TW200405813A - Aripiprazole complex formulation and method - Google Patents
Aripiprazole complex formulation and method Download PDFInfo
- Publication number
- TW200405813A TW200405813A TW092122407A TW92122407A TW200405813A TW 200405813 A TW200405813 A TW 200405813A TW 092122407 A TW092122407 A TW 092122407A TW 92122407 A TW92122407 A TW 92122407A TW 200405813 A TW200405813 A TW 200405813A
- Authority
- TW
- Taiwan
- Prior art keywords
- aripiprazole
- item
- cyclodextrin
- acid
- blend
- Prior art date
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- 239000000203 mixture Substances 0.000 title claims abstract description 57
- CEUORZQYGODEFX-UHFFFAOYSA-N Aripirazole Chemical compound ClC1=CC=CC(N2CCN(CCCCOC=3C=C4NC(=O)CCC4=CC=3)CC2)=C1Cl CEUORZQYGODEFX-UHFFFAOYSA-N 0.000 title claims abstract description 55
- 229960004372 aripiprazole Drugs 0.000 title claims abstract description 54
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Description
200405813 ⑴ 玖、發明說明 【發明所屬之技術領域】 本發明係有關一種阿立皮雷唑與經取代-Θ -環糊精之 包涵錯合物,一種呈上述包涵錯合物形式的阿立皮雷唑之 阿立皮雷唑調合物,一種含有上述阿立皮雷唑錯合物的可 注射g周合物’一種採用上述可注射調合物減低通常由阿立 皮雷坐在肌肉內注射部位引起的刺激之方法及一種採用上 述調合物治療精神分裂症之方法。 【先前技術】 給Oshiro et al,的美國專利第5,006,5 2 8號揭示7-[( 4-苯基哌哄基)-丁氧基]喹諾酮類,其中包括阿立皮雷唑 ,作爲多己胺能神經傳遞質拮抗劑。 具有下面結構式的阿立皮雷唑
爲可用來治療精神分裂症的非典型抗精神藥。其具有不良 的水溶性(在室溫下小於1微克/毫升)。於調配成肌肉 內(IM )注射溶液時,阿立皮雷唑經發現會在使用多種 水混溶性共溶劑系統,和水不混溶性溶劑及共溶劑系統例 如甲基異丁基酮酸(hexonoic acid):中鏈甘油三酸酯( 1 0 : 9 0 )、聚乙二醇 4 0 0 :乙醇:乳酸(3 5 : 1 5 : 5 0 )、 (2) (2)200405813 苄醇:芝麻油(1 〇 : 9 0 )、苄醇:中鏈甘油三酸酯(1 〇 : 9 0)、苄醇:甘油三丁酸酯(5 : 9 5 )、和聚山梨酸酯80 (polysorbate 8 0 ) /2 5 mM酒石酸等之下於肌肉部位引起 不可接受(中等至嚴重)的組織刺激。 環糊精類係已知具有增加藥物溶解度的用途者。彼等 係經由與疏水性分子形成包涵錯合物(inclusion complex )而發揮作用。可惜地,仍有許多藥物是環糊精錯合作用 所不能或不會產生明顯優點者,如 J. Szejtli, Cyclodextrins in Drug Formulations : Part II ,
Pharmaceutical Technology, 24-38, August, 1991。 給Stella等人的美國專利第5, 134,127和5,376,645 號揭示出磺酸基烷基醚環糊精衍生物及彼等作爲水不溶性 藥物的增溶劑供口服,鼻內或非經腸給藥包插靜脈內與肌 肉內給藥之用途。Stella等揭示出一種水不溶性藥物和磺 酸基烷基醚環糊精衍生物的包涵錯合物及含彼的藥學組成 物。所揭示的磺酸基烷基醚環糊精衍生物之例子包括石_ 環糊精的單磺酸基丁基醚和Θ ·環糊精的單磺酸基丙基醚 。水不溶性藥物的例子經在其第7欄第2 5行開始列出且 包括,與其他一起者,苯并二氮雜箪類,氯丙嗪( chlorpromazine ) ’ 苯甲二氮罩(diazepam ), mephorbarbital,硝基安定(nitrazepam),和苯巴比安( phenobarbital )。 給Kim et al的美國專利第6,2 32,3 04號揭示出芳基 雜環鹽例如z i p r a s i d ο η e酒石酸鹽在環糊精例如冷·環糊精 -6 - (3) 200405813
石貝酸基丁基醚(S B E C D ),和經丙基-$ -環糊精(η p b c D )中的包涵錯合物及此等包涵錯合物在口服和非經腸調合 物中的用途。 1997年11月25日的日本特許申請第〇93〇1867A2號 揭示出抗抑鬱組成物),其係呈含有阿立皮雷唑的錠劑形 式。
2001 年 10 月 17 日的 EP 1145711A1 (根據 2000 年 4 月12日提出申請的美國申請序號2000-547948)揭示出 含有阿立皮雷唑的快熔性口服調合物。 給Uekama等人的美國專利第5,904,929號揭示出透 黏膜和透皮藥學組成物,其中含有一藥物和作爲溶解化劑 的全醯基化環糊精。藥物例子包括抗抑鬱藥例如阿米替林 HC1 ( amitriptyline HC1 ) 、amoxapine、丁替林 HC1 ( butriptyline H C1 ) 、Clomipramine HC1、去鬱敏( desipramine ) HC1、dothiepin HC1、多慮平(doxepin)
H C 1、f 1 u o x e t i n e、g ep i r ο n e、丙咪嗪(i m ip i.am i n e )、碳 酸鋰、mianserin HC1、milnacipran、nortriptyline HC1 和 paroxetine HC1 ;抗毒蕈鹼劑例如硫酸阿托品和東萇菪鹼 (hyo seine ):鎭靜劑例如 alprazolam、丁螺旋酮( busprione) HC1、利眼寧(chlordiazepoxride) HC1、氯丙 嗪、氯氮平(clozapine )、苯甲二氮罩、三氟噻噸( flupenthixol ) HC1、氟奮乃靜(fluphenazine )、 flurazepam、氯羥去甲安定(lorazepam ) 、niazapertine、 olanzapine 、 oxazepam 、 PJR 迷淸 (pimozide ) 、 -7- 200405813
p i p a m p e r ο n e 、 piracetam 、 丙嗪 (v r o m a z i n e ) 、 risperidone、seefotel、seroquel、止 D區靈(sulpiride)、 temazepam、氨硕噻噸(thiothjixene )、三卩坐苯二氮罩( triazolam ) 、11· i f 1 u p e r i d ο 1 和 z i p r a s i d ο 11 e ;抗偏頭痛藥例
如a 1 n i d i t a n和s u m a t r i p t a η ;冷-腎上腺素受體阻斷劑例如 胺釀心(atenolol) 、carvedailol、甲氧乙心(metoprlol )、nebi vo 1〇1和心得安(propranolol );抗帕金森藥例 如溴麥角環肽安磺酸鹽(bromocryptine mesylate)、左旋 多巴(levodopa)和 selegiline Hcl;鴉片止痛劑例如 buprenorphine H C1、可待因(codeine )、右旋嗎醯胺( dextromoramide )和二氫可待因;副交感神經擬藥例如 galanthamine、新斯的明(neostigmine) 、physostymine 、tacrine 、 donepezine 、 ΕΝΑ 713 ( exelon )和
xanomeline ;及血管擴散劑例如 am 1 o d i p i n e、b u f 1 o m e d i 1 、亞硝酸戊醋、diltiazem、潘生丁(dipyridamole)甘油 基三硝酸酯、異山梨糖醇二硝酸酯、利多氟嗪( lidoslazine ) 、molsidomine、nicardipine、硝苯 口比 口定( nifedipine) 、oxpentifylline和季戊四醇四硝酸醋。 【發明內容】 根據本發明,提出一種阿立皮雷唑在經取代-^ -環糊 精中的包涵錯合物。經發現該阿立皮雷射包涵錯合物相對 於未錯合阿立皮雷唑實質地更具水溶性。 令人訝異且意外地,經發現在將阿立皮雷唑與經取代 / -8- (5) (5)200405813 yS -環糊精例如磺酸基丁基醚-θ -環糊精錯合時,可以調 配成注射劑’其可將阿立皮雷唑輸送到肌肉部位,相對於 含有未錯合阿立皮雷唑的注射劑伴有意外地減低之刺激作 用。 此外’根據本發明,提出一種藥學調合物,其係由阿 立皮雷哩和經取代· Θ -環糊精的包涵錯合物,及用於彼的 藥學上可接受的載劑所形成者。 於一較佳具體實例中,本發明藥學調合物係呈水性非 經fe或注射調合物形式。不過,本發明藥學調合物也可呈 其他劑型例如冷凍乾燥注射劑、口服(如錠、膠囊、酏劑 等)’透皮或透黏膜形式或吸入形式。 再者’根據本發明,提出一種施用阿立皮雷唑注射劑 而不會在注射部位引起不可接受的刺激之方法,其中係將 上述注射調合物給有需要治療的患者服用,較佳者係經肌 肉內給用。 又更根據本發明,提出一種治療精神分裂症的方法, 其包括下述步驟,給有需要治療的患者服用上述調合物, 較佳地以注射形式,其不論是在肌肉部位或其他部位,都 不會在注射部位造成過份的刺激。 【實施方式】 (發明詳細說明) 阿立皮雷唑具有不良的水溶性因而難以調配成水性注 射劑。根據本發明,發現經由將阿立皮雷唑與經取代-· -9- (6) (6)200405813 環糊精錯合可以將阿立皮雷唑的水溶度充分地增高到使其 可調配成水性注射劑。效用上而言,環糊精可抑制阿立皮 雷唑在注射部位中的沈澱。含有阿立皮雷唑和經取代-0 -環糊精的錯合物之水性注射調合物可較佳地經肌肉內給用 可不會在肌肉部位引起不可接受的刺激。此確實爲令人驚 訝且意外者,因爲,如上文指出者,有一群水混溶性共溶 劑系統和水不混溶性共溶劑系統經發現不能作爲阿立皮雷 唑注射調合物的可接受性載劑,原因就在於此等調合物所 具有的不可接受之刺激作用特性。相反地,本發明水性注 射調合物可輸送阿立皮雷唑而不會在注射部位引起不可接 受的刺激。 如後文中可看出者,呈水性注射劑形式的阿立皮雷唑 調合物係包括一酸緩衝劑和一鹼以將pH調整劑合意水平 〇 適合用於本發明的經取代-/3 -環糊精指的是磺酸基丁 基醚yS -環糊精(SBECD ),和羥丙基· /3 ·環糊精( HPBCD),以SBECD爲較佳者。 術語在注射部位或在肌肉部位的 ''過度刺激〃或 ''不 可接受的刺激〃指的是中度到嚴重性刺激,其爲患者所不 能接受且因而不利地影響患者的順服性者。 術語在注射部位或肌肉部位的 '、減低刺激〃指的是通 常爲最小至輕微的刺激,其爲患者可接受且不會不利地影 響患者順服性者。 阿立皮雷唑會與經取代-yS -環糊精形成錯合物,該錯 -10- (7) (7)200405813 合物可溶解在水中形成注射調合物。 不過,阿立皮雷唑和經取代-yS -環糊精的物理混合物 也在本發明範圍之內。 該錯合物或物理混合物也可經壓縮成爲錠劑或可塡充 到膠囊內。 本發明阿立皮雷唑調合物可形成爲阿立皮雷唑和經取 代-β -環糊精的乾物理混合物或其乾包涵錯合物,其在加 水時重調形成水性注射調合物。或者可將水性注射調合物 冷凍乾燥,並於以後用水重調。因此,根據本發明的包涵 錯合物可預先形成,原位(in situ )形成或活體內(in vivo )形成(於胃腸道中或頰腔內形成)。所有上述都涵 蓋在本發明中。 呈水性注射劑形式的本發明阿立皮雷唑調合物包括一 酸緩衝劑以將水性主射液的p Η調整到在約3 . 5至約5的 範圍之內。適合用於本發明中的酸緩衝劑之例子包括酸類 例如鹽酸、硫酸、磷酸、氫溴酸和類似者,及有機酸例如 草酸、順丁烯二酸、反丁烯二酸、乳酸、蘋果酸、酒石酸 、檸檬酸、苯甲酸、乙酸、甲烷磺酸、甲苯磺酸、苯磺酸 、乙烷磺酸,和類似者。也可以採用上述酸的酸鹽。較佳 的酸爲酒石酸、檸檬酸,和鹽酸。最佳者爲酒石酸。 本發明注射調合物具有在約3 . 5至約5的範圍內,較 佳者約4至約4.6的範圍內,且最佳者約4.3之pH値。 於調酸注射劑中,於需要時,可用鹼例如鹼金屬氫氧化物 如NaOH、KOH,或LiOH,較佳者NaOH,或鹼土金屬氫 (8) (8)200405813 氧化物,例如Mg ( OH ) 2或Ca ( OH ) 2,來調整pH。 在製備本發明水性注射調合物中,採用在5 : 1至 400 : 1,較佳者約10 : 1至約100 ·· i範圍內的經取代. /3 -環糊精對阿立皮雷唑重量比。每一所採用的環糊精類 型都需要不同的比例來抑制或防止阿立皮雷唑在注射部位 的沈澱。於本發明水性注射劑的較佳具體實例中,經取 代-/3 -環糊精爲SBECD,其係以在約5 : 至約4〇〇 :;[, 較佳者約2 0 : 1至約4 0 : 1的時阿立皮雷唑之重量比例採 用。環糊精的含量可大於錯合阿立皮雷唑所需者,因爲額 外的環糊精可幫助阿立皮雷素的溶解之故。 阿立皮雷哩在水性注射調合物中的含量係在以總注射 調合物爲基準的約0 · 1至約2.5重量%,較佳者約〇 . 2至 約1 . 5重量%的範圍之內。 於較佳具體實例中’阿立皮雷唑在水性注射調合物中 的含量爲提供約1至約20毫克/毫升調合物,較佳者提供 約1 · 5至約8毫克/毫升調合物。 於更佳具體實例中’本發明調合物係提供2毫克阿立 皮雷素/毫升、5鼋克/毫升及7/5毫克/毫升。塡充體積較 佳者爲0·5毫升和2毫升。 較佳的注射調合物爲如下所示者: (1 )阿立皮雷哗-其量爲提供約1.5至約8毫克/毫升 溶液。 (2) SBECD-其量爲約1〇〇至約2〇〇毫克/毫升溶液 (9) (9)200405813 (3 )酸緩衝劑(較佳者爲酒石酸)-其量爲約7至約 9毫克/毫升溶液以調整p η到約3 · 5至約5。 (4 )驗,以調整ρ Η,較佳者驗金屬氫氧化物,較佳 者NaOH-其量爲將ρΗ調整到約4至4.6。 (5 )水,適量到1毫升。 本發明阿立皮雷唑注射調合物可按下述製備:將酒石 酸或其他酸緩衝劑溶劑在注射用水中。將經取代-環糊 精(較佳者S B E C D )溶解在酸緩衝劑-水溶液中。然後將 阿立皮雷唑溶解在溶液中。經由添加鹼,例如氫氧化鈉或 其他鹼金屬氫氧化物或鹼土金屬氫氧化物,將溶液的ρ Η 調整到在約3.5至約5範圍內,較佳者約4.3。加入補加 的注射用水以得到合意的批料體積。 將所得溶液無菌過濾,例如,透過0 · 2 2微米薄膜過 濾器,並塡充到管瓶內。將該管瓶塞住、密封及最後予以 滅菌。 本發明水性注射調合物,在錯合物所提供的阿立皮雷 素之量係以環糊精水中濃度爲5 % w/v之下測量時,可提 供至少2毫克阿立皮雷唑/毫升,較佳者至少5毫克阿立 皮雷唑/毫升的阿立皮雷唑之量。 本發明阿立皮雷唑調合物係用來治療人類患者的精神 分裂症。本發明注射調合物所用的較佳劑量爲含有7 · 5毫 克阿立皮雷唑/毫升的2毫升注射液或以1 5毫克劑量每曰 以2小時間隔給用二次。注射調合物較佳者係經由肌肉內 給用,雖則皮下和靜脈內注射也一樣有效。 -13- 200405813 do) 下面的貫施例係代表本發明較佳具體實例。 (實施例) 按下述製備基本上經由肉眼檢查不含粒狀物質之透明 無色阿AL皮雷D坐注射溶液(2毫克阿立皮雷嗤/毫升,*毫 克/管瓶)。 於一不鏡鋼計量容器中給入恰當量的注射用水U S P。 於連續攪拌之下,在該計量容器中加入7 8克酒石酸 鲁 粒USP和1 5 00克磺酸基丁基醚冷-環糊精(SBECD )並溶 解在水中。 於該計量容器中加入2 0 _克阿立皮雷唑並持續攪拌到 阿立皮雷唑溶解爲止。 於上述溶液中加入1N氫氧化鈉以調整其pH値到約 4.3 ° 於上述溶液中攪拌加入補加的注射用水u S P以調整 最後批料大小到1 0升。 · 將上述溶液無菌過濾經過一 0 ·2 2微米薄膜過濾器到 一經滅菌的容器內。取4毫克量的上述溶液無菌裝塡到經 滅菌的管瓶內,然後用滅菌過的塞子將該等管瓶無菌塞住 以密封該等管瓶。 -14-
Claims (1)
- (1) (1)200405813 拾、申請專利範圍 1 · 一種包涵錯合物,其含有在經取代/3、辦, $糊精內的 阿立皮雷 1:1坐(aripiprazole)。 2 .如申請專利範圍第1項之包涵錯合物,# 其中該I 環糊精爲磺酸基丁基醚/3 -環糊精(SBECD )邱^ 環糊精(HPBCD)。 3 .如申請專利範圍第2項之包涵錯合物,f > 具中該環糊 精爲S B E C D。 4. 一種藥學調合物,其包括阿立皮雷唑和經取代f 環糊精。 5 .如申請專利範圍第4項之調合物,其係呈注射旨周^ 物之形式。 6 ·如申請專利範圍第4項之調合物,其中該經取代 /3 -環糊精爲磺酸基丁基醚yS -環糊精(SBECD )或键$ 基- /3-環糊精(HPBCD)。 7. 如申請專利範圍第4項之調合物,其包括〜具有 在約3 . 5至約5範圍內的pH値之水性注射調合物。 8. 如申請專利範圍第7項之調合物,其包括〜酸,键 衝劑。 9. 如申請專利範圍第8項之調合物,其中該酸緩衝 劑爲酒石酸或其鹽、檸檬酸或其鹽、鹽酸或其鹽、乙酸_ 其鹽、順丁烯二酸或其鹽、蘋果酸或其鹽、硫酸或其_、 甲苯磺酸或其鹽、苯磺酸或其鹽、萘磺酸或其鹽,或乙燒 擴酸或其鹽。 -15- (2) · (2) ·200405813 1 〇.如申請專利範圍第9項之調合物,其進一步包括 一鹼以將水調合物的pH調整到在約3 . 5至約5的範圍之 內。 11. 如申請專利範圍第8項之調合物,其中該經取代 /3 -環糊精對阿立皮雷唑的重量比例在約1 〇 : 1至約I 〇〇 :1範圍內。 12. 如申請專利範圍第8項之調合物,其中該酸緩衝 劑對阿立皮雷唑的重量比例在約2 : 1至約1 0 : 1範圍內 ® 〇 13. 如申請專利範圍第5項之調合物,其中該阿立皮 雷唑的含量係提供約1至1 〇毫克阿立皮雷唑/毫升的劑量 〇 14. 如申請專利範圍第5項之調合物,其中該經取代 /3 -環糊精爲 SBECD且其對阿立皮雷唑的重量比例在約 2 〇 : 1至約4 0 : 1的範圍內。 15. 如申請專利範圍第5項之調合物,其中該阿立皮 鲁 雷唑與該經取代yS -環糊精係呈包涵錯合物之形式。 16. 如申請專利範圍第5項之調合物,其中該調合物 在注射部位產生最小的刺激。 1 7. —種水性注射調合物,其包括阿立皮雷唑、 SBECD、酒石酸、氫氧化鈉和水,該調合物具有在約4至 約4.6範圍內之pH値。 18.如申請專利範圍第1 1項之調合物,其包括一可 提供約1 . 5至約8毫克/毫升調合物的量之阿立皮雷唑, -16- (3) (3)200405813 一在約1 〇 〇至約2 0 0毫克/毫升的範圍內的量之s B E C D ; 一在約7至約9毫克/毫升的範圍內的量之酒石酸;適量 以調整pH在約4至約4.6的範圍內之氫氧化鈉;及適量 到1毫升的水。 1 9.如申請專利範圍第1 8項之調合物,其中該阿立 皮雷唑和該S B E C D形成一包涵錯合物。 2 0.如申請專利範圍第1 7項之調合物,其係經設計 供不會引起不可接受的刺激之肌肉內給藥所用。 2 1 ·如申請專利範圍第1 5項之調合物,其中當該錯 合物所提供的阿立皮雷素之量係以5% w/v水中經取代_ 冷-環糊濃度測量時,該包涵錯合物可提供至少2毫克阿 立皮雷唑/毫升的阿立皮雷唑之量。 -17- 200405813 柒、(一)、本案指定代表圖為:第_圖 (二)、本代表圖之元件代表符號簡單說明:捌、本案若有化學式時,請揭示最能顯示發明特徵的化學 式:
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