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WO2011144021A1 - Cefpiramide sodium hydrate, preparation method and uses thereof - Google Patents

Cefpiramide sodium hydrate, preparation method and uses thereof Download PDF

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Publication number
WO2011144021A1
WO2011144021A1 PCT/CN2011/074207 CN2011074207W WO2011144021A1 WO 2011144021 A1 WO2011144021 A1 WO 2011144021A1 CN 2011074207 W CN2011074207 W CN 2011074207W WO 2011144021 A1 WO2011144021 A1 WO 2011144021A1
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low molecular
sodium
cefpiramide
hydrate
cefpiramide sodium
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French (fr)
Chinese (zh)
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刘力
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    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D501/00Heterocyclic compounds containing 5-thia-1-azabicyclo [4.2.0] octane ring systems, i.e. compounds containing a ring system of the formula:, e.g. cephalosporins; Such ring systems being further condensed, e.g. 2,3-condensed with an oxygen-, nitrogen- or sulfur-containing hetero ring
    • C07D501/14Compounds having a nitrogen atom directly attached in position 7
    • C07D501/16Compounds having a nitrogen atom directly attached in position 7 with a double bond between positions 2 and 3
    • C07D501/207-Acylaminocephalosporanic or substituted 7-acylaminocephalosporanic acids in which the acyl radicals are derived from carboxylic acids
    • C07D501/247-Acylaminocephalosporanic or substituted 7-acylaminocephalosporanic acids in which the acyl radicals are derived from carboxylic acids with hydrocarbon radicals, substituted by hetero atoms or hetero rings, attached in position 3
    • C07D501/36Methylene radicals, substituted by sulfur atoms
    • 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
    • A61K31/54Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with at least one nitrogen and one sulfur as the ring hetero atoms, e.g. sulthiame
    • A61K31/542Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with at least one nitrogen and one sulfur as the ring hetero atoms, e.g. sulthiame ortho- or peri-condensed with heterocyclic ring systems
    • A61K31/545Compounds containing 5-thia-1-azabicyclo [4.2.0] octane ring systems, i.e. compounds containing a ring system of the formula:, e.g. cephalosporins, cefaclor, or cephalexine
    • A61K31/546Compounds containing 5-thia-1-azabicyclo [4.2.0] octane ring systems, i.e. compounds containing a ring system of the formula:, e.g. cephalosporins, cefaclor, or cephalexine containing further heterocyclic rings, e.g. cephalothin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P31/00Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
    • A61P31/04Antibacterial agents

Definitions

  • the present invention relates to the field of medical technology, and in particular to providing an antibacterial drug, cefpiramide sodium hydrate, a preparation method and use thereof.
  • Cefpiramide sodium is a cephalosporin jointly developed by Sumitomo Pharmaceutical Co., Ltd. and Yamanouchi Pharmaceutical Co., Ltd., which is classified according to the principle of discovery date and antibacterial properties. The drug is between the third and fourth generations. In the meantime, some people call it 'three generations and a half' of cephalosporins. Cefpiramide sodium was first marketed in Japan in 1985 and subsequently marketed in other countries such as the United States. Its structure is characterized by a methyltetrazoliumthio group at the C3 position and a hydroxyphenyl group and a hydroxymethylpyridyl group at the C7 position, thereby greatly improving the antibacterial activity and pharmacokinetic characteristics of the original drug.
  • cefpiramide sodium Compared with other third-generation cephalosporins, the antibacterial spectrum of cefpiramide sodium has been further expanded. It is suitable for a variety of Gram and negative bacteria including Enterobacter, Pseudomonas aeruginosa and Haemophilus. Neisseria, Staphylococcus, and Streptococcus (except Enterococcus) have strong antibacterial activity. Cefpiramide sodium also showed good antibacterial activity against Gram-negative bacilli resistant to third-generation cephalosporins.
  • cefpiramide sodium improves the activity of the third and fourth generation cephalosporins against G + bacteria, Pseudomonas aeruginosa and anaerobic bacteria, and is in line with the research and development direction of cephalosporins.
  • Method A In the reaction vessel, add cefpiramide, add water, one of C 1 -C 6 low molecular alcohol, C 2 -C 8 low molecular ether, C 2 -C 6 low molecular nitrile or Several kinds, stir, add C 1 -C 12 low molecular amine at 10 °C, stir to dissolve, add sodium carbonate, sodium hydrogencarbonate, sodium hydroxide, sodium acetate, sodium thiocyanate, sodium octanoate to the filtrate at 10 °C , sodium ethylhexanoate one water, C 1 -C 6 lower alcohol is, C 2 -C 8 ether of a low molecular weight, C 2 -C 6 of a low molecular weight nitrile, C 3 -C 8 ketones of low molecular weight, a solution of one or more of C 1 -C 6 low molecular halogenated hydrocarbons, stirred for 0.2 to 3 hours, adjusted to a pH of 6.0 to 8.0
  • the cefpiramide used in the reaction C 1 -C 12 low molecular amine: alkali (sodium carbonate, sodium hydrogencarbonate, sodium hydroxide, sodium acetate, sodium thiocyanate, sodium octoate, sodium isooctanoate)
  • the molar ratio of one of them can generally be 1: 0.5-1.1: 0.5-1.1; cefpiramide (weight g) with water, C 1 -C 6 low molecular alcohol, C 2 -C 8 low molecular ether
  • the ratio of one or several (volume ml) of the C 2 -C 6 low molecular weight nitrile is generally: 1 (g): 1.5 to 50 (ml); water and organic solvent used in crystallization or recrystallization
  • the volume ratio is generally 1: 5 to 300.
  • the amount of activated carbon is from 0.01 to 3% by weight of the reactant.
  • the molar ratio of cefpirin:base one of sodium carbonate, sodium hydrogencarbonate, sodium hydroxide, sodium thiocyanate, sodium acetate, sodium octanoate, sodium isooctanoate
  • the molar ratio of cefpirin:base one of sodium carbonate, sodium hydrogencarbonate, sodium hydroxide, sodium thiocyanate, sodium acetate, sodium octanoate, sodium isooctanoate
  • the ratio of one or several (vol. ml) is generally: 1 (g): 1.5 to 50 (ml); the volume ratio of water to organic solvent used in crystallization or recrystallization is generally 1:20 to 300. .
  • the crystallizing or recrystallization solvent of cefpiramide sodium hydrate is selected from the group consisting of water, acetonitrile, tetrahydrofuran, acetone, methanol, ethanol, isopropanol, butyl acetate, ethyl acetate, ethyl formate, diethyl ether, diisopropyl ether, tetrahydrofuran, One or more of dichloromethane, chloroform, etc.; cefpiramide sodium crystal or recrystallization solvent, preferably water, acetone, methanol, ethanol, isopropanol, tetrahydrofuran, ethyl acetate, diethyl ether, diisopropyl ether, chloroform One or several of them.
  • the cefpiramide sodium hydrate can be dissolved in water during the recrystallization process, and the activated carbon can be decolorized after dissolution (if the activated carbon is used for decolorization, the amount is generally 0.01-3% by weight of the decolorized solution) It is further crystallized by the solvent in the present invention.
  • the cefpiramide sodium aqueous solution can be added to the C 1 -C 6 low molecular alcohol, C 2 -C 8 low molecular ether, C 3 -C 8 low molecular ketone, C 2 -C 8 in the recrystallization process.
  • Preparation of sterile cefpiramide sodium hydrate is prepared aseptically in accordance with conventional procedures.
  • the cefpiramide sodium hydrate of the present invention may have different crystal forms.
  • the number of carbon atoms of the low molecular alcohol in the present invention is defined as C 1 -C 6 (ie, an alcohol having 1 to 6 carbon atoms) such as methanol, ethanol, isopropanol, etc.; the number of carbon atoms of the low molecular ether is defined as C 2 -C 8 (ie: an ether of 2-8 carbon atoms) such as diethyl ether, diisopropyl ether, dibutyl ether, tetrahydrofuran, etc.; the number of carbon atoms of the low molecular halogenated hydrocarbon is defined as C 1 -C 6 (ie: a halogenated hydrocarbon of 1 to 6 carbon atoms, including dichloromethane, dichloroethane, chloroform, etc.; the number of carbon atoms of the low molecular ester is defined as C 2 - C 8 (ie: an ester of 2-8 carbon atoms) ), including butyl a
  • the product of the present invention can be dried at different temperatures (e.g., 20-80 ° C), drying time (0.5 Hours to several days), or with other desiccants (including silica gel, phosphorus pentoxide, anhydrous calcium chloride, anhydrous sodium sulfate, etc.) under ambient conditions, or using atmospheric or decompression methods for the final
  • the product is dried. Its drying temperature is preferably 30-60 °C.
  • Powder X-ray diffraction is commonly used to characterize and/or identify polymorphs, for powder X-ray diffraction in characterization and / Or when identifying, use the modifier 'about' before reporting the peak.
  • This is a common practice in the field of solid state chemistry due to the inherent variations in peaks.
  • the typical accuracy of the 2 ⁇ x-axis value of the powder peak is ⁇ 0.2° 2 ⁇ Level, therefore, the powder X-diffraction peak appearing at 'about 8.0° 2 ⁇ means that when measured on most X-ray diffractometers, the peaks may be at 7.8° 2 ⁇ and 8.2° 2 ⁇ .
  • the change in peak intensity is the result of how each crystal is oriented in the sample container relative to the external X-ray source, and the orientation does not provide structural information about the crystal.
  • the invention provides different crystalline hydrates of cefpiramide sodium.
  • the invention provides crystalline hydrates of different crystalline forms and methods for their preparation.
  • the invention provides a pharmaceutical composition comprising any one or more of cefpiramide sodium crystalline hydrate prepared by the method of the invention, and one or more pharmaceutically acceptable excipients.
  • the invention further provides a process for the preparation of a pharmaceutical formulation comprising any one or more of cefpiramide sodium crystalline hydrate prepared by the process of the invention.
  • the present invention further provides cefpiramide sodium crystal hydrate and crystalline hydrates of different crystal forms, such as cefpiramide sodium 1 hydrate, 1.5
  • cefpiramide sodium 1 hydrate 1.5
  • Cefpiramide sodium crystal hydrate of the present invention Use: The cefpiramide sodium crystal hydrate of the present invention is used for preparing a solid preparation, an injection,
  • the injection includes lyophilized powder injection for injection, aseptic powder injection preparation, infusion preparation (including double chamber, large infusion, non-PVC solid-liquid double chamber, large infusion, non-PVC A large infusion solution made of a multi-layer co-extruded film), a tablet, a capsule, a granule, etc.; and can be used for preparing an anhydrate of cefpiramide sodium.
  • the preparation of the anhydrate can be obtained by the different crystallization methods of the crystalline hydrate of the present invention, and the preparation can be carried out at different temperatures (eg 60-100 ° C), drying time (hours to days), or with other desiccants (including silica gel, molecular sieves, phosphorus pentoxide, sodium hydroxide, anhydrous sodium carbonate, anhydrous calcium chloride, anhydrous Drying the final product under ambient conditions of sodium sulfate, anhydrous magnesium sulfate, etc., or by using atmospheric or reduced pressure, or by first distilling water with benzene, in combination with other drying as described herein. The method is obtained after drying.
  • desiccants including silica gel, molecular sieves, phosphorus pentoxide, sodium hydroxide, anhydrous sodium carbonate, anhydrous calcium chloride, anhydrous Drying the final product under ambient conditions of sodium sulfate, anhydrous magnesium sulfate, etc., or by using atmospheric
  • tablets including buccal tablets, sublingual tablets, oral patches, orally disintegrating tablets, vaginal tablets, etc.
  • capsules including rectal, vaginal capsules, etc.
  • granules which may contain pharmaceutically acceptable Fillers such as starch, modified starch, lactose, microcrystalline cellulose, cyclodextrin, sorbitol, mannitol, calcium phosphate, amino acids, etc.; pharmaceutically acceptable disintegrating agents such as starch, modified starch, microcrystalline fiber , sodium carboxymethyl starch, cross-linked polyvinylpyrrolidone, low-substituted hydroxypropyl cellulose, surfactant (sodium lauryl sulfate, etc.); pharmaceutically acceptable wetting agents and binders, such as gums Starch, methylcellulose, sodium carboxymethylcellulose, ethylcellulose, polyvinylpyrrolidone, alginic acid and its salts; pharmaceutically acceptable lubricants and glidants such as
  • Suppository preparation of cefpiramide sodium crystal hydrate cefpiramide sodium crystal hydrate 1-50%, suppository base 50 ⁇ 99% composition, matrix can be ethanol, glycerin, petrolatum, glycerin gelatin, polyethylene glycol 200-8000 One or more of poloxamers, semi-synthetic hard fatty acid esters, carbomer series (931, 934, 940, 974, AA-1, 1342, etc.) and Tween 60-80.
  • the preparation method comprises the following steps: mixing the main drug with the substrate, heating, stirring, and melting in a water bath, stirring until evenly, and pouring into the mold of the suppository coated with the lubricant to slightly overflow the plug mold, and then flattening after cooling and starting the mold. Got it.
  • the crystal hydrate of the present invention is different from The deliquescent of the anhydrate prevents the air from being blocked during the treatment, and the crystallization hydrate has good slidability, thereby improving the operability of the preparation; and preparing the solid preparation It has good dissolution properties, making it easy to be absorbed into the blood circulation, improving bioavailability, and facilitating its rapid function. On the other hand, it is prevented from appearing in the case of aseptic dispensing, which is not easy to cause clogging due to moisture absorption, resulting in a difference in the amount of the load, resulting in insufficient dosage, resulting in product failure, or because of unqualified products.
  • cefpiramide sodium crystal hydrate which is prepared by:
  • Infusion preparations including double chamber, large infusion, non-PVC solid-liquid dual-chamber, large infusion, non-PVC
  • a large infusion solution made of a multi-layer co-extruded film is prepared in a conventional manner.
  • the preparation method of the lyophilized powder preparation is as follows: taking cefpiramide sodium crystal hydrate, adding pharmaceutically acceptable lyophilized support agent or auxiliary agent, stabilizer, water for injection, stirring to dissolve, if necessary, pharmacy can be used Acceptable acid and base to adjust pH For 6.0 ⁇ 8.0, add activated carbon 0.005 ⁇ 0.5% (W / V) for 15 ⁇ 45min, filter, hydration, sterile filtration, press 0.5 ⁇ 2g / Bottles are packed, freeze-dried, and tamponed to obtain finished products.
  • the regulator may be a pharmaceutically acceptable inorganic or organic acid, an inorganic base or an organic base, or a Lewis acid or a base in a broad sense, may contain one or more, and may be hydrochloric acid, propionic acid, acetic acid, and medicinal Salt, lactic acid and pharmaceutically acceptable salts, pharmaceutically acceptable salts of citric acid, sodium carbonate, sodium hydrogencarbonate, potassium hydrogencarbonate, sodium hydroxide, potassium hydroxide, phosphoric acid and pharmaceutically acceptable salts, tartaric acid and pharmaceutically acceptable salts thereof, borax, boric acid , succinic acid, caproic acid, adipic acid, fumaric acid, maleic acid, polyhydroxycarboxylic acid and pharmaceutically acceptable salts, such as glucuronic acid, gluconic acid, lactobionic acid, malic acid, threonic acid One or several of the others.
  • the pharmaceutically acceptable antioxidants and stabilizers thereof may be sulfurous acid and salts, bisulfite, pyrosulfite, dithionite, thiosulfate, organic sulfur compound thiourea, glutathione. , dimercaptopropanol, thioglycolic acid and salt, thiolactic acid and salt, thiodipropionic acid and salt, benzoic acid and pharmaceutically acceptable salts thereof (such as sodium benzoate), phenolic compounds such as gallic acid and salt, caffeic acid And salts, ferulic acid and salts, di-tert-butyl-p-phenol, 2 , 5-dihydroxybenzoic acid and salt, phenol or its derivatives, salicylic acid or its salt; ascorbic acid and salt, isoascorbic acid and salt, nicotinamide, tartaric acid, nitrate, phosphate, pharmaceutically acceptable salt, lemon Acid salt, EDTA And EDTA salts, such as EDTA
  • the ultrafilter may be a flat plate type, a coil type, a tube type, a hollow fiber type or a round box type, etc., preferably a roll type and a hollow fiber type ultrafilter, and the molecular weight of the interception is 50,000 to 300,000.
  • the filter removes the remaining heat source by using an ultrafiltration membrane with a molecular weight of 4,000 to 30,000, preferably an ultrafiltration membrane having a molecular weight of 6000 to 30,000.
  • cefpiramide sodium hydrate of the invention is suitable for preparing respiratory system, hepatobiliary system, facial features, human or animal caused by Gram-positive or negative bacteria-sensitive bacteria Use in the treatment or prevention of diseases such as urinary tract infections, abdominal infections, pelvic infections, sepsis, skin and soft tissue infections, bone and joint infections, endocarditis, meningitis, etc.
  • cefpiramide sodium hydrate is also used in the preparation of ⁇ - An antibacterial combination drug comprising one or more of a lactamase inhibitor, clavulanic acid or a pharmaceutically acceptable salt thereof, sulbactam or a pharmaceutically acceptable salt thereof, tazobactam or a pharmaceutically acceptable salt thereof, to further enhance the antibacterial activity thereof Effect, among which cefpiramide sodium hydrate and ⁇ - The weight ratio of lactamase inhibitor is 30:1 to 1:2.
  • the weight ratio of the composition of cefpiramide sodium hydrate to the ⁇ -lactamase inhibitor may vary depending on the ⁇ - The ratio of the lactamase inhibitor varies, and the weight ratio of the cefpiramide sodium hydrate to the ⁇ -lactamase inhibitor tazobactam or a pharmaceutically acceptable salt thereof is preferably 4:1 to 8:1.
  • the weight ratio of the general cefpiramide sodium hydrate to the ⁇ -lactamase inhibitor sulbactam or a pharmaceutically acceptable salt thereof is preferably 2:1 to 1:1; generally cefpiramide sodium hydrate and ⁇ -
  • the weight ratio of the composition of the lactamase inhibitor clavulanic acid or a pharmaceutically acceptable salt thereof is preferably 4:1 to 1:1.
  • the composition has a stronger antibacterial effect and is used in a medicament for treating or preventing a human or animal disease caused by a Gram-positive or a negative bacterial-sensitive bacterium.
  • the usual amount is 1 ⁇ 2g per day, divided into 1-2 intravenous injections or intravenous drip. In case of refractory or serious infection, it can be increased to 4g per day according to different symptoms, and divided into 2 to 3 intravenous infusions. child The usual amount is 30-80 mg per kilogram per day by weight, divided into 1 to 3 intravenous infusions. In the case of refractory or severe infection, it can be increased to 150 mg per kilogram per day according to different symptoms, and is divided into 1 to 3 intravenous infusions.
  • Intramuscular injection mild to moderate infection: daily dose 0.5-1 g, divided into 0.5-1% lidocaine injection for deep intramuscular injection.
  • oral administration changing the route of injection for absorption through the oral mucosa
  • adults 0.5 g to 4 g daily
  • rectal or vaginal (absorbed through the vaginal mucosa), 0.5 g to 4 g per day for adults.
  • the cefpiramide sodium containing crystal water obtained by the present invention is surprisingly that the cepporin sodium containing crystal water has a much lower wettability than the cefpiramide sodium containing crystal water, and the cefpiramide sodium containing crystal water. It is more stable than free of crystal water, easy to store and transport, and easy to make into preparations. Further, the deliquescent of the anhydrate causes the air to be prevented from blocking or the like during the treatment, and the hydrate has a good slidability, thereby improving the operability of the preparation. Crystalline solids have higher chemical stability and physical stability than amorphous forms and low crystallinity forms, and they may also exhibit improved hygroscopicity, bulk properties, and or flow properties.
  • characteristic, thermal analysis of hydrates of the invention (TG-DSC or TG-DTA)
  • the map has a corresponding endothermic peak under the weightless platform, and the thermal analysis map shows cefpiramide sodium crystal hydrate, such as cefpiramide sodium 0.5 hydrate, cefpiramide sodium 1 hydrate, cefpiramide sodium 1.5 Hydrate, cefpiramide sodium 2.5 hydrate, and the like.
  • cefpiramide sodium crystal hydrate of the present invention can be stably stored.
  • the ceppiramide sodium hydrate and anhydrate samples were subjected to a wettability test: cefpiramide sodium anhydrate and the hydrate of the present invention were about 5 g Placed in a dry and constant weight watch glass, precision weighed, 25 ° C, relative humidity 70 %, respectively, at 0h and 10h Sampling, calculating the percentage of wetting gain, the results show that the anhydrate-free wettability is much higher than the hydrate of the present invention, and the cefpiramide sodium crystal hydrate of the present invention can be stably stored.
  • Table 1 The results are shown in Table 1.
  • cefpiramide sodium crystallization hydrate and anhydrate sample were sealed in a vial for 6 months at 10 °C for accelerated stability test.
  • the content of cefpiramide sodium and the related substances were determined by HPLC: C8 (250mm ⁇ 4.6mm, 5 ⁇ m) in phosphate buffer solution (take potassium dihydrogen phosphate 4.1g with water 800ml to dissolve, adjust the pH with 1M sodium hydroxide solution to 7.5, diluted with water to 1000ml) - methanol (75: 25) as mobile phase; detection wavelength is 254nm, column temperature is room temperature, flow rate 1ml / min, measured and found
  • the content of cefpiramide sodium crystal hydrate is basically unchanged, and there is no significant increase in related substances, while the increase of cefpiramide sodium-free substance is higher than that of cefpiramide sodium crystal hydrate. .
  • the test results show that the cefpiramide sodium crystal hydrate of the present invention has good storage stability.
  • Figure 1 is a thermogram of cefpiramide sodium 1 hydrate.
  • Figure 2 is a thermogram of cefpiramide sodium 1.5 hydrate.
  • Figure 3 is a thermogram of cefpiramide sodium 2.5 hydrate.
  • Figure 4 is a thermogram of cefpiramide sodium 2 hydrate.
  • Figure 5 is a powder X-ray diffraction pattern of cefpiramide sodium 1 hydrate (Example 1).
  • Figure 6 is a powder X-ray diffraction pattern of cefpiramide sodium 2 hydrate (Example 7).
  • the term 'obtained' refers to a compound isolated at a valuable level of purity, including but not limited to greater than 90%. , 95%, 96%, 97%, 98%, and 99% purity levels.
  • the purity level can be determined by high performance liquid chromatography.
  • composition refers to a composition of a drug, which may contain at least one pharmaceutically acceptable carrier.
  • Thermal analysis test conditions Setaram Setsys 16 , sample volume of about 5mg, heating rate: 10K / min, N 2 flow rate: 50ml / min, temperature: room temperature ⁇ 400 ° C or so.
  • the thermal analysis (TG-DTA or TG-DSC) pattern of the hydrate of the present invention has a corresponding endothermic peak under the weightless platform, and the thermal analysis spectrum shows the crystallization of ceftizoxime sodium. Hydrates such as monohydrate, 1.5 hydrate, 2.5 hydrate, and the like.
  • the cefpiramide sodium 1 hydrate of the present invention may have corresponding characteristic values at positions including the following 2 ⁇ values (Fig. 5): about 4.8, 6.3, 6.8, 10.3, 11.8, 15.4, 19.6, 22.1, 25.1, 32.4.
  • the cefpiramide sodium 2 hydrate of the present invention may have corresponding characteristic values at positions including the following 2 ⁇ values (Fig. 6) of about 5.02, 10.95, 21.93. 39.85.
  • Example 1 Preparation of cefpiramide sodium 1 hydrate
  • 10 g of cefpiramide, 20 ml of water, and 30 ml of methanol were added, and the mixture was stirred, and 2.4 ml of triethylamine was added dropwise thereto with stirring at 5 ° C, and stirred for 30 minutes, and activated carbon was added thereto.
  • Example 2 Preparation of Cefpiramide Sodium 1 Hydrate 20 g of cefpiramide and 80 ml of water were added to a reaction flask, and the mixture was stirred to form a suspension. A saturated aqueous sodium carbonate solution was added dropwise thereto at 5 ° C to adjust the pH to about 6.8, and stirred.
  • Example 3 Preparation of Cefpiramide Sodium 1.5 Hydrate 20 g of cefpiramide and 80 ml of water were added to a reaction flask, and the mixture was stirred to form a suspension. A saturated aqueous solution of sodium hydrogencarbonate was added dropwise thereto at 5 ° C to bring the pH to about 6.8, and stirred.
  • Example 4 Preparation of Cefpiramide Sodium 2.5 Hydrate 20 g of cefpiramide, 40 ml of water and 120 ml of methanol were added to the reaction flask, stirred, and a 25% solution of sodium isooctanoate in ethanol was added dropwise to the filtrate under stirring at 5 ° C to adjust the pH.
  • Example 5 Preparation of Cefpiramide Sodium 2.5 Hydrate 20 g of cefpiramide and 80 ml of water were added to a reaction flask, and the mixture was stirred to form a suspension. A saturated aqueous solution of sodium hydrogencarbonate was added dropwise thereto at 5 ° C to adjust the pH to 7.2, and stirred 30 In minutes, add 0.1g of activated carbon, stir for 30 minutes, suction filtration, wash with water, suction filtration, add acetonitrile 600ml and isopropyl alcohol 550ml, place below -5 °C, make the solid charge analysis, suction filtration, chloroform wash 3 times, suction filtration, The obtained solid was dissolved in a small amount of water, and recrystallized from 350 ml of isopropyl alcohol, 200 ml of acetonitrile, and 20 ml of diethyl ether as a crystallization solvent, and left at -5 ° C for overnight, and the crystals were analyzed by
  • cefpiramide sodium hydrate was dried in a vacuum at about 80 ° C in the presence of phosphorus pentoxide for about 30 hours to obtain an anhydrate of cefpiramide sodium, and the water content thereof was determined to be within 1% by the Karl Fischer method.
  • Example 6 Preparation of Cefpiramide Sodium 0.5 Hydrate 10 g of cefpiramide and 50 ml of water were added to a reaction flask, and the mixture was stirred to form a suspension. A saturated aqueous solution of sodium carbonate was added dropwise thereto at 5 ° C to adjust the pH to 7.0, and stirred for 30 minutes.
  • Example 7 Preparation of Cefpiramide Sodium 2 Hydrate 10 g of cefpiramide and 32 ml of water were added to a reaction flask, and the mixture was stirred to form a suspension. A saturated aqueous solution of sodium hydrogencarbonate was added dropwise thereto at 5 ° C to bring the pH to 7.2, and stirred.
  • Example 8 Take cefpiramide sodium hydrate 100g, stir to dissolve, add mannitol 20g, EDTA disodium 0.05g, add about 500 ml of water for injection, stir to dissolve, adjust the pH to 6.5 ⁇ 7.5 with 1-5M citric acid and disodium hydrogen phosphate solution, add activated carbon 0.01 ⁇ Stir at 0.5% (w/v) for 15-30min, filter, filter with 0.22 micron microporous membrane, press 0.5g/bottle or 1g/ Bottles are packed, vacuum freeze-dried, and tamponed to obtain finished products.
  • Example 9 A sterile cefpiramide sodium hydrate 10 Kg (prepared according to the method of the present invention) was taken in an aseptic dispensing process. 0.5g / bottle or 0.75g / bottle or 1g / bottle or 2g / bottle is divided, stoppered, plugged, rolled aluminum cover finished product.
  • Example 10 Taking sterile cefpiramide sodium 1.5 hydrate 2Kg (Prepared according to the method of the present invention), according to the aseptic packaging process, according to the main drug 0.5g / bottle or 1g / bottle or 1.5g / bottle, the plug, the plug, and the rolled aluminum cover to obtain the finished product.
  • Cefpiramide sodium hydrate prepared according to the method of Example 1 or Example 2 or the method or example of Example 3 or Example 4 5 method or the preparation of the method 6
  • instant sorbitol microcrystalline cellulose, low-substituted hydroxypropyl cellulose, magnesium stearate over 100 mesh sieve, mix, press into a large piece, and then press the sheet into 18 - 24 The mesh of the mesh, tableting.
  • Example 12 Preparation of cefpiramide sodium hydrate vaginal capsule of the present invention (main drug 125 mg / granule)
  • Cefpiramide sodium hydrate prepared according to Example 1 or Example 2 or Example 3 or Example 4 or Example 5
  • the method or the preparation method 6 is prepared by passing through a 100 mesh sieve, mixing, and filling the capsule.
  • Cefpiramide sodium hydrate (prepared according to the method of Example 1 or Example 2 or the method or example of Example 3 or Example 4 5 method or Example 6 preparation), glycerin, stearic acid polyoxyl (40 ), fat, poloxamer mixture, heated in a water bath, stirred, to be melted, stirred until evenly, quickly poured into the mold of the lubricant-coated suppository, to slightly overflow the plug mold, to be flat after cooling, the mold is obtained .
  • Cefpiramide sodium crystal hydrate prepared according to the method of Example 1 or Example 2 or Example 3 or Example 4 Method or Example 5 Method or Example 6 Preparation
  • Glycerin Polyethylene Glycol 1500, Polyethylene Glycol 4000, Poloxamer, EDTA
  • EDTA EDTA Mix the disodium, heat in a water bath, stir, melt, stir until it is evenly poured into the mold of the suppository that has been coated with the lubricant, until it is slightly spilled, and then flattened after cooling.
  • Example 15 Sterile cefpiramide sodium 1 hydrate and tazobactam sodium (8:1) 100 under GMP conditions According to the preparation procedure of powder injection, it is divided into 50-200 bottles, stoppered, plugged, and rolled to obtain the finished product.
  • Example 16 Sterile cefpiramide sodium 0.5 hydrate and tazobactam sodium (4:1) under GMP conditions 100 g is operated according to the powder injection preparation process, and is divided into 50-200 bottles, which are stoppered, plugged, and rolled to obtain the finished product.
  • Example 17 100 g of sterile cefpiramide sodium 1.5 hydrate with sterile sulbactam sodium under GMP conditions 25g is fully mixed and processed according to the powder injection preparation process. It is divided into 50-200 bottles, stoppered, plugged, and rolled to obtain the finished product.
  • Example 18 Sterile cefpiramide sodium 2.5 hydrate 100 under GMP conditions
  • the gram (prepared according to the method of the present invention) is thoroughly mixed with the sterile sulbactam sodium 50g, and is processed according to the powder injection preparation process, and is divided into 50-200 bottles, stoppered, plugged, and rolled to obtain the finished product.
  • Example 19 Sterile cefpiramide sodium 1 hydrate 100 under GMP conditions Gram (prepared according to the method of the present invention) is thoroughly mixed with sterile sulbactam sodium 100g, and is processed according to the powder injection preparation process, and is divided into 50-200 bottles, stoppered, plugged, rolled aluminum cover Get the finished product.
  • Example 20 100 g of sterile cefpiramide sodium 1 hydrate and sterile potassium clavulanate under GMP conditions 5g is fully mixed and fully mixed. According to the powder injection preparation process, it is divided into 50-200 bottles, stoppered, plugged, rolled aluminum cover to obtain the finished product.
  • Example 21 Sterile cefpiramide sodium 2.5 hydrate 100 under GMP conditions Glucose (prepared according to the method of the present invention) is thoroughly mixed with sterile sulbactam sodium 50g, and is processed according to the lyophilized powder injection preparation process, and is divided into 50-200 bottles, stoppered, freeze-dried, tamped, rolled Aluminum cap Get the finished product.
  • Example 22 Determination of Cefpiramide Sodium 1 Hydrate Minimum Inhibitory Concentration MIC, MIC 50 and MIC 90 using a two-fold dilution method as follows:
  • Example 23 Determination of cefpiramide sodium 1.5 hydrate minimum inhibitory concentration MIC, MIC 50 and MIC 90 using a two-fold dilution method as follows:
  • Example 24 Determination of cefpiramide sodium 2.5 hydrate minimum inhibitory concentration MIC, MIC 50 and MIC 90 using a two-fold dilution method as follows:
  • E. coli (6) Staphylococcus aureus (6) Cefpiramide sodium 1 hydrate (Example 1 method) : sulbactam sodium ( 2 : 1 ) 0.003 ⁇ 0.06 0.015 to 0.06 Cefpiramide sodium 2 hydrate (Example 7 method) : Tazobactam sodium (8: 1) 0.003 ⁇ 0.03 0.006 ⁇ 0.03

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Abstract

A cefpiramide sodium hydrate, preparation method and uses thereof are disclosed. The cefpiramide sodium hydrate has better storage stability, and is applicable to produce medicaments for treating or preventing human or animals diseases of respiratory system infection, hepatobiliary system infection, five sense organs and urinary tract infections, abdominal cavity infection, pelvic infection, ichorrhemia, skin soft tissue infection, bones and joints infection, endocarditis, cephalomeningitis and the like, which are caused by Gram-positive or negative bacteria.

Description

头孢匹胺钠水合物及其制备方法和用途Cefpiramide sodium hydrate, preparation method and use thereof Technical FieldTechnical Field

本发明涉及医药技术领域,具体地说是提供 抗菌 药物 -- 头孢匹胺钠水合物及其制备方法和用途。  The present invention relates to the field of medical technology, and in particular to providing an antibacterial drug, cefpiramide sodium hydrate, a preparation method and use thereof.

Background ArtBackground Art

头孢匹胺钠是由日本住友制药公司和山之内制药公司共同研制开发的头孢菌素,按头孢菌素以发现年代和抗菌性质的原则分代,该药物是介于第三代和第四代之间,有人把它称为 ' 三代半 ' 的头孢菌素。头孢匹胺钠于 1985 年首次在日本上市,随后在美国等其它国家上市。其结构特点是在 C3 位上带有甲基四唑硫基, C7 位上有羟基苯基和羟基甲基吡啶基,因而大大改善了原药的抗菌活性和药代动力学特征。 同其他第三代的头孢菌素相比,头孢匹胺钠的抗菌谱有了进一步的扩大,它对多种革兰氏性和阴性细菌包括肠杆菌属、绿脓杆菌和嗜血菌属、奈瑟氏菌属、葡萄球菌、链球菌(除肠球菌外)均有较强的抗菌活性。头孢匹胺钠对耐第三代头孢菌素的革兰氏阴性杆菌也显示出良好的抗菌活性。综合头孢匹胺钠的抗菌活性和临床疗效可以看出,头孢匹胺钠的疗效同头孢他啶和头孢噻肟相当,而其优势在于体外抗菌活性谱更广,覆盖了革兰阳性与革兰阴性菌(包括绿脓杆菌在内)。所以,头孢匹胺钠改善了第三、第四代头孢菌素抗 G 菌、绿脓杆菌和厌氧菌活性差的特点,契合了头孢菌素的研发方向。Cefpiramide sodium is a cephalosporin jointly developed by Sumitomo Pharmaceutical Co., Ltd. and Yamanouchi Pharmaceutical Co., Ltd., which is classified according to the principle of discovery date and antibacterial properties. The drug is between the third and fourth generations. In the meantime, some people call it 'three generations and a half' of cephalosporins. Cefpiramide sodium was first marketed in Japan in 1985 and subsequently marketed in other countries such as the United States. Its structure is characterized by a methyltetrazoliumthio group at the C3 position and a hydroxyphenyl group and a hydroxymethylpyridyl group at the C7 position, thereby greatly improving the antibacterial activity and pharmacokinetic characteristics of the original drug. Compared with other third-generation cephalosporins, the antibacterial spectrum of cefpiramide sodium has been further expanded. It is suitable for a variety of Gram and negative bacteria including Enterobacter, Pseudomonas aeruginosa and Haemophilus. Neisseria, Staphylococcus, and Streptococcus (except Enterococcus) have strong antibacterial activity. Cefpiramide sodium also showed good antibacterial activity against Gram-negative bacilli resistant to third-generation cephalosporins. The antibacterial activity and clinical efficacy of cefpiramide sodium can be seen that the efficacy of cefpiramide sodium is comparable to that of ceftazidime and cefotaxime, and its advantage is that the spectrum of antibacterial activity in vitro is broader, covering Gram-positive and Gram-negative bacteria. (including Pseudomonas aeruginosa). Therefore, cefpiramide sodium improves the activity of the third and fourth generation cephalosporins against G + bacteria, Pseudomonas aeruginosa and anaerobic bacteria, and is in line with the research and development direction of cephalosporins.

目前,公开的文献仅报道了头孢匹胺钠( Cefpiramide sodium )( C25H23N8NaO7S 2 ,分子量: 634.62 , CAS 号: 74849-93-7 ) ,到目前为止,国内外尚没有公开的文献报道本发明的 头孢匹胺钠结晶水合物 及 其制备方法和用途。At present, the published literature only reports Cefpiramide sodium (C 25 H 23 N 8 NaO 7 S 2 , molecular weight: 634.62, CAS No.: 74849-93-7), so far, there is no The published literature reports the cefpiramide sodium crystalline hydrate of the present invention, its preparation method and use.

Technical ProblemTechnical Problem

本发明所涉及的是 抗菌感染 药物头孢匹胺钠水合物 及 其制备方法和用途 , 其分子式为 C25H23N8NaO7S 2· nH2O , n=0.5 ~ 3 之间的数字,包括 0.5 、 0.75 、 1 、 1.25 、 1.5 、 2 、 2.5 等 。 The invention relates to an antibacterial infection drug cefpiramide sodium hydrate, a preparation method thereof and a use thereof, wherein the molecular formula is C 25 H 23 N 8 NaO 7 S 2 · nH 2 O , n=0.5 ~3, Includes 0.5, 0.75, 1, 1.25, 1.5, 2, 2.5, etc.

Technical SolutionTechnical Solution

头孢匹胺钠衍生物--头孢匹胺钠结晶水合物的制备包括如下方法: Preparation of Cefpiramide Sodium Derivative-Cefpiramide Sodium Crystalline Hydrate comprises the following methods:

方法 A. 在反应容器中, 加头孢 匹胺 酸,加水、 C1-C6 的低分子醇、 C2-C8 的低分子醚、 C2-C6 的低分子腈中的一种或几种, 搅拌, 10 ℃ 下加 C1-C12 的低分子 胺,搅拌溶解, 10 ℃ 下在滤液中加碳酸钠、碳酸氢钠、氢氧化钠、醋酸钠、硫氰酸钠、辛酸钠、异辛酸钠 的一种 与水、 C1-C6 的低分子醇、 C2-C8 的低分子醚、 C2-C6 的低分子腈、 C3-C8 的低分子酮、 C1-C6 的低分子卤代烃中的一种或几种的 溶液,搅拌反应 0.2-3 小时,用无机酸或有机酸或其溶液调节 pH 至 6.0 ~ 8.0 ,将上述溶液加入到 C1-C6 的低分子醇、 C2-C8 的低分子醚、 C3-C8 的低分子酮、 C2-C8 的低分子酯、 C2-C6 的低分子腈、 C1-C6 的低分子卤代烃中的一种或几种中 ,或加 C1-C6 的低分子醇、 C2-C8 的低分子醚、 C3-C8 的低分子酮、 C2-C8 的低分子酯、 C2-C6 的低分子腈、 C1-C6 的低分子卤代烃中的一种或几种 , 10 ℃ 以下放置,使固体充分析出,抽滤,用 C1-C6 的低分子醇、 C2-C8 的低分子醚、 C3-C8 的低分子酮、 C2-C8 的低分子酯、 C2-C6 的低分子腈、 C1-C6 的低分子卤代烃中的一种或几种 洗 1-3 次,过滤,所得固体用水与 C1-C6 的低分子醇、 C2-C8 的低分子醚、 C3-C8 的低分子酮、 C2-C6 的低分子腈、 C1-C6 的低分子卤代烃、 C2-C8 的低分子酯中的一种或几种 溶剂重结晶一次或多次, 10 ℃ 以下放置,使结晶充分析出,过滤,洗涤、干燥,得 头孢匹胺钠结晶水合物 ;Method A. In the reaction vessel, add cefpiramide, add water, one of C 1 -C 6 low molecular alcohol, C 2 -C 8 low molecular ether, C 2 -C 6 low molecular nitrile or Several kinds, stir, add C 1 -C 12 low molecular amine at 10 °C, stir to dissolve, add sodium carbonate, sodium hydrogencarbonate, sodium hydroxide, sodium acetate, sodium thiocyanate, sodium octanoate to the filtrate at 10 °C , sodium ethylhexanoate one water, C 1 -C 6 lower alcohol is, C 2 -C 8 ether of a low molecular weight, C 2 -C 6 of a low molecular weight nitrile, C 3 -C 8 ketones of low molecular weight, a solution of one or more of C 1 -C 6 low molecular halogenated hydrocarbons, stirred for 0.2 to 3 hours, adjusted to a pH of 6.0 to 8.0 with a mineral acid or an organic acid or a solution thereof, and added to the solution C 1 - C 6 low molecular alcohol, C 2 - C 8 low molecular ether, C 3 - C 8 low molecular ketone, C 2 - C 8 low molecular ester, C 2 - C 6 low molecular nitrile, C One or more of 1 - C 6 low molecular halogenated hydrocarbons, or a C 1 -C 6 low molecular alcohol, a C 2 -C 8 low molecular ether, a C 3 -C 8 low molecular ketone , C 2 -C 8 esters of low molecular weight, C 2 -C 6 of a low molecular weight nitrile, C 1 -C 6 of One or more molecules of a halogenated hydrocarbon, below 10 ℃ placed sufficiently precipitate the solid, filtered off with suction, with C 1 -C 6 lower alcohol, and C 2 -C 8 ether of a low molecular weight, C 3 -C 8 is a low molecular weight ketones, C 2 -C 8 esters of low molecular weight, C 2 -C 6 of a low molecular weight nitrile, C 1 -C 6 halogenated hydrocarbons of low molecular weight of one or more washing 1-3 times, Filtration, the obtained solid with water and C 1 -C 6 low molecular alcohol, C 2 -C 8 low molecular ether, C 3 -C 8 low molecular ketone, C 2 -C 6 low molecular nitrile, C 1 -C 6 is a low molecular weight halogenated hydrocarbons, one or more solvents for recrystallization C 2 -C 8 esters of low molecular weight in one or more times below 10 ℃ placed sufficiently precipitate crystal was filtered, washed, and dried to give cephalosporin Sodium citrate crystal hydrate;

其中,反应中所使用的 头孢匹胺酸 : C1-C12 的低分子 胺 :碱( 碳酸钠、碳酸氢钠、氢氧化钠、醋酸钠、硫氰酸钠、辛酸钠、异辛酸钠中的一种) 的摩尔比一般可为 1 : 0.5-1.1 : 0.5-1.1 ; 头孢匹胺酸( 重量 g ) 与水、 C1-C6 的低分子醇、 C2-C8 的低分子醚、 C2-C6 的低分子腈中的一种或几种(体积 ml )的比为一般为: 1(g) : 1.5 ~ 50(ml) ;结晶或重结晶中使用的水与有机溶剂的体积比一般为 1 : 5 ~ 300 。活性炭的用量为反应物重量的 0.01-3% 。Among them, the cefpiramide used in the reaction: C 1 -C 12 low molecular amine: alkali (sodium carbonate, sodium hydrogencarbonate, sodium hydroxide, sodium acetate, sodium thiocyanate, sodium octoate, sodium isooctanoate) The molar ratio of one of them can generally be 1: 0.5-1.1: 0.5-1.1; cefpiramide (weight g) with water, C 1 -C 6 low molecular alcohol, C 2 -C 8 low molecular ether The ratio of one or several (volume ml) of the C 2 -C 6 low molecular weight nitrile is generally: 1 (g): 1.5 to 50 (ml); water and organic solvent used in crystallization or recrystallization The volume ratio is generally 1: 5 to 300. The amount of activated carbon is from 0.01 to 3% by weight of the reactant.

或者方法 B. 在反应容器中,加头孢匹胺酸,加水、 C1-C6 的低分子醇、 C2-C8 的低分子醚、 C2-C6 的低分子腈中的一种或几种,搅拌,在 10℃ 下在滤液中加碳酸钠、碳酸氢钠、氢氧化钠、硫氰酸钠、醋酸钠、辛酸钠、异辛酸钠的一种与水、 C1-C6 的低分子醇、 C2-C8 的低分子醚、 C3-C8 的低分子酮中的一种或几种的溶液,搅拌反应 0.2-3 小时,用无机酸或有机酸或其溶液调节 pH 至 6.0 ~ 8.0 ,将上述溶液加入到 C1-C6 的低分子醇、 C2-C8 的低分子醚、 C3-C8 的低分子酮、 C2-C8 的低分子酯、 C2-C6 的低分子腈、 C1-C6 的低分子卤代烃中的一种或几种中,或加 C1-C6 的低分子醇、 C2-C8 的低分子醚、 C3-C8 的低分子酮、 C2-C8 的低分子酯、 C2-C6 的低分子腈、 C1-C6 的低分子卤代烃中的一种或几种, 10℃ 以下放置,使固体充分析出,过滤,用 C1-C6 的低分子醇、 C2-C8 的低分子醚、 C3-C8 的低分子酮、 C2-C6 的低分子腈、 C1-C6 的低分子卤代烃中的一种或几种洗 1-3 次,过滤,所得固体用水与 C1-C6 的低分子醇、 C2-C8 的低分子醚、 C3-C8 的低分子酮、 C2-C8 的低分子酯、 C2-C6 的低分子腈、 C1-C6 的低分子卤代烃中的一种或几种为结晶溶剂进行一次或多次重结晶,过滤,洗涤、干燥,干燥得头孢匹胺钠结晶水合物。Or method B. Adding cefpiramide to a reaction vessel, adding water, a C 1 -C 6 low molecular alcohol, a C 2 -C 8 low molecular ether, or a C 2 -C 6 low molecular nitrile Or several, stirring, adding 10% sodium carbonate, sodium hydrogencarbonate, sodium hydroxide, sodium thiocyanate, sodium acetate, sodium octanoate, sodium isooctanoate to water, C 1 -C 6 at 10 ° C a solution of one or more of a low molecular alcohol, a C 2 -C 8 low molecular ether, a C 3 -C 8 low molecular ketone, stirred for 0.2-3 hours, using a mineral acid or an organic acid or a solution thereof pH was adjusted to 6.0 to 8.0, the above solution was added to the lower alcohol of C1-C6, C 2 -C 8 ether of a low molecular weight, C 3 -C 8 low molecular weight ketones, C 2 -C 8 esters of low molecular weight, One or more of C 2 -C 6 low molecular nitriles, C 1 -C 6 low molecular halogenated hydrocarbons, or C 1 -C 6 low molecular alcohols, C 2 -C 8 low molecules One or more of ether, C 3 -C 8 low molecular ketone, C 2 -C 8 low molecular ester, C 2 -C 6 low molecular nitrile, C 1 -C 6 low molecular halogenated hydrocarbon , below 10 ℃ placed sufficiently precipitate the solid, filtered, washed with C 1 -C 6 of low molecular Alcohols, C 2 -C 8 ether of a low molecular weight, C 3 -C 8 low molecular weight ketones, C 2 -C 6 of a low molecular weight nitrile, C 1 -C 6 halogenated hydrocarbons of low molecular weight of one or more Washing 1-3 times, filtering, the obtained solid is water with C 1 -C 6 low molecular alcohol, C 2 -C 8 low molecular ether, C 3 -C 8 low molecular ketone, C 2 -C 8 low molecular weight One or more of the ester, a C 2 -C 6 low molecular nitrile, and a C 1 -C 6 low molecular halogenated hydrocarbon are recrystallized one or more times by a crystallization solvent, filtered, washed, dried, and dried to obtain a cephalosporin Sodium citrate crystalline hydrate.

其中,反应中所使用的头孢匹胺酸:碱(碳酸钠、碳酸氢钠、氢氧化钠、硫氰酸钠、醋酸钠、辛酸钠、异辛酸钠中的一种)的摩尔比一般可为 1 : 0.5-1.1 : 0.5-1.1 ;头孢匹胺酸(重量 g )与水、 C1-C6 的低分子醇、 C2-C8 的低分子醚、 C2-C6 的低分子腈中的一种或几种(体积 ml )的比为一般为: 1(g) : 1.5 ~ 50(ml) ;结晶或重结晶中使用的水与有机溶剂的体积比一般为 1 : 20 ~ 300 。Wherein, the molar ratio of cefpirin:base (one of sodium carbonate, sodium hydrogencarbonate, sodium hydroxide, sodium thiocyanate, sodium acetate, sodium octanoate, sodium isooctanoate) used in the reaction is generally 1 : 0.5-1.1 : 0.5-1.1 ; cefpiramide (g) and water, C 1 -C 6 low molecular alcohol, C 2 -C 8 low molecular ether, C 2 -C 6 low molecular nitrile The ratio of one or several (vol. ml) is generally: 1 (g): 1.5 to 50 (ml); the volume ratio of water to organic solvent used in crystallization or recrystallization is generally 1:20 to 300. .

头孢匹胺钠水合物的结晶或重结晶溶剂选自水、乙腈、四氢呋喃、丙酮、甲醇、乙醇、异丙醇、醋酸丁酯、乙酸乙酯、甲酸乙酯、乙醚、异丙醚、四氢呋喃、二氯甲烷、氯仿等中的一种或几种;头孢匹胺钠结晶或重结晶溶剂,优选水、丙酮、甲醇、乙醇、异丙醇,四氢呋喃、乙酸乙酯、乙醚、异丙醚、氯仿中的一种或几种。在本发明的制备方法中,在重结晶过程中可先用水溶解头孢匹胺钠水合物,溶解后可以使用活性炭脱色(若使用活性炭脱色,其用量一般为所脱色溶液重量的 0.01-3% ),再用本发明中的溶剂使其结晶。重结晶过程中可将头孢匹胺钠含水溶液加入到 C1-C6 的低分子醇、 C2-C8 的低分子醚、 C3-C8 的低分子酮、 C2-C8 的低分子酯、 C2-C6 的低分子腈、 C1-C6 的低分子卤代烃中的一种或几种中,或在其中加 C1-C6 的低分子醇、 C2-C8 的低分子醚、 C3-C8 的低分子酮、 C2-C8 的低分子酯、 C2-C6 的低分子腈、 C1-C6 的低分子卤代烃中的一种或几种,放冷放置结晶。无菌的头孢匹胺钠水合物的制备按照常规工艺进行无菌操作制备。本发明的头孢匹胺钠水合物可具有不同的晶型。The crystallizing or recrystallization solvent of cefpiramide sodium hydrate is selected from the group consisting of water, acetonitrile, tetrahydrofuran, acetone, methanol, ethanol, isopropanol, butyl acetate, ethyl acetate, ethyl formate, diethyl ether, diisopropyl ether, tetrahydrofuran, One or more of dichloromethane, chloroform, etc.; cefpiramide sodium crystal or recrystallization solvent, preferably water, acetone, methanol, ethanol, isopropanol, tetrahydrofuran, ethyl acetate, diethyl ether, diisopropyl ether, chloroform One or several of them. In the preparation method of the present invention, the cefpiramide sodium hydrate can be dissolved in water during the recrystallization process, and the activated carbon can be decolorized after dissolution (if the activated carbon is used for decolorization, the amount is generally 0.01-3% by weight of the decolorized solution) It is further crystallized by the solvent in the present invention. The cefpiramide sodium aqueous solution can be added to the C 1 -C 6 low molecular alcohol, C 2 -C 8 low molecular ether, C 3 -C 8 low molecular ketone, C 2 -C 8 in the recrystallization process. One or more of a low molecular ester, a C 2 -C 6 low molecular nitrile, a C 1 -C 6 low molecular halogenated hydrocarbon, or a C 1 -C 6 low molecular alcohol, C 2 -C 8 low molecular ether, C 3 -C 8 low molecular ketone, C 2 -C 8 low molecular ester, C 2 -C 6 low molecular nitrile, C 1 -C 6 low molecular halogenated hydrocarbon One or several of them are placed in a cold place to crystallize. Preparation of sterile cefpiramide sodium hydrate is prepared aseptically in accordance with conventional procedures. The cefpiramide sodium hydrate of the present invention may have different crystal forms.

本发明中的低分子醇的碳原子数定义为 C1-C6 (即: 1-6 个碳原子的醇),如甲醇、乙醇、异丙醇等;低分子醚的碳原子数定义为 C2-C8 (即: 2-8 个碳原子的醚),如乙醚、异丙醚、丁醚、四氢呋喃等;低分子卤代烃的碳原子数定义为 C1-C6 (即: 1-6 个碳原子的卤代烃),包括二氯甲烷、二氯乙烷、氯仿等;低分子酯的碳原子数定义为 C2-C8 (即: 2-8 个碳原子的酯),包括醋酸丁酯、乙酸乙酯、甲酸乙酯等;低分子直链或支链烷烃或环烷烃的碳原子数定义为 C5-C10 ,包括戊烷、正己烷、环己烷、石油醚等;低分子芳香烃的碳原子数定义为 C6-C12 (即: 6-12 个碳原子的芳香烃),包括苯,甲苯等; C1-C6 的低分子酸的碳原子数定义为 1-6 个碳原子的有机酸,包括甲酸、乙酸、丙酸等; C3-C8 的低分子酮定义为 3-8 个碳原子的酮,包括丙酮,丁酮、异己酮等; C2-C6 的低分子腈(即: 2-6 个碳原子的腈),包括乙腈、丙腈等; C1-C12 的低分子胺定义为 1-12 个碳原子的有机胺,包括二甲胺、二乙胺、三乙胺、环己胺、二环己胺、乙醇胺等;关于任何一类描述为 ' 低分子 ' 化合物的碳原子数量的标记方法只要在本申请的文本中出现一次,其它任何未进行标记的描述为 ' 低分子 ' 的同类化合物的碳原子数与本文中已经标明的数量是一致的。The number of carbon atoms of the low molecular alcohol in the present invention is defined as C 1 -C 6 (ie, an alcohol having 1 to 6 carbon atoms) such as methanol, ethanol, isopropanol, etc.; the number of carbon atoms of the low molecular ether is defined as C 2 -C 8 (ie: an ether of 2-8 carbon atoms) such as diethyl ether, diisopropyl ether, dibutyl ether, tetrahydrofuran, etc.; the number of carbon atoms of the low molecular halogenated hydrocarbon is defined as C 1 -C 6 (ie: a halogenated hydrocarbon of 1 to 6 carbon atoms, including dichloromethane, dichloroethane, chloroform, etc.; the number of carbon atoms of the low molecular ester is defined as C 2 - C 8 (ie: an ester of 2-8 carbon atoms) ), including butyl acetate, ethyl acetate, ethyl formate, etc.; the number of carbon atoms of a low molecular linear or branched alkane or a cycloalkane is defined as C 5 - C 10 , including pentane, n-hexane, cyclohexane, Petroleum ethers, etc.; the number of carbon atoms of a low molecular aromatic hydrocarbon is defined as C 6 -C 12 (ie, an aromatic hydrocarbon of 6-12 carbon atoms), including benzene, toluene, etc.; C 1 -C 6 low molecular acid carbon It is defined as the number of atoms from 1 to 6 carbon atoms and an organic acid, including formic acid, acetic acid, propionic acid; low molecular weight ketone is defined as C 3 -C 8 ketones of 3-8 carbon atoms, include acetone, methyl ethyl ketone, Cyclohexanone and the like; C 2 -C 6 nitriles low molecular weight (i.e.: nitrile 2-6 carbon atoms), include acetonitrile, propionitrile and the like; low molecular weight amines defined C 1 -C 12 from 1 to 12 carbon atoms, Organic amines, including dimethylamine, diethylamine, triethylamine, cyclohexylamine, dicyclohexylamine, ethanolamine, etc.; any method for labeling the number of carbon atoms described as a 'low molecular' compound is only Once in the text of the application, any other unlabeled compound of the class described as 'low molecule' has the same number of carbon atoms as the number already indicated herein.

本发明的产物的干燥方式可以为在不同温度(如 20-80 ℃)、干燥时间( 0.5 小时到数日)、或附有其它干燥剂(包括硅胶,五氧化二磷、无水氯化钙、无水硫酸钠等)的环境条件下、或使用常压或减压的方式对最后的产物进行干燥。其干燥温度优选在 30-60 ℃。 The product of the present invention can be dried at different temperatures (e.g., 20-80 ° C), drying time (0.5 Hours to several days), or with other desiccants (including silica gel, phosphorus pentoxide, anhydrous calcium chloride, anhydrous sodium sulfate, etc.) under ambient conditions, or using atmospheric or decompression methods for the final The product is dried. Its drying temperature is preferably 30-60 °C.

粉末 X 衍射通常可用来表征和 / 或鉴别多晶形,对于粉末 X 衍射在表征和 / 或鉴别时,在报告峰值前使用修饰语 ' 约 ' 。鉴于峰值的固有变化,这是固态化学领域的惯常做法。粉末图谱峰的 2θ x- 轴值的通常准确度在 ±0.2° 2θ 级别上,因此,以'约 8.0° 2θ 出现的粉末 X 衍射峰意指当在大多数 X- 射线衍射仪上测量时,峰可能在 7.8° 2θ 与 8.2° 2θ 之间。峰强度的变化是各晶体在样品容器中相对于外部 X- 射线源如何取向的结果,取向作用不提供关于晶体的结构信息。 Powder X-ray diffraction is commonly used to characterize and/or identify polymorphs, for powder X-ray diffraction in characterization and / Or when identifying, use the modifier 'about' before reporting the peak. This is a common practice in the field of solid state chemistry due to the inherent variations in peaks. The typical accuracy of the 2θ x-axis value of the powder peak is ±0.2° 2θ Level, therefore, the powder X-diffraction peak appearing at 'about 8.0° 2θ means that when measured on most X-ray diffractometers, the peaks may be at 7.8° 2θ and 8.2° 2θ. Between. The change in peak intensity is the result of how each crystal is oriented in the sample container relative to the external X-ray source, and the orientation does not provide structural information about the crystal.

本发明在一方面,提供头孢匹胺钠的不同的结晶水合物。 In one aspect, the invention provides different crystalline hydrates of cefpiramide sodium.

本发明在另一方面,提供不同的晶形的结晶水合物以及它们的制备方法。 In another aspect, the invention provides crystalline hydrates of different crystalline forms and methods for their preparation.

本发明在另一方面提供一种药用组合物,其中包括任何一种或多种由本发明的方法制备的头孢匹胺钠结晶水合物,和一种或多种药学可接受的赋形剂。 In another aspect, the invention provides a pharmaceutical composition comprising any one or more of cefpiramide sodium crystalline hydrate prepared by the method of the invention, and one or more pharmaceutically acceptable excipients.

本发明进一步提供制备药物制剂的方法,其中包括任何一种或多种由本发明的方法制备的头孢匹胺钠结晶水合物。 The invention further provides a process for the preparation of a pharmaceutical formulation comprising any one or more of cefpiramide sodium crystalline hydrate prepared by the process of the invention.

本发明进一步提供头孢匹胺钠结晶水合物以及不同晶形的结晶水合物,如头孢匹胺钠 1 水合物、 1.5 水合物、 2 水合物、 2.5 水合物等,在制备用于治疗感染,包括细菌感染、革兰氏阳性和或阴性菌感染等感染的药物组合物中的用途。 The present invention further provides cefpiramide sodium crystal hydrate and crystalline hydrates of different crystal forms, such as cefpiramide sodium 1 hydrate, 1.5 The use of hydrates, hydrates, 2.5 hydrates, and the like, in the preparation of pharmaceutical compositions for the treatment of infections, including bacterial infections, Gram-positive and or Gram-negative infections.

本发明的头孢匹胺钠结晶水合物用途:本发明的头孢匹胺钠结晶水合物用于制备固体制剂、注射剂、 其中注射剂包括 注射用冻干粉针制剂、无菌分装粉针制剂、输液制剂(包括双室即配型大输液、非 PVC 固液双室即配型大输液、非 PVC 多层共挤膜制成的即配型大输液)、 片剂、胶囊剂、颗粒剂 等;并可 用于制备 头孢匹胺钠 无水物。 无水物的制备可由本发明的结晶水合物经不同的干燥方法获得,其制备可在不同温度(如 60-100℃)、干燥时间(数小时到数日)、或附有其它干燥剂(包括硅胶,分子筛、五氧化二磷、氢氧化钠、无水碳酸钠、无水氯化钙、无水硫酸钠、无水硫酸镁等)的环境条件下、或并使用常压或减压的方式对最后的产物进行干燥,也可先由苯蒸馏带水的方法,并结合其它本文中描述的干燥方法干燥后获得。 Cefpiramide sodium crystal hydrate of the present invention Use: The cefpiramide sodium crystal hydrate of the present invention is used for preparing a solid preparation, an injection, The injection includes lyophilized powder injection for injection, aseptic powder injection preparation, infusion preparation (including double chamber, large infusion, non-PVC solid-liquid double chamber, large infusion, non-PVC A large infusion solution made of a multi-layer co-extruded film), a tablet, a capsule, a granule, etc.; and can be used for preparing an anhydrate of cefpiramide sodium. The preparation of the anhydrate can be obtained by the different crystallization methods of the crystalline hydrate of the present invention, and the preparation can be carried out at different temperatures (eg 60-100 ° C), drying time (hours to days), or with other desiccants (including silica gel, molecular sieves, phosphorus pentoxide, sodium hydroxide, anhydrous sodium carbonate, anhydrous calcium chloride, anhydrous Drying the final product under ambient conditions of sodium sulfate, anhydrous magnesium sulfate, etc., or by using atmospheric or reduced pressure, or by first distilling water with benzene, in combination with other drying as described herein. The method is obtained after drying.

用于制备片剂(包括口含片、舌下片、口腔贴片、口崩片、阴道片等)、胶囊(包括直肠、阴道用胶囊等)、颗粒剂,其中可含有药学上可接受的填充剂,如淀粉、变性淀粉、乳糖、微晶纤维素、环糊精、山梨醇、甘露醇、磷酸钙、氨基酸等;药学上可接受的崩解剂,如淀粉、变性淀粉、微晶纤维素、羧甲基淀粉钠、交联聚乙烯吡咯烷酮、低取代羟丙基纤维素、表面活性剂(十二烷基硫酸钠等);药学上可接受的润湿剂和粘合剂,如胶化淀粉、甲基纤维素、羧甲基纤维素钠、乙基纤维素、聚乙烯吡咯烷酮、海藻酸及其盐;药学上可接受的润滑剂和助流剂,如硬脂酸、硬脂酸镁、聚乙二醇 4000 - 8000 、滑石粉、微粉硅胶、十二烷基硫酸镁等;药学上可接受的甜味剂和香 精,如阿斯巴甜、甜蜜素、糖精钠、三氯蔗糖、食用香精等。 For the preparation of tablets (including buccal tablets, sublingual tablets, oral patches, orally disintegrating tablets, vaginal tablets, etc.), capsules (including rectal, vaginal capsules, etc.), granules, which may contain pharmaceutically acceptable Fillers such as starch, modified starch, lactose, microcrystalline cellulose, cyclodextrin, sorbitol, mannitol, calcium phosphate, amino acids, etc.; pharmaceutically acceptable disintegrating agents such as starch, modified starch, microcrystalline fiber , sodium carboxymethyl starch, cross-linked polyvinylpyrrolidone, low-substituted hydroxypropyl cellulose, surfactant (sodium lauryl sulfate, etc.); pharmaceutically acceptable wetting agents and binders, such as gums Starch, methylcellulose, sodium carboxymethylcellulose, ethylcellulose, polyvinylpyrrolidone, alginic acid and its salts; pharmaceutically acceptable lubricants and glidants such as stearic acid, stearic acid Magnesium, polyethylene glycol 4000 - 8000, talc, micronized silica gel, magnesium lauryl sulfate, etc.; pharmaceutically acceptable sweeteners and flavors such as aspartame, cyclamate, sodium saccharin, sucralose, food flavors, and the like.

头孢匹胺钠结晶水合物的栓剂制备:头孢匹胺钠结晶水合物1~50%、栓剂基质50~99%组成,基质可以是乙醇、甘油、凡士林、甘油明胶、聚乙二醇200~8000、泊洛沙姆、半合成硬脂肪酸脂、卡波姆系列(931、934、940、974、AA-1、1342等)、吐温60~80中的一种或几种。制备方法:将主药与基质混合,水浴加热、搅拌、待融化,搅拌至匀、迅速倾入已涂有润滑剂的栓剂的模具中,至稍微溢出栓模,待冷后削平,起模即得。 Suppository preparation of cefpiramide sodium crystal hydrate: cefpiramide sodium crystal hydrate 1-50%, suppository base 50~99% composition, matrix can be ethanol, glycerin, petrolatum, glycerin gelatin, polyethylene glycol 200-8000 One or more of poloxamers, semi-synthetic hard fatty acid esters, carbomer series (931, 934, 940, 974, AA-1, 1342, etc.) and Tween 60-80. The preparation method comprises the following steps: mixing the main drug with the substrate, heating, stirring, and melting in a water bath, stirring until evenly, and pouring into the mold of the suppository coated with the lubricant to slightly overflow the plug mold, and then flattening after cooling and starting the mold. Got it.

本发明的结 晶 水合物 不同于 无水物的潮解使得在处理时要隔绝空气防止粘连等,而结晶水合物具有良好的滑动性,从而改善制剂的可操作性; 并使 制备的固体制剂 具有良好的溶出性能,使得其容易被吸收进入血液循环,改善生物利用度,并有利于快速发挥其作用。从另一个方面,使得其防止出现在进行无菌分装时不易因为吸潮而导致分装时产生堵塞使得装量发生差异导致剂量不足,从而带来产品的不合格,或因为不合格的产品没有被抽检到形成实际上的漏检,进而流入市场,在临床治疗中对患者的治疗代理负面的效果,或者因剂量不足危及病人的生命。或者在分装时,因为吸潮而导致整个生产线被迫暂停,严重降低设备的生产能力,大大增加工时费用等的隐患。 The crystal hydrate of the present invention is different from The deliquescent of the anhydrate prevents the air from being blocked during the treatment, and the crystallization hydrate has good slidability, thereby improving the operability of the preparation; and preparing the solid preparation It has good dissolution properties, making it easy to be absorbed into the blood circulation, improving bioavailability, and facilitating its rapid function. On the other hand, it is prevented from appearing in the case of aseptic dispensing, which is not easy to cause clogging due to moisture absorption, resulting in a difference in the amount of the load, resulting in insufficient dosage, resulting in product failure, or because of unqualified products. It has not been sampled to form an actual missed test, and then flows into the market, causing a negative effect on the patient's therapeutic agent in clinical treatment, or jeopardizing the patient's life due to insufficient dose. Or in the case of dispensing, the entire production line is forced to suspend due to moisture absorption, which seriously reduces the production capacity of the equipment and greatly increases the hidden troubles such as working hours.

头孢匹胺钠结晶水合物的针剂,其制备方法为: An injection of cefpiramide sodium crystal hydrate, which is prepared by:

输液制剂,包括双室即配型大输液、非 PVC 固液双室即配型大输液、非 PVC 多层共挤膜制成的即配型大输液,按常规方法制备。 Infusion preparations, including double chamber, large infusion, non-PVC solid-liquid dual-chamber, large infusion, non-PVC A large infusion solution made of a multi-layer co-extruded film is prepared in a conventional manner.

无菌分装的粉针的制备:按照通常惯例使用无菌原料进行分装。 Preparation of aseptically dispensed powdered needles: Dispensing using sterile raw materials according to normal practice.

冻干粉针制剂的制备方法为:取头孢匹胺钠结晶水合物,可以加药学上可接受冻干支持剂或辅形剂、稳定剂、注射用水,搅拌使溶解,若需要,可用药学上可接受的酸碱调节 pH 为 6.0 ~ 8.0 ,加活性碳 0.005 ~ 0.5% ( W/V )搅拌 15 ~ 45min ,过滤,补水,无菌过滤,按 0.5 ~ 2g / 瓶分装,冷冻干燥,压塞,得成品。 The preparation method of the lyophilized powder preparation is as follows: taking cefpiramide sodium crystal hydrate, adding pharmaceutically acceptable lyophilized support agent or auxiliary agent, stabilizer, water for injection, stirring to dissolve, if necessary, pharmacy can be used Acceptable acid and base to adjust pH For 6.0 ~ 8.0, add activated carbon 0.005 ~ 0.5% (W / V) for 15 ~ 45min, filter, hydration, sterile filtration, press 0.5 ~ 2g / Bottles are packed, freeze-dried, and tamponed to obtain finished products.

其药学上可接受的 pH 调节剂可以是药学上可接受的无机酸或有机酸、无机碱或有机碱,也可以是广义的路易斯酸或碱,可以含有一种或者几种,可以是盐酸、丙酸、醋酸及药用盐、乳酸及药用盐、枸橼酸药用盐、碳酸钠、碳酸氢钠、碳酸氢钾、氢氧化钠、氢氧化钾、磷酸及药用盐、酒石酸及其药用盐、硼砂、硼酸、丁二酸、己酸、己二酸、反丁烯二酸、顺丁烯二酸、多羟基羧酸及药用盐,如葡萄糖醛酸、葡萄糖酸、乳糖酸、苹果酸、苏糖酸等中的一种或者几种。 Its pharmaceutically acceptable pH The regulator may be a pharmaceutically acceptable inorganic or organic acid, an inorganic base or an organic base, or a Lewis acid or a base in a broad sense, may contain one or more, and may be hydrochloric acid, propionic acid, acetic acid, and medicinal Salt, lactic acid and pharmaceutically acceptable salts, pharmaceutically acceptable salts of citric acid, sodium carbonate, sodium hydrogencarbonate, potassium hydrogencarbonate, sodium hydroxide, potassium hydroxide, phosphoric acid and pharmaceutically acceptable salts, tartaric acid and pharmaceutically acceptable salts thereof, borax, boric acid , succinic acid, caproic acid, adipic acid, fumaric acid, maleic acid, polyhydroxycarboxylic acid and pharmaceutically acceptable salts, such as glucuronic acid, gluconic acid, lactobionic acid, malic acid, threonic acid One or several of the others.

其药学上可接受的抗氧剂和稳定剂可以是亚硫酸及盐、亚硫酸氢盐、焦亚硫酸盐、连二亚硫酸盐、硫代硫酸盐,有机硫化合物硫脲、谷胱甘肽、二巯基丙醇、巯基乙酸及盐、硫代乳酸及盐、硫代二丙酸及盐、苯甲酸及其药用盐(如苯甲酸钠)、苯酚类化合物,如没食子酸及盐、咖啡酸及盐、阿魏酸及盐、二叔丁基对苯酚、 2 , 5- 二羟基苯甲酸及盐、苯酚或其衍生物、水杨酸或其盐;抗坏血酸及盐、异抗坏血酸及盐、烟酰胺、酒石酸、硝酸盐、磷酸盐、醋酸药用盐、柠檬酸盐、 EDTA 及 EDTA 盐、如 EDTA 二钠、 EDTA 四钠、 N -二( 2 -羟乙基)甘氨酸等中的一种或者几种。本无菌粉针或大输液中也可加入上述抗氧剂或稳定剂。 The pharmaceutically acceptable antioxidants and stabilizers thereof may be sulfurous acid and salts, bisulfite, pyrosulfite, dithionite, thiosulfate, organic sulfur compound thiourea, glutathione. , dimercaptopropanol, thioglycolic acid and salt, thiolactic acid and salt, thiodipropionic acid and salt, benzoic acid and pharmaceutically acceptable salts thereof (such as sodium benzoate), phenolic compounds such as gallic acid and salt, caffeic acid And salts, ferulic acid and salts, di-tert-butyl-p-phenol, 2 , 5-dihydroxybenzoic acid and salt, phenol or its derivatives, salicylic acid or its salt; ascorbic acid and salt, isoascorbic acid and salt, nicotinamide, tartaric acid, nitrate, phosphate, pharmaceutically acceptable salt, lemon Acid salt, EDTA And EDTA salts, such as EDTA disodium, EDTA tetrasodium, N-di (2 One or more of -hydroxyethyl)glycine and the like. The above antioxidant or stabilizer may also be added to the sterile powder needle or large infusion solution.

去热源和除菌方式可以是加入配液量 0.005~3%的活性炭去热源,微孔滤膜除菌和热压灭菌,也可以采用超滤除菌、去热源。超滤方法中,超滤器可选用平板式、卷式、管式、中空纤维式或圆盒式等,优选卷式和中空纤维式超滤器,采用截留相对分子质量为5万至30万的滤膜除去大部分发热性物质和细菌后,再采用截留相对分子质量4000~30000的超滤膜除去剩余热源,优选相对分子质量6000~30000的超滤膜。 De-heating and sterilization methods can be added to the amount of liquid From 0.005 to 3% of activated carbon to heat source, microporous membrane sterilization and hot pressing sterilization, ultrafiltration can also be used to remove bacteria and heat sources. In the ultrafiltration method, the ultrafilter may be a flat plate type, a coil type, a tube type, a hollow fiber type or a round box type, etc., preferably a roll type and a hollow fiber type ultrafilter, and the molecular weight of the interception is 50,000 to 300,000. After removing most of the heat-generating substances and bacteria, the filter removes the remaining heat source by using an ultrafiltration membrane with a molecular weight of 4,000 to 30,000, preferably an ultrafiltration membrane having a molecular weight of 6000 to 30,000.

本发明的头孢匹胺钠水合物,适用于制备对革兰氏阳性或阴性细菌敏感菌所致的人或动物的呼吸系统、肝胆系统、五官、 尿路感染、腹腔感染、盆腔感染、败血症、皮肤软组织感染、骨和关节感染、心内膜炎、脑膜炎 等疾病的治疗或预防的药物中的应用。 The cefpiramide sodium hydrate of the invention is suitable for preparing respiratory system, hepatobiliary system, facial features, human or animal caused by Gram-positive or negative bacteria-sensitive bacteria Use in the treatment or prevention of diseases such as urinary tract infections, abdominal infections, pelvic infections, sepsis, skin and soft tissue infections, bone and joint infections, endocarditis, meningitis, etc.

头孢匹胺钠水合物的 用途,还 用于制备与 β - 内酰胺酶抑制剂克拉维酸或其药用盐、舒巴坦或其药用盐、他唑巴坦或其药用盐中的一种或几种组成的抗菌组合药物,以进一步提高其抗菌效果,其中,头孢匹胺钠水合物与 β - 内酰胺酶抑制剂的重量比为 30 : 1 ~1:2 。 The use of cefpiramide sodium hydrate is also used in the preparation of β- An antibacterial combination drug comprising one or more of a lactamase inhibitor, clavulanic acid or a pharmaceutically acceptable salt thereof, sulbactam or a pharmaceutically acceptable salt thereof, tazobactam or a pharmaceutically acceptable salt thereof, to further enhance the antibacterial activity thereof Effect, among which cefpiramide sodium hydrate and β - The weight ratio of lactamase inhibitor is 30:1 to 1:2.

头孢匹胺钠水合物与 β- 内酰胺酶抑制剂的组合物的重量比可随不同的 β- 内酰胺酶抑制剂的比例而不同,一般头孢匹胺钠水合物与 β- 内酰胺酶抑制剂他唑巴坦或其药用盐的组合物的重量比优选 4 : 1 ~ 8 : 1 ,一般头孢匹胺钠水合物与 β- 内酰胺酶抑制剂舒巴坦或其药用盐的组合物的重量比优选 2 : 1 ~ 1 : 1 ;一般头孢匹胺钠水合物与 β- 内酰胺酶抑制剂克拉维酸或其药用盐的组合物的重量比优选 4 : 1 ~ 1 : 1 ;该组合物具有更强的抗菌作用,用于对革兰氏阳性或阴性细菌敏感菌所致的人或动物疾病的治疗或预防的药物中的应用。 The weight ratio of the composition of cefpiramide sodium hydrate to the β-lactamase inhibitor may vary depending on the β- The ratio of the lactamase inhibitor varies, and the weight ratio of the cefpiramide sodium hydrate to the β-lactamase inhibitor tazobactam or a pharmaceutically acceptable salt thereof is preferably 4:1 to 8:1. The weight ratio of the general cefpiramide sodium hydrate to the β-lactamase inhibitor sulbactam or a pharmaceutically acceptable salt thereof is preferably 2:1 to 1:1; generally cefpiramide sodium hydrate and β- The weight ratio of the composition of the lactamase inhibitor clavulanic acid or a pharmaceutically acceptable salt thereof is preferably 4:1 to 1:1. The composition has a stronger antibacterial effect and is used in a medicament for treating or preventing a human or animal disease caused by a Gram-positive or a negative bacterial-sensitive bacterium.

用量用法:一般情况下,对于 Consumption usage: under normal circumstances, for

头孢匹胺钠水合物(以无水物计), Cefpiramide sodium hydrate (based on anhydrous matter),

用法用量成人,常用量为每天1~2g,分1-2次静脉注射或静脉滴注。难治性或严重感染时,根据不同症状可增至每天4g,分2~3次静脉滴注。儿童 常用量为按体重每天每公斤30~80mg,分1~3次静脉滴注。难治性或严重感染时,根据不同症状可增至每天每公斤150mg,分1~3静脉滴注。肌内注射:轻至中度感染:每日剂量0.5-1g,分2次溶于0.5-1%利多卡因注射液中作深部肌内注射。或者通过口腔给药(改变注射途径为通过口腔粘膜吸收),成人 每日 0.5 g ~4g;或者直肠给药,或阴道给药(通过阴道粘膜吸收),成人 每日 0.5 g ~4g。 Usage and dosage Adults, the usual amount is 1 ~ 2g per day, divided into 1-2 intravenous injections or intravenous drip. In case of refractory or serious infection, it can be increased to 4g per day according to different symptoms, and divided into 2 to 3 intravenous infusions. child The usual amount is 30-80 mg per kilogram per day by weight, divided into 1 to 3 intravenous infusions. In the case of refractory or severe infection, it can be increased to 150 mg per kilogram per day according to different symptoms, and is divided into 1 to 3 intravenous infusions. Intramuscular injection: mild to moderate infection: daily dose 0.5-1 g, divided into 0.5-1% lidocaine injection for deep intramuscular injection. Or by oral administration (changing the route of injection for absorption through the oral mucosa), adults 0.5 g to 4 g daily; or rectal, or vaginal (absorbed through the vaginal mucosa), 0.5 g to 4 g per day for adults.

Advantageous EffectsAdvantageous Effects

本发明获得的含有结晶水的头孢匹胺钠,令人惊奇的是,含结晶水的头孢匹胺钠引湿性远低于含有不结晶水的头孢匹胺钠,含有结晶水的头孢匹胺钠比不含结晶水的更能稳定的存在,便于储存和运输,易于制成制剂。此外,无水物的潮解使得在处理时要隔绝空气防止粘连等,而水合物具有良好的滑动性,从而改善制剂的可操作性。结晶固体具有高于无定形形式和低结晶度形式的化学稳定性和物理稳定性,它们还可表现为提高的吸湿性、本体性能和或流动性。 The cefpiramide sodium containing crystal water obtained by the present invention is surprisingly that the cepporin sodium containing crystal water has a much lower wettability than the cefpiramide sodium containing crystal water, and the cefpiramide sodium containing crystal water. It is more stable than free of crystal water, easy to store and transport, and easy to make into preparations. Further, the deliquescent of the anhydrate causes the air to be prevented from blocking or the like during the treatment, and the hydrate has a good slidability, thereby improving the operability of the preparation. Crystalline solids have higher chemical stability and physical stability than amorphous forms and low crystallinity forms, and they may also exhibit improved hygroscopicity, bulk properties, and or flow properties.

新的多晶型的药物上的有用的化合物的发现提供了新的机会一便提高药物产品的作用特性,它扩大了制剂科学家设计例如具有目标释放曲线或者其它期望特性的药物的药物剂型而获得的材料的库,本领域需要头孢匹胺钠结晶水合物或其多晶形。 The discovery of new polymorphic pharmaceutically useful compounds provides new opportunities to enhance the action characteristics of pharmaceutical products, and it expands the formulation of pharmaceutical agents that formulate drugs such as drugs with target release profiles or other desirable properties. A library of materials that requires cefpiramide sodium crystalline hydrate or a polymorph thereof.

令人惊奇的是,特征性的,本发明的水合物的热分析 (TG-DSC 或者 TG-DTA) 图谱的失重平台下具有对应的吸热峰,热分析图谱显示出头孢匹胺钠结晶水合物,如头孢匹胺钠 0.5 水合物、头孢匹胺钠 1 水合物、头孢匹胺钠 1.5 水合物、头孢匹胺钠 2.5 水合物等。 Surprisingly, characteristic, thermal analysis of hydrates of the invention (TG-DSC or TG-DTA) The map has a corresponding endothermic peak under the weightless platform, and the thermal analysis map shows cefpiramide sodium crystal hydrate, such as cefpiramide sodium 0.5 hydrate, cefpiramide sodium 1 hydrate, cefpiramide sodium 1.5 Hydrate, cefpiramide sodium 2.5 hydrate, and the like.

本发明的头孢匹胺钠结晶水合物能稳定存储。将头孢匹胺钠水合物和无水物样品进行引湿性试验:取头孢匹胺钠无水物和本发明的水合物约 5g ,置于干燥恒重的表面皿中,精密称重, 25℃ 、相对湿度为 70 %,分别于试验 0h 和 10h 取样,计算引湿增重的百分率,结果显示,无水物引湿性比本发明的水合物都高得多,本发明的头孢匹胺钠结晶水合物能更好地稳定存储 结果见表 1 。在 RH75% 、 10℃ 条件下,将头孢匹胺钠结晶水合物和无水物样品 密闭与西林 瓶中进行 6 个月的加速稳定性试验,头孢匹胺钠 HPLC 法测定含量与有关物质的条件: C8(250mm×4.6mm , 5µm) 以磷酸盐缓冲溶液(取磷酸二氢钾 4.1g 加水 800ml 使溶解 , 用 1M 的氢氧化钠溶液调节 pH 值至 7.5 ,再用水稀释至 1000ml ) - 甲醇( 75 : 25 )为流动相;检测波长为 254nm ,柱温为室温,流速 1ml/min ,测定发现 头孢匹胺钠结晶水合物 含量基本不变、有关物质物无明显增加,而 头孢匹胺钠无合物有关物质增加幅度高于头孢匹胺钠结晶水合物 。试验结果说明本发明的头孢匹胺钠结晶水合物具有良好的存储稳定性。 The cefpiramide sodium crystal hydrate of the present invention can be stably stored. The ceppiramide sodium hydrate and anhydrate samples were subjected to a wettability test: cefpiramide sodium anhydrate and the hydrate of the present invention were about 5 g Placed in a dry and constant weight watch glass, precision weighed, 25 ° C, relative humidity 70 %, respectively, at 0h and 10h Sampling, calculating the percentage of wetting gain, the results show that the anhydrate-free wettability is much higher than the hydrate of the present invention, and the cefpiramide sodium crystal hydrate of the present invention can be stably stored. The results are shown in Table 1. At RH75%, The cefpiramide sodium crystallization hydrate and anhydrate sample were sealed in a vial for 6 months at 10 °C for accelerated stability test. The content of cefpiramide sodium and the related substances were determined by HPLC: C8 (250mm × 4.6mm, 5μm) in phosphate buffer solution (take potassium dihydrogen phosphate 4.1g with water 800ml to dissolve, adjust the pH with 1M sodium hydroxide solution to 7.5, diluted with water to 1000ml) - methanol (75: 25) as mobile phase; detection wavelength is 254nm, column temperature is room temperature, flow rate 1ml / min, measured and found The content of cefpiramide sodium crystal hydrate is basically unchanged, and there is no significant increase in related substances, while the increase of cefpiramide sodium-free substance is higher than that of cefpiramide sodium crystal hydrate. . The test results show that the cefpiramide sodium crystal hydrate of the present invention has good storage stability.

表1. 引湿试验结果 Table 1. Results of the wettigation test

取样时间(10小时) Sampling time (10 hours) 与0小时相比,增重% % weight gain compared to 0 hours 头孢匹胺钠 0.5 水合物 Cefpiramide sodium 0.5 hydrate 5.33 5.33 头孢匹胺钠 1 水合物 Cefpiramide sodium 1 hydrate 4.02 4.02 头孢匹胺钠 1.5 水合物 Cefpiramide sodium 1.5 hydrate 2.68 2.68 头孢匹胺钠 2 水合物 Cefpiramide sodium 2 hydrate 0.84 0.84 头孢匹胺钠 2.5 水合物 Cefpiramide sodium 2.5 hydrate 0.43 0.43 头孢匹胺钠 无水物 Cefpiramide sodium anhydrate 8.07 8.07

表2.加速 稳定性试验结果 Table 2. Acceleration Stability Test Results

取样时间(6月) Sampling time (June) 与0月相比,有关物质增加的倍数 Multiples of related substances compared with 0 months 头孢匹胺钠 0.5 水合物 Cefpiramide sodium 0.5 hydrate 0.49 0.49 头孢匹胺钠 1 水合物 Cefpiramide sodium 1 hydrate 0.37 0.37 头孢匹胺钠 1.5 水合物 Cefpiramide sodium 1.5 hydrate 0.43 0.43 头孢匹胺钠 2.5 水合物 Cefpiramide sodium 2.5 hydrate 0.55 0.55 头孢匹胺钠 无水物 Cefpiramide sodium anhydrate 0.68 0.68

Description of DrawingsDescription of Drawings

图1为 头孢匹胺钠 1 水合物 的热分析图谱。 Figure 1 is a thermogram of cefpiramide sodium 1 hydrate.

图2为 头孢匹胺钠 1.5 水合物 的热分析图谱。 Figure 2 is a thermogram of cefpiramide sodium 1.5 hydrate.

图3为 头孢匹胺钠 2.5 水合物 的热分析图谱。 Figure 3 is a thermogram of cefpiramide sodium 2.5 hydrate.

图4为 头孢匹胺钠 2 水合物 的热分析图谱。 Figure 4 is a thermogram of cefpiramide sodium 2 hydrate.

图 5 为头孢匹胺钠 1 水合物的粉末 X 衍射图(实施例 1 )。 Figure 5 is a powder X-ray diffraction pattern of cefpiramide sodium 1 hydrate (Example 1).

图 6 为头孢匹胺钠 2 水合物的粉末 X 衍射图(实施例 7 )。 Figure 6 is a powder X-ray diffraction pattern of cefpiramide sodium 2 hydrate (Example 7).

Best ModeBest Mode

Mode for InventionMode for Invention

除了在实施例中以及另有指示时,说明书和权利要求书中所用的所有的数值应被理解为在所有的实例中以术语'约'进行修饰,因此,除非有相反的指示,本说明书和所附的权利要求书中所给出的数值参数是近似值,其可以根据通过本公开内容所寻求的所需要性质而改变,最起码地,并且不是意欲限制等同原则权利要求范围的应用,每个数值参数应考虑有效数字的数和常规四舍五入方法来解释。 All numerical values used in the specification and claims are to be understood as being modified by the term 'about' in all instances, unless otherwise indicated, unless otherwise indicated. The numerical parameters set forth in the appended claims are approximations, which may vary depending on the nature of the properties sought in the present disclosure, and are not intended to limit the scope of the scope of the claims. Numerical parameters should be interpreted in consideration of the number of significant digits and the conventional rounding method.

虽然设定公开内容的宽范围的数值范围和参数是近似值。但是在具体实施例中所给出的数值被尽可能精确地报道,任意数值本质上包含某些由在它们各自的测试中发现的标准偏差所必然产生的误差。 Although a wide range of numerical ranges and parameters for setting the disclosure are approximate. However, the numerical values given in the specific examples are reported as accurately as possible, and any numerical value inherently contains certain errors necessarily resulting from the standard deviation found in their respective tests.

需要指出的是,除非文中明确地另外说明,在本说明书和附加的权利要求中使用的单数形式'一个'、'一种'以及'该'包括指代物的复数形式,所以,例如。如果提及含有'一种化合物'的组合物时包括两种或多种化合物的混合物,另外需要注意的是,除非本文明确地另外说明,术语'或'通常包括'和 / 或'。 It is to be understood that the singular forms "a", "the" and "the" are used in the <RTI ID=0.0> </ RTI> <RTIgt; </ RTI> <RTIgt; </ RTI> <RTIgt; If a composition containing 'a compound' is mentioned, it includes a mixture of two or more compounds, and it should be noted that the term 'or' generally includes 'and unless explicitly stated otherwise herein. / or '.

如本文所用,术语'得到'是指有价值的纯度水平分离得到的化合物,所述的纯度水平包括但不限于大于 90% , 95% 、 96% 、 97% 、 98% 和 99% 的纯度水平。所述的纯度水平可以通过高效液相色谱测定。 As used herein, the term 'obtained' refers to a compound isolated at a valuable level of purity, including but not limited to greater than 90%. , 95%, 96%, 97%, 98%, and 99% purity levels. The purity level can be determined by high performance liquid chromatography.

药物组合物,本文所用'药物组合物'是指药物的组合物,所述的药物组合物可以含有至少一种药学上可接受的载体。 Pharmaceutical composition, 'pharmaceutical composition' as used herein refers to a composition of a drug, which may contain at least one pharmaceutically acceptable carrier.

为了进一步了解本发明,下面结合实施例对本发明优选实施方案进行描述,但是应当理解,这些描述只是为进一步说明本发明的特征和优点,而不是对本发明权利要求的限制。 In order to further understand the present invention, the preferred embodiments of the present invention are described in the accompanying drawings.

以下以具体实施例说明本发明的效果,但本发明的保护范围不受以下实施例的限制。 The effects of the present invention are described below by way of specific examples, but the scope of the present invention is not limited by the following examples.

热分析方法 Thermal analysis method

热分析测试条件: Setaram 公司 Setsys 16 , 样品量 5mg 左右, 升温速度:10K/min,N2流速:50ml/min,温度:室温~400℃左右 。 令人意外的是,特征性的,本发明的水合物的热分析 (TG-DTA 或者TG-DSC)图谱的失重平台下具有对应的吸热峰,热分析图谱显示出头孢唑肟钠的结晶水合物,如1水合物、1.5水合物、2.5水合物等。Thermal analysis test conditions: Setaram Setsys 16 , sample volume of about 5mg, heating rate: 10K / min, N 2 flow rate: 50ml / min, temperature: room temperature ~ 400 ° C or so. Surprisingly, characteristically, the thermal analysis (TG-DTA or TG-DSC) pattern of the hydrate of the present invention has a corresponding endothermic peak under the weightless platform, and the thermal analysis spectrum shows the crystallization of ceftizoxime sodium. Hydrates such as monohydrate, 1.5 hydrate, 2.5 hydrate, and the like.

粉末X衍射法 Powder X-ray diffraction

利用 D/MX- Ⅲ A X 射线衍射仪,电压: 35kv ,电流: 30mA ,扫描速度: 10º/min ,步长: 0.02 º / 步;铜靶,单色器:石墨单色器;波长 wavelength(Å):1.54 ,衍射角 2θ ,扫描范围 3-60º ,测定了头孢匹胺钠结晶水合物的粉末 X 射线衍射图,全部峰位置在 ±0.2º 2θ 内。 Using D/MX-III A X-ray diffractometer, voltage: 35kv, current: 30mA, scanning speed: 10o/min, step size: 0.02 o / step; copper target, monochromator: graphite monochromator; wavelength wavelength (Å): 1.54, diffraction angle 2θ, scanning range 3-60o A powder X-ray diffraction pattern of cefpiramide sodium crystal hydrate was measured, and all peak positions were within ±0.2o 2θ.

在一个实施方案中,利用粉末 X 射线衍射法测量,在衍射角 2θ ( 3-60° )测量范围内,本发明的头孢匹胺钠 1 水合物可以在包括如下 2θ 值的位置具有相应的特征值(附图 5 ):约 4.8 , 6.3 , 6.8 , 10.3 , 11.8 , 15.4 , 19.6 , 22.1 , 25.1 , 32.4 。 In one embodiment, measured by powder X-ray diffraction at a diffraction angle of 2θ (3-60°) Within the measurement range, the cefpiramide sodium 1 hydrate of the present invention may have corresponding characteristic values at positions including the following 2θ values (Fig. 5): about 4.8, 6.3, 6.8, 10.3, 11.8, 15.4, 19.6, 22.1, 25.1, 32.4.

在另一个实施方案中,利用粉末 X 射线衍射法测量,在衍射角 2θ ( 3-60° )测量范围内,本发明的头孢匹胺钠 2 水合物可以在包括如下 2θ 值的位置具有相应的特征值(附图 6 )约 5.02 , 10.95 , 21.93 , 39.85 。 In another embodiment, measured by powder X-ray diffraction at a diffraction angle of 2θ (3-60°) Within the measurement range, the cefpiramide sodium 2 hydrate of the present invention may have corresponding characteristic values at positions including the following 2θ values (Fig. 6) of about 5.02, 10.95, 21.93. 39.85.

具体实施例 Specific embodiment

实施例1 头孢匹胺钠1水合物的制备 在反应瓶中加头孢匹胺10g、水20ml,甲醇30ml,搅拌,在5℃搅拌下滴加三乙胺2.4ml,搅拌30分钟,加活性炭0.1g,搅拌30分钟,抽滤,水洗,抽滤,5℃下在滤液中滴加25%异辛酸钠(2.8g)的乙醇溶液,搅拌,加丙酮250ml和乙醇350ml,0℃以下放置,使固体充分析出,抽滤,少量氯仿洗3次,抽滤,所得固体用少量水使其刚溶解,用丙酮330ml、乙醇100ml、异丙醇3 00ml 进行重结晶,-6℃以下放置,使固体充分析出,抽滤,少量氯仿洗3次,抽滤,所得固体于52℃真空干燥6h左右,得类白色结晶5.1g;HPLC:纯度99.3%,其HPLC的保留时间与头孢匹胺酸对照品的HPLC保留时间一致;熔点:172℃变色(ELECTROTHERMAL MELTING POINT APPARATUS,未校正), 卡氏法测定水分为2.72%, 热分析:平台失重约3.21%(图1),这与样品含有1个结晶水的结果(理论值2.76%)在误差范围内, 红外光谱:νKBr max cm-13402 (宽)、3264、3068、2815、1766、1663、1638、1515、1389、1350、1241、1175、1104、1061、791、699, ESI-MS: m/z:633 ; 元素分析 理论值:C 46.01%,H 3.86%,N 17.17%,S 9.83%,Na3.52%; 实测值:C 46.12%,H 3.99%,N 17.05%,S 9.74%,Na3.43%。Example 1 Preparation of cefpiramide sodium 1 hydrate In a reaction flask, 10 g of cefpiramide, 20 ml of water, and 30 ml of methanol were added, and the mixture was stirred, and 2.4 ml of triethylamine was added dropwise thereto with stirring at 5 ° C, and stirred for 30 minutes, and activated carbon was added thereto. g, stirring for 30 minutes, suction filtration, washing with water, suction filtration, adding 25% sodium isooctanoate (2.8 g) in ethanol solution at 5 ° C, stirring, adding acetone 250 ml and ethanol 350 ml, placed below 0 ° C, so that The solid was charged and analyzed, suction filtered, and washed with a small amount of chloroform three times. After suction filtration, the obtained solid was dissolved in a small amount of water, and recrystallized with acetone 330 ml, ethanol 100 ml, and isopropanol 300 ml, and placed at -6 ° C to make a solid. The mixture was filtered, filtered, and washed with a small amount of chloroform three times. After suction filtration, the obtained solid was vacuum dried at 52 ° C for about 6 h to obtain white crystals of 5.1 g; HPLC: purity: 99.3%, HPLC retention time and cefoperamide reference substance HPLC retention time is consistent; melting point: 172 ° C discoloration (ELECTROTHERMAL MELTING POINT APPARATUS, uncorrected), Karlsberg method for moisture 2.72%, thermal analysis: platform weight loss of about 3.21% (Figure 1), which contains 1 crystal with the sample Water results (theoretical value 2.76%) Within the error range, the infrared spectrum: ν KBr max cm -1 3402 (width), 3264, 3068, 2815, 1766, 1663, 1638, 1515, 1389, 1350, 1241, 1175, 1104, 1061, 791, 699, ESI -MS: m/z: 633; Elemental analysis: C 46.01%, H 3.86%, N 17.17%, S 9.83%, Na 3.52%; Found: C 46.12%, H 3.99%, N 17.05%, S 9.74%, Na 3.43%.

实施例2 头孢匹胺钠1水合物的制备 在反应瓶中加头孢匹胺酸20g、水80ml,搅拌使成悬浮液,在5℃搅拌下滴加饱和碳酸钠水溶液使pH至6.8左右,搅拌30分钟,加活性炭0.5g,搅拌30分钟,抽滤,水洗,抽滤,加丙酮450ml和乙腈450ml,0℃以下放置,使固体充分析出,抽滤,丙酮洗3次,抽滤,所得固体用少量水使其刚溶解,用丙酮450ml、乙腈400ml、氯仿70ml进行重结晶,-10℃以下放置过夜,使结晶充分析出,抽滤,少量丙酮洗3次,抽滤,52℃真空干燥6h左右,得类白色结晶13.4g,HPLC:纯度98.7%,其HPLC的保留时间与头孢匹胺酸对照品的HPLC保留时间一致;熔点:175℃变色(ELECTROTHERMAL MELTING POINT APPARATUS,未校正), 卡氏法测定水分为2.87%, 热分析:平台失重约2.96%,这与样品含有1个结晶水的结果(理论值2.76%)在误差范围内, 红外光谱:νKBr max cm-13402 (宽)、3264、3068、2815、1766、1663、1638、1515、1389、1350、1241、1175、1104、1061、791、699, ESI-MS: m/z:633 ; 元素分析 理论值:C 46.01%,H 3.86%,N 17.17%,S 9.83%,Na3.52%; 实测值:C 46.07%,H 3.97%,N 17.07%,S 9.94%,Na3.45%。Example 2 Preparation of Cefpiramide Sodium 1 Hydrate 20 g of cefpiramide and 80 ml of water were added to a reaction flask, and the mixture was stirred to form a suspension. A saturated aqueous sodium carbonate solution was added dropwise thereto at 5 ° C to adjust the pH to about 6.8, and stirred. 30 minutes, add activated carbon 0.5g, stir for 30 minutes, suction filtration, water washing, suction filtration, add acetone 450ml and acetonitrile 450ml, placed below 0 °C, the solid is fully analyzed, suction filtration, acetone washing 3 times, suction filtration, the resulting solid It was dissolved in a small amount of water, and recrystallized with 450 ml of acetone, 400 ml of acetonitrile and 70 ml of chloroform. The mixture was allowed to stand at -10 ° C or less overnight, and the crystals were analyzed by suction, filtered, washed with a small amount of acetone three times, suction filtered, vacuum dried at 52 ° C for 6 h. Left and right, white crystals 13.4g, HPLC: purity 98.7%, the retention time of HPLC is consistent with the HPLC retention time of cefpiramide reference substance; melting point: 175 ° C discoloration (ELECTROTHERMAL MELTING POINT APPARATUS, uncorrected), Cartesian The method measures moisture of 2.87%, thermal analysis: platform weight loss is about 2.96%, which is within the error range of the sample containing one crystal water (theoretical value 2.76%), infrared spectrum: ν KBr max cm -1 3402 (width) 326 4, 3068, 2815, 1766, 1663, 1638, 1515, 1389, 1350, 1241, 1175, 1104, 1061, 791, 699, ESI-MS: m/z: 633; Elemental analysis: C 46.01%, H 3.86%, N 17.17%, S 9.83%, Na3.52%; Found: C 46.07%, H 3.97%, N 17.07%, S 9.94%, Na 3.45%.

实施例3 头孢匹胺钠1.5水合物的制备 在反应瓶中加头孢匹胺20g、水80ml,搅拌使成悬浮液,在5℃搅拌下滴加碳酸氢钠饱和水溶液使pH至6.8左右,搅拌30分钟,,加活性炭0.3g,搅拌30分钟,抽滤,水洗,抽滤,加丙酮650ml和乙醇650ml,0℃以下放置,使固体充分析出,抽滤,乙醇洗3次,抽滤,所得固体用少量水使其刚溶解,用乙醇300ml、乙腈300ml、 异丙醚 80ml 为结晶溶剂 进行重结晶,-10℃以下放置过夜,使结晶充分析出,抽滤,45℃0.06-0.09MPa真空干燥10h左右,得类白色结晶10.6g;HPLC:纯度99.0%,其HPLC的保留时间与头孢匹胺酸对照品的HPLC保留时间一致;熔点:170℃变色(ELECTROTHERMAL MELTING POINT APPARATUS,未校正), 卡氏法测定水分为2.81%, 热分析:平台失重约3.92%(图2),这与样品含有1.5个结晶水的结果(理论值2.98%)在误差范围内, 红外光谱:νKBr max cm-13400 (宽)、3264、3068、2815、1766、1663、1638、1515、1389、1350、1241、1175、1104、1061、791、699, ESI-MS: m/z:633 ; 元素分析 理论值:C 45.38%,H 3.96%,N 16.94%,S 9.69%,Na3.47%; 实测值:C 45.26%,H 4.12%,N 16.85%,S 9.57%,Na3.38%。Example 3 Preparation of Cefpiramide Sodium 1.5 Hydrate 20 g of cefpiramide and 80 ml of water were added to a reaction flask, and the mixture was stirred to form a suspension. A saturated aqueous solution of sodium hydrogencarbonate was added dropwise thereto at 5 ° C to bring the pH to about 6.8, and stirred. 30 minutes, add activated carbon 0.3g, stir for 30 minutes, suction filtration, water washing, suction filtration, add acetone 650ml and ethanol 650ml, placed below 0 °C, the solid is fully analyzed, suction filtration, ethanol washing 3 times, suction filtration, the resulting The solid was dissolved in a small amount of water, and recrystallized from 300 ml of ethanol, 300 ml of acetonitrile and 80 ml of isopropyl ether as a crystallization solvent, and left at -10 ° C overnight to allow the crystal to be fully analyzed, suction filtered, vacuum dried at 45 ° C 0.06-0.09 MPa. About 10h, white crystals were obtained 10.6g; HPLC: purity: 99.0%, the retention time of HPLC was consistent with the HPLC retention time of cefpiramide reference substance; melting point: 170°C discoloration (ELECTROTHERMAL MELTING POINT APPARATUS, uncorrected), card The moisture content was 2.81%, thermal analysis: platform weight loss was about 3.92% (Fig. 2), which is within the error range of the sample containing 1.5 crystal water (theoretical value 2.98%), infrared spectrum: ν KBr max cm - 1 3400 (width), 3264, 3068, 2815, 1766, 1663, 1638, 1515, 1389, 1350, 1241, 1175, 1104, 1061, 791, 699, ESI-MS: m/z: 633; theoretical value of elemental analysis: C 45.38%, H 3.96%, N 16.94%, S 9.69%, Na 3.47%; Found: C 45.26%, H 4.12%, N 16.85%, S 9.57%, Na 3.38%.

实施例4 头孢匹胺钠2.5水合物的制备 在反应瓶中加头孢匹胺酸20g、水40ml,甲醇120ml,搅拌,5℃搅拌下在滤液中滴加25%异辛酸钠的乙醇溶液使pH至7.2,搅拌30分钟,加活性炭0.5g,搅拌30分钟,抽滤,水洗,抽滤,加丙酮450ml和异丙醇450ml,-5℃以下放置,使固体充分析出,抽滤,氯仿洗3次,抽滤,所得固体用少量水使其刚溶解,用丙酮350ml、异丙醇300ml、 四氢呋喃 20ml 为结晶溶剂 进行重结晶,0℃以下放置过夜,使结晶充分析出,抽滤,少量氯仿洗3次,抽滤,固体于40℃左右干燥20h左右,得类白色结晶12.8g;HPLC:纯度99.1%,其HPLC的保留时间与头孢匹胺酸对照品的HPLC保留时间一致;熔点:164℃变色(ELECTROTHERMAL MELTING POINT APPARATUS,未校正), 卡氏法测定水分为6.75%, 热分析:平台失重约6.37%(图3),这与样品含有2.5个结晶水的结果(理论值6.63%)在误差范围内, 红外光谱:νKBr max cm-13397 (宽)、3264、3068、2815、1766、1663、1638、1515、1389、1350、1241、1175、1104、1061、791、699, ESI-MS: m/z:633 ; 元素分析 理论值:C 44.18%,H 4.15%,N 16.49%,S 9.44%,Na3.38%; 实测值:C 44.29%,H 4.24%,N 16.37%,S 9.56%,Na3.47%。Example 4 Preparation of Cefpiramide Sodium 2.5 Hydrate 20 g of cefpiramide, 40 ml of water and 120 ml of methanol were added to the reaction flask, stirred, and a 25% solution of sodium isooctanoate in ethanol was added dropwise to the filtrate under stirring at 5 ° C to adjust the pH. To 7.2, stir for 30 minutes, add 0.5g of activated carbon, stir for 30 minutes, suction filtration, wash with water, suction filtration, add 450ml of acetone and 450ml of isopropanol, place below -5 °C, make the solid charge analysis, suction filtration, chloroform wash 3 After suction filtration, the obtained solid was dissolved in a small amount of water, and recrystallized from 350 ml of acetone, 300 ml of isopropyl alcohol and 20 ml of tetrahydrofuran as a crystallization solvent, and allowed to stand overnight at 0 ° C to analyze the crystals, suction filtration, and a small amount of chloroform. 3 times, suction filtration, the solid was dried at 40 ° C for about 20 h to obtain 12.8 g of white crystals; HPLC: purity 99.1%, the retention time of HPLC was consistent with the HPLC retention time of cefpiramide reference substance; melting point: 164 ° C Color change (ELECTROTHERMAL MELTING POINT APPARATUS, uncorrected), the moisture content was 6.75% by Karl Fischer, thermal analysis: platform weight loss was about 6.37% (Fig. 3) , which is the result of the sample containing 2.5 crystal water (theoretical value 6.63%). error Inner circle, IR spectrum: ν KBr max cm -1 3397 (broad), 3264,3068,2815,1766,1663,1638,1515,1389,1350,1241,1175,1104,1061,791,699, ESI-MS : m/z: 633 ; Theoretical analysis of elemental analysis: C 44.18%, H 4.15%, N 16.49%, S 9.44%, Na 3.38%; Found: C 44.29%, H 4.24%, N 16.37%, S 9.56 %, Na 3.47%.

实施例5 头孢匹胺钠2.5水合物的制备 在反应瓶中加头孢匹胺20g、水80ml,搅拌使成悬浮液,在5℃搅拌下滴加碳酸氢钠饱和水溶液使pH至7.2,搅拌30分钟,加活性炭0.1g,搅拌30分钟,抽滤,水洗,抽滤,加乙腈600ml和异丙醇550ml,-5℃以下放置,使固体充分析出,抽滤,氯仿洗3次,抽滤,所得固体用少量水使其刚溶解,用异丙醇350ml、乙腈200ml、 乙醚 20ml 为结晶溶剂 进行重结晶,-5℃以下放置过夜,使结晶充分析出,抽滤,40℃左右干燥20h左右,得类白色结晶10.6g,HPLC:纯度99.2%,其HPLC的保留时间与头孢匹胺酸对照品的HPLC保留时间一致;熔点:164℃变色(ELECTROTHERMAL MELTING POINT APPARATUS,未校正), 卡氏法测定水分为6.89%, 热分析:平台失重约6.72%,这与样品含有2.5个结晶水的结果(理论值6.63%)在误差范围内, 红外光谱:νKBr max cm-13398 (宽)、3264、3068、2815、1766、1663、1638、1515、1389、1350、1241、1175、1104、1061、791、699, ESI-MS: m/z:633 ; 元素分析 理论值:C 44.18%,H 4.15%,N 16.49%,S 9.44%,Na3.38%; 实测值:C 44.29%,H 4.24%,N 16.37%,S 9.56%,Na3.47%。将该头孢匹胺钠水合物在80℃左右、五氧化二磷存在下真空干燥30h左右,得头孢匹胺钠无水物,其水分含量经卡尔费休法测定在1%以内。Example 5 Preparation of Cefpiramide Sodium 2.5 Hydrate 20 g of cefpiramide and 80 ml of water were added to a reaction flask, and the mixture was stirred to form a suspension. A saturated aqueous solution of sodium hydrogencarbonate was added dropwise thereto at 5 ° C to adjust the pH to 7.2, and stirred 30 In minutes, add 0.1g of activated carbon, stir for 30 minutes, suction filtration, wash with water, suction filtration, add acetonitrile 600ml and isopropyl alcohol 550ml, place below -5 °C, make the solid charge analysis, suction filtration, chloroform wash 3 times, suction filtration, The obtained solid was dissolved in a small amount of water, and recrystallized from 350 ml of isopropyl alcohol, 200 ml of acetonitrile, and 20 ml of diethyl ether as a crystallization solvent, and left at -5 ° C for overnight, and the crystals were analyzed by suction, and filtered at about 40 ° C for about 20 hours. Obtained white crystals 10.6 g, HPLC: purity 99.2%, the retention time of HPLC was consistent with the HPLC retention time of cefpiramide reference substance; melting point: 164 ° C discoloration (ELECTROTHERMAL MELTING POINT APPARATUS, uncorrected), Karl Fischer method Water is 6.89%, thermal analysis: platform weight loss is about 6.72%, which is within the error range of the sample containing 2.5 crystal water (theoretical value 6.63%), infrared spectrum: ν KBr max cm -1 3398 (width), 3264 , 3068 , 2815, 1766, 1663, 1638, 1515, 1389, 1350, 1241, 1175, 1104, 1061, 791, 699, ESI-MS: m/z: 633; elemental analysis: C 44.18%, H 4.15%, N 16.49%, S 9.44%, Na3.38%; Found: C 44.29%, H 4.24%, N 16.37%, S 9.56%, Na 3.47%. The cefpiramide sodium hydrate was dried in a vacuum at about 80 ° C in the presence of phosphorus pentoxide for about 30 hours to obtain an anhydrate of cefpiramide sodium, and the water content thereof was determined to be within 1% by the Karl Fischer method.

实施例6 头孢匹胺钠0.5水合物的制备 在反应瓶中加头孢匹胺10g、水50ml,搅拌使成悬浮液,在5℃搅拌下滴加碳酸钠饱和水溶液使pH至7.0,搅拌30分钟,加活性炭0.2g,搅拌30分钟,抽滤,水洗,抽滤,加乙腈250ml和乙醇250ml,-10℃以下放置,使固体充分析出,抽滤,氯仿洗3次,抽滤,所得固体用少量水使其刚溶解,用乙醇300ml、乙腈200ml、异丙醚20ml 为结晶溶剂 进行重结晶,-10℃以下放置过夜,使结晶充分析出,抽滤,52℃左右真空干燥30h左右,得类白色结晶11.8g,HPLC:纯度98.7%,其HPLC的保留时间与头孢匹胺酸对照品的HPLC保留时间一致;熔点:175℃变色(ELECTROTHERMAL MELTING POINT APPARATUS,未校正), 卡氏法测定水分为1.61%, 热分析:平台失重约1.53%,这与样品含有0.5个结晶水的结果(理论值1.4%)在误差范围内, 红外光谱:νKBr max cm-13400 (宽)、3264、3068、2815、1766、1663、1638、1515、1389、1350、1241、1175、1104、1061、791、699, ESI-MS: m/z:633 ; 元素分析 理论值:C 46.65%,H 3.76%,N 17.41%,S 9.96%,Na3.57%; 实测值:C 46.57%,H 3.88%,N 17.31%,S 9.83%,Na3.69%。Example 6 Preparation of Cefpiramide Sodium 0.5 Hydrate 10 g of cefpiramide and 50 ml of water were added to a reaction flask, and the mixture was stirred to form a suspension. A saturated aqueous solution of sodium carbonate was added dropwise thereto at 5 ° C to adjust the pH to 7.0, and stirred for 30 minutes. Add 0.2g of activated carbon, stir for 30 minutes, suction filtration, wash with water, suction filtration, add 250ml of acetonitrile and 250ml of ethanol, place at -10°C, solidify and analyze the mixture, suction filtration, chloroform wash 3 times, suction filtration, use the obtained solid A small amount of water is allowed to dissolve, and it is recrystallized with 300 ml of ethanol, 200 ml of acetonitrile and 20 ml of isopropyl ether as a crystallization solvent, and left at -10 ° C for overnight, and the crystals are charged and analyzed, suction-filtered, and vacuum dried at about 52 ° C for about 30 hours. White crystal 11.8 g, HPLC: purity 98.7%, its HPLC retention time is consistent with the HPLC retention time of cefpiramide reference; melting point: 175 ° C discoloration (ELECTROTHERMAL MELTING POINT APPARATUS, uncorrected), Karl Fischer method for determining moisture 1.61%, thermal analysis: platform weight loss is about 1.53%, which is within the error range of the sample containing 0.5 crystal water (theoretical value 1.4%), infrared spectrum: ν KBr max cm -1 3400 (width), 3264, 3068 , 2815, 1766, 1663, 1638, 1515, 1389, 1350, 1241, 1175, 1104, 1061, 791, 699, ESI-MS: m/z: 633; theoretical value of elemental analysis: C 46.65%, H 3.76%, N 17.41%, S 9.96%, Na 3.57%; Found: C 46.57%, H 3.88%, N 17.31%, S 9.83%, Na 3.69%.

实施例7 头孢匹胺钠2水合物的制备 在反应瓶中加头孢匹胺10g、水32ml,搅拌使成悬浮液,在5℃搅拌下滴加碳酸氢钠饱和水溶液使pH至7.2,搅拌25分钟,加活性炭0.1g,搅拌20分钟,抽滤,水洗,抽滤,加氯仿30ml、丙酮400ml、异丙醇420ml,5℃以下放置,使固体充分析出,抽滤,氯仿洗3次,抽滤,所得固体用少量水使其刚溶解,用丙酮400ml和异丙醇320ml 为结晶溶剂 进行重结晶,5℃以下放置过夜,使结晶充分析出,抽滤,在36℃左右、0.07-0.09MPa真空干燥12h左右,得类白色结晶7.8g,HPLC:纯度99.2%,其HPLC的保留时间与头孢匹胺酸对照品的HPLC保留时间一致;熔点:166℃变色(ELECTROTHERMAL MELTING POINT APPARATUS,未校正), 卡氏法测定水分为5.58%, 热分析:平台失重约5.61%(图4),这与样品含有2个结晶水的结果(理论值5.37%)在误差范围内, 红外光谱:νKBr max cm-13396 (宽)、3264、3068、2815、1767、1663、1638、1516、1388、1351、1241、1175、1104、1061、791、699, ESI-MS: m/z:633 ; 元素分析 理论值:C 44.71%,H 4.20%,N 16.68%,S 9.55%,Na3.42%; 实测值:C 44.83%,H 4.29%,N 16.56%,S 9.45%,Na 3.55%。Example 7 Preparation of Cefpiramide Sodium 2 Hydrate 10 g of cefpiramide and 32 ml of water were added to a reaction flask, and the mixture was stirred to form a suspension. A saturated aqueous solution of sodium hydrogencarbonate was added dropwise thereto at 5 ° C to bring the pH to 7.2, and stirred. In minutes, add 0.1g of activated carbon, stir for 20 minutes, suction filtration, wash with water, suction filtration, add chloroform 30ml, acetone 400ml, isopropyl alcohol 420ml, place below 5 °C, make the solid charge analysis, suction filtration, chloroform wash 3 times, pump Filtration, the obtained solid was dissolved in a small amount of water, and recrystallized from 400 ml of acetone and 320 ml of isopropanol as a crystallization solvent, and left at 5 ° C or less overnight to allow the crystal to be fully analyzed, and suction filtered at about 36 ° C, 0.07-0.09 MPa. Vacuum drying for about 12 h, 7.8 g of white crystals were obtained, HPLC: purity: 99.2%, the retention time of HPLC was consistent with the HPLC retention time of cefpiramide reference substance; melting point: 166 ° C discoloration (ELECTROTHERMAL MELTING POINT APPARATUS, uncorrected) The Karl Fischer method measures moisture at 5.58%, and thermal analysis: platform weight loss is about 5.61% (Fig. 4) . This is in the range of error with the sample containing 2 crystal water (theoretical value 5.37%). Infrared spectrum: ν KBr max Cm -1 3396 (width), 3264, 3068, 2815, 1767, 1663, 1638, 1516, 1388, 1351, 1241, 1175, 1104, 1061, 791, 699, ESI-MS: m/z: 633; theoretical value of elemental analysis: C 44.71%, H 4.20%, N 16.68%, S 9.55%, Na 3.42%; Found: C 44.83%, H 4.29%, N 16.56%, S 9.45%, Na 3.55%.

实施例 8 取头孢匹胺钠 水合物 100g ,搅拌使溶,加甘露醇 20g , EDTA 二钠 0.05g ,加注射用水 500 ml 左右,搅拌使溶,用 1-5M 左右的柠檬酸和磷酸氢二钠溶液调节 pH 为 6.5 ~ 7.5 ,加活性碳 0.01 ~ 0.5% ( W/V )搅拌 15-30min ,过滤,用 0.22 微米微孔滤膜过滤,按 0.5g/ 瓶或 1g/ 瓶分装,真空冷冻干燥,压塞,得成品。 Example 8 Take cefpiramide sodium hydrate 100g, stir to dissolve, add mannitol 20g, EDTA disodium 0.05g, add about 500 ml of water for injection, stir to dissolve, adjust the pH to 6.5 ~ 7.5 with 1-5M citric acid and disodium hydrogen phosphate solution, add activated carbon 0.01 ~ Stir at 0.5% (w/v) for 15-30min, filter, filter with 0.22 micron microporous membrane, press 0.5g/bottle or 1g/ Bottles are packed, vacuum freeze-dried, and tamponed to obtain finished products.

实施例 9 取无菌的头孢匹胺钠 水合物 10Kg (按本发明的实施例法制备),以无菌分装工艺按 0.5g/ 瓶或 0.75g/ 瓶或 1g/ 瓶或 2g/ 瓶分装,加塞、压塞, 轧铝盖 得成品。 Example 9 A sterile cefpiramide sodium hydrate 10 Kg (prepared according to the method of the present invention) was taken in an aseptic dispensing process. 0.5g / bottle or 0.75g / bottle or 1g / bottle or 2g / bottle is divided, stoppered, plugged, rolled aluminum cover finished product.

实施例 10 取无菌的头孢匹胺钠 1.5 水合物 2Kg (按本发明的实施例法制备),以无菌分装工艺按主药 0.5g/ 瓶或 1g/ 瓶或 1.5g/ 瓶分装,加塞、压塞, 轧铝盖 得成品。 Example 10 Taking sterile cefpiramide sodium 1.5 hydrate 2Kg (Prepared according to the method of the present invention), according to the aseptic packaging process, according to the main drug 0.5g / bottle or 1g / bottle or 1.5g / bottle, the plug, the plug, and the rolled aluminum cover to obtain the finished product.

实施例11 头孢匹胺钠水合物口含 片(250mg/片) Example 11 Cefpiramide Sodium Hydrate Oral Tablets (250 mg/tablet)

处方: 头孢匹胺钠 水合物 250g Prescription: Cefpiramide Sodium Hydrate 250g

速溶山梨醇 185g Instant Sorbitol 185g

微晶纤维素 20g Microcrystalline cellulose 20g

低取代羟丙基纤维素 45g Low substituted hydroxypropyl cellulose 45g

硬脂酸镁 4g Magnesium stearate 4g

将 头孢匹胺钠 水合物 (按实施例 1 或实施例 2 方法制备或实施例 3 或实施例 4 法或实施例 5 法或实施例 6 法制备) 、速溶山梨醇、 微晶纤维素、低取代羟丙基纤维素、 硬脂酸镁过100目筛,混匀,压成大片,再将该片研压 成 18 - 24 目筛的颗粒, 压片。 Cefpiramide sodium hydrate (prepared according to the method of Example 1 or Example 2 or the method or example of Example 3 or Example 4 5 method or the preparation of the method 6), instant sorbitol, microcrystalline cellulose, low-substituted hydroxypropyl cellulose, magnesium stearate over 100 mesh sieve, mix, press into a large piece, and then press the sheet into 18 - 24 The mesh of the mesh, tableting.

实施例 12 :本发明头孢匹胺钠水合物阴道用胶囊的制备(主药 125mg/ 粒) Example 12: Preparation of cefpiramide sodium hydrate vaginal capsule of the present invention (main drug 125 mg / granule)

处方:头孢匹胺钠水合物 125g Prescription: Cefpiramide sodium hydrate 125g

将头孢匹胺钠水合物(按实施例 1 或实施例 2 法制备或实施例 3 或实施例 4 法或实施例 5 法或实施例 6 法制备制备)过 100 目筛,混匀,灌装胶囊。 Cefpiramide sodium hydrate (prepared according to Example 1 or Example 2 or Example 3 or Example 4 or Example 5 The method or the preparation method 6 is prepared by passing through a 100 mesh sieve, mixing, and filling the capsule.

实施例 13 头孢匹胺钠结晶 水合物 的栓剂( 125mg/ 粒) Example 13 Cefpiramide sodium crystal hydrate suppository (125mg/granule)

处方:头孢匹胺钠结晶 水合物 12.5g ( 100 粒投料) Prescription: Cefpiramide sodium crystal hydrate 12.5g (100 tablets)

硬脂酸聚烃氧( 40 )脂 180g Stearic acid polyoxyl (40) fat 180g

甘油 5ml Glycerin 5ml

泊洛沙姆 50g Polosham 50g

将头孢匹胺钠 水合物 (按实施例 1 或实施例 2 方法制备或实施例 3 或实施例 4 法或实施例 5 法或实施例 6 法制备)、甘油、硬脂酸聚烃氧( 40 )脂、泊洛沙姆混合,水浴加热、搅拌、待融化,搅拌至匀、迅速倾入已涂有润滑剂的栓剂的模具中,至稍微溢出栓模,待冷后削平,起模即得。 Cefpiramide sodium hydrate (prepared according to the method of Example 1 or Example 2 or the method or example of Example 3 or Example 4 5 method or Example 6 preparation), glycerin, stearic acid polyoxyl (40 ), fat, poloxamer mixture, heated in a water bath, stirred, to be melted, stirred until evenly, quickly poured into the mold of the lubricant-coated suppository, to slightly overflow the plug mold, to be flat after cooling, the mold is obtained .

实施例 14 头孢匹胺钠结晶 水合物 的栓剂( 250mg/ 粒) Example 14 Cefpiramide sodium crystal hydrate suppository (250mg/granule)

处方:头孢匹胺钠结晶 水合物 25g ( 100 粒投料) Prescription: Cefpiramide sodium crystal hydrate 25g (100 capsules)

聚乙二醇 4000 140g Polyethylene glycol 4000 140g

聚乙二醇 1500 80g Polyethylene glycol 1500 80g

甘油 5ml Glycerin 5ml

泊洛沙姆 50g Polosham 50g

EDTA 二钠 1g EDTA disodium 1g

将头孢匹胺钠结晶 水合物 (按实施例 1 或实施例 2 方法制备或实施例 3 或实施例 4 法或实施例 5 法或实施例 6 法制备)、甘油、聚乙二醇 1500 、聚乙二醇 4000 、泊洛沙姆、 EDTA 二钠混合,水浴加热、搅拌、待融化,搅拌至匀、迅速倾入已涂有润滑剂的栓剂的模具中,至稍微溢出栓模,待冷后削平,起模即得。 Cefpiramide sodium crystal hydrate (prepared according to the method of Example 1 or Example 2 or Example 3 or Example 4 Method or Example 5 Method or Example 6 Preparation), Glycerin, Polyethylene Glycol 1500, Polyethylene Glycol 4000, Poloxamer, EDTA Mix the disodium, heat in a water bath, stir, melt, stir until it is evenly poured into the mold of the suppository that has been coated with the lubricant, until it is slightly spilled, and then flattened after cooling.

实施例 15 :在 GMP 条件下,将无菌头孢匹胺钠 1 水合物和他唑巴坦钠( 8:1 ) 100 克按粉针剂制备工艺程序操作,分装成 50 - 200 瓶,加塞、压塞, 轧铝盖 得成品。 Example 15: Sterile cefpiramide sodium 1 hydrate and tazobactam sodium (8:1) 100 under GMP conditions According to the preparation procedure of powder injection, it is divided into 50-200 bottles, stoppered, plugged, and rolled to obtain the finished product.

实施例 16 :在 GMP 条件下,将无菌头孢匹胺钠 0.5 水合物和他唑巴坦钠( 4:1 ) 100 克按粉针剂制备工艺程序操作,分装成 50 - 200 瓶,加塞、压塞, 轧铝盖 得成品。 Example 16: Sterile cefpiramide sodium 0.5 hydrate and tazobactam sodium (4:1) under GMP conditions 100 g is operated according to the powder injection preparation process, and is divided into 50-200 bottles, which are stoppered, plugged, and rolled to obtain the finished product.

实施例 17 :在 GMP 条件下,将无菌头孢匹胺钠 1.5 水合物 100 克 与无菌舒巴坦钠 25g 充分混合,按粉针剂制备工艺程序操作,分装成 50 - 200 瓶,加塞、压塞, 轧铝盖 得成品。 Example 17: 100 g of sterile cefpiramide sodium 1.5 hydrate with sterile sulbactam sodium under GMP conditions 25g is fully mixed and processed according to the powder injection preparation process. It is divided into 50-200 bottles, stoppered, plugged, and rolled to obtain the finished product.

实施例 18 :在 GMP 条件下,将无菌头孢匹胺钠 2.5 水合物 100 克(按本发明的实施例法制备)与无菌舒巴坦钠 50g 充分混合,按粉针剂制备工艺程序操作,将分装成 50 - 200 瓶,加塞、压塞, 轧铝盖 得成品。 Example 18: Sterile cefpiramide sodium 2.5 hydrate 100 under GMP conditions The gram (prepared according to the method of the present invention) is thoroughly mixed with the sterile sulbactam sodium 50g, and is processed according to the powder injection preparation process, and is divided into 50-200 bottles, stoppered, plugged, and rolled to obtain the finished product.

实施例 19 :在 GMP 条件下,无菌头孢匹胺钠 1 水合物 100 克(按本发明的实施例法制备)与无菌舒巴坦钠 100g 充分混合,按粉针剂制备工艺程序操作,将分装成 50 - 200 瓶,加塞、压塞, 轧铝盖 得成品。 Example 19: Sterile cefpiramide sodium 1 hydrate 100 under GMP conditions Gram (prepared according to the method of the present invention) is thoroughly mixed with sterile sulbactam sodium 100g, and is processed according to the powder injection preparation process, and is divided into 50-200 bottles, stoppered, plugged, rolled aluminum cover Get the finished product.

实施例 20 :在 GMP 条件下,将无菌头孢匹胺钠 1 水合物 100 克 与无菌克拉维酸钾 5g 充分混合充分混合,按粉针剂制备工艺程序操作,分装成 50 - 200 瓶,加塞、压塞, 轧铝盖 得成品。 Example 20: 100 g of sterile cefpiramide sodium 1 hydrate and sterile potassium clavulanate under GMP conditions 5g is fully mixed and fully mixed. According to the powder injection preparation process, it is divided into 50-200 bottles, stoppered, plugged, rolled aluminum cover to obtain the finished product.

实施例 21 :在 GMP 条件下,将无菌头孢匹胺钠 2.5 水合物 100 克(按本发明的实施例法制备)与无菌舒巴坦钠 50g 充分混合,按冻干粉针剂制备工艺程序操作,将分装成 50 - 200 瓶,加塞、冷冻干燥,压塞, 轧铝盖 得成品。 Example 21: Sterile cefpiramide sodium 2.5 hydrate 100 under GMP conditions Glucose (prepared according to the method of the present invention) is thoroughly mixed with sterile sulbactam sodium 50g, and is processed according to the lyophilized powder injection preparation process, and is divided into 50-200 bottles, stoppered, freeze-dried, tamped, rolled Aluminum cap Get the finished product.

实施例 22 :采用二倍稀释法测定头孢匹胺钠 1 水合物 最低抑菌浓度 MIC 、 MIC50 以及 MIC90 如下:Example 22: Determination of Cefpiramide Sodium 1 Hydrate Minimum Inhibitory Concentration MIC, MIC 50 and MIC 90 using a two-fold dilution method as follows:

表 3 头孢匹胺钠 1 水合物 抗菌活性 Table 3 Cefpiramide sodium 1 hydrate Antibacterial activity

感染细菌 Infected bacteria 菌株 Strain MIC ( mg/L ) MIC ( mg/L ) MIC MIC50 MIC90 MIC MIC 50 MIC 90 金葡球菌 Staphylococcus aureus 15 15 0.06-4 0.06-4 1 1 2 2 肺炎球菌 Pneumococcal 11 11 0.012-0.25 0.012-0.25 0.06 0.06 0.12 0.12 绿脓杆菌 Pseudomonas 13 13 0.5-64 0.5-64 2 2 16 16 大肠杆菌 E.coli 15 15 0.06-32 0.06-32 4 4 16 16 奇异变形杆菌 Proteus mirabilis 13 13 0.06-32 0.06-32 2 2 8 8 沙雷氏菌 Serratia 11 11 0.12-128 0.12-128 8 8 32 32

实施例 23 :采用二倍稀释法测定头孢匹胺钠 1.5 水合物 最低抑菌浓度 MIC 、 MIC50 以及 MIC90 如下:Example 23: Determination of cefpiramide sodium 1.5 hydrate minimum inhibitory concentration MIC, MIC 50 and MIC 90 using a two-fold dilution method as follows:

表 4 头孢匹胺钠 1.5 水合物 抗菌活性 Table 4 Cefpiramide sodium 1.5 hydrate Antibacterial activity

感染细菌 Infected bacteria 菌株 Strain MIC ( mg/L ) MIC ( mg/L ) MIC MIC50 MIC90 MIC MIC 50 MIC 90 金葡球菌 Staphylococcus aureus 15 15 0.06-4 0.06-4 1 1 2 2 肺炎球菌 Pneumococcal 11 11 0.012-0.25 0.012-0.25 0.06 0.06 0.12 0.12 绿脓杆菌 Pseudomonas 13 13 0.5-64 0.5-64 2 2 16 16 大肠杆菌 E.coli 15 15 0.06-32 0.06-32 4 4 16 16 奇异变形杆菌 Proteus mirabilis 13 13 0.06-32 0.06-32 2 2 8 8 沙雷氏菌 Serratia 11 11 0.06-128 0.06-128 8 8 32 32

实施例 24 :采用二倍稀释法测定头孢匹胺钠 2.5 水合物 最低抑菌浓度 MIC 、 MIC50 以及 MIC90 如下:Example 24: Determination of cefpiramide sodium 2.5 hydrate minimum inhibitory concentration MIC, MIC 50 and MIC 90 using a two-fold dilution method as follows:

表 5 头孢匹胺钠 2.5 水合物 抗菌活性 Table 5 Cefpiramide sodium 2.5 hydrate Antibacterial activity

感染细菌 Infected bacteria 菌株 Strain MIC ( mg/L ) MIC ( mg/L ) MIC MIC50 MIC90 MIC MIC 50 MIC 90 金葡球菌 Staphylococcus aureus 15 15 0.06-4 0.06-4 1 1 2 2 肺炎球菌 Pneumococcal 11 11 0.012-0.25 0.012-0.25 0.06 0.06 0.12 0.12 绿脓杆菌 Pseudomonas 13 13 0.5-64 0.5-64 2 2 16 16 大肠杆菌 E.coli 15 15 0.06-32 0.06-32 4 4 16 16 奇异变形杆菌 Proteus mirabilis 13 13 0.06-32 0.06-32 2 2 8 8

表6. 头孢匹胺钠结晶水合物对不同细菌的 MIC ( μ g.ml-1Table 6. MIC (μg.ml -1 ) of cefpiramide sodium crystal hydrate for different bacteria

大肠杆菌(6) E. coli (6) 金葡球菌 (6) Staphylococcus aureus (6) 头孢匹胺钠 1 水合物 ( 实施例 1 法 )
:舒巴坦钠( 2 : 1 )
Cefpiramide sodium 1 hydrate (Example 1 method)
: sulbactam sodium ( 2 : 1 )
0.003 ~0.06 0.003 ~ 0.06 0.015 ~0.06 0.015 to 0.06
头孢匹胺钠 2 水合物 ( 实施例 7 法 )
:他唑巴坦钠( 8 : 1 )
Cefpiramide sodium 2 hydrate (Example 7 method)
: Tazobactam sodium (8: 1)
0.003 ~0.03 0.003 ~ 0.03 0.006 ~0.03 0.006 ~ 0.03

可以理解,从本专业角度,很多细节的变化是可能的,这并不因此限制本发明范围和精神,本发明并不限于上述实施例。 It is to be understood that many variations of the details are possible from the point of view of the present invention, which is not intended to limit the scope and spirit of the invention, and the invention is not limited to the embodiments described above.

Industrial ApplicabilityIndustrial Applicability

Sequence List TextSequence List Text

Claims (10)

一种头孢匹胺钠水合物, 其特征在于:分子式为C25H23N8NaO7S2• nH2O,n=0. 5~3。A cefpiramide sodium hydrate characterized by a molecular formula of C25H23N8NaO7S2•nH2O, n=0. 5 to 3. 根据权利要求1所述的头孢匹胺钠水合物,其特征在于:为头孢匹胺钠0.5水合物。The cefpiramide sodium hydrate according to claim 1, which is cefpiramide sodium 0.5 hydrate. 根据权利要求1所述的头孢匹胺钠水合物,其特征在于:为头孢匹胺钠1水合物。The cefpiramide sodium hydrate according to claim 1, which is cefpiramide sodium monohydrate. 根据权利要求1所述的头孢匹胺钠水合物,其特征在于:为头孢匹胺钠1.5水合物。The cefpiramide sodium hydrate according to claim 1, which is cefpiramide sodium 1.5 hydrate. 根据权利要求1所述的头孢匹胺钠水合物,其特征在于:为头孢匹胺钠1.5水合物。The cefpiramide sodium hydrate according to claim 1, which is cefpiramide sodium 1.5 hydrate. 根据权利要求1所述的头孢匹胺钠水合物,其特征在于:为头孢匹胺钠2.5水合物。The cefpiramide sodium hydrate according to claim 1, which is cefpiramide sodium 2.5 hydrate. 根据权利要求1所述的头孢匹胺钠水合物,其制备方法,其特征在于:其制备方法包括:The cefpiramide sodium hydrate according to claim 1, wherein the preparation method comprises the following steps: 方法A. 在反应容器中,加头孢匹胺酸,加水、 C1-C6的低分子醇、 C2-C8的低分子醚、 C2-C6的低分子腈中的一种或几种,搅拌,10℃下加C1-C12的低分子胺,搅拌溶解, 10℃下在滤液中加碳酸钠、碳酸氢钠、氢氧化钠、醋酸钠、辛酸钠、异辛酸钠的一种与水、 C1-C6的低分子醇、 C2-C8的低分子醚、 C2-C6的低分子腈、 C3-C8的低分子酮、 C1-C6的低分子卤代烃中的一种或几种的溶液,搅拌,用无机酸或有机酸或其溶液调节pH至6.0~8.0,将上述溶液加入到C1-C6的低分子醇、 C2-C8的低分子醚、 C3-C8的低分子酮、 C2-C8的低分子酯、 C2-C6的低分子腈、 C1-C6的低分子卤代烃中的一种或几种中,或加C1-C6的低分子醇、 C2-C8的低分子醚、 C3-C8的低分子酮、 C2-C8的低分子酯、 C2-C6的低分子腈、 C1-C6的低分子卤代烃中的一种或几种, 10℃以下放置,使固体充分析出,抽滤,用C1-C6的低分子醇、 C2-C8的低分子醚、C3-C8的低分子酮、 C2-C6的低分子腈、 C1-C6的低分子卤代烃中的一种或几种洗1-3次,过滤,所得固体用水与C1-C6的低分子醇、 C2-C8的低分子醚、C3-C8的低分子酮、 C2-C8的低分子酯、C2-C8的低分子腈、 C1-C6的低分子卤代烃中的一种或几种溶剂重结晶一次或多次,10℃以下放置,使结晶充分析出,过滤,洗涤、干燥,得头孢匹胺钠水合物;Method A. In the reaction vessel, add cefpiramide, add water, C1-C6 low molecular alcohol, C2-C8 low molecular ether, One or more of C2-C6 low molecular weight nitriles, stirred, add C1-C12 low molecular amine at 10 ° C, stir to dissolve, Adding sodium carbonate, sodium hydrogencarbonate, sodium hydroxide, sodium acetate, sodium octanoate, sodium isooctanoate to water, C1-C6 low molecular alcohol, C2-C8 low molecular ether, C2 in the filtrate at 10 °C -C6 low molecular nitrile, C3-C8 low molecular ketone, a solution of one or more of C1-C6 low molecular halogenated hydrocarbons, stirred, adjusted to a pH of 6.0 to 8.0 with a mineral acid or an organic acid or a solution thereof, and added to the C1-C6 low molecular alcohol, a low molecular ether of C2-C8, a low molecular ketone of C3-C8, a low molecular ester of C2-C8, a low molecular nitrile of C2-C6, One or more of C1-C6 low molecular halogenated hydrocarbons, or C1-C6 low molecular alcohol, C2-C8 low molecular ether, C3-C8 low molecular ketone, C2-C8 low molecular ester, One or more of C2-C6 low molecular nitrile and C1-C6 low molecular halogenated hydrocarbon, placed at 10 ° C or lower, the solid is fully analyzed, filtered, and C1-C6 low molecular alcohol, a low molecular ether of C2-C8, a low molecular ketone of C3-C8, a low molecular nitrile of C2-C6, One or more of the C1-C6 low molecular halogenated hydrocarbons are washed 1-3 times, filtered, and the obtained solid is mixed with water with a C1-C6 low molecular alcohol, a C2-C8 low molecular ether, and a C3-C8 low molecular weight. ketone, a low molecular ester of C2-C8, a low molecular weight nitrile of C2-C8, One or more of the C1-C6 low molecular halogenated hydrocarbons are recrystallized one or more times, placed at 10 ° C or lower, the crystals are fully analyzed, filtered, washed, and dried to obtain cefpiramide sodium hydrate; 或者方法B. 在反应容器中,加头孢匹胺酸,加水、 C1-C6的低分子醇、 C2-C8的低分子醚、 C2-C6的低分子腈中的一种或几种,搅拌,在10℃下在滤液中加碳酸钠、碳酸氢钠、氢氧化钠、醋酸钠、辛酸钠、异辛酸钠的一种与水、 C1-C6的低分子醇、 C2-C8的低分子醚、 C3-C8的低分子酮中的一种或几种的溶液,搅拌,用无机酸或有机酸或其溶液调节pH至6.0~8.0,将上述溶液加入到C1-C6的低分子醇、 C2-C8的低分子醚、 C3-C8的低分子酮、 C2-C8的低分子酯、 C2-C6的低分子腈、 C1-C6的低分子卤代烃中的一种或几种中,或加C1-C6的低分子醇、 C2-C8的低分子醚、C3-C6的低分子酮、 C2-C8的低分子酯、 C2-C6的低分子腈、 C1-C6的低分子卤代烃中的一种或几种,10℃以下放置,使固体充分析出,过滤,用C1-C6的低分子醇、 C2-C8的低分子醚、C3-C6的低分子酮、 C2-C6的低分子腈、 C1-C6的低分子卤代烃中的一种或几种洗1-3次,过滤,所得固体用水与C1-C6的低分子醇、 C2-C8的低分子醚、 C3-C8的低分子酮、 C2-C8的低分子酯、 C2-C6的低分子腈、 C1-C6的低分子卤代烃的一种或几种为结晶溶剂进行一次或多次重结晶,过滤,洗涤、干燥,干燥得头孢匹胺钠水合物。Or method B. In the reaction vessel, add cefpiramide, add water, C1-C6 low molecular alcohol, C2-C8 low molecular ether, One or more of C2-C6 low molecular weight nitriles, stirred, and added to the filtrate at 10 ° C with sodium carbonate, sodium hydrogencarbonate, sodium hydroxide, sodium acetate, sodium octanoate, sodium isooctanoate and water , C1-C6 low molecular alcohol, Low molecular ether of C2-C8, a solution of one or more of the low molecular ketones of C3-C8, stirred, adjusted to a pH of 6.0 to 8.0 with a mineral acid or an organic acid or a solution thereof, and added to the C1-C6 low molecular alcohol, a low molecular ether of C2-C8, a low molecular ketone of C3-C8, a low molecular ester of C2-C8, a low molecular nitrile of C2-C6, One or more of C1-C6 low molecular halogenated hydrocarbons, or C1-C6 low molecular alcohol, C2-C8 low molecular ether, C3-C6 low molecular ketone, C2-C8 low molecular ester, One or more of C2-C6 low molecular nitrile, C1-C6 low molecular halogenated hydrocarbon, placed below 10 ° C, the solid is fully analyzed, filtered, using C1-C6 low molecular alcohol, a low molecular ether of C2-C8, a low molecular ketone of C3-C6, a low molecular nitrile of C2-C6, One or more of the C1-C6 low molecular halogenated hydrocarbons are washed 1-3 times, filtered, and the obtained solid is mixed with water with a C1-C6 low molecular alcohol, a C2-C8 low molecular ether, a C3-C8 low molecular weight. ketone, a low molecular ester of C2-C8, a low molecular weight nitrile of C2-C6, One or more of the C1-C6 low molecular halogenated hydrocarbons are recrystallized one or more times by a crystallization solvent, filtered, washed, dried, and dried to obtain cefpiramide sodium hydrate. 根据权利要求1所述的头孢匹胺钠水合物,其特征在于:其用途在于,用于制备注射剂、固体制剂、栓剂;所述注射剂包括注射用冻干粉针制剂、无菌分装粉针制剂、大输液制剂;所述固体制剂包括片剂、胶囊剂、颗粒剂。The cefpiramide sodium hydrate according to claim 1, which is used for preparing an injection, a solid preparation, and a suppository; and the injection comprises a lyophilized powder preparation for injection, and a sterile powder injection needle. Formulations, large infusion preparations; the solid preparations include tablets, capsules, granules. 根据权利要求1所述的头孢匹胺钠水合物,其特征在于:用于制备对革兰氏阳性或阴性细菌敏感菌所致的人或动物的呼吸系统、肝胆系统、五官、尿路感染、腹腔感染、盆腔感染、败血症、皮肤软组织感染、骨和关节感染疾病的治疗或预防的药物中的应用。The cefpiramide sodium hydrate according to claim 1, which is used for preparing a respiratory system, hepatobiliary system, facial features, urinary tract infections of human or animals caused by Gram-positive or negative bacteria-sensitive bacteria, Application in the treatment or prevention of abdominal infection, pelvic infection, sepsis, skin and soft tissue infection, bone and joint infection diseases. 根据权利要求1所述的头孢匹胺钠水合物,其特征在于:用于制备含有该水合物的组合物,包括制备与β-内酰胺酶抑制剂克拉维酸或其药用盐、舒巴坦或其药用盐、他唑巴坦或其药用盐中的一种或几种组成的抗菌组合药物,其中,头孢匹胺钠水合物与β-内酰胺酶抑制剂的重量比为30:1~1:2。The cefpiramide sodium hydrate according to claim 1, which is used for preparing a composition containing the hydrate, comprising preparing a β-lactamase inhibitor clavulanic acid or a pharmaceutically acceptable salt thereof, Shuba An antibacterial combination drug comprising one or more of tamoxifen or a pharmaceutically acceptable salt thereof, tazobactam or a pharmaceutically acceptable salt thereof, wherein the weight ratio of cefpiramide sodium hydrate to β-lactamase inhibitor is 30 :1~1:2.
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