WO2016078609A1 - 左旋沙丁胺醇制剂在治疗皮肤及粘膜创伤溃疡中的应用 - Google Patents
左旋沙丁胺醇制剂在治疗皮肤及粘膜创伤溃疡中的应用 Download PDFInfo
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- WO2016078609A1 WO2016078609A1 PCT/CN2015/095101 CN2015095101W WO2016078609A1 WO 2016078609 A1 WO2016078609 A1 WO 2016078609A1 CN 2015095101 W CN2015095101 W CN 2015095101W WO 2016078609 A1 WO2016078609 A1 WO 2016078609A1
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- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/13—Amines
- A61K31/135—Amines having aromatic rings, e.g. ketamine, nortriptyline
- A61K31/137—Arylalkylamines, e.g. amphetamine, epinephrine, salbutamol, ephedrine or methadone
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- the present invention relates to a medicament, in particular to a pharmaceutical preparation for the treatment of skin damage, ulceration and delayed healing caused by wounds, burns, acne, tumors, diabetes and the like, as an external preparation of levorotatory (R) albuterol salt and a combination thereof.
- a pharmaceutical preparation for the treatment of skin damage, ulceration and delayed healing caused by wounds, burns, acne, tumors, diabetes and the like as an external preparation of levorotatory (R) albuterol salt and a combination thereof.
- the racemic albuterol is a beta receptor agonist containing a chiral center, an enantiomer with opposite optical properties - the R (left-handed) configuration of salbutamol and the S (dextrorotatory) configuration of salbutamol.
- L-salbutamol has a variety of anti-inflammatory effects, can stimulate T cells under the action of plant lectin, inhibit the proliferation and secretion of IL-2 and interferon gamma.
- the existing literature (CN 101203214B) has reported that L-R-salbutamol can treat cutaneous lupus erythematosus, and treatment with DEL (disc lupus erythematosus) and SCLE (subacute lupus erythematosus) shows a significant reduction in the leptin of the l-salbutamol group compared with the placebo group. . It can also treat other connective tissue diseases. L-Salbutamol may inhibit such abnormal autonomic responses by stimulating T cells.
- Lupus and connective tissue diseases are autoimmune diseases. It is often associated with the body's own humoral antibodies or T cell abnormalities, and does not involve trauma and infection. However, the existing literature does not report whether L-salbutamol inhibits skin tissue ulcers and/or combined bacterial infections caused by external trauma, burns, burns, tumors, diabetes or infections, as well as wound wounds that can promote wounds caused by the above-mentioned causes. Heal.
- autoimmune diseases such as lupus erythematosus and connective tissue diseases
- external wounds, burns, burns, tumors, diabetes, or infections cause skin tissue ulcers and/or combined bacterial infections.
- Skin ulcer is a localized defect or ulceration of the skin or mucosal surface tissue. The surface is often covered with pus, necrotic tissue or suede. After the scar, it can be caused by infection, trauma, nodules or tumor rupture. Its size, shape, depth, development process, etc. are also inconsistent.
- chronic skin ulcers are common and frequently-occurring diseases with long course and difficult to cure.
- the cause of the disease may be trauma, burns, burns, hemorrhoids, or may be co-infection, eczema, diabetes and cancerous cancer, or a combination of the above factors.
- L-R-salbutamol (sulfate) has the following structure:
- L-(R)-salbutamol or a pharmaceutically acceptable salt thereof in the present invention, includes a salt formed with a usual pharmaceutically acceptable organic or inorganic acid, including a sulfate or hydrogen sulfate, a hydrochloride, a hydrobromide salt. , dihydrogen phosphate, methanesulfonate, bromide, acetate, oxalate, maleate, fumarate, succinate, 2-naphthyl sulfate, gluconate, Molybdate, tartrate, lactate, etc., pyruvate, isethionate, besylate, p-toluenesulfonate, and the like.
- a salt formed with a usual pharmaceutically acceptable organic or inorganic acid including a sulfate or hydrogen sulfate, a hydrochloride, a hydrobromide salt.
- L-R-salbutamol can also be prepared as an external preparation such as a topical ointment, spray, patch, powder, granule or the like, or a suppository or ointment for use in a body cavity, and an injection or a variety of sustained-release agents for the skin muscle.
- an external preparation such as a topical ointment, spray, patch, powder, granule or the like, or a suppository or ointment for use in a body cavity, and an injection or a variety of sustained-release agents for the skin muscle.
- the invention also encompasses a novel combination of use with hormonal drugs.
- L-(R)-salbutamol and a pharmaceutically acceptable salt thereof can be used in combination with various corticosteroids, and can be prepared in various ratios to prepare the above-mentioned various preparations for external use for treating wounds, burns, burns, tumors.
- corticosteroids include, for example, budesonide, ciclesonide, beclomethasone dipropionate, mometasone furoate, flunisolide, fluticasone propionate, triamcinolone acetonide, fluticasone, and the like, and physiologically An acceptable salt or solvent.
- the invention also encompasses a novel combination of anti-inflammatory and immunomodulatory agents.
- a therapeutic amount of L-R-salbutamol and a pharmaceutically acceptable salt thereof with an anti-inflammatory or immunomodulatory agent such as an interleukin receptor antagonist, a leukocyte stimulating factor, a tumor necrosis factor (TNF) antibody, an interferon, an integrin, etc. Used in combination.
- an anti-inflammatory or immunomodulatory agent such as an interleukin receptor antagonist, a leukocyte stimulating factor, a tumor necrosis factor (TNF) antibody, an interferon, an integrin, etc. Used in combination.
- the invention also includes a novel external antibiotic and other skin wound treatment chemicals, biological drugs or botanical drugs, such as ofloxacin or levofloxacin, amoxicillin, erythromycin, epidermal growth factor, etc. Combination use of drugs.
- the combination treatment of the above combination preparation can be prepared into an external preparation such as a plaster, a patch, a spray, a powder, a granule or a suppository in a body cavity or various sustained release agents.
- an external preparation such as a plaster, a patch, a spray, a powder, a granule or a suppository in a body cavity or various sustained release agents.
- Combinations may be by simultaneous, sequential, or separate modes of administration to increase the therapeutic index or to provide a positive synergistic effect of the drug.
- the amount of the above anti-inflammatory agent can be adjusted depending on the symptoms and age and the therapeutic target of the main drug.
- the preparation method of L-salbutamol cream is as follows: Preparation of hydrophobic phase: accurately weigh (by volume) 5% petrolatum, 10% paraffin oil, 5% gelatin, 6% glyceryl monostearate, plus 0.5% Tween 80 (26.5% in total), heated to 70 ° C. Preparation of hydrophilic phase: Accurately weigh (by volume) 0.5% L-salbutamol sulfate, 5% propylene glycol, 0.5% benzyl alcohol, and add water to 73.5%. Heat to 70 ° C. The two phases were mixed (100%) and the mixture was cooled with stirring, which was a L-salbutamolol paste. The ratio of L-salbutamol and excipients can also be adjusted according to requirements, such as from 0.01% to 99%. Salbutamol.
- mice weighing 25-29 g were randomly assigned to four experimental groups A, B, C, and D, 15 in each group, which caused an acute trauma model in the hair removal area of the back skin of the mouse.
- a full-thickness skin resection is performed, resulting in a round hole of 8 mm in diameter (or two incisions, one on the back and one on the buttocks). They are kept in separate cages.
- the four groups A, B, C and D were respectively applied with homemade L-salbutamol ointment, blank adjuvant and positive control drug (ofloxacin).
- Mode of administration once daily (extension to 2 to 3 mm, thickness of about 0.5 mm).
- the morphological changes of the wound were observed every day, the wound diameter was photographed and measured, and the wound scarring time and healing time were recorded.
- the wound was healed with the wound closed, the surface was dry, the eschar was detached, and the recovery was normal, and the healing time was recorded.
- the whole skin of the wound with normal surrounding tissue was taken every 5 days, fixed in 10% formalin, paraffin sections were prepared, HE staining, histopathological changes were observed under light microscope, and the growth of granulation tissue and re-epithelialization were observed. Variety.
- Area calculation method Aseptic film trace area, or localized wound area measured by transparent sulfuric acid paper.
- the wound area plane measurement method
- Percentage of wound healing: healing rate original face - now wound / original face.
- the wound area was analyzed by one-way repeated measurement data analysis.
- mice After several days of observation, it was found that the percentage of wound healing in the mice was 85.7% in the L-salbutamol group, 84.5% in the positive control group, and 48.5% in the blank adjuvant group. At the same time period, the healing area of the mice in the drug-administered group was significantly larger than that in the blank adjuvant mice. See the comparison of the effect of L-salvadine sulfate ointment on skin wound healing in mice.
- mice weighing 26-28 g were randomly assigned to two experimental groups, A and B, each group of 5, which caused an acute trauma model in the hair removal area of the back skin of the mouse, and a full-thickness skin with a circular puncher. Excised, resulting in a circular hole with a diameter of 8 mm. They are kept in separate cages.
- a and B groups were separately applied with homemade L-salbutamol ointment and levo-sulphate and levofloxacin compound ointment. Mode of administration: once daily (extension to 2 to 3 mm, thickness of about 0.5 mm).
- mice After several days of observation, it was found that the percentage of wound healing in mice was 88% in the L-salbutamol group and 90% in the compound group. At the same time, the L-Salbutamol combination group was small. The healing area of the rats was significantly greater than that of the L-salbutamol group.
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Abstract
Description
Claims (15)
- 左旋沙丁胺醇药盐或其组合制剂,在制备用于治疗皮肤及粘膜创伤、溃疡和创面延迟愈合等疾病的药物中的应用。
- 根据权利要求1所述的应用,其特征在于,所述药盐包括硫酸盐或硫酸氢盐、盐酸盐、氢溴酸盐、磷酸二氢盐、甲基磺酸盐、溴化盐、醋酸盐、草酸盐、马来酸盐、富马酸盐、琥珀酸盐、2-萘基硫酸盐、葡糖酸盐、拧檬酸盐、酒石酸盐、乳酸盐等、丙酮酸盐、羟乙基磺酸盐、苯磺酸盐、对甲苯磺酸盐等。
- 根据权利要求1或2所述的应用,其特征在于,所述的组合制剂包含左旋沙丁胺醇药盐以及皮质类固醇,所述皮质类固醇选自布地奈德、环索奈德、二丙酸倍氯米松、糠酸莫米松、氟尼缩松、氟替卡松丙酸酯、曲安奈德、氟替卡松等以及它们的生理学上可接受的盐或溶剂。
- 根据权利要求1或2所述的应用,其特征在于,所述的组合制剂包含左旋沙丁胺醇药盐以及抗炎或免疫调节剂,所述抗炎或免疫调节剂选自白介素受体拮抗剂、白细胞刺激因子、肿瘤坏死因子(TNF)抗体、干扰素及整合素等。
- 根据权利要求1或2所述的应用,其特征在于,所述的组合制剂包含左旋沙丁胺醇药盐以及抗生素类药物,所述抗生素类药物选自氧氟沙星、左氧氟沙星、阿莫西林、或红霉素等常用的外用抗生素和其它皮肤创伤治疗化学药、生物药或植物药,表皮生长因子等药物。
- 根据前述任一权利要求所述的应用,其特征在于,所述左旋沙丁胺醇药盐或其组合制剂为外用膏剂、贴剂、擦剂、喷剂、粉剂、颗粒剂、滴剂,或体腔内的栓剂,或各类缓释剂。
- 根据权利要求1或2所述的应用,其特征在于,所述的皮肤溃疡和创伤疾病为皮肤或黏膜或角膜表面组织的限局性缺损、充血、溃疡,溃烂其表面常覆盖有脓液、坏死组织或痂皮和不愈合创面。
- 根据权利要求1或2所述的应用,其特征在于,所述的皮肤溃疡和创伤疾病的致病原因为外伤、烧伤、烫伤、褥疮、也可能是感染、湿疹、糖尿病和组织癌变,或上述因素的合并出现。
- 一种用于治疗皮肤及粘膜创伤、溃疡和创面延迟愈合等疾病的药物制剂,其特征在于,包含左旋沙丁胺醇药盐。
- 根据权利要求9所述的药物制剂,其特征在于,所述左旋沙丁胺醇药盐包括硫酸盐或硫酸氢盐、盐酸盐、氢溴酸盐、磷酸二氢盐、甲基磺酸盐、溴化盐、醋酸盐、草酸盐、马来酸盐、富马酸盐、琥珀酸盐、2-萘基硫酸盐、葡糖酸盐、拧檬酸盐、酒石酸盐、乳酸盐等、丙酮酸盐、羟乙基磺酸盐、苯磺酸盐、对甲苯磺酸盐等。
- 根据权利要求9或10所述的药物制剂,其特征在于,还包含下列物质:皮质类固醇,选自布地奈德、环索奈德、二丙酸倍氯米松、糠酸莫米松、氟尼缩松、氟替卡松丙酸酯、曲安奈德、氟替卡松、等以及它们的生理学上可接受的盐或溶剂;或者抗炎或免疫调节剂,选自白介素受体拮抗剂、白细胞刺激因子、肿瘤坏死因子(TNF)抗体、干扰素及整合素等;或者抗生素类药物,选自氧氟沙星、左氧氟沙星、阿莫西林、或红霉素等常用的外用抗生素和其它皮肤创伤治疗化学药、生物药或植物药,表皮生长因子等。
- 根据权利要求9-11任一所述的药物制剂,其特征在于,所述药物制剂为外用膏剂、贴剂、擦剂、喷剂、粉剂、颗粒剂、滴剂,或体腔内的栓剂,或各类缓释剂。
- 一种治疗皮肤及粘膜创伤、溃疡和创面延迟愈合等疾病的方法,包括使用左旋沙丁胺醇药盐或其组合制剂。
- 根据权利要求13所述的方法,其特征在于,所述组合制剂包含左旋沙丁胺醇药盐以及下列物质:皮质类固醇,选自布地奈德、环索奈德、二丙酸倍氯米松、糠酸莫米松、氟尼缩松、氟替卡松丙酸酯、曲安奈德、氟替卡松、等以及它们的生理学上可接受的盐或溶剂;或者抗炎或免疫调节剂,选自白介素受体拮抗剂、白细胞刺激因子、肿瘤坏死因子(TNF)抗体、干扰素及整合素等;或者抗生素类药物,选自氧氟沙星、左氧氟沙星、阿莫西林、或红霉素等常用的外用抗生素和其它皮肤创伤治疗化学药、生物药或植物药,表皮生长因子等。
- 根据权利要求13或14所述的方法,其特征在于,所述左旋沙丁胺醇药盐包括硫酸盐或硫酸氢盐、盐酸盐、氢溴酸盐、磷酸二氢盐、甲基磺酸盐、溴化盐、醋酸盐、草酸盐、马来酸盐、富马酸盐、琥珀酸盐、2-萘基硫酸盐、葡糖酸盐、拧檬酸盐、酒石酸盐、乳酸盐等、丙酮酸盐、羟乙基磺酸盐、苯磺酸盐、对甲苯磺酸盐等。
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AU2015349153A AU2015349153B2 (en) | 2014-11-21 | 2015-11-20 | Application of levalbuterol formulation in treatment of skin and mucous membrane traumatic ulcers |
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CN104606177A (zh) * | 2014-11-21 | 2015-05-13 | 苏州君宁新药开发中心有限公司 | 左旋(r)沙丁胺醇制剂在治疗皮肤及粘膜创伤溃疡的药物应用 |
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GB0805535D0 (en) * | 2008-03-27 | 2008-04-30 | Univ Leicester | Scar prevention |
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CN104606177A (zh) * | 2014-11-21 | 2015-05-13 | 苏州君宁新药开发中心有限公司 | 左旋(r)沙丁胺醇制剂在治疗皮肤及粘膜创伤溃疡的药物应用 |
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