TW200427464A - Transmucosal and transdermal medicaments with improved active substance absorption - Google Patents

Transmucosal and transdermal medicaments with improved active substance absorption Download PDF

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TW200427464A
TW200427464A TW92134184A TW92134184A TW200427464A TW 200427464 A TW200427464 A TW 200427464A TW 92134184 A TW92134184 A TW 92134184A TW 92134184 A TW92134184 A TW 92134184A TW 200427464 A TW200427464 A TW 200427464A
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scope
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drug
substance
active substance
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TW92134184A
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Chinese (zh)
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Falkenhausen Christian Von
Markus Krumme
Tina Rademacher
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Lts Lohmann Thereapie Systeme Ag
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/0012Galenical forms characterised by the site of application
    • A61K9/0014Skin, i.e. galenical aspects of topical compositions
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/06Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/06Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
    • A61K47/08Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite containing oxygen, e.g. ethers, acetals, ketones, quinones, aldehydes, peroxides
    • A61K47/10Alcohols; Phenols; Salts thereof, e.g. glycerol; Polyethylene glycols [PEG]; Poloxamers; PEG/POE alkyl ethers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/0012Galenical forms characterised by the site of application
    • A61K9/0031Rectum, anus
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/0012Galenical forms characterised by the site of application
    • A61K9/0034Urogenital system, e.g. vagina, uterus, cervix, penis, scrotum, urethra, bladder; Personal lubricants
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/0012Galenical forms characterised by the site of application
    • A61K9/0053Mouth and digestive tract, i.e. intraoral and peroral administration
    • A61K9/0056Mouth soluble or dispersible forms; Suckable, eatable, chewable coherent forms; Forms rapidly disintegrating in the mouth; Lozenges; Lollipops; Bite capsules; Baked products; Baits or other oral forms for animals
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/70Web, sheet or filament bases ; Films; Fibres of the matrix type containing drug
    • A61K9/7007Drug-containing films, membranes or sheets
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/70Web, sheet or filament bases ; Films; Fibres of the matrix type containing drug
    • A61K9/7015Drug-containing film-forming compositions, e.g. spray-on

Abstract

Medicaments for transmucosal or transdermal administration of active substances are characterized in that in order to improve active substance absorption they contain at least one substance form the group of the monoterpenes an at least one substance from the group of the polyalcohols.

Description

200427464200427464

五、發明說明(l) 【發明所屬之技術領域 本發明關於活性物質之用於經黏膜 物’此藥物包含增進或是加速活性物質 =$二了之樂 吸收之佐劑之結合(促進劑)。本 、1 = 土疋經皮 物之使用,於活性物質之投藥,以及用藥 :皮投藥形式之製備物,此製備物含有促進吸::添:是 【先前技術】 活性物質之經黏膜投藥,特別是經由口腔黏膜 頰内投藥形式)的投荜,從蓋-、列如 J J ^ ^ 攸蓋偏^galenic)觀點而言暑士 為有利的,因為藉此可以達成快速的啟動作用,以及言。 生體可用率(bi〇avaiiability)。於是,人們已使用喷^、 與舌下含片來執行此種投藥。 、務 薄膜狀系統「薄片(wafer)」,已知為一種經口、麫 黏膜或經頰之經口腔投藥之新穎投藥形式。此等薄膘狀! 統可以賦予黏膜黏附性質,使得在投藥期間能夠牢牢的霉占 附在黏膜上,例如頰(甚至於齒齦)黏膜。此外,薄膜^ 系統可以做成一經由適當地選擇調配物的成份—可降解 的、部分降解的、或不降解的薄膜。 在口腔内施用薄膜狀系統後,系統中含有的活性物質 便被釋放至其環境,並經由黏膜被部分吸收,但是部分^V. Description of the invention (l) [Technical field to which the invention belongs The present invention relates to the use of active substances for transmucosal substances' This medicine contains a combination of adjuvants (promoters) that enhance or accelerate the absorption of active substances . 1、1 = use of earthworm percutaneous substance, administration of active substance, and preparation: preparation prepared in the form of skin administration, this preparation contains aspiration promoting :: Tim: [previous technique] transmucosal administration of active substance, Especially through the oral mucosal buccal administration form), from the point of view of the cover, such as JJ ^ ^ 盖 盖 bias ^ galenic) is advantageous, because it can achieve a rapid start-up effect, and . Bioavailability. Thus, people have used spray and sublingual lozenges to perform such administration. The thin film system "wafer" is known as a novel administration form for oral administration via the mouth, mucous membranes, or cheeks. These thin scum-like systems can give mucoadhesive properties so that mold can be firmly attached to the mucosa during administration, such as the cheek (or even gum) mucosa. In addition, the thin film system can be made into a degradable, partially degraded, or non-degradable film by appropriately selecting the ingredients of the formulation. After the film-like system is applied in the mouth, the active substance contained in the system is released to its environment and partially absorbed through the mucosa, but partly ^

第5頁 200427464 五、發明說明(2) 著唾液被吞下。釋放出來活性物質被吞下的量於是不能被 黏膜吸收,於是降低了活性物質的生體可用率。為了避免 這項缺點,活性物質的經黏膜吸收需要越快越好。 增進活性物質吸收的問題亦存在於經皮治療系統,其 係促進醫藥活性物質在一延長的時間中經控制而投藥,大 多要持續數小時或數天。由於皮膚是許多活性物質的阻滯 屏障’於是在經皮藥物中,增進活性物質之經皮膚吸收便 極為關鍵。 【發明内容】 因此’本發明之目的在於指出一增進活性物質之經黏 膜或是經皮吸收之物質或物質混合物(所謂「促進 劑」),以及特徵在於具有增進活性物質之經黏膜或是經 皮吸收性之藥物。 【實施方式】 依據主要之申請專利範圍,使用用於經黏膜或是經皮 投藥之藥物以解決此問題,其含有至少一來自單萜烯類 (monoterpenes )群組之物質,與同時至少一來自聚醇類 群組之物質。加入此等物質之組合會導致活性物質之經口 腔黏膜吸收之增進。 此外,發現到,在經皮投藥的藥物中,加入前述促進Page 5 200427464 V. Description of the Invention (2) Saliva was swallowed. The amount of released active material that is swallowed cannot be absorbed by the mucous membrane, thus reducing the bioavailability of the active material. To avoid this disadvantage, the mucosal absorption of the active substance needs to be as fast as possible. The problem of improving the absorption of active substances also exists in the transdermal therapeutic system, which promotes the controlled administration of medicinal active substances over an extended period of time, which usually lasts for hours or days. Since the skin is a barrier for many active substances', transdermal drugs, it is extremely important to increase the absorption of the active substance through the skin. [Summary of the Invention] Therefore, the object of the present invention is to indicate a substance or a mixture of substances (so-called "promoter") that enhances the transmucosal or transdermal absorption of an active substance, and is characterized by having a transmucosal or transmembrane of an active substance Dermal absorption drugs. [Embodiment] According to the scope of the main patent application, a drug for transmucosal or transdermal administration is used to solve this problem, which contains at least one substance from the monoterpenes group, and at least one from the same time Substances of the Polyol Group. Adding a combination of these substances results in an increase in the absorption of the active substance through the oral mucosa. In addition, it was found that the aforementioned promotion was added to a drug for transdermal administration.

200427464200427464

劑物質之結合,造 結合包括至少一來 聚醇類群組之物質 質吸收有關之促進 成活性物質之經皮 自單萜烯類群組之 ’於是扮演著與經 劑的角色。 及收之增進。本發明 物質,與至少一來自 黏膜以及經皮活性物 不欲為任何理論所限制 能因為單箱烯噌符赫 — “ 蜊的功能是’有可 質會更快地被、軍: 擴張物的功能,而使得活性物 ::更决地被運走。至於聚醇類’其亦存在,作為塑化物The combination of agents and substances includes at least one of the substances of the polyalcohol group, which promotes the percutaneous formation of active substances related to the absorption of the active substance from the monoterpene group, and thus plays the role of a drug. And gains from it. The substance of the present invention, with at least one from the mucosa and transdermal actives, is not intended to be limited by any theory. Because the single-box ene-Fuhe — "the function of the clam is' can be reduced, it will be faster, military: expansion of the Function, so that the active substance :: is transported away more decisively. As for the polyhydric alcohols, it also exists as a plasticizer

JF列,質係屬特別適用之單萜烯類群組: 月曰肪單莊烯類,例如像是myrcen、ocimen ; ί 二^烯類’如 α_ 蒎烯(a_pinene)、莰烯(camphene) 才丁 板烯(limonene)、phellanderene、蒎烯、側柏烯 (sabinene)、松油烯(terpinene); 方香單ifc細類,如傘花烴(Cym〇l); 醇性單鞋烯類,如龍腦(b〇rne〇 1 )、香芽醇 (carve〇l)、二氫香芹醇、香葉醇(geraniol)、芳樟醇JF column, the germ line belongs to the monoterpene group that is particularly suitable: Monadienes, such as myrcen, ocimen; ί dienes, such as α_pinene (camene) Limonene, phellanderene, pinene, sabinene, terpinene; fine ifc fines, such as Cymol; alcoholic monosene , Such as borneol (borne〇1), geraniol (carve〇l), dihydrocarvitol, geraniol, linalool

(1 i na 1 001)、紫蘇醇、側柏浠(sab i nene )水合物、松油醇 (terpineol); 一具叛基之單;g烯類,如樟腦、香芽酮(carvone)、擰檬 酸(citral) 、cumine aldehyde、二氫香芹酮、小茴香 酮(fenchone)、safranal、側柏酮(thujone); — 酚性單萜烯類,如大菌香腦(aneth〇l )、香芽酚(1 i na 1 001), perillyl alcohol, sab i nene hydrate, terpineol; a singular group; gene, such as camphor, carvone, Citric acid, cumine aldehyde, dihydrocarvone, fenchone, safranal, thujone; — phenolic monoterpenes, such as anethol Eugenol

第7頁 200427464 五、發明說明(4) (Carvacrol)、丁 香油驗(eUgen〇i)、桉葉醇 (eucalyptol)、甲基cavic〇i、百里香紛(thymol)、反 (trans )-大茴香腦; —複雜酚性單萜烯類,如苦藏花素(picrocrocin); — 衍生自單萜烯類之化合物,如5_曱氧基-(2_曱基-丁 醯氧)-1-丙烯苯、丙烯—四甲氧基苯、茴香醛 (anisaldehyde)、菌香酮(anisketone)、芽菜腦 (apiol )、欖香脂素(eiemicin )、羥基大茴香腦曱基丁 酸酉旨、薑 _ ( zingerone ); ~ 丙基苯,如5-曱氧基-(2-曱基-丁醯氧)-1-丙烯苯、 丙浠—四甲氡基苯、大茴香腦、cumine aldehyde、檀香脂 素、estragol、丁香油酚、桉葉醇、f oenicui in、羥基大 茴香腦甲基丁酸酯、曱基cavi col、肉豆蔻醚 (myristicin)、黃樟油素(safrol)、薑顚|。 可以使用之聚醇類一較佳為雙-濕氫(dihydric) -之醇類如乙二醇、丙二醇、丁二醇等,但亦可為三濕氫或 多濕氫之醇類,特別是甘油。在多濕氫之醇類中,特別要 將聚乙烯醇列入考慮。此等可同時作為基質形成物之功 能’如作為參與藥物之固體基質之形成之組份。 依據本發明之較佳實施例,進一步提供包含於藥物 之促進劑混合物,其含有二或更多種來自單萜烯類群組 物質之組合,及/或二或更多種來自聚醇類群組之物質之之Page 7 200427464 V. Description of the invention (4) (Carvacrol), clove oil test (eUgen〇i), eucalyptol, methyl cavicoi, thymol, trans-anise Brain; — complex phenolic monoterpenes, such as picrocrocin; — compounds derived from monoterpenes, such as 5_fluorenyloxy- (2_fluorenyl-butanyloxy) -1- Acrylic benzene, propylene-tetramethoxybenzene, anisaldehyde, anisketone, apiol, eiemicin, hydroxyanisole, butyric acid, ginger _ (zingerone); ~ Propylbenzene, such as 5-methoxy- (2-fluorenyl-butanyloxy) -1-propenebenzene, propanyl-tetramethylfluorenylbenzene, fennel brain, cumine aldehyde, sandalwood Balsam, estragol, eugenol, eucalyptol, foenicui in, hydroxyanisole methyl butyrate, fluorenyl cavi col, myristicin, safrol, ginger . Polyols that can be used are preferably dihydric-alcohols such as ethylene glycol, propylene glycol, butanediol, etc., but can also be tri-hydrogen or poly-hydrogen alcohols, especially glycerin. Among alcohols with a lot of hydrogen, polyvinyl alcohol must be taken into consideration. These can simultaneously function as a matrix former ', such as as a component involved in the formation of a solid matrix of a drug. According to a preferred embodiment of the present invention, there is further provided a medicament-promoting agent mixture, which contains a combination of two or more substances derived from a monoterpene group, and / or two or more compounds derived from a polyol group Group of matter

11

頁 8 第 200427464 五、發明說明(5) 組合。無論如何,促進劑混合物A 群组之物質,與至少一來自聚』至少一來自單萜烯類 畔頰群組之物質。 、阳較佳者,薄荷腦或含薄荷腦之其 選自包含丙二醇、丁二醇與乙二/、、早缸烯類混合物與 結合,而用作為促進劑混合物。^之群組之至少一聚醇類 進一步的結果發現,如杲 ^ a. or η I、、工黏膜或經皮Μ , 有維生素原Β5及/或-或多種 ^物額外地含 別好的活性物質吸收。 5鹽頦,可以達成特 醫樂調配物中所会右+ έ且忐旦r 4獻 有之促進劑物質’較佳且右 殂成里(相對於乾基): 1土丹有 早缸細類:〇5-40番吾°/ v 者5:2。重量% ;重里,° ’較佳者3,重”…特別較佳 二^5’"% ’較佳者3-30重量%,特 0 z u重置% ; 符別較佳者 ^素原β5或維生素B5鹽类員:〇 5一4〇重量% 重I % ’特別軔4本Γ; - 〇 rv 土 - ° 幸父佳者3 - 下列之 別較佳者5-20重量 % 30 有-3=!:較佳具有實質上固體之基質 A 夕種基質形成物質、至少一活性物f 物質之吸收增進物質。主夕活技物貝 此基質可含 與前述活性Page 8 No. 200427464 V. Description of Invention (5) Combination. In any case, the accelerator mixture A group of substances, and at least one from the poly "at least one of the monoterpenes from the cheek group. Preferably, menthol or menthol is selected from the group consisting of propylene glycol, butylene glycol and ethylene diene, and early cylinderene mixtures and combinations, and is used as a promoter mixture. It was further found that at least one polyalcohol group of ^, such as 杲 a. Or η I, industrial mucosa, or transdermal M, had provitamin B5 and / or-or a plurality of ^ substances additionally contained other good Active substance absorption. 5 salt, you can achieve the right medicine in the special medical music formulation right + 忐 and 忐 dan r 4 the accelerator substance 'better and right 殂 Chengli (relative to dry basis): 1 Category: 〇5-40fango ° / v 5: 2. % By weight; ° "The better is 3, the weight" ... especially preferred 2 ^ 5 '"%' the better is 3-30% by weight, especially 0 zu reset%; the better the better ^ prime β5 or vitamin B5 salt members: 〇5—40 % by weight I% 'Special 轫 4 本 Γ;-〇rv 土-° Fortunate father 3-The following are better 5-20% by weight 30 Yes -3 = !: It is preferable to have a substantially solid substrate A, a substrate-forming substance, and an absorption-enhancing substance of at least one active substance f. The substrate may contain the aforementioned activity

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本發明進一步關於黏膜黏 藥物,其為在水性介質中或是生理黏附性薄膜狀 可降解。用於本目的之適當可溶、及/或 本技藝者所知悉。 貝形成物與佐劑,係為熟知 這樣一來,可能將活性物質之釋放以溶解产的方4來 如"ϊ=、個別ΐ降解力’、於水性介質中,例:唾液:例 薄膜可以視情況调配成速釋或緩釋系統。 或不 之物…調配成在水性介質中- 除了水以外,「水性介質」亦要了解到特別是 生理液體,尤其是唾液。 本發明之經黏膜,特別是,薄膜狀藥物,較佳調配成 經口腔調配形式。本發明進一步包含陰道或是直腸用途之 藥物。 、 200427464 五、發明說明(7) 經黏膜運送活性物質藥物之製造, 式,以及適用於此目的之基質形成物新]別是膜狀投藥形 上為熟知本技藝者所知悉。「基質二L佐劑與溶劑原則 別是聚合物,之此等物質,其適用作指的是,特 半固體基質(基本結構)。此基質固體或是 性物質之儲庫。基質形成組份之重量石2 了/寺投藥之活 95%,特佳為15_7〇% ’各以全藥物之乾刀基為較準佳為10- 所考慮之基質形成聚合物為,特別是· 聚乙烯醇(PVA )、聚環氧乙烯、 疋· U^MC) ? P )、經丙基纖維素(HPC)、緣甲基纖維素納 、=美Γ其媒曱基丰纖〆維素(MC)、M乙基纖維素(HEC )、 ::基=維素(HPEC),聚糖類、殿粉及其衍生物、 明膠、聚乙烯吡咯啶酮(pvp)、阿拉伯膠、普祿蘭 (fullulan)或丙烯酸化物。二或更多種上述聚θ合物之混合 物亦可用。 係原則上為熟知本技藝者所知悉 所用之佐劑 τ、仪跫可所部忍,木目 下列群組之物質係使用上較有利者:填充劑,如、著 色劑,如奎林黃τ%、分解劑(導散劑(wicUng agent)),其將水引入基質中並將基質由内暴開、如超微 粒(aer0Sil);乳化劑,如Tween (聚乙氧基化脂肪酸山梨 醇酐醋)、Brij (聚乙氧基化脂肪醇);甜味劑,如阿斯巴The present invention further relates to a mucoadhesive drug, which is degradable in an aqueous medium or a physiological adhesive film. Appropriate soluble for this purpose and / or known to those skilled in the art. Shellfish formation and adjuvants are well known. It is possible to release the active substance to dissolve the formula 4 such as " ϊ =, individual ΐ degradability ', in an aqueous medium, eg: saliva: example film Can be deployed as an immediate or slow release system as appropriate. Or something ... formulated in an aqueous medium-In addition to water, the "aqueous medium" also needs to understand especially physiological fluids, especially saliva. The transmucosal, in particular, film-like drugs of the present invention are preferably formulated into an oral formulation. The present invention further comprises medicaments for vaginal or rectal use. 200427464 V. Description of the invention (7) Manufacturing of pharmaceuticals for transporting active substances through mucosa, formulas, and matrix-forming products suitable for this purpose] Others are known in the form of film-shaped administration. "Matrix II adjuvants and solvents are not polymers, and these substances are suitable for referring to a special semi-solid matrix (basic structure). This matrix is a solid or a reservoir for sexual substances. The matrix forms components The weight of stone 2 is 95% of the activity of the temple, and the best is 15_70%. The dry knife base of the whole drug is better than 10. The matrix-forming polymer considered is, in particular, polyvinyl alcohol. (PVA), polyethylene oxide, 、 · U ^ MC)? P), propyl cellulose (HPC), marginal methyl cellulose sodium , Methylcellulose (HEC), :: Base = Vitamine (HPEC), glycans, dian powder and its derivatives, gelatin, polyvinylpyrrolidone (pvp), gum arabic, fullulan Or acrylates. Mixtures of two or more of the above polytheta compounds can also be used. In principle, the adjuvants τ and iridium used can be tolerated by those skilled in the art. The following groups of substances are used The more favorable: fillers, such as, colorants, such as quinine yellow τ%, decomposition agents (wicUng agent), which introduces water In the mass, and the matrix is opened by internal explosion, such as aerosol (aer0Sil); emulsifiers, such as Tween (polyethoxylated fatty acid sorbitan vinegar), Brij (polyethoxylated fatty alcohol); sweeteners, Aspar

200427464 五、發明說明(8) 甜環己胺基石黃酸銷、糖择·细儿 f甘油;防腐劑,如山梨:或;::,如咖(聚乙二醇) 別的含量’較佳者可高達3〇重量f、姓抗氧化劑。此等佐 量% ’各以全藥物之乾基為準“ ’特別是1至20重 活性物質的含量通常自〇 5至^ 重量% ,特佳者5至30重量% ,較佳者1至4〇 準。 各別以全藥物之乾基為 經黏膜藥物之總厚度, 5ram,較佳者30,至2mm,特佳膜狀者,可為5,至 可特別製作而成為圓形、橢圓彤U #"1至1!!^。平坦的形狀 形、或任何想要弄圓的形狀。=耸ς f形、四邊形、多邊 片」。 專樂物通常被視為「薄 本發明經黏膜投藥藥物之製锯土、$ A 4 絲汔《甘a 衣備法通常為,先以7匕、醇 類或疋其他溶劑製備塗附基體, =无以水= 貝升;成組份,與可能的助劑。塗 物貝 knife)、滾輪之應用、噴灑 何刀〔doctor· 性撐體上並乾焊,於是形成胺抵疋扮出法’以塗附至〆十月 當尺寸之: ^層。此膜隨後被分成具有適 =明進—步關於活性物 (TTS) 第12頁 200427464 五、發明說明(9) 之結構,與基質形成物質和 當之製備方法,美太μ A 此目的之適當佐劑以及適 ^ m )k ^ ifn /ik 、…α本技藝者所知悉。較佳者, 皮桌物係作成壓感性而附著於皮膚之系統。 TTS之典型έ士播白入拟从、 性之-被襯層(如 儲庫與其連接、: 、-含活性物質之200427464 V. Description of the invention (8) Sweet cyclohexylamino lutein acid sales, sugar selection · Fer glycerol; preservatives, such as sorbus: or;:, such as coffee (polyethylene glycol) other content 'better Those who can be up to 30 weight f, surname antioxidants. These amounts are based on the dry basis of the whole drug. "Especially, the content of 1 to 20 weight active substance is usually from 0.05 to ^ weight%, particularly preferably 5 to 30 weight%, more preferably 1 to The total thickness of the transmucosal drug is based on the dry base of the whole drug, 5ram, preferably 30, to 2mm, and the best film-like, can be 5, to be specially made into a round, oval Tong U # " 1 to 1 !! ^. Flat shape, or any shape you want to round. = Tower f, quadrilateral, polygonal piece. " The special music is usually regarded as "thin sawn soil made by transmucosal administration of the drug of the present invention, $ A 4 silk," and the preparation method is generally to first prepare the coated substrate with 7 daggers, alcohols or other solvents. = Without water = Beisheng; components, and possible additives. Application of coatings), roller application, spraying with a knife [doctor · Sex brace and dry welding, so an amine resisting dressing method is formed. 'Coated to 〆October when the size is: ^ layer. This film was then divided into a structure with suitable = bright forward-step on active matter (TTS) page 12 200427464 V. Description of the invention (9), with the matrix Substance and its preparation method, Mita μ A Appropriate adjuvant for this purpose and suitable ^ m) k ^ ifn / ik 、 α are known to those skilled in the art. Preferably, the leather table material is made pressure sensitive and attached to The system of the skin. The typical hand of TTS spreads into the intended, sexual-the lining (such as the reservoir connected to it,:,-containing active substances)

膜),矽化r .撕開之保護層(如PE膜或PETP 〗夕'(1C〇nized)或氟石夕化⑴— si 1 iconized ) ) λ m ^ tte ^ ® ^ 丄以七丄 u 接觸側,么別储存—間覆盘於活性物質儲庫之皮膚 接觸侧各別於使用前實施。 適 下列群 丙晞酸 烯、伸 烯共聚 聚物、 矽氧黏 物之混 多層。 至70重 用為製 組者: 、纖維 乙基乙 物、苯 丙烯腈 著劑以 合物。 此等聚 量% , 造活性物質儲庫之聚合物為,特 聚丙烯酸化物、聚(甲基)丙烯 素衍生物,特別為甲基與乙基纖 烯醋酸酯、天然與合成橡膠,如 乙烯-丁二烯嵌段共聚物、異戊二 丁二烯橡膠、丁基橡膠或新平橡 及熱融黏著劑。有利地,亦可使 活性物質儲庫之聚合物基質可以 合物之含量較佳為10至90重量% 各以TTS全重之乾基為準。 別是,來自 酸化物、聚 維素、異丁 苯乙烯-二 1烯嵌段共 膠、壓感聚 用前述聚合 4單層或是 ’較佳者20 本發明TTS之活性物質儲庫可進一步含有多 是添加劑,例如來自助溶劑、溶劑、塑刎或 ⑴ %點劑Film), silicidated r. A torn protective layer (such as PE film or PETP) (1C〇nized) or fluorite (Si iconized)) λ m ^ tte ^ ® ^ Side, Mody Storage-The interlayer disks are implemented separately on the skin-contacting side of the active substance depot before use. Applicable to the following groups: Propionate propene, copolymers of propylene, silicone adhesives, multilayers. Reuse to 70 for the group: fiber, ethyl acetate, styrene acrylonitrile adhesive compound. These polymers in%, the polymers used to build the active substance reservoir are special polyacrylates, poly (meth) acrylic derivatives, especially methyl and ethyl cellulose acetate, natural and synthetic rubbers, such as ethylene -Butadiene block copolymer, isoprene rubber, butyl rubber or neo-flat rubber and hot melt adhesive. Advantageously, it is also possible to make the polymer matrix of the active substance store at a content of preferably 10 to 90% by weight, each based on the dry basis of the total weight of TTS. In particular, the above-mentioned polymer 4 monolayer from the acid compound, povidin, isobutylene-diene block copolymer, pressure-sensitive polymerization, or the 'better 20' active substance reservoir of the TTS of the present invention can be further Contains mostly additives, such as self-solvent, solvent, plastic or 刎%

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(tacluhers) 、pH值調節劑、抗氧化劑與防腐劑之群 適用此目的之適當物質為熟知本技藝者 。: 中活二物質的含量較佳為自〇.5至5〇重量%,特佳者= 30重里% ,各以TTS全重之乾基為準。 ”、、 本發明TTS之製造可藉由將活性物質、基質形成聚人 物、與可能的佐劑溶解或懸浮於一適當之溶劑或溶劑混°合 物,然後將此得到之塗附基體塗附於一適當之撐體上,例 如提供有一聚矽氧烷層之塑膠膜,而達成。繼續乾燥與揮 發掉溶劑部分,含活性物質之基質層後續又再被附一層, 其隨後將形成TTS之被襯層。個別之TTS由此打成具有理想 幾何形狀與尺寸(如,2至50cm2 )之平坦形狀物件之層合 物而製成。 當活性物質欲藉由根據本發明之藥物以經皮或經黏膜 地方式投藥時,原則上,所有在人體或是動物之中具有預 防或是治療效果的化合物或是物質混合物,都可以考慮。 其可為,特別是,源自下列之群組:用於治療感染 virostatics 之藥劑、analgelsics,如 17分坦尼 (fentanyl)、丁丙諾ϋ非(bUprenorphine)、麻醉劑;厭食 劑;用於治療關節炎與氣喘之活性物質,如羥舒喘寧 (terbutal in );抗驚厥劑;抗憂鬱劑;抗糖尿病劑;抗 組織胺劑;止瀉藥;抗偏頭痛劑、抗噁心與乾嘔,運行與 暈船劑,如東莨菪鹼(scopolamine)與恩丹西酮(tacluhers), pH regulators, antioxidants and preservatives Suitable substances for this purpose are those skilled in the art. : The content of the second-living substance is preferably from 0.5 to 50% by weight, particularly preferably = 30% by weight, each based on the dry basis of the full weight of TTS. "、 The production of the TTS of the present invention can be carried out by dissolving or suspending an active substance and a matrix into a polymer, dissolving or suspending in a suitable solvent or solvent mixture, and then coating the obtained coated substrate. On a suitable support, for example, a plastic film with a polysiloxane layer is provided. It is continued to dry and volatilize the solvent part, and the substrate layer containing the active substance is subsequently attached with another layer, which will then form a TTS. Lining. Individual TTS is made by laminating a flat-shaped object with a desired geometry and size (for example, 2 to 50 cm2). When the active substance is intended to be transdermal through the drug according to the invention In the case of transmucosal administration, in principle, all compounds or substance mixtures which have a preventive or therapeutic effect in humans or animals can be considered. It can be, in particular, derived from the following groups: Agents used to treat infectious virostatics, analgelsics, such as 17 fentanyl, bUprenorphine, anesthetics; anorectics; activity for treating arthritis and asthma Anti-convulsants; anti-depressants; anti-diabetics; anti-histamines; antidiarrheals; anti-migraine, anti-nausea and retching, and motion sickness agents, such as scopolamine (Scopolamine) and ondansetron

200427464 五、發明說明(π) (ondansetron);抗贅生劑;抗帕金森式症劑;抗精神病 劑;退燒劑;抗痙攣劑;抗乙醯膽鹼劑;抗潰瘍劑,如 ranitidin ;擬交感神經作用劑(sympathomimetic Agents );弼離子通道阻斷劑,如彌心平 (n i f e d i p i η ) ; /?阻斷劑;/3拮抗劑;抗心律不整藥物;抗 高血壓劑,如阿替洛爾(atenolol )、ACE抑制劑,如恩納 比爾(enalapril);苯二氮平(benzodiazepine)结抗劑, 如氟馬西尼(f 1 umazen i 1 )、冠狀動脈、周圍與腦性血管擴 張劑;作用於中樞神經系統之物質;荷爾蒙;安眠藥;免 疫壓制劑;肌肉放鬆劑;前列腺素類 (prostaglandin);蛋白質;胜肽;心智興奮劑類 (psychostimulant);鎮定劑,鎮靜劑。 適合之活性物質係更進一步選自,舉例而言,副交感 神經阻斷劑(parasympatholy t ic),(如東莨菪驗與阿脫 品)、擬副交感神經阻斷劑(parasympathomi me t i c )、 乙醯膽驗劑、(如毒扁豆素(physost igmine)、尼古 丁)、神經阻滯劑(neurol ept i c )(如氯丙唤) (chloropromazine)、氟口定醇(haloperidol))、單胺氧化 酵素抑制劑、擬副交感神經作用劑(sympathomime t i c ) (如麻黃素、D-nor -假麻黃素、沙丁胺醇(salbutamol)、 芬氟拉明(f enf luramine))、副交感神經作用劑 (sympatholytic)與抗副交感神經作用劑(如普洛爾 (propranolol)、滴目露(timolol) 、bupranolol 、可樂200427464 V. Description of the invention (π) (ondansetron); anti-neoplastic agent; anti-Parkinson's disease agent; antipsychotic agent; antipyretic agent; antispasmodic agent; antiacetylcholine agent; antiulcer agent, such as ranitidin; Sympathomimetic agents; sympathomimetic agents, such as nifedipi η; /? Blockers; / 3 antagonists; antiarrhythmic drugs; antihypertensive agents, such as atenolol (Atenolol), ACE inhibitors, such as enalapril; benzodiazepine, such as flumazenil (f 1 umazen i 1), coronary arteries, peripheral and cerebral vasodilators; Substances acting on the central nervous system; hormones; sleeping pills; immunostatic preparations; muscle relaxants; prostaglandin; proteins; peptides; psychostimulants; sedatives and sedatives. A suitable active substance is further selected from, for example, parasympatholy t ic (such as East Test and Altopin), parasympathomie (parasympathomi me tic), acetamidine Biliary agents, (such as physost igmine, nicotine), neurol ept ic (such as chloropromazine, haloperidol), monoamine oxidase inhibition Agents, sympathomime tic (e.g. ephedrine, D-nor-pseudoephedrine, salbutamol, f enf luramine), sympatholytic agents and Antiparasympathetic agents (such as propranolol, timolol, bupranolol, cola

第15頁 200427464 五、發明說明(12) 定(clonidine)、二氫麥角胺 (dihydroergotamine))、抗焦慮劑(anxiolytics) (如二氮平、三氮平)、局部麻醉劑(如利多卡因)、中 樞analgelsic,如吩坦尼、蘇芬坦尼(sufentanil)、抗風 濕劑(antirheumatic)(如’美洒辛(indomethacin)、Page 15 200427464 V. Description of the invention (12) clonidine, dihydroergotamine), anxiolytics (such as diazepine, triazapine), local anesthetics (such as lidocaine) ), Central analgelsic, such as fentanyl, sufentanil, antirheumatic (such as' indomethacin,

炎痛喜康(piroxicam)、氯諾昔康(lornoxicam))、冠狀 動脈治療劑(如,硝化甘油、雙硝異山梨酯(isosorbide dinitrate))、雌激素類、卵黃激素類(gestagen)與雄性 素類(androgen)、抗組織胺劑(如,diphenhydramin、 clestamin、terfenadin)、前列腺素衍生物、維生素 (如,維生素E、維生素D3 ( cho 1 eca 1 c i f ero 1 ))、細胞 靜止劑(cytostatic)與強心配聽體(cardioactive glycosides)如,毛地黃(digoxin)、毛地黃素 (d i g i t ox i η )之活性物質群組。 本發明進一步關於可用作製造經黏膜或經皮投藥之形 式與含有至少一基質形成物與至少一醫藥活性劑之調配 物。依據本發明,此調配物額外含有至少一來自單萜烯類 群組之物質,與至少一來自聚醇類群組之物質,其如前所 示0 曰依據本發明之藥物可有利地用作為經皮或經黏膜, 別疋口腔、陰道或是直腸之活性物質投藥,之藥物, 於治療或是預防人類或是動物.之疾病。Piroxicam, loronoxicam, coronary therapeutics (eg, nitroglycerin, isosorbide dinitrate), estrogen, gestagen, and males Androgen, antihistamines (eg, diphenhydramin, clestamin, terfenadin), prostaglandin derivatives, vitamins (eg, vitamin E, vitamin D3 (cho 1 eca 1 cif ero 1)), cytostatic agents (cytostatic ) Group of active substances with cardioactive glycosides such as digoxin and digit ox i η. The invention further relates to formulations which can be used in the form of a transmucosal or transdermal administration and which contain at least one matrix former and at least one pharmaceutically active agent. According to the invention, this formulation additionally contains at least one substance from the monoterpene group and at least one substance from the polyalcohol group, as shown above. 0. The medicament according to the invention can be advantageously used as Transdermal or transmucosal, do not administer active substances in the oral cavity, vagina or rectum. The drugs are used to treat or prevent human or animal diseases.

第16頁 200427464 五、發明說明(13) 本發明將以下述之調配物實例予以說明 水/乙醇(1 ·· 1,體積/體積)作為溶劑 38%重量份 10%重量份 10%重量份 10%重量份 1 0 %重量份 10%重量份 2%重量份Page 16 200427464 V. Description of the invention (13) The present invention will be illustrated with the following formulation examples Water / ethanol (1 ·· 1, volume / volume) as a solvent 38% by weight 10% by weight 10% by weight 10 10% by weight 10% by weight 2% by weight

WalocelR CRT 30 (a) 活性物質(b) 丙二醇 薄何腦 維生素原B5 山梨醇 增味劑 (a) 羧甲基纖維素鈉;基質形成物 (b) detomidin 圖1顯示出本發明促進劑系統(頂線與頂柱)在活體内 (i n v i v 〇 )應用時,與對照系統(底線與底柱)之比 較。其特別重要的意含之事實是,血漿中活性物質濃度驟 升的發生,明顯地早於對照組,係因為達成了一較早之啟 動作用。WalocelR CRT 30 (a) active substance (b) propylene glycol bovine vitamin B5 sorbitol flavor enhancer (a) sodium carboxymethyl cellulose; matrix former (b) detomidin Figure 1 shows the promoter system of the present invention ( Top line and top pillar) compared with control system (bottom line and bottom pillar) when applied in vivo (invivo). A particularly important implication is the fact that the sudden increase in the concentration of the active substance in the plasma occurred significantly earlier than in the control group because of an earlier activation effect.

第17頁 200427464 圖式簡單說明 圖1顯示出本發明促進劑系統(頂線與頂柱)在活體 内(i n v i v 〇 )應用時,與對照系統(底線與底柱)之比 較。其特別重要的意含之事實是,血漿中活性物質濃度驟 升的發生,明顯地早於對照組,係因為達成了一較早之啟 動作用。Page 17 200427464 Schematic illustration Figure 1 shows the comparison of the accelerator system (top line and top pillar) of the present invention with a control system (bottom line and bottom pillar) when applied in vivo (i n v i v 〇). A particularly important implication is the fact that the sudden increase in the concentration of the active substance in the plasma occurred significantly earlier than in the control group because of an earlier activation effect.

第18頁Page 18

Claims (1)

200427464200427464 六、申請專利範圍 1· -種用於活性物質之經黏膜或經皮投藥之藥物 徵在於,為了增進活性物質之吸收,含有至少一來自〃特 烯類(mo=terpenes)群組之物質,與至少一來自聚醇類 其特徵在於額外含有維 2 ·如申請專利範圍第1項之藥物, 生素原B5。6. Scope of patent application 1-A drug for transmucosal or transdermal administration of an active substance is characterized in that, in order to improve the absorption of the active substance, it contains at least one substance from the moter terpenes group, And at least one derived from polyalcohols is characterized by additionally containing vitamin 2 · The drug such as item 1 of the scope of patent application, biotin B5. 3 ·如申请專利範圍第1或2項之藥物,豆姓n力 嫦類群組包含下列類別··脂星、/、寺仏在於該單萜 香單㈣類、醇性單箱稀肪,類、環單箱烯類、突 ^ ^ ^ 烯類、具羰基之單萜烯類、酚性§ 萜烯類、較腹雜之酚性單萜烯 时〖生3 物、丙基苯。 早帖心、何生自早私烯類之化4 4.如申請專利範圍第⑴項中任一項之藥物,盆特 於該聚醇類群組包含下列物質類別與物 $ (dihyMc)醇類,特別是乙二醇、丙二醇、丁^醇; 濕氫之醇類’特別是甘油;更高價醇類,特別是聚 醇。3. If the medicines in the scope of application for patents No. 1 or 2, the bean surname n li 嫦 group includes the following categories: 脂 Zhixing, /, Temple 仏 lies in the monoterpene fragrant mono ㈣, alcoholic single box of fat, Compounds, cyclic monoboxenes, dyneenes, monoterpenes with carbonyl groups, phenolic terpenes, phenolic monoterpenes that are more heterogeneous, and propylbenzene. Zao Tingxin, He Shengzi's transformation of early alkenes 4 4. As for the drug in any one of the scope of the patent application, Pentadol group contains the following substance categories and substances: $ (dihyMc) alcohol Alcohols, especially ethylene glycol, propylene glycol, butanol; alcohols of wet hydrogen, especially glycerol; higher-valent alcohols, especially polyalcohols. 5·如申—請,專利範圍第1至4項中任一項之藥物,其特徵在 於含有薄荷腦或含薄荷腦之其他單?烯類混合物,、以及來 自包含丙二醇、丁二醇與乙二醇之群組之至少一聚醇。5. If applied—please, is the drug in any one of the patent scope 1 to 4 characterized by menthol or other menthol containing? An olefinic mixture, and at least one polyol from the group comprising propylene glycol, butylene glycol, and ethylene glycol. 200427464 六、申請專利範圍 6 ·如申請專利範圍弟1至5項中杯_ s — 於以一經黏膜投藥形式表現、,之^ ’其特徵在 ^ — $見,較佳作為一薄膜狀經黏膜投 樂形式。 性 如申請專利範圍第6項之藥物,其特徵在於為 黏膜黏附 8 ·如申請專利範圍第6項之筚物,甘杜^ + 附性。 梁物’其特徵在於為非黏膜黏 9. 如申請專利範圍第7或8項之藥物,其特徵在於該薄膜 狀投藥形式係在水性介質中或是生理類液體中可 或 可降解者。 10. 如中請專利範圍17或8項之藥物,其特徵在於該薄膜 狀投藥形式係在水性介質中或是生理類液體中為不可降解 者0 11.如申請專利範圍第6至10項中任一項之藥物其特徵 在於調配成口腔、陰道或是直腸之投藥形式。 12·如申請專利範圍第1至5項中任一項之藥物,其特徵在 於以一經皮投藥形式表現,較佳作為一經皮治療系統。 200427464200427464 6. Scope of patent application 6 · If the scope of patent application is 1 to 5 items in the cup _ s — in the form of a mucosal administration, its characteristics are in ^ — $ see, preferably as a thin film transmucosal Pleasure form. Drugs such as those in the scope of patent application No. 6 are characterized by mucosal adhesions 8 · If the substances in the scope of patent application No. 6 are applied, Gandu ^ + Adhesive. The beam object 'is characterized by non-mucosal mucosa. 9. The drug in the scope of patent application No. 7 or 8 is characterized in that the film-like administration form is in an aqueous medium or a physiological liquid which can be degraded or degradable. 10. The medicine in the scope of patent claim 17 or 8 is characterized in that the film-like administration form is non-degradable in an aqueous medium or a physiological liquid. The medicament of any one is characterized by being formulated into an oral, vaginal or rectal administration form. 12. The drug according to any one of claims 1 to 5 in the scope of patent application, characterized in that it is expressed in the form of a transdermal administration, preferably as a transdermal therapeutic system. 200427464 13.如申請專利範圍第6至12項中任一項之藥物盆 f於=-固體基質’該基質含有一或多種基質形成物 貝、至 > -活性物質、與前述增進活性物質吸收之物質。 之藥物,其特徵在於該基 感黏附性。 14·如申請專利範圍第12或13項 質係在皮膚上為黏膜黏附性或壓 1 5你2則述申請專利範圍中任一項用於經黏膜W皮单物 之使用,特別為口腔、降i酋式Η古抵 舶勝^、、工皮樂物 投藥。 3 Μ ^道或疋直腸之活性物質(類)之 ϊ =造,膜或是經皮投藥形式之製備物 16. 製備物包含至少—種基質形成物以及至5二二ς二初,战 劑,其特徵在於額外含有來自 =種醫樂活性 貝术自聚醇類群組之至少一物質。 物 1 ·如申明專利範圍第1 6項之繫借必! 有維生素原b5。 、 I ,“特徵在於額外含 =γ如申請專利範圍第1 6或1 7項之製備物甘壯 早钿烯類群組包含 ’/、特徵在於該 類、芳香軍;κ松相 肪早烯類、環單萜嫌 酚性單箱烯魅 醇性單箱烯類、具羰基之單箱Ϊ舞 化合物、丙基苯。 何生自早萜烯類之13. The medicine basin according to any one of claims 6 to 12 of the scope of the application for patents:--solid matrix ', the matrix contains one or more matrix formers, to >-an active substance, and substance. The drug is characterized by its base adhesion. 14. If the quality of item 12 or 13 of the scope of patent application is mucosal adhesion or pressure on the skin, any one of the scope of the patent application mentioned above is used for the use of transmucosal single skin, especially oral, Descend i clan-style ancient times to win the ship ^, industrial leather fun medicine. 3 Μ tract or 疋 rectal active substance (class) 造 = preparation, film or percutaneous preparation preparation 16. The preparation contains at least one matrix formation and up to 522, 222, and 2 warfare agents , Which is characterized in that it additionally contains at least one substance from the group of medically active shellfish-polyols. Property 1 · If it is stated that the item 16 of the patent scope is necessary! There are provitamin b5. , I, "characterized by the additional containing = γ, such as the preparation of the patent application No. 16 or 17 of the preparation of the precocious alpine group contains' /, characterized by this class, aromatic army; κ pine phase fatty early Cyclic monoterpenoids, phenolic one-boxenes, mellow one-boxenes, one-box compounds with carbonyl groups, and propylbenzene. 200427464200427464 第22頁Page 22
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