含海藻糖和玻璃酸的鼻腔用药 Nasal medication containing trehalose and hyaluronic acid
传递系统及其制备方法 技术领域 Transfer system and preparation method thereof
本发明涉及鼻腔用药传递系统及其制备方法, 更具体地说, 本 发明鼻腔用药传递系统中含有和玻璃酸和 /或玻璃酸可药用盐以 及鼻腔用药可接受的常规药剂辅料。 背景技术 The present invention relates to a nasal drug delivery system and a method of preparing the same, and more particularly, to a nasal drug delivery system of the present invention comprising a pharmaceutically acceptable salt of a hyaluronic acid and/or a hyaluronic acid and a conventional pharmaceutical excipient which is acceptable for nasal administration. Background technique
传统的鼻腔局部用药制剂存在明显的缺点, 例如, 传统的滴 鼻剂滴鼻后, 药物很快流失, 使得药物生物利用低、 作用短暂即 使频繁滴鼻, 有时也很难达到理想效果。 除此之外, 有些滴鼻剂 和喷鼻剂还存在刺激性强或不稳定性或全身吸收毒性大等缺点。 这些都制约了传统鼻腔用药的应用和发展。 为解决这些问题, 人 们希望研究和应用鼻腔用药传递系统(英文: de l ivery sys tem ) , 以改善上述不足。 Conventional nasal topical preparations have obvious disadvantages. For example, after the traditional nasal drops are dripped, the drug is quickly lost, which makes the bioavailability of the drug low, and even if it is short-lived, it is sometimes difficult to achieve the desired effect. In addition, some nasal drops and nasal sprays have the disadvantages of strong irritation or instability or high systemic absorption toxicity. These have restricted the application and development of traditional nasal medications. In order to solve these problems, people hope to study and apply the nasal drug delivery system (English: de lvery sys tem) to improve the above deficiencies.
根据传统的鼻腔局部用药的不足, 人们设想理想的鼻腔用药 传递系统应同时具备以下特点: 可延长药物的作用时间; 能增强 药物的吸收; 可提高药物的生物利用度; 可降低药物的毒性, 特 别是全身毒性; 可延长药物的稳定性和保质期; 可提高鼻腔对环 境的适应性; 具有良好的生物相容性等。 目前上市的一类鼻腔用 药传递系统的主要成分黏性赋形剂, 例如: 纤维素类、 聚乙烯醇 等, 只具有增黏的作用, 仅在一定程度上延长了药物在鼻部的作 用时间。 这与理想的鼻腔用药传递系统相比, 相差甚远。 发明内容
本发明的目的是提供一种新型的鼻腔用药传递系统, 该鼻腔用药 传递系统含有海藻糖和玻璃酸和 /或玻璃酸可药用盐以及鼻腔用 药可接受的常规药剂辅料。 According to the traditional deficiency of nasal nasal administration, it is envisaged that the ideal nasal drug delivery system should have the following characteristics: It can prolong the action time of the drug; It can enhance the absorption of the drug; It can improve the bioavailability of the drug; It can reduce the toxicity of the drug. In particular, systemic toxicity; can extend the stability and shelf life of the drug; improve the adaptability of the nasal cavity to the environment; have good biocompatibility. The main components of the current nasal delivery system are viscous excipients, such as cellulose, polyvinyl alcohol, etc., which only have a viscosity-increasing effect, which only prolongs the action time of the drug in the nose to some extent. . This is a far cry from the ideal nasal delivery system. Summary of the invention It is an object of the present invention to provide a novel nasal delivery system comprising trehalose and a pharmaceutically acceptable salt of hyaluronic acid and/or hyaluronic acid and a conventional pharmaceutical adjuvant acceptable for nasal administration.
本发明的鼻腔用药传递系统, 优选还含有一种或多种药理活 性成分。所述药理活性成分优选选自抗微生物药、非 体消炎药、 腎上腺皮质激素类药、 抗变态反应药、 血管收缩药、 局部麻醉药、 症状緩解药、 促进愈合药, 以及其它药理活性成分。 优选地, 所 述抗微生物药为抗生素类药, 优选选自氯霉素、 硫酸庆大霉素、 林可霉素和利福平; 或者为喹诺酮类药, 优选选自诺氟沙星、 左 旋氧氟沙星、 氧氟沙星、 环丙沙星、 洛美沙星、 芦氟沙星、 氟罗 沙星和培氟沙星; 或者为磺胺类药, 优选为磺胺嘧啶; 或者为抗 病毒药, 优选选自阿昔洛韦、 阿糖腺苷和利巴韦林; 其中所述非 甾体消炎药优选选自双氯芬酸钠、 吡罗昔康和美洛昔康; 所述肾 上腺皮质激素优选选自地塞米松磷酸钠、 醋酸地塞米松、 氢化可 的松和倍他米松磷酸钠; 所述抗变态反应药优选为色甘酸钠; 所 述血管收缩药优选选自去甲肾上腺素、 盐酸塞洛唑啉、 盐酸麻黄 碱和茚咪唑啉; 所述局部麻醉药优选为普鲁卡因; 所述症状緩解 药优选选自硫酸锌、 肝素钠、 羟甲唑啉和盐酸卡替洛尔; 所述促 进损伤愈合药优选选自尿嚢素、壳聚糖及其衍生物和硫酸软骨素; 所述其它药理活性成分优选选自氨基酸类、 肽类、 磷脂、 纤维素 醚类、 聚乙埽醇、 聚丙烯酸、 右旋糖酐、 维生素 A、 卡波姆、 聚 乙烯吡咯烷酮、 胆固醇和氢溴酸右美沙芬。 The nasal drug delivery system of the present invention preferably further comprises one or more pharmacologically active ingredients. The pharmacologically active ingredient is preferably selected from the group consisting of an antimicrobial agent, a non-anti-inflammatory drug, an adrenocortical hormone drug, an antiallergic drug, a vasoconstrictor drug, a local anesthetic drug, a symptom relief drug, a healing promoting drug, and other pharmacologically active ingredients. Preferably, the antimicrobial drug is an antibiotic drug, preferably selected from the group consisting of chloramphenicol, gentamicin sulfate, lincomycin and rifampicin; or a quinolone drug, preferably selected from norfloxacin, left-handed Ofloxacin, ofloxacin, ciprofloxacin, lomefloxacin, rufloxacin, fleroxacin and pefloxacin; or a sulfonamide, preferably sulfadiazine; or an antiviral, preferably Selected from acyclovir, adenosine and ribavirin; wherein the non-steroidal anti-inflammatory drug is preferably selected from the group consisting of diclofenac sodium, piroxicam and meloxicam; the adrenocortical hormone is preferably selected from the group consisting of dexamethasone phosphate Sodium, dexamethasone acetate, hydrocortisone and betamethasone sodium phosphate; the antiallergic agent is preferably sodium cromoglycate; the vasoconstrictor is preferably selected from norepinephrine, serazoline hydrochloride, hydrochloric acid Ephedrine and imidazolidine; the local anesthetic is preferably procaine; the symptom relief agent is preferably selected from the group consisting of zinc sulfate, sodium heparin, oxymetazoline and carteolol hydrochloride; Selected from the group consisting of urinary steroid, chitosan and its derivatives and chondroitin sulfate; the other pharmacologically active ingredients are preferably selected from the group consisting of amino acids, peptides, phospholipids, cellulose ethers, polyethylenol, polyacrylic acid, dextran , vitamin A, carbomer, polyvinylpyrrolidone, cholesterol and dextromethorphan hydrobromide.
在上述鼻腔用药传递系统中, 药理活性成分可以为一种或同 一类别的多种或不同类别的多种。 In the above nasal drug delivery system, the pharmacologically active ingredient may be one or a plurality of different types or a plurality of different classes.
在本发明的鼻腔用药传递系统中,优选地,以 100毫升或 100 克鼻腔用药传递系统计, 组分为海藻糖 0. 01 ~ 50克, 玻璃酸和 /
或玻璃酸可药用盐 0· 01 ~ 20克, 其它药理活性成分 0 ~适量, 药 剂辅料适量。 In the nasal drug delivery system of the present invention, preferably in a 100 ml or 100 g nasal delivery system, the composition is trehalose 0.11 to 50 g, glass acid and / Or pharmaceutically acceptable salt of glass acid 0. 01 ~ 20 grams, other pharmacological active ingredients 0 ~ appropriate amount, appropriate amount of pharmaceutical auxiliary materials.
本发明的鼻腔用药传递系统优选为溶液制剂、 凝胶剂、 分散液 制剂、 骨剂或软膏剂。 The nasal drug delivery system of the present invention is preferably a solution formulation, a gelling agent, a dispersion formulation, a bone agent or an ointment.
本发明还提供了所述的鼻腔用药传递系统的方法, 该方法包 括: The invention also provides a method of the nasal drug delivery system, the method comprising:
如果配方中所有成分均溶于水, 按本发明鼻腔用药传递系统 的配方及用量,将海藻糖和玻璃酸和 /或玻璃酸可药用盐置入适量 水中, 使其溶解后备用; 取药剂辅料适量溶解, 如需要, 再加入 其它药理活性成分溶解, 溶解液冷却后, 加入海藻糖和玻璃酸溶 液, 然后补加纯化氷适量至体积,得到含海藻糖和玻璃酸和 /或玻 璃酸可药用盐的溶液制剂或凝胶剂, 灭菌后, 分装封口, 即得本 发明鼻腔用药传递系统; If all the ingredients in the formula are soluble in water, according to the formulation and dosage of the nasal drug delivery system of the present invention, the medicinal salt of trehalose and hyaluronic acid and/or glass acid is placed in an appropriate amount of water to be dissolved and ready for use; The auxiliary material is dissolved in an appropriate amount. If necessary, other pharmacologically active ingredients are dissolved. After the solution is cooled, the trehalose and the glass acid solution are added, and then the purified ice is added to the volume to obtain trehalose and hyaluronic acid and/or glass acid. a solution preparation or a gelling agent for medicinal salt, after sterilization, and dispensing and sealing, thereby obtaining the nasal drug delivery system of the present invention;
如果配方中所有成分均溶于水, 或者有水不溶性成分, 按本 发明鼻腔用药传递系统的配方及用量,将海藻糖和玻璃酸和 /或玻 璃酸可药用盐以及其它成分, 按常规的制备分散液制剂或膏剂或 软膏剂等的方法进行配制, 得到分散液制剂或膏剂或软膏剂, 灭 菌后, 分装封口, 即得本发明鼻腔用药传递系统。 If all the ingredients in the formulation are soluble in water or have water-insoluble ingredients, according to the formulation and dosage of the nasal drug delivery system of the present invention, trehalose and hyaluronic acid and/or pharmaceutically acceptable salt of glass acid and other ingredients are conventional. The preparation of the dispersion preparation or the ointment or the ointment or the like is prepared to obtain a dispersion preparation or a paste or an ointment, and after sterilization, the seal is dispensed to obtain the nasal drug delivery system of the present invention.
本发明还提供了海藻糖与玻璃酸和 /或玻璃酸可药用盐相联 合用于制备鼻腔用药传递系统的用途, 所述鼻腔用药传递系统用 于治疗干燥性鼻炎、 萎缩性鼻炎、 过敏性鼻炎、 肥厚性鼻炎、 鼻 出血、 鼻窦炎等各种鼻部疾病的防治。 The present invention also provides the use of trehalose in combination with a pharmaceutically acceptable salt of a glass acid and/or a hyaluronic acid for the preparation of a nasal delivery system for treating dry rhinitis, atrophic rhinitis, allergies Prevention and treatment of various nasal diseases such as rhinitis, hypertrophic rhinitis, nosebleeds, and sinusitis.
本发明还提供了海藻糖与玻璃酸和 /或玻璃酸可药用盐相联 合用于制备促进其他药理活性成分的传递的鼻腔用药传递系统的 用途, 所述鼻腔用药传递系统用于治疗干燥性鼻炎、萎缩性鼻炎、
过敏性鼻炎、 肥厚性鼻炎、 鼻出血、 鼻窦炎等各种鼻部疾病或全 身性疾病; 所述药理活性成分选自抗微生物药、 非甾体消炎药、 腎上腺皮质激素类药、 抗变态反应药、 血管收缩药、 局部麻醉药、 症状緩解药、 促进愈合药, 以及其它药理活性成分。 本发明还提供了治疗或预防干燥性鼻炎、 萎缩性鼻炎、 过敏 性鼻炎、 肥厚性鼻炎、 鼻出血、 鼻窦炎的方法, 其中包括给予有 这种需要的患者本发明所述的鼻腔用药传递系统。 本发明还提供了促进鼻腔用药传递系统中药理活性成分的传 递的方法, 该方法包括在所述鼻腔用药传递系统中加入海藻糖和玻 璃酸和 /或玻璃酸可药用盐;所述鼻腔用药传递系统用于治疗干燥性 鼻炎、 萎缩性鼻炎、 过敏性鼻炎、 肥厚性鼻炎、 鼻出血、 鼻窦炎等 各种鼻部疾病或全身性疾病; 所述药理活性成分选自抗微生物药、 非甾体消炎药、 肾上腺皮质激素类药、抗变态反应药、血管收缩药、 局部麻醉药、 症状緩解药、 促进愈合药, 以及其它药理活性成分。 本发明鼻腔用药传递系统的主要成分为海藻糖和玻璃酸, 其 基本构成是海藻糖、 玻璃酸和常规的药用制剂辅料。 The present invention also provides the use of a urinary drug delivery system for the treatment of the delivery of other pharmacologically active ingredients in combination with a pharmaceutically acceptable salt of hyaluronic acid and/or a hyaluronic acid for the treatment of dryness. Rhinitis, atrophic rhinitis, Allergic rhinitis, hypertrophic rhinitis, nose bleeding, sinusitis and other nasal diseases or systemic diseases; the pharmacologically active ingredients are selected from the group consisting of antimicrobial agents, non-steroidal anti-inflammatory drugs, adrenocortical drugs, anti-allergic reactions Medicines, vasoconstrictors, local anesthetics, symptom relief drugs, healing agents, and other pharmacologically active ingredients. The present invention also provides a method for treating or preventing dry rhinitis, atrophic rhinitis, allergic rhinitis, hypertrophic rhinitis, epistaxis, sinusitis, including administering to a patient having such a need, the nasal drug delivery system of the present invention . The present invention also provides a method for promoting the delivery of a pharmacologically active ingredient in a nasal drug delivery system, the method comprising adding trehalose and a hyaluronic acid and/or a pharmaceutically acceptable salt of a hyaluronic acid to the nasal drug delivery system; The delivery system is for treating various nasal diseases or systemic diseases such as dry rhinitis, atrophic rhinitis, allergic rhinitis, hypertrophic rhinitis, nose bleeding, sinusitis, etc.; the pharmacologically active ingredient is selected from the group consisting of an antimicrobial agent, a non-甾Anti-inflammatory drugs, adrenocortical drugs, anti-allergic drugs, vasoconstrictors, local anesthetics, symptom relief drugs, healing agents, and other pharmacologically active ingredients. The main components of the nasal drug delivery system of the present invention are trehalose and hyaluronic acid, and the basic constituents thereof are trehalose, hyaluronic acid and conventional pharmaceutical preparation excipients.
海藻糖(英文: treha lose )广泛存在于整个生物界, 包括细 菌、 真菌、 昆虫、 其它植物及动物, 其对生物分子有特殊的保护 作用: Trehalose (English: treha lose) is widely distributed throughout the biological world, including bacteria, fungi, insects, other plants and animals, which have special protective effects on biomolecules:
抗干燥特性 ( "水替代" 作用) : 海藻糖是一种在脱水作用 中起关键保护作用的双糖, 它能使许多生物在异常条件下, 如高 温、 脱水、 冷冻、 干燥时仍能保持原有活性, 可从根本上提高细 胞自身的抗千燥、 抗冷冻能力。 Anti-drying properties ("water substitution" effect): Trehalose is a disaccharide that plays a key role in dehydration, enabling many organisms to remain under abnormal conditions such as high temperature, dehydration, freezing, and drying. The original activity can fundamentally improve the cell's own anti-drying and anti-freezing ability.
稳定生物膜的作用: 人的鼻腔粘膜也是生物膜, 海藻糖可通 过降低相变温度, 使在脱水条件下的膜脂仍处于液晶状态, 从而 起到保护生物膜的作用。
对蛋白质等生物分子的保护作用: 海藻糖对脱水干燥的生命 物质有明显的保护作用, 即使在极度干燥的环境中, 其还能很好 地稳定蛋白质等生物分子, 使其不受破坏。 Stabilizing the role of biofilm: Human nasal mucosa is also a biofilm. Trehalose can protect the biofilm by lowering the phase transition temperature and keeping the membrane lipid under dehydration conditions in a liquid crystal state. Protection of biomolecules such as proteins: Trehalose has a significant protective effect on dehydrated and dried living substances. Even in extremely dry environments, it can stabilize biomolecules such as proteins without damage.
制剂稳定剂和保鲜剂的作用: 海藻糖作为制剂稳定剂和保鲜 剂已有广泛应用, 这是其它糖类物质所不能比拟的。 The role of preparation stabilizers and preservatives: Trehalose has been widely used as a formulation stabilizer and preservative, which is unmatched by other carbohydrates.
由上可以看出, 海藻糖可进入细胞内, 直接作用于细胞, 发 挥其独特的水替代应激因子作用, 提高细胞的抗干燥、 抗冷冻能 力, 从而提高细胞适应环境的能力; 可维持生物膜、 蛋白质等生 物分子及鼻腔组织的稳定, 减轻药物对鼻腔正常组织的毒性及全 身毒性; 可作为制剂的稳定剂和保鲜剂, 用以增强药物的稳定性 和延长制剂的保质期; 具有良好的生物相容性等。 It can be seen from the above that trehalose can enter the cell and directly act on the cell, exert its unique water substitution stress factor, improve the anti-drying and anti-freezing ability of the cell, thereby improving the ability of the cell to adapt to the environment; Membrane, protein and other biomolecules and nasal tissue stability, reduce the toxicity and systemic toxicity of the drug on normal tissues of the nasal cavity; can be used as a stabilizer and preservative for the preparation to enhance the stability of the drug and prolong the shelf life of the preparation; Biocompatibility, etc.
玻璃酸(英文: hya luronic ac id, 也称透明质酸)天然存在 于人体, 玻璃酸多 以其钠盐即玻璃酸钠 (英文: sodium hya lurona te )的形式存在和应用。 本发明所涉及的玻璃酸, 包括 玻璃酸的盐, 即玻璃酸钠或其它玻璃酸的可药用盐, 其具有独特 的黏弹性和非牛顿流体的特性, 并具有重要的药理作用和生理功 能: Glass acid (English: hya luronic ac id, also known as hyaluronic acid) is naturally present in humans, and its glassy acid is present and applied in the form of its sodium salt, sodium hyaluronate (English: sodium hya lurona te). The glass acid of the present invention includes a salt of glass acid, that is, a pharmaceutically acceptable salt of sodium hyaluronate or other hyaluronic acid, which has unique viscoelastic and non-Newtonian fluid properties, and has important pharmacological and physiological functions. :
智能保湿作用: 玻璃酸被称为理想的天然保湿因子, 其分子 中的羧基和其它极性基团可以与水形成氢键而结合大量的水。 而 且, 玻璃酸还可根据环境的湿度, 自动调节吸水量。 这种智能保 湿作用可使鼻腔始终保持最佳湿度。 Intelligent moisturizing effect: Glass acid is called the ideal natural moisturizing factor. Its carboxyl group and other polar groups in the molecule can form hydrogen bonds with water to bind a large amount of water. Moreover, the glass acid can automatically adjust the water absorption according to the humidity of the environment. This intelligent moisturization keeps the nasal cavity in optimal humidity at all times.
润滑作用: 玻璃酸溶液具有良好的黏弹性, 在低撞击频率即 低切变速率下, 溶液呈黏性, 可减少组织间的摩擦, 在高撞击频 率即高切变速率下, 溶液呈弹性, 可避免组织损伤。 Lubrication: The glass acid solution has good viscoelasticity. At low impact frequency, ie low shear rate, the solution is viscous and can reduce the friction between tissues. At high impact frequency, ie high shear rate, the solution is elastic. Tissue damage can be avoided.
修复、 促进愈合作用: 玻璃酸是创伤无疤痕修复中不可或缺 的物质, 其可抑制炎症反应, 修复鼻腔粘膜损伤。
增黏作用: 在一定范围内药物的生物利用度与药液的黏度呈 正相关, 保持适当的黏度是药物发挥高效作用的重要前提。 玻璃 酸作为天然的生物大分子黏多糖, 可提高药液的黏度。 Repair and promote healing: Vitreic acid is an indispensable substance in wound-free scar repair, which can inhibit inflammation and repair nasal mucosal damage. Viscosity enhancement: The bioavailability of the drug is positively correlated with the viscosity of the drug solution within a certain range. Maintaining the proper viscosity is an important prerequisite for the drug to play an effective role. As a natural biomacromolecular polysaccharide, hyaluronic acid can increase the viscosity of the liquid.
生物黏附性: 玻璃酸与其它高分子聚合物相比, 相同的溶液 黏度甚至较低的黏度却能使药物获得更高的生物利用度, 从而延 緩药物的消除, 这主要依赖于玻璃酸的生物黏附性。 Bioadhesiveness: Compared with other high molecular polymers, glass acid has the same viscosity or even lower viscosity, which enables the drug to achieve higher bioavailability, thus delaying the elimination of drugs, which mainly depends on the acid of glass acid. Adhesion.
緩释作用: 玻璃酸具有使药物緩释的作用, 是由其分子特异 性所决定的。 药物可通过非共价键方式镶嵌在玻璃酸的大分子网 状结构中, 玻璃酸分子犹如一个动态的分子筛, 连同药物较长时 间附着于鼻腔表面。 Sustained release: Vitreic acid has the effect of slow release of the drug and is determined by its molecular specificity. The drug can be embedded in the macromolecular network of hyaluronic acid by non-covalent bonding. The hyaluronic acid molecule acts like a dynamic molecular sieve, and the drug adheres to the surface of the nasal cavity for a long time.
非牛顿流体特性: 合成高分子聚合物等物质虽可增加药液的 黏度, 延长药液在鼻腔粘膜的滞留时间从而提高疗效, 然而所用 合成高分子聚合物溶液基本上为牛顿流体, 当黏度增大到一定程 度, 会使鼻腔内部产生黏糊不适的感觉。 而玻璃酸溶液为非牛顿 流体, 具有独特的黏弹性, 在高切变速率下黏度会迅速降低, 克 服了合成高分子聚合物等增黏剂存在的不足。 Non-Newtonian fluid characteristics: Although synthetic polymer and other substances can increase the viscosity of the liquid, prolong the residence time of the liquid in the nasal mucosa and improve the therapeutic effect, however, the synthetic polymer solution used is basically Newtonian fluid, when the viscosity increases. To a certain extent, it will make the inside of the nasal cavity feel sticky and uncomfortable. The glass acid solution is a non-Newtonian fluid with unique viscoelasticity, and the viscosity is rapidly lowered at a high shear rate, which overcomes the deficiency of a tackifier such as a synthetic polymer.
由上可以看出: 玻璃酸可作用于细胞间隙和结締组织, 提高 补水、 保湿、 润滑等作用, 改善细胞的生存环境; 可通过其增黏、 生物黏附和緩释作用以及非牛顿流体的特性和良好的生物相容 性, 延长药物在鼻腔表面的存留时间, 提高药物的生物利用度, 减小药物的毒副作用, 降低药液的刺激性等。 It can be seen from the above that: Glass acid can act on the intercellular space and connective tissue, improve the functions of hydration, moisturizing, lubrication, etc., improve the living environment of cells; through its adhesion, bioadhesion and sustained release, and the characteristics of non-Newtonian fluids. And good biocompatibility, prolong the retention time of the drug on the surface of the nasal cavity, improve the bioavailability of the drug, reduce the side effects of the drug, and reduce the irritation of the drug solution.
本发明鼻腔用药传递系统可直接用于干燥性鼻炎的防治和鼻 腔的清洗, 也可加入药理活性成分, 用于药理活性成分的传递, 用于干燥性鼻炎、 萎缩性鼻炎、 过敏性鼻炎、 肥厚性鼻炎、 鼻出 血、 鼻窦炎等各种鼻部疾病或全身性疾病的防治。 其中药理活性 成分包括抗微生物药、 非 体消炎药、 肾上腺皮质激素类药、 抗
变态反应药、 血管收缩药、 局部麻醉药、 症状緩解药、 促进愈合 或其它药理活性成分等。 优选的是, 抗微生物药中的抗生素类药 物如氯霉素、 疏酸庆大霉素、 硫酸新霉素、 林可霉素、 利福平等; 抗微生物药中的喹诺酮类药如诺氟沙星、左氧氟沙星、氧氟沙星、 环丙沙星、 依诺沙星、 洛美沙星、 芦氟沙星、 氟罗沙星、 培氟沙 星等; 抗微生物药中的磺胺类药如磺胺嘧啶等; 抗微生物药中的 抗病毒类药如阿昔洛韦、 阿糖腺苷、 利巴韦林等; 非甾体消炎药 如双氯芬酸钠、 吡罗昔康、 美洛昔康等; 肾上腺皮质激素类药如 地塞米松磷酸钠、 醋酸地塞米松、 氢化可的松、 倍他米松磷酸钠 等; 抗变态反应药如色甘酸钠、 酮替芬等; 血管收缩药如去曱肾 上腺素、 盐酸塞洛唑啉、 茚咪唑啉、 盐酸麻黄碱等; 局部麻醉药 如普鲁卡因等; 症状緩解药如硫酸锌、 肝素钠、 羟甲唑啉、 盐酸 萘甲唑啉、盐酸卡替洛尔等; 促进愈合药如尿嚢素、 壳聚糖及其 衍生物、 硫酸软骨素等; 其它药理活性成分如氨基酸类、 肽类、 磷脂、 纤维素类、 聚乙烯醇, 聚丙烯酸、 右旋糖酐、 维生素 A、 卡泊姆、 聚乙烯吡咯烷酮、 胆固醇、 氢溴酸右美沙芬、 中药等。 The nasal drug delivery system of the invention can be directly used for the prevention and treatment of dry rhinitis and nasal cavity cleaning, and can also be added with pharmacologically active ingredients for the delivery of pharmacologically active ingredients, for dry rhinitis, atrophic rhinitis, allergic rhinitis, hypertrophy Prevention of various nasal diseases or systemic diseases such as rhinitis, nosebleeds, and sinusitis. Among them, pharmacologically active ingredients include anti-microbial drugs, non-anti-inflammatory drugs, adrenocortical drugs, and anti-drugs. Allergic drugs, vasoconstrictors, local anesthetics, symptom relief drugs, promoting healing or other pharmacologically active ingredients. Preferably, antibiotics such as chloramphenicol, gentamicin, neomycin sulfate, lincomycin, rifampicin in antimicrobials; quinolones such as norfloxacin in antimicrobials Star, levofloxacin, ofloxacin, ciprofloxacin, enoxacin, lomefloxacin, rufloxacin, fleroxacin, pefloxacin, etc.; sulfa drugs such as sulfadiazine in antimicrobials; Antiviral drugs in antimicrobial drugs such as acyclovir, adenosine, ribavirin, etc.; non-steroidal anti-inflammatory drugs such as diclofenac sodium, piroxicam, meloxicam, etc; adrenal corticosteroids such as Dexamethasone sodium phosphate, dexamethasone acetate, hydrocortisone, betamethasone sodium phosphate, etc.; antiallergic drugs such as sodium cromoglycate, ketotifen, etc.; vasoconstrictors such as norepinephrine, seromazole hydrochloride Oral anesthetics such as procaine; symptom relief drugs such as zinc sulfate, heparin sodium, oxymetazoline, naphazoline hydrochloride, carteolol hydrochloride, etc.; Healing hormone Chitosan and its derivatives, chondroitin sulfate, etc.; other pharmacologically active ingredients such as amino acids, peptides, phospholipids, celluloses, polyvinyl alcohol, polyacrylic acid, dextran, vitamin A, carbomer, polyvinylpyrrolidone, Cholesterol, dextromethorphan hydrobromide, Chinese medicine, etc.
本发明海藻糖是指任何来源的海藻糖, 包括由植物、 动物組 织提取分离而得、 微生物发酵而得及基因工程制备而得, 等。 本 发明海藻糖是指任何存在形式的海藻糖, 包括不含结晶水的海藻 糖和含结晶水的海藻糖, 等。 The trehalose of the present invention refers to trehalose of any origin, which is obtained by extracting and separating from plants, animal tissues, microbial fermentation, and genetic engineering preparation, and the like. The trehalose of the present invention means trehalose in any form, including trehalose containing no crystal water and trehalose containing crystal water, and the like.
本发明玻璃酸是指任何来源的玻璃酸, 包括由动物组织提取 分离而得、 微生物发酵而得及基因工程制备而得, 等。 本发明玻 璃酸包括玻璃酸及其盐如: 玻璃酸钠 (又称透明质酸钠) 、 玻璃 酸锌 (又称透明质酸锌) 等。 本发明玻璃酸是指任何相对分子质 量大小的玻璃酸。 除非特别指明本文中所述的玻璃酸包括玻璃酸 和 /或其可药用盐。
本发明鼻腔用药传递系统可制成各种适合鼻部用药的剂型, 包括液体制剂 ( l iquid preparat ion ),例如溶液剂 ( solut ion )、 混悬剂 ( suspens ion ) 、 乳剂 ( emul s ion ); 凝股剂 (ge l ); 骨 剂 ( s lurry ) ; 軟膏剂 ( ointment ) ; 孚 L膏剂 ( cream ) 等。 The glass acid of the present invention refers to a glass acid of any source, which is obtained by extracting and separating from animal tissues, microbial fermentation, and genetic engineering preparation, and the like. The glass acid of the present invention includes glass acid and salts thereof such as sodium hyaluronate (also known as sodium hyaluronate), zinc hyaluronate (also known as zinc hyaluronate), and the like. The glass acid of the present invention refers to any glass acid of a relative molecular mass. Unless specified otherwise, the glass acids described herein include glass acids and/or pharmaceutically acceptable salts thereof. The nasal drug delivery system of the present invention can be made into various dosage forms suitable for nasal administration, including liquid preparations, such as solut ions, suspensions, emulsions, and emulsions. Condensation agent (ge l ); bone agent (s lurry); ointment (ointment); Fu L cream (cream) and so on.
本发明鼻腔用药传递系统被制成溶液剂时, 常用的溶剂有: 水、 甘 油、液体石蜡、植物油等。 当本发明鼻腔用药传递系统被制成混悬剂时, 常用的混悬剂有吐温、 司盘等。 当本发明鼻腔用药传递系统被制成乳剂 剂时, 常用的基质有: 羊毛脂、 脂肪醇、 聚山梨酯、 钠皂、 三乙醇胺皂 类等。 当本发明鼻腔用药传递系统被制成凝胶剂时, 常用的凝胶水性基 质有: 甘油、 丙二醇、 纤维素醚类化合物、 卡波姆、 明胶等; 常用 的凝胶油性基质有: 液体石蜡, 脂肪油、 铝皂等。 当本发明鼻腔用 药传递系统被制成膏剂时, 常用的基质有: 植物油、 红丹、 官粉等。 当本发明鼻腔用药传递系统被制成软膏剂时, 常用的基质有: 聚乙二 醇、 凡士林、 石蜡、 液体石蜡、 硅油、 蜂蜡、 硬脂酸等。 当本发明鼻 腔用药传递系统被制成乳骨剂时, 常用的基质有: 凡士林、 羊毛脂、 硬 脂酸等。 When the nasal drug delivery system of the present invention is formulated into a solution, the usual solvents are: water, glycerin, liquid paraffin, vegetable oil, and the like. When the nasal drug delivery system of the present invention is formulated as a suspension, the usual suspensions are Tween, Span, and the like. When the nasal drug delivery system of the present invention is formulated into an emulsion, the usual substrates are: lanolin, fatty alcohol, polysorbate, sodium soap, triethanolamine soap, and the like. When the nasal drug delivery system of the present invention is formulated into a gelling agent, commonly used gel aqueous substrates are: glycerin, propylene glycol, cellulose ether compounds, carbomer, gelatin, etc.; commonly used gel oily substrates are: liquid paraffin , fatty oil, aluminum soap, etc. When the nasal drug delivery system of the present invention is formulated into a paste, the commonly used substrates are: vegetable oil, red dan, official powder, and the like. When the nasal drug delivery system of the present invention is formulated into an ointment, the usual substrates are: polyethylene glycol, petrolatum, paraffin, liquid paraffin, silicone oil, beeswax, stearic acid and the like. When the nasal delivery system of the present invention is formulated into a milk bone, the commonly used substrates are: petrolatum, lanolin, stearic acid and the like.
本发明鼻腔用药传递系统中还可以加入常规的 pH调节剂将所述 鼻腔用药传递系统的 pH调节至常规鼻腔用药可接受的 pH范围, 优 选 pH为 4-9, 更优选 pH为 5-8, 最优选 pH为 6.5-7.5。 常规的 pH 调节剂可以是药学上可接受的有机或无机酸或碱, 优选为氢氧化 钠、 盐酸、 硼酸、 硼砂、 磷酸 -磷酸盐緩沖体系、 硼酸 -硼砂緩沖体 系、 醋酸-醋酸盐緩沖体系等等。 The nasal drug delivery system of the present invention may further comprise a conventional pH adjusting agent to adjust the pH of the nasal drug delivery system to a pH range acceptable for conventional nasal administration, preferably a pH of 4-9, more preferably a pH of 5-8. Most preferably the pH is from 6.5 to 7.5. A conventional pH adjusting agent may be a pharmaceutically acceptable organic or inorganic acid or base, preferably sodium hydroxide, hydrochloric acid, boric acid, borax, a phosphate-phosphate buffer system, a boric acid-borax buffer system, an acetate-acetate buffer. System and so on.
本发明鼻腔用药传递系统中还可以加入常规的渗透压调节剂,例 如, 优选为下列中的一种或几种的任意配比组合: 氯化钠、 低分 子右旋糖酐、 甘油、 硼酸、 硼砂, 磷酸 -磷酸盐緩沖体系、 硼酸-硼 砂緩冲体系和醋酸-醋酸盐緩沖体系即可以作为 pH调节剂,也可以
作为渗透压调节剂。 The osmotic pressure regulating agent may also be added to the nasal drug delivery system of the present invention, for example, preferably any combination of one or more of the following: sodium chloride, low molecular weight dextran, glycerin, boric acid, borax, phosphoric acid - Phosphate buffer system, boric acid-borax buffer system and acetic acid-acetate buffer system can be used as pH adjuster, As an osmotic pressure regulator.
本发明鼻腔用药传递系统中还可以加入常规的防腐剂,例如羟苯 乙酯、 硫柳汞、 EDTA等等。 Conventional preservatives such as hydroxyphenylethyl ester, thimerosal, EDTA and the like may also be added to the nasal delivery system of the present invention.
更具体地说, 本发明鼻腔用药传递系统的制备方法是: 如果 配方中所有成分均溶于水, 优选地, 按本发明鼻腔用药传递系统 的配方及用量,将海藻糖和玻璃酸和 /或玻璃酸可药用盐入适量水 中, 使其溶解后备用; 取药剂辅料适量溶解, 如需要, 再加入其 它药理活性成分溶解, 溶解液冷却后,加入海藻糖和玻璃酸溶液, 然后补加纯化水至体积, 得到含海藻糖和玻璃酸的溶液或凝胶等 剂型, 过滤除菌或干热灭菌或湿热灭菌或化学灭菌后, 分装封口, 即得本发明鼻腔用药传递系统。 More specifically, the preparation method of the nasal drug delivery system of the present invention is: if all the components in the formulation are soluble in water, preferably, the formulation and amount of the nasal drug delivery system according to the present invention, trehalose and hyaluronic acid and/or The pharmaceutically acceptable salt of hyaluronic acid is put into an appropriate amount of water, and it is dissolved and used for later; the appropriate amount of the auxiliary agent is dissolved, and if necessary, other pharmacologically active ingredients are dissolved, and after the solution is cooled, trehalose and a glass acid solution are added, and then purified. From water to volume, a dosage form containing a solution or a gel containing trehalose and hyaluronic acid is obtained, and after filtration sterilization or dry heat sterilization or moist heat sterilization or chemical sterilization, the seal is dispensed to obtain the nasal drug delivery system of the present invention.
本发明鼻腔用药传递系统的制备方法还可以是: 如果配方中 有水不溶性成分, 或者所有成分均溶于水, 按本发明鼻腔用药传 递系统的配方及用量,将海藻糖和玻璃酸和 /或玻璃酸可药用盐以 及其它成分, 按常规的制备分散液制剂或膏剂或软膏剂等的方法 进行配制, 得到分散液制剂 (包括脂质体液、 微团液、 微乳液等) 或膏剂或软膏剂等剂型, 再过滤除菌或干热灭菌或湿热灭菌或化 学灭菌, 分装后封口, 即得本发明鼻腔用药传递系统。 The preparation method of the nasal drug delivery system of the present invention may further be: if the formulation has water-insoluble components, or all components are soluble in water, according to the formulation and dosage of the nasal drug delivery system of the present invention, trehalose and hyaluronic acid and/or The pharmaceutically acceptable salt of the glass acid and other ingredients are prepared by a conventional method for preparing a dispersion preparation or a paste or an ointment to obtain a dispersion preparation (including a liposome solution, a micelle solution, a microemulsion, etc.) or a paste or ointment. The dosage form such as the agent, the filter sterilization or dry heat sterilization or the moist heat sterilization or the chemical sterilization, and the sealing after the dispensing, the nasal drug delivery system of the invention is obtained.
含海藻糖和玻璃酸的鼻腔用药传递系统具有以下显著优势: ①海藻糖可进入细胞内, 直接作用于细胞, 发挥其独特的水替代 应激因子作用, 提高细胞的抗干燥、 抗冷冻能力, 从而提高细胞 适应环境的能力; 可维持生物膜、 蛋白盾等生物分子及鼻腔黏膜 的稳定, 减轻药物对鼻腔正常组织的毒性及全身毒性; 可作为制 剂的稳定剂和产品的保鲜剂, 用以延长制剂的保质期; 其具有良 好的生物相容性等。 ②玻璃酸可作用于细胞间隙和结締组织, 提 高补水、 保湿、 润滑等作用, 改善细胞的生存环境; 可通过其增
黏、 生物黏附、 铺展润湿和緩释作用以及非牛顿流体的特性和良 好的生物相容性, 延长药物在鼻腔的存留时间, 提高药物的生物 利用度, 减小药物的毒副作用, 降低药液的刺激性, 提高滴鼻的 舒适度等。 ③海藻糖和玻璃酸联合使用, 对细胞由内到外的环境 均起到保护和改善作用, 提高了细胞适应恶劣环境的能力, 同时 改善了细胞的生存环境, 从而起到相互补充和相互增效的目的; 用于鼻腔用药传递系统, 可显著提高鼻腔组织对抗外部干燥、 冷 冻等恶劣环境的能力, 润滑和湿润鼻腔组织; 利于药物的吸收; 增强药物的稳定性; 延长制剂的保质期; 延长药物在鼻腔表面的 存留时间, 提高药物的生物利用度, 起到长效和緩释作用; 并可 减小药物的毒副作用; 降低药液的刺激性; 提高滴鼻的舒适度; ④海藻糖为化学惰性物质, 玻璃酸基本为化学惰性物质, 两者几 乎可用于各种药理活性成分的传递, 用于防治干燥性鼻炎、 萎缩 性鼻炎、 过敏性鼻炎、 肥厚性鼻炎、 鼻出血、 鼻窦炎等各种鼻部 疾病或全身性疾病。 The nasal drug delivery system containing trehalose and hyaluronic acid has the following significant advantages: 1 Trehalose can enter the cell and directly act on the cell, exert its unique water substitution stress factor, and improve the cell's anti-drying and anti-freezing ability. Thereby improving the ability of cells to adapt to the environment; maintaining biofilms such as biofilms, protein shields and nasal mucosa, reducing the toxicity and systemic toxicity of drugs on normal tissues of the nasal cavity; as a preservative for preparations and as a preservative for products, The shelf life of the formulation is extended; it has good biocompatibility and the like. 2Glass acid can act on the intercellular space and connective tissue, improve the functions of hydration, moisturizing, lubrication, etc., and improve the living environment of cells; Adhesion, bioadhesion, spread wetting and sustained release, non-Newtonian fluid properties and good biocompatibility, prolong the residence time of the drug in the nasal cavity, improve the bioavailability of the drug, reduce the toxic side effects of the drug, reduce the drug solution Irritating, improving the comfort of the nose drops, etc. 3 The combination of trehalose and hyaluronic acid protects and improves the cells from the inside to the outside, improves the ability of cells to adapt to harsh environments, and improves the living environment of cells, thereby complementing each other and increasing each other. For the purpose of efficacy; for nasal drug delivery system, can significantly improve the ability of nasal tissue against external dry, freezing and other harsh environments, lubrication and moisturizing nasal tissue; facilitate drug absorption; enhance drug stability; extend the shelf life of the formulation; The retention time of the drug on the surface of the nasal cavity, improve the bioavailability of the drug, and play a long-acting and sustained-release effect; and can reduce the toxic side effects of the drug; reduce the irritancy of the drug solution; improve the comfort of the nose; 4 trehalose is Chemically inert substance, glass acid is basically a chemically inert substance, which can be used for the transmission of various pharmacologically active ingredients, and is used for controlling dry rhinitis, atrophic rhinitis, allergic rhinitis, hypertrophic rhinitis, nose bleeding, sinusitis, etc. Various nasal diseases or systemic diseases.
海藻糖的分子结构如下 The molecular structure of trehalose is as follows
海藻糖的分子是由两个葡萄糖分子通过半缩醛羟基缩合而 成。 海藻糖有多种存在形式, 最常见的是二水合晶体, 其失去结
晶水, 则变为无水晶体。 不论是以何种形式存在的海藻糖, 其理 化性质都很稳定, 为化学惰性物质。 The molecule of trehalose is formed by the condensation of two glucose molecules through a hemiacetal hydroxyl group. Trehalose has many forms of existence, the most common being dihydrate crystals, which lose their knots. Crystal water turns into anhydrous crystals. Regardless of the form of trehalose, its physicochemical properties are stable and chemically inert.
玻璃酸的分子结构如下, The molecular structure of hyaluronic acid is as follows.
玻璃酸是由葡糖酪酸和 ^乙酰氨基葡糖为双糖单位组成的 直链黏多糖。 具体实施方式 The hyaluronic acid is a linear mucopolysaccharide composed of glucose butyric acid and acetyl glucosamine as disaccharide units. detailed description
制剂实施例 Formulation example
实施例 1: Example 1:
本发明鼻腔用药传递系统, 以 100毫升计, 海藻糖 1. 5克, 玻璃酸钠 Q. 10克,氯化钠 Q. 70克,硼砂 Q. 05克,其余为纯化水, 制备成溶液剂。 The nasal drug delivery system of the present invention, in 100 ml, trehalose 1. 5 g, sodium hyaluronate Q. 10 g, sodium chloride Q. 70 g, borax Q. 05 g, the rest is purified water, prepared into a solution .
实施例 2: Example 2:
本发明鼻腔用药传递系统, 以 100毫升计, 海藻糖 1. 0克, 玻璃酸钠 0. 10克, 氯化钠 0. 75克,硼砂 0. 05克, 羟苯乙酯 0. 03 克, 其余为纯化水, 制备成溶液剂。 克克, hydroxyphenylethyl ester 0. 03 g, gram of sodium silicate, 0. 10 g, sodium silicate, 0. The rest is purified water and prepared as a solution.
实施例 3: Example 3:
本发明鼻腔用药传递系统, 以 100毫升计, 海藻糖 1. 5, 玻 璃酸钠 0. 10, 氯霉素 0. 25克, 氯化钠 0. 68克, 硼砂 Q. 05克, 羟苯乙酯 0. 03克, 其余为纯化水, 制备成溶液剂。 The nasal delivery system of the present invention, in 100 ml, trehalose 1.5 , sodium hyaluronate 0. 10, chloramphenicol 0. 25 g, sodium chloride 0. 68 g, borax Q. 0 5 g, hydroxybenzene Ethyl ester 0. 03 g, the rest is purified water, prepared as a solution.
实施例 4:
本发明鼻腔用药传递系统, 以 100毫升计, 海藻糖 1.5克, 玻璃酸钠 0.10克,左氧氟沙星 Q.3克,氯化钠 0.60克,硼砂 0.05 克, 羟苯乙酯 0.03克, 其余为纯化水, 制备成溶液剂。 Example 4: The nasal drug delivery system of the invention is, in 100 ml, 1.5 g of trehalose, 0.10 g of sodium hyaluronate, Q.3 g of levofloxacin, 0.60 g of sodium chloride, 0.05 g of borax, 0.03 g of hydroxyphenyl ester, and the rest is purified water. , prepared as a solution.
实施例 5: Example 5
本发明鼻腔用药传递系统, 以 100毫升计, 海藻糖 1.0克, 玻璃酸钠 0.10克, 阿昔洛韦 0.01克, 氯化钠 0.75克,硼砂 0.05 克, 羟苯乙酯 0.03克, 其余为纯化水, 制备成溶液剂。 The nasal drug delivery system of the present invention, in 100 ml, 1.0 g of trehalose, 0.10 g of sodium hyaluronate, 0.01 g of acyclovir, 0.75 g of sodium chloride, 0.05 g of borax, 0.03 g of hydroxyphenyl ester, and the others are purified. Water, prepared as a solution.
实施例 6: Example 6:
本发明鼻腔用药传递系统, 以 100毫升计, 海藻糖 2.0克, 玻璃酸钠 0.20克,双氯芬酸钠 0.1克,氯化钠 0.65克,硼砂 0.05 克, 羟苯乙酯 0.03克, 其余为纯化水, 制备成溶液剂。 The nasal drug delivery system of the present invention is, in 100 ml, 2.0 g of trehalose, 0.20 g of sodium hyaluronate, 0.1 g of diclofenac sodium, 0.65 g of sodium chloride, 0.05 g of borax, 0.03 g of hydroxyphenylethyl ester, and the rest is purified water. Prepared as a solution.
实施例 7: Example 7
本发明鼻腔用药传递系统, 以 100亳升计, 海藻糖 1.5克, 玻璃酸钠 0.15克, 地塞米松磷酸钠 0.1克, 氯化钠 0.72克, 硼 砂 0.05克, 羟苯乙酯 0.03克, 其余为纯化水, 制备成溶液剂。 The nasal drug delivery system of the present invention is 100 liters, 1.5 g of trehalose, 0.15 g of sodium hyaluronate, 0.1 g of dexamethasone sodium phosphate, 0.72 g of sodium chloride, 0.05 g of borax, 0.03 g of hydroxyphenyl ester, and the rest. To purify the water, a solution is prepared.
实施例 8: Example 8
本发明鼻腔用药传递系统, 以 100毫升计, 海藻糖 1.0克, 玻璃酸钠 0.20克, 色甘酸钠 1.2克, 氯化钠 0.70克, 硼砂 0.05 克, 羟苯乙酯 0.03克, 其余为纯化水, 制备成溶液剂。 The nasal drug delivery system of the invention is, in 100 ml, 1.0 g of trehalose, 0.20 g of sodium hyaluronate, 1.2 g of sodium cromoglycate, 0.70 g of sodium chloride, 0.05 g of borax, 0.03 g of hydroxyphenylethyl ester, and the rest is purified water. , prepared as a solution.
实施例 9: Example 9
本发明鼻腔用药传递系统, 以 100亳升计, 海藻糖 1.0克, 玻璃酸钠 0.10克, 去曱腎上腺素 0.02克, 氯化钠 0.75克, 硼砂 0.05克, 维生素 E醋酸酯 0.05克, 羟苯乙酯 0.03克, 其余为纯 化水, 制备成溶液剂。 The nasal drug delivery system of the present invention, in 100 liters, 1.0 g of trehalose, 0.10 g of sodium hyaluronate, 0.02 g of norepinephrine, 0.75 g of sodium chloride, 0.05 g of borax, 0.05 g of vitamin E acetate, hydroxybenzene Ethyl ester 0.03 g, the remainder being purified water, prepared as a solution.
实施例 10: Example 10
本发明鼻腔用药传递系统, 以 100毫升计, 海藻糖 2.0克,
玻璃酸钠 0.15克, 硫酸锌 Q.4克, 氯化钠 0.62克, 硼砂 0.05 克, 羟苯乙酯 0.03克, 其余为纯化水, 制备成溶液剂。 The nasal drug delivery system of the present invention, in 100 ml, trehalose 2.0 g, 0.15 g of sodium hyaluronate, Q.4 g of zinc sulfate, 0.62 g of sodium chloride, 0.05 g of borax, 0.03 g of hydroxyphenylethyl ester, and the rest were purified water, and prepared into a solution.
实施例 11: Example 11
本发明鼻腔用药传递系统, 以 100毫升计, 海藻糖 1.5克, 玻璃酸钠 0.10克,托吡卡胺 G.25克, 氯化钠 Q.68克,硼砂 0.05 克, 羟苯乙酯 0.03克, 其余为纯化水, 制备成溶液剂。 The nasal drug delivery system of the present invention, in 100 ml, 1.5 g of trehalose, 0.10 g of sodium hyaluronate, G.25 g of tropicamide, Q.68 g of sodium chloride, 0.05 g of borax, 0.03 g of hydroxyphenyl ester The rest is purified water and prepared as a solution.
实施例 12: Example 12:
本发明鼻腔用药传递系统, 以 100亳升计, 海藻糖 1.0克, 玻璃酸钠 0.10克, 硫酸软骨素 3克, 氯化钠 0.72克, 硼砂 0.05 克, 羟苯乙酯 0.03克, 其余为纯化水, 制备成溶液剂。 The nasal drug delivery system of the present invention is 100 liters, 1.0 g of trehalose, 0.10 g of sodium hyaluronate, 3 g of chondroitin sulfate, 0.72 g of sodium chloride, 0.05 g of borax, 0.03 g of hydroxyphenyl ester, and the others are purified. Water, prepared as a solution.
实施例 13: Example 13
本发明鼻腔用药传递系统, 以 100毫升计, 海藻糖 1.0克, 玻璃酸钠 0.10克, 氢溴酸右美沙芬 1.5克, 氯化钠 0.72克, 硼 砂 0.05克, 羟苯乙酯 0.03克, 其余为纯化水, 制备成溶液剂。 The nasal drug delivery system of the present invention, in 100 ml, 1.0 g of trehalose, 0.10 g of sodium hyaluronate, 1.5 g of dextromethorphan hydrobromide, 0.72 g of sodium chloride, 0.05 g of borax, 0.03 g of hydroxyphenylethyl ester, the rest To purify the water, a solution is prepared.
实施例 14: Example 14
本发明鼻腔用药传递系统, 以 100克计, 海藻糖 1.5克, 玻 璃酸钠 1.0克, 溶菌酶 1克, 甘油 2.3克, 羟苯乙酯 0.03克, 其 余为纯化水, 制备成水性凝胶剂。 The nasal drug delivery system of the present invention, in 100 g, trehalose 1.5 g, sodium hyaluronate 1.0 g, lysozyme 1 g, glycerol 2.3 g, hydroxyphenylethyl ester 0.03 g, the rest is purified water, prepared into aqueous coagulum Glue.
实施例 15: Example 15
本发明鼻腔用药传递系统, 以 100克计, 海藻糖 1.5克, 玻 璃酸钠 0.1克, 醋酸氢化可的松 0.5克, 甘油 2.4克, 羟苯乙酯 0.03克, 其余为纯化水, 制备成混悬剂。 试验实施例 1: The nasal drug delivery system of the present invention, in 100 g, 1.5 g of trehalose, 0.1 g of sodium hyaluronate, 0.5 g of hydrocortisone acetate, 2.4 g of glycerin, 0.03 g of hydroxyphenylethyl ester, and the rest is purified water, prepared into a mixture Suspending agent. Test Example 1:
30名健康受试者, 随机分为 3组, 分别为传统的 1.5%氢溴酸 右美沙芬滴鼻液(对照 1组)、 含 0.1%玻璃酸钠的 1.5%氢溴酸右
美沙芬滴鼻液(对照 2组)和本发明实施例 13组。 健康受试者按 照随机分组滴用上述滴鼻液 2mL 后, 测定血中药物的达峰浓度 Thirty healthy subjects were randomly divided into 3 groups, the traditional 1.5% dextromethorphan hydrobromide nasal drops (control group 1), and 1.5% hydrobromic acid containing 0.1% sodium hyaluronate. Methadine nasal drops (control group 2) and the present invention group 13 group. The healthy subjects measured the peak concentration of the drug in the blood after dropping 2 mL of the above nasal drops according to randomization.
( x) 、 半衰期 ( Λ/2 )和曲线下面积 UO, 考察海藻糖和玻璃 酸对氢溴酸右美沙芬滴鼻液生物利用度的影响。 (x) , half-life (Λ / 2 ) and area under the curve UO, to investigate the effect of trehalose and hyaluronic acid on the bioavailability of dextromethorphan hydrobromide nasal drops.
结果见表 1。 The results are shown in Table 1.
实施例 13氢溴酸右美沙芬滴鼻液药代动力学参数 Example 13 Pharmacokinetic parameters of dextromethorphan hydrobromide nasal drops
组别 x (ng/ml) (min) AUC (rain . ng/ml) 对照 1组 7.9 ± 3· 2 176.1 ± 62.2 1002.3土 293.1 对照 2组 10.1 ± 1.8· 200.2 ± 22.4' 1416.2 ± 134. V 对照 3组 9.2 ± 1· 5· 185.3 ± 20.6 1328.1 ± 208.2· 实施例 13 12.6 ± 2.8·Δ' 221.7 + 53.2·Δ 1760.6 ± 325.3·Δ'Group x (ng/ml) (min) AUC (rain. ng/ml) Control group 7.9 ± 3· 2 176.1 ± 62.2 1002.3 soil 293.1 Control group 2 10.1 ± 1.8 · 200.2 ± 22.4' 1416.2 ± 134. V Control 3 groups 9.2 ± 1· 5 · 185.3 ± 20.6 1328.1 ± 208.2 · Example 13 12.6 ± 2.8· Δ ' 221.7 + 53.2 · Δ 1760.6 ± 325.3 · Δ '
'户 <0.05,与对照 1组比较, 有显著性差异; ^尸<0.05, 与对照 組 2比较, 有显著性差异; #尸<0.05, 与对照 3组比较, 有显著性 差异 ' Household <0.05, compared with the control group 1, there was a significant difference; ^ corpse <0.05, compared with the control group 2, there was a significant difference; #尸<0.05, compared with the control group 3, there was a significant difference
由表 1可以看出,本发明单独应用海藻糖和玻璃酸钠可以提高 药物的达峰浓度( cmax) 、 不生物半衰期 ( , 及浓度 -时间曲线 下面积 , 显著提高药物的生物利用度, 但两者联合使用效 果更佳, 显著优于单独适用玻璃酸钠或海藻糖。 这主要是依赖于 海藻糖稳定生物膜的作用和玻璃酸的增黏、 生物黏附、 铺展润湿 和緩释作用。 试验实施例 2: As can be seen from Table 1, the application of trehalose and sodium hyaluronate alone can increase the peak concentration (c max ) of the drug, the abiotic half-life (and the area under the concentration-time curve, and significantly improve the bioavailability of the drug, However, the combined effect of the two is better, which is significantly better than the application of sodium hyaluronate or trehalose alone. This is mainly due to the action of trehalose-stable biofilm and the adhesion, bioadhesion, spreading and sustained release of hyaluronic acid. Test Example 2:
传统的氯霉素滴鼻液具有个显著缺点: 氯霉素易降解为二醇 物而失效, 制剂有效期短。 我们对本发明实施例 3的制剂与不含 海藻糖和玻璃酸钠的传统氯霉素滴鼻液进行了稳定性考察(加速 试验和长期试验) 。 Traditional chloramphenicol nasal drops have a significant disadvantage: chloramphenicol is easily degraded into diols and fails, and the formulation has a short expiration date. We investigated the stability of the formulation of Example 3 of the present invention with a conventional chloramphenicol nasal drop containing no trehalose and sodium hyaluronate (accelerated test and long-term test).
加速试验: 取本发明实施例 3与不含海藻糖和玻璃酸的氯霉 素滴鼻液样品, 置于温度为 (40±2) 。C、 相对湿度为 20%士 2%
的环境中放置 6个月, 分别于 0 1 2 3 4 5 6月取样测定氯 霉素及其降解产物二醇物的含量, 计算氯霉素占标示量的百分比和 二醇物占氯霉素的百分比, 考察氯霉素的穗定性以及海藻糖和玻璃 酸对氯霉素稳定性的影响。 Accelerated test: A sample of Example 3 of the present invention and a chloramphenicol nasal drop containing no trehalose and hyaluronic acid was taken at a temperature of (40 ± 2). C, relative humidity is 20 % ± 2 % The environment was placed for 6 months, and the content of chloramphenicol and its degradation product diol was sampled at 0 1 2 3 4 5 June. The percentage of chloramphenicol in the labeled amount and the diol content in chloramphenicol were calculated. Percentage, the effect of chloramphenicol on the stability of chloramphenicol and the stability of trehalose and hyaluronic acid on chloramphenicol.
长期试验: 取本发明实施例 3与不含海藻糖和玻璃酸的氯霉 素滴鼻液样品, 置于温度为 (25 ± 2 ) C、 相对湿度为 60 % ± 2% 的环境中放置 18个月, 分别于 0 1 2 3 4 5 6 7 8 9 10 11 12 1 3 14 15 16 17 18月取样测定氯霉素及其降解 产物二醇物的含量, 计算氯霉素占标示量的百分比和二醇物占氯霉 素的百分比, 考察氯霉素的稳定性以及海藻糖和玻璃酸对氯霉素稳 定性的影响。 Long-term test: Take the sample of Example 3 of the present invention and the chloramphenicol nasal drop containing no trehalose and hyaluronic acid, and place it in an environment with a temperature of (25 ± 2 ) C and a relative humidity of 60 % ± 2%. For the month, samples were taken at 0 1 2 3 4 5 6 7 8 9 10 11 12 1 3 14 15 16 17 17 months to determine the content of chloramphenicol and its degradation product diol, and calculate the percentage of chloramphenicol in the labeled amount. And the percentage of diols to chloramphenicol, the stability of chloramphenicol and the effect of trehalose and hyaluronic acid on the stability of chloramphenicol.
结果见表 2和表 3 表 2 实施例 3的制剂氯霉素加速试验检测结果 The results are shown in Table 2 and Table 3 Table 2 The results of the chloramphenicol accelerated test of the preparation of Example 3
(温度 40 °C ± 2 °C 相对湿度 20%土 2% ) (temperature 40 °C ± 2 °C relative humidity 20% soil 2%)
传统的氯霉素滴鼻液 实施例 3 Traditional chloramphenicol nasal drops Example 3
时间 氯霉素占标示 降解产物二醇物 氯霉素占标 降解产物二醇物占 Time chloramphenicol accounted for degradation product diol chloramphenicol accounted for
(月 ) 量的百分比 占氯霉素的百分 示量的百分 氯霉素的百分比 比 比 Percentage of chloramphenicol as a percentage of chloramphenicol
0 0. 01 100. 01 0. 01 0 0. 01 100. 01 0. 01
1 98. 13 1. 77 99. 93 0. 061 98. 13 1. 77 99. 93 0. 06
2 2. 96 99. 86 0. 132 2. 96 99. 86 0. 13
3 95. 77 4. 20 0. 513 95. 77 4. 20 0. 51
4 94. 55 5. 46 99. 00 0. 994 94. 55 5. 46 99. 00 0. 99
5 93. 12 6. 86 98. 76 1. 235 93. 12 6. 86 98. 76 1. 23
6 92. 03 7. 96 98. 65 1. 34
表 3 实施例 3的制剂氯霉素长期试验检测结果 6 92. 03 7. 96 98. 65 1. 34 Table 3 Test results of long-term test of chloramphenicol in the preparation of Example 3
(温度 25 °C ± 2 °C、 相对湿度 60% ± 1 0% ) (temperature 25 °C ± 2 °C, relative humidity 60% ± 10%)
传统的氯霉素滴鼻液 实施例 3 Traditional chloramphenicol nasal drops Example 3
氯霉素占标示 降解产物二醇物占 氯霉素占标示 降解产物二醇物 量的百分比 氯霉素的百分比 量的百分比 占氯霉素的百分 比 Chloramphenicol accounts for the degradation product diols as a percentage of chloramphenicol as a percentage of the degradation product diol. Percentage of chloramphenicol as a percentage of chloramphenicol
0 100. 02 0. 01 100 • 01 0. 01 0 100. 02 0. 01 100 • 01 0. 01
1 99. 90 0. 13 99. 92 0. 081 99. 90 0. 13 99. 92 0. 08
2 98. 01 1. 98 99. 91 0. 102 98. 01 1. 98 99. 91 0. 10
3 97. 38 2. 62 99. 76 0. 243 97. 38 2. 62 99. 76 0. 24
4 96. 57 3. 43 99. 67 0. 314 96. 57 3. 43 99. 67 0. 31
5 96. 02 3. 96 99. 56 0. 445 96. 02 3. 96 99. 56 0. 44
6 95. 65 4. 34 99. 51 0. 506 95. 65 4. 34 99. 51 0. 50
7 94. 83 5. 16 99. 45 0. 567 94. 83 5. 16 99. 45 0. 56
8 94. 15 5. 75 99. 37 0. 628 94. 15 5. 75 99. 37 0. 62
9 93. 67 6. 32 99. 28 0. 719 93. 67 6. 32 99. 28 0. 71
10 93. 01 7. 00 99. 16 0. 8410 93. 01 7. 00 99. 16 0. 84
11 92. 45 7. 56 98. 69 1. 3011 92. 45 7. 56 98. 69 1. 30
12 92. 17 7. 82 98. 38 1. 6212 92. 17 7. 82 98. 38 1. 62
13 92. 01 8. 01 98. 06 1. 9513 92. 01 8. 01 98. 06 1. 95
14 91. 13 8. 86 97. 56 2. 4314 91. 13 8. 86 97. 56 2. 43
15 90. 24 9. 75 97. 11 2. 8915 90. 24 9. 75 97. 11 2. 89
16 89. 11 1 0. 88 96. 68 3. 3116 89. 11 1 0. 88 96. 68 3. 31
17 88. 08 11. 91 96. 47 3. 5317 88. 08 11. 91 96. 47 3. 53
18 87. 18 12 . 82 96. 19 3. 81 由表 2和表 3可以看出, 本发明实施例 3的制剂可显著降低 氯霉素的降解。 传统的氯 素滴鼻液的有效期一般为 1年, 含海 藻糖和玻璃酸钠的氯霉素滴鼻液的有效期可为 1年半甚至更长。 18 87. 18 12 . 82 96. 19 3. 81 As can be seen from Tables 2 and 3, the formulation of Example 3 of the present invention can significantly reduce the degradation of chloramphenicol. Traditional chlorinated nasal drops are usually valid for 1 year, and chloramphenicol nasal drops containing trehalose and sodium hyaluronate can be used for one and a half years or longer.
本发明研究数据 3 : Research data of the present invention 3 :
我们以普通市售的复方薄荷滴鼻液和生理盐水为对照, 考察 了本发明实施例 2的制剂对干燥性鼻炎的疗效。 患者一次 2滴,
一曰 4次, 用药 2周后进行疗效评价。 治愈: 鼻干燥通气改善, 嗅觉正常, 鼻黏膜恢复正常; 好转: 自觉症状显著改善; 无效: 自觉症状无明显改善。 The effect of the preparation of Example 2 of the present invention on dry rhinitis was examined by using a commercially available compound mint nasal drop and physiological saline as a control. The patient has 2 drops at a time. After 4 times, the effect was evaluated after 2 weeks of treatment. Cure: Nasal dry ventilation improved, normal sense of smell, nasal mucosa returned to normal; improved: Significant improvement in symptoms; Ineffective: No significant improvement in symptoms.
表 实施例 2的制剂对干燥性鼻炎的疗效评价 組另 |j 患者数 治愈率 (%) 好转率 (%) 无效率 (%) 生理盐水 50 16 20 64 普通市售复方薄 Table Example 2 Evaluation of the efficacy of the preparation of the method for the treatment of dry rhinitis group |j number of patients cure rate (%) improvement rate (%) inefficiency (%) saline 50 16 20 64 common commercial compound thin
50 36 40 24 荷滴鼻液 50 36 40 24 Nasal drops
实施例 2 50 62 36 2 由表 4可以看出, 将海藻糖和玻璃酸联合应用于鼻腔用药传 递系统, 可显著改善干燥性鼻炎症状, 有效率 (治愈率 +好转率) 为 98%; 显著好于普通的市售薄荷滴鼻液和生理盐水。
Example 2 50 62 36 2 It can be seen from Table 4 that the combination of trehalose and hyaluronic acid in the nasal drug delivery system can significantly improve the symptoms of dry rhinitis, and the effective rate (cure rate + improvement rate) is 98%; Better than ordinary commercial mint nasal drops and normal saline.