WO1993007857A1 - Stabilisierte kalorische nährlösung und mehrkammersystem für die parenterale ernährung des menschen - Google Patents
Stabilisierte kalorische nährlösung und mehrkammersystem für die parenterale ernährung des menschen Download PDFInfo
- Publication number
- WO1993007857A1 WO1993007857A1 PCT/EP1992/002416 EP9202416W WO9307857A1 WO 1993007857 A1 WO1993007857 A1 WO 1993007857A1 EP 9202416 W EP9202416 W EP 9202416W WO 9307857 A1 WO9307857 A1 WO 9307857A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- nutrient solution
- humans
- chamber
- acetylcysteine
- solutions
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Ceased
Links
Classifications
-
- A—HUMAN NECESSITIES
- A23—FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
- A23L—FOODS, FOODSTUFFS OR NON-ALCOHOLIC BEVERAGES, NOT OTHERWISE PROVIDED FOR; PREPARATION OR TREATMENT THEREOF
- A23L33/00—Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof
- A23L33/10—Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof using additives
- A23L33/17—Amino acids, peptides or proteins
- A23L33/175—Amino acids
Definitions
- the invention relates to a caloric nutrient solution free of free amino acids and their salts for parenteral, e.g. intravenous nutrition of humans with a content of at least one reducing sugar and a stabilizer for the sucker (s) and possibly other usual known energy sources.
- the invention relates to a multi-chamber system for parenteral nutrition of humans with a chamber containing an amino acid solution and a chamber containing a nutrient solution.
- amino acid pattern A wide variety of preparations and finished medicinal products for therapeutic and / or nutritional purposes have also been formulated for administration to patients with liver and kidney disease, with particular attention being paid to the amino acid pattern. It is known, for example from DE-OS 25 56 100, to administer the individual amino acids, namely essential as well as nonessential amino acids, in certain relative ratios to one another in the form of certain amino acid patterns.
- the amino acids are usually used as free amino acids.
- amino acid salts or amino acid derivatives For example, it is known to use the cysteine in the form of the hydrochloride or the N-acetyl derivative.
- amino acid solutions are impaired in their chemical stability by the heat load during heat sterilization. Furthermore, certain amino acids are sensitive to oxidation and their reaction products are able to react with unoxidized amino acids.
- DE-OS 38 14 806 by adding less than 0.5% cysteine, N-acetylcysteine or their salts and esters as antioxidants to amino acid solutions, the decomposition reactions caused by residual oxygen or oxygen diffused during storage are to be avoided.
- DE-OS 38 14 806 therefore recommends adding amino acid solutions N-acetylcysteine as an antioxidant.
- N-acetylcysteine-containing amino acid solutions with the entry of oxygen during storage have proven to be considerably more color-unstable than N-acetylcysteine-free amino acid solutions that N-acetylcysteine-free amino acid solutions, when mixed with solutions reducing sucker, show a discolouration within hours as a sign of rapid chemical reactions.
- the object of the invention is to provide amino acid solutions which are suitable for the parenteral and intravenous nutrition of humans and are packaged in a multi-chamber system or multiple container and which contain reducing sugar and which are characterized by optimal storage and color stability.
- N-acetylcysteine is no longer used as part of the amino acid solution, as is customary hitherto, but rather is added to the solution containing the reducing sugar or sugar.
- the invention thus relates to a caloric nutrient solution and a multi-chamber system as specified in the claims.
- N-acetylcysteine is excellently suitable for stabilizing solutions having a reducing action which are free from amino acids, but apart from one or more reducing actions, sugar and other energy sources which are customary for intravenous and parenteral nutrition in humans such as May contain polyols, for example xylitol and / or disaccharides, for example maltose, and / or fats and the like.
- the nutrient solution according to the invention can advantageously contain 0.01 to 50.0, preferably 0.05 to 5.0 g / l of N-acetylcysteine.
- Reducing sugars are all reducing sugars, especially pentoses and hexoses, which are suitable for parenteral and intravenous nutrition in humans.
- Glucose and fructose are preferably used.
- the solution can contain a sugar or a mixture of different sugars.
- the amino acid solutions can have one of the customary known amino acid patterns which are suitable for parenteral and intravenous nutrition in humans. Typical such patterns are e.g. known from DE-OS 25 56 100.
- the multi-chamber system or multiple container according to the invention can optionally have further chambers or containers which are filled with other substances which are necessary or advantageous for human nutrition, such as fats, Peptides, electrolytes and / or vitamins.
- the multiple chambers or multiple containers have the usual known structure. Accordingly, they exist in partially from liquid-tight plastic materials. However, the multiple containers can also consist of other materials, for example of glass.
- Zinc chloride 0.0082 made up to 1000 ml with water for injections 2.) in the second chamber a 40% glucose solution which had been mixed with 0.7 g / l N-acetylcysteine.
- the chamber system was subjected to a heat sterilization at 121 ° C. customary in pharmacopoeia.
- the sterilization time was 15 minutes.
Landscapes
- Life Sciences & Earth Sciences (AREA)
- Proteomics, Peptides & Aminoacids (AREA)
- Mycology (AREA)
- Health & Medical Sciences (AREA)
- Nutrition Science (AREA)
- Chemical & Material Sciences (AREA)
- Engineering & Computer Science (AREA)
- Food Science & Technology (AREA)
- Polymers & Plastics (AREA)
- Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
- Medicinal Preparation (AREA)
- Coloring Foods And Improving Nutritive Qualities (AREA)
- Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)
- Medical Preparation Storing Or Oral Administration Devices (AREA)
Priority Applications (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| DE59205044T DE59205044D1 (de) | 1991-10-21 | 1992-10-21 | Stabilisierte kalorische nährlösung und mehrkammersystem für die parenterale ernährung des menschen |
| EP92921900A EP0609321B1 (de) | 1991-10-21 | 1992-10-21 | Stabilisierte kalorische nährlösung und mehrkammersystem für die parenterale ernährung des menschen |
| JP5507449A JPH07502025A (ja) | 1991-10-21 | 1992-10-21 | ヒト非経口栄養補給に用いる、安定性に優れた熱量栄養剤溶液、および複数隔壁容器または複式受容器 |
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| DE4134723A DE4134723C1 (https=) | 1991-10-21 | 1991-10-21 | |
| DEP4134723.4 | 1991-10-21 |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| WO1993007857A1 true WO1993007857A1 (de) | 1993-04-29 |
Family
ID=6443100
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| PCT/EP1992/002416 Ceased WO1993007857A1 (de) | 1991-10-21 | 1992-10-21 | Stabilisierte kalorische nährlösung und mehrkammersystem für die parenterale ernährung des menschen |
Country Status (9)
| Country | Link |
|---|---|
| US (1) | US5760005A (https=) |
| EP (2) | EP0609321B1 (https=) |
| JP (1) | JPH07502025A (https=) |
| AT (1) | ATE132740T1 (https=) |
| CA (1) | CA2121676A1 (https=) |
| DE (3) | DE4134723C1 (https=) |
| DK (1) | DK0609321T3 (https=) |
| ES (1) | ES2081634T3 (https=) |
| WO (1) | WO1993007857A1 (https=) |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO1997042961A1 (es) * | 1996-05-16 | 1997-11-20 | Zambon, S.A. | Asociacion farmacologica entre n-acetilcisteina y levulosa para la prevencion de la muerte celular y enfermedades asociadas |
| US5962421A (en) * | 1996-05-16 | 1999-10-05 | Zambon, S.A. | Pharmacological association between N-acetylcysteine and levulose for preventing cellular death and related diseases |
Families Citing this family (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US8187647B2 (en) | 2008-06-13 | 2012-05-29 | BioClinical Development, Inc. | Edible energy composition |
| MX2010005319A (es) * | 2007-11-16 | 2010-06-02 | Bio Clinical Dev Inc | Composicion energetica comestible con bajo contenido de cafeina. |
| US10881661B2 (en) | 2008-06-13 | 2021-01-05 | International Ip Holdings Llc | Edible energy composition |
| US9049879B2 (en) | 2008-06-13 | 2015-06-09 | International Ip Holdings Llc | Edible energy composition |
| WO2010104023A1 (ja) * | 2009-03-11 | 2010-09-16 | 味の素株式会社 | ビタミンb1を安定に配合した糖液を含む末梢静脈投与用輸液 |
Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US3950529A (en) * | 1975-02-03 | 1976-04-13 | Massachusetts General Hospital | Amino acid formulations for patients with liver disease and method of using same |
| WO1982003773A1 (en) * | 1981-04-27 | 1982-11-11 | Baxter Travenol Lab | Dialysis solution containing glucose,amino acids & insulin |
| EP0101185A2 (en) * | 1982-07-20 | 1984-02-22 | SHIMIZU SEIYAKU KABUSHIKI KAISHA also known as Shimizu Pharmaceutical Co., Ltd. | Transfusion preparation for intravenous infusion |
| DE3814806A1 (de) * | 1988-05-02 | 1989-11-16 | Christoph V Dr Rer Nat Stein | Verfahren zur stabilisierung von aminosaeuren-infusionsloesungen |
Family Cites Families (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| DE3026368A1 (de) * | 1980-07-11 | 1982-02-18 | Lentia GmbH Chem. u. pharm. Erzeugnisse - Industriebedarf, 8000 München | Naehrloesung fuer die vollstaendige parenterale ernaehrung und fuer gesteigerte energieproduktion |
| DE3228127A1 (de) * | 1982-07-28 | 1984-02-02 | Basf Ag, 6700 Ludwigshafen | Aminosaeuren-infusionsloesungen |
-
1991
- 1991-10-21 DE DE4134723A patent/DE4134723C1/de not_active Expired - Lifetime
-
1992
- 1992-10-21 ES ES92921900T patent/ES2081634T3/es not_active Expired - Lifetime
- 1992-10-21 DE DE59205044T patent/DE59205044D1/de not_active Revoked
- 1992-10-21 EP EP92921900A patent/EP0609321B1/de not_active Revoked
- 1992-10-21 CA CA002121676A patent/CA2121676A1/en not_active Abandoned
- 1992-10-21 DE DE9219127U patent/DE9219127U1/de not_active Expired - Lifetime
- 1992-10-21 JP JP5507449A patent/JPH07502025A/ja active Pending
- 1992-10-21 AT AT92921900T patent/ATE132740T1/de not_active IP Right Cessation
- 1992-10-21 EP EP92203298A patent/EP0602280A1/de active Pending
- 1992-10-21 DK DK92921900.4T patent/DK0609321T3/da active
- 1992-10-21 WO PCT/EP1992/002416 patent/WO1993007857A1/de not_active Ceased
-
1996
- 1996-09-12 US US08/713,021 patent/US5760005A/en not_active Expired - Fee Related
Patent Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US3950529A (en) * | 1975-02-03 | 1976-04-13 | Massachusetts General Hospital | Amino acid formulations for patients with liver disease and method of using same |
| WO1982003773A1 (en) * | 1981-04-27 | 1982-11-11 | Baxter Travenol Lab | Dialysis solution containing glucose,amino acids & insulin |
| EP0101185A2 (en) * | 1982-07-20 | 1984-02-22 | SHIMIZU SEIYAKU KABUSHIKI KAISHA also known as Shimizu Pharmaceutical Co., Ltd. | Transfusion preparation for intravenous infusion |
| DE3814806A1 (de) * | 1988-05-02 | 1989-11-16 | Christoph V Dr Rer Nat Stein | Verfahren zur stabilisierung von aminosaeuren-infusionsloesungen |
Non-Patent Citations (2)
| Title |
|---|
| Derwent Publications Ltd., London, GB; AN 86-172174(27) * |
| THE JOURNAL OF AGRICULTURAL AND FOOD CHEMISTRY Bd. 38, 1990, Seiten 1642 - 1647 M. FRIEDMAN ET AL. 'INHIBITION OF BROWNING BY SULFUR AMINO ACIDS' * |
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO1997042961A1 (es) * | 1996-05-16 | 1997-11-20 | Zambon, S.A. | Asociacion farmacologica entre n-acetilcisteina y levulosa para la prevencion de la muerte celular y enfermedades asociadas |
| ES2114817A1 (es) * | 1996-05-16 | 1998-06-01 | Zambon S A | Asociacion farmacologica entre n-acetilcisteina y levulosa para la prevencion de la muerte celular y enfermedades asociadas. |
| US5962421A (en) * | 1996-05-16 | 1999-10-05 | Zambon, S.A. | Pharmacological association between N-acetylcysteine and levulose for preventing cellular death and related diseases |
Also Published As
| Publication number | Publication date |
|---|---|
| DE59205044D1 (de) | 1996-02-22 |
| JPH07502025A (ja) | 1995-03-02 |
| EP0602280A1 (de) | 1994-06-22 |
| CA2121676A1 (en) | 1993-04-29 |
| US5760005A (en) | 1998-06-02 |
| ES2081634T3 (es) | 1996-03-16 |
| DE4134723C1 (https=) | 1993-02-11 |
| ATE132740T1 (de) | 1996-01-15 |
| EP0609321B1 (de) | 1996-01-10 |
| DE9219127U1 (de) | 1998-04-09 |
| DK0609321T3 (da) | 1996-06-03 |
| EP0609321A1 (de) | 1994-08-10 |
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