TW201309286A - Pharmaceutical composition comprising ketoprofen - Google Patents

Pharmaceutical composition comprising ketoprofen Download PDF

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TW201309286A
TW201309286A TW101118096A TW101118096A TW201309286A TW 201309286 A TW201309286 A TW 201309286A TW 101118096 A TW101118096 A TW 101118096A TW 101118096 A TW101118096 A TW 101118096A TW 201309286 A TW201309286 A TW 201309286A
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ketoprofen
pharmaceutical composition
present
composition
sodium salt
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TW101118096A
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Chinese (zh)
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Sudhakara Rao Badabhagni
Nilesh Jaiswal
Praveen Khullar
Kum Prasad
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Aventis Pharma Sa
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Abstract

The present invention relates to a pharmaceutical formulation of ketoprofen sodium salts in a hydrophilic solvent system suitable as a liquid fill composition. In another aspect, the invention also relates to a process for the preparation of the said pharmaceutical formulation and the use of the said formulation for preparing a medicament to treat inflammatory pains.

Description

包含酮洛芬(KETOPROFEN)的醫藥組合物 Pharmaceutical composition comprising ketoprofen (KETOPROFEN)

本發明係關於一種用於經口投與之酮洛芬(ketoprofen)鈉鹽之穩定醫藥液體組合物。 The present invention relates to a stable pharmaceutical liquid composition for oral administration of ketoprofen sodium salt.

特定而言,本發明係關於一種視情況囊封於膠囊中之包含酮洛芬鈉鹽及醫藥學上可接受之賦形劑的改良組合物。 In particular, the present invention relates to an improved composition comprising a ketoprofen sodium salt and a pharmaceutically acceptable excipient, optionally encapsulated in a capsule.

此外,本發明亦關於一種製備該醫藥組合物之方法及該組合物用於製備藥物以治療發炎性疼痛的用途。 Furthermore, the invention relates to a method of preparing the pharmaceutical composition and the use of the composition for the preparation of a medicament for the treatment of inflammatory pain.

酮洛芬[2-(3-苯甲醯基苯基)丙酸]為非類固醇消炎藥(NSAID),歸因於其止痛、抗發熱及消炎性,自1972年以來其長期被認可適用於治療發熱、疼痛及炎症。其分子式為C16H14O3,分子量為254.29。酮洛芬之作用機制主要與抑制人體合成前列腺素之能力有關。酮洛芬通常以R及S對映異構體之外消旋混合物(二者以每一重量計等量)形式調配及投藥。 Ketoprofen [2-(3-benzhydrylphenyl)propionic acid] is a non-steroidal anti-inflammatory drug (NSAID) that has long been recognized for its long-term approval since 1972 due to its analgesic, anti-fever and anti-inflammatory properties. Treats fever, pain and inflammation. Its molecular formula is C 16 H 14 O 3 and its molecular weight is 254.29. The mechanism of action of ketoprofen is mainly related to the ability to inhibit the synthesis of prostaglandins in humans. Ketoprofen is typically formulated and administered as a racemic mixture of the R and S enantiomers, both in equal amounts per weight.

酮洛芬具有某些優於阿司匹靈(aspirin)、乙醯膠苯酚(acetaminophen)及布洛芬(ibuprofen)之優勢:止痛更加有效且發揮重要作用已獲得較廣泛接受。酮洛芬一般以普通錠劑或以耐胃液塗層覆蓋之錠劑的形式經口服用,或經直腸或藉由注射或局部攝取。酮洛芬可以錠劑形式以商標名Orudis KT®在市面上購得。該藥物之習知劑型經口投藥迅速且幾乎完全自胃腸道吸收,1小時至3小時內出現峰值血漿濃度。 Ketoprofen has certain advantages over aspirin, acetaminophen and ibuprofen: it is more widely accepted that pain relief is more effective and plays an important role. Ketoprofen is generally administered orally in the form of a conventional lozenge or a tablet coated with a gastric-resistant coating, or rectally or by injection or topical ingestion. Ketoprofen is commercially available as a lozenge under the trade name Orudis KT®. The conventional dosage form of the drug is rapidly and almost completely absorbed from the gastrointestinal tract by oral administration, and a peak plasma concentration occurs within 1 hour to 3 hours.

對於如酮洛芬及其醫藥學上可接受之鹽的屬於NSAID之類別的藥物而言,重要的是藥物在到達胃部後保持在溶解階段或在膠粒尺寸範圍內。此舉有助於藥物較快吸收且提供較早起始作用時間,在習知錠劑劑型中並非如此,因為一旦錠劑進入胃部即崩解為顆粒且顆粒進一步崩解,且藥物暴露於胃部之酸性條件下。由於隨後一系列活動,產生滯後時間,其延遲藥物之較早吸收。吸收延遲或吸收滯後時間較長並不為希望止痛作用較快開始來使患者受益的疾病所接受。 For drugs belonging to the class of NSAIDs such as ketoprofen and its pharmaceutically acceptable salts, it is important that the drug remain in the dissolution phase or in the size of the micelles after reaching the stomach. This helps the drug to absorb faster and provides an earlier onset time, which is not the case in the conventional lozenge dosage form, because once the tablet enters the stomach, it disintegrates into particles and the particles further disintegrate, and the drug is exposed to the stomach. Under acidic conditions. Due to the subsequent series of activities, a lag time is generated which delays the earlier absorption of the drug. Longer absorption delays or longer absorption delays are not acceptable for diseases where it is desirable to have an analgesic effect that begins to benefit the patient.

FR2660555描述用於經口投與之軟明膠膠囊,其包含酮洛芬鈉鹽分散於脂肪基載劑中。使用該等脂肪基載劑之缺點在於組合物並非透明真溶液,且因此為提早酮洛芬起始作用時間,需要藥物在消化器(digestive apparatus)中之溶解階段。 FR 2 660 555 describes soft gelatin capsules for oral administration comprising a ketoprofen sodium salt dispersed in a fat-based carrier. A disadvantage of the use of such fat-based carriers is that the composition is not a clear true solution, and thus is an early onset time for ketoprofen, requiring a dissolution phase of the drug in a digestive apparatus.

US5624682揭示一種於軟膠囊中之酮洛芬溶液,其包含溶解於聚乙二醇中之酮洛芬酸,含有一定量之中和有機胺以使得溶液之pH值介於5與7之間。然而,該醫藥組合物隨時間推移並不穩定,且引起自酮洛芬形成高含量雜質。 No. 5,624,682 discloses a ketoprofen solution in a soft capsule comprising ketoprofen acid dissolved in polyethylene glycol, containing a quantity of neutralizing organic amine such that the pH of the solution is between 5 and 7. However, the pharmaceutical composition is not stable over time and causes high levels of impurities to form from ketoprofen.

因此,本發明之目標為開發一種酮洛芬鈉鹽之醫藥組合物,其提供與現有先前技術相比具有較早或類似之起始作用時間的穩定組合物。 Accordingly, it is an object of the present invention to develop a pharmaceutical composition of a ketoprofen sodium salt which provides a stable composition having an earlier or similar initial action time compared to prior art prior art.

本申請者已發現可藉由提供包含酮洛芬鈉鹽及醫藥學上可接受之液體親水性載劑介質之改良組合物來達成該目標。 Applicants have discovered that this goal can be achieved by providing an improved composition comprising a ketoprofen sodium salt and a pharmaceutically acceptable liquid hydrophilic carrier medium.

當設計該液體載劑介質時,必須合理設計、精確製備含活性劑之載劑介質,且在未不可逆擾亂系統及破壞其有益性質的情況下,甚至不允許組合物稍有改變。舉例而言,倘若載劑介質稍有改變,則組合物之溶解性改變且活性物質沈澱析出。本申請者已發現該等液體調配物囊封於軟明膠膠囊中潛在地提供在不改變載劑介質的情況下投與該等藥理學活性物質之便利方法。 When designing the liquid carrier medium, the carrier medium containing the active agent must be reasonably designed and accurately prepared, and the composition may not even be slightly altered without irreversibly disturbing the system and destroying its beneficial properties. For example, if the carrier medium is slightly altered, the solubility of the composition changes and the active material precipitates. Applicants have discovered that encapsulation of such liquid formulations in soft gelatin capsules potentially provides a convenient means of administering such pharmacologically active substances without altering the carrier medium.

此外,經口投與酮洛芬可引起嚴重副作用,最明顯為胃腸紊亂,諸如消化不良、胃十二指腸出血、胃潰瘍及胃炎,尤其在長期使用後。此係因為錠劑劑型中之藥物在胃中保持細粉狀,其激活三磷酸腺苷酶質子泵,從而引起胃紊亂。因此,使用藥物保持溶解於溶液狀態中之特定載劑系統設計調配物有助於與胃酸度(gastric acidity)抗衡。在商品市場中可獲得之酮洛芬糖漿形式就患者順應性而言並非較佳,因為酮洛芬有苦味。 In addition, oral administration of ketoprofen can cause serious side effects, most notably gastrointestinal disorders such as dyspepsia, gastroduodenal bleeding, gastric ulcers and gastritis, especially after prolonged use. This is because the drug in the tablet dosage form remains fine in the stomach, which activates the adenosine triphosphatase proton pump, causing a stomach disorder. Thus, the use of a drug to maintain a particular carrier system design formulation that is dissolved in a solution state helps to counterbalance the gastric acidity. The form of ketoprofen syrup available in the commercial market is not preferred in terms of patient compliance because ketoprofen has a bitter taste.

本發明之發明者已認識到該需要,且已力圖藉由開發合理設計之調配物以便快速釋放酮洛芬鈉鹽來規避該等問題。呈膠囊形式之酮洛芬除了以上提及之優勢外亦展示更多患者順應性,因為在吞咽後藥物之殘餘遺留物之味道被遮蔽。因此,酮洛芬之明膠膠囊形式與其從前之傳遞方法相比更加廣泛地為商業所接受。 The inventors of the present invention have recognized this need and have sought to circumvent these problems by developing rationally designed formulations to rapidly release the ketoprofen sodium salt. Ketoprofen in the form of a capsule also exhibits more patient compliance in addition to the advantages mentioned above, as the taste of the residual residue of the drug after swallowing is masked. Thus, the form of ketoprofen gelatin capsules is more widely accepted commercially than its previous delivery methods.

因此,本發明係關於一種可經口投與之穩定醫藥組合物,其包含醫藥學上有效量之酮洛芬鈉鹽、一或多種親水 性載劑、視情況選用之一或多種緩衝劑及/或酸化劑或鹼化劑以製造具有快速治療作用之可口且穩定的調配物。 Accordingly, the present invention relates to a stable pharmaceutical composition for oral administration comprising a pharmaceutically effective amount of ketoprofen sodium salt, one or more hydrophilic The carrier, optionally with one or more buffers and/or acidifying or basifying agents, is employed to produce a palatable and stable formulation with rapid therapeutic effects.

本發明之另一目標為提供一種包含本發明之調配物的醫藥調配物,例如軟膠囊、硬膠囊、兩件式膠囊(two-piece capsule)或錠劑。 Another object of the present invention is to provide a pharmaceutical formulation comprising a formulation of the invention, such as a soft capsule, a hard capsule, a two-piece capsule or a lozenge.

本發明之另一態樣為提供一種製備本發明之口服醫藥組合物的方法,其包含溶解藥物於適當量之液體親水性載劑中且使pH值達到可接受範圍,藉此增強調配物之儲存穩定性及存放期限。 Another aspect of the present invention provides a method of preparing an oral pharmaceutical composition of the present invention, which comprises dissolving a drug in a suitable amount of a liquid hydrophilic carrier and bringing the pH to an acceptable range, thereby enhancing the formulation. Storage stability and shelf life.

本發明亦關於本發明之組合物用於製備供治療發炎性疼痛之藥物的用途。 The invention also relates to the use of a composition of the invention for the manufacture of a medicament for the treatment of inflammatory pain.

除非本文中另外定義,否則與本發明關聯使用之科學及技術術語應具有一般技術者通常瞭解之含義。術語之含義及範疇應為明確的;然而倘若任何潛在歧義,則本文中提供之定義優先於任何詞典或外來定義。除非上下文另有需要,否則單數術語包括複數且複數術語包括單數。 Unless otherwise defined herein, scientific and technical terms used in connection with the present invention shall have the meaning commonly understood by one of ordinary skill. The meaning and scope of the terms should be clear; however, in the event of any potential ambiguity, the definitions provided herein take precedence over any dictionary or foreign definition. Unless the context requires otherwise, singular terms include plural and plural terms include the singular.

根據本發明,穩定調配物意謂特定而言展示針對酮洛芬鈉鹽之再結晶或分解之高抗性的調配物。因此,在40℃及75%濕度下儲存1個月或2個月後,本發明之醫藥組合物不展示任何結晶性跡象且保持為酮洛芬基質之澄清溶液。此外,其意謂在40℃及75%濕度下儲存1個月或2個月後,本發明之醫藥組合物含有至少99%(w/w)之初始酮洛芬鈉鹽,且不展示任何高程度分解之跡象,亦即以酮洛芬鈉鹽計總 雜質含量小於1重量%(藉由HPLC分析證明)。 According to the invention, a stable formulation means a formulation which in particular exhibits a high resistance to recrystallization or decomposition of the sodium ketoprofen salt. Thus, after storage for one month or two months at 40 ° C and 75% humidity, the pharmaceutical compositions of the present invention do not exhibit any signs of crystallinity and remain as a clear solution of the ketoprofen substrate. Further, it means that the pharmaceutical composition of the present invention contains at least 99% (w/w) of the initial ketoprofen sodium salt after storage for one month or two months at 40 ° C and 75% humidity, and does not exhibit any Signs of high degree of decomposition, ie total ketoprofen sodium The impurity content was less than 1% by weight (as evidenced by HPLC analysis).

本發明係關於可經口投與之穩定醫藥組合物,其包含醫藥學上有效量之酮洛芬鈉鹽,藉由綜合確定最佳條件以便增強該劑型中藥物之儲存穩定性及存放期限,諸如藥物與伴隨組分之間的相關性、選擇各別組分之最佳混合比及選擇特定載劑介質、水含量及pH值調整劑。 The present invention relates to a stable pharmaceutical composition for oral administration comprising a pharmaceutically effective amount of ketoprofen sodium salt, which is used to enhance the storage stability and shelf life of the drug in the dosage form by comprehensively determining the optimal conditions. Such as the correlation between the drug and the accompanying components, the selection of the optimum mixing ratio of the individual components, and the selection of the particular carrier medium, water content, and pH adjuster.

因此,本發明之第一態樣係關於包含酮洛芬鈉鹽之醫藥液體組合物。 Accordingly, a first aspect of the invention is directed to a pharmaceutical liquid composition comprising a ketoprofen sodium salt.

在本發明之組合物中,酮洛芬鈉鹽以組合物之1重量%至15重量%範圍內之量存在。更佳地,酮洛芬鈉鹽以組合物之6重量%至15重量%範圍內之量存在。 In the compositions of the present invention, the ketoprofen sodium salt is present in an amount ranging from 1% to 15% by weight of the composition. More preferably, the ketoprofen sodium salt is present in an amount ranging from 6 wt% to 15 wt% of the composition.

本發明中使用之載劑為液體親水性載劑。術語「親水性載劑」係指一或多種彼等醫藥賦形劑,當其與酮洛芬在pH 7.5至10下混合時增加酮洛芬於載劑中之水溶性且親水性親脂性平衡(hydrophilic lipophilic balance,HLB)值為10至18,較佳為11至16。根據本發明,親水性載劑包括(但不限於)聚乙二醇(諸如PEG200、PEG300、PEG400、PEG600、PEG1000、PEG2000、PEG3000、PEG4000、PEG6000或PEG8000)、甘油、丙二醇、PEG 40氫化蓖麻油、聚山梨醇酯、椰油酸甘油酯(glyceryl cocoate)、PEG 6辛酸/辛酸甘油酯、泊洛沙姆(poloxamer)、拉布拉菲(labrafil)、辛醯己醯聚乙二醇-8甘油酯(LabrasolTM)、聚乙氧基化蓖麻油(CremaphorTM EL)、甘油-聚乙二醇酯氧基硬脂酸或PEG-40氫化蓖麻油(CremophorTM RH)、乙氧基化脂 肪醇(Brij)及脫水山梨糖醇酯(Spans)。任何以上提及之親水性載劑均可單獨或與一或多種親水性載劑組合使用。在本發明之一較佳實施例中,液體親水性載劑介質為聚乙二醇600。在本發明之另一較佳實施例中,液體親水性載劑介質為聚乙二醇600與辛醯己醯基聚乙二醇-8甘油酯之組合。 The carrier used in the present invention is a liquid hydrophilic carrier. The term "hydrophilic carrier" means one or more of these pharmaceutical excipients which, when mixed with ketoprofen at pH 7.5 to 10, increases the water-soluble and hydrophilic lipophilic balance of ketoprofen in the carrier. The hydrophilic lipophilic balance (HLB) has a value of 10 to 18, preferably 11 to 16. According to the present invention, hydrophilic carriers include, but are not limited to, polyethylene glycol (such as PEG200, PEG300, PEG400, PEG600, PEG1000, PEG2000, PEG3000, PEG4000, PEG6000 or PEG8000), glycerin, propylene glycol, PEG 40 hydrogenated castor oil , polysorbate, glyceryl cocoate, PEG 6 caprylic/caprylin, poloxamer, labrafil, bismuth hexaethylene glycol-8 glycerides (Labrasol TM), polyethoxylated castor oil (Cremaphor TM EL), glycerol - group stearate or polyethylene glycol PEG-40 hydrogenated castor oil (Cremophor TM RH), ethoxylated fatty Alcohol (Brij) and sorbitan ester (Spans). Any of the above mentioned hydrophilic carriers can be used alone or in combination with one or more hydrophilic carriers. In a preferred embodiment of the invention, the liquid hydrophilic carrier medium is polyethylene glycol 600. In another preferred embodiment of the invention, the liquid hydrophilic carrier medium is a combination of polyethylene glycol 600 and octadecyl decyl polyethylene glycol-8 glyceride.

在本發明之組合物中,液體親水性載劑以組合物之80重量%至95重量%範圍內之量且更佳以85重量%至95重量%範圍內之量存在。 In the compositions of the present invention, the liquid hydrophilic carrier is present in an amount ranging from 80% to 95% by weight of the composition and more preferably in the range of from 85% to 95% by weight.

在另一態樣中,本發明係關於包含作為活性劑之酮洛芬及載劑之可經口投與調配物,其中酮洛芬鈉鹽與液體親水性載劑之重量比較佳為1:6至1:15。在本發明之最佳實施例中,該重量比為1:12至1:15。 In another aspect, the invention relates to an orally administrable formulation comprising ketoprofen as an active agent and a carrier, wherein the weight of the ketoprofen sodium salt and the liquid hydrophilic carrier is preferably 1: 6 to 1:15. In a preferred embodiment of the invention, the weight ratio is from 1:12 to 1:15.

為保證醫藥調配物之適當儲存穩定性及存放期限及改良其穩定性及存放期限,本發明內之另一準則為酮洛芬鈉鹽於合適醫藥媒劑中之pH值。組合物之pH值在7.5至10且更佳9.2至10.0範圍內。在最佳實施例中,組合物之pH值為9.5。 In order to ensure proper storage stability and shelf life of the pharmaceutical formulation and to improve its stability and shelf life, another criterion within the present invention is the pH of the ketoprofen sodium salt in a suitable pharmaceutical vehicle. The pH of the composition is in the range of 7.5 to 10 and more preferably 9.2 to 10.0. In a preferred embodiment, the composition has a pH of 9.5.

根據本發明,視需要,可藉助於添加適宜的酸化劑及鹼化劑或與合適的緩衝劑組合來達成該等pH值。 According to the invention, such pH values can be achieved, if desired, by the addition of suitable acidifying and basifying agents or in combination with suitable buffering agents.

在本發明之組合物中,酸化劑及鹼化劑較佳以組合物之0重量%至1.5重量%範圍內之量存在。 In the compositions of the present invention, the acidulant and basifying agent are preferably present in an amount ranging from 0% to 1.5% by weight of the composition.

本發明中使用之鹼化劑可選自碳酸鈣、氫氧化鎂、阿拉伯膠、磷酸氫鈣、氫氧化鉀、乙酸鈉、磷酸鉀、碳酸鈉等 及/或其組合。本發明之發明者觀察到(參見實例)使用具有由乙醇胺組成之基團的中和有機胺不能獲得隨時間推移穩定之調配物。該鹼化劑較佳為氫氧化鉀。 The alkalizing agent used in the present invention may be selected from the group consisting of calcium carbonate, magnesium hydroxide, gum arabic, calcium hydrogen phosphate, potassium hydroxide, sodium acetate, potassium phosphate, sodium carbonate, and the like. And / or a combination thereof. The inventors of the present invention observed (see examples) that a neutralized organic amine having a group consisting of ethanolamine cannot be used to obtain a formulation which is stable over time. The alkalizing agent is preferably potassium hydroxide.

本發明中使用之酸化劑可選自乙酸、乳酸、抗壞血酸、檸檬酸、磷酸、草酸、氯化鈣、氫氧化銨等及/或其組合。該酸化劑較佳為檸檬酸。 The acidifying agent used in the present invention may be selected from the group consisting of acetic acid, lactic acid, ascorbic acid, citric acid, phosphoric acid, oxalic acid, calcium chloride, ammonium hydroxide, and the like, and/or combinations thereof. The acidifying agent is preferably citric acid.

本發明亦展示關於給藥之各種優勢及投藥之適宜方法。本發明形成之優於先前技術組合物的另一優勢在於所主張之合理設計之具有經量測之其他賦形劑組分的酮洛芬口服調配物及可經口投與之錠劑之製造方法可容易地按比例縮放。另外,歸因於該合理設計之口服調配物及其製造方法,縮放性因子(scalability factor)不影響活體內藥物效能或其活體內釋放概況。 The present invention also demonstrates various advantages regarding administration and suitable methods of administration. Another advantage of the present invention over prior art compositions is the rational design of ketoprofen oral formulations with measured other excipient components and the manufacture of orally administerable lozenges. The method can be easily scaled. In addition, due to the rationally designed oral formulation and its method of manufacture, the scalability factor does not affect the in vivo drug efficacy or its in vivo release profile.

待投與之活性劑及特定調配物之確切劑量取決於許多因素,例如待治療之病狀、治療所需持續時間及活性劑之釋放速率。舉例而言,所需活性劑之量及其釋放速率可基於已知之活體外或活體內技術來確定,確定特定之活性劑血漿濃度維持可接受之治療效果之時間長度。 The exact dose of active agent and particular formulation to be administered will depend on a number of factors, such as the condition to be treated, the duration of treatment required, and the rate of release of the active agent. For example, the amount of active agent required and its rate of release can be determined based on known in vitro or in vivo techniques to determine the length of time that a particular active agent plasma concentration maintains an acceptable therapeutic effect.

本發明之另一態樣係關於製備本發明之醫藥製劑的方法,其包含以下連續步驟:取酮洛芬鈉鹽在攪拌下溶解於液體親水性載劑中,以獲得均質混合物;且接著視需要使用足夠量之鹼化劑調整pH值。 Another aspect of the present invention relates to a method of preparing a pharmaceutical preparation of the present invention comprising the sequential steps of: dissolving a ketoprofen sodium salt in a liquid hydrophilic carrier under stirring to obtain a homogeneous mixture; and then A sufficient amount of alkalizing agent is needed to adjust the pH.

本發明之另一態樣係關於本發明之組合物用於治療發炎性疼痛的用途。特定而言,本發明之組合物可用於緩解疼 痛及炎症,包含例如易於治療之疼痛種類,包括(但不限於):牙痛、頭痛(頭部疼痛)、偏頭痛、腹痛及骨盆腔痛、風濕性疼痛、強直性脊椎炎、急性關節及關節周圍病症(滑囊炎、關節囊炎、滑膜炎、腱炎)、纖維組織炎神經痛、發燒疼痛、流行性感冒及普通感冒症狀、喉嚨痛、下背痛、肌肉疼痛(肌痛)、斜頸(歪頸)、關節疼痛、腿痛、挫傷、扭傷、腱炎、網球肘、腰痛、關節痛、外傷後疼痛、坐骨神經痛、滑囊炎、纖維組織炎、疼痛肌骨病狀、痛經、腫脹、輕微靜脈炎、脊柱疼痛病狀(脊椎痛)、輕微運動損傷、靜脈曲張性疼痛、靜脈曲張性炎症、擦傷(血腫)、急性、亞急性及慢性劇烈疼痛(手術後、腫瘤、心肌梗塞、外傷、骨折)及來自診斷性及治療性措施之急性疼痛。 Another aspect of the invention pertains to the use of a composition of the invention for the treatment of inflammatory pain. In particular, the composition of the invention can be used to relieve pain Pain and inflammation, including, for example, types of pain that are easy to treat, including but not limited to: toothache, headache (head pain), migraine, abdominal pain and pelvic pain, rheumatic pain, ankylosing spondylitis, acute joints and joints Peripheral conditions (bursitis, consumps, synovitis, tendonitis), fibrous tissue pain, fever, fever, influenza and common cold symptoms, sore throat, lower back pain, muscle pain (myalgia), Torticollis (sacral neck), joint pain, leg pain, contusion, sprain, tendonitis, tennis elbow, low back pain, joint pain, post-traumatic pain, sciatica, bursitis, fibrositis, painful musculoskeletal conditions, dysmenorrhea , swelling, mild phlebitis, spinal pain (spine pain), mild motor injury, varicose pain, varicose inflammation, abrasion (hematoma), acute, subacute and chronic severe pain (postoperative, tumor, myocardial Infarction, trauma, fractures) and acute pain from diagnostic and therapeutic measures.

在另一態樣中,本發明提供包括包含明膠、增塑劑及其他輔助材料(必要時或視需要)之膠囊殼的軟明膠膠囊。 In another aspect, the invention provides a soft gelatin capsule comprising a capsule shell comprising gelatin, a plasticizer, and other ancillary materials, if desired or as desired.

在開發本發明之軟明膠膠囊酮洛芬調配物時,必須認識到膠囊為包含酮洛芬調配物及用於囊封酮洛芬調配物之明膠殼的系統。因此,不僅較佳使填充之酮洛芬調配物產生所需藥理學作用,而且亦較佳使明膠殼調配物必須與酮洛芬調配物相容。熟習此項技術者將意識到潛在的可導致膠囊物理與化學不穩定性之填充物-外殼相互作用。因此,使用明膠殼調配物形成用於酮洛芬調配物之膠囊亦較佳且其對本發明很重要。 In developing the soft gelatin capsule ketoprofen formulations of the present invention, it must be recognized that the capsules are systems comprising a ketoprofen formulation and a gelatin shell for encapsulating the ketoprofen formulation. Thus, it is preferred not only to provide the desired pharmacological effect of the filled ketoprofen formulation, but it is also preferred that the gelatin shell formulation must be compatible with the ketoprofen formulation. Those skilled in the art will be aware of potential filler-shell interactions that can result in physical and chemical instability of the capsule. Thus, the use of gelatin shell formulations to form capsules for ketoprofen formulations is also preferred and is important to the present invention.

用於軟明膠膠囊之明膠殼膠囊調配物一般由原料明膠及 一或多種成分組成,該一或多種成分經添加以塑化明膠以使得膠囊達到設計或較佳需要之適合硬度。典型增塑劑包括甘油、山梨糖醇、脫水山梨糖醇,且亦可利用含有甘油、脫水山梨糖醇酐及甘露糖醇之混合物。此外,亦可使用其他非傳統成分來塑化明膠。 Gelatin shell capsules for soft gelatin capsules are generally prepared from raw gelatin and One or more ingredients are added which are added to plasticize the gelatin to achieve a suitable hardness for the design or better desired. Typical plasticizers include glycerin, sorbitol, sorbitan, and mixtures containing glycerin, sorbitan, and mannitol may also be utilized. In addition, other non-traditional ingredients can be used to plasticize the gelatin.

因此,適於與本發明之酮洛芬調配物一起使用之明膠調配物提供所需的必要物理及化學穩定性。 Thus, gelatin formulations suitable for use with the ketoprofen formulations of the present invention provide the requisite physical and chemical stability required.

明膠基調配物之主要問題在於一旦老化即造成溶解作用顯著降低,其歸因於含明膠產品之交聯。交聯形成極薄且堅韌的橡膠狀水不溶性溶脹膜,亦稱為表膜。表膜充當障壁且限制藥物釋放。如酮洛芬鈉鹽之藥物具有與明膠反應且誘發交聯之傾向,因此在穩定性研究期間溶解作用降低之可能性很高。本發明之發明者已發現藉由添加某些弱酸與甘胺酸之組合,令人驚訝地克服明膠之該交聯。在本發明之一特定實施例中,本發明中使用之弱酸為酒石酸、檸檬酸或其組合。弱酸之用量可佔明膠殼調配物之0.1%(w/w)至1.0%(w/w)。 A major problem with gelatin-based formulations is that upon aging, the dissolution is significantly reduced due to cross-linking of the gelatin-containing product. Crosslinking forms an extremely thin and tough rubbery water insoluble swollen film, also known as a film. The membrane acts as a barrier and limits drug release. Drugs such as ketoprofen sodium salt have a tendency to react with gelatin and induce cross-linking, so there is a high possibility that the dissolution is lowered during the stability study. The inventors of the present invention have surprisingly overcome this cross-linking of gelatin by the addition of certain weak acids in combination with glycine. In a particular embodiment of the invention, the weak acid used in the invention is tartaric acid, citric acid or a combination thereof. The amount of weak acid may range from 0.1% (w/w) to 1.0% (w/w) of the gelatin shell formulation.

用於建構含有本發明之酮洛芬調配物之軟明膠膠囊的較佳明膠調配物包括約30%(w/w)至約58%(w/w)、較佳但不限於40%至45%範圍內之明膠及約10%至約35%、較佳但不限於15%至25%範圍內之量的增塑劑。與較佳膠囊調配物一起使用之適合增塑劑包括山梨糖醇(Special MDF 85,歐洲藥典級)。當山梨糖醇單獨用作增塑劑時,用量可在約15%至約40%範圍內。 Preferred gelatin formulations for constructing soft gelatin capsules containing the ketoprofen formulations of the present invention comprise from about 30% (w/w) to about 58% (w/w), preferably but not limited to 40% to 45. Gelatin in the range of % and plasticizer in an amount ranging from about 10% to about 35%, preferably but not limited to from 15% to 25%. Suitable plasticizers for use with preferred capsule formulations include sorbitol (Special MDF 85, European Pharmacopoeia grade). When sorbitol is used alone as a plasticizer, the amount may range from about 15% to about 40%.

膠囊調配物亦可包括其他適合添加劑,諸如防腐劑及/或著色劑,其用於穩定化膠囊及/或賦予膠囊特定特徵,諸如顏色或外觀。醫藥學上可接受之防腐劑可包括例如對羥基苯甲酸甲酯及對羥基苯甲酸丙酯。可使用FD&C及/或D&C染料賦予明膠殼顏色。例示性染料包括(但不限於)酒石黃(Tartrazine yellow)、阿祖拉紅(Azura red)及其類似染料。可使用遮光劑(諸如二氧化鈦及/或氧化鐵)來著色及/或使膠囊不透明。 The capsule formulation may also include other suitable additives, such as preservatives and/or colorants, for stabilizing the capsule and/or imparting specific characteristics to the capsule, such as color or appearance. Pharmaceutically acceptable preservatives can include, for example, methylparaben and propylparaben. The gelatin shell color can be imparted using FD&C and/or D&C dyes. Exemplary dyes include, but are not limited to, Tartrazine yellow, Azura red, and the like. An opacifying agent such as titanium dioxide and/or iron oxide may be used to color and/or render the capsule opaque.

本發明涵蓋使用塗佈劑,該塗佈劑可包括非功能性或腸溶塗佈劑,諸如熟習此項技術者已知之纖維素基聚合物、薄膜塗佈劑或其他塗佈劑。 The present invention contemplates the use of a coating agent which may include a non-functional or enteric coating agent such as a cellulose based polymer, film coating agent or other coating agent known to those skilled in the art.

本發明亦涵蓋使用其他醫藥賦形劑,諸如熟習此項技術者已知之黏合劑、崩解劑、稀釋劑、潤滑劑、增塑劑、滲透增強劑及增溶劑。該等其他添加劑包括抗氧化劑、防腐劑、螯合劑、錯合劑、黏度調整劑、張力劑、調味劑、著色劑、添味劑、遮光劑、懸浮劑、黏合劑及其混合物。該等添加劑之量可容易地由熟習此項技術者根據所需特定性質確定。 The invention also contemplates the use of other pharmaceutical excipients such as binders, disintegrants, diluents, lubricants, plasticizers, penetration enhancers, and solubilizers known to those skilled in the art. Such other additives include antioxidants, preservatives, chelating agents, complexing agents, viscosity modifiers, tonicity agents, flavoring agents, colorants, odorants, opacifiers, suspending agents, binders, and mixtures thereof. The amount of such additives can be readily determined by those skilled in the art in accordance with the particular properties desired.

本發明之醫藥組合物可藉由熟習此項技術者所熟知之習知方法製備。然而,特定製備方法將視最終劑型而定。可使疏水性治療劑溶解於一或多種載劑中。組合物可藉由簡單混合或攪拌組分以形成濃縮物而製備。視需要,可藉由加熱輔助攪拌過程。疏水性治療劑可以由載劑溶解之第一量存在且必要時以第二量存在於載劑中。應強調,添加各 種組分之順序一般不重要且可按方便改變。 The pharmaceutical compositions of the present invention can be prepared by conventional methods well known to those skilled in the art. However, the particular method of preparation will depend on the final dosage form. The hydrophobic therapeutic agent can be dissolved in one or more carriers. The composition can be prepared by simply mixing or stirring the components to form a concentrate. The stirring process can be assisted by heating as needed. The hydrophobic therapeutic agent can be present in a first amount dissolved by the carrier and, if desired, in a second amount in the carrier. Should emphasize that adding each The order of the components is generally not critical and can be changed as conveniently.

根據本發明,製備基於軟明膠膠囊中之酮洛芬鈉鹽之醫藥調配物係以兩個階段進行。 According to the present invention, the preparation of a pharmaceutical formulation based on the ketoprofen sodium salt in a soft gelatin capsule is carried out in two stages.

據此,治療活性量之酮洛芬鈉鹽溶解於中適當量之醫藥上適合之媒劑中,使pH達到穩定性較高之可接受範圍,且震盪混合物直至達成透明真溶液。若視為有益,則可向該溶液中添加少量無菌水、丙二醇、甘油、防腐劑或其他添加劑,諸如一般用於呈軟膠囊形式之醫藥組合物之調配物的添加劑。 Accordingly, a therapeutically active amount of the ketoprofen sodium salt is dissolved in a suitable amount of a pharmaceutically suitable vehicle to bring the pH to an acceptable range of higher stability and to oscillate the mixture until a clear true solution is achieved. If deemed useful, a small amount of sterile water, propylene glycol, glycerin, preservatives or other additives may be added to the solution, such as additives typically used in the formulation of pharmaceutical compositions in the form of soft capsules.

一旦理解實現呈軟明膠膠囊形式之本發明之醫藥調配物的基本原則,醫藥調配物專家即可毫無困難地改變方法準則以適應特定需要。 Once the basic principles of achieving the pharmaceutical formulations of the present invention in the form of soft gelatin capsules are understood, the pharmaceutical formulation experts can change the method criteria to suit particular needs without difficulty.

本發明之另一目標為提供向宿主投與醫藥活性成分以增加酮洛芬之生物可用性的方法,其包含以下步驟:a)提供用於經口投與之本發明之穩定明膠組合物;及b)向該宿主投與該組合物以供攝取,藉此該組合物接觸人體之生物體液且產生較快起始作用時間。 Another object of the present invention is to provide a method of administering a pharmaceutically active ingredient to a host to increase the bioavailability of ketoprofen comprising the steps of: a) providing a stable gelatin composition of the present invention for oral administration; b) administering the composition to the host for ingestion whereby the composition contacts the biological fluid of the human body and produces a faster onset time.

本發明之典型調配物的核心成分可包含:- 1%(w/w)至15%(w/w)之酮洛芬鈉鹽;- 80%(w/w)至95%(w/w)之一或多種液體親水性載劑;其中組合物之pH值介於7.5與10之間。 The core component of a typical formulation of the invention may comprise: - 1% (w/w) to 15% (w/w) of ketoprofen sodium salt; - 80% (w/w) to 95% (w/w One or more liquid hydrophilic carriers; wherein the pH of the composition is between 7.5 and 10.

本發明之典型調配物的明膠殼成分可包含:- 35%(w/w)至50%(w/w)、更佳40%至44%之明膠;- 15%(w/w)至30%(w/w)、更佳15%至25%之山梨糖醇; - 0.1%(w/w)至10%(w/w)之著色劑;- 0.1%(w/w)至10%(w/w)之酒石酸;- 10%(w/w)至50%(w/w)之純化水。 The gelatin shell component of a typical formulation of the invention may comprise: - 35% (w/w) to 50% (w/w), more preferably 40% to 44% gelatin; - 15% (w/w) to 30 % (w/w), more preferably 15% to 25% sorbitol; - 0.1% (w/w) to 10% (w/w) of the colorant; - 0.1% (w/w) to 10% (w/w) of tartaric acid; - 10% (w/w) to 50% (w/w) purified water.

在900 ml pH 7.4磷酸鹽緩衝液(不含酶)中在100 RPM及37℃下測試時,填充於明膠膠囊中之本發明之組合物的藥物釋放速率較佳為10分鐘內釋放大於85%之酮洛芬鈉鹽。 The drug release rate of the composition of the present invention filled in gelatin capsules is preferably greater than 85% in 10 minutes when tested in 100 ml of pH 7.4 phosphate buffer (without enzyme) at 100 RPM and 37 °C. Ketoprofen sodium salt.

在使用中,本發明之方法及組合物涵蓋許多重要優勢,包括:目標部位處之耐變性及改良之傳遞:本發明之組合物出乎意料地耐變且本發明之組合物藉由使沈澱減至最少而出乎意料地提供治療劑向吸收部位之改良之傳遞。咸信該改良之傳遞使治療劑產生較快起始作用時間。 In use, the methods and compositions of the present invention encompass a number of important advantages, including: resistance to denaturation at the target site and improved delivery: the compositions of the present invention are unexpectedly resistant to deformation and the compositions of the present invention are rendered precipitated Minimized and unexpectedly provides improved delivery of the therapeutic agent to the absorption site. It is believed that the delivery of this improvement results in a faster onset of action of the therapeutic agent.

通用性:可謹慎定製本發明之組合物且按治療劑之極性及官能性進行調整,而不損害如上所述之改良之溶解、傳遞及其他優勢。 Generality: The compositions of the present invention can be carefully tailored and adjusted for the polarity and functionality of the therapeutic agent without compromising the improved dissolution, delivery, and other advantages as described above.

製備簡易性:本發明之方法提供容易溶解疏水性治療劑之組合物,藉此節省昂貴的製造及人力資源。 Preparation ease: The method of the present invention provides a composition that readily dissolves the hydrophobic therapeutic agent, thereby saving costly manufacturing and human resources.

在本發明之另一態樣中,提供製備醫藥組合物之方法。該方法包括使活性成分酮洛芬併入載劑中。另外,若適宜,添加適合醫藥賦形劑以調配藥物之乳液。在一較佳實施例中,適合載劑與活性成分一起連續攪拌。隨後混合賦形劑。 In another aspect of the invention, a method of preparing a pharmaceutical composition is provided. The method comprises incorporating the active ingredient ketoprofen into a carrier. In addition, if appropriate, an emulsion suitable for the formulation of a pharmaceutical excipient is added. In a preferred embodiment, the carrier is continuously agitated with the active ingredient. Excipients are then mixed.

軟明膠膠囊係在習知方法中使用明膠進行旋轉印模方法製造。乾燥明膠顆粒與水及合適增塑劑組合,且該組合接 著在真空下混合及加熱,以形成熔融明膠團。明膠團保持在其熔融階段同時在澆鑄輪或滾筒上成形或澆鑄成薄膜或條帶。將薄膜或條帶送至楔子下及旋轉囊封模具之間。在囊封模具內,在模具中之凹槽中,從薄膜或條帶同時形成膠囊。使用任何習知方法將含有酮洛芬之組合物填充於軟明膠膠囊中。接著切割並密封膠囊。當填充及切割膠囊時,經由壓力及熱量之組合形成密封物。 Soft gelatin capsules are manufactured by a rotary stamping process using gelatin in a conventional method. Dry gelatin granules are combined with water and a suitable plasticizer, and the combination is Mix and heat under vacuum to form a molten gelatin mass. The gelatin mass remains in its melting stage while being formed or cast into a film or strip on a casting wheel or drum. The film or strip is fed between the wedge and the rotating encapsulation mold. In the encapsulating mold, a capsule is simultaneously formed from the film or strip in the groove in the mold. The ketoprofen-containing composition is filled in a soft gelatin capsule using any conventional method. The capsule is then cut and sealed. When filling and cutting the capsule, a seal is formed via a combination of pressure and heat.

在下列實例中進一步詳細說明本發明。應瞭解該等實例在指示本發明之較佳實施例時係僅提供作為說明。自以上討論及該等實例,熟習此項技術者可確定本發明之基本特徵,且在不悖離本發明之精神及範疇下,可對本發明作出各種改變及修改以使其適合各種用途及條件。 The invention is further illustrated in the following examples. It is to be understood that the examples are merely illustrative of the preferred embodiments of the invention. From the above discussion and the examples, those skilled in the art can determine the essential characteristics of the present invention, and various changes and modifications can be made to the various uses and conditions without departing from the spirit and scope of the invention. .

實例Instance

儘管已結合特定實施例描述本發明,但很明顯按照上述描述對熟習此項技術者而言許多替代及變化將顯而易見。因此,本發明意欲包涵屬於本發明之精神及範疇內之全部替代及變化。 Although the present invention has been described in connection with the specific embodiments, it will be apparent Accordingly, the present invention is intended to embrace all such modifications and alternatives

在以下實例中,組合物比率顯示重量比。 In the examples below, the composition ratios show weight ratios.

實例1:軟酮洛芬膠囊之調配物Example 1: Formulation of Soft Ketoprofen Capsules

用PEG乙二醇400在攪拌器中在持續攪拌下溶解活性劑酮洛芬基質至形成澄清溶液。若需要,則使用氫氧化鉀調整pH值直至獲得pH 7.5至10.0。本發明之醫藥調配物之組分具有適合於囊封之形式。根據熟習此項技術者本身已知之一種方法將調配物囊封於軟明膠膠囊中。 The active agent ketoprofen substrate was dissolved in PEG ethylene glycol 400 in a blender with constant agitation to form a clear solution. If necessary, the pH is adjusted using potassium hydroxide until a pH of 7.5 to 10.0 is obtained. The components of the pharmaceutical formulations of the present invention have a form suitable for encapsulation. The formulation is encapsulated in a soft gelatin capsule according to a method known per se to those skilled in the art.

實例2:軟酮洛芬膠囊之調配物Example 2: Formulation of soft ketoprofen capsules

用PEG乙二醇600在攪拌器中在持續攪拌下溶解活性劑酮洛芬基質至形成澄清溶液。根據熟習此項技術者本身已知之一種方法將調配物囊封於軟明膠膠囊中。 The active agent ketoprofen substrate was dissolved in PEG ethylene glycol 600 in a blender with constant agitation to form a clear solution. The formulation is encapsulated in a soft gelatin capsule according to a method known per se to those skilled in the art.

實例3:軟酮洛芬膠囊之調配物Example 3: Formulation of soft ketoprofen capsules

用PEG乙二醇400在攪拌器中在持續攪拌下溶解活性劑酮洛芬基質至形成澄清溶液。若需要,則使用氫氧化鉀調整pH值直至獲得pH 7.5至10.0。本發明之醫藥調配物之組分具有適合於囊封之形式。根據熟習此項技術者本身已知之一種方法將調配物囊封於軟明膠膠囊中。 The active agent ketoprofen substrate was dissolved in PEG ethylene glycol 400 in a blender with constant agitation to form a clear solution. If necessary, the pH is adjusted using potassium hydroxide until a pH of 7.5 to 10.0 is obtained. The components of the pharmaceutical formulations of the present invention have a form suitable for encapsulation. The formulation is encapsulated in a soft gelatin capsule according to a method known per se to those skilled in the art.

實例4:本發明之組合物的比較穩定性研究Example 4: Comparative Stability Study of Compositions of the Invention

測試不同填充組合物(A至F)。對單批之各填充組合物進行應力測試,包括溫度(40℃)(為加速測試)及濕度(75% RH)的影響。測試允許評估酮洛芬鈉鹽水解及特定而言形成酮洛芬之環酯雜質的敏感性。 Different fill compositions (A to F) were tested. Stress tests were performed on each batch of the filling composition, including temperature (40 ° C) (for accelerated testing) and humidity (75% RH). The test allows evaluation of the sensitivity of the hydrolysis of the ketoprofen sodium salt and, in particular, the formation of cyclic ester impurities of ketoprofen.

已對填充於玻璃小瓶中之液體調配物填充物進行穩定性研究,且在以該等加速條件進行研究之後的1個月(1M)及2個月(2M)後進行量測。 The stability of the liquid formulation fill filled in the glass vial was investigated and measured after one month (1 M) and two months (2 M) after the study under these accelerated conditions.

獲得之結果以下: The results obtained are as follows:

在上表中,雜質含量係基於酮洛芬鈉鹽以重量表示。 In the above table, the impurity content is expressed by weight based on the ketoprofen sodium salt.

穩定性研究結果顯示,對於組合物A、B、C及D而言,在加速儲存條件下在40℃±2℃/75% RH±5% RH下進行2個月研究之後,在分析中雜質含量自其初始值發生顯著變化(自小於0.1% w/w至含量大於0.2% w/w)。該等降解產物超出接受準則。 The stability study showed that for compositions A, B, C and D, after 2 months of study at 40 °C ± 2 °C / 75% RH ± 5% RH under accelerated storage conditions, the impurities in the analysis The content varies significantly from its initial value (from less than 0.1% w/w to more than 0.2% w/w). These degradation products are outside the acceptance criteria.

另一方面,本發明之組合物E及組合物F之總雜質含量保持穩定,小於0.1%(w/w),且因此可接受。 On the other hand, the total impurity content of Composition E and Composition F of the present invention remains stable, less than 0.1% (w/w), and is therefore acceptable.

實例5:本發明之組合物的比較活體外溶解研究及活體內生物可用性Example 5: Comparative in vitro dissolution studies and in vivo bioavailability of compositions of the invention

將實例3之組合物的溶解概況與Toprec®產品25 mg錠劑的溶解概況相比較。 The dissolution profile of the composition of Example 3 was compared to the dissolution profile of the Toprec® product 25 mg tablet.

方法:method: a)溶解條件:a) Dissolution conditions:

裝置:具有沈降片之攪拌槳 Device: agitating paddle with sinker

速度:100 RPM Speed: 100 RPM

溶解介質:900 ml Dissolving medium: 900 ml

溫度:37℃±0.5 Temperature: 37 ° C ± 0.5

時間點:10分鐘、15分鐘、30分鐘、45分鐘及60分鐘或所需之時間點。 Time point: 10 minutes, 15 minutes, 30 minutes, 45 minutes and 60 minutes or the required time point.

b)溶解介質組合物:pH 7.4磷酸鹽緩衝液(不含酶) b) Dissolving medium composition: pH 7.4 phosphate buffer (without enzyme) c)測試程序:c) Test procedure:

將1膠囊稱重且投入含有溶解介質之六個溶解容器中之各個容器中。在規定之時間點之後,自位於溶解介質表面 與旋轉葉片頂部中間與容器壁相距不少於10 mm之區域抽取10 ml等分試樣。經由0.45 μm耐綸66濾紙過濾溶液。 One capsule was weighed and placed in each of the six dissolution vessels containing the dissolution medium. After the specified time point, from the surface of the dissolution medium A 10 ml aliquot was taken from the area between the top of the rotating blade and the vessel wall at a distance of not less than 10 mm. The solution was filtered through a 0.45 μm nylon 66 filter paper.

d)層析條件:d) Chromatographic conditions:

設備:配備有UV偵測器之液相層析儀 Equipment: Liquid chromatograph equipped with a UV detector

管柱:X'terra,C18,150 mm×4.6 mm,5 μm或等效管柱 Column: X'terra, C18, 150 mm × 4.6 mm, 5 μm or equivalent column

管柱溫度:35℃ Column temperature: 35 ° C

流動速率:1.2毫升/分鐘 Flow rate: 1.2 ml / min

偵測UV波長:260 nm Detect UV wavelength: 260 nm

e)儀器e) Instrument

a.已驗證之自動溶解系統 a. Verified automatic dissolution system

b.包含泵、自動注射器、UV偵測器之HPLC系統 b. HPLC system containing pump, autoinjector, UV detector

結果:result: 活體外溶解概況:In vitro dissolution profile:

測試實例2之組合物的溶解概況。 The dissolution profile of the composition of Test Example 2 was tested.

以上實驗結果揭示對於本發明之組合物而言,在15分鐘之後釋放出92%(w/w)之溶解酮洛芬鈉鹽。 The above experimental results revealed that for the composition of the present invention, 92% (w/w) of the dissolved ketoprofen sodium salt was released after 15 minutes.

藥物動力學模擬:Pharmacokinetic simulation:

使用模擬程式計算本發明之醫藥組合物的藥物動力學血液概況。 The pharmacokinetic blood profile of the pharmaceutical composition of the present invention was calculated using a simulation program.

開發一種數學模型(可自Simulations Plus,Incorporated獲得之GastroplusTM模擬軟體)以探究可滿足某些活體內釋放目標之酮洛芬劑型的輸入速率。Gastroplus®為模擬經口給藥之藥物的吸收及藥物動力學的電腦程式。基礎模型為高級區室吸收及轉運(Advanced Compartmental Absorption and Transit,ACAT)模型,其為最初由Gordon Amidon及Lawrence Yu進行之工作的延伸。參見L.X.Yu,「An Integrated Model for Determining Causes of Poor Oral Drug Absorption」.Pharm.Res..16:1883-7(1999)及B.Agoram,W.S.Woltosz及M.B.Bolger,「Predicting the impact of physiological and biochemical processes on oral drug bioavailability」,Advanced Drug Delivery Reviews,50:S41-S67(2001)。 Developing a mathematical model (simulation software available from Gastroplus TM Simulations Plus, Incorporated the obtained) to explore in vivo release can meet certain objectives of the input rate of one dosage form of ketoprofen. Gastroplus® is a computer program that simulates the absorption and pharmacokinetics of orally administered drugs. The basic model is the Advanced Compartmental Absorption and Transit (ACAT) model, which is an extension of the work originally performed by Gordon Amidon and Lawrence Yu. See LXYu, "An Integrated Model for Determining Causes of Poor Oral Drug Absorption". Pharm. Res.. 16:1883-7 (1999) and B. Agoram, WSWoltosz and MBBolger, "Predicting the impact of physiological and biochemical processes on oral Drug bioavailability", Advanced Drug Delivery Reviews, 50: S41-S67 (2001).

可以修改Gastroplus軟體內之若干不同篩選法,以產生最佳給藥曲線。 Several different screening methods in the Gastroplus software can be modified to produce an optimal dosing profile.

化合物篩選法具有以下參數(其可改變): 劑型:IP溶液 The compound screening method has the following parameters (which can be changed): Dosage form: IP solution

初始劑量(mg):25(實例) Initial dose (mg): 25 (example)

後續劑量(mg):0 Subsequent dose (mg): 0

給藥時間間隔(小時):0 Dosing interval (hours): 0

劑量體積(mL):250 Dosage volume (mL): 250

參考溶解度之pH值:2 Reference solubility pH: 2

溶解度(mg/mL,在pH=2下):0.118 Solubility (mg/mL, at pH=2): 0.118

平均沈澱時間(秒):90 Average precipitation time (seconds): 90

擴散係數(cm2×105)=0.432 Diffusion coefficient (cm 2 × 10 5 ) = 0.432

藥物顆粒密度(g/mL):1.253 Drug particle density (g/mL): 1.253

Peff(有效滲透率)(cm/s×104):8.7 Peff (effective permeability) (cm/s × 10 4 ): 8.7

模擬Peff×104(人類):8.7 Simulation Peff × 10 4 (human): 8.7

分子量=254.29 Molecular weight = 254.29

參考Log D=3.16,在pH=1下 Reference Log D=3.16, at pH=1

粒度:R=25.00,D=50.00 Particle size: R=25.00, D=50.00

pKa:4.6/溶解因子:353/官能基:羧酸 pKa: 4.6 / solubility factor: 353 / functional group: carboxylic acid

生理學篩選法具有以下參數(其可改變): 胃:Peff=0;ASF=0;pH=1.30;轉運時間(小時)=0.25;體積(mL)=50;長度(cm)=15.0;半徑(cm)=10.00 The physiological screening method has the following parameters (which can be changed): stomach: Peff = 0; ASF = 0; pH = 1.30; transit time (hours) = 0.25; volume (mL) = 50; length (cm) = 15.0; (cm)=10.00

十二指腸:Peff=0;ASF=1.305;pH=6.00;轉運時間(小時)=0.26;體積(mL)=48.25;長度(cm)=30.0;半徑(cm)=1.60 Duodenum: Peff=0; ASF=1.305; pH=6.00; transit time (hours)=0.26; volume (mL)=48.25; length (cm)=30.0; radius (cm)=1.60

空腸1:Peff=0;ASF=1.366;pH=6.20;轉運時間(小時)=0.95;體積(mL)=175.3;長度(cm)=62.00;半徑(cm)=1.50 Jejunal 1: Peff = 0; ASF = 1.366; pH = 6.20; transit time (hours) = 0.95; volume (mL) = 175.3; length (cm) = 62.00; radius (cm) = 1.50

空腸2:Peff=0;ASF=1.502;pH=6.40;轉運時間(小時)=0.76;體積(mL)=139.9;長度(cm)=62.00;半徑(cm)=1.34 Jejunal 2: Peff = 0; ASF = 1.502; pH = 6.40; transit time (hours) = 0.76; volume (mL) = 139.9; length (cm) = 62.00; radius (cm) = 1.34

迴腸1:Peff=0;ASF=1.675;pH=6.60;轉運時間(小時)=0.59;體積(mL)=108.5;長度(cm)=62.00;半徑(cm)=1.18 Ileum 1: Peff = 0; ASF = 1.675; pH = 6.60; transit time (hours) = 0.59; volume (mL) = 108.5; length (cm) = 62.00; radius (cm) = 1.18

迴腸2:Peff=0;ASF=1.906;pH=6.90;轉運時間(小時)=0.43;體積(mL)=79.48;長度(cm)=62.00;半徑(cm)=1.01 Ileum 2: Peff = 0; ASF = 1.906; pH = 6.90; transit time (hours) = 0.43; volume (mL) = 79.48; length (cm) = 62.00; radius (cm) = 1.01

迴腸3:Peff=0;ASF=2.177;pH=7.40;轉運時間(小時)=0.31;體積(mL)=56.29;長度(cm)=62.00;半徑(cm)=0.85 Ileum 3: Peff = 0; ASF = 2.177; pH = 7.40; transport time (hours) = 0.31; volume (mL) = 56.29; length (cm) = 62.00; radius (cm) = 0.85

盲腸:Peff=0;ASF=0.229;pH=6.40;轉運時間(小時)=4.50;體積(mL)=52.92;長度(cm)=13.75;半徑(cm)=3.50 Cecal: Peff=0; ASF=0.229; pH=6.40; transit time (hour)=4.50; volume (mL)=52.92; length (cm)=13.75; radius (cm)=3.50

升結腸:Peff=0;ASF=0.243;pH=6.80;轉運時間(小時)=13.50;體積(mL)=56.98;長度(cm)=29.02;半徑(cm)=2.50 Ascending colon: Peff=0; ASF=0.243; pH=6.80; transit time (hour)=13.50; volume (mL)=56.98; length (cm)=29.02; radius (cm)=2.50

C1-C4:0.18148/1.0944/0.0734/0.31836 C1-C4: 0.18148/1.0944/0.0734/0.31836

ASF模型:Opt logD模型 ASF model: Opt logD model

Qh(L/min)=1.5 Qh(L/min)=1.5

小腸(SI)中之流體百分比:40。結腸中之流體百分比:10。 Percentage of fluid in the small intestine (SI): 40. Percentage of fluid in the colon: 10.

藥物動力學篩選法具有以下參數(其可改變): PK模型:區室 The pharmacokinetic screening method has the following parameters (which can be changed): PK model: compartment

體重(kg):82 Weight (kg): 82

血液/血漿濃度比:1 Blood/plasma concentration ratio: 1

使用實驗血漿Fup(%):0.75 Using experimental plasma Fup (%): 0.75

腎臟清除率(L/h):5.04 Kidney clearance rate (L/h): 5.04

Vc(L/kg):0.15 Vc (L / kg): 0.15

T ½(h):1.69 T 1⁄2(h): 1.69

Gastroplus®用於模擬參考物及測試調配物之吸收及藥物動力學。使用酮洛芬鹽酸鹽調配物之活體外溶解概況作為輸入函數來模擬參考物(Toprec® 25 mg市售錠劑)及測試調配物之吸收及藥物動力學。 Gastroplus ® is used to simulate the absorption and pharmacokinetics of reference and test formulations. The in vitro dissolution profile of the ketoprofen hydrochloride formulation was used as an input function to simulate the absorption and pharmacokinetics of the reference (Toprec ® 25 mg commercial tablet) and the test formulation.

圖1顯示使用模型模擬餐後狀態(Fed state)服用Toprec® 25 mg市售錠劑及含有25 mg酮洛芬鈉鹽之本發明之醫藥組合物的活體內生物可用性的結果。 Figure 1 shows the results of in vivo bioavailability of a pharmaceutical composition of the present invention containing Toprec ® 25 mg commercial lozenge and 25 mg of ketoprofen sodium salt using a model to simulate a post-meal state (Fed state).

模型用於評估本發明之劑型的效能。該等數據顯示本發明之劑型將具有效性。使用Gastro Plus軟體發現,對於25 mg之酮洛芬鈉鹽軟凝膠及錠劑調配物而言,AUC(餐後狀態下等於1且禁食狀態(Fasted state)下等於1)及Cmax(餐後狀態下等於1且禁食狀態下等於1.035)比率類似。 The model was used to evaluate the efficacy of the dosage form of the invention. These data show that the dosage form of the invention will be effective. Using the Gastro Plus software, AUC (for a 25 mg ketoprofen sodium soft gel and lozenge formulation, AUC (equal to 1 in the postprandial state and equal to 1 in the Fasted state) and Cmax (meal) The ratio is equal to 1 in the post state and equal to 1.035 in the fast state. The ratio is similar.

上述討論及描述說明本發明之一些實施例,但並不意欲限制該等實施例之實施。 The above discussion and description illustrate some embodiments of the invention, but are not intended to limit the implementation of the embodiments.

圖1顯示使用模型模擬餐後狀態服用Toprec® 25 mg市售錠劑及含有25 mg酮洛芬鈉鹽之本發明之醫藥組合物的活體內生物可用性的結果。 Figure 1 shows the results of in vivo bioavailability of a pharmaceutical composition of the present invention containing Toprec ® 25 mg commercial lozenge and 25 mg of ketoprofen sodium salt using a model to simulate a postprandial state.

Claims (11)

一種用於經口投與之醫藥組合物,其包含:1%(w/w)至15%(w/w)之酮洛芬(ketoprofen)鈉鹽;80%(w/w)至95%(w/w)之一或多種液體親水性載劑;其中該組合物之pH值在7.5與10之間。 A pharmaceutical composition for oral administration comprising: 1% (w/w) to 15% (w/w) of ketoprofen sodium salt; 80% (w/w) to 95% (w/w) one or more liquid hydrophilic carriers; wherein the composition has a pH between 7.5 and 10. 如請求項1之醫藥組合物,其中該組合物之pH值為9.5。 The pharmaceutical composition of claim 1, wherein the composition has a pH of 9.5. 如請求項1之醫藥組合物,其中該等液體親水性載劑之總量在85%(w/w)至95%(w/w)範圍內。 The pharmaceutical composition of claim 1, wherein the total amount of the liquid hydrophilic carrier is in the range of 85% (w/w) to 95% (w/w). 如請求項1之醫藥組合物,其中該液體親水性載劑介質係選自由以下組成之群:聚乙二醇、甘油、丙二醇、PEG 40氫化蓖麻油、聚山梨醇酯、椰油酸甘油酯(glyceryl cocoate)、PEG 6辛酸/辛酸甘油酯、泊洛沙姆(poloxamer)、拉布拉菲(labrafil)、辛醯己醯聚乙二醇-8甘油酯、聚乙氧基化蓖麻油、甘油-聚乙二醇氧基硬脂酸酯或PEG-40氫化蓖麻油、乙氧基化脂肪醇及脫水山梨糖醇酯。 The pharmaceutical composition according to claim 1, wherein the liquid hydrophilic carrier medium is selected from the group consisting of polyethylene glycol, glycerin, propylene glycol, PEG 40 hydrogenated castor oil, polysorbate, and glyceryl cocoate. (glyceryl cocoate), PEG 6 caprylic/caprylic glyceride, poloxamer, labrafil, bismuth hexaethylene glycol glyceride, polyethoxylated castor oil, Glycerol-polyethylene glycoloxystearate or PEG-40 hydrogenated castor oil, ethoxylated fatty alcohol and sorbitan ester. 如請求項1之醫藥組合物,其中該液體親水性載劑介質為聚乙二醇600。 The pharmaceutical composition of claim 1, wherein the liquid hydrophilic carrier medium is polyethylene glycol 600. 如請求項1之醫藥組合物,其中若需要,則使用檸檬酸調整該pH值。 The pharmaceutical composition of claim 1, wherein the pH is adjusted using citric acid if necessary. 如請求項1之醫藥組合物,其中若需要,則使用氫氧化鉀調整該pH值。 The pharmaceutical composition of claim 1, wherein if necessary, the pH is adjusted using potassium hydroxide. 如請求項1至7中任一項之醫藥組合物,其中酮洛芬鈉鹽與該液體親水性載劑之重量比為1:12至1:15。 The pharmaceutical composition according to any one of claims 1 to 7, wherein the weight ratio of the ketoprofen sodium salt to the liquid hydrophilic carrier is from 1:12 to 1:15. 如請求項1至8中任一項之醫藥組合物,其呈軟膠囊形式。 The pharmaceutical composition according to any one of claims 1 to 8, which is in the form of a soft capsule. 一種製備如請求項1至9中任一項之醫藥製劑的方法,其包含以下連續步驟:取該酮洛芬鈉鹽在攪拌下溶解於該等液體親水性載劑中,以獲得均質混合物;且接著若需要則使用足夠量之鹼化劑調整pH值。 A method of preparing a pharmaceutical preparation according to any one of claims 1 to 9, comprising the sequential steps of: dissolving the ketoprofen sodium salt in the liquid hydrophilic carrier under stirring to obtain a homogeneous mixture; And then, if necessary, a sufficient amount of alkalizing agent is used to adjust the pH. 一種如請求項1至10中任一項之組合物的用途,其係用於製備供治療發炎性疼痛之藥物。 Use of a composition according to any one of claims 1 to 10 for the preparation of a medicament for the treatment of inflammatory pain.
TW101118096A 2011-05-20 2012-05-21 Pharmaceutical composition comprising ketoprofen TW201309286A (en)

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