WO2014157989A1 - Stabilized composition containing voriconazole - Google Patents

Stabilized composition containing voriconazole Download PDF

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WO2014157989A1
WO2014157989A1 PCT/KR2014/002666 KR2014002666W WO2014157989A1 WO 2014157989 A1 WO2014157989 A1 WO 2014157989A1 KR 2014002666 W KR2014002666 W KR 2014002666W WO 2014157989 A1 WO2014157989 A1 WO 2014157989A1
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composition
voriconazole
reducing sugar
solution
stabilizer
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PCT/KR2014/002666
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French (fr)
Korean (ko)
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김관영
신동철
신호철
김훈택
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에스케이케미칼 주식회사
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Publication of WO2014157989A1 publication Critical patent/WO2014157989A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/41Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with two or more ring hetero atoms, at least one of which being nitrogen, e.g. tetrazole
    • A61K31/41961,2,4-Triazoles
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/14Particulate form, e.g. powders, Processes for size reducing of pure drugs or the resulting products, Pure drug nanoparticles
    • A61K9/19Particulate form, e.g. powders, Processes for size reducing of pure drugs or the resulting products, Pure drug nanoparticles lyophilised, i.e. freeze-dried, solutions or dispersions
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/495Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
    • A61K31/505Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim
    • A61K31/506Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim not condensed and containing further heterocyclic rings
    • 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
    • A61K47/06Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
    • A61K47/26Carbohydrates, e.g. sugar alcohols, amino sugars, nucleic acids, mono-, di- or oligo-saccharides; Derivatives thereof, e.g. polysorbates, sorbitan fatty acid esters or glycyrrhizin
    • 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
    • A61K47/30Macromolecular organic or inorganic compounds, e.g. inorganic polyphosphates
    • A61K47/36Polysaccharides; Derivatives thereof, e.g. gums, starch, alginate, dextrin, hyaluronic acid, chitosan, inulin, agar or pectin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/0012Galenical forms characterised by the site of application
    • A61K9/0019Injectable compositions; Intramuscular, intravenous, arterial, subcutaneous administration; Compositions to be administered through the skin in an invasive manner
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/08Solutions

Definitions

  • the present invention relates to a voriconazole-containing composition, and more particularly, to a stabilized boroconazole composition in which a stabilizing composition is added in a voriconazole-containing composition to improve the stability of the voriconazole-containing composition, a preparation method thereof, and the above. It relates to a stabilizing composition.
  • Amphotericin B has been used as a gold standard for the treatment of cardiac fungal disease, and the overall response rate is reported to have a very low response rate of 34% on average. Moreover, the nephrotoxicity of amphotericin B is a serious problem. Recently, the treatment of itraconazole is recommended, but the success rate of the treatment is not so high.
  • voriconazole CAS No.:137234-62-9 a compound of formula I, disclosed in European Patent EP0440372B, is a new second generation synthetic broad-range trizaole antifungal agent, oropharyngeal candidiasis, invasive asthma It is widely used to treat fungal infections caused by Pergillosis and various filamentous fungi.
  • Voriconazole is administered intravenously and orally in the form of lyophilized powder injections, tablets, dry suspensions, and the like to have systemic effects.
  • Commercial formulations containing voriconazole were first approved in Europe in May 2002 based on the composition described in European Patent EP 1001813B and sold as "Vfend Lyphilized Powder for Injection (" Vfend TM LV) and "Vfend Tablet”). It is becoming. More specifically, Vfend TM LV, an intravenous injectable formulation, is a formulation containing a white lyophilized powder comprising 200 mg of barleyconazole and 3200 mg sulfobutylethercyclodextrin sodium in a 30 ml Type I clear glass vial.
  • the formulation is once dissolved at 10 mg / ml in distilled water for injection, then diluted to a concentration of 5 mg / ml or less prior to administration, and administered intravenously in droplets at a rate of up to 3 mg / kg per hour over 1 to 2 hours. It is supposed to be done.
  • the inert enantiomer, boriconazole related Compound B ((2S, 3R) -2- (2,4-Difluorophenyl) -3- (5-fluoropyrimidin-4-yl) as an decomposition product in an aqueous solution.
  • Triazole acetophenone (1- (2,4-Difluorophenyl) -2- (1H-1,2,4-triazol-1-yl) ethanone
  • Triazole acetophenone (2,4-Difluorophenyl) -2- (1H-1,2,4-triazol-1-yl) ethanone
  • a monomethoxy polyethyleneglycol-poly (D, L-lactic acid) block copolymer mPEG-PDLLA is used as an adjuvant to increase the solubility of voriconazole and to improve the water solubility of voriconazole.
  • D, L-lactic acid block copolymer mPEG-PDLLA is used as an adjuvant to increase the solubility of voriconazole and to improve the water solubility of voriconazole.
  • mPEG-PDLLA used as a dissolution aid, is a novel polymer with limited clinical safety and has limited commercial use.
  • EP2409699A1 discloses a composition containing hydroxypropylcyclodextrin as a solubilizer, and glycine added as an adjuvant to secure aqueous phase stability. However, only short-term stability for 96 hours during the manufacturing process is solved, and the fundamental problem of long-term stability in consideration of distribution and storage time has not been solved.
  • the pharmaceutical compositions disclosed in other prior arts also lack the stability and have a fatal disadvantage that they become inadequate to produce and consume impurities exceeding the pharmaceutical limit beyond a certain period of time. Therefore, in view of all these drawbacks, there is a need for a stable formulation over a long period of time.
  • the technical problem to be solved by the present invention is difficult to solubilize and unstable to moisture and heat even if solubilized, the boric azole related compound B ((2S, 3R) -2- (2,4-Difluorophenyl) ) -3- (5-fluoropyrimidin-4-yl) -1- (1H-1,2,4-triazol-1-yl) butan-2-ol)) or Triazole acetophenone (1- Stabilizers capable of improving the stability of unstable boronazole-containing compositions, such as (2,4-Difluorophenyl) -2- (1H-1,2,4-triazol-1-yl) ethanone)
  • the composition according to the present invention can reduce the resuspension or dissolution time in the solvent for injection, and does not produce a precipitate upon dilution, and thus has ease of preparation into the composition for injection.
  • the present invention provides a stabilizing composition and a non-reducing sugar for stabilizing the boroconazole solution to stabilize the voriconazole solution containing a non-reducing sugar (Non-reducing sugar).
  • the present invention provides a composition containing a voriconazole, characterized in that it comprises a non-reducing sugar as a stabilizer and a method for producing the same.
  • the present invention provides a pharmaceutical composition for preventing and / or treating fungal infections comprising a composition containing voriconazole, a method for preventing and / or treating a fungal infection by administering to a subject a composition comprising a voriconazole-containing composition, and a fungal infection prevention and And / or the use of a voriconazole comprising composition for the manufacture of a pharmaceutical formulation for treatment.
  • the present inventors have found that the addition of non-reducing sugar as a stabilizer to the voriconazole solution significantly reduces the production rate of voriconazole decomposition products during long-term storage.
  • the present invention provides a stabilizing composition for stabilizing a voriconazole solution containing non-reducing sugar and a method for stabilizing a voriconazole solution by treating the non-reducing sugar.
  • the term “stabilization” refers to minimizing degradation of voriconazole and maintaining its intrinsic structure to maintain its biological activity during the production, storage, or distribution of the voriconazole containing composition. it means.
  • the stabilization is meant to include “storage stability” and the term “storage stability” means chemically and / or physically stable for a period of time after being stored at a temperature between 5 ° C and 50 ° C, and the term “ Chemical and / or physical stability "refers to what physical and / or chemical changes of voriconazole are formed under accelerated or harsh storage conditions, which physical and / or chemical changes may cause degradation or oxidation, for example, In particular, it refers to a decomposition product such as boleyconazole-related compound B or triazole acetophenone may be produced by heat or moisture.
  • the voricoconazole composition of the lyophilized powder formulation can be stabilized to produce an equivalent or less amount of degradation products compared to Vfend TM LV under accelerated or harsh storage conditions, for example Triazolceptetophenone of 0.4%, 0.3%, 0.2%, 0.1%, 0.08%, most preferably less than 0.05% after 16 days at accelerated conditions of 40 ° C ⁇ 2 ° C and humidity of 75% ⁇ 5% RH (PAR,%), and 3.5%, 3%, 2%, 1%, 0.9%, 0.8%, 0.7%, 0.6%, most preferably after 16 days under severe storage conditions of 60 ° C ⁇ 2 ° C.
  • Triazolceptetophenone 0.4%, 0.3%, 0.2%, 0.1%, 0.08%, most preferably less than 0.05% after 16 days at accelerated conditions of 40 ° C ⁇ 2 ° C and humidity of 75% ⁇ 5% RH (PAR,%), and 3.5%, 3%, 2%, 1%, 0.9%, 0.8%, 0.7%
  • PAR triazoleacetophenone
  • the non-reducing sugar refers to a sugar having no reducing functional group
  • various non-reducing sugars known in the art may be used, such as sucrose, trehalose, lactose, raffinose, mannitol,
  • sucrose, trehalose, lactose, raffinose, mannitol One or more may be selected from the group consisting of xylitol, sorbitol, maltitol, isomalt, lactitol and monohydrate, but sucrose or trehalose may be preferably used, and more preferably sucrose may be used.
  • sucrose when sucrose is used as a stabilizer (corresponding to example 4), 16 days have elapsed at room temperature as well as at accelerated conditions of a temperature of 40 ° C. ⁇ 2 ° C. and a humidity of 75% ⁇ 5% RH. Triazol aceptophenone was not produced at all, and after 16 days under severe storage conditions of 60 ° C. ⁇ 2 ° C., it was confirmed that the total analog (PAR,%) value was less than 1%.
  • sucrose and trehalose exhibit a significantly better stabilizing effect of the voriconazole composition than when using other excipients known in the art, such as povidone K17, and sucrose and tre Non-reducing sugars other than halose are also expected to show excellent stabilizing effects.
  • the present invention provides a composition containing a voriconazole and a method for producing the same, comprising a non-reducing sugar as a stabilizer.
  • voriconazole includes voriconazole represented by the following formula (I) and pharmaceutically acceptable salts thereof, such as hydrochloride, hydrobromide, sulfate, phosphate, methane sulfonate, Maleate, fumarate, benzene sulfonate or p-toluenesulfonate; Or pharmaceutically acceptable acid esters thereof, such as phosphate esters.
  • the voriconazole is 0.01 to 10% (W / V), 0.05 to 8% (W / V), 0.1 to 7% (W / V), 0.5 to 5% (W / V), 0.5-4% (W / V), 0.5-3% (W / V), 0.8-2% (W / V), or 0.8-1.5% (W / V), most Preferably 0.9 to 1.2% (W / V).
  • the non-reducing sugar is 0.05 to 15% (W / V), 1 to 15% (W / V), 5 to 15% (W / V), 5 to 12% (W / V) based on the total barleyconazole-containing composition. ), 5 to 11% (W / V), most preferably 6 to 10% (W / V).
  • W / V When it is included in less than 0.05% (W / V) based on the total voriconazole-containing composition, it is difficult to expect a voriconazole stabilizing effect, it is uneconomical when included in more than 15% (W / V).
  • sucrose when sucrose is selected as the non-reducing sugar, 3 to 15% (W / V), 5 to 15% (W / V), 8 to 14% (W / V) based on the total voriconazole-containing composition , 9 to 13% (W / V), or 9 to 12% (W / V), and most preferably 9 to 11% (W / V).
  • trehalose when selected as the non-reducing sugar, 3 to 15% (W / V), 3 to 13% (W / V), and 4 to 9% (W / V) based on the total voriconazole-containing composition ), Or 5 to 8% (W / V), even more preferably 5 to 7% (W / V).
  • the composition containing boleyconazole according to the present invention may additionally include a solubilizer.
  • the solubilizer is a substance added to dissolve voriconazole in a solvent, preferably an aqueous solvent, more preferably water, and may be included without limitation as long as it is a substance usable for solubilizing voriconazole.
  • Hydroxypropyl beta cyclotextrin Hydrophilicity Modulfate
  • Hydroxypropyl- ⁇ -cyclodextrin can be used.
  • the solubilizer may be 6 to 15% (W / V), 7 to 15% (W / V), 8 to 14% (W / V), or 9 to 14% (W / V) based on the total voriconazole containing composition. V), most preferably 10 to 13% (W / V). If it contains less than 5% (W / V) based on the total voriconazole containing composition, it is difficult to expect the voriconazole solubilization effect, it is uneconomical to include more than 15% (W / V).
  • the boleyconazole-containing composition according to the present invention may additionally include, without limitation, active ingredients, isotonic agents, buffers or bulking agents commonly used in the art.
  • tonicity agent an agent that, when dissolving the composition, causes the composition to have an osmotic pressure within the physiological range of blood, peritoneal fluid or other body fluids, including but not limited to, for example, sodium acetate, sodium lactate, sodium chloride, potassium chloride or Calcium chloride can be used.
  • the bulking agent refers to an agent that imparts lyophilized cake characteristics, helps to overcome various stresses occurring during cleavage or freezing associated with the lyophilization process and maintains the activity of voriconazole, including but not limited to mannitol , Glycine, or lactose may be used.
  • the voriconazole composition according to the present invention may be liquid or solid, preferably in powder form, and more preferably in lyophilized powder form. Irrespective of the properties, all of the compositions containing borosiconazole according to the present invention have excellent stability. When formulated in the form of a lyophilized powder, it is advantageous for storage and distribution. Especially, the voriconazole composition formulated with the lyophilized powder according to the present invention can be resuspended or dissolved in a solvent for injection in a short time and the precipitate is diluted upon dilution. There is an advantage that it does not occur and has ease of preparation into an injectable composition.
  • the boleyconazole-containing composition according to the present invention is an antifungal composition, which exhibits the antifungal effect commonly expected in the art by voriconazole, such as invasive Aspergillus infection, Candidiasis, Candida infection, Or scedosporium apiospermum (asexual reproduction of Pseudallescheria boydii) or Fusarium genus (including Fusarium solani).
  • voriconazole such as invasive Aspergillus infection, Candidiasis, Candida infection, Or scedosporium apiospermum (asexual reproduction of Pseudallescheria boydii) or Fusarium genus (including Fusarium solani).
  • the voriconazole containing composition according to the present invention can be used for the treatment and / or prevention of fungal infections.
  • the present invention provides a pharmaceutical composition for preventing and / or treating fungal infections comprising a composition containing voriconazole, a method for preventing and / or treating a fungal infection by administering to a subject a composition comprising a voriconazole-containing composition, and Provided is the use of a voriconazole containing composition for the manufacture of a pharmaceutical formulation for the prophylaxis and / or treatment of fungal infections.
  • composition containing voriconazole can be administered by various routes such as oral, subcutaneous, parenteral, intravenous, peritoneal or intramuscular, and most preferably can be used for intravenous administration.
  • the voriconazole containing composition may be formulated in solid or liquid form, and in the solid phase, may be administered dissolved in a sterile injectable solvent for administration in a subject. If the composition containing voriconazole is solid, such as formulated as a lyophilized powder, it needs to be reconstituted in liquid form prior to use in order to be administered to the patient as an injection. However, the present invention does not exclude that the voriconazole pharmaceutical composition may be administered to the patient in a solid state.
  • composition containing boleyconazole for the prophylaxis and / or treatment of fungal infections according to the present invention may additionally include pH adjusting agents, osmotic agents, stabilizers or diluents commonly used in the art.
  • the method for producing a composition containing a boleyconazole according to the present invention includes the following steps.
  • (S3) may include filtration, dispensing, and / or lyophilization.
  • solubilizer is dissolved in a solvent, preferably an aqueous solvent, more preferably water, such as sterile injectable purified water, and then the solution is added with voriconazole and stirred and mixed. In some cases, bulking agents and the like may be added.
  • a solvent preferably an aqueous solvent, more preferably water, such as sterile injectable purified water
  • Non-reducing sugars are added to the solution as stabilizers and dissolved.
  • a solvent preferably an aqueous solvent, more preferably water, such as sterile injectable purified water, may be added to suitably adjust the concentration of the composition in consideration of the route of administration, rate of administration, or purpose of administration. For example, it may be adjusted to a final concentration suitable for transfer to an infusion bag for use in a patient for intravenous administration, a concentration of about 5.0 mg / mL.
  • pH adjusters osmotic agents, stabilizers, fillers, lubricants, disintegrants, binders, diluents or glidants may be added.
  • the solution prepared through the step (S2) may be filtered by various methods known in the art.
  • Dispense the filtered solution into an appropriate container for example, glass containers commonly used in the pharmaceutical art, in particular standard USP type I borosilicate glass containers, can be used.
  • a sterile filtration process Prior to lyophilization, a sterile filtration process may be performed. A temperature below the critical product temperature is applied to the shelf of the freeze-dryer to freeze the vessel and solution. Water is removed by introducing vacuum conditions and condensation of water is diverted on the ice-condenser of the freeze-dryer. Lyophilization may be carried out, for example, by freezing at about ⁇ 60 to ⁇ 40 ° C., lyophilizing the freeze formulation at ⁇ 30 to ⁇ 20 ° C., and secondary drying at 10 to 20 ° C.
  • the composition becomes a cake form, and the container may be sealed and sealed and stored at room temperature until use.
  • voriconazole related Compound B ((2S, 3R) -2- (2,4-Difluorophenyl) -3- (5-fluoropyrimidin-4-yl) -1- (1H-1,2,4-triazol-1-yl) butan-2-ol)) or triazole Stability of unstable boriconazole-containing compositions, such as the generation of aceptophenone (Triazole acetophenone (1- (2,4-Difluorophenyl) -2- (1H-1,2,4-triazol-1-yl) ethanone)) It can be improved, and the composition containing the voriconazole can be stored for a long time without concern about the side effects caused by the degradation products.
  • aceptophenone Triazole acetophenone (1- (2,4-Difluorophenyl) -2- (1H-1,2,4-triazol-1-yl) ethanone
  • composition according to the present invention when the composition according to the present invention is formulated in a lyophilized form, it is possible to reduce the resuspension or dissolution time in the solvent for injection, and there is no precipitate upon dilution, thereby having ease of preparation into the composition for injection.
  • Figure 1 shows the XRD measurement results for Comparative Example 1 and Example 4.
  • Example 1 Example 2
  • Example 3 Example 4
  • Example 5 Example 6
  • Example 7 Example 9 Comparative Example 1
  • Voriconazole 500 500 500 500 500 500 500 500 500 Hydroxypropyl- ⁇ -cyclodextrin 6000 4500 6000 6000 6000 6000 6000 - Sulphobutylether ⁇ -cyclodextrin, sodium salts - - - - - - - - 8000 Glycine - - 1040 - - - - - - - - - Sucrose - - - 5000 - - - - - - D-Mannitol - - - - - 5000 - - - - - Poloxamer188 - - - - - - 250 - - - - Trehalose - - - - - - - 3000 - - - - Edetate disodium dihydrate - -
  • hydroxypropyl betacyclotextrin (Kleptose ® HPB, Roquette) was dissolved in about 40 ml of injectable water according to the amount shown in the above table.
  • voriconazole (Voriconazole) (MSN, India) was stirred at a constant rate at about 35 °C to prepare a transparent solution.
  • Additional excipients corresponding to Examples 3-9 were Glycine, Sucrose, D-Mannitol, Poloxamer 188 and Trehalose. Trehalose), Edtate disodium dehydrate and Povidone K17 were added in an amount corresponding to the above table, dissolved, and then purified water for injection was added to the final 50 ml.
  • the resulting solution was filtered through a Millex TM -GP syringe-driven filter unit having a diameter of 0.22 ⁇ m and filled in 20 ml glass vials of 5 ml each.
  • the vial was partially capped by a lyophilized stopper sold by Helvoet Pharma and lyophilized until the cake formed at the bottom of the vial.
  • Comparative Example 1 sulfobutylether beta-cyclodextrin and sodium salts (Captisol ? Research grade, Cydex) were dissolved in about 40 ml of injectable purified water, and barley was dissolved in the solution. After adding Conazole (MSN, India) and stirring at a constant rate at about 35 °C to prepare a transparent liquid, as described in the Example through the filtration, dispensing and lyophilization process to prepare a lyophilized powder It was.
  • Conazole MSN, India
  • the freeze drying process was performed as follows.
  • Example 3 Example 4
  • Example 5 Example 7 Comparative Example 1 Dissolution time Within 1 minute Within 1 minute Within 2 minutes Within 1 minute Within 1 minute Dilution Stability No precipitation No precipitation No precipitation No precipitation No precipitation No precipitation Osmotic pressure 0.209 0.230 0.388 0.148 0.230 pH 4.69 6.43 4.81 6.15 5.49
  • Triazole acetophenone (TAP) standard 5 mg is placed in a 50 ml volumetric flask and diluted with acetonitrile. (100ug / ml)
  • a sample of 20 mg of voriconazole is precisely taken and placed in a 10 ml volumetric flask and diluted with acetonitrile. (2000ug / ml)
  • Diluent 7.8 g of sodium dihydrogen phosphate dehydrate was dissolved in 1000 ml of purified water and adjusted to pH 5.5 with 10% sodium hydroxide.
  • PAR * Percent area ratio, the sum of the ratio of each impurity peak area to the main peak area.
  • Example 3 the lyophilized powder formulations of Examples 4 and 7 including non-reducing sugars as excipients were compared to Comparative Example 1, which was composed of the same formulation as the commercially available VFEND Lyophilized powder under accelerated or harsh storage conditions. It was confirmed that triazole acetophenone, a softener derived from Konazole, was produced in a markedly reduced or similar degree.
  • the lyophilized formulation prepared in Example 4 does not show a specific crystalline peak of barleyconazole on XRD as in Comparative Example 1, and thus, barleyconazole is stable to Cyclodextrin. It was confirmed that it was included.
  • the present invention provides a decomposed product of Voriconazole related Compound B ((2S, which is produced by water and heat) by using a non-reducing sugar as a stabilizer of a second-generation synthetic triazole antifungal agent-containing pharmaceutical composition.
  • 3R -2- (2,4-Difluorophenyl) -3- (5-fluoropyrimidin-4-yl) -1- (1H-1,2,4-triazol-1-yl) butan-2-ol
  • Triazole It significantly improved the storage stability of acetophenone (1- (2,4-Difluorophenyl) -2- (1H-1,2,4-triazol-1-yl) ethanone) and greatly improved the storage stability of the product. It is highly industrially available because it significantly reduces the resuspension or dissolution time of the composition and improves the ease of preparation by diluting the stability upon dilution.

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Abstract

The present invention relates to: a stabilized voriconazole composition, wherein the stability of a composition containing voriconazole is improved by adding a non-reducing sugar as a stabilizer to a composition comprising voriconazole and a solubilizing agent; a preparation method therefor; and the stabilized composition. When using a non-reducing sugar as a stabilizer, it is possible to improve the stability of a composition containing voriconazole which is difficult to be solubilized and unstable in the presence of moisture and heat even if solubilized, and thus is unstable in generating voriconazole related compound B ((2S,3R)-2-(2,4-difluorophenyl)-3-(5-fluoropyrimidin-4-yl)-1-(1H-1,2,4-triazol-1-yl)butan-2-ol) or triazole acetophenone (1-(2,4-difluorophenyl)-2-(1H-1,2,4-triazol-1-yl)ethanone), which are decomposition products, and the like, thereby enabling the storage of a composition containing voriconazole for a long time without concerns about side effects caused by the decomposition products. In addition, it is possible to reduce the time required for re-suspension or dissolution of an injectable solvent and to prevent the generation of a precipitate during dilution if the composition according to the present invention is formulated into a freeze-dried form, and thus preparation into an injection composition is convenient.

Description

보리코나졸이 함유된 안정화된 조성물Stabilized Compositions Containing Boleyconazole
본 발명은 보리코나졸 포함 조성물에 관한 것으로서, 보다 구체적으로 보리코나졸 포함 조성물에 있어서 안정화조성물을 첨가하여 보리코나졸 포함 조성물의 안정성을 향상시킨 안정화된 보리코나졸 조성물, 이의 제조방법, 및 상기 안정화조성물에 관한 것이다.The present invention relates to a voriconazole-containing composition, and more particularly, to a stabilized boroconazole composition in which a stabilizing composition is added in a voriconazole-containing composition to improve the stability of the voriconazole-containing composition, a preparation method thereof, and the above. It relates to a stabilizing composition.
최근 침습성 아스페르길루스(Aspergillus) 감염, 칸디다혈증 및 칸디다 감염 등의 매우 치명적인 심재성 진균증의 발생 빈도가 증가하고 있다. 그 이유는 각종 악성종양의 항암치료, 면역성 질환에 대한 면역억제치료, 장기이식 및 후천성 면역결핍증의 전파로 인해 면역력이 약화된 환자의 수가 급증하였기 때문이다. 본래 진균 포자는 건조한 환경에서도 수개월간 생존이 가능하고 공기 중에 떠다니다가 주로 호흡기를 통해 인체로 유입되는데, 손상된 피부나 수술한 상처, 각막이나 귀를 통해서도 인체에 유입될 수 있다. 인체에 유입된 진균은 면역기전이 정상인 사람에게는 알레르기나 일반 진균 감염을 일으키는 반면, 면역기능이 저하된 환자에게는 치명적인 심재성 진균 감염을 일으킨다.Recently, the incidence of very deadly cardiac fungi, such as invasive Aspergillus infection, candidiasis and Candida infection, is increasing. The reason for this is that the number of patients with weakened immunity increased rapidly due to chemotherapy of various malignancies, immunosuppressive treatment for immune diseases, organ transplantation and AIDS. Originally, fungal spores can survive for months in a dry environment, float in the air, and enter the body primarily through the respiratory system, which can also enter the body through damaged skin, surgical wounds, corneas or ears. Fungi that enter the body cause allergic or normal fungal infections in people with normal immune mechanisms, while fatal fungal infections in patients with reduced immune function.
이러한 심재성 진균증의 치료에는 암포테리신 B(amphotericin B)가 골드 스탠다드(gold standard)로서 사용되어 왔는데, 전체적으로 반응율은 평균 34% 정도로 매우 낮은 반응율을 나타내는 것으로 보고되고 있다. 더구나, 암포테리신 B의 신독성은 심각한 문제로서, 최근에는 이트라코나졸(itraconazole)의 치료가 권장되기도 하나 치료 성공율은 그다지 높지 않은 것으로 알려져 있다.Amphotericin B has been used as a gold standard for the treatment of cardiac fungal disease, and the overall response rate is reported to have a very low response rate of 34% on average. Moreover, the nephrotoxicity of amphotericin B is a serious problem. Recently, the treatment of itraconazole is recommended, but the success rate of the treatment is not so high.
한편, 유럽 등록특허 EP0440372B에 공개된 하기 화학식 I의 화합물인 보리코나졸(Voriconazole CAS No.:137234-62-9)은 새로운 제 2세대 합성 광범위 트리자올(trizaole) 항진균제로서, 구인두 칸디다증, 침습성 아스페르길루스증과 다양한 사상형 진균에 의한 진균감염을 치료하는데 광범위하게 사용되고 있다.Meanwhile, voriconazole CAS No.:137234-62-9, a compound of formula I, disclosed in European Patent EP0440372B, is a new second generation synthetic broad-range trizaole antifungal agent, oropharyngeal candidiasis, invasive asthma It is widely used to treat fungal infections caused by Pergillosis and various filamentous fungi.
[화학식 I][Formula I]
Figure PCTKR2014002666-appb-I000001
Figure PCTKR2014002666-appb-I000001
이의 작용 매커니즘은 진균 중의 시토크롬 P-450에 의해 매개되는 14a-라노스테롤의 탈메틸화를 억제시켜, 에르고스테롤의 생물합성을 억제하는 것이다.Its mechanism of action is to inhibit demethylation of 14a-lanosterol mediated by cytochrome P-450 in fungi, thereby inhibiting biosynthesis of ergosterol.
보리코나졸은 임상에서는 주로 전신작용을 나타내도록 동결건조분말 주사제, 정제, 건조 서스펜션제 등의 제형으로 정맥 투여 및 경구 투여되고 있다. 보리코나졸을 함유하는 시판 제형으로는 유럽 등록특허 EP 1001813B에 기재된 조성에 근거하여 유럽에서 2002년 5월경 최초 허가되어, "Vfend Lyphilized Powder for Injection ("Vfend™ LV) 및 "Vfend Tablet"으로 판매되고 있다. 보다 상세하게는, 정맥투여용 주사제형인 Vfend™ LV 는 30ml Type I 투명 유리 바이알에 200mg의 보리코나졸과, 3200mg 설포부틸에테르시클로덱스트린 소디움을 포함하는 흰색의 동결건조분말이 함유된 제형이다. 상기 제형은 주사용 증류수에 10 mg/ml로 일단 녹인 후, 투여 전에 5 mg/ml 또는 그 이하의 농도로 희석하여 1시간 내지 2시간에 걸쳐 시간당 최대 3 mg/kg의 속도로 정맥내 점적 투여하게 되어 있다.In the clinical practice, voriconazole is administered intravenously and orally in the form of lyophilized powder injections, tablets, dry suspensions, and the like to have systemic effects. Commercial formulations containing voriconazole were first approved in Europe in May 2002 based on the composition described in European Patent EP 1001813B and sold as "Vfend Lyphilized Powder for Injection (" Vfend ™ LV) and "Vfend Tablet"). It is becoming. More specifically, Vfend ™ LV, an intravenous injectable formulation, is a formulation containing a white lyophilized powder comprising 200 mg of barleyconazole and 3200 mg sulfobutylethercyclodextrin sodium in a 30 ml Type I clear glass vial. The formulation is once dissolved at 10 mg / ml in distilled water for injection, then diluted to a concentration of 5 mg / ml or less prior to administration, and administered intravenously in droplets at a rate of up to 3 mg / kg per hour over 1 to 2 hours. It is supposed to be done.
보리코나졸은 수성 용해도가 낮고(pH 3에서 0.2 mg/ml), 화합물의 반극성 (semi-polar nature, log D = 1.8) 성질 때문에 주사제 개발에 많이 사용되는 오일, 계면활성제 또는 물 혼화성 공용매 등의 통상적인 수단에 의하여 가용화되기 매우 어렵다. 또한, 수용액 상에서 분해생성물로서 불활성 에난티오머인 보리코나졸 관련 화합물 B(Voriconazole related Compound B ((2S,3R)-2-(2,4-Difluorophenyl)-3-(5-fluoropyrimidin-4-yl)-1-(1H-1,2,4- triazol-1-yl)butan-2-ol))이 가수분해물인 레트로알돌 생성물의 재결합으로부터 형성되고, 수분 및 열에 불안정하여 분해생성물로서 트리아졸 아셉토페논(Triazole acetophenone) (1-(2,4-Difluorophenyl)-2-(1H-1,2,4-triazol-1-yl)ethanone)이 생성되는 등 안정성이 좋지 않은 것으로 알려져 있다. 그러므로, 보존기간 중 충분한 저장 수명을 지닌 수성 정맥투여용 제제의 개발이 어렵다.Boleyconazole has a low aqueous solubility (0.2 mg / ml at pH 3), and due to the semi-polar nature of the compound (log D = 1.8), oil, surfactant or water miscibility commonly used in the development of injectables It is very difficult to solubilize by conventional means such as falcons. In addition, the inert enantiomer, boriconazole related Compound B ((2S, 3R) -2- (2,4-Difluorophenyl) -3- (5-fluoropyrimidin-4-yl) as an decomposition product in an aqueous solution. ) -1- (1H-1,2,4-triazol-1-yl) butan-2-ol)) is formed from the recombination of the hydrolyzate retroaldol product, which is unstable to moisture and heat and is therefore a triazole as a decomposition product. Triazole acetophenone (1- (2,4-Difluorophenyl) -2- (1H-1,2,4-triazol-1-yl) ethanone) is known to have poor stability. Therefore, it is difficult to develop an aqueous intravenous preparation having a sufficient shelf life during the shelf life.
국제출원 WO 1998/58677에서는 가용화제로서 신규한 부형제인 설포알킬에테르시클로덱스트린 유도체에 의해 가용화된 동결건조 제약 조성물을 개시하고 있지만, 최근에 신규한 설포알킬에테르시클로덱스트린 유도체의 부산물인 1,4-부탄 술톤(1,4-butane sultone)에 대한 유전독성 위험성이 보고되고 있다. 유럽연합의 CHMP Guideline에 따르면 이러한 유전독성 유연물질의 일일 최대 복용허용량은 1.5㎍이다. 그러나, Vfend™ LV에 함유된 설포알킬에테르시클로덱스트린 유도체 3200mg 중 0.47ppm 이하로 품질관리하는 것이 쉽지 않아 제조가능한 업체가 극소수에 달하고, 상당히 고가의 부형제로 상업상 사용이 제한적이다.International application WO 1998/58677 discloses lyophilized pharmaceutical compositions solubilized by sulfoalkylethercyclodextrin derivatives, which are novel excipients as solubilizers, but recently 1,4- which are by-products of novel sulfoalkylethercyclodextrin derivatives. Genotoxic risks for 1,4-butane sultone have been reported. According to the European Union's CHMP Guidelines, the maximum daily dose for these genotoxic analogs is 1.5 µg. However, quality control of less than 0.47 ppm of 3200 mg of sulfoalkylethercyclodextrin derivatives contained in Vfend ™ LV is not easy, and very few manufactures are available, and the commercial use is limited due to the extremely expensive excipients.
국내 공개특허 10-2011-0094138에서는 보조제인 "모노메톡시 폴리에틸렌글리콜-폴리(D,L-젖산)블럭공중합체 mPEG-PDLLA"를 이용하여 보리코나졸의 용해성을 증가시키고 보리코나졸의 수용성을 향상시킨 약물 제제를 개시하고 있지만, 용해보조제로 사용된 mPEG-PDLLA는 신규한 폴리머로서 임상적 안전성이 확립되지 않아 상업상 사용이 제한적이다.In Korean Patent Laid-Open Publication No. 10-2011-0094138, a monomethoxy polyethyleneglycol-poly (D, L-lactic acid) block copolymer mPEG-PDLLA is used as an adjuvant to increase the solubility of voriconazole and to improve the water solubility of voriconazole. Although improved drug formulations are disclosed, mPEG-PDLLA, used as a dissolution aid, is a novel polymer with limited clinical safety and has limited commercial use.
유럽 공개특허 EP2409699A1에서는 가용화제로서 히드록시프로필시클로덱스트린을 함유하고, 수용액상 안정성을 확보하기 위해 보조제로서 글리신(Glycine)을 첨가한 조성물을 개시하고 있다. 하지만, 제조 공정 중 96시간 동안의 단기간 안정성만을 해소하고 있을 뿐, 유통 및 보관 시간을 감안한 장기간 안정성에 대한 근본적인 문제점은 해결하지 못하고 있다.European Patent Publication EP2409699A1 discloses a composition containing hydroxypropylcyclodextrin as a solubilizer, and glycine added as an adjuvant to secure aqueous phase stability. However, only short-term stability for 96 hours during the manufacturing process is solved, and the fundamental problem of long-term stability in consideration of distribution and storage time has not been solved.
상기 특허들에 개시된 제약 조성물 외에도 다른 선행기술에 개시된 제약 조성물 역시 안정성이 부족하고, 일정 기간을 넘어서면 제약상 한계를 초과하는 불순물을 생성하여 소비하기에 부적합해지는 치명적 단점을 가진다. 따라서, 이러한 단점들을 모두 고려해 볼 때, 장기간에 걸쳐 안정한 제제가 필요하다.In addition to the pharmaceutical compositions disclosed in the above patents, the pharmaceutical compositions disclosed in other prior arts also lack the stability and have a fatal disadvantage that they become inadequate to produce and consume impurities exceeding the pharmaceutical limit beyond a certain period of time. Therefore, in view of all these drawbacks, there is a need for a stable formulation over a long period of time.
이에, 본 발명이 해결하고자 하는 기술적 과제는 가용화되기 어렵고 가용화되어도 수분 및 열에 불안정하여 분해생성물인 보리코나졸 관련 화합물 B(Voriconazole related Compound B ((2S,3R)-2-(2,4-Difluorophenyl)-3-(5-fluoropyrimidin-4-yl)-1-(1H-1,2,4- triazol-1-yl)butan-2-ol)) 또는 트리아졸 아셉토페논(Triazole acetophenone (1-(2,4-Difluorophenyl)-2-(1H-1,2,4-triazol-1-yl)ethanone))을 생성하는 등 불안정한 보리코나졸 포함 조성물의 안정성을 향상시킬 수 있는 안정화제 및 이를 포함하는 안정화된 보리코나졸 포함 조성물을 제공하는데 있다. 특히, 본 발명에 따른 조성물은 주사용 용매에의 재현탁 또는 용해시간을 줄일 수 있고, 희석시 침전물이 생기지 않아 주사용 조성물로의 조제 편이성을 가진다. Accordingly, the technical problem to be solved by the present invention is difficult to solubilize and unstable to moisture and heat even if solubilized, the boric azole related compound B ((2S, 3R) -2- (2,4-Difluorophenyl) ) -3- (5-fluoropyrimidin-4-yl) -1- (1H-1,2,4-triazol-1-yl) butan-2-ol)) or Triazole acetophenone (1- Stabilizers capable of improving the stability of unstable boronazole-containing compositions, such as (2,4-Difluorophenyl) -2- (1H-1,2,4-triazol-1-yl) ethanone) To provide a stabilized voriconazole containing composition. In particular, the composition according to the present invention can reduce the resuspension or dissolution time in the solvent for injection, and does not produce a precipitate upon dilution, and thus has ease of preparation into the composition for injection.
상기 기술적 과제를 달성하기 위하여, 본 발명은 비환원당(Non-reducing sugar)을 포함하는 보리코나졸 용액을 안정화시키기 위한 안정화조성물 및 비환원당을 처리하여 보리코나졸 용액을 안정화시키는 방법을 제공한다. In order to achieve the above technical problem, the present invention provides a stabilizing composition and a non-reducing sugar for stabilizing the boroconazole solution to stabilize the voriconazole solution containing a non-reducing sugar (Non-reducing sugar).
또한, 본 발명은 안정화제로서 비환원당을 포함하는 것을 특징으로 하는 보리코나졸 포함 조성물 및 이의 제조방법을 제공한다. In addition, the present invention provides a composition containing a voriconazole, characterized in that it comprises a non-reducing sugar as a stabilizer and a method for producing the same.
또한, 본 발명은 보리코나졸 포함 조성물을 포함하는 진균감염 예방 및/또는 치료용 약학 조성물, 보리코나졸 포함 조성물을 개체에게 투여하여 진균감염을 예방 및/또는 치료하는 방법, 및 진균감염 예방 및/또는 치료를 위한 약학 제제의 제조를 위한 보리코나졸 포함 조성물의 용도를 제공한다. In addition, the present invention provides a pharmaceutical composition for preventing and / or treating fungal infections comprising a composition containing voriconazole, a method for preventing and / or treating a fungal infection by administering to a subject a composition comprising a voriconazole-containing composition, and a fungal infection prevention and And / or the use of a voriconazole comprising composition for the manufacture of a pharmaceutical formulation for treatment.
본 발명자들은 보리코나졸 용액에 안정화제로 비환원당(Non-reducing sugar)을 첨가하면, 장기간 보관 중 보리코나졸 분해생성물의 생성율이 현격히 감소됨을 발견하고 본 발명을 완성하였다. The present inventors have found that the addition of non-reducing sugar as a stabilizer to the voriconazole solution significantly reduces the production rate of voriconazole decomposition products during long-term storage.
이에, 일 양태로 본 발명은 비환원당(Non-reducing sugar)을 포함하는 보리코나졸 용액을 안정화시키기 위한 안정화조성물 및 비환원당을 처리하여 보리코나졸 용액을 안정화시키는 방법을 제공한다. Therefore, in one aspect, the present invention provides a stabilizing composition for stabilizing a voriconazole solution containing non-reducing sugar and a method for stabilizing a voriconazole solution by treating the non-reducing sugar.
본 발명의 명세서에 있어서, 용어 "안정화"는 보리코나졸 포함 조성물의 생산, 보관, 또는 유통 도중에 보리코나졸의 분해를 최소화하고 보리코나졸의 고유의 구조를 유지하여 이의 생물학적 활성을 유지하는 것을 의미한다. 특히, 상기 안정화는 "저장 안정성"을 포함하는 의미이며, 상기 용어 "저장 안정성"은 5℃ 내지 50℃ 사이의 온도에서 저장된 후 일정 기간 동안 화학적 및/또는 물리적으로 안정된 것을 의미하고, 상기 용어 "화학적 및/또는 물리적 안정"은 가속 또는 가혹 보관 조건에서 보리코나졸의 어떤 물리적 및/또는 화학적 변화가 형성되는지와 관련되는바, 어떤 물리적 및/또는 화학적 변화란 예컨대 분해 또는 산화가 일어날 수 있고, 특히 열 또는 수분에 의해 보리코나졸 관련 화합물 B 또는 트리아졸아셉토페논과 같은 분해생성물이 생성될 수 있는 것을 말한다. In the context of the present invention, the term "stabilization" refers to minimizing degradation of voriconazole and maintaining its intrinsic structure to maintain its biological activity during the production, storage, or distribution of the voriconazole containing composition. it means. In particular, the stabilization is meant to include "storage stability" and the term "storage stability" means chemically and / or physically stable for a period of time after being stored at a temperature between 5 ° C and 50 ° C, and the term " Chemical and / or physical stability "refers to what physical and / or chemical changes of voriconazole are formed under accelerated or harsh storage conditions, which physical and / or chemical changes may cause degradation or oxidation, for example, In particular, it refers to a decomposition product such as boleyconazole-related compound B or triazole acetophenone may be produced by heat or moisture.
본 발명에 따른 비환원당을 처리하면, 동결건조분말 제형의 보리코나졸 조성물은 안정화되어 가속 또는 가혹 보관 조건에서 Vfend™ LV 과 비교해 동등한 또는 이보다 적은 양의 분해생성물을 생성해 낼 수 있는바, 예컨대 40℃ ± 2℃의 온도 및 75% ± 5% RH의 습도의 가속 조건에서 16일 경과 후에 0.4%, 0.3%, 0.2%, 0.1%, 0.08%, 가장 바람직하게 0.05% 미만의 트리아졸아셉토페논 (PAR, %) 을 생성하고, 60℃ ± 2℃의 가혹 보관 조건에서 16일 경과 후에 3.5%, 3%, 2%, 1%, 0.9%, 0.8%, 0.7%, 0.6%, 가장 바람직하게 0.5% 미만의 트리아졸아셉토페논 (PAR, %) 을 생성할 수 있다. 또한, 예컨대 40℃ ± 2℃의 온도 및 75% ± 5% RH의 습도의 가속 조건에서 16일 경과 후에 0.9%, 0.8%, 0.7%, 0.6%, 0.5%, 0.4%, 0.3%, 0.25%, 0.2%, 0.1%, 가장 바람직하게 0.1% 이하의 총 유연물질 (PAR, %) 값을 나타내며, 60℃ ± 2℃의 가혹 보관 조건에서 16일 경과 후에 7%, 6%, 5%, 4%, 3%, 2%, 1.5%, 1%, 가장 바람직하게 1% 미만의 총 유연물질 (PAR, %) 값을 나타낼 수 있다. Upon treatment of the non-reducing sugars according to the invention, the voricoconazole composition of the lyophilized powder formulation can be stabilized to produce an equivalent or less amount of degradation products compared to Vfend ™ LV under accelerated or harsh storage conditions, for example Triazolceptetophenone of 0.4%, 0.3%, 0.2%, 0.1%, 0.08%, most preferably less than 0.05% after 16 days at accelerated conditions of 40 ° C ± 2 ° C and humidity of 75% ± 5% RH (PAR,%), and 3.5%, 3%, 2%, 1%, 0.9%, 0.8%, 0.7%, 0.6%, most preferably after 16 days under severe storage conditions of 60 ° C ± 2 ° C. Less than 0.5% triazoleacetophenone (PAR,%) can be produced. Further, for example, 0.9%, 0.8%, 0.7%, 0.6%, 0.5%, 0.4%, 0.3%, 0.25% after 16 days at accelerated conditions of a temperature of 40 ° C ± 2 ° C and a humidity of 75% ± 5% RH. , 0.2%, 0.1%, most preferably less than 0.1% total lead (PAR,%) value, 7%, 6%, 5%, 4 after 16 days under severe storage conditions of 60 ° C ± 2 ° C. Total soft matter (PAR,%) values of%, 3%, 2%, 1.5%, 1%, most preferably less than 1%.
상기 비환원당(Non-reducing sugar)은 환원성 관능기를 지니지 않는 당류를 의미하는 것으로 당업계 공지된 다양한 비환원당이 이용될 수 있으며, 예컨대 수크로스, 트레할로오스, 락토오스, 라피노오스, 만니톨, 자일리톨, 소르비톨, 말티톨, 이소말트, 락티톨 및 일수화물로 이루어진 군으로부터 1이상이 선택될 수 있으나, 바람직하게 수크로스 또는 트레할로오스가 사용될 수 있으며, 더욱 바람직하게 수크로스가 사용될 수 있다. The non-reducing sugar refers to a sugar having no reducing functional group, and various non-reducing sugars known in the art may be used, such as sucrose, trehalose, lactose, raffinose, mannitol, One or more may be selected from the group consisting of xylitol, sorbitol, maltitol, isomalt, lactitol and monohydrate, but sucrose or trehalose may be preferably used, and more preferably sucrose may be used.
본 발명에 따른 구체예에서, 수크로스를 안정화제로 사용한 경우 (실시예 4에 해당함), 실온에서는 물론이고 40℃ ± 2℃의 온도 및 75% ± 5% RH의 습도의 가속 조건에서 16일 경과한 후에도 트리아졸아셉토페논이 전혀 생성되지 않았으며, 60℃ ± 2℃의 가혹 보관 조건에서 16일 경과한 후에도 1% 미만의 총 유연물질 (PAR, %) 값을 나타냄을 확인할 수 있었다. In an embodiment according to the invention, when sucrose is used as a stabilizer (corresponding to example 4), 16 days have elapsed at room temperature as well as at accelerated conditions of a temperature of 40 ° C. ± 2 ° C. and a humidity of 75% ± 5% RH. Triazol aceptophenone was not produced at all, and after 16 days under severe storage conditions of 60 ° C. ± 2 ° C., it was confirmed that the total analog (PAR,%) value was less than 1%.
또한, 트레할로오스를 안정화제로 사용한 경우 (실시예 7에 해당함), 실온에서는 트리아졸아셉토페논이 전혀 생성되지 않았으며, 40℃ ± 2℃의 온도 및 75% ± 5% RH의 습도의 가속 조건에서 16일 경과한 후에도 1% 미만의 트리아졸아셉토페논 (PAR, %) 이 생성되었으며, 60℃ ± 2℃의 가혹 보관 조건에서 16일 경과한 후에도 2% 미만의 총 유연물질 (PAR, %) 값을 나타냄을 확인할 수 있었다. In addition, when trehalose was used as a stabilizer (corresponding to Example 7), no triazole acetophenone was produced at room temperature, and acceleration of a temperature of 40 ° C. ± 2 ° C. and a humidity of 75% ± 5% RH was observed. Less than 1% of triazoleacetophenone (PAR,%) was produced even after 16 days under conditions, and less than 2% of total lead (PAR,%) after 16 days under severe storage conditions of 60 ° C ± 2 ° C. ) Value.
이로부터, 수크로스 및 트레할로오스가 당업계에 공지된 기타의 부형제, 예컨대 포비돈 K17을 사용하는 경우에 비해 현격히 우수한 보리코나졸 조성물의 안정화 효과를 발휘함을 알 수 있으며, 수크로스 및 트레할로오스 외 비환원당 역시 마찬가지로 우수한 안정화 효과를 발휘할 것임이 용이하게 예상된다. From this, it can be seen that sucrose and trehalose exhibit a significantly better stabilizing effect of the voriconazole composition than when using other excipients known in the art, such as povidone K17, and sucrose and tre Non-reducing sugars other than halose are also expected to show excellent stabilizing effects.
다른 양태로 본 발명은 안정화제로서 비환원당을 포함하는 것을 특징으로 하는 보리코나졸 포함 조성물 및 이의 제조방법을 제공한다. In another aspect, the present invention provides a composition containing a voriconazole and a method for producing the same, comprising a non-reducing sugar as a stabilizer.
본 발명의 명세서에 있어서, 용어 "보리코나졸"은 하기 화학식 I로 표시되는 보리코나졸 및 이의 약학적으로 허용가능한 염을 포함하며, 예컨대 염산염, 브롬화수소산염, 황산염, 인산염, 메탄 술포네이트, 말레인산염, 푸마르산염, 벤젠 술포네이트 혹 p-톨루엔술포네이트; 혹 이의 약물학상에서 수용할 수 있는 산 에스테르, 예를 들면 인산 에스테르 등이 포함될 수 있다. 상기 보리코나졸은 전체 보리코나졸 포함 조성물 기준으로 0.01 내지 10%(W/V), 0.05 내지 8%(W/V), 0.1 내지 7%(W/V), 0.5 내지 5%(W/V), 0.5 내지 4%(W/V), 0.5 내지 3%(W/V), 0.8 내지 2%(W/V), 또는 0.8 내지 1.5%(W/V)를 포함할 수 있고, 가장 바람직하게 0.9 내지 1.2%(W/V)를 포함할 수 있다. In the context of the present invention, the term "voriconazole" includes voriconazole represented by the following formula (I) and pharmaceutically acceptable salts thereof, such as hydrochloride, hydrobromide, sulfate, phosphate, methane sulfonate, Maleate, fumarate, benzene sulfonate or p-toluenesulfonate; Or pharmaceutically acceptable acid esters thereof, such as phosphate esters. The voriconazole is 0.01 to 10% (W / V), 0.05 to 8% (W / V), 0.1 to 7% (W / V), 0.5 to 5% (W / V), 0.5-4% (W / V), 0.5-3% (W / V), 0.8-2% (W / V), or 0.8-1.5% (W / V), most Preferably 0.9 to 1.2% (W / V).
[화학식 I][Formula I]
Figure PCTKR2014002666-appb-I000002
Figure PCTKR2014002666-appb-I000002
상기 비환원당은 전체 보리코나졸 포함 조성물 기준으로 0.05 내지 15%(W/V), 1 내지 15%(W/V), 5 내지 15%(W/V), 5 내지 12%(W/V), 5 내지 11%(W/V), 가장 바람직하게 6 내지 10%(W/V)를 포함할 수 있다. 전체 보리코나졸 포함 조성물 기준으로 0.05%(W/V) 미만으로 포함하는 경우 보리코나졸 안정화 효과를 기대하기 어렵고, 15%(W/V) 초과로 포함하는 경우 비경제적이다. The non-reducing sugar is 0.05 to 15% (W / V), 1 to 15% (W / V), 5 to 15% (W / V), 5 to 12% (W / V) based on the total barleyconazole-containing composition. ), 5 to 11% (W / V), most preferably 6 to 10% (W / V). When it is included in less than 0.05% (W / V) based on the total voriconazole-containing composition, it is difficult to expect a voriconazole stabilizing effect, it is uneconomical when included in more than 15% (W / V).
보다 구체적으로, 비환원당으로 수크로스를 선택한 경우, 전체 보리코나졸 포함 조성물 기준으로 3 내지 15%(W/V), 5 내지 15%(W/V), 8 내지 14%(W/V), 9 내지 13%(W/V), 또는 9 내지 12%(W/V)를 포함할 수 있으며, 가장 바람직하게 9 내지 11%(W/V)를 포함할 수 있다. More specifically, when sucrose is selected as the non-reducing sugar, 3 to 15% (W / V), 5 to 15% (W / V), 8 to 14% (W / V) based on the total voriconazole-containing composition , 9 to 13% (W / V), or 9 to 12% (W / V), and most preferably 9 to 11% (W / V).
또는, 상기 비환원당으로 트레할로오스를 선택한 경우, 전체 보리코나졸 포함 조성물 기준으로 3 내지 15%(W/V), 3 내지 13%(W/V), 4 내지 9%(W/V), 또는 5 내지 8%(W/V)를 포함할 수 있으며, 더욱 더 바람직하게 5 내지 7%(W/V)를 포함할 수 있다. Alternatively, when trehalose is selected as the non-reducing sugar, 3 to 15% (W / V), 3 to 13% (W / V), and 4 to 9% (W / V) based on the total voriconazole-containing composition ), Or 5 to 8% (W / V), even more preferably 5 to 7% (W / V).
본 발명에 따른 보리코나졸 포함 조성물에는 추가적으로 가용화제를 포함할 수 있다. 상기 가용화제는 보리코나졸을 용매, 바람직하게는 수성 용매, 더욱 바람직하게는 물에 용해시키기 위해 첨가하는 물질로서, 보리코나졸을 가용화하기 위해 사용가능한 물질이라면 제한되지 않고 포함될 수 있으나, 바람직하게 하이드록시프로필베타싸이클로텍스트린(Hydroxypropyl-β-cyclodextrin)이 사용될 수 있다. The composition containing boleyconazole according to the present invention may additionally include a solubilizer. The solubilizer is a substance added to dissolve voriconazole in a solvent, preferably an aqueous solvent, more preferably water, and may be included without limitation as long as it is a substance usable for solubilizing voriconazole. Hydroxypropyl beta cyclotextrin (Hydroxypropyl-β-cyclodextrin) can be used.
상기 가용화제는 전체 보리코나졸 포함 조성물 기준으로 6 내지 15%(W/V), 7 내지 15%(W/V), 8 내지 14%(W/V), 또는 9 내지 14%(W/V)를 포함할 수 있으며, 가장 바람직하게 10 내지 13%(W/V)를 포함할 수 있다. 전체 보리코나졸 포함 조성물 기준으로 5%(W/V) 미만으로 포함하는 경우 보리코나졸 가용화 효과를 기대하기 어렵고, 15%(W/V) 초과로 포함하는 경우 비경제적이다. The solubilizer may be 6 to 15% (W / V), 7 to 15% (W / V), 8 to 14% (W / V), or 9 to 14% (W / V) based on the total voriconazole containing composition. V), most preferably 10 to 13% (W / V). If it contains less than 5% (W / V) based on the total voriconazole containing composition, it is difficult to expect the voriconazole solubilization effect, it is uneconomical to include more than 15% (W / V).
본 발명에 따른 보리코나졸 포함 조성물에는 추가적으로 당업계에서 통상적으로 사용되는 활성성분, 등장화제, 완충액 또는 벌킹제 등이 제한되지 않고 선택적으로 포함될 수 있다. The boleyconazole-containing composition according to the present invention may additionally include, without limitation, active ingredients, isotonic agents, buffers or bulking agents commonly used in the art.
상기 등장화제는 조성물을 용해할 때 조성물이 혈액, 복막액 또는 기타 체액의 생리학적 범위 내의 삼투압을 갖도록 하는 작용제를 의미하며, 이에 제한되지 않지만, 예컨대 아세트산 나트륨, 락트산 나트륨, 염화 나트륨, 염화 칼륨 또는 염화 칼슘이 사용될 수 있다. By tonicity agent is meant an agent that, when dissolving the composition, causes the composition to have an osmotic pressure within the physiological range of blood, peritoneal fluid or other body fluids, including but not limited to, for example, sodium acetate, sodium lactate, sodium chloride, potassium chloride or Calcium chloride can be used.
상기 벌킹제는, 동결건조 케이크 특성을 부여하고, 동결건조 공정과 관련된 절단 내지 동결 중 발생하는 다양한 스트레스를 극복하고 보리코나졸의 활성을 유지하도록 도와주는 작용제를 의미하며, 이에 제한되지 않지만 예컨대 만니톨, 글리신, 또는 락토오스가 사용될 수 있다. The bulking agent refers to an agent that imparts lyophilized cake characteristics, helps to overcome various stresses occurring during cleavage or freezing associated with the lyophilization process and maintains the activity of voriconazole, including but not limited to mannitol , Glycine, or lactose may be used.
본 발명에 따른 보리코나졸 조성물은 액상 또는 고상일 수 있으며, 바람직하게 분말형태일 수 있으며, 더욱 바람직하게 동결건조분말 형태일 수 있다. 성상과 무관하게 본 발명에 따른 보리코나졸 포함 조성물은 모두 우수한 안정성을 가진다. 동결건조분말 형태로 제제화되는 경우 보관 및 유통에 유리하며, 특히 본 발명에 따른 동결건조분말로 제형화된 보리코나졸 조성물은 짧은 시간 내에 주사용 용매에 재현탁 또는 용해시킬 수 있고 희석시 침전물이 생기지 않아 주사용 조성물로의 조제 편이성을 가진다는 장점이 있다. The voriconazole composition according to the present invention may be liquid or solid, preferably in powder form, and more preferably in lyophilized powder form. Irrespective of the properties, all of the compositions containing borosiconazole according to the present invention have excellent stability. When formulated in the form of a lyophilized powder, it is advantageous for storage and distribution. Especially, the voriconazole composition formulated with the lyophilized powder according to the present invention can be resuspended or dissolved in a solvent for injection in a short time and the precipitate is diluted upon dilution. There is an advantage that it does not occur and has ease of preparation into an injectable composition.
본 발명에 따른 보리코나졸 포함 조성물은 항진균성 조성물로, 보리코나졸에 의해 당업계에서 통상적으로 예상하는 항진균 효과를 발휘하며, 예컨대 침습성 아스페르길루스(Aspergillus) 감염, 칸디다혈증, 칸디다 감염, 또는 Scedosporium apiospermum(Pseudallescheria boydii의 무성생식형) 또는 Fusarium 속(Fusarium solani 포함)에 의한 중증 진균감염 치료 또는 예방 효과 등을 발휘한다. The boleyconazole-containing composition according to the present invention is an antifungal composition, which exhibits the antifungal effect commonly expected in the art by voriconazole, such as invasive Aspergillus infection, Candidiasis, Candida infection, Or scedosporium apiospermum (asexual reproduction of Pseudallescheria boydii) or Fusarium genus (including Fusarium solani).
따라서, 본 발명에 따른 보리코나졸 포함 조성물은 진균감염의 치료 및/또는 예방을 위해 사용될 수 있다. Accordingly, the voriconazole containing composition according to the present invention can be used for the treatment and / or prevention of fungal infections.
이에, 다른 양태로, 본 발명은 보리코나졸 포함 조성물을 포함하는 진균감염 예방 및/또는 치료용 약학 조성물, 보리코나졸 포함 조성물을 개체에게 투여하여 진균감염을 예방 및/또는 치료하는 방법, 및 진균감염 예방 및/또는 치료를 위한 약학 제제의 제조를 위한 보리코나졸 포함 조성물의 용도를 제공한다.Accordingly, in another aspect, the present invention provides a pharmaceutical composition for preventing and / or treating fungal infections comprising a composition containing voriconazole, a method for preventing and / or treating a fungal infection by administering to a subject a composition comprising a voriconazole-containing composition, and Provided is the use of a voriconazole containing composition for the manufacture of a pharmaceutical formulation for the prophylaxis and / or treatment of fungal infections.
보리코나졸 포함 조성물은 경구, 피하, 비경구, 정맥내, 복막 또는 근육내 등 다양한 경로로 투여 가능하며, 가장 바람직하게 정맥내 투여용으로 이용될 수 있다. The composition containing voriconazole can be administered by various routes such as oral, subcutaneous, parenteral, intravenous, peritoneal or intramuscular, and most preferably can be used for intravenous administration.
보리코나졸 포함 조성물은 고상 또는 액상으로 제제화될 수 있고, 고상인 경우 개체 내 투여용 멸균 주사용 용매에 용해되어 투여될 수 있다. 보리코나졸 포함 조성물이 고상인 경우, 예컨대 동결건조분말로 제형화된 경우 주사제로 환자에게 투여되기 위해서는, 사용되기 전에 액상으로 재구성될 필요가 있다. 그러나, 본 발명은 보리코나졸 약학 조성물이 고상 그대로 환자에게 투여될 수 있다는 것도 배제하지 않는다.The voriconazole containing composition may be formulated in solid or liquid form, and in the solid phase, may be administered dissolved in a sterile injectable solvent for administration in a subject. If the composition containing voriconazole is solid, such as formulated as a lyophilized powder, it needs to be reconstituted in liquid form prior to use in order to be administered to the patient as an injection. However, the present invention does not exclude that the voriconazole pharmaceutical composition may be administered to the patient in a solid state.
본 발명에 따른 진균감염 예방 및/또는 치료를 위한 보리코나졸 포함 조성물에는 추가적으로 당업계에서 통상적으로 사용되는 pH 조절제, 삼투화제, 안정화제 또는 희석제가 포함될 수 있다. The composition containing boleyconazole for the prophylaxis and / or treatment of fungal infections according to the present invention may additionally include pH adjusting agents, osmotic agents, stabilizers or diluents commonly used in the art.
또한, 본 발명에 따른 보리코나졸 포함 조성물 제조방법은 하기와 같은 단계를 포함한다. In addition, the method for producing a composition containing a boleyconazole according to the present invention includes the following steps.
(S1) 보리코나졸을 가용화제 포함 용액에 첨가하는 단계; 및(S1) adding voriconazole to a solution containing a solubilizer; And
(S2) 상기 용액에 안정화제로서 비환원당을 첨가하는 단계.(S2) adding non-reducing sugar as a stabilizer to the solution.
또한, 추가적으로, (S3) 여과, 분주, 및/또는 동결건조하는 단계를 포함할 수 있다. Additionally, (S3) may include filtration, dispensing, and / or lyophilization.
각 단계별로 상세히 설명하면, 하기와 같다. It will be described in detail for each step, as follows.
(S1) 보리코나졸을 가용화제 포함 용액에 첨가하는 단계(S1) adding voriconazole to a solution containing a solubilizer
용매, 바람직하게 수성용매, 더욱 바람직하게 물, 예컨대 멸균 주사용 정제수에 가용화제를 용해시킨 후, 이 용액에 보리코나졸을 첨가하고 교반하여 혼합한다. 경우에 따라, 벌킹제 등을 첨가할 수 있다. The solubilizer is dissolved in a solvent, preferably an aqueous solvent, more preferably water, such as sterile injectable purified water, and then the solution is added with voriconazole and stirred and mixed. In some cases, bulking agents and the like may be added.
(S2) 상기 용액에 안정화제로서 비환원당을 첨가하는 단계(S2) adding non-reducing sugar as a stabilizer to the solution
상기 용액에 안정화제로서 비환원당을 첨가하고 용해시킨다. Non-reducing sugars are added to the solution as stabilizers and dissolved.
그 다음, 이에, 용매, 바람직하게 수성용매, 더욱 바람직하게 물, 예컨대 멸균 주사용 정제수를 첨가하여 투여경로, 투여속도, 또는 투여목적 등을 고려하여 적절하게 조성물의 농도를 조절할 수 있다. 예컨대, 정맥내 투여용 환자에게 사용하기 위한 주입백에 옮기기에 적합한 최종 농도, 약 5.0mg/mL의 농도로 조절할 수 있다. Then, a solvent, preferably an aqueous solvent, more preferably water, such as sterile injectable purified water, may be added to suitably adjust the concentration of the composition in consideration of the route of administration, rate of administration, or purpose of administration. For example, it may be adjusted to a final concentration suitable for transfer to an infusion bag for use in a patient for intravenous administration, a concentration of about 5.0 mg / mL.
경우에 따라, pH 조절제, 삼투화제, 안정화제, 충전재, 윤활제, 붕해제, 결합제, 희석제 또는 활택제 등을 첨가할 수 있다. If desired, pH adjusters, osmotic agents, stabilizers, fillers, lubricants, disintegrants, binders, diluents or glidants may be added.
(S3) 여과, 분주, 및/또는 동결건조하는 단계(S3) filtration, dispensing, and / or lyophilization
(S2) 단계를 거쳐 제조된 용액을 당업계 공지된 다양한 방법으로 여과할 수 있다. The solution prepared through the step (S2) may be filtered by various methods known in the art.
여과된 용액을 적절한 용기에 분주한다. 예컨대, 제약 분야에서 통상적으로 사용되는 유리 용기, 특히 표준 USP형 I 붕규산유리 용기가 사용될 수 있다. Dispense the filtered solution into an appropriate container. For example, glass containers commonly used in the pharmaceutical art, in particular standard USP type I borosilicate glass containers, can be used.
동결건조 하기에 앞서 멸균 여과 공정을 거칠 수 있다. 용기 및 용액을 냉동하기 위해 임계 생성물 온도 이하의 온도가 동결-건조기의 선반에 적용된다. 물은 진공 조건을 도입함으로써 제거되고 물의 응축은 동결-건조기의 얼음-응축기 상에서 발산된다. 동결건조는 예컨대 약 -60 ~ -40℃에서 동결하는 단계 및 동결제형을 -30 ~ -20℃에서 동결건조시키는 단계, 및 10 ~ 20℃에서 2차 건조시키는 단계를 거쳐 수행될 수 있다. Prior to lyophilization, a sterile filtration process may be performed. A temperature below the critical product temperature is applied to the shelf of the freeze-dryer to freeze the vessel and solution. Water is removed by introducing vacuum conditions and condensation of water is diverted on the ice-condenser of the freeze-dryer. Lyophilization may be carried out, for example, by freezing at about −60 to −40 ° C., lyophilizing the freeze formulation at −30 to −20 ° C., and secondary drying at 10 to 20 ° C.
상기 공정을 거쳐 제조된 동결건조되면, 조성물의 케이크 형태가 되며, 용기를 밀폐하고 봉한 후 사용 전까지 상온에서 보관할 수 있다. When lyophilized through the above process, the composition becomes a cake form, and the container may be sealed and sealed and stored at room temperature until use.
이상 살펴본 바와 같이, 안정화제로서 비환원당(Non-reducing sugar)을 이용하면, 가용화되기 어렵고 가용화되어도 수분 및 열에 불안정하여 분해생성물인 보리코나졸 관련 화합물 B(Voriconazole related Compound B ((2S,3R)-2-(2,4-Difluorophenyl)-3-(5-fluoropyrimidin-4-yl)-1-(1H-1,2,4- triazol-1-yl)butan-2-ol)) 또는 트리아졸 아셉토페논(Triazole acetophenone (1-(2,4-Difluorophenyl)-2-(1H-1,2,4-triazol-1-yl)ethanone))을 생성하는 등 불안정한 보리코나졸 포함 조성물의 안정성을 향상시킬 수 있어, 분해생성물에 의한 부작용에 대한 우려없이 보리코나졸 포함 조성물을 장기간 보관할 수 있다. 뿐만 아니라, 본 발명에 따른 조성물을 동결건조된 형태로 제제화한 경우 주사용 용매에의 재현탁 또는 용해시간을 줄일 수 있고, 희석시 침전물이 생기지 않아 주사용 조성물로의 조제 편이성을 가진다. As described above, when non-reducing sugar is used as a stabilizer, it is difficult to solubilize and is unstable to moisture and heat even when solubilized, and thus, voriconazole related Compound B ((2S, 3R) -2- (2,4-Difluorophenyl) -3- (5-fluoropyrimidin-4-yl) -1- (1H-1,2,4-triazol-1-yl) butan-2-ol)) or triazole Stability of unstable boriconazole-containing compositions, such as the generation of aceptophenone (Triazole acetophenone (1- (2,4-Difluorophenyl) -2- (1H-1,2,4-triazol-1-yl) ethanone)) It can be improved, and the composition containing the voriconazole can be stored for a long time without concern about the side effects caused by the degradation products. In addition, when the composition according to the present invention is formulated in a lyophilized form, it is possible to reduce the resuspension or dissolution time in the solvent for injection, and there is no precipitate upon dilution, thereby having ease of preparation into the composition for injection.
도 1은 비교예 1 및 실시예 4에 대한 XRD 측정 결과를 나타낸 것이다. Figure 1 shows the XRD measurement results for Comparative Example 1 and Example 4.
이하, 본 발명을 보다 구체적으로 설명하기 위해 실시예 등을 들어 설명하기로 한다. 그러나 본 발명에 따른 실시예들은 여러 가지 다른 형태로 변형될 수 있으며, 본 발명의 범위가 아래에서 상술하는 실시예들에 한정되는 것으로 해석되어서는 안 된다.Hereinafter, the present invention will be described with reference to Examples in order to describe the present invention in more detail. However, embodiments according to the present invention may be modified in many different forms, the scope of the present invention should not be construed as limited to the embodiments described below.
<실시예> <Example>
표 1
Ingredient Amount(mg)
실시예1 실시예2 실시예3 실시예4 실시예5 실시예6 실시예7 실시예8 실시예9 비교예1
Voriconazole 500 500 500 500 500 500 500 500 500 500
Hydroxypropyl-β-cyclodextrin 6000 4500 6000 6000 6000 6000 6000 6000 6000 -
Sulphobutylether β-cyclodextrin, sodium salts - - - - - - - - - 8000
Glycine - - 1040 - - - - - - -
Sucrose - - - 5000 - - - - - -
D-Mannitol - - - - 5000 - - - - -
Poloxamer188 - - - - - 250 - - - -
Trehalose - - - - - - 3000 - - -
Edetate disodium dihydrate - - - - - - - 250 - -
Povidone K17 - - - - - - - - 250 -
Water for injection to 50.0ml to 50.0ml to 50.0ml to 50.0ml to 50.0ml to 50.0ml to 50.0ml to 50.0ml to 50.0ml to 50.0ml
Table 1
Ingredient Amount (mg)
Example 1 Example 2 Example 3 Example 4 Example 5 Example 6 Example 7 Example 8 Example 9 Comparative Example 1
Voriconazole 500 500 500 500 500 500 500 500 500 500
Hydroxypropyl-β-cyclodextrin 6000 4500 6000 6000 6000 6000 6000 6000 6000 -
Sulphobutylether β-cyclodextrin, sodium salts - - - - - - - - - 8000
Glycine - - 1040 - - - - - - -
Sucrose - - - 5000 - - - - - -
D-Mannitol - - - - 5000 - - - - -
Poloxamer188 - - - - - 250 - - - -
Trehalose - - - - - - 3000 - - -
Edetate disodium dihydrate - - - - - - - 250 - -
Povidone k17 - - - - - - - - 250 -
Water for injection to 50.0ml to 50.0ml to 50.0ml to 50.0ml to 50.0ml to 50.0ml to 50.0ml to 50.0ml to 50.0ml to 50.0ml
실시예 1 내지 실시예 9에서 상기한 표에 제시된 양에 따라 하이드록시프로필베타싸이클로텍스트린(Hydroxypropyl-β-cyclodextrin) (Kleptose® HPB, Roquette社)을 주사용 정제수 약 40ml을 가하여 용해시킨 후, 이 액에 보리코나졸(Voriconazole) (MSN社, India)을 첨가한 후 약 35℃에서 일정속도로 교반하여 투명한 액을 제조하였다. 이 액에 실시예 3 내지 실시예 9에 해당하는 추가의 부형제인 글리신(Glycine), 수크로스(Sucrose), D-만니톨(D-Mannitol), 폴록사머 188 (Poloxamer 188), 트레할로오스(Trehalose), 에드테이트 디소듐 디하이드레이트(Edtate disodium dehydrate) 및 포비돈 K17(Povidone K17)을 상기한 표에 해당하는 양만큼 추가한 후, 용해시킨 다음, 주사용 정제수를 가하여 최종 50ml이 되도록 하였다. 생성된 용액을 0.22 ㎛의 직경을 갖는 Millex™-GP 시린지-구동 필터 단위를 통해 용액을 여과하고, 각각 5 ml씩 20 ml 유리 바이알에 충전하였다. 헬보에트 파마(Helvoet Pharma)에서 시판하는 동결건조 마개에 의해 바이알을 부분적으로 마개씌우고, 케이크가 바이알의 바닥에 형성될 때까지 동결건조하였다.In Examples 1 to 9, hydroxypropyl betacyclotextrin (Kleptose ® HPB, Roquette) was dissolved in about 40 ml of injectable water according to the amount shown in the above table. After the addition of voriconazole (Voriconazole) (MSN, India) was stirred at a constant rate at about 35 ℃ to prepare a transparent solution. Additional excipients corresponding to Examples 3-9 were Glycine, Sucrose, D-Mannitol, Poloxamer 188 and Trehalose. Trehalose), Edtate disodium dehydrate and Povidone K17 were added in an amount corresponding to the above table, dissolved, and then purified water for injection was added to the final 50 ml. The resulting solution was filtered through a Millex ™ -GP syringe-driven filter unit having a diameter of 0.22 μm and filled in 20 ml glass vials of 5 ml each. The vial was partially capped by a lyophilized stopper sold by Helvoet Pharma and lyophilized until the cake formed at the bottom of the vial.
비교예 1의 경우, 설포부틸에테르 베타-싸이클로덱스트린, 소듐 염(Sulphobutylether β-cyclodextrin, sodium salts) (Captisol?Research grade, Cydex社)을 주사용 정제수 약 40ml을 가하여 용해시킨 후, 이 액에 보리코나졸(Voriconazole) (MSN社, India)을 첨가한 후 약 35℃에서 일정속도 교반하여 투명한 액을 제조하였고, 실시예에 제시된 바와 동일하게 여과, 분주 및 동결건조 과정을 거쳐 동결건조분말을 제조하였다.In Comparative Example 1, sulfobutylether beta-cyclodextrin and sodium salts (Captisol ? Research grade, Cydex) were dissolved in about 40 ml of injectable purified water, and barley was dissolved in the solution. After adding Conazole (MSN, India) and stirring at a constant rate at about 35 ℃ to prepare a transparent liquid, as described in the Example through the filtration, dispensing and lyophilization process to prepare a lyophilized powder It was.
동결건조과정은 다음과 같이 수행하였다.The freeze drying process was performed as follows.
1) Freezing : -40℃, 3시간1) Freezing: -40 ℃, 3 hours
2) Chamber vaccum : 0.05 mba2) Chamber vaccum: 0.05 mba
3) Primary drying : -20℃, 24시간, 0.01 mba3) Primary drying: -20 ℃, 24 hours, 0.01 mba
4) 1 K/min의 램프 속도로 온도 상승4) Temperature rise at a ramp rate of 1 K / min
5) Secondary drying : 20℃, 8시간 5) Secondary drying: 20 ℃, 8 hours
<실험예 1> 물성 평가Experimental Example 1 Physical Property Evaluation
각 실시예 및 비교예에 의해 제조된 동결건조분말에 정제수를 첨가하여 10mg/ml 농도의 보리코나졸(Voriconazole) 용액이 되도록 희석하는 동안 소요되는 용해시간을 측정하였고, 희석액의 삼투압(OSMOMAT 030-D, Gonotec GmbH社) 및 pH(SevenEasy, Mettler toledo社)를 측정하였다. 또한, 이 액을 주사용 정제수를 사용하여 5mg/ml의 농도로 희석하여 냉장보관 상태로 24시간 방치한 후 육안으로 침전여부를 확인한 희석 안정성 평가를 진행하였다. 상기의 결과를 표 2에 나타내었다.Purified water was added to the lyophilized powders prepared in each of Examples and Comparative Examples, and the dissolution time required for dilution to 10 mg / ml of boriconazole solution was measured, and the osmotic pressure of the diluted solution (OSMOMAT 030- D, Gonotec GmbH) and pH (SevenEasy, Mettler toledo) were measured. In addition, the solution was diluted to a concentration of 5 mg / ml using purified water for injection, and left for 24 hours in a refrigerated state, followed by dilution stability evaluation by visually confirming precipitation. The results are shown in Table 2.
표 2
평가항목 실시예3 실시예4 실시예5 실시예7 비교예1
용해시간 1분이내 1분이내 2분이내 1분이내 1분이내
희석안정성 침전없음 침전없음 침전없음 침전없음 침전없음
삼투압 0.209 0.230 0.388 0.148 0.230
pH 4.69 6.43 4.81 6.15 5.49
TABLE 2
Evaluation item Example 3 Example 4 Example 5 Example 7 Comparative Example 1
Dissolution time Within 1 minute Within 1 minute Within 2 minutes Within 1 minute Within 1 minute
Dilution Stability No precipitation No precipitation No precipitation No precipitation No precipitation
Osmotic pressure 0.209 0.230 0.388 0.148 0.230
pH 4.69 6.43 4.81 6.15 5.49
상기 표 2에서 보는 바와 같이, 시판제제인 VFEND Lyophilized powder와 동일한 처방으로 구성된 비교예 1과 비교하였을 때, 모든 실시예에서 2분 이내에 완전히 투명한 용액으로 용해되었고 희석하여 24시간 동안 냉장보관 상태에서도 침전이 발생하지 않았으며, 체액의 삼투압 및 pH 범위(pH 3.5~7)를 나타내는 것으로 보아, 희석하여 점적 정맥 투여해야 하는 제품의 특성상 실시예 3, 4, 5, 및 7 모두 특이적인 불편함이 없을 것으로 예상되었다.As shown in Table 2, when compared to Comparative Example 1 composed of the same formulation as the commercial formulation VFEND Lyophilized powder, dissolved in a completely clear solution within 2 minutes in all the examples, diluted to precipitate even in the cold storage for 24 hours This did not occur, and the osmotic pressure and pH range of the body fluid (pH 3.5-7), so that the characteristics of the product to be diluted and administered intravenously, all of Examples 3, 4, 5, and 7 do not have any specific discomfort. It was expected.
<실험예 2> 안정성 시험Experimental Example 2 Stability Test
상기 실시예 1 내지 9와 비교예 1에서 제조한 동결건조분말에 대해서 다음의 조건에서 안정성 시험을 실시하였다. 보리코나졸의 분해생성물의 생성 정도를 평가하여 안정성을 비교하였다. 그 결과는 하기 표 3에 나타내었다.The lyophilized powders prepared in Examples 1 to 9 and Comparative Example 1 were subjected to stability tests under the following conditions. The degree of formation of degradation products of voriconazole was evaluated to compare the stability. The results are shown in Table 3 below.
[안정성 시험 조건][Stability Test Conditions]
1) 가속 시험1) accelerated test
- 온도 및 습도 : 40℃ ± 2℃ / 75% ± 5% RH-Temperature and humidity: 40 ℃ ± 2 ℃ / 75% ± 5% RH
- 샘플 보관 포장 : 30ml Type I 투명 유리 바이알-Sample Storage Package: 30ml Type I Clear Glass Vial
2) 온도 가혹 시험2) Temperature Severity Test
- 온도 : 60℃ ± 2℃Temperature: 60 ℃ ± 2 ℃
- 샘플 보관 포장 : 30ml Type I 투명 유리 바이알 -Sample Storage Package: 30ml Type I Clear Glass Vial
[Organic 유연물질분석조건][Organic Flexible Material Analysis Conditions]
1) 유연물질 표준액 조제1) Preparation of Standard Solution
트리아졸 아셉토페논(Triazole acetophenone, TAP) 표준품 5mg을 50ml 용량플라스크에 넣고, 아세토니트릴로 희석 용해한다. (100ug/ml)5 mg of Triazole acetophenone (TAP) standard is placed in a 50 ml volumetric flask and diluted with acetonitrile. (100ug / ml)
2) 표준액 조제2) Standard Solution
보리코나졸 표준품 20.0 mg을 정밀하게 달아 10 ml 용량플라스크에 넣고 아세토니트릴로 희석 용해한다. (2000ug/ml)Accurately weigh 20.0 mg of voriconazole standard into a 10 ml volumetric flask and dilute with acetonitrile. (2000ug / ml)
3) 검액 조제3) Preparation of Test Solution
보리코나졸 20mg에 해당하는 검체를 정밀히 취하여 10 ml 용량플라스크에 넣고 아세토니트릴로 희석 용해한다. (2000ug/ml)A sample of 20 mg of voriconazole is precisely taken and placed in a 10 ml volumetric flask and diluted with acetonitrile. (2000ug / ml)
4) 조작4) operation
검액 및 표준액 20μl씩을 가지고 다음의 조건으로 약전 일반시험법 중 액체크로마토그래프법에 따라 시험한다.20 μl of the sample solution and standard solution are tested according to the Liquid Chromatograph Method in the Pharmacopoeia General Test Methods under the following conditions.
5) 기기조건5) Equipment condition
컬럼 : Symmetry C8, 250 x 4.6 mm, 5umColumn: Symmetry C8, 250 x 4.6 mm, 5um
희석액 : 소듐 히드로젠 포스페이트 디하이드레이트(Sodium dihydrogen phosphate dehydrate) 7.8g를 1000ml 정제수에 녹인 후 10% 수산화나트륨으로 pH 5.5로 조정한 액Diluent: 7.8 g of sodium dihydrogen phosphate dehydrate was dissolved in 1000 ml of purified water and adjusted to pH 5.5 with 10% sodium hydroxide.
이동상 : 희석액과 아세토니트릴(8:2 비율) 혼합액(A)와 희석액과 아세토니트릴(2:8 비율) 혼합액(B)의 농도구배(Gradient) 시스템Mobile phase: Gradient system of diluent and acetonitrile (8: 2 ratio) mixture (A) and diluent and acetonitrile (2: 8 ratio) mixture (B)
검출기 : 자외부흡광 광도계 (측정파장 254nm)Detector: ultraviolet absorption photometer (wavelength 254nm)
유속 : 1mL/분Flow rate: 1mL / min
온도 : 40℃Temperature: 40 ℃
6) 계산6) Calculation
Result (PAR, %) = (At/Av) X (F) X 100Result (PAR,%) = (At / Av) X (F) X 100
At = 검액으로부터 개개 유연물질의 피크면적At = peak area of individual lead substances from the sample solution
Av = 검액으로부터 보리코나졸의 피크면적Av = peak area of voriconazole from the sample solution
F = 상대반응계수F = relative response coefficient
* Reporting threshold : 0.05%* Reporting threshold: 0.05%
표 3
Test items Test condition Test period 실시예4 실시예5 실시예6 실시예7 실시예9 비교예1
TAP*(PAR*, %) Ambient Temperature Initial 0.00 0.00 0.08 0.00 0.06 0.05
40℃/75%RH 7 days 0.00 0.19 0.40 0.05 0.30
16 days 0.00 0.38 0.64 0.08 0.45 0.06
60℃ 7 days 0.17 1.79 2.68 0.46 2.63
16 days 0.37 3.59 4.85 0.87 3.81 0.56
Total impurites (PAR*, %) Ambient Temperature Initial 0.11 0.29 0.11 0.11 0.20 0.25
40℃/75%RH 7 days 0.10 0.43 0.95 0.20 0.71
16 days 0.07 0.87 1.38 0.25 0.97 0.28
60℃ 7 days 0.41 3.46 5.35 1.08 5.32
16 days 0.89 6.93 9.58 1.97 7.58 1.42
TABLE 3
Test items Test condition Test period Example 4 Example 5 Example 6 Example 7 Example 9 Comparative Example 1
TAP * (PAR * ,%) Ambient temperature Initial 0.00 0.00 0.08 0.00 0.06 0.05
40 ℃ / 75% RH 7 days 0.00 0.19 0.40 0.05 0.30
16 days 0.00 0.38 0.64 0.08 0.45 0.06
60 ℃ 7 days 0.17 1.79 2.68 0.46 2.63
16 days 0.37 3.59 4.85 0.87 3.81 0.56
Total impurites (PAR * ,%) Ambient temperature Initial 0.11 0.29 0.11 0.11 0.20 0.25
40 ℃ / 75% RH 7 days 0.10 0.43 0.95 0.20 0.71
16 days 0.07 0.87 1.38 0.25 0.97 0.28
60 ℃ 7 days 0.41 3.46 5.35 1.08 5.32
16 days 0.89 6.93 9.58 1.97 7.58 1.42
TAP* : Triazole acetophenoneTAP * : Triazole acetophenone
PAR* : Percent area ratio, 주피크 면적 대비 각 불순물 피크 면적의 비율의 합.PAR * : Percent area ratio, the sum of the ratio of each impurity peak area to the main peak area.
상기 표 3에서 보는 바와 같이, 비환원당을 부형제로서 포함한 실시예 4 및 실시예 7의 동결건조분말 제형은 가속 또는 가혹 보관조건에서 시판제제인 VFEND Lyophilized powder와 동일한 처방으로 구성된 비교예 1에 비해 보리코나졸에서 기인한 유연물질인 트리아졸 아셉토페논(Triazole acetophenone)이 획기적으로 감소하거나 유사한 정도로 생성되는 것을 확인하였다. As shown in Table 3, the lyophilized powder formulations of Examples 4 and 7 including non-reducing sugars as excipients were compared to Comparative Example 1, which was composed of the same formulation as the commercially available VFEND Lyophilized powder under accelerated or harsh storage conditions. It was confirmed that triazole acetophenone, a softener derived from Konazole, was produced in a markedly reduced or similar degree.
<실험예 3> XRD 측정Experimental Example 3 XRD Measurement
비교예 1 및 실시예 4에 대해서 XRD 측정을 하였고, 그 결과를 도 1에 나타내었다. XRD 측정은 하기 조건으로 수행하였다.XRD was measured for Comparative Example 1 and Example 4, and the results are shown in FIG. XRD measurements were performed under the following conditions.
- Maker Bruker AXS, D8 Advance -Maker Bruker AXS, D8 Advance
- 40 kV, 30 mA, 2θ/θ scan, 3°~50°40 kV, 30 mA, 2θ / θ scan, 3 ° to 50 °
도 1에서 보는 바와 같이, 실시예 4에서 제조한 동결건조제형의 경우 비교예 1과 동일하게 XRD상에서 보리코나졸의 특정한 결정형 피크를 나타내지 않은 것으로 보아, 싸이클로덱스트린(Cyclodextrin)에 보리코나졸이 안정하게 포접되어 있는 것을 확인할 수 있었다.As shown in FIG. 1, the lyophilized formulation prepared in Example 4 does not show a specific crystalline peak of barleyconazole on XRD as in Comparative Example 1, and thus, barleyconazole is stable to Cyclodextrin. It was confirmed that it was included.
따라서, 본 발명은 제2세대의 합성 트리아졸 항진균제 함유 약제학적 조성물의 안정화제로서 비환원성 당류 (Non-reducing sugar)를 사용함으로써 수분 및 열에 의해 생성되는 분해생성물인 Voriconazole related Compound B ((2S,3R)-2-(2,4-Difluorophenyl)-3-(5-fluoropyrimidin-4-yl)-1-(1H-1,2,4- triazol-1-yl)butan-2-ol) 및 Triazole acetophenone (1-(2,4-Difluorophenyl)-2-(1H-1,2,4-triazol-1-yl)ethanone)을 획기적으로 줄여 제품의 보관 안정성을 크게 개선한 것이며, 또한 주사용 증류수에 대한 조성물의 재현탁 혹은 용해시간을 줄이고 희석시 침전물이 안정성을 개선하여 조제 편이성을 획기적으로 개선하였으므로 산업상 이용가능성이 높다.Accordingly, the present invention provides a decomposed product of Voriconazole related Compound B ((2S, which is produced by water and heat) by using a non-reducing sugar as a stabilizer of a second-generation synthetic triazole antifungal agent-containing pharmaceutical composition. 3R) -2- (2,4-Difluorophenyl) -3- (5-fluoropyrimidin-4-yl) -1- (1H-1,2,4-triazol-1-yl) butan-2-ol) and Triazole It significantly improved the storage stability of acetophenone (1- (2,4-Difluorophenyl) -2- (1H-1,2,4-triazol-1-yl) ethanone) and greatly improved the storage stability of the product. It is highly industrially available because it significantly reduces the resuspension or dissolution time of the composition and improves the ease of preparation by diluting the stability upon dilution.

Claims (16)

  1. 비환원당(Non-reducing sugar)을 포함하는 보리코나졸 용액을 안정화시키기 위한 안정화조성물Stabilizing composition for stabilizing barleyconazole solution containing non-reducing sugar
  2. 안정화제로서 비환원당을 포함하는 것을 특징으로 하는 보리코나졸 포함 조성물. A composition comprising barleyconazole, comprising a non-reducing sugar as a stabilizer.
  3. 제2항에 있어서, 상기 비환원당(Non-reducing sugar)은 수크로스, 트레할로오스, 락토오스, 라피노오스, 만니톨, 자일리톨, 소르비톨, 말티톨, 이소말트, 락티톨 및 일수화물로 이루어진 군으로부터 1이상이 선택되는 것을 특징으로 하는 보리코나졸 포함 조성물.The non-reducing sugar of claim 2, wherein the non-reducing sugar is selected from the group consisting of sucrose, trehalose, lactose, raffinose, mannitol, xylitol, sorbitol, maltitol, isomalt, lactitol and monohydrate. A composition comprising voriconazole, wherein at least one is selected.
  4. 제2항에 있어서, 상기 비환원당은 전체 보리코나졸 포함 조성물 기준으로 0.05 내지 15%(W/V)를 포함하는 것을 특징으로 하는 보리코나졸 포함 조성물. 3. The composition of claim 2, wherein the non-reducing sugar comprises 0.05 to 15% (W / V) based on the total voriconazole-containing composition.
  5. 제2항에 있어서, 상기 비환원당으로 수크로스를 전체 보리코나졸 포함 조성물 기준으로 3 내지 15 %(W/V)를 포함하거나, 또는 상기 비환원당으로 트레할로오스를 전체 보리코나졸 포함 조성물 기준으로 3 내지 15%(W/V)를 포함하는 것을 특징으로 하는 보리코나졸 포함 조성물. The composition according to claim 2, wherein the non-reducing sugar comprises 3-15% (W / V) of sucrose as the total voriconazole-containing composition, or the trehalose-containing total voriconazole-containing composition as the non-reducing sugar. 3 to 15% (W / V) on the basis of the composition comprising a voriconazole.
  6. 제2항에 있어서, 보리코나졸 포함 조성물에 추가로 가용화제를 포함하는 것을 특징으로 하는 보리코나졸 포함 조성물. The composition of claim 2, wherein the composition comprises a solubilizer in addition to the composition containing voriconazole.
  7. 제6항에 있어서, 상기 가용화제는 하이드록시프로필베타싸이클로텍스트린(Hydroxypropyl-β-cyclodextrin)인 것을 특징으로 하는 보리코나졸 포함 조성물. 7. The composition of claim 6, wherein the solubilizer is hydroxypropyl betacyclotextrin (Hydroxypropyl-β-cyclodextrin).
  8. 제2항에 있어서, 상기 가용화제는 전체 보리코나졸 포함 조성물 기준으로 6 내지 15%(W/V)를 포함하는 것을 특징으로 하는 보리코나졸 포함 조성물. 3. The composition of claim 2, wherein the solubilizer comprises 6 to 15% (W / V) based on the total voriconazole-containing composition.
  9. 제2항에 있어서, 상기 보리코나졸 포함 조성물은 진균감염 치료 및/또는 예방용 약학 조성물인 것을 특징으로 하는 보리코나졸 포함 조성물. The composition of claim 2, wherein the composition containing boleyconazole is a pharmaceutical composition for treating and / or preventing fungal infections.
  10. 제2항에 있어서, 상기 보리코나졸 포함 조성물은 동결건조분말 형태인 것을 특징으로 하는 보리코나졸 포함 조성물. The composition of claim 2, wherein the composition containing voriconazole is in the form of a lyophilized powder.
  11. 비환원당을 처리하여 보리코나졸 용액을 안정화시키는 방법. A method of treating a non-reducing sugar to stabilize a barleyconazole solution.
  12. 보리코나졸 포함 조성물 제조방법에 있어서,In the method for producing a composition containing boleyconazole,
    (S1) 보리코나졸을 가용화제 포함 용액에 첨가하는 단계; 및(S1) adding voriconazole to a solution containing a solubilizer; And
    (S2) 상기 용액에 안정화제로서 비환원당을 첨가하는 단계를 포함하는 것을 특징으로 하는 보리코나졸 포함 조성물 제조방법. (S2) A method for producing a composition comprising a voriconazole comprising the step of adding a non-reducing sugar as a stabilizer to the solution.
  13. 제12항에 있어서, 상기 (S2) 다음에 여과, 분주, 및/또는 동결건조하는 단계를 추가로 포함하는 것을 특징으로 하는 보리코나졸 포함 조성물 제조방법. 13. The method of claim 12, further comprising the step of (S2) followed by filtration, dispensing, and / or lyophilization.
  14. 약학적으로 유효한 양의 제2항의 보리코나졸 포함 조성물을 개체에게 투여하여 진균감염을 치료 및/또는 예방하는 방법. A method of treating and / or preventing fungal infections by administering to a subject a pharmaceutically effective amount of a composition comprising a voriconazole of claim 2.
  15. 진균감염 치료 및/또는 예방을 위한 약학 제제 제조용 제2항의 보리코나졸 포함 조성물의 용도. Use of the voriconazole containing composition of claim 2 for the manufacture of a pharmaceutical preparation for the treatment and / or prophylaxis of fungal infections.
  16. 제2항의 보리코나졸 포함 조성물을 포함하는 진균감염 치료 및/또는 예방용 약학 조성물. A pharmaceutical composition for treating and / or preventing fungal infections, comprising the composition comprising the boleyconazole of claim 2.
PCT/KR2014/002666 2013-03-29 2014-03-28 Stabilized composition containing voriconazole WO2014157989A1 (en)

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Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR20100067650A (en) * 2007-08-09 2010-06-21 타이젠 바이오테크놀러지 컴퍼니 리미티드 Antimicrobial parenteral formulation
WO2011020605A1 (en) * 2009-08-19 2011-02-24 Ratiopharm Gmbh Process for the production of coevaporates and complexes comprising voriconazole and cyclodextrin
KR20110094138A (en) * 2008-12-31 2011-08-19 난징 카벤디쉬 바이오-엔지니어링 테크놀러지 컴퍼니 리미티드 Pharmaceutical formulations comprising voriconazole and processes for preparation thereof
WO2012171561A1 (en) * 2011-06-15 2012-12-20 Synthon Bv Stabilized voriconazole composition
US20130005681A1 (en) * 2011-06-30 2013-01-03 Depuy Mitek, Inc. Compositions and methods for stabilized polysaccharide formulations

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR20100067650A (en) * 2007-08-09 2010-06-21 타이젠 바이오테크놀러지 컴퍼니 리미티드 Antimicrobial parenteral formulation
KR20110094138A (en) * 2008-12-31 2011-08-19 난징 카벤디쉬 바이오-엔지니어링 테크놀러지 컴퍼니 리미티드 Pharmaceutical formulations comprising voriconazole and processes for preparation thereof
WO2011020605A1 (en) * 2009-08-19 2011-02-24 Ratiopharm Gmbh Process for the production of coevaporates and complexes comprising voriconazole and cyclodextrin
WO2012171561A1 (en) * 2011-06-15 2012-12-20 Synthon Bv Stabilized voriconazole composition
US20130005681A1 (en) * 2011-06-30 2013-01-03 Depuy Mitek, Inc. Compositions and methods for stabilized polysaccharide formulations

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