Inhaled Preparation Of Isoglycyrrhizic Acid Or Salt Thereof, And Use In Preparing Drugs For Treating Respiratory System Diseases
20190117568 ยท 2019-04-25
Assignee
Inventors
- Hongmei GU (Lianyungang City, Jiangsu Province, CN)
- Shanchun WANG (Lianyungang City, Jiangsu Province, CN)
- Xiquan ZHANG (Lianyungang City, Jiangsu Province, CN)
- Lei HUANG (Lianyungang City, Jiangsu Province, CN)
- Hongjiang XU (Lianyungang City, Jiangsu Province, CN)
- Wei SONG (Lianyungang City, Jiangsu Province, CN)
- Ping DONG (Lianyungang City, Jiangsu Province, CN)
- Zhongying SUN (Lianyungang City, Jiangsu Province, CN)
- Ying ZHANG (Lianyungang City, Jiangsu Province, CN)
- Deyang CHEN (Lianyungang City, Jiangsu Province, CN)
Cpc classification
A61K31/704
HUMAN NECESSITIES
A61P1/16
HUMAN NECESSITIES
A61K47/24
HUMAN NECESSITIES
A61K9/0075
HUMAN NECESSITIES
A61K9/0078
HUMAN NECESSITIES
International classification
A61K9/00
HUMAN NECESSITIES
A61P1/16
HUMAN NECESSITIES
A61K47/24
HUMAN NECESSITIES
Abstract
The present invention belongs to the field of medicine, relates to an inhaled preparation of isoglycyrrhizic acid or a salt thereof, and in particular relates to an inhaled preparation of magnesium isoglycyrrhizinate and the use thereof in preparing drugs for treating respiratory system diseases.
Claims
1. An inhaled preparation, characterized in that the active ingredient is isoglycyrrhizic acid or a salt thereof.
2. The inhaled preparation according to claim 1, characterized in that the salt is magnesium salt, ammonium salt, potassium salt, sodium salt or salt of various amino acids, preferably magnesium salt.
3. The inhaled preparation according to claim 1, characterized in that the inhaled preparation is selected from inhalation aerosol, powder for inhalation, liquid preparation for use in nebulizers or preparation which can be converted into vapor, preferably powder for inhalation or liquid preparation for use in nebulizers.
4. The inhaled preparation according to claim 1, characterized in that the inhaled preparation is powder for inhalation comprising: micronized magnesium isoglycyrrhizinate and one or more pharmaceutically acceptable carriers, wherein the magnesium isoglycyrrhizinate has a particle size of 0.5-10 m, preferably 0.5-5 m.
5. The inhaled preparation according to claim 4, characterized in that the pharmaceutically acceptable carrier is selected from lactose, mannitol, trehalose or glycine, preferably lactose.
6. The inhaled preparation according to claim 4, characterized in that the pharmaceutically acceptable carrier is ground lactose, sieved lactose or a mixture of sieved lactose and fine lactose, wherein the particle size distribution of the ground lactose ranges from 1 to 350 m, the particle size distribution of the sieved lactose ranges from 1 to 200 m, and the particle size distribution of the fine lactose ranges from 1 to 60 m; preferably, the ground lactose has a particle size distribution of X.sub.50<30-110 m, the sieve lactose has a particle size distribution of X.sub.50<35-115 m, and the fine lactose has a particle size distribution of X.sub.90<45 m.
7. The inhaled preparation according to claim 4, characterized in that the micronized magnesium isoglycyrrhizinate and the carrier are mixed and filled into a capsule or a bubble-cap.
8. The inhaled preparation according to claim 7, characterized in that each capsule or bubble-cap comprises 1-50 mg of micronized magnesium isoglycyrrhizinate and 0-50 mg of lactose.
9. The inhaled preparation according to claim 7, characterized in that each capsule or bubble-cap comprises 1-30 mg of micronized magnesium isoglycyrrhizinate and 1-40 mg of lactose.
10. The inhaled preparation according to claim 4, characterized in that the powder for inhalation further comprises: one or more pharmaceutically acceptable additives; preferably the additional agent is one or more selected from the group consisting of surfactants, lubricants and flavoring agents.
11. The inhaled preparation according to claim 10, characterized in that the pharmaceutically acceptable additive is a surfactant and/or a lubricant, preferably magnesium stearate and/or phospholipid.
12. The inhaled preparation according to claim 1, characterized in that the inhaled preparation is a liquid preparation for use in nebulizers, comprising magnesium isoglycyrrhizinate, an isotonicity adjusting agent, a pH adjusting agent, and water for injection, with the pH of 6.0-8.0, wherein the nebulizer is a continuous nebulizer or a quantitative nebulizer.
13. The inhaled preparation according to claim 12, characterized in that the amount of the magnesium isoglycyrrhizinate is from 0.1 mg/ml to 5 mg/ml, preferably from 0.1 mg/ml to 2.5 mg/ml.
14. The inhaled preparation according to claim 12, characterized in that the isotonicity adjusting agent is one or more selected from the group consisting of glucose, sodium chloride, potassium chloride, and mannitol, preferably sodium chloride.
15. The inhaled preparation according to claim 12, characterized in that the pH adjusting agent is one or more selected from the group consisting of sodium hydroxide, ammonium hydroxide, hydrochloric acid, sodium carbonate, sodium bicarbonate, dilute sulfuric acid, citric acid, sodium citrate, acetic acid, tartaric acid, sodium acetate or disodium hydrogen phosphate, preferably ammonium hydroxide or sodium hydroxide.
16. The inhaled preparation according to claim 12, characterized in that the pH is 6.5-7.0.
17. The inhaled preparation according to claim 12, characterized in that the inhaled preparation is packaged in a single dose in a package size of 1 ml, 2 ml or 5 ml, preferably 2 ml.
18. The inhaled preparation of isoglycyrrhizic acid or a salt thereof according to claim 1, characterized in that the administration frequency of the inhaled preparation to a subject is selected from: up to three times a day, up to twice a day, up to once a day and up to once every other day, preferably up to twice a day.
19. A method for treating chronic obstructive pulmonary disease, for alleviating phlegm, or for treating chronic viral hepatitis, by administrating the inhaled preparation of isoglycyrrhizic acid or a salt thereof according to claim 1 to a subject in need thereof, wherein the isoglycyrrhizic acid or a salt thereof is preferably magnesium isoglycyrrhizinate, and wherein magnesium isoglycyrrhizinate injection is additionally used by sequential therapy in the method for treating chronic viral hepatitis.
20. (canceled)
21. (canceled)
22. A combination comprising the inhaled preparation of isoglycyrrhetic acid or a salt thereof according to claim 1 and a magnesium isoglycyrrhizinate injection, wherein the isoglycyrrhizic acid or a salt thereof is preferably magnesium isoglycyrrhizinate.
Description
DETAILED EMBODIMENTS OF THE INVENTION
[0072] The present invention will be further illustrated below in conjunction with specific examples. It should be understood that these examples are provided for illustrative purposes only and are not intended to limit the scope of the present invention.
[0073] The assay methods which do not specify the specific conditions in the following examples may be carried out according to conventional conditions or according to the conditions recommended by the manufacturer. Unless otherwise defined, all technical and scientific terms used herein have the same meaning known as those skilled in the art.
EXAMPLES
Example 1: Magnesium Isoglycyrrhizinate Powder for Inhalation
[0074] The magnesium isoglycyrrhizinate was micronized to obtain samples having the following different particle size ranges.
TABLE-US-00001 Particle size of the active ingredient X.sub.10/m X.sub.50/m X.sub.90/m Large particle size 1.47 5.75 17.24 Medium particle size 1.38 5.08 12.64 Small particle size 0.58 2.03 5.69
Example 1a
[0075] Prescription:
TABLE-US-00002 Magnesium isoglycyrrhizinate (large particle size) 1 g Lactose A 2 g Amount of preparation 100 capsules
[0076] Preparation Process:
[0077] 1) The prescribed amount of magnesium isoglycyrrhizinate and the prescribed amount of lactose were taken;
[0078] 2) Then sieved and mixed;
[0079] 3) The capsules were filled according to 30 mg/capsule, and each capsule contained 10 mg of magnesium isoglycyrrhizinate;
[0080] 4) The key quality indicators of powder for inhalation were detected according to requirements of general rule 0111 in the fourth part of the Chinese Pharmacopoeia.
Example 1b
[0081] Prescription:
TABLE-US-00003 Magnesium isoglycyrrhizinate (medium particle size) 1 g Lactose A 2 g Amount of preparation 100 capsules
[0082] Preparation Process:
[0083] 1) The prescribed amount of magnesium isoglycyrrhizinate and the prescribed amount of lactose were taken;
[0084] 2) Then sieved and mixed;
[0085] 3) The capsules were filled according to 30 mg/capsule, and each capsule contained 10 mg of magnesium isoglycyrrhizinate;
[0086] 4) The key quality indicators of powder for inhalation were detected according to requirements of general rule 0111 in the fourth part of the Chinese Pharmacopoeia.
Example 1c
[0087] Prescription:
TABLE-US-00004 Magnesium isoglycyrrhizinate (small particle size) 1 g Lactose A 2 g Amount of preparation 100 capsules
[0088] Preparation Process:
[0089] 1) The prescribed amount of magnesium isoglycyrrhizinate and the prescribed amount of lactose were taken;
[0090] 2) Then sieved and mixed;
[0091] 3) The capsules were filled according to 30 mg/capsule, and each capsule contained 10 mg of magnesium isoglycyrrhizinate;
[0092] 4) The key quality indicators of powder for inhalation were detected according to requirements of general rule 0111 in the fourth part of the Chinese Pharmacopoeia.
[0093] Comparison of Key Quality Indicators:
TABLE-US-00005 Quality indicator Example 1a Example 1b Example 1c Emptying rate 99% 99% 99% Fine particle fraction 13% 20% 32%
[0094] The fine particle dose was an important parameter to evaluate the effectiveness of the inhaled preparation. The particle size of the magnesium isoglycyrrhizinate had a crucial influence on the fine particle fraction as the key quality indicator of the powder for inhalation. Therefore, the particle size of the magnesium isoglycyrrhizinate was controlled within the range of 0.5-10 m. The fine particle fraction was >15%, in line with regulations of the pharmacopoeia.
Example 2: Magnesium Isoglycyrrhizinate Powder for Inhalation
[0095] The effects of lactose with different types and different sizes on the key quality indicators of magnesium isoglycyrrhizinate powder for inhalation were compared.
TABLE-US-00006 Lactose type Description particle size/m Lactose A sieved lactose with a narrow X.sub.10: 30-60; X.sub.50: 70-110; X.sub.90: particle size distribution 110-150 Lactose B X.sub.10: 7-22; X.sub.50: 40-70; X.sub.90: 80-120 Lactose C ground lactose with the average X.sub.10: 5-15; X.sub.50: 50-100; X.sub.90: particle size being strictly 120-160 controlled Lactose D ground lactose with a wide 40%-60% < 45; 75%-100% < 100; particle size distribution 90%-100% < 150; 99.5%-100% < 315 Lactose E finely ground lactose with a 90%-100% < 45; 98%-100% < 63; narrow particle size distribution 100% < 150 Lactose F micronized fine lactose X.sub.50 < 5; X.sub.90 < 10 Note: a typical particle size range of lactose D is: X.sub.10: 1-10 m; X.sub.50: 30-50 m; X.sub.90: 70-150 m.
Example 2a
[0096] Prescription:
TABLE-US-00007 Magnesium isoglycyrrhizinate (small particle size) 1 g Lactose B 2 g Amount of preparation 100 capsules
[0097] Preparation Process:
[0098] 1) The prescribed amount of magnesium isoglycyrrhizinate and the prescribed amount of lactose were taken;
[0099] 2) Then sieved and mixed;
[0100] 3) The capsules were filled according to 30 mg/capsule, and each capsule contained 10 mg of magnesium isoglycyrrhizinate;
[0101] 4) The key quality indicators of powder for inhalation were detected according to requirements of general rule 0111 in the fourth part of the Chinese Pharmacopoeia.
Example 2b
[0102] Prescription:
TABLE-US-00008 Magnesium isoglycyrrhizinate (small particle size) 1 g Lactose C 2 g Amount of preparation 100 capsules
[0103] Preparation Process:
[0104] 1) The prescribed amount of magnesium isoglycyrrhizinate and the prescribed amount of lactose were taken;
[0105] 2) Then sieved and mixed;
[0106] 3) The capsules were filled according to 30 mg/capsule, and each capsule contained 10 mg of magnesium isoglycyrrhizinate;
[0107] 4) The key quality indicators of powder for inhalation were detected according to requirements of general rule 0111 in the fourth part of the Chinese Pharmacopoeia.
Example 2c
[0108] Prescription:
TABLE-US-00009 Magnesium isoglycyrrhizinate (small particle size) 1 g Lactose D 2 g Amount of preparation 100 capsules
[0109] Preparation Process:
[0110] 1) The prescribed amount of magnesium isoglycyrrhizinate and the prescribed amount of lactose were taken;
[0111] 2) Then sieved and mixed;
[0112] 3) The capsules were filled according to 30 mg/capsule, and each capsule contained 10 mg of magnesium isoglycyrrhizinate;
[0113] 4) The key quality indicators of powder for inhalation were detected according to requirements of general rule 0111 in the fourth part of the Chinese Pharmacopoeia.
Example 2d
[0114] Prescription:
TABLE-US-00010 Magnesium isoglycyrrhizinate (small particle size) 1 g Lactose E 2 g Amount of preparation 100 capsules
[0115] Preparation Process:
[0116] 1) The prescribed amount of magnesium isoglycyrrhizinate and the prescribed amount of lactose were taken;
[0117] 2) Then sieved and mixed;
[0118] 3) The capsules were filled according to 30 mg/capsule, and each capsule contained 10 mg of magnesium isoglycyrrhizinate;
[0119] 4) The key quality indicators of powder for inhalation were detected according to requirements of general rule 0111 in the fourth part of the Chinese Pharmacopoeia.
Example 2e
[0120] Prescription:
TABLE-US-00011 Magnesium isoglycyrrhizinate (small particle size) 1 g Lactose A 1.5 g Lactose F 0.5 g Amount of preparation 100 capsules
[0121] Preparation Process:
[0122] 1) The prescribed amount of magnesium isoglycyrrhizinate and the prescribed amount of lactose were taken;
[0123] 2) Then sieved and mixed;
[0124] 3) The capsules were filled according to 30 mg/capsule, and each capsule contained 10 mg of magnesium isoglycyrrhizinate;
[0125] 4) The key quality indicators of powder for inhalation were detected according to requirements of general rule 0111 in the fourth part of the Chinese Pharmacopoeia.
Example 2f
[0126] Prescription:
TABLE-US-00012 Magnesium isoglycyrrhizinate (small particle size) 1 g Lactose B 1.5 g Lactose F 0.5 g Amount of preparation 100 capsules
[0127] Preparation Process:
[0128] 1) The prescribed amount of magnesium isoglycyrrhizinate and the prescribed amount of lactose were taken;
[0129] 2) Then sieved and mixed;
[0130] 3) The capsules were filled according to 30 mg/capsule, and each capsule contained 10 mg of magnesium isoglycyrrhizinate;
[0131] 4) The key quality indicators of powder for inhalation were detected according to requirements of general rule 0111 in the fourth part of the Chinese Pharmacopoeia.
[0132] Comparison of Key Quality Indicators:
TABLE-US-00013 Quality Exam- Exam- Exam- Exam- Exam- Exam- Indicators ple 2a ple 2b ple 2c ple 2d ple 2e ple 2f Emptying rate 99% 97% 97% 90% 97% 98% Fine particle 35% 40% 46% 48% 43% 45% fraction
[0133] Different types and different particle sizes of lactose had crucial influence on the key quality indicators of powder for inhalation. The fine particle fraction in the sample prepared by sieved lactose alone with the active ingredient was lower, but the fine particle fraction could be significantly improved when adding a certain amount of fine lactose when preparing the sample. The fine particle fraction of the sample prepared by ground lactose and the active ingredient was higher.
Example 3: Magnesium Isoglycyrrhizinate Liquid Preparation for Use in Nebulizers
[0134] Prescription:
TABLE-US-00014 Magnesium isoglycyrrhizinate 10 g Sodium chloride 18 g Ammonium hydroxide q.s. Water for injection to 2000 ml Amount of preparation 1000 preparations
[0135] Preparation Process:
[0136] The prescribed amount of magnesium isoglycyrrhizinate and sodium chloride were taken and added into 1800 ml of water for injection, stirred until completely dissolved. Then ammonium hydroxide was added to adjust the pH value of the solution to 6.5-7.0, and the obtained solution was added with water for injection to 2000 ml, filtered and sterilized, filled according to 2 ml per package, before a liquid preparation for use in nebulizers containing 10 mg of magnesium isoglycyrrhizinate was obtained.
[0137] Main Technical Evaluation Indicators:
TABLE-US-00015 Time point Accelera- Accelera- Accelera- Long tion for tion for tion for term for 0 day 1 month 2 months 3 months 3 months Fne particle 38% 38% 39% 37% 38% fraction
Example 4: Magnesium Isoglycyrrhizinate Liquid Preparation for Use in Nebulizers
[0138] Prescription:
TABLE-US-00016 Magnesium isoglycyrrhizinate 5 g Sodium chloride 18 g Ammonium hydroxide q.s. Water for injection to 2000 ml Amount of preparation 1000 preparations
[0139] Preparation Process:
[0140] The prescribed amount of magnesium isoglycyrrhizinate and sodium chloride were taken and added into 1800 ml of water for injection, stirred until completely dissolved. Then ammonium hydroxide was added to adjust the pH value of the solution to 6.5-7.0, and the obtained solution was added with water for injection to 2000 ml, filtered and sterilized, filled according to 2 ml per package, before a liquid preparation for use in nebulizer containing 5 mg of magnesium isoglycyrrhizinate was obtained.
[0141] Main Technical Evaluation Indicators:
TABLE-US-00017 Time point Accelera- Accelera- Accelera- Long tion for tion for tion for term for 0 day 1 month 2 months 3 months 3 months Fine particle 39% 38% 36% 37% 40% fraction
Example 5: Magnesium Isoglycyrrhizinate Liquid Preparation for Use in Nebulizers
[0142] Prescription:
TABLE-US-00018 Magnesium isoglycyrrhizinate 1 g Sodium chloride 18 g Ammonium hydroxide q.s. Water for injection to 2000 ml Amount of preparation 1000 preparations
[0143] Preparation Process:
[0144] The prescribed amount of magnesium isoglycyrrhizinate and sodium chloride were taken and added into 1800 ml of water for injection, stirred until completely dissolved. Then ammonium hydroxide was added to adjust the pH value of the solution to 6.5-7.0, and the obtained solution was added with water for injection to 2000 ml, filtered and sterilized, filled according to 2 ml per package, before a liquid preparation for use in nebulizer containing 1 mg of magnesium isoglycyrrhizinate was obtained.
[0145] Main Technical Evaluation Indicators:
TABLE-US-00019 Time point Accelera- Accelera- Accelera- Long tion for tion for tion for term for 0 day 1 month 2 months 3 months 3 months Fine particle 42% 38% 39% 39% 40% fraction
Example 6: Magnesium Isoglycyrrhizinate Liquid Preparation for Use in Nebulizers
[0146] Prescription:
TABLE-US-00020 Magnesium isoglycyrrhizinate 0.4 g Sodium chloride 18 g Ammonium hydroxide q.s. Water for injection to 2000 ml Amount of preparation 1000 preparations
[0147] Preparation Process:
[0148] The prescribed amount of magnesium isoglycyrrhizinate and sodium chloride were taken and added into 1800 ml of water for injection, stirred until completely dissolved. Then ammonium hydroxide was added to adjust the pH value of the solution to 6.5-7.0, and the obtained solution was added with water for injection to 2000 ml, filtered and sterilized, filled according to 2 ml per package, before a liquid preparation for use in nebulizer containing 0.4 mg of magnesium isoglycyrrhizinate was obtained.
[0149] Main Technical Evaluation Indicators:
TABLE-US-00021 Time point Accelera- Accelera- Accelera- Long tion for tion for tion for term for 0 day 1 month 2 months 3 months 3 months Fine particle 40% 39% 37% 41% 38% fraction
Example 7: Magnesium Isoglycyrrhizinate Liquid Preparation for Use in Nebulizers
[0150] Prescription:
TABLE-US-00022 Magnesium isoglycyrrhizinate 0.2 g Sodium chloride 18 g Ammonium hydroxide q.s. Water for injection to 2000 ml Amount of preparation 1000 preparations
[0151] Preparation Process:
[0152] The prescribed amount of magnesium isoglycyrrhizinate and sodium chloride were taken and added into 1800 ml of water for injection, stirred until completely dissolved. Then ammonium hydroxide was added to adjust the pH value of the solution to 6.5-7.0, and the obtained solution was added with water for injection to 2000 ml, filtered and sterilized, filled according to 2 ml per package, before a liquid preparation for use in nebulizer containing 0.2 mg of magnesium isoglycyrrhizinate was obtained.
[0153] Main Technical Evaluation Indicators:
TABLE-US-00023 Time point Accelera- Accelera- Accelera- Long tion for tion for tion for term for 0 day 1 month 2 months 3 months 3 months Fine particle 40% 43% 42% 39% 40% fraction
Example 8: Pharmacokinetic Evaluation after Inhalation/Intragastric Administration to Rats
[0154] Eight healthy male SD rats, weighing 223-252 g, were fed with standard formula granule feed of rats on time every day. The rats were fasted for 16 h before the experiment, and were refeeded at 4 h after the administration. Drinking water was free before, after and during the experiment. The rats were randomly divided into two groups, 4 rats in each group, and each rat was inhalation administrated with a single dose of magnesium isoglycyrrhizinate liquid preparation for use in nebulizers (2.5 mg/mL) and intragastric administrated with magnesium isoglycyrrhizinate inhaled preparation (5.0 mg/mL, the amount of isoglycyrrhizic acid is 4.486 mg/mL) respectively. Each rat in the inhalation administration group was given 200 L of magnesium isoglycyrrhizinate liquid preparation for use in nebulizers (the actual dose given to the rat was 2.24-2.49 mg/kg). The dose in the intragastric administration group was 10.0 mg/kg. 0.2-0.3 mL of blood was taken from the fundus venous plexus before administration (0 h) and 0.0833 h, 0.25 h, 0.5 h, 1 h, 2 h, 4 h, 6 h, 8 h, 10 h, 24 h after administration. EDTA-K2 was used for anticoagulation, and the plasma was centrifuged. Then 50 L was accurately measured, added with 10 L internal standard solution to vortex and mixed, then added with 200 L methanol, and mixed in high speed vortex mixer for 3 min, centrifuged for 10 min (4 C., 13000 rpm). The supernatant was collected, and 100 L thereof was transferred to a 96-well plate. 50 L of ultrapure water was added, vortexed, LC-MS/MS was used for detection, and the chromatogram was recorded.
[0155] The pharmacokinetic results of inhalation administration of the magnesium isoglycyrrhizinate liquid preparation for use in nebulizers and the intragastric administration of isoglycyrrhizic acid injection were as follows:
TABLE-US-00024 Group Inhalation Intragastric Sample size N = 4 N = 4 PK parameters Mean SD RSD % Mean SD RSD % Dose (mg/kg) 2.4 0.1 10 0 Cmax (g/L) 3113 712 22.9% 27.3 17.2 63.0% AUC(0-t) (g*h/L) 14567 6427 44.1% 89.8 105 118% AUC(0-) (g*h/L) 14593 6427 44.0% 102 102 100% MRT(0-t) (h) 3.52 1.09 31.0% 2.35 1.58 67.1% t z(h) 2.13 0.69 32.3% 1.88 1.47 78.4% Tmax(h) 0.81 0.80 98.5% 1.75 2.84 162% CLz/F(L/h/kg) 0.195 0.103 53.0% 162 90.1 55.7% Cmax/Dose 1315 306 23.3% 2.73 1.72 63.0% AUC(0-t)/Dose 6108 2577 42.2% 8.98 10.5 118% relative F % 68052%
[0156] In addition, the pharmacokinetic parameters of inhalation administration were compared with the average pharmacokinetic parameters of intravenous administration reported in the literature, and the results were as follows:
TABLE-US-00025 Group Inhalation (N = 4) Intravenous (N = 6) Dose (mg/kg) 2.37 0.13 30.0 Cmax (g/L) 3113 712 354500 AUC(0-t) (g*h/L) 14567 6427 209591 AUC(0-) (g*h/L) 14593 6427 212295 MRT(0-t) (h) 3.52 1.09 1.71 t z(h) 2.13 0.69 2.06 Tmax(h) 0.81 0.8 0.0833 CLz/F(L/h/kg) 0.195 0.103 141.3 Cmax/Dose 1315 306 11817 AUC(0-t)/Dose 6108 2577 6986 Relative F % 87%
[0157] Compared with intragastric administration, the relative bioavailability of magnesium isoglycyrrhizinate by inhalation administration for rats was as high as 68052%. Compared with intravenous administration, the bioavailability of magnesium isoglycyrrhizinate by inhalation administration for rats was 87%. Therefore, inhalation administration can significantly improve the bioavailability of magnesium isoglycyrrhizinate by compared with gastrointestinal administration, and the bioavailability of magnesium isoglycyrrhizinate by inhalation administration was basically equal to that by gastrointestinal administration.
Example 9: Pharmacodynamic Experiment of Magnesium Isoglycyrrhizinate Inhaled Preparation for Rats with Chronic Obstructive Pulmonary Disease
[0158] 9.1 Experimental Method:
[0159] After modeling chronic obstructive pulmonary disease model induced by cigarette smoke inhalation, male SD rats were randomly divided into 6 groups according to the body weight: high dose tracheal instillation group (1.67 mg/ml of magnesium isoglycyrrhizinate, 100 l/rat), low dose tracheal instillation group (1.67 mg/ml, 25 l/rat), aerosolizing inhalation group, model group and blank control group, 10 rats in each group. During the intervention period, except that the control group and the model group were given normal saline, the other groups were successive administered every day, lasted for 15 days. During the administration period, the administration groups continued to be given with smoke stimulation after 30 minutes of administration, and the mental state, breathing, activity, hair luster, weight gain of the rats were recorded every day. 12 hour after the last administration, whole blood was taken from the rat eye for determination of white blood cell count and cell classified comparison. The rats were killed, the trachea and lungs were exposed by thoracotomy, and the morphology of the lungs and trachea was observed with the naked eye. The right lung was ligated at the right main branch, and the left lung was lavaged with normal saline 2 ml3 times. The recovery rate was about 80%. The bronchoalveolar lavage fluid (BALF) was prepared for the determination of white blood cell count and classified comparison (white blood cells, neutrophils, lymphocytes and monocytes). Finally, the right lung of rat was fixed with 10% formalin and HE stained, lung injury was observed under microscope, and pathological lesions were scored. All scores were accumulated, and the average score of each animal in each group was calculated (meanSD).
[0160] Scoring indicators: (1) whether there was mucus and cell blockage in the small airway cavity; (2) whether the small airway epithelium had necrotic erosion; (3) small airway epithelial cells goblet cell metaplasia; (4) small airway epithelial cell squamous metaplasia; (5) small airway wall inflammation cell infiltration; (6) small airway wall fibrous connective tissue hyperplasia; (7) small airway wall smooth muscle hyperplasia; (8) small airway wall pigmentation; and (9) lung emphysema. Lesion score: according to the degree from light to heavy lesions, it was quantified as slight or very small amount for 0.5 point, mild or small amount for 1 point, moderate or more quantity amount for 2 points, severe or plenty amount for 3 points, very severe or large amount for 4 points, and no obvious lesions for 0 point.
[0161] 9.2 Experimental Results:
[0162] The experimental result data was expressed in the form of meanSD. One-way ANOVA combined with Post-Hoc (LSD method) was used to analyze the differences between groups. Statistical significance was expressed as a P value of less than 0.05. The model group was compared with the blank control group, .sup.#p<0.05, .sup.##p<0.01; each administration group of magnesium isoglycyrrhizinate was compared with the model group, *p<0.05, **p<0.01.
[0163] 9.2.1 Effect of Magnesium Isoglycyrrhizinate Inhaled Preparation on Body Weight of COPD Rats
[0164] The experimental results (Table 1) showed that after the successful modeling of COPD, the weight gain of the rats in each administration group was slow compared with that in the blank control group, and there existed a significant difference when compared with that in the blank control group (p<0.01). After 16 days of administration, compared with the model group, the weight of the rats in the high dose tracheal instillation group, low dose tracheal instillation group and the aerosolizing inhalation group of magnesium isoglycyrrhizinate increased slowly, wherein the weight gain of the aerosolizing inhalation group was more, and each group still differed from that in the blank control group (p<0.01).
TABLE-US-00026 TABLE 1 effect of magnesium isoglycyrrhizinate on body weight of COPD rats Number of Body Weight Group Dose animals Initial weight End weight Blank control group 0.9% NS 5 395.40 16.50 460.60 22.68 Model group 0.9% NS 10 316.30 20.06.sup.## 343.00 22.93.sup.## High dose tracheal 1.67 mg/ml, 100 l 10 324.6 12.22** 358.20 16.17** instillation group Low dose tracheal 1.67 mg/ml, 25 l 10 317.60 24.23** 350.80 27.79** instillation group Aerosolizing 0.4 mg/ml, 30 min 9 319.22 10.43** 360.11 18.84** inhalation group
[0165] 9.2.2 Effect of Magnesium Isoglycyrrhizinate Inhalation Preparation on General Symptoms of COPD Rats
[0166] The experimental results showed that the rats in the blank control group had normal activities, sensitive reactions, body fat, and no symptoms such as cough, sneezing and dyspnea. After the model group was modeled, the rats tended to be prone, lack of spirit, stagnation, squint, bunching, unsteady walking, weight gain slowing, and grayish yellow fur, followed by symptoms such as cough, sneezing and dyspnea. After high dose and low dose tracheal infusion of magnesium isoglycyrrhizinate and nebulization, the symptoms of the rats in each group were relieved compared with the model group, wherein the magnesium isoglycyrrhizinate aerosolizing inhalation group was much more obvious than the other groups.
[0167] 9.2.3 Effect of Magnesium Isoglycyrrhizinate Inhaled Preparation on the White Blood Cells Count and Cell Classified Comparison in COPD Rats
[0168] The experimental results (Table 2) showed that the number of neutrophils and the percentage of neutrophils in the blood of rats in model group were increased to different degrees, and showed significant difference (p<0.05 or p<0.01). The above suggested that COPD rats had an inflammatory response mainly characterized by neutrophil infiltration after modeling. From the pharmacological point of view: high dose tracheal infusion group, low dose tracheal infusion group and aerosolizing inhalation group can significantly inhibit inflammatory factors mainly of neutrophils and percentage thereof in the blood of COPD rats, and the effect was obvious (p<0.05 or p<0.01). The effect of magnesium isoglycyrrhizinate in the aerosolizing inhalation group was the best (0.4 mg/ml, 30 min). The drug efficacy comparison was: magnesium isoglycyrrhizinate aerosolizing inhalation group>high dose tracheal instillation group>low dose tracheal instillation group.
TABLE-US-00027 TABLE 2 Effect of magnesium isoglycyrrhizinate on the white blood cell count and cell classified comparison in blood of COPD rats ( mean SD ) White blood Neutrophil Percentage of Number of cell count count neutrophils Group Dose animals (10/l) (10/l) (%) Blank control 5 1399.00 167.15 130.33 14.01 9.40 1.97 group Model group 10 1277.50 141.21 208.50 44.83.sup.# 16.39 3.63.sup.# High dose tracheal 1.67 mg/ml, 100 l 10 1395.13 270.32 153.25 40.12* 11.31 3.55* instillation group Low dose tracheal 1.67 mg/ml, 25 l 10 1135.13 155.73 155.13 26.25* 13.80 2.24* instillation group Aerosolizing 0.4 mg/ml, 30 min 9 1123.33 170.54 123.67 23.24** 11.05 1.61** inhalation group
[0169] 9.2.4 Effect of Magnesium Isoglycyrrhizinate Inhaled Preparation on the White Blood Cell Count and Cell Classified Comparison in BALF of COPD Rats
[0170] The experimental results (Table 3) showed that the numbers of white blood cells and neutrophils, as well as percentage of neutrophils in the BALF of rats in the model group were increased to different degrees (p<0.05 or p<0.01). The above suggested that the lungs of COPD rats had an inflammatory response mainly characterized by neutrophil infiltration. From the drug efficacy point of view: the magnesium isoglycyrrhizinate aerosolizing inhalation group can reduce the number of neutrophils and the percentage thereof.
TABLE-US-00028 TABLE 3 Effect of magnesium isoglycyrrhizinate on the white blood cell count and cell classified comparison in BALF of COPD rats ( mean SD ) White blood Neutrophil Percentage of Number of cell count count neutrophils Group Dose animals (10/l) (10/l) (%) Blank control 5 55.67 9.87 21.67 5.69 38.57 3.59 group Model group 10 .sup.155.38 31.99.sup.## .sup.62.38 27.62.sup.# 39.18 12.36 High dose tracheal 1.67 mg/ml, 100 l 10 184.38 32.15 89.88 21.57* 48.89 9.69 instillation group Low dose tracheal 1.67 mg/ml, 25 l 10 172.50 26.52 66.38 25.46 38.08 12.86 instillation group Aerosolizing 0.4 mg/ml, 30 min 9 170.33 55.17 57.83 20.78 38.83 21.02 inhalation group
[0171] 9.2.5 Effect of Magnesium Isoglycyrrhizinate Inhaled Preparation on Pathology of COPD Rats
[0172] The experimental results (Table 4) showed that the lung tissue of rats in the blank control group consisted of alveolus, intrapulmonary bronchial branches and interstitial tissues with clear structure, no emphysema, minimal infiltration of inflammatory cells and goblet cell hyperplasia. The main lesions in the lung tissue of rats in the model group were interstitial pneumonia, edema around the perivascular tissue, with infiltration of inflammatory cells, increased goblet cells in the bronchial wall of the lung, degeneration and necrosis of bronchial wall cells, and a small amount of exudate in the bronchial lumen, wherein emphysema and inflammatory cell infiltration were particularly evident (p<0.01 or p<0.05). High dose tracheal infusion group, low dose tracheal infusion group and magnesium isoglycyrrhizinate aerosolizing inhalation group can significantly reduce lung inflammation, improve bronchial wall function, reduce bronchial mucus secretion and improve emphysema. Among them, magnesium isoglycyrrhizinate aerosolizing inhalation group (0.4 mg/ml, 30 min) was the most obvious to reduce inflammation and infiltration.
TABLE-US-00029 TABLE 4 Effect of magnesium isoglycyrrhizinate on pathology of COPD rats Number Pathological score (mean SD) of Comprehensive Inflammatory cell Bronchial mucus Group Dose animals score Emphysema infiltration secretion Blank control 5 0.50 0.60 0.000 0.000 0.200 0.274 0.100 0.224 group Model group 10 2.20 0.80.sup.## .sup.0.450 0.369.sup.# 1.100 0.615.sup.## 0.550 0.438 High dose 1.67 mg/ml, 10 0.90 0.52* 0.300 0.422 0.450 0.550* 0.050 0.158** tracheal 100 l instillation group Low dose 1.67 mg/ml, 10 0.80 0.50* 0.150 0.337 0.400 0.394** 0.200 0.350 tracheal 25 l instillation group Aerosolizing 0.4 mg/ml, 9 0.89 0.65* 0.222 0.441 0.389 0.333** 0.278 0.363 inhalation 30 min group
Example 10: Pharmacodynamic Experiment of Magnesium Isoglycyrrhizinate Inhaled Preparation for Mice with Chronic Obstructive Pulmonary Disease
[0173] 10.1 Experimental Method:
[0174] 90 ICR male mice, weighing 18-22 g, were divided into 9 groups, including blank control group, model group, low dose group (0.5 mg/ml, q.d.), medium dose group (1.5 mg/ml, q.d.), high dose group (5.0 mg/ml, q.d.), low dose group (0.5 mg/ml, b.i.d.), medium dose group (1.5 mg/ml, b.i.d.), high dose group (5.0 mg/ml, b.i.d.) of magnesium isoglycyrrhizinate inhaled preparation and positive control (Arformoterol) group. After the anesthesia of the mice, the trachea thereof was instilled with 30 l the lipopolysaccharide (LPS) to model. After modeling for 30 minutes, 10 ml of the drug was administered by nebulizing inhalation device, and the nebulizing time was 30 min. 6 hours after LPS modeling, low dose group (0.5 mg/ml, b.i.d.), medium dose group (1.5 mg/ml, b.i.d.), high dose group (5.0 mg/ml, b.i.d.) and positive control group were continually administrated with 10 ml of drugs by nebulizing inhalation device. 24 hours after modeling, the mice were anesthetized and lung tissues thereof were lavaged. The bronchoalveolar lavage fluid (BALF) was taken to measure the number of inflammatory cells. Some lung tissues were taken for HE staining and the pathological section was used to detect the changes of inflammatory cells.
TABLE-US-00030 TABLE 5-1 Effects of lipopolysaccharide on inflammatory cells (WBC) in the bronchial airways Group WBC (109/L) Upward ratio (%) Blank control group 0.1350 0.0778 Model group 0.7971 0.1931 490.48
TABLE-US-00031 TABLE 5-2 Effect of magnesium isoglycyrrhizinate inhaled preparation on inflammatory cells (WBC) in bronchial airways Group WBC (109/L) Downward ratio (%) Model group 0.7971 0.1931 Positive control group b.i.d. 0.5310 0.1424 33.39 Low dose group b.i.d. 0.5644 0.1599 29.19 Medium dose group b.i.d. 0.5350 0.1277 32.89 High dose group b.i.d. 0.6710 0.1723 15.82 Low dose group q.d. 0.6511 0.2319 18.32 Medium dose group q.d. 0.6622 0.1895 16.93 High dose group q.d. 0.6730 0.1665 15.57
[0175] 10.2 Experimental Results:
[0176] The experimental results (Table 5-1) showed that a large number of inflammatory cells (white blood cells, WBC) were produced in the bronchial airway of the mice in the lipopolysaccharide-induced model group, which was up-regulated 490% compared with that in the blank control group, showing the successful induction of COPD. The histopathological examination of the lung tissue structure of the mice indicated that the model group showed obvious inflammatory reaction, the inflammatory cell infiltration was obvious, the exuded inflammatory cells were found in the alveolar and connective tissues of the alveolar septum. In particular, the neutrophils were arrested and aggregated obviously around the pulmonary blood vessels and all level of the bronchial tubes.
[0177] The experimental results (Table 5-2) showed that in the model test of lipopolysaccharide-induced COPD mice, the number of white blood cells in each dose group of magnesium isoglycyrrhizinate inhaled preparation was significantly different from that of the model group. Among them, the therapeutic effects of the low dose group (down-regulated WBC of 29%) and the medium dose group (down-regulated WBC of 33%) of the magnesium isoglycyrrhizinate inhaled preparation administrating twice a day were comparable to that of the positive control group (down-regulated WBC of 33%), and the therapeutic effect of high dose group was slightly weaker than those of low dose group and medium dose group. The effect of magnesium isoglycyrrhizinate administrated twice a day was better than once a day at the same dose. In addition, histopathological examination showed that no obvious inflammatory reaction was observed in each dose group of magnesium isoglycyrrhizinate inhaled preparation.
Example 11: Effect of Magnesium Isoglycyrrhizinate Inhaled Preparation on Airway Secretion
[0178] 11.1 Experimental Method
[0179] 50 male ICR mice, weighing about 21 g, were randomly divided into 5 groups: control group 1 (normal saline, NS), control group 2 (normal saline, NS), positive control group (ammonium chloride, 1 g/kg), drug group 1 (0.2 mg/ml of magnesium isoglycyrrhizinate liquid preparation for use in nebulizers, nebulizing for 30 min), drug group 2 (0.2 mg/ml of magnesium isoglycyrrhizinate liquid preparation for use in nebulizers, nebulizing for 15 min). The mice in control group 1 and the positive control group were intragastrically administered with the corresponding drugs (0.1 ml/10 g), the mice in control group 2 and the drug group 1 were aerosolizing administered with a nebulizer for 30 min, while the mice in drug group 2 were 15 min. The administration frequency was once a day for 6 consecutive days. Before the 6th administration, the mice were starved for 16-18 hours, only allowed for drinking water. After 30 minutes of administration, i.p. 1% phenol red physiological in saline solution 0.2 ml/10 g was injected and 30 minutes later, the mice were killed by cervical dislocation. After waiting for a while until the blood in the mice coagulated, the neck skin thereof was cut without obvious bleeding (to avoid the phenol red in the blood mixed into the lavage), the trachea was separated, intubated (6# syringe needle with a smooth tip was inserted into trachea for about 3 mm from laryngeal, fixed by silk thread ligation) and connected with the syringe, and then 0.6 ml of 5% NaHCO.sub.3 was slowly injected into the trachea, then gently sucked out, repeated 3 times, and 3 portions of lavage fluid were combined and centrifuged at 4000 rpm for 5 min, to obtain the supernatant.
[0180] 11.2 Detection Indicators and Calculation Methods
[0181] Production of Phenol Red Standard Curve:
[0182] 1.95 mg of phenol red was weighted and dissolved by adding 5% NaHCO.sub.3 to 3.9 ml, and the obtained solution containing 0.5 mg/ml of phenol red was used as a stock solution. 0.1 ml of the stock solution was taken and added with 3.9 ml of 5% NaHCO.sub.3 to achieve the concentration of 12.5 g/ml, which was sequentially diluted to 10 g/ml, 7.5 g/ml, 5 g/ml, 2.5 g/ml, 1.25 g/ml, and 0.625 g/ml. The phenol red standard curve was produced by colorimetric measuring the optical density (OD) value at the wavelength of 546 nm with an enzyme-labeling instrument.
[0183] The sample OD value at a wavelength of 546 nm was measured by an enzyme-labeling instrument, and the phenol red amount in sample was calculated from the phenol red standard curve.
[0184] 11.3 Experimental Results
[0185] The experimental result data was expressed in the form of
TABLE-US-00032 TABLE 6 Effect of magnesium isoglycyrrhizinate inhaled preparation on tracheal secretion in mice (