WO2023186155A1 - Digestive tract simulation capsule and preparation method therefor - Google Patents

Digestive tract simulation capsule and preparation method therefor Download PDF

Info

Publication number
WO2023186155A1
WO2023186155A1 PCT/CN2023/085787 CN2023085787W WO2023186155A1 WO 2023186155 A1 WO2023186155 A1 WO 2023186155A1 CN 2023085787 W CN2023085787 W CN 2023085787W WO 2023186155 A1 WO2023186155 A1 WO 2023186155A1
Authority
WO
WIPO (PCT)
Prior art keywords
digestive tract
coating layer
core layer
tract simulation
capsule
Prior art date
Application number
PCT/CN2023/085787
Other languages
French (fr)
Chinese (zh)
Inventor
宋宏姣
段晓东
Original Assignee
上海安翰医疗技术有限公司
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 上海安翰医疗技术有限公司 filed Critical 上海安翰医疗技术有限公司
Publication of WO2023186155A1 publication Critical patent/WO2023186155A1/en

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K49/00Preparations for testing in vivo
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/04Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances
    • A61B1/041Capsule endoscopes for imaging
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/273Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for the upper alimentary canal, e.g. oesophagoscopes, gastroscopes
    • A61B1/2736Gastroscopes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/31Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for the rectum, e.g. proctoscopes, sigmoidoscopes, colonoscopes

Definitions

  • the present invention relates to the technical field of digestive tract simulation capsules, and in particular to a digestive tract simulation capsule and a preparation method thereof.
  • the small intestine As the longest organ in the digestive tract, the small intestine is free in the peritoneum and bound by the mesentery to form multiple complex intestinal loops. Small bowel disease has traditionally been diagnosed through small bowel barium meal, angiography, and radionuclide scans. However, due to the special anatomical location of the small intestine, traditional examination techniques face great difficulties, resulting in diagnostic results that suffer from problems such as low positive rate, rough positioning, inaccurate characterization, and many complications.
  • capsule endoscopy has made up for the shortcomings of traditional diagnostic methods. It has the advantages of painlessness, non-invasiveness, no cross-infection and convenient examination. It can be used as the first choice examination method for digestive tract diseases, especially small intestinal diseases.
  • capsule endoscopy retention is an unavoidable problem.
  • retention of capsule endoscopy usually occurs in the small intestine.
  • Existing studies have shown that the overall retention rate of capsule endoscopy is 1-2%.
  • this application provides a digestive tract simulation capsule used to detect the smoothness of the small intestine before performing capsule endoscopy and its The preparation method provides strong support for the clinical use of capsule endoscopy.
  • the present invention provides a digestive tract simulation capsule, which includes a tablet core layer located in the middle and a coating layer surrounding the tablet core layer.
  • the tablet core layer is composed of pharmaceutical excipients and a disintegrant.
  • the pharmaceutical excipient and disintegrant are both soluble in digestive juice;
  • the coating layer is composed of a second filler, a sustained-release agent, a second binder, a second glidant, a second lubricant and an indicator.
  • the second adhesive is composed of water-soluble polymers. Under the action of digestive juice, the second adhesive dissolves to form a channel in the coating layer that connects the inside and outside of the coating layer.
  • the content of each component in the coating layer in terms of mass percentage is:
  • Second filler 30-55wt%; sustained release agent 40-65wt%; second binder 2-10wt%; second glidant 0.1-5%; second lubricant 0.1-1%; indicator 1 -15wt%.
  • the indicator is a medical plastic particle with an indicator color.
  • the content of the pharmaceutical excipient is 70-90wt% in terms of mass percentage, and the content of the disintegrant is 10-30wt%.
  • the pharmaceutical excipients in the core layer of the tablet mainly consist of a first filler, a first binder, a first glidant, a first lubricant and a disintegrant.
  • each component is in the The components of the tablet core layer are: first filler 55-80wt%; first binder 2-10wt%; first glidant 0.1-5wt%; first lubricant 0.1-1wt%; disintegrant 10 -30wt%.
  • first filler and the second filler each include one or more of starch, sucrose, dextrin, lactose, pregelatinized starch, cellulose and inorganic salts; the first sticky The mixture and the second adhesive include one or more of hypromellose and povidone K30; the first glidant and the second glidant include micronized silica gel and talc powder. and one or more of silica; the first lubricant and the second lubricant include magnesium stearate.
  • the disintegrant is selected from one or more of croscarmellose sodium, croscarmellose sodium, cross-linked polyvinylpyrrolidone and low-substituted hydroxypropyl cellulose. .
  • the thickness of the coating layer is 2-5 mm, and the thickness of the tablet core layer is 3-10 mm.
  • the disintegration time of the digestive tract simulation capsule is 30-80 hours.
  • This application also provides a method for preparing the digestive tract simulation capsule according to claim 1, which includes the following steps: weighing 55-80wt% of the filler; 2-10wt% of the binder; 0.1-5wt% of the glidant; Lubricant 0.1-1wt%; disintegrant 10-30wt%, each component is pressed to form the tablet core layer;
  • the second filler provides skeleton support for the coating layer
  • the coating layer contains brightly colored indicators (such as medical plastic particles with indicator colors).
  • the adhesive in the coating layer reacts when encountering It dissolves in the digestive juice, especially the water in the digestive juice, and forms tiny pores in the coating layer, providing a path for the digestive juice to contact the core layer of the tablet.
  • the sustained-release agent controls the sustained-release time of the coating layer, thereby ensuring that the digestive tract simulation capsule basically maintains the shape of the capsule within a predetermined time.
  • this application does not require additional pores to provide passages, but utilizes tiny pores formed after the second binder is dissolved in water to allow digestive juices to pass through the coating layer.
  • the structure is simple, the preparation process is simpler, the disintegration time of the digestive tract simulation capsule can be controlled more accurately, and the disintegration time is not affected by the pH value of the digestive tract.
  • Figure 1 is a schematic structural diagram of the digestive tract simulation capsule of the present application.
  • Figure 2 is a schematic diagram of partial dissolution of the coating layer.
  • Figure 3 is a schematic diagram of the core layer of the tablet being expanded and the coating layer being partially stretched.
  • Figure 4 is a schematic diagram of the coating layer being broken.
  • the terms "setting”, “installation”, “connection”, etc. should be understood in a broad sense.
  • it can be a fixed connection, a detachable connection, or an integral connection.
  • Ground connection it can be a mechanical connection or an electrical connection; it can be a direct connection or an indirect connection through an intermediate medium.
  • the specific meanings of the above terms can be understood on a case-by-case basis.
  • this application Based on the external size and shape of the capsule endoscope, this application provides a simple, safe and harmless digestive tract simulation capsule that patients can judge independently. Before capsule endoscopy, the patient is asked to swallow a simulated capsule similar in quality, shape, and volume to determine the smoothness of the simulated capsule in the digestive tract. If the simulated capsule is retained in the intestine (or stays in the intestine for longer than a predetermined time), it can degrade and be excreted from the body.
  • Figure 1 shows a schematic structural diagram of the digestive tract simulation capsule of the present application.
  • the digestive tract simulation capsule 100 includes a tablet core layer 110 located in the middle and a coating layer 120 wrapping the tablet core layer 110 .
  • the core layer 110 of the tablet is composed of pharmaceutical excipients and a disintegrant. Both the pharmaceutical excipients and the disintegrant are soluble in digestive juices.
  • the content of the pharmaceutical excipients is 70-90wt%, and the content of the disintegrant is 10-30wt%.
  • the pharmaceutical excipients of the tablet core layer 110 mainly consist of a first filler, a first binder, a first glidant and a first lubricant.
  • the first filler includes one or more of starch, sucrose, dextrin, lactose, pregelatinized starch, cellulose (the cellulose can be microcrystalline cellulose and/or ethyl cellulose) and inorganic salts.
  • the first filler can be digested under the action of digestive enzymes in the digestive juice. In terms of mass percentage, the first filler accounts for 55-80 wt% of the total content of the core layer 110 of the tablet.
  • the first binder may include hypromellose and/or povidone K30 (polyvinylpyrrolidone, PVPK30) water-soluble polymer compound.
  • the first adhesive has excellent solubility and physiological compatibility. On the one hand, it can bind the first filler and the like, and on the other hand, it can also be dissolved in digestive juice (water). In terms of mass percentage, the first adhesive agent has excellent solubility and physiological compatibility.
  • a binder accounts for 2-10 wt% of the total content of the core layer 110.
  • the first flow aid may include one or more of micronized silica gel, talcum powder and silica to facilitate tableting and molding of the tablet core layer 110. In terms of mass percentage, the first flow aid occupies the tablet core layer 110. 0.1-5wt% of the total content.
  • the first lubricant may be magnesium stearate, etc., and the first lubricant accounts for 0.1-1 wt% of the total content of the core layer 110 in terms of mass percentage.
  • the disintegrant is selected from croscarmellose sodium (CCMC-Na), croscarmellose sodium (CMS-Na), cross-linked polyvinylpyrrolidone (PVPP) and low-substituted hydroxypropyl cellulose (L-HPC), etc.
  • the so-called disintegrant refers to a substance that enables the core layer 110 of the tablet to be broken into fine particles in the digestive juice.
  • the disintegrant is a cold water-soluble anionic starch derivative. It has super water absorption due to its hydrophilic groups in its structure, especially carboxymethyl and sodium carboxymethyl. (up to 200 times the original volume) and the characteristics of rapid water absorption and expansion.
  • the coating layer 120 is mainly composed of a second filler, a sustained-release agent, a second adhesive, a second glidant, a second lubricant, and the like. Further, the coating layer 120 also includes an indicator, which is a brightly colored medical plastic particle. In terms of mass percentage, the indicator accounts for 1-15 wt% of the total content of the coating layer 120 .
  • the second filler can be one of starch, sucrose, dextrin, lactose, pregelatinized starch, cellulose (the cellulose can be microcrystalline cellulose and/or ethyl cellulose) and inorganic salts, or A variety of inorganic salts may be calcium sulfate and/or calcium hydrogen phosphate, and the second filler accounts for 30-55 wt% of the total content of the coating layer 120 in terms of mass percentage.
  • the sustained-release agent includes one or more of glyceryl behenate, carnauba wax, stearyl alcohol, stearic acid, hydrogenated castor oil, or triglyceride.
  • the sustained-release agent accounts for 40-65wt% of the total content of the coating layer 120.
  • the addition of a sustained release agent can slow down the dissolution speed of the coating layer 120 .
  • the sustained-release agent can be glyceryl behenate.
  • Glyceryl behenate is a lipid sustained-release matrix, which is obtained by esterification of behenic acid and glycerol.
  • the main components are behenic acid monoglyceride, behenic acid monoglyceride, and behenic acid monoglyceride. Diglyceryl behenate and triglyceride behenate.
  • the second binder can be a water-soluble polymer compound such as hypromellose or povidone K30 (polyvinylpyrrolidone, PVPK30), which will dissolve in the digestive juice.
  • the second binder Accounting for 2-10wt% of the total content of the coating layer 120.
  • the second glidant may include one or more of micronized silica gel, talcum powder and silica to facilitate the tableting of the coating layer 120. In terms of mass percentage, the second glidant accounts for the coating layer 120. 0.1-5wt% of the total content can increase the hardness of the coating layer 120.
  • the second lubricant may be magnesium stearate, and in terms of mass percentage, the second lubricant accounts for 0.1-1 wt% of the total content of the coating layer 120 .
  • the indicator may also be other bioincompatible, non-toxic and harmless materials, such as bioincompatible dyes, etc.
  • the indicator in the coating layer 120 may also include a developer to display its specific location in the human body under the action of an external device.
  • the coating layer 120 is composed of barium sulfate, calcium hydrogen phosphate, glyceryl behenate, povidone K30, and magnesium stearate.
  • the thickness of the coating layer 120 is 2-5mm.
  • the amount of disintegrant in the tablet core layer 110 is 10-30wt%.
  • the second adhesive will dissolve relatively quickly in the digestive juice, and the sustained-release agent will not swell or corrode in water to ensure the integrity of the basic shape of the coating layer 120. . Therefore, within a certain period of time, the skeleton of the coating layer 120 remains basically intact, which can better simulate the appearance of the capsule endoscope.
  • the adhesive is dissolved in the digestive juice, tiny pores are formed in the coating layer 120 so that the outside of the coating layer 120 is connected to the tablet core layer 110 through the pores.
  • the digestive juice especially the water in the digestive juice, can reach the core layer 110 through the pores. As shown in FIG.
  • the digestive tract simulation capsule 100 is located in the intestinal lumen 130 , and the direction pointed by the arrow is the direction in which liquid flows through the coating layer 120 and into the tablet core layer 110 .
  • FIG. 4 is a schematic diagram of the disintegration of the simulated capsule in the digestive tract.
  • the tablet core layer 110 is dissolved and broken into fragments 112 of fine particles in the digestive juice, and the coating layer 120 is broken to form coating layer fragments 122 .
  • the indicator can be excreted out of the body along with the excrement, and the patient can clearly see the fragments of these medical plastic particles in the excrement.
  • excreta such as feces
  • the use of colored medical plastic particles has good bioincompatibility and is almost not absorbed by the human body and is excreted from the body.
  • methylene blue is used as an indicator, it will have adverse side effects during clinical use. After methylene blue enters the human digestive tract, part of the methylene blue may be methylated, and a small amount of methylene blue may be excreted in the feces through bile. Excretion, and part of the methylene blue is absorbed by the intestines when exposed to the intestinal environment and excreted in the urine. Clinical judgment is mainly based on the prototype of methylene blue in urine. However, the methylene blue prototype excreted in urine is small and takes a long time to be excreted, which greatly increases the examination time.
  • the coating layer 120 provides skeleton support, and the coating layer 120 contains brightly colored medical plastic particle indicators.
  • the second filler in the coating layer 120 provides support.
  • the second binder such as K30 provides a passage for the digestive juice to enter the tablet core layer 110, and the sustained-release agent controls the sustained-release time of the coating layer 120 so that it can basically maintain the shape of the capsule within a certain period of time. Therefore, this application does not require additional holes to provide access, has a simple structure, and a simpler manufacturing process. It can control the disintegration time of the digestive tract simulation capsule more accurately, and the disintegration time is not affected by the pH value of the digestive tract.
  • the above-mentioned digestive tract simulation capsule 100 of the present application adopts powder direct compression technology, specifically: the tablet core layer is pressed first, and then the coating layer is pressed.
  • various materials for the tablet core layer are weighed, placed in a mixer and stirred evenly, and then tableted in a tablet press to form the tablet core layer 110 .
  • various materials of the coating layer 120 are weighed and placed in a mixer to make them uniform. After wrapping the tablet core layer 110 in the center, the tablet core layer 110 is pressed in a tablet press.
  • the digestive juice contacts the coating layer 120 .
  • the digestive juice especially the water in the digestive juice, infiltrates into the tablet core layer 110.
  • the disintegrant in the tablet core layer 110 absorbs a large amount of liquid, the volume increases rapidly, causing the coating layer 120 to rupture and destroying the entire digestive tract. Simulate capsule 100 degradation.
  • the gastrointestinal tract simulation capsule can be disintegrated within a specified time.
  • the thickness of the coating layer 120 is controlled to be 2-5 mm
  • the amount of disintegrant in the tablet core layer 110 is controlled to be 10-30 wt%
  • the disintegration time is controlled to be 30-80 hours.
  • the thickness of the core layer 110 is controlled to 3-10 mm, thereby ensuring that the diameter of the gastrointestinal tract simulation capsule 100 (the core layer 110 The sum of the thickness and the thickness of the coating layer 120) is similar to the diameter of the capsule endoscope.
  • the thickness of the core layer 110 is 3-5 mm.
  • the method of use is as follows: the patient eats easily digestible food and prepares the intestines the day before the gastrointestinal simulation capsule examination. After the digestive tract is cleansed, swallow one digestive tract simulation capsule with water. Observe whether the simulated capsule is completely discharged from the body within the specified time. If completely excluded, the patient can undergo capsule endoscopy. If bright-colored plastic particles are found in the patient's excrement after the specified time, the patient will not be suitable for capsule endoscopy.
  • the disintegration process of the digestive tract simulation capsule is made faster by adding a disintegrant.
  • the disintegration time of the digestive tract simulation capsule can be controlled by adjusting the thickness of the coating layer and the amount of disintegrant in the tablet core layer.
  • the coating layer contains colored medical plastic particles to facilitate patients' independent judgment and can be used in the civilian field.
  • this application adopts powder direct pressing technology, and the preparation process is simple and easy to implement.
  • the disintegration time of the digestive tract simulation capsule can be controlled more accurately, and the disintegration time is not affected by the pH of the digestive tract.
  • Tablet core layer calculated as a percentage of the total mass of the tablet core layer, 51.5wt% lactose, 20wt% starch, 5wt% polyvinylpyrrolidone K30, 5wt% silica, 1wt% magnesium stearate, 17.5wt% croscarmellidone Cellulose sodium (CCMC-Na).
  • Coating layer Based on the percentage of the total mass of the coating layer, 30wt% calcium hydrogen phosphate, 52.5wt% glyceryl behenate, 6wt% polyvinylpyrrolidone K30, 0.5wt% silicon dioxide, 1wt% magnesium stearate, 10wt% medical plastic particles.
  • Thickness of coating layer 4mm
  • Chip core layer thickness 5mm
  • Processing method dry powder direct compression, first compress the tablet core layer and then the coating layer
  • Tablet core layer calculated as a percentage of the total mass of the tablet core layer, 51.5wt% lactose, 25wt% starch, 7wt% polyvinylpyrrolidone K30, 0.5wt% silica, 1wt% magnesium stearate, 15wt% croscarmellidone Cellulose sodium (CCMC-Na).
  • Coating layer calculated as a percentage of the total mass of the coating layer, 48.5wt% calcium hydrogen phosphate, 40wt% glyceryl behenate, 5wt% polyvinylpyrrolidone K30, 0.5wt% silicon dioxide, 1wt% magnesium stearate, 5wt% medical plastic particles.
  • Thickness of coating layer 5mm
  • Chip core layer thickness 3mm
  • Processing method dry powder direct compression, first compress the tablet core layer and then the coating layer
  • Tablet core layer Based on the percentage of the total mass of the tablet core layer, 60wt% lactose, 20wt% starch, 8.5% polyvinylpyrrolidone K30, 0.5% silica, 1% magnesium stearate, 10% croscarmellose Sodium chloride (CCMC-Na).
  • Coating layer Based on the percentage of the total mass of the coating layer, 35% ethyl cellulose, 47.5% glyceryl behenate, 2wt% polyvinylpyrrolidone K30, 0.4wt% silicon dioxide, 0.1wt% magnesium stearate , 15wt% medical plastic particles.
  • Thickness of coating layer 5mm
  • Chip core layer thickness 3mm
  • Processing method dry powder direct compression, first compress the tablet core layer and then the coating layer
  • Tablet core layer calculated as a percentage of the total mass of the tablet core layer, 80wt% lactose, 8.5wt% polyvinylpyrrolidone K30, 0.5wt% silica, 1%wt magnesium stearate, 10wt% croscarmellose sodium
  • Coating layer Based on the percentage of the total mass of the coating layer, 34wt% starch, 60wt% glyceryl behenate, 3.5wt% polyvinylpyrrolidone K30, 0.5wt% silicon dioxide, 1wt% magnesium stearate, 1wt% Medical plastic pellets.
  • the thickness of the core layer 5mm
  • Processing method dry powder direct compression, first compress the tablet core layer and then the coating layer
  • Tablet core layer calculated as a percentage of the total mass of the tablet core layer, 58.5wt% lactose, 10wt% polyvinylpyrrolidone K30, 0.5wt% silica, 1wt% magnesium stearate, 30wt% croscarmellose sodium
  • Coating layer calculated as a percentage of the total mass of the coating layer, 45wt% starch, 40wt% ethyl cellulose, 3.5wt% polyvinylpyrrolidone K30, 0.5wt% silicon dioxide, 1wt% magnesium stearate, 10wt% medical Plastic particles.
  • the thickness of the core layer 5mm
  • Processing method dry powder direct compression, first compress the tablet core layer and then the coating layer
  • a digestive tract simulation capsule system including a digestive tract simulation capsule and a radio detector.
  • the system has exactly the same shape and size as capsule endoscopy. It is mainly composed of degradable lactose materials and does not contain lenses or other electronic components. It contains barium and wireless radio frequency sensors that can be developed under X-rays.
  • this method is complicated in process, the patient has poor independent judgment, and X-rays radiate to the human body to a certain extent, and requires external equipment assistance, which is relatively complicated.
  • a sustained-release tablet for digestive tract emptying function detection includes a skeleton tablet core composed of a mixture of insoluble pharmaceutical excipients, a coating layer made of edible wax, and a single hole channel for controlling the dissolution time of the sustained-release tablet. .
  • the sustained-release tablet can remain stable during normal human evacuation time.
  • sustained-release tablet will be difficult to dissolve in the digestive tract.
  • the positioning of this sustained-release tablet in the intestine requires the assistance of X-rays, which radiates certain radiation to the human body and has low accuracy.
  • a digestive tract pathfinding capsule which includes an outer membrane made of slow-release enteric material and a support material soluble in digestive juice; the cavity of the outer membrane capsule contains urine that can be absorbed by the human body and discharged.
  • Liquid color change indicator (methylene blue).
  • the methylene blue indicator used has adverse side effects in clinical use, and after oral administration of methylene blue, the methylene blue prototype is excreted in the urine in a small amount and for a long time, which greatly increases the examination time.
  • the coating layer 120 of this application provides skeleton support, and the coating layer 120 contains brightly colored indicator medical plastic particles.
  • the calcium hydrogen phosphate in the tablet core layer 110 provides support.
  • Polyvinylpyrrolidone K30 in the coating layer 120 is The digestive juice provides a passage into the tablet core layer 110, and glyceryl behenate controls the sustained release time of the coating layer 120 so that it can basically maintain the shape of the capsule within a certain period of time. Therefore, this application does not require additional holes to provide access, has a simple structure, and can control the disintegration time of the digestive tract simulation capsule more accurately, and the disintegration time is not affected by the pH value of the digestive tract.

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Optics & Photonics (AREA)
  • Engineering & Computer Science (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Physics & Mathematics (AREA)
  • Pathology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Molecular Biology (AREA)
  • Biophysics (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Epidemiology (AREA)
  • Gastroenterology & Hepatology (AREA)
  • Medicinal Preparation (AREA)

Abstract

The present application provides a digestive tract simulation capsule and a preparation method therefor. The digestive tract simulation capsule comprises a core layer located in the middle, and a coating layer wrapping the core layer. The core layer is composed of a pharmaceutical excipient and a disintegrant, the pharmaceutical excipient and the disintegrant being both dissolved in a digestive juice; the coating layer is composed of a filler, a sustained-release agent, an adhesive, a flow enhancer and a lubricant, the adhesive being composed of a water-soluble polymer. Under the action of the digestive juice, the adhesive is dissolved so as to form pore microchannels communicating the inside and the outside of the coating layer. The digestive tract simulation capsule is simple, easy to implement, safe and harmless, and a patient can use the digestive tract simulation capsule to detect the smoothness of small intestine before capsule endoscopy examination, thereby providing a powerful support for clinical use of the capsule endoscope.

Description

消化道模拟胶囊及其制备方法Digestive tract simulation capsule and preparation method thereof
本申请要求于2022年03月31日提交的中国专利申请号为 202210334012.2、名称为“消化道模拟胶囊及其制备方法”的优先权,其全部内容通过引用结合在本申请中。This application claims priority to the Chinese patent application number 202210334012.2, titled "Digestive tract simulation capsule and preparation method thereof" submitted on March 31, 2022, the entire content of which is incorporated into this application by reference.
技术领域Technical field
本发明涉及消化道模拟胶囊技术领域,尤其涉及一种消化道模拟胶囊及其制备方法。The present invention relates to the technical field of digestive tract simulation capsules, and in particular to a digestive tract simulation capsule and a preparation method thereof.
背景技术Background technique
小肠作为消化道中最长的器官,它游离于腹膜内并被肠系膜束缚而形成多发复合肠襻。小肠疾病传统可以通过小肠钡餐、血管造影以及放射性核素扫描等进行诊断。但由于小肠特殊的解剖位置使传统检查技术面临很大困难,导致其诊断结果存在阳性率低、定位粗略、定性不准确以及并发症多等问题。As the longest organ in the digestive tract, the small intestine is free in the peritoneum and bound by the mesentery to form multiple complex intestinal loops. Small bowel disease has traditionally been diagnosed through small bowel barium meal, angiography, and radionuclide scans. However, due to the special anatomical location of the small intestine, traditional examination techniques face great difficulties, resulting in diagnostic results that suffer from problems such as low positive rate, rough positioning, inaccurate characterization, and many complications.
胶囊内镜的问世,弥补了传统诊断方法的不足,其具有无痛、无创、无交叉感染以及检查方便等优点,可以作为消化道疾病尤其是小肠疾病的首选检查方法。然而,伴随胶囊内镜检查的兴起,胶囊内镜滞留是难以避免的问题。并且,由于小肠自身的结构的特点,胶囊内镜的滞留通常发生在小肠部位,已有的研究表明胶囊内镜整体滞留率为1-2%。The advent of capsule endoscopy has made up for the shortcomings of traditional diagnostic methods. It has the advantages of painlessness, non-invasiveness, no cross-infection and convenient examination. It can be used as the first choice examination method for digestive tract diseases, especially small intestinal diseases. However, with the rise of capsule endoscopy, capsule endoscopy retention is an unavoidable problem. Moreover, due to the structural characteristics of the small intestine, retention of capsule endoscopy usually occurs in the small intestine. Existing studies have shown that the overall retention rate of capsule endoscopy is 1-2%.
技术问题technical problem
为了避免胶囊内镜在肠道发生滞留,目前采用的方法包括:问诊排除具有消化道疾病史的患者或者影像学手段排除消化道疾病或功能障碍的受检者。即便如此,仍然难于避免胶囊内镜发生滞留。In order to prevent capsule endoscopy from being retained in the intestinal tract, current methods include: excluding patients with a history of digestive tract diseases through consultation or excluding subjects with digestive tract diseases or dysfunction through imaging methods. Even so, it is still difficult to avoid retention during capsule endoscopy.
技术解决方案Technical solutions
有鉴于此,为了检测患者吞服胶囊内镜的安全性,防止胶囊内镜滞留于人体,本申请提供一种在进行胶囊内镜检查之前用于检测小肠的畅通情况的消化道模拟胶囊及其制备方法,为临床上胶囊内镜的使用提供有力支持。In view of this, in order to detect the safety of patients swallowing a capsule endoscope and prevent the capsule endoscope from being retained in the human body, this application provides a digestive tract simulation capsule used to detect the smoothness of the small intestine before performing capsule endoscopy and its The preparation method provides strong support for the clinical use of capsule endoscopy.
针对上述问题,本发明提供了一种消化道模拟胶囊,该消化道模拟胶囊包括位于中间的片芯层和包裹该片芯层的包衣层,该片芯层由药用辅料和崩解剂构成,该药用辅料和崩解剂均溶于消化液;该包衣层由第二填充剂、缓释剂、第二粘合剂、第二助流剂、第二润滑剂及指示剂组成;所述第二粘合剂由水溶性高分子组成,在消化液的作用下,所述第二粘合剂溶解,以在所述包衣层内形成连通包衣层内外的孔道。In response to the above problems, the present invention provides a digestive tract simulation capsule, which includes a tablet core layer located in the middle and a coating layer surrounding the tablet core layer. The tablet core layer is composed of pharmaceutical excipients and a disintegrant. The pharmaceutical excipient and disintegrant are both soluble in digestive juice; the coating layer is composed of a second filler, a sustained-release agent, a second binder, a second glidant, a second lubricant and an indicator. ; The second adhesive is composed of water-soluble polymers. Under the action of digestive juice, the second adhesive dissolves to form a channel in the coating layer that connects the inside and outside of the coating layer.
进一步地,在所述包衣层中,以质量百分比计,各组分占所述包衣层的含量为:Further, in the coating layer, the content of each component in the coating layer in terms of mass percentage is:
第二填充剂:30-55wt%;缓释剂40-65wt%;第二粘合剂2-10wt%;第二助流剂0.1-5%;第二润滑剂0.1-1%;指示剂1-15wt%。Second filler: 30-55wt%; sustained release agent 40-65wt%; second binder 2-10wt%; second glidant 0.1-5%; second lubricant 0.1-1%; indicator 1 -15wt%.
进一步地,该指示剂为具有指示性颜色的医用塑料颗粒。Further, the indicator is a medical plastic particle with an indicator color.
进一步地,在该片芯层中,以质量百分比计,该药用辅料的含量为70~90wt%,该崩解剂的含量为10-30wt%。Further, in the core layer of the tablet, the content of the pharmaceutical excipient is 70-90wt% in terms of mass percentage, and the content of the disintegrant is 10-30wt%.
进一步地,该片芯层的药用辅料主要由第一填充剂、第一粘合剂、第一助流剂、第一润滑剂及崩解剂组成,以质量百分比计,各组分在该片芯层的组分为:第一填充剂55-80wt%;第一粘合剂2-10wt%;第一助流剂0.1-5wt%;第一润滑剂0.1-1wt%;崩解剂10-30wt%。Further, the pharmaceutical excipients in the core layer of the tablet mainly consist of a first filler, a first binder, a first glidant, a first lubricant and a disintegrant. In terms of mass percentage, each component is in the The components of the tablet core layer are: first filler 55-80wt%; first binder 2-10wt%; first glidant 0.1-5wt%; first lubricant 0.1-1wt%; disintegrant 10 -30wt%.
进一步地,所述第一填充剂及所述第二填充剂均包括淀粉、蔗糖、糊精、乳糖、预胶化淀粉、纤维素及无机盐中的一种或多种;所述第一粘合剂及所述第二粘合剂包括羟丙甲纤维素及聚维酮K30中的一种或多种;所述第一助流剂及所述第二助流剂包括微粉硅胶、滑石粉及二氧化硅中的一种或多种;所述第一润滑剂及所述第二润滑剂包括硬脂酸镁。Further, the first filler and the second filler each include one or more of starch, sucrose, dextrin, lactose, pregelatinized starch, cellulose and inorganic salts; the first sticky The mixture and the second adhesive include one or more of hypromellose and povidone K30; the first glidant and the second glidant include micronized silica gel and talc powder. and one or more of silica; the first lubricant and the second lubricant include magnesium stearate.
进一步地,所述崩解剂选自交联羧甲基纤维素钠、交联羧甲基淀粉钠、交联聚乙烯吡络烷酮及低取代羟丙基纤维素中的一种或多种。Further, the disintegrant is selected from one or more of croscarmellose sodium, croscarmellose sodium, cross-linked polyvinylpyrrolidone and low-substituted hydroxypropyl cellulose. .
进一步地,该包衣层的厚度为2-5mm,所述片芯层的厚度为3-10mm。Further, the thickness of the coating layer is 2-5 mm, and the thickness of the tablet core layer is 3-10 mm.
进一步地,该消化道模拟胶囊的崩解时间为30-80h。Furthermore, the disintegration time of the digestive tract simulation capsule is 30-80 hours.
本申请还提供一种根据权利要求1所述的消化道模拟胶囊的制备方法,包括如下步骤:称取填充剂55-80wt%;粘合剂2-10wt%;助流剂0.1-5wt%;润滑剂0.1-1wt%;崩解剂10-30wt%,将各组分进行压制,以形成片芯层;This application also provides a method for preparing the digestive tract simulation capsule according to claim 1, which includes the following steps: weighing 55-80wt% of the filler; 2-10wt% of the binder; 0.1-5wt% of the glidant; Lubricant 0.1-1wt%; disintegrant 10-30wt%, each component is pressed to form the tablet core layer;
称取填充剂:30-55wt%;缓释剂40-65wt%;粘合剂2-10wt%;助流剂0.1-5%;润滑剂0.1-1%;指示剂1-15wt%,包裹该片芯层后,进行压制以形成包衣层。Weigh the filler: 30-55wt%; sustained release agent 40-65wt%; adhesive 2-10wt%; glidant 0.1-5%; lubricant 0.1-1%; indicator 1-15wt%, wrap the After the core layer, the tablet is pressed to form a coating layer.
上述说明仅是本发明技术方案的概述,为了能够更清楚了解本发明的技术手段,而可依照说明书的内容予以实施,并且为了让本发明的上述和其他目的、特征和优点能够更明显易懂,以下特举较佳实施例,并配合附图,详细说明如下。The above description is only an overview of the technical solution of the present invention. In order to have a clearer understanding of the technical means of the present invention, it can be implemented according to the content of the description, and in order to make the above and other objects, features and advantages of the present invention more obvious and understandable. , the following is a detailed description of the preferred embodiments, together with the accompanying drawings.
有益效果beneficial effects
在本申请中,第二填充剂为包衣层提供骨架支撑作用,并且包衣层含有颜色鲜艳的指示剂(如具有指示性颜色的医用塑料颗粒),包衣层中的粘合剂在遇到消化液,尤其是消化液中的水后溶解,在包衣层中形成微小孔道,为消化液提供接触片芯层的通路。并且,缓释剂控制该包衣层的缓释时间,从而确保消化道模拟胶囊在预定时间内基本保持胶囊的形状。并且,本申请无需额外的孔道提供通路,而是利用第二粘合剂溶解于水后形成的微小孔道使消化液穿过包衣层。结构简单,且制备工艺更加简单,能够较为精确地控制消化道模拟胶囊的崩解时间,且崩解时间不受消化道的pH值的影响。In this application, the second filler provides skeleton support for the coating layer, and the coating layer contains brightly colored indicators (such as medical plastic particles with indicator colors). The adhesive in the coating layer reacts when encountering It dissolves in the digestive juice, especially the water in the digestive juice, and forms tiny pores in the coating layer, providing a path for the digestive juice to contact the core layer of the tablet. Moreover, the sustained-release agent controls the sustained-release time of the coating layer, thereby ensuring that the digestive tract simulation capsule basically maintains the shape of the capsule within a predetermined time. Moreover, this application does not require additional pores to provide passages, but utilizes tiny pores formed after the second binder is dissolved in water to allow digestive juices to pass through the coating layer. The structure is simple, the preparation process is simpler, the disintegration time of the digestive tract simulation capsule can be controlled more accurately, and the disintegration time is not affected by the pH value of the digestive tract.
附图说明Description of drawings
为了更清楚地说明本发明实施例的技术方案,下面将对实施例中所需要使用的附图作简单地介绍,应当理解,以下附图仅示出了本发明的某些实施例,因此不应被看作是对范围的限定,对于本领域普通技术人员来讲,在不付出创造性劳动的前提下,还可以根据这些附图获得其他相关的附图。In order to explain the technical solutions of the embodiments of the present invention more clearly, the drawings required to be used in the embodiments will be briefly introduced below. It should be understood that the following drawings only show some embodiments of the present invention and therefore do not It should be regarded as a limitation of the scope. For those of ordinary skill in the art, other relevant drawings can be obtained based on these drawings without exerting creative efforts.
图1为本申请的消化道模拟胶囊的结构示意图。Figure 1 is a schematic structural diagram of the digestive tract simulation capsule of the present application.
图2为包衣层部分溶解的示意图。Figure 2 is a schematic diagram of partial dissolution of the coating layer.
图3为片芯层膨胀且包衣层被部分撑开的示意图。Figure 3 is a schematic diagram of the core layer of the tablet being expanded and the coating layer being partially stretched.
图4为包衣层被撑破的示意图。Figure 4 is a schematic diagram of the coating layer being broken.
本发明的实施方式Embodiments of the invention
下面将结合附图,对本发明的特定实施例进行详细描述。显然,所描述的实施例仅仅是本发明的一部分实施例,而不是全部的实施例。基于本发明的描述,本领域普通技术人员在没有作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。Specific embodiments of the present invention will be described in detail below with reference to the accompanying drawings. Obviously, the described embodiments are only some of the embodiments of the present invention, but not all of the embodiments. Based on the description of the present invention, all other embodiments obtained by those of ordinary skill in the art without creative efforts fall within the scope of protection of the present invention.
在本发明的描述中,除非另有明确的规定和限定,术语“设置”、“安装”、“连接”等应做广义理解,例如,可以是固定连接,也可以是可拆卸连接,或一体地连接;可以是机械连接,也可以是电连接;可以是直接相连,也可以通过中间媒介间接相连。对于本领域的普通技术人员而言,可以具体情况理解上述术语的具体含义。In the description of the present invention, unless otherwise explicitly stipulated and limited, the terms "setting", "installation", "connection", etc. should be understood in a broad sense. For example, it can be a fixed connection, a detachable connection, or an integral connection. Ground connection; it can be a mechanical connection or an electrical connection; it can be a direct connection or an indirect connection through an intermediate medium. For those of ordinary skill in the art, the specific meanings of the above terms can be understood on a case-by-case basis.
术语“上”、“下”、“左”、“右”、“前”、“后”、“顶”、“底”、“内”、“外”等指示的方位或位置关系为基于附图所示的方位或位置关系,或者是该发明产品使用时惯常摆放的方位或位置关系,仅是为了便于描述和简化描述,而不是指示或暗示所指的装置或元件必须具有特定的方位、以特定的方位构造和操作,因此不能理解为对本发明的限制。The terms "upper", "lower", "left", "right", "front", "back", "top", "bottom", "inner", "outer", etc. indicate an orientation or positional relationship based on the attached The orientation or positional relationship shown in the figures, or the orientation or positional relationship in which the invention product is customarily placed when used, is only for the convenience of description and to simplify the description, and does not indicate or imply that the device or component referred to must have a specific orientation. , are constructed and operated in specific orientations and therefore should not be construed as limitations of the invention.
而且,术语“第一”、“第二”、“第三”等仅仅是为了区别属性类似的元件,而不是指示或暗示相对的重要性或者特定的顺序。Furthermore, the terms "first", "second", "third", etc. are only used to distinguish elements with similar properties, but do not indicate or imply relative importance or a specific order.
此外,术语“包括”、“包含”或者其任何其他变体,意在涵盖非排他性的包含,除了包含所列的那些要素,而且还可包含没有明确列出的其他要素。Furthermore, the terms "includes," "includes," or any other variations thereof, are intended to cover a non-exclusive inclusion of elements in addition to those listed and may also include other elements not expressly listed.
本申请根据胶囊内镜的外形尺寸和形状,提供了一种简单易行、安全无害,患者可以自主判断的消化道模拟胶囊。在进行胶囊内镜检查之前,使患者吞服与其质量、形状、体积相似的模拟胶囊,从而判断该模拟胶囊在消化道内的畅通情况。该模拟胶囊如果在肠道中滞留(或者肠道中停留的时间超过了预定时间),可自行降解并排出人体。Based on the external size and shape of the capsule endoscope, this application provides a simple, safe and harmless digestive tract simulation capsule that patients can judge independently. Before capsule endoscopy, the patient is asked to swallow a simulated capsule similar in quality, shape, and volume to determine the smoothness of the simulated capsule in the digestive tract. If the simulated capsule is retained in the intestine (or stays in the intestine for longer than a predetermined time), it can degrade and be excreted from the body.
图1所示为本申请的消化道模拟胶囊的结构示意图。如图1所示,该消化道模拟胶囊100包括位于中间的片芯层110和包裹该片芯层110的包衣层120。Figure 1 shows a schematic structural diagram of the digestive tract simulation capsule of the present application. As shown in FIG. 1 , the digestive tract simulation capsule 100 includes a tablet core layer 110 located in the middle and a coating layer 120 wrapping the tablet core layer 110 .
该片芯层110由药用辅料和崩解剂构成,该药用辅料和崩解剂均可溶于消化液,其中该药用辅料的含量为70-90wt%,该崩解剂的含量为10-30wt%。在一个实施例中,该片芯层110的药用辅料主要由第一填充剂、第一粘合剂、第一助流剂及第一润滑剂组成。其中,第一填充剂包括淀粉、蔗糖、糊精、乳糖、预胶化淀粉、纤维素(该纤维素可以为微晶纤维素和/或乙基纤维素)及无机盐中的一种或多种,其中,该无机盐可以为硫酸钙和/或磷酸氢钙。并且,第一填充剂可以在消化液的消化酶的作用下消化,按质量百分比计,第一填充剂占片芯层110的总含量的55-80wt%。第一粘合剂可以包括羟丙甲纤维素和/或聚维酮K30(聚乙烯基吡咯烷酮,PVPK30)水溶性高分子化合物。该第一粘合剂具有优异的溶解性和生理相容性,一方面能够将第一填充剂等粘合起来,另一方面也能够溶解在消化液(水)中,按质量百分比计,第一粘合剂占片芯层110的总含量的2-10wt%。第一助流剂可以包括微粉硅胶、滑石粉及二氧化硅中的一种或多种,以利于片芯层110的压片成型,按质量百分比计,第一助流剂占片芯层110的总含量的0.1-5wt%。第一润滑剂可以为硬脂酸镁等,以质量百分比计,第一润滑剂占片芯层110的总含量的0.1-1wt%。The core layer 110 of the tablet is composed of pharmaceutical excipients and a disintegrant. Both the pharmaceutical excipients and the disintegrant are soluble in digestive juices. The content of the pharmaceutical excipients is 70-90wt%, and the content of the disintegrant is 10-30wt%. In one embodiment, the pharmaceutical excipients of the tablet core layer 110 mainly consist of a first filler, a first binder, a first glidant and a first lubricant. Wherein, the first filler includes one or more of starch, sucrose, dextrin, lactose, pregelatinized starch, cellulose (the cellulose can be microcrystalline cellulose and/or ethyl cellulose) and inorganic salts. species, wherein the inorganic salt may be calcium sulfate and/or calcium hydrogen phosphate. Moreover, the first filler can be digested under the action of digestive enzymes in the digestive juice. In terms of mass percentage, the first filler accounts for 55-80 wt% of the total content of the core layer 110 of the tablet. The first binder may include hypromellose and/or povidone K30 (polyvinylpyrrolidone, PVPK30) water-soluble polymer compound. The first adhesive has excellent solubility and physiological compatibility. On the one hand, it can bind the first filler and the like, and on the other hand, it can also be dissolved in digestive juice (water). In terms of mass percentage, the first adhesive agent has excellent solubility and physiological compatibility. A binder accounts for 2-10 wt% of the total content of the core layer 110. The first flow aid may include one or more of micronized silica gel, talcum powder and silica to facilitate tableting and molding of the tablet core layer 110. In terms of mass percentage, the first flow aid occupies the tablet core layer 110. 0.1-5wt% of the total content. The first lubricant may be magnesium stearate, etc., and the first lubricant accounts for 0.1-1 wt% of the total content of the core layer 110 in terms of mass percentage.
在本申请的优选实施例中,该崩解剂选自交联羧甲基纤维素钠(CCMC-Na)、交联羧甲基淀粉钠(CMS-Na)、交联聚乙烯吡络烷酮(PVPP)及低取代羟丙基纤维素(L-HPC)等中的一种或多种。所谓崩解剂,是指使得该片芯层110在消化液中能够碎裂呈细小颗粒的物质。在本申请中,该崩解剂是一种冷水可溶的阴离子型淀粉衍生物,因结构上具有亲水性的基团,尤其是羧甲基及羧甲基钠,故具有超强吸水性(可达原体积200倍)及快速吸水膨胀的特性。将适量崩解剂加于固体制剂中,其强力、快速的吸水特性,能够将水引入固体制剂中增加毛细孔,增加水与固体制剂的接触,提高吸水膨胀效果,如此反复吸水、膨胀、吸水……的作用,很快便将完整的固体制剂崩解为细小颗粒或粉末。In a preferred embodiment of the present application, the disintegrant is selected from croscarmellose sodium (CCMC-Na), croscarmellose sodium (CMS-Na), cross-linked polyvinylpyrrolidone (PVPP) and low-substituted hydroxypropyl cellulose (L-HPC), etc. The so-called disintegrant refers to a substance that enables the core layer 110 of the tablet to be broken into fine particles in the digestive juice. In this application, the disintegrant is a cold water-soluble anionic starch derivative. It has super water absorption due to its hydrophilic groups in its structure, especially carboxymethyl and sodium carboxymethyl. (up to 200 times the original volume) and the characteristics of rapid water absorption and expansion. Add an appropriate amount of disintegrant to the solid preparation. Its strong and rapid water absorption characteristics can introduce water into the solid preparation to increase the capillary pores, increase the contact between water and the solid preparation, and improve the water absorption and swelling effect. This will repeatedly absorb, swell, and absorb water. ..., the complete solid preparation will be quickly disintegrated into fine particles or powder.
在本申请的实施例中,该包衣层120主要由第二填充剂、缓释剂、第二粘合剂、第二助流剂及第二润滑剂等组成。进一步地,该包衣层120还包括指示剂,该指示剂为颜色鲜艳的医用塑料颗粒,以质量百分比计,指示剂占包衣层120的总含量的1-15wt%。其中第二填充剂可以为淀粉、蔗糖、糊精、乳糖、预胶化淀粉、纤维素(该纤维素可以为微晶纤维素和/或乙基纤维素)及无机盐类中的一种或多种,其中,无机盐可以为硫酸钙和/或磷酸氢钙,以质量百分比计,该第二填充剂占包衣层120的总含量的30-55wt%。在本实施例中,缓释剂包括为山嵛酸甘油酯、巴西棕榈蜡、硬脂醇、硬脂酸、氢化蓖麻油或甘油三酯中的一种或多种,以质量百分比计,缓释剂占包衣层120的总含量的40-65wt%。缓释剂的添加可以减缓包衣层120的溶解速度。优选地,缓释剂可以为山嵛酸甘油酯,山嵛酸甘油酯为脂质缓释基质,是由山嵛酸和甘油经酯化而得,主要成分为山嵛酸单甘油酯、山嵛酸二甘油酯及山嵛酸三甘油酯。第二粘合剂可以为羟丙甲纤维素或聚维酮K30(聚乙烯基吡咯烷酮,PVPK30)等水溶性高分子化合物,其在消化液中会溶解,以质量百分比计,第二粘合剂占包衣层120的总含量的2-10wt%。第二助流剂可以包括微粉硅胶、滑石粉及二氧化硅中的一种或多种,以利于包衣层120的压片成型,以质量百分比计,第二助流剂占包衣层120的总含量的0.1-5wt%,可提高包衣层120的硬度。第二润滑剂可以为硬脂酸镁,以质量百分比计,第二润滑剂占包衣层120的总含量的0.1-1wt%。在其他实施例中,指示剂还可以是其他生物不相容且无毒无害的材料,例如生物不相容的染料等。In the embodiment of the present application, the coating layer 120 is mainly composed of a second filler, a sustained-release agent, a second adhesive, a second glidant, a second lubricant, and the like. Further, the coating layer 120 also includes an indicator, which is a brightly colored medical plastic particle. In terms of mass percentage, the indicator accounts for 1-15 wt% of the total content of the coating layer 120 . The second filler can be one of starch, sucrose, dextrin, lactose, pregelatinized starch, cellulose (the cellulose can be microcrystalline cellulose and/or ethyl cellulose) and inorganic salts, or A variety of inorganic salts may be calcium sulfate and/or calcium hydrogen phosphate, and the second filler accounts for 30-55 wt% of the total content of the coating layer 120 in terms of mass percentage. In this embodiment, the sustained-release agent includes one or more of glyceryl behenate, carnauba wax, stearyl alcohol, stearic acid, hydrogenated castor oil, or triglyceride. In terms of mass percentage, the sustained-release agent The releasing agent accounts for 40-65wt% of the total content of the coating layer 120. The addition of a sustained release agent can slow down the dissolution speed of the coating layer 120 . Preferably, the sustained-release agent can be glyceryl behenate. Glyceryl behenate is a lipid sustained-release matrix, which is obtained by esterification of behenic acid and glycerol. The main components are behenic acid monoglyceride, behenic acid monoglyceride, and behenic acid monoglyceride. Diglyceryl behenate and triglyceride behenate. The second binder can be a water-soluble polymer compound such as hypromellose or povidone K30 (polyvinylpyrrolidone, PVPK30), which will dissolve in the digestive juice. In terms of mass percentage, the second binder Accounting for 2-10wt% of the total content of the coating layer 120. The second glidant may include one or more of micronized silica gel, talcum powder and silica to facilitate the tableting of the coating layer 120. In terms of mass percentage, the second glidant accounts for the coating layer 120. 0.1-5wt% of the total content can increase the hardness of the coating layer 120. The second lubricant may be magnesium stearate, and in terms of mass percentage, the second lubricant accounts for 0.1-1 wt% of the total content of the coating layer 120 . In other embodiments, the indicator may also be other bioincompatible, non-toxic and harmless materials, such as bioincompatible dyes, etc.
进一步地,该包衣层120中的指示剂还可以包括显影剂,以在外部设备的作用下显示其在人体内具体的位置。Furthermore, the indicator in the coating layer 120 may also include a developer to display its specific location in the human body under the action of an external device.
在一个实施例中,该包衣层120由硫酸钡、磷酸氢钙、山嵛酸甘油酯、聚维酮K30、硬脂酸镁组成。该包衣层120的厚度为2-5mm。片芯层110内崩解剂的用量为10-30wt%。通过控制该包衣层120的厚度和片芯层110内崩解剂的用量,可以使得胃肠道模拟胶囊在30小时后崩解。In one embodiment, the coating layer 120 is composed of barium sulfate, calcium hydrogen phosphate, glyceryl behenate, povidone K30, and magnesium stearate. The thickness of the coating layer 120 is 2-5mm. The amount of disintegrant in the tablet core layer 110 is 10-30wt%. By controlling the thickness of the coating layer 120 and the amount of disintegrant in the tablet core layer 110, the gastrointestinal tract simulation capsule can be made to disintegrate after 30 hours.
在本申请中,该包衣层120的组分中,第二粘合剂在消化液中会较快溶解,缓释剂在水中不会溶胀或溶蚀,以保证包衣层120基本形状的完整。因此,在一定时间内,包衣层120的骨架基本保持完整,能够更好地模拟胶囊内镜的外形。同时,由于包衣层120中有部分组分溶解,例如粘合剂在消化液中溶解,包衣层120中形成微小的孔道,以使包衣层120外部通过孔道与片芯层110连通。消化液,尤其是消化液中的水能够通过孔道到达片芯层110。如图2所示为部分组分溶解使得消化液进入片芯层110的结构示意图。在图2中,消化道模拟胶囊100位于肠腔130中,箭头所指的方向为液体流动穿过包衣层120进入片芯层110的方向。In this application, among the components of the coating layer 120, the second adhesive will dissolve relatively quickly in the digestive juice, and the sustained-release agent will not swell or corrode in water to ensure the integrity of the basic shape of the coating layer 120. . Therefore, within a certain period of time, the skeleton of the coating layer 120 remains basically intact, which can better simulate the appearance of the capsule endoscope. At the same time, because some components in the coating layer 120 are dissolved, for example, the adhesive is dissolved in the digestive juice, tiny pores are formed in the coating layer 120 so that the outside of the coating layer 120 is connected to the tablet core layer 110 through the pores. The digestive juice, especially the water in the digestive juice, can reach the core layer 110 through the pores. As shown in FIG. 2 , some components are dissolved and the digestive juice enters the tablet core layer 110 . In FIG. 2 , the digestive tract simulation capsule 100 is located in the intestinal lumen 130 , and the direction pointed by the arrow is the direction in which liquid flows through the coating layer 120 and into the tablet core layer 110 .
当片芯层110遇到消化液之后,吸水膨胀,随着膨胀程度增大,位于外层的包衣层120被逐渐撑开,即图3所示的包衣层被撑开的示意图。随着片芯层110进一步膨胀,包衣层120最终被片芯层110撑破时,模拟胶囊100崩解,图4所示为消化道模拟胶囊崩解的示意图。在图4中,片芯层110在消化液中溶解碎裂成细小颗粒的碎片112,包衣层120被撑破形成包衣层碎片122。此时,指示剂可以随排泄物一起排出体外,患者可以从排泄物中清晰的看到这些医用塑料颗粒的碎片。通过观察排泄物(例如粪便)中的颜色,患者可以自主判断消化道模拟胶囊是否崩解,由此判断是否适合使用胶囊内镜。When the tablet core layer 110 encounters digestive juice, it absorbs water and expands. As the degree of expansion increases, the coating layer 120 located on the outer layer is gradually opened, that is, the schematic diagram of the coating layer being opened is shown in Figure 3. As the tablet core layer 110 further expands and the coating layer 120 is finally broken by the tablet core layer 110, the simulated capsule 100 disintegrates. Figure 4 is a schematic diagram of the disintegration of the simulated capsule in the digestive tract. In FIG. 4 , the tablet core layer 110 is dissolved and broken into fragments 112 of fine particles in the digestive juice, and the coating layer 120 is broken to form coating layer fragments 122 . At this time, the indicator can be excreted out of the body along with the excrement, and the patient can clearly see the fragments of these medical plastic particles in the excrement. By observing the color of excreta (such as feces), patients can independently determine whether the digestive tract simulation capsule has disintegrated, thereby determining whether capsule endoscopy is suitable for use.
在本申请中,相比于使用其它化学物质例如亚甲蓝等作为指示剂的技术方案而言,采用彩色医用塑料颗粒具有良好的生物不相容性,几乎没有被人体吸收而被排出体外。与此相对地,如果采用亚甲蓝作为指示剂,在临床使用时具有不良副作用,亚甲蓝进入人体消化道后,部分亚甲蓝可能被甲基化,并且少量亚甲蓝通过胆汁由粪便排出,还有部分亚甲蓝暴露于肠道环境时被肠道吸收,随尿液排出。临床判断时,主要通过尿液中的亚甲蓝原型进行判断。但是,从尿液中排出的亚甲蓝原型少,并且排出时间长,大大增加了检查时间。In this application, compared with the technical solution of using other chemical substances such as methylene blue as indicators, the use of colored medical plastic particles has good bioincompatibility and is almost not absorbed by the human body and is excreted from the body. In contrast, if methylene blue is used as an indicator, it will have adverse side effects during clinical use. After methylene blue enters the human digestive tract, part of the methylene blue may be methylated, and a small amount of methylene blue may be excreted in the feces through bile. Excretion, and part of the methylene blue is absorbed by the intestines when exposed to the intestinal environment and excreted in the urine. Clinical judgment is mainly based on the prototype of methylene blue in urine. However, the methylene blue prototype excreted in urine is small and takes a long time to be excreted, which greatly increases the examination time.
在上述消化道模拟胶囊100中,包衣层120提供骨架支撑作用,并且包衣层120中含有颜色鲜艳的医用塑料颗粒指示剂,包衣层120中的第二填充剂提供支撑,聚维酮K30等第二粘合剂为消化液提供进入片芯层110的通路,缓释剂控制该包衣层120的缓释时间,使其在一定时间内基本保持胶囊的形状。因此,本申请无需额外的孔道提供通路,结构简单,且制作工艺更加简单,能够较为精确地控制消化道模拟胶囊的崩解时间,且崩解时间不受消化道的pH值的影响。In the above-mentioned digestive tract simulation capsule 100, the coating layer 120 provides skeleton support, and the coating layer 120 contains brightly colored medical plastic particle indicators. The second filler in the coating layer 120 provides support. Povidone The second binder such as K30 provides a passage for the digestive juice to enter the tablet core layer 110, and the sustained-release agent controls the sustained-release time of the coating layer 120 so that it can basically maintain the shape of the capsule within a certain period of time. Therefore, this application does not require additional holes to provide access, has a simple structure, and a simpler manufacturing process. It can control the disintegration time of the digestive tract simulation capsule more accurately, and the disintegration time is not affected by the pH value of the digestive tract.
本申请的上述消化道模拟胶囊100采用粉末直压技术,具体为:先进行片芯层的压制,然后再压制包衣层。The above-mentioned digestive tract simulation capsule 100 of the present application adopts powder direct compression technology, specifically: the tablet core layer is pressed first, and then the coating layer is pressed.
首先,称取片芯层的各种材料,放置于搅拌器中搅拌均匀,在压片机中进行压片,形成片芯层110。First, various materials for the tablet core layer are weighed, placed in a mixer and stirred evenly, and then tableted in a tablet press to form the tablet core layer 110 .
接着,称取包衣层120的各种材料,放置于混匀器中均匀,将该片芯层110包裹在中心后,在压片机中进行压制。Next, various materials of the coating layer 120 are weighed and placed in a mixer to make them uniform. After wrapping the tablet core layer 110 in the center, the tablet core layer 110 is pressed in a tablet press.
当该消化道模拟胶囊100口服过后,消化液与该包衣层120接触。在一定时间过后,消化液,尤其是消化液中的水浸润到片芯层110,片芯层110的崩解剂吸收大量液体后,体积迅速增加,从而使得包衣层120破裂,整个消化道模拟胶囊100降解。通过调整包衣层120的厚度以及片芯层110内崩解剂的用量可以使得胃肠道模拟胶囊在规定时间崩解。在本申请中,包衣层120的厚度控制为2-5mm,片芯层110内崩解剂的用量控制为10-30wt%,崩解时间控制为30-80h。并且,在本实施例中,为了更好地实现胃肠道模拟胶囊100的模拟效果,片芯层110的厚度控制为3-10mm,从而确保胃肠道模拟胶囊100的直径(片芯层110的厚度与包衣层120的厚度之和)与胶囊内窥镜的直径尺寸相近。在优选实施例中,片芯层110的厚度为3-5mm。When the digestive tract simulation capsule 100 is taken orally, the digestive juice contacts the coating layer 120 . After a certain period of time, the digestive juice, especially the water in the digestive juice, infiltrates into the tablet core layer 110. After the disintegrant in the tablet core layer 110 absorbs a large amount of liquid, the volume increases rapidly, causing the coating layer 120 to rupture and destroying the entire digestive tract. Simulate capsule 100 degradation. By adjusting the thickness of the coating layer 120 and the amount of disintegrant in the tablet core layer 110, the gastrointestinal tract simulation capsule can be disintegrated within a specified time. In this application, the thickness of the coating layer 120 is controlled to be 2-5 mm, the amount of disintegrant in the tablet core layer 110 is controlled to be 10-30 wt%, and the disintegration time is controlled to be 30-80 hours. Moreover, in this embodiment, in order to better realize the simulation effect of the gastrointestinal tract simulation capsule 100, the thickness of the core layer 110 is controlled to 3-10 mm, thereby ensuring that the diameter of the gastrointestinal tract simulation capsule 100 (the core layer 110 The sum of the thickness and the thickness of the coating layer 120) is similar to the diameter of the capsule endoscope. In a preferred embodiment, the thickness of the core layer 110 is 3-5 mm.
其使用方法为:患者在进行胃肠道模拟胶囊检查的前一天进食易消化的食物,进行肠道准备工作。消化道清洁后,随水吞服一粒消化道模拟胶囊。在规定时间内观察模拟胶囊是否完整排出体外。如果完整排除,说明该患者可以进行胶囊内镜检查。如果超过规定时间,患者从排泄物中发现鲜艳的塑料颗粒,那么该患者将不适宜进行胶囊内镜检查。The method of use is as follows: the patient eats easily digestible food and prepares the intestines the day before the gastrointestinal simulation capsule examination. After the digestive tract is cleansed, swallow one digestive tract simulation capsule with water. Observe whether the simulated capsule is completely discharged from the body within the specified time. If completely excluded, the patient can undergo capsule endoscopy. If bright-colored plastic particles are found in the patient's excrement after the specified time, the patient will not be suitable for capsule endoscopy.
在本申请中,通过崩解剂的加入,使得消化道模拟胶囊的崩解过程更快速。调整包衣层的厚度和片芯层内崩解剂的用量可调控消化道模拟胶囊的崩解时间。包衣层含有彩色医用塑料颗粒,便于患者自主判断,可用于民用领域。同时,本申请采用粉末直压技术,制备工艺简单,易行。能够较为精确的控制消化道模拟胶囊的崩解时间,且崩解时间不受消化道pH的影响。In this application, the disintegration process of the digestive tract simulation capsule is made faster by adding a disintegrant. The disintegration time of the digestive tract simulation capsule can be controlled by adjusting the thickness of the coating layer and the amount of disintegrant in the tablet core layer. The coating layer contains colored medical plastic particles to facilitate patients' independent judgment and can be used in the civilian field. At the same time, this application adopts powder direct pressing technology, and the preparation process is simple and easy to implement. The disintegration time of the digestive tract simulation capsule can be controlled more accurately, and the disintegration time is not affected by the pH of the digestive tract.
实施例1:Example 1:
片芯层:以片芯层总质量的百分比计,51.5wt%乳糖、20wt%淀粉、5wt%聚乙烯吡咯烷酮K30、5wt%二氧化硅、1wt%硬脂酸镁、17.5wt%交联羧甲基纤维素钠(CCMC-Na)。Tablet core layer: calculated as a percentage of the total mass of the tablet core layer, 51.5wt% lactose, 20wt% starch, 5wt% polyvinylpyrrolidone K30, 5wt% silica, 1wt% magnesium stearate, 17.5wt% croscarmellidone Cellulose sodium (CCMC-Na).
包衣层:以包衣层总质量的百分比计,30wt%磷酸氢钙、52.5wt%山嵛酸甘油酯、6wt%聚乙烯吡咯烷酮K30、0.5wt%二氧化硅、1wt%硬脂酸镁、10wt%医用塑料颗粒。Coating layer: Based on the percentage of the total mass of the coating layer, 30wt% calcium hydrogen phosphate, 52.5wt% glyceryl behenate, 6wt% polyvinylpyrrolidone K30, 0.5wt% silicon dioxide, 1wt% magnesium stearate, 10wt% medical plastic particles.
其中包衣层厚度:4mmThickness of coating layer: 4mm
片芯层厚度:5mmChip core layer thickness: 5mm
加工方式:干粉直压,先压片芯层再压包衣层Processing method: dry powder direct compression, first compress the tablet core layer and then the coating layer
崩解时间:30-40h。Disintegration time: 30-40h.
实施例2:Example 2:
片芯层:以片芯层总质量的百分比计,51.5wt%乳糖、25wt%淀粉、7wt%聚乙烯吡咯烷酮K30、0.5wt%二氧化硅、1wt%硬脂酸镁、15wt%交联羧甲基纤维素钠(CCMC-Na)。Tablet core layer: calculated as a percentage of the total mass of the tablet core layer, 51.5wt% lactose, 25wt% starch, 7wt% polyvinylpyrrolidone K30, 0.5wt% silica, 1wt% magnesium stearate, 15wt% croscarmellidone Cellulose sodium (CCMC-Na).
包衣层:以包衣层总质量的百分比计,48.5wt%磷酸氢钙、40wt%山嵛酸甘油酯、5wt%聚乙烯吡咯烷酮K30、0.5wt%二氧化硅、1wt%硬脂酸镁、5wt%医用塑料颗粒。Coating layer: calculated as a percentage of the total mass of the coating layer, 48.5wt% calcium hydrogen phosphate, 40wt% glyceryl behenate, 5wt% polyvinylpyrrolidone K30, 0.5wt% silicon dioxide, 1wt% magnesium stearate, 5wt% medical plastic particles.
其中包衣层厚度:5mmThickness of coating layer: 5mm
片芯层厚度:3mmChip core layer thickness: 3mm
加工方式:干粉直压,先压片芯层再压包衣层Processing method: dry powder direct compression, first compress the tablet core layer and then the coating layer
崩解时间:40-50h。Disintegration time: 40-50h.
实施例3:Example 3:
片芯层:以片芯层总质量的百分比计,60wt%乳糖、20wt%淀粉、8.5%聚乙烯吡咯烷酮K30、0.5%二氧化硅、1%硬脂酸镁、10%交联羧甲基纤维素钠(CCMC-Na)。Tablet core layer: Based on the percentage of the total mass of the tablet core layer, 60wt% lactose, 20wt% starch, 8.5% polyvinylpyrrolidone K30, 0.5% silica, 1% magnesium stearate, 10% croscarmellose Sodium chloride (CCMC-Na).
包衣层:以包衣层总质量的百分比计,35%乙基纤维素、47.5%山嵛酸甘油酯、2wt%聚乙烯吡咯烷酮K30、0.4wt%二氧化硅、0.1wt%硬脂酸镁、15wt%医用塑料颗粒。Coating layer: Based on the percentage of the total mass of the coating layer, 35% ethyl cellulose, 47.5% glyceryl behenate, 2wt% polyvinylpyrrolidone K30, 0.4wt% silicon dioxide, 0.1wt% magnesium stearate , 15wt% medical plastic particles.
其中包衣层厚度:5mmThickness of coating layer: 5mm
片芯层厚度:3mmChip core layer thickness: 3mm
加工方式:干粉直压,先压片芯层再压包衣层Processing method: dry powder direct compression, first compress the tablet core layer and then the coating layer
崩解时间:50-80h。Disintegration time: 50-80h.
实施例4:Example 4:
片芯层:以片芯层总质量的百分比计,80wt%乳糖、8.5wt%聚乙烯吡咯烷酮K30、0.5wt%二氧化硅、1%wt硬脂酸镁、10wt%交联羧甲基纤维素钠Tablet core layer: calculated as a percentage of the total mass of the tablet core layer, 80wt% lactose, 8.5wt% polyvinylpyrrolidone K30, 0.5wt% silica, 1%wt magnesium stearate, 10wt% croscarmellose sodium
包衣层:以包衣层总质量的百分比计,34wt%淀粉、60wt%山嵛酸甘油酯、3.5wt%聚乙烯吡咯烷酮K30、0.5wt%二氧化硅、1wt%硬脂酸镁、1wt%医用塑料颗粒。Coating layer: Based on the percentage of the total mass of the coating layer, 34wt% starch, 60wt% glyceryl behenate, 3.5wt% polyvinylpyrrolidone K30, 0.5wt% silicon dioxide, 1wt% magnesium stearate, 1wt% Medical plastic pellets.
其中,片芯层厚度:5mmAmong them, the thickness of the core layer: 5mm
包衣层厚度:4mmCoating layer thickness: 4mm
加工方式:干粉直压,先压片芯层再压包衣层Processing method: dry powder direct compression, first compress the tablet core layer and then the coating layer
崩解时间:50-80h。Disintegration time: 50-80h.
实施例5:Example 5:
片芯层:以片芯层总质量的百分比计,58.5wt%乳糖、10wt%聚乙烯吡咯烷酮K30、0.5wt%二氧化硅、1wt%硬脂酸镁、30wt%交联羧甲基纤维素钠Tablet core layer: calculated as a percentage of the total mass of the tablet core layer, 58.5wt% lactose, 10wt% polyvinylpyrrolidone K30, 0.5wt% silica, 1wt% magnesium stearate, 30wt% croscarmellose sodium
包衣层:以包衣层总质量的百分比计,45wt%淀粉、40wt%乙基纤维素、3.5wt%聚乙烯吡咯烷酮K30、0.5wt%二氧化硅、1wt%硬脂酸镁、10wt%医用塑料颗粒。Coating layer: calculated as a percentage of the total mass of the coating layer, 45wt% starch, 40wt% ethyl cellulose, 3.5wt% polyvinylpyrrolidone K30, 0.5wt% silicon dioxide, 1wt% magnesium stearate, 10wt% medical Plastic particles.
其中,片芯层厚度:5mmAmong them, the thickness of the core layer: 5mm
包衣层厚度:4mmCoating layer thickness: 4mm
加工方式:干粉直压,先压片芯层再压包衣层Processing method: dry powder direct compression, first compress the tablet core layer and then the coating layer
崩解时间:20-30h。Disintegration time: 20-30h.
对比例1:Comparative example 1:
提供一种消化道模拟胶囊系统,包括消化道模拟胶囊和无线电探测器。该系统具有与胶囊内镜完全相同的外形和尺寸,主要由可降解的乳糖材料构成,不含镜头或者其他电子元件;内含可在X射线下显影的钡剂和无线射频感应器。消化道模拟胶囊的两端设有时间指示器,当遇到狭窄部位发生嵌顿时,该模拟胶囊的时间指示器能够在消化液作用下溶解从而使整个模拟胶囊降解。但是,此法工艺复杂,患者自主判断性差,且X射线对人体有一定辐射,并且需要外部的设备辅助,较为复杂。A digestive tract simulation capsule system is provided, including a digestive tract simulation capsule and a radio detector. The system has exactly the same shape and size as capsule endoscopy. It is mainly composed of degradable lactose materials and does not contain lenses or other electronic components. It contains barium and wireless radio frequency sensors that can be developed under X-rays. There are time indicators at both ends of the digestive tract simulation capsule. When incarceration occurs in a narrow part, the time indicator of the simulation capsule can dissolve under the action of digestive juice, causing the entire simulation capsule to degrade. However, this method is complicated in process, the patient has poor independent judgment, and X-rays radiate to the human body to a certain extent, and requires external equipment assistance, which is relatively complicated.
对比例2:Comparative example 2:
提供一种消化道排空功能检测缓释片,该缓释片包括难溶的药用辅料混合物组成的骨架片芯、食用蜡制成的包衣层以及控制该缓释片溶解时间的单孔道。该缓释片在人正常排空时间内能够保持稳定。A sustained-release tablet for digestive tract emptying function detection is provided. The sustained-release tablet includes a skeleton tablet core composed of a mixture of insoluble pharmaceutical excipients, a coating layer made of edible wax, and a single hole channel for controlling the dissolution time of the sustained-release tablet. . The sustained-release tablet can remain stable during normal human evacuation time.
然而,该缓释片一旦有孔道的一侧发生嵌顿,那么其在消化道中将难以溶解。该缓释片在肠道中的定位需要X射线的辅助,对人体有一定辐射,准确性低。However, once the side of the pore is impacted, the sustained-release tablet will be difficult to dissolve in the digestive tract. The positioning of this sustained-release tablet in the intestine requires the assistance of X-rays, which radiates certain radiation to the human body and has low accuracy.
对比例3:Comparative example 3:
提供一种消化道探路胶囊,它包括缓释肠溶材料制成的外膜和可溶于消化液的支撑材料;外膜囊体空腔中容置有能够为人体吸收并使得排出的尿液变色的指示剂(亚甲蓝)。A digestive tract pathfinding capsule is provided, which includes an outer membrane made of slow-release enteric material and a support material soluble in digestive juice; the cavity of the outer membrane capsule contains urine that can be absorbed by the human body and discharged. Liquid color change indicator (methylene blue).
采用的亚甲蓝指示剂,在临床使用时具有不良副作用,并且口服亚甲蓝后,从尿液中以亚甲蓝原型排出的部分少且时间长,大大增加了检查的时间。The methylene blue indicator used has adverse side effects in clinical use, and after oral administration of methylene blue, the methylene blue prototype is excreted in the urine in a small amount and for a long time, which greatly increases the examination time.
以上所述,仅为本发明的具体实施方式,但本发明的保护范围并不局限于此,任何熟悉本技术领域的技术人员在本发明揭露的技术范围内,可轻易想到的变化或替换,都应涵盖在本发明的保护范围之内。因此,本发明的保护范围应以所附的权利要求为准。The above are only specific embodiments of the present invention, but the protection scope of the present invention is not limited thereto. Any person familiar with the technical field can easily think of changes or substitutions within the technical scope disclosed in the present invention. All are covered by the protection scope of the present invention. Therefore, the scope of protection of the present invention should be determined by the appended claims.
工业实用性Industrial applicability
本申请包衣层120提供骨架支撑作用,并且包衣层120中含有颜色鲜艳的指示剂医用塑料颗粒,片芯层110中的磷酸氢钙提供支撑,聚乙烯吡咯烷酮K30在包衣层120中为消化液提供进入片芯层110的通路,山嵛酸甘油酯控制该包衣层120的缓释时间,使其在一定时间内基本保持胶囊的形状。因此,本申请无需额外的孔道提供通路,结构简单,能够较为精确地控制消化道模拟胶囊的崩解时间,且崩解时间不受消化道的pH值的影响。The coating layer 120 of this application provides skeleton support, and the coating layer 120 contains brightly colored indicator medical plastic particles. The calcium hydrogen phosphate in the tablet core layer 110 provides support. Polyvinylpyrrolidone K30 in the coating layer 120 is The digestive juice provides a passage into the tablet core layer 110, and glyceryl behenate controls the sustained release time of the coating layer 120 so that it can basically maintain the shape of the capsule within a certain period of time. Therefore, this application does not require additional holes to provide access, has a simple structure, and can control the disintegration time of the digestive tract simulation capsule more accurately, and the disintegration time is not affected by the pH value of the digestive tract.

Claims (10)

  1. 一种消化道模拟胶囊,其特征在于,所述消化道模拟胶囊包括位于中间的片芯层和包裹该片芯层的包衣层,所述片芯层由药用辅料和崩解剂构成,所述药用辅料和崩解剂均溶于消化液;所述包衣层由第二填充剂、缓释剂、第二粘合剂、第二助流剂、第二润滑剂及指示剂组成;所述第二粘合剂由水溶性高分子组成,在消化液的作用下,所述第二粘合剂溶解,以在所述包衣层内形成连通包衣层内外的孔道。A digestive tract simulation capsule, characterized in that the digestive tract simulation capsule includes a tablet core layer located in the middle and a coating layer surrounding the tablet core layer, and the tablet core layer is composed of pharmaceutical excipients and disintegrants, The pharmaceutical excipients and disintegrants are both soluble in digestive juice; the coating layer is composed of a second filler, a sustained release agent, a second binder, a second glidant, a second lubricant and an indicator. ; The second adhesive is composed of water-soluble polymers. Under the action of digestive juice, the second adhesive dissolves to form a channel in the coating layer that connects the inside and outside of the coating layer.
  2. 根据权利要求1所述的消化道模拟胶囊,其特征在于:在所述包衣层中,以质量百分比计,各组分占所述包衣层的含量为:The digestive tract simulation capsule according to claim 1, characterized in that: in the coating layer, the content of each component in the coating layer in terms of mass percentage is:
    第二填充剂:30-55wt%;缓释剂40-65wt%;第二粘合剂2-10wt%;第二助流剂0.1-5%;第二润滑剂0.1-1%;指示剂1-15wt%。Second filler: 30-55wt%; sustained release agent 40-65wt%; second binder 2-10wt%; second glidant 0.1-5%; second lubricant 0.1-1%; indicator 1 -15wt%.
  3. 根据权利要求1所述的消化道模拟胶囊,其特征在于:所述指示剂为具有指示性颜色的医用塑料颗粒。The digestive tract simulation capsule according to claim 1, wherein the indicator is a medical plastic particle with an indicator color.
  4. 根据权利要求1所述的消化道模拟胶囊,其特征在于:在所述片芯层中,以质量百分比计,所述药用辅料的含量为70~90wt%,所述崩解剂的含量为10-30wt%。The digestive tract simulation capsule according to claim 1, characterized in that: in the tablet core layer, the content of the pharmaceutical excipients is 70~90wt% in terms of mass percentage, and the content of the disintegrating agent is 10-30wt%.
  5. 根据权利要求4所述的消化道模拟胶囊,其特征在于:所述片芯层的药用辅料主要由第一填充剂、第一粘合剂、第一助流剂、第一润滑剂及崩解剂组成,以质量百分比计,各组分在所述片芯层的组分为:第一填充剂55-80wt%;第一粘合剂2-10wt%;第一助流剂0.1-5wt%;第一润滑剂0.1-1wt%;崩解剂10-30wt%。The digestive tract simulation capsule according to claim 4, characterized in that: the pharmaceutical excipients of the tablet core layer mainly consist of a first filler, a first binder, a first glidant, a first lubricant and a disintegrating agent. The composition of the solution, in terms of mass percentage, the components of each component in the core layer of the tablet are: 55-80wt% of the first filler; 2-10wt% of the first binder; 0.1-5wt of the first glidant %; first lubricant 0.1-1wt%; disintegrant 10-30wt%.
  6. 根据权利要求5所述的消化道模拟胶囊,其特征在于:所述第一填充剂及所述第二填充剂均包括淀粉、蔗糖、糊精、乳糖、预胶化淀粉、纤维素及无机盐中的一种或多种;所述第一粘合剂及所述第二粘合剂包括羟丙甲纤维素及聚维酮K30中的一种或多种;所述第一助流剂及所述第二助流剂包括微粉硅胶、滑石粉及二氧化硅中的一种或多种;所述第一润滑剂及所述第二润滑剂包括硬脂酸镁。The digestive tract simulation capsule according to claim 5, characterized in that: the first filler and the second filler include starch, sucrose, dextrin, lactose, pregelatinized starch, cellulose and inorganic salts one or more of; the first adhesive and the second adhesive include one or more of hypromellose and povidone K30; the first glidant and The second glidant includes one or more of micronized silica gel, talc and silicon dioxide; the first lubricant and the second lubricant include magnesium stearate.
  7. 根据权利要求5所述的消化道模拟胶囊,其特征在于:所述崩解剂选自交联羧甲基纤维素钠、交联羧甲基淀粉钠、交联聚乙烯吡络烷酮及低取代羟丙基纤维素中的一种或多种。The digestive tract simulation capsule according to claim 5, characterized in that: the disintegrant is selected from the group consisting of croscarmellose sodium, croscarmellose sodium, cross-linked polyvinylpyrrolidone and low Substitute one or more of the hydroxypropyl celluloses.
  8. 根据权利要求1所述的消化道模拟胶囊,其特征在于:所述包衣层的厚度为2-5mm,所述片芯层的厚度为3-10mm。The digestive tract simulation capsule according to claim 1, characterized in that: the thickness of the coating layer is 2-5 mm, and the thickness of the core layer is 3-10 mm.
  9. 根据权利要求1所述的消化道模拟胶囊,其特征在于:所述消化道模拟胶囊的崩解时间为30-80h。The digestive tract simulation capsule according to claim 1, characterized in that: the disintegration time of the digestive tract simulation capsule is 30-80 hours.
  10. 一种根据权利要求1所述的消化道模拟胶囊的制备方法,其特征在于:包括如下步骤:A method for preparing digestive tract simulation capsules according to claim 1, characterized in that it includes the following steps:
    称取填充剂55-80wt%;粘合剂2-10wt%;助流剂0.1-5wt%;润滑剂0.1-1wt%;崩解剂10-30wt%,将各组分进行压制,以形成片芯层;Weigh 55-80wt% filler; 2-10wt% binder; 0.1-5wt% glidant; 0.1-1wt% lubricant; 10-30wt% disintegrant, and press each component to form a tablet. core layer;
    称取填充剂:30-55wt%;缓释剂40-65wt%;粘合剂2-10wt%;助流剂0.1-5%;润滑剂0.1-1%;指示剂1-15wt%,包裹该片芯层后,进行压制以形成包衣层。Weigh the filler: 30-55wt%; sustained release agent 40-65wt%; adhesive 2-10wt%; glidant 0.1-5%; lubricant 0.1-1%; indicator 1-15wt%, wrap the After the core layer, the tablet is pressed to form a coating layer.
PCT/CN2023/085787 2022-03-31 2023-03-31 Digestive tract simulation capsule and preparation method therefor WO2023186155A1 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
CN202210334012.2 2022-03-31
CN202210334012.2A CN114712527B (en) 2022-03-31 2022-03-31 Digestive tract simulation capsule and preparation method thereof

Publications (1)

Publication Number Publication Date
WO2023186155A1 true WO2023186155A1 (en) 2023-10-05

Family

ID=82241478

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/CN2023/085787 WO2023186155A1 (en) 2022-03-31 2023-03-31 Digestive tract simulation capsule and preparation method therefor

Country Status (2)

Country Link
CN (1) CN114712527B (en)
WO (1) WO2023186155A1 (en)

Families Citing this family (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114712527B (en) * 2022-03-31 2024-01-09 上海安翰医疗技术有限公司 Digestive tract simulation capsule and preparation method thereof
CN116350163B (en) * 2023-06-02 2023-09-08 广州思德医疗科技有限公司 Auxiliary esophagus inspection device
CN116952856B (en) * 2023-07-25 2024-03-26 广州新征程生物科技有限公司天津分公司 Embryo element pill content high-precision detection system based on big data

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1814306A (en) * 2005-11-24 2006-08-09 重庆大学 Digestive tract evacuation-detecting slow-release tablet and its preparing process
CN102920418A (en) * 2012-10-24 2013-02-13 刘思德 Self-stable patency capsule of alimentary canal
CN103494594A (en) * 2013-07-08 2014-01-08 南方医科大学南方医院 Digestive tract patency capsule
CN111772592A (en) * 2020-08-04 2020-10-16 重庆金山医疗器械有限公司 Degradable route exploring capsule system and degradable route exploring capsule thereof
CN114712527A (en) * 2022-03-31 2022-07-08 上海安翰医疗技术有限公司 Digestive tract simulation capsule and preparation method thereof

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1814306A (en) * 2005-11-24 2006-08-09 重庆大学 Digestive tract evacuation-detecting slow-release tablet and its preparing process
CN102920418A (en) * 2012-10-24 2013-02-13 刘思德 Self-stable patency capsule of alimentary canal
CN103494594A (en) * 2013-07-08 2014-01-08 南方医科大学南方医院 Digestive tract patency capsule
CN111772592A (en) * 2020-08-04 2020-10-16 重庆金山医疗器械有限公司 Degradable route exploring capsule system and degradable route exploring capsule thereof
CN114712527A (en) * 2022-03-31 2022-07-08 上海安翰医疗技术有限公司 Digestive tract simulation capsule and preparation method thereof

Also Published As

Publication number Publication date
CN114712527B (en) 2024-01-09
CN114712527A (en) 2022-07-08

Similar Documents

Publication Publication Date Title
WO2023186155A1 (en) Digestive tract simulation capsule and preparation method therefor
CN103751193B (en) Include the medical composition and its use of BI 1356 and optional SGLT2 inhibitor
CN103494594B (en) A kind of digestive tract patency capsule
JP5888549B2 (en) Pharmaceutical composition
US20120321706A1 (en) Novel gastroretentive dosage forms of poorly soluble drugs
CN107405309B (en) Tune for the orlistat and acarbose for the treatment of obesity and related metabolic disturbance releases composition
US20040219186A1 (en) Expandable gastric retention device
EP2470166B1 (en) New compositions of 1-[2-(2,4-dimethyl-phenylsulfanyl)-phenyl]piperazine
CN102369000A (en) Pharmaceutical composition comprising one or more fumaric acid esters
JPH09104620A (en) Long active preparation
CN108289848A (en) Include the pharmaceutical composition of effective inhibitor of URAT1
US20090148480A1 (en) Sustained release preparation
JP2008536922A (en) Olanzapine pharmaceutical orally disintegrating tablets
CN107106494A (en) A Ruiluomo preparations
CA2456976A1 (en) Expandable gastric retention device
US7018613B2 (en) Preparations for evaluating eliminative ability of stomach
JP2023509754A (en) Sustained-release compositions containing liothyronine
CN103393612A (en) Preparation method for enalapril maleate orally disintegrating tablets
Jaimini et al. A review on formulation and evaluation of gastroretentive floating tablet of Nifedipin
JP2003267889A (en) Sustainable pharmaceutical preparation
EP4313014A1 (en) A method for the production of gastroretentive compact matrices for the controlled release of active substances and compact matrices thus obtained
JP2768559B2 (en) Diagnostic preparation for detection of Helicobacter Pylori
CN116421573B (en) Topiroxostat sustained release preparation and preparation method thereof
WO2022260888A1 (en) Sustained release compositions comprising liothyronine
Swain et al. Recent advances in colon-specific drug delivery systems

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: 23778519

Country of ref document: EP

Kind code of ref document: A1