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CN1919184A - Mycophenolate mofetile dispersed tablet and preparation method thereof - Google Patents

Mycophenolate mofetile dispersed tablet and preparation method thereof Download PDF

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Publication number
CN1919184A
CN1919184A CN 200610126992 CN200610126992A CN1919184A CN 1919184 A CN1919184 A CN 1919184A CN 200610126992 CN200610126992 CN 200610126992 CN 200610126992 A CN200610126992 A CN 200610126992A CN 1919184 A CN1919184 A CN 1919184A
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mycophenolate mofetil
dispersible tablet
parts
disintegrating agent
agent
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CN 200610126992
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Chinese (zh)
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黄本东
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Individual
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Abstract

The invention relates to a mycophenolate mofetil dispersible tablet and process for preparation, wherein the dispersible tablet comprises the following raw materials (by weight ratio): mycophenolate mofetil 125-500 parts, filling agent 30-120 parts, crumbling agent 25-150 parts, sweetener 6-24 parts, and lubricant 0.5-5 parts. The mycophenolate mofetil has the advantages of shorter disintegration period, better dispersion state, faster medicament dissolving, quicker absorption, and higher biological availability, thus is especially suitable for the elder people and patients suffering from swallowing difficulty.

Description

Mycophenolate mofetil dispersible tablet and preparation method thereof
Technical field
The present invention relates to pharmaceutical preparation, specifically, is a kind of immunosuppressant, i.e. mycophenolate mofetil dispersible tablet.
Background technology
In accepting the immunosuppressant that the organ transplant patient takes all the life now, Mycophenolate Mofetil (Mycophenolate Mofetil, MMF) be a kind of representative drugs with milestone significance, become the immunosuppressant of world's sales volume first, be widely used among adult and child's kidney, heart and the liver transplant patient.MMF combines efficiently originally, low toxicity, good and clinical curative effect and safety, and reliable characteristics such as pharmacokinetic properties, obtain generally acknowledging of domestic and international clinical boundary, be applied to the treatment of the heart, renal transplantation rejection and immune disease such as lupus nephritis, vasculitis etc. at present.
(mycophenolate mofetil is that (mycophenolic acid, 2-ethyl ester analog derivative MPA) take off esterification and form the metabolite MPA with immunosuppressive activity Mycophenolic Acid in vivo after the oral absorption MMF) to Mycophenolate Mofetil.MPA is efficient, selectivity, noncompetitive, reversible hypoxanthine mononucleotide dehydrogenase (IMPDH) inhibitor, the classical route of synthesis that can suppress guanylic acid, the propagation of selective exclusion T and bone-marrow-derived lymphocyte, transplant rejection and autoimmune disease all there is significant curative effect, and few side effects has shown good prospects for application.Summary is got up, and the mechanism of action of MMF has following specificity: (1) selectivity suppresses the classical route of synthesis of lymphocyte guanine, to non-lymphocyte and/or organ free of toxic effects; (2) directly suppress B cell proliferation, and ciclosporin does not suppress the effect that antibody forms; (3) efficiently reduce the activity of adhesion molecule, suppress vascular smooth muscle cell proliferation, can prevent and treat the vascular rejection and reduce the generation of chronic rejection.MMF can be used for accepting kidney of the same race, heart or liver transplantation patient's organ rejection response in addition, can use simultaneously with ciclosporin and adrenocortical hormone.The U.S. (ATC 2004) has the following advantages based on the immunosuppressant scheme of MMF: 1. help improving patient's survival rate to surpassing studies show that of 61000 routine cases; 2. toxicity is low; 3. acute and chronic rejection significantly reduces.Studies confirm that through Clinical Application: after MMF replaces AZA (azathioprine), it can effectively prevent and treat posttransplantation acute rejection, reduced the incidence rate of 50% acute cellular rejection, prolong the graft long-term surviving, and intractable repulsion and the vascular of anti-hormone and anti-ATG/ALG are repelled the effect that " treatment of treatment property " also arranged.
Summary of the invention
First purpose of the present invention provides a kind of mycophenolate mofetil dispersible tablet.
Another object of the present invention provides the preparation method of this mycophenolate mofetil dispersible tablet.
In order to achieve the above object, the present invention is by the following technical solutions:
This kind mycophenolate mofetil dispersible tablet, contain the raw material of following weight portion:
Mycophenolate Mofetil 125-500 part
Filler 30-120 part
Disintegrating agent 25-150 part
Sweeting agent 6-24 part
Lubricant 0.5-5 part.
In the described disintegrating agent, add in 20-100 part, 5-50 adds especially.
Described filler is selected from a kind of or its combination in lactose, mannitol, starch, pregelatinized Starch, microcrystalline Cellulose, micropowder silica gel, the sucrose.
Described disintegrating agent is selected from a kind of or its combination in low-substituted hydroxypropyl cellulose, carboxymethylstach sodium, polyvinylpolypyrrolidone, the crosslinked carboxymethyl fecula sodium.
Described sweeting agent is selected from stevioside, Aspartame, glucide and/or xylitol.
Described lubricant is selected from magnesium stearate or/and Pulvis Talci.
Preferably, described raw material and weight portion thereof are: 250 parts of Mycophenolate Mofetil, 40 parts of microcrystalline Cellulose, 30 parts of polyvinylpolypyrrolidone, 20 parts of low-substituted hydroxypropyl celluloses, 12 parts of steviosides, 2 parts of magnesium stearates.
This mycophenolate mofetil dispersible tablet makes by the following technical solutions:
A, each raw material pulverizing is crossed 80 mesh sieves;
B, take by weighing Mycophenolate Mofetil, filler, in the disintegrating agent and the sweeting agent that add, mix homogeneously;
C, adding 5% 30 POVIDONE K 30 BP/USP 30Alcoholic solution system soft material is with 24 mesh sieve system wet granulars;
D, wet granular be in 50 ℃ of dryings, and dry back is with 24 mesh sieve granulate, and even with the disintegrating agent that adds, mix lubricant again, tabletting is packed promptly.
The experimenter puts into mouth with 4 of mycophenolate mofetil dispersible tablets, takes with 200ml warm water.
First dose of dosage this product of prevention renal transplantation rejection should be oral within post-transplantation 72 hours.In renal transplant patient's usefulness, recommend each 1 gram, one day twice (daily dose is 2 grams).Though each 1.5 grams, one day twice (daily dose is 3 grams) used in clinical trial, and was safety and effective, not the advantage on the effect.The patient who accepts this product 2 grams every day is better than the patient who accepts 3 grams aspect overall security.This product should be used simultaneously with the ciclosporin and the corticosteroid of standard dose.
Treat the dosage of intractable renal transplant rejection clinical in, be each 1.5 grams to the treatment and the maintenance dose of intractable repulsion, one day twice (daily dose is 3 grams).So, every day 3 gram dosage recommended be used for clinical.This product should be used simultaneously with the ciclosporin and the corticosteroid of standard dose.
The patient that special consumption instructs neutrophilic granulocyte to reduce: (the neutrophilic granulocyte counting, absolute number is less than 1.3 * 10 if neutrophilic granulocyte reduces 3/ microlitre), answers interruption of the administration or decrement, should examine patient simultaneously.
The patient of severe renal functional lesion: for the renal transplant patient that severe chronic renal function injury (glomerular filtration rate less than 25 ml/min/1.73 square metre) is arranged, tiding over postoperative after date early, should avoid share greater than each 1 gram, semidiurnal dosage.And these patients need tight the observation.
The patient that renal transplantation thing function postpones: the patient to the postoperative graft function postpones need not to adjust dosage.
The patient of serious hepatic insufficiency: the renal transplant patient with serious liver parenchyma disease be need not dose titration.(see [pharmacokinetics].
Old man (more than or equal to 65 years old): to the renal transplant patient, oral each 1 gram of being recommended, every day, 2 times dosage was suitable to the old people.
The anaphylaxis of [contraindication] this product is observed.Therefore, this product is forbidden in the patient that allergy is arranged for Mycophenolate Mofetil and Mycophenolic Acid.
The patient of immunosuppressant treatment is accepted in warning, comprises drug combination, accepts this product as the partial immunity suppression therapy, and the danger that lymphoma and other malignant tumor take place increases, particularly skin.(seeing [untoward reaction]).Dangerous relevant with the immunosuppressant intensity and the course of treatment, have nothing to do and press down agent with specific immunity.Increase because the danger of skin carcinoma takes place all patients, should come limit exposure under sunlight and ultraviolet by the sunscreen cream of wearing protective clothing or high protection factor.
Immune excessive inhibition can increase the susceptibility that infects, and comprises that opportunistic pathogenesis infects, and causes death to infect and sepsis.
The invention has the advantages that, disintegrating agent adopt add and in add the form that combines, the mycophenolate mofetil dispersible tablet of gained have disintegration time weak point, good dispersing state, medicine stripping rapidly, absorb soon, advantage that bioavailability is high.And taking convenience, both can swallow, chewed, contain and suck, also available water is taken after disperseing, and especially is fit to the old man and the patient of difficulty that swallows.The present invention makes the oral formulations dosage form variation of Mycophenolate Mofetil, provides more choices for clinicist and patient's medication simultaneously.
The specific embodiment
Be embodiments of the invention below, described embodiment just is used for illustrating the present invention, and should not be considered to be limitation of the present invention.
The part material source:
Microcrystalline Cellulose: Zhejiang eyot prospect Pharmaceutical chemistry company limited meets two quality standards of Chinese Pharmacopoeia version in 2000.
Low-substituted hydroxypropyl cellulose: Zhejiang eyot prospect Pharmaceutical chemistry company limited meets two quality standards of Chinese Pharmacopoeia version in 2000.
Polyvinylpolypyrrolidone: international special product company limited meets import drugs registered standard JX20020242.
30 POVIDONE K 30 BP/USP 30: Zhejiang eyot prospect Pharmaceutical chemistry company limited meets two quality standards of Chinese Pharmacopoeia version in 2000.
Magnesium stearate: Zhejiang eyot prospect Pharmaceutical chemistry company limited meets two quality standards of Chinese Pharmacopoeia version in 2000.
Embodiment 1-35
Please refer to the 7th page of table 1 and table 2 to last page.
Carry out factors influencing by embodiment 35, the results are shown in Table 2.
The result shows that mycophenolate mofetil dispersible tablet provided by the invention meets the regulation of Chinese Pharmacopoeia (version in 2000) about dispersible tablet.
The test of embodiment 36 bioequivalences
The main pharmacokinetic parameter C of reference preparation Mycophenolate Mofetil capsule (R) and test preparation mycophenolate mofetil dispersible tablet (A) Max, T Max, AUC 0 → 24And AUC 0 → ∞(mean ± standard deviation) is respectively: 20.16 ± 3.47 and 19.88 ± 3.55 μ g/ml; 0.80 ± 0.17 and 0.74 ± 0.19h; 49.96 ± 18.01 and 48.63 ± 16.53 μ g * h/ml; 55.38 ± 18.68 and 54.34 ± 16.63 μ g * h/ml.Test preparation to the relative bioavailability F of reference preparation (with AUC 0 → 24As estimating foundation) be: 99% ± 17% (72%~132%).T MaxTest through non-engaging in an inspection, and different preparation differences there was no significant differences (U=0.2670, p=0.7895).AUC 0 → 24, AUC 0 → ∞And C MaxAfter to number conversion, carry out variance analysis, the result shows: both do not have significance meaning (p>0.05) with the different cycles differences between different preparations.C Max, AUC 0 → 24And AUC 0 → ∞Two one-side t-assays show that thigh and tlow are all greater than one-side t 0.05.Test preparation AUC 0 → 24And AUC 0 → ∞90% credibility interval all do not exceed the corresponding AUC of reference preparation 0 → 24And AUC 0 → ∞80%~125% scope; The C of test preparation Max90% credibility interval, do not exceed reference preparation C yet Max70%~143% scope.Above result shows that the Mycophenolate Mofetil capsule that mycophenolate mofetil dispersible tablet of the present invention is identical with dosage does not have the significance meaning in absorption by human body speed and absorbtivity difference, and two test preparations all have bioequivalence with reference preparation.
More than mycophenolate mofetil dispersible tablet provided by the present invention and preparation method thereof is described in detail, used specific case herein principle of the present invention and embodiment are set forth, the explanation of above embodiment just is used for helping to understand method of the present invention and core concept thereof; Simultaneously, for one of ordinary skill in the art, according to thought of the present invention, the part that all can change in specific embodiments and applications, in sum, this description should not be construed as limitation of the present invention.
Table 1
Continuous table 1
Figure A20061012699200111
Continuous table 1
Continuous table 1
Figure A20061012699200131
Continuous table 1
Table 2
Figure A20061012699200151

Claims (8)

1. a mycophenolate mofetil dispersible tablet is characterized in that, contains the raw material of following weight portion:
Mycophenolate Mofetil 125-500 part
Filler 30-120 part
Disintegrating agent 25-150 part
Sweeting agent 6-24 part
Lubricant 0.5-5 part.
2. mycophenolate mofetil dispersible tablet as claimed in claim 1 is characterized in that: in the described disintegrating agent, add in 20-100 part, 5-50 adds especially.
3. mycophenolate mofetil dispersible tablet as claimed in claim 1 is characterized in that: described filler is selected from a kind of or its combination in lactose, mannitol, starch, pregelatinized Starch, microcrystalline Cellulose, micropowder silica gel, the sucrose.
4. mycophenolate mofetil dispersible tablet as claimed in claim 1 is characterized in that: described disintegrating agent is selected from a kind of or its combination in low-substituted hydroxypropyl cellulose, carboxymethylstach sodium, polyvinylpolypyrrolidone, the crosslinked carboxymethyl fecula sodium.
5. mycophenolate mofetil dispersible tablet as claimed in claim 1 is characterized in that: described sweeting agent is selected from stevioside, Aspartame, glucide and/or xylitol.
6. mycophenolate mofetil dispersible tablet as claimed in claim 1 is characterized in that: described lubricant is selected from magnesium stearate or/and Pulvis Talci.
7. as any described mycophenolate mofetil dispersible tablet in the claim 1 to 6, it is characterized in that described raw material and weight portion thereof are: 250 parts of Mycophenolate Mofetil, 40 parts of microcrystalline Cellulose, 30 parts of polyvinylpolypyrrolidone, 20 parts of low-substituted hydroxypropyl celluloses, 12 parts of steviosides, 2 parts of magnesium stearates.
8. the preparation method of mycophenolate mofetil dispersible tablet as claimed in claim 1 is characterized in that, is made by following steps:
A, each raw material pulverizing is crossed 80 mesh sieves;
B, take by weighing Mycophenolate Mofetil, filler, in the disintegrating agent and the sweeting agent that add, mix homogeneously;
C, adding 5% 30 POVIDONE K 30 BP/USP 30Alcoholic solution system soft material is with 24 mesh sieve system wet granulars;
D, wet granular be in 50 ℃ of dryings, and dry back is with 24 mesh sieve granulate, and even with the disintegrating agent that adds, mix lubricant again, tabletting is packed promptly.
CN 200610126992 2006-09-18 2006-09-18 Mycophenolate mofetile dispersed tablet and preparation method thereof Pending CN1919184A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
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Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
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Publications (1)

Publication Number Publication Date
CN1919184A true CN1919184A (en) 2007-02-28

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2018167628A1 (en) 2017-03-13 2018-09-20 Ftf Pharma Private Limited Pharmaceutical composition of oral suspension of immunosuppressive agents
CN114569570A (en) * 2022-03-15 2022-06-03 浙江长典药物技术开发有限公司 Mycophenolate mofetil and preparation method thereof
US12097284B2 (en) 2018-08-18 2024-09-24 Liqmeds Worldwide Limited Mycophenolate oral suspension

Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2018167628A1 (en) 2017-03-13 2018-09-20 Ftf Pharma Private Limited Pharmaceutical composition of oral suspension of immunosuppressive agents
US12097284B2 (en) 2018-08-18 2024-09-24 Liqmeds Worldwide Limited Mycophenolate oral suspension
US12097285B2 (en) 2018-08-18 2024-09-24 Liqmeds Worldwide Limited Mycophenolate oral suspension
US12194143B2 (en) 2018-08-18 2025-01-14 Liqmeds Worldwide Limited Mycophenolate oral suspension
US12226526B2 (en) 2018-08-18 2025-02-18 Liqmeds Worldwide Limited Mycophenolate oral suspension
CN114569570A (en) * 2022-03-15 2022-06-03 浙江长典药物技术开发有限公司 Mycophenolate mofetil and preparation method thereof
CN114569570B (en) * 2022-03-15 2023-03-24 浙江长典药物技术开发有限公司 Mycophenolate mofetil and preparation method thereof

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