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WO2016119308A1 - Antitumour preparation and preparation method thereof - Google Patents

Antitumour preparation and preparation method thereof Download PDF

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Publication number
WO2016119308A1
WO2016119308A1 PCT/CN2015/075948 CN2015075948W WO2016119308A1 WO 2016119308 A1 WO2016119308 A1 WO 2016119308A1 CN 2015075948 W CN2015075948 W CN 2015075948W WO 2016119308 A1 WO2016119308 A1 WO 2016119308A1
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Prior art keywords
preparation
tumor
antitumor
cancer
alginate
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PCT/CN2015/075948
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French (fr)
Chinese (zh)
Inventor
王琳
李永奎
方敏
王征
张剑
宋煜
石洁
徐妞妞
王健
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Union Hospital Tongji Medical College Huazhong University of Science and Technology
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Union Hospital Tongji Medical College Huazhong University of Science and Technology
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Publication of WO2016119308A1 publication Critical patent/WO2016119308A1/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/63Compounds containing para-N-benzenesulfonyl-N-groups, e.g. sulfanilamide, p-nitrobenzenesulfonyl hydrazide
    • A61K31/635Compounds containing para-N-benzenesulfonyl-N-groups, e.g. sulfanilamide, p-nitrobenzenesulfonyl hydrazide having a heterocyclic ring, e.g. sulfadiazine
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K39/395Antibodies; Immunoglobulins; Immune serum, e.g. antilymphocytic serum

Definitions

  • the invention relates to a pharmaceutical preparation and a preparation method thereof, in particular to an antitumor preparation and a preparation method thereof.
  • Tumors are one of the greatest threats to human health and life.
  • the World Health Organization reports that 14.1 million people worldwide contracted cancer in 2012, with 8.2 million deaths, exceeding the combined death toll from AIDS, malaria and tuberculosis. China's new cancer cases rank first in the world, and cancer has become the number one cause of death among Chinese residents. Every year, 2.07 million people die of cancer.
  • the main treatment methods for tumors are surgical resection, chemotherapy and radiotherapy.
  • chemotherapy and radiotherapy can assist the treatment of malignant tumors to some extent, the strong side effects cause additional damage to the body. Huge damage and a low cure rate.
  • Most chemotherapy drugs cause irreversible damage to normal tissues and organs of the body while killing tumor cells. Therefore, traditional treatment techniques cannot solve the major threat to human health caused by tumors, especially malignant tumors.
  • Tumor immunotherapy technology is a kind of tumor treatment technology developed and developed based on the basic principles of tumor immunity to achieve effective killing of tumor cells by immunological means.
  • the immune system has strong pertinence and specificity for the killing of tumor cells, so the immunological treatment technology of such diseases has the natural high efficiency and targeting unmatched by traditional therapeutic techniques.
  • a successful immunological treatment program can activate the body to produce enough tumor cell characteristics of cytotoxic T lymphocytes, which can selectively kill all tumor cells.
  • immunotherapy is currently The only known means that is expected to completely eliminate tumor cells has no adverse effects on normal cells of the body.
  • ipilimumab as a blocker of B7/CTLA-4 costimulatory pathways
  • ipilimumab has been shown to be effective in improving advanced malignant melanoma.
  • Patient's life The rate of deposit, which was approved by the FDA in 2011 for the treatment of metastatic malignant melanoma, but Iprimima can cause serious and fatal autoimmune-related diseases.
  • the programmed death molecule-1 (PD-1) pathway blocker has also made a breakthrough in anti-PD-1 and PD-L1 monoclonal antibodies, which can block the inhibitory effect of PD-1 on T cells.
  • PD-1 programmed death molecule-1
  • Multiple tumor-bearing animal experiments have shown that blocking the PD-L1/PD-1 pathway can enhance anti-tumor effects, prolong survival, and improve prognosis.
  • monoclonal antibodies against PD-L1/PD-1 pathway blockade are used in phase III clinical trials for advanced malignancies.
  • PD-1 antibodies are due to their broad-spectrum anticancer effects on kidney cancer.
  • the clinical efficacy of cancers such as gastric cancer, breast cancer, bladder cancer, leukemia, head and neck cancer, intestinal cancer and brain tumors is also in Phase II or Phase III clinical trials.
  • cancers such as gastric cancer, breast cancer, bladder cancer, leukemia, head and neck cancer, intestinal cancer and brain tumors is also in Phase II or Phase III clinical trials.
  • continuous infusion or frequent administration is required to obtain the desired therapeutic effect.
  • the dose of PD-1 antibody is usually 250ug/mouse per mouse, and each It is administered once every two days to maintain the efficacy.
  • Such high doses cause side effects during systemic treatment, such as side effects such as immunogenic enteritis and severe autoimmune diseases, which limits its application.
  • the present invention provides an antitumor preparation which is an antitumor preparation in the form of a hydrogel formed by blocking an aqueous solution of an antibody and celecoxib with an active ingredient PD-1.
  • the formulation has good in vivo stability, a markedly enhanced inhibition of tumor cell growth and metastasis, an expanded anti-tumor profile, and reduced toxic side effects on the body.
  • the invention also provides a preparation method of an anti-tumor preparation, which comprises dispersing an active ingredient PD-1 blocking antibody and celecoxib in an alginate solution, and forming an injectable anti-tumor preparation in the form of a hydrogel.
  • the anti-tumor preparation prepared by the method is applied to an individual, and the PD-1 blocking antibody and celecoxib exhibit good in vivo stability and prolonged sustained release effect, which is more conducive to the exertion of the active ingredient and lowering It uses the dose.
  • Non-steroidal anti-inflammatory drugs such as Celecoxib
  • Celecoxib have been shown to inhibit a variety of Tumor cell proliferation, promote cell apoptosis, inhibit tumor neovascularization and prevent tumorigenesis and development, and prevent tumor growth, inhibit tumor growth and metastasis, and achieve good results in animal experiments.
  • its clinical application is still limited, mainly because many problems remain to be solved, such as longer medication time and larger dosage.
  • Mouse experiments show that it is usually necessary to administer a dose of 25 mg/kg body weight of celecoxib per day. It has anti-tumor effect, resulting in large side effects in the gastrointestinal tract and cardiovascular, and narrow anti-tumor spectrum (mainly used for prevention and early treatment of colorectal cancer).
  • non-steroidal anti-inflammatory drugs such as celecoxib combined with PD-1 blocking antibody, which can reduce the amount of drug, expand the anti-tumor spectrum, and reduce the side effects of the body.
  • the present invention provides an antitumor preparation which is an antitumor preparation in the form of a hydrogel formed by dissolving an aqueous solution of an active ingredient PD-1 blocking antibody and celecoxib, which is an injection. preparation.
  • the alginate has a molecular weight of from 75,000 to 300,000 g.
  • the alginate solution mixture is crosslinked in the presence of a crosslinking agent.
  • the crosslinking agent is a divalent metal cation.
  • the divalent metal cation is provided by a sulfate or a hydrochloride of a divalent metal, which is calcium or magnesium.
  • the divalent metal cation is provided by CaSO 4 , MgCl 2 or CaCl 2 .
  • the anti-tumor preparation is an anti-tumor preparation for melanoma, breast cancer, kidney cancer, gastric cancer, bladder cancer, leukemia, head and neck cancer, intestinal cancer or brain tumor.
  • the invention provides a method for preparing an anti-tumor preparation, comprising:
  • the alginate solution mixture is crosslinked to form an antitumor preparation in the form of a hydrogel, which is an injection preparation.
  • the alginate has a molecular weight of 75,000 to 300,000 g.
  • those skilled in the art can select as needed within the above molecular weight range.
  • One of the above molecular weight ranges of one or more alginate can also be used directly by those skilled in the art.
  • the alginate solution mixture is crosslinked in the presence of a crosslinking agent.
  • the crosslinking agent is a divalent metal cation.
  • the divalent metal cation is provided by a sulfate or a hydrochloride of a divalent metal, which is calcium or magnesium.
  • the divalent metal cation is provided by CaSO 4 , MgCl 2 or CaCl 2 .
  • the anti-tumor preparation is an anti-tumor preparation for melanoma, breast cancer, kidney cancer, gastric cancer, bladder cancer, leukemia, head and neck cancer, intestinal cancer or brain tumor.
  • celecoxib since celecoxib is insoluble in water in a powder form, it can be subjected to ultrasonication in the process of dispersing it in an alginate solution.
  • the process of preparing the antitumor preparation of the present invention should be carried out under aseptic conditions.
  • the antitumor preparation provided by the present invention can be administered by subcutaneous injection to inhibit tumorigenesis or kill tumor cells.
  • the antitumor preparation of the present invention may be a unit preparation.
  • the unit preparation is a preparation which satisfies the active ingredient required for one administration, such as a unit (needle) injection or the like.
  • the amount of drug required for a single administration of a patient can be conveniently obtained by calculating the product of the patient's body weight and the unit weight dose required for the patient to take the drug once.
  • the adult body weight is 50-70 kg, and the dose can be determined initially by an equivalent dose conversion relationship between the experimental animal and the human body weight dose.
  • the human and mouse doses can be converted according to the body surface area conversion coefficient of 0.0026 for humans and mice.
  • a mouse weighing 25 g is injected subcutaneously with 0.2 ml of an antitumor preparation of the invention, wherein the PD-1 blocking antibody is 100 ug and the celecoxib is 625 ug, ie: 4 mg. /kg mouse body weight of PD-1 blocking antibody, 25mg/kg mouse body weight of celecoxib, can be maintained once every two weeks.
  • the pharmaceutical manufacturer can obtain the content of the active ingredient in the unit preparation for one administration of the adult according to the above conversion method, and apply it to the pharmaceutical process.
  • the unit preparation contains 20-30 mg of the PD-1 blocking antibody and 130-200mg Celecoxib.
  • the solution concentration of the alginate solution may be in the range of 10-40 mg/mL, and the PD-1 blocking antibody may be dispersed in the above alginate in an amount of 500 to 1000 ⁇ g/mL.
  • the celecoxib may be dispersed in the above alginate solution in an amount of 3.75 to 7.5 mg/mL.
  • Applicants may appropriately select the solution concentration of the alginate solution according to the specifications of the antitumor preparation to be prepared, for example, the amount of the PD-1 blocking antibody and celecoxib to be contained in the unit preparation, and PD-1 blocks the antibody,
  • the amount of celecoxib dispersed in the alginate is achievable by those skilled in the art.
  • the present invention also provides a method for treating or preventing a tumor comprising the step of administering an antitumor preparation to an individual having a tumor or an individual having a tendency to develop a tumor, the antitumor preparation being blocked by the active ingredient PD-1
  • An antitumor preparation in the form of a hydrogel formed by breaking an antibody and an aqueous solution of alginate of celecoxib, and the antitumor preparation is an injection preparation.
  • the anti-tumor preparation further comprises a crosslinking agent for crosslinking the aqueous alginate solution.
  • the alginate has a molecular weight of 75,000 - 300,000 g
  • the crosslinking agent is a divalent metal cation.
  • the anti-tumor preparation is a unit preparation.
  • the unit preparation contains a therapeutically effective amount of 20-30 mg of PD-1 blocking antibody and 130-200 mg of celecoxib.
  • An individual having a tendency to develop a tumor in the present invention refers to an individual who is genetically at risk for a tumor or an individual who exhibits a risk of developing a tumor on other physical indicators.
  • the antitumor preparation prepared by the method of the invention can make PD-1 blocking antibody and celecoxib have good stability in vivo, and has an extended sustained release effect, thereby being more beneficial to the effect of the drug. , reduce the dose.
  • the anti-tumor preparation of the present invention is administered to an individual by injection, that is, the PD-1 blocking antibody and celecoxib are simultaneously encapsulated into the alginate hydrogel to provide the individual, as compared to Administration of alginate hydrogel containing only PD-1 blocking antibody and/or alginate hydrogel containing only celecoxib increases the percentage of survival of tumor-bearing mice and promotes the production of active CD8 T cells
  • the raw side has an unexpected synergy.
  • the anti-tumor preparation provided by the invention enhances the acquired immune response against tumor cells by the body, blocks the immunosuppressive pathway, activates the effector cells to specifically kill the tumor cells, and has almost no harm to the normal tissues and cells of the body. Compared with the damage caused by surgery, chemotherapy and radiotherapy, the advantages are obvious.
  • the material used in the solution of the present invention has a wide range of sources, and can be extracted from seaweed in large amounts, and a significantly reduced PD-1 blocking antibody and celecoxib dose can be used to obtain a good tumor suppressing effect, remarkable Reduce the cost of medication for patients.
  • the anti-tumor preparation provided by the invention can be used for treating solid tumors and inhibiting tumor growth; and can be used for treating tumors with malignant metastasis; and for adjuvant treatment of post-operative radiotherapy and chemotherapy for malignant tumors;
  • the treatment of tumors that cannot be surgically removed has a wide range of applications.
  • Figure 1 is a flow chart showing the preparation of the antitumor preparation of the present invention.
  • Figure 2A shows the concentration of celecoxib in the serum of each group of mice
  • Figure 2B shows the content of celecoxib in the tumor tissues of each group of mice
  • Figure 2C shows the ratio of cytotoxic T lymphocytes (CD8 and IFN- ⁇ double positive) and regulatory T lymphocytes (CD4 and FoxP3 double positive) in each group of mice.
  • Figure 2D shows the percent survival of each group of mice.
  • Figures 3A-3B show the results of detection of CD8 T cells that are effective in killing tumor cells in the tumor microenvironment.
  • Figure 4A shows the expression level of relative messenger RNA of the COX-2 gene.
  • Figure 4B shows the expression level of the relative messenger RNA of the IL-1 ⁇ gene.
  • Figure 4C shows the expression level of the relative messenger RNA of the IL-6 gene.
  • * indicates a p value of ⁇ 0.05, and ** indicates a p value of ⁇ 0.01.
  • Figure 5A shows a picture of the tumor appearance of mice of each group on days 0, 10, 13, 17, 20, and 22.
  • Figure 5B shows tumor size changes for mice of each group on days 0, 10, 13, 17, 20, and 22.
  • * indicates a p value ⁇ 0.05.
  • Figure 6A shows a picture of a pulmonary metastases from each group of mice.
  • Figure 6B shows the number of lung metastases in each group of mice. Where $ indicates that the group is compared with the group a; # indicates that the group is compared with the group b. *, $, # indicates p value ⁇ 0.05; $$, ## indicates p value ⁇ 0.01.
  • Example 1 Preparation of an antitumor preparation of the present invention.
  • the antitumor preparation of the present invention can be prepared according to the procedure shown in Fig. 1.
  • the alginate solution of Philadelphia was stirred overnight at 4 ° C with a magnetic stirrer and filtered through a filter having a pore size of 0.22 ⁇ m.
  • Step (2)-a 3.75 to 7.5 mg of celecoxib powder (LC laboratory, LC Laboratories, Massachusetts, USA) is weighed per ml of alginate solution and mixed;
  • Step (2)-b using a probe type ultrasonic instrument (QSONICA, USA) to ultrasonically 60 seconds for 60 seconds, so that the celecoxib powder is uniformly dispersed in the alginate solution to obtain a mixed system;
  • QSONICA probe type ultrasonic instrument
  • Step (3) 500-1000 ⁇ g of PD-1 blocking antibody per ml of the alginate solution (BioXCell, USA) is added to the mixed system obtained in the step (2)-b, and the shaker is shaken and thoroughly mixed;
  • Step (4)-a weigh calcium sulfate solid powder (CaSO 4 , Sinopharm Chemical Reagent Co., Ltd.), mix it with purified water at a mass to volume ratio of 0.21 g/ml, and autoclave to obtain a calcium sulfate suspension ( If aggregation occurs during use, coarse particles are generated, which can be ultrasonicated by an ultrasonic machine to form a uniform suspension);
  • Step (4)-b sucking the mixture obtained in the step (3) with a syringe with a screw;
  • Step (4)-c adding another suspension of CaSO 4 to the syringe with screw, adding 40 ⁇ L of CaSO 4 suspension per mL of alginate solution;
  • Step (5) through the joint and the screw, the two syringes are tightly connected to eliminate excess air as much as possible;
  • Step (6) quickly push the syringe 20 times each other;
  • Step (7) standing for 1 minute, the antitumor preparation of the present invention in the form of a hydrogel is completed.
  • the syringe can be injected by unscrewing the syringe containing the hydrogel and attaching the injection needle. Or can The prepared antitumor preparation was stored at 4 °C.
  • Example 2 In vivo sustained release effect and drug effect prolongation effect of antitumor preparation provided by the invention
  • the antitumor preparation was prepared in the same manner as in Example 1 so that the anti-tumor preparation contained 500 ug of PD-1 blocking antibody and 3125 ug of celecoxib per ml of the antitumor preparation.
  • mice were purchased from Beijing Huakangkang Biotechnology Co., Ltd., each weighing about 25 grams.
  • B16-F10 melanoma cells were purchased from the American Type Culture Collection.
  • B16-F10 melanoma cells are recognized as the most invasive tumor cells. After each subcutaneous injection of 2.5 ⁇ 10 4 B16-F10 melanoma cells in C57BL/6 mice, the protoplasts can be produced after 1 week. A melanoma that then grows rapidly and causes the mouse to die.
  • the C57BL/6 mouse melanoma model is a mature animal model widely used to evaluate the anti-tumor effect of drugs.
  • the inventors will subcutaneously inject B16-F10 melanoma cells purchased from the ATCC (American Type Culture Collection) with C57BL/6 male mice weighing about 25 grams at 6-8 weeks of age (purchased from Beijing Huakangkang Biotechnology). Technology Co., Ltd.), about 7-10 days later, melanoma formation can be seen at the site of injection of cells.
  • the anti-tumor preparation provided by the invention has an effect of sustained release effect and prolonged effect of the drug in vivo.
  • mice After one week of inoculation of melanoma cells in C57BL/6 mice, the following three groups of mice were set up:
  • mice serum and tumor tissue were taken 24 hours after administration, the other two Mouse sera and tumor tissues were taken on the first day, the third day, the 7th day and the 14th day after administration, and the mouse serum was detected by liquid chromatography-mass spectrometry (HPLC-MS).
  • HPLC-MS liquid chromatography-mass spectrometry
  • FIG 2A shows the concentration of celecoxib in the serum of each group of mice.
  • Figure 2B shows the celecoxib content in tumor tissues of each group of mice. It can be seen that the serum concentration of celecoxib in the experimental group injected with the antitumor preparation of the present invention is significantly higher than that of the control group at least within one week; the celecoxib content in the tumor tissue is significantly higher at least within two weeks. In the control group.
  • mice After one week of inoculation of melanoma cells in C57BL/6 mice, the following 4 groups of mice were set up:
  • inguinal lymph nodes were sampled on the first day, the third day, the 7th day and the 14th day after treatment, and the cytotoxic T lymphocytes were detected by flow cytometry.
  • the number of cells double positive for CD8 and IFN- ⁇
  • regulatory T lymphocytes double positive for CD4 and FoxP3
  • Figure 2C shows cytotoxic T lymphocytes (CD8 and IFN- ⁇ double positive) in each group of mice.
  • the ratio of regulatory T lymphocytes CD4 and FoxP3 double positive.
  • the anti-tumor preparation provided by the present invention is described by the data of the present embodiment, and the effective drug concentration and effect for a long time are maintained while reducing the dose.
  • mice After one week of inoculation of melanoma cells in C57BL/6 mice, the following 4 groups of mice were set up:
  • Figure 2D shows the percent survival of each group of mice. It is indicated that the administration of the antitumor agent group of the present invention (formed by simultaneously encapsulating the PD-1 antibody and celecoxib into the alginate hydrogel) gives an active ingredient group which is coated into the alginate hydrogel in a stepwise manner ( That is, administration of an alginate hydrogel containing only the PD-1 antibody, and simultaneous administration of an alginate hydrogel containing only celecoxib, resulted in a significantly increased percentage of mouse survival.
  • the antitumor preparation of the present invention does not simply use the three components of celecoxib, PD-1 antibody and alginate hydrogel, and celecoxib and PD-1 antibodies must be simultaneously embedded in alginic acid. In a saline gel (i.e., the antitumor preparation of the present invention), a superior antitumor effect can be produced.
  • Example 3 The antitumor preparation of the present invention can promote the production of active CD8 T cells
  • the antitumor preparation was prepared in the same manner as in Example 1 so that the anti-tumor preparation contained 500 ug of PD-1 blocking antibody and 3125 ug of celecoxib per ml of the antitumor preparation.
  • Example 2 The same mouse melanoma model as in Example 2 was constructed.
  • mice After one week of inoculation of melanoma cells in C57BL/6 mice, the following 4 groups of mice were set up:
  • Figures 3A and 3B show the results of detection of CD8 T cells that are effective in killing tumor cells in the tumor microenvironment. It was shown that administration of the antitumor agent group of the present invention (formed by simultaneously encapsulating PD-1 antibody and celecoxib into alginate hydrogel) can greatly promote the production of active CD8 T cells. This indicates that the antitumor preparation of the present invention is not only used as a drug sustained release carrier in the treatment of tumors, but also the volume and space occupied by the body is a place for promoting the production of antitumor immune cells. Both celecoxib and PD-1 antibody are present in the "site” and they are activated The synergistic effect of the plaque cells can be produced.
  • Example 4 The anti-tumor preparation provided by the present invention has reduced toxic side effects.
  • the antitumor preparation was prepared in the same manner as in Example 1 so that the anti-tumor preparation contained 500 ug of PD-1 blocking antibody and 3125 ug of celecoxib per ml of the antitumor preparation.
  • Example 2 The same mouse melanoma model as in Example 2 was constructed.
  • mice One week after inoculation of melanoma cells in C57BL/6 mice, the following groups of mice were set up:
  • mice were further cultured for one week, the mice were sacrificed, the subcutaneous tumors were removed, total RNA was extracted according to the RNA extraction reagent, and COX-2 was analyzed by real-time PCR.
  • Figures 4A-4C which is the expression level of the relative messenger RNA of the COX-2 gene.
  • Figure 4B is the expression level of relative messenger RNA of the IL-1 ⁇ gene.
  • Figure 4C shows the level of expression of the relative messenger RNA of the IL-6 gene.
  • the experimental group injecting the antitumor preparation group of the present invention has a significantly reduced expression of inflammatory factors as compared with the alginate hydrogel group injected with the PD-1 antibody. It is shown that the antitumor preparation provided by the present invention has a significantly reduced toxic side effect on the body.
  • Example 5 The antitumor preparation provided by the invention is used for inhibiting tumor growth of B16 melanoma
  • the antitumor preparation was prepared in the same manner as in Example 1 so that the anti-tumor preparation contained 500 ug of PD-1 blocking antibody and 3125 ug of celecoxib per ml of the antitumor preparation.
  • Example 2 The same mouse melanoma model as in Example 2 was constructed.
  • the antitumor preparation provided by the present invention is used for the anti-B16 melanoma tumor growth effect.
  • mice One week after inoculation of melanoma cells in C57BL/6 mice, the following groups of mice were set up:
  • Figure 5A shows a picture of the tumor appearance of mice of each group on days 0, 10, 13, 17, 20, and 22.
  • Figure 5B shows the size changes of tumors of mice of each group on days 0, 10, 13, 17, 20, and 22.
  • the experimental group in which the antitumor preparation of the present invention was subcutaneously injected was able to inhibit the growth of malignant melanoma in situ tumors as compared with the control group.
  • the anti-tumor effect of the anti-tumor preparation of the invention is better than that of the alginate hydrogel alone occluding celecoxib or PD-1 blocking antibody, and is also superior to the saline mixed celecoxib and PD-1 blocking.
  • the antibody group that is, all the components in the antitumor preparation of the present invention, is necessary for obtaining the antitumor effect of the present application, and an effect that the PD-1 blocking antibody alone or celecoxib is not administered alone is obtained.
  • Example 6 The anti-tumor preparation provided by the invention is used for controlling the metastasis of 4T1 malignant breast cancer
  • the antitumor preparation was prepared in the same manner as in Example 1 so that the anti-tumor preparation contained 500 ug of PD-1 blocking antibody and 3125 ug of celecoxib per ml of the antitumor preparation.
  • mice were purchased from the Medical Laboratory Animal Center of Wuhan University, each weighing about 25 grams.
  • Mouse breast cancer cells were purchased from the American Type Culture Collection.
  • the 4T1 breast cancer metastasis model is the most commonly used experimental model for studying malignant tumor metastasis.
  • the inventors injected 4T1 mouse breast cancer cells (purchased from the American Type Culture Collection) in vitro into the second breast site on the right side of Balb/c mice with a female body weight of about 25 grams at 6-8 weeks old.
  • the amount of cells injected by only one mouse was 1 ⁇ 10 6 .
  • a week later it was seen that the breast site was injected with obvious breast tumors, and after 4-5 weeks, obvious lung metastases were observed.
  • By observing the appearance of the lungs in mice after invasion by cancer cells, and counting the number of lung metastases qualitative and quantitative analysis of cancer cell metastasis can be performed.
  • the antitumor preparation provided by the present invention inhibits the effect of tumor metastasis.
  • mice One week after the above Balb/c mice were inoculated with 4T1 breast cancer cells, the following groups of mice were set up:
  • mice in each group were sacrificed by cervical dislocation, and the whole lung was taken, and the number of tumors on the surface of the lungs was counted from the lungs.
  • the tissue was surgically stripped of the metastatic tumor, and the whole lung and the exfoliated metastatic tumor of the mouse were photographed.
  • Figure 6A shows a picture of a pulmonary metastases from each group of mice.
  • Figure 6B shows the number of lung metastases in each group of mice.
  • the injection of the antitumor preparation group of the present invention showed an excellent effect of inhibiting tumor metastasis as compared with the control group, and the number of lung metastases was suppressed by 70%.
  • the number of metastases was significantly increased significantly in the control group lacking any one component, and the effect of inhibiting tumor metastasis was far less than the present invention, indicating all the components in the antitumor preparation of the present invention. It is necessary to obtain the anti-tumor effect desired by the present application.
  • Example 7 The antitumor preparation of the present invention is equally effective for melanoma and other tumor types other than breast cancer
  • Different tumor-bearing mice include: kidney cancer mice, gastric cancer mice, bladder cancer mice, leukemia mice, head and neck cancer mice, intestinal cancer mice, brain tumor mice, respectively, purchased from Wuhan University Medical Laboratory Animal Center, Weighing about 25 grams.
  • the antitumor preparation was prepared in the same manner as in Example 1 so that the anti-tumor preparation contained 500 ug of PD-1 blocking antibody and 3125 ug of celecoxib per ml of the antitumor preparation.
  • tumor-bearing mice The method of constructing a tumor-bearing mouse model in this example is a conventional method in the art, and these tumor-bearing mouse models are mature animal models widely used to evaluate the anti-tumor effect of drugs.
  • the experimental results show that the kidney cancer mice, the gastric cancer mice, the bladder cancer mice, the leukemia mice, the head and neck cancer mice, the intestinal cancer mice, and the brain tumor mice to which the antitumor preparation of the present invention is administered are compared with the respective control groups. Mice, which exhibit excellent tumor growth inhibition and reduced toxic side effects.

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Abstract

Provided in the present invention are an antitumour preparation and a preparation method thereof. The antitumour preparation is a preparation in the form of a hydrogel formed from an aqueous alginate solution of dispersed active ingredients of a PD-1 blocking antibody and celecoxib, and the preparation is an injectable preparation.

Description

一种抗肿瘤制剂及其制备方法Antitumor preparation and preparation method thereof 技术领域Technical field

本发明涉及一种药物制剂及其制备方法,尤其涉及一种抗肿瘤制剂及其制备方法。The invention relates to a pharmaceutical preparation and a preparation method thereof, in particular to an antitumor preparation and a preparation method thereof.

背景技术Background technique

肿瘤是威胁人类健康和生命最大的敌人之一,世界卫生组织报告表明,2012年全球有1410万人患癌,死亡人数达820万,超过艾滋病、疟疾和结核病死亡人数总和。我国新增癌症病例居世界第一位,癌症也已成我国居民的第一死因,每年有207万人因癌症去世。目前在临床上,肿瘤的治疗手段主要以手术切除、化疗和放疗为主。而治疗恶性肿瘤时,手术的方法几乎不可能将扩散的肿瘤细胞完全切除,从而造成肿瘤反复发作;化疗和放疗虽然一定程度上可以辅助恶性肿瘤的治疗,但强烈的毒副作用对机体造成额外的巨大伤害,且治愈率很低。绝大部分化疗药物在杀死肿瘤细胞的同时都会对机体正常组织和器官造成不可逆的损伤。因此,传统的治疗技术无法解决肿瘤尤其是恶性肿瘤对人类健康的重大威胁。Tumors are one of the greatest threats to human health and life. The World Health Organization reports that 14.1 million people worldwide contracted cancer in 2012, with 8.2 million deaths, exceeding the combined death toll from AIDS, malaria and tuberculosis. China's new cancer cases rank first in the world, and cancer has become the number one cause of death among Chinese residents. Every year, 2.07 million people die of cancer. At present, in clinical practice, the main treatment methods for tumors are surgical resection, chemotherapy and radiotherapy. In the treatment of malignant tumors, it is almost impossible to completely remove the diffused tumor cells by surgery. This causes recurrent tumors. Although chemotherapy and radiotherapy can assist the treatment of malignant tumors to some extent, the strong side effects cause additional damage to the body. Huge damage and a low cure rate. Most chemotherapy drugs cause irreversible damage to normal tissues and organs of the body while killing tumor cells. Therefore, traditional treatment techniques cannot solve the major threat to human health caused by tumors, especially malignant tumors.

肿瘤的免疫治疗技术,是基于肿瘤免疫基本原理而开发和发展出来的、以免疫学手段达到对肿瘤细胞有效杀伤的一类肿瘤治疗技术。免疫系统对肿瘤细胞的杀伤具有很强的针对性和专一性,因此此类疾病的免疫学治疗技术具有传统治疗技术无法比拟的天然的高效性和靶向性。针对某一类型的肿瘤,成功的免疫学治疗方案可以激活机体产生足够的肿瘤细胞特性细胞毒性T淋巴细胞,可选择性杀死所有肿瘤细胞,和肿瘤的其他的疗法相比,免疫治疗是目前已知的惟一有望完全消灭肿瘤细胞的手段而对对机体正常细胞没有不良影响。近些年随着肿瘤免疫逃逸相关研究逐渐深入,使用单克隆抗体阻断共刺激分子通路已作为一种新的肿瘤免疫治疗手段逐渐被重视,也为肿瘤免疫治疗翻开了新的篇章。首个投入临床应用的针对负性共刺激信号通路阻断的药物是易普利姆玛(ipilimumab)作为B7/CTLA-4共刺激通路阻断剂,ipilimumab被证实能有效提高晚期恶性黑素瘤患者的生 存率,并在2011年被FDA批准用于治疗转移性恶性黑素瘤,但易普利姆玛能导致严重和致死性自身免疫相关疾病。紧随其后,程序性死亡分子-1(PD-1)通路阻断剂抗PD-1和PD-L1单克隆抗体也有了突破性的进展,可以阻断PD-1对T细胞的抑制作用,从而激活肿瘤患者体内的免疫效应细胞杀瘤效应,减少抑制性调节T细胞效应,以增强CTL杀伤癌细胞的功能已成为近年免疫治疗的热点。多项荷瘤动物实验表明,阻断PD-L1/PD-1通路可以增强抗肿瘤效应、延长生存期、改善预后。目前,多种针对PD-L1/PD-1通路阻断的单克隆抗体用于进展期恶性肿瘤的三期临床试验都在进行,PD-1抗体由于其广谱抗癌作用,对肾癌、胃癌、乳腺癌、膀胱癌、白血病、头颈癌、肠癌和脑瘤等癌症的临床疗效也正在二期或三期临床试验之中。然而由于体内稳定性差以及作用的多效性,要求连续灌输或频繁给药才能获得理想的治疗效果,动物实验中每次PD-1抗体的给药量通常为250ug/只小鼠,并需要每隔两天给药一次以维持药效,如此高剂量致使全身治疗时副作用较大,如引起免疫性小肠炎及严重的自身免疫疾病等副作用,限制了其的应用。Tumor immunotherapy technology is a kind of tumor treatment technology developed and developed based on the basic principles of tumor immunity to achieve effective killing of tumor cells by immunological means. The immune system has strong pertinence and specificity for the killing of tumor cells, so the immunological treatment technology of such diseases has the natural high efficiency and targeting unmatched by traditional therapeutic techniques. For a certain type of tumor, a successful immunological treatment program can activate the body to produce enough tumor cell characteristics of cytotoxic T lymphocytes, which can selectively kill all tumor cells. Compared with other therapies of tumors, immunotherapy is currently The only known means that is expected to completely eliminate tumor cells has no adverse effects on normal cells of the body. In recent years, with the research on tumor immune escape, the use of monoclonal antibodies to block the costimulatory molecular pathway has been gradually taken seriously as a new tumor immunotherapy, and it has opened a new chapter for tumor immunotherapy. The first drug to be used in clinical applications for blockade of negative costimulatory signaling pathways is ipilimumab as a blocker of B7/CTLA-4 costimulatory pathways, and ipilimumab has been shown to be effective in improving advanced malignant melanoma. Patient's life The rate of deposit, which was approved by the FDA in 2011 for the treatment of metastatic malignant melanoma, but Iprimima can cause serious and fatal autoimmune-related diseases. Immediately thereafter, the programmed death molecule-1 (PD-1) pathway blocker has also made a breakthrough in anti-PD-1 and PD-L1 monoclonal antibodies, which can block the inhibitory effect of PD-1 on T cells. In order to activate the tumoricidal effect of immune effector cells in tumor patients, and reduce the inhibitory T cell effect, and enhance the function of CTL to kill cancer cells has become a hot spot in immunotherapy in recent years. Multiple tumor-bearing animal experiments have shown that blocking the PD-L1/PD-1 pathway can enhance anti-tumor effects, prolong survival, and improve prognosis. At present, a variety of monoclonal antibodies against PD-L1/PD-1 pathway blockade are used in phase III clinical trials for advanced malignancies. PD-1 antibodies are due to their broad-spectrum anticancer effects on kidney cancer. The clinical efficacy of cancers such as gastric cancer, breast cancer, bladder cancer, leukemia, head and neck cancer, intestinal cancer and brain tumors is also in Phase II or Phase III clinical trials. However, due to poor stability in vivo and pleiotropic effects, continuous infusion or frequent administration is required to obtain the desired therapeutic effect. In animal experiments, the dose of PD-1 antibody is usually 250ug/mouse per mouse, and each It is administered once every two days to maintain the efficacy. Such high doses cause side effects during systemic treatment, such as side effects such as immunogenic enteritis and severe autoimmune diseases, which limits its application.

因此,如何提供一种抗药物制剂,利用PD-1抗体,但具有良好的体内稳定性,具有提高的药效发挥并且副作用小,成为有待解决的问题。Therefore, how to provide an anti-drug preparation using PD-1 antibody, but having good in vivo stability, having an improved pharmacological effect and having few side effects, has become a problem to be solved.

发明内容Summary of the invention

本发明提供一种抗肿瘤制剂,为由分散有有效成分PD-1阻断抗体和塞来昔布的海藻酸盐水溶液形成的水凝胶形式的抗肿瘤制剂。该制剂具有良好的体内稳定性、显著提高的抑制肿瘤细胞生长和转移的作用、扩大的抗瘤谱,以及降低的对机体的毒副作用。The present invention provides an antitumor preparation which is an antitumor preparation in the form of a hydrogel formed by blocking an aqueous solution of an antibody and celecoxib with an active ingredient PD-1. The formulation has good in vivo stability, a markedly enhanced inhibition of tumor cell growth and metastasis, an expanded anti-tumor profile, and reduced toxic side effects on the body.

本发明还提供了一种抗肿瘤制剂的制备方法,通过将有效成分PD-1阻断抗体及塞来昔布分散在海藻酸盐溶液中,并形成水凝胶形式的可注射的抗肿瘤制剂。对个体施用该方法制成的抗肿瘤制剂,PD-1阻断抗体及塞来昔布表现出良好的体内稳定性和延长的缓释效果,更加利于所述有效成分药效的发挥,以及降低其使用剂量。The invention also provides a preparation method of an anti-tumor preparation, which comprises dispersing an active ingredient PD-1 blocking antibody and celecoxib in an alginate solution, and forming an injectable anti-tumor preparation in the form of a hydrogel. . The anti-tumor preparation prepared by the method is applied to an individual, and the PD-1 blocking antibody and celecoxib exhibit good in vivo stability and prolonged sustained release effect, which is more conducive to the exertion of the active ingredient and lowering It uses the dose.

非甾体类抗炎药,例如塞来昔布(Celecoxib)等已被证明可通过抑制多种 肿瘤细胞增殖,促进细胞凋亡,抑制治肿瘤新生血管形成从而预防肿瘤发生及发展,在预防肿瘤的发生、抑制肿瘤的生长、转移及在动物实验中取得了较好的肯定效果。但至今其临床应用仍然受限,主要是由于许多问题尚待解决,如用药时间较长,用药剂量偏大,小鼠实验显示通常需要每天口饲25mg/kg体重的剂量的塞来昔布才能具有抗肿瘤效果,致使胃肠道及心血管方面的副作用大,并且抗瘤谱较窄(主要用于结直肠癌的预防和早期治疗)。目前还没有报道显示将非甾体类抗炎药,例如塞来昔布与PD-1阻断抗体联合使用可以降低其用药量,扩大抗瘤谱,以及降低机体毒副作用的报道。Non-steroidal anti-inflammatory drugs, such as Celecoxib, have been shown to inhibit a variety of Tumor cell proliferation, promote cell apoptosis, inhibit tumor neovascularization and prevent tumorigenesis and development, and prevent tumor growth, inhibit tumor growth and metastasis, and achieve good results in animal experiments. However, its clinical application is still limited, mainly because many problems remain to be solved, such as longer medication time and larger dosage. Mouse experiments show that it is usually necessary to administer a dose of 25 mg/kg body weight of celecoxib per day. It has anti-tumor effect, resulting in large side effects in the gastrointestinal tract and cardiovascular, and narrow anti-tumor spectrum (mainly used for prevention and early treatment of colorectal cancer). There have been no reports of non-steroidal anti-inflammatory drugs, such as celecoxib combined with PD-1 blocking antibody, which can reduce the amount of drug, expand the anti-tumor spectrum, and reduce the side effects of the body.

本发明提供的一种抗肿瘤制剂,为由分散有有效成分PD-1阻断抗体和塞来昔布的海藻酸盐水溶液形成的水凝胶形式的抗肿瘤制剂,所述抗肿瘤制剂为注射制剂。The present invention provides an antitumor preparation which is an antitumor preparation in the form of a hydrogel formed by dissolving an aqueous solution of an active ingredient PD-1 blocking antibody and celecoxib, which is an injection. preparation.

在本发明的方案中,所述海藻酸盐的分子量为75,000–300,000g。In the embodiment of the invention, the alginate has a molecular weight of from 75,000 to 300,000 g.

进一步的,进一步的,所述海藻酸盐溶液混合物在交联剂存在下发生交联。所述交联剂为二价金属阳离子。更进一步的,所述二价金属阳离子由二价金属的硫酸盐或盐酸盐提供,所述二价金属为钙或镁。更进一步的,所述二价金属阳离子由CaSO4,MgCl2或CaCl2提供。Further, further, the alginate solution mixture is crosslinked in the presence of a crosslinking agent. The crosslinking agent is a divalent metal cation. Further, the divalent metal cation is provided by a sulfate or a hydrochloride of a divalent metal, which is calcium or magnesium. Further, the divalent metal cation is provided by CaSO 4 , MgCl 2 or CaCl 2 .

更进一步的,所述抗肿瘤制剂为用于黑素瘤、乳腺癌、肾癌、胃癌、膀胱癌、白血病、头颈癌、肠癌或脑瘤的抗肿瘤制剂。Further, the anti-tumor preparation is an anti-tumor preparation for melanoma, breast cancer, kidney cancer, gastric cancer, bladder cancer, leukemia, head and neck cancer, intestinal cancer or brain tumor.

本发明提供的一种抗肿瘤制剂的制备方法,包括:The invention provides a method for preparing an anti-tumor preparation, comprising:

将海藻酸盐溶解在生理盐水中制成海藻酸盐溶液;Dissolving alginate in physiological saline to prepare an alginate solution;

在该海藻酸盐溶液中添加有效成分PD-1阻断抗体和塞来昔布,并使之分散在所述海藻酸盐溶液中,得到海藻酸盐溶液混合物;Adding the active ingredient PD-1 blocking antibody and celecoxib to the alginate solution, and dispersing it in the alginate solution to obtain a sea alginate solution mixture;

使所述海藻酸盐溶液混合物发生交联,形成水凝胶形式的抗肿瘤制剂,所述抗肿瘤制剂为注射制剂。The alginate solution mixture is crosslinked to form an antitumor preparation in the form of a hydrogel, which is an injection preparation.

进一步的,所述海藻酸盐的分子量为75,000–300,000g。对于本申请方案中使用的海藻酸盐,本领域技术人员可以在上述分子量范围内根据需要进行选择。本领域技术人员也可以直接使用商购的在上述分子量范围的一种或多种海藻酸盐。 Further, the alginate has a molecular weight of 75,000 to 300,000 g. For the alginate used in the present embodiment, those skilled in the art can select as needed within the above molecular weight range. One of the above molecular weight ranges of one or more alginate can also be used directly by those skilled in the art.

进一步的,所述海藻酸盐溶液混合物在交联剂存在下发生交联。所述交联剂为二价金属阳离子。更进一步的,所述二价金属阳离子由二价金属的硫酸盐或盐酸盐提供,所述二价金属为钙或镁。更进一步的,所述二价金属阳离子由CaSO4,MgCl2或CaCl2提供。Further, the alginate solution mixture is crosslinked in the presence of a crosslinking agent. The crosslinking agent is a divalent metal cation. Further, the divalent metal cation is provided by a sulfate or a hydrochloride of a divalent metal, which is calcium or magnesium. Further, the divalent metal cation is provided by CaSO 4 , MgCl 2 or CaCl 2 .

更进一步的,所述抗肿瘤制剂为用于黑素瘤、乳腺癌、肾癌、胃癌、膀胱癌、白血病、头颈癌、肠癌或脑瘤的抗肿瘤制剂。Further, the anti-tumor preparation is an anti-tumor preparation for melanoma, breast cancer, kidney cancer, gastric cancer, bladder cancer, leukemia, head and neck cancer, intestinal cancer or brain tumor.

进一步的,在本申请的方案中,由于塞来昔布为粉末状不易溶于水,在将其分散在海藻酸盐溶液的过程中可采用超声法进行。Further, in the solution of the present application, since celecoxib is insoluble in water in a powder form, it can be subjected to ultrasonication in the process of dispersing it in an alginate solution.

更进一步的,制备本发明的抗肿瘤制剂的过程应在无菌条件下进行。Further, the process of preparing the antitumor preparation of the present invention should be carried out under aseptic conditions.

本发明提供的一种抗肿瘤制剂可以通过皮下注射进行给药,来抑制肿瘤发生或杀伤肿瘤细胞。The antitumor preparation provided by the present invention can be administered by subcutaneous injection to inhibit tumorigenesis or kill tumor cells.

本发明的所述抗肿瘤制剂可以为单位制剂。所述单位制剂为满足一次给药所需有效成分的制剂,如一单位(针)针剂等。患者一次施用所需的药物的量可以方便地通过计算患者的体重和该患者一次用药所需单位体重剂量的乘积得到。例如,在制备药物的过程中,一般认为成人体重为50-70kg,可以最初可以通过实验动物与人的单位体重剂量之间的等效剂量换算关系来确定用药量。例如,可以根据FDA、SFDA等药品管理机构提出的指导意见,也可参考(黄继汉等,“药理试验中动物间和动物与人体间的等效剂量换算”,《中国临床药理学与治疗学》,2004Sep;9(9):1069-1072)来确定。在本发明的实施方式中,可以使用按照人和小鼠的体表面积折算系数0.0026来换算人和小鼠的剂量。The antitumor preparation of the present invention may be a unit preparation. The unit preparation is a preparation which satisfies the active ingredient required for one administration, such as a unit (needle) injection or the like. The amount of drug required for a single administration of a patient can be conveniently obtained by calculating the product of the patient's body weight and the unit weight dose required for the patient to take the drug once. For example, in the preparation of a drug, it is generally considered that the adult body weight is 50-70 kg, and the dose can be determined initially by an equivalent dose conversion relationship between the experimental animal and the human body weight dose. For example, it can be based on the guidance provided by the FDA, SFDA and other drug regulatory agencies, or refer to (Huang Jihan, et al., "Equivalent dose conversion between animals and animals and humans in pharmacological tests", "Chinese Clinical Pharmacology and Therapeutics" , 2004Sep; 9 (9): 1069-1072) to determine. In an embodiment of the present invention, the human and mouse doses can be converted according to the body surface area conversion coefficient of 0.0026 for humans and mice.

在本发明的一个实施方案中,对体重为25g的小鼠皮下注射0.2ml的本发明抗肿瘤制剂,其中PD-1阻断抗体的含量为100ug,塞来昔布的含量625ug,即:4mg/kg小鼠体重的PD-1阻断抗体,25mg/kg小鼠体重的塞来昔布,两周施用一次即可维持药效。In one embodiment of the invention, a mouse weighing 25 g is injected subcutaneously with 0.2 ml of an antitumor preparation of the invention, wherein the PD-1 blocking antibody is 100 ug and the celecoxib is 625 ug, ie: 4 mg. /kg mouse body weight of PD-1 blocking antibody, 25mg/kg mouse body weight of celecoxib, can be maintained once every two weeks.

制药商可以根据上述换算方法得到满足成年人一次给药的单位制剂中的有效成分含量,用以应用于其制药过程中。在本发明的技术方案中,根据等效剂量换算关系以及人的常规体重,并且综合用药安全、成本和药效,优选的,所述单位制剂中含有20-30mg的PD-1阻断抗体和130-200mg的 塞来昔布。The pharmaceutical manufacturer can obtain the content of the active ingredient in the unit preparation for one administration of the adult according to the above conversion method, and apply it to the pharmaceutical process. In the technical solution of the present invention, according to the equivalent dose conversion relationship and the normal body weight of the human, and the comprehensive drug safety, cost and efficacy, preferably, the unit preparation contains 20-30 mg of the PD-1 blocking antibody and 130-200mg Celecoxib.

在本申请的抗肿瘤制剂的制备方法中,海藻酸盐溶液的溶液浓度可以在10-40mg/mL范围,所述PD-1阻断抗体可以500~1000μg/mL的量分散在上述海藻酸盐溶液中,所述塞来昔布可以3.75~7.5mg/mL的量分散在上述海藻酸盐溶液中。申请人可以根据所要制备的抗肿瘤制剂的规格,例如单位制剂中需要含有的PD-1阻断抗体和塞来昔布的量适当选择海藻酸盐溶液的溶液浓度,PD-1阻断抗体、塞来昔布分散在海藻酸盐中的量,这对本领域技术人员来说是可以实现的。In the preparation method of the antitumor preparation of the present application, the solution concentration of the alginate solution may be in the range of 10-40 mg/mL, and the PD-1 blocking antibody may be dispersed in the above alginate in an amount of 500 to 1000 μg/mL. In the solution, the celecoxib may be dispersed in the above alginate solution in an amount of 3.75 to 7.5 mg/mL. Applicants may appropriately select the solution concentration of the alginate solution according to the specifications of the antitumor preparation to be prepared, for example, the amount of the PD-1 blocking antibody and celecoxib to be contained in the unit preparation, and PD-1 blocks the antibody, The amount of celecoxib dispersed in the alginate is achievable by those skilled in the art.

本发明还提供了一种治疗或预防肿瘤的方法,包括对患有肿瘤的个体或具有肿瘤发生趋势的个体施用抗肿瘤制剂的过程,所述抗肿瘤制剂为由分散有有效成分PD-1阻断抗体和塞来昔布的海藻酸盐水溶液形成的水凝胶形式的抗肿瘤制剂,且所述抗肿瘤制剂为注射制剂。The present invention also provides a method for treating or preventing a tumor comprising the step of administering an antitumor preparation to an individual having a tumor or an individual having a tendency to develop a tumor, the antitumor preparation being blocked by the active ingredient PD-1 An antitumor preparation in the form of a hydrogel formed by breaking an antibody and an aqueous solution of alginate of celecoxib, and the antitumor preparation is an injection preparation.

进一步的,所述抗肿瘤制剂还包括用于使所述海藻酸盐水溶液发生交联的交联剂。Further, the anti-tumor preparation further comprises a crosslinking agent for crosslinking the aqueous alginate solution.

更进一步的,所述海藻酸盐的分子量为75,000–300,000g,所述交联剂为二价金属阳离子。Further, the alginate has a molecular weight of 75,000 - 300,000 g, and the crosslinking agent is a divalent metal cation.

更进一步的,所述抗肿瘤制剂为单位制剂。Further, the anti-tumor preparation is a unit preparation.

更进一步的,所述单位制剂含有治疗有效量为20-30mg的PD-1阻断抗体和130-200mg的塞来昔布。Further, the unit preparation contains a therapeutically effective amount of 20-30 mg of PD-1 blocking antibody and 130-200 mg of celecoxib.

本发明中有肿瘤发生趋势的个体指遗传学上有患肿瘤风险的个体或其他身体指标上表现有出患肿瘤风险的个体。An individual having a tendency to develop a tumor in the present invention refers to an individual who is genetically at risk for a tumor or an individual who exhibits a risk of developing a tumor on other physical indicators.

本发明提供的方案具有以下优点:The solution provided by the invention has the following advantages:

(1)采用本发明方法制成的抗肿瘤制剂,能使PD-1阻断抗体及塞来昔布具有良好的体内稳定性,具有延长的缓释效果,从而能更有利于药效的发挥,降低用药剂量。(1) The antitumor preparation prepared by the method of the invention can make PD-1 blocking antibody and celecoxib have good stability in vivo, and has an extended sustained release effect, thereby being more beneficial to the effect of the drug. , reduce the dose.

(2)申请人研究发现,通过注射方式对个体施用本发明的抗肿瘤制剂,即同时将PD-1阻断抗体和塞来昔布包裹进海藻酸盐水凝胶提供给个体,相比于施用仅含PD-1阻断抗体的海藻酸盐水凝胶和/或仅含塞来昔布的海藻酸盐水凝胶,在增加荷瘤小鼠存活百分比、促进有活性的CD8T细胞的产 生方面具有出乎意料的协同作用。(2) Applicant's study found that the anti-tumor preparation of the present invention is administered to an individual by injection, that is, the PD-1 blocking antibody and celecoxib are simultaneously encapsulated into the alginate hydrogel to provide the individual, as compared to Administration of alginate hydrogel containing only PD-1 blocking antibody and/or alginate hydrogel containing only celecoxib increases the percentage of survival of tumor-bearing mice and promotes the production of active CD8 T cells The raw side has an unexpected synergy.

(3)本发明所提供的抗肿瘤制剂是通过增强机体针对肿瘤细胞的获得性免疫反应,阻断免疫抑制通路,激活效应细胞特异性地杀死肿瘤细胞,对机体正常组织和细胞几乎没有伤害,与手术、化疗、放疗对身体带来的伤害相比,优势明显。(3) The anti-tumor preparation provided by the invention enhances the acquired immune response against tumor cells by the body, blocks the immunosuppressive pathway, activates the effector cells to specifically kill the tumor cells, and has almost no harm to the normal tissues and cells of the body. Compared with the damage caused by surgery, chemotherapy and radiotherapy, the advantages are obvious.

(4)本发明方案使用的材料海藻酸盐来源广泛,可从海藻中可大量提取,使用显著降低的PD-1阻断抗体和塞来昔布的剂量即可获得良好的抑制肿瘤效果,显著降低了病人的用药成本。(4) The material used in the solution of the present invention has a wide range of sources, and can be extracted from seaweed in large amounts, and a significantly reduced PD-1 blocking antibody and celecoxib dose can be used to obtain a good tumor suppressing effect, remarkable Reduce the cost of medication for patients.

(5)本发明提供的抗肿瘤制剂既可以用于治疗实体肿瘤,抑制肿瘤的生长;可以用于治疗发生了恶性转移的肿瘤;以及用于恶性肿瘤手术后放、化疗的辅助治疗;尤其适合于无法进行手术切除的肿瘤的治疗,具有广泛的应用领域。(5) The anti-tumor preparation provided by the invention can be used for treating solid tumors and inhibiting tumor growth; and can be used for treating tumors with malignant metastasis; and for adjuvant treatment of post-operative radiotherapy and chemotherapy for malignant tumors; The treatment of tumors that cannot be surgically removed has a wide range of applications.

附图说明DRAWINGS

图1为本发明的抗肿瘤制剂的制备流程图。Figure 1 is a flow chart showing the preparation of the antitumor preparation of the present invention.

图2A显示了各组小鼠血清中的塞来昔布浓度,图2B显示了各组小鼠肿瘤组织中塞来昔布含量。图2C显示了各组小鼠的细胞毒性T淋巴细胞(CD8和IFN-γ双阳性)和调节性T淋巴细胞(CD4和FoxP3双阳性)的比值。图2D显示了各组小鼠的存活百分比。Figure 2A shows the concentration of celecoxib in the serum of each group of mice, and Figure 2B shows the content of celecoxib in the tumor tissues of each group of mice. Figure 2C shows the ratio of cytotoxic T lymphocytes (CD8 and IFN-γ double positive) and regulatory T lymphocytes (CD4 and FoxP3 double positive) in each group of mice. Figure 2D shows the percent survival of each group of mice.

图3A-图3B显示了肿瘤微环境中对能有效杀伤肿瘤细胞的CD8T细胞的检测结果。Figures 3A-3B show the results of detection of CD8 T cells that are effective in killing tumor cells in the tumor microenvironment.

图4A显示了COX-2基因的相对信使RNA的表达水平。图4B显示了IL-1β基因的相对信使RNA的表达水平。图4C显示了IL-6基因的相对信使RNA的表达水平。其中*表示p值<0.05,**表示p值<0.01。Figure 4A shows the expression level of relative messenger RNA of the COX-2 gene. Figure 4B shows the expression level of the relative messenger RNA of the IL-1β gene. Figure 4C shows the expression level of the relative messenger RNA of the IL-6 gene. Where * indicates a p value of <0.05, and ** indicates a p value of <0.01.

图5A显示了第0,10,13,17,20,22天各组小鼠的肿瘤外观的图片。图5B显示了第0,10,13,17,20,22天各组小鼠的肿瘤尺寸变化。其中*表示p值<0.05。Figure 5A shows a picture of the tumor appearance of mice of each group on days 0, 10, 13, 17, 20, and 22. Figure 5B shows tumor size changes for mice of each group on days 0, 10, 13, 17, 20, and 22. Where * indicates a p value <0.05.

图6A显示了各组小鼠的肺部转移瘤的图片。图6B显示了各组小鼠的肺部转移瘤数量。其中$表示该组与a组对比;#表示该组与b组对比。*, $,#表示p值<0.05;$$,##表示p值<0.01。Figure 6A shows a picture of a pulmonary metastases from each group of mice. Figure 6B shows the number of lung metastases in each group of mice. Where $ indicates that the group is compared with the group a; # indicates that the group is compared with the group b. *, $, # indicates p value <0.05; $$, ## indicates p value <0.01.

具体实施方式detailed description

实施例1.制备本发明的抗肿瘤制剂。Example 1. Preparation of an antitumor preparation of the present invention.

可以按照如图1所示的流程制备本发明的抗肿瘤制剂。The antitumor preparation of the present invention can be prepared according to the procedure shown in Fig. 1.

步骤(1),用生理盐水分别配制10-40mg/mL的高分子量(SLG100,Mw=200,000–300,000g/mol)和低分子量(SLG20,Mw=75,000–220,000g/mol,FMC Biopolymer公司,美国费城)的海藻酸盐溶液,磁力搅拌器4℃搅拌过夜,用孔径为0.22微米的滤器过滤除菌。取高、低分子量的海藻酸盐溶液按1:3的比例混合并充分混匀;Step (1), using a physiological saline solution to prepare a high molecular weight of 10-40 mg / mL (SLG100, Mw = 200,000 - 300,000 g / mol) and a low molecular weight (SLG20, Mw = 75,000 - 220,000 g / mol, FMC Biopolymer, USA The alginate solution of Philadelphia) was stirred overnight at 4 ° C with a magnetic stirrer and filtered through a filter having a pore size of 0.22 μm. Take high and low molecular weight alginate solution in a ratio of 1:3 and mix well;

步骤(2)-a,按每毫升的海藻酸盐溶液称取3.75~7.5mg塞来昔布粉末(LC实验室,LC Laboratories,美国马萨诸塞州),混合;Step (2)-a, 3.75 to 7.5 mg of celecoxib powder (LC laboratory, LC Laboratories, Massachusetts, USA) is weighed per ml of alginate solution and mixed;

步骤(2)-b,采用探头式超声仪(QSONICA公司,美国)以60W功率超声60秒,使塞来昔布粉末均匀分散于海藻酸盐溶液中,获得混合体系;Step (2)-b, using a probe type ultrasonic instrument (QSONICA, USA) to ultrasonically 60 seconds for 60 seconds, so that the celecoxib powder is uniformly dispersed in the alginate solution to obtain a mixed system;

步骤(3),按每毫升海藻酸盐溶液量取500~1000μg PD-1阻断抗体(BioXCell公司,美国)加入步骤(2)-b所得混合体系中,震荡器振荡充分混匀;Step (3), 500-1000 μg of PD-1 blocking antibody per ml of the alginate solution (BioXCell, USA) is added to the mixed system obtained in the step (2)-b, and the shaker is shaken and thoroughly mixed;

步骤(4)-a,称取硫酸钙固体粉末(CaSO4,国药集团化学试剂有限公司),按质量体积比为0.21g/ml与纯净水混合,高压灭菌,得到硫酸钙悬浊液(使用时若发生聚集,产生粗大颗粒,可用超声仪超声,使其形成均一的悬浊液);Step (4)-a, weigh calcium sulfate solid powder (CaSO 4 , Sinopharm Chemical Reagent Co., Ltd.), mix it with purified water at a mass to volume ratio of 0.21 g/ml, and autoclave to obtain a calcium sulfate suspension ( If aggregation occurs during use, coarse particles are generated, which can be ultrasonicated by an ultrasonic machine to form a uniform suspension);

步骤(4)-b,用带螺口的注射器吸取步骤(3)所得的混合物;Step (4)-b, sucking the mixture obtained in the step (3) with a syringe with a screw;

步骤(4)-c,另一带螺口的注射器中加入CaSO4悬浊液,按每mL海藻酸盐盐溶液加入40μL的CaSO4悬浊液;Step (4)-c, adding another suspension of CaSO 4 to the syringe with screw, adding 40 μL of CaSO 4 suspension per mL of alginate solution;

步骤(5),通过接头和螺口使两注射器完成紧密连接,尽量排除多余的空气;Step (5), through the joint and the screw, the two syringes are tightly connected to eliminate excess air as much as possible;

步骤(6),迅速互推注射器20次;Step (6), quickly push the syringe 20 times each other;

步骤(7),静置1分钟,水凝胶形式的本发明的抗肿瘤制剂即制作完成。旋开装有水凝胶的注射器,接上注射针头,即可进行注射。或者可以 将制成的抗肿瘤制剂在4℃保存。Step (7), standing for 1 minute, the antitumor preparation of the present invention in the form of a hydrogel is completed. The syringe can be injected by unscrewing the syringe containing the hydrogel and attaching the injection needle. Or can The prepared antitumor preparation was stored at 4 °C.

实施例2:本发明提供的抗肿瘤制剂的在体内的缓释效果和药效延长效果Example 2: In vivo sustained release effect and drug effect prolongation effect of antitumor preparation provided by the invention

1.按照实施例1相同方法制备出所述抗肿瘤制剂,使得每毫升所述抗肿瘤制剂中含有PD-1阻断抗体500ug,塞来昔布3125ug。1. The antitumor preparation was prepared in the same manner as in Example 1 so that the anti-tumor preparation contained 500 ug of PD-1 blocking antibody and 3125 ug of celecoxib per ml of the antitumor preparation.

C57BL/6小鼠购自北京华阜康生物科技股份有限公司,每只体重约25克左右。B16-F10黑素瘤细胞购自美国模式培养物保藏所。C57BL/6 mice were purchased from Beijing Huakangkang Biotechnology Co., Ltd., each weighing about 25 grams. B16-F10 melanoma cells were purchased from the American Type Culture Collection.

2.构建小鼠B16黑素瘤模型。2. Construction of a mouse B16 melanoma model.

B16-F10黑素瘤细胞是公认的具有最强侵袭能力的肿瘤细胞,每只C57BL/6小鼠皮下注射2.5×104个B16-F10黑素瘤细胞后,1周后可产生成形的原位黑色素瘤,之后迅速生长并导致小鼠死亡。C57BL/6小鼠黑素瘤模型是评估药物抗肿瘤效果广泛采用的成熟的动物模型。发明人将从ATCC(美国模式培养物保藏所)购买到的B16-F10黑素瘤细胞,皮下注射6-8周龄体重约25克的C57BL/6雄性小鼠(购自北京华阜康生物科技股份有限公司),约7-10天后在注射细胞的部位可见黑色素瘤成形。B16-F10 melanoma cells are recognized as the most invasive tumor cells. After each subcutaneous injection of 2.5×10 4 B16-F10 melanoma cells in C57BL/6 mice, the protoplasts can be produced after 1 week. A melanoma that then grows rapidly and causes the mouse to die. The C57BL/6 mouse melanoma model is a mature animal model widely used to evaluate the anti-tumor effect of drugs. The inventors will subcutaneously inject B16-F10 melanoma cells purchased from the ATCC (American Type Culture Collection) with C57BL/6 male mice weighing about 25 grams at 6-8 weeks of age (purchased from Beijing Huakangkang Biotechnology). Technology Co., Ltd.), about 7-10 days later, melanoma formation can be seen at the site of injection of cells.

3.本发明提供的抗肿瘤制剂在体内的缓释效果和药效延长效果实验。3. The anti-tumor preparation provided by the invention has an effect of sustained release effect and prolonged effect of the drug in vivo.

3.1在C57BL/6小鼠接种黑色素瘤细胞一周后,设置以下3组小鼠:3.1 After one week of inoculation of melanoma cells in C57BL/6 mice, the following three groups of mice were set up:

Figure PCTCN2015075948-appb-000001
Figure PCTCN2015075948-appb-000001

除口饲塞来昔布组是在给药后24小时取小鼠血清和肿瘤组织,其他两 组小鼠分别在给药后第1天,第3天,第7天和第14天取小鼠血清和肿瘤组织,然用液相色谱-质谱联用技术(HPLC-MS)检测小鼠血清和肿瘤组织的匀浆液中的塞来昔布的浓度,每组每个时间点实验动物数量为3只。In addition to the oral celecoxib group, mouse serum and tumor tissue were taken 24 hours after administration, the other two Mouse sera and tumor tissues were taken on the first day, the third day, the 7th day and the 14th day after administration, and the mouse serum was detected by liquid chromatography-mass spectrometry (HPLC-MS). The concentration of celecoxib in the homogenate of the tumor tissue was 3 in each group at each time point.

图2A显示了各组小鼠血清中的塞来昔布浓度。图2B显示了各组小鼠肿瘤组织中塞来昔布含量。可以看出,注射本发明的抗肿瘤制剂的实验组小鼠的塞来昔布血清浓度水平至少在一周内显著高于对照组;肿瘤组织中的塞来昔布含量至少在两周内显著高于对照组。Figure 2A shows the concentration of celecoxib in the serum of each group of mice. Figure 2B shows the celecoxib content in tumor tissues of each group of mice. It can be seen that the serum concentration of celecoxib in the experimental group injected with the antitumor preparation of the present invention is significantly higher than that of the control group at least within one week; the celecoxib content in the tumor tissue is significantly higher at least within two weeks. In the control group.

3.2在C57BL/6小鼠接种黑色素瘤细胞一周后,设置以下4组小鼠:3.2 After one week of inoculation of melanoma cells in C57BL/6 mice, the following 4 groups of mice were set up:

Figure PCTCN2015075948-appb-000002
Figure PCTCN2015075948-appb-000002

在如上表处理各组小鼠后,分别在处理后第1天,第3天,第7天和第14天对各组小鼠进行腹股沟淋巴结取样,使用流式细胞术检测其中细胞毒性T淋巴细胞(CD8和IFN-γ双阳性)和调节性T淋巴细胞(CD4和FoxP3双阳性)的数量并计算比值,每组每个时间点实验动物数量为3只。通过流式细胞术检测细胞毒性T细胞(CTL)的激活和调节性T细胞(Treg)的抑制的动态变化,来反映PD-1阻断抗体的缓释效果。After treatment of each group of mice as in the above table, inguinal lymph nodes were sampled on the first day, the third day, the 7th day and the 14th day after treatment, and the cytotoxic T lymphocytes were detected by flow cytometry. The number of cells (double positive for CD8 and IFN-γ) and regulatory T lymphocytes (double positive for CD4 and FoxP3) were calculated and the number of experimental animals per group at each time point was 3. The activation of cytotoxic T cells (CTL) and the dynamic changes of inhibition of regulatory T cells (Treg) were detected by flow cytometry to reflect the sustained release effect of PD-1 blocking antibody.

图2C显示了各组小鼠的细胞毒性T淋巴细胞(CD8和IFN-γ双阳性) 和调节性T淋巴细胞(CD4和FoxP3双阳性)的比值。结果显示,注射本发明的抗肿瘤制剂组的实验组至少在两周内,药效延长效果显著性地高于各对照组。Figure 2C shows cytotoxic T lymphocytes (CD8 and IFN-γ double positive) in each group of mice. The ratio of regulatory T lymphocytes (CD4 and FoxP3 double positive). The results showed that the experimental group in which the antitumor preparation group of the present invention was injected was at least two weeks, and the effect of prolonging the effect was significantly higher than that of the respective control groups.

通过本实施例数据说明本发明提供的抗肿瘤制剂,在降低了用药剂量的基础上,仍然维持了长时间的有效药物浓度和效果。The anti-tumor preparation provided by the present invention is described by the data of the present embodiment, and the effective drug concentration and effect for a long time are maintained while reducing the dose.

3.3在C57BL/6小鼠接种黑色素瘤细胞一周后,设置以下4组小鼠:3.3 After one week of inoculation of melanoma cells in C57BL/6 mice, the following 4 groups of mice were set up:

Figure PCTCN2015075948-appb-000003
Figure PCTCN2015075948-appb-000003

图2D显示了各组小鼠的存活百分比。表明施用本发明抗肿瘤制剂组(通过将PD-1抗体以及塞来昔布同时包裹进海藻酸盐水凝胶形成),获得了比分步施用包裹进海藻酸盐水凝胶的有效成分组(即施用仅含PD-1抗体的海藻酸盐水凝胶,以及同时施用仅含塞来昔布的海藻酸盐水凝胶),获得了显著提高的小鼠存活百分比。这说明本发明的抗肿瘤制剂,并非简单的组合使用塞来昔布、PD-1抗体以及海藻酸盐水凝胶三种成分,塞来昔布和PD-1抗体必须同时包埋进海藻酸盐水凝胶中(即本发明抗肿瘤制剂),才能产生优越的抗肿瘤效果。 Figure 2D shows the percent survival of each group of mice. It is indicated that the administration of the antitumor agent group of the present invention (formed by simultaneously encapsulating the PD-1 antibody and celecoxib into the alginate hydrogel) gives an active ingredient group which is coated into the alginate hydrogel in a stepwise manner ( That is, administration of an alginate hydrogel containing only the PD-1 antibody, and simultaneous administration of an alginate hydrogel containing only celecoxib, resulted in a significantly increased percentage of mouse survival. This indicates that the antitumor preparation of the present invention does not simply use the three components of celecoxib, PD-1 antibody and alginate hydrogel, and celecoxib and PD-1 antibodies must be simultaneously embedded in alginic acid. In a saline gel (i.e., the antitumor preparation of the present invention), a superior antitumor effect can be produced.

实施例3本发明的抗肿瘤制剂能促进有活性的CD8T细胞的产生Example 3 The antitumor preparation of the present invention can promote the production of active CD8 T cells

1.按照实施例1相同方法制备出所述抗肿瘤制剂,使得每毫升所述抗肿瘤制剂中含有PD-1阻断抗体500ug,塞来昔布3125ug。1. The antitumor preparation was prepared in the same manner as in Example 1 so that the anti-tumor preparation contained 500 ug of PD-1 blocking antibody and 3125 ug of celecoxib per ml of the antitumor preparation.

2.构建与实施例2相同的小鼠黑素瘤模型。2. The same mouse melanoma model as in Example 2 was constructed.

在C57BL/6小鼠接种黑色素瘤细胞一周后,设置以下4组小鼠:After one week of inoculation of melanoma cells in C57BL/6 mice, the following 4 groups of mice were set up:

Figure PCTCN2015075948-appb-000004
Figure PCTCN2015075948-appb-000004

在如上表处理各组小鼠后,分别在一周后检测用流式细胞术术检测肿瘤微环境中有活性的CD8细胞百分比。After treatment of each group of mice as in the above table, the percentage of active CD8 cells in the tumor microenvironment was detected by flow cytometry one week later.

图3A和图3B显示了肿瘤微环境中对能有效杀伤肿瘤细胞的CD8T细胞的检测结果。表明施用本发明的抗肿瘤制剂组(通过将PD-1抗体以及塞来昔布同时包裹进海藻酸盐水凝胶形成)才能极大的促进有活性的CD8T细胞的产生。这说明本发明的抗肿瘤制剂在治疗肿瘤时,不仅作为药物缓释载体,而且其在体内占据的体积和空间是促进抗肿瘤免疫细胞产生的场所。塞来昔布和PD-1抗体两种成分同时存在于该“场所”中,它们激活免 疫细胞的协同作用才能产生。Figures 3A and 3B show the results of detection of CD8 T cells that are effective in killing tumor cells in the tumor microenvironment. It was shown that administration of the antitumor agent group of the present invention (formed by simultaneously encapsulating PD-1 antibody and celecoxib into alginate hydrogel) can greatly promote the production of active CD8 T cells. This indicates that the antitumor preparation of the present invention is not only used as a drug sustained release carrier in the treatment of tumors, but also the volume and space occupied by the body is a place for promoting the production of antitumor immune cells. Both celecoxib and PD-1 antibody are present in the "site" and they are activated The synergistic effect of the plaque cells can be produced.

实施例4本发明提供的抗肿瘤制剂具有降低的机体毒副作用。Example 4 The anti-tumor preparation provided by the present invention has reduced toxic side effects.

1.按照实施例1相同方法制备出所述抗肿瘤制剂,使得每毫升所述抗肿瘤制剂中含有PD-1阻断抗体500ug,塞来昔布3125ug。1. The antitumor preparation was prepared in the same manner as in Example 1 so that the anti-tumor preparation contained 500 ug of PD-1 blocking antibody and 3125 ug of celecoxib per ml of the antitumor preparation.

2.构建与实施例2相同的小鼠黑素瘤模型。2. The same mouse melanoma model as in Example 2 was constructed.

3.检测本发明提供的抗肿瘤制剂对机体的毒副作用。3. To test the toxic side effects of the antitumor preparation provided by the present invention on the body.

在C57BL/6小鼠接种黑色素瘤细胞一周后,设置以下各组小鼠:One week after inoculation of melanoma cells in C57BL/6 mice, the following groups of mice were set up:

Figure PCTCN2015075948-appb-000005
Figure PCTCN2015075948-appb-000005

在如上表处理各组小鼠后,继续培养小鼠一周,处死小鼠,剥取皮下肿瘤,按照RNA提取试剂说明提取总RNA,荧光定量PCR分析COX-2、 IL-1β和IL-6四个基因的相对信使RNA的表达水平。结果如图4A-图4C所示,图4A为COX-2基因的相对信使RNA的表达水平。图4B为IL-1β基因的相对信使RNA的表达水平。图4C为IL-6基因的相对信使RNA的表达水平。可以看出,注射本发明的抗肿瘤制剂组的实验组,相比于注射PD-1抗体的海藻酸盐水凝胶组,具有显著降低的炎症因子的表达。表明本发明提供的抗肿瘤制剂具有显著降低的对机体的毒副作用。After treating each group of mice as in the above table, the mice were further cultured for one week, the mice were sacrificed, the subcutaneous tumors were removed, total RNA was extracted according to the RNA extraction reagent, and COX-2 was analyzed by real-time PCR. The relative expression level of the messenger RNA of the four genes IL-1β and IL-6. The results are shown in Figures 4A-4C, which is the expression level of the relative messenger RNA of the COX-2 gene. Figure 4B is the expression level of relative messenger RNA of the IL-1β gene. Figure 4C shows the level of expression of the relative messenger RNA of the IL-6 gene. It can be seen that the experimental group injecting the antitumor preparation group of the present invention has a significantly reduced expression of inflammatory factors as compared with the alginate hydrogel group injected with the PD-1 antibody. It is shown that the antitumor preparation provided by the present invention has a significantly reduced toxic side effect on the body.

实施例5:本发明提供的抗肿瘤制剂用于抑制B16黑素瘤肿瘤生长Example 5: The antitumor preparation provided by the invention is used for inhibiting tumor growth of B16 melanoma

1.按照实施例1相同方法制备出所述抗肿瘤制剂,使得每毫升所述抗肿瘤制剂中含有PD-1阻断抗体500ug,塞来昔布3125ug。1. The antitumor preparation was prepared in the same manner as in Example 1 so that the anti-tumor preparation contained 500 ug of PD-1 blocking antibody and 3125 ug of celecoxib per ml of the antitumor preparation.

2.构建与实施例2相同的小鼠黑素瘤模型。2. The same mouse melanoma model as in Example 2 was constructed.

3.本发明提供的抗肿瘤制剂用于抗B16黑素瘤肿瘤生长效果。3. The antitumor preparation provided by the present invention is used for the anti-B16 melanoma tumor growth effect.

在C57BL/6小鼠接种黑色素瘤细胞一周后,设置以下各组小鼠:One week after inoculation of melanoma cells in C57BL/6 mice, the following groups of mice were set up:

Figure PCTCN2015075948-appb-000006
Figure PCTCN2015075948-appb-000006

分别在在如上表处理各组小鼠后的第0,10,13,17,20,22天,用游标卡尺测量黑色素瘤的长径(长)和短径(宽),对肿瘤外观进行拍照。On the 0th, 10th, 13th, 17th, 20th, and 22nd day after treatment of each group of mice in the above table, the long diameter (length) and short diameter (width) of melanoma were measured with a vernier caliper, and the appearance of the tumor was photographed.

图5A显示了第0,10,13,17,20,22天各组小鼠的肿瘤外观的图片。图5B显示了第0,10,13,17,20,22天各组小鼠的肿瘤的尺寸变化。Figure 5A shows a picture of the tumor appearance of mice of each group on days 0, 10, 13, 17, 20, and 22. Figure 5B shows the size changes of tumors of mice of each group on days 0, 10, 13, 17, 20, and 22.

由图5A-图5B可以看出,与对照组相比,皮下注射本发明抗肿瘤制剂的实验组能很好的抑制恶性黑素瘤原位瘤的生长。本发明抗肿瘤制剂的抗肿瘤效果优于海藻酸盐水凝胶单独包埋塞来昔布或PD-1阻断抗体的疗效,也优于生理盐水混合塞来昔布和PD-1阻断抗体组,即说明本发明抗肿瘤制剂中的所有组分对于获得本申请的抗肿瘤效果是必须的,并且获得了单独施用PD-1阻断抗体、塞来昔布所实现不了的效果。As can be seen from Figs. 5A to 5B, the experimental group in which the antitumor preparation of the present invention was subcutaneously injected was able to inhibit the growth of malignant melanoma in situ tumors as compared with the control group. The anti-tumor effect of the anti-tumor preparation of the invention is better than that of the alginate hydrogel alone occluding celecoxib or PD-1 blocking antibody, and is also superior to the saline mixed celecoxib and PD-1 blocking. The antibody group, that is, all the components in the antitumor preparation of the present invention, is necessary for obtaining the antitumor effect of the present application, and an effect that the PD-1 blocking antibody alone or celecoxib is not administered alone is obtained.

实施例6:本发明提供的抗肿瘤制剂用于控制4T1恶性乳腺癌的转移Example 6: The anti-tumor preparation provided by the invention is used for controlling the metastasis of 4T1 malignant breast cancer

1.按照实施例1相同方法制备出所述抗肿瘤制剂,使得每毫升所述抗肿瘤制剂中含有PD-1阻断抗体500ug,塞来昔布3125ug。1. The antitumor preparation was prepared in the same manner as in Example 1 so that the anti-tumor preparation contained 500 ug of PD-1 blocking antibody and 3125 ug of celecoxib per ml of the antitumor preparation.

Balb/c小鼠购自武汉大学医学实验动物中心,每只体重约25克左右。小鼠乳腺癌细胞购自美国模式培养物保藏所。Balb/c mice were purchased from the Medical Laboratory Animal Center of Wuhan University, each weighing about 25 grams. Mouse breast cancer cells were purchased from the American Type Culture Collection.

2.构建4T1恶性乳腺癌转移模型。2. Construct a 4T1 malignant breast cancer metastasis model.

4T1乳腺癌转移模型是最常用的用于研究恶性肿瘤转移的实验模型。发明人将体外培养的4T1小鼠乳腺癌细胞(购自美国模式培养物保藏所)注射进6-8周龄雌性体重为25克左右的Balb/c小鼠右侧第二个乳腺部位,每只小鼠注射的细胞量为1×106个。一周后可见被注射的乳腺部位产生了明显的乳腺肿瘤,4-5周后解剖可观察到明显的肺部转移瘤。通过观察小鼠肺部被癌细胞侵袭后的外观,和统计肺转移瘤的数量,可以对癌细胞的转移情况进行定性和定量分析。The 4T1 breast cancer metastasis model is the most commonly used experimental model for studying malignant tumor metastasis. The inventors injected 4T1 mouse breast cancer cells (purchased from the American Type Culture Collection) in vitro into the second breast site on the right side of Balb/c mice with a female body weight of about 25 grams at 6-8 weeks old. The amount of cells injected by only one mouse was 1 × 10 6 . A week later, it was seen that the breast site was injected with obvious breast tumors, and after 4-5 weeks, obvious lung metastases were observed. By observing the appearance of the lungs in mice after invasion by cancer cells, and counting the number of lung metastases, qualitative and quantitative analysis of cancer cell metastasis can be performed.

3.本发明提供的抗肿瘤制剂抑制肿瘤转移的效果。3. The antitumor preparation provided by the present invention inhibits the effect of tumor metastasis.

在以上Balb/c小鼠接种4T1乳腺癌细胞一周后,设置以下各组小鼠:One week after the above Balb/c mice were inoculated with 4T1 breast cancer cells, the following groups of mice were set up:

Figure PCTCN2015075948-appb-000007
Figure PCTCN2015075948-appb-000007

Figure PCTCN2015075948-appb-000008
Figure PCTCN2015075948-appb-000008

分别在在如上表处理各组小鼠后的25天后(接种癌细胞后的第32天),颈椎脱臼处死各组小鼠,取小鼠全肺,统计肺表面转移肿瘤灶的数目,从肺组织中手术剥离转移瘤,同时对小鼠全肺和剥离的转移瘤进行拍照。Twenty-five days after the treatment of each group of mice in the above table (day 32 after inoculation of cancer cells), the mice in each group were sacrificed by cervical dislocation, and the whole lung was taken, and the number of tumors on the surface of the lungs was counted from the lungs. The tissue was surgically stripped of the metastatic tumor, and the whole lung and the exfoliated metastatic tumor of the mouse were photographed.

图6A显示了各组小鼠的肺部转移瘤的图片。图6B显示了各组小鼠的肺部转移瘤数量。Figure 6A shows a picture of a pulmonary metastases from each group of mice. Figure 6B shows the number of lung metastases in each group of mice.

由图6A-图6B可以看出,注射本发明抗肿瘤制剂组与对照组相比,表现了极好的抑制肿瘤转移的效果,肺部转移瘤的数量被抑制了70%。与注射本发明制剂组相比,缺少任何一种成分的对照组,转移瘤的数量都显著性地大大增加,抑制肿瘤转移的效果远不如本发明,说明本发明抗肿瘤制剂中的所有组分对于获得本申请希望的抗肿瘤效果是必须的。As can be seen from Figs. 6A to 6B, the injection of the antitumor preparation group of the present invention showed an excellent effect of inhibiting tumor metastasis as compared with the control group, and the number of lung metastases was suppressed by 70%. Compared with the injection group of the present invention, the number of metastases was significantly increased significantly in the control group lacking any one component, and the effect of inhibiting tumor metastasis was far less than the present invention, indicating all the components in the antitumor preparation of the present invention. It is necessary to obtain the anti-tumor effect desired by the present application.

实施例7本发明的抗肿瘤制剂对黑素瘤、乳腺癌外的其它肿瘤类型同样有效Example 7 The antitumor preparation of the present invention is equally effective for melanoma and other tumor types other than breast cancer

1、实验材料和试剂1. Experimental materials and reagents

不同荷瘤小鼠包括:肾癌小鼠、胃癌细小鼠、膀胱癌小鼠、白血病小鼠、头颈癌小鼠、肠癌小鼠、脑瘤小鼠,分别购自武汉大学医学实验动物中心,体重约25克左右。 Different tumor-bearing mice include: kidney cancer mice, gastric cancer mice, bladder cancer mice, leukemia mice, head and neck cancer mice, intestinal cancer mice, brain tumor mice, respectively, purchased from Wuhan University Medical Laboratory Animal Center, Weighing about 25 grams.

2、实验步骤2, the experimental steps

2.1.按照实施例1相同方法制备出所述抗肿瘤制剂,使得每毫升所述抗肿瘤制剂中含有PD-1阻断抗体500ug,塞来昔布3125ug。2.1. The antitumor preparation was prepared in the same manner as in Example 1 so that the anti-tumor preparation contained 500 ug of PD-1 blocking antibody and 3125 ug of celecoxib per ml of the antitumor preparation.

构建荷瘤小鼠:本实施例中的构建荷瘤小鼠模型的方法为本领域常规方法,这些荷瘤小鼠模型是评估药物抗肿瘤效果广泛采用的成熟的动物模型。Construction of tumor-bearing mice: The method of constructing a tumor-bearing mouse model in this example is a conventional method in the art, and these tumor-bearing mouse models are mature animal models widely used to evaluate the anti-tumor effect of drugs.

2.2.按以下方式针对各种荷瘤小鼠进行实验2.2. Experiment with various tumor-bearing mice as follows

Figure PCTCN2015075948-appb-000009
Figure PCTCN2015075948-appb-000009

实验结果显示,施用本发明抗肿瘤制剂的肾癌小鼠、胃癌细小鼠、膀胱癌小鼠、白血病小鼠、头颈癌小鼠、肠癌小鼠、脑瘤小鼠,相比于各对照组小鼠,表现了极好的抑制肿瘤生长的效果,以及降低的毒副作用。 The experimental results show that the kidney cancer mice, the gastric cancer mice, the bladder cancer mice, the leukemia mice, the head and neck cancer mice, the intestinal cancer mice, and the brain tumor mice to which the antitumor preparation of the present invention is administered are compared with the respective control groups. Mice, which exhibit excellent tumor growth inhibition and reduced toxic side effects.

Claims (15)

一种抗肿瘤制剂,其特征在于,为由分散有有效成分PD-1阻断抗体和塞来昔布的海藻酸盐水溶液形成的水凝胶形式的抗肿瘤制剂,所述抗肿瘤制剂为注射制剂。An antitumor preparation characterized by being an antitumor preparation in the form of a hydrogel formed by blocking an aqueous solution of an antibody and celecoxib with an active ingredient PD-1, the antitumor preparation being an injection preparation. 根据权利要求1所述的抗肿瘤制剂,其特征在于,所述抗肿瘤制剂还包括用于使所述海藻酸盐水溶液发生交联的交联剂。The antitumor preparation according to claim 1, wherein the antitumor preparation further comprises a crosslinking agent for crosslinking the aqueous alginate solution. 根据权利要求2所述的抗肿瘤制剂,其特征在于,所述海藻酸盐的分子量为75,000–300,000g,所述交联剂为二价金属阳离子。The antitumor preparation according to claim 2, wherein the alginate has a molecular weight of 75,000 to 300,000 g, and the crosslinking agent is a divalent metal cation. 根据权利要求1所述的抗肿瘤制剂,其特征在于,所述抗肿瘤制剂为单位制剂。The antitumor preparation according to claim 1, wherein the antitumor preparation is a unit preparation. 根据权利要求4所述的抗肿瘤制剂,其特征在于,所述单位制剂含有治疗有效量为20-30mg的PD-1阻断抗体和130-200mg的塞来昔布。The antitumor preparation according to claim 4, wherein the unit preparation contains a therapeutically effective amount of 20-30 mg of PD-1 blocking antibody and 130-200 mg of celecoxib. 根据权利要求1-5任一项所述的抗肿瘤制剂,其特征在于,所述抗肿瘤制剂为用于黑素瘤、乳腺癌、肾癌、胃癌、膀胱癌、白血病、头颈癌、肠癌或脑瘤的抗肿瘤制剂。The antitumor preparation according to any one of claims 1 to 5, wherein the antitumor preparation is for melanoma, breast cancer, kidney cancer, stomach cancer, bladder cancer, leukemia, head and neck cancer, and intestinal cancer. Or an antitumor agent for brain tumors. 一种抗肿瘤制剂的制备方法,其特征在于,包括:A method for preparing an antitumor preparation, comprising: 将海藻酸盐溶解在生理盐水中制成海藻酸盐溶液;Dissolving alginate in physiological saline to prepare an alginate solution; 在该海藻酸盐溶液中添加有效成分PD-1阻断抗体及塞来昔布,并使之分散在所述海藻酸盐溶液中,得到海藻酸盐溶液混合物;Adding the active ingredient PD-1 blocking antibody and celecoxib to the alginate solution, and dispersing it in the alginate solution to obtain a sea alginate solution mixture; 使所述海藻酸盐溶液混合物发生交联,形成水凝胶形式的抗肿瘤制剂,所述抗肿瘤制剂为注射制剂。The alginate solution mixture is crosslinked to form an antitumor preparation in the form of a hydrogel, which is an injection preparation. 根据权利要求7所述的方法,其特征在于,所述海藻酸盐溶液混合物在交联剂存在下发生交联。The method according to claim 7, wherein the alginate solution mixture is crosslinked in the presence of a crosslinking agent. 根据权利要求8所述的方法,其特征在于,所述海藻酸盐的分子量为75,000–300,000g,所述交联剂为二价金属阳离子。The method of claim 8 wherein said alginate has a molecular weight of from 75,000 to 300,000 g and said crosslinking agent is a divalent metal cation. 根据权利要求7-9任一项所述的方法,其特征在于,所述抗肿瘤制剂为用于黑素瘤、乳腺癌、肾癌、胃癌、膀胱癌、白血病、头颈癌、肠癌或脑瘤的抗肿瘤制剂。The method according to any one of claims 7 to 9, wherein the antitumor agent is for melanoma, breast cancer, kidney cancer, stomach cancer, bladder cancer, leukemia, head and neck cancer, intestinal cancer or brain Antitumor preparation of tumor. 一种治疗或预防肿瘤的方法,其特征在于,包括对患有肿瘤的个 体或具有肿瘤发生趋势的个体施用抗肿瘤制剂的过程,所述抗肿瘤制剂为由分散有有效成分PD-1阻断抗体和塞来昔布的海藻酸盐水溶液形成的水凝胶形式的抗肿瘤制剂,且所述抗肿瘤制剂为注射制剂。A method for treating or preventing a tumor, characterized by comprising a tumor The process of administering an antitumor preparation to an individual having a tendency to develop a tumor in the form of a hydrogel formed by an aqueous solution of an alginate dispersed with the active ingredient PD-1 blocking antibody and celecoxib A tumor preparation, and the anti-tumor preparation is an injection preparation. 根据权利要求11所述的方法,其特征在于,所述抗肿瘤制剂还包括用于使所述海藻酸盐水溶液发生交联的交联剂。The method according to claim 11, wherein said antitumor preparation further comprises a crosslinking agent for crosslinking said aqueous alginate solution. 根据权利要求12所述的方法,其特征在于,所述海藻酸盐的分子量为75,000–300,000g,所述交联剂为二价金属阳离子。The method according to claim 12, wherein the alginate has a molecular weight of from 75,000 to 300,000 g, and the crosslinking agent is a divalent metal cation. 根据权利要求11所述的方法,其特征在于,所述抗肿瘤制剂为单位制剂。The method according to claim 11, wherein the antitumor agent is a unit preparation. 根据权利要求14所述的方法,其特征在于,所述单位制剂含有治疗有效量为20-30mg的PD-1阻断抗体和130-200mg的塞来昔布。 The method according to claim 14, wherein the unit preparation contains a therapeutically effective amount of 20-30 mg of PD-1 blocking antibody and 130-200 mg of celecoxib.
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