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CN116133643A - Liquid composition - Google Patents

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Publication number
CN116133643A
CN116133643A CN202180059438.5A CN202180059438A CN116133643A CN 116133643 A CN116133643 A CN 116133643A CN 202180059438 A CN202180059438 A CN 202180059438A CN 116133643 A CN116133643 A CN 116133643A
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China
Prior art keywords
liquid composition
amount
active ingredient
liquid
hydrate
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CN202180059438.5A
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Chinese (zh)
Inventor
国增宏二
福岛祯隆
野间勲
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Nippon Zoki Pharmaceutical Co Ltd
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Nippon Zoki Pharmaceutical Co Ltd
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Publication of CN116133643A publication Critical patent/CN116133643A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/435Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
    • A61K31/47Quinolines; Isoquinolines
    • A61K31/485Morphinan derivatives, e.g. morphine, codeine
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/02Inorganic compounds
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/06Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
    • A61K47/08Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite containing oxygen, e.g. ethers, acetals, ketones, quinones, aldehydes, peroxides
    • A61K47/10Alcohols; Phenols; Salts thereof, e.g. glycerol; Polyethylene glycols [PEG]; Poloxamers; PEG/POE alkyl ethers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/06Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
    • A61K47/08Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite containing oxygen, e.g. ethers, acetals, ketones, quinones, aldehydes, peroxides
    • A61K47/12Carboxylic acids; Salts or anhydrides thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/06Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
    • A61K47/08Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite containing oxygen, e.g. ethers, acetals, ketones, quinones, aldehydes, peroxides
    • A61K47/14Esters of carboxylic acids, e.g. fatty acid monoglycerides, medium-chain triglycerides, parabens or PEG fatty acid esters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/06Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
    • A61K47/16Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite containing nitrogen, e.g. nitro-, nitroso-, azo-compounds, nitriles, cyanates
    • A61K47/18Amines; Amides; Ureas; Quaternary ammonium compounds; Amino acids; Oligopeptides having up to five amino acids
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/06Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
    • A61K47/16Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite containing nitrogen, e.g. nitro-, nitroso-, azo-compounds, nitriles, cyanates
    • A61K47/18Amines; Amides; Ureas; Quaternary ammonium compounds; Amino acids; Oligopeptides having up to five amino acids
    • A61K47/183Amino acids, e.g. glycine, EDTA or aspartame
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/06Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
    • A61K47/22Heterocyclic compounds, e.g. ascorbic acid, tocopherol or pyrrolidones
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/06Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
    • A61K47/26Carbohydrates, e.g. sugar alcohols, amino sugars, nucleic acids, mono-, di- or oligo-saccharides; Derivatives thereof, e.g. polysorbates, sorbitan fatty acid esters or glycyrrhizin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/0087Galenical forms not covered by A61K9/02 - A61K9/7023
    • A61K9/0095Drinks; Beverages; Syrups; Compositions for reconstitution thereof, e.g. powders or tablets to be dispersed in a glass of water; Veterinary drenches
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/08Solutions
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/04Centrally acting analgesics, e.g. opioids

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  • Health & Medical Sciences (AREA)
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  • General Chemical & Material Sciences (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • Engineering & Computer Science (AREA)
  • Oil, Petroleum & Natural Gas (AREA)
  • Biochemistry (AREA)
  • Molecular Biology (AREA)
  • Pain & Pain Management (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Biomedical Technology (AREA)
  • Neurology (AREA)
  • Neurosurgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Organic Chemistry (AREA)
  • Emergency Medicine (AREA)
  • Inorganic Chemistry (AREA)
  • Proteomics, Peptides & Aminoacids (AREA)
  • Medicinal Preparation (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)

Abstract

The purpose of the present invention is to provide an oral liquid agent which is easy to take and has high stability by masking the bitter taste of oxycodone which is an active ingredient. The present invention provides a liquid composition containing oxycodone as an active ingredient, which is highly stable, wherein the liquid composition is capable of masking bitterness by an additive and suppressing the formation of an analogue by adjusting the pH to a predetermined range.

Description

Liquid composition
Technical Field
The present invention relates to an oral liquid composition containing oxycodone (oxycodone), a pharmaceutically acceptable salt thereof, or a hydrate thereof (hereinafter, these may be collectively referred to as "oxycodone") as an active ingredient. More specifically, the present invention relates to an oral liquid composition in which the bitter taste of oxycodone is masked.
Background
Oral preparations containing an active ingredient having a strong bitter taste are rejected by releasing bitter taste in the mouth even in solid preparations such as tablets. When such an active ingredient is developed in the form of an oral liquid, it is a great advantage for the patient from the viewpoint of easy drinking, but conversely, since there is a disadvantage that a bitter taste is perceived more strongly than in the case of a solid preparation, there is a problem that it is difficult to develop a product if a method for masking the bitter taste by some means cannot be found. Therefore, it is said that there is no high possibility of developing a liquid formulation, as a matter of fact, regarding the development of an active ingredient having a strong bitterness of a tablet.
For example, document 1 describes that in a liquid preparation for oral administration containing a bitter component having a strong bitter taste, the bitter component is combined with 3 components of sugar alcohol, an acidic agent and glutamate to form a liquid preparation which can suppress bitter taste and does not leave unpleasant taste in the oral cavity even after oral administration. However, the bitter component of document 1 is not oxycodone. The bitter taste masking technique is completely different from the bitter taste masking technique using 3 or more kinds of additives such as sweeteners in the present invention described later.
On the other hand, in the process of the present invention, if a liquid composition in which the bitter taste of oxycodone is masked with an additive such as a sweetener is formulated, the problem "the pH of the liquid composition becomes low, the oxycodone content decreases due to the reaction of oxycodone with sugar alcohol or the like, and the formation of analogues" occurs. If the pH of the liquid composition is raised to solve the problem that the stability of the preparation cannot be ensured, the problem that the bitterness masking effect cannot be obtained occurs, and the problem of the lawyer (anti) is judged to exist.
As a technique for suppressing the formation of an analogue, for example, in document 2, there is disclosed a method for producing a pharmaceutical composition for injection containing an amino steroid muscle relaxant, wherein a pH adjuster is added to an aqueous solvent in advance before the amino steroid muscle relaxant is added to the aqueous solvent, whereby the formation of an analogue can be suppressed at the time of producing the pharmaceutical composition. However, the active ingredient of the injectable composition of this document 2 is not oxycodone. It is not described whether the method is applicable to a liquid formulation containing oxycodone as an active ingredient, and if applicable, the pH should be specifically adjusted to any range.
Prior art literature
Patent literature
Patent document 1: japanese patent laid-open No. 2000-204036
Patent document 2: japanese patent laid-open publication 2016-121073
Disclosure of Invention
Problems to be solved by the invention
The purpose of the present invention is to provide a liquid composition for oral use, wherein the bitter taste of oxycodone, which is an active ingredient, is masked. Further, the present invention aims to provide a liquid composition in which the formation of an analogue of an active ingredient is suppressed.
Solution for solving the problem
As a result of intensive studies to solve the above problems, the present inventors have found that a liquid composition which suitably masks the bitter taste of oxycodone as an active ingredient can be obtained by adding at least 3 predetermined additives. It has been found that it is effective to adjust the pH of the liquid composition to a predetermined range in order to suppress the formation of an analogue of an active ingredient, thereby obtaining a liquid composition in which bitterness is masked, the formation of an analogue is suppressed, and stability is ensured, and the present invention has been completed.
That is, the present invention relates to the following (1) to (28), but the present invention is not limited to these, and the present invention is also intended to achieve the same object by substantially the same means.
(1) A liquid composition comprising oxycodone, a pharmaceutically acceptable salt thereof, or a hydrate thereof as an active ingredient, wherein the bitterness of the active ingredient is masked.
(2) The liquid formulation according to (1) above, wherein oxycodone, a pharmaceutically acceptable salt thereof, or a hydrate thereof is contained in an amount of 0.01 to 1% by weight relative to 100% by weight of the liquid formulation.
(3) The liquid formulation composition according to the above (1) or (2), which contains at least 3 kinds selected from the group consisting of acesulfame potassium (acesulfame potassium), xylitol, D-sorbitol, and L-glutamic acid as additives.
(4) The liquid composition according to the above (3), wherein the acesulfame potassium is contained in an amount of 0.01 to 0.1% by weight relative to 100% by weight of the liquid composition.
(5) The liquid composition according to the above (3) or (4), wherein the xylitol is contained in an amount of 0.5 to 15% by weight relative to 100% by weight of the liquid composition.
(6) The liquid formulation according to any one of (3) to (5), wherein the liquid formulation contains 1 to 20% by weight of D-sorbitol based on 100% by weight of the liquid formulation.
(7) The liquid composition according to any one of the above (3) to (6), wherein the L-glutamic acid is contained in an amount of 0.01 to 1% by weight relative to 100% by weight of the liquid composition.
(8) The liquid formulation according to any one of (3) to (7), wherein the liquid formulation contains 0.1 to 40% by weight of at least 3 selected from the group consisting of acesulfame potassium, xylitol, D-sorbitol and L-glutamic acid, relative to 100% by weight of the liquid formulation.
(9) The liquid formulation composition according to any one of (3) to (8) above, further comprising citric acid hydrate and/or sodium citrate hydrate as an additive.
(10) The liquid composition according to the above (9), wherein the citric acid hydrate or sodium citrate hydrate is contained in an amount of 0.01 to 1% by weight relative to 100% by weight of the liquid composition.
(11) The liquid formulation according to any one of the above (3) to (10), which further contains sodium benzoate and/or ethyl parahydroxybenzoate as an additive.
(12) The liquid composition according to the above (11), wherein the sodium benzoate is contained in an amount of 0.005 to 0.5% by weight based on 100% by weight of the liquid composition.
(13) The composition according to the above (11) or (12), wherein the ethyl parahydroxybenzoate is contained in an amount of 0.0005 to 0.05% by weight based on 100% by weight of the liquid composition.
(14) The liquid formulation according to any one of the above (3) to (13), which further contains sodium chloride as an additive.
(15) The liquid composition according to the above (14), wherein the sodium chloride is contained in an amount of 0.005 to 1% by weight based on 100% by weight of the liquid composition.
(16) The liquid formulation according to any one of the above (3) to (15), which further contains propylene glycol as an additive.
(17) The liquid formulation according to (16), wherein the propylene glycol is contained in an amount of 0.005 to 1% by weight based on 100% by weight of the liquid formulation.
(18) The liquid formulation according to any one of (1) to (17), wherein the pH is 3.3 to 4.8.
(19) The liquid composition according to any one of (1) to (18), wherein the analogue formed from the active ingredient over time is suppressed to a level below an allowable standard when a stability test of a pharmaceutical product formulated in the Ministry of labor of Japanese Kokai is carried out.
(20) The liquid composition according to (19), wherein the ratio of the amount of each of the analogues to the amount of the active ingredient is 0.2% or less, respectively, when the stability test of the pharmaceutical product formulated in the Ministry of the Japanese Kokai is carried out.
(21) The liquid composition according to (19), wherein the ratio of the amount of each of the analogues to the amount of the active ingredient is 0.15% or less, respectively, when the stability test of the pharmaceutical product formulated in the Ministry of the Japanese Kokai is carried out.
(22) The liquid composition according to (19), wherein the ratio of the amount of each of the analogues to the amount of the active ingredient is 0.1% or less, respectively, when the stability test of the pharmaceutical product formulated in the Ministry of the Japanese Kokai is carried out.
(23) The liquid composition according to any one of (19) to (22), wherein the ratio of the total amount of the analogues to the amount of the active ingredient is 0.6% or less when a stability test of a pharmaceutical product formulated in the Ministry of the Japanese Kokai is carried out.
(24) A method for stabilizing a liquid composition, characterized in that the production of an analogue in the liquid composition is suppressed by adjusting the pH of the liquid composition containing oxycodone, a pharmaceutically acceptable salt thereof, or a hydrate thereof as an active ingredient to 3.3 to 4.8.
(25) The stabilization method according to the above (24), wherein the ratio of the amount of each of the analogues to the amount of the aforementioned active ingredient is 0.2% or less, respectively.
(26) The stabilization method according to the above (24), wherein the ratio of the amount of each of the analogues to the amount of the aforementioned active ingredient is 0.15% or less, respectively.
(27) The stabilization method according to the above (24), wherein the ratio of the amount of each of the analogues to the amount of the aforementioned active ingredient is 0.1% or less, respectively.
(28) The stabilization method according to any one of the above (24) to (27), wherein the ratio of the total amount of the analogues to the amount of the above-mentioned active ingredient is 0.6% or less.
ADVANTAGEOUS EFFECTS OF INVENTION
The liquid composition of the present invention is an oral liquid which is easy to take and has reduced bitterness of oxycodone as an active ingredient for patients with cancer pain, and has extremely high usefulness. In addition, since the formation of the analogue is suppressed with the lapse of time and the stability is high, the conditions as a medicine requiring quality assurance in years are also satisfied sufficiently.
Detailed Description
The present invention provides a liquid composition containing oxycodone, a pharmaceutically acceptable salt thereof, or a hydrate thereof as an active ingredient, wherein the bitter taste of the active ingredient is masked. The masking is performed by containing at least 3 additives selected from the group consisting of acesulfame potassium, xylitol, D-sorbitol, and L-glutamic acid. The liquid composition of the present invention can be a liquid composition having high stability in which the formation of an analogue is suppressed by adjusting the pH to 3.3 to 4.8.
The liquid composition of the present invention contains oxycodone, a pharmaceutically acceptable salt thereof, or a hydrate thereof as an active ingredient. Oxycodone is one of the strong opioids used in stage 3 of stage 3 in WHO mode cancer pain therapies in 1996, and is of medical usefulness in terms of drugs. The oxycodone may be used in the form of pharmaceutically acceptable salts other than the free form, and examples thereof include inorganic acid salts such as hydrochloride, sulfate, nitrate, phosphate, hydrofluoric acid salt, and hydrobromide; organic acid salts such as acetic acid, tartrate, lactate, citrate, fumarate, maleate, succinate, methanesulfonate, benzenesulfonate, toluenesulfonate, naphthalenesulfonate, camphorsulfonate, and the like; amino acid salts such as alginate, aspartate, glutamate, etc.; metal salts such as sodium salt, potassium salt and cesium salt. Particularly preferred is oxycodone hydrochloride which is commercially available and widely used clinically as an analgesic for cancer pain. In addition, stereoisomers, hydrates, and solvates of oxycodone are also included as an active ingredient of the liquid formulation composition of the present invention.
The content of oxycodone, a pharmaceutically acceptable salt thereof, or a hydrate thereof in the liquid composition of the present invention is not particularly limited, and may be appropriately selected. For example, in the case of oxycodone hydrochloride or oxycodone hydrochloride hydrate, the content of oxycodone hydrochloride or oxycodone hydrochloride hydrate may be 0.01 to 1 wt%, preferably 0.03 to 0.8 wt%, and more preferably 0.05 to 0.6 wt% relative to 100 wt% of the present liquid composition.
The liquid composition of the present invention is characterized by masking the bitter taste of oxycodone, a pharmaceutically acceptable salt thereof, or a hydrate thereof as an active ingredient. For this purpose, at least 3 additives selected from the group consisting of acesulfame potassium, xylitol, D-sorbitol, and L-glutamic acid are added as one method. Further, in the liquid composition of the present invention, additives such as pH adjusting agents such as citric acid hydrate and sodium citrate hydrate may be contained in combination. Thus, the liquid composition of the present invention has the advantage of reduced bitterness and stability. The additives and the amounts thereof added to the liquid formulation of the present invention are described in detail below, however, the present invention is not limited thereto.
As the sweetener which can be used as an additive for the liquid composition of the present invention, refined white sugar, aspartame, saccharin Na hydrate, D-mannitol, D-sorbitol, dextrin, erythritol, sucralose (sucralose), xylitol, powder reduced maltose syrup, thaumatin (thaumatin), acesulfame potassium, or a combination thereof, and the like can be mentioned. Among them, a combination of potassium acesulfame, xylitol and D-sorbitol is preferable. The content of acesulfame potassium may be 0.01 to 0.1% by weight, preferably 0.03 to 0.09% by weight, more preferably 0.04 to 0.08% by weight, and even more preferably 0.05 to 0.07% by weight, relative to 100% by weight of the liquid composition. The xylitol content may be set to 0.5 to 15% by weight, preferably 1 to 10% by weight, more preferably 2 to 8% by weight, and still more preferably 3 to 6% by weight, relative to 100% by weight of the liquid composition. The content of D-sorbitol may be 1 to 20% by weight, preferably 2 to 15% by weight, more preferably 4 to 12% by weight, and still more preferably 6 to 10% by weight, relative to 100% by weight of the liquid composition. In addition to these sweeteners, L-glutamic acid as a taste-modifying agent may be added, and the content of L-glutamic acid may be set to 0.01 to 1% by weight, preferably 0.03 to 0.3% by weight, more preferably 0.05 to 0.2% by weight, and even more preferably 0.07 to 0.15% by weight, relative to 100% by weight of the liquid composition. The total content of 3 additives selected from acesulfame potassium, xylitol, D-sorbitol, or L-glutamic acid may be set to 0.1 to 40% by weight, preferably 0.5 to 30% by weight, more preferably 1 to 25% by weight, and even more preferably 1 to 20% by weight, relative to 100% by weight of the liquid composition.
Examples of the preservative which can be used as an additive for the liquid composition of the present invention include benzoic acid, sodium benzoate, methyl parahydroxybenzoate, ethyl parahydroxybenzoate, propyl parahydroxybenzoate, sorbic acid, potassium sorbate, erythorbic acid (erythorbic acid), sodium dehydroacetate, sodium edetate (edetate sodium), ascorbic acid, sodium ascorbate, palmitic acid anti-spoilage ester, propionic acid, sodium propionate, propyl gallate, tocopherol, and combinations thereof, and examples of the preservative include sodium benzoate and/or ethyl parahydroxybenzoate. The content of sodium benzoate may be set to 0.005 to 0.5 wt%, preferably 0.008 to 0.1 wt%, more preferably 0.01 to 0.08 wt%, and still more preferably 0.02 to 0.06 wt% relative to 100 wt% of the liquid composition. The content of ethyl parahydroxybenzoate may be set to 0.0005 to 0.05% by weight, preferably 0.0008 to 0.01% by weight, more preferably 0.001 to 0.005% by weight, and even more preferably 0.0015 to 0.005% by weight, relative to 100% by weight of the liquid composition. The total content of sodium benzoate and ethyl parahydroxybenzoate may be set to 0.005 to 0.5% by weight, preferably 0.008 to 0.1% by weight, more preferably 0.01 to 0.08% by weight, and even more preferably 0.02 to 0.06% by weight, relative to 100% by weight of the liquid composition.
Examples of the flavoring agent which can be used as an additive of the liquid composition of the present invention include DL-malic acid, sodium chloride, citric acid hydrate, sodium citrate hydrate, glycyrrhizic acid (glycyrrhizic acid), dipotassium glycyrrhizinate, monoammonium glycyrrhizinate, L-glutamic acid, sodium L-glutamate, glycine, and combinations thereof, and examples of the flavoring agent include sodium chloride. The content of sodium chloride may be set to 0.005 to 1% by weight, preferably 0.01 to 0.5% by weight, more preferably 0.03 to 0.3% by weight, and even more preferably 0.05 to 0.2% by weight, relative to 100% by weight of the liquid composition.
The pH adjuster that can be used as an additive of the liquid composition of the present invention includes dilute hydrochloric acid, phosphoric acid, sodium hydrogen phosphate hydrate, acetic acid, sodium acetate hydrate, lactic acid, tartaric acid, malic acid, citric acid hydrate, sodium citrate hydrate, or a combination thereof, and the like, and the preferred examples include tartaric acid, malic acid, citric acid hydrate, and sodium citrate hydrate, and the further preferred examples include citric acid hydrate and/or sodium citrate hydrate. The content of the citric acid hydrate or the sodium citrate hydrate may be set to 0.01 to 1 wt%, preferably 0.05 to 0.8 wt%, more preferably 0.1 to 0.6 wt%, and still more preferably 0.2 to 0.4 wt%, respectively, relative to 100 wt% of the liquid composition. Since citric acid hydrate or sodium citrate hydrate has both functions as a flavoring agent, the liquid composition of the present invention can be used for both these purposes.
As the cosolvent which can be used as an additive of the liquid composition of the present invention, polyethylene glycol (Macrogol), glycerin, povidone (Povidone), cyclodextrin, propylene glycol, or a combination thereof can be used, and propylene glycol is exemplified as a preferable example. The propylene glycol content may be set to 0.005 to 1% by weight, preferably 0.01 to 0.5% by weight, more preferably 0.03 to 0.3% by weight, and even more preferably 0.05 to 0.2% by weight, relative to 100% by weight of the liquid composition.
The pH of the liquid composition of the present invention can be adjusted by the kind and content of the additive, and is preferably 3.3 to 4.8, more preferably 3.5 to 4.5, and even more preferably 3.8 to 4.2. By adjusting the pH to this range, the bitterness masking and stability of the liquid composition of the present invention can be ensured.
The liquid composition of the present invention may contain various additives used for the production of general pharmaceutical preparations, as long as the effects of the present invention are not impaired. Examples of such additives include stabilizers, surfactants, solubilizers, thickeners, suspending agents, fragrances, colorants, and the like, in addition to the above examples, and may be appropriately selected and added according to the purpose.
Examples
The present invention will be described in detail with reference to examples, but the present invention is not limited to these examples.
Example 1
Table 1 shows an example of the formulation of the liquid composition of the present invention. Liquid compositions containing oxycodone hydrochloride hydrate having the compositions shown in table 1 were prepared according to the following production methods.
TABLE 1
Composition and portion (mg) Formulation 1 Formulation 2 Formulation 3 Formulation 4
Oxycodone hydrochloride hydrate 2.88 5.77 11.54 23.07
Citric acid hydrate 7.75 7.75 15.50 15.50
Sodium citrate hydrate 6.146 6.146 12.292 12.292
D-sorbitol solution (70%) 310.75 310.75 621.50 621.50
Xylitol 125.00 125.00 250.00 250.00
Acesulfame potassium 1.625 1.625 3.25 3.25
Sodium chloride 2.50 2.50 5.00 5.00
Sodium benzoate 1.00 1.00 2.00 2.00
P-hydroxybenzoic acid ethyl ester 0.075 0.075 0.15 0.15
Propylene glycol 2.50 2.50 5.00 5.00
Purified water Proper amount of Proper amount of Proper amount of Proper amount of
Total amount of 2.5mL 2.5mL 5mL 5mL
pH 4.0 4.0 4.0 4.0
An example of the method for producing the liquid composition of the present invention according to the formula 4 is shown in the following table 1.
15.50mg of citric acid hydrate, 12.292mg of sodium citrate hydrate, 3.25mg of acesulfame potassium, 5.00mg of sodium chloride, 2.00mg of sodium benzoate, 0.15mg of ethyl p-hydroxybenzoate, 5.00mg of propylene glycol, 250.00mg of xylitol and 621.50mg of D-sorbitol solution (70% solution) were added in this order to warm purified water according to the 17 th revision project of Japanese pharmacopoeia and oral liquid, and dissolved and cooled to room temperature.
23.07mg of oxycodone hydrochloride hydrate in an amount corresponding to 20mg of anhydrate was added and stirred at room temperature while being completely dissolved. Purified water was added thereto to adjust the total amount to 5.25g (corresponding to 5 mL). If necessary, a pH adjuster is added to adjust the pH to a predetermined pH.
Because oxycodone hydrochloride is an anesthetic, its use is limited, and in a formulation containing this component, it is not easy to perform a taste function test. Thus, regarding the formulations a to F used in test examples (1) and (2), oxycodone hydrochloride hydrate was replaced with right Sha Meifen (dextromethorphan) hydrobromide hydrate or quinine sulfate dihydrate in an amount exhibiting the same bitterness, and the formulations were produced in the same manner as in example 1, and taste functional tests in test examples (1) and (2) below were performed.
Test example (1): gustatory functional assay
Taste functional tests were performed with randomly selected male and female 21 as panelists. The liquid compositions of formulations A, B and C shown in table 2 were classified into "at the time of application" and "after taste", and the evaluation of "bitterness", "sweetness" and "sourness" was performed based on the evaluation criteria of table 3. The term "when applied" means "when contained in the mouth". Test sequence: (1) Each test specimen was rinsed 3 times with water (20-30 mL). (2) A predetermined amount (5 mL) of the test specimen was placed in the mouth for about 5 seconds (within 10 seconds), and the taste was evaluated and immediately discharged. (3) rinsing again with water (20-30 mL) 3 times. (4) evaluating aftertaste. (5) Finally, from among the 3, a preferred liquid formulation was selected in terms of the taste of the drug. The bitter taste of 2mg of right Sha Meifen hydrobromide hydrate was estimated to correspond to the bitter taste of 23.07mg of oxycodone hydrochloride hydrate (20 mg in terms of anhydrate) by the prior test using a taste sensor and taste function test. An example of the evaluation results is shown in table 4.
TABLE 2
Composition and portion (mg) Formula C Formulation A Formulation B
Right Sha Meifen hydrobromic acid salt solutionComposition 2.00 2.00 2.00
Citric acid hydrate 6.00 14.50 15.50
Sodium citrate hydrate - 13.50 12.00
L-glutamic acid 5.00 5.00 -
D-sorbitol solution (70%) 621.50 - 621.50
Xylitol 500.00 500.00 250.00
Acesulfame potassium 2.00 3.30 3.25
Sodium chloride 5.00 5.00 5.00
Sodium benzoate 2.00 2.00 2.00
P-hydroxybenzoic acid ethyl ester 0.15 0.15 0.15
Propylene glycol 5.00 5.00 5.00
Dilute hydrochloric acid Proper amount of - -
Purified water Proper amount of Proper amount of Proper amount of
Total amount of 5mL 5mL 5mL
pH 3.0 4.0 4.0
TABLE 3
Figure BDA0004113664620000111
TABLE 4
Figure BDA0004113664620000121
As is apparent from Table 4, the compositions of the present invention (formulas A and B) are preferred liquids in which bitterness was masked in taste-functional tests.
Test example (2): gustatory functional assay
Taste functional tests were performed with randomly selected male and female 21 as panelists. The liquid compositions of formulations D, E and F shown in table 5 were prepared in the same manner as the test procedure and evaluation standard of test example (1). By the prior test using a taste sensor and taste function test, it was estimated that the bitter taste of 0.75mg quinine sulfate dihydrate corresponds to the bitter taste of 23.07mg oxycodone hydrochloride hydrate (20 mg in terms of anhydrate). An example of the evaluation results is shown in table 6.
TABLE 5
Composition and portion (mg) Formula D Formula E Formula F
Quinine sulfate dihydrate 0.75 0.75 0.75
Citric acid hydrate 6.00 14.50 15.50
Sodium citrate hydrate - 13.50 12.00
L-glutamic acid 5.00 5.00 -
D-sorbitol solution (70%) 621.50 - 621.50
Xylitol 500.00 500.00 250.00
Acesulfame potassium 2.00 3.30 3.25
Sodium chloride 5.00 5.00 5.00
Sodium benzoate 2.00 2.00 2.00
P-hydroxybenzoic acid ethyl ester 0.15 0.15 0.15
Propylene glycol 5.00 5.00 5.00
Dilute hydrochloric acid Proper amount of - -
Purified water Proper amount of Proper amount of Proper amount of
Total amount of 5mL 5mL 5mL
pH 3.0 4.0 4.0
TABLE 6
Figure BDA0004113664620000131
As is apparent from Table 6, the compositions of the present invention (formulas E and F) are preferred liquids in which bitterness was masked in taste-functional tests.
The composition of the present invention has been developed as a pharmaceutical product in japan, and it is necessary to satisfy the allowable standards of the same level as those of other oxycodone immediate release formulations, in accordance with the storage stability of the pharmaceutical product formulated by the ministry of labour of the japanese thick living. Accordingly, various tests on the storage stability of the composition of the present invention were conducted, and the results thereof are shown below.
Test example (3): stability assessment test
Liquid compositions (oxycodone hydrochloride concentration 4.0 mg/mL) of the formulations G, H and I shown in Table 7 were prepared in the same manner as in example 1. The liquid compositions of the respective formulations were subjected to stability evaluation tests under the condition of storage at 80℃for 6 days (corresponding to storage at 25℃for 5.5 years). Regarding the evaluation items, the content of oxycodone hydrochloride hydrate, pH, total number of analogues and total amount of analogues were measured by the following test methods.
[ method for measuring oxycodone hydrochloride content ]
Measured by high performance liquid chromatography (internal standard method, isocratic) conditions. The oxycodone hydrochloride content is expressed as a ratio (%) of oxycodone hydrochloride after the stability test in the liquid composition of each formulation to oxycodone hydrochloride at the beginning.
[ method for measuring the amount of the analogue and the number of the analogue ]
The amount of analog was determined by high performance liquid chromatography (absolute standard curve method, gradient conditions). The amount of each analogue was calculated by comparing the peak area of the chromatogram of the sample solution with the peak area of oxycodone of the standard solution. The standard solution used was a 125-fold diluted sample solution. The sum of the amounts of each analogue expressed as a ratio (%) of the amount of each analogue to the amount of oxycodone hydrochloride in the liquid formulation composition is calculated, and the total amount of the analogue is expressed as a ratio (%) of the amount of all the analogues to the amount of oxycodone hydrochloride in the liquid formulation composition. In test examples (4) to (7) described below, the calculated content of each of the analogues was also represented by the ratio (%) of the amount of each of the analogues to the amount of oxycodone hydrochloride in the liquid formulation composition. Further, the number of peaks of the analogues detected in the chromatogram of each sample solution was measured as the total number of analogues.
TABLE 7
Composition and portion (mg) Formulation G Formula H Formula I
Oxycodone hydrochloride hydrate 23.07 23.07 23.07
Citric acid hydrate 6.00 14.50 15.50
Sodium citrate hydrate - 13.50 12.00
L-glutamic acid 5.00 5.00 -
D-sorbitol solution (70%) 621.50 - 621.50
Xylitol 500.00 500.00 250.00
Acesulfame potassium 2.00 3.30 3.25
Sodium chloride 5.00 5.00 5.00
Sodium benzoate 2.00 2.00 2.00
P-hydroxybenzoic acid ethyl ester 0.15 0.15 0.15
Propylene glycol 5.00 5.00 5.00
Dilute hydrochloric acid Proper amount of - -
Purified water Proper amount of Proper amount of Proper amount of
Total amount of 5mL 5mL 5mL
pH 3.0 4.0 4.0
TABLE 8
(n=1 each)
Figure BDA0004113664620000151
The oxycodone hydrochloride concentration in brackets
For one example of the results, the oxycodone hydrochloride hydrate content and pH are shown in table 8, and the total number of analogs and the total amount of analogs are shown in table 9.
TABLE 9
Average value (n=3)
Figure BDA0004113664620000161
The total number and amount of analogues do not include the analogues contained in the original drug.
As is apparent from tables 8 and 9, the liquid compositions of the present invention (formulations H and I) showed a stable pH in the stability evaluation test, a decrease in oxycodone hydrochloride hydrate content, and an increase in the total number of analogues and the total amount of analogues both suppressed.
Test example (4): rigorous test
With respect to the liquid compositions of formulas 1, 2, 3 and 4 shown in Table 1, a severe test was conducted under conditions of 60℃for 2 months (1 month of 60℃is equivalent to 4.2 years of 25 ℃) to determine the content of each analogue and the total amount of the analogue in the same manner as in test example (3). An example of the results is shown in table 10. In table 10, a plurality of values are recorded in 1 field of each analog content column, which indicates that a plurality of other kinds of analogs can be detected, for example, a case in which 3 analog contents are recorded in 1 field indicates that 3 analogs can be detected. The same applies to tables 11 and 12 described below.
TABLE 10
Figure BDA0004113664620000171
From table 10, it is apparent that the liquid compositions of formulas 1, 2, 3 and 4 were inhibited from producing the analogues in the above-mentioned severe test, and as a result, it was revealed that any of the number of analogues, the content of each analogue and the total amount of the analogues was inhibited.
Test example (5): acceleration test
The liquid compositions of formulas 1, 2, 3 and 4 shown in Table 1 were subjected to accelerated tests at 40℃and 75% RH for 10 months, and the content and total amount of each analogue were measured in the same manner as in test example (3). An example of the results is shown in Table 11.
TABLE 11
Figure BDA0004113664620000181
As apparent from table 11, the liquid compositions of formulas 1, 2, 3 and 4 were inhibited from producing the analogues in the above-mentioned acceleration test, and as a result, it was revealed that any of the number of analogues, the content of each analogue and the total amount of the analogues was inhibited.
Test example (6): long-term storage test
The liquid compositions of formulas 1, 2, 3 and 4 shown in Table 1 were subjected to long-term storage test at 25℃and 60% RH for 36 months, and the content and total amount of each analogue were measured in the same manner as in test example (3). An example of the results is shown in table 12.
TABLE 12
Figure BDA0004113664620000191
From table 12, it is apparent that the liquid compositions of formulas 1, 2, 3 and 4 were inhibited from producing the analogues in the above long-term storage test, and the results showed that any of the number of analogues, the content of each analogue and the total amount of the analogues was inhibited.
Test example (7): stability assessment test
Liquid formulations of formulas 5 to 16 (oxycodone hydrochloride concentration 4.0 mg/mL) shown in Table 13 were prepared in the same manner as in example 1. The liquid composition of each formulation was subjected to a stability evaluation test under the condition of storage at 80℃for 6 days (corresponding to storage at 25℃for 5.5 years), and the total number of analogues and the total amount of analogues were measured in the same manner as in test example (3). An example of the results is shown in table 14.
TABLE 13
Figure BDA0004113664620000201
TABLE 14
Figure BDA0004113664620000211
As is apparent from table 14, in the above-described stability evaluation test, the generation of the analogues was inhibited depending on the rise in pH of the liquid formulation composition in a predetermined range, and as a result, it was shown that any of the number of analogues, the content of each analogue and the total amount of the analogues was inhibited.
Test example (8): evaluation of bitterness masking by taste recognition device
The effect of pH on the bitter masking effect was evaluated according to the CPA (Change of membrane Potential causedby Adsorption) assay using a taste sensor of taste recognition device (TS-5000Z, manufactured by Smart sensor technology (Intelligent Sensor Technology), inc.).
The taste sensor detects, as a sensor output, a change in membrane potential of the lipid membrane due to electrostatic interaction or hydrophobic interaction with the taste substance. An example of a method for measuring bitterness using a taste sensor is shown below. First, the taste sensor is immersed in a solution called a reference solution to obtain a membrane potential Vr. Next, the test liquid is immersed in the taste sensor to obtain a membrane potential Vs. The resulting change in membrane potential (Vs-Vr) is referred to as the "relative value" of the 1 st sensor output, and corresponds to the front taste such as sour taste or salty taste. Then, after washing the taste sensor with the reference liquid, the taste sensor is immersed in the reference liquid again to obtain the membrane potential Vr'. The resulting change in the membrane potential (Vr' -Vr) is referred to as "CPA value" of the 2 nd sensor output, and corresponds to aftertaste such as bitterness or astringency.
However, the CPA value of oxycodone hydrochloride is difficult to measure, and thus the CPA value of a liquid composition containing oxycodone hydrochloride is estimated using a bitter taste standard substance (quinine sulfate) that can be used for measuring the CPA value. That is, the relative values of oxycodone hydrochloride and quinine sulfate were measured first, and the concentrations of both estimated to exhibit the same bitter taste were determined from the relative values of both. As a result, the CPA value was measured for a formulation containing quinine sulfate at a concentration estimated to exhibit a bitter taste equivalent to the oxycodone hydrochloride at the desired concentration, and the estimated value of the bitter taste was calculated.
(1) Determination of the relative values of oxycodone hydrochloride and quinine sulfate
The relative values (mV) of oxycodone hydrochloride and quinine sulfate were measured using a bitter taste sensor (BT 0 sensor) of a taste recognition device (TS-5000Z, manufactured by Smart sensor technologies Co., ltd.). From the results of the relative values of the two, as shown in Table 15, it was confirmed that the concentrations of quinine sulfate dihydrate which exhibited bitter taste equivalent to oxycodone hydrochloride of 1.0mg/mL, 2.0mg/mL and 4.0mg/mL were 0.037mg/mL, 0.058mg/mL and 0.094mg/mL, respectively.
TABLE 15
Figure BDA0004113664620000221
(2) Determination of CPA value for each formulation
From the results of the above (1), the CPA value (mV) of each liquid composition was measured using a bitterness sensor (BT 0 sensor) of a taste recognition apparatus (TS-5000Z, manufactured by Smart sensor technologies Co., ltd.) for each of the formulations X to Z of Table 16 containing quinine sulfate dihydrate 0.094mg/mL exhibiting a bitterness equivalent to 4.0mg/mL oxycodone hydrochloride, and the estimated value of bitterness (CPA value. Times.0.3) was calculated. An example of the results is shown in table 17.
TABLE 16
Composition and portion (mg) Formula X Formula Y Formulation Z
Quinine sulfate dihydrate 9.4 9.4 9.4
L-glutamic acid 250 250 250
D-sorbitol 5000 5000 5000
Xylitol 10000 10000 10000
Erythritol 7500 7500 7500
Sodium benzoate 40 40 40
P-hydroxybenzoic acid ethyl ester 3 3 3
Propylene glycol 100 100 100
Dilute hydrochloric acid Proper amount of Proper amount of Proper amount of
Purified water Proper amount of Proper amount of Proper amount of
Total amount of 100mL 100mL 100mL
pH 2.5 3.0 3.5
TABLE 17
Subject fluid Estimated value of bitterness (mV)
Formulation x 2.64
Formula Y 7.97
Formulation Z 14.00
Quinine sulfate dihydrate (0.094 mg/mL) 19.33
As is apparent from table 17, in the masking evaluation test by the above-mentioned bitterness sensor, it was revealed that the masking effect of bitterness was improved depending on the decrease in pH of the liquid formulation. The results of the masking evaluation test using the bitter taste sensor were confirmed to correlate with the results of the functional test performed by other methods.
Industrial applicability
As described above, the liquid formulation composition of the present invention containing oxycodone, a pharmaceutically acceptable salt thereof, or a hydrate thereof as an active ingredient can appropriately mask bitter taste by containing at least 3 additives selected from the group consisting of acesulfame potassium, xylitol, D-sorbitol, and L-glutamic acid as additives. In addition, by adjusting the pH of the liquid composition of the present invention to a range of 3.3 to 4.8, the formation of an analogue can be suppressed and stability can be ensured. The liquid composition of the present invention is highly useful as a therapeutic agent for pain in various cancer patients.

Claims (13)

1. A liquid composition comprising oxycodone, a pharmaceutically acceptable salt thereof, or a hydrate thereof as an active ingredient, wherein the bitterness of the active ingredient is masked.
2. The liquid formulation composition according to claim 1, which contains at least 3 selected from the group consisting of acesulfame potassium, xylitol, D-sorbitol, or L-glutamic acid as an additive.
3. The liquid formulation composition of claim 2, further comprising citric acid hydrate and/or sodium citrate hydrate as an additive.
4. A liquid formulation composition according to claim 2 or 3, further comprising sodium benzoate and/or ethyl parahydroxybenzoate as additives.
5. The liquid formulation of any one of claims 2-4, further comprising sodium chloride as an additive.
6. The liquid formulation of any one of claims 2-5, further comprising propylene glycol as an additive.
7. The liquid formulation according to any one of claims 1 to 6, having a pH of 3.3 to 4.8.
8. The liquid formulation according to any one of claims 1 to 7, wherein an analogue produced from the active ingredient over time is suppressed to a level below an allowable standard when a stability test of a pharmaceutical product formulated in the ministry of labour of japan is carried out.
9. The liquid composition according to claim 8, wherein the ratio of the amount of each of the analogues to the amount of the active ingredient is 0.2% or less, respectively, when the stability test of the pharmaceutical product by the Ministry of the Japanese Kokai is carried out.
10. The liquid composition according to claim 8 or 9, wherein the ratio of the total amount of the analogues to the amount of the active ingredient is 0.6% or less when a stability test of a pharmaceutical product formulated in the ministry of labour of thick living in japan is performed.
11. A method for stabilizing a liquid composition, characterized in that the production of an analogue in the liquid composition is suppressed by adjusting the pH of the liquid composition containing oxycodone, a pharmaceutically acceptable salt thereof, or a hydrate thereof as an active ingredient to 3.3 to 4.8.
12. The stabilization method according to claim 11, wherein the ratio of the amount of each of the analogues to the amount of the active ingredient is 0.2% or less, respectively.
13. The stabilization method according to claim 11 or 12, wherein a ratio of a total amount of analogues to an amount of the active ingredient is 0.6% or less.
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