, Center for Food Safety and Applied Nutrition, Office of Cosmetics and Colors: Code of Federal Regulations -Title 21 Part 82 of Color Additive Regulations, List of Colors and Specifications Provisionally Listed Certificates (CFR 21 Part 82) • Plasticizers Other additives may also be plasticizers.The usual amounts are between 0 and 50, preferably from 2 to 20, in particular from 5 to 10% by weight Plasticizers can influence the functional d of the polymer layer, depending on the type
(lipophilic or hydrophilic) and the amount added. The plasticizers achieve through physical interaction with the polymers a reduction in the transition temperature of glass and promote the formation of film, depending on the amount added. Suitable substances usually have a molecular weight of between 100 and 20,000 and comprise one or more hydrophilic groups in the molecule, for example, hydroxyl, ester or amino groups. Examples of additional plasticizers with alkyl citrates, glycerol esters, alkyl phthalates, alkyl sebacates, sucrose esters, SORBITAN esters, diethyl sebacate, dibutyl sebacate and polyethylene glycols 200 to 12 000. The preferred plasticizers they are triethyl citrate (TEC) and acetyl triethyl citrate (ATEC). Special mention should be made of esters that are usually liquid at room temperature, such as citrates, phthalates, sebacates or castor oil. The esters of citric acid and sebacic acid are preferably used. The addition of plasticizers to the formulation can be carried out in a known manner, directly, in an aqueous solution or after the thermal pre-treatment of the mixture. It is also possible to use mixtures of plasticizers. Production of multiple particle pharmaceutical forms
Coated granules containing active substance can be processed by conventional pharmaceutical excipients and in a manner known per se for multi-particle pharmaceutical forms, in particular for tablets containing granules, minitablets, capsules, sachets or powders for reconstitution, which are formulated in such a way that the contained granules are released in the pH range of the stomach. The preparation as a pharmaceutical form of multiple particles puts the reliability of a high dose that offers the advantage of a good distribution of the granules in the intestinal lumen. The multi-particle dosage form of the invention may additionally also comprise different types of granules with different active substances and / or different granule structure. Compressed Tablets The production of multiple particle dosage forms by compression of a conventional pharmaceutical binder with particles containing an active ingredient is described, for example, in Beckert et al. (1996), "Compression of entric-coated pellets to disintegrating tablets," International Joumal of Pharmaceutics 143 r page 13-23 r and in WO 96/01624. Film coatings in granules containing active substances are normally applied in fluidized bed apparatus. The formulation examples are mentioned in this application. Film formers are usually mixed with plasticizers and release agents through the proper process. It is possible in this case for film formers to be in the form of a solution or suspension. The excipients for film formation can likewise be dissolved or suspended. Organic or aqueous solvents or dispersing agents can be used. The stabilizers can be used additionally to stabilize the dispersion (example: Tween 80 or other suitable emulsifiers or stabilizers). Examples of release agents are glycerol monostearate and other suitable fatty acid derivatives, silicon derivatives or talc. Examples of plasticizers are propylene glycol, phthalates, polyethylene glycols, sebacates or citrates, and other substances mentioned in the literature. Examples of release agents are glycerol monostearate or other suitable fatty acid derivatives, silica or talc derivatives. Examples of plasticizers are propylene glycol, phthalates, polyethylene glycols, sebacates or citrates and other substances mentioned in the literature. A separation layer can be applied between the copolymer layer containing active substance and the soluble copolymer layer in the intestine to separate the active substance and the coating material for the purpose of avoiding interactions. This layer may consist of inert film formers (e.g., HPMC, HPC or (meth) acrylic acid copolymers) or for example, talc and other suitable pharmaceutical substances. It is also possible to use combinations of film and talc formers or similar substances. It is also possible to apply a separating layer composed of partially or completely neutralized (meth) acrylate copolymer dispersions. The separation layer may also consist of the same mucoadhesive polymer or a different one as in the underlying matrix layer. The possible interactions or incompatibilities of the active substance or the mucoadhesive polymer with the layer of (meth) acrylate copolymer forming the film can be counteracted in this way. Blends for producing tablets composed of coated particles are prepared by mixing the granules with suitable binders to make tablets, if necessary add disintegrating substances and if necessary lubricants are added. The mixing can be carried out in suitable machines. Inadequate mixers are those that cause damage to coated particles, for example plowshare mixers. In order to achieve adequate short disintegration times it may be necessary to add the excipients to the coated particles in a specific sequence. It is possible through premixing with the particle coated with the lubricant or the magnesium stearate mold release agent for this surface to become hydrophobic and in this way adhesion is prevented. Suitable blends for tabletting typically comprise from 3 to 15% by weight of a disintegration assistant, for example, Kollidon CL and, for example, 0.1 to 1% by weight of a lubricant and mold release agent such as magnesium stearate. The proportion of the binder is determined by the required proportion of the coated particles. Examples of typical binders with
Cellactose®, microcrystalline cellulose, calcium phosphates, Ludipress®, lactose and other suitable sugars, calcium sulfates or starch derivatives. Bulk low density substances are preferred. The typical disintegration assistants
(disintegrants) are crosslinked starch derivatives or cellulose derivatives, and crosslinked polyvinylpyrrolidone.
The cellulose derivatives are equally suitable.
It is possible to dispatch them with the use of disintegration assistants through the selection of the appropriate binder. Typical lubricants and mold releasing agents are magnesium stearates or other suitable salts of fatty acids or substances detailed in the literature for this purpose (eg, lauric acid, calcium stearate, talc, etc.). It is possible to dispense with the use of a lubricant and a mold release agent in the mixture or use suitable machines (eg tablet press with external lubrication) or suitable formulations. It is possible, where it is correct to add an assistant to the mixture to improve the flow (for example, derivatives of silica, talc, etc.). The manufacture of tablets can be carried out in conventional tablet presses, eccentric or rotary tablet presses, with compression forces in the range of 5 to 40 kN, preferably of 10-20 nK. The tablet presses can be equipped with systems for external lubrication. Special systems for filling temp, which prevent the filling of dye by means of propeller blades, are used where it is correct. Additional Multi-Particulate Pharmaceutical Forms As an alternative for compressing tablets or mini-tablets, it is also possible that the coated granules containing active substances are processed into another multiple-particle pharmaceutical form administered orally. The coated granules can, for example, be packaged in capsules, for example gelatin capsules, or formulated for reconstitutable sachets or powders. Advantageous effects of the invention The pharmaceutical form of the invention is suitable for efficiently directing and releasing the active substances of proteins and peptides. The dosage form exhibits a high dose of reliability and is well distributed in the intestinal lumen. The active substance of protein or peptides is substantially protected from physical or proteolytic inactivation and can be released at the defined site of action such that a high proportion of the active substance can be taken by the body. Therefore, the pharmaceutical form is made with less active substance, because only a little of this active substance is lost. The risk of side effects is usually reduced through the intended delivery. The site of action can be adjusted in a variable manner depending on the therapeutic assistant. The timing of the absorption of the active substance can be better controlled. Because the pharmaceutical form is for oral use, it is generally better accepted by patients (patient compliance) compared to other forms of administration. A large number of peptide or protein active substances may, therefore, be advisable for oral use for the first time and the risk of administration is often less than with the Parenteral administration in particular. Administration costs can also be kept low because a qualified staff is not necessary for administration. An accelerated release, at the same time, with an increase in bioavailability can be achieved from the matrix systems in which the proportion of the polymer has a mucoadhesive effect in a percentage by weight of 3 times, preferably of 1000 times higher than the proportion of the active substance. Lipophilic matrix A special aspect of the invention arises when the active substance has been embedded in a lipophilic matrix having a melting point above 37 ° C, preferably above 45 ° C, particularly preferably above 55 ° C, and the lipophilic matrix containing active substance has been embedded in the composite matrix of the polymer having a mucoadhesive effect. The purpose of the formulation in the lipophilic matrix is to improve the solubility and bioavailability of the active substance, preferably the slightly or slightly soluble active substances (as defined in DAB 10, 2003). A lipophilic matrix means in the context of the invention, a substance or a mixture of substances in which the active substance can be dissolved, suspended or emulsified. The substance or substances of the lipophilic matrix are different from the usual pharmaceutical excipients and the polymer having a mucoadhesive effect. The substance or substances of the lipophilic matrix preferably have a hydrophobic or amphiphilic character. The lipophilic matrix can also refer to an amphiphilic matrix or lipoidal matrix. The lipophilic matrix can consist of a simple substance, for example a lipid or a mixture of substances, for example of a mixture of lipids. In the case of mixtures, the properties described hereinafter for solubilities in water according to DAB 10, the partition coefficients and / or the HLB values are calculated in each case from the arithmetic element of the parts by weight and from the values of the substances of the mixture. The substances used must not be toxic. The active substance and the substance or substances forming the lipophilic matrix preferably differ in their solubility in steeping water with DAB 10 and not more than +/- 50%, preferably do not differ by more than +/- 25%, and / or they differ in their partition coefficient in accordance with Annex V of guideline 67/548 / EEC, A.8 not more than +/- 60%, preferably not more than +/- 30%, and / or differ in their HLB , if a HLB can be assigned to the substances, measured by the Marszall method, no more than +/- 80%, preferably no more than +/- 40%. A greater agreement of the active substance with the lipophilic matrix is at least one, preferably two or all three of the properties, meaning a greater favoring of the solubility and bioavailability of the active substance in the pharmaceutical form. Solubility in water The solubility in water for the active substance and the substance or substances forming the lipophilic matrix can be defined as specified in D7AB 10 (Deutsches Arzneibuch, 10th edition with 3rd supplement 1994, Deutscher Apothekerverlag, Stuttgart und Govi Verlag, Frankfurt / Main, 2nd supplement (1993), IV Allgemeine Vorschriften, pages 5-6, "Lóslichkeit und Lósungsmittel"; see also Ph. Eur 4.07, 2004). Solubility is defined by the number of parts by volume of the solvent for 1 part by weight of the substance or drug. The definition of "slightly soluble" includes substances that require 30 to 100 parts by volume of the solvent for 1 part by weight of the substance or drug, and the definition of "poorly soluble" includes substances that require 100 to 1000 parts by volume of the solvent for 1 part by weight of the substance or drug. Partition coefficients. The partition coefficients for the active substance and the substance or substances forming the lipophilic matrix can be determined in accordance with Annex V for guideline 67/548 / EEC, A.8, "partition coefficient". HLB
HLB is a measure, introduced by Griffin in 1950, of the hydrophilicity or lipophilicity of non-ionic surfactants. It can be determined experimentally by a method of titration of phenol from Marszall; cf, "Parfümerie, Kos etik", volume 60, 1979, pages 444-448; additional references in Rdmpp, Chemie-Lexikon, 8th edition, 1983, page 1750. See also, for example, US 4 795 643 (Seth)). An HLB (hydrophilic / lipophilic balance) can be determined precisely only by non-ionic substances. With ammonia substances it is possible to determine this value through calculation, but it is virtually always above or well above 14. The HLB values for the active substance and the substance or substances that make up the lipophilic matrix can in most cases be determined at . through the Marszall method, taken from tables of pharmaceutical or chemical reference works or textbooks or, in the case of ionic substances, determined by calculation. Active substances in the lipophilic matrix The pharmaceutical form preferably comprises in the lipophilic matrix an active substance having a solubility in water according to DAB 10 of at least 30, in particular from 30 to 100 or from 100 to 1000 parts by volume of water on the one hand by weight of active substance. The active substance is preferably correspondingly light or even slightly soluble according to the definition of DAB 10. The active substance formulated in the lipophilic matrix can be selected, for example, from the group of peptides, antibiotics, in suppressors, LHRH, antagonists, and immunomodulators. The active substance formulated in the lipophilic matrix can be for example abarelix, angiotensin II, anidulafungin, antide, argipressin, azaline and azaline B, bombesin antagonist, bradykinin, buserelin, cetrorelix, cyclosporin, cyclosporin A, desmopressin, detirelix, enkephalins (Leu). -, Met) ganirelix, gonadorelin, goserelin, growth hormone secretagogue, insulin, interferon (alpha, beta, gamma), interleukins
(IL1, IL2), micafungin, nafarelin, leuprolide, leuprorelin, octreotide, orntido, oxytocin, paratyphoid hormone,. ramorelix, secretin, somatotropin, terlipressin, tetracosáctide, teverelix, triptorelin, tiroliberin, tumor necrosis factor thyrotropin (TNF alpha, beta), or vasopressin. Polymers / lipophilic matrix having a mucoadhesive effect In a preferred embodiment, the possible interactions of the lipophilic matrix with the polymer having a mucoadhesive effect are taken into account. In order to avoid uncontrollable interactions, the substance or substances that make up the lipophilic matrix, and the polymer having a mucoadhesive effect, must preferably have the same ionic properties, that is, both must have an anionic character accordingly. In the case that substances having opposite ionic properties are selected, the polymer having a mucoadhesive effect should preferably be present in at least 50, particularly preferably 100% in neutralized form. The neutralization can be carried out by adding acid or base in a known manner. Substance or substances to assemble the lipophilic matrix The lipophilic matrix preferably consists of
80 to 100, preferably 90 to 100, particularly preferably 100% by weight of a substance or a mixture of substances having an HLB (average) from 0 to 15, preferably consists of 2 to 10. The lipophilic matrix may comprise 0 to 20, preferably 0 to 10% by weight of the usual pharmaceutical excipients, especially stabilizers, thickeners or absorbers. It is particularly preferred that the usual pharmaceutical excipients are not present. The substance or substances forming the lipophilic matrix can for example belong to the group of oils, fats, mono-, di- or triglycerides, fatty acids, fatty alcohols, especially C6 to C2o fatty acids and / or a C6 to C20 alcohol including their salts, ether, ester or amide derivatives, phospholipids, lecithins, emulsifiers, lipids, vitamins or lipid-soluble surfactants. The lipophilic matrix may comprise for example one of the following lipid preparations: (Imwitor 308) glyceryl monocaprylates having a monoester content of >80% (Imwitor 312) glyceryl monolaurates having a monoester content of > 90%, (Imwitor 491) glycerol monostearate (Cie + Cie) having a monoester content of > 90%, (Imwitor 900 P) glycerol monostearate having a monoester content of 40-55% and a Cie content of 40-60%,
(Imwitor 900 K) glycerol monostearate, which has a monoester content of 40-55% and a Cie content of 60-80%, (I witor 742) C8 and Cio glycerides with medium chain length having a content of monoester of 45-55%, (Imwitor 928) partial glycerides of Cío-Cie fatty acids of saturated vegetables with a main content of Ci2 and having a content of monoester of 34-36% of glycerides C8 and Cio, caprylate Na or capriato Na The lipophilic matrix may comprise, for example, one of the following preparations: fats such as mono-, di-, triglycerides of saturated and unsaturated fatty acids and mixtures thereof. In particular glycerol stearic acid ester, glycerol palmitic acid ester, glycerol myristic acid ester, glycerolpalmitic acid stearic ester, glycerol lauric acid ester, glycerol caprylic acid ester, glycerol oleic acid ester glycerol, examples of these esters are Imwitor® -308, -312, -491, -742, -900, -928, -988, and Gelucire® 44/14, -50/13, Sulele, Co pritol E ATO, Dynasan 114, Softisan, Witepsol, Dynacet 212, coconut fat. Oils such as, for example, castor oil, sesame oil, sunflower seed oil, cottonseed oil, corn oil, almond oil, peanut oil, olive oil, coconut oil, carrot oil, wheat germinated oil, walnut oil. Neutral oils such as isopropyl myristate, isopropyl palmitate, isopropyl stearate, medium chain triglycerides (Miglyol®). Short chain aliphatic and aromatic carboxylic esters with, for example, dibutyl phthalate, diethyl sebacate, dibutyl sebacate, tributyl citrate, acetyl tributyl citrate, glycerol triacetate. Waxes such as, for example, carnauba wax, beeswax, wool wax, glycerol behenic acid ester.
Fatty acid amides, such as, for example, stearamide, palmitamide, lauramide. Long-chain aliphatic carboxylic acids, such as, for example, stearic acid, palmitic acid, lauric acid, myristic acid, oleic acid, caprylic acid, linoleic acid. And, for example, its salts of NA, Al and Mg. Fatty alcohols such as, for example, stearyl alcohol, lauryl alcohol, cetyl alcohol, myristin alcohol, formal glycerol. W / O emulsifiers, such as cholesterol, glycerol monostearate, ethylene glycol monostearate, sorbitan monooleate, (Span® 80), sorbitan monostearate (Span® 60), sorbitan trioleate
(Span® 85), sorbitan sorbate (Span® 65), sorbitan sesquioleates (Arlacel® 83), Ca stearate, Al, Mg, polyoxyethylene sorbitan sorbate (Tween® 65), polyoxyethylene sorbitan trioleate (Tween ® 85). Nonionic O / W emulsifiers, for example, macrogol 400 stearate (Chremophor® A), macrogol lauryl ether, polyethylene glycol 20 sorbitan monolaurate, sorbitan monostearate, sorbitan monopalmitate, sorbitan monooleate, triricinoleate macrogol 1500 glycerol, macrogol glycerol hydroxystearate (Cremophor® RH), macrogol 1000 glycerol monolaurate, monostearate, monooleate, sucrose monostearate. Polysorbate 60 (Tween® 60), polyoxyethylene monostearate (Myrj 49), polysorbate 80 (Tween® 20), poloxalene 407 (Lutrol® F 127), poloxalene 188 (Lutrol® F 68), polyoxyethylene ricinoleate (Cremophor® EL) , polyoxyethylene stearyl stearate. O / W ionic emulsifiers, such as, for example, cetylstearyl sulfate (Lanette® E), Na lauryl sulfate (Texapon® Z), Na glycocholate, hederagenin. Amphiphilic emulsifiers, such as, for example, egg phosphate-dicholine (egg lecithin), soy phosphate-dichiloline (soy lecithin), betaine, sulfobetaines, ceramides (sphingomyelin). Vitamins such as, for example, retinol (vitamin A), cholecalciferol (vitamin D), alpha-tocopherol and alpha-tocopherol acetate (vitamin E), phylloquinone (vitamin K). Additional excipients are galactolipids as, for example, monogalactosyl diacylglycerol, digalactosyl diacylglycerol, trigalactosyl diacyl glycerol, and aromatic oils such as, for example, anise oil, citronella oil, eucalyptus oil, fennel oil, chamomile oil, cardamom oil, pine needle oil, cumin oil, dwarf pine oil, lavender oil, peppermint oil, muscatel oil, clove oil, peppermint oil, rosemary oil, sage oil, and terpenes, such as menthol, linalool, 1,4-cineol, pyrethrin, borneol, eudesmol, phytol, manool, azadirachtin, nimbin. The active substance is preferably at least 10%, particularly preferably at least 20%, especially at least 50%, soluble in the lipophilic matrix. The content of the lipid matrix containing active substance in the bale of the inner matrix a) can be from 1 to 50, preferably from 10 to 20% by weight. The lipophilic matrix preferably comprises at least 50% by weight of glycerol monocaprylate, up to 10% by weight of Na cholate, up to 10% by weight of tocopherol succinate, 1 to 5% by weight of efflux pump inhibitor in the case where the active ingredient is a PgP efflux pump substrate, for example, Solutol HS 15, a triglyceride, in particular tristearate, with components that add up to 100%. This lipophilic matrix can be incorporated directly into the mucoadhesive polymer or be emulsified in water and incorporated into the mucoadhesive polymer. In the latter case, the aqueous phase may comprise a weak acid such as, for example, citric acid. In the case of active substances that are slightly or even less soluble (according to DAB 10) that has a molecular weight of >; 3000, a protease inhibitor such as, for example, soy trisine inhibitor present in the aqueous phase. Process The invention also relates to a process for producing a multi-particle dosage form with the steps of: a) production of the lipophilic matrix containing active substance by suspending and / or dissolving the active substance with the substance (s) ) which forms the lipophilic matrix and, where appropriate, also conventional pharmaceutical excipients, by vigorously mixing or melting the ingredients; b) production of pre-granules (granule cores) by spraying the mucoadhesive polymer mixed with the lipophilic matrix containing active substance in a core or through agglomeration processes with rotation, precipitation or dew without a core; c) production of granules through spray application of an anionic polymer or copolymer coating, which may optionally comprise mixtures of conventional pharmaceutical excipients, especially plasticizers and libration agents, of an organic dispersion or solution in the pre-granules of the step b); d) production of a multi-particle pharmaceutical form by filling or incorporating the granules of step c) in a manner known per se, where appropriate with the use of customary pharmaceutical excipients, in particular through tablet processing with Content of granules, mini-tablets, capsules, sachets or reconstitutable powders. Preference process Steps a) and b) of the process are preferably carried out in the following manner: a) production of the inner matrix layer through preparing an emulsion, dispersion or solution of the active substance with the (s) substance (s) for the lipophilic matrix, and when appropriate, also conventional pharmaceutical excipients by vigorously mixing the ingredients in water and producing an oil-in-water preparation having an average particle size of not more than 60, preferably not more than 20 μm; b) production of pre-granules through spray application of the oil-in-water preparation of step a) in the mucoadhesive polymer which may optionally comprise additional mixtures of usual pharmaceutical excipients, where the ingredients are in the form of a micronized powder , for example, with an average particle size of 10 to 100 μm, through agglomeration by rotation, extrusion or granulation.
EXAMPLES The production of the granules comprises mucoadhesive formulated peptides and protein active substances. Example 1 First coating (pre-granules): 20 g of carboxymethylcellulose Na (Blanose 7LF, Hercules-Aualon) = 10% based on the granules (water absorption of Blanose 7LF: about 50% in 15 minutes with a pH of 7.2 in phosphate buffer, the mucoadhesion with a pH of 7.2 in measurement through the method of Hassan &Gallo:? b = around 250 mPa »s) are dissolved together with 1.25 g of Aerosol 200 (microcrystalline cellulose) = 6.25% based on Blanose in 378.8 g of ineralized water through agitation with a propulsion stirrer. 0.72 g of polysorbate 80 (33% concentration) = 40% based on glycerol monostearate (GMS) are dissolved by stirring in 10 g of water. Addition of 0.6 g of GMS = 3% based on Blanose and demineralized water ad 20 g is followed by heating of the dispersion at 80 ° C. the dispersion is cooled to 30 ° C and then homogenized with an Ultraturrax mixer for 10 minutes and subsequently added to the Blanose solution with stirring. Subsequently, 139.4 g of desmopressin acetate (Mw = 1067) = 0.062% in the formulation is dissolved in 30 g of demineralized water and added to the Blanose solution. 200 g of granules (colored tablets) 850-1000 μm are placed in a minifluidised bed apparatus (Glatt's MiniGlatt, Binzen) and coated with Desmopressin-Blanose solution. Spray parameters: Spray nozzle 0.5 mm Spray rate 1-1.26 g / minutes Spray pressure 0.8 bars Inlet air pressure 1 bar Inlet air temperature 45 ° C Product temperature 41.5 - 43 ° C Rear drying in MiniGlatt 10 minutes at 40 ° C Dew time: around 2 to 6 hours Drying overnight at RT Layer thickness (REM): 12-18 μm Table 1: Release (USP method XXC) of desmopressin in phosphate buffer with a pH of 7.2; 100 min-1; paleteo; 1 hour; 100 rmp; 37 ° C; n = 4; (first layer) .
The released desmopressin is detected using a 220 nm spectrometer.
Example 2 Second coating (granules): 66.7 g of Eudragit® FS30DF (30% concentration dispersion comprising a copolymer of 25% by weight of methyl methacrylate, 65% by weight of methyl acrylate and 10% by weight of methacrylic acid , Rohm GMBH &Co.
KG, Darmstadt) and mixed with 1 g of triethyl citrate
(TEC) = 5% based on CDM (dry matter coating) in a 150 ml glass beaker. 2.2 g of polysorbate 80 (33% concentration) = 40% based on GMS are dissolved by stirring in 46 g of demineralized water. 1.8 g of GMS = 9% based on CDM and demineralized water are added followed by heating the dispersion to 80 ° C. The dispersion is cooled to 30 ° C and then homogenized with Utraturrax for 10 minutes and subsequently added with stirring to the Eudragit® FS30D dispersion. After stirring for 30 minutes, 100 g of the desmopressin-Blanose coated granules of Example 2 are introduced into a MiniGlatt and coated with the Eudragit® FS30D dispersion. Spray parameters: Spray nozzle 0.5 mm Spray rate 0. 6 - 0.9 g / minutes Spray pressure 0.7 bars Inlet air pressure 0.7 bar Inlet air temperature 30 ° C Product temperature 29-30 ° C Rear drying in MiniGlatt 10 minutes at 40 ° C Drying overnight at RT Dew time: around 1 to 2.5 hours Layer thickness (REM): 40-45 μm Table 2: Release of desmopressin from granules coated with Eudragit® FS30D , 2 hours in 0.1 M HCl, 1 hour in phosphate buffer with pH 7.2; 100 rpm; paleteo; 37 ° C; n = 4 (second coating)
Example 3 First coating (pre-granules) 20 g of Blanose 7LF = 20% based on the granules
(absorption of water: around 50% in 15 minutes with a pH of 6.0 in phosphate buffer, mucoadhesion with a pH of
6. 0 in phosphate buffer measured by Hassan & Rooster: = around 270 mPa * s) dissolve untos with 1.1 g of Aerosol 200 = 5.5% based on Blanose and
1. 52 g of polysorbate 80 (33% concentration) 2.5% based on Blanose in 727.4 g of demineralized water through agitation with a propulsion stirrer. 139.4 mg of desmopressin acetate = 0.062% in the formulation are then dissolved in 50 g of demineralized water and added to the Blanose solution with stirring. 200 g of neutral cores (colored tablets) 850-1000 μm are placed in a minifluidised bed apparatus (MiniGlatt, Glatt, Binzen) and coated with the desmopressin-Blanose solution. Spray parameters: Spray nozzle 0.5 mm Spray rate 1.4-2.0 g / minutes Spray pressure 1 bar Inlet air pressure 1.2 bar Inlet air temperature 45 - 47 ° C Product Temperature 41-42 ° C spray: around 2 to 6 hours Subsequent drying in MiniGlatt 10 minutes at 44 ° C Drying overnight at RT Layer thickness (REM): 10-12 μm Example 4 Second coating (granules): 66.7 g of copolymer dispersion from
(meth) acrylate (30% dispersion concentration comprising a copolymer of methyl acrylate / butyl, methacrylate / ethyl, acrylate / methacrylic acid in the ratio of 20/20/30/30, Rohm GMBH &Co. KG, Darmstadt) are placed in a 250 ml glass beaker. 2.4 g of polysorbate 80 (33% concentration) = 40% based on GMS are dissolved by stirring in 81 g of demineralized water. Addition of 2.0 g of GMS = 10% based on the dry coating material that is followed by heating the dispersion to 80 ° C. The dispersion is cooled to 30 ° C and then homogenized with an Ultraturrax for 10 minutes and subsequently to the dispersion product 4154 D is added with stirring. After stirring for 30 minutes, 100g of the desmopressin-Blanose coated granules of Example 3 they are introduced there in a MiniGlatt and are coated with dispersion. Spray parameters: Spray nozzle 0.5 mm Spray rate 0.6 - 0.9 g / minutes Spray pressure 0.5 bars Inlet air pressure 0.7 bar Inlet air temperature 35-37 ° C Product temperature 32-33 ° C spray: around 1 to 2 hours After drying in MiniGlatt 10 minutes at 40 ° C Drying overnight at RT Layer thickness (REM): 40-45 μm Table 4: Release of desmopressin in the granules coated with the copolymer before mentioned, 2 hours in 1 M HCl, 1 hour in phosphate buffer with a pH of 6.0; 100 rpm; paleteo; 37 ° C; n = 4 (second coating)
Example 5 First coating (pre-granules) 15 g of low MW kitosan (Fluka) = 10% based on the granules (water absorption of chitosan: about 140% in 15 minutes with a pH of 5.5 in acetate buffer, mucoadhesion with pH of 5.5 measured by the Hassan &Gallo method: eta-b = around 220 mPa »s) are dispersed together with 0.825 g of Aerosol 299 = 5.5% based on chitosan in 1122 g of demineralized water and 1.36 g of polysorbate 80 (33% concentration) = 3% based on chitosan by agitation with a propulsion stirrer. The chitosan is then dissolved by adding 60 g of acetic acid while stirring is continued for 1 hour. 104.6 mg of desmopressin acetate = 0.063% in the formulation dissolved in 50 g of demineralized water and added to the chitosan solution. 150 g of colored pellets granules 850 -1000 μm are placed in a MiniGlatt (Glatt, Binzen) and coated with the desmopressin-chitosan solution. Spray parameters: Spray nozzle 0.5 mm Spray rate 0.8 - 2.5 g / minutes Spray pressure 1.5 - 1.8 bars Inlet air pressure 1.1-1.2 bar Inlet air temperature 60-69 ° C Product temperature 59-62 ° C Subsequent drying in MiniGlatt 10 minutes at 50 ° C Dew time: around 3-8 hours Drying overnight at RT Layer thickness (REM): 12 μm Table 5: Release of desmopressin in a phosphate buffer with a pH of 5.5; 100 min "-1"; paleteo; 1 hour; 100 rpm; 37 ° C; n = 4 (first layer) Example 6 Second coating (granules) : 66.7 g of Eudragit® L30D-55 (30% dispersion concentration comprising a (meth) acrylate copolymer composed of 50% by weight of methacrylic acid and 50% by weight of ethyl acrylate) are mixed with 2 g of triethyl citrate (TEC) = 10% based on CDM (dry matter coating) in a 150 ml glass beaker. 0.73 g of polysorbate 80 (33% concentration) = 4% based on MSG are dissolved with stirring in 46 g of demineralized water. 0.6 g of GMS = 3% based on CDM and demineralized water are added followed by heating the dispersion to 80 ° C. The dispersion is cooled to 30 ° C and then homogenized with an Ultraturrax for 10 minutes and subsequently added with stirring to the dispersion of Eudragit® L30D-55. Then stir for 30 minutes, 100g of the desmopressin-chitosan coated granules of Example 5 are introduced there into a MiniGlatt and coated with the Eudragit® dispersion L30d-55.
Example 7: Sprayability Table 7: Probing of roceability (yes / no) of dispersions / or polymer solutions at various concentrations.
* = 30% (meth) acrylate copolymer by weight of methyl methacrylate and 70% by weight of methacrylic acid Example 8: Formulation examples for a targeted release of the active substance in various sections of the intestine (see Table 8). The particle size after coating, the finished formulation using colored pellets granules 850-1000 as carrier material μm - > 900-1050 μm.
Table 8: Polymer formulations and properties
*** Measurement of mucoadhesive property by the method of Hassan and Gallo
EXAMPLES OF EMBODIMENTS WHICH HAVE A LIPOPHILIC MATRIX CONTAINING LEAD ACTIVE SUBSTANCE EXAMPLE: FORMULATION OF A FORMULATION FOR Slightly Soluble Proteins (Erythropoetin alfa), Water solubility in accordance with DAB of at least 500 parts of water per 1 part of active substance, equivalent to 2 g / 1). a) Preparation of the l ± pofílica phase 100 g of Inwitor 312 (melting point 55-60 ° C) is melted in a water bath at 65 ° C and 50 g of In itor 308
(melting point 30 30-34 ° C) are slowly stirred in the melt. The water bath is cooled to 50 ° C, and 7.5 g of tocopherol acetate, 2 and 3.5 g of Na glycocolate are added while stirring. The temperature of the bath can, in this way, be reduced by an additional 5 ° C without the resolidification of the fat. The resulting lipophilic matrix has a melting point of 38-41 ° C and a solubility in water, calculated from the individual components, in accordance with D7U3 10 of at least 400 parts of water for 1 part of matrix lipophilic; equivalent to 2.5 g / 1). 330 mg of erythropoetin alga
(around 40 million U.I.) are added to this solution while stirring. b) Preparation of an emulsion 750 ml of distilled water is initially heated to 45 ° C, and 15 g of Na coating as an emulsifier (2%) is added. This solution is then adjusted to a pH of about 7 by adding citric acid. Thereafter, 1.5 g of soybean trypsin inhibitor (serine peptidase inhibitor) and 1.5 g of bacitracin (aminopeptidase inhibitor) are added to this solution while stirring. The lipophilic phase is then emulsified in this solution by vigorous stirring. The emulsion process can be terminated when a lipophilic drip greater than 50-60 μm is evident after microscopic investigation. c) Production of mucous nuclei 350 g of alginate powder Na, 145 of microcrystalline cellulose and 5 g of citric acid are mixed therein in a GPCG1 with rotor insert. The emulsion described in b) is sprayed as a binder in a rotary agglomeration process at a spray rate of about 90 g / min. The rotor is set at 1700 - 1800 rpm, the air inlet at 42 m3 / hour and the air temperature at 30 ° C. Under these conditions it is possible to produce mucoadhesive nuclei between 250 and 600 um with a production of up to 80%. A therapeutic dose of 240 μm is present in 0.5 g of granule nuclei. d) Production of coated granules The granule cores of c) ARE COATED WITH Eudragit® FS30D by means of conventional fluidized bed processes. The application of the polymer amounts to 40% by weight based on the weight of the core. The dispersion / suspension for coating consists of: Eudragit® FS30D 44.65% Triethyl Citrate 0.67% Polysorbate 80 0.26% Glycerol Monostearate 0.67% Water 52.75% Granules obtained in this way can be compressed to one tablet using conventional pharmaceutical processes and excipients or packed in capsules. 2nd Example: Formulation of a formulation for poorly soluble peptides (cetrorelix acetate, solubility in water according to DAB 10 at least 1000 parts of water per 1 part of active substance, equivalent to 1 g / 1). a) Preparation of the lipophilic phase 13 g of Imwitor 312 (melting point 55-60 ° C) are melted with 4 g of Poloza er 407 (Lutrol F127, melting point 50-55 ° C) in a 65 ° C water bath. Then 1 g of caprylic acid, 1 g of Na caprylate and 1 g of tocopherol acetate are added while stirring. The lipophilic matrix resulting from this form has a melting point of 40-48 ° C and a water solubility, calculated from the individual components, according to DAB 10 of at least 700 parts of water per 1 part of lipophilic matrix ( equivalent to 1.5 g / 1). After the solution is cooled to 45 ° C, 3.0 g of cetrorelix acetate is stirred in a lipophilic phase while stirring at high speed and cooled. b) Production of an emulsion The resulting dispersion of a) is dispersed using an Ultraturrax (20,000 rpm) with the chitosan citrate dispersion of b) while further cooling in an ice bath at 10 ° C for a minimum of 10 minutes. minutes The emulsification process can be terminated when lipophilic drops greater than 50-60 μm are not evident after microscopic examination. c) Production of mucoadhesive cores 20 g of chitosan are dispersed in 1000 g of water and then, while stirring at a very high speed, 20 g of citric acid. 2 g of Na dodecanate are added to the resulting light yellowish viscous solution while stirring at high speed, and stirring is continued for 1 hour. The emulsion of b) is sprayed using a GPGC1 (Glatt) at a dew rate of 10-12 g / min / kg in 250 g of neutral granules 400-600 μm at an inlet air temperature of 30 ° C and the Air intake is in this case adjusted to 45-50 m3 / h. The production in this case is 90%. d) Production of coated sheets The granules obtained in this way are coated with Eudragit® L12.5 by means of conventional fluidized bed processes. The application of the polymer sum
40% by weight based on the weight of the core. The coating suspension consists of: Eudragit® L12.5 53.3% Triethyl Citrate 1.33% Isopropanol 38.3% Talcum 2.0% Water 5.0% Granules obtained in this way can be compressed to a tablet using conventional pharmaceutical processes and excipients, or packaged in capsules 3rd Example: Formulation of a formulation for a poorly soluble protein (human beta-interferon, solubility in water according to DAB 10 at least 600 parts of water per 1 part of active substance, equivalent to 2 g / 1) ) Preparation of the lípofílica phase 400 g of Imiteor 312 (melting point 55-60 ° C) and 200 g of Dinasan 114 (melting point 55-58 ° C) are fused with 30 g of tocopherol acetate at 65 ° C and put in a granulator (Bohle). 20 g of Na caprylate are added thereto with stirring. The mixture is cooled to 45 ° C and 100 g of interferon-beta are dissolved there. The lipophilic matrix resulting from this form has a melting point of 39-46 ° C and a water solubility, calculated from the individual components, according to DAB 10 of at least 840 parts of water per 1 part of lipophilic matrix. The lipophilic matrix is milled while cooling to a particle size below 50 μm. b) Production of a buffer solution 1 g of Na citrate and 1 g of citric acid are dissolved in 500 g of water. While stirring at high speed, 0.5 g of Na cholate and 100 mg of soybean trypsin inhibitor are added. c) Granulation The lipophilic matrix containing a ground active substance of a) is mixed in a granulator with 1500 g of Blanose 7LF. The aqueous buffer solution of b) is then used for granulation to result in particles of 0.2 to 0.5 mm in size, which are rounded in a spheronizer. The resulting wet cores are dried under light conditions of 30 to 25 ° C in a fluidized bed dryer. d) Production of the coated granules In this way the nuclei of c) are coated with. Eudragit® FS30D using conventional fluidized bed processes. The application of the polymer adds 40% by weight based on the weight of the core. The dispersion / suspension for the coating consists of: Eudragit® FS30D 44.65% Triethyl Citrate 0.67% Polysorbate 80 0.26% Glycerol Monostearate 0.67% Water 53.75% Granules obtained in this way can be compressed to tablets using conventional pharmaceutical excipients and processes, or packed in capsules.
Claims (29)
- KEGVINDICATIONS 1. An oral pharmaceutical form of particles comprising granules having a size in the range of 50 to 2500 μm, which are substantially composed of a) an internal matrix layer comprising an active substance that is a peptide or a protein, including derivatives or conjugates thereof, and is embedded in a matrix of a polymer having a mucoadhesive effect, wherein the matrix can optionally comprise additional customary pharmaceutical excipients, b) an outer film coating consisting essentially of an anionic polymer or copolymer which can optionally be formulated with usual pharmaceutical excipients, especially plasticizers, characterized in that the multi-particle dosage form is formulated in such a way that the contained granules are released in the pH range of the stomach, the outer coating is adjusted through the choice of the polymer or anionic copolymer or its f formulation with excipients and its layer thickness in such a way that the coating dissolves in pH ranges between 4.0 to 8.0 in the intestine in a period of 15 to 60 minutes, so that the mucoadhesive matrix layer containing active substance is exposed and can adhere to the intestinal mucosa and release the active substance there, where the polymer has a mucoadhesive effect of? b = 15 'at 1000 mPa * s and an absorption of water from 10 to 750% in 15 minutes in a range of + / - 0.5 pH units relative to the pH at which the outer coating to be dissolved begins, and the active substance content of the matrix layer is a maximum of 40% by weight of the polymer content having a mucoadhesive effect.
- 2. The pharmaceutical form as described in claim 1, characterized in that the outer film coating is a cellulose glycolate (Duodcell® =, cellulose acetate phthalate (CAP, Cellulosi acetates, PhEur, cellulose acetate phthalates, NF, Aquaterie®), cellulose acetate succinate (CAS), cellulose acetate trimellitate (CAT), Hydroxypropylmethylcellulose phthalate (HPMCP, HP50, HP55), hydroxypropylmethylcellulose acetate succinate (HPMCAS-LF, -MF, -HF), polyvinyl acetate phthalate (PVAP, Sureteric®), vinyl acetate vinylpyrrolidone copolymer (PVAc, Kollidon®, VA64), vinyl acetate: protonic acid 9: 1 copolymer (VAC: CRA, Kollicoat® VAC) and / or lacquer.
- 3. The pharmaceutical form "described in claim 1, characterized in that the coating of the outer film consists of a (meth) acrylate copolymer having a monomer content having anionic groups from 5 to 60% by weight. pharmaceutical form as described in one or more of Claims 1 to 3, characterized in that the thickness of the outer coating layer is in the range of 20 to 200 μm 5. The pharmaceutical form as described in one or more of the Claims 1 to 4, characterized in that the inner matrix comprises a C6-a fatty acid C2o ~ and / or a C6 to C20 alcohol including its salts, ether, ester or amide derivatives and / or a lipid and / or a phospholipid and / or a lipid soluble vitamin and / or a protease inhibitor and / or a penetration promoter 6. The pharmaceutical form as described in one or more of Claims 1 to 5, characterized in that the polymer has a mucoadhesive effect It's a k itosan, a (meth) acrylate copolymer consisting of 20-40% by weight of methyl methacrylate and 60 to 80% by weight of methacrylic acid and / or a cellulose, especially Na carboxymethylcellulose, a crosslinked polyacrylic acid and / or without crosslinking, a lectin, an alginate Na and / or a pectin. 7. The pharmaceutical form as described in Claim 6, characterized in that the inner matrix comprises as a polymer having a mucoadhesive effect a chitosan which is used together with an acid or a buffer system, which is located in the matrix or in a core in which the matrix is applied. 8. The pharmaceutical form as described in Claim 7, characterized in that the inner matrix layer comprises chitosan and is adjusted to a pH of 5.0 to 5.5 by means of an acid or a buffer system, and is combined with an outer film coating that begins to dissolve in the pH range of 6.0 to 8.0. The pharmaceutical form as described in one or more of Claims 1 to 8, characterized in that the active substance is a protein or a peptide having an average molecular weight Mw of less than 3000. 10. The pharmaceutical form as described in Claim 9, characterized in that the active substance is abarelix, angiotensin II, anidulafungin, antide, argipressin, azaline and azaline B, bombesin antagonist, bradykinin, buserelin, cetrorelix, cyclosporin A, desmopressin, detirelix, enkephalins (Leu-, Met-) of ganirelix, gonadorelin, goserelin, growth hormone secretagogue, micafungin, nafarelin, leuprolide, luprorelin, octreotide, oryntide, oxytocin, ramorelix, secretin, somatotropin, terlipressin, tetracosactide, teverelix, triptorelin, tiroliberin, thyrotropin, vasopressin. 11. The pharmaceutical form as described in Claim 10, characterized in that the matrix layer additionally comprises a C6- to C20 fatty acid and / or Ce ~, C20 alcohol including its salts, ether, ester or amide derivatives and / or or lipid and / or phospholipid and / or lipid-soluble vitamin. 12. A pharmaceutical form as described in one or more of Claims 1 to 8, because the active substance is a protein or a peptide having an average molecular weight Mw from 3000 to 10,000. 13. The pharmaceutical form as described in Claim 12, characterized in that the active substance is calcitonin, corticotrophin, endorphins, epithelial growth factor, glucagon, insulin, novoin, paratyphoid hormone, relaxin, por-somatostatin or salmon secretin. 14. The pharmaceutical form as described in claim 12 or 13, characterized in that the matrix layer comprises an alcohol e- to C20- including its salts, ether, ester or amide derivatives and / or a lipid and / or a phospholipid and / or a soluble vitamin in a lipid and / or a protease inhibitor. 15. The pharmaceutical form as described in one or more of Claims 1 to 9, characterized in that the active substance is a protein or a peptide having an average molecular weight Mw of more than 10,000. 16. The pharmaceutical form as described in Claim 15, characterized in that the active substance is interferon (alpha, beta, gamma), interleukins (111, IL2), somatotropin, erythropoietin, tumor necrosis factor (TNF alpha, beta) , relaxin, endorphin, dornase alfa, follicle stimulating hormone (FSH), human chorion gonadotropin (JCG), human growth hormone releasing factor (hGRF), luteinizing hormone (LH) or epidermal growth factor. 17. The pharmaceutical form as described in claim 15. or 16, characterized in that the matrix layer comprises a C6 to C2o fatty acid and / or a Ce-C2o alcohol including its salts, ether, ester or amide derivatives and / or lipid soluble vitamin and / or a protease inhibitor and / or a penetration promoter. 18. The pharmaceutical form as described in one or more of Claims 1 to 17, characterized in that a separating layer is applied between the matrix layer containing an active substance and the outer film coating layer. A process for producing a multi-particle dosage form as described in one or more of Claims 1 to 18, through a) producing an inner matrix layer comprising an active substance, which is a peptide or protein, and a polymer having a mucoadhesive effect and, where appropriate, additional conventional pharmaceutical excipients by means of spray application in a core or through rotating agglomeration, precipitation or dew processes without a core, and subsequently b) application of a coating of outer film essentially consisting of an anionic polymer, which optionally can be formulated with usual pharmaceutical excipients, especially plasticizers, by means of spray application so as to obtain the wrapped granules containing active substance, and c) processing of the resulting granules by means of usual pharmaceutical excipients in a manner known per se my sma as a multi-particulate pharmaceutical form, in particular tablets containing granules, minitablets, capsules, sachets or reconstitutable powders, which are formulated so that the contained granules are released in the pH range of the stomach. The pharmaceutical form as described in one or more of Claims 1 to 18, characterized in that the active substance is embedded in a lipophilic matrix having a melting point above 37 ° C., and the lipophilic matrix containing active substance is embedded in the composite matrix of the polymer having a mucoadhesive effect. The pharmaceutical form as described in one or more of Claims 20, characterized in that the active substance and the substance or substances forming a lipophilic matrix differ in their solubility in water according to DAB 10 and not more than +/- 50%, and / or differs in its partition coefficient in accordance with Annex V of guideline 67/548 / EEC, A.8 by not more than +/- 60% and / or differs in its HLB measured by the method of Marszall no more than +/- 80%. The pharmaceutical form as described in one or more of Claim 20 or 21, characterized in that an active substance having a solubility in water according to DAB 10 of at least 30 parts by volume of water for one part by weight of the active substance is present. 23. The dosage form as described in one or more of Claim 22, characterized in that the active substance is selected from the group of peptides, antibiotics, immunosuppressants, LHRH antagonists, immunomodulators. The pharmaceutical form as described in one or more of Claim 22, characterized in that the active substance is abarelix, angiotensin II, anidulafungin, antido, argipressin, azaline and azaline B, bombesin antagonist, bradykinin, buserelin, cetrorelix, cyclosporin A, desmopressin, detirelix, erythropoietin, enkephalins (Leu-, Met) ganirelix, gonadorelin, goserelin, growth hormone secretagogue, insulin, interferon (alpha, beta, gamma), interleukins (IL1, IL2), micafugin, nafahrelin, leuprolide , leuprorelin, octreotide, orntido, oxytocin, ramorelix, secretin, somatotropin, terlipressin, tetracostactide, teverelix, triptorelin, tiroliberin, thyrotropin, tumor necrosis factor (TNF alpha, beta) or vasopressin. 25. The pharmaceutical form as described in one or more of Claims 20 to 24, characterized in that the substance or substances forming the lipophilic matrix, and the polymer having a mucoadhesive effect have the same ionic property or, in the case of opposite ionic properties, the polymer has a mucoadhesive effect present in at least 50% of the neutralized form. 26. The pharmaceutical form as described in one or more of Claims 20 to 25, characterized in that the lipophilic matrix consists of 80 to 100% by weight of a substance having an HLB from 0 to 15 or a mixture of substances that they have an average HLB from 0 to 15, and can comprise from 0 to 20% by weight of usual pharmaceutical excipients, especially stabilizers, thickeners or adsorbents. 27. The pharmaceutical form as described in one or more of Claims 20 to 26, characterized in that the substance or substances forming the lipophilic matrix belong to the group of oils, fats, mono-, di- or triglycerides, fatty acids, fatty alcohols, especially Cs_ to C2o fatty acids and / or a Ce to C2o alcohol including its salts, ether, ester or amide derivatives. phospholipids, lecithins, emulsifiers, lipoids, lipid soluble vitamins or surfactants. 28. The pharmaceutical form as described in one or more of Claims 20 to 26, characterized in that the lipophilic matrix comprises one or more of the following lipid preparations: (Imor 308) glyceryl monocaprylates having a monoester content of >; 80%, (Imwitor 312) glyceryl monolaurates having a monoester content of > 90%, (Imwitor 491) glycerol monostearate (Cie + Ciß) having a monoester content of > 90%, (Imor 900 P) glycerol monostearate having a monoester content of 40-55% and a CIS with content of 40-60%, (Imwitor 900 K) glycerol monostearate, having a monoester content of 40-55% and a CIE with content of 60-80%, (Imwitor 742) of medium chain C8 and Cio glycerides that have a monoester content of 45-55%, (Imiteor 928) Partial fatty acid glycerides Cio - C? 8 of saturated vegetables with a main content of C12 and having a monoester content of 34-36% "of C8 and Cio glycerides, Na caprylate or Na capriate 29. The pharmaceutical form as described in one or more of Claims 20 to 29, characterized in that the content of the lipophilic matrix containing an active substance in the inner matrix layer a) is from 5 to 50% by weight 31. A process for producing a multi-particle pharmaceutical form as described in one or more of Claims 20 to 30, with the steps of: a) production of the lipophilic matrix containing active substance by suspending and / or dissolving the active substance with the substance (s) forming the lipophilic matrix and, where appropriate, also conventional pharmaceutical excipients, by vigorously mixing or melt the ingredients; b) production of pre-granules (granule cores) by spraying the mucoadhesive polymer mixed with the lipophilic matrix containing active substance in a core or through agglomeration processes with rotation, precipitation or dew without a core; c) production of granules through spray application of an anionic polymer or copolymer coating, which may optionally comprise mixtures of conventional pharmaceutical excipients, especially plasticizers and libration agents, of an organic dispersion or solution in the pre-granules of the step b); d) production of a multi-particle pharmaceutical form by filling or incorporating the granules of step c) in a manner known per se, where appropriate with the use of customary pharmaceutical excipients, in particular through tablet processing with Content of granules, mini-tablets, capsules, sachets or reconstitutable powders. 32. The process for producing a multi-particle dosage form as described in Claim 31, characterized by steps a) and b) are carried out in the following manner: a) production of the inner matrix layer through preparation an emulsion, dispersion or solution of the active substance with the substance (s) for the lipophilic matrix, and when appropriate, also conventional pharmaceutical excipients by vigorously mixing the ingredients in water and producing an oil-in-water preparation having an average particle size of not more than 60 μm; b) production of pre-granules through spray application of the oil-in-water preparation of step a) in the mucoadhesive polymer which may optionally comprise additional mixtures of usual pharmaceutical excipients, where the ingredients are in the form of a micronized powder , for example, by agglomeration by rotation, extrusion or granulation.
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DE10332160.8 | 2003-07-15 |
Publications (1)
Publication Number | Publication Date |
---|---|
MXPA06000430A true MXPA06000430A (en) | 2006-10-17 |
Family
ID=
Similar Documents
Publication | Publication Date | Title |
---|---|---|
US8734849B2 (en) | Multiparticle pharmaceutical dosage form containing a mucoadhesively formulated peptide or protein active substances method for producing said pharmaceutical dosage form | |
CA2570608C (en) | Multiparticle pharmaceutical form for low-solubility active substances and a process for preparing the pharmaceutical form | |
KR101390079B1 (en) | Pharmaceutical form with multilayer separating layer | |
US20060045865A1 (en) | Controlled regional oral delivery | |
US20050249799A1 (en) | Polymeric drug delivery system for hydrophobic drugs | |
ES2838816T3 (en) | Pharmaceutical or nutraceutical composition with resistance against the influence of ethanol | |
CN102046155A (en) | Solid oral form with dual release profile, containing multiparticulates | |
HUE026713T2 (en) | Pharmaceutical or nutraceutical formulation | |
MXPA06000430A (en) | Multiparticle pharmaceutical dosage form containing a mucoadhesively formulated peptide or protein active substances method for producing said pharmaceutical dosage form |