WO2006029554A1 - Microcapsules d'alginate de sodium contenant du paclitaxel qui permet de traiter un embole vasculaire - Google Patents
Microcapsules d'alginate de sodium contenant du paclitaxel qui permet de traiter un embole vasculaire Download PDFInfo
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- WO2006029554A1 WO2006029554A1 PCT/CN2005/000320 CN2005000320W WO2006029554A1 WO 2006029554 A1 WO2006029554 A1 WO 2006029554A1 CN 2005000320 W CN2005000320 W CN 2005000320W WO 2006029554 A1 WO2006029554 A1 WO 2006029554A1
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- paclitaxel
- sodium alginate
- solution
- microspheres
- vascular embolization
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- 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
- A61K9/48—Preparations in capsules, e.g. of gelatin, of chocolate
- A61K9/50—Microcapsules having a gas, liquid or semi-solid filling; Solid microparticles or pellets surrounded by a distinct coating layer, e.g. coated microspheres, coated drug crystals
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
- A61K47/30—Macromolecular organic or inorganic compounds, e.g. inorganic polyphosphates
- A61K47/36—Polysaccharides; Derivatives thereof, e.g. gums, starch, alginate, dextrin, hyaluronic acid, chitosan, inulin, agar or pectin
-
- 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
- A61K31/33—Heterocyclic compounds
- A61K31/335—Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin
- A61K31/337—Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin having four-membered rings, e.g. taxol
-
- 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
- A61K9/0012—Galenical forms characterised by the site of application
- A61K9/0019—Injectable compositions; Intramuscular, intravenous, arterial, subcutaneous administration; Compositions to be administered through the skin in an invasive manner
-
- 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
- A61K9/0012—Galenical forms characterised by the site of application
- A61K9/0019—Injectable compositions; Intramuscular, intravenous, arterial, subcutaneous administration; Compositions to be administered through the skin in an invasive manner
- A61K9/0024—Solid, semi-solid or solidifying implants, which are implanted or injected in body tissue
-
- 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
- A61K9/14—Particulate form, e.g. powders, Processes for size reducing of pure drugs or the resulting products, Pure drug nanoparticles
- A61K9/16—Agglomerates; Granulates; Microbeadlets ; Microspheres; Pellets; Solid products obtained by spray drying, spray freeze drying, spray congealing,(multiple) emulsion solvent evaporation or extraction
- A61K9/1605—Excipients; Inactive ingredients
- A61K9/1629—Organic macromolecular compounds
- A61K9/1652—Polysaccharides, e.g. alginate, cellulose derivatives; Cyclodextrin
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P35/00—Antineoplastic agents
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P9/00—Drugs for disorders of the cardiovascular system
Definitions
- Paclitaxel-alginate microsphere vascular embolization agent and preparation thereof
- the invention relates to a paclitaxel-alginate microsphere blood vessel embolization agent and preparation thereof.
- ovarian cancer According to the World Cancer Registry, the incidence of ovarian cancer is the highest in Chile, 21/100,000, Japan and India are the lowest, 3.1/100,000 and 3.3/100,000 respectively. degree.
- ovarian tumors are also one of the common diseases of gynecology, of which malignant tumors account for about 10%, and 70% of patients with ovarian malignant tumors have entered advanced stage.
- the mortality rate is the highest in female genital malignant tumors, and the 5-year survival rate Only 30%-40%, it is a great hazard to women's health and life.
- the incidence has also increased year by year, and has increased three-fold in the past 40 years. Studies have shown that the cure rate of paclitaxel for this disease is as high as 30-60%.
- the molecular weight of paclitaxel is 853.92, and the solubility in water is very low ( ⁇ 0.004 g/ml). Its structure is as follows:
- Paclitaxel Although paclitaxel is highly active against model tumors, clinical trials have been delayed due to the extremely limited source of paclitaxel and the formulation problems due to the insoluble water of paclitaxel.
- Susan B. Horwitz a professor at the Einstein College of Medicine in the United States, and colleagues discovered the unique anticancer mechanism of paclitaxel.
- Paclitaxel entered Phase I clinical studies in the United States from 1983 to 1987, entered Phase II clinical studies from 1987 to 1990, and entered Phase III studies in 1990.
- the US FDA officially approved paclitaxel as a new anticancer drug for the treatment of advanced ovarian cancer.
- the trade name is Paclit aX ol. It has been listed in more than 40 countries including Europe, America and South Africa. The Institute of Materia Medica of China Academy of Medical Sciences and Haikou Pharmaceutical Factory have obtained new drug certificates.
- Paclitaxel has a unique mechanism of action, promotes microtubule polymerization and inhibits its depolymerization, inhibits cell mitosis, arrests cell proliferation in G 2 /M phase, and induces apoptosis. It is a highly effective cytotoxic drug. Recently, studies have shown that paclitaxel also has anti-invasive and metastatic effects, so it is a promising new anticancer drug, but it has limited its wide application due to poor water solubility and f drug traits.
- the mechanism mainly includes: 1 The cytotoxic drugs are low in the concentration of fine beer due to the decrease or decrease in intake; 2 multidrug resistance gene MDR, induced P-89, multidrug resistance gene related protein MRP, Overexpression of lung L-protein LRP,
- Paclitaxel can cause tubulin and tubulin dimers that make up microtubules to lose their homeostasis, induce and promote tubulin polymerization, microtubule assembly, prevent depolymerization, stabilize microtubules, and thus prevent cancer cell growth, paclitaxel
- the binding site is different from guanosine triphosphate, vinblastine and colchicine.
- Taxol binds to the N-terminal 31 amino acids on the ⁇ -tubulin subunit of microtubules and does not bind to tubulin dimer.
- Paclitaxel in the cell induces bundles of microtubules and forms a large number of stellates in the mitotic pituitary.
- the former is a useful clinical indicator of the role of lethal drugs. In vitro, it may inhibit cell division, inhibit division and proliferation, stop in the most sensitive mitotic prephase (G 2 phase) and mitosis phase (M phase), increase the cytotoxic effect of ion irradiation, until death, and then play an anti-cancer effect. .
- paclitaxel itself is almost insoluble in water
- clinical paclitaxel preparations are mostly made from oil-based preparations using organic solvents and oils.
- the carriers of these drugs cause some adverse reactions, so the medication process must be carefully observed.
- some water-soluble macromolecular carriers have been linked to them and brought into water. This research has opened up a new way to solve the water solubility problem of paclitaxel. Generally, it is encapsulated by liposome, cyclodextrin is encapsulated, and polyethylene glycol derivative is used to prepare emulsion and powder injection.
- sodium alginate as a drug carrier for paclitaxel and for the treatment of vascular interventional embolization in cancer patients.
- One of the objects of the present invention is to provide a paclitaxel-containing alginate microsphere vascular embolization agent which is safe, non-toxic, teratogenic, non-reproductive, and non-carcinogenic.
- Another object of the present invention is to provide a method for preparing the above-described paclitaxel-containing alginate microsphere vascular embolization agent.
- a paclitaxel-containing alginate microsphere vascular embolization agent comprising: a pharmaceutical carrier sodium alginate and paclitaxel, said sodium alginate encapsulating said paclitaxel.
- the weight ratio of the sodium alginate to the paclitaxel is 1:1 to 90:1.
- the paclitaxel-containing alginate microsphere vascular embolic agent may be microbeads or microspheres stored in a divalent metal cation solidifying solution.
- the paclitaxel-containing alginate microsphere vascular embolic agent may also be powdery microparticles.
- the particle size of the microbeads or microspheres stored in the solidifying liquid ranges from 200 to 550 ⁇ m or 400 ⁇
- the powdery particles have a particle size ranging from 100 to 350 ⁇ m or from 200 to 550 ⁇ m or from 400 to 750 ⁇ m.
- the paclitaxel is weighed in proportion and dissolved in an organic solvent; a paclitaxel solution is obtained;
- the high-voltage electrostatic microsphere droplet generating device comprises: an electrostatic generating device having positive and negative poles, a positive electrode connected to a needle of the micro injection device, and a negative electrode and a stainless steel wire immersed in the solidifying liquid 3 ⁇ 4, the injection device is filled with a mixed solution of paclitaxel and sodium alginate, and dropped into the solidified liquid to form microspheres.
- the obtained paclitaxel-containing alginate microsphere vascular embolic agent is a microsphere stored in a solidified liquid, which is called a wet bulb.
- the particle size may range from 200 to 550 ⁇ m or from 400 to 750 ⁇ m or from 600 to 950 ⁇ m.
- the following microspheres are placed in an oven to be dried, and sealed to obtain powdery particles, which are called dry balls.
- the particle size may range from 100 to 350 ⁇ m or from 200 to 550 ⁇ m or from 400 to 750 ⁇ m.
- the catheter was inserted into the blood supply artery of the target organ by interventional or interventional ultrasound, and angiography was performed. According to the angiography, the diameter of the embolic microsphere was determined.
- Unpack the bottle cap after standing still, use a syringe to remove the maintenance solution (ie, the solidified solution) from the bottle and rinse the microspheres three times with the same amount of normal saline or remove the maintenance liquid (ie, the solidified solution) from the bottle.
- the same amount of normal saline, together with physiological saline and microspheres, is poured into a sterile bowl.
- the dry bulb stored in the closed container is first dissolved in physiological saline to swell (wet bulb), and then an appropriate amount or diluted contrast agent is added and uniformly mixed. (Make the microspheres fully suspended in the contrast agent), and then super-selectively embolize the blood vessels in the lesion through the catheter under the monitoring of the imaging device, slowly or slowly multiple injections (not excessive embolization) until the contrast agent flow rate is significantly slowed down. , that is, the embolization is completed. The angiography was performed again to determine the embolization effect.
- the cleaned glassware is dried and placed in a high temperature oven for 3 hours at 300 ° C (to remove heat from the bacteria);
- the above mixture was aspirated by a disposable sterile syringe, and dropped into the above calcium-calcifying solution by a high-pressure electrostatic microsphere droplet generating device, and the obtained paclitaxel-containing sodium alginate microsphere was submerged under the container.
- the particle size of the microspheres is between 200 and 550 ⁇ m.
- the upper layer solution of the above container is decanted, and the underlying microbeads are placed in an oven to be dried and sealed, and the obtained dry spheres have a particle size ranging from 100 to 350 ⁇ .
- the catheter is inserted into the blood supply artery of the target organ by interventional or interventional ultrasound, and the angiography is performed. According to the contrast, the size of the microspheres is between 200 and 550 ⁇ m.
- Paclitaxel-containing alginate microspheres Use microcatheters as much as possible for superselective embolization, and use aseptically.
- Paclitaxel-containing alginate microspheres (wet bulbs), use a syringe to remove the calcium chloride solution in the bottle, add the same amount of physiological saline to rinse the microspheres three times, or pump the calcium chloride solution in the bottle.
- the above mixture was aspirated with a disposable sterile syringe, and dropped into the calcium chloride solution by a high-pressure electrostatic microsphere droplet generating device, and the obtained paclitaxel-containing sodium alginate microsphere was submerged under the container.
- the particle size of the microspheres is between 400 and 750 ⁇ m.
- the upper layer solution of the above container was decanted, and the lower microspheres were placed in an oven to be dried and sealed, and the obtained dry spheres had a particle diameter ranging from 200 to 550 ⁇ m. It is reduced to a wet bulb by soaking in physiological saline for a few minutes before use.
- the catheter In patients with uterine fibroids, the catheter is inserted into the blood supply artery of the target organ by interventional or interventional ultrasound. The angiography is performed according to the contrast. The size of the microspheres is between 400 and 750 ⁇ m.
- Paclitaxel sodium alginate microspheres Use microcatheters as much as possible for superselective embolization, and use aseptically.
- the paclitaxel-containing alginate microspheres (wet bulbs) are pumped out of the bottle with a calcium chloride solution, and the microspheres are washed three times with an equal amount of physiological saline, or the calcium chloride solution in the bottle is removed.
- the above mixed solution was aspirated by a disposable sterile syringe, and dropped into the above cerium chloride solution by a high-pressure electrostatic microsphere droplet generating device, and the obtained paclitaxel-containing sodium alginate microsphere was submerged under the container.
- the obtained microspheres have a particle diameter ranging from 600 to 950 ⁇ m.
- the upper layer solution of the above container was decanted, and the underlying microspheres were placed in an oven to be dried and sealed, and the obtained dry spheres had a particle size ranging from 400 to 750 ⁇ m. It is reduced to a wet bulb by soaking in physiological saline for a few minutes before use.
- the catheter In patients with uterine fibroids, the catheter is inserted into the blood supply artery of the target organ by interventional or interventional ultrasound, and angiography is performed. According to the contrast, the above-mentioned microspheres containing paclitaxel ranging from 600 to 750 ⁇ m are selected.
- Alginate microspheres Use microcatheters as much as possible for superselective embolization, and use aseptically.
- the paclitaxel-containing alginate microspheres (wet bulbs) are pumped out of the bottle by a syringe, the microspheres are washed three times with an equal amount of physiological saline, or the cerium chloride solution in the bottle is removed.
- the sodium alginate drug carrier of the invention is a natural extract, which is a polysaccharide sodium salt composed of a mixture of ⁇ -D-mannitol and ⁇ -L-gulose extracted from natural plant brown algae, is a linear macromolecule, molecular weight 50 , 000-100, 000 Daltons, strong hydration, soluble in water can form a viscous colloid, under the action of calcium ions to produce macromolecular chain cross-linking curing, can be processed into different sizes of round or class according to clinical needs Round solid microspheres.
- the microspheres have good biocompatibility. In the living organism, calcium ions gradually precipitate, and the microspheres are detoxified in a molecularly de-chained form within 3-6 months.
- Degradation does not produce debris, and can cause permanent embolization of the target organ blood vessels (when the embolic agent is in the blood vessel for 2 months, the thrombus formation in the patient's blood vessels to achieve permanent embolization)
- the purpose of treatment In practice, use this "bio-multi-micro The ball "embossing material physically blocks the tumor or the small arteries around the treatment site, causing the corresponding vascular atresia, cutting off the blood supply and nutrition of the tissue at the site, causing it to shrink and necrosis due to ischemia and hypoxia.
- the blood supply of the target organ creates favorable conditions for the surgical treatment.
- microspheres are used as carriers for the gynecological treatment, and the localized lesions are slowly released in a timed, positioned, and directed manner, thereby greatly improving the therapeutic effect and reducing the toxic and side effects of the drug. It has dual therapeutic effects of embolization and drug.
- the invention is based on the unique anticancer mechanism and clinical application of paclitaxel, according to the semi-interpenetrating network structure and degradable principle of the sodium alginate microsphere, combined with the actual application of the sodium alginate microsphere embolic agent, from the safety, non-toxic, Non-immunogenic, no genotoxicity, no reproductive toxicity, no carcinogenicity, etc.
- Sodium alginate is used as a carrier to add an anti-tumor target drug, and the target drug is released at a timed, fixed-point, directed, and periodic basis to kill the tumor cells for therapeutic purposes.
- the paclitaxel is insoluble in water, the encapsulated paclitaxel droplets are not precipitated, the microspheres are not formed, and the crystals are precipitated, and special mixing reagents are added. After adjusting the concentration, frequency and speed of the organic solvent, the encapsulation is very good, the microspheres are uniform, smooth, and the drug is evenly dispersed. After being carried by the microspheres, the drug protects the active group of the drug, maintains the stability in the internal environment, and prevents paclitaxel from leaking out too quickly from the body to meet the clinical application requirements.
- the paclitaxel-containing alginate microsphere vascular embolization agent of the invention has the advantages that the drug microsphere has a large drug loading amount, has a long residence time in the body, and has the specificity of targeting, and is the most promising targeted drug release at present. system.
- concentration of paclitaxel was lOmol/L
- the prepared drug microspheres showed no accumulation of paclitaxel crystals and drug microspheres by phase contrast microscopy, and maintained good physical and chemical stability after storage at 4 °C for 30 days.
- the concentration was 30 mol/L, most of the paclitaxel crystals and drug accumulation were observed under the microscope.
- the surface of the microspheres prepared with sodium alginate has a certain negative charge, and the particles are repulsive.
- the dose should be selected according to the condition of the lesion.
- the catheter can be inserted by interventional radiology or surgery.
- the target blood vessel is inserted, and after the contrast, the drug microspheres and the contrast agent are mixed by a syringe, and the injection is gradually performed, and the tube is not condensed in the catheter, and the tube is not blocked.
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Description
Claims
Priority Applications (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US11/660,553 US20080020052A1 (en) | 2004-09-16 | 2005-03-16 | Vascular Embolus Of Paclitaxel-Sodium Alginate Microsphere And Its Preparation |
ES05714849.6T ES2553130T3 (es) | 2004-09-16 | 2005-03-16 | Émbolo vascular de microesferas de alginato de sodio-paclitaxel y su preparación |
CA2577589A CA2577589C (en) | 2004-09-16 | 2005-03-16 | Vascular embolus of paclitaxel-sodium alginate microsphere and its preparation |
JP2007531568A JP2008513381A (ja) | 2004-09-16 | 2005-03-16 | パクリタキセル−アルギン酸ナトリウムマイクロスフェア血管塞栓剤及びその製造方法 |
EP05714849.6A EP1797874B1 (en) | 2004-09-16 | 2005-03-16 | Vascular embolus of paclitaxel-sodium alginate microsphere and its preparation |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CNB2004100744643A CN1319525C (zh) | 2004-09-16 | 2004-09-16 | 紫杉醇-海藻酸钠微球血管栓塞剂及其制备 |
CN200410074464.3 | 2004-09-16 |
Publications (1)
Publication Number | Publication Date |
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WO2006029554A1 true WO2006029554A1 (fr) | 2006-03-23 |
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Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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PCT/CN2005/000320 WO2006029554A1 (fr) | 2004-09-16 | 2005-03-16 | Microcapsules d'alginate de sodium contenant du paclitaxel qui permet de traiter un embole vasculaire |
Country Status (8)
Country | Link |
---|---|
US (1) | US20080020052A1 (zh) |
EP (1) | EP1797874B1 (zh) |
JP (1) | JP2008513381A (zh) |
KR (1) | KR100915601B1 (zh) |
CN (1) | CN1319525C (zh) |
CA (1) | CA2577589C (zh) |
ES (1) | ES2553130T3 (zh) |
WO (1) | WO2006029554A1 (zh) |
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US8168224B2 (en) * | 2007-12-19 | 2012-05-01 | Beijing Shengyiyao Science & Technology Development Co., Ltd. | Sodium alginate microsphere vascular embolus containing water-soluble drug and preparation and application thereof |
US8481075B2 (en) * | 2007-12-13 | 2013-07-09 | Beijing Shengyiyao Science & Technology Development Co. Ltd. | Preparation and application of biodegradable-material-made microsphere vascular embolus containing liposome-encapsulated cytokines |
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-
2004
- 2004-09-16 CN CNB2004100744643A patent/CN1319525C/zh not_active Expired - Lifetime
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2005
- 2005-03-16 CA CA2577589A patent/CA2577589C/en not_active Expired - Fee Related
- 2005-03-16 EP EP05714849.6A patent/EP1797874B1/en not_active Not-in-force
- 2005-03-16 US US11/660,553 patent/US20080020052A1/en not_active Abandoned
- 2005-03-16 JP JP2007531568A patent/JP2008513381A/ja active Pending
- 2005-03-16 WO PCT/CN2005/000320 patent/WO2006029554A1/zh active Application Filing
- 2005-03-16 ES ES05714849.6T patent/ES2553130T3/es active Active
- 2005-03-16 KR KR1020077008633A patent/KR100915601B1/ko active IP Right Grant
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Cited By (2)
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US8481075B2 (en) * | 2007-12-13 | 2013-07-09 | Beijing Shengyiyao Science & Technology Development Co. Ltd. | Preparation and application of biodegradable-material-made microsphere vascular embolus containing liposome-encapsulated cytokines |
US8168224B2 (en) * | 2007-12-19 | 2012-05-01 | Beijing Shengyiyao Science & Technology Development Co., Ltd. | Sodium alginate microsphere vascular embolus containing water-soluble drug and preparation and application thereof |
Also Published As
Publication number | Publication date |
---|---|
KR20070053350A (ko) | 2007-05-23 |
EP1797874A4 (en) | 2012-09-12 |
JP2008513381A (ja) | 2008-05-01 |
CA2577589C (en) | 2010-05-25 |
CA2577589A1 (en) | 2006-03-23 |
CN1319525C (zh) | 2007-06-06 |
US20080020052A1 (en) | 2008-01-24 |
KR100915601B1 (ko) | 2009-09-07 |
ES2553130T3 (es) | 2015-12-04 |
EP1797874B1 (en) | 2015-11-04 |
EP1797874A1 (en) | 2007-06-20 |
CN1615841A (zh) | 2005-05-18 |
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