CN1251758A - 口服崩解的药物制剂 - Google Patents
口服崩解的药物制剂 Download PDFInfo
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- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/495—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
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- A—HUMAN NECESSITIES
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- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/33—Heterocyclic compounds
- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/495—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
- A61K31/505—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim
- A61K31/519—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim ortho- or peri-condensed with heterocyclic rings
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- A61K9/00—Medicinal preparations characterised by special physical form
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- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61P15/00—Drugs for genital or sexual disorders; Contraceptives
- A61P15/10—Drugs for genital or sexual disorders; Contraceptives for impotence
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D401/00—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom
- C07D401/14—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom containing three or more hetero rings
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Abstract
本发明涉及化合物昔得那非(sildenafil)的新的药物制剂,特别是含有以其游离碱形式存在的昔得那非的迅速崩解口服剂型。
Description
本发明涉及化合物昔得那非(sildenafil)的新的药物制剂,特别是含有以其游离碱形式存在的昔得那非的迅速崩解口服剂型。
欧洲专利EP-B-0463756公开了并且要求保护化合物昔得那非(5-[2-乙氧基-5-(4-甲基哌嗪-1-基磺酰基)-苯基]-1,6-二氢-1-甲基-3-丙基吡唑并[4,3-d]嘧啶-7-酮)和其可药用盐。国际专利申请WO94/28902公开了并且要求保护其在治疗男性勃起机能障碍(阳痿)和女性性功能障碍中的用途。象大多数朝着人类医疗用途发展的化合物一样,对于此化合物,口服给药是优选的,为了达到这个目的并且能保证迅速吸收和好的生物利用度,可溶性盐是最初优选的;这使得人们选择了具有很好的溶解性并且无毒的柠檬酸盐,其已经进入临床试验阶段并且在一些国家已经被批准上市。
虽然经证明此化合物的柠檬酸盐能以常规的胶囊或片剂形式非常令人满意地给药,但是人们注意到此产品确实具有不可口的苦味。
对于一些给药,人们希望有能在口中迅速崩解的制剂。增加药物在口中的崩解速度有利于对一些病人给药,并且能提高活性组分的吸收速度。美国专利3885026和4134943公开了多孔并且能迅速崩解的片剂的实例。欧洲专利EP-B-0620728公开了强度增加的、多孔的、并且能迅速崩解的片剂。这类片剂是用可熔性粘合剂、崩解剂和挥发性成份制成的,其中挥发性成份在片剂组分压片后从片剂中挥发出去以形成多孔片剂。
上述快速崩解固体剂型的一个问题是,当剂型在口中崩解时病人会尝到药用活性组分的味道。对于一些药用活性组分,如果其味道仅有轻微的不适,通过使用甜味剂或调味剂来掩饰其味道,可使其被病人接受。然而,这一方法不能全部掩饰住昔得那非柠檬酸盐的味道。另一掩饰味道的方法是使用在口中能保护活性组分的聚合物包衣将活性组分封闭在微胶囊中;然而此技术即复杂成本又高,还会带来生物等效问题。WO96/13252公开了另一种方法,即将药用活性组分以难溶于水的形式使用。虽然这种方法在理论上是可行的,但是在实践中,通常难以找到使活性组分的溶解性低到在口中完全没有味道的形式,因为舌头甚至能感觉到非常少量的物质,尤其是具有强烈味道的物质。此外,为了使活性组分吸收到血液中,也需要在药物吞咽后活性组分的不溶形式能立即溶解。
根据本发明,我们惊奇地发现,昔得那非在其游离碱的形式下,在水以及唾液中具有非常小的溶解度,这使其特别适于以口服崩解的剂型使用,而基本上没有味道。此外,我们现在发现,出乎意料的是,昔得那非游离碱除了具有低的溶解度以外,还能从胃或胃肠道中被有效地吸收,并且这种制剂能向血浆提供与昔得那非柠檬酸盐口服液或昔得那非柠檬酸盐的常规片剂或胶囊基本上相同的活性组分水平。
因此,本发明提供了一种口服崩解的药物制剂,其中含有昔得那非游离碱和可药用载体。
特别优选的是口服崩解的药物制剂,其中含有昔得那非游离碱和能在口中迅速崩解的可药用载体。
本发明中使用的术语“迅速崩解”,对于口服药物制剂表示,片剂、囊剂或其它固体剂型在37℃的水中能在60秒或少于60秒的时间内崩解,优选5-10秒或更少。任何具体制剂的崩解度都可以用标准药学方法测定,例如在WO96/13252中描述的方法,和与其相似的、在英国专利1548022中描述的英国药典(B.P.)1973版的片剂崩解测试。这些测试方法在下面全文引用。
在本发明的一个具体实施方案中,可以使用水溶性粘合剂和挥发性组分制备含有昔得那非游离碱的迅速崩解口服固体剂型,其中挥发性成份在片剂组分混合并压片后从片剂中挥发出去以形成高度多孔的片剂。
在此实施方案中,片剂是按照EP-B-0620728中的方法制备的。此方法包括以下步骤(a)将水溶性及可熔性粘合剂、至少一种赋形剂、和昔得那非游离碱混合并压制成片,(b)将所说片剂中的粘合剂熔化,(c)使所说的粘合剂凝固。
用于增加片剂成品强度的水溶性及可熔性粘合剂通常的熔点是20-100℃,优选40-70℃。此粘合剂的熔点通常高于20℃,因为各组分的混合通常在此温度进行并且粘合剂在此混合温度应保持固体形态。当然,如果混合是在较低温度下进行的,在此混合温度能保持固体形态的熔点较低的粘合剂也可以使用。
粘合剂的熔点温度一般不高于100℃,因为粘合剂应当在药用活性组分的活性不受不利影响的温度下熔化。例如,粘合剂应当在低于药用活性组分以及任意含有的赋形剂分解的温度下熔化。
在本发明的这个实施方案的片剂中,水溶性及可熔性粘合剂加入的量为5%-40%重量比,优选8%-25%重量比,其中重量百分比是基于片剂的重量。应当避免加入过量的水溶性及可熔性粘合剂,因为片剂可能在熔化时变形,而如果粘合剂使用的量不足时,就不能获得所需的强度。
合适的水溶性及可熔性粘合剂包括分子量约为1500-约20000的聚乙二醇(PEG),如PEG 3350(熔点58℃)和PEG 8000(熔点62℃),蔗糖酯如蔗糖一硬脂酸酯(熔点49-56℃)和蔗糖一棕榈酸酯(熔点40-48℃),乙氧基化脂肪酸如聚氧乙烯(40)硬脂酸酯(熔点47℃)(Myrj-52S),乙氧基化醇如聚氧乙烯(23)月桂酸酯。这些可熔性及水溶性粘合剂使片剂在口中的崩解速度增加,例如小于10秒的快速崩解速度,以及快至1-5秒的崩解速度。
水溶性及可熔性粘合剂可以与一种或多种赋形剂和药用活性组分以任意顺序混合。粘合剂可以以干燥的形式或在合适的溶剂如乙醇、异丙醇或水中与其它组分混合。将溶解的粘合剂加到其它片剂组分中以形成湿颗粒。如果需要的话,昔得那非在湿颗粒干燥后加入。通常,在干燥的颗粒压制成片以前,将混合的片剂组分磨碎并且与片剂润滑剂混合。
用于本发明片剂中的赋形剂是本领域已知的常规赋形剂,即如Remington药物学(Pharmaceutical Sciences)第18版(1990)、特别是在第1633-1638页中描述的赋形剂。它们使制片前的片剂和片剂成品具有加工和压片所需的特性。赋形剂的实例有稀释剂、粘合剂、润滑剂、调味剂、和甜味剂。用于本发明的具体的稀释剂是水溶性稀释剂,例如甘露糖醇、木糖醇、蔗糖、乳糖、和氯化钠。适用于本发明的粘合剂,除了所用的水溶性及可熔性粘合剂以外,还有具有其粘合特性的粘合剂,包括淀粉、明胶、微晶纤维素和糖如蔗糖、葡萄糖、葡萄糖、右旋糖和乳糖。如上所清楚描述的,同一赋形剂可以在同一片剂中起不同的作用。
可以添加崩解剂以增加口服摄取后片剂的崩解速度。崩解剂的实例有纤维素如羧甲基纤维素、淀粉、粘土、藻胶、树胶和交联聚合物如交联聚乙烯吡咯烷酮(PVP-XL)。
在本发明此方面的具体实施方案中,片剂中含有挥发性组分。片剂组分混合以及压片后,通过在常压或减压条件下加热,将挥发性组分从片剂中挥发出去以形成多孔片剂。在一个优选的制备方法中,将片剂在连续氮气吹洗下加热到50-60℃直到挥发性组分全部经升华挥发出去。使用氮气吹洗有助于保护昔得那非在这些条件下免于降解,然而,对于50-55℃,也可使用空气吹洗。合适的挥发性组分包括能升华的物质例如甲醇、樟脑、尿素、和香草醛、以及在等于或低于粘合剂的熔点能分解的物质如碳酸氢铵。挥发性组分的用量为1%-95%重量比,这是基于混合的片剂组分的重量。例如,当使用碳酸氢铵时,其用量为50%-90%重量比,当使用甲醇时,其典型用量为30%-55%重量比。挥发性组分优选在熔化阶段挥发出去,即当压制成的片剂在粘合剂的熔点以上加热一段时间足以使可熔性粘合剂熔化并且除去挥发性组分时。当使用甲醇时,通过在真空中加热到约40℃来除去挥发性组分;当使用碳酸氢铵时,通过在真空中加热到60℃来除去挥发性组分。
用任一方法制备的片剂都可以包上一薄层包衣材料以改善片剂的表面整体性。合适的包衣材料包括二糖如蔗糖、多糖如麦芽糖糊精和果胶、和纤维素衍生物如羟丙基甲基纤维素和羟丙基纤维素,然而,任一包衣都应充分薄并且是水溶性的,以免妨碍片剂在口中的迅速崩解能力。
下面用实施例来更具体地描述本发明:实施例1
按照如下所示的欧洲专利EP-B-0620728中的方法,制备高度多孔的、能在口中迅速崩解的片剂:
将组分2、3、4和5混合并且用乙醇制成湿颗粒。将干燥的颗粒磨碎并且与组分1、6、7、8、9和10混合。最后,将组分11与得到的混合物混合。将最终的混合物压制成直径为12.7mm(0.5英寸)的片剂。将片剂在连续氮气吹洗下在50-60℃加热直到碳酸氢铵全部升华。
注解:(1)在最终的剂型中不含有成孔剂。(4)PEG 3350是一种可溶性聚乙二醇,熔点为58℃。在此片剂中用作可熔性粘合剂。(11)片剂润滑剂
组分 | mg/片 | |
1 | 昔得那非(游离碱) | 50.00 |
2 | 碳酸氢铵 | 308.00 |
3 | 甘露糖醇 | 44.7 |
4 | 聚乙二醇3350 | 5.6 |
5 | 羟丙基纤维素 | 11.2 |
6 | 糖精钠 | 3.6 |
7 | 可压缩的糖 | 19.00 |
8 | 二氧化硅 | 2.4 |
9 | 香蕉味香料 | 23.90 |
10 | 硬脂酰延胡索酸钠 | 4.8 |
11 | 硬脂酸镁 | 4.8 |
此片剂具有高度多孔的结构,口服给药时,在口中能迅速崩解并且具有可接受味道。实施例2
按照实施例1中的方法制备片剂,其中赋形剂以选自下面范围的量使用:
组分 | mg/片 | |
1 | 昔得那非(游离碱) | 50 |
2 | 碳酸氢铵 | 240-360 |
3 | 甘露糖醇 | 40-100 |
4 | 聚乙二醇3350 | 5-20 |
5 | 羟丙基纤维素 | 0-15 |
6 | 糖精钠 | 0-6 |
7 | 可压缩的糖 | 0-40 |
8 | 二氧化硅 | 0-5 |
9 | 香蕉味香料 | 0-50 |
10 | 硬脂酰延胡索酸钠 | 2-7 |
11 | 硬脂酸镁 | 2-7 |
获得了具有高度多孔的结构、口服给药时在口中能迅速崩解并且具有可接受味道的片剂。实施例3
按照实施例1中的方法制备片剂,其中赋形剂以选自下面范围的量使用:
组分 | mg/片 | |
1 | 昔得那非(游离碱) | 50 |
2 | 碳酸氢铵 | 240-360 |
3 | 甘露糖醇 | 40-100 |
4 | 聚乙二醇3350 | 5-20 |
5 | 羟丙基纤维素 | 0-15 |
6 | 硬脂酰延胡索酸钠 | 2-7 |
7 | 硬脂酸镁 | 2-7 |
获得了具有高度多孔的结构、口服给药时在口中能迅速崩解并且具有可接受味道的片剂。崩解速度的测定仪器
一根玻璃管或合适的塑料管,管长80-100mm,内径28mm,外径30-31mm,在底部末端安装上符合No.1.70筛要求的不锈金属丝网圆盘(英国药典(B.P.)1973版第A136页),以形成吊篮。
一个玻璃圆筒,具有平底,内径约为45mm,其中含有水并且至少15cm深,水温为36-38℃。
将吊篮悬浮在圆筒中央,使其能以恒定的方式上下重复移动,在最高处金属丝网正好接触到水面,在最低处吊篮的上边缘正好保持在水的澄清部位。方法
将一个药片放置在吊篮中,将吊篮以每分钟完成上下移动重复30次的速度上下移动。当金属丝网上面没有任何颗粒时,剂型崩解完全。
Claims (9)
1.口服崩解的药物制剂,其中含有昔得那非游离碱和可药用载体。
2.根据权利要求1的口服崩解的药物制剂,其中含有昔得那非游离碱和在口中能迅速崩解的可药用载体。
3.根据权利要求2的药物制剂,其中所说的制剂是按照包括如下步骤的方法制备的:(a)将水溶性及可熔性粘合剂、至少一种赋形剂、和昔得那非游离碱混合并压制成片,(b)将所说片剂中的粘合剂熔化,(c)使所说的粘合剂凝固。
4.根据权利要求3的药物制剂,其中所说的粘合剂是聚乙二醇、蔗糖酯、乙氧基化脂肪酸或乙氧基化醇。
5.根据权利要求3的药物制剂,其中所说的步骤(a)包括与在压片步骤后从片剂中除去的挥发性组分混合。
6.根据权利要求5的药物制剂,其中所说的挥发性组分是碳酸氢铵。
7.治疗人性功能障碍的方法,包括用如权利要求1所述的口服崩解的药物制剂给药,并且让所说的制剂在口中崩解。
8.根据权利要求7的方法,其中将药物制剂对男性阳痿患者给药。
9.根据权利要求7的方法,其中将药物制剂对女性给药。
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DE2246013A1 (de) * | 1972-09-20 | 1974-03-28 | Boehringer Mannheim Gmbh | Verfahren zur herstellung von poroesen tabletten |
US5624677A (en) * | 1995-06-13 | 1997-04-29 | Pentech Pharmaceuticals, Inc. | Controlled release of drugs delivered by sublingual or buccal administration |
DE19532142A1 (de) * | 1995-08-31 | 1997-03-06 | Siemens Ag | Verfahren und Vorrichtung zur Regelung eines vierdimensionalen Vektors einer Strecke mittels eines wertediskreten Stellgliedes mit begrenzter Schaltfrequenz |
GB9523752D0 (en) * | 1995-11-21 | 1996-01-24 | Pfizer Ltd | Pharmaceutical formulations |
WO1998053819A1 (fr) * | 1997-05-29 | 1998-12-03 | Mochida Pharmaceutical Co., Ltd. | Agent therapeutique destine a traiter l'anerection |
TW542719B (en) * | 1998-02-23 | 2003-07-21 | Pfizer Res & Dev | Method of treating impotence due to spinal cord injury |
US6124461A (en) * | 1998-05-26 | 2000-09-26 | Saint Louis University, Health Services Center, Research Administration | Compounds, compositions, and methods for treating erectile dysfunction |
AU3744800A (en) * | 1999-03-16 | 2000-10-04 | Pentech Pharmaceuticals, Inc. | Controlled release of sildenafil delivered by sublingual or buccal administration |
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Cited By (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN105769887A (zh) * | 2014-12-23 | 2016-07-20 | 上海星泰医药科技有限公司 | 一种复方果糖二磷酸钠果糖口崩片及其制备方法 |
CN105769887B (zh) * | 2014-12-23 | 2019-04-30 | 上海复星星泰医药科技有限公司 | 一种复方果糖二磷酸钠果糖口崩片及其制备方法 |
CN114246835A (zh) * | 2022-01-05 | 2022-03-29 | 河北龙海药业有限公司 | 一种枸橼酸西地那非口腔崩解片的制备方法 |
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