WO2011072509A1 - Progesterone formulation composition and preparation method thereof - Google Patents

Progesterone formulation composition and preparation method thereof Download PDF

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Publication number
WO2011072509A1
WO2011072509A1 PCT/CN2010/072728 CN2010072728W WO2011072509A1 WO 2011072509 A1 WO2011072509 A1 WO 2011072509A1 CN 2010072728 W CN2010072728 W CN 2010072728W WO 2011072509 A1 WO2011072509 A1 WO 2011072509A1
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Prior art keywords
progesterone
oil
capsule
preparation
preparation composition
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PCT/CN2010/072728
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French (fr)
Chinese (zh)
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邓金明
吴海英
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浙江爱生药业有限公司
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Publication of WO2011072509A1 publication Critical patent/WO2011072509A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/44Oils, fats or waxes according to two or more groups of A61K47/02-A61K47/42; Natural or modified natural oils, fats or waxes, e.g. castor oil, polyethoxylated castor oil, montan wax, lignite, shellac, rosin, beeswax or lanolin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/56Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids
    • A61K31/57Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids substituted in position 17 beta by a chain of two carbon atoms, e.g. pregnane or progesterone
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K35/00Medicinal preparations containing materials or reaction products thereof with undetermined constitution
    • A61K35/56Materials from animals other than mammals
    • A61K35/63Arthropods
    • A61K35/64Insects, e.g. bees, wasps or fleas
    • A61K35/644Beeswax; Propolis; Royal jelly; Honey
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/08Solutions
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/48Preparations in capsules, e.g. of gelatin, of chocolate
    • A61K9/4841Filling excipients; Inactive ingredients
    • A61K9/4875Compounds of unknown constitution, e.g. material from plants or animals
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P15/00Drugs for genital or sexual disorders; Contraceptives
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P15/00Drugs for genital or sexual disorders; Contraceptives
    • A61P15/06Antiabortive agents; Labour repressants
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P15/00Drugs for genital or sexual disorders; Contraceptives
    • A61P15/08Drugs for genital or sexual disorders; Contraceptives for gonadal disorders or for enhancing fertility, e.g. inducers of ovulation or of spermatogenesis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P15/00Drugs for genital or sexual disorders; Contraceptives
    • A61P15/12Drugs for genital or sexual disorders; Contraceptives for climacteric disorders
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P5/00Drugs for disorders of the endocrine system
    • A61P5/24Drugs for disorders of the endocrine system of the sex hormones
    • A61P5/34Gestagens

Definitions

  • the present invention relates to the field of medicine, and in particular to a progestin preparation composition having high dissolution and a preparation method thereof. Background technique
  • Progesterone (English name progesterone, chemical name is pregnant _4_ene_3, 20-dione) is a natural progesterone with a general role of progesterone, widely used in the treatment of threatened abortion, habitual abortion, artificial insemination Progesterone or luteal function, infertility, premenstrual tension syndrome, anovulatory dysfunctional uterine bleeding, anovulatory amenorrhea, endometrial hyperplasia, endometrial adenocarcinoma, endometriosis and menopausal syndrome The disease or symptom caused.
  • Progesterone is readily soluble in non-polar solvents and is almost insoluble in water.
  • the existing progesterone preparations include tablets and capsules, but they are extremely poorly absorbed in the stomach after oral administration, and are easily metabolized by the liver to be inactivated, and are basically unusable in clinical use. Therefore, clinical use of oily injections is mainly used. . However, because the oily injection is not easily absorbed, it may cause the injection to accumulate in the local muscles after injection, forming a mass, which inevitably aggravates the patient's pain.
  • U.S. Patent No. 4,196,188 discloses a progesterone oral capsule (referred to as UTR0GESTAN), which can replace the above injection, and has higher bioavailability than the above progesterone preparation, and there are similar dosage forms of progesterone oral capsules on the market in China.
  • the progesterone micropowder in the above capsule is suspended in an oil solution, and the patient needs to take 200 mg of progesterone oral capsule every day to have an effective therapeutic effect, and the excess progesterone which cannot be absorbed by the patient is mainly metabolized by the liver.
  • the damage to the liver is large; at the same time, metabolites are prone to many adverse reactions in patients, so this oral capsule is still limited in clinical application.
  • the existing progesterone preparation has low dissolution in the patient, affecting absorption.
  • the 200 mg progesterone oral capsule that the patient needs to take every day is only 20 mg of the injection, and the rest cannot be absorbed by the patient.
  • the progesterone is inactivated by rapid metabolism of the liver, and it can be seen that the utilization rate of progesterone in the above progesterone preparation or progesterone oral capsule is low;
  • the object of the present invention is to solve the defects in the prior art that the dosage is large, the dissolution rate is low, the bioavailability is low, and the adverse reactions are many.
  • the progesterone preparation composition with high dissolution rate and the preparation method thereof are proposed to realize the dosage. Small, high dissolution, high bioavailability and low adverse reactions.
  • the present invention provides a progesterone preparation composition
  • a liquid solubilizing agent content having a pharmacologically active component and an outer wrapping material, characterized in that: the liquid containing the pharmacologically active component is increased
  • the solvent content is a progesterone oil solution prepared from progesterone and an auxiliary material;
  • the auxiliary material is a non-polar solvent and a solubilizing agent, the non-polar solvent is vegetable oil or/and animal oil, and the solubilizing agent is lecithin or / and beeswax;
  • the progesterone is contained in an amount of 2 to 30 g, the solubilizing agent is 0 to 180 g, and the nonpolar solvent is 75 to 1000 g per 1000 parts of the composition.
  • the progesterone contains 5-20 g, the solubilizer is 0-100 g, and the non-polar solvent is 80-800 g per 1000 formulation compositions.
  • progesterone is contained per 1000 parts of the formulation composition, the solubilizing agent is 0-50 g, and the nonpolar solvent is 80-200 g.
  • 10 g of progesterone is contained per 1000 parts of the preparation composition, the solubilizing agent is 0-80 g, and the non-polar solvent is 100-500 g.
  • it contains 20 g of progesterone, a solubilizing agent of 0-100 g, and a non-polar solvent of 400-800 g per 1000 parts of the formulation composition.
  • the vegetable oil is vegetable oil for peanut oil, soybean oil, rapeseed oil, corn oil, olive oil, sunflower oil, sesame oil, linseed oil, cottonseed oil, rice bran oil, coconut oil, camellia seed oil, canola oil One or more of pepper oil, chili oil, and the like.
  • the animal oil is one or more of animal fat oils such as lard, butter, sheep oil, chicken oil, and duck oil.
  • the lecithin is soy lecithin or egg yolk lecithin.
  • the particle size of 90% of the progesterone micropowder in the progesterone micropowder is less than 10 ⁇ m.
  • the preparation form is a soft capsule, a liquid capsule or a dropping pellet, and the outer coating is gelatin, or gelatin and glycerin, or other clinically acceptable capsule outer wrapping material.
  • the preparation method of the above progesterone preparation composition comprises: weighing the components of the content in proportion, mixing and stirring to obtain a progesterone oil solution, and filling the progesterone oil solution on the soft capsule or the hard capsule or the dropping pills on average. in.
  • the mixture was homogenized by ultrasonic assisted dissolution.
  • lipolysis is the most important way of drug transport.
  • a liposoluble drug can be directly dissolved into a lipid and passed through the cell membrane.
  • the transport speed is mainly related to the fat solubility of the drug. The greater the fat solubility, the easier it is to spread, and the more easily it is absorbed by the lipid membrane of the capillaries; the fat content of the fat-soluble drug preparation affects the degree of absorption, and the progesterone is a fat-soluble drug. , high solubility in non-polar solvents.
  • the progesterone composition of the present invention uses lecithin or beeswax and vegetable oil or animal oil as a non-polar solution of progesterone
  • the agent through a large number of experiments, proves that by adjusting the ratio of the three, when the progesterone composition exhibits an oil solution state, its bioavailability is higher.
  • the progesterone in the progesterone composition of the present invention can be improved in the patient by containing a non-polar solvent for dissolving the progesterone fine powder, that is, vegetable oil or animal oil, and a solubilizing agent for increasing the solubility of the progesterone fine powder, that is, lecithin or beeswax.
  • the dissolution and bioavailability in the body can improve the dissolution of progesterone in the gastrointestinal tract and the absorption in the patient, thereby improving the bioavailability of the preparation, increasing the absorption of progesterone and reducing liver metabolism.
  • the burden of excess progesterone makes it possible to achieve a small dosage, high dissolution, high bioavailability and low adverse reactions.
  • the dissolution rate of the capsule of the present invention is more than 10 times higher than that of the commercially available product, and human experiments show that the 10 mg/granule of the present invention is bioequivalent to the commercially available 100 mg/granule capsule, which greatly reduces the dosage. At the same time, it reduces the metabolic burden of the liver and reduces the harmful effects of liver metabolites on patients.
  • Progesterone micropowder (commercially available, particle size less than 10 ⁇ ⁇ micropowder accounted for more than 90%)
  • Vegetable oil peanut oil, soybean oil, rapeseed oil, corn oil, olive oil, sunflower oil, sesame oil, linseed oil, cottonseed oil, rice bran oil, coconut oil, camellia seed oil, canola oil, pepper oil, chili oil
  • the basic idea of the invention 2-30 g of pharmacologically active progesterone is weighed, and 0-180 g of medicinal excipient lecithin or beeswax is added per 1000 composition, and the rest is non-polar of vegetable oil or animal oil or more.
  • the solvent mixture is 75-1000 g, and ultrasonically dissolved to obtain a progesterone oil solution, and the progesterone oil solution is uniformly filled in a soft capsule to prepare a progesterone capsule of the present invention.
  • the progesterone micropowder has pharmacological activity, is easily soluble in a non-polar solvent, and is insoluble in water;
  • the vegetable oil is a non-polar solvent for dissolving progesterone micropowder;
  • lecithin or beeswax can be used as a solubilizing agent or surface active a agent for increasing the solubility of progesterone particles in vegetable oils.
  • progesterone micropowder 8g of soybean lecithin and 92g of soybean oil, mix the weighed progesterone micropowder, soy lecithin and soybean oil, and dissolve it ultrasonically to obtain progesterone oil solution.
  • Soft mode capsule making machine is used. The obtained progesterone oil solution was uniformly filled in 1000 soft capsules to prepare a progesterone capsule.
  • progesterone microparticles 5 g
  • beeswax 5 g
  • 110 g of rapeseed oil 60 g
  • pepper oil 60 g
  • the obtained progesterone oil solution was filled in an average of 1000 soft capsules to prepare a progesterone capsule.
  • progesterone micropowder 100g of egg yolk lecithin and 400g of corn oil, mix the weighed progesterone micropowder, egg yolk lecithin and corn oil, and dissolve it ultrasonically to obtain progesterone oil solution; use soft mode capsule making machine
  • the obtained progesterone oil solution was uniformly filled in 1000 soft capsules to prepare a progesterone capsule.
  • progesterone micropowder 5 g of progesterone micropowder, 5 g of egg yolk lecithin, 30 g of peanut oil and 65 g of sunflower oil, and mixing the weighed progesterone micropowder, egg yolk lecithin, peanut oil and soybean oil, and ultrasonically dissolving to obtain a progesterone oil solution; Using the soft mode capsule making machine, the obtained progesterone oil solution was uniformly filled in 1000 soft capsules to prepare the progesterone capsule.
  • progesterone micropowder 10g of beeswax and 90g of chicken oil, mix the weighed progesterone micropowder, beeswax and sunflower oil, and dissolve it ultrasonically to obtain progesterone oil solution.
  • soft mode capsule manufacturing machine we will get The progesterone oil solution was filled in an average of 1000 soft capsules to prepare a progesterone capsule.
  • progesterone micropowder 150 g of beeswax and 850 g of sesame oil, mixing the weighed progesterone micropowder, beeswax and sesame oil, and ultrasonically dissolving to obtain a progesterone oil solution; using the soft mode capsule making machine, the obtained progesterone
  • the oil solution was filled in an average of 1000 soft capsules to prepare a progesterone capsule.
  • progesterone micropowder 40 g of beeswax and 80 g of butter and 80 g of sheep oil, mixing the weighed progesterone micropowder, beeswax and corn oil, and ultrasonically dissolving to obtain a progesterone oil solution; using a soft mode capsule making machine, The obtained progesterone oil solution was filled in an average of 1000 soft capsules to prepare a progesterone capsule.
  • At least one of vegetable oils such as peanut oil, soybean oil, rapeseed oil, and corn oil, or at least one of lard, butter, sheep oil, and the like, may be used to dissolve the progesterone powder.
  • Soy lecithin, egg yolk lecithin or beeswax can be used as a solubilizing agent for the progesterone fine powder to be dissolved in the above vegetable oil, and can also be used as a surfactant for the progesterone composition of the present invention.
  • progesterone micropowder, lecithin or beeswax, and vegetable oil or animal oil are mixed and shaken in proportion, and ultrasonically dissolved to obtain a progesterone oil solution, and the progesterone oil solution is filled in the soft capsule.
  • produced corpus luteum Ketone capsule wherein, the non-polar solvent is used to dissolve the progesterone micropowder, the solubilizer is used to increase the solubility of progesterone, and the dissolution and bioavailability of progesterone in the progesterone capsule can be improved to improve the patient.
  • progesterone reduces the burden of excess progesterone metabolism in the liver; thus, it can overcome the defects of large dosage, low dissolution rate, low bioavailability and many adverse reactions in the prior art, so as to achieve a small dosage and dissolution rate. High, high bioavailability and few adverse reactions.
  • progesterone capsules trade name: Qi Ning, manufacturer: Zhejiang Aisheng Pharmaceutical Co., Ltd.,
  • the progesterone capsules obtained in the above examples of the present invention were exposed to light at 3500 LX, and the temperatures were respectively room temperature, 40 ° C and 25 ° C, and the humidity was RH 92.5% and RH 75%, respectively, for 10 days. .
  • the progesterone capsules of the present invention which are sealed and preserved are compared with the properties, the color of the contents, the fragmentation, the time limit of disintegration, the content determination and the chromatographic degradation products, and the comparison results show that the light and the temperature are different.
  • the naked progesterone capsules of the present invention are substantially stable under humidity conditions.
  • the progesterone capsule of the present invention is sealed and packaged, and is accelerated for six months under the conditions of a temperature of 40 ° C and a humidity of RH of 75%, while being stored at room temperature for 24 months, and regularly according to a predetermined quality.
  • the temperature standard was used to observe and measure the sample, and it was found that the traits of the sample were basically stable.
  • the progesterone capsules of the present invention and the commercially available progesterone capsules were respectively subjected to a dissolution test according to the second method of the Chinese Pharmacopoeia 2005 edition two appendix X dissolution method: the degassed artificial gastric juice 900ml
  • the injection number is 1-6 in the container, and the artificial gastric juice can be maintained at 37 ⁇ 0.5 ° C by heating; the contents of the progesterone capsule of the present invention and the commercially available progesterone glue are respectively weighed. ⁇ ( ⁇ ) The content of each sample is 0.
  • the rotation speed is 50 rev / min, respectively at 30, 60 At 90, 120, 150, and 180 minutes, draw 20 ml of each solution from each of the 6 containers, and immediately fill in the same amount of white solution.
  • the liquid is the artificial gastric juice of the same trait, and the aspirated solution is filtered through a 0. 45 ⁇ ⁇ microporous membrane, and the filtrate is measured by ultraviolet spectrophotometry. The absorbance is measured at a wavelength of 241 nm, and the absorption is based on progesterone. The coefficient is calculated as 540 and the percentage of dissolution per time is calculated. See the table below for the results.
  • the percentage by weight of progesterone in the progesterone capsules of the present invention is 1.96%, respectively. 2. 44%, 2. 78%, 4. 76%, 2. 91%, the weight percentage of progesterone in the commercially available progesterone capsule is 37%, so, 0.5 g of the progesterone capsule of the present invention
  • the progesterone containing ketones was 9.8 mg, 12.2 mg, 13.9 mg, 23.8 mg, 14. 55 mg, 0.5 g of commercially available progesterone capsules containing 185 mg of progesterone.
  • Table 1 Percentage of dissolution of progesterone capsules containing 2 mg of progesterone in artificial gastric juice at various intervals (%)
  • Table 2 Percentage of dissolution of progesterone capsules containing 5 mg of progesterone in artificial gastric juice at various times (%) Container No. 30 min 60 min 90 min 120 min 150 min 180 min
  • Table 3 Percentage of dissolution of progesterone capsules containing 20mg of progesterone in artificial gastric juice at each time period (%) Container serial number 30min 60min 90min 120min 150min 180min
  • Table 5 Percentage of dissolution of progesterone capsules containing 30 mg of progesterone in artificial gastric juice at various intervals (%) Container No. 30 min 60 min 90 min 120 min 150 min 180 min
  • the dissolution rate of the progesterone capsule containing 2 mg, 5 mg, 20 mg, and 30 mg of the present invention is about 40% lower than that of the commercially available progesterone capsule.
  • the degree is 1.58% high, and, over time, the progesterone capsules of the present invention are also eluted in a larger amount than the commercially available progesterone capsules.
  • the dissolution rate of 5 mg of the progesterone capsule of the present invention is 41. 17 ⁇ 1. 56%, containing the corpus luteum.
  • the content of the content of the progesterone capsule is 1. 58 mg; 24%, the absolute dissolution of the content of the progesterone 100 mg is 1.
  • Table 7 Percentage of dissolution of progesterone capsules containing progesterone 2mg in artificial intestinal fluid at various intervals (%) Container serial number 30min 60min 90min 120min 150min 180min
  • Table 8 Percentage of dissolution of progesterone capsules containing progesterone 5mg in artificial intestinal fluid (%) Container serial number 30min 60min 90min 120min 150min 180min 1 44. 12 51. 02 49. 73 49. 89 50. 1 51. 72
  • Table 9 Percentage of dissolution of progesterone containing 20mg of progesterone capsules in artificial intestinal fluid (%) Container serial number 30min 60min 90min 120min 150min 180min
  • Table ⁇ 1 Percentage of dissolution of progesterone capsules containing progesterone 30mg in artificial intestinal fluid (%) Container serial number 30min 60min 90min 120min 150min 180min
  • a ⁇ , dodecyl seen from Table VI, seven, eight, nine, ten, in artificial intestinal juice, according to the present invention comprising 2mg, 5mg, 20m g, 30mg progesterone capsules dissolution is about 50% greater than the commercial
  • the progesterone capsules have a dissolution rate of 3.88%, and, over time, the progesterone capsules of the present invention are also eluted in a larger amount than the commercially available progesterone capsules.
  • the dissolution of the content of the progesterone capsule of the present invention is 55. 03 ⁇ 3. 72%, and the absolute amount of the content of the progesterone containing 12. 2 mg is 6. 71mg; commercially available progesterone capsules dissolution was 3.
  • the Cmax of progesterone in the progesterone pill of the present invention is 2.73 ⁇ 0. 77 (ng/ml), the Tmax is 1.5 (h), AUC (T48 is 42.38 ⁇ 6.33 (ng/ml.h)
  • the Cmax of the commercially available progesterone pellet is 2.78 ⁇ 0.17 (ng/ml)
  • the Tmax is 2. 5 ⁇ 1 (h)
  • the AUCCT48 is 44. 42 ⁇ 6. 12 (ng/ml. h)
  • the statistical analysis of the above-mentioned main pharmacokinetic parameters and the evaluation of the bioequivalence showed that the average bioavailability of the progesterone capsules of the present invention is 95. 46 ⁇ 12.
  • the progesterone pellet of the present invention (specification lOmg) is bioequivalent to the human progesterone capsule (specification lOOmg) in the human body.
  • the pharmaceutical properties of the progesterone capsules having a high dissolution rate of the present invention are further illustrated by typical cases.
  • Case 1 Wang Jinhua, 47 years old, diagnosed as peri-menopausal without ovulation. After receiving the lutemg of the progesterone capsule of the present invention, the menstrual volume and the number of menstrual days returned to normal after 3 months of continuous use; the progesterone capsule lOmg of the present invention was added from the 17th day of menstruation, and the drug was discontinued after 10 days. The patient did not take other drugs before taking the progesterone capsule of the present invention, and did not take the estrogen drug when taking the progesterone capsule of the present invention.
  • Case 2 Chen Xiulian, 50 years old, menstruation nearly 4 months of future tide, B-ultrasound endometrium EN>13 hidden, diagnosed as menopause.
  • the progesterone capsule of the present invention was treated with lOmg, and the endometrial exfoliation was continued after 10 days; after 3 months of the cycle treatment, the menstrual volume and the number of menstrual days returned to normal.
  • the patient did not take other drugs before taking the progesterone capsule of the present invention, and did not take the estrogen drug when taking the progesterone capsule having the high dissolution rate of the present invention.
  • Case 3 Ye Lei, 32 years old, 3 months menstrual future tide, exclude pregnancy, diagnosed as amenorrhea. After receiving the lutemg of the progesterone capsule of the present invention, the menstrual volume and the number of menstrual days return to normal after 2 months of continuous use; the date is added from the 17th day of menstruation Invented 10 mg of progesterone capsules with high dissolution, and the drug was discontinued after 10 days. The patient does not take other drugs before taking the progesterone capsule with high dissolution rate of the present invention, and does not take the estrogen drug when taking the progesterone capsule of the present invention; the patient takes the progesterone capsule with high dissolution rate of the present invention. The time is about 3 months.
  • Case 4 Lu Xiaojie, 40 years old, diagnosed with premature ovarian failure.
  • the menstrual volume and the number of menstrual days are normal after the second month of taking the progesterone capsule of the present invention; if the supplement is better, the treatment effect is better, and specific, in menstruation On the 5th day, take Jiajiale for 21 days; and take the progesterone capsule of the present invention on the 17th day of menstruation for 10 days.
  • the treatment period is 3 months.
  • the patient only needs to take 20mg of progesterone capsules per day to achieve an effective therapeutic dose, and it is convenient to take and has no adverse reactions.

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Abstract

A progesterone formulation composition and the preparation method thereof are disclosed. The composition is composed of progesterone oil content prepared from progesterone, non-polar solvents and solubilizers and encapsulating materials. The non-polar solvents are vegetable oils or/and animal oils. The solubilizer is lecithin or/and beeswax. Said composition can be administered orally for the treatment of diseases or disorders induced by progestogen insufficiency or inadequate luteal function.

Description

黄体酮制剂组合物及其制备方法 技术领域  Progesterone preparation composition and preparation method thereof
本发明涉及医药领域, 具体地, 涉及一种溶出度高的黄体酮制剂组合物及其制备方法。 背景技术  The present invention relates to the field of medicine, and in particular to a progestin preparation composition having high dissolution and a preparation method thereof. Background technique
黄体酮(英文名称为 progesterone,化学名称为孕 _4_烯 _3、 20-二酮)是天然孕激素, 具有孕激素的一般作用, 广泛用于治疗先兆性流产、 习惯性流产、 人工授精、 不孕、 经前期 紧张综合症、 无排卵型功血、 无排卵型闭经、 子宫内膜过度增生、 子宫内膜腺癌、 子宫内膜 异位症和更年期综合症等孕激素或黄体功能不足所致的疾病或症状。  Progesterone (English name progesterone, chemical name is pregnant _4_ene_3, 20-dione) is a natural progesterone with a general role of progesterone, widely used in the treatment of threatened abortion, habitual abortion, artificial insemination Progesterone or luteal function, infertility, premenstrual tension syndrome, anovulatory dysfunctional uterine bleeding, anovulatory amenorrhea, endometrial hyperplasia, endometrial adenocarcinoma, endometriosis and menopausal syndrome The disease or symptom caused.
黄体酮易溶于非极性溶剂, 在水中几乎不溶。 现有的黄体酮制剂有片剂和胶囊, 但因口 服后在胃中吸收极差, 且易被肝脏迅速代谢而失活, 在临床上基本无法使用, 所以, 临床上 以使用油性注射剂为主。 但是, 因为油性注射液不易被吸收, 注射后易引起注射液淤积于局 部肌肉, 形成肿块, 无形中加重了患者的痛苦。  Progesterone is readily soluble in non-polar solvents and is almost insoluble in water. The existing progesterone preparations include tablets and capsules, but they are extremely poorly absorbed in the stomach after oral administration, and are easily metabolized by the liver to be inactivated, and are basically unusable in clinical use. Therefore, clinical use of oily injections is mainly used. . However, because the oily injection is not easily absorbed, it may cause the injection to accumulate in the local muscles after injection, forming a mass, which inevitably aggravates the patient's pain.
专利号为 US4196188的美国专利提出了一种黄体酮口服胶丸 (简称 UTR0GESTAN), 可以 代替上述注射剂, 比上述黄体酮制剂的生物利用度高, 我国市场上也有类似剂型的黄体酮口 服胶丸。 上述胶丸中的黄体酮微粉是悬浮在油溶液中的, 患者每天需服用 200mg的黄体酮口 服胶丸, 才能起到有效的治疗作用, 其中不能被患者吸收的多余黄体酮主要由肝脏代谢, 对 肝脏的损害较大; 同时, 代谢产物在患者体内易产生许多不良反应, 所以, 这种口服胶丸在 临床应用上仍然受到一定限制。  U.S. Patent No. 4,196,188 discloses a progesterone oral capsule (referred to as UTR0GESTAN), which can replace the above injection, and has higher bioavailability than the above progesterone preparation, and there are similar dosage forms of progesterone oral capsules on the market in China. The progesterone micropowder in the above capsule is suspended in an oil solution, and the patient needs to take 200 mg of progesterone oral capsule every day to have an effective therapeutic effect, and the excess progesterone which cannot be absorbed by the patient is mainly metabolized by the liver. The damage to the liver is large; at the same time, metabolites are prone to many adverse reactions in patients, so this oral capsule is still limited in clinical application.
在实现本发明过程中, 发明人发现上述含有黄体酮的药物至少存在如下问题:  In carrying out the present invention, the inventors have found that the above-mentioned progesterone-containing drug has at least the following problems:
(1)服用剂量大: 对于专利号为 US4196188的黄体酮口服胶丸, 患者每天需服用 200mg的 黄体酮口服胶丸才能起到有效的治疗作用, 服用剂量较大; 而不能被患者吸收的黄体酮则通 过肝脏迅速代谢而失活;  (1) Large dosage: For the progesterone oral capsule with the patent number US4196188, the patient needs to take 200mg of progesterone oral capsule every day to have an effective therapeutic effect, and the dosage is larger; the corpus luteum that cannot be absorbed by the patient Ketones are inactivated by rapid metabolism of the liver;
(2)溶出度低: 现有的片剂和胶囊型的黄体酮制剂口服后在患者肠胃中的吸收极差; (2) Low dissolution: The existing tablets and capsule type progesterone preparations have poor absorption in the stomach of the patient after oral administration;
(3)生物利用度低: 现有的黄体酮制剂在患者体内的溶出度低, 影响吸收, 患者每天需服 用的 200mg的黄体酮口服胶丸, 仅相当注射液的 20mg, 其余不能被患者吸收的黄体酮通过肝 脏迅速代谢而失活, 可见上述黄体酮制剂或黄体酮口服胶丸中黄体酮的利用率较低; (3) Low bioavailability: The existing progesterone preparation has low dissolution in the patient, affecting absorption. The 200 mg progesterone oral capsule that the patient needs to take every day is only 20 mg of the injection, and the rest cannot be absorbed by the patient. The progesterone is inactivated by rapid metabolism of the liver, and it can be seen that the utilization rate of progesterone in the above progesterone preparation or progesterone oral capsule is low;
(4)不良反应多: 上述黄体酮制剂或黄体酮口服胶丸中不能被患者吸收的多余黄体酮通过 肝脏迅速代谢, 对肝脏损害较大。 药物不良反应主要表现为头晕和乳胀, 头晕发生率均为 10. 3%, 乳胀发生率为 17. 2%。  (4) Many adverse reactions: The excess progesterone which cannot be absorbed by the patient in the above progesterone preparation or progesterone oral capsule is rapidly metabolized by the liver, and the damage to the liver is large. The adverse drug reactions were mainly dizziness and bloating, the incidence of dizziness was 10.3%, and the incidence of bloating was 17.2%.
发明内容 本发明的目的是针对现有技术中服用剂量大、 溶出度低、 生物利用度低和不良反应多的 缺陷, 提出一种溶出度高的黄体酮制剂组合物及其制备方法, 以实现服用剂量小、溶出度高、 生物利用度高和不良反应少。 Summary of the invention The object of the present invention is to solve the defects in the prior art that the dosage is large, the dissolution rate is low, the bioavailability is low, and the adverse reactions are many. The progesterone preparation composition with high dissolution rate and the preparation method thereof are proposed to realize the dosage. Small, high dissolution, high bioavailability and low adverse reactions.
为实现上述目的, 本发明提供一种黄体酮制剂组合物, 由内含具有药理活性组份的液体 增溶剂内容物和外包裹材料组成, 其特征在于: 内含具有药理活性组份的液体增溶剂内容物 是由黄体酮及辅料制成的黄体酮油溶液; 所述辅料为非极性溶剂和增溶剂, 所述非极性溶剂 为植物油或 /和动物油, 所述增溶剂为卵磷脂或 /和蜂蜡;  In order to achieve the above object, the present invention provides a progesterone preparation composition comprising a liquid solubilizing agent content having a pharmacologically active component and an outer wrapping material, characterized in that: the liquid containing the pharmacologically active component is increased The solvent content is a progesterone oil solution prepared from progesterone and an auxiliary material; the auxiliary material is a non-polar solvent and a solubilizing agent, the non-polar solvent is vegetable oil or/and animal oil, and the solubilizing agent is lecithin or / and beeswax;
以每 1000粒制剂组合物计,含黄体酮 2-30g,增溶剂为 0-180g,非极性溶剂为 75_1000g。 优选: 以每 1000粒制剂组合物计, 含黄体酮 5-20g, 增溶剂为 0-100g, 非极性溶剂为 80-800g o  The progesterone is contained in an amount of 2 to 30 g, the solubilizing agent is 0 to 180 g, and the nonpolar solvent is 75 to 1000 g per 1000 parts of the composition. Preferably, the progesterone contains 5-20 g, the solubilizer is 0-100 g, and the non-polar solvent is 80-800 g per 1000 formulation compositions.
优选:以每 1000粒制剂组合物计,含有黄体酮 5g,增溶剂为 0-50g,非极性溶剂为 80-200g。 优选: 以每 1000 粒制剂组合物计, 含有黄体酮 10g, 增溶剂为 0-80g, 非极性溶剂为 100-500g。  Preferably, 5 g of progesterone is contained per 1000 parts of the formulation composition, the solubilizing agent is 0-50 g, and the nonpolar solvent is 80-200 g. Preferably, 10 g of progesterone is contained per 1000 parts of the preparation composition, the solubilizing agent is 0-80 g, and the non-polar solvent is 100-500 g.
优选: 每 1000 粒制剂组合物计, 含有黄体酮 20g, 增溶剂为 0-100g, 非极性溶剂为 400-800g。  Preferably, it contains 20 g of progesterone, a solubilizing agent of 0-100 g, and a non-polar solvent of 400-800 g per 1000 parts of the formulation composition.
所述植物油为植物油为花生油、 大豆油、 菜籽油、 玉米油、 橄榄油、 葵花籽油、 芝麻油、 亚麻籽油、 棉籽油、 米糠油、 椰子油、 油茶籽油、 低芥酸菜籽油、 花椒油、 辣椒油等中的一种 或几种。  The vegetable oil is vegetable oil for peanut oil, soybean oil, rapeseed oil, corn oil, olive oil, sunflower oil, sesame oil, linseed oil, cottonseed oil, rice bran oil, coconut oil, camellia seed oil, canola oil One or more of pepper oil, chili oil, and the like.
所述动物油为猪油、 牛油、 羊油、 鸡油、 鸭油等动物脂肪油中的一种或几种。  The animal oil is one or more of animal fat oils such as lard, butter, sheep oil, chicken oil, and duck oil.
所述卵磷脂为大豆卵磷脂或蛋黄卵磷脂。  The lecithin is soy lecithin or egg yolk lecithin.
所述黄体酮微粉中 90%的黄体酮微粉的粒径小于 10 μ πι。  The particle size of 90% of the progesterone micropowder in the progesterone micropowder is less than 10 μm.
其制剂剂型为软胶囊、 液体胶囊或滴丸, 其外包裹为明胶、 或明胶与甘油、 或其它临床 上可接受的胶囊外包裹材料。  The preparation form is a soft capsule, a liquid capsule or a dropping pellet, and the outer coating is gelatin, or gelatin and glycerin, or other clinically acceptable capsule outer wrapping material.
上述黄体酮制剂组合物的制备方法, 包括: 按比例称取内容物各组分, 将其混合搅匀, 得到黄体酮油溶液, 将黄体酮油溶液平均填充于软胶囊或硬胶囊或滴丸中。  The preparation method of the above progesterone preparation composition comprises: weighing the components of the content in proportion, mixing and stirring to obtain a progesterone oil solution, and filling the progesterone oil solution on the soft capsule or the hard capsule or the dropping pills on average. in.
所述混合搅匀时采用超声辅助溶解。  The mixture was homogenized by ultrasonic assisted dissolution.
一般情况下, 增加药物的水溶性便可增加其吸收度, 但对于脂溶性药物而言, 脂溶扩散 是药物转运的最主要方式, 脂溶性药物可以直接溶解到脂质中并通过细胞膜, 所以其转运速 度主要与药物的脂溶性有关, 脂溶性越大, 愈易扩散, 愈易被毛细血管的类脂质膜吸收; 脂 溶性药物制剂的脂肪含量影响其吸收程度, 黄体酮是脂溶性药物, 在非极性溶剂中溶解度较 高。 本发明中的黄体酮组合物, 采用卵磷脂或蜂蜡与植物油或动物油作为黄体酮的非极性溶 剂, 通过大量的试验证明, 通过调整三者的比例, 当黄体酮组合物呈现油溶液状态时, 其生 物利用度更高。 由于含有用于溶解黄体酮微粉的非极性溶剂即植物油或动物油, 和用于增加 黄体酮微粉的溶解度的增溶剂即卵磷脂或蜂蜡, 从而可以提高本发明黄体酮组合物中黄体酮 在患者体内的溶出度和生物利用度, 可以提高黄体酮在胃肠道的溶出度和在患者体内的吸收 度, 从而有利于提高制剂的生物利用度, 提高患者对黄体酮的吸收度和减少肝脏代谢多余黄 体酮的负担, 从而可以实现服用剂量小、 溶出度高、 生物利用度高和不良反应少的优点。 In general, increasing the water solubility of a drug increases its absorbance, but for a fat-soluble drug, lipolysis is the most important way of drug transport. A liposoluble drug can be directly dissolved into a lipid and passed through the cell membrane. The transport speed is mainly related to the fat solubility of the drug. The greater the fat solubility, the easier it is to spread, and the more easily it is absorbed by the lipid membrane of the capillaries; the fat content of the fat-soluble drug preparation affects the degree of absorption, and the progesterone is a fat-soluble drug. , high solubility in non-polar solvents. The progesterone composition of the present invention uses lecithin or beeswax and vegetable oil or animal oil as a non-polar solution of progesterone The agent, through a large number of experiments, proves that by adjusting the ratio of the three, when the progesterone composition exhibits an oil solution state, its bioavailability is higher. The progesterone in the progesterone composition of the present invention can be improved in the patient by containing a non-polar solvent for dissolving the progesterone fine powder, that is, vegetable oil or animal oil, and a solubilizing agent for increasing the solubility of the progesterone fine powder, that is, lecithin or beeswax. The dissolution and bioavailability in the body can improve the dissolution of progesterone in the gastrointestinal tract and the absorption in the patient, thereby improving the bioavailability of the preparation, increasing the absorption of progesterone and reducing liver metabolism. The burden of excess progesterone makes it possible to achieve a small dosage, high dissolution, high bioavailability and low adverse reactions.
通过实验证明, 本发明胶丸溶出度高于市售产品的 10倍以上, 人体实验表明, 本发明 10mg/粒与市售的 lOOmg/粒的胶丸具有生物等效性, 大大减少了用药量, 同时减轻了肝脏的 代谢负担, 减少了肝脏代谢产物对患者的不良危害。  It has been proved by experiments that the dissolution rate of the capsule of the present invention is more than 10 times higher than that of the commercially available product, and human experiments show that the 10 mg/granule of the present invention is bioequivalent to the commercially available 100 mg/granule capsule, which greatly reduces the dosage. At the same time, it reduces the metabolic burden of the liver and reduces the harmful effects of liver metabolites on patients.
具体实施方式 detailed description
以下对本发明的优选实施例进行说明, 应当理解, 此处所描述的优选实施例仅用于说明 和解释本发明, 并不用于限定本发明。  The preferred embodiments of the present invention are described below, and the preferred embodiments described herein are intended to illustrate and explain the invention.
黄体酮微粉 (市售, 粒径小于 10 μ πι微粉占 90%以上)  Progesterone micropowder (commercially available, particle size less than 10 μ πι micropowder accounted for more than 90%)
大豆卵磷脂、 蛋黄卵磷脂、 蜂蜡  Soy lecithin, egg yolk lecithin, beeswax
植物油 (花生油、 大豆油、 菜籽油、 玉米油、 橄榄油、 葵花籽油、 芝麻油、 亚麻籽油、 棉籽油、 米糠油、 椰子油、 油茶籽油、 低芥酸菜籽油、 花椒油、 辣椒油) 市售  Vegetable oil (peanut oil, soybean oil, rapeseed oil, corn oil, olive oil, sunflower oil, sesame oil, linseed oil, cottonseed oil, rice bran oil, coconut oil, camellia seed oil, canola oil, pepper oil, Chili oil)
动物油 (猪油、 牛油、 羊油、 鸡油、 鸭油) 市售  Animal oil (lard, butter, sheep oil, chicken oil, duck oil)
本发明的基本思想: 每 1000粒组合物计, 称取具有药理活性的黄体酮 2-30g, 加药用辅 料卵磷脂或蜂蜡 0-180g, 其余为植物油或动物油或两者以上的非极性溶剂的混合物 75-1000g, 再进行超声溶解, 得到黄体酮油溶液, 将该黄体酮油溶液平均填充于软胶囊中, 制得本发明黄体酮胶丸。 在实施例中, 黄体酮微粉具有药理活性, 易溶于非极性溶剂, 难溶 于水; 植物油是非极性溶剂, 用于溶解黄体酮微粉; 卵磷脂或蜂蜡可以用作增溶剂或表面活 性剂, 用于增加黄体酮微粒在植物油中的溶解度。 实施例 1  The basic idea of the invention: 2-30 g of pharmacologically active progesterone is weighed, and 0-180 g of medicinal excipient lecithin or beeswax is added per 1000 composition, and the rest is non-polar of vegetable oil or animal oil or more. The solvent mixture is 75-1000 g, and ultrasonically dissolved to obtain a progesterone oil solution, and the progesterone oil solution is uniformly filled in a soft capsule to prepare a progesterone capsule of the present invention. In the embodiment, the progesterone micropowder has pharmacological activity, is easily soluble in a non-polar solvent, and is insoluble in water; the vegetable oil is a non-polar solvent for dissolving progesterone micropowder; lecithin or beeswax can be used as a solubilizing agent or surface active a agent for increasing the solubility of progesterone particles in vegetable oils. Example 1
称取黄体酮微粉 2g、 大豆卵磷脂 8g和大豆油 92g, 将称取的黄体酮微粉、 大豆卵磷脂 和大豆油混合摇匀, 进行超声溶解, 得到黄体酮油溶液; 使用软模式胶囊制造机, 将得到的 黄体酮油溶液平均填充于 1000粒软胶囊中, 制得黄体酮胶丸。  Weigh 2g of progesterone micropowder, 8g of soybean lecithin and 92g of soybean oil, mix the weighed progesterone micropowder, soy lecithin and soybean oil, and dissolve it ultrasonically to obtain progesterone oil solution. Soft mode capsule making machine is used. The obtained progesterone oil solution was uniformly filled in 1000 soft capsules to prepare a progesterone capsule.
实施例 2 Example 2
称取黄体酮微粒 5g、 蜂蜡 30g和菜籽油 110g和花椒油 60g, 将称取的黄体酮微粒、 大 豆卵磷脂和菜籽油混合摇匀, 进行超声溶解, 得到黄体酮油溶液; 使用软模式胶囊制造机, 将得到的黄体酮油溶液平均填充于 1000粒软胶囊中, 制得黄体酮胶丸。 Weighing 5 g of progesterone microparticles, 30 g of beeswax and 110 g of rapeseed oil and 60 g of pepper oil, mixing the weighed progesterone microparticles, soybean lecithin and rapeseed oil, and ultrasonically dissolving to obtain a progesterone oil solution; Mode capsule making machine, The obtained progesterone oil solution was filled in an average of 1000 soft capsules to prepare a progesterone capsule.
实施例 3 Example 3
称取黄体酮微粉 10g、 蛋黄卵磷脂 100g和玉米油 400g, 将称取的黄体酮微粉、 蛋黄卵 磷脂和玉米油混合摇匀, 进行超声溶解, 得到黄体酮油溶液; 使用软模式胶囊制造机, 将得 到的黄体酮油溶液平均填充于 1000粒软胶囊中, 制得黄体酮胶丸。  Weigh 10g of progesterone micropowder, 100g of egg yolk lecithin and 400g of corn oil, mix the weighed progesterone micropowder, egg yolk lecithin and corn oil, and dissolve it ultrasonically to obtain progesterone oil solution; use soft mode capsule making machine The obtained progesterone oil solution was uniformly filled in 1000 soft capsules to prepare a progesterone capsule.
实施例 4 Example 4
称取黄体酮微粉 20g、 和猪油 700g, 将称取的黄体酮微粉、 猪油混合摇匀, 进行超声溶 解, 得到黄体酮油溶液; 使用软模式胶囊制造机, 将得到的黄体酮油溶液平均填充于 1000粒 软胶囊中, 制得黄体酮胶丸。  Weighing 20 g of progesterone micropowder and 700 g of lard, mixing the weighed progesterone micropowder and lard, and ultrasonically dissolving to obtain a progesterone oil solution; using a soft mode capsule making machine, the obtained progesterone oil solution The average is filled in 1000 soft capsules to prepare a progesterone capsule.
实施例 5 Example 5
称取黄体酮微粉 5g、蛋黄卵磷脂 5g、花生油 30g和葵花籽油 65g,将称取的黄体酮微粉、 蛋黄卵磷脂、 花生油和大豆油混合摇匀, 进行超声溶解, 得到黄体酮油溶液; 使用软模式胶 囊制造机, 将得到的黄体酮油溶液平均填充于 1000粒软胶囊中, 制得本黄体酮胶丸。  Weighing 5 g of progesterone micropowder, 5 g of egg yolk lecithin, 30 g of peanut oil and 65 g of sunflower oil, and mixing the weighed progesterone micropowder, egg yolk lecithin, peanut oil and soybean oil, and ultrasonically dissolving to obtain a progesterone oil solution; Using the soft mode capsule making machine, the obtained progesterone oil solution was uniformly filled in 1000 soft capsules to prepare the progesterone capsule.
实施例 6 Example 6
称取黄体酮微粉 2g、 蜂蜡 10g和鸡油 90g, 将称取的黄体酮微粉、 蜂蜡和葵花籽油混合 摇匀, 进行超声溶解, 得到黄体酮油溶液; 使用软模式胶囊制造机, 将得到的黄体酮油溶液 平均填充于 1000粒软胶囊中, 制得黄体酮胶丸。  Weigh 2g of progesterone micropowder, 10g of beeswax and 90g of chicken oil, mix the weighed progesterone micropowder, beeswax and sunflower oil, and dissolve it ultrasonically to obtain progesterone oil solution. Using soft mode capsule manufacturing machine, we will get The progesterone oil solution was filled in an average of 1000 soft capsules to prepare a progesterone capsule.
实施例 7 Example 7
称取黄体酮微粉 30g、 蜂蜡 150g和芝麻油 850g, 将称取的黄体酮微粉、 蜂蜡和芝麻油 混合摇匀, 进行超声溶解, 得到黄体酮油溶液; 使用软模式胶囊制造机, 将得到的黄体酮油 溶液平均填充于 1000粒软胶囊中, 制得黄体酮胶丸。  Weighing 30 g of progesterone micropowder, 150 g of beeswax and 850 g of sesame oil, mixing the weighed progesterone micropowder, beeswax and sesame oil, and ultrasonically dissolving to obtain a progesterone oil solution; using the soft mode capsule making machine, the obtained progesterone The oil solution was filled in an average of 1000 soft capsules to prepare a progesterone capsule.
实施例 8 Example 8
称取黄体酮微粉 4g、 蜂蜡 40g和牛油 80g和羊油 80g, 将称取的黄体酮微粉、 蜂蜡和玉 米油混合摇匀, 进行超声溶解, 得到黄体酮油溶液; 使用软模式胶囊制造机, 将得到的黄体 酮油溶液平均填充于 1000粒软胶囊中, 制得黄体酮胶丸。  Weighing 4 g of progesterone micropowder, 40 g of beeswax and 80 g of butter and 80 g of sheep oil, mixing the weighed progesterone micropowder, beeswax and corn oil, and ultrasonically dissolving to obtain a progesterone oil solution; using a soft mode capsule making machine, The obtained progesterone oil solution was filled in an average of 1000 soft capsules to prepare a progesterone capsule.
在上述各实施例中,花生油、大豆油、菜籽油和玉米油等植物油中的至少一种或是猪油、 牛油、 羊油等动物油中的至少一种, 可以用来溶解黄体酮微粉, 大豆卵磷脂、 蛋黄卵磷脂或 蜂蜡可以用作黄体酮微粉在上述植物油中溶解的增溶剂, 也可以用来做本发明黄体酮组合物 的表面活性剂。  In each of the above embodiments, at least one of vegetable oils such as peanut oil, soybean oil, rapeseed oil, and corn oil, or at least one of lard, butter, sheep oil, and the like, may be used to dissolve the progesterone powder. Soy lecithin, egg yolk lecithin or beeswax can be used as a solubilizing agent for the progesterone fine powder to be dissolved in the above vegetable oil, and can also be used as a surfactant for the progesterone composition of the present invention.
综上所述, 本发明各实施例将黄体酮微粉、 卵磷脂或蜂蜡、 和植物油或动物油按比例混 合摇匀, 进行超声溶解, 得到黄体酮油溶液, 将黄体酮油溶液填充于软胶囊中, 制得的黄体 酮胶丸; 其中, 非极性溶剂用于溶解黄体酮微粉, 增溶剂用于增加黄体酮的溶解度, 可以提 高黄体酮胶丸中黄体酮在患者体内的溶出度和生物利用度, 以提高患者对黄体酮的吸收度, 减少肝脏代谢多余黄体酮的负担; 从而可以克服现有技术中服用剂量大、 溶出度低、 生物利 用度低和不良反应多等缺陷, 以实现服用剂量小、 溶出度高、 生物利用度高和不良反应少。 In summary, in the embodiments of the present invention, progesterone micropowder, lecithin or beeswax, and vegetable oil or animal oil are mixed and shaken in proportion, and ultrasonically dissolved to obtain a progesterone oil solution, and the progesterone oil solution is filled in the soft capsule. , produced corpus luteum Ketone capsule; wherein, the non-polar solvent is used to dissolve the progesterone micropowder, the solubilizer is used to increase the solubility of progesterone, and the dissolution and bioavailability of progesterone in the progesterone capsule can be improved to improve the patient. The absorption of progesterone reduces the burden of excess progesterone metabolism in the liver; thus, it can overcome the defects of large dosage, low dissolution rate, low bioavailability and many adverse reactions in the prior art, so as to achieve a small dosage and dissolution rate. High, high bioavailability and few adverse reactions.
最后应说明的是: 以上所述仅为本发明的优选实施例而已, 并不用于限制本发明, 尽管 参照前述实施例对本发明进行了详细的说明, 对于本领域的技术人员来说, 其依然可以对前 述各实施例所记载的技术方案进行修改, 或者对其中部分技术特征进行等同替换。 凡在本发 明的精神和原则之内, 所作的任何修改、 等同替换、 改进等, 均应包含在本发明的保护范围 之内。  It should be noted that the above description is only a preferred embodiment of the present invention and is not intended to limit the present invention. Although the present invention has been described in detail with reference to the foregoing embodiments, it will be apparent to those skilled in the art The technical solutions described in the foregoing embodiments may be modified, or some of the technical features may be equivalently replaced. Any modifications, equivalent substitutions, improvements, etc. made within the spirit and scope of the invention are intended to be included within the scope of the invention.
下面通过实验对本发明的黄体酮胶丸的药物性能进行测试。  The pharmaceutical properties of the progesterone capsules of the present invention were tested by experiments below.
市售黄体酮胶丸,商品名: 琪宁, 生产厂家: 浙江爱生药业有限公司,  Commercially available progesterone capsules, trade name: Qi Ning, manufacturer: Zhejiang Aisheng Pharmaceutical Co., Ltd.,
批号: 20080301  Batch number: 20080301
规格: lOOmg/粒  Specifications: lOOmg / grain
实验例 1 : 对本发明黄体酮胶丸的稳定性进行考察:  Experimental Example 1 : The stability of the progesterone capsule of the present invention was examined:
将本发明上述实施例中分别制得的黄体酮胶丸裸露于光照为 3500LX, 温度分别为室温、 40°C和 25°C, 湿度分别为 RH92. 5%和 RH75%的条件下各 10天。 再与密封保存的本发明的黄体 酮胶丸分别从性状、 内容物色泽、 碎裂性、 崩解时限、 含量测定及色谱检查降解物等方面进 行对比, 对比结果表明, 经光照和不同温度、 湿度条件下裸露的本发明的黄体酮胶丸各性状 基本稳定。  The progesterone capsules obtained in the above examples of the present invention were exposed to light at 3500 LX, and the temperatures were respectively room temperature, 40 ° C and 25 ° C, and the humidity was RH 92.5% and RH 75%, respectively, for 10 days. . The progesterone capsules of the present invention which are sealed and preserved are compared with the properties, the color of the contents, the fragmentation, the time limit of disintegration, the content determination and the chromatographic degradation products, and the comparison results show that the light and the temperature are different. The naked progesterone capsules of the present invention are substantially stable under humidity conditions.
另外, 将本发明的黄体酮胶丸密封包装, 在温度为 40°C、 湿度为 RH75%的条件下加速转 运六个月, 同时在室温条件下储藏 24个月, 并定期按照预设的质温标准考察指标对样品进行 观察测定, 发现样品各性状基本稳定。  In addition, the progesterone capsule of the present invention is sealed and packaged, and is accelerated for six months under the conditions of a temperature of 40 ° C and a humidity of RH of 75%, while being stored at room temperature for 24 months, and regularly according to a predetermined quality. The temperature standard was used to observe and measure the sample, and it was found that the traits of the sample were basically stable.
实验例 2: 将本发明的黄体酮胶丸 (实施例 1、 2、 4、 5、 7, 每粒规格分别为 2mg、 5mg、 20mg、 5mg、 30mg ) 在人工胃液中的溶出度与市售黄体酮胶丸在人工胃液的溶出度进行对比 考察:  Experimental Example 2: The dissolution rate of the progesterone capsule of the present invention (Examples 1, 2, 4, 5, 7, each of which is 2 mg, 5 mg, 20 mg, 5 mg, 30 mg) in artificial gastric juice and commercially available The dissolution of progesterone capsules in artificial gastric juice was compared:
将本发明的黄体酮胶丸与市售黄体酮胶丸分别按 《中国药典 2005年版二部附录 X溶出 度测定法第二法》 进行溶出度对比试验: 各量取经脱气处理的人工胃液 900ml, 注入序号依 次为 1-6的容器内, 可以通过加温的方式使人工胃液保持在 37 ± 0. 5°C ; 再分别称取本发明 的黄体酮胶丸内容物和市售黄体酮胶丸(琪宁) 内容物各 0. 5g作为供试液, 精密称定, 分别 注入对应的 6个操作容器内,立即启动旋转容器并开始计时,转速为 50转 /分钟, 分别在 30、 60、 90、 120、 150、 180分钟时, 从 6个容器中各吸取 20ml溶液, 并立即补入等量的空白溶 液即同等性状的人工胃液, 分别将吸取的溶出液经 0. 45 μ πι微孔滤膜过滤, 再取续滤液照紫 外分光光度法测定, 在 241nm波长处测定吸收度, 按黄体酮的吸收系数为 540计算, 算出每 次的溶出百分率。 结果见下表。 这里, 本发明黄体酮胶丸 (实施例 1、 2、 4、 5、 7, 每粒规 格分别为 2mg、 5mg、 20mg、 5mg、 30mg ) 中黄体酮的重量百分比为分别为 1. 96%, 2. 44%, 2. 78%, 4. 76%, 2. 91%, 市售黄体酮胶丸中黄体酮的重量百分比为 37%, 所以, 0. 5g的本发明 的黄体酮胶丸中含黄体酮分别为 9. 8 mg、 12. 2 mg, 13. 9 mg、 23. 8mg、 14. 55 mg, 0. 5g的市 售黄体酮胶丸中含黄体酮 185mg。 表一: 每粒含黄体酮 2mg的黄体酮胶丸各时段在人工胃液中的溶出百分率 (%) The progesterone capsules of the present invention and the commercially available progesterone capsules were respectively subjected to a dissolution test according to the second method of the Chinese Pharmacopoeia 2005 edition two appendix X dissolution method: the degassed artificial gastric juice 900ml The injection number is 1-6 in the container, and the artificial gastric juice can be maintained at 37 ± 0.5 ° C by heating; the contents of the progesterone capsule of the present invention and the commercially available progesterone glue are respectively weighed.丸(琪宁) The content of each sample is 0. 5g as the test solution, accurately weighed, injected into the corresponding six operating containers, immediately start the rotating container and start timing, the rotation speed is 50 rev / min, respectively at 30, 60 At 90, 120, 150, and 180 minutes, draw 20 ml of each solution from each of the 6 containers, and immediately fill in the same amount of white solution. The liquid is the artificial gastric juice of the same trait, and the aspirated solution is filtered through a 0. 45 μ πι microporous membrane, and the filtrate is measured by ultraviolet spectrophotometry. The absorbance is measured at a wavelength of 241 nm, and the absorption is based on progesterone. The coefficient is calculated as 540 and the percentage of dissolution per time is calculated. See the table below for the results. Here, the percentage by weight of progesterone in the progesterone capsules of the present invention (Examples 1, 2, 4, 5, 7, each of which is 2 mg, 5 mg, 20 mg, 5 mg, 30 mg) is 1.96%, respectively. 2. 44%, 2. 78%, 4. 76%, 2. 91%, the weight percentage of progesterone in the commercially available progesterone capsule is 37%, so, 0.5 g of the progesterone capsule of the present invention The progesterone containing ketones was 9.8 mg, 12.2 mg, 13.9 mg, 23.8 mg, 14. 55 mg, 0.5 g of commercially available progesterone capsules containing 185 mg of progesterone. Table 1: Percentage of dissolution of progesterone capsules containing 2 mg of progesterone in artificial gastric juice at various intervals (%)
Figure imgf000007_0001
表二: 每粒含黄体酮 5mg的黄体酮胶丸各时段在人工胃液中的溶出百分率 (%) 容器序号 30min 60min 90min 120min 150min 180min
Figure imgf000007_0001
Table 2: Percentage of dissolution of progesterone capsules containing 5 mg of progesterone in artificial gastric juice at various times (%) Container No. 30 min 60 min 90 min 120 min 150 min 180 min
1 9. 31 12. 91 23. 27 29. 02 35. 1 40. 06 1 9. 31 12. 91 23. 27 29. 02 35. 1 40. 06
2 7. 64 14. 28 22. 44 28. 75 37. 47 43. 2 2 7. 64 14. 28 22. 44 28. 75 37. 47 43. 2
3 8. 33 10. 18 20. 87 24. 08 35. 86 39. 22 4 7. 41 12. 75 23. 17 30. 76 41. 25 42. 363 8. 33 10. 18 20. 87 24. 08 35. 86 39. 22 4 7. 41 12. 75 23. 17 30. 76 41. 25 42. 36
5 10. 84 14. 89 19. 79 25. 63 34. 14 40. 185 10. 84 14. 89 19. 79 25. 63 34. 14 40. 18
6 9. 07 13. 14 20. 84 29. 91 37. 63 41. 97 均值 7. 05 11. 83 20. 33 25. 86 37. 74 41. 33 均值 8. 77 13. 03 21. 73 28. 03 36. 91 41. 176 9. 07 13. 14 20. 84 29. 91 37. 63 41. 97 Mean 7. 05 11. 83 20. 33 25. 86 37. 74 41. 33 Mean 8. 77 13. 03 21. 73 28. 03 36. 91 41. 17
SD 1. 26 1. 63 1. 43 2. 60 2. 52 1. 56 每 0. 5g含 SD 1. 26 1. 63 1. 43 2. 60 2. 52 1. 56 per 0. 5g
黄体酮  Progesterone
12. 2mg平 12. 2mg flat
均绝对溶 Absolutely soluble
出量 (mg) 1. 07 1. 59 2. 65 3. 42 4. 50 5. 02 Quantity (mg) 1. 07 1. 59 2. 65 3. 42 4. 50 5. 02
表三: 每粒含黄体酮 20mg的黄体酮胶丸各时段在人工胃液中的溶出百分率 (%) 容器序号 30min 60min 90min 120min 150min 180minTable 3: Percentage of dissolution of progesterone capsules containing 20mg of progesterone in artificial gastric juice at each time period (%) Container serial number 30min 60min 90min 120min 150min 180min
1 8. 31 12. 91 19. 27 28. 02 33. 1 42. 061 8. 31 12. 91 19. 27 28. 02 33. 1 42. 06
2 9. 64 13. 28 21. 44 30. 75 35. 47 39. 22 9. 64 13. 28 21. 44 30. 75 35. 47 39. 2
3 7. 33 10. 18 20. 87 23. 08 34. 86 38. 223 7. 33 10. 18 20. 87 23. 08 34. 86 38. 22
4 8. 41 12. 75 24. 17 30. 76 37. 25 41. 364 8. 41 12. 75 24. 17 30. 76 37. 25 41. 36
5 7. 84 13. 89 23. 79 27. 63 35. 14 40. 185 7. 84 13. 89 23. 79 27. 63 35. 14 40. 18
6 10. 07 14. 14 21. 84 29. 91 33. 63 42. 97 均值 8. 60 12. 86 21. 90 28. 36 34. 91 40. 676 10. 07 14. 14 21. 84 29. 91 33. 63 42. 97 Mean 8. 60 12. 86 21. 90 28. 36 34. 91 40. 67
SD 1. 05 1. 42 1. 84 2. 91 1. 47 1. 79 每 0. 5g含 SD 1. 05 1. 42 1. 84 2. 91 1. 47 1. 79 per 0. 5g
黄体酮  Progesterone
13. 9mg平 13. 9mg flat
均绝对溶 Absolutely soluble
出量 (mg) 1. 20 1. 79 3. 04 3. 94 4. 85 5. 65 表四: 每粒含黄体酮 5mg的黄体酮胶丸各时段在人工胃液中的溶出百分率 (%) Output (mg) 1. 20 1. 79 3. 04 3. 94 4. 85 5. 65 Table 4: Percentage of dissolution of progesterone capsules containing 5 mg of progesterone in artificial gastric juice at various intervals (%)
Figure imgf000009_0001
表五: 每粒含黄体酮 30mg的黄体酮胶丸各时段在人工胃液中的溶出百分率 (%) 容器序号 30min 60min 90min 120min 150min 180min
Figure imgf000009_0001
Table 5: Percentage of dissolution of progesterone capsules containing 30 mg of progesterone in artificial gastric juice at various intervals (%) Container No. 30 min 60 min 90 min 120 min 150 min 180 min
1 7. 31 10. 91 20. 27 29. 02 38. 1 42. 061 7. 31 10. 91 20. 27 29. 02 38. 1 42. 06
2 8. 64 13. 28 22. 44 30. 75 31. 47 38. 22 8. 64 13. 28 22. 44 30. 75 31. 47 38. 2
3 9. 33 12. 18 23. 87 29. 08 34. 86 40. 223 9. 33 12. 18 23. 87 29. 08 34. 86 40. 22
4 7. 41 13. 75 19. 17 28. 76 39. 25 41. 364 7. 41 13. 75 19. 17 28. 76 39. 25 41. 36
5 8. 84 13. 89 21. 79 27. 63 32. 14 41. 185 8. 84 13. 89 21. 79 27. 63 32. 14 41. 18
6 10. 07 14. 14 21. 84 25. 91 33. 63 39. 97 均值 8. 60 13. 03 21. 56 28. 53 34. 91 40. 506 10. 07 14. 14 21. 84 25. 91 33. 63 39. 97 Mean 8. 60 13. 03 21. 56 28. 53 34. 91 40. 50
SD 1. 08 1. 25 1. 65 1. 62 3. 17 1. 36 每 0. 5g含 SD 1. 08 1. 25 1. 65 1. 62 3. 17 1. 36 Every 5. 5g
黄体酮  Progesterone
14. 55mg  14. 55mg
平均绝对  Average absolute
溶出量  Dissolution amount
(mg) 1. 25 1. 90 3. 14 4. 15 5. 08 5. 89 表六: 市售每粒含黄体酮 lOOmg的黄体酮胶丸各时段在人工胃液中的溶出百分率 (%)  (mg) 1. 25 1. 90 3. 14 4. 15 5. 08 5. 89 Table 6: Percentage of dissolution of progesterone capsules containing 100 mg of progesterone in artificial gastric juice at each time period (%)
Figure imgf000010_0001
由表一、 二、 三、 四、 五、 六可见, 在人工胃液中, 本发明含 2mg、 5mg 、 20mg、 30mg的黄体酮胶丸的溶出度在 40%左右比市售黄体酮胶丸溶出度 1. 58%高,并且, 随 着时间的推移, 本发明的黄体酮胶丸溶出量也比市售黄体酮胶丸溶出量多。 以 180分钟时, 本发明的黄体酮胶丸 5mg为例的溶出度为 41. 17 ± 1. 56%, 含黄体 酮 12. 2mg的内容物绝对溶出量为 5. 02mg; 市售黄体酮胶丸的溶出度为 1. 58士 0. 24%, 含黄体酮 lOOmg的内容物绝对溶出量为 1. 74mg; 可见, 在人工胃液中, 本发明的黄体酮胶丸绝对溶出量为市售黄体酮胶丸溶出量的 23倍, 可以表明本 发明的黄体酮胶丸是高效制剂。 实验例 3: 将本发明的黄体酮胶丸在人工肠液中的溶出度与市售黄体酮胶丸在人工肠液的溶 出度进行对比考察:
Figure imgf000010_0001
As can be seen from Tables 1, 2, 3, 4, 5, and 6, in the artificial gastric juice, the dissolution rate of the progesterone capsule containing 2 mg, 5 mg, 20 mg, and 30 mg of the present invention is about 40% lower than that of the commercially available progesterone capsule. The degree is 1.58% high, and, over time, the progesterone capsules of the present invention are also eluted in a larger amount than the commercially available progesterone capsules. At 180 minutes, the dissolution rate of 5 mg of the progesterone capsule of the present invention is 41. 17 ± 1. 56%, containing the corpus luteum. The content of the content of the progesterone capsule is 1. 58 mg; 24%, the absolute dissolution of the content of the progesterone 100 mg is 1. 74 mg; visible In the artificial gastric juice, the absolute elution amount of the progesterone capsule of the present invention is 23 times that of the commercially available progesterone capsule, and it can be indicated that the progesterone capsule of the present invention is a highly effective preparation. Experimental Example 3: The dissolution rate of the progesterone capsule of the present invention in artificial intestinal juice was compared with the dissolution rate of commercially available progesterone capsules in artificial intestinal juice:
按照实验 2的操作方法将本发明的黄体酮胶丸与市售黄体酮胶丸在人工肠液的溶出度进 行对比考察, 结果见下表。  The dissolution rate of the progesterone capsule of the present invention and the commercially available progesterone capsule in the artificial intestinal juice was examined in accordance with the procedure of Experiment 2, and the results are shown in the following table.
表七: 含黄体酮 2mg的黄体酮胶丸各时段在人工肠液中的溶出百分率 (%) 容器序号 30min 60min 90min 120min 150min 180min  Table 7: Percentage of dissolution of progesterone capsules containing progesterone 2mg in artificial intestinal fluid at various intervals (%) Container serial number 30min 60min 90min 120min 150min 180min
1 43. 12 50. 02 49. 73 51. 89 49. 1 49. 72  1 43. 12 50. 02 49. 73 51. 89 49. 1 49. 72
2 38. 45 43. 8 42. 51 49. 64 44. 13 46. 17  2 38. 45 43. 8 42. 51 49. 64 44. 13 46. 17
3 46. 59 49. 71 52. 76 58. 19 55. 42 57. 97  3 46. 59 49. 71 52. 76 58. 19 55. 42 57. 97
4 51. 27 53. 42 54. 75 57. 45 54. 57 54. 07  4 51. 27 53. 42 54. 75 57. 45 54. 57 54. 07
5 41. 98 51. 41 52. 4 57. 19 56. 48 54. 14  5 41. 98 51. 41 52. 4 57. 19 56. 48 54. 14
6 47. 78 49. 06 48. 62 53. 15 50. 19 52. 09 均值 44. 87 49. 57 50. 13 54. 59 51. 65 52. 36  6 47. 78 49. 06 48. 62 53. 15 50. 19 52. 09 Mean 44. 87 49. 57 50. 13 54. 59 51. 65 52. 36
SD 4. 58 3. 22 4. 33 3. 51 4. 72 4. 07 每 0. 5g含  SD 4. 58 3. 22 4. 33 3. 51 4. 72 4. 07 Every 0. 5g
黄体酮  Progesterone
9. 8mg平  9. 8mg flat
均绝对溶  Absolutely soluble
出量 (mg) 4. 40 4. 86 4. 91 5. 35 5. 06 5. 13  Output (mg) 4. 40 4. 86 4. 91 5. 35 5. 06 5. 13
表八: 含黄体酮 5mg的黄体酮胶丸各时段在人工肠液中的溶出百分率 (%) 容器序号 30min 60min 90min 120min 150min 180min 1 44. 12 51. 02 49. 73 49. 89 50. 1 51. 72Table 8: Percentage of dissolution of progesterone capsules containing progesterone 5mg in artificial intestinal fluid (%) Container serial number 30min 60min 90min 120min 150min 180min 1 44. 12 51. 02 49. 73 49. 89 50. 1 51. 72
2 38. 45 54. 8 52. 51 52. 64 52. 13 50. 172 38. 45 54. 8 52. 51 52. 64 52. 13 50. 17
3 46. 59 50. 71 48. 76 48. 19 50. 42 56. 973 46. 59 50. 71 48. 76 48. 19 50. 42 56. 97
4 39. 27 47. 42 53. 75 51. 45 53. 57 54. 074 39. 27 47. 42 53. 75 51. 45 53. 57 54. 07
5 49. 98 53. 41 50. 4 50. 19 56. 48 57. 145 49. 98 53. 41 50. 4 50. 19 56. 48 57. 14
6 49. 78 50. 06 48. 62 52. 15 59. 19 60. 09 均值 44. 70 51. 24 50. 63 50. 75 53. 65 55. 036 49. 78 50. 06 48. 62 52. 15 59. 19 60. 09 Mean 44. 70 51. 24 50. 63 50. 75 53. 65 55. 03
SD 5. 02 2. 60 2. 08 1. 65 3. 58 3. 72 每 0. 5g含 SD 5. 02 2. 60 2. 08 1. 65 3. 58 3. 72 per 0. 5g
黄体酮  Progesterone
12. 2mg平 12. 2mg flat
均绝对溶 Absolutely soluble
出量 (mg) 5. 45 6. 25 6. 18 6. 19 6. 55 6. 71 Output (mg) 5. 45 6. 25 6. 18 6. 19 6. 55 6. 71
表九: 含黄体酮 20mg的黄体酮胶丸各时段在人工肠液中的溶出百分率 (%) 容器序号 30min 60min 90min 120min 150min 180minTable 9: Percentage of dissolution of progesterone containing 20mg of progesterone capsules in artificial intestinal fluid (%) Container serial number 30min 60min 90min 120min 150min 180min
1 50. 12 52. 02 51. 73 52. 89 52. 1 52. 721 50. 12 52. 02 51. 73 52. 89 52. 1 52. 72
2 43. 45 51. 8 50. 51 53. 64 52. 13 52. 172 43. 45 51. 8 50. 51 53. 64 52. 13 52. 17
3 43. 59 51. 71 50. 76 52. 19 51. 42 50. 973 43. 59 51. 71 50. 76 52. 19 51. 42 50. 97
4 46. 27 49. 42 51. 75 54. 45 54. 57 53. 074 46. 27 49. 42 51. 75 54. 45 54. 57 53. 07
5 42. 98 52. 41 51. 4 52. 19 53. 48 55. 145 42. 98 52. 41 51. 4 52. 19 53. 48 55. 14
6 44. 78 53. 06 50. 62 56. 15 54. 19 50. 09 均值 45. 20 51. 74 51. 13 53. 59 52. 98 52. 366 44. 78 53. 06 50. 62 56. 15 54. 19 50. 09 Mean 45. 20 51. 74 51. 13 53. 59 52. 98 52. 36
SD 2. 69 1. 24 0. 57 1. 53 1. 28 1. 76 每 0. 5g含 SD 2. 69 1. 24 0. 57 1. 53 1. 28 1. 76 per 0. 5g
黄体酮  Progesterone
13. 9mg平 13. 9mg flat
均绝对溶 Absolutely soluble
出量 (mg) 6. 28 7. 19 7. 11 7. 45 7. 36 7. 28 表十: 含黄体酮 5mg的黄体酮胶丸各时段在人工肠液中的溶出百分率 (%) Output (mg) 6. 28 7. 19 7. 11 7. 45 7. 36 7. 28 Table 10: Percentage of dissolution of progesterone capsules containing progesterone 5 mg in artificial intestinal fluid at various intervals (%)
Figure imgf000013_0001
表 ^一: 含黄体酮 30mg的黄体酮胶丸各时段在人工肠液中的溶出百分率 (%) 容器序号 30min 60min 90min 120min 150min 180min
Figure imgf000013_0001
Table ^1: Percentage of dissolution of progesterone capsules containing progesterone 30mg in artificial intestinal fluid (%) Container serial number 30min 60min 90min 120min 150min 180min
1 42. 12 48. 02 51. 73 53. 89 51. 1 51. 721 42. 12 48. 02 51. 73 53. 89 51. 1 51. 72
2 41. 45 50. 8 49. 51 52. 64 51. 13 51. 172 41. 45 50. 8 49. 51 52. 64 51. 13 51. 17
3 45. 59 47. 71 50. 76 53. 19 50. 42 51. 973 45. 59 47. 71 50. 76 53. 19 50. 42 51. 97
4 43. 27 48. 42 51. 75 55. 45 52. 57 52. 074 43. 27 48. 42 51. 75 55. 45 52. 57 52. 07
5 44. 98 52. 41 50. 4 53. 19 51. 48 52. 145 44. 98 52. 41 50. 4 53. 19 51. 48 52. 14
6 47. 78 51. 06 50. 62 54. 15 51. 19 51. 09 均值 44. 20 49. 74 50. 80 53. 75 51. 32 51. 696 47. 78 51. 06 50. 62 54. 15 51. 19 51. 09 Mean 44. 20 49. 74 50. 80 53. 75 51. 32 51. 69
SD 2. 37 1. 94 0. 85 0. 99 0. 71 0. 46 每 0. 5g含 SD 2. 37 1. 94 0. 85 0. 99 0. 71 0. 46 Every 5. 5g
黄体酮  Progesterone
14. 55mg  14. 55mg
平均绝对  Average absolute
溶出量  Dissolution amount
(mg) 6. 43 7. 24 7. 39 7. 82 7. 47 7. 52  (mg) 6. 43 7. 24 7. 39 7. 82 7. 47 7. 52
表十二: 市售黄体酮胶丸各时间段在人工肠液中的溶出百分率 (%) Table 12: Percentage of dissolution of commercially available progesterone capsules in artificial intestinal fluid (%)
Figure imgf000014_0001
由表六、 七、 八、 九、 十、 ^一、 十二可见, 在人工肠液中, 本发明含 2mg、 5mg、 20mg、 30mg的黄体酮胶丸的溶出度在 50%左右比市售黄体酮胶丸溶出度 3. 88%高, 并且, 随着时间 的推移, 本发明的黄体酮胶丸溶出量也比市售黄体酮胶丸溶出量多。 以 180分钟时, 本发明 的黄体酮胶丸 5mg为例的溶出度为 55. 03 ± 3. 72%, 含黄体酮 12. 2mg的内容物绝对溶出量为 6. 71mg; 市售黄体酮胶丸的溶出度为 3. 88 ± 0. 67%, 含黄体酮 100mg的内容物绝对溶出量为 3. 82mg; 可见, 在人工肠液中, 本发明的黄体酮胶丸绝对溶出量为市售黄体酮胶丸溶出量的 14倍, 可以表明本发明的黄体酮胶丸是高效制剂。 实验例 4:下面对本发明的 lOmg黄体酮胶丸和市售 lOOmg的黄体酮胶丸进行生物等效性 试验研究:
Figure imgf000014_0001
, A ^, dodecyl seen from Table VI, seven, eight, nine, ten, in artificial intestinal juice, according to the present invention comprising 2mg, 5mg, 20m g, 30mg progesterone capsules dissolution is about 50% greater than the commercial The progesterone capsules have a dissolution rate of 3.88%, and, over time, the progesterone capsules of the present invention are also eluted in a larger amount than the commercially available progesterone capsules. The dissolution of the content of the progesterone capsule of the present invention is 55. 03 ± 3. 72%, and the absolute amount of the content of the progesterone containing 12. 2 mg is 6. 71mg; commercially available progesterone capsules dissolution was 3. 88 ± 0. 67%, progesterone containing 100m g absolute amount of elution of the content 3. 82mg; seen in artificial intestinal juice, the yellow of the invention The absolute elution amount of the ketone capsule is 14 times that of the commercially available progesterone capsule, and it can be shown that the progesterone capsule of the present invention is a highly effective preparation. Experimental Example 4: The bioequivalence test of the 10 mg progesterone capsule of the present invention and the commercially available 100 mg progesterone capsule was carried out as follows:
本研究以 6名男性为试验对象, 分别单剂量空腹口服本发明的黄体酮丸(规格 lOmg)和 市售黄体酮丸 (规格 100mg), 采用放射免疫测定法测定不同时间血浆中药物浓度, 根据血药 浓度 -时间数据, 求得了主要药代动力学参数。  In this study, 6 males were used as test subjects, and the progesterone pill (specification lOmg) of the present invention and the commercially available progesterone pill (specification 100 mg) were respectively administered by single-dose fasting, and the plasma drug concentration was determined by radioimmunoassay at different times. Blood drug concentration-time data, the main pharmacokinetic parameters were obtained.
本发明黄体酮丸中黄体酮的 Cmax为 2. 73 ± 0. 77 ( ng/ml ), Tmax为 1. 5 ( h), AUC(T48 为 42. 38 ± 6. 33 (ng/ml. h)。 市售黄体酮丸的 Cmax为 2. 78 ± 0. 17 ( ng/ml ), Tmax为 2. 5 ± 1 ( h), AUCCT48为 44. 42 ± 6. 12 (ng/ml. h)。 对上述主要药代动力学参数进行统计分析和生物 等效性的评价, 结果表明: 本发明的黄体酮胶丸是市售黄体酮胶丸平均的相对生物利用度为 95. 46 ± 12. 67%,两种制剂间黄体酮的 Cmax、Tmax和 AUCCT48均无显著的统计学差异(P〉0. 05 ), 本发明制剂 AUC的 90%的可信限落在市售制剂的 76— 132%范围内, Cmax在 81%— 125%范围内。  The Cmax of progesterone in the progesterone pill of the present invention is 2.73 ± 0. 77 (ng/ml), the Tmax is 1.5 (h), AUC (T48 is 42.38 ± 6.33 (ng/ml.h) The Cmax of the commercially available progesterone pellet is 2.78 ± 0.17 (ng/ml), the Tmax is 2. 5 ± 1 (h), and the AUCCT48 is 44. 42 ± 6. 12 (ng/ml. h) The statistical analysis of the above-mentioned main pharmacokinetic parameters and the evaluation of the bioequivalence showed that the average bioavailability of the progesterone capsules of the present invention is 95. 46 ± 12. 67%, there was no significant difference in Cmax, Tmax and AUCCT48 of progesterone between the two preparations (P>0.05). The 90% confidence of the AUC of the preparation of the present invention was limited to 76-132 of the commercially available preparation. Within the range of %, Cmax is in the range of 81% - 125%.
由此可看出本发明的黄体酮丸 (规格 lOmg) 与市售的黄体酮胶丸 (规格 lOOmg) 在人体 为生物等效。  From this, it can be seen that the progesterone pellet of the present invention (specification lOmg) is bioequivalent to the human progesterone capsule (specification lOOmg) in the human body.
下面通过典型病例进一步说明本发明溶出度高的黄体酮胶丸的药物性能。 The pharmaceutical properties of the progesterone capsules having a high dissolution rate of the present invention are further illustrated by typical cases.
病例一: 王金花, 47岁, 诊断为围绝经无排卵。 接受本发明的黄体酮胶丸 lOmg 治疗, 连用 3个月后月经量及月经天数恢复正常; 从来月经的第 17天起加用本发明的黄体酮胶丸 lOmg, 连用 10天后停药。 该患者服用本发明的黄体酮胶丸之前未服用其它药物, 服用本发明 的黄体酮胶丸时也未服用雌激素类药。  Case 1: Wang Jinhua, 47 years old, diagnosed as peri-menopausal without ovulation. After receiving the lutemg of the progesterone capsule of the present invention, the menstrual volume and the number of menstrual days returned to normal after 3 months of continuous use; the progesterone capsule lOmg of the present invention was added from the 17th day of menstruation, and the drug was discontinued after 10 days. The patient did not take other drugs before taking the progesterone capsule of the present invention, and did not take the estrogen drug when taking the progesterone capsule of the present invention.
病例二: 陈秀莲, 50岁, 月经近 4个月未来潮, B超子宫内膜 EN〉13隱, 诊断为绝经。 接受本发明的黄体酮胶丸 lOmg治疗, 连用 10天后子宫内膜剥脱; 周期治疗 3个月后, 月经 量及月经天数恢复正常。 该患者服用本发明的黄体酮胶丸之前未服用其它药物, 服用本发明 溶出度高的黄体酮胶丸时也未服用雌激素类药。  Case 2: Chen Xiulian, 50 years old, menstruation nearly 4 months of future tide, B-ultrasound endometrium EN>13 hidden, diagnosed as menopause. The progesterone capsule of the present invention was treated with lOmg, and the endometrial exfoliation was continued after 10 days; after 3 months of the cycle treatment, the menstrual volume and the number of menstrual days returned to normal. The patient did not take other drugs before taking the progesterone capsule of the present invention, and did not take the estrogen drug when taking the progesterone capsule having the high dissolution rate of the present invention.
病例三: 叶蕾, 32岁, 3个月月经未来潮, 排除妊娠, 诊断为闭经。 接受本发明的黄体 酮胶丸 lOmg治疗, 连用 2个月后月经量及月经天数恢复正常; 从来月经的第 17天起加用本 发明溶出度高的黄体酮胶丸 10mg, 连用 10天后停药。 该患者服用本发明溶出度高的黄体酮 胶丸之前未服用其它药物, 服用本发明的黄体酮胶丸时也未服用雌激素类药; 该患者服用本 发明溶出度高的黄体酮胶丸的时间约为 3个月。 Case 3: Ye Lei, 32 years old, 3 months menstrual future tide, exclude pregnancy, diagnosed as amenorrhea. After receiving the lutemg of the progesterone capsule of the present invention, the menstrual volume and the number of menstrual days return to normal after 2 months of continuous use; the date is added from the 17th day of menstruation Invented 10 mg of progesterone capsules with high dissolution, and the drug was discontinued after 10 days. The patient does not take other drugs before taking the progesterone capsule with high dissolution rate of the present invention, and does not take the estrogen drug when taking the progesterone capsule of the present invention; the patient takes the progesterone capsule with high dissolution rate of the present invention. The time is about 3 months.
病例四: 陆小洁, 40岁, 诊断为卵巢早衰。 接受本发明的黄体酮胶丸 10mg治疗, 在服 用本发明的黄体酮胶丸第 2月开始, 月经量及月经天数恢复正常; 若配合补佳乐, 治疗效果 更佳, 具体的, 可以在月经的第 5天起服用补佳乐, 连用 21天; 并在月经的第 17天起又服 用本发明的黄体酮胶丸, 连用 10天。 治疗周期为 3个月。  Case 4: Lu Xiaojie, 40 years old, diagnosed with premature ovarian failure. After receiving the 10 mg of progesterone capsule of the present invention, the menstrual volume and the number of menstrual days are normal after the second month of taking the progesterone capsule of the present invention; if the supplement is better, the treatment effect is better, and specific, in menstruation On the 5th day, take Jiajiale for 21 days; and take the progesterone capsule of the present invention on the 17th day of menstruation for 10 days. The treatment period is 3 months.
经临床验证, 患者每天只需服用 20mg的黄体酮胶丸, 即可达到有效的治疗剂量, 而且, 服用方便, 也无任何不良反应。  Clinically, the patient only needs to take 20mg of progesterone capsules per day to achieve an effective therapeutic dose, and it is convenient to take and has no adverse reactions.

Claims

权利要求书 Claim
1、 一种黄体酮制剂组合物, 由内含具有药理活性组份的液体增溶剂内容物和外 包裹材料组成,其特征在于: 内含具有药理活性组份的液体增溶剂内容物是由黄 体酮及辅料制成的黄体酮油溶液; 所述辅料为非极性溶剂和增溶剂, 所述非极性 溶剂为植物油或 /和动物油,所述增溶剂为卵磷脂或 /和蜂蜡; 以每 1000粒制剂组 合物计, 含黄体酮 2-30g, 增溶剂为 0-180g, 非极性溶剂为 75-1000g。  A progesterone preparation composition comprising: a liquid solubilizing agent content having a pharmacologically active component and an outer wrapping material, characterized in that: the liquid solubilizing agent containing the pharmacologically active component is composed of a corpus luteum a progesterone oil solution prepared from a ketone and an auxiliary material; the auxiliary material is a non-polar solvent and a solubilizing agent, the non-polar solvent is a vegetable oil or/and an animal oil, and the solubilizing agent is lecithin or/and beeswax; The composition of the 1000-component preparation contains 2-30 g of progesterone, the solubilizer is 0-180 g, and the non-polar solvent is 75-1000 g.
2、根据权利要求 1所述的黄体酮制剂组合物, 其特征在于: 以每 1000粒制剂组 合物计, 含黄体酮 5-20g, 增溶剂为 0-100g, 非极性溶剂为 80-800g。  The progesterone preparation composition according to claim 1, wherein the progesterone contains 5-20 g, the solubilizer is 0-100 g, and the non-polar solvent is 80-800 g per 1000 preparation compositions. .
3、根据按权利要求 2所述的黄体酮制剂组合物, 其特征在于: 以每 1000粒制剂 组合物计, 含有黄体酮 5g, 增溶剂为 0-50g, 非极性溶剂为 80-200g。  The progesterone preparation composition according to Claim 2, which comprises 5 g of progesterone per kg of the composition of the preparation, a solubilizing agent of 0 to 50 g, and a nonpolar solvent of 80 to 200 g.
4、根据权利要求 2所述的黄体酮制剂组合物, 其特征在于: 以每 1000粒制剂组 合物计, 含有黄体酮 10g, 增溶剂为 0-80g, 非极性溶剂为 100-500g。  The progesterone preparation composition according to claim 2, which comprises 10 g of progesterone, a solubilizing agent of 0-80 g and a non-polar solvent of 100-500 g per 1000 parts of the preparation composition.
5、根据权利要求 2所述的黄体酮制剂组合物, 其特征在于: 以每 1000粒制剂组 合物计, 含有黄体酮 20g, 增溶剂为 0-100g, 非极性溶剂为 400-800g。  The progesterone preparation composition according to claim 2, which comprises 20 g of progesterone, a solubilizing agent of 0 to 100 g and a nonpolar solvent of 400 to 800 g per 1000 parts of the preparation composition.
6、 根据权利要求 1所述的黄体酮制剂组合物, 所述植物油为花生油、 大豆油、 菜籽油、 玉米油、 橄榄油、 葵花籽油、 芝麻油、 亚麻籽油、 棉籽油、 米糠油、 椰 子油、 油茶籽油、 低芥酸菜籽油、 花椒油、 辣椒油等中的一种或几种。  6. The progesterone preparation composition according to claim 1, wherein the vegetable oil is peanut oil, soybean oil, rapeseed oil, corn oil, olive oil, sunflower oil, sesame oil, linseed oil, cottonseed oil, rice bran oil, One or more of coconut oil, camellia seed oil, canola oil, pepper oil, chili oil, and the like.
7、 根据权利要求 1所述的黄体酮制剂组合物, 所述动物油为猪油、 牛油、 羊油、 鸡油、 鸭油等动物脂肪油中的一种或几种。  The progesterone preparation composition according to claim 1, wherein the animal oil is one or more of animal fat oils such as lard, tallow, sheep oil, chicken oil, and duck oil.
8、 根据权利要求 1所述的黄体酮制剂组合物, 所述卵磷脂为大豆卵磷脂或蛋黄 卵磷脂。  The progesterone preparation composition according to claim 1, wherein the lecithin is soybean lecithin or egg yolk lecithin.
9、 根据权利要求 1所述的黄体酮制剂组合物, 所述黄体酮微粉中 90%的黄体酮 微粉的粒径小于 10 μ πι。  The progesterone preparation composition according to claim 1, wherein the progesterone micropowder has a particle diameter of 90% of the progesterone micropowder of less than 10 μm.
10、根据权利要求 1所述的黄体酮制剂组合物, 其制剂剂型为软胶囊、液体胶囊 或滴丸, 其外包裹材料为明胶、或明胶与甘油、 或其它临床上可接受的胶囊外包 裹材料。  The progesterone preparation composition according to claim 1, which is in the form of a soft capsule, a liquid capsule or a dropping pellet, and the outer wrapping material is gelatin, or gelatin and glycerin, or other clinically acceptable capsule outer wrapping. material.
11、 权利要求 10所述黄体酮制剂组合物的制备方法, 包括: 按比例称取内容物 各组分, 将其混合搅匀, 得到黄体酮油溶液, 将黄体酮油溶液平均填充于软胶囊 或硬胶囊或滴丸中。  11. The method for preparing a progesterone preparation composition according to claim 10, comprising: weighing the components of the contents in proportion, mixing and stirring to obtain a progesterone oil solution, and filling the progesterone oil solution on the soft capsule evenly. Or in hard capsules or pills.
12、 权利要求 11所述的制备方法, 所述混合搅匀时采用超声辅助溶解。  12. The preparation method according to claim 11, wherein the mixing and mixing are performed by ultrasonic assisted dissolution.
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