TWI307625B - New use of flibanserin - Google Patents
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- TWI307625B TWI307625B TW91119956A TW91119956A TWI307625B TW I307625 B TWI307625 B TW I307625B TW 91119956 A TW91119956 A TW 91119956A TW 91119956 A TW91119956 A TW 91119956A TW I307625 B TWI307625 B TW I307625B
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Description
1307625 A7 B7 五、發明説明( 發明敘述 歐洲專利申請案EP-A-526434中係以鹽酸鹽之形式揭示 化合物1-[2-(4-(3-三氟甲基^基)哌啩-1-基)乙基卜2,3-二 氫-1H-笨并咪唑-2-酮(弗利本西林),且其化學結構如下:1307625 A7 B7 V. DESCRIPTION OF THE INVENTION (Inventive Description European Patent Application EP-A-526434 discloses the compound 1-[2-(4-(3-trifluoromethyl))piperidinium in the form of the hydrochloride salt. 1-yl)ethyl b 2,3-dihydro-1H-benzimidazol-2-one (Frebencillin), and its chemical structure is as follows:
弗利本西林呈現對5-HT1A&5-HT2受體之親合力。因此 可用作治療各種疾病如沮喪、精神分裂及焦慮之治療藥 劑。 在遭遇性功能障礙之男性或女性病患之研究中,曾經發 現視情況為醫藥接受性酸加成鹽形式之弗利本西林呈現出 提高性需求之性質。因此,本發明係關於使用視情況為醫 藥接受性酸加成鹽形式之弗利本西林,以製備治療性需求 疾病之醫藥。 本發明較佳具體例係關於使用視情況為醫藥接受性酸加 成鹽形式之弗利本西林在製備治療選自包含性需求過低疾 病、性需求喪失、性需求、性需求下降、性需求抑制、喪 失性感'性感混亂及冷感之疾病之醫藥上之用途。 本發明最佳者為視情況為醫藥接受性酸加成鹽形式之弗 利本西林在製備治療選自包含性需求過低疾病、性需求喪 本紙張尺度適用中國國家標準(CNS) A4規格(210 X 297公釐) 1307625 五、發明説明( 失、性需求、 途。 t生需求下降、 性需求抑制疾病之醫藥上之用Fulbencillin exhibits affinity for the 5-HT1A & 5-HT2 receptor. It is therefore useful as a therapeutic agent for the treatment of various diseases such as depression, schizophrenia and anxiety. In studies of male or female patients suffering from sexual dysfunction, it has been found that Fulbencillin, which is in the form of a pharmaceutical acceptable acid addition salt, exhibits an increased demanding property. Accordingly, the present invention relates to the use of flubenzcillin in the form of a pharmaceutically acceptable acid addition salt to prepare a medicament for the treatment of a desired condition. A preferred embodiment of the present invention relates to the use of fenriberin in the form of a pharmaceutical acceptable acid addition salt as it is, in the treatment of a disease selected from the group consisting of an under-required disease, a loss of sexual desire, a sexual demand, a decrease in sexual demand, and a sexual demand. The medical use of a disease that suppresses and loses sexy 'sexy confusion and cold feeling. The best in the present invention is the case of the pharmaceutical acceptable acid addition salt form of fenriberin in the preparation of a treatment selected from the group consisting of insufficiency of insufficiency, the demand for the paper size of the paper, the Chinese National Standard (CNS) A4 specification ( 210 X 297 mm) 1307625 V. Description of the invention (loss, sexual demand, way.
=發:最佳具體例係關於視情況為醫藥接受性酸加 病自包含 弗=本西林所發現之作料在男人及女人上達成。然 杰越本發明另―目的’較佳者為視情況為醫藥接受性酸 藥:上::ί之弗利本西林在製備治療女性性功能障礙之醫 對於不管是终身存在之困擾或需求,及與病理上無關者 u官峋理及藥物產生-精神上產生,器官_物理及藥物產 生-及精神上產生者’或未知),均可發現弗利本西林有利 之作用。 弗利本西林可視情況以其醫藥接受性酸加成鹽之形式使 用。適當之酸加成鹽包含例如選自丁二酸'氫溴酸、乙 酸、富馬酸、馬來酸、甲苯續酸、乳酸、鱗酸、鹽酸、硫 酸、酒石酸、及檸檬酸之酸加成鹽,亦可使用上述混合物 之酸加成鹽。由上述之酸加成鹽,較佳者為鹽酸鹽及氫溴 酸鹽,尤其是鹽酸鹽。 視情況以其醫藥接受性酸加成鹽形式使用之弗利本西林 可以固%、液態或喷霧形式加於一般之醫藥製劑中。該組 合物可以以例如適用作口服、直腸、非腸胃投藥或鼻子吸 入之形式存在;較好為包含例如膠囊、錠劑、糖衣錠、安 瓶、检劑及鼻腔噴劑之形式。 -5- 本纸張尺度適用中國固家標準(CNS) Α4規格(2ΐ〇χ297公爱) 1307625 A7 ______ B7 ____ 五、發明説明(3 ) 活化成分可加於一般用於醫藥組合物之賦型劑或載劑 中,例如滑石、阿拉伯膠、乳糖、明膠、硬脂酸鎂、玉米 殿粉、水性或非水性載劑、聚乙烯基吡咯啶酮、脂肪酸之 半合成甘油酯、氣苄烷銨、磷酸鈉、EDTA、吐溫80。組 合物#父好以劑量單位之形式調配,各劑量單位係適用於供 給單一劑量之活化成分。每日可接受之劑量範圍為0· 1至 4〇〇、較好1.〇至300,更好為2至200毫克。 各劑量單位通常可含001毫克至丨〇〇毫克,較好〇 1至5〇 毫克。 適用之錠劑可藉由例如使活性物質與已知之賦型劑(例如 惰性稀釋劑’如碳酸鈣、磷酸鈣或乳糖)、崩解劑(如玉米 澱粉或藻膠酸)' 結合劑如澱粉或明膠、潤滑劑如硬脂酸鎂 或滑石及/或延遲釋出之劑類(如羧基曱基纖維素、纖維素 乙酸鹽磷酸酯,或聚乙酸乙烯酯)混合製備。錠劑亦可包括 許多層。 包衣之錠劑可藉由以通常用於錠劑包衣用之物質塗佈於 與錠劑製造類似之芯製備,例如火棉膠(c〇nid〇ne)或蟲 膠、阿拉伯膠、滑石、二氧化鈦或糖。為達到延遲之釋出 或避免不相容性,芯亦可包含許多層。類似之錢劑包衣可 包含許多層,以達到延遲之釋出,且對錠劑可使用上述之 賦型劑。 含本發明活性物質或其結合物之㈣或甘草劑可額外含 增甜劑’如糖精、甘味劑、甘油或糖,及提味劑,例如加 味劑如香轄或有機萃取液。其亦可含懸浮作要或增桐= hair: the best specific example is about the case of medical acceptance of acid plus disease self-contained F = Benxilin found in the material reached in men and women. Ranjie Yue, the other object of the present invention, is preferably a medicine-accepting acid drug: the following:: ί, Flebexillin in the preparation of a treatment for female sexual dysfunction, whether it is a lifelong problem or need, And the pathologically unrelated, u-management and drug production - mental production, organ _ physical and drug production - and mentally produced ' or unknown", can be found to have a beneficial effect. Fulbencillin can be used in the form of its pharmaceutically acceptable acid addition salt. Suitable acid addition salts include, for example, acid additions selected from the group consisting of succinic acid 'hydrobromic acid, acetic acid, fumaric acid, maleic acid, toluene acid, lactic acid, citric acid, hydrochloric acid, sulfuric acid, tartaric acid, and citric acid. As the salt, an acid addition salt of the above mixture can also be used. From the above acid addition salts, preferred are the hydrochlorides and hydrobromides, especially the hydrochlorides. Fulbencillin, which may be used in the form of its pharmaceutically acceptable acid addition salt, may be added to the general pharmaceutical preparation in %, liquid or spray form, as appropriate. The composition may be in the form of, for example, oral, rectal, parenteral or nasal inhalation; it preferably comprises, for example, a capsule, a lozenge, a dragee, a ampule, a test, and a nasal spray. -5- This paper size applies to China National Standard (CNS) Α4 specifications (2ΐ〇χ297 public) 1307625 A7 ______ B7 ____ V. Description of invention (3) Activated ingredients can be added to the general use of pharmaceutical compositions In the agent or carrier, for example, talc, gum arabic, lactose, gelatin, magnesium stearate, corn powder, aqueous or non-aqueous carrier, polyvinylpyrrolidone, semi-synthetic glyceride of fatty acid, benzylammonium chloride , sodium phosphate, EDTA, Tween 80. The composition #father is formulated in the form of a dosage unit, and each dosage unit is suitable for supplying a single dose of the active ingredient. The daily acceptable dosage range is from 0.1 to 4, preferably from 1. to 300, more preferably from 2 to 200 mg. Each dosage unit will usually contain from 001 mg to 丨〇〇 mg, preferably from 1 to 5 mg. Suitable lozenges can be used, for example, by binding the active substance to known excipients (for example, inert diluents such as calcium carbonate, calcium phosphate or lactose), disintegrating agents (such as corn starch or alginic acid), such as starch. Or gelatin, a lubricant such as magnesium stearate or talc and/or a delayed release agent such as carboxymercaptocellulose, cellulose acetate phosphate, or polyvinyl acetate. Tablets can also include many layers. The coated tablet can be prepared by coating a core similar to the manufacture of a tablet, such as a sponge or a shellac, gum arabic, talc, by a substance commonly used for tablet coating. , titanium dioxide or sugar. The core may also contain many layers in order to achieve delayed release or to avoid incompatibility. A similar money coating may comprise a plurality of layers for delayed release, and the above-described excipients may be used for the tablet. The (iv) or glycyrrhizin containing the active substance of the present invention or a combination thereof may additionally contain a sweetener such as saccharin, sweetener, glycerin or sugar, and a flavoring agent such as a flavoring agent such as a scent or an organic extract. It can also contain suspension or increase
1307625 A71307625 A7
劑 “如減甲基纖維素、潤濕劑如脂 合產物,或防腐劑如對-羥基笨甲酸醋。,、展氧乙烷之縮 注射用溶液係依—般 ^ 基笨甲酸酯、或安定劑如" ?'如添加防腐劑如對-羥 入注射安瓶或藥瓶中 胺四乙酸之驗金屬鹽,且加 含-種或多種活性物質或活性物 例如使活性物質與惰性載劑如乳糖 其裝於明膠膠囊中製備。 質結合物之膠囊可藉由 或山梨糖醇混合,且將 適用之栓劑可藉由例如與提供本目 備,如天然脂肪或聚乙二醇或其衍生物 的用之載劑混合製 以下實例說明本發明,但並不限制其範圍: 醫藥調配物之营你丨The agent "such as methyl cellulose reduction, wetting agent such as a fat product, or a preservative such as p-hydroxy benzoic acid vinegar. Or a stabilizer such as "?' such as the addition of a preservative such as a p-hydroxyl injection into an ampoule or a metal tetraacetate in a vial, and the addition of one or more active substances or actives such as active substances and inertia A carrier such as lactose is prepared in a gelatin capsule. The capsule of the conjugate may be mixed by sorbitol, and a suitable suppository may be prepared, for example, by providing a natural fat or polyethylene glycol or The following examples are used to illustrate the invention, but the scope of the pharmaceutical formulation is not limited to the following:
裝 每一錢劑 100毫克 240毫克 340毫克 45毫克 15毫克 740毫克 訂 A) 錠劑 弗利本西林鹽酸鹽 乳糖 玉米澱粉 聚乙稀基p比洛咬網 硬脂酸鎂 將細研磨之活性物質、乳糖及部分玉米澱粉混合在一 起。將混合物過筛,接著以含聚乙烯基吡咯啶酮之水溶液 潤濕’經捏合、濕潤造粒且乾燥。剩下之玉米澱粉及硬脂 酸鎮經過篩且混合在一起。壓縮混合物製成適當形狀及尺 本紙張尺度適用中國國家標準(CNS) A4規格(210 X 297公釐) 1307625 A7 B7 五、發明説明(5 ) 寸之鍵劑。 B) 錠劑 每一錠劑 弗利本西林鹽酸鹽 80毫克 玉米澱粉 190毫克 乳糖 55毫克 微結晶纖維素 35毫克 聚乙烯基p比11 各咬酮 15毫克 鈉-羧基甲基澱粉 23毫克 硬脂酸鎂 2毫克 400毫克 將細粒活性物質,部分玉米澱粉 、乳糖、微結晶纖維素 及聚乙烯基吡咯啶酮混合在一起, 混合物經過篩且與剩餘 玉米澱粉及水摻合,形成顆粒,接著乾燥且過筛。添加鈉- 羧基甲基澱粉及硬脂酸鎂且混合, 將混合物壓縮形成適當 尺寸之鍵劑。 C) 包衣錠 每一包衣鍵 弗利本西林鹽酸鹽 5毫克 玉米澱粉 41.5毫克 乳糖 30毫克 聚乙烯基p比•咬酿I 3毫克 硬脂酸鎂 0.5毫克 80毫克 使活性物質 、玉米殿粉、乳糖及聚乙稀基P比B各咬酮充分 -8- 本紙張尺度適用中國國家標準(CNS) A4規格(210 x 297公釐) I307625Each of the money 100 mg 240 mg 340 mg 45 mg 15 mg 740 mg A) Lozenges Fulbencillin hydrochloride Lactose corn starch Polyethylene p Pilo bite net magnesium stearate fine grinding activity The substance, lactose and some corn starch are mixed together. The mixture was sieved and then wetted with an aqueous solution containing polyvinylpyrrolidone, kneaded, wet granulated and dried. The remaining corn starch and stearic acid towns are sieved and mixed together. The compressed mixture is made into the appropriate shape and size. The paper size is applicable to the Chinese National Standard (CNS) A4 specification (210 X 297 mm). 1307625 A7 B7 V. Invention Description (5) Key agent. B) Lozenges Each lozenge Fulbencillin hydrochloride 80 mg Corn starch 190 mg Lactose 55 mg Microcrystalline cellulose 35 mg Polyethylene p ratio 11 Each biting ketone 15 mg sodium-carboxymethyl starch 23 mg hard Magnesium citrate 2 mg 400 mg The finely divided active substance, part of corn starch, lactose, microcrystalline cellulose and polyvinylpyrrolidone are mixed together, and the mixture is sieved and blended with the remaining corn starch and water to form granules. It is then dried and sieved. Sodium-carboxymethyl starch and magnesium stearate are added and mixed, and the mixture is compressed to form a bond of an appropriate size. C) Coated ingots Each coated key Fulbencillin hydrochloride 5 mg Corn starch 41.5 mg Lactose 30 mg Polyethylene p ratio • Biting I 3 mg Magnesium stearate 0.5 mg 80 mg Active substance, corn The powder of the temple, the lactose and the polyethylene P are more than the ketones of the B. The paper size is applicable to the Chinese National Standard (CNS) A4 specification (210 x 297 mm) I307625
的此合,且以水潤濕。將澗濕之物質推向丨毫米網目之篩 網在45 c下乾燥,且使顆粒通過相同之篩網。硬脂酸鎂 混合於其中後,於造粒機中壓縮直徑6毫米之錠劑芯。依已 知之方式,以基本上包含糖及滑石覆蓋產生之錠劑芯。以 蠟使最終之包衣錠變光亮。 每一膠囊 150毫克 268.5毫克 1.5毫克 D) 膠囊This combination is wetted with water. The damp material is pushed to the mesh of the mesh of millimeters and dried at 45 c and the granules are passed through the same screen. After the magnesium stearate was mixed therein, the tablet core having a diameter of 6 mm was compressed in a granulator. In a known manner, the tablet core is produced by substantially covering the sugar and talc. The final coated ingot is brightened with wax. 150 mg per capsule 268.5 mg 1.5 mg D) Capsules
弗利本西林鹽酸鹽 玉米澱粉 硬脂酸鎂 420毫克 裝 使物質及玉米澱粉混合且以水潤濕。潤濕之物質經過篩 且乾燥。乾燥之顆粒經過筛且與硬脂酸鎂混合。將最終混 合物裝於上膠1之硬質明膠膠囊中。 訂Fulbencillin Hydrochloride Corn Starch Magnesium Stearate 420 mg Pack Mix the material with cornstarch and moisten with water. The wetted material is sieved and dried. The dried granules are sieved and mixed with magnesium stearate. The final mixture was placed in a hard gelatin capsule of Size 1. Order
E) 安瓶溶液 弗利本西林鹽酸鹽 50毫克 氣化鈉 50毫克 注射用水 在其本身pH下或視情況在pH 5.5至6.5下將活性物質溶 於水中,且添加氣化鈉形成等滲壓《所得溶液經過濾使不 含焦精,且在無菌條件下將濾液移入安瓶中,接著消毒且 融化密封。 -9- 本紙張尺度適用中國國家標準(CMS) A4規格(210X297公爱) 1307625 A7 B7 五、發明説明( F) 栓劑 弗利本西林鹽酸鹽 50毫克 固態脂肪 1 650毫克 1700毫克 將硬質脂肪融化。且在40 °C下將研磨之活性物質均勻分 散於其中。冷卻至38°C,且泵浦入稍冷卻之栓劑模具中。 -10- 本纸張尺度適用中國國家標準(CNS) A4規格(210X 297公釐)E) Ampoule solution Fulbencillin hydrochloride 50 mg Sodium hydride 50 mg Water for injection at its own pH or optionally at pH 5.5 to 6.5 Dissolve the active substance in water and add vaporized sodium to form isotonic The resulting solution was filtered to remove coke concentrate and the filtrate was transferred to an ampoule under sterile conditions, followed by sterilization and thaw sealing. -9- This paper scale applies to Chinese National Standard (CMS) A4 Specification (210X297 public) 1307625 A7 B7 V. Invention Description (F) Suppository Fulbencillin Hydrochloride 50mg Solid Fat 1 650mg 1700mg Hard Fat melt. The milled active material was evenly dispersed therein at 40 °C. Cool to 38 ° C and pump into a slightly cooled suppository mold. -10- This paper scale applies to China National Standard (CNS) A4 specification (210X 297 mm)
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| TW91119956A TWI307625B (en) | 2002-09-02 | 2002-09-02 | New use of flibanserin |
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