CN102580056B - Controlled-release injection containing antidiuresis components and preparation method thereof - Google Patents
Controlled-release injection containing antidiuresis components and preparation method thereof Download PDFInfo
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Abstract
Description
技术领域: Technical field:
本发明涉及制剂领域,具体是一种含抗利尿成分的缓释注射剂及其制备方法。The invention relates to the field of preparations, in particular to a slow-release injection containing antidiuretic components and a preparation method thereof.
背景技术: Background technique:
去氨加压素(Desmopressin)是天然激素精氨酸加压素的一种合成类似物,具有高度的抑制排尿活性,用于治疗泌尿系统疾病。天然人精氨酸加压素为9肽,1位和6位半胱氨酸以双硫键相连而形成环形结构,1位和9位有一个氨基,8位为L-精氨酸。去氨加压素对天然分子的结构有两处改造,一是去掉1位的氨基,二是以D-精氨酸取代8位的L-精氨酸,即1-去氨基-8-D-精氨酸加压素(1-deamino-8-D-arginine vasoprssin,DDAVP)。这种结构改造大大增强了分子对抗酶降解的能力,抗利尿作用增强,作用时间延长,血管加压作用显著降低。去氨加压素的抗利尿/加压活性比值比母体分子大2000-3000倍,药效可维持10-12小时,而母体分子只有2-3小时。此外,较大剂量的加压素还能提高凝血因子VIII的水平,有止血作用。Desmopressin (Desmopressin) is a synthetic analogue of the natural hormone arginine vasopressin, which has a high degree of anti-urination activity and is used for the treatment of urinary system diseases. Natural human arginine vasopressin is a 9-peptide, the 1st and 6th cysteines are connected by a disulfide bond to form a ring structure, the 1st and 9th positions have an amino group, and the 8th position is L-arginine. Desmopressin has two modifications to the structure of natural molecules, one is to remove the amino group at position 1, and the other is to replace L-arginine at
20多年的临床应用证明,无论是其鼻腔滴剂、喷雾剂或口服片剂均取得了良好的疗效,极少发生副作用,一致公认去氨加压素是治疗中枢性尿崩症的首选药物。现有的去氨加压素制剂虽已可达到患者的需求,但仍需要改善。片剂通常需要以水送服,而去氨加压素的治疗必须限制流体摄取,且当以片剂形式摄取时,去氨加压素的生物利用度约相当于静脉注射的0.1%。鼻内给药可获得较高的生物利用度,但患者的接受度较低。而且,鼻内给药可能会对纤毛有不良影响,致使病毒与细菌较易进入黏膜。注射剂给药次数频繁,不方便临床使用和患者用药。More than 20 years of clinical application have proved that no matter its nasal drops, sprays or oral tablets have achieved good curative effect, with few side effects, it is unanimously recognized that desmopressin is the drug of choice for the treatment of central diabetes insipidus. Although the existing desmopressin preparations can meet the needs of patients, they still need to be improved. Tablets usually need to be taken with water, whereas treatment with desmopressin must limit fluid intake, and when ingested in tablet form, the bioavailability of desmopressin is approximately equivalent to 0.1% of intravenous injection. Intranasal administration resulted in higher bioavailability but lower patient acceptance. Moreover, intranasal administration may have adverse effects on cilia, making it easier for viruses and bacteria to enter the mucosa. Frequent administration of injections is inconvenient for clinical use and medication for patients.
本发明针对现有制剂的不足,提供一种以醋酸去氨加压素为活性成分的缓释注射剂。该缓释注射剂能够延长药物作用时间、减少用药次数和药物耐受性、维持较平稳的体内血药浓度、降低药物毒副作用、提高病人的顺应性。The invention aims at the shortcomings of the existing preparations, and provides a sustained-release injection with desmopressin acetate as an active ingredient. The slow-release injection can prolong the action time of the drug, reduce the frequency of medication and drug tolerance, maintain a relatively stable blood drug concentration in the body, reduce the toxic and side effects of the drug, and improve the patient's compliance.
发明内容: Invention content:
本发明的目的是制备一种以醋酸去氨加压素为活性成分的缓释注射剂,具有能够延长药物作用时间、减少用药次数和药物耐受性、维持较平稳的体内血药浓度、降低药物毒副作用、提高病人的顺应性等优势。The purpose of the present invention is to prepare a sustained-release injection with desmopressin acetate as an active ingredient, which has the advantages of prolonging the drug action time, reducing the number of medications and drug tolerance, maintaining a relatively stable blood drug concentration in the body, and reducing drug toxicity. Toxic and side effects, improve patient compliance and other advantages.
本发明制备了一种含醋酸去氨加压素药物的缓释注射剂,其包含主药醋酸去氨加压素、缓释辅料、助悬剂和溶媒;该缓释注射剂包括如下组分:The present invention has prepared a sustained-release injection containing desmopressin acetate medicine, which comprises the main drug desmopressin acetate, sustained-release auxiliary materials, suspending agents and solvents; the sustained-release injection includes the following components:
(A)缓释微粒,由以下成分组成,均为重量百分比:主药醋酸去氨加压素0.5-60%,缓释辅料40-99.5%,助悬剂0.0-30%;(A) The sustained-release microparticles are composed of the following components, all in weight percentage: 0.5-60% of the main drug desmopressin acetate, 40-99.5% of the sustained-release auxiliary material, and 0.0-30% of the suspending agent;
(B)溶媒,分为普通溶媒或特殊溶媒。(B) Solvents are divided into ordinary solvents or special solvents.
本发明制备了一种含醋酸去氨加压素药物的缓释注射剂,其缓释辅料选自聚乳酸(PLA)、聚乳酸-羟基乙酸共聚物(PLGA)、乙烯乙酸乙烯酯共聚物、聚苯丙生、外消旋聚乳酸、外消旋聚乳酸/乙醇酸共聚物、单甲基聚乙二醇/聚乳酸、单甲基聚乙二醇/聚乳酸共聚物、聚乙二醇/聚乳酸、聚乙二醇/聚乳酸共聚物、端羧基聚乳酸、聚对二氧环己酮、聚三亚甲基碳酸酯、木糖醇、低聚糖、软骨素、甲壳素、透明质酸、胶原蛋白、明胶、蛋白胶之一或其组合;其助悬剂选自羧甲基纤维素钠、(碘)甘油、二甲硅油、丙二醇、卡波姆、甘露醇、山梨醇、表面活性物质、吐温20、吐温40和吐温80之一或其组合;其溶媒分为普通溶媒或特殊溶媒,普通溶媒选自蒸馏水、注射用水、生理冲液、无水乙醇或各种盐配制的缓冲液;当缓释微粒中的助悬剂为“0”时,溶媒为特殊溶媒,特殊溶媒为含助悬剂的普通溶媒,助悬剂选自羧甲基纤维素钠、(碘)甘油、二甲硅油、丙二醇、卡波姆、甘露醇、山梨醇、表面活性物质、吐温20、吐温40和吐温80之一或其组合。The present invention prepares a slow-release injection containing desmopressin acetate medicine, and its slow-release auxiliary materials are selected from polylactic acid (PLA), polylactic acid-glycolic acid copolymer (PLGA), ethylene vinyl acetate copolymer, poly Propylene Glycol, Racemic Polylactic Acid, Racemic Polylactic Acid/Glycolic Acid Copolymer, Monomethyl Polyethylene Glycol/Polylactic Acid, Monomethyl Polyethylene Glycol/Polylactic Acid Copolymer, Polyethylene Glycol/ Polylactic acid, polyethylene glycol/polylactic acid copolymer, carboxy-terminated polylactic acid, polydioxanone, polytrimethylene carbonate, xylitol, oligosaccharides, chondroitin, chitin, hyaluronic acid , collagen, gelatin, protein glue or a combination thereof; its suspending agent is selected from sodium carboxymethylcellulose, (iodo)glycerin, simethicone, propylene glycol, carbomer, mannitol, sorbitol, surfactant Substance, one of Tween 20, Tween 40 and Tween 80 or a combination thereof; the solvent is divided into common solvent or special solvent, common solvent is selected from distilled water, water for injection, physiological flushing solution, absolute ethanol or various salt preparations buffer solution; when the suspending agent in the slow-release microparticles is "0", the solvent is a special solvent, and the special solvent is a common solvent containing a suspending agent, and the suspending agent is selected from sodium carboxymethylcellulose, (iodine) Glycerin, simethicone, propylene glycol, carbomer, mannitol, sorbitol, surfactant, one of Tween 20, Tween 40 and Tween 80 or a combination thereof.
经过大量优化实验,本发明发现了最优选配方组成。其中,其主药醋酸去氨加压素的重量百分比优选10%-50%;其缓释辅料优选50%-90%PLA、50%-90%PLGA(3∶1);其助悬剂优选1.5%羧甲基纤维素钠、1.5%羧甲基纤维素钠和0.1%吐温80、1.5%羧甲基纤维素钠和15%山梨醇和0.1%吐温80。Through a large number of optimization experiments, the present invention has found the most optimal formula composition. Among them, the weight percentage of its main drug desmopressin acetate is preferably 10%-50%; its sustained-release auxiliary materials are preferably 50%-90% PLA, 50%-90% PLGA (3:1); its suspending agent is preferably 1.5% sodium carboxymethylcellulose, 1.5% sodium carboxymethylcellulose and 0.1% Tween 80, 1.5% sodium carboxymethylcellulose and 15% sorbitol and 0.1% Tween 80.
另外,本发明还提供了制备含醋酸去氨加压素缓释注射剂的方法,其步骤如下:In addition, the present invention also provides a method for preparing desmopressin acetate sustained-release injection, the steps of which are as follows:
(A)将助悬剂为“0”的缓释微粒直接混于特殊溶媒中,得到相应的缓释微粒注射剂;或or
(B)将助悬剂不为“0”的缓释微粒混于特殊溶媒或普通溶媒中,得到相应的缓释微粒注射剂;或or
(C)将缓释微粒混于普通溶媒中,然后加入助悬剂混匀,得到相应的缓释微粒注射剂;或or
(D)先将缓释微粒混于特殊溶媒中制得相应的混悬液,然后用真空干燥等办法去除混悬液中的水分,之后再用特殊溶媒或普通溶媒混悬,得到相应的缓释微粒注射剂。(D) First mix the sustained-release microparticles with a special solvent to prepare a corresponding suspension, then use vacuum drying to remove the water in the suspension, and then suspend with a special or common solvent to obtain the corresponding slow-release microparticles. released microparticle injections.
附图说明: Description of drawings:
附图1,附图2,附图3,附图4分别为各个实施例的缓释注射剂中醋酸去氨加压素的释药度-释药时间曲线图。Accompanying drawing 1, accompanying drawing 2, accompanying drawing 3, accompanying drawing 4 are the drug release degree-release time graphs of desmopressin acetate in the sustained-release injection of each embodiment respectively.
具体实施方式:Detailed ways:
本发明包含但不局限于以下实施例。The present invention includes but is not limited to the following examples.
实施例1:Example 1:
20mg主药醋酸去氨加压素,80mg PLA,特殊溶媒为1.5%羧甲基纤维素钠的生理盐水。The main drug desmopressin acetate is 20mg, PLA is 80mg, and the special solvent is 1.5% sodium carboxymethylcellulose in normal saline.
其制备工艺如下:Its preparation process is as follows:
将80mg聚乳酸(PLA)放入容器中,加100ml二氯甲烷,溶解混匀后,加入20mg醋酸去氨加压素,重新摇匀后真空干燥去除有机溶剂。将干燥后的含药固体组合物冷冻粉碎制成含20%醋酸去氨加压素的缓释微粒,然后悬浮于5000ml含1.5%(重量百分比)羧甲基纤维素钠的生理盐水中,制得相应的混悬型缓释注射剂。Put 80mg of polylactic acid (PLA) into a container, add 100ml of dichloromethane, dissolve and mix well, add 20mg of desmopressin acetate, reshake well, and then vacuum dry to remove the organic solvent. The dried drug-containing solid composition is frozen and pulverized to make sustained-release microparticles containing 20% desmopressin acetate, and then suspended in 5000ml of physiological saline containing 1.5% (percentage by weight) sodium carboxymethylcellulose to prepare Get the corresponding suspension type sustained-release injection.
由本实施例制得醋酸去氨加压素缓释注射剂5000瓶,每瓶含主药4μg(1ml/瓶)。通过释放度的测定,对其缓释效果及临床用药安全性进行了考察。5000 bottles of desmopressin acetate sustained-release injections were prepared in this example, and each bottle contained 4 μg of the main drug (1 ml/bottle). Through the determination of the release degree, the sustained-release effect and clinical drug safety were investigated.
精密称取若干份实施例1制备的醋酸去氨加压素缓释微粒,每份5mg,置于35个10mL的西林瓶中,每份加入含有0.1M 的Na2HPO4和0.1M的NaH2PO4的pH7.4的磷酸缓冲溶液,置于37℃恒温水浴中,分别在第0、4、8、12、16、20、24、28、32天取出,离心,重新分散在二氯甲烷醋酸缓冲液(1∶1v/v),色谱柱为C1850×2mm,流动相为1∶1的含有0.1%三氟醋酸和含有1%三氟醋酸的50%乙腈混合溶液,流速1.0ml/min,在240nm处检测,测定微粒内残余药量,按照外标法计算累计释放度,实施例1制备的醋酸去氨加压素缓释微粒制剂的体外释药测定结果如表1所示:Accurately weigh several portions of the desmopressin acetate sustained-release microparticles prepared in Example 1, 5 mg in each portion, and place in 35 10 mL vials, and add NaHPO 4 and 0.1M NaH to each portion. 2 PO4 pH7.4 phosphate buffer solution, placed in a constant temperature water bath at 37°C, taken out on
表1实施例1制备的醋酸去氨加压素缓释微球制剂的体外释药实验结果The in vitro drug release test results of the desmopressin acetate sustained-release microsphere preparation prepared in Table 1 Example 1
以释药时间为横坐标,累计释放度为纵坐标,绘制实施例1制备的醋酸去氨加压素缓释微粒制剂体外释药曲线,结果见说明书附图1。Taking the release time as the abscissa and the cumulative release as the ordinate, the in vitro drug release curve of the desmopressin acetate sustained-release microparticle preparation prepared in Example 1 was drawn, and the results are shown in Figure 1 of the specification.
实施例2:Example 2:
20mg主药醋酸去氨加压素,80mg PLA,特殊溶媒为1.5%羧甲基纤维素钠和0.1%吐温80的生理盐水。其制备工艺如下:20mg main drug desmopressin acetate, 80mg PLA, special solvent is 1.5% sodium carboxymethylcellulose and 0.1% Tween 80 normal saline. Its preparation process is as follows:
将80mg聚乳酸(PLA)放入容器中,加100ml二氯甲烷,溶解混匀后,加入20mg醋酸去氨加压素,重新摇匀后真空干燥去除有机溶剂。将干燥后的含药固体组合物冷冻粉碎制成含20%醋酸去氨加压素的缓释微粒,然后悬浮于5000ml含1.5%(重量百分比)羧甲基纤维素钠和0.1%吐温80的生理盐水中,制得相应的混悬型缓释注射剂。Put 80mg of polylactic acid (PLA) into a container, add 100ml of dichloromethane, dissolve and mix well, add 20mg of desmopressin acetate, reshake well, and then vacuum dry to remove the organic solvent. The dried drug-containing solid composition is frozen and pulverized to make slow-release microparticles containing 20% desmopressin acetate, and then suspended in 5000ml containing 1.5% (weight percent) sodium carboxymethylcellulose and 0.1% Tween 80 The corresponding suspension-type sustained-release injection was prepared in normal saline.
由本实施例制得醋酸去氨加压素缓释注射剂5000瓶,每瓶含主药4μg(1ml/瓶)。通过释放度的测定,对其缓释效果及临床用药安全性进行了考察。5000 bottles of desmopressin acetate sustained-release injections were prepared in this example, and each bottle contained 4 μg of the main drug (1 ml/bottle). Through the determination of the release degree, the sustained-release effect and clinical drug safety were investigated.
精密称取若干份实施例2制备的醋酸去氨加压素缓释微粒,每份5mg,置于35个10mL的西林瓶中,每份加入含有0.1M的Na2HPO4和0.1M的NaH2PO4的pH7.4的磷酸缓冲溶液,置于37℃恒温水浴中,分别在第0、4、8、12、16、20、24、28、32天取出,离心,重新分散在二氯甲烷醋酸缓冲液(1∶1v/v),色谱柱为C1850×2mm,流动相为1∶1的含有0.1%三氟醋酸和含有1%三氟醋酸的50%乙腈混合溶液,流速1.0ml/min,在240nm处检测,测定微粒内残余药量,按照外标法计算累计释放度,实施例2制备的醋酸去氨加压素缓释微粒制剂的体外释药测定结果如表2所示:Accurately weigh several portions of the desmopressin acetate sustained-release microparticles prepared in Example 2, 5 mg in each portion, and place in 35 10 mL vials, and add NaHPO 4 and 0.1M NaH to each portion. 2 PO4 pH7.4 phosphate buffer solution, placed in a constant temperature water bath at 37°C, taken out on
表2实施例2制备的醋酸去氨加压素缓释微球制剂的体外释药实验结果The in vitro drug release test results of the desmopressin acetate sustained-release microsphere preparation prepared by the embodiment 2 of table 2
以释药时间为横坐标,累计释放度为纵坐标,绘制实施例2制备的醋酸去氨加压素缓释微粒制剂体外释药曲线,结果见说明书附图2。Taking the release time as the abscissa and the cumulative release as the ordinate, the in vitro drug release curve of the desmopressin acetate sustained-release microparticle preparation prepared in Example 2 was drawn, and the results are shown in Figure 2 of the specification.
实施例3:Example 3:
20mg主药醋酸去氨加压素,80mg PLA,特殊溶媒为1.5%羧甲基纤维素钠和15%山梨醇和0.1%吐温80的生理盐水。其制备工艺如下:20mg main drug desmopressin acetate, 80mg PLA, special solvent is 1.5% sodium carboxymethylcellulose, 15% sorbitol and 0.1% Tween 80 normal saline. Its preparation process is as follows:
将80mg聚乳酸(PLA)放入容器中,加100ml二氯甲烷,溶解混匀后,加入20mg醋酸去氨加压素,重新摇匀后真空干燥去除有机溶剂。将干燥后的含药固体组合物冷冻粉碎制成含20%醋酸去氨加压素的缓释微粒,然后悬浮于5000ml含1.5%(重量百分比)羧甲基纤维素钠和15%山梨醇和0.1%吐温80的生理盐水中,制得相应的混悬型缓释注射剂。Put 80mg of polylactic acid (PLA) into a container, add 100ml of dichloromethane, dissolve and mix well, add 20mg of desmopressin acetate, reshake well, and then vacuum dry to remove the organic solvent. The dried drug-containing solid composition is frozen and pulverized to make slow-release microparticles containing 20% desmopressin acetate, and then suspended in 5000ml containing 1.5% (percentage by weight) sodium carboxymethylcellulose and 15% sorbitol and 0.1 % Tween 80 in normal saline to prepare the corresponding suspension-type sustained-release injection.
由本实施例制得醋酸去氨加压素缓释注射剂5000瓶,每瓶含主药4μg(1ml/瓶)。通过释放度的测定,对其缓释效果及临床用药安全性进行了考察。5000 bottles of desmopressin acetate sustained-release injections were prepared in this example, and each bottle contained 4 μg of the main drug (1 ml/bottle). Through the determination of the release degree, the sustained-release effect and clinical drug safety were investigated.
精密称取若干份实施例3制备的醋酸去氨加压素缓释微粒,每份5mg,置于35个10mL的西林瓶中,每份加入含有0.1M的Na2HPO4和0.1M的NaH2PO4的pH7.4的磷酸缓冲溶液,置于37℃恒温水浴中,分别在第0、4、8、12、16、20、24、28、32天取出,离心,重新分散在二氯甲烷醋酸缓冲液(1∶1v/v),色谱柱为C1850×2mm,流动相为1∶1的含有0.1%三氟醋酸和含有1%三氟醋酸的50%乙腈混合溶液,流速1.0ml/min,在240nm处检测,测定微粒内残余药量,按照外标法计算累计释放度,实施例3制备的醋酸去氨加压素缓释微粒制剂的体外释药测定结果如表3所示:Accurately weigh several portions of the desmopressin acetate sustained-release microparticles prepared in Example 3, 5 mg in each portion, and place in 35 10 mL vials, and add NaHPO 4 and 0.1M NaH to each portion. 2 PO4 pH7.4 phosphate buffer solution, placed in a constant temperature water bath at 37°C, taken out on
表3实施例3制备的醋酸去氨加压素缓释微球制剂的体外释药实验结果The in vitro drug release test result of the desmopressin acetate sustained-release microsphere preparation prepared by the embodiment 3 of table 3
以释药时间为横坐标,累计释放度为纵坐标,绘制实施例3制备的醋酸去氨加压素缓释微粒制剂体外释药曲线,结果见说明书附图3。Taking the release time as the abscissa and the cumulative release as the ordinate, the in vitro drug release curve of the desmopressin acetate sustained-release microparticle preparation prepared in Example 3 was drawn, and the results are shown in Figure 3 of the specification.
实施例4:Example 4:
20mg主药醋酸去氨加压素,80mg PLGA(3∶1),特殊溶媒为1.5%羧甲基纤维素钠和15%山梨醇和0.1%吐温80的生理盐水。其制备工艺如下:20mg main drug desmopressin acetate, 80mg PLGA (3:1), the special solvent is 1.5% sodium carboxymethylcellulose, 15% sorbitol and 0.1
将80mg聚乳酸-羟基乙酸共聚物(PLGA,3∶1)放入容器中,加100ml二氯甲烷,溶解混匀后,加入20mg醋酸去氨加压素,重新摇匀后真空干燥去除有机溶剂。将干燥后的含药固体组合物冷冻粉碎制成含20%醋酸去氨加压素的缓释微粒,然后悬浮于5000ml含1.5%(重量百分比)羧甲基纤维素钠和15%山梨醇和0.1%吐温80的生理盐水中,制得相应的混悬型缓释注射剂。Put 80mg of polylactic-co-glycolic acid (PLGA, 3:1) into a container, add 100ml of dichloromethane, dissolve and mix well, add 20mg of desmopressin acetate, re-shake, and then vacuum-dry to remove the organic solvent . The dried drug-containing solid composition is frozen and pulverized to make slow-release microparticles containing 20% desmopressin acetate, and then suspended in 5000ml containing 1.5% (percentage by weight) sodium carboxymethylcellulose and 15% sorbitol and 0.1
由本实施例制得醋酸去氨加压素缓释注射剂5000瓶,每瓶含主药4μg(1ml/瓶)。通过释放度的测定,对其缓释效果及临床用药安全性进行了考察。5000 bottles of desmopressin acetate sustained-release injections were prepared in this example, and each bottle contained 4 μg of the main drug (1 ml/bottle). Through the determination of the release degree, the sustained-release effect and clinical drug safety were investigated.
精密称取若干份实施例4制备的醋酸去氨加压素缓释微粒,每份5mg,置于35个10mL的西林瓶中,每份加入含有0.1M的Na2HPO4和0.1M的NaH2PO4的pH7.4的磷酸缓冲溶液,置于37℃恒温水浴中,分别在第0、4、8、12、16、20、24、28、32天取出,离心,重新分散在二氯甲烷醋酸缓冲液(1∶1v/v),色谱柱为C1850×2mm,流动相为1∶1的含有0.1%三氟醋酸和含有1%三氟醋酸的50%乙腈混合溶液,流速1.0ml/min,在240nm处检测,测定微粒内残余药量,按照外标法计算累计释放度,实施例3制备的醋酸去氨加压素缓释微粒制剂的体外释药测定结果如表3所示:Accurately weigh several portions of the desmopressin acetate sustained-release microparticles prepared in Example 4, 5 mg in each portion, and place in 35 10 mL vials, and add NaHPO 4 and 0.1M NaH to each portion. 2 PO4 pH7.4 phosphate buffer solution, placed in a constant temperature water bath at 37°C, taken out on
表4实施例4制备的醋酸去氨加压素缓释微球制剂的体外释药实验结果The in vitro drug release test result of the desmopressin acetate sustained-release microsphere preparation prepared by the embodiment 4 of table 4
以释药时间为横坐标,累计释放度为纵坐标,绘制实施例4制备的醋酸去氨加压素缓释微粒制剂体外释药曲线,结果见说明书附图4。Taking the release time as the abscissa and the cumulative release as the ordinate, the in vitro drug release curve of the desmopressin acetate sustained-release microparticle preparation prepared in Example 4 was drawn, and the results are shown in Figure 4 of the specification.
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