WO2009152777A1 - A stable and release-controlled rasagiline transdermal patch and method of preparation thereof - Google Patents

A stable and release-controlled rasagiline transdermal patch and method of preparation thereof Download PDF

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Publication number
WO2009152777A1
WO2009152777A1 PCT/CN2009/072352 CN2009072352W WO2009152777A1 WO 2009152777 A1 WO2009152777 A1 WO 2009152777A1 CN 2009072352 W CN2009072352 W CN 2009072352W WO 2009152777 A1 WO2009152777 A1 WO 2009152777A1
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Prior art keywords
acid
rasagiline
patch
transdermal patch
derivatives
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PCT/CN2009/072352
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French (fr)
Chinese (zh)
Inventor
林佳亮
李群
李宏忠
张涛
邓杰
樊斌
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重庆医药工业研究院有限责任公司
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Publication of WO2009152777A1 publication Critical patent/WO2009152777A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/70Web, sheet or filament bases ; Films; Fibres of the matrix type containing drug
    • A61K9/7023Transdermal patches and similar drug-containing composite devices, e.g. cataplasms
    • A61K9/703Transdermal patches and similar drug-containing composite devices, e.g. cataplasms characterised by shape or structure; Details concerning release liner or backing; Refillable patches; User-activated patches
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/70Web, sheet or filament bases ; Films; Fibres of the matrix type containing drug
    • A61K9/7023Transdermal patches and similar drug-containing composite devices, e.g. cataplasms
    • A61K9/703Transdermal patches and similar drug-containing composite devices, e.g. cataplasms characterised by shape or structure; Details concerning release liner or backing; Refillable patches; User-activated patches
    • A61K9/7038Transdermal patches of the drug-in-adhesive type, i.e. comprising drug in the skin-adhesive layer
    • A61K9/7046Transdermal patches of the drug-in-adhesive type, i.e. comprising drug in the skin-adhesive layer the adhesive comprising macromolecular compounds
    • A61K9/7053Transdermal patches of the drug-in-adhesive type, i.e. comprising drug in the skin-adhesive layer the adhesive comprising macromolecular compounds obtained by reactions only involving carbon to carbon unsaturated bonds, e.g. polyvinyl, polyisobutylene, polystyrene
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/70Web, sheet or filament bases ; Films; Fibres of the matrix type containing drug
    • A61K9/7023Transdermal patches and similar drug-containing composite devices, e.g. cataplasms
    • A61K9/703Transdermal patches and similar drug-containing composite devices, e.g. cataplasms characterised by shape or structure; Details concerning release liner or backing; Refillable patches; User-activated patches
    • A61K9/7038Transdermal patches of the drug-in-adhesive type, i.e. comprising drug in the skin-adhesive layer
    • A61K9/7046Transdermal patches of the drug-in-adhesive type, i.e. comprising drug in the skin-adhesive layer the adhesive comprising macromolecular compounds
    • A61K9/7053Transdermal patches of the drug-in-adhesive type, i.e. comprising drug in the skin-adhesive layer the adhesive comprising macromolecular compounds obtained by reactions only involving carbon to carbon unsaturated bonds, e.g. polyvinyl, polyisobutylene, polystyrene
    • A61K9/7061Polyacrylates
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/70Web, sheet or filament bases ; Films; Fibres of the matrix type containing drug
    • A61K9/7023Transdermal patches and similar drug-containing composite devices, e.g. cataplasms
    • A61K9/703Transdermal patches and similar drug-containing composite devices, e.g. cataplasms characterised by shape or structure; Details concerning release liner or backing; Refillable patches; User-activated patches
    • A61K9/7038Transdermal patches of the drug-in-adhesive type, i.e. comprising drug in the skin-adhesive layer
    • A61K9/7046Transdermal patches of the drug-in-adhesive type, i.e. comprising drug in the skin-adhesive layer the adhesive comprising macromolecular compounds
    • A61K9/7069Transdermal patches of the drug-in-adhesive type, i.e. comprising drug in the skin-adhesive layer the adhesive comprising macromolecular compounds obtained otherwise than by reactions only involving carbon to carbon unsaturated bonds, e.g. polysiloxane, polyesters, polyurethane, polyethylene oxide
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/70Web, sheet or filament bases ; Films; Fibres of the matrix type containing drug
    • A61K9/7023Transdermal patches and similar drug-containing composite devices, e.g. cataplasms
    • A61K9/703Transdermal patches and similar drug-containing composite devices, e.g. cataplasms characterised by shape or structure; Details concerning release liner or backing; Refillable patches; User-activated patches
    • A61K9/7084Transdermal patches having a drug layer or reservoir, and one or more separate drug-free skin-adhesive layers, e.g. between drug reservoir and skin, or surrounding the drug reservoir; Liquid-filled reservoir patches
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/14Drugs for disorders of the nervous system for treating abnormal movements, e.g. chorea, dyskinesia
    • A61P25/16Anti-Parkinson drugs
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/24Antidepressants
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/28Drugs for disorders of the nervous system for treating neurodegenerative disorders of the central nervous system, e.g. nootropic agents, cognition enhancers, drugs for treating Alzheimer's disease or other forms of dementia
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P43/00Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00

Definitions

  • the present invention relates to a rasagiline transdermal patch for treating or preventing a nervous system disease. More particularly, the present invention relates to a stable drug release controlled rasagiline transdermal patch.
  • Rasagiline is a selective monoamine oxidase B inhibitor for the treatment of central nervous system diseases such as Parkinson's disease (PD), depression, etc., which has been marketed in Europe.
  • the chemical structure of rasagiline is as follows.
  • Parkinson's disease is a result of degeneration of dopaminergic nerves in the nerve center and a decrease in the release of neurotransmitter dopamine. Due to insufficient release of dopamine transmitters, the patient's muscle control is dysfunctional, causing tremors, muscle stiffness, tightness of the body, inflexible joint activities, difficulty in turning over, slow movements, slow movements, clumsiness, inconsistent activities, severe cases Symptoms such as standing, walking, and abnormal posture.
  • the main purpose of drug treatment for Parkinson's disease (PD) is to directly or indirectly increase the dopamine content in the brain.
  • the main drugs for treating Parkinson's disease include levodopa, dopamine receptor agonists, amantadine, anticholinergic drugs, and anticholinergic drugs.
  • levodopa (L-dopa) was used as an alternative to the neurotransmitter dopamine.
  • - - It has been used in the treatment of Parkinson's disease and is still the main treatment. Due to the rapid decarboxylation of levodopa outside the brain and conversion to dopamine, a large amount of waste and adverse reactions of levodopa occur frequently. Therefore, levodopa is often used in combination with decarboxylase inhibitors to increase the ability of levodopa to pass the cerebral blood barrier.
  • Another drug class for treating Parkinson's disease is the dopamine agonist, which includes ergobromide and pergolide sulfonate.
  • Rasagiline is an irreversible selective monoamine oxidase B (MAOB) inhibitor, a double-blind randomized clinical study examining the effectiveness of rasagiline in the treatment of early PD (Arch Neurol, 2004; 61:561–566). The study included 404 patients with early PD who were treated with rasagiline (1 mg/d or 2 mg/d) for 1 year, or 6 months for rasagiline followed by 6 months for placebo.
  • MAOB monoamine oxidase B
  • the primary outcome measure was the change in the score for the Unified Parkinson's Disease Comprehensive Rating Scale (UPDRS).
  • UPDRS Unified Parkinson's Disease Comprehensive Rating Scale
  • the results showed that 371 patients completed the clinical study, and the average UPDRS score for patients treated with 2 m g /d rasagiline throughout the year was 2.29 units lower than that of patients receiving placebo after 6 months. Patients with lmg/d receiving rasagiline treatment had an average UPDRS score of 1.82 units.
  • the investigators concluded that patients who received rasagiline (lm g /d or 2 m g /d) throughout the year had a lower degree of functional decline than the placebo group.
  • rasagiline is similar to other anti-shock palsy drugs, the incidence of toxic side effects (mainly including insomnia, nausea, and hallucinations) is lower.
  • rasagiline is very potent, when it is administered orally, eating peaks will reduce the peak concentration of blood by 60%.
  • patients with Parkinson's disease have inconvenient action and oral administration is difficult, so rasagiline Applying through the skin by administering it once or twice a day or longer - - A dose is necessary.
  • rasagiline is a selective monoamine oxidase B (MAOB) inhibitor, but at the time of high plasma concentration, it will inhibit MAO-A, MAO-B, and produce a so-called “cheese reaction”: taking irreversible non-selection
  • MAOB monoamine oxidase B
  • cheese reaction taking irreversible non-selection
  • a sexual drug if the patient takes a drug or food containing tyramine or dopamine at the same time, it may cause a hypertensive crisis. Because cooked cheese contains a lot of tyramine, this reaction is called “cheese reaction.” It has been reported that when patients take rasagiline 10 mg / day orally with levodopa, treatment will be interrupted due to cardiovascular adverse reactions such as hypertension and postural hypertension.
  • the rasagiline transdermal patch absorbs mildness and avoids or reduces the "cheese reaction.” And once the patient feels unwell due to the "cheese reaction," the patch can be removed immediately to avoid more serious consequences.
  • a system for the treatment via the skin has been described in US2004013620, wherein the active ingredient comprises rasagiline, which is characterized by the use of a transdermal penetration enhancer having the structure:
  • the transdermal permeation enhancer is not particularly effective for promoting transdermal permeation of rasagiline, and spray transdermal absorption is employed, which is inconvenient to administer.
  • a rasagiline transdermal patch for the treatment or prevention of neurological disorders has been described in CN101032474A, in which the pH of the patch remains in the alkaline range (greater than 7.0), although good results are obtained. Transdermal penetration effect, but the study found that under high temperature stability test conditions, the drug stability is not good, may be detrimental to long-term storage, and One of the irritating solvents such as chloroform was used.
  • the inventors of the present invention have also found that under acidic conditions, such as a pH of not more than 7.0, especially a pH of not more than 6.5, the solubility of rasagiline salts such as rasagiline bismuth sulfonate in a hydrophobic matrix is higher. Small, resulting in low drug loading of the matrix, affecting the release rate and transdermal effect, and the solubility in the hydrophilic matrix is very good, the drug loading is high, the drug is released quickly, and the transdermal effect is good.
  • acidic conditions such as a pH of not more than 7.0, especially a pH of not more than 6.5
  • the present invention provides a stable drug release controllable rasagiline transdermal patch, wherein the patch comprises a therapeutically effective amount of rasagiline or a pharmaceutically acceptable salt thereof And at least one hydrophilic polymer matrix, and the patch has a pH of no greater than 7.0.
  • the pH of the patch is preferably not less than 3.0 to not more than
  • the pharmaceutically acceptable salt of rasagiline comprises Rasha
  • the hydrochloride, sulfonate, ethanesulfonate or sulfate of geland is preferably a hydrochloride salt of rasagiline and an oxime sulfonate, more preferably rasagiline sulfonate.
  • the hydrophilic polymer matrix is selected from at least one of the following: polyvinylpyrrolidone and its derivatives, polyethylene glycol and its derivatives, ethylene-vinyl acetate copolymer and derivatives thereof And cellulose and its derivatives and carboxyvinyl (also known as polyacrylic acid) and derivatives thereof, preferably a combination of any two of them, more preferably polyvinylpyrrolidone and its derivatives and polyethylene glycol and its derivatives Combination of materials and combinations of cellulose and its derivatives with carboxyvinyl and its derivatives.
  • the rasagiline transdermal patch further comprises at least one hydrophobic polymeric matrix comprising a polyacrylic resin and derivatives thereof or silicone and derivatives thereof Things.
  • the rasagiline transdermal patch may further comprise a controlled release film, the material of the controlled release film being selected from the group consisting of polyethylene and its derivatives, ethylene-vinyl acetate copolymer and At least one of a derivative, a polyurethane and a derivative thereof, polyvinyl chloride and a derivative thereof, and having a wet vapor permeability of from 100 g/m 2 /day to 3,000 g/m 2 /day.
  • the above-described rasagiline transdermal patch further comprises a membrane having at least one pore smaller than the patch area when the drug release rate is controlled by the release area, thereby controlling the patch area and the membrane The ratio of the size of the holes controls the drug release rate.
  • the area of the hole The patch area is 1:2 ⁇ 10.
  • the pore area of the rasagiline transdermal patch patch area
  • the film is selected from the group consisting of a polyethylene film, an ethylene-vinyl acetate copolymer film, characterized by a wet vapor permeability of less than 100 grams per square meter per day.
  • the above-described rasagiline transdermal patch may further comprise a pH adjusting agent or buffer, if necessary, to maintain the pH of the patch at 3.0-6.5.
  • the pH adjusting agent is selected from at least one of the following acidic substances: adipic acid, caproic acid, propionic acid, benzoic acid, phenylacetic acid, phthalic acid, citric acid, hypophosphorous acid, phosphoric acid, dihydrogen phosphate Sodium, potassium dihydrogen phosphate, glacial acetic acid, acetic acid, lactic acid, malic acid, citric acid, hydrochloric acid, sulfuric acid, nitric acid, sulfonic acid, sulfonic acid, tartaric acid, succinic acid, boric acid, sorbic acid and silicic acid, preferably hydrochloric acid and An oxime sulfonic acid, more preferably oxime sulfonic acid; the buffer is selected from at least one of the following solutions: citrate buffer, acetate buffer, phosphate buffer, citrate Buffer and phthalate buffer.
  • the above rasagiline transdermal patch further comprises at least one transdermal enhancer, said transdermal enhancer being selected from at least one of the following: ethanol, Propylene glycol, oleic acid, oleyl alcohol, linoleic acid, lauryl alcohol, lauric acid, isopropyl myristate and lauryl ketone.
  • the therapeutically effective amount of rasagiline or a pharmaceutically acceptable salt thereof in the rasagiline transdermal patch in the stromal layer is from 0.01 mg/cm 2 to 50 mg/cm 2 , therapeutically effective The amount is based on the free base of rasagiline.
  • the present invention provides a method of preparing the rasagiline transdermal patch of any of the above embodiments, comprising:
  • the pH of the substrate is adjusted to no greater than 7.0 by the addition of a pH adjusting agent or buffer to the matrix.
  • the pH adjusting agent is selected from at least one of the following acidic substances: adipic acid, caproic acid, propionic acid, benzoic acid, phenylacetic acid, phthalic acid, citric acid, hypophosphorous acid , phosphoric acid, sodium dihydrogen phosphate, potassium dihydrogen phosphate, glacial acetic acid, acetic acid, lactic acid, malic acid, citric acid, hydrochloric acid, sulfuric acid, nitric acid, sulfonic acid, sulfonic acid, tartaric acid, succinic acid, boric acid, sorbic acid and Silicic acid, preferably hydrochloric acid and hydrazine sulfonic acid, more preferably hydrazine sulfonic acid; the buffer is selected from at least
  • the present invention provides a method for treating or preventing Parkinson's disease, Alzheimer's disease, depression, pediatric hyperactivity disorder, restless legs by using the above-mentioned rasagiline transdermal patch.
  • the above-described rasagiline transdermal patch has an application area of from 1 cm 2 to 50 cm 2 via skin treatment.
  • the present invention provides a stable, controlled release rasagiline transdermal patch comprising a therapeutically effective amount of rasagiline or a pharmaceutically acceptable salt thereof and at least one rasagiline Or a hydrophilic polymer matrix of a pharmaceutically acceptable salt thereof, wherein the patch has a pH of not more than 7.0, preferably not less than 3.0 to not more than 6.5.
  • the patch may also include conventional backing layers and conventional backing materials in the art, as well as a protective layer that can be peeled off prior to use.
  • the back layer (such as the inert support layer) may be foil or poly A film made of a film of ethylene or polypropylene, a film of ethylene-vinyl acetate copolymer or polycarbonate, or a nonwoven fabric.
  • the protective layer (for example, the release layer) may be a film formed by laminating a foil or a film of polyethylene, polypropylene, ethylene-vinyl acetate copolymer or polycarbonate, or may be selected from paraffin or silicone-based silicone oil. Treated smooth thick paper.
  • the patch also includes a solvent conventional in the art, preferably a water-soluble solvent such as decyl alcohol, ethanol, propanol, isopropanol, butanol, pentanol, propylene glycol, glycerin, one or more of which may be selected. , or choose as needed.
  • a transdermal enhancer such as ethanol, propylene glycol, oleic acid, oleyl alcohol, linoleic acid, lauryl alcohol, lauric acid, isopropyl myristate and lauryl ketone may be added, preferably laurel nitrogen. Anthrone.
  • rasagiline or a pharmaceutically acceptable salt thereof is present in the matrix in at least one of the following forms: salt, ionic form, microcrystalline , amorphous dispersion, microemulsion wrap, submicron milk wrap, lipid wrap or micelle wrap.
  • the above pharmaceutically acceptable salt of rasagiline is a hydrochloride, an oxime sulfonate, a besylate, a p-toluenesulfonate or a sulfate, preferably an oxime sulfonate.
  • the above-mentioned rasagiline transdermal patch may be added with a pH adjuster or a buffer.
  • a pH adjuster or a buffer For example, when the active substance is rasagiline free base, it may be necessary to add a pH adjusting agent for the acidic substance to adjust the pH to not more than 7.0, especially not more than 6.5.
  • the active material is rasagiline sulfonate, but the substrate used is a basic substance, it is also possible to add a pH adjuster or a buffer.
  • a pH adjusting agent may be added to maintain the pH of the patch in a range of less than or equal to 7.0, especially not more than 6.5.
  • the pH adjusting agent includes adipic acid, caproic acid, propionic acid, benzoic acid, phenylacetic acid, phthalic acid, citric acid, hypophosphorous acid, phosphoric acid, sodium dihydrogen phosphate, potassium dihydrogen phosphate, glacial acetic acid.
  • acetic acid lactic acid, malic acid, citric acid, hydrochloric acid, sulfuric acid, nitric acid, sulfonic acid, sulfonic acid, benzenesulfonic acid, p-toluenesulfonic acid, tartaric acid, succinic acid, boric acid, sorbic acid and silicic acid, or acidic a polymer such as carboxyvinyl chloride and its derivatives (such as carbomer), preferably hydrochloric acid, hydrazine sulfonic acid and p-toluene sulfonic acid; the buffer is selected from at least one of the following solutions: citrate Buffer, acetate buffer, phosphate buffer, citrate buffer and phthalate buffer.
  • the rasagiline transdermal patch comprises oxalate sulfonate of rasagiline.
  • the rasagiline transdermal patch comprises a hydrophilic matrix selected from the group consisting of polyvinylpyrrolidone and derivatives thereof, such as polyvinylpyrrolidone K15, polyvinylpyrrolidone 25, polyethylene Pyrrolidone 30, polyvinylpyrrolidone 60, polyvinylpyrrolidone 90, crosslinked polyvinylpyrrolidone, vinylpyrrolidone-hydroxypropyl methacrylate copolymer, vinylpyrrolidone-vinyl acetate copolymer, etc.; polyethylene glycol and its derivatives , such as polyethylene glycol 200, polyethylene glycol 300, polyethylene glycol 400, polyethylene glycol 600, polyethylene glycol 1000, polyethylene glycol 1500, polyethylene glycol 2000, polyethylene glycol 3000, Polyethylene glycol 4000, polyethylene glycol
  • the rasagiline transdermal patch comprises a combination of at least two of the above hydrophilic polymer matrices, preferably polyvinylpyrrolidone and its derivatives and polyethylene glycol and derivatives thereof Combination, a combination of cellulose and its derivatives with carboxyvinyl and its derivatives.
  • the hydrophilic gel prepared from the mixture of polyvinylpyrrolidone and polyethylene glycol has better permeability to rasagiline, wherein polyvinylpyrrolidone: polyethylene glycol (WAV) can be 1:9 to 9: 1.
  • polyvinylpyrrolidone may preferably be of the K90D type
  • polyethylene glycol may preferably be of the polyethylene glycol type 400, wherein the polyvinylpyrrolidone K90D: polyethylene glycol 400 (W/W) may preferably be 3:2.
  • the choice of two hydrophilic polymer matrices increases the viscosity of the matrix and facilitates better adhesion of the patch to the skin.
  • the above rasagiline transdermal patch may contain at least one hydrophobic polymer in addition to the hydrophilic polymer matrix. That is, a combination matrix of a hydrophilic polymer and a hydrophobic polymer is used.
  • the combination matrix may be a matrix formed by mixing a hydrophilic polymer and a hydrophobic polymer, or may be a hydrophilic polymer matrix layer containing rasagiline or a pharmaceutically acceptable salt thereof. A layer of a hydrophobic polymer matrix layer comprising rasagiline or a pharmaceutically acceptable salt thereof is added.
  • the hydrophobic polymer may be selected from at least one of the following: polyacrylic resins and derivatives thereof, silicones and derivatives thereof.
  • the above rasagiline transdermal patch further comprises a controlled release film. when - - When the selected polymer matrix is a hydrophilic polymer, there may be a phenomenon that the active substance is released too fast and the release time is short.
  • a controlled release can be added.
  • membrane Whether or not the controlled release film is used can be determined according to the viscosity characteristics of the polymer used in the matrix layer and the characteristics of controlling the release rate of the drug.
  • the membrane material selectable for the controlled release membrane is characterized by a wet steam permeability of between 100 grams per square meter per day to 3000 grams per square meter per day.
  • the moisture vapour transmission rate (MVTR) is a measure of the permeability of a material to water vapor and can be used to measure the permeability of rasagiline. For the method of measuring MVTR, GB/T 16928, ASTM E96, ASTM D1653.
  • the controlled release film may specifically comprise one or more of the following materials: polyurethane, polylactic acid, polyethylene, polyvinyl chloride, ethylene-vinyl acetate copolymer, and some of the films are characterized by the following Table 1.
  • the preferred controlled release membranes may be the following three types: CoTrans9702, CoTrans9728, CoTrans9701 (all produced by 3M Company of the United States), wherein the first two are polyethylene-polyvinyl acetate controlled release membranes, and CoTrans9701 is a polyurethane controlled release membrane.
  • Table 1 Characteristics of Controlled Release Membranes Model Type Vinyl Acetate Content Thickness Wet Steam Permeability
  • the rasagiline transdermal patch of the present invention can also be controlled release release by controlling the release area.
  • the active substance rasagiline is released through the pore by adding a membrane having at least one pore smaller than the patch area to the patch substrate.
  • the size of the pores may be determined according to the release characteristics of the polymer matrix, and the ratio of the pore area to the patch area is preferably 1:3 to 8.
  • the membrane material of the membrane is a polymer having relatively low permeability to rasagiline, such as polyethylene film CoTrans9720, polyethylene-polyvinyl acetate film CoTrans9726, and the like.
  • a controlled release film and a back layer are used to seal a patch containing a semi-solid reservoir.
  • the factors affecting drug release are the affinity of the drug and matrix and the permeability of the controlled release film to the drug.
  • the pH of the patch can be determined according to the following method: Calculated according to the content of rasagiline or its pharmaceutically acceptable salt of the patch Take a certain amount of patch with pure water to prepare a solution containing rasagiline or its pharmaceutically acceptable salt 1mg/ml, which can be measured with a pH meter, in order to facilitate the rasagiline or its drug The accepted salt is completely dissolved from the patch and can be stirred with a small amount of absolute ethanol, ultrasonically extracted, and then measured with a pH meter.
  • the pH of the drug-loaded substrate which is not prepared into a patch can be determined by the following method: A certain amount of the drug-loading substrate is configured with pure water to prepare a solution containing rasagiline or a pharmaceutically acceptable salt thereof at 1 mg/ml. It can be measured with a pH meter. In order to facilitate the complete dissolution of rasagiline or its pharmaceutically acceptable salt from the matrix, it can be stirred with a small amount of absolute ethanol, ultrasonically extracted, centrifuged to remove the supernatant, and then used for PH. Meter measurement. — The pH of the blank matrix can be determined by reference to national pharmacopoeia or other standards, or by the amount of drug-loaded matrix.
  • the inventors of the present invention have found that rasagiline is stable at a pH of not more than 7.0, especially not more than 6.5, and on the contrary, it degrades rapidly, as shown in Table 2.
  • rasagiline or a pharmaceutically acceptable salt thereof such as rasagiline sulfonate
  • an alkali regulator such as sodium hydroxide or triethanolamine
  • the inventors of the present invention have found that when rasagiline is present in the form of a free base, high temperatures may adversely affect its stability.
  • the inventors of the present invention have also found that even with a two-layer structure in which one layer contains rasagiline salt and the other layer contains a basic regulator, high temperature has an effect on the stability of rasagiline.
  • the content of the main drug rasagiline and related substances (impurities) was determined by high performance liquid chromatography (HPLC). The HPLC color column was subjected to C18 column and Daicel AD column. The results are shown in Table 2 below. The results from Table 2 show that the pH value has a large influence on the stability of the active substance rasagiline. Table 2. Changes in the content of the main drug (rasagiline) at different pH values
  • Rasagiline free base is contained in the main drug content of 7.0 ⁇ 8.0 main drug - -
  • the pH of the medium significantly affects the form of rasagiline: the pH of rasagiline free base in pure water is about 7.5 (measured as rasagiline at 1 mg/ml); The pH in pure water was about 5.0 (measured at 1 mg/ml of rasagiline sulfonate), and the PKa was calculated to be 7.5.
  • the pH is 6.5, the amount of rasagiline free base accounts for 10% of the total, and the calculated value is basically consistent with the experimental value. Therefore, the lower the pH, the more stable the rasagiline is, under other conditions.
  • rasagiline When rasagiline is present in the form of free ruthenium, the R-NH-C ⁇ CH bond between the secondary amine group and the attached alkynyl group is easily broken, thereby causing degradation. Therefore, in terms of stability, rasagiline is difficult to maintain stability in the alkaline matrix environment for a long time, especially in the state of free alkali, the instability is more obvious.
  • rasagiline patch may exist in various forms other than the free base.
  • the patch can be prepared in different ways.
  • rasagiline when it is present in the form of a salt or an ionic form, such as rasagiline bismuth sulfonate, it can be first dissolved in an organic solvent such as ethanol, propylene glycol or glycerin, and then with an organic polymer matrix, The skin penetration enhancer or the like is mixed to form a patch.
  • an organic solvent such as ethanol, propylene glycol or glycerin
  • the skin penetration enhancer or the like is mixed to form a patch.
  • rasagiline or a pharmaceutically acceptable salt thereof when it is in the form of microcrystalline or amorphous dispersion, rasagiline or a salt thereof can be dissolved in ethanol or water by a solvent method, and povidone and polyvinyl alcohol can be used.
  • ketone or polyvinyl alcohol may also be replaced by a carrier of urea, polyethylene glycol, fiber or the like as a dispersion. It is worth noting that for povidone, polyvinyl alcohol, ketone cellulose, ethyl cellulose, etc., which have higher melting points, the method used in the preparation may be a solvent method, and for urea and polyethylene.
  • a patch may be prepared by a melt method.
  • rasagiline and refined polyethylene glycol 4000 are uniformly mixed and heated to 40 ⁇ 60 ° C to melt.
  • oils such as liquid paraffin, petrolatum, long-chain fatty alcohols such as cetyl alcohol, stearyl alcohol, etc. may be used as internal phases to form a water pack.
  • the microemulsion and submicron emulsion can be obtained by a high-speed stirring method and a high-speed emulsion homogenization method.
  • the prepared microemulsion, submicron emulsion, organic polymer matrix, skin penetration enhancer, and the like can be mixed to form a patch.
  • a transdermal patch in the form of rasagiline liposomes rasagiline can be encapsulated into liposomes using an ester-like substance such as lecithin, hydrogenated lecithin, cholesterol, etc. to prepare a lipid.
  • the method may be a thin film method, a reverse phase evaporation method, a freeze drying method, a PH-gradient method, a high-speed stirring method, a high-speed emulsion homogenization method, etc., and the rasagiline liposome and the organic polymer matrix are obtained.
  • a penetrant or the like is used to form a patch.
  • the above methods for preparing microemulsion wrap, submicron milk wrap, and lipid-encapsulated rasagiline are now available.
  • the pH can be adjusted by adding a pH adjusting agent to ensure that the pH of the patch is not more than 7.0, especially not more than 6.5. Since the patch is administered through the skin, the pH value is too low to cause irritation to the skin, so the pH of the patch should also be not less than 3.0. Therefore, a preferred pH range is from not less than 3.0 to not more than 7.0, especially not more than 6.5.
  • the method of adjusting the pH is mainly by adding an acidic substance and/or adding a buffering agent having a pH of 7.0 or less, especially 6.5 or less.
  • the acidic substance includes: adipic acid, caproic acid, propionic acid, benzoic acid, phenylacetic acid, phthalic acid, citric acid, hypophosphorous acid, phosphoric acid, sodium dihydrogen phosphate, potassium dihydrogen phosphate, glacial acetic acid, Acetic acid, lactic acid, malic acid, citric acid, hydrochloric acid, sulfuric acid, nitric acid, sulfonic acid, sulfonic acid, benzenesulfonic acid, p-toluenesulfonic acid, tartaric acid, succinic acid, boric acid, sorbic acid, silicic acid and the like.
  • the method of adjusting the pH may also be a method of mixing a matrix having a pH value of less than 6.5 and a matrix having a pH of more than 6.5, such that the pH of the mixed matrix is not more than 6.5.
  • the buffering reagent includes a citrate buffer, an acetate buffer, a phosphate buffer, a citrate buffer, an phthalate buffer, and the like.
  • the acidic substances and buffering agents described above are all commonly used in the art, and the method of use thereof is also a conventional technique.
  • the pH of the whole system may be less than, for example, 6.5, and it is also possible More than 6.5.
  • the purpose of adding a pH adjusting agent is to ensure that the pH of the patch is below 7.0, especially below 6.5, under the conditions of preparation and storage.
  • the stratum corneum of the skin is usually the main obstacle to percutaneous absorption. Therefore, some substances which soften the stratum corneum and enhance the fluidity of lipids in the skin tissue can enhance the transdermal effect of the active ingredient.
  • the rasagiline permeability is too low with a patch based on a non-hydrophilic polymer material such as polyacrylic acid or silicone.
  • a rasagiline paste carrying a hydrophilic polymer material such as polyvinyl alcohol, polyvinylpyrrolidone, polyethylene glycol, ethylene-vinyl acetate copolymer, carboxyvinyl cellulose, cellulose derivative, etc.
  • the film absorbs the moisture of the skin and the outside world, forming a saturated solution of rasagiline, which promotes the release of rasagiline and greatly increases the penetration of rasagiline.
  • the composite patch made of a hydrophilic polymer matrix and a non-hydrophilic polymer matrix has a good transdermal effect.
  • the transdermal effect of the composite patch with controlled release membrane is also good, and the sustained release effect is good in the in vivo drug experiment.
  • the controlled release of the drug to control the release area has also basically achieved the transdermal effect and the controlled release of the drug.
  • the preparation method of the above rasagiline transdermal patch is illustrated by way of example in the examples. It will be appreciated that those skilled in the art, after reading this disclosure, are free to adapt the variations of these exemplary methods of preparation in the prior art.
  • the prepared transdermal patch was subjected to a Franz cell (effectively accepted area of 2.54 cm 2 and a volume of 17 ml) to study the penetration of the skin of a two-month-old rat's abdomen. It can be seen that the above-mentioned rasagiline transdermal patch can provide a sufficient amount of rasagiline through the skin to achieve the purpose of causing systemic action.
  • the above-mentioned stable and controllable transdermal patch of rasagiline or a pharmaceutically acceptable salt thereof can be administered once every 1-3 days or more once as once every week.
  • the above-mentioned rasagiline transdermal patch maintains the stability of the active substance rasagiline and a good and controllable transdermal release effect, is suitable for long-term storage, and is less irritating to the skin.
  • the - - Patches can be used to treat or prevent neurological diseases such as Parkinson's disease, Alzheimer's disease, depression, etc.
  • the above rasagiline transdermal patch is more commonly available than the formulation obtained with a specific transdermal penetration enhancer in US2004013620.
  • the above-mentioned rasagiline transdermal patch is more stable and longer lasting than the CN101032474A patch, making preparation easier, safer and more environmentally friendly.
  • FIG. 1 is a schematic cross-sectional view of a patch of Examples 1, 2, and 3.
  • 2 is a schematic cross-sectional view of the patch of Embodiment 4.
  • Fig. 3 is a schematic cross-sectional view showing the patch of the fifth embodiment.
  • 4 is a schematic cross-sectional view of the patch of Example 6.
  • Fig. 5 is a plan view showing the patch of the embodiment 6.
  • Fig. 6 is a schematic cross-sectional view showing the patch of the seventh embodiment.
  • Figure 7. Schematic of the rasagiline time-cumulative permeation amount of the patch of Example 1 and the rasagiline-containing single-layer polyacrylate matrix patch.
  • Figure 8. The patch of Example 2, the rasagiline time-cumulative permeation amount curve of a single layer silicone matrix patch containing rasagiline.
  • FIG. 9 The patch of Example 3, the rasagiline time-cumulative permeation curve of a single layer polyvinylpyrrolidone-polyvinyl alcohol composite matrix patch containing rasagiline.
  • Figure 10 The patch of Example 4, the rasagiline time-cumulative permeation curve of the rasagiline-containing modified release film polyvinylpyrrolidone-polyvinyl alcohol composite matrix patch - - Figure.
  • Figure 11 The patch of Example 5, the rasagiline time-cumulative permeation amount curve of the rasagiline-containing composite layer patch.
  • FIG. 12 is a graph showing the relationship between the time and the cumulative permeation amount of the rasagiline time of the patch containing the thiol cellulose-carbomer 940 as a substrate containing the rasakiline sulfonate. .
  • Figure 13 The patch of Example 2, the blood concentration-time curve of rasagiline in rabbits.
  • Example 1 A single-layer polyacrylate matrix patch containing rasagiline bismuth sulfonate, 0.25 g of rasagiline bismuth sulfonate dissolved in 1 g of propylene glycol with oleic acid as a penetration enhancer, and added To 20 grams of polyacrylate rubber (American National Starch Corporation, Type 387-2287). 0.3 g of oleic acid was added, and after stirring uniformly, the mixed glue was applied on a siliconized paper by an automatic coater (Shanghai Yukai Co., Ltd., type TB-04) to a coating thickness of 0.6 mm. Drying at 60 ° C 5 - After a minute, cover the support layer and transfer, then cut or cut the patch into the final sheet.
  • an automatic coater Shanghai Yukai Co., Ltd., type TB-04
  • the rasagiline content was determined to be 22 ( ⁇ g/cm 2 , and the pH was determined to be 4.4.
  • the profile of the prepared patch is shown in Fig. 1.
  • the prepared patch was a Franz cell and two The permeation of the skin of the aged rats was studied by fading the skin.
  • the content of rasagiline at different time points was determined by high performance liquid chromatography, and the cumulative permeation amount of rasagiline was calculated according to the results.
  • Table 3 The rasagiline time-cumulative permeation curve is shown in Figure 7.
  • Table 3 rasagiline patch time-cumulative permeation data table with oleic acid
  • Example 2 A single-layer silicone matrix patch containing rasagiline, 0.25 g of rasagiline free base was dissolved in 1 g of propylene glycol using lauryl ketone as a penetration enhancer, and then added. - - To 20 grams of silicone glue (3M Company, PSA7-4302 type). 0.3 g of lauropyridone was added, and after stirring uniformly, a small amount of glue was used as a sample (for stability study), and the pH was measured to be 7.7. Prepared according to the above prescription and process, and added 0.15 g of sulfonic acid and stirred to obtain a glue solution. A small amount of glue was taken as a sample (for stability study) to obtain a pH of 4.0.
  • the mixed glue was applied to siliconized paper by an automatic coater (Shanghai Yukai Co., Ltd., Model TB-04) to a coating thickness of 0.6 mm. After drying at 60 ° C for 5 minutes, the support layer is covered and transferred, and the patch is die cut or cut into the final sheet.
  • the rasagiline content was measured to be 220 ug/cm 2 .
  • a schematic view of the prepared patch is shown in Fig. 1.
  • the prepared patch was subjected to the method of Example 1 to calculate the cumulative permeation amount of rasagiline. The results are shown in Table 4 below.
  • the rasagiline time-cumulative permeation curve is shown in Figure 8. Table 4: rasagiline patch time-cumulative permeation data table with cumulative abortion
  • Example 3 A single layer polyvinylpyrrolidone-polyethylene glycol composite matrix patch containing rasagiline, 24 g of polyvinylpyrrolidone PVP-K90D (ISP Technologies, INC) with a pentazone as a penetration enhancer Sprinkle into 120 g of absolute ethanol, stir to completely swell, add 16 g of polyethylene glycol 400 (Nanjing Weil Chemical) to it, stir and mix well to obtain a blank glue. 15 g of the prepared glue was taken, 1.0 g of rasagiline free base was added, and the mixture was stirred and dissolved to dissolve. 0.3 g of lauropyridone was added, and after stirring well, the pH was measured to be 7.4.
  • the patch prepared by using polyvinylpyrrolidone and polyethylene glycol composite matrix pressure sensitive adhesive has a cumulative permeation amount of 150 ( ⁇ g or more at the 48th hour, and the cumulative penetration is compared with the embodiment 1 of the patent CN101032474A.
  • the amount is higher, and due to the addition of sulfonic acid, rasagiline is no longer in a free state, so the stability is better.
  • Example 4 controlled release film polyvinylpyrrolidone-polyethylene containing rasagiline A diol composite matrix patch with a ruthenium ketone as a skin penetration osmotic agent. To control the release of rasagiline, a controlled release film was added on the basis of Example 3 (pH 4.7).
  • the preparation method was the same as that in Example 3 except that the controlled release film was compounded in the last step, and then the vinylpyrrolidone-polyethylene glycol composite matrix drug-loaded self-adhesive layer was added.
  • - - A schematic diagram of the profile of the patch is shown in Figure 2.
  • the following controlled release membranes are used: CoTrans9702, CoTrans9707, CoTrans9726, CoTrans9728, CoTrans9720, CoTrans9701 (all produced by 3M Company of the United States), the first four are polyethylene-polyvinyl acetate controlled release membranes, and CoTrans9720 is controlled release of polyethylene.
  • the membrane and CoTrans9701 are polyurethane controlled release membranes.
  • the prepared patch was subjected to a Franz cell with a volume of 17 ml and a receiving area of 2.54 cm 2 .
  • the sampling time was: 2h, 4h, 6h, 8h, 16h, 24h, 48h, 72h, 96h, 120h, the results are shown in Tables 6, 7, 8, 9, 10 and Table 11, respectively.
  • the rasagiline time-cumulative permeation curve is shown in Figure 10.
  • For six formulations with controlled release membranes their release rate is positively correlated with their wet vapor permeability, but there is no strict linear relationship (especially after the vinyl acetate content exceeds 10%).
  • the best release effect of these six controlled release membranes is CoTrans9701, which also has the highest wet steam permeability.
  • CoTrans9701 can achieve a better controlled release effect and maintain a certain blood concentration.
  • the wet steam permeability can be selected from 100 g/m 2 /day to 3000 g/m 2 /day, considering that the release of the drug can be affected by controlling the controlled release area and the drug loading. For films having a wet vapor permeability of less than 100 g/m 2 /day, it can be used as a backing material for the patch and as a film for controlling the release area.
  • Example 5 Composite layer patch containing rasagiline bismuth sulfonate, the first layer of quercetin as a skin penetration permeable agent: 24 g of polyvinylpyrrolidone PVP-K90D (ISP Technologies, INC) was sprinkled into 120 In anhydrous ethanol, stir it to swell completely, - -
  • the second layer 0.25 g of rasagiline sulfonate was dissolved in 1.0 g of propylene glycol, and then added to 20 g of silicone rubber (Model 3M, PSA 7-4302, USA). Add 0.4 g of laurel, and after mixing evenly, use automatic coating machine (Shanghai Yukai Company,
  • Type TB-04 The mixed glue was applied to siliconized paper to a thickness of 0.6 mm.
  • Example 6 Controlled release area patch containing rasagiline bismuth sulfonate, using 24 g of polyvinylpyrrolidone PVP-K90D (ISP Technologies, INC) as a skin penetration enhancer In the water ethanol, the mixture was stirred to completely swell, and 16 g of polyethylene glycol 400 (Nanjing Weil Chemical) was added thereto, and the mixture was stirred and mixed to obtain a white glue. 15 g of the prepared glue was taken, 1.0 g of rasagiline sulfonate was added, and the mixture was stirred and dissolved to dissolve. 0.3 g of lauropyridone was added, and after stirring well, the pH was measured to be 5.9.
  • polyvinylpyrrolidone PVP-K90D ISP Technologies, INC
  • this example and Example 5 are reduced to meet the requirement of pH not exceeding 6.5.
  • This difference is mainly due to polyvinylpyrrolidone and polyethylene glycol 400 polymer.
  • the mixed glue was applied to siliconized paper by an automatic coater (Shanghai Haokai Co., Ltd., Model TB-04) to a coating thickness of 0.6 mm. After drying at 60 ° C for 5 minutes, the support layer was covered, and then transferred, and the patch was coated with CoTrans9720 film with a hole in the middle, and the hole area and patch area ratio was 1:5.
  • a schematic cross-sectional view of the obtained patch is shown in Fig.
  • Example 7 A reservoir containing thiolactam sulfonate sulfonate-based sulfhydryl cellulose-carbomer 940-based patch, with ruthenium ketone as the first step of the skin penetration agent: 2
  • the ketone cellulose was sprinkled into 100 g of cold water containing 30% (WV) of ethanol, stirred to completely swell, and the pH was measured to be 8.0. 1 gram of carbomer 940 was added thereto, stirred and mixed, and then allowed to stand.
  • the prepared patch was subjected to the method of Example 1 to calculate the cumulative permeation amount of rasagiline. The results are shown in Table 13.
  • the rasagiline time-cumulative permeation curve is shown in Figure 12. Table 13. Time-cumulative permeation data for the reservoir-type patch containing rasagiline bismuth sulfonate
  • a patch having a size of about 4 to 10 square centimeters using different substrates and processes can be absorbed through the skin for a therapeutic amount of 1-3 days, and can be prepared by a multilayer patch.
  • the drug patch material is widely available, readily available, and easy to manufacture, and can deliver rasagiline to skin absorption via the entire surface of the substrate, relative to the system described in US2004013620 It has the advantages of simple preparation method, wide availability of raw materials, smoother release, longer release time, and more complete absorption through the skin. Compared with CN101032474A, the release time is longer and more stable, and the preparation process is more environmentally friendly and safer.
  • Examples 1, 2, 3, 5, 6, and 7 all relate to the influence of pH on the stability of rasagiline (Example 4 is controlled release on the basis of Example 3). membrane).
  • the inventors examined changes in rasagiline after 10 days of standing at 40 ° C under different pH conditions.
  • the content of the main drug rasagiline and related substances (impurities) was determined by high performance liquid chromatography (HPLC).
  • HPLC color column was a C18 column and an AD column from Daicel.
  • the results are shown in Table 14 below.
  • the data shows that when the pH is less than 7.0, especially less than 6.5, the rasagiline in the patch remains stable, which is beneficial for long-term storage, and the pH is greater than 6.5, especially when it is greater than 7.0.
  • Geeland is unstable, not conducive to - - Long-term storage.
  • Comparative Example rasagiline tablets of sulfonate, administered in an amount of 1.0 mg/mouse.
  • Example 2 A single layer silicone matrix patch containing rasagiline, with azone as a skin penetration enhancer, administered in an amount of 0.503 mg/head.
  • Example 3 Single layer polyvinylpyrrolidone-polyvinyl alcohol composite containing rasagiline - - Quality patch, with ruthenium ketone as a skin penetration osmotic agent, administered at a dose of 3.3m g / only.
  • Example 4 A polyvinylpyrrolidone-polyvinyl alcohol composite matrix patch containing rasagiline plus a Cotrans9701 controlled release membrane, using a ruthenium ketone as a skin penetration osmotic agent at a dose of 13.2 mg/head.
  • Example 5 a composite layer of rasagiline patch Yue acid, lauryl nitrogen to promote transdermal permeabilizing agent is one castor, a dose of 8m g / only.
  • Example 6 A controlled release area patch containing rasagiline bismuth sulfonate, with a quercetin dermal penetration enhancer administered at a dose of 8.4 m g /mouse.
  • the subjects were New Zealand white rabbits weighing 1.5 kg ⁇ 2 kg.
  • the plasma concentrations were monitored at different times using a high performance liquid chromatography-mass spectrometer (Agilent, 200, Triple Quad LC/MS).
  • the results of the assay are shown in Table 15 below, and the blood concentration-time curve in vivo is shown in Figure 13.
  • Table 15 In vivo pharmacokinetics determination dose AUC(ot) AUC o-oo) MRT(ot) C m ax max ti/ 2 a ti/ ⁇ AUC(ot) number
  • the transdermal patch of the present invention not only maintains a good transdermal effect, but also overcomes the disadvantage of instability, and the blood drug concentration is also ideal, and the controlled release effect is achieved. Obviously, better than oral preparations.
  • the invention has been described above by way of illustration. However, it should be understood that the present invention is by no means limited to these specific embodiments. A person skilled in the art can make various modifications and changes to the invention without departing from the spirit and scope of the invention.

Abstract

A transdermal patch of rasagiline or pharmaceutically acceptable salts thereof for treating or preventing nervous system diseases. Particularly, a stable and release-controlled transdermal patch of rasagiline is provided, wherein the patch contains rasagiline or pharmaceutically acceptable salts thereof and at least one hydrophilic polymer matrix, moreover,  the pH value of the patch is less than 7.0. The patch has predominant stability and can well control the transdermal release characteristics of rasageline.

Description

一 一  One by one
稳定的释药可控的雷沙吉兰透皮贴片及其制备方法 技术领域 本发明涉及一种雷沙吉兰透皮贴片,其用于治疗或预防神经系统 疾病。 本发明尤其涉及一种稳定的释药可控的雷沙吉兰透皮贴片。 背景技术 雷沙吉兰 (rasagiline)是一种选择性单胺氧化酶 B抑制剂 ,用于治 疗中枢神经系统疾病,如帕金森氏病 (PD)、抑郁症等, 已在欧洲上市。 雷沙吉兰的化学结构式如下。  BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a rasagiline transdermal patch for treating or preventing a nervous system disease. More particularly, the present invention relates to a stable drug release controlled rasagiline transdermal patch. BACKGROUND OF THE INVENTION Rasagiline is a selective monoamine oxidase B inhibitor for the treatment of central nervous system diseases such as Parkinson's disease (PD), depression, etc., which has been marketed in Europe. The chemical structure of rasagiline is as follows.
Figure imgf000003_0001
帕金森氏病是神经中枢中的多巴胺能神经退化,神经递质多巴胺 释放量减少的结果。 由于多巴胺递质释放量的不足,造成患者的肌肉 控制失调, 引发震颤、 肌肉僵直, 浑身发紧, 关节活动不灵活, 甚至 翻身都困难、 行动迟緩动作緩慢、 笨拙、 活动不协调, 严重者站立、 行走都很困难、 姿势异常等症状。 药物治疗帕金森氏病症(PD ) 的主要目的都在于直接或间接地 提高大脑内的多巴胺含量。 治疗帕金森氏症的主要药品有左旋多巴、 多巴胺受体激动剂、金刚烷胺、 抗胆碱能药物、 抗胆碱能药物等。 60 年代后期, 左旋多巴 (L-dopa )作为神经递质多巴胺的替代药物, - - 开始应用在帕金森氏病的治疗上,至今仍然是主要的治疗药物。 由于 左旋多巴在大脑外迅速脱羧而转变成多巴胺,导致左旋多巴的大量浪 费和不良反应的频繁发生。 因此,左旋多巴通常与脱羧酶抑制剂共同 使用,提高左旋多巴通过脑血屏障的能力。治疗帕金森氏病的另一个 药品类别是多巴胺受体激动剂( dopamine agonist ), 包括麦角溴胺和 培高利特曱磺酸盐。通过抑制分解多巴胺的酶来提升多巴胺在大脑中 的含量。 多巴胺激动剂有较长的半衰期, 可直接作用于受体, 可减少 左旋多巴的给药次数和剂量。 雷沙吉兰是不可逆的选择性单胺氧化酶 B ( MAOB )抑制剂 ,一 项双盲随机临床研究考察了雷沙吉兰治疗早期 PD 的有效性(Arch Neurol, 2004;61:561 ~ 566 )。 研究纳入 404例早期 PD患者, 患者接 受雷沙吉兰( 1 mg/d 或 2 mg/d )治疗 1年, 或先接受 6个月雷沙吉 兰再服用 6个月安慰剂。主要评估指标为统一帕金森病综合评分量表 ( UPDRS )的分值变化。 结果显示, 371例患者完成了临床研究, 全 年用 2 mg/d雷沙吉兰治疗的患者比后 6个月接受安慰剂治疗的患者 的平均 UPDRS分值低 2.29个单位, 比全年 lmg/d接受雷沙吉兰治 疗的患者的平均 UPDRS分值低 1.82个单位。研究者总结,全年接受 雷沙吉兰(l mg/d 或 2 mg/d )治疗的患者的功能衰退程度较安慰剂 组低。尽管雷沙吉兰与其它抗震颤麻痹药物相似,但本品毒副作用(主 要包括失眠、 恶心和幻觉) 的发生率更低。 虽然雷沙吉兰药效很强,但口服给药时,进食却会使血药峰浓度 下降 60 % , 再加上帕金森病患者行动不便, 口服给药困难, 所以把 雷沙吉兰制成至少二天一次或更长时间给药一次的经由皮肤施药制 - - 剂是必要的。 另外雷沙吉兰虽是选择性单胺氧化酶 B ( MAOB )抑制 剂, 但在血药浓度大的时候, 会同时抑制 MAO-A、 MAO-B, 产生 所谓的 "乳酪反应": 既服用不可逆非选择性的药物时, 如果患者同 时服用含有酪胺或多巴胺的药品或食物,会引起高血压危象。 因为熟 的乳酪中含有大量酪胺成分, 所以这种反应叫做"乳酪反应"。 有报 道表明: 当病人口服雷沙吉兰 10mg/天并和左旋多巴联用时, 会因为 高血压和体位高血压等心血管不良反应而中断治疗。这些不良反应可 能与 MAO-A、 MAO-B的非选择性抑制相关。 雷沙吉兰透皮贴片吸 收温和, 可以避免或减小"乳酪反应"。 而且一旦患者因"乳酪反应" 感到不适 , 也可立即撕去贴片, 避免产生更严重的后果。 在 US2004013620中已经描述过一种经由皮肤治疗的体系, 其中 的活性成分包括了雷沙吉兰,其特征在于使用了有以下式结构的透皮 渗透促进剂:
Figure imgf000003_0001
Parkinson's disease is a result of degeneration of dopaminergic nerves in the nerve center and a decrease in the release of neurotransmitter dopamine. Due to insufficient release of dopamine transmitters, the patient's muscle control is dysfunctional, causing tremors, muscle stiffness, tightness of the body, inflexible joint activities, difficulty in turning over, slow movements, slow movements, clumsiness, inconsistent activities, severe cases Symptoms such as standing, walking, and abnormal posture. The main purpose of drug treatment for Parkinson's disease (PD) is to directly or indirectly increase the dopamine content in the brain. The main drugs for treating Parkinson's disease include levodopa, dopamine receptor agonists, amantadine, anticholinergic drugs, and anticholinergic drugs. In the late 1960s, levodopa (L-dopa) was used as an alternative to the neurotransmitter dopamine. - - It has been used in the treatment of Parkinson's disease and is still the main treatment. Due to the rapid decarboxylation of levodopa outside the brain and conversion to dopamine, a large amount of waste and adverse reactions of levodopa occur frequently. Therefore, levodopa is often used in combination with decarboxylase inhibitors to increase the ability of levodopa to pass the cerebral blood barrier. Another drug class for treating Parkinson's disease is the dopamine agonist, which includes ergobromide and pergolide sulfonate. Increases the amount of dopamine in the brain by inhibiting enzymes that break down dopamine. Dopamine agonists have a longer half-life and can act directly on the receptor, reducing the number and dose of levodopa. Rasagiline is an irreversible selective monoamine oxidase B (MAOB) inhibitor, a double-blind randomized clinical study examining the effectiveness of rasagiline in the treatment of early PD (Arch Neurol, 2004; 61:561–566). The study included 404 patients with early PD who were treated with rasagiline (1 mg/d or 2 mg/d) for 1 year, or 6 months for rasagiline followed by 6 months for placebo. The primary outcome measure was the change in the score for the Unified Parkinson's Disease Comprehensive Rating Scale (UPDRS). The results showed that 371 patients completed the clinical study, and the average UPDRS score for patients treated with 2 m g /d rasagiline throughout the year was 2.29 units lower than that of patients receiving placebo after 6 months. Patients with lmg/d receiving rasagiline treatment had an average UPDRS score of 1.82 units. The investigators concluded that patients who received rasagiline (lm g /d or 2 m g /d) throughout the year had a lower degree of functional decline than the placebo group. Although rasagiline is similar to other anti-shock palsy drugs, the incidence of toxic side effects (mainly including insomnia, nausea, and hallucinations) is lower. Although rasagiline is very potent, when it is administered orally, eating peaks will reduce the peak concentration of blood by 60%. In addition, patients with Parkinson's disease have inconvenient action and oral administration is difficult, so rasagiline Applying through the skin by administering it once or twice a day or longer - - A dose is necessary. In addition, rasagiline is a selective monoamine oxidase B (MAOB) inhibitor, but at the time of high plasma concentration, it will inhibit MAO-A, MAO-B, and produce a so-called "cheese reaction": taking irreversible non-selection In the case of a sexual drug, if the patient takes a drug or food containing tyramine or dopamine at the same time, it may cause a hypertensive crisis. Because cooked cheese contains a lot of tyramine, this reaction is called "cheese reaction." It has been reported that when patients take rasagiline 10 mg / day orally with levodopa, treatment will be interrupted due to cardiovascular adverse reactions such as hypertension and postural hypertension. These adverse effects may be associated with non-selective inhibition of MAO-A, MAO-B. The rasagiline transdermal patch absorbs mildness and avoids or reduces the "cheese reaction." And once the patient feels unwell due to the "cheese reaction," the patch can be removed immediately to avoid more serious consequences. A system for the treatment via the skin has been described in US2004013620, wherein the active ingredient comprises rasagiline, which is characterized by the use of a transdermal penetration enhancer having the structure:
Figure imgf000005_0001
该透皮渗透促进剂对促进雷沙吉兰的经皮透过效果并不特别理 想, 且采用的是喷雾透皮吸收, 给药不便。 在 CN101032474A 中已经描述了一种用于治疗或预防神经系统 疾病的雷沙吉兰透皮药物贴片,实施例中贴片的 PH值保持在碱性范 围(大于 7.0 ), 虽然可以获得良好的透皮渗透效果, 但研究发现在高 温稳定性试验条件下, 药物稳定性不好, 可能不利于长期储存, 而且 一 一 采用了一些刺激性溶剂如氯仿。 因此,寻求一种既稳定,又能保持良好渗透效果和更好控制药物 释放时间, 且用药方便、 安全、较清洁的雷沙吉兰透皮贴片是极为必 要的。 发明内容 本发明的发明人发现,对于雷沙吉兰透皮贴片而言,在碱性条件 下, 雷沙吉兰虽然有较好的释放率和透皮效果,但高温稳定性试验条 件下其稳定性不太理想, 不利于长期存放。发明人进一步出乎意料地 发现, 在酸性条件下如 PH不大于 7.0时, 尤其在不大于 6.5时雷沙 吉兰透皮贴片中的雷沙吉兰却保持稳定, 能够长期有效。 本发明的发明人还发现, 在酸性条件下, 如 PH不大于 7.0尤其 是 PH不大于 6.5的情况下, 雷沙吉兰的盐如曱磺酸雷沙吉兰在疏水 性的基质中溶解度较小,导致基质的载药量低,影响释放率和透皮效 果, 而在亲水性的基质中的溶解性很好, 载药量高, 药物释放快, 透 皮效果好。 因此,在一个方面,本发明提供了一种稳定的释药可控的雷沙吉 兰透皮贴片,其中所述贴片包含治疗有效量的雷沙吉兰或其药物上可 接受的盐和至少一种亲水性的聚合物基质,并且该贴片的 PH值不大 于 7.0。 在一个实施方案中, 该贴片的 PH值优选在不小于 3.0到不大于
Figure imgf000005_0001
The transdermal permeation enhancer is not particularly effective for promoting transdermal permeation of rasagiline, and spray transdermal absorption is employed, which is inconvenient to administer. A rasagiline transdermal patch for the treatment or prevention of neurological disorders has been described in CN101032474A, in which the pH of the patch remains in the alkaline range (greater than 7.0), although good results are obtained. Transdermal penetration effect, but the study found that under high temperature stability test conditions, the drug stability is not good, may be detrimental to long-term storage, and One of the irritating solvents such as chloroform was used. Therefore, it is extremely necessary to seek a transdermal patch of rasagiline that is stable, maintains good penetration and better controls drug release time, and is convenient, safe and clean. SUMMARY OF THE INVENTION The inventors of the present invention found that for rasagiline transdermal patches, rasagiline has good release rate and transdermal effect under alkaline conditions, but under high temperature stability test conditions Its stability is not ideal, which is not conducive to long-term storage. The inventors have further unexpectedly found that rasagiline in the rasagiline transdermal patch remains stable under acidic conditions such as a pH of not more than 7.0, especially at not more than 6.5, and is effective for a long period of time. The inventors of the present invention have also found that under acidic conditions, such as a pH of not more than 7.0, especially a pH of not more than 6.5, the solubility of rasagiline salts such as rasagiline bismuth sulfonate in a hydrophobic matrix is higher. Small, resulting in low drug loading of the matrix, affecting the release rate and transdermal effect, and the solubility in the hydrophilic matrix is very good, the drug loading is high, the drug is released quickly, and the transdermal effect is good. Accordingly, in one aspect, the present invention provides a stable drug release controllable rasagiline transdermal patch, wherein the patch comprises a therapeutically effective amount of rasagiline or a pharmaceutically acceptable salt thereof And at least one hydrophilic polymer matrix, and the patch has a pH of no greater than 7.0. In one embodiment, the pH of the patch is preferably not less than 3.0 to not more than
6.5之间。 在一个实施方案中,所述雷沙吉兰在药物上可接受的盐包括雷沙 吉兰的盐酸盐、 曱磺酸盐、 乙磺酸盐或硫酸盐, 优选雷沙吉兰的盐酸 盐和曱磺酸盐, 更优选雷沙吉兰曱磺酸盐。 在一个实施方案中,所述亲水性聚合物基质选自下列物质中的至 少一种: 聚乙烯吡咯烷酮及其衍生物、 聚乙二醇及其衍生物、 乙烯- 醋酸乙烯共聚物及其衍生物、 纤维素及其衍生物和聚羧乙烯 (亦称聚 丙烯酸)及其衍生物, 优选其中的任意两种物质的组合, 更优选聚乙 烯吡咯烷酮及其衍生物和聚乙二醇及其衍生物的组合以及纤维素及 其衍生物和聚羧乙烯及其衍生物的组合。 在一个实施方案中,所述雷沙吉兰透皮贴片还进一步包括至少一 种疏水性的聚合物基质 ,所述疏水性聚合物基质包括聚丙烯酸树脂及 其衍生物或硅酮及其衍生物。 在一个实施方案中,根据需要,上述雷沙吉兰透皮贴片还可以进 一步包括控释膜, 所述控释膜的材料选自聚乙烯及其衍生物、 乙烯- 醋酸乙烯共聚物及其衍生物、聚氨酯及其衍生物、聚氯乙烯及其衍生 物中的至少一种, 并且其湿蒸汽渗透率为 100克 /平方米 /日至 3000 克 /平方米 /日。 在一个实施方案中, 当需要通过释药面积来控制药物释放率时, 上述雷沙吉兰透皮贴片还包括具有至少一个小于贴片面积的孔的膜, 从而通过控制贴片面积与膜孔的大小之比来控制药物释放率。 例如, 孔的面积: 贴片面积为 1:2~10。 在一个实施方案中, 所述雷沙吉兰透皮贴片的孔面积:贴片面积 一 一 在一个实施方案中, 所述膜选自聚乙烯膜、 乙烯-醋酸乙烯共聚 物膜, 其特征为湿蒸汽渗透率小于 100克 /平方米 /日。 在一个实施方案中,上述雷沙吉兰透皮贴片在必要时还可包含一 种 PH调节剂或緩冲液, 使所述贴片的 PH值保持在 3.0-6.5。 所述 PH调节剂选自下列酸性物质中的至少一种: 己二酸、 己酸、 丙酸、 苯曱酸、 苯乙酸、 邻苯二曱酸、 曱酸、 次磷酸、 磷酸、 磷酸二氢钠、 磷酸二氢钾、 冰醋酸、 醋酸、 乳酸、 苹果酸、 枸橼酸、 盐酸、 硫酸、 硝酸、 磺酸、 曱磺酸、 酒石酸、 琥珀酸、 硼酸、 山梨酸和硅酸, 优选 盐酸和曱磺酸, 更优选曱磺酸; 所述的緩冲液选自下列溶液中的至少 一种: 曱酸盐緩冲液、 醋酸盐緩冲液、磷酸盐緩冲液、枸橼酸盐緩冲 液和邻苯二曱酸盐緩冲液。 在一个实施方案中,为了提高透皮效果,上述雷沙吉兰透皮贴片 还包括至少一种透皮促进剂,所说的透皮促进剂选自下列物质中的至 少一种: 乙醇、 丙二醇、 油酸、 油醇、 亚油酸、 月桂醇、 月桂酸、 肉 豆蔻酸异丙酯和月桂氮萆酮。 在一个实施方案中,上述雷沙吉兰透皮贴片中雷沙吉兰或其药物 上可接受的盐在基质层中的治疗有效量为 0.01mg/cm2 ~ 50mg/cm2, 治疗有效量以雷沙吉兰的游离碱计。 在另一方面,本发明还提供了一种制备上述任一实施方案中所述 雷沙吉兰透皮贴片的方法, 包括: Between 6.5. In one embodiment, the pharmaceutically acceptable salt of rasagiline comprises Rasha The hydrochloride, sulfonate, ethanesulfonate or sulfate of geland is preferably a hydrochloride salt of rasagiline and an oxime sulfonate, more preferably rasagiline sulfonate. In one embodiment, the hydrophilic polymer matrix is selected from at least one of the following: polyvinylpyrrolidone and its derivatives, polyethylene glycol and its derivatives, ethylene-vinyl acetate copolymer and derivatives thereof And cellulose and its derivatives and carboxyvinyl (also known as polyacrylic acid) and derivatives thereof, preferably a combination of any two of them, more preferably polyvinylpyrrolidone and its derivatives and polyethylene glycol and its derivatives Combination of materials and combinations of cellulose and its derivatives with carboxyvinyl and its derivatives. In one embodiment, the rasagiline transdermal patch further comprises at least one hydrophobic polymeric matrix comprising a polyacrylic resin and derivatives thereof or silicone and derivatives thereof Things. In one embodiment, the rasagiline transdermal patch may further comprise a controlled release film, the material of the controlled release film being selected from the group consisting of polyethylene and its derivatives, ethylene-vinyl acetate copolymer and At least one of a derivative, a polyurethane and a derivative thereof, polyvinyl chloride and a derivative thereof, and having a wet vapor permeability of from 100 g/m 2 /day to 3,000 g/m 2 /day. In one embodiment, the above-described rasagiline transdermal patch further comprises a membrane having at least one pore smaller than the patch area when the drug release rate is controlled by the release area, thereby controlling the patch area and the membrane The ratio of the size of the holes controls the drug release rate. For example, the area of the hole: The patch area is 1:2~10. In one embodiment, the pore area of the rasagiline transdermal patch: patch area In one embodiment, the film is selected from the group consisting of a polyethylene film, an ethylene-vinyl acetate copolymer film, characterized by a wet vapor permeability of less than 100 grams per square meter per day. In one embodiment, the above-described rasagiline transdermal patch may further comprise a pH adjusting agent or buffer, if necessary, to maintain the pH of the patch at 3.0-6.5. The pH adjusting agent is selected from at least one of the following acidic substances: adipic acid, caproic acid, propionic acid, benzoic acid, phenylacetic acid, phthalic acid, citric acid, hypophosphorous acid, phosphoric acid, dihydrogen phosphate Sodium, potassium dihydrogen phosphate, glacial acetic acid, acetic acid, lactic acid, malic acid, citric acid, hydrochloric acid, sulfuric acid, nitric acid, sulfonic acid, sulfonic acid, tartaric acid, succinic acid, boric acid, sorbic acid and silicic acid, preferably hydrochloric acid and An oxime sulfonic acid, more preferably oxime sulfonic acid; the buffer is selected from at least one of the following solutions: citrate buffer, acetate buffer, phosphate buffer, citrate Buffer and phthalate buffer. In one embodiment, in order to enhance the transdermal effect, the above rasagiline transdermal patch further comprises at least one transdermal enhancer, said transdermal enhancer being selected from at least one of the following: ethanol, Propylene glycol, oleic acid, oleyl alcohol, linoleic acid, lauryl alcohol, lauric acid, isopropyl myristate and lauryl ketone. In one embodiment, the therapeutically effective amount of rasagiline or a pharmaceutically acceptable salt thereof in the rasagiline transdermal patch in the stromal layer is from 0.01 mg/cm 2 to 50 mg/cm 2 , therapeutically effective The amount is based on the free base of rasagiline. In another aspect, the present invention provides a method of preparing the rasagiline transdermal patch of any of the above embodiments, comprising:
- 提供所述至少一种亲水性聚合物基质; Providing the at least one hydrophilic polymer matrix;
- 将治疗有效量的雷沙吉兰或其药物上可接受的盐与所述基质 混合; - administering a therapeutically effective amount of rasagiline or a pharmaceutically acceptable salt thereof to said substrate Mix
- 将所述基质的 PH值调节至不大于 7.0。 在一个实施方案中,通过在基质中加入 PH调节剂或緩冲液将所 述基质的 PH值调节至不大于 7.0。 在一个实施方案中,所述 PH调节剂选自下列酸性物质中的至少 一种: 己二酸、 己酸、 丙酸、 苯曱酸、 苯乙酸、 邻苯二曱酸、 曱酸、 次磷酸、 磷酸、 磷酸二氢钠、 磷酸二氢钾、 冰醋酸、 醋酸、 乳酸、 苹 果酸、枸橼酸、 盐酸、硫酸、硝酸、磺酸、 曱磺酸、 酒石酸、琥珀酸、 硼酸、 山梨酸和硅酸, 优选盐酸和曱磺酸, 更优选曱磺酸; 所述的緩 冲液选自下列溶液中的至少一种: 曱酸盐緩冲液、 醋酸盐緩冲液、磷 酸盐緩冲液、 枸橼酸盐緩冲液和邻苯二曱酸盐緩冲液。 在另一方面,本发明还提供了一种用上述雷沙吉兰透皮药物贴片 来治疗或是预防帕金森氏病、阿尔茨海默氏病、抑郁症、小儿多动症、 不宁腿综合征、 多发性硬化和脱瘾综合征的用途或方法。 在一个实施方案中,上述雷沙吉兰透皮药物贴片经由皮肤治疗的 施用面积为 lcm2 ~ 50cm2。 因此, 本发明提供了一种稳定的可控释药的雷沙吉兰透皮贴片, 包括治疗有效量的雷沙吉兰或其药物上可接受的盐以及至少一种含 有雷沙吉兰或其药物上可接受的盐的亲水性聚合物基质,其中该贴片 的 PH值不大于 7.0, 优选在不小于 3.0到不大于 6.5之间。 所述贴片 还可以包括本领域常规的背村层及常规的背村材料,以及一层使用前 可撕去的保护层。 所述的背村层(例如惰性支持层)可选用箔片或聚 一 一 乙烯、 聚丙烯等膜材、 乙烯 -醋酸乙烯共聚物、 聚碳酸酯复合而成的 膜片或无纺布等。 所述保护层 (例如防粘层)可选用箔片或聚乙烯、 聚 丙烯、 乙烯 -醋酸乙烯共聚物或聚碳酸酯等膜材复合而成的膜片, 也 可以选用经石蜡或曱基硅油处理过的光滑厚纸。该贴片中还包括本领 域常规的溶剂, 优选水溶性溶剂, 如曱醇、 乙醇、 丙醇、 异丙醇、 丁 醇、 戊醇、 丙二醇、 丙三醇, 可选择其中一种或多种, 或根据需要选 择。为了提高透皮效果还可加入透皮促进剂,如乙醇、丙二醇、油酸、 油醇、 亚油酸、 月桂醇、 月桂酸、 肉豆蔻酸异丙酯和月桂氮萆酮等, 优选月桂氮萆酮。 在一个实施方案中,上述雷沙吉兰透皮贴片中,雷沙吉兰或其药 物上可接受的盐在基质中以下列形式中的至少一种形式存在: 盐、 离 子形式、 微晶、 无定形分散、 微乳包裹、 亚微乳包裹、 脂质包裹或胶 束包裹。 在一个实施方案中, 上述雷沙吉兰的药物上可接受的盐是盐酸 盐、 曱磺酸盐、 苯磺酸盐、 对曱苯磺酸盐或硫酸盐, 优选曱磺酸盐。 为控制贴片的 PH不大于 7.0, 尤其是不大于 6.5, 必要时上述雷 沙吉兰透皮贴片可加入 PH调节剂或緩冲液。例如当活性物质为雷沙 吉兰游离碱时, 就可能需要加入酸性物质的 PH调节剂将 PH值调节 到不大于 7.0, 尤其是不大于 6.5。再例如, 当活性物质为曱磺酸雷沙 吉兰但采用的基质为碱性物质时,也可以通过加入 PH调节剂或緩冲 液。 一般地, 一旦上述贴片呈碱性, 就可以加入 PH调节剂, 使所述 贴片的 PH值保持在小于或等于 7.0的范围, 尤其是不大于 6.5的范 — — 围。 所述的 PH调节剂包括己二酸、 己酸、 丙酸、 苯曱酸、 苯乙酸、 邻苯二曱酸、 曱酸、 次磷酸、 磷酸、 磷酸二氢钠、 磷酸二氢钾、 冰醋 酸、 醋酸、 乳酸、 苹果酸、 枸橼酸、 盐酸、 硫酸、 硝酸、 磺酸、 曱磺 酸、 苯磺酸、 对曱苯磺酸、 酒石酸、 琥珀酸、 硼酸、 山梨酸和硅酸, 或酸性的聚合物如聚羧乙烯及其衍生物(如卡泊姆), 优选盐酸、 曱 磺酸和对曱苯磺酸; 所述的緩冲液选自下列溶液中的至少一种: 曱酸 盐緩冲液、 醋酸盐緩冲液、磷酸盐緩冲液、枸橼酸盐緩冲液和邻苯二 曱酸盐緩冲液。 在一个具体实施方案中,所述雷沙吉兰透皮贴片包括雷沙吉兰的 曱磺酸盐。 在另一个具体实施方案中,所述雷沙吉兰透皮贴片包括选自下述 的亲水性基质:聚乙烯吡咯烷酮及其衍生物,如聚乙烯吡咯烷酮 K15、 聚乙烯吡咯烷酮 Κ25、 聚乙烯吡咯烷酮 Κ30、 聚乙烯吡咯烷酮 Κ60、 聚乙烯吡咯烷酮 Κ90、 交联聚乙烯吡咯烷酮、 乙烯基吡咯烷酮 -曱基 丙烯酸羟丙酯共聚物、 乙烯基吡咯烷酮-醋酸乙烯共聚物等; 聚乙二 醇及其衍生物, 如聚乙二醇 200、 聚乙二醇 300、 聚乙二醇 400、 聚 乙二醇 600、 聚乙二醇 1000、 聚乙二醇 1500、 聚乙二醇 2000、 聚乙 二醇 3000、聚乙二醇 4000、聚乙二醇 6000、聚氧乙烯脱水山梨醇酯、 聚氧乙烯脂肪酸酯、 聚氧乙烯脂肪醇醚、 聚氧乙烯-聚氧丙烯共聚物 等; 乙烯-醋酸乙烯共聚物及其衍生物,如乙烯-醋酸乙烯共聚物 14/5、 乙烯-醋酸乙烯共聚物 28/250、 聚醋酸乙烯酯、 聚醋酸乙烯邻苯二曱 酸酯等; 纤维素及其衍生物, 如曱基纤维素、 乙基纤维素、 羧曱基纤 维素钠、 羟乙基纤维素、 羟乙基曱基纤维素、 羟丙基纤维素、 羟丙基 - - 曱基纤维素、羟丙基乙基纤维素等; 聚羧乙烯及其衍生物, 如卡波姆- adjusting the pH of the substrate to not more than 7.0. In one embodiment, the pH of the substrate is adjusted to no greater than 7.0 by the addition of a pH adjusting agent or buffer to the matrix. In one embodiment, the pH adjusting agent is selected from at least one of the following acidic substances: adipic acid, caproic acid, propionic acid, benzoic acid, phenylacetic acid, phthalic acid, citric acid, hypophosphorous acid , phosphoric acid, sodium dihydrogen phosphate, potassium dihydrogen phosphate, glacial acetic acid, acetic acid, lactic acid, malic acid, citric acid, hydrochloric acid, sulfuric acid, nitric acid, sulfonic acid, sulfonic acid, tartaric acid, succinic acid, boric acid, sorbic acid and Silicic acid, preferably hydrochloric acid and hydrazine sulfonic acid, more preferably hydrazine sulfonic acid; the buffer is selected from at least one of the following solutions: citrate buffer, acetate buffer, phosphate buffer Liquid, citrate buffer and phthalate buffer. In another aspect, the present invention provides a method for treating or preventing Parkinson's disease, Alzheimer's disease, depression, pediatric hyperactivity disorder, restless legs by using the above-mentioned rasagiline transdermal patch. Use or method of sign, multiple sclerosis and withdrawal syndrome. In one embodiment, the above-described rasagiline transdermal patch has an application area of from 1 cm 2 to 50 cm 2 via skin treatment. Accordingly, the present invention provides a stable, controlled release rasagiline transdermal patch comprising a therapeutically effective amount of rasagiline or a pharmaceutically acceptable salt thereof and at least one rasagiline Or a hydrophilic polymer matrix of a pharmaceutically acceptable salt thereof, wherein the patch has a pH of not more than 7.0, preferably not less than 3.0 to not more than 6.5. The patch may also include conventional backing layers and conventional backing materials in the art, as well as a protective layer that can be peeled off prior to use. The back layer (such as the inert support layer) may be foil or poly A film made of a film of ethylene or polypropylene, a film of ethylene-vinyl acetate copolymer or polycarbonate, or a nonwoven fabric. The protective layer (for example, the release layer) may be a film formed by laminating a foil or a film of polyethylene, polypropylene, ethylene-vinyl acetate copolymer or polycarbonate, or may be selected from paraffin or silicone-based silicone oil. Treated smooth thick paper. The patch also includes a solvent conventional in the art, preferably a water-soluble solvent such as decyl alcohol, ethanol, propanol, isopropanol, butanol, pentanol, propylene glycol, glycerin, one or more of which may be selected. , or choose as needed. In order to enhance the transdermal effect, a transdermal enhancer such as ethanol, propylene glycol, oleic acid, oleyl alcohol, linoleic acid, lauryl alcohol, lauric acid, isopropyl myristate and lauryl ketone may be added, preferably laurel nitrogen. Anthrone. In one embodiment, in the above rasagiline transdermal patch, rasagiline or a pharmaceutically acceptable salt thereof is present in the matrix in at least one of the following forms: salt, ionic form, microcrystalline , amorphous dispersion, microemulsion wrap, submicron milk wrap, lipid wrap or micelle wrap. In one embodiment, the above pharmaceutically acceptable salt of rasagiline is a hydrochloride, an oxime sulfonate, a besylate, a p-toluenesulfonate or a sulfate, preferably an oxime sulfonate. In order to control the pH of the patch to be no more than 7.0, especially not more than 6.5, if necessary, the above-mentioned rasagiline transdermal patch may be added with a pH adjuster or a buffer. For example, when the active substance is rasagiline free base, it may be necessary to add a pH adjusting agent for the acidic substance to adjust the pH to not more than 7.0, especially not more than 6.5. Further, for example, when the active material is rasagiline sulfonate, but the substrate used is a basic substance, it is also possible to add a pH adjuster or a buffer. Generally, once the patch is alkaline, a pH adjusting agent may be added to maintain the pH of the patch in a range of less than or equal to 7.0, especially not more than 6.5. — — Wai. The pH adjusting agent includes adipic acid, caproic acid, propionic acid, benzoic acid, phenylacetic acid, phthalic acid, citric acid, hypophosphorous acid, phosphoric acid, sodium dihydrogen phosphate, potassium dihydrogen phosphate, glacial acetic acid. , acetic acid, lactic acid, malic acid, citric acid, hydrochloric acid, sulfuric acid, nitric acid, sulfonic acid, sulfonic acid, benzenesulfonic acid, p-toluenesulfonic acid, tartaric acid, succinic acid, boric acid, sorbic acid and silicic acid, or acidic a polymer such as carboxyvinyl chloride and its derivatives (such as carbomer), preferably hydrochloric acid, hydrazine sulfonic acid and p-toluene sulfonic acid; the buffer is selected from at least one of the following solutions: citrate Buffer, acetate buffer, phosphate buffer, citrate buffer and phthalate buffer. In a specific embodiment, the rasagiline transdermal patch comprises oxalate sulfonate of rasagiline. In another specific embodiment, the rasagiline transdermal patch comprises a hydrophilic matrix selected from the group consisting of polyvinylpyrrolidone and derivatives thereof, such as polyvinylpyrrolidone K15, polyvinylpyrrolidone 25, polyethylene Pyrrolidone 30, polyvinylpyrrolidone 60, polyvinylpyrrolidone 90, crosslinked polyvinylpyrrolidone, vinylpyrrolidone-hydroxypropyl methacrylate copolymer, vinylpyrrolidone-vinyl acetate copolymer, etc.; polyethylene glycol and its derivatives , such as polyethylene glycol 200, polyethylene glycol 300, polyethylene glycol 400, polyethylene glycol 600, polyethylene glycol 1000, polyethylene glycol 1500, polyethylene glycol 2000, polyethylene glycol 3000, Polyethylene glycol 4000, polyethylene glycol 6000, polyoxyethylene sorbitan ester, polyoxyethylene fatty acid ester, polyoxyethylene fatty alcohol ether, polyoxyethylene-polyoxypropylene copolymer, etc.; ethylene-vinyl acetate copolymerization And derivatives thereof, such as ethylene-vinyl acetate copolymer 14/5, ethylene-vinyl acetate copolymer 28/250, polyvinyl acetate, polyvinyl acetate phthalate, etc.; cellulose and its derivatives Yue as methyl cellulose, ethyl cellulose, carboxymethyl cellulose sodium Yue group, hydroxyethyl cellulose, hydroxyethyl cellulose Yue, hydroxypropyl cellulose, hydroxypropyl - - mercapto cellulose, hydroxypropyl ethyl cellulose, etc.; carboxyvinyl and its derivatives, such as carbomer
910、 卡波姆 940、 卡波姆 934、 卡波姆 910、 卡波姆 980、 聚羧乙烯 酯等。 在另一个具体实施方案中,所述雷沙吉兰透皮贴片包括至少两种 上述亲水性聚合物基质的组合,优选聚乙烯吡咯烷酮及其衍生物和聚 乙二醇及其衍生物的组合,纤维素及其衍生物和聚羧乙烯及其衍生物 的组合。在一些情形中,聚乙烯吡咯烷酮和聚乙二醇的混合物制得的 亲水性胶对雷沙吉兰渗透性较好, 其中聚乙烯吡咯烷酮:聚乙二醇 ( WAV )可以为 1: 9至 9: 1。 例如, 聚乙烯吡咯烷酮可以优选为 K90D型, 聚乙二醇可以优选为聚乙二醇 400型, 其中聚乙烯吡咯烷 酮 K90D:聚乙二醇 400 ( W/W )可以优选为 3: 2。选择二种亲水性 的聚合物基质,可以提高基质的粘性,有利于贴片更好地粘附在皮肤 上。 在另一个实施方案中, 为了控制雷沙吉兰的释放率或释放时间, 上述雷沙吉兰透皮贴片, 除含有亲水性聚合物基质外,还可加入至少 一种疏水性聚合物,也就是说采用亲水性聚合物和疏水性聚合物的组 合基质。这种组合基质可以是亲水性聚合物和疏水性聚合物混合在一 起形成的基质,也可以是在亲水性聚合物基质层(含有雷沙吉兰或其 药物上可接受的盐)上再加一层含有雷沙吉兰或其药物上可接受的盐 的疏水性聚合物基质层而形成的基质。所说的疏水性聚合物可以选自 下列物质之中的至少一种: 聚丙烯酸树脂及其衍生物、硅酮及其衍生 物。 在另一个实施方案中,上述雷沙吉兰透皮贴片还包括控释膜。 当 - - 所选用的聚合物基质均为亲水性的聚合物时,可能会出现活性物质释 放过快, 释放时间短的现象, 因此为了延长药物的释放时间, 控制好 释放率,可加入控释膜。是否采用控释膜可以根据基质层所采用的高 分子聚合物的粘性特性和控制药物释放速率的特性来决定。 在另一个实施方案中,所述控释膜可选用的膜材料的特征为: 湿 蒸汽渗透率在 100克 /平方米 /天到 3000克 /平方米 /天之间。 湿蒸汽渗 透率 (moisture vapour transmission rate, MVTR)是材料对水蒸汽通 透能力的指标, 可以用来衡量对雷沙吉兰的通透能力。 对于测量 MVTR的方法, GB/T 16928、 ASTM E96、 ASTM D1653. ISO 2528 等文献可供参照。 通常情况下, MVTR越大, 对雷沙吉兰通透效果 越好,但湿蒸汽渗透率并不是越大越好, 因为大到一定程度就起不到 对雷沙吉兰的控释效果。所述控释膜具体可选用包括下列物质之中的 一种或多种: 聚氨酯、 聚乳酸、 聚乙烯、 聚氯乙烯、 乙烯-醋酸乙烯 共聚物,其中一些膜的特点见下表 1。优选的控释膜可以是以下 3种: CoTrans9702、CoTrans9728、CoTrans9701(均为美国 3M公司出产), 其中前 2种为聚乙烯-聚醋酸乙烯控释膜, CoTrans9701为聚氨酯控 释膜。 表 1 、 所用控释膜的特点 型号 醋酸乙烯含量 厚度 湿蒸汽渗透率 910, carbomer 940, carbomer 934, carbomer 910, carbomer 980, carbopol ester, and the like. In another specific embodiment, the rasagiline transdermal patch comprises a combination of at least two of the above hydrophilic polymer matrices, preferably polyvinylpyrrolidone and its derivatives and polyethylene glycol and derivatives thereof Combination, a combination of cellulose and its derivatives with carboxyvinyl and its derivatives. In some cases, the hydrophilic gel prepared from the mixture of polyvinylpyrrolidone and polyethylene glycol has better permeability to rasagiline, wherein polyvinylpyrrolidone: polyethylene glycol (WAV) can be 1:9 to 9: 1. For example, polyvinylpyrrolidone may preferably be of the K90D type, and polyethylene glycol may preferably be of the polyethylene glycol type 400, wherein the polyvinylpyrrolidone K90D: polyethylene glycol 400 (W/W) may preferably be 3:2. The choice of two hydrophilic polymer matrices increases the viscosity of the matrix and facilitates better adhesion of the patch to the skin. In another embodiment, in order to control the release rate or release time of rasagiline, the above rasagiline transdermal patch may contain at least one hydrophobic polymer in addition to the hydrophilic polymer matrix. That is, a combination matrix of a hydrophilic polymer and a hydrophobic polymer is used. The combination matrix may be a matrix formed by mixing a hydrophilic polymer and a hydrophobic polymer, or may be a hydrophilic polymer matrix layer containing rasagiline or a pharmaceutically acceptable salt thereof. A layer of a hydrophobic polymer matrix layer comprising rasagiline or a pharmaceutically acceptable salt thereof is added. The hydrophobic polymer may be selected from at least one of the following: polyacrylic resins and derivatives thereof, silicones and derivatives thereof. In another embodiment, the above rasagiline transdermal patch further comprises a controlled release film. when - - When the selected polymer matrix is a hydrophilic polymer, there may be a phenomenon that the active substance is released too fast and the release time is short. Therefore, in order to prolong the release time of the drug and control the release rate, a controlled release can be added. membrane. Whether or not the controlled release film is used can be determined according to the viscosity characteristics of the polymer used in the matrix layer and the characteristics of controlling the release rate of the drug. In another embodiment, the membrane material selectable for the controlled release membrane is characterized by a wet steam permeability of between 100 grams per square meter per day to 3000 grams per square meter per day. The moisture vapour transmission rate (MVTR) is a measure of the permeability of a material to water vapor and can be used to measure the permeability of rasagiline. For the method of measuring MVTR, GB/T 16928, ASTM E96, ASTM D1653. ISO 2528 and other documents are available for reference. Under normal circumstances, the larger the MVTR, the better the effect of rasagiline permeability, but the wet steam permeability is not as large as possible, because the controlled release effect of rasagiline is not obtained to a certain extent. The controlled release film may specifically comprise one or more of the following materials: polyurethane, polylactic acid, polyethylene, polyvinyl chloride, ethylene-vinyl acetate copolymer, and some of the films are characterized by the following Table 1. The preferred controlled release membranes may be the following three types: CoTrans9702, CoTrans9728, CoTrans9701 (all produced by 3M Company of the United States), wherein the first two are polyethylene-polyvinyl acetate controlled release membranes, and CoTrans9701 is a polyurethane controlled release membrane. Table 1. Characteristics of Controlled Release Membranes Model Type Vinyl Acetate Content Thickness Wet Steam Permeability
CoTrans9702 9% 50.8μιη 52.8g/m2/24hCoTrans9702 9% 50.8μιη 52.8g/m 2 /24h
CoTrans9707 4.5% 50.8μιη 15.7 g/m2/24hCoTrans9707 4.5% 50.8μιη 15.7 g/m 2 /24h
CoTrans9720 0% 76.2μιη 6.0 g/m2/24hCoTrans9720 0% 76.2μιη 6.0 g/m 2 /24h
CoTrans9726 2% 50.8μιη 10.2 g/m2/24h - -
Figure imgf000014_0001
CoTrans9726 2% 50.8μιη 10.2 g/m 2 /24h - -
Figure imgf000014_0001
在又一实施方案中,为了控制雷沙吉兰的释放率或释放时间,本 发明的雷沙吉兰透皮贴片还可通过控制释药面积来控释释放。实施方 式是通过在贴片基质上加具有至少一个小于贴片面积的孔的膜,使得 活性物质雷沙吉兰通过该孔释放出来。所述孔的大小可以根据聚合物 基质的释药特性来决定, 优选孔洞面积和贴片面积的比为 1:3 ~ 8。 所述膜的膜材料为对雷沙吉兰的通透性相对较低的聚合物,例如聚乙 烯膜 CoTrans9720、 聚乙烯-聚醋酸乙烯膜 CoTrans9726等。 在一个实施方案中,采用了控释膜和背村层封合含半固体状储库 的贴片,影响药物释放的因素在于药物和基质的亲和力和控释膜对药 物的通透性。 对于上述雷沙吉兰或其药物上可接受的盐的透皮贴片, 贴片的 PH值可根据以下方法测定: 按贴片的雷沙吉兰或其药物上可接受的 盐的含量计算,取一定量的贴片用纯水配置成含雷沙吉兰或其药物上 可接受的盐 lmg/ml的溶液, 用 PH计测量即可, 为了便于使雷沙吉 兰或其药物上可接受的盐从贴片中完全溶出,可先用少量无水乙醇搅 拌、 超声提取, 然后用 PH计测量。 对于未制成贴片的载药基质的 PH值, 可通过如下方法测定: 取 一定量的载药基质用纯水配置成含雷沙吉兰或其药物上可接受的盐 lmg/ml的溶液, 用 PH计测量即可, 为了便于使雷沙吉兰或其药物 上可接受的盐从基质中完全溶出,可先用少量无水乙醇搅拌、超声提 取 , 离心取上清液, 然后用 PH计测量。 — — 对于空白基质的 PH值, 可参照各国药典或其他标准测定, 也可 按载药基质的量来测定。 本发明的发明人发现, 在 PH值不大于 7.0, 尤其是不大于 6.5 的情况下, 雷沙吉兰是稳定的, 反之, 则很快降解, 见表 2。 为了达 到 PH值不大于 7.0, 尤其是不大于 6.5的要求, 雷沙吉兰或其药物 上可接受的盐, 例如曱磺酸雷沙吉兰在基质中最好以盐或 /和离子的 形式存在。 在 CN101032474A 的实施例中, 雷沙吉兰在基质体系中加了氢 氧化钠或三乙醇胺等碱性调节剂后,很大程度上可以以游离碱的形式 存在, 从而促进吸收。但是本发明的发明人发现, 雷沙吉兰以游离碱 的形式存在时, 高温对其稳定性可能造成不利的影响。本发明的发明 人还发现, 即使采用双层结构, 即一层含有雷沙吉兰盐而另一层含有 碱性调节剂, 高温也会对雷沙吉兰的稳定性产生影响。采用高效液相 色谱(HPLC )法测定主药雷沙吉兰和相关物质(杂质)的含量, 其 中, HPLC的色 i普柱采用 C18柱和 Daicel公司的 AD柱, 结果如下 表 2所示。从表 2的结果显示 PH值的大小对活性物质雷沙吉兰的稳 定性有较大的影响。 表 2、 曱磺酸雷沙吉兰在不同 PH值下主药 (雷沙吉兰)含量的变化 实验条件 PH值 In yet another embodiment, to control the release rate or release time of rasagiline, the rasagiline transdermal patch of the present invention can also be controlled release release by controlling the release area. Embodiments are such that the active substance rasagiline is released through the pore by adding a membrane having at least one pore smaller than the patch area to the patch substrate. The size of the pores may be determined according to the release characteristics of the polymer matrix, and the ratio of the pore area to the patch area is preferably 1:3 to 8. The membrane material of the membrane is a polymer having relatively low permeability to rasagiline, such as polyethylene film CoTrans9720, polyethylene-polyvinyl acetate film CoTrans9726, and the like. In one embodiment, a controlled release film and a back layer are used to seal a patch containing a semi-solid reservoir. The factors affecting drug release are the affinity of the drug and matrix and the permeability of the controlled release film to the drug. For transdermal patches of the above rasagiline or a pharmaceutically acceptable salt thereof, the pH of the patch can be determined according to the following method: Calculated according to the content of rasagiline or its pharmaceutically acceptable salt of the patch Take a certain amount of patch with pure water to prepare a solution containing rasagiline or its pharmaceutically acceptable salt 1mg/ml, which can be measured with a pH meter, in order to facilitate the rasagiline or its drug The accepted salt is completely dissolved from the patch and can be stirred with a small amount of absolute ethanol, ultrasonically extracted, and then measured with a pH meter. The pH of the drug-loaded substrate which is not prepared into a patch can be determined by the following method: A certain amount of the drug-loading substrate is configured with pure water to prepare a solution containing rasagiline or a pharmaceutically acceptable salt thereof at 1 mg/ml. It can be measured with a pH meter. In order to facilitate the complete dissolution of rasagiline or its pharmaceutically acceptable salt from the matrix, it can be stirred with a small amount of absolute ethanol, ultrasonically extracted, centrifuged to remove the supernatant, and then used for PH. Meter measurement. — The pH of the blank matrix can be determined by reference to national pharmacopoeia or other standards, or by the amount of drug-loaded matrix. The inventors of the present invention have found that rasagiline is stable at a pH of not more than 7.0, especially not more than 6.5, and on the contrary, it degrades rapidly, as shown in Table 2. In order to achieve a pH of not more than 7.0, especially not more than 6.5, rasagiline or a pharmaceutically acceptable salt thereof, such as rasagiline sulfonate, is preferably in the form of a salt or/and an ion in the matrix. presence. In the embodiment of CN101032474A, rasagiline is added to the matrix system with an alkali regulator such as sodium hydroxide or triethanolamine, and is largely present in the form of a free base to promote absorption. However, the inventors of the present invention have found that when rasagiline is present in the form of a free base, high temperatures may adversely affect its stability. The inventors of the present invention have also found that even with a two-layer structure in which one layer contains rasagiline salt and the other layer contains a basic regulator, high temperature has an effect on the stability of rasagiline. The content of the main drug rasagiline and related substances (impurities) was determined by high performance liquid chromatography (HPLC). The HPLC color column was subjected to C18 column and Daicel AD column. The results are shown in Table 2 below. The results from Table 2 show that the pH value has a large influence on the stability of the active substance rasagiline. Table 2. Changes in the content of the main drug (rasagiline) at different pH values
以曱續酸雷沙吉  Sustained acid rasagi
60°C 10天 40°C 10天 兰浓度为 lmg/ml 实验对象 \^时测定  60°C 10 days 40°C 10 days Blue concentration is lmg/ml Experimental object \^
雷沙吉兰游离碱载于 7.0 ~ 8.0 主药几乎 主药含量下 - - Rasagiline free base is contained in the main drug content of 7.0 ~ 8.0 main drug - -
Figure imgf000016_0001
从表 2可知, 当 PH大于 6.5, 尤其是大于 7.0时, 无论是在 60 °C还是 40°C , 10天后雷沙吉兰均有显著降解。 在 PH值等于 6.5时, 雷沙吉兰在 60°C下 10天后显著降解; 雷沙吉兰在 40°C下 10天后的 降解可以接受。 不受任何现有理论的约束, 上述实验结果可能采用如下方式解 - - 释。介质的 PH值明显影响雷沙吉兰的存在形式: 雷沙吉兰游离碱在 纯水中的 PH值为 7.5左右(以雷沙吉兰 lmg/ml时测定); 曱磺酸雷 沙吉兰在纯水中的 PH值为 5.0左右 (以曱磺酸雷沙吉兰 lmg/ml时 测定), PKa计算为 7.5。 当 PH值为 6.5时, 雷沙吉兰游离碱的量占 总量的 10% , 计算值和实验值基本是相符的。 因此, 在其他条件不 变的情况下, PH值越低, 雷沙吉兰越稳定。 当雷沙吉兰以游离緘的 形式存在时, 其仲胺基团和连接的炔基之间的 R—NH— C≡CH 键易断 裂, 从而造成了降解。 所以就稳定性而言, 雷沙吉兰在碱性基质环境 中难以长期保持稳定,尤其是处于游离碱的状态时,不稳定性更明显。 对于上述雷沙吉兰贴片,其中的雷沙吉兰可能以除游离碱以外的 多种形式存在。对于雷沙吉兰不同的存在形式,可采用不同的方法制 备其贴片。 例如, 当雷沙吉兰以盐的形式或离子的形式存在时, 比如 曱磺酸雷沙吉兰,可以先将其溶于乙醇、丙二醇、甘油等有机溶剂中, 然后与有机高分子基质、促皮渗透剂等混合来制成贴片。再例如, 雷 沙吉兰或其药用盐为微晶或无定形分散的形式时,可以采用溶剂法将 雷沙吉兰或其盐溶于乙醇或水中, 再和聚维酮、 聚乙烯醇等混合, 挥 发干燥乙醇或水后得到雷沙吉兰在聚维酮或聚乙烯醇中的无定形分 散物, 然后与有机高分子基质、促皮渗透剂等混合来制成贴片, 其中 聚维酮或聚乙烯醇也可替换为尿素、聚乙二醇类、纤维类等作为分散 体的载体。 值得注意的是, 对于聚维酮、 聚乙烯醇、 纤维类中的曱基 纤维素、 乙基纤维素等熔点较高的载体,制备时采用的方法可以是溶 剂法, 而对于尿素和聚乙二醇类中的聚乙二醇 4000、 聚乙二醇 6000 等熔点较低的载体, 则可以采用熔融法来制备贴片。 例如, 将雷沙吉 兰和经细化的聚乙二醇 4000混合均匀, 加热到 40 ~ 60°C使其熔化, - - 再通过剧烈降低温度使其重新转化为固体,得到雷沙吉兰的微晶或无 定形分散形态, 然后与有机高分子基质、促皮渗透剂等混合来制成贴 片。 当雷沙吉兰以微乳、 亚微乳形式存在时, 可以用油脂类, 如液状 石蜡、 凡士林, 长链脂肪醇类如十六烷醇、 十八烷醇等作为内相, 形 成水包油结构的微乳、亚微乳,其中雷沙吉兰或其药物上可接受的盐 溶于油相中, 呈过饱和态, 由于热力学的不稳定状态, 易于析出并透 过皮肤。 该微乳、 亚微乳可以用高速搅拌法、 高速乳匀法制得。 可将 制得的微乳、亚微乳和有机高分子基质、促皮渗透剂等混合来制成贴 片。 例如,在制备雷沙吉兰脂质体形式的透皮贴片时,可用类酯类物 质, 如卵磷脂、 氢化卵磷脂、 胆固醇等将雷沙吉兰包裹制成脂质体, 制备脂质体的方法可以是薄膜法、 逆相蒸发法、 冷冻干燥法、 PH - 梯度法、 高速搅拌法、 高速乳匀法等, 制得的雷沙吉兰脂质体与有机 高分子基质、 促皮渗透剂等来制成贴片。 以上制备微乳包裹、亚微乳包裹、脂质包裹的雷沙吉兰的方法都 现。 无论以何种方法制备, 都可通过加入 PH调节剂来调节 PH值, 保证贴片的 PH值不大于 7.0, 尤其不大于 6.5。 由于贴片是通过皮肤 给药, PH值太低会对皮肤造成刺激性, 所以贴片的 PH值亦应该不 小于 3.0。 因此, 优选的 PH值范围为不小于 3.0至不大于 7.0, 尤其 不大于 6.5。 - - 调节 PH的方法主要是通过加入酸性物质和 /或加入 PH值在 7.0 以下, 尤其 6.5以下的緩冲试剂。所述酸性物质包括: 己二酸、 己酸、 丙酸、 苯曱酸、 苯乙酸、 邻苯二曱酸、 曱酸、 次磷酸、 磷酸、 磷酸二 氢钠、 磷酸二氢钾、 冰醋酸、 醋酸、 乳酸、 苹果酸、 枸橼酸、 盐酸、 硫酸、硝酸、磺酸、 曱磺酸、 苯磺酸、对曱苯磺酸、 酒石酸、琥珀酸、 硼酸、 山梨酸、 硅酸等。 所述调节 PH 的方法也可以是将预先测得 PH值小于 6.5的基质和 PH值大于 6.5的基质混合,使得混合基质的 PH值不大于 6.5。 所述緩冲试剂包括曱酸盐緩冲液、 醋酸盐緩冲液、 磷酸盐緩冲液、枸橼酸盐緩冲液、邻苯二曱酸盐緩冲液等。 上所述的 酸性物质和緩冲试剂均是本领域常用的, 其使用方法也是常规技术。 需要说明是的雷沙吉兰药物上可接受的盐如曱磺酸雷沙吉兰、盐 酸雷沙吉兰等加入到上述基质中后,整个系统的 PH值有可能小于例 如 6.5 , 亦有可能大于 6.5。 加入 PH值调节剂目的就是在制备和储 存条件下确保贴片的 PH值在 7.0以下, 尤其在 6.5以下。 通常皮肤角质层为经皮吸收的主要障碍。 因此,一些软化角质层 和增强皮肤组织中脂类流动性的物质可以增强活性成分的透皮效果。 在中国专利 CN101032474A 中, 已提及影响雷沙吉兰透皮效果的因 素:其顺序为基质 >是否含有促渗透剂 >主药是否成游离碱 >促渗透 剂种类。 在专利 CN101032474A的实施例 1至 5中, 用了 NaOH水 溶液调节 PH值至 7.5, 使雷沙吉兰或其可供药用的盐以雷沙吉兰游 离碱的形式存在, 从而促进吸收; 在实施例 6中, 三乙醇胺作为调节 剂调节 PH值至 8.5。 这样固然会增强雷沙吉兰的透皮渗透性, 但也 可能导致雷沙吉兰的不稳定从而影响其实际应用。 - - 在 PH值不大于 7.0, 尤其不大于 6.5的情况下, 以聚丙烯酸、 硅酮等非亲水性高分子材料为基质的贴片, 雷沙吉兰渗透率过低。以 亲水性的高分子材料如聚乙烯醇、 聚乙烯吡咯烷酮、 聚乙二醇、 乙烯 -醋酸乙烯共聚物、聚羧乙烯、纤维素类衍生物等做载药胶层的雷沙 吉兰贴片,会吸收皮肤和外界的水分,使之形成雷沙吉兰的饱和溶液, 促进了雷沙吉兰的释放, 同时极大提高了雷沙吉兰的渗透量。令人惊 奇的是以亲水高分子材料基质和非亲水高分子材料基质做的复合贴 片的透皮效果也很好。 加上了控释膜的复合贴片的透皮效果也不错,且在体内药动实验 中, 緩释效果很好。 用控制药物释放面积来控释的方案, 也基本达到 了透皮效果和药物的控释释放效果。 上述雷沙吉兰透皮贴片的制备方法在实施例中以举例的方式加 以说明。应当理解,本领域普通技术人员在阅读本发明后可以自由地 结合现有技术中对这些例举的制备方法进行改变。 制得的透皮贴片使用弗兰兹扩散池(Franz cell, 有效接受面积 为 2.54平方厘米、 体积为 17毫升), 以两月龄大鼠的腹部褪毛皮肤 来研究其渗透力。可以看出上述雷沙吉兰透皮贴片都可以经由皮肤提 供足够量的雷沙吉兰, 从而达到引起全身作用的目的。 上述稳定可控的雷沙吉兰或其药物上可接受的盐的透皮贴片可 每 1 -3日给药 1次或更长时间如 1周给药 1次。 上述雷沙吉兰透皮贴片能保持活性物质雷沙吉兰的稳定性和良 好可控的透皮释放效果, 适合长期存放, 且对皮肤的刺激性较小。该 - - 贴片可用于治疗或预防神经系统疾病, 如帕金森病、老年痴呆症、抑 郁症等。 上述雷沙吉兰透皮贴片比 US2004013620中用特定透皮渗透促进 剂得到的制剂更常见易得。上述雷沙吉兰透皮贴片和 CN101032474A 的贴片相比, 更稳定、 维持时间更长, 制备更简便、 安全和环保。 附图说明 图 1、 实施例 1、 2、 3的贴片的剖面示意图。 图 2、 实施例 4的贴片的剖面示意图。 图 3、 实施例 5的贴片的剖面示意图。 图 4、 实施例 6的贴片的剖面示意图。 图 5、 实施例 6的贴片的平面示意图。 图 6、 实施例 7的贴片的剖面示意图。 图 7、 实施例 1的贴片, 含雷沙吉兰的单层聚丙烯酸酯基质贴片 的雷沙吉兰时间 -累积渗透量关系曲线图。 图 8、 实施例 2的贴片, 含雷沙吉兰的单层硅酮基质贴片的雷沙 吉兰时间 -累积渗透量关系曲线图。 图 9、 实施例 3的贴片, 含有雷沙吉兰的单层聚乙烯吡咯烷酮- 聚乙烯醇复合基质贴片的雷沙吉兰时间 -累积渗透量关系曲线图。 图 10、 实施例 4的贴片, 含有雷沙吉兰的加控释膜聚乙烯吡咯 烷酮 -聚乙烯醇复合基质贴片的雷沙吉兰时间 -累积渗透量关系曲线 - - 图。 图 11、 实施例 5的贴片, 含有雷沙吉兰的复合层贴片的雷沙吉 兰时间 -累积渗透量关系曲线图。 图 12、 实施例 7的贴片, 含有曱磺酸雷沙吉兰的储库型以曱基 纤维素-卡波姆 940为基质的贴片的雷沙吉兰时间 -累积渗透量关系 曲线图。 图 13、实施例 2的贴片,雷沙吉兰在兔体内血药浓度 -时间曲线。 图 14、 实施例 3的贴片, 雷沙吉兰在兔体内血药浓度-时间曲线 图 15、 实施例 4的贴片, 雷沙吉兰在兔体内血药浓度-时间曲线 图 16、 实施例 5的贴片, 雷沙吉兰在兔体内血药浓度-时间曲线 图 17、 实施例 6的贴片, 雷沙吉兰在兔体内血药浓度-时间曲线 具体实施方式 以下的实施例用于进一步说明本发明的内容,但不限制本发明的 范围。 实施例 1: 含有曱磺酸雷沙吉兰的单层聚丙烯酸酯基质贴片, 以 油酸为促皮渗透剂 取 0.25克曱磺酸雷沙吉兰溶解于 1克丙二醇中, 将其加入到聚 丙烯酸酯胶 20克(美国国民淀粉公司, 387-2287型) 中。 加入油酸 0.3克, 在搅拌均匀后, 用自动涂布机(上海锴凯公司, TB-04型) 将混合好的胶液涂布在硅化纸上,涂布厚度为 0.6毫米。 60°C烘干 5 - - 分钟后,覆上支持层,即可转移,再将贴片冲切或剪切成最后的薄片。 测得雷沙吉兰含量为 22(^g/cm2,测定 PH为 4.4。制得的贴片剖面示 意图见图 1。 将制备好的贴片使用弗兰兹扩散池(Franz cell ) 以及二月龄大 鼠的腹部褪毛皮肤来研究其渗透力。用高效液相色谱法测定雷沙吉兰 在不同时间点的含量,再据此计算出雷沙吉兰的累积渗透量,结果见 下表 3。 雷沙吉兰时间-累积渗透量关系曲线图见图 7。 表 3含油酸的雷沙吉兰贴片时间 -累积渗透量数据表
Figure imgf000016_0001
It can be seen from Table 2 that when the pH is greater than 6.5, especially greater than 7.0, rasagiline has significant degradation after 10 days, whether at 60 °C or 40 °C. At a pH of 6.5, rasagiline significantly degraded after 10 days at 60 ° C; degradation of rasagiline after 10 days at 40 ° C was acceptable. Without being bound by any existing theory, the above experimental results may be solved as follows. - - Released. The pH of the medium significantly affects the form of rasagiline: the pH of rasagiline free base in pure water is about 7.5 (measured as rasagiline at 1 mg/ml); The pH in pure water was about 5.0 (measured at 1 mg/ml of rasagiline sulfonate), and the PKa was calculated to be 7.5. When the pH is 6.5, the amount of rasagiline free base accounts for 10% of the total, and the calculated value is basically consistent with the experimental value. Therefore, the lower the pH, the more stable the rasagiline is, under other conditions. When rasagiline is present in the form of free ruthenium, the R-NH-C≡CH bond between the secondary amine group and the attached alkynyl group is easily broken, thereby causing degradation. Therefore, in terms of stability, rasagiline is difficult to maintain stability in the alkaline matrix environment for a long time, especially in the state of free alkali, the instability is more obvious. For the above rasagiline patch, rasagiline may exist in various forms other than the free base. For different forms of rasagiline, the patch can be prepared in different ways. For example, when rasagiline is present in the form of a salt or an ionic form, such as rasagiline bismuth sulfonate, it can be first dissolved in an organic solvent such as ethanol, propylene glycol or glycerin, and then with an organic polymer matrix, The skin penetration enhancer or the like is mixed to form a patch. For example, when rasagiline or a pharmaceutically acceptable salt thereof is in the form of microcrystalline or amorphous dispersion, rasagiline or a salt thereof can be dissolved in ethanol or water by a solvent method, and povidone and polyvinyl alcohol can be used. After mixing, volatilizing dry ethanol or water to obtain an amorphous dispersion of rasagiline in povidone or polyvinyl alcohol, and then mixing with an organic polymer matrix, a skin penetration enhancer or the like to form a patch, wherein the patch is formed. The ketone or polyvinyl alcohol may also be replaced by a carrier of urea, polyethylene glycol, fiber or the like as a dispersion. It is worth noting that for povidone, polyvinyl alcohol, ketone cellulose, ethyl cellulose, etc., which have higher melting points, the method used in the preparation may be a solvent method, and for urea and polyethylene. In the case of a diol having a lower melting point such as polyethylene glycol 4000 or polyethylene glycol 6000, a patch may be prepared by a melt method. For example, rasagiline and refined polyethylene glycol 4000 are uniformly mixed and heated to 40 ~ 60 ° C to melt. - - Re-converting to a solid by drastically lowering the temperature to obtain a crystallite or amorphous dispersion form of rasagiline, and then mixing with an organic polymer matrix, a skin penetration enhancer or the like to prepare a patch. When rasagiline is present in the form of microemulsions or submicron emulsions, oils such as liquid paraffin, petrolatum, long-chain fatty alcohols such as cetyl alcohol, stearyl alcohol, etc. may be used as internal phases to form a water pack. An oil-structured microemulsion, a submicron emulsion in which rasagiline or a pharmaceutically acceptable salt thereof is dissolved in an oil phase and is in a supersaturated state, which is easily precipitated and penetrates the skin due to a thermodynamically unstable state. The microemulsion and submicron emulsion can be obtained by a high-speed stirring method and a high-speed emulsion homogenization method. The prepared microemulsion, submicron emulsion, organic polymer matrix, skin penetration enhancer, and the like can be mixed to form a patch. For example, in the preparation of a transdermal patch in the form of rasagiline liposomes, rasagiline can be encapsulated into liposomes using an ester-like substance such as lecithin, hydrogenated lecithin, cholesterol, etc. to prepare a lipid. The method may be a thin film method, a reverse phase evaporation method, a freeze drying method, a PH-gradient method, a high-speed stirring method, a high-speed emulsion homogenization method, etc., and the rasagiline liposome and the organic polymer matrix are obtained. A penetrant or the like is used to form a patch. The above methods for preparing microemulsion wrap, submicron milk wrap, and lipid-encapsulated rasagiline are now available. Regardless of the method of preparation, the pH can be adjusted by adding a pH adjusting agent to ensure that the pH of the patch is not more than 7.0, especially not more than 6.5. Since the patch is administered through the skin, the pH value is too low to cause irritation to the skin, so the pH of the patch should also be not less than 3.0. Therefore, a preferred pH range is from not less than 3.0 to not more than 7.0, especially not more than 6.5. - - The method of adjusting the pH is mainly by adding an acidic substance and/or adding a buffering agent having a pH of 7.0 or less, especially 6.5 or less. The acidic substance includes: adipic acid, caproic acid, propionic acid, benzoic acid, phenylacetic acid, phthalic acid, citric acid, hypophosphorous acid, phosphoric acid, sodium dihydrogen phosphate, potassium dihydrogen phosphate, glacial acetic acid, Acetic acid, lactic acid, malic acid, citric acid, hydrochloric acid, sulfuric acid, nitric acid, sulfonic acid, sulfonic acid, benzenesulfonic acid, p-toluenesulfonic acid, tartaric acid, succinic acid, boric acid, sorbic acid, silicic acid and the like. The method of adjusting the pH may also be a method of mixing a matrix having a pH value of less than 6.5 and a matrix having a pH of more than 6.5, such that the pH of the mixed matrix is not more than 6.5. The buffering reagent includes a citrate buffer, an acetate buffer, a phosphate buffer, a citrate buffer, an phthalate buffer, and the like. The acidic substances and buffering agents described above are all commonly used in the art, and the method of use thereof is also a conventional technique. It should be noted that after the pharmaceutically acceptable salts of rasagiline, such as rasagiline sulfonate, rasagiline hydrochloride, etc., are added to the above matrix, the pH of the whole system may be less than, for example, 6.5, and it is also possible More than 6.5. The purpose of adding a pH adjusting agent is to ensure that the pH of the patch is below 7.0, especially below 6.5, under the conditions of preparation and storage. The stratum corneum of the skin is usually the main obstacle to percutaneous absorption. Therefore, some substances which soften the stratum corneum and enhance the fluidity of lipids in the skin tissue can enhance the transdermal effect of the active ingredient. In Chinese patent CN101032474A, factors affecting the transdermal effect of rasagiline have been mentioned: the order is whether the matrix contains a penetration enhancer > whether the main drug is a free base > a penetration enhancer species. In Examples 1 to 5 of the patent CN101032474A, an aqueous NaOH solution was used to adjust the pH to 7.5, so that rasagiline or a pharmaceutically acceptable salt thereof was present in the form of rasagiline free base to promote absorption; In Example 6, triethanolamine was used as a regulator to adjust the pH to 8.5. This will certainly enhance the transdermal permeability of rasagiline, but it may also lead to instability of rasagiline and thus affect its practical application. - - When the pH is not more than 7.0, especially not more than 6.5, the rasagiline permeability is too low with a patch based on a non-hydrophilic polymer material such as polyacrylic acid or silicone. A rasagiline paste carrying a hydrophilic polymer material such as polyvinyl alcohol, polyvinylpyrrolidone, polyethylene glycol, ethylene-vinyl acetate copolymer, carboxyvinyl cellulose, cellulose derivative, etc. The film absorbs the moisture of the skin and the outside world, forming a saturated solution of rasagiline, which promotes the release of rasagiline and greatly increases the penetration of rasagiline. Surprisingly, the composite patch made of a hydrophilic polymer matrix and a non-hydrophilic polymer matrix has a good transdermal effect. The transdermal effect of the composite patch with controlled release membrane is also good, and the sustained release effect is good in the in vivo drug experiment. The controlled release of the drug to control the release area has also basically achieved the transdermal effect and the controlled release of the drug. The preparation method of the above rasagiline transdermal patch is illustrated by way of example in the examples. It will be appreciated that those skilled in the art, after reading this disclosure, are free to adapt the variations of these exemplary methods of preparation in the prior art. The prepared transdermal patch was subjected to a Franz cell (effectively accepted area of 2.54 cm 2 and a volume of 17 ml) to study the penetration of the skin of a two-month-old rat's abdomen. It can be seen that the above-mentioned rasagiline transdermal patch can provide a sufficient amount of rasagiline through the skin to achieve the purpose of causing systemic action. The above-mentioned stable and controllable transdermal patch of rasagiline or a pharmaceutically acceptable salt thereof can be administered once every 1-3 days or more once as once every week. The above-mentioned rasagiline transdermal patch maintains the stability of the active substance rasagiline and a good and controllable transdermal release effect, is suitable for long-term storage, and is less irritating to the skin. The - - Patches can be used to treat or prevent neurological diseases such as Parkinson's disease, Alzheimer's disease, depression, etc. The above rasagiline transdermal patch is more commonly available than the formulation obtained with a specific transdermal penetration enhancer in US2004013620. The above-mentioned rasagiline transdermal patch is more stable and longer lasting than the CN101032474A patch, making preparation easier, safer and more environmentally friendly. BRIEF DESCRIPTION OF THE DRAWINGS FIG. 1 is a schematic cross-sectional view of a patch of Examples 1, 2, and 3. 2 is a schematic cross-sectional view of the patch of Embodiment 4. Fig. 3 is a schematic cross-sectional view showing the patch of the fifth embodiment. 4 is a schematic cross-sectional view of the patch of Example 6. Fig. 5 is a plan view showing the patch of the embodiment 6. Fig. 6 is a schematic cross-sectional view showing the patch of the seventh embodiment. Figure 7. Schematic of the rasagiline time-cumulative permeation amount of the patch of Example 1 and the rasagiline-containing single-layer polyacrylate matrix patch. Figure 8. The patch of Example 2, the rasagiline time-cumulative permeation amount curve of a single layer silicone matrix patch containing rasagiline. Figure 9. The patch of Example 3, the rasagiline time-cumulative permeation curve of a single layer polyvinylpyrrolidone-polyvinyl alcohol composite matrix patch containing rasagiline. Figure 10. The patch of Example 4, the rasagiline time-cumulative permeation curve of the rasagiline-containing modified release film polyvinylpyrrolidone-polyvinyl alcohol composite matrix patch - - Figure. Figure 11. The patch of Example 5, the rasagiline time-cumulative permeation amount curve of the rasagiline-containing composite layer patch. Fig. 12 is a graph showing the relationship between the time and the cumulative permeation amount of the rasagiline time of the patch containing the thiol cellulose-carbomer 940 as a substrate containing the rasakiline sulfonate. . Figure 13. The patch of Example 2, the blood concentration-time curve of rasagiline in rabbits. Figure 14, the patch of Example 3, the blood concentration-time curve of rasagiline in rabbits Figure 15, the patch of Example 4, the blood concentration-time curve of rasagiline in rabbits Figure 16, implementation The patch of Example 5, the blood concentration-time curve of rasagiline in rabbits, the patch of Example 6, the blood concentration-time curve of rasagiline in rabbits, the specific embodiment is as follows The content of the invention is further described, but does not limit the scope of the invention. Example 1: A single-layer polyacrylate matrix patch containing rasagiline bismuth sulfonate, 0.25 g of rasagiline bismuth sulfonate dissolved in 1 g of propylene glycol with oleic acid as a penetration enhancer, and added To 20 grams of polyacrylate rubber (American National Starch Corporation, Type 387-2287). 0.3 g of oleic acid was added, and after stirring uniformly, the mixed glue was applied on a siliconized paper by an automatic coater (Shanghai Yukai Co., Ltd., type TB-04) to a coating thickness of 0.6 mm. Drying at 60 ° C 5 - After a minute, cover the support layer and transfer, then cut or cut the patch into the final sheet. The rasagiline content was determined to be 22 (^g/cm 2 , and the pH was determined to be 4.4. The profile of the prepared patch is shown in Fig. 1. The prepared patch was a Franz cell and two The permeation of the skin of the aged rats was studied by fading the skin. The content of rasagiline at different time points was determined by high performance liquid chromatography, and the cumulative permeation amount of rasagiline was calculated according to the results. Table 3. The rasagiline time-cumulative permeation curve is shown in Figure 7. Table 3 rasagiline patch time-cumulative permeation data table with oleic acid
Figure imgf000023_0001
Figure imgf000023_0001
实施例 2: 含有雷沙吉兰的单层硅酮基质贴片, 以月桂氮萆酮为 促皮渗透剂 取 0.25克雷沙吉兰游离碱溶解于 1克丙二醇中, 接着将其加入 - - 到硅酮胶 20克(美国 3M公司 , PSA7-4302型) 中。 加入月桂氮萆 酮 0.3克, 在搅拌均匀后, 取少量胶液作为样品 (用于稳定性研究) 测得 PH值为 7.7。 按上述处方、 工艺制备, 并加入 0.15克曱磺酸搅 拌均勾, 制得胶液, 取少量胶液作为样品测 (用于稳定性研究)得 PH值为 4.0。 用自动涂布机(上海锴凯公司, TB-04型)将混合好的 胶液涂布在硅化纸上, 涂布厚度为 0.6毫米。 60°C烘干 5分钟后, 覆上支持层, 即可转移, 再将贴片冲切或剪切成最后的薄片。 测得雷 沙吉兰含量为 220ug/cm2。 制得的贴片剖面示意图见图 1。 将制备好的贴片按实施例一的方法计算出雷沙吉兰的累积渗透 量, 结果见下表 4。 雷沙吉兰时间-累积渗透量关系曲线图见图 8。 表 4含月桂氮萆酮的雷沙吉兰贴片时间 -累积渗透量数据表 时间 累积渗透量 Example 2: A single-layer silicone matrix patch containing rasagiline, 0.25 g of rasagiline free base was dissolved in 1 g of propylene glycol using lauryl ketone as a penetration enhancer, and then added. - - To 20 grams of silicone glue (3M Company, PSA7-4302 type). 0.3 g of lauropyridone was added, and after stirring uniformly, a small amount of glue was used as a sample (for stability study), and the pH was measured to be 7.7. Prepared according to the above prescription and process, and added 0.15 g of sulfonic acid and stirred to obtain a glue solution. A small amount of glue was taken as a sample (for stability study) to obtain a pH of 4.0. The mixed glue was applied to siliconized paper by an automatic coater (Shanghai Yukai Co., Ltd., Model TB-04) to a coating thickness of 0.6 mm. After drying at 60 ° C for 5 minutes, the support layer is covered and transferred, and the patch is die cut or cut into the final sheet. The rasagiline content was measured to be 220 ug/cm 2 . A schematic view of the prepared patch is shown in Fig. 1. The prepared patch was subjected to the method of Example 1 to calculate the cumulative permeation amount of rasagiline. The results are shown in Table 4 below. The rasagiline time-cumulative permeation curve is shown in Figure 8. Table 4: rasagiline patch time-cumulative permeation data table with cumulative abortion
( h ) ( μ §)  ( h ) ( μ §)
0 0.0  0 0.0
1 0.0  1 0.0
2 0.0  2 0.0
4 0.0  4 0.0
6 9.2  6 9.2
8 14.3  8 14.3
12 23.1  12 23.1
24 44.7  24 44.7
48 76.2 - - 从表 3和表 4可以看出采用聚丙烯酸、硅酮等非亲水性压敏胶所 制得的贴片在第 48 小时, 累积渗透量均在 200 g 以下, 和专利 CN101032474A的实施例 1相比, 累积渗透量明显降低, 原因在于雷 沙吉兰加了曱磺酸成曱磺酸盐、 载药量较小。 为了提高累积渗透量, 采用亲水型压敏胶为基质是必要的。 实施例 3:含有雷沙吉兰的单层聚乙烯吡咯烷酮-聚乙二醇复合基 质贴片, 以月桂氮萆酮为促皮渗透剂 取 24克聚乙烯吡咯烷酮 PVP-K90D(ISP Technologies, INC)撒入 120克无水乙醇中, 搅拌使其溶胀完全, 将 16克聚乙二醇 400 (南京 威尔化工)加入到其中, 搅拌混合均匀, 制得空白胶。 取制备好的胶 液 15克, 加入雷沙吉兰游离碱 1.0克, 搅拌超声使其溶解。 加入月 桂氮萆酮 0.3克, 在搅拌均匀后, 测得 PH值为 7.4。 按上述处方、 工艺制备, 并加入曱磺酸 0.6克, 测得 PH值为 4.7。 用自动涂布机 (上海锴凯公司, TB-04型)将混合好的胶液涂布在硅化纸上, 涂布 厚度为 0.4毫米。 60°C烘干 5分钟后, 覆上支持层, 即可转移, 再 将贴片冲切或剪切成最后的薄片。 制得的贴片剖面示意图见图 1。 将制备好的贴片按实施例 1 的方法计算出雷沙吉兰的累积渗透 量, 结果见下表 5; 雷沙吉兰时间-累积渗透量关系曲线图见图 9。 - - 表 5含月桂氮萆酮的雷沙吉兰贴片时间 -累积渗透量数据表 48 76.2 - - It can be seen from Tables 3 and 4 that the patch made of non-hydrophilic pressure sensitive adhesive such as polyacrylic acid or silicone has a cumulative penetration of less than 200 g at the 48th hour, and the implementation of the patent CN101032474A In comparison with Example 1, the cumulative amount of permeation was significantly reduced because rasagiline was added with sulfonic acid sulfonate and the drug loading was small. In order to increase the cumulative amount of permeation, it is necessary to use a hydrophilic pressure sensitive adhesive as a matrix. Example 3: A single layer polyvinylpyrrolidone-polyethylene glycol composite matrix patch containing rasagiline, 24 g of polyvinylpyrrolidone PVP-K90D (ISP Technologies, INC) with a pentazone as a penetration enhancer Sprinkle into 120 g of absolute ethanol, stir to completely swell, add 16 g of polyethylene glycol 400 (Nanjing Weil Chemical) to it, stir and mix well to obtain a blank glue. 15 g of the prepared glue was taken, 1.0 g of rasagiline free base was added, and the mixture was stirred and dissolved to dissolve. 0.3 g of lauropyridone was added, and after stirring well, the pH was measured to be 7.4. Prepared according to the above prescription and process, and 0.6 g of sulfonic acid was added, and the pH was measured to be 4.7. The mixed glue was applied to siliconized paper by an automatic coater (Shanghai Haokai Co., Ltd., Model TB-04) to a coating thickness of 0.4 mm. After drying at 60 ° C for 5 minutes, the support layer is covered and transferred, and the patch is die cut or cut into the final sheet. A schematic view of the prepared patch is shown in Fig. 1. The prepared patch was subjected to the method of Example 1 to calculate the cumulative permeation amount of rasagiline. The results are shown in Table 5 below. The rasagiline time-cumulative permeation amount curve is shown in Fig. 9. - - Table 5 rasagiline patch time-cumulative permeation data table with lauryl ketone
Figure imgf000026_0001
可以看出采用聚乙烯吡咯烷酮、聚乙二醇复合基质压敏胶所制得 的贴片在第 48 小时, 累积渗透量在 150(^g 以上, 和专利 CN101032474A的实施例 1相比, 累积渗透量较高, 而且由于加入了 曱磺酸, 雷沙吉兰不再是游离态, 所以稳定性较好。 实施例 4:含有曱磺酸雷沙吉兰的加控释膜聚乙烯吡咯烷酮-聚乙 二醇复合基质贴片, 以月桂氮萆酮为促皮渗透剂 为了控释雷沙吉兰的释放, 在实施例 3 ( PH值为 4.7 )的基础上 加了一层控释膜, 贴片的制备方法同实施例 3, 只是在最后一步复合 上控释膜, 然后加上乙烯吡咯烷酮 -聚乙二醇复合基质载药自粘层。 - - 制得贴片的剖面示意图见图 2。 采用的控释膜有以下六种: CoTrans9702 、 CoTrans9707 、 CoTrans9726 、 CoTrans9728 、 CoTrans9720、 CoTrans9701 (均为美国 3M公司出产), 前四种为聚 乙烯-聚醋酸乙烯控释膜, CoTrans9720 为聚乙烯控释膜、 CoTrans9701为聚氨酯控释膜。 将制备好的贴片使用弗兰兹扩散池(Franz cell )接受液体积为 17ml,接受面积为 2.54cm2,取样时间依次为: 2h、 4h、 6h、 8h、 16h、 24h、 48h、 72h、 96h、 120h, 结果分别见表 6、 7、 8、 9、 10和表 11, 雷沙吉兰时间-累积渗透量关系曲线图见图 10。 对于六种加了控释 膜的处方, 它们的释放速率和其湿蒸汽渗透率是成正相关的,但没有 严格的线性关系 (特别是醋酸乙烯含量超过了 10%以后)。 这六种控 释膜, 累积释放效果最好的是 CoTrans9701 , 它的湿蒸汽渗透率亦为 最大。 可以看到, 湿蒸汽渗透率太小, 雷沙吉兰释放太慢、释放量太 少,但湿蒸汽渗透率并不是越大越好, 因为大到一定程度就起不到对 雷沙吉兰的控释效果了。 表 6、以 CoTrans9702为控释膜的雷沙吉兰贴片时间 -累积渗透 量数据表
Figure imgf000026_0001
It can be seen that the patch prepared by using polyvinylpyrrolidone and polyethylene glycol composite matrix pressure sensitive adhesive has a cumulative permeation amount of 150 (^g or more at the 48th hour, and the cumulative penetration is compared with the embodiment 1 of the patent CN101032474A. The amount is higher, and due to the addition of sulfonic acid, rasagiline is no longer in a free state, so the stability is better. Example 4: controlled release film polyvinylpyrrolidone-polyethylene containing rasagiline A diol composite matrix patch with a ruthenium ketone as a skin penetration osmotic agent. To control the release of rasagiline, a controlled release film was added on the basis of Example 3 (pH 4.7). The preparation method was the same as that in Example 3 except that the controlled release film was compounded in the last step, and then the vinylpyrrolidone-polyethylene glycol composite matrix drug-loaded self-adhesive layer was added. - - A schematic diagram of the profile of the patch is shown in Figure 2. The following controlled release membranes are used: CoTrans9702, CoTrans9707, CoTrans9726, CoTrans9728, CoTrans9720, CoTrans9701 (all produced by 3M Company of the United States), the first four are polyethylene-polyvinyl acetate controlled release membranes, and CoTrans9720 is controlled release of polyethylene. The membrane and CoTrans9701 are polyurethane controlled release membranes. The prepared patch was subjected to a Franz cell with a volume of 17 ml and a receiving area of 2.54 cm 2 . The sampling time was: 2h, 4h, 6h, 8h, 16h, 24h, 48h, 72h, 96h, 120h, the results are shown in Tables 6, 7, 8, 9, 10 and Table 11, respectively. The rasagiline time-cumulative permeation curve is shown in Figure 10. For six formulations with controlled release membranes, their release rate is positively correlated with their wet vapor permeability, but there is no strict linear relationship (especially after the vinyl acetate content exceeds 10%). The best release effect of these six controlled release membranes is CoTrans9701, which also has the highest wet steam permeability. It can be seen that the wet steam permeability is too small, the release of rasagiline is too slow, and the release amount is too small, but the wet steam permeability is not as large as possible, because it is too large to reach the rasagiline. Controlled release effect. Table 6. Time-cumulative permeation data table for rasagiline patch with CoTrans9702 as controlled release membrane
Figure imgf000027_0001
- -
Figure imgf000028_0001
表 7、以 CoTrans9707为控释膜的雷沙吉兰贴片时间 -累积渗透 量数据表
Figure imgf000027_0001
- -
Figure imgf000028_0001
Table 7. Time-cumulative permeation data of rasagiline patch with CoTrans9707 as controlled release membrane
Figure imgf000028_0002
表 8、以 CoTrans9720为控释膜的雷沙吉兰贴片时间 -累积渗透 量数据表
Figure imgf000028_0002
Table 8. Time-cumulative permeation data of rasagiline patch with CoTrans9720 as controlled release membrane
Figure imgf000029_0002
表 9、以 CoTrans9726为控释膜的雷沙吉兰贴片时间 -累积渗透 量数据表
Figure imgf000029_0002
Table 9. Time-cumulative permeation data of rasagiline patch with CoTrans9726 as controlled release membrane
Figure imgf000029_0001
- -
Figure imgf000030_0002
表 10、 以 CoTrans9728为控释膜的雷沙吉兰贴片时间 -累积渗 透量数据表
Figure imgf000029_0001
- -
Figure imgf000030_0002
Table 10, rasagiline patch time-cumulative permeation data table with CoTrans9728 as controlled release membrane
Figure imgf000030_0001
表 11、 以 CoTrans9701为控释膜的雷沙吉兰贴片时间 -累积渗 透量数据表
Figure imgf000030_0001
Table 11. Time-cumulative permeation data table for rasagiline patch with CoTrans9701 as controlled release membrane
Figure imgf000031_0001
Figure imgf000031_0001
可以看出, CoTrans9701累积释放量最大, 在后面提到的兔体内 药动学实验中, 也可以看到使用 CoTrans9701 能够达到较理想的控 释效果,并维持一定的血药浓度。考虑到可以通过控制控释面积和载 药量来影响药物的释放, 所以湿蒸汽渗透率可以在 100克 /平方米 /天 到 3000克 /平方米 /天之间选取。 对于湿蒸汽渗透率小于 100克 /平方 米 /天的膜, 可以用作贴片的背村材料和控制释药面积的膜。 实施例 5: 含有曱磺酸雷沙吉兰的复合层贴片, 以月桂氮萆酮为 促皮渗透剂 第 一层: 取 24 克聚 乙烯吡咯烷酮 PVP-K90D(ISP Technologies,INC)撒入 120 克无水乙醇中, 搅拌使其溶胀完全, 将 - - It can be seen that the cumulative release of CoTrans9701 is the largest. In the pharmacokinetic experiments of rabbits mentioned later, it can also be seen that CoTrans9701 can achieve a better controlled release effect and maintain a certain blood concentration. The wet steam permeability can be selected from 100 g/m 2 /day to 3000 g/m 2 /day, considering that the release of the drug can be affected by controlling the controlled release area and the drug loading. For films having a wet vapor permeability of less than 100 g/m 2 /day, it can be used as a backing material for the patch and as a film for controlling the release area. Example 5: Composite layer patch containing rasagiline bismuth sulfonate, the first layer of quercetin as a skin penetration permeable agent: 24 g of polyvinylpyrrolidone PVP-K90D (ISP Technologies, INC) was sprinkled into 120 In anhydrous ethanol, stir it to swell completely, - -
16克聚乙二醇 400 (南京威尔化工)加入到其中, 搅拌混合均匀, 制 得空白胶。 取制备好的胶液 15克, 加入曱磺酸雷沙吉兰 1.0克, 搅 拌超声使其溶解。 加入月桂氮萆酮 0.3克, 在搅拌均匀后, 测 PH值 为 6.6。 按上述处方、 工艺制备, 并加入曱磺酸 0.05克, 测得 PH值 为 4.8, 用自动涂布机(上海锴凯公司, TB-04型)将混合好的胶液 涂布在硅化纸上, 涂布厚度为 0.6毫米。 60°C烘干 5分钟后, 覆上 支持层, 即可转移。 第二层:取 0.25克曱磺酸雷沙吉兰溶解于 1.0克丙二醇中,接着 将其加入到硅酮胶 20克(美国 3M公司 , PSA7-4302型) 中。 加入 月桂氮萆酮 0.4克, 在搅拌均匀后, 用自动涂布机(上海锴凯公司,16 g of polyethylene glycol 400 (Nanjing Weil Chemical) was added thereto, and the mixture was stirred and mixed to obtain a blank rubber. 15 g of the prepared glue was taken, and 1.0 g of rasagiline sulfonate was added, and the mixture was stirred and dissolved to dissolve. 0.3 g of lauropyridone was added, and after stirring well, the pH was measured to be 6.6. Prepared according to the above prescription and process, and added 0.05 g of sulfonic acid, and the pH value was 4.8. The mixed glue was coated on siliconized paper by an automatic coating machine (Shanghai Yukai Co., Ltd., TB-04 type). The coating thickness is 0.6 mm. After drying at 60 ° C for 5 minutes, cover the support layer and transfer. The second layer: 0.25 g of rasagiline sulfonate was dissolved in 1.0 g of propylene glycol, and then added to 20 g of silicone rubber (Model 3M, PSA 7-4302, USA). Add 0.4 g of laurel, and after mixing evenly, use automatic coating machine (Shanghai Yukai Company,
TB-04型)将混合好的胶液涂布在硅化纸上, 涂布厚度为 0.6毫米。 Type TB-04) The mixed glue was applied to siliconized paper to a thickness of 0.6 mm.
60°C烘干 5分钟后,转移到第一层上,再将贴片冲切或剪切成最后的 薄片。 制得的贴片剖面示意图见图 3。 将制备好的贴片按实施例 1 的方法计算出雷沙吉兰的累积渗透 量, 结果见表 12。 雷沙吉兰时间-累积渗透量关系曲线图见图 11。 表 12含有雷沙吉兰的复合层贴片时间 -累积渗透量数据表 After drying at 60 ° C for 5 minutes, transfer to the first layer and then die cut or cut into the final sheet. A schematic cross-section of the resulting patch is shown in Figure 3. The prepared patch was subjected to the cumulative permeation amount of rasagiline according to the method of Example 1, and the results are shown in Table 12. The rasagilan time-cumulative permeation curve is shown in Figure 11. Table 12: Composite layer patch time with rasagiline - cumulative penetration data table
Figure imgf000032_0001
- -
Figure imgf000032_0001
- -
Figure imgf000033_0001
实施例 6: 含有曱磺酸雷沙吉兰的控制释药面积贴片, 以月桂氮 萆酮为促皮渗透剂 取 24克聚乙烯吡咯烷酮 PVP-K90D(ISP Technologies, INC)撒入 120克无水乙醇中, 搅拌使其溶胀完全, 将 16克聚乙二醇 400 (南京 威尔化工)加入到其中, 搅拌混合均匀, 制得空白胶液。 取制备好的 胶液 15克, 加入曱磺酸雷沙吉兰 1.0克, 搅拌超声使其溶解。 加入 月桂氮萆酮 0.3克, 在搅拌均匀后, 测得 PH值为 5.9。 该实施例和 实施例 5在加曱磺酸前测得的 PH值相比, 有所减小, 符合 PH不大 于 6.5的要求, 这个差异主要是由于聚乙烯吡咯烷酮、 聚乙二醇 400 高分子材料的差异所引起的。 用自动涂布机(上海锴凯公司, TB-04 型)将混合好的胶液涂布在硅化纸上, 涂布厚度为 0.6毫米。 60°C烘 干 5分钟后, 覆上支持层, 即可转移, 再将贴片覆上中间有孔洞的 CoTrans9720薄膜, 孔洞面积和贴片面积比为 1:5。 制得的贴片剖面 示意图见图 4、 平面图见图 5。 由于所用的处方、 工艺和实施例 3— 致, 所以直接做药代动力学来验证。 - - 实施例 7: 含有曱磺酸雷沙吉兰的储库型以曱基纤维素-卡波姆 940为基质的贴片, 以月桂氮萆酮为促皮渗透剂 第一步: 取 2克曱基纤维素撒入到含乙醇 30% ( W V ) 的 100 克冷水中,搅拌使其溶胀完全, 测得 PH值为 8.0,将 1克卡波姆 940 加入到其中, 搅拌混合, 然后静置使其溶胀完全, 测得 PH值为 5.5, 制得空白胶。 取制备好的胶液 15克, 加入曱磺酸雷沙吉兰 1.0克, 搅拌超声使其溶解。 加入月桂氮萆酮 0.3克, 在搅拌均匀后, 制得含 药胶。 测 PH值为 5.0。 第二部: 取 CoTrans9720膜和 CoTrans97201膜, 热封合成一边 开口的 2cm*2cm的小袋, 往袋中加如 0.25克含药胶, 在将开口边热 封合, 制得贴片。 制得的贴片剖面示意图见图 6。 将制备好的贴片按实施例 1 的方法计算出雷沙吉兰的累积渗透 量, 结果见表 13。 雷沙吉兰时间-累积渗透量关系曲线图见图 12。 表 13、 含有曱磺酸雷沙吉兰的储库型贴片的时间 -累积渗透量 数据表
Figure imgf000033_0001
Example 6: Controlled release area patch containing rasagiline bismuth sulfonate, using 24 g of polyvinylpyrrolidone PVP-K90D (ISP Technologies, INC) as a skin penetration enhancer In the water ethanol, the mixture was stirred to completely swell, and 16 g of polyethylene glycol 400 (Nanjing Weil Chemical) was added thereto, and the mixture was stirred and mixed to obtain a white glue. 15 g of the prepared glue was taken, 1.0 g of rasagiline sulfonate was added, and the mixture was stirred and dissolved to dissolve. 0.3 g of lauropyridone was added, and after stirring well, the pH was measured to be 5.9. Compared with the PH value measured before the addition of sulfonic acid, this example and Example 5 are reduced to meet the requirement of pH not exceeding 6.5. This difference is mainly due to polyvinylpyrrolidone and polyethylene glycol 400 polymer. Caused by differences in materials. The mixed glue was applied to siliconized paper by an automatic coater (Shanghai Haokai Co., Ltd., Model TB-04) to a coating thickness of 0.6 mm. After drying at 60 ° C for 5 minutes, the support layer was covered, and then transferred, and the patch was coated with CoTrans9720 film with a hole in the middle, and the hole area and patch area ratio was 1:5. A schematic cross-sectional view of the obtained patch is shown in Fig. 4, and a plan view is shown in Fig. 5. Due to the prescription, process and Example 3 used, the pharmacokinetics were directly verified. - - Example 7: A reservoir containing thiolactam sulfonate sulfonate-based sulfhydryl cellulose-carbomer 940-based patch, with ruthenium ketone as the first step of the skin penetration agent: 2 The ketone cellulose was sprinkled into 100 g of cold water containing 30% (WV) of ethanol, stirred to completely swell, and the pH was measured to be 8.0. 1 gram of carbomer 940 was added thereto, stirred and mixed, and then allowed to stand. The solution was allowed to swell completely, and a pH of 5.5 was measured to obtain a blank gum. 15 g of the prepared glue was taken, 1.0 g of rasagiline sulfonate was added, and the mixture was stirred and dissolved to dissolve. 0.3 g of lauropyridone was added, and after stirring, a drug-containing gel was obtained. The pH was measured to be 5.0. Part 2: CoTrans9720 film and CoTrans97201 film were taken, heat-sealed to form a 2 cm*2 cm pouch with one opening, and 0.25 g of drug-containing glue was added to the bag, and the opening was heat-sealed to obtain a patch. A schematic cross-sectional view of the obtained patch is shown in Fig. 6. The prepared patch was subjected to the method of Example 1 to calculate the cumulative permeation amount of rasagiline. The results are shown in Table 13. The rasagiline time-cumulative permeation curve is shown in Figure 12. Table 13. Time-cumulative permeation data for the reservoir-type patch containing rasagiline bismuth sulfonate
Figure imgf000034_0001
- -
Figure imgf000034_0001
- -
Figure imgf000035_0001
因此,根据本发明的贴片,使用不同的基质和工艺约 4 ~ 10平方 厘米大小的贴片可以经皮肤吸收达到 1 ~ 3天所需的治疗量, 而且可 以通过制备多层贴片的方式来控制雷沙吉兰的渗透速率,由于该给药 贴片材料来源广泛、 易得、且易于制造, 且可经由整个基质表面传递 雷沙吉兰至皮肤吸收,相对于 US2004013620中所述的体系有着制备 方法简单、 原料来源广泛易得、 释药更平緩、 释药时间更长、 经由皮 肤吸收量更完全等优点。 和 CN101032474A相比, 释药时间更长、 更稳定, 制备过程更环保、 更安全。 以上七个实施例中, 实施例 1、 2、 3、 5、 6、 7均涉及了 PH值 对雷沙吉兰稳定性的影响(实施例 4是在实施例 3的基础上加了控释 膜)。 本发明人考察了不同 PH值条件下, 雷沙吉兰在 40°C放置 10 天后的变化。 采用高效液相色谱(HPLC )法测定主药雷沙吉兰和相 关物质(杂质)的含量, 其中, HPLC的色 i普柱采用 C18柱和 Daicel 公司的 AD柱, 结果如下表 14。 数据显示, 当 PH值在小于 7.0, 尤 其是小于 6.5时, 贴片中的雷沙吉兰保持稳定, 有利于长期诸存, 而 PH大于 6.5, 尤其是大于 7.0时, 贴片中的雷沙吉兰不稳定, 不利于 - - 长期存放。
Figure imgf000035_0001
Therefore, according to the patch of the present invention, a patch having a size of about 4 to 10 square centimeters using different substrates and processes can be absorbed through the skin for a therapeutic amount of 1-3 days, and can be prepared by a multilayer patch. To control the rate of penetration of rasagiline, since the drug patch material is widely available, readily available, and easy to manufacture, and can deliver rasagiline to skin absorption via the entire surface of the substrate, relative to the system described in US2004013620 It has the advantages of simple preparation method, wide availability of raw materials, smoother release, longer release time, and more complete absorption through the skin. Compared with CN101032474A, the release time is longer and more stable, and the preparation process is more environmentally friendly and safer. In the above seven examples, Examples 1, 2, 3, 5, 6, and 7 all relate to the influence of pH on the stability of rasagiline (Example 4 is controlled release on the basis of Example 3). membrane). The inventors examined changes in rasagiline after 10 days of standing at 40 ° C under different pH conditions. The content of the main drug rasagiline and related substances (impurities) was determined by high performance liquid chromatography (HPLC). The HPLC color column was a C18 column and an AD column from Daicel. The results are shown in Table 14 below. The data shows that when the pH is less than 7.0, especially less than 6.5, the rasagiline in the patch remains stable, which is beneficial for long-term storage, and the pH is greater than 6.5, especially when it is greater than 7.0. Geeland is unstable, not conducive to - - Long-term storage.
表 14、 PH值对贴片中雷沙吉兰稳定性的影响  Table 14. Effect of pH on the stability of rasagiline in the patch
Figure imgf000036_0001
以上七个实施例, 选取其中 5个来进行体内药代动力学研究: 对照例: 曱磺酸雷沙吉兰片, 给药量为 l.Omg/只。 实施例 2: 含有雷沙吉兰的单层硅酮基质贴片, 以月桂氮萆酮为 促皮渗透剂, 给药量为 0.503mg/只。
Figure imgf000036_0001
In the above seven examples, five of them were selected for in vivo pharmacokinetic studies: Comparative Example: rasagiline tablets of sulfonate, administered in an amount of 1.0 mg/mouse. Example 2: A single layer silicone matrix patch containing rasagiline, with azone as a skin penetration enhancer, administered in an amount of 0.503 mg/head.
实施例 3:含有雷沙吉兰的单层聚乙烯吡咯烷酮-聚乙烯醇复合基 - - 质贴片, 以月桂氮萆酮为促皮渗透剂, 给药剂量 3.3mg/只。 实施例 4: 含有雷沙吉兰的加 Cotrans9701控释膜的聚乙烯吡咯 烷酮 -聚乙烯醇复合基质贴片, 以月桂氮萆酮为促皮渗透剂, 给药剂 量为 13.2mg/只。 实施例 5: 含有曱磺酸雷沙吉兰的复合层贴片, 以月桂氮萆酮为 促皮渗透剂, 给药剂量为 8mg/只。 实施例 6: 含有曱磺酸雷沙吉兰的控制释药面积贴片, 以月桂氮 萆酮促皮渗透剂 , 给药剂量为 8.4mg/只。 实验对象为新西兰大耳白兔, 体重 1.5kg ~ 2kg, 采用高效液相- 质谱联用仪 (美国安捷伦公司, Agilentl200,6410 Triple Quad LC/MS )监测不同时间的血药浓度。 测定的结果见下表 15, 体内血药浓度-时间曲线图见图 13。 表 15体内药物代谢动力学测定 剂量 AUC(o-t) AUC o-oo) MRT(o t) Cmax max ti/2a ti/ιβ AUC(o-t) 编号 Example 3: Single layer polyvinylpyrrolidone-polyvinyl alcohol composite containing rasagiline - - Quality patch, with ruthenium ketone as a skin penetration osmotic agent, administered at a dose of 3.3m g / only. Example 4: A polyvinylpyrrolidone-polyvinyl alcohol composite matrix patch containing rasagiline plus a Cotrans9701 controlled release membrane, using a ruthenium ketone as a skin penetration osmotic agent at a dose of 13.2 mg/head. Example 5: a composite layer of rasagiline patch Yue acid, lauryl nitrogen to promote transdermal permeabilizing agent is one castor, a dose of 8m g / only. Example 6: A controlled release area patch containing rasagiline bismuth sulfonate, with a quercetin dermal penetration enhancer administered at a dose of 8.4 m g /mouse. The subjects were New Zealand white rabbits weighing 1.5 kg ~ 2 kg. The plasma concentrations were monitored at different times using a high performance liquid chromatography-mass spectrometer (Agilent, 200, Triple Quad LC/MS). The results of the assay are shown in Table 15 below, and the blood concentration-time curve in vivo is shown in Figure 13. Table 15 In vivo pharmacokinetics determination dose AUC(ot) AUC o-oo) MRT(ot) C m ax max ti/ 2 a ti/ιβ AUC(ot) number
mg (ng L*h) (ng L*h) (h) (ng L) (h) (h) (h) t检验 Mg (ng L*h) (ng L*h) (h) (ng L) (h) (h) (h) t test
124.71 237.12 7.30 127.72 124.71 237.12 7.30 127.72
一室 tl/2:  One room tl/2:
ORAL 1 士 士 士 士 0.25  ORAL 1 士士士士 0.25
0.23 + 0.17h  0.23 + 0.17h
17.21 63.3 1.84 63.97  17.21 63.3 1.84 63.97
201.28 487.46 32.19 9.66 1.67  201.28 487.46 32.19 9.66 1.67
实施例 2 0.503 士 士 士 士 士 5932.32 166546.46 P < 0.05 Example 2 0.503 士士士士士 5932.32 166546.46 P < 0.05
44.04 153.87 3.29 4.14 1.16  44.04 153.87 3.29 4.14 1.16
261.55 428.20 8.65 25.32 4.33 5.81  261.55 428.20 8.65 25.32 4.33 5.81
实施例 3 3.3 11.54 + 5.95 > 0.05 Example 3 3.3 11.54 + 5.95 > 0.05
士 士 士 士 士 士 - - Saints - -
Figure imgf000038_0001
根据表 5、表 12 - 13, 表 14和表 15的数据, 本发明的透皮贴片 不仅保持了良好的透皮效果,克服了不稳定的缺点,血药浓度也很理 想, 控释效果明显, 优于口服制剂。 以上通过举例说明的方式描述了本发明。但是, 应当理解, 本发 明绝不仅仅限于这些具体实施方式。普通技术人员可以对本发明进行 各种修改和改动, 而不背离本发明的精神和范围。
Figure imgf000038_0001
According to the data of Table 5, Table 12 - 13, Table 14 and Table 15, the transdermal patch of the present invention not only maintains a good transdermal effect, but also overcomes the disadvantage of instability, and the blood drug concentration is also ideal, and the controlled release effect is achieved. Obviously, better than oral preparations. The invention has been described above by way of illustration. However, it should be understood that the present invention is by no means limited to these specific embodiments. A person skilled in the art can make various modifications and changes to the invention without departing from the spirit and scope of the invention.

Claims

权利要求 Rights request
1、 一种稳定的释药可控的雷沙吉兰透皮贴片, 其中所述透皮 贴片包含治疗有效量的雷沙吉兰或其药物上可接受的盐和至少一种 亲水性聚合物基质, 并且所述贴片的 PH值不大于 7.0。  A stable release-controlled rasagiline transdermal patch, wherein the transdermal patch comprises a therapeutically effective amount of rasagiline or a pharmaceutically acceptable salt thereof and at least one hydrophilic A polymeric matrix, and the patch has a pH of no greater than 7.0.
2、 根据权利要求 1所述的雷沙吉兰透皮贴片, 其中所述 PH 值在不小于 3.0和不大于 6.5之间。  The rasagiline transdermal patch according to claim 1, wherein the pH is between not less than 3.0 and not more than 6.5.
3、 根据权利要求 1所述的雷沙吉兰透皮贴片 , 其中所述雷沙 吉兰在药物上可接受的盐包括雷沙吉兰的盐酸盐、 曱磺酸盐、对曱苯 磺酸盐、 苯磺酸盐或硫酸盐。 3. The rasagiline transdermal patch of claim 1, wherein the pharmaceutically acceptable salt of rasagiline comprises rasagiline hydrochloride, sulfonate, para-phenylene a sulfonate, a besylate or a sulfate.
4、 根据权利要求 1所述的雷沙吉兰透皮贴片, 其中所述亲水 性聚合物基质选自下列物质中的一种或二种或二种以上:聚乙烯吡咯 烷酮及其衍生物、 聚乙二醇及其衍生物、 乙烯-醋酸乙烯共聚物及其 衍生物、 纤维素及其衍生物和聚羧乙烯及其衍生物。 4. The rasagiline transdermal patch according to claim 1, wherein the hydrophilic polymer matrix is selected from one or more of two or more of the following: polyvinylpyrrolidone and derivatives thereof. , polyethylene glycol and its derivatives, ethylene-vinyl acetate copolymer and its derivatives, cellulose and its derivatives, and carboxyvinyl and its derivatives.
5、 根据权利要求 1至 4中任一项所述的雷沙吉兰透皮贴片 , 还可进一步包括至少一种疏水性聚合物基质,所述疏水性聚合物基质 包括聚丙烯酸树脂及其衍生物或硅酮及其衍生物。 The rasagiline transdermal patch according to any one of claims 1 to 4, further comprising at least one hydrophobic polymer matrix comprising a polyacrylic resin and Derivatives or silicones and their derivatives.
6、 根据权利要求 1至 4中任一项所述的雷沙吉兰透皮贴片, 进一步包括控释膜, 所述控释膜的膜材料的湿蒸汽渗透率为 100克 / 平方米 /日至 3000克 /平方米 /日。 The rasagiline transdermal patch according to any one of claims 1 to 4, further comprising a controlled release membrane, wherein the membrane material of the controlled release membrane has a wet vapor permeability of 100 g/m 2 / Day to 3000 g / square meter / day.
7、 根据权利要求 6所述的雷沙吉兰透皮贴片, 其中所述膜材 料选自下列物质中的至少一种: 聚乙烯及其衍生物、 乙烯-醋酸乙烯 共聚物及其衍生物、 聚氨酯及其衍生物、 聚氯乙烯及其衍生物。 7. The rasagiline transdermal patch of claim 6, wherein the film material is selected from at least one of the group consisting of polyethylene and its derivatives, ethylene vinyl acetate. Copolymers and derivatives thereof, polyurethanes and derivatives thereof, polyvinyl chloride and derivatives thereof.
8、 根据权利要求 1至 4中任一项所述的雷沙吉兰透皮贴片, 还可进一步包括具有至少一个小于贴片面积的孔的膜,所述膜的膜材 料为对雷沙吉兰的通透性相对较低的聚合物,其特征为膜材料的湿蒸 汽渗透率小于 100克 /平方米 /日。 The rasagiline transdermal patch according to any one of claims 1 to 4, further comprising a membrane having at least one pore smaller than a patch area, the membrane material of the membrane being a pair of Rasha Gelier's relatively low permeability polymer characterized by a wet vapor permeability of the membrane material of less than 100 grams per square meter per day.
9、 根据权利要求 1至 4中任一项所述的雷沙吉兰透皮贴片, 还任选地包含 PH调节剂或緩冲液。 9. A rasagiline transdermal patch according to any one of claims 1 to 4, optionally further comprising a pH adjusting agent or buffer.
10、 根据权利要求 9 所述的雷沙吉兰透皮贴片, 其中所述 PH调节剂选自下列酸性物质中的至少一种: 己二酸、 己酸、 丙酸、 苯曱酸、 苯乙酸、 邻苯二曱酸、 曱酸、 次磷酸、 磷酸、 磷酸二氢钠、 磷酸二氢钾、 冰醋酸、 醋酸、 乳酸、 苹果酸、 枸橼酸、 盐酸、 硫酸、 硝酸、 磺酸、 曱磺酸、 酒石酸、 琥珀酸、 硼酸、 山梨酸、 硅酸、 对曱 苯磺酸和苯磺酸, 优选盐酸、 曱磺酸和对曱苯磺酸。 10. The rasagiline transdermal patch of claim 9, wherein the pH adjusting agent is selected from at least one of the following acidic substances: adipic acid, caproic acid, propionic acid, benzoic acid, benzene Acetic acid, phthalic acid, citric acid, hypophosphorous acid, phosphoric acid, sodium dihydrogen phosphate, potassium dihydrogen phosphate, glacial acetic acid, acetic acid, lactic acid, malic acid, citric acid, hydrochloric acid, sulfuric acid, nitric acid, sulfonic acid, hydrazine Sulfonic acid, tartaric acid, succinic acid, boric acid, sorbic acid, silicic acid, p-toluenesulfonic acid and benzenesulfonic acid, preferably hydrochloric acid, sulfonic acid and p-toluenesulfonic acid.
11、 根据权利要求 9所述的雷沙吉兰透皮贴片,其中所述緩 冲液选自下列溶液中的至少一种: 曱酸盐緩冲液、 醋酸盐緩冲液、磷 酸盐緩冲液、 枸橼酸盐緩冲液和邻苯二曱酸盐緩冲液。 11. The rasagiline transdermal patch of claim 9, wherein the buffer is selected from at least one of the following solutions: citrate buffer, acetate buffer, phosphate Buffer, citrate buffer and phthalate buffer.
12、 根据权利要求 1 - 4 中任一项所述的雷沙吉兰透皮贴 片, 还任选地包括至少一种透皮促进剂。 12. The rasagiline transdermal patch of any of claims 1 - 4, optionally further comprising at least one transdermal enhancer.
13、 根据权利要求 12所述的雷沙吉兰透皮贴片 , 其中所说 的透皮促进剂选自下列物质中的至少一种: 乙醇、 丙二醇、 油酸、 油 醇、 亚油酸、 月桂醇、 月桂酸、 肉豆蔻酸异丙酯和月桂氮萆酮。 13. The rasagiline transdermal patch of claim 12, wherein said transdermal enhancer is selected from at least one of the group consisting of: ethanol, propylene glycol, oleic acid, oleyl alcohol, linoleic acid, Lauryl alcohol, lauric acid, isopropyl myristate and lauryl ketone.
14、 一种制备根据权利要求 1 - 13 中任一项所述的雷沙吉 兰透皮贴片的方法, 包括: A method of preparing a rasagiline transdermal patch according to any one of claims 1 to 13, comprising:
- 提供所述至少一种亲水性聚合物基质; Providing the at least one hydrophilic polymer matrix;
- 将治疗有效量的雷沙吉兰或其药物上可接受的盐与所述基 质混合; - mixing a therapeutically effective amount of rasagiline or a pharmaceutically acceptable salt thereof with said matrix;
- 将所述基质的 PH值调节至不大于 7.0, 优选调节 PH值至 - adjusting the pH of the substrate to not more than 7.0, preferably adjusting the pH to
3.0 - 6.5。  3.0 - 6.5.
15、 根据权利要求 14的方法, 其中通过在基质中加入 PH 调节剂或緩冲液将所述基质的 PH值调节至不大于 7.0。 The method according to claim 14, wherein the pH of the substrate is adjusted to not more than 7.0 by adding a pH adjuster or a buffer to the matrix.
16、 根据权利要求 15的方法, 其中所述 PH调节剂选自下 列酸性物质中的至少一种: 己二酸、 己酸、 丙酸、 苯曱酸、 苯乙酸、 邻苯二曱酸、 曱酸、 次磷酸、 磷酸、 磷酸二氢钠、 磷酸二氢钾、 冰醋 酸、 醋酸、 乳酸、 苹果酸、 枸橼酸、 盐酸、 硫酸、 硝酸、 磺酸、 曱磺 酸、 酒石酸、 琥珀酸、 硼酸、 山梨酸、 硅酸、 对曱苯磺酸和苯磺酸, 优选盐酸、 曱磺酸和对曱苯磺酸。 16. The method according to claim 15, wherein said pH adjusting agent is selected from at least one of the following acidic substances: adipic acid, caproic acid, propionic acid, benzoic acid, phenylacetic acid, phthalic acid, hydrazine Acid, hypophosphorous acid, phosphoric acid, sodium dihydrogen phosphate, potassium dihydrogen phosphate, glacial acetic acid, acetic acid, lactic acid, malic acid, citric acid, hydrochloric acid, sulfuric acid, nitric acid, sulfonic acid, sulfonic acid, tartaric acid, succinic acid, boric acid , sorbic acid, silicic acid, p-toluenesulfonic acid and benzenesulfonic acid, preferably hydrochloric acid, sulfonic acid and p-toluenesulfonic acid.
17、 根据权利要求 15的方法, 其中所述緩冲液选自下列溶 液中的至少一种: 曱酸盐緩冲液、 醋酸盐緩冲液、磷酸盐緩冲液、 枸 橼酸盐緩冲液和邻苯二曱酸盐緩冲液。 17. The method according to claim 15, wherein said buffer is selected from at least one of the following solutions: citrate buffer, acetate buffer, phosphate buffer, citrate Flush and phthalate buffer.
18、 根据权利要求 1 - 13 中任一项所述的雷沙吉兰透皮贴 片在治疗或预防帕金森氏病、阿尔茨海默氏病、抑郁症、小儿多动症、 不宁腿综合征、 多发性硬化和脱瘾综合征中的用途。 The rasagiline transdermal patch according to any one of claims 1 to 13 for treating or preventing Parkinson's disease, Alzheimer's disease, depression, pediatric hyperactivity disorder, restless legs syndrome , the use of multiple sclerosis and withdrawal syndrome.
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Cited By (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7855233B2 (en) 2009-01-23 2010-12-21 Teva Pharmaceutical Industries, Ltd. Citrate salt of Rasagiline
US7968749B2 (en) 2008-06-19 2011-06-28 Teva Pharmaceutical Industries, Ltd. Process for preparing and drying solid rasagiline base
WO2011139420A3 (en) * 2010-04-30 2012-01-12 Teikoku Pharma Usa, Inc. Propynylaminoindan transdermal compositions
US8188149B2 (en) 2007-09-17 2012-05-29 Teva Pharmaceutical Industries, Ltd. Use of R(+)-N-propargy1-1-aminoindan to treat or prevent hearing loss
EP2494966A1 (en) * 2009-10-29 2012-09-05 Chongqing Pharmaceutical Research Institute Co., Ltd. Stable composition of rasagiline
US8809310B2 (en) 2006-02-21 2014-08-19 Teva Pharmaceutical Industries, Ltd. Use of rasagiline for the treatment of multiple system atrophy
US8946300B2 (en) 2006-04-03 2015-02-03 Teva Pharmaceutical Industries, Ltd. Use of rasagilline for the treatment of restless legs syndrome
US9119799B2 (en) 2011-03-24 2015-09-01 Teikoku Pharma Usa, Inc. Transdermal compositions comprising an active agent layer and an active agent conversion layer
US9205061B2 (en) 2012-11-02 2015-12-08 Teikoku Pharma Usa, Inc. Propynylaminoindan transdermal compositions
US9913812B2 (en) 2011-11-09 2018-03-13 Teikoku Pharma Usa, Inc. Methods for the treatment of skin neoplasms

Families Citing this family (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102475692A (en) * 2010-11-29 2012-05-30 重庆医药工业研究院有限责任公司 Transdermal patch preventing rasagiline from volatilizing
CN103315983B (en) * 2012-12-20 2015-06-03 上海中西制药有限公司 Rasagiline preparation and preparation method thereof
CN104510628A (en) * 2013-09-27 2015-04-15 金红叶纸业集团有限公司 Household paper
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Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP1561461A2 (en) * 1997-06-26 2005-08-10 Mylan Technologies, Inc. Adhesive mixture for transdermal delivery of highly plasticizing drugs
CN101032474A (en) * 2006-03-06 2007-09-12 重庆医药工业研究院有限责任公司 Rasagiline transparent patch for curing and preventing neurological diseases and the preparing method thereof
WO2008076348A1 (en) * 2006-12-14 2008-06-26 Teva Pharmaceutical Industries, Ltd. Crystalline solid rasagiline base

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP1561461A2 (en) * 1997-06-26 2005-08-10 Mylan Technologies, Inc. Adhesive mixture for transdermal delivery of highly plasticizing drugs
CN101032474A (en) * 2006-03-06 2007-09-12 重庆医药工业研究院有限责任公司 Rasagiline transparent patch for curing and preventing neurological diseases and the preparing method thereof
WO2008076348A1 (en) * 2006-12-14 2008-06-26 Teva Pharmaceutical Industries, Ltd. Crystalline solid rasagiline base

Cited By (19)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8809310B2 (en) 2006-02-21 2014-08-19 Teva Pharmaceutical Industries, Ltd. Use of rasagiline for the treatment of multiple system atrophy
US8946300B2 (en) 2006-04-03 2015-02-03 Teva Pharmaceutical Industries, Ltd. Use of rasagilline for the treatment of restless legs syndrome
US8188149B2 (en) 2007-09-17 2012-05-29 Teva Pharmaceutical Industries, Ltd. Use of R(+)-N-propargy1-1-aminoindan to treat or prevent hearing loss
US8163960B2 (en) 2008-06-19 2012-04-24 Teva Pharmaceutical Industries, Ltd. Process for preparing and drying solid rasagiline base
US7968749B2 (en) 2008-06-19 2011-06-28 Teva Pharmaceutical Industries, Ltd. Process for preparing and drying solid rasagiline base
US7855233B2 (en) 2009-01-23 2010-12-21 Teva Pharmaceutical Industries, Ltd. Citrate salt of Rasagiline
US8080584B2 (en) 2009-01-23 2011-12-20 Teva Pharmaceuticals Industries, Ltd. Delayed release rasagiline citrate formulation
EP2494966A4 (en) * 2009-10-29 2013-03-06 Chongqing Pharm Res Inst Co Stable composition of rasagiline
EP2494966A1 (en) * 2009-10-29 2012-09-05 Chongqing Pharmaceutical Research Institute Co., Ltd. Stable composition of rasagiline
US8859624B2 (en) 2009-10-29 2014-10-14 Chongqing Pharmaceutical Research Institute Co., Ltd. Stable rasagiline composition
WO2011139420A3 (en) * 2010-04-30 2012-01-12 Teikoku Pharma Usa, Inc. Propynylaminoindan transdermal compositions
US9017723B2 (en) 2010-04-30 2015-04-28 Teikoku Pharma Usa, Inc. Propynylaminoindan transdermal compositions
EA023786B1 (en) * 2010-04-30 2016-07-29 ТЕЙКОКУ ФАРМА ЮЭсЭй, ИНК. Propynylaminoindan transdermal compositions
US9597301B2 (en) 2010-04-30 2017-03-21 Teikoku Pharma Usa, Inc. Propynylaminoindan transdermal compositions
US9119799B2 (en) 2011-03-24 2015-09-01 Teikoku Pharma Usa, Inc. Transdermal compositions comprising an active agent layer and an active agent conversion layer
US9913812B2 (en) 2011-11-09 2018-03-13 Teikoku Pharma Usa, Inc. Methods for the treatment of skin neoplasms
US9205061B2 (en) 2012-11-02 2015-12-08 Teikoku Pharma Usa, Inc. Propynylaminoindan transdermal compositions
US9827207B2 (en) 2012-11-02 2017-11-28 Teikoku Pharma Usa, Inc. Propynylaminoindan transdermal compositions
US10918607B2 (en) 2012-11-02 2021-02-16 Teikoku Pharma Usa, Inc. Propynylaminoindan transdermal compositions

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