NO171886B - PROCEDURE FOR THE PREPARATION OF A PHARMACEUTICAL PREPARATION IN THE FORM OF AN Aqueous DISPERSION CONTAINING LIPOSOMES CONSISTING OF PHOSPHOLIPIDE COMPONENTS - Google Patents
PROCEDURE FOR THE PREPARATION OF A PHARMACEUTICAL PREPARATION IN THE FORM OF AN Aqueous DISPERSION CONTAINING LIPOSOMES CONSISTING OF PHOSPHOLIPIDE COMPONENTS Download PDFInfo
- Publication number
- NO171886B NO171886B NO863315A NO863315A NO171886B NO 171886 B NO171886 B NO 171886B NO 863315 A NO863315 A NO 863315A NO 863315 A NO863315 A NO 863315A NO 171886 B NO171886 B NO 171886B
- Authority
- NO
- Norway
- Prior art keywords
- cis
- compounds
- liposomes
- octadecenoyl
- glycero
- Prior art date
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/10—Dispersions; Emulsions
- A61K9/127—Liposomes
- A61K9/1271—Non-conventional liposomes, e.g. PEGylated liposomes, liposomes coated with polymers
-
- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y02—TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
- Y02A—TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
- Y02A50/00—TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE in human health protection, e.g. against extreme weather
- Y02A50/30—Against vector-borne diseases, e.g. mosquito-borne, fly-borne, tick-borne or waterborne diseases whose impact is exacerbated by climate change
Landscapes
- Health & Medical Sciences (AREA)
- Chemical & Material Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Medicinal Chemistry (AREA)
- Pharmacology & Pharmacy (AREA)
- Epidemiology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Dispersion Chemistry (AREA)
- Medicinal Preparation (AREA)
- Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
- Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)
Abstract
Description
Foreliggende oppfinnelse vedrører fremstilling av farmasøy-tiske preparater inneholdende acylerte fosfatidyletanolaminderivater, fosfatidyletanolamin og forbindelser som har farmakologiske egenskaper. The present invention relates to the production of pharmaceutical preparations containing acylated phosphatidylethanolamine derivatives, phosphatidylethanolamine and compounds which have pharmacological properties.
De farmasøytiske preparatene fremstilt ifølge foreliggende oppfinnelse administreres i form av liposomer. The pharmaceutical preparations produced according to the present invention are administered in the form of liposomes.
Farmasøytiske administreringssystemer basert på liposomer er beskrevet i den generelle oversikten utgitt av G. Gregoria-dis, "Liposome Technology", bind II, "Incorporation of Drugs, Proteins and Genetic Material"; CRC Press 1984. Slike systemer har den fordelen at biologisk aktivt materiale kan innføres i vev ved fagocytose, spesielt i vev i reticulo-endothelsystemet. F.eks. er en transportmekanisme kjent hvorved antibiotika innføres i infisert vev ved fagocytose slik at det forårsakes forbedret fjernelse eller ødeleggelse av den infiserende mikroorganismen. Endocytose er også en nyttig mekanisme ved bekjempelsen av betennelsessentre. Antireumatiske farmasøytiske midler innkapslet i liposomer innføres fortrinnsvis i infisert vev i motsetning til "friskt" vev. Videre kan cytostatiske midler, vanlig kjent som "anti-kreftmidler", når de innkapsles i liposomer, innføres i spesifikke organer i reticulo-endotelsystemet (lever, milt eller marg). På grunn av filtrering i kapil-larrørene i lungen og senere transport ved migrerende monocytter, kan biologisk aktivt materiale f.eks. forbindelser som har immunmodulerende egenskaper, konsentreres i alveolarmakrofager. Dette resulterer i en forbedret virkning på metastatiske lungetumorer og i en samtidig reduksjon av toksisitet. Pharmaceutical delivery systems based on liposomes are described in the general review published by G. Gregoria-dis, "Liposome Technology", Volume II, "Incorporation of Drugs, Proteins and Genetic Material"; CRC Press 1984. Such systems have the advantage that biologically active material can be introduced into tissues by phagocytosis, especially into tissues of the reticulo-endothelial system. E.g. is a transport mechanism known by which antibiotics are introduced into infected tissue by phagocytosis so as to cause improved removal or destruction of the infecting microorganism. Endocytosis is also a useful mechanism in the fight against inflammatory centers. Antirheumatic pharmaceutical agents encapsulated in liposomes are preferentially introduced into infected tissue as opposed to "healthy" tissue. Furthermore, cytostatic agents, commonly known as "anti-cancer agents", when encapsulated in liposomes, can be introduced into specific organs of the reticulo-endothelial system (liver, spleen or marrow). Due to filtration in the capillary tubes in the lung and later transport by migrating monocytes, biologically active material can e.g. compounds that have immunomodulatory properties are concentrated in alveolar macrophages. This results in an improved effect on metastatic lung tumors and in a simultaneous reduction of toxicity.
En representativ utgave av tidligere kjent teknikk utgjøres av svensk utlegningsskrift nr. 459.228 hvor det beskrives liposomsammensetninger inneholdende lysofosfolipider og andre fosfolipider. Disse sammensetningene er kjente for deres carsinostatiske egenskaper. A representative version of previously known technology is constituted by Swedish explanatory document no. 459,228, which describes liposome compositions containing lysophospholipids and other phospholipids. These compounds are known for their carcinostatic properties.
Det er nå overraskende funnet at opptaket av liposomer og deres endocytose ved makrofager, spesielt alveolarmakrofager, forøkes når acylerte fosfatidyletanolaminderivater innbe-fattes i skallstrukturen for liposomene. It has now surprisingly been found that the uptake of liposomes and their endocytosis by macrophages, especially alveolar macrophages, is increased when acylated phosphatidylethanolamine derivatives are included in the shell structure of the liposomes.
Foreliggende oppfinnelse vedrører en fremgangsmåte for fremstilling av et farmasøytisk preparat i form av en vandig dispersjon inneholdende liposomer bestående av The present invention relates to a method for producing a pharmaceutical preparation in the form of an aqueous dispersion containing liposomes consisting of
a) et syntetisk fosfolipid med formelen a) a synthetic phospholipid with the formula
der m betyr to eller tre, R^ og R2 uavhengig av hverandre where m means two or three, R 1 and R 2 independently of each other
betyr alkyl, alkenyl eller acyl, hver med 10 til 20 karbonatomer, X betyr en direktebinding, C^-C^alkylen, C2-C4-alkenylen, eller C^-C^alkylen eller C2-C4~alkenylen substituert med hydroksy, eller et farmasøytisk akseptabelt salt derav, means alkyl, alkenyl or acyl, each having 10 to 20 carbon atoms, X means a direct bond, C₁-C₄alkylene, C₂-C₄alkenylene, or C₁-C₄alkylene or C₂-C₄alkenylene substituted with hydroxy, or a pharmaceutically acceptable salt thereof,
b) et syntetisk fosfolipid med formelen b) a synthetic phospholipid of the formula
der R3 og R4 betyr acylgruppen av en mettet eller en umettet karboksylsyre med 10 til 20 karbonatomer og 1-2 dobbeltbindinger, 1 et forhold fosfolipidkomponent (I):fosfolipidkomponent (II) fra ca. 10:90 opp til 50:50, c) en lipofil forbindelse eller en blanding av forbindelser med farmakologisk aktivitet, og, eventuelt, d) et lipid fra naturlige kilder valgt blant fosfatidylcolin, fosfatidylserin, fosfatidylinositol, fosfatidylglyserol, where R3 and R4 mean the acyl group of a saturated or an unsaturated carboxylic acid with 10 to 20 carbon atoms and 1-2 double bonds, 1 a ratio phospholipid component (I):phospholipid component (II) from approx. 10:90 up to 50:50, c) a lipophilic compound or a mixture of compounds with pharmacological activity, and, optionally, d) a lipid from natural sources selected from phosphatidylcholine, phosphatidylserine, phosphatidylinositol, phosphatidylglycerol,
kardiolipin og kolesterol, og derivater derav, og en farmasøytisk akseptabel bæreroppløsning bufret til pH 7,0-8,0 og, eventuelt, farmasøytisk akseptable additiver. cardiolipin and cholesterol, and derivatives thereof, and a pharmaceutically acceptable carrier solution buffered to pH 7.0-8.0 and, optionally, pharmaceutically acceptable additives.
I forbindelse med beskrivelsen av foreliggende oppfinnelse, har de generelle betegnelsene som er anvendt ovenfor og nedenfor fortrinnsvis følgende betydninger: Betegnelsen "lavere" benyttet ved definisjoner av organiske rester, f.eks. lavere alkyl, lavere alkylen, lavere alkoksy, lavere alkanoyl, osv., betyr at slike organiske rester, med mindre annet uttrykkelig er angitt, inneholder opptil 7, fortrinnsvis opp til 4, karbonatomer. In connection with the description of the present invention, the general terms used above and below preferably have the following meanings: The term "lower" used in definitions of organic residues, e.g. lower alkyl, lower alkylene, lower alkoxy, lower alkanoyl, etc., means that such organic residues, unless otherwise expressly stated, contain up to 7, preferably up to 4, carbon atoms.
Nomenklaturen for fosfolipidene av formlene I og II er i overensstemmelse med anbefalingene av IUPÅC- og ITJB-kommi-sjonen vedrørerende biokjemisk nomenklatur (CBN) ifølge Eur. J. of Biochem. 79, 11-21 (1977) "Nomenclature of Lipids" The nomenclature for the phospholipids of the formulas I and II is in accordance with the recommendations of the IUPÅC and ITJB commission concerning biochemical nomenclature (CBN) according to Eur. J. of Biochem. 79, 11-21 (1977) "Nomenclature of Lipids"
(sn-nomenklatur, stereospesifikk nummerering). (sn nomenclature, stereospecific numbering).
Med mindre annet er angitt er det benyttet generiske navn foreslått av Verdens Helseorganisasjon (WHO) (Recommended International Non-properietary Names) for å definere de aktive bestanddelene, disse navnene er tatt fra standard læreboken "Pharmazeutische Chemie" (E. Schroder, C. Rufer og r. Schmiechen, Thieme Verlag Stuttgart, 1982) og Merck Index (tiende utgave). Unless otherwise stated, generic names proposed by the World Health Organization (WHO) (Recommended International Non-proprietary Names) have been used to define the active ingredients, these names are taken from the standard textbook "Pharmazeutische Chemie" (E. Schroder, C. Rufer and r. Schmiechen, Thieme Verlag Stuttgart, 1982) and the Merck Index (tenth edition).
I det syntetiske fosfolipidet av formel I (komponent a) er m fortrinnsvis to. In the synthetic phospholipid of formula I (component a), m is preferably two.
Alkyl Ri og/eller R2 er fortrinnsvis rettkjedet med et like antall fra 10 til 20 karbonatomer, f.eks. n-decyl, n-dodecyl, n-tetradecyl, n-heksadecyl, n-oktadecyl eller n-icosyl. Alkyl R 1 and/or R 2 is preferably straight chain with an equal number of from 10 to 20 carbon atoms, e.g. n-decyl, n-dodecyl, n-tetradecyl, n-hexadecyl, n-octadecyl or n-icosyl.
Alkenyl R^ og/eller R2 er fortrinnsvis rettkjedet med et like antall fra 10 til 20 karbonatomer og en dobbeltbinding, f.eks. 9-cis-dodecenyl, 9-cis-tetradecenyl, 9-cis-heksa-decenyl, 6-cis-okta-decenyl, 6-trans-oktadecenyl, 9-trans-oktadecenyl eller 9-cis-icosenyl. Alkenyl R 1 and/or R 2 is preferably straight chain with an equal number of from 10 to 20 carbon atoms and a double bond, e.g. 9-cis-dodecenyl, 9-cis-tetradecenyl, 9-cis-hexa-decenyl, 6-cis-octa-decenyl, 6-trans-octadecenyl, 9-trans-octadecenyl or 9-cis-icosenyl.
Acyl Ri og/eller R2 er fortrinnsvis rettkjedet med et like antall fra 10 til 20 karbonatomer, f.eks. Cio-C2o~alltanoyl eller Cio-C20~al^en°yl• Acyl R 1 and/or R 2 is preferably straight chain with an equal number of from 10 to 20 carbon atoms, e.g. Cio-C20~alltanoyl or Cio-C20~al^en°yl•
Alkanoyl R^ og/eller R2 er fortrinnsvis n-dekanoyl, n-dodeka-noyl, n-tetradekanoyl, n-heksadekanoyl, n-oktadekanoyl og n-icosanoyl. Alkanoyl R 1 and/or R 2 are preferably n-decanoyl, n-dodecanoyl, n-tetradecanoyl, n-hexadecanoyl, n-octadecanoyl and n-icosanoyl.
Alkenoyl R^ og/eller R2 er fortrinnsvis 9-cis-dodecenoyl, 9-cis-tetradecenoyl, 6-trans-oktadecenoyl, 9-cis-oktadecenoyl, 9-trans-oktadecenoyl, 11-cis-oktadecenoyl og 9-cis-icosenoyl. Alkenoyl R 1 and/or R 2 are preferably 9-cis-dodecenoyl, 9-cis-tetradecenoyl, 6-trans-octadecenoyl, 9-cis-octadecenoyl, 9-trans-octadecenoyl, 11-cis-octadecenoyl and 9-cis-icosenoyl .
X definert som C^-C^alkylen er rettkjedet eller forgrenet C1-C4-alkylen, f.eks. metylen, 1,1-etylen, 1,1-, 1,2- eller 1,3-propylen, eller fortrinnsvis 1,2-etylen. X defined as C 1 -C 4 alkylene is straight chain or branched C 1 -C 4 alkylene, e.g. methylene, 1,1-ethylene, 1,1-, 1,2- or 1,3-propylene, or preferably 1,2-ethylene.
X definert som C2~C4-alkenylen er fortrinnsvis rettkjedet alkenylen, f.eks. vinylen, propenylen, eller 1,2- eller 2,3-butenylen. X defined as C2~C4-alkenyl is preferably straight-chain alkenyl, e.g. the vinyl, propenylene, or 1,2- or 2,3-butenylene.
X definert som Ci~C4-alkylen eller C2-C4~alkenylen substituert med hydroksy er fortrinnsvis rettkjedet C1-C4-alkylen substituert med 1 eller, avhengig av antallet karbonatomer, opp til 4 hydroksygrupper, f.eks. 1-hydroksy-1.2- etylen, 1,2-dihydroksy-l,2-etylen, 1- eller 2-hydroksy-1.3- propylen eller 1,2-dihydroksy-l,3-propylen. X defined as C1-C4-alkylene or C2-C4-alkenylene substituted with hydroxy is preferably straight-chain C1-C4-alkylene substituted with 1 or, depending on the number of carbon atoms, up to 4 hydroxy groups, e.g. 1-hydroxy-1,2-ethylene, 1,2-dihydroxy-1,2-ethylene, 1- or 2-hydroxy-1,3-propylene or 1,2-dihydroxy-1,3-propylene.
Et farmasøytisk akseptabelt salt av fosfolipidet (I) dannes fortrinnsvis ved reaksjon med en eller to ekvivalenter av fortynnet vandig alkalimetallhydroksyd, f.eks. natrium- eller kaliumhydroksyd og er fortrinnsvis mono- eller dinatrium-saltet. A pharmaceutically acceptable salt of the phospholipid (I) is preferably formed by reaction with one or two equivalents of dilute aqueous alkali metal hydroxide, e.g. sodium or potassium hydroxide and is preferably the mono or disodium salt.
Andre farmasøytisk akseptable salter dannes ved reaksjon med aminer så som trimetyl-, etyl-, dietyl-, eller trietylamin, piperidin, piperazin, 2-hydroksyetylpiperazin, cykloheksyl-amin, pyrrolidin, eller kolin. Other pharmaceutically acceptable salts are formed by reaction with amines such as trimethyl, ethyl, diethyl, or triethylamine, piperidine, piperazine, 2-hydroxyethylpiperazine, cyclohexylamine, pyrrolidine, or choline.
I det syntetiske fosfolipidet (I) er R^ og R2 fortrinnsvis rettkjedet alkenoyl med et like antall fra 10 til 20 karbonatomer, f.eks. 9-cis-dodecenoyl, 9-cis-tetradecenoyl, 9-cis-heksadecenoyl, 6-cis-, 6-trans-, 9-cis-, 9-trans-, eller 11-cis-oktadecenoyl, eller 9-cis-icosenoyl, X er C2~C4-alkylen, f.eks. 1,2-etylen eller 1,3-propylen, eller C2~C4-alkenylen, f.eks. vinylen. In the synthetic phospholipid (I), R 1 and R 2 are preferably straight-chain alkenoyl with an equal number of from 10 to 20 carbon atoms, e.g. 9-cis-dodecenoyl, 9-cis-tetradecenoyl, 9-cis-hexadecenoyl, 6-cis-, 6-trans-, 9-cis-, 9-trans-, or 11-cis-octadecenoyl, or 9-cis- icosenoyl, X is C2~C4 alkylene, e.g. 1,2-ethylene or 1,3-propylene, or C2~C4-alkenylene, e.g. the vinyl.
Mest foretrukket er natrium eller dinatriumsaltene av N-[1,2-di-(9-ci s-oktadecenoyl)-sn-glycero-3-fosfoetanol] -N-hydroksysuksinylamin og N-[l,2-di-(9-cis-oktadecenoyl)-sn-glycero-3-fosfoetanol]-N-hydroksyglutarylamin. Most preferred are the sodium or disodium salts of N-[1,2-di-(9-ci s-octadecenoyl)-sn-glycero-3-phosphoethanol]-N-hydroxysuccinylamine and N-[1,2-di-(9- cis-octadecenoyl)-sn-glycero-3-phosphoethanol]-N-hydroxyglutarylamine.
I fosfolipidet av formel II (komponent b)) er acylgruppene R3 og R4 fortrinnsvis rettkjedede med et like antall fra 10 til 20 karbonatomer, f.eks. Cio-<C>20_alkanoyl eller Cio~<c>20~ alkenoyl, spesielt 9-cis-dodecenoyl, 9-cis-tetradecenoyl, 9-cis-heksadecenoyl, 6-cis-, 6-trans-, 9-cis-, 9-trans- eller 11-cis-oktadecenoyl. In the phospholipid of formula II (component b)), the acyl groups R3 and R4 are preferably straight-chain with an equal number of from 10 to 20 carbon atoms, e.g. Cio-<C>20_alkanoyl or Cio~<c>20~ alkenoyl, especially 9-cis-dodecenoyl, 9-cis-tetradecenoyl, 9-cis-hexadecenoyl, 6-cis-, 6-trans-, 9-cis-, 9-trans- or 11-cis-octadecenoyl.
Mest foretrukket er 1,2-di-(9-cis-oktadecenoyl)-sn-glycero-3-fosfoetanolamin. Most preferred is 1,2-di-(9-cis-octadecenoyl)-sn-glycero-3-phosphoethanolamine.
Forbindelser eller blandinger av forbindelser som har farmakologisk aktivitet (komponent c)) er fortrinnsvis legemidler valgt fra gruppen bestående av antiflogistiske og/eller ant i inf1ammatori ske midler, antibiotika, mark-drepende midler, antimykotika, antineoplastiske midler, og forbindelser som har immunmodulerende virkning. Compounds or mixtures of compounds that have pharmacological activity (component c)) are preferably drugs selected from the group consisting of antiphlogistic and/or anti-inflammatory agents, antibiotics, fungicides, antifungals, antineoplastic agents, and compounds that have an immunomodulatory effect .
Antiflogistiske og/eller ant i inf1ammator iske midler er fortrinnsvis glukokortikoider, f.eks. kortison, hydrokort-ison, prednison, prednisolon, fluocortolon, triamkinolon, metylprednisolon, prednyliden, parametason, deksametason, betametason, beklometason, fluprednyliden, desoksimetason, fluocinolon, flumetason, diflukortolon, klokortolon, klobetazol eller fluorkortinbutylester, salter av substituerte fenyleddiksyrer eller 2-fenylpropionsyrer, f.eks. alklofenac, ibufenac, ibuprofen, clindanac, fenclorac, ketoprofen, fenoprofen, indoprofen, fenclofenac, diclofenac, flurbiprofen, pirprofen, naproksen, benoksaprofen, karprofen eller cicloprofen; analgetisk aktive antranilsyrederivater, f.eks. av formelen: Antiphlogistic and/or anti-inflammatory agents are preferably glucocorticoids, e.g. cortisone, hydrocortisone, prednisone, prednisolone, fluocortolone, triamquinolone, methylprednisolone, prednylidene, paramethasone, dexamethasone, betamethasone, beclomethasone, fluprednylidene, desoximetasone, fluocinolone, flumetasone, diflucortolone, clocortolone, clobetasol or fluorocortin butyl ester, salts of substituted phenylacetic acids or 2-phenylpropionic acids , e.g. alclofenac, ibuprofenac, ibuprofen, clindanac, fenclorac, ketoprofen, fenoprofen, indoprofen, fenclofenac, diclofenac, flurbiprofen, pirprofen, naproxen, benoxaprofen, carprofen or cicloprofen; analgesically active anthranilic acid derivatives, e.g. of the formula:
hvori R^, R2 og R3, uavhengig av hverandre, står for hydrogen, metyl, klor eller trifluormetyl, f.eks. mefenam-syre, flumenamsyre, tolfenamsyre eller meklofenamsyre; analgetisk aktive anilin-substituerte nikotinsyrederivater, f.eks. miflumsyre, kloniksin eller fluniksin; analgetisk aktive heteroaryleddiksyrer eller 2-heteroarylpropionsyrer som har en 2-indol-3-yl eller pyrrol-2-ylrest, f.eks. in which R 1 , R 2 and R 3 , independently of each other, stand for hydrogen, methyl, chlorine or trifluoromethyl, e.g. mefenamic acid, flumenamic acid, tolfenamic acid or meclofenamic acid; analgesically active aniline-substituted nicotinic acid derivatives, e.g. miflumic acid, clonixin, or flunixin; analgesically active heteroarylacetic acids or 2-heteroarylpropionic acids having a 2-indol-3-yl or pyrrol-2-yl residue, e.g.
indometacin, oksmetacin, intrazol, acemetazin, cinmetacin, zomepirac, tolmetin, colpirac eller tlaprofensyre, analgetisk aktive indenyleddiksyrer, f.eks. sulindac, analgetisk aktive heteroaryloksyeddiksyrer, f.eks. benzadac. indomethacin, oxmetacin, intrazol, acemetacin, cinmetacin, zomepirac, tolmetin, colpirac or tlaprofenic acid, analgesically active indenyl acetic acids, e.g. sulindac, analgesically active heteroaryloxyacetic acids, e.g. benzadac.
Antibiotika er fortrinnsvis tetracyklinderivater av formelen: Antibiotics are preferably tetracycline derivatives of the formula:
hvori R^ står for hydrogen eller pyrrolidin-l-ylmetyl, R2 står for hydrogen eller hydroksy, R3 står for hydrogen, hydroksy eller metyl, R4 står for hydrogen eller metyl, og R5 står for hydrogen, klor eller dimetylamino, f.eks. klortetra-cyklin, oksytetracyklin, tetracyklin, demetylklortetracyklin, metacyklin, doksycyklin, minocyklin eller rolitetracyklin, aminoglykosider, f.eks. kanamycin, amikacin, gentamicin , cla' c2 eller C2D, sisomicin, netilmicin, spektinomycin, streptomycin, tobramycin, neomycin B, dibekacin, eller kanendomycin, makrolider, f.eks. maridomycin eller erythro-mycin, linkomyciner, f.eks. klindamycin eller linkomycin, penicillansyre og cefalosporansyrederivater som har antibio-tisk aktivitet med 6p<-> eller 7p<->acylaminogrupper, som er tilstede i fermentative, semi-syntetiske eller syntetisk oppnåelige 6p<->acylaminopenicillansyre eller 7p-acylamino-cefalosporansyrederivater eller i 7g<->acylaminocefalosporan-syrederivater modifisert i 3-stillingen, f.eks. penicillan-syrederivater er blitt kjent under navnet penicillin G eller V, feneticillin, propicillin, nafcillin, oksacillin, kloksacillin, dikloksacillin, flukloksacillin, cyklacillin, epicillin, mecillinam, meticillin, azlocillin, sulbenicillin, in which R 1 stands for hydrogen or pyrrolidin-1-ylmethyl, R 2 stands for hydrogen or hydroxy, R 3 stands for hydrogen, hydroxy or methyl, R 4 stands for hydrogen or methyl, and R 5 stands for hydrogen, chlorine or dimethylamino, e.g. chlortetracycline, oxytetracycline, tetracycline, demethylchlortetracycline, methacycline, doxycycline, minocycline or rolitetracycline, aminoglycosides, e.g. kanamycin, amikacin, gentamicin, cla'c2 or C2D, sisomycin, netilmicin, spectinomycin, streptomycin, tobramycin, neomycin B, dibecacin, or kanendomycin, macrolides, e.g. maridomycin or erythromycin, lincomycins, e.g. clindamycin or lincomycin, penicillanic acid and cephalosporanic acid derivatives having antibiotic activity with 6p<-> or 7p<->acylamino groups, which are present in fermentative, semi-synthetic or synthetically obtainable 6p<->acylaminopenicillanic acid or 7p-acylamino-cephalosporanic acid derivatives or in 7g<->acylaminocephalosporanic acid derivatives modified in the 3-position, e.g. penicillinic acid derivatives have become known as penicillin G or V, pheneticillin, propicillin, nafcillin, oxacillin, cloxacillin, dicloxacillin, flucloxacillin, cyclacillin, epicillin, mecillinam, methicillin, azlocillin, sulbenicillin,
tikarcillin, mezlocillin, piperacillin, karindacillin, azidocillin eller clklazillln, eller cefalosporinderivater som er blitt kjente under navnene cefaklor, cefuroksim, cefazlur, cefacetril, cefazolin, cefaleksin, cefadroksil, cefaloglycin, cefoksitin, cefaloridin, cefsulodin, cefotiam, ceftazidin, cefonicid, cefotaksim, cefmenoksim, ceftizoksim, cefalotinn, cefradin, cefamandol, cefanon, cefapirin, cefroksadin, cefatrizin, cefazedon, ceftrikson eller ceforanid, andre p-laktamantistoffer av klavam-; penem- eller karbapenemtypen, f.eks. moksalaktam, klavulansyre, nocar-dicin, sulbactam, aztreonam eller tienamycin, eller andre antibiotika av biomycin-, novobiocin-, klor- eller tiamfen-ikol-, rifampicin-, fosfomycin-, kolisin- eller vankomycin-typen. ticarcillin, mezlocillin, piperacillin, carindacillin, azidocillin or clklazillln, or cephalosporin derivatives that have become known under the names cefaclor, cefuroxime, cefazlur, cefacetril, cefazolin, cephalexin, cefadroxil, cephaloglycin, cefoxitin, cephaloridine, cefsulodin, cefotiam, ceftazidin, cefonicide, cefotaxime, cefmenoxime, ceftizoxime, cephalotin, cefradin, cefamandole, cefanone, cefapirin, cefroxadine, cefatrizine, cefazedone, ceftrixone or ceforanid, other β-lactam antibodies of clavam-; the penem or carbapenem type, e.g. moxalactam, clavulanic acid, nocardicin, sulbactam, aztreonam or thienamycin, or other antibiotics of the biomycin, novobiocin, chlor or thiamphenicol, rifampicin, fosfomycin, colicin or vancomycin type.
Anti-markmidler er fortrinnsvis antimonforbindelser, f.eks. kaliumantimonyltartrat, stibofen, natriumstibokaptat eller natriumstiboglukonat. Anti-soil agents are preferably antimony compounds, e.g. potassium antimonyl tartrate, stibofen, sodium stibocaptate or sodium stibogluconate.
Antimyotika er f.eks. tiokarbonsyrederivater, f.eks. dibenztion, tolnaftat, eller tolcidat, imidazolderivater, f.eks. klotrimazol, miconazol, ekonazol, iconazol, eller ketokonazol, eller polyenderivater så som nystatin, natamycin eller amfotericin B. Antimyotics are e.g. thiocarbonic acid derivatives, e.g. dibenzthion, tolnaftate, or tolcidate, imidazole derivatives, e.g. clotrimazole, miconazole, econazole, iconazole, or ketoconazole, or polyene derivatives such as nystatin, natamycin, or amphotericin B.
Antineoplastiske midler er fortrinnsvis alkyleringsmidler inneholdende bis-(2-kloretyl)-amingruppen så som klormetin, klorambucil, melfalan, uramustin, mannomustin, ekstramustin-fosfat, mekloretaminoksyd, cyklofosfamid, ifosfamid, eller trifosfamid, alkyleringsmidler inneholdende en substituert aziridingruppe, f.eks. tretamin, tiotepa, triazikon eller mitomycin, alkyleringsmidler av metansulfonestertypen så som busulfan, alkylerende N-alkyl-N-nitrosoureaderivater, f.eks. karmustin, lomustin, semustin, eller streptozotocin, alkyleringsmidler av mitobronitol-, dakarbazin-, eller prokarbazintypen, kompleksdannede midler så som cis-platin, antimetabolitter av folinsyretypen, f.eks. metotreksat, purinderivater så som merkaptopurin, tioguanin, azatioprin, tiamiprin, vidarabin, eller puromycin, pyrimidinderivater, f.eks. fluoruracil, floksuridin, tegafur, cytarabin, idoksuridin, flucytosin, antibiotika så som daktinomycin, daunorubicin, doksorubicin, mitramycin, bleomycin Å2 eller B2 eller etoposid, eller vinkaalkaloider, eventuelt sammen med klormetamin, prednisolon, prednison eller prokarbazin. Antineoplastic agents are preferably alkylating agents containing the bis-(2-chloroethyl)-amine group such as chlormethine, chlorambucil, melphalan, uramustine, mannomustine, extramustine phosphate, mechlorethamine oxide, cyclophosphamide, ifosfamide, or triphosphamide, alkylating agents containing a substituted aziridine group, e.g. tretamine, thiotepa, triazicon or mitomycin, alkylating agents of the methanesulfone ester type such as busulfan, alkylating N-alkyl-N-nitrosourea derivatives, e.g. carmustine, lomustine, semustine, or streptozotocin, alkylating agents of the mitobronitol, dacarbazine, or procarbazine type, complexing agents such as cis-platin, antimetabolites of the folinic acid type, e.g. methotrexate, purine derivatives such as mercaptopurine, thioguanine, azathioprine, thiamiprine, vidarabine, or puromycin, pyrimidine derivatives, e.g. fluorouracil, floxuridine, tegafur, cytarabine, idoxuridine, flucytosine, antibiotics such as dactinomycin, daunorubicin, doxorubicin, mithramycin, bleomycin Å2 or B2 or etoposide, or vinca alkaloids, possibly together with chlormethamine, prednisolone, prednisone or procarbazine.
Forbindelser eller blandinger av forbindelser som har immunmodulerende virkning er f.eks. muramylpeptider av formelen: Compounds or mixtures of compounds which have an immunomodulating effect are e.g. muramyl peptides of the formula:
hvori H1 står for L-Ala-D-isoGln-L-Ala-2-(1,2-dipalmitoyl-sn-glycero-3-hydroksyfosforyloksy)-etylamid, L-Ala-D-Glu-(Cg flTp-ma-L-Ala-2 - (1 ,2-di palm i toyl-sn-glycero-3-hydroksyf osforyl-oksy )-etylamid, L-Ala-D-isoGln-OH, L-Ala-D-Gln-NB^-oc-n-butylester, L-Ala-D-isoGln-L-(stearoyl)-Lys, L-Val-D-Gln-NB^-oc-n-metylester, L-Ala-D-isoGln-L-Ala-1,2-dipalmitoyl-sn-glycerinester eller L-Ala-D-isoGln-L-Ala-kolesterinester-gruppen, R2 står for hydrogen, metyl eller n-propyl, R3 står for hydrogen, n-stearoyl, 10-(2,3-dimetoksy-l,4-diokso-5-metyl)-2,5-cykloheksadienoyl, 2-behenoyloksy-2-metyl-propanoyl eller n-oktanoyl, og R4 står for hydrogen eller n-oktanoyl, så vel som 2-palmitoyltioderivatet derav, lipo-peptider så som n-lauroyl-L-Ala-D-isoGln-(m-DAP-Gly)-NH2, n-lauroyl-L-Ala-D-i soGln-(L-DAP-Gly)-NH2, n-lauroyl-L-Ala-D-isoGln-(L-Lys-D-Ala)-NH2, n-oktanoyl-L-Ala-D-isoGln-(L-Lys-D-Ala)-NH2 eller palmitoyl-Cys-((2R)-2,3-dilauroyloksypropyl)-Ala-D-Glu-(Gly-taurin-Na)-NH2, eller er lymfokiner som in which H1 stands for L-Ala-D-isoGln-L-Ala-2-(1,2-dipalmitoyl-sn-glycero-3-hydroxyphosphoryloxy)-ethylamide, L-Ala-D-Glu-(Cg flTp-ma- L-Ala-2 - (1 ,2-di palm i toyl-sn-glycero-3-hydroxyph osphoryl-oxy )-ethylamide, L-Ala-D-isoGln-OH, L-Ala-D-Gln-NB^ -oc-n-butyl ester, L-Ala-D-isoGln-L-(stearoyl)-Lys, L-Val-D-Gln-NB^-oc-n-methyl ester, L-Ala-D-isoGln-L- Ala-1,2-dipalmitoyl-sn-glycerin ester or L-Ala-D-isoGln-L-Ala-cholesterol ester group, R2 stands for hydrogen, methyl or n-propyl, R3 stands for hydrogen, n-stearoyl, 10- (2,3-dimethoxy-1,4-dioxo-5-methyl)-2,5-cyclohexadienoyl, 2-behenoyloxy-2-methyl-propanoyl or n-octanoyl, and R4 represents hydrogen or n-octanoyl, as well as its 2-palmitoylthio derivative, lipo-peptides such as n-lauroyl-L-Ala-D-isoGln-(m-DAP-Gly)-NH2, n-lauroyl-L-Ala-D-i soGln-(L-DAP-Gly )-NH2, n-lauroyl-L-Ala-D-isoGln-(L-Lys-D-Ala)-NH2, n-octanoyl-L-Ala-D-isoGln-(L-Lys-D-Ala)- NH2 or palmitoyl-Cys-((2R)-2,3-dilauroyloxypropyl)-Ala-D-Glu-(Gly-taurine-Na)-NH2, or are lymphokines as
produseres av lymfocytter, monocytter eller makrofager etter stimulering ved antigener eller mitogener. produced by lymphocytes, monocytes or macrophages after stimulation by antigens or mitogens.
Lymfokiner er spesielt gamma-interferon, spesielt naturlig eller rekombinanthumant-gamma-interferon, spesielt humant-gamma-interferon som kan oppnås ifølge europeisk patentpublikasjon nr. 63.482, 77.670, 83.777, 88.540, 89.676, 95.350, 99.084, 110.044 og 112.967 og de internasjonale (PCT) publikajsonene (W0) 83/04.053 eller W0 84/02.129. Lymphokines are especially gamma interferon, especially natural or recombinant human gamma interferon, especially human gamma interferon obtainable according to European Patent Publication Nos. 63,482, 77,670, 83,777, 88,540, 89,676, 95,350, 99,084, 110,044 and 112,967 and the international (PCT) the public zones (W0) 83/04.053 or W0 84/02.129.
Foretrukket er humant gamma-interferon av følgende amino-syresekvenser: Preferred is human gamma interferon of the following amino acid sequences:
ifølge europeisk patentpublikasjon 121.157 og according to European patent publication 121,157 and
ifølge GB patentskrift 2.107.718, humant interleukin 2 som kan oppnås f.eks. fra kulturfiltrater av cellekulturer av leukemi eller lymfomaceller etter aktivering eller stimulering med humane T-cellemitogener og ved rensing med reversert fase EPLC, kulturfiltrater som inneholder blandinger av forbindelser kjent som migreringsinhiberingsfaktor (MIF), leukocyttmigreringsinhiberingsfaktor, makrofagaktiverende faktor (MÅF), kolonistimulerende faktor, så vel som interleukin 1 og 2 og gamma-interferon som kan oppnås fra kulturer av humane T-lymfocytter fra milter eller fra perifert blod etter stimulering ved hjelp av antigener eller mitogener, eller f.eks. humant T-celleleukemi-lymfomavirus (HTLV I eller II), fytohemaglutinin, eller konkanavalin, spesielt de kulturfiltratene eller isolatene som inneholder en høy prosentandel av makrofagaktiverende faktor (MAF). according to GB patent 2,107,718, human interleukin 2 which can be obtained e.g. from culture filtrates of cell cultures of leukemia or lymphoma cells after activation or stimulation with human T-cell mitogens and by purification by reversed phase EPLC, culture filtrates containing mixtures of compounds known as migration inhibitory factor (MIF), leukocyte migration inhibitory factor, macrophage activating factor (MÅF), colony stimulating factor, so as well as interleukin 1 and 2 and gamma-interferon which can be obtained from cultures of human T-lymphocytes from spleens or from peripheral blood after stimulation with antigens or mitogens, or e.g. human T-cell leukemia-lymphoma virus (HTLV I or II), phytohemagglutinin, or concanavalin, especially those culture filtrates or isolates containing a high percentage of macrophage-activating factor (MAF).
Foretrukket er N-acetylmuramyl-L-alanyl-D-isoglutaminyl-L-alanin-2-(l,2-dipalmitoyl-sn-glycero-3-hydroksyfosforyloksy)-etylamid, natrium-N-acetyl-D-muramyl-L-alanyl-D-isoglutamin eller natrium-N-acetyldesmetylmuramyl-L-alanyl-D-isoglutamin av formel V, eventuelt i kombinasjon med renset, naturlig eller rekombinant humant gamma-interferon. Preferred are N-acetylmuramyl-L-alanyl-D-isoglutaminyl-L-alanine-2-(1,2-dipalmitoyl-sn-glycero-3-hydroxyphosphoryloxy)-ethylamide, sodium-N-acetyl-D-muramyl-L- alanyl-D-isoglutamine or sodium-N-acetyldesmethylmuramyl-L-alanyl-D-isoglutamine of formula V, optionally in combination with purified, natural or recombinant human gamma interferon.
Lipider (komponent d)) valgt fra gruppen bestående av fosfatidylkolin, fosfatidylserin, fosfatidylinositol, fosfatidylglyserol og kardiolipin, er syntetiske fosfolipider eller er blandinger av fosfolipider som har forskjellige acylgrupper av forskjellig molekylvekt og struktur, f.eks. soyabønne- eller kyllingegg-fosfatidylkolin eller fos-fatidylkinolin fra bovinhjerne, bovinlever eller svinelever, fosfatilydserin fra bovinhjerne, fosfatidylinositol fra soyabønner eller gjær, fosfatidylglyserol fra eggeplomme, eller kardiolipin fra bovinhjerte. Lipids (component d)) selected from the group consisting of phosphatidylcholine, phosphatidylserine, phosphatidylinositol, phosphatidylglycerol and cardiolipin, are synthetic phospholipids or are mixtures of phospholipids which have different acyl groups of different molecular weight and structure, e.g. soybean or chicken egg phosphatidylcholine or phosphatidylquinoline from bovine brain, bovine liver or pig liver, phosphatilyserine from bovine brain, phosphatidylinositol from soybeans or yeast, phosphatidylglycerol from egg yolk, or cardiolipin from bovine heart.
Derivater av kolesterol er f.eks.- kolesatan, koprostan, ergosterol eller stigmasterol. Derivatives of cholesterol are, for example, cholestane, coprostane, ergosterol or stigmasterol.
De farmasøytiske preparatene ifølge foreliggende oppfinnelse er, når de anvendes i form av liposomer, kjennetegnet ved sin utmerkede fagocytose. For eksempel er fagocytose av multi-lammelære liposomer bestående av en 3:7 molar blanding av natrium-N-[l,2-di-(-9-cis-oktadecenoyl)-sn-glycero-3-fos-foetanol]-N-hydrok&ysuksinylamin (I) og dioleoylfosfatidyletanolamin (II) eller natrium-N-[1,2-di-(9-cis-oktadecenoyl)-sn-glycero-3-fosfoetanol]-N-hydroksyglutarylamin (I) og dioleoylfosfatidyletanolamin (II) ved museperitoneale makrofager høyere enn fagocytose for multilamellære liposomer bestående utelukkende av fosfatidyletanolamin eller av en 3:7 molar blanding av fosfatidylserin og fosfatidylkolin. Dette kan demonstreres in-vitro ved inkubering av museperitoneal-makrofager med multilamellære liposomer inneholdende spor-mengder av <125>j som en Uposom markør. Ved jevne mellomrom vaskes kulturene og mengden av celle-tilknyttet stråling bestemmes. Videre viser liposomer bestående av fosfolipider av formel I og II i et molforhold på 3:7 inneholdende immunmodulatorer så som MDP og gamma-interferon høyere aktivering av makrofager til tumoricidtUstand ved lavere doser enn liposomer bestående av fosfatidylkolin og fosfatidylserin inneholdende den samme mengden av MDP og gamma-interferon. Dette kan også vises in vitro ved å belegge peritoneale musemakrofager i kulturbrønner og aktivere makrofagene med multilamellære liposomer bestående av natrium-N-[l,2-di-(9-cis-oktadecenoyl)-sn-glycero-3-fos-foetanol]-N-hydroksysuksinylamin (I) og dioleoylfosfatidyletanolamin (II) i et molforhold på 3:7 inneholdende MDP og gamma-interferon og med multilamellære liposomer bestående av fosfatidylkolin og fosfatidylserin i det samme molfor-holdet inneholdende MDP og gamma-interferon. Liposompre-paratene benyttes ved en konsentrasjon på 100 nmol totalt fosfolipid pr. brønn og inneholder 6 enheter rekombinat immungamma interferon og 0,2 g MDP. Etter vasking av brønnene tilsettes IO<4> [<125>I]jododeoksyuridin - merket BL6 melanoma-celler. Cytoksitet bestemmes etter 72 timers kultivering ved å måle radioaktiviteten knyttet til de vedhengende levedyk-tige målcellene etter vasking av kulturene tre ganger med Hank<*>s avbalanserte saltoppløsning. Prosent cytotoksisitet kan beregnes med hensyn på antall tellinger pr. minutt i kontrollkulturer inneholdende uaktiverte makrofager og målceller. ;De farmasøytiske preparatene fremstilt ifølge foreliggende oppfinnelse er, når de anvendes i form av liposomer, videre kjennetegnet ved utmerkede frigivelsesegenskaper ved lave pH-verdier. Frigivelsesegenskapene for liposomer bestående av dinatrium-N-[l,2-di-( 9-c i s-oktadecenoyl) -sn-glycero-3-fosfoetanol]-N-hydroksysuksinylamin og 1,2-di-(9-cis-oktadecenoyl )-sn-glycero-3-f osf oetanolamin i et molforhold på 3:7 analyseres ved fluorescensfremgangsmåten for å måle lekkasjen fra liposomer ved lave pH-verdier som beskrevet av Ellens et al., Biochemistry 1984, 23, 1532-1538. For å undersøke pH-avhengigheten av lekkasjen, injiseres liposomer i buffer-oppløsninger varierende fra pH 4,0 til 7,4 og prosentandelen av oppfanget 8-aminonaftalen-1,3,6-trisulfonsyre (ANTS) og p-xylylen-bis-pyridiniumdibromid (DPX) som erstatter de innkapslede farmasøytiske forbindelsene i denne analysen bestemmes. Fullstendig innkapsling av den vann-oppløselige fluoroforen ANTS kompieksbundet med "slukkeren" DPX fjerner det meste av ANTS fluorescens. Lekkasje av ANTS fra liposomene kan følges ved økningen i fluorescens forårsaket av frigivelsen av DPX "slukking". ;Det er nå funnet at det forekommer i det vesentlige ingen lekkasje over pE 6,0. Når pH imidlertid reduseres, foregår en samtidig økning i mengden ANTS/DPX frigitt fra liposomene. Den halve maksimalverdien finner sted ved ca. pH 4,5 og fullstendig frigivelse ved ca. 4,0. ;Det er kjent at patologisk vev har en omgivende pH som er betydelig lavere enn den for normalt vev. For eksempel har primære tumorer, metastaser, betennelser og infeksjoner reduserte lokale pE-omgivelser. Liposomene femstilt ifølge foreliggende oppfinnelse vil derfor avlevere sitt innhold, f.eks. antiinflammatoriske legemidler eller immunmodulatorer spesifikt på betennelsessete, den primære tumoren eller metastasen og frigi disse legemidlene i de sure omgivelsene i dette patologiske vevet. F.eks. frigir liposomer bestående av en 3:7 molar blanding av dinatrium-N-[l,2-di-(9-cis-oktadecenoyl )-sn-glycero-3-fosfoetanol]-N-hydroksysuksinylamin (I) og dioleoylfosfatidyletanolamin mer av sitt innhold, f.eks. en effektiv dose av rekombinant humant gamma-interferon, ved lave pH-verdier, f.eks. pH 4, enn ved høyere eller nøytrale pH-verdier. Dette kan vises in vitro i bufferoppløsninger av pH 7,4 og pH 4 ved bestemmelse med jevne mellomrom av stålingen av merket ^<25>I-interferon frigitt fra lipidene. Ved en pH-verdi på ca. 4, frigis f.eks. mer enn 25$ av inneslut-tet gamma-interferon fra liposomer etter 180 minutter. ;De farmasøytiske preparatene fremstilt ifølge foreliggende oppfinnelse er derfor, når de anvendes i form av liposomer, utmerkede administreringssystemer for legemiddelavlevering til de lokale områdene med redusert pE av patologisk vev. Derfor er de spesielt nyttige innenfor kreft-kjemoterapi for å overvinne metastatiske tumorceller. ;Vandige liposomdispersjoner hvori fosfolipidene av formlene I og II er det innkapslende materiale og forbindelser eller en blanding av forbindelser som har farmakologisk aktivitet innkapsles, eventuelt etter konsentrering eller isolering av liposomene, f.eks. i (ultra)sentrifugen, er egnede for terapeutiske formål for parenteral (bukkal, lingual, sublingual, i.v., i.c, topisk, s.c, i.m. eller nasal) sluttadministrering. ;For parenteral administrering (topisk) kan den liposom-holdige vandige dispersjonen være blandet med vanlige fortykningsmidler, f.eks. hydroksypropylmetylcellulose, egnede konserveringsmidler, antioksidanter og parfymer, og kan benyttes i form av en lotion eller en gel for påføring på huden eller slimhinnene. ;For parenteral administrering kan den vandige dispersjonen av de anrikede liposomene suspenderes i en egnet bærervæske, f.eks. sterilt, kalsiumfritt, isotonisk natriumklorid eller glukoseoppløsning, eventuelt bufret til pH 7,2-7,4. ;Dosen av den aktive bestanddelen som skal administreres er generelt den høyeste og laveste doseringsmengden som foreskrevet f.eks. i Deutsches Arzneimittelbuch (DAB) [German Pharmacopoieia] for den spesifikke aktive bestanddelen for den spesielle administreringsformen, pasientens alder og helsetilstand. Vandige liposomdispersjoner har imidlertid også den fordelen at den aktive bestanddelen administrert i mindre doser ikke desto mindre kan overføres til reseptorene og gi en terapeutisk virkning, eller på den annen side, at administrering av høye doser muliggjøres uten uønskede bivirkninger. ;Den foretrukne doseringsmengden for de liposom-innkapslede immunomodulatorene av muramylpeptid- eller lipopeptidtypen er ca. 0,001 opp til 10 mg/kg legemesvekt pr. dose. For humant gamma-interferon eller blandinger inneholdende MAF er den foretrukne doseringsmengden ca. 0,01 ml liposomdispersjon pr. kilo legemsvekt, inneholdende 100-1000 enheter gamma-interferon eller MAF. Dersom muramylpeptider administreres sammen med gamma-interferon, er det anslått at den høyeste dosen som kan tilføres til et menneske på ca. 70 kg er ca. 10 mg liposomer pr. kg legemsvekt, inneholdende 3 mikrogram av muramylpeptidet og 1500 enheter gamma-interferon. Den høyeste og den laveste dosen av det innkapslede materiale, konsentrasjonen av fosfolipidene i den vandige fasen så vel som konsentrasjonen av de innkapslede forbindelsene kan variere ifølge resultater som kan fastsettes eksperimentelt ved kliniske forsøk. ;Foreliggende oppfinnelse vedrører fortrinnsvis en fremgangsmåte for fremstilling av farmasøytiske preparater i form av en vandig dispersjon inneholdende liposomer bestående av: a) et fosfolipid av formel I, hvori m står for to, R^ og R£ er som definert ovenfor, X står for C^-C^alkylen, C2-C4-alkenylen eller Ci-C4~alkylen substituert med hydroksy eller et farmasøytisk akseptabelt salt derav, b) et fosfolipid av formel II, hvori R3 og R4 uavhengig av hverandre står for rettkjedet <C>io~c20~alkan°yl eller C10<-C>20<->;alkenoyl, ;c) en forbindelse eller en kombinasjon av forbindelser som har farmakologisk aktivitet og eventuelt en farmasøytisk ;akseptabel bæreroppløsning bufret til pH 7,2-7,4. ;Mer foretrukket vedrører foreliggende oppfinnelse en fremgangsmåte for fremstilling av farmasøytiske preparater i form av en vandig dispersjon inneholdende liposomer bestående av a) et fosfolipid av formel I, hvori m står for to, Rj og R2 er definert ovenfor, X står for C2~C4-alkylen eller C2-C4-alkenylen, eller et farmasøytisk akseptabelt salt derav, b) et fosfolipid av formel II, hvori R3 og R4 uavhengig av hverandre står for rettkjedet <C>io-C20~alkan°y1 eller C10<-C>20<->;alkenoyl, ;c) en forbindelse eller en kombinasjon av forbindelser valgt fra gruppen bestående av antiflogistiske og/eller antiinflammatoriske midler, antibiotika, antimarkmidler, antineoplastiske midler og immunmodulatorer og en farmasøytisk akseptabel bæreroppløsning bufret til pH 7,2-7,4. ;Foreliggende oppfinnelse vedrører spesifikt en fremgangsmåte for fremstilling av farmasøytiske preparater i form av en vandig dispersjon inneholdende liposomer bestående av ;a) et fosfolipid av formel I, hvori m står for to, R^ og R2 står uavhengig av hverandre for rettkjedet alkanoyl eller ;alkenoyl med et like antall fra 10 til 20 karbonatomer, X står for C2-C4~alkylen, f.eks. 1,2-etylen eller 1,3-propylen, eller C2-C4~alkenylen, f.eks. vinylen, eller et farmasøytisk akseptabelt salt derav, ;b) ét fosfolipid av formel II, hvori R3 og R4 står for rettkjedet CiQ-C2o~alken°y1 med et like antall fra 10 til 20 ;karbonatomer, ;c) en forbindelse eller en kombinasjon av forbindelser valgt fra gruppen bestående av antiflogistiske og/eller antiinflammatoriske midler, antibiotika, natineoplastiske midler og immunmodulatorer og en farmasøytisk akseptabel bæreropp-løsning bufret til pH 7,2-7,4. Oppfinnelsen vedrører mer spesifikt en fremgangsmåte for fremstilling av farmasøytiske preparater i form av en vandig dispersjon inneholdende liposomer bestående av a) et fosfolipid av formel I, hvori m står for to, R^ og R2 står uavhengig av hverandre for 9-cis-dodecenoyl, 9-cis-tetradecenoyl, 9-cis-heksadecenoyl, 6-cis-, 6-trans-, 9-cis-, 9-trans-, eller 11-cis-oktadecenoyl, eller 9-cis-icosenoyl, X står for C2-C4-alkylen, f.eks. 1,2-etylen eller 1,3-propylen, eller C2~C4-alkenylen, f.eks. vinylen, eller et farmasøytisk akseptabelt salt derav, b) et fosfolipid av formel II, hvori E3 og R4 uavhengig av hverandre står for 9-cis-dodecenoyl, 9-cis-tetradecenoyl, 9-cis-heksadecenoyl, 6-cis-, 6-trans-, 9-cis-, 9-trans-, eller 11-cis-oktadecenoyl, eller 9-cis-icosenoyl, c) en forbindelse eller en kombinasjon av forbindelser valgt fra gruppen bestående av antiflogistiske og/eller antiinflammatoriske midler, antibiotika, antineoplastiske midler og immunmodulatorer og en farmasøytisk akseptabel bæreropp-løsning bufret til pH 7,2-7,4. Spesielt vedrører foreliggende oppfinnelse en fremgangsmåte for fresmtilling av farmasøytiske preparater i form av en vandig dispersjon inneholdende kiposomer bestående av a) natrium- eller dinatrium-N-[l,2-di-(9-cis-oktadecenoyl)-sn-glycero-3-fosfoetanol]-N-hydroksysuksinylamin eller natrium- eller dinatrium-N-[l,2-di-(9-cis-oktadecenoyl)-sn-glycero-3-fosfoetanol]-N-hydroksyglutarylamin, b) 1,2-di-(9-cis-oktadecenoyl)-sn-glycero-3-fosfoetanolamin, c) en forbindelse eller en kombinasjon av forbindelser valgt fra gruppen bestående av antiflogistiske og/eller antiinflammatoriske midler, antibiotika, antineoplastiske midler, og immunmodulatorer og en farmasøytisk akseptabel bærer-oppløsning bufret til pH 7,2-7,4. Av høy preferanse er en fremgangsmåte for fremstilling av farmasøytiske preparater i form av en vandig dispersjon inneholdende liposomer bestående av a) natrium- eller dinatrium-N-[l,2-di-(9-cis-oktadecenoyl)-sn-glycero-3-fosfoetanol]-N-hydroksysuksinylamin eller natrium- eller dinatrium-N-[l,2-di-(9-cis-oktadecenoyl)-sn-glycero-3-f osfoetanol]-N-hydroksyglutarylamin, b) 1,2-di-(9-cis-oktadecenoyl)-sn-glycero-3-fosfoetanolamin, c) en forbindelse eller en kombinasjon av forbindelser valgt fra gruppen bestående av diklofenak, pirprofen, mitomycin, cytarabin, daktinomycin, daunorubicin, doksorubicin, etoposid, N-acetyl-D-muramyl-L-alanyl-D-isoglutaminyl-L-alanin-2-(1,2-dipalmitoyl-sn-glycero-3-hydroksyfosforyloksy)-etylamid, N-acetyl-D-muramyl-L-alanyl-D-glutaminsyre-CC^-L-alanin-2-(l,2-dipalmitoyl-sn-glycero-3-hydroksy-fosf oryl-oksy)-etylamid-dinatriumsalt, N-acetyl-D-muramyl-L-alanyl-D-isoglutamin-natriumsalt, N-acetyldesmetyl-muramyl-L-alanyl-D-isoglutamin-natriumsalt, N-acetyl-D-muramyl-L-alanyl-D-glutamin-a-n-butylester, Na<->(N-acetyl-D-muramyl-L-alanyl-D-isoglutaminyl)-N^-stearoyl-L-lysin, 6-0-stearoyl-N-acetylD-muramyl-L-alanin-D-isoglutamin og lymfokiner og en farmasøy-tisk akseptabel bæreroppløsning bufret til pH 7,2-7,4. Spesielt foretrukket er en fremgangsmåte for fremstilling av farmasøytiske preparater i form av en vandig dispersjon inneholdende liposomer bestående av a) natrium- eller dinatrium-N-[l,2-di-(9-cis-oktadecenoyl)-sn-glycero-3-fosfoetanol]-N-hydroksysuksinylamin eller natrium- eller dinatrium-N-[l,2-di-(9-cis-oktadecenoyl)-sn-glycero-3-fosfoetanol]-N-hydroksyglutarylamin, b) 1,2-di-(9-cis-oktadecenoyl)-sn-glycero-3-fosfoetanolamin, c) en forbindelse eller en kombinasjon av forbindelser fra ;gruppen bestående av diklofenak, pirprofen, mitomycin, ;cytarabin, daktinomycin, daunorubicin, doksorubicin, etoposid, N-acetyl-D-muramyl-L-alanyl-D-isoglutaminyl-L-alanin-2-(l,2-dipalmitoyl-sn-glycero-3-hydroksyfosforyloksy)-etylamid, natrium-N-acetyl-D-muramyl-L-alanyl-D-isoglutamin, natr ium-N-acetyldesmetyl-muramyl-L-alanyl-D-isoglutamin, renset, naturlig eller rekombinant humant gamma interferon, interleukin 2, og forbindelser oppnådd fra kulturer av humane ;T-lymfocytter fra milten eller fra perifert blod etter stimulering ved hjelp av antigener eller mitogener og som er kjennetegnet ved en høy prosentandel makrofagaktiverende faktor (MAF) og en farmasøytisk akseptabel bæreroppløsning bufret til pH 7,2-7,4. ;Mest foretrukket er en fremgangsmåte for fremstilling av farmasøytiske preparater i form av en vandig dispersjon inneholdende liposomer bestående av ;a) natrium- eller dinatrium-N-[l,2-di-(9-cis-oktadecenoyl)-sn-glycero-3-fosfo-etanol]-N-hydroksysuksinylamin eller ;natrium- eller dinatrium-N-[l,2-di-(9-cis-oktadecenoyl)-sn-glycero-3-fosfoetanol]-N-hydroksyglutarylamin, b) 1,2-di-(9-cis-oktadecenoyl)-sn-glycero-3-fosfoetanolamin, c) en forbindelse eller en kombinasjon av forbindelser ;bestående av N-acetyl-D-muramyl-L-alanyl-D-isoglutaminyl-L-alanin-2-(l,2-dipalmitoyl-sn-hydroksyfosforyloksy)-etylamid, natrium-N-acetyl-D-muramyl-L-alanyl-D-isoglutamin, natrium-N-acetyldesmetylmuramyl-L-alanyl-D-glutamin, og renset, naturlig eller rekombinant humant gamma-interferon og en farmasøytisk akseptabel bæreroppløsning bufret til pH 7,2-7,4. ;Fremgangsmåten for fremstilling av de farmasøytiske preparatene omtalt ovenfor er kjennetegnet ved at ;a) det fremstilles en homogen blanding bestående av fosfolipider av formlene I og II, en lipofil forbindelse eller ;blanding av forbindelser som har farmakologisk aktivitet og, eventuelt, et lipid nevnt ovenfor fra naturlige kilder og den homogene blandingen som derved oppnås dispergeresi en vandig fase, eller ;<p>) en homogen blanding bestående av fosfolipider av formlene I og II og, eventuelt, et lipid omtalt ovenfor fra naturlige kilder fremstilles og den homogene blandingen som derved oppnås dispergeres eventuelt i en vandig fase som inneholder en hydrofil forbindelse eller blanding av forbindelser som har farmakologisk aktivitet og, om nødvendig etter gjennom-føring av et hvilket som helst av prosesstrinnene a) eller <p>), bufres den vandige dispersjonen som oppnås til pH 7,0-7,8 og, om ønsket, separeres ikke-innkapslede lipider og/eller forbindelser som har farmakologisk aktivitet fra den vandige fasen og/eller liposomene som derved oppnås konsentreres eller frasepareres fra den vandige fasen. ;Den homogene blandingen fremstilles ved dannelse av en film eller av et lyofilisat. ;Filmen fremstilles ved fremgangsmåte a) ved å oppløse fosfolipidene (I) og (II) og den lipofile forbindelsen eller blandingen av forbindelser og, eventuelt, et lipid nevnt ovenfor fra naturlige kilder eller ifølge fremgangsmåte <p>) ved å oppløse fosfolipidene (I) og (II) og, eventuelt, et lipid omtalt ovenfor fra naturlige kilder i et organisk oppløsningsmiddel og avspalte oppløsningsmidlet. ;Egnede oppløsningsmidler er f.eks. usubstituerte eller substituerte, f.eks. halogenerte, alifatiske eller cykloalifa-tiske hydrokarboner, f.eks. n-heksan, cykloheksan, metylen-klorid, eller kloroform, alkoholer, f.eks. metanol eller etanol, lavere alkankarboksylsyreestere eller amider, f.eks. eddiksyretylester eller dimetylformamid, eller etere, f.eks. dietyleter, tetrahydrofuran eller dioksan, eller blandinger av disse oppløsningsmidlene. Det organiske oppløsningsmidlet avspaltes deretter ved å pålegge et vakuum, fortrinnsvis et høyvakuum, eller ved avblåsning med en inert gass, f.eks. nitrogen. ;Lyofilisatet fremstilles ifølge fremgangsmåte a) ved å oppløse fosfolipidene (I) og (II) og de lipofile forbindelsene eller blandingen av forbindelser eller ifølge fremgangsmåte <p>) ved å oppløse fosfolipidene (I) og (II) i et organisk oppløsningsmiddel ifølge fremgangsmåten beskrevet i TJS-patent nr. 4.311.712. Egnede oppløsningsmidler er i fast form sammen med fosfolipidene (I) og (II) ved temperaturen for lyofili-seringsprosessen og har et smeltepunkt på mer enn 0°c, f.eks. iseddiksyre, benzen eller dioksan, spesielt tert-butanol. ;En homogen blanding kan også fremstilles ved å spraytørke en oppløsning av fosfolipidene (I) og (II) og av det innkapslede materialet i et organisk oppløsningsmiddel som har et lavt kokepunkt, så som kloroform. Et pulver oppnås ved denne f remgangsmsåten. ;Forholdet mellom fosfolipidkomponenten (I) og fosfolipidkomponenten (II) i den homogene blandingen er ca. 10 til 90 opp til 50 til 50 mol-#. Fortrinnsvis er forholdet 30 til 70 mol-#. Det tilnærmede forholdet mellom de molare mengdene av det innkapslede materialet (gamma-interferon) dividert med den totale mengden av fosfolipidene (I) og (II) er ca. 0,0001 til 0,1 til 1,0, fortrinnsvis 0,005 til 0,01:0,1. ;Dispersjonen utføres ved mekanisk risting (omrøring, risting, "Vortex"-blander) av den vandige fasen hvortil ifølge fremgangsmåte a) den homogene blandingen av fosfolipidene (I) og (II) og de lipofile forbindelsene eller den lipofile blandingen av forbindelser som har farmakologisk aktivitet er tilsatt. Ifølge fremgangsmåte <p>) tilsettes den vandige fasen inneholdende de hydrofile forbindelsene eller blandingen av forbindelser som har farmakologiske egenskaper til den homogene blandingen av fosfolipidene (I) og (II). ;En blanding av små, store, unilamellære eller multilamellære liposomer dannes spontant med høy hastighet uten tilførsel av ytre energi. 0,1 til 40 vekt-#, fortrinnsvis 2 til 20 vekt-#, av den homogene blandingen relativt til den samlede vekten av den vandige dispersjonen kan dispergeres i den vandige fasen. Slike dispersjoner kan videre fortynnes til ca. 1 mikromol lipid pr. ml. Slike liposomdispersjoner inneholder inne-sluttet ca. 2,5 mikroliter av den vandige fasen pr. mikromol av lipidet. ;Sure eller basiske vandige dispersjoner bufres til pH 7,0-7,8, fortrinnsvis 7,2-7,4. Fortrinnsvis utføres dispersjonen i en vandig fase som har en pH fra 7,2 til 7,4. ;Fremgangsmåte a) foretrekkes i det tilfellet at lipofile, vann-uoppløselige forbindelser er innkapslet i liposomer, f.eks. lipofile muramyltripeptider. ;Fremgangsmåte <p>) foretrekkes i det tilfellet at hydrofile vann-uoppløselige forbindelser er innkapslet i liposomer, f.eks. cytarabin eller cytostatiske forbindelser, så som trifosfamid. ;Fremstillingen av de farmasøytiske preparatene ifølge foreliggende oppfinnelse i form av liposomer kan også utføres ved andre fremgangsmåter som er kjent innen teknikken for fremstilling av liposomer, f.eks. ved ultralydbehandling med ultralydbølger, med infusjonsfremgangsmåter eller reversert fasefordampning. ;Dispersjonstrinnet utføres ved temperaturer under 60°C, fortrinnsvis ved romtemperatur. I tilfelle en potensiell termisk følsomhet av det innkapslede materialet, utføres dispersjonen under avkjøling og, eventuelt, under en atmosfære av en inert gass, f.eks. nitrogen eller argonatmosfære. ;De oppnådde liposomene kan gjøres lagringsstabile i den vandige fasen opp til flere uker eller måneder etter tilsats av stabilisatorer, f.eks. mannitt eller laktose. ;Størrelsen av liposomene som dannes avhenger, blant annet, av strukturen av den aktive bestanddelen og lipidkomponenten, blant annet forholdet mellom komponentene og konsentrasjonen av disse komponentene i den vandige dispersjonen. Ved f.eks. å øke eller redusere konsentrasjonen av lipidkomponentene, dannes vandige faser som har et høyt innhold av små eller store liposomer. ;Separasjonen av små liposomer fra store liposomer bevirkes ved hjelp av konvensjonelle separasjonsfremgangsmåter, f.eks. sedimentering av de store liposomene i en ultrasentrifuge, ved gelfiltrering eller ekstrudering gjennom rettporede filtere. Ved sentrifugering, f.eks. fra 5 til 60 minutter i et rotasjonsfelt som gir opphav til en treghetskraft ekvivalent med et gravitasjonsfelt på 5000-40 000 x g, avsettes store liposomer ved bunnen av beholderen, mens små liposomer forblir dispergert og kan avdekanteres. Etter gjentatt sentrifugering oppnås fullstendig separasjon av store liposomer fra små liposomer. ;Fortrinnsvis separeres liposomer fra den vandige fasen i det tilfelle at den vandige fasen ifølge fremgangsmåte p) inneholder ikke-innkapslede vann-uoppløselige forbindelser eller farmasøytiske midler. Spesielt bør vann-oppløselige antineoplastiske midler, f.eks. alkylerende midler så som cyklofosfamid, frasepares ved filtrering, ultrafiltrering, dialyse eller ved sentrifugering for å forhindre eventuelle bivirkninger forårsaket av ikke-innkapslede forbindelser. Liposomfraksjonen kan blandes med en bæreroppløsning bufret til pH 7,2-7,4, f.eks. isoton, steril natriumkloridoppløsning bufret til pH 7,2-7,4. ;Liposomer i den vandige fasen som har en diameter større enn 6,0 x IO-* m, f.eks. store mul ti lami Hære liposomer, kan frasepareres ved gelfiltrering, f.eks. med "Sepharose" eller "Sephacryl" som bærere. The pharmaceutical preparations according to the present invention, when used in the form of liposomes, are characterized by their excellent phagocytosis. For example, phagocytosis of multi-lamellar liposomes consisting of a 3:7 molar mixture of sodium-N-[1,2-di-(-9-cis-octadecenoyl)-sn-glycero-3-phosphoethanol]-N -hydroxysuccinylamine (I) and dioleoylphosphatidylethanolamine (II) or sodium-N-[1,2-di-(9-cis-octadecenoyl)-sn-glycero-3-phosphoethanol]-N-hydroxyglutarylamine (I) and dioleoylphosphatidylethanolamine (II) by mouse peritoneal macrophages higher than phagocytosis for multilamellar liposomes consisting exclusively of phosphatidylethanolamine or of a 3:7 molar mixture of phosphatidylserine and phosphatidylcholine. This can be demonstrated in vitro by incubating mouse peritoneal macrophages with multilamellar liposomes containing trace amounts of <125>j as an Uposome marker. At regular intervals the cultures are washed and the amount of cell-associated radiation determined. Furthermore, liposomes consisting of phospholipids of formulas I and II in a molar ratio of 3:7 containing immunomodulators such as MDP and gamma-interferon show higher activation of macrophages to tumoricidal activity at lower doses than liposomes consisting of phosphatidylcholine and phosphatidylserine containing the same amount of MDP and gamma interferon. This can also be shown in vitro by coating mouse peritoneal macrophages in culture wells and activating the macrophages with multilamellar liposomes consisting of sodium-N-[l,2-di-(9-cis-octadecenoyl)-sn-glycero-3-phosphoethanol] -N-hydroxysuccinylamine (I) and dioleoylphosphatidylethanolamine (II) in a molar ratio of 3:7 containing MDP and gamma interferon and with multilamellar liposomes consisting of phosphatidylcholine and phosphatidylserine in the same molar ratio containing MDP and gamma interferon. The liposome preparations are used at a concentration of 100 nmol total phospholipid per well and contains 6 units of recombinant immune gamma interferon and 0.2 g of MDP. After washing the wells, IO<4> [<125>I]iododeoxyuridine - labeled BL6 melanoma cells are added. The cytotoxicity is determined after 72 hours of cultivation by measuring the radioactivity associated with the adherent viable target cells after washing the cultures three times with Hank<*>'s balanced salt solution. Percent cytotoxicity can be calculated with regard to the number of counts per minute in control cultures containing unactivated macrophages and target cells. ;The pharmaceutical preparations produced according to the present invention are, when used in the form of liposomes, further characterized by excellent release properties at low pH values. The release properties of liposomes composed of disodium N-[1,2-di-(9-c i s-octadecenoyl)-sn-glycero-3-phosphoethanol]-N-hydroxysuccinylamine and 1,2-di-(9-cis-octadecenoyl) )-sn-glycero-3-phosphoethanolamine in a molar ratio of 3:7 is analyzed by the fluorescence method to measure the leakage from liposomes at low pH values as described by Ellens et al., Biochemistry 1984, 23, 1532-1538. To investigate the pH dependence of the leakage, liposomes are injected into buffer solutions varying from pH 4.0 to 7.4 and the percentage of captured 8-aminonaphthalene-1,3,6-trisulfonic acid (ANTS) and p-xylylene-bis- pyridinium dibromide (DPX) that replaces the encapsulated pharmaceutical compounds in this assay is determined. Complete encapsulation of the water-soluble fluorophore ANTS complexed with the "quencher" DPX removes most of the ANTS fluorescence. Leakage of ANTS from the liposomes can be followed by the increase in fluorescence caused by the release of DPX "quenching". It has now been found that essentially no leakage occurs above pE 6.0. However, when the pH is reduced, a simultaneous increase in the amount of ANTS/DPX released from the liposomes takes place. The half maximum value takes place at approx. pH 4.5 and complete release at approx. 4.0. ;It is known that pathological tissue has an ambient pH that is significantly lower than that of normal tissue. For example, primary tumors, metastases, inflammation and infections have reduced local pE environments. The liposomes pentastable according to the present invention will therefore deliver their contents, e.g. anti-inflammatory drugs or immunomodulators specifically at the site of inflammation, the primary tumor or metastasis and release these drugs into the acidic environment of this pathological tissue. E.g. release liposomes consisting of a 3:7 molar mixture of disodium-N-[1,2-di-(9-cis-octadecenoyl)-sn-glycero-3-phosphoethanol]-N-hydroxysuccinylamine (I) and dioleoylphosphatidylethanolamine more of its content, e.g. an effective dose of recombinant human gamma interferon, at low pH values, e.g. pH 4, than at higher or neutral pH values. This can be demonstrated in vitro in buffer solutions of pH 7.4 and pH 4 by determining at regular intervals the amount of labeled ^<25>I-interferon released from the lipids. At a pH value of approx. 4, released e.g. more than 25$ of enclosed interferon gamma from liposomes after 180 minutes. The pharmaceutical preparations produced according to the present invention are therefore, when used in the form of liposomes, excellent administration systems for drug delivery to the local areas with reduced pE of pathological tissue. Therefore, they are particularly useful in cancer chemotherapy to overcome metastatic tumor cells. Aqueous liposome dispersions in which the phospholipids of formulas I and II are the encapsulating material and compounds or a mixture of compounds that have pharmacological activity are encapsulated, optionally after concentration or isolation of the liposomes, e.g. in the (ultra)centrifuge, are suitable for therapeutic purposes for parenteral (buccal, lingual, sublingual, i.v., i.c., topical, s.c., i.m. or nasal) final administration. For parenteral (topical) administration, the liposome-containing aqueous dispersion may be mixed with common thickeners, e.g. hydroxypropylmethylcellulose, suitable preservatives, antioxidants and perfumes, and can be used in the form of a lotion or a gel for application to the skin or mucous membranes. For parenteral administration, the aqueous dispersion of the enriched liposomes can be suspended in a suitable carrier liquid, e.g. sterile, calcium-free, isotonic sodium chloride or glucose solution, optionally buffered to pH 7.2-7.4. ;The dose of the active ingredient to be administered is generally the highest and lowest dosage amount as prescribed e.g. in the Deutsches Arzneimittelbuch (DAB) [German Pharmacopoieia] for the specific active ingredient for the particular form of administration, the patient's age and state of health. However, aqueous liposome dispersions also have the advantage that the active ingredient administered in smaller doses can nevertheless be transferred to the receptors and provide a therapeutic effect, or on the other hand, that the administration of high doses is possible without unwanted side effects. ;The preferred dosage amount for the liposome-encapsulated immunomodulators of the muramyl peptide or lipopeptide type is approx. 0.001 up to 10 mg/kg body weight per dose. For human gamma interferon or mixtures containing MAF, the preferred dosage amount is approx. 0.01 ml of liposome dispersion per kilogram of body weight, containing 100-1000 units of gamma interferon or MAF. If muramyl peptides are administered together with gamma interferon, it is estimated that the highest dose that can be administered to a human being of approx. 70 kg is approx. 10 mg liposomes per kg body weight, containing 3 micrograms of the muramyl peptide and 1,500 units of gamma interferon. The highest and the lowest dose of the encapsulated material, the concentration of the phospholipids in the aqueous phase as well as the concentration of the encapsulated compounds may vary according to results that can be determined experimentally in clinical trials. The present invention preferably relates to a method for the production of pharmaceutical preparations in the form of an aqueous dispersion containing liposomes consisting of: a) a phospholipid of formula I, in which m stands for two, R^ and R£ are as defined above, X stands for C^-C^alkylene, C2-C4-alkenylene or C1-C4-alkylene substituted by hydroxy or a pharmaceutically acceptable salt thereof, b) a phospholipid of formula II, in which R3 and R4 independently of each other stand for the straight chain <C>10 ~c20~alkan°yl or C10<-C>20<->;alkenoyl, ;c) a compound or a combination of compounds that have pharmacological activity and optionally a pharmaceutically acceptable carrier solution buffered to pH 7.2-7.4 . More preferably, the present invention relates to a method for the production of pharmaceutical preparations in the form of an aqueous dispersion containing liposomes consisting of a) a phospholipid of formula I, in which m stands for two, Rj and R2 are defined above, X stands for C2~C4 -alkylene or C2-C4-alkenylene, or a pharmaceutically acceptable salt thereof, b) a phospholipid of formula II, in which R3 and R4 independently of each other stand for the straight chain <C>io-C20~alkan°y1 or C10<-C> 20<->;alkenoyl, ;c) a compound or a combination of compounds selected from the group consisting of antiphlogistic and/or anti-inflammatory agents, antibiotics, antimalarial agents, antineoplastic agents and immunomodulators and a pharmaceutically acceptable carrier solution buffered to pH 7.2-7 ,4. The present invention specifically relates to a method for the production of pharmaceutical preparations in the form of an aqueous dispersion containing liposomes consisting of: a) a phospholipid of formula I, in which m stands for two, R^ and R2 stand independently of each other for straight-chain alkanoyl or ; alkenoyl with an equal number of from 10 to 20 carbon atoms, X stands for C2-C4~alkylene, e.g. 1,2-ethylene or 1,3-propylene, or C2-C4~alkenylene, e.g. the vinyl, or a pharmaceutically acceptable salt thereof, b) a phospholipid of formula II, in which R3 and R4 stand for the straight chain CiQ-C2o~alken°y1 with an equal number of from 10 to 20 carbon atoms, c) a compound or a combination of compounds selected from the group consisting of antiphlogistic and/or anti-inflammatory agents, antibiotics, neoplastic agents and immunomodulators and a pharmaceutically acceptable carrier solution buffered to pH 7.2-7.4. The invention relates more specifically to a method for the production of pharmaceutical preparations in the form of an aqueous dispersion containing liposomes consisting of a) a phospholipid of formula I, in which m stands for two, R^ and R2 stand independently of each other for 9-cis-dodecenoyl, 9-cis-tetradecenoyl, 9-cis-hexadecenoyl, 6-cis-, 6-trans-, 9-cis-, 9-trans-, or 11-cis-octadecenoyl, or 9-cis-icosenoyl, X stands for C2 -C4-alkylene, e.g. 1,2-ethylene or 1,3-propylene, or C2~C4-alkenylene, e.g. vinylene, or a pharmaceutically acceptable salt thereof, b) a phospholipid of formula II, in which E3 and R4 independently stand for 9-cis-dodecenoyl, 9-cis-tetradecenoyl, 9-cis-hexadecenoyl, 6-cis-, 6 -trans-, 9-cis-, 9-trans-, or 11-cis-octadecenoyl, or 9-cis-icosenoyl, c) a compound or a combination of compounds selected from the group consisting of antiphlogistic and/or anti-inflammatory agents, antibiotics , antineoplastic agents and immunomodulators and a pharmaceutically acceptable carrier solution buffered to pH 7.2-7.4. In particular, the present invention relates to a method for the preparation of pharmaceutical preparations in the form of an aqueous dispersion containing liposomes consisting of a) sodium or disodium-N-[1,2-di-(9-cis-octadecenoyl)-sn-glycero-3 -phosphoethanol]-N-hydroxysuccinylamine or sodium or disodium-N-[1,2-di-(9-cis-octadecenoyl)-sn-glycero-3-phosphoethanol]-N-hydroxyglutarylamine, b) 1,2-di -(9-cis-octadecenoyl)-sn-glycero-3-phosphoethanolamine, c) a compound or a combination of compounds selected from the group consisting of antiphlogistic and/or anti-inflammatory agents, antibiotics, antineoplastic agents, and immunomodulators and a pharmaceutically acceptable carrier -solution buffered to pH 7.2-7.4. Of high preference is a method for the production of pharmaceutical preparations in the form of an aqueous dispersion containing liposomes consisting of a) sodium or disodium-N-[1,2-di-(9-cis-octadecenoyl)-sn-glycero-3 -phosphoethanol]-N-hydroxysuccinylamine or sodium or disodium-N-[1,2-di-(9-cis-octadecenoyl)-sn-glycero-3-phosphoethanol]-N-hydroxyglutarylamine, b) 1,2- di-(9-cis-octadecenoyl)-sn-glycero-3-phosphoethanolamine, c) a compound or a combination of compounds selected from the group consisting of diclofenac, pirprofen, mitomycin, cytarabine, dactinomycin, daunorubicin, doxorubicin, etoposide, N- acetyl-D-muramyl-L-alanyl-D-isoglutaminyl-L-alanine-2-(1,2-dipalmitoyl-sn-glycero-3-hydroxyphosphoryloxy)-ethylamide, N-acetyl-D-muramyl-L-alanyl- D-glutamic acid-CC^-L-alanine-2-(1,2-dipalmitoyl-sn-glycero-3-hydroxy-phospho oryl-oxy)-ethylamide disodium salt, N-acetyl-D-muramyl-L-alanyl- D-isoglutamine sodium salt, N-acetyldesmethyl-muramyl-L-alanyl-D-isoglutamine sodium salt, N-acetyl-D-mura myl-L-alanyl-D-glutamine-a-n-butyl ester, Na<->(N-acetyl-D-muramyl-L-alanyl-D-isoglutaminyl)-N^-stearoyl-L-lysine, 6-O-stearoyl -N-acetylD-muramyl-L-alanine-D-isoglutamine and lymphokines and a pharmaceutically acceptable carrier solution buffered to pH 7.2-7.4. Particularly preferred is a method for the production of pharmaceutical preparations in the form of an aqueous dispersion containing liposomes consisting of a) sodium or disodium-N-[1,2-di-(9-cis-octadecenoyl)-sn-glycero-3- phosphoethanol]-N-hydroxysuccinylamine or sodium or disodium-N-[1,2-di-(9-cis-octadecenoyl)-sn-glycero-3-phosphoethanol]-N-hydroxyglutarylamine, b) 1,2-di- (9-cis-octadecenoyl)-sn-glycero-3-phosphoethanolamine, c) a compound or a combination of compounds from the group consisting of diclofenac, pirprofen, mitomycin, cytarabine, dactinomycin, daunorubicin, doxorubicin, etoposide, N-acetyl -D-muramyl-L-alanyl-D-isoglutaminyl-L-alanine-2-(1,2-dipalmitoyl-sn-glycero-3-hydroxyphosphoryloxy)-ethylamide, sodium N-acetyl-D-muramyl-L-alanyl -D-isoglutamine, sodium-N-acetyldesmethyl-muramyl-L-alanyl-D-isoglutamine, purified, natural or recombinant human gamma interferon, interleukin 2, and compounds obtained from cultures of human ;T-lymphocytes from the spleen or from per transfused blood after stimulation with antigens or mitogens and which is characterized by a high percentage of macrophage activating factor (MAF) and a pharmaceutically acceptable carrier solution buffered to pH 7.2-7.4. Most preferred is a method for the production of pharmaceutical preparations in the form of an aqueous dispersion containing liposomes consisting of: a) sodium or disodium-N-[1,2-di-(9-cis-octadecenoyl)-sn-glycero- 3-phospho-ethanol]-N-hydroxysuccinylamine or sodium- or disodium-N-[1,2-di-(9-cis-octadecenoyl)-sn-glycero-3-phosphoethanol]-N-hydroxyglutarylamine, b) 1 ,2-di-(9-cis-octadecenoyl)-sn-glycero-3-phosphoethanolamine, c) a compound or a combination of compounds; consisting of N-acetyl-D-muramyl-L-alanyl-D-isoglutaminyl-L -alanine-2-(1,2-dipalmitoyl-sn-hydroxyphosphoryloxy)-ethylamide, sodium N-acetyl-D-muramyl-L-alanyl-D-isoglutamine, sodium N-acetyldesmethylmuramyl-L-alanyl-D-glutamine , and purified, natural or recombinant human gamma interferon and a pharmaceutically acceptable carrier solution buffered to pH 7.2-7.4. The method for producing the pharmaceutical preparations mentioned above is characterized by the fact that: a) a homogeneous mixture consisting of phospholipids of the formulas I and II, a lipophilic compound or a mixture of compounds that have pharmacological activity and, optionally, a lipid mentioned above from natural sources and the homogeneous mixture which is thereby obtained by dispersion in an aqueous phase, or ;<p>) a homogeneous mixture consisting of phospholipids of the formulas I and II and, optionally, a lipid mentioned above from natural sources is prepared and the homogeneous mixture which thereby obtained is optionally dispersed in an aqueous phase containing a hydrophilic compound or mixture of compounds having pharmacological activity and, if necessary after carrying out any of the process steps a) or <p>), the aqueous dispersion obtained is buffered to pH 7.0-7.8 and, if desired, separating non-encapsulated lipids and/or compounds having pharmacological activity tet from the aqueous phase and/or the liposomes thereby obtained are concentrated or separated from the aqueous phase. The homogeneous mixture is produced by forming a film or a lyophilisate. ;The film is produced by method a) by dissolving the phospholipids (I) and (II) and the lipophilic compound or mixture of compounds and, optionally, a lipid mentioned above from natural sources or according to method <p>) by dissolving the phospholipids (I ) and (II) and, optionally, a lipid mentioned above from natural sources in an organic solvent and cleaving the solvent. Suitable solvents are e.g. unsubstituted or substituted, e.g. halogenated, aliphatic or cycloaliphatic hydrocarbons, e.g. n-hexane, cyclohexane, methylene chloride or chloroform, alcohols, e.g. methanol or ethanol, lower alkane carboxylic acid esters or amides, e.g. acetic acid ethyl ester or dimethylformamide, or ethers, e.g. diethyl ether, tetrahydrofuran or dioxane, or mixtures of these solvents. The organic solvent is then split off by applying a vacuum, preferably a high vacuum, or by blowing off with an inert gas, e.g. nitrogen. The lyophilisate is prepared according to method a) by dissolving the phospholipids (I) and (II) and the lipophilic compounds or the mixture of compounds or according to method <p>) by dissolving the phospholipids (I) and (II) in an organic solvent according to the method described in TJS patent no. 4,311,712. Suitable solvents are in solid form together with the phospholipids (I) and (II) at the temperature of the lyophilization process and have a melting point of more than 0°C, e.g. glacial acetic acid, benzene or dioxane, especially tert-butanol. A homogeneous mixture can also be prepared by spray drying a solution of the phospholipids (I) and (II) and of the encapsulated material in an organic solvent having a low boiling point, such as chloroform. A powder is obtained by this process. ;The ratio between the phospholipid component (I) and the phospholipid component (II) in the homogeneous mixture is approx. 10 to 90 up to 50 to 50 mol-#. Preferably the ratio is 30 to 70 mol-#. The approximate ratio between the molar amounts of the encapsulated material (gamma-interferon) divided by the total amount of the phospholipids (I) and (II) is approx. 0.0001 to 0.1 to 1.0, preferably 0.005 to 0.01:0.1. ;The dispersion is carried out by mechanical shaking (stirring, shaking, "Vortex" mixer) of the aqueous phase to which, according to method a) the homogeneous mixture of the phospholipids (I) and (II) and the lipophilic compounds or the lipophilic mixture of compounds having pharmacological activity is added. According to method <p>), the aqueous phase containing the hydrophilic compounds or the mixture of compounds having pharmacological properties is added to the homogeneous mixture of the phospholipids (I) and (II). ;A mixture of small, large, unilamellar or multilamellar liposomes is formed spontaneously at high speed without the input of external energy. 0.1 to 40% by weight, preferably 2 to 20% by weight, of the homogeneous mixture relative to the total weight of the aqueous dispersion may be dispersed in the aqueous phase. Such dispersions can be further diluted to approx. 1 micromole of lipid per ml. Such liposome dispersions contain approx. 2.5 microliters of the aqueous phase per micromoles of the lipid. Acidic or basic aqueous dispersions are buffered to pH 7.0-7.8, preferably 7.2-7.4. Preferably, the dispersion is carried out in an aqueous phase having a pH of from 7.2 to 7.4. Method a) is preferred in the case that lipophilic, water-insoluble compounds are encapsulated in liposomes, e.g. lipophilic muramyl tripeptides. ;Procedure <p>) is preferred in the case that hydrophilic water-insoluble compounds are encapsulated in liposomes, e.g. cytarabine or cytostatic compounds such as triphosphamide. The production of the pharmaceutical preparations according to the present invention in the form of liposomes can also be carried out by other methods which are known in the art for the production of liposomes, e.g. by ultrasound treatment with ultrasound waves, with infusion procedures or reversed phase evaporation. ;The dispersion step is carried out at temperatures below 60°C, preferably at room temperature. In case of a potential thermal sensitivity of the encapsulated material, the dispersion is carried out under cooling and, optionally, under an atmosphere of an inert gas, e.g. nitrogen or argon atmosphere. The obtained liposomes can be made storage stable in the aqueous phase for up to several weeks or months after the addition of stabilizers, e.g. mannitol or lactose. The size of the liposomes that are formed depends, among other things, on the structure of the active ingredient and the lipid component, among other things, the ratio between the components and the concentration of these components in the aqueous dispersion. By e.g. to increase or decrease the concentration of the lipid components, aqueous phases are formed which have a high content of small or large liposomes. The separation of small liposomes from large liposomes is effected by means of conventional separation methods, e.g. sedimentation of the large liposomes in an ultracentrifuge, by gel filtration or extrusion through straight-pore filters. When centrifuging, e.g. from 5 to 60 minutes in a rotational field that gives rise to an inertial force equivalent to a gravitational field of 5000-40,000 x g, large liposomes are deposited at the bottom of the container, while small liposomes remain dispersed and can be decanted. After repeated centrifugation, complete separation of large liposomes from small liposomes is achieved. Liposomes are preferably separated from the aqueous phase in the event that the aqueous phase according to method p) contains non-encapsulated water-insoluble compounds or pharmaceutical agents. In particular, water-soluble antineoplastic agents, e.g. alkylating agents such as cyclophosphamide are separated by filtration, ultrafiltration, dialysis or by centrifugation to prevent any side effects caused by non-encapsulated compounds. The liposome fraction can be mixed with a carrier solution buffered to pH 7.2-7.4, e.g. isotonic, sterile sodium chloride solution buffered to pH 7.2-7.4.; Liposomes in the aqueous phase having a diameter greater than 6.0 x 10-* m, e.g. large mul ti lami Army liposomes, can be separated by gel filtration, e.g. with "Sepharose" or "Sephacryl" as carriers.
Ved ekstrudering gjennom rettporede filtere, f.eks. membran-filtere av "Åcrodisc"-, "Nucleopore"- eller polykarbonattypen som har en porediameter på ca. 1,0 x 10"^ - 1,0 x 10"^ m ved et trykk på ca. 0,1 til 1,5 bar og en filtreringshastighet på ca. 20 ml/time, oppnås en spesielt uniform størrelsesfor-deling av liposomene. When extruding through straight-pore filters, e.g. membrane filters of the "Åcrodisc", "Nucleopore" or polycarbonate type which have a pore diameter of approx. 1.0 x 10"^ - 1.0 x 10"^ m at a pressure of approx. 0.1 to 1.5 bar and a filtration speed of approx. 20 ml/hour, a particularly uniform size distribution of the liposomes is achieved.
Dannelsen av liposomer og deres innhold i den vandige fasen kan detekteres på i og for seg kjent måte ved å anvende forskjellige fysikalske analytiske fremgangsmåter, f.eks. ved mikroskopi av fryse-bruddprøver og tynne snitt i et elektron-mikroskop, ved røntgenrefraksjon, ved dynamisk lysspredning, ved massebestemmelse av filtratet i en analytisk ultrasentrifuge og, spesielt, ved spektroskop!, f.eks. i det kjernemag-netiske resonansspekteret (^H, ^C Qg 31p). The formation of liposomes and their content in the aqueous phase can be detected in a manner known per se by using various physical analytical methods, e.g. by microscopy of freeze-fracture samples and thin sections in an electron microscope, by X-ray refraction, by dynamic light scattering, by mass determination of the filtrate in an analytical ultracentrifuge and, especially, by spectroscope!, e.g. in the nuclear magnetic resonance spectrum (^H, ^C Qg 31p).
Syntetiske fosfolipider av formelen I er kjente. Deres fremstilling som mellomprodukter er beskrevet i den europeiske patentpublikasjon nr. 56992. Synthetic phospholipids of formula I are known. Their preparation as intermediates is described in European Patent Publication No. 56992.
Fosfolipidene av formel II er alle kjente. Noen av dem er kommersielt tilgjengelige (Avanti, Fluka, Serva, Sigma). The phospholipids of formula II are all known. Some of them are commercially available (Avanti, Fluka, Serva, Sigma).
De farmasøytiske preparatene omtalt ovenfor, spesielt de antiflogistiske, antireumatiske, anti-markmidlene, antimykotika, antibiotika eller antineoplastiske midlene er alle kjente, se f.eks. "MERCK Index", 10de utgave. The pharmaceutical preparations mentioned above, especially the antiphlogistic, antirheumatic, anti-marking agents, antifungals, antibiotics or antineoplastic agents are all known, see e.g. "MERCK Index", 10th edition.
Fremstillingen av muramylpeptider av formel V er beskrevet i britisk patentskrift nr. 1.570.625, og i de europeiske patentpublikasjonene 25.495 og 21.367. Immunmodulatorer av lipopepitdtypen er også kjente, se europeisk patentpublikasjon nr. 114.787 og europeisk patent nr. 330. The preparation of muramyl peptides of formula V is described in British Patent Specification No. 1,570,625, and in European Patent Publications 25,495 and 21,367. Immunomodulators of the lipopeptide type are also known, see European Patent Publication No. 114,787 and European Patent No. 330.
Fremstillingen av renset, naturlig eller rekombinant, gamma-interferon er beskrevet i de europeiske patentpublikasjonene 63.482, 77.670, 83.540, 89.676, 95.350, 99.084, 110.044, 112.976 eller 121.157, 1 britisk patent nr. 2.107.718 så vel som i de internasjonale (PCT) publikasjonene (WO) 83/04053 eller WO 84/02129. The production of purified, natural or recombinant, gamma interferon is described in European Patent Publications 63,482, 77,670, 83,540, 89,676, 95,350, 99,084, 110,044, 112,976 or 121,157, 1 British Patent No. 2,107,718 as well as in the International ( PCT) publications (WO) 83/04053 or WO 84/02129.
Fremstillingen av renset interleukin 2 er beskrevet i europeisk patentpublikasjon 106.179 og i US-patent nr. 4.448.879. The production of purified interleukin 2 is described in European Patent Publication 106,179 and in US Patent No. 4,448,879.
Bufferoppløsningene av pH 7,0 til 7,8 er fortrinnsvis sterile fosfatbufferoppløsninger basert på dihydrogenfosfat/hydrogen-fosfatlikevekten (KH2P04/Na2HP04). Fremstillingen av disse bufferoppløsningene er beskrevet i standard oppslagsbøker, f.eks. "Hager's Handbuch der Pharmazeutischen Praxis", Springer Verlag, bind 1, side 357-359. Spesielt benyttes steril, isotonisk kalsiumfri bufferoppløsning på pH 7,2 (Dulbecco) eller Hank's avbalanserte saltoppløsning (M.A. Bioproducts, Walkersville MD, USA). The buffer solutions of pH 7.0 to 7.8 are preferably sterile phosphate buffer solutions based on the dihydrogen phosphate/hydrogen phosphate equilibrium (KH 2 PO 4 /Na 2 HPO 4 ). The preparation of these buffer solutions is described in standard reference books, e.g. "Hager's Handbuch der Pharmazeutischen Praxis", Springer Verlag, volume 1, pages 357-359. In particular, sterile, isotonic calcium-free buffer solution of pH 7.2 (Dulbecco) or Hank's balanced salt solution (M.A. Bioproducts, Walkersville MD, USA) is used.
De følgende eksemplene illustrerer oppfinnelsen. The following examples illustrate the invention.
Eksempel 1: a) I en rundbundet flaske oppløses 84,70 mg (0,098 mmol) dinatrium-N-[l,2-di-(9-cis-oktadecenoyl)-sn-glycero-3-fosfoetanol]-N-hydroksysuksinylamin og 168,10 mg (0,226 mmol) 1,2-di-(9-cis-oktadecenoyl)-sn-glycero-3-fosfoetanolamin i en tilstrekkelig mengde tert-butanol inntil begge lipidene er oppløst. Oppløsningen filtreres under sterile betingelser over "Acrodisc"-filter (2,0 x 10"^ m) og helles i en steril flaske. Denne flasken nedfryses ved -45°C. Et vakuum pålegges på den nedfrosne flasken og oppløsnings-midlet fjernes inntil romtemperatur nås. Flasken forsegles under inert gassatmosfære, f.eks. argonatmosfære. Example 1: a) Dissolve 84.70 mg (0.098 mmol) disodium N-[1,2-di-(9-cis-octadecenoyl)-sn-glycero-3-phosphoethanol]-N-hydroxysuccinylamine and 168.10 mg (0.226 mmol) of 1,2-di-(9-cis-octadecenoyl)-sn-glycero-3-phosphoethanolamine in a sufficient amount of tert-butanol until both lipids are dissolved. The solution is filtered under sterile conditions over "Acrodisc" filter (2.0 x 10"^ m) and poured into a sterile bottle. This bottle is frozen at -45°C. A vacuum is applied to the frozen bottle and the solvent is removed until room temperature is reached The bottle is sealed under an inert gas atmosphere, eg argon atmosphere.
Til denne flasken inneholdende et lyofilisat av lipidkomponentene nevnt ovenfor, tilsettes 2,5 ml av en steril, fosfat-bufret (pH 7,2-7,4), kalsiumfri natriumkloridoppløsning (Dulbecco) inneholdende doksorubicin i en konsentrasjon på 4 g/l med en steril sprøyte. Flasken ristes deretter i 10 minutter på en standardisert laboratorierister ("Vortex", hastighet 6) og plasseres i en sentrifuge. Etter sentrifugering i et gravitasjonsfelt på ca. 40 000 x g i ca. 60 minutter, avdekanteres supernatanten. Liposomdispersjonen resuspenderes i 2,5 ml 0,8556 steril, fosfat-bufret (pH 7,2-7,4) natrium-kloridoppløsning (Dulbecco). Sentrifugeringen og resuspen-deringen gjentas inntil supernatanten er fri for doksorubicin. Liposomdispersjonen som oppnås er egnet for parenteral administrering. To this bottle containing a lyophilisate of the lipid components mentioned above, add 2.5 ml of a sterile, phosphate-buffered (pH 7.2-7.4), calcium-free sodium chloride solution (Dulbecco) containing doxorubicin at a concentration of 4 g/l with a sterile syringe. The bottle is then shaken for 10 minutes on a standardized laboratory shaker ("Vortex", speed 6) and placed in a centrifuge. After centrifugation in a gravity field of approx. 40,000 x g for approx. 60 minutes, the supernatant is decanted. The liposome dispersion is resuspended in 2.5 ml of 0.8556 sterile, phosphate-buffered (pH 7.2-7.4) sodium chloride solution (Dulbecco). The centrifugation and resuspension are repeated until the supernatant is free of doxorubicin. The liposome dispersion obtained is suitable for parenteral administration.
b) Fremstilling av natrium- N- fl. 2- di-( 9- cis- oktadecenoyl)- sn-glvcero- 3- fosfoetanol1- N- hydroksysuksinylamin b) Production of sodium-N- fl. 2- di-(9- cis- octadecenoyl)- sn- glvcero- 3- phosphoethanol1- N- hydroxysuccinylamine
200,6 mg (270 mikromol) 1,2-di-(9-cis-oktadecenoyl)-sn-glycero-3-fosfoetanolamin tørkes under nitrogen og plasseres under høyvakuum i to timer. Det tørre lipidet oppløses i 10 ml nydestillert pyridin inneholdende 54 mg (540 mikromol) ravsyreanhydrid. Reaksjonsblandingen omrøres i 2 timer under nitrogenatmosfaere ved 55° C. Overskuddet av pyridin fjernes ved avdampning under redusert trykk og overskuddet av ravsyreanhydrid hydrolyseres ved å suspendere resten i en blanding av kloroform-metanol-0,5856 vandig natriumklorid-oppløsning (1:2:0,8 volum/volum). Produktet ekstraheres ved fordeling etter tilsats av en volumdel kloroform og en volumdel 0,5856 vandig natriumkloridoppløsning. Den nedre fasen vaskes tre ganger med en blanding av kloroform-metanol-0 ,5856 vandig natriumkloridoppløsning (3:48:47 volum/volum). Oppløsningsmidlet fjernes ved rotasjonsfordampning og resten resuspenderes i kloroform. Rf (Merck silikagel 60 pla-ter)^,375 (kloroform, metanol, vann-65/25/4; DV: 254,6 nm (bred); smp. 154°C. 200.6 mg (270 micromoles) of 1,2-di-(9-cis-octadecenoyl)-sn-glycero-3-phosphoethanolamine are dried under nitrogen and placed under high vacuum for two hours. The dry lipid is dissolved in 10 ml of freshly distilled pyridine containing 54 mg (540 micromoles) of succinic anhydride. The reaction mixture is stirred for 2 hours under a nitrogen atmosphere at 55° C. The excess of pyridine is removed by evaporation under reduced pressure and the excess of succinic anhydride is hydrolyzed by suspending the residue in a mixture of chloroform-methanol-0.5856 aqueous sodium chloride solution (1:2: 0.8 volume/volume). The product is extracted by partitioning after adding one part by volume of chloroform and one part by volume of 0.5856 aqueous sodium chloride solution. The lower phase is washed three times with a mixture of chloroform-methanol-0.5856 aqueous sodium chloride solution (3:48:47 v/v). The solvent is removed by rotary evaporation and the residue is resuspended in chloroform. Rf (Merck silica gel 60 plates) ,375 (chloroform, methanol, water 65/25/4; DV: 254.6 nm (broad); mp 154°C.
Eksempel 2: Ved en fremgangsmåte tilsvarende eksempel 1 fremstilles vandige liposomdispersjoner inneholdende 84,70 mg (0,098 mmol) dinatrium-N-[l,2-di-(9-cis-oktadecenoyl)-sn-glycero-3-fosfoetanol]-N-hydroksysuksinylamin og 168,10 mg (0,226 mmol) 1,2-di-(9-cis-oktadecenoyl)-sn-glycero-3-fosfo-etanolamin og 0,1 mg opptil 10 mg N-acetyl-L-muramyl-L-alanyl-D-isoglutamin-natriumsalt eller 0,1 mg opptil 10 mg N-ace tyldesmetylmuramyl-L-alanyl-D-isoglutamin-natriumsalt eller 1000 til 100 000 enheter av rekombinant humant immun gamma-interferon oppnådd ifølge EP-A-121.157 (Kyowa Hakko Kogyo Co.) eller en kombinasjon av 1000 til 1 000 000 enheter av dette rekombinante humane immune gamma-interferonet med 50-200 mikrogram natrium-N-acetyl-D-muramyl-L-alanyl-D-isoglutamin eller natrium-N-acetyldesmetylmuramyl-L-alanyl-D-isoglutamin. Example 2: In a method similar to example 1, aqueous liposome dispersions are prepared containing 84.70 mg (0.098 mmol) disodium N-[1,2-di-(9-cis-octadecenoyl)-sn-glycero-3-phosphoethanol]-N -hydroxysuccinylamine and 168.10 mg (0.226 mmol) 1,2-di-(9-cis-octadecenoyl)-sn-glycero-3-phospho-ethanolamine and 0.1 mg up to 10 mg N-acetyl-L-muramyl- L-alanyl-D-isoglutamine sodium salt or 0.1 mg up to 10 mg N-acetyldesmethylmuramyl-L-alanyl-D-isoglutamine sodium salt or 1000 to 100,000 units of recombinant human immune gamma interferon obtained according to EP-A- 121,157 (Kyowa Hakko Kogyo Co.) or a combination of 1000 to 1,000,000 units of this recombinant human immune gamma interferon with 50-200 micrograms sodium-N-acetyl-D-muramyl-L-alanyl-D-isoglutamine or sodium -N-acetyldesmethylmuramyl-L-alanyl-D-isoglutamine.
Eksempel 3: a) I en rundbundet flaske oppløses 84,70 mg (0,098 mmol) dinatrium-N-[l,2-di-(9-cis-oktadecenoyl)-sn-glycero-3-fosfoetanol]-N-hydroksysuksinylamin og 168,10 mg (0,226 mmol) 1,2-di-(9-cis-oktadecenoyl)-sn-glycero-3-fosfoetanolamin i en tilstrekkelig mengde av tert-butanol inntil begge lipidene er oppløst. Oppløsningen filtreres under sterile betingelser over "Acrodisc"-filter (2,0 x 10~<7 >m) og fylles i en steril flaske. Flasken roteres ved 1750 opm (omdreininger pr. minutt) og oppløsningsmidlet fjernes i en dampavrenset, filtrert (ved et trykk på 1 bar) tørr nitrogen. Flasken evakueres i høyvakuum på 6,0 x IO-<2> mbar og er stabil under en inert gassatmosfære av argon. Example 3: a) Dissolve 84.70 mg (0.098 mmol) of disodium N-[1,2-di-(9-cis-octadecenoyl)-sn-glycero-3-phosphoethanol]-N-hydroxysuccinylamine and 168.10 mg (0.226 mmol) of 1,2-di-(9-cis-octadecenoyl)-sn-glycero-3-phosphoethanolamine in a sufficient amount of tert-butanol until both lipids are dissolved. The solution is filtered under sterile conditions over an "Acrodisc" filter (2.0 x 10~<7 >m) and filled into a sterile bottle. The bottle is rotated at 1750 rpm (revolutions per minute) and the solvent is removed in a steam cleaned, filtered (at a pressure of 1 bar) dry nitrogen. The bottle is evacuated in a high vacuum of 6.0 x 10-<2> mbar and is stable under an inert gas atmosphere of argon.
Til denne flasken som inneholder en tynn film av lipidkomponentene omtalt ovenfor tilsettes 2,5 ml av en steril, fosfat-bufret p(pH 7,2-7,4), kalsiumfri natriumkloridoppløsning (Dulbecco) inneholdende diklofenak i en konsentrasjon på 2 g/l med en steril sprøyte. Flasken ristes deretter i 10 minutter på en standardisert laboratorierister ("Vortex", hastighet 6) og plasseres i en sentrifuge. Etter sentrifugering i et gravitasjonsfelt på ca. 40 000 x g i ca. 60 minutter, avdekanteres supernatanten. Liposomdispersjonen resuspenderes i 2,5 ml 0,85$ steril, fosfat-bufret (pH 7,2-7,4) natriumkloridoppløsning (Dulbecco) og er egnet for parenteral administrering. To this bottle containing a thin film of the lipid components discussed above is added 2.5 ml of a sterile, phosphate-buffered p(pH 7.2-7.4), calcium-free sodium chloride solution (Dulbecco) containing diclofenac at a concentration of 2 g/ l with a sterile syringe. The bottle is then shaken for 10 minutes on a standardized laboratory shaker ("Vortex", speed 6) and placed in a centrifuge. After centrifugation in a gravity field of approx. 40,000 x g for approx. 60 minutes, the supernatant is decanted. The liposome dispersion is resuspended in 2.5 ml of 0.85% sterile, phosphate-buffered (pH 7.2-7.4) sodium chloride solution (Dulbecco) and is suitable for parenteral administration.
Eksempel 4; I en rundbundet flaske oppløses 0,1 mg N-acetylmuramyl -L-alanyl-D-isoglutaminyl-L-alanin-2-(1,2-dlpalmi t oy 1 - sn-glycero-3-hydroksyfosforyloksy)-etylamid (fremstilling ifølge europeisk patent nr. 25.495), 84,70 mg (0,098 mmol) dinatrium-N-[l,2-di-(9-cis-oktadecenoyl)-sn-glycero-3-fosfoetanol]-N-hydroksysuksinylamin og 168,10 mg (0,226 mmol) 1,2-di-(9-cis-oktadecenoyl)-sn-glycero-3-fosfoetanolamin i en tilstrekkelig mengde steril tert-butanol inntil alle komponentene er oppløst. Oppløsningen filtreres under sterile betingelser over "Acrodisc"-filter (2,0 x Example 4; In a round-bottomed bottle, dissolve 0.1 mg of N-acetylmuramyl-L-alanyl-D-isoglutaminyl-L-alanine-2-(1,2-dlpalmitoy 1-sn-glycero-3-hydroxyphosphoryloxy)-ethylamide (preparation according to European Patent No. 25,495), 84.70 mg (0.098 mmol) disodium N-[1,2-di-(9-cis-octadecenoyl)-sn-glycero-3-phosphoethanol]-N-hydroxysuccinylamine and 168.10 mg (0.226 mmol) of 1,2-di-(9-cis-octadecenoyl)-sn-glycero-3-phosphoethanolamine in a sufficient amount of sterile tert-butanol until all components are dissolved. The solution is filtered under sterile conditions over "Acrodisc" filter (2.0 x
10~<7> m) og fylles i en steril flaske. Flasken roteres ved 1750 opm og oppløsningsmidlet blåses av i en strøm av renset, filtrert (ved et trykk på 1 bar) tørr nitrogen. Flasken evakueres i et høyvakuum på 6,0 x 10~<2> mbar og forsegles under en inert argongassatmosfære. 10~<7> m) and filled into a sterile bottle. The bottle is rotated at 1750 rpm and the solvent is blown off in a stream of purified, filtered (at a pressure of 1 bar) dry nitrogen. The bottle is evacuated in a high vacuum of 6.0 x 10~<2> mbar and sealed under an inert argon gas atmosphere.
Til denne flasken inneholdende en tynn film av komponentene omtalt ovenfor tilsettes 10 ml av en steril, fosfat-bufret (pH 7,2-7,4), kalsiumfri, natriumkloridoppløsning (Dulbecco) med en steril nål. Flasken ristes deretter i 10 minutter på en standardisert laboratorierister ("Vortex", hastighet 6). Liposomdispersjonen som oppnås er lagringsstabil ved 4°C og er egnet for parenteral administrering. To this bottle containing a thin film of the components discussed above, 10 ml of a sterile, phosphate-buffered (pH 7.2-7.4), calcium-free, sodium chloride solution (Dulbecco) is added with a sterile needle. The bottle is then shaken for 10 minutes on a standardized laboratory shaker ("Vortex", speed 6). The resulting liposome dispersion is storage stable at 4°C and is suitable for parenteral administration.
Eksempel 5: I en rundbundet flaske oppløses 0,1 mg N-acetylmuramy 1 -L-alanyl-D-isoglutaminyl-L-alanin-2-(1,2-dipalmitoyl-sn-glycero-3-hydroksyfosforyloksy)etylamid (fremstilt ifølge europeisk patent nr. 25.495), 84,70 mg (0,098 mmol) dinatrium-N-[l,2-di-(9-cis-oktadecenoyl)-sn-glycero-3-fosfoetanol]-N-hydroksysuksinylamin og 168,10 (0,226 mmol) 1,2-di-(9-cis-oktadecenoyl)-sn-glycero-3-fosfoetanolamin i en tilstrekkelig mengde steril tert-butanol inntil alle komponentene er oppløst. Oppløsningen filtreres under sterile betingelser over "Acrodisc"-filter (2,0 x IO"<7 >m) og fylles på en steril flaske. Denne flasken nedfryses ved Example 5: 0.1 mg of N-acetylmuramy 1-L-alanyl-D-isoglutaminyl-L-alanine-2-(1,2-dipalmitoyl-sn-glycero-3-hydroxyphosphoryloxy)ethylamide (prepared according to European Patent No. 25,495), 84.70 mg (0.098 mmol) disodium N-[1,2-di-(9-cis-octadecenoyl)-sn-glycero-3-phosphoethanol]-N-hydroxysuccinylamine and 168.10 (0.226 mmol) of 1,2-di-(9-cis-octadecenoyl)-sn-glycero-3-phosphoethanolamine in a sufficient amount of sterile tert-butanol until all components are dissolved. The solution is filtered under sterile conditions over an "Acrodisc" filter (2.0 x 10"<7 >m) and filled into a sterile bottle. This bottle is frozen at
-45"C. Et vakuum pålegges på den frosne flasken og oppløs- -45"C. A vacuum is applied to the frozen bottle and dissolve-
ningsmidlet fjernes inntil romtemperatur nås. Flasken forsegles under en inert argongassatmosfære. the igniting agent is removed until room temperature is reached. The bottle is sealed under an inert argon gas atmosphere.
Til denne flasken som inneholder et lyofilisat av komponentene omtalt ovenfor, tilsettes 10 ml av en steril, fosfat-bufret (pH 7,2-7,4), kalsiumfri natriumkloridoppløsning (Dulbecco) med en steril sprøyte. Flasken ristes deretter i 10 minutter på en standardisert laboratorierister ("Vortex", hastighet 6). Liposomdispersjonen som oppnås er lagringsstabil ved 4°C og er egnet for parenteral administrering. To this bottle containing a lyophilisate of the components discussed above, 10 ml of a sterile, phosphate-buffered (pH 7.2-7.4), calcium-free sodium chloride solution (Dulbecco) is added with a sterile syringe. The bottle is then shaken for 10 minutes on a standardized laboratory shaker ("Vortex", speed 6). The resulting liposome dispersion is storage stable at 4°C and is suitable for parenteral administration.
Eksempel 6: Ved en fremgangsmåte analog eksemplene 4 eller 5 fremstilles liposomdispersjoner inneholdende 0,1 mg til 10 mg N-acetylmuramyl-L-alanyl-D-isoglutaminyl-L-alanin-2-(l ,2-dipalmitoyl-sn-glycero-3-hydroksyfosforyioksy)-etylamid, 84,70 mg (0,098 mmol) dinatrium-N-[1,2-di-(9-cis-oktadecenoyl)-sn-glycero-3-fosfoetanol]-N-hydroksysuksinylamin og 168,10 mg (0,226 mmol) 1,2-di-(9-cis-oktadecenoyl)-sn-glycero-3-fosfoetanolamin. Example 6: In a method analogous to examples 4 or 5, liposome dispersions are prepared containing 0.1 mg to 10 mg of N-acetylmuramyl-L-alanyl-D-isoglutaminyl-L-alanine-2-(1,2-dipalmitoyl-sn-glycero- 3-hydroxyphosphoryioxy)-ethylamide, 84.70 mg (0.098 mmol) disodium N-[1,2-di-(9-cis-octadecenoyl)-sn-glycero-3-phosphoethanol]-N-hydroxysuccinylamine and 168.10 mg (0.226 mmol) of 1,2-di-(9-cis-octadecenoyl)-sn-glycero-3-phosphoethanolamine.
Eksempel 7: Ved en fremgangsmåte analog eksempel 1 fremstilles liposomdispersjoner inneholdende 86,3 mg (0,098 mmol) dinatrium-N-[l,2-di-(9-cis-oktadecenoyl)-sn-glycero-3-fosfoetanol]-N-hydroksysuksinylamin og 168,1 mg (0,026 mmol) 1,2-di-(9-cis-oktadecenoyl)-sn-glycero-3-fosfoetanolamin og 0,1 mg opptil 10 mg N-acetyl-L-muramyl-L-alanyl-D-isoglutamin-natriumsalt eller 0,1 mg opptil 10 mg N-acetyl-desmetyl-muramyl-L-alanyl-D-isoglutaminnatriumsalt. Example 7: By a method analogous to example 1, liposome dispersions containing 86.3 mg (0.098 mmol) of disodium N-[1,2-di-(9-cis-octadecenoyl)-sn-glycero-3-phosphoethanol]-N- hydroxysuccinylamine and 168.1 mg (0.026 mmol) 1,2-di-(9-cis-octadecenoyl)-sn-glycero-3-phosphoethanolamine and 0.1 mg up to 10 mg N-acetyl-L-muramyl-L-alanyl -D-isoglutamine sodium salt or 0.1 mg up to 10 mg N-acetyl-desmethyl-muramyl-L-alanyl-D-isoglutamine sodium salt.
Claims (2)
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US76662585A | 1985-08-19 | 1985-08-19 |
Publications (4)
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NO863315D0 NO863315D0 (en) | 1986-08-18 |
NO863315L NO863315L (en) | 1987-02-20 |
NO171886B true NO171886B (en) | 1993-02-08 |
NO171886C NO171886C (en) | 1993-05-19 |
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NO863315A NO171886C (en) | 1985-08-19 | 1986-08-18 | PROCEDURE FOR THE PREPARATION OF A PHARMACEUTICAL PREPARATION IN THE FORM OF AN Aqueous DISPERSION CONTAINING LIPOSOMES CONSISTING OF PHOSPHOLIPIDE COMPONENTS |
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EP (1) | EP0213523B1 (en) |
JP (1) | JPS6296431A (en) |
KR (1) | KR870001838A (en) |
AT (1) | ATE59002T1 (en) |
AU (1) | AU591162B2 (en) |
CA (1) | CA1273575A (en) |
DD (1) | DD248736A5 (en) |
DE (1) | DE3676133D1 (en) |
DK (1) | DK165314C (en) |
ES (1) | ES2001099A6 (en) |
FI (1) | FI863311A (en) |
GR (1) | GR862144B (en) |
HU (1) | HU206045B (en) |
NO (1) | NO171886C (en) |
NZ (1) | NZ217239A (en) |
PH (1) | PH26160A (en) |
PT (1) | PT83204B (en) |
ZA (1) | ZA866200B (en) |
Families Citing this family (11)
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EP0256989A1 (en) * | 1986-08-18 | 1988-02-24 | Board Of Regents, The University Of Texas System | Pharmaceutical administration systems containing chemotactic peptides |
DK86988A (en) * | 1987-02-25 | 1988-08-26 | Takeda Chemical Industries Ltd | LIPOSOM PREPARATION AND APPLICATION THEREOF |
AU7496991A (en) * | 1990-03-20 | 1991-10-21 | Otsuka Pharmaceutical Co., Ltd. | Liposome preparation |
DK0699068T3 (en) * | 1993-05-21 | 2002-03-11 | Liposome Co Inc | Reduction of liposome-induced physiological side effects |
DK0785773T3 (en) * | 1994-10-14 | 2001-01-29 | Liposome Co Inc | Etherlipid liposomes and their therapeutic use |
US6589503B1 (en) | 1998-06-20 | 2003-07-08 | Washington University | Membrane-permeant peptide complexes for medical imaging, diagnostics, and pharmaceutical therapy |
US8038984B2 (en) | 1998-06-20 | 2011-10-18 | Washington University | Membrane-permeant peptide complexes for treatment of sepsis |
US7306784B2 (en) | 1998-06-20 | 2007-12-11 | Washington University | Membrane-permeant peptide complexes for medical imaging, diagnostics, and pharmaceutical therapy |
WO2006026184A2 (en) | 2004-08-20 | 2006-03-09 | Washington University | Blood brain barrier permeation peptides |
JP2006248978A (en) * | 2005-03-10 | 2006-09-21 | Mebiopharm Co Ltd | New liposome preparation |
US20200197547A1 (en) | 2017-08-30 | 2020-06-25 | INSERM (Institut National de la Santé et de la Recherche Médicale) | Anti-mesothelin radiolabelled single domain antibodies suitable for the imaging and treatment of cancers |
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DE3218027A1 (en) * | 1982-05-13 | 1983-11-17 | A. Nattermann & Cie GmbH, 5000 Köln | PHOSPHOLIPID SOLUTIONS |
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1986
- 1986-07-18 PH PH34151A patent/PH26160A/en unknown
- 1986-08-14 PT PT83204A patent/PT83204B/en not_active IP Right Cessation
- 1986-08-15 CA CA000516015A patent/CA1273575A/en not_active Expired - Lifetime
- 1986-08-15 FI FI863311A patent/FI863311A/en not_active Application Discontinuation
- 1986-08-18 HU HU863618A patent/HU206045B/en not_active IP Right Cessation
- 1986-08-18 KR KR1019860006783A patent/KR870001838A/en not_active Application Discontinuation
- 1986-08-18 AT AT86111368T patent/ATE59002T1/en not_active IP Right Cessation
- 1986-08-18 NZ NZ217239A patent/NZ217239A/en unknown
- 1986-08-18 DE DE8686111368T patent/DE3676133D1/en not_active Expired - Lifetime
- 1986-08-18 ZA ZA866200A patent/ZA866200B/en unknown
- 1986-08-18 GR GR862144A patent/GR862144B/en unknown
- 1986-08-18 JP JP61191795A patent/JPS6296431A/en active Pending
- 1986-08-18 ES ES8601163A patent/ES2001099A6/en not_active Expired
- 1986-08-18 EP EP86111368A patent/EP0213523B1/en not_active Expired - Lifetime
- 1986-08-18 AU AU61556/86A patent/AU591162B2/en not_active Ceased
- 1986-08-18 DD DD86293707A patent/DD248736A5/en not_active IP Right Cessation
- 1986-08-18 DK DK392786A patent/DK165314C/en not_active IP Right Cessation
- 1986-08-18 NO NO863315A patent/NO171886C/en unknown
Also Published As
Publication number | Publication date |
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PH26160A (en) | 1992-03-18 |
NZ217239A (en) | 1989-09-27 |
ES2001099A6 (en) | 1988-04-16 |
HU206045B (en) | 1992-08-28 |
DE3676133D1 (en) | 1991-01-24 |
CA1273575A (en) | 1990-09-04 |
PT83204B (en) | 1989-03-30 |
FI863311A (en) | 1987-02-20 |
EP0213523A2 (en) | 1987-03-11 |
JPS6296431A (en) | 1987-05-02 |
EP0213523B1 (en) | 1990-12-12 |
FI863311A0 (en) | 1986-08-15 |
AU6155686A (en) | 1987-02-26 |
NO863315D0 (en) | 1986-08-18 |
DD248736A5 (en) | 1987-08-19 |
HUT41634A (en) | 1987-05-28 |
DK165314B (en) | 1992-11-09 |
NO863315L (en) | 1987-02-20 |
DK392786D0 (en) | 1986-08-18 |
EP0213523A3 (en) | 1987-10-14 |
PT83204A (en) | 1986-09-01 |
AU591162B2 (en) | 1989-11-30 |
ZA866200B (en) | 1987-03-25 |
DK165314C (en) | 1993-03-29 |
KR870001838A (en) | 1987-03-28 |
GR862144B (en) | 1986-12-23 |
DK392786A (en) | 1987-02-20 |
ATE59002T1 (en) | 1990-12-15 |
NO171886C (en) | 1993-05-19 |
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