WO2015008849A1 - ω3脂肪酸の自己乳化組成物 - Google Patents
ω3脂肪酸の自己乳化組成物 Download PDFInfo
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- WO2015008849A1 WO2015008849A1 PCT/JP2014/069115 JP2014069115W WO2015008849A1 WO 2015008849 A1 WO2015008849 A1 WO 2015008849A1 JP 2014069115 W JP2014069115 W JP 2014069115W WO 2015008849 A1 WO2015008849 A1 WO 2015008849A1
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/185—Acids; Anhydrides, halides or salts thereof, e.g. sulfur acids, imidic, hydrazonic or hydroximic acids
- A61K31/19—Carboxylic acids, e.g. valproic acid
- A61K31/20—Carboxylic acids, e.g. valproic acid having a carboxyl group bound to a chain of seven or more carbon atoms, e.g. stearic, palmitic, arachidic acids
- A61K31/202—Carboxylic acids, e.g. valproic acid having a carboxyl group bound to a chain of seven or more carbon atoms, e.g. stearic, palmitic, arachidic acids having three or more double bonds, e.g. linolenic
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- A—HUMAN NECESSITIES
- A23—FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
- A23L—FOODS, FOODSTUFFS, OR NON-ALCOHOLIC BEVERAGES, NOT COVERED BY SUBCLASSES A21D OR A23B-A23J; THEIR PREPARATION OR TREATMENT, e.g. COOKING, MODIFICATION OF NUTRITIVE QUALITIES, PHYSICAL TREATMENT; PRESERVATION OF FOODS OR FOODSTUFFS, IN GENERAL
- A23L29/00—Foods or foodstuffs containing additives; Preparation or treatment thereof
- A23L29/10—Foods or foodstuffs containing additives; Preparation or treatment thereof containing emulsifiers
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- A—HUMAN NECESSITIES
- A23—FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
- A23L—FOODS, FOODSTUFFS, OR NON-ALCOHOLIC BEVERAGES, NOT COVERED BY SUBCLASSES A21D OR A23B-A23J; THEIR PREPARATION OR TREATMENT, e.g. COOKING, MODIFICATION OF NUTRITIVE QUALITIES, PHYSICAL TREATMENT; PRESERVATION OF FOODS OR FOODSTUFFS, IN GENERAL
- A23L33/00—Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof
- A23L33/10—Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof using additives
- A23L33/115—Fatty acids or derivatives thereof; Fats or oils
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/21—Esters, e.g. nitroglycerine, selenocyanates
- A61K31/215—Esters, e.g. nitroglycerine, selenocyanates of carboxylic acids
- A61K31/22—Esters, e.g. nitroglycerine, selenocyanates of carboxylic acids of acyclic acids, e.g. pravastatin
- A61K31/23—Esters, e.g. nitroglycerine, selenocyanates of carboxylic acids of acyclic acids, e.g. pravastatin of acids having a carboxyl group bound to a chain of seven or more carbon atoms
- A61K31/232—Esters, e.g. nitroglycerine, selenocyanates of carboxylic acids of acyclic acids, e.g. pravastatin of acids having a carboxyl group bound to a chain of seven or more carbon atoms having three or more double bonds, e.g. etretinate
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
- A61K47/06—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
- A61K47/08—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite containing oxygen, e.g. ethers, acetals, ketones, quinones, aldehydes, peroxides
- A61K47/10—Alcohols; Phenols; Salts thereof, e.g. glycerol; Polyethylene glycols [PEG]; Poloxamers; PEG/POE alkyl ethers
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
- A61K47/06—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
- A61K47/08—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite containing oxygen, e.g. ethers, acetals, ketones, quinones, aldehydes, peroxides
- A61K47/14—Esters of carboxylic acids, e.g. fatty acid monoglycerides, medium-chain triglycerides, parabens or PEG fatty acid esters
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
- A61K47/06—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
- A61K47/26—Carbohydrates, e.g. sugar alcohols, amino sugars, nucleic acids, mono-, di- or oligo-saccharides; Derivatives thereof, e.g. polysorbates, sorbitan fatty acid esters or glycyrrhizin
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/10—Dispersions; Emulsions
- A61K9/107—Emulsions ; Emulsion preconcentrates; Micelles
- A61K9/1075—Microemulsions or submicron emulsions; Preconcentrates or solids thereof; Micelles, e.g. made of phospholipids or block copolymers
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/48—Preparations in capsules, e.g. of gelatin, of chocolate
- A61K9/4841—Filling excipients; Inactive ingredients
- A61K9/4858—Organic compounds
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P25/00—Drugs for disorders of the nervous system
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P29/00—Non-central analgesic, antipyretic or antiinflammatory agents, e.g. antirheumatic agents; Non-steroidal antiinflammatory drugs [NSAID]
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P3/00—Drugs for disorders of the metabolism
- A61P3/06—Antihyperlipidemics
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P35/00—Antineoplastic agents
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P7/00—Drugs for disorders of the blood or the extracellular fluid
- A61P7/02—Antithrombotic agents; Anticoagulants; Platelet aggregation inhibitors
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P9/00—Drugs for disorders of the cardiovascular system
- A61P9/10—Drugs for disorders of the cardiovascular system for treating ischaemic or atherosclerotic diseases, e.g. antianginal drugs, coronary vasodilators, drugs for myocardial infarction, retinopathy, cerebrovascula insufficiency, renal arteriosclerosis
Definitions
- the present invention provides a self-emulsifying composition containing at least one selected from the group consisting of ⁇ 3 polyunsaturated fatty acids, their pharmaceutically acceptable salts and esters, their pharmaceuticals, their production methods and their methods of use. .
- ⁇ 3PUFA polyunsaturated fatty acid
- EPA icosapentoic acid
- DHA docosahexaenoic acid
- ⁇ 3PUFA and its pharmaceutically acceptable salts and esters have various effects such as anti-arteriosclerosis, platelet aggregation-inhibition, blood lipid lowering, anti-inflammatory, anticancer, and central effects. It is blended in foods and is marketed as health foods or pharmaceuticals.
- EPA-E EPA ethyl ester
- Japan an oral treatment for improving ulcers associated with obstructive arteriosclerosis, pain and cold sensation, and hyperlipidemia (trade name Epadale, Mochida Pharmaceutical).
- Epadale a pharmaceutically administered under fasting
- the increase in plasma EPA concentration is lower than that when orally administered under fed conditions. This is thought to be because bile acid secretion and ingredients from food are necessary as a carrier for absorption of EPA-E. Therefore, Epadale is said to be administered orally immediately after meals (non-patented). Reference 1). People who do not eat breakfast, etc.
- TG serum triglycerides
- These compositions contain ethanol for the purpose of improving the solubility of fenofibrate, but when ethanol volatilizes, the capsule deforms and contains bubbles, changes in quality such as capsule deformation and cracking, and cloudiness of the capsule contents. There is a concern about degeneration such as separation.
- a self-emulsifying composition that contains ethanol and polyhydric alcohol in addition to ⁇ 3 PUFA and a surfactant and can produce a dispersion having a small or very small average particle diameter when contacted with water has been reported (Patent Document 2). .
- a self-emulsifying composition with low ethanol content it contains ⁇ 3 PUFA, hydrophilic / lipophilic balance (hereinafter referred to as HLB) 10 or more emulsifiers, lecithin, polyhydric alcohols such as propylene glycol and glycerin, self-emulsifying, hungry
- HLB hydrophilic / lipophilic balance
- emulsifiers lecithin
- polyhydric alcohols such as propylene glycol and glycerin
- Patent Document 4 It has been reported that when a co-solvent such as polyhydric alcohol in the composition is encapsulated, it shifts to the capsule film and causes deformation due to modification of the composition or softening of the capsule.
- Self-emulsifying compositions generally use more emulsifiers, and the amount of liquid in the entire composition is large, resulting in less inflammation of the gastrointestinal tract and physiologically active ingredients dissolved in the oil contained in one capsule (Patent Document) 5) Problems arise. Therefore, it is desirable that the emulsifier used in the composition has no or little toxicity even when continuously administered, and the amount used is small. Further, from the viewpoint of ingestion, the amount of ⁇ 3 PUFA to be taken at a time is determined. Therefore, when the amount of ingredients other than ⁇ 3 PUFA in the self-emulsifying composition increases, the amount of the medicine to be taken at once increases. Therefore, it is desirable that the amount of emulsifier and alcohol used is small from the viewpoint of miniaturization of the preparation.
- a preparation in which ethanol and polyhydric alcohol contained in the self-emulsifying composition are reduced is desired.
- the formulation which reduced the emulsifier contained in a self-emulsification composition is desired.
- a preparation having a high content of ⁇ 3PUFA in the self-emulsifying composition is desired.
- a self-emulsifying composition excellent in medication compliance is desired.
- the self-emulsifying composition is used as a pharmaceutical product, it is assumed that the composition is stored in a cold region or the like, so that when the composition is stored in a low temperature or high temperature environment in addition to room temperature, the composition is not clouded or denatured, such as separation. Self-emulsifying compositions with good appearance are desired.
- a self-emulsifying composition having a stable quality is desired.
- provision of the formulation which encapsulated the composition is desired.
- the present inventors have conducted extensive studies on components that replace ethanol and polyhydric alcohol, and as a result, have found that a predetermined amount of water is useful for improving the compatibility of the self-emulsifying composition. Further, the inventors have found that the content of emulsifier can be further reduced, and completed the invention of a self-emulsifying composition having a high content of ⁇ 3 PUFA. And the composition of this invention is a composition excellent in at least 1 or more of the said subject.
- the first aspect of the present invention is the following self-emulsifying composition.
- (1-1) When the total amount of the self-emulsifying composition is 100% by mass, a) at least one compound selected from the group consisting of 70 to 90% by weight of an ⁇ 3 polyunsaturated fatty acid, a pharmaceutically acceptable salt thereof, and an ester thereof; b) 0.5-6% by weight of water, c) As an emulsifier of 1 to 29% by weight, the following emulsifier i) or ii) i) polyoxyethylene sorbitan fatty acid ester, ii) containing at least two emulsifiers selected from the group consisting of sorbitan fatty acid esters, glycerin fatty acid esters and polyoxyethylene castor oil, Or As an emulsifier of 1 to 29% by weight, the following emulsifiers i) and ii) i) polyoxyethylene sorbitan fatty acid ester, ii) containing at
- the total amount of the self-emulsifying composition is 100% by mass, a) at least one compound selected from the group consisting of 70 to 90% by weight of an ⁇ 3 polyunsaturated fatty acid, a pharmaceutically acceptable salt thereof, and an ester thereof; b) 0.5-6% by weight of water, c) As an emulsifier of 1 to 29% by weight, the following emulsifier i) or ii) i) polyoxyethylene sorbitan fatty acid ester, ii) containing at least two emulsifiers selected from the group consisting of sorbitan fatty acid esters, glycerin fatty acid esters and polyoxyethylene castor oil, Or As an emulsifier of 1 to 29% by weight, the following emulsifiers i) and ii) i) polyoxyethylene sorbitan fatty acid ester, ii) containing at least one emulsifier selected from the group consisting of sorbitan fatty acid
- Polyoxyethylene sorbitan fatty acid ester is Polyoxyethylene (20) sorbitan monolaurate, polyoxyethylene (20) sorbitan monopalmitate, polyoxyethylene (20) sorbitan monostearate, polyoxyethylene (20) sorbitan tristearate, polyoxyethylene monoisostearate ( 20) At least one selected from the group consisting of sorbitan, polyoxyethylene monooleate (20) sorbitan and polyoxyethylene trioleate (20) sorbitan, described in (1-1) or (1-2) Self-emulsifying composition.
- the sorbitan fatty acid ester is at least one selected from the group consisting of sorbitan monolaurate, sorbitan monooleate, sorbitan monopalmitate, sorbitan trioleate and sorbitan sesquioleate (1-1) to The self-emulsifying composition as described in (1-3).
- glyceryl fatty acid ester is composed of glyceryl monooleate, glyceryl monostearate, decaglyceryl monooleate, decaglyceryl monolaurate, decaglyceryl trioleate, decaglyceryl pentaoleate and tetraglyceryl monooleate
- the self-emulsifying composition according to any one of (1-1) to (1-4), which is at least one selected from:
- ⁇ 3PUFA, a pharmaceutically acceptable salt thereof, and an ester thereof are at least one selected from the group consisting of EPA, DHA, a pharmaceutically acceptable salt thereof, and an ester thereof
- (1-19) ⁇ 3PUFA, a pharmaceutically acceptable salt thereof, and an ester thereof is EPA-E or DHA ethyl ester (hereinafter referred to as DHA-E) (1-1) to (1-18)
- DHA-E DHA ethyl ester
- (1-20) Any one of (1-1) to (1-19) containing at least one selected from the group consisting of EPA, DHA, pharmaceutically acceptable salts and esters thereof as an active ingredient The self-emulsifying composition described in 1.
- the composition contains less than 3 parts by mass of lecithin with respect to 100 parts by mass of at least one compound selected from the group consisting of ⁇ 3PUFA, a pharmaceutically acceptable salt thereof, and an ester thereof (1
- the self-emulsifying composition according to (1-23), wherein the lecithin is at least one selected from the group consisting of soybean lecithin, enzyme-degraded soybean lecithin, hydrogenated soybean lecithin, and egg yolk lecithin.
- (1-26) The self-emulsifying composition according to any one of (1-1) to (1-25), wherein the appearance of the composition is clear when the composition is allowed to stand.
- (1-27) The self-emulsifying composition according to any one of (1-1) to (1-26), wherein the appearance of the composition does not separate or become cloudy when the composition is allowed to stand.
- (1-28) The self-emulsification according to any one of (1-1) to (1-27), wherein the appearance of the composition is clear when the composition is stored at 5 ° C. or 40 ° C. for 12 hours.
- Composition Composition.
- (1-29) The composition according to any one of (1-1) to (1-28), wherein the appearance of the composition is not separated or turbid when the composition is stored at 5 ° C. or 40 ° C.
- Self-emulsifying composition (1-30) The self-emulsifying composition according to any one of (1-1) to (1-29), wherein the composition is good in at least one of self-emulsifying property, composition dispersibility, and emulsion stability.
- (1-31) 10 ⁇ L of the composition is added dropwise to purified water at 37 ° C. or 5 mL of the first solution of JP elution test, and emulsified spontaneously just by adding the solution to any one of (1-1) to (1-30) The self-emulsifying composition as described.
- the maximum value of ⁇ 3 PUFA blood concentration is 50 ⁇ g / mL or more and / or ⁇ 3 PUFA blood from 0 to 2 hours after administration
- the area under the concentration curve is 50 ⁇ g / mL ⁇ hr or more
- the ⁇ 3 PUFA blood concentration maximum value is 60 ⁇ g / mL or more
- the area under the UFA blood concentration curve is 60 ⁇ g / mL ⁇ hr or more, or the maximum value of ⁇ 3 PUFA blood concentration is 70 ⁇ g / mL or more and / or the area under the ⁇ 3 PUFA blood concentration curve from 0 to 2 hours after administration is 70 ⁇ g / mL ⁇ hr.
- the self-emulsifying composition according to any one of (1-1) to (1-33) as described above.
- Male cynomolgus monkey is 45 mg per kg body weight as at least one compound selected from the group consisting of ⁇ 3 PUFA, its pharmaceutically acceptable salt, and its ester under fasting conditions for 12 hours or longer (1- The maximum ⁇ 3PUFA blood concentration calculated by orally administering the self-emulsifying composition according to any one of 1) to (1-33) and reducing the blood ⁇ 3 concentration before administration was 50 ⁇ g / mL.
- the area under the ⁇ 3 PUFA blood concentration curve from 0 to 12 hours after administration is 400 ⁇ g / mL ⁇ hr or more, or the ⁇ 3 PUFA blood concentration maximum value is 70 ⁇ g / mL or more and / or ⁇ 3 PUFA blood from 0 to 12 hours after administration
- the self-emulsifying composition according to any one of the above was orally administered before a meal, and the ⁇ 3 PUFA blood concentration maximum value calculated by correcting the blood ⁇ 3 concentration before administration was 50 ⁇ g / mL or more and / or 2 hours after administration
- (1-37) Any one of (1-1) to (1-33) in an amount of 1800 mg as at least one compound selected from the group consisting of ⁇ 3PUFA, pharmaceutically acceptable salts thereof, and esters thereof in humans
- the maximum ⁇ 3PUFA blood concentration was 10 ⁇ g / mL and / or doses 0 to 72, calculated by administering the self-emulsifying composition as described above orally before a meal and performing correction by reducing the blood ⁇ 3 concentration before administration.
- the self-emulsifying composition according to any one of (1-1) to (1-33), wherein the area under the ⁇ 3PUFA blood concentration curve until time is 250 ⁇ g / mL ⁇ hr or more.
- the second aspect of the present invention is the following encapsulated self-emulsifying preparation.
- (2-1) The self-emulsifying composition according to any one of (1-1) to (1-39), wherein the content liquid is encapsulated in hard capsules and / or soft capsules.
- (2-2) The encapsulated self-emulsifying preparation according to (2-1) having good hardness immediately after production.
- (2-3) The encapsulated self-emulsifying preparation according to (2-1) or (2-2), wherein the hardness immediately after production is 18 kgf or more.
- (2-4) Encapsulation according to (2-1) to (2-3), when the preparation is sealed in aluminum packaging and stored at 40 ° C.
- dyslipidemia hyper-LDL-cholesterolemia, hyper-non-HDL-cholesterolemia, hyper-VLDL-cholesterolemia, hypo-HDL-cholesterolemia, hyper-TG, hyper-ApoB) , Hypo-ApoAIemia, etc.
- postprandial hyperTG treatment anti-arteriosclerosis, platelet aggregation inhibitor, peripheral circulatory failure treatment, cardiovascular event onset prevention, inflammatory disease (non-alcoholic fat) Treatment for liver disease (hereinafter referred to as NAFLD), non-alcoholic steatohepatitis (hereinafter referred to as NASH), dementia (Alzheimer-type dementia, cerebrovascular dementia, mixed dementia, etc.)
- NAFLD non-alcoholic steatohepatitis
- dementia Alzheimer-type dementia, cerebrovascular dementia, mixed dementia, etc.
- It is at least one selected from the group consisting of agents for suppressing / treating progression, anticancer agents, and central diseases mania, manic state, obses
- the third aspect of the present invention is the following method for producing a self-emulsifying composition.
- (3-1) When the total amount of the self-emulsifying composition is 100% by mass, a) at least one compound selected from the group consisting of 70 to 90% by weight of an ⁇ 3 polyunsaturated fatty acid, a pharmaceutically acceptable salt thereof, and an ester thereof; b) 0.5 to 6% by weight of water, and c) as an emulsifier of 1 to 29% by weight, the following emulsifiers i) or ii) i) polyoxyethylene sorbitan fatty acid ester, ii) at least two emulsifiers selected from the group consisting of sorbitan fatty acid esters, glycerin fatty acid esters and polyoxyethylene castor oil, Or As an emulsifier of 1 to 29% by weight, the following emulsifiers i) and ii) i) polyoxyethylene sorbitan fatty acid ester,
- (3-2) When the total amount of the self-emulsifying composition is 100% by mass, a) at least one compound selected from the group consisting of 70 to 90% by weight of an ⁇ 3 polyunsaturated fatty acid, a pharmaceutically acceptable salt thereof, and an ester thereof; b) 0.5 to 6% by weight of water, and c) as an emulsifier of 1 to 29% by weight, the following emulsifiers i) or ii) i) polyoxyethylene sorbitan fatty acid ester, ii) at least two emulsifiers selected from the group consisting of sorbitan fatty acid esters, glycerin fatty acid esters and polyoxyethylene castor oil, Or As an emulsifier of 1 to 29% by weight, the following emulsifiers i) and ii) i) polyoxyethylene sorbitan fatty acid ester, ii) in a composition obtained by mixing at least one emulsifier selected from the group consisting of
- a fourth aspect of the present invention is a medicament for a specific administration method of the following self-emulsifying composition.
- (4-1) At least one self-emulsifying selected from the above (1-1) to (1-39), (2-1) to (2-7), (3-1) to (3-3) Formulation for oral administration of a composition or encapsulated self-emulsifying formulation, medicament or veterinary medicine on an empty stomach or before going to bed.
- (4-2) Fasting the self-emulsifying composition or the encapsulated self-emulsifying preparation, the medicine or the veterinary medicine produced by the production method according to any one of (3-1) to (3-3) Or a preparation for oral administration before going to bed.
- the above medicine is dyslipidemia (hypercholesterolemia, high LDL cholesterolemia, high non-HDL cholesterolemia, high VLDL cholesterolemia, low HDL cholesterolemia, hyperTGemia, high ApoB blood , Low ApoAIemia, etc.), postprandial hyperTG treatment, anti-arteriosclerosis, platelet aggregation inhibitor, peripheral circulatory failure treatment, cardiovascular event onset prevention, inflammatory disease (NAFLD, NASH) ), Therapeutic agents, dementia (Alzheimer-type dementia, cerebrovascular dementia, mixed dementia, etc.), progression inhibitory / therapeutic agents, anticancer agents and central diseases (mania, manic state, obsessive-compulsive disorder, society) (Anxiety disorder, panic disorder, etc.)
- the fifth aspect of the present invention is at least one prevention, progression prevention and treatment method selected from the following group.
- (5-1) At least one self-emulsifying selected from the above (1-1) to (1-39), (2-1) to (2-7), (3-1) to (3-3)
- a dyslipidemia hypercholesterolemia, hyper-LDL cholesterolemia, hyper-non-HDL cholesterolemia, hypertension, characterized by orally administering a composition or encapsulated self-emulsifying preparation, pharmaceutical or veterinary medicine to a patient VLDL cholesterolemia, low HDL cholesterolemia, hyperTGemia, hyperApoBemia, hypoApoAIemia, etc.), postprandial hyperTGemia, anti-arteriosclerosis, increased platelet aggregation, peripheral circulatory failure, cardiovascular event Onset, inflammatory diseases (NAFLD, NASH, etc.), dementia (Alzheimer-type dementia, cerebrovascular dementia, mixed dementia, etc.), cancer and central diseases (mania, mania, obsessive-compulsive disorder) ,
- the sixth aspect of the present invention is the following self-emulsifying composition.
- (6-1) Self-emulsifying composition in an amount of 600 mg as at least one compound selected from the group consisting of ⁇ 3PUFA, its pharmaceutically acceptable salt, and its ester under fasting conditions for 18 hours or more in male beagle dogs Under the ⁇ 3PUFA blood concentration curve, the maximum value of ⁇ 3PUFA blood concentration was 50 ⁇ g / mL or more and / or 0 to 2 hours after administration, calculated by correcting the blood ⁇ 3 concentration before administration.
- the area under the ⁇ 3PUFA blood concentration curve is 50 ⁇ g / mL ⁇ hr or more, and / or the ⁇ 3PUFA blood concentration maximum value is 50 ⁇ g / mL or more and / or 0 to 2 hours after administration.
- the area under the ⁇ 3 PUFA blood concentration curve is 60 ⁇ g / mL ⁇ hr or more when the value is 60 ⁇ g / mL or more and / or from 0 to 2 hours after administration.
- the self-emulsifying composition having an upper or ⁇ 3 PUFA blood concentration maximum value of 70 ⁇ g / mL or more and / or an area under the ⁇ 3 PUFA blood concentration curve from 0 to 2 hours after administration of 70 ⁇ g / mL ⁇ hr or more.
- (6-2) A self-emulsifying composition in which male cynomolgus monkey is 45 mg per kg body weight as at least one compound selected from the group consisting of ⁇ 3 PUFA, pharmaceutically acceptable salts thereof, and esters thereof under fasting conditions for 12 hours or more.
- the maximum value of ⁇ 3PUFA blood concentration was 50 ⁇ g / mL or more and / or 0 to 12 hours after administration, which was calculated by correcting the blood ⁇ 3 concentration before administration.
- Self-emulsifying composition with an area of 400 ⁇ g / mL ⁇ hr or more, or a maximum ⁇ 3 PUFA blood concentration of 70 ⁇ g / mL or more and / or an area under the ⁇ 3 PUFA blood concentration curve from 0 to 12 hours of administration of 500 ⁇ g / mL ⁇ hr or more object.
- a self-emulsifying composition in an amount of 1800 mg as at least one compound selected from the group consisting of ⁇ 3PUFA, a pharmaceutically acceptable salt thereof, and an ester thereof is orally administered to a human before meals and administered Self-emulsifying composition having a maximum ⁇ 3PUFA blood concentration of 50 ⁇ g / mL or more and / or a ⁇ 3PUFA blood concentration of 10 ⁇ g / mL or more 2 hours after administration, calculated by correcting the previous blood ⁇ 3 concentration. .
- a self-emulsifying composition in an amount of 1800 mg as at least one compound selected from the group consisting of ⁇ 3PUFA, a pharmaceutically acceptable salt thereof, and an ester thereof is orally administered to a human before meals and administered.
- the maximum value of ⁇ 3PUFA blood concentration calculated by correcting the previous blood ⁇ 3 concentration was 10 ⁇ g / mL or more and / or the area under the ⁇ 3PUFA blood concentration curve from 0 to 72 hours after administration was 250 ⁇ g / mL ⁇ hr.
- the self-emulsifying composition of the present invention contains a small amount of water in the composition instead of ethanol or polyhydric alcohol, and this composition improves the compatibility of the composition and further reduces the amount of emulsifier used. Excellent safety for animals (including humans). Moreover, since ⁇ 3PUFA has a high content, the amount of emulsifier used can be reduced, and the dosage is excellent. In addition, since water is included in the composition, the content of ethanol or polyhydric alcohol can be lowered, or a composition not containing these can be obtained, so that the capsule film is prevented from being softened and the capsule is not deformed.
- the above composition has a good appearance without separation and white turbidity under any one of low temperature (for example, 5 ° C.) and high temperature (for example, 40 ° C.) conditions. .
- the composition is separated and not clouded under any two conditions, more preferably any three conditions, and the appearance is good.
- the self-emulsifying composition of the present invention comprises at least one, preferably two or more, and more preferably all of the above preferred properties.
- the present invention is described in detail below.
- the total amount of at least one compound selected from the group consisting of ⁇ 3 PUFA, pharmaceutically acceptable salts and esters thereof is in the range of 70 to 90% by mass, and the specific emulsifier is 1 to 29% by mass.
- ⁇ 3PUFA is a fatty acid having a plurality of carbon-carbon double bonds in the molecule and the first double bond at the third position from the methyl group side.
- Representative examples include ⁇ -linolenic acid, EPA, DHA, eicosatrienoic acid, stearidonic acid, eicosatetraenoic acid, succinic acid, tetracosapentaenoic acid, and nisic acid.
- ⁇ 3 PUFAs EPAs
- DHAs fatty acids
- ⁇ 3 PUFAs used in the present invention may be synthetic, semi-synthetic or natural products, and may be in the form of natural oils containing them.
- the natural product means one extracted from a natural oil containing ⁇ 3 PUFAs by a known method, one that has been roughly purified, or one that has been further refined.
- Semi-synthetic products include ⁇ 3 PUFAs produced by microorganisms and the like, and those obtained by subjecting the ⁇ 3 PUFAs or natural ⁇ 3 PUFAs to chemical treatment such as esterification and transesterification.
- ⁇ 3PUFAs can be used alone or in combination of two or more.
- ⁇ 3 PUFAs include EPAs and DHAs, and more preferred examples include EPAs.
- pharmaceutically acceptable salts of ⁇ 3PUFA inorganic bases such as sodium salts and potassium salts, organic bases such as benzylamine salts and diethylamine salts, salts with basic amino acids such as arginine salts and lysine salts, and ethyl as esters.
- alkyl esters such as esters and esters such as mono-, di- and triglycerides.
- ethyl ester or TG ester is mentioned, and ethyl ester is mentioned as a more preferable example. That is, EPA-E, EPA TG ester, DHA-E, and DHA TG ester are preferred examples, EPA-E and DHA-E are further preferred examples, and EPA-E is a more preferred example.
- the purity of the raw material ⁇ 3PUFAs used in the self-emulsifying composition of the present invention is not particularly limited, but usually the content of ⁇ 3PUFAs in the total fatty acids of the composition is preferably 50% by mass or more, more preferably 70% by mass. % Or more, more preferably 80% by mass or more, more preferably 90% by mass or more, particularly preferably 96.5% by mass or more, and most preferably 98% by mass or more.
- the EPA has a high purity, for example, the EPA content ratio in the ⁇ 3 PUFA is preferably 50% by mass or more, more preferably 60% by mass or more, still more preferably 70% by mass or more, and 80% by mass.
- the composition of the present agent preferably has a high purity of ⁇ 3 PUFAs in all fatty acids, more preferably has a high purity of EPAs + DHAs that are ⁇ 3 PUFAs, and does not substantially contain or contain DHAs at all. Even so, the purity of EPAs, for example, less than 1.0%, preferably less than 0.5%, more preferably less than 0.2%, is most preferred.
- EPA-E and DHA-E are used, if the purity of the composition of EPA-E is as described above, the composition ratio of EPA-E / DHA-E and EPA-E + DHA-E in all fatty acids
- EPA-E / DHA-E is preferably 0.8 or more, more preferably 1.0 or more, more preferably 1.2 or more. It is.
- the composition of the present invention may contain polyunsaturated fatty acids other than ⁇ 3PUFAs such as linoleic acid, ⁇ -linolenic acid, dihomo- ⁇ -linolenic acid, and pharmaceutically acceptable salts or esters thereof.
- Arachidonic acid and their pharmaceutically acceptable salt or ester content is desired to be low, preferably less than 2% by weight, more preferably less than 1% by weight, arachidonic acid and their pharmaceutically acceptable salts Or the aspect which does not contain ester substantially is especially preferable.
- the content of ⁇ 3 PUFAs in the self-emulsifying composition of the present invention is 70 to 90% by mass, preferably 70 to 86% by mass, more preferably 72 to 85% by mass, and more preferably 74 to 84% by mass.
- One type of ⁇ 3 PUFAs may be used, or a mixture of two or more types may be used. In the case of two or more kinds of mixtures, the total amount of the mixture is 70 to 90% by mass in the self-emulsifying composition.
- These ⁇ 3 PUFAs are soft capsules containing high-purity EPA-E (96.5% by mass or more) available as a therapeutic agent for ASO and hyperlipidemia in Japan (trade name Epadale: Mochida Pharmaceutical Co., Ltd.) Can be used as a high-purity EPA-E-containing soft capsule (trade name VASCEPA: amarin) available as a therapeutic agent for hyperTGemia.
- EPA-E and DHA-E can be used, for example, as a therapeutic agent for hyperTGemia in Lovaza (Lovaza (registered trademark): GlaxoSmithKline: EPA-E approximately 46.5).
- Soft capsules containing about 37.5% by mass of DHA-E) and Rotriga (registered trademark) marketed in Japan LOTRIGA (registered trademark): Takeda Pharmaceutical: EPA-E about 46.5% by mass , A soft capsule containing about 37.5% by mass of DHA-E) can also be used.
- a mixture of EPA and DHA is, for example, an Epanova (Epanova (registered trademark): Astra Xeneca: EPA free acid about 50 to 60% by mass, DHA free acid about 15%) marketed in the United States as a therapeutic agent for hyperTG.
- Soft capsules containing up to 25% by weight can also be used.
- Refined fish oil can also be used as ⁇ 3 PUFAs.
- monoglycerides, diglycerides, TG derivatives, or combinations thereof of ⁇ 3PUFAs are also preferable embodiments.
- Incromega F2250, F2628, E2251, F2573, TG2162, TG2779, TG2928, TG3525 and E5015 (Croda International PLC, Yale, England)
- EPAX6000FA EPAX5000TG
- EPAX4510TG, EPA4510TG, EPA4510TG, EPA4510TG, EPA4510TG, EPA4510TG, K85EE and K80EE Pronova Biopharma, Lysaker, Norway
- other products containing various ⁇ 3 PUFAs are commercially available and can be obtained and used.
- polyoxyethylene sorbitan fatty acid ester is a polyoxyethylene ether of a fatty acid ester in which a part of hydroxyl groups of anhydrous sorbitol is esterified with a fatty acid.
- Various compounds are commercially available depending on the fatty acid to be esterified.
- polyoxyethylene (20) sorbitan monolaurate NIKKOL TL-10, polysorbate 20, Tween 20
- polyoxyethylene (20) sorbitan monopalmitate NIKKOL TP
- polysorbate 40 Tween 40
- polyoxyethylene (20) sorbitan monostearate NIKKOL TS-10MV, polysorbate 60, Tween 60
- polyoxyethylene (20) sorbitan tristearate NIKKOL TS-30V, polysorbate 65)
- Polyoxyethylene (20) sorbitan monoisostearate NIKKOL TI-10V
- polyoxyethylene (20) sorbitan monooleate NIK) OL TO-10MV
- polysorbate 80, Tween 80 polyoxyethylene (20) sorbitan trioleate
- NIKKOL TO-30V polysorbate 85
- polyoxyethylene (20) sorbitan monostearate mono Examples include polyoxyethylene (20) sorbitan oleate and polyoxyethylene (20) sorbitan trio
- polyoxyethylene sorbitan fatty acid ester is used in the sense of including all of the above compounds.
- the content of the polyoxyethylene sorbitan fatty acid ester in the self-emulsifying composition of the present invention is not particularly limited as long as it has the effects of the present invention, but usually 1 to 29 masses when the total amount of the self-emulsifying composition is 100 mass%. %, Preferably 5 to 20% by mass, more preferably 7 to 15% by mass.
- sorbitan fatty acid ester is obtained by esterifying the hydroxyl group of anhydrous sorbitol with a fatty acid.
- Various compounds are commercially available depending on the fatty acid to be esterified.
- sorbitan monolaurate (Span20, NIKKOL SL-10, Nonion LP-20R), sorbitan monostearate (NIKKOL SS-10MV), sorbitan monooleate (Span80 , NIKKOL SO-10V), sorbitan monopalmitate (Span40, NIKKOL SP-10V), sorbitan trioleate (NIKKOL SO-30) and sorbitan sesquioleate (Span83, NIKKOL SO-15MV, nonionic OP-83R)
- sorbitan monolaurate, sorbitan monooleate, and sorbitan sesquioleate are exemplified, and more preferably, sorbitan monolaurate is exemplified.
- sorbitan fatty acid ester is used to mean all of the above compounds.
- the content of the sorbitan fatty acid ester in the self-emulsifying composition of the present invention is not particularly limited as long as it has the effects of the present invention, but is usually 1 to 20% by mass when the total amount of the self-emulsifying composition is 100% by mass. 2 to 15% by mass, more preferably 3 to 10% by mass, or 2 to 8% by mass, preferably 2 to 7% when the total amount of the self-emulsifying composition is 100% by mass. % By mass, more preferably 3 to 5% by mass.
- glycolin fatty acid ester is an ester of fatty acid and glycerin or polyglycerin and its derivatives (glycerin fatty acid ester, glycerin acetic acid fatty acid ester, glycerin lactic acid fatty acid ester, glycerin citrate fatty acid ester, glycerin succinic acid fatty acid ester, glycerin diacetyl. And tartaric acid fatty acid ester, glycerin acetic acid ester, polyglycerin fatty acid ester and polyglycerin condensed ricinoleic acid ester).
- glyceryl monooleate PECEOL
- NIKKOL MGS-F50SEV MGS-AMV
- MGS-BMV decaglyceryl monooleate
- NIKKOL Decaglyn 1-OV decaglyceryl monooleate
- Poem J-0381V decaglyceryl monolaurate
- NIKKOL Decaglyn 1-L decaglyceryl trioleate
- NIKKOL Decaglyn 3-OV decaglyceryl pentaoleate
- NIKKOL Tetraglyn 1-OV preferably glyceryl monooleate, decaglyceryl monooleate, glyceryl monostearate
- decaglyceryl monooleate can be exemplified.
- glycerin fatty acid ester is used in the meaning including all the above compounds.
- the content of the glycerin fatty acid ester in the self-emulsifying composition of the present invention is not particularly limited as long as it has the effects of the present invention, but is usually 1 to 25% by mass when the total amount of the self-emulsifying composition is 100% by mass. 3 to 20% by mass, more preferably 5 to 15% by mass, particularly preferably 6 to 10% by mass, or 1 to 20% by mass when the total amount of the self-emulsifying composition is 100% by mass. And preferably 1 to 15% by mass, more preferably 1 to 10% by mass, and particularly preferably 1 to 8% by mass.
- polyoxyethylene castor oil is a compound obtained by addition polymerization of ethylene oxide to castor oil.
- Various compounds are commercially available depending on the average number of moles of ethylene oxide added.
- NIKKOL CO-3 Nikko Chemicals
- NIKKOL CO-10 Nikko Chemicals
- EMALEX C-20 Japanese emulsion
- EMALEX C-30 Japanese emulsion
- Kolliphor EL BASF
- polyoxyl 35 castor oil with an average added mole number of 35
- EMALEX C-40 Japanese emulsion
- EMALEX C-50 Japanese emulsion
- Kolliphor EL is preferable
- polyoxyethylene castor oil is used in the sense of including all the above compounds unless otherwise specified.
- the content of polyoxyethylene castor oil in the self-emulsifying composition of the present invention is not particularly limited as long as it has the effects of the present invention, but usually 1 to 20% by mass when the total amount of the self-emulsifying composition is 100% by mass. It is preferably 2 to 15% by mass, more preferably 3 to 10% by mass, and particularly preferably 4 to 6% by mass.
- the self-emulsifying composition of the present invention preferably has the following embodiments i) and / or ii). That is, i) A preferred embodiment of the self-emulsifying composition of the present invention contains at least a polyoxyethylene sorbitan fatty acid ester as an emulsifier. More preferably, polyoxyethylene sorbitan fatty acid ester is included as a main emulsifier. In another preferred embodiment, the emulsifier used in the composition is substantially at least one selected from polyoxyethylene sorbitan fatty acid esters and sorbitan fatty acid esters, glycerin fatty acid esters and polyoxyethylene castor oil. Say.
- Containing polyoxyethylene sorbitan fatty acid ester as the main emulsifier means that when the total amount of emulsifier contained in the composition is 100 parts by mass, the ratio of polyoxyethylene sorbitan fatty acid ester in the total amount of emulsifier is 40 parts by mass or more, more preferably It means 50 parts by mass or more, more preferably 60 parts by mass or more.
- the content of at least one emulsifier selected from sorbitan fatty acid ester, glycerin fatty acid ester and polyoxyethylene castor oil is 100 parts by mass of the total amount of emulsifier used in the composition. When it is, it is 60 mass parts or less, More preferably, it is 50 mass parts or less, More preferably, it is 40 mass parts or less.
- the emulsifier contains at least two selected from sorbitan fatty acid ester, glycerin fatty acid ester and polyoxyethylene castor oil.
- the polyoxyethylene sorbitan fatty acid ester may not be contained.
- the combination of the two emulsifiers is not particularly limited, but is preferably a combination of sorbitan fatty acid ester and polyoxyethylene castor oil, glycerin fatty acid ester and polyoxyethylene castor oil, sorbitan fatty acid ester and glycerin fatty acid ester, and more preferably, A combination of sorbitan fatty acid ester and polyoxyethylene castor oil, glycerin fatty acid ester and polyoxyethylene castor oil.
- the content of the most emulsifier among the emulsifiers contained in the composition is preferably 75 parts by mass or less, more preferably 67 parts by mass or less when the total amount of emulsifiers in the composition is 100 parts by mass. More preferably, it is 60 parts by mass or less. Further, it is preferably 30 to 80 parts by mass, more preferably 35 to 70 parts by mass, still more preferably 38 to 67 parts by mass, and particularly preferably 40 to 55 parts by mass.
- the self-emulsifying composition of the present invention can use a plurality of emulsifiers including polyoxyethylene castor oil as an emulsifier.
- the content of polyoxyethylene castor oil in the emulsifier contained in the composition is preferably 70 parts by mass or less, more preferably 60 parts by mass or less, when the total amount of the emulsifier in the composition is 100 parts by mass. More preferably, it is 50 parts by mass or less.
- the amount is preferably 10 to 70 parts by mass, more preferably 15 to 60 parts by mass, still more preferably 17 to 40 parts by mass, and particularly preferably 18 to 30 parts by mass.
- the self-emulsifying composition of the present invention may contain an emulsifier other than polyoxyethylene sorbitan fatty acid ester, sorbitan fatty acid ester, glycerin fatty acid ester, and polyoxyethylene castor oil as an emulsifier, the content of which is used in the composition
- the total amount of the emulsifier is 100 parts by mass, it is 20 parts by mass or less, more preferably 10 parts by mass or less, still more preferably 5 parts by mass or less, and particularly preferably substantially free.
- the emulsifier that can be contained is not particularly limited as long as at least one of the above problems is satisfied.
- the total content of the emulsifier in the self-emulsifying composition of the present invention is not particularly limited as long as it has the effects of the present invention, but is usually 1 to 29% by mass when the total amount of the self-emulsifying composition is 100% by mass, It is preferably 5 to 29% by mass, more preferably 6 to 29% by mass, still more preferably 7 to 29% by mass, particularly preferably 8 to 29% by mass, and still more preferably 9 to 29% by mass. Or 5 to 24 mass% is preferable, More preferably, it is 10 to 20 mass%. Alternatively, 6 to 28% by mass is preferable, 8 to 26% by mass is more preferable, and 9 to 25% by mass is further preferable. Further, it is 5 to 45 parts by mass, preferably 10 to 45 parts by mass, more preferably 15 to 35 parts by mass, and particularly preferably 15 to 20 parts by mass with respect to 100 parts by mass of the ⁇ 3 PUFAs.
- compositions and medicaments of the present invention contain a small amount of water.
- water In general, it is considered that the addition of water to a composition containing a hydrophobic lipid deteriorates the compatibility.
- the compatibility of the composition is improved, and polyhydric alcohol and ethanol are not required. Therefore, the appearance is not required even when polyhydric alcohol, ethanol, or lecithin is not contained. It is clear and does not cause composition separation or cloudiness.
- a small amount of water may be added during the preparation of the self-emulsifying composition, and the water in the gelatin film may be transferred to the self-emulsifying composition when encapsulated in a gelatin capsule or the like.
- Water is preferably 0.5 to 6% by mass, more preferably 0.5 to 4% by mass, even more preferably 0.5 to 3% by mass, when the total amount of the self-emulsifying composition is 100% by mass. 0.5 to 2.5% by mass is particularly preferable. Most preferably, it is 0.7 to 1.5% by mass. Further, water is preferably 1 to 30% by mass, more preferably 2 to 25% by mass, and further preferably 3 to 20% by mass when the total amount of emulsifier contained in the self-emulsifying composition is 100 parts by mass. 4 to 15% by mass is particularly preferred. Most preferably, it is 5 to 9% by mass.
- lecithin is one of glycerophospholipids, and examples include soybean lecithin, enzyme-degraded soybean lecithin, hydrogenated soybean lecithin, egg yolk lecithin, hydrogenated phospholipid, milk-derived phospholipid, lysolecithin, phosphatidylcholine, and phosphatidylserine. Is done.
- soybean lecithin, enzyme-decomposed soybean lecithin, hydrogenated soybean lecithin and egg yolk lecithin are exemplified, and soybean lecithin is more preferred.
- soybean lecithin is more preferred.
- one of these can be used alone or in combination of two or more.
- lecithin is used in the meaning including all of the above glycerophospholipids. In the present invention, lecithin is not included in the emulsifier.
- Various products such as purified soybean lecithin (Nisshin Oilio), purified egg yolk lecithin (Asahi Kasei Pharma), egg yolk lecithin PL-100M (Kupie) are commercially available.
- Soy lecithin is, for example, Basis LP-20B (Nisshin Oil), Lipoid S45, S20 (lipoid), and enzymatically decomposed lecithin is various, such as Basis LP-20E (Nisshin Oil), Phospholipon RLPC20 (lipoid). Products are commercially available and can be obtained and used.
- lecithin is not substantially contained as a preferred embodiment.
- 3 mass parts or more of lecithin is not included with respect to 100 mass parts of ⁇ 3 PUFAs.
- the lecithin content is less than 3 parts by mass, preferably less than 2 parts by mass, more preferably less than 1 part by mass. Most preferred is 0 parts by weight.
- the content of lecithin in the self-emulsifying composition of the present invention is preferably 0 part by mass or more and less than 3 parts by mass, more preferably 0 part by mass or more and less than 1 part by mass.
- lecithin is preferably less than 2.1% by mass, more preferably less than 1.4% by mass, and even more preferably less than 0.7%.
- the “polyhydric alcohol” is a polyol compound having a structure in which one or more hydroxy groups are substituted for two or more carbon atoms of a chain aliphatic hydrocarbon or a cyclic aliphatic hydrocarbon.
- dihydric alcohols such as ethylene glycol, propylene glycol, trimethylene glycol, 1,2-butylene glycol, tetramethylene glycol, 1,3-butylene glycol, 2,3-butylene glycol and pentamethylene glycol, glycerin, trimethyl
- dihydric alcohols such as ethylene glycol, propylene glycol, trimethylene glycol, 1,2-butylene glycol, tetramethylene glycol, 1,3-butylene glycol, 2,3-butylene glycol and pentamethylene glycol, glycerin, trimethyl
- polyhydric alcohol polymers such as diethylene glycol, dipropylene glycol triethylene glycol, polyethylene glycol, polypropylene glycol, and polyglycerin.
- Glycerin also includes concentrated glycerin.
- the polyhydric alcohol is used in the meaning including all the polyol compounds as described above unless otherwise specified.
- the content of the polyhydric alcohol added to the self-emulsifying composition of the present invention should be in a range that does not deform the capsule when the composition is filled in the capsule.
- a preferred embodiment is substantially free of polyhydric alcohol.
- the content of the polyhydric alcohol is 4% by mass or less, preferably 3% by mass or less, more preferably 2% by mass or less, and still more preferably 1% by mass or less. Most preferred is 0% by weight.
- the ethanol contained in the self-emulsifying composition of the present invention does not cause quality changes during the encapsulation production process, distribution and storage, and does not cause denaturation of the capsule contents. A range that does not exceed the usage record is good.
- a preferred embodiment is substantially free of ethanol. For example, when the whole composition is 100% by mass, it does not contain more than 4% by mass of ethanol. Alternatively, the ethanol content is 4% by mass or less, preferably 3% by mass or less, more preferably 2% by mass or less, and still more preferably 1% by mass or less. Most preferred is 0% by weight.
- ethanol and a polyhydric alcohol when contained in a composition, when the whole composition is 100 mass%, it is preferable not to contain more than 4 mass% ethanol and polyhydric alcohol as a total content in a composition.
- the total amount of ethanol and polyhydric alcohol in the composition is preferably 4% by mass or less, more preferably 3% by mass or less, further preferably 2% by mass or less, and particularly preferably 1% by mass or less. Most preferably, it is 0 mass% or less.
- a preferable ethanol concentration can be appropriately determined according to the ⁇ 3 PUFA concentration in the self-emulsifying composition and the daily dose.
- the self-emulsifying composition of the present invention is orally administered at 1800 mg / day as ⁇ 3PUFA, for example, when the ⁇ 3PUFA is a preparation of 75% by mass, if the ethanol is 0.135% by mass or less, The maximum usage amount of 3.26 mg will not be exceeded.
- preferred embodiments are 1) EPA-E and / or DHA-E, 2) water, 3) polyoxyethylene sorbitan fatty acid ester as an emulsifier Is a combination including Another preferred embodiment is a combination of at least two emulsifiers selected from the group consisting of 1) EPA-E and / or DHA-E, 2) water, 3) sorbitan fatty acid ester, glycerin fatty acid ester and polyoxyethylene castor oil It is.
- Another preferred embodiment is from 1) EPA-E and / or DHA-E, 2) water, 3) polyoxyethylene sorbitan fatty acid ester as emulsifier, and 4) sorbitan fatty acid ester, glycerin fatty acid ester and polyoxyethylene castor oil.
- Another preferred embodiment is from 1) EPA-E and / or DHA-E, 2) water, 3) polyoxyethylene sorbitan fatty acid ester as emulsifier, and 4) sorbitan fatty acid ester, glycerin fatty acid ester and polyoxyethylene castor oil.
- These self-emulsifying compositions are 1) EPA-E and / or DHA-E 70 to 90% by mass, and 2) water 0.5 to 6% by mass when the total amount of the self-emulsifying composition is 100% by mass.
- the emulsifier is 1 to 29% by mass.
- the self-emulsifying composition of the present invention can be encapsulated.
- a hard capsule or a soft capsule can be selected, and a soft capsule is preferable.
- the form of the soft capsule is not necessarily limited, but is preferably a rotary soft capsule or a seamless capsule.
- the composition of the capsule film is not necessarily limited.
- main components include gelatin, carrageenan, pectin, pullulan, sodium alginate, starch, hypromellose, hydroxypropylcellulose, and various known components.
- gelatin is preferable.
- the gelatin is not limited, and known gelatins such as acid-treated gelatin, alkali-treated gelatin, amphoteric gelatin, and chemically modified gelatin can be used, and one or more of these can be used. Preferred is acid-treated gelatin or alkali-treated gelatin.
- gelatin Although the origin of gelatin is not necessarily limited, for example, cow bone, cow skin, pig bone, pig skin, fish scale, fish skin, preferably cow bone, cow skin, pig bone, pig skin.
- examples of “gelatin” include those normally used in the manufacture of soft capsules, for example, pharmaceutical gelatin (gelatin and purified gelatin) defined by the 16th revision Japanese Pharmacopoeia. Two or more types of gelatin may be used in combination.
- the capsule film may contain a plasticizer and the like.
- plasticizer to be blended in the capsule film
- polyhydric alcohols such as glycerin (eg, concentrated glycerin), ethylene glycol, polyethylene glycol, propylene glycol, polypropylene glycol, etc.
- Sugar alcohols such as sorbitol, mannitol, and xylitol are preferred.
- plasticizers may be used in combination of two or more. Of these, glycerin and sorbitol are preferable. It is also preferable to use a combination of glycerin and sorbitol.
- the mass ratio of glycerin and sorbitol is preferably used in the range of 1: 5 to 5: 1, and more preferably in the range of 1: 3 to 3: 1.
- the capsule film solution preferably contains gelatin and a plasticizer in a weight ratio of 10: 1 to 1:10. It is more preferable to contain in the range of: 1.
- the weight ratio of the capsule film solution to the capsule contents is usually 10: 1 to 1:10, preferably 3: 1 to 1:10.
- plasticizers such as amino acids, citric acid, glycerin, sorbitol, trehalose, preservatives, coloring agents such as pigments and titanium oxide, organic acids, etc. Can be added.
- composition for capsule film can be produced by mixing and dissolving gelatin and a plasticizer and, if necessary, various additives in water at room temperature or under heating.
- the encapsulated self-emulsifying preparation containing the self-emulsifying composition of the present invention as a content liquid has good hardness immediately after production, and it is preferable that the hardness does not decrease by storage. The decrease in hardness not only deforms the capsule but also becomes brittle, so the capsule breaks and the content liquid flows out, which is not preferable in terms of quality. The presence or absence of softening of the capsule can be confirmed by measuring the hardness with a general hardness meter.
- the encapsulated self-emulsifying preparation of the present invention has a hardness immediately after production of 18 kgf or more, preferably 20 kgf or more, more preferably 22 kgf or more.
- the hardness does not substantially decrease when stored in a sealed aluminum package at 40 ° C. for one week, or that the hardness does not decrease more than 6 kgf, and the hardness after storage at 40 ° C. for one week.
- the hardness when stored in a sealed aluminum package at 40 ° C. for 1 week is 60% or more, preferably 70% or more, more preferably 80% or more (maintained).
- a hardness of 90% or more is maintained.
- the dosage and administration period of the ⁇ 3 PUFAs used in the self-emulsifying composition of the present invention are set to an amount and a period sufficient to exhibit the intended effect, but the administration method, the number of administrations per day, the degree of symptoms, The dosage can be adjusted according to weight, age, etc.
- EPA-E is 0.1 to 5 g / day, preferably 0.2 to 3 g / day, more preferably 0.3 to 3 g / day, and further preferably 0.5 to 3 g / day. More preferably, 0.9 to 3 g / day is administered in 1 to 3 divided doses, but the total amount may be administered once or in several divided doses as necessary.
- the number of administrations per day is preferably administered once a day, or divided into two or three times a day.
- a soft capsule containing 1 g as EPA-E 1 to 10 capsules, preferably 1 to 8 capsules, more preferably 1 to 6 capsules, still more preferably 1-4 capsules can be administered, more preferably 1-3 capsules.
- a soft capsule containing 1 g as EPA-E and a soft capsule containing 0.5 g were combined to give 0.5 g / time, 1.5 g / time, 2.5 g / time, 3.5 g / It can also be administered at a dose of 4.5 g / dose or 5.5 g / dose.
- the administration time is preferably during or after meals, and administration after meals (within 30 minutes) is more preferred, but the self-emulsifying composition of the present invention can be used even on an empty stomach.
- patients with reduced absorption capacity in the intestinal tract when administered before, during or after meals, before meals, between meals, and before going to bed e.g. elderly, enteric patients, intestines
- the effects of the present invention can also be exhibited when administered to patients with terminal cancer after surgery, taking a lipase inhibitor), or when the dose is reduced.
- the self-emulsifying composition of the present invention preferably has a feature that the time until it reaches the maximum blood concentration after oral administration is equal to or shorter than that of the ⁇ 3 PUFA stock solution. Alternatively, it is preferable that the maximum value of blood concentration is higher than that of the ⁇ 3 PUFA stock solution. Further, the blood concentration at 2 hours after administration, the area under the blood curve at 0 to 2 hours after administration, and / or the area under the blood concentration curve at 0 to 72 hours are characterized by being equal to or higher than the ⁇ 3 PUFA stock solution. It is preferable.
- the time to reach the maximum blood concentration is shorter than that of ⁇ 3PUFA, the concentration is high, and the blood concentration after 2 hours of administration, 0 to 2 hours of administration and / or What has the characteristic that all below the area under the blood concentration curve of 0 to 72 hours is higher than the ⁇ 3 PUFA stock solution is preferable.
- the above pharmacokinetics can be confirmed in animals such as dogs and monkeys, and is preferably confirmed by human tests.
- a self-emulsifying composition of 600 mg as ⁇ 3 PUFAs was orally administered to male beagle dogs under fasting conditions for 18 hours or longer, and correction was performed by reducing the blood ⁇ 3 concentration before administration.
- the maximum value of ⁇ 3PUFA blood concentration calculated as described above is preferably 50 ⁇ g / ml or more, more preferably 60 ⁇ g / ml or more, and particularly preferably 70 ⁇ g / ml or more.
- the area under the ⁇ 3PUFA blood concentration curve from 0 to 2 hours after administration is preferably 50 ⁇ g / ml ⁇ hr or more, more preferably 60 ⁇ g / ml ⁇ hr or more, and particularly preferably 70 ⁇ g / ml ⁇ hr or more.
- the combination of the maximum value of ⁇ 3PUFA blood concentration and the area under the ⁇ 3PUFA blood concentration curve is preferably 50 ⁇ g / ml or more and 50 ⁇ g / ml ⁇ hr or more, more preferably 60 ⁇ g / ml or more and 60 ⁇ g / ml ⁇ hr or more, 70 ⁇ g. / Ml or more and 70 ⁇ g / ml ⁇ hr or more are particularly preferable.
- a self-emulsifying composition of 45 mg / kg body weight as ⁇ 3 PUFAs to male cynomolgus monkeys under fasting conditions for 12 hours or more, and reducing the blood ⁇ 3 concentration before administration.
- the ⁇ 3PUFA blood concentration maximum value calculated by performing the measurement is preferably 50 ⁇ g / ml or more, and more preferably 70 ⁇ g / ml.
- the area under the ⁇ 3 PUFA blood concentration curve from 0 to 12 hours after administration is preferably 400 ⁇ g / ml ⁇ hr or more, more preferably 500 ⁇ g / ml.
- the combination of the maximum value of ⁇ 3PUFA blood concentration and the area under the ⁇ 3PUFA blood concentration curve is preferably 50 ⁇ g / ml or more and 400 ⁇ g / ml ⁇ hr or more, more preferably 70 ⁇ g / ml or more and 500 ⁇ g / ml ⁇ hr or more.
- a self-emulsifying composition having an amount of 1800 mg as ⁇ 3 PUFAs or EPAs was orally administered to humans, for example, before meal, immediately after meal or after meal, to reduce blood ⁇ 3 concentration before administration
- the ⁇ 3PUFA blood concentration maximum value calculated after correction is preferably 50 ⁇ g / mL or more, more preferably 100 ⁇ g / mL or more, particularly preferably 150 ⁇ g / mL or more, further preferably 200 ⁇ g / mL or more, most preferably 300 ⁇ g / mL. More than mL.
- the area under the ⁇ 3 PUFA blood concentration curve from 0 to 72 hours after administration is preferably 500 ⁇ g / mL ⁇ hr or more, more preferably 1000 ⁇ g / mL ⁇ hr or more, particularly preferably 1500 ⁇ g / mL ⁇ hr or more, and 2000 ⁇ g / mL ⁇ hr.
- hr or more is more preferable, and most preferably 3000 ⁇ g / mL ⁇ hr or more.
- 500 to 4500 ⁇ g / mL ⁇ hr is preferable, 600 to 3000 ⁇ g / mL ⁇ hr is more preferable, 700 to 2500 ⁇ g / mL ⁇ hr is particularly preferable, 800 to 2000 ⁇ g / mL ⁇ hr is further preferable, and most preferably 1000 to 1500 ⁇ g. / ML ⁇ hr.
- the maximum plasma concentration reaching time is preferably 6 hours or less, more preferably 5 hours or less, particularly preferably 3 hours or less, further preferably 1 hour or less, and most preferably 0 hour or less.
- the elimination half-life in plasma is preferably 10 hours or more, more preferably 20 hours or more, particularly preferably 30 hours or more, further preferably 40 hours or more, and most preferably 50 hours or more.
- it is preferably 0 to 150 hours, more preferably 10 to 120 hours, particularly preferably 30 to 100 hours, further preferably 25 to 75 hours, and most preferably 25 to 50 hours.
- a self-emulsifying composition in an amount of 3600 mg as ⁇ 3 PUFAs or EPAs was orally administered to humans, for example, before meals, immediately after meals or after meals, and the blood ⁇ 3 concentration before administration was reduced.
- the ⁇ 3PUFA blood concentration maximum value calculated after correction is preferably 50 ⁇ g / mL or more, more preferably 100 ⁇ g / mL or more, particularly preferably 150 ⁇ g / mL or more, further preferably 200 ⁇ g / mL or more, most preferably 300 ⁇ g / mL. More than mL.
- the area under the ⁇ 3PUFA blood concentration curve from 0 to 72 hours after administration is preferably 500 ⁇ g / mL ⁇ hr or more, more preferably 1000 ⁇ g / mL ⁇ hr or more, particularly preferably 1500 ⁇ g / mL ⁇ hr or more, 2000 ⁇ g / mL ⁇ hr.
- the above is more preferable, and most preferable is 3000 ⁇ g / mL ⁇ hr or more.
- 500 to 5000 ⁇ g / mL ⁇ hr is preferable, 1000 to 4700 ⁇ g / mL ⁇ hr is more preferable, 1500 to 4500 ⁇ g / mL ⁇ hr is particularly preferable, 2000 to 4000 ⁇ g / mL ⁇ hr is further preferable, and most preferably 2500 to 3500 ⁇ g. / ML ⁇ hr.
- the maximum plasma concentration arrival time is preferably 6 hours or less, more preferably 5 hours or less, particularly preferably 3 hours or less, further preferably 1 hour or less, and most preferably 0 hour or less.
- the elimination half-life in plasma is preferably 10 hours or more, more preferably 20 hours or more, particularly preferably 30 hours or more, further preferably 40 hours or more, and most preferably 50 hours or more.
- it is preferably 0 to 150 hours, more preferably 10 to 120 hours, particularly preferably 30 to 100 hours, further preferably 25 to 75 hours, and most preferably 25 to 50 hours.
- a self-emulsifying composition having an amount of 1800 mg as EPA, for example, orally administered before, immediately after, or after a meal, and corrected by reducing the blood ⁇ 3 concentration before administration.
- the maximum value is not particularly limited, for example, 10 to 50, 50 to 100, 100 to 150, 150 to 200, 200 to 250, 250 to 300, 300 to 350, 350 to 400, 400 to 450, 450 to 500, 500 to 600, 600 to 700, 700 to 800, 800 to 900, 900 to 1000, 10 to 30, 20 to 40, 30 to 50, 40 to 60, 50 to 70, 60 to 80, 70 to 90, 80 to 100, 90-110, 100-120, 110-130, 120-140, 130-150, 140-160, 150-170, 16 0 to 180, 170 to 190, 180 to 200, 190 to 210, 200 to 220, 220 to 240, 240 to 260, 260 to 280, 280 to 300, 10 to 20, 15 to 25, 20 to 30, 25 to 35, 30-40, 35-45, 40-50, 45-55, 50-55, 53-58, 55-60, 58-63, 60-65, 63-68, 65-70, 68-73, 70 to 75, 73 to 78
- the self-emulsifying composition in which the area under the ⁇ 3PUFA blood concentration curve from 0 to 72 hours after administration is 1800 mg as EPA is administered before, immediately after, or after a meal, for example, 500-1500, 1000 -2000, 1500-2500, 2000-3000, 2500-3500, 3000-4000, 500-1000, 750-1250, 1000-1500, 1250-1750, 1500-2000, 1750-2250, 2000-2500, 2250-2750 2500-3000, 2750-3250, 3000-3500, 3250-3750, 3500-4000, 3750-4250, 4000-4500, 4250-4750, 4500-5000, 500-700, 600-800, 700-90 800 to 1000, 900 to 1100, 1000 to 1200, 1100 to 1300, 1200 to 1400, 1300 to 1500, 1400 to 1600, 1500 to 1700, 1600 to 1800, 1700 to 1900, 1800 to 2000, 1900 to 2100, 2000 ⁇ 2200, 2100-2300, 2200-2400, 2300-2500, 2400-2
- the self-emulsifying composition whose maximum plasma concentration reaching time is 1800 mg to 3600 mg as EPAs is administered, for example, before, immediately after, or after a meal, for example, 0 to 2, 1 to 3, 2 to 4, 3 to 5, 4 to 6, 5 to 7, 6 to 8, 7 to 9, 8 to 10, 0 to 1, 0.5 to 1.5, 1 to 2, 1.5 to 2.5, 2 to 3, 2.5 to 3.5, 3 to 4, 3.5 to 4.5, 4 to 5, 4.5 to 5.5, 5 to 6, 5.5 to 6.5, 6 to 7, 6.5-7.5, 7-8, 7.5-8.5, 8-9, 8.5-9.5, 9-10, 0-0.5, 0.3-0.
- a self-emulsifying composition having an elimination half-life in plasma of 1800 mg to 3600 mg as EPA is administered before, immediately after, or after a meal, for example, 0 to 50, 25 to 75, 50 to 100 75-125, 100-150, 125-175, 150-200, 0-20, 10-30, 20-40, 30-50, 40-60, 50-70, 60-80, 70-90, 80 -100, 90-110, 100-120, 110-130, 120-140, 130-150, 0-10, 5-15, 10-20, 15-25, 20-30, 25-35, 30-40 35-45, 40-50, 45-55, 50-60, 55-65, 60-70, 65-75, 70-80, 75-85, 80-90, 85-95, 90-100, 95 105,100 ⁇ 110,105 ⁇ 115,110 to 120 hours can be selected.
- the present invention may be specified by combining two or more selected from the maximum value of ⁇ 3PUFA plasma concentration, the area under the ⁇ 3PUFA blood concentration curve from 0 to 72 hours after administration, the maximum plasma concentration arrival time, and the elimination half-life in plasma. good.
- the self-emulsifying composition of the present invention may contain an emulsification aid, a stabilizer, a preservative, a surfactant, an antioxidant and the like.
- the emulsification aid include fatty acids having 12 to 22 carbon atoms such as stearic acid, oleic acid, linoleic acid, palmitic acid, linolenic acid, myristic acid, or salts thereof.
- the stabilizer include phosphatidic acid, ascorbic acid, glycerin, cetanol and the like.
- the preservative include ethyl paraoxybenzoate and propyl paraoxybenzoate.
- antioxidants examples include oil-soluble antioxidants such as butylated hydroxytoluene, breached hydroxyanisole, propyl gallate, propyl gallate, pharmaceutically acceptable quinone, astaxanthin and ⁇ -tocopherol.
- suitable carriers or media coloring agents, flavoring agents, vegetable oils as necessary, harmless organic solvents or harmless solubilizers, emulsifiers, suspending agents (for example, Tween 80, Arabic Rubber solutions), isotonic agents, pH adjusters, stabilizers, flavoring agents, flavoring agents, preservatives, antioxidants, absorption promoters, etc.can be prepared.
- oil-soluble antioxidants such as butylated hydroxytoluene, butylated hydroxyanisole, propyl gallate, propyl gallate, pharmaceutically acceptable quinones, astaxanthins and ⁇ -tocopherols It is desirable to contain an effective amount of at least one selected from the above as an antioxidant.
- the self-emulsifying composition of the present invention is also used for pharmaceutical use, it is preferable that the appearance is good and the self-emulsifying property, the composition dispersibility, the emulsion stability and the storage stability are excellent. It is preferable that the self-emulsifying composition does not separate, does not become turbid, does not solidify, does not precipitate, and is clear in appearance. If the appearance is poor, it is not preferable as a medicine, and there is a possibility that it does not have originally required performance such as self-emulsification. In consideration of the possibility that the self-emulsifying composition and these encapsulated preparations are handled in a cold region or a high temperature environment, the storage temperature is preferably clear in appearance even at low and high temperatures.
- a self-emulsifying composition excellent in self-emulsifying property, composition dispersibility, and emulsion stability when it comes into contact with water, it disperses quickly and forms a microemulsion having an appropriate emulsion droplet size.
- the absorbability of oil such as EPA-E is related to the size of the emulsion droplet diameter, and by measuring this, it can be predicted whether the absorbability when administered to animals is good.
- the “average emulsified droplet size” is a standard measurement method (for example, a Setzero time of 30 seconds and a measurement time of 30 seconds) using a particle size distribution measuring apparatus (for example, Nanotorac, manufactured by Nikkiso) using water as a dispersion medium. It is the value of the volume average diameter in the emulsified composition measured by the average of 3 seconds).
- the average emulsified droplet diameter is 2 ⁇ m or less, and is not particularly limited as long as it is in a range excellent in emulsifying dispersibility, emulsification stability, or absorbency, but usually the average
- the emulsified droplet diameter is 1.5 ⁇ m or less, more preferably 1.0 ⁇ m or less, still more preferably 0.5 ⁇ m or less, and most preferably 0.3 ⁇ m or less.
- the second active ingredient can be used in combination with the self-emulsifying composition of the present invention.
- the second active ingredient can be arbitrarily selected according to the target disease and the degree of symptoms, and preferably does not diminish the effects of ⁇ 3 PUFAs, such as antihyperlipidemic drugs, antihypertensive drugs, antidiabetic drugs, Examples include antioxidants, blood flow improving agents, bile acid derivatives, NAFLD / NASH therapeutic agents, dementia progression inhibitory / therapeutic agents, and the like.
- preferred second active ingredients include, for example, polyemphosphatidylcholine, soybean oil unsaponifiable matter (soysterol), gamma oryzanol, riboflavin butyrate, sodium dextran sulfate sulfur 18, pantethine, Examples include elastase.
- statins such as pravastatin, simvastatin, atorvastatin, fluvastatin, pitavastatin, rosuvastatin, cerivastatin, fibrates such as simfibrate, clofibrate, clinofibrate, bezafibrate, fenofibrate, or lipolysis such as orlistat and cetiristat Enzyme inhibitors, resins such as cholestyramine and colestimide, and ezetimibe are also included.
- statins such as pravastatin, simvastatin, atorvastatin, fluvastatin, pitavastatin, rosuvastatin, cerivastatin
- fibrates such as simfibrate, clofibrate, clinofibrate, bezafibrate, fenofibrate, or lipolysis such as orlistat and cetiristat Enzyme inhibitors
- resins such as cholestyramine and colestimid
- Antihypertensive drugs include irbesartan, olmesartan medoxomil, candesartan lexetil, angiotensin II receptor antagonists such as telmisartan, valsartan, losartan potassium, alacepril, imidapril hydrochloride, enalapril maleate, captopril, quinapril hydrochloride, cilazapril hydration , Temocapril hydrochloride, delapril hydrochloride, trandolapril, benazepril hydrochloride, perindopril, angiotensin converting enzyme inhibitors such as lisinopril hydrate, azelnidipine, amlodipine besylate, alanidipine, efonidipine hydrochloride, cilnidipine hydrochloride, nicardipine hydrochloride Such as salt, nifedipine,
- Antidiabetic drugs include ⁇ -glucosidase inhibitors such as acarbose, voglibose and miglitol, sulfonylurea hypoglycemic drugs such as gliclazide, glibenclamide, glimepiride and tolbutamide, fast-acting insulin secretagogues such as nateglinide and mitiglinide, metformin Biguanide hypoglycemic drugs such as hydrochloride, buformin hydrochloride, dipeptidylphosphatase 4 inhibitors such as sitagliptin, vildagliptin, alogliptin, linagliptin, tenegliptin, anagliptin, saxagliptin, pioglycone hydrochloride, rosiglitazone maleate Thiazolidine drugs, glucagon-like peptide 1 derivatives such as exenatide and liraglutide, ipra
- antioxidants examples include vitamins such as ascorbic acid (vitamin C), tocopherol (vitamin E), tocopherol nicotinate, N-acetylcysteine, probucol, and the like.
- Examples of the blood flow improving agent include cilostazol, ticlopidine hydrochloride, alprostadil, limaprost, beraprost sodium, sarpogrelate hydrochloride, argatroban, naphthidrofuryl, isoxsuprine hydrochloride, batroxobin, dihydroergotoxine mesylate, trazoline hydrochloride, hepronicart, four Examples include natural water extract.
- bile acid derivatives examples include ursodeoxycholic acid, chenodeoxycholic acid, bile powder, deoxycholic acid, cholic acid, bile extract, bear gall, cow yellow, dehydrocholic acid, and the like.
- biotin vitamin B7
- cyanocobalamin vitamin B12
- pantothenic acid vitamin B5
- folic acid vitamin B9
- thiamine vitamin B1
- vitamin A vitamin D
- vitamin K vitamin K
- tyrosine pyrodoxine
- Preferred examples include branched chain amino acids such as leucine, isoleucine and valine, calcium, iron, zinc, copper and magnesium.
- certain health foods such as soy protein, chitosan, low molecular sodium alginate, dietary fiber derived from psyllium seed coat, phospholipid-bound soy peptide, plant sterol ester, plant stanol ester, diacylglycerol, globin proteolysate, tea catechin Ingredients of nutritional functional foods.
- NAFLD / NASH therapeutic agents include statin drugs such as pravastatin, simvastatin, atorvastatin, fluvastatin, pitavastatin, rosuvastatin, cerivastatin, irbesartan, olmesartan medoxomil, candesartan lexetyl, telmisartan, valsartan, losartan potassium, etc.
- statin drugs such as pravastatin, simvastatin, atorvastatin, fluvastatin, pitavastatin, rosuvastatin, cerivastatin, irbesartan, olmesartan medoxomil, candesartan lexetyl, telmisartan, valsartan, losartan potassium, etc.
- biguanide antihyperglycemic drugs such as metformin hydrochloride and buformin hydrochloride
- thiazolidine drugs such as pioglizone hydrochloride and rosiglitazone maleate
- aspirin ursodeoxycholic acid, chenodeoxycholic acid, obelicholic acid
- FXR farnesoid X receptor
- Dementia progression inhibitors / agents include: donepezil hydrochloride, acetylcholinesterase inhibitors such as galantamine hydrobromide, NMDA receptor inhibitors such as memantine hydrochloride, aspirin, clopidogrel sulfate, cilostazol, ticlopidine hydrochloride
- Antiplatelet agents such as salts, factor Xa inhibitors such as rivaroxaban, apixaban, and the like.
- the above-mentioned antihyperlipidemic agents, antihypertensive agents, antidiabetic agents, antioxidants, blood flow improving agents, etc. can also be used as dementia suppression / treatment agents.
- the self-emulsifying composition of the present invention has excellent appearance, excellent self-emulsifying property, excellent composition dispersibility, excellent emulsification stability, storage stability (low temperature, high temperature) so that the pharmacological action of ⁇ 3 PUFAs can be expressed. It is desirable to have at least one effect of a formulation excellent in absorption, especially in fasting absorption and absorption speed, convenient for patients to take, or excellent in compliance. .
- the self-emulsifying composition of the present invention is a therapeutic agent for various diseases of animals, particularly mammals, such as dyslipidemia (hypercholesterolemia, high LDL cholesterolemia, high non-HDL cholesterolemia, high VLDL cholesterolemia, low HDL cholesterolemia, hyperTGemia, hyperApoBemia, hypoApoAIemia, etc.) therapeutic agent, postprandial hyperTGemia therapeutic agent, anti-arteriosclerotic agent, platelet aggregation inhibitor, peripheral circulation failure therapeutic agent, heart Prevention of vascular events, treatment for inflammatory diseases (NAFLD, NASH, etc.), dementia (Alzheimer-type dementia, cerebrovascular dementia, mixed dementia, etc.) progression inhibitor / treatment agent, anticancer agent and central It can be used as a therapeutic agent for diseases (manic, manic state, obsessive-compulsive disorder, social anxiety disorder, panic disorder, etc.).
- dyslipidemia hypercholesterolemia, high LDL cholesterolemia, high non-HDL cholesterolemia, high VLDL cholesterolemia
- the number of daily administrations of the self-emulsifying composition of the present invention is not particularly limited, but it is preferable to administer once a day, or twice or three times a day. Administration once or twice a day is more preferable, and administration once a day is particularly preferable.
- it is particularly effective in improving or treating dyslipidemia, postprandial hyperTGemia, preventing recurrence, or suppressing progression to metabolic syndrome, cardiac / cerebrovascular events, peripheral limb ulcers, gangrene, and the like.
- Mammals include, for example, domestic animals such as humans, cows, horses, and pigs, and domestic animals such as dogs, cats, rabbits, rats, and mice, and are preferably humans.
- domestic animals such as humans, cows, horses, and pigs
- domestic animals such as dogs, cats, rabbits, rats, and mice
- improvement or treatment of dyslipidemia and postprandial hyperTG in patients with dyslipidemia such as patients with metabolic syndrome who have increased blood lipids, developed insulin resistance, or have increased blood pressure It is expected to show an effect.
- Example 1 0.05 g of water, 0.95 g of polyoxyethylene (20) sorbitan oleate and 4 g of EPA-E were weighed, sealed, and mixed while warming to about 70 ° C. to prepare a self-emulsifying composition.
- the prepared self-emulsifying composition was sealed with nitrogen, and stored at room temperature until evaluation.
- Table 1 shows the formulation of the self-emulsifying composition. The description of “-” in the table indicates that the corresponding component has not been added or measured.
- Examples 2 to 8, Comparative Examples 1 to 3 The self-emulsifying compositions of Examples 2 to 9 and the compositions of Comparative Examples 1 to 3 were prepared and stored in the same manner as in Example 1 so that the composition ratios shown in Table 1 were obtained.
- Table 1 shows the formulation of the self-emulsifying composition.
- Example 9 to 17, Comparative Examples 4 to 8 The self-emulsifying compositions of Examples 10 to 15 and the compositions of Comparative Examples 4 to 8 were prepared and stored in the same manner as in Example 1 so that the composition ratios shown in Table 2 were obtained. Table 2 shows the formulation of the self-emulsifying composition.
- Test Example 1 After producing the self-emulsifying composition or the composition of the comparative example by the above production method, the composition was allowed to stand at room temperature, and the appearance was evaluated after about 1 hour. When the composition was excellent in compatibility and the composition was uniform, it was “clear”, “separated” when separated, and “cloudy” when opaque. Tables 1 and 2 show the test results.
- Test Example 2 ⁇ Evaluation of self-emulsification> About self-emulsification composition manufactured by said manufacturing method or the composition of a comparative example, 10 microliters of each composition is dripped at 5 mL of purified water of 37 degreeC in a test tube, and a 1st dissolution test first liquid, and self-emulsification. Sexuality was evaluated. The case where it emulsified just by dripping was made favorable, and the case where it was not emulsified naturally only by dripping was made bad. Next, after lightly stirring under uniform conditions, the properties were evaluated.
- composition dispersibility the case where the composition was dispersed was regarded as good, and the case where a part of the composition remained as a lump without being dispersed was regarded as poor.
- emulsion stability the case where there was no oil separation was judged good, and the case where there was oil separation was judged bad.
- the composition that was not “clear” in the evaluation of the external appearance was not evaluated because the composition was not uniform, and was not evaluated. Tables 1 and 2 show the test results.
- Test Example 3 ⁇ Evaluation of Emulsion Drop Size> Measurement Condition and Measurement Result of Average Emulsion Drop Size Using about 1.5 mL of the emulsified composition obtained in Test Example 2 above, using a particle size distribution measuring device (Nanotrac, Nikkiso) Then, water was used as a dispersion medium, and the average emulsion droplet diameter (volume average diameter) was measured. Tables 1 and 2 show the test results.
- Test Example 4 ⁇ Evaluation of appearance after storage under severe conditions> The composition that was “clear” in Test Example 1 was allowed to stand at 5 ° C. or 40 ° C. and stored overnight (about 12 hours), and then the appearance was evaluated. When the composition was excellent in compatibility and the composition was uniform, it was “clear”, “separated” when separated, and “cloudy” when opaque. Tables 1 and 2 show the test results. In the table below, “-” indicates that the corresponding component is not added or measured.
- Example 1 contains only polyoxyethylene sorbitan fatty acid ester as an emulsifier in the composition, and further contains a specific range of water, but the appearance of the composition is good as shown in Table 1, and is excellent in self-emulsifying properties and the like. . From this result, it can be seen that the composition of the emulsifier having only one kind of polyoxyethylene sorbitan fatty acid ester has the effect of the present invention.
- Examples 2 to 8 and 14 to 17 disclose formulations containing water in addition to polyoxyethylene sorbitan fatty acid ester as an emulsifier, and various other emulsifiers. These were also excellent in appearance, self-emulsifying property and the like as in Example 1.
- Examples 7 and 8 and Comparative Examples 1 and 2 are compositions in which the amount of water contained in the composition is changed.
- the comparative example 1 is a composition which does not contain water in a composition, it isolate
- the comparative example 2 is a composition which contains 8 mass% of water in a composition, it isolate
- water is used in place of ethanol or polyhydric alcohol in order to improve the compatibility of the composition, and when the composition does not contain water, it is separated because the composition does not have sufficient compatibility.
- water is 0.5 to 4% by mass, water is not separated. Therefore, it is important to include a specific amount of water of about 0.5 to 6% by mass for excellent appearance and the like. I understand.
- Comparative Example 3 has a composition containing water and ethyl icosapentate having a high content of 94% by mass. Even a composition containing a specific amount of water was considered to be separated when the oil component exceeds 70 to 90 mass because less emulsifier can be added to the oil component.
- Example 10 is a composition in which the ethanol of Comparative Example 4 was replaced with water, but with this composition, the appearance was good. It was considered that sufficient separation was exhibited at about 2% by mass for water, whereas the separation in Comparative Example 4 was less at 2% by mass of ethanol.
- Comparative Example 5 does not contain water and has a composition containing lecithin and a polyhydric alcohol. This composition had a good appearance at room temperature, and was common with Example 1 and the like in that it was excellent in self-emulsifying properties and the like. However, it separated when stored at 40 ° C. overnight. From this, it can be seen that when a specific amount of water is added, a composition having a good appearance can be obtained even in a high or low temperature environment.
- Examples 9 to 13 are compositions containing at least two or more of sorbitan fatty acid ester, glycerin fatty acid ester, and polyoxyl castor oil as emulsifiers in the composition, and further containing water. The appearance was excellent, and the self-emulsifying property was excellent. On the other hand, Comparative Example 8 was a formulation in which only one of these emulsifiers was selected, but the appearance was separated in such a composition. This shows that it is necessary to select two or more types.
- Comparative Examples 5 to 7 are compositions containing an emulsifier selected from polyoxyethylene sorbitan fatty acid ester, sorbitan fatty acid ester, and polyoxyl castor oil, but not water. Although these compositions had a clear appearance at room temperature, they did not contain water, and thus separated and precipitated at low and / or high temperature storage.
- an emulsifier selected from polyoxyethylene sorbitan fatty acid ester, sorbitan fatty acid ester, and polyoxyl castor oil
- Comparative Example 8 is a composition containing only polyoxyl castor oil as an emulsifier in the composition, and the composition was separated at 5 ° C. or 40 ° C.
- a polyoxyethylene sorbitan fatty acid ester is used as an emulsifier, or ii) sorbitan fatty acid ester, glycerin fatty acid ester, in order to obtain a self-emulsifying composition having good performance when a specific amount of water is contained.
- Test Example 5 ⁇ Pharmacokinetics in Beagle Dog>
- the composition of Example 14 was orally administered to 6 male beagle dogs (2-6 years old, body weight 13 kg, 3 Marshall beagle, 3 Northam beagle) under fasting conditions, and the change in blood concentration of EPA was evaluated. did.
- each test animal was fasted for 18 hours or more before administration, and each animal was administered with a composition in an amount of 600 mg as EPA-E. Before and after administration, blood is collected at 0.5, 1, 1.5, 2, 3, 4, 6, 8, and 24 hours, and after the plasma is collected and processed, the EPA concentration in the plasma is measured.
- the Cmax and AUC0-2 values which are parameters of absorption rate, were higher than those of the control group (at the time of fasting).
- AUC0-2 which is a parameter for increasing blood concentration immediately after administration, was about 6 times that of the control group in the animals administered with the composition of Example 14.
- the Cmax value was about 7.3 times that of the control group.
- the AUC0-24 value which is a parameter for the amount of absorption, was about 4.5 times that of the control group in animals administered with the self-emulsifying composition of Example 14.
- the self-emulsifying composition of Example 14 when the self-emulsifying composition of Example 14 is administered, not only does the amount of EPA absorbed up to 24 hours after oral administration increase compared to the control group, but EPA can be absorbed particularly immediately after oral administration. confirmed. Therefore, even when the self-emulsifying composition of the present invention is taken on an empty stomach such as before meals or before going to bed, the blood EPA concentration increases rapidly and more effectively, and its pharmacological action is demonstrated quickly and more effectively. It is expected that it can be used as a self-emulsifying preparation.
- Test Example 6 ⁇ Pharmacokinetics in Cynomolgus Monkey>
- the composition of Example 14 is orally administered to 6 cynomolgus monkeys (2-5 years old, body weight 2.70-4.65 kg, Hamley) under fasting conditions, and the change in blood concentration of EPA is evaluated.
- Each test animal is fasted for at least 12 hours before administration, and each animal is administered with a self-emulsifying composition in an amount of 45 mg / kg as EPA-E.
- EPA-E stock solution filled in capsules is administered. Before and after administration, blood was collected at 1, 2, 4, 6, 8, 10, 12, 24, 48 and 72 hours, and after plasma was collected and processed, EPA in plasma was LC / MS / Measured with MS.
- Example 2-1 Self-emulsifying capsule preparation
- Soft gelatin capsules filled with 375 mg (300 mg as EPA-E) of the self-emulsifying composition obtained in Example 14 were produced by a rotary method.
- the self-emulsifying capsule preparation produced by this method had the same shape as a soft gelatin capsule filled with EPA-E alone, and no deformation of the capsule film was observed immediately after production.
- Test Example 6 ⁇ Capsule hardness retention> The hardness of each capsule formulation of Example 2-1, Reference Example 2-2, and Comparative Example 2-3 was measured. Moreover, the hardness was similarly measured about the formulation stored at 40 degreeC relative humidity 75% for 1, 2, and 4 weeks. Table 4 shows the results when each formulation was initially stored at 40 ° C. for 1, 2, and 4 weeks. The initial term refers to a preparation stored at room temperature until the evaluation after the capsule is produced. Moreover, since each formulation was sealed in aluminum packaging and stored at 40 ° C., it was not affected by humidity.
- Example 2-1 is a capsule preparation of the present invention
- Reference Example 2-2 is a formulation in which soybean lecithin is added except sorbitan monolaurate contained in Example 2-1.
- the initial hardness was 31.8 and 28.9 kgf, respectively, and there was almost no difference, and the hardness did not decrease even after storage at 40 ° C. for 1 to 4 weeks.
- Comparative Example 2-3 is a formulation in which propylene glycol was added except for water in Reference Example 2-2. In such a case, the initial hardness was about 54% of Reference Example 2-2, and already softened.
- the hardness decreased significantly in just one week. From this, when polyhydric alcohol is contained in about 8% of the content liquid, the hardness is lowered, but the polyhydric alcohol is not contained, and the composition of the present invention containing water does not cause the hardness reduction. I understood.
- the self-emulsifying composition of the present invention is excellent in at least one of compatibility (appearance), self-emulsifying property, composition dispersibility, emulsion stability, and absorbability, and is rapidly absorbed even after pre-meal administration and increases serum TG after meal. Suppress. It is blended in various foods, and is useful as a special-purpose food, a health functional food (a food for specified health use and a nutritional functional food), a health food (supplement), or a pharmaceutical product. Since the self-emulsifying composition of the present invention does not contain polyhydric alcohol or has a low concentration, capsule softening and deformation caused by polyhydric alcohol during distribution and storage do not occur and the risk of quality change is low. Further, since the composition is not denatured such as cloudiness or separation even when stored in a low temperature or high temperature environment, it has a quality that can be stored in cold or high temperature areas when used as a medicine.
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Abstract
Description
近年のライフスタイルの変化に伴い朝食等の食事を摂らない人や、少量の食事しか摂取できない患者、流動食(牛乳、重湯、葛湯、卵、スープ、果汁、経口栄養剤)しか摂取できない患者、腸管での吸収能が低下した患者(高齢者、腸疾患患者、腸手術後、末期癌患者、リパーゼ阻害剤服用時)あるいは脳梗塞後など食事摂取不可能な患者等への服用法、あるいは服薬コンプライアンスの遵守が課題の一つとなっている。
これらの組成物はフェノフィブラートの溶解性の向上を目的としてエタノールを含有するが、エタノールが揮発すると、カプセルの変形や気泡の混入、カプセルの変形やクラック発生等の品質変化、カプセル内容物の白濁や分離等の変性が懸念される。また、アルコール(エタノール)不耐性の患者にとって服用できないあるいは服用しづらい製剤である。
また服用性の観点では、一度に服用するω3PUFAの量は定められているため、自己乳化組成物のω3PUFA以外の成分が増えるとその分一度に服用する薬剤の量が増えてしまう。そのため、製剤の小型化の観点からも乳化剤やアルコール類の使用量は少ないことが望ましい。
また、自己乳化組成物中に含有させる乳化剤を減らした製剤が望まれている。
また、自己乳化組成物中のω3PUFAを高含量化した製剤が望まれている。
また、服薬コンプライアンスに優れる自己乳化組成物が望まれている。
また、自己乳化組成物を医薬品として用いる場合に寒冷地等での保管も想定されるため、室温に加え低温又は高温環境下で保存した場合に、組成物が白濁、分離等の変性のない、外観が良好な自己乳化組成物が望まれている。
また、組成物が安定な品質を有する自己乳化組成物が望まれている。
また、組成物をカプセル化した製剤の提供が望まれている。
また、組成物をカプセル化した場合に、カプセル皮膜の軟化を抑制し、変形しない製剤が望まれている。
そして、これらの性質の少なくとも1つを改善する自己乳化組成物、およびその組成物をカプセル化した製剤を提供することが本発明の課題である。
また、乳化剤の含量をより少なく出来ることも見出し、ω3PUFAが高含量の自己乳化組成物の発明を完成させた。
そして、本発明の組成物は、上記課題の少なくとも1つ以上に優れる組成物である。
(1-1)自己乳化組成物の全量を100質量%としたとき、
a)70~90質量%のω3多価不飽和脂肪酸、その製薬学上許容しうる塩、およびそのエステルからなる群から選択される少なくとも1つの化合物、
b)0.5~6質量%の水、
c)1~29質量%の乳化剤として、以下のi)またはii)の乳化剤
i)ポリオキシエチレンソルビタン脂肪酸エステル、
ii)ソルビタン脂肪酸エステル、グリセリン脂肪酸エステルおよびポリオキシエチレンヒマシ油からなる群から選択される少なくとも2つの乳化剤を含有し、
あるいは、
1~29質量%の乳化剤として、以下のi)およびii)の乳化剤
i)ポリオキシエチレンソルビタン脂肪酸エステル、
ii)ソルビタン脂肪酸エステル、グリセリン脂肪酸エステルおよびポリオキシエチレンヒマシ油からなる群から選択される少なくとも1つの乳化剤を含有し、
d)エタノールおよび/または多価アルコールが前記組成物全量の4質量%以下、であることを特徴とする自己乳化組成物。
(1-2)自己乳化組成物の全量を100質量%としたとき、
a)70~90質量%のω3多価不飽和脂肪酸、その製薬学上許容しうる塩、およびそのエステルからなる群から選択される少なくとも1つの化合物、
b)0.5~6質量%の水、
c)1~29質量%の乳化剤として、以下のi)またはii)の乳化剤
i)ポリオキシエチレンソルビタン脂肪酸エステル、
ii)ソルビタン脂肪酸エステル、グリセリン脂肪酸エステルおよびポリオキシエチレンヒマシ油からなる群から選択される少なくとも2つの乳化剤、を含有し、
あるいは、
1~29質量%の乳化剤として、以下のi)およびii)の乳化剤
i)ポリオキシエチレンソルビタン脂肪酸エステル、
ii)ソルビタン脂肪酸エステル、グリセリン脂肪酸エステルおよびポリオキシエチレンヒマシ油からなる群から選択される少なくとも1つの乳化剤、を含有し、
d)エタノールが前記組成物全量の4質量%以下、
e)多価アルコールが前記組成物全量の4質量%以下、であることを特徴とする自己乳化組成物。
(1-3)ポリオキシエチレンソルビタン脂肪酸エステルが、
モノラウリン酸ポリオキシエチレン(20)ソルビタン、モノパルミチン酸ポリオキシエチレン(20)ソルビタン、モノステアリン酸ポリオキシエチレン(20)ソルビタン、トリステアリン酸ポリオキシエチレン(20)ソルビタン、モノイソステアリン酸ポリオキシエチレン(20)ソルビタン、モノオレイン酸ポリオキシエチレン(20)ソルビタンおよびトリオレイン酸ポリオキシエチレン(20)ソルビタンからなる群から選択される少なくとも1つである(1-1)または(1-2)に記載の自己乳化組成物。
(1-4)ソルビタン脂肪酸エステルがモノラウリン酸ソルビタン、モノオレイン酸ソルビタン、モノパルミチン酸ソルビタン、トリオレイン酸ソルビタンおよびセスキオレイン酸ソルビタンからなる群から選択される少なくとも1つである(1-1)ないし(1-3)に記載の自己乳化組成物。
(1-5)グリセリン脂肪酸エステルがモノオレイン酸グリセリル、モノステアリン酸グリセリル、モノオレイン酸デカグリセリル、モノラウリン酸デカグリセリル、トリオレイン酸デカグリセリル、ペンタオレイン酸デカグリセリルおよびモノオレイン酸テトラグリセリルからなる群から選択される少なくとも1つである(1-1)ないし(1-4)に記載の自己乳化組成物。
(1-7)組成物中に0~4質量%の多価アルコールを含む(1-1)ないし(1-5)のいずれかに記載の自己乳化組成物。
(1-8)組成物中に4質量%より多い多価アルコールを含まない(1-1)ないし(1-5)のいずれかに記載の自己乳化組成物。
(1-9)組成物中の多価アルコールが1質量%以下である(1-1)ないし(1-8)のいずれかに記載の自己乳化組成物。
(1-10)組成物中に0~1質量%の多価アルコールを含む(1-1)ないし(1-8)のいずれかに記載の自己乳化組成物。
(1-11)組成物中に1質量%より多い多価アルコールを含まない(1-1)ないし(1-8)のいずれかに記載の自己乳化組成物。
(1-12)組成物中に多価アルコールを実質的に含有しない(1-1)ないし(1-11)のいずれかに記載の自己乳化組成物。
(1-13)組成物中のエタノールが4質量%以下である(1-1)ないし(1-12)のいずれかに記載の自己乳化組成物。
(1-14)組成物中に0~4質量%のエタノールを含む(1-1)ないし(1-12)のいずれかに記載の自己乳化組成物。
(1-15)組成物中に4質量%より多いエタノールを含まない(1-1)ないし(1-12)のいずれかに記載の自己乳化組成物。
(1-16)組成物中にエタノール実質的に含有しない(1-1)ないし(1-15)のいずれかに記載の自己乳化組成物。
(1-18)ω3PUFAのエステルがエチルエステルまたはトリグリセリドエステルである(1-1)ないし(1-17)のいずれかに記載の自己乳化組成物。
(1-19)ω3PUFA、その製薬学上許容しうる塩、およびそのエステルがEPA-EまたはDHAエチルエステル(以下、DHA-Eと記す)である(1-1)ないし(1-18)のいずれかに記載の自己乳化組成物。
(1-20)EPA、DHA、それらの製薬学上許容しうる塩およびエステルからなる群から選択される少なくとも1つを有効成分として含有する(1-1)ないし(1-19)のいずれかに記載の自己乳化組成物。
(1-21)EPA-Eおよび/またはDHA-Eを有効成分として含有する(1-1)ないし(1-20)のいずれかに記載の自己乳化組成物。
(1-22)EPA-Eを有効成分として含有する(1-1)ないし(1-21)のいずれかに記載の自己乳化組成物。
(1-24)組成物中にレシチンを含有しない(1-1)ないし(1-23)のいずれかに記載の自己乳化組成物。
(1-25)レシチンが、大豆レシチン、酵素分解大豆レシチン、水素添加大豆レシチンおよび卵黄レシチンからなる群から選択される少なくとも1つである(1-23)に記載の自己乳化組成物。
(1-27)組成物を静置した時に組成物の外観が分離または濁りのない(1-1)ないし(1-26)のいずれかに記載の自己乳化組成物。
(1-28)組成物を5℃あるいは40℃の環境下で12時間保存した時の組成物の外観が澄明である(1-1)ないし(1-27)のいずれかに記載の自己乳化組成物。
(1-29)組成物を5℃あるいは40℃の環境下で12時間保存した時の組成物の外観が分離または濁りのない(1-1)ないし(1-28)のいずれかに記載の自己乳化組成物。
(1-30)組成物が自己乳化性、組成物分散性、乳化安定性の少なくとも1つが良好である(1-1)ないし(1-29)のいずれかに記載の自己乳化組成物。
(1-31)組成物10μLを37℃の精製水または日局溶出試験第1液5mLに滴下し、滴下しただけで自然に乳化する(1-1)ないし(1-30)のいずれかに記載の自己乳化組成物。
(1-32)組成物10μLを37℃の精製水または日局溶出試験第1液5mLに滴下し、撹拌により組成物が分散する(1-1)ないし(1-31)のいずれかに記載の自己乳化組成物。
(1-33)組成物10μLを37℃の精製水または日局溶出試験第1液5mLに滴下し、油の分離が無い(1-1)ないし(1-32)のいずれかに記載の自己乳化組成物。
(1-35)雄性カニクイザルに12時間以上絶食条件下でω3PUFA、その製薬学上許容しうる塩、および、そのエステルからなる群から選ばれる少なくとも1つの化合物として体重1kgあたり45mgとなる(1-1)ないし(1-33)のいずれかに記載の自己乳化組成物を経口投与し、投与前の血中ω3濃度を減じた補正を行なって算出した、ω3PUFA血中濃度最大値が50μg/mL以上および/または投与0から12時間までのω3PUFA血中濃度曲線下面積が400μg/mL・hr以上、またはω3PUFA血中濃度最大値が70μg/mL以上および/または投与0から12時間までのω3PUFA血中濃度曲線下面積が500μg/mL・hr以上である上記(1-1)ないし(1-33)のいずれかに記載の自己乳化組成物。
(1-36)ヒトにω3PUFA、その製薬学上許容しうる塩、およびそのエステルからなる群から選択される少なくとも1つの化合物として1800mgの量となる(1-1)ないし(1-33)のいずれかに記載の自己乳化組成物を食前に経口投与し、投与前の血中ω3濃度を減じた補正を行なって算出した、ω3PUFA血中濃度最大値が50μg/mL以上および/または投与2時間後のω3PUFA血中濃度が10μg/mL以上である(1-1)ないし(1-33)のいずれかに記載の自己乳化組成物。
(1-37)ヒトにω3PUFA、その製薬学上許容しうる塩、およびそのエステルからなる群から選ばれる少なくとも1つの化合物として1800mgの量となる(1-1)ないし(1-33)のいずれかに記載の自己乳化組成物を食前に経口投与し、投与前の血中ω3濃度を減じた補正を行なって算出した、ω3PUFA血中濃度最大値が10μg/mL以上および/または投与0から72時間までのω3PUFA血中濃度曲線下面積が250μg/mL・hr以上である(1-1)ないし(1-33)のいずれかに記載の自己乳化組成物。
a)70~90質量%のEPA-E、
b)0.5~6質量%の水、
c)1~29質量%の乳化剤として、以下のi)またはii)の乳化剤
i)ポリオキシエチレンソルビタン脂肪酸エステル、
ii)ソルビタン脂肪酸エステル、グリセリン脂肪酸エステルおよびポリオキシエチレンヒマシ油からなる群から選択される少なくとも2つの乳化剤を含有し、
あるいは、
1~29質量%の乳化剤として、以下のi)およびii)の乳化剤
i)ポリオキシエチレンソルビタン脂肪酸エステル、
ii)ソルビタン脂肪酸エステル、グリセリン脂肪酸エステルおよびポリオキシエチレンヒマシ油からなる群から選択される少なくとも1つの乳化剤を含有し、
d)エタノールおよび/または多価アルコールが前記組成物全量の4質量%以下、
e)a)100質量部に対してレシチンの含量が3質量部未満、
であることを特徴とする自己乳化組成物。
(1-39)自己乳化組成物の全量を100質量%としたとき、
a)70~90質量%のEPA-E、
b)0.5~6質量%の水、
c)1~29質量%の乳化剤として、以下のi)またはii)の乳化剤
i)ポリオキシエチレンソルビタン脂肪酸エステル、
ii)ソルビタン脂肪酸エステル、グリセリン脂肪酸エステルおよびポリオキシエチレンヒマシ油からなる群から選択される少なくとも2つの乳化剤、を含有し、
あるいは、
1~29質量%の乳化剤として、以下のi)およびii)の乳化剤
i)ポリオキシエチレンソルビタン脂肪酸エステル、
ii)ソルビタン脂肪酸エステル、グリセリン脂肪酸エステルおよびポリオキシエチレンヒマシ油からなる群から選択される少なくとも1つの乳化剤、を含有し、
d)エタノールが前記組成物全量の4質量%以下、
e)多価アルコールが前記組成物全量の4質量%以下、
f)a)100質量部に対してレシチンの含量が3質量部未満、
であることを特徴とする自己乳化組成物。
(2-1)内容液が(1-1)ないし(1-39)のいずれかに記載の自己乳化組成物であって、硬カプセルおよび/または軟カプセルでカプセル化されていることを特徴とするカプセル化された自己乳化製剤。
(2-2)製造直後の硬度が良好な(2-1)に記載のカプセル化された自己乳化製剤。
(2-3)製造直後の硬度が18kgf以上である(2-1)または(2-2)に記載のカプセル化された自己乳化製剤。
(2-4)製剤をアルミ包装に入れて密封し40℃で1週間保管した時に保管前と比較して硬度が6kgf以上低下しない(2-1)ないし(2-3)に記載のカプセル化された自己乳化製剤。
(2-5)製剤をアルミ包装に入れて密封し40℃で1週間保管した時に硬度が20kgf以上である(2-1)ないし(2-4)のいずれかに記載のカプセル化された自己乳化製剤。
(2-6)製剤をアルミ包装に入れて密封し40℃で1週間保管した時の硬度が保管前の硬度の60%以上である(2-1)ないし(2-5)のいずれかに記載のカプセル化された自己乳化製剤。
(2-7)脂質異常症治療剤(高コレステロール血症、高LDLコレステロール血症、高非HDLコレステロール血症、高VLDLコレステロール血症、低HDLコレステロール血症、高TG血症、高ApoB血症、低ApoAI血症、等)治療剤、食後高TG血症治療剤、抗動脈硬化剤、血小板凝集抑制剤、末梢循環不全治療剤、心血管イベント発症予防剤、炎症性疾患(非アルコール性脂肪性肝疾患(以下、NAFLDと記す)、非アルコール性脂肪肝炎(以下、NASHと記す)、等)治療剤、認知症(アルツハイマー型認知症、脳血管性認知症、混合型認知症、等)進行抑制・治療剤、抗癌剤および中枢性疾患(欝病、欝状態、強迫性障害、社会不安障害、パニック障害、等)治療剤からなる群から選択される少なくとも1つである(2-1)に記載の製剤。
(3-1)自己乳化組成物の全量を100質量%としたとき、
a)70~90質量%のω3多価不飽和脂肪酸、その製薬学上許容しうる塩、およびそのエステルからなる群から選択される少なくとも1つの化合物、
b)0.5~6質量%の水、および
c)1~29質量%の乳化剤として、以下のi)またはii)の乳化剤
i)ポリオキシエチレンソルビタン脂肪酸エステル、
ii)ソルビタン脂肪酸エステル、グリセリン脂肪酸エステルおよびポリオキシエチレンヒマシ油からなる群から選択される少なくとも2つの乳化剤を、
あるいは、
1~29質量%の乳化剤として、以下のi)およびii)の乳化剤
i)ポリオキシエチレンソルビタン脂肪酸エステル、
ii)ソルビタン脂肪酸エステル、グリセリン脂肪酸エステルおよびポリオキシエチレンヒマシ油からなる群から選択される少なくとも1つの乳化剤を、任意の順序で混合し、得られる組成物中の、
d)エタノールおよび/または多価アルコールが組成物全量の4質量%以下、とすることを特徴とする自己乳化組成物の製造方法。
(3-2)自己乳化組成物の全量を100質量%としたとき、
a)70~90質量%のω3多価不飽和脂肪酸、その製薬学上許容しうる塩、およびそのエステルからなる群から選択される少なくとも1つの化合物、
b)0.5~6質量%の水、および
c)1~29質量%の乳化剤として、以下のi)またはii)の乳化剤
i)ポリオキシエチレンソルビタン脂肪酸エステル、
ii)ソルビタン脂肪酸エステル、グリセリン脂肪酸エステルおよびポリオキシエチレンヒマシ油からなる群から選択される少なくとも2つの乳化剤を、
あるいは、
1~29質量%の乳化剤として、以下のi)およびii)の乳化剤
i)ポリオキシエチレンソルビタン脂肪酸エステル、
ii)ソルビタン脂肪酸エステル、グリセリン脂肪酸エステルおよびポリオキシエチレンヒマシ油からなる群から選択される少なくとも1つの乳化剤を、任意の順序で混合し、得られる組成物中の、
d)エタノールが組成物全量の4質量%以下、
e)多価アルコールが組成物全量の4質量%以下、とすることを特徴とする自己乳化組成物の製造方法。
(3-3)前記工程のa)、b)および/またはc)を70℃以上に加温して混合する工程を含む、(3-1)または(3-2)に記載の自己乳化組成物の製造方法。
(4-1)前記(1-1)ないし(1-39)、(2-1)ないし(2-7)、(3-1)ないし(3-3)から選択される少なくとも1つの自己乳化組成物またはカプセル化された自己乳化製剤、医薬または獣医薬を、空腹時または就寝前に経口投与するための製剤。
(4-2)前記(3-1)ないし(3-3)、のいずれかに記載の製造方法で製造した自己乳化組成物またはカプセル化された自己乳化製剤、医薬または獣医薬を、空腹時または就寝前に経口投与するための製剤。
(4-3)前記医薬が脂質異常症(高コレステロール血症、高LDLコレステロール血症、高非HDLコレステロール血症、高VLDLコレステロール血症、低HDLコレステロール血症、高TG血症、高ApoB血症、低ApoAI血症、等)治療剤、食後高TG血症治療剤、抗動脈硬化剤、血小板凝集抑制剤、末梢循環不全治療剤、心血管イベント発症予防剤、炎症性疾患(NAFLD、NASH、等)治療剤、認知症(アルツハイマー型認知症、脳血管性認知症、混合型認知症、等)進行抑制・治療剤、抗癌剤および中枢性疾患(欝病、欝状態、強迫性障害、社会不安障害、パニック障害等)予防剤、治療剤、進行防止剤からなる群から選択される少なくとも1つである(4-1)または(4-2)に記載の製剤。
(4-4)1日1回投与する前記(4-1)ないし(4-3)に記載の製剤。
(4-5)前記(4-1)ないし(4-4)に記載の製剤の投薬および/または使用方法。
(4-6)前記(4-1)ないし(4-4)に記載の経口投与により血漿中のω3PUFA濃度を上げる方法。
(5-1)前記(1-1)ないし(1-39)、(2-1)ないし(2-7)、(3-1)ないし(3-3)から選択される少なくとも1つの自己乳化組成物またはカプセル化された自己乳化製剤、医薬または獣医薬を患者に経口投与することを特徴とする、脂質異常症(高コレステロール血症、高LDLコレステロール血症、高非HDLコレステロール血症、高VLDLコレステロール血症、低HDLコレステロール血症、高TG血症、高ApoB血症、低ApoAI血症、等)、食後高TG血症、抗動脈硬化、血小板凝集亢進、末梢循環不全、心血管イベント発症、炎症性疾患(NAFLD、NASH、等)、認知症(アルツハイマー型認知症、脳血管性認知症、混合型認知症、等)、癌および中枢性疾患(欝病、欝状態、強迫性障害、社会不安障害、パニック障害等)からなる群から選ばれる少なくとも1つの疾患の予防、進行防止および治療方法である。
(5-2)前記自己乳化組成物またはカプセル化された自己乳化製剤、医薬または獣医薬を、空腹時または就寝前に経口投与する前記(5-1)に記載の方法。
(5-3)前記自己乳化組成物またはカプセル化された自己乳化製剤、医薬または獣医薬を、1日1回投与する前記(5-1)または(5-2)に記載の方法。
(6-1)雄性ビーグル犬に18時間以上絶食条件下でω3PUFA、その製薬学上許容しうる塩、および、そのエステルからなる群から選ばれる少なくとも1つの化合物として600mgの量となる自己乳化組成物を経口投与し、投与前の血中ω3濃度を減じた補正を行なって算出した、ω3PUFA血中濃度最大値が50μg/mL以上および/または投与0から2時間までのω3PUFA血中濃度曲線下面積が30μg/mL・hr以上、ω3PUFA血中濃度最大値が50μg/mL以上および/または投与0から2時間までのω3PUFA血中濃度曲線下面積が50μg/mL・hr以上、ω3PUFA血中濃度最大値が60μg/mL以上および/または投与0から2時間までのω3PUFA血中濃度曲線下面積が60μg/mL・hr以上、またはω3PUFA血中濃度最大値が70μg/mL以上および/または投与0から2時間までのω3PUFA血中濃度曲線下面積が70μg/mL・hr以上、とする自己乳化組成物。
(6-2)雄性カニクイザルに12時間以上絶食条件下でω3PUFA、その製薬学上許容しうる塩、および、そのエステルからなる群から選ばれる少なくとも1つの化合物として体重1kgあたり45mgとなる自己乳化組成物を経口投与し、投与前の血中ω3濃度を減じた補正を行なって算出した、ω3PUFA血中濃度最大値が50μg/mL以上および/または投与0から12時間までのω3PUFA血中濃度曲線下面積が400μg/mL・hr以上、またはω3PUFA血中濃度最大値が70μg/mL以上および/または投与0から12時間までのω3PUFA血中濃度曲線下面積が500μg/mL・hr以上である自己乳化組成物。
(6-3)ヒトにω3PUFA、その製薬学上許容しうる塩、および、そのエステルからなる群から選ばれる少なくとも1つの化合物として1800mgの量となる自己乳化組成物を食前に経口投与し、投与前の血中ω3濃度を減じた補正を行なって算出した、ω3PUFA血中濃度最大値が50μg/mL以上および/または投与2時間後のω3PUFA血中濃度が10μg/mL以上である自己乳化組成物。
(6-4)ヒトにω3PUFA、その製薬学上許容しうる塩、および、そのエステルからなる群から選ばれる少なくとも1つの化合物として1800mgの量となる自己乳化組成物を食前に経口投与し、投与前の血中ω3濃度を減じた補正を行なって算出した、ω3PUFA血中濃度最大値が10μg/mL以上および/または投与0から72時間までのω3PUFA血中濃度曲線下面積が250μg/mL・hr以上である自己乳化組成物。
そして、組成中に水を含むことでエタノールや多価アルコールの含量を低くする、あるいはこれらを含まない組成と出来るため、カプセル皮膜の軟化を防止し、カプセルの変形が生じない。
また、相溶性(外観)、自己乳化性、組成物分散性、乳化安定性および吸収性の少なくとも1つに優れ、食前投与や低脂肪食摂取後の投与でも速やかに吸収されて食後の血清TG増加を抑制する、あるいは就寝前投与によりリパーゼ阻害剤服用時の必須脂肪酸欠乏を予防する。
さらに、上述の組成により、室温での保存に加え、低温(例えば5℃)や高温(例えば40℃)のいずれか1つの条件下で組成物が分離、白濁することなく、外観が良好である。好ましくはいずれか2つの条件下、より好ましくはいずれか3つの条件下で組成物が分離、白濁することなく、外観が良好である。
本発明の自己乳化組成物は上記の好ましい性質を少なくとも1つ以上、好ましくは2つ以上備え、さらに好ましくは全ての性質を備える。
本発明は、ω3PUFA、その製薬学上許容しうる塩およびエステルからなる群から選択される少なくとも1つの化合物の合計量が70ないし90質量%の範囲であり、特定の乳化剤を1ないし29質量%の範囲で含有し、エタノールや多価アルコールが非添加または添加濃度が低い自己乳化組成物やそれを内容物としてカプセル化された自己乳化製剤、その医薬、その製法およびその使用方法である。
例えば、EPA-EとDHA-Eを用いる場合、EPA-Eの本剤組成物の純度が上記であれば、EPA-E/DHA-Eの組成比および全脂肪酸類中のEPA-E+DHA-Eの含量比は特に問わないが、好ましい組成比として、EPA-E/DHA-Eは、0.8以上であることが好ましく、更に好ましくは、1.0以上、より好ましくは、1.2以上である。
また、本剤組成物はリノール酸、γリノレン酸、ジホモ-γ-リノレン酸などのω3PUFA類以外の多価不飽和脂肪酸、それらの製薬学上許容される塩またはエステルを含んでいても良いが、アラキドン酸およびそれらの製薬学上許容される塩またはエステル含量は少ないことが望まれ、2質量%未満が好ましく、1質量%未満がさらに好ましく、アラキドン酸およびそれらの製薬学上許容される塩またはエステルを実質的に含まない態様がとくに好ましい。
ω3PUFA類として、精製魚油も使用できる。また、ω3PUFA類のモノグリセリド、ジグリセリド、TG誘導体またはこれらの組合せなども好ましい態様の一つである。例えばインクロメガ(lncromega)F2250、F2628、E2251、F2573、TG2162、TG2779、TG2928、TG3525およびE5015(クローダ インターナショナル ピーエルシー (Croda International PLC, Yorkshire, England))、および EPAX6000FA、EPAX5000TG、EPAX4510TG、EPAX2050TG、EPAX7010EE、K85TG、K85EEおよびK80EE(プロノバ バイオファーマ(Pronova Biopharma, Lysaker, Norway) )などの種々のω3PUFA類を含有する製品が市販されており、これらを入手して使用することもできる。
また、これらのうちの1種を単独で、あるいは2種以上を組み合わせて用いることもできる。本発明においてポリオキシエチレンソルビタン脂肪酸エステルとは上記のような化合物をすべて含む意味で用いられる。
本発明の自己乳化組成物におけるポリオキシエチレンソルビタン脂肪酸エステルの含量は本発明の効果を有すれば特に限定されないが、通常、自己乳化組成物の全量を100質量%としたとき、1ないし29質量%であり、好ましくは5ないし20質量%、より好ましくは7ないし15質量%である。
本発明の自己乳化組成物におけるソルビタン脂肪酸エステルの含量は本発明の効果を有すれば特に限定されないが、通常、自己乳化組成物の全量を100質量%としたとき、1ないし20質量%であり、好ましくは2ないし15質量%、より好ましくは3ないし10質量%であるか、あるいは、自己乳化組成物の全量を100質量%としたとき、2ないし8質量%であり、好ましくは2ないし7質量%であり、より好ましくは3ないし5質量%である。
種々の化合物が市販されており、例えば、モノオレイン酸グリセリル(PECEOL)、モノステアリン酸グリセリル(NIKKOL MGS-F50SEV、MGS-AMV、MGS-BMV)、モノオレイン酸デカグリセリル(NIKKOL Decaglyn 1-OV、ポエム J-0381V)、モノラウリン酸デカグリセリル(NIKKOL Decaglyn 1-L)、トリオレイン酸デカグリセリル(NIKKOL Decaglyn 3-OV)、ペンタオレイン酸デカグリセリル(NIKKOL Decaglyn 5-OV)、モノオレイン酸テトラグリセリル(NIKKOL Tetraglyn 1-OV)、が例示され、好ましくは、モノオレイン酸グリセリル、モノオレイン酸デカグリセリル、モノステアリン酸グリセリル、が例示され、より好ましくは、モノオレイン酸デカグリセリルが例示される。また、これらのうちの1種を単独で、あるいは2種以上を組み合わせて用いることもできる。本発明においてグリセリン脂肪酸エステルとは上記のような化合物をすべて含む意味で用いられる。
本発明の自己乳化組成物におけるグリセリン脂肪酸エステルの含量は本発明の効果を有すれば特に限定されないが、通常、自己乳化組成物の全量を100質量%としたとき、1ないし25質量%であり、好ましくは3ないし20質量%、より好ましくは5ないし15質量%、とりわけ好ましくは6ないし10質量%であり、あるいは、自己乳化組成物の全量を100質量%としたとき、1ないし20質量%であり、好ましくは1ないし15質量%であり、より好ましくは1ないし10質量%であり、とりわけ好ましくは1ないし8質量%である。
本発明の自己乳化組成物におけるポリオキシエチレンヒマシ油の含量は本発明の効果を有すれば特に限定されないが、通常、自己乳化組成物の全量を100質量%としたとき、1ないし20質量%であり、好ましくは2ないし15質量%、より好ましくは3ないし10質量%であり、とりわけ好ましくは4ないし6質量%である。
i)本発明の自己乳化組成物の好ましい態様は、乳化剤としてポリオキシエチレンソルビタン脂肪酸エステルを少なくとも含んでいる。より好ましくは主たる乳化剤としてポリオキシエチレンソルビタン脂肪酸エステルを含む。別の好ましい態様としては、組成物に使用する乳化剤が実質的にポリオキシエチレンソルビタン脂肪酸エステル、並びに、ソルビタン脂肪酸エステル、グリセリン脂肪酸エステルおよびポリオキシエチレンヒマシ油から選択される少なくとも1つであることをいう。
主たる乳化剤としてポリオキシエチレンソルビタン脂肪酸エステルを含むとは、組成物に含まれる乳化剤の全量を100質量部とした時に、乳化剤全量におけるポリオキシエチレンソルビタン脂肪酸エステルの割合が40質量部以上、より好ましくは50質量部以上、さらに好ましくは60質量部以上、であることをいう。ポリオキシエチレンソルビタン脂肪酸エステルと組み合わせて用いる場合、ソルビタン脂肪酸エステル、グリセリン脂肪酸エステルおよびポリオキシエチレンヒマシ油から選択される少なくとも1つの乳化剤の含量は、組成物に使用する乳化剤の全量を100質量部とした時に、60質量部以下、より好ましくは50質量部以下、さらに好ましくは40質量部以下、である。
2つの乳化剤の組合せは特に限定されないが、好ましくはソルビタン脂肪酸エステルとポリオキシエチレンヒマシ油、グリセリン脂肪酸エステルとポリオキシエチレンヒマシ油、ソルビタン脂肪酸エステルとグリセリン脂肪酸エステル、の組合せであり、より好ましくは、ソルビタン脂肪酸エステルとポリオキシエチレンヒマシ油、グリセリン脂肪酸エステルとポリオキシエチレンヒマシ油、の組合せである。
この場合、組成物中に含まれる乳化剤のうち最も含量の多い乳化剤の含量が、組成物中の乳化剤全量を100質量部としたときに、75質量部以下が好ましく、より好ましくは67質量部以下、さらに好ましくは60質量部以下である。また、30~80質量部が好ましく、より好ましくは35~70質量部、さらに好ましくは38~67質量部、とりわけ好ましくは40~55質量部である。
少量の水は、自己乳化組成物の調製時に加えてもよく、ゼラチンカプセル等にカプセル化した時にゼラチン皮膜中の水分が自己乳化組成物に移行してもよい。
また、多価アルコールやエタノールを含まないと、カプセル化した場合にカプセルが軟化、変形せず、アルコール不耐性患者の服用時にエタノールによる副作用もない。
水は自己乳化組成物の全量を100質量%としたとき、0.5~6質量%であることが好ましく、0.5~4質量%がより好ましく、0.5~3質量%がさらに好ましく、0.5~2.5質量%がとりわけ好ましい。最も好ましくは0.7~1.5質量%である。
また、水は自己乳化組成物に含まれる乳化剤の全量を100質量部としたとき、1~30質量%であることが好ましく、2~25質量%がより好ましく、3~20質量%がさらに好ましく、4~15質量%がとりわけ好ましい。最も好ましくは5~9質量%である。
精製大豆レシチン(日清オイリオ)、精製卵黄レシチン(旭化成ファーマ)、卵黄レシチンPL-100M(キューピー)などの種々の製品が市販されている。大豆レシチンは、例えば、ベイシスLP-20B(日清製油)、Lipoid S45、S20(リポイド)などが、酵素分解レシチンは例えばベイシスLP-20E(日清製油)、Phospholipon RLPC20(リポイド)などの種々の製品が市販されており、これらを入手して使用することもできる。
レシチンは自己乳化組成物の全量を100質量%としたとき、2.1質量%未満であることが好ましく、1.4質量%未満がより好ましく、0.7未満がさらに好ましい。
また、組成物にエタノールと多価アルコールが含まれる場合には、組成物全体を100質量%としたとき、組成中に合計含量として4質量%より多いエタノール及び多価アルコールを含まないことが好ましい。また、組成中のエタノール及び多価アルコールの合計量は4質量%以下が好ましく、3質量%以下がより好ましく、2質量%以下がさらに好ましく、1質量%以下がとりわけ好ましい。最も好ましくは、0質量%以下である。
別の好ましい態様は1)EPA-Eおよび/またはDHA-E、2)水、3)乳化剤としてポリオキシエチレンソルビタン脂肪酸エステル、および、4)ソルビタン脂肪酸エステル、グリセリン脂肪酸エステルおよびポリオキシエチレンヒマシ油からなる群から選択される少なくとも1つの乳化剤との組合せである。別の好ましい態様は1)EPA-Eおよび/またはDHA-E、2)水、3)乳化剤としてポリオキシエチレンソルビタン脂肪酸エステル、および、4)ソルビタン脂肪酸エステル、グリセリン脂肪酸エステルおよびポリオキシエチレンヒマシ油からなる群から選択される少なくとも2つの乳化剤との組合せである。
これらの自己乳化組成物は、自己乳化組成物の全量を100質量%としたとき、1)EPA-Eおよび/またはDHA-Eが70~90質量%、2)水が0.5~6質量%、3)乳化剤が1~29質量%である。
「ゼラチン」としては、軟カプセル剤の製造において通常使用されるもの、例えば、第16改正日本薬局方で規定される医薬用ゼラチン(ゼラチンおよび精製ゼラチン)が挙げられる。ゼラチンは、2種以上を組合せて用いてもよい。カプセル皮膜はその他に可塑剤等を含有しうる。
カプセル皮膜に配合する「可塑剤」としては、軟カプセル剤の製造において通常使用されるもの、例えば、グリセリン(例、濃グリセリン)、エチレングリコール、ポリエチレングリコール、プロピレングリコール、ポリプロピレングリコール等の多価アルコール、ソルビトール、マンニトール、キシリトール等の糖アルコールなどが好ましい。これらの可塑剤は、2種以上を組合せて用いてもよい。中でも、グリセリン、ソルビトールが好ましい。また、グリセリンとソルビトールとの組み合わせを使用することも好ましい。この場合、グリセリンとソルビトールとの質量比を、1:5~5:1の範囲で使用することが好ましく、1:3~3:1の範囲で使用することがより好ましい。
本発明の軟カプセル剤、特にシームレスカプセルにおいて、カプセル皮膜液は、ゼラチンと可塑剤とを、その重量比において、10:1~1:10の範囲で含有することが好ましく、10:1~1:1の範囲で含有することがより好ましい。
カプセル皮膜液とカプセル内容物との重量比は、通常10:1~1:10で、好ましくは3:1~1:10である。
さらに、必要に応じて、カプセル皮膜に一般に用いられる各種添加剤、例えば、アミノ酸、クエン酸、グリセリン、ソルビトール、トレハロース、等の可塑剤、防腐剤、色素や酸化チタン等の着色剤、有機酸等を添加することができる。
本発明のカプセル化された自己乳化製剤は、製造直後の硬度が18kgf以上、好ましくは20kgf以上、より好ましくは22kgf以上である。また、密封されたアルミ包装で40℃1週間保管した場合に製造直後と比較して硬度が実質的に低下しない、あるいは硬度が6kgf以上低下しないことが望ましく、40℃1週間の保管後の硬度が10kgf以上、好ましくは15kgf以上、より好ましくは20kgf以上であるものが好ましい。
また、製造直後の硬度を100%とした時、密封されたアルミ包装で40℃ 1週間保管した場合の硬度が60%以上、好ましくは70%以上、より好ましくは80%以上であ(維持され)る。とりわけ好ましくは90%以上の硬度が維持される。
EPA-Eの吸収は食事が影響するため、投与時間は食中ないし食後が好ましく、食直後(30分以内)投与が更に好ましいとされているが、本発明の自己乳化組成物は空腹時でも吸収性に優れるため、食中、食後あるいは食直後以外の時間、例えば食前、食直前、食間、就寝前に投与した場合、腸管での吸収能が低下した患者(高齢者、腸疾患患者、腸手術後、末期癌患者、リパーゼ阻害剤服用時)に投与した場合あるいは、投与量を減量した場合も本発明の効果を発現させることができる。
上記の薬物動態は、イヌやサル等の動物で確認することができ、好ましくは、ヒトでの試験により確認される。
保存温度は、自己乳化組成物やこれらのカプセル化された製剤が寒冷地や高温環境で扱われる可能性を考慮し、低温・高温時にも外観が澄明であることが好ましい。
また、前記疾患のうち、特に、脂質異常症、食後高TG血症の改善または治療、再発予防あるいはメタボリックシンドロームや心・脳血管イベントや四肢末梢潰瘍や壊疽などへの進行抑制に有効である。哺乳動物とは、例えば、ヒトやウシ、ウマ、ブタなどの家畜動物やイヌ、ネコ、ウサギ、ラット、マウスなどの家庭用動物等があげられ、好ましくはヒトである。特に、メタボリックシンドローム患者など、血中脂質が増加している、インスリン抵抗性を発現している、あるいは血圧が上昇している脂質異常症患者において脂質異常症や食後高TG血症の改善または治療効果を示すことが期待される。
水0.05g、ポリオキシエチレン(20)ソルビタンオレイン酸エステル0.95g、EPA-E 4gを量り取り、密封し、約70℃に加温しながら混合し、自己乳化組成物を調製した。調製した自己乳化組成物は窒素置換して密封し、評価を実施するまで室温にて保存した。表1に自己乳化組成物の処方を示す。表中の「-」の記載は該当成分が添加されていない、または測定されていないことを示す。
表1に記載の組成比となる様に、実施例1と同様の方法で実施例2~9の自己乳化組成物および比較例1~3の組成物を調製および保存した。表1に自己乳化組成物の処方を示す。
表2に記載の組成比となる様に、実施例1と同様の方法で実施例10~15の自己乳化組成物および比較例4~8の組成物を調製及び保存した。表2に自己乳化組成物の処方を示す。
上記の製造方法にて自己乳化組成物または比較例の組成物を製造後、室温で静置し、約1時間後外観を評価した。相溶性に優れ、組成物が均一となっている場合には「澄明」、分離している場合には「分離」、不透明である場合には「曇り」とした。
表1および2に試験結果を示す。
上記の製造方法にて製造した自己乳化組成物または比較例の組成物について、試験管内の37℃の精製水および日局溶出試験第1液、各5mLに各組成物を10μL滴下し、自己乳化性について評価した。滴下しただけで乳化した場合を良好とし、滴下しただけでは自然に乳化しなかった場合を不良とした。次いで、均一条件にて軽く撹拌した後、その性状を評価した。組成物分散性について、組成物が分散した場合を良好とし、組成物の一部が分散しないで塊として残った場合を不良とした。乳化安定性について、油の分離がなかった場合を良好とし、油の分離があった場合を不良とした。なお、外観の評価で「澄明」でなかった組成物は、組成が均一でないことから評価は妥当でないと考えられ、評価を行わなかった。
表1および2に試験結果を示す。
上記試験例2で得られた乳化組成物約1.5mLを用いて、粒度分布測定装置(Nanotrac、日機装製)により、分散媒として水を使用し、平均乳化滴径(体積平均径)を測定した。
表1および2に試験結果を示す。
試験例1にて「澄明」であった組成物について、5℃あるいは40℃で静置して一晩(約12時間)保管後、外観を評価した。相溶性に優れ、組成物が均一となっている場合には「澄明」、分離している場合には「分離」、不透明である場合には「曇り」とした。
表1および2に試験結果を示す。下記表中「―」は該当成分を添加せず、または測定せずを示す。
本発明は組成物の相溶性を良好にするためにエタノールや多価アルコールに代えて水を使用しており、水を含まない場合には組成物が相溶性を充分に有しないため分離した。また、水を含む処方であってもその量が組成物に対して多すぎても同様に分離した。水が0.5質量ないし4質量%の実施例1~9では分離しないことから、0.5ないし6質量%程度の特定の量の水を含むことが外観等に優れるために重要であると分かる。
一方、実施例10は比較例4のエタノールを水に置換した組成であるが、かかる組成では外観が良好であった。水であれば2質量%程度で充分な相溶性を示すことが出来るのに対し、比較例4の分離はエタノール2質量%ではその量が少ないためと考えられた。
しかしながら、40℃で一晩保管すると分離した。これより、特定範囲量の水を添加すると高温や低温の環境下においても外観が良好な組成物が得られることが分かる。
一方、比較例8はこれらの乳化剤を1つのみ選択した処方であるが、かかる組成では外観が分離した。これより、2種類以上選択する必要があることが分かる。
実施例14の組成物を各々雄性ビーグル犬(2~6年齢、体重13kg、マーシャルビーグル3例、ノーサンビーグル3例)6例に絶食条件下で経口投与し、EPAの血中濃度の推移を評価した。なお、各被験動物は投与の18時間以上前より絶食とし、各動物にはEPA-Eとして600mgとなる量の組成物を投与した。投与前、投与後0.5、1、1.5、2、3、4、6、8および24時間に採血を行い、血漿を分取して処理を行った後、血漿中のEPA濃度をLC/MS/MS(サンプルを液体クロマトグラフィーで分離し、それを質量分析で分離して測定する方法)により測定した。また、対照群としてカプセルに充填したEPA-E原液も投与した。
表3には試験結果より算出した血中濃度最大値(Cmax)、0時間から2時間までの血中濃度曲線下面積(AUC0-2)、0時間から24時間までの血中濃度曲線下面積(AUC0-24)を示す。なお、各パラメーターの算出の際には各血中濃度より投与前の血中EPA濃度を減じた補正を行っている。
実施例14の組成物をカニクイザル(2~5歳、体重2.70~4.65Kg、ハムリー)6例に絶食条件下で経口投与し、EPAの血中濃度の推移を評価する。なお、各被験動物は投与の12時間以上前より絶食とし、各動物にはEPA-Eとして45mg/kgとなる量の自己乳化組成物を投与する。また、対照群としてカプセルに充填したEPA-E原液を投与する。投与前、投与後1、2、4、6、8、10、12、24、48および72時間に採血を行い、血漿を分取して処理を行った後、血漿中のEPAをLC/MS/MSにより測定する。試験結果より血中濃度最大値(Cmax)、0時間から12時間までの血中濃度曲線下面積(AUC0-12)、0時間から72時間までの血中濃度曲線下面積(AUC0-72)を算出する。なお、各パラメーターの算出の際には各血中濃度より投与前の血中EPA濃度を減じた補正を行なう。
実施例14の組成物を投与した動物は、対照群と比較して、CmaxおよびAUC0-12等の血中濃度パラメーターの上昇を認める。すなわち、実施例14の自己乳化組成物を投与した場合、吸収量が増加するのみならず、経口投与後速やかにEPAが吸収されることが確認される。
実施例14で得た自己乳化組成物375mg(EPA-Eとして300mg)を充てんしたソフトゼラチンカプセルを、ロータリー法により製造した。本法により製造した自己乳化型カプセル製剤は、EPA-Eを単独で充てんしたソフトゼラチンカプセルと同様の形状となり、製造直後のカプセル皮膜の変形等は認められなかった。
表4に記載の組成比となる様に、実施例1と同様の方法で実施例の自己乳化組成物および比較例の組成物を調製および保存した。表4に組成物の処方を示す。
この組成物を比較例2-1については375mg、比較例2-2については441mg(いずれも、EPA-Eとして300mg)を充てんしたソフトゼラチンカプセルを、ロータリー法により製造した。本法により製造した自己乳化型カプセル製剤は、EPA-Eを単独で充てんしたソフトゼラチンカプセルと同様の形状となり、カプセル皮膜の変形等は認められなかった。
実施例2-1、参考例2-2、比較例2-3の各カプセル製剤について、硬度を測定した。また、40℃相対湿度75%で1、2、4週間保管した製剤について、同様に硬度を測定した。
各製剤を初期、40℃ 1、2、4週間保管した場合の結果を表4に示す。なお、初期とはカプセルの製造後、評価するまで室温で保管した製剤をいう。また、各製剤はアルミ包装に密封して40℃に保管したため、湿度の影響は受けていない。
比較例2-3は参考例2-2の水を除き、プロピレングリコールを加えた処方である。かかる場合に初期の硬度が参考例2-2の54%程度であり既に軟化した。また40℃で保管するとわずか1週間で硬度が大幅に低下した。
これより、多価アルコールが内容液に対して約8%程度含まれていると硬度低下を起こすが、多価アルコールを含まず、水を含有する本発明の組成物は硬度低下が起こらないことが分かった。
本発明の自己乳化組成物は、多価アルコール非添加または添加濃度が低いため、流通過程や保存中における多価アルコールが原因のカプセル軟化、変形が起こらず、品質変化のリスクが低い。
また、低温又は高温環境下の保存でも組成物が白濁、分離等の変性のないことから、医薬として用いられる場合に寒冷地や高温地での保管可能な品質を有する。
Claims (8)
- 自己乳化組成物の全量を100質量%としたとき、
a)70~90質量%のω3多価不飽和脂肪酸、その製薬学上許容しうる塩、およびそのエステルからなる群から選択される少なくとも1つの化合物、
b)0.5~6質量%の水、
c)1~29質量%の乳化剤として、以下のi)またはii)の乳化剤
i)ポリオキシエチレンソルビタン脂肪酸エステル、
ii)ソルビタン脂肪酸エステル、グリセリン脂肪酸エステルおよびポリオキシエチレンヒマシ油からなる群から選択される少なくとも2つの乳化剤、を含有し、
あるいは、
1~29質量%の乳化剤として、以下のi)およびii)の乳化剤
i)ポリオキシエチレンソルビタン脂肪酸エステル、
ii)ソルビタン脂肪酸エステル、グリセリン脂肪酸エステルおよびポリオキシエチレンヒマシ油からなる群から選択される少なくとも1つの乳化剤、を含有し、
d)エタノールが前記組成物全量の4質量%以下、
e)多価アルコールが前記組成物の全量の4質量%以下、
であることを特徴とする自己乳化組成物。 - ω3多価不飽和脂肪酸、その製薬学上許容しうる塩、およびそのエステルが、EPA、DHA、それらの製薬学上許容しうる塩、およびそれらのエステルからなる群から選択される少なくとも1つである請求項1に記載の自己乳化組成物。
- 前記多価アルコールがプロピレングリコールまたはグリセリンである請求項1または2に記載の自己乳化組成物。
- 前記エタノールが前記組成物全量の1質量%以下である請求項1ないし3のいずれか1項に記載の自己乳化組成物。
- 前記多価アルコールが前記組成物全量の1質量%以下である請求項1ないし4のいずれか1項に記載の自己乳化組成物。
- 前記組成物中にω3多価不飽和脂肪酸その製薬学上許容しうる塩、および、そのエステルからなる群から選択される少なくとも1つの化合物100質量部に対し、レシチンの含量が3質量部未満である請求項1ないし5のいずれか1項に記載の自己乳化組成物。
- 自己乳化組成物の全量を100質量%としたとき、
a)70~90質量%のω3多価不飽和脂肪酸、その製薬学上許容しうる塩、およびそのエステルからなる群から選択される少なくとも1つの化合物、
b)0.5~6質量%の水、
c)1~29質量%の乳化剤として、以下のi)またはii)の乳化剤、
i)ポリオキシエチレンソルビタン脂肪酸エステル、
ii)ソルビタン脂肪酸エステル、グリセリン脂肪酸エステルおよびポリオキシエチレンヒマシ油からなる群から選択される少なくとも2つの乳化剤、を含有し、
あるいは、
1~29質量%の乳化剤として、以下のi)およびii)の乳化剤
i)ポリオキシエチレンソルビタン脂肪酸エステル、
ii)ソルビタン脂肪酸エステル、グリセリン脂肪酸エステルおよびポリオキシエチレンヒマシ油からなる群から選択される少なくとも1つの乳化剤、を含有し、
d)エタノールが前記組成物全量の4質量%以下、
e)多価アルコールが前記組成物全量の4質量%以下、
である自己乳化組成物を内溶液としてカプセル中に保持するカプセル化された自己乳化製剤であって、
前記カプセルが硬カプセルおよび/または軟カプセルであることを特徴とするカプセル化された自己乳化製剤。 - 前記軟カプセルのカプセル皮膜がゼラチンを含む請求項7に記載のカプセル化された自己乳化製剤。
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Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2008516890A (ja) | 2004-08-06 | 2008-05-22 | トランスフオーム・フアーマシユーチカルズ・インコーポレーテツド | 新規なフェノフィブラート製剤および関連治療方法 |
WO2010134614A1 (ja) | 2009-05-22 | 2010-11-25 | 持田製薬株式会社 | ω3脂肪酸の自己乳化組成物 |
JP2011012003A (ja) | 2009-07-01 | 2011-01-20 | Fancl Corp | ソフトカプセル用乳化組成物及びソフトカプセル剤 |
JP2012519728A (ja) | 2009-03-09 | 2012-08-30 | プロノヴァ・バイオファーマ・ノルゲ・アーエス | 脂肪酸油混合物及び界面活性剤を含む組成物、並びにその方法及び使用 |
JP2012180337A (ja) | 2011-02-10 | 2012-09-20 | Fancl Corp | 自己乳化製剤 |
Family Cites Families (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP4629768B2 (ja) | 2008-12-03 | 2011-02-09 | インターナショナル・ビジネス・マシーンズ・コーポレーション | 並列化処理方法、システム、及びプログラム |
JP5951489B2 (ja) * | 2009-10-16 | 2016-07-13 | グラクソスミスクライン・リミテッド・ライアビリティ・カンパニーGlaxoSmithKline LLC | 組成物 |
US8668886B2 (en) * | 2011-04-24 | 2014-03-11 | Therapeutic Proteins International, LLC | Separative bioreactor |
US20160213639A1 (en) | 2013-10-07 | 2016-07-28 | Mochida Pharmaceutical Co., Ltd. | Compositions and methods for treating non-alcoholic steatohepatitis |
-
2014
- 2014-07-17 CA CA2918336A patent/CA2918336C/en active Active
- 2014-07-17 EP EP20174604.7A patent/EP3735963B1/en active Active
- 2014-07-17 JP JP2015527343A patent/JPWO2015008849A1/ja active Pending
- 2014-07-17 ES ES14826392T patent/ES2817527T3/es active Active
- 2014-07-17 US US14/905,520 patent/US9801843B2/en active Active
- 2014-07-17 WO PCT/JP2014/069115 patent/WO2015008849A1/ja active Application Filing
- 2014-07-17 EP EP14826392.4A patent/EP3023098B1/en active Active
-
2017
- 2017-08-23 US US15/684,694 patent/US20170348268A1/en not_active Abandoned
-
2019
- 2019-04-10 US US16/380,663 patent/US20190231731A1/en not_active Abandoned
- 2019-08-08 JP JP2019146168A patent/JP2019206579A/ja active Pending
-
2021
- 2021-04-16 JP JP2021069746A patent/JP2021107433A/ja not_active Abandoned
- 2021-05-10 US US17/315,584 patent/US20210267927A1/en active Pending
-
2022
- 2022-09-06 JP JP2022141174A patent/JP7360521B2/ja active Active
-
2023
- 2023-09-29 JP JP2023169186A patent/JP2023165967A/ja active Pending
Patent Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2008516890A (ja) | 2004-08-06 | 2008-05-22 | トランスフオーム・フアーマシユーチカルズ・インコーポレーテツド | 新規なフェノフィブラート製剤および関連治療方法 |
JP2012519728A (ja) | 2009-03-09 | 2012-08-30 | プロノヴァ・バイオファーマ・ノルゲ・アーエス | 脂肪酸油混合物及び界面活性剤を含む組成物、並びにその方法及び使用 |
WO2010134614A1 (ja) | 2009-05-22 | 2010-11-25 | 持田製薬株式会社 | ω3脂肪酸の自己乳化組成物 |
JP2011012003A (ja) | 2009-07-01 | 2011-01-20 | Fancl Corp | ソフトカプセル用乳化組成物及びソフトカプセル剤 |
JP2012180337A (ja) | 2011-02-10 | 2012-09-20 | Fancl Corp | 自己乳化製剤 |
Non-Patent Citations (5)
Title |
---|
"2007 Dictionary of Drug Additives", 25 July 2007, YAKUJI NIPPO LTD. |
"Guideline for Diagnosis and Prevention of Atherosclerotic Cardiovascular Diseases, 2007 Edition", 25 April 2007, KYOWA KIKAKU LTD. |
DIABETES, vol. 57, no. 9, 2008, pages 2382 - 2392 |
EPADEL S: "Drug Interview Form", June 2012, MOCHIDA PHARMACEUTICAL CO., LTD. |
EUROPEAN JOURNAL OF PHARMACEUTICAL SCIENCES, vol. 33, 2008, pages 351 - 360 |
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JP7330581B1 (ja) | 2022-03-09 | 2023-08-22 | 株式会社Sbs | ソフトカプセルの製造方法 |
JP2023133245A (ja) * | 2022-03-09 | 2023-09-22 | 株式会社Sbs | ソフトカプセルの製造方法 |
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JPWO2015008849A1 (ja) | 2017-03-02 |
EP3735963A1 (en) | 2020-11-11 |
CA2918336A1 (en) | 2015-01-22 |
EP3735963C0 (en) | 2023-09-13 |
EP3023098A4 (en) | 2017-03-15 |
JP2021107433A (ja) | 2021-07-29 |
US20170348268A1 (en) | 2017-12-07 |
US20190231731A1 (en) | 2019-08-01 |
EP3023098B1 (en) | 2020-06-24 |
US9801843B2 (en) | 2017-10-31 |
JP2019206579A (ja) | 2019-12-05 |
CA2918336C (en) | 2022-05-24 |
JP2023165967A (ja) | 2023-11-17 |
ES2817527T3 (es) | 2021-04-07 |
EP3023098A1 (en) | 2016-05-25 |
JP2022174168A (ja) | 2022-11-22 |
US20160151319A1 (en) | 2016-06-02 |
EP3735963B1 (en) | 2023-09-13 |
US20210267927A1 (en) | 2021-09-02 |
JP7360521B2 (ja) | 2023-10-12 |
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