WO2017124640A1 - Alendronate sodium powder inhalation used for respiratory drug deliver and application thereof - Google Patents

Alendronate sodium powder inhalation used for respiratory drug deliver and application thereof Download PDF

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WO2017124640A1
WO2017124640A1 PCT/CN2016/078257 CN2016078257W WO2017124640A1 WO 2017124640 A1 WO2017124640 A1 WO 2017124640A1 CN 2016078257 W CN2016078257 W CN 2016078257W WO 2017124640 A1 WO2017124640 A1 WO 2017124640A1
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alendronate sodium
alendronate
powder
salbutamol
sodium powder
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PCT/CN2016/078257
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French (fr)
Chinese (zh)
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陈燃
陆泉
张婕
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杭州旦杰医学科技有限公司
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/0012Galenical forms characterised by the site of application
    • A61K9/007Pulmonary tract; Aromatherapy
    • A61K9/0073Sprays or powders for inhalation; Aerolised or nebulised preparations generated by other means than thermal energy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/66Phosphorus compounds
    • A61K31/662Phosphorus acids or esters thereof having P—C bonds, e.g. foscarnet, trichlorfon
    • A61K31/663Compounds having two or more phosphorus acid groups or esters thereof, e.g. clodronic acid, pamidronic acid
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/14Particulate form, e.g. powders, Processes for size reducing of pure drugs or the resulting products, Pure drug nanoparticles

Definitions

  • the invention belongs to the field of pharmacy and preparation, and relates to an alendronate sodium powder for respiratory administration, a preparation method thereof and a use thereof, in particular, alen which mainly exerts pharmacodynamic effects after being inhaled mainly in the respiratory tract after inhalation.
  • Sodium phosphonate powder Sodium phosphonate powder.
  • Sodium Alendronate is a small molecule compound with a molecular weight of 249.97 and is structurally similar to the sodium aminophosphate pyrophosphate.
  • the existing dosage form is oral for tablets, and the main effect is to inhibit bone resorption, and is used for treating and preventing osteoporosis in postmenopausal women.
  • the pharmacological mechanism of its action is based on the affinity of alendronate and bone hydroxyapatite crystals to selectively inhibit osteoclast resorption in the bone reforming cycle.
  • the clinical dose is about 0.2 mg/kg (10 mg/day) orally.
  • Oral alendronate tablets form a stimulating alendronate under the action of gastric acid, which may cause gastrointestinal discomfort, may also cause stomach and esophageal damage and ulcers; even lead to esophageal cancer, therefore, presenting the gastrointestinal Patients with tract problems or esophageal disorders such as sputum sputum should not take alendronate tablets.
  • the local absorption of alendronate is better: subcutaneous and intramuscular injection can be performed.
  • Chronic obstructive pulmonary disease (“slow obstructive pulmonary disease” or “COPD”) is a chronic lung disease characterized by incomplete reversible airflow limitation. It is often clinically characterized by recurrent cough, cough, and difficulty breathing. Symptoms, usually characterized by progressive progression, include most chronic bronchitis and emphysema. As the disease progresses, the airway remodels, eventually developing into irreversible airflow obstruction, or coexisting with asthma. Asthma (full name: bronchial asthma) is a chronic respiratory disease, usually caused by airway inflammation, divided into acute bronchoconstriction, leading to repeated attacks of wheezing, chest tightness, difficulty breathing, and cough. COPD and asthma pose a serious threat to public health on a global scale. There are currently 210 million COPD patients and approximately 300 million asthma patients worldwide.
  • 2-2-receptor agonists are currently the most effective bronchodilators, which can quickly relieve bronchospasm and clinical symptoms, and are the treatment of choice for all ages of COPD and asthma.
  • long-term (1 to 2 weeks or longer) use of a ⁇ 2 receptor agonist can lead to a decrease in drug tolerance and even loss of efficacy.
  • the clinical use of ⁇ 2 receptor agonists has been limited due to the problem of tolerance, and is currently mainly used as a relief drug, either as needed, or in combination with glucocorticoids.
  • Glucocorticoids are currently the most commonly used control drugs (ie, drugs used every day), but glucocorticoids do not cure asthma and require long-term use, which can cause many adverse reactions to patients.
  • alendronate has anti-inflammatory effects on asthma and COPD mice by mouse experiments.
  • these effects are directly added to the culture medium by cell culture or oral administration, and there is no test or direct administration through the respiratory tract. Because the characteristics of alendronate sodium after blood entry are quickly excreted mostly through the kidneys, a small part of it is deposited in the bones, so that the efficiency of inhaling into the bloodstream through absorption into the blood is very low, and the side effects such as kidney toxicity are increased. The risk of such small particle size alendronate micropowder and its powder is not ideal for COPD or asthma medication.
  • the present invention provides a preparation of an alendronate sodium powder spray, which can improve the local utilization rate in the respiratory tract while reducing intra-alveolar inhalation to reduce blood volume and avoid causing Side effects on the body system.
  • the present invention provides an alendronate sodium powder for respiratory administration, wherein the alendronate sodium powder has a single alendronate sodium micropowder and contains no excipients.
  • the alendronate sodium powder is prepared by directly pulverizing the alendronate sodium raw material.
  • the present invention contemplates the preparation and use of a larger particle size of alendronate sodium powder, which has not been reported in the prior literature.
  • the powder loading amount of the powder is large, and the production process is relatively simple.
  • the particle size distribution, solubility, bulk density, angle of repose, atomization performance and moisture absorption of the powder must be considered in order to achieve curative effect.
  • the conventionally used powder is intended to enter the alveoli and then enter the bloodstream, and the powder from the mouth to the lungs passes through a relatively long moist respiratory tract such as the trachea and bronchi, while particles with a particle size of 5 ⁇ m or more are easily deposited in the respiratory tract.
  • the particle size (d90) generally needs to be controlled below 5 ⁇ m, and often need to use water-soluble, irritating, biocompatible excipients to facilitate drug diffusion into the alveoli, reduce and avoid in the respiratory tract The deposition in the middle.
  • excipients such as surfactants, may cause damage to the lungs when used for a long time.
  • the powder with moderate particle size (5 ⁇ 20 ⁇ m) can be directly deposited in the trachea, bronchi and bronchioles, which is equivalent to local application in the respiratory tract. It works faster and avoids or mitigates possible system side effects.
  • 5 ⁇ 20 ⁇ m mainly deposited in the trachea, bronchus and bronchioles, ⁇ 2.5 ⁇ m can enter the small bronchi and in the alveolar deposition, the size of the aerosol applied to the trachea, bronchi and bronchioles (d90) Suitable for control in the range of 5 ⁇ 20 ⁇ m.
  • the fine powder particle size distribution of the alendronate sodium powder is d90 ⁇ 20 ⁇ m, and d50 ⁇ 5 ⁇ m, d10 ⁇ 2.5 ⁇ m.
  • the alendronate sodium micropowder is filled into a capsule with a charge of 0.6 mg to 5 mg, and is administered once a day.
  • the invention also provides a preparation method of the above-mentioned alendronate sodium powder aerosol, which is prepared by directly pulverizing alendronate sodium raw material medicine without adding an auxiliary material or a solvent.
  • the pulverization loading amount is 50 g to 1000 g
  • the pulverization pressure is 0.7 MPa
  • the pulverization time is 2.5 h to 3.5 h
  • the pulverization times are 1 time or more.
  • the present invention also provides the use of the above alendronate sodium powder for the preparation of a medicament for treating chronic obstructive pulmonary disease and asthma.
  • the present invention provides the use of the above-described alendronate sodium powder for the treatment of chronic obstructive pulmonary disease in a patient resistant to a ⁇ 2 receptor agonist.
  • the alendronate sodium powder of the invention is prepared by directly pulverizing the main drug of alendronate, and does not need to use or add any auxiliary materials. Compared with the spray drying method reported in the literature, the method not only produces the method.
  • the preparation process is simple, easy to implement, and avoids the side effects that may be caused by the use of excipients and solvents in the spray drying process.
  • the alendronate sodium powder of the present invention mainly deposits in the respiratory tract to directly exert the bronchodilator effect. Due to the larger particle size, the portion that enters the alveoli is smaller, so the amount of blood entering is low, and deposition into other tissues and kidney pressure is avoided.
  • the alendronate sodium powder of the present invention can not only enhance the efficacy of the ⁇ 2 receptor agonist, overcome the problem of tolerance, and can reduce the amount of ⁇ 2 receptor agonist used, reduce and avoid ⁇ 2 Side effects of receptor agonists (mainly in the heart).
  • alendronate has an anti-inflammatory effect, the amount of glucocorticoids can be reduced accordingly, and the side effects of glucocorticoids can also be alleviated.
  • the alendronate sodium powder of the present invention contains a small amount of a component having a small particle size and capable of entering the alveolar absorption, and this part of the alendronate which is absorbed into the blood may exert anti-inflammatory and prevent osteoporosis.
  • the alendronate sodium powder of the present invention only needs to control d90 ⁇ 20 ⁇ m, and d50 ⁇ 5 ⁇ m, d10 ⁇ 2.5 ⁇ m, and it is not necessary to exclude the particle size at 2.5 ⁇ m.
  • the alendronate sodium powder of the present invention is expected to develop into a therapeutic drug for COPD and asthma, and is suitable for long-term use in patients with COPD and asthma.
  • Figure 1 is a SEM electron micrograph of an ALE-4 sample.
  • Figure 2 is a SEM electron micrograph of an ALE-6 sample.
  • Figure 3 is a high performance liquid chromatogram of alendronate sodium micropowder.
  • Figure 4 is a H&E staining diagram of rat lung tissue.
  • Figure 5 is a graph showing the relative parameter changes of specific airway resistance after inhalation of a gradient concentration of salbutamol in each rat.
  • Figure 6 is a graph showing the relative parameter changes of specific airway resistance after inhalation of a gradient concentration of alendronate in each rat.
  • Figure 7 is a graph showing the reactivity of four normal rats to salbutamol on day 0.
  • Figure 8 is a graph showing the reactivity of four COPD rats to salbutamol on day 0.
  • Figure 9 is a graph showing the mean response to salbutamol on Day 0 in four normal and four COPD rats.
  • Figure 10 is a graph showing the reactivity of salbutamol in four normal groups of rats after 21 days of salbutamol tolerance induction.
  • Figure 11 is a graph showing the reactivity of salbutamol in four COPD rats after 21 days of salbutamol tolerance induction.
  • Figure 12 is a graph comparing the mean values of salbutamol reactivity in 4 normal groups and 4 COPD rats after 21 days of salbutamol tolerance induction.
  • Figure 13 is a graph comparing the mean values of salbutamol reactivity in 4 COPD rats before and after salbutamol tolerance induction.
  • Figure 14 is a graph showing the reactivity of four normal rats to alendronate after 21 days of salbutamol tolerance induction.
  • Figure 15 is a graph of response to alendronate in 4 COPD rats after 21 days of salbutamol tolerance induction.
  • Figure 16 is a graph showing the mean response to alendronate in four COPD rats after 21 days of salbutamol tolerance induction.
  • Figure 17 is a graph comparing the mean values of reactivity of albendronate to four normal rats and four COPD rats before and after salbutamol tolerance induction.
  • An embodiment of the present invention provides an alendronate sodium powder for respiratory administration, which comprises a single alendronate sodium micropowder and contains no excipients.
  • the purity of alendronate sodium in the alendronate sodium powder or the alendronate sodium drug substance used in the embodiment of the invention is ⁇ 98%.
  • the particle size distribution of the alendronate sodium aerosol satisfies the following conditions: d90 ⁇ 20 ⁇ m, d50 ⁇ 5 ⁇ m, and d10 ⁇ 2.5 ⁇ m.
  • d90, d50 and d10 represent a particle size distribution.
  • the meaning of d90 is: the particle diameter corresponding to a cumulative particle size distribution of a sample of 90%, and its physical meaning is that the particle diameter is smaller than the value (20 ⁇ m). The particles account for 90%.
  • the alendronate sodium powder is prepared by directly pulverizing the alendronate sodium drug substance.
  • the alendronate sodium powder is prepared directly during the preparation of the alendronate sodium bulk drug, that is, the particle size distribution of the powder is obtained directly without a tableting operation.
  • Embodiments of the present invention also provide the use of the alendronate sodium powder of the present invention for the treatment of chronic obstructive pulmonary disease and asthma, and chronic obstructiveness of a patient for resistance to a ⁇ 2 receptor agonist The use of lung disease.
  • the dose is from 0.6 mg to 5 mg per day, and is administered in the form of a capsule.
  • the invention adopts alendronate sodium raw material medicine which meets the national standard as a raw material, is prepared by mechanical pulverization method, and is not used or involved in other auxiliary materials in the production and preparation process of the fine powder.
  • the present invention employs a mechanical pulverization method.
  • Mechanical pulverization is one of the common methods for preparing powders, but it has gradually been replaced by spray drying.
  • the fine powder prepared by the mechanical pulverization method has a larger particle size, 2 to 3 ⁇ m is the pulverization limit of the method, and the shape of the fine powder is irregular; the pulverization can also generate static electricity, and after the micronization of the drug, The higher surface free energy, the particles tend to aggregate, resulting in enhanced viscosity of the drug micropowder, poor fluidity, affecting the redispersion of the drug after release from the micropowder inhaler.
  • the severe pulverization of the mechanical pulverization process may also cause adverse physicochemical properties of the drug.
  • amorphous crystals may be formed on the surface of the fractured crystal.
  • the mechanical pulverization method is advantageous in that the fine powder has a large particle size and irregular shape, which is favorable for local deposition in the respiratory tract; the preparation process is simple, the production cycle is short, and the chance of microbial contamination is very high. Low; since it is not necessary to use an auxiliary material such as a solvent, as long as the pulverization pressure and time are properly controlled, the main drug is not easily deteriorated.
  • this powder is designed for local administration of the respiratory tract. It does not require strong fluidity.
  • the fine particle size is larger and more favorable, and alendronate is a small molecule drug with simple structure, and its physical and chemical properties are relatively stable. It can withstand the processing of mechanical pulverization. Therefore, we choose mechanical pulverization.
  • the pulverization conditions mainly refer to the operating conditions of the tiotropium bromide inhalation powder, and two kinds of pulverizers such as QS100 and AO type were used for the test.
  • the pulverization pressure is controlled at 0.7 MPa, and the single continuous pulverization time does not exceed 3.5 hours. Under the pulverization conditions, alendronate did not deteriorate.
  • the fine powder particle size was measured using a Mastersizer 2000 laser particle size analyzer, and the results are shown in Table 1 below.
  • the particle size distribution is related to the amount of the sample and the number of pulverization under the pulverization conditions in which the pulverization pressure is controlled at 0.7 MPa and the single continuous pulverization time is not more than 3.5 hours.
  • the loading amount of 1000 g and pulverization 3 times or more (3.0 to 3.5 h) can control the particle size D90 to be less than 20 nm (19.58 to 19.59 ⁇ m).
  • the pulverization effect of 3 times and 3 times or more is basically equivalent, so the number of pulverization of 1000 g can be selected 3 times.
  • the particle size D90 can be controlled to about 12 ⁇ m (11.43 to 12.32 ⁇ m).
  • the pulverization and the pulverization particle size reduction were small, indicating that the pulverization effect of one time and one time is basically equivalent under the condition of 1000 g of the sample loading amount, so the number of pulverization of 50 g can be selected once.
  • the particle size of 7 ⁇ 20nm belongs to the range of the respiratory tract (trachea and bronchus). Therefore, these two conditions (1000g sample loading smash 3 times or more, 50g sample loading smash 1 time or more) are consistent.
  • Our requirement. We took ALE-4 and ALE-6 samples as representative samples of the two preparation conditions, respectively, and performed SEM electron microscopy analysis, as shown in Fig. 1 and Fig. 2.
  • 1 is a SEM electron micrograph of an ALE-4 sample
  • FIG. 2 is a SEM electron micrograph of an ALE-6 sample.
  • ALE-4 and ALE-6 we performed two methods for ALE-4 and ALE-6, such as solubility, ninhydrin identification, HPLC identification, molybdenum blue colorimetric determination, microbial contamination and various physical and chemical properties.
  • Solubility 10 mg of each of the experimentally prepared ALE-4 and ALE-6 alendronate sodium powders were weighed and placed in a stoppered tube containing 2 ml of water, and shaken for 1 minute to observe the dissolution. Both powders were completely soluble and the solution was clear, indicating that the solubility was acceptable.
  • Alendronate sodium was determined by pre-column derivatization.
  • the molecular structure of alendronate is relatively simple and lacks corresponding chromophores.
  • the amino group in the alendronate molecule is combined with the FMOC reaction to form a fluorescent group.
  • Solution A acetonitrile
  • Solution B 0.01 M disodium hydrogen phosphate, gradient elution procedure: 0 to 24 Min, 86% A; 24 to 29 min, 30% A; 29 to 30 min, 86% A; column temperature: 35 ° C; Flow rate: 1.0 mL•min-1.
  • Loading volume 1 uL or 2 uL.
  • Fluorescence excitation wavelength 260 nm
  • fluorescence emission wavelength 310 nm.
  • the chromatogram was obtained by eluting with a gradient of 25 mM pyrophosphate of acetonitrile-25 mM citric acid as shown in FIG. Among them 3.5min - The alendronate peak was at 4 min and the Fmoc peak at 13 min-14.5 min. Both ALE-4 and ALE-6 showed alanine sodium peak, and the peak height was comparable to that of the drug substance, indicating that there was no main drug degradation of ALE-4 and ALE-6.
  • ALE-4 and ALE-6 dissolve in water, add water to the 100ml volumetric flask, heat in a 40°C water bath for 20 minutes, shake constantly, let cool to room temperature, dilute with water to the mark, serve as The test solution; another accurately weighed 10 mg of alendronate sodium raw material, placed in a 100 ml volumetric flask, dissolved in water, diluted with water to the mark, shaken, as a reference solution.
  • the bulk density is the density obtained by dividing the mass of the powder by the volume V of the container occupied by the powder.
  • the density measured after a certain regular vibration or tapping is called the tap density ⁇ tap .
  • Porosity refers to the ratio of the volume of voids formed in the matrix to the total volume. After the micronization treatment of the drug, the bulk density and porosity of the drug change greatly, which may cause the density difference between the drug and the auxiliary material, which causes difficulty in mixing uniformity. Therefore, micronized drugs should be tested for bulk density and porosity.
  • the volume measured by filling the powder into the container includes the true volume of the powder, the voids in the particles, the voids between the particles, and the like.
  • the shape and size of the measuring container, the filling speed of the material, and the filling method affect the volume of the powder.
  • the density measured is the loosest bulk density without applying any external force
  • the density measured by applying an external force to make the powder in the tightest filling state is called the tightest packing density.
  • the tap density changes with the number of tapping times, and the tap density measured when the final oscillation volume is constant is the tightest packing density.
  • Angle of repose The angle of repose is measured by taking a small funnel with a diameter of about 6 cm and a diameter of about 0.4 cm. It is fixed on the iron frame, and a white paper is placed under the funnel. The lower end of the funnel and the height of the paper are 4-5cm, slowly pour the powder from the top of the funnel into the funnel. When the powder to be leaked is close to the funnel outlet, measure the height of the cone and the diameter of the lower end of the powder, calculate the tangent of the angle of repose, and further calculate the angle of repose. .
  • the critical relative humidity (CRH) determination method is divided into two steps:
  • the powder forms a uniform smoke, no large particles are present after deposition, indicating that the atomization performance is excellent; if most of the powder is atomized, there is only a small amount of particles at the bottom of the bottle, and the atomization performance is moderate. If most of the powder is not atomized, it is deposited in the form of a block at the bottom of the bottle, indicating poor atomization performance.
  • the used capsule shell was taken out from the inhalation device, accurately weighed (W2), and the residual powder on the inner wall of the capsule was wiped off with a small brush, and the weight of the capsule (W3) was weighed.
  • the calculation method of the residual amount of the capsule contents is: [(W2-W3)/(W1-W3)] ⁇ 100%
  • Humidity effect and capsule wall adhesion test Take alendronate sodium inhalation powder, accurately weighed, set the relative humidity of 75% at room temperature at 25 ° C, take it out after 24 hours, and weigh the capsule again. The powder was then poured out, the change in powder properties was observed, and the residual amount of the powder in the capsule was measured by the above method to understand the adhesion of the capsule wall.
  • the above capsules composed of ALE-4, ALE-6 or ALE-4 mixed with ALE-6 have little difference in properties.
  • the supernatant was removed by 3000 rpm for 5 minutes.
  • the resulting precipitate was dissolved in 1 mL of a 0.2 mol/L sodium acetate buffer solution (pH 4.5).
  • Bond Elut-DEA Company Agilent, Cat. No. 12102016
  • bed volume 300 uL
  • the solid phase extraction column was activated with 1 ml of methanol, and the solid phase extraction column was washed twice with 1 ml of pure water.
  • the first spray is calculated as 0.32 mg Rat Lung leaf Weight (g) Grinding volume (mL) ALN concentration (ug/mL) Total amount (mg) % of total drug intake Left one 0.196 0.5 52.6 0.026 8.10% Left two 0.266 0.5 134.5 0.067 20.90% No.1 Right one 0.322 0.5 165.2 0.083 25.90% Right two 0.283 0.5 118.8 0.059 18.40% Right three 0.214 0.5 63.4 0.032 10.00% total 1.281 0.267 83.40% Left one 0.232 0.5 93.3 0.047 14.70% Left two 0.274 0.5 113.6 0.057 17.80% No.2 Right one 0.314 0.5 134.4 0.067 20.90% Right two 0.343 0.5 145.4 0.073 22.80% Right three 0.276 0.5 102.5 0.051 15.90% total 1.439 0.295 92.20% Left one 0.214 0.5 72.95 0.036 11.30% Left two 0.27 0.5 124.05 0.062 19.40% average Right one
  • Alendronate sodium aerosol (ALN) non-clinical pharmacodynamics study (pharmacodynamic animal experiment)
  • the sampling situation is as follows:
  • Two normal rats (348g ⁇ 5%) were selected, male and female, and two model rats, male and female.
  • the respiratory condition of the rats was measured using a breath meter.
  • the small drug copy was made by using hard alloy foil, and it was used for lung administration.
  • the fixed capacity of the drug was 1.3 mm 3 .
  • the alendronate sodium powder powder was continuously taken 10 times, dissolved in 1 mL of 0.2 M citrate buffer, and the content of alendronate in the solution was determined by HPLC. The results are shown in Table 5:
  • the rat lung mist applicator In order to dose the powder of the micro-drug to the rat, the rat lung mist applicator must be calibrated to mainly calibrate the dose of the first spray.
  • the dose of the first spray of the rat lung powder mist administration kit is 0.32 ⁇ 0.12 mg. Rat lung administration will be carried out based on this.
  • COPD rats S+E: smoking + elastase modeling
  • aerosol inhalation 0, 0.125 Mg/ml, 0.25 mg/ml, 0.5 mg/ml, 1 mg/ml, 2 mg/ml salbutamol-physiological saline solution, and respiratory parameters such as airway resistance were measured using a Buxco animal respiratory monitoring system.
  • the measurement time was 5 minutes after the aerosol administration, and 150 to 250 respiratory cycles were measured.
  • Rat grouping Take SE (smoking + Elastase) Four COPD rats modeled by the method (ear label: S-1 (#53), S-2 (#52), S-3 (#51), S-4 (#74)) As an experimental group, all were female. Another 4 normal rats of the same age (early number control-1 (#70), control-2 (#71), control-3) (#72), control-4 (#73), female, as a control.
  • Salbutamol sulfate aerosol (Vantolin, GlaxoSmithKline, 200 spray / bottle, 50ug / spray), salbutamol original drug, alendronate sodium powder spray.
  • the reactivity of four normal rats to salbutamol on day 0 is shown in Figure 7.
  • the reactivity of four COPD rats to salbutamol on day 0 is shown in Figure 8.
  • the reactivity (mean) of salbutamol on day 0 of the four normal and four COPD rats is shown in FIG.
  • alendronate sodium raw material drug produced by Shaanxi Hanjiang Pharmaceutical Group Co., Ltd.
  • the pulverization conditions were a crushing pressure of 0.7 MPa, and the mixture was pulverized 4 times for 3 hours to obtain a fine powder of alendronate.
  • the alendronate content was determined and dispensed in hard capsules at 6 mg/capsule.
  • Laser particle size measurement results Malvern, UK The Instrument Co. laser granulometer was used to determine the particle size of the capsule contents of different batches. As a result, the percentage of the sample having a particle size of less than 20 ⁇ m was greater than 90%, and the percentage of the portion having a particle size of less than 5 ⁇ m was less than 50%.
  • the powder content of the capsule was observed by electron microscopy. Under the 10000-times SEM electron microscope, the powder was a single fine particle, no adhesion, no agglomerate, and good dispersion, and was an irregular three-dimensional structure.
  • the raw material of alendronate sodium before pulverization and the powder after pulverization were determined by molybdenum blue colorimetry.
  • the method is to take 8 mg of the raw material medicine or powder, and prepare a solution having a concentration of alendronate sodium equivalent to 0.08 mg/ml, and measure the absorbance of the corresponding wavelength according to the analysis method.
  • the absorbance of the powder after pulverization (0.071 ⁇ 0.007) was comparable to that of the raw material before pulverization (0.067 ⁇ 0.006), and it was found that the content of alendronate did not change significantly.
  • alendronate sodium raw material produced by Shaanxi Hanjiang Pharmaceutical Group Co., Ltd.
  • the pulverization conditions were a crushing pressure of 0.7 MPa, 2.5 hours, and pulverization twice.
  • a fine powder of alendronate is obtained.
  • the alendronate content was determined and dispensed in hard capsules at 2 mg/capsule.
  • the powder content of the capsule was observed by electron microscopy. Under the 10000-times SEM electron microscope, the powder was a single fine particle, no adhesion, no agglomerate, and good dispersion, and was an irregular three-dimensional structure.
  • the results of the rat COPD model showed that the dose of alendronate sodium aerosol inhaler was 0.6 ⁇ 5.0 mg, once a day, can improve the respiratory function of COPD rats ⁇ 40%, better than the effect of salbutamol sulfate ( ⁇ 20%) .
  • the continuous application of the alendronate sodium powder of the present invention for 3 weeks still improves the respiratory function of COPD rats by ⁇ 30%, indicating that there is no drug resistance problem.

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Abstract

Alendronate sodium powder inhalation used for respiratory drug delivery and application thereof. The alendronate sodium powder inhalation contains single-component alendronate sodium micro powder, without containing auxiliaries. The alendronate sodium powder inhalation can improve the breathing function of a rat with COPD by about 40%, better than the effect of salbutamol sulfate in a conventional dosage, and can overcome the drug resistance problem of salbutamol sulfate and other beta2 receptors.

Description

用于呼吸道给药的阿仑膦酸钠粉雾剂及其用途Alendronate sodium powder for respiratory administration and use thereof
本发明属于药物学和制剂学领域,涉及一种用于呼吸道给药的阿仑膦酸钠粉雾剂及其制备方法和用途,尤其是吸入后主要沉积在呼吸道中直接发挥药效的阿仑膦酸钠粉雾剂。The invention belongs to the field of pharmacy and preparation, and relates to an alendronate sodium powder for respiratory administration, a preparation method thereof and a use thereof, in particular, alen which mainly exerts pharmacodynamic effects after being inhaled mainly in the respiratory tract after inhalation. Sodium phosphonate powder.
阿仑膦酸钠(sodium Alendronate)是一种小分子化合药物,分子量249.97,结构上类似于胺基焦磷酸钠盐。现有剂型为片剂口服,主要功效是阻碍骨质再吸收,用于治疗和预防停经后妇女的骨质疏松症。其作用的药理机制是基于阿仑膦酸钠与骨羟基磷灰石晶体的亲合,在骨重整循环中选择性地抑制破骨重吸收。1995年美国FDA批准阿仑膦酸钠片口服治疗佩吉特氏病和妇女停经后骨质疏松症。临床剂量是口服约0.2mg/kg(10mg/日)。口服阿仑膦酸钠片在胃酸作用下,形成具有刺激性的阿仑膦酸,会造成胃肠道不适,还可能造成胃部和食管损伤和溃疡;甚至导致食管癌,因此,呈现胃肠道问题或者食道紊乱如贲门痉挛的病人,不能服用阿仑膦酸钠片。在大鼠实验观察到阿仑膦酸钠的高入血如静脉注射阿仑膦酸钠,有造成肾脏毒性的风险,并导致阿仑膦酸钠在非钙化的组织中积累。阿仑膦酸钠的局部吸收较好:可以施行皮下和肌肉注射。Sodium Alendronate is a small molecule compound with a molecular weight of 249.97 and is structurally similar to the sodium aminophosphate pyrophosphate. The existing dosage form is oral for tablets, and the main effect is to inhibit bone resorption, and is used for treating and preventing osteoporosis in postmenopausal women. The pharmacological mechanism of its action is based on the affinity of alendronate and bone hydroxyapatite crystals to selectively inhibit osteoclast resorption in the bone reforming cycle. In 1995, the US FDA approved alendronate tablets for oral treatment of Paget's disease and postmenopausal osteoporosis in women. The clinical dose is about 0.2 mg/kg (10 mg/day) orally. Oral alendronate tablets form a stimulating alendronate under the action of gastric acid, which may cause gastrointestinal discomfort, may also cause stomach and esophageal damage and ulcers; even lead to esophageal cancer, therefore, presenting the gastrointestinal Patients with tract problems or esophageal disorders such as sputum sputum should not take alendronate tablets. High blood entry into alendronate, such as intravenous alendronate, was observed in rats and poses a risk of kidney toxicity and leads to accumulation of alendronate in non-calcified tissue. The local absorption of alendronate is better: subcutaneous and intramuscular injection can be performed.
慢性阻塞性肺疾病(简称“慢阻肺”或“COPD”),是以不完全可逆的气流受限为特征的慢性肺部疾病,临床上常表现为反复发作的咳嗽、咳痰、呼吸困难等症状,通常呈现出进行性进展的特点,包括了绝大部分慢性支气管炎和肺气肿。随着疾病发展,导致气道重构,最终发展为不可逆性气流阻塞,或与哮喘重叠共存发生。哮喘(全称:支气管哮喘)是一种慢性呼吸道疾患,一般是由气道炎症引起的气流受限分为急性支气管狭窄,导致喘鸣、胸闷、呼吸困难、咳嗽的反复发作。COPD和哮喘在全球范围内严重威胁着公众的健康。目前全球已有2.1亿COPD 患者和约3亿哮喘患者。Chronic obstructive pulmonary disease ("slow obstructive pulmonary disease" or "COPD") is a chronic lung disease characterized by incomplete reversible airflow limitation. It is often clinically characterized by recurrent cough, cough, and difficulty breathing. Symptoms, usually characterized by progressive progression, include most chronic bronchitis and emphysema. As the disease progresses, the airway remodels, eventually developing into irreversible airflow obstruction, or coexisting with asthma. Asthma (full name: bronchial asthma) is a chronic respiratory disease, usually caused by airway inflammation, divided into acute bronchoconstriction, leading to repeated attacks of wheezing, chest tightness, difficulty breathing, and cough. COPD and asthma pose a serious threat to public health on a global scale. There are currently 210 million COPD patients and approximately 300 million asthma patients worldwide.
β2-受体激动剂(包括沙丁胺醇Salbutamol、沙美特罗Salmeterol等)是目前最有效的支气管舒张剂,能迅速解除支气管痉挛和临床症状,是所有年龄COPD和哮喘的首选治疗药物。然而,长期(1~2周或更长时间)使用β2受体激动剂会导致药物耐受而减弱乃至失去疗效。由于存在耐受问题,β2受体激动剂在临床上的使用受到了限制,目前主要作为缓解药物,即根据需要临时施用,或者与糖皮质激素联用。糖皮质激素是目前的最常用的控制药物(即每天都使用的药物),但是糖皮质激素不能治愈哮喘,需长期大量使用,会对患者造成很多不良反应。2-2-receptor agonists (including salbutamol, salmeterol, salmeterol, etc.) are currently the most effective bronchodilators, which can quickly relieve bronchospasm and clinical symptoms, and are the treatment of choice for all ages of COPD and asthma. However, long-term (1 to 2 weeks or longer) use of a β2 receptor agonist can lead to a decrease in drug tolerance and even loss of efficacy. The clinical use of β2 receptor agonists has been limited due to the problem of tolerance, and is currently mainly used as a relief drug, either as needed, or in combination with glucocorticoids. Glucocorticoids are currently the most commonly used control drugs (ie, drugs used every day), but glucocorticoids do not cure asthma and require long-term use, which can cause many adverse reactions to patients.
日本Sasaki等和Ueno等分别通过小鼠实验验证阿仑膦酸钠对哮喘和COPD小鼠有抗炎作用。但是,这些功效是通过细胞培养直接添加到培养液或口服方式,没有测试也没有建议通过呼吸道直接给药。由于阿仑膦酸钠入血后的特性是很快大部分通过肾脏排泄,少部分沉积在骨骼中,这样通过吸收入血间接到呼吸道发挥功效的效率很低,而且加大了肾脏毒性等副作用的风险,这样粒度小的阿仑膦酸钠微粉及其粉雾剂不是理想的COPD或哮喘用药。Japanese Sasaki et al. and Ueno et al. respectively verified that alendronate has anti-inflammatory effects on asthma and COPD mice by mouse experiments. However, these effects are directly added to the culture medium by cell culture or oral administration, and there is no test or direct administration through the respiratory tract. Because the characteristics of alendronate sodium after blood entry are quickly excreted mostly through the kidneys, a small part of it is deposited in the bones, so that the efficiency of inhaling into the bloodstream through absorption into the blood is very low, and the side effects such as kidney toxicity are increased. The risk of such small particle size alendronate micropowder and its powder is not ideal for COPD or asthma medication.
本发明为了克服现有技术的至少一个不足,提供一种制备一种阿仑膦酸钠粉雾剂,在提高呼吸道中局部利用率的同时,减少肺泡内吸入,以减少入血量,避免造成对身体系统的副作用。In order to overcome at least one of the deficiencies of the prior art, the present invention provides a preparation of an alendronate sodium powder spray, which can improve the local utilization rate in the respiratory tract while reducing intra-alveolar inhalation to reduce blood volume and avoid causing Side effects on the body system.
本发明提供了一种用于呼吸道给药的阿仑膦酸钠粉雾剂,所述阿仑膦酸钠粉雾剂的成份为单一的阿仑膦酸钠微粉,不含有辅料。The present invention provides an alendronate sodium powder for respiratory administration, wherein the alendronate sodium powder has a single alendronate sodium micropowder and contains no excipients.
进一步,所述阿仑膦酸钠粉雾剂由阿仑膦酸钠原料药直接粉碎制备得到。Further, the alendronate sodium powder is prepared by directly pulverizing the alendronate sodium raw material.
优选的,本发明提出制备和利用粒度较大的阿仑膦酸钠粉雾剂,这在之前的文献中未有报导。肺部吸入给药的剂型中,粉雾剂的载药量大,生产工艺较简单。根据粉雾剂的设计用途,药粉的粒度分布、溶解性、堆密度、休止角、雾化性能、吸湿变化是达到疗效所必须考虑的。常规使用的粉雾剂的给药目标是进入到肺泡然后进入血液,而药粉从口腔到肺部要经过气管、支气管等相当长一段潮湿的呼吸道,而粒度在5μm以上的颗粒很容易沉积在呼吸道中而不能进入肺泡,因此粒度(d90)一般需控制在5μm以下,并且经常需要选用水溶性好、刺激性小、生物相容性好的辅料,以利于药物扩散进入肺泡,减少和避免在呼吸道中的沉积。这些辅料如表面活性剂等,长期使用,可能会对肺部产生损害。我们考虑到COPD和哮喘的主要症状都是气管及支气管阻塞,粒度适中(5~20μm)的药粉可以沉积在气管、支气管及细小支气管直接发挥功效,相当于呼吸道局部施用,比进入肺泡吸收入血功效更快速,并且可以避免或减轻可能的系统副作用。根据颗粒在呼吸道沉积特点:5~20μm主要沉积在气管、支气管和细小支气管,≤2.5μm可以进入细小支气管及在肺泡沉积,气管、支气管及细小支气管局部施用的粉雾剂的粒度(d90)比较适合控制在5~20μm这个范围。Preferably, the present invention contemplates the preparation and use of a larger particle size of alendronate sodium powder, which has not been reported in the prior literature. Among the dosage forms for pulmonary inhalation administration, the powder loading amount of the powder is large, and the production process is relatively simple. According to the design and application of the powder, the particle size distribution, solubility, bulk density, angle of repose, atomization performance and moisture absorption of the powder must be considered in order to achieve curative effect. The conventionally used powder is intended to enter the alveoli and then enter the bloodstream, and the powder from the mouth to the lungs passes through a relatively long moist respiratory tract such as the trachea and bronchi, while particles with a particle size of 5 μm or more are easily deposited in the respiratory tract. Medium and can not enter the alveoli, so the particle size (d90) generally needs to be controlled below 5μm, and often need to use water-soluble, irritating, biocompatible excipients to facilitate drug diffusion into the alveoli, reduce and avoid in the respiratory tract The deposition in the middle. These excipients, such as surfactants, may cause damage to the lungs when used for a long time. We consider that the main symptoms of COPD and asthma are tracheal and bronchial obstruction. The powder with moderate particle size (5~20μm) can be directly deposited in the trachea, bronchi and bronchioles, which is equivalent to local application in the respiratory tract. It works faster and avoids or mitigates possible system side effects. According to the characteristics of granules in the respiratory tract: 5~20μm mainly deposited in the trachea, bronchus and bronchioles, ≤2.5μm can enter the small bronchi and in the alveolar deposition, the size of the aerosol applied to the trachea, bronchi and bronchioles (d90) Suitable for control in the range of 5~20μm.
优选的,所述阿仑膦酸钠微粉的微粉粒度分布为d90≤20μm,且d50≥5μm,d10≤2.5μm。Preferably, the fine powder particle size distribution of the alendronate sodium powder is d90≤20 μm, and d50≥5 μm, d10≤2.5 μm.
进一步,将阿仑膦酸钠微粉以0.6mg~5mg的装药量装入胶囊,每天用药一次。Further, the alendronate sodium micropowder is filled into a capsule with a charge of 0.6 mg to 5 mg, and is administered once a day.
本发明还提供一种上述的阿仑膦酸钠粉雾剂的制备方法,将阿仑膦酸钠原料药直接粉碎制备得到,不添加辅料或溶剂。The invention also provides a preparation method of the above-mentioned alendronate sodium powder aerosol, which is prepared by directly pulverizing alendronate sodium raw material medicine without adding an auxiliary material or a solvent.
进一步,粉碎上样量为50g~1000g,粉碎压力为0.7Mpa,粉碎时间为2.5h~3.5h,粉碎次数为1次或1次以上。Further, the pulverization loading amount is 50 g to 1000 g, the pulverization pressure is 0.7 MPa, the pulverization time is 2.5 h to 3.5 h, and the pulverization times are 1 time or more.
本发明还提供一种上述阿仑膦酸钠粉雾剂在制备治疗慢性阻塞性肺疾病和哮喘药物中的用途。The present invention also provides the use of the above alendronate sodium powder for the preparation of a medicament for treating chronic obstructive pulmonary disease and asthma.
进一步,本发明还提供一种上述阿仑膦酸钠粉雾剂在治疗对β2受体激动剂产生耐药性的患者患有的慢性阻塞性肺疾病中的用途。Further, the present invention provides the use of the above-described alendronate sodium powder for the treatment of chronic obstructive pulmonary disease in a patient resistant to a β2 receptor agonist.
本发明的阿仑膦酸钠粉雾剂,仅由阿仑膦酸钠主药直接粉碎制备而成,不需要利用或添加任何辅料,与文献报道所采用的喷雾干燥法相比,本法不仅生产制备工艺简单,容易实施,而且避免了喷雾干燥法因使用辅料和溶剂而可能的造成的副作用。The alendronate sodium powder of the invention is prepared by directly pulverizing the main drug of alendronate, and does not need to use or add any auxiliary materials. Compared with the spray drying method reported in the literature, the method not only produces the method. The preparation process is simple, easy to implement, and avoids the side effects that may be caused by the use of excipients and solvents in the spray drying process.
本发明的阿仑膦酸钠粉雾剂主要沉积在呼吸道中直接发挥促支气管扩张功效。由于粒度较大,进入肺泡内的部分较小,因此入血量低,避免了沉积到其他组织中和肾脏压力。The alendronate sodium powder of the present invention mainly deposits in the respiratory tract to directly exert the bronchodilator effect. Due to the larger particle size, the portion that enters the alveoli is smaller, so the amount of blood entering is low, and deposition into other tissues and kidney pressure is avoided.
本发明的阿仑膦酸钠粉雾剂,不仅可以增强β2受体激动剂的功效,克服其耐受性的问题,并且,因β2受体激动剂的使用量可以得到降低,减少和避免β2受体激动剂的副作用(主要是心脏方面)。另外,阿仑膦酸钠具有抗炎作用,糖皮质激素的用量可以相应降低,也可以减轻糖皮质激素的副作用。同时,本发明的阿仑膦酸钠粉雾剂包含有少量粒度小的能够进入肺泡吸收的成分,这部分吸收入血的阿仑膦酸钠,有可能发挥抗炎及预防骨质疏松的功效,帮助预防和克服吸入型糖皮质激素的副作用,因此,本发明的阿仑膦酸钠粉雾剂只需要控制d90≤20μm,并且d50≥5μm,d10≤2.5μm,不需要排除粒度在2.5μm以下的部分。从而本发明的阿仑膦酸钠粉雾剂有望发展成为COPD和哮喘治疗药物,适合COPD和哮喘患者长期使用。The alendronate sodium powder of the present invention can not only enhance the efficacy of the β2 receptor agonist, overcome the problem of tolerance, and can reduce the amount of β2 receptor agonist used, reduce and avoid β2 Side effects of receptor agonists (mainly in the heart). In addition, alendronate has an anti-inflammatory effect, the amount of glucocorticoids can be reduced accordingly, and the side effects of glucocorticoids can also be alleviated. Meanwhile, the alendronate sodium powder of the present invention contains a small amount of a component having a small particle size and capable of entering the alveolar absorption, and this part of the alendronate which is absorbed into the blood may exert anti-inflammatory and prevent osteoporosis. To help prevent and overcome the side effects of inhaled glucocorticoids, therefore, the alendronate sodium powder of the present invention only needs to control d90 ≤ 20 μm, and d50 ≥ 5 μm, d10 ≤ 2.5 μm, and it is not necessary to exclude the particle size at 2.5 μm. The following sections. Therefore, the alendronate sodium powder of the present invention is expected to develop into a therapeutic drug for COPD and asthma, and is suitable for long-term use in patients with COPD and asthma.
图1是ALE-4样品的SEM电镜图。Figure 1 is a SEM electron micrograph of an ALE-4 sample.
图2是ALE-6样品的SEM电镜图。Figure 2 is a SEM electron micrograph of an ALE-6 sample.
图3是阿仑膦酸钠微粉的高效液相色谱图。Figure 3 is a high performance liquid chromatogram of alendronate sodium micropowder.
图4是大鼠肺组织H&E染色图。Figure 4 is a H&E staining diagram of rat lung tissue.
图5是各只大鼠吸入梯度浓度沙丁胺醇后特殊气道阻力的相对参数改变图。Figure 5 is a graph showing the relative parameter changes of specific airway resistance after inhalation of a gradient concentration of salbutamol in each rat.
图6是各只大鼠吸入梯度浓度阿仑膦酸钠后特殊气道阻力的相对参数改变图。Figure 6 is a graph showing the relative parameter changes of specific airway resistance after inhalation of a gradient concentration of alendronate in each rat.
图7是四只正常大鼠在第0天对沙丁胺醇的反应性图。Figure 7 is a graph showing the reactivity of four normal rats to salbutamol on day 0.
图8是四只COPD大鼠在第0天对沙丁胺醇的反应性图。Figure 8 is a graph showing the reactivity of four COPD rats to salbutamol on day 0.
图9是四只正常组和四只COPD组大鼠在第0天对沙丁胺醇的反应性均值图。Figure 9 is a graph showing the mean response to salbutamol on Day 0 in four normal and four COPD rats.
图10是沙丁胺醇耐受诱导21天后,4只正常组大鼠对沙丁胺醇的反应性图。Figure 10 is a graph showing the reactivity of salbutamol in four normal groups of rats after 21 days of salbutamol tolerance induction.
图11是沙丁胺醇耐受诱导21天后, 4只COPD组大鼠对沙丁胺醇的反应性图。Figure 11 is a graph showing the reactivity of salbutamol in four COPD rats after 21 days of salbutamol tolerance induction.
图12是沙丁胺醇耐受诱导21天后, 4只正常组和4只COPD组大鼠对沙丁胺醇的反应性的均值比较图。Figure 12 is a graph comparing the mean values of salbutamol reactivity in 4 normal groups and 4 COPD rats after 21 days of salbutamol tolerance induction.
图13是沙丁胺醇耐受诱导前、后, 4只COPD组大鼠对沙丁胺醇的反应性的均值比较图。Figure 13 is a graph comparing the mean values of salbutamol reactivity in 4 COPD rats before and after salbutamol tolerance induction.
图14是沙丁胺醇耐受诱导21天后, 4只正常组大鼠对阿仑膦酸钠的反应性图22。Figure 14 is a graph showing the reactivity of four normal rats to alendronate after 21 days of salbutamol tolerance induction.
图15是沙丁胺醇耐受诱导21天后, 4只COPD组大鼠对阿仑膦酸钠的反应图。Figure 15 is a graph of response to alendronate in 4 COPD rats after 21 days of salbutamol tolerance induction.
图16是沙丁胺醇耐受诱导21天后, 4只COPD组大鼠对阿仑膦酸钠的反应性均值图。Figure 16 is a graph showing the mean response to alendronate in four COPD rats after 21 days of salbutamol tolerance induction.
图17是沙丁胺醇耐受诱导前、后, 4只正常大鼠和4只COPD组大鼠对阿仑膦酸钠的反应性的均值比较图。Figure 17 is a graph comparing the mean values of reactivity of albendronate to four normal rats and four COPD rats before and after salbutamol tolerance induction.
为让本发明的上述和其它目的、特征和优点能更明显易懂,下文特举较佳实施例,并配合附图,作详细说明如下。The above and other objects, features, and advantages of the present invention will become more apparent and understood by the appended claims appended claims
本发明实施方案提供了一种用于呼吸道给药的阿仑膦酸钠粉雾剂,其成份为单一的阿仑膦酸钠微粉,不含有辅料。An embodiment of the present invention provides an alendronate sodium powder for respiratory administration, which comprises a single alendronate sodium micropowder and contains no excipients.
应理解,上述不含有辅料的含义是指在制备本发明的阿仑膦酸钠粉雾剂时不添加任何其他的成分,而对于制备阿仑膦酸钠原料药时含有的杂质不被认为是辅料。It should be understood that the above meaning without the auxiliary material means that no other ingredients are added in the preparation of the alendronate sodium powder of the present invention, and the impurities contained in the preparation of the alendronate sodium raw material are not considered to be Excipients.
优选地,本发明实施方案中使用的阿仑膦酸钠粉雾剂或者阿仑膦酸钠原料药中阿仑膦酸钠的纯度≥98%。Preferably, the purity of alendronate sodium in the alendronate sodium powder or the alendronate sodium drug substance used in the embodiment of the invention is ≥98%.
根据本发明优选实施方案,该阿仑膦酸钠粉雾剂的粒度分布满足以下条件:d90≤20μm,d50≥5μm,且d10≤2.5μm。本说明书中d90,d50和d10表示粒度分布,例如,d90的含义为:一个样品的累计粒度分布数达到90%时所对应的粒径,它的物理意义是粒径小于该数值(20μm)的颗粒占90%。According to a preferred embodiment of the invention, the particle size distribution of the alendronate sodium aerosol satisfies the following conditions: d90 ≤ 20 μm, d50 ≥ 5 μm, and d10 ≤ 2.5 μm. In the present specification, d90, d50 and d10 represent a particle size distribution. For example, the meaning of d90 is: the particle diameter corresponding to a cumulative particle size distribution of a sample of 90%, and its physical meaning is that the particle diameter is smaller than the value (20 μm). The particles account for 90%.
根据本发明的一个实施方案,该阿仑膦酸钠粉雾剂通过将阿仑膦酸钠原料药直接粉碎制备得到。根据另一实施方案,该阿仑膦酸钠粉雾剂通过在制备阿仑膦酸钠原料药过程中直接制得,也就是说,不经过压片操作,直接获得粒度分布的粉雾剂。According to one embodiment of the invention, the alendronate sodium powder is prepared by directly pulverizing the alendronate sodium drug substance. According to another embodiment, the alendronate sodium powder is prepared directly during the preparation of the alendronate sodium bulk drug, that is, the particle size distribution of the powder is obtained directly without a tableting operation.
本发明实施方案还提供了本发明的阿仑膦酸钠粉雾剂用于治疗慢性阻塞性肺疾病和哮喘的用途,以及用于对β2受体激动剂具有耐药性的患者的慢性阻塞性肺疾病的用途。Embodiments of the present invention also provide the use of the alendronate sodium powder of the present invention for the treatment of chronic obstructive pulmonary disease and asthma, and chronic obstructiveness of a patient for resistance to a β2 receptor agonist The use of lung disease.
根据优选实施方案,用于治疗慢性阻塞性肺疾病和哮喘时,用药量为0.6mg~5mg每天,且以胶囊的形式给药。According to a preferred embodiment, for the treatment of chronic obstructive pulmonary disease and asthma, the dose is from 0.6 mg to 5 mg per day, and is administered in the form of a capsule.
1.配方Formula
本发明采用符合国家标准的阿仑膦酸钠原料药为原料,用机械粉碎法进行生产制备,在微粉的生产制备过程中不使用或涉及其他辅料。The invention adopts alendronate sodium raw material medicine which meets the national standard as a raw material, is prepared by mechanical pulverization method, and is not used or involved in other auxiliary materials in the production and preparation process of the fine powder.
1.微粉制备工艺。本发明采用机械粉碎法。1. Micro powder preparation process. The present invention employs a mechanical pulverization method.
机械粉碎法是制备粉雾剂的常用方法之一,但已经渐渐被喷雾干燥法所替代。主要原因是与喷雾干燥法相比,机械粉碎法制备得到的微粉粒度较大,2~3μm是该法的粉碎极限,而且微粉外形不规则;粉碎作用还可产生静电,药物经微粉化后,具有较高的表面自由能,粉粒易聚集成团,导致药物微粉粘性增强,流动性差,影响药物从微粉吸入器中释放后的再分散。机械粉碎法剧烈的粉碎作用还可能会使药物发生不利的物理化学性质的改变。特别是在断裂的晶体表面可能产生不定型化。然而,发明人研究认为,对于呼吸道局部用药,机械粉碎法的有利之处在于:微粉粒度较大和外形不规则,有利于在呼吸道局部沉积;制备过程简单,生产周期较短,微生物污染的机会很低;因为不需要使用溶剂等辅料,只要粉碎压力和时间控制得当,则主药不容易发生变质等。我们考虑到本粉雾剂设计目的是进行呼吸道局部用药,不需要很强的流动性,微粉粒度较大更有利,而且阿仑膦酸钠是结构简单的小分子药物,物理化学性质比较稳定,可以耐受机械粉碎法的加工过程,因此,我们选用机械粉碎法。粉碎条件主要参考噻托溴铵吸入粉雾剂的操作条件,分别采用了QS100和AO型等2种粉碎机进行试验。粉碎压力控制在0.7MPa,单次连续粉碎时间不超过3.5小时。在该粉碎条件下,阿仑膦酸钠不发生变质。采用Mastersizer 2000激光粒度测定仪进行微粉粒度测定,结果如下表1。Mechanical pulverization is one of the common methods for preparing powders, but it has gradually been replaced by spray drying. The main reason is that compared with the spray drying method, the fine powder prepared by the mechanical pulverization method has a larger particle size, 2 to 3 μm is the pulverization limit of the method, and the shape of the fine powder is irregular; the pulverization can also generate static electricity, and after the micronization of the drug, The higher surface free energy, the particles tend to aggregate, resulting in enhanced viscosity of the drug micropowder, poor fluidity, affecting the redispersion of the drug after release from the micropowder inhaler. The severe pulverization of the mechanical pulverization process may also cause adverse physicochemical properties of the drug. In particular, amorphous crystals may be formed on the surface of the fractured crystal. However, the inventor's research suggests that for the local administration of the respiratory tract, the mechanical pulverization method is advantageous in that the fine powder has a large particle size and irregular shape, which is favorable for local deposition in the respiratory tract; the preparation process is simple, the production cycle is short, and the chance of microbial contamination is very high. Low; since it is not necessary to use an auxiliary material such as a solvent, as long as the pulverization pressure and time are properly controlled, the main drug is not easily deteriorated. We consider that this powder is designed for local administration of the respiratory tract. It does not require strong fluidity. The fine particle size is larger and more favorable, and alendronate is a small molecule drug with simple structure, and its physical and chemical properties are relatively stable. It can withstand the processing of mechanical pulverization. Therefore, we choose mechanical pulverization. The pulverization conditions mainly refer to the operating conditions of the tiotropium bromide inhalation powder, and two kinds of pulverizers such as QS100 and AO type were used for the test. The pulverization pressure is controlled at 0.7 MPa, and the single continuous pulverization time does not exceed 3.5 hours. Under the pulverization conditions, alendronate did not deteriorate. The fine powder particle size was measured using a Mastersizer 2000 laser particle size analyzer, and the results are shown in Table 1 below.
样品编号Sample serial number 粉碎设备Crushing equipment 上样量(g)Loading amount (g) 粉碎时间(h)Smashing time (h) 粉碎压力(Mpa)Crushing pressure (Mpa) 粉碎次数Number of shredding D9(μm)D9 (μm) D50(μm)D50 (μm) D10(μm)D10 (μm)
ALE-1ALE-1 QS100QS100 10001000 3.53.5 0.70.7 11 37.3637.36 10.5710.57 2.432.43
ALE-2ALE-2 QS100QS100 10001000 3.03.0 0.70.7 22 25.5325.53 8.778.77 2.472.47
ALE-3ALE-3 QS100QS100 10001000 3.53.5 0.70.7 33 19.5919.59 9.669.66 2.222.22
ALE-4ALE-4 QS100QS100 10001000 3.53.5 0.70.7 44 19.5819.58 7.787.78 2.142.14
ALE-5ALE-5 AO AO 5050 2.52.5 0.70.7 11 12.3212.32 5.655.65 1.751.75
ALE-6ALE-6 AO AO 5050 2.52.5 0.70.7 22 11.4311.43 5.255.25 1.721.72
由上表1可见,在粉碎压力控制在0.7MPa,单次连续粉碎时间不超过3.5小时的粉碎条件下,粒度分布与上样量和粉碎次数相关。上样量1000g,粉碎3次或以上(3.0~3.5h),可以把粒度D90控制在小于20nm(19.58~19.59μm)。其中4次粉碎与3次粉碎粒度减小很少,表明在1000g上样量的条件下,3次及3次以上粉碎效果基本相当,因此1000g的上样量,粉碎次数可以选择3次。上样量50g,粉碎1次或以上(2.5h),可以把粒度D90控制在12μm左右(11.43~12.32μm)。其中2次粉碎与1次粉碎粒度减小很少,表明在1000g上样量的条件下,1次及1次以上粉碎效果基本相当,因此50g的上样量,粉碎次数可以选择1次。根据文献报道,7~20nm的粒度属于沉积在呼吸道(气管和支气管)的范围,因此,这2种条件(1000g上样量粉碎3次或以上,50g上样量粉碎1次或以上)都符合我们的要求。我们分别取ALE-4和ALE-6这2种样品分别作为2种制备条件的代表性样品,进行SEM电镜分析,如图1和图2所示。其中图1是ALE-4样品的SEM电镜图,图2是ALE-6样品的SEM电镜图。It can be seen from the above Table 1 that the particle size distribution is related to the amount of the sample and the number of pulverization under the pulverization conditions in which the pulverization pressure is controlled at 0.7 MPa and the single continuous pulverization time is not more than 3.5 hours. The loading amount of 1000 g and pulverization 3 times or more (3.0 to 3.5 h) can control the particle size D90 to be less than 20 nm (19.58 to 19.59 μm). Among them, 4 times of pulverization and 3 times of pulverization have little particle size reduction, indicating that under the condition of 1000 g of sample loading, the pulverization effect of 3 times and 3 times or more is basically equivalent, so the number of pulverization of 1000 g can be selected 3 times. When the loading amount is 50 g and the pulverization is performed once or more (2.5 h), the particle size D90 can be controlled to about 12 μm (11.43 to 12.32 μm). Among them, the pulverization and the pulverization particle size reduction were small, indicating that the pulverization effect of one time and one time is basically equivalent under the condition of 1000 g of the sample loading amount, so the number of pulverization of 50 g can be selected once. According to the literature, the particle size of 7~20nm belongs to the range of the respiratory tract (trachea and bronchus). Therefore, these two conditions (1000g sample loading smash 3 times or more, 50g sample loading smash 1 time or more) are consistent. Our requirement. We took ALE-4 and ALE-6 samples as representative samples of the two preparation conditions, respectively, and performed SEM electron microscopy analysis, as shown in Fig. 1 and Fig. 2. 1 is a SEM electron micrograph of an ALE-4 sample, and FIG. 2 is a SEM electron micrograph of an ALE-6 sample.
我们对ALE-4和ALE-6这2种代表性样品进行了溶解度、茚三酮法鉴定、HPLC鉴定、钼蓝比色法测定、及微生物污染情况及各种物理化学性质测定。We performed two methods for ALE-4 and ALE-6, such as solubility, ninhydrin identification, HPLC identification, molybdenum blue colorimetric determination, microbial contamination and various physical and chemical properties.
2.1 溶解性:分别称取试制的ALE-4和ALE-6阿仑膦酸钠微粉各10mg,放入装有2ml水的带塞试管中,振荡1分钟,观察溶解情况。2种粉末都能够完全溶解且溶液澄清,显示溶解性都为合格。2.1 Solubility: 10 mg of each of the experimentally prepared ALE-4 and ALE-6 alendronate sodium powders were weighed and placed in a stoppered tube containing 2 ml of water, and shaken for 1 minute to observe the dissolution. Both powders were completely soluble and the solution was clear, indicating that the solubility was acceptable.
性质鉴定:ALE-4和ALE-6各10mg,加水2ml溶解后,再加0.2%茚三酮试液1ml,混合,加热煮沸10分钟,均显紫红色。在568nm测定吸光度,吸光度与原料药非常接近。Characterization: 10mg of each of ALE-4 and ALE-6, dissolved in 2ml of water, then add 1ml of ninhydrin test solution, mixed, heated and boiled for 10 minutes, all purple. The absorbance was measured at 568 nm, and the absorbance was very close to the drug substance.
2.2 HPLC鉴定:2.2 HPLC identification:
采用柱前衍生法测定阿仑膦酸钠。阿仑膦酸钠分子结构较为简单,缺乏相应的生色基团。利用阿仑膦酸钠分子中的氨基,同FMOC反应结合,形成荧光基团。Alendronate sodium was determined by pre-column derivatization. The molecular structure of alendronate is relatively simple and lacks corresponding chromophores. The amino group in the alendronate molecule is combined with the FMOC reaction to form a fluorescent group.
高压液相色谱仪及其型号:日本岛津 Shimadzu LCsolutionHigh-pressure liquid chromatography and its model: Shimadzu Shimadzu LCsolution
色谱条件:Chromatographic conditions:
色谱柱: Shiseido Capcell Pak C18 (150 mm×4.6 mm, 5μm,日本资生堂公司)。Column: Shiseido Capcell Pak C18 (150 mm × 4.6 mm, 5 μm, Japan Shiseido Co., Ltd.).
流动相:Mobile phase:
(1) A液:乙腈; B液: 0.01 M磷酸氢二钠, 梯度洗脱程序:0~24 min,86%A; 24~29 min,30%A; 29~30 min, 86%A; 柱温:35℃ ; 流速:1.0 mL•min-1。(1) Solution A: acetonitrile; Solution B: 0.01 M disodium hydrogen phosphate, gradient elution procedure: 0 to 24                 Min, 86% A; 24 to 29 min, 30% A; 29 to 30 min, 86% A; column temperature: 35 ° C;                 Flow rate: 1.0 mL•min-1.
(2) A液:乙腈;B液:25mM柠檬酸,25mM焦磷酸。梯度洗脱程序:0~24 min,86%A; 24~29 min,30%A; 29~30 min, 86%A; 柱温:35℃ ; 流速:1.0 mL•min-1。(2) Solution A: acetonitrile; solution B: 25 mM citric acid, 25 mM pyrophosphate. Gradient elution program: 0~24                 Min, 86% A; 24 to 29 min, 30% A; 29 to 30 min, 86% A; column temperature: 35 ° C;                 Flow rate: 1.0 mL•min-1.
上样体积:1 uL或 2 uL.Loading volume: 1 uL or 2 uL.
荧光检测器:Fluorescence detector:
荧光激发波长:260 nm, 荧光发射波长:310 nm。Fluorescence excitation wavelength: 260 nm, fluorescence emission wavelength: 310 nm.
用乙腈-25mM柠檬酸,25mM焦磷酸梯度洗脱,得到色谱图如图3所示。其中3.5min - 4min处为阿仑膦酸钠峰,13 min-14.5 min处为Fmoc峰。ALE-4和ALE-6都呈阿仑膦酸钠峰,峰高与原料药相当,显示ALE-4与ALE-6不存在主药降解。The chromatogram was obtained by eluting with a gradient of 25 mM pyrophosphate of acetonitrile-25 mM citric acid as shown in FIG. Among them 3.5min -                 The alendronate peak was at 4 min and the Fmoc peak at 13 min-14.5 min. Both ALE-4 and ALE-6 showed alanine sodium peak, and the peak height was comparable to that of the drug substance, indicating that there was no main drug degradation of ALE-4 and ALE-6.
2.3 钼蓝比色法测定:2.3 Determination of molybdenum blue colorimetric method:
取ALE-4和ALE-6各8mg,加水适量溶解,加水分次移入100ml量瓶中,置40℃水浴中加热20分钟,并不断振摇,放冷至室温,加水稀释至刻度,作为供试品溶液;另精密称取阿仑膦酸钠原料药10mg,置100ml量瓶中,加水适量溶解,并用水稀释至刻度,摇匀,作为对照品溶液。精密量取供试品溶液与对照品溶液各5ml,分别置25ml量瓶中,各加过硫酸铵溶液(1%)8ml,置水浴中加热20分钟,放冷至室温,加钼酸铵溶液(取钼酸铵7.5g,加水100ml溶解,加5mol/L硫酸溶液100ml,混匀)2.0ml,摇匀,放置15分钟后,加对甲氨基酚硫酸盐溶液(取对甲氨基酚硫酸盐0.5g,加15%亚硫酸氢钠溶液195ml,加20%亚硫酸钠溶液5ml,摇匀)2ml,摇匀,放置15分钟后,加34%醋酸钠溶液5ml,加水至刻度,摇匀。在710nm的波长处分别测定吸光度,结果2个供试品溶液与对照品溶液吸光度相当,显示ALE-4与ALE-6不存在主药降解。Take 8mg of ALE-4 and ALE-6, dissolve in water, add water to the 100ml volumetric flask, heat in a 40°C water bath for 20 minutes, shake constantly, let cool to room temperature, dilute with water to the mark, serve as The test solution; another accurately weighed 10 mg of alendronate sodium raw material, placed in a 100 ml volumetric flask, dissolved in water, diluted with water to the mark, shaken, as a reference solution. Precisely measure 5ml of the test solution and the reference solution, place them in a 25ml volumetric flask, add 8ml of ammonium persulfate solution (1%), heat in a water bath for 20 minutes, let cool to room temperature, add ammonium molybdate solution (take 7.5g of ammonium molybdate, dissolve in 100ml of water, add 100ml of 5mol/L sulfuric acid solution, mix well) 2.0ml, shake well, leave for 15 minutes, add p-aminophenol sulfate solution (take p-aminophenol sulfate 0.5g, add 195ml of 15% sodium bisulfite solution, add 5ml of 20% sodium sulfite solution, shake well 2ml, shake, place for 15 minutes, add 5ml of 34% sodium acetate solution, add water to the mark and shake. The absorbance was measured at a wavelength of 710 nm, and the absorbance of the two test solutions was comparable to that of the reference solution, indicating that there was no main drug degradation of ALE-4 and ALE-6.
2.4 微生物检验:2.4 Microbiological examination:
分别取取ALE-4和ALE-6各3mg,分别溶于10ml纯化水中。按《中华人民共和国药典》 2010年第二部附录XI J 微生物限度检验法进行检验。检验结果细菌菌落数≤2个/ml;霉菌、酵母菌菌落数=0个/ml。均为合格。3 mg of each of ALE-4 and ALE-6 were separately taken and dissolved in 10 ml of purified water. According to the Pharmacopoeia                 In 2010, the second appendix XI J microbial limit test was carried out. The number of bacterial colonies was ≤ 2 / ml; the number of mold and yeast colonies = 0 / ml. All are qualified.
2.5 堆密度、休止角、孔隙率、临界相对湿度:2.5 Bulk density, angle of repose, porosity, critical relative humidity:
堆密度、孔隙率:堆密度是指粉体质量除以该粉体所占容器的体积V求得的密度。填充粉体时,经一定规律振动或轻敲后测得的密度称振实密度(tap density)ρtap。孔隙率是指基体中形成的空隙体积占总体积的比率。药物进行微粉化处理后,其堆密度、孔隙率均发生较大的变化,可能造成药物与辅料的密度差,造成混合均匀性上的困难。所以微粉化的药物应该进行堆密度和孔隙率测定。将粉体装入容器中所测得的体积包括粉体真体积、粒子内空隙、粒子间空隙等,因此测量容器的形状、大小、物料的装填速度及装填方式等影响粉体体积。将粉体装填于测量容器时不施加任何外力所测得密度为最松堆密度,施加外力而使粉体处于最紧充填状态下所测得密度叫最紧堆密度。振实密度随振荡(tapping)次数而发生变化,最终振荡体积不变时测得的振实密度即为最紧堆密度。Bulk density, porosity: The bulk density is the density obtained by dividing the mass of the powder by the volume V of the container occupied by the powder. When filling the powder, the density measured after a certain regular vibration or tapping is called the tap density ρtap . Porosity refers to the ratio of the volume of voids formed in the matrix to the total volume. After the micronization treatment of the drug, the bulk density and porosity of the drug change greatly, which may cause the density difference between the drug and the auxiliary material, which causes difficulty in mixing uniformity. Therefore, micronized drugs should be tested for bulk density and porosity. The volume measured by filling the powder into the container includes the true volume of the powder, the voids in the particles, the voids between the particles, and the like. Therefore, the shape and size of the measuring container, the filling speed of the material, and the filling method affect the volume of the powder. When the powder is loaded into the measuring container, the density measured is the loosest bulk density without applying any external force, and the density measured by applying an external force to make the powder in the tightest filling state is called the tightest packing density. The tap density changes with the number of tapping times, and the tap density measured when the final oscillation volume is constant is the tightest packing density.
将一定量的粉体样品填装于改制的5ml量筒,读取初始体积V初,轻敲并观察量筒中粉体的体积变化,直到体积无明显变化为止(一般要敲击2500次),记录下终体积V终。加样前后的质量差值即为所加入粉体的质量w。Fill a certain amount of powder sample into the modified 5ml measuring cylinder, read the initial volume V, tap and observe the volume change of the powder in the measuring cylinder until the volume does not change significantly (usually tap 2500 times), record The final volume V is final. The mass difference before and after the loading is the mass w of the added powder.
堆密度pb=w/V初,振实密度ptap=w/V终,孔隙率=1-堆密度/振实密度Bulk density pb=w/V initial, tap density ptap=w/V final, porosity=1-stack density/tear density
休止角:休止角的测量方法为,取口径约6cm,管径(内径)约0.4cm的小漏斗一个,固定于铁架台上,漏斗下方铺一张白纸,漏斗的下端与纸的高度为4-5cm,将药粉从漏斗上方缓慢倒入漏斗,待漏下的药粉接近漏斗出口时,测量该药粉圆锥体的高度和下端直径,据此计算出休止角的正切,并进一步计算出休止角。Angle of repose: The angle of repose is measured by taking a small funnel with a diameter of about 6 cm and a diameter of about 0.4 cm. It is fixed on the iron frame, and a white paper is placed under the funnel. The lower end of the funnel and the height of the paper are 4-5cm, slowly pour the powder from the top of the funnel into the funnel. When the powder to be leaked is close to the funnel outlet, measure the height of the cone and the diameter of the lower end of the powder, calculate the tangent of the angle of repose, and further calculate the angle of repose. .
临界相对湿度的测定。药物在进行微粉化处理后,由于比表面积的增大,吸湿性可能明显发生变化,而水分又是粉雾剂严格控制的检查项目,所以应该测定微粉化药物的临界相对湿度(Critical Relative Humidity,CRH)。Determination of critical relative humidity. After the micronization treatment of the drug, the hygroscopicity may change significantly due to the increase of the specific surface area, and the moisture is a strictly controlled inspection item of the powder, so the critical relative humidity of the micronized drug should be determined (Critical)                 Relative Humidity, CRH).
临界相对湿度(CRH)测定方法分两步:The critical relative humidity (CRH) determination method is divided into two steps:
第一、制作吸湿曲线:First, make a moisture absorption curve:
称取药物2mg,平铺于干燥至恒重的扁形称量瓶中(厚约2mm),干燥至恒重,精密称定,打开瓶盖,置盛有浓硫酸溶液或其他盐溶液(相对湿度75%)的玻璃干燥器中,于25℃的恒温箱中保存,分别于2、4、8、12、24……或其他时间段取出称量瓶,精密称定,计算吸湿百分率,以吸湿率对时间作图即得到吸湿曲线,找到吸湿平衡时对应的时间T天(或小时)。Weigh 2mg of the drug, spread it in a flat weighing bottle that is dry to constant weight (about 2mm thick), dry to constant weight, accurately weigh, open the cap, and hold the concentrated sulfuric acid solution or other salt solution (relative humidity) 75%) of the glass dryer, stored in an incubator at 25 ° C, take out the weighing bottle at 2, 4, 8, 12, 24, ... or other time periods, accurately weighed, calculate the percentage of moisture absorption, to absorb moisture The rate versus time plots the hygroscopic curve and finds the corresponding time T days (or hours) for the moisture absorption balance.
第二、CRH的测定:Second, the determination of CRH:
称取药物(粉末或颗粒)1-2mg 6份,同上操作,置盛有不同浓度的浓硫酸溶液或其他盐溶液的玻璃干燥器中,于于25摄氏度的恒温箱中保存T天,取出称量瓶,精密称定,计算吸湿百分率,以吸湿量对相对湿度作图的吸湿平衡曲线,在拐点作两切线,切线焦点对应的相对湿度,即为CRH。Weigh the drug (powder or granule) 1-2mg 6 parts, the same operation, set the glass drier with different concentrations of concentrated sulfuric acid solution or other salt solution, store in the incubator at 25 degrees Celsius for T days, take out the scale The measuring bottle is accurately weighed, the percentage of moisture absorption is calculated, and the moisture absorption balance curve is plotted against the relative humidity. The two tangents are made at the inflection point, and the relative humidity corresponding to the tangent point is CRH.
经过实验测定,2种工艺条件制备得到的阿仑膦酸钠微粉的各种性质区别不大。因此,预计都能达到设计目标的需求。After experimental determination, the various properties of the alendronate sodium micropowder prepared by the two process conditions are not much different. Therefore, it is expected that the design goals will be met.
3.阿仑膦酸钠粉雾剂胶囊3. Alendronate powder spray capsule
本发明所述阿仑膦酸钠粉雾剂可以胶囊剂的形式应用。所用的胶囊剂的大小可以是任何型号的,优选的型号为小于0号,通常选1-4号。阿仑膦酸钠胶囊剂不仅能方便地进行工业化生产,而且便于携带。胶囊中阿仑膦酸钠粉末的量是一定的,确保使用时吸入剂量的准确,可有效地防止患者多吸或少吸。将微粉按0.6mg~5.0mg的单剂量装入胶囊中,密封保存。使用时按单胶囊取用。抗吸湿效果好。在相对湿度达到90%的环境中仍然能达到满意的排空率和雾化性能。雾化效果及使用后的残留量产生良好的协同作用,尤其是可以减少阿仑膦酸钠粉雾剂的吸湿性。The alendronate sodium powder of the present invention can be applied in the form of a capsule. The size of the capsule used may be any type, and the preferred model number is less than 0, usually 1-4. Alendronate capsules are not only easy to industrialize, but also easy to carry. The amount of alendronate sodium powder in the capsule is constant, ensuring accurate inhalation dose during use, and effectively preventing the patient from taking more or less suction. The micropowder is filled into a capsule in a single dose of 0.6 mg to 5.0 mg, and sealed and stored. Use in a single capsule when using. Good anti-hygroscopic effect. Satisfactory emptying and atomization performance can still be achieved in an environment where the relative humidity reaches 90%. The atomization effect and the residual amount after use produce a good synergistic effect, in particular, the hygroscopicity of the alendronate sodium powder spray can be reduced.
3.1 胶囊的含量均匀性测定。方法:抽样30个胶囊,天平称量3.1 Determination of the uniformity of the content of the capsule. Method: sampling 30 capsules, weighing the balance
3.2 胶囊的排空率测定。方法:按2010版中国药典(二部)附录IL方法进行。排空率要求≥90%3.2 Determination of the emptying rate of the capsule. Methods: According to the 2010 edition of the Chinese Pharmacopoeia (Part 2) Appendix IL method. Emptying rate requirement ≥90%
胶囊稳定性,主要关注胶囊囊壳吸水对制剂性能的影响Capsule stability, mainly concerned with the effect of water absorption of capsule shell on the performance of the preparation
方法:-- 加速试验:取胶囊3批(30个/批),置于恒温恒湿箱(40±2℃,75±5%相对湿度)中保存,分别于0、1、2、3月末取样,考察外观、排空率、沉积率、含量Method: --- Accelerated test: Take 3 batches of capsules (30/batch) and store them in a constant temperature and humidity chamber (40±2°C, 75±5% relative humidity) at the end of 0, 1, 2 and 3 months respectively. Sampling, inspection of appearance, emptying rate, deposition rate, content
3.3 粉末残留量和雾化性能:将试制的阿仑膦酸钠吸入粉雾剂精密称重(W1),放入专用吸入器(上海天平制药厂生产)中,将胶囊打孔,再将吸入器与5000ml玻璃瓶相连,连接处配备开关旋钮,此旋钮始处于关闭位置。以60l/min气流量抽真空,打开上述旋钮,胶囊中的药粉即从吸入器中喷出,连续三次。若粉末形成均匀烟雾,沉积后无大的颗粒存在,说明雾化性能优良;若大部分粉末得到雾化,瓶底仅有少量颗粒,雾化性能中等。若大部分粉末未得到雾化,而成块状在瓶底沉积,说明雾化性能差。将用过的胶囊壳从吸入装置中取出,精密称重(W2),以小毛刷将胶囊内壁的残余粉末拭净,再称空胶囊重量(W3)。胶囊内容物粉末残留量的计算方法为:[(W2-W3)/(W1-W3)]×100%3.3 Powder residual amount and atomization performance: The prototype alendronate sodium inhalation powder is accurately weighed (W1), placed in a special inhaler (manufactured by Shanghai Tianping Pharmaceutical Factory), the capsule is perforated, and then inhaled. The unit is connected to a 5000ml glass bottle with a switch knob that is in the off position. The vacuum was applied at a flow rate of 60 l/min, and the above knob was turned on, and the powder in the capsule was ejected from the inhaler three times in succession. If the powder forms a uniform smoke, no large particles are present after deposition, indicating that the atomization performance is excellent; if most of the powder is atomized, there is only a small amount of particles at the bottom of the bottle, and the atomization performance is moderate. If most of the powder is not atomized, it is deposited in the form of a block at the bottom of the bottle, indicating poor atomization performance. The used capsule shell was taken out from the inhalation device, accurately weighed (W2), and the residual powder on the inner wall of the capsule was wiped off with a small brush, and the weight of the capsule (W3) was weighed. The calculation method of the residual amount of the capsule contents is: [(W2-W3)/(W1-W3)]×100%
湿度影响和胶囊壁沾附试验:取阿仑膦酸钠吸入粉雾剂,精密称定,25℃室温下置相对湿度75%环境中,24小时后取出,再次称量胶囊重量。然后将粉末倒出,观察粉末性状的变化,并按上法测定胶囊中粉末的残留量以了解胶囊壁沾附情况。Humidity effect and capsule wall adhesion test: Take alendronate sodium inhalation powder, accurately weighed, set the relative humidity of 75% at room temperature at 25 ° C, take it out after 24 hours, and weigh the capsule again. The powder was then poured out, the change in powder properties was observed, and the residual amount of the powder in the capsule was measured by the above method to understand the adhesion of the capsule wall.
下表2是筛选阿仑膦酸钠粉雾剂配方的实验情况:Table 2 below shows the experimental results for screening alendronate sodium aerosol formulations:
处方1 Prescription 1 处方2 Prescription 2 处方3 Prescription 3 处方4 Prescription 4 处方5 Prescription 5 处方6 Prescription 6 处方7 Prescription 7 处方8Prescription 8
阿仑膦酸钠微粉ALE-4Alendronate micropowder ALE-4 5mg5mg 2.5mg2.5mg 1.2mg1.2mg 0.6mg0.6mg -- -- -- --
阿仑膦酸钠微粉ALE-6Alendronate micropowder ALE-6 -- -- -- -- 5mg5mg 2.5mg2.5mg 1.2mg1.2mg 0.6mg0.6mg
溶解性Solubility 合格qualified 合格qualified 合格qualified 合格qualified 合格qualified 合格qualified 合格qualified 合格qualified
堆密度Bulk density 0.280.28 0.280.28 0.280.28 0.280.28 0.320.32 0.320.32 0.320.32 0.320.32
休止角Angle of repose 4242 4242 4242 4242 3737 3737 3737 3737
排空率Emptying rate 91.3%91.3% 93.7%93.7% 94.6%94.6% 95.2%95.2% 92.5%92.5% 93.8%93.8% 94.7%94.7% 95.4%95.4%
囊壳粉末残留量Shell powder residue 7.2%7.2% 5.1%5.1% 3.9%3.9% 3.5%3.5% 6.6%6.6% 5.0%5.0% 3.7%3.7% 3.6%3.6%
胶囊剂在75%相对湿度下的变化情况Changes in capsules at 75% relative humidity +2.1%+2.1% +2.7%+2.7% +2.5%+2.5% +2.3%+2.3% +2.0%+2.0% +2.7%+2.7% +2.9%+2.9% +2.6%+2.6%
雾化性能Atomization performance 中等medium 中等medium 中等medium 中等medium 中等medium 中等medium 中等medium 中等medium
一级分布瓶沉积率Primary distribution bottle deposition rate 62.3%62.3% 61.5%61.5% 60.8%60.8% 60.2%60.2% 58.6%58.6% 58.2%58.2% 57.5%57.5% 57.7%57.7%
二级分布瓶沉积率Secondary distribution bottle deposition rate 20.1%20.1% 20.6%20.6% 21.7%21.7% 21.5%21.5% 22.8%22.8% 22.3%22.3% 23.7%23.7% 23.5%23.5%
以上由ALE-4、ALE-6或ALE-4与ALE-6混合组成的胶囊剂的性质差别不大。The above capsules composed of ALE-4, ALE-6 or ALE-4 mixed with ALE-6 have little difference in properties.
本发明所提供的胶囊剂的内容物由粒度小于30μm的阿仑膦酸钠微粉组成。更优选的微粉的粒度小于20μm,最优选的微粉的粒度控制在d90≤20μm,并且d50≥5μm,d10≤2.5μm。微粉的溶解性、堆密度、休止角、排空率都较好,雾化性能中等,在加工、贮存、使用过程中不易吸湿。一般治疗COPD和哮喘的药粉吸入到气道较中心处即可产生预定疗效。因为按本发明制备的阿仑膦酸钠粉雾剂的雾化效果好,所以可以利用市售的治疗COPD和哮喘的吸入粉末装置。例如使用上海天平制药厂的吸入器。该装置实际上起的是将胶囊挤破的作用。所述挤破胶囊的装置可以反复使用。一颗胶囊内容物吸光后即可将空壳丢弃,下一次使用时,向该装置内再填入一颗胶囊。本发明的阿仑膦酸钠胶囊剂也可以用手打开,其中的微粉可借助呼吸时的气流作用进入呼吸道而发挥作用。这有利于室外或紧急情况下患者自行给药。The contents of the capsules provided by the present invention consist of a fine powder of alendronate sodium having a particle size of less than 30 μm. More preferably, the fine powder has a particle size of less than 20 μm, and the most preferred fine powder has a particle size controlled at d90 ≤ 20 μm, and d50 ≥ 5 μm, d10 ≤ 2.5 μm. The solubility, bulk density, angle of repose and emptying rate of the micropowder are good, the atomization performance is medium, and it is not easy to absorb moisture during processing, storage and use. Generally, the powder for treating COPD and asthma can be inhaled to the center of the airway to produce a predetermined therapeutic effect. Since the alendronate sodium powder prepared according to the present invention has a good atomization effect, a commercially available inhalation powder device for treating COPD and asthma can be utilized. For example, use an inhaler from Shanghai Tianping Pharmaceutical Factory. The device actually functions to crush the capsule. The device for squeezing the capsule can be used repeatedly. The contents of one capsule can be discarded after the light is absorbed. The next time the product is used, a capsule is filled into the device. The alendronate sodium capsule of the present invention can also be opened by hand, and the fine powder can function by entering the respiratory tract by the action of airflow during breathing. This facilitates self-administration by patients in outdoor or emergency situations.
4.HPLC测定阿仑膦酸钠粉雾剂呼吸道用药后阿仑膦酸钠在大鼠肺组织的分布及代谢4.HPLC analysis of the distribution and metabolism of alendronate in lung tissue of alendronate sodium aerosol after respiratory administration
4.1操作步骤4.1 Operation steps
4.1.1组织样品处理实验步骤:4.1.1 Tissue sample processing Experimental steps:
称取0.5g肺组织,加标溶液300uL,研磨。Weigh 0.5 g of lung tissue, add 300 μL of the standard solution, and grind.
加1 ml 6% 的TCA(pH = 1),4000rpm 离心10分钟,倒出上清。Add 1 ml of 6% TCA (pH = 1), centrifuge at 4000 rpm for 10 minutes, and pour out the supernatant.
依次加入0.1 mol/L磷酸二氢钾溶液200uL, 0.1 mol/L氯化钙溶液200uL,1 mol/L氢氧化钠溶液400uL。Add 0.1 mol/L potassium dihydrogen phosphate solution 200uL, 0.1                 200 uL of mol/L calcium chloride solution, 400 uL of 1 mol/L sodium hydroxide solution.
3000rpm 5分钟,去除上清。The supernatant was removed by 3000 rpm for 5 minutes.
所得沉淀用200uL醋酸溶液(0.2mol/L)溶解后,用0.6mL水稀释,再用1mol/L氢氧化钠 50uL溶液沉淀。The resulting precipitate was dissolved in 200 uL of acetic acid solution (0.2 mol/L), diluted with 0.6 mL of water, and precipitated with a 1 mol/L sodium hydroxide 50 uL solution.
重复上述氢氧化钠沉淀反应1次。The above sodium hydroxide precipitation reaction was repeated once.
所得沉淀用0.2 mol/L醋酸钠缓冲溶液(pH 4.5) 1 mL溶解。The resulting precipitate was dissolved in 1 mL of a 0.2 mol/L sodium acetate buffer solution (pH 4.5).
4.1.2 Bond Elut-DEA 固相萃取柱纯化及衍生化标记4.1.2 Bond Elut-DEA Solid Phase Extraction Column Purification and Derivatization Labeling
Bond Elut-DEA (公司Agilent,货号12102016), 床体积:300 uLBond Elut-DEA (Company Agilent, Cat. No. 12102016), bed volume: 300 uL
固相萃取柱用1ml 甲醇活化,再用1ml纯水洗固相萃取柱2次。The solid phase extraction column was activated with 1 ml of methanol, and the solid phase extraction column was washed twice with 1 ml of pure water.
取样品液0.5mL过柱。流出液采样10uL。Take 0.5 mL of sample solution through the column. The effluent was sampled at 10 uL.
用1 ml纯水洗一次。流出液采样10uL。Wash once with 1 ml of pure water. The effluent was sampled at 10 uL.
用1 ml纯水洗一次。Wash once with 1 ml of pure water.
用洗脱液1mL焦磷酸钠洗脱。取300ul直接调pH做衍生化反应。Elute with 1 mL of sodium pyrophosphate in the eluent. Take 300ul directly to adjust the pH for the derivatization reaction.
各取300uL, 洗脱液直接取300ul, 加1mol/L碳酸钠缓冲溶液(pH 11.9) 100uL和FMOC 工作液50uL, 迅速摇匀,5min。Take 300uL each, take 300ul of eluent directly, add 1mol/L sodium carbonate buffer solution (pH 11.9)                 100uL and FMOC working solution 50uL, shake quickly, 5min.
再加1mol/L柠檬酸100uL调节pH值6.5左右,(可选:溶液离心,12 000 r/min *3 min),取上清液450uL进样分析。Add 1 mol / L citric acid 100 uL to adjust the pH value of about 6.5, (optional: solution centrifugation, 12 000                 r/min *3 min), the supernatant was taken for injection analysis at 450 uL.
HPLC上样,上样量4uL。The sample was loaded by HPLC, and the amount of the sample was 4 uL.
4.1.3 HPLC检测条件4.1.3 HPLC detection conditions
色谱条件Chromatographic conditions
色谱柱: Shiseido Capcell Pak C18 (150 mm×4.6 mm, 5μm,日本资生堂公司);Column: Shiseido Capcell Pak C18 (150 mm × 4.6 mm, 5 μm, Japan Shiseido Co., Ltd.);
流动相: A: 乙腈 B: 25mM 焦磷酸钠 ,25mM 柠檬酸 ( pH 5.05 )Mobile phase: A: acetonitrile B: 25 mM sodium pyrophosphate, 25 mM citric acid (pH 5.05)
洗脱程序:0~22 min,70%BElution procedure: 0 to 22 min, 70% B
柱温:35℃ ; 流速:1.0 mL•min-1;Column temperature: 35 ° C; flow rate: 1.0 mL•min -1 ;
荧光激发波长:260 nm,荧光发射波长:310 nm。Fluorescence excitation wavelength: 260 nm, fluorescence emission wavelength: 310 nm.
上样量: 4uLLoad amount: 4uL
4.2阿仑膦酸钠粉雾剂呼吸道给药后在大鼠肺内的分布4.2 Distribution of alendronate sodium powder in rat lung after respiratory administration
取SD大鼠二只,月龄8月。异氟烷麻醉机麻醉后,采用大鼠肺部粉雾给药器给予阿仑膦酸钠0.32mg, 放置5min后,处死大鼠,取出肺组织,分离出左肺:上、下二个肺叶;右肺:上、中、下三个肺叶,分别称重后进行组织研磨。采用HPLC测定研磨液阿仑膦酸钠含量如表3所示。Two SD rats were taken, and the age was 8 months. After anesthesia with isoflurane anesthesia machine, 0.32 mg of alendronate sodium was administered by a rat lung powder mist applicator. After 5 minutes, the rats were sacrificed and the lung tissues were taken out to separate the left lung: upper and lower lung lobe Right lung: upper, middle and lower lobes were weighed and ground for tissue grinding. The content of alendronate sodium in the slurry was determined by HPLC as shown in Table 3.
第一喷按均0.32 mg 计算The first spray is calculated as 0.32 mg
大鼠Rat 肺叶Lung leaf 重量(g)Weight (g) 研磨体积(mL)Grinding volume (mL) ALN浓度(ug/mL)ALN concentration (ug/mL) 总量(mg)Total amount (mg) 占灌入总药量%% of total drug intake
左一Left one 0.1960.196 0.50.5 52.652.6 0.0260.026 8.10%8.10%
左二Left two 0.2660.266 0.50.5 134.5134.5 0.0670.067 20.90%20.90%
No.1No.1 右一Right one 0.3220.322 0.50.5 165.2165.2 0.0830.083 25.90%25.90%
右二Right two 0.2830.283 0.50.5 118.8118.8 0.0590.059 18.40%18.40%
右三Right three 0.2140.214 0.50.5 63.463.4 0.0320.032 10.00%10.00%
  合计total 1.2811.281     0.2670.267 83.40%83.40%
左一Left one 0.2320.232 0.50.5 93.393.3 0.0470.047 14.70%14.70%
左二Left two 0.2740.274 0.50.5 113.6113.6 0.0570.057 17.80%17.80%
No.2No.2 右一Right one 0.3140.314 0.50.5 134.4134.4 0.0670.067 20.90%20.90%
右二Right two 0.3430.343 0.50.5 145.4145.4 0.0730.073 22.80%22.80%
右三Right three 0.2760.276 0.50.5 102.5102.5 0.0510.051 15.90%15.90%
  合计total 1.4391.439     0.2950.295 92.20%92.20%
左一Left one 0.2140.214 0.50.5 72.9572.95 0.0360.036 11.30%11.30%
左二Left two 0.270.27 0.50.5 124.05124.05 0.0620.062 19.40%19.40%
平均average 右一Right one 0.3180.318 0.50.5 149.8149.8 0.0750.075 23.40%23.40%
右二Right two 0.3130.313 0.50.5 132.1132.1 0.0660.066 20.60%20.60%
右三Right three 0.2450.245 0.50.5 82.9582.95 0.0410.041 12.80%12.80%
  合计total 1.361.36     0.280.28 87.50%87.50%
结果表明: 阿仑膦酸钠粉雾剂经气管给药后,可以分布于各个肺叶,尤以靠近主支气管的肺叶分布较高。5min左右,肺叶的总药量占到输入药量的87.5%。 表明阿仑膦酸钠粉雾剂在粒度,分散度等方面具有较好的空气分散特性,易于肺部给药的均匀吸收。the result shows:                 After the tracheal administration of the alendronate powder, it can be distributed in each lung lobe, especially in the lobe near the main bronchus. About 5 minutes, the total dose of the lung leaves accounted for 87.5% of the input dose. It indicates that the alendronate sodium powder has good air dispersion characteristics in terms of particle size and dispersion, and is easy to be uniformly absorbed by the pulmonary administration.
HPLC图谱: 3.4-3.9min的峰为阿仑膦酸钠出峰。HPLC chromatogram: The peak at 3.4-3.9 min is the peak of alendronate sodium.
5.阿仑膦酸钠粉雾剂(ALN)非临床药理药效学研究(药效学动物实验)5. Alendronate sodium aerosol (ALN) non-clinical pharmacodynamics study (pharmacodynamic animal experiment)
试验材料experiment material
(1)动物:清洁级SD大鼠72只,其中雌性36只,平均体重176±22g;和雄性各36只,平均体重195±25g。上海市肺科医院试验动物中心提供。(1) Animals: 72 SD rats were clean, of which 36 were females with an average body weight of 176±22 g; and 36 males each with an average body weight of 195±25 g. Provided by the Experimental Animal Center of Shanghai Pulmonary Hospital.
(2)药品:1)阿仑膦酸钠粉雾剂。杭州旦杰医学科技有限公司委托浙江仙琚制药股份有限公司试制。使用时将胶囊内容物倒出,以精度为十万分之一的分析天平按试验的剂量要求精密称定,小心装入另一空白胶囊中。2)硫酸沙丁胺醇胶囊。(2) Drugs: 1) Alendronate sodium powder. Hangzhou Danjie Medical Technology Co., Ltd. commissioned Zhejiang Xianyi Pharmaceutical Co., Ltd. to trial production. When used, the contents of the capsule were poured out, and the analytical balance with an accuracy of one hundred thousandth was accurately weighed according to the test dose requirement, and carefully placed in another blank capsule. 2) Salbutamol sulfate capsules.
(3)试验方法(3) Test method
烟熏结合弹性蛋白酶灌注构建大鼠COPD模型Construction of rat COPD model by smoking combined with elastase
采用染毒柜,封闭式气流。大鼠按18只/批次进行烟熏造模。香烟品牌:哈德门。被动吸烟,每次持烟器上点燃8只香烟,香烟燃烧时间约为5-6分钟,封闭保持30分钟。每日上午(四批)和下午(四批)各熏一次。模型制作周期共12周。为了进一步突出COPD症状,采用弹性蛋白酶气管灌注,大鼠麻醉,气管内弹性蛋白酶喷雾(4.8 Units/100 g体重), 大鼠按300g计算喷入15Units/ 0.5 mL。大约 7天后检查,或给药治疗。The use of poisoning cabinets, closed airflow. Rats were smoked at 18 per batch. Cigarette brand: Harder Gate. Passive smoking, igniting 8 cigarettes per cigarette holder, the burning time of the cigarette is about 5-6 minutes, and the sealing is kept for 30 minutes. Smoke each morning (four batches) and afternoon (four batches). The model production cycle is 12 weeks. In order to further highlight the symptoms of COPD, elastase tracheal perfusion, rat anesthesia, intratracheal elastase spray (4.8                 Units/100 g body weight, rats were injected into 15 units/0.5 mL at 300 g. Check after about 7 days, or medication.
抽检情况如下:The sampling situation is as follows:
挑取体重接近(348g±5%)的正常大鼠2只,雄性,雌性各一只;模型大鼠2只,雄性,雌性各一只。采用呼吸测定仪测定大鼠的呼吸状况。Two normal rats (348g±5%) were selected, male and female, and two model rats, male and female. The respiratory condition of the rats was measured using a breath meter.
大鼠呼吸参数测定,结果见下表4。Rat respiratory parameters were measured and the results are shown in Table 4 below.
  Normal-FNormal-F Model-FModel-F   Normal-MNormal-M Model-MModel-M  
  均值Mean 标准差Standard deviation 均值Mean 标准差Standard deviation pp 均值Mean 标准差Standard deviation 均值Mean 标准差Standard deviation pp
ff 76.83 76.83 16.88 16.88 114.55 114.55 25.83 25.83 0.04 0.04 74.31 74.31 2.10 2.10 69.35 69.35 6.18 6.18 0.17 0.17
TVbTVb 1.09 1.09 0.09 0.09 1.24 1.24 0.07 0.07 0.03 0.03 1.22 1.22 0.07 0.07 1.24 1.24 0.13 0.13 0.87 0.87
MVbMVb 84.32 84.32 21.34 21.34 140.77 140.77 30.30 30.30 0.02 0.02 90.78 90.78 6.74 6.74 84.98 84.98 10.27 10.27 0.37 0.37
PenhPenh 0.84 0.84 0.63 0.63 1.11 1.11 0.81 0.81 0.62 0.62 1.74 1.74 0.61 0.61 0.48 0.48 0.17 0.17 0.00 0.00
PAUPAU 0.89 0.89 0.46 0.46 1.04 1.04 0.57 0.57 0.69 0.69 1.22 1.22 0.33 0.33 0.82 0.82 0.34 0.34 0.13 0.13
RpefRpef 0.23 0.23 0.30 0.30 0.10 0.10 0.02 0.02 0.41 0.41 0.08 0.08 0.01 0.01 0.06 0.06 0.02 0.02 0.01 0.01
PIFbPIFb 6.49 6.49 2.09 2.09 10.62 10.62 2.93 2.93 0.05 0.05 5.78 5.78 0.47 0.47 10.13 10.13 1.61 1.61 0.00 0.00
PEFbPEFb 5.05 5.05 0.77 0.77 9.35 9.35 0.97 0.97 0.00 0.00 7.69 7.69 0.36 0.36 6.06 6.06 0.80 0.80 0.01 0.01
TiTi 0.30 0.30 0.07 0.07 0.19 0.19 0.04 0.04 0.02 0.02 0.34 0.34 0.01 0.01 0.20 0.20 0.03 0.03 0.00 0.00
TeTe 0.51 0.51 0.12 0.12 0.36 0.36 0.06 0.06 0.05 0.05 0.47 0.47 0.03 0.03 0.29 0.29 0.07 0.07 0.00 0.00
EF50EF50 0.29 0.29 0.12 0.12 0.21 0.21 0.05 0.05 0.23 0.23 0.21 0.21 0.02 0.02 0.13 0.13 0.02 0.02 0.00 0.00
TrTr 0.19 0.19 0.06 0.06 0.28 0.28 0.07 0.07 0.08 0.08 0.22 0.22 0.03 0.03 0.39 0.39 0.05 0.05 0.00 0.00
TBTB 0.94 0.94 0.74 0.74 4.64 4.64 3.86 3.86 0.45 0.45 2.52 2.52 0.69 0.69 1.73 1.73 0.39 0.39 0.42 0.42
TPTP 10.18 10.18 3.03 3.03 17.58 17.58 7.01 7.01 0.10 0.10 14.06 14.06 2.58 2.58 3.21 3.21 2.30 2.30 0.00 0.00
结果表明:the result shows:
从呼吸参数看,模型小鼠的部分基础呼吸参数同正常小鼠出现明显差异,模型大鼠的最大呼气流量PEFb和最大吸气流量PIFb均增加,提示肺过度充气症状明显。模型大鼠呼吸频率加快,呼吸时间(Te)和吸气时间(Ti)均有所缩短。50%容量的呼吸流速(EP50)进一步降低。表明COPD症状更加明显。进一步通过病理检查,观察肺部组织的病理改变程度。From the respiratory parameters, some of the basic respiratory parameters of the model mice were significantly different from those of the normal mice. The maximum expiratory flow rate PEFb and the maximum inspiratory flow PIFb of the model rats increased, suggesting that the symptoms of pulmonary hyperinflation were obvious. The model rats had faster respiratory rate and shorter respiratory time (Te) and inspiratory time (Ti). The respiratory flow rate (EP50) of 50% capacity was further reduced. It shows that the symptoms of COPD are more obvious. Further pathological examination was performed to observe the degree of pathological changes in the lung tissue.
大鼠肺组织病理切片Pathological section of rat lung tissue
上述四只大鼠处死后,取肺组织,进行石蜡包埋,H&E染色。染色后如图4所示。结果表明:模型大鼠肺组织见大量炎性细胞,皮细胞增生、复层化,杯状细胞显著增生。肺泡腔扩大,大部分肺泡破裂融合形成肺大泡,肺泡数目显著减少。具有典型的COPD特征病理特点。After the above four rats were sacrificed, lung tissues were taken, embedded in paraffin, and stained with H&E. After dyeing, as shown in Figure 4. The results showed that a large number of inflammatory cells were found in the lung tissue of the model rats, and the dermal cells proliferated and stratified, and the goblet cells proliferated significantly. The alveolar cavity is enlarged, and most of the alveolar ruptures fuse to form large pulmonary vesicles, and the number of alveoli is significantly reduced. It has typical pathological features of COPD.
阿仑膦酸钠粉雾剂的称取及粉雾给药剂量的HPLC标定Weighing of alendronate sodium powder and HPLC calibration of powdered dose
依照大鼠粉雾剂肺部给药的剂量,大约在100-1000ug 阿仑膦酸钠/只大鼠,为了能够精确称量阿仑膦酸钠粉雾剂, 采用了反向标定法。According to the dose of rat powder for pulmonary administration, about 100-1000 ug                 Alendronate/rat, in order to accurately weigh the alendronate sodium aerosol, a reverse calibration method was used.
采用硬质合金箔自制小药抄,用于肺部给药称取,药抄固定容量为1.3 mm3The small drug copy was made by using hard alloy foil, and it was used for lung administration. The fixed capacity of the drug was 1.3 mm 3 .
连续抄取阿仑膦酸钠粉雾剂药粉10次,分别溶于1mL 0.2M 柠檬酸缓冲液,采用HPLC法测定溶液中阿仑膦酸钠含量。结果如表5所示:The alendronate sodium powder powder was continuously taken 10 times, dissolved in 1 mL of 0.2 M citrate buffer, and the content of alendronate in the solution was determined by HPLC. The results are shown in Table 5:
次数 frequency 11 22 33 44 55 66 77 88 99 1010 均值Mean 标准差Standard deviation
AlN含量(mg)AlN content (mg) 1.67 1.67 1.35 1.35 1.58 1.58 1.42 1.42 1.44 1.44 1.41 1.41 1.46 1.46 1.53 1.53 1.58 1.58 1.82 1.82 1.53 1.53 0.13 0.13
结论:每抄阿仑膦酸钠粉雾剂大约含阿仑膦酸钠1.53mg±0.13mg。Conclusion: Each alendronate sodium spray contains approximately 1.53 mg ± 0.13 mg of alendronate.
为了给大鼠进行微量药物的粉雾定量给药,必须对大鼠肺部粉雾给药器进行标定,主要标定第一喷的给药剂量。In order to dose the powder of the micro-drug to the rat, the rat lung mist applicator must be calibrated to mainly calibrate the dose of the first spray.
用自制药抄抄取1份阿仑膦酸钠粉雾剂药粉,装载入大鼠肺部粉雾给药器,采用惯常的喷粉速度进行第一喷,喷入含1mL 0.2M 柠檬酸缓冲液的50mL离心管,混匀后采用HPLC对阿仑膦酸钠含量进行标定。共做10次。结果如表6所示:Take 1 part of alendronate powder spray powder from the pharmaceutical and put it into the rat lung mist sprayer, and use the usual powder spraying speed for the first spray, sprayed with 1mL                 A 50 mL centrifuge tube of 0.2 M citrate buffer was mixed and the alendronate sodium content was calibrated by HPLC. Do a total of 10 times. The results are shown in Table 6:
次数 frequency 11 22 33 44 55 66 77 88 99 1010 均值Mean 标准差Standard deviation
AlN含量(mg)AlN content (mg) 0.53 0.53 0.49 0.49 0.64 0.64 0.34 0.34 0.53 0.53 0.48 0.48 0.34 0.34 0.42 0.42 0.24 0.24 0.42 0.42 0.32 0.32 0.12 0.12
结论:大鼠肺部粉雾给药套装第一喷的给药剂量为0.32±0.12mg。将以此为基数进行大鼠肺部给药。Conclusion: The dose of the first spray of the rat lung powder mist administration kit is 0.32±0.12 mg. Rat lung administration will be carried out based on this.
大鼠COPD模型对阿仑膦酸钠的治疗反应(以硫酸沙丁胺醇为阳性对照)Therapeutic response of a rat COPD model to alendronate (with salbutamol sulfate as a positive control)
呼吸参数说明:Breathing parameter description:
sRaw: 特殊气道阻力。sRaw: Special airway resistance.
Rpef: PEF峰值前呼出量Rpef: Pre-peak exhalation of PEF
EF50:呼出50%潮气量时呼气速度EF50: Exhalation speed when exhaling 50% tidal volume
TV:潮气量TV: tidal volume
Frc: 功能残气量Frc: Functional residual capacity
PIF:吸气峰值PIF: Inspiratory peak
PEF:呼气峰值PEF: peak expiratory
沙丁胺醇雾化吸入对COPD大鼠(S+E)呼吸功能的作用Effect of aerosol inhalation of salbutamol on respiratory function in COPD rats (S+E)
以COPD大鼠(S+E:吸烟+弹性蛋白酶建模)为材料,分别雾化吸入0,0.125 mg/ml,0.25 mg/ml,0.5 mg/ml,1 mg/ml,2 mg/ml 的沙丁胺醇-生理盐水溶液,采用Buxco动物呼吸监测系统检测气道阻力等呼吸参数。测定时间为雾化用药后5分钟,测定150-250个呼吸周期。以生理盐水雾化吸入的呼吸参数为基线(自身对照),计算各个大鼠的相对呼吸参数改变,并取平均(n=4)。结果如图5所示。Using COPD rats (S+E: smoking + elastase modeling) as materials, respectively, aerosol inhalation 0, 0.125                 Mg/ml, 0.25 mg/ml, 0.5 mg/ml, 1 mg/ml, 2 mg/ml salbutamol-physiological saline solution, and respiratory parameters such as airway resistance were measured using a Buxco animal respiratory monitoring system. The measurement time was 5 minutes after the aerosol administration, and 150 to 250 respiratory cycles were measured. The respiratory parameters inhaled by saline were baseline (self-control), and the relative respiratory parameter changes of each rat were calculated and averaged (n=4). The result is shown in Figure 5.
小结:COPD大鼠吸入沙丁胺醇后,特殊气道阻力sRaw随着药物浓度的提高逐步下降,最终下降幅度为~20%。有效药物浓度范围:0.25mg/mL-2mg/mL。Summary: After inhaling salbutamol in COPD rats, the specific airway resistance sRaw gradually decreased with the increase of drug concentration, and the final decrease was ~20%. Effective drug concentration range: 0.25 mg/mL-2 mg/mL.
阿仑膦酸钠雾化吸入对COPD大鼠(S+E)呼吸功能的作用Effect of aerosol inhalation of alendronate on respiratory function in COPD rats (S+E)
以COPD大鼠(S+E:吸烟+弹性蛋白酶建模)为材料,分别雾化吸入0,0.32mg,0.625 mg,1.25mg,2.5 mg,5mg的阿仑膦酸钠粉雾剂,采用Buxco动物呼吸监测系统检测气道阻力等呼吸参数。测定时间为雾化用药后5分钟,测定150-250个呼吸周期。以生理盐水雾化吸入的呼吸参数为基线(自身对照),计算各个大鼠的相对呼吸参数改变,并取平均(n=4),结果如图6所示。Using COPD rats (S+E: smoking + elastase modeling) as materials, respectively, aerosol inhalation 0,0.32mg, 0.625                 Mg, 1.25 mg, 2.5 mg, 5 mg of alendronate sodium aerosol, using Buxco animal respiratory monitoring system to detect respiratory parameters such as airway resistance. The measurement time was 5 minutes after the aerosol administration, and 150 to 250 respiratory cycles were measured. The respiratory parameters inhaled by saline were baseline (self-control), and the relative respiratory parameter changes of each rat were calculated and averaged (n=4). The results are shown in Fig. 6.
小结:COPD大鼠吸入阿仑膦酸钠后,特殊气道阻力sRaw随着药物浓度的提高逐步下降,最终下降幅度为~40%。有效药物浓度范围:0.625mg/mL-5mg/mL。其单药疗效优于硫酸沙丁胺醇。Summary: After inhalation of alendronate in COPD rats, the specific airway resistance sRaw gradually decreased with the increase of drug concentration, and the final decrease was ~40%. Effective drug concentration range: 0.625 mg/mL-5 mg/mL. Its single-agent efficacy is superior to that of salbutamol sulfate.
6.阿仑膦酸钠粉雾剂对沙丁胺醇耐药 COPD 大鼠的治疗作用 6. Therapeutic effect of alendronate sodium powder on salbutamol-resistant COPD rats
阿仑膦酸钠(ALN)对沙丁胺醇耐受COPD大鼠的治疗作用Therapeutic effect of alendronate sodium (ALN) on salbutamol-resistant COPD rats
实验设计: 主要采用自身对照法,在沙丁胺醇耐药诱导的前、后测定特殊气道阻力sRAW,以最大限度避免造模个体差异对实验结果的影响,考察沙丁胺醇耐受后的COPD大鼠对阿仑膦酸钠是否有治疗反应。同时也设置有正常大鼠对照组,以便监控模型质量。Experimental design: The main airway resistance sRAW was measured before and after the induction of salbutamol resistance by using the self-control method to minimize the influence of individual model differences on the experimental results, and to investigate the effects of salbutamol tolerance on COPD rats. Does lendronate have a therapeutic response? A normal rat control group was also set up to monitor the quality of the model.
大鼠分组: 取SE (smoking + Elastase) 法建模的COPD大鼠4只(耳标号:S-1 (#53), S-2 (#52), S-3 (#51), S-4 (#74))作为实验组,均为雌性。另取同月龄的正常大鼠4只(耳标号control-1(#70),control-2(#71),control-3 (#72),control-4 (#73),雌性,作为对照。Rat grouping: Take SE (smoking + Elastase)                 Four COPD rats modeled by the method (ear label: S-1 (#53), S-2 (#52), S-3 (#51), S-4                 (#74)) As an experimental group, all were female. Another 4 normal rats of the same age (early number control-1 (#70), control-2 (#71), control-3)                 (#72), control-4 (#73), female, as a control.
药品: 硫酸沙丁胺醇气雾剂(万托林,葛兰素史克,200喷/瓶,50ug/喷),沙丁胺醇原药,阿仑膦酸钠粉雾剂。Drugs: Salbutamol sulfate aerosol (Vantolin, GlaxoSmithKline, 200 spray / bottle, 50ug / spray), salbutamol original drug, alendronate sodium powder spray.
具体实验流程为: The specific experimental process is:
第0天: 采用BUXCO BFL0500小动物呼吸仪测定上述4只对照大鼠和8只COPD大鼠的对梯度浓度的沙丁胺醇的气道sRaw值。沙丁胺醇浓度梯度:0,0.125 mg/ml,0.25 mg/ml,0.5 mg/ml,1 mg/ml,2 mg/ml。Day 0: Using BUXCO                 The airway sRaw value of the gradient concentration of salbutamol was determined by BFL0500 small animal respirometer for the above 4 control rats and 8 COPD rats. Salbutamol concentration gradient: 0, 0.125                 Mg/ml, 0.25 mg/ml, 0.5 mg/ml, 1 mg/ml, 2 mg/ml.
第1天-第21天:耐药诱导Day 1 - Day 21: Drug resistance induction
4只对照大鼠,4只COPD大鼠各放一笼,每日给予沙丁胺醇气雾剂一次,周六,日除外。给药方式:用大号塑料袋将笼子罩住,对准笼子上部给予1喷(50ug),让大鼠自由吸入,折住袋口,保持5分钟后再给予1喷,再保持5分钟。Four control rats, four COPD rats were placed in one cage, and salbutamol aerosol was given once daily, except Saturday and Sunday. Mode of administration: Cover the cage with a large plastic bag, and apply 1 spray (50 ug) to the upper part of the cage, let the rats inhale freely, fold the mouth of the bag, hold it for 5 minutes, and then give 1 spray for 5 minutes.
第22天: 测定沙丁胺醇雾化吸入下各大鼠气道sRaw值,与第0天结果相比,考察经过21天施用沙丁胺醇后大鼠是否对沙丁胺醇产生耐受。Day 22: The airway sRaw values of each rat in the aerosol inhalation of salbutamol were determined. Compared with the results on day 0, the rats were tested for tolerance to salbutamol after 21 days of administration of salbutamol.
第23天: 测定阿仑膦酸钠雾化吸入下各大鼠气道sRaw值,考察沙丁胺醇耐受的COPD大鼠是否对阿仑膦酸钠有药物反应。阿仑膦酸钠浓度梯度:0,0.31 mg/ml, 0.625 mg/ml,1.25 mg/ml,2.5 mg/ml,5 mg/ml。Day 23:                 The airway sRaw values of albendron sodium inhalation were measured to determine whether salbutamol-tolerant COPD rats had a drug response to alendronate. Alendronate concentration gradient: 0, 0.31                 Mg/ml, 0.625 mg/ml, 1.25 mg/ml, 2.5 mg/ml, 5 mg/ml.
实验结果Experimental result
(1)药物耐受前正常大鼠和COPD大鼠(第0天)对沙丁胺醇的反应性(1) Reactivity of salbutamol in normal rats and COPD rats (Day 0) before drug tolerance
四只正常大鼠在第0天对沙丁胺醇的反应性如图7所示,四只COPD大鼠在第0天对沙丁胺醇的反应性如图8所示。四只正常组和四只COPD组大鼠在第0天对沙丁胺醇的反应性(均值)如图9所示。The reactivity of four normal rats to salbutamol on day 0 is shown in Figure 7. The reactivity of four COPD rats to salbutamol on day 0 is shown in Figure 8. The reactivity (mean) of salbutamol on day 0 of the four normal and four COPD rats is shown in FIG.
结论:正常组大鼠对沙丁胺醇也有轻微的响应,平均sRaw值下降5-8%。COPD大鼠对沙丁胺醇有明显的响应性,平均sRaw值下降16-19%。表明本实验采用的COPD大鼠适用于此药物疗效的评估。CONCLUSIONS: Rats in the normal group also responded slightly to salbutamol, with an average sRaw value of 5-8%. COPD rats were significantly responsive to salbutamol, with an average sRaw value of 16-19%. It is indicated that the COPD rats used in this experiment are suitable for the evaluation of the efficacy of this drug.
(2) 沙丁胺醇耐受诱导21天后,正常组和COPD组大鼠对沙丁胺醇的反应性。(2) The reactivity of rats in the normal group and the COPD group to salbutamol after 21 days of salbutamol tolerance induction.
沙丁胺醇耐受诱导21天后,4只正常组大鼠对沙丁胺醇的反应性如图10所示,沙丁胺醇耐受诱导21天后, 4只COPD组大鼠对沙丁胺醇的反应性如11所示,沙丁胺醇耐受诱导21天后, 4只正常组和4只COPD组大鼠对沙丁胺醇的反应性的均值比较如12所示。沙丁胺醇耐受诱导前、后, 4只COPD组大鼠对沙丁胺醇的反应性的均值比较如图13所示。After 21 days of salbutamol tolerance induction, the reactivity of 4 normal rats to salbutamol is shown in Figure 10, after induction of salbutamol tolerance for 21 days,                 The reactivity of the rats in the 4 COPD groups to salbutamol was as shown in Figure 11, after induction of salbutamol tolerance for 21 days,                 The mean comparison of the reactivity of the rats in the 4 normal group and the 4 COPD groups to salbutamol is shown as 12. The mean values of the reactivity of salbutamol in the 4 COPD rats before and after the induction of salbutamol tolerance are shown in Fig. 13.
小结: 经过21天的沙丁胺醇耐受诱导,COPD大鼠对沙丁胺醇发生耐受,未诱导前沙丁胺醇吸入导致平均sRaw值下降16-19%,诱导后沙丁胺醇吸入仅导致平均sRaw值下降3-5%,说明21天诱导后COPD大鼠对沙丁胺醇产生耐药。Summary: After 21 days of salbutamol tolerance induction, COPD rats were resistant to salbutamol. The inhalation of salbutamol did not induce an average sRaw value of 16-19%. After induction, salbutamol inhalation only resulted in a 3-5% decrease in the average sRaw value. This indicates that COPD rats are resistant to salbutamol after 21 days of induction.
(2) 沙丁胺醇耐受诱导21天后,正常组和COPD组大鼠对阿仑膦酸钠的反应性。(2) The reactivity of rats in the normal group and the COPD group to alendronate after 21 days of salbutamol tolerance induction.
沙丁胺醇耐受诱导21天后, 4只正常组大鼠对阿仑膦酸钠的反应性如图14所示,沙丁胺醇耐受诱导21天后, 4只COPD组大鼠对阿仑膦酸钠的反应性如图15所示,沙丁胺醇耐受诱导21天后, 4只COPD组大鼠对阿仑膦酸钠的反应性均值如图16所示,沙丁胺醇耐受诱导前、后, 4只正常大鼠和4只COPD组大鼠对阿仑膦酸钠的反应性的均值比较如图17所示。After induction of salbutamol tolerance for 21 days,                 The reactivity of 4 normal rats to alendronate was shown in Figure 14. After induction of salbutamol tolerance for 21 days,                 The reactivity of 4 COPD rats to alendronate was shown in Figure 15, and after induction of salbutamol tolerance for 21 days,                 The mean values of reactivity of alginate sodium to alendronate in the 4 COPD rats are shown in Figure 16. Before and after induction of salbutamol tolerance, 4 normal rats and 4 COPD rats responded to alendronate. The mean comparison of the sex is shown in Figure 17.
小结: 经过21天的沙丁胺醇耐受诱导后COPD大鼠对沙丁胺醇发生耐受,但是对阿仑膦酸钠仍具有明显的反应性。沙丁胺醇耐受COPD大鼠,采用阿仑膦酸钠治疗仍可导致平均sRaw值下降28-30%,说明阿仑膦酸钠与沙丁胺醇具有不同的药理机制,可用于沙丁胺醇耐受COPD大鼠的治疗。Summary: After 21 days of salbutamol tolerance induction, COPD rats were resistant to salbutamol, but still had significant reactivity to alendronate. Salbutamol-tolerant COPD rats, treatment with alendronate can still cause an average sRaw value of 28-30%, indicating that alendronate has a different pharmacological mechanism from salbutamol and can be used in the treatment of salbutamol-resistant COPD rats. .
实施例1Example 1
取阿仑膦酸钠原料药(陕西汉江药业集团股份有限公司生产)1000g,上样到QS100型粉碎机中。粉碎条件为,0.7MPa粉碎压力,3小时,粉碎4次,得到阿仑膦酸钠微粉。Take 1000g of alendronate sodium raw material drug (produced by Shaanxi Hanjiang Pharmaceutical Group Co., Ltd.) and load it into the QS100 type pulverizer. The pulverization conditions were a crushing pressure of 0.7 MPa, and the mixture was pulverized 4 times for 3 hours to obtain a fine powder of alendronate.
测定阿仑膦酸钠含量,以6mg/胶囊分装于硬胶囊中即得。激光粒度测定结果:英国Malvern Instruments Ltd.激光粒度测定仪对不同批号的胶囊内容物粉末进行了粒度测定,结果上述样品粒度小于20μm部分所占百分比大于90%,而粒度小于5μm的部分所占的百分比小于50%。以电镜对胶囊内容物粉末进行观察,在10000倍的SEM电子显微镜下可见此粉末为单个的细小的颗粒,无粘连,无团块,分散良好,为一种不规则的立体结构。The alendronate content was determined and dispensed in hard capsules at 6 mg/capsule. Laser particle size measurement results: Malvern, UK                     The Instrument Co. laser granulometer was used to determine the particle size of the capsule contents of different batches. As a result, the percentage of the sample having a particle size of less than 20 μm was greater than 90%, and the percentage of the portion having a particle size of less than 5 μm was less than 50%. The powder content of the capsule was observed by electron microscopy. Under the 10000-times SEM electron microscope, the powder was a single fine particle, no adhesion, no agglomerate, and good dispersion, and was an irregular three-dimensional structure.
为了考察制备过程是否引起阿仑膦酸钠的破坏降解,以钼蓝比色法对粉碎前阿仑膦酸钠原料药与粉碎后的粉末进行了测定。方法为取原料药或粉末各8mg,制成阿仑膦酸钠浓度相当于0.08mg/ml的溶液,按分析方法进行相应波长的吸光度测定。结果,粉碎后的粉末吸光度(0.071±0.007)与粉碎前的原料药(0.067±0.006)相当,可见阿仑膦酸钠的含量无明显的改变。In order to investigate whether the preparation process caused the destruction and degradation of alendronate sodium, the raw material of alendronate sodium before pulverization and the powder after pulverization were determined by molybdenum blue colorimetry. The method is to take 8 mg of the raw material medicine or powder, and prepare a solution having a concentration of alendronate sodium equivalent to 0.08 mg/ml, and measure the absorbance of the corresponding wavelength according to the analysis method. As a result, the absorbance of the powder after pulverization (0.071±0.007) was comparable to that of the raw material before pulverization (0.067±0.006), and it was found that the content of alendronate did not change significantly.
实施例2Example 2
取阿仑膦酸钠原料药(陕西汉江药业集团股份有限公司生产)50g,上样到AO型粉碎机中。粉碎条件为,0.7MPa粉碎压力,2.5小时,粉碎2次。得到阿仑膦酸钠微粉。测定阿仑膦酸钠含量,以2mg/胶囊分装于硬胶囊中即得。激光粒度测定结果:英国Malvern Instruments Ltd.激光粒度测定仪对不同批号的胶囊内容物粉末进行了粒度测定,结果上述样品粒度小于20μm部分所占百分比大于90%,而粒度小于5μm的部分所占的百分比小于50%。以电镜对胶囊内容物粉末进行观察,在10000倍的SEM电子显微镜下可见此粉末为单个的细小的颗粒,无粘连,无团块,分散良好,为一种不规则的立体结构。Take 50 g of alendronate sodium raw material (produced by Shaanxi Hanjiang Pharmaceutical Group Co., Ltd.) and load it into an AO type pulverizer. The pulverization conditions were a crushing pressure of 0.7 MPa, 2.5 hours, and pulverization twice. A fine powder of alendronate is obtained. The alendronate content was determined and dispensed in hard capsules at 2 mg/capsule. Laser particle size measurement results: Malvern, UK                     The Instrument Co. laser granulometer was used to determine the particle size of the capsule contents of different batches. As a result, the percentage of the sample having a particle size of less than 20 μm was greater than 90%, and the percentage of the portion having a particle size of less than 5 μm was less than 50%. The powder content of the capsule was observed by electron microscopy. Under the 10000-times SEM electron microscope, the powder was a single fine particle, no adhesion, no agglomerate, and good dispersion, and was an irregular three-dimensional structure.
为了考察制备过程是否引起阿仑膦酸钠的破坏降解,以钼蓝比色法对粉碎前阿仑膦酸钠原料药与粉碎后的粉末进行了测定。方法为取上述原料药或粉末各8mg,制成阿仑膦酸钠浓度相当于0.8mg/ml的溶液,按分析方法进行相应波长的吸光度测定。结果,粉碎后的粉末吸光度(0.069±0.008)与粉碎前的原料药(0.067±0.006)相当,可见阿仑膦酸钠的含量无明显的改变。In order to investigate whether the preparation process caused the destruction and degradation of alendronate sodium, the raw material of alendronate sodium before pulverization and the powder after pulverization were determined by molybdenum blue colorimetry. The method is to take 8 mg of each of the above raw materials or powders to prepare a solution having a concentration of alendronate sodium equivalent to 0.8 mg/ml, and measure the absorbance of the corresponding wavelength according to an analytical method. As a result, the powder absorbance after pulverization (0.069±0.008) was comparable to the bulk drug (0.067±0.006) before pulverization, and the content of alendronate was not significantly changed.
实施例3Example 3
将实施例1制得的阿仑膦酸钠雾化剂,用雾化吸收装置测定雾滴分布,12.7%沉积在一级分布瓶中;78.2%沉积在二级分布瓶中。本实施例的阿仑膦酸钠粉雾剂施用后,分别取大鼠肺部进行HPLC分析,结果显示入肺量在83.40%~92.2%。The alendronate sodium atomization agent prepared in Example 1 was used to measure the droplet distribution by an atomization absorption device, 12.7% was deposited in a first-order distribution bottle; and 78.2% was deposited in a secondary distribution bottle. After the application of the alendronate sodium powder of the present embodiment, the lungs of the rats were respectively subjected to HPLC analysis, and the results showed that the amount of lungs was 83.40% to 92.2%.
实施例4Example 4
大鼠COPD模型治疗结果表明阿仑膦酸钠粉雾剂吸入剂剂量0.6 ~ 5.0 mg,每天施用1次,能够改善COPD大鼠呼吸功能~40%,优于硫酸沙丁胺醇的效果(~20%)。本发明的阿仑膦酸钠粉雾剂连续施用3周,仍然能够改善COPD大鼠呼吸功能~30%,显示出不存在耐药性问题。The results of the rat COPD model showed that the dose of alendronate sodium aerosol inhaler was 0.6 ~ 5.0 mg, once a day, can improve the respiratory function of COPD rats ~40%, better than the effect of salbutamol sulfate (~20%) . The continuous application of the alendronate sodium powder of the present invention for 3 weeks still improves the respiratory function of COPD rats by ~30%, indicating that there is no drug resistance problem.
实施例5Example 5
对于硫酸沙丁胺醇连续施用3周,疗效显著下降(呼吸功能仅改善3%~5%)的大鼠,本发明的阿仑膦酸钠粉雾剂在剂量0.6 ~ 5.0 mg,每天施用1次,仍然能够进一步改善其呼吸功能28%~30%,显示出可以克服硫酸沙丁胺醇的耐药性问题。For a continuous administration of salbutamol sulfate for 3 weeks, the effect was significantly decreased (respiration function improved only 3% to 5%) in rats, and the alendronate sodium powder of the present invention was dosed at a dose of 0.6.                     ~ 5.0 mg, once a day, can still further improve its respiratory function by 28% to 30%, showing that it can overcome the resistance of salbutamol sulfate.
虽然本发明已由较佳实施例揭露如上,然而并非用以限定本发明,任何熟知此技艺者,在不脱离本发明的精神和范围内,可作更改及变更,因此本发明的保护范围当视权利要求书所要求保护的范围为准。While the present invention has been described in its preferred embodiments, the present invention is not intended to limit the invention, and the scope of the present invention may be modified and changed without departing from the spirit and scope of the invention. The scope of the claims is subject to the scope of the claims.

Claims (10)

  1. 用于呼吸道给药的阿仑膦酸钠粉雾剂,所述阿仑膦酸钠粉雾剂的成份为单一的阿仑膦酸钠微粉,不含有辅料。Alendronate sodium powder for respiratory administration, the alendronate sodium powder is a single alendronate sodium powder, and contains no excipients.
  2. 根据权利要求1所述的阿仑膦酸钠粉雾剂,其特征在于,所述阿仑膦酸钠粉雾剂中阿仑膦酸钠的纯度≥98%。The alendronate sodium powder according to claim 1, wherein the alendronate sodium in the alendronate sodium powder has a purity of ≥98%.
  3. 根据权利要求1所述的阿仑膦酸钠粉雾剂,其特征在于,所述阿仑膦酸钠粉雾剂的粒度分布为d90≤20μm,d50≥5μm,且d10≤2.5μm。The alendronate sodium powder according to claim 1, wherein the alendronate sodium powder has a particle size distribution of d90 ≤ 20 μm, d50 ≥ 5 μm, and d10 ≤ 2.5 μm.
  4. 根据权利要求1所述的阿仑膦酸钠粉雾剂,其特征在于,用于制备所述阿仑膦酸钠粉雾剂的原料中阿仑膦酸钠的纯度≥98%。The alendronate sodium powder according to claim 1, wherein the purity of the alendronate sodium in the raw material for preparing the alendronate sodium powder is ≥98%.
  5. 根据权利要求1所述的阿仑膦酸钠粉雾剂,其特征在于,将阿仑膦酸钠微粉以0.6mg~5mg的装药量装入胶囊,每天用药一次。The alendronate sodium powder according to claim 1, wherein the alendronate sodium micropowder is filled in a capsule at a charge of 0.6 mg to 5 mg, and is administered once a day.
  6. 如权利要求1所述的阿仑膦酸钠粉雾剂的制备方法,其特征在于,将阿仑膦酸钠原料药直接粉碎制备得到,不添加辅料或溶剂。The method for preparing an alendronate sodium powder according to claim 1, wherein the alendronate sodium raw material is directly pulverized and prepared without adding an auxiliary material or a solvent.
  7. 根据权利要求6所述的阿仑膦酸钠粉雾剂的制备方法,其特征在于,粉碎上样量为50g~1000g,粉碎压力为0.7Mpa,粉碎时间为2.5h~3.5h,粉碎次数为1次或1次以上。The method for preparing an alendronate sodium powder according to claim 6, wherein the pulverization loading amount is 50 g to 1000 g, the pulverization pressure is 0.7 MPa, the pulverization time is 2.5 h to 3.5 h, and the pulverization time is 1 or more times.
  8. 如权利要求1所述的阿仑膦酸钠粉雾剂用于治疗慢性阻塞性肺疾病和/或哮喘的用途。Use of an alendronate sodium powder according to claim 1 for the treatment of chronic obstructive pulmonary disease and/or asthma.
  9. 如权利要求8所述的用途,其特征在于,所述慢性阻塞性肺疾病的患者对β2受体激动剂具有耐药性。The use according to claim 8, wherein the patient with chronic obstructive pulmonary disease is resistant to a β2 receptor agonist.
  10. 如权利要求8所述的用途,其特征在于,用药量为0.6mg - 5mg每天。The use according to claim 8, wherein the dose is from 0.6 mg to 5 mg per day.
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