TW201831185A - Pharmaceutical formulation containing tadalafil - Google Patents

Pharmaceutical formulation containing tadalafil Download PDF

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TW201831185A
TW201831185A TW106142207A TW106142207A TW201831185A TW 201831185 A TW201831185 A TW 201831185A TW 106142207 A TW106142207 A TW 106142207A TW 106142207 A TW106142207 A TW 106142207A TW 201831185 A TW201831185 A TW 201831185A
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pharmaceutical composition
pharmaceutical
composition according
copolymer
tadalafil
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歐達西 貝蒂 薩波恩
湯瑪士 喬丹
理查 卡帕地
安卓亞 屋伊海伊
湯瑪士 索利莫斯
希瑞斯托斯 葛拉芬娜絲
珍諾維瓦 飛利浦克賽
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馬爾他商藥品科技智權控股有限公司
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Abstract

Disclosed herein are pharmaceutical compositions comprising Tadalafil, or a salt, or derivatives thereof and pharmaceutical excipients, processes for the preparation thereof, and pharmaceutical compositions containing them. The pharmaceutical compositions have improved physicochemical properties that provide faster onset of action for the treatment of erectile dysfunction.

Description

含有他達拉非之藥物配製物Pharmaceutical formulation containing tadalafil

本申請要求2016年11月30日提交的美國臨時申請案號62/428,309、2016年12月23日提交的美國臨時申請案號62/438,539、以及2017年5月5日提交的美國臨時申請案號62/502,157之優先權,將所述申請的揭露內容以其全文藉由引用如同在此寫出一樣結合在此。 This application claims US Provisional Application No. 62/428,309, filed on November 30, 2016, US Provisional Application No. 62/438,539, filed on December 23, 2016, and US Provisional Application, filed on May 5, 2017 The disclosure of the application is hereby incorporated by reference in its entirety in its entirety in its entirety in its entirety in its entirety in its entirety.

在此揭露的是具有受控粒度、增加的表觀溶劑度和增加的溶解速率的包含活性化合物他達拉非(Tadalafil)、其鹽、或其衍生物的藥物組成物,該等藥物組成物在治療勃起功能障礙、良性前列腺增生(與非那雄胺(Finasteride)或度他雄胺(Dutasteride)組合)、肺動脈高壓和杜興氏肌肉失養症中是有用的。該藥物組成物對於治療勃起功能障礙給予更早的tmax以及更快的起效。此外揭露了製造在此描述的藥物配製物之方法。 Disclosed herein are pharmaceutical compositions comprising the active compound Tadalafil, a salt thereof, or a derivative thereof, having controlled particle size, increased apparent solubility, and increased dissolution rate, such pharmaceutical compositions It is useful in the treatment of erectile dysfunction, benign prostatic hyperplasia (combined with Finasteride or Dutasteride), pulmonary hypertension, and Duchenne muscle dystrophy. The drug composition gives an earlier tmax and a faster onset of treatment for erectile dysfunction. Also disclosed are methods of making the pharmaceutical formulations described herein.

他達拉非係環磷酸鳥苷(cGMP)-特異性磷酸二酯酶類型5(PDE5)的選擇性抑制劑。他達拉非具有表示389.41的分子量的經驗式C22H19N3O4。結構式係: A selective inhibitor of tadalafil cyclic guanosine monophosphate (cGMP)-specific phosphodiesterase type 5 (PDE5). Tadalafil has an empirical formula of C 22 H 19 N 3 O 4 representing a molecular weight of 389.41. Structural system:

它係幾乎不溶於水並且極微溶於乙醇的結晶固體。 It is a crystalline solid which is hardly soluble in water and very slightly soluble in ethanol.

CIALIS(他達拉非)係作為用於口服給予的杏仁形的片劑可供使用的。每個片劑含有2.5、5、10、或20mg的他達拉非和以下非活性成分:交聯羧甲基纖維素鈉、羥丙基纖維素、羥丙甲纖維素、氧化鐵、乳糖一水合物、硬脂酸鎂、微晶纖維素、月桂基硫酸鈉、滑石、二氧化鈦、和三乙酸甘油酯。 CIALIS (Tadalafil) is available as an almond shaped tablet for oral administration. Each tablet contains 2.5, 5, 10, or 20 mg of tadalafil and the following inactive ingredients: croscarmellose sodium, hydroxypropyl cellulose, hypromellose, iron oxide, lactose Hydrate, magnesium stearate, microcrystalline cellulose, sodium lauryl sulfate, talc, titanium dioxide, and triacetin.

在單次口服劑量給予以後,所觀察到的他達拉非的血漿濃度最大值(Cmax)在30分鐘與6小時(2小時的中值時間)之間實現。沒有測定口服給藥後他達拉非的絕對生體可用率。他達拉非的吸收速率和程度不受食物影響;因此,CIALIS可以與食物一起或不與食物一起服用。 The maximum plasma concentration ( Cmax ) of tadalafil observed was achieved between 30 minutes and 6 hours (median time of 2 hours) after a single oral dose administration. The absolute bioavailability of tadalafil after oral administration was not determined. The rate and extent of absorption of tadalafil is not affected by food; therefore, CIALIS can be taken with or without food.

在2.5至20mg的劑量範圍內,他達拉非暴露(AUC)隨著健康受試者中的劑量成比例地增加。在5天的每日一次給藥內獲得穩態血漿濃度,並且暴露比單次給藥後大大約1.6倍。他達拉非主要藉由肝代謝主要藉由細胞色素P450 3A4(CYP3A4)消除。強力的CYP3A4抑制劑如利托那韋(ritonavir)或酮康唑(ketoconazole)的伴隨使用導致他達拉非AUC值的顯著增加。 In the dose range of 2.5 to 20 mg, tadalafil exposure (AUC) increases proportionally with the dose in healthy subjects. Steady-state plasma concentrations were obtained within one day of dosing for 5 days and exposure was approximately 1.6-fold greater than after single administration. Tadalafil is mainly eliminated by hepatic metabolism by cytochrome P450 3A4 (CYP3A4). The concomitant use of potent CYP3A4 inhibitors such as ritonavir or ketoconazole resulted in a significant increase in the Talaflu AUC value.

口服給予後的平均表觀分佈容積係約63L,表明他達拉非被分佈到組織中。在治療濃度下,94%的在血漿中的他達拉非結合到蛋白質上。小於0.0005%的給予劑量出現在健康受試者的精液中。 The mean apparent volume of distribution after oral administration was approximately 63 L, indicating that tadalafil was distributed into the tissue. At therapeutic concentrations, 94% of tadalafil in plasma binds to proteins. A given dose of less than 0.0005% occurs in the semen of a healthy subject.

他達拉非主要藉由CYP3A4代謝成鄰苯二酚代謝物。該鄰苯二酚代謝物經歷大量的甲基化和葡糖醛酸化以分別形成癒創木酚和癒創木酚葡糖苷酸共軛物。主要的循環代謝物係癒創木酚葡糖苷酸。癒創木酚濃度係小於10%的葡糖苷酸濃度。體外數據表明,不預期代謝物在所觀察的代謝物濃度下是藥理學活性的。 Tadalafil is mainly metabolized to catechol metabolites by CYP3A4. The catechol metabolite undergoes substantial methylation and glucuronidation to form guaiacol and guaiacol glucoside conjugates, respectively. The main circulating metabolite is guaiacol glucuronide. The guaiacol concentration is less than 10% of the glucuronide concentration. In vitro data indicate that metabolites are not expected to be pharmacologically active at the observed metabolite concentrations.

在健康受試者中,他達拉非的平均口服清除率係2.5L/hr並且平均終未半衰期係17.5小時。他達拉非主要作為代謝物主要在糞便(劑量的約61%)中並且較小程度上在尿(劑量的約36%)中排泄。 In healthy subjects, the average oral clearance for tadalafil was 2.5 L/hr and the mean final half-life was 17.5 hours. Tadalafil is mainly used as a metabolite mainly in feces (about 61% of the dose) and to a lesser extent in urine (about 36% of the dose).

圍繞他達拉非的主要醫學關注點與緩慢吸收以及具有在0.5-6小時範圍內的tmax值的可變的起效有關。 The main medical concerns surrounding tadalafil are associated with slow absorption and variable onset with tmax values in the range of 0.5-6 hours.

已經使用各種各樣的策略來嘗試克服該等問題,參見例如WO 2014125343、WO2006049986、WO2012085927、WO2006091974、WO2007027612、WO2008134557、WO2012095151、WO2014092661、WO2014125352、WO2011135426、WO2016012539、WO2013109221、WO2013109223、WO2016001143、WO2014168455、WO2014202797、WO2016021975、WO2010115886和WO2014209022。 A variety of strategies have been used to try to overcome such problems, see, for example, WO 2014125343, WO2006049986, WO2012085927, WO2006091974, WO2007027612, WO2008134557, WO2012095151, WO2014092661, WO2014125352, WO2011135426, WO2016012539, WO2013109221, WO2013109223, WO2016001143, WO2014168455, WO2014202797, WO2016021975 , WO2010115886 and WO2014209022.

在此揭露了包含以下各項的藥物組成物:選自他達拉非、其鹽或其衍生物的活性化合物;以及至少一種選自以下各項的主要藥物賦形 劑:由甘油一酸酯、甘油二酸酯和甘油三酸脂以及聚乙二醇的單-和二酯構成的聚乙二醇甘油酯(例如Gelucire 44/14),聚乙二醇(例如PEG2000、PEG6000),羥丙基纖維素(例如Klucell EF、Klucell LF),泊洛沙姆(poloxamer)(環氧乙烷和環氧丙烷嵌段的共聚物)(例如Poloxamer 407、Poloxamer 335、Poloxamer 188、Poloxamer 338),共聚維酮(乙烯基吡咯啶酮和乙酸乙烯酯的共聚物)(例如Kollidon VA64),聚(2-乙基-2-唑啉)(例如PEOX50、PEOX200、PEOX500),聚維酮(聚乙烯基吡咯啶酮,例如Plasdone K-12、PVP 40、PVP K90、PVP 10),聚乙烯基己內醯胺-聚乙酸乙烯酯-聚乙二醇接枝共聚物(例如Soluplus),聚乙二醇(polyoxyl)15羥基硬脂酸酯(例如Solutol HS15),環氧乙烷/環氧丙烷四官能嵌段共聚物(例如Tetronic 1107),胺基甲基丙烯酸酯共聚物(例如Eudragit E PO),乙酸琥珀酸羥丙基甲基纖維素(例如HPMCAS)和d-α生育酚聚乙二醇1000琥珀酸酯(TPGS);所述藥物配製物的特徵在於其具有以下特性中的至少一種:a)係在生理學相關介質中瞬間可再分散的;b)係以固體形式並且在膠體溶液和/或分散體中穩定的;c)具有至少0.7mg/mL的在水中的表觀溶度;以及d)當被分散在禁食狀態類比腸液(FaSSIF)或進食狀態類比腸液(FeSSIF)生物相關介質中時,具有至少4x10-6cm/s的PAMPA滲透性,該滲透性在至少6個月的時間內不降低。 Disclosed herein are pharmaceutical compositions comprising: an active compound selected from the group consisting of tadalafil, a salt thereof or a derivative thereof; and at least one primary pharmaceutical excipient selected from the group consisting of: monoglycerides , polyethylene diglycerides and triglycerides and polyethylene glycol glycerides composed of mono- and di-esters of polyethylene glycol (eg Gelucire 44/14), polyethylene glycol (eg PEG2000, PEG6000), hydroxypropyl Cellulose (eg Klucell EF, Klucell LF), poloxamer (copolymer of ethylene oxide and propylene oxide blocks) (eg, Poloxamer 407, Poloxamer 335, Poloxamer 188, Poloxamer 338), copolymerization Vetidone (copolymer of vinylpyrrolidone and vinyl acetate) (eg Kollidon VA64), poly(2-ethyl-2- Oxazoline) (eg PEOX50, PEOX200, PEOX500), povidone (polyvinylpyrrolidone, eg Plasdone K-12, PVP 40, PVP K90, PVP 10), polyvinyl caprolactam-polyvinyl acetate Ester-polyethylene glycol graft copolymer (eg Soluplus), polyoxyl 15 hydroxystearate (eg Solutol HS15), ethylene oxide / propylene oxide tetrafunctional block copolymer (eg Tetronic 1107), amino methacrylate copolymers (eg Eudragit E PO), hydroxypropyl methylcellulose acetate succinate (eg HPMCAS) and d-alpha tocopherol polyethylene glycol 1000 succinate (TPGS) The pharmaceutical formulation is characterized in that it has at least one of the following characteristics: a) is instantaneously redispersible in a physiologically relevant medium; b) is in a solid form and is stable in a colloidal solution and/or dispersion. ; c) having an apparent solubility in water of at least 0.7 mg/mL; and d) having at least when dispersed in a fasted analogy to intestinal fluid (FaSSIF) or a fed state analogy intestinal fluid (FeSSIF) biologically relevant medium PAMPA permeability of 4x10 -6 cm/s, which does not decrease over a period of at least 6 months.

在實施方式中,所述藥物組成物具有瞬間可再分散性、增加的表觀溶度和滲透性,該等與當前可供使用的配製物相比對於治療勃起功 能障礙提供了更快的起效。 In embodiments, the pharmaceutical composition has instant redispersibility, increased apparent solubility, and permeability, which provides a faster start to treating erectile dysfunction than currently available formulations. effect.

在實施方式中,所述複合配製物以固體形式顯示出X射線無定形特徵。 In an embodiment, the composite formulation exhibits X-ray amorphous features in solid form.

已經發現,只有在本揭露中揭露的主要藥物賦形劑和次要藥物賦形劑的所選擇的組合產生具有改進的物理化學特性和增強的生物性能的藥物組成物。 It has been found that only selected combinations of the primary and secondary pharmaceutical excipients disclosed in the present disclosure produce a pharmaceutical composition having improved physicochemical properties and enhanced biological properties.

表述他達拉非通常用於他達拉非、或其鹽或其衍生物。 The expression tadalafil is commonly used for tadalafil, or a salt thereof or a derivative thereof.

在實施方式中,所述主要藥物賦形劑選自:由甘油一酸酯、甘油二酸酯和甘油三酸脂以及聚乙二醇的單-和二酯構成的聚乙二醇甘油酯(例如Gelucire 44/14),聚乙二醇(例如PEG2000、PEG6000),羥丙基纖維素(例如Klucell EF、Klucell LF),泊洛沙姆(環氧乙烷和環氧丙烷嵌段的共聚物)(例如Poloxamer 407、Poloxamer 335、Poloxamer 188、Poloxamer 338),共聚維酮(乙烯基吡咯啶酮和乙酸乙烯酯的共聚物)(例如Kollidon VA64),聚(2-乙基-2-唑啉)(例如PEOX50、PEOX200、PEOX500),聚維酮(聚乙烯基吡咯啶酮,例如Plasdone K-12、PVP 40、PVP K90、PVP 10),聚乙烯基己內醯胺-聚乙酸乙烯酯-聚乙二醇接枝共聚物(例如Soluplus),聚乙二醇(polyoxyl)15羥基硬脂酸酯(例如Solutol HS15),環氧乙烷/環氧丙烷四官能嵌段共聚物(例如Tetronic 1107),胺基甲基丙烯酸酯共聚物(例如Eudragit E PO),乙酸琥珀酸羥丙基甲基纖維素(例如HPMCAS)和d-α生育酚聚乙二醇1000琥珀酸酯(TPGS)。 In an embodiment, the primary pharmaceutical excipient is selected from the group consisting of polyethylene glycol glycerides composed of mono- and di-glycerides of mono-, di- and triglycerides and polyethylene glycols ( For example, Gelucire 44/14), polyethylene glycol (eg PEG2000, PEG6000), hydroxypropyl cellulose (eg Klucell EF, Klucell LF), poloxamer (copolymer of ethylene oxide and propylene oxide block) (eg, Poloxamer 407, Poloxamer 335, Poloxamer 188, Poloxamer 338), copovidone (copolymer of vinylpyrrolidone and vinyl acetate) (eg Kollidon VA64), poly(2-ethyl-2-) Oxazoline) (eg PEOX50, PEOX200, PEOX500), povidone (polyvinylpyrrolidone, eg Plasdone K-12, PVP 40, PVP K90, PVP 10), polyvinyl caprolactam-polyvinyl acetate Ester-polyethylene glycol graft copolymer (eg Soluplus), polyoxyl 15 hydroxystearate (eg Solutol HS15), ethylene oxide / propylene oxide tetrafunctional block copolymer (eg Tetronic 1107), amino methacrylate copolymers (eg Eudragit E PO), hydroxypropyl methylcellulose acetate succinate (eg HPMCAS) and d-alpha tocopherol polyethylene glycol 1000 succinate (TPGS) .

在實施方式中,所述主要藥物賦形劑選自羥丙基纖維素、泊洛沙姆(環氧乙烷和環氧丙烷嵌段的共聚物)、共聚維酮(乙烯基吡咯啶酮 和乙酸乙烯酯的共聚物)、聚維酮(聚乙烯基吡咯啶酮)、聚乙烯基己內醯胺-聚乙酸乙烯酯-聚乙二醇接枝共聚物、環氧乙烷/環氧丙烷四官能嵌段共聚物、和d-α生育酚聚乙二醇1000琥珀酸酯。 In an embodiment, the primary pharmaceutical excipient is selected from the group consisting of hydroxypropyl cellulose, poloxamer (copolymer of ethylene oxide and propylene oxide blocks), copolyvidone (vinyl pyrrolidone and Copolymer of vinyl acetate), povidone (polyvinylpyrrolidone), polyvinyl caprolactam-polyvinyl acetate-polyethylene glycol graft copolymer, ethylene oxide/propylene oxide A tetrafunctional block copolymer, and d-alpha tocopherol polyethylene glycol 1000 succinate.

在實施方式中,所述主要藥物賦形劑係共聚維酮(乙烯基吡咯啶酮和乙酸乙烯酯的共聚物)。 In an embodiment, the primary pharmaceutical excipient is copovidone (a copolymer of vinylpyrrolidone and vinyl acetate).

在實施方式中,所述共聚維酮(乙烯基吡咯啶酮(VP)和乙酸乙烯酯(VA)的共聚物)的組成係VP:VA=60:40。 In an embodiment, the composition of the copolyvidone (copolymer of vinylpyrrolidone (VP) and vinyl acetate (VA)) is VP: VA = 60:40.

在實施方式中,所述藥物組成物進一步包含至少一種選自以下項的組的次要藥物賦形劑:月桂基硫酸鈉(SDS)、磺基琥珀酸二辛基鈉(DSS)、氯化十六烷基吡啶(CPC)、D-甘露醇、去氧膽酸鈉(SDC)、泊洛沙姆407和葡甲胺。 In an embodiment, the pharmaceutical composition further comprises at least one minor pharmaceutical excipient selected from the group consisting of sodium lauryl sulfate (SDS), sodium dioctyl sulfosuccinate (DSS), chlorination Cetylpyridinium (CPC), D-mannitol, sodium deoxycholate (SDC), poloxamer 407, and meglumine.

在實施方式中,所述次要藥物賦形劑係磺基琥珀酸二辛基鈉或月桂基硫酸鈉。 In an embodiment, the secondary pharmaceutical excipient is sodium dioctyl sulfosuccinate or sodium lauryl sulfate.

在實施方式中,所述次要藥物賦形劑係磺基琥珀酸二辛基鈉並且其中所述組成物藉由如圖6中示出的所述拉曼光譜進行表徵。 In an embodiment, the secondary pharmaceutical excipient is dioctyl sodium sulfosuccinate and wherein the composition is characterized by the Raman spectroscopy as shown in FIG.

在實施方式中,所述次要藥物賦形劑係月桂基硫酸鈉並且其中所述組成物藉由如圖7中示出的所述拉曼光譜進行表徵。 In an embodiment, the secondary pharmaceutical excipient is sodium lauryl sulfate and wherein the composition is characterized by the Raman spectroscopy as shown in FIG.

在實施方式中,所述藥物組成物具有在10nm與500nm之間範圍內的受控粒度。 In an embodiment, the pharmaceutical composition has a controlled particle size in the range between 10 nm and 500 nm.

在實施方式中,所述粒度係在10nm與200nm之間。 In an embodiment, the particle size is between 10 nm and 200 nm.

在實施方式中,所述藥物組成物具有至少0.7mg/mL的在水 中的表觀溶度。 In an embodiment, the pharmaceutical composition has an apparent solubility in water of at least 0.7 mg/mL.

在實施方式中,所述藥物組成物可以進一步包含一種或多種附加的活性化合物。 In embodiments, the pharmaceutical composition may further comprise one or more additional active compounds.

在實施方式中,所述附加活性化合物選自對於治療勃起功能障礙、良性前列腺增生、肺動脈高壓和杜興氏肌肉失養症有用的試劑。 In an embodiment, the additional active compound is selected from the group consisting of agents useful for treating erectile dysfunction, benign prostatic hyperplasia, pulmonary hypertension, and Duchenne muscle dystrophy.

在實施方式中,相比於Cialis®,所述藥物組成物提供用於治療勃起功能障礙的更快的起效。 In an embodiment, the pharmaceutical composition provides a faster onset of treatment for erectile dysfunction compared to Cialis®.

在實施方式中,所述藥物組成物具有在a)-d)中描述的特性中的至少兩種。 In an embodiment, the pharmaceutical composition has at least two of the characteristics described in a)-d).

在實施方式中,所述藥物組成物具有在a)-d)中描述的特性中的至少三種。 In an embodiment, the pharmaceutical composition has at least three of the characteristics described in a)-d).

在實施方式中,相比於Cialis®,所述藥物組成物具有增加的溶解速率。 In an embodiment, the pharmaceutical composition has an increased dissolution rate compared to Cialis®.

在此進一步揭露了一種包含以下各項的藥物組成物:選自他達拉非、其鹽或其衍生物的組的活性化合物;為共聚維酮(乙烯基吡咯啶酮和乙酸乙烯酯的共聚物)的至少一種主要藥物賦形劑;以及至少一種選自磺基琥珀酸二辛基鈉和月桂基硫酸鈉的次要藥物賦形劑。 Further disclosed herein is a pharmaceutical composition comprising: an active compound selected from the group consisting of tadalafil, a salt thereof or a derivative thereof; and a copolyvidone (copolymerization of vinylpyrrolidone and vinyl acetate) At least one primary pharmaceutical excipient; and at least one secondary pharmaceutical excipient selected from the group consisting of sodium dioctyl sulfosuccinate and sodium lauryl sulfate.

在實施方式中,所述共聚維酮(乙烯基吡咯啶酮(VP)-乙酸乙烯酯(VA)的共聚物)的組成係VP:VA=60:40。 In an embodiment, the composition of the copolyvidone (copolymer of vinylpyrrolidone (VP)-vinyl acetate (VA)) is VP: VA = 60:40.

在實施方式中,所述藥物組成物包含為共聚維酮(乙烯基吡咯啶酮和乙酸乙烯酯的共聚物)的主要藥物賦形劑以及為磺基琥珀酸二辛 基鈉或月桂基硫酸鈉的次要藥物賦形劑,其總量基於該藥物組成物的總重量在從約1.0重量%至約95.0重量%的範圍內。 In an embodiment, the pharmaceutical composition comprises a major pharmaceutical excipient which is a copolyvidone (a copolymer of vinylpyrrolidone and vinyl acetate) and is sodium dioctyl sulfosuccinate or sodium lauryl sulfate. The secondary pharmaceutical excipient, the total amount of which is in the range of from about 1.0% by weight to about 95.0% by weight, based on the total weight of the pharmaceutical composition.

在實施方式中,所述藥物組成物包含為共聚維酮(乙烯基吡咯啶酮和乙酸乙烯酯的共聚物)的主要藥物賦形劑以及為磺基琥珀酸二辛基鈉或月桂基硫酸鈉的次要藥物賦形劑,其總量基於該藥物組成物的總重量在從約50.0重量%至約95.0重量%的範圍內。 In an embodiment, the pharmaceutical composition comprises a major pharmaceutical excipient which is a copolyvidone (a copolymer of vinylpyrrolidone and vinyl acetate) and is sodium dioctyl sulfosuccinate or sodium lauryl sulfate. The secondary pharmaceutical excipient, the total amount of which is in the range of from about 50.0% by weight to about 95.0% by weight, based on the total weight of the pharmaceutical composition.

在此進一步揭露一種用於製備所述藥物組成物的方法,該方法包括以下步驟:在藥學上可接受的溶劑中溶解他達拉非、其鹽、或其衍生物,以及至少一種選自以下各項的主要藥物賦形劑:由甘油一酸酯、甘油二酸酯和甘油三酸脂以及聚乙二醇的單-和二酯構成的聚乙二醇甘油酯(例如Gelucire 44/14),聚乙二醇(例如PEG2000、PEG6000),羥丙基纖維素(例如Klucell EF、Klucell LF),泊洛沙姆(環氧乙烷和環氧丙烷嵌段的共聚物)(例如Poloxamer 407、Poloxamer 335、Poloxamer 188、Poloxamer 338),共聚維酮(乙烯基吡咯啶酮和乙酸乙烯酯的共聚物)(例如Kollidon VA64),聚(2-乙基-2-唑啉)(例如PEOX50、PEOX200、PEOX500),聚維酮(聚乙烯基吡咯啶酮,例如Plasdone K-12、PVP 40、PVP K90、PVP 10),聚乙烯基己內醯胺-聚乙酸乙烯酯-聚乙二醇接枝共聚物(例如Soluplus),聚乙二醇(polyoxyl)15羥基硬脂酸酯(例如Solutol HS15),環氧乙烷/環氧丙烷四官能嵌段共聚物(例如Tetronic 1107),胺基甲基丙烯酸酯共聚物(例如Eudragit E PO),乙酸琥珀酸羥丙基甲基纖維素(例如HPMCAS)和d-α生育酚聚乙二醇1000琥珀酸酯(TPGS),並且與在藥學上可接受的溶劑混合物中視情況含有至少一種次要藥物賦形劑的水溶液混合,該至少一種次要藥物賦形劑選自以下項的組:月桂基硫酸鈉(SDS)、磺基琥珀酸二辛基 鈉(DSS)、氯化十六烷基吡啶(CPC)、D-甘露醇、去氧膽酸鈉(SDC)、泊洛沙姆407和葡甲胺。 Further disclosed herein is a method for preparing the pharmaceutical composition, the method comprising the steps of: dissolving tadalafil, a salt thereof, or a derivative thereof in a pharmaceutically acceptable solvent, and at least one selected from the group consisting of The main pharmaceutical excipients: polyethylene glycol glycerides consisting of mono- and di-glycerides of mono-, di- and triglycerides and polyethylene glycols (eg Gelucire 44/14) , polyethylene glycol (eg PEG2000, PEG6000), hydroxypropyl cellulose (eg Klucell EF, Klucell LF), poloxamer (copolymer of ethylene oxide and propylene oxide blocks) (eg Poloxamer 407, Poloxamer 335, Poloxamer 188, Poloxamer 338), copovidone (copolymer of vinylpyrrolidone and vinyl acetate) (eg Kollidon VA64), poly(2-ethyl-2- Oxazoline) (eg PEOX50, PEOX200, PEOX500), povidone (polyvinylpyrrolidone, eg Plasdone K-12, PVP 40, PVP K90, PVP 10), polyvinyl caprolactam-polyvinyl acetate Ester-polyethylene glycol graft copolymer (eg Soluplus), polyoxyl 15 hydroxystearate (eg Solutol HS15), ethylene oxide / propylene oxide tetrafunctional block copolymer (eg Tetronic 1107), amino methacrylate copolymers (eg Eudragit E PO), hydroxypropyl methylcellulose acetate succinate (eg HPMCAS) and d-alpha tocopherol polyethylene glycol 1000 succinate (TPGS) And mixed with an aqueous solution optionally containing at least one secondary pharmaceutical excipient in a pharmaceutically acceptable solvent mixture selected from the group consisting of sodium lauryl sulfate (SDS), Dioctyl sodium sulfosuccinate (DSS), cetylpyridinium chloride (CPC), D-mannitol, sodium deoxycholate (SDC), poloxamer 407 and meglumine.

在實施方式中,所述主要藥物賦形劑係共聚維酮(乙烯基吡咯啶酮和乙酸乙烯酯的共聚物)。 In an embodiment, the primary pharmaceutical excipient is copovidone (a copolymer of vinylpyrrolidone and vinyl acetate).

在實施方式中,所述次要藥物賦形劑係月桂基硫酸鈉(SDS)或磺基琥珀酸二辛基鈉(DSS)。 In an embodiment, the secondary pharmaceutical excipient is sodium lauryl sulfate (SDS) or sodium dioctyl sulfosuccinate (DSS).

在實施方式中,他達拉非、其鹽或衍生物和至少一種主要藥物賦形劑的所述藥學上可接受的溶液使用選自以下各項的藥學上可接受的溶劑來製備:甲醇、乙醇、1-丙醇、2-丙醇、丙酮、乙腈、二甲亞碸、四氫呋喃、甲基乙基酮或其組合。 In embodiments, the pharmaceutically acceptable solution of tadalafil, a salt or derivative thereof, and at least one primary pharmaceutical excipient is prepared using a pharmaceutically acceptable solvent selected from the group consisting of methanol, Ethanol, 1-propanol, 2-propanol, acetone, acetonitrile, dimethyl hydrazine, tetrahydrofuran, methyl ethyl ketone or a combination thereof.

在實施方式中,所述藥學上可接受的溶劑混合物係選自以下各項的藥學上可接受的溶劑和水的溶劑混合物:甲醇、乙醇、1-丙醇、2-丙醇、丙酮、乙腈、二甲亞碸、四氫呋喃、甲基乙基酮或其組合。 In an embodiment, the pharmaceutically acceptable solvent mixture is selected from the group consisting of a pharmaceutically acceptable solvent and a solvent mixture of water: methanol, ethanol, 1-propanol, 2-propanol, acetone, acetonitrile , dimethyl hydrazine, tetrahydrofuran, methyl ethyl ketone or a combination thereof.

在實施方式中,所述藥學上可接受的溶劑係四氫呋喃。 In an embodiment, the pharmaceutically acceptable solvent is tetrahydrofuran.

在實施方式中,所述藥學上可接受的溶液和所述水溶液係彼此可混溶的。 In an embodiment, the pharmaceutically acceptable solution and the aqueous solution are miscible with each other.

在實施方式中,所述藥學上可接受的溶劑係與水可混溶的。 In an embodiment, the pharmaceutically acceptable solvent is water miscible.

在實施方式中,所述水溶液占最終溶液的0.1%至99.9%重量。 In an embodiment, the aqueous solution comprises from 0.1% to 99.9% by weight of the final solution.

在實施方式中,所述水溶液占最終溶液的50%至90%重量。 In an embodiment, the aqueous solution comprises from 50% to 90% by weight of the final solution.

在實施方式中,所述水溶液占最終溶液的50%至80%重量。 In an embodiment, the aqueous solution comprises from 50% to 80% by weight of the final solution.

在實施方式中,所述水溶液占最終溶液的50%至70%重量。 In an embodiment, the aqueous solution comprises from 50% to 70% by weight of the final solution.

在實施方式中,所述水溶液占最終溶液的50%至60%重量。 In an embodiment, the aqueous solution comprises from 50% to 60% by weight of the final solution.

在實施方式中,所述水溶液占最終溶液的45%至55%重量。 In an embodiment, the aqueous solution comprises from 45% to 55% by weight of the final solution.

在實施方式中,所述水溶液占最終溶液的50%重量。 In an embodiment, the aqueous solution comprises 50% by weight of the final solution.

在實施方式中,所述水溶液占最終溶液的5%至45%重量。 In an embodiment, the aqueous solution comprises from 5% to 45% by weight of the final solution.

在實施方式中,所述水溶液占最終溶液的5%至35%重量。 In an embodiment, the aqueous solution comprises from 5% to 35% by weight of the final solution.

在實施方式中,所述水溶液占最終溶液的5%至25%重量。 In an embodiment, the aqueous solution comprises from 5% to 25% by weight of the final solution.

在實施方式中,所述藥學上可接受的溶劑占該藥學上可接受的溶劑混合物的0.1%至99.9%重量。 In an embodiment, the pharmaceutically acceptable solvent comprises from 0.1% to 99.9% by weight of the pharmaceutically acceptable solvent mixture.

在實施方式中,所述藥學上可接受的溶劑占該藥學上可接受的溶劑混合物的50%至90%重量。 In embodiments, the pharmaceutically acceptable solvent comprises from 50% to 90% by weight of the pharmaceutically acceptable solvent mixture.

在實施方式中,所述藥學上可接受的溶劑占該藥學上可接受的溶劑混合物的50%至80%重量。 In embodiments, the pharmaceutically acceptable solvent comprises from 50% to 80% by weight of the pharmaceutically acceptable solvent mixture.

在實施方式中,所述藥學上可接受的溶劑占該藥學上可接受的溶劑混合物的50%至70%重量。 In an embodiment, the pharmaceutically acceptable solvent comprises from 50% to 70% by weight of the pharmaceutically acceptable solvent mixture.

在實施方式中,所述藥學上可接受的溶劑占該藥學上可接受的溶劑混合物的50%至60%重量。 In embodiments, the pharmaceutically acceptable solvent comprises from 50% to 60% by weight of the pharmaceutically acceptable solvent mixture.

在實施方式中,所述藥學上可接受的溶劑占該藥學上可接受的溶劑混合物的45%至55%重量。 In embodiments, the pharmaceutically acceptable solvent comprises from 45% to 55% by weight of the pharmaceutically acceptable solvent mixture.

在實施方式中,所述藥學上可接受的溶劑占該藥學上可接受 的溶劑混合物的50%重量。 In an embodiment, the pharmaceutically acceptable solvent comprises 50% by weight of the pharmaceutically acceptable solvent mixture.

在實施方式中,所述藥學上可接受的溶劑占該藥學上可接受的溶劑混合物的5%至45%重量。 In an embodiment, the pharmaceutically acceptable solvent comprises from 5% to 45% by weight of the pharmaceutically acceptable solvent mixture.

在實施方式中,所述藥學上可接受的溶劑占該藥學上可接受的溶劑混合物的5%至35%重量。 In an embodiment, the pharmaceutically acceptable solvent comprises from 5% to 35% by weight of the pharmaceutically acceptable solvent mixture.

在實施方式中,所述藥學上可接受的溶劑占該藥學上可接受的溶劑混合物的5%至25%重量。 In an embodiment, the pharmaceutically acceptable solvent comprises from 5% to 25% by weight of the pharmaceutically acceptable solvent mixture.

在實施方式中,所述藥物組成物可以包含附加的藥學上可接受的賦形劑。 In embodiments, the pharmaceutical composition may comprise additional pharmaceutically acceptable excipients.

在實施方式中,所述藥物組成物適合用於經口、肺、直腸、結腸、腸胃外、腦池內、陰道內、腹膜內、眼睛、耳、局部(local)、頰、鼻、或外部(topical)給予。 In embodiments, the pharmaceutical composition is suitable for oral, pulmonary, rectal, colonic, parenteral, intracisternal, intravaginal, intraperitoneal, ocular, aural, local, buccal, nasal, or external (topical) giving.

在實施方式中,所述藥物組成物適合於口服給予。 In an embodiment, the pharmaceutical composition is suitable for oral administration.

在實施方式中,將所述藥物組成物用於製造用來治療勃起功能障礙、良性前列腺增生、肺動脈高壓和杜興氏肌肉失養症的藥劑。 In an embodiment, the pharmaceutical composition is used to manufacture an agent for treating erectile dysfunction, benign prostatic hyperplasia, pulmonary hypertension, and Duchenne muscle dystrophy.

在實施方式中,所述藥物組成物用於治療勃起功能障礙、良性前列腺增生、肺動脈高壓和杜興氏肌肉失養症。 In an embodiment, the pharmaceutical composition is for treating erectile dysfunction, benign prostatic hyperplasia, pulmonary hypertension, and Duchenne muscle dystrophy.

在此揭露了一種治療勃起功能障礙、良性前列腺增生、肺動脈高壓和杜興氏肌肉失養症之方法,該方法包括給予治療有效量的如在此描述的藥物組成物。 A method of treating erectile dysfunction, benign prostatic hyperplasia, pulmonary hypertension, and Duchenne muscle dystrophy is disclosed herein, the method comprising administering a therapeutically effective amount of a pharmaceutical composition as described herein.

在實施方式中,用於減少他達拉非的治療有效劑量(與可商 購的Cialis相比)的方法包括口服給予如在此描述的藥物組成物。 In an embodiment, a method for reducing a therapeutically effective dose of tadalafil (compared to commercially available Cialis) comprises orally administering a pharmaceutical composition as described herein.

在此進一步揭露的是一種穩定的藥物組成物,其包含a.按重量計10%-40%的他達拉非、其鹽、或其衍生物;b.按重量計35%-70%的共聚維酮(乙烯基吡咯啶酮和乙酸乙烯酯的共聚物);以及c.按重量計5%-50%的磺基琥珀酸二辛基鈉或月桂基硫酸鈉其中所述藥物配製物具有在10nm與500nm之間範圍內的受控的粒度;並且其中所述藥物組成物不能藉由研磨法、高壓均化法或封裝(encapsulation)法製備。 Further disclosed herein is a stable pharmaceutical composition comprising a. 10% to 40% by weight of tadalafil, a salt thereof, or a derivative thereof; b. 35% to 70% by weight Copolyvidone (copolymer of vinylpyrrolidone and vinyl acetate); and c. 5% to 50% by weight of sodium dioctyl sulfosuccinate or sodium lauryl sulfate wherein the pharmaceutical formulation has A controlled particle size in the range between 10 nm and 500 nm; and wherein the drug composition cannot be prepared by a grinding method, a high pressure homogenization method, or an encapsulation method.

在實施方式中,所述粒度係在10nm與200nm之間。 In an embodiment, the particle size is between 10 nm and 200 nm.

在實施方式中,與Cialis®相比,所述藥物組成物顯示出顯著改進的暴露、更早的tmax、和更高的Cmax,這將允許劑量的降低並且提供更快的起效。 In the embodiment, as compared with Cialis®, the pharmaceutical composition exhibited significantly improved exposure earlier t max, and higher C max, which will allow a reduced dose and provide faster onset of action.

在實施方式中,與Cialis®相比,所述藥物組成物具有更快的起效。 In an embodiment, the pharmaceutical composition has a faster onset of action than Cialis®.

在實施方式中,所述藥物組成物係在生理學相關介質中瞬間可再分散的。 In an embodiment, the pharmaceutical composition is instantly redispersible in a physiologically relevant medium.

在實施方式中,所述藥物組成物係以固體形式並且在膠體溶液和/或分散體中穩定的。 In an embodiment, the pharmaceutical composition is in solid form and is stable in a colloidal solution and/or dispersion.

在實施方式中,所述藥物組成物具有至少0.7mg/mL的在水中的表觀溶度。 In an embodiment, the pharmaceutical composition has an apparent solubility in water of at least 0.7 mg/mL.

在實施方式中,他達拉非顯示出在所述藥物組成物中的X射線無定形特徵。 In an embodiment, tadalafil exhibits an X-ray amorphous character in the pharmaceutical composition.

在實施方式中,當被分散在水、FaSSIF或FeSSIF生物相關介質中時,所述藥物組成物具有至少4x10-6cm/s的PAMPA滲透性,該滲透性在至少6個月的時間內不降低。 In embodiments, when dispersed in a water, FaSSIF or FeSSIF bio-related medium, the pharmaceutical composition has a PAMPA permeability of at least 4 x 10 -6 cm/s, the permeability not being for at least 6 months reduce.

在實施方式中,含有共聚維酮(乙烯基吡咯啶酮和乙酸乙烯酯的共聚物)和磺基琥珀酸二辛基鈉的所述藥物組成物藉由圖6中所示出的拉曼光譜進行表徵。 In an embodiment, the pharmaceutical composition comprising copolyvidone (copolymer of vinylpyrrolidone and vinyl acetate) and sodium dioctyl sulfosuccinate is represented by the Raman spectrum shown in FIG. Characterize.

在實施方式中,含有共聚維酮(乙烯基吡咯啶酮和乙酸乙烯酯的共聚物)和月桂基硫酸鈉的所述藥物組成物藉由如圖7中所示出的拉曼光譜進行表徵。 In an embodiment, the pharmaceutical composition comprising copovidone (copolymer of vinylpyrrolidone and vinyl acetate) and sodium lauryl sulfate is characterized by Raman spectroscopy as shown in FIG.

在一些實施方式中,所述藥物組成物可以額外包括一種或多種藥物賦形劑、輔助材料、載體、活性劑或其組合。 In some embodiments, the pharmaceutical composition may additionally include one or more pharmaceutical excipients, auxiliary materials, carriers, active agents, or a combination thereof.

在一些實施方式中,活性化合物可以包括對於治療勃起功能障礙、良性前列腺增生、肺動脈高壓和杜興氏肌肉失養症有用的活性化合物。 In some embodiments, the active compound can include active compounds useful for treating erectile dysfunction, benign prostatic hyperplasia, pulmonary hypertension, and Duchenne muscle dystrophy.

在一些實施方式中,該藥物組成物的複雜結構不同於核-殼型研磨顆粒、沈澱的包封顆粒和膠束。 In some embodiments, the complex structure of the pharmaceutical composition is different from core-shell abrasive particles, precipitated encapsulated particles, and micelles.

可以配製該藥物組成物:(a)用於選自下組的給予,該組由以下各項組成:經口、肺、直腸、結腸、腸胃外、腦池內、陰道內、腹膜 內、眼睛、耳、局部、頰、鼻、和外部給予;(b)成為選自下組的劑型,該組由以下各項組成:液體分散體、凝膠、氣溶膠、軟膏、乳膏、凍乾的配製物、囊劑(sachet)、片劑、膠囊;(c)成為選自下組的劑型,該組由以下各項組成:快速釋放配製物、控制釋放配製物、快速熔化配製物、延遲釋放配製物、延長釋放配製物、脈動釋放配製物、以及混合的立即釋放和控制釋放配製物;或者(d)(a)、(b)和(c)的任何組合。 The pharmaceutical composition can be formulated: (a) for administration selected from the group consisting of oral, pulmonary, rectal, colonic, parenteral, intracisternal, intravaginal, intraperitoneal, and ocular. , ear, topical, buccal, nasal, and external; (b) a dosage form selected from the group consisting of liquid dispersions, gels, aerosols, ointments, creams, lyophilized Formulations, sachets, tablets, capsules; (c) a dosage form selected from the group consisting of rapid release formulations, controlled release formulations, fast melt formulations, delayed release Formulations, extended release formulations, pulsatile release formulations, and mixed immediate release and controlled release formulations; or (d) any combination of (a), (b), and (c).

該藥物組成物可以藉由加入不同類型的藥物賦形劑來配製用於以固體、液體口服給予;局部(粉末、軟膏或滴劑);或外部給予等。 The pharmaceutical composition can be formulated for oral administration as a solid or liquid by addition of different types of pharmaceutical excipients; topical (powder, ointment or drops); or external administration.

在實施方式中,儘管可以利用任何藥學上可接受的劑型,該藥物劑型係固體劑型。 In embodiments, the pharmaceutical dosage form is a solid dosage form, although any pharmaceutically acceptable dosage form can be utilized.

用於口服給予的固體劑型包括但不限於膠囊、片劑、丸劑、粉劑(囊劑)、和顆粒劑。在此類固體劑型中,將該藥物配製物與以下項中的至少一項混合:一種或多種惰性賦形劑(或載體):(a)填充劑或增量劑,如,乳糖、蔗糖、葡萄糖、甘露醇、山梨醇、右旋糖、葡萄糖結合劑、糊精、赤藻糖醇、果糖、異麥芽酮糖醇、乳糖醇、麥芽糖醇、麥芽糖、麥芽糖糊精、海藻糖、木糖醇、澱粉、微晶纖維素、磷酸二鈣、碳酸鈣、碳酸鎂、氧化鎂;(b)甜味劑、調味劑和芳香劑,如,糖精、糖精鈉、乙醯磺胺酸鉀、阿力甜(alitame)、阿斯巴甜(aspartame)、甘胺酸、菊粉、新橙皮苷二氫查耳酮(neohesperidin dihydrochalcone)、紐甜(neotame)、環己胺基磺酸鈉、三氯蔗糖(sucralose)、塔格糖(tagatose)、索馬甜(thaumatin)、檸檬酸、己二酸、富馬酸、亮胺酸、蘋果酸、薄荷醇、丙酸、酒石酸; (c)黏合劑,如纖維素衍生物、丙烯酸衍生物、海藻酸鹽、明膠、聚乙烯基吡咯啶酮、澱粉衍生物、右旋糖、葡萄糖結合劑、糊精、麥芽糖、麥芽糖糊精;(d)崩散劑,如交聚維酮、泡騰組成物(effervescent composition)、交聯羧甲基纖維素鈉和其他纖維素衍生物、澱粉乙醇酸鈉和其他澱粉衍生物、海藻酸、某些藥物矽酸鹽和碳酸鈉;(e)溶液阻滯劑,如丙烯酸酯、纖維素衍生物、石蠟;(f)吸收促進劑,如季銨化合物;(g)潤濕劑,如聚山梨醇酯、十六醇和單硬脂酸甘油酯;(h)潤滑劑,如滑石、硬脂酸和其衍生物、固體聚乙二醇、月桂基硫酸鈉、二十二酸甘油酯、中鏈甘油三酸脂或其混合物。對於膠囊、片劑、囊劑和丸劑,該等劑型還可以包含緩衝劑。 Solid dosage forms for oral administration include, but are not limited to, capsules, tablets, pills, powders (capsules), and granules. In such a solid dosage form, the pharmaceutical formulation is mixed with at least one of the following: one or more inert excipients (or carriers): (a) a filler or extender, eg, lactose, sucrose, Glucose, mannitol, sorbitol, dextrose, glucose binder, dextrin, erythritol, fructose, isomalt, lactitol, maltitol, maltose, maltodextrin, trehalose, xylose Alcohol, starch, microcrystalline cellulose, dicalcium phosphate, calcium carbonate, magnesium carbonate, magnesium oxide; (b) sweeteners, flavoring agents and aromatics, such as saccharin, sodium saccharin, potassium sulfamate, Ali Sweet (alitame), aspartame, glycine, inulin, neohesperidin dihydrochalcone, neotame, sodium cyclohexyl sulfonate, trichloro Sucralose, tagatose, thaumatin, citric acid, adipic acid, fumaric acid, leucine, malic acid, menthol, propionic acid, tartaric acid; (c) binder Such as cellulose derivatives, acrylic acid derivatives, alginates, gelatin, polyvinylpyrrolidone, Powder derivatives, dextrose, glucose binder, dextrin, maltose, maltodextrin; (d) disintegrating agents, such as crospovidone, effervescent composition, croscarmellose sodium And other cellulose derivatives, sodium starch glycolate and other starch derivatives, alginic acid, certain drug citrates and sodium carbonate; (e) solution blockers, such as acrylates, cellulose derivatives, paraffin; f) absorption enhancers such as quaternary ammonium compounds; (g) wetting agents such as polysorbates, cetyl alcohol and glyceryl monostearate; (h) lubricants such as talc, stearic acid and derivatives thereof , solid polyethylene glycol, sodium lauryl sulfate, glutamic acid ester, medium chain triglyceride or a mixture thereof. For capsules, tablets, sachets and pills, the dosage forms may also contain buffering agents.

在實施方式中,本發明的劑型係液體可分散的顆粒劑、囊劑、液體可分散的片劑、口服可分散的片劑、口腔溶解片劑、咀嚼片劑和立即釋放(IR)片劑。 In an embodiment, the dosage form of the invention is a liquid dispersible granule, a sachet, a liquid dispersible tablet, an orally dispersible tablet, an orally dissolvable tablet, a chewable tablet, and an immediate release (IR) tablet. .

在實施方式中,所述液體可分散的顆粒劑、囊劑、液體可分散的片劑、口服可分散的片劑、口腔溶解片劑、咀嚼片劑和立即釋放片劑包含本發明的藥物配製物連同選自填充劑或增量劑的組的藥學上可接受的賦形劑,如乳糖、蔗糖、葡萄糖、甘露醇、山梨醇、右旋糖、葡萄糖結合劑、糊精、赤藻糖醇、果糖、異麥芽酮糖醇、乳糖醇、麥芽糖醇、麥芽糖、麥芽糖糊精、海藻糖、木糖醇、澱粉、微晶纖維素、磷酸二鈣、碳酸鈣、碳酸鎂、氧化鎂。 In an embodiment, the liquid dispersible granules, sachets, liquid dispersible tablets, orally dispersible tablets, orally dissolvable tablets, chewable tablets, and immediate release tablets comprise the pharmaceutical formulation of the present invention. a pharmaceutically acceptable excipient together with a group selected from a filler or a bulking agent, such as lactose, sucrose, glucose, mannitol, sorbitol, dextrose, glucose binder, dextrin, erythritol , fructose, isomalt, lactitol, maltitol, maltose, maltodextrin, trehalose, xylitol, starch, microcrystalline cellulose, dicalcium phosphate, calcium carbonate, magnesium carbonate, magnesium oxide.

在實施方式中,所述液體可分散的顆粒劑、囊劑、液體可分 散的片劑、口服可分散的片劑、口腔溶解片劑、咀嚼片劑(chewing tablet)和立即釋放(IR)片劑包含本發明的藥物配製物連同選自甜味劑、調味劑和芳香劑的組的藥學上可接受的賦形劑,如,糖精、糖精鈉、乙醯磺胺酸鉀、阿力甜、阿斯巴甜、甘胺酸、菊粉、新橙皮苷二氫查耳酮、紐甜、環己胺基磺酸鈉、三氯蔗糖、塔格糖、索馬甜、檸檬酸、己二酸、富馬酸、亮胺酸、蘋果酸、薄荷醇、丙酸、酒石酸。 In an embodiment, the liquid dispersible granules, capsules, liquid dispersible tablets, orally dispersible tablets, orally dissolvable tablets, chewing tablets, and immediate release (IR) tablets The medicament comprises a pharmaceutical formulation of the invention together with a pharmaceutically acceptable excipient selected from the group consisting of a sweetener, a flavoring agent and a fragrance, such as saccharin, sodium saccharin, potassium sulfamate, alitame, ar Spartame, glycine, inulin, neohesperidin dihydrochalcone, neotame, sodium cyclohexyl sulfonate, sucralose, tagatose, thaumatin, citric acid, adipic acid , fumaric acid, leucine, malic acid, menthol, propionic acid, tartaric acid.

在此進一步揭露了液體可分散的顆粒劑、囊劑、液體可分散的片劑、口服可分散的片劑、口腔溶解片劑、咀嚼片劑和立即釋放片劑,其包含a.25%-95%的本發明的穩定的藥物配製物;b.5%-75%的填充劑或增量劑;c.0.5%-25%的黏合劑;d.0.1%-5%的甜味劑、調味劑和芳香劑;其中所述液體可分散的顆粒劑、囊劑、液體可分散的片劑、口服可分散的片劑、口腔溶解片劑、咀嚼片劑和立即釋放片劑在10min內分散在液體或生物相關的介質或胃酸中。 Further disclosed herein are liquid dispersible granules, sachets, liquid dispersible tablets, orally dispersible tablets, orally dissolvable tablets, chewable tablets, and immediate release tablets, which comprise a.25%- 95% of a stable pharmaceutical formulation of the invention; b. 5%-75% filler or extender; c. 0.5%-25% binder; d. 0.1%-5% sweetener, Flavoring and perfuming agents; wherein the liquid dispersible granules, sachets, liquid dispersible tablets, orally dispersible tablets, orally dissolvable tablets, chewable tablets, and immediate release tablets are dispersed within 10 minutes In liquid or biologically relevant media or stomach acid.

在實施方式中,所述分散時間係在0.1min與10min之間。 In an embodiment, the dispersion time is between 0.1 min and 10 min.

在實施方式中,所述分散時間係在0.1min與5min之間。 In an embodiment, the dispersion time is between 0.1 min and 5 min.

在實施方式中,所述分散時間係在0.1min與3min之間。 In an embodiment, the dispersion time is between 0.1 min and 3 min.

在實施方式中,所述分散時間係在0.1min與1min之間。 In an embodiment, the dispersion time is between 0.1 min and 1 min.

在實施方式中,本發明的藥物配製物的所述劑型的豪斯納比 率(Hausner-ratio)係小於1.25。 In an embodiment, the dosage form of the pharmaceutical formulation of the invention has a Hausner-ratio of less than 1.25.

在實施方式中,本發明的藥物配製物的所述劑型的豪斯納比率係在1.00與1.11之間。 In an embodiment, the dosage form of the dosage form of the pharmaceutical formulation of the invention has a Hausner ratio between 1.00 and 1.11.

在實施方式中,該等藥物配製物的所述顆粒劑的粒度(D(90))係小於2000微米。 In embodiments, the granules of the pharmaceutical formulations have a particle size (D(90)) of less than 2000 microns.

在實施方式中,藥物配製物的所述顆粒劑的60%-80%係在低於800微米的尺寸範圍內。 In embodiments, from 60% to 80% of the granules of the pharmaceutical formulation are in a size range below 800 microns.

在實施方式中,所述液體係水、唾液、其他生理上或生物學上可接受的流體或液體。 In embodiments, the liquid system is water, saliva, other physiologically or biologically acceptable fluids or liquids.

在實施方式中,本發明的劑型係液體可分散的顆粒劑、囊劑、液體可分散的片劑、口服可分散的片劑、口腔溶解片劑、咀嚼片劑和立即釋放片劑。 In an embodiment, the dosage form of the invention is a liquid dispersible granule, a sachet, a liquid dispersible tablet, an orally dispersible tablet, an orally dissolvable tablet, a chewable tablet, and an immediate release tablet.

在實施方式中,所述液體可分散的顆粒劑、囊劑、液體可分散的片劑、口服可分散的片劑、口腔溶解片劑、咀嚼片劑和立即釋放片劑包含本發明的藥物配製物連同選自填充劑或增量劑的組的藥學上可接受的賦形劑,如,乳糖、蔗糖、葡萄糖、甘露醇、山梨醇、右旋糖、葡萄糖結合劑、糊精、赤藻糖醇、果糖、異麥芽酮糖醇、乳糖醇、麥芽糖醇、麥芽糖、麥芽糖糊精、海藻糖、木糖醇、碳酸鈣、乳酸鈣、磷酸鈣、矽酸鈣、硫酸鈣、粉末狀纖維素、微晶纖維素、矽化微晶纖維素、玉米澱粉、預凝膠化玉米澱粉、富馬酸、碳酸鎂、氧化鎂、聚甲基丙烯酸酯(polymethacrilate)、氯化鈉、滑石、氧化鋁、矽酸鎂鋁、膠體二氧化矽。 In an embodiment, the liquid dispersible granules, sachets, liquid dispersible tablets, orally dispersible tablets, orally dissolvable tablets, chewable tablets, and immediate release tablets comprise the pharmaceutical formulation of the present invention. a pharmaceutically acceptable excipient together with a group selected from a filler or a bulking agent, such as lactose, sucrose, glucose, mannitol, sorbitol, dextrose, glucose binder, dextrin, erythrelose Alcohol, fructose, isomalt, lactitol, maltitol, maltose, maltodextrin, trehalose, xylitol, calcium carbonate, calcium lactate, calcium phosphate, calcium citrate, calcium sulfate, powdered cellulose , microcrystalline cellulose, deuterated microcrystalline cellulose, corn starch, pregelatinized corn starch, fumaric acid, magnesium carbonate, magnesium oxide, polymethacrilate, sodium chloride, talc, alumina, Magnesium aluminum silicate, colloidal cerium oxide.

在實施方式中,所述液體可分散的顆粒劑、囊劑、液體可分 散的片劑、口服可分散的片劑、口腔溶解片劑、咀嚼片劑和立即釋放片劑包含本發明的藥物配製物連同選自溶解改性劑的組的藥學上可接受的賦形劑,如,羧甲基纖維素鈉、羥丙甲纖維素、羥丙甲纖維素乙醯基琥珀酸酯、交聚維酮、環糊精、瓊脂、海藻酸、卡波姆(carbomer)、巴西棕櫚蠟、角叉菜膠、瓜爾膠、羥丙基纖維素、羥丙甲纖維素鄰苯二甲酸酯、甲基纖維素、波拉克林鉀、聚氧化乙烯、聚氧甘油酯(polyoxylglyceride)、聚乙烯醇、乙酸鈉、海藻酸鈉、透明質酸鈉、黃原膠、聚卡波非(polycarbophil)、十六醇、殼聚糖。 In an embodiment, the liquid dispersible granules, sachets, liquid dispersible tablets, orally dispersible tablets, orally dissolvable tablets, chewable tablets, and immediate release tablets comprise the pharmaceutical formulation of the present invention. a pharmaceutically acceptable excipient together with a group selected from the group consisting of a dissolution modifier, such as sodium carboxymethylcellulose, hypromellose, hypromellose ethyl sulfosuccinate, cross-linked Ketones, cyclodextrins, agar, alginic acid, carbomer, carnauba wax, carrageenan, guar gum, hydroxypropyl cellulose, hypromellose phthalate, A Cellulose, Potassin potassium, polyethylene oxide, polyoxylglyceride, polyvinyl alcohol, sodium acetate, sodium alginate, sodium hyaluronate, xanthan gum, polycarbophil, ten Hexaol, chitosan.

在實施方式中,所述液體可分散的顆粒劑、囊劑、液體可分散的片劑、口服可分散的片劑、口腔溶解片劑、咀嚼片劑和立即釋放片劑包含本發明的藥物配製物連同選自甜味劑、調味劑和芳香劑的組的藥學上可接受的賦形劑,如,糖精、糖精鈉、乙醯磺胺酸鉀、阿力甜、阿斯巴甜、甘胺酸、菊粉、新橙皮苷二氫查耳酮、紐甜、環己胺基磺酸鈉、三氯蔗糖、塔格糖、索馬甜、檸檬酸、己二酸、富馬酸、亮胺酸、蘋果酸、薄荷醇、丙酸、酒石酸。 In an embodiment, the liquid dispersible granules, sachets, liquid dispersible tablets, orally dispersible tablets, orally dissolvable tablets, chewable tablets, and immediate release tablets comprise the pharmaceutical formulation of the present invention. And a pharmaceutically acceptable excipient selected from the group consisting of a sweetener, a flavoring agent, and a fragrance, such as saccharin, sodium saccharin, potassium sulfamate, alitame, aspartame, glycine , inulin, neohesperidin dihydrochalcone, neotame, sodium cyclohexyl sulfonate, sucralose, tagatose, thaumatin, citric acid, adipic acid, fumaric acid, leucine Acid, malic acid, menthol, propionic acid, tartaric acid.

在此進一步揭露了液體可分散的顆粒劑、囊劑、液體可分散的片劑、口服可分散的片劑、口腔溶解片劑、咀嚼片劑和立即釋放片劑,其包含a.25%-95%的本發明的穩定的藥物配製物;b.0.5%-75%的填充劑或增量劑,如乳糖、蔗糖、葡萄糖、甘露醇、山梨醇、右旋糖、葡萄糖結合劑、糊精、赤藻糖醇、果糖、異麥芽酮糖醇、乳糖醇、麥芽糖醇、麥芽糖、麥芽糖糊精、海藻糖、木糖醇、碳酸鈣、乳酸鈣、磷酸鈣、矽酸鈣、硫酸鈣、粉末狀纖維素、微晶纖維素、矽化微晶 纖維素、玉米澱粉、預凝膠化玉米澱粉、富馬酸、碳酸鎂、氧化鎂、聚甲基丙烯酸酯、氯化鈉、滑石、氧化鋁、矽酸鎂鋁、膠體二氧化矽;c.0.5%-25%的溶解改性劑,如,羧甲基纖維素鈉、羥丙甲纖維素、羥丙甲纖維素乙醯基琥珀酸酯、交聚維酮、環糊精、瓊脂、海藻酸、卡波姆、巴西棕櫚蠟、角叉菜膠、瓜爾膠、羥丙基纖維素、羥丙甲纖維素鄰苯二甲酸酯、甲基纖維素、波拉克林鉀、聚氧化乙烯、聚氧甘油酯、聚乙烯醇、乙酸鈉、海藻酸鈉、透明質酸鈉、黃原膠、聚卡波非、十六醇、殼聚糖;d.0.1%-5%的甜味劑、調味劑和芳香劑,如,糖精、糖精鈉、乙醯磺胺酸鉀、阿力甜、阿斯巴甜、甘胺酸、菊粉、新橙皮苷二氫查耳酮、紐甜、環己胺基磺酸鈉、三氯蔗糖、塔格糖、索馬甜、檸檬酸、己二酸、富馬酸、亮胺酸、蘋果酸、薄荷醇、丙酸、酒石酸;e.0.1%-1%的潤滑劑;f.0.1%-15%的多庫酯鈉、十二烷基硫酸鈉、月桂基醚硫酸銨、苯紮氯銨、苄索氯銨、十六烷基三甲基溴化銨、聚氧化乙烯烷基苯基醚泊洛沙姆(polyoxyethelene alkylphenylethersm poloxamer)、聚氧化乙烯脂肪酸甘油酯(polyoxyethelene fatty acid glyceride)、去水山梨醇酯;其中所述液體可分散的顆粒劑、囊劑、液體可分散的片劑、口服可分散的片劑、口腔溶解片劑、咀嚼片劑和立即釋放片劑在10min內分散。 Further disclosed herein are liquid dispersible granules, sachets, liquid dispersible tablets, orally dispersible tablets, orally dissolvable tablets, chewable tablets, and immediate release tablets, which comprise a.25%- 95% of a stable pharmaceutical formulation of the invention; b. 0.5% to 75% of a filler or extender such as lactose, sucrose, glucose, mannitol, sorbitol, dextrose, glucose binder, dextrin , erythritol, fructose, isomalt, lactitol, maltitol, maltose, maltodextrin, trehalose, xylitol, calcium carbonate, calcium lactate, calcium phosphate, calcium citrate, calcium sulfate, Powdered cellulose, microcrystalline cellulose, deuterated microcrystalline cellulose, corn starch, pregelatinized corn starch, fumaric acid, magnesium carbonate, magnesium oxide, polymethacrylate, sodium chloride, talc, alumina , magnesium aluminum silicate, colloidal cerium oxide; c. 0.5% -25% of dissolution modifiers, such as sodium carboxymethyl cellulose, hypromellose, hypromellose acetyl succinate , crospovidone, cyclodextrin, agar, alginic acid, carbomer, carnauba wax, carrageen Gum, guar gum, hydroxypropyl cellulose, hypromellose phthalate, methyl cellulose, potassium blakelin, polyethylene oxide, polyoxyglyceride, polyvinyl alcohol, sodium acetate, Sodium alginate, sodium hyaluronate, xanthan gum, polycarbophil, cetyl alcohol, chitosan; d. 0.1%-5% sweeteners, flavorings and fragrances, such as saccharin, sodium saccharin , acesulfame potassium, alitame, aspartame, glycine, inulin, neohesperidin dihydrochalcone, neotame, sodium cyclohexyl sulfonate, sucralose, tag Sugar, thaumatin, citric acid, adipic acid, fumaric acid, leucine, malic acid, menthol, propionic acid, tartaric acid; e. 0.1% - 1% lubricant; f. 0.1% - 15% Sodium docusate, sodium lauryl sulfate, ammonium lauryl ether sulfate, benzalkonium chloride, benzethonium chloride, cetyltrimethylammonium bromide, polyoxyethylene alkylphenyl ether polo Polyoxyethelene alkylphenylethersm poloxamer, polyoxyethelene fatty acid glyceride, sorbitan ester; wherein the liquid dispersible granules, capsules Liquid dispersible tablets, oral dispersible tablets, orally dissolving tablets, chewable tablets and immediate release tablets dispersed within 10min.

在實施方式中,所述分散時間係在0.1min與3min之間。 In an embodiment, the dispersion time is between 0.1 min and 3 min.

在實施方式中,所述分散時間係在0.1min與1min之間。 In an embodiment, the dispersion time is between 0.1 min and 1 min.

在實施方式中,該劑型選自液體可分散的顆粒劑、囊劑、 液體可分散的片劑、口服可分散的片劑、口腔溶解片劑、咀嚼片劑和立即釋放片劑。 In embodiments, the dosage form is selected from the group consisting of liquid dispersible granules, sachets, liquid dispersible tablets, orally dispersible tablets, orally dissolvable tablets, chewable tablets, and immediate release tablets.

本揭露的他達拉非藥物組成物的優勢包括但不限於(1)物理和化學穩定性、(2)瞬間可再分散性、(3)在治療時間窗中以膠體溶液或分散體的穩定性、(4)與常規的他達拉非配製物相比增加的表觀溶度和滲透性、(5)用於治療勃起功能障礙的減少的起效時間以及(6)良好的可加工性。 Advantages of the tadalafil pharmaceutical composition disclosed herein include, but are not limited to, (1) physical and chemical stability, (2) instantaneous redispersibility, and (3) stabilization of the colloidal solution or dispersion during the treatment time window. (4) increased apparent solubility and permeability compared to conventional tadalafil formulations, (5) reduced onset time for treatment of erectile dysfunction, and (6) good processability .

在實施方式中,該他達拉非藥物組成物具有增加的藥物代謝動力學性能。當與他達拉非的可商購配製物相比時,該他達拉非藥物組成物顯示出減少的tmax和起效時間。 In an embodiment, the tadalafil pharmaceutical composition has increased pharmacokinetic properties. The tadalafil pharmaceutical composition exhibited a reduced tmax and onset time when compared to a commercially available formulation of tadalafil.

【實例】[Example]

具體的非限制性實施方式將進一步藉由以下實例來展示。 Specific non-limiting embodiments will be further illustrated by the following examples.

具有改進的材料特性的他達拉非藥物組成物的選擇Selection of tadalafil pharmaceutical compositions with improved material properties

測試幾種主要和次要藥物賦形劑及其組合以確定具有瞬間可再分散性的組成物,如圖1中所示。 Several primary and secondary pharmaceutical excipients and combinations thereof were tested to determine compositions having instantaneous redispersibility, as shown in FIG.

選擇展示出可接受水平的可再分散性的實例用於進一步分析。 An example of exhibiting acceptable levels of redispersibility was selected for further analysis.

測量所選擇的組成物的PAMPA滲透性以便選擇具有最佳體外性能的他達拉非藥物組成物(圖2)。如由M.Kansi等人(Journal of medicinal chemistry【藥物化學雜誌】,41,(1998)第1007頁)描述的、以基於S.Bendels等人(Pharmaceutical research【藥物研究】,23(2006)第2525頁)的修改進行PAMPA滲透性測量。在96孔板測定中跨越由PVDF膜(美國密理博公司(Millipore))支撐的由十二烷與20%大豆卵磷脂構成的人工膜測量滲透性。接收器隔間係補充有1%十二烷基硫酸鈉的磷酸鹽緩衝鹽水(pH 7.0)。該測定在室溫下進行;培育時間係在超純水中4小時或者在模擬唾液中分別10-20和30分鐘。在接收器隔間中的濃度藉由UV-VIS分光光度法(Thermo Scientific Genesys S10)來確定。 The PAMPA permeability of the selected composition was measured in order to select the tadalafil drug composition with optimal in vitro properties (Figure 2). As described by M. Kansi et al. (Journal of medicinal chemistry, 41, (1998) p. 1007), based on S. Bendels et al. (Pharmaceutical Research, 23 (2006) The 2525 page was modified to perform PAMPA permeability measurements. Permeability was measured across an artificial membrane consisting of dodecane and 20% soy lecithin supported by a PVDF membrane (Millipore, USA) in a 96-well plate assay. The receiver compartment was supplemented with 1% sodium dodecyl sulfate phosphate buffered saline (pH 7.0). The assay was performed at room temperature; incubation time was 4 hours in ultrapure water or 10-20 and 30 minutes in simulated saliva, respectively. The concentration in the receiver compartment was determined by UV-VIS spectrophotometry (Thermo Scientific Genesys S10).

分別選擇共聚維酮(乙烯基吡咯啶酮和乙酸乙烯酯的共聚物)和磺基琥珀酸二辛基鈉和月桂基硫酸鈉作為主要和次要藥物賦形劑,來製備具有改進的材料特性的他達拉非藥物組成物。 Preparation of improved material properties by selecting copolyvidone (copolymer of vinylpyrrolidone and vinyl acetate) and sodium dioctyl sulfosuccinate and sodium lauryl sulfate as primary and secondary pharmaceutical excipients. The drug composition of tadalafil.

他達拉非的高性能組成物High-performance composition of tadalafil

藉由使用不同比率的主要和次要藥物賦形劑來製備固體他達拉非藥物組成物。主要和次要藥物賦形劑的比率對於所製備的藥物組成物的PAMPA滲透性沒有影響。選擇包含具有1:3:0.5的重量比率的他達拉非:共聚維酮(乙烯基吡咯啶酮和乙酸乙烯酯的共聚物):磺基琥珀酸二辛基鈉的他達拉非藥物組成物用於進一步的工作。還選擇包含具有1:4:1的重量比率的他達拉非:共聚維酮(乙烯基吡咯啶酮和乙酸乙烯酯的共聚物):月桂基硫酸鈉的第二他達拉非藥物組成物用於進一步的工作。 A solid tadalafil pharmaceutical composition is prepared by using different ratios of primary and secondary pharmaceutical excipients. The ratio of primary and secondary pharmaceutical excipients has no effect on the PAMPA permeability of the prepared pharmaceutical composition. Selected to include tadalafil with a weight ratio of 1:3:0.5: copovidone (copolymer of vinylpyrrolidone and vinyl acetate): tadalafil composition of dioctyl sodium sulfosuccinate Things are used for further work. Also selected is a tadalafil comprising a weight ratio of 1:4:1: copovidone (copolymer of vinylpyrrolidone and vinyl acetate): a second tadalafil pharmaceutical composition of sodium lauryl sulfate Used for further work.

他達拉非藥物組成物的製造Manufacture of tadalafil's pharmaceutical composition

藉由混合過程製備他達拉非藥物組成物的溶液混合物。將在四氫呋喃中含有1-10mg/mL他達拉非和3-30mg/mL共聚維酮(乙烯基吡咯啶酮和乙酸乙烯酯的共聚物)的溶液1與含有0.125-1.5mg/mL磺基琥珀酸二辛基鈉的水溶液2以不同比率混合。在大氣壓和環境溫度下生成他達拉非藥物配製物的所得溶液混合物。在丙酮-乾冰混合物上冰凍所得溶液混合物,並且然後使用配備有-110℃冰冷凝器、配備有真空泵的冷凍乾燥器將其凍乾。 A solution mixture of the tadalafil pharmaceutical composition is prepared by a mixing process. Solution 1 containing 1-10 mg/mL tadalafil and 3-30 mg/mL copovidone (copolymer of vinylpyrrolidone and vinyl acetate) in tetrahydrofuran and containing 0.125-1.5 mg/mL sulfo group Aqueous solution 2 of sodium dioctyl succinate was mixed at different ratios. The resulting solution mixture of the tadalafil pharmaceutical formulation is produced at atmospheric pressure and ambient temperature. The resulting solution mixture was frozen on an acetone-dry ice mixture, and then lyophilized using a freeze dryer equipped with a -110 ° C ice condenser equipped with a vacuum pump.

還將10-60mg/mL的他達拉非、40-240mg/mL的共聚維酮(乙烯基吡咯啶酮和乙酸乙烯酯的共聚物)和10-60mg/mL的月桂基硫酸鈉溶解在四氫呋喃:水=2:1的溶液混合物中製備他達拉非藥物組成物的溶液。在大氣壓和環境溫度下製備所得溶液,並且然後進料到噴霧乾燥器中。 Also, 10-60 mg/mL of tadalafil, 40-240 mg/mL of copovidone (copolymer of vinylpyrrolidone and vinyl acetate) and 10-60 mg/mL of sodium lauryl sulfate were dissolved in tetrahydrofuran. A solution of the tadalafil pharmaceutical composition was prepared in a solution mixture of water = 2:1. The resulting solution was prepared at atmospheric pressure and ambient temperature and then fed to a spray dryer.

測試不同的濃度和溶劑比率以確定最高性能製造條件。 Different concentrations and solvent ratios were tested to determine the highest performance manufacturing conditions.

基於該等結果,對於起始濃度選擇5mg/mL的他達拉非、15mg/mL的共聚維酮(乙烯基吡咯啶酮和乙酸乙烯酯的共聚物)和0.625mg/mL的磺基琥珀酸二辛基鈉。發現該等溶液的最高性能比率係處於1:4。使用噴霧乾燥的藥物配製物用於體內狗PK研究。 Based on these results, 5 mg/mL of tadalafil, 15 mg/mL of copovidone (copolymer of vinylpyrrolidone and vinyl acetate) and 0.625 mg/mL of sulfosuccinic acid were selected for the initial concentration. Dioctyl sodium. The highest performance ratio of these solutions was found to be at 1:4. Spray dried pharmaceutical formulations were used for in vivo dog PK studies.

基於該等結果,對於起始濃度選擇5mg/mL的他達拉非、15mg/mL的共聚維酮(乙烯基吡咯啶酮和乙酸乙烯酯的共聚物)和1.25mg/mL的月桂基硫酸鈉。發現該等溶液的最高性能比率係處於1:2。 Based on these results, 5 mg/mL of tadalafil, 15 mg/mL of copovidone (copolymer of vinylpyrrolidone and vinyl acetate) and 1.25 mg/mL of sodium lauryl sulfate were selected for the initial concentration. . The highest performance ratio of these solutions was found to be at 1:2.

基於該等結果,對於起始濃度選擇17mg/mL的他達拉非、62mg/mL的共聚維酮(乙烯基吡咯啶酮和乙酸乙烯酯的共聚物)和17mg/mL 的月桂基硫酸鈉。該溶劑混合物係四氫呋喃:水=2:1。使用噴霧乾燥的藥物組成物用於體內狗PK研究。 Based on these results, 17 mg/mL of tadalafil, 62 mg/mL of copovidone (copolymer of vinylpyrrolidone and vinyl acetate) and 17 mg/mL of sodium lauryl sulfate were selected for the initial concentration. The solvent mixture was tetrahydrofuran: water = 2:1. The spray dried drug composition was used for in vivo dog PK studies.

噴霧乾燥(Yamato DL-410/GAS410)最高性能他達拉非藥物配製物的溶液混合物以獲得固體粉末。所使用的生產參數係如下:T入口=95℃,乾燥氣流=0.8m3/min,溶液進料速率=18mL/min,霧化壓力=1巴,T=63℃-64℃。 Spray-dried (Yamato DL-410/GAS410) a solution mixture of the highest performance tadalafil pharmaceutical formulation to obtain a solid powder. Based production parameters used are as follows: T inlet = 95 ℃, dry gas = 0.8m 3 / min, the solution feed rate = 18mL / min, atomization pressure = 1 bar, T a = 63 ℃ -64 ℃.

他達拉非藥物組成物的改進的表觀溶度Improved apparent solubility of tadalafil's drug composition

他達拉非藥物組成物的表觀溶度在室溫下藉由UV-VIS光譜進行測量。該等固體他達拉非藥物組成物以0.1-0.5mg/mL的他達拉非當量濃度範圍分散在超純水中。藉由100nm一次性注射器過濾器過濾所得溶液。藉由UV-Vis分光光度法測量濾液的他達拉非含量並且計算表觀溶度。該濾液可以含有不能使用100nm孔徑過濾器過濾掉的他達拉非藥物組成物的顆粒。 The apparent solubility of the tadalafil drug composition was measured by UV-VIS spectroscopy at room temperature. The solid tadalafil pharmaceutical compositions are dispersed in ultrapure water at a non-equivalent concentration range of 0.1-0.5 mg/mL of tadalafil. The resulting solution was filtered through a 100 nm disposable syringe filter. The tadalafil content of the filtrate was measured by UV-Vis spectrophotometry and the apparent solubility was calculated. The filtrate may contain particles of a tadalafil pharmaceutical composition that cannot be filtered using a 100 nm pore size filter.

當分別將1mg/mL的他達拉非當量組成物分散在超純水中時,他達拉非藥物組成物的表觀溶度係0.7mg/mL。 When the 1 mg/mL tadalafil equivalent composition was separately dispersed in ultrapure water, the apparent solubility of the tadalafil pharmaceutical composition was 0.7 mg/mL.

他達拉非藥物組成物的表觀溶度係至少0.7mg/mL。 The apparent solubility of the tadalafil drug composition is at least 0.7 mg/mL.

他達拉非藥物組成物的改進的溶解曲線Improved dissolution profile of tadalafil drug composition

對他達拉非藥物組成物、未配製的結晶他達拉非和Cialis®(商業配製物)進行比較的溶解測試。將該等樣品以0.2mg/mL的濃度分散在純化水中。在30分鐘後,將類比胃液加入該等系統中。在另外30分鐘後,用馬來酸鈉鹼中和pH,並且加入FaSSIF溶液。在用0.1μm孔徑過濾器在不同時間點過濾後,用UV-VIS分光光度法測量溶解的量。對於結晶他達拉非 或Cialis®,他達拉非的溶解不超過10%。在兩小時內對於該等藥物配製物,他達拉非的溶解係超過60%(圖3)。 A dissolution test comparing the tadalafil drug composition, unformulated crystalline tadalafil and Cialis® (commercial formulation). The samples were dispersed in purified water at a concentration of 0.2 mg/mL. After 30 minutes, the analog gastric juice was added to the systems. After another 30 minutes, the pH was neutralized with sodium maleate and the FaSSIF solution was added. After filtration at different time points with a 0.1 μm pore size filter, the amount of dissolution was measured by UV-VIS spectrophotometry. For crystalline tadalafil or Cialis®, tadalafil does not dissolve more than 10%. The dissolution rate of tadalafil was over 60% for these pharmaceutical formulations within two hours (Figure 3).

比較的體外PAMPA測定Comparative in vitro PAMPA assay

他達拉非藥物組成物在水(H2O)、FaSSIF(Fa)和FeSSIF(Fe)介質中的PAMPA滲透性分別是超過7.6 x 10-6cm/s、7.2 x 10-6cm/s和4.3 x 10-6cm/s,而對於未配製的結晶參比在水、FaSSIF和FeSSIF介質中它係0.6 x 10-6cm/s、0.6 x 10-6cm/s和0.8 * 10-6cm/s。Cialis®在水、FaSSIF和FeSSIF介質中的PAMPA滲透性分別是超過0.9 x 10-6cm/s、0.8 x 10-6cm/s和1.1 x 10-6cm/s。 The PAMPA permeability of tadalafil's pharmaceutical composition in water (H 2 O), FaSSIF (Fa) and FeSSIF (Fe) media is more than 7.6 x 10 -6 cm/s and 7.2 x 10 -6 cm/s, respectively. and 4.3 x 10 -6 cm / s, while for the reference crystalline unformulated water, FaSSIF and FeSSIF media lines which 0.6 x 10 -6 cm / s, 0.6 x 10 -6 cm / s and 0.8 * 10 - 6 cm/s. The PAMPA permeability of Cialis® in water, FaSSIF and FeSSIF media is over 0.9 x 10 -6 cm/s, 0.8 x 10 -6 cm/s and 1.1 x 10 -6 cm/s, respectively.

固體形式的穩定性Solid form stability

固體他達拉非藥物組成物的PAMPA滲透性用來監測藥物配製物的物理穩定性。PAMPA滲透性在不同條件下儲存後進行測量。參見表2,分別包含DSS和SDS的組成物在40℃、75%相對濕度下儲存2個月和6個月在任何所測試的條件下沒有顯示出在所測量的PAMPA滲透性上的顯著降低。 The PAMPA permeability of the solid tadalafil drug composition is used to monitor the physical stability of the drug formulation. PAMPA permeability was measured after storage under different conditions. Referring to Table 2, the compositions comprising DSS and SDS, respectively, stored at 40 ° C, 75% relative humidity for 2 months and 6 months did not show a significant decrease in measured PAMPA permeability under any of the conditions tested. .

使用粉末X射線繞射(pXRD)來監測固體他達拉非藥物配製物的穩定性。在不同條件下儲存該等藥物配製物後測量pXRD。在40℃/75%相對濕度下儲存1個月沒有顯示出在任何所測試的條件下結晶(圖4)。 Powder X-ray diffraction (pXRD) was used to monitor the stability of the solid tadalafil pharmaceutical formulation. pXRD was measured after storage of the pharmaceutical formulations under different conditions. Storage at 40 ° C / 75% relative humidity for 1 month did not show crystallization under any of the conditions tested (Figure 4).

結構分析Structural analysis

他達拉非藥物的形態使用FEI Quanta 3D掃描電子顯微鏡進行研究。他達拉非藥物配製物包含在小於110nm尺寸範圍內的球形顆粒(圖7)。 The morphology of the tadalafil drug was studied using a FEI Quanta 3D scanning electron microscope. Tadalafil pharmaceutical formulations contain spherical particles in the size range of less than 110 nm (Figure 7).

結構分析藉由使用LabRAM HR UV-VIS-NIR光譜儀進行。 Structural analysis was performed by using a LabRAM HR UV-VIS-NIR spectrometer.

在實施方式中,所述他達拉非藥物組成物藉由圖6和圖7中示出的拉曼光譜進行表徵。 In an embodiment, the tadalafil drug composition is characterized by Raman spectroscopy as shown in Figures 6 and 7.

他達拉非藥物配製物的結構藉由粉末X射線繞射(XRD)分析(Philips PW1050/1870 RTG粉末繞射儀)進行研究。該等測量顯示出,在該等藥物配製物中的他達拉非係XRD無定形的(參見圖4中)。他達拉非藥物配製物在43和44的2θ處的繞射圖樣上的特徵反射可以歸因於樣品支架。 The structure of the tadalafil pharmaceutical formulation was investigated by powder X-ray diffraction (XRD) analysis (Philips PW 1050/1870 RTG powder diffractometer). These measurements show that the tadalafil XRD is amorphous in the pharmaceutical formulations (see Figure 4). The characteristic reflection of the tadalafil drug formulation on the diffraction pattern at 2θ of 43 and 44 can be attributed to the sample holder.

體內藥物動力學In vivo pharmacokinetics

在大動物中的體內PK測試In vivo PK testing in large animals

在禁食狀態下進行比格大研究,該研究以20mg/kg的劑量使用他達拉非的藥物組成物。該等藥物組成物作為重構的分散體來給予。他達拉非吸收係快速的,其中t最大值在0.5-0.75小時。來自Cialis®片劑的他達拉非吸收係緩慢的,其中t最大值在2-4小時範圍內。當給予該藥物組成物時,對於Cialis®片劑測量的最大血漿濃度在15分鐘內達到(圖9)。該等結果與所公佈的比格犬(beagle dog)藥物動力學數據(以10mg/kg的劑量)的比較表明,對於包含DSS的組成物和包含SDS的組成物,成粒的藥物組成物的口服生體可用率分別是74%和92%,而Cialis的口服生體可用率係33%(圖10和表3)。表3顯示出在將20mg的Cialis®或藥物配製物口服給予禁食狀態的比格犬後的藥物動力學參數(N=3)。 The Bigger study was conducted in the fasted state, using the drug composition of tadalafil at a dose of 20 mg/kg. These pharmaceutical compositions are administered as a reconstituted dispersion. Tadalafil fast absorption coefficient, where t maximum value at 0.5-0.75 hours. Tadalafil Cialis® tablets from the slow absorption coefficient, wherein the maximum value of t in the range of 2-4 hours. When the drug composition was administered, the maximum plasma concentration measured for Cialis® tablets was reached within 15 minutes (Figure 9). Comparison of these results with the published beagle dog pharmacokinetic data (at a dose of 10 mg/kg) indicates that for a composition comprising DSS and a composition comprising SDS, the granulated drug composition Oral bioavailability was 74% and 92%, respectively, while Cialis' oral bioavailability was 33% (Figure 10 and Table 3). Table 3 shows the pharmacokinetic parameters (N=3) after oral administration of 20 mg of Cialis® or a pharmaceutical formulation to a fasted Beagle.

熟習該項技術者可以由前述說明容易地確定本質特徵,並且在不脫離其精神和範圍的情況下,可以做出各種改變和修改以使其適應各種用法和條件。 Those skilled in the art can readily determine the essential characteristics from the foregoing description, and various changes and modifications can be made to adapt to various usages and conditions without departing from the spirit and scope.

結合並且形成說明書一部分的附圖僅說明某些實施方式,並且不應理解為限制。該等附圖意在用於向熟習該項技術者解釋具體模式。 The drawings, which are incorporated in and constitute a part The drawings are intended to explain specific modes to those skilled in the art.

圖1.顯示出他達拉非藥物配製物在超純水中的可再分散性。 Figure 1. Shows the redispersibility of tadalafil's pharmaceutical formulation in ultrapure water.

圖2.顯示出所選擇的他達拉非藥物配製物之PAMPA滲透性和可再分散性。 Figure 2. Shows PAMPA permeability and redispersibility of the selected tadalafil pharmaceutical formulation.

圖3.顯示出未配製的結晶他達拉非、Cialis®、包含DSS的他達拉非組成物以及包含SDS的他達拉非組成物的溶解。 Figure 3. Shows the dissolution of unformulated crystalline tadalafil, Cialis®, tadalafil composition comprising DSS, and tadalafil composition comprising SDS.

圖4.顯示出未配製的結晶他達拉非、在產生後立刻(t0)和在40℃下儲存6個月後(6M40)的含有SDS的他達拉非藥物配製物、在產生後立刻(t0)和在40℃下儲存5個月後(5M40)的含有DSS的他達拉非藥物配製物以及結晶SDS的pXRD繞射圖樣。 Figure 4. Tadalafil-containing pharmaceutical formulation containing unformulated crystalline tadalafil, immediately after production (t0) and stored at 40 °C for 6 months (6M40), immediately after production (t0) and a dX-Da drug formulation containing DSS and a pXRD diffraction pattern of crystalline SDS after storage for 5 months at 40 °C (5M40).

圖5.顯示出含有共聚維酮(乙烯基吡咯啶酮和乙酸乙烯酯的共聚物)和磺基琥珀酸二辛基鈉的他達拉非藥物配製物之SEM圖像。 Figure 5. SEM image showing a tadalafil pharmaceutical formulation containing copovidone (a copolymer of vinylpyrrolidone and vinyl acetate) and dioctyl sodium sulfosuccinate.

圖6.顯示出以下各項的拉曼光譜:A)未配製的結晶他達拉非;B)凍乾的參比他達拉非;C)含有共聚維酮(乙烯基吡咯啶酮和乙酸乙烯酯的共聚物)和磺基琥珀酸二辛基鈉的他達拉非的藥物配製物;D)含有共聚維酮(乙烯基吡咯啶酮和乙酸乙烯酯的共聚物)和磺基琥珀酸二辛基鈉的對照劑樣品;E)共聚維酮(乙烯基吡咯啶酮和乙酸乙烯酯的共聚物);F)磺基琥珀酸二辛基鈉。 Figure 6. Raman spectra showing the following: A) unformified crystalline tadalafil; B) lyophilized reference tadalafil; C) copolyvidone (vinylpyrrolidone and acetic acid) a pharmaceutical formulation of a copolymer of vinyl ester) and dioctyl sodium sulfosuccinate; D) a copolyvidone (copolymer of vinylpyrrolidone and vinyl acetate) and sulfosuccinic acid a control sample of dioctylsodium; E) copovidone (copolymer of vinylpyrrolidone and vinyl acetate); F) dioctyl sodium sulfosuccinate.

圖7.顯示出以下各項的拉曼光譜:A)未配製的結晶他達拉非;B)凍乾的他達拉非C)含有共聚維酮(乙烯基吡咯啶酮和乙酸乙烯酯的共聚物)和月桂基硫酸鈉的他達拉非的藥物配製物;D)含有共聚維酮(乙烯基吡咯啶酮和乙酸乙烯酯的共聚物)和月桂基硫酸鈉的對照劑樣品;E)共聚維酮(乙烯基吡咯啶酮和乙酸乙烯酯的共聚物);F)磺基琥珀酸二辛基鈉。 Figure 7. Raman spectra showing the following: A) unformified crystalline tadalafil; B) lyophilized tadalafil C) containing copolyvidone (vinylpyrrolidone and vinyl acetate) Copolymer) and a pharmaceutical formulation of tadalafil of sodium lauryl sulfate; D) a sample of a control containing copolyvidone (a copolymer of vinylpyrrolidone and vinyl acetate) and sodium lauryl sulfate; Copolyvidone (copolymer of vinylpyrrolidone and vinyl acetate); F) dioctyl sodium sulfosuccinate.

圖8.顯示出將20mg Cialis®或包含DSS和SDS的藥物組成物口服給予禁食狀態的比格犬(beagle dog)之後的他達拉非的血漿濃度。N=3。 Figure 8. Shows the plasma concentration of tadalafil after oral administration of 20 mg Cialis® or a drug composition comprising DSS and SDS to a fasted beagle dog. N=3.

Claims (31)

一種穩定的藥物組成物,該藥物組成物包含:選自他達拉非、其鹽或其衍生物的活性化合物;以及至少一種選自以下各項的主要藥物賦形劑:由甘油一酸酯、甘油二酸酯和甘油三酸脂以及聚乙二醇的單-和二酯構成的聚乙二醇甘油酯,聚乙二醇,羥丙基纖維素,泊洛沙姆(環氧乙烷和環氧丙烷嵌段的共聚物),共聚維酮,聚(2-乙基-2- 唑啉),聚維酮,聚乙烯基己內醯胺-聚乙酸乙烯酯-聚乙二醇接枝共聚物,聚乙二醇15羥基硬脂酸酯,環氧乙烷/環氧丙烷四官能嵌段共聚物,胺基甲基丙烯酸酯共聚物,乙酸琥珀酸羥丙基甲基纖維素和d-α生育酚聚乙二醇1000琥珀酸酯;所述藥物組成物的特徵在於其具有以下特性中的至少一種:a)係在生理學相關介質中瞬間可再分散的;b)係以固體形式並且在膠體溶液和/或分散體中穩定的;c)具有至少0.7mg/mL的在水中的表觀溶度;以及d)當被分散在水、FaSSIF或FeSSIF生物相關介質中時,具有至少4x10 -6cm/s的PAMPA滲透性,該滲透性在至少6個月的時間內不降低。 A stable pharmaceutical composition comprising: an active compound selected from the group consisting of tadalafil, a salt thereof or a derivative thereof; and at least one main pharmaceutical excipient selected from the group consisting of monoglycerides , polyethylene diglycerides and triglycerides and polyethylene glycol glycerides composed of mono- and di-esters of polyethylene glycol, polyethylene glycol, hydroxypropyl cellulose, poloxamer (ethylene oxide) Copolymer with propylene oxide block), copovidone, poly(2-ethyl-2- Oxazoline), povidone, polyvinyl caprolactam-polyvinyl acetate-polyethylene glycol graft copolymer, polyethylene glycol 15 hydroxystearate, ethylene oxide/propylene oxide a functional block copolymer, an amino methacrylate copolymer, hydroxypropyl methylcellulose acetate succinate and d-alpha tocopherol polyethylene glycol 1000 succinate; the pharmaceutical composition is characterized in that it has At least one of the following characteristics: a) instantaneously redispersible in a physiologically relevant medium; b) in solid form and stable in a colloidal solution and/or dispersion; c) having at least 0.7 mg/mL An apparent solubility in water; and d) having a PAMPA permeability of at least 4 x 10 -6 cm/s when dispersed in a water, FaSSIF or FeSSIF biologically relevant medium, the permeability being for at least 6 months Not lowering. 如申請專利範圍第1項所述之藥物組成物,其中所述主要藥物賦形劑選自羥丙基纖維素、泊洛沙姆(環氧乙烷和環氧丙烷嵌段的共聚物)、共聚維酮(乙烯基吡咯啶酮和乙酸乙烯酯的共聚物)、聚維酮(聚乙烯基吡咯啶酮)、聚乙烯基己內醯胺-聚乙酸乙烯酯-聚乙二醇接枝共聚物、環氧乙烷/環氧丙烷四官能嵌段共聚物、和d-α生育酚聚乙二醇1000琥珀酸酯。  The pharmaceutical composition according to claim 1, wherein the main pharmaceutical excipient is selected from the group consisting of hydroxypropylcellulose, poloxamer (copolymer of ethylene oxide and propylene oxide blocks), Copolyvidone (copolymer of vinylpyrrolidone and vinyl acetate), povidone (polyvinylpyrrolidone), polyvinyl caprolactam-polyvinyl acetate-polyethylene glycol graft copolymerization , an ethylene oxide/propylene oxide tetrafunctional block copolymer, and d-alpha tocopherol polyethylene glycol 1000 succinate.   如申請專利範圍第2項所述之藥物組成物,其中所述主要藥物賦形劑係 共聚維酮(乙烯基吡咯啶酮和乙酸乙烯酯的共聚物)。  The pharmaceutical composition according to claim 2, wherein the main pharmaceutical excipient is copovidone (copolymer of vinylpyrrolidone and vinyl acetate).   如申請專利範圍第1項所述之藥物組成物,其中所述藥物組成物進一步包含至少一種選自下組的次要藥物賦形劑,該組由以下各項組成:月桂基硫酸鈉、磺基琥珀酸二辛基鈉、氯化十六烷基吡啶、D-甘露醇、去氧膽酸鈉、泊洛沙姆407和葡甲胺。  The pharmaceutical composition according to claim 1, wherein the pharmaceutical composition further comprises at least one secondary pharmaceutical excipient selected from the group consisting of sodium lauryl sulfate and sulfonate. Sodium dioctyl succinate, cetylpyridinium chloride, D-mannitol, sodium deoxycholate, poloxamer 407 and meglumine.   如申請專利範圍第4項所述之藥物組成物,其中所述次要藥物賦形劑選自磺基琥珀酸二辛基鈉和月桂基硫酸鈉。  The pharmaceutical composition according to claim 4, wherein the secondary pharmaceutical excipient is selected from the group consisting of sodium dioctyl sulfosuccinate and sodium lauryl sulfate.   如申請專利範圍第5項所述之藥物組成物,其中所述次要藥物賦形劑係磺基琥珀酸二辛基鈉並且其中所述組成物藉由如圖6中示出的所述拉曼光譜進行表徵。  The pharmaceutical composition according to claim 5, wherein the secondary pharmaceutical excipient is dioctyl sodium sulfosuccinate and wherein the composition is pulled by the method as shown in FIG. Mann spectrum is characterized.   如申請專利範圍第5項所述之藥物組成物,其中所述次要藥物賦形劑係月桂基硫酸鈉並且其中所述組成物藉由如圖7中示出的所述拉曼光譜進行表徵。  The pharmaceutical composition according to claim 5, wherein the secondary pharmaceutical excipient is sodium lauryl sulfate and wherein the composition is characterized by the Raman spectrum as shown in FIG. .   如申請專利範圍第1項所述之藥物組成物,其中所述藥物配製物具有在10nm與500nm之間範圍內的受控粒度。  The pharmaceutical composition of claim 1, wherein the pharmaceutical formulation has a controlled particle size in a range between 10 nm and 500 nm.   如申請專利範圍第8項所述之藥物組成物,其中所述粒度係在10nm與200nm之間。  The pharmaceutical composition according to claim 8, wherein the particle size is between 10 nm and 200 nm.   如申請專利範圍第1項所述之藥物組成物,其中,當與含有他達拉非的可商購藥物相比時,所述藥物組成物顯示出更早的t max和起效的時間。 The pharmaceutical composition of claim 1, wherein the pharmaceutical composition exhibits an earlier tmax and a time of onset when compared to a commercially available drug containing tadalafil. 如申請專利範圍第1項所述之藥物組成物,其中所述藥物組成物具有在a)-d)中描述的特性中的至少兩種。  The pharmaceutical composition according to claim 1, wherein the pharmaceutical composition has at least two of the characteristics described in a) to d).   如申請專利範圍第1項所述之藥物組成物,其中所述藥物組成物具有在 a)-d)中描述的特性中的至少三種。  The pharmaceutical composition according to claim 1, wherein the pharmaceutical composition has at least three of the characteristics described in a) to d).   如申請專利範圍第1項所述之藥物組成物,其中所述藥物組成物以固體形式顯示出X射線無定形特徵。  The pharmaceutical composition according to claim 1, wherein the pharmaceutical composition exhibits an X-ray amorphous characteristic in a solid form.   如申請專利範圍第1項所述之藥物組成物,其中,與Cialis®相比,所述藥物組成物具有增加的溶解速率。  The pharmaceutical composition of claim 1, wherein the pharmaceutical composition has an increased dissolution rate compared to Cialis®.   一種如申請專利範圍第1項所述之藥物組成物,包含:為共聚維酮(乙烯基吡咯啶酮和乙酸乙烯酯的共聚物)的至少一種主要藥物賦形劑;以及為磺基琥珀酸二辛基鈉或月桂基硫酸鈉的至少一種次要藥物賦形劑,其總量基於該藥物組成物的總重量在從約1.0重量%至約95.0重量%的範圍內。  A pharmaceutical composition according to claim 1, comprising: at least one main pharmaceutical excipient which is a copolyvidone (copolymer of vinylpyrrolidone and vinyl acetate); and sulfosuccinic acid At least one secondary pharmaceutical excipient of dioctyl sodium or sodium lauryl sulfate in a total amount ranging from about 1.0% by weight to about 95.0% by weight, based on the total weight of the pharmaceutical composition.   如申請專利範圍第15項所述之藥物組成物,包含:為共聚維酮(乙烯基吡咯啶酮和乙酸乙烯酯的共聚物)的至少一種主要藥物賦形劑;以及為磺基琥珀酸二辛基鈉或月桂基硫酸鈉的至少一種次要藥物賦形劑,其總量基於該藥物組成物的總重量在從約50.0重量%至約95.0重量%的範圍內。  The pharmaceutical composition according to claim 15, comprising: at least one main pharmaceutical excipient which is a copolyvidone (copolymer of vinylpyrrolidone and vinyl acetate); and sulfosuccinic acid At least one secondary pharmaceutical excipient of octyl sodium or sodium lauryl sulfate in a total amount ranging from about 50.0% by weight to about 95.0% by weight, based on the total weight of the pharmaceutical composition.   一種穩定的藥物組成物,包含:選自他達拉非、其鹽或其衍生物的組的活性化合物;為共聚維酮(乙烯基吡咯啶酮和乙酸乙烯酯的共聚物)的至少一種主要藥物賦形劑;以及為磺基琥珀酸二辛基鈉或月桂基硫酸鈉的至少一種次要藥物賦形劑;其中所述藥物組成物藉由混合過程獲得。  A stable pharmaceutical composition comprising: an active compound selected from the group consisting of tadalafil, a salt thereof or a derivative thereof; and at least one major copolyketone (copolymer of vinylpyrrolidone and vinyl acetate) a pharmaceutical excipient; and at least one secondary pharmaceutical excipient which is dioctyl sulfosuccinate or sodium lauryl sulfate; wherein the pharmaceutical composition is obtained by a mixing process.   一種用於製備如申請專利範圍第17項所述之藥物組成物之方法,該方法包括以下步驟:將在藥學上可接受的溶劑中包含他達拉非、其鹽、或其衍生物,以及為共聚維酮(乙烯基吡咯啶酮和乙酸乙烯酯的共聚物)的 至少一種主要藥物賦形劑的藥學上可接受的溶液與含有為磺基琥珀酸二辛基鈉或月桂基硫酸鈉的至少一種次要藥物賦形劑的水溶液混合。  A method for the preparation of a pharmaceutical composition according to claim 17, which comprises the steps of: containing tadalafil, a salt thereof, or a derivative thereof in a pharmaceutically acceptable solvent, and a pharmaceutically acceptable solution of at least one major pharmaceutical excipient which is a copolyvidone (copolymer of vinylpyrrolidone and vinyl acetate) and contains sodium dioctyl sulfosuccinate or sodium lauryl sulfate An aqueous solution of at least one secondary pharmaceutical excipient is mixed.   一種用於製備如申請專利範圍第17項所述之藥物組成物之方法,該方法包括以下步驟:在藥學上可接受的溶劑和水的藥學上可接受的溶劑混合物中溶解他達拉非、其鹽、或其衍生物,以及為共聚維酮(乙烯基吡咯啶酮和乙酸乙烯酯的共聚物)的至少一種主要藥物賦形劑,以及為磺基琥珀酸二辛基鈉或月桂基硫酸鈉的至少一種次要藥物賦形劑。  A method for the preparation of a pharmaceutical composition according to claim 17, which comprises the steps of dissolving tadalafil in a pharmaceutically acceptable solvent and a pharmaceutically acceptable solvent mixture of water, a salt thereof, or a derivative thereof, and at least one main pharmaceutical excipient which is a copolyvidone (copolymer of vinylpyrrolidone and vinyl acetate), and is sodium dioctyl sulfosuccinate or lauryl sulfate At least one secondary pharmaceutical excipient for sodium.   如申請專利範圍第18或19項中任一項所述之方法,其中所述藥學上可接受的溶劑選自甲醇、乙醇、1-丙醇、2-丙醇、丙酮、乙腈、二甲亞碸、四氫呋喃、甲基乙基酮或其組合。  The method of any one of claims 18 or 19, wherein the pharmaceutically acceptable solvent is selected from the group consisting of methanol, ethanol, 1-propanol, 2-propanol, acetone, acetonitrile, and dimethylene. Anthraquinone, tetrahydrofuran, methyl ethyl ketone or a combination thereof.   如申請專利範圍第20項所述之方法,其中所述藥學上可接受的溶劑係四氫呋喃。  The method of claim 20, wherein the pharmaceutically acceptable solvent is tetrahydrofuran.   如申請專利範圍第18或19項中任一項所述之方法,其中該藥學上可接受的溶劑占最終溶液混合物的0.1%至99.9%重量。  The method of any one of claims 18 or 19, wherein the pharmaceutically acceptable solvent comprises from 0.1% to 99.9% by weight of the final solution mixture.   如申請專利範圍第22項所述之方法,其中該水溶液占該最終溶液混合物的40%至99.99%重量。  The method of claim 22, wherein the aqueous solution comprises from 40% to 99.99% by weight of the final solution mixture.   如申請專利範圍第23項所述之方法,其中該水溶液占該最終溶液混合物的60%至99.99%重量。  The method of claim 23, wherein the aqueous solution comprises from 60% to 99.99% by weight of the final solution mixture.   一種藥物劑型,包含如申請專利範圍第1或15項中任一項所述之藥物組成物連同藥學上可接受的賦形劑。  A pharmaceutical dosage form comprising a pharmaceutical composition according to any one of claims 1 or 15 together with a pharmaceutically acceptable excipient.   如申請專利範圍第25項所述之包含該藥物組成物的藥物劑型,其中所述藥物劑型適合於口服給予。  A pharmaceutical dosage form comprising the pharmaceutical composition according to claim 25, wherein the pharmaceutical dosage form is suitable for oral administration.   一種如申請專利範圍第1或15項中任一項所述之藥物組成物,用於在製造用來治療勃起功能障礙、良性前列腺增生、肺動脈高壓和杜興氏肌肉失養症之藥劑中使用。  A pharmaceutical composition according to any one of claims 1 to 15 for use in the manufacture of a medicament for treating erectile dysfunction, benign prostatic hyperplasia, pulmonary hypertension, and Duchenne muscle dystrophy .   如申請專利範圍第1或15項中任一項所述之藥物組成物用於治療勃起功能障礙、良性前列腺增生、肺動脈高壓和杜興氏肌肉失養症之用途。  The pharmaceutical composition according to any one of claims 1 to 15 for use in the treatment of erectile dysfunction, benign prostatic hyperplasia, pulmonary hypertension, and Duchenne muscle dystrophy.   一種治療勃起功能障礙、良性前列腺增生、肺動脈高壓和杜興氏肌肉失養症之方法,該方法包括給予治療有效量的如申請專利範圍第1或15項中任一項所述之藥物組成物。  A method of treating erectile dysfunction, benign prostatic hyperplasia, pulmonary hypertension, and Duchenne muscle dystrophy, the method comprising administering a therapeutically effective amount of the pharmaceutical composition according to any one of claims 1 or 15. .   一種用於在與當前口服配製物相比時減少t max和起效的時間之方法,所述方法包括口服給予如申請專利範圍第1或15項中任一項所述之藥物組成物或者如申請專利範圍第25項所述之藥物劑型。 A method for reducing tmax and onset time when compared to current oral formulations, the method comprising orally administering a pharmaceutical composition according to any one of claims 1 or 15 or as The pharmaceutical dosage form described in claim 25 of the patent application. 一種穩定的藥物組成物,包含:a)按重量計10%-40%的他達拉非、其鹽、或其衍生物;b)按重量計35%-70%的共聚維酮(乙烯基吡咯啶酮和乙酸乙烯酯的共聚物);以及c)按重量計5%-50%的磺基琥珀酸二辛基鈉或月桂基硫酸鈉其中所述藥物配製物具有在10nm與500nm之間範圍內的受控的粒度;並且其中所述藥物組成物不能藉由研磨法、高壓勻化法和封裝法獲得。  A stable pharmaceutical composition comprising: a) 10% to 40% by weight of tadalafil, a salt thereof, or a derivative thereof; b) 35% to 70% by weight of copovidone (vinyl a copolymer of pyrrolidone and vinyl acetate); and c) 5% to 50% by weight of sodium dioctyl sulfosuccinate or sodium lauryl sulfate wherein the pharmaceutical formulation has between 10 nm and 500 nm Controlled particle size within the range; and wherein the drug composition is not obtainable by milling, high pressure homogenization, and encapsulation.  
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