NON-AQUEOUS SUSTAINED RELEASE DRUG DELIVERY SYSTEM
20230054250 · 2023-02-23
Inventors
Cpc classification
A61K31/167
HUMAN NECESSITIES
A61K47/10
HUMAN NECESSITIES
A61K47/28
HUMAN NECESSITIES
A61K31/4365
HUMAN NECESSITIES
A61K9/127
HUMAN NECESSITIES
A61K47/44
HUMAN NECESSITIES
A61K9/0019
HUMAN NECESSITIES
A61K47/14
HUMAN NECESSITIES
A61K31/245
HUMAN NECESSITIES
A61K31/138
HUMAN NECESSITIES
A61K31/475
HUMAN NECESSITIES
A61K47/24
HUMAN NECESSITIES
A61K31/5415
HUMAN NECESSITIES
A61K31/4422
HUMAN NECESSITIES
International classification
A61K9/127
HUMAN NECESSITIES
A61K31/138
HUMAN NECESSITIES
A61K31/167
HUMAN NECESSITIES
A61K31/245
HUMAN NECESSITIES
A61K31/4365
HUMAN NECESSITIES
A61K31/4422
HUMAN NECESSITIES
A61K31/475
HUMAN NECESSITIES
A61K31/5415
HUMAN NECESSITIES
A61K47/10
HUMAN NECESSITIES
A61K47/14
HUMAN NECESSITIES
A61K47/24
HUMAN NECESSITIES
A61K47/28
HUMAN NECESSITIES
A61K47/44
HUMAN NECESSITIES
Abstract
A non-aqueous sustained release drug delivery system, which contains, based on the total weight of the sustained release drug delivery system, about 0.1-20% of an active agent, about 0.5-50% of a drug solvent, about 1-98% of a drug sustained release agent, about 0.1-85% of a drug solubilizer, about 0.1-10% of an efficacy enhancer, about 0-1% of an antioxidant, and about 0-8% of an acid-base regulator. The non-aqueous sustained release drug delivery system can yield an improved sustained release effect, improve bioavailability, and enhance the therapeutic effect.
Claims
1. A non-aqueous sustained release drug delivery system, comprising: an active agent, a drug solvent, a drug sustained release agent, a drug solubilizer, an efficacy enhancer, an optional antioxidant, and an optional acid-base regulator, wherein, the drug solvent is one or more selected from the group consisting of benzyl alcohol, ethanol, glycerol, isopropanol, liquid polyethylene glycol, polyethylene glycol monomethyl ether, glycerol monoacetate, diethylene glycol monoethyl ether, ethyl lactate, tetrahydrofuran polyethylene glycol ether, benzyl benzoate, dimethyl acetamide, N-methyl pyrrolidone, 2-pyrrolidone, propylene glycol, methyl acetate, ethyl acetate, propylene glycol diacetate, diethyl malonate, glyceryl triacetate, dimethylformamide, dimethyl sulfoxide, caprolactam, triethyl citrate, and propylene carbonate, the drug sustained release agent is one or more selected from the group consisting of biodegradable polymers and pharmaceutical oils, the drug solubilizer is one or more selected from the group consisting of pharmaceutical surfactants, the efficacy enhancer is one or more selected from the group consisting of ω-3 fatty acids and metabolites thereof, substances rich in ω-3 fatty acids or metabolites thereof, glucocorticoids, and phosphodiesterase-4 inhibitors, the antioxidant is one or more selected from the group consisting of cysteine, α-tocopherol, α-tocopherol acetate, N-acetyl-L-cysteine, butylated hydroxyanisole, dibutylated hydroxytoluene, propyl gallate, tert-butyl hydroquinone, lipoic acid, tea polyphenols, L-ascorbyl palmitate, glutathione, and the acid-base regulator is one or more selected from the group consisting of arginine, lysine, histidine, glycine, tromethamine, diethanolamine, ethylenediamine, meglumine, hydrochloric acid, acetic acid, anhydrous citric acid, ascorbic acid, lactic acid, tartaric acid, methanesulfonic acid, methionine, sodium hydroxide, and triethanolamine.
2. The non-aqueous sustained release drug delivery system according to claim 1, comprising: based on the total weight of the sustained release drug delivery system, in weight percentage, 0.1% to 20% of the active agent; 0.5% to 50% of the drug solvent; 1% to 98% of the drug sustained release agent; 1% to 85% of the drug solubilizer; 0.1% to 10% of the efficacy enhancer; 0% to 1% of the optional antioxidant; and 0% to 8% of the optional acid-base regulator.
3. The non-aqueous sustained release drug delivery system according to claim 1 wherein, the active agent includes at least one of: anticancer drugs, anti-inflammatory drugs, anti-infective drugs, painkillers, hormones, anti-diabetic drugs, anti-hypertension drugs, anti-AIDS drugs, immune enhancers, anti-viral drugs, cardiotonics, anti-obesity drugs, bone metabolism regulators, antiepileptics, anticonvulsants, antidepressants, antipsychotics, anti-Parkinson’s disease drugs, urinary tract drugs, contraceptives, anti-osteoporosis drugs, protein assimilation agents, smoking cessation aids, and cell adhesion promoters.
4. The non-aqueous sustained release drug delivery system according to claim 1, wherein the drug sustained release agent is one or more selected from the group consisting of pharmaceutical oils.
5. The non-aqueous sustained release drug delivery system according to claim 1, wherein, the biodegradable polymer is one or more selected from the group consisting polylactic acid (PLA), polylactic acid-glycolic acid copolymer (PLGA), polyorthoesters, sucrose acetate iso-butyrate, glycerin fatty acid ester, PEGylated PLA/PLGA, PLGA-PEG-PLGA copolymer, triethylene glycol poly(orthoester) polymer, chitosan, water-soluble carboxymethyl chitosan, fibroin, poly-β-hydroxybutyrate valerate, polylactide/lactide-polyethylene glycol copolymer, polylactide/lactide-polyethylene glycol blend, polycaprolactone-polyethylene glycol copolymer, blend of poly β-hydroxybutyrate and polyethylene glycol, and blend of polylactic acid/hydroxyacetic acid, the pharmaceutical oil is one or more selected from the group consisting of castor oil, sesame oil, soybean oil, sunflower seed oil, peanut oil, corn oil, rapeseed oil, olive oil, cotton seed oil or other natural vegetable oils, semi-natural oils artificially modified from natural vegetable oils, purified oils and corresponding derivatives; and synthetic oils, including medium chain triglycerides with a carbon chain length of C.sub.6-C.sub.12, long chain triglycerides with a carbon chain length of C.sub.13-C.sub.24, triacetin or other corresponding derivatives, and ethyl oleate, the pharmaceutical surfactant is one or more selected from the group consisting of pharmaceutical phospholipids, polyoxyl 15 hydroxystearate, polysorbate, polyoxyethylene castor oil, poloxamer, polyoxyethylene fatty acid ester, phosphatidylcholine phosphatidylglycerol, polyethylene glycol, polyethylene glycol monomethyl ether, gelatin, the ω-3 fatty acids and metabolites thereof is one or more selected from the group consisting of ω-3 polyunsaturated fatty acids and metabolites thereof, the substances rich in ω-3 fatty acids or metabolites thereof is one or more selected from the group consisting of substances rich in α-linolenic acid, substances rich in α-linolenic acid metabolites, the glucocorticoids is one or more selected from the group consisting of prednisone, methylprednisone, betamethasone, beclomethasone propionate, prednisolone, hydrocortisone, dexamethasone, and combinations thereof, and the phosphodiesterase-4 inhibitors is one or more selected from the group consisting of roflumilast, rolipram, penntoxifylline, and combinations thereof.
6. The non-aqueous sustained release drug delivery system according to claim 1, wherein, the drug sustained release agent is one or more selected from the group consisting of castor oil, sesame oil, ethyl oleate, soybean oil, medium chain triglyceride, and peanut oil, the pharmaceutical surfactant is one or more selected from the group consisting of pharmaceutical phospholipids, the ω-3 polyunsaturated fatty acids is one or more selected from the group consisting of α-linolenic acid, eicosapentaenoic acid (EPA), docosahexaenoic acid (DHA), and combinations thereof, the substance rich in α-linolenic acid is one or more selected from the group consisting of linseed oil, perilla seed oil, walnut oil, argan oil, or combinations thereof, the substance rich in α-linolenic acid metabolites is one or more selected from the group consisting of fish oil, laver oil, algal oil, and combinations thereof.
7. The non-aqueous sustained release drug delivery system according to claim 1, wherein the substance rich in ω-3 fatty acids or metabolites thereof is one or more selected from the group consisting of substances rich in ω-3 fatty acids or metabolites thereof with eicosapentaenoic acid content of not less than 15% and docosahexaenoic acid content of not less than 10%.
8. The non-aqueous sustained release drug delivery system according to claim 1, wherein the system is administered by injection or by other forms of external administration.
9. The non-aqueous sustained release drug delivery system according to claim 1, wherein the release duration of the active agent in the drug delivery system reaches at least 12 h.
10. The non-aqueous sustained release drug delivery system according to claim 1, wherein a total amount administered per day of the sustained release drug delivery system is 1 to 1000 mg of the active drug.
11. The non-aqueous sustained release drug delivery system according to claim 1, comprising: based on the total weight of the sustained release drug delivery system, in weight percentage, 0.5% to 15% of the active agent; 2% to 40% of the drug solvent; 5% to 90% of the drug sustained release agent; 5% to 80% of the drug solubilizer; 1% to 10% of the efficacy enhancer; 0% to 0.5% of the antioxidant; and 0% to 5% of the acid-base regulator.
12. The non-aqueous sustained release drug delivery system according to claim 1, comprising: based on the total weight of the sustained release drug delivery system, in weight percentage, 1% to 10% of the active agent; 5% to 35% of the drug solvent; 10% to 82% of the drug sustained release agent; 10% to 65% of the drug solubilizer; 2% to 8% of the efficacy enhancer; 0% to 0.3% of the antioxidant; and 0% to 2% of the acid-base regulator.
13. The non-aqueous sustained release drug delivery system according to claim 6, wherein, the drug sustained release agent is one or more selected from the group consisting of castor oil, soybean oil, and sesame oil, the pharmaceutical phospholipids is one or more selected from the group consisting of natural phospholipids, semi-synthetic phospholipids, and synthetic phospholipids, and the α-linolenic acid is the α-linolenic acid (ALA) of plant origin.
14. The non-aqueous sustained release drug delivery system according to claim 13, wherein, the natural phospholipids is one or more selected from the group consisting of egg yolk lecithin, soybean lecithin, and combinations thereof, the semi-synthetic phospholipids is one or more selected from the group consisting of hydrogenated egg yolk lecithin, hydrogenated soybean phospholipids or combinations thereof, and the synthetic phospholipids is one or more selected from the group consisting of dipalmitoyl phosphatidylethanolamine, dipalmitoyl phosphatidic acid, dipalmitoylphosphatidylglycerole, dioleoylphosphatidylethanolamine, dipalmitoylphosphatidylcholine, distearoylphosphatidylcholine, dimyristoylphosphatidylcholine, and combinations thereof.
15. The non-aqueous sustained release drug delivery system according to claim 7, wherein the substance rich in ω-3 fatty acids or metabolites thereof is one or more selected from the group consisting of substances rich in ω-3 fatty acids or metabolites thereof with eicosapentaenoic acid content of not less than 20% and docosahexaenoic acid content of not less than 10%.
16. The non-aqueous sustained release drug delivery system according to claim 7, wherein the substance rich in ω-3 fatty acids or metabolites thereof is one or more selected from the group consisting of fish oil and laver oil.
17. The non-aqueous sustained release drug delivery system according to claim 8, wherein the injection administration includes at least one of subcutaneous, intradermal, intramuscular injection administration, direct instillation at the incision, incision infiltration administration, administration at the nerve plexus, injection at articular cavity, and intraocular administration.
18. The non-aqueous sustained release drug delivery system according to claim 1, wherein a release duration of the active agent in the drug delivery system reaches at least 24 h.
19. The non-aqueous sustained release drug delivery system according to claim 1, wherein a release duration of the active agent in the drug delivery system reaches at least 48 h.
20. The non-aqueous sustained release drug delivery system according to claim 1, wherein a release duration of the active agent in the drug delivery system reaches at least 72 h.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
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DETAILED DESCRIPTION OF EMBODIMENTS
[0092] The composition, preparation method and use of the invention are further described through the following preparation examples and experimental examples, but they are not intended to limit the invention. The invention is further described in details below with reference to the examples, but those skilled in the art should understand that the invention is not limited to these examples and the preparation methods used. Moreover, those skilled in the art can make equivalent replacements, combinations, improvements or modifications to the invention according to the description of the invention, and all of these are to be included in the scope of the invention.
Preparative Examples
Example 1
[0093] 300 mg of lidocaine hydrochloride, 1.0 g of benzyl alcohol, 2.0 g of soybean lecithin S100 and 6.2 g of ethyl oleate were precisely weighed into a pre-weighed round bottom flask and added with excess anhydrous ethanol to be completely dissolved by ultrasound. The round bottom flask was connected to a suitable rotary evaporator, and evaporated under reduced pressure until the weight change of the round bottom flask indicated that the anhydrous ethanol had been completely removed. The flask was cooled to room temperature, added with 0.5 g of fish oil 3322 and mixed well to obtain a liquid, which was filtered, repacked, filled with nitrogen, sealed, and then sterilized through moist heat sterilization to obtain Composition 1.
Example 2
[0094] 200 mg of verapamil hydrochloride, 1.0 g of egg yolk lecithin E80, 8.1 g of soybean oil and 0.2 g of linseed oil were precisely weighed into a pre-weighed round bottom flask and added with excess anhydrous ethanol to be completely dissolved by ultrasound. The round bottom flask was connected to a suitable rotary evaporator, and evaporated under reduced pressure until the weight change of the round bottom flask indicated that the anhydrous ethanol had been completely removed. The flask was cooled to room temperature, added with 0.5 g of anhydrous ethanol and mixed well to obtain Composition 2.
Example 3
[0095] 500 mg of promethazine free base, 2.0 g of benzyl alcohol, 2.5 g of egg yolk lecithin E80 and 4.0 g of castor oil were precisely weighed into a pre-weighed round bottom flask and added with excess anhydrous ethanol to be completely dissolved by ultrasound. The round bottom flask was connected to a suitable rotary evaporator, and evaporated under reduced pressure until the weight change of the round bottom flask indicated that the anhydrous ethanol had been completely removed. The flask was cooled to room temperature, added with 1.0 g of fish oil 3322 and mixed well to obtain Composition 3.
Example 4
[0096] 600 mg of huperzine A free base, 6.0 g of benzyl alcohol, 6.0 g of egg yolk lecithin E80 and 16.5 g of ethyl oleate were precisely weighed into a pre-weighed round bottom flask and added with excess anhydrous ethanol to be completely dissolved by ultrasound. The round bottom flask was connected to a suitable rotary evaporator, and evaporated under reduced pressure until the weight change of the round bottom flask indicated that the anhydrous ethanol had been completely removed. The flask was cooled to room temperature, added with 0.9 g of perilla seed oil and mixed well to obtain Composition 4.
Example 5
[0097] 0.6 g of fluvistrom free base was precisely weighed and dissolved in 2.0 g of benzyl alcohol and 1.5 g of benzyl benzoate to obtain a drug solution. 1.0 g of polyoxyl 15 hydroxystearate was weighed and added to 4.5 g of soybean oil with stirring to obtain a clear solution, which was added to the drug solution with stirring. Then 0.4 g of linseed oil was added thereto and stirred well to obtain a liquid, which was filtered, repacked, filled with nitrogen, sealed, and then sterilized through moist heat sterilization to obtain Composition 5.
Example 6
[0098] 300 mg of donepezil hydrochloride was precisely weighed and dissolved in a mixed liquid of 1.2 g of benzyl alcohol and 1.8 g of diethylene glycol monoethyl ether to obtain a drug solution. 1.0 g of polyoxyethylene hydrogenated castor oil was added to 5.2 g of castor oil and stirred well. The resultant was added to the drug solution and stirred well. 0.5 g of fish oil 3322 was added thereto and stirred well to obtain a liquid, which was filtered, repacked, filled with nitrogen, sealed, and then sterilized through moist heat sterilization to obtain Composition 6.
Example 7
[0099] Based on the weight percentage of the total weight of the composition, 1% propranolol free base was weighed and dissolved in 18% anhydrous ethanol. 50% soybean lecithin S100 was added thereto and dissolved under stirring at 60° C. 26% castor oil and 5% fish oil 3322 were added and stirred well to obtain a liquid, which was filtered, repacked, filled with nitrogen, and sealed to obtain Composition 7.
Example 8
[0100] Based on the weight percentage of the total weight of the composition, 3% mepivacaine hydrochloride, 40% soybean oil, 40% egg yolk lecithin PC-98T and 2% dexamethasone were weighed into a pre-weighed round bottom flask and added with excess anhydrous ethanol to be completely dissolved by ultrasound. The round bottom flask was connected to a suitable rotary evaporator, and evaporated under reduced pressure until the weight change of the round bottom flask indicated that the anhydrous ethanol had been completely removed. The flask was cooled to room temperature, added with 15% anhydrous ethanol and mixed thoroughly to obtain a liquid, which was filtered, repacked, filled with nitrogen, sealed to obtain Composition 8.
Example 9
[0101] Based on the weight percentage of the total weight of the composition, 1% vincristine free base, 15% benzyl alcohol, 31% medium chain triglycerides, 45% egg yolk lecithin E80 and 8% fish oil 3322 were weighed into a pre-weighed round bottom flask and added with excess anhydrous ethanol to be completely dissolved by ultrasound. The round bottom flask was connected to a suitable rotary evaporator, and evaporated under reduced pressure until the weight change of the round bottom flask indicated that the anhydrous ethanol had been completely removed. After the flask was cooled to room temperature, Composition 9 was obtained.
Example 10
[0102] Based on the weight percentage of the total weight of the composition, 2% clopidogrel free base, 23% benzyl alcohol, 10% sesame oil, 63% egg yolk lecithin E80 and 2% perilla seed oil were weighed into a pre-weighed round bottom flask and added with excess anhydrous ethanol to be completely dissolved by ultrasound. The round bottom flask was connected to a suitable rotary evaporator, and evaporated under reduced pressure until the weight change of the round bottom flask indicated that the anhydrous ethanol had been completely removed. After the flask was cooled to room temperature, Composition 10 was obtained.
Example 11
[0103] Based on the weight percentage of the total weight of the composition, 3% bupivacaine hydrochloride was precisely weighed and dissolved in 12% benzyl alcohol, and 30% egg yolk lecithin E80 was added thereto and dissolved with stirring at 60° C., and then 47% castor oil and 8% fish oil 3322 were added and stirred well to obtain a liquid, which was filtered, repacked, filled with nitrogen, sealed and then sterilized through moist heat sterilization to obtain Composition 11.
Example 12
[0104] Based on the weight percentage of the total weight of the composition, 5% procaine free base was precisely weighed and dissolved in 25% benzyl alcohol to obtain a drug solution. 50% egg yolk lecithin PC-98T was weighed and added to 16% medium chain triglyceride, and dissolved with stirring at 60° C. The resultant was added to the drug solution with stirring, and then 4% perilla seed oil was added thereto and stirred well to obtain a liquid, which was filtered, repacked, filled with nitrogen, sealed and then sterilized through moist heat sterilization to obtain Composition 12.
Example 13
[0105] Based on the weight percentage of the total weight of the composition, 3% simvastatin free base, 8% benzyl benzoate, 10% benzyl alcohol, 53% soybean oil, 20% egg yolk lecithin E80 and 6% fish oil 3322 were weighed into a pre-weighed round bottom flask and added with excess anhydrous ethanol to be completely dissolved by ultrasound. The round bottom flask was connected to a suitable rotary evaporator, and evaporated under reduced pressure until the weight change of the round bottom flask indicated that the anhydrous ethanol had been completely removed. After the flask was cooled to room temperature, Composition 13 was obtained.
Example 14
[0106] Based on the weight percentage of the total weight of the composition, 2% tetracaine free base, 12% benzyl alcohol, 54% castor oil, 27% egg yolk lecithin PC-98T and 5% perilla seed oil were weighed into a pre-weighed round bottom flask and added with excess anhydrous ethanol to be completely dissolved by ultrasound. The round bottom flask was connected to a suitable rotary evaporator, and evaporated under reduced pressure until the weight change of the round bottom flask indicated that the anhydrous ethanol had been completely removed. The obtained liquid was filtered, repacked, filled with nitrogen, sealed and then sterilized through moist heat sterilization to obtain Composition 14.
Example 15
[0107] Based on the weight percentage of the total weight of the composition, 4% nimodipine free base, 40% sesame oil, 34% egg yolk lecithin E80 and 7% linseed oil were weighed into a pre-weighed round bottom flask and added with excess methanol to be completely dissolved by ultrasound. The round bottom flask was connected to a suitable rotary evaporator, and evaporated under reduced pressure until the weight change of the round bottom flask indicated that the methanol had been completely removed. The flask was cooled to room temperature, supplemented with 15% anhydrous ethanol and mixed well to obtain Composition 15.
Example 16
[0108] Based on the weight percentage of the total weight of the composition, 3% bupivacaine hydrochloride, 20% propylene glycol, 31.7% castor oil, 40% soybean lecithin S100 and 0.3% meglumine were weighed into a pre-weighed round bottom flask and added with excess anhydrous ethanol to be completely dissolved by ultrasound. The round bottom flask was connected to a suitable rotary evaporator, and evaporated under reduced pressure until the weight change of the round bottom flask indicated that the anhydrous ethanol had been completely removed. 5% fish oil 3322 was added and stirred well to obtain a liquid, which was filtered, repacked, filled with nitrogen, sealed and then sterilized through moist heat sterilization to obtain Composition 16.
Example 17
[0109] Based on the weight percentage of the total weight of the composition, 3% lidocaine hydrochloride, 0.1% α-tocopherol, 0.1% ascorbyl palmitate were dissolved a mixed solvent of 10% benzyl alcohol and 5% propylene glycol, and then 35% soybean lecithin S100 was added and dissolved with stirring. Then 40.8% castor oil and 5% fish oil 3322 were added and stirred well, and then added with 1% ethylenediamine and mixed well to obtain a liquid, which was filtered, repacked, filled with nitrogen, sealed and then sterilized through moist heat sterilization to obtain Composition 17.
Example 18
[0110] Based on the weight percentage of the total weight of the composition, 3% mepivacaine hydrochloride, 20% propylene glycol, 33.92% castor oil, 0.08% α-tocopherol, 38% soybean lecithin S100 and 4% linseed oil were weighed into a pre-weighed round bottom flask and added with excess anhydrous ethanol to be completely dissolved by ultrasound. The round bottom flask was connected to a suitable rotary evaporator, and evaporated under reduced pressure until the weight change of the round bottom flask indicated that the anhydrous ethanol had been completely removed. 1% diethanolamine was added and mixed well to obtain a liquid, which was filtered, repacked, filled with nitrogen, sealed and then sterilized through moist heat sterilization to obtain Composition 18.
Example 19
[0111] Based on the weight percentage of the total weight of the composition, 3% bupivacaine hydrochloride, 20% propylene glycol, 31.7% castor oil, 40% soybean lecithin S100 and 0.3% meglumine were weighed into a pre-weighed round bottom flask and added with excess anhydrous ethanol to be completely dissolved by ultrasound. The round bottom flask was connected to a suitable rotary evaporator, and evaporated under reduced pressure until the weight change of the round bottom flask indicated that the anhydrous ethanol had been completely removed. 5% fish oil 1812 was added and stirred well to obtain a liquid, which was filtered, repacked, filled with nitrogen, sealed and then sterilized through moist heat sterilization to obtain Composition 19.
Example 20
[0112] Based on the weight percentage of the total weight of the composition, 3% bupivacaine hydrochloride, 20% propylene glycol, 31.7% castor oil, 40% soybean lecithin S100 and 0.3% meglumine were weighed into a pre-weighed round bottom flask and added with excess anhydrous ethanol to be completely dissolved by ultrasound. The round bottom flask was connected to a suitable rotary evaporator, and evaporated under reduced pressure until the weight change of the round bottom flask indicated that the anhydrous ethanol had been completely removed. 5% algal oil was added and stirred well to obtain a liquid, which was filtered, repacked, filled with nitrogen, sealed and then sterilized through moist heat sterilization to obtain Composition 20.
Comparative Example 1: Bupivacaine Hydrochloride Injection
[0113] 150mg of bupivacaine hydrochloride as the active pharmaceutical ingredient (calculated by bupivacaine hydrochloride) was weighed into a vial, added with 20 ml purified water, vortexed and ultrasonicated. After the mixture was dissolved and became clear to obtain a uniform solution, sodium chloride was added to adjust the osmotic pressure to isotonic to obtain a bupivacaine hydrochloride injection.
Comparative Example 2: Lidocaine Hydrochloride Injection
[0114] 200 mg of lidocaine hydrochloride as the active pharmaceutical ingredient (calculated by lidocaine hydrochloride) was weighed into a vial, added with 10 ml purified water, vortexed and ultrasonicated. After the mixture was dissolved and became clear, sodium chloride was added to adjust the osmotic pressure to isotonic to obtain a lidocaine hydrochloride injection.
Comparative Example 3: Mepivacaine Hydrochloride Injection
[0115] 500 mg of mepivacaine hydrochloride as the active pharmaceutical ingredient (calculated by mepivacaine hydrochloride), 330 mg of sodium chloride, 15 mg of potassium chloride and 16.5 mg of calcium chloride were weighed into a vial, added with 50 ml purified water, vortexed and ultrasonicated. After the mixture was dissolved and became clear, a uniform solution was obtained, which was the mepivacaine hydrochloride injection.
Comparative Example 4: Lidocaine Hydrochloride Conventional Sustained Release Preparation
[0116] 300 mg of lidocaine hydrochloride, 1.0 g of benzyl alcohol, 2.0 g of soybean lecithin and 6.7 g of ethyl oleate were precisely weighed into a pre-weighed round bottom flask and added with excess anhydrous ethanol to be completely dissolved by ultrasound. The round bottom flask was connected to a suitable rotary evaporator, and evaporated under reduced pressure until the weight change of the round bottom flask indicated that the anhydrous ethanol had been completely removed. The obtained liquid was filtered, repacked, filled with nitrogen, sealed and then sterilized through moist heat sterilization to obtain the lidocaine hydrochloride conventional sustained release preparation.
Comparative Example 5: Mepivacaine Hydrochloride Conventional Sustained Release Preparation
[0117] Based on the weight percentage of the total weight of the composition, 3% mepivacaine hydrochloride, 42% soybean oil and 40% egg yolk lecithin were weighed into a pre-weighed round bottom flask and added with excess anhydrous ethanol to be completely dissolved by ultrasound. The round bottom flask was connected to a suitable rotary evaporator, and evaporated under reduced pressure until the weight change of the round bottom flask indicated that the anhydrous ethanol had been completely removed. The flask was cooled to room temperature, added with 15% anhydrous ethanol and mixed well to obtain a liquid, which was filtered, repacked, filled with nitrogen, sealed to obtain the mepivacaine hydrochloride conventional sustained release preparation.
Comparative Example 6: Procaine Hydrochloride Injection
[0118] 200 mg of procaine hydrochloride as the active pharmaceutical ingredient (calculated by procaine hydrochloride) was weighed into a vial, added with 20 ml purified water, vortexed and ultrasonicated. After the mixture was dissolved and became clear, sodium chloride was added to adjust the osmotic pressure to isotonic to obtain the procaine hydrochloride injection.
Comparative Example 7: Procaine Conventional Sustained Release Preparation
[0119] Based on the weight percentage of the total weight of the composition, 5% procaine free base was precisely weighed and dissolved in 25% benzyl alcohol to obtain a drug solution. 50% egg yolk lecithin was added to 20% medium chain triglyceride and dissolved with stirring at 60° C., and the resultant was added to the drug solution and stirred well to obtain a liquid, which was filtered, repacked, filled with nitrogen, sealed and then sterilized through moist heat sterilization to obtain the procaine conventional sustained release preparation.
Comparative Example 8: Bupivacaine Hydrochloride Conventional Sustained Release Preparation
[0120] Based on the weight percentage of the total weight of the composition, 3% bupivacaine hydrochloride, 20% propylene glycol, 36.7% castor oil, 40% soybean lecithin S100 and 0.3% meglumine were weighed into a pre-weighed round bottom flask and added with excess anhydrous ethanol to be completely dissolved by ultrasound. The round bottom flask was connected to a suitable rotary evaporator, and evaporated under reduced pressure until the weight change of the round bottom flask indicated that the anhydrous ethanol had been completely removed. The obtained liquid was filtered, repacked, filled with nitrogen, sealed and then sterilized through moist heat sterilization to obtain the Comparative example 8.
Comparative Example 9: Bupivacaine Hydrochloride Sustained Release Preparation
[0121] Based on the weight percentage of the total weight of the composition, 3% bupivacaine hydrochloride, 20% propylene glycol, 18.7% castor oil, 40% soybean lecithin S100 and 0.3% meglumine were weighed into a pre-weighed round bottom flask and added with excess anhydrous ethanol to be completely dissolved by ultrasound. The round bottom flask was connected to a suitable rotary evaporator, and evaporated under reduced pressure until the weight change of the round bottom flask indicated that the anhydrous ethanol had been completely removed. 18% fish oil 3322 was added and stirred well to obtain a liquid, which was filtered, repacked, filled with nitrogen, sealed and then sterilized through moist heat sterilization to obtain the Comparative example 9.
Experimental Examples
Experimental Example 1
Study on the Stability
[0122] The pharmaceutical compositions of the invention were placed under accelerated conditions (temperature (40±2) °C, relative humidity (75±5)%) and long-term conditions (temperature (25±2) °C, relative humidity (60±5)%), and the stability of the compositions were studied by their appearance. The results are shown in Table 1.
[0122] TABLE-US-00001 Study results of the stability of the compositions Composition Appearance Day 0 6 months under accelerated conditions 6 months under long term conditions Composition 1 clear and transparent clear and transparent clear and transparent Composition 8 clear and transparent clear and transparent clear and transparent Composition 9 clear and transparent clear and transparent clear and transparent Composition 14 clear and transparent clear and transparent clear and transparent Composition 16 clear and transparent clear and transparent clear and transparent Composition 17 clear and transparent clear and transparent clear and transparent Composition 19 clear and transparent clear and transparent clear and transparent Composition 20 clear and transparent clear and transparent clear and transparent
[0123] The results showed that the prepared compositions were clear and transparent after being placed for 6 months under accelerated and long-term conditions, indicating that their storage stabilities are good.
[0124] Some drugs were selected as model drugs to study the pharmacodynamics and pharmacokinetics of the compositions in animals.
Experimental Example 2
Study on the In Vitro Release Curve
[0125] The compositions and their corresponding aqueous solution (see Table 2) were placed respectively in dialysis bags, and immersed in an appropriate amount of phosphate buffers (PBS) at 37° C. 1 ml of release solutions were taken at different time points, and 1 ml of PBS solution was quickly supplemented with until the release was completed. The cumulative release curve was plotted with time as the abscissa and the cumulative release rate as the ordinate. The results are shown in
[0125] TABLE-US-00002 In vitro release information of the compositions Composition Comparative example Preparations of Comparative examples Composition 2 aqueous Verapamil hydrochloride solution 20 mg of verapamil hydrochloride was weighed and dissolved in 8ml purified water, and adjusted to isotonic with sodium chloride. Composition 7 aqueous Propranolol hydrochloride solution 20 mg of propranolol hydrochloride was weighed and dissolved in 20 ml purified water, and adjusted to isotonic with sodium chloride. Composition 9 aqueous Vincristine sulfate solution 10 mg of vincristine sulfate was weighed and dissolved in 10 ml purified water, and adjusted to isotonic with sodium chloride.
[0126] The results showed that it took at least 72 hours to release 80% of the active pharmaceutical ingredient for the composition of the invention, while it took about 2 hours to release more than 80% of the active pharmaceutical ingredient for the corresponding aqueous solution with an obvious burst release, indicating that the composition of the invention can reduce burst release compared with its aqueous solution, and has advantages in sustained release.
Experimental Example 3
[0127] In the following experimental description, the dose refers to the dose calculated based on the amount of the hydrochloride of the active ingredient in the preparations (that is, converted to hydrochloride in the case of using a free base). Exparel is bupivacaine polycystic liposome, batch number: 18-4122, manufacturer: Pacira.
[0128] In the following experiments, the effective therapeutic dose R is calculated according to the following formula: R=A/T.sub.t
[0129] wherein, A is the dosage of the drug, and Tt is the in vivo effective treatment time of the drug (i.e. the duration of action, determined by pharmacodynamic experiments).
In Vivo Pharmacodynamic Study of Pharmaceutical Compositions (1)
[0130] Animals for experiment: male SD rats with a weight of 200-300 g were fed adaptively for 2-4 days, and the basic thresholds were measured every day for 3 days.
[0131] Experimental grouping and dosage: the rats were randomly grouped according to the basic thresholds, 6 rats/group. 10 mg/kg comparative example 1, 30 mg/kg composition 11, 20 mg/kg composition 11, 30 mg/kg composition 16, 30 mg/kg Exparel and normal saline placebo were respectively injected into the subcutaneous tissue of rats’ ootpad (the dosage volume range was 0.10-0.35 ml), and the pain threshold was measured by von Frey filament pain meter.
[0132] Method: paired t-test was used to compare the mechanical paw withdrawal threshold with that before administration for each group of animals, and unpaired t-test was used to compare the mechanical paw withdrawal threshold with that of Exparel for each group of animals. P < 0.05 means there is a statistical difference, P < 0.01 and P < 0.001 mean there is a significant statistical difference.
[0133] The experimental results are shown in
[0134] Compared with the mechanical threshold before administration for each group, the duration of action of Comparative example 1 was 2 h, the duration of action of the marketed Exparel in rats was about 24 h, while the duration of action of Composition 11 of the invention could reach 48 h at the same dose, the duration of action of Composition 11 which had a reduced dose was 30 h, and the duration of action of Composition 16 was 54 h. It can be seen that the duration of action of the composition of the invention is at least twice longer than that of Exparel at the same dose. Compared with Exparel at the same dose, the pharmacodynamic intensities of Composition 11 at 24-54 h and Composition 16 at 24-60 h had significantly difference, indicating that the duration of action of the composition of the invention has a significant advantage over those of Comparative examples 8 and 9.
[0135] The effective therapeutic dose R was calculated, and the results are shown in Table 3.
TABLE-US-00003 Calculation results of effective therapeutic dose of the compositions and comparative examples Composition R Comparative example 1 5.0 Composition 11 (30 mg/kg) 0.63 Composition 11 (20 mg/kg) 0.67 Composition 16 (30 mg/kg) 0.56 Exparel 1.25
[0136] It can be seen from the results that the effective therapeutic dose R of the compositions 11 and 16 of the invention were reduced by at least 40% compared with those of Exparel and Comparative example 1, and thus the compositions of the present application have improved drug utilization.
In Vivo Pharmacodynamic Study of Pharmaceutical Compositions (2)
[0137] According to the procedures of the in vivo pharmacodynamic study of pharmaceutical compositions (1), the efficacies of 30 mg/kg Comparative example 8, Comparative example 9, Composition 16, Composition19 and Composition 20 in rats were studied respectively. See Table 4 for the experimental results.
[0137] TABLE-US-00004 Mechanical pain threshold results of the compositions Time/h Comparative example 8 Comparative example 9 Composition 16 Composition 19 Composition 20 Before administration 12±3 13±3 13±3 13±3 13±3 3 240±66*** 240±66*** 220±62*** 280±49*** 247±86** 6 173±73** 173±73** 187±64** 153±41*** 167±33*** 24 80±22*** 73±21** 87±21*** 80±22*** 80±22*** 30 36±19** 36±19* 73±21 **##&& 73±21 **##&& 49±18** 36 13±3 13±3 49±18**###&&& 54±14**###&&& 36±19*#& 48 15±6 13±3 49±18**##&&& 43±19*##&& 24±4**#&&& 54 15±6 12±3 32±14*#&& 24+4**#&&& 13±3 60 13±3 13±3 22±6*##&& 14±2 13±3 72 14±2 13±3 14±2 12±3 13±3 Notes: *P<0.05, **p<0.01, ***p<0.001 v.s. threshold before administration; #P<0.05, ##p<0.01, ###p<0.001 v.s. Comparative example 8; &p<0.05, &&p<0.01, &&&p<0.001 v.s. Comparative Example 9.
[0138] The results showed that the duration of action of Comparative examples 8 and 9 and Compositions 16, 19 and 20 in rats were 30 h, 30 h, 60 h, 54 h and 48 h, respectively. It can be seen that at the same dose, the duration of action of Compositions 16, 19 and 20 (both containing 5% efficacy enhancer) can be prolonged by at least 60% compared with that of Comparative example 8 (not containing the efficacy enhancer) and Comparative example 9 (containing 18% efficacy enhancer). Fish oil 3322 contains about 33% of eicosapentaenoic acid and about 22% of docosahexaenoic acid, fish oil 1812 contains about 18% of eicosapentaenoic acid and about 12% of docosahexaenoic acid, and algal oil contains about 35% of docosahexaenoic acid with no eicosapentaenoic acid. With the same ratio of efficacy enhancers, the durations of action of Compositions 16, 19 and 20 were shortened in turn, indicating that the content of eicosapentaenoic acid and docosahexaenoic acid in the composition may affect the duration of action, and the pharmacodynamic result is better in the case that eicosapentaenoic acid and docosahexaenoic acid are both contained.
[0139] In addition, compared with Comparative examples 8 and 9, the pain thresholds of Compositions 6, 19 and 20 at 30 h or different time points after 30 h had significantly difference, indicating that the composition of the present invention has a significant advantage in the duration of action over Comparative examples 8 and 9, and the efficacy enhancer has achieved unexpected effects for a certain mechanism.
[0140] The effective therapeutic dose of each composition was calculated according to the duration of action of the composition. The results are shown in Table 5.
TABLE-US-00005 Calculation results of effective therapeutic dose of the compositions parameter Comparative example 8 Comparative example 9 Composition 16 Composition 19 Composition 20 R 1.0 1.0 0.5 0.56 0.63
[0141] It can be seen that the effective therapeutic dose of the composition of the invention was reduced by at least 30% compared with those of Comparative examples 8 and 9, indicating that the composition of the invention has improved the drug utilization.
In Vivo Pharmacodynamic Study of Pharmaceutical Compositions (3)
[0142] According to the procedures of in vivo pharmacodynamic study of pharmaceutical compositions (1), the efficacy of 10 mg/kg Comparative example 2, 30 mg/kg Comparative example 4, 30 mg/kg Composition 1 and 30 mg/kg Composition 17 in rats were studied respectively. The experimental results are shown in
[0143] Compared with the mechanical threshold before administration for each group, the duration of action of Comparative example 2 was 3 h, and the duration of action of Comparative example 4 could maintain about 24 h, while the Composition 1 and Composition 17 of the invention could reach 30 h and 36 h at the same dose. It can be seen that at the same dose, the duration of action of the compositions of the invention was prolonged by at least 25% compared with the comparative examples. Compared with Comparative example 4 at the same dose, the pharmacodynamic intensities of Composition 1 in 30 h and Composition 17 at 24-36 h were significantly different, indicating that the compositions of the invention have significant advantage in the duration of action over Comparative example 4.
[0144] The effective therapeutic dose R was calculated, and the results are shown in Table 6.
TABLE-US-00006 Calculation results of effective therapeutic dose of the compositions and comparative examples Composition R Comparative example 2 3.3 Comparative example 4 1.25 Composition 1 1.0 Composition 17 0.83
[0145] It can be seen from the results that the effective therapeutic doses R of the compositions 1 and 17 of the invention were reduced by at least about 20% compared with Comparative examples 2 and 4, and thus the compositions of the present application have improved drug utilization.
In Vivo Pharmacodynamic Study of Pharmaceutical Compositions (4)
[0146] According to the procedures of in vivo pharmacodynamic study of pharmaceutical compositions (1), the efficacy of 20 mg/kg Comparative example 6, 60 mg/kg Comparative example 7 and 60 mg/kg Composition 12 in rats were studied respectively. The experimental results are shown in
[0147] Compared with the mechanical threshold before administration for each group, the duration of action of Comparative example 6 was 2 h, the duration of action of Comparative example 7 was about 54 h, and the duration of action of Composition 12 of the invention could reach 72 h at the same dose. It can be seen that at the same dose, the duration of action of the compositions of the invention was prolonged by at least 30% compared with comparative examples. Compared with Comparative example 7 at the same dose, the pharmacodynamic intensity of Composition 12 at 60-72 h was significantly different, indicating that the composition of the invention has a significant advantage in the duration of action over Comparative example 7.
[0148] The effective therapeutic dose R was calculated, and the results are shown in Table 7.
TABLE-US-00007 Calculation results of effective therapeutic dose of the composition and comparative examples Composition R Comparative example 6 10 Comparative example 7 1.11 Composition 12 0.83
[0149] It can be seen from the results that the effective therapeutic dose R of Composition 12 of the invention was reduced by at least about 25% compared with Comparative examples 6 and 7, and the drug utilization is improved.
[0150] In conclusion, the pharmaceutical composition of the invention has a controllable sustained release time, and its duration of action is prolonged by at least 25%, and its effective therapeutic dose R is reduced by at least about 20% compared with the conventional sustained release preparation at the same dose, and thus has obvious pharmacodynamic advantages, indicating that the efficacy enhancer has achieved unexpected effects for a certain mechanism.
Experimental Example 4
[0151] In the following experimental description, the dose refers to the dose calculated based on the amount of hydrochloride of the active ingredient in the preparations (that is, converted to hydrochloride in the case of using a free base). Exparel is bupivacaine polycystic liposome, batch number: 18-4122, manufacturer: Pacira.
In Vivo Pharmacokinetic Study of Pharmaceutical Compositions (1)
[0152] The obtained pharmaceutical composition was subcutaneously injected into male SD rats, blood was taken at regular intervals, and the drug concentration in plasma was determined by LC-MS method to study the pharmacokinetics in vivo.
[0153] Animals for experiment: male SD rats, weight 200-300 g, source: Shanghai Institute of Materia Medica, Chinese Academy of Sciences.
[0154] Experimental grouping: rats were randomly grouped according to the following table, 6 rats/group.
[0155] See Table 8 for the preparations and doses.
TABLE-US-00008 Dose information of the compositions Composition Dose/mg/kg Comparative example 1 10 Composition 11 30 Exparel 30 Composition 16 30
[0156] The pharmacokinetic (PK) parameters of the compositions were calculated, and the results were statistically analyzed by t-test. The experimental results are shown in Table 9 and
TABLE-US-00009 PK parameters of the compositions PK parameters Comparative example 1 Exparel Composition 11 Composition 16 C.sub.max(ng/ml) 668.13±44.63 68.02±14.01 294.42±29.49 317.00±12.12 AUC(h*ng/ml) 2125.27±55.81 1758.31±202.26 6005.23±201.69*** 6452.08±177.50*** AUC.sub.C>MEC(h*ng/ml) / 1123.96±92.31 5663.61±209.84*** 6158.83±165.68*** Note: AUC.sub.C > .sub.MEC is the effective bioavailability. Note: *p<0.05 ** p<0.01 *** P < 0.001 v.s. Exparel.
[0157] The results showed that the C.sub.max of Compositions 11 and 16 was reduced by at least 80% compared with that of Comparative example 1. Compared with Exparel, the bioavailability and effective bioavailability of Compositions 11 and 16 were significantly improved.
In Vivo Pharmacokinetic Study of Pharmaceutical Compositions (2)
[0158] The pharmacokinetic study was carried out according to the procedures of in vivo pharmacokinetic study of pharmaceutical compositions (1).
[0159] See table 10 for the preparations and doses.
TABLE-US-00010 Dose information of the compositions Drug composition Dose/mg/kg Lidocaine hydrochloride Comparative example 2 10 Comparative example 4 30 Composition 1 30 Composition 17 30
[0160] The pharmacokinetic (PK) parameters of the compositions were calculated, and the results were statistically analyzed by t-test. The experimental results are shown in Table 11 and
TABLE-US-00011 PK parameters of the pharmaceutical compositions PK parameters Comparative example 2 Comparative example 4 Composition 1 Composition 17 C.sub.max(ng/ml) 292.18±43.04 197.32±30.21 214.56±30.21 236.67±12.06 AUC(h*ng/ml) 1294.78±101.23 2727.89±156.92 3490.60±273.45*** 3974.48±28.86*** AUC.sub.C>MEC(h*ng/ml) / 2108.64±102.12 3225.01±154.62*** 3817.01±11.65*** Note: AUC.sub.C > .sub.MEC is the effective bioavailability. Note: *p<0.05 ** p<0.01 *** P < 0.001 v.s. Comparative example 4.
[0161] The results showed that the C.sub.max of Compositions 1 and 17 was reduced by at least 70% compared with that of Comparative example 2. Compared with that of Comparative example 4, the bioavailability and effective bioavailability of Compositions 1 and 17 were significantly improved.
In Vivo Pharmacokinetic Study of Pharmaceutical Compositions (3)
[0162] The pharmacokinetic study was carried out according to the procedures of in vivo ph armacokinetic study of pharmaceutical compositions (1).
[0163] See table 12 for the preparations and doses.
TABLE-US-00012 Dose information of the compositions Drug composition Dose/mg/kg Mepivacaine hydrochloride Comparative example 3 7 Comparative example 5 21 Composition 8 21
[0164] The pharmacokinetic (PK) parameters of the compositions were calculated, and the results were statistically analyzed by t-test. The experimental results are shown in Table 13 and
TABLE-US-00013 PK parameters of the pharmaceutical compositions PK parameters Comparative example 3 Comparative example 5 Composition 8 C.sub.max(ng/ml) 359.38±39.02 155.09+23.12 126.23±11.44 AUC(h*ng/ml) 1474.87±103.76 3101.36+239.87 3880.72±221.09*** AUC.sub.C>MEC(h*ng/ml) / 2667.81±123.76 3826.65±145.73*** Note: AUC.sub.C > .sub.MEC is the effective bioavailability. Note: *p<0.05 ** p<0.01 *** P < 0.001 v.s. comparative example 5.
[0165] The results showed that the C.sub.max of Composition 8 was reduced by 88% compared with that of Comparative example 3, and the bioavailability and effective bioavailability of Composition 8 were significantly improved compared with that of Comparative example 5.
[0166] The results of
[0167] Conclusion: Composition 11 vs Comparative example 1, Composition 1 vs Comparative example 2 and Composition 8 vs Comparative example 3 have a C.sub.max reduced by at least 70% respectively with improved safety. Comparing the compositions of the invention with the marketed sustained release preparation or conventional sustained release preparation, the bioavailability and effective bioavailability are significantly improved, the retention time of the drug at an invalid concentration in the body is decreased, and the risk of adverse reactions caused by drug accumulation is reduced.
Experimental Example 5
Study on the Local Irritation of Pharmaceutical Compositions
[0168] In order to further study the irritation of the non-aqueous sustained release drug delivery system of the invention at the injection site, 10 mg/kg Comparative example 2, 30 mg/kg Comparative example 4 and 30 mg/kg Composition 1 were subcutaneously injected into rats, and after 48 hours, the tissue at the injection site was taken for morphological observation. The results are shown in
[0169]
[0170] To sum up, the drug delivery system of the invention can significantly reduce C.sub.max and improve the drug safety compared with the common injection at the same dose. At the same dose, compared with the conventional sustained release preparation, the drug delivery system of the invention can prolong the duration of action by at least 25%, and thus has obvious pharmacodynamic advantages. The drug delivery system of the invention can reduce the effective therapeutic dose R per unit effective treatment time by at least about 20%. Compared with the marketed sustained release preparation or conventional sustained release preparation, the composition of the invention has significantly improved bioavailability and effective bioavailability, can avoid the long-term retention of the drug at an invalid concentration in the body and reduce the risk caused by drug accumulation. Compared with the studied preparation, the invention has the advantages of good safety, high bioavailability, controllable sustained release effect and high drug utilization.