CN108014120A - A kind of drug release rate controllable azithromycin resin compound and its taste masking dry suspensoid agent - Google Patents
A kind of drug release rate controllable azithromycin resin compound and its taste masking dry suspensoid agent Download PDFInfo
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Abstract
Description
技术领域technical field
本发明属于医药技术领域,涉及一种释药速度可控的阿奇霉素树脂复合物及其掩味干混悬剂。The invention belongs to the technical field of medicine, and relates to an azithromycin resin complex with controllable drug release rate and a taste-masking dry suspension.
背景技术Background technique
离子交换树脂是一种不溶于水的大分子聚合物,结构中含有酸性或碱性基团可以与药物进行离子交换,阻断药物分子与苦味受体的接触进而掩盖苦味。离子交换树脂结构中的可交换离子与同种电子荷的药物离子发生离子交换反应,结合生成药物树脂。在口腔中离子很少,药物不会被置换下来,几乎不会产生苦味,而进入人体后,依靠胃肠道中的离子将药物交换下来,发挥疗效,供口服或其他非注射途径给药,达到掩味的目的。与其他调控药物释放的物质相比,离子交换树脂具有以下特点:药物的释放不受肠道pH值、酶活性及胃肠液体积的影响,由于在胃肠道中的离子浓度相对恒定,所以药物在体内可以以一定的速度释放。Ion exchange resin is a water-insoluble macromolecular polymer, which contains acidic or basic groups in the structure that can exchange ions with drugs, block the contact between drug molecules and bitter taste receptors, and mask the bitter taste. The exchangeable ions in the ion exchange resin structure undergo an ion exchange reaction with drug ions of the same electronic charge, and combine to form a drug resin. There are very few ions in the oral cavity, the drug will not be replaced, and almost no bitter taste will be produced. After entering the human body, the drug will be exchanged by the ions in the gastrointestinal tract to exert its curative effect. It can be administered orally or by other non-injection routes to achieve For taste masking purposes. Compared with other substances that regulate drug release, ion exchange resins have the following characteristics: drug release is not affected by intestinal pH, enzyme activity, and gastrointestinal fluid volume. Since the ion concentration in the gastrointestinal tract is relatively constant, the drug It can be released at a certain speed in the body.
阿奇霉素是一种由红霉素A衍生的二代大环内酯类广谱抗生素,与红霉素相比,阿奇霉素对酸的稳定性强于红霉素,且抗菌谱更广。阿奇霉素是浓度依赖型抗生素,药物峰值浓度越高,对致病菌的杀伤力越强,杀伤速度越快,它有以下几个特点:(1)抗菌活性随抗菌药物的浓度升高而增强,当血药浓度超过致病菌最低抑菌浓度(MIC)的8~10倍时,抑菌活性强;(2)有较显著的抗生素后效应(PAE);(3)血药浓度低于MIC时,对致病菌仍有一定的抑菌作用。而阿奇霉素味极苦,尤其对儿科患者的耐受性极差,同时,传统的包衣片、胶囊不适合儿童,用适当的掩味技术掩盖其苦味对儿童给药有重大意义。口服阿奇霉素最常见的副作用是胃肠道反应,如痉挛、恶心、腹泻和呕吐。吴荣初等对中山市5大医院的16岁以下的患者调查发现,阿奇霉素引起的胃肠道不良反应发生率为9.2%。阿奇霉素的胃肠道反应是由于其苦味和对上消化道(胃和十二指肠)的刺激,所以掩盖苦味和减少阿奇霉素在上消化道的释放对减少副作用和提高患者顺应性至关重要。Azithromycin is a second-generation macrolide broad-spectrum antibiotic derived from erythromycin A. Compared with erythromycin, azithromycin is more stable to acid than erythromycin and has a wider antibacterial spectrum. Azithromycin is a concentration-dependent antibiotic. The higher the peak concentration of the drug, the stronger the killing effect on pathogenic bacteria and the faster the killing speed. It has the following characteristics: (1) The antibacterial activity increases with the increase of the concentration of the antibacterial drug. When the blood drug concentration exceeds the minimum inhibitory concentration (MIC) of pathogenic bacteria by 8 to 10 times, the antibacterial activity is strong; (2) there is a significant post-antibiotic effect (PAE); (3) the blood drug concentration is lower than the MIC It still has a certain antibacterial effect on pathogenic bacteria. However, azithromycin has a very bitter taste, especially poor tolerance to pediatric patients. At the same time, traditional coated tablets and capsules are not suitable for children. It is of great significance to mask its bitter taste with appropriate taste-masking technology for children. The most common side effects of oral azithromycin are gastrointestinal reactions such as cramps, nausea, diarrhea, and vomiting. Wu Rongchu et al. investigated patients under the age of 16 in five major hospitals in Zhongshan City and found that the incidence of gastrointestinal adverse reactions caused by azithromycin was 9.2%. The gastrointestinal reactions of azithromycin are due to its bitter taste and irritation to the upper gastrointestinal tract (stomach and duodenum), so masking the bitter taste and reducing the release of azithromycin in the upper gastrointestinal tract are essential to reduce side effects and improve patient compliance.
本发明不仅可以有效的掩盖阿奇霉素的苦味,相较于国内市售干混悬剂(100mg/袋)还提供了一种高剂量阿奇霉素缓释制剂(例如2g)。美国上市药品阿奇霉素缓释微球干混悬剂的临床实验表明,相较于服用阿奇霉素速释制剂(一天一次,一次500mg,服用三天),服用高剂量阿奇霉素缓释制剂(2g)后,血液中、单核细胞、中性粒细胞中的药物浓度可以在120小时内达到治疗浓度,且缓释制剂的药物浓度波动比连用3天速释制剂后的药物浓度波动小。阿奇霉素缓释制剂可以使患者在一个疗程内只服用一次药物,大大提高了患者的顺应性。本发明提供的阿奇霉素控释制剂,可以在6小时内实现缓慢释放,相较于美国上市药品(阿奇霉素缓释干混悬剂)3小时缓释,释药更缓慢平稳,使大部分的药物在下消化道释放,减少高剂量阿奇霉素对胃和十二指肠的刺激,进而缓解胃肠道反应。The present invention can not only effectively mask the bitter taste of azithromycin, but also provides a high-dose azithromycin slow-release preparation (for example, 2g) compared with domestic commercially available dry suspension (100mg/bag). Azithromycin Sustained-release Microsphere Dry Suspension, a drug listed in the United States Clinical trials have shown that compared with taking azithromycin immediate-release preparations (once a day, 500mg once for three days), after taking high-dose azithromycin sustained-release preparations (2g), the levels of blood, monocytes, and neutrophils The drug concentration can reach the therapeutic concentration within 120 hours, and the fluctuation of the drug concentration of the slow-release preparation is smaller than that of the immediate-release preparation after 3 consecutive days. Azithromycin sustained-release preparations allow patients to take the drug only once in a course of treatment, which greatly improves the patient's compliance. The azithromycin controlled-release preparation provided by the present invention can realize slow release within 6 hours, compared with the drug listed in the United States (Azithromycin Sustained-release Dry Suspension) 3-hour sustained release, the release is more slow and stable, so that most of the drug is released in the lower gastrointestinal tract, reducing the stimulation of high-dose azithromycin on the stomach and duodenum, thereby alleviating gastrointestinal reactions .
中国专利201610642510.8公布了一种阿奇霉素掩味细微丸,载药量可达30%以上由含药细微丸和包衣层组成,先用流化床将含药物溶液包衣至药丸上,再包隔离层和掩味层。虽然掩味效果较好,但是包衣过程复杂,工艺步骤多,对设备要求多,不便于操作。Chinese patent 201610642510.8 discloses a taste-masking fine pellet of azithromycin, with a drug loading capacity of more than 30%. It is composed of a drug-containing fine pellet and a coating layer. First, the drug-containing solution is coated on the pill by a fluidized bed, and then an isolation layer is applied. and taste-masking layers. Although the taste-masking effect is better, the coating process is complex, with many process steps, more equipment requirements, and inconvenient operation.
中国专利200910100956.8公布了一种阿奇霉素肠溶干混悬剂,通过肠溶包衣工艺可使药物在肠道内溶解、释放、吸收,而不对胃部造成刺激,减少副反应。该制剂相对于肠溶胶囊解决了药物与胶囊壳交联的问题,且适合儿童用药,但是隔离包衣和肠溶包衣会对药物的溶出产生一定影响,进而影响体内生物利用度和药效。本发明基于不同树脂复合物及其组合物的组合设计,可以达到10分钟内释放80%以上药物的效果,相较于胃溶包衣和肠溶包衣,释放速度快,不会降低药物的生物利用度。Chinese patent 200910100956.8 discloses an enteric-coated dry suspension of azithromycin, which can dissolve, release, and absorb the drug in the intestinal tract through an enteric coating process without causing irritation to the stomach and reducing side effects. Compared with enteric-coated capsules, this preparation solves the problem of drug-capsule cross-linking, and is suitable for children. However, the isolation coating and enteric coating will have a certain impact on the dissolution of the drug, thereby affecting the bioavailability and efficacy in vivo. . Based on the combined design of different resin complexes and their compositions, the present invention can achieve the effect of releasing more than 80% of the drug within 10 minutes. Compared with gastric coating and enteric coating, the release speed is fast and will not reduce the drug bioavailability.
中国专利200610157604.2公布了阿奇霉素树脂口服混悬液及其制备方法,利用离子交换树脂和矫味剂取得较好的掩味效果,但是混悬液不利于运输和保存,且阿奇霉素有吸湿性,若混悬液中含有部分游离阿奇霉素或在保存期间有阿奇霉素从树脂上解离下来,则该制剂的稳定性会出现问题。此外,相较于该专利,本发明提供的阿奇霉素释药速度可控的制剂不仅能够有效掩盖药物的苦味,还可以根据不同治疗需要,选择不同释药行为的药物树脂复合物或其组合。Chinese patent 200610157604.2 discloses azithromycin resin oral suspension and its preparation method. The ion exchange resin and flavoring agent are used to achieve better taste-masking effect, but the suspension is not conducive to transportation and storage, and azithromycin is hygroscopic. If the suspension contains part of free azithromycin or the azithromycin dissociates from the resin during storage, the stability of the preparation will be problematic. In addition, compared with this patent, the azithromycin drug release rate-controllable preparation provided by the present invention can not only effectively mask the bitter taste of the drug, but also can select drug resin complexes with different drug release behaviors or combinations thereof according to different treatment needs.
目前上市的树脂复合物产品中,所包载药物分子都较小,空间位阻较小,而阿奇霉素作为大环内酯类抗生素,其分子结构位阻较大,且阿奇霉素为水难溶药物,离子交换树脂载药难度远大于小分子药物。本发明基于阿奇霉素理化特征,通过处方与工艺设计与控制(如树脂种类、调整酸用量、控制氢离子浓度和药物浓度等),阿奇霉素的载药量最高可达20%-25%,极大满足了产品开发的需要,提高其临床应用潜力。同时,本发明在制备阿奇霉素药物树脂复合物及药物树脂复合物表面修饰过程中没有用有机溶剂,生产过程安全、环保。本发明所用的离子交换树脂是粉末性离子交换树脂,其粒度小于0.075mm,制备成的产品粒度小,在口中无沙砾感,口感相较于中国专利201510044338.1公开的阿奇霉素包衣微丸(60目)、中国专利201610305581.9公开的阿奇霉素颗粒剂(60-100目)更好,适口性更好。本发明提供的阿奇霉素口服掩味干混悬剂中不同类型树脂可获得不同释放特性,结合不同种类的树脂、药物树脂复合物表面修饰可以达到特定的速释或缓释等速度控制特性。Among the resin complex products currently on the market, the drug molecules contained in them are small and the steric hindrance is small. As a macrolide antibiotic, azithromycin has a relatively large steric hindrance in its molecular structure, and azithromycin is a water-insoluble drug. Ion exchange resin drug loading is much more difficult than small molecule drugs. The present invention is based on the physical and chemical characteristics of azithromycin, and through prescription and process design and control (such as resin type, adjustment of acid dosage, control of hydrogen ion concentration and drug concentration, etc.), the maximum drug loading of azithromycin can reach 20%-25%, which greatly satisfies the Meet the needs of product development and improve its clinical application potential. At the same time, the present invention does not use organic solvents in the process of preparing the azithromycin drug resin compound and the surface modification process of the drug resin compound, and the production process is safe and environment-friendly. The ion exchange resin used in the present invention is powdery ion exchange resin, and its particle size is less than 0.075mm, and the product particle size of preparation is little, does not have gritty feeling in the mouth, and mouthfeel is compared with the azithromycin coated pellet (60 meshes) disclosed in Chinese patent 201510044338.1 ), the azithromycin granules (60-100 mesh) disclosed in Chinese patent 201610305581.9 are better and have better palatability. Different types of resins in the azithromycin oral taste-masking dry suspension provided by the present invention can obtain different release characteristics, and combined with different types of resins and drug-resin complex surface modification can achieve specific speed control characteristics such as rapid release or sustained release.
本发明提供的药物树脂复合物表面修饰的方法相较于包衣、微囊化工艺简单、耗时短、易于工业化大生产,且能得到掩味效果、释药速度控制效果良好的药物树脂复合物。Compared with the coating and microencapsulation process, the surface modification method of the drug resin compound provided by the present invention is simpler, less time-consuming, easy to industrialized large-scale production, and can obtain a drug resin compound with good taste masking effect and drug release speed control effect. things.
本发明提供一种阿奇霉素树脂复合物及其掩味干混悬剂的制备方法,在解决阿奇霉素的苦味问题的同时,不影响药物的溶出,且颗粒小,在口中无沙砾感,尤其适用于儿童服用;并且以绿色环保的水性体系制备工艺可获得高载药量,通过不同组合设计可灵活调控释药速度,系统地筛选溶出条件更好地模拟释放行为。本发明制作工艺简单、对设备要求较低,干混悬剂利于运输、保存,药物稳定性好。The invention provides a preparation method of azithromycin resin complex and taste-masking dry suspension thereof. While solving the problem of azithromycin's bitter taste, it does not affect the dissolution of the drug, and the particles are small, and there is no gritty feeling in the mouth, and it is especially suitable for children. It can be taken; and high drug loading capacity can be obtained by the green and environmentally friendly water-based system preparation process, the drug release rate can be flexibly adjusted through different combination designs, and the dissolution conditions are systematically screened to better simulate the release behavior. The preparation process of the invention is simple, the requirements for equipment are relatively low, the dry suspension is convenient for transportation and storage, and the drug stability is good.
发明内容Contents of the invention
本发明的目的是提供一种药物树脂表面修饰的方法和提供释药速度可控的阿奇霉素掩味干混悬剂,在改善阿奇霉素的苦味的同时,通过调整阿奇霉素的释放速度减少药物对胃肠道的刺激,提高吞咽困难患者及儿童服药的顺应性。The purpose of the present invention is to provide a method for drug resin surface modification and azithromycin taste-masking dry suspension with controllable drug release rate, while improving the bitter taste of azithromycin, reduce the drug's effect on the gastrointestinal tract by adjusting the release rate of azithromycin. Stimulation to improve the compliance of patients with dysphagia and children taking medicine.
本发明除了利用树脂掩味,还通过电荷作用或物理吸附作用对药物树脂复合物表面进一步修饰,不仅可以增强其掩味效果,还可以调节药物的释放。不同修饰材料对药物树脂复合物的药物释放有不同的效果,本发明选择的修饰材料对速释药物树脂复合物的表面修饰没有影响其释放,而对于缓释药物树脂复合物,本发明提供了另一种修饰材料及比例,可以进一步调节药物的释放。本发明还提供了一种特定释药特征的组合物,该组合物由速释药物树脂复合物和缓释药物树脂复合物组成,可以根据临床药效发挥的需要来设计组合物的比例,既可以在短时间内达到有效剂量,又可以在后期以缓慢的速度释放药物,减少阿奇霉素对胃及十二指肠的刺激,进而减少胃肠道副作用,增强患者的依从性。In addition to using the resin to mask the taste, the present invention further modifies the surface of the drug-resin complex through charge action or physical adsorption, which not only enhances the taste-masking effect, but also regulates the release of the drug. Different modification materials have different effects on the drug release of the drug resin complex, the modified material selected by the present invention does not affect its release to the surface modification of the immediate release drug resin complex, and for the sustained release drug resin complex, the present invention provides Another modification material and ratio can further adjust the drug release. The present invention also provides a composition with specific drug release characteristics, the composition is composed of an immediate-release drug resin complex and a sustained-release drug resin compound, and the ratio of the composition can be designed according to the needs of clinical drug efficacy, both The effective dose can be achieved in a short time, and the drug can be released at a slow rate in the later stage, reducing the stimulation of azithromycin to the stomach and duodenum, thereby reducing gastrointestinal side effects and enhancing patient compliance.
本发明通过对阿奇霉素药物树脂复合物释放的研究,发现阿奇霉素与弱酸性离子交换树脂形成的复合物在10分钟内可以释放75%以上的药物,可作为速释型制剂。而阿奇霉素与强酸性离子交换树脂形成的复合物可以达到3小时的缓释效果,可作为缓释型制剂,进一步表面修饰的缓释型药物树脂复合物则可以达到6小时的缓慢释放。Through research on the release of the azithromycin drug resin complex, the present invention finds that the complex formed by the azithromycin and the weakly acidic ion exchange resin can release more than 75% of the drug within 10 minutes, and can be used as an immediate release preparation. The complex formed by azithromycin and strongly acidic ion exchange resin can achieve a sustained release effect of 3 hours, which can be used as a sustained release preparation, and the sustained release drug resin complex with further surface modification can achieve a slow release of 6 hours.
阿奇霉素的生物半衰期长,具有很强的抗生素后效应,制成缓释制剂后可以达到一个疗程只给药一次,且相较于速释制剂,缓释制剂的胃肠道作用少,患者的顺应性较强。聚苯乙烯磺酸钠是强酸性离子交换树脂,与阿奇霉素组成的复合物可以达到3小时的缓释效果。但该复合物突释情况较严重,所以本发明在药物树脂复合物制备完成后对其进行了进一步的简单修饰,不仅可以增强掩味效果,还可以使药物能更平稳的释放,10分钟内释放大约15%-25%的阿奇霉素;1小时大约释放30%-40%的阿奇霉素;3小时大约释放60%-70%的阿奇霉素;6小时释放不少于85%的阿奇霉素。Azithromycin has a long biological half-life and a strong post-antibiotic effect. After being made into a sustained-release preparation, it can be administered only once in a course of treatment. Compared with the immediate-release preparation, the sustained-release preparation has less gastrointestinal effects and patients’ compliance. strong sex. Sodium polystyrene sulfonate is a strongly acidic ion exchange resin, and the complex composed of azithromycin can achieve a sustained release effect of 3 hours. However, the sudden release of the compound is serious, so the present invention further simply modifies it after the drug resin compound is prepared, which can not only enhance the taste-masking effect, but also enable the drug to be released more stably, within 10 minutes About 15%-25% of azithromycin is released; about 30%-40% of azithromycin is released in 1 hour; about 60%-70% of azithromycin is released in 3 hours; no less than 85% of azithromycin is released in 6 hours.
阿奇霉素在临床上使用时需要首剂量加倍并且不同的疾病用药量均不一样,本发明提供一种具有特定释药特征的组合物,利用速释离子交换树脂和缓释离子交换树脂以特定比例结合,既可以在10分钟内达到有效浓度迅速发挥疗效,又可以在后期达到6小时平稳地释药,可以根据不同的治疗需要调整配比。本发明提供一种阿奇霉素缓释制剂及其新的组合方式。抗生素发挥药效的关键是要迅速达到最小抑菌浓度,所以组合物的设计可以在短时间内迅速达到最小抑菌浓度,而阿奇霉素对胃及十二指肠的刺激大,所以后期的缓慢释放有利于缓解胃肠道副作用。When azithromycin is used clinically, the first dose needs to be doubled and the dosage for different diseases is different. The present invention provides a composition with specific drug release characteristics, which is combined in a specific ratio by using an immediate-release ion exchange resin and a slow-release ion exchange resin. , it can not only reach the effective concentration within 10 minutes to quickly exert the curative effect, but also can release the drug smoothly in the later period of 6 hours, and the ratio can be adjusted according to different treatment needs. The invention provides an azithromycin sustained-release preparation and a new combination thereof. The key to the efficacy of antibiotics is to quickly reach the minimum inhibitory concentration, so the design of the composition can quickly reach the minimum inhibitory concentration in a short time, and azithromycin is very irritating to the stomach and duodenum, so the slow release in the later stage Helps relieve gastrointestinal side effects.
本发明所涉及的释药速度可控的阿奇霉素掩味干混悬剂,结合离子交换树脂掩味技术和药物树脂复合物表面修饰方法,首先采用离子交换原理将药物载于离子交换树脂上,进而阻滞药物直接接触口腔,然后对药物树脂复合物表面进行修饰掩盖可能存在的少量游离药物产生的苦味和达到一些特定要求的释放特性。The azithromycin taste-masking dry suspension with controllable drug release speed involved in the present invention combines the ion-exchange resin taste-masking technology and the surface modification method of drug-resin complexes. Firstly, the drug is loaded on the ion-exchange resin by using the ion-exchange principle, and then Block the drug from directly contacting the oral cavity, and then modify the surface of the drug-resin complex to mask the bitter taste of a small amount of free drug that may exist and achieve some specific required release characteristics.
为实现本发明目的所采取的技术措施:For realizing the technical measure that the object of the present invention takes:
一种阿奇霉素树脂复合物的修饰方法,包含以下步骤:将修饰材料溶于相应溶剂中或在水中溶胀得到修饰材料溶液,将阿奇霉素树脂复合物加入修饰材料溶液中,过滤、洗涤产品、干燥,得修饰后的阿奇霉素树脂复合物,其中修饰材料的浓度为0.1%-10%(g/mL);阿奇霉素树脂复合物与修饰材料溶液的质量体积比(g/mL)为1∶4-1∶60;搅拌温度为5-80℃;搅拌时间为0.1-12小时。A method for modifying an azithromycin resin complex, comprising the following steps: dissolving a modifying material in a corresponding solvent or swelling it in water to obtain a modifying material solution, adding the azithromycin resin complex to the modifying material solution, filtering, washing the product, and drying to obtain The modified azithromycin resin complex, wherein the concentration of the modified material is 0.1%-10% (g/mL); the mass volume ratio (g/mL) of the azithromycin resin complex to the modified material solution is 1:4-1:60 ; The stirring temperature is 5-80°C; the stirring time is 0.1-12 hours.
一种释药速度可控的阿奇霉素掩味干混悬剂,包含以下组份:修饰后的阿奇霉素树脂复合物或其组合物、矫味剂、助悬剂、和药学上其他可接受的辅料,其中修饰后的阿奇霉素树脂复合物选自速释型修饰后的阿奇霉素树脂复合物、缓释型修饰后的阿奇霉素复合物或两者的组合物;修饰后的阿奇霉素树脂复合物的组合物中速释型和缓释型的比例为1∶1-1∶20。A taste-masking dry suspension of azithromycin with controllable drug release rate, comprising the following components: a modified azithromycin resin complex or a composition thereof, a flavoring agent, a suspending agent, and other pharmaceutically acceptable excipients, Wherein the modified azithromycin resin complex is selected from the immediate-release modified azithromycin resin complex, the sustained-release modified azithromycin complex or a combination of the two; the modified azithromycin resin complex is released in the composition The ratio of the type and the slow-release type is 1:1-1:20.
所述的修饰后的阿奇霉素树脂复合物包括修饰材料、阿奇霉素树脂复合物,修饰材料选自丙烯酸酯或甲基丙烯酸酯与甲基丙烯酸形成的共聚物、甲基纤维素、羟丙基纤维素、羟丙甲纤维素、羧甲基壳聚糖、醋酸琥珀酸羟丙基甲基纤维素中的一种或多种。The modified azithromycin resin complex includes a modification material, azithromycin resin complex, and the modification material is selected from the copolymer formed by acrylate or methacrylate and methacrylic acid, methyl cellulose, hydroxypropyl cellulose, One or more of hypromellose, carboxymethyl chitosan, and hydroxypropylmethylcellulose acetate succinate.
所述的阿奇霉素树脂复合物选自离子交换树脂选自弱酸性丙烯酸系阳离子交换树脂和强酸性苯乙烯系阳离子交换树脂,优选AmberliteTM IRP69、254、344、AmberliteTMIRP88、294、339、414、AmberliteTM IRP64、335中的一种或多种The azithromycin resin complex is selected from ion exchange resins selected from weakly acidic acrylic cation exchange resins and strongly acidic styrene cation exchange resins, preferably AmberliteTM IRP69, 254、 344, Amberlite ™ IRP88, 294、 339、 414, Amberlite ™ IRP64, One or more of 335
所述的阿奇霉素树脂复合物,制备过程如下:将药物溶于有机酸溶液中,再加入离子交换树脂,一定温度下反应一定时间,过滤、洗涤、干燥,得阿奇霉素树脂复合物,其中阿奇霉素和离子交换树脂的质量比为1∶20-1∶1,搅拌温度为5℃-60℃,搅拌时间0.1-12小时。The preparation process of the azithromycin resin complex is as follows: dissolve the drug in an organic acid solution, then add an ion exchange resin, react at a certain temperature for a certain period of time, filter, wash, and dry to obtain the azithromycin resin complex, wherein azithromycin and ion The mass ratio of the exchange resin is 1:20-1:1, the stirring temperature is 5°C-60°C, and the stirring time is 0.1-12 hours.
具体地,本发明提供的释药速度可控的阿奇霉素掩味干混悬剂,其制备工艺如下:Specifically, the azithromycin taste-masked dry suspension with controllable drug release rate provided by the present invention has a preparation process as follows:
(1)将药物溶于有机酸溶液中,再加入离子交换树脂,于5℃-60℃下反应0.1-12小时,过滤、洗涤、干燥,得阿奇霉素树脂复合物。(1) Dissolving the drug in an organic acid solution, adding an ion exchange resin, reacting at 5°C-60°C for 0.1-12 hours, filtering, washing, and drying to obtain the azithromycin resin complex.
(2)将修饰材料溶于相应溶剂中或在水中溶胀得修饰材料溶液,将阿奇霉素树脂复合物加入修饰材料溶液中于5-80℃下反应0.1-12小时小时后过滤、洗涤、干燥得修饰后的阿奇霉素树脂复合物。(2) Dissolve the modification material in the corresponding solvent or swell it in water to obtain a modification material solution, add the azithromycin resin complex to the modification material solution, react at 5-80°C for 0.1-12 hours, filter, wash, and dry to obtain a modification After the azithromycin resin complex.
(3)将修饰后的阿奇霉素树脂复合物或其组合物与矫味剂、助悬剂和其他药学上可接受的辅料混合,得释药速度可控的阿奇霉素掩味干混悬剂。(3) Mixing the modified azithromycin resin complex or its composition with flavoring agents, suspending agents and other pharmaceutically acceptable adjuvants to obtain a taste-masking dry suspension of azithromycin with controllable drug release rate.
本发明步骤(1)中所述的有机酸的用量是根据所要加的阿奇霉素的量决定,其用量既可保证阿奇霉素完全溶解,又不影响载药量。本发明通过筛选酸种类和控制反应液中的氢离子数量,可以使树脂的载药量达20-25%左右。The amount of the organic acid described in the step (1) of the present invention is determined according to the amount of azithromycin to be added, and the amount can ensure the complete dissolution of the azithromycin without affecting the drug loading. The present invention can make the drug-loading capacity of the resin reach about 20-25% by screening acid types and controlling the quantity of hydrogen ions in the reaction solution.
本发明所述的经修饰后的阿奇霉素树脂复合物分为速释型和缓释型修饰后的阿奇霉素树脂复合物。The modified azithromycin resin complexes of the present invention are classified into immediate-release and sustained-release modified azithromycin resin complexes.
本发明提供的速释型修饰后的阿奇霉素树脂复合物不仅可以有效地进一步掩味,而且不影响阿奇霉素的释放。The quick-release modified azithromycin resin complex provided by the invention can not only further effectively mask the taste, but also does not affect the release of azithromycin.
本发明提供的缓释型修饰后的阿奇霉素树脂复合物除了进一步掩味之后,还可以使药物能更平稳的释放,10分钟内释放大约10%-25%的阿奇霉素;1小时大约释放30%-40%的阿奇霉素;3小时大约释放60%-70%的阿奇霉素;6小时释放不少于85%的阿奇霉素。The sustained-release modified azithromycin resin complex provided by the present invention can also release the drug more stably after further taste-masking, releasing about 10%-25% of azithromycin within 10 minutes; about 30%-25% in 1 hour. 40% azithromycin; release about 60%-70% azithromycin in 3 hours; release no less than 85% azithromycin in 6 hours.
本发明提供的修饰后的阿奇霉素树脂复合物的组合物,将速释型修饰后的阿奇霉素复合物与缓释型修饰后的阿奇霉素复合物以某一比例混合,达到某种特定释放特征,既可以在最短时间内(5-10分钟)达到最小抑菌浓度达到药效,又可以在后期缓慢释放,减少阿奇霉素对胃肠道的刺激。In the composition of the modified azithromycin resin complex provided by the present invention, the quick-release modified azithromycin complex and the sustained-release modified azithromycin complex are mixed in a certain ratio to achieve a specific release characteristic, which can be It reaches the minimum inhibitory concentration in the shortest time (5-10 minutes) to achieve the drug effect, and can be released slowly in the later stage to reduce the stimulation of azithromycin to the gastrointestinal tract.
本发明利用修饰后的阿奇霉素树脂复合物的组合物提供一种高剂量的阿奇霉素缓释剂(例如2g),可以使患者在一个疗程中只服用一次药,相较于美国上市药品(阿奇霉素缓释干混悬剂)3小时缓释,释药更缓慢平稳,使大部分的药物在下消化道释放,减少高剂量阿奇霉素对胃和十二指肠的刺激,进而缓解胃肠道反应。The present invention utilizes the composition of the modified azithromycin resin complex to provide a high-dose azithromycin slow-release agent (for example, 2g), which allows patients to take the medicine only once in a course of treatment. (Azithromycin Sustained-release Dry Suspension) 3-hour sustained release, the release is more slow and stable, so that most of the drug is released in the lower gastrointestinal tract, reducing the stimulation of high-dose azithromycin on the stomach and duodenum, thereby alleviating gastrointestinal reactions .
本发明的制备工艺简单,载药过程和速释型修饰过程没有用有机溶剂,只有部分缓释材料可能用到低浓度乙醇,生产过程安全、环保。The preparation process of the invention is simple, no organic solvent is used in the drug loading process and the quick-release type modification process, only part of the slow-release material may use low-concentration ethanol, and the production process is safe and environmentally friendly.
具体实施方式Detailed ways
以下实施例进一步举例说明本发明而非限定其范围。The following examples further illustrate the invention without limiting its scope.
实施例1:取2g酒石酸溶于1000mL纯水,加入10g阿奇霉素,搅拌至溶解,再加入150g离子交换树脂(AmberliteTM IRP64),反应温度为40℃,反应时间0.1小时,过滤、洗涤、干燥,得阿奇霉素树脂复合物。经测定,载药量为6.12%。Example 1: Dissolve 2g of tartaric acid in 1000mL of pure water, add 10g of azithromycin, stir until dissolved, then add 150g of ion exchange resin ( AmberliteTM IRP64), the reaction temperature is 40 ° C, the reaction time is 0.1 hour, filter, wash, dry, Azithromycin resin complex was obtained. It was determined that the drug loading was 6.12%.
实施例2:取3g柠檬酸溶于1000mL纯水,加入10g阿奇霉素,搅拌至溶解,再加入60g离子交换树脂(335),反应温度为5℃,反应时间为2小时,过滤、洗涤、干燥,得阿奇霉素树脂复合物。取浓度为4%羧甲基壳聚糖溶液1000mL,加入阿奇霉素树脂复合物60g,修饰温度为80℃,修饰时间为2小时,过滤、洗涤、干燥,得速释型修饰后的阿奇霉素树脂复合物。经测定,载药量为10.30%。Embodiment 2: get 3g citric acid and be dissolved in 1000mL pure water, add 10g azithromycin, stir until dissolving, then add 60g ion exchange resin ( 335), the reaction temperature is 5° C., the reaction time is 2 hours, filtered, washed, and dried to obtain the azithromycin resin complex. Take 1000 mL of carboxymethyl chitosan solution with a concentration of 4%, add 60 g of azithromycin resin complex, modify the temperature at 80°C, and modify for 2 hours, filter, wash, and dry to obtain the immediate-release modified azithromycin resin complex . It was determined that the drug loading was 10.30%.
实施例3:取2.5酒石酸溶于1000mL纯水,加入15g阿奇霉素,搅拌至溶解,再加入100g离子交换树脂(AmberliteTM IRP88),反应温度为30℃,反应时间为3小时,过滤、洗涤、干燥,得阿奇霉素树脂复合物。取浓度为10%羟丙基纤维素溶液1000mL,加入阿奇霉素树脂复合物100g,修饰温度为40℃,修饰时间为0.1小时,过滤、洗涤、干燥,得速释型修饰后的阿奇霉素树脂复合物。经测定,载药量为9.30%。Example 3: Dissolve 2.5 g of tartaric acid in 1000 mL of pure water, add 15 g of azithromycin, stir until dissolved, then add 100 g of ion exchange resin (Amberlite TM IRP88), the reaction temperature is 30 ° C, the reaction time is 3 hours, filter, wash, and dry , to obtain azithromycin resin complex. Take 1000 mL of 10% hydroxypropyl cellulose solution, add 100 g of azithromycin resin complex, modify the temperature at 40°C, and modify for 0.1 hour, filter, wash, and dry to obtain the immediate-release modified azithromycin resin complex. It was determined that the drug loading was 9.30%.
实施例4:取5g琥珀酸溶于1000mL纯水,加入20g阿奇霉素,搅拌至溶解,再加入80g离子交换树脂(214:204为1∶1),反应温度为20℃,反应时间为6小时,过滤、洗涤、干燥,得阿奇霉素树脂复合物。取浓度为0.5%羟丙甲基纤维素溶液1000mL,加入阿奇霉素树脂复合物30g,修饰温度为30℃,修饰时间为4小时,过滤、洗涤、干燥,得速释型修饰后的阿奇霉素树脂复合物。经测定,载药量为10.65%。Embodiment 4: get 5g succinic acid and dissolve in 1000mL pure water, add 20g azithromycin, stir until dissolving, then add 80g ion exchange resin ( 214: 204 (1:1), the reaction temperature was 20°C, the reaction time was 6 hours, filtered, washed, and dried to obtain the azithromycin resin complex. Take 1000 mL of 0.5% hydroxypropyl methylcellulose solution, add 30 g of azithromycin resin complex, modify the temperature at 30°C, and modify for 4 hours, filter, wash, and dry to obtain the immediate-release modified azithromycin resin complex . It was determined that the drug loading was 10.65%.
实施例5:取4.3g琥珀酸溶于1000mL纯水,加入18g阿奇霉素,搅拌至溶解,再加入90g离子交换树脂(AmberliteTM IRP64:AmberliteTM IRP88为3∶1),反应温度为37℃,反应时间为4小时,过滤、洗涤、干燥,得阿奇霉素树脂复合物。取浓度为4%甲基纤维素溶液1000mL,加入阿奇霉素树脂复合物45g,修饰温度为5℃,修饰时间为2.5小时,过滤、洗涤、干燥,得速释型修饰后的阿奇霉素树脂复合物。经测定,载药量为8.34%。Example 5: Dissolve 4.3g of succinic acid in 1000mL of pure water, add 18g of azithromycin, stir until dissolved, then add 90g of ion exchange resin ( AmberliteTM IRP64: AmberliteTM IRP88 is 3:1), the reaction temperature is 37 ° C, the reaction The time is 4 hours, filtered, washed, and dried to obtain the azithromycin resin complex. Take 1000 mL of a 4% methylcellulose solution, add 45 g of azithromycin resin complex, modify the temperature at 5°C, and modify for 2.5 hours, filter, wash, and dry to obtain the immediate-release modified azithromycin resin complex. The drug loading was determined to be 8.34%.
实施例6:取3g柠檬酸酸溶于1000mL纯水,加入30g阿奇霉素,搅拌至溶解,再加入60g离子交换树脂(AmberliteTM IRP69),反应温度为50℃,反应时间为10小时,过滤、洗涤、干燥,得阿奇霉素树脂复合物。经测定,载药量为23.86%。Example 6: Dissolve 3 g of citric acid in 1000 mL of pure water, add 30 g of azithromycin, stir until dissolved, then add 60 g of ion exchange resin (Amberlite TM IRP69), the reaction temperature is 50 ° C, the reaction time is 10 hours, filter and wash and drying to obtain the azithromycin resin complex. The drug loading was determined to be 23.86%.
实施例7:取5g柠檬酸酸溶于1000mL纯水,加入50g阿奇霉素,搅拌至溶解,再加入50g离子交换树脂(254),反应温度为60℃,反应时间为12小时,过滤、洗涤、干燥,得阿奇霉素树脂复合物。取浓度为5%尤特奇RS100溶液1000mL,加入阿奇霉素树脂复合物20g,修饰温度为10℃,修饰时间为10小时,过滤、洗涤、干燥,得缓释型修饰后的阿奇霉素树脂复合物。经测定,载药量为24.38%。Embodiment 7: get 5g citric acid and be dissolved in 1000mL pure water, add 50g azithromycin, stir until dissolving, then add 50g ion exchange resin ( 254), the reaction temperature is 60° C., the reaction time is 12 hours, filtered, washed, and dried to obtain the azithromycin resin complex. Take 1000 mL of Eudragit RS100 solution with a concentration of 5%, add 20 g of azithromycin resin complex, modify the temperature at 10°C, and modify for 10 hours, filter, wash, and dry to obtain a modified azithromycin resin complex of sustained release type. The drug loading was determined to be 24.38%.
实施例8:取1.5酒石酸溶于1000mL纯水,加入10g阿奇霉素,搅拌至溶解,再加入30g离子交换树脂(AmberliteTM IRP64),反应温度为45℃,反应时间为3小时,过滤、洗涤、干燥,得阿奇霉素树脂复合物。取浓度为7%羟丙基纤维素溶液1000mL,加入阿奇霉素树脂复合物17g,修饰温度为50℃,修饰时间为2小时,过滤、洗涤、干燥,得速释型修饰后的阿奇霉素树脂复合物。测得载药量为9.86%。3g柠檬酸酸溶于1000mL纯水,加入20g阿奇霉素,搅拌至溶解,再加入75g离子交换树脂(344),反应温度为45℃,反应时间为6小时,过滤、洗涤、干燥,得阿奇霉素树脂复合物。取浓度为6%尤特奇RS100溶液1000mL,加入阿奇霉素树脂复合物60g,修饰温度为45℃,修饰时间为3小时,过滤、洗涤、干燥,得缓释型修饰后的阿奇霉素树脂复合物。测得载药量为19.83%。将速释型修饰后的阿奇霉素树脂复合物和缓释型修饰后的阿奇霉素复合物以阿奇霉素的量1∶10的比例混合,得释药速度可控的阿奇霉素复合物。Example 8: Dissolve 1.5 g of tartaric acid in 1000 mL of pure water, add 10 g of azithromycin, stir until dissolved, then add 30 g of ion exchange resin (Amberlite TM IRP64), the reaction temperature is 45 ° C, the reaction time is 3 hours, filter, wash, and dry , to obtain azithromycin resin complex. Take 1000 mL of 7% hydroxypropyl cellulose solution, add 17 g of azithromycin resin complex, modify the temperature at 50°C, and modify for 2 hours, filter, wash, and dry to obtain the immediate-release modified azithromycin resin complex. The measured drug loading was 9.86%. Dissolve 3g of citric acid in 1000mL of pure water, add 20g of azithromycin, stir until dissolved, then add 75g of ion exchange resin ( 344), the reaction temperature is 45° C., the reaction time is 6 hours, filtered, washed, and dried to obtain the azithromycin resin complex. Take 1000 mL of Eudragit RS100 solution with a concentration of 6%, add 60 g of azithromycin resin complex, modify the temperature at 45°C, and modify for 3 hours, filter, wash, and dry to obtain a modified azithromycin resin complex of sustained release type. The measured drug loading was 19.83%. The quick-release modified azithromycin resin complex and the sustained-release modified azithromycin complex are mixed at a ratio of 1:10 of the azithromycin amount to obtain the azithromycin complex with controllable drug release rate.
实施例9:将实施例7中的速释型修饰后的阿奇霉素树脂复合物和缓释型修饰后的阿奇霉素复合物以阿奇霉素的量1∶1的比例混合,得释药速度可控的阿奇霉素复合物。Example 9: Mix the immediate-release modified azithromycin resin complex and the sustained-release modified azithromycin complex in the ratio of 1:1 in the amount of azithromycin in Example 7 to obtain an azithromycin complex with controllable drug release rate things.
实施例10:将实施例7中的速释型修饰后的阿奇霉素树脂复合物和缓释型修饰后的阿奇霉素复合物以阿奇霉素的量1∶20的比例混合,得释药速度可控的阿奇霉素复合物。Example 10: Mix the immediate-release modified azithromycin resin complex and the sustained-release modified azithromycin complex in Example 7 at a ratio of 1:20 to obtain a drug-releasing rate-controllable azithromycin complex things.
实施例11:速释阿奇霉素掩味干混悬剂Example 11: Immediate-release azithromycin taste-masked dry suspension
制备工艺:将实施例2中的速释型修饰后的阿奇霉素树脂复合物与处方中的其他辅料混合均匀,即得速释阿奇霉素掩味干混悬剂。Preparation process: Mix the immediate-release modified azithromycin resin complex in Example 2 evenly with other excipients in the prescription to obtain an immediate-release azithromycin taste-masked dry suspension.
实施例12:缓释释阿奇霉素掩味干混悬剂Example 12: Sustained-release azithromycin taste-masked dry suspension
制备工艺:将实施例6中的缓释型修饰后的阿奇霉素树脂复合物与处方中的其他辅料混合均匀,即得缓释阿奇霉素掩味干混悬剂。Preparation process: uniformly mix the sustained-release modified azithromycin resin complex in Example 6 with other excipients in the prescription to obtain a slow-release azithromycin taste-masked dry suspension.
实施例13:释药速度可控的阿奇霉素掩味干混悬剂Example 13: Azithromycin taste-masked dry suspension with controllable release rate
制备工艺:将实施例8中的速释型修饰后的阿奇霉素树脂复合物与处方中的其他辅料混合均匀,即得速释阿奇霉素掩味干混悬剂。Preparation process: Mix the immediate-release modified azithromycin resin complex in Example 8 evenly with other excipients in the prescription to obtain an immediate-release azithromycin taste-masked dry suspension.
实施例14:阿奇霉素释放度实验Embodiment 14: Azithromycin release test
对速释型、缓释型和释药速度可控的阿奇霉素树脂复合物的释药行为进行实验探索,释放介质为pH6.0的磷酸盐缓冲液。表1为速释型阿奇霉素树脂复合物的释药数据,表2为缓释型和释药速度可控的阿奇霉素树脂复合物的释药数据。The drug release behavior of azithromycin resin complexes with immediate release type, sustained release type and controlled drug release rate was explored experimentally, and the release medium was phosphate buffer solution with pH 6.0. Table 1 shows the drug release data of the immediate-release azithromycin resin complex, and Table 2 shows the drug release data of the sustained-release and controllable drug release rate azithromycin resin complex.
表1 释型阿奇霉素树脂复合物的释药情况Table 1 Drug release of release-type azithromycin resin complex
由表1的数据可以得出修饰对于速释型阿奇霉素树脂复合物的释放没有影响。From the data in Table 1, it can be concluded that the modification has no effect on the release of the immediate-release azithromycin resin complex.
表2 缓释型和释药速度可控的阿奇霉素树脂复合物的释药情况Table 2 Drug release of azithromycin resin complexes with sustained release and controlled release rate
由表2可以看出,修饰对于缓释型阿奇霉素树脂复合物(实施例6和7)有影响,可以使缓释型阿奇霉素树脂复合物的药物释放更缓慢;实施例8、9、10为释药速度可控的阿奇霉素树脂复合物,可见不同组合比例设计可以使药物以不同的速度释放As can be seen from Table 2, the modification has an impact on the sustained-release azithromycin resin complex (Example 6 and 7), which can make the drug release of the sustained-release azithromycin resin complex slower; Azithromycin resin complex with controllable drug speed, it can be seen that different combination ratio designs can release the drug at different speeds
实施例15:口尝实验Embodiment 15: Oral taste experiment
将实施例1至实施例13制备的阿奇霉素树脂复合物或干混悬剂配成含阿奇霉素10mg/ml口尝样品,另外以阿奇霉素原料药为苦味基准。选择12名年龄在22-28岁的健康志愿者(6男6女),口尝前先用水漱口3次,滴口尝样品1ml于舌头中心,口腔中停留30s左右,记录苦味程度和砂砾感,然后漱口。苦味程度从0-4,0为无苦味、1为轻微苦味、2为可接受苦味、3为适度苦味、4为强烈苦味。The azithromycin resin complexes or dry suspensions prepared in Examples 1 to 13 were made into mouth-tasting samples containing azithromycin 10 mg/ml, and the azithromycin bulk drug was used as the bitterness standard. Choose 12 healthy volunteers (6 males and 6 females) aged 22-28, rinse your mouth with water 3 times before tasting, drop 1ml of the sample on the center of the tongue, stay in the mouth for about 30 seconds, and record the degree of bitterness and grit feeling, then rinse your mouth. The bitterness scale ranges from 0-4, with 0 being no bitterness, 1 being slightly bitter, 2 being acceptable bitterness, 3 being moderately bitter, and 4 being strongly bitter.
表1 口尝实验结果Table 1 Results of mouth-tasting experiment
Claims (7)
- A kind of 1. controllable azithromycin resin compound of drug release rate, it is characterised in that:Archie after being modified comprising quick-releasing type The composition of one or both of azithromycin compound after mycin resin complexes, slow-release modification, two of which are repaiied The ratio of the composition of azithromycin resin compound after decorations is 1: 1-1: 20.
- 2. according to the azithromycin resin compound after the modification described in claim 1, it is characterised in that:Including decorative material With azithromycin resin compound, wherein decorative material is selected from what acrylate or methacrylate were formed with methacrylic acid Copolymer, methylcellulose, hydroxypropyl cellulose, hydroxypropyl methylcellulose, carboxymethyl chitosan, acetic acid butanedioic acid hydroxypropyl methyl One or more in cellulose.
- 3. according to the azithromycin resin compound after the modification described in claim 1, it is characterised in that:Method of modifying is will Decorative material is dissolved in coordinative solvent or is swollen in water to obtain decorative material solution, then by azithromycin resin compound add to Stirred in decorative material solution, filtering, cleaning product, drying, the azithromycin resin compound after must modifying, wherein modifying material The concentration of material is 0.1%-10% (g/mL);The mass volume ratio (g/mL) of azithromycin resin compound and decorative material solution For 1: 4-1: 60;It is 5-80 DEG C to modify temperature;When the modification time is 0.1-12 small.
- 4. according to the azithromycin resin compound described in Claims 2 or 3, it is characterised in that:Ion exchange resin is selected from Acidulous acrylic acid's cation exchanger resin and strongly acidic styrene type cation exchange resin, preferably AmberliteTM IRP69、254、344、AmberliteTM IRP88、204、335、214、 AmberliteTMOne or more in IRP64.
- 5. according to the azithromycin resin compound described in Claims 2 or 3, it is characterised in that preparation process is as follows:By medicine Thing is dissolved in organic acid or inorganic acid solution, is added ion exchange resin, is reacted certain time under certain temperature, filters, washes Wash, is dry, obtaining azithromycin resin compound, the wherein mass ratio of azithromycin and ion exchange resin is 1: 1-1: 20, instead It is 5-60 DEG C to answer temperature, when reaction time 0.1-12 is small.
- 6. the controllable azithromycin resin compound of drug release rate according to claim 1, it is characterised in that:After modification Drug release speed can be further made in azithromycin resin compound with flavouring, suspending agent and other pharmaceutically acceptable auxiliary materials Spend controllable azithromycin taste masking dry suspensoid agent.
- 7. the controllable azithromycin taste masking dry suspensoid agent of drug release rate according to claim 6, it is characterised in that:Quick-releasing type Azithromycin resin compound after modification further mixes system with flavouring, suspending agent and other pharmaceutically acceptable auxiliary materials Into azithromycin quick-release taste masking dry suspensoid agent;Slow-release modification after azithromycin resin compound further with flavouring, help Suspension and other pharmaceutically acceptable auxiliary materials are mixed and made into Azithromycin slow-release taste masking dry suspensoid agent;Quick-releasing type, slow-release are repaiied Azithromycin resin composite compositions after decorations are further mixed with flavouring, suspending agent and other pharmaceutically acceptable auxiliary materials Close the azithromycin taste masking dry suspensoid agent that specific drug release behavior is made.
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