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CN111603439A - A kind of long-acting epipiprazole in situ phase change gel injection and preparation method thereof - Google Patents

A kind of long-acting epipiprazole in situ phase change gel injection and preparation method thereof Download PDF

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CN111603439A
CN111603439A CN202010510812.6A CN202010510812A CN111603439A CN 111603439 A CN111603439 A CN 111603439A CN 202010510812 A CN202010510812 A CN 202010510812A CN 111603439 A CN111603439 A CN 111603439A
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唐彬
彭可垄
刘丽
孙宁宁
岳涛
田彦忻
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Abstract

本发明提供了一种长效依匹哌唑原位相变凝胶注射剂及其制备方法。该原位相变凝胶注射剂,是以磷脂为基质将水难溶性药物依匹哌唑溶解在NMP中制成可注射给药的缓释制剂,具有优良的物理及化学稳定性,药物释放时间可维持长达2个月。另外,其制备工艺简单、设备要求低,适合工业化生产。The invention provides a long-acting epipiprazole in-situ phase-change gel injection and a preparation method thereof. The in-situ phase-change gel injection is prepared by dissolving the poorly water-soluble drug epipiprazole in NMP with phospholipid as a matrix to prepare an injectable sustained-release preparation. It has excellent physical and chemical stability, and the drug release time Can last up to 2 months. In addition, the preparation process is simple, the equipment requirements are low, and it is suitable for industrial production.

Description

一种长效依匹哌唑原位相变凝胶注射剂及其制备方法A kind of long-acting epipiprazole in situ phase change gel injection and preparation method thereof

技术领域technical field

本发明属于医药制剂领域,具体涉及一种稳定的可持续释放的依匹哌唑原位相变凝胶注射剂。The invention belongs to the field of pharmaceutical preparations, in particular to a stable and sustainable release epipiprazole in-situ phase change gel injection.

背景技术Background technique

依匹哌唑(brexpiprazole)是丹麦灵北与日本大冢制药公司联合开发的首个多巴胺、部分5-HT1A受体激动剂以及5-HT2A受体拮抗剂化合物,被认为是继阿立哌唑之后的又一重磅品种,有更好的疗效和耐受性,其片剂已于2015年8月获FDA批准上市,主要用于精神分裂症及辅助治疗重度抑郁症。然而,针对精神病类患者而言,口服片剂的用药依从性非常差,进一步导致该类疾病的高复发率。Epiprazole (brexpiprazole) is the first dopamine, partial 5-HT1A receptor agonist and 5-HT2A receptor antagonist compound jointly developed by Lundbeck of Denmark and Otsuka Pharmaceutical Company of Japan. Another blockbuster variety after that has better efficacy and tolerance. Its tablets were approved by the FDA in August 2015, and are mainly used for schizophrenia and adjuvant treatment of major depression. However, for psychiatric patients, the medication compliance of oral tablets is very poor, which further leads to a high recurrence rate of this type of disease.

长效注射剂能够显著改善精神病患者的用药依从性差的问题。通过注射方式给药,使医生和照顾者容易发现患者是否漏注射药物;同时,长效注射剂药物的半衰期往往较长,可减轻患者每日服药的负担,使持续治疗更简单。目前已经上市的阿立哌唑长效注射剂(Abilify Maintena、Aristada和Aristada Initio)可1月或2月注射一次,临床中越来越受到医生和患者的青睐。然而,目前依匹哌唑尚无长效注射剂上市,开发一种能够持续释放的依匹哌唑长效注射剂具有非常广阔的应用前景和巨大的商业价值。Long-acting injections can significantly improve the problem of poor medication adherence in psychiatric patients. Administration by injection makes it easy for doctors and caregivers to find out whether patients have missed injections; at the same time, long-acting injection drugs tend to have a longer half-life, which can reduce the burden of daily medication for patients and make continuous treatment simpler. Aripiprazole long-acting injections (Abilify Maintena, Aristada, and Aristada Initio) that are currently on the market can be injected once in January or February, and are increasingly favored by doctors and patients in clinical practice. However, there is no long-acting injection of epipiprazole currently on the market, and the development of a long-acting injection of epipiprazole with sustained release has a very broad application prospect and great commercial value.

目前,国内外针对依匹哌唑布局的长效注射剂专利不多,主要以原研厂家大冢制药为主。涉及依匹哌唑不同缓释机理的长效注射剂专利有CN104254530、CN107536802、CN108186556,这些专利公开的依匹哌唑长效注射剂的技术可分为两种类型:1)具有特定粒径和晶型的水悬浮液;2)具有特定粒径的凝胶组合物。At present, there are not many long-acting injection patents for the layout of epipiprazole at home and abroad, mainly from the original manufacturer Otsuka Pharmaceutical. There are CN104254530, CN107536802, CN108186556 patents for long-acting injections involving different sustained-release mechanisms of epipiprazole. The technologies for long-acting injections of epipiprazole disclosed in these patents can be divided into two types: 1) with specific particle size and crystal form 2) a gel composition with a specific particle size.

CN104254530和CN107536802公开的依匹哌唑水悬浮液与已上市的AbilifyMaintena设计原理相同,其以依匹哌唑二水合物为原料,通过湿球磨将产品粒径控制在一定范围内,进而达到长效的目的。动物试验数据显示,该长效剂型进行肌肉注射,依匹哌唑可持续释放约1个月。The epipiprazole aqueous suspension disclosed by CN104254530 and CN107536802 has the same design principle as the marketed AbilifyMaintena. It uses epipiprazole dihydrate as raw material, and controls the particle size of the product within a certain range through wet ball milling, thereby achieving long-term effects. the goal of. The animal test data shows that the long-acting dosage form is injected intramuscularly, and the epipiprazole can be released continuously for about 1 month.

CN108186556公开一种含阿立哌唑或依匹哌唑的凝胶组合物专利,该凝胶组合物将具有特定粒径的依匹哌唑悬浮至载体溶液,随后粉碎至所需产品粒径,进而形成凝胶状混悬体系,可肌肉注射或皮下注射。该制剂给药周期可达1月一次、2月或3月一次。但该专利实施例中仅公开了阿立哌唑的动物试验数据,并未公开依匹哌唑可以实现长效释放的相关数据。CN108186556 discloses a patent for a gel composition containing aripiprazole or epipiprazole, the gel composition suspends epipiprazole with a specific particle size in a carrier solution, and then pulverizes to a desired product particle size, Then a gel-like suspension system is formed, which can be injected intramuscularly or subcutaneously. The formulation can be administered once a month, once every two months, or once every three months. However, only the animal test data of aripiprazole is disclosed in the patent examples, and the relevant data that epipiprazole can achieve long-acting release is not disclosed.

但是,经研究发现,大冢制药公司的上述专利技术存在如下问题:However, after research, it is found that the above-mentioned patented technology of Otsuka Pharmaceutical Company has the following problems:

1)稳定性差:无论是水悬浮液,还是凝胶组合物,依匹哌唑均无法完全溶解,在混悬体系中颗粒容易聚集。以已上市的Abilify Maintena为例,由于阿立哌唑悬浮液不稳定,因此需要冻干后复溶,以防止颗粒聚集沉淀。1) Poor stability: Whether it is an aqueous suspension or a gel composition, epipiprazole cannot be completely dissolved, and the particles are easily aggregated in the suspension system. Taking the marketed Abilify Maintena as an example, since the aripiprazole suspension is unstable, it needs to be reconstituted after lyophilization to prevent particle aggregation and precipitation.

2)原料药要求高:悬浮型注射剂的长效机制主要由产品粒径决定,因此需要严格控制原料药的粒径,如Abilify Maintena等产品除粒径要求外,还需要控制原料药的晶型。此外,悬浮型注射剂通常需要无菌原料,原料成本将显著增加。2) High requirements for APIs: The long-acting mechanism of suspension injections is mainly determined by the particle size of the product, so it is necessary to strictly control the particle size of the API, such as Abilify Maintena and other products, in addition to the particle size requirements, it is also necessary to control the crystal form of the API . In addition, suspension injections usually require sterile raw materials, and the cost of raw materials will increase significantly.

3)工艺复杂,设备要求高:上述专利的制备方法均须先制备依匹哌唑载体溶液,然后通过无菌球湿磨或高压匀浆等方式将产品粒度控制在目标范围内。生产工艺相对复杂,需要球磨机等特殊设备,生产成本增加。3) The process is complex and the equipment requirements are high: the preparation methods of the above patents must first prepare the epipiprazole carrier solution, and then control the product particle size within the target range by means of sterile ball wet milling or high-pressure homogenization. The production process is relatively complicated, requiring special equipment such as ball mills, and the production cost increases.

4)释放时间与现有制剂相比无显著优势:依匹哌唑悬浮液的释放时间约为30天,尽管专利CN108186556称其凝胶组合物给药周期可达2个月一次或3个月一次,但该专利未提供依匹哌唑凝胶组合物的动物实验数据,其实际释放时间并不明了。4) There is no significant advantage in release time compared with existing formulations: the release time of epipiprazole suspension is about 30 days, although patent CN108186556 claims that the administration cycle of its gel composition can be up to 2 months or 3 months Once, but the patent does not provide animal experimental data of the epipiprazole gel composition, and its actual release time is not clear.

CN107213136、CN106963746和CN106822039公开了一种依匹哌唑长效注射剂,该专利采用PLGA微球为载体的长效技术,该技术的载药量普遍偏低,其制备工艺需要使用如二氯甲烷等有毒有害的有机溶剂,溶剂残留的风险高;此外,尽管该专利公布了少量的依匹哌唑实施例,但缺乏相应的体内试验数据支持达到长效的效果。CN107213136, CN106963746 and CN106822039 disclose a kind of long-acting injection of epipiprazole. The patent adopts the long-acting technology of PLGA microspheres as the carrier. Toxic and harmful organic solvents, the risk of solvent residues is high; in addition, although the patent discloses a small amount of epipiprazole examples, there is a lack of corresponding in vivo test data to support long-term effects.

原位相变凝胶技术是制备长效注射剂的另一种有效手段,其注射后能形成固定不流动的药物储库,进而达到药物持续释放的目的。在广泛研究的原位相变凝胶中,磷脂凝胶具有很大的优势,主要由于磷脂凝胶具有资源丰富、无毒、生物相容性好、可注射给药等多重优点。In situ phase change gel technology is another effective method for preparing long-acting injections, which can form a fixed and immobile drug reservoir after injection, thereby achieving the purpose of sustained drug release. Among the widely studied in situ phase change gels, phospholipid gels have great advantages, mainly due to the multiple advantages of phospholipid gels, such as abundant resources, non-toxicity, good biocompatibility, and injectable administration.

专利CN102526753B公布了一种以磷脂为基质的原位相变凝胶缓释系统及其制备方法。该专利方法实质是对CN101027065A方法的改进,用乙醇替换了CN101027065A中的丙二醇而溶解磷脂,并加入了注射用油以降低乙醇用量而减少刺激性。该专利公开的药物不包括依匹哌唑,大多数实施例得到的凝胶剂均为乳黄色不透明液体,推测药物可能并未溶解完全。本发明人尝试将依匹哌唑按照专利CN102526753B中实施例12公布的处方剂进行试验,只能获得乳黄色悬浊液。Patent CN102526753B discloses an in-situ phase-change gel sustained-release system with phospholipids as a matrix and a preparation method thereof. The patented method is essentially an improvement to the method of CN101027065A, replacing propylene glycol in CN101027065A with ethanol to dissolve phospholipids, and adding oil for injection to reduce the amount of ethanol and reduce irritation. The medicine disclosed in this patent does not include epipiprazole, and the gel obtained in most of the examples is a milky yellow opaque liquid, and it is speculated that the medicine may not be completely dissolved. The inventors tried to test epipiprazole according to the formulation disclosed in Example 12 of the patent CN102526753B, and only a milky yellow suspension could be obtained.

专利CN107049932A公开一种由磷脂/司盘/乙醇组成的相变凝胶。该凝胶的处方中添加了部分司盘(如司盘80),从而缩短了磷脂凝胶遇水后的相变时间,使其能够“即刻固化”,从而减少药物突释现象。其中的依匹哌唑凝胶实施例,大鼠体内试验显示释放时间可持续25天,但是对于依匹哌唑这样的难溶性药物,采用该处方的凝胶同样存在药物无法完全溶解的问题,如实施例3的凝胶为乳黄色悬浊液,具有粘度大,流动性较差的问题。Patent CN107049932A discloses a phase change gel composed of phospholipid/span/ethanol. Part of Span (such as Span 80) is added to the formulation of the gel, which shortens the phase transition time of the phospholipid gel after it meets water, so that it can be "immediately solidified", thereby reducing the phenomenon of drug burst release. Wherein the epipiprazole gel embodiment, the rat in vivo test shows that the release time can last for 25 days, but for the insoluble medicine such as epipiprazole, the gel of this prescription also has the problem that the medicine cannot be completely dissolved, For example, the gel of Example 3 is a milky yellow suspension, which has the problems of high viscosity and poor fluidity.

CN103705442B、CN103705439B、CN108567736A、CN103816111B和CN103179951B,公开了以乙醇作为有机溶剂制备凝胶的方法。本发明人研究发现,对于难溶性药物如依匹哌唑,乙醇作凝胶体系的溶剂并不适用。此外,上述专利的方法大多通过较高浓度的磷脂以实现药物的持续释放。尽管高浓度磷脂可能带来良好的缓释效果,但磷脂浓度过高可能造成产品粘度过大、流动性差进而导致注射困难;同时,过高的磷脂浓度也可能带来产品的稳定性风险,增加产品出现析晶的概率。CN103705442B, CN103705439B, CN108567736A, CN103816111B and CN103179951B disclose methods for preparing gel by using ethanol as an organic solvent. The inventors have found that, for poorly soluble drugs such as epipiprazole, ethanol is not suitable for the solvent of the gel system. In addition, most of the methods of the above-mentioned patents use higher concentrations of phospholipids to achieve sustained drug release. Although high concentrations of phospholipids may bring good sustained-release effects, too high concentrations of phospholipids may lead to excessive viscosity and poor fluidity of the product, which may lead to difficulty in injection; The probability that the product will crystallize.

CN102008728B和CN104661648B公开了一种以磷脂和NMP配伍的原位凝胶体系,该体系由磷脂、含氧有机溶剂(内酰胺、NMP和二甲基亚砜)、二酰基脂质和/或生育酚构成。然而,根据专利CN102008728B公开的实施例4和实施例12可知,该制剂存在稳定性差的风险。实施例4显示,所述的制剂在需在使用前立即混合,因为药物没有完全溶于PC/GDO/EtOH系统,得到的是一种含难溶性活性成分的混悬液。从实施例12可知,贮库前体制剂在储存过程中会发生析晶且温度越低越容易析出,在25℃下的稳定时间也仅为2周,表明其制剂的稳定性存在风险。CN104661648B公开的凝胶液体属于即施即用型,稳定性差,且遇水产生的固化凝胶是液晶状的。此外,上述专利公开的内容中未包含依匹哌唑实施例方案。本发明人按照CN102008728B的实施例9和专利CN104661648B的实施例11(A24)的处方,尝试以依匹哌唑作为药物活性成分制备磷脂凝胶,但只能得到悬浊液,且静置后可见明显分层。CN102008728B and CN104661648B disclose an in-situ gel system with phospholipids and NMP, the system is composed of phospholipids, oxygenated organic solvents (lactam, NMP and dimethyl sulfoxide), diacyl lipids and/or tocopherols constitute. However, according to Example 4 and Example 12 disclosed in the patent CN102008728B, it is known that this formulation has the risk of poor stability. Example 4 shows that the formulation needs to be mixed immediately before use because the drug is not completely dissolved in the PC/GDO/EtOH system, resulting in a suspension containing a poorly soluble active ingredient. It can be seen from Example 12 that the depot precursor formulation will crystallize during storage and the lower the temperature, the easier it is to precipitate, and the stability time at 25°C is only 2 weeks, indicating that the stability of the formulation is at risk. The gel liquid disclosed in CN104661648B belongs to the ready-to-use type, with poor stability, and the solidified gel produced in contact with water is liquid crystal. In addition, the content disclosed in the above-mentioned patent does not include the embodiment scheme of epipiprazole. According to the prescription of Example 9 of CN102008728B and Example 11 (A24) of patent CN104661648B, the inventor tried to prepare phospholipid gel with ipipiprazole as the active pharmaceutical ingredient, but only a suspension can be obtained, and it can be seen after standing Clearly layered.

经本发明人研究发现,以N-甲基-2-吡咯烷酮(NMP)作为生物相容性溶剂不但能实现与磷脂的配伍,更好解决难溶性药物依匹哌唑溶解度差的关键问题。特别是,研究意外发现,采用低浓度磷脂为基质制备的凝胶具有粘度低、流动性好的优点,易于注射;更令人振奋的是,以低浓度磷脂制备的凝胶注射剂同样显示出了明显的长效功能。The inventors have found that using N-methyl-2-pyrrolidone (NMP) as a biocompatible solvent can not only achieve compatibility with phospholipids, but also better solve the key problem of poor solubility of the poorly soluble drug epipiprazole. In particular, the study unexpectedly found that the gel prepared with low-concentration phospholipids has the advantages of low viscosity, good fluidity, and is easy to inject; more excitingly, the gel injection prepared with low-concentration phospholipids also showed Obvious long-lasting function.

发明内容SUMMARY OF THE INVENTION

本发明的目的是提供一种改良的可持续释放的依匹哌唑原位相变凝胶注射剂,该凝胶注射剂解决了现有长效原位凝胶技术存在的可注射性差、稳定性欠佳、释放时间有限的问题,特别适用于难溶性药物依匹哌唑的长效原位凝胶注射剂。The object of the present invention is to provide an improved sustainable release epipiprazole in situ phase change gel injection, which solves the problems of poor injectability and poor stability of the existing long-acting in situ gel technology. It is particularly suitable for the long-acting in situ gel injection of the poorly soluble drug epipiprazole.

为实现本发明的目的,提供如下实施方案。In order to achieve the purpose of the present invention, the following embodiments are provided.

在一实施方案中,本发明的一种长效依匹哌唑原位相变凝胶注射剂,包含药物活性成分依匹哌唑、凝胶基质磷脂、生物相容性溶剂N-甲基-2-吡咯烷酮和注射用油。In one embodiment, a long-acting epipiprazole in situ phase-change gel injection of the present invention comprises a pharmaceutical active ingredient epipiprazole, a gel matrix phospholipid, and a biocompatible solvent N-methyl-2 - Pyrrolidone and oil for injection.

在一优选实施方案中,本发明的长效依匹哌唑原位相变凝胶注射剂,其特征在于:重量百分比为:依匹哌唑2%~10%、磷脂5%~40%、N-甲基-2-吡咯烷酮30%~80%和注射用油为10%~40%;优选的,依匹哌唑4%~8%、磷脂10%~25%、N-甲基-2-吡咯烷酮40%~55%和注射用油为18%~40%。In a preferred embodiment, the long-acting epipiprazole in situ phase change gel injection of the present invention is characterized in that: the weight percentages are: epipiprazole 2%-10%, phospholipid 5%-40%, N -30%~80% of methyl-2-pyrrolidone and 10%~40% of oil for injection; preferably, 4%~8% of epipiprazole, 10%~25% of phospholipids, Pyrrolidone 40%~55% and injection oil 18%~40%.

上述本发明的原位相变凝胶剂,所述磷脂选自天然磷脂、半合成磷脂和合成磷脂中的一种或多种;所述注射用油选自大豆油、玉米油、芝麻油、棉籽油和中碳链脂肪酸甘油酯中的一种或多种。In the above-mentioned in-situ phase change gel of the present invention, the phospholipid is selected from one or more of natural phospholipids, semi-synthetic phospholipids and synthetic phospholipids; the injection oil is selected from soybean oil, corn oil, sesame oil, cottonseed One or more of oil and medium chain fatty acid glycerides.

在优选的实施方案中,上述本发明的长效注射依匹哌唑原位相变凝胶剂,所述磷脂为天然磷脂;更优选的,所述天然磷脂选自大豆磷脂、蛋黄卵磷脂和它们的混合物,所述注射用油为中链甘油三酸酯。In a preferred embodiment, in the above-mentioned long-acting injection epipiprazole in situ phase change gel of the present invention, the phospholipid is a natural phospholipid; more preferably, the natural phospholipid is selected from soybean phospholipid, egg yolk lecithin and A mixture thereof, the oil for injection is a medium chain triglyceride.

在另一实施方案中,本发明还提供了一种制备上述本发明的长效注射依匹哌唑原位相变凝胶剂的方法,包括以下步骤:In another embodiment, the present invention also provides a method for preparing the above-mentioned long-acting injection epipiprazole in situ phase change gel of the present invention, comprising the following steps:

1)将依匹哌唑溶解于N-甲基-2-吡咯烷酮,配制成依匹哌唑溶液;1) Dissolving epipiprazole in N-methyl-2-pyrrolidone to prepare an epipiprazole solution;

2)依次加入磷脂、注射用油,搅拌至完全溶解;2) Add phospholipids and oil for injection in turn, and stir until completely dissolved;

3)所得溶液经0.22μm滤膜过滤除菌后,即得。3) The obtained solution is sterilized by filtration through a 0.22 μm filter membrane, and then it is obtained.

优选的,上述本发明的方法,所述磷脂为大豆磷脂、蛋黄卵磷脂或它们的混合物,所述注射用油为中链甘油三酸酯。Preferably, in the above method of the present invention, the phospholipid is soybean lecithin, egg yolk lecithin or a mixture thereof, and the oil for injection is medium chain triglyceride.

本发明提供的长效依匹哌唑原位相变凝胶注射剂与现有技术中公开的磷脂凝胶剂存在显著差异。CN102008728B和CN104661648B公开的磷脂凝胶中采用了特定的二酰基脂质(二油酸甘油酯,GDO),本发明人研究发现难溶性药物依匹哌唑并不适用于该油脂体系,依匹哌唑无法完全溶解,但采用本发明的中链甘油三酸酯调节可获得澄清透明的溶液,长时间放置甚至4000rpm离心处理也未见分层,克服了悬浮液型注射剂颗粒易聚集的缺点,物理稳定性更优。The long-acting epipiprazole in situ phase-change gel injection provided by the present invention is significantly different from the phospholipid gels disclosed in the prior art. The phospholipid gels disclosed by CN102008728B and CN104661648B use specific diacyl lipids (glycerol dioleate, GDO). The inventors have found that the poorly soluble drug epipiprazole is not suitable for this oil system. The azole cannot be completely dissolved, but a clear and transparent solution can be obtained by adjusting the medium-chain triglyceride of the present invention, and no layering can be seen even after being placed for a long time even in 4000 rpm centrifugation treatment, which overcomes the shortcoming of easy aggregation of suspension-type injection particles. Better stability.

特别令人惊奇的是,按本发明的技术方案制备的依匹哌唑相变凝胶还具有出乎意料的化学稳定性。在40℃/75%RH和25℃/60%RH的条件下放置3月,依匹哌唑的含量未见明显变化。It is particularly surprising that the epipiprazole phase change gel prepared according to the technical solution of the present invention also has unexpected chemical stability. Under the conditions of 40°C/75%RH and 25°C/60%RH for 3 months, the content of epipiprazole did not change significantly.

本发明的依匹哌唑原位相变凝胶剂具有粘度低的优点,与现有技术的高磷脂浓度凝胶相比,具有更优的流动性和可注射性,尤其适合开发成注射剂,以满足服药依从性差的精神类疾病患者的临床治疗。The epipiprazole in-situ phase change gel of the present invention has the advantages of low viscosity, and compared with the prior art high phospholipid concentration gel, it has better fluidity and injectability, and is especially suitable for being developed into an injection. To meet the clinical treatment of psychiatric patients with poor medication compliance.

本发明提供的难溶性药物依匹哌唑原位相变凝胶注射剂具有显著的易于制造的优势。由于难溶性药物依匹哌唑在该体系中可以完全溶解,因此对依匹哌唑原料药无粒径控制要求,并可采用非无菌原料直接进行生产;此外,本发明的依匹哌唑原位相变凝胶剂,其制备过程仅涉及简单的溶解、混合、分装等过程,工艺简单,无球磨、冻干等特殊工艺,设备要求低,具有操作简单、易控制且生产成本低的优势。The in-situ phase-change gel injection of the poorly soluble drug epipiprazole provided by the invention has the obvious advantage of being easy to manufacture. Since the poorly soluble drug epipiprazole can be completely dissolved in this system, there is no particle size control requirement for the epipiprazole bulk drug, and non-sterile raw materials can be used for direct production; in addition, the epipiprazole of the present invention In-situ phase change gel, the preparation process only involves simple processes such as dissolution, mixing, and sub-packaging. The process is simple, without special processes such as ball milling and freeze-drying. The advantages.

现有技术的长效凝胶注射剂需要较高浓度的磷脂才可以维持药物的缓释效果,且药物持续释放时间大多限于1个月以内。而本发明的依匹哌唑原位相变凝胶注射剂,即使在低浓度的磷脂比例下也具有明显的缓释作用。体内试验研究显示,本发明的长效依匹哌唑磷脂相变凝胶剂在体内可持续释放约2个月,缓释效果显著。The long-acting gel injections of the prior art require a relatively high concentration of phospholipids to maintain the sustained-release effect of the drug, and the sustained-release time of the drug is mostly limited to within one month. However, the epipiprazole in situ phase change gel injection of the present invention has an obvious sustained-release effect even at a low-concentration phospholipid ratio. In vivo test studies show that the long-acting epipiprazole phospholipid phase-change gel of the present invention can be continuously released in vivo for about 2 months, and the sustained-release effect is remarkable.

附图说明Description of drawings

图1为本发明的依匹哌唑原位变相凝胶注射剂外观,其中A为实施例1的凝胶注射剂A的外观,B为实施例2的凝胶注射剂B的外观;Fig. 1 is the appearance of the epipiprazole in situ disguised gel injection of the present invention, wherein A is the appearance of the gel injection A of Example 1, and B is the appearance of the gel injection B of Example 2;

图2为对比依匹哌唑/磷脂凝胶外观,其中A为按CN102526753B实施例12所制备的依匹哌唑/磷脂凝胶外观,B为按CN107049932A实施例3所制备的依匹哌唑/磷脂凝胶外观,C为按CN102008728B实施例9所制备的依匹哌唑/磷脂凝胶外观,D为按CN104661648B实施例11所制备的依匹哌唑/磷脂凝胶外观;Fig. 2 compares the appearance of epipiprazole/phospholipid gel, wherein A is the appearance of the epipiprazole/phospholipid gel prepared according to the embodiment 12 of CN102526753B, and B is the appearance of the epipiprazole/phospholipid gel prepared according to the embodiment 3 of CN107049932A The appearance of the phospholipid gel, C is the appearance of the epipiprazole/phospholipid gel prepared according to the embodiment 9 of CN102008728B, and D is the appearance of the epipiprazole/phospholipid gel prepared according to the embodiment 11 of the CN104661648B;

图3为依匹哌唑/大豆磷脂凝胶经离心处理后的样品外观;Fig. 3 is the sample appearance of epipiprazole/soybean phospholipid gel after centrifugation;

图4表示用1ml注射器及26G针头将依匹哌唑/大豆磷脂凝胶注入0.01M PBS中的相变现象;Figure 4 shows the phase transition phenomenon of epipiprazole/soybean phospholipid gel injected into 0.01M PBS with a 1ml syringe and a 26G needle;

图5为依匹哌唑相变凝胶经大鼠皮下注射后的药时曲线。Figure 5 is the drug-time curve of the epipiprazole phase change gel after subcutaneous injection in rats.

具体实施方式Detailed ways

以下实施例仅是代表性的,以进一步详细阐明和理解本发明的精神实质,但不以此限制本发明的范围。任何在本发明的精神实质下进行的简单变通和修饰都属于本发明的范围。The following examples are only representative to further illustrate and understand the spirit of the present invention, but do not limit the scope of the present invention. Any simple variations and modifications made within the spirit of the present invention fall within the scope of the present invention.

实施例1 制备以大豆磷脂为基质的长效注射依匹哌唑相变凝胶剂 Example 1 Preparation of long-acting injection epipiprazole phase change gel based on soybean phospholipid

处方筛选:以MCT(中链甘油三酸酯)、GDO(二油酸甘油酯)、司盘-80、油酸乙酯、PVP(聚乙烯吡咯烷酮)、丙二醇、吐温-80为助剂,以乙醇、含水乙醇和NMP(N-甲基-2-吡咯烷酮)为溶剂,筛选以大豆磷脂(型号:S100)为基质的相变凝胶处方。筛选处方如下表1,各组分的单位为“g”。Prescription screening: MCT (medium chain triglyceride), GDO (glyceryl dioleate), Span-80, ethyl oleate, PVP (polyvinylpyrrolidone), propylene glycol, Tween-80 as auxiliary agents, Using ethanol, hydrous ethanol and NMP (N-methyl-2-pyrrolidone) as solvents, the formulation of phase change gel based on soybean phospholipid (model: S100) was screened. The screening formula is shown in Table 1 below, and the unit of each component is "g".

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Figure 780636DEST_PATH_IMAGE001

制备方法:称取表1处方量的依匹哌唑原料药,加入对应处方量的溶剂如NMP、各浓度的乙醇,使依匹哌唑溶解;随后,向所得溶液中依次加入S100型大豆磷脂和增粘助剂如MCT、GDO、油酸乙酯、盘司80、PVP、丙二醇和吐温-80,并于室温下磁力搅拌至磷脂溶解。静置,待气泡散去后即得。观察所得凝胶外观。从表1的结果显示,处方2-10的凝胶均为悬浊液,只有处方1的凝胶为浅黄色澄清透明的液体。表明以NMP作为依匹哌唑凝胶的溶剂比较合适,加之考虑到悬浊液存在的物理稳定性风险问题,因此,优选以NMP作为溶剂的凝胶体系作进一步考察。Preparation method: take by weighing the epipiprazole crude drug of the recipe quantity of Table 1, add the solvent of corresponding recipe quantity such as NMP, the ethanol of each concentration, make epipiprazole dissolve; Subsequently, in the gained solution, add S100 type soybean lecithin successively and tackifiers such as MCT, GDO, ethyl oleate, Pansi 80, PVP, propylene glycol and Tween-80, and magnetically stirred at room temperature until the phospholipids were dissolved. Let stand until the bubbles dissipate. The appearance of the resulting gel was observed. The results from Table 1 show that the gels of recipes 2-10 are all suspensions, and only the gel of recipe 1 is a light yellow clear and transparent liquid. It is shown that NMP is suitable as the solvent of epipiprazole gel, and considering the risk of physical stability of the suspension, therefore, the gel system with NMP as the solvent is preferred for further investigation.

在表1的处方1基础上,以NMP作为溶剂,进一步对以大豆磷脂为基质的原位相变凝胶处方进行优化,对应处方如表2所示,各组分的单位为“g”。On the basis of prescription 1 in Table 1, NMP was used as solvent to further optimize the formulation of in situ phase change gel with soybean phospholipid as matrix. The corresponding prescription is shown in Table 2, and the unit of each component is "g".

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Figure 326805DEST_PATH_IMAGE002

由表2可知,处方编号1、2、3、7、8、9的凝胶为澄明溶液,适合制成原位相变凝胶注射剂,而处方编号4、5、6、10的凝胶则为悬浊液,不适合制成原位相变凝胶注射剂。综合考虑磷脂用量、产品澄明度以及给药剂量等因素,确定处方2为以大豆磷脂为基质的相变凝胶的代表处方,取名为依匹哌唑原位凝胶长效注射剂A(具体的处方组成见表3),进行后续粘度、稳定性及药物释放等考察。As can be seen from Table 2, the gels with prescription numbers 1, 2, 3, 7, 8, and 9 are clear solutions and are suitable for making in-situ phase-change gel injections, while the gels with prescription numbers 4, 5, 6, and 10 are For suspension, it is not suitable for in situ phase change gel injection. Considering factors such as phospholipid dosage, product clarity and dosage, it is determined that prescription 2 is a representative prescription of phase change gel with soybean phospholipid as the matrix, named as epipiprazole in situ gel long-acting injection A (specifically The composition of the formula is shown in Table 3), and the follow-up viscosity, stability and drug release are investigated.

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Figure 231176DEST_PATH_IMAGE003

实施例2:以蛋黄卵磷脂为基质的依匹哌唑相变凝胶注射剂 Example 2 : Epipiprazole Phase Change Gel Injection Based on Egg Yolk Lecithin

处方筛选:以MCT(中链甘油三酸酯)、GDO(二油酸甘油酯)、司盘-80、油酸乙酯、PVP(聚乙烯吡咯烷酮)、丙二醇、吐温-80为助剂,以乙醇、含水乙醇和NMP(N-甲基-2-吡咯烷酮)为溶剂,筛选以蛋黄卵磷脂(型号:PL-100M)为基质的相变凝胶处方。筛选处方如表4,各组分的单位为“g”。Prescription screening: MCT (medium chain triglyceride), GDO (glyceryl dioleate), Span-80, ethyl oleate, PVP (polyvinylpyrrolidone), propylene glycol, Tween-80 as auxiliary agents, Using ethanol, hydrous ethanol and NMP (N-methyl-2-pyrrolidone) as solvents, the formulation of phase change gel with egg yolk lecithin (model: PL-100M) as matrix was screened. The screening formula is shown in Table 4, and the unit of each component is "g".

Figure 252484DEST_PATH_IMAGE004
Figure 252484DEST_PATH_IMAGE004

制备工艺:按照实施例1的制备方法,首先称取表4处方量的依匹哌唑原料药,加入对应处方量的溶剂NMP或不同浓度的乙醇使其溶解,得到依匹哌唑溶液。随后,向所得溶液中依次加入PL-100M型蛋黄卵磷脂和增粘助剂如MCT、GDO、大豆油、盘司80、PVP、丙二醇和吐温-80,并于室温下磁力搅拌至磷脂溶解。静置,待气泡散去后,即得。观察所得凝胶外观。表4的结果显示,仅处方1的凝胶为金黄色澄清透明液体,其余处方的凝胶均为悬浊液,表明NMP适合作为依匹哌唑/蛋黄卵磷脂凝胶的溶剂。为此,以NMP为溶剂,在处方1的基础上继续对以蛋黄卵磷脂为基质的原位相变凝胶处方进行优化,对应处方如表5所示,各组分的单位为“g”。Preparation technique: according to the preparation method of Example 1, firstly take the epipiprazole crude drug of the recipe quantity in Table 4, add the solvent NMP of the corresponding recipe quantity or the ethanol of different concentrations to make it dissolve, obtain the epipiprazole solution. Subsequently, PL-100M type egg yolk lecithin and thickening aids such as MCT, GDO, soybean oil, Pansi 80, PVP, propylene glycol and Tween-80 were sequentially added to the resulting solution, and magnetically stirred at room temperature until the phospholipids were dissolved . Let stand until the bubbles dissipate. The appearance of the resulting gel was observed. The results in Table 4 show that only the gel of prescription 1 is a golden yellow clear and transparent liquid, and the gels of other prescriptions are suspensions, indicating that NMP is suitable as a solvent for epipiprazole/egg lecithin gel. To this end, using NMP as the solvent, the formulation of the in-situ phase change gel with egg yolk lecithin as the matrix continued to be optimized on the basis of formulation 1. The corresponding formulation is shown in Table 5, and the unit of each component is "g" .

Figure 4539DEST_PATH_IMAGE005
Figure 4539DEST_PATH_IMAGE005

由表5可知,处方编号1、2、3、4、5、6、9的凝胶为黄色澄明溶液,均可制成原位相变凝胶注射剂,而处方编号7、8、10的凝胶为悬浊液,不适合制成原位相变凝胶注射剂。综合考虑磷脂用量、产品澄明度及注射剂量等因素,确定以处方2为以蛋黄卵磷脂为基质的相变凝胶的代表处方,取名为依匹哌唑原位凝胶长效注射剂B(具体的处方组成见表6),进行后续粘度、稳定性及药物释放等考察。As can be seen from Table 5, the gels with prescription numbers 1, 2, 3, 4, 5, 6, and 9 are yellow and clear solutions, which can all be made into in-situ phase change gel injections, while the gels with prescription numbers 7, 8, and 10 can be made into in-situ phase change gel injections. The gel is a suspension and is not suitable for in situ phase change gel injection. Considering factors such as phospholipid dosage, product clarity and injection dose, formula 2 was determined as the representative formula of phase change gel with egg yolk lecithin as the matrix, named as epipiprazole in situ gel long-acting injection B ( The specific formulation composition is shown in Table 6), and the follow-up viscosity, stability and drug release were investigated.

Figure 951635DEST_PATH_IMAGE006
Figure 951635DEST_PATH_IMAGE006

实施例3:依匹哌唑在磷脂凝胶中的溶解性 Example 3 : Solubility of epipiprazole in phospholipid gels

按照实施例1和实施例2所制备的两种依匹哌唑原位相变凝胶注射剂A和B的外观实拍照片如图1所示。通过对比可发现,本发明的依匹哌唑相变凝胶长效注射剂与专利CN102526753B、CN107049932A、CN102008728B和CN104661648B中公布的凝胶注射剂的外观(见图2)具有显著性差异,主要表现为难溶性活性成分的溶解性不同,见表7。Figure 1 shows the actual photos of the appearance of the two epipiprazole in situ phase change gel injections A and B prepared according to Example 1 and Example 2. By comparison, it can be found that the appearance of the epipiprazole phase-change gel long-acting injection of the present invention and the gel injections disclosed in the patents CN102526753B, CN107049932A, CN102008728B and CN104661648B have significant differences in appearance (see Figure 2), which is mainly manifested in insoluble The solubility of the active ingredients varies, see Table 7.

Figure 841837DEST_PATH_IMAGE007
Figure 841837DEST_PATH_IMAGE007

表7的结果显示,本发明的相变凝胶注射剂均为澄清透明的溶液,难溶性活性成分依匹哌唑能够溶解完全,静置后无沉淀或晶体析出,即使在4000rpm离心处理5min后也未见分层现象(见图3);而按照专利CN102526753B、CN107049932A、CN102008728B和CN104661648B中公布的处方进行制备时,均未实现难溶性药物的完全溶解,而是依匹哌唑在磷脂凝胶中形成的分散体,物理稳定性差,长时间放置可能导致颗粒聚集,进而产生沉淀。The results in Table 7 show that the phase change gel injections of the present invention are all clear and transparent solutions, the insoluble active ingredient epipiprazole can be completely dissolved, no precipitation or crystal precipitation after standing, even after centrifugation at 4000rpm for 5min. There is no delamination phenomenon (see Figure 3); and when prepared according to the prescriptions published in the patents CN102526753B, CN107049932A, CN102008728B and CN104661648B, the complete dissolution of the poorly soluble drug is not achieved, but the epipiprazole is in the phospholipid gel. The resulting dispersion has poor physical stability, and prolonged storage may lead to particle agglomeration, resulting in precipitation.

实施例4:依匹哌唑原位相变凝胶注射剂的粘度 Example 4 : Viscosity of Epipiprazole In Situ Phase Change Gel Injection

粘度是注射剂的重要指标,将直接决定注射剂的可注射性。本发明通过NDJ-8S型数字旋转粘度计(#0转子)对实施例1和实施例2所制备的依匹哌唑原位相变凝胶注射剂A和B的粘度进行了测定,同时通过1ml注射器及26G针头(外径0.45mm)对所得产品的可注射性进行了简要评估。本发明的依匹哌唑原位凝胶注射剂的粘度及可注射性测定结果与发明专利CN107049932A和CN102526753B公布的数据对比分析,所得结果如表8所示。Viscosity is an important indicator of the injection, which will directly determine the injectability of the injection. In the present invention, the viscosity of the epipiprazole in-situ phase change gel injections A and B prepared in Example 1 and Example 2 was measured by NDJ-8S digital rotational viscometer (#0 rotor), and at the same time, the viscosity was measured by 1ml Syringes and 26G needles (0.45mm outer diameter) were briefly evaluated for the injectability of the resulting products. The results of the viscosity and injectability determination of the epipiprazole in-situ gel injection of the present invention are compared and analyzed with the data published in the invention patents CN107049932A and CN102526753B, and the results are shown in Table 8.

Figure 165371DEST_PATH_IMAGE008
Figure 165371DEST_PATH_IMAGE008

本发明的依匹哌唑原位相变凝胶注射剂均采用低浓度的磷脂制备而成。由于磷脂浓度低,所形成凝胶体系的粘度更低。由表8的粘度数据可知,本发明的依匹哌唑原位相变凝胶注射剂A和B的粘度值分别为13.9cp和10.1cp,流动性较好,而专利CN102526753B和CN107049932A公布的粘度数据均超过200cp,差异十分显著。经可注射性对比试验研究结果表明,本发明的相变凝胶注射剂均可用26G针头的1ml注射器顺利注射,而专利CN102526753B和CN107049932A中的产品用该型注射器注射困难。以上信息充分显示了采用本发明技术方案制备的依匹哌唑原位相变凝胶注射剂的可注射性优势,可用于临床小剂量皮下注射给药。The epipiprazole in-situ phase change gel injections of the present invention are all prepared by using low-concentration phospholipids. Due to the low phospholipid concentration, the viscosity of the resulting gel system is lower. As can be seen from the viscosity data in Table 8, the viscosity values of the epipiprazole in-situ phase change gel injections A and B of the present invention are 13.9cp and 10.1cp respectively, and the fluidity is good, while the viscosity data published by patents CN102526753B and CN107049932A Both exceed 200cp, and the difference is very significant. The research results of the injectability comparison test show that the phase change gel injection of the present invention can be injected smoothly with a 1ml syringe with a 26G needle, while the products in the patents CN102526753B and CN107049932A are difficult to inject with this type of syringe. The above information fully demonstrates the injectability advantage of the epipiprazole in situ phase change gel injection prepared by the technical solution of the present invention, and can be used for clinical low-dose subcutaneous injection.

实施例5:依匹哌唑原位相变凝胶长效注射剂的稳定性 Example 5 : Stability of Epipiprazole In Situ Phase Change Gel Long-acting Injection

将实施例1和实施例2制备的依匹哌唑原位相变长效注射剂A和B(按1ml装量分装至2ml西林瓶中,充氮处理约30min并在氮气氛围下加塞,轧盖。分别置于长期(25℃/60%RH)和加速(40℃/75%RH)条件下保存,在规定时间内取样检验注射剂性状并用HPLC测定样品中依匹哌唑含量。两种依匹哌唑长效注射剂在加速和长期条件下的检验结果分别如表9和表10所示。The epipiprazole in situ phase change long-acting injections A and B prepared in Example 1 and Example 2 (by 1ml filling volume were divided into 2ml vials, filled with nitrogen for about 30min and plugged under nitrogen atmosphere, rolled The caps were stored under long-term (25°C/60%RH) and accelerated (40°C/75%RH) conditions, and samples were taken within the specified time to check the properties of the injection and the content of epipiprazole in the samples was determined by HPLC. The test results of pipiprazole long-acting injection under accelerated and long-term conditions are shown in Table 9 and Table 10, respectively.

Figure 460349DEST_PATH_IMAGE009
Figure 460349DEST_PATH_IMAGE009

Figure 578346DEST_PATH_IMAGE010
Figure 578346DEST_PATH_IMAGE010

由表9可知,依匹哌唑原位相变凝胶长效注射剂A在加速条件下放置3月后,其性状及依匹哌唑含量均无明显变化。依匹哌唑原位相变凝胶长效注射剂B尽管在加速条件下放置1月后出现了一定程度的颜色变化,但凝胶中依匹哌唑的含量在加速3月时仍然维持不变(见表9)。上述稳定性试验结果说明,按本发明提供的技术方案制备得到的依匹哌唑原位相变凝胶长效注射剂具有可接受的稳定性,并且以大豆磷脂S100为基质制备的长效注射剂的稳定性可能优于蛋黄卵磷脂PL-100M形成的凝胶体系。As can be seen from Table 9, after epipiprazole in situ phase change gel long-acting injection A was placed under accelerated conditions for 3 months, its properties and epipiprazole content did not change significantly. Epipiprazole In Situ Phase Change Gel Long-Acting Injection B Although there was a certain degree of color change after being placed under accelerated conditions for 1 month, the content of epipiprazole in the gel remained unchanged after 3 months of acceleration (see Table 9). The above stability test results show that the epipiprazole in situ phase change gel long-acting injection prepared according to the technical solution provided by the present invention has acceptable stability, and the long-acting injection prepared with soybean phospholipid S100 as the matrix has acceptable stability. The stability may be better than the gel system formed by egg yolk lecithin PL-100M.

实施例6:依匹哌唑原位相变凝胶长效注射剂的缓释效果 Example 6 : Sustained release effect of epipiprazole in situ phase change gel long-acting injection

选用健康雄性SD大鼠,体重约为200~300g(体重偏差在±15%范围内);每个处方12只,备用2只。所有大鼠均在20~25℃及40~70%RH环境下用标准饲料喂养,自由饮水进食。向受试大鼠注射依匹哌唑相变凝胶注射剂,单次给药,给药剂量为50mg/kg。分别于给药0、1、3、6、9、14、21、28、42、60天(0、24、72、144、216、336、504、672、1008、1440小时),取大鼠眼眶血离心后分离血浆,采用LC-MS/MS法测定血药浓度,比较不同处方制剂的药代动力学特征的差异。按实施例1和实施例2制备的依匹哌唑原位相变凝胶注射剂A和B的体内药时曲线如图5所示,对应的药代动力学参数见表11。Select healthy male SD rats with a body weight of about 200-300 g (weight deviation within ±15%); 12 rats per prescription and 2 spares. All rats were fed with standard chow at 20-25 ℃ and 40-70% RH with free access to water and food. The test rats were injected with epipiprazole phase-change gel injection, and the dose was 50 mg/kg in a single dose. At 0, 1, 3, 6, 9, 14, 21, 28, 42, and 60 days of administration (0, 24, 72, 144, 216, 336, 504, 672, 1008, 1440 hours), the rats were taken Orbital blood was centrifuged to separate plasma, and LC-MS/MS method was used to determine plasma drug concentration, and the differences in pharmacokinetic characteristics of different prescription preparations were compared. The in vivo drug-time curves of epipiprazole in situ phase change gel injections A and B prepared according to Example 1 and Example 2 are shown in Figure 5, and the corresponding pharmacokinetic parameters are shown in Table 11.

Figure 973423DEST_PATH_IMAGE011
Figure 973423DEST_PATH_IMAGE011

结果显示,本发明的依匹哌唑原位相变凝胶长效注射剂A和B相对于专利CN107049932A公布的相变凝胶以及F127温敏凝胶均具有更优的缓释效果,且长效优势非常显著。本发明的实施例1和2的依匹哌唑原位相变凝胶长效注射剂A和B的缓释效果主要表现为t1/2和MRT的延长。本发明的两种依匹哌唑原位相变凝胶长效注射剂A和B,t1/2分别为672.2h和484.6h,MRT分别为590.4h和533.8h,能够长时间维持依匹哌唑的有效血药浓度,药物释放时间可持续2个月。The results show that the epipiprazole in situ phase change gel long-acting injections A and B of the present invention have better sustained-release effects than the phase change gel and F127 thermosensitive gel published in the patent CN107049932A, and the long-term advantage is very high. Significantly. The sustained-release effects of the epipiprazole in situ phase-change gel long-acting injections A and B of Examples 1 and 2 of the present invention are mainly manifested in the prolongation of t 1/2 and MRT. The two epipiprazole in situ phase change gel long-acting injections A and B of the present invention have t 1/2 of 672.2h and 484.6h respectively, and MRT of 590.4h and 533.8h respectively, and can maintain epipiprazole for a long time. The effective blood concentration of azole, the drug release time can last for 2 months.

Claims (10)

1. A long-acting in-situ phase change gel injection of brexpiprazole comprises a pharmaceutical active ingredient brexpiprazole, gel matrix phospholipid, a biocompatible solvent N-methyl-2-pyrrolidone and oil for injection.
2. The in situ phase change gel injection of claim 1, wherein: the weight percentage is as follows: 2-10% of brexpiprazole, 5-40% of phospholipid, 30-80% of N-methyl-2-pyrrolidone and 10-40% of oil for injection.
3. The in situ phase change gel injection of claim 2, wherein: the weight percentage is as follows: 4-8% of brexpiprazole, 10-25% of phospholipid, 40-55% of N-methyl-2-pyrrolidone and 18-40% of oil for injection.
4. The in situ phase change gel injection according to any one of claims 1 to 3, wherein: the phospholipid is selected from one or more of natural phospholipid, semi-synthetic phospholipid and synthetic phospholipid.
5. The in situ phase change gel injection according to claim 4, wherein the phospholipid is a natural phospholipid.
6. The in situ phase transition gel injection according to claim 5, wherein the natural phospholipid is selected from soybean phospholipid, egg yolk lecithin and/or mixture thereof.
7. The in situ phase change gel injection according to any one of claims 1 to 3, wherein the oil for injection is one or more selected from soybean oil, corn oil, sesame oil, cottonseed oil and medium-carbon chain fatty glyceride.
8. The in situ phase change gel of claim 7, wherein the injectable oil is a medium chain triglyceride.
9. A method of preparing the in situ phase change gel injection of claims 1-3 comprising the steps of:
1) dissolving the brexpiprazole in N-methyl-2-pyrrolidone to prepare a brexpiprazole solution;
2) sequentially adding phospholipid and oil for injection, and stirring to dissolve completely;
3) filtering the obtained solution with 0.22 μm filter membrane for sterilization to obtain the final product.
10. The method of claim 9, wherein the oil for injection is medium chain triglyceride, or the phospholipid is soybean phospholipid or egg yolk lecithin.
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