WO2016208582A1 - Oral care composition for cancer patients - Google Patents
Oral care composition for cancer patients Download PDFInfo
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- WO2016208582A1 WO2016208582A1 PCT/JP2016/068400 JP2016068400W WO2016208582A1 WO 2016208582 A1 WO2016208582 A1 WO 2016208582A1 JP 2016068400 W JP2016068400 W JP 2016068400W WO 2016208582 A1 WO2016208582 A1 WO 2016208582A1
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K36/00—Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
- A61K36/18—Magnoliophyta (angiosperms)
- A61K36/185—Magnoliopsida (dicotyledons)
- A61K36/82—Theaceae (Tea family), e.g. camellia
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K8/00—Cosmetics or similar toiletry preparations
- A61K8/18—Cosmetics or similar toiletry preparations characterised by the composition
- A61K8/30—Cosmetics or similar toiletry preparations characterised by the composition containing organic compounds
- A61K8/33—Cosmetics or similar toiletry preparations characterised by the composition containing organic compounds containing oxygen
- A61K8/34—Alcohols
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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
- A61K47/30—Macromolecular organic or inorganic compounds, e.g. inorganic polyphosphates
- A61K47/36—Polysaccharides; Derivatives thereof, e.g. gums, starch, alginate, dextrin, hyaluronic acid, chitosan, inulin, agar or pectin
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K8/00—Cosmetics or similar toiletry preparations
- A61K8/18—Cosmetics or similar toiletry preparations characterised by the composition
- A61K8/30—Cosmetics or similar toiletry preparations characterised by the composition containing organic compounds
- A61K8/33—Cosmetics or similar toiletry preparations characterised by the composition containing organic compounds containing oxygen
- A61K8/34—Alcohols
- A61K8/345—Alcohols containing more than one hydroxy group
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K8/00—Cosmetics or similar toiletry preparations
- A61K8/18—Cosmetics or similar toiletry preparations characterised by the composition
- A61K8/72—Cosmetics or similar toiletry preparations characterised by the composition containing organic macromolecular compounds
- A61K8/73—Polysaccharides
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K8/00—Cosmetics or similar toiletry preparations
- A61K8/18—Cosmetics or similar toiletry preparations characterised by the composition
- A61K8/96—Cosmetics or similar toiletry preparations characterised by the composition containing materials, or derivatives thereof of undetermined constitution
- A61K8/97—Cosmetics or similar toiletry preparations characterised by the composition containing materials, or derivatives thereof of undetermined constitution from algae, fungi, lichens or plants; from derivatives thereof
- A61K8/9783—Angiosperms [Magnoliophyta]
- A61K8/9789—Magnoliopsida [dicotyledons]
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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
- A61K9/0012—Galenical forms characterised by the site of application
- A61K9/0053—Mouth and digestive tract, i.e. intraoral and peroral administration
- A61K9/006—Oral mucosa, e.g. mucoadhesive forms, sublingual droplets; Buccal patches or films; Buccal sprays
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P1/00—Drugs for disorders of the alimentary tract or the digestive system
- A61P1/02—Stomatological preparations, e.g. drugs for caries, aphtae, periodontitis
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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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61Q—SPECIFIC USE OF COSMETICS OR SIMILAR TOILETRY PREPARATIONS
- A61Q11/00—Preparations for care of the teeth, of the oral cavity or of dentures; Dentifrices, e.g. toothpastes; Mouth rinses
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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
- A61K9/06—Ointments; Bases therefor; Other semi-solid forms, e.g. creams, sticks, gels
Definitions
- the present invention relates to an oral care composition for cancer patients.
- Cancer treatment varies depending on the organ affected by the cancer and the stage of the cancer, but there are mainly three types of surgery, radiation therapy and chemotherapy.
- endocrine therapy and immunotherapy for special tumors. Etc. are known.
- a plurality of treatment methods may be combined, for example, with a focus on surgical therapy, and chemotherapy or radiation therapy may be combined before and after surgery.
- Non-patent Document 1 When cancer is affected, nausea, decreased appetite, anemia, bone marrow suppression, etc. are caused as the cancer progresses, and this is accompanied by infections in the oral cavity (dental infections, oral candidiasis, herpes, etc.) ) And oral mucositis. In addition, as a side effect of cancer treatment, adverse events (oral mucositis, oral infection, dry mouth, etc.) occur in the oral cavity in any of surgical treatment, radiation therapy, and chemotherapy. % Is known to develop oral mucositis. Therefore, not only in Japan but also in other countries around the world, we are working on the development of therapeutic agents and preventive agents for oral complications including oral mucositis in cancer patients (Non-patent Document 1).
- moisturizers that contain antibacterial substances and moisturizers that do not contain antibacterial substances. These oral moisturizers are effective in preventing dry mouth and oral infections that occur at the same time as oral mucositis. On the other hand, when targeting cancer patients, the oral environment deteriorates and severe oral intima There is concern about the possibility of causing a flame.
- Non-patent Document 2 aqueous catechin solution
- Patent Document 1 An oral care composition containing catechin and gelled with xanthan gum, which is a moisturizing agent, has been developed (Patent Document 1).
- this composition for oral care is used for the adjustment of the normal oral flora, and in Patent Document 1, it is used for oral complications in cancer patients, particularly oral mucositis in cancer treated patients. There is no disclosure about.
- the present inventors have now used oral care compositions comprising tea extract, thickening polysaccharides and humectants to reproduce oral mucositis in the oral cavity of cancer patients.
- the present inventors succeeded in suppressing ulcer onset during ulcer onset and promoting ulcer repair during ulcer repair. That is, it has been found that by using the composition for oral care of the present invention, the onset of oral complications can be prevented and inflammation of oral complications can be reduced.
- the present invention is based on these findings.
- the present invention is for oral care for preventing the onset of oral complications and treating, improving, reducing and / or alleviating oral inflammation (symptoms) while improving QOL in cancer treated patients. It is an object to provide a composition.
- a composition for oral care for cancer patients comprising a tea extract, a thickening polysaccharide and a humectant.
- a tea extract for preventing, treating, ameliorating, reducing and / or alleviating oral complications of cancer patients who receive at least one treatment selected from surgical therapy, radiation therapy and chemotherapy
- the composition for oral care as described.
- the composition for oral care according to (2) above, wherein the oral complication is caused by radiation therapy or chemotherapy.
- the composition for oral care of the present invention can maintain the tea catechin concentration in the oral cavity for a long time, can prevent the onset of oral complications, and treat inflammation (symptoms) of oral complications, Can be improved, reduced and / or alleviated. Moreover, since the composition for oral care of this invention contains a thickening polysaccharide and can be ingested (administered) locally, it suppresses the irritation
- FIG. 3 shows the transition of the average ulcer area in the ulcer onset period (6th to 11th days after the first anticancer drug administration) in the oral mucositis model mouse.
- A Catechin concentration (mg / L) released at each time (every 2 hours).
- B Catechin concentration released over time (mg / L).
- the oral care composition of the present invention comprises a tea extract, a thickening polysaccharide and a humectant as active ingredients, and is used (administered) to cancer patients.
- the composition for oral care of the present invention is a selective antibacterial action capable of adjusting the normal microbial flora, oxidative stress (reactive oxygen) generated in the oral mucosa of cancer patients given by free radicals generated by chemotherapy or radiotherapy Therefore, oral complications of cancer patients can be efficiently prevented, treated, improved, reduced and / or alleviated.
- cancer patient means a patient suffering from cancer.
- cancer includes cancer (carcinoma), sarcoma, leukemia / malignant lymphoma, and the like, which are also called malignant tumors or malignant neoplasms.
- the “cancer patient” is preferably a cancer patient who receives treatment for cancer, more preferably at least one treatment selected from surgical therapy, radiation therapy and chemotherapy, A cancer patient, more preferably a cancer patient who receives at least one treatment selected from radiation therapy and chemotherapy.
- “Surgery” refers to a surgical operation for cancer occurring in the upper gastrointestinal tract and respiratory organs as well as in the oral cavity, head and neck region.
- patients who have undergone head and neck surgery, including the oral cavity have defects in tissues related to mastication and swallowing functions, and those who have undergone upper gastrointestinal and respiratory surgery are fed parentally. Ingestion tends to cause infections in the oral cavity and oral mucositis.
- Radiotherapy refers to local therapy that irradiates cancer cells with radiation. Radiation therapy affects not only cancer cells but also normal cells around them. Generally, in radiation therapy, when the oral cavity, head and neck region enters the radiation field, an adverse reaction (oral adverse event) always occurs in the oral cavity, and mainly oral mucositis due to active oxygen occurs and is irreversible. Severe dry mouth due to atrophy of the salivary glands.
- irradiation dose 60 to 70 Gy, which is used in combination with surgery and chemotherapy.
- the irradiation dose 10 Gy or more (after the first week)
- saliva thickening is often observed
- the irradiation dose is 20 Gy or more (after the second week)
- the oral mucosa is reddish, and some Mucous membranes have peeling ulcers, and taste changes are often seen.
- the irradiation dose is 30 Gy or more (after 3 weeks) ulcer formation is promoted and the amount of saliva secretion decreases.
- the irradiation dose is 50 Gy or more (after the 5th week)
- the formation of ulcers further progresses and the intake of food is often difficult
- the irradiation dose is 60 Gy or more (after the 6th week) It becomes a symptom of severe oral mucositis and often reaches the peak of oral mucositis and dry mouth at the end of irradiation. Symptoms of oral mucositis often go away in 1 to 2 months.
- “Chemotherapy” refers to the administration of anticancer drugs to suppress cancer cell growth and destroy cancer cells.
- anticancer agents include antimetabolites, alkylating agents, anticancer antibiotics, microtubule agonists, platinum preparations (platinum preparations), topoisomerase inhibitors, taxane preparations, and molecular target drugs. It is done.
- anticancer agents with high incidence of oral mucositis antimetabolites such as 5-FU, methotrexate, TS-1, capecitabine, cytarabine, gemcitabine, hydroxyurea, alkylating agents such as busulfan, melphalan,
- anticancer antibiotics for example, bleomycin, daunorubicin, doxorubicin, actinomycin D, microtubule agonists, platinum preparations (platinum preparations), for example cisplatin, carboplatin, topoisomerase inhibitors, for example irinotecan
- etoposide and taxane preparations include paclitaxel and docetaxel, and examples of molecular targeted drugs include everolimus and temsirolimus.
- chemotherapy In general, chemotherapy often reduces the function of not only cancer cells but also normal cells that are actively proliferating, especially bone marrow cells and other cell groups related to immunity. It is easy to produce. In addition, in chemotherapy, active oxygen is generated in the oral mucosa by an anticancer agent, and oral mucositis due to active oxygen is likely to occur.
- the oral care composition of the present invention is preferably used to prevent, treat, ameliorate, reduce and / or alleviate oral complications in cancer patients who are treated for cancer, more preferably surgery.
- prevention means preventing the onset of oral complications and mildly suppressing the onset of oral complications. Specifically, it acts on the pathogenesis of oral complications in advance. Prevent the onset of such diseases, acquire the function of oral complications more than normal or remission in advance, and reduce the physiological damage of the lesions caused after the onset of the disease, etc. means.
- oral complications such as oral mucositis and oral cavity such as oral mucositis, dental caries, periodontal disease and candidiasis are prevented, treated, improved, reduced and / or alleviated. Infectious diseases, dry mouth due to salivary gland dysfunction, and the like, including those with bleeding and pain, preferably oral mucositis.
- the “oral complication” may be one type of symptom alone or a combination of two or more types of symptoms among these oral complications.
- oral complications are preferably those caused as side effects by radiation therapy or chemotherapy, more preferably those caused by chemotherapy, more preferably antimetabolite administration therapy, particularly Preferably, it is caused by 5-FU administration therapy.
- Oral mucositis is also called mucositis or stomatitis, and forms symptoms such as redness and ulceration in the mucous membrane and is accompanied by intense pain.
- oral mucositis is 40-70% of cancer patients who receive chemotherapy, 80% of patients with hematopoietic stem cell transplantation who receive large doses of anticancer drugs and whole body irradiation, radiation glands in the head and neck It is said to occur in 100% of cancer patients receiving therapy.
- oral mucositis since it is difficult to take a meal orally with pain, the state of the whole body is weakened, resulting in serious side effects that affect the willingness to continue treatment and the willingness to fight.
- oral mucositis active oxygen is generated in the oropharyngeal mucosa due to radiation, an anticancer agent, etc., and active oxygen stays in the oral mucosa for a long time to cause oral mucositis.
- oral mucositis develops 7 to 10 days after the start of administration of an anticancer drug. Often subsides in about 2 weeks after onset, but may continue for more than a month.
- radiation therapy when the irradiation dose is 20 Gy or more, the oral mucosa is reddish and some mucous membranes are peeled and ulcers are observed.
- the irradiation dose is 30 Gy or more, the formation of ulcers is promoted and the irradiation dose is 60 Gy or more. Then, it becomes a symptom of severe oral mucositis and often reaches the peak of oral mucositis at the end of irradiation. In many cases, symptoms subside after 1 to 2 months from the end of irradiation.
- “Dry mouth” is also called xerostomia (dry mouth), and refers to symptoms accompanied by abnormal dryness in the oral cavity due to a decrease in salivary secretion.
- the decrease in the amount of saliva secretion causes a decrease in the self-cleaning action in the oral cavity, the wet state in the oral cavity, the mucosal protective action in the oral cavity, and the like, which directly and indirectly cause other oral complications.
- salivary gland atrophy is caused by radiation therapy of cancer patients who receive radiation therapy in the head and neck, causing irreversible and difficult to dry mouth, resulting in infections in the oral cavity and oral cavity Susceptible to mucositis.
- Oral infection refers to an infection caused by pathogenic microorganisms in the oral cavity.
- pathogenic microorganisms for example, caries-causing bacteria (Actinomyces naeslundii and Streptococcus mutans ⁇ ⁇ ⁇ ⁇ ⁇ ), periodontal disease-causing bacteria (Porphyromonas gingivalis, Aggregatibacter actinomycetemcomitans, Prevotella intermedia and Fusobacterium nucleatum), Candida ⁇ albicans, methicillin-resistant Staphylococcus aureus (MRSA), and other causative agents of opportunistic infections. Oral infections are likely to occur if the balance of the normal bacterial flora in the oral cavity, such as a decrease in immunity, is lost.
- the “tea extract” typically refers to a mixture extracted from tea and contains tea polyphenols, and preferably contains catechins at a high concentration.
- the “tea extract” may be a catechin obtained by purifying a specific polyphenol such as catechin, a synthesized catechin, or a commercially available tea extract.
- examples of the tea extract include Sanphenon BG-5 (Taiyo Kagaku), Sunphenon BG-3 (Taiyo Kagaku), and Camellia Extract 30S (Taiyo Kagaku).
- “Catechin” includes epi-forms, non-epi-forms, hydroxy forms, gallate esters, and the like.
- catechin for example, epicatechin (EC), epigallocatechin (EGC), epicatechin gallate (ECg), epigallocatechin gallate (EGCg), catechin (C), gallocatechin (GC), catechin gallate (Cg) , Gallocatechin (GC) and the like.
- catechin may be a single kind of these catechins or a combination of two or more kinds (mixtures), but is easily available. And, since it has a good flavor, a mixture of catechins is preferable.
- the content of the tea extract is not particularly limited as long as the bitterness derived from polyphenols such as catechin is less affected and the selective antibacterial effect and active oxygen removal effect are exhibited.
- the content of catechin is 0.05% by weight or more, for example, the selective antibacterial effect and the active oxygen removal effect are sufficiently expected, preferably 0.05 to 1% by weight, more preferably 0.05 to 0.8% by weight, more preferably 0.05 to 0.6% by weight, further preferably 0.05 to 0.5% by weight, particularly preferably 0.1 to 0.4% by weight. .
- “Selective antibacterial effect” refers to an effective amount of catechin, specifically, caries-causing bacteria (at least one of Actinomyces naeslundii and Streptococcus mutans ⁇ ), periodontal disease-causing bacteria (Porphyromonas gingivalis, Aggregatibacter actinomycetemcomitans, At least one of the causative bacteria of opportunistic infections such as Prevotella intermedia and Fusobacterium nucleatum, Candida albicans, and methicillin-resistant Staphylococcus aureus (MRSA), but has high antibacterial activity It means that it does not affect the normal flora. Therefore, if the composition for oral care of the present invention is used, the hygiene condition in the oral cavity can always be adjusted satisfactorily without breaking the balance of the normal bacterial flora in the oral cavity.
- caries-causing bacteria at least one of Actinomyces naeslundii and Streptococcus
- Removing effect of active oxygen means removing or suppressing oxidative stress (reactive oxygen) generated in the oral mucosa of cancer patients given by anti-cancer drugs or free radicals generated by radiation associated with chemotherapy or radiation therapy Means that.
- the “thickening polysaccharide” is not particularly limited as long as it can be administered into the oral cavity, in particular, can be locally administered to the inflamed area, and can exhibit retention and sustained release in the oral cavity.
- the thickening polysaccharide for example, xanthan gum, agar, agarose, agaropectin, amylopectin, isolikenan, laminaran, lichenan, glucan, levan, fructan, galactan, mannan, xylan, arabinan, pentozan, alginic acid, pectic acid, fucoidan, pectin , Locust bean gum, guar gum, tara gum, gum arabic and the like.
- the “thickening polysaccharide” may be a single type of these thickening polysaccharides or a combination (mixture) of two or more types. Further, since it has a moisturizing action, xanthan gum and guar gum are preferable, and further, oxidation of tea catechin can be suppressed, and xanthan gum is more preferable.
- the content of the thickening polysaccharide is not particularly limited as long as the effects of retention and sustained release such as catechin are exhibited in the oral cavity.
- the xanthan gum content is, for example, 1% by weight or more
- the effect of retention and sustained release of polyphenols such as catechin in the oral cavity is sufficiently expected, preferably 1 to 8% by weight, more preferably Is 2 to 7% by weight, more preferably 2.5 to 5.5% by weight.
- the “humectant” is not particularly limited as long as it is a substance having a moisturizing action.
- examples of the humectant include carrageenan, hyaluronic acid, glycerin, propylene glycol, polyethylene glycol, sorbit liquid, and carboxymethyl cellulose.
- the “humectant” may be a single type of these humectants or a combination (mixture) of two or more types. A mixture of glycerin and propylene glycol is preferable because it effectively improves and maintains the wet state.
- the content of the moisturizing agent is not particularly limited as long as the effect of retention of active ingredients such as catechin, sustained release, and moisturizing effect is exhibited in the oral cavity.
- the retention of active ingredients such as catechin, sustained release and moisturizing effects are It is sufficiently expected, preferably 5 to 40% by weight, more preferably 10 to 30% by weight, still more preferably 15 to 25% by weight.
- the oral care composition of the present invention comprises catechin, xanthan gum, glycerin and propylene glycol, and the content of catechin is 0.05% by weight or more, preferably 0.05.
- the content of catechin is 1% by weight or more, preferably 1 to 8% by weight, more preferably 2 to 7% by weight, still more preferably 2.5 to 5.5% by weight.
- the glycerin content is, for example, 5% by weight or more, preferably 5 to 40% by weight, more preferably 10 to 30% by weight, still more preferably 15 to 25% by weight.
- the content of the glycol 1% by weight or more, preferably 1 to 25 wt%, more preferably from 2.5 to 20 wt%, more preferably 5 to 15 wt%.
- the oral care composition of the present invention comprises catechin, xanthan gum and propylene glycol, the catechin content is 0.05 to 1 wt%, and the xanthan gum content is 1 to 8% by weight, glycerin content is 5 to 40% by weight, and propylene glycol content is 1 to 25% by weight.
- the oral care composition of the present invention comprises catechin, xanthan gum and propylene glycol, the catechin content is 0.05 to 1% by weight, and the xanthan gum content is 2%.
- the glycerin content is 15 to 25% by weight, and the propylene glycol content is 5 to 15% by weight.
- the oral care composition of the present invention may preferably contain an antioxidant and a preservative in addition to the above active ingredients from the viewpoint of long-term storage.
- the “antioxidant” is not particularly limited as long as it is a substance having an antioxidant action.
- examples of the antioxidant include erythorbic acid, ascorbic acid, tocopheric acid, tocopherol acetate, cyclodextrin, and salts or derivatives thereof.
- the “antioxidant” may be a single type of these antioxidants or a combination (mixture) of two or more types. From the viewpoint of preservation, erythorbic acid and / or sodium erythorbate is preferably a single substance or a mixture thereof.
- the “antioxidant” those for usual food addition can be used as they are.
- the content of the antioxidant is not particularly limited as long as the antioxidant effect in long-term storage is exhibited.
- the content of erythorbic acid and / or sodium erythorbate alone or as a mixture is, for example, 0.01% by weight or more, the antioxidant effect in long-term storage is sufficiently expected, preferably 0.01 to It is 1.0% by weight, more preferably 0.02 to 0.5% by weight, still more preferably 0.05 to 0.1% by weight.
- the “preservative” is not particularly limited as long as it is a substance having an antiseptic action.
- examples of the preservative include cetylpyridinium chloride, ethyl paraoxybenzoate, methyl paraoxybenzoate, propyl paraoxybenzoate, phenoxyethanol, isopropylmethylphenol, alkyldiaminoethylglycine hydrochloride, sodium benzoate, and potassium sorbate.
- the “preservative” may be a single kind of these preservatives, or may be a combination of two or more kinds (mixtures).
- methyl paraoxybenzoate propyl paraoxybenzoate, phenoxyethanol, isopropylmethylphenol and / or alkyldiaminoethylglycine hydrochloride.
- a conventional food additive can be used as it is.
- the content of the preservative is not particularly limited as long as the antiseptic effect and the miscellaneous taste suppressing effect during long-term storage are exhibited.
- the content of methyl paraoxybenzoate and / or propyl paraoxybenzoate alone or as a mixture is, for example, 0.01% by weight or more, the antiseptic effect and the miscellaneous taste suppressing effect in long-term storage are sufficiently expected.
- the content is preferably 0.01 to 1.0% by weight, more preferably 0.04 to 0.5% by weight, and still more preferably 0.05 to 0.1% by weight.
- the antiseptic effect and the miscellaneous taste suppressing effect in long-term storage are sufficiently expected, preferably 0.1 to 1.5% by weight, more preferably It is 0.3 to 1.3% by weight, more preferably 0.5 to 1.0% by weight.
- the content of isopropylmethylphenol is, for example, 0.0025% by weight or more, the antiseptic effect and the miscellaneous taste suppressing effect in long-term storage are sufficiently expected, preferably 0.0025 to 0.1% by weight, The amount is preferably 0.005 to 0.09% by weight, more preferably 0.01 to 0.08% by weight.
- the content of alkyldiaminoethylglycine hydrochloride is, for example, 0.03% by weight or more, the antiseptic effect and the miscellaneous taste suppressing effect in long-term storage are sufficiently expected, and preferably 0.03 to 0.8 % By weight, more preferably 0.05 to 0.4% by weight, still more preferably 0.1 to 0.2% by weight.
- the oral care composition of the present invention is a general oral cavity within the range that does not impair the effects of the present invention and the retention and sustained release properties of the present invention. It may contain general additives used in care compositions and foods.
- the content of xylitol is, for example, 0.02% by weight or more, the improvement of the effect of the present invention is sufficiently expected, preferably 0.02 to 4% by weight, more preferably 0.3 to 4% by weight. It is 3% by weight, more preferably 0.5 to 2% by weight.
- the manufacturing method and manufacturing process of a general composition for oral care can be applied.
- the oral care composition of the present invention is preferably a tea extract (tea catechin), a thickening polysaccharide, xanthan gum, humectants, glycerin and propylene glycol, antioxidants, sodium erythorbate, preservatives , Ethyl paraben and propyl paraben, xylitol, and a fragrance.
- the oral care composition of the present invention has a predetermined viscosity, and the viscosity measured with a B-type viscometer (measurement temperature: 20 to 25 ° C., shear rate corresponding to a rotation speed of 12 rpm) is, for example, 5 to If it is 1,000 Pa ⁇ s, it is easy to adjust the retention and sustained release of an active ingredient such as catechin in the oral cavity, and therefore, preferably 10 to 500 Pa ⁇ s, more preferably 20 to 400 Pa ⁇ s, The pressure is preferably 30 to 300 Pa ⁇ s.
- composition for oral care of the present invention has a predetermined light transmittance, and preferably has a light transmittance of a wavelength of 800 nm, for example, if it is 2% or more, the appearance is good. It is 2 to 95%, more preferably 5 to 90%, still more preferably 10 to 80%.
- the oral care composition of the present invention has a predetermined form, and as a specific form, gel, liquid, foam, cream, ointment, etc. can be applied, and saliva is used in the oral cavity, A film, a tablet, or the like may be applied as long as it is dissolved in water or the like and has a predetermined viscosity.
- the oral care composition of the present invention preferably has good handling properties such as actual administration (ingestion) and application, and retention and release of active ingredients such as catechin in the oral cavity. Since it is easy to adjust the properties, it is preferably a gel, and since it can be easily used with one hand, it is more preferably a sprayable gel.
- composition for oral care of this invention may distribute
- composition for oral care of the present invention can be used as a pharmaceutical, a quasi-drug, or a cosmetic, preferably an oral cosmetic, as it is or in combination with other components.
- the oral care composition of the present invention is labeled with an indication that it is effective in treating oral complications in cancer patients, preferably cancer patients. Indices may be attached to indicate that they are effective in preventing, treating, improving, reducing and / or alleviating oral complications. And according to another aspect of the present invention, preferably the one with indication indicating that it is effective in the treatment of oral complications in a cancer patient, preferably receiving cancer treatment, preferably In addition, a sign indicating that the treatment is effective in preventing, treating, ameliorating, reducing and / or alleviating oral complications in a cancer patient may be given.
- the present invention is effective in the treatment of oral complications in cancer patients who receive at least one treatment selected from surgical therapy, radiation therapy, and chemotherapy.
- Prevention, treatment, amelioration, and / or prevention of oral complications in cancer patients who have at least one treatment selected from surgical therapy, radiation therapy, or chemotherapy, with an indication that it is present Or the display which shows that it is effective in relaxation may be attached
- the indication of the present invention is not particularly limited as long as it is given in relation to the composition for oral care, and for example, the oral care is applied to a container, packaging material or package insert containing the composition for oral care. It may be provided with a display / advertisement etc. for which the composition is effective.
- the display of the present invention is a display in which the oral care composition is effective for storage media such as flyers, brochures, pops, catalogs, posters, posters, books, DVDs, advertisements on electronic bulletin boards, the Internet, etc. -An advertisement etc. may be attached.
- the oral care composition of the present invention is a containerized oral care composition.
- the container-packed oral care composition of the present invention is a form in which an oral care composition comprising a tea extract, a thickening polysaccharide and a humectant is applied as a gel, liquid, foam, cream, ointment, etc.
- an oral care composition comprising a tea extract, a thickening polysaccharide and a humectant is applied as a gel, liquid, foam, cream, ointment, etc.
- it can be obtained by filling the oral care composition of the present invention into a container.
- the container used in the container-packed oral care composition of the present invention is not particularly limited, and for example, glass, plastic, PET bottle, paper pack, or metal (for example, aluminum, steel) may be used.
- the container-packed oral care composition is preferable because it does not come into contact with air and thus has an antioxidant function.
- the container-packed oral care composition of the present invention is 1 to 120 times, more preferably 1 to 90 times, still more preferably 1 to 80 times, still more preferably 1 to 60 times.
- a gel it is a type of 1 to 100 ml, more preferably 1 to 90 ml, still more preferably 1 to 80 ml, still more preferably 1 to 60 ml.
- the container-packed oral care composition of the present invention may be a single-use individual package.
- the oral care composition of the present invention comprises oral complications of cancer patients, preferably comprising tea extract, thickening polysaccharide and humectant as active ingredients. It may be a composition for preventing, treating, improving, reducing and / or alleviating oral mucositis.
- the composition of the present invention prevents, treats, ameliorates or reduces oral complications in cancer patients, preferably oral mucositis, receiving at least one treatment selected from surgical therapy, radiation therapy and chemotherapy.
- / or a palliative composition and more preferably, prevention, treatment, amelioration of oral complications in cancer patients, preferably oral mucositis, receiving at least one treatment selected from radiation therapy and chemotherapy, A mitigating and / or mitigating composition.
- the composition for oral care of the present invention comprises, as an active ingredient, surgical treatment, radiation therapy and cancer therapy comprising a tea extract, a thickening polysaccharide and a humectant.
- Composition for preventing, treating, ameliorating, reducing and / or alleviating oral complications as a side effect caused by at least one treatment selected from chemotherapy, preferably oral mucositis, more preferably radiation of cancer patients A composition for preventing, treating, ameliorating, reducing and / or alleviating oral complications as a side effect caused by at least one treatment selected from therapy and chemotherapy, preferably oral mucositis, more preferably for cancer patients
- Prevention of oral complications as a side effect caused by chemotherapy preferably antimetabolite administration, more preferably 5-FU administration
- preferably oral mucositis, Care, improvement, and alleviation and / or alleviating composition preferably oral mucositis, Care, improvement, and alleviation and / or alleviating composition.
- the composition for oral care of the present invention When the composition for oral care of the present invention is used, the selective antibacterial action of the composition, the action of removing oxidative stress generated in the oral mucosa of cancer patients, and the moisturizing action The patient's oral complications can be effectively prevented, treated, ameliorated, reduced and / or alleviated. And, by using the composition for oral care of the present invention, preferably, the onset of oral complications in cancer patients can be efficiently prevented, and at the same time, oral complications can be treated, improved, reduced and / or Can be relaxed.
- the oral care composition of the present invention is used to treat, ameliorate, reduce and / or reduce the oral complication of the cancer patient. At the same time, the inflammatory condition can be suppressed.
- a method for treating oral complications comprising administering the oral care composition of the present invention to a cancer patient, preventing oral complications, Treatment, amelioration, alleviation and / or alleviation methods are provided.
- a method for treating oral complications preferably comprising administering to a cancer patient, receiving treatment for cancer, Methods of prevention, treatment, amelioration, reduction and / or alleviation are provided.
- the oral cavity comprising administering to a cancer patient who receives at least one treatment selected from surgical therapy, radiation therapy, and chemotherapy.
- the oral care composition of the present invention is applied to cancer patients before cancer treatment is performed.
- a method of administering to a cancer patient more preferably a method of administering the oral care composition of the present invention to a cancer patient before cancer chemotherapy or radiation therapy is performed on the cancer patient. It is.
- the method for treating oral complications according to the present invention preferably excludes medical practice for humans.
- the medical practice for humans means an act of taking (administering) pharmaceuticals to humans, which requires prescription by a doctor or the like.
- the treatment method of the present invention can be performed according to the contents described in the present specification for the oral care composition of the present invention.
- oral care composition of the present invention a wide range of administration (ingestion) methods such as oral administration such as eating and drinking, topical administration such as application to the oral cavity, and toothpaste, depending on the use state and use scene.
- oral administration such as eating and drinking
- topical administration such as application to the oral cavity
- toothpaste depending on the use state and use scene.
- oral care composition of the present invention is orally administered by eating or drinking, as an effective dose for preventing, treating, improving, reducing and / or alleviating oral complications of cancer patients, Based on catechin, it is preferably equivalent to 10 to 100 mg.
- the oral care composition of the present invention is locally administered by application to the oral cavity or the like, the administration is effective for preventing, treating, improving, reducing and / or alleviating oral complications in cancer patients.
- the catechin concentration in the oral cavity is preferably 1 to 100 ⁇ g / cm 2 per unit time (1 hour).
- catechin is used as an effective dose for preventing, treating, improving, reducing and / or alleviating oral complications in cancer patients.
- 1 g is used as a single dose, at least twice a day, preferably at least 3 times a day, more preferably at least 4 times, and even more preferably 1
- the frequency is 6 times or more per day (see Example 2 in the Examples).
- the oral care composition of the present invention applies a wide range of administration (intake) periods such as when feeling dry, feeling pain, after normal meals or before going to bed, depending on the state of use and scene of use. be able to.
- the use of the oral care composition of the present invention for the treatment of oral complications in cancer patients, and the prevention and treatment of oral complications in cancer patients.
- the use of the oral care composition of the present invention for improvement, reduction and / or alleviation.
- the use of the oral care composition of the present invention for the treatment of oral complications in cancer patients, preferably receiving treatment for cancer.
- the use of the oral care composition of the present invention for the prevention, treatment, amelioration, reduction and / or alleviation of oral complications in cancer patients who are treated for cancer.
- the oral care composition of the present invention for the treatment of oral complications in cancer patients who receive at least one treatment selected from surgical therapy, radiation therapy, chemotherapy.
- Prevention, treatment, amelioration, and / or reduction of oral complications in cancer patients provided that the use of the oral care composition of the present invention is provided and receives at least one treatment selected from surgical therapy, radiation therapy, chemotherapy.
- Or use of the oral care composition of the present invention for relief is provided.
- the use of the oral care composition of the present invention in the manufacture of a medicament for the treatment of oral complications in cancer patients, and oral complications in cancer patients.
- the use of the oral care composition of the present invention in the manufacture of a medicament for the prevention, treatment, amelioration, alleviation and / or alleviation.
- the oral care composition of the present invention in the manufacture of a medicament for the treatment of oral complications in a cancer patient who is treated for cancer.
- an agent for the treatment of oral complications in a cancer patient that receives at least one treatment selected from surgical therapy, radiation therapy, and chemotherapy
- the use of the oral care composition of the present invention in the manufacture of an oral complication prevents or treats or improves oral complications in cancer patients who receive at least one treatment selected from surgical therapy, radiation therapy, and chemotherapy
- the use of the oral care composition of the present invention in the manufacture of a cosmetic product for the treatment of oral complications in cancer patients, and oral complications in cancer patients.
- the use of the oral care composition of the present invention in the manufacture of a cosmetic product for prevention, treatment, amelioration, alleviation and / or alleviation.
- the oral care composition of the present invention in the manufacture of a cosmetic product for the treatment of oral complications in a cancer patient who is treated for cancer.
- a cosmetic for the treatment of oral complications in a cancer patient receiving at least one treatment selected from surgical therapy, radiation therapy, and chemotherapy.
- the use of the oral care composition of the present invention in the manufacture of an oral complication prevents or treats or improves oral complications in cancer patients who receive at least one treatment selected from surgical therapy, radiation therapy, and chemotherapy.
- tea extract preferably a tea extract, an increase in the manufacture of an oral care composition for the treatment of oral complications in a cancer patient who is treated for cancer.
- an oral care composition for the prevention, treatment, amelioration, alleviation and / or alleviation of oral complications in cancer patients provided with the use of mucopolysaccharides and humectants
- Use of tea extract, thickening polysaccharides and humectants is provided.
- the oral cavity for the treatment of oral complications in cancer patients that receives at least one treatment selected from surgical therapy, radiation therapy, and chemotherapy.
- Oral mergers in cancer patients who are provided with the use of tea extract, thickening polysaccharides and humectants in the manufacture of care compositions and receive at least one treatment selected from surgical therapy, radiation therapy, chemotherapy
- Use of tea extract, thickening polysaccharides and humectants in the manufacture of an oral care composition for prevention, treatment, amelioration, alleviation and / or alleviation of diseases is provided.
- a tea extract for the treatment of oral complications in a cancer patient.
- tea extract for the prevention, treatment, amelioration, reduction and / or alleviation of oral complications.
- a tea extract, a thickening polysaccharide and a pharmaceutical in the manufacture of a medicament for the treatment of oral complications in a cancer patient who is treated for cancer Tea extract, thickening polysaccharide in the manufacture of a medicament for the prevention, treatment, amelioration, mitigation and / or alleviation of oral complications in cancer patients who are provided with the use of humectants and who are treated for cancer And the use of humectants.
- an agent for the treatment of oral complications in a cancer patient that receives at least one treatment selected from surgical therapy, radiation therapy, and chemotherapy
- Prevention of oral complications in cancer patients provided the use of tea extract, thickening polysaccharides and humectants in the manufacture of and receiving at least one treatment selected from surgical therapy, radiation therapy, chemotherapy,
- tea extract, thickening polysaccharides and humectants in the manufacture of a medicament for treatment, amelioration, alleviation and / or alleviation.
- a tea extract for the treatment of oral complications in a cancer patient, in a cancer patient.
- tea extracts for the prevention, treatment, amelioration, reduction and / or alleviation of oral complications.
- tea extract, thickening polysaccharide and in the manufacture of cosmetics for the treatment of oral complications in cancer patients who are treated for cancer Tea extract thickening polysaccharide in the manufacture of cosmetics for the prevention, treatment, amelioration, reduction and / or alleviation of oral complications in cancer patients who are provided with the use of moisturizers and who are treated for cancer And the use of humectants.
- a cosmetic for the treatment of oral complications in a cancer patient receiving at least one treatment selected from surgical therapy, radiation therapy, and chemotherapy.
- tea extract thickening polysaccharides and humectants in the manufacture of and receiving at least one treatment selected from surgical therapy, radiation therapy, chemotherapy.
- tea extracts thickening polysaccharides and humectants in the manufacture of cosmetics for treatment, improvement, reduction and / or alleviation.
- Example 1 Evaluation test of anti-ulcer effect using oral mucositis model mouse After anticancer drug was administered to mice and the function of cell groups related to immunity such as bone marrow cells was reduced, acetic acid was submucous into oral mucosa Oral mucositis model mice were prepared by an experimental system that artificially develops ulcers and the antiulcer effects of various preparations were evaluated.
- Oral sonde needle with glass syringe (capacity: 0.25 ml, needle diameter: 20G, diameter of blunt; 2.25 mm, length: 2.5 cm, curvilinear) (SouthPointe Surgical Supply, CoralsSprings, FL , USA Co., Ltd.), 30 mg each of the oral care composition of the present invention or a commercially available moisturizing agent in the oral mucosa of an oral mucositis model mouse under non-anaesthesia twice a day (at 10 o'clock and 18 o'clock) Administration). At this time, there were 6 mice in each group (oral mucositis model mice administered with various preparations). In addition, in order to evaluate the preventive effect of the onset of ulcers, application of various preparations was started 7 days before the first anticancer drug administration (day 7 of the study). Continued until day 16 after administration.
- the ulcer area developed in the oral cavity of each group of mice was determined at predetermined intervals from the day after the administration day of the acetic acid solution (20%) (study day 6) (measurement date: tests 6, 8, and 11). , 13, 16).
- the major axis and minor axis were measured with a ruler to determine the ulcer area.
- the ulcer area was also determined in mice not receiving various preparations (untreated group).
- the average value (average ulcer area) of the ulcer area of each group and the untreated group was calculated, and the average ulcer area of each group and the untreated group was compared to evaluate the anti-ulcer effect. Specifically, in the ulcer onset period (days 6 to 11 of the study), the ulcer onset suppression effect (ulcer prevention effect) was evaluated, and in the ulcer repair stage (day 12 to 16 of the study) The effect of promoting (treatment effect of ulcer) was evaluated. Each result is shown in FIG. 1 and FIG.
- the average ulcer area of the administration group of the oral care composition of the present invention was smaller than the average ulcer area of the untreated group. That is, it was confirmed that the composition for oral care of the present invention has an effect of suppressing the onset of ulcer (preventive effect of ulcer). This is because, when the oral care composition of the present invention is applied to the oral cavity before administration of the anticancer agent, antibacterial effects such as oral bacteria on the oral mucosa are caused by the anti-bacterial active ingredient catechin. It is presumed that both functions of the removal effect of “active oxygen derived from cancer drugs” were exerted, and the onset of ulcer due to acetic acid was suppressed.
- the average ulcer area of the group administered with the commercial moisturizer was larger than the average ulcer area of the untreated group. That is, it was confirmed that the commercially available moisturizing agent has no ulcer onset suppression effect (ulcer prevention effect) and rather has an ulcer onset promotion effect. This is because when a commercially available moisturizer is applied to the oral cavity before the administration of the anticancer agent, the moisturizing component (humectant) causes oral bacteria on the oral mucosa and other "active oxygen derived from the anticancer agent" It is inferred that the retention action was exerted and promoted damage to the oral mucosa.
- the average ulcer area of the oral care composition administration group and the commercial moisturizing agent administration group of the present invention was smaller than that of the untreated group. That is, it was confirmed that the composition for oral care and the commercially available moisturizing agent of the present invention have an ulcer repair promoting effect (ulcer treatment effect).
- the ulcer onset period, the ulcer repair period, and the ulcer state (the degree of ulcer) of all the combined periods are indicated by the product of the ulcer area and the number of measurement days, that is, AUC (area under the curve).
- AUC area under the curve
- the AUC of the oral care composition administration group of the present invention was smaller in the ulcer onset period, the ulcer repair period, and the entire period than in the untreated group AUC.
- the AUC of the commercial moisturizer group was larger than the AUC of the untreated group, and the AUC of the commercial moisturizer group was smaller than the AUC of the untreated group in the ulcer repair period and the whole period. It was.
- Example 2 Evaluation test of sustained release The sustained release of the oral care composition (Aurora Coat, Meiji Co., Ltd.) of the present invention was confirmed.
- the sustained release property was evaluated by the following procedure.
- the oral care composition was filled in 3 ml each in a 12-well plate (Falcon), and then filled in 3 ml PBS (multilayer treatment). After collecting the whole amount of the supernatant (PBS) every 2 hours after the stratification treatment (2, 4, 6, 8, 10, 12 hours after the stratification treatment) and after collecting the whole amount of the supernatant, Then, 3 ml of fresh PBS was filled (layered treatment).
- PBS supernatant
- the catechin release concentration per unit time (1 hour) of the oral care composition of the present invention was 27.1 ⁇ g / cm 2 / h on average in 2 hours after the multi-layer treatment.
- the catechin release concentration per unit time (1 hour) of the oral care composition of the present invention was 2.5 ⁇ g / cm 2 / h on average in 12 hours (integration) after the multi-layer treatment. .
- the composition for oral care of the present invention even if the catechin is a small amount (low concentration), since the catechin is gradually released over a long period of time, the antibacterial effect is effectively exhibited, It is useful in that irritation and bitterness caused by catechin are suppressed, and it can be continued comfortably.
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Abstract
The present invention relates to an oral care composition that prevents complications in the oral cavity and, at the same time, treats, ameliorates, relieves and/or alleviates inflammation (symptoms) in the oral cavity while improving QOL of cancer patients during treatment. More specifically, the present invention relates to an oral care composition for cancer patients, said composition comprising a tea extract, a thickening polysaccharide and a humectant.
Description
本特許出願は、先に出願された日本国特許出願である特願2015-125011(出願日:2015年6月22日)に基づく優先権の主張を伴うものである。この先の特許出願における全開示内容は、引用することにより本願発明の開示の一部とされる。
This patent application is accompanied by a claim of priority based on Japanese Patent Application No. 2015-125011 (filing date: June 22, 2015), which was a previously filed Japanese patent application. The entire disclosure of this earlier patent application is incorporated herein by reference.
技術分野
本発明は、がん患者のための口腔ケア用組成物に関する。 TECHNICAL FIELD The present invention relates to an oral care composition for cancer patients.
本発明は、がん患者のための口腔ケア用組成物に関する。 TECHNICAL FIELD The present invention relates to an oral care composition for cancer patients.
背景技術
日本では生涯において、男性の2人に1人、女性の3人に1人が、がんに罹患する。がんの治療は、がんに侵された臓器や、がんの病期によって異なるが、主に手術療法、放射線療法および化学療法の3つがあり、他に特殊な腫瘍に対する内分泌療法、免疫療法などが知られている。がんの治療では、複数の治療方法を組み合わせることもあり、例えば手術療法を中心に、手術の前後に化学療法または放射線療法を併用することもある。 BACKGROUND ART In Japan, one in two men and one in three women suffer from cancer during their lifetime. Cancer treatment varies depending on the organ affected by the cancer and the stage of the cancer, but there are mainly three types of surgery, radiation therapy and chemotherapy. In addition, endocrine therapy and immunotherapy for special tumors. Etc. are known. In the treatment of cancer, a plurality of treatment methods may be combined, for example, with a focus on surgical therapy, and chemotherapy or radiation therapy may be combined before and after surgery.
日本では生涯において、男性の2人に1人、女性の3人に1人が、がんに罹患する。がんの治療は、がんに侵された臓器や、がんの病期によって異なるが、主に手術療法、放射線療法および化学療法の3つがあり、他に特殊な腫瘍に対する内分泌療法、免疫療法などが知られている。がんの治療では、複数の治療方法を組み合わせることもあり、例えば手術療法を中心に、手術の前後に化学療法または放射線療法を併用することもある。 BACKGROUND ART In Japan, one in two men and one in three women suffer from cancer during their lifetime. Cancer treatment varies depending on the organ affected by the cancer and the stage of the cancer, but there are mainly three types of surgery, radiation therapy and chemotherapy. In addition, endocrine therapy and immunotherapy for special tumors. Etc. are known. In the treatment of cancer, a plurality of treatment methods may be combined, for example, with a focus on surgical therapy, and chemotherapy or radiation therapy may be combined before and after surgery.
がんに罹患すると、がんの進行に伴い、嘔気、食欲低下、貧血、骨髄抑制などが引き起こされ、これに伴って、口腔内の感染症(歯性感染症、口腔カンジダ症、ヘルペス症など)や口腔粘膜炎が発生する。また、がんの治療の副作用として、手術療法、放射線療法および化学療法のいずれでも、口腔に有害事象(口腔粘膜炎、口腔感染症、口腔乾燥など)が発生し、特に、治療患者の約50%において口腔粘膜炎が発症することが知られている。そのため、日本のみならず世界各国において、がん患者の口腔粘膜炎を含む口腔合併症の治療剤や予防剤の開発に取り組んでいる(非特許文献1)。
When cancer is affected, nausea, decreased appetite, anemia, bone marrow suppression, etc. are caused as the cancer progresses, and this is accompanied by infections in the oral cavity (dental infections, oral candidiasis, herpes, etc.) ) And oral mucositis. In addition, as a side effect of cancer treatment, adverse events (oral mucositis, oral infection, dry mouth, etc.) occur in the oral cavity in any of surgical treatment, radiation therapy, and chemotherapy. % Is known to develop oral mucositis. Therefore, not only in Japan but also in other countries around the world, we are working on the development of therapeutic agents and preventive agents for oral complications including oral mucositis in cancer patients (Non-patent Document 1).
しかしながら、がん患者の口腔合併症、特に口腔粘膜炎に有効な薬剤の開発は十分に進行しておらず、実際に発症した口腔粘膜炎による疼痛への局所麻酔剤の投与や口腔粘膜炎への抗炎症剤の投与、あるいは口腔保湿剤の使用および含嗽(うがい)を組み合わせた口腔ケアなどの対処療法に頼っているのが現状である。
However, the development of effective drugs for oral complications in cancer patients, especially oral mucositis, has not progressed sufficiently, leading to the administration of local anesthetics to oral mucositis that actually developed and oral mucositis. The present situation depends on coping therapy such as oral care combined with the administration of anti-inflammatory agents or the use of oral moisturizers and gargle.
口腔保湿剤では、抗菌物質を配合する保湿剤と、抗菌物質を配合しない保湿剤の2種類が用いられている。これらの口腔保湿剤では、口腔粘膜炎と同時に発生する口腔乾燥および口腔感染症の予防に効果を発揮する一方、がん患者を対象とすると、かえって、口腔環境を悪化させ、重度の口腔内膜炎を引き起こす可能性が懸念されている。
Two types of oral moisturizers are used: moisturizers that contain antibacterial substances and moisturizers that do not contain antibacterial substances. These oral moisturizers are effective in preventing dry mouth and oral infections that occur at the same time as oral mucositis. On the other hand, when targeting cancer patients, the oral environment deteriorates and severe oral intima There is concern about the possibility of causing a flame.
また、含嗽では、口腔内を清潔に保持する時間が短く、効果的な口腔ケアのためには、2~3時間に一度という頻回で実践する必要があるため、患者に煩雑さと過度の負担を強いるものである。近年、カテキンの抗菌作用に着目し、カテキン水溶液を用いた含嗽により、がん患者の口内炎を予防することが検討されている(非特許文献2)。しかしながら、茶カテキンを用いて抗菌作用および予防効果を発揮するためには、通常の茶飲料に含まれているカテキン濃度(0.8mg/ml)よりも高濃度(1.5mg/ml)のカテキン水溶液を用いる必要がある。そのため、高濃度カテキン水溶液を用いた含嗽による口内炎予防療法では、実際に含嗽する時に、苦味・渋味など味覚の刺激が強すぎたり、その味覚が刺激となって痛みを伴うなど、患者のQOL(Quality of Life)の観点から好ましいものとは言い難い。また、嚥下障害のある患者には、実際に含嗽することが困難であるため、カテキン水溶液を用いた含嗽などを適用できない。さらに、茶カテキン水溶液では、溶存酸素濃度の増加によって容易に酸化されうるので、それを用時調製する必要がある。
In addition, in gout, the time for keeping the oral cavity clean is short, and effective oral care requires practice once every 2 to 3 hours. It is a thing to force. In recent years, focusing on the antibacterial action of catechins, it has been studied to prevent stomatitis in cancer patients by gargle using an aqueous catechin solution (Non-patent Document 2). However, in order to exert antibacterial and preventive effects using tea catechins, catechins having a higher concentration (1.5 mg / ml) than catechin concentrations (0.8 mg / ml) contained in normal tea beverages It is necessary to use an aqueous solution. Therefore, in the prevention of stomatitis by gargle using high concentration catechin aqueous solution, when actually garnishing, the taste stimulation such as bitter taste and astringency is too strong, and the taste is stimulated and accompanied by pain, etc. It is hard to say from the viewpoint of (Quality 好 ま し い of Life). Moreover, since it is difficult to actually gargle a patient with dysphagia, gargle using an aqueous catechin solution cannot be applied. Furthermore, since the tea catechin aqueous solution can be easily oxidized by increasing the dissolved oxygen concentration, it must be prepared at the time of use.
一方、これまでに、本発明者らは、歯周病菌、う蝕原因菌、日和見感染症原因菌の少なくとも一種には抗菌活性を示すが、口腔内常在菌には抗菌活性を示さない、カテキンを含有し、保湿作用物質であるキサンタンガムによりジェル化されている、口腔ケア用組成物を開発している(特許文献1)。しかしながら、この口腔ケア用組成物は、口腔常在菌叢調整のために用いられており、特許文献1では、がん患者の口腔合併症、特に、がん治療患者の口腔粘膜炎への使用については何ら開示されていない。
On the other hand, the present inventors have shown antibacterial activity to at least one of periodontal disease bacteria, caries-causing bacteria, and opportunistic infection-causing bacteria, but do not show antibacterial activity to oral resident bacteria, An oral care composition containing catechin and gelled with xanthan gum, which is a moisturizing agent, has been developed (Patent Document 1). However, this composition for oral care is used for the adjustment of the normal oral flora, and in Patent Document 1, it is used for oral complications in cancer patients, particularly oral mucositis in cancer treated patients. There is no disclosure about.
このように、発明者らが知る限り、がんの治療患者におけるQOLを改善しながら、口腔合併症の発症を予防できると共に、口腔内の炎症(症状)を治療、改善、軽減および/または緩和できる口腔ケア用組成物は知られていなかった。
Thus, as far as the inventors know, it is possible to prevent the development of oral complications while improving QOL in cancer patients, and to treat, improve, reduce and / or alleviate inflammation (symptoms) in the oral cavity. No known oral care composition has been known.
本発明者らは今般、茶抽出物、増粘多糖類および保湿剤を含んでなる口腔ケア用組成物を用いることで、がんの治療患者の口腔内の状態を再現している口腔粘膜炎モデルマウスにおいて、潰瘍発症期の潰瘍発症を抑制し、かつ、潰瘍修復期の潰瘍修復を促進することに成功した。すなわち、本発明の口腔ケア用組成物を用いることで、口腔合併症の発症を予防できると共に、口腔合併症の炎症を軽減できることを見出した。本発明は、これらの知見に基づくものである。
The present inventors have now used oral care compositions comprising tea extract, thickening polysaccharides and humectants to reproduce oral mucositis in the oral cavity of cancer patients. In model mice, the present inventors succeeded in suppressing ulcer onset during ulcer onset and promoting ulcer repair during ulcer repair. That is, it has been found that by using the composition for oral care of the present invention, the onset of oral complications can be prevented and inflammation of oral complications can be reduced. The present invention is based on these findings.
すなわち、本発明は、がんの治療患者におけるQOLを改善しながら、口腔合併症の発症を予防すると共に、口腔内の炎症(症状)を治療、改善、軽減および/または緩和する、口腔ケア用組成物を提供することをその目的とする。
That is, the present invention is for oral care for preventing the onset of oral complications and treating, improving, reducing and / or alleviating oral inflammation (symptoms) while improving QOL in cancer treated patients. It is an object to provide a composition.
本発明によれば、以下の発明が提供される。
(1)茶抽出物、増粘多糖類および保湿剤を含んでなる、がん患者のための口腔ケア用組成物。
(2)手術療法、放射線療法および化学療法から選択される少なくとも一つの治療を受ける、がん患者の口腔合併症を予防、治療、改善、軽減および/または緩和するための、上記(1)に記載の口腔ケア用組成物。
(3)口腔合併症が、放射線療法または化学療法によって生じたものである、上記(2)に記載の口腔ケア用組成物。
(4)口腔合併症が、口腔粘膜炎である、上記(2)または(3)に記載の口腔ケア用組成物。
(5)放射線治療または化学療法を実施する前から、単位時間あたり口腔内の茶カテキン濃度が1~100μg/cm2となるように投与される、上記(3)または(4)に記載の口腔ケア用組成物。
(6)口腔ケア用組成物に対する茶抽出物に含まれるカテキンの濃度が0.05~1重量%である、上記(1)~(5)のいずれかに記載の口腔ケア用組成物。
(7)増粘多糖類が、キサンタンガムである、上記(1)~(6)のいずれかに記載の口腔ケア用組成物。
(8)保湿剤が、グリセリンまたはプロピレングリコールである、上記(1)~(7)のいずれかに記載の口腔ケア用組成物。
(9)ジェル、液体、クリームまたは軟膏の形態である、上記(1)~(8)のいずれかに記載の口腔ケア組成物。 According to the present invention, the following inventions are provided.
(1) A composition for oral care for cancer patients, comprising a tea extract, a thickening polysaccharide and a humectant.
(2) In the above (1) for preventing, treating, ameliorating, reducing and / or alleviating oral complications of cancer patients who receive at least one treatment selected from surgical therapy, radiation therapy and chemotherapy The composition for oral care as described.
(3) The composition for oral care according to (2) above, wherein the oral complication is caused by radiation therapy or chemotherapy.
(4) The composition for oral care according to (2) or (3) above, wherein the oral complication is oral mucositis.
(5) The oral cavity according to the above (3) or (4), which is administered so that the concentration of tea catechin in the oral cavity is 1 to 100 μg / cm 2 per unit time before radiation therapy or chemotherapy is performed. Care composition.
(6) The oral care composition according to any one of (1) to (5) above, wherein the concentration of catechin contained in the tea extract relative to the oral care composition is 0.05 to 1% by weight.
(7) The composition for oral care according to any one of (1) to (6) above, wherein the thickening polysaccharide is xanthan gum.
(8) The composition for oral care according to any one of (1) to (7) above, wherein the humectant is glycerin or propylene glycol.
(9) The oral care composition according to any one of (1) to (8) above, which is in the form of a gel, liquid, cream or ointment.
(1)茶抽出物、増粘多糖類および保湿剤を含んでなる、がん患者のための口腔ケア用組成物。
(2)手術療法、放射線療法および化学療法から選択される少なくとも一つの治療を受ける、がん患者の口腔合併症を予防、治療、改善、軽減および/または緩和するための、上記(1)に記載の口腔ケア用組成物。
(3)口腔合併症が、放射線療法または化学療法によって生じたものである、上記(2)に記載の口腔ケア用組成物。
(4)口腔合併症が、口腔粘膜炎である、上記(2)または(3)に記載の口腔ケア用組成物。
(5)放射線治療または化学療法を実施する前から、単位時間あたり口腔内の茶カテキン濃度が1~100μg/cm2となるように投与される、上記(3)または(4)に記載の口腔ケア用組成物。
(6)口腔ケア用組成物に対する茶抽出物に含まれるカテキンの濃度が0.05~1重量%である、上記(1)~(5)のいずれかに記載の口腔ケア用組成物。
(7)増粘多糖類が、キサンタンガムである、上記(1)~(6)のいずれかに記載の口腔ケア用組成物。
(8)保湿剤が、グリセリンまたはプロピレングリコールである、上記(1)~(7)のいずれかに記載の口腔ケア用組成物。
(9)ジェル、液体、クリームまたは軟膏の形態である、上記(1)~(8)のいずれかに記載の口腔ケア組成物。 According to the present invention, the following inventions are provided.
(1) A composition for oral care for cancer patients, comprising a tea extract, a thickening polysaccharide and a humectant.
(2) In the above (1) for preventing, treating, ameliorating, reducing and / or alleviating oral complications of cancer patients who receive at least one treatment selected from surgical therapy, radiation therapy and chemotherapy The composition for oral care as described.
(3) The composition for oral care according to (2) above, wherein the oral complication is caused by radiation therapy or chemotherapy.
(4) The composition for oral care according to (2) or (3) above, wherein the oral complication is oral mucositis.
(5) The oral cavity according to the above (3) or (4), which is administered so that the concentration of tea catechin in the oral cavity is 1 to 100 μg / cm 2 per unit time before radiation therapy or chemotherapy is performed. Care composition.
(6) The oral care composition according to any one of (1) to (5) above, wherein the concentration of catechin contained in the tea extract relative to the oral care composition is 0.05 to 1% by weight.
(7) The composition for oral care according to any one of (1) to (6) above, wherein the thickening polysaccharide is xanthan gum.
(8) The composition for oral care according to any one of (1) to (7) above, wherein the humectant is glycerin or propylene glycol.
(9) The oral care composition according to any one of (1) to (8) above, which is in the form of a gel, liquid, cream or ointment.
本発明の口腔ケア用組成物は、口腔内の茶カテキン濃度を長時間で保持することができ、口腔合併症の発症を予防することができると共に、口腔合併症の炎症(症状)を治療、改善、軽減および/または緩和することができる。また、本発明の口腔ケア用組成物は、増粘多糖類を含むことで、局所的に摂取(投与)することができるため、摂取(投与)時のカテキンによる味覚への刺激を抑制することができ、また、摂取(投与)部分に長時間で滞留させることができる。したがって、本発明の口腔ケア用組成物は、実際の摂取(投与)回数を少なくしながら、がんの治療患者におけるQOLを改善することができる点で有利である。
The composition for oral care of the present invention can maintain the tea catechin concentration in the oral cavity for a long time, can prevent the onset of oral complications, and treat inflammation (symptoms) of oral complications, Can be improved, reduced and / or alleviated. Moreover, since the composition for oral care of this invention contains a thickening polysaccharide and can be ingested (administered) locally, it suppresses the irritation | stimulation to the taste by catechin at the time of ingestion (administration). It can also be retained in the ingestion (administration) part for a long time. Therefore, the oral care composition of the present invention is advantageous in that it can improve QOL in cancer treated patients while reducing the actual number of times of administration (administration).
口腔ケア用組成物
本発明の口腔ケア用組成物は、有効成分として、茶抽出物、増粘多糖類および保湿剤を含んでなり、がん患者に使用(投与)されるものである。本発明の口腔ケア用組成物は、口腔常在菌叢を調整できる選択的な抗菌作用、化学療法または放射線療法によって生じるフリーラジカルが与える、がん患者の口腔粘膜に生じる酸化ストレス(活性酸素)の除去作用、および保湿作用を有するため、がん患者の口腔合併症を効率的に予防、治療、改善、軽減および/または緩和することができる。 Oral Care Composition The oral care composition of the present invention comprises a tea extract, a thickening polysaccharide and a humectant as active ingredients, and is used (administered) to cancer patients. The composition for oral care of the present invention is a selective antibacterial action capable of adjusting the normal microbial flora, oxidative stress (reactive oxygen) generated in the oral mucosa of cancer patients given by free radicals generated by chemotherapy or radiotherapy Therefore, oral complications of cancer patients can be efficiently prevented, treated, improved, reduced and / or alleviated.
本発明の口腔ケア用組成物は、有効成分として、茶抽出物、増粘多糖類および保湿剤を含んでなり、がん患者に使用(投与)されるものである。本発明の口腔ケア用組成物は、口腔常在菌叢を調整できる選択的な抗菌作用、化学療法または放射線療法によって生じるフリーラジカルが与える、がん患者の口腔粘膜に生じる酸化ストレス(活性酸素)の除去作用、および保湿作用を有するため、がん患者の口腔合併症を効率的に予防、治療、改善、軽減および/または緩和することができる。 Oral Care Composition The oral care composition of the present invention comprises a tea extract, a thickening polysaccharide and a humectant as active ingredients, and is used (administered) to cancer patients. The composition for oral care of the present invention is a selective antibacterial action capable of adjusting the normal microbial flora, oxidative stress (reactive oxygen) generated in the oral mucosa of cancer patients given by free radicals generated by chemotherapy or radiotherapy Therefore, oral complications of cancer patients can be efficiently prevented, treated, improved, reduced and / or alleviated.
本発明において「がん患者」とは、がんに罹患している患者を意味する。そして、本発明において「がん」には、癌(癌腫)、肉腫および白血病・悪性リンパ腫などが含まれ、これは、悪性腫瘍または悪性新生物ともよばれる。
In the present invention, “cancer patient” means a patient suffering from cancer. In the present invention, “cancer” includes cancer (carcinoma), sarcoma, leukemia / malignant lymphoma, and the like, which are also called malignant tumors or malignant neoplasms.
本発明において「がん患者」とは、好ましくは、がんの治療を受ける、がん患者であり、より好ましくは、手術療法、放射線療法および化学療法から選択される少なくとも一つの治療を受ける、がん患者であり、さらに好ましくは、放射線療法および化学療法から選択される少なくとも一つの治療を受ける、がん患者である。
In the present invention, the “cancer patient” is preferably a cancer patient who receives treatment for cancer, more preferably at least one treatment selected from surgical therapy, radiation therapy and chemotherapy, A cancer patient, more preferably a cancer patient who receives at least one treatment selected from radiation therapy and chemotherapy.
「手術療法」とは、口腔・頭頸部領域のみならず、上部消化管、呼吸器に発生した、がんに対する外科的手術を示す。一般的に、口腔を含めた頭頸部の手術を受けた患者では、咀嚼や嚥下機能に関連する組織に欠損を生じ、上部消化管、呼吸器の手術を受けた患者では、非経口で栄養を摂取することで、口腔内の感染症や口腔粘膜炎が生じやすい。
“Surgery” refers to a surgical operation for cancer occurring in the upper gastrointestinal tract and respiratory organs as well as in the oral cavity, head and neck region. In general, patients who have undergone head and neck surgery, including the oral cavity, have defects in tissues related to mastication and swallowing functions, and those who have undergone upper gastrointestinal and respiratory surgery are fed parentally. Ingestion tends to cause infections in the oral cavity and oral mucositis.
「放射線療法」とは、がん細胞に対して放射線を照射する局所的療法を示す。放射線療法では、がん細胞のみならず、その周囲の正常な細胞にも影響を与える。一般的に、放射線療法では、口腔・頭頸部領域が照射野に入る場合、口腔内に必ず有害反応(口腔有害事象)が発症し、主に、活性酸素による口腔粘膜炎を発症すると共に、不可逆的な唾液腺の萎縮による重大な口腔乾燥を発生させる。
"Radiotherapy" refers to local therapy that irradiates cancer cells with radiation. Radiation therapy affects not only cancer cells but also normal cells around them. Generally, in radiation therapy, when the oral cavity, head and neck region enters the radiation field, an adverse reaction (oral adverse event) always occurs in the oral cavity, and mainly oral mucositis due to active oxygen occurs and is irreversible. Severe dry mouth due to atrophy of the salivary glands.
頭頸部がんの放射線療法では、例えば約2Gy(グレイ)を週5回で、6~7週間かけて外照射し、照射量60~70Gyとなるように行われ、手術や化学療法と併用されることが多い。照射量が10Gy以上(1週目以降)となると、唾液の粘稠化がみられることが多く、照射量が20Gy以上(2週目以降)となると、口腔粘膜が赤みを帯び、一部の粘膜にはがれ潰瘍がみられ、かつ、味覚の変化がみられることが多く、照射量が30Gy以上(3週目以降)になると、潰瘍の形成がすすみ、かつ、唾液の分泌量が低下することが多く、照射量が50Gy以上(5週目以降)となると、潰瘍の形成がさらに進み、かつ、食物の摂取が困難になることが多く、照射量が60Gy以上(6週目以降)になると、重度の口腔粘膜炎の症状となり、照射終了時には、口腔粘膜炎および口腔乾燥のピークを迎えることが多い。口腔粘膜炎の症状は1~2月で治まることが多い。
In radiation therapy for head and neck cancer, for example, about 2 Gy (gray) is applied 5 times a week for 6 to 7 weeks to achieve an irradiation dose of 60 to 70 Gy, which is used in combination with surgery and chemotherapy. Often. When the irradiation dose is 10 Gy or more (after the first week), saliva thickening is often observed, and when the irradiation dose is 20 Gy or more (after the second week), the oral mucosa is reddish, and some Mucous membranes have peeling ulcers, and taste changes are often seen. When the irradiation dose is 30 Gy or more (after 3 weeks), ulcer formation is promoted and the amount of saliva secretion decreases. When the irradiation dose is 50 Gy or more (after the 5th week), the formation of ulcers further progresses and the intake of food is often difficult, and when the irradiation dose is 60 Gy or more (after the 6th week) It becomes a symptom of severe oral mucositis and often reaches the peak of oral mucositis and dry mouth at the end of irradiation. Symptoms of oral mucositis often go away in 1 to 2 months.
「化学療法」とは、がん細胞の増殖を抑え、がん細胞を破壊するための抗がん剤の投与療法を示す。そして、抗がん剤として、例えば代謝拮抗剤、アルキル化剤、抗がん性抗生物質、微小管作用薬、白金製剤(プラチナ系製剤)、トポイソメラーゼ阻害剤、タキサン系製剤、分子標的薬が挙げられる。口腔粘膜炎の発症頻度の高い抗がん剤として、代謝拮抗剤では、例えば5-FU、メトトレキサート、TS-1、カペシタビン、シタラビン、ゲムシタビン、ヒドロキシウレア、アルキル化剤では、例えばブスルファン、メルファラン、シクロフォスファミド、抗がん性抗生物質では、例えばブレオマイシン、ダウノルビシン、ドキソルビシン、アクチノマイシンD、微小管作用薬、白金製剤(プラチナ系製剤)では、例えばシスプラチン、カルボプラチン、トポイソメラーゼ阻害剤では、例えばイリノテカン、エトポシド、タキサン系製剤では、例えばパクリタキセル、ドセタキセル、分子標的薬では、例えばエベロリムス、テムシロリムスが挙げられる。一般的に、化学療法では、がん細胞だけでなく、活発に増殖している正常な細胞、特に、骨髄細胞などの免疫力と関連する細胞群の機能を低下させることが多く、口腔感染症を生じやすい。また、化学療法では、抗がん剤により、口腔粘膜に活性酸素が発生し、活性酸素による口腔粘膜炎も発症しやすい。
“Chemotherapy” refers to the administration of anticancer drugs to suppress cancer cell growth and destroy cancer cells. Examples of anticancer agents include antimetabolites, alkylating agents, anticancer antibiotics, microtubule agonists, platinum preparations (platinum preparations), topoisomerase inhibitors, taxane preparations, and molecular target drugs. It is done. As anticancer agents with high incidence of oral mucositis, antimetabolites such as 5-FU, methotrexate, TS-1, capecitabine, cytarabine, gemcitabine, hydroxyurea, alkylating agents such as busulfan, melphalan, For cyclophosphamide, anticancer antibiotics, for example, bleomycin, daunorubicin, doxorubicin, actinomycin D, microtubule agonists, platinum preparations (platinum preparations), for example cisplatin, carboplatin, topoisomerase inhibitors, for example irinotecan Examples of etoposide and taxane preparations include paclitaxel and docetaxel, and examples of molecular targeted drugs include everolimus and temsirolimus. In general, chemotherapy often reduces the function of not only cancer cells but also normal cells that are actively proliferating, especially bone marrow cells and other cell groups related to immunity. It is easy to produce. In addition, in chemotherapy, active oxygen is generated in the oral mucosa by an anticancer agent, and oral mucositis due to active oxygen is likely to occur.
本発明の口腔ケア用組成物は、好ましくは、がんの治療を受ける、がん患者の口腔合併症を予防、治療、改善、軽減および/または緩和するために用いられ、より好ましくは、手術療法、放射線療法および化学療法から選択される少なくとも一つの治療を受ける、がん患者の口腔合併症を予防、治療、改善、軽減および/または緩和するために用いられ、さらに好ましくは、放射線療法および化学療法から選択される少なくとも一つの治療を受ける、がん患者の口腔合併症を予防、治療、改善、軽減および/または緩和するために用いられる。ここで、予防とは、口腔合併症の発症を未然に防ぐことや、口腔合併症の発症の程度を軽度に抑えることを意味し、具体的には、あらかじめ口腔合併症の発症機序に作用し、かかる疾患の発症を防ぐことや、あらかじめ口腔合併症の病変部に正常時または寛解時を上回る機能を獲得させ、疾患の発症後に引き起こされる病変部の生理学的な損傷を軽減することなどを意味する。
The oral care composition of the present invention is preferably used to prevent, treat, ameliorate, reduce and / or alleviate oral complications in cancer patients who are treated for cancer, more preferably surgery. Used to prevent, treat, ameliorate, reduce and / or alleviate oral complications in cancer patients who receive at least one treatment selected from therapy, radiation therapy and chemotherapy, more preferably radiation therapy and It is used to prevent, treat, ameliorate, reduce and / or alleviate oral complications in cancer patients who receive at least one treatment selected from chemotherapy. Here, prevention means preventing the onset of oral complications and mildly suppressing the onset of oral complications. Specifically, it acts on the pathogenesis of oral complications in advance. Prevent the onset of such diseases, acquire the function of oral complications more than normal or remission in advance, and reduce the physiological damage of the lesions caused after the onset of the disease, etc. means.
本発明の口腔ケア用組成物では、予防、治療、改善、軽減および/または緩和される口腔合併症として、例えば口腔粘膜炎などの口腔内の炎症や虫歯、歯周病、カンジダ症などの口腔感染症、唾液腺機能不全による口腔乾燥などが挙げられ、出血や疼痛を伴うものも含まれ、好ましくは、口腔粘膜炎が挙げられる。そして、本発明において「口腔合併症」とは、これらの口腔合併症のうち、一種類の症状の単独であってもよいし、二種類以上の症状の組み合わせであってもよい。そして、本発明において「口腔合併症」とは、好ましくは、放射線療法または化学療法によって副作用として生じたものであり、より好ましくは化学療法によって生じたもの、さらに好ましくは代謝拮抗剤投与療法、特に好ましくは5-FU投与療法によって生じたものである。
In the oral care composition of the present invention, oral complications such as oral mucositis and oral cavity such as oral mucositis, dental caries, periodontal disease and candidiasis are prevented, treated, improved, reduced and / or alleviated. Infectious diseases, dry mouth due to salivary gland dysfunction, and the like, including those with bleeding and pain, preferably oral mucositis. In the present invention, the “oral complication” may be one type of symptom alone or a combination of two or more types of symptoms among these oral complications. In the present invention, “oral complications” are preferably those caused as side effects by radiation therapy or chemotherapy, more preferably those caused by chemotherapy, more preferably antimetabolite administration therapy, particularly Preferably, it is caused by 5-FU administration therapy.
「口腔粘膜炎」とは、粘膜炎、口内炎ともよばれ、粘膜に発赤や潰瘍を形成し、強い疼痛を伴う症状を示す。ここで、口腔粘膜炎は、化学療法を受ける、がん患者の40~70%、大量の抗がん剤投与および全身放射線照射を受ける、造血幹細胞移植の患者の80%、頭頸部に放射腺療法を受ける、がん患者の100%で発症するといわれている。そして、口腔粘膜炎では、痛みに伴って、食事の経口摂取が困難になることから、全身の状態が衰弱してしまい、治療の継続の意思や闘病の意欲に影響する重大な副作用が生じる。口腔粘膜炎では、放射線や抗がん剤などにより、口腔咽頭粘膜に活性酸素が発生し、活性酸素が口腔粘膜に長時間で滞留して、口腔粘膜炎が惹起される。一般的に、化学療法では、抗がん剤の投与開始から7~10日後に、口腔粘膜炎が発症する。発症から2週間程度で治まることが多いが、1月以上続く場合もある。放射線治療では、照射量が20Gy以上となると、口腔粘膜が赤みを帯び、一部の粘膜にはがれ潰瘍がみられ、照射量が30Gy以上になると、潰瘍の形成がすすみ、照射量が60Gy以上になると、重度の口腔粘膜炎の症状となり、照射終了時に口腔粘膜炎のピークを迎えることが多い。多くの場合、症状は照射終了時から1~2月後には治まる。
“Oral mucositis” is also called mucositis or stomatitis, and forms symptoms such as redness and ulceration in the mucous membrane and is accompanied by intense pain. Here, oral mucositis is 40-70% of cancer patients who receive chemotherapy, 80% of patients with hematopoietic stem cell transplantation who receive large doses of anticancer drugs and whole body irradiation, radiation glands in the head and neck It is said to occur in 100% of cancer patients receiving therapy. In oral mucositis, since it is difficult to take a meal orally with pain, the state of the whole body is weakened, resulting in serious side effects that affect the willingness to continue treatment and the willingness to fight. In oral mucositis, active oxygen is generated in the oropharyngeal mucosa due to radiation, an anticancer agent, etc., and active oxygen stays in the oral mucosa for a long time to cause oral mucositis. Generally, in chemotherapy, oral mucositis develops 7 to 10 days after the start of administration of an anticancer drug. Often subsides in about 2 weeks after onset, but may continue for more than a month. In radiation therapy, when the irradiation dose is 20 Gy or more, the oral mucosa is reddish and some mucous membranes are peeled and ulcers are observed. When the irradiation dose is 30 Gy or more, the formation of ulcers is promoted and the irradiation dose is 60 Gy or more. Then, it becomes a symptom of severe oral mucositis and often reaches the peak of oral mucositis at the end of irradiation. In many cases, symptoms subside after 1 to 2 months from the end of irradiation.
「口腔乾燥」とは、口腔乾燥症(ドライマウス)ともよばれ、唾液分泌量の減少により、口腔内の異常な乾燥状態を伴う症状を示す。ここで、唾液分泌量の減少は、口腔内の自浄作用、口腔内の湿潤状態および口腔内の粘膜保護作用などの低下を引き起こし、他の口腔合併症の直接的・間接的な原因となる。そして、唾液腺の萎縮は、頭頸部に放射腺療法を受ける、がん患者の放射線療法によって発生し、不可逆的で治療が困難な口腔乾燥を発生させ、その結果として、口腔内の感染症や口腔粘膜炎を発症しやすい。
“Dry mouth” is also called xerostomia (dry mouth), and refers to symptoms accompanied by abnormal dryness in the oral cavity due to a decrease in salivary secretion. Here, the decrease in the amount of saliva secretion causes a decrease in the self-cleaning action in the oral cavity, the wet state in the oral cavity, the mucosal protective action in the oral cavity, and the like, which directly and indirectly cause other oral complications. And salivary gland atrophy is caused by radiation therapy of cancer patients who receive radiation therapy in the head and neck, causing irreversible and difficult to dry mouth, resulting in infections in the oral cavity and oral cavity Susceptible to mucositis.
「口腔感染症」とは、口腔内の病原性微生物が原因となる感染症を示す。ここで、病原性微生物(原因菌)として、例えばう蝕原因菌(Actinomyces naeslundii および Streptococcus mutans の少なくとも一種)、歯周病原因菌(Porphyromonas gingivalis、Aggregatibacter actinomycetemcomitans、Prevotella intermedia および Fusobacterium nucleatum の少なくとも一種)、カンジダ菌(Candida albicans)、メチシリン耐性の黄色ブドウ球菌(MRSA)などの日和見感染症の原因菌などが挙げられる。そして、口腔感染症では、免疫力の低下などの口腔内の常在菌叢のバランスが崩れると発生しやすい。
“Oral infection” refers to an infection caused by pathogenic microorganisms in the oral cavity. Here, as pathogenic microorganisms (causing bacteria), for example, caries-causing bacteria (Actinomyces naeslundii and Streptococcus mutans 少 な く と も), periodontal disease-causing bacteria (Porphyromonas gingivalis, Aggregatibacter actinomycetemcomitans, Prevotella intermedia and Fusobacterium nucleatum), Candida 菌 albicans, methicillin-resistant Staphylococcus aureus (MRSA), and other causative agents of opportunistic infections. Oral infections are likely to occur if the balance of the normal bacterial flora in the oral cavity, such as a decrease in immunity, is lost.
「茶抽出物」とは、典型的には、茶から抽出された混合物を示し、茶ポリフェノールを含んでなるものであり、好ましくは、カテキンを高濃度で含んでなるものである。本発明において「茶抽出物」とは、カテキンなどの特定のポリフェノールを精製したカテキンや合成したカテキンであってもよいし、市販の茶抽出物であってもよい。ここで、茶抽出物として、例えばサンフェノンBG-5(太陽化学社)、サンフェノンBG-3(太陽化学社)、カメリアエキス30S(太陽化学社)などが挙げられる。
The “tea extract” typically refers to a mixture extracted from tea and contains tea polyphenols, and preferably contains catechins at a high concentration. In the present invention, the “tea extract” may be a catechin obtained by purifying a specific polyphenol such as catechin, a synthesized catechin, or a commercially available tea extract. Here, examples of the tea extract include Sanphenon BG-5 (Taiyo Kagaku), Sunphenon BG-3 (Taiyo Kagaku), and Camellia Extract 30S (Taiyo Kagaku).
「カテキン」とは、エピ体、非エピ体、ヒドロキシ体、没食子酸エステル体などを含むものである。ここで、カテキンとして、例えばエピカテキン(EC)、エピガロカテキン(EGC)、エピカテキンガレート(ECg)、エピガロカテキンガレート(EGCg)、カテキン(C)、ガロカテキン(GC)、カテキンガレート(Cg)、ガロカテキン(GC)などが挙げられる。そして、本発明において「カテキン」とは、これらのカテキンのうち、一種類の単独物であってもよいし、二種類以上の組み合わせ物(混合物)であってもよいが、入手が簡便であり、かつ風味が良好であることから、好ましくは、カテキンの混合物である。
“Catechin” includes epi-forms, non-epi-forms, hydroxy forms, gallate esters, and the like. Here, as catechin, for example, epicatechin (EC), epigallocatechin (EGC), epicatechin gallate (ECg), epigallocatechin gallate (EGCg), catechin (C), gallocatechin (GC), catechin gallate (Cg) , Gallocatechin (GC) and the like. In the present invention, “catechin” may be a single kind of these catechins or a combination of two or more kinds (mixtures), but is easily available. And, since it has a good flavor, a mixture of catechins is preferable.
本発明の口腔ケア用組成物では、茶抽出物の含有量は、カテキンなどのポリフェノール由来の苦味の影響が小さく、選択的な抗菌効果および活性酸素の除去効果が発揮されれば特に限定されない。ここで、カテキンの含有量として、例えば0.05重量%以上であれば、選択的な抗菌効果および活性酸素の除去効果は十分に期待され、好ましくは0.05~1重量%、より好ましくは0.05~0.8重量%、さらに好ましくは0.05~0.6重量%、さらに好ましくは0.05~0.5重量%、特に好ましくは0.1~0.4重量%である。
In the composition for oral care of the present invention, the content of the tea extract is not particularly limited as long as the bitterness derived from polyphenols such as catechin is less affected and the selective antibacterial effect and active oxygen removal effect are exhibited. Here, if the content of catechin is 0.05% by weight or more, for example, the selective antibacterial effect and the active oxygen removal effect are sufficiently expected, preferably 0.05 to 1% by weight, more preferably 0.05 to 0.8% by weight, more preferably 0.05 to 0.6% by weight, further preferably 0.05 to 0.5% by weight, particularly preferably 0.1 to 0.4% by weight. .
「選択的な抗菌効果」とは、有効量のカテキンにより奏され、具体的には、う蝕原因菌(Actinomyces naeslundii および Streptococcus mutans の少なくとも一種)、歯周病原因菌(Porphyromonas gingivalis、Aggregatibacter actinomycetemcomitans、Prevotella intermedia および Fusobacterium nucleatum の少なくとも一種)、カンジダ菌(Candida albicans)、メチシリン耐性の黄色ブドウ球菌(MRSA)などの日和見感染症の原因菌の少なくとも一種には高い抗菌活性を示すが、口腔内の正常な常在菌叢には影響しないことを意味する。したがって、本発明の口腔ケア用組成物を使用すれば、口腔内の常在菌叢のバランスを崩すことなく、口腔内の衛生状態を常に良好に調整することができる。
“Selective antibacterial effect” refers to an effective amount of catechin, specifically, caries-causing bacteria (at least one of Actinomyces naeslundii and Streptococcus mutans 、), periodontal disease-causing bacteria (Porphyromonas gingivalis, Aggregatibacter actinomycetemcomitans, At least one of the causative bacteria of opportunistic infections such as Prevotella intermedia and Fusobacterium nucleatum, Candida albicans, and methicillin-resistant Staphylococcus aureus (MRSA), but has high antibacterial activity It means that it does not affect the normal flora. Therefore, if the composition for oral care of the present invention is used, the hygiene condition in the oral cavity can always be adjusted satisfactorily without breaking the balance of the normal bacterial flora in the oral cavity.
「活性酸素の除去効果」とは、化学療法または放射線療法に伴う、抗がん剤または放射線によって生じるフリーラジカルが与える、がん患者の口腔粘膜に生じる酸化ストレス(活性酸素)を除去または抑制することを意味する。
“Removing effect of active oxygen” means removing or suppressing oxidative stress (reactive oxygen) generated in the oral mucosa of cancer patients given by anti-cancer drugs or free radicals generated by radiation associated with chemotherapy or radiation therapy Means that.
「増粘多糖類」とは、口腔内に投与でき、特に、炎症部へ局所的に投与できると共に、口腔内の滞留性および徐放性を発揮できれば特に限定されない。ここで、増粘多糖類として、例えばキサンタンガム、寒天、アガロース、アガロペクチン、アミロペクチン、イソリケナン、ラミナラン、リケナン、グルカン、レバン、フルクタン、ガラクタン、マンナン、キシラン、アラビナン、ペントザン、アルギン酸、ペクチン酸、フコイダン、ペクチン、ローカストビーンガム、グアガム、タラガム、アラビアガムなどが挙げられる。そして、本発明において「増粘多糖類」とは、これらの増粘多糖類のうち、一種類の単独物であってもよいし、二種類以上の組み合わせ物(混合物)であってもよいが、さらに保湿作用を有することから、好ましくは、キサンタンガム、グアガムであり、さらに茶カテキンの酸化を抑制できることから、より好ましくは、キサンタンガムである。
The “thickening polysaccharide” is not particularly limited as long as it can be administered into the oral cavity, in particular, can be locally administered to the inflamed area, and can exhibit retention and sustained release in the oral cavity. Here, as the thickening polysaccharide, for example, xanthan gum, agar, agarose, agaropectin, amylopectin, isolikenan, laminaran, lichenan, glucan, levan, fructan, galactan, mannan, xylan, arabinan, pentozan, alginic acid, pectic acid, fucoidan, pectin , Locust bean gum, guar gum, tara gum, gum arabic and the like. In the present invention, the “thickening polysaccharide” may be a single type of these thickening polysaccharides or a combination (mixture) of two or more types. Further, since it has a moisturizing action, xanthan gum and guar gum are preferable, and further, oxidation of tea catechin can be suppressed, and xanthan gum is more preferable.
本発明の口腔ケア用組成物では、増粘多糖類の含有量は、口腔内においてカテキンなどの滞留性および徐放性の効果が発揮されれば特に限定されない。ここで、キサンタンガムの含有量として、例えば1重量%以上であれば、口腔内においてカテキンなどのポリフェノールの滞留性および徐放性の効果は十分に期待され、好ましくは1~8重量%、より好ましくは2~7重量%、さらに好ましくは2.5~5.5重量%である。なお、これに相当する含有量で、他の増粘多糖類を用いてもよい。
In the oral care composition of the present invention, the content of the thickening polysaccharide is not particularly limited as long as the effects of retention and sustained release such as catechin are exhibited in the oral cavity. Here, when the xanthan gum content is, for example, 1% by weight or more, the effect of retention and sustained release of polyphenols such as catechin in the oral cavity is sufficiently expected, preferably 1 to 8% by weight, more preferably Is 2 to 7% by weight, more preferably 2.5 to 5.5% by weight. In addition, you may use another thickening polysaccharide with content equivalent to this.
「保湿剤」とは、保湿作用を有する物質であれば特に限定されない。ここで、保湿剤として、例えばカラギーナン、ヒアルロン酸、グリセリン、プロピレングリコール、ポリエチレングリコール、ソルビット液、カルボキシメチルセルロースが挙げられる。そして、本発明において「保湿剤」とは、これらの保湿剤のうち、一種類の単独物であってもよいし、二種類以上の組み合わせ物(混合物)であってもよいが、口腔内の湿潤の状態を効果的に改善や維持することから、好ましくは、グリセリンおよびプロピレングリコールの混合物である。
The “humectant” is not particularly limited as long as it is a substance having a moisturizing action. Here, examples of the humectant include carrageenan, hyaluronic acid, glycerin, propylene glycol, polyethylene glycol, sorbit liquid, and carboxymethyl cellulose. In the present invention, the “humectant” may be a single type of these humectants or a combination (mixture) of two or more types. A mixture of glycerin and propylene glycol is preferable because it effectively improves and maintains the wet state.
本発明の口腔ケア用組成物では、保湿剤の含有量は、口腔内において、カテキンなどの有効成分の滞留性、徐放性および保湿性の効果が発揮されれば特に限定されない。ここで、グリセリンおよびプロピレングリコールの混合物であれば、グリセリンの含有量として、例えば5重量%以上であれば、口腔内において、カテキンなどの有効成分の滞留性、徐放性および保湿性の効果は十分に期待され、好ましくは5~40重量%、より好ましくは10~30重量%、さらに好ましくは15~25重量%であり、プロピレングリコールの含有量として、例えば1重量%以上であれば、口腔内において、カテキンなどの有効成分の滞留性、徐放性および保湿性の効果は十分に期待され、好ましくは1~25重量%、より好ましくは2.5~20重量%、さらに好ましくは5~15重量%である。なお、これに相当する含有量で、他の保湿剤を用いてもよい。
In the composition for oral care of the present invention, the content of the moisturizing agent is not particularly limited as long as the effect of retention of active ingredients such as catechin, sustained release, and moisturizing effect is exhibited in the oral cavity. Here, if it is a mixture of glycerin and propylene glycol, if the content of glycerin is, for example, 5% by weight or more, in the oral cavity, the retention of active ingredients such as catechin, sustained release and moisturizing effects are It is sufficiently expected, preferably 5 to 40% by weight, more preferably 10 to 30% by weight, still more preferably 15 to 25% by weight. Of these, the effects of retention, sustained release and moisture retention of an active ingredient such as catechin are sufficiently expected, preferably 1 to 25% by weight, more preferably 2.5 to 20% by weight, still more preferably 5 to 5%. 15% by weight. In addition, you may use another moisturizing agent with content equivalent to this.
本発明の好ましい態様によれば、本発明の口腔ケア用組成物は、カテキン、キサンタンガムおよびグリセリンおよびプロピレングリコールを含んでなり、カテキンの含有量として、0.05重量%以上、好ましくは0.05~1重量%、より好ましくは0.05~0.8重量%、さらに好ましくは0.05~0.6重量%、さらに好ましくは0.05~0.5重量%、特に好ましくは0.1~0.4重量%であり、キサンタンガムの含有量として、1重量%以上、好ましくは1~8重量%、より好ましくは2~7重量%、さらに好ましくは2.5~5.5重量%であり、グリセリンの含有量として、例えば5重量%以上、好ましくは5~40重量%、より好ましくは10~30重量%、さらに好ましくは15~25重量%であり、プロピレングリコールの含有量として、1重量%以上、好ましくは1~25重量%、より好ましくは2.5~20重量%、さらに好ましくは5~15重量%である。
According to a preferred embodiment of the present invention, the oral care composition of the present invention comprises catechin, xanthan gum, glycerin and propylene glycol, and the content of catechin is 0.05% by weight or more, preferably 0.05. To 1% by weight, more preferably 0.05 to 0.8% by weight, still more preferably 0.05 to 0.6% by weight, still more preferably 0.05 to 0.5% by weight, particularly preferably 0.1 The content of xanthan gum is 1% by weight or more, preferably 1 to 8% by weight, more preferably 2 to 7% by weight, still more preferably 2.5 to 5.5% by weight. The glycerin content is, for example, 5% by weight or more, preferably 5 to 40% by weight, more preferably 10 to 30% by weight, still more preferably 15 to 25% by weight. The content of the glycol, 1% by weight or more, preferably 1 to 25 wt%, more preferably from 2.5 to 20 wt%, more preferably 5 to 15 wt%.
本発明のより好ましい態様によれば、本発明の口腔ケア用組成物は、カテキン、キサンタンガムおよびプロピレングリコールを含んでなり、カテキンの含有量として0.05~1重量%、キサンタンガムの含有量として、1~8重量%、グリセリンの含有量として5~40重量%、プロピレングリコールの含有量として1~25重量%である。本発明のさらに好ましい態様によれば、本発明の口腔ケア用組成物は、カテキン、キサンタンガムおよびプロピレングリコールを含んでなり、カテキンの含有量として0.05~1重量%、キサンタンガムの含有量として2.5~5.5重量%、グリセリンの含有量として15~25重量%、プロピレングリコールの含有量として5~15重量%である。
According to a more preferred embodiment of the present invention, the oral care composition of the present invention comprises catechin, xanthan gum and propylene glycol, the catechin content is 0.05 to 1 wt%, and the xanthan gum content is 1 to 8% by weight, glycerin content is 5 to 40% by weight, and propylene glycol content is 1 to 25% by weight. According to a further preferred embodiment of the present invention, the oral care composition of the present invention comprises catechin, xanthan gum and propylene glycol, the catechin content is 0.05 to 1% by weight, and the xanthan gum content is 2%. The glycerin content is 15 to 25% by weight, and the propylene glycol content is 5 to 15% by weight.
本発明の口腔ケア用組成物では、長期保存の観点から、好ましくは、上記の有効成分の他に、抗酸化剤、防腐剤を含んでいてもよい。
The oral care composition of the present invention may preferably contain an antioxidant and a preservative in addition to the above active ingredients from the viewpoint of long-term storage.
「抗酸化剤」とは、抗酸化作用を有する物質であれば特に限定されない。ここで、抗酸化剤として、例えばエリソルビン酸、アスコルビン酸、トコフェリン酸、酢酸トコフェロール、シクロデキストリンおよびそれらの塩または誘導体が挙げられる。そして、本発明において「抗酸化剤」とは、これらの抗酸化剤のうち、一種類の単独物であってもよいし、二種類以上の組み合わせ物(混合物)であってもよいが、長期保存の観点から、好ましくは、エリソルビン酸および/またはエリソルビン酸ナトリウムの単独物や混合物である。なお、本発明において「抗酸化剤」には、通常の食品添加用のものをそのまま用いることができる。
The “antioxidant” is not particularly limited as long as it is a substance having an antioxidant action. Here, examples of the antioxidant include erythorbic acid, ascorbic acid, tocopheric acid, tocopherol acetate, cyclodextrin, and salts or derivatives thereof. In the present invention, the “antioxidant” may be a single type of these antioxidants or a combination (mixture) of two or more types. From the viewpoint of preservation, erythorbic acid and / or sodium erythorbate is preferably a single substance or a mixture thereof. In the present invention, as the “antioxidant”, those for usual food addition can be used as they are.
本発明の口腔ケア用組成物では、抗酸化剤の含有量は、長期保存における酸化防止効果が発揮されれば特に限定されない。ここで、エリソルビン酸および/またはエリソルビン酸ナトリウムの単独物や混合物の含有量として、例えば0.01重量%以上であれば、長期保存における酸化防止効果は十分に期待され、好ましくは0.01~1.0重量%、より好ましくは0.02~0.5重量%、さらに好ましくは0.05~0.1重量%である。なお、これに相当する含有量で、他の抗酸化剤を用いてもよい。
In the composition for oral care of the present invention, the content of the antioxidant is not particularly limited as long as the antioxidant effect in long-term storage is exhibited. Here, if the content of erythorbic acid and / or sodium erythorbate alone or as a mixture is, for example, 0.01% by weight or more, the antioxidant effect in long-term storage is sufficiently expected, preferably 0.01 to It is 1.0% by weight, more preferably 0.02 to 0.5% by weight, still more preferably 0.05 to 0.1% by weight. In addition, you may use another antioxidant by content corresponding to this.
「防腐剤」とは、防腐作用を有する物質であれば特に限定されない。ここで、防腐剤として、例えば塩化セチルピリジニウム、パラオキシ安息香酸エチル、パラオキシ安息香酸メチル、パラオキシ安息香酸プロピル、フェノキシエタノール、イソプロピルメチルフェノール、アルキルジアミノエチルグリシン塩酸塩、安息香酸ナトリウム、ソルビン酸カリウムが挙げられる。そして、本発明において「防腐剤」とは、これらの防腐剤のうち、一種類の単独物であってもよいし、二種類以上の組み合わせ物(混合物)であってもよいが、長期保存の観点から、好ましくは、パラオキシ安息香酸メチル、パラオキシ安息香酸プロピル、フェノキシエタノール、イソプロピルメチルフェノールおよび/またはアルキルジアミノエチルグリシン塩酸塩の単独物や混合物である。なお、本発明において「防腐剤」には、通常の食品添加用のものをそのまま用いることができる。
The “preservative” is not particularly limited as long as it is a substance having an antiseptic action. Here, examples of the preservative include cetylpyridinium chloride, ethyl paraoxybenzoate, methyl paraoxybenzoate, propyl paraoxybenzoate, phenoxyethanol, isopropylmethylphenol, alkyldiaminoethylglycine hydrochloride, sodium benzoate, and potassium sorbate. . In the present invention, the “preservative” may be a single kind of these preservatives, or may be a combination of two or more kinds (mixtures). From the viewpoint, it is preferably a single or a mixture of methyl paraoxybenzoate, propyl paraoxybenzoate, phenoxyethanol, isopropylmethylphenol and / or alkyldiaminoethylglycine hydrochloride. In the present invention, as the “preservative”, a conventional food additive can be used as it is.
本発明の口腔ケア用組成物では、防腐剤の含有量は、長期保存における防腐効果および雑味抑制効果が発揮されれば特に限定されない。ここで、パラオキシ安息香酸メチルおよび/またはパラオキシ安息香酸プロピルの単独物や混合物の含有量として、例えば0.01重量%以上であれば、長期保存における防腐効果および雑味抑制効果は十分に期待され、好ましくは0.01~1.0重量%、より好ましくは0.04~0.5重量%、さらに好ましくは0.05~0.1重量%である。また、フェノキシエタノールの含有量として、例えば0.1重量%以上であれば、長期保存における防腐効果および雑味抑制効果は十分に期待され、好ましくは0.1~1.5重量%、より好ましくは0.3~1.3重量%、さらに好ましくは0.5~1.0重量%である。また、イソプロピルメチルフェノールの含有量として、例えば0.0025重量%以上であれば、長期保存における防腐効果および雑味抑制効果は十分に期待され、好ましくは0.0025~0.1重量%、より好ましくは0.005~0.09重量%、さらに好ましくは0.01~0.08重量%である。また、アルキルジアミノエチルグリシン塩酸塩の含有量として、例えば0.03重量%以上であれば、長期保存における防腐効果および雑味抑制効果は十分に期待され、好ましくは、0.03~0.8重量%、より好ましくは0.05~0.4重量%、さらに好ましくは0.1~0.2重量%である。
In the oral care composition of the present invention, the content of the preservative is not particularly limited as long as the antiseptic effect and the miscellaneous taste suppressing effect during long-term storage are exhibited. Here, when the content of methyl paraoxybenzoate and / or propyl paraoxybenzoate alone or as a mixture is, for example, 0.01% by weight or more, the antiseptic effect and the miscellaneous taste suppressing effect in long-term storage are sufficiently expected. The content is preferably 0.01 to 1.0% by weight, more preferably 0.04 to 0.5% by weight, and still more preferably 0.05 to 0.1% by weight. In addition, when the content of phenoxyethanol is, for example, 0.1% by weight or more, the antiseptic effect and the miscellaneous taste suppressing effect in long-term storage are sufficiently expected, preferably 0.1 to 1.5% by weight, more preferably It is 0.3 to 1.3% by weight, more preferably 0.5 to 1.0% by weight. Further, when the content of isopropylmethylphenol is, for example, 0.0025% by weight or more, the antiseptic effect and the miscellaneous taste suppressing effect in long-term storage are sufficiently expected, preferably 0.0025 to 0.1% by weight, The amount is preferably 0.005 to 0.09% by weight, more preferably 0.01 to 0.08% by weight. Further, when the content of alkyldiaminoethylglycine hydrochloride is, for example, 0.03% by weight or more, the antiseptic effect and the miscellaneous taste suppressing effect in long-term storage are sufficiently expected, and preferably 0.03 to 0.8 % By weight, more preferably 0.05 to 0.4% by weight, still more preferably 0.1 to 0.2% by weight.
本発明の口腔ケア用組成物は、上記の有効成分、抗酸化剤、防腐剤の他に、本発明の効果や、本発明の滞留性や徐放性を阻害しない範囲で、一般的な口腔ケア用組成物や食品に用いられる一般的な添加物を含んでいてもよい。ここで、キシリトールの含有量として、例えば0.02重量%以上であれば、本発明の効果の向上などは十分に期待され、好ましくは0.02~4重量%、より好ましくは0.3~3重量%、さらに好ましくは0.5~2重量%である。なお、本発明の口腔ケア用組成物では、一般的な口腔ケア用組成物の製造方法や製造工程を適用することができる。
In addition to the above active ingredients, antioxidants, and preservatives, the oral care composition of the present invention is a general oral cavity within the range that does not impair the effects of the present invention and the retention and sustained release properties of the present invention. It may contain general additives used in care compositions and foods. Here, if the content of xylitol is, for example, 0.02% by weight or more, the improvement of the effect of the present invention is sufficiently expected, preferably 0.02 to 4% by weight, more preferably 0.3 to 4% by weight. It is 3% by weight, more preferably 0.5 to 2% by weight. In addition, in the composition for oral care of this invention, the manufacturing method and manufacturing process of a general composition for oral care can be applied.
本発明の口腔ケア用組成物は、好ましくは、茶抽出物(茶カテキン)、増粘多糖類として、キサンタンガム、保湿剤として、グリセリンおよびプロピレングリコール、抗酸化剤として、エリソルビン酸ナトリウム、防腐剤として、エチルパラベンおよびプロピルパラベン、キシリトール、香料を含んでなるものである。
The oral care composition of the present invention is preferably a tea extract (tea catechin), a thickening polysaccharide, xanthan gum, humectants, glycerin and propylene glycol, antioxidants, sodium erythorbate, preservatives , Ethyl paraben and propyl paraben, xylitol, and a fragrance.
本発明の口腔ケア用組成物では、所定の粘性を有しており、B型粘度計(測定温度:20~25℃、回転数12rpmに相当するせん断速度)で測定した粘度として、例えば5~1,000Pa・sであれば、口腔内において、カテキンなどの有効成分の滞留性や徐放性を調整しやすいことから、好ましくは10~500Pa・s、より好ましくは20~400Pa・s、さらに好ましくは30~300Pa・sである。また、本発明の口腔ケア用組成物は、所定の光透過率を有しており、波長が800nmの光透過率として、例えば2%以上であれば、外観が良好であることから、好ましくは2~95%であり、より好ましくは5~90%、さらに好ましくは10~80%である。
The oral care composition of the present invention has a predetermined viscosity, and the viscosity measured with a B-type viscometer (measurement temperature: 20 to 25 ° C., shear rate corresponding to a rotation speed of 12 rpm) is, for example, 5 to If it is 1,000 Pa · s, it is easy to adjust the retention and sustained release of an active ingredient such as catechin in the oral cavity, and therefore, preferably 10 to 500 Pa · s, more preferably 20 to 400 Pa · s, The pressure is preferably 30 to 300 Pa · s. Further, the composition for oral care of the present invention has a predetermined light transmittance, and preferably has a light transmittance of a wavelength of 800 nm, for example, if it is 2% or more, the appearance is good. It is 2 to 95%, more preferably 5 to 90%, still more preferably 10 to 80%.
本発明の口腔ケア用組成物では、所定の形態を有しており、具体的な形態として、ジェル、液体、フォーム、クリーム、軟膏などを適用できるし、口腔内において、唾液を利用したり、あらかじめ水などに溶解して、所定の粘性を有する限り、フィルム、錠剤などを適用してもよい。ここで、本発明の口腔ケア用組成物では、好ましくは、実際の投与(摂取)や塗布などの取扱性が良好であることや、口腔内において、カテキンなどの有効成分の滞留性や除放性を調整しやすいことから、好ましくは、ジェルであり、片手で手軽に用いることができることから、より好ましくは、スプレー可能なジェルである。なお、ジェルであれば、粘性(粘度)が良好な範囲を満たすことができる。また、本発明の口腔ケア用組成物は、ジェル等の場合、スポンジ、歯ブラシ、綿棒、またはシートにあらかじめ含浸、塗布し、個装した形態で流通してもよい。
The oral care composition of the present invention has a predetermined form, and as a specific form, gel, liquid, foam, cream, ointment, etc. can be applied, and saliva is used in the oral cavity, A film, a tablet, or the like may be applied as long as it is dissolved in water or the like and has a predetermined viscosity. Here, the oral care composition of the present invention preferably has good handling properties such as actual administration (ingestion) and application, and retention and release of active ingredients such as catechin in the oral cavity. Since it is easy to adjust the properties, it is preferably a gel, and since it can be easily used with one hand, it is more preferably a sprayable gel. In addition, if it is a gel, viscosity (viscosity) can satisfy | fill the favorable range. Moreover, the composition for oral care of this invention may distribute | circulate in the form which impregnated and apply | coated to sponge, a toothbrush, a cotton swab, or a sheet | seat beforehand, and was individually packaged in the case of a gel etc.
本発明の口腔ケア用組成物は、そのまま、あるいは他の成分と組み合わせて、医薬品、医薬部外品、または化粧品、好ましくは口腔用化粧品として使用することができる。
The composition for oral care of the present invention can be used as a pharmaceutical, a quasi-drug, or a cosmetic, preferably an oral cosmetic, as it is or in combination with other components.
本発明の一つの面によれば、本発明の口腔ケア用組成物は、がん患者における口腔合併症の処置において効果的であることを示す表示が付されたもの、好ましくは、がん患者における口腔合併症の予防、治療、改善、軽減および/または緩和において効果的であることを示す表示が付されたものであってもよい。そして、本発明の一つの別の面によれば、好ましくは、がんの治療を受ける、がん患者における口腔合併症の処置において効果的であることを示す表示が付されたもの、好ましくは、がんの治療を受ける、がん患者における口腔合併症の予防、治療、改善、軽減および/または緩和において効果的であることを示す表示が付されたものであってもよい。また、本発明の一つの別の面によれば、より好ましくは、手術療法、放射線療法、化学療法から選択される少なくとも一つの治療を受ける、がん患者における口腔合併症の処置において効果的であることを示す表示が付されたもの、好ましくは、手術療法、放射線療法、化学療法から選択される少なくとも一つの治療を受ける、がん患者における口腔合併症の予防、治療、改善、軽減および/または緩和において効果的であることを示す表示が付されたものであってもよい。ここで、本発明の表示は、口腔ケア用組成物に関連して付したものであれば、特に限定されず、例えば口腔ケア用組成物を含有する容器、包装材または添付文書に、口腔ケア用組成物が効果的である表示・広告などを付したものであってもよい。なお、本発明の容器や包装材として、口腔ケア用組成物の成分に不活性であれば、特に限定されず、例えばガラス、プラスチックまたは金属を適用してもよい。また、本発明の表示は、例えばチラシ、パンフレット、ポップ、カタログ、ポスター、ポスター、書籍、DVDなどの記憶媒体、電子掲示板やインターネットなどの広告などに、口腔ケア用組成物が効果的である表示・広告などを付したものであってもよい。
According to one aspect of the present invention, the oral care composition of the present invention is labeled with an indication that it is effective in treating oral complications in cancer patients, preferably cancer patients. Indices may be attached to indicate that they are effective in preventing, treating, improving, reducing and / or alleviating oral complications. And according to another aspect of the present invention, preferably the one with indication indicating that it is effective in the treatment of oral complications in a cancer patient, preferably receiving cancer treatment, preferably In addition, a sign indicating that the treatment is effective in preventing, treating, ameliorating, reducing and / or alleviating oral complications in a cancer patient may be given. In addition, according to another aspect of the present invention, more preferably, it is effective in the treatment of oral complications in cancer patients who receive at least one treatment selected from surgical therapy, radiation therapy, and chemotherapy. Prevention, treatment, amelioration, and / or prevention of oral complications in cancer patients who have at least one treatment selected from surgical therapy, radiation therapy, or chemotherapy, with an indication that it is present Or the display which shows that it is effective in relaxation may be attached | subjected. Here, the indication of the present invention is not particularly limited as long as it is given in relation to the composition for oral care, and for example, the oral care is applied to a container, packaging material or package insert containing the composition for oral care. It may be provided with a display / advertisement etc. for which the composition is effective. In addition, as long as it is inactive with the component of the composition for oral care as a container and packaging material of this invention, it will not specifically limit, For example, you may apply glass, a plastics, or a metal. In addition, the display of the present invention is a display in which the oral care composition is effective for storage media such as flyers, brochures, pops, catalogs, posters, posters, books, DVDs, advertisements on electronic bulletin boards, the Internet, etc. -An advertisement etc. may be attached.
本発明の一つの態様によれば、本発明の口腔ケア用組成物は、容器詰口腔ケア用組成物である。本発明の容器詰口腔ケア用組成物は、茶抽出物、増粘多糖類および保湿剤を含んでなる口腔ケア用組成物を、ジェル、液体、フォーム、クリーム、軟膏等として適用した形態であり、例えば本発明の口腔ケア用組成物を容器に充填等することによって得られる。本発明の容器詰口腔ケア用組成物に使用される容器としては、特に限定されず、例えば、ガラス、プラスチック、PETボトル、紙パックまたは金属(例えばアルミ、スチール)を用いてもよい。容器詰口腔ケア用組成物は、空気に触れないため、抗酸化機能が保たれるため好ましい。本発明のより好ましい態様によれば、本発明の容器詰口腔ケア用組成物は、1~120回、より好ましくは1~90回、さらに好ましくは1~80回、さらに好ましくは1~60回用の包装であり、具体的には、ジェルの場合、1~100ml、より好ましくは1~90ml、さらに好ましくは1~80ml、さらに好ましくは1~60mlのタイプである。本発明の容器詰口腔ケア用組成物は、1日使い切り個包装であってもよい。
According to one aspect of the present invention, the oral care composition of the present invention is a containerized oral care composition. The container-packed oral care composition of the present invention is a form in which an oral care composition comprising a tea extract, a thickening polysaccharide and a humectant is applied as a gel, liquid, foam, cream, ointment, etc. For example, it can be obtained by filling the oral care composition of the present invention into a container. The container used in the container-packed oral care composition of the present invention is not particularly limited, and for example, glass, plastic, PET bottle, paper pack, or metal (for example, aluminum, steel) may be used. The container-packed oral care composition is preferable because it does not come into contact with air and thus has an antioxidant function. According to a more preferred embodiment of the present invention, the container-packed oral care composition of the present invention is 1 to 120 times, more preferably 1 to 90 times, still more preferably 1 to 80 times, still more preferably 1 to 60 times. Specifically, in the case of a gel, it is a type of 1 to 100 ml, more preferably 1 to 90 ml, still more preferably 1 to 80 ml, still more preferably 1 to 60 ml. The container-packed oral care composition of the present invention may be a single-use individual package.
本発明の一つの態様によれば、本発明の口腔ケア用組成物は、有効成分として、茶抽出物、増粘多糖類および保湿剤を含んでなる、がん患者の口腔合併症、好ましくは口腔粘膜炎の予防、治療、改善、軽減および/または緩和用組成物であってもよい。好ましくは、本発明の組成物は、手術療法、放射線療法および化学療法から選択される少なくとも一つの治療を受ける、がん患者の口腔合併症、好ましくは口腔粘膜炎の予防、治療、改善、軽減および/または緩和用組成物であり、より好ましくは、放射線療法および化学療法から選択される少なくとも一つの治療を受ける、がん患者の口腔合併症、好ましくは口腔粘膜炎の予防、治療、改善、軽減および/または緩和用組成物である。
According to one aspect of the present invention, the oral care composition of the present invention comprises oral complications of cancer patients, preferably comprising tea extract, thickening polysaccharide and humectant as active ingredients. It may be a composition for preventing, treating, improving, reducing and / or alleviating oral mucositis. Preferably, the composition of the present invention prevents, treats, ameliorates or reduces oral complications in cancer patients, preferably oral mucositis, receiving at least one treatment selected from surgical therapy, radiation therapy and chemotherapy. And / or a palliative composition, and more preferably, prevention, treatment, amelioration of oral complications in cancer patients, preferably oral mucositis, receiving at least one treatment selected from radiation therapy and chemotherapy, A mitigating and / or mitigating composition.
本発明の好ましい態様によれば、本発明の口腔ケア用組成物は、有効成分として、茶抽出物、増粘多糖類および保湿剤を含んでなる、がん患者の、手術療法、放射線療法および化学療法から選択される少なくとも一つの治療により生じる副作用としての口腔合併症、好ましくは口腔粘膜炎の予防、治療、改善、軽減および/または緩和用組成物、より好ましくは、がん患者の、放射線療法および化学療法から選択される少なくとも一つの治療により生じる副作用としての口腔合併症、好ましくは口腔粘膜炎の予防、治療、改善、軽減および/または緩和用組成物、さらに好ましくは、がん患者の化学療法(好ましくは代謝拮抗剤投与、より好ましくは5-FU投与)により生じる副作用としての口腔合併症、好ましくは口腔粘膜炎の予防、治療、改善、軽減および/または緩和用組成物である。
According to a preferred embodiment of the present invention, the composition for oral care of the present invention comprises, as an active ingredient, surgical treatment, radiation therapy and cancer therapy comprising a tea extract, a thickening polysaccharide and a humectant. Composition for preventing, treating, ameliorating, reducing and / or alleviating oral complications as a side effect caused by at least one treatment selected from chemotherapy, preferably oral mucositis, more preferably radiation of cancer patients A composition for preventing, treating, ameliorating, reducing and / or alleviating oral complications as a side effect caused by at least one treatment selected from therapy and chemotherapy, preferably oral mucositis, more preferably for cancer patients Prevention of oral complications as a side effect caused by chemotherapy (preferably antimetabolite administration, more preferably 5-FU administration), preferably oral mucositis, Care, improvement, and alleviation and / or alleviating composition.
口腔合併症の処置方法
本発明の口腔ケア用組成物を用いれば、この組成物が有する選択的な抗菌作用、がん患者の口腔粘膜に生じる酸化ストレスの除去作用、および保湿作用により、がん患者の口腔合併症を効率的に予防、治療、改善、軽減および/または緩和することができる。そして、本発明の口腔ケア用組成物を用いれば、好ましくは、がん患者の口腔合併症の発症を効率的に予防することができると同時に、口腔合併症を治療、改善、軽減および/または緩和することができる。ここで、がん患者の口腔合併症が口腔粘膜炎などの口腔内炎症の場合、本発明の口腔ケア用組成物を用いれば、がん患者の口腔合併症を治療、改善、軽減および/または緩和することができると同時に、炎症状態を抑制することができる。 Method for treating oral complications When the composition for oral care of the present invention is used, the selective antibacterial action of the composition, the action of removing oxidative stress generated in the oral mucosa of cancer patients, and the moisturizing action The patient's oral complications can be effectively prevented, treated, ameliorated, reduced and / or alleviated. And, by using the composition for oral care of the present invention, preferably, the onset of oral complications in cancer patients can be efficiently prevented, and at the same time, oral complications can be treated, improved, reduced and / or Can be relaxed. Here, when the oral complication of the cancer patient is intraoral inflammation such as oral mucositis, the oral care composition of the present invention is used to treat, ameliorate, reduce and / or reduce the oral complication of the cancer patient. At the same time, the inflammatory condition can be suppressed.
本発明の口腔ケア用組成物を用いれば、この組成物が有する選択的な抗菌作用、がん患者の口腔粘膜に生じる酸化ストレスの除去作用、および保湿作用により、がん患者の口腔合併症を効率的に予防、治療、改善、軽減および/または緩和することができる。そして、本発明の口腔ケア用組成物を用いれば、好ましくは、がん患者の口腔合併症の発症を効率的に予防することができると同時に、口腔合併症を治療、改善、軽減および/または緩和することができる。ここで、がん患者の口腔合併症が口腔粘膜炎などの口腔内炎症の場合、本発明の口腔ケア用組成物を用いれば、がん患者の口腔合併症を治療、改善、軽減および/または緩和することができると同時に、炎症状態を抑制することができる。 Method for treating oral complications When the composition for oral care of the present invention is used, the selective antibacterial action of the composition, the action of removing oxidative stress generated in the oral mucosa of cancer patients, and the moisturizing action The patient's oral complications can be effectively prevented, treated, ameliorated, reduced and / or alleviated. And, by using the composition for oral care of the present invention, preferably, the onset of oral complications in cancer patients can be efficiently prevented, and at the same time, oral complications can be treated, improved, reduced and / or Can be relaxed. Here, when the oral complication of the cancer patient is intraoral inflammation such as oral mucositis, the oral care composition of the present invention is used to treat, ameliorate, reduce and / or reduce the oral complication of the cancer patient. At the same time, the inflammatory condition can be suppressed.
本発明の一つの別の面によれば、本発明の口腔ケア用組成物を、がん患者に投与することを含んでなる、口腔合併症の処置方法が提供され、口腔合併症の予防、治療、改善、軽減および/または緩和方法が提供される。そして、本発明の一つの別の面によれば、好ましくは、がんの治療を受ける、がん患者に投与することを含んでなる、口腔合併症の処置方法が提供され、口腔合併症の予防、治療、改善、軽減および/または緩和方法が提供される。また、本発明の一つの別の面によれば、より好ましくは、手術療法、放射線療法、化学療法から選択される少なくとも一つの治療を受ける、がん患者に投与することを含んでなる、口腔合併症の処置方法が提供され、口腔合併症の予防、治療、改善、軽減および/または緩和方法が提供される。
According to another aspect of the present invention, there is provided a method for treating oral complications comprising administering the oral care composition of the present invention to a cancer patient, preventing oral complications, Treatment, amelioration, alleviation and / or alleviation methods are provided. And according to another aspect of the present invention, there is provided a method for treating oral complications, preferably comprising administering to a cancer patient, receiving treatment for cancer, Methods of prevention, treatment, amelioration, reduction and / or alleviation are provided. In addition, according to another aspect of the present invention, more preferably, the oral cavity comprising administering to a cancer patient who receives at least one treatment selected from surgical therapy, radiation therapy, and chemotherapy. Methods for treating complications are provided, and methods for preventing, treating, ameliorating, reducing and / or alleviating oral complications are provided.
本発明の口腔合併症の処置方法では、口腔合併症の予防効果を向上できることから、好ましくは、がん患者に、がんの治療を実施する前から、本発明の口腔ケア用組成物を、がん患者に投与する方法であり、より好ましくは、がん患者に、がんの化学療法または放射線療法を実施する前から、本発明の口腔ケア用組成物を、がん患者に投与する方法である。そして、本発明の口腔合併症の処置方法では、好ましくは、ヒトに対する医療行為を除くものである。ここで、ヒトに対する医療行為とは、医師等の処方を必要として、ヒトに対して医薬品を摂取させる(投与する)行為などを意味する。
In the method for treating oral complications of the present invention, since the preventive effect of oral complications can be improved, preferably, the oral care composition of the present invention is applied to cancer patients before cancer treatment is performed. A method of administering to a cancer patient, more preferably a method of administering the oral care composition of the present invention to a cancer patient before cancer chemotherapy or radiation therapy is performed on the cancer patient. It is. The method for treating oral complications according to the present invention preferably excludes medical practice for humans. Here, the medical practice for humans means an act of taking (administering) pharmaceuticals to humans, which requires prescription by a doctor or the like.
本発明の処置方法は、本発明の口腔ケア用組成物について、本願明細書に記載された内容に従って実施することができる。
The treatment method of the present invention can be performed according to the contents described in the present specification for the oral care composition of the present invention.
本発明の口腔ケア用組成物では、その使用状態および使用場面に応じて、飲食や喫食などの経口投与、口腔内への塗布などの局所的な投与、歯磨きなどの幅広い投与(摂取)方法を適用することができる。ここで、本発明の口腔ケア用組成物を飲食や喫食などによって経口投与する場合、がん患者の口腔合併症を予防、治療、改善、軽減および/または緩和するために有効な投与量として、カテキンを基準にすると、好ましくは10~100mg相当である。また、本発明の口腔ケア用組成物を口腔内への塗布などによって局所的に投与する場合、がん患者の口腔合併症を予防、治療、改善、軽減および/または緩和するために有効な投与量として、カテキンを基準にすると、好ましくは、単位時間(1時間)あたり、口腔内のカテキン濃度を1~100μg/cm2相当である。そして、本発明の口腔ケア用組成物が市販品のオーロラコートである場合、がん患者の口腔合併症を予防、治療、改善、軽減および/または緩和するために有効な投与量として、カテキンを基準にすると、カテキンの徐放性の観点から、例えば1回の用量を1gずつとして、1日に2回以上、好ましくは1日に3回以上、より好ましくは4回以上、さらに好ましくは1日に6回以上の頻度となる(実施例の例2参照)。
In the oral care composition of the present invention, a wide range of administration (ingestion) methods such as oral administration such as eating and drinking, topical administration such as application to the oral cavity, and toothpaste, depending on the use state and use scene. Can be applied. Here, when the oral care composition of the present invention is orally administered by eating or drinking, as an effective dose for preventing, treating, improving, reducing and / or alleviating oral complications of cancer patients, Based on catechin, it is preferably equivalent to 10 to 100 mg. In addition, when the oral care composition of the present invention is locally administered by application to the oral cavity or the like, the administration is effective for preventing, treating, improving, reducing and / or alleviating oral complications in cancer patients. Based on catechin as the amount, the catechin concentration in the oral cavity is preferably 1 to 100 μg / cm 2 per unit time (1 hour). When the oral care composition of the present invention is a commercially available aurora coat, catechin is used as an effective dose for preventing, treating, improving, reducing and / or alleviating oral complications in cancer patients. Based on the standard, from the viewpoint of sustained release of catechin, for example, 1 g is used as a single dose, at least twice a day, preferably at least 3 times a day, more preferably at least 4 times, and even more preferably 1 The frequency is 6 times or more per day (see Example 2 in the Examples).
本発明の口腔ケア用組成物では、その使用状態および使用場面に応じて、口渇感を感じたとき、痛みを感じるとき、通常の食事後または就寝前などの幅広い投与(摂取)時期を適用することができる。
The oral care composition of the present invention applies a wide range of administration (intake) periods such as when feeling dry, feeling pain, after normal meals or before going to bed, depending on the state of use and scene of use. be able to.
本発明の一つの別の面によれば、がん患者における口腔合併症の処置のための、本発明の口腔ケア用組成物の使用が提供され、がん患者における口腔合併症の予防、治療、改善、軽減および/または緩和のための、本発明の口腔ケア用組成物の使用が提供される。そして、本発明の一つの別の面によれば、好ましくは、がんの治療を受ける、がん患者における口腔合併症の処置のための、本発明の口腔ケア用組成物の使用が提供され、がんの治療を受ける、がん患者における口腔合併症の予防、治療、改善、軽減および/または緩和のための、本発明の口腔ケア用組成物の使用が提供される。また、本発明の一つの別の面によれば、より好ましくは、手術療法、放射線療法、化学療法から選択される少なくとも一つの治療を受ける、がん患者における口腔合併症の処置のための、本発明の口腔ケア用組成物の使用が提供され、手術療法、放射線療法、化学療法から選択される少なくとも一つの治療を受ける、がん患者における口腔合併症の予防、治療、改善、軽減および/または緩和のための、本発明の口腔ケア用組成物の使用が提供される。
According to another aspect of the present invention, there is provided the use of the oral care composition of the present invention for the treatment of oral complications in cancer patients, and the prevention and treatment of oral complications in cancer patients. There is provided the use of the oral care composition of the present invention for improvement, reduction and / or alleviation. And according to another aspect of the present invention there is provided the use of the oral care composition of the present invention for the treatment of oral complications in cancer patients, preferably receiving treatment for cancer. Provided is the use of the oral care composition of the present invention for the prevention, treatment, amelioration, reduction and / or alleviation of oral complications in cancer patients who are treated for cancer. Also, according to another aspect of the present invention, more preferably, for the treatment of oral complications in cancer patients who receive at least one treatment selected from surgical therapy, radiation therapy, chemotherapy. Prevention, treatment, amelioration, and / or reduction of oral complications in cancer patients, provided that the use of the oral care composition of the present invention is provided and receives at least one treatment selected from surgical therapy, radiation therapy, chemotherapy. Or use of the oral care composition of the present invention for relief is provided.
本発明の一つの別の面によれば、がん患者における口腔合併症の処置のための薬剤の製造における、本発明の口腔ケア用組成物の使用が提供され、がん患者における口腔合併症の予防、治療、改善、軽減および/または緩和のための薬剤の製造における、本発明の口腔ケア用組成物の使用が提供される。そして、本発明の一つの別の面によれば、好ましくは、がんの治療を受ける、がん患者における口腔合併症の処置のための薬剤の製造における、本発明の口腔ケア用組成物の使用が提供され、がんの治療を受ける、がん患者における口腔合併症の予防、治療、改善、軽減および/または緩和のための薬剤の製造における、本発明の口腔ケア用組成物の使用が提供される。また、本発明の一つの別の面によれば、より好ましくは、手術療法、放射線療法、化学療法から選択される少なくとも一つの治療を受ける、がん患者における口腔合併症の処置のための薬剤の製造における、本発明の口腔ケア用組成物の使用が提供され、手術療法、放射線療法、化学療法から選択される少なくとも一つの治療を受ける、がん患者における口腔合併症の予防、治療、改善、軽減および/または緩和のための薬剤の製造における、本発明の口腔ケア用組成物の使用が提供される。
According to another aspect of the present invention, there is provided the use of the oral care composition of the present invention in the manufacture of a medicament for the treatment of oral complications in cancer patients, and oral complications in cancer patients. There is provided the use of the oral care composition of the present invention in the manufacture of a medicament for the prevention, treatment, amelioration, alleviation and / or alleviation. And according to another aspect of the present invention, preferably the oral care composition of the present invention in the manufacture of a medicament for the treatment of oral complications in a cancer patient who is treated for cancer Use of the oral care composition of the present invention in the manufacture of a medicament for the prevention, treatment, amelioration, reduction and / or alleviation of oral complications in a cancer patient Provided. Moreover, according to another aspect of the present invention, more preferably, an agent for the treatment of oral complications in a cancer patient that receives at least one treatment selected from surgical therapy, radiation therapy, and chemotherapy The use of the oral care composition of the present invention in the manufacture of an oral complication prevents or treats or improves oral complications in cancer patients who receive at least one treatment selected from surgical therapy, radiation therapy, and chemotherapy There is provided the use of the oral care composition of the present invention in the manufacture of a medicament for relief and / or alleviation.
本発明の一つの別の面によれば、がん患者における口腔合併症の処置のための化粧品の製造における、本発明の口腔ケア用組成物の使用が提供され、がん患者における口腔合併症の予防、治療、改善、軽減および/または緩和のための化粧品の製造における、本発明の口腔ケア用組成物の使用が提供される。そして、本発明の一つの別の面によれば、好ましくは、がんの治療を受ける、がん患者における口腔合併症の処置のための化粧品の製造における、本発明の口腔ケア用組成物の使用が提供され、がんの治療を受ける、がん患者における口腔合併症の予防、治療、改善、軽減および/または緩和のための化粧品の製造における、本発明の口腔ケア用組成物の使用が提供される。また、本発明の一つの別の面によれば、より好ましくは、手術療法、放射線療法、化学療法から選択される少なくとも一つの治療を受ける、がん患者における口腔合併症の処置のための化粧品の製造における、本発明の口腔ケア用組成物の使用が提供され、手術療法、放射線療法、化学療法から選択される少なくとも一つの治療を受ける、がん患者における口腔合併症の予防、治療、改善、軽減および/または緩和のための化粧品の製造における、本発明の口腔ケア用組成物の使用が提供される。
According to another aspect of the present invention there is provided the use of the oral care composition of the present invention in the manufacture of a cosmetic product for the treatment of oral complications in cancer patients, and oral complications in cancer patients. There is provided the use of the oral care composition of the present invention in the manufacture of a cosmetic product for prevention, treatment, amelioration, alleviation and / or alleviation. And according to another aspect of the present invention, preferably the oral care composition of the present invention in the manufacture of a cosmetic product for the treatment of oral complications in a cancer patient who is treated for cancer. Use of the oral care composition of the present invention in the manufacture of a cosmetic product for the prevention, treatment, amelioration, reduction and / or alleviation of oral complications in a cancer patient Provided. Moreover, according to another aspect of the present invention, more preferably, a cosmetic for the treatment of oral complications in a cancer patient, receiving at least one treatment selected from surgical therapy, radiation therapy, and chemotherapy. The use of the oral care composition of the present invention in the manufacture of an oral complication prevents or treats or improves oral complications in cancer patients who receive at least one treatment selected from surgical therapy, radiation therapy, and chemotherapy There is provided the use of the oral care composition of the present invention in the manufacture of a cosmetic product for relief and / or relief.
本発明の一つの別の面によれば、がん患者における口腔合併症の処置のための口腔ケア用組成物の製造における、茶抽出物、増粘多糖類および保湿剤の使用が提供され、がん患者における口腔合併症の予防、治療、改善、軽減および/または緩和のための口腔ケア用組成物の製造における、茶抽出物、増粘多糖類および保湿剤の使用が提供される。そして、本発明の一つの別の面によれば、好ましくは、がんの治療を受ける、がん患者における口腔合併症の処置のための口腔ケア用組成物の製造における、茶抽出物、増粘多糖類および保湿剤の使用が提供され、がんの治療を受ける、がん患者における口腔合併症の予防、治療、改善、軽減および/または緩和のための口腔ケア用組成物の製造における、茶抽出物、増粘多糖類および保湿剤の使用が提供される。また、本発明の一つの別の面によれば、より好ましくは、手術療法、放射線療法、化学療法から選択される少なくとも一つの治療を受ける、がん患者における口腔合併症の処置のための口腔ケア用組成物の製造における、茶抽出物、増粘多糖類および保湿剤の使用が提供され、手術療法、放射線療法、化学療法から選択される少なくとも一つの治療を受ける、がん患者における口腔合併症の予防、治療、改善、軽減および/または緩和のための口腔ケア用組成物の製造における、茶抽出物、増粘多糖類および保湿剤の使用が提供される。
According to another aspect of the present invention there is provided the use of tea extract, thickening polysaccharide and humectant in the manufacture of an oral care composition for the treatment of oral complications in cancer patients, There is provided the use of tea extract, thickening polysaccharides and humectants in the manufacture of an oral care composition for the prevention, treatment, amelioration, alleviation and / or alleviation of oral complications in cancer patients. And according to another aspect of the present invention, preferably a tea extract, an increase in the manufacture of an oral care composition for the treatment of oral complications in a cancer patient who is treated for cancer. In the manufacture of an oral care composition for the prevention, treatment, amelioration, alleviation and / or alleviation of oral complications in cancer patients provided with the use of mucopolysaccharides and humectants Use of tea extract, thickening polysaccharides and humectants is provided. Moreover, according to another aspect of the present invention, more preferably, the oral cavity for the treatment of oral complications in cancer patients that receives at least one treatment selected from surgical therapy, radiation therapy, and chemotherapy. Oral mergers in cancer patients who are provided with the use of tea extract, thickening polysaccharides and humectants in the manufacture of care compositions and receive at least one treatment selected from surgical therapy, radiation therapy, chemotherapy Use of tea extract, thickening polysaccharides and humectants in the manufacture of an oral care composition for prevention, treatment, amelioration, alleviation and / or alleviation of diseases is provided.
本発明の一つの別の面によれば、がん患者における口腔合併症の処置のための薬剤の製造における、茶抽出物、増粘多糖類および保湿剤の使用が提供され、がん患者における口腔合併症の予防、治療、改善、軽減および/または緩和のための薬剤の製造における、茶抽出物、増粘多糖類および保湿剤の使用が提供される。そして、本発明の一つの別の面によれば、好ましくは、がんの治療を受ける、がん患者における口腔合併症の処置のための薬剤の製造における、茶抽出物、増粘多糖類および保湿剤の使用が提供され、がんの治療を受ける、がん患者における口腔合併症の予防、治療、改善、軽減および/または緩和のための薬剤の製造における、茶抽出物、増粘多糖類および保湿剤の使用が提供される。また、本発明の一つの別の面によれば、より好ましくは、手術療法、放射線療法、化学療法から選択される少なくとも一つの治療を受ける、がん患者における口腔合併症の処置のための薬剤の製造における、茶抽出物、増粘多糖類および保湿剤の使用が提供され、手術療法、放射線療法、化学療法から選択される少なくとも一つの治療を受ける、がん患者における口腔合併症の予防、治療、改善、軽減および/または緩和のための薬剤の製造における、茶抽出物、増粘多糖類および保湿剤の使用が提供される。
According to another aspect of the invention, there is provided the use of a tea extract, a thickening polysaccharide and a humectant in the manufacture of a medicament for the treatment of oral complications in a cancer patient. There is provided the use of tea extract, thickening polysaccharides and humectants in the manufacture of a medicament for the prevention, treatment, amelioration, reduction and / or alleviation of oral complications. And according to another aspect of the present invention, preferably a tea extract, a thickening polysaccharide and a pharmaceutical in the manufacture of a medicament for the treatment of oral complications in a cancer patient who is treated for cancer Tea extract, thickening polysaccharide in the manufacture of a medicament for the prevention, treatment, amelioration, mitigation and / or alleviation of oral complications in cancer patients who are provided with the use of humectants and who are treated for cancer And the use of humectants. Moreover, according to another aspect of the present invention, more preferably, an agent for the treatment of oral complications in a cancer patient that receives at least one treatment selected from surgical therapy, radiation therapy, and chemotherapy Prevention of oral complications in cancer patients, provided the use of tea extract, thickening polysaccharides and humectants in the manufacture of and receiving at least one treatment selected from surgical therapy, radiation therapy, chemotherapy, There is provided the use of tea extract, thickening polysaccharides and humectants in the manufacture of a medicament for treatment, amelioration, alleviation and / or alleviation.
本発明の一つの別の面によれば、がん患者における口腔合併症の処置のための化粧品の製造における、茶抽出物、増粘多糖類および保湿剤の使用が提供され、がん患者における口腔合併症の予防、治療、改善、軽減および/または緩和のための化粧品の製造における、茶抽出物、増粘多糖類および保湿剤の使用が提供される。そして、本発明の一つの別の面によれば、好ましくは、がんの治療を受ける、がん患者における口腔合併症の処置のための化粧品の製造における、茶抽出物、増粘多糖類および保湿剤の使用が提供され、がんの治療を受ける、がん患者における口腔合併症の予防、治療、改善、軽減および/または緩和のための化粧品の製造における、茶抽出物、増粘多糖類および保湿剤の使用が提供される。また、本発明の一つの別の面によれば、より好ましくは、手術療法、放射線療法、化学療法から選択される少なくとも一つの治療を受ける、がん患者における口腔合併症の処置のための化粧品の製造における、茶抽出物、増粘多糖類および保湿剤の使用が提供され、手術療法、放射線療法、化学療法から選択される少なくとも一つの治療を受ける、がん患者における口腔合併症の予防、治療、改善、軽減および/または緩和のための化粧品の製造における、茶抽出物、増粘多糖類および保湿剤の使用が提供される。
According to another aspect of the invention, there is provided the use of a tea extract, a thickening polysaccharide and a humectant in the manufacture of a cosmetic for the treatment of oral complications in a cancer patient, in a cancer patient. There is provided the use of tea extracts, thickening polysaccharides and humectants in the manufacture of cosmetics for the prevention, treatment, amelioration, reduction and / or alleviation of oral complications. And according to another aspect of the present invention, preferably tea extract, thickening polysaccharide and in the manufacture of cosmetics for the treatment of oral complications in cancer patients who are treated for cancer Tea extract, thickening polysaccharide in the manufacture of cosmetics for the prevention, treatment, amelioration, reduction and / or alleviation of oral complications in cancer patients who are provided with the use of moisturizers and who are treated for cancer And the use of humectants. Moreover, according to another aspect of the present invention, more preferably, a cosmetic for the treatment of oral complications in a cancer patient, receiving at least one treatment selected from surgical therapy, radiation therapy, and chemotherapy. Prevention of oral complications in cancer patients, provided the use of tea extract, thickening polysaccharides and humectants in the manufacture of and receiving at least one treatment selected from surgical therapy, radiation therapy, chemotherapy, There is provided the use of tea extracts, thickening polysaccharides and humectants in the manufacture of cosmetics for treatment, improvement, reduction and / or alleviation.
本発明の使用は、本発明の口腔ケア用組成物について、本願明細書に記載された内容に従って実施することができる。
The use of the present invention can be carried out in accordance with the contents described in the present specification for the oral care composition of the present invention.
以下の実施例によって、本発明を詳細に説明するが、本発明は、これらに限定されるものではない。
The present invention will be described in detail by the following examples, but the present invention is not limited thereto.
例1: 口腔粘膜炎モデルマウスを用いた抗潰瘍効果の評価試験
マウスに抗がん剤を投与して、骨髄細胞などの免疫力に関する細胞群の機能を低下させた後に、酢酸を口腔粘膜下に投与して、人工的に潰瘍を発症させる実験系により、口腔粘膜炎モデルマウスを調製し、各種の製剤の抗潰瘍効果を評価した。 Example 1: Evaluation test of anti-ulcer effect using oral mucositis model mouse After anticancer drug was administered to mice and the function of cell groups related to immunity such as bone marrow cells was reduced, acetic acid was submucous into oral mucosa Oral mucositis model mice were prepared by an experimental system that artificially develops ulcers and the antiulcer effects of various preparations were evaluated.
マウスに抗がん剤を投与して、骨髄細胞などの免疫力に関する細胞群の機能を低下させた後に、酢酸を口腔粘膜下に投与して、人工的に潰瘍を発症させる実験系により、口腔粘膜炎モデルマウスを調製し、各種の製剤の抗潰瘍効果を評価した。 Example 1: Evaluation test of anti-ulcer effect using oral mucositis model mouse After anticancer drug was administered to mice and the function of cell groups related to immunity such as bone marrow cells was reduced, acetic acid was submucous into oral mucosa Oral mucositis model mice were prepared by an experimental system that artificially develops ulcers and the antiulcer effects of various preparations were evaluated.
(1)口腔粘膜炎モデルマウスの調製
ICRマウス(10週齢、雄)(日本エスエルシー社)の腹腔内に、抗がん剤として、フルオロウラシル(5-FU、和光純薬工業株式会社)を、それぞれ50mg/kgで投与した。そして、抗がん剤の初回の投与日を試験の0日目とし、試験の2日目と4日目に、抗がん剤(5-FU)を追加で投与し、全部で3回、合計で150mg/kgの抗がん剤を投与し、口腔粘膜炎モデルマウスを調製した。このような口腔粘膜炎モデルマウスは、放射線を用いた疾病モデルマウスに代替するモデルマウスとして、抗がん剤の副作用によって生じる口内炎を模倣したモデルマウスとして利用されている。 (1) Preparation of oral mucositis model mouse Fluorouracil (5-FU, Wako Pure Chemical Industries, Ltd.) was used as an anticancer agent in the abdominal cavity of ICR mice (10 weeks old, male) (Japan SLC). Each was administered at 50 mg / kg. Then, the first administration day of the anticancer agent was taken asday 0 of the study, and on the second and fourth days of the study, an additional anticancer agent (5-FU) was administered, for a total of three times. A total of 150 mg / kg of anticancer drugs was administered to prepare oral mucositis model mice. Such an oral mucositis model mouse is used as a model mouse that mimics stomatitis caused by the side effect of an anticancer agent as a model mouse that substitutes for a disease model mouse using radiation.
ICRマウス(10週齢、雄)(日本エスエルシー社)の腹腔内に、抗がん剤として、フルオロウラシル(5-FU、和光純薬工業株式会社)を、それぞれ50mg/kgで投与した。そして、抗がん剤の初回の投与日を試験の0日目とし、試験の2日目と4日目に、抗がん剤(5-FU)を追加で投与し、全部で3回、合計で150mg/kgの抗がん剤を投与し、口腔粘膜炎モデルマウスを調製した。このような口腔粘膜炎モデルマウスは、放射線を用いた疾病モデルマウスに代替するモデルマウスとして、抗がん剤の副作用によって生じる口内炎を模倣したモデルマウスとして利用されている。 (1) Preparation of oral mucositis model mouse Fluorouracil (5-FU, Wako Pure Chemical Industries, Ltd.) was used as an anticancer agent in the abdominal cavity of ICR mice (10 weeks old, male) (Japan SLC). Each was administered at 50 mg / kg. Then, the first administration day of the anticancer agent was taken as
抗がん剤の3回目の投与日の翌日(試験の5日目)に、潰瘍を人工的に発症させるために、酢酸溶液(20%、3.16mol/L)を15μLで、マウスの口腔粘膜下に投与した。
On the day after the third administration day of the anticancer drug (the fifth day of the study), in order to artificially develop an ulcer, 15 μL of an acetic acid solution (20%, 3.16 mol / L) was added to the oral cavity of the mouse. Submucosal administration.
(2)各種の製剤の抗潰瘍効果の評価
上記(1)の口腔粘膜炎モデルマウスを用いて、各種の製剤の抗潰瘍効果を評価した。なお、各種の製剤には、本発明の口腔ケア用組成物(オーロラコート、明治社)および市販保湿剤(オーラルバランス、日本ダルム社)を用いた。ここで、市販保湿剤は、口腔乾燥ケアを目的として、米国や日本を中心に一般的に用いられており、この主要な保湿成分は、ポリメタクリルグリセリンである。 (2) Evaluation of anti-ulcer effect of various preparations The anti-ulcer effect of various preparations was evaluated using the oral mucositis model mouse of (1) above. For various preparations, the composition for oral care of the present invention (Aurora Coat, Meiji Co.) and a commercially available moisturizer (Oral Balance, Nippon Darm Co., Ltd.) were used. Here, a commercially available moisturizing agent is generally used mainly in the United States and Japan for the purpose of dry mouth care, and this main moisturizing component is polymethacryl glycerin.
上記(1)の口腔粘膜炎モデルマウスを用いて、各種の製剤の抗潰瘍効果を評価した。なお、各種の製剤には、本発明の口腔ケア用組成物(オーロラコート、明治社)および市販保湿剤(オーラルバランス、日本ダルム社)を用いた。ここで、市販保湿剤は、口腔乾燥ケアを目的として、米国や日本を中心に一般的に用いられており、この主要な保湿成分は、ポリメタクリルグリセリンである。 (2) Evaluation of anti-ulcer effect of various preparations The anti-ulcer effect of various preparations was evaluated using the oral mucositis model mouse of (1) above. For various preparations, the composition for oral care of the present invention (Aurora Coat, Meiji Co.) and a commercially available moisturizer (Oral Balance, Nippon Darm Co., Ltd.) were used. Here, a commercially available moisturizing agent is generally used mainly in the United States and Japan for the purpose of dry mouth care, and this main moisturizing component is polymethacryl glycerin.
ガラスシリンジ付きの経口ゾンデ針(容量;0.25ml、針径;20G、先端ボール(blunt)の直径;2.25mm、長さ;2.5cm、曲線型)(SouthPointe Surgical Supply, Coral Springs, FL, USA社)を用いて、本発明の口腔ケア用組成物または市販保湿剤を30mgずつで、口腔粘膜炎モデルマウスの口腔粘膜に、非麻酔下において、1日に2回(10時および18時)ずつにて投与(塗布)した。このとき、各群のマウス(各種の製剤を投与した口腔粘膜炎モデルマウス)を6匹ずつとした。なお、潰瘍発症の予防効果を評価するために、初回の抗がん剤の投与の7日前(試験の-7日目)から、各種の製剤の塗布を開始し、初回の抗がん剤の投与後の16日目まで継続した。
Oral sonde needle with glass syringe (capacity: 0.25 ml, needle diameter: 20G, diameter of blunt; 2.25 mm, length: 2.5 cm, curvilinear) (SouthPointe Surgical Supply, CoralsSprings, FL , USA Co., Ltd.), 30 mg each of the oral care composition of the present invention or a commercially available moisturizing agent in the oral mucosa of an oral mucositis model mouse under non-anaesthesia twice a day (at 10 o'clock and 18 o'clock) Administration). At this time, there were 6 mice in each group (oral mucositis model mice administered with various preparations). In addition, in order to evaluate the preventive effect of the onset of ulcers, application of various preparations was started 7 days before the first anticancer drug administration (day 7 of the study). Continued until day 16 after administration.
酢酸溶液(20%)の投与日の翌日(試験6日目)から所定の間隔にて、各群のマウスの口腔内に発症した潰瘍面積を求めた(測定日:試験の6、8、11、13、16日目)。ここで、イソフルラン吸入麻酔の麻酔下において、長径と短径を定規で測定し、潰瘍面積を求めた。なお、コントロールとして、各種の製剤を投与しないマウス(無処理群)でも、潰瘍面積を求めた。
The ulcer area developed in the oral cavity of each group of mice was determined at predetermined intervals from the day after the administration day of the acetic acid solution (20%) (study day 6) (measurement date: tests 6, 8, and 11). , 13, 16). Here, under anesthesia with isoflurane inhalation anesthesia, the major axis and minor axis were measured with a ruler to determine the ulcer area. In addition, as a control, the ulcer area was also determined in mice not receiving various preparations (untreated group).
各群と無処理群の潰瘍面積の平均値(平均潰瘍面積)を算出し、各群と無処理群の平均潰瘍面積を比較して、抗潰瘍効果を評価した。具体的には、潰瘍発症期(試験の6~11日目)では、潰瘍発症の抑制効果(潰瘍の予防効果)を評価し、潰瘍修復期(試験の12~16日目)では、潰瘍修復の促進効果(潰瘍の治療効果)を評価した。それぞれの結果を図1および図2に示す。
The average value (average ulcer area) of the ulcer area of each group and the untreated group was calculated, and the average ulcer area of each group and the untreated group was compared to evaluate the anti-ulcer effect. Specifically, in the ulcer onset period (days 6 to 11 of the study), the ulcer onset suppression effect (ulcer prevention effect) was evaluated, and in the ulcer repair stage (day 12 to 16 of the study) The effect of promoting (treatment effect of ulcer) was evaluated. Each result is shown in FIG. 1 and FIG.
図1に示されるように、潰瘍発症期では、無処理群の平均潰瘍面積に比べて、本発明の口腔ケア用組成物の投与群の平均潰瘍面積は小さかった。すなわち、本発明の口腔ケア用組成物には、潰瘍発症の抑制効果(潰瘍の予防効果)があることが確認された。これは、抗がん剤の投与前から、本発明の口腔ケア用組成物を口腔内に塗布すると、抗菌効果がある有効成分のカテキンにより、口腔粘膜上の口腔細菌などの抗菌効果と「抗がん剤に由来する活性酸素」の除去効果の両方の機能が発揮されて、酢酸による潰瘍発症を抑制したと推察される。一方、潰瘍発症期では、無処理群の平均潰瘍面積に比べて、市販保湿剤の投与群の平均潰瘍面積は大きかった。すなわち、市販保湿剤には、潰瘍発症の抑制効果(潰瘍の予防効果)がないことと、むしろ、潰瘍発症の促進効果があることが確認された。これは、抗がん剤の投与前から、市販保湿剤を口腔内に塗布すると、保湿成分(保湿剤)により、口腔粘膜上の口腔細菌などと「抗がん剤に由来する活性酸素」の滞留作用が発揮されて、口腔粘膜の障害を促進したと推察される。
As shown in FIG. 1, in the ulcer onset period, the average ulcer area of the administration group of the oral care composition of the present invention was smaller than the average ulcer area of the untreated group. That is, it was confirmed that the composition for oral care of the present invention has an effect of suppressing the onset of ulcer (preventive effect of ulcer). This is because, when the oral care composition of the present invention is applied to the oral cavity before administration of the anticancer agent, antibacterial effects such as oral bacteria on the oral mucosa are caused by the anti-bacterial active ingredient catechin. It is presumed that both functions of the removal effect of “active oxygen derived from cancer drugs” were exerted, and the onset of ulcer due to acetic acid was suppressed. On the other hand, in the ulcer onset period, the average ulcer area of the group administered with the commercial moisturizer was larger than the average ulcer area of the untreated group. That is, it was confirmed that the commercially available moisturizing agent has no ulcer onset suppression effect (ulcer prevention effect) and rather has an ulcer onset promotion effect. This is because when a commercially available moisturizer is applied to the oral cavity before the administration of the anticancer agent, the moisturizing component (humectant) causes oral bacteria on the oral mucosa and other "active oxygen derived from the anticancer agent" It is inferred that the retention action was exerted and promoted damage to the oral mucosa.
図2に示されるように、潰瘍修復期では、無処理群の平均潰瘍面積に比べて、本発明の口腔ケア用組成物の投与群および市販保湿剤の投与群の平均潰瘍面積は小さかった。すなわち、本発明の口腔ケア用組成物および市販保湿剤には、潰瘍修復の促進効果(潰瘍の治療効果)があることが確認された。
As shown in FIG. 2, in the ulcer repair period, the average ulcer area of the oral care composition administration group and the commercial moisturizing agent administration group of the present invention was smaller than that of the untreated group. That is, it was confirmed that the composition for oral care and the commercially available moisturizing agent of the present invention have an ulcer repair promoting effect (ulcer treatment effect).
さらに、潰瘍発症期、潰瘍修復期、および、これらを合わせた全期間の潰瘍状態(潰瘍の程度)を、潰瘍面積と測定日数の積、すなわち、AUC(曲線下面積)で示し、特定の期間における潰瘍状態を評価した。この結果を図3に示す。
Furthermore, the ulcer onset period, the ulcer repair period, and the ulcer state (the degree of ulcer) of all the combined periods are indicated by the product of the ulcer area and the number of measurement days, that is, AUC (area under the curve). The ulcer status in was evaluated. The result is shown in FIG.
図3に示されるように、潰瘍発症期、潰瘍修復期、および全期間で、無処理群のAUCに比べて、本発明の口腔ケア用組成物の投与群のAUCは小さかった。一方、潰瘍発症期では、無処理群のAUCに比べて、市販保湿剤群のAUCは大きく、潰瘍修復期および全期間では、無処理群のAUCに比べて、市販保湿剤群のAUCは小さかった。
As shown in FIG. 3, the AUC of the oral care composition administration group of the present invention was smaller in the ulcer onset period, the ulcer repair period, and the entire period than in the untreated group AUC. On the other hand, in the ulcer onset period, the AUC of the commercial moisturizer group was larger than the AUC of the untreated group, and the AUC of the commercial moisturizer group was smaller than the AUC of the untreated group in the ulcer repair period and the whole period. It was.
例2: 徐放性の評価試験
本発明の口腔ケア用組成物(オーロラコート、明治社)の徐放性を確認した。ここで、徐放性は、次の手順で評価した。口腔ケア用組成物を12ウェルプレート(ファルコン社)に3mlずつで充填してから、PBSを3mlずつで充填(重層処理)した。重層処理した後の2時間毎(重層処理後の2、4、6、8、10、12時間目)に、上清(PBS)の全量を回収すると共に、上清の全量を回収した後には、新しいPBSを3mlずつで充填(重層処理)した。 Example 2: Evaluation test of sustained release The sustained release of the oral care composition (Aurora Coat, Meiji Co., Ltd.) of the present invention was confirmed. Here, the sustained release property was evaluated by the following procedure. The oral care composition was filled in 3 ml each in a 12-well plate (Falcon), and then filled in 3 ml PBS (multilayer treatment). After collecting the whole amount of the supernatant (PBS) every 2 hours after the stratification treatment (2, 4, 6, 8, 10, 12 hours after the stratification treatment) and after collecting the whole amount of the supernatant, Then, 3 ml of fresh PBS was filled (layered treatment).
本発明の口腔ケア用組成物(オーロラコート、明治社)の徐放性を確認した。ここで、徐放性は、次の手順で評価した。口腔ケア用組成物を12ウェルプレート(ファルコン社)に3mlずつで充填してから、PBSを3mlずつで充填(重層処理)した。重層処理した後の2時間毎(重層処理後の2、4、6、8、10、12時間目)に、上清(PBS)の全量を回収すると共に、上清の全量を回収した後には、新しいPBSを3mlずつで充填(重層処理)した。 Example 2: Evaluation test of sustained release The sustained release of the oral care composition (Aurora Coat, Meiji Co., Ltd.) of the present invention was confirmed. Here, the sustained release property was evaluated by the following procedure. The oral care composition was filled in 3 ml each in a 12-well plate (Falcon), and then filled in 3 ml PBS (multilayer treatment). After collecting the whole amount of the supernatant (PBS) every 2 hours after the stratification treatment (2, 4, 6, 8, 10, 12 hours after the stratification treatment) and after collecting the whole amount of the supernatant, Then, 3 ml of fresh PBS was filled (layered treatment).
重層処理後の各時間の上清を、水で10倍に希釈してから、HPLC[機器:CBM-20A、LC-30AD-2台(ポンプ)、SIL-30AC(オートインジェクタ)、CTO-20AC(カラムオーブン)、SPD-M20A(検出器)、島津製作所]を用いて、カテキン濃度を測定した。この結果を図4に示す。なお、カテキン濃度の測定では、エピガロカテキンガレート(EGCg)(標準液:1、2、10mg/L)をスタンダードとした。また、HPLCの分析条件は、次の通りである。
The supernatant of each time after the stratification treatment was diluted 10-fold with water, and then HPLC [instrument: CBM-20A, LC-30AD-2 (pump), SIL-30AC (autoinjector), CTO-20AC (Column oven), SPD-M20A (detector), Shimadzu Corporation] was used to measure the catechin concentration. The result is shown in FIG. In the measurement of the catechin concentration, epigallocatechin gallate (EGCg) (standard solution: 1, 2, 10 mg / L) was used as a standard. The HPLC analysis conditions are as follows.
図4に示されるように、重層処理後の2時間では、本発明の口腔ケア用組成物の単位時間(1時間)あたりのカテキンの放出濃度は、平均値で27.1μg/cm2/hであり、重層処理後の12時間(積算)では、本発明の口腔ケア用組成物の単位時間(1時間)あたりのカテキン放出濃度は、平均値で2.5μg/cm2/hであった。このように、本発明の口腔ケア用組成物では、カテキンが少量(低濃度)であっても、カテキンが長時間に亘って徐々に放出されるので、抗菌効果が効率的に発揮されながら、カテキンによる刺激や苦味が抑えられていて、嗜好的に無理なく継続できる点で有用である。
As shown in FIG. 4, the catechin release concentration per unit time (1 hour) of the oral care composition of the present invention was 27.1 μg / cm 2 / h on average in 2 hours after the multi-layer treatment. The catechin release concentration per unit time (1 hour) of the oral care composition of the present invention was 2.5 μg / cm 2 / h on average in 12 hours (integration) after the multi-layer treatment. . Thus, in the composition for oral care of the present invention, even if the catechin is a small amount (low concentration), since the catechin is gradually released over a long period of time, the antibacterial effect is effectively exhibited, It is useful in that irritation and bitterness caused by catechin are suppressed, and it can be continued comfortably.
Claims (9)
- 茶抽出物、増粘多糖類および保湿剤を含んでなる、がん患者のための口腔ケア用組成物。 Oral care composition for cancer patients, comprising tea extract, thickening polysaccharide and moisturizer.
- 手術療法、放射線療法および化学療法から選択される少なくとも一つの治療を受ける、がん患者の口腔合併症を予防、治療、改善、軽減および/または緩和するための、請求項1に記載の口腔ケア用組成物。 The oral care according to claim 1, for preventing, treating, ameliorating, reducing and / or alleviating oral complications of cancer patients who receive at least one treatment selected from surgical therapy, radiation therapy and chemotherapy. Composition.
- 口腔合併症が、放射線療法または化学療法によって生じたものである、請求項2に記載の口腔ケア用組成物。 The composition for oral care according to claim 2, wherein the oral complication is caused by radiation therapy or chemotherapy.
- 口腔合併症が、口腔粘膜炎である、請求項2または3に記載の口腔ケア用組成物。 The composition for oral care according to claim 2 or 3, wherein the oral complication is oral mucositis.
- 放射線療法または化学療法を実施する前から、単位時間あたり口腔内の茶カテキン濃度が1~100μg/cm2となるように使用される、請求項3または4に記載の口腔ケア用組成物。 The composition for oral care according to claim 3 or 4, which is used so that the concentration of tea catechin in the oral cavity becomes 1 to 100 µg / cm 2 per unit time before radiation therapy or chemotherapy is performed.
- 口腔ケア用組成物に対する茶抽出物に含まれるカテキンの濃度が0.05~1重量%である、請求項1~5のいずれか一項に記載の口腔ケア用組成物。 The oral care composition according to any one of claims 1 to 5, wherein the concentration of catechin contained in the tea extract relative to the oral care composition is 0.05 to 1% by weight.
- 増粘多糖類が、キサンタンガムである、請求項1~6のいずれか一項に記載の口腔ケア用組成物。 The oral care composition according to any one of claims 1 to 6, wherein the thickening polysaccharide is xanthan gum.
- 保湿剤が、グリセリンまたはプロピレングリコールである、請求項1~7に記載の口腔ケア用組成物。 The composition for oral care according to any one of claims 1 to 7, wherein the humectant is glycerin or propylene glycol.
- ジェル、液体、クリームまたは軟膏の形態である、請求項1~8のいずれか一項に記載の口腔ケア組成物。 The oral care composition according to any one of claims 1 to 8, which is in the form of a gel, liquid, cream or ointment.
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WO2022224464A1 (en) * | 2021-04-21 | 2022-10-27 | 順也 藤森 | Phytochemical composition |
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