US20010012837A1 - Anti-ulcer composition - Google Patents

Anti-ulcer composition Download PDF

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Publication number
US20010012837A1
US20010012837A1 US09/764,347 US76434701A US2001012837A1 US 20010012837 A1 US20010012837 A1 US 20010012837A1 US 76434701 A US76434701 A US 76434701A US 2001012837 A1 US2001012837 A1 US 2001012837A1
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Prior art keywords
composition
cationic component
percent
content
synthetic
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Inventor
Ivan Santar
Frantisek Kiss
Jiri Briestensky
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Alpenstock Holdings Ltd
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Alpenstock Holdings Ltd
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Assigned to ALPENSTOCK HOLDINGS LIMITED reassignment ALPENSTOCK HOLDINGS LIMITED ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: BRIESTENSKY, JIRI, KISS, FRANTISEK, SANTAR, IVAN
Publication of US20010012837A1 publication Critical patent/US20010012837A1/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/02Suppositories; Bougies; Bases therefor; Ovules
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/70Carbohydrates; Sugars; Derivatives thereof
    • A61K31/715Polysaccharides, i.e. having more than five saccharide radicals attached to each other by glycosidic linkages; Derivatives thereof, e.g. ethers, esters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/74Synthetic polymeric materials
    • A61K31/785Polymers containing nitrogen
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/30Macromolecular organic or inorganic compounds, e.g. inorganic polyphosphates
    • A61K47/36Polysaccharides; Derivatives thereof, e.g. gums, starch, alginate, dextrin, hyaluronic acid, chitosan, inulin, agar or pectin
    • A61K47/38Cellulose; Derivatives thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K8/00Cosmetics or similar toiletry preparations
    • A61K8/18Cosmetics or similar toiletry preparations characterised by the composition
    • A61K8/30Cosmetics or similar toiletry preparations characterised by the composition containing organic compounds
    • A61K8/64Proteins; Peptides; Derivatives or degradation products thereof
    • A61K8/65Collagen; Gelatin; Keratin; Derivatives or degradation products thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K8/00Cosmetics or similar toiletry preparations
    • A61K8/18Cosmetics or similar toiletry preparations characterised by the composition
    • A61K8/72Cosmetics or similar toiletry preparations characterised by the composition containing organic macromolecular compounds
    • A61K8/73Polysaccharides
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K8/00Cosmetics or similar toiletry preparations
    • A61K8/18Cosmetics or similar toiletry preparations characterised by the composition
    • A61K8/72Cosmetics or similar toiletry preparations characterised by the composition containing organic macromolecular compounds
    • A61K8/73Polysaccharides
    • A61K8/731Cellulose; Quaternized cellulose derivatives
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K8/00Cosmetics or similar toiletry preparations
    • A61K8/18Cosmetics or similar toiletry preparations characterised by the composition
    • A61K8/72Cosmetics or similar toiletry preparations characterised by the composition containing organic macromolecular compounds
    • A61K8/73Polysaccharides
    • A61K8/736Chitin; Chitosan; Derivatives thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K8/00Cosmetics or similar toiletry preparations
    • A61K8/18Cosmetics or similar toiletry preparations characterised by the composition
    • A61K8/72Cosmetics or similar toiletry preparations characterised by the composition containing organic macromolecular compounds
    • A61K8/73Polysaccharides
    • A61K8/737Galactomannans, e.g. guar; Derivatives thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K8/00Cosmetics or similar toiletry preparations
    • A61K8/18Cosmetics or similar toiletry preparations characterised by the composition
    • A61K8/72Cosmetics or similar toiletry preparations characterised by the composition containing organic macromolecular compounds
    • A61K8/81Cosmetics or similar toiletry preparations characterised by the composition containing organic macromolecular compounds obtained by reactions involving only carbon-to-carbon unsaturated bonds
    • A61K8/8141Compositions of homopolymers or copolymers of compounds having one or more unsaturated aliphatic radicals, each having only one carbon-to-carbon double bond, and at least one being terminated by only one carboxyl radical, or of salts, anhydrides, esters, amides, imides or nitriles thereof; Compositions of derivatives of such polymers
    • A61K8/8158Homopolymers or copolymers of amides or imides, e.g. (meth) acrylamide; Compositions of derivatives of such polymers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/0012Galenical forms characterised by the site of application
    • A61K9/0034Urogenital system, e.g. vagina, uterus, cervix, penis, scrotum, urethra, bladder; Personal lubricants
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/10Dispersions; Emulsions
    • A61K9/12Aerosols; Foams
    • AHUMAN NECESSITIES
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    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
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    • A61K9/14Particulate form, e.g. powders, Processes for size reducing of pure drugs or the resulting products, Pure drug nanoparticles
    • A61K9/16Agglomerates; Granulates; Microbeadlets ; Microspheres; Pellets; Solid products obtained by spray drying, spray freeze drying, spray congealing,(multiple) emulsion solvent evaporation or extraction
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    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
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    • A61K9/16Agglomerates; Granulates; Microbeadlets ; Microspheres; Pellets; Solid products obtained by spray drying, spray freeze drying, spray congealing,(multiple) emulsion solvent evaporation or extraction
    • A61K9/1605Excipients; Inactive ingredients
    • A61K9/1617Organic compounds, e.g. phospholipids, fats
    • AHUMAN NECESSITIES
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    • A61K9/16Agglomerates; Granulates; Microbeadlets ; Microspheres; Pellets; Solid products obtained by spray drying, spray freeze drying, spray congealing,(multiple) emulsion solvent evaporation or extraction
    • A61K9/1605Excipients; Inactive ingredients
    • A61K9/1629Organic macromolecular compounds
    • A61K9/1635Organic macromolecular compounds obtained by reactions only involving carbon-to-carbon unsaturated bonds, e.g. polyvinyl pyrrolidone, poly(meth)acrylates
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
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    • A61K9/20Pills, tablets, discs, rods
    • A61K9/2004Excipients; Inactive ingredients
    • A61K9/2022Organic macromolecular compounds
    • A61K9/2027Organic macromolecular compounds obtained by reactions only involving carbon-to-carbon unsaturated bonds, e.g. polyvinyl pyrrolidone, poly(meth)acrylates
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
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    • A61K9/2004Excipients; Inactive ingredients
    • A61K9/2022Organic macromolecular compounds
    • A61K9/205Polysaccharides, e.g. alginate, gums; Cyclodextrin
    • A61K9/2054Cellulose; Cellulose derivatives, e.g. hydroxypropyl methylcellulose
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P1/00Drugs for disorders of the alimentary tract or the digestive system
    • A61P1/04Drugs for disorders of the alimentary tract or the digestive system for ulcers, gastritis or reflux esophagitis, e.g. antacids, inhibitors of acid secretion, mucosal protectants
    • AHUMAN NECESSITIES
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    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P11/00Drugs for disorders of the respiratory system
    • AHUMAN NECESSITIES
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    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P17/00Drugs for dermatological disorders
    • AHUMAN NECESSITIES
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    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P3/00Drugs for disorders of the metabolism
    • A61P3/06Antihyperlipidemics
    • AHUMAN NECESSITIES
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    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P31/00Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
    • A61P31/04Antibacterial agents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61P31/12Antivirals
    • AHUMAN NECESSITIES
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    • A61P35/00Antineoplastic agents
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    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P7/00Drugs for disorders of the blood or the extracellular fluid
    • A61P7/04Antihaemorrhagics; Procoagulants; Haemostatic agents; Antifibrinolytic agents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61QSPECIFIC USE OF COSMETICS OR SIMILAR TOILETRY PREPARATIONS
    • A61Q19/00Preparations for care of the skin
    • AHUMAN NECESSITIES
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    • A61K2800/00Properties of cosmetic compositions or active ingredients thereof or formulation aids used therein and process related aspects
    • A61K2800/40Chemical, physico-chemical or functional or structural properties of particular ingredients
    • A61K2800/54Polymers characterized by specific structures/properties
    • A61K2800/542Polymers characterized by specific structures/properties characterized by the charge
    • A61K2800/5424Polymers characterized by specific structures/properties characterized by the charge anionic
    • AHUMAN NECESSITIES
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    • A61K2800/40Chemical, physico-chemical or functional or structural properties of particular ingredients
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    • A61K2800/542Polymers characterized by specific structures/properties characterized by the charge
    • A61K2800/5426Polymers characterized by specific structures/properties characterized by the charge cationic

Definitions

  • Peptic ulcer disease is a broad classification for more specific conditions known as gastric or duodenal ulcers. Ulcers are clinically characterized as an erosion of the mucosal lining of the gastrointestinal tract. Duodenal ulcers are four times more common than gastric ulcers in the general population; however, among NSAID users, gastric ulcers are more common.
  • PUD The etiology of PUD was originally thought to be an imbalance of several factors that included gastrointestinal secretions (gastric acid, pepsin, bile salts, and enzymes), and dietary intake (spicy foods, alcohol, caffeine). Later, it was discovered that Helicobacter pylori is present in more than 90% of duodenal ulcers and more than 75% of gastric ulcers not caused by NSAID use. PUD is therefore now treated as an infectious condition, cured with antibiotics. In the small percentage of PUD cases not caused by H. pylori, the cause can include the use of ulcerogenic drugs, mostly non-steroidal andinflammatory drugs (NSAIDs) and hypersecretory diseases.
  • NSAIDs non-steroidal andinflammatory drugs
  • Ulcers can be asymptomatic for an indefinite period of time. The most common symptom is pain. Weight loss and anorexia can occur in severe cases, and other non-specific symptoms include nausea, belching, bloating, abdominal distension, food intolerance, and heartburn. Complications of PUD could manifest as frequent symptoms, perforation, hemorrhage, and gastric outlet obstruction. Hemorrhage is the most common complication, occurring in an estimated 25% of cases, and sometimes is the initial presentation.
  • Antacids provide symptomatic relief by neutralizing acid in the stomach, but their duration of action requires the patient to take multiple doses each day. Side effects are diarrhoea (mainly caused by magnesium salts), constipation (associated with aluminum salts), mineral imbalance, and alkalosis. Compliance is often a problem with this regimen.
  • Histamine-2 receptor antagonists with cimetidine as the prototype, were introduced in late 70's, and ranitidine, famotidine, and nizatidine soon followed, and quickly became the most widely prescribed medications. They are highly effective in healing ulcers, however, recurrence was common, which led to the practice of maintenance therapy. These agents' most notable adverse effects are drug interactions of the cytochrome P450 system (most common with cimetidine).
  • misoprostol the first synthetic prostaglandin E 1 analog for the treatment of ulcers. It is a first-line therapy for active and preventive therapy of NSAID-induced gastric ulcers. This agent is also recommended for patients who cannot or should not discontinue NSAID therapy. Diarrhoea is the most common side effect and appears to be dose-dependent. However, misoprostol is a potential abortifacient, and its use is contraindicated in women who are pregnant or trying to conceive.
  • H. pylori PUD caused by H. pylori additionally requires antimicrobial therapy, but monotherapy is not recomrnended due to the potential for resistance. Antibiotic therapy should always be combined with acid-suppressive therapy when treating H. pylori.
  • the most common regimen for H. pylori eradication is triple antibiotics (amoxicillin or tetracycline/clarithromycin, metronidazole, and bismuth subsalicylate). Compliance with triple therapy plus an antisecretory drug (known as quadruple therapy) is difficult because of the number of pills the patient must take. Therefore many dual therapy regimens have been developed and are excellent alternatives. Side effects are based on the chosen antimicrobial agents and may include nausea, taste disturbance, diarrhoea, cramps and headache.
  • acid-suppressive therapy is omnipresent in PUD treatment and may involve various adverse effects as well as increase the treatment expenses for the patient.
  • the invention in particular involves the use of polyanhydroglucuronic acids and salts thereof.
  • polyanhydroglucuronic acid and salts there of as used herein also includes copolymers thereof, especially with anhydroglucose. This is hereinafter referred to as PAGA.
  • Co-pending patent application PCT IE98/00004 describes particular polyanhydroglucuronic acids and salts thereof and a method of preparing such compounds.
  • polyanhydroglucuronic acids and salts thereof includes the acids and salts referred to in this co-pending application.
  • this type of polymer has the advantage of being able to fulfil multiple functions in the gastrointestinal tract. Due to the bound cation(s) it can neutralise the excess acidity of the gastric acids. As an efficient haemostat it can assist in the control of eventual haemorraging complications. It can further carry active substances such as histamine-2 antagonists suppressing production of gastric acids or proton pump inhibitors.
  • a pharmaceutical composition for the prophylaxis or treatment of peptic ulcers including a biocompatible anionic polysaccharide material containing glucuronic acid.
  • the polysaccharide is derived from a starch, cellulose or gum, or is of microbial origin.
  • the polysaccharide material is polyanhydroglucuronic acid, biocompatible salts thereof, copolymers thereof and intermolecular complexes thereof.
  • biocompatible intermolecular polymer complex is a complex of:
  • an anionic component comprising a linear or branched polysaccharide chain containing glucuronic acid
  • a non protein cationic component comprising a linear or branched natural, semi synthetic or synthetic oligomer or polymer.
  • the cationic component contains nitrogen that either carries a positive charge or the positive charge is induced by contact with the polysaccharidic anionic component.
  • the cationic component is selected from derivatives of acrylamide, methacrylamide and copolymers thereof.
  • the cationic component may be a cationised natural polysaccharide.
  • the polysaccharide is a starch, cellulose or gum.
  • the gum is guargumhydroxypropyltriammonium chloride.
  • the cationic component is a synthetic or semi-synthetic polyamino acid.
  • the cationic component is polylysin, polyarginin, or ⁇ , ⁇ -poly-[N-(2 hydroxyethyl)-DL-aspartamide].
  • the cationic component is a synthetic anti-fibrinolytic.
  • the anti-fibrinolytic is a hexadimethrindibromide (polybren).
  • the cationic component is a natural or semi-synthetic peptide.
  • the peptide is a protamine, gelatine, fibrinopeptide, or derivatives thereof.
  • the cationic component is an aminoglucane or derivatives thereof.
  • aminoglucane is fractionated chitin or its de-acetylated derivative chitosan.
  • the aminoglucane may be of microbial origin or is isolated from the shells of arthropods such as crabs.
  • the anionic component is polyanhydroglucuronic acid and/or bicompatible salts and/or copolymers thereof.
  • the polyanhydroglucuronic acid and salts thereof contain in their polymeric chain from 8 to 30 percent by weight of carboxyl groups, at least 80 per cent by weight of these groups being of the uronic type, at most 5 percent by weight of carbonyl groups, and at most 0.5 percent by weight of bound nitrogen.
  • the polyanhydroglucuronic acid and salts thereof contain in their polymeric chain at most 0.2 percent by weight of bound nitrogen.
  • the molecular mass of the polymeric chain of the anionic component is from 1 ⁇ 10 3 to 3 ⁇ 10 5 Daltons.
  • the molecular mass of the polymeric chain of the anionic component ranges from 5 ⁇ 10 3 to 1.5 ⁇ 10 5 Daltons.
  • the content of carboxyl groups is in the range of from 12 to 26 percent by weight, at least 95 percent of these groups being of the uronic type.
  • the anionic component contains at most 1 percent by weight of carbonyl groups.
  • the carbonyl groups are intra- and intermolecular 2,6 and 3,6 hemiacetals, 2,4- hemialdals and C2-C3 aldehydes.
  • the cationic component is gelatine.
  • the cationic component is chitosan.
  • the composition may include at least one biocompatible biologically active substance.
  • composition may alternatively or additionally include at least one biologically acceptable adjuvant.
  • composition may alternatively or additionally include at least one pharmaceutically active adjuvant.
  • the adjuvant is an anti-ulcer agent.
  • the adjuvant may be a H 2 -antagonist such as cimetidine.
  • the adjuvant is a combination of an antibiotic which is active against Helicobacter pylori and a H 2 -antagonist.
  • the composition may include bismuth salt.
  • composition may be in a form for oral administration such as a tablet, pellet, capsule, granule, or microsphere.
  • H 2 O 2 anal.grade 30% (Lachema, a.s. Neratovice)
  • N-HANCE 3000 guargumhydroxypropyltriammoniumchloride
  • mixer bottom stirring, 150 1 (duplicator), stainless steel EXTRA S
  • turbostirrer ULTRA TURAX (Janke-Kunkel)
  • N-HANCE 3000 were placed into and 5 1 beaker and 3 1 of demineralised water 2 ⁇ S were added. Contents of the beaker were intensely stirred for 30 minutes. The pH value was adjusted to less than 4.5 by addition of an acetic acid solution leading to a viscosity rise.
  • 60 1 of demineralised water 2 ⁇ S were introduced into a mixer. Then 3 kg of CaCl 2 .6H 2 O anal.grade were added and the contents heated up to a temperature of 50° C. under stirring. On dissolution of the calcium chloride the stiring was interrupted and 2.7 kg of the raw oxidised cotton wool were introduced. The mixer was closed and the contents were agitated for 120 seconds.
  • the pH value of the contents was adjusted by addition of a 20% solution of Na 2 CO 3 to 6-6.5 and 13 kg of H 2 O 2 30% were introduced.
  • the fibre suspension was slowly agitated for 10 minutes.
  • the pH value was readjusted to 4.5-5.0 and the prepared viscous solution of N-HANCE 3000 was introduced.
  • the contents of the mixer were stirred intensely for 30 seconds.
  • 60 1 of synthetic rectified ethanol conc. 98% were introduced into the mixer.
  • the contents of the mixer were transferred onto a vibrating screen, and the supernatant. Liquid was filtered off.
  • the filtration cake was redispersed in the mixer in 60 1 of a mixture of 18 1 of synthetic rectified ethanol conc. 98% and 42 1 of demineralised water 2 ⁇ S.
  • the fibre suspension was filtered again on the vibrating screen.
  • the isolated material thus prepared may further serve to prepare final products of the nonwoven type via a wet or dry process.
  • turbostirrer ULTRA TURAX (Janke-Kunkel)
  • the product can be used, for instance, for microembolisation, for preparation of haemostatic dusting powders, for manufacture of polymer drugs, e.g. based on cytostatics, or for preparation of spheric particles for macroembolisation.
  • turbostirrer ULTRA TURAX (Janke-Kunkel)
  • the temperature was decreased to 25-30° C. and the pH of the system was checked and adjusted to a value of 6.0-6.5. Subsequently, 626 ml of synthetic rectified ethanol conc. 98% were added gradually under intense stirring.
  • the suspension of IMC thus formed was isolated using a laboratory centrifuge. The supernatant liquid was filtered away and the cake was redispersed into 250 ml of 50% ethanol. The system was centrifuged again and after the separation of the supematant liquid, the IMC was redispersed into 250 ml of synthetic rectified ethanol conc. 98% and let to stay for 4 hours.
  • the product can be used, for instance, for microembolisation, for preparation of haemostatic dusting powders, for manufacture of polymer drugs, e.g. based on cytostatics, or for preparation of spheric particles for macroembolisation.
  • turbostirrer ULTRA TURAX (Janke-Kunkel)
  • the product can be used, for instance, for microembolisation, for preparation of haemostatic dusting powders, for manufacture of polymer drugs, e.g. based on cytostatics, or for preparation of spheric particles for macroembolisation.
  • turbostirrer ULTRA TURAX (Janke-Kunkel)
  • the supernatant liquid was filtered away and the cake was redispersed into, subsequently, 800 ml of 60% ethanol and 250 ml of 98% ethanol, wherein it was let to stay for a minimum of 10 hours.
  • the system was centrfuged again and the product was dried at 40° C. in a rotary vacuum dryer or a hot-air dryer. A white to slightly yellowish powder was obtained and further desagglomerated on an Alpine pin mill.
  • the product serves for the preparation of a mucoregulatory drug with a prolonged action.
  • the supernatant liquid was filtered away and the cake was redispersed into 250 ml of 50% ethanol.
  • the system was centrifuged again and after the separation of the supernatant liquid, the IMC was redispersed into 250 ml of synthetic rectified ethanol conc. 98% and let to stay for 4 hours. It was then centrifuged again, redispersed into 99.9% isopropanol, and let to stay for a rninimum of 10 hours at 20° C.
  • the gel formed was centrifuged again and the product was dried in a rotary vacuum dryer or a hot-air dryer.
  • the product can be used, for instance, for the manufacture of a dusting powder or a powder spray for the treatment of infected wounds.
  • N-HANCE 3000 guargumhydroxypropyltriammoniumchloride
  • rotary air pump rotor diameter 150 mm
  • turbostirrer ULTRA TURAX (Janke-Kunkel)
  • N-HANCE 3000 were placed into and 5 1 beaker and 3 1 of demineralised water 2 ⁇ S were added. Contents of the beaker were intensely stirred for 30 minutes. The pH value was adjusted to less than 4.5 by addition of an acetic acid solution leading to a viscosity rise.
  • the contents of the mixer were stirred intensely for 30 seconds. A solution of 35 g of chlorhexidine digluconate in 350 ml of demineralised water 2 ⁇ S was then introduced slowly within 10 minutes. Within another 10 minutes, a solution of polybren containing 120 g of polybrenu in 1000 ml of demineralised water 2 ⁇ S was added. Subsequently 60 1 of synthetic rectified ethanol conc. 98% were introduced into the mixer. After another 15 seconds from adding the ethanol, the contents of the mixer were transferred onto a vibrating screen, and the supernatant. Liquid was filtered off. The filtration cake was redispersed in the mixer in 60 1 of a mixture of 18 1 of synthetic rectified ethanol conc. 98% and 42 1 of demineralised water 2 ⁇ S. The fibre suspension was filtered again on the vibrating screen.
  • the isolated material thus prepared may further serve to prepare, via a wet or dry process, final products of the nonwoven type having an enhanced haemostatic activity and a bactericidal effect.
  • turbostirrer ULTRA TURAX (Janke-Kunkel)
  • the flask contents were then intensely stirred for another 10 minutes, and the pH of the system was adjusted, by addition of NaOH, to a value of 7.0.
  • a solution of clarithromycin 44 g of clarithromycin in 456 ml of redistilled H 2 O
  • the pH of the system was adjusted to a value of 7.0-7.5.
  • Stirring was interrupted, the flask contents were transferred into a dialysing bag and dialysed against water for 48 hours. Subsequently the product was isolated by centrifugation, lyophilised, and disintegrated on the laboratory pin mill ALPINE.
  • the product can be used, for instance, to prepare tablets or granules efficient against Helicobacter pylori occurring in the gastrointestinal tract.
  • turbostirrer ULTRA TURAX (Janke-Kunkel)
  • the system was centrifuged again and after the separation of the supernatant liquid, the IMC was redispersed into 250 ml of synthetic rectified ethanol conc. 98% and let to stay for a minimum of 4 hours. It was then centrifuged again, redispersed into 99.9% isopropanol, and let to stay for a minimum of 10 hours at 20° C.
  • the suspension formed was then centrifuged again and the product was dried in a rotary vacuum dryer or a hot-air dryer.
  • the product can be used, for instance, to prepare dusting powders for wound treatnent or tablets for treatment of gastrointestinal tract malfunctions.
  • turbostirrer ULTRA TURAX (Janke-Kunkel)
  • the supernatant liquid was filtered away and the cake was redispersed into 250 ml of 50% ethanol.
  • the system was centrifuged again and after the separation of the supernatant liquid, the IMC was redispersed into 250 ml of synthetic rectified ethanol conc. 98% and let to stay for 4 hours. It was then centrifuged again, redispersed into 99.9% isopropanol, and let to stay for a minimum of 10 hours at 20° C.
  • the gel formed was centrifuged again and the product was dried in a rotary vacuum dryer or a hot-air dryer.
  • the product can be used, for instance, to manufacture tablets or granulates for the treatment of the gastrointestinal tract or other non-malignant ulcerations.
  • turbostirrer ULTRA TURAX (Janke-Kunkel)
  • the IMC-MDOC complex as prepared in Example 2 above was redispersed into redistilled water in a sulphonation flask using a turbostirrer. A solution of Bestatin in methanol was then added to the flask in an amount sufficient to yield a 10% b/w concentration of Bestatin in the resulting Bestatin-gelatine-MDOC complex. After thorough homogenisation, the suspension formed was isolated by centrifugation. The supernatant liquid ws filtered away and the filtration cake was redispersed into concentrated methanol again, centrifuged, redispersed in diethylether, and after being allowed to stay for 1 hour, it was dried in a hot-air dryer.
  • the product a microdispersed form of a Bestatin-gelatine-MDOC complex, can be used, for instance, to prepare microembolisation agents used in regional chemotherapy of malignant tumours or flat dressing structures for wound treatment.
  • MDOC Microdispersed Oxidised cellulose.
  • MDOC Ca/Na salt of PAGA
  • particle size 0.1-2.0 ⁇ m, specific surface area 86 m 2 /g, COOH group content 22.2% b/w, Ca content 4.2% b/w, Na content 3.8% b/w
  • the tablets prepared were smooth and cohering and had a weight of 0.5 g. Disintegration rate of the tablets in a saline F1/1 was 15 minutes at 20 C., and 8 minutes at 37° C.
  • the tablets prepared were smooth and well cohering and had a weight of 0.5 g. Disintegration rate of the tablets in a saline F1/1 was 17 minutes at 20° C., and 8 minutes at 37° C.
  • MDOC particle size 0.1-2.0 ⁇ m, specific surface area 86m 2 ,
  • the tablets prepared were smooth and cohering and had a weight of 0.5 g. Disintegration rate of the tablets in a saline F1/1 was 12 minutes at 20° C,, and 5 minutes at 37° C.
  • MDOC suppresses formation of the stomach acidity, adjust the pH value of the environment, and protects the mucous membranes by forming a gel layer.
  • MDOC particle size 0.1-2.0 ⁇ m, specific surface area 86m 2 , COOH group content 22.2% b/w, Ca content 4.2% b/w, Na content 3.8% b/w
  • the tablets prepared were smooth and well cohering and had a weight of 1.0 g. Disintegration rate of the tablets in a saline F1/1 was 8 minutes at 20° C., and 6 minutes at 37° C.
  • MDOC particle size 0.1-2.0 gm, specific surface area 86 m 2 g,
  • mixer bottom agitated, vessel size 1000 ml, 8000 rpm, equipped with a nozzle for inlet of the granulation medium counter-flow drier BINDER
  • the granules can be used in the treatment of gastric ulcers.
  • MDOC suppresses formation of the stomach acidity, adjust the pH value of the environment, and protects the mucous membranes by forming a gel layer.
  • BiO + acts as a mild astringens. Clarithromycin depresses the growth of Helicobacter pylori beyond pathologic limits.

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