WO2005021008A1 - イオントフォレーシス投与組成物 - Google Patents
イオントフォレーシス投与組成物 Download PDFInfo
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- WO2005021008A1 WO2005021008A1 PCT/JP2004/012090 JP2004012090W WO2005021008A1 WO 2005021008 A1 WO2005021008 A1 WO 2005021008A1 JP 2004012090 W JP2004012090 W JP 2004012090W WO 2005021008 A1 WO2005021008 A1 WO 2005021008A1
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- WO
- WIPO (PCT)
- Prior art keywords
- composition
- iontophoresis
- administration
- water
- amount
- Prior art date
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/56—Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids
- A61K31/57—Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids substituted in position 17 beta by a chain of two carbon atoms, e.g. pregnane or progesterone
- A61K31/573—Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids substituted in position 17 beta by a chain of two carbon atoms, e.g. pregnane or progesterone substituted in position 21, e.g. cortisone, dexamethasone, prednisone or aldosterone
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/0002—Galenical forms characterised by the drug release technique; Application systems commanded by energy
- A61K9/0009—Galenical forms characterised by the drug release technique; Application systems commanded by energy involving or responsive to electricity, magnetism or acoustic waves; Galenical aspects of sonophoresis, iontophoresis, electroporation or electroosmosis
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P19/00—Drugs for skeletal disorders
- A61P19/02—Drugs for skeletal disorders for joint disorders, e.g. arthritis, arthrosis
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P29/00—Non-central analgesic, antipyretic or antiinflammatory agents, e.g. antirheumatic agents; Non-steroidal antiinflammatory drugs [NSAID]
Definitions
- composition for administration of iontophoresis Composition for administration of iontophoresis
- the present invention relates to a composition for administration of iontophoresis for use in delivering a steroid into a living body.
- Iontophoresis is a method for delivering drugs from the skin and mucous membranes using electrical energy (Non-Patent Document 1).
- Non-Patent Document 1 two pads with electrodes are applied to the skin, and one or both pads are dissolved in water to contain the ionized drug.
- a current of about 0. ImA / cm 2 between the two electrodes the ionized drug is absorbed from the skin and mucous membrane.
- Non-Patent Document 1 Acta Dermatol venereol, 64, 93 pages, 1984
- Non-Patent Document 2 Journal of Control Release, Vol. 20, pp. 55-66, 1992
- Non-Patent Document 3 J Orthopaed Sports Phys Ther, Vol. 4, 109 Page 1, 1982
- Non-patent Document 4 J Orthopaed Sports Phys Ther, Vol. 8, Page 77, 1986
- Non-Patent Document 5 Arthritis Care and Research, vol. 9, page 126, 1996
- the present invention stabilizes a water-soluble steroid in an iontophoresis administration solution or a gel composition containing water, and is the same as or similar to the case where a water-soluble steroid is administered in an aqueous solution containing no stabilizer. It is an object of the present invention to provide a composition for administration of iontophoresis that can obtain higher absorption.
- the above problem is solved by an iontophoresis administration composition containing a water-soluble steroid and edetic acids.
- the composition for administration of iontophoresis can further contain at least one selected from the group consisting of saccharides, urea, surfactants and polyhydric alcohols.
- the saccharide can be sucrose, sorbitol or xylitol.
- the surfactant can be Shiojiri Benzanorekonium. It is preferable that the saccharide be contained in 0.5 to 20% by mass.
- the surfactant is preferably contained in an amount of 0.01 to 0.5% by mass.
- Urea is preferably contained in an amount of 0.2 to 3% by mass.
- Edetates are disodium edetate (EDTA_2Na) or tetrasodium edetate
- the edetic acids are preferably contained at 0.01 to 0.5% by mass. It is preferable that urea is contained in an amount of 0.1 to 0.5% by mass based on the amount of the water-soluble steroid.
- the water-soluble steroid is at least one selected from the group consisting of dexamethasone phosphate, betamethasone phosphate, betamethasone acetate, dexamethasone methasulfobenzoate, hydrocortisone succinate, hydrocortisone phosphate and prednisolone succinate, and salts thereof. can do.
- the water-soluble steroid preferably contains a salt of dexamethasone phosphate or betamethasone phosphate, and edetic acids are preferably contained in an amount of 0.025 to 0.05% by mass based on the amount of the steroid.
- the composition for administration of iontophoresis containing the water-soluble steroid and edetic acids according to the present invention has a skin permeability of a water-soluble steroid when applied to skin or mucous membrane by iontophoresis.
- the water-soluble steroids which are much higher than conventional compositions such as the above and have poor storage stability, can be very effectively improved with time. Therefore, a high-performance composition can be stored for a long time, and a formulation most suitable for commercialization can be obtained.
- FIG. 1 In the in vitro skin permeation test according to Example 1 and Comparative Examples 1, 2, 5, and 6, the cumulative permeation amount ( ⁇ g / cm 2 ) of dexamethasone sodium phosphate up to 5 hours from the start of electric conduction FIG.
- FIG. 2 is a graph showing the relationship between the stability shown in Table 1 and the permeation amount shown in FIG. 1 for each composition according to Example 1 and Comparative Examples 1, 2, 5, and 6.
- the present inventors have conducted intensive studies to solve the above-mentioned problems, and as a result, added edetic acids to a water-soluble steroid, and furthermore, urea, polyhydric alcohol, saccharide and surfactant. Found that the addition of at least one selected from the group consisting of stabilizes the water-soluble steroid in the aqueous solution and the gel composition and does not reduce the skin permeability. It is.
- the previous example of using an aqueous solution containing a water-soluble steroid and edetic acids as an iontophoresis administration solution is quite novel.
- the stability of the water-soluble steroid is remarkably improved by the present composition, and the skin permeability of the water-soluble steroid by iontophoresis can be kept high. Furthermore, the present invention is painless for patients receiving steroid administration by injection, and can achieve the same effect, and has high industrial utility.
- edetic acids examples include disodium edetate and tetrasodium edetate. These are not limited to these.
- the addition concentration of edetic acids is about 0.01-0.5% (W / V) (g / 100 ml), preferably about 0.03-0.1% (W / V). It should be noted that the addition concentration must always be determined in conjunction with the amount of the water-soluble steroid. However, the content is preferably 0.025-0.05% ( ⁇ / ⁇ :% by mass).
- the concentration of urea is about 0.2--3% (W / V). ⁇ : mass%) preferably included. If the amount is less than 0.1% by mass, sufficient drug stability cannot be obtained. If the amount is 0.5% by mass or more, decomposed products of urea become competitor ions of the drug and reduce drug absorption.
- saccharides include sucrose, sorbitol, and xylitol.
- concentration is not limited to this, and the added concentration is about 0.5 to 20% (W / V), preferably 1.5 to 10% (W / V).
- surfactant include benzanolone chloride and benzatonium salt, and are not limited thereto.
- the above composition is a case where the solution composition is taken into consideration.
- the above-mentioned stabilizing agent is blended in mass% ( ⁇ / ⁇ ).
- a hydrophilic base is suitably used as a base for forming a support, and examples thereof include polyacrylic acid, partially neutralized polyacrylic acid, and polyacrylic acid completely. Neutralized products, methoxyethylene maleic anhydride copolymers and neutralized products, methoxyethylene maleic acid copolymers and neutralized products, carboxybutyl polymers, starches of polyatalylate, polyacrylamide and polyacrylamide derivatives, N-vinylacetamide And ionic synthetic polymers such as copolymers of N-vinylacetamide and acrylic acid and / or acrylate; nonionic synthetic polymers such as polyvinyl alcohol, polyvinylpyrrolidone, and polyethylene oxide; and gum arabic.
- Glycols such as glycerin, ethylene glycol, diethylene glycol, triethylene glycol, polyethylene glycol, propylene glycol, and polypropylene glycol; diols such as 1,3-propanediol and 1,4-butanediol; D-sorbitol and xylitol And those obtained by adding sugar alcohols such as mannitol, erythritol and the like to form a flexible film or sheet gel having self-retaining property and skin adhesive property after softening and plasticizing.
- Water-soluble steroids include dexamethasone phosphate, betamethasone phosphate, betamethasone acetate, dexamethasone metasulfobenzoate, hydrocortisone succinate, hydrocortisone phosphate, prednisolone succinate and salts thereof.
- solutions of each composition were prepared in air, added to vials in 5 mL portions, and stoppered with a lid fitted with packing. The film was rolled up and sealed by putting it in aluminum packaging material.
- the solution was prepared using dexamethasone sodium phosphate as a water-soluble steroid, an aqueous solution containing 2% (W / V) dexamethasone sodium phosphate and 0.1% (W / V) disodium edetate. A solution composition of 1 was obtained.
- Example 2 As a stabilizer, disodium edetate 0.1% (W / V) + sucrose 10% (W / V) were selected, and 2% (W / V) dexamethasone sodium phosphate solution was obtained in the same manner as in Example 1. Was prepared to obtain the composition of Example 2.
- disodium edetate 0.1% (W / V) + sucrose 10% (W / V) + urea 0.5% (W / V) were selected.
- % (W / V) dexamethasone sodium phosphate solution was prepared to give the composition of Example 3.
- Disodium edetate 0.1% (W / V) + benzalkonium chloride 0.011% as stabilizer (W / V) was selected, and a 2% (W / V) sodium dexamethasone phosphate solution was prepared in the same process as in Example 1, to obtain a composition of Example 4.
- Example 6 0.1% disodium edetate (W / V) + 0.1% salt / benzanorecodium 0.01% (W / V) + urea 0.5% (W / V) as stabilizer A 2% (W / V) dexamethasone sodium phosphate solution was prepared in the same process as in Example 1, to obtain the composition of Example 6.
- Disodium edetate 0.1% (W / V) + sucrose 10% (W / V) + Shiridani benzalkonium 0.01% (W / V) + urea 0.5% (W / V) ) was selected, and a 2% (W / V) dexamethasone sodium phosphate solution was prepared in the same manner as in Example 1 to obtain a composition of Example 7.
- Disodium edetate 0.1% (W / V) was selected as a stabilizer and a 2% (W / V) betamethasone sodium phosphate solution was prepared in the same process as in Example 1. 8 was obtained. (Example 9)
- Disodium edetate 0.1% (W / V) + sucrose 10% (W / V) was selected as a stabilizer, and 2% (W / V) beta-phosphate was used in the same process as in Example 1.
- a sodium zonate solution was prepared to obtain the composition of Example 9.
- Example 10 As a stabilizer, disodium edetate 0.1% (W / V) + salted benzanolecone 0.01% (W / V) was selected, and 2% ( (W / V) Betamethasone sodium phosphate solution was prepared to obtain the composition of Example 10.
- Disodium edetate 0.04% (W / V) + benzalkonium chloride 0.01 as stabilizer % (w / v) was selected, and a 1% (W / V) betamethasone sodium phosphate solution was prepared in the same steps as in Example 1 to obtain a composition of Example 11.
- Polybutyl alcohol (PVA117, manufactured by Kuraray) 10% (W / W) was dispersed in 5% (W / W) of sorbitol, and then water was added and dissolved by heating. Separately dexamethasone sodium phosphate. / 0 ( W / W) and 0.1% (W / W) of disodium edetate were dissolved in water and adjusted, and both adjusted products were mixed and kneaded. 0.8 g of the obtained composition was filled into a peeled concave molded container made of polyester terephthalate (diameter: 24 mm, depth: 1.5 mm), then the polyester terephthalate film was bonded, and frozen at 140 ° C. After thawing at room temperature, the composition of Example 12 of the present invention was obtained.
- a 2% (W / V) dexamethasone sodium phosphate solution was prepared in the same steps as in Example 1 except that edetic acids were not used, and a composition of Comparative Example 1 was obtained.
- Sucrose was selected as a stabilizer, and a 2% (W / V) sodium dexamethasone phosphate solution was prepared in the same steps as in Example 1 to obtain a composition of Comparative Example 2.
- Sorbitol was selected as a stabilizer, and a 2% (W / V) dexamethasone sodium phosphate solution was prepared in the same steps as in Example 1 to obtain a composition of Comparative Example 3.
- Benzalkonium chloride was selected as a stabilizer, and the same steps as in Example 1 were carried out.
- a / 0 (W / V) dexamethasone sodium phosphate solution was prepared to obtain a composition of Comparative Example 4.
- Comparative Example 6 The composition of Comparative Example 6 was obtained using Decadron S injection (2%) which is a commercially available injection. (Comparative Example 7)
- a 2% (W / V) betamethasone sodium phosphate solution was prepared in the same manner as in Example 1 except that edetic acids were not used, and the composition of Comparative Example 8 was prepared.
- a gel composition containing 2% (W / V) dexamethasone sodium phosphate was prepared in the same process as in Example 1 except that edetic acids were not included in Example 12, and the composition of Comparative Example 9 was prepared.
- dexamethasone sodium phosphate was stabilized by adding disodium edetate in a solution, and the permeability of dexamethasone sodium phosphate was not reduced in an in vitro skin permeation test.
- Example 1 and Comparative Examples 1 and 2 were used using abdominal extirpated skin of a hairless mouse.
- An in vitro skin permeation test was performed using each of the compositions 2, 5, and 6. 450 zL of each composition is impregnated into a 1.8 cm-diameter circular polyurethane-based sponge, and a concave molded container made of polyester terephthalate with a silver / silver chloride electrode on the bottom (diameter 18 mm, depth 1.5mm) on the hairless mouse skin Applied.
- the skin was set on a flow cell connected to a fraction collector, and energized at a constant current of 0.1 mA m 2 for 5 hours.
- Dexamethasone phosphate in the sample collected in the fraction collector and dexamethasone produced by intradermal metabolism during the permeation test were quantified by high-performance liquid chromatography and converted into dexamethasone sodium phosphate over time. I asked.
- Figure 1 shows the cumulative permeation amount ( ⁇ g / cm 2 ) of dexamethasone sodium phosphate during the in vitro skin permeation test according to Example 1 and Comparative Examples 1, 2, 5, and 6 up to 5 hours from the start of energization. It is.
- FIG. 2 is a graph showing the relationship between the stability shown in Table 1 of each composition according to Example 1 and Comparative Examples 1, 2, 5, and 6, and the transmission amount shown in FIG.
- Table 1 and FIG. 2 in the EDTA-2Na-added formulation according to Example 1 of the present invention, a remarkable increase in stability was observed as compared with the comparative example and the control, and 40 ° C. After storage for 60 days at C, the remaining amount was approximately 98%, indicating high stability.
- Example 1 the permeation of dexamethasone sodium phosphate showed the same skin permeability as that when an aqueous solution of dexamethasone sodium phosphate was applied (Comparative Example 1).
- skin permeability equivalent to that of Example 1 was observed in Comparative Examples 1 and 2, dexamethasone sodium phosphate decomposed, and when stored at 40 ° C for 60 days, about 88% of the initial level was decreased in Comparative Example 1. In Comparative Example 2, it decreased to about 91% of the initial value.
- Comparative Example 5 pH fluctuation was suppressed by using a buffer solution, and when stored at 40 ° C for 60 days, the remaining amount was about 96%, indicating high stability, but the permeability of sodium dexamethasone sodium phosphate was high. The stabilizer became a competitor, and the accumulated permeation amount up to 5 hours was 40 ⁇ gm 2 .
- Decadron S injection (2%) for injection showed high level and stability, but low skin permeability. That is, in Example 1, the stability of dexamethasone sodium phosphate could be kept very high, and the skin permeability of dexamethasone sodium phosphate was also high.
- Comparative Example 1 Although skin permeability of dexamethasone sodium phosphate was high, there was a problem with stability. In Comparative Example 2, saccharides and surfactants, which were generally used as stabilizers, were used. No significant stabilization was observed. Furthermore, in Comparative Example 5, the stability of dexamethasone sodium phosphate was increased by stabilizing the pH, but the skin permeability was reduced. That is, none of the comparative examples satisfied both the stability and the permeability. From the above results, only the present invention, which is ineffective with a general stabilizer, It is highly useful and can be standardized.
- Examples 2-7 Two or more of edetate disodium, urea, saccharides, and polyhydric alcohols were selected (Examples 2-7, Comparative Example 7), and a drug stability test similar to that of Experimental Example 1 was performed.
- the stability (40 ° C., 60 days) of Dzon sodium in the solution was compared with Comparative Example 7.
- Table 2 shows the composition and stability results of each prepared sample.
- the addition of urea was added to maintain the pH constant by offsetting the decrease in pH due to the decomposition (dephosphorization) of dexamethasone sodium phosphate by the increase in pH due to the decomposition of urea.
- Example 2 EDTA-2Na + sucrose 98.57
- Example 3 EDTA-2Na + sucrose + urea 98.70
- Example 4 EDTA-2Na + benzalkonium chloride 99.14 Performed
- Example 5 EDTA-2Na + sucrose + penzalkonium chloride 99.66
- Example 6 EDTA-2Na + benzalkonium chloride + urea 98.62
- Example 7 EDTA-2Na + sucrose + benzalkonium chloride + urea 99.66 Comparative Example 7 sucrose + chloride Benzalkonium + urea 94.54 ⁇ Experimental example 3>
- Example 12 The following is an example of a water-soluble steroid which is stabilized in a gel composition by adding edetic acids and saccharides similarly to an aqueous solution, and which does not decrease skin permeability in an in vitro skin permeation test.
- the gel compositions of Example 12 and Comparative Example 9 were stored in a thermostat at 40 ° C. for 30 days in an aluminum package, and then extracted with dexamethasone sodium phosphate, using high performance liquid chromatography. And the remaining amount was measured. Table 4 shows the results of stability of each prepared sample.
- each gel obtained in Example 12 and Comparative Example 9 was obtained using abdominal extirpated skin of a hairless mouse. set A skin permeation test was performed on the in vivo mouth using the product. After applying 0.45 g of each gel preparation filled into a hairless mouse skin in a concave molded container made of polyester terephthalate (diameter 18 mm, depth 1.5 mm) with a silver / silver chloride electrode on the bottom, The skin was set on the flow cell connected to the fraction collector and energized at a constant current of 0.1 mA m 2 for 5 hours.
- Dexamethasone sodium phosphate and dexamethasone in the sample collected in the fraction collector were quantified by high performance liquid chromatography, and the amount of drug permeation with time was determined.
- Table 4 shows the accumulated transmission amount for 5 hours from the start of energization.
- the gel composition of Example 12 according to the present invention showed a higher skin content than the gel composition of Comparative Example 9 due to the addition of disodium edetate 0.1% (W / W). It can be seen that the drug stability is improved without impairing the permeability.
- the skin permeability and stability over time of a water-soluble steroid can be improved, so that a preparation suitable for commercialization can be obtained.
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Cited By (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2011013359A1 (ja) * | 2009-07-31 | 2011-02-03 | 帝國製薬株式会社 | イオントフォレーシス用薬剤組成物 |
JP2011512903A (ja) * | 2008-02-25 | 2011-04-28 | アイゲート ファーマ エスエーエス | イオントフォレシスを介した眼組織への治療薬の向上した送達 |
WO2016093299A1 (ja) * | 2014-12-10 | 2016-06-16 | 千寿製薬株式会社 | 水性液剤 |
CN109550052A (zh) * | 2017-09-27 | 2019-04-02 | 天津金耀集团有限公司 | 一种含有碳酰胺和糖皮质激素的注射制剂 |
CN109549929A (zh) * | 2017-09-27 | 2019-04-02 | 天津金耀集团有限公司 | 一种有机固体溶液降低皮质激素药物粒径的方法 |
CN113750041A (zh) * | 2020-06-04 | 2021-12-07 | 成都倍特药业股份有限公司 | 一种地塞米松磷酸钠液体制剂及其制备方法 |
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Cited By (14)
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US9149525B2 (en) | 2008-02-25 | 2015-10-06 | Eyegate Pharmaceuticals, Inc. | Delivery of corticosteroids through iontophoresis |
US10376463B2 (en) | 2008-02-25 | 2019-08-13 | Eyegate Pharmaceuticals, Inc. | Ocular iontophoretic delivery of dexamethasone and formulations thereof |
JP2011512903A (ja) * | 2008-02-25 | 2011-04-28 | アイゲート ファーマ エスエーエス | イオントフォレシスを介した眼組織への治療薬の向上した送達 |
US9820935B2 (en) | 2008-02-25 | 2017-11-21 | Eyegate Pharmaceuticals, Inc. | Delivery of corticosteroids through iontophoresis |
US20120165782A1 (en) * | 2009-07-31 | 2012-06-28 | Teikoku Seiyaku Co., Ltd. | pharmaceutical composition of an iontophoresis |
US8652522B2 (en) | 2009-07-31 | 2014-02-18 | Teikoku Seiyaku Co., Ltd. | Pharmaceutical composition of an iontophoresis |
AU2010277012B2 (en) * | 2009-07-31 | 2014-10-02 | Teikoku Seiyaku Co., Ltd. | Medicinal composition for iontophoresis |
CN102573849A (zh) * | 2009-07-31 | 2012-07-11 | 帝国制药株式会社 | 用于离子电渗法的药物组合物 |
WO2011013359A1 (ja) * | 2009-07-31 | 2011-02-03 | 帝國製薬株式会社 | イオントフォレーシス用薬剤組成物 |
JP2011032209A (ja) * | 2009-07-31 | 2011-02-17 | Teikoku Seiyaku Co Ltd | イオントフォレーシス用薬剤組成物 |
WO2016093299A1 (ja) * | 2014-12-10 | 2016-06-16 | 千寿製薬株式会社 | 水性液剤 |
CN109550052A (zh) * | 2017-09-27 | 2019-04-02 | 天津金耀集团有限公司 | 一种含有碳酰胺和糖皮质激素的注射制剂 |
CN109549929A (zh) * | 2017-09-27 | 2019-04-02 | 天津金耀集团有限公司 | 一种有机固体溶液降低皮质激素药物粒径的方法 |
CN113750041A (zh) * | 2020-06-04 | 2021-12-07 | 成都倍特药业股份有限公司 | 一种地塞米松磷酸钠液体制剂及其制备方法 |
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JP4820647B2 (ja) | 2011-11-24 |
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