WO2021223480A1 - Controlled-release ticagrelor tablet and preparation method therefor - Google Patents

Controlled-release ticagrelor tablet and preparation method therefor Download PDF

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WO2021223480A1
WO2021223480A1 PCT/CN2021/075842 CN2021075842W WO2021223480A1 WO 2021223480 A1 WO2021223480 A1 WO 2021223480A1 CN 2021075842 W CN2021075842 W CN 2021075842W WO 2021223480 A1 WO2021223480 A1 WO 2021223480A1
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release
controlled
tablet
ticagrelor
drug
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PCT/CN2021/075842
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French (fr)
Chinese (zh)
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舒欣
董海红
陈磊
陆平波
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江苏艾立康医药科技有限公司
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/20Pills, tablets, discs, rods
    • A61K9/2072Pills, tablets, discs, rods characterised by shape, structure or size; Tablets with holes, special break lines or identification marks; Partially coated tablets; Disintegrating flat shaped forms
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/495Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
    • A61K31/505Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim
    • A61K31/519Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim ortho- or peri-condensed with heterocyclic rings
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/20Pills, tablets, discs, rods
    • A61K9/2004Excipients; Inactive ingredients
    • A61K9/2009Inorganic compounds
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/20Pills, tablets, discs, rods
    • A61K9/2004Excipients; Inactive ingredients
    • A61K9/2013Organic compounds, e.g. phospholipids, fats
    • A61K9/2018Sugars, or sugar alcohols, e.g. lactose, mannitol; Derivatives thereof, e.g. polysorbates
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/20Pills, tablets, discs, rods
    • A61K9/28Dragees; Coated pills or tablets, e.g. with film or compression coating
    • A61K9/2806Coating materials
    • A61K9/2833Organic macromolecular compounds
    • A61K9/2853Organic macromolecular compounds obtained otherwise than by reactions only involving carbon-to-carbon unsaturated bonds, e.g. polyethylene glycol, polyethylene oxide, poloxamers, poly(lactide-co-glycolide)
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/20Pills, tablets, discs, rods
    • A61K9/28Dragees; Coated pills or tablets, e.g. with film or compression coating
    • A61K9/2806Coating materials
    • A61K9/2833Organic macromolecular compounds
    • A61K9/286Polysaccharides, e.g. gums; Cyclodextrin
    • A61K9/2866Cellulose; Cellulose derivatives, e.g. hydroxypropyl methylcellulose
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P7/00Drugs for disorders of the blood or the extracellular fluid
    • A61P7/02Antithrombotic agents; Anticoagulants; Platelet aggregation inhibitors

Definitions

  • the invention relates to an oral controlled-release preparation of ticagrelor and a preparation method thereof.
  • the controlled-release preparation is a single-chamber osmotic pump controlled-release preparation with multiple drug release holes.
  • Ticagrelor is a new selective anticoagulant and the first reversibly bound P2Y12 adenosine diphosphate receptor (ADP) antagonist, which can reversibly act on vascular smooth muscle cells (VSMC)
  • ADP adenosine diphosphate receptor
  • VSMC vascular smooth muscle cells
  • the purine 2 receptor subtype P2Y12 on P2Y12 has a significant inhibitory effect on platelet aggregation caused by ADP and can effectively improve the symptoms of patients with acute coronary heart disease.
  • the chemical structure is shown in formula I:
  • Ticagrelor is an oral antiplatelet agglutination drug developed by AstraZeneca. It was approved for marketing in the European Union in December 2010, under the trade name Brilique. It was approved by the U.S. FDA in July 2011 and launched in Japan in 2016. Its clinical efficacy and safety are significantly better than clopidogrel, so it is listed in the first-line recommendation by many domestic and foreign guidelines, and the European guidelines list the recommended level of ticagrelor before clopidogrel in the past two years, and it is impossible to take ticagrel Only patients with Reluo can use clopidogrel.
  • Ticagrelor is rapidly absorbed after oral administration, with a median Tmax of approximately 1.5 hours. Because ticagrelor is a non-prodrug, it directly acts on the P2Y12 receptor and does not need to be activated by liver metabolism, and can quickly produce its main circulating metabolite ARC124910XX. The drug itself and its metabolites are active, so it can not only quickly and strongly inhibit ADP-mediated platelet aggregation, but the effectiveness is not affected by liver CYP2C19 gene polymorphism. The pharmacokinetics of ticagrelor is linear (within a dose of 1260 mg), and the exposure of ticagrelor and active metabolites (ARC124910XX) is basically proportional to the dose.
  • ticagrelor has shown superiority over clopidogrel in clinical studies, there is also an obvious disadvantage that the average T 1/2 of ticagrelor is about 7 hours, and the active metabolite is 9 hours, both of which are less than 12. Therefore, after 12 hours, the dose of ticagrelor and active metabolite will be reduced to half, so it must be administered twice a day.
  • Ticagrelor is white or off-white to pale pink powder. At pH 7.4, log P(n-octanol/water) is about 4.5. In a physiological pH environment between pH1.0 and pH7.4, its solubility is not affected by pH, all around 10 ⁇ g/ml, which is a poorly soluble drug; studies have shown that the permeability of this product in the body is about 51%. It belongs to medium permeability, but because it is less than 90%, it belongs to the BCSIV category (low solubility and low permeability).
  • the conventional formulation of ticagrelor is 90 mg twice a day. If a once-a-day controlled-release preparation is designed, the dose needs to be 180 mg, and the dose number is 72 according to the conversion of biological pharmacology. Generally speaking, preparations with oral drug dosages exceeding 20 are difficult to develop, while controlled-release preparations are more difficult to develop.
  • Patent CN101505754A discloses a composition suitable for oral administration including triazolo[4,5-d]pyrimidine derivatives, and the pharmaceutical composition comprises ticagrelor and other pharmaceutically acceptable excipients.
  • the original research agent that has been on the market is prepared using the examples in the patent, and its auxiliary materials include: mannitol, dibasic calcium phosphate dihydrate, hydroxypropyl cellulose, sodium starch carboxyacetate and magnesium stearate.
  • the preparation is prepared by a wet method. Granule technology, the specification is 90mg.
  • Patent CN102657629 A discloses the ticagrelor controlled-release tablet system and its preparation method. This invention controls the particle size of the raw material drug and mixes it with a certain amount of high-molecular polymer at the same time, through the wet granulation method, to make a framework-type control Release the film.
  • Patent CN103860504 A provides a sustained and controlled release formulation of ticagrelor for oral administration.
  • This invention prepares matrix-type controlled-release tablets, controlled-release coated tablets, and controlled-release pellet capsules by adding matrix materials or by coating technology, and explains The release rate is used as the evaluation index and the release rate measurement method, but the release rate results of each example are not published.
  • the patents CN103520164A and CN105998026A relate to a controlled-release preparation composed of ticagrelor, medicinal controlled-release materials and other medicinal excipients.
  • the controlled-release preparation is divided into two parts: immediate-release and controlled-release. It can be a double-layer tablet compressed by a double-layer tablet press, or a tablet with a controlled-release drug as the core and an immediate-release drug as the outer part of the coating. , Or a controlled-release capsule composed of two-part pellets: immediate release and controlled release.
  • Patent CN103520164A also relates to the use of ⁇ -cyclodextrin inclusion to improve drug solubility and improve bioavailability.
  • the controlled-release preparations of these inventions can not only make the drug take effect quickly, but also can maintain the effective concentration of the drug for a long time, and have a more ideal therapeutic effect.
  • the technical prescription process is complicated and requires a double-layer tablet press or a double-station. High-end equipment such as capsule fillers is not conducive to mass production.
  • Patent CN108210498A discloses a breakable ticagrelor controlled-release preparation.
  • the controlled-release preparation is suitable for oral administration once a day.
  • the tablet can achieve rapid drug release after destruction.
  • the tablet core is the same as the original one.
  • the controlled release layer, enteric layer and drug-containing layer are respectively wrapped on the outer layer.
  • the technology is very complicated and the overall process time is long, which is also not conducive to large-scale production.
  • Ticagrelor is a poorly soluble drug.
  • its solubility and bioavailability should be improved first. Due to the large dose of the designed controlled release formulation, ⁇ -cyclodextrin inclusion or solid dispersion technology should be used. , The required amount of ⁇ -cyclodextrin or solid solvent is generally 1-10 times the weight of the active ingredient, which causes the product formulation size to be too large, which is obviously inappropriate.
  • the osmotic pump formulations of poorly soluble drugs usually adopt double-chamber osmotic pump formulations, which are composed of a drug layer and a pushing layer. The weight ratio of the general drug layer: pushing layer is 1:2 ⁇ 1:3, which also cannot achieve the desired formulation size.
  • the dual-chamber osmotic pump preparation is more suitable for small doses of poorly soluble drugs. Therefore, it is necessary to develop a controlled release formulation suitable for large doses of poorly soluble drug ticagrelor to achieve an ideal and stable slow drug release rate.
  • the existing ticagrelor formulations have excessive release speed, not long-lasting, incomplete release, multiple daily doses, large doses, and cannot be consistent with different crystal forms of ticagrelor.
  • the release effect meanwhile, the existing ticagrelor preparation is unstable, cannot be stored for a long time, and the preparation process of the preparation is complicated, which is not conducive to large-scale industrial production.
  • the present invention provides a controlled-release ticagrelor tablet.
  • the controlled-release ticagrelor tablet has a mild and long-lasting release. Reluo has a good release effect, and the controlled release tablet has stable performance, can be stored for a long time, has a simple preparation process, and is suitable for industrial production.
  • the present invention provides a controlled-release tablet of ticagrelor.
  • the controlled-release tablet includes a tablet core and a film-controlled coating system.
  • the tablet core comprises 30-60wt% of the total weight of the core.
  • the controlled release tablet has more than two drug release holes.
  • the tablet core further includes a penetration enhancer and an osmotic pressure active agent.
  • the content of ticagrelor is 150-200 mg, and the particle size is 50 ⁇ m or less.
  • the film-controlling coating system includes a film-forming material and a plasticizer, the film-forming material accounts for 1-30% of the mass percentage of the controlled-release tablet, and the plasticizer accounts for 1-30% of the mass percentage of the controlled-release tablet. 0.1 ⁇ 10%. More preferably, the film-forming material is selected from one or more of cellulose acetate, ethyl cellulose and polyacrylic resin, preferably cellulose acetate; the plasticizer is selected from polyethylene glycol, oil One or more of the acid and triethyl citrate is preferably polyethylene glycol.
  • the penetration enhancer is selected from hydroxypropyl methyl cellulose, hydroxyethyl cellulose, methyl cellulose, non-cellulosic polysaccharides, polyvinylpyrrolidone, hydroxypropyl cellulose, carboxymethyl cellulose One or more of its salts, alginic acid and its salts, polyoxyethylene and hydroxymethyl cellulose, preferably hydroxyethyl cellulose.
  • the osmotic pressure active agent is selected from sugar osmotic pressure active agents and/or salt osmotic pressure active agents, and the sugar osmotic pressure active agent is selected from mannitol, xylitol, glucose, sorbitol, fructose One or more of sucrose and starch oligomerization ponds, preferably sorbitol; the salt osmotic pressure active agent is selected from one or two of sodium chloride, potassium chloride, sulfate and phosphatekind of the above mixture.
  • the tablet core further includes a binder and a lubricant
  • the binder is selected from one or more of cellulose ether, polyvinylpyrrolidone and hydroxypropylmethylcellulose succinate, preferably Copovidone
  • the lubricant is selected from one or more of stearic acid, magnesium stearate, and calcium stearate, preferably magnesium stearate.
  • the drug release hole is located on the front, back or side of the controlled release tablet, and there is one and only one drug release hole on the same surface, and the diameter of the drug release hole is 0.3-1.2 mm.
  • the controlled release tablet is a ticagrelor single-chamber osmotic pump controlled release tablet.
  • the present invention also provides a preparation method of ticagrelor controlled-release tablets, the method comprising:
  • the invention uses single-chamber osmotic pump technology to control the rate of water entering the tablet core through a membrane-controlled coating system.
  • the osmotic pressure enhancer absorbs water to make the osmotic pressure in the tablet core higher than the external medium environment, thereby generating permeation
  • the pressure difference further promotes the penetration of water, the penetration enhancer absorbs water and swells, and the drug forms a suspension and is pushed out from the drug release hole, thereby controlling the release of the drug.
  • the design of multiple drug release holes is adopted to ensure the complete release of the drug as much as possible, and at the same time alleviate the excessive osmotic pressure inside the tablet core, and can avoid the rupture of the coating film.
  • the ticagrelor controlled-release tablet provided by the present invention has a mild and long-lasting release, can be released almost completely within 20 hours, and can have a good release effect on ticagrelor of different crystal forms.
  • the controlled-release tablet The performance is stable, can be stored for a long time, and the preparation process is simple, which is suitable for industrial production.
  • the present invention provides a controlled-release ticagrelor tablet.
  • the controlled-release tablet comprises a core and a film-controlled coating system.
  • the core comprises 30-60wt% of the total weight of the core.
  • the controlled release tablet has more than two drug release holes.
  • the ticagrelor may exist in four different fully crystalline forms, namely polymorphs I, II, III, and IV, the melting points between the polymorphs and between the amorphous forms , Solubility and bioavailability are different, and the crystal form II is the original research crystal form.
  • the present invention is selected from crystalline or amorphous forms, and the content of ticagrelor in the controlled release tablet is in the range of 150-200 mg, preferably 160-190 mg, more preferably 180 mg.
  • the particle size of the active ingredient ticagrelor (the particle size D90 calculated by volume) is controlled at 50 ⁇ m or less, preferably 15 ⁇ m or less.
  • the tablet core further includes a penetration enhancer and an osmotic pressure active agent.
  • the penetration enhancer refers to the penetration enhancer that can swell after contacting water to push the drug solution or drug suspension out of the drug release hole. Water-soluble or water-insoluble penetration enhancers can be selected. The penetration enhancer accounts for 10% of the total weight of the tablet core. ⁇ 50%, preferably 10-30%.
  • the osmotic pressure active agent is a mixture of one or more compounds that produces a higher osmotic pressure after absorbing water.
  • the osmotic pressure active agent accounts for 20 to 80% of the total weight of the tablet core, preferably 30 to 50%.
  • the penetration enhancer is selected from hydroxypropyl methyl cellulose, hydroxyethyl cellulose, methyl cellulose, non-cellulosic polysaccharides (such as gum arabic, trehalose, Pregelatinized starch, etc.), polyvinylpyrrolidone, hydroxypropyl cellulose, carboxymethyl cellulose and its salts, alginic acid and its salts, polyoxyethylene, hydroxymethyl cellulose, etc. Species, preferably hydroxyethyl cellulose.
  • the osmotic pressure active agent is selected from sugar osmotic pressure active agents and/or salt osmotic pressure active agents, and the sugar osmotic pressure active agent is selected from mannitol, xylitol, glucose, sorbitol, fructose, One or more of sucrose and starch oligomerization, the salt osmotic pressure active agent is selected from one or a mixture of two or more of sodium chloride, potassium chloride, sulfate, and phosphate, preferably Sorbitol.
  • the film-controlling coating system includes a film-forming material and a plasticizer, the film-forming material is preferably water-insoluble, and the mass percentage of the film-forming material in the controlled-release tablet is 1 to 30%, preferably 2 to 15%, more preferably 3 to 10%.
  • the mass percentage of the plasticizer in the controlled release tablet is 0.1 to 10%, preferably 0.5 to 5%, more preferably 1 to 3%.
  • the film-forming material is selected from one or more of cellulose acetate, ethyl cellulose, polyacrylic resin, etc., preferably cellulose acetate.
  • the plasticizer is selected from one or more of polyethylene glycol, oleic acid, triethyl citrate, etc., preferably polyethylene glycol.
  • the semipermeable membrane coating liquid generally selects an organic solvent, such as acetone, ethanol, isopropanol or its aqueous solution, preferably acetone, more preferably an acetone-water solution with a concentration of 90-99%, the coating liquid
  • the solid content should generally be 3-15% (w/v,%), preferably 5-8% (w/v,%).
  • the tablet core further includes a binder and a lubricant
  • the binder is selected from one of cellulose ether, polyvinylpyrrolidone, and hydroxypropylmethylcellulose succinate.
  • the mass percentage of the binder in the total weight of the tablet core is 0.5-10%, preferably 1 to 5%
  • the lubricant is selected from stearic acid, magnesium stearate One or more of calcium stearate, etc., preferably magnesium stearate.
  • the mass percentage of the lubricant in the total weight of the tablet core is 0.1-10%, preferably 0.5-5%.
  • the present invention adopts the technology of multiple drug release holes, and the number of drug release holes is two or more.
  • the position of the holes can be selected on the front, back, and side of the tablet, but different drug-release holes should be on different sides.
  • the diameter of the drug-release hole is generally 0.3-1.2 ⁇ m. It is preferably 0.5 to 0.8 ⁇ m.
  • the controlled release tablet is a ticagrelor single-chamber osmotic pump controlled release tablet.
  • Another object of the present invention is to provide a method for preparing ticagrelor controlled-release tablets, the method comprising:
  • the active ingredient ticagrelor used in the following examples is selected from crystalline or amorphous, and the particle size (the particle size D90 calculated by volume) is controlled below 50 ⁇ m.
  • composition of the initial prescription is shown in Table 2:
  • composition Dosage (mg) Proportion(%) Ticagrelor 180 42.9 Sorbitol 153 36.4 Hydroxyethyl cellulose 55 13.1 Copovidone 8 1.9 Magnesium stearate 4 0.9 Cellulose acetate 14 3.3 Polyethylene glycol 6 1.4 total 420 /
  • the preparation method of ticagrelor controlled-release tablets is as follows:
  • the coated tablet is aged in an oven at 40°C, and a laser hole is drilled at the center of the front of the coated tablet with a diameter of 0.6 mm, and it is obtained.
  • composition Dosage (mg) Proportion(%) Ticagrelor 180 42.9 Sorbitol 153 36.4 Polyoxyethylene 55 13.1 Copovidone 8 1.9 Magnesium stearate 4 0.9 Cellulose acetate 14 3.3 Polyethylene glycol 6 1.4 total 420 /
  • the preparation method of ticagrelor controlled-release tablets is as follows:
  • the coated tablet is aged in an oven at 40°C, and a laser hole is drilled at the center of the front of the coated tablet with a diameter of 0.6 mm, and it is obtained.
  • composition Dosage (mg) Proportion(%) Ticagrelor 180 42.9 Sorbitol 153 36.4 Hydroxyethyl cellulose 55 13.1 Copovidone 8 1.9 Magnesium stearate 4 0.9 Cellulose acetate 15.8 3.8 Hypromellose 4.2 1.0 total 420 /
  • the preparation method of ticagrelor controlled-release tablets is as follows:
  • the coated tablet is aged in an oven at 40°C, and a laser hole is drilled at the center of the front of the coated tablet with a diameter of 0.6 mm, and it is obtained.
  • the chromatographic conditions for the release determination are: octadecylsilane-bonded silica gel is used as the column filler, phosphate buffer [take 1.0mol/L sodium dihydrogen phosphate solution (adjust the pH value to 3.0 with phosphoric acid) 10ml, Add water to 480ml, shake well]-Acetonitrile (48:52) is the mobile phase; the column temperature is 55°C; the detection wavelength is 242nm.
  • the tailing factor of ticagrelor should not be greater than 1.5, and the number of theoretical plates should not be less than 13,500 based on ticagrelor.
  • the release rate was determined by using 0.2% Tween 80 pH6.8 phosphate dissolution medium to investigate the drug release situation up to 20h. The release situation is shown in Table 5.
  • Example 2 It can be seen from Table 5 that by selecting the ingredients and contents of Example 2, the resulting ticagrelor controlled-release tablet releases mild, long-lasting, and has the highest release rate.
  • Example 6 It can be seen from Table 6 that the single-release drug hole was used in Example 2, and the single-chamber osmotic pump sustained-release tablets obtained were not completely released.
  • the release of controlled-release tablets is mild and long-lasting, and the release in 20 hours is greater than 90%, and the release is basically complete.
  • the different polymorphs of ticagrelor in Example 6 have no effect on the release curve, indicating that the single-chamber osmotic pump controlled release tablet can eliminate the influence of different solid forms on solubility and achieve an effective controlled release effect.
  • Example 6-Form II The samples in Example 6-Form II were placed under accelerated conditions (40°C/relative humidity RH75%) and long-term conditions (25°C/relative humidity RH65%) for one month, and evaluated according to the release degree in Example 5. Methods, the change trend of the in vitro release rate was investigated, and the release situation is shown in Table 7.
  • the release situation of the ticagrelor controlled-release tablet of Example 6 of the present invention under accelerated conditions and long-term conditions is the same as the release trend of the ticagrelor controlled-release tablet under the condition of 0 months. There is no obvious change. From this, it can be seen that the ticagrelor controlled-release tablet of Example 6 of the present invention has good stability, and does not change significantly under accelerated conditions and long-term storage conditions.

Abstract

Provided are a controlled-release ticagrelor tablet and a preparation method therefor, wherein the controlled-release tablet comprises a tablet core and a film-controlled coating system, the tablet core comprises ticagrelor accounting for 30‑60 wt% of the total weight of the tablet core, and the controlled-release tablet is provided with two or more drug release holes. The controlled-release ticagrelor tablet is mild and long-lasting in release, can be released almost completely within 20 h, can have a good release effect on ticagrelor of different crystal forms, and is also stable in performance, can be stored for a long time, and has a simple preparation process and is suitable for industrial production.

Description

一种替格瑞洛控释片及其制备方法Ticagrelor controlled-release tablet and preparation method thereof 技术领域Technical field
本发明涉及一种替格瑞洛口服控释制剂及其制备方法,该控释制剂为多释药孔的单室渗透泵控释制剂。The invention relates to an oral controlled-release preparation of ticagrelor and a preparation method thereof. The controlled-release preparation is a single-chamber osmotic pump controlled-release preparation with multiple drug release holes.
背景技术Background technique
替格瑞洛是一种新型的具有选择性的抗凝血药,也是首个可逆的结合型P2Y12腺苷二磷酸受体(ADP)拮抗剂,能可逆性地作用于血管平滑肌细胞(VSMC)上的嘌呤2受体亚型P2Y12,对ADP引起的血小板聚集有明显的抑制作用,能有效改善急性冠心病患者的症状,化学结构如式I所示:Ticagrelor is a new selective anticoagulant and the first reversibly bound P2Y12 adenosine diphosphate receptor (ADP) antagonist, which can reversibly act on vascular smooth muscle cells (VSMC) The purine 2 receptor subtype P2Y12 on P2Y12 has a significant inhibitory effect on platelet aggregation caused by ADP and can effectively improve the symptoms of patients with acute coronary heart disease. The chemical structure is shown in formula I:
Figure PCTCN2021075842-appb-000001
Figure PCTCN2021075842-appb-000001
替格瑞洛是由阿斯利康公司(AstraZeneca)研发的口服抗血小板凝集药物,2010年12月欧盟批准上市,商品名为Brilique,2011年7月美国FDA批准上市,2016年在日本上市。其临床疗效和安全性明显优于氯吡格雷,所以被国内外多个指南列于一线推荐,且欧洲指南近两年将替格瑞洛的推荐级别列于氯吡格雷之前,无法服用替格瑞洛的患者才能使用氯吡格雷。Ticagrelor is an oral antiplatelet agglutination drug developed by AstraZeneca. It was approved for marketing in the European Union in December 2010, under the trade name Brilique. It was approved by the U.S. FDA in July 2011 and launched in Japan in 2016. Its clinical efficacy and safety are significantly better than clopidogrel, so it is listed in the first-line recommendation by many domestic and foreign guidelines, and the European guidelines list the recommended level of ticagrelor before clopidogrel in the past two years, and it is impossible to take ticagrel Only patients with Reluo can use clopidogrel.
替格瑞洛口服后迅速吸收,中位T max约为1.5小时。由于替格瑞洛为非前体药物,直接作用于P2Y12受体,无须经肝脏代谢激活,可快速生成其主要循环代谢产物ARC124910XX。药物本身及其代谢产物均有活性,因此不但可快速且强效地抑制ADP介导的血小板聚集,且有效性不受肝脏CYP2C19基因多态性影响。替格瑞洛的药代动力学呈线性(剂量1260mg范围内),替格瑞洛和活性代谢产物(ARC124910XX)暴露量与剂量基本成正比。虽然临床研究中替格瑞洛显示出比氯吡格雷的优越性,但是也有一个明显的缺点就是替格瑞洛的平均T 1/2约为7小时,活性代谢产物为9小时,均小于12小时,因 此,在12小时后替格瑞洛和活性代谢产物的剂量就会降至一半,所以须一天两次给药。 Ticagrelor is rapidly absorbed after oral administration, with a median Tmax of approximately 1.5 hours. Because ticagrelor is a non-prodrug, it directly acts on the P2Y12 receptor and does not need to be activated by liver metabolism, and can quickly produce its main circulating metabolite ARC124910XX. The drug itself and its metabolites are active, so it can not only quickly and strongly inhibit ADP-mediated platelet aggregation, but the effectiveness is not affected by liver CYP2C19 gene polymorphism. The pharmacokinetics of ticagrelor is linear (within a dose of 1260 mg), and the exposure of ticagrelor and active metabolites (ARC124910XX) is basically proportional to the dose. Although ticagrelor has shown superiority over clopidogrel in clinical studies, there is also an obvious disadvantage that the average T 1/2 of ticagrelor is about 7 hours, and the active metabolite is 9 hours, both of which are less than 12. Therefore, after 12 hours, the dose of ticagrelor and active metabolite will be reduced to half, so it must be administered twice a day.
替格瑞洛的药代动力学和药效学数据的相关性已经有文献进行了报道,研究显示保持一定的替格瑞洛的血浆浓度水平即可以提供90%或更大的血小板抑制率。目前上市的速释制剂血药浓度波动明显,为了降低波峰的血药浓度,市售剂量仅可维持12小时的药效,需要一日二次给药以保证药物的疗效。对于一个可快速逆转的药物而言,过高剂量会增加室性间歇(Ventricular pauses)的发生率,而漏服药物导致血药浓度过低很可能增加患者急性血栓形成的风险,导致心梗或中风。The correlation between the pharmacokinetics and pharmacodynamic data of ticagrelor has been reported in the literature. Studies have shown that maintaining a certain plasma concentration level of ticagrelor can provide a platelet inhibition rate of 90% or greater. The blood concentration of the currently marketed immediate-release preparations fluctuates significantly. In order to reduce the peak blood concentration, the commercially available dose can only maintain the efficacy of the drug for 12 hours, and the drug needs to be administered twice a day to ensure the efficacy of the drug. For a drug that can be quickly reversed, too high a dose will increase the incidence of ventricular pauses, and missed drugs leading to low blood drug concentrations are likely to increase the risk of acute thrombosis in patients, leading to myocardial infarction or Stroke.
替格瑞洛为白色或类白色至淡粉红色粉末。在pH 7.4下,log P(n-辛醇/水)为4.5左右。在pH1.0~pH7.4之间的生理pH环境中其溶解性不受pH影响,均在10μg/ml左右,属于难溶性药物;有研究显示本品在体内的渗透性为51%左右,属中等渗透性,但因小于90%,故属于BCSIV类(低溶解性低渗透性)。替格瑞洛常规制剂的剂量为90mg,一天两次。如果设计一天一次的控释制剂,则剂量需为180mg,根据生物剂学换算其剂量数(dose number)为72。一般来说,口服药物的剂量数超过20的制剂产品属于较难开发的产品,而其控释制剂产品更难开发。Ticagrelor is white or off-white to pale pink powder. At pH 7.4, log P(n-octanol/water) is about 4.5. In a physiological pH environment between pH1.0 and pH7.4, its solubility is not affected by pH, all around 10μg/ml, which is a poorly soluble drug; studies have shown that the permeability of this product in the body is about 51%. It belongs to medium permeability, but because it is less than 90%, it belongs to the BCSIV category (low solubility and low permeability). The conventional formulation of ticagrelor is 90 mg twice a day. If a once-a-day controlled-release preparation is designed, the dose needs to be 180 mg, and the dose number is 72 according to the conversion of biological pharmacology. Generally speaking, preparations with oral drug dosages exceeding 20 are difficult to develop, while controlled-release preparations are more difficult to develop.
专利CN101505754A公布了一种包括三唑并[4,5-d]嘧啶衍生物的适于口服给药的组合物,所述的药物组合物包含替格瑞洛和其他药学上可接受的辅料。目前已上市销售的原研制剂就是采用该专利中的实施例制备,其辅料包括:甘露醇、二水合磷酸氢钙、羟丙纤维素、淀粉羧基乙酸钠和硬脂酸镁,该制剂采用湿法制粒工艺,规格为90mg。Patent CN101505754A discloses a composition suitable for oral administration including triazolo[4,5-d]pyrimidine derivatives, and the pharmaceutical composition comprises ticagrelor and other pharmaceutically acceptable excipients. The original research agent that has been on the market is prepared using the examples in the patent, and its auxiliary materials include: mannitol, dibasic calcium phosphate dihydrate, hydroxypropyl cellulose, sodium starch carboxyacetate and magnesium stearate. The preparation is prepared by a wet method. Granule technology, the specification is 90mg.
专利CN102657629 A公布了替卡格雷控释片系统及其制备方法,该发明通过控制原料药的粒径,同时配与一定量的高分子聚合物,通过湿法制粒法,制成骨架型的控释片。但是由于替格瑞洛难溶于水,而高分子聚合物会进一步阻滞药物释放,不适合制备难溶性药物的控释制剂。专利CN103860504 A提供了口服给药的替卡格雷缓控释制剂,该发明通过加入骨架材料或通过包衣技术制备了骨架型控释片、控释包衣片、控释微丸胶囊,并阐述了以释放度为评价指标以及释放度测定方法,但未公布各实施例的释放度结果。Patent CN102657629 A discloses the ticagrelor controlled-release tablet system and its preparation method. This invention controls the particle size of the raw material drug and mixes it with a certain amount of high-molecular polymer at the same time, through the wet granulation method, to make a framework-type control Release the film. However, because ticagrelor is difficult to dissolve in water, and the high molecular polymer will further block the release of the drug, it is not suitable for the preparation of a controlled release formulation of poorly soluble drugs. Patent CN103860504 A provides a sustained and controlled release formulation of ticagrelor for oral administration. This invention prepares matrix-type controlled-release tablets, controlled-release coated tablets, and controlled-release pellet capsules by adding matrix materials or by coating technology, and explains The release rate is used as the evaluation index and the release rate measurement method, but the release rate results of each example are not published.
专利CN103520164A和CN105998026A涉及包含由替卡格雷、药用控释材料与其他药用辅料组成的控释制剂。该控释制剂分为速释和控释两部分,可以是经双层压片机压制成的双层片,或是由控释药物做片芯、速释药物作外部分包衣的片剂,或是由速释和控 释两部分微丸组成的控释胶囊剂。专利CN103520164A还涉及采用β-环糊精包合提高药物溶解性,改善生物利用度。这些发明的控释制剂即能使药物起效迅速,又能长时间维持药物的有效浓度,具有更理想的治疗效果,但所述的技术处方工艺复杂,需要双层压片机或双工位胶囊填充剂等高端设备,不利于大生产。The patents CN103520164A and CN105998026A relate to a controlled-release preparation composed of ticagrelor, medicinal controlled-release materials and other medicinal excipients. The controlled-release preparation is divided into two parts: immediate-release and controlled-release. It can be a double-layer tablet compressed by a double-layer tablet press, or a tablet with a controlled-release drug as the core and an immediate-release drug as the outer part of the coating. , Or a controlled-release capsule composed of two-part pellets: immediate release and controlled release. Patent CN103520164A also relates to the use of β-cyclodextrin inclusion to improve drug solubility and improve bioavailability. The controlled-release preparations of these inventions can not only make the drug take effect quickly, but also can maintain the effective concentration of the drug for a long time, and have a more ideal therapeutic effect. However, the technical prescription process is complicated and requires a double-layer tablet press or a double-station. High-end equipment such as capsule fillers is not conducive to mass production.
专利CN108210498A公布了一种可掰开的替格瑞洛控释制剂,所述的控释制剂适用于每日口服一次,同时片剂在破坏后可以达到迅速释药的效果,片芯采用与原研专利相同处方,在外层分别包裹控释层、肠溶层和含药层,该技术非常复杂,且整体工序时间较长,同样不利于大生产。Patent CN108210498A discloses a breakable ticagrelor controlled-release preparation. The controlled-release preparation is suitable for oral administration once a day. At the same time, the tablet can achieve rapid drug release after destruction. The tablet core is the same as the original one. With the same prescription of the patent, the controlled release layer, enteric layer and drug-containing layer are respectively wrapped on the outer layer. The technology is very complicated and the overall process time is long, which is also not conducive to large-scale production.
替格瑞洛是难溶性药物,制备其控释制剂的同时首先应提高其溶解度,改善生物利用度,由于设计的控释制剂剂量较大,采用β-环糊精包合或固体分散体技术,所需的β-环糊精或固体溶剂的用量一般为活性成分的1~10倍重量份,导致产品的制剂尺寸过大,显然是不合适的。难溶性药物的渗透泵制剂通常采用双室渗透泵制剂,即由药物层和推动层组成,一般药物层:推动层的重量比为1:2~1:3,这样同样无法达到期望的制剂尺寸,故双室渗透泵制剂更适合小剂量的难溶性药物。因此,有必要研发一种适用于大剂量难溶性药物替格瑞洛的控释制剂,以达到理想稳定的缓慢释药速率。Ticagrelor is a poorly soluble drug. When preparing its controlled release formulation, its solubility and bioavailability should be improved first. Due to the large dose of the designed controlled release formulation, β-cyclodextrin inclusion or solid dispersion technology should be used. , The required amount of β-cyclodextrin or solid solvent is generally 1-10 times the weight of the active ingredient, which causes the product formulation size to be too large, which is obviously inappropriate. The osmotic pump formulations of poorly soluble drugs usually adopt double-chamber osmotic pump formulations, which are composed of a drug layer and a pushing layer. The weight ratio of the general drug layer: pushing layer is 1:2~1:3, which also cannot achieve the desired formulation size. Therefore, the dual-chamber osmotic pump preparation is more suitable for small doses of poorly soluble drugs. Therefore, it is necessary to develop a controlled release formulation suitable for large doses of poorly soluble drug ticagrelor to achieve an ideal and stable slow drug release rate.
与此同时,现有的替格瑞洛制剂存在释放速度过快、不持久,释放不完全,每日给药次数多,剂量大,且不能对不同晶型的替格瑞洛均保持一致的释放效果,同时现有的替格瑞洛制剂不稳定,不能长期存放,且制剂的制备过程复杂,不利于工业化大生产。At the same time, the existing ticagrelor formulations have excessive release speed, not long-lasting, incomplete release, multiple daily doses, large doses, and cannot be consistent with different crystal forms of ticagrelor. The release effect, meanwhile, the existing ticagrelor preparation is unstable, cannot be stored for a long time, and the preparation process of the preparation is complicated, which is not conducive to large-scale industrial production.
发明内容Summary of the invention
发明要解决的问题The problem to be solved by the invention
为了解决上述技术问题,本发明提供了一种替格瑞洛控释片,所述替格瑞洛控释片释放温和、持久,在20h基本能释放完全,并且能够对不同晶型的替格瑞洛均具有较好的释放效果,同时该控释片性能稳定,能够长时间存放,制备工艺简单,适于工业化生产。In order to solve the above technical problems, the present invention provides a controlled-release ticagrelor tablet. The controlled-release ticagrelor tablet has a mild and long-lasting release. Reluo has a good release effect, and the controlled release tablet has stable performance, can be stored for a long time, has a simple preparation process, and is suitable for industrial production.
用于解决问题的方案Solutions used to solve the problem
为了解决上述技术问题,本发明提供了一种替格瑞洛控释片,所述控释片包括片芯和膜控包衣系统,所述片芯包括占片芯总重30-60wt%的替格瑞洛,所述控释片具有两个以上释药孔。In order to solve the above technical problems, the present invention provides a controlled-release tablet of ticagrelor. The controlled-release tablet includes a tablet core and a film-controlled coating system. The tablet core comprises 30-60wt% of the total weight of the core. For ticagrelor, the controlled release tablet has more than two drug release holes.
优选的,所述片芯还包括促渗剂和渗透压活性剂。Preferably, the tablet core further includes a penetration enhancer and an osmotic pressure active agent.
优选的,所述替格瑞洛含量为150~200mg,粒径为50μm以下。Preferably, the content of ticagrelor is 150-200 mg, and the particle size is 50 μm or less.
优选的,所述膜控包衣系统包括成膜材料和增塑剂,所述成膜材料占控释片的质量百分比为1~30%,所述增塑剂占控释片的质量百分比为0.1~10%。更优选的,所述成膜材料选自醋酸纤维素、乙基纤维素和聚丙烯酸树脂中的一种或几种,优选为醋酸纤维素;所述增塑剂选自聚乙二醇、油酸和柠檬酸三乙酯中的一种或几种,优选为聚乙二醇。Preferably, the film-controlling coating system includes a film-forming material and a plasticizer, the film-forming material accounts for 1-30% of the mass percentage of the controlled-release tablet, and the plasticizer accounts for 1-30% of the mass percentage of the controlled-release tablet. 0.1~10%. More preferably, the film-forming material is selected from one or more of cellulose acetate, ethyl cellulose and polyacrylic resin, preferably cellulose acetate; the plasticizer is selected from polyethylene glycol, oil One or more of the acid and triethyl citrate is preferably polyethylene glycol.
优选的,所述促渗剂选自羟丙甲基纤维素、羟乙基纤维素、甲基纤维素、非纤维素多糖类、聚乙烯吡咯烷酮、羟丙基纤维素、羧甲基纤维素及其盐类、海藻酸及其盐类、聚氧乙烯、羟甲基纤维素中的一种或几种,优选为羟乙基纤维素。Preferably, the penetration enhancer is selected from hydroxypropyl methyl cellulose, hydroxyethyl cellulose, methyl cellulose, non-cellulosic polysaccharides, polyvinylpyrrolidone, hydroxypropyl cellulose, carboxymethyl cellulose One or more of its salts, alginic acid and its salts, polyoxyethylene and hydroxymethyl cellulose, preferably hydroxyethyl cellulose.
优选的,所述渗透压活性剂选自糖类渗透压活性剂和/或者盐类渗透压活性剂,所述糖类渗透压活性剂选自甘露醇、木糖醇、葡萄糖、山梨醇、果糖、蔗糖和淀粉寡聚水塘中的一种或者多种,优选为山梨醇;所述盐类渗透压活性剂选自氯化钠、氯化钾、硫酸盐和磷酸盐中的一种或者两种以上混合物。Preferably, the osmotic pressure active agent is selected from sugar osmotic pressure active agents and/or salt osmotic pressure active agents, and the sugar osmotic pressure active agent is selected from mannitol, xylitol, glucose, sorbitol, fructose One or more of sucrose and starch oligomerization ponds, preferably sorbitol; the salt osmotic pressure active agent is selected from one or two of sodium chloride, potassium chloride, sulfate and phosphate Kind of the above mixture.
优选的,所述片芯还包括粘合剂和润滑剂,所述粘合剂选自纤维素醚、聚乙烯吡咯烷酮和羟丙甲基纤维素琥珀酸酯中的一种或几种,优选为共聚维酮;所述润滑剂选自硬脂酸、硬脂酸镁、硬脂酸钙中的一种或几种,优选硬脂酸镁。Preferably, the tablet core further includes a binder and a lubricant, and the binder is selected from one or more of cellulose ether, polyvinylpyrrolidone and hydroxypropylmethylcellulose succinate, preferably Copovidone; the lubricant is selected from one or more of stearic acid, magnesium stearate, and calcium stearate, preferably magnesium stearate.
优选的,所述释药孔位于控释片正面、反面或侧面上,同面上有且仅有一个释药孔,释药孔孔径为0.3~1.2mm。Preferably, the drug release hole is located on the front, back or side of the controlled release tablet, and there is one and only one drug release hole on the same surface, and the diameter of the drug release hole is 0.3-1.2 mm.
优选的,所述控释片是替格瑞洛单室渗透泵控释片。Preferably, the controlled release tablet is a ticagrelor single-chamber osmotic pump controlled release tablet.
本发明还提供了一种替格瑞洛控释片的制备方法,所述方法包括:The present invention also provides a preparation method of ticagrelor controlled-release tablets, the method comprising:
(1)将替格瑞洛、促渗剂、渗透压促进剂、粘合剂混合均匀,加入乙醇或醇水溶液制软材,干燥,制粒,加入润滑剂混合,压片,得到药物片芯;(1) Mix ticagrelor, penetration enhancer, osmotic pressure enhancer, and adhesive uniformly, add ethanol or alcohol aqueous solution to make soft material, dry, granulate, add lubricant and mix, press tablet to obtain drug tablet core ;
(2)以丙酮-水溶液为包衣溶剂,配制含成膜材料和增塑剂的半透膜包衣液,将包衣液喷至步骤(1)所得的药物片芯上,形成包衣片;(2) Using acetone-water solution as the coating solvent, prepare a semipermeable film coating solution containing film-forming materials and plasticizers, and spray the coating solution onto the drug tablet cores obtained in step (1) to form coated tablets ;
(3)对包衣片进行老化,激光打孔,即得。(3) The coated tablets are aged and laser-punched to obtain them.
发明的效果The effect of the invention
本发明采用单室渗透泵技术,通过膜控包衣系统控制水分进入片芯的速率,水分进 入片芯后,渗透压促进剂吸水后使片芯内渗透压高于外界介质环境,从而产生渗透压差,进一步促进水分的渗入,促渗剂吸水膨胀,药物形成混悬液从释药孔被推出,从而控制药物释放。由于本发明涉及的控释制剂剂量较大,故采用多释药孔设计,保证药物尽可能的完全释放,同时缓解片芯内部渗透压过大,可以避免包衣膜破裂。The invention uses single-chamber osmotic pump technology to control the rate of water entering the tablet core through a membrane-controlled coating system. After the water enters the tablet core, the osmotic pressure enhancer absorbs water to make the osmotic pressure in the tablet core higher than the external medium environment, thereby generating permeation The pressure difference further promotes the penetration of water, the penetration enhancer absorbs water and swells, and the drug forms a suspension and is pushed out from the drug release hole, thereby controlling the release of the drug. Because the dosage of the controlled release preparation involved in the present invention is relatively large, the design of multiple drug release holes is adopted to ensure the complete release of the drug as much as possible, and at the same time alleviate the excessive osmotic pressure inside the tablet core, and can avoid the rupture of the coating film.
同时,本发明提供的替格瑞洛控释片,释放温和、持久,在20h基本能释放完全,并且能够对不同晶型的替格瑞洛均具有较好的释放效果,同时该控释片性能稳定,能够长时间存放,且制备工艺简单,适于工业化生产。At the same time, the ticagrelor controlled-release tablet provided by the present invention has a mild and long-lasting release, can be released almost completely within 20 hours, and can have a good release effect on ticagrelor of different crystal forms. At the same time, the controlled-release tablet The performance is stable, can be stored for a long time, and the preparation process is simple, which is suitable for industrial production.
附图说明Description of the drawings
图1晶形Ι替格瑞洛的X-射线粉末衍射图谱;Figure 1 X-ray powder diffraction pattern of crystal form I ticagrelor;
图2晶形Ⅱ替格瑞洛的X-射线粉末衍射图谱;Figure 2 X-ray powder diffraction pattern of ticagrelor crystal form II;
图3晶形Ⅲ替格瑞洛的X-射线粉末衍射图谱;Figure 3 X-ray powder diffraction pattern of ticagrelor crystal form III;
图4晶形Ⅳ替格瑞洛的X-射线粉末衍射图谱;Figure 4 X-ray powder diffraction pattern of crystal form IV ticagrelor;
图5 α形态替格瑞洛的X-射线粉末衍射图谱。Figure 5 X-ray powder diffraction pattern of α form ticagrelor.
具体实施方式Detailed ways
本发明提供了一种替格瑞洛控释片,所述控释片包括片芯和膜控包衣系统,所述片芯包括占片芯总重30-60wt%的替格瑞洛,所述控释片具有两个以上释药孔。The present invention provides a controlled-release ticagrelor tablet. The controlled-release tablet comprises a core and a film-controlled coating system. The core comprises 30-60wt% of the total weight of the core. The controlled release tablet has more than two drug release holes.
在一项优选的实施方案中,所述替格瑞洛可存在四种不同的充分结晶形态,分别为多晶形Ι、Ⅱ、Ⅲ、Ⅳ,多晶形彼此之间以及非晶形态之间的熔点、溶解性、生物利用度不同,其中晶型Ⅱ为原研晶型。本发明选自晶体或非晶形态,替格瑞洛在控释片中的含量为150~200mg范围之间,优选为160~190mg,更优选为180mg。In a preferred embodiment, the ticagrelor may exist in four different fully crystalline forms, namely polymorphs I, II, III, and IV, the melting points between the polymorphs and between the amorphous forms , Solubility and bioavailability are different, and the crystal form Ⅱ is the original research crystal form. The present invention is selected from crystalline or amorphous forms, and the content of ticagrelor in the controlled release tablet is in the range of 150-200 mg, preferably 160-190 mg, more preferably 180 mg.
在一项优选的实施方案中,通过降低活性成分的粒径,提高其溶解性和生物利用度,所述的活性成分替格瑞洛的粒径(以体积为计算的粒径D90)控制在50μm以下,优选15μm以下。In a preferred embodiment, by reducing the particle size of the active ingredient to improve its solubility and bioavailability, the particle size of the active ingredient ticagrelor (the particle size D90 calculated by volume) is controlled at 50 μm or less, preferably 15 μm or less.
在一项优选的实施方案中,所述片芯还包括促渗剂和渗透压活性剂。In a preferred embodiment, the tablet core further includes a penetration enhancer and an osmotic pressure active agent.
所述促渗剂是指接触水后可以膨胀将药液或药物混悬液从释药孔推出,可选择水溶性或水不溶性的促渗剂,所述促渗剂占片芯总重的10~50%,优选10~30%。The penetration enhancer refers to the penetration enhancer that can swell after contacting water to push the drug solution or drug suspension out of the drug release hole. Water-soluble or water-insoluble penetration enhancers can be selected. The penetration enhancer accounts for 10% of the total weight of the tablet core. ~50%, preferably 10-30%.
所述渗透压活性剂是吸水后产生较高渗透压的一种或多种化合物混合物。所述渗透 压活性剂占片芯总重的20~80%,优选30~50%。The osmotic pressure active agent is a mixture of one or more compounds that produces a higher osmotic pressure after absorbing water. The osmotic pressure active agent accounts for 20 to 80% of the total weight of the tablet core, preferably 30 to 50%.
在一项更优选的实施方案中,所述促渗剂选自羟丙甲基纤维素、羟乙基纤维素、甲基纤维素、非纤维素多糖类(如阿拉伯胶、海藻糖胶、预胶化淀粉等)、聚乙烯吡咯烷酮、羟丙基纤维素、羧甲基纤维素及其盐类、海藻酸及其盐类、聚氧乙烯、羟甲基纤维素等中的一种或几种,优选为羟乙基纤维素。所述的渗透压活性剂选自糖类渗透压活性剂和/或者盐类渗透压活性剂,所述的糖类渗透压活性剂选自甘露醇、木糖醇、葡萄糖、山梨醇、果糖、蔗糖、淀粉寡聚水塘中的一种或者多种,所述的盐类渗透压活性剂选自氯化钠、氯化钾、硫酸盐、磷酸盐中的一种或者两种以上混合物,优选山梨醇。In a more preferred embodiment, the penetration enhancer is selected from hydroxypropyl methyl cellulose, hydroxyethyl cellulose, methyl cellulose, non-cellulosic polysaccharides (such as gum arabic, trehalose, Pregelatinized starch, etc.), polyvinylpyrrolidone, hydroxypropyl cellulose, carboxymethyl cellulose and its salts, alginic acid and its salts, polyoxyethylene, hydroxymethyl cellulose, etc. Species, preferably hydroxyethyl cellulose. The osmotic pressure active agent is selected from sugar osmotic pressure active agents and/or salt osmotic pressure active agents, and the sugar osmotic pressure active agent is selected from mannitol, xylitol, glucose, sorbitol, fructose, One or more of sucrose and starch oligomerization, the salt osmotic pressure active agent is selected from one or a mixture of two or more of sodium chloride, potassium chloride, sulfate, and phosphate, preferably Sorbitol.
在一项优选的实施方案中,所述膜控包衣系统包括成膜材料和增塑剂,所述成膜材料优选为是水不溶性的,所述成膜材料占控释片的质量百分比为1~30%,优选2~15%,更优选3~10%。所述增塑剂占控释片的质量百分比为0.1~10%,优选0.5~5%,更优选1~3%。In a preferred embodiment, the film-controlling coating system includes a film-forming material and a plasticizer, the film-forming material is preferably water-insoluble, and the mass percentage of the film-forming material in the controlled-release tablet is 1 to 30%, preferably 2 to 15%, more preferably 3 to 10%. The mass percentage of the plasticizer in the controlled release tablet is 0.1 to 10%, preferably 0.5 to 5%, more preferably 1 to 3%.
在一项更优选的实施方案中,所述成膜材料选自醋酸纤维素、乙基纤维素和聚丙烯酸树脂等中的一种或几种,优选醋酸纤维素。所述增塑剂选自聚乙二醇、油酸和柠檬酸三乙酯等中的一种或几种,优选聚乙二醇。根据成膜材料的溶解特性,半透膜包衣液一般选择有机溶剂,如丙酮、乙醇、异丙醇或其水溶液,优选丙酮,更优选浓度为90~99%的丙酮-水溶液,包衣液的固含量一般应为3~15%(w/v,%),优选5~8%(w/v,%)。In a more preferred embodiment, the film-forming material is selected from one or more of cellulose acetate, ethyl cellulose, polyacrylic resin, etc., preferably cellulose acetate. The plasticizer is selected from one or more of polyethylene glycol, oleic acid, triethyl citrate, etc., preferably polyethylene glycol. According to the dissolution characteristics of the film-forming material, the semipermeable membrane coating liquid generally selects an organic solvent, such as acetone, ethanol, isopropanol or its aqueous solution, preferably acetone, more preferably an acetone-water solution with a concentration of 90-99%, the coating liquid The solid content should generally be 3-15% (w/v,%), preferably 5-8% (w/v,%).
在一项优选的实施方案中,所述片芯还包括粘合剂和润滑剂,所述粘合剂选自纤维素醚、聚乙烯吡咯烷酮和羟丙甲基纤维素琥珀酸酯等中的一种或几种,优选共聚维酮,所述粘合剂占片芯总重的质量百分比为0.5-10%,优选为1~5%;所述润滑剂选自硬脂酸、硬脂酸镁、硬脂酸钙等中的一种或几种,优选硬脂酸镁,所述润滑剂占片芯总重的质量百分比为0.1-10%,优选为0.5~5%。In a preferred embodiment, the tablet core further includes a binder and a lubricant, and the binder is selected from one of cellulose ether, polyvinylpyrrolidone, and hydroxypropylmethylcellulose succinate. One or more, preferably copovidone, the mass percentage of the binder in the total weight of the tablet core is 0.5-10%, preferably 1 to 5%; the lubricant is selected from stearic acid, magnesium stearate One or more of calcium stearate, etc., preferably magnesium stearate. The mass percentage of the lubricant in the total weight of the tablet core is 0.1-10%, preferably 0.5-5%.
在一项优选的实施方案中,为了解决大剂量难溶性药物单室渗透泵制剂的末端药物释放残留的难题,本发明采用多释药孔的技术,释药孔数量为两个及以上,打孔位置可分别选择片剂的正面、反面、侧面,但不同释药孔应在不同面上,同一面上有且仅有一个释药孔,所述释药孔孔径一般为0.3~1.2μm,优选0.5~0.8μm。In a preferred embodiment, in order to solve the problem of residual drug release in the single-chamber osmotic pump formulation of large doses of poorly soluble drugs, the present invention adopts the technology of multiple drug release holes, and the number of drug release holes is two or more. The position of the holes can be selected on the front, back, and side of the tablet, but different drug-release holes should be on different sides. There is one and only one drug-release hole on the same surface. The diameter of the drug-release hole is generally 0.3-1.2 μm. It is preferably 0.5 to 0.8 μm.
在一项优选的实施方案中,所述控释片是替格瑞洛单室渗透泵控释片。In a preferred embodiment, the controlled release tablet is a ticagrelor single-chamber osmotic pump controlled release tablet.
本发明的另一个目的是提供一种替格瑞洛控释片的制备方法,所述方法包括:Another object of the present invention is to provide a method for preparing ticagrelor controlled-release tablets, the method comprising:
(1)将替格瑞洛、促渗剂、渗透压促进剂、粘合剂混合均匀,加入乙醇或醇水溶液制软材,干燥,制粒,加入润滑剂混合,压片,得到药物片芯;(1) Mix ticagrelor, penetration enhancer, osmotic pressure enhancer, and adhesive uniformly, add ethanol or alcohol aqueous solution to make soft material, dry, granulate, add lubricant and mix, press tablet to obtain drug tablet core ;
(2)以丙酮-水溶液为包衣溶剂,配制含成膜材料和增塑剂的半透膜包衣液,将包衣液喷至步骤(1)所得的药物片芯上,形成包衣片;(2) Using acetone-water solution as the coating solvent, prepare a semipermeable film coating solution containing film-forming materials and plasticizers, and spray the coating solution onto the drug tablet cores obtained in step (1) to form coated tablets ;
(3)对包衣片进行老化,激光打孔,即得。(3) The coated tablets are aged and laser-punched to obtain them.
为了对本发明的技术特征、目的和有益效果有更加清楚的理解,现对本发明的技术方案进行以下详细说明,但不能理解为对本发明的可实施范围的限定。下述实施例中所述实验方法,如无特殊说明,均为常规方法;所述试剂和材料,如无特殊说明,均可从商业途径获得。In order to have a clearer understanding of the technical features, objectives, and beneficial effects of the present invention, the technical solutions of the present invention are now described in detail below, but they should not be understood as limiting the scope of implementation of the present invention. The experimental methods described in the following examples are conventional methods unless otherwise specified; the reagents and materials, unless otherwise specified, can be obtained from commercial sources.
以下实施例所用活性成分替格瑞洛选自晶体或无定形,粒径(以体积为计算的粒径D90)控制在50μm以下。The active ingredient ticagrelor used in the following examples is selected from crystalline or amorphous, and the particle size (the particle size D90 calculated by volume) is controlled below 50 μm.
实施例1活性成分多晶形研究Example 1 Study on polymorphs of active ingredients
各多晶形的熔点和饱和溶解度测定结果如表1所示:The measurement results of the melting point and saturated solubility of each polymorph are shown in Table 1:
表1多晶形的熔点和饱和溶解度Table 1 Melting point and saturated solubility of polymorphs
多晶形Polymorph 熔点/熔程Melting point/Melting range 饱和溶解度Saturated solubility
ΙΙ 151℃(146~152℃)151℃(146~152℃) 10.89μg/ml10.89μg/ml
137.5℃(136~139℃)137.5℃(136~139℃) 16.78μg/ml16.78μg/ml
132℃(127~132℃)132℃(127~132℃) 23.10μg/ml23.10μg/ml
139℃139°C 22.54μg/ml22.54μg/ml
α形态alpha form // 554.67μg/ml554.67μg/ml
其中,表1中多晶形Ι、Ⅱ、Ⅲ、Ⅳ和α形态的替格瑞洛,其X-射线粉末衍射图谱分别如图1-5所示。Among them, the X-ray powder diffraction patterns of ticagrelor in polymorphic forms I, II, III, IV and α in Table 1 are shown in Figures 1-5, respectively.
实施例2初始处方工艺研究(单孔)Example 2 Initial formulation process research (single hole)
初始处方的组成如表2所示:The composition of the initial prescription is shown in Table 2:
表2处方成分及含量Table 2 prescription ingredients and content
组成composition 用量(mg)Dosage (mg) 比例(%)Proportion(%)
替格瑞洛Ticagrelor 180180 42.942.9
山梨醇Sorbitol 153153 36.436.4
羟乙基纤维素Hydroxyethyl cellulose 5555 13.113.1
共聚维酮Copovidone 88 1.91.9
硬脂酸镁Magnesium stearate 44 0.90.9
醋酸纤维素Cellulose acetate 1414 3.33.3
聚乙二醇Polyethylene glycol 66 1.41.4
合计total 420420 //
替格瑞洛控释片的制备方法如下:The preparation method of ticagrelor controlled-release tablets is as follows:
(1)将多晶形Ⅱ的替格瑞洛与促渗剂、渗透压促进剂、粘合剂混合均匀,加入乙醇或醇水溶液制软材,干燥,制粒,加入润滑剂混合,压片,得到药物片芯;(1) Mix ticagrelor of polymorphic form II with penetration enhancer, osmotic pressure enhancer, and adhesive, add ethanol or alcoholic water solution to make soft material, dry, granulate, add lubricant to mix, press tablet, Obtain the drug tablet core;
(2)以丙酮-水溶液为包衣溶剂,配制含成膜材料和增塑剂的半透膜包衣液,将包衣液喷至含药片芯上,形成包衣片;(2) Using acetone-water solution as the coating solvent, prepare a semipermeable membrane coating solution containing film-forming materials and plasticizers, and spray the coating solution onto the tablet-containing cores to form coated tablets;
(3)将包衣片在40℃烘箱中老化,在包衣片正面的中央位置激光打孔,孔径为0.6mm,即得。(3) The coated tablet is aged in an oven at 40°C, and a laser hole is drilled at the center of the front of the coated tablet with a diameter of 0.6 mm, and it is obtained.
实施例3促渗剂种类考察Example 3 Investigation of the types of penetration enhancers
表3处方成分及含量Table 3 prescription ingredients and content
组成composition 用量(mg)Dosage (mg) 比例(%)Proportion(%)
替格瑞洛Ticagrelor 180180 42.942.9
山梨醇Sorbitol 153153 36.436.4
聚氧乙烯Polyoxyethylene 5555 13.113.1
共聚维酮Copovidone 88 1.91.9
硬脂酸镁Magnesium stearate 44 0.90.9
醋酸纤维素Cellulose acetate 1414 3.33.3
聚乙二醇Polyethylene glycol 66 1.41.4
合计total 420420 //
替格瑞洛控释片的制备方法如下:The preparation method of ticagrelor controlled-release tablets is as follows:
(1)将多晶形Ⅱ的替格瑞洛与促渗剂、渗透压促进剂、粘合剂混合均匀,加入乙醇或醇水溶液制软材,干燥,制粒,加入润滑剂混合,压片,得到药物片芯;(1) Mix ticagrelor of polymorphic form II with penetration enhancer, osmotic pressure enhancer, and adhesive, add ethanol or alcoholic water solution to make soft material, dry, granulate, add lubricant to mix, press tablet, Obtain the drug tablet core;
(2)以丙酮-水溶液为包衣溶剂,配制含成膜材料和增塑剂的半透膜包衣液,将包衣液喷至含药片芯上,形成包衣片;(2) Using acetone-water solution as the coating solvent, prepare a semipermeable membrane coating solution containing film-forming materials and plasticizers, and spray the coating solution onto the tablet-containing cores to form coated tablets;
(3)将包衣片在40℃烘箱中老化,在包衣片正面的中央位置激光打孔,孔径为0.6mm,即得。(3) The coated tablet is aged in an oven at 40°C, and a laser hole is drilled at the center of the front of the coated tablet with a diameter of 0.6 mm, and it is obtained.
实施例4半透膜包衣配方考察Example 4 Investigation of semipermeable membrane coating formula
表4处方成分及含量Table 4 prescription ingredients and content
组成composition 用量(mg)Dosage (mg) 比例(%)Proportion(%)
替格瑞洛Ticagrelor 180180 42.942.9
山梨醇Sorbitol 153153 36.436.4
羟乙基纤维素Hydroxyethyl cellulose 5555 13.113.1
共聚维酮Copovidone 88 1.91.9
硬脂酸镁Magnesium stearate 44 0.90.9
醋酸纤维素Cellulose acetate 15.815.8 3.83.8
羟丙甲纤维素Hypromellose 4.24.2 1.01.0
合计total 420420 //
替格瑞洛控释片的制备方法如下:The preparation method of ticagrelor controlled-release tablets is as follows:
(1)将多晶形Ⅱ的替格瑞洛与促渗剂、渗透压促进剂、粘合剂混合均匀,加入乙醇或醇水溶液制软材,干燥,制粒,加入润滑剂混合,压片,得到药物片芯;(1) Mix ticagrelor of polymorphic form II with penetration enhancer, osmotic pressure enhancer, and adhesive, add ethanol or alcoholic water solution to make soft material, dry, granulate, add lubricant to mix, press tablet, Obtain the drug tablet core;
(2)以丙酮-水溶液为包衣溶剂,配制含成膜材料和增塑剂的半透膜包衣液,将包衣液喷至含药片芯上,形成包衣片;(2) Using acetone-water solution as the coating solvent, prepare a semipermeable membrane coating solution containing film-forming materials and plasticizers, and spray the coating solution onto the tablet-containing cores to form coated tablets;
(3)将包衣片在40℃烘箱中老化,在包衣片正面的中央位置激光打孔,孔径为0.6mm,即得。(3) The coated tablet is aged in an oven at 40°C, and a laser hole is drilled at the center of the front of the coated tablet with a diameter of 0.6 mm, and it is obtained.
实施例5体外释放度评价Example 5 Evaluation of in vitro release
释放度测定的色谱条件为:以十八烷基硅烷键合硅胶为色谱柱填充剂,以磷酸盐缓冲液[取1.0mol/L磷酸二氢钠溶液(用磷酸调pH值至3.0)10ml,加水至480ml,摇匀]-乙腈(48:52)为流动相;柱温为55℃;检测波长为242nm。替格瑞洛峰的拖尾因子应不大于1.5,理论板数按替格瑞洛峰计不低于13500。释放度测定采用0.2%吐温80的的pH6.8磷酸盐溶出介质中考察至20h的药物释放情况,释放情况如表5所示。The chromatographic conditions for the release determination are: octadecylsilane-bonded silica gel is used as the column filler, phosphate buffer [take 1.0mol/L sodium dihydrogen phosphate solution (adjust the pH value to 3.0 with phosphoric acid) 10ml, Add water to 480ml, shake well]-Acetonitrile (48:52) is the mobile phase; the column temperature is 55°C; the detection wavelength is 242nm. The tailing factor of ticagrelor should not be greater than 1.5, and the number of theoretical plates should not be less than 13,500 based on ticagrelor. The release rate was determined by using 0.2% Tween 80 pH6.8 phosphate dissolution medium to investigate the drug release situation up to 20h. The release situation is shown in Table 5.
表5实施例2~4控释片的释放情况Table 5 Release of controlled release tablets in Examples 2 to 4
时间(h)/释放度(%)Time (h)/Release degree (%) 实施例2Example 2 实施例3Example 3 实施例4Example 4
22 1919 33 1212
44 3737 2828 3131
66 4949 3131 3939
88 6565 3737 5656
1212 5959 4343 6262
1616 6969 4949 6868
2020 7979 5757 7373
通过表5可知,选择实施例2的处分成分和含量,所得的替格瑞洛控释片释放温和、持久,且释放率最高。It can be seen from Table 5 that by selecting the ingredients and contents of Example 2, the resulting ticagrelor controlled-release tablet releases mild, long-lasting, and has the highest release rate.
实施例6多释药孔对比研究Example 6 Comparative study of multiple drug release holes
分别将多晶形Ι、Ⅱ、Ⅲ、Ⅳ和α形态的替格瑞洛按实施例2中的处方和制备方法中的步骤(1)、(2)制备包衣片,分别在包衣片正反双面的中央位置激光打双释药孔,双孔孔径均为0.6mm,老化,即得。按实施例5中的释放度测定方法,评价实施例2和实施例6单、双面打孔对不同晶型的影响,释放情况如表6所示。Prepare coated tablets with polymorphic forms I, II, III, IV and α according to the recipe in Example 2 and the steps (1) and (2) of the preparation method. The central position of the opposite sides is laser-drilled with dual-release drug holes. The diameters of the dual-holes are both 0.6mm, which can be obtained after aging. According to the release measurement method in Example 5, the effects of single and double-sided punching in Example 2 and Example 6 on different crystal forms were evaluated. The release conditions are shown in Table 6.
表6实施例2和6控释片的释放情况Table 6 Release of controlled release tablets in Examples 2 and 6
Figure PCTCN2021075842-appb-000002
Figure PCTCN2021075842-appb-000002
根据表6可知,实施例2中采用单释药孔,所得单室渗透泵缓释片均未完全释放,原料药含部分α形态混晶的释放较快,而实施例6中采用双释药孔,控释片释放温和、 持久,且20h释放均大于90%,基本释放完全。实施例6中不同替格瑞洛的多晶形对释放曲线没有影响,说明该单室渗透泵控释片可以消除不同固体形式对溶解性的影响,达到有效控释效果。It can be seen from Table 6 that the single-release drug hole was used in Example 2, and the single-chamber osmotic pump sustained-release tablets obtained were not completely released. The raw material drug containing part of the α-form mixed crystals released faster, while the dual-release drug was used in Example 6. The release of controlled-release tablets is mild and long-lasting, and the release in 20 hours is greater than 90%, and the release is basically complete. The different polymorphs of ticagrelor in Example 6 have no effect on the release curve, indicating that the single-chamber osmotic pump controlled release tablet can eliminate the influence of different solid forms on solubility and achieve an effective controlled release effect.
实施例7释放度稳定性研究Example 7 Study on release stability
将实施例6-晶型Ⅱ中的样品分别置于加速条件(40℃/相对湿度RH75%)和长期条件(25℃/相对湿度RH65%)下一个月,按实施例5中的释放度评价方法,考察体外释放度的变化趋势,释放情况如表7所示。The samples in Example 6-Form II were placed under accelerated conditions (40°C/relative humidity RH75%) and long-term conditions (25°C/relative humidity RH65%) for one month, and evaluated according to the release degree in Example 5. Methods, the change trend of the in vitro release rate was investigated, and the release situation is shown in Table 7.
表7体外释放情况Table 7 Release in vitro
时间(h)/释放度(%)Time (h)/Release degree (%) 0个月0 months 加速1个月1 month acceleration 长期1个月1 month long
22 1717 1111 1212
44 3838 4141 3737
66 5555 5252 5454
88 6969 7070 6565
1212 8686 8585 8989
1616 9494 9595 9393
2020 9898 9797 100100
根据表7可知,本发明实施例6-晶型Ⅱ的替格瑞洛控释片在加速条件和长期条件下的释放情况与替格瑞洛控释片在0个月的条件下,释放趋势并没有明显变化,由此可以看出,本发明实施例6的替格瑞洛控释片具有很好的稳定性,在加速条件和长期存放条件下并不会产生明显变化。According to Table 7, the release situation of the ticagrelor controlled-release tablet of Example 6 of the present invention under accelerated conditions and long-term conditions is the same as the release trend of the ticagrelor controlled-release tablet under the condition of 0 months. There is no obvious change. From this, it can be seen that the ticagrelor controlled-release tablet of Example 6 of the present invention has good stability, and does not change significantly under accelerated conditions and long-term storage conditions.

Claims (11)

  1. 一种替格瑞洛控释片,其特征在于,所述控释片包括片芯和膜控包衣系统,所述片芯包括占片芯总重30-60wt%的替格瑞洛,所述控释片具有两个以上释药孔。A controlled-release ticagrelor tablet, characterized in that the controlled-release tablet comprises a tablet core and a film-controlled coating system, the tablet core includes ticagrelor accounting for 30-60 wt% of the total weight of the tablet core, and The controlled release tablet has more than two drug release holes.
  2. 如权利要求1所述的一种替格瑞洛控释片,其特征在于,所述片芯还包括促渗剂和渗透压活性剂。The controlled release tablet of ticagrelor according to claim 1, wherein the tablet core further comprises a penetration enhancer and an osmotic pressure active agent.
  3. 如权利要求1所述的一种替格瑞洛控释片,其特征在于,所述替格瑞洛含量为150~200mg,粒径为50μm以下。The controlled-release ticagrelor tablet of claim 1, wherein the content of ticagrelor is 150-200 mg, and the particle size is 50 μm or less.
  4. 如权利要求1所述的一种替格瑞洛控释片,其特征在于,所述膜控包衣系统包括成膜材料和增塑剂,所述成膜材料占控释片的质量百分比为1~30%,所述增塑剂占控释片的质量百分比为0.1~10%。The ticagrelor controlled-release tablet of claim 1, wherein the film-controlled coating system comprises a film-forming material and a plasticizer, and the film-forming material accounts for a mass percentage of the controlled-release tablet. 1-30%, the plasticizer accounts for 0.1-10% of the mass percentage of the controlled release tablet.
  5. 如权利要求4所述的一种替格瑞洛控释片,其特征在于,所述成膜材料选自醋酸纤维素、乙基纤维素和聚丙烯酸树脂中的一种或几种,优选为醋酸纤维素;所述增塑剂选自聚乙二醇、油酸和柠檬酸三乙酯中的一种或几种,优选为聚乙二醇。A ticagrelor controlled-release tablet according to claim 4, wherein the film-forming material is selected from one or more of cellulose acetate, ethyl cellulose and polyacrylic resin, preferably Cellulose acetate; the plasticizer is selected from one or more of polyethylene glycol, oleic acid and triethyl citrate, preferably polyethylene glycol.
  6. 如权利要求2所述的一种替格瑞洛控释片,其特征在于,所述促渗剂选自羟丙甲基纤维素、羟乙基纤维素、甲基纤维素、非纤维素多糖类、聚乙烯吡咯烷酮、羟丙基纤维素、羧甲基纤维素及其盐类、海藻酸及其盐类、聚氧乙烯、羟甲基纤维素中的一种或几种,优选为羟乙基纤维素。A ticagrelor controlled-release tablet according to claim 2, wherein the penetration enhancer is selected from the group consisting of hydroxypropyl methyl cellulose, hydroxyethyl cellulose, methyl cellulose, non-cellulose and more. One or more of sugars, polyvinylpyrrolidone, hydroxypropyl cellulose, carboxymethyl cellulose and its salts, alginic acid and its salts, polyoxyethylene, hydroxymethyl cellulose, preferably hydroxy Ethyl cellulose.
  7. 如权利要求2所述的一种替格瑞洛控释片,其特征在于,所述渗透压活性剂选自糖类渗透压活性剂和/或者盐类渗透压活性剂,所述糖类渗透压活性剂选自甘露醇、木糖醇、葡萄糖、山梨醇、果糖、蔗糖和淀粉寡聚水塘中的一种或者多种,优选为山梨醇;所述盐类渗透压活性剂选自氯化钠、氯化钾、硫酸盐和磷酸盐中的一种或者两种以上混合物。The ticagrelor controlled-release tablet according to claim 2, wherein the osmotic pressure active agent is selected from the group consisting of carbohydrate osmotic pressure active agent and/or salt osmotic pressure active agent, and the carbohydrate osmotic pressure active agent The pressure active agent is selected from one or more of mannitol, xylitol, glucose, sorbitol, fructose, sucrose and starch oligomerization ponds, preferably sorbitol; the salt osmotic pressure active agent is selected from chlorine One or a mixture of two or more of sodium chloride, potassium chloride, sulfate and phosphate.
  8. 如权利要求1-7任一项所述的一种替格瑞洛控释片,其特征在于,所述片芯还包括粘合剂和润滑剂,所述粘合剂选自纤维素醚、聚乙烯吡咯烷酮和羟丙甲基纤维素琥珀酸酯中的一种或几种,优选为共聚维酮;所述润滑剂选自硬脂酸、硬脂酸镁、硬脂酸钙中的一种或几种,优选硬脂酸镁。A ticagrelor controlled-release tablet according to any one of claims 1-7, wherein the tablet core further comprises a binder and a lubricant, and the binder is selected from cellulose ether, One or more of polyvinylpyrrolidone and hydroxypropylmethylcellulose succinate, preferably copovidone; the lubricant is selected from one of stearic acid, magnesium stearate, and calcium stearate Or several, preferably magnesium stearate.
  9. 如权利要求1所述的一种替格瑞洛控释片,其特征在于,所述释药孔位于控释片正面、反面或侧面上,同面上有且仅有一个释药孔,释药孔孔径为0.3~1.2mm。The ticagrelor controlled-release tablet according to claim 1, wherein the drug release hole is located on the front, back or side of the controlled release tablet, and there is only one drug release hole on the same side. The hole diameter of the medicine is 0.3~1.2mm.
  10. 如权利要求1所述的一种替格瑞洛控释片,其特征在于,所述控释片是替格瑞洛单室渗透泵控释片。The controlled-release ticagrelor tablet of claim 1, wherein the controlled-release tablet is a single-chamber osmotic pump controlled-release ticagrelor tablet.
  11. 一种替格瑞洛控释片的制备方法,所述方法包括:A method for preparing ticagrelor controlled-release tablets, the method comprising:
    (1)将替格瑞洛、促渗剂、渗透压促进剂、粘合剂混合均匀,加入乙醇或醇水溶液制软材,干燥,制粒,加入润滑剂混合,压片,得到药物片芯;(1) Mix ticagrelor, penetration enhancer, osmotic pressure enhancer, and adhesive uniformly, add ethanol or alcohol aqueous solution to make soft material, dry, granulate, add lubricant and mix, press tablet to obtain drug tablet core ;
    (2)以丙酮-水溶液为包衣溶剂,配制含成膜材料和增塑剂的半透膜包衣液,将包衣液喷至步骤(1)所得的药物片芯上,形成包衣片;(2) Using acetone-water solution as the coating solvent, prepare a semipermeable film coating solution containing film-forming materials and plasticizers, and spray the coating solution onto the drug tablet cores obtained in step (1) to form coated tablets ;
    (3)对包衣片进行老化,激光打孔,即得。(3) The coated tablets are aged and laser-punched to obtain them.
PCT/CN2021/075842 2020-05-07 2021-02-07 Controlled-release ticagrelor tablet and preparation method therefor WO2021223480A1 (en)

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