TW201028150A - Solid pharmaceutical composition comprising amlodipine and losartan and process for producing same - Google Patents

Solid pharmaceutical composition comprising amlodipine and losartan and process for producing same Download PDF

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TW201028150A
TW201028150A TW98102863A TW98102863A TW201028150A TW 201028150 A TW201028150 A TW 201028150A TW 98102863 A TW98102863 A TW 98102863A TW 98102863 A TW98102863 A TW 98102863A TW 201028150 A TW201028150 A TW 201028150A
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losartan
composition
pharmaceutically acceptable
acceptable salt
amlodipine
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TW98102863A
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TWI503119B (en
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Jae-Hyun Park
Kyeong-Soo Kim
Ho-Taek Yim
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Hanmi Pharm Ind Co Ltd
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Abstract

The present invention relates to a solid pharmaceutical composition for preventing or treating cardiovascular disorders comprising amlodipine or a pharmaceutically acceptable salt thereof and losartan or a pharmaceutically acceptable salt thereof, which exhibits high dissolution rates of amlodipine and losartan even under a low pH condition and improved storage stability.

Description

201028150 六、發明說明: 【發明所屬之技彳椅々貝域】 發明領域 本發明係關於一種包含氨氣地平或其藥學上可接受之 5鹽及洛沙坦或其藥學上可接受之鹽之用於預防或治療心血 管病症之固體藥學組成物,及其製造方法。 L· 身椅】 發明背景 於尚血壓之治療上,比較單純降低血壓的本身,更為 10重要地係將血壓以一致的基準維持於正常範圍内,用於減 少併發症的風險諸如冠心病及心血管病例如中風、心臟衰 竭及心肌梗塞。如此,抗高血壓劑須可有效用於高血壓的 長期治療。進一步,使用具有不同藥理作用之兩種或多種 藥物的組合進行進階治療,可改善預防效果或治療效果, 15同時降低由於單—藥物的長期投予所導致的副作用。 值得’主意的抗高血壓藥包括利尿劑、交感神經抑制劑 及企管擴張劑。血管擴張劑為最廣為處方的抗高叙壓藥, 根據其藥理作用而劃分為數種類別包括ACE(血管緊張素 轉化6|)抑制劑、企管緊張素^受體拮抗劑及鈣通道阻斷劑。 2〇 氨氣地平為3-乙基-5-甲基-2-(2-胺基乙氧基-甲 基氣苯基)-6-甲基-1,4-二氫-3,5-吡啶二羧酸酯之俗 名。氨氣地平苯磺酸鹽目前係以諾瓦斯克(Novasc)(商品名) 出售。氨氣地平為長效性鈣通道阻斷劑’其可用於治療心 血官病症諸如心絞痛、高血壓及充血性心衰竭。 3 201028150 洛沙坦為2-丁基-4-氣-1-[[2,_(ih-四唑-5-基)[1,1,_聯 苯]-4-基]甲基]_iH_咪唑_5_甲醇之俗名,已經揭示於美國專 利案第5,608,075 ; 5,138,069 ;及5,153,197號。洛沙坦鉀於 市面上可以柯札(Cozaar)(商品名)購得。洛沙坦阻斷血管緊 5 張素11與其受體間之交互作用,主要作用於治療高血壓、心 衰竭、缺血性周邊循環障礙'心肌缺血(心絞痛)、糖尿病性 神經病變及青光眼,也用於預防心肌梗塞後心衰竭的進行。 發明人發現包含具有不同藥理活性之氨氣地平與洛沙 坦之組合型配方可用於預防或治療心血管病症,已經發展 參 10出具有最佳化物理及化學性質之此種氨氣地平-洛沙坦組 合型組成物。 1 【發明内容】 發明概要 如此,本發明之目的係提供一種包含氨氣地平及洛沙 15坦之固體藥學組成物,即便於低pH條件下仍具有氨氣地平 及洛沙坦之高溶解率及改良之儲存安定性。 根據本發明之一個面相,提供一種包含氨氣地平或其 參 藥學上可接受之鹽及洛沙坦或其藥學上可接受之鹽之用於 預防或治療心血管病症之固體藥學組成物。本發明組成物 2〇包含氨氣地平及洛沙坦,較佳係呈彼此分開之形式,且更 佳係呈彼此分開之粒狀形式。進一步,控制洛沙坦數量結 果導致氨氣地平及洛沙坦於本發明組成物之最佳化溶 率。 圖式簡單說明 4 201028150 前述及其它本發明之目的及特徵由後文發明說明連同 附圖研讀將更為彰顯,附圖分別顯示: 5 10 15 第1圖:對實例1及比較例1所製備之錠及氨氣地平(商 品名)錠觀察得氨氯地平於0.01N HC1 (pH 2.0)之溶解率(試 驗例1); 第2圖:對實例1至4所製備之錠觀察得氨氣地平於 0.01N HC1 (pH 2.0)之溶解率(試驗例2); 第3圖:對實例1、3及7及比較例1及2所製備之錠觀察 得氨氣地平於人工胃液(pH 1.2)及於〇·〇1Ν HC1 (pH 2.0)之 溶解率(試驗例3); 第4圖:對實例4至6及比較例2所製備之錠及氨氣地平 (商品名)錠觀察得氨氣地平於〇 〇1N HC1 (pH 2.0)之溶解率 (試驗例4);及 第5圖:對實例1、3及7及比較例丨及2所製備之錠及柯 札(商品名)錠觀察得洛沙坦於人工胃液(pH丨2)及於〇 〇1N HC1 (pH 2.0)之溶解率(試驗例5)。 t實施方式;J 較佳實施例之詳細說明 包含氨氯地平及洛沙坦之本發明之固體藥學組成物具 有即便於低pH仍然具有氨氣地平及洛沙坦之高溶解率,藉 此比較習知單-配方’達成改良的心血管病症之預防效果 或治療效果,同時減少兩種藥物之副作用。 本發明所使用之氨氯地平可為多種藥學上可接受之鹽 形式中之-種。氨氣地平之藥學上可接受之鹽包括氫氣酸 20 201028150 鹽、氫溴酸鹽、硫酸鹽、磷酸鹽、乙酸鹽、順丁烯二酸鹽、 反丁烯二酸鹽、乳酸鹽、草酸鹽、檸檬酸鹽、葡萄糖酸鹽、 苯磺酸鹽及樟腦磺酸鹽,但非限制性。於此等鹽中,較佳 為氨氣地平苯磺酸鹽及樟腦磺酸鹽,及更佳為氨氣地平樟 5腦確酸鹽。同時,本發明所使用之氨氣地平可為氨氣地平 外消旋物及S-氨氣地平。 本發明所使用之洛沙坦可為多種藥學上可接受之鹽形 式中之一種。可用於本發明之較佳洛沙坦之藥學上可接受 之鹽為洛沙坦钟。 10 於本發明組成物中,氨氣地平或其藥學上可接受之鹽 及洛沙坦或其藥學上可接受之鹽之用量以相對應之重量比 表示係於1 : 2.5至1 : 20,且較佳於〗:5至丨:1〇之範圍。 本發明組成物可提供心血管病症之改良的預防或治療 效果,諸如心絞痛、高血壓、動脈血管痙攣、深部靜脈血 15 栓、心臟肥大、腦梗塞、充血性心衰竭及心肌梗塞。 當單純經由混合兩種藥物而製備氨氣地平與洛沙坦之 組合型調配物時,不利地發生洛沙坦之膠凝現象。洛沙坦 易溶解於純水或於相對高pH(例如pH6 8)極為容易釋放,但 於低pH(例如ΡΗ2·0或pHl.2)由於膠凝緣故釋放極為緩慢。 2〇於市售洛沙坦製劑亦即柯札(商品名)之例中,於1.2至2.0之 PH範圍於30分鐘之溶解率低於3〇%。於氨氯地平與洛沙坦 之組合型調配物中,由於洛沙坦之膠凝緣故,氨氣地平可 能被閂鎖於調配物内部。 進一步,經由單純混合氨氣地平及洛沙坦所製備之組 6 201028150 合型調配物具有極為不佳之儲存安定性,主要係由於氨氯 地平、洛沙坦及賦形劑間產生非期望的化學反應故。 為了克服前述問題諸如洛沙坦膠凝及安定性降低問 題,氨氯地平與洛沙坦之組合型調配物須經由從洛沙坦實 5 體上分離氨氯地平來製備。 至於由洛沙坦實體上分離氨氯地平來製備組合型調配 物之一個實施例,雙層錠之製法係經由將氨氣地平之分開 顆粒調配成一錠’將該錠與包含洛沙坦之混合物混合,及 將所得混合物調配成為雙層錠。但此種方法有數項問題為 10需要特定雙層錠壓機,經常發生雙重質量偏差,由於打錠 速度的降低造成生產力的下降。如此,需要研究發展出可 藉一般錠劑壓機調配之一種藥學組成物及其製備方法。 本發明之範圍也包括一種氨氣地平及洛沙坦之組合型 調配物’其中經由實體上分開氨氣地平或其藥學上可接受 15之鹽與洛沙坦或其藥學上可接受之鹽且分開造粒可減少兩 種藥物間的接觸。如此,較佳本發明提供一種包含彼此分 開之氨氯地平及洛沙坦顆粒形式之一種固體藥學組成物。 根據本發明之-個實施例,其中氨氯地平及洛沙坦之 顆粒开/式彼此刀開之氨氯地平、洛沙坦組合型調配物可經 由-種方法製備’該方法包含下列步驟⑴分別造粒氨氣地 平或其藥學上可接受之鹽及洛沙坦或其藥學上可接受之鹽 而獲得個別分_雛;叹(2)混合料獅。經由前述 ,法所I備之本發明組合型調配物不會有安定性降低問 題原口在於由於顆粒的比表面積縮小及個別藥物以所使 201028150 用之賦形劑包圍,故氨氣地平顆粒與洛沙坦顆粒之混合可 減少兩種藥物間之接觸大小。比較比較例!之組合型調配物 其為經由單純混合氨氣地平及洛沙坦所得之錠劑,藉本方 法所製備之實例1至7之組合型調配物具有氨氯地平之溶解 5 率增咼(參考第1圖),也具有氨氣地平之高度安定性(參考 表2)。 本發明組成物包含藥學上可接受之載劑或賦形劑於各 別氨氣地平顆粒及洛沙坦顆粒。藥學上可接受之載劑或職 形劑包括微晶纖維素、乳糖、甘露糖醇、檸檬酸鈉、鱗酸 10 鈣、甘胺酸、蔗糖、崩散劑(例如乙醇酸澱粉鈉、交聯甲基 纖維素鈉、複合矽酸鹽及交聯普維隆(crosspovidone)及造板 黏結劑(例如聚乙浠基吼洛咬酮、經丙基甲基纖維素 (HPMC)、羥丙基纖維素(HPC)、蔗糖、明膠及金合歡膠)。 又本組成物進一步包含潤滑劑諸如硬脂酸鎂'硬脂酸、山 15 萸酸甘油酯及滑石。 雖言如此,包含彼此分開之顆粒型氨氣地平及洛沙垣 之固體藥學組成物仍然有於低p Η條件下由於洛沙坦膠凝而 洛沙坦之釋放變成未臻滿意之風險。預期此項問題對調配 物之生物利用率造成非期望的影響,原因在於當口服投予 2〇 調配物時,調配物首先係曝露於具有低pH值之酸性胃液。 如此’考慮正常成人胃之pH值係於1.0至3.5之範圍,於食物 吸收後,洛沙坦之Cmax降低約10%,需要致力於發展一種調 配物其可於胃之正常pH範圍’亦即pH 1.0至3.5具有高洛沙 坦溶解率。 8 201028150 發明人發現氨氣地平及洛沙坦之溶解率大為取決於洛 沙坦用量,特別於低pH時尤為如此。因此,本發明之範圍 也包括含特定量洛沙坦具有最佳化氨氯地平及洛沙坦之溶 解率之一種固體藥學組成物。 5 具有於由L〇至2·0範圍之pH值,亦即屬於正常成人胃之 pH值具有氨氣地平及洛沙坦之高溶解率之包含氨氣地平及 洛沙坦之本發明組成物,相對於組成物總重,含有於由3% 至25%重量比,更佳由5%至22.3%重量比範圍數量之洛沙 坦。當洛沙坦含量為25%重量比或以下時,氨氣地平及洛 10 沙坦於低PH之溶解率皆升高。特定言之,含有25%重量比201028150 VI. Description of the Invention: [Technical Field] The present invention relates to an amlodipine or a pharmaceutically acceptable 5-salt thereof and losartan or a pharmaceutically acceptable salt thereof. A solid pharmaceutical composition for preventing or treating a cardiovascular disorder, and a method of producing the same. L· Body Chair] Background of the Invention In the treatment of blood pressure, the blood pressure itself is relatively simple, and the blood pressure is maintained within a normal range on a consistent basis, for reducing the risk of complications such as coronary heart disease and Cardiovascular diseases such as stroke, heart failure and myocardial infarction. Thus, antihypertensive agents must be effective for long-term treatment of hypertension. Further, advanced treatment using a combination of two or more drugs having different pharmacological effects can improve the preventive effect or the therapeutic effect, 15 while reducing the side effects caused by long-term administration of the mono-drug. Antihypertensive drugs worthy of the idea include diuretics, sympathetic inhibitors, and vasodilators. Vasodilators are the most widely prescribed anti-high-pressure drugs, and are classified into several categories according to their pharmacological effects, including ACE (angiotensin-converting 6|) inhibitors, angiotensin receptor antagonists, and calcium channel blockade. Agent. 2〇Ammonia level is 3-ethyl-5-methyl-2-(2-aminoethoxy-methylphenyl)-6-methyl-1,4-dihydro-3,5- The common name for pyridine dicarboxylate. Ammoniapine besylate is currently sold under Novasc (trade name). Ammoniadipine is a long-acting calcium channel blocker' which can be used to treat cardiovascular disorders such as angina, hypertension, and congestive heart failure. 3 201028150 Losartan is 2-butyl-4-气-1-[[2,_(ih-tetrazol-5-yl)[1,1,_biphenyl]-4-yl]methyl]_iH The common name of _imidazole _5_methanol is disclosed in U.S. Patent Nos. 5,608,075; 5,138,069; and 5,153,197. Losartan potassium is commercially available from Cozaar (trade name). Losartan blocks the interaction between vasopressin 5 and its receptor, mainly in the treatment of hypertension, heart failure, ischemic peripheral circulatory disorders, myocardial ischemia (angina), diabetic neuropathy and glaucoma. Also used to prevent heart failure after myocardial infarction. The inventors have found that a combination formulation comprising amlodipine and losartan having different pharmacological activities can be used for the prevention or treatment of cardiovascular disorders, and has been developed to have such an optimized aerobic and phytochemical properties. Satan combination composition. SUMMARY OF THE INVENTION SUMMARY OF THE INVENTION Accordingly, it is an object of the present invention to provide a solid pharmaceutical composition comprising amlodipine and a losar 15 tan, which has a high dissolution rate of ammonia gas and losartan even under low pH conditions. And improved storage stability. According to one aspect of the present invention, there is provided a solid pharmaceutical composition for preventing or treating a cardiovascular disorder comprising amlodipine or a pharmaceutically acceptable salt thereof and losartan or a pharmaceutically acceptable salt thereof. The composition of the present invention 2 includes amlodipine and losartan, preferably in a form separated from each other, and more preferably in a granular form separated from each other. Further, controlling the amount of losartan results in the optimum solubility of ammonia sulphate and losartan in the compositions of the present invention. Brief Description of the Drawings 4 201028150 The foregoing and other objects and features of the present invention will be more apparent from the following description of the invention together with the accompanying drawings, which are shown in the accompanying drawings: 5 10 15 Figure 1: Preparation of Example 1 and Comparative Example 1 The dissolution rate of amlodipine at 0.01 N HCl (pH 2.0) was observed in the ingot and the ammonia gas (trade name) ingot (Test Example 1); Fig. 2: Ammonia gas was observed for the ingots prepared in Examples 1 to 4. The dissolution rate of the ground at 0.01 N HC1 (pH 2.0) (Test Example 2); Figure 3: The ammonia gas level was observed in the artificial gastric juice (pH 1.2) for the ingots prepared in Examples 1, 3 and 7 and Comparative Examples 1 and 2. And the dissolution rate of 1·〇1Ν HC1 (pH 2.0) (Test Example 3); Figure 4: Ammonia observed for the ingots prepared in Examples 4 to 6 and Comparative Example 2 and the ammonia gas (trade name) ingot The dissolution rate of sputum in 〇〇1N HC1 (pH 2.0) (Test Example 4); and Figure 5: Ingots prepared in Examples 1, 3 and 7 and Comparative Examples 2 and 2 and Koza (trade name) ingots The dissolution rate of losartan in artificial gastric juice (pH 丨 2) and 〇〇 1N HC1 (pH 2.0) was observed (Test Example 5). t embodiment; J. DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENT The solid pharmaceutical composition of the present invention comprising amlodipine and losartan has a high dissolution rate of ammonia gas and losartan even at a low pH, thereby comparing The conventional single-formulation 'achieves the preventive or therapeutic effect of an improved cardiovascular condition while reducing the side effects of both drugs. The amlodipine used in the present invention may be in a variety of pharmaceutically acceptable salt forms. The pharmaceutically acceptable salts of ammodipine include hydrogen acid 20 201028150 salts, hydrobromides, sulfates, phosphates, acetates, maleates, fumarates, lactates, oxalic acid Salt, citrate, gluconate, besylate and camphor sulfonate, but not limiting. Among these salts, ammoxipine benzenesulfonate and camphorsulfonate are preferred, and an ammoxigenate 5 brain acid salt is more preferred. Meanwhile, the ammonia gas level used in the present invention may be an ammonia gas racemate and an S-ammonia level. The losartan used in the present invention may be one of a plurality of pharmaceutically acceptable salt forms. A pharmaceutically acceptable salt of the preferred losartan useful in the present invention is losartan. 10 In the composition of the present invention, the amount of amlodipine or a pharmaceutically acceptable salt thereof and losartan or a pharmaceutically acceptable salt thereof is expressed in a weight ratio of 1:2.5 to 1:20, And preferably in the range of: 5 to 丨: 1〇. The compositions of the present invention provide improved prophylactic or therapeutic effects of cardiovascular disorders such as angina pectoris, hypertension, arterial vasospasm, deep venous blood thrombosis, cardiac hypertrophy, cerebral infarction, congestive heart failure, and myocardial infarction. When a combination formulation of ammonia gas and losartan is prepared simply by mixing two drugs, the gelation of losartan is disadvantageously occurred. Losartan is readily soluble in pure water or is extremely easy to release at relatively high pH (e.g., pH 6 8), but at low pH (e.g., ΡΗ2·0 or pH 1.2) it is extremely slow to release due to gelation. 2 In the case of the commercially available losartan preparation, that is, the Koza (trade name), the dissolution rate in the pH range of 1.2 to 2.0 at 30 minutes is less than 3%. In a combination formulation of amlodipine and losartan, the ammonia level may be latched inside the formulation due to the gelation of losartan. Further, the group 6 201028150 formulation prepared by simply mixing ammonia gas and losartan has extremely poor storage stability, mainly due to undesired chemistry between amlodipine, losartan and excipients. The reaction is so. In order to overcome the aforementioned problems such as losartan gelation and stability reduction, a combination formulation of amlodipine and losartan must be prepared by isolating amlodipine from losartan. As an example of the physical separation of amlodipine from losartan to prepare a combined formulation, the two-layer ingot is prepared by blending the separated particles of ammonia flat into one ingot' with the mixture containing losartan. Mix and mix the resulting mixture into a two-layer ingot. However, there are several problems with this method. 10 A special double-layer press is required, and double mass deviation often occurs, resulting in a decrease in productivity due to a decrease in the speed of the spindle. Thus, research and development of a pharmaceutical composition which can be formulated by a conventional tablet press and a preparation method thereof are required. Also included within the scope of the invention is a combination formulation of amlodipine and losartan wherein the amlodipine or a pharmaceutically acceptable salt thereof and a losartan or a pharmaceutically acceptable salt thereof are physically separated and Separate granulation reduces contact between the two drugs. Thus, it is preferred that the present invention provide a solid pharmaceutical composition comprising the amlodipine and losartan particles separated from each other. According to an embodiment of the present invention, the amlodipine and losartan combination formulation in which the particles of amlodipine and losartan are opened to each other can be prepared by a method comprising the following steps (1) Ammoniadipine or its pharmaceutically acceptable salt and losartan or its pharmaceutically acceptable salt are separately obtained to obtain individual fractions; sigh (2) mixed lions. Through the foregoing, the combination formulation of the present invention prepared by the method of the present invention does not have a decrease in stability. The problem is that the specific surface area of the particles is reduced and the individual drugs are surrounded by the excipients used for 201028150, so the ammonia gas granules and Luo The mixing of the sultan particles reduces the contact size between the two drugs. Compare the comparison! The combined formulation is a tablet obtained by simply mixing ammonia gas and losartan, and the combined formulation of Examples 1 to 7 prepared by the method has a dissolution rate of amlodipine (refer to the first 1)) also has the high stability of ammonia level (refer to Table 2). The compositions of the present invention comprise a pharmaceutically acceptable carrier or excipient in each of the ammoniapine particles and losartan particles. Pharmaceutically acceptable carriers or traits include microcrystalline cellulose, lactose, mannitol, sodium citrate, calcium citrate, glycine, sucrose, disintegrating agents (eg sodium starch glycolate, cross-linking) Cellulose sodium, complex bismuth and cross-povidone and board-forming binders (eg, polyethylidene carbaryl, propylmethylcellulose (HPMC), hydroxypropyl cellulose) (HPC), sucrose, gelatin and acacia gum. Further, the composition further comprises a lubricant such as magnesium stearate 'stearic acid, glyceryl citrate and talc. Although this is the case, the particles are separated from each other. The solid pharmaceutical composition of amlodipine and losarzil is still at risk of unsatisfactory release of losartan due to the gelation of losartan under low p 。 conditions. The bioavailability of the formulation is expected to be a problem. The undesired effect is caused by the fact that when the 2 〇 formulation is administered orally, the formulation is first exposed to acidic gastric juice having a low pH value. Thus, the pH value of a normal adult stomach is considered to be in the range of 1.0 to 3.5. Loss of Cmax of Losartan after food absorption About 10%, there is a need to develop a formulation that has a high losartan dissolution rate in the normal pH range of the stomach 'ie pH 1.0 to 3.5. 8 201028150 The inventors found that the dissolution rate of ammonia and losartan is large. This is particularly the case depending on the amount of losartan, especially at low pH. Therefore, the scope of the present invention also includes a solid pharmaceutical composition containing a specific amount of losartan which optimizes the dissolution rate of amlodipine and losartan. 5 having the pH value from L〇 to 2·0, that is, the pH value of the normal adult stomach having the high dissolution rate of ammonia gas and losartan, the composition of the invention comprising ammonia gas and losartan And the amount of losartan in a range of from 3% to 25% by weight, more preferably from 5% to 22.3% by weight, relative to the total weight of the composition. When the losartan content is 25% by weight or less , ammonia gas and Luo 10 Shatan increase the solubility rate at low pH. In particular, it contains 25% by weight.

或以下含量洛沙坦之組合調配物中,氨氣地平即便於低pH 條件下之釋放仍然極佳,特別此種調配物可滿足氨氣地平 之溶解標準,亦即於pH 1.〇〜2.0於30分鐘溶解80%或以上(參 考第2圖至第4圖)。此外,比較柯札(商品名)鍵亦即習知單 15 一洛沙坦調配物,含有25%重量比或以下含量洛沙坦之組 合型調配物於低pH條件下具有顯著較高洛沙坦溶解率(參 考第5圖)。如此,預期本發明組合型調配物顯示氨氣地平 及洛沙坦之顯著較高的生物利用率。同時,當洛沙坦低於 3%重量比時,調配物之整體尺寸過大,不利於病人之遵從 20 性。 根據本發明之另-個實施例,本發明之範圍也包括— 種包含彼此分開之顆粒型氨氣地平及洛沙坦之固體藥學组 成物,且以組成物之總重為基準,含有於由3%至25%重量 比範圍數量之洛沙坦。 201028150 進一步’本發明提供一種包含顆粒型洛沙坦之固體藥 學組成物’其中通過75微米篩孔之細小顆粒之百分比係低 於50%,較佳低於25%,及更佳低於1〇%。 就此方面而言’發明人發現除了洛沙坦之總用量之 5 外’氨氣地平及洛沙坦之溶解率顯然取決於洛沙坦顆粒之 粒徑大小’特別於低pH時尤為如此。特定言之,發現於洛 沙坦顆粒中細小顆粒之分量比降低可導致氨氣地平及洛沙 坦溶解率的改良。 因此,根據本發明之又另一個實施例,本發明範圍也 ® 10 提供一種彼此分開之顆粒型氨氣地平及洛沙坦之固體藥學 組成物,其中於洛沙坦顆粒部分,通過75微米之細小顆粒 百分比係低於50%。 本發明進一步包含—種安定劑諸如抗氧化劑,其作用 係提升氨氣地平之安定性對抗於摻混過程中氨氣地平與其 15它藥學上可接受之賦形劑間產生非期望的反應,且對抗隨 著時間之經過因光線或水分造成氨氣地平之變形。本發明 所使用之抗氧化劑之代表例包括丁基化羥基曱苯(BHT)、丁 義 基化羥基茴香醚(BHA)、抗壞血酸、抗壞血基棕櫚酸、伸乙 基二胺四乙酸(EDTA)、焦亞硫酸鈉及其混合物。前述抗氧 20 化劑中,以丁基化羥基曱笨為本發明最佳。 根據本發明之又另-個實施例,本發明之範圍内也包 括-種製備包含彼此分開之顆粒型氨氯地平及洛沙坦之固 體藥學組成物之方法’包含下列步驟·· a)將洛沙坦或其藥學上可接受之鹽與藥學上可接受之 10 201028150 賦形劑之混合物造粒與乾燥而獲得洛沙坦顆粒; ^將氨氯齡或其㈣上可接受之鹽與_上可接成 之賦形劑之齡物造粒與錢㈣彳錢氯解顆粒.及又 5 15 20 C)混合步驟a)所得之洛沙坦_與步 地平顆粒。 1付t虱氣 乾造=Γ。)^之造粒方法中,可使用習知濕造粒技術或 本發明組成物可呈錠劑、膠囊劑或多重粒子形式經口 投予之多個途徑包括口腔、口服、及舌下而投予。㈣了 明組成物之投予途徑須由臨床醫師基於病人症狀及 需求判定。 =發明組成物難係調配成錠咖型。健得自本發 2=之峨她W衣層可由可形成 製造urrr高分子量化合物組成。為了容易投藥及 、匕、數量須減至最少,以調配物總重為基準, =可於以約1%至卿重量比,較佳賴至量 圍,種包衣可根據習知峨衣方法中之任1量= 行。藉前述方法所製備 1 條件下減〜 有㈣組成之簡於習知儲存 條件下極為錢,且可耐光與防水。 圍。下列實例意圖進—步舉例說明本發明而未限制其範 實例1:組合型矣劑之製備.⑴ -洛沙坦顆粒部分_ 50.0毫克 洛沙坦卸 11 201028150 10 15 微晶纖維素 交聯普維隆 -氨氣地平顆粒部分- 氨氣地平樟腦磺酸鹽 丁基化經基曱苯 微晶纖維素 甘露糖醇 乙醇酸殿粉納 聚乙稀°比洛咬酮 純水 -潤滑劑- 硬脂酸鎂 -包衣部分- 海波米洛(hypromellose) 羥基丙基纖維素 二氧化鈦 滑石 乙醇 175.0毫克 12.0毫克 7.84毫克(氨氣地平5毫克) 0.1毫克 9〇.〇毫克 40.0毫克 17.0毫克 5.0毫克 (65.0毫克) 3.0毫克 8.0毫克 2.0毫克 2.0毫克 0.1毫克 (200.0毫克)Or the combination of the following contents of losartan, the release of ammonia level even under low pH conditions is excellent, especially the formulation can meet the dissolution standard of ammonia level, that is, at pH 1. 〇~2.0 Dissolve 80% or more in 30 minutes (refer to Figures 2 to 4). In addition, comparing the Koza (trade name) bond, that is, the conventional single 15 losartan formulation, the combination formulation containing 25% by weight or less of losartan has a significantly higher Loxa at low pH. Tan dissolution rate (refer to Figure 5). Thus, it is expected that the combined formulation of the present invention will exhibit significantly higher bioavailability of ammonia terpine and losartan. At the same time, when the losartan is less than 3% by weight, the overall size of the formulation is too large, which is not conducive to the patient's compliance. According to another embodiment of the present invention, the scope of the present invention also includes a solid pharmaceutical composition comprising particulate ammoniapine and losartan which are separated from each other and based on the total weight of the composition. The amount of losartan is in the range of 3% to 25% by weight. 201028150 Further 'the present invention provides a solid pharmaceutical composition comprising particulate losartan' wherein the percentage of fine particles passing through a 75 micron mesh is less than 50%, preferably less than 25%, and more preferably less than 1%. %. In this respect, the inventors have found that the dissolution rate of ammoniapine and losartan, except for the total amount of losartan, clearly depends on the particle size of the losartan particles, especially at low pH. In particular, it has been found that a decrease in the ratio of fine particles in the losartan granules leads to an improvement in the dissolution rate of the ammonia level and the losartan. Thus, in accordance with yet another embodiment of the present invention, the scope of the present invention also provides a solid pharmaceutical composition of particulate ammoniapine and losartan separated from each other, wherein the losartan granule portion passes through 75 micrometers. The percentage of fine particles is less than 50%. The present invention further encompasses a stabilizer such as an antioxidant which acts to enhance the stability of the ammonia level against undesirable reactions between the ammonia level and its pharmaceutically acceptable excipient during the blending process, and Fight against deformation of ammonia level due to light or moisture over time. Representative examples of the antioxidant used in the present invention include butylated hydroxyindole benzene (BHT), butylated hydroxyanisole (BHA), ascorbic acid, ascorbyl palmitic acid, and ethyldiaminetetraacetic acid (EDTA). , sodium metabisulfite and mixtures thereof. Among the above antioxidants, the butylated hydroxy oxime is preferred in the present invention. According to still another embodiment of the present invention, a method of preparing a solid pharmaceutical composition comprising particulate amlodipine and losartan separated from each other in the scope of the present invention includes the following steps: a) A mixture of losartan or a pharmaceutically acceptable salt thereof and a pharmaceutically acceptable 10 201028150 excipient is granulated and dried to obtain losartan granules; ^ ammonia chloride or its (iv) acceptable salt and _ The age of the excipients can be granulated with the granules and the money (4) 氯 氯 氯 氯 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 1 pay t 干 dry = Γ. In the granulation method, the conventional wet granulation technique or the composition of the present invention can be administered orally, in a form of a tablet, a capsule or a multiparticulate, including oral, oral, and sublingual administration. Give. (d) The route of administration of the composition must be determined by the clinician based on the patient's symptoms and needs. = It is difficult to formulate the composition of the invention into an ingot type. From the hair 2#, her W coat layer can be made up of urrr high molecular weight compounds that can be formed. In order to facilitate the administration of drugs and the amount of cockroaches, the amount should be minimized, based on the total weight of the formulation, = can be about 1% to the weight ratio of the broth, preferably to the amount of the coating, according to the conventional method of coating Any amount = line. Prepared by the above method. 1 Reduced under conditions. (4) The composition is simple and extremely light under conventional storage conditions, and is resistant to light and water. Wai. The following examples are intended to illustrate the invention without limiting its example 1: Preparation of a combination tanning agent. (1) - Losartan granule fraction _ 50.0 mg Losartan unloading 11 201028150 10 15 Microcrystalline cellulose cross-linking Villon-Ammonia flat granules part - Ammonia sulphate camphor sulfonate butylation Benzyl phthalocyanine cellulose mannitol glycolic acid powder Nano-polyethylene ° Bilosterone pure water - lubricant - hard Magnesium sulphate-coated part - hypromellose hydroxypropyl cellulose titanium dioxide talc ethanol 175.0 mg 12.0 mg 7.84 mg (ammonia level 5 mg) 0.1 mg 9 〇. 〇 mg 40.0 mg 17.0 mg 5.0 mg ( 65.0 mg) 3.0 mg 8.0 mg 2.0 mg 2.0 mg 0.1 mg (200.0 mg)

純水 (50.0毫克) 20 洛沙坦顆粒部分之各成分使用輥輪緊壓機乾造粒而製 備洛沙坦顆粒部分,該部分具有彳通過75微米篩孔之細小 顆粒含量為20%重量比或以下。氨氣地平顆粒部分之各成 分65.0毫克/錠純水濕造粒,通過篩網過篩,及乾燥而製備 具有規定量之各成分之氨氣地平顆粒部分。氨氣地平顆粒 12 201028150 部分使用混合機於洛沙坦難部分混合3G⑽。隨後,根 據相對應數量添加硬脂祕潤滑劑至其中錢合5分鐘。所 得混合物配方成為_,配方所得錠劑使用具有規定量之 包衣。Pi各種成分之-種包衣短成物包衣而獲得組合型錠 劑。該組合型錠劑含有5毫克氨氣地平及5〇毫克洛沙坦,其 中洛沙坦含篁係相當於錠劑重量但包衣部分除外之約 12.5%。Pure water (50.0 mg) 20 The components of the losartan granules were dry granulated using a roller compactor to prepare a losartan granule portion having a fine particle content of 20% by weight through a 75 micron sieve. Or below. Each of the components of the ammonia-level granule portion was wet-granulated with 65.0 mg/poule of pure water, sieved through a sieve, and dried to prepare an ammonia gas-level granule portion having a prescribed amount of each component. Ammonia Floor Granules 12 201028150 Partially mixed 3G (10) with a mixer in the difficult part of Losartan. Subsequently, a hard fat secret lubricant was added to the corresponding amount to 5 minutes. The resulting mixture is formulated as a _, and the resulting tablet is coated with a prescribed amount. A combination tablet is obtained by coating a short coating of various components of Pi. The combination tablet contains 5 mg of amlodipine and 5 mg of losartan, wherein the losartan-containing lanthanide is equivalent to about the weight of the tablet but about 12.5% excluding the coated portion.

20 實例2 :組合型錠劑之製備-(IJ) 10 -洛沙坦顆粒部分- 洛沙坦斜 50.0毫克 磷酸二氫鈣 Π5.0毫克 交聯普維隆 12.0毫克 -氨氣地平顆粒部分- 氨氣地平樟腦磺酸鹽 7.84毫克(氨氣地平5毫克) 丁基化羥基甲苯 〇.1毫克 鱗酸二氫約 90.0毫克 甘露糖醇 4〇〇毫克 乙醇酸;殿粉納 17.0毫克 聚乙烯η比洛啶酮 5.0毫克 純水 (65.0毫克) -潤滑劑- 硬脂酸鎂 3.0毫克 經由重複實例1之程序製備組合型錠劑,但於洛沙挺及 職地平獅料各自❹魏二^”代微晶纖維素。 13 201028150 組合型錠劑含有5毫克氨氯地平及50毫克洛沙坦,其中洛沙 坦含量係相當於錠劑重量但包衣部分除外之約12.5%。 實例3 :組合型錠劑之製備-(III) -洛沙坦顆粒部分_ 5 洛沙坦鉀 50.0毫克 微晶纖維素 175.0毫克 交聯普維隆 12.0毫克 -氨氯地平顆粒部分_ 氨氯地平樟腦磺酸鹽 15.68毫克(氨氣地平10毫克) 10 丁基化羥基曱苯 0.2毫克 微晶纖維素 90.0毫克 甘露糖醇 40.0毫克 乙醇酸澱粉鈉 17.0毫克 聚乙稀吼°各咬酮 5.0毫克 15 純水 (65.0毫克) -潤滑劑- 硬脂酸鎂 3.0毫克 -包衣部分_ 海波米洛 8.0毫克 20 羥基丙基纖維素 2.0毫克 二氧化鈦 2.0毫克 滑石 0.1毫克 乙醇 (200.0毫克) 純水 (50.0毫克)20 Example 2: Preparation of a combined tablet-(IJ) 10 - Losartan granule fraction - Losartan slant 50.0 mg calcium dihydrogen phosphate Π 5.0 mg cross-linked Pvillon 12.0 mg - Ammonia granules - Ammoniapine camphor sulfonate 7.84 mg (ammoniadipine 5 mg) Butylated hydroxytoluene. 1 mg bisulphate dihydrogen about 90.0 mg mannitol 4 〇〇 glycolic acid; Temple powder nano 17.0 mg polyethylene η Pilotidone 5.0 mg pure water (65.0 mg) -lubricant - magnesium stearate 3.0 mg The combined lozenge was prepared by repeating the procedure of Example 1, but in the case of Luoshating and the position of the lions Microcrystalline cellulose. 13 201028150 The combined tablet contains 5 mg of amlodipine and 50 mg of losartan, wherein the losartan content is equivalent to the weight of the tablet but about 12.5% except for the coated portion. Example 3: Combination Preparation of tablets - (III) - Losartan granules _ 5 Losartan potassium 50.0 mg Microcrystalline cellulose 175.0 mg Crosslinked Pvillon 12.0 mg - Amlodipine granules _ Amlodipine camphor sulfonate 15.68 mg (ammonia level 10 mg) 10 Hydroxyphenylbenzene 0.2 mg Microcrystalline cellulose 90.0 mg Mannitol 40.0 mg Sodium glycolate sodium starch 17.0 mg Polyethylene 吼 ° Each biting ketone 5.0 mg 15 Pure water (65.0 mg) - Lubricant - Magnesium stearate 3.0 Mg-coated portion _ Haibo Milo 8.0 mg 20 Hydroxypropyl cellulose 2.0 mg Titanium dioxide 2.0 mg Talc 0.1 mg Ethanol (200.0 mg) Pure water (50.0 mg)

14 201028150 經由重複實例1之程序製備組合型錠劑,但使用各兩倍 量之氨氯地平及丁基化羥基曱苯。組合型錠劑含有10毫克 氨氣地平及50毫克洛沙坦,其中洛沙坦含量係相當於錠劑 重量但包衣部分除外之約12.3%。 5 實例4 :組合型錠劑之製備-(IV)14 201028150 A combined tablet was prepared by repeating the procedure of Example 1, but using twice the amount of amlodipine and butylated hydroxyindole. The combination tablet contains 10 mg of ammodipine and 50 mg of losartan, wherein the losartan content is equivalent to the weight of the tablet but about 12.3% except for the coated portion. 5 Example 4: Preparation of combined tablets - (IV)

-洛沙坦顆粒部分-洛沙坦鉀 微晶纖維素 交聯普維隆 10 -氨氯地平顆粒部分- 氨氯地平樟腦磺酸鹽 丁基化羥基甲苯 微晶纖維素 甘露糖醇 15 乙醇酸澱粉鈉 聚乙烯吼13各咬酮 純水 100.0毫克 350.0毫克 24.0毫克 15.68毫克(氨氯地平10毫克) 0.2毫克 90.0毫克 40.0毫克 17.0毫克 5.0毫克 (65.0毫克) -潤滑劑- 硬脂酸鎂 20 -包衣部分- 5.0毫克 海波米洛 羥基丙基纖維素 二氧化鈦 滑石 8.0毫克 2.0毫克 2.0毫克 0.1毫克 15 201028150 乙醇 (200.0毫克) 純水 (50.0毫克) 經由重複實例3之程序製備組合型錠劑,但使用各兩倍 量之洛沙坦顆粒部分之各成分及5毫克硬脂酸鎂。組合型錠 5 劑含有10毫克氨氣地平及100毫克洛沙坦,其中洛沙坦含量 係相當於錠劑重量但包衣部分除外之約15.5%。 實例5:組合型錠劑之製備-(V) 50.0毫克 25.0毫克 12.0毫克 7.84毫克(氨氣地平5毫克) 0.1毫克 90.0毫克 40.0毫克 17.0毫克 5.0毫克 (65.0毫克)- Losartan granule fraction - Losartan potassium microcrystalline cellulose cross-linked Pirillon 10 - Amlodipine granule fraction - Amlodipine camphor sulfonate Butylated hydroxytoluene Microcrystalline cellulose Mannitol 15 Glycolic acid Starch sodium Polyethylene 吼 13 each bite ketone pure water 100.0 mg 350.0 mg 24.0 mg 15.68 mg (amlodipine 10 mg) 0.2 mg 90.0 mg 40.0 mg 17.0 mg 5.0 mg (65.0 mg) - Lubricant - Magnesium stearate 20 - Coated portion - 5.0 mg of Hypomitol Hydroxypropyl Cellulose Titanium Oxide Talc 8.0 mg 2.0 mg 2.0 mg 0.1 mg 15 201028150 Ethanol (200.0 mg) Pure water (50.0 mg) A combined lozenge was prepared by repeating the procedure of Example 3, However, each of the two portions of the losartan granule portion and 5 mg of magnesium stearate were used. The combined ingot 5 contains 10 mg of ammodipine and 100 mg of losartan, wherein the losartan content is equivalent to the weight of the tablet but about 15.5% except for the coated portion. Example 5: Preparation of a combined tablet-(V) 50.0 mg 25.0 mg 12.0 mg 7.84 mg (ammoniapine 5 mg) 0.1 mg 90.0 mg 40.0 mg 17.0 mg 5.0 mg (65.0 mg)

-洛沙坦顆粒部分-洛沙坦鉀 10 微晶纖維素 交聯普維隆 -氨氣地平顆粒部分- 氨氯地平樟腦磺酸鹽 丁基化羥基甲苯 15 微晶纖維素 甘露糖醇 乙醇酸澱粉鈉 聚乙烯吼洛β定酮 純水 20 -潤滑劑- 硬脂酸鎂 3.0毫克 -包衣部分- 海波米洛 8.0毫克 羥基丙基纖維素 2.0毫克 16 201028150 5 二氧化鈦 2.0毫克 滑石 0.1毫克 乙醇 (200.0毫克) 純水 (50.0毫克) 經由重複實例1之程序,但使用如前述規定量之各成 分,製備包含洛沙坦含量占錠劑但包衣部分除外之重量之 約20%的組合型錠劑。 實例6 :組合型錠劑之製備-(VI) 參 10 15 20 -洛沙坦顆粒部分- 洛沙坦卸 50.0毫克 微晶纖維素 350.0毫克 交聯普維隆 24.0毫克 -氨氯地平顆粒部分- 氨氣地平樟腦磺酸鹽 7.84毫克(氨氣地平5毫克) 丁基化羥基甲苯 0.1毫克 微晶纖維素 90.0毫克 甘露糖醇 40.0毫克 乙醇酸澱粉鈉 17.0毫克 聚乙烯°比嘻°定酮 5.0毫克 純水 (65.0毫克) -潤滑劑- 硬脂酸鎂 5.0毫克 -包衣部分- 海波米洛 8.0毫克 17 201028150 羥基丙基纖維素 2.0毫克 二氧化鈦 2.0毫克 滑石 0.1毫克 乙醇 (200.0毫克) 5 純水 (50.0毫克) 經由重複實例1之程序,但使用如前述規定量之各成 分,製備包含洛沙坦含量占錠劑但包衣部分除外之重量之 約8.5%的組合型錠劑。 實例7 :組合型錠劑之製備-(VII) 10 -洛沙坦顆粒部分- 洛沙坦卸 50.0毫克 交聯普維隆 12.0毫克 -氨氣地平顆粒部分_ 氨氯地平樟腦磺酸鹽 7.84毫克(氨氣地平5毫克) 15 丁基化羥基甲苯 0.1毫克 微晶纖維素 90.0毫克 甘露糖醇 40.0毫克 乙醇酸澱粉鈉 17.0毫克 聚乙烯吼洛咬酮 5.0毫克 20 純水 (65.0毫克) -潤滑劑- 硬脂酸鎂 3.0毫克 -包衣部分- 海波米洛 8.0毫克 18 201028150 羥基丙基纖維素 2.0毫克 二氧化鈦 2.0毫克 滑石 0.1毫克 乙醇 (200.0毫克) 純水 (50.0毫克) 經由重複實例1之程序,但使用如前述規定量之各成 分,製備包含洛沙坦含量占錠劑但包衣部分除外之重量之 約22.2%的組合型錠劑。- Losartan Granules - Losartan Potassium 10 Microcrystalline Cellulose Crosslinked Pvillon - Ammonia Diffused Granules - Amlodipine Camphor Sulfate Butylated Hydroxytoluene 15 Microcrystalline Cellulose Mannitol Glycolic Acid Sodium starch, polyvinylpyrrolidine, ketal, pure water 20 -lubricant - magnesium stearate 3.0 mg - coated portion - hapomilo 8.0 mg hydroxypropyl cellulose 2.0 mg 16 201028150 5 titanium dioxide 2.0 mg talc 0.1 mg ethanol (200.0 mg) Pure water (50.0 mg) By repeating the procedure of Example 1, but using the ingredients specified in the amounts specified above, a combination comprising a losartan content of about 20% of the weight of the tablet except for the coated portion was prepared. Lozenges. Example 6: Preparation of a combined tablet - (VI) Ref 10 15 20 - Losartan granule fraction - Losartan unloading 50.0 mg of microcrystalline cellulose 350.0 mg of crosslinked Povillon 24.0 mg - Amlodipine granules - Ammoniapine camphor sulfonate 7.84 mg (ammoniapine 5 mg) Butylated hydroxytoluene 0.1 mg microcrystalline cellulose 90.0 mg mannitol 40.0 mg sodium glycolate sodium 17.0 mg polyethylene ° 嘻 ° ketene 5.0 mg Pure water (65.0 mg) - Lubricant - Magnesium stearate 5.0 mg - Coated part - Hypoamyl 8.0 mg 17 201028150 Hydroxypropyl cellulose 2.0 mg Titanium dioxide 2.0 mg Talc 0.1 mg Ethanol (200.0 mg) 5 Pure water (50.0 mg) A combined tablet containing a losartan content of about 8.5% by weight of the tablet except for the portion of the coating was prepared by repeating the procedure of Example 1, but using the ingredients specified in the amounts specified above. Example 7: Preparation of a combined tablet-(VII) 10 - Losartan granule fraction - Losartan unloading 50.0 mg Crosslinked Povillon 12.0 mg - Ammoniapine granule fraction _ Amlodipine camphor sulfonate 7.84 mg (Ammonia level 5 mg) 15 Butylated hydroxytoluene 0.1 mg Microcrystalline cellulose 90.0 mg Mannitol 40.0 mg Sodium glycolate sodium starch 17.0 mg Polyvinyl sulfonate 5.0 mg 20 Pure water (65.0 mg) - Lubricant - Magnesium stearate 3.0 mg - Coated portion - Hypermagmule 8.0 mg 18 201028150 Hydroxypropyl cellulose 2.0 mg Titanium dioxide 2.0 mg Talc 0.1 mg Ethanol (200.0 mg) Pure water (50.0 mg) Procedure by repeating Example 1 However, a combination tablet containing a losartan content of about 22.2% by weight of the tablet except for the coated portion was prepared using the ingredients in the amounts specified above.

比較例1:包含氨氣地平與洛沙坦之單純混合物之直接壓製 錠劑之製備 ❿ 混合部分- 氨氯地平樟腦磺酸鹽 洛沙坦奸 微晶纖維素 磷酸二氫鈣 乙醇酸澱粉鈉 聚乙烯基吼11各π定酮 潤滑劑- 7.84毫克(氨氯地平5毫克) 50.0毫克 150.0毫克 60.0毫克 24.0毫克 3.0毫克 硬脂酸鎂 2.0毫克 全部成分根據相對應用量共同混合,所得混合物配方 成為直接壓製錠劑。該直接壓製錠劑含有5毫克氨氯地平及 50毫克洛沙坦,其中該洛沙坦含量係相當於錠劑重量之約 16.8%。 比較例2 :組合型錠劑之製備-(VIII) 19 201028150 -洛沙坦顆粒部分-洛沙坦鉀 100.0毫克 微晶纖維素 38.0毫克 交聯普維隆 12.0毫克 5 -氨氣地平顆粒部分- 氨氯地平樟腦磺酸鹽 7.84毫克(氨氣地平5毫克) 丁基化羥基甲苯 0.1毫克 微晶纖維素 90.0毫克 甘露糖醇 40.0毫克 10 乙醇酸澱粉鈉 17.0毫克 聚乙烯吡咯啶酮 5.0毫克 純水 (65.0毫克) -潤滑劑- 硬脂酸鎂 3.0毫克 15 -包衣部分- 海波米洛 8.0毫克 經基丙基纖維素 2.0毫克 二氧化鈦 2.0毫克 滑石 0.1毫克 20 乙醇 (200.0毫克) 純水 (50.0毫克) 經由重複實例1之程序 ,但使用如前述規定量之各成Comparative Example 1: Preparation of a direct compression tablet containing a simple mixture of ammonia gas and losartan ❿ mixed portion - amlodipine camphor sulfonate losartan microcrystalline cellulose dihydrogen calcium glycolate sodium starch poly Vinyl hydrazine 11 π ketal ketone lubricant - 7.84 mg (amlodipine 5 mg) 50.0 mg 150.0 mg 60.0 mg 24.0 mg 3.0 mg magnesium stearate 2.0 mg All ingredients are mixed together according to the relative application amount, and the resulting mixture formula becomes direct Tablets are compressed. The direct compression tablet contains 5 mg of amlodipine and 50 mg of losartan, wherein the losartan content is about 16.8% by weight of the tablet. Comparative Example 2: Preparation of a combined tablet-(VIII) 19 201028150 - Losartan granule fraction - Losartan potassium 100.0 mg Microcrystalline cellulose 38.0 mg Crosslinked Pvillon 12.0 mg 5 - Ammoniapine granules - Amlodipine camphor sulfonate 7.84 mg (ammoniapine 5 mg) Butylated hydroxytoluene 0.1 mg microcrystalline cellulose 90.0 mg mannitol 40.0 mg 10 Sodium glycolate sodium 17.0 mg polyvinylpyrrolidone 5.0 mg pure water (65.0 mg) - Lubricant - Magnesium Stearate 3.0 mg 15 - Coated portion - Hypermagmule 8.0 mg propylcellulose 2.0 mg Titanium dioxide 2.0 mg Talc 0.1 mg 20 Ethanol (200.0 mg) Pure water (50.0 Mg) by repeating the procedure of Example 1, but using the quantities specified above

分,製備包含洛沙坦含量占錠劑但包衣部分除外之重量之 約32.0%的組合型錠劑。 20 201028150 後文根據實例1至7及比較例1及2 表1。 之調配物性質顯示於 調配物重 量(毫克) 實例1 400 實例2 400 實例3 408A combination tablet containing a losartan content of about 32.0% by weight of the tablet except for the coated portion was prepared. 20 201028150 The following is based on Examples 1 to 7 and Comparative Examples 1 and 2 Table 1. The nature of the formulation is shown in the weight of the formulation (mg). Example 1 400 Example 2 400 Example 3 408

5 實例4 實例5 實例6 實例7 比較例1 比較例2 647 589 225 297 313 洛沙坦重 量(毫克) 50 50 50 50 表1 百分比 12.5 12.5 12.3 15.5 20.0 8.5 22.2 16.8 調配物類型 包含分開的洛沙坦及氨氯地 平顆粒之錠劑(經句.右、 包含分開的洛沙坦及氨氣地 平顆粒之錠劑(未經包衣) 包含分開的洛沙坦及氨氣地 平顆粒之錠劑(經包衣) 包含分開的洛沙坦及氨氣地 平顆粒之錠劑(經句.右、 包含分開的洛沙坦及氨氣地 平顆粒之錠劑(經句.右、 100 32.0 包含分開的洛沙坦及氨氣地 平顆粒之錠劑(經包衣) 包含分開的洛沙坦及氨氣地 平顆粒之錠劑(經包友) 包含洛沙坦及氨氣地平混合 物之錠劑(未經包; 包含分開的洛沙坦及氨氣地 平顆粒之錠劑(經白.右、5 Example 4 Example 5 Example 6 Example 7 Comparative Example 1 Comparative Example 2 647 589 225 297 313 Losartan Weight (mg) 50 50 50 50 Table 1 Percentage 12.5 12.5 12.3 15.5 20.0 8.5 22.2 16.8 Formulation type contains separate Loxa Tablets of amlodipine granules (sentences, right, lozenges containing separate losartan and ammonia granules (uncoated) containing lozenges of separate losartan and ammonia granules ( Coated) A lozenge containing separate losartan and ammodipine granules (sentence. Right, lozenges containing separate losartan and ammonia granules) (phrase. Right, 100 32.0 contains separate lozenges) Tablets of Satan and Ammoniapine Granules (Coated) Lozenges containing separate losartan and ammonia granules (Baoyou) Lozenges containing a mixture of losartan and ammonia sulphate (not packaged) a lozenge containing separate losartan and ammonia granules (by white, right,

10 試驗例1 :氨氣地平之溶解試驗 實例1所得対5毫絲祕枝戰克洛沙坦之組合 型鍵劑、錄例1所得包含洛沙域絲地平齡物之直接 壓製錠劑及安莫地平(Amodipin)(商品名)呈氨氣地平掉腦 續酸鹽調配物各自於下列條件下接受藥物轉試驗。 試驗條件- 流出液:500 毫升0.01N HC1 (pH 2 〇) 溶解試驗系統:USP槳葉法,75 rpm 溫度:37°C -分析條件- 21 15 201028150 管柱:不鏽鋼管柱(内徑:46毫米,長度:15厘米)以十 八烧基石夕燒化之二氧化石夕凝膠填充用於5微米液相層析術 動相·甲醇與G.G3M璘二氫鉀之混合物㈣〇 :400,v/v) 檢測器:紫外線分光光度計(35〇奈米) 5 流速· 1.5毫升/分鐘 注入體積:20微升 -溶解率標準― 於30分鐘大於8〇% _結果- 10 如第1圖所不,經由使用根據實例1之分開的氨氣地平 及洛沙坦祕所製備之組合敎劑比較比較例冰得之直 - 接壓製型錠·有魏地平轉率更高兩倍或祕以上。 此外比較例1所製備之錠劑之溶解率並未滿足要求的標 準,而實例1之錠劑滿足該標準。 試驗例2·實例1至4之調配物之教氣地平溶解試驗 實例1至4之組合型錠劑各自於試驗例1之相同試驗與 刀析條件下接受帛物溶解試驗。 Θ -結果- 由第3圖可知,實例2至4所得組合型錠劑具有又高又安 疋之氨氯地平溶解率’類似實例丨之錠劑於〇 〇1N hci (pH )之表現。由此結果驗證組合型錠劑具有又高又安定之氨 氣地平溶解率,而與賦形劑之種類無關而唯有組合型錠劑 ^坦之重量百分比並未超過適當含量時方與氨氣地平 或洛沙坦顆粒部分之含量無關。 22 201028150 試驗例3 :用於實例1、3及7及比較例1及2之調配物之氨氣 地平溶解試驗 實例卜3及7及比較例1及2所製備之錠劑各自於試驗例 1之相同試驗及分析條件下接受藥物溶解試驗。 5 -試驗條件- 流出液:900毫升人工胃液(pH 1.2)或0.01N HC1 (pH 2.0)10 Test Example 1: Solubility Test of Ammonia Leveling Example 1 obtained a combination of 毫5 millifilaments of crustartan and a direct-pressed tablet containing the shoal Amodipin (trade name) was subjected to a drug conversion test under the following conditions in the form of ammonia-flattened cerebrorate. Test conditions - effluent: 500 ml 0.01 N HC1 (pH 2 〇) Dissolution test system: USP paddle method, 75 rpm Temperature: 37 ° C - Analysis conditions - 21 15 201028150 Column: Stainless steel column (inner diameter: 46 Millimeter, length: 15 cm) Filled with a dodecacinated silica gel with an octagonal base for the 5 micron liquid chromatography phase. Methanol and a mixture of G.G3M bismuth dihydrogen potassium (4) 〇: 400 , v/v) Detector: UV spectrophotometer (35 〇 nanometer) 5 Flow rate · 1.5 ml / min Injection volume: 20 μl - Dissolution rate - greater than 8 〇 % in 30 minutes _ Result - 10 as the first In the figure, the combined tanning agent prepared by using the separated ammonia gas and the losartan secret according to the example 1 is compared with the comparative example of the ice-connected ingot. The Weidiping rate is twice higher or secret. the above. Further, the dissolution rate of the tablet prepared in Comparative Example 1 did not satisfy the required standard, and the tablet of Example 1 satisfies the standard. Test Example 2: The temperate dissolution test of the formulations of Examples 1 to 4 The combination tablets of Examples 1 to 4 were each subjected to the mash dissolution test under the same test and knife-cut conditions of Test Example 1. Θ - Result - As can be seen from Fig. 3, the combined tablet obtained in Examples 2 to 4 has a high and safe amlodipine dissolution rate, which is similar to the performance of the tablet in 1N hci (pH). From this result, it was confirmed that the combined tablet has a high and stable ammonia gas level dissolution rate irrespective of the type of the excipient, and only the weight percentage of the combined tablet does not exceed the appropriate content. The content of the granules of the horizon or losartan is irrelevant. 22 201028150 Test Example 3: Ammonia flat dissolution test examples for the formulations of Examples 1, 3 and 7 and Comparative Examples 1 and 2 Examples of the tablets prepared in Examples 3 and 7 and Comparative Examples 1 and 2 were in Test Example 1 The drug dissolution test was carried out under the same test and analysis conditions. 5 - Test conditions - effluent: 900 ml artificial gastric juice (pH 1.2) or 0.01 N HC1 (pH 2.0)

溶解試驗系統:USP槳葉法,50rpm 溫度:37°C 10 前述溶解試驗系統(USP槳葉法,50 rpm)為最廣為用於Dissolution test system: USP paddle method, 50 rpm Temperature: 37 ° C 10 The aforementioned dissolution test system (USP paddle method, 50 rpm) is the most widely used

評估口服調配物之藥物溶解率之系統,所使用之流出液(人 工胃液(pH1.2)或0.01 N HC1 (ρΗ2·0))具有類似於胃腸道pH 之pH。 如第3圖所示,實例1、3及7所得組合型錠劑具有比較 15 比較例1及2所得錠劑之溶解率甚至更高的氨氯地平溶解 率。結果提示含有分開的洛沙坦及氨氯地平顆粒且包含洛 沙坦含量25%重量比或以下之調配物於3〇分鐘之溶解率為 於低pH (pHl.2及pH 2)時為80%或以上,該數值符合標準。 試驗例4:用於實例4至6及比較例2之氨氣地平溶解試驗 20 實例4至6及比較例2所得組合型錠劑各自於試驗例1之 相同试驗及分析條件下接受藥物溶解試驗。 -結果- 如第4圖所’實例4至6所得組合型錠劑於3〇分鐘之溶 解率為80%或以上,係與試驗例3之結果相同。 23 201028150 試驗例S :用於實例1、3及7及比較例!及2之洛沙坦溶解試驗 實例1、3及7、比較例1及2及柯札(商品名)所得錠劑各 自於下列條件下接受藥物溶解試驗。 -試驗條件- 5 流出液·· 900毫升人造胃液(pH 1_2)或〇.〇1 N HC1 (pH 2.0) 溶解試驗系統:USP槳葉法,50φπι 溫度:37°C -分析條件- 管柱:不鏽鋼管柱(内徑:4.6毫米,長度:15厘米)以十 參 10 八烷基矽烷化之二氧化矽凝膠填充用於5微米液相層析術 動相: 動相A-磷酸鹽緩衝液··乙腈(85〇:15〇,v/v) 動相B-乙腈 濃度梯度系統 時間(分鐘) — -- 動相A% 動相B% 0 80 20 10 40 60 11 80 20 15 80 20 檢測器:紫外線分光光度計(25〇奈米) 流速:1.5毫升/分鐘 注入體積:10微升 20 -結果- 前述溶解試驗系統(USP槳葉法,5〇rpm)為最廣為用於 。子估口服調配物之藥物溶解率之系统所使用之流出液(人 24 201028150 工胃液(pH 1.2)或0.01 N HCl (pH 2.0))具有類似於胃腸道 pH之 pH。 如第5圖所示’實例1、3及7所得組合型錠劑具有比較 比較例1及2所得錠劑及柯札(商品名)其為單一洛沙坦調配 5 物之溶解率甚至更高的洛沙坦溶解率。 試驗例6 :氣氯地平安定性試驗 對實例1所得組合型錠劑,其為經由使用分開的氨氯地 平及洛沙坦顆粒製備及比較例丨所得直接壓製錠劑,於下列 條件下進行安定性試驗。 10 培育條件:HDPE瓶於40。(:/75%相對濕度 培育時間:0、1、2、4及6個月 試驗主題:氨氣地平 分析條件:實例1之分析條件 結果顯示於表2。 15 表2A system for assessing the drug dissolution rate of an oral formulation, the effluent (human gastric juice (pH 1.2) or 0.01 N HC1 (ρΗ2·0)) used has a pH similar to the pH of the gastrointestinal tract. As shown in Fig. 3, the combined tablet obtained in Examples 1, 3 and 7 had an amlodipine dissolution rate which was even higher than that of the tablets obtained in Comparative Examples 1 and 2. The results suggest that the dissolution rate of the formulation containing the separated losartan and amlodipine particles and containing the losartan content of 25% by weight or less at 3 minutes is 80 at low pH (pH 1.2 and pH 2). % or more, this value meets the standard. Test Example 4: Ammonia flat dissolution test for Examples 4 to 6 and Comparative Example 2 The combined tablet tablets obtained in Examples 4 to 6 and Comparative Example 2 were each subjected to drug dissolution under the same test and analysis conditions of Test Example 1. test. - Result - The dissolution rate of the combined tablet obtained in Examples 4 to 6 as shown in Fig. 4 was 80% or more at 3 minutes, which was the same as the result of Test Example 3. 23 201028150 Test Example S: For Examples 1, 3 and 7 and Comparative Examples! And losartan dissolution test of Examples 2, 3 and 7, Comparative Examples 1 and 2, and Koza (trade name) obtained tablets each received a drug dissolution test under the following conditions. - Test conditions - 5 Effluent · · 900 ml of artificial gastric juice (pH 1_2) or 〇.〇1 N HC1 (pH 2.0) Dissolution test system: USP paddle method, 50φπι Temperature: 37 ° C - Analysis conditions - Column: Stainless steel column (inner diameter: 4.6 mm, length: 15 cm) filled with 10 octadecyl decanoylated cerium oxide gel for 5 micron liquid chromatography phase: mobile phase A-phosphate buffer Liquid··Acetonitrile (85〇:15〇, v/v) Phase B-acetonitrile concentration gradient system time (minutes) — -- Phase A% Phase B% 0 80 20 10 40 60 11 80 20 15 80 20 Detector: UV spectrophotometer (25 〇 nanometer) Flow rate: 1.5 ml / min Injection volume: 10 μl 20 - Result - The aforementioned dissolution test system (USP paddle method, 5 rpm) is the most widely used. The effluent used in the system for estimating the drug dissolution rate of the oral formulation (human 24 201028150 gastric juice (pH 1.2) or 0.01 N HCl (pH 2.0)) has a pH similar to the pH of the gastrointestinal tract. As shown in Fig. 5, the combination tablets obtained in Examples 1, 3 and 7 had the dissolution ratios obtained in Comparative Examples 1 and 2 and the Koza (trade name) which was a single losartan compound 5 and the dissolution rate was even higher. The dissolution rate of losartan. Test Example 6: Safety test for chlorinated chlorine The combined tablet obtained in Example 1 was prepared by using separate amlodipine and losartan granules and comparatively obtained as a direct compression tablet, and was stabilized under the following conditions. Sex test. 10 Cultivation conditions: HDPE bottle is at 40. (:/75% relative humidity Incubation time: 0, 1, 2, 4 and 6 months Test subject: Ammonia leveling Analysis conditions: Analysis conditions of Example 1 The results are shown in Table 2. 15 Table 2

調配物 0 1個月 實例1 100.0% 99.9% 比較例1 100.2% 97.8% 2個月 4個月 6個月 99.6% -—~~__ 99.8% 99.5% 94.9% ^903% ------ 85.7% 如表2所示,實例1所得組合型錠劑具有比比較糾所得 直接壓製錠劑更高的氨氯地平安定性。 雖然已經就前述特定實施例說明本發明,但須了解熟 諳技藝人士讀本發明做出多郷改及變化,該等修改及 變化也落人_之帽專利範_界定之本發明之範圍。 【圖式簡單說明】 25 20 201028150 第1圖:對實例1及比較例1所製備之錠及氨氣地平(商 品名)錠觀察得氨氣地平於0.01N HC1 (ΡΗ 2·0)之溶解率(古式 驗例1); 第2圖··對實例1至4所製備之錠觀察得氨氣地平於 5 0.01N HCl (pH 2.0)之溶解率(試驗例2); 第3圖:對實例1、3及7及比較例〗及2所製備之錠觀察 得氨氣地平於人工胃液(pH 1.2)及於0.01N HC1 (pH 2.0)之 溶解率(試驗例3); 第4圖:對實例4至6及比較例2所製備之錠及氨氣地平 ❹ 10 (商品名)錠觀察得氨氣地平於0.01N HC1 (pH 2.0)之溶解率 (試驗例4);及 第5圖··對實例1、3及7及比較例丨及2所製備之錠及柯 i 札(商品名)錠觀察得洛沙坦於人工胃液(pH 1.2)及於0.01N HC1 (ΡΗ 2·0)之溶解率(試驗例5)。 15 【主要元件符號說明】 (無) ❹ 26Formulation 0 1 month Example 1 100.0% 99.9% Comparative Example 1 100.2% 97.8% 2 months 4 months 6 months 99.6% -~~~__ 99.8% 99.5% 94.9% ^903% ------ 85.7% As shown in Table 2, the combined tablet obtained in Example 1 had a higher safety rating of ammonia chloride than the directly compressed tablet obtained by comparison. Although the present invention has been described in terms of the specific embodiments described above, it is to be understood by those skilled in the art that the invention is susceptible to various modifications and changes, and such modifications and variations are also within the scope of the invention as defined by the invention. [Simple description of the drawings] 25 20 201028150 Fig. 1 : The dissolution of the ammonia gas level in 0.01 N HC1 (ΡΗ 2·0) was observed for the ingot prepared in Example 1 and Comparative Example 1 and the ammonia gas (trade name) ingot. Rate (Ancient test case 1); Fig. 2 · The dissolution rate of ammonia gas at 5 0.01 N HCl (pH 2.0) observed for the ingots prepared in Examples 1 to 4 (Test Example 2); Fig. 3: Pair The ingots prepared in Examples 1, 3 and 7 and Comparative Examples and 2 were observed to have an ammonia gas level in artificial gastric juice (pH 1.2) and a dissolution rate in 0.01 N HC1 (pH 2.0) (Test Example 3); Figure 4: The dissolution rates of the ammonia gas level at 0.01 N HCl (pH 2.0) were observed for the ingots prepared in Examples 4 to 6 and Comparative Example 2 and the ammonia gas ❹ 10 (trade name) ingots (Test Example 4); and Figure 5 ················································ The dissolution rate (Test Example 5). 15 [Description of main component symbols] (none) ❹ 26

Claims (1)

201028150 七、申請專利範圍: I —種用於預防或治療心血管病症之固體藥學組成物,包 含氨氣地平(amlodipine)或其藥學上可接受之鹽及洛沙 坦(losartan)或其藥學上可接受之鹽。 5 ❿ 10 15 20 2. 如申請專利範圍第1項之組成物,其中氨氣地平或其藥 學上可接受之鹽及洛沙坦或其藥學上可接受之鹽係彼 此分開。 3. 如申請專利範圍第2項之組成物,其中氨氯地平或其藥 學上可接受之鹽及洛沙坦或其藥學上可接受之鹽二者 皆為彼此分開之顆粒形式。 4·如申請專利範圍第2或3項之組成物,以該組成物總重為 基準,其包含洛沙坦或其藥學上可接受之鹽之含量係於 以重量計3%至25%之範圍。 5. 如申請專利範圍第4項之組成物,以該組成物總重為基 準,其包含洛沙坦或其藥學上可接受之鹽之含量係於以 重量計5%至22.3%之範圍。 6. 如申請專利範圍第4項之組成物,其中於1〇至2〇之pH 範圍中30分鐘,氨氣地平之溶解率為8〇%或以上。 7. 如辛請專利範圍第3項之組成物,其包含顆粒形式洛沙 坦其中可通過75微米篩孔之細小顆粒的百分比係低於 50% 〇 8·如申請專利範圍第7項之組成物,其包含顆粒形式洛沙 坦,其中可通過75微米篩孔之細小顆粒的百分比係低於 25%。 27 201028150 9. 如申請專利範圍第8項之組成物,其包含顆粒形式洛沙 坦,其中可通過75微米篩孔之細小顆粒的百分比係低於 10%。 10. 如申請專利範圍第1項之組成物,其中該氨氣地平之藥 5 學上可接受之鹽為氨氣地平樟腦績酸鹽(amlodipine camsylate) 〇 11. 如申請專利範圍第1項之組成物,其中該心血管病症係 選自於由心絞痛、高血壓、動脈血管痙攣、深部靜脈血 栓、心臟肥大、腦梗塞、充血性心衰竭及心肌梗塞所組 10 成之組群。 12. —種製備如申請專利範圍第3項之包含彼此分開之顆粒 形式氨氯地平及洛沙坦之組成物之方法,包含下列步 驟: a) 將洛沙坦或其藥學上可接受之鹽與藥學上可接 15 受之賦形劑之混合物造粒與乾燥而獲得洛沙坦顆粒; b) 將氨氣地平或其藥學上可接受之鹽與藥學上可 接受之賦形劑之混合物造粒與乾燥而獲得氨氣地平顆 粒;及 c) 混合步驟a)所得之洛沙坦顆粒與步驟b)所得之氨 20 氣地平顆粒。201028150 VII. Patent application scope: I. A solid pharmaceutical composition for preventing or treating cardiovascular diseases, comprising amlodipine or a pharmaceutically acceptable salt thereof and losartan or its pharmacy Acceptable salt. 5 ❿ 10 15 20 2. The composition of claim 1 wherein ammoxipine or a pharmaceutically acceptable salt thereof and losartan or a pharmaceutically acceptable salt thereof are separated from each other. 3. The composition of claim 2, wherein amlodipine or a pharmaceutically acceptable salt thereof and losartan or a pharmaceutically acceptable salt thereof are in separate particle form. 4. The composition of claim 2 or 3, based on the total weight of the composition, comprising losartan or a pharmaceutically acceptable salt thereof in an amount of 3% to 25% by weight range. 5. The composition of claim 4, based on the total weight of the composition, comprising losartan or a pharmaceutically acceptable salt thereof in an amount ranging from 5% to 22.3% by weight. 6. The composition of claim 4, wherein the ammonia gas dissolution rate is 8% or more in 30 minutes in the pH range of 1 to 2 Torr. 7. The composition of the third paragraph of the patent scope, which comprises the granular form of losartan, wherein the percentage of fine particles which can pass through the 75 micron mesh is less than 50%. ·8. A lozentan in the form of particles, wherein the percentage of fine particles that can pass through a 75 micron mesh is less than 25%. 27 201028150 9. The composition of claim 8 wherein the composition comprises losartan in the form of particles wherein the percentage of fine particles which pass through the 75 micron mesh is less than 10%. 10. For the composition of claim 1 of the patent scope, wherein the salt of the aflatoxin 5 is a salt of amlodipine camsylate 〇 11. as claimed in claim 1 The composition, wherein the cardiovascular condition is selected from the group consisting of angina pectoris, hypertension, arteriolar vasospasm, deep vein thrombosis, cardiac hypertrophy, cerebral infarction, congestive heart failure, and myocardial infarction. 12. A method of preparing a composition comprising amlodipine and losartan in particulate form separated from each other as in claim 3, comprising the steps of: a) losartan or a pharmaceutically acceptable salt thereof Mixing and drying with a pharmaceutically acceptable excipient to obtain losartan granules; b) mixing ammoxipine or a pharmaceutically acceptable salt thereof with a pharmaceutically acceptable excipient The particles are dried to obtain ammonia leveling particles; and c) the losartan particles obtained in step a) and the ammonia 20 gas level particles obtained in step b) are mixed.
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