CN100571691C - A kind of antineoplastic patches for external use of bullatacin - Google Patents
A kind of antineoplastic patches for external use of bullatacin Download PDFInfo
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- CN100571691C CN100571691C CNB2008103013347A CN200810301334A CN100571691C CN 100571691 C CN100571691 C CN 100571691C CN B2008103013347 A CNB2008103013347 A CN B2008103013347A CN 200810301334 A CN200810301334 A CN 200810301334A CN 100571691 C CN100571691 C CN 100571691C
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Abstract
Description
技术领域 technical field
本发明涉及一种抗肿瘤的外用给药制剂,具体来说是一种抗肿瘤的外用贴剂。The invention relates to an anti-tumor external drug preparation, in particular to an anti-tumor external patch.
背景技术 Background technique
番荔枝科(Annonaceae)是热带和亚热带地区一大植物种群,该科含生物碱、萜类、黄酮、番荔内酯、多氧环己烯和苯乙烯内酯等成分。其中后3类化合物具有抗肿瘤活性,并已引起各国学者广泛兴趣。番荔枝内酯(annonaceous acetogenins)是1982年首次发现于番荔枝科植物(Annonaceae)中的一类新型天然产物。番荔枝内酯具有较为广泛的生理活性,其中最典型的是抗肿瘤活性和细胞毒性。研究显示大多数番荔枝内酯类化合物对体外培养的肿瘤细胞普遍具有强大的细胞毒作用。Annonaceae (Annonaceae) is a large plant group in tropical and subtropical regions, which contains alkaloids, terpenoids, flavonoids, annonaceae, polyoxycyclohexenes and styrylactones. Among them, the latter three types of compounds have anti-tumor activity, and have aroused widespread interest of scholars from various countries. Annonaceous acetogenins are a new class of natural products first discovered in Annonaceae in 1982. Annonaceolide has a wide range of physiological activities, the most typical of which are anti-tumor activity and cytotoxicity. Studies have shown that most annona lactones generally have a strong cytotoxic effect on tumor cells cultured in vitro.
目前,全世界肿瘤、癌症的发病率逐年上升,在其治疗过程中必须应用放射、化学、药物等疗法。多数抗癌药物对肿瘤细胞杀伤的选择性差,放疗、化疗时间长、剂量大、成本高。现市面上有售的抗肿瘤药物主要以化学合成为主,且其给药方式以口服或静脉给药为主,例如抗肿瘤药物5-FU和长春新碱等。其中抗肿瘤药物大多具有致突变作用,通过阻断肿瘤DNA复制来完成对肿瘤的抑制作用;具有对白细胞、肝细胞损伤等毒副作用,且有恶心、脱发等反应。At present, the incidence of tumors and cancers in the world is increasing year by year, and radiation, chemistry, drugs and other therapies must be used in the treatment process. Most anticancer drugs have poor selectivity for killing tumor cells, and radiotherapy and chemotherapy take a long time, have large doses, and are expensive. The anti-tumor drugs currently available on the market are mainly chemically synthesized, and their administration methods are mainly oral or intravenous administration, such as anti-tumor drugs 5-FU and vincristine. Among them, most of the anti-tumor drugs have mutagenic effects, and complete the inhibitory effect on tumors by blocking the replication of tumor DNA; they have toxic and side effects such as damage to white blood cells and liver cells, and have reactions such as nausea and hair loss.
在现在有技术中,CN1460473A提出的药物剂型是针剂或乳剂。但在实施过程中因生产工艺的问题,对药物的剂量无法控制,临床上安全性、有效性、可控性得不到保证,故难以推广应用。In the present prior art, the pharmaceutical dosage form that CN1460473A proposes is injection or emulsion. However, in the implementation process, due to the problem of the production process, the dose of the drug cannot be controlled, and the clinical safety, effectiveness, and controllability cannot be guaranteed, so it is difficult to popularize and apply.
而传统的外用贴剂主要黑膏药和橡胶膏。黑膏药含有大量的氧化铅,毒性大;橡胶膏对皮肤刺激性大,过敏反应现象严重。除此之外,使用黑膏药和橡胶膏后会产生污染衣物、揭药困难、皮肤不舒适等等不利的方面,都直接影响到了患者使用。And traditional external patch mainly black plaster and rubber plaster. Black plasters contain a large amount of lead oxide, which is highly toxic; rubber plasters are highly irritating to the skin and have serious allergic reactions. In addition, the use of black plasters and rubber plasters will cause unfavorable aspects such as contamination of clothes, difficulty in removing the plasters, and uncomfortable skin, which directly affect the use of patients.
发明内容 Contents of the invention
本发明所要解决的技术问题就是提供一种布拉他辛抗肿瘤的外用贴剂,它既解决了以往抗肿瘤药物口服或静脉给药毒副作用大的缺点,又克服了传统外用贴剂对皮肤刺激性大和具有一定毒性的缺点,并降低了经济成本。The technical problem to be solved by the present invention is to provide a kind of anti-tumor external patch of blatasine, which has not only solved the disadvantages of large toxic and side effects of oral or intravenous administration of anti-tumor drugs in the past, but also overcomes the harmful effects of traditional external patches on the skin. It has the disadvantages of high irritation and certain toxicity, and reduces the economic cost.
为了解决上述问题,本发明提供了一种布拉他辛抗肿瘤的外用贴剂,它包括背衬层、药物储库和防粘层,药物储库以高分子凝胶作为粘胶剂,含调配好的布拉他辛药液。In order to solve the above problems, the present invention provides a bratasine anti-tumor external patch, which includes a backing layer, a drug reservoir and an anti-adhesive layer. The drug reservoir uses a polymer gel as an adhesive, containing Prepared burataxin liquid medicine.
布拉他辛药液是将布拉他辛部位药精品溶解在无水乙醇和丙二醇的混合液中,充分搅拌,混合均匀而得。The buratasine medicinal solution is obtained by dissolving the fine buratasine local medicine in a mixture of absolute ethanol and propylene glycol, stirring thoroughly, and mixing evenly.
混合液中的无水乙醇和丙二醇的体积比为1∶1。The volume ratio of absolute ethanol and propylene glycol in the mixed solution is 1:1.
拉他辛部位药的精品与混合液的重量比为1∶1~1∶10。The weight ratio of the essence of the lataxine part medicine to the mixed solution is 1:1-1:10.
高分子凝胶为丙烯酸酯压敏胶。The polymer gel is an acrylate pressure sensitive adhesive.
防粘层为经硅油防粘处理的聚酯膜。The release layer is a polyester film treated with silicone oil release.
布拉他辛抗肿瘤的外用贴剂的制备方法,它包括如下步骤:The preparation method of the external application patch of bratasine antitumor, it comprises the steps:
(1)配料:将含布拉他辛部位药的精品溶解在体积比为1∶1的无水乙醇和丙二醇的混合液中,布拉他辛部位药精品与混合液的重量比为1∶1~1∶10,充分搅拌,使其混合均匀;(1) Ingredients: Dissolve the essence of the part medicine containing buratasine in the mixed liquid of absolute ethanol and propylene glycol with a volume ratio of 1:1, and the weight ratio of the essence of the part medicine of buratasine to the mixture is 1: 1~1:10, fully stir to make it evenly mixed;
(2)制胶:采用丙烯酸酯压敏胶的生产工艺制得压敏胶;(2) Glue making: the pressure-sensitive adhesive is produced by adopting the production process of acrylate pressure-sensitive adhesive;
(3)涂布:将布拉他辛部位药精品、无水乙醇和丙二醇的混合液与加热熔融后的压敏胶混匀,涂布于防粘层上,再覆盖上背衬层;(3) Coating: Mix the mixed solution of buratacin topical medicine, absolute ethanol and propylene glycol with the pressure-sensitive adhesive after heating and melting, coat it on the anti-adhesive layer, and then cover the backing layer;
(4)切片:切成合适的尺寸(5×7cm、7×10cm、9×12cm等规格);干燥冷却:使药物有效成分最大限度地保留,增强药效;包装:用铝塑复合膜密封。(4) Slicing: cutting into appropriate sizes (5×7cm, 7×10cm, 9×12cm, etc.); drying and cooling: to maximize the retention of active ingredients of the drug and enhance the efficacy; packaging: sealed with aluminum-plastic composite film .
与现有技术相比,本发明具有如下优点:Compared with prior art, the present invention has following advantage:
(1)本发明所述的外用贴剂,它选用番荔枝植物中提取的新天然物质布拉他辛为主要成份,与现有的化学合成的抗肿瘤药物相比,毒副作用大大减低。(1) The external patch of the present invention, which selects the new natural substance blatasine extracted from the custard apple plant as the main component, compared with the existing chemically synthesized antineoplastic drugs, the toxic and side effects are greatly reduced.
(2)本发明布拉他辛抗肿瘤外用贴剂对正常细胞损伤小、无恶心、脱发等现象,而现有的抗肿瘤药物对白细胞、肝细胞损伤等度副作用明显,有恶心、脱发等反应。(2) The blatasine anti-tumor external patch of the present invention has little damage to normal cells, no nausea, hair loss, etc., while the existing anti-tumor drugs have obvious side effects such as leukocyte and liver cell damage, nausea, hair loss, etc. reaction.
(3)本发明采用了外用贴剂,克服了现有抗肿瘤药物口服或静脉给药的缺点,大大降低了药物的毒副作用。(3) The present invention adopts an external patch, overcomes the shortcomings of oral or intravenous administration of existing antitumor drugs, and greatly reduces the toxic and side effects of the drugs.
(4)本发明减少了药物的给药剂量,降低了治疗的经济成本。例如,抗肿瘤药物紫杉醇的给药剂量为60mg,本发明的布拉他辛部位药精品仅为30ug,是紫杉醇的1/2000;紫杉醇药物45天的治疗费用为5万元,而布拉他辛45天的治疗费用仅为1.5万元。(4) The present invention reduces the dosage of medicine and reduces the economic cost of treatment. For example, the dosage of the antineoplastic drug paclitaxel is 60mg, and the fine-quality medicine of buratasine of the present invention is only 30ug, which is 1/2000 of that of paclitaxel; Xin's 45-day treatment cost only 15,000 yuan.
(5)本发明以新型高分子凝胶为粘胶剂,对药物负载能力强,药物包容量大,含水量高、生物相容性好,与皮肤亲合力强,在透气性及对皮肤黏附性、刺激性、保湿性方面,都优于传统的黑膏药和橡胶膏,用此工艺制得的贴剂,透气性更强,患者贴后感觉柔软舒适,粘附性适宜,揭扯无痛感,并将过敏现象降低到最低限度。(5) The present invention uses a new type of polymer gel as an adhesive, which has strong drug loading capacity, large drug inclusion capacity, high water content, good biocompatibility, strong affinity with the skin, and excellent air permeability and adhesion to the skin. It is superior to traditional black plaster and rubber plaster in terms of anti-irritation, irritation, and moisture retention. The patch made by this process has stronger air permeability, and the patient feels soft and comfortable after sticking, with suitable adhesion and no pain when peeling off. , and reduce allergies to a minimum.
(6)本发明疗效迅速(30分钟~2小时见效),药效持久平稳,可控性强,若需中断给药,只需揭去贴剂即可,十分方便。同时还具有药效持久平稳,药物生物利用度高等优点。(6) The curative effect of the present invention is rapid (it takes 30 minutes to 2 hours to take effect), the drug effect is long-lasting and stable, and the controllability is strong. If the administration needs to be interrupted, it is only necessary to remove the patch, which is very convenient. At the same time, it also has the advantages of long-lasting and stable drug effect and high drug bioavailability.
(7)本发明的贴剂在生产中不使用汽油及其它有毒有害的有机溶剂,既保障了药品生产安全,减少了对生产工人的身体危害,又不造成对环境的污染。(7) The patch of the present invention does not use gasoline and other toxic and harmful organic solvents in production, which not only ensures the safety of drug production, reduces the physical harm to production workers, but also does not cause environmental pollution.
(8)本发明使用高分子凝胶为药物载体,无纺布为凝胶药物的支持体的外用贴剂,通过溶剂进行扩散到患者的皮肤,进入真皮和皮下组织,通过毛细血管和淋巴管将药物送到治疗部位去,达到治疗的目的。通过给药面积的调整控制给药剂量,持续稳定释放药物。避免了药物对肝脏、胃肠道的过敏反应,减少了药物引起的个体差异,在使用上更方便安全。与注射剂相比,极大地降低了药物注入人体后所产生的毒副作用。(8) The present invention uses polymer gel as the drug carrier, and the non-woven fabric is the external patch of the support of the gel drug, which diffuses to the patient's skin through the solvent, enters the dermis and subcutaneous tissue, passes through capillaries and lymphatic vessels The medicine is sent to the treatment site to achieve the purpose of treatment. The dosage is controlled by adjusting the administration area, and the drug is released continuously and stably. The allergic reaction of the drug to the liver and the gastrointestinal tract is avoided, the individual differences caused by the drug are reduced, and the use is more convenient and safe. Compared with injections, it greatly reduces the toxic and side effects of drugs injected into the human body.
具体实施方式 Detailed ways
实施例1:本发明的布拉他辛抗肿瘤的外用贴剂,它包括背衬层、药物储库和防粘层,选用透气良好的棉质医用无纺布为背衬层,药物储库以高分子凝胶-丙烯酸酯压敏胶作为粘胶剂,含调配好的布拉他辛药液,以经硅油防粘处理的聚酯膜为防粘层。Embodiment 1: the antitumor external patch of blatasine of the present invention, it comprises backing layer, drug storage and anti-adhesive layer, selects the good cotton medical non-woven fabric of ventilation to be backing layer, and drug storage The polymer gel-acrylic pressure-sensitive adhesive is used as the adhesive agent, the prepared pratasine drug solution is contained, and the polyester film treated with silicone oil is used as the anti-adhesive layer.
布拉他辛药液是将198克布拉他辛部位药精品溶解在体积比为1∶1的无水乙醇和丙二醇的1100ml混合液中,充分搅拌,混合均匀,制成外用贴剂20400贴(尺寸大小:7×10cm)。Bratasine medicinal solution is to dissolve 198 grams of Bratasine partial drug essence in 1100ml mixture of absolute ethanol and propylene glycol with a volume ratio of 1:1, fully stir, mix evenly, and make an external patch 20400 patches (Size: 7×10cm).
实施例2:布拉他辛抗肿瘤的外用贴剂的制备方法,它包括如下步骤:(1)配料:将198克布拉他辛部位药精品溶解在体积比为1∶1的无水乙醇和丙二醇的1100ml混合液中,充分搅拌,使其混合均匀;(2)制胶:采用丙烯酸酯压敏胶的生产工艺制得压敏胶;(3)涂布:将布拉他辛部位药精品、无水乙醇和丙二醇的混合液与加热熔融后的压敏胶混匀,涂布于防粘层上,再覆盖上背衬层;(4)切片:切成合适的尺寸(5×7cm、7×10cm、9×12cm等规格);干燥冷却、采用铝塑复合膜密封包装。Embodiment 2: the preparation method of the external-use patch of bratasine antitumor, it comprises the following steps: (1) batching: 198 grams of bratasine local medicinal essence are dissolved in the dehydrated alcohol that volume ratio is 1: 1 In the 1100ml mixed solution of propylene glycol, fully stir, make it mix evenly; (2) glue-making: adopt the production technology of acrylate pressure-sensitive adhesive to make pressure-sensitive adhesive; The mixture of high-quality goods, absolute ethanol and propylene glycol is mixed with the heated and melted pressure-sensitive adhesive, coated on the anti-adhesive layer, and then covered with the backing layer; (4) Slicing: cut into a suitable size (5×7cm , 7×10cm, 9×12cm and other specifications); dry and cool, sealed with aluminum-plastic composite film.
实施例3:以下通过药物临床试验来进一步阐述本发明所述药物的有益效果:Embodiment 3: The beneficial effect of medicine described in the present invention is further set forth below by drug clinical trial:
治疗肿瘤的观察试验:Observational trials in the treatment of tumors:
通过国内外医学界人士研究发现,布拉他辛不但具有较强的抗肿瘤作用,还具有可逆转肿瘤细胞的多药耐药作用。利用布拉他辛这一特性,我们用从番荔枝种子中提取出来的含布拉他辛部位药精品制成外用贴剂对肿瘤患者进行临床观察试验。通过近两个月时间对10例患有不同癌症患者的观察治疗发现,该贴剂对患者疼痛感有较大改善,部分患者血液中肿瘤细胞浓度已经下降,呼吸及精神症状明显好转。临床证明该贴剂在临床治疗肿瘤上具有明显的疗效和极大的应用价值。According to research by domestic and foreign medical professionals, Bratasine not only has a strong anti-tumor effect, but also has the ability to reverse the multi-drug resistance of tumor cells. Utilizing the characteristic of blatasine, we used the extract of blatasine-containing medicine extracted from the seeds of custard apple to make an external patch to conduct a clinical observation test on tumor patients. Through the observation and treatment of 10 patients with different cancers in the past two months, it was found that the patch has greatly improved the pain of the patients, the concentration of tumor cells in the blood of some patients has decreased, and the respiratory and mental symptoms have improved significantly. It has been clinically proven that the patch has obvious curative effect and great application value in clinical treatment of tumors.
1、受试者的选择1. Selection of subjects
(1)根据本次实验的方案,优先选择原发性肺癌患者,接受放化疗后2个月以上,无严重的并发症。本次试验的入选人群中的7人属于接受过放化疗2个月以上者,另外3人近期未接受过放化疗,10人均无特别严重的并发症。(1) According to the protocol of this experiment, priority is given to patients with primary lung cancer who have received radiotherapy and chemotherapy for more than 2 months and have no serious complications. Seven of the selected people in this trial had received radiotherapy and chemotherapy for more than 2 months, and the other 3 had not received radiotherapy and chemotherapy recently, and none of the 10 had particularly serious complications.
(2)受试者共10人,男性8人,女性2人,年龄从39岁-79岁,平均年龄为62.8岁,该10人的诊断,均通过CT片、病理或血液检测确诊。(2) There were 10 subjects in total, 8 males and 2 females, aged from 39 to 79 years old, with an average age of 62.8 years. The diagnoses of these 10 people were all confirmed by CT film, pathology or blood test.
2、治疗方案2. Treatment plan
用法用量:外用,颈部以下皮肤及四肢给药或遵医嘱,8贴/次,1次/日,观察期不少于48天。Usage and dosage: for external use, administer to the skin below the neck and extremities or follow the doctor's advice, 8 patches/time, 1 time/day, and the observation period is not less than 48 days.
3、试验结果3. Test results
治疗前后临床症状变化情况Changes of clinical symptoms before and after treatment
4、结论4 Conclusion
1、在观察的10例病人中,有2例刚开始用药部位出现皮肤轻度搔痒,1例经过抗过敏治疗后能够继续用药,另1例未做处理自行缓解,其余未见异常。目前尚未发现与本药物有关的急慢性毒副作用,因此本药贴的安全性是肯定的。1. Among the 10 patients observed, 2 had mild skin itching at the site of medication at the beginning, 1 could continue to use the drug after anti-allergic treatment, and the other 1 patient was relieved without treatment, and the rest showed no abnormalities. At present, no acute and chronic toxic and side effects related to this medicine have been found, so the safety of this medicine patch is certain.
2、通过小样本对照,运用该药后,患者主观症状及客观指标均有不同程度的改善。因此,通过初步的临床运用,该药贴剂治疗肿瘤的作用是肯定的。2. Through small sample control, after using the drug, the patient's subjective symptoms and objective indicators have been improved to varying degrees. Therefore, through preliminary clinical application, the effect of the drug patch in treating tumors is affirmative.
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