WO2023123994A1 - Sodium carboxymethyl starch and injection thereof - Google Patents

Sodium carboxymethyl starch and injection thereof Download PDF

Info

Publication number
WO2023123994A1
WO2023123994A1 PCT/CN2022/104064 CN2022104064W WO2023123994A1 WO 2023123994 A1 WO2023123994 A1 WO 2023123994A1 CN 2022104064 W CN2022104064 W CN 2022104064W WO 2023123994 A1 WO2023123994 A1 WO 2023123994A1
Authority
WO
WIPO (PCT)
Prior art keywords
carboxymethyl starch
sodium
injection
solution
sodium carboxymethyl
Prior art date
Application number
PCT/CN2022/104064
Other languages
French (fr)
Chinese (zh)
Inventor
施卫群
Original Assignee
施卫群
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by 施卫群 filed Critical 施卫群
Publication of WO2023123994A1 publication Critical patent/WO2023123994A1/en

Links

Images

Classifications

    • 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
    • A61K47/36Polysaccharides; Derivatives thereof, e.g. gums, starch, alginate, dextrin, hyaluronic acid, chitosan, inulin, agar or pectin
    • 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
    • A61K47/02Inorganic compounds
    • 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
    • A61K9/08Solutions
    • 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
    • A61P7/08Plasma substitutes; Perfusion solutions; Dialytics or haemodialytics; Drugs for electrolytic or acid-base disorders, e.g. hypovolemic shock

Definitions

  • the present invention relates to a kind of carboxymethyl starch sodium and its injection, manufacturing method and application thereof.
  • plasma volume expander which is a commonly used volume supplement in clinical practice. After administration, it can increase blood volume and temporarily maintain blood pressure. It is used to treat shock or hemorrhagic disease caused by massive bleeding, burns or other trauma, and to prevent circulatory disorders and microcirculation disorders caused by low blood volume. Reduced blood flow and oxygen supply eventually lead to organ failure.
  • plasma volume expanders commonly used clinically at home and abroad are divided into crystalloids and colloids.
  • crystalloid is one of the basic resuscitation fluids used to correct water and electrolyte deficiency after blood and body fluid loss. Its main function is to replenish functional extracellular fluid, maintain a relatively stable internal environment (pH and crystal osmotic pressure), increase glomerular filtration rate, replenish circulating blood volume and maintain urine output to a certain extent.
  • the volume of crystalloid input is required to be 3 to 4 times the blood loss.
  • Crystalloids are divided into isotonic and hypertonic.
  • the osmotic pressure of normal human plasma is 280-320mmoI/L, which is called hypertonic when the osmotic pressure of normal human plasma is 320mosm/L.
  • Isotonic crystalloids commonly used in clinical practice mainly include normal saline, Ringer's solution, lactated Ringer's solution and sodium acetate Ringer's solution, and their osmotic pressures are all within the normal plasma osmotic pressure range.
  • the hypertonic crystalloid used clinically is mainly 7.5% sodium chloride solution with an osmotic pressure of 2400mosm/L.
  • Colloid is a macromolecular substance with a diameter of solute particles ranging from 1 to 100 nm. It is difficult to pass through the capillary wall. The particles remain in the blood vessels to generate colloid osmotic pressure, and the liquid is retained in the blood vessels, thereby increasing and effectively maintaining blood volume. Colloids are divided into various natural colloids and synthetic colloids derived from blood plasma.
  • the natural colloid commonly used clinically is mainly human serum albumin, and the artificial colloid mainly includes gelatin, dextran and carboxyethyl starch.
  • albumin The relative molecular weight of albumin is relatively high, and the speed of permeating the membrane is relatively slow, so that the osmotic pressure of albumin colloid and the static pressure of capillaries are balanced, so as to maintain a normal and constant blood volume.
  • 1g of albumin in the blood circulation can Retain 18mL of water to increase circulating blood volume and maintain plasma colloid osmotic pressure.
  • Albumin is "natural" and has long been considered the most beneficial colloid for patients. It has been widely used in the past and is often used as the gold standard for evaluating other colloids. However, after 1998, the clinical application of albumin was full of controversy.
  • Dai Lianbao and Shi Weiqun invented a sodium carboxymethyl starch sodium chloride injection (ZL031155243) with a molecular weight of 0.5-150,000 and sodium carboxymethyl starch and a degree of substitution of 0.1-1.0 and its injection.
  • Blood red blood cells and white blood cells can treat cancer after chemotherapy to supplement white blood cells in red blood cells have the function of carrying oxygen. Because carboxymethyl starch sodium sodium chloride injection is added in the blood, red blood cells are deformed and can treat diseases such as vasculitis and cerebral infarction. And acid-base balance plays a very important role in blood transfusion patients.
  • the object of the present invention is to provide a kind of sodium carboxymethyl starch and injection thereof.
  • the object of the present invention also provides a kind of configuration method of above-mentioned sodium carboxymethyl starch and injection thereof.
  • Another object of the present invention is to provide a kind of purposes of above-mentioned sodium carboxymethyl starch and injection thereof.
  • the sodium carboxymethyl starch of the present invention has a molecular weight of 151,000-420,000; a conductivity meter substitution degree of 0.1-1.1; a specific rotation of 185-198; and an intrinsic viscosity of 20-45.
  • the recommended molecular weight is 151,000-360,000, especially sodium carboxymethyl starch with a molecular weight of 200,000-360,000.
  • the raw material sodium carboxymethyl starch with a molecular weight of 190,000-440,000 is configured into the original drug powder or slurry: the raw material sodium carboxymethyl starch is added to distilled water and spray-dried to make a powder; the raw material powder or slurry sodium carboxymethyl starch is added Distilled water is freeze-dried to make powder; raw material powder or paste sodium carboxymethyl starch is purified by adding ethanol, and alcohol is removed to make paste or powder.
  • sodium carboxymethyl starch powder or its slurry are made former medicine and adopt following three kinds of methods to obtain sodium carboxymethyl starch injection of the present invention:
  • Carboxymethyl starch sodium powder or slurry becomes solid after freeze-drying, and it is made into a 3%-6% carboxymethyl starch sodium solution, and activated carbon is added to filter through a sand rod or a titanium rod, and the solution concentration is adjusted to 5% with distilled water , adding 0.8% sodium chloride solid, adjusting the pH value of the solution to 5.5-6.5, filtering, bottling and sterilizing;
  • Sodium carboxymethyl starch powder or slurry is solidified with 95% ethanol solution, configured into a 3%-6% sodium carboxymethyl starch solution with distilled water, dealcoholized, decolorized with activated carbon, filtered, and the concentration of the solution is adjusted to 3% by weight -6%, 5% is recommended, after adding 0.7%-0.8% sodium chloride solution, adjust the pH value of the solution to 5.5-6.5, then filter through an acrylic membrane, and sterilize after bottling.
  • the carboxymethyl starch sodium sodium chloride and its injection solution of the present invention can not only be used to prepare blood substitutes, but also can increase the release of oxygen. It has a certain protective effect on kidney tissue, and has a certain effect on maintaining tissue oxygen supply under the state of blood loss. Positive effect, can safely increase blood volume, and has the function of carrying oxygen, which can be used instead of blood. Moreover, the production method is simple and economical, and is suitable for industrialized preparation of blood substitutes.
  • Fig. 1 Hepatic HE staining diagram when the HCT of the control group was 25% (liver pair 25%).
  • Fig. 2 Hepatic HE staining diagram when the HCT of the control group was 50% (liver pair 50%).
  • Fig. 3 Hepatic HE staining diagram when HCT75% (liver pair 75%) in the control group.
  • Fig. 4 Hepatic HE staining diagram when the HCT of the experimental group was 100% (liver 1).
  • Fig. 5 Hepatic HE staining diagram when HCT75% (liver 2) of the experimental group.
  • Fig. 6 Hepatic HE staining diagram at HCT50% (liver 3) of the experimental group.
  • Fig. 7 Hepatic HE staining diagram when HCT 25% (liver 4) in the experimental group.
  • Fig. 8 Transmission electron micrographs of the kidneys in the control group when HCT was 25%.
  • Fig. 9 Transmission electron micrographs of the kidneys in the control group when HCT was 50%.
  • Fig. 10 Transmission electron micrographs of the kidneys in the control group when HCT was 75%.
  • Fig. 11 is a transmission electron micrograph of the kidney in the experimental group when HCT was 25%.
  • Fig. 12 is a transmission electron micrograph of the kidney at HCT50% of the experimental group.
  • Fig. 13 is a transmission electron microscope image of the kidneys in the experimental group when HCT was 75%.
  • Fig. 14 is a transmission electron micrograph of the kidney when HCT is 100%.
  • Fig. 15 is a transmission electron microscope image of the liver in the control group when HCT was 25%.
  • Fig. 16 is a transmission electron micrograph of the liver when HCT50% of the control group.
  • Fig. 17 is a transmission electron micrograph of the liver in the control group when the HCT was 75%.
  • Fig. 18 is a transmission electron microscope image of the liver in the experimental group when HCT was 25%.
  • Fig. 19 is a transmission electron micrograph of the liver when HCT50% of the experimental group.
  • Fig. 20 is a transmission electron microscope image of the liver in the experimental group when HCT75%.
  • Fig. 21 is a transmission electron micrograph of the liver when HCT is 100%.
  • Hydroxyethyl starch 130/0.4 sodium chloride injection produced by Beijing Fresenius Kabi Pharmaceutical Co., Ltd.
  • Hydroxyethyl starch 200/0.4 sodium chloride injection (HES 200), produced by Beijing Fresenius Kabi Pharmaceutical Co., Ltd.
  • CMS200 carboxymethyl starch sodium sodium chloride injection
  • Carboxymethyl starch sodium sodium chloride injection (CMS120), produced by Shanghai Changzheng Fumin Jinshan Pharmaceutical Co., Ltd. The following examples will help to understand the present invention, but do not limit the content of the present invention.
  • raw material sodium carboxymethyl starch powder or slurry (usually the molecular weight of sodium carboxymethyl starch is 190,000-420,000) liquid is configured into a 3%-6% sodium carboxymethyl starch solution, and the solution is evaporated by distillation. of alcohol. Use an instrument to measure and confirm that the solution does not contain alcohol or contains a small amount of alcohol. Then add activated carbon, heat and heat to 100°C for decolorization, and then filter through a sand rod or titanium rod to meet the requirements of the injection to obtain the original drug sodium carboxymethyl starch.
  • the raw material liquid sodium carboxymethyl starch powder or slurry is freeze-dried to become a solid, configured into a 3%-6% sodium carboxymethyl starch solution, added activated carbon and filtered through a sand rod or a titanium rod, and the concentration of the solution is adjusted to 5% %.
  • Add 0.8% sodium chloride solid to adjust the pH value of the solution to 5.5-6.5.
  • the solution was filtered through an acrylic membrane to prepare 5% carboxymethyl starch sodium sodium chloride injection. After bottling, it is sterilized for 15 minutes under an environment of 110° C. to obtain a finished product.
  • the raw material carboxymethyl starch sodium powder or slurry is solidified with 95% ethanol solution, and the solid is configured into a 3%-6% carboxymethyl starch sodium solution, alcohol is removed, and activated carbon is added to filter through a sand rod or a titanium rod.
  • the solution concentration was adjusted to 5%.
  • Then the solution was filtered through an acrylic membrane to prepare 5% sodium carboxymethyl starch injection. After bottling, it is sterilized for 15 minutes under an environment of 110° C. to obtain a finished product.
  • Detector Wyatt laser light scattering instrument, DAWN HELEOS II; Wyatt differential detector, OPtilabrex,
  • the measurement results show that the molecular weight of the raw material is higher than that of the original drug in the corresponding injection solution of the present invention.
  • the powder sodium injection osmotic pressure detection result of the present invention is as table 2.2
  • HDB-1 constant temperature heater (Wu Nuosi Technology Co., Ltd., Beijing, China); several EP tubes.
  • Adopt BT-300 suspension wire blood viscometer (Bright Technology Co., Ltd., Beijing, China);
  • HDB-1 constant temperature heater (Wu Nuosi Technology Co., Ltd., Beijing, China); several EP tubes.
  • Carboxymethyl starch sodium sodium chloride injection of the present invention and 706 generations of blood plasma five basic quality control items detection data are summarized in table 2.5 as follows:
  • the slurry form of the raw material sodium carboxymethyl starch is spray-dried into a solid, and the solid is used to form a 3%-4% sodium carboxymethyl starch solution.
  • Experimental animals Beagle weighing 7-12kg, 8 male dogs, from the Experimental Animal Center of the Academy of Military Medical Sciences.
  • CMS120 Carboxymethyl Starch Sodium Injection was provided by Shanghai Langyou Biotechnology Co., Ltd.
  • Hydroxyethyl starch 130/0.4 sodium chloride injection (Fresenius Kabi GmbH, trade name: Wanwen or HES130), 0.9% sodium chloride injection: sodium pentobarbital, Beijing Chemical Reagent Company, chemically pure.
  • Pulse index continuous cardiac output monitoring equipment referred to as PICCO (PULSION, Germany); tissue oxygen partial pressure detection equipment system (POG-203, Japan): 2-16PK ultracentrifuge (Sigma, the United States); ABL90co-ox blood gas Analyzer (RADIOMETER company, Denmark); MoorLAB laser Doppler blood flowmeter (Moor instruments Led, UK); LBY-N6B full-featured automatic blood rheometer (Beijing Prism Instrument Co., Ltd., China); 4420 colloid Osmometer (Wescor, USA); HEMAVET950 hematology analyzer (DREW, USA); liquid chip system (Luminex 200, Germany); automatic biochemical analyzer (Hitachi 7020, Japan). HEMOXTM-ANALYSER (TCS Scientific Corp, USA).
  • Stable for 10 minutes after the operation record physiological indicators, and take 0.5 ml of arterial and venous blood to measure blood gas indicators, take 125mm 3 tissue blocks for HE staining section analysis and transmission electron microscopy, then perform bloodletting and fluid replacement, and repeat at the next blood collection point operate.
  • the acute isovolemic hemodilution model which is divided into three steps for blood dilution.
  • the first step is to reduce the hematocrit to 75% of the base value
  • the second step is to reduce the hematocrit to 50% of the base value
  • the third step is to reduce the hematocrit to 50% of the base value.
  • the capacity is reduced to 25% of the base value.
  • Experimental Grouping Experiments were divided into two groups. In the experimental group, the experimental animals were infused with an equivalent amount of sodium carboxymethyl starch injection of the present invention after losing blood. In the control group, the experimental animals were infused with the same amount of normal saline injection after blood loss. At each hypoxic point, the maximum respiratory rate, blood pressure, arterial pressure, and central venous pressure were recorded.
  • A represents arterial blood.
  • V indicates venous blood.
  • Figure 1-3 is the control group B (liver, HCT25%): individual liver cells with mild watery degeneration, no necrosis, a small amount of lymphocyte infiltration, and mild inflammatory changes.
  • Figure 4-7 is the experimental group A (liver tissue): the liver cell structure is basically normal.
  • the experimental results show that: Beagle dog hemodilution model is relatively stable, controllable, suitable for evaluating the role of plasma substitutes.
  • the result shows that the injection solution of the present invention has obvious anti-shock effect under the state of acute blood loss of a certain amount, and can change hypervolemia (raise blood pressure) simultaneously. It can more effectively maintain the oxygen dissociation curve in arterial and venous blood, and has a certain protective effect on tissues.

Landscapes

  • Health & Medical Sciences (AREA)
  • Chemical & Material Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Medicinal Chemistry (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Epidemiology (AREA)
  • Inorganic Chemistry (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • Engineering & Computer Science (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Diabetes (AREA)
  • Hematology (AREA)
  • Dermatology (AREA)
  • General Chemical & Material Sciences (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Organic Chemistry (AREA)
  • Polysaccharides And Polysaccharide Derivatives (AREA)
  • Medicinal Preparation (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)

Abstract

The present invention relates to a sodium carboxymethyl starch and an injection thereof, a preparation method for a sodium carboxymethyl starch and an injection thereof, and a use for preparing blood substitutes. The sodium carboxymethyl starch described in the present invention is a sodium carboxymethyl starch having a molecular weight of 151,000-420,000, a conductivity meter substitution degree of 0.1-1.1, a specific rotation of 185-198, and an intrinsic viscosity of 20-45, and can be used to prepare blood substitutes. The preparation method for the sodium carboxymethyl starch and the sodium carboxymethyl starch injection in the present invention is simple and convenient, economical and suitable for industrial production.

Description

羧甲基淀粉钠及其注射液Sodium Carboxymethyl Starch and Its Injection 技术领域technical field
本发明涉及一种羧甲基淀粉钠及其注射液,制造方法及其用途。The present invention relates to a kind of carboxymethyl starch sodium and its injection, manufacturing method and application thereof.
背景技术Background technique
世界各国科学家都在寻找一种安全提高血容量的血浆代用品又称血浆扩容剂,是临床上常用的容量补充剂。给药后,可增加血容量,暂时维持血压,用于救治因大量出血、烧伤或其它外伤引起的休克或出血症,以防止因低血容量状态引起的循环障碍和微循环障碍造成的各器官血流量、氧供量减少最终出现的器官功能衰竭。目前,国内外临床上常用的血浆扩容剂分为晶体液和胶体液。Scientists from all over the world are looking for a plasma substitute that can safely increase blood volume, also known as plasma volume expander, which is a commonly used volume supplement in clinical practice. After administration, it can increase blood volume and temporarily maintain blood pressure. It is used to treat shock or hemorrhagic disease caused by massive bleeding, burns or other trauma, and to prevent circulatory disorders and microcirculation disorders caused by low blood volume. Reduced blood flow and oxygen supply eventually lead to organ failure. At present, the plasma volume expanders commonly used clinically at home and abroad are divided into crystalloids and colloids.
晶体液的主要成分是水和电解质,是小分子的溶液,溶质颗粒直径小于1nm。临床上晶体液是在血液和体液丢失后,用以纠正水和电解质缺乏的基本复苏液之一。其主要作用是补充功能性细胞外液,维持机体内环境相对稳定(pH和晶体渗透压),增加肾小球滤过率,在一定程度上补充循环血容量并维持尿量。The main components of crystalloid are water and electrolyte, which is a solution of small molecules, and the diameter of solute particles is less than 1nm. Clinically, crystalloid is one of the basic resuscitation fluids used to correct water and electrolyte deficiency after blood and body fluid loss. Its main function is to replenish functional extracellular fluid, maintain a relatively stable internal environment (pH and crystal osmotic pressure), increase glomerular filtration rate, replenish circulating blood volume and maintain urine output to a certain extent.
输入晶体液后,电解质和水分可按照体液成分在血管内外分布,大部分晶体液很快从血管内渗出到血管外组织间隙,25%分布于血管内,75%分布于血管外。因此,当晶体液用于补充失血量、扩充血管容量时,要求输入晶体液的容量是失血量的3~4倍。After the crystalloid is injected, electrolytes and water can be distributed inside and outside the blood vessel according to the composition of the body fluid. Most of the crystalloid seeps out from the blood vessel to the extravascular tissue space quickly, 25% is distributed in the blood vessel, and 75% is distributed outside the blood vessel. Therefore, when crystalloid is used to supplement blood loss and expand blood vessel volume, the volume of crystalloid input is required to be 3 to 4 times the blood loss.
晶体液又有等渗和高渗之分。正常人血浆的渗透压为280~320mmoI/L,高于正常人血浆渗透压320mosm/L则称之为高渗。临床上常用的等渗晶体液主要有生理盐 水、林格液、乳酸林格液和醋酸钠林格液,其渗透压均在正常人血浆渗透压范围内。临床应用的高渗晶体液主要是7.5%的氯化钠溶液,其渗透压为2400mosm/L。Crystalloids are divided into isotonic and hypertonic. The osmotic pressure of normal human plasma is 280-320mmoI/L, which is called hypertonic when the osmotic pressure of normal human plasma is 320mosm/L. Isotonic crystalloids commonly used in clinical practice mainly include normal saline, Ringer's solution, lactated Ringer's solution and sodium acetate Ringer's solution, and their osmotic pressures are all within the normal plasma osmotic pressure range. The hypertonic crystalloid used clinically is mainly 7.5% sodium chloride solution with an osmotic pressure of 2400mosm/L.
胶体液是溶质颗粒直径介于1~100nm的大分子物质,不易通过毛细血管壁,其颗粒存留在血管内产生胶体渗透压,将液体存留在血管内,从而增加并有效维持血容量。胶体液分为来源于血浆的各种天然胶体和人工合成胶体。临床上常用的天然胶体主要是人血白蛋白,人工胶体主要有明胶、右旋糖酐以及羧乙基淀粉类。Colloid is a macromolecular substance with a diameter of solute particles ranging from 1 to 100 nm. It is difficult to pass through the capillary wall. The particles remain in the blood vessels to generate colloid osmotic pressure, and the liquid is retained in the blood vessels, thereby increasing and effectively maintaining blood volume. Colloids are divided into various natural colloids and synthetic colloids derived from blood plasma. The natural colloid commonly used clinically is mainly human serum albumin, and the artificial colloid mainly includes gelatin, dextran and carboxyethyl starch.
白蛋白相对分子质量较高,透过膜内速度较慢,使白蛋白胶体渗透压与毛细血管的静力压相衡,以此维持正常与恒定的血容量,同时在血循环中1g白蛋白可保留18mL水,从而起到增加循环血容量和维持血浆胶体渗透压的作用。白蛋白具有“天然性”,很长时间以来白蛋白被认为是对患者最有益的胶体。过去曾被广泛使用,常将其作为评价其他胶体的金标准。然而,在1998年之后,白蛋白在临床的应用充满争议。直至2004年,在新英格兰杂志上发表的一项在欧洲开展的名为SAFE(Saline versus Albumin Fluid Evaluation)的多中心对照、随机双盲临床实验,成为白蛋白效果评价的一个重要的里程碑。该研究结果证实,与生理盐水相比,4%白蛋白扩容治疗并不增加重症患者28天病死率。至此,白蛋白用于重症患者扩容治疗的安全性得以肯定。美国FDA也因此撤销了对白蛋白的警告,白蛋白处方量恢复到了1998年之前的水平。但与其他复苏液相比,白蛋白的来源有限,价格较高,效果上的优势并不明显。The relative molecular weight of albumin is relatively high, and the speed of permeating the membrane is relatively slow, so that the osmotic pressure of albumin colloid and the static pressure of capillaries are balanced, so as to maintain a normal and constant blood volume. At the same time, 1g of albumin in the blood circulation can Retain 18mL of water to increase circulating blood volume and maintain plasma colloid osmotic pressure. Albumin is "natural" and has long been considered the most beneficial colloid for patients. It has been widely used in the past and is often used as the gold standard for evaluating other colloids. However, after 1998, the clinical application of albumin was full of controversy. Until 2004, a multi-center controlled, randomized double-blind clinical trial called SAFE (Saline versus Albumin Fluid Evaluation) carried out in Europe, published in the New England Journal, became an important milestone in the evaluation of albumin effects. The results of this study confirmed that, compared with normal saline, 4% albumin expansion therapy did not increase the 28-day mortality of critically ill patients. So far, the safety of albumin for volume expansion therapy in critically ill patients has been affirmed. The US FDA also revoked the warning on albumin, and the prescription volume of albumin returned to the level before 1998. However, compared with other resuscitation solutions, the source of albumin is limited, the price is higher, and the advantage in effect is not obvious.
戴连宝、施卫群发明了一种含有分子量为0.5万~15万和羧甲基淀粉钠氯化钠注射液(ZL031155243),取代度为0.1~1.0的羧甲基淀粉钠及其注射液,具有分离血液红细胞和白细胞,白细胞可以治疗癌症化疗后补充白细胞中的红细胞具有携氧功能。因为血液中加入羧甲基淀粉钠氯化钠注射液,红细胞变形并能治疗脉管炎、脑梗等病 症。而且能酸碱平衡对输血病人起了很重要的作用。Dai Lianbao and Shi Weiqun invented a sodium carboxymethyl starch sodium chloride injection (ZL031155243) with a molecular weight of 0.5-150,000 and sodium carboxymethyl starch and a degree of substitution of 0.1-1.0 and its injection. Blood red blood cells and white blood cells, white blood cells can treat cancer after chemotherapy to supplement white blood cells in red blood cells have the function of carrying oxygen. Because carboxymethyl starch sodium sodium chloride injection is added in the blood, red blood cells are deformed and can treat diseases such as vasculitis and cerebral infarction. And acid-base balance plays a very important role in blood transfusion patients.
发明内容Contents of the invention
本发明的目的是提供一种羧甲基淀粉钠及其注射液。The object of the present invention is to provide a kind of sodium carboxymethyl starch and injection thereof.
本发明的目的还提供一种上述羧甲基淀粉钠及其注射液的配置方法。The object of the present invention also provides a kind of configuration method of above-mentioned sodium carboxymethyl starch and injection thereof.
本发明的另一目的是提供一种上述羧甲基淀粉钠及其注射液的用途。Another object of the present invention is to provide a kind of purposes of above-mentioned sodium carboxymethyl starch and injection thereof.
本发明的的羧甲基淀粉钠是具有分子量为15.1万-42万;电导仪取代度为0.1-1.1;比旋度为185-198;特性粘度为20-45的羧甲基淀粉钠。推荐分子量为15.1-36万,尤其是20-36万的羧甲基淀粉钠。The sodium carboxymethyl starch of the present invention has a molecular weight of 151,000-420,000; a conductivity meter substitution degree of 0.1-1.1; a specific rotation of 185-198; and an intrinsic viscosity of 20-45. The recommended molecular weight is 151,000-360,000, especially sodium carboxymethyl starch with a molecular weight of 200,000-360,000.
将原料分子量为19-44万的羧甲基淀粉钠配置成原药粉剂或浆状:原料羧甲基淀粉钠加入蒸馏水经喷雾干燥制成粉剂;原料粉状或浆状羧甲基淀粉钠加入蒸馏水经冷冻干燥制成粉剂;原料粉状或浆状羧甲基淀粉钠加入乙醇纯化,除醇制成浆状或粉剂。The raw material sodium carboxymethyl starch with a molecular weight of 190,000-440,000 is configured into the original drug powder or slurry: the raw material sodium carboxymethyl starch is added to distilled water and spray-dried to make a powder; the raw material powder or slurry sodium carboxymethyl starch is added Distilled water is freeze-dried to make powder; raw material powder or paste sodium carboxymethyl starch is purified by adding ethanol, and alcohol is removed to make paste or powder.
用蒸馏水将上述原药浆状或粉剂原药配置成下述重量百分比的注射液:羧甲基淀粉钠3%-6%、加入活性炭0.1%-3%、氯化钠0.6%-1.2%、其余为蒸馏水;推荐羧甲基淀粉钠重量为4%-5%。混合后脱色,脱色温度为70℃-110℃,时间为40分钟-90分钟。经沙棒或钛棒过滤,除去活性炭,使溶液中羧甲基淀粉钠浓度达到4.5%-6%。调节PH值5-7,推荐PH为5.5-6.5,再经微孔过滤进行罐装,随后进行灭菌消毒(120摄氏度,30分钟)(Fo>12),也可以将原药浆状或粉剂用生理盐水稀释配置成为含有5-6的羧甲基淀粉钠注射液。Use distilled water to configure the above-mentioned original drug slurry or powder original drug into the injection solution of the following weight percentages: sodium carboxymethyl starch 3%-6%, add activated carbon 0.1%-3%, sodium chloride 0.6%-1.2%, The rest is distilled water; the recommended weight of sodium carboxymethyl starch is 4%-5%. After mixing, decolorize, the decolorization temperature is 70°C-110°C, and the time is 40 minutes-90 minutes. Filtrate through a sand rod or a titanium rod to remove activated carbon, so that the concentration of sodium carboxymethyl starch in the solution reaches 4.5%-6%. Adjust the pH value to 5-7, the recommended pH is 5.5-6.5, and then filter through micropores for canning, and then sterilize (120 degrees Celsius, 30 minutes) (Fo>12), or the original drug slurry or powder It is diluted with physiological saline and configured to be sodium starch glycolate injection containing 5-6.
进一步说将上述的羧甲基淀粉钠粉或其浆液作原药采用下述三种方法获得本发明的羧甲基淀粉钠注射液:Further say that above-mentioned sodium carboxymethyl starch powder or its slurry are made former medicine and adopt following three kinds of methods to obtain sodium carboxymethyl starch injection of the present invention:
粉剂或者蒸除酒精的浆液用活性炭脱色,过滤,用蒸馏水配置成3%-6%重量百 分比的羧甲基淀粉钠注射液,加入重量百分比0.7%-0.8%的氯化钠溶液,调节溶液PH值至5.5-6.5过滤,灭菌消毒;Decolorize the powder or the slurry that has been evaporated to remove alcohol with activated carbon, filter, configure 3%-6% by weight sodium carboxymethyl starch injection with distilled water, add 0.7%-0.8% by weight sodium chloride solution, and adjust the pH of the solution Value to 5.5-6.5 filtration, sterilization;
羧甲基淀粉钠粉或浆状经过冷冻干燥变成固体,配成3%-6%羧甲基淀粉钠溶液,加入活性炭经过沙棒或钛棒进行过滤,用蒸馏水将溶液浓度调节至5%,加入0.8%氯化钠固体,调节溶液PH值至5.5-6.5,过滤,装瓶灭菌消毒;Carboxymethyl starch sodium powder or slurry becomes solid after freeze-drying, and it is made into a 3%-6% carboxymethyl starch sodium solution, and activated carbon is added to filter through a sand rod or a titanium rod, and the solution concentration is adjusted to 5% with distilled water , adding 0.8% sodium chloride solid, adjusting the pH value of the solution to 5.5-6.5, filtering, bottling and sterilizing;
羧甲基淀粉钠粉或浆状液用95%乙醇溶液进行固化,用蒸馏水配置成3%-6%羧甲基淀粉钠溶液,脱醇,活性炭脱色,过滤,将溶液浓度调节至重量3%-6%,推荐5%,加入0.7%-0.8%氯化钠溶液后调节溶液PH值至5.5-6.5再经过丙烯酸薄膜过滤,装瓶后灭菌消毒。Sodium carboxymethyl starch powder or slurry is solidified with 95% ethanol solution, configured into a 3%-6% sodium carboxymethyl starch solution with distilled water, dealcoholized, decolorized with activated carbon, filtered, and the concentration of the solution is adjusted to 3% by weight -6%, 5% is recommended, after adding 0.7%-0.8% sodium chloride solution, adjust the pH value of the solution to 5.5-6.5, then filter through an acrylic membrane, and sterilize after bottling.
本发明的羧甲基淀粉钠氯化钠及其注射液不仅可以用于制备代血液,能够增加氧的释放.对肾组织具有一定的保护作用,对于维护失血状态下的组织供氧具有一定的积极作用,能安全的提高血容量,并有携氧功能,可以代替血使用。而且生产方法简便,经济,适用于工业化制备代血液。The carboxymethyl starch sodium sodium chloride and its injection solution of the present invention can not only be used to prepare blood substitutes, but also can increase the release of oxygen. It has a certain protective effect on kidney tissue, and has a certain effect on maintaining tissue oxygen supply under the state of blood loss. Positive effect, can safely increase blood volume, and has the function of carrying oxygen, which can be used instead of blood. Moreover, the production method is simple and economical, and is suitable for industrialized preparation of blood substitutes.
附图说明Description of drawings
图1、对照组HCT25%(肝对25%)时肝脏HE染色图。Fig. 1. Hepatic HE staining diagram when the HCT of the control group was 25% (liver pair 25%).
图2、对照组HCT50%(肝对50%)时肝脏HE染色图。Fig. 2. Hepatic HE staining diagram when the HCT of the control group was 50% (liver pair 50%).
图3、对照组HCT75%(肝对75%)时肝脏HE染色图。Fig. 3. Hepatic HE staining diagram when HCT75% (liver pair 75%) in the control group.
图4、实验组HCT100%(肝1)时肝脏HE染色图。Fig. 4. Hepatic HE staining diagram when the HCT of the experimental group was 100% (liver 1).
图5、实验组HCT75%(肝2)时肝脏HE染色图。Fig. 5. Hepatic HE staining diagram when HCT75% (liver 2) of the experimental group.
图6、实验组HCT50%(肝3)时肝脏HE染色图。Fig. 6. Hepatic HE staining diagram at HCT50% (liver 3) of the experimental group.
图7、实验组HCT25%(肝4)时肝脏HE染色图。Fig. 7. Hepatic HE staining diagram when HCT 25% (liver 4) in the experimental group.
图8、对照组HCT25%时肾脏透射电镜图。Fig. 8. Transmission electron micrographs of the kidneys in the control group when HCT was 25%.
图9、对照组HCT50%时肾脏透射电镜图。Fig. 9. Transmission electron micrographs of the kidneys in the control group when HCT was 50%.
图10、对照组HCT75%时肾脏透射电镜图。Fig. 10. Transmission electron micrographs of the kidneys in the control group when HCT was 75%.
图11、为实验组HCT25%时肾脏透射电镜图。Fig. 11 is a transmission electron micrograph of the kidney in the experimental group when HCT was 25%.
图12、为实验组HCT50%时肾脏透射电镜图。Fig. 12 is a transmission electron micrograph of the kidney at HCT50% of the experimental group.
图13、为实验组HCT75%时肾脏透射电镜图。Fig. 13 is a transmission electron microscope image of the kidneys in the experimental group when HCT was 75%.
图14、为HCT100%时肾脏透射电镜图。Fig. 14 is a transmission electron micrograph of the kidney when HCT is 100%.
图15、为对照组HCT25%时肝脏透射电镜图。Fig. 15 is a transmission electron microscope image of the liver in the control group when HCT was 25%.
图16、为对照组HCT50%时肝脏透射电镜图。Fig. 16 is a transmission electron micrograph of the liver when HCT50% of the control group.
图17、为对照组HCT75%时肝脏透射电镜图。Fig. 17 is a transmission electron micrograph of the liver in the control group when the HCT was 75%.
图18、为实验组HCT25%时肝脏透射电镜图。Fig. 18 is a transmission electron microscope image of the liver in the experimental group when HCT was 25%.
图19、为实验组HCT50%时肝脏透射电镜图。Fig. 19 is a transmission electron micrograph of the liver when HCT50% of the experimental group.
图20、为实验组HCT75%时肝脏透射电镜图。Fig. 20 is a transmission electron microscope image of the liver in the experimental group when HCT75%.
图21、为HCT100%时肝脏透射电镜图。Fig. 21 is a transmission electron micrograph of the liver when HCT is 100%.
具体实施方法Specific implementation method
实施例中采用的样品:The sample that adopts in the embodiment:
本发明的羧甲基淀粉钠注射液。Sodium carboxymethyl starch injection of the present invention.
羟乙基淀粉130/0.4氯化钠注射液(HES 130),北京菲森尤斯卡比医药有限公司生产。Hydroxyethyl starch 130/0.4 sodium chloride injection (HES 130), produced by Beijing Fresenius Kabi Pharmaceutical Co., Ltd.
羟乙基淀粉200/0.4氯化钠注射液(HES 200),北京菲森尤斯卡比医药有限公司生产。或者200羧甲基淀粉钠氯化钠注射液(CMS200),上海长征富民金山制药有限公司生产。Hydroxyethyl starch 200/0.4 sodium chloride injection (HES 200), produced by Beijing Fresenius Kabi Pharmaceutical Co., Ltd. Or 200 carboxymethyl starch sodium sodium chloride injection (CMS200), produced by Shanghai Changzheng Fumin Jinshan Pharmaceutical Co., Ltd.
羟乙基淀粉40氯化钠注射液(706代血浆),山东齐都药业有限公司生产。Hydroxyethyl starch 40 sodium chloride injection (706 generation plasma), produced by Shandong Qidu Pharmaceutical Co., Ltd.
羧甲基淀粉钠氯化钠注射液(CMS120),上海长征富民金山制药有限公司生产。通过下列实施例将有助于理解本发明,但并不限制本发明的内容。Carboxymethyl starch sodium sodium chloride injection (CMS120), produced by Shanghai Changzheng Fumin Jinshan Pharmaceutical Co., Ltd. The following examples will help to understand the present invention, but do not limit the content of the present invention.
实施例1Example 1
将市售的原料羧甲基淀粉钠粉或浆(通常羧甲基淀粉钠的分子量为19万-42万)液配置成3%-6%羧甲基淀粉钠溶液,用蒸馏法蒸发溶液中的酒精。利用仪器测量,确认溶液中不含酒精或含微量酒精。随后加入活性炭,加温加热至100℃进行脱色,随后经过沙棒或钛棒进行过滤达到注射液要求,获得原药·羧甲基淀粉钠。配置成5%的羧甲基淀粉钠注射液,加入0.7%-0.8%的氯化钠溶液,调节溶液PH值至5.5-6.5,随后经过丙烯酸薄膜过滤,装瓶后在110℃环境下进行15分钟灭菌消毒,获得、电导仪取代度为0.1-1.1;比旋度185-198;特性粘度20-45,分子量为15.1-35万产品。Commercially available raw material sodium carboxymethyl starch powder or slurry (usually the molecular weight of sodium carboxymethyl starch is 190,000-420,000) liquid is configured into a 3%-6% sodium carboxymethyl starch solution, and the solution is evaporated by distillation. of alcohol. Use an instrument to measure and confirm that the solution does not contain alcohol or contains a small amount of alcohol. Then add activated carbon, heat and heat to 100°C for decolorization, and then filter through a sand rod or titanium rod to meet the requirements of the injection to obtain the original drug sodium carboxymethyl starch. Configured as 5% sodium carboxymethyl starch injection, add 0.7%-0.8% sodium chloride solution, adjust the pH value of the solution to 5.5-6.5, then filter through an acrylic membrane, and carry out 15 days at 110°C after bottling. Sterilize in minutes to obtain a product with a conductivity meter substitution degree of 0.1-1.1; a specific rotation of 185-198; an intrinsic viscosity of 20-45 and a molecular weight of 15.1-350,000.
实施例2Example 2
将原料液羧甲基淀粉钠粉或浆状经过冷冻干燥变成固体,配置成3%-6%羧甲基淀粉钠溶液,加入活性炭经过沙棒或钛棒进行过滤,将溶液浓度调节至5%。加入0.8%氯化钠固体,调节溶液PH值至5.5-6.5。随后溶液经过丙烯酸薄膜过滤,制成5%羧甲基淀粉钠氯化钠注射液。装瓶后在110℃环境下进行15分钟灭菌消毒,获得成品。The raw material liquid sodium carboxymethyl starch powder or slurry is freeze-dried to become a solid, configured into a 3%-6% sodium carboxymethyl starch solution, added activated carbon and filtered through a sand rod or a titanium rod, and the concentration of the solution is adjusted to 5% %. Add 0.8% sodium chloride solid to adjust the pH value of the solution to 5.5-6.5. Then the solution was filtered through an acrylic membrane to prepare 5% carboxymethyl starch sodium sodium chloride injection. After bottling, it is sterilized for 15 minutes under an environment of 110° C. to obtain a finished product.
实施例3Example 3
原料羧甲基淀粉钠粉或浆状液用95%乙醇溶液进行固化,用固体配置成3%-6%羧甲基淀粉钠溶液,除醇,加入活性炭经过沙棒或钛棒进行过滤,将溶液浓度调节至5%。加入0.7%-0.8%氯化钠溶液后调节溶液PH值至5.5-6.5。随后溶液经过丙烯酸薄膜过滤,制成5%羧甲基淀粉钠注射液。装瓶后在110℃环境下进行15分钟灭菌消毒,获得成品。The raw material carboxymethyl starch sodium powder or slurry is solidified with 95% ethanol solution, and the solid is configured into a 3%-6% carboxymethyl starch sodium solution, alcohol is removed, and activated carbon is added to filter through a sand rod or a titanium rod. The solution concentration was adjusted to 5%. After adding 0.7%-0.8% sodium chloride solution, adjust the pH value of the solution to 5.5-6.5. Then the solution was filtered through an acrylic membrane to prepare 5% sodium carboxymethyl starch injection. After bottling, it is sterilized for 15 minutes under an environment of 110° C. to obtain a finished product.
实施例4分子量及分子量分布的测定The mensuration of embodiment 4 molecular weight and molecular weight distribution
采用色谱仪:安捷伦1260,Using chromatograph: Agilent 1260,
色谱柱:shodex SB-804,测定范围<100万,Chromatographic column: shodex SB-804, measuring range <1 million,
检测器:怀雅特激光光散射仪,DAWN HELEOS II;怀雅特示差检测器,OPtilabrex,Detector: Wyatt laser light scattering instrument, DAWN HELEOS II; Wyatt differential detector, OPtilabrex,
实验方法experimental method
样品浓度稀释至2mg/ml,进样100ul,Dilute the sample concentration to 2mg/ml, inject 100ul,
流动相:0.9%Nacl+0.02%NaN3。Mobile phase: 0.9% Nacl+0.02% NaN3.
流速:0.500ml/min,Flow rate: 0.500ml/min,
检测波长:663.6nm,Detection wavelength: 663.6nm,
温度:室温,Temperature: room temperature,
测得原料液羧甲基淀粉钠分子量为41-42万,将其纯化后的本发明的羧甲基淀粉钠分子量测得为29万羧甲基淀粉钠(P50为46.02)。Recording raw material liquid carboxymethyl starch sodium molecular weight is 41-42 ten thousand, and the carboxymethyl starch sodium molecular weight of the present invention after its purification is recorded as 290,000 carboxymethyl starch sodium (P50 is 46.02).
测定结果显示,原料分子量比本发明的相应的注射液中原药分子量高。The measurement results show that the molecular weight of the raw material is higher than that of the original drug in the corresponding injection solution of the present invention.
Figure PCTCN2022104064-appb-000001
Figure PCTCN2022104064-appb-000001
实施例5五项基本质控项目的检测The detection of five basic quality control items of embodiment 5
1、不同注射液的pH值测定1. Determination of pH value of different injections
本发明的羧甲基淀粉钠注射液以及常用人工胶体复苏液的pH值检测结果如表2.1The pH value test results of sodium carboxymethyl starch injection of the present invention and commonly used artificial colloid resuscitation fluid are shown in Table 2.1
表2.1不同注射液的pH值Table 2.1 pH value of different injection solutions
Figure PCTCN2022104064-appb-000002
Figure PCTCN2022104064-appb-000002
2,晶体渗透压测定2. Crystal Osmolality Determination
采用Model-210型晶体渗透压仪(Fiske公司,美国);晶体渗透压仪检测样品管(Fiske公司,美国)Adopt Model-210 type crystal osmotic pressure instrument (Fiske company, the United States); Crystal osmotic pressure instrument detects sample tube (Fiske company, the United States)
本发明的粉钠注射液渗透压检测结果如表2.2The powder sodium injection osmotic pressure detection result of the present invention is as table 2.2
表2.2不同注射液的晶体渗透压值,以上数值单位为mOsm/kgTable 2.2 Crystal osmotic pressure values of different injection solutions, the above values are in mOsm/kg
Figure PCTCN2022104064-appb-000003
Figure PCTCN2022104064-appb-000003
3,血浆黏度的测定3. Determination of Plasma Viscosity
利用毛细管黏度计测定羧甲基淀粉钠氯化钠注射液、人血浆的黏度Determination of Viscosity of Carboxymethyl Starch Sodium Sodium Chloride Injection and Human Plasma by Capillary Viscometer
采用LBY-BX型血液流变仪(普利生仪器有限公司,中国北京);Using LBY-BX type blood rheometer (Prison Instruments Co., Ltd., Beijing, China);
HDB-1型恒温加热器(吴诺斯科技有限公司,中国北京);EP管若干。HDB-1 constant temperature heater (Wu Nuosi Technology Co., Ltd., Beijing, China); several EP tubes.
三种狻甲基淀粉钠氯化钠注射液、及健康人血浆的黏度检测结果如下:The viscosity testing results of three kinds of Suan methyl starch sodium sodium chloride injection and healthy human plasma are as follows:
表2.3不同注射液的黏度测量值,以上数值单位为mPa.sTable 2.3 Viscosity measurement values of different injection solutions, the above values are in mPa.s
Figure PCTCN2022104064-appb-000004
Figure PCTCN2022104064-appb-000004
Figure PCTCN2022104064-appb-000005
Figure PCTCN2022104064-appb-000005
利用悬丝黏度计检测几种注射液的黏度Measuring Viscosity of Several Injections by Suspension Viscometer
采用BT-300悬丝式血液黏度计(博莱特科技有限公司,中国北京);Adopt BT-300 suspension wire blood viscometer (Bright Technology Co., Ltd., Beijing, China);
HDB-1型恒温加热器(吴诺斯科技有限公司,中国北京);EP管若干。HDB-1 constant temperature heater (Wu Nuosi Technology Co., Ltd., Beijing, China); several EP tubes.
测定结果如下:The measurement results are as follows:
表2.4不同注射液的黏度测量值Table 2.4 Viscosity measurements of different injections
Figure PCTCN2022104064-appb-000006
Figure PCTCN2022104064-appb-000006
本发明的羧甲基淀粉钠氯化钠注射液和706代血浆五项基本质控项目检测数据总结如下表表2.5:Carboxymethyl starch sodium sodium chloride injection of the present invention and 706 generations of blood plasma five basic quality control items detection data are summarized in table 2.5 as follows:
Figure PCTCN2022104064-appb-000007
Figure PCTCN2022104064-appb-000007
Figure PCTCN2022104064-appb-000008
Figure PCTCN2022104064-appb-000008
实施例6血液稀释模型下药效评价预实验Example 6 Preliminary Experiment of Drug Efficacy Evaluation under the Blood Dilution Model
原料液羧甲基淀粉钠浆状经过喷雾干燥成固体,用固体配置成3%-4%羧甲基淀粉钠溶液。加入活性炭经过沙棒或钛棒进行过滤,将溶液浓度调节至5%。加入0.7%-0.8%氯化钠溶液后调节溶液PH值至5.5-6.5。随后溶液经过丙烯酸薄膜过滤,制成5%羧甲基淀粉钠注射液。装瓶后在110℃环境下进行15分钟灭菌消毒,获得本发明的羧甲基淀粉钠注射液。The slurry form of the raw material sodium carboxymethyl starch is spray-dried into a solid, and the solid is used to form a 3%-4% sodium carboxymethyl starch solution. Add activated carbon and filter through a sand rod or titanium rod to adjust the concentration of the solution to 5%. After adding 0.7%-0.8% sodium chloride solution, adjust the pH value of the solution to 5.5-6.5. Then the solution was filtered through an acrylic membrane to prepare 5% sodium carboxymethyl starch injection. After bottling, it was sterilized at 110° C. for 15 minutes to obtain the sodium carboxymethyl starch injection of the present invention.
CMS120两种羧甲基淀粉钠注射液和本发明的羧甲基淀粉钠注射液在血液稀释模型下药效评价预实验CMS120 Two Carboxymethyl Starch Sodium Injections and the Carboxymethyl Starch Sodium Injection of the Present Invention Preliminary Experiments for Drug Efficacy Evaluation under the Blood Dilution Model
实验动物:体重7-12kg的Beagle,雄性犬8只,来源于军事医学科学院实验动物中心。Experimental animals: Beagle weighing 7-12kg, 8 male dogs, from the Experimental Animal Center of the Academy of Military Medical Sciences.
待测药物样品:Drug samples to be tested:
本发明的羧甲基淀粉钠注射液。Sodium carboxymethyl starch injection of the present invention.
CMS120羧甲基淀粉钠注射液(CMS120),由上海朗佑生物科技有限公司提供。CMS120 Carboxymethyl Starch Sodium Injection (CMS120) was provided by Shanghai Langyou Biotechnology Co., Ltd.
羟乙基淀粉130/0.4氯化钠注射液(Fresenius Kabi Deutschland GmbH,商品名称:万汶或HES130),0.9%氯化钠注射液:戊巴比妥钠,北京化学试剂公司,化学纯。Hydroxyethyl starch 130/0.4 sodium chloride injection (Fresenius Kabi Deutschland GmbH, trade name: Wanwen or HES130), 0.9% sodium chloride injection: sodium pentobarbital, Beijing Chemical Reagent Company, chemically pure.
采用脉搏指数连续心输出量监测设备,简称PICCO(PULSION,德国);组织氧分压检测设备系统(POG-203,日本):2-16PK超速离心机(Sigma,美国);ABL90co-ox型血气分析仪(RADIOMETER公司,丹麦);MoorLAB激光多普勒血流仪(Moor instruments Led,英国);LBY-N6B型全功能自动血流变仪(北京普利生仪器有限公司,中国);4420型胶体渗透压仪(Wescor,美国);HEMAVET950血细胞分析仪(DREW公司,美国);液相芯片系统(Luminex 200,德国);全自动生化分析仪(日立7020,日本)。HEMOX TM-ANALYSER(TCS Scientific Corp,美国)。Pulse index continuous cardiac output monitoring equipment, referred to as PICCO (PULSION, Germany); tissue oxygen partial pressure detection equipment system (POG-203, Japan): 2-16PK ultracentrifuge (Sigma, the United States); ABL90co-ox blood gas Analyzer (RADIOMETER company, Denmark); MoorLAB laser Doppler blood flowmeter (Moor instruments Led, UK); LBY-N6B full-featured automatic blood rheometer (Beijing Prism Instrument Co., Ltd., China); 4420 colloid Osmometer (Wescor, USA); HEMAVET950 hematology analyzer (DREW, USA); liquid chip system (Luminex 200, Germany); automatic biochemical analyzer (Hitachi 7020, Japan). HEMOX™-ANALYSER (TCS Scientific Corp, USA).
比格犬动物模型的制备和药效学观察Preparation and Pharmacodynamic Observation of Beagle Animal Model
1、麻醉与手术1. Anesthesia and surgery
①麻醉:Beagle犬称重,使用3%戊巴比妥钠溶液(1mL/kg)经前肢表浅静脉注射麻醉。① Anesthesia: Beagle dogs were weighed and anesthetized with 3% pentobarbital sodium solution (1 mL/kg) via the superficial vein of the forelimb.
②手术:麻醉后,取仰卧位固定四肢,分离右侧颈静脉、右侧股静脉和双侧股动脉。一侧股动脉插管用于失血,股静脉插管用于回输液体,另一侧股动脉插管用于监测血流动力学等生理指标。右侧颈静脉用于采集混合静脉血气和注射冷生理盐水。手术后稳定10分钟,记录生理指标,同时取动静脉血0.5毫升测定血气各项指标,取125mm 3组织块进行HE染色切片分析和透射电镜,然后进行放血和补液,到下一个取血点重 复操作。 ②Operation: After anesthesia, the limbs were fixed in the supine position, and the right jugular vein, right femoral vein and bilateral femoral arteries were separated. One femoral artery was cannulated for blood loss, the femoral vein was cannulated for fluid reinfusion, and the other femoral artery was cannulated for monitoring hemodynamics and other physiological indicators. The right jugular vein was used for mixed venous blood gas collection and cold saline injection. Stable for 10 minutes after the operation, record physiological indicators, and take 0.5 ml of arterial and venous blood to measure blood gas indicators, take 125mm 3 tissue blocks for HE staining section analysis and transmission electron microscopy, then perform bloodletting and fluid replacement, and repeat at the next blood collection point operate.
2、急性血液稀释模型的制备2. Preparation of acute hemodilution model
制备急性等容血液稀释模型,分为三步进行血液稀释,第一步使红细胞比容降低为基础值75%,第二步使红细胞比容降低为基础值50%,第三步使红细胞比容降低为基础值25%。实验分组实验分为两组。实验组,实验动物失血后予以等量的本发明的羧甲基淀粉钠注射液输注。对照组,实验动物失血后予以等量的生理盐水注射液输注。每一个设定的缺氧点记录大的呼吸频率,血压,动脉压力,中心静脉压。Prepare the acute isovolemic hemodilution model, which is divided into three steps for blood dilution. The first step is to reduce the hematocrit to 75% of the base value, the second step is to reduce the hematocrit to 50% of the base value, and the third step is to reduce the hematocrit to 50% of the base value. The capacity is reduced to 25% of the base value. Experimental Grouping Experiments were divided into two groups. In the experimental group, the experimental animals were infused with an equivalent amount of sodium carboxymethyl starch injection of the present invention after losing blood. In the control group, the experimental animals were infused with the same amount of normal saline injection after blood loss. At each hypoxic point, the maximum respiratory rate, blood pressure, arterial pressure, and central venous pressure were recorded.
①生理盐水组(对照组);①Normal saline group (control group);
③本发明的羧甲基淀粉钠注射液组(实验组)3. sodium carboxymethyl starch injection group (experimental group) of the present invention
本发明的羧甲基淀粉钠注射液对于失血状态下的氧解离曲线影响,以及相同缺血状态下的组织学变化。狗实验结果表明:实验药物在不同程度的失血状态下(HCT分别为75%,50%和25%)能较有效维护动物,失血状态下(HCT分别为75%,50%和25%,动静脉血中的氧解离曲线呈现为多量失血状态下的曲线右移。之所以迭择HCT作为参数点,是因为在失血状态下,HCT能比较准确地反应失血量。研究中各组比较时统一的基准点。The influence of the sodium carboxymethyl starch injection of the present invention on the oxygen dissociation curve under the state of blood loss, and the histological changes under the same ischemia state. The results of the dog experiment show that the experimental drug can effectively maintain the animals under different degrees of blood loss (HCT is 75%, 50% and 25%). The oxygen dissociation curve in venous blood presents a curve shifting to the right in the state of massive blood loss. The reason why HCT is chosen as the parameter point is because in the state of blood loss, HCT can more accurately reflect the amount of blood loss. In the study, each group was compared Unified reference point.
测定PH值,氧分压,氧饱和度,二氧化碳分子压。实验数据如下:Determination of pH value, oxygen partial pressure, oxygen saturation, carbon dioxide molecular pressure. The experimental data are as follows:
A表示动脉血。V表示静脉血。A represents arterial blood. V indicates venous blood.
实验组本发明的羧甲基淀粉钠注射液动脉血数据(呼吸频率15次/分,狗体重7KG)Experimental group sodium carboxymethyl starch injection of the present invention arterial blood data (respiratory frequency 15 times/min, dog body weight 7KG)
Figure PCTCN2022104064-appb-000009
Figure PCTCN2022104064-appb-000009
Figure PCTCN2022104064-appb-000010
Figure PCTCN2022104064-appb-000010
Figure PCTCN2022104064-appb-000011
Figure PCTCN2022104064-appb-000011
Figure PCTCN2022104064-appb-000012
Figure PCTCN2022104064-appb-000012
实验组本发明的羧甲基淀粉钠注射液的静脉血数据  呼吸频率15次/分The venous blood data of experimental group sodium carboxymethyl starch injection of the present invention Respiratory frequency 15 times/min
Figure PCTCN2022104064-appb-000013
Figure PCTCN2022104064-appb-000013
Figure PCTCN2022104064-appb-000014
Figure PCTCN2022104064-appb-000014
Figure PCTCN2022104064-appb-000015
Figure PCTCN2022104064-appb-000015
对照组动脉血数据  狗体重10KGControl group arterial blood data Dog weight 10KG
Figure PCTCN2022104064-appb-000016
Figure PCTCN2022104064-appb-000016
Figure PCTCN2022104064-appb-000017
Figure PCTCN2022104064-appb-000017
Figure PCTCN2022104064-appb-000018
Figure PCTCN2022104064-appb-000018
对照组静脉血数据  狗体重10KGControl group venous blood data Dog weight 10KG
Figure PCTCN2022104064-appb-000019
Figure PCTCN2022104064-appb-000019
Figure PCTCN2022104064-appb-000020
Figure PCTCN2022104064-appb-000020
Figure PCTCN2022104064-appb-000021
Figure PCTCN2022104064-appb-000021
Figure PCTCN2022104064-appb-000022
Figure PCTCN2022104064-appb-000022
狗实验结果表明:本发明的羧甲基淀粉钠注射液,在不同程度的失血状态下(HCT分别为75%,50%和25%)维护组织供氧具有一定的积极作用,能较有效维护动物,失血状态下(HCT分别为75%,50%和25%,动物组织学变化如图1-21所示。Dog experiment result shows: sodium carboxymethyl starch injection of the present invention, (HCT is respectively 75%, 50% and 25%) maintenance tissue oxygen supply has certain positive effect under the state of blood loss in various degrees, can more effectively maintain Animals, in the state of blood loss (HCT were 75%, 50% and 25% respectively, the histological changes of the animals are shown in Figure 1-21.
图1-3为对照组B组(肝、HCT25%):个别肝细胞轻度水样变性,未见坏死,少量淋巴细胞浸润,轻度炎症改变。图4-7为实验组A组(肝组织):肝细胞结构基本正常。Figure 1-3 is the control group B (liver, HCT25%): individual liver cells with mild watery degeneration, no necrosis, a small amount of lymphocyte infiltration, and mild inflammatory changes. Figure 4-7 is the experimental group A (liver tissue): the liver cell structure is basically normal.
图8-10为对照B组(HCT分别为25%,50%,75%)肾脏透射电镜图,足突融合,内皮细胞肿胀,线粒体肿胀;图18-21为实验组(HCT25%,50%,75%时)肾脏透射电镜图,足突融合,内皮细胞肿胀。Fig. 8-10 is contrast B group (HCT is respectively 25%, 50%, 75%) kidney transmission electron micrograph, foot process fusion, endothelial cell swelling, mitochondrial swelling; Fig. 18-21 is experimental group (HCT25%, 50%) , 75%) kidney transmission electron microscope, foot process fusion, swelling of endothelial cells.
图11-13为对照组B组(HCT分别为25%,50%,75%)肝脏透射电镜图,表明肝细胞肿胀、线粒肿胀,可见空泡现象和糖元颗粒。图14-17;实验组A组(HCT分别为25%,50%,75%):肝细胞肿胀、线粒肿胀,可见空泡现象,未见糖元颗粒。Figures 11-13 are transmission electron micrographs of livers in control group B (HCT 25%, 50%, and 75%), showing swelling of liver cells, swelling of mitochondria, vacuoles and glycogen particles. Figures 14-17; Experimental group A (HCT 25%, 50%, 75%): swelling of liver cells, swelling of mitochondria, vacuoles, and no glycogen particles.
实验结果同时显示本发明的药物对失血状态下的组织具有一定的保护作用。The experimental results also show that the medicament of the present invention has a certain protective effect on the tissue under the state of blood loss.
实验结果表明:比格犬血液稀释模型比较稳定,可控,适宜评价血浆代用品的作用。结果表明,本发明的注射液,在急性失血一定量的状态下,有明显抗休克作用,同时能换高血容量(上升血压)。能较有效维持动,静脉血中氧解离曲线,对组一织有一定保护作用。The experimental results show that: Beagle dog hemodilution model is relatively stable, controllable, suitable for evaluating the role of plasma substitutes. The result shows that the injection solution of the present invention has obvious anti-shock effect under the state of acute blood loss of a certain amount, and can change hypervolemia (raise blood pressure) simultaneously. It can more effectively maintain the oxygen dissociation curve in arterial and venous blood, and has a certain protective effect on tissues.

Claims (7)

  1. 一种羧甲基淀粉钠及其注射液,其特征是所述原药羧甲基淀粉钠的分子量为15.1-36万。A sodium carboxymethyl starch and an injection thereof, characterized in that the molecular weight of the original drug sodium carboxymethyl starch is 151,000-360,000.
  2. 如权利要求1所示的羧甲基淀粉钠及其注射液,其特征是所述的羧甲基淀粉钠注射液有下述重量百分比的物质组成:原药羧甲基淀粉钠3%-6%、氯化钠0.6%-1.2%、其余为蒸馏水,PH值为5.5-6.5;所述的原药羧甲基淀粉钠的分子量为15.1万-42万,电导仪取代度为0.1-1.1,比旋度185-198,特性粘度20-45。Carboxymethyl starch sodium and injection thereof as shown in claim 1, it is characterized in that described carboxymethyl starch sodium injection has the material composition of following percentage by weight: former drug carboxymethyl starch sodium 3%-6 %, sodium chloride 0.6%-1.2%, the rest is distilled water, and the pH value is 5.5-6.5; the molecular weight of the original drug carboxymethyl starch sodium is 151,000-420,000, and the conductivity meter substitution degree is 0.1-1.1, Specific rotation 185-198, intrinsic viscosity 20-45.
  3. 一种如权利要1或2所述的羧甲基淀粉钠及其注射液的制备方法,其特征是如权利要求1或2所述的原药是将原料羧甲基淀粉钠粉料采用下述方法获得:A kind of preparation method of sodium carboxymethyl starch as described in claim 1 or 2 and injection thereof, it is characterized in that the former medicine as described in claim 1 or 2 is that raw material sodium starch glycolate powder adopts following The above method is obtained:
    原料羧甲基淀粉钠加入蒸馏水经喷雾干燥制成粉剂;或者原料羧甲基淀粉钠加入蒸馏水经冷冻干燥制成粉剂;或者原料羧甲基淀粉钠加入乙醇纯化,除醇,活性炭脱色,过滤成原药制成羧甲基淀粉钠原药·。The raw material carboxymethyl starch sodium is added with distilled water and spray-dried to make a powder; or the raw material carboxymethyl starch sodium is added with distilled water and then freeze-dried to make a powder; The original drug is made of sodium carboxymethyl starch.
  4. 如权利要1或2所述的羧甲基淀粉钠及其注射液的制备方法,其特征是所述的注射液的制备方法:将如权利要求3所述的羧甲基淀粉钠原药用生理盐水稀释配置成为含有5-6%的羧甲基淀粉钠注射液。Want 1 or 2 described carboxymethyl starch sodium and the preparation method thereof injection, it is characterized in that the preparation method of described injection: the former medicine of carboxymethyl starch sodium as claimed in claim 3 The physiological saline is diluted and configured to be sodium starch glycolate injection containing 5-6%.
  5. 如权利要1或2所述的羧甲基淀粉钠及其注射液的制备方法,其特征是所述的注射液的制备方法:Want 1 or 2 described sodium carboxymethyl starch and the preparation method thereof injection, it is characterized in that the preparation method of described injection:
    原料羧甲基淀粉钠用活性炭脱色,过滤,用蒸馏水配置成含有原药·3%-6%重量百分比,重量百分比0.7%-0.8%的氯化钠溶液,调节溶液 PH值至5.5-6.5过滤,装瓶灭菌消毒;The raw material sodium carboxymethyl starch is decolorized with activated carbon, filtered, and distilled water is used to form a sodium chloride solution containing 3%-6% by weight of the original drug and 0.7%-0.8% by weight, and the pH value of the solution is adjusted to 5.5-6.5 for filtration , bottling sterilization;
    或者原料羧甲基淀粉钠经过冷冻干燥变成固体,配成3%-6%羧甲基淀粉钠溶液,加入活性炭经过沙棒或钛棒进行过滤,用蒸馏水将溶液浓度调节至5%,加入0.8%氯化钠固体,调节溶液PH值至5.5-6.5,过滤,装瓶灭菌消毒;Or the raw material sodium carboxymethyl starch becomes solid after freeze-drying, and it is made into a 3%-6% sodium carboxymethyl starch solution, and activated carbon is added to filter through sand rods or titanium rods, and the concentration of the solution is adjusted to 5% with distilled water. 0.8% sodium chloride solid, adjust the pH value of the solution to 5.5-6.5, filter, bottle and sterilize;
    或者原料羧甲基淀粉钠用95%乙醇溶液进行固化,用蒸馏水配置成3%-6%羧甲基淀粉钠溶液,脱醇,活性炭脱色,过滤,将溶液浓度调节至重量3%-6%,加入0.7%-0.8%氯化钠溶液后调节溶液PH值至5.5-6.5再经过丙烯酸薄膜过滤,装瓶后灭菌消毒。Or the raw material sodium carboxymethyl starch is solidified with 95% ethanol solution, configured with distilled water to form a 3%-6% sodium carboxymethyl starch solution, dealcoholized, decolorized with activated carbon, filtered, and the concentration of the solution is adjusted to 3%-6% by weight After adding 0.7%-0.8% sodium chloride solution, adjust the pH value of the solution to 5.5-6.5, then filter through an acrylic membrane, and sterilize after bottling.
  6. 一种如权利要求1或2所述的羧甲基淀粉钠及其注射液用于制备代血液。A kind of sodium carboxymethyl starch as claimed in claim 1 or 2 and injection thereof are used for preparing blood substitute.
  7. 如权利要求3、4、5或6所述的方法获得的羧甲基淀粉钠及其注射液用于制备代血液。The sodium carboxymethyl starch obtained by the method as claimed in claim 3, 4, 5 or 6 and injection thereof are used for preparing blood substitute.
PCT/CN2022/104064 2021-12-28 2022-07-06 Sodium carboxymethyl starch and injection thereof WO2023123994A1 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
CN202111627109.4 2021-12-28
CN202111627109.4A CN114053422A (en) 2021-12-28 2021-12-28 Sodium carboxymethyl starch and its injection

Publications (1)

Publication Number Publication Date
WO2023123994A1 true WO2023123994A1 (en) 2023-07-06

Family

ID=80230515

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/CN2022/104064 WO2023123994A1 (en) 2021-12-28 2022-07-06 Sodium carboxymethyl starch and injection thereof

Country Status (2)

Country Link
CN (1) CN114053422A (en)
WO (1) WO2023123994A1 (en)

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114053422A (en) * 2021-12-28 2022-02-18 施卫群 Sodium carboxymethyl starch and its injection

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101081229A (en) * 2006-05-30 2007-12-05 四川科伦药业股份有限公司 Plasma subtitute injection using hydroxyethyl group amylum as blood plasma dilatancy agent
US20190381217A1 (en) * 2017-02-28 2019-12-19 Endoclot Plus Co., Ltd Composition for submucosal injection, reagent combination, and applications thereof
CN114053422A (en) * 2021-12-28 2022-02-18 施卫群 Sodium carboxymethyl starch and its injection

Family Cites Families (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN100336829C (en) * 2003-02-26 2007-09-12 戴连宝 Carboxymethyl starch sodium preparation, preparing process and use thereof

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101081229A (en) * 2006-05-30 2007-12-05 四川科伦药业股份有限公司 Plasma subtitute injection using hydroxyethyl group amylum as blood plasma dilatancy agent
US20190381217A1 (en) * 2017-02-28 2019-12-19 Endoclot Plus Co., Ltd Composition for submucosal injection, reagent combination, and applications thereof
CN114053422A (en) * 2021-12-28 2022-02-18 施卫群 Sodium carboxymethyl starch and its injection

Non-Patent Citations (3)

* Cited by examiner, † Cited by third party
Title
CHEN, CHEN ET AL.: "Study on the Effectiveness and Safety of Sodium Carboxymethyl Starch Solution as an Endoscopic Submucosal Injection in Porcine Endoscopic Submucosal Dissection", ZHONGHUA XIAOHUA ZAZHI, ZHONGHUA YIXUEHUI, SHANGHAI FENHUI, CHINA, vol. 40, no. 7, 31 July 2020 (2020-07-31), China , pages 487 - 490, XP009547516, ISSN: 0254-1432 *
PLASMA SUBSITUTE JOINT RESEARCH GROUP: "CARBOXYMETHYLAMYLOSE AS A NEW PLASMA SUBSTITUTE - Ⅰ. CHEMICAL PROPERTIES", ACTA CHIMICA SINICA, vol. 36, no. 1, 1 February 1978 (1978-02-01), pages 49 - 76, XP093076288 *
YOU, GUOXING ET AL.: "Effect of Sodium Carboxymethyl Starch on Erythrocyte Rheology and Oxygen Carrying Function", JOURNAL OF INTERNATIONAL PHARMACEUTICAL RESEARCH, vol. 46, no. 10, 31 October 2019 (2019-10-31), XP009546995, ISSN: 1674-0440 *

Also Published As

Publication number Publication date
CN114053422A (en) 2022-02-18

Similar Documents

Publication Publication Date Title
Arieff et al. Brain water and electrolyte metabolism in uremia: effects of slow and rapid hemodialysis
Brenner et al. The relationship between peritubular capillary protein concentration and fluid reabsorption by the renal proximal tubule
JPS63503381A (en) Synthetic, plasma-free, transfusion-ready platelet storage medium
JPH02501067A (en) Ultra-pure semi-synthetic blood substitute
WO2023123994A1 (en) Sodium carboxymethyl starch and injection thereof
JP2022500501A (en) Plasma-containing composition
Asakura et al. Relationship between morphologic characteristics of sickle cells and method of deoxygenation
KR101343369B1 (en) peritoneal dialysis fluid
CN112889810A (en) Human umbilical cord mesenchymal stem cell injection frozen stock solution and preparation method thereof
Hiruma et al. Contributions of sickle hemoglobin polymer and sickle cell membranes to impaired filterability
US7989159B2 (en) Platelet additive solution with a viscosity of 1.128-1.228 centipoise @ 37C comprising hydroxyethyl starch and methods of making and using
Hoefs The mechanism of ascitic fluid protein concentration increase during diuresis in patients with chronic liver disease
Rosenthal et al. Effect of contrast media used in angiocardiography on hemoglobin-oxygen equilibrium
Litwin et al. Hidden Acidosis Following Intravascular Red Blood Cell Aggregation in Dogs:*: Effects of High and Low Viscosity Dextran
JPS58502204A (en) Synthetic whole blood and its production method
CN103228285A (en) Priming solutions for cardiopulmonary bypass
Couch The clinical status of low molecular weight dextran: a critical review
MESSMER Autotransfusion: using your own blood
RU2749266C1 (en) Method of obtaining a hemodynamically active bioplasma expander
Compagnoni et al. Influence of parenteral nutrition on blood rheology and platelet aggregation in vitro
TW449481B (en) Method for producing fibrinogen particles suitable for intravenous injection
CN105997861A (en) Ginseng polysaccharide injection and preparing method thereof
TW449480B (en) Pharmaceutical composition of fibrinogen particles suitable for intravenous injection
Akçay Aloe-vera extract as drag reducing polymer to regulate blood pressure and tissue oxygenation during hemorrhagic shock
Marcinkowska‐Gapińska et al. The changes of low‐shear‐rate hemorheological properties depending on the fluid used for transfusion

Legal Events

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

Ref document number: 22913283

Country of ref document: EP

Kind code of ref document: A1