RU2001111025A - Фармацевтическая композиция для лечения острых нарушений - Google Patents
Фармацевтическая композиция для лечения острых нарушенийInfo
- Publication number
- RU2001111025A RU2001111025A RU2001111025/15A RU2001111025A RU2001111025A RU 2001111025 A RU2001111025 A RU 2001111025A RU 2001111025/15 A RU2001111025/15 A RU 2001111025/15A RU 2001111025 A RU2001111025 A RU 2001111025A RU 2001111025 A RU2001111025 A RU 2001111025A
- Authority
- RU
- Russia
- Prior art keywords
- composition according
- cellulose
- agent
- composition
- microparticles
- Prior art date
Links
- 239000008194 pharmaceutical composition Substances 0.000 title claims abstract 4
- 230000001154 acute effect Effects 0.000 title claims 5
- 239000000203 mixture Substances 0.000 claims abstract 26
- 239000002245 particle Substances 0.000 claims abstract 11
- 239000011859 microparticle Substances 0.000 claims abstract 8
- 230000035587 bioadhesion Effects 0.000 claims abstract 3
- 239000013543 active substance Substances 0.000 claims 10
- 239000003795 chemical substances by application Substances 0.000 claims 7
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 claims 4
- 208000035475 disorder Diseases 0.000 claims 4
- 230000002708 enhancing effect Effects 0.000 claims 4
- PJMPHNIQZUBGLI-UHFFFAOYSA-N fentanyl Chemical compound C=1C=CC=CC=1N(C(=O)CC)C(CC1)CCN1CCC1=CC=CC=C1 PJMPHNIQZUBGLI-UHFFFAOYSA-N 0.000 claims 4
- 229960002428 fentanyl Drugs 0.000 claims 4
- 238000000034 method Methods 0.000 claims 3
- 150000003839 salts Chemical class 0.000 claims 3
- 229920002472 Starch Polymers 0.000 claims 2
- 235000010980 cellulose Nutrition 0.000 claims 2
- 229920002678 cellulose Polymers 0.000 claims 2
- 239000001913 cellulose Substances 0.000 claims 2
- 239000012461 cellulose resin Substances 0.000 claims 2
- 229920000058 polyacrylate Polymers 0.000 claims 2
- 239000008107 starch Substances 0.000 claims 2
- 235000019698 starch Nutrition 0.000 claims 2
- 239000004094 surface-active agent Substances 0.000 claims 2
- LNAZSHAWQACDHT-XIYTZBAFSA-N (2r,3r,4s,5r,6s)-4,5-dimethoxy-2-(methoxymethyl)-3-[(2s,3r,4s,5r,6r)-3,4,5-trimethoxy-6-(methoxymethyl)oxan-2-yl]oxy-6-[(2r,3r,4s,5r,6r)-4,5,6-trimethoxy-2-(methoxymethyl)oxan-3-yl]oxyoxane Chemical compound CO[C@@H]1[C@@H](OC)[C@H](OC)[C@@H](COC)O[C@H]1O[C@H]1[C@H](OC)[C@@H](OC)[C@H](O[C@H]2[C@@H]([C@@H](OC)[C@H](OC)O[C@@H]2COC)OC)O[C@@H]1COC LNAZSHAWQACDHT-XIYTZBAFSA-N 0.000 claims 1
- IXPNQXFRVYWDDI-UHFFFAOYSA-N 1-methyl-2,4-dioxo-1,3-diazinane-5-carboximidamide Chemical compound CN1CC(C(N)=N)C(=O)NC1=O IXPNQXFRVYWDDI-UHFFFAOYSA-N 0.000 claims 1
- FEBUJFMRSBAMES-UHFFFAOYSA-N 2-[(2-{[3,5-dihydroxy-2-(hydroxymethyl)-6-phosphanyloxan-4-yl]oxy}-3,5-dihydroxy-6-({[3,4,5-trihydroxy-6-(hydroxymethyl)oxan-2-yl]oxy}methyl)oxan-4-yl)oxy]-3,5-dihydroxy-6-(hydroxymethyl)oxan-4-yl phosphinite Chemical compound OC1C(O)C(O)C(CO)OC1OCC1C(O)C(OC2C(C(OP)C(O)C(CO)O2)O)C(O)C(OC2C(C(CO)OC(P)C2O)O)O1 FEBUJFMRSBAMES-UHFFFAOYSA-N 0.000 claims 1
- NIXOWILDQLNWCW-UHFFFAOYSA-N Acrylic acid Chemical compound OC(=O)C=C NIXOWILDQLNWCW-UHFFFAOYSA-N 0.000 claims 1
- GUBGYTABKSRVRQ-XLOQQCSPSA-N Alpha-Lactose Chemical compound O[C@@H]1[C@@H](O)[C@@H](O)[C@@H](CO)O[C@H]1O[C@@H]1[C@@H](CO)O[C@H](O)[C@H](O)[C@H]1O GUBGYTABKSRVRQ-XLOQQCSPSA-N 0.000 claims 1
- 229920001661 Chitosan Polymers 0.000 claims 1
- FBPFZTCFMRRESA-KVTDHHQDSA-N D-Mannitol Chemical compound OC[C@@H](O)[C@@H](O)[C@H](O)[C@H](O)CO FBPFZTCFMRRESA-KVTDHHQDSA-N 0.000 claims 1
- 239000001856 Ethyl cellulose Substances 0.000 claims 1
- 108010010803 Gelatin Proteins 0.000 claims 1
- 229920002907 Guar gum Polymers 0.000 claims 1
- 229920000663 Hydroxyethyl cellulose Polymers 0.000 claims 1
- 239000004354 Hydroxyethyl cellulose Substances 0.000 claims 1
- 229920002153 Hydroxypropyl cellulose Polymers 0.000 claims 1
- GUBGYTABKSRVRQ-QKKXKWKRSA-N Lactose Natural products OC[C@H]1O[C@@H](O[C@H]2[C@H](O)[C@@H](O)C(O)O[C@@H]2CO)[C@H](O)[C@@H](O)[C@H]1O GUBGYTABKSRVRQ-QKKXKWKRSA-N 0.000 claims 1
- 229930195725 Mannitol Natural products 0.000 claims 1
- 229920000168 Microcrystalline cellulose Polymers 0.000 claims 1
- 229920000881 Modified starch Polymers 0.000 claims 1
- 239000004368 Modified starch Substances 0.000 claims 1
- 229920003171 Poly (ethylene oxide) Polymers 0.000 claims 1
- 229920002305 Schizophyllan Polymers 0.000 claims 1
- DBMJMQXJHONAFJ-UHFFFAOYSA-M Sodium laurylsulphate Chemical compound [Na+].CCCCCCCCCCCCOS([O-])(=O)=O DBMJMQXJHONAFJ-UHFFFAOYSA-M 0.000 claims 1
- 229920002125 Sokalan® Polymers 0.000 claims 1
- DPXJVFZANSGRMM-UHFFFAOYSA-N acetic acid;2,3,4,5,6-pentahydroxyhexanal;sodium Chemical compound [Na].CC(O)=O.OCC(O)C(O)C(O)C(O)C=O DPXJVFZANSGRMM-UHFFFAOYSA-N 0.000 claims 1
- 239000003833 bile salt Substances 0.000 claims 1
- 229940093761 bile salts Drugs 0.000 claims 1
- 239000001506 calcium phosphate Substances 0.000 claims 1
- 229910000389 calcium phosphate Inorganic materials 0.000 claims 1
- 235000011010 calcium phosphates Nutrition 0.000 claims 1
- 235000014633 carbohydrates Nutrition 0.000 claims 1
- 150000001720 carbohydrates Chemical class 0.000 claims 1
- 229960001631 carbomer Drugs 0.000 claims 1
- 239000001768 carboxy methyl cellulose Substances 0.000 claims 1
- 125000002057 carboxymethyl group Chemical group [H]OC(=O)C([H])([H])[*] 0.000 claims 1
- 235000019325 ethyl cellulose Nutrition 0.000 claims 1
- 229920001249 ethyl cellulose Polymers 0.000 claims 1
- UPBDXRPQPOWRKR-UHFFFAOYSA-N furan-2,5-dione;methoxyethene Chemical compound COC=C.O=C1OC(=O)C=C1 UPBDXRPQPOWRKR-UHFFFAOYSA-N 0.000 claims 1
- 239000008273 gelatin Substances 0.000 claims 1
- 229920000159 gelatin Polymers 0.000 claims 1
- 235000019322 gelatine Nutrition 0.000 claims 1
- 235000011852 gelatine desserts Nutrition 0.000 claims 1
- 238000002523 gelfiltration Methods 0.000 claims 1
- 239000000665 guar gum Substances 0.000 claims 1
- 235000010417 guar gum Nutrition 0.000 claims 1
- 229960002154 guar gum Drugs 0.000 claims 1
- 125000002887 hydroxy group Chemical group [H]O* 0.000 claims 1
- 235000019447 hydroxyethyl cellulose Nutrition 0.000 claims 1
- 239000001863 hydroxypropyl cellulose Substances 0.000 claims 1
- 235000010977 hydroxypropyl cellulose Nutrition 0.000 claims 1
- 239000001866 hydroxypropyl methyl cellulose Substances 0.000 claims 1
- 235000010979 hydroxypropyl methyl cellulose Nutrition 0.000 claims 1
- 229920003088 hydroxypropyl methyl cellulose Polymers 0.000 claims 1
- UFVKGYZPFZQRLF-UHFFFAOYSA-N hydroxypropyl methyl cellulose Chemical compound OC1C(O)C(OC)OC(CO)C1OC1C(O)C(O)C(OC2C(C(O)C(OC3C(C(O)C(O)C(CO)O3)O)C(CO)O2)O)C(CO)O1 UFVKGYZPFZQRLF-UHFFFAOYSA-N 0.000 claims 1
- 229910017053 inorganic salt Inorganic materials 0.000 claims 1
- 239000008101 lactose Substances 0.000 claims 1
- 239000000594 mannitol Substances 0.000 claims 1
- 235000010355 mannitol Nutrition 0.000 claims 1
- 239000000463 material Substances 0.000 claims 1
- 229920000609 methyl cellulose Polymers 0.000 claims 1
- 239000001923 methylcellulose Substances 0.000 claims 1
- 235000010981 methylcellulose Nutrition 0.000 claims 1
- 235000019813 microcrystalline cellulose Nutrition 0.000 claims 1
- 239000008108 microcrystalline cellulose Substances 0.000 claims 1
- 229940016286 microcrystalline cellulose Drugs 0.000 claims 1
- 235000019426 modified starch Nutrition 0.000 claims 1
- 230000003232 mucoadhesive effect Effects 0.000 claims 1
- 210000004877 mucosa Anatomy 0.000 claims 1
- 229920005615 natural polymer Polymers 0.000 claims 1
- 239000001814 pectin Substances 0.000 claims 1
- 235000010987 pectin Nutrition 0.000 claims 1
- 229920001277 pectin Polymers 0.000 claims 1
- 239000000449 pharmaceutical disintegrant Substances 0.000 claims 1
- 239000008180 pharmaceutical surfactant Substances 0.000 claims 1
- 229920000136 polysorbate Polymers 0.000 claims 1
- 229940068965 polysorbates Drugs 0.000 claims 1
- 229920000036 polyvinylpyrrolidone Polymers 0.000 claims 1
- 239000001267 polyvinylpyrrolidone Substances 0.000 claims 1
- 235000013855 polyvinylpyrrolidone Nutrition 0.000 claims 1
- 235000010413 sodium alginate Nutrition 0.000 claims 1
- 239000000661 sodium alginate Substances 0.000 claims 1
- 229940005550 sodium alginate Drugs 0.000 claims 1
- 235000019812 sodium carboxymethyl cellulose Nutrition 0.000 claims 1
- 229920001027 sodium carboxymethylcellulose Polymers 0.000 claims 1
- 235000019333 sodium laurylsulphate Nutrition 0.000 claims 1
- 239000000126 substance Substances 0.000 claims 1
- QORWJWZARLRLPR-UHFFFAOYSA-H tricalcium bis(phosphate) Chemical compound [Ca+2].[Ca+2].[Ca+2].[O-]P([O-])([O-])=O.[O-]P([O-])([O-])=O QORWJWZARLRLPR-UHFFFAOYSA-H 0.000 claims 1
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 claims 1
- 239000000230 xanthan gum Substances 0.000 claims 1
- 235000010493 xanthan gum Nutrition 0.000 claims 1
- 229920001285 xanthan gum Polymers 0.000 claims 1
- 229940082509 xanthan gum Drugs 0.000 claims 1
- RMRJXGBAOAMLHD-IHFGGWKQSA-N buprenorphine Chemical compound C([C@]12[C@H]3OC=4C(O)=CC=C(C2=4)C[C@@H]2[C@]11CC[C@]3([C@H](C1)[C@](C)(O)C(C)(C)C)OC)CN2CC1CC1 RMRJXGBAOAMLHD-IHFGGWKQSA-N 0.000 abstract 1
- 229960001736 buprenorphine Drugs 0.000 abstract 1
- 230000001737 promoting effect Effects 0.000 abstract 1
Classifications
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Claims (21)
1. Фармацевтическая композиция для лечения острых нарушений путем подъязычного введения, содержащая существенно безводную смесь микрочастиц по меньшей мере одного фармацевтически активного агента, прикрепленного к поверхности частиц носителя, причем указанные частицы значительно больше, чем указанные микрочастицы, и являются водорастворимыми, и агента, усиливающего биоадгезию и/или мукоадгезию, в основном прикрепленного к поверхности частиц носителя.
2. Композиция по п.1, отличающаяся тем, что микрочастицы указанного активного агента или агентов имеют на основе массы средний диаметр менее 10 мкм.
3. Композиция по п.1 или 2, отличающаяся тем, что средний диаметр частиц носителя после гель-фильтрации составляет менее 750 мкм, предпочтительно от 100 до 600 мкм.
4. Композиция по любому из пп.1-4, отличающаяся тем, что частицы носителя содержат хрупкий материал, который легко фрагментируется при прессовании.
5. Композиция по любому из пп.1-4, отличающаяся тем, что частицы носителя содержат от 0,1 до 25 вес.% агента, усиливающего био/мукоадгезию, предпочтительно от 1 до 13 вес.% от всей композиции.
6. Композиция по п.5, отличающаяся тем, что агент, усиливающий био/мукоадгезию, выбран из группы, состоящей из акриловых полимеров, производных целлюлозы, естественных полимеров, имеющих био/мукоадгезивные свойства, и их смесей.
7. Композиция по п.6, отличающаяся тем, что агент, усиливающий био/мукоадгезию, выбран из группы, состоящей из производных целлюлозы и включающей в себя гидроксипропилметилцеллюлозу, гидроксиэтилцеллюлозу, гидроксипропилцеллюлозу, натрий-карбоксиметилцеллюлозу, метилцеллюлозу, этилгидроксиэтилцеллюлозу, карбоксиметилцеллюлозу, микрокристаллическую целлюлозу и модифицированную целлюлозную смолу; кросскарамеллозу; модифицированный крахмал; акриловые полимеры, включая карбомер и его производные; полиэтиленоксид; хитозан; желатин; алгинат натрия; пектин; склероглюкан; ксантановую камедь; гуар-гум; поли-со-(метил)виниловый эфир-малеиновый ангидрид); и их смеси.
8. Композиция по любому одному из пп.1-7, отличающаяся тем, что дополнительно содержит фармацевтически приемлемое поверхностно-активное вещество в мелкодисперсной форме, однородно смешанное с активным агентом или агентами.
9. Композиция по п.8, отличающаяся тем, что поверхностно-активное вещество присутствует в количестве от 0,5 до 5 вес.% от композиции, предпочтительно от 0,5 до 3 вес.%.
10. Композиция по п.8 или 9, отличающаяся тем, что поверхностно-активное вещество выбрано из группы, состоящей из лаурилсульфата натрия, полисорбатов, солей желчных кислот и их смесей.
11. Композиция по любому из пп.1-10, отличающаяся тем, что частицы носителя содержат водорастворимый, фармацевтически приемлемый углевод и/или неорганическую соль.
12. Композиция по п.11, отличающаяся тем, что частицы носителя содержат по меньшей мере одно из следующих веществ: маннит, лактозу, фосфат кальция и сахар.
13. Композиция по любому из пп.1-12, отличающаяся тем, что частицы носителя содержат по меньшей мере один фармацевтический дезинтегрирующий агент, способствующий распространению микрочастиц активного агента или агентов по сублингвальной слизистой.
14. Композиция по п.13, отличающаяся тем, что дезинтегрирующий агент выбран из группы, состоящей из поперечно-связанного поливинилпирролидона, карбоксиметил крахмала, естественного крахмала, микрокристаллической целлюлозы, целлюлозной смолы и их смесей.
15. Композиция по п.13 или 14, отличающаяся тем, что дезинтегрирующий агент присутствует в количестве от 1 до 10 вес.% от композиции.
16. Композиция по любому из пп.1-15, отличающаяся тем, что фармацевтически активный агент представляет собой фентанил или его фармацевтически приемлемую соль.
17. Композиция по любому из пп.1-16 для лечения острых нарушений путем подъязычного введения.
18. Композиция по п.16 для лечения острой и перемежающейся боли путем подъязычного введения фентанила или его фармацевтически приемлемой соли.
19. Способ лечения острых нарушений, при котором индивидууму, страдающему указанным нарушением, вводится подъязычно по меньшей мере одна стандартная доза существенно безводной фармацевтической композиции, содержащей эффективное количество по меньшей мере одного фармацевтически активного агента в виде микрочастиц, прикрепленных к поверхности частиц носителя, которые значительно больше, чем указанные микрочастицы, и в основном являются водорастворимыми, и агента, усиливающего биоадгезию и/или мукоадгезию.
20. Способ по п.19, отличающийся тем, что фармацевтически активный агент является фентанилом или его фармацевтически приемлемой солью.
21. Способ по п.20, отличающийся тем, что фентанил вводят в количестве от 0, 05 до 20 мг, предпочтительно от 0,1 до 5 мг на стандартную дозу.
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