WO2018104772A1 - Percutaneous absorption-type preparation - Google Patents

Percutaneous absorption-type preparation Download PDF

Info

Publication number
WO2018104772A1
WO2018104772A1 PCT/IB2017/001501 IB2017001501W WO2018104772A1 WO 2018104772 A1 WO2018104772 A1 WO 2018104772A1 IB 2017001501 W IB2017001501 W IB 2017001501W WO 2018104772 A1 WO2018104772 A1 WO 2018104772A1
Authority
WO
WIPO (PCT)
Prior art keywords
acid
drug
containing layer
tramadol
transdermal
Prior art date
Application number
PCT/IB2017/001501
Other languages
French (fr)
Japanese (ja)
Inventor
傑 石川
貴史 才
Original Assignee
王子ホールディングス株式会社
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by 王子ホールディングス株式会社 filed Critical 王子ホールディングス株式会社
Publication of WO2018104772A1 publication Critical patent/WO2018104772A1/en

Links

Images

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/13Amines
    • A61K31/135Amines having aromatic rings, e.g. ketamine, nortriptyline
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/13Amines
    • A61K31/135Amines having aromatic rings, e.g. ketamine, nortriptyline
    • A61K31/137Arylalkylamines, e.g. amphetamine, epinephrine, salbutamol, ephedrine or methadone
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/06Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
    • A61K47/08Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite containing oxygen, e.g. ethers, acetals, ketones, quinones, aldehydes, peroxides
    • A61K47/12Carboxylic acids; Salts or anhydrides thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/06Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
    • A61K47/08Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite containing oxygen, e.g. ethers, acetals, ketones, quinones, aldehydes, peroxides
    • A61K47/14Esters of carboxylic acids, e.g. fatty acid monoglycerides, medium-chain triglycerides, parabens or PEG fatty acid esters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/06Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
    • A61K47/16Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite containing nitrogen, e.g. nitro-, nitroso-, azo-compounds, nitriles, cyanates
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/06Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
    • A61K47/16Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite containing nitrogen, e.g. nitro-, nitroso-, azo-compounds, nitriles, cyanates
    • A61K47/18Amines; Amides; Ureas; Quaternary ammonium compounds; Amino acids; Oligopeptides having up to five amino acids
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/30Macromolecular organic or inorganic compounds, e.g. inorganic polyphosphates
    • A61K47/32Macromolecular compounds obtained by reactions only involving carbon-to-carbon unsaturated bonds, e.g. carbomers, poly(meth)acrylates, or polyvinyl pyrrolidone
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/70Web, sheet or filament bases ; Films; Fibres of the matrix type containing drug
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/04Centrally acting analgesics, e.g. opioids

Definitions

  • the present invention relates to a transdermal preparation containing tramadol or a pharmaceutically acceptable salt thereof as an active ingredient.
  • Tramadol ((1RS, 2RS) -2-[(dimethylamino) methyl] -1- (3-methoxyphenyl) cyclohexanol) is one of opioid analgesics and is mild in WHO cancer pain therapy. It is classified as a weak opioid used for moderate to moderate pain. The analgesic action of tramadol is thought to result from the suppression of nociceptive transmission by binding to the ⁇ opioid receptor and the activation of the descending pain suppression system by inhibiting serotonin and noradrenaline reuptake.
  • Tramadol is effective in alleviating pain and chronic pain in various cancers, and is currently used as tramadol hydrochloride in dosage forms such as injections, oral preparations, and suppositories.
  • Tramadol hydrochloride has a chemical structure of the following formula (I):
  • Patent Document 1 shows that when menthol, O-ethylmenthol, or limonene was added as an absorption enhancer to tramadol-containing hydrogel, the transdermal absorbability of tramadol was enhanced more than when cholic acid was added as an absorption enhancer.
  • Patent Document 2 discloses that as an absorption promoter, pentazocine which is an opioid receptor antagonist is obtained by using a compound selected from the group consisting of isopropyl myristate and glyceryl monocaprylate, glyceryl monocaprate and glyceryl monolaurate. It is disclosed that percutaneous absorption is improved.
  • Patent Document 2 also mentions tramadol hydrochloride as an opioid receptor antagonist, but does not disclose an example showing that the percutaneous absorption of tramadol is improved by the above-mentioned absorption enhancer.
  • Patent Document 3 discloses that high skin permeability of tramadol was obtained by formulating free tramadol as an organogel containing a fatty acid ester and a glycerin fatty acid ester. On the other hand, Patent Document 3 also discloses that tramadol hydrochloride-containing organogel had extremely low skin permeability for tramadol.
  • the present invention provides a transdermally absorbable preparation containing tramadol or a pharmaceutically acceptable salt thereof, in which bleeding is not caused and coagulation property is maintained while maintaining the skin permeability of tramadol, and It aims at providing the manufacturing method made from a transdermal absorption type.
  • the present inventors have found that high skin permeability of tramadol can be obtained by using a fatty acid alkanolamide as an absorption accelerator. Further, the present inventors have found that bleeding is increased when the content of fatty acid alkanolamide is increased to a certain value or more in order to further improve skin permeability, or when an absorption accelerator other than fatty acid alkanolamide is further added. It has been found that there is a new problem that occurs and the cohesiveness may decrease. As a result of further studies, it was found that even in such a case, blending silicic acid in the drug-containing layer can prevent bleeding and maintain good cohesiveness. Furthermore, it was unexpectedly found that tramadol exhibits high storage stability in the drug-containing layer thus obtained. The present inventors have further studied based on these findings and have completed the present invention. That is, the present invention is as follows.
  • a transdermal preparation having a support and a drug-containing layer, wherein the drug-containing layer contains tramadol or a pharmaceutically acceptable salt thereof, a fatty acid alkanolamide, silicic acid, and an adhesive A transdermal absorption preparation.
  • the pressure-sensitive adhesive contains a rubber-based resin as a main component.
  • the rubber-based resin contains a styrene-isoprene-styrene block copolymer and a tackifier.
  • the fatty acid alkanolamide is at least one selected from lauric acid diethanolamide, oleic acid diethanolamide, and lauric acid monoisopropanolamide. Mold formulation.
  • transdermal absorption preparation according to [7], wherein the fatty acid ester is at least one selected from isopropyl myristate, isopropyl palmitate, and hexyl laurate.
  • the organic acid is at least one selected from acetic acid, caprylic acid, oleic acid, and isostearic acid.
  • the skin permeability of tramadol can be improved while maintaining good aggregation.
  • the storage stability of tramadol in the drug-containing layer can be enhanced. Therefore, the present invention can provide a means for administering tramadol with improved convenience.
  • the “percutaneous absorption preparation” refers to a parenteral preparation in which an active ingredient is absorbed through the skin and delivered to the bloodstream.
  • the transdermally absorbable preparation of the present invention is a patch having a support and a drug-containing layer, and examples thereof include a tape, a poultice, and a plaster.
  • the transdermally absorbable preparation of the present invention may be a matrix-type patch preparation containing an adhesive in the drug-containing layer, and a controlled-release membrane and skin for adjusting the transdermal absorption of the drug on the skin-applied side of the drug-containing layer It may be a reservoir-type patch preparation that further has an adhesive layer for sticking to the skin. With such a structure, tramadol can be efficiently transdermally absorbed.
  • a matrix-type patch preparation is preferable.
  • the matrix-type patch preparation will be described as an example, but the present invention is not limited thereto.
  • the drug-containing layer contains tramadol or a pharmaceutically acceptable salt thereof.
  • Tramadol has analgesic action and is used to treat pain.
  • the pain is not particularly limited as long as it can be alleviated by tramadol.
  • pain in various cancers chronic pain (eg, nociceptive pain (eg, low back pain, osteoarthritis, etc.), Neuropathic pain (eg, postherpetic neuralgia, diabetic neuropathic pain, and psychogenic pain).
  • compositions of tramadol include acid addition salts such as inorganic acid salts such as hydrochloride, hydrobromide, nitrate, sulfate, phosphate and the like; and organic acid salts such as, for example, Formate, acetate, trifluoroacetate, ascorbate, benzoate, cinnamate, citrate, fumarate, glutamate, tartrate, oxalate, glutarate, camphorate, adipine Acid salt, sorbate, lactate, maleate, linoleate, linolenate, malate, malonate, mandelate, methanesulfonate (mesylate), phthalate, salicylate, stearin Acid salt, isostearate, succinate, propionate, butyrate, pamoate, p-toluenesulfonate (tosylate), benzenesulfonate (besylate), etc. It is, but is, but
  • Tramadol or a pharmaceutically acceptable salt thereof may be used in crystalline form.
  • the crystal may be formed only from tramadol or a pharmaceutically acceptable salt thereof, or may form a co-crystal or a solvate (for example, a hydrate, preferably a monohydrate). Good. Any of tramadol or a pharmaceutically acceptable salt thereof may be used alone or in combination of two or more. In the present invention, it is preferable to use tramadol hydrochloride, which has already been established to be useful for intramuscular administration and oral administration, as a pain therapeutic agent.
  • the content of tramadol or a pharmaceutically acceptable salt thereof in the transdermal preparation of the present invention is an effective amount for the treatment of pain.
  • the “effective amount” is an amount capable of achieving a blood concentration of tramadol effective for treating pain when the transdermally absorbable preparation of the present invention is applied to the skin of a living body.
  • Such content can be adjusted as appropriate based on information on the pharmacokinetics of oral administration, and may vary depending on the administration subject, disease, symptoms, and the like.
  • the amount is preferably 1 to 40% by mass, more preferably 5 to 35% by mass, and still more preferably 10 to 30% by mass with respect to the drug-containing layer (that is, based on the total mass of the drug-containing layer; the same shall apply hereinafter).
  • the blood concentration of tramadol effective for the treatment of pain can be similar to that of intramuscular or oral administration of tramadol.
  • a blood concentration effective for treating pain can be achieved by adjusting the skin permeation rate of tramadol.
  • the skin permeation rate can be adjusted by any means such as adjusting the content of tramadol or a pharmaceutically acceptable salt thereof in the drug-containing layer, or adding an absorption enhancer described later to the drug-containing layer. It can be carried out.
  • the skin permeation rate of tramadol means a value measured by an in vitro skin permeability test described in Examples described later.
  • the skin permeation rate of tramadol is usually 40 ⁇ g / cm 2 / hour or more, preferably 50 ⁇ g / cm 2 / hour or more, more preferably 60 ⁇ g / cm 2 / hour or more. If the skin permeation rate is 40 ⁇ g / cm 2 / hour or more, a sufficient blood concentration can be obtained.
  • the skin permeation rate of tramadol is usually less than 100 [mu] g / cm 2 / time, preferably less than 90 [mu] g / cm 2 / hour, more preferably less than 80 [mu] g / cm 2 / hour. If the skin permeation rate is less than 100 ⁇ g / cm 2 / hour, the blood concentration does not become too high, which is preferable from the viewpoint of safety.
  • Basic Compound When an acid addition salt is used as a pharmaceutically acceptable salt of tramadol, it is preferable to contain a basic compound in the drug-containing layer.
  • basic compounds include inorganic bases and organic bases, such as low molecular weight compounds containing basic nitrogen (for example, ethanolamine, isopropanolamine, diethanolamine, diisopropanolamine, triethanolamine, triisopropanolamine, etc.
  • Aliphatic alkanolamine polymer compound containing basic nitrogen (for example, aminoalkyl methacrylate copolymer E, polyvinyl acetal diethylaminoacetate, polyvinylpyridine, etc.); basic alkali metal salt (for example, sodium acetate, potassium acetate, boric acid) Sodium, sodium carbonate, sodium hydrogen carbonate, trisodium citrate, sodium silicate); alkali metal hydroxides (for example, sodium hydroxide, potassium hydroxide, etc.).
  • basic acrylic resins such as Eudragit series (Eudragit E100, Eudragit EPO: Evonik Industries company make). Of these, inorganic bases and aliphatic alkanolamines are preferable, and sodium hydroxide, potassium hydroxide, and diisopropanolamine are more preferable.
  • a basic compound can be used individually or in mixture of 2 or more types.
  • the content of the basic compound is preferably 0.5 to 3 equivalents, more preferably 0.7 to 2 equivalents, relative to the equivalent amount of the pharmaceutically acceptable salt of tramadol.
  • the content of the basic compound is preferably 0.1 to 35% by mass, more preferably 0.5 to 30% by mass, and more preferably 1 to 25% by mass with respect to the drug-containing layer. More preferably.
  • the basic compound acts on a pharmaceutically acceptable salt of tramadol, and the skin permeability of tramadol is improved.
  • the effect of improving the skin permeability becomes more remarkable as compared with the case where the content is outside the above range.
  • the drug-containing layer contains a fatty acid alkanolamide as an absorption accelerator.
  • Fatty acid alkanolamides for example C 12 saturated at ⁇ C 18, or one or more double bonds (preferably, 1 or two double bonds) and fatty acid moieties having, C 2 substituted with for example one or more hydroxy ⁇ C 6 alkyl (preferably, monohydroxy C 2 ⁇ C 4 alkyl) comprises a alkanolamide moiety or di alkanolamide moiety containing, for example, lauric acid diethanolamide, palmitic acid diethanolamide, stearic acid diethanolamide, Examples include oleic acid diethanolamide and lauric acid monoisopropanolamide. Of these, lauric acid diethanolamide, oleic acid diethanolamide, and lauric acid monoisopropanolamide are preferable.
  • Fatty acid alkanolamides can be used alone or in admixture of two or more.
  • the content of the fatty acid alkanolamide in the transdermal preparation of the present invention is 15% by mass or less (for example, 14% by mass or less, 13% by mass or less, 12% by mass or less) with respect to the total mass of the drug-containing layer. 11 mass% or less, 10 mass% or less, 9 mass% or less, 8 mass% or less, 7 mass% or less, 6 mass% or less, 5 mass% or less, 4 mass% or less, or 3 mass% or less)
  • the content is preferably 1 to 10% by mass, more preferably 1 to 5% by mass, and still more preferably 1 to 3% by mass. If the content of the fatty acid alkanolamide is 1% by mass or more, it is possible to give a skin permeation rate of tramadol that can achieve a blood concentration effective for the treatment of pain.
  • the drug-containing layer may further contain an absorption enhancer other than the fatty acid alkanolamide.
  • the absorption enhancer other than the fatty acid alkanolamide may be any compound that has been recognized to promote skin permeation in transdermal administration, for example, acetic acid, caprylic acid, capric acid, lauric acid, myristic acid, palmitic acid.
  • Oxyethylene fatty acid esters aliphatic or aromatic alcohols such as decanol, lauryl alcohol, myristyl alcohol, oleyl alcohol, isostearyl alcohol, cetyl alcohol, hexyl decanol, octyldodecanol, benzyl alcohol, or ethers thereof; carbon number 3 To 8 polyhydric alcohols (eg, propylene glycol, 1,3-butanediol, , 4-butanediol, glycerin, dipropylene glycol, octanediol, etc.); phenol ethers such as polyoxyethylene nonylphenyl ether, polyoxyethylene octylphenyl ether; castor oil or hydrogenated castor oil; oleoyl sarcosine, lauryldimethylamino Ionic surfactants such as betaine acetate and sodium lauryl sulfate; polyoxyethylene alkyl ether
  • Absorption accelerators other than fatty acid alkanolamides can be used singly or in combination of two or more.
  • the absorption accelerator other than the fatty acid alkanolamide is at least one selected from organic acids and fatty acid esters.
  • the organic acid is preferably at least one selected from acetic acid, caprylic acid, oleic acid, and isostearic acid.
  • the fatty acid ester is preferably at least one selected from isopropyl myristate, isopropyl palmitate, and hexyl laurate.
  • the drug-containing layer may not contain an absorption accelerator other than the fatty acid alkanolamide, and when it is included, the content thereof is, in one aspect, 1% by mass or more (for example, 2 mass% or more, 3 mass% or more, 4 mass% or more, or 5 mass% or more), 20 mass% or less (for example, 19 mass% or less, 18 mass% or less, 17 mass% or less, 16 mass% or less, 15 Mass% or less, 14 mass% or less, 13 mass% or less, 12 mass% or less, 11 mass% or less, or 10 mass% or less).
  • an absorption accelerator other than the fatty acid alkanolamide when it is included, the content thereof is, in one aspect, 1% by mass or more (for example, 2 mass% or more, 3 mass% or more, 4 mass% or more, or 5 mass% or more), 20 mass% or less (for example, 19 mass% or less, 18 mass% or less, 17 mass% or less, 16 mass% or less, 15 Mass% or less, 14 mass% or less
  • the content of the absorption accelerator other than the fatty acid alkanolamide is, for example, preferably 0 to 20% by mass, more preferably 0 to 15% by mass, and further preferably 0 to 10% by mass. Further, the total content of fatty acid alkanolamides and absorption accelerators other than fatty acid alkanolamides in the drug-containing layer may be 1% by mass or more and 25% by mass, for example, 20% by mass, unless bleeding occurs. Less than 15% by mass and less than 10% by mass.
  • the drug-containing layer contains silicic acid.
  • silicic acid means silicon dioxide (anhydrous silicic acid) or a salt thereof.
  • silicate eg, aluminum silicate, magnesium silicate, calcium silicate, silicic acid
  • Magnesium aluminum, magnesium sodium silicate, etc. preferably silicic anhydride.
  • the content of silicic acid is preferably 0.1 to 20% by mass, more preferably 0.5 to 15% by mass, and preferably 1 to 10% by mass with respect to the total mass of the drug-containing layer. More preferably. If the silicic acid content is 0.1% by mass or more, bleeding that occurs when a fatty acid alkanolamide and other absorption promoters are blended in the drug-containing layer can be suppressed, and good cohesiveness can be maintained. . Further, it is preferable to contain silicic acid in the drug-containing layer so that the total amount of fatty acid alkanolamide and other absorption accelerators is 2 to 5 parts by mass with respect to 1 part by mass of silicic acid.
  • bleeding means a phenomenon in which a liquid component oozes out from a drug-containing layer containing an adhesive, and the presence or absence of occurrence is visually evaluated as described in Examples below. it can.
  • cohesiveness is evaluated based on the cohesive strength of the pressure-sensitive adhesive investigated by the test method described in the examples described later.
  • the drug-containing layer contains an adhesive.
  • the pressure-sensitive adhesive contained in the drug-containing layer include those containing acrylic resins, rubber resins, silicone resins, and the like.
  • the pressure-sensitive adhesive preferably contains as a main component at least one selected from the group consisting of acrylic resins, rubber resins and silicone resins, and at least selected from the group consisting of rubber resins and acrylic resins. What contains 1 type as a main component is more preferable.
  • the “main component” means usually 70% by mass or more, further 80% by mass or more, further 90% by mass or more, and particularly 100% by mass with respect to the total mass of the pressure-sensitive adhesive.
  • acrylic resin for example, (meth) acrylic acid ester represented by 2-ethylhexyl acrylate, methyl acrylate, butyl acrylate, 2-hydroxyethyl acrylate, 2-ethylhexyl methacrylate and the like is used as a monomer unit.
  • acrylic resin for example, (meth) acrylic acid ester represented by 2-ethylhexyl acrylate, methyl acrylate, butyl acrylate, 2-hydroxyethyl acrylate, 2-ethylhexyl methacrylate and the like is used as a monomer unit.
  • examples thereof include a polymer or copolymer containing at least one kind.
  • acrylic acid / octyl acrylate copolymer 2-ethylhexyl acrylate / vinylpyrrolidone copolymer solution, 2-ethylexyl acrylate / N-vinyl-2-pyrrolidone / dimethacrylic acid-1 , 6-hexane glycol copolymer, acrylic ester / vinyl acetate copolymer, 2-ethylhexyl acrylate / 2-hydroxyethyl acrylate / vinyl acetate copolymer, 2-ethylhexyl acrylate / 2-ethylhexyl methacrylate / methacrylic acid
  • examples thereof include a dodecyl copolymer solution, a methyl acrylate / 2-ethylhexyl acrylate copolymer resin emulsion, and an acrylic resin alkanolamine solution.
  • DURO-TAK acrylic adhesive series
  • DURO TAK87-900A DURO TAK 87-9301, DURO TAK 87-4098, DURO TAK 387-2510, DURO TAK 87-2510, DURO TAK 387-2287, DURO TAK 87-2287, DURO TAK 87-4287, DURO TAK 387-2516, DURO TAK 87-2516, DURO TAK 87-2074, DURO TAK 387-235A, DURO TAK 387-2353, DURO TAK 87235D -2852, DURO TAK 387-2051, DURO TAK 87-2051, DURO TAK 3 7-2052, DURO TAK 87-2052, DUROTAK 387-2054, DURO TAK 87-2054, DURO TAK 87-2194, DURO TAK 87-2196: made by Henkel Corporation, GELVA series (GELV
  • rubber resins examples include styrene-isoprene-styrene block copolymer (SIS), styrene-butadiene-styrene block copolymer (SBS), styrene-butadiene rubber (SBR), styrene isoprene rubber, and polyisobutylene (PIB). ), Polybutene, butyl rubber, natural rubber, raw rubber, gum arabic, gum arabic powder, isoprene rubber and the like, preferably styrene-isoprene-styrene block copolymer (SIS).
  • SIS styrene-isoprene-styrene block copolymer
  • SBS styrene-butadiene-styrene block copolymer
  • SBR styrene-butadiene rubber
  • PIB polyisobutylene
  • Polybutene butyl rubber, natural
  • silicone-based resin examples include polymers having an organopolysiloxane skeleton and derivatives thereof. Specific examples include dimethylpolysiloxane, polymethylvinylsiloxane, polymethylphenylsiloxane, and diphenylsiloxane. Commercially available silicone resins such as BIO-PSA series (Dow Corning) may also be used.
  • one of the acrylic resin, rubber resin, and silicone resin described above is used alone, or two or more kinds are combined. Can be used. More preferred are acrylic or rubber resins.
  • the amount of the adhesive contained in the drug-containing layer is adjusted in consideration of the formation of the drug-containing layer, sufficient skin permeability of tramadol, and the like.
  • the content of the pressure-sensitive adhesive is usually 10 to 97.8% by mass, preferably 15 to 90% by mass with respect to the drug-containing layer.
  • the adhesive is a rubber-based resin
  • the content of the adhesive is preferably 10 to 97.8% by mass, more preferably 15 to 90% by mass, and further preferably 20 to 80% by mass with respect to the drug-containing layer.
  • the adhesive is an acrylic resin
  • the content of the adhesive is preferably 10 to 97.8% by mass, more preferably 15 to 90% by mass, and further preferably 20 to 80% by mass with respect to the drug-containing layer.
  • the pressure-sensitive adhesive is a silicone resin
  • it is preferably 10 to 97.8% by mass, more preferably 15 to 90% by mass, and still more preferably 20 to 80% by mass with respect to the drug-containing layer.
  • Tackifier The drug-containing layer may further contain a tackifier for improving the adhesive strength.
  • the tackifier include rosin, rosin glycerin ester, hydrogenated rosin, rosin derivatives such as hydrogenated rosin glycerin ester, alicyclic saturated hydrocarbon resin, alicyclic hydrocarbon resin, terpene resin, aliphatic saturated Hydrocarbon resin, aliphatic hydrocarbon resin, maleic resin, carnauba wax, carmellose sodium, xanthan gum, chitosan, glycerin, magnesium aluminum silicate, light anhydrous silicic acid, benzyl acetate, talc, hydroxyethyl cellulose, hydroxypropyl cellulose, hypromellose, Examples include polyacrylic acid, sodium polyacrylate, partially neutralized polyacrylic acid, and polyvinyl alcohol.
  • tackifier commercially available products such as Alcon series (Arakawa Chemical Co., Ltd.), Pine Crystal series (Arakawa Chemical Co., Ltd.), Clearon series (Yasuhara Chemical Co., Ltd.), YS Resin Series (Yasuhara Chemical Co., Ltd.), etc. You may use suitably.
  • the rubber-based resin when used as an adhesive, it is preferable to use a hydrogenated rosin glycerin ester, an alicyclic saturated hydrocarbon resin, a terpene resin, or an aliphatic saturated hydrocarbon resin as a tackifier. Rosin glycerin ester is more preferred.
  • a tackifier can be used individually by 1 type or in combination of 2 or more types.
  • the content of the tackifier is preferably 5 to 70% by mass, preferably 10 to 60% by mass with respect to the drug-containing layer when a rubber-based resin is used as the adhesive in consideration of sufficient adhesive strength as a patch. % Is more preferable, and 15 to 50% by mass is more preferable.
  • an acrylic resin is used as the pressure-sensitive adhesive
  • the content is preferably 0 to 40% by mass, more preferably 0 to 30% by mass, and still more preferably 0 to 20% by mass with respect to the drug-containing layer.
  • a silicone resin is used as the pressure-sensitive adhesive, the content is preferably 0 to 30% by mass, more preferably 0 to 20% by mass, and still more preferably 0 to 10% by mass with respect to the drug-containing layer.
  • Plasticizer The drug-containing layer may further contain a plasticizer.
  • Plasticizers include petroleum oils (eg, paraffinic process oil, naphthenic process oil, aromatic process oil, liquid paraffin, etc.), squalane, squalene, vegetable oils (eg, olive oil, camellia oil, castor oil, tall Oil, peanut oil, etc.), silicone oil, dibasic acid ester (eg, dibutyl phthalate, dioctyl phthalate, etc.), liquid rubber (eg, polybutene, liquid isoprene rubber, etc.), diethylene glycol, polyethylene glycol, salicylic acid glycol, crotamiton, etc. It is done.
  • plasticizer you may use suitably what is marketed, such as the Moresco white series (made by Moresco), the high call series (made by Kaneda).
  • the rubber-based resin is used as an adhesive
  • liquid paraffin is preferably used as a plasticizer.
  • a plasticizer can be used individually by 1 type or in combination of 2 or more types.
  • the content of the plasticizer is adjusted in consideration of sufficient permeability of tramadol and maintenance of sufficient cohesion as a transdermal preparation.
  • a rubber-based resin is used as the adhesive, it is preferably 0 to 70% by mass, more preferably 0 to 60% by mass, and still more preferably 0 to 40% by mass with respect to the drug-containing layer.
  • an acrylic resin is used as the pressure-sensitive adhesive, the content is preferably 0 to 50% by mass, more preferably 0 to 40% by mass, and still more preferably 0 to 30% by mass with respect to the drug-containing layer.
  • a silicone resin is used as the pressure-sensitive adhesive, the total amount is preferably 0 to 40% by mass, more preferably 0 to 30% by mass, and further preferably 0 to 20% by mass with respect to the drug-containing layer.
  • the drug-containing layer further contains a known additive such as a pH adjuster, a crosslinking agent, an antioxidant, a colorant, an ultraviolet absorber, a filler, or an antiseptic, as necessary. Also good.
  • a known additive such as a pH adjuster, a crosslinking agent, an antioxidant, a colorant, an ultraviolet absorber, a filler, or an antiseptic, as necessary. Also good.
  • the pH adjusting agent can be used to adjust the pH of the drug-containing layer for the purpose of improving the solubility, stability, and skin permeability of tramadol and improving the safety to the skin.
  • the pH adjusting agent may be any compound as long as it is an acid or base or a salt thereof that is usually used for pH adjustment in the pharmaceutical field.
  • crosslinking agents include thermosetting resins such as amino resins, phenol resins, epoxy resins, alkyd resins, and unsaturated polyesters, isocyanate compounds, blocked isocyanate compounds, organic crosslinking agents, and inorganic crosslinking agents such as metals or metal compounds. Is mentioned. Among these, an isocyanate compound or a blocked isocyanate compound is preferable.
  • antioxidants examples include tocopherol and ester derivatives thereof, ascorbic acid, ascorbic acid stearate, nordihydroguaiaretic acid, dibutylhydroxytoluene (BHT), butylhydroxyanisole and the like.
  • colorant examples include indigo carmine, yellow iron oxide, yellow iron sesquioxide, carbon black, caramel, photosensitive element 201, Kumazasa extract, black iron oxide, ketket, zinc oxide, titanium oxide, iron sesquioxide, amaranth, water
  • examples include sodium oxide, talc, copper chlorophyllin sodium, green leaf extract powder, d-borneol, octyldodecyl myristate, methylene blue, ammonium manganese phosphate, and rose oil.
  • Examples of the ultraviolet absorber include amino acid compounds, benzophenone compounds, cinnamic acid derivatives, cyanoacrylate derivatives, p-aminobenzoic acid derivatives, anthranilic acid derivatives, salicylic acid derivatives, coumarin derivatives, imidazoline derivatives, pyrimidine derivatives, dioxane derivatives, and the like. Can be mentioned.
  • Fillers include calcium carbonate, magnesium carbonate, sodium carbonate, ammonium carbonate, potassium carbonate, potassium bicarbonate, silicate (eg, aluminum silicate, magnesium silicate, calcium silicate, magnesium aluminum silicate, magnesium silicate Sodium), magnesium hydroxide, barium sulfate, calcium sulfate, calcium zincate, zinc oxide, titanium oxide and the like.
  • silicate eg, aluminum silicate, magnesium silicate, calcium silicate, magnesium aluminum silicate, magnesium silicate Sodium
  • magnesium hydroxide eg, barium sulfate, calcium sulfate, calcium zincate, zinc oxide, titanium oxide and the like.
  • preservative examples include ethyl paraoxybenzoate, propyl paraoxybenzoate, and butyl paraoxybenzoate.
  • the total content of other optional components is preferably 0 to 10% by mass, more preferably 0 to 5% by mass with respect to the drug-containing layer.
  • the area of the drug-containing layer in the transdermally absorbable preparation of the present invention can be appropriately adjusted according to the content of tramadol or a pharmaceutically acceptable salt thereof, the skin permeation rate of tramadol, and the like.
  • the area of the drug-containing layer is in the range of 2 to 140 cm 2 , preferably 10 to 100 cm 2 , more preferably 20 to 70 cm 2 .
  • the shape of the drug-containing layer is not particularly limited, and may be a square, a rectangle, a circle, an ellipse, or the like.
  • the thickness of the drug-containing layer in the transdermal preparation of the present invention can be appropriately adjusted according to the type of pressure-sensitive adhesive, the content of tramadol or a pharmaceutically acceptable salt thereof, the skin permeation rate of tramadol, and the like. Yes, it is not particularly limited.
  • the thickness of the drug-containing layer is in the range of 20 to 300 ⁇ m, preferably 25 to 200 ⁇ m, more preferably 30 ⁇ m to 150 ⁇ m.
  • tramadol shows a high storage stability compared to the percutaneous absorption preparation containing no fatty acid alkanolamide.
  • “storage stability” refers to the ratio of tramadol remaining in the drug-containing layer (% to the starting content (%) after the transdermal preparation is hermetically packaged in an aluminum bag and stored at 60 ° C. for 4 weeks. )), which is examined by the test method described in the examples below. When the content (%) at the start is 98% or more, it is evaluated that the storage stability is high.
  • a transdermal preparation containing no fatty acid alkanolamide in the drug-containing layer may have relatively high skin irritation, but the transdermal preparation of the present invention containing the fatty acid alkanolamide in the drug-containing layer is the same. Although it exhibits a degree of tramadol skin permeability, it exhibits low skin irritation compared to a transdermal patch with no fatty acid alkanolamide in the drug-containing layer.
  • the transdermal preparation is applied to the left and right torso parts of guinea pigs that have been shaved and shaved, and the transdermal preparation is removed after 24 hours, and 24, 48, and 72 are removed from the application.
  • PI skin irritation index
  • One embodiment of the drug-containing layer in the transdermally absorbable preparation of the present invention includes those containing tramadol or a pharmaceutically acceptable salt thereof, a fatty acid alkanolamide, silicic acid, and an adhesive.
  • tramadol or a pharmaceutically acceptable salt thereof tramadol acid addition salt (particularly hydrochloride) is preferable.
  • the drug-containing layer preferably contains a basic compound.
  • the fatty acid alkanolamide lauric acid diethanolamide, oleic acid diethanolamide, and lauric acid monoisopropanolamide are preferable.
  • As the silicic acid anhydrous silicic acid is preferable.
  • an adhesive what contains at least 1 sort (s) chosen from the group which consists of rubber-type resin and acrylic resin as a main component is preferable.
  • the content of tramadol or a pharmaceutically acceptable salt thereof is 1 to 40% by mass
  • the content of basic compound is 0.1 to 35% by mass
  • the content of fatty acid alkanolamide is 1 to It is preferable that the content is 9% by mass
  • the content of silicic acid is 0.1 to 20% by mass
  • the content of the adhesive is 10 to 97.8% by mass.
  • the drug-containing layer in the transdermally absorbable preparation of the present invention contains tramadol or a pharmaceutically acceptable salt thereof, a fatty acid alkanolamide, an absorption accelerator other than the fatty acid alkanolamide, silicic acid, and an adhesive.
  • tramadol or a pharmaceutically acceptable salt thereof tramadol acid addition salt (particularly hydrochloride) is preferable.
  • the drug-containing layer preferably contains a basic compound.
  • the fatty acid alkanolamide lauric acid diethanolamide, oleic acid diethanolamide, and lauric acid monoisopropanolamide are preferable.
  • the absorption accelerator other than the fatty acid alkanolamide is preferably at least one selected from fatty acid esters and organic acids.
  • the fatty acid ester is preferably isopropyl myristate, isopropyl palmitate, or hexyl laurate.
  • the organic acid is preferably acetic acid, caprylic acid, oleic acid, and isostearic acid.
  • As the silicic acid anhydrous silicic acid is preferable.
  • As an adhesive what contains at least 1 sort (s) chosen from the group which consists of rubber-type resin and acrylic resin as a main component is preferable.
  • the content of tramadol or a pharmaceutically acceptable salt thereof is 1 to 40% by mass, the content of basic compound is 0.1 to 35% by mass, and the content of fatty acid alkanolamide is 1 to 15 mass%, content of absorption accelerator other than fatty acid alkanolamide is 1 to 20 mass%, content of silicic acid is 0.1 to 20 mass%, and content of adhesive is 10 to 96.8 mass% Preferably there is.
  • a drug-impermeable, stretchable or non-stretchable support can be used.
  • a support is not particularly limited as long as it is usually used in the field of pharmaceuticals.
  • polyethylene, polypropylene, polybutadiene, ethylene vinyl acetate copolymer, polyvinyl chloride, polyester (polyethylene terephthalate, etc.) examples thereof include synthetic resin films or sheets such as nylon and polyurethane, or laminates, porous bodies, foams, and films in which aluminum is vapor-deposited.
  • paper, woven fabric, nonwoven fabric, or a laminate of these and a film can also be used as the support.
  • the transdermally absorbable preparation of the present invention may further have a release liner.
  • the release liner is laminated on the surface of the drug-containing layer laminated on the support opposite to the surface in contact with the support, and protects the drug-containing layer until the transdermal preparation is applied to the skin. can do.
  • the release liner is not particularly limited as long as it is impermeable to at least tramadol or a pharmaceutically acceptable salt thereof in the drug-containing layer.
  • the release liner is made of a polymer material such as polyethylene, polypropylene, polyester, polyethylene terephthalate. Film, a film in which aluminum is vapor-deposited, and a film in which silicone oil or the like is coated on paper.
  • the transdermally absorbable preparation of the present invention can be produced according to a known method. Prepare a mixture containing tramadol or a pharmaceutically acceptable salt thereof, fatty acid alkanolamide, silicic acid, and adhesive, and other ingredients as required, and apply or spread this mixture on a release liner to create a drug It can manufacture by forming a content layer and bonding a support body to this drug content layer.
  • the components in the drug-containing layer are added to an organic solvent so as to have the content, and mixed and stirred to prepare a coating solution.
  • organic solvent ethyl acetate, hexane, pentane, heptane, toluene, cyclohexane, chloroform, methylene chloride, methanol, ethanol, isopropyl alcohol, methyl ethyl ketone, cyclohexanone, acetone, a mixed solvent thereof or the like
  • the content of the organic solvent in the coating solution is not particularly limited, and is, for example, 30 to 90% by mass, preferably 40 to 80% by mass with respect to the entire coating solution.
  • this coating solution is applied or spread on a release liner, the solvent in the coating solution is evaporated to form a drug-containing layer, and then a support is attached to obtain a transdermal absorption preparation.
  • a transdermal preparation can be obtained by applying or spreading a coating liquid on a support, evaporating the solvent in the coating liquid to form a drug-containing layer, and then attaching a release liner.
  • a method in which a coating solution is applied or spread on a release liner, a solvent in the coating solution is evaporated to form a drug-containing layer, and then a support is bonded together is preferable.
  • Coating or spreading of the coating solution can be performed using a knife coater, comma coater, reverse coater, or die coater. Although an example of a manufacturing flow is shown in FIG. 1, it is not limited to this.
  • the components in the drug-containing layer are heated and melted, and the melt is applied or spread on a release liner to form a drug-containing layer, and then the support is formed.
  • a percutaneous absorption type preparation can also be produced by bonding.
  • a transdermal preparation may be produced by laminating a release liner.
  • the treatment of pain by the transdermal preparation of the present invention can be performed by directly applying the transdermal preparation of the present invention to the skin of the subject and transdermally administering tramadol.
  • the subject in the present invention is a mammal such as a human, preferably a human.
  • tramadol When tramadol is transdermally administered by the transdermally absorbable preparation of the present invention, the content of tramadol or a pharmaceutically acceptable salt thereof in the drug-containing layer so as to achieve a blood concentration effective for the treatment of pain
  • the percutaneously absorbable preparation of the present invention is applied to the skin after appropriately adjusting the skin permeation rate of tramadol, the area of the drug-containing layer, the thickness of the drug-containing layer and the like.
  • the percutaneous absorption type preparation of the present invention may be applied to the skin of any part of the body as long as it can be applied.
  • it can be applied to the upper arm, abdomen, chest, neck, waist back, buttocks or legs. Can be pasted.
  • Transdermal administration of the transdermal preparation of the present invention to a subject may be combined with administration of a pharmaceutical composition containing a pharmaceutical ingredient other than tramadol, if necessary.
  • the administration form may be simultaneous administration or administration with a time difference
  • the pharmaceutical composition may be intravenous, intraperitoneal, subcutaneous and intramuscular, oral, topical or transmucosal. It can be administered by various routes including:
  • a pharmaceutical composition containing a pharmaceutical ingredient other than tramadol is administered to a subject by an administration route usually used for the pharmaceutical ingredient.
  • tramadol Pharmaceutical components other than tramadol include, but are not limited to, analgesics such as acetaminophen, nonsteroidal anti-inflammatory analgesics such as diclofenac sodium and loxoprofen sodium, and local anesthetics such as lidocaine.
  • analgesics such as acetaminophen
  • nonsteroidal anti-inflammatory analgesics such as diclofenac sodium and loxoprofen sodium
  • local anesthetics such as lidocaine.
  • Example 1 Preparation of rubber-based resin composition Styrene-isoprene-styrene block copolymer (Quintac 3570C, manufactured by Nippon Zeon Co., Ltd.), hydrogenated rosin glycerin ester (Pine Crystal KE-311, manufactured by Arakawa Chemical Industries, Ltd.), polyisobutylene (Oppanol B12SFN) (Manufactured by BASF) was dissolved in a mixed solution of toluene and hexane so as to have a solid concentration of 30% to obtain a rubber-based resin composition.
  • Ingredient name Mixing ratio Quintac 3570C (made by Nippon Zeon) 45% Pine Crystal KE-311 (Arakawa Chemical Industries) 45% Opanol B12SFN (BASF) 10%
  • the coating solution was applied on a release film (film binder 75E-0010 BD: manufactured by Fujimori Kogyo Co., Ltd.) so that the thickness after evaporation of the solvent was about 75 ⁇ m and dried, and then the support (EH-1212: Nippon Viylene Co., Ltd.) was bonded to produce a transdermal absorption preparation.
  • a release film film binder 75E-0010 BD: manufactured by Fujimori Kogyo Co., Ltd.
  • the support EH-1212: Nippon Viylene Co., Ltd.
  • Examples 2-7 As shown in Table 1, the same procedure as in Example 1 was performed except that the absorption accelerator other than the fatty acid alkanolamide was changed to isopropyl palmitate, hexyl laurate, acetic acid, caprylic acid, oleic acid, and isostearic acid, respectively.
  • the transdermal patches of Examples 2 to 7 were produced.
  • Examples 8 and 9 As shown in Table 1, transdermal patches of Examples 8 and 9 were produced in the same manner as in Example 1 except that the fatty acid alkanolamide was changed to oleic acid diethanolamide and lauric acid monoisopropanolamide, respectively. .
  • Comparative Example 1 As shown in Table 2, a transdermal patch of Comparative Example 1 was produced in the same manner as in Example 1 except that no silicic acid was blended and the blending ratio of the rubber-based resin composition was increased accordingly. .
  • Comparative Examples 2-10 As shown in Table 2, absorption accelerators other than fatty acid alkanolamides are hexyl laurate, oleic acid, isostearic acid, propylene glycol monocaprylate, isostearyl alcohol, propylene glycol, 1,3-butylene glycol, triacetin, and Comparative percutaneously absorbable patches of Comparative Examples 2 to 10 were produced in the same manner as in Comparative Example 1 except that propylene carbonate was used.
  • Comparative Example 11 As shown in Table 2, the transdermal patch of Comparative Example 11 was produced in the same manner as in Example 8 except that no silicic acid was blended and the blending ratio of the rubber-based resin composition was increased accordingly. .
  • Comparative Example 12 As shown in Table 2, the transdermal patch of Comparative Example 12 was produced in the same manner as in Example 9 except that the silicic acid was not blended and the blending ratio of the rubber-based resin composition was increased accordingly. .
  • Comparative Examples 13-15 As shown in Table 3, lauric acid diethanolamides were respectively converted into POE (4.2) lauryl ether (BL-4.2: manufactured by Nikko Chemicals), sorbitan monolaurate (SPAN20: manufactured by Croda Japan), and glyceryl monocaprylate. Transdermal absorption patches of Comparative Examples 13 to 15 were produced in the same manner as in Example 1 except that (Capmul 708G: manufactured by ABITEC Corporation) was used.
  • Test Example 1 In vitro skin permeability test
  • an in vitro skin permeability test was performed according to the following procedure. After affixing the transdermal patches of each Example and Comparative Example to the horny layer side of 7-week-old male hairless mouse isolated skin (Hos: HR-1 system, manufactured by Hoshino Laboratory Animal Breeding Co., Ltd.), 32 It was attached to a vertical diffusion cell (trade name: Palm Cell Vertical TP-6: manufactured by Beadrex Co., Ltd.) in which warm water of 5 ° C. was circulated around the outer periphery so that the skin basement membrane was on the receiver side.
  • a vertical diffusion cell trade name: Palm Cell Vertical TP-6: manufactured by Beadrex Co., Ltd.
  • PBS phosphate buffered saline
  • Test example 2 The cohesiveness of the transdermal patches of each Example and Comparative Example was evaluated by the following procedure. The release liner was removed from the transdermal absorption patch, the surface of the drug-containing layer was strongly suppressed with a finger, the amount of adhesive remaining on the finger when peeled off was visually observed, and evaluated according to the following criteria. A: It has a good cohesive strength without leaving an adhesive. B: Adhesive is only slightly left and has cohesive strength. C: A large amount of adhesive remains and the cohesive force is weak.
  • the obtained results are shown in Tables 1 to 3.
  • the evaluations of the transdermal patches of Examples 1 to 9 and Comparative Examples 1 to 15 were all A or B and had sufficient cohesiveness as the transdermal patches.
  • the evaluation of the transdermal patches of Examples 1, 3, 8, and 9 was A, whereas Comparative Examples 1, 2, 11, and 12 in which no silicic acid anhydride was blended.
  • the evaluation of the transdermal patch is B, suggesting that higher cohesiveness can be obtained when silicic anhydride is added to the drug-containing layer.
  • Test Example 3 (Bleeding evaluation) About the transdermal absorption type patch of each Example and the comparative example, the surface of the removed release liner was observed visually and bleeding was evaluated. ⁇ : No bleeding ⁇ : With bleeding
  • Test Example 4 Stability test The transdermal patches of Examples and Comparative Examples were hermetically packaged in aluminum bags and stored at 60 ° C. for 4 weeks, and then the tramadol content in the drug-containing layer of each patch was measured by the HPLC method. A sample preparation method and HPLC measurement conditions are shown below.
  • Content at start (%) tramadol content in the stored sample / tramadol content in the initial sample ⁇ 100
  • Test Example 5 (guinea pig skin primary irritation test) Six week old Hartley male guinea pigs were used. On the day before administration, the left and right torso parts of the guinea pig were shaved and shaved to a size of about 4 ⁇ 8 cm. On the next day of cutting, the patches (diameter 15 mm) of Examples 1, 2, 6 and Comparative Examples 13 to 15 were affixed to the left and right torso parts and fixed with an adhesive foam pad M (manufactured by 3M Healthcare). A polyethylene film tape (Keeppore A, manufactured by Nichiban Co., Ltd.) was wound around the body and fixed with Silky Tech (ALCARE No. 5).
  • a polyethylene film tape (Keeppore A, manufactured by Nichiban Co., Ltd.) was wound around the body and fixed with Silky Tech (ALCARE No. 5).
  • irritation is based on P.I. I. When I was 0, it was designated as “non-irritant”, when it was greater than 0 and less than 2, “mildly irritating”, when 2 or more and less than 5, “moderately irritating”, and when 5 or more, “strongly irritating” Statistical processing was not performed during the evaluation.
  • the results are shown in Table 5. Although the skin irritation of any of the transdermal patches was mild, the transdermal patches of Examples 1, 2 and 6 had a lower P.P. than the transdermal patches of Comparative Examples 13-15. I. I was shown. Therefore, the transdermal absorption patch of the present invention exhibits substantially the same skin irritation compared to the transdermal absorption patch that shows the same level of tramadol skin permeability but does not contain a fatty acid alkanolamide in the drug-containing layer. Was shown to be reduced.
  • a transdermal absorption preparation containing tramadol or a pharmaceutically acceptable salt thereof which has high storage stability and improved the skin permeability of tramadol while maintaining good aggregation properties. Is done. Therefore, the present invention can provide a means for administering tramadol with improved convenience.

Landscapes

  • Health & Medical Sciences (AREA)
  • Chemical & Material Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Medicinal Chemistry (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Epidemiology (AREA)
  • Engineering & Computer Science (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • General Chemical & Material Sciences (AREA)
  • Oil, Petroleum & Natural Gas (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Pain & Pain Management (AREA)
  • Inorganic Chemistry (AREA)
  • Proteomics, Peptides & Aminoacids (AREA)
  • Emergency Medicine (AREA)
  • Biomedical Technology (AREA)
  • Neurology (AREA)
  • Neurosurgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Organic Chemistry (AREA)
  • Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)
  • Medicinal Preparation (AREA)

Abstract

The present invention provides a percutaneous absorption-type preparation containing tramadol or a pharmaceutically acceptable salt thereof, said percutaneous absorption-type preparation maintaining the skin permeability of tramadol without causing bleeding and also maintaining the aggregability. More specifically, the present invention pertains to a percutaneous absorption-type preparation comprising a support and a drug-containing layer, wherein the drug-containing layer contains tramadol or a pharmaceutically acceptable salt thereof, a fatty acid alkanolamide, silicic acid and an adhesive.

Description

経皮吸収型製剤Transdermal preparation
本願は、2016年12月5日に出願された日本国特願2016−235652号に基づく優先権を主張し、その内容をここに援用する。
 本発明は、トラマドールまたはその薬学的に許容される塩を有効成分として含有する経皮吸収型製剤に関する。
This application claims the priority based on Japanese Patent Application No. 2006-235562 for which it applied on December 5, 2016, and uses the content here.
The present invention relates to a transdermal preparation containing tramadol or a pharmaceutically acceptable salt thereof as an active ingredient.
トラマドール((1RS,2RS)−2−[(ジメチルアミノ)メチル]−1−(3−メトキシフェニル)シクロヘキサノール)は、オピオイド系鎮痛剤の一つであり、WHO方式がん疼痛治療法では軽度から中等度の痛みに用いられる弱オピオイドに分類されている。トラマドールの鎮痛作用は、μオピオイド受容体に結合することによる侵害刺激伝達の抑制およびセロトニン・ノルアドレナリン再取り込み阻害による下行性疼痛抑制系の活性化に起因すると考えられている。トラマドールは、各種癌における疼痛および慢性疼痛の軽減に有効であり、現在はトラマドール塩酸塩として注射剤、経口剤、坐剤などの剤形で使用されている。トラマドール塩酸塩は、下記式(I)の化学構造を有する。 Tramadol ((1RS, 2RS) -2-[(dimethylamino) methyl] -1- (3-methoxyphenyl) cyclohexanol) is one of opioid analgesics and is mild in WHO cancer pain therapy. It is classified as a weak opioid used for moderate to moderate pain. The analgesic action of tramadol is thought to result from the suppression of nociceptive transmission by binding to the μ opioid receptor and the activation of the descending pain suppression system by inhibiting serotonin and noradrenaline reuptake. Tramadol is effective in alleviating pain and chronic pain in various cancers, and is currently used as tramadol hydrochloride in dosage forms such as injections, oral preparations, and suppositories. Tramadol hydrochloride has a chemical structure of the following formula (I):
Figure JPOXMLDOC01-appb-C000001
Figure JPOXMLDOC01-appb-C000001
オピオイド系鎮痛剤の経皮吸収型製剤に関しては、これまでにいくつかの報告がなされている。
 特許文献1には、トラマドール含有ヒドロゲルに、吸収促進剤としてメントール、O−エチルメントール、またはリモネンを配合すると、吸収促進剤としてコール酸を配合した場合よりもトラマドールの経皮吸収性が亢進したことが開示されている。
 特許文献2には、吸収促進剤としてミリスチン酸イソプロピルならびに、モノカプリル酸グリセリン、モノカプリン酸グリセリンおよびモノラウリル酸グリセリンからなる群から選択される化合物を使用することにより、オピオイドレセプター拮抗剤であるペンタゾシンの経皮吸収が向上したことが開示されている。しかしながら、特許文献2には、オピオイドレセプター拮抗剤として塩酸トラマドールも挙げられているが、上記吸収促進剤によりトラマドールの経皮吸収が向上することを示す実施例は開示されていない。
 特許文献3には、フリー体のトラマドールを脂肪酸エステルおよびグリセリン脂肪酸エステルを含有するオルガノゲルとして製剤化することにより、トラマドールの高い皮膚透過性が得られたことが開示されている。一方、特許文献3には、トラマドール塩酸塩含有オルガノゲルではトラマドールの皮膚透過性は極めて低かったことも開示されている。
There have been some reports on the transdermal preparations of opioid analgesics.
Patent Document 1 shows that when menthol, O-ethylmenthol, or limonene was added as an absorption enhancer to tramadol-containing hydrogel, the transdermal absorbability of tramadol was enhanced more than when cholic acid was added as an absorption enhancer. Is disclosed.
Patent Document 2 discloses that as an absorption promoter, pentazocine which is an opioid receptor antagonist is obtained by using a compound selected from the group consisting of isopropyl myristate and glyceryl monocaprylate, glyceryl monocaprate and glyceryl monolaurate. It is disclosed that percutaneous absorption is improved. However, Patent Document 2 also mentions tramadol hydrochloride as an opioid receptor antagonist, but does not disclose an example showing that the percutaneous absorption of tramadol is improved by the above-mentioned absorption enhancer.
Patent Document 3 discloses that high skin permeability of tramadol was obtained by formulating free tramadol as an organogel containing a fatty acid ester and a glycerin fatty acid ester. On the other hand, Patent Document 3 also discloses that tramadol hydrochloride-containing organogel had extremely low skin permeability for tramadol.
日本国特開2006−36687号公報Japanese Unexamined Patent Publication No. 2006-36687 国際公開第2006/085521号International Publication No. 2006/088551 国際公開第2011/059037号International Publication No. 2011/059037
本発明者らは、トラマドールまたはその薬学的に許容される塩を含有する経皮吸収型製剤においてトラマドールの皮膚透過性を向上させるために検討を重ねる中で、粘着剤を含有する薬物含有層について、吸収促進剤を配合すると、ブリーディングが生じ、また凝集性が低下する場合があるという問題が存在することを認識するに至った。特許文献1~3には、このような課題について全く記載されていない。 In the percutaneous absorption-type preparation containing tramadol or a pharmaceutically acceptable salt thereof, the present inventors have studied about improving the skin permeability of tramadol. It has been recognized that when an absorption accelerator is blended, there is a problem that bleeding occurs and the cohesiveness may decrease. Patent Documents 1 to 3 do not describe such a problem at all.
したがって、本発明は、トラマドールの皮膚透過性を維持しながら、ブリーディングが生じず、かつ凝集性が維持された、トラマドールまたはその薬学的に許容される塩を含有する経皮吸収型製剤、および当該経皮吸収型製の製造方法を提供することを目的とする。 Accordingly, the present invention provides a transdermally absorbable preparation containing tramadol or a pharmaceutically acceptable salt thereof, in which bleeding is not caused and coagulation property is maintained while maintaining the skin permeability of tramadol, and It aims at providing the manufacturing method made from a transdermal absorption type.
本発明者らは、前記目的を達成すべく鋭意研究を重ねた結果、吸収促進剤として脂肪酸アルカノールアミドを用いることで、トラマドールの高い皮膚透過性が得られることを見出した。さらに本発明者らは、皮膚透過性をさらに向上させるために脂肪酸アルカノールアミドの含有量を一定値以上に増加させた場合、或いは脂肪酸アルカノールアミド以外の吸収促進剤をさらに配合した場合に、ブリーディングが生じ、また凝集性が低下することがあるという新たな問題が存在することを見出した。そこで更に研究を重ねた結果、そのような場合であっても薬物含有層中にケイ酸を配合することにより、ブリーディングを生じさせず、また良好な凝集性を維持することができることを見出した。さらに、予想外なことに、そのようにして得られた薬物含有層中ではトラマドールが高い保存安定性を示すことを見出した。
 本発明者らは、これらの知見に基づきさらに研究を重ね、本発明を完成するに至った。
 即ち、本発明は以下の通りである。
As a result of intensive studies to achieve the above object, the present inventors have found that high skin permeability of tramadol can be obtained by using a fatty acid alkanolamide as an absorption accelerator. Further, the present inventors have found that bleeding is increased when the content of fatty acid alkanolamide is increased to a certain value or more in order to further improve skin permeability, or when an absorption accelerator other than fatty acid alkanolamide is further added. It has been found that there is a new problem that occurs and the cohesiveness may decrease. As a result of further studies, it was found that even in such a case, blending silicic acid in the drug-containing layer can prevent bleeding and maintain good cohesiveness. Furthermore, it was unexpectedly found that tramadol exhibits high storage stability in the drug-containing layer thus obtained.
The present inventors have further studied based on these findings and have completed the present invention.
That is, the present invention is as follows.
[1]支持体と薬物含有層とを有する経皮吸収型製剤であって、前記薬物含有層が、トラマドールまたはその薬学的に許容される塩、脂肪酸アルカノールアミド、ケイ酸、ならびに粘着剤を含有する、経皮吸収型製剤。
[2]前記粘着剤が、ゴム系樹脂を主成分として含有する、[1]に記載の経皮吸収型製剤。
[3]前記ゴム系樹脂が、スチレン−イソプレン−スチレンブロック共重合体および粘着付与剤を含有する、[2]に記載の経皮吸収型製剤。
[4]前記粘着付与剤が、水添ロジングリセリンエステルである、[3]に記載の経皮吸収型製剤。
[5]前記脂肪酸アルカノールアミドが、ラウリン酸ジエタノールアミド、オレイン酸ジエタノールアミド、およびラウリン酸モノイソプロパノールアミドから選ばれる少なくとも1種である、[1]~[4]のいずれかに記載の経皮吸収型製剤。
[6]前記薬物含有層が、吸収促進剤をさらに含有する、[1]~[5]のいずれかに記載の経皮吸収型製剤。
[7]前記吸収促進剤が、脂肪酸エステルおよび有機酸から選ばれる少なくとも1種である、[6]に記載の経皮吸収型製剤。
[8]前記脂肪酸エステルが、ミリスチン酸イソプロピル、パルミチン酸イソプロピル、およびラウリン酸ヘキシルから選ばれる少なくとも1種である、[7]に記載の経皮吸収型製剤。
[9]前記有機酸が、酢酸、カプリル酸、オレイン酸、およびイソステアリン酸から選ばれる少なくとも1種である、[7]に記載の経皮吸収型製剤。
[10]前記薬物含有層が、トラマドールの薬学的に許容される酸付加塩および塩基性化合物を含有する、[1]~[9]のいずれかに記載の経皮吸収型製剤。
[11]前記塩基性化合物が、無機塩基および脂肪族アルカノールアミンから選ばれる少なくとも1種である、[10]に記載の経皮吸収型製剤。
[12][1]に記載の経皮吸収型製剤の製造方法であって、トラマドールまたはその薬学的に許容される塩、脂肪酸アルカノールアミド、ケイ酸、ならびに粘着剤を含む混合物を調製すること、当該混合物を剥離ライナー上に塗布または展延して薬物含有層を形成すること、ならびに当該薬物含有層に支持体を貼り合せることを含む、製造方法。
[1] A transdermal preparation having a support and a drug-containing layer, wherein the drug-containing layer contains tramadol or a pharmaceutically acceptable salt thereof, a fatty acid alkanolamide, silicic acid, and an adhesive A transdermal absorption preparation.
[2] The transdermal absorption preparation according to [1], wherein the pressure-sensitive adhesive contains a rubber-based resin as a main component.
[3] The transdermal absorption preparation according to [2], wherein the rubber-based resin contains a styrene-isoprene-styrene block copolymer and a tackifier.
[4] The transdermal preparation according to [3], wherein the tackifier is a hydrogenated rosin glycerin ester.
[5] The transdermal absorption according to any one of [1] to [4], wherein the fatty acid alkanolamide is at least one selected from lauric acid diethanolamide, oleic acid diethanolamide, and lauric acid monoisopropanolamide. Mold formulation.
[6] The transdermal absorption preparation according to any of [1] to [5], wherein the drug-containing layer further contains an absorption enhancer.
[7] The percutaneous absorption preparation according to [6], wherein the absorption accelerator is at least one selected from fatty acid esters and organic acids.
[8] The transdermal absorption preparation according to [7], wherein the fatty acid ester is at least one selected from isopropyl myristate, isopropyl palmitate, and hexyl laurate.
[9] The transdermal absorption preparation according to [7], wherein the organic acid is at least one selected from acetic acid, caprylic acid, oleic acid, and isostearic acid.
[10] The percutaneous absorption preparation according to any of [1] to [9], wherein the drug-containing layer contains a pharmaceutically acceptable acid addition salt of tramadol and a basic compound.
[11] The transdermal preparation according to [10], wherein the basic compound is at least one selected from an inorganic base and an aliphatic alkanolamine.
[12] A method for producing a transdermally absorbable preparation according to [1], comprising preparing a mixture containing tramadol or a pharmaceutically acceptable salt thereof, a fatty acid alkanolamide, silicic acid, and an adhesive, A production method comprising applying or spreading the mixture on a release liner to form a drug-containing layer, and bonding a support to the drug-containing layer.
本発明によれば、トラマドールまたはその薬学的に許容される塩を含有する経皮吸収型製剤において、良好な凝集性を維持しながらトラマドールの皮膚透過性を向上させることができる。また、本発明によれば、薬物含有層中のトラマドールの保存安定性を高めることができる。そのため、本発明は、利便性をより向上させたトラマドールの投与手段を提供することができる。 According to the present invention, in the percutaneous absorption type preparation containing tramadol or a pharmaceutically acceptable salt thereof, the skin permeability of tramadol can be improved while maintaining good aggregation. Moreover, according to the present invention, the storage stability of tramadol in the drug-containing layer can be enhanced. Therefore, the present invention can provide a means for administering tramadol with improved convenience.
本発明の経皮吸収型製剤の製造フローの一例を示す図である。It is a figure which shows an example of the manufacturing flow of the percutaneous absorption type formulation of this invention.
本発明において「経皮吸収型製剤」とは、非経口製剤であって、有効成分が皮膚を通して吸収され血流に送達されるものをいう。本発明の経皮吸収型製剤は、支持体と薬物含有層とを有する貼付剤であり、例えばテープ剤、パップ剤、プラスター剤などが挙げられる。 In the present invention, the “percutaneous absorption preparation” refers to a parenteral preparation in which an active ingredient is absorbed through the skin and delivered to the bloodstream. The transdermally absorbable preparation of the present invention is a patch having a support and a drug-containing layer, and examples thereof include a tape, a poultice, and a plaster.
本発明の経皮吸収型製剤は、薬物含有層に粘着剤を含有するマトリックス型貼付製剤でもよく、薬物含有層の皮膚貼付側に、薬剤の経皮吸収を調節するための放出制御膜および皮膚へ貼付するための粘着層をさらに有する、リザーバー型貼付製剤であってもよい。このような構造により、トラマドールを効率的に経皮吸収させることが可能となる。 The transdermally absorbable preparation of the present invention may be a matrix-type patch preparation containing an adhesive in the drug-containing layer, and a controlled-release membrane and skin for adjusting the transdermal absorption of the drug on the skin-applied side of the drug-containing layer It may be a reservoir-type patch preparation that further has an adhesive layer for sticking to the skin. With such a structure, tramadol can be efficiently transdermally absorbed.
製剤設計および製造の容易さの観点からは、マトリックス型貼付製剤であることが好ましい。以下、マトリックス型貼付製剤を例に説明するが、本発明はこれに限定されるものではない。 From the viewpoint of formulation design and ease of production, a matrix-type patch preparation is preferable. Hereinafter, the matrix-type patch preparation will be described as an example, but the present invention is not limited thereto.
本明細書において、「を含有する」または「を含む」との用語は、「から本質的になる」または「のみからなる」の意味も包含する。 In this specification, the term “comprising” or “including” also includes the meaning of “consisting essentially of” or “consisting solely of”.
<薬物含有層>
1.有効成分
 本発明の経皮吸収型製剤において、薬物含有層は、トラマドールまたはその薬学的に許容される塩を含有する。トラマドールは鎮痛作用を有し、疼痛の治療に用いられる。
<Drug-containing layer>
1. Active ingredient In the transdermally absorbable preparation of the present invention, the drug-containing layer contains tramadol or a pharmaceutically acceptable salt thereof. Tramadol has analgesic action and is used to treat pain.
本明細書において、疼痛としては、トラマドールにより軽減され得るものであれば特に限定されないが、例えば、各種癌における疼痛、慢性疼痛(侵害受容性疼痛(例えば、腰痛症、変形性関節症など)、神経障害性疼痛(例えば、帯状疱疹後神経痛、糖尿病性神経障害性疼痛など)、および心因性疼痛)などが挙げられる。 In the present specification, the pain is not particularly limited as long as it can be alleviated by tramadol. For example, pain in various cancers, chronic pain (eg, nociceptive pain (eg, low back pain, osteoarthritis, etc.), Neuropathic pain (eg, postherpetic neuralgia, diabetic neuropathic pain, and psychogenic pain).
トラマドールの薬学的に許容される塩としては、酸付加塩、例えば、無機酸塩、例えば、塩酸塩、臭化水素酸塩、硝酸塩、硫酸塩、リン酸塩など;および有機酸塩、例えば、ギ酸塩、酢酸塩、トリフルオロ酢酸塩、アスコルビン酸塩、安息香酸塩、桂皮酸塩、クエン酸塩、フマル酸塩、グルタミン酸塩、酒石酸塩、シュウ酸塩、グルタル酸塩、カンファー酸塩、アジピン酸塩、ソルビン酸塩、乳酸塩、マレイン酸塩、リノール酸塩、リノレン酸塩、リンゴ酸塩、マロン酸塩、マンデル酸塩、メタンスルホン酸塩(メシレート)、フタル酸塩、サリチル酸塩、ステアリン酸塩、イソステアリン酸塩、コハク酸塩、プロピオン酸塩、酪酸塩、パモ酸塩、p−トルエンスルホン酸塩(トシレート)、ベンゼンスルホン酸塩(ベシレート)などが挙げられるが、これらに限定されない。 Pharmaceutically acceptable salts of tramadol include acid addition salts such as inorganic acid salts such as hydrochloride, hydrobromide, nitrate, sulfate, phosphate and the like; and organic acid salts such as, for example, Formate, acetate, trifluoroacetate, ascorbate, benzoate, cinnamate, citrate, fumarate, glutamate, tartrate, oxalate, glutarate, camphorate, adipine Acid salt, sorbate, lactate, maleate, linoleate, linolenate, malate, malonate, mandelate, methanesulfonate (mesylate), phthalate, salicylate, stearin Acid salt, isostearate, succinate, propionate, butyrate, pamoate, p-toluenesulfonate (tosylate), benzenesulfonate (besylate), etc. It is, but is not limited thereto.
トラマドールまたはその薬学的に許容される塩は、結晶の形態で使用されてもよい。また、当該結晶は、トラマドールまたはその薬学的に許容される塩のみから形成されていてもよく、共結晶または溶媒和物(例えば水和物、好ましくは一水和物)を形成していてもよい。トラマドールまたはその薬学的に許容される塩は、いずれかを単独で又は2種以上を適宜組み合わせて用いてもよい。本発明では、疼痛治療薬として、既に筋肉内投与および経口投与における有用性が確立されているトラマドール塩酸塩を用いることが好ましい。 Tramadol or a pharmaceutically acceptable salt thereof may be used in crystalline form. The crystal may be formed only from tramadol or a pharmaceutically acceptable salt thereof, or may form a co-crystal or a solvate (for example, a hydrate, preferably a monohydrate). Good. Any of tramadol or a pharmaceutically acceptable salt thereof may be used alone or in combination of two or more. In the present invention, it is preferable to use tramadol hydrochloride, which has already been established to be useful for intramuscular administration and oral administration, as a pain therapeutic agent.
本発明の経皮吸収型製剤におけるトラマドールまたはその薬学的に許容される塩の含有量は、疼痛の治療に対する有効量である。ここで、「有効量」とは、本発明の経皮吸収型製剤を生体の皮膚に適用した場合に、疼痛の治療に有効なトラマドールの血中濃度を達成しうる量である。そのような含有量は、経口投与の薬理動態に関する情報に基づいて適宜調整することができ、投与対象、疾患、症状などにより異なりうる。例えば、薬物含有層に対して(即ち、薬物含有層の全質量を基準として;以下同じ)1~40質量%が好ましく、5~35質量%がより好ましく、10~30質量%がさらに好ましい。 The content of tramadol or a pharmaceutically acceptable salt thereof in the transdermal preparation of the present invention is an effective amount for the treatment of pain. Here, the “effective amount” is an amount capable of achieving a blood concentration of tramadol effective for treating pain when the transdermally absorbable preparation of the present invention is applied to the skin of a living body. Such content can be adjusted as appropriate based on information on the pharmacokinetics of oral administration, and may vary depending on the administration subject, disease, symptoms, and the like. For example, the amount is preferably 1 to 40% by mass, more preferably 5 to 35% by mass, and still more preferably 10 to 30% by mass with respect to the drug-containing layer (that is, based on the total mass of the drug-containing layer; the same shall apply hereinafter).
疼痛の治療に有効なトラマドールの血中濃度は、トラマドールの筋肉内投与または経口投与の場合と同程度とすることができる。 The blood concentration of tramadol effective for the treatment of pain can be similar to that of intramuscular or oral administration of tramadol.
本発明の経皮吸収型製剤において、トラマドールの皮膚透過速度を調整することによって、疼痛の治療に有効な血中濃度を達成することができる。皮膚透過速度の調整は、薬物含有層中のトラマドールまたはその薬学的に許容される塩の含有量を調整すること、後述の吸収促進剤を薬物含有層に添加することなどの、任意の手段によって行うことができる。なお、本発明においてトラマドールの皮膚透過速度とは、後述の実施例に記載するインビトロ皮膚透過性試験により測定される値を意味する。 In the transdermally absorbable preparation of the present invention, a blood concentration effective for treating pain can be achieved by adjusting the skin permeation rate of tramadol. The skin permeation rate can be adjusted by any means such as adjusting the content of tramadol or a pharmaceutically acceptable salt thereof in the drug-containing layer, or adding an absorption enhancer described later to the drug-containing layer. It can be carried out. In the present invention, the skin permeation rate of tramadol means a value measured by an in vitro skin permeability test described in Examples described later.
トラマドールの皮膚透過速度は、通常40μg/cm/時間以上であり、好ましくは50μg/cm/時間以上であり、より好ましくは60μg/cm/時間以上である。皮膚透過速度が40μg/cm/時間以上であれば、十分な血中濃度を得ることができる。また、トラマドールの皮膚透過速度は、通常100μg/cm/時間未満であり、好ましくは90μg/cm/時間未満であり、より好ましくは80μg/cm/時間未満である。皮膚透過速度が100μg/cm/時間未満であれば、血中濃度が高くなりすぎず、安全性の観点から好ましい。 The skin permeation rate of tramadol is usually 40 μg / cm 2 / hour or more, preferably 50 μg / cm 2 / hour or more, more preferably 60 μg / cm 2 / hour or more. If the skin permeation rate is 40 μg / cm 2 / hour or more, a sufficient blood concentration can be obtained. The skin permeation rate of tramadol is usually less than 100 [mu] g / cm 2 / time, preferably less than 90 [mu] g / cm 2 / hour, more preferably less than 80 [mu] g / cm 2 / hour. If the skin permeation rate is less than 100 μg / cm 2 / hour, the blood concentration does not become too high, which is preferable from the viewpoint of safety.
2.塩基性化合物
 トラマドールの薬学的に許容される塩として酸付加塩を用いる場合には、薬物含有層中に塩基性化合物を含有させることが好ましい。塩基性化合物としては、無機塩基および有機塩基が挙げられ、例えば、塩基性窒素を含有する低分子化合物(例えば、エタノールアミン、イソプロパノールアミン、ジエタノールアミン、ジイソプロパノールアミン、トリエタノールアミン、トリイソプロパノールアミン等の脂肪族アルカノールアミン);塩基性窒素を含有する高分子化合物(例えば、アミノアルキルメタクリレートコポリマーE、ポリビニルアセタールジエチルアミノアセテート、ポリビニルピリジン等);塩基性アルカリ金属塩(例えば、酢酸ナトリウム、酢酸カリウム、ホウ酸ナトリウム、炭酸ナトリウム、炭酸水素ナトリウム、クエン酸三ナトリウム、ケイ酸ナトリウム);アルカリ金属水酸化物(例えば、水酸化ナトリウム、水酸化カリウム等)が挙げられる。また、オイドラギットシリーズ(オイドラギットE100、オイドラギットEPO:エボニックインダストリー社製)などの市販の塩基性アクリル系樹脂を使用してもよい。なかでも、無機塩基および脂肪族アルカノールアミンが好ましく、水酸化ナトリウム、水酸化カリウムおよびジイソプロパノールアミンがより好ましい。
2. Basic Compound When an acid addition salt is used as a pharmaceutically acceptable salt of tramadol, it is preferable to contain a basic compound in the drug-containing layer. Examples of basic compounds include inorganic bases and organic bases, such as low molecular weight compounds containing basic nitrogen (for example, ethanolamine, isopropanolamine, diethanolamine, diisopropanolamine, triethanolamine, triisopropanolamine, etc. Aliphatic alkanolamine); polymer compound containing basic nitrogen (for example, aminoalkyl methacrylate copolymer E, polyvinyl acetal diethylaminoacetate, polyvinylpyridine, etc.); basic alkali metal salt (for example, sodium acetate, potassium acetate, boric acid) Sodium, sodium carbonate, sodium hydrogen carbonate, trisodium citrate, sodium silicate); alkali metal hydroxides (for example, sodium hydroxide, potassium hydroxide, etc.). Moreover, you may use commercially available basic acrylic resins, such as Eudragit series (Eudragit E100, Eudragit EPO: Evonik Industries company make). Of these, inorganic bases and aliphatic alkanolamines are preferable, and sodium hydroxide, potassium hydroxide, and diisopropanolamine are more preferable.
塩基性化合物は、単独で又は2種以上を混合して用いることができる。塩基性化合物の含有量は、トラマドールの薬学的に許容される塩の当量に対して0.5~3当量であることが好ましく、0.7~2当量であることがより好ましい。また、塩基性化合物の含有量は、薬物含有層に対して0.1~35質量%であることが好ましく、0.5~30質量%であることがより好ましく、1~25質量%であることがさらに好ましい。このような塩基性化合物を含有することにより、塩基性化合物がトラマドールの薬学的に許容される塩に作用し、トラマドールの皮膚透過性が向上する。特に、塩基性化合物の含有量を上記範囲内とすることにより、上記範囲外である場合と比較して皮膚透過性の向上効果がより顕著になる。 A basic compound can be used individually or in mixture of 2 or more types. The content of the basic compound is preferably 0.5 to 3 equivalents, more preferably 0.7 to 2 equivalents, relative to the equivalent amount of the pharmaceutically acceptable salt of tramadol. In addition, the content of the basic compound is preferably 0.1 to 35% by mass, more preferably 0.5 to 30% by mass, and more preferably 1 to 25% by mass with respect to the drug-containing layer. More preferably. By containing such a basic compound, the basic compound acts on a pharmaceutically acceptable salt of tramadol, and the skin permeability of tramadol is improved. In particular, by setting the content of the basic compound within the above range, the effect of improving the skin permeability becomes more remarkable as compared with the case where the content is outside the above range.
3.脂肪酸アルカノールアミド
 本発明の経皮吸収型製剤において、薬物含有層は、吸収促進剤として脂肪酸アルカノールアミドを含有する。脂肪酸アルカノールアミドは、例えばC12~C18で飽和、または1以上の二重結合(好ましくは、1または2の二重結合)を有する脂肪酸部分と、例えば1以上のヒドロキシで置換されたC~Cアルキル(好ましくは、モノヒドロキシC~Cアルキル)を含むアルカノールアミド部分またはジアルカノールアミド部分とを含んでなり、例えば、ラウリン酸ジエタノールアミド、パルミチン酸ジエタノールアミド、ステアリン酸ジエタノールアミド、オレイン酸ジエタノールアミド、ラウリン酸モノイソプロパノールアミドなどが挙げられる。なかでも、ラウリン酸ジエタノールアミド、オレイン酸ジエタノールアミド、およびラウリン酸モノイソプロパノールアミドが好ましい。
3. Fatty acid alkanolamide In the percutaneous absorption type preparation of the present invention, the drug-containing layer contains a fatty acid alkanolamide as an absorption accelerator. Fatty acid alkanolamides, for example C 12 saturated at ~ C 18, or one or more double bonds (preferably, 1 or two double bonds) and fatty acid moieties having, C 2 substituted with for example one or more hydroxy ~ C 6 alkyl (preferably, monohydroxy C 2 ~ C 4 alkyl) comprises a alkanolamide moiety or di alkanolamide moiety containing, for example, lauric acid diethanolamide, palmitic acid diethanolamide, stearic acid diethanolamide, Examples include oleic acid diethanolamide and lauric acid monoisopropanolamide. Of these, lauric acid diethanolamide, oleic acid diethanolamide, and lauric acid monoisopropanolamide are preferable.
脂肪酸アルカノールアミドは、単独で又は2種以上を混合して用いることができる。本発明の経皮吸収型製剤における脂肪酸アルカノールアミドの含有量は、一態様として、薬物含有層の全質量に対して15質量%以下(例えば14質量%以下、13質量%以下、12質量%以下、11質量%以下、10質量%以下、9質量%以下、8質量%以下、7質量%以下、6質量%以下、5質量%以下、4質量%以下、または3質量%以下)であり、例えば1~10質量%であることが好ましく、1~5質量%であることがより好ましく、1~3質量%であることがさらに好ましい。脂肪酸アルカノールアミドの含有量が1質量%以上であれば、疼痛の治療に有効な血中濃度を達成し得る、トラマドールの皮膚透過速度を与えることができる。 Fatty acid alkanolamides can be used alone or in admixture of two or more. In one embodiment, the content of the fatty acid alkanolamide in the transdermal preparation of the present invention is 15% by mass or less (for example, 14% by mass or less, 13% by mass or less, 12% by mass or less) with respect to the total mass of the drug-containing layer. 11 mass% or less, 10 mass% or less, 9 mass% or less, 8 mass% or less, 7 mass% or less, 6 mass% or less, 5 mass% or less, 4 mass% or less, or 3 mass% or less) For example, the content is preferably 1 to 10% by mass, more preferably 1 to 5% by mass, and still more preferably 1 to 3% by mass. If the content of the fatty acid alkanolamide is 1% by mass or more, it is possible to give a skin permeation rate of tramadol that can achieve a blood concentration effective for the treatment of pain.
4.その他の吸収促進剤
 本発明の経皮吸収型製剤において、薬物含有層は、脂肪酸アルカノールアミド以外の吸収促進剤をさらに含有してもよい。脂肪酸アルカノールアミド以外の吸収促進剤は、経皮投与において皮膚透過促進作用が認められているいずれの化合物であってもよく、例えば、酢酸、カプリル酸、カプリン酸、ラウリン酸、ミリスチン酸、パルミチン酸、ステアリン酸、イソステアリン酸、ソルビン酸、オレイン酸、リノール酸、リノレン酸、シュウ酸、フマル酸、コハク酸、グルタル酸、アジピン酸、ピメリン酸、セバシン酸、安息香酸、ニコチン酸、メタンスルホン酸、ベンゼンスルホン酸、トルエンスルホン酸、サッカリンなどの有機酸またはそれらの塩;ミリスチン酸イソプロピル、パルミチン酸イソプロピル、ミリスチン酸オクチルドデシル、イソステアリン酸ヘキサデシル、ラウリン酸ヘキシル、オレイン酸デシル、オレイン酸オレイル、アジピン酸ジイソプロピル、セバシン酸ジエチル、セバシン酸ジイソプロピル、中鎖脂肪酸トリグリセリド、トリ(カプリル・カプリン酸)グリセリン、モノオレイン酸グリセリル、モノカプリル酸プロピレングリコール、モノカプリン酸プロピレングリコール、モノラウリン酸プロピレングリコール、モノパルミチン酸プロピレングリコール、モノステアリン酸プロピレングリコール、モノオレイン酸プロピレングリコール、モノベヘン酸プロピレングリコール、ジカプリン酸プロピレングリコールなどの脂肪酸エステル類;トリアセチン、乳酸エチル、クエン酸トリエチルなどのエステル類;モノラウリン酸ソルビタン、モノオレイン酸ソルビタンなどのソルビタン脂肪酸エステル類;モノオレイン酸ポリオキシエチレンソルビタン(ポリソルベート80)、モノパルミチン酸ポリオキシエチレンソルビタン、モノステアリン酸ポリオキシエチレンソルビタンなどのポリオキシエチレンソルビタン脂肪酸エステル類;モノオレイン酸ポリエチレングリコール;モノステアリン酸ポリエチレングリコール、モノパルミチン酸ポリエチレングリコール、モノラウリン酸ポリエチレングリコールなどのポリオキシエチレン脂肪酸エステル類;デカノール、ラウリルアルコール、ミリスチルアルコール、オレイルアルコール、イソステアリルアルコール、セチルアルコール、ヘキシルデカノール、オクチルドデカノール、ベンジルアルコールなどの脂肪族または芳香族アルコール類もしくはそれらのエーテル類;炭素数3~8の多価アルコール類(例えば、プロピレングリコール、1,3−ブタンジオール、1,4−ブタンジオール、グリセリン、ジプロピレングリコール、オクタンジオール等);ポリオキシエチレンノニルフェニルエーテル、ポリオキシエチレンオクチルフェニルエーテルなどのフェノールエーテル類;ヒマシ油または硬化ヒマシ油;オレオイルサルコシン、ラウリルジメチルアミノ酢酸ベタイン、ラウリル硫酸ナトリウムなどのイオン性界面活性剤;炭素数10~22のポリオキシエチレンアルキルエーテル(例えば、ポリオキシエチレンラウリルエーテル、ポリオキシエチレンオレイルエーテル、ポリオキシエチレンステアリルエーテル、ポリオキシエチレンセチルエーテル、ポリオキシエチレンベヘニルエーテル等);ジメチルラウリルアミンオキサイドなどの非イオン性界面活性剤;ジメチルスルホキサイド、デシルメチルスルホキサイドなどのアルキルメチルスルホキサイド類;2−ピロリドン、N−メチル−2−ピロリドン、N−エチル−2−ピロリドンなどのピロリドン類;1−ドデシルアザシクロヘプタン−2−オン、1−ゲラニルアザシクロヘプタン−2−オンなどのアザシクロアルカン類;メントール、カンフル、リモネンなどのテルペン類などが挙げられる。脂肪酸アルカノールアミド以外の吸収促進剤は、1種を単独で、または2種以上を組み合わせて使用することができる。好ましい態様において、脂肪酸アルカノールアミド以外の吸収促進剤は、有機酸および脂肪酸エステルから選ばれる少なくとも1種である。有機酸は、酢酸、カプリル酸、オレイン酸、およびイソステアリン酸から選ばれる少なくとも1種であることが好ましい。脂肪酸エステルは、ミリスチン酸イソプロピル、パルミチン酸イソプロピル、およびラウリン酸ヘキシルから選ばれる少なくとも1種であることが好ましい。
4). Other absorption enhancer In the transdermal absorption preparation of the present invention, the drug-containing layer may further contain an absorption enhancer other than the fatty acid alkanolamide. The absorption enhancer other than the fatty acid alkanolamide may be any compound that has been recognized to promote skin permeation in transdermal administration, for example, acetic acid, caprylic acid, capric acid, lauric acid, myristic acid, palmitic acid. , Stearic acid, isostearic acid, sorbic acid, oleic acid, linoleic acid, linolenic acid, oxalic acid, fumaric acid, succinic acid, glutaric acid, adipic acid, pimelic acid, sebacic acid, benzoic acid, nicotinic acid, methanesulfonic acid, Organic acids such as benzene sulfonic acid, toluene sulfonic acid, saccharin or salts thereof; isopropyl myristate, isopropyl palmitate, octyldodecyl myristate, hexadecyl isostearate, hexyl laurate, decyl oleate, oleyl oleate, diisopropyl adipate Pills, diethyl sebacate, diisopropyl sebacate, medium chain fatty acid triglycerides, tri (caprylic / capric) glycerin, glyceryl monooleate, propylene glycol monocaprylate, propylene glycol monocaprate, propylene glycol monolaurate, propylene monopalmitate Fatty acid esters such as glycol, propylene glycol monostearate, propylene glycol monooleate, propylene glycol monobehenate, propylene glycol dicaprate; esters such as triacetin, ethyl lactate, triethyl citrate; sorbitan monolaurate, sorbitan monooleate Sorbitan fatty acid esters such as polyoxyethylene sorbitan monooleate (polysorbate 80) Polyoxyethylene sorbitan fatty acid esters such as polyoxyethylene sorbitan monopalmitate and polyoxyethylene sorbitan monostearate; polyethylene glycol monooleate; polyethylene glycol monostearate, polyethylene glycol monopalmitate, polyethylene glycol monolaurate, etc. Oxyethylene fatty acid esters; aliphatic or aromatic alcohols such as decanol, lauryl alcohol, myristyl alcohol, oleyl alcohol, isostearyl alcohol, cetyl alcohol, hexyl decanol, octyldodecanol, benzyl alcohol, or ethers thereof; carbon number 3 To 8 polyhydric alcohols (eg, propylene glycol, 1,3-butanediol, , 4-butanediol, glycerin, dipropylene glycol, octanediol, etc.); phenol ethers such as polyoxyethylene nonylphenyl ether, polyoxyethylene octylphenyl ether; castor oil or hydrogenated castor oil; oleoyl sarcosine, lauryldimethylamino Ionic surfactants such as betaine acetate and sodium lauryl sulfate; polyoxyethylene alkyl ethers having 10 to 22 carbon atoms (for example, polyoxyethylene lauryl ether, polyoxyethylene oleyl ether, polyoxyethylene stearyl ether, polyoxyethylene cetyl) Ethers, polyoxyethylene behenyl ethers, etc.); nonionic surfactants such as dimethyl lauryl amine oxide; dimethyl sulfoxide, decylmethy Alkylmethyl sulfoxides such as sulfoxide; pyrrolidones such as 2-pyrrolidone, N-methyl-2-pyrrolidone, N-ethyl-2-pyrrolidone; 1-dodecylazacycloheptan-2-one, 1-geranylazacyclo And azacycloalkanes such as heptan-2-one; and terpenes such as menthol, camphor and limonene. Absorption accelerators other than fatty acid alkanolamides can be used singly or in combination of two or more. In a preferred embodiment, the absorption accelerator other than the fatty acid alkanolamide is at least one selected from organic acids and fatty acid esters. The organic acid is preferably at least one selected from acetic acid, caprylic acid, oleic acid, and isostearic acid. The fatty acid ester is preferably at least one selected from isopropyl myristate, isopropyl palmitate, and hexyl laurate.
薬物含有層は、脂肪酸アルカノールアミド以外の吸収促進剤を含まなくてもよく、含む場合には、その含有量は、一態様において、薬物含有層の全質量に対して1質量%以上(例えば、2質量%以上、3質量%以上、4質量%以上、または5質量%以上)、20質量%以下(例えば、19質量%以下、18質量%以下、17質量%以下、16質量%以下、15質量%以下、14質量%以下、13質量%以下、12質量%以下、11質量%以下、または10質量%以下)である。脂肪酸アルカノールアミド以外の吸収促進剤の含有量は、例えば0~20質量%であることが好ましく、0~15質量%であることがより好ましく、0~10質量%であることがさらに好ましい。また、薬物含有層中の脂肪酸アルカノールアミドおよび脂肪酸アルカノールアミド以外の吸収促進剤の合計の含有量は、ブリーディングが発生しない限り、1質量%以上、25質量%までであってよく、例えば20質量%未満、15質量%未満、10質量%未満である。 The drug-containing layer may not contain an absorption accelerator other than the fatty acid alkanolamide, and when it is included, the content thereof is, in one aspect, 1% by mass or more (for example, 2 mass% or more, 3 mass% or more, 4 mass% or more, or 5 mass% or more), 20 mass% or less (for example, 19 mass% or less, 18 mass% or less, 17 mass% or less, 16 mass% or less, 15 Mass% or less, 14 mass% or less, 13 mass% or less, 12 mass% or less, 11 mass% or less, or 10 mass% or less). The content of the absorption accelerator other than the fatty acid alkanolamide is, for example, preferably 0 to 20% by mass, more preferably 0 to 15% by mass, and further preferably 0 to 10% by mass. Further, the total content of fatty acid alkanolamides and absorption accelerators other than fatty acid alkanolamides in the drug-containing layer may be 1% by mass or more and 25% by mass, for example, 20% by mass, unless bleeding occurs. Less than 15% by mass and less than 10% by mass.
5.ケイ酸
 本発明の経皮吸収型製剤において、薬物含有層は、ケイ酸を含有する。本発明において「ケイ酸」とは、二酸化ケイ素(無水ケイ酸)またはその塩を意味し、例えば、無水ケイ酸、ケイ酸塩(例えば、ケイ酸アルミニウム、ケイ酸マグネシウム、ケイ酸カルシウム、ケイ酸マグネシウムアルミニウム、ケイ酸マグネシウムナトリウムなど)が挙げられ、好ましくは無水ケイ酸である。
5). Silicic acid In the transdermally absorbable preparation of the present invention, the drug-containing layer contains silicic acid. In the present invention, “silicic acid” means silicon dioxide (anhydrous silicic acid) or a salt thereof. For example, anhydrous silicic acid, silicate (eg, aluminum silicate, magnesium silicate, calcium silicate, silicic acid) Magnesium aluminum, magnesium sodium silicate, etc.), preferably silicic anhydride.
ケイ酸の含有量は、薬物含有層の全質量に対して0.1~20質量%であることが好ましく、0.5~15質量%であることがより好ましく、1~10質量%であることがさらに好ましい。ケイ酸の含有量が0.1質量%以上であれば、脂肪酸アルカノールアミドおよびその他の吸収促進剤を薬物含有層に配合した場合に発生するブリーディングを抑え、良好な凝集性を維持することができる。また、ケイ酸1質量部に対して脂肪酸アルカノールアミドおよびその他の吸収促進剤の合計が2~5質量部となるように、薬物含有層にケイ酸を含有させることが好ましい。なお、本発明において「ブリーディング」とは、粘着剤を含有する薬物含有層から液状成分がにじみ出す現象を意味し、後述の実施例に記載されるように目視により発生の有無を評価することができる。また、本発明において凝集性は、後述の実施例に記載する試験方法により調べられる粘着剤の凝集力に基づいて評価される。 The content of silicic acid is preferably 0.1 to 20% by mass, more preferably 0.5 to 15% by mass, and preferably 1 to 10% by mass with respect to the total mass of the drug-containing layer. More preferably. If the silicic acid content is 0.1% by mass or more, bleeding that occurs when a fatty acid alkanolamide and other absorption promoters are blended in the drug-containing layer can be suppressed, and good cohesiveness can be maintained. . Further, it is preferable to contain silicic acid in the drug-containing layer so that the total amount of fatty acid alkanolamide and other absorption accelerators is 2 to 5 parts by mass with respect to 1 part by mass of silicic acid. In the present invention, “bleeding” means a phenomenon in which a liquid component oozes out from a drug-containing layer containing an adhesive, and the presence or absence of occurrence is visually evaluated as described in Examples below. it can. In the present invention, the cohesiveness is evaluated based on the cohesive strength of the pressure-sensitive adhesive investigated by the test method described in the examples described later.
6.粘着剤
 本発明の経皮吸収型製剤において、薬物含有層は、粘着剤を含有する。薬物含有層に含有される粘着剤としては、アクリル系樹脂、ゴム系樹脂およびシリコーン系樹脂等を含むものが挙げられる。
6). Adhesive In the transdermal preparation of the present invention, the drug-containing layer contains an adhesive. Examples of the pressure-sensitive adhesive contained in the drug-containing layer include those containing acrylic resins, rubber resins, silicone resins, and the like.
粘着剤としては、アクリル系樹脂、ゴム系樹脂およびシリコーン系樹脂からなる群より選ばれる少なくとも1種を主成分として含有するものが好ましく、さらにゴム系樹脂およびアクリル系樹脂からなる群より選ばれる少なくとも1種を主成分として含有するものがより好ましい。ここで、「主成分」とは、粘着剤の全質量に対し、通常70質量%以上、さらに80質量%以上、よりさらに90質量%以上、特に100質量%を意味する。 The pressure-sensitive adhesive preferably contains as a main component at least one selected from the group consisting of acrylic resins, rubber resins and silicone resins, and at least selected from the group consisting of rubber resins and acrylic resins. What contains 1 type as a main component is more preferable. Here, the “main component” means usually 70% by mass or more, further 80% by mass or more, further 90% by mass or more, and particularly 100% by mass with respect to the total mass of the pressure-sensitive adhesive.
アクリル系樹脂としては、例えば、モノマー単位として、アクリル酸2−エチルヘキシル、アクリル酸メチル、アクリル酸ブチル、アクリル酸2−ヒドロキシエチル、メタクリル酸2−エチルヘキシルなどに代表される(メタ)アクリル酸エステルを少なくとも1種含有する重合体または共重合体が挙げられる。具体的には、例えば、アクリル酸・アクリル酸オクチルエステル共重合体、アクリル酸2−エチルヘキシル・ビニルピロリドン共重合体溶液、アクリル酸2−エチルエキシル・N−ビニル−2−ピロリドン・ジメタクリル酸−1,6−ヘキサングリコール共重合体、アクリル酸エステル・酢酸ビニルコポリマー、アクリル酸2−エチルヘキシル・アクリル酸2−ヒドロキシエチル・酢酸ビニル共重合体、アクリル酸2−エチルヘキシル・メタクリル酸2−エチルヘキシル・メタクリル酸ドデシル共重合体溶液、アクリル酸メチル・アクリル酸2−エチルヘキシル共重合樹脂エマルジョン、アクリル樹脂アルカノールアミン液などが挙げられる。また、DURO−TAK(登録商標)アクリル粘着剤シリーズ(DURO TAK87−900A、DURO TAK 87−9301、DURO TAK 87−4098、DURO TAK 387−2510、DURO TAK 87−2510、DURO TAK 387−2287、DURO TAK 87−2287、DURO TAK 87−4287、DURO TAK 387−2516、DURO TAK 87−2516、DURO TAK 87−2074、DURO TAK 387−235A、DURO TAK 387−2353、DURO TAK 87−2353、DURO TAK 87−2852、DURO TAK 387−2051、DURO TAK 87−2051、DURO TAK 387−2052、DURO TAK 87−2052、DUROTAK 387−2054、DURO TAK 87−2054、DURO TAK 87−2194、DURO TAK 87−2196:ヘンケル社製)、GELVAシリーズ(GELVA GMS 3083、GELVA GMS 3253、GELVA GMS 788、GELVA GMS 9073:ヘンケル社製)、MAS−683、MAS−811、MASCOS10、MAS11D1(コスメディ製薬社製)などの市販のアクリル系樹脂を使用してもよい。 As an acrylic resin, for example, (meth) acrylic acid ester represented by 2-ethylhexyl acrylate, methyl acrylate, butyl acrylate, 2-hydroxyethyl acrylate, 2-ethylhexyl methacrylate and the like is used as a monomer unit. Examples thereof include a polymer or copolymer containing at least one kind. Specifically, for example, acrylic acid / octyl acrylate copolymer, 2-ethylhexyl acrylate / vinylpyrrolidone copolymer solution, 2-ethylexyl acrylate / N-vinyl-2-pyrrolidone / dimethacrylic acid-1 , 6-hexane glycol copolymer, acrylic ester / vinyl acetate copolymer, 2-ethylhexyl acrylate / 2-hydroxyethyl acrylate / vinyl acetate copolymer, 2-ethylhexyl acrylate / 2-ethylhexyl methacrylate / methacrylic acid Examples thereof include a dodecyl copolymer solution, a methyl acrylate / 2-ethylhexyl acrylate copolymer resin emulsion, and an acrylic resin alkanolamine solution. Also, DURO-TAK (registered trademark) acrylic adhesive series (DURO TAK87-900A, DURO TAK 87-9301, DURO TAK 87-4098, DURO TAK 387-2510, DURO TAK 87-2510, DURO TAK 387-2287, DURO TAK 87-2287, DURO TAK 87-4287, DURO TAK 387-2516, DURO TAK 87-2516, DURO TAK 87-2074, DURO TAK 387-235A, DURO TAK 387-2353, DURO TAK 87235D -2852, DURO TAK 387-2051, DURO TAK 87-2051, DURO TAK 3 7-2052, DURO TAK 87-2052, DUROTAK 387-2054, DURO TAK 87-2054, DURO TAK 87-2194, DURO TAK 87-2196: made by Henkel Corporation, GELVA series (GELVA GMS 3083, GELVA GMS32 GELVA GMS32GEL Commercially available acrylic resins such as GMS 788, GELVA GMS 9073 (manufactured by Henkel), MAS-683, MAS-811, MASCOS10, MAS11D1 (manufactured by Kosmedy Pharmaceutical) may be used.
ゴム系樹脂としては、例えば、スチレン−イソプレン−スチレンブロック共重合体(SIS)、スチレン−ブタジエン−スチレンブロック共重合体(SBS)、スチレン−ブタジエンゴム(SBR)、スチレンイソプレンゴム、ポリイソブチレン(PIB)、ポリブテン、ブチルゴム、天然ゴム、生ゴム、アラビアゴム、アラビアゴム末、イソプレンゴムなどが挙げられるが、好ましくはスチレン−イソプレン−スチレンブロック共重合体(SIS)である。また、Quintac(登録商標)シリーズ(Quintac3570Cなど:日本ゼオン社製)、クレイトンDポリマーシリーズ(クレイトンポリマージャパン社製)、JSR SIS/TRシリーズ(JSRライフサイエンス社製)などの市販のゴム系樹脂を使用してもよい。 Examples of rubber resins include styrene-isoprene-styrene block copolymer (SIS), styrene-butadiene-styrene block copolymer (SBS), styrene-butadiene rubber (SBR), styrene isoprene rubber, and polyisobutylene (PIB). ), Polybutene, butyl rubber, natural rubber, raw rubber, gum arabic, gum arabic powder, isoprene rubber and the like, preferably styrene-isoprene-styrene block copolymer (SIS). In addition, commercially available rubber resins such as Quintac (registered trademark) series (Quintac 3570C, etc .: manufactured by ZEON Corporation), Kraton D polymer series (produced by Kraton Polymer Japan), JSR SIS / TR series (manufactured by JSR Life Sciences), etc. May be used.
シリコーン系樹脂としては、例えば、オルガノポリシロキサン骨格を有するポリマーおよびその誘導体が挙げられ、具体的には、例えば、ジメチルポリシロキサン、ポリメチルビニルシロキサン、ポリメチルフェニルシロキサン、ジフェニルシロキサンなどが挙げられる。また、BIO−PSAシリーズ(ダウコーニング社製)などの市販のシリコーン系樹脂を使用してもよい。 Examples of the silicone-based resin include polymers having an organopolysiloxane skeleton and derivatives thereof. Specific examples include dimethylpolysiloxane, polymethylvinylsiloxane, polymethylphenylsiloxane, and diphenylsiloxane. Commercially available silicone resins such as BIO-PSA series (Dow Corning) may also be used.
本発明の経皮吸収型製剤の薬物含有層に含有される粘着剤として、上述のアクリル系樹脂、ゴム系樹脂、およびシリコーン系樹脂のうちの1種を単独で、または2種以上を組み合わせて使用することができる。より好ましくは、アクリル系またはゴム系樹脂である。 As the pressure-sensitive adhesive contained in the drug-containing layer of the transdermally absorbable preparation of the present invention, one of the acrylic resin, rubber resin, and silicone resin described above is used alone, or two or more kinds are combined. Can be used. More preferred are acrylic or rubber resins.
薬物含有層中に含有される粘着剤の量は、薬物含有層の形成、トラマドールの十分な皮膚透過性などを考慮して調整される。粘着剤の含有量は、薬物含有層に対して通常10~97.8質量%、好ましくは15~90質量%である。粘着剤がゴム系樹脂の場合は、粘着剤の含有量は、薬物含有層に対して10~97.8質量%が好ましく、15~90質量%がより好ましく、20~80質量%がさらに好ましい。粘着剤がアクリル系樹脂の場合は、粘着剤の含有量は、薬物含有層に対して10~97.8質量%が好ましく、15~90質量%がより好ましく、20~80質量%がさらに好ましい。粘着剤がシリコーン系樹脂の場合は、薬物含有層に対して10~97.8質量%が好ましく、15~90質量%がより好ましく、20~80質量%がさらに好ましい。 The amount of the adhesive contained in the drug-containing layer is adjusted in consideration of the formation of the drug-containing layer, sufficient skin permeability of tramadol, and the like. The content of the pressure-sensitive adhesive is usually 10 to 97.8% by mass, preferably 15 to 90% by mass with respect to the drug-containing layer. When the adhesive is a rubber-based resin, the content of the adhesive is preferably 10 to 97.8% by mass, more preferably 15 to 90% by mass, and further preferably 20 to 80% by mass with respect to the drug-containing layer. . When the adhesive is an acrylic resin, the content of the adhesive is preferably 10 to 97.8% by mass, more preferably 15 to 90% by mass, and further preferably 20 to 80% by mass with respect to the drug-containing layer. . When the pressure-sensitive adhesive is a silicone resin, it is preferably 10 to 97.8% by mass, more preferably 15 to 90% by mass, and still more preferably 20 to 80% by mass with respect to the drug-containing layer.
7.粘着付与剤
 薬物含有層は、粘着力向上のために粘着付与剤をさらに含有してもよい。粘着付与剤としては、例えば、ロジン、ロジンのグリセリンエステル、水添ロジン、水添ロジングリセリンエステルなどのロジン誘導体、脂環族飽和炭化水素樹脂、脂環族炭化水素樹脂、テルペン樹脂、脂肪族飽和炭化水素樹脂、脂肪族炭化水素樹脂、マレイン酸レジン、カルナウバロウ、カルメロースナトリウム、キサンタンガム、キトサン、グリセリン、ケイ酸マグネシウムアルミニウム、軽質無水ケイ酸、酢酸ベンジル、タルク、ヒドロキシエチルセルロース、ヒドロキシプロピルセルロース、ヒプロメロース、ポリアクリル酸、ポリアクリル酸ナトリウム、ポリアクリル酸部分中和物、ポリビニルアルコールなどが挙げられる。また粘着付与剤として、アルコンシリーズ(荒川化学社製)、パインクリスタルシリーズ(荒川化学社製)、クリアロンシリーズ(ヤスハラケミカル社製)、YSレジンシリーズ(ヤスハラケミカル社製)などの市販されているものを適宜使用してもよい。特に粘着剤として前記ゴム系樹脂を用いる場合には、水添ロジングリセリンエステル、脂環族飽和炭化水素樹脂、テルペン樹脂、脂肪族飽和炭化水素樹脂を粘着付与剤として使用することが好ましく、水添ロジングリセリンエステルがより好ましい。粘着付与剤は、1種を単独で、または2種以上を組み合わせて使用することができる。
7). Tackifier The drug-containing layer may further contain a tackifier for improving the adhesive strength. Examples of the tackifier include rosin, rosin glycerin ester, hydrogenated rosin, rosin derivatives such as hydrogenated rosin glycerin ester, alicyclic saturated hydrocarbon resin, alicyclic hydrocarbon resin, terpene resin, aliphatic saturated Hydrocarbon resin, aliphatic hydrocarbon resin, maleic resin, carnauba wax, carmellose sodium, xanthan gum, chitosan, glycerin, magnesium aluminum silicate, light anhydrous silicic acid, benzyl acetate, talc, hydroxyethyl cellulose, hydroxypropyl cellulose, hypromellose, Examples include polyacrylic acid, sodium polyacrylate, partially neutralized polyacrylic acid, and polyvinyl alcohol. In addition, as the tackifier, commercially available products such as Alcon series (Arakawa Chemical Co., Ltd.), Pine Crystal series (Arakawa Chemical Co., Ltd.), Clearon series (Yasuhara Chemical Co., Ltd.), YS Resin Series (Yasuhara Chemical Co., Ltd.), etc. You may use suitably. In particular, when the rubber-based resin is used as an adhesive, it is preferable to use a hydrogenated rosin glycerin ester, an alicyclic saturated hydrocarbon resin, a terpene resin, or an aliphatic saturated hydrocarbon resin as a tackifier. Rosin glycerin ester is more preferred. A tackifier can be used individually by 1 type or in combination of 2 or more types.
粘着付与剤の含有量は、貼付剤としての十分な粘着力を考慮して、粘着剤としてゴム系樹脂を用いる場合は、薬物含有層に対して5~70質量%が好ましく、10~60質量%がより好ましく、15~50質量%がさらに好ましい。粘着剤としてアクリル系樹脂を用いる場合は、薬物含有層に対して0~40質量%が好ましく、0~30質量%がより好ましく、0~20質量%がさらに好ましい。粘着剤としてシリコーン樹脂を用いる場合は、薬物含有層に対して0~30質量%が好ましく、0~20質量%がより好ましく、0~10質量%がさらに好ましい。 The content of the tackifier is preferably 5 to 70% by mass, preferably 10 to 60% by mass with respect to the drug-containing layer when a rubber-based resin is used as the adhesive in consideration of sufficient adhesive strength as a patch. % Is more preferable, and 15 to 50% by mass is more preferable. When an acrylic resin is used as the pressure-sensitive adhesive, the content is preferably 0 to 40% by mass, more preferably 0 to 30% by mass, and still more preferably 0 to 20% by mass with respect to the drug-containing layer. When a silicone resin is used as the pressure-sensitive adhesive, the content is preferably 0 to 30% by mass, more preferably 0 to 20% by mass, and still more preferably 0 to 10% by mass with respect to the drug-containing layer.
8.可塑剤
 薬物含有層は、可塑剤をさらに含有してもよい。可塑剤としては、石油系オイル(例えば、パラフィン系プロセスオイル、ナフテン系プロセスオイル、芳香族系プロセスオイル、流動パラフィンなど)、スクワラン、スクワレン、植物系オイル(例えば、オリーブ油、ツバキ油、ひまし油、トール油、ラッカセイ油など)、シリコーンオイル、二塩基酸エステル(例えば、ジブチルフタレート、ジオクチルフタレートなど)、液状ゴム(例えば、ポリブテン、液状イソプレンゴムなど)、ジエチレングリコール、ポリエチレングリコール、サリチル酸グリコール、クロタミトンなどが挙げられる。また可塑剤として、モレスコホワイトシリーズ(モレスコ社製)、ハイコールシリーズ(カネダ社製)などの市販されているものを適宜使用してもよい。特に粘着剤として前記ゴム系樹脂を用いる場合には、流動パラフィンを可塑剤として使用することが好ましい。可塑剤は、1種を単独で、または2種以上を組み合わせて使用することができる。
8). Plasticizer The drug-containing layer may further contain a plasticizer. Plasticizers include petroleum oils (eg, paraffinic process oil, naphthenic process oil, aromatic process oil, liquid paraffin, etc.), squalane, squalene, vegetable oils (eg, olive oil, camellia oil, castor oil, tall Oil, peanut oil, etc.), silicone oil, dibasic acid ester (eg, dibutyl phthalate, dioctyl phthalate, etc.), liquid rubber (eg, polybutene, liquid isoprene rubber, etc.), diethylene glycol, polyethylene glycol, salicylic acid glycol, crotamiton, etc. It is done. Moreover, as a plasticizer, you may use suitably what is marketed, such as the Moresco white series (made by Moresco), the high call series (made by Kaneda). In particular, when the rubber-based resin is used as an adhesive, liquid paraffin is preferably used as a plasticizer. A plasticizer can be used individually by 1 type or in combination of 2 or more types.
可塑剤の含有量は、トラマドールの十分な透過性、経皮吸収型製剤としての十分な凝集力の維持などを考慮して調整される。粘着剤としてゴム系樹脂を用いる場合は、薬物含有層に対して0~70質量%が好ましく、0~60質量%がより好ましく、0~40質量%がさらに好ましい。粘着剤としてアクリル系樹脂を用いる場合は、薬物含有層に対して0~50質量%が好ましく、0~40質量%がより好ましく、0~30質量%がさらに好ましい。粘着剤としてシリコーン系樹脂を用いる場合は、薬物含有層に対して合計で0~40質量%が好ましく、0~30質量%がより好ましく、0~20質量%がさらに好ましい。 The content of the plasticizer is adjusted in consideration of sufficient permeability of tramadol and maintenance of sufficient cohesion as a transdermal preparation. When a rubber-based resin is used as the adhesive, it is preferably 0 to 70% by mass, more preferably 0 to 60% by mass, and still more preferably 0 to 40% by mass with respect to the drug-containing layer. When an acrylic resin is used as the pressure-sensitive adhesive, the content is preferably 0 to 50% by mass, more preferably 0 to 40% by mass, and still more preferably 0 to 30% by mass with respect to the drug-containing layer. When a silicone resin is used as the pressure-sensitive adhesive, the total amount is preferably 0 to 40% by mass, more preferably 0 to 30% by mass, and further preferably 0 to 20% by mass with respect to the drug-containing layer.
9.その他の任意成分
 薬物含有層は、必要に応じて、pH調節剤、架橋剤、抗酸化剤、着色剤、紫外線吸収剤、充填剤、または、防腐剤などの公知の添加剤をさらに含有してもよい。
9. Other optional components The drug-containing layer further contains a known additive such as a pH adjuster, a crosslinking agent, an antioxidant, a colorant, an ultraviolet absorber, a filler, or an antiseptic, as necessary. Also good.
pH調節剤は、トラマドールの溶解性、安定性、および皮膚透過性の向上、皮膚に対する安全性の向上などの目的で、薬物含有層のpHを調節するために使用することができる。pH調節剤は、医薬品の分野において通常pH調整に用いられる酸もしくは塩基またはそれらの塩であればいずれの化合物であってもよく、例えば、塩酸、硫酸、コハク酸、酢酸、メタンスルホン酸、エデト酸、アンモニア水、モノエタノールアミン、ジエタノールアミン、トリエタノールアミン、ジイソプロパノールアミン、トリイソプロパノールアミン、メグルミン、トロメタモール、グリシン、水酸化カリウム、水酸化カルシウム、水酸化ナトリウム、水酸化マグネシウム、クエン酸ナトリウム、酢酸ナトリウム、炭酸水素ナトリウム、炭酸水素カリウム、炭酸ナトリウムなどが挙げられる。 The pH adjusting agent can be used to adjust the pH of the drug-containing layer for the purpose of improving the solubility, stability, and skin permeability of tramadol and improving the safety to the skin. The pH adjusting agent may be any compound as long as it is an acid or base or a salt thereof that is usually used for pH adjustment in the pharmaceutical field. For example, hydrochloric acid, sulfuric acid, succinic acid, acetic acid, methanesulfonic acid, edetate Acid, aqueous ammonia, monoethanolamine, diethanolamine, triethanolamine, diisopropanolamine, triisopropanolamine, meglumine, trometamol, glycine, potassium hydroxide, calcium hydroxide, sodium hydroxide, magnesium hydroxide, sodium citrate, acetic acid Sodium, sodium hydrogen carbonate, potassium hydrogen carbonate, sodium carbonate, etc. are mentioned.
架橋剤としては、例えばアミノ樹脂、フェノール樹脂、エポキシ樹脂、アルキド樹脂、不飽和ポリエステル等の熱硬化性樹脂、イソシアネート化合物、ブロックイソシアネート化合物、有機系架橋剤、金属または金属化合物等の無機系架橋剤が挙げられる。なかでも、イソシアネート化合物またはブロックイソシアネート化合物が好ましい。 Examples of crosslinking agents include thermosetting resins such as amino resins, phenol resins, epoxy resins, alkyd resins, and unsaturated polyesters, isocyanate compounds, blocked isocyanate compounds, organic crosslinking agents, and inorganic crosslinking agents such as metals or metal compounds. Is mentioned. Among these, an isocyanate compound or a blocked isocyanate compound is preferable.
抗酸化剤としては、例えばトコフェロール及びこれらのエステル誘導体、アスコルビン酸、アスコルビン酸ステアリン酸エステル、ノルジヒドログアヤレチン酸、ジブチルヒドロキシトルエン(BHT)、ブチルヒドロキシアニソールなどが挙げられる。 Examples of the antioxidant include tocopherol and ester derivatives thereof, ascorbic acid, ascorbic acid stearate, nordihydroguaiaretic acid, dibutylhydroxytoluene (BHT), butylhydroxyanisole and the like.
着色剤としては、例えばインジゴカルミン、黄酸化鉄、黄色三二酸化鉄、カーボンブラック、カラメル、感光素201号、クマザサエキス、黒酸化鉄、ケッケツ、酸化亜鉛、酸化チタン、三二酸化鉄、アマランス、水酸化ナトリウム、タルク、銅クロロフィリンナトリウム、ハダカムギ緑葉エキス末、d−ボルネオール、ミリスチン酸オクチルドデシル、メチレンブルー、リン酸マンガンアンモニウム、ローズ油などが挙げられる。 Examples of the colorant include indigo carmine, yellow iron oxide, yellow iron sesquioxide, carbon black, caramel, photosensitive element 201, Kumazasa extract, black iron oxide, ketket, zinc oxide, titanium oxide, iron sesquioxide, amaranth, water Examples include sodium oxide, talc, copper chlorophyllin sodium, green leaf extract powder, d-borneol, octyldodecyl myristate, methylene blue, ammonium manganese phosphate, and rose oil.
紫外線吸収剤としては、例えばアミノ酸系化合物、ベンゾフェノン系化合物、桂皮酸誘導体、シアノアクリレート誘導体、p−アミノ安息香酸誘導体、アントラニル酸誘導体、サリチル酸誘導体、クマリン誘導体、イミダゾリン誘導体、ピリミジン誘導体、ジオキサン誘導体などが挙げられる。 Examples of the ultraviolet absorber include amino acid compounds, benzophenone compounds, cinnamic acid derivatives, cyanoacrylate derivatives, p-aminobenzoic acid derivatives, anthranilic acid derivatives, salicylic acid derivatives, coumarin derivatives, imidazoline derivatives, pyrimidine derivatives, dioxane derivatives, and the like. Can be mentioned.
充填剤としては、炭酸カルシウム、炭酸マグネシウム、炭酸ナトリウム、炭酸アンモニウム、炭酸カリウム、炭酸水素カリウム、ケイ酸塩(例えば、ケイ酸アルミニウム、ケイ酸マグネシウム、ケイ酸カルシウム、ケイ酸マグネシウムアルミニウム、ケイ酸マグネシウムナトリウム等)、水酸化マグネシウム、硫酸バリウム、硫酸カルシウム、亜鉛酸カルシウム、酸化亜鉛、酸化チタンなどが挙げられる。 Fillers include calcium carbonate, magnesium carbonate, sodium carbonate, ammonium carbonate, potassium carbonate, potassium bicarbonate, silicate (eg, aluminum silicate, magnesium silicate, calcium silicate, magnesium aluminum silicate, magnesium silicate Sodium), magnesium hydroxide, barium sulfate, calcium sulfate, calcium zincate, zinc oxide, titanium oxide and the like.
防腐剤としては、パラオキシ安息香酸エチル、パラオキシ安息香酸プロピル、パラオキシ安息香酸ブチルなどが挙げられる。 Examples of the preservative include ethyl paraoxybenzoate, propyl paraoxybenzoate, and butyl paraoxybenzoate.
その他の任意成分の合計の含有量は、薬物含有層に対して0~10質量%が好ましく、0~5質量%がより好ましい。 The total content of other optional components is preferably 0 to 10% by mass, more preferably 0 to 5% by mass with respect to the drug-containing layer.
本発明の経皮吸収型製剤における薬物含有層の面積は、トラマドールまたはその薬学的に許容される塩の含有量、トラマドールの皮膚透過速度などに応じて適宜調整することができる。典型的には、薬物含有層の面積は、2~140cm、好ましくは10~100cm、さらに好ましくは20~70cmの範囲である。また、薬物含有層の形状は、特に限定されず、正方形、長方形、円形、楕円形などであってよい。 The area of the drug-containing layer in the transdermally absorbable preparation of the present invention can be appropriately adjusted according to the content of tramadol or a pharmaceutically acceptable salt thereof, the skin permeation rate of tramadol, and the like. Typically, the area of the drug-containing layer is in the range of 2 to 140 cm 2 , preferably 10 to 100 cm 2 , more preferably 20 to 70 cm 2 . The shape of the drug-containing layer is not particularly limited, and may be a square, a rectangle, a circle, an ellipse, or the like.
本発明の経皮吸収型製剤における薬物含有層の厚さは、粘着剤の種類、トラマドールまたはその薬学的に許容される塩の含有量、トラマドールの皮膚透過速度などに応じて適宜調整することができ、特に限定されない。典型的には、薬物含有層の厚さは、20~300μm、好ましくは25~200μm、さらに好ましくは30μm~150μmの範囲である。 The thickness of the drug-containing layer in the transdermal preparation of the present invention can be appropriately adjusted according to the type of pressure-sensitive adhesive, the content of tramadol or a pharmaceutically acceptable salt thereof, the skin permeation rate of tramadol, and the like. Yes, it is not particularly limited. Typically, the thickness of the drug-containing layer is in the range of 20 to 300 μm, preferably 25 to 200 μm, more preferably 30 μm to 150 μm.
予想外なことに、脂肪酸アルカノールアミドを含む本発明の経皮吸収型製剤の薬物含有層中では、脂肪酸アルカノールアミドを含まない経皮吸収型製剤と比較してトラマドールは高い保存安定性を示す。本発明において「保存安定性」とは、経皮吸収型製剤をアルミニウム袋に密封包装し、60℃で4週間保存した後、薬物含有層中に残存するトラマドールの割合(対開始時含量(%))を意味し、後述の実施例に記載する試験方法により調べられる。対開始時含量(%)が98%以上である場合、保存安定性が高いと評価される。 Unexpectedly, in the drug-containing layer of the percutaneous absorption preparation of the present invention containing a fatty acid alkanolamide, tramadol shows a high storage stability compared to the percutaneous absorption preparation containing no fatty acid alkanolamide. In the present invention, “storage stability” refers to the ratio of tramadol remaining in the drug-containing layer (% to the starting content (%) after the transdermal preparation is hermetically packaged in an aluminum bag and stored at 60 ° C. for 4 weeks. )), Which is examined by the test method described in the examples below. When the content (%) at the start is 98% or more, it is evaluated that the storage stability is high.
また薬物含有層に脂肪酸アルカノールアミドを含まない経皮吸収型製剤は、皮膚刺激性が比較的高い場合があるが、薬物含有層に脂肪酸アルカノールアミドを含む本発明の経皮吸収型製剤は、同程度のトラマドールの皮膚透過性を示すが薬物含有層に脂肪酸アルカノールアミドを含まない経皮吸収型貼付剤と比較して、低い皮膚刺激性を示す。本発明において皮膚刺激性は、モルモットの刈毛・剃毛した左右側胴部に経皮吸収型製剤を貼付し、24時間後に経皮吸収型製剤を除去し、貼付から24、48、および72時間後に皮膚反応を観察し、Draizeの基準(1959年)に基づき皮膚刺激性指数(Primary irritation index:P.I.I.)を算出することにより評価される。P.I.I.が低い値であるほど皮膚刺激性が低く、経皮吸収型製剤としては皮膚刺激性が低いほど好ましい。皮膚刺激性はより具体的には、後述の実施例に記載する試験方法により調べられる。 Further, a transdermal preparation containing no fatty acid alkanolamide in the drug-containing layer may have relatively high skin irritation, but the transdermal preparation of the present invention containing the fatty acid alkanolamide in the drug-containing layer is the same. Although it exhibits a degree of tramadol skin permeability, it exhibits low skin irritation compared to a transdermal patch with no fatty acid alkanolamide in the drug-containing layer. In the present invention, for skin irritation, the transdermal preparation is applied to the left and right torso parts of guinea pigs that have been shaved and shaved, and the transdermal preparation is removed after 24 hours, and 24, 48, and 72 are removed from the application. It is evaluated by observing the skin reaction after time and calculating a skin irritation index (PI) based on the Draize standard (1959). P. I. I. The lower the value, the lower the skin irritation, and the lower the skin irritation for the percutaneous absorption preparation, the better. More specifically, the skin irritation is examined by a test method described in Examples described later.
本発明の経皮吸収型製剤における薬物含有層の一態様として、トラマドールまたはその薬学的に許容される塩、脂肪酸アルカノールアミド、ケイ酸、ならびに粘着剤を含有するものが挙げられる。
 トラマドールまたはその薬学的に許容される塩としては、トラマドール酸付加塩(特に塩酸塩)が好ましい。この場合、薬物含有層は塩基性化合物を含有することが好ましい。
 脂肪酸アルカノールアミドとしては、ラウリン酸ジエタノールアミド、オレイン酸ジエタノールアミド、およびラウリン酸モノイソプロパノールアミドが好ましい。
 ケイ酸としては、無水ケイ酸が好ましい。
 粘着剤としては、ゴム系樹脂およびアクリル系樹脂からなる群より選ばれる少なくとも1種を主成分として含有するものが好ましい。
 薬物含有層に対し、トラマドールまたはその薬学的に許容される塩の含有量が1~40質量%、塩基性化合物の含有量が0.1~35質量%、脂肪酸アルカノールアミドの含有量が1~9質量%、ケイ酸の含有量が0.1~20質量%、粘着剤の含有量が10~97.8質量%であることが好ましい。
One embodiment of the drug-containing layer in the transdermally absorbable preparation of the present invention includes those containing tramadol or a pharmaceutically acceptable salt thereof, a fatty acid alkanolamide, silicic acid, and an adhesive.
As tramadol or a pharmaceutically acceptable salt thereof, tramadol acid addition salt (particularly hydrochloride) is preferable. In this case, the drug-containing layer preferably contains a basic compound.
As the fatty acid alkanolamide, lauric acid diethanolamide, oleic acid diethanolamide, and lauric acid monoisopropanolamide are preferable.
As the silicic acid, anhydrous silicic acid is preferable.
As an adhesive, what contains at least 1 sort (s) chosen from the group which consists of rubber-type resin and acrylic resin as a main component is preferable.
The content of tramadol or a pharmaceutically acceptable salt thereof is 1 to 40% by mass, the content of basic compound is 0.1 to 35% by mass, and the content of fatty acid alkanolamide is 1 to It is preferable that the content is 9% by mass, the content of silicic acid is 0.1 to 20% by mass, and the content of the adhesive is 10 to 97.8% by mass.
本発明の経皮吸収型製剤における薬物含有層の別の態様として、トラマドールまたはその薬学的に許容される塩、脂肪酸アルカノールアミド、脂肪酸アルカノールアミド以外の吸収促進剤、ケイ酸、ならびに粘着剤を含有するものが挙げられる。
 トラマドールまたはその薬学的に許容される塩としては、トラマドール酸付加塩(特に塩酸塩)が好ましい。この場合、薬物含有層は塩基性化合物を含有することが好ましい。
 脂肪酸アルカノールアミドとしては、ラウリン酸ジエタノールアミド、オレイン酸ジエタノールアミド、およびラウリン酸モノイソプロパノールアミドが好ましい。
 脂肪酸アルカノールアミド以外の吸収促進剤は、脂肪酸エステルおよび有機酸から選ばれる少なくとも1種であることが好ましい。脂肪酸エステルは、ミリスチン酸イソプロピル、パルミチン酸イソプロピル、ラウリン酸ヘキシルであることが好ましい。有機酸は、酢酸、カプリル酸、オレイン酸、およびイソステアリン酸が好ましい。
 ケイ酸としては、無水ケイ酸が好ましい。
 粘着剤としては、ゴム系樹脂およびアクリル系樹脂からなる群より選ばれる少なくとも1種を主成分として含有するものが好ましい。
 薬物含有層に対し、トラマドールまたはその薬学的に許容される塩の含有量が1~40質量%、塩基性化合物の含有量が0.1~35質量%、脂肪酸アルカノールアミドの含有量が1~15質量%、脂肪酸アルカノールアミド以外の吸収促進剤の含有量が1~20質量%、ケイ酸の含有量が0.1~20質量%、粘着剤の含有量が10~96.8質量%であることが好ましい。
As another embodiment of the drug-containing layer in the transdermally absorbable preparation of the present invention, it contains tramadol or a pharmaceutically acceptable salt thereof, a fatty acid alkanolamide, an absorption accelerator other than the fatty acid alkanolamide, silicic acid, and an adhesive. To do.
As tramadol or a pharmaceutically acceptable salt thereof, tramadol acid addition salt (particularly hydrochloride) is preferable. In this case, the drug-containing layer preferably contains a basic compound.
As the fatty acid alkanolamide, lauric acid diethanolamide, oleic acid diethanolamide, and lauric acid monoisopropanolamide are preferable.
The absorption accelerator other than the fatty acid alkanolamide is preferably at least one selected from fatty acid esters and organic acids. The fatty acid ester is preferably isopropyl myristate, isopropyl palmitate, or hexyl laurate. The organic acid is preferably acetic acid, caprylic acid, oleic acid, and isostearic acid.
As the silicic acid, anhydrous silicic acid is preferable.
As an adhesive, what contains at least 1 sort (s) chosen from the group which consists of rubber-type resin and acrylic resin as a main component is preferable.
The content of tramadol or a pharmaceutically acceptable salt thereof is 1 to 40% by mass, the content of basic compound is 0.1 to 35% by mass, and the content of fatty acid alkanolamide is 1 to 15 mass%, content of absorption accelerator other than fatty acid alkanolamide is 1 to 20 mass%, content of silicic acid is 0.1 to 20 mass%, and content of adhesive is 10 to 96.8 mass% Preferably there is.
<支持体>
 本発明の経皮吸収型製剤における支持体には、薬物不透過性で伸縮性または非伸縮性の支持体を使用することができる。このような支持体としては、医薬品の分野において通常用いられるものであれば特に限定されないが、例えば、ポリエチレン、ポリプロピレン、ポリブタジエン、エチレン酢酸ビニル共重合体、ポリ塩化ビニル、ポリエステル(ポリエチレンテレフタレートなど)、ナイロン、ポリウレタンなどの合成樹脂フィルムもしくはシートまたはこれらの積層体、多孔質体、発泡体、フィルムにアルミニウムを蒸着させたものが挙げられる。また、粘着層との良好な投錨性を得るため、支持体として、紙、織布、不織布、またはこれらとフィルムの積層体を用いることもできる。
<Support>
As the support in the transdermal preparation of the present invention, a drug-impermeable, stretchable or non-stretchable support can be used. Such a support is not particularly limited as long as it is usually used in the field of pharmaceuticals. For example, polyethylene, polypropylene, polybutadiene, ethylene vinyl acetate copolymer, polyvinyl chloride, polyester (polyethylene terephthalate, etc.), Examples thereof include synthetic resin films or sheets such as nylon and polyurethane, or laminates, porous bodies, foams, and films in which aluminum is vapor-deposited. In order to obtain good anchoring properties with the adhesive layer, paper, woven fabric, nonwoven fabric, or a laminate of these and a film can also be used as the support.
<剥離ライナー>
 本発明の経皮吸収型製剤は、剥離ライナーをさらに有してもよい。この場合、剥離ライナーは、支持体上に積層された薬物含有層の、支持体に接する面と反対側の面上に積層され、経皮吸収型製剤を皮膚に適用するまで薬物含有層を保護することができる。剥離ライナーは、少なくとも薬物含有層中のトラマドールまたはその薬学的に許容される塩について不透過性であれば特に限定されないが、例えば、ポリエチレン、ポリプロピレン、ポリエステル、ポリエチレンテレフタレートなどの高分子材料で作られたフィルム、フィルムにアルミニウムを蒸着させたもの、紙の上にシリコーンオイルなどを塗付したものなどが挙げられる。
<Release liner>
The transdermally absorbable preparation of the present invention may further have a release liner. In this case, the release liner is laminated on the surface of the drug-containing layer laminated on the support opposite to the surface in contact with the support, and protects the drug-containing layer until the transdermal preparation is applied to the skin. can do. The release liner is not particularly limited as long as it is impermeable to at least tramadol or a pharmaceutically acceptable salt thereof in the drug-containing layer. For example, the release liner is made of a polymer material such as polyethylene, polypropylene, polyester, polyethylene terephthalate. Film, a film in which aluminum is vapor-deposited, and a film in which silicone oil or the like is coated on paper.
<経皮吸収型製剤の製造>
 本発明の経皮吸収型製剤は、公知の方法に従って製造することができる。トラマドールまたはその薬学的に許容される塩、脂肪酸アルカノールアミド、ケイ酸、および粘着剤、ならびに必要に応じその他の成分を含む混合物を調製し、この混合物を剥離ライナー上に塗布または展延して薬物含有層を形成し、この薬物含有層に支持体を貼り合わせることにより、製造することができる。
<Manufacture of transdermal preparation>
The transdermally absorbable preparation of the present invention can be produced according to a known method. Prepare a mixture containing tramadol or a pharmaceutically acceptable salt thereof, fatty acid alkanolamide, silicic acid, and adhesive, and other ingredients as required, and apply or spread this mixture on a release liner to create a drug It can manufacture by forming a content layer and bonding a support body to this drug content layer.
具体的には、上記薬物含有層中の成分を、前記含有量となるように有機溶媒に加え、混合撹拌して塗布液を調製する。 Specifically, the components in the drug-containing layer are added to an organic solvent so as to have the content, and mixed and stirred to prepare a coating solution.
有機溶媒としては、酢酸エチル、ヘキサン、ペンタン、ヘプタン、トルエン、シクロヘキサン、クロロホルム、塩化メチレン、メタノール、エタノール、イソプロピルアルコール、メチルエチルケトン、シクロヘキサノン、アセトン、それらの混合溶媒などを用いることができる。塗布液中の有機溶媒の含有量は、特に限定されず、例えば、塗布液全体に対して30~90質量%、好ましくは40~80質量%である。 As the organic solvent, ethyl acetate, hexane, pentane, heptane, toluene, cyclohexane, chloroform, methylene chloride, methanol, ethanol, isopropyl alcohol, methyl ethyl ketone, cyclohexanone, acetone, a mixed solvent thereof or the like can be used. The content of the organic solvent in the coating solution is not particularly limited, and is, for example, 30 to 90% by mass, preferably 40 to 80% by mass with respect to the entire coating solution.
次に、この塗布液を剥離ライナー上に塗布または展延し、当該塗布液中の溶媒を蒸発させて薬物含有層を形成した後、支持体を貼り合わせることによって経皮吸収型製剤を得ることができる。または、塗布液を支持体上に塗布または展延し、当該塗布液中の溶媒を蒸発させて薬物含有層を形成した後、剥離ライナーを貼り合わせることによって経皮吸収型製剤を得ることもできる。製造容易かどうかの観点からは、塗布液を剥離ライナー上に塗布または展延し、当該塗布液中の溶媒を蒸発させて薬物含有層を形成した後、支持体を貼り合わせる方法が好ましい。塗布液の塗布または展延は、ナイフコーター、コンマコーター、リバースコーター、ダイコーターを用いて行うことができる。製造フローの一例を図1に示すが、これに限定されない。 Next, this coating solution is applied or spread on a release liner, the solvent in the coating solution is evaporated to form a drug-containing layer, and then a support is attached to obtain a transdermal absorption preparation. Can do. Alternatively, a transdermal preparation can be obtained by applying or spreading a coating liquid on a support, evaporating the solvent in the coating liquid to form a drug-containing layer, and then attaching a release liner. . From the viewpoint of ease of production, a method in which a coating solution is applied or spread on a release liner, a solvent in the coating solution is evaporated to form a drug-containing layer, and then a support is bonded together is preferable. Coating or spreading of the coating solution can be performed using a knife coater, comma coater, reverse coater, or die coater. Although an example of a manufacturing flow is shown in FIG. 1, it is not limited to this.
また、本発明の経皮吸収型製剤は、上記薬物含有層中の成分を、加熱溶融させ、この溶融物を剥離ライナー上に塗布または展延し、薬物含有層を形成した後、支持体を貼り合わせることによって経皮吸収型製剤を製造することもできる。溶融物を支持体上に塗布または展延し、薬物含有層を形成した後、剥離ライナーを貼り合わせることによって経皮吸収型製剤を製造してもよい。 In the percutaneous absorption type preparation of the present invention, the components in the drug-containing layer are heated and melted, and the melt is applied or spread on a release liner to form a drug-containing layer, and then the support is formed. A percutaneous absorption type preparation can also be produced by bonding. After the melt is applied or spread on a support to form a drug-containing layer, a transdermal preparation may be produced by laminating a release liner.
<投与方法>
 本発明の経皮吸収型製剤による疼痛の治療は、本発明の経皮吸収型製剤を対象の皮膚に直接貼付して、トラマドールを経皮投与することによって行うことができる。本発明における対象は、ヒトなどの哺乳動物であり、好ましくはヒトである。
<Administration method>
The treatment of pain by the transdermal preparation of the present invention can be performed by directly applying the transdermal preparation of the present invention to the skin of the subject and transdermally administering tramadol. The subject in the present invention is a mammal such as a human, preferably a human.
本発明の経皮吸収型製剤によりトラマドールを経皮投与する場合、疼痛の治療に有効な血中濃度を達成するように、薬物含有層中のトラマドールまたはその薬学的に許容される塩の含有量、トラマドールの皮膚透過速度、薬物含有層の面積、薬物含有層の厚さ等を適宜調整した上で、本発明の経皮吸収型製剤を皮膚に貼付する。 When tramadol is transdermally administered by the transdermally absorbable preparation of the present invention, the content of tramadol or a pharmaceutically acceptable salt thereof in the drug-containing layer so as to achieve a blood concentration effective for the treatment of pain The percutaneously absorbable preparation of the present invention is applied to the skin after appropriately adjusting the skin permeation rate of tramadol, the area of the drug-containing layer, the thickness of the drug-containing layer and the like.
本発明の経皮吸収型製剤は、貼付可能であれば身体のいずれの部位の皮膚に適用してもよく、例えば、上腕部、腹部、胸部、頸部、腰背部、臀部または脚部などに貼付できる。 The percutaneous absorption type preparation of the present invention may be applied to the skin of any part of the body as long as it can be applied. For example, it can be applied to the upper arm, abdomen, chest, neck, waist back, buttocks or legs. Can be pasted.
本発明の経皮吸収型製剤の対象への経皮投与は、必要に応じて、トラマドール以外の医薬成分を含有する医薬組成物の投与と組み合わせてもよい。この場合、投与形態は、同時投与であっても、時間差をおいての投与であってもよく、当該医薬組成物は、静脈内、腹腔内、皮下および筋肉内、経口、局所または経粘膜を含む種々の経路により投与できる。また、トラマドール以外の医薬成分を含有する医薬組成物は、当該医薬成分について通常用いられる投与経路によって対象に投与される。トラマドール以外の医薬成分としては、アセトアミノフェンなどの鎮痛剤、ジクロフェナクナトリウム、ロキソプロフェンナトリウムなどの非ステロイド系消炎鎮痛薬、リドカインなどの局所麻酔薬などが挙げられるが、これらに限定されない。 Transdermal administration of the transdermal preparation of the present invention to a subject may be combined with administration of a pharmaceutical composition containing a pharmaceutical ingredient other than tramadol, if necessary. In this case, the administration form may be simultaneous administration or administration with a time difference, and the pharmaceutical composition may be intravenous, intraperitoneal, subcutaneous and intramuscular, oral, topical or transmucosal. It can be administered by various routes including: In addition, a pharmaceutical composition containing a pharmaceutical ingredient other than tramadol is administered to a subject by an administration route usually used for the pharmaceutical ingredient. Pharmaceutical components other than tramadol include, but are not limited to, analgesics such as acetaminophen, nonsteroidal anti-inflammatory analgesics such as diclofenac sodium and loxoprofen sodium, and local anesthetics such as lidocaine.
以下、実施例に基づいて本発明をより具体的に説明するが、本発明は以下の実施例に限定されるものではない。また、各実施例において、「%」は、特に断りがない限りは全て「質量%」である。 EXAMPLES Hereinafter, although this invention is demonstrated more concretely based on an Example, this invention is not limited to a following example. In each example, “%” is “% by mass” unless otherwise specified.
(トラマドール塩酸塩含有経皮吸収型貼付剤の製造)
実施例1
・ゴム系樹脂組成物の調製
 スチレン−イソプレン−スチレンブロック共重合体(Quintac3570C、日本ゼオン社製)、水素添加ロジングリセリンエステル(パインクリスタルKE−311、荒川化学工業社製)、ポリイソブチレン(Oppanol B12SFN、BASF社製)を固形分濃度が30%になるようにトルエンとヘキサンの混液に溶解し、ゴム系樹脂組成物を得た。
 成分名                            配合比率
 Quintac3570C(日本ゼオン社製)           45%
 パインクリスタルKE−311(荒川化学工業社製)        45%
 Oppanol B12SFN(BASF社製)          10%
(Manufacture of tramadol hydrochloride-containing transdermal patches)
Example 1
-Preparation of rubber-based resin composition Styrene-isoprene-styrene block copolymer (Quintac 3570C, manufactured by Nippon Zeon Co., Ltd.), hydrogenated rosin glycerin ester (Pine Crystal KE-311, manufactured by Arakawa Chemical Industries, Ltd.), polyisobutylene (Oppanol B12SFN) (Manufactured by BASF) was dissolved in a mixed solution of toluene and hexane so as to have a solid concentration of 30% to obtain a rubber-based resin composition.
Ingredient name Mixing ratio Quintac 3570C (made by Nippon Zeon) 45%
Pine Crystal KE-311 (Arakawa Chemical Industries) 45%
Opanol B12SFN (BASF) 10%
・経皮吸収型貼付剤の製造
 塗布乾燥後の固形分が下記の配合比率となるように、有効成分としてトラマドール塩酸塩、粘着剤としてゴム系樹脂組成物、塩基性化合物として適量のエタノールに溶解した水酸化ナトリウム(関東化学社製)、脂肪酸アルカノールアミドとしてラウリン酸ジエタノールアミド、ケイ酸として無水ケイ酸、脂肪酸アルカノールアミド以外の吸収促進剤としてミリスチン酸イソプロピルを、適量のトルエン中で混合撹拌した後、塗布液を得た。
 成分名                          配合比率
 トラマドール塩酸塩                     15%
 ゴム系樹脂組成物                      65%
 酸化ナトリウム                        2%
 ラウリン酸ジエタノールアミド                 3%
 無水ケイ酸                          5%
 ミリスチン酸イソプロピル                  10%
・ Manufacture of transdermal patches: Dissolve in tramadol hydrochloride as an active ingredient, rubber-based resin composition as an adhesive, and an appropriate amount of ethanol as a basic compound so that the solid content after coating and drying is as follows. Sodium hydroxide (manufactured by Kanto Chemical Co., Inc.), lauric acid diethanolamide as fatty acid alkanolamide, silicic anhydride as silicic acid, and isopropyl myristate as an absorption accelerator other than fatty acid alkanolamide after mixing and stirring in an appropriate amount of toluene A coating solution was obtained.
Ingredient name Mixing ratio Tramadol hydrochloride 15%
Rubber resin composition 65%
Sodium oxide 2%
Lauric acid diethanolamide 3%
Silicic anhydride 5%
Isopropyl myristate 10%
塗布液を剥離フィルム(フィルムバイナ75E−0010 BD:藤森工業社製)上に、溶媒留去後の厚さが約75μmになるように塗布し、乾燥させた後、支持体(EH−1212:日本バイリーン社製)を貼り合わせ、経皮吸収型製剤を製造した。 The coating solution was applied on a release film (film binder 75E-0010 BD: manufactured by Fujimori Kogyo Co., Ltd.) so that the thickness after evaporation of the solvent was about 75 μm and dried, and then the support (EH-1212: Nippon Viylene Co., Ltd.) was bonded to produce a transdermal absorption preparation.
実施例2~7
 表1に示す通り、脂肪酸アルカノールアミド以外の吸収促進剤を、それぞれパルミチン酸イソプロピル、ラウリン酸ヘキシル、酢酸、カプリル酸、オレイン酸、およびイソステアリン酸に変更した以外は実施例1と同様にして、実施例2~7の経皮吸収型貼付剤を製造した。
Examples 2-7
As shown in Table 1, the same procedure as in Example 1 was performed except that the absorption accelerator other than the fatty acid alkanolamide was changed to isopropyl palmitate, hexyl laurate, acetic acid, caprylic acid, oleic acid, and isostearic acid, respectively. The transdermal patches of Examples 2 to 7 were produced.
実施例8および9
 表1に示す通り、脂肪酸アルカノールアミドを、それぞれオレイン酸ジエタノールアミドおよびラウリン酸モノイソプロパノールアミドに変更した以外は実施例1と同様にして、実施例8および9の経皮吸収型貼付剤を製造した。
Examples 8 and 9
As shown in Table 1, transdermal patches of Examples 8 and 9 were produced in the same manner as in Example 1 except that the fatty acid alkanolamide was changed to oleic acid diethanolamide and lauric acid monoisopropanolamide, respectively. .
比較例1
 表2に示す通り、ケイ酸を配合せず、ゴム系樹脂組成物の配合比率をその分増加させた以外は実施例1と同様にして、比較例1の経皮吸収型貼付剤を製造した。
Comparative Example 1
As shown in Table 2, a transdermal patch of Comparative Example 1 was produced in the same manner as in Example 1 except that no silicic acid was blended and the blending ratio of the rubber-based resin composition was increased accordingly. .
比較例2~10
 表2に示す通り、脂肪酸アルカノールアミド以外の吸収促進剤を、それぞれラウリン酸ヘキシル、オレイン酸、イソステアリン酸、モノカプリル酸プロピレングリコール、イソステアリルアルコール、プロピレングリコール、1,3−ブチレングリコール、トリアセチン、および炭酸プロピレンに変更した以外は比較例1と同様にして、比較例2~10の経皮吸収型貼付剤を製造した。
Comparative Examples 2-10
As shown in Table 2, absorption accelerators other than fatty acid alkanolamides are hexyl laurate, oleic acid, isostearic acid, propylene glycol monocaprylate, isostearyl alcohol, propylene glycol, 1,3-butylene glycol, triacetin, and Comparative percutaneously absorbable patches of Comparative Examples 2 to 10 were produced in the same manner as in Comparative Example 1 except that propylene carbonate was used.
比較例11
 表2に示す通り、ケイ酸を配合せず、ゴム系樹脂組成物の配合比率をその分増加させた以外は実施例8と同様にして、比較例11の経皮吸収型貼付剤を製造した。
Comparative Example 11
As shown in Table 2, the transdermal patch of Comparative Example 11 was produced in the same manner as in Example 8 except that no silicic acid was blended and the blending ratio of the rubber-based resin composition was increased accordingly. .
比較例12
 表2に示す通り、ケイ酸を配合せず、ゴム系樹脂組成物の配合比率をその分増加させた以外は実施例9と同様にして、比較例12の経皮吸収型貼付剤を製造した。
Comparative Example 12
As shown in Table 2, the transdermal patch of Comparative Example 12 was produced in the same manner as in Example 9 except that the silicic acid was not blended and the blending ratio of the rubber-based resin composition was increased accordingly. .
比較例13~15
 表3に示す通り、ラウリン酸ジエタノールアミドを、それぞれPOE(4.2)ラウリルエーテル(BL−4.2:日光ケミカルズ社製)、モノラウリン酸ソルビタン(SPAN20:クローダジャパン製)、およびモノカプリル酸グリセリン(Capmul 708G:ABITEC Corporation社製)に変更した以外は実施例1と同様にして、比較例13~15の経皮吸収型貼付剤を製造した。
Comparative Examples 13-15
As shown in Table 3, lauric acid diethanolamides were respectively converted into POE (4.2) lauryl ether (BL-4.2: manufactured by Nikko Chemicals), sorbitan monolaurate (SPAN20: manufactured by Croda Japan), and glyceryl monocaprylate. Transdermal absorption patches of Comparative Examples 13 to 15 were produced in the same manner as in Example 1 except that (Capmul 708G: manufactured by ABITEC Corporation) was used.
Figure JPOXMLDOC01-appb-T000002
Figure JPOXMLDOC01-appb-T000002
Figure JPOXMLDOC01-appb-T000003
Figure JPOXMLDOC01-appb-T000003
Figure JPOXMLDOC01-appb-T000004
Figure JPOXMLDOC01-appb-T000004
試験例1(インビトロ(in vitro)皮膚透過性試験)
 上記で得た経皮吸収型貼付剤を用いて、以下の手順に従ってインビトロ皮膚透過性試験を行った。
 7週齢の雄性ヘアレスマウス摘出皮膚(Hos:HR−1系、星野実験動物飼育所社製)の角層側に各実施例及び比較例の経皮吸収型貼付剤をそれぞれ貼付した後、32.5℃の温水を外周部に循環させた縦型拡散セル(商品名:パームセル縦型TP−6:ビードレックス社製)に、皮膚基底膜がレシーバー側となるように装着した。レシーバーセルに、リン酸緩衝生理食塩水(PBS(−)、和光純薬工業社製)を満たし、経時的にレシーバー液をサンプリングし、HPLC法によりレシーバー液中のトラマドール量を測定した。測定結果より各時間における透過薬物量を算出し、トラマドールの皮膚透過速度を算出した(n=3の平均値)。
Test Example 1 (In vitro skin permeability test)
Using the transdermal absorption patch obtained above, an in vitro skin permeability test was performed according to the following procedure.
After affixing the transdermal patches of each Example and Comparative Example to the horny layer side of 7-week-old male hairless mouse isolated skin (Hos: HR-1 system, manufactured by Hoshino Laboratory Animal Breeding Co., Ltd.), 32 It was attached to a vertical diffusion cell (trade name: Palm Cell Vertical TP-6: manufactured by Beadrex Co., Ltd.) in which warm water of 5 ° C. was circulated around the outer periphery so that the skin basement membrane was on the receiver side. The receiver cell was filled with phosphate buffered saline (PBS (-), manufactured by Wako Pure Chemical Industries, Ltd.), the receiver solution was sampled over time, and the amount of tramadol in the receiver solution was measured by HPLC. The amount of permeated drug at each time was calculated from the measurement results, and the skin permeation rate of tramadol was calculated (average value of n = 3).
<HPLC測定条件>
装置:ACQUITY UPLC H−Classシステム(Waters社製)
カラム:ACQUITY UPLC BEH C18 1.7μm、2.1×50mm(Waters社製)
カラム温度:40℃
流速:約0.5mL/min
検出波長:215nm
移動相:0.1%トリフルオロ酢酸水溶液/アセトニトリル混液
<HPLC measurement conditions>
Apparatus: ACQUITY UPLC H-Class system (manufactured by Waters)
Column: ACQUITY UPLC BEH C18 1.7 μm, 2.1 × 50 mm (manufactured by Waters)
Column temperature: 40 ° C
Flow rate: About 0.5mL / min
Detection wavelength: 215 nm
Mobile phase: 0.1% trifluoroacetic acid aqueous solution / acetonitrile mixture
得られた結果を表1~3に示す。実施例1~9および比較例1~15の経皮吸収型貼付剤ではいずれも、皮膚透過速度が40μg/cm/hであり、良好な皮膚透過性を示した。 The obtained results are shown in Tables 1 to 3. In each of the transdermal patches of Examples 1 to 9 and Comparative Examples 1 to 15, the skin permeation rate was 40 μg / cm 2 / h, and good skin permeability was exhibited.
試験例2(凝集性評価)
 各実施例及び比較例の経皮吸収型貼付剤の凝集性を以下の手順で評価した。経皮吸収型貼付剤から剥離ライナーを除去し、薬物含有層表面を指で強く抑え、引き剥がす際に指に残る粘着剤の量を目視にて観察し、以下の基準に従って評価した。
A:粘着剤が残ることなく、良好な凝集力を有する。
B:粘着剤がわずかに残る程度であり、凝集力を有する。
C:粘着剤が多量に残り、凝集力が弱い。
Test example 2 (coagulation evaluation)
The cohesiveness of the transdermal patches of each Example and Comparative Example was evaluated by the following procedure. The release liner was removed from the transdermal absorption patch, the surface of the drug-containing layer was strongly suppressed with a finger, the amount of adhesive remaining on the finger when peeled off was visually observed, and evaluated according to the following criteria.
A: It has a good cohesive strength without leaving an adhesive.
B: Adhesive is only slightly left and has cohesive strength.
C: A large amount of adhesive remains and the cohesive force is weak.
得られた結果を表1~3に示す。実施例1~9および比較例1~15の経皮吸収型貼付剤の評価はいずれもAまたはBであり、経皮吸収型貼付剤として十分な凝集性を有していた。ただし、実施例1、3、8、および9の経皮吸収型貼付剤の評価はAであったのに対して、無水ケイ酸を配合していない比較例1、2、11、および12の経皮吸収型貼付剤の評価はBであり、薬物含有層に無水ケイ酸を配合した場合の方が高い凝集性が得られることが示唆された。 The obtained results are shown in Tables 1 to 3. The evaluations of the transdermal patches of Examples 1 to 9 and Comparative Examples 1 to 15 were all A or B and had sufficient cohesiveness as the transdermal patches. However, the evaluation of the transdermal patches of Examples 1, 3, 8, and 9 was A, whereas Comparative Examples 1, 2, 11, and 12 in which no silicic acid anhydride was blended. The evaluation of the transdermal patch is B, suggesting that higher cohesiveness can be obtained when silicic anhydride is added to the drug-containing layer.
試験例3(ブリーディング評価)
 各実施例及び比較例の経皮吸収型貼付剤について、除去した剥離ライナーの表面を目視にて観察し、ブリーディングを評価した。
 ○:ブリーディングなし
 ×:ブリーディングあり
Test Example 3 (Bleeding evaluation)
About the transdermal absorption type patch of each Example and the comparative example, the surface of the removed release liner was observed visually and bleeding was evaluated.
○: No bleeding ×: With bleeding
得られた結果を表1~3に示す。実施例1~9の経皮吸収型貼付剤ではブリーディングは見られなかった。比較例1~12の経皮吸収型貼付剤ではブリーディングが見られた。したがって、薬物含有層に脂肪酸アルカノールアミドおよび脂肪酸アルカノールアミド以外の吸収促進剤を配合することによって生じるブリーディングの発生を、ケイ酸を配合することによって抑制することができることが示された。また、比較例13~15の経皮吸収型貼付剤ではブリーディングが見られたことから、薬物含有層に脂肪酸アルカノールアミドを配合した方が脂肪酸アルカノールアミド以外の吸収促進剤を配合するよりもブリーディングの発生を抑制することができることが示された。 The obtained results are shown in Tables 1 to 3. No bleeding was observed in the transdermal patches of Examples 1 to 9. Bleeding was observed in the transdermal patches of Comparative Examples 1-12. Therefore, it was shown that the occurrence of bleeding caused by adding a fatty acid alkanolamide and an absorption accelerator other than the fatty acid alkanolamide to the drug-containing layer can be suppressed by adding silicic acid. Further, since bleeding was observed in the transdermal absorption patches of Comparative Examples 13 to 15, the blending of the fatty acid alkanolamide in the drug-containing layer was more effective than the blending of an absorption accelerator other than the fatty acid alkanolamide. It was shown that generation can be suppressed.
試験例4(安定性試験)
 実施例及び比較例の経皮吸収型貼付剤を、アルミニウム袋に密封包装し、60℃で4週間保存した後、各貼付剤の薬物含有層中のトラマドール含量をHPLC法により測定した。試料の調製方法及びHPLC測定条件を以下に示す。
Test Example 4 (Stability test)
The transdermal patches of Examples and Comparative Examples were hermetically packaged in aluminum bags and stored at 60 ° C. for 4 weeks, and then the tramadol content in the drug-containing layer of each patch was measured by the HPLC method. A sample preparation method and HPLC measurement conditions are shown below.
<試料溶液の調製法>
 各経皮吸収型貼付剤の剥離ライナーをはがした後、スクリュー管に入れ、内標準溶液(4−アミノ安息香酸エチル/テトラヒドロフラン溶液)5mLを加えて振とう抽出した。この液にメタノール20mLを加え、振とうした。この液1mLをとり、水4mLを加えた後、0.2μmのメンブランフィルターでろ過し、試料溶液とした。
<Method for preparing sample solution>
After peeling off the release liner of each transdermal absorption type patch, it was placed in a screw tube, and 5 mL of an internal standard solution (ethyl 4-aminobenzoate / tetrahydrofuran solution) was added and extracted with shaking. 20 mL of methanol was added to this solution and shaken. After taking 1 mL of this solution and adding 4 mL of water, it was filtered through a 0.2 μm membrane filter to obtain a sample solution.
<HPLC測定条件>
装置:ACQUITY UPLC H−Classシステム(Waters社製)
カラム:ACQUITY UPLC BEH C18 1.7μm、2.1×50mm(Waters社製)
カラム温度:40℃
流速:約0.5mL/min
検出波長:215nm
移動相:0.1%トリフルオロ酢酸水溶液/アセトニトリル混液
<HPLC measurement conditions>
Apparatus: ACQUITY UPLC H-Class system (manufactured by Waters)
Column: ACQUITY UPLC BEH C18 1.7 μm, 2.1 × 50 mm (manufactured by Waters)
Column temperature: 40 ° C
Flow rate: About 0.5mL / min
Detection wavelength: 215 nm
Mobile phase: 0.1% trifluoroacetic acid aqueous solution / acetonitrile mixture
保存サンプル中のトラマドールの含有量及び初期サンプル中のトラマドールの含有量から、次式により対開始時含量(%)を算出した。
 対開始時含量(%)=保存サンプル中のトラマドール含有量/初期サンプル中のトラマドール含有量×100
From the content of tramadol in the stored sample and the content of tramadol in the initial sample, the content at start (%) was calculated by the following formula.
Content at start (%) = tramadol content in the stored sample / tramadol content in the initial sample × 100
得られた結果を表1~3に示す。実施例1~9の経皮吸収型貼付剤ではいずれも、60℃、4週間保存後の対開始時含量(%)が98%以上であり、高い保存性を示した。一方、比較例1~4、6、11、および12の経皮吸収型貼付剤では対開始時含量(%)が98%以上であったものの、比較例5および7~10の経皮吸収型貼付剤では対開始時含量(%)が98%未満であった。
 また、実施例1の経皮吸収型貼付剤では対開始時含量(%)が98%以上であったのに対して、比較例13~15の経皮吸収型貼付剤では対開始時含量(%)が98%未満であった。したがって、薬物含有層に脂肪酸アルカノールアミドを配合した方が脂肪酸アルカノールアミド以外の吸収促進剤を配合した場合よりもトラマドールの保存安定性が高いことが示された。
The obtained results are shown in Tables 1 to 3. All of the transdermal patches of Examples 1 to 9 had a high storage stability with a content (%) at the start after storage at 60 ° C. for 4 weeks of 98% or more. On the other hand, the percutaneous absorption type patches of Comparative Examples 1 to 4, 6, 11, and 12 had a content (%) at the start of 98% or more, but the percutaneous absorption types of Comparative Examples 5 and 7 to 10 In the patch, the content (%) at the start was less than 98%.
In contrast, the percutaneous absorption type patch of Example 1 had a starting content (%) of 98% or more, while the percutaneous absorption type patches of Comparative Examples 13 to 15 had a starting content (%). %) Was less than 98%. Therefore, it was shown that the storage stability of tramadol is higher when the fatty acid alkanolamide is added to the drug-containing layer than when an absorption accelerator other than the fatty acid alkanolamide is added.
試験例5(モルモット皮膚一次刺激性試験)
 6週齢のHartley雄性モルモットを用いた。投与前日にモルモットの左右側胴部を約4×8cmの大きさに刈毛・剃毛した。刈毛翌日、実施例1、2、6、および比較例13~15の貼付剤(直径15mm)を左右側胴部に貼付し、粘着剤付フォームパッドM(3Mヘルスケア社製)で固定し、ポリエチレンフィルムテープ(キープポアA、ニチバン社製)を胴体に巻いた後、シルキーテック(ALCARE、5号)で固定した。投与24時間後、各貼付剤を除去し、アセトンで湿らせた脱脂綿で貼付部位を清拭した。
 投与より24、48、および72時間後に皮膚反応を観察し、表4に示すDraizeの基準(1959年)を参考に皮膚刺激性指数(Primary irritation index:P.I.I.)を算出し、皮膚刺激性を評価した。但し、投与24時間後の観察は、清拭約1時間後に行った。被験物質ごとに、投与24、48および72時間後における個体別評点を算出し、観察回数(3回)で除して個体別P.I.I.(Individual P.I.I.)を算出した。Individual P.I.I.値を合計し、その平均値を経皮吸収型貼付剤のP.I.I.とした。
Test Example 5 (guinea pig skin primary irritation test)
Six week old Hartley male guinea pigs were used. On the day before administration, the left and right torso parts of the guinea pig were shaved and shaved to a size of about 4 × 8 cm. On the next day of cutting, the patches (diameter 15 mm) of Examples 1, 2, 6 and Comparative Examples 13 to 15 were affixed to the left and right torso parts and fixed with an adhesive foam pad M (manufactured by 3M Healthcare). A polyethylene film tape (Keeppore A, manufactured by Nichiban Co., Ltd.) was wound around the body and fixed with Silky Tech (ALCARE No. 5). 24 hours after administration, each patch was removed, and the applied site was wiped with absorbent cotton moistened with acetone.
The skin reaction was observed 24, 48, and 72 hours after administration, and a skin irritation index (PI) was calculated with reference to the Draize criteria (1959) shown in Table 4. Skin irritation was evaluated. However, observation 24 hours after administration was performed about 1 hour after wiping. For each test substance, an individual score at 24, 48, and 72 hours after administration was calculated and divided by the number of observations (three times). I. I. (Individual PI) was calculated. Individual P.M. I. I. Values were summed, and the average value was calculated as P.P. I. I. It was.
Figure JPOXMLDOC01-appb-T000005
Figure JPOXMLDOC01-appb-T000005
なお、刺激性の評価は、P.I.Iが0の場合「無刺激物」、0より大きく2未満の場合「軽度刺激物」、2以上5未満の場合「中等度刺激物」、5以上のときは「強度刺激物」とした。評価に際して統計処理は実施しなかった。 The evaluation of irritation is based on P.I. I. When I was 0, it was designated as “non-irritant”, when it was greater than 0 and less than 2, “mildly irritating”, when 2 or more and less than 5, “moderately irritating”, and when 5 or more, “strongly irritating” Statistical processing was not performed during the evaluation.
結果を表5に示す。いずれの経皮吸収型貼付剤の皮膚刺激も軽度であったが、実施例1、2および6の経皮吸収型貼付剤は比較例13~15の経皮吸収型貼付剤よりも低いP.I.Iを示した。したがって、本発明の経皮吸収型貼付剤は、同程度のトラマドールの皮膚透過性を示すが薬物含有層に脂肪酸アルカノールアミドを含まない経皮吸収型貼付剤と比較して、大幅に皮膚刺激性が低減していることが示された。 The results are shown in Table 5. Although the skin irritation of any of the transdermal patches was mild, the transdermal patches of Examples 1, 2 and 6 had a lower P.P. than the transdermal patches of Comparative Examples 13-15. I. I was shown. Therefore, the transdermal absorption patch of the present invention exhibits substantially the same skin irritation compared to the transdermal absorption patch that shows the same level of tramadol skin permeability but does not contain a fatty acid alkanolamide in the drug-containing layer. Was shown to be reduced.
Figure JPOXMLDOC01-appb-T000006
Figure JPOXMLDOC01-appb-T000006
本発明により、トラマドールの保存安定性が高く、良好な凝集性を維持しながらトラマドールの皮膚透過性を向上させた、トラマドールまたはその薬学的に許容される塩を含有する経皮吸収型製剤が提供される。そのため、本発明は、利便性をより向上させたトラマドールの投与手段を提供することができる。 According to the present invention, there is provided a transdermal absorption preparation containing tramadol or a pharmaceutically acceptable salt thereof, which has high storage stability and improved the skin permeability of tramadol while maintaining good aggregation properties. Is done. Therefore, the present invention can provide a means for administering tramadol with improved convenience.

Claims (12)

  1.  支持体と薬物含有層とを有する経皮吸収型製剤であって、前記薬物含有層が、トラマドールまたはその薬学的に許容される塩、脂肪酸アルカノールアミド、ケイ酸、ならびに粘着剤を含有する、経皮吸収型製剤。 A transdermal preparation having a support and a drug-containing layer, wherein the drug-containing layer contains tramadol or a pharmaceutically acceptable salt thereof, a fatty acid alkanolamide, silicic acid, and an adhesive. Skin absorption type preparation.
  2.  前記粘着剤が、ゴム系樹脂を主成分として含有する、請求項1に記載の経皮吸収型製剤。 The transdermal preparation according to claim 1, wherein the adhesive contains a rubber-based resin as a main component.
  3.  前記ゴム系樹脂が、スチレン−イソプレン−スチレンブロック共重合体および粘着付与剤を含有する、請求項2に記載の経皮吸収型製剤。 The transdermal preparation according to claim 2, wherein the rubber-based resin contains a styrene-isoprene-styrene block copolymer and a tackifier.
  4.  前記粘着付与剤が、水添ロジングリセリンエステルである、請求項3に記載の経皮吸収型製剤。 The transdermal preparation according to claim 3, wherein the tackifier is a hydrogenated rosin glycerin ester.
  5.  前記脂肪酸アルカノールアミドが、ラウリン酸ジエタノールアミド、オレイン酸ジエタノールアミド、およびラウリン酸モノイソプロパノールアミドから選ばれる少なくとも1種である、請求項1~4のいずれか一項に記載の経皮吸収型製剤。 The transdermal absorption preparation according to any one of claims 1 to 4, wherein the fatty acid alkanolamide is at least one selected from lauric acid diethanolamide, oleic acid diethanolamide, and lauric acid monoisopropanolamide.
  6.  前記薬物含有層が、吸収促進剤をさらに含有する、請求項1~5のいずれか一項に記載の経皮吸収型製剤。 The transdermal absorption preparation according to any one of claims 1 to 5, wherein the drug-containing layer further contains an absorption enhancer.
  7.  前記吸収促進剤が、脂肪酸エステルおよび有機酸から選ばれる少なくとも1種である、請求項6に記載の経皮吸収型製剤。 The percutaneous absorption preparation according to claim 6, wherein the absorption accelerator is at least one selected from fatty acid esters and organic acids.
  8.  前記脂肪酸エステルが、ミリスチン酸イソプロピル、パルミチン酸イソプロピル、およびラウリン酸ヘキシルから選ばれる少なくとも1種である、請求項7に記載の経皮吸収型製剤。 The transdermal preparation according to claim 7, wherein the fatty acid ester is at least one selected from isopropyl myristate, isopropyl palmitate, and hexyl laurate.
  9.  前記有機酸が、酢酸、カプリル酸、オレイン酸、およびイソステアリン酸から選ばれる少なくとも1種である、請求項7に記載の経皮吸収型製剤。 The transdermal preparation according to claim 7, wherein the organic acid is at least one selected from acetic acid, caprylic acid, oleic acid, and isostearic acid.
  10.  前記薬物含有層が、トラマドールの薬学的に許容される酸付加塩および塩基性化合物を含有する、請求項1~9のいずれか一項に記載の経皮吸収型製剤。 The transdermal preparation according to any one of claims 1 to 9, wherein the drug-containing layer contains a pharmaceutically acceptable acid addition salt of tramadol and a basic compound.
  11.  前記塩基性化合物が、無機塩基および脂肪族アルカノールアミンから選ばれる少なくとも1種である、請求項10に記載の経皮吸収型製剤。 The transdermal preparation according to claim 10, wherein the basic compound is at least one selected from inorganic bases and aliphatic alkanolamines.
  12.  請求項1に記載の経皮吸収型製剤の製造方法であって、トラマドールまたはその薬学的に許容される塩、脂肪酸アルカノールアミド、ケイ酸、ならびに粘着剤を含む混合物を調製すること、当該混合物を剥離ライナー上に塗布または展延して薬物含有層を形成すること、ならびに当該薬物含有層に支持体を貼り合せることを含む、製造方法。 A method for producing a transdermally absorbable preparation according to claim 1, comprising preparing a mixture comprising tramadol or a pharmaceutically acceptable salt thereof, a fatty acid alkanolamide, silicic acid, and an adhesive, A production method comprising applying or spreading on a release liner to form a drug-containing layer, and bonding a support to the drug-containing layer.
PCT/IB2017/001501 2016-12-05 2017-12-04 Percutaneous absorption-type preparation WO2018104772A1 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
JP2016-235652 2016-12-05
JP2016235652A JP6695571B2 (en) 2016-12-05 2016-12-05 Transdermal formulation

Publications (1)

Publication Number Publication Date
WO2018104772A1 true WO2018104772A1 (en) 2018-06-14

Family

ID=62491661

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/IB2017/001501 WO2018104772A1 (en) 2016-12-05 2017-12-04 Percutaneous absorption-type preparation

Country Status (2)

Country Link
JP (1) JP6695571B2 (en)
WO (1) WO2018104772A1 (en)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114269330A (en) * 2019-06-28 2022-04-01 帕斯帕特技术有限公司 Transdermal drug delivery patch, drug delivery system, and drug delivery method

Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH07304672A (en) * 1994-05-06 1995-11-21 Nitto Denko Corp Percutaneously absorbable preparation
WO2000061120A1 (en) * 1999-04-13 2000-10-19 Hisamitsu Pharmaceutical Co., Inc. Preparations for percutaneous absorption
JP2001231812A (en) * 2000-02-25 2001-08-28 Teikoku Seiyaku Co Ltd Support for pasting agent and external pasting agent using the same
WO2003013613A1 (en) * 2001-08-10 2003-02-20 Hisamitsu Pharmaceutical Co., Inc. Percutaneous absorption type medicinal preparation
JP2006169238A (en) * 2004-11-22 2006-06-29 Hisamitsu Pharmaceut Co Inc Medicament-containing patch
WO2009066457A1 (en) * 2007-11-22 2009-05-28 Medrx Co., Ltd. External preparation composition comprising fatty acid-based ionic liquid as active ingredient
WO2010016219A1 (en) * 2008-08-05 2010-02-11 株式会社メドレックス External preparation comprising fatty acid salt or benzoic acid salt of basic pharmacologically active component, and method for production thereof
JP2011020997A (en) * 2009-03-19 2011-02-03 Kyoritsu Yakuhin Kogyo Kk Patch for external use

Family Cites Families (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH09143066A (en) * 1995-11-24 1997-06-03 Sekisui Chem Co Ltd Plaster
JPH09208463A (en) * 1996-02-07 1997-08-12 Tsumura & Co Anti-inflammatory and analgesic composition excellent in transdermal absorbability
JP5489112B2 (en) * 2009-09-03 2014-05-14 トーアエイヨー株式会社 Patch package with improved storage stability

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH07304672A (en) * 1994-05-06 1995-11-21 Nitto Denko Corp Percutaneously absorbable preparation
WO2000061120A1 (en) * 1999-04-13 2000-10-19 Hisamitsu Pharmaceutical Co., Inc. Preparations for percutaneous absorption
JP2001231812A (en) * 2000-02-25 2001-08-28 Teikoku Seiyaku Co Ltd Support for pasting agent and external pasting agent using the same
WO2003013613A1 (en) * 2001-08-10 2003-02-20 Hisamitsu Pharmaceutical Co., Inc. Percutaneous absorption type medicinal preparation
JP2006169238A (en) * 2004-11-22 2006-06-29 Hisamitsu Pharmaceut Co Inc Medicament-containing patch
WO2009066457A1 (en) * 2007-11-22 2009-05-28 Medrx Co., Ltd. External preparation composition comprising fatty acid-based ionic liquid as active ingredient
WO2010016219A1 (en) * 2008-08-05 2010-02-11 株式会社メドレックス External preparation comprising fatty acid salt or benzoic acid salt of basic pharmacologically active component, and method for production thereof
JP2011020997A (en) * 2009-03-19 2011-02-03 Kyoritsu Yakuhin Kogyo Kk Patch for external use

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114269330A (en) * 2019-06-28 2022-04-01 帕斯帕特技术有限公司 Transdermal drug delivery patch, drug delivery system, and drug delivery method

Also Published As

Publication number Publication date
JP6695571B2 (en) 2020-05-20
JP2018090539A (en) 2018-06-14

Similar Documents

Publication Publication Date Title
US20080138388A1 (en) Transdermal Absorption Patch
JP5403948B2 (en) Memantine-containing transdermal absorption preparation
JP5404048B2 (en) Patch
JP4271028B2 (en) Transdermal preparation
JP4764337B2 (en) Anti-inflammatory analgesic patch
US20080188509A1 (en) Transdermal Preparations and Method for Relieving Side Effects in Pergolide Therapy
JP5073124B2 (en) Noradrenergic / specific serotonergic antidepressant-containing transdermal absorption patch
WO2016080533A1 (en) Percutaneous absorption agent
JP6729584B2 (en) Transdermal patch
WO2018104772A1 (en) Percutaneous absorption-type preparation
JP6675589B2 (en) Transdermal formulation
JP5091472B2 (en) Adhesives and patches
WO2010098261A1 (en) Risperidone-containing transdermal preparation and adhesive patch using same
JP6459148B2 (en) Transdermal preparation
WO2016208729A1 (en) Nalfurafine-containing percutaneous absorption patch
WO2017057541A1 (en) Transdermal absorption preparation
JP6512905B2 (en) Fentanyl-containing patch
JP6104230B2 (en) Transdermal preparation
WO2013183407A1 (en) Mirtazapine-containing transdermally-absorbable skin-adhesive preparation
WO2013061588A1 (en) Transdermally absorbed preparation
JP2017007994A (en) Percutaneous absorption-type preparation
JP2016216384A (en) Percutaneous absorption type preparation
JP2022113659A (en) Clonidine-containing percutaneously absorbable patch preparation

Legal Events

Date Code Title Description
121 Ep: the epo has been informed by wipo that ep was designated in this application

Ref document number: 17877670

Country of ref document: EP

Kind code of ref document: A1

NENP Non-entry into the national phase

Ref country code: DE

122 Ep: pct application non-entry in european phase

Ref document number: 17877670

Country of ref document: EP

Kind code of ref document: A1