WO2023103137A1 - Orthoester mixture pharmaceutical excipient, preparation method, and topical sustained-release drug delivery preparation containing excipient - Google Patents

Orthoester mixture pharmaceutical excipient, preparation method, and topical sustained-release drug delivery preparation containing excipient Download PDF

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WO2023103137A1
WO2023103137A1 PCT/CN2022/070666 CN2022070666W WO2023103137A1 WO 2023103137 A1 WO2023103137 A1 WO 2023103137A1 CN 2022070666 W CN2022070666 W CN 2022070666W WO 2023103137 A1 WO2023103137 A1 WO 2023103137A1
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orthoester
drugs
pharmaceutical excipient
trimethyl
miscible
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French (fr)
Chinese (zh)
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唐汝培
闫国卿
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安徽大学
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    • 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
    • A61K47/22Heterocyclic compounds, e.g. ascorbic acid, tocopherol or pyrrolidones
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K45/00Medicinal preparations containing active ingredients not provided for in groups A61K31/00 - A61K41/00
    • 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
    • A61K47/10Alcohols; Phenols; Salts thereof, e.g. glycerol; Polyethylene glycols [PEG]; Poloxamers; PEG/POE alkyl ethers
    • 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
    • A61K47/34Macromolecular compounds obtained otherwise than by reactions only involving carbon-to-carbon unsaturated bonds, e.g. polyesters, polyamino acids, polysiloxanes, polyphosphazines, copolymers of polyalkylene glycol or poloxamers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/0012Galenical forms characterised by the site of application
    • A61K9/0019Injectable compositions; Intramuscular, intravenous, arterial, subcutaneous administration; Compositions to be administered through the skin in an invasive manner
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/06Ointments; Bases therefor; Other semi-solid forms, e.g. creams, sticks, gels
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D317/00Heterocyclic compounds containing five-membered rings having two oxygen atoms as the only ring hetero atoms
    • C07D317/08Heterocyclic compounds containing five-membered rings having two oxygen atoms as the only ring hetero atoms having the hetero atoms in positions 1 and 3
    • C07D317/10Heterocyclic compounds containing five-membered rings having two oxygen atoms as the only ring hetero atoms having the hetero atoms in positions 1 and 3 not condensed with other rings
    • C07D317/32Heterocyclic compounds containing five-membered rings having two oxygen atoms as the only ring hetero atoms having the hetero atoms in positions 1 and 3 not condensed with other rings with hetero atoms or with carbon atoms having three bonds to hetero atoms with at the most one bond to halogen, e.g. ester or nitrile radicals, directly attached to ring carbon atoms
    • C07D317/34Oxygen atoms

Definitions

  • the invention relates to the field of pharmaceutical excipients, in particular to an orthoester miscible pharmaceutical excipient, a preparation method, and a local sustained-release drug preparation containing the excipient.
  • POE poly (ortho esters), POE is an acid-sensitive biodegradable polymer material, since it was first synthesized by Jorge Heller and his colleagues in the United States in the 1960s, because of its unique properties, it has been widely used in clinical practice. has been extensively researched and applied.
  • the orthoester bond has a self-catalytic function, which can endow drug excipients with specific physiological and microenvironmental responsiveness as required, and achieve long-term sustained release and targeted enrichment of drugs at the site of action through dynamic changes in physical and chemical properties, thereby enhancing the therapeutic effect. Therefore, the construction of human body-specific pH (ultra)sensitive pharmaceutical excipients based on orthoesters has important scientific significance and clinical application value.
  • the patent with the publication number CN103804684B discloses a polyorthoester pharmaceutical excipient and its new formulation for slow-release drugs.
  • the polyorthoester pharmaceutical excipient obtained by amide reaction although the orthoester monomer is stable and the polymerization conditions are mild, but
  • the auxiliary material has the following problems: (1) solid powder, no fluidity, can not be directly used as a good solvent to dissolve drugs, and can not be directly used in local injections, creams and ointments; (2) obtained by amide polymerization, synthesis and Although the purification process has been improved, it is still complicated and the repeatability of each batch is poor; (3) There are a large number of amide bonds in the structure. Once the amino group is hydrolyzed in vivo, it is easy to destroy the structure of some drugs as a nucleophile.
  • the technical problem to be solved by the present invention is that the pharmaceutical excipients in the prior art are solid or semi-solid, have no fluidity or poor fluidity, and cannot be directly used as good solvents to dissolve medicines, nor can they be directly used in local injections, creams and
  • the ointment has poor reproducibility in each batch and is easy to destroy the drug structure. It provides an orthoester miscible pharmaceutical excipient, a preparation method, and a local sustained-release drug preparation containing the excipient.
  • An orthoester miscible pharmaceutical excipient which is mainly obtained by mixing different orthoester compounds with each other in different proportions or orthoester compounds with biocompatible medical polymer materials in different proportions;
  • R represents hydrogen, methyl, ethyl, propyl, isopropyl, butyl or phenyl.
  • the orthoester compound in the present invention has only carbon-oxygen bonds, which will not destroy the structure of the drug.
  • the orthoester compound itself is liquid, and the orthoester compound can be mixed with each other or mixed with liquid, solid, semi-solid and other biological substances according to requirements.
  • Compatible medical polymer materials are miscible to obtain orthoester miscible pharmaceutical excipients with adjustable fluidity, solubility, degradation rate, and sustained release rate.
  • Orthoester miscible pharmaceutical excipients have excellent solubility, and can dissolve small molecules and protein drugs; good biocompatibility, clear metabolism, easy clinical transformation and use, can be prepared for local injection injections, creams and ointments, through local After injection or smearing, the active substance can be released slowly and uniformly, and the therapeutic effect is long-lasting, which significantly improves the therapeutic index and compliance of patients, and has a wide range of clinical application value.
  • the substituent on the two ends of the chemical formula of the orthoester compound of the present invention is a methyl group. If the substituent changes, it will affect the physical form and degradation rate of the orthoester. If the methyl group is replaced by a hydrophobic one The group will form semi-solid and solid, and the degradation rate will also slow down.
  • the substituents on the O at both ends of the chemical formula are methyl groups. By changing the group R, the obtained orthoester compound is still liquid.
  • the ratio between the different orthoester compounds is 1:1000-1000:1, and the ratio between the orthoester compound and the biocompatible medical polymer material is 1:1000-1000:1 .
  • the biocompatible medical polymer material includes:
  • n an integer value 2-100
  • n an integer value 1-50;
  • x represents an integer value 2-100
  • the preparation method of the ortho ester compound comprises the following steps: under the protection of nitrogen, diglycerol, trimethyl esters and catalysts are dissolved in the first organic solvent according to the molar ratio of 1:(2.2-5.0):(0.01-0.04) , and stirred at room temperature for 12-48 hours, then extracted with saturated sodium carbonate, dried over anhydrous magnesium sulfate, and evaporated under reduced pressure to remove excess trimethyl ester raw materials to obtain orthoester compounds.
  • the synthesis method of the ortho ester compound in the present invention is simple, can be prepared in one step at normal temperature and pressure, and only has carbon-oxygen bonds in the structure, which will not damage the drug structure.
  • the synthetic method of polyorthoester in the prior art is addition polymerization method, and it needs a kind of bis (ketene acetal) monomer, and this monomer is very sensitive to light and moisture, and preparation, storage and use are all difficult. Harsh conditions are required.
  • the first organic solvent includes acetonitrile, dichloromethane, tetrahydrofuran, and dioxane
  • the trimethyl ester raw materials include trimethyl orthoformate, trimethyl orthoacetate, trimethyl orthopropionate, ortho Trimethyl isopropionate, trimethyl orthobutyrate, trimethyl orthobenzoate
  • the catalyst includes p-toluenesulfonic acid, pyridinium p-toluenesulfonate.
  • the preparation method of the above-mentioned orthoester miscible pharmaceutical excipients comprises the following steps: miscible different orthoester compounds or orthoester compounds with biocompatible medical polymer materials, and the miscibility method is included in 25- 140°C, miscible under negative pressure or 25-140°C, miscible under nitrogen atmosphere, or miscible after dissolving with a second organic solvent, and remove the organic solvent under reduced pressure.
  • the preparation method of the pharmaceutical excipient in the present invention is simple, the orthoester compound has only carbon-oxygen bonds, and will not destroy the drug structure, and the orthoester compound itself is liquid, and the orthoester compound can be mixed or mixed with solid, Semi-solid and liquid biocompatible medical polymer materials are miscible to obtain orthoester miscible pharmaceutical excipients with adjustable fluidity, solubility, degradation rate, and sustained release rate, and each batch is completely reproducible.
  • Orthoester miscible pharmaceutical excipients have excellent solubility, and can dissolve small molecules and protein drugs; good biocompatibility, clear metabolism, easy clinical transformation and use, can be prepared for local injection injections, creams and ointments, through local After injection or smearing, the active substance can be released slowly and uniformly, and the therapeutic effect is long-lasting, which significantly improves the therapeutic index and compliance of patients, and has a wide range of clinical application value.
  • the second organic solvent includes tetrahydrofuran, dichloromethane, dioxane, ethanol, methanol, chloroform, acetone, dimethyl sulfoxide, and N,N-dimethylformamide.
  • Local sustained-release drug preparations including the above-mentioned orthoester miscible pharmaceutical excipients and active substances, are determined by measuring the solubility, fluidity, degradation and drug release rate of the active substances in the orthoester miscible pharmaceutical excipients.
  • the weight percentage of the active substance is 0.1-50%, and the weight percentage of the orthoester miscible pharmaceutical excipient is 50-99.9%.
  • the orthoester miscible pharmaceutical excipients in the present invention can be compounded with active substances to form drug preparations, and the preparation forms can be injections, creams and ointments, and can be prepared locally after administration by local injection or smearing
  • the active substance can be released slowly and uniformly, and the therapeutic effect is long-lasting, which significantly improves the therapeutic index and compliance of patients, and has wide clinical application value.
  • the solubility, fluidity, degradation and drug release rate of the active substance in the orthoester miscible pharmaceutical excipient are adjusted through the weight percentage of the active substance and the orthoester miscible pharmaceutical excipient.
  • the active substance is selected from one or more of antitumor drugs, anti-inflammatory drugs, hypoglycemic drugs, hypotensive drugs, analgesic drugs, and protein vaccines.
  • the active substance is selected from the group consisting of sedative-hypnotics, antiepileptics, antipsychotics, antidepressants, anxiolytics, antimanics, analgesics, narcotics, NSAIDs, cholemimetics Alkaline and anticholinergic drugs, antiulcer drugs, gastric motility drugs, antiemetics, antiallergic drugs, drugs acting on adrenergic receptors, hypoglycemic drugs, antihypertensive drugs, diuretics, cardiotonic drugs, antiarrhythmic drugs, antihypertensive drugs Angina drugs, blood lipid regulating drugs, steroid hormone drugs, antibiotics, synthetic antibacterial drugs, antiviral drugs, antineoplastic drugs and therapeutic polypeptides or proteins, wherein the active substance is a topical ointment, cream or injectable fluid form.
  • the anti-tumor drugs include but are not limited to chemotherapy drugs paclitaxel, doxorubicin, gemcitabine, 5-fluorouracil, camptothecin, hydroxycamptothecin, cisplatin, carboplatin, and targeted therapy drugs PD-1, Gefitinib, Erlotinib, Sorafenib, Dasatinib. Administration may be by local sustained release of the active substance.
  • the anti-inflammatory drugs include and are not limited to aspirin, diclofenac sodium, ibuprofen, flurbiprofen, ketoprofen, naproxen, indobufen, indomethacin, piroxicam, meloxime Kang, Erecoxib, Celecoxib, Dexamethasone, Hydrocortisone, Prednisolone, Methylprednisolone, Triamcinolone acetonide, Fluocinolone, Fludrocortisone, Beclomethasone, etc. Inflammation drugs.
  • the added amount of anti-inflammatory drugs is a therapeutically effective amount.
  • the hypoglycemic drugs include and are not limited to insulin and its analogs, sulfonylurea secretagogues, metformin, ⁇ -glucosidase inhibitors, thiazolidinedione derivative sensitizers, fennel Acid derivative secretagogues, GLP-1 receptor agonists, DPP-4 enzyme inhibitors and other first-line hypoglycemic drugs.
  • the added amount of the hypoglycemic drug is a therapeutically effective amount.
  • the antihypertensive drugs include but are not limited to thiazides, potassium retention diuretics, aldosterone antagonists, loop diuretics, central antihypertensive drugs, ganglion blocking drugs, noradrenergic nerve terminal blockers common antihypertensive drugs, adrenergic receptor blocking drugs, angiotensin converting enzyme inhibitors, angiotensin II receptor blocking drugs, renin inhibitors, dihydropyridines, dihydropyridines and vasodilators drug.
  • the added amount of antihypertensive drugs is a therapeutically effective amount.
  • the analgesic drugs include but are not limited to a series of clinical drugs such as receptor agonists, partial receptor agonists, opioid receptor antagonists, and antipyretic analgesics.
  • the added amount of analgesics is a therapeutically effective amount.
  • the added amount of analgesics is a therapeutically effective amount.
  • the protein vaccine comprises all natural proteins and chemically inactivated toxoids.
  • the added amount of the protein vaccine is a therapeutically effective amount.
  • the orthoester compound in the present invention has only carbon-oxygen bonds, which will not destroy the structure of the drug, and the orthoester compound itself is liquid, and the orthoester compound can be mixed with each other or mixed with liquid, solid, semi- Biocompatible medical polymer materials such as solids are miscible to obtain orthoester miscible pharmaceutical excipients with adjustable fluidity, solubility, degradation rate, and sustained release rate.
  • Orthoester miscible pharmaceutical excipients have excellent solubility, and can dissolve small molecules and protein drugs; good biocompatibility, clear metabolism, easy clinical transformation and use, can be prepared for local injection injections, creams and ointments, through local After injection or smearing, the active substance can be released slowly and uniformly, and the therapeutic effect is long-lasting, which significantly improves the therapeutic index and compliance of patients, and has a wide range of clinical application value.
  • the solubility, fluidity, degradation and drug release rate of the active substance in the orthoester miscible pharmaceutical excipient are adjusted through the weight percentage of the active substance and the orthoester miscible pharmaceutical excipient.
  • Fig. 1 is the 1 H NMR figure of orthoester OE-1 in the embodiment 1 of the present invention
  • Fig. 2 is the 1 H NMR figure of orthoester OE-2 in the embodiment 2 of the present invention.
  • Fig. 3 is the 1 H NMR figure of orthoester OE-3 in the embodiment 3 of the present invention.
  • Fig. 4 is the change trend diagram of mass loss of E-1-E-7 under different pHs in Example 5 of the present invention, and A-G in the figure represent E-1-E-7 respectively;
  • Fig. 5 is E-1-E-7 (A and B) and E-A-E-D (C and D) in the embodiment of the present invention 6 respectively to 3T3 and QSG cytotoxicity change graph;
  • Fig. 6 is the result figure of drug release in the phosphate buffer solution of pH 7.4, 6.5 and 5.0 respectively in the paclitaxel injection in embodiment 7 of the present invention
  • Fig. 7 is a graph showing tumor inhibition results after subcutaneous injection of paclitaxel injection in tumor-bearing mice in Example 7 of the present invention.
  • Fig. 8 is a graph showing the drug release results of celecoxib injection in phosphate buffered saline solution with pH 7.4, 6.5 and 5.0 respectively in Example 8 of the present invention
  • Figure 9 is a graph showing the results of expression levels of vascular endothelial expression factors, COX-2, and prostaglandin E2 in mice subcutaneously injected with celecoxib injection for seven days in Example 8 of the present invention; in the figure, A represents vascular endothelial expression factors, and B represents COX-2 , C represents prostaglandin E2;
  • Fig. 10 is a graph showing drug release results of insulin injections in phosphate buffer solutions of pH 7.4, 6.5 and 5.0 in Example 9 of the present invention.
  • Fig. 11 is a trend diagram of insulin level and blood sugar concentration in the rat diabetic model after subcutaneous injection of insulin injection in Example 9 of the present invention; in the figure, A represents the insulin level in the body, and B represents the blood sugar concentration;
  • Figure 12 is a graph showing the drug release results of Erbesa injection in phosphate buffered saline solution with pH 7.4, 6.5 and 5.0 in Example 10 of the present invention
  • Fig. 13 is a trend diagram of blood drug concentration and blood pressure in the rat hypertensive model in Example 10 of the present invention after subcutaneous injection of irbesartan injection; in the figure, A represents the blood drug concentration, and B represents the average blood pressure;
  • Fig. 14 is a graph showing drug release results of ovalbumin injection in phosphate buffered saline solution with pH 7.4, 6.5 and 5.0 in Example 11 of the present invention
  • Fig. 15 is a graph showing the results of IgG antibody concentration in vivo in mice after subcutaneous injection of ovalbumin injection in Example 11 of the present invention.
  • Figure 16 is a graph showing the drug release results of mepivacaine injection in phosphate buffer solutions with pH 7.4, 6.5 and 5.0 in Example 12 of the present invention.
  • test materials and reagents used in the following examples can be obtained from commercial sources unless otherwise specified.
  • OE-1 and polycaprolactone diol are respectively in mass ratio 1:1, 1:3, 1:5, 1:7, 1:9, 1:11, 1 :13 weighed and put into a beaker, stirred and mixed for 30 minutes to obtain a miscible substance, which was named as E-1-E-7 respectively.
  • mice embryonic fibroblasts (3T3) and human hepatocytes (QSG) into 96-well cell culture plates, respectively, to ensure 104 cells per well, culture overnight, remove the original medium, add 180 ⁇ L of fresh medium, and then Add 20 ⁇ L of E-1—E-7, EA—ED blends whose concentrations varied from 1 to 5000 mg/mL to each space.
  • Preparation method of injection with paclitaxel as the active substance under nitrogen protection, 800 mg of E-1 blend and 200 mg of paclitaxel were heated and miscible at 60 ° C, and then naturally cooled to room temperature to obtain paclitaxel injection (E-1-PTX), Wherein the weight content of paclitaxel is 20%, and the weight content of E-1 is 80%.
  • paclitaxel injection E-1-PTX
  • transfer it to a screw bottle with a cap, add 50mL of 20mL phosphate buffer solution with a pH of 5.0, 6.5 and 7.4 into the bottle, let it stand at 37°C, and Take out the screw bottle at the time point, collect the phosphate buffer in the bottle, add an equal amount of fresh buffer and continue to stand still, then take 1mL of the old buffer to measure the paclitaxel concentration, and then calculate the release amount of paclitaxel.
  • the above operation was repeated three times.
  • the drug release of paclitaxel injection is zero-order release and shows an obvious long-acting sustained-release effect, and the drug release rate is positively correlated with the acidity of the buffer.
  • paclitaxel injection E-1-PTX
  • the dose of paclitaxel content 30mg/kg was injected into different tumor-bearing mice by intratumoral injection, and then the tumor volume, tumor mass and Mouse body weight was recorded.
  • the results are shown in Figure 7, paclitaxel injection (E-1-PTX) exhibits long-acting tumor suppressive ability and can significantly reduce toxic and side effects.
  • celecoxib injection ED-CXB
  • celecoxib injection ED-CXB
  • ED-CXB celecoxib injection
  • COX-2 vascular endothelial growth factor
  • prostaglandin E 2 the expression levels of vascular endothelial growth factor, COX-2 and prostaglandin E 2 were detected.
  • celecoxib injection ED-CXB
  • FIG. 9 celecoxib injection (ED-CXB) can significantly reduce the vascular endothelial
  • the expression of growth factors, COX-2 and prostaglandin E 2 showed obvious long-term anti-inflammatory effect.
  • Preparation method of injection with insulin as active agent 840 mg of E-B and 160 mg of insulin are dissolved under reduced pressure and stirring to obtain insulin injection (E-B-INS), wherein the weight content of insulin is 16%, and the weight content of E-B is 84% .
  • E-B-INS insulin injection
  • transfer it to a screw bottle with a cap
  • Take out the screw bottle collect the phosphate buffer solution in the bottle, add an equal amount of fresh buffer solution and continue to stand still, then take 1mL of the old buffer solution to measure its insulin concentration, and then calculate the release amount of insulin.
  • the above operation was repeated three times.
  • the drug release of the insulin injection was zero-order release and showed an obvious long-term sustained release effect.
  • the drug release rate was positively correlated with the acidity of the buffer.
  • the prepared insulin injection (E-B-INS) was subcutaneously injected into different hyperglycemia model rats with a dose of 5 IU/kg of insulin, and the blood insulin concentration and blood sugar level were detected. The results are shown in FIG. 11 , the insulin injection (E-B-INS) can release insulin continuously in the body for a long time, and maintain the blood sugar of rats at a normal blood sugar level.
  • Preparation method of injection with irbesartan as active agent mix 770mg of E-1 and 230mg of irbesartan, heat to 70°C under nitrogen atmosphere and stirring to dissolve, then cool to room temperature to obtain irbesartan Injection (E-1-Irbe), wherein the weight content of irbesartan is 23%, and the weight content of E-1 is 77%.
  • E-1-Irbe irbesartan Injection
  • irbesartan injection E-1-Irbe
  • move it to a screw bottle with a cap add 20mL of phosphate buffer solution with a pH of 5.0, 6.5 and 7.4 into the bottle, let it stand at 37°C, and Take out the screw bottle at the preset time point, collect the phosphate buffer in the bottle, add an equal amount of fresh buffer and continue to stand still, then take 1mL of the old buffer to measure its concentration of irbesartan, and then calculate the irbesartan concentration Tank release.
  • the above operation was repeated three times.
  • the drug release of irbesartan injection was zero-order release and showed an obvious long-term sustained release effect.
  • the drug release rate was positively correlated with the acidity of the buffer.
  • Irbesartan and the prepared irbesartan injection were used to treat hypertension model rats with a dose of irbesartan content of 40 mg/kg, wherein irbesartan was administered orally , Irbesartan injection (E-1-Irbe) is administered in the form of subcutaneous injection, and the drug concentration in the blood is detected at the preset time point, and the blood pressure level is detected at the same time.
  • the results are shown in Figure 13. Besartan can lower blood pressure, but its concentration drops rapidly, correspondingly the blood pressure of rats rises rapidly, while irbesartan injection can continuously release irbesartan in the body and maintain the blood pressure of rats at a normal level.
  • Preparation method of injection with ovalbumin as active agent After mechanically mixing 950 mg of E-C and 50 mg of ovalbumin, dissolve under reduced pressure and stirring to obtain ovalbumin injection (E-C-Ova), wherein the weight of ovalbumin The content is 5%, and the weight content of E-C is 95%.
  • ovalbumin injection E-C-Ova
  • transfer it to a screw bottle with a cap, add 20mL of phosphate buffer solution with pH 5.0, 6.5 and 7.4 into the bottle, let stand at 37°C, and Take out the screw bottle at the time point, collect the phosphate buffer in the bottle, add an equal amount of fresh buffer and continue to stand still, then take 1mL of the old buffer to measure the concentration of ovalbumin, and then calculate the release amount of ovalbumin.
  • the drug release of ovalbumin injection was zero-order release and showed an obvious long-term sustained release effect.
  • the drug release rate was positively correlated with the acidity of the buffer.
  • ovalbumin injection and the prepared ovalbumin injection were injected into different mice on the 1st day and the 15th day by subcutaneous injection at a dose of 50 mg/kg ovalbumin content, and the ovalbumin injection was detected. IgG concentration.
  • ovalbumin can make mice produce certain antibodies, but its concentration drops rapidly, while ovalbumin injection (E-C-Ova) can continuously release ovalbumin in vivo, and keep the antibody of mice continuously. maintain at a high level to achieve a good immune effect.
  • Preparation method of injection with mepivacaine as active agent after mixing 550 mg of E-A and 450 mg of mepivacaine, heat to 45° C. to dissolve under nitrogen atmosphere and stirring, then cool to room temperature to obtain mepivacaine injection ( E-A-Mep), wherein the weight content of mepivacaine is 45%, and the weight content of E-A is 55%.
  • the mepivacaine injection and the prepared mepivacaine injection were subcutaneously injected into different pain model rats with a mepivacaine content of 200 mg/kg. Then record the time required for rats to achieve normal response to deep pain and electrical stimulation, and record the time required for rats to recover from motor weakness to normal. When half of the rats return to normal, the detection is stopped. The recorded results are shown in Table 1.
  • the analgesic duration of mepivacaine injection (E-A-Mep) is significantly longer than that of mepivacaine alone, which can achieve a good therapeutic effect.
  • Table 1 is the treatment result of mepivacaine injection and mepivacaine alone

Abstract

An orthoester mixture pharmaceutical excipient, relating to the field of pharmaceutical excipients, and mainly obtained by mixing different orthoester compounds in different proportions or by mixing orthoester compounds with biocompatible medical polymer materials in different proportions. Also disclosed are a preparation method for the pharmaceutical excipient, and a topical sustained-release drug delivery preparation containing the excipient. The beneficial effects are that: the fluidity of the orthoester mixture pharmaceutical excipient can be adjusted; the degradation rate can be controlled, and the drug release rate can be adjusted; the orthoester mixture pharmaceutical excipient can be used as a good solvent, and can dissolve small molecule and protein drugs; topical injections, creams and ointments can be prepared; good biocompatibility is achieved, metabolism is clear, and clinical translation and use are facilitated.

Description

原酸酯混溶物药用辅料、制备方法、包含该辅料的局部缓释给药制剂Orthoester miscible pharmaceutical excipient, preparation method, local sustained-release drug preparation containing the excipient 技术领域technical field
本发明涉及药用辅料领域,具体涉及一种原酸酯混溶物药用辅料、制备方法、包含该辅料的局部缓释给药制剂。The invention relates to the field of pharmaceutical excipients, in particular to an orthoester miscible pharmaceutical excipient, a preparation method, and a local sustained-release drug preparation containing the excipient.
背景技术Background technique
聚原酸酯(Poly(ortho esters),POE)是一种酸敏感可生物降解的高分子材料,自上世纪60年代美国Jorge Heller及其同事首次合成以来,因其具有独特的性能,在临床上得到广泛研究和应用。原酸酯键具有自催化功能,可根据需要赋予药物辅料特定生理微环境响应性,通过物理化学性质动态变化,实现药物在作用部位的长效缓释和靶向富集,增强治疗效果。因此,基于原酸酯构建人体特定pH(超)敏感的药物辅料具有重要的科学意义和临床应用价值。Poly (ortho esters), POE is an acid-sensitive biodegradable polymer material, since it was first synthesized by Jorge Heller and his colleagues in the United States in the 1960s, because of its unique properties, it has been widely used in clinical practice. has been extensively researched and applied. The orthoester bond has a self-catalytic function, which can endow drug excipients with specific physiological and microenvironmental responsiveness as required, and achieve long-term sustained release and targeted enrichment of drugs at the site of action through dynamic changes in physical and chemical properties, thereby enhancing the therapeutic effect. Therefore, the construction of human body-specific pH (ultra)sensitive pharmaceutical excipients based on orthoesters has important scientific significance and clinical application value.
传统聚原酸酯已经发展了四代,通常所用的制备方法多采用原酸酯和多元醇的酯交换缩合法及多元醇类与一种二(烯酮缩二醇)单体的加成聚合法,但这两种方法均存在较大局限:(1)酯交换法需要高温、高压、较长的反应时间以及分子量不可控等缺点,该种方法已经不再发展;(2)加成聚合法虽然取得了较大的成功,但需要一种二(烯酮缩二醇)单体(DETOSU),这种单体对光和湿气非常敏感,制备、存储及使用均需要苛刻的条件;(3)上述聚原酸酯材料均是固体或半固态聚合物,一方面难以与活性负载剂(药物)混溶,另一方面会影响活性负载剂(药物)以容 易、可靠及可控的方式释放出来。因此,基于简单工艺制备具有一定流动性的原酸酯辅料以及探索其在医药领域的应用是人们研究的热点之一。Traditional polyorthoesters have been developed for four generations, and the commonly used preparation methods mostly use the transesterification condensation method of orthoesters and polyols and the addition polymerization of polyols and a di(ketene acetal) monomer However, these two methods have relatively large limitations: (1) the transesterification method requires high temperature, high pressure, long reaction time and uncontrollable molecular weight and other shortcomings, and this method has no longer been developed; (2) addition polymerization Although the method has achieved greater success, it needs a di(ketene acetal) monomer (DETOSU), which is very sensitive to light and moisture, and requires harsh conditions for preparation, storage and use; (3) The above-mentioned polyorthoester materials are all solid or semi-solid polymers. On the one hand, it is difficult to be miscible with the active load agent (drug), and on the other hand, it will affect the active load agent (drug) to be easily, reliably and controllable. way released. Therefore, the preparation of orthoester excipients with certain fluidity based on a simple process and the exploration of its application in the field of medicine are one of the hotspots of research.
公开号为CN103804684B的专利公开一种聚原酸酯药用辅料及其缓释药物新制剂,采用酰胺反应得到的聚原酸酯药用辅料,虽然原酸酯单体稳定且聚合条件温和,但是该辅料存在以下问题:(1)固体粉末,没有流动性,无法直接作为良好的溶剂溶解药物,也无法直接用于局部注射针剂、乳膏剂及软膏剂;(2)通过酰胺聚合得到,合成和纯化工艺虽有改进,但仍然复杂且每批次可重复性较差;(3)结构中存在大量酰胺键,一旦在体内水解出氨基,作为亲核试剂容易破坏部分药物的结构。The patent with the publication number CN103804684B discloses a polyorthoester pharmaceutical excipient and its new formulation for slow-release drugs. The polyorthoester pharmaceutical excipient obtained by amide reaction, although the orthoester monomer is stable and the polymerization conditions are mild, but The auxiliary material has the following problems: (1) solid powder, no fluidity, can not be directly used as a good solvent to dissolve drugs, and can not be directly used in local injections, creams and ointments; (2) obtained by amide polymerization, synthesis and Although the purification process has been improved, it is still complicated and the repeatability of each batch is poor; (3) There are a large number of amide bonds in the structure. Once the amino group is hydrolyzed in vivo, it is easy to destroy the structure of some drugs as a nucleophile.
公开号为CN101052376A的专利申请公开一种半固体递送载体,但包括聚原酸酯和赋形剂,但其也存在以下问题:(1)半固体状,流动性差,因此,需要与聚原酸酯相容的液体赋形剂;(2)需要一种二(烯酮缩二醇)单体(DETOSU),这种单体对光和湿气非常敏感,制备、存储及使用均需要苛刻的条件;(3)聚原酸酯作为聚合物,其分子量分布具有一定的分散性且每批次可重复性较差。Publication No. CN101052376A patent application discloses a semi-solid delivery carrier, but includes polyorthoester and excipient, but it also has the following problems: (1) semi-solid, poor fluidity, therefore, it needs to be combined with polyorthoester Ester-compatible liquid excipient; (2) need a kind of bis (ketene ketal) monomer (DETOSU), this monomer is very sensitive to light and moisture, preparation, storage and use all need harsh conditions. Conditions; (3) Polyorthoester is used as a polymer, and its molecular weight distribution has a certain dispersion and the repeatability of each batch is poor.
发明内容Contents of the invention
本发明所要解决的技术问题在于现有技术中的药用辅料为固体或半固体,没有流动性或流动性差,无法直接作为良好的溶剂溶解药物,也无法直接用于局部注射针剂、乳膏剂及软膏剂,每批次可重复性较差,易破坏药物结构,提供一种原酸酯混溶物药用辅料、制备方法、包含该辅料的局部缓释给药制剂。The technical problem to be solved by the present invention is that the pharmaceutical excipients in the prior art are solid or semi-solid, have no fluidity or poor fluidity, and cannot be directly used as good solvents to dissolve medicines, nor can they be directly used in local injections, creams and The ointment has poor reproducibility in each batch and is easy to destroy the drug structure. It provides an orthoester miscible pharmaceutical excipient, a preparation method, and a local sustained-release drug preparation containing the excipient.
本发明通过以下技术手段实现解决上述技术问题:The present invention realizes solving above-mentioned technical problem by following technical means:
一种原酸酯混溶物药用辅料,主要由不同原酸酯化合物按不同比例相互混溶或原酸酯化合物与生物相容性医用高分子材料按不同比例混溶得到;An orthoester miscible pharmaceutical excipient, which is mainly obtained by mixing different orthoester compounds with each other in different proportions or orthoester compounds with biocompatible medical polymer materials in different proportions;
所述原酸酯化合物的化学式如式I所示:The chemical formula of the orthoester compound is as shown in formula I:
Figure PCTCN2022070666-appb-000001
Figure PCTCN2022070666-appb-000001
其中R表示氢、甲基、乙基、丙基、异丙基、丁基或苯基。wherein R represents hydrogen, methyl, ethyl, propyl, isopropyl, butyl or phenyl.
有益效果:本发明中的原酸酯化合物只有碳氧键,不会破坏药物结构,原酸酯化合物本身为液体,可以根据需求将原酸酯化合物互混或与液体、固体、半固体等生物相容性医用高分子材料混溶,得到流动性、溶解性、降解速率、缓释速率可调节的原酸酯混溶物药用辅料。Beneficial effects: the orthoester compound in the present invention has only carbon-oxygen bonds, which will not destroy the structure of the drug. The orthoester compound itself is liquid, and the orthoester compound can be mixed with each other or mixed with liquid, solid, semi-solid and other biological substances according to requirements. Compatible medical polymer materials are miscible to obtain orthoester miscible pharmaceutical excipients with adjustable fluidity, solubility, degradation rate, and sustained release rate.
与现有技术中聚原酸酯相比,其分子量具有一定的分散性且每批次可重复性较差,而本发明中的原酸酯单体化合物结构明确,每批次完全可重复,便于临床转化。Compared with the polyorthoester in the prior art, its molecular weight has a certain dispersion and the repeatability of each batch is poor, while the orthoester monomer compound in the present invention has a clear structure and is completely repeatable in each batch. Facilitate clinical translation.
原酸酯混溶物药用辅料溶解性能优良,可溶解小分子及蛋白类药物;良好生物相容性,代谢明确,易于临床转化使用,可制备局部注射针剂、乳膏剂及软膏剂,通过局部注射或涂抹给药后能缓慢匀速的释放活性物质且治疗效果持久,显著提高了患者的治疗指数以及依从性,具有广泛的临床应用价值。Orthoester miscible pharmaceutical excipients have excellent solubility, and can dissolve small molecules and protein drugs; good biocompatibility, clear metabolism, easy clinical transformation and use, can be prepared for local injection injections, creams and ointments, through local After injection or smearing, the active substance can be released slowly and uniformly, and the therapeutic effect is long-lasting, which significantly improves the therapeutic index and compliance of patients, and has a wide range of clinical application value.
本发明原酸酯化合物化学式两端O上的取代基为甲基,如果该取代基发生改变,会对原酸酯的物理形态和降解速率产生影响,如若将甲基替换成疏水性过大的基团,将会形成半固体及固体,降解速率也会变慢,本发 明中化学式两端O上的取代基为甲基,通过改变基团R,得到的原酸酯化合物仍为液体状。The substituent on the two ends of the chemical formula of the orthoester compound of the present invention is a methyl group. If the substituent changes, it will affect the physical form and degradation rate of the orthoester. If the methyl group is replaced by a hydrophobic one The group will form semi-solid and solid, and the degradation rate will also slow down. In the present invention, the substituents on the O at both ends of the chemical formula are methyl groups. By changing the group R, the obtained orthoester compound is still liquid.
优选地,所述不同原酸酯化合物之间的配比为1:1000-1000:1,所述原酸酯化合物与生物相容性医用高分子材料的配比为1:1000-1000:1。Preferably, the ratio between the different orthoester compounds is 1:1000-1000:1, and the ratio between the orthoester compound and the biocompatible medical polymer material is 1:1000-1000:1 .
有益效果:通过上述不同配比调节混溶物的流动性、溶解性、降解速率。Beneficial effects: the fluidity, solubility and degradation rate of the miscible are adjusted through the above-mentioned different proportions.
优选地,所述生物相容性医用高分子材料包括:Preferably, the biocompatible medical polymer material includes:
(i)聚己内酯(i) Polycaprolactone
Figure PCTCN2022070666-appb-000002
Figure PCTCN2022070666-appb-000002
其中,m表示整数值2-100;Wherein, m represents an integer value 2-100;
(ii)聚己内酯二醇(ii) Polycaprolactone diol
Figure PCTCN2022070666-appb-000003
Figure PCTCN2022070666-appb-000003
其中,n表示整数值1-50;Wherein, n represents an integer value 1-50;
(iii)聚乳酸(iii) Polylactic acid
Figure PCTCN2022070666-appb-000004
Figure PCTCN2022070666-appb-000004
其中,x表示整数值2-100;where x represents an integer value 2-100;
(iv)聚乙二醇(iv) polyethylene glycol
Figure PCTCN2022070666-appb-000005
Figure PCTCN2022070666-appb-000005
其中,y表示整数值2-150。where y represents an integer value 2-150.
优选地,所述原酸酯化合物的制备方法包括以下步骤:氮气保护下,二甘油、三甲酯类以及催化剂按照摩尔比1:(2.2-5.0):(0.01-0.04)溶于第一有机溶剂,并常温搅拌反应12-48小时,然后饱和碳酸钠萃取、无水硫酸镁干燥后,减压蒸馏除去多余的三甲酯类原料得到原酸酯化合物。Preferably, the preparation method of the ortho ester compound comprises the following steps: under the protection of nitrogen, diglycerol, trimethyl esters and catalysts are dissolved in the first organic solvent according to the molar ratio of 1:(2.2-5.0):(0.01-0.04) , and stirred at room temperature for 12-48 hours, then extracted with saturated sodium carbonate, dried over anhydrous magnesium sulfate, and evaporated under reduced pressure to remove excess trimethyl ester raw materials to obtain orthoester compounds.
有益效果:本发明中的原酸酯化合物合成方法简单,常温常压一步制备,且结构中只有碳氧键,不会破坏药物结构。Beneficial effect: the synthesis method of the ortho ester compound in the present invention is simple, can be prepared in one step at normal temperature and pressure, and only has carbon-oxygen bonds in the structure, which will not damage the drug structure.
现有技术中聚原酸酯的合成方法为加成聚合法,其需要一种二(烯酮缩二醇)单体,这种单体对光和湿气非常敏感,制备、存储及使用均需要苛刻的条件。The synthetic method of polyorthoester in the prior art is addition polymerization method, and it needs a kind of bis (ketene acetal) monomer, and this monomer is very sensitive to light and moisture, and preparation, storage and use are all difficult. Harsh conditions are required.
优选地,所述第一有机溶剂包括乙腈、二氯甲烷、四氢呋喃、二氧六环,所述三甲酯类原料包括原甲酸三甲酯、原乙酸三甲酯、原丙酸三甲酯、原异丙酸三甲酯、原丁酸三甲酯、原苯甲酸三甲酯,所述催化剂包括对甲苯磺酸、对甲苯磺酸吡啶鎓。Preferably, the first organic solvent includes acetonitrile, dichloromethane, tetrahydrofuran, and dioxane, and the trimethyl ester raw materials include trimethyl orthoformate, trimethyl orthoacetate, trimethyl orthopropionate, ortho Trimethyl isopropionate, trimethyl orthobutyrate, trimethyl orthobenzoate, the catalyst includes p-toluenesulfonic acid, pyridinium p-toluenesulfonate.
上述原酸酯混溶物药用辅料的制备方法,包括以下步骤:将不同原酸酯化合物或原酸酯化合物与生物相容性医用高分子材料混溶,所述混溶方法包括在25-140℃、负压下混溶或25-140℃、氮气气氛条件下混溶,或者用第二有机溶剂溶解后混溶,并减压除去有机溶剂。The preparation method of the above-mentioned orthoester miscible pharmaceutical excipients comprises the following steps: miscible different orthoester compounds or orthoester compounds with biocompatible medical polymer materials, and the miscibility method is included in 25- 140°C, miscible under negative pressure or 25-140°C, miscible under nitrogen atmosphere, or miscible after dissolving with a second organic solvent, and remove the organic solvent under reduced pressure.
有益效果:本发明中的药物辅料制备方法简单,原酸酯化合物只有碳氧键,不会破坏药物结构,原酸酯化合物本身为液体,可以根据需求将原酸酯化合物互混或与固体、半固体、液体生物相容性医用高分子材料混溶,得到流动性、溶解性、降解速率、缓释速率可调节的原酸酯混溶物药用辅料,且每批次完全可重复。Beneficial effects: the preparation method of the pharmaceutical excipient in the present invention is simple, the orthoester compound has only carbon-oxygen bonds, and will not destroy the drug structure, and the orthoester compound itself is liquid, and the orthoester compound can be mixed or mixed with solid, Semi-solid and liquid biocompatible medical polymer materials are miscible to obtain orthoester miscible pharmaceutical excipients with adjustable fluidity, solubility, degradation rate, and sustained release rate, and each batch is completely reproducible.
原酸酯混溶物药用辅料溶解性能优良,可溶解小分子及蛋白类药物;良好生物相容性,代谢明确,易于临床转化使用,可制备局部注射针剂、乳膏剂及软膏剂,通过局部注射或涂抹给药后能缓慢匀速的释放活性物质且治疗效果持久,显著提高了患者的治疗指数以及依从性,具有广泛的临床应用价值。Orthoester miscible pharmaceutical excipients have excellent solubility, and can dissolve small molecules and protein drugs; good biocompatibility, clear metabolism, easy clinical transformation and use, can be prepared for local injection injections, creams and ointments, through local After injection or smearing, the active substance can be released slowly and uniformly, and the therapeutic effect is long-lasting, which significantly improves the therapeutic index and compliance of patients, and has a wide range of clinical application value.
优选地,所述第二有机溶剂包括四氢呋喃、二氯甲烷、二氧六环、乙醇、甲醇、氯仿、丙酮、二甲基亚砜、N,N-二甲基甲酰胺。Preferably, the second organic solvent includes tetrahydrofuran, dichloromethane, dioxane, ethanol, methanol, chloroform, acetone, dimethyl sulfoxide, and N,N-dimethylformamide.
局部缓释给药制剂,包括上述原酸酯混溶物药用辅料和活性物质,通过测定活性物质在原酸酯混溶物药用辅料中的溶解性、流动性、降解及药物释放速率,所述活性物质的重量百分比为0.1-50%,所述原酸酯混溶物药用辅料的重量百分比为50-99.9%。Local sustained-release drug preparations, including the above-mentioned orthoester miscible pharmaceutical excipients and active substances, are determined by measuring the solubility, fluidity, degradation and drug release rate of the active substances in the orthoester miscible pharmaceutical excipients. The weight percentage of the active substance is 0.1-50%, and the weight percentage of the orthoester miscible pharmaceutical excipient is 50-99.9%.
有益效果:本发明中的原酸酯混溶物药用辅料可以与活性物质复合形成给药制剂,制剂形态可以为注射针剂、乳膏剂及软膏剂,可制备局部通过局部注射或涂抹给药后能缓慢匀速的释放活性物质且治疗效果持久,显著提高了患者的治疗指数以及依从性,具有广泛的临床应用价值。Beneficial effects: the orthoester miscible pharmaceutical excipients in the present invention can be compounded with active substances to form drug preparations, and the preparation forms can be injections, creams and ointments, and can be prepared locally after administration by local injection or smearing The active substance can be released slowly and uniformly, and the therapeutic effect is long-lasting, which significantly improves the therapeutic index and compliance of patients, and has wide clinical application value.
通过活性物质和原酸酯混溶物药用辅料的重量百分比,调节活性物质在原酸酯混溶物药用辅料中的溶解性、流动性、降解及药物释放速率。The solubility, fluidity, degradation and drug release rate of the active substance in the orthoester miscible pharmaceutical excipient are adjusted through the weight percentage of the active substance and the orthoester miscible pharmaceutical excipient.
优选地,所述活性物质选自抗肿瘤药物、抗炎药物、降血糖药物、降血压药物、镇痛药物、蛋白类疫苗中的一种或多种。Preferably, the active substance is selected from one or more of antitumor drugs, anti-inflammatory drugs, hypoglycemic drugs, hypotensive drugs, analgesic drugs, and protein vaccines.
优选地,所述活性物质选自镇静催眠药、抗癫痫药、抗精神病药、抗抑郁药、抗焦虑药、抗躁狂药、镇痛药、麻醉药、非甾体抗炎药、拟胆碱和抗胆碱药、抗溃疡药、胃动力药、止吐药、抗过敏药、作用于肾上腺素 受体药、降血糖药、抗高血压药、利尿药、强心药、抗心律失常药、抗心绞痛药、血脂调节药、甾体激素药、抗生素、合成抗菌药、抗病毒药、抗肿瘤药以及治疗性多肽或蛋白,其中所述活性物质是局部可涂抹软膏剂、乳膏剂或可注射流体形式。Preferably, the active substance is selected from the group consisting of sedative-hypnotics, antiepileptics, antipsychotics, antidepressants, anxiolytics, antimanics, analgesics, narcotics, NSAIDs, cholemimetics Alkaline and anticholinergic drugs, antiulcer drugs, gastric motility drugs, antiemetics, antiallergic drugs, drugs acting on adrenergic receptors, hypoglycemic drugs, antihypertensive drugs, diuretics, cardiotonic drugs, antiarrhythmic drugs, antihypertensive drugs Angina drugs, blood lipid regulating drugs, steroid hormone drugs, antibiotics, synthetic antibacterial drugs, antiviral drugs, antineoplastic drugs and therapeutic polypeptides or proteins, wherein the active substance is a topical ointment, cream or injectable fluid form.
优选地,所述抗肿瘤药物包括但不限于化疗药物紫杉醇、阿霉素、吉西他滨、5-氟尿嘧啶、喜树碱、羟基喜树碱、顺铂、卡铂,以及靶向治疗药物PD-1、吉非替尼、厄洛替尼、索拉菲尼、达沙替尼。可以通过活性物质的局部缓释来给药。Preferably, the anti-tumor drugs include but are not limited to chemotherapy drugs paclitaxel, doxorubicin, gemcitabine, 5-fluorouracil, camptothecin, hydroxycamptothecin, cisplatin, carboplatin, and targeted therapy drugs PD-1, Gefitinib, Erlotinib, Sorafenib, Dasatinib. Administration may be by local sustained release of the active substance.
优选地,所述抗炎药物包含且不限于阿司匹林、双氯芬酸钠、布洛芬、氟比洛芬、酮洛芬、萘普生、吲哚布芬、吲哚美辛、吡罗昔康、美洛昔康、艾瑞昔布、塞来昔布、地塞米松、氢化可的松、泼尼松龙、甲泼尼松龙、曲安奈德、氟轻松、氟氢可的松、倍氯米松等抗炎药物。抗炎类药物的添加量为治疗有效量。Preferably, the anti-inflammatory drugs include and are not limited to aspirin, diclofenac sodium, ibuprofen, flurbiprofen, ketoprofen, naproxen, indobufen, indomethacin, piroxicam, meloxime Kang, Erecoxib, Celecoxib, Dexamethasone, Hydrocortisone, Prednisolone, Methylprednisolone, Triamcinolone acetonide, Fluocinolone, Fludrocortisone, Beclomethasone, etc. Inflammation drugs. The added amount of anti-inflammatory drugs is a therapeutically effective amount.
优选地,所述降血糖药物包含且不限于胰岛素及其类似物、磺酰脲类促泌剂、二甲双胍类、α-葡萄糖苷酶抑制剂、噻唑烷二酮类衍生物促敏剂、苯茴酸类衍生物促泌剂、GLP-1受体激动剂、DPP-4酶抑制剂等一线降糖药物。降血糖药物的添加量为治疗有效量。Preferably, the hypoglycemic drugs include and are not limited to insulin and its analogs, sulfonylurea secretagogues, metformin, α-glucosidase inhibitors, thiazolidinedione derivative sensitizers, fennel Acid derivative secretagogues, GLP-1 receptor agonists, DPP-4 enzyme inhibitors and other first-line hypoglycemic drugs. The added amount of the hypoglycemic drug is a therapeutically effective amount.
优选地,所述降血压药物包含且不限于噻嗪类、潴钾利尿剂、醛固酮拮抗剂、袢利尿剂、中枢性降压药、神经节阻断药、去甲肾上腺素能神经末梢阻断药、肾上腺素受体阻断药、血管紧张素转换酶抑制药、血管紧张素Ⅱ受体阻断药、肾素抑制药、二氢吡啶类、二氢吡啶类和血管扩张药等常见降压药物。降血压药物的添加量为治疗有效量。Preferably, the antihypertensive drugs include but are not limited to thiazides, potassium retention diuretics, aldosterone antagonists, loop diuretics, central antihypertensive drugs, ganglion blocking drugs, noradrenergic nerve terminal blockers common antihypertensive drugs, adrenergic receptor blocking drugs, angiotensin converting enzyme inhibitors, angiotensin II receptor blocking drugs, renin inhibitors, dihydropyridines, dihydropyridines and vasodilators drug. The added amount of antihypertensive drugs is a therapeutically effective amount.
优选地,所述镇痛药物包含且不限于受体激动药、受体部分激动药、阿片受体拮抗药和解热镇痛药等一系列临床药物。镇痛药物的添加量为治疗有效量。镇痛药物的添加量为治疗有效量。Preferably, the analgesic drugs include but are not limited to a series of clinical drugs such as receptor agonists, partial receptor agonists, opioid receptor antagonists, and antipyretic analgesics. The added amount of analgesics is a therapeutically effective amount. The added amount of analgesics is a therapeutically effective amount.
优选地,所述蛋白类疫苗包含所有天然蛋白质和经化学灭活的类毒素。蛋白类疫苗的添加量为治疗有效量。Preferably, the protein vaccine comprises all natural proteins and chemically inactivated toxoids. The added amount of the protein vaccine is a therapeutically effective amount.
本发明的优点在于:本发明中的原酸酯化合物只有碳氧键,不会破坏药物结构,原酸酯化合物本身为液体,可以根据需求将原酸酯化合物互混或与液体、固体、半固体等生物相容性医用高分子材料混溶,得到流动性、溶解性、降解速率、缓释速率可调节的原酸酯混溶物药用辅料。The advantage of the present invention is that: the orthoester compound in the present invention has only carbon-oxygen bonds, which will not destroy the structure of the drug, and the orthoester compound itself is liquid, and the orthoester compound can be mixed with each other or mixed with liquid, solid, semi- Biocompatible medical polymer materials such as solids are miscible to obtain orthoester miscible pharmaceutical excipients with adjustable fluidity, solubility, degradation rate, and sustained release rate.
与现有技术中聚原酸酯相比,其分子量具有一定的分散性且每批次可重复性较差,而本发明中的原酸酯单体化合物结构明确,每批次完全可重复,便于临床转化。Compared with the polyorthoester in the prior art, its molecular weight has a certain dispersion and the repeatability of each batch is poor, while the orthoester monomer compound in the present invention has a clear structure and is completely repeatable in each batch. Facilitate clinical translation.
原酸酯混溶物药用辅料溶解性能优良,可溶解小分子及蛋白类药物;良好生物相容性,代谢明确,易于临床转化使用,可制备局部注射针剂、乳膏剂及软膏剂,通过局部注射或涂抹给药后能缓慢匀速的释放活性物质且治疗效果持久,显著提高了患者的治疗指数以及依从性,具有广泛的临床应用价值。Orthoester miscible pharmaceutical excipients have excellent solubility, and can dissolve small molecules and protein drugs; good biocompatibility, clear metabolism, easy clinical transformation and use, can be prepared for local injection injections, creams and ointments, through local After injection or smearing, the active substance can be released slowly and uniformly, and the therapeutic effect is long-lasting, which significantly improves the therapeutic index and compliance of patients, and has a wide range of clinical application value.
通过活性物质和原酸酯混溶物药用辅料的重量百分比,调节活性物质在原酸酯混溶物药用辅料中的溶解性、流动性、降解及药物释放速率。The solubility, fluidity, degradation and drug release rate of the active substance in the orthoester miscible pharmaceutical excipient are adjusted through the weight percentage of the active substance and the orthoester miscible pharmaceutical excipient.
附图说明Description of drawings
图1为本发明实施例1中原酸酯OE-1的 1H NMR图; Fig. 1 is the 1 H NMR figure of orthoester OE-1 in the embodiment 1 of the present invention;
图2为本发明实施例2中原酸酯OE-2的 1H NMR图; Fig. 2 is the 1 H NMR figure of orthoester OE-2 in the embodiment 2 of the present invention;
图3为本发明实施例3中原酸酯OE-3的 1H NMR图; Fig. 3 is the 1 H NMR figure of orthoester OE-3 in the embodiment 3 of the present invention;
图4为本发明实施例5中不同pH下E-1—E-7质量损失变化趋势图,图中A-G分别表示E-1—E-7;Fig. 4 is the change trend diagram of mass loss of E-1-E-7 under different pHs in Example 5 of the present invention, and A-G in the figure represent E-1-E-7 respectively;
图5为本发明实施例6中E-1—E-7(A和B)和E-A—E-D(C和D)分别对3T3和QSG细胞毒性随浓度变化图;Fig. 5 is E-1-E-7 (A and B) and E-A-E-D (C and D) in the embodiment of the present invention 6 respectively to 3T3 and QSG cytotoxicity change graph;
图6为本发明实施例7中紫杉醇注射剂分别在pH 7.4、6.5和5.0的磷酸盐缓冲溶液中药物释放结果图;Fig. 6 is the result figure of drug release in the phosphate buffer solution of pH 7.4, 6.5 and 5.0 respectively in the paclitaxel injection in embodiment 7 of the present invention;
图7为本发明实施例7中荷瘤小鼠皮下注射紫杉醇注射剂后肿瘤抑制结果图;Fig. 7 is a graph showing tumor inhibition results after subcutaneous injection of paclitaxel injection in tumor-bearing mice in Example 7 of the present invention;
图8为本发明实施例8中塞来昔布注射剂分别在pH 7.4、6.5和5.0的磷酸盐缓冲溶液中药物释放结果图;Fig. 8 is a graph showing the drug release results of celecoxib injection in phosphate buffered saline solution with pH 7.4, 6.5 and 5.0 respectively in Example 8 of the present invention;
图9为本发明实施例8中小鼠皮下注射塞来昔布注射剂七天后血管内皮表达因子、COX-2、前列腺素E2表达含量结果图;图中A表示血管内皮表达因子,B表示COX-2,C表示前列腺素E2;Figure 9 is a graph showing the results of expression levels of vascular endothelial expression factors, COX-2, and prostaglandin E2 in mice subcutaneously injected with celecoxib injection for seven days in Example 8 of the present invention; in the figure, A represents vascular endothelial expression factors, and B represents COX-2 , C represents prostaglandin E2;
图10为本发明实施例9中胰岛素注射剂在pH7.4、6.5和5.0的磷酸盐缓冲溶液中的药物释放结果图;Fig. 10 is a graph showing drug release results of insulin injections in phosphate buffer solutions of pH 7.4, 6.5 and 5.0 in Example 9 of the present invention;
图11为本发明实施例9中大鼠糖尿病模型皮下注射胰岛素注射剂后体内胰岛素水平和血糖浓度变化趋势图;图中A表示体内胰岛素水平,B表示血糖浓度;Fig. 11 is a trend diagram of insulin level and blood sugar concentration in the rat diabetic model after subcutaneous injection of insulin injection in Example 9 of the present invention; in the figure, A represents the insulin level in the body, and B represents the blood sugar concentration;
图12为本发明实施例10中厄贝沙注射剂在pH为7.4、6.5和5.0的磷酸盐缓冲溶液中的药物释放结果图;Figure 12 is a graph showing the drug release results of Erbesa injection in phosphate buffered saline solution with pH 7.4, 6.5 and 5.0 in Example 10 of the present invention;
图13为本发明实施例10中大鼠高血压模型皮下注射厄贝沙坦注射剂后体内血药浓度和血压变化趋势图;图中A表示血药浓度,B表示平均血压;Fig. 13 is a trend diagram of blood drug concentration and blood pressure in the rat hypertensive model in Example 10 of the present invention after subcutaneous injection of irbesartan injection; in the figure, A represents the blood drug concentration, and B represents the average blood pressure;
图14为本发明实施例11中卵清蛋白注射剂在pH 7.4、6.5和5.0的磷酸盐缓冲溶液中的药物释放结果图;Fig. 14 is a graph showing drug release results of ovalbumin injection in phosphate buffered saline solution with pH 7.4, 6.5 and 5.0 in Example 11 of the present invention;
图15为本发明实施例11中小鼠皮下注射卵清蛋白注射剂后体内IgG抗体浓度结果图;Fig. 15 is a graph showing the results of IgG antibody concentration in vivo in mice after subcutaneous injection of ovalbumin injection in Example 11 of the present invention;
图16为本发明实施例12中甲哌卡因注射剂在pH 7.4、6.5和5.0的磷酸盐缓冲溶液中的药物释放结果图。Figure 16 is a graph showing the drug release results of mepivacaine injection in phosphate buffer solutions with pH 7.4, 6.5 and 5.0 in Example 12 of the present invention.
具体实施方式Detailed ways
为使本发明实施例的目的、技术方案和优点更加清楚,下面将结合本发明实施例,对本发明实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例是本发明一部分实施例,而不是全部的实施例。基于本发明中的实施例,本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施例,都属于本发明保护的范围。In order to make the purpose, technical solutions and advantages of the embodiments of the present invention clearer, the technical solutions in the embodiments of the present invention will be clearly and completely described below in conjunction with the embodiments of the present invention. Obviously, the described embodiments are part of the present invention Examples, not all examples. Based on the embodiments of the present invention, all other embodiments obtained by persons of ordinary skill in the art without making creative efforts belong to the protection scope of the present invention.
下述实施例中所用的试验材料和试剂等,如无特殊说明,均可从商业途径获得。The test materials and reagents used in the following examples can be obtained from commercial sources unless otherwise specified.
实施例中未注明具体技术或条件者,均可以按照本领域内的文献所描述的技术或条件或者按照产品说明书进行。Those that do not indicate specific techniques or conditions in the examples can be carried out according to the techniques or conditions described in the documents in this field or according to the product instructions.
实施例1Example 1
原酸酯化合物4,4'-(氧基双(亚甲基))双(2-甲氧基-1,3-二氧戊环)(OE-1) 的合成Synthesis of ortho ester compound 4,4'-(oxybis(methylene))bis(2-methoxy-1,3-dioxolane)(OE-1)
在氮气保护下,向反应瓶中分别加入二甘油(16.6g,0.1mol)、原甲酸三甲酯(31.84g,0.3mol)和对甲苯磺酸(344.4mg,0.002mol),加入乙腈(150mL)溶解后在常温下反应过夜。其粗产物减压蒸馏除去乙腈后,加入乙酸乙酯溶解,饱和碳酸钠溶液萃取,无水硫酸镁干燥,减压蒸馏除去乙酸乙酯和多余的原甲酸三甲酯得到无色油状产物,产率为83%, 1H NMR如图1所示。 Under nitrogen protection, diglycerol (16.6g, 0.1mol), trimethyl orthoformate (31.84g, 0.3mol) and p-toluenesulfonic acid (344.4mg, 0.002mol) were added to the reaction flask, and acetonitrile (150mL ) was dissolved and reacted overnight at room temperature. After the crude product was distilled off under reduced pressure to remove acetonitrile, ethyl acetate was added to dissolve it, extracted with saturated sodium carbonate solution, dried over anhydrous magnesium sulfate, ethyl acetate and excess trimethyl orthoformate were distilled off under reduced pressure to obtain a colorless oily product, The yield was 83%, as shown in FIG. 1 by 1 H NMR.
实施例2Example 2
原酸酯化合物4,4'-(氧基双(亚甲基))双(2-甲氧基-4-甲基-1,3-二氧戊环)(OE-2)的合成Synthesis of ortho ester compound 4,4'-(oxybis(methylene))bis(2-methoxy-4-methyl-1,3-dioxolane)(OE-2)
在氮气保护下,向反应瓶中分别加入二甘油(16.6g,0.1mol)、原乙酸三甲酯(36.05g,0.3mol)和对甲苯磺酸(344.4mg,0.002mol),加入乙腈(150mL)溶解后在常温下反应过夜。其粗产物减压蒸馏除去乙腈后,加入乙酸乙酯溶解,饱和碳酸钠溶液萃取,无水硫酸镁干燥,减压蒸馏除去乙酸乙酯和多余的原甲酸三甲酯得到无色油状产物,产率为78%, 1H NMR如图2所示。 Under nitrogen protection, diglycerol (16.6g, 0.1mol), trimethyl orthoacetate (36.05g, 0.3mol) and p-toluenesulfonic acid (344.4mg, 0.002mol) were added to the reaction flask, and acetonitrile (150mL ) was dissolved and reacted overnight at room temperature. After the crude product was distilled off under reduced pressure to remove acetonitrile, ethyl acetate was added to dissolve it, extracted with saturated sodium carbonate solution, dried over anhydrous magnesium sulfate, ethyl acetate and excess trimethyl orthoformate were distilled off under reduced pressure to obtain a colorless oily product, The yield was 78%. 1 H NMR is shown in FIG. 2 .
实施例3Example 3
原酸酯化合物4,4'-(氧基双(亚甲基))双(4-乙基-2-甲氧基-1,3-二氧戊环)(OE-3)的合成Synthesis of ortho ester compound 4,4'-(oxybis(methylene))bis(4-ethyl-2-methoxy-1,3-dioxolane)(OE-3)
在氮气保护下,向反应瓶中分别加入二甘油(16.6g,0.1mol)、原丙酸三甲酯(40.25g,0.3mol)和对甲苯磺酸(344.4mg,0.002mol),加入二氯甲烷(150mL)溶解后在常温下反应过夜。其粗产物减压蒸馏除去乙腈后, 加入乙酸乙酯溶解,饱和碳酸钠溶液萃取,无水硫酸镁干燥,减压蒸馏除去乙酸乙酯和多余的原甲酸三甲酯得到无色油状产物,产率为81%, 1H NMR如图3所示。 Under nitrogen protection, diglycerol (16.6g, 0.1mol), trimethyl orthopropionate (40.25g, 0.3mol) and p-toluenesulfonic acid (344.4mg, 0.002mol) were added to the reaction flask, and dichloro Methane (150 mL) was dissolved and reacted overnight at room temperature. The crude product was distilled under reduced pressure to remove acetonitrile, dissolved in ethyl acetate, extracted with saturated sodium carbonate solution, dried over anhydrous magnesium sulfate, and distilled under reduced pressure to remove ethyl acetate and excess trimethyl orthoformate to obtain a colorless oily product. The yield was 81%, as shown in FIG. 3 by 1 H NMR.
实施例4Example 4
OE-1与聚己内酯二醇(Mn=530)、聚己内酯(Mn=2000)、聚乙二醇(Mn=500)、聚乳酸(Mn=600)、OE-3混溶物的制备Miscibility of OE-1 with polycaprolactone diol (Mn=530), polycaprolactone (Mn=2000), polyethylene glycol (Mn=500), polylactic acid (Mn=600), OE-3 preparation of
常温、氮气气氛下,OE-1和聚己内酯二醇(Mn=530)分别按质量比1:1、1:3、1:5、1:7、1:9、1:11、1:13称量放到烧杯中,搅拌混合30分钟后得到混溶物,分别命名为E-1—E-7。Under normal temperature and nitrogen atmosphere, OE-1 and polycaprolactone diol (Mn=530) are respectively in mass ratio 1:1, 1:3, 1:5, 1:7, 1:9, 1:11, 1 :13 weighed and put into a beaker, stirred and mixed for 30 minutes to obtain a miscible substance, which was named as E-1-E-7 respectively.
75℃、负压下,OE-1和聚己内酯(Mn=2000)、聚乙二醇(Mn=500)、聚乳酸(Mn=3000)、OE-3分别按质量比20:3、30:1、15:1、1:4称量放到梨形反应瓶中,搅拌混合30分钟后得到混溶物,分别命名为E-A、E-B、E-C、E-D。At 75°C and under negative pressure, OE-1 and polycaprolactone (Mn=2000), polyethylene glycol (Mn=500), polylactic acid (Mn=3000), and OE-3 were in mass ratio of 20:3, 30:1, 15:1, 1:4 were weighed into pear-shaped reaction flasks, stirred and mixed for 30 minutes to obtain miscibles, which were named E-A, E-B, E-C, and E-D respectively.
实施例5Example 5
质量损失检测Mass Loss Detection
分别准确称量0.5g E-1—E-7共混物移至带盖螺纹瓶中,瓶中分别加入pH为5.0、6.5和7.4的20mL磷酸盐缓冲液,37℃静置,在预设的时间点取出螺纹瓶,移除瓶中多余磷酸盐缓冲液,称量剩余质量,计算质量损失。以上操作重复三次,结果如图4所示,一方面,七种聚合物具有相似的质量损失趋势,并且随着酸度的提高质量损失加快;另一方面,随着原酸酯键周围疏水环境增强,质量损失速率减慢,并表现出可调控的长效降解能力。Accurately weigh 0.5g of E-1—E-7 blends and transfer them to capped screw bottles, add 20 mL of phosphate buffer solution with pH 5.0, 6.5 and 7.4 into the bottles, let stand at 37°C, and Take out the threaded bottle at the time point, remove excess phosphate buffer in the bottle, weigh the remaining mass, and calculate the mass loss. The above operation was repeated three times, and the results are shown in Figure 4. On the one hand, the seven polymers have similar mass loss trends, and the mass loss accelerates as the acidity increases; on the other hand, as the hydrophobic environment around the orthoester bond increases , the mass loss rate slows down, and exhibits a regulated long-term degradation ability.
实施例6Example 6
细胞毒性检测Cytotoxicity Assay
分别将小鼠胚胎成纤维细胞(3T3)和人肝细胞(QSG)加入96孔细胞培养板中,保证每孔10 4个细胞,培养过夜,移除原培养基后加入180μL新鲜培养基,然后每空分别添加20μL浓度从1-5000mg/mL梯度变化的E-1—E-7、E-A—E-D共混物,共培养48小时后,移去原培养基并加入180μL的新鲜培养基和20μL MTT(5mg/mL),共孵育4小时后移除培养基,加入150μL的DMSO,震荡10分钟后,在570nm波长下检测,通过酶标仪测得其对应的OD值,根据与对照组的比较得出其每一组的细胞存活率。结果如图5所示,七种聚合物未引起细胞毒性,表明其良好的生物相容性。 Add mouse embryonic fibroblasts (3T3) and human hepatocytes (QSG) into 96-well cell culture plates, respectively, to ensure 104 cells per well, culture overnight, remove the original medium, add 180 μL of fresh medium, and then Add 20 μL of E-1—E-7, EA—ED blends whose concentrations varied from 1 to 5000 mg/mL to each space. After 48 hours of co-cultivation, remove the original medium and add 180 μL of fresh medium and 20 μL MTT (5mg/mL), remove the medium after co-incubation for 4 hours, add 150 μL of DMSO, shake for 10 minutes, detect at a wavelength of 570nm, and measure the corresponding OD value with a microplate reader, according to the comparison with the control group The cell viability of each group was compared. The results are shown in Figure 5, the seven polymers did not cause cytotoxicity, indicating their good biocompatibility.
实施例7Example 7
紫杉醇作为活性物质的液态缓释药物新制剂的制备、体外释放检测及肿瘤抑制效果评估Preparation, in vitro release test and evaluation of tumor inhibitory effect of paclitaxel as active substance in liquid sustained-release drug preparation
以紫杉醇作为活性物质的注射剂制备方法:氮气保护下,将800mg的E-1共混物与200mg的紫杉醇在60℃加热混溶后,自然冷却至室温得到紫杉醇注射剂(E-1-PTX),其中紫杉醇的重量含量为20%,E-1的重量含量为80%。Preparation method of injection with paclitaxel as the active substance: under nitrogen protection, 800 mg of E-1 blend and 200 mg of paclitaxel were heated and miscible at 60 ° C, and then naturally cooled to room temperature to obtain paclitaxel injection (E-1-PTX), Wherein the weight content of paclitaxel is 20%, and the weight content of E-1 is 80%.
准确称量0.5g紫杉醇注射剂(E-1-PTX),移至带盖螺纹瓶中,瓶中分别加入50mLpH为5.0、6.5和7.4的20mL磷酸盐缓冲液,37℃静置,在预设的时间点取出螺纹瓶,收集瓶中磷酸盐缓冲液,并加入等量的新鲜缓冲液后继续静置,然后取1mL旧的缓冲液测定其紫杉醇浓度,然后计算紫杉醇的释放量。以上操作重复三次。结果如图6所示,紫杉醇注射剂药物释放 为零级释放并且表现出明显的长效缓释效果,另外药物释放速率与缓冲液酸度呈现正相关的关系。Accurately weigh 0.5g of paclitaxel injection (E-1-PTX), transfer it to a screw bottle with a cap, add 50mL of 20mL phosphate buffer solution with a pH of 5.0, 6.5 and 7.4 into the bottle, let it stand at 37°C, and Take out the screw bottle at the time point, collect the phosphate buffer in the bottle, add an equal amount of fresh buffer and continue to stand still, then take 1mL of the old buffer to measure the paclitaxel concentration, and then calculate the release amount of paclitaxel. The above operation was repeated three times. As a result, as shown in Figure 6, the drug release of paclitaxel injection is zero-order release and shows an obvious long-acting sustained-release effect, and the drug release rate is positively correlated with the acidity of the buffer.
按照制备的紫杉醇注射剂(E-1-PTX)以紫杉醇含量30mg/kg的剂量通过瘤内注射的方式注入到不同荷瘤小鼠体内,然后在不同的时间点对小鼠肿瘤体积、肿瘤质量和小鼠体重进行记录。结果如图7所示,紫杉醇注射剂(E-1-PTX)呈现出长效的肿瘤抑制能力并可显著降低毒副作用。According to the prepared paclitaxel injection (E-1-PTX), the dose of paclitaxel content 30mg/kg was injected into different tumor-bearing mice by intratumoral injection, and then the tumor volume, tumor mass and Mouse body weight was recorded. The results are shown in Figure 7, paclitaxel injection (E-1-PTX) exhibits long-acting tumor suppressive ability and can significantly reduce toxic and side effects.
实施例8Example 8
塞来昔布作为活性物质的液态缓释药物新制剂的制备、体外释放检测及抗炎效果评估Preparation, in vitro release test and evaluation of anti-inflammatory effect of celecoxib as active substance in liquid sustained-release drug preparation
以塞来昔布作为活性剂的注射剂制备方法:氮气保护下,使用20mL无水乙醇将750mg E-D和250mg塞来昔布混合加热40℃溶解后,减压蒸馏除去无水乙醇,然后冷却到室温得到塞来昔布注射剂(E-D-CXB),其中塞来昔布的重量含量为25%,E-D的重量含量为75%。Preparation method of injection with celecoxib as active agent: under nitrogen protection, use 20mL of absolute ethanol to mix 750mg E-D and 250mg of celecoxib, heat to dissolve at 40°C, distill under reduced pressure to remove absolute ethanol, and then cool to room temperature The celecoxib injection (E-D-CXB) was obtained, wherein the weight content of celecoxib was 25%, and the weight content of E-D was 75%.
准确称量0.5g塞来昔布注射剂(E-D-CXB),移至带盖螺纹瓶中,瓶中分别加入pH为5.0、6.5和7.4的磷酸盐缓冲液,37℃静置,在预设的时间点取出螺纹瓶,收集瓶中磷酸盐缓冲液,并加入等量的新鲜缓冲液后继续静置,然后取1mL旧的缓冲液测定其塞来昔布浓度,然后计算塞来昔布的释放量。以上操作重复三次,结果如图8所示,塞来昔布注射剂药物释放为零级释放并且表现出明显的长效缓释效果,另外药物释放速率与缓冲液酸度呈现正相关的关系。Accurately weigh 0.5g of celecoxib injection (E-D-CXB), move it to a threaded bottle with a cap, add phosphate buffer solution with pH 5.0, 6.5 and 7.4 into the bottle, let stand at 37°C, and Take out the screw bottle at the time point, collect the phosphate buffer in the bottle, add an equal amount of fresh buffer and continue to stand still, then take 1mL of the old buffer to measure the concentration of celecoxib, and then calculate the release of celecoxib quantity. The above operation was repeated three times, and the results are shown in Figure 8. The drug release of celecoxib injection was zero-order release and showed an obvious long-term sustained-release effect. In addition, the drug release rate was positively correlated with the acidity of the buffer.
按照制备的塞来昔布注射剂(E-D-CXB)以塞来昔布含量20mg/kg的剂量治疗炎症模型小鼠,其中塞来昔布是以口服的形式给药,塞来昔布注射 剂(E-D-CXB)以皮下注射的形式给药。在给药7天后检测其血管内皮生长因子、COX-2和前列腺素E 2的表达量,结果如图9所示,塞来昔布注射剂(E-D-CXB)可显著降低小鼠体内的血管内皮生长因子、COX-2和前列腺素E 2的表达量,表现出明显的长效抗炎作用。 According to the prepared celecoxib injection (ED-CXB) to treat inflammation model mice with a dose of celecoxib content 20mg/kg, wherein celecoxib is administered in oral form, celecoxib injection (ED-CXB) -CXB) administered in the form of subcutaneous injection. After 7 days of administration, the expression levels of vascular endothelial growth factor, COX-2 and prostaglandin E 2 were detected. As shown in Figure 9, celecoxib injection (ED-CXB) can significantly reduce the vascular endothelial The expression of growth factors, COX-2 and prostaglandin E 2 showed obvious long-term anti-inflammatory effect.
实施例9Example 9
胰岛素作为活性物质的液态缓释药物新制剂的制备、体外释放检测及降血糖效果评估Preparation, in vitro release test and evaluation of hypoglycemic effect of new liquid sustained-release drug preparations with insulin as the active substance
以胰岛素作为活性剂的注射剂制备方法:将840mg的E-B与160mg的胰岛素在减压及搅拌下溶解得到胰岛素注射剂(E-B-INS),其中胰岛素的重量含量为16%,E-B的重量含量为84%。Preparation method of injection with insulin as active agent: 840 mg of E-B and 160 mg of insulin are dissolved under reduced pressure and stirring to obtain insulin injection (E-B-INS), wherein the weight content of insulin is 16%, and the weight content of E-B is 84% .
准确称量0.5g胰岛素注射剂(E-B-INS),移至带盖螺纹瓶中,瓶中分别加入pH为5.0、6.5和7.4的20mL磷酸盐缓冲液,37℃静置,在预设的时间点取出螺纹瓶,收集瓶中磷酸盐缓冲液,并加入等量的新鲜缓冲液后继续静置,然后取1mL旧的缓冲液测定其胰岛素浓度,然后计算胰岛素的释放量。以上操作重复三次,结果如图10所示,胰岛素注射剂药物释放为零级释放并且表现出明显的长效缓释效果,另外药物释放速率与缓冲液酸度呈现正相关的关系。Accurately weigh 0.5 g of insulin injection (E-B-INS), transfer it to a screw bottle with a cap, add 20 mL of phosphate buffer solution with pH 5.0, 6.5, and 7.4 into the bottle, let stand at 37°C, and Take out the screw bottle, collect the phosphate buffer solution in the bottle, add an equal amount of fresh buffer solution and continue to stand still, then take 1mL of the old buffer solution to measure its insulin concentration, and then calculate the release amount of insulin. The above operation was repeated three times. As shown in Figure 10, the drug release of the insulin injection was zero-order release and showed an obvious long-term sustained release effect. In addition, the drug release rate was positively correlated with the acidity of the buffer.
按照制备的胰岛素注射剂(E-B-INS)以胰岛素含量5IU/kg的剂量通过皮下注射的方式注入到不同高血糖模型大鼠体内,检测其血液内胰岛素浓度,同时检测血糖水平。结果如图11所示,胰岛素注射剂(E-B-INS)能够在体内长期持续释放胰岛素,将大鼠的血糖持续维持在正常的血糖水平。The prepared insulin injection (E-B-INS) was subcutaneously injected into different hyperglycemia model rats with a dose of 5 IU/kg of insulin, and the blood insulin concentration and blood sugar level were detected. The results are shown in FIG. 11 , the insulin injection (E-B-INS) can release insulin continuously in the body for a long time, and maintain the blood sugar of rats at a normal blood sugar level.
实施例10Example 10
厄贝沙坦作为活性物质的液态缓释药物新制剂的制备、体外释放检测及降血压效果评估Preparation, in vitro release test and evaluation of hypotensive effect of irbesartan as active substance in liquid sustained-release drug preparation
以厄贝沙坦作为活性剂的注射剂制备方法:将770mg的E-1与230mg的厄贝沙坦混合后,在氮气气氛及搅拌下加热至70℃溶解,然后冷却至室温得到厄贝沙坦注射剂(E-1-Irbe),其中厄贝沙坦的重量含量为23%,E-1的重量含量为77%。Preparation method of injection with irbesartan as active agent: mix 770mg of E-1 and 230mg of irbesartan, heat to 70°C under nitrogen atmosphere and stirring to dissolve, then cool to room temperature to obtain irbesartan Injection (E-1-Irbe), wherein the weight content of irbesartan is 23%, and the weight content of E-1 is 77%.
准确称量0.5g厄贝沙坦注射剂(E-1-Irbe),移至带盖螺纹瓶中,瓶中分别加入pH为5.0、6.5和7.4的20mL磷酸盐缓冲液,37℃静置,在预设的时间点取出螺纹瓶,收集瓶中磷酸盐缓冲液,并加入等量的新鲜缓冲液后继续静置,然后取1mL旧的缓冲液测定其厄贝沙坦浓度,然后计算厄贝沙坦的释放量。以上操作重复三次,结果如图12所示,厄贝沙坦注射剂药物释放为零级释放并且表现出明显的长效缓释效果,另外药物释放速率与缓冲液酸度呈现正相关的关系。Accurately weigh 0.5g of irbesartan injection (E-1-Irbe), move it to a screw bottle with a cap, add 20mL of phosphate buffer solution with a pH of 5.0, 6.5 and 7.4 into the bottle, let it stand at 37°C, and Take out the screw bottle at the preset time point, collect the phosphate buffer in the bottle, add an equal amount of fresh buffer and continue to stand still, then take 1mL of the old buffer to measure its concentration of irbesartan, and then calculate the irbesartan concentration Tank release. The above operation was repeated three times. As shown in Figure 12, the drug release of irbesartan injection was zero-order release and showed an obvious long-term sustained release effect. In addition, the drug release rate was positively correlated with the acidity of the buffer.
将厄贝沙坦和制备的厄贝沙坦注射剂(E-1-Irbe)以厄贝沙坦含量40mg/kg的剂量治疗高血压模型大鼠,其中厄贝沙坦是以口服的形式给药,厄贝沙坦注射剂(E-1-Irbe)是以皮下注射的形式给药,在预先设定好的时间点检测其血液内药物浓度,同时检测血压水平,结果如图13所示,厄贝沙坦能够降低血压,但是其浓度快速下降,相应大鼠血压快速升高,而厄贝沙坦注射剂能够在体内持续释放厄贝沙坦,将大鼠的血压持续维持在正常水平。Irbesartan and the prepared irbesartan injection (E-1-Irbe) were used to treat hypertension model rats with a dose of irbesartan content of 40 mg/kg, wherein irbesartan was administered orally , Irbesartan injection (E-1-Irbe) is administered in the form of subcutaneous injection, and the drug concentration in the blood is detected at the preset time point, and the blood pressure level is detected at the same time. The results are shown in Figure 13. Besartan can lower blood pressure, but its concentration drops rapidly, correspondingly the blood pressure of rats rises rapidly, while irbesartan injection can continuously release irbesartan in the body and maintain the blood pressure of rats at a normal level.
实施例11Example 11
卵清蛋白作为活性物质的液态缓释药物新制剂的制备、抗体产生效果检测Preparation of new preparations of liquid sustained-release drugs with ovalbumin as the active substance, and detection of antibody production effects
以卵清蛋白作为活性剂的注射剂制备方法:将950mg的E-C与50mg的卵清蛋白机械混合后,在减压及搅拌下溶解得到卵清蛋白注射剂(E-C-Ova),其中卵清蛋白的重量含量为5%,E-C的重量含量为95%。Preparation method of injection with ovalbumin as active agent: After mechanically mixing 950 mg of E-C and 50 mg of ovalbumin, dissolve under reduced pressure and stirring to obtain ovalbumin injection (E-C-Ova), wherein the weight of ovalbumin The content is 5%, and the weight content of E-C is 95%.
准确称量0.5g卵清蛋白注射剂(E-C-Ova),移至带盖螺纹瓶中,瓶中分别加入pH为5.0、6.5和7.4的20mL磷酸盐缓冲液,37℃静置,在预设的时间点取出螺纹瓶,收集瓶中磷酸盐缓冲液,并加入等量的新鲜缓冲液后继续静置,然后取1mL旧的缓冲液测定其卵清蛋白浓度,然后计算卵清蛋白的释放量。以上操作重复三次,结果如图14所示,卵清蛋白注射剂药物释放为零级释放并且表现出明显的长效缓释效果,另外药物释放速率与缓冲液酸度呈现正相关的关系。Accurately weigh 0.5g of ovalbumin injection (E-C-Ova), transfer it to a screw bottle with a cap, add 20mL of phosphate buffer solution with pH 5.0, 6.5 and 7.4 into the bottle, let stand at 37°C, and Take out the screw bottle at the time point, collect the phosphate buffer in the bottle, add an equal amount of fresh buffer and continue to stand still, then take 1mL of the old buffer to measure the concentration of ovalbumin, and then calculate the release amount of ovalbumin. The above operation was repeated three times. As shown in Figure 14, the drug release of ovalbumin injection was zero-order release and showed an obvious long-term sustained release effect. In addition, the drug release rate was positively correlated with the acidity of the buffer.
将卵清蛋白注射液和制备的卵清蛋白注射剂(E-C-Ova)以卵清蛋白含量50mg/kg的剂量通过皮下注射的方式在第1天和第15天注入到不同小鼠体内,检测其IgG浓度。结果如图15所示,卵清蛋白能够使小鼠产生一定的抗体,但是其浓度快速下降,而卵清蛋白注射剂(E-C-Ova)能够在体内持续释放卵清蛋白,将小鼠的抗体持续的维持在一个较高的水平,达到良好的免疫效果。The ovalbumin injection and the prepared ovalbumin injection (E-C-Ova) were injected into different mice on the 1st day and the 15th day by subcutaneous injection at a dose of 50 mg/kg ovalbumin content, and the ovalbumin injection was detected. IgG concentration. The results are shown in Figure 15, ovalbumin can make mice produce certain antibodies, but its concentration drops rapidly, while ovalbumin injection (E-C-Ova) can continuously release ovalbumin in vivo, and keep the antibody of mice continuously. maintain at a high level to achieve a good immune effect.
实施例12Example 12
甲哌卡因作为活性物质的液态缓释药物新制剂的制备、镇痛效果评估Preparation and evaluation of analgesic effect of mepivacaine as active substance in liquid sustained-release drug preparation
以甲哌卡因作为活性剂的注射剂制备方法:将550mg的E-A与450mg的甲哌卡因混合后,在氮气气氛及搅拌下加热至45℃溶解,然后冷却至室 温得到甲哌卡因注射剂(E-A-Mep),其中甲哌卡因的重量含量为45%,E-A的重量含量为55%。Preparation method of injection with mepivacaine as active agent: after mixing 550 mg of E-A and 450 mg of mepivacaine, heat to 45° C. to dissolve under nitrogen atmosphere and stirring, then cool to room temperature to obtain mepivacaine injection ( E-A-Mep), wherein the weight content of mepivacaine is 45%, and the weight content of E-A is 55%.
准确称量0.5g甲哌卡因注射剂(E-A-Mep),移至带盖螺纹瓶中,瓶中分别加入pH为5.0、6.5和7.4的20mL磷酸盐缓冲液,37℃静置,在预设的时间点取出螺纹瓶,收集瓶中磷酸盐缓冲液,并加入等量的新鲜缓冲液后继续静置,然后取1mL旧的缓冲液测定其甲哌卡因浓度,然后计算甲哌卡因的释放量。以上操作重复三次。结果如图16所示,甲哌卡因注射剂药物释放为零级释放并且表现出明显的长效缓释效果,另外药物释放速率与缓冲液酸度呈现正相关的关系。Accurately weigh 0.5g of mepivacaine injection (E-A-Mep), move it to a screw bottle with a cap, add 20mL of phosphate buffer solution with pH 5.0, 6.5 and 7.4 into the bottle, let it stand at 37°C, and Take out the screw bottle at the time point, collect the phosphate buffer in the bottle, add an equal amount of fresh buffer and continue to stand still, then take 1mL of the old buffer to measure the concentration of mepivacaine, and then calculate the concentration of mepivacaine amount released. The above operation was repeated three times. The results are shown in Figure 16, the drug release of mepivacaine injection is zero-order release and shows an obvious long-acting sustained-release effect, and the drug release rate is positively correlated with the acidity of the buffer.
将甲哌卡因注射液和制备的甲哌卡因注射剂(E-A-Mep)以甲哌卡因含量200mg/kg的剂量通过皮下注射的方式注入到不同疼痛模型大鼠体内。然后记录大鼠对深度疼痛、电刺激达到正常响应所需时间,同时记录大鼠从运动无力状态恢复到正常所需的时间,当有半数大鼠恢复正常时,停止检测。记录结果如表1所示,甲哌卡因注射剂(E-A-Mep)的镇痛持续时间明显的长于单独的甲哌卡因,能够起到良好的治疗效果。The mepivacaine injection and the prepared mepivacaine injection (E-A-Mep) were subcutaneously injected into different pain model rats with a mepivacaine content of 200 mg/kg. Then record the time required for rats to achieve normal response to deep pain and electrical stimulation, and record the time required for rats to recover from motor weakness to normal. When half of the rats return to normal, the detection is stopped. The recorded results are shown in Table 1. The analgesic duration of mepivacaine injection (E-A-Mep) is significantly longer than that of mepivacaine alone, which can achieve a good therapeutic effect.
表1为甲哌卡因注射剂和单独的甲哌卡因的治疗结果Table 1 is the treatment result of mepivacaine injection and mepivacaine alone
Figure PCTCN2022070666-appb-000006
Figure PCTCN2022070666-appb-000006
以上实施例仅用以说明本发明的技术方案,而非对其限制;尽管参照前述实施例对本发明进行了详细的说明,本领域的普通技术人员应当理 解:其依然可以对前述各实施例所记载的技术方案进行修改,或者对其中部分技术特征进行等同替换;而这些修改或者替换,并不使相应技术方案的本质脱离本发明各实施例技术方案的精神和范围。The above embodiments are only used to illustrate the technical solutions of the present invention, rather than to limit them; although the present invention has been described in detail with reference to the foregoing embodiments, those of ordinary skill in the art should understand that: it can still be described in the foregoing embodiments Modifications are made to the recorded technical solutions, or equivalent replacements are made to some of the technical features; and these modifications or replacements do not make the essence of the corresponding technical solutions deviate from the spirit and scope of the technical solutions of the embodiments of the present invention.

Claims (14)

  1. 一种原酸酯混溶物药用辅料,其特征在于:主要由不同原酸酯化合物按不同比例相互混溶或原酸酯化合物与生物相容性医用高分子材料按不同比例混溶得到;An orthoester miscible pharmaceutical excipient, characterized in that: it is mainly obtained by mixing different orthoester compounds with each other in different proportions or orthoester compounds and biocompatible medical polymer materials in different proportions;
    所述原酸酯化合物的化学式式I所示:Shown in the chemical formula I of described orthoester compound:
    Figure PCTCN2022070666-appb-100001
    Figure PCTCN2022070666-appb-100001
    其中R表示氢、甲基、乙基、丙基、异丙基、丁基或苯基。wherein R represents hydrogen, methyl, ethyl, propyl, isopropyl, butyl or phenyl.
  2. 根据权利要求1所述的原酸酯混溶物药用辅料,其特征在于:所述不同原酸酯化合物之间的配比为1:1000-1000:1,所述原酸酯化合物与生物相容性医用高分子材料的配比为1:1000-1000:1。The orthoester miscible pharmaceutical excipient according to claim 1, characterized in that: the ratio between the different orthoester compounds is 1:1000-1000:1, and the orthoester compound and biological The ratio of compatible medical polymer materials is 1:1000-1000:1.
  3. 根据权利要求1所述的原酸酯混溶物药用辅料,其特征在于:所述生物相容性医用高分子材料包括:The orthoester miscible pharmaceutical excipient according to claim 1, wherein the biocompatible medical polymer material comprises:
    (i)聚己内酯(i) Polycaprolactone
    Figure PCTCN2022070666-appb-100002
    Figure PCTCN2022070666-appb-100002
    其中,m表示整数值2-100;Wherein, m represents an integer value 2-100;
    (ii)聚己内酯二醇(ii) Polycaprolactone diol
    Figure PCTCN2022070666-appb-100003
    Figure PCTCN2022070666-appb-100003
    其中,n表示整数值1-50;Wherein, n represents an integer value 1-50;
    (iii)聚乳酸(iii) Polylactic acid
    Figure PCTCN2022070666-appb-100004
    Figure PCTCN2022070666-appb-100004
    其中,x表示整数值2-100;where x represents an integer value 2-100;
    (iv)聚乙二醇(iv) polyethylene glycol
    Figure PCTCN2022070666-appb-100005
    Figure PCTCN2022070666-appb-100005
    其中,y表示整数值2-150。where y represents an integer value 2-150.
  4. 根据权利要求1所述的原酸酯混溶物药用辅料,其特征在于:所述原酸酯化合物的制备方法包括以下步骤:氮气保护下,二甘油、三甲酯类以及催化剂按照摩尔比1:(2.2-5.0):(0.01-0.04)溶于第一有机溶剂,并常温搅拌反应12-48小时,然后饱和碳酸钠萃取、无水硫酸镁干燥后,减压蒸馏除去多余的三甲酯类原料得到原酸酯化合物。The orthoester miscible pharmaceutical excipient according to claim 1, characterized in that: the preparation method of the orthoester compound comprises the following steps: under nitrogen protection, diglycerol, trimethyl esters and catalysts are mixed according to the molar ratio of 1 : (2.2-5.0): (0.01-0.04) dissolved in the first organic solvent, and stirred at room temperature for 12-48 hours, then extracted with saturated sodium carbonate, dried over anhydrous magnesium sulfate, and evaporated under reduced pressure to remove excess trimethyl esters The starting material yields an ortho ester compound.
  5. 根据权利要求4所述的原酸酯混溶物药用辅料,其特征在于:所述第一有机溶剂包括乙腈、二氯甲烷、四氢呋喃、二氧六环,所述三甲酯类原料包括原甲酸三甲酯、原乙酸三甲酯、原丙酸三甲酯、原异丙酸三甲酯、原丁酸三甲酯、原苯甲酸三甲酯,所述催化剂包括对甲苯磺酸、对甲苯磺酸吡啶鎓。The orthoester miscible pharmaceutical excipient according to claim 4, wherein the first organic solvent includes acetonitrile, dichloromethane, tetrahydrofuran, and dioxane, and the trimethyl ester raw material includes orthoformic acid Trimethyl, trimethyl orthoacetate, trimethyl orthopropionate, trimethyl orthoisopropionate, trimethyl orthobutyrate, trimethyl orthobenzoate, the catalyst includes p-toluenesulfonic acid, p-toluene Pyridinium sulfonate.
  6. 制备如权利要求1-5中任一项所述的原酸酯混溶物药用辅料的方法,其特征在于:包括以下步骤:将不同原酸酯化合物或原酸酯化合物与生物相容性医用高分子材料混溶,所述混溶方法包括在25-140℃、负压下混溶或25-140℃、氮气气氛条件下混溶,或者用第二有机溶剂溶解后混溶,并减压除去有机溶剂。The method for preparing the orthoester miscible pharmaceutical excipient as described in any one of claims 1-5, is characterized in that: comprising the following steps: combining different orthoester compounds or orthoester compounds with biocompatibility Medical polymer materials are miscible, and the miscibility method includes miscibility at 25-140°C under negative pressure or 25-140°C under nitrogen atmosphere conditions, or miscibility after dissolving with a second organic solvent, and reducing The organic solvent was removed under pressure.
  7. 如权利要求6所述的制备原酸酯混溶物药用辅料的方法,其特征在于:所述第二有机溶剂包括四氢呋喃、二氯甲烷、二氧六环、乙醇、甲醇、氯仿、丙酮、二甲基亚砜、N,N-二甲基甲酰胺。The method for preparing orthoester miscible pharmaceutical excipients as claimed in claim 6, wherein the second organic solvent comprises tetrahydrofuran, methylene chloride, dioxane, ethanol, methanol, chloroform, acetone, Dimethyl sulfoxide, N,N-dimethylformamide.
  8. 一种局部缓释给药制剂,其特征在于:包括权利要求1-5中任一项所述的原酸酯混溶物药用辅料和活性物质,所述活性物质的重量百分比为0.1-50%,所述原酸酯混溶物药用辅料的重量百分比为50-99.9%。A local sustained-release drug preparation, characterized in that: comprising the orthoester miscible pharmaceutical excipient and active substance according to any one of claims 1-5, the weight percentage of the active substance is 0.1-50 %, the weight percentage of the orthoester miscible pharmaceutical excipient is 50-99.9%.
  9. 根据权利要求8所述的局部缓释给药制剂,其特征在于:所述活性物质选自抗肿瘤药物、抗炎药物、降血糖药物、降血压药物、镇痛药物、蛋白类疫苗中的一种或多种。The local sustained-release drug preparation according to claim 8, characterized in that: the active substance is selected from one of antineoplastic drugs, anti-inflammatory drugs, hypoglycemic drugs, hypotensive drugs, analgesic drugs, and protein vaccines. one or more species.
  10. 根据权利要求9所述的局部缓释给药制剂,其特征在于:所述抗肿瘤药物包括紫杉醇、阿霉素、吉西他滨、5-氟尿嘧啶、喜树碱、羟基喜树碱、顺铂、卡铂、PD-1、吉非替尼、厄洛替尼、索拉菲尼、达沙替尼。The local sustained-release drug preparation according to claim 9, wherein the antineoplastic drug includes paclitaxel, doxorubicin, gemcitabine, 5-fluorouracil, camptothecin, hydroxycamptothecin, cisplatin, carboplatin , PD-1, gefitinib, erlotinib, sorafenib, dasatinib.
  11. 根据权利要求9所述的局部缓释给药制剂,其特征在于:所述抗炎药物包括阿司匹林、双氯芬酸钠、布洛芬、氟比洛芬、酮洛芬、萘普生、吲哚布芬、吲哚美辛、吡罗昔康、美洛昔康、艾瑞昔布、塞来昔布、地塞米松、氢化可的松、泼尼松龙、甲泼尼松龙、曲安奈德、氟轻松、氟氢可的松、倍氯米松。The local sustained-release drug preparation according to claim 9, wherein the anti-inflammatory drugs include aspirin, diclofenac sodium, ibuprofen, flurbiprofen, ketoprofen, naproxen, indobufen , indomethacin, piroxicam, meloxicam, erecoxib, celecoxib, dexamethasone, hydrocortisone, prednisolone, methylprednisolone, triamcinolone acetonide, fluocinolone , fludrocortisone, beclomethasone.
  12. 根据权利要求9所述的局部缓释给药制剂,其特征在于:所述降血压药物包括噻嗪类、潴钾利尿剂、醛固酮拮抗剂、袢利尿剂、中枢性降压药、神经节阻断药、去甲肾上腺素能神经末梢阻断药、肾上腺素受体阻断药、血管紧张素转换酶抑制药、血管紧张素Ⅱ受体阻断药、肾素抑制药、二氢吡啶类、二氢吡啶类和血管扩张药。The local sustained-release drug preparation according to claim 9, wherein the blood pressure-lowering drugs include thiazides, potassium-storing diuretics, aldosterone antagonists, loop diuretics, central antihypertensive drugs, ganglion blockers, etc. Blocking drugs, noradrenergic nerve ending blocking drugs, adrenergic receptor blocking drugs, angiotensin converting enzyme inhibitors, angiotensin Ⅱ receptor blocking drugs, renin inhibitors, dihydropyridines, Dihydropyridines and vasodilators.
  13. 根据权利要求9所述的局部缓释给药制剂,其特征在于:所述镇痛药物包括受体激动药、受体部分激动药、阿片受体拮抗药和解热镇痛药。The local sustained-release drug preparation according to claim 9, characterized in that: the analgesic drugs include receptor agonists, receptor partial agonists, opioid receptor antagonists and antipyretic analgesics.
  14. 根据权利要求9所述的局部缓释给药制剂,其特征在于:所述蛋白 类疫苗包含天然蛋白质和经化学灭活的类毒素。The local sustained-release drug preparation according to claim 9, characterized in that: the protein vaccine comprises natural protein and chemically inactivated toxoid.
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