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WO2012034540A1 - Anti-tumor pharmaceutical composition - Google Patents

Anti-tumor pharmaceutical composition Download PDF

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Publication number
WO2012034540A1
WO2012034540A1 PCT/CN2011/079822 CN2011079822W WO2012034540A1 WO 2012034540 A1 WO2012034540 A1 WO 2012034540A1 CN 2011079822 W CN2011079822 W CN 2011079822W WO 2012034540 A1 WO2012034540 A1 WO 2012034540A1
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Prior art keywords
cancer
tyrosine kinase
tumor
pharmaceutical composition
imatinib
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PCT/CN2011/079822
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French (fr)
Chinese (zh)
Inventor
赵志全
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Shandong New Time Pharmaceutical Co Ltd
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Shandong New Time Pharmaceutical Co Ltd
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Priority to CN201180044842.1A priority Critical patent/CN103179967B/en
Publication of WO2012034540A1 publication Critical patent/WO2012034540A1/en
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/335Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin
    • A61K31/365Lactones
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/28Asteraceae or Compositae (Aster or Sunflower family), e.g. chamomile, feverfew, yarrow or echinacea
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K45/00Medicinal preparations containing active ingredients not provided for in groups A61K31/00 - A61K41/00
    • A61K45/06Mixtures of active ingredients without chemical characterisation, e.g. antiphlogistics and cardiaca
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/06Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
    • A61K47/08Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite containing oxygen, e.g. ethers, acetals, ketones, quinones, aldehydes, peroxides
    • A61K47/10Alcohols; Phenols; Salts thereof, e.g. glycerol; Polyethylene glycols [PEG]; Poloxamers; PEG/POE alkyl ethers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/0012Galenical forms characterised by the site of application
    • A61K9/0019Injectable compositions; Intramuscular, intravenous, arterial, subcutaneous administration; Compositions to be administered through the skin in an invasive manner
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/10Dispersions; Emulsions
    • A61K9/107Emulsions ; Emulsion preconcentrates; Micelles
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P11/00Drugs for disorders of the respiratory system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P35/00Antineoplastic agents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P35/00Antineoplastic agents
    • A61P35/02Antineoplastic agents specific for leukemia
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P35/00Antineoplastic agents
    • A61P35/04Antineoplastic agents specific for metastasis

Definitions

  • the present invention relates to an antitumor pharmaceutical composition and a kit of parts and uses thereof. Background technique
  • Neoplastic diseases especially malignant tumors, are a common and frequently-occurring disease that seriously endangers human health.
  • World Health Organization there are more than 10 million new cases of malignant tumors worldwide each year, with more than 7 million deaths, accounting for 12% of the total deaths. In most developed countries, this figure can reach 25 percent. If this trend is not improved, it is expected that by 2020, the number of new cases worldwide will reach 15 million per year; the total number of cancer patients will increase by 73% in developing countries, while that in developed countries will increase by 29%.
  • Clinical treatment of tumors mainly includes surgical treatment, radiation therapy, chemotherapy and traditional Chinese medicine treatment.
  • traditional Chinese medicine treatment has little effect, usually only as an adjuvant therapy, and surgical treatment and radiation therapy are harmful to patients.
  • Recurrence chemotherapy is less harmful, but compared with surgical treatment and radiation therapy, the effect is less significant, and the side effects are large. Therefore, it has been desired to find a chemotherapeutic drug which is effective and has little toxic side effects.
  • Arctigenin is a lignan compound. At present, it has been reported in the literature that arctigenin has the following pharmacological activities: 1) anti-inflammatory and immunomodulatory effects; 2) antiviral (including HIV-1 and influenza virus) effects 3) Inducing apoptosis of tumor cells; 4) Treating effects on nephropathy and diabetes, diabetic complications; 5) Inhibition of heat shock response; 6) Neuroprotection; 7) Dilation of blood vessels; 8) Platelet activating factor Antagonism; 9) anti-aging dementia; 10) inhibition of K + caused contracture and so on. For example, Cho JY, et al.
  • tyrosine kinase inhibitors As a kind of selective targeted therapeutic agent, tyrosine kinase inhibitors have become a hot spot in anti-tumor research because of their significant anti-tumor effect in clinical practice. It acts as a competitive inhibitor of ATP binding to tyrosine protein kinases, thereby affecting tyrosine kinase activation, and also acts as an analog of tyrosine to block peptide sites and tyrosine proteins of the epidermal growth factor receptor. The kinase encodes, inhibits cell proliferation, and ultimately promotes apoptosis. Currently widely used tyrosine kinase inhibitors are erlotinib, gefitinib, and imatinib.
  • erlotinib is an epidermal growth factor receptor tyrosine kinase inhibitor that inhibits signal transduction by inhibiting autophosphorylation of epidermal growth factor receptor tyrosine kinase, thereby inhibiting tumor cell proliferation and activation.
  • Gefitinib is an orally effective selective tyrosinase inhibitor that inhibits epidermal growth factor receptor activation by blocking the activation of tyrosine kinases by competitively binding to extracellular ligands with ATP. It inhibits cell proliferation and angiogenesis and promotes tumor cell apoptosis.
  • These tyrosine kinase inhibitors are ubiquitously present with some serious problems. First of all, they have a lot of toxic side effects.
  • erlotinib Such as significant nausea, vomiting or diarrhea.
  • more than 50% of clinical users experience varying degrees of skin reactions and digestive system diseases.
  • the size of the side effects is often related to the dose of the drug, for example, the oral dose of erlotinib is 150mg / d, the oral dose of gefitinib is 250mg / d, imatinib mesylate
  • the oral dose is as high as 400mg-600mg/d. Second, they are prone to drug resistance, which is closely related to long-term high-dose use.
  • imatinib mesylate long-term high-dose administration results in a point mutation in the BCR-ABL protein kinase domain, resulting in a decrease in the affinity of imatinib mesylate to produce imatinib mesylate. Drug resistance.
  • anti-tumor drugs are often selected based on the consideration of drug resistance to single drugs and serious side effects, but not all anti-tumor drugs are suitable for combination therapy.
  • tyrosine kinase inhibitors are used in combination with other chemotherapeutic drugs, but there are still many toxic side effects.
  • transient hepatotoxicity can occur, such as elevated transaminases and hyperbilirubinemia (Li Yufeng, Ding Bang and et al. Therapeutic effect of swipel combined with homoharringtonine on newly diagnosed chronic myeloid leukemia[J].Journal of Southeast University, 2009, 28 ( 5 ): 430-432 ) o Giaccone G et al, Gefitinib in combination with gemcitabine and cisplatin in advanced Non-small-cell lung cancer: a phase III trial— INTACT 1, J Clin Oncol. Mar 1, 2004 vol. 22 no.
  • the present invention provides an antitumor pharmaceutical composition comprising the following active ingredients:
  • the weight ratio of said tyrosine kinase inhibitor to arctigenin in the pharmaceutical composition of the present invention is (0.005-100): 1.
  • the tyrosine kinase inhibitor of the pharmaceutical composition of the invention is gefitinib or a pharmaceutically acceptable salt thereof, imatinib or a pharmaceutically acceptable salt thereof, or erlotidine Or a pharmaceutically acceptable salt thereof, preferably, the pharmaceutically acceptable salt of imatinib is its mesylate salt.
  • the tyrosine kinase inhibitor when the tyrosine kinase inhibitor is imatinib or a pharmaceutically acceptable salt thereof, imatinib or a pharmaceutically acceptable salt thereof is The weight ratio of imatinib to arctigenin is (0.01-100): 1; when the tyrosine kinase inhibitor is gefitinib or a pharmaceutically acceptable salt thereof, gefitinib or its The weight ratio of the pharmaceutically acceptable salt to gibberellin and the burdock aglycone is (0.005-50): 1; when the tyrosine kinase inhibitor is erlotinib or a pharmaceutically acceptable salt thereof, erlotidine The weight ratio of nitrite or its pharmaceutically acceptable salt to bursinini in terms of erlotinib is (0.05-25): 1.
  • the pharmaceutical composition of the present invention is in a form suitable for gastrointestinal or parenteral administration, preferably a tablet, an emulsion, a microemulsion, a capsule, a dropping or a soft capsule. More preferably, the microemulsion preparation preferably has an average particle diameter of from 15 to 80 nm.
  • the bovine aglycone or tyrosine kinase inhibitor is, in terms of its free acid or free base, the content of arctigenin in each preparation unit is 1 mg. -200 mg, the content of the tyrosine kinase inhibitor is 2 mg to 100 mg.
  • the present invention provides an antitumor kit comprising the following active ingredients:
  • the above two active ingredients may be present in the kit as a mixed composition, or may be present in a separate kit in separate forms, regardless of the manner in which they are present in the kit, and ultimately used in combination. It can reflect the synergistic anti-tumor effect, and the toxic side effects and drug resistance are significantly reduced.
  • the weight ratio of tyrosine kinase inhibitor to arctigenin in the kit of the invention is (0.005-100): 1.
  • the tyrosine kinase inhibitor of the kit of the invention is gefitinib or a pharmaceutically acceptable salt thereof, imatinib or a pharmaceutically acceptable salt thereof, or erlot Oriniline or a pharmaceutically acceptable salt thereof, preferably, the pharmaceutically acceptable salt of imatinib is its mesylate salt.
  • the tyrosine kinase inhibitor when the tyrosine kinase inhibitor is imatinib or a pharmaceutically acceptable salt thereof, imatinib or a pharmaceutically acceptable salt thereof
  • the weight ratio of imatinib to arctigenin is (0.01-100): 1; when the tyrosine kinase inhibitor is gefitinib or a pharmaceutically acceptable salt thereof, gefitinib or The weight ratio of the pharmaceutically acceptable salt to gefitinib to the arctigenin is (0.005-50): 1; when the tyrosine kinase inhibitor is erlotinib or a pharmaceutically acceptable salt thereof, erro
  • the weight ratio of sirinib or its pharmaceutically acceptable salt to bursinini in terms of erlotinib is (0.05-25): 1.
  • the dosage form when the two active ingredients are present in the kit in the form of a composition, the dosage form is suitable for gastrointestinal or parenteral administration.
  • a dosage form preferably a tablet, an emulsion, a microemulsion preparation, a capsule, a dropping pill or a soft capsule, more preferably a microemulsion preparation, the microemulsion preparation preferably having an average particle diameter of 15 to 80 nm, when the two active ingredients are
  • the dosage form is a dosage form suitable for gastrointestinal or parenteral administration, preferably a tablet, an emulsion, a microemulsion preparation, a capsule, a dropping pill or a soft capsule, wherein the burdock aglycone
  • the microemulsion preparation is more preferable, and the microemulsion preparation preferably has an average particle diameter of 15 to 80 nm, and the tyrosine kinase inhibitor is more preferably a tablet.
  • the burdock aglycone or tyrosine kinase inhibitor is a bovine aglycone present in the composition or alone in terms of its free acid or free base.
  • the content in each preparation unit is from 1 mg to 200 mg, and the tyrosine kinase inhibitor present in the composition or in a separate form is contained in an amount of from 2 mg to 100 mg per preparation unit.
  • the two pharmaceutically active components of the kit may be administered simultaneously or sequentially, and when administered sequentially, the two pharmaceutically active components are administered at intervals of no more than 3 hour.
  • kit of parts further includes instructions for use.
  • the present invention provides the use of the pharmaceutical composition or kit of parts for the preparation of a medicament for treating or preventing an antitumor, preferably the tumor is a solid tumor or leukemia, more preferably, the solid tumor is selected From breast cancer, lung cancer, rectal cancer, ovarian cancer, colon cancer, liver cancer, prostate cancer, stomach cancer, cervical cancer, pancreatic cancer, esophageal cancer, cashmere Epithelial cancer, malignant mole, bladder cancer, skin cancer, head and neck cancer, bronchial lung cancer, colorectal cancer, and non-small cell lung cancer, the leukemia is selected from acute promyelocytic leukemia, chronic myeloid leukemia, and retinoic acid tolerance The drug is promyelocytic leukemia, and most preferably, the tumor is non-small cell lung cancer.
  • the present invention provides a method of treating or preventing a tumor by administering the above-described pharmaceutical composition or kit to a human or animal having or at risk of developing a tumor, preferably, the tumor More preferably, the solid tumor is selected from the group consisting of breast cancer, lung cancer, rectal cancer, ovarian cancer, colon cancer, liver cancer, prostate cancer, gastric cancer, cervical cancer, pancreatic cancer, esophageal cancer, and chorionic epithelial cancer.
  • the leukemia is selected from acute promyelocytic leukemia, chronic myeloid leukemia, and retinoic acid resistant promyelocytic Leukemia, most preferably, the tumor is a non-small cell lung.
  • the two pharmaceutically active components of the kit may be administered simultaneously or sequentially. When administered sequentially, the two pharmaceutically active components are administered no more than 3 hours apart.
  • a pharmaceutical composition or kit and a single drug or a combination of a bovine aglycone having low toxicity characteristics extracted from a natural plant burdock and a tyrosine kinase inhibitor are provided.
  • the anti-tumor pharmaceutical composition or the kit of the invention has the advantages of clear composition and simple preparation process, and can be used for the treatment of tumor alone, and can also be combined with radiotherapy and surgery.
  • the anti-tumor pharmaceutical composition and the kit of the invention provide a new idea for anti-tumor treatment or prevention, and have a good application prospect. detailed description
  • Gefitinib was purchased from AstraZeneca Pharmaceutical Co., Ltd.
  • Erlotinib was purchased from Shanghai Roche Pharmaceutical Co., Ltd.
  • Imatinib purchased from Beijing Novartis Pharmaceutical Co., Ltd.
  • Imatinib mesylate purchased from Beijing Novartis Pharmaceutical Co., Ltd.
  • Eudragit L30D-55 was purchased from Evonik Rohm Pharmaceutical Resin
  • Laser particle size analyzer was purchased from Beijing Aegis Automation Co., Ltd. It will be appreciated by those skilled in the art that the active components of the antitumor pharmaceutical composition or kit of the present invention, the anthraquinone aglycone and the tyrosine kinase inhibitor, are commercially available, respectively, and are also known in the art. be made of.
  • the general preparation method of the antitumor pharmaceutical composition or the kit of the present invention is as follows:
  • the dried solid composition is made into various shapes.
  • pharmaceutical excipients commonly used in the preparation of microemulsion preparations include, but are not limited to, soybean oil, polyoxyethylene-23-lauryl ether, 1,2-propanediol, hydrogenated coconut glycerin, lauroyl polyethylene glycol-32-glycerol Ester, polyethylene glycol 3350, safflower oil, cottonseed oil, decaglycerin monostearate; pharmaceutical excipients commonly used in the preparation of dropping pills, including but not limited to polyethylene glycol 6000, polyethylene glycol 1000;
  • Pharmaceutical excipients commonly used in capsule formulations include, but are not limited to, lactose and corn starch.
  • Pharmaceutically acceptable carriers commonly used in the preparation of soft capsule preparations include, but are not limited to, medium chain fatty acid glycerides, polyoxyethylene castor oil, 1,2-propanediol, and the like.
  • the administration route of the antitumor pharmaceutical composition or kit of the present invention includes a gastrointestinal route including a non-gastrointestinal route including, but not limited to, subcutaneous, intradermal, arterial, intravenous, muscular, joint, Intrathecal, intracranial, thoracic, intraperitoneal injection or infusion, nasal, buccal, sublingual, tracheal, urethral, rectal or topical local administration.
  • the administration time and the number of administrations of the antitumor pharmaceutical composition or kit of the present invention need to be determined according to the specific conditions, which are within the technical scope of those skilled in the art.
  • a treatment regimen for non-small cell lung cancer in mice is applied to a human, and an effective dose of all drugs to humans can be converted by the effective dose of the drug to the mouse, which is well known to those of ordinary skill in the art. Obvious.
  • Example 1 Microemulsion preparation of pharmaceutical composition of the present invention
  • Soybean oil 35g Polyoxyethylene-23-lauryl ether 60g
  • Preparation process Weigh the prescribed amount of soybean oil, polyoxyethylene-23-lauryl ether, 1,2-propanediol, mix well and stir evenly, then add the burdock aglycone, gefitinib to dissolve, or ultrasonically to accelerate the dissolution A clear solution is obtained, which is a microemulsion preparation of a bovine aglycone and gefitinib pharmaceutical composition.
  • the particle size was measured by a laser granulometer, and the average particle diameter was 15 nm.
  • Example 2 Pharmaceutical composition microemulsion preparation of the invention
  • Preparation process Weigh the prescribed amount of hydrogenated coconut oil, lauroyl polyethylene glycol-32-glyceride, 1,2-propanediol, polyethylene glycol 3350, mix and stir evenly, then add calf aglycone, Jifei The nyanib is dissolved, and it can also be ultrasonicated to accelerate the dissolution to obtain a clear solution, that is, a microemulsion preparation of the burverine and gefitinib pharmaceutical composition. The particle size was measured by a laser particle size measuring instrument, and the average particle diameter was 40 nm.
  • Example 3 Pharmaceutical composition microemulsion preparation of the invention
  • Preparation process Weigh the prescribed amount of safflower oil, polyoxyethylene-23-lauryl ether, 1,2-propanediol, mix and mix evenly, then add the burdock aglycone, gefitinib dissolved, or ultrasonically accelerate to accelerate Dissolved, a clear solution is obtained, which is a microemulsion preparation of a bovine aglycone and gefitinib pharmaceutical composition. Laser particle size analyzer using a particle diameter, an average particle diameter of 36nm 0
  • Example 4 Pharmaceutical composition microemulsion preparation of the invention
  • Preparation process Weigh the prescribed amount of cottonseed oil, decaglyceryl monostearate, 1,2-propanediol, mix and mix evenly, then add the bursin, erlotinib dissolved, or ultrasonic treatment to accelerate the dissolution, A clear solution is obtained, which is a microemulsion preparation of an arctigenin and erlotinib pharmaceutical composition.
  • the particle size was measured by a laser granulometer, and the average particle diameter was 80 nm.
  • Example 5 Pharmaceutical composition microemulsion preparation of the present invention
  • Preparation process Weigh the prescribed amount of soybean oil, decaglyceryl monostearate, 1,2-propanediol, mix and mix evenly, then add caldonia aglycone, erlotinib dissolved, or ultrasonic treatment to accelerate dissolution,
  • the clear solution is a microemulsion preparation of the bovine aglycone and erlotinib pharmaceutical composition.
  • the particle size was measured by a laser granulometer, and the average particle diameter was 47 nm.
  • Example 6 Pharmaceutical composition microemulsion preparation of the invention
  • Preparation process Weigh the prescribed amount of soybean oil, decaglyceryl monostearate, 1,2-propanediol, mix and mix evenly, then add caldonia aglycone, erlotinib dissolved, or ultrasonic treatment to accelerate dissolution,
  • the clear solution is a microemulsion preparation of the bovine aglycone and erlotinib pharmaceutical composition.
  • the particle size was measured by a laser granulometer, and the average particle diameter was 58 nm.
  • Example 7 Pharmaceutical composition microemulsion preparation of the invention
  • Preparation process Weigh the prescribed amount of soybean oil, decaglyceryl monostearate, 1,2-propanediol, mix and mix evenly, then add the burdock aglycone, imatinib mesylate to dissolve, or ultrasonically accelerate to accelerate Dissolved to obtain a clear concentrate, which is a microemulsion concentrate of arctigenin and imatinib mesylate.
  • the particle diameter was measured by a laser granulometer, and the average particle diameter was 56 nm.
  • Example 8 Pharmaceutical composition drip pellet preparation of the invention
  • Preparation process weigh the bovine glucoside and erlotinib which have been prescribed to a 100 mesh sieve, and add to the mixed solution of the prescription polyethylene glycol 6000 and polyethylene glycol 1000 which have been heated and melted on a water bath. Stir, make it uniform, put into a dropper bottle, drop at 95 ⁇ 2 °C; drop into a glass condensation column containing 4-6 mL of methyl silicone oil, take it out after molding, and suck it with absorbent paper. Debonded methyl silicone oil, that is.
  • Example 9 Ingredients for enteric soft capsule preparation of pharmaceutical composition of the present invention
  • Preparation process Weigh the prescribed amount of medium chain fatty acid glyceride, polyoxyethylene castor oil, 1,2-propanediol, absolute ethanol, mix and mix evenly, then add caldonia, imatinib dissolved, or ultrasonic treatment In order to accelerate the dissolution, the concentrate is clarified, which is the burdock aglycone microemulsion concentrate.
  • the microemulsion concentrate obtained above was diluted with water to a clear solution in a weight ratio of 1:10-20 to obtain a soft capsule microemulsion content. Weigh the prescribed amount of gelatin, glycerin, purified water, mix it evenly and press it into rubber.
  • Example 10 Pharmaceutical composition capsule preparation of the present invention
  • the preparation process was the same as in Example 7.
  • the particle size was measured by a laser granulometer, and the average particle diameter was 39 nm.
  • Example 12 Pharmaceutical composition microemulsion preparation of the invention
  • the preparation process was the same as in Example 7.
  • the particle size was measured by a laser granulometer, and the average particle diameter was 58 nm.
  • Example 13 In vitro antitumor effect of the pharmaceutical composition of the present invention
  • the tumor cells used include leukemia cells (HL-60), breast cancer cells (MCF-7), lung cancer cells (Calu-3), rectal cancer cells (Colo320), colon cancer cells (HCT-8), and ovarian cancer cells ( SK-OV-3), liver cancer cells (HepG2), gastric cancer cells (SGC-7901), prostate cancer cells (DU145) and cervical cancer cells (Hela), all of which are from the new drug of Shandong Lunan Pharmaceutical Group Co., Ltd. Pharmacological center cell culture chamber.
  • the bovine aglycone and tyrosine kinase inhibitors (the amounts thereof are shown in Table 1) were added to various tumor cells cultured in vitro for 24 hours, and the total number of cells was counted after 48 hours of culture.
  • the tumor growth inhibition effect is shown in Table 1.
  • Table 1 In vitro antitumor effect of the pharmaceutical composition of the present invention
  • Example 14 Effect of the pharmaceutical composition of the present invention on the growth of human non-small cell lung cancer ⁇ 549 cells in nude mice
  • Human non-small cell lung cancer cell line ⁇ 549 cell line was purchased from Wuhan University China Culture Collection (Wuhan, Hubei, China).
  • RPMI-1640 medium purchased from Gibeo; newborn calf serum, purchased from Hangzhou Sijiqing Bioengineering Materials Co., Ltd.; 0.25 % trypsin, purchased from Sigma.
  • Negative control group Administration by gavage was equivalent to 5% normal saline per mouse.
  • Bovine glycosides in the middle group intragastric administration of 25mg/kg_d arctigenin;
  • Imatinib group intragastric administration 25mg/kg-d
  • the effect of drugs on the growth of human lung cancer A549 cells in nude mice was demonstrated by comparison of tumor weight before and after treatment. The adverse reactions were recorded. The adverse reactions were vomiting, nausea, diarrhea, itchy skin and edema.
  • the incidence of adverse reactions the number of animals with the above adverse reactions / the total number of animals in the experimental group X 100%.
  • Table 2 Effect of the pharmaceutical composition of the present invention on the growth of human non-small cell lung cancer A549 cells in nude mice xenograft tumor weight/mg tumor inhibition rate/% adverse reaction rate/% negative Control group 483.50 ⁇ 86.45
  • Gefitinib group 360.14 ⁇ 71.86* 25.52 65.8 Group tumor weight / mg tumor inhibition rate /% incidence of adverse reactions /% erlotinib group 297.64 ⁇ 55.21 * 38.44 56.2
  • Negative control group 200 ⁇ 1 saline
  • Imatinib high group 10 mg/mL imatinib
  • Composition Group A 10.0 mg/mL arctigenin + O.lmg/mL imatinib
  • Composition Group B 1.0 mg/mL arctigenin + 1.0 mg/mL imatinib
  • Composition Group C O.lmg/mL arctigenin + 10.0mg/mL imatinib
  • the above treatment groups were all dissolved using 200 ⁇ l of physiological saline.
  • composition Group A 77.65 ⁇ 16.03 ## " $$ ⁇ 79.62 ⁇ 10.30 ## " ⁇ $$ 64.16 ⁇ 13.56 ## " ⁇ $$ Composition B Group 71.06 ⁇ 13.40 ** $ 80.13 ⁇ 18.51 ## " ⁇ ⁇ $$ 59.34 ⁇ " ⁇ $$ composition group C 81.25 ⁇ 11.67 ##” 10.23 ⁇ $$ 73.65 ⁇ 16.45 ## " ⁇ $$ 51.64 ⁇ 6.58 ##" ⁇ $$$
  • Imatinib compared with low dose group p ⁇ 0.05; $$ imatinib compared with imatinib low dose group, p ⁇ 0.01;
  • arctigenin and imatinib has an anti-tumor synergistic effect, which not only inhibits the growth of human acute promyelocytic leukemia NK4 cells and chronic granulocyte leukemia K562 cells, but more surprisingly, it can It inhibits the growth of retinoic acid-resistant promyelocytic leukemia MR-2 cells.
  • This result has profound guiding significance for clinical acute promyelocytic leukemia, chronic myeloid leukemia and retinoic acid-resistant promyelocytic leukemia.
  • various leukemia cells after the action of the pharmaceutical composition may have obvious morphological characteristics, namely, nucleus. Wrinkles, chromatin agglutination, and cleavage into fragments form an apoptotic body surrounded by a mold. Furthermore, in the composition group B, a part of the cell morphology was transformed into a mature direction, and the cells showed characteristics such as nuclear pyknosis, reduction of nucleoplasmic ratio, and reduction of nucleoli.
  • Example 16 Inhibition of the pharmaceutical composition of the present invention on leukemia cell line K562 cells in nude mice
  • Leukemia cell line K562 model 80 female BALB/C nude mice (SCXK II -00-0010) provided by 5-6 weeks old were selected, with an average body weight of 18-20 g.
  • K562 cell line was cultured in RPMI1640 medium containing 1 million U/L of penicillin, 800,000 U/L of streptomycin and 100 ml/L of inactivated calf serum at 37 ° C under 5% CO 2 culture. .
  • K562 cells in logarithmic growth phase were washed twice with PBS, adjusted to a concentration of 5 ⁇ 10 5 /mL, and subcutaneously injected into the right anterior and posterior iliac crest of 0.4 ml.
  • nude mice The growth of nude mice was observed every other day after injection, and it was accessible after 10 days. Tumor block, tumor size is about 0.5cm 3 . According to the tumor volume and weight-bearing principle of tumor-bearing mice, they were divided into 8 groups, 10 in each group. Each treatment group was intragastrically administered after dissolution using physiological saline equivalent to 5% by weight of each mouse.
  • Negative control group Administration of physiological saline equivalent to 5% of body weight per mouse
  • Imatinib low group 0.1 mg/kg imatinib
  • Imatinib high group 10 mg/kg imatinib
  • Composition Group A 10.0 mg/kg arctigenin + 0.1 mg/kg imatinib
  • Composition Group B 1.0 mg/kg arctigenin + 1.0 mg/kg imatinib
  • Composition Group C 0.1 mg/kg arctigenin + 10.0 mg/kg imatinib

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Abstract

An anti-tumor pharmaceutical composition or packaged medicinal kit containing burdock aglycone and tyrosine kinase inhibitor. The joint application of burdock aglycone and tyrosine kinase inhibitor used in the present invention exhibits significant coordination effects in inhibiting tumors, especially in leukemia and solid tumors such as non-small-cell lung cancer, and reduces the poisonous side effect and drug tolerance of tyrosine kinase inhibitor.

Description

抗肿瘤药物组合物  Antitumor drug composition

技术领域 Technical field

本发明涉及一种抗肿瘤药物组合物和成套药盒及其用途。 背景技术  The present invention relates to an antitumor pharmaceutical composition and a kit of parts and uses thereof. Background technique

肿瘤性疾病、尤其恶性肿瘤是一类严重危害人类健康的常见病、 多发病。据世界卫生 组织报告, 每年全球恶性肿瘤新发病例 1000多万, 死亡病例 700多万, 占总死亡人数的 12 % , 在多数发达国家这一数字可达 25 %。 如果这一趋势得不到改善, 预期到 2020年, 全球每年新发病例将达 1500万; 肿瘤病人总数在发展中国家将增长 73%, 而发达国家增 长 29 %。  Neoplastic diseases, especially malignant tumors, are a common and frequently-occurring disease that seriously endangers human health. According to the World Health Organization, there are more than 10 million new cases of malignant tumors worldwide each year, with more than 7 million deaths, accounting for 12% of the total deaths. In most developed countries, this figure can reach 25 percent. If this trend is not improved, it is expected that by 2020, the number of new cases worldwide will reach 15 million per year; the total number of cancer patients will increase by 73% in developing countries, while that in developed countries will increase by 29%.

临床上肿瘤的治疗主要包括外科手术治疗、 放射治疗、 化学治疗以及中医药治疗等, 其中, 中医药治疗收效甚微, 通常仅作为辅助治疗, 外科手术治疗和放射治疗对病人的伤 害性大,易复发,化学治疗伤害性较小,但与外科手术治疗和放射治疗相比效果较不显著, 且毒副作用大。 因此, 人们期望寻求效果显著且毒副作用小的化学治疗药物。  Clinical treatment of tumors mainly includes surgical treatment, radiation therapy, chemotherapy and traditional Chinese medicine treatment. Among them, traditional Chinese medicine treatment has little effect, usually only as an adjuvant therapy, and surgical treatment and radiation therapy are harmful to patients. Recurrence, chemotherapy is less harmful, but compared with surgical treatment and radiation therapy, the effect is less significant, and the side effects are large. Therefore, it has been desired to find a chemotherapeutic drug which is effective and has little toxic side effects.

牛蒡苷元(arctigenin)属于木脂素类化合物, 目前, 已有文献报道牛蒡苷元具有如下 药理活性: 1 ) 抗炎及免疫调节作用; 2 ) 抗病毒 (包括 HIV-1与流感病毒) 作用; 3 ) 诱 导肿瘤细胞凋亡的作用; 4 )对肾病及糖尿病、 糖尿病并发症的治疗作用; 5 )热休克反应 抑制作用; 6 )神经保护作用; 7 )扩张血管作用; 8 )血小板活化因子拮抗作用; 9 )抗老 年性痴呆的作用; 10 )抑制 K+引起的挛缩的作用等。比如, Cho J Y, et al. Immunomodulatory effect of arctigenin, a lignan compound on tumor necrosis factor-α and nitric oxide production, and lymphocyte proliferation [J]. J Pharm Pharmcol. 1999; 51(11): 1267-1273公开了牛蒡苷元 具有抗炎及免疫调节作用; Gao Y, et al. Activity of in vitro anti-influenza virus of arctigenin[J]. Chinese Traditional and Herbal Drugs (《 中草药》) . 2002; 33(8): 724-726.公开 了牛蒡苷元具有抗病毒的作用; Kim S H, et al. Hepatoprotective dibenzylbutyrolactone lignans of Torreya nucifera against CC14-induced toxicity in primary cultured rat hepatocytes [J]. Biol Pharm Bull. 2003; 26(8): 1202-1205公开了牛蒡苷元具有诱导肿瘤细胞凋亡的作 用。 王潞等, "牛蒡子苷及牛蒡苷子苷元的药理作用研究进展" (《中草药》, 第 39卷第 3 期, 2008年, 467-450页) 公开了牛蒡苷元具有抗肺癌的活性, 其中以 4-硝基喹啉 -N-氧 化剂为引发剂, 以甘油为促进剂, 诱发大鼠肺癌, 进行大鼠肺癌的二相癌变试验, 结果表 明牛蒡苷元具有抗大鼠肺癌的活性。 Arctigenin is a lignan compound. At present, it has been reported in the literature that arctigenin has the following pharmacological activities: 1) anti-inflammatory and immunomodulatory effects; 2) antiviral (including HIV-1 and influenza virus) effects 3) Inducing apoptosis of tumor cells; 4) Treating effects on nephropathy and diabetes, diabetic complications; 5) Inhibition of heat shock response; 6) Neuroprotection; 7) Dilation of blood vessels; 8) Platelet activating factor Antagonism; 9) anti-aging dementia; 10) inhibition of K + caused contracture and so on. For example, Cho JY, et al. Immunomodulatory effect of arctigenin, a lignan compound on tumor necrosis factor-α and nitric oxide production, and lymphocyte proliferation [J]. J Pharm Pharmcol. 1999; 51(11): 1267-1273 Angerin has anti-inflammatory and immunomodulatory effects; Gao Y, et al. Activity of in vitro anti-influenza virus of arctigenin [J]. Chinese Traditional and Herbal Drugs (《Chinese Herbal Medicine). 2002; 33(8): 724 -726. It is disclosed that arctigenin has an antiviral effect; Kim SH, et al. Hepatoprotective dibenzylbutyrolactone lignans of Torreya nucifera against CC14-induced toxicity in primary cultured rat hepatocytes [J]. Biol Pharm Bull. 2003; 26(8) : 1202-1205 discloses that arctigenin has the effect of inducing apoptosis of tumor cells. Wang et al., "Progress in the pharmacological action of arctiin and arctigenin" (Chinese herbal medicine, Vol. 39, No. 3, 2008, pp. 467-450) discloses that arctigenin has anti-lung cancer activity. , wherein 4-nitroquinoline-N-oxygen The agent is an initiator, glycerol is used as a promoter to induce lung cancer in rats, and a two-phase carcinogenesis test of rat lung cancer is carried out. The results show that arctigenin has anti-lung cancer activity.

酪氨酸激酶抑制剂作为一类选择性靶向治疗剂,因在临床上抗肿瘤效果显著而逐渐成 为抗肿瘤研究的一大热点。 其可作为 ATP与酪氨酸蛋白激酶结合的竞争性抑制剂, 从而 影响酪氨酸激酶活化,也可作为酪氨酸的类似物阻断表皮生长因子受体的肽位点和酪氨酸 蛋白激酶的编码, 抑制细胞增殖, 最终促进细胞凋亡。 目前临床上广泛使用的酪氨酸激酶 抑制剂有厄洛替尼、吉非替尼以及伊马替尼等。其中, 厄洛替尼是一种表皮生长因子受体 酪氨酸激酶抑制剂, 通过抑制表皮生长因子受体酪氨酸激酶的自磷酸化反应抑制信号转 导,从而抑制肿瘤细胞的增殖和活化。吉非替尼是一种口服有效的选择性酪氨酸酶抑制剂, 通过与 ATP竞争性结合细胞外的配体, 阻断酪氨酸激酶的活化过程, 抑制表皮生长因子 受体激活, 从而抑制细胞增殖和血管生成, 促进肿瘤细胞凋亡。这些酪氨酸激酶抑制剂单 独应用普遍存在一些严重问题。 首先, 它们的毒副作用很大。诸如显著的恶心、 呕吐或腹 泻等。 以厄洛替尼为例, 50%以上的临床使用者都会发生不同程度的皮肤不良反应以及消 化系统疾病等。毒副作用的大小往往与该种药物的使用剂量过大相关, 例如, 厄洛替尼的 口服剂量为 150mg/d, 吉非替尼的口服剂量为 250mg/d, 甲磺酸伊马替尼的口服剂量更是 高达 400mg-600mg/d。其次, 它们容易产生耐药性, 这与长期高剂量使用密切相关。 以甲 磺酸伊马替尼为例, 长期大剂量服用会导致 BCR-ABL蛋白激酶域内的点突变, 导致甲磺 酸伊马替尼与之亲和力下降, 从而产生甲磺酸伊马替尼的耐药性。  As a kind of selective targeted therapeutic agent, tyrosine kinase inhibitors have become a hot spot in anti-tumor research because of their significant anti-tumor effect in clinical practice. It acts as a competitive inhibitor of ATP binding to tyrosine protein kinases, thereby affecting tyrosine kinase activation, and also acts as an analog of tyrosine to block peptide sites and tyrosine proteins of the epidermal growth factor receptor. The kinase encodes, inhibits cell proliferation, and ultimately promotes apoptosis. Currently widely used tyrosine kinase inhibitors are erlotinib, gefitinib, and imatinib. Among them, erlotinib is an epidermal growth factor receptor tyrosine kinase inhibitor that inhibits signal transduction by inhibiting autophosphorylation of epidermal growth factor receptor tyrosine kinase, thereby inhibiting tumor cell proliferation and activation. . Gefitinib is an orally effective selective tyrosinase inhibitor that inhibits epidermal growth factor receptor activation by blocking the activation of tyrosine kinases by competitively binding to extracellular ligands with ATP. It inhibits cell proliferation and angiogenesis and promotes tumor cell apoptosis. These tyrosine kinase inhibitors are ubiquitously present with some serious problems. First of all, they have a lot of toxic side effects. Such as significant nausea, vomiting or diarrhea. In the case of erlotinib, more than 50% of clinical users experience varying degrees of skin reactions and digestive system diseases. The size of the side effects is often related to the dose of the drug, for example, the oral dose of erlotinib is 150mg / d, the oral dose of gefitinib is 250mg / d, imatinib mesylate The oral dose is as high as 400mg-600mg/d. Second, they are prone to drug resistance, which is closely related to long-term high-dose use. In the case of imatinib mesylate, long-term high-dose administration results in a point mutation in the BCR-ABL protein kinase domain, resulting in a decrease in the affinity of imatinib mesylate to produce imatinib mesylate. Drug resistance.

目前,基于对单一药物产生耐药性以及严重毒副作用的考虑而往往选择联合应用抗肿 瘤药物,但是并非所有的抗肿瘤药物都适合采取联合用药的形式。临床上有将酪氨酸激酶 抑制剂与其他化疗药物联合使用的尝试, 但仍存在毒副作用大等缺陷。  At present, anti-tumor drugs are often selected based on the consideration of drug resistance to single drugs and serious side effects, but not all anti-tumor drugs are suitable for combination therapy. There are clinical attempts to use tyrosine kinase inhibitors in combination with other chemotherapeutic drugs, but there are still many toxic side effects.

例如, 当甲磺酸伊马替尼与高三尖杉酯碱联合使用时, 可发生一过性的肝毒性, 如转 氨酶升高及高胆红素血症 (李玉峰, 丁帮和等.伊马替尼联合高三尖杉酯碱治疗初诊慢性 髓细胞性白血病疗效观察 [J].东南大学学报, 2009, 28 ( 5 ): 430-432 ) o Giaccone G等, Gefitinib in combination with gemcitabine and cisplatin in advanced non-small-cell lung cancer: a phase III trial— INTACT 1, J Clin Oncol. Mar 1, 2004 vol. 22 no. 5, 777-784—文中公开了吉 非替尼、 顺铂和吉西他滨联合用药治疗晚期非小细胞肺癌的技术方案。 Ulrich Gatzemeier 等, Phase III Study of Erlotinib in Combination With Cisplatin and Gemcitabine in Advanced Non-Small-Cell Lung Cancer: The Tarceva Lung Cancer Investigation Trial, JCO April 20, 2007 vol. 25 no. 12, 1545-1552—文中公开了厄洛替尼、 顺铂和吉西他滨联合用药用于治疗 晚期非小细胞肺癌的技术方案。后两篇文献中采用的另外两种化疗药物顺铂和吉西他滨均 毒性较强, 虽然联合用药具有一定协同作用, 但毒副作用仍较明显。 当前, 在众多的抗肿 瘤药物中选择合适的药物与酪氨酸激酶抑制剂联合使用以期获得增进疗效、同时使酪氨酸 激酶抑制剂毒副作用和耐药性降至最小的工作是十分必要的, 困难也是相当大的。 发明内容 For example, when imatinib mesylate is combined with homoharringtonine, transient hepatotoxicity can occur, such as elevated transaminases and hyperbilirubinemia (Li Yufeng, Ding Bang and et al. Therapeutic effect of nicil combined with homoharringtonine on newly diagnosed chronic myeloid leukemia[J].Journal of Southeast University, 2009, 28 ( 5 ): 430-432 ) o Giaccone G et al, Gefitinib in combination with gemcitabine and cisplatin in advanced Non-small-cell lung cancer: a phase III trial— INTACT 1, J Clin Oncol. Mar 1, 2004 vol. 22 no. 5, 777-784—disclosed in combination with gefitinib, cisplatin, and gemcitabine Technical solution for advanced non-small cell lung cancer. Ulrich Gatzemeier et al, Phase III Study of Erlotinib in Combination With Cisplatin and Gemcitabine in Advanced Non-Small-Cell Lung Cancer: The Tarceva Lung Cancer Investigation Trial, JCO April 20, 2007 vol. 25 no. 12, 1545-1552 - published in the text Combination of erlotinib, cisplatin and gemcitabine for treatment Technical solution for advanced non-small cell lung cancer. The other two chemotherapeutic drugs, cisplatin and gemcitabine, used in the latter two literatures are highly toxic, although the combination has a certain synergistic effect, but the side effects are still obvious. Currently, it is necessary to select the appropriate drug from a combination of anti-tumor drugs in combination with a tyrosine kinase inhibitor in order to obtain a therapeutic effect while minimizing the toxic side effects and drug resistance of tyrosine kinase inhibitors. The difficulty is also quite large. Summary of the invention

基于本领域中存在的上述问题,一方面, 本发明提供了一种抗肿瘤药物组合物, 它含 有如下活性组分:  Based on the above problems in the art, in one aspect, the present invention provides an antitumor pharmaceutical composition comprising the following active ingredients:

(1) 牛蒡苷元; 和 (1) arctigenin; and

(2) 酪氨酸激酶抑制剂。 (2) Tyrosine kinase inhibitors.

根据一种优选实施方式,本发明的药物组合物中所述酪氨酸激酶抑制剂与牛蒡苷元的 重量比为 (0.005-100): 1。  According to a preferred embodiment, the weight ratio of said tyrosine kinase inhibitor to arctigenin in the pharmaceutical composition of the present invention is (0.005-100): 1.

根据另一种优选实施方式,本发明的药物组合物中所述酪氨酸激酶抑制剂为吉非替尼 或其可药用盐、伊马替尼或其可药用盐、 或厄洛替尼或其可药用盐, 优选地, 所述伊马替 尼的可药用盐为其甲磺酸盐。  According to another preferred embodiment, the tyrosine kinase inhibitor of the pharmaceutical composition of the invention is gefitinib or a pharmaceutically acceptable salt thereof, imatinib or a pharmaceutically acceptable salt thereof, or erlotidine Or a pharmaceutically acceptable salt thereof, preferably, the pharmaceutically acceptable salt of imatinib is its mesylate salt.

根据另一种优选实施方式,在本发明的药物组合物中, 当所述酪氨酸激酶抑制剂为伊 马替尼或其可药用盐时, 伊马替尼或其可药用盐以伊马替尼计与牛蒡苷元的重量比为 (0.01-100): 1; 当所述酪氨酸激酶抑制剂为吉非替尼或其可药用盐时, 吉非替尼或其可药 用盐以吉非替尼计与牛蒡苷元的重量比为 (0.005-50): 1; 当所述酪氨酸激酶抑制剂为厄洛 替尼或其可药用盐时, 厄洛替尼或其可药用盐以厄洛替尼计与牛蒡苷元的重量比为 (0.05-25): 1。  According to another preferred embodiment, in the pharmaceutical composition of the present invention, when the tyrosine kinase inhibitor is imatinib or a pharmaceutically acceptable salt thereof, imatinib or a pharmaceutically acceptable salt thereof is The weight ratio of imatinib to arctigenin is (0.01-100): 1; when the tyrosine kinase inhibitor is gefitinib or a pharmaceutically acceptable salt thereof, gefitinib or its The weight ratio of the pharmaceutically acceptable salt to gibberellin and the burdock aglycone is (0.005-50): 1; when the tyrosine kinase inhibitor is erlotinib or a pharmaceutically acceptable salt thereof, erlotidine The weight ratio of nitrite or its pharmaceutically acceptable salt to bursinini in terms of erlotinib is (0.05-25): 1.

根据另一种优选实施方式,本发明药物组合物的剂型是适于胃肠道或非胃肠道给药的 剂型, 优选片剂、 乳剂、 微乳制剂、 胶囊剂、 滴丸或软胶囊, 更优选微乳制剂, 所述微乳 制剂的平均粒径优选为 15-80nm。  According to another preferred embodiment, the pharmaceutical composition of the present invention is in a form suitable for gastrointestinal or parenteral administration, preferably a tablet, an emulsion, a microemulsion, a capsule, a dropping or a soft capsule. More preferably, the microemulsion preparation preferably has an average particle diameter of from 15 to 80 nm.

根据另一种优选实施方式,在本发明的药物组合物中,所述牛蒡苷元或酪氨酸激酶抑 制剂以其游离酸或游离碱计, 每一制剂单位中牛蒡苷元的含量为 lmg-200mg, 酪氨酸激 酶抑制剂的含量为 2mg-100mg。  According to another preferred embodiment, in the pharmaceutical composition of the present invention, the bovine aglycone or tyrosine kinase inhibitor is, in terms of its free acid or free base, the content of arctigenin in each preparation unit is 1 mg. -200 mg, the content of the tyrosine kinase inhibitor is 2 mg to 100 mg.

另一方面, 本发明还提供了一种抗肿瘤成套药盒, 它含有如下活性组分:  In another aspect, the present invention provides an antitumor kit comprising the following active ingredients:

( 1 ) 牛蒡苷元; 和  (1) burdock aglycon;

(2) 酪氨酸激酶抑制剂。 上述两种活性组分可以作为混合后的组合物存在于成套药盒中,也可以分别以单独形 式存在于成套药盒中,无论以何种方式存在于成套药盒中,其联合使用最终均能体现协同 抗肿瘤作用, 并且毒副作用和耐药性显著降低。 (2) Tyrosine kinase inhibitors. The above two active ingredients may be present in the kit as a mixed composition, or may be present in a separate kit in separate forms, regardless of the manner in which they are present in the kit, and ultimately used in combination. It can reflect the synergistic anti-tumor effect, and the toxic side effects and drug resistance are significantly reduced.

根据一种优选实施方式,本发明所述成套药盒中酪氨酸激酶抑制剂与牛蒡苷元的重量 比为 (0.005-100): 1。  According to a preferred embodiment, the weight ratio of tyrosine kinase inhibitor to arctigenin in the kit of the invention is (0.005-100): 1.

根据另一种优选实施方式,本发明所述成套药盒中所述酪氨酸激酶抑制剂为吉非替尼 或其可药用盐、伊马替尼或其可药用盐、 或厄洛替尼或其可药用盐, 优选地, 所述伊马替 尼的可药用盐为其甲磺酸盐。  According to another preferred embodiment, the tyrosine kinase inhibitor of the kit of the invention is gefitinib or a pharmaceutically acceptable salt thereof, imatinib or a pharmaceutically acceptable salt thereof, or erlot Oriniline or a pharmaceutically acceptable salt thereof, preferably, the pharmaceutically acceptable salt of imatinib is its mesylate salt.

根据另一种优选实施方式,在本发明所述成套药盒中, 当所述酪氨酸激酶抑制剂为伊 马替尼或其可药用盐时, 伊马替尼或其可药用盐以伊马替尼计与牛蒡苷元的重量比为 (0.01-100): 1; 当所述酪氨酸激酶抑制剂为吉非替尼或其可药用盐时, 吉非替尼或其可药 用盐以吉非替尼计与牛蒡苷元的重量比为 (0.005-50): 1; 当所述酪氨酸激酶抑制剂为厄洛 替尼或其可药用盐时, 厄洛替尼或其可药用盐以厄洛替尼计与牛蒡苷元的重量比为 (0.05-25): 1。  According to another preferred embodiment, in the kit of the invention, when the tyrosine kinase inhibitor is imatinib or a pharmaceutically acceptable salt thereof, imatinib or a pharmaceutically acceptable salt thereof The weight ratio of imatinib to arctigenin is (0.01-100): 1; when the tyrosine kinase inhibitor is gefitinib or a pharmaceutically acceptable salt thereof, gefitinib or The weight ratio of the pharmaceutically acceptable salt to gefitinib to the arctigenin is (0.005-50): 1; when the tyrosine kinase inhibitor is erlotinib or a pharmaceutically acceptable salt thereof, erro The weight ratio of sirinib or its pharmaceutically acceptable salt to bursinini in terms of erlotinib is (0.05-25): 1.

根据另一种优选实施方式,本发明所述成套药盒中, 当两种活性组分以其组合物形式 存在于药盒中时, 其剂型是适于胃肠道或非胃肠道给药的剂型, 优选片剂、 乳剂、微乳制 剂、胶囊剂、滴丸或软胶囊, 更优选微乳制剂,所述微乳制剂的平均粒径优选为 15-80nm, 当两种活性组分以单独形式存在于药盒中时, 其剂型是适于胃肠道或非胃肠道给药的剂 型, 优选片剂、乳剂、微乳制剂、胶囊剂、滴丸或软胶囊, 其中牛蒡苷元更优选微乳制剂, 所述微乳制剂的平均粒径优选为 15-80nm, 酪氨酸激酶抑制剂更优选片剂。  According to another preferred embodiment, in the kit of the present invention, when the two active ingredients are present in the kit in the form of a composition, the dosage form is suitable for gastrointestinal or parenteral administration. a dosage form, preferably a tablet, an emulsion, a microemulsion preparation, a capsule, a dropping pill or a soft capsule, more preferably a microemulsion preparation, the microemulsion preparation preferably having an average particle diameter of 15 to 80 nm, when the two active ingredients are When the form is present in a kit, the dosage form is a dosage form suitable for gastrointestinal or parenteral administration, preferably a tablet, an emulsion, a microemulsion preparation, a capsule, a dropping pill or a soft capsule, wherein the burdock aglycone The microemulsion preparation is more preferable, and the microemulsion preparation preferably has an average particle diameter of 15 to 80 nm, and the tyrosine kinase inhibitor is more preferably a tablet.

根据另一种优选实施方式,在本发明所述成套药盒中,所述牛蒡苷元或酪氨酸激酶抑 制剂以其游离酸或游离碱计,以组合物或单独形式存在的牛蒡苷元在每一制剂单位中的含 量为 lmg-200mg, 以组合物或单独形式存在的酪氨酸激酶抑制剂在每一制剂单位中的含 量为 2mg-100mg。  According to another preferred embodiment, in the kit of the invention, the burdock aglycone or tyrosine kinase inhibitor is a bovine aglycone present in the composition or alone in terms of its free acid or free base. The content in each preparation unit is from 1 mg to 200 mg, and the tyrosine kinase inhibitor present in the composition or in a separate form is contained in an amount of from 2 mg to 100 mg per preparation unit.

根据一种实施方式,所述成套药盒中两种药物活性组分可以同时给药,也可以顺次给 药, 当顺次给药时, 两种药物活性组分给药间隔不超过 3个小时。  According to one embodiment, the two pharmaceutically active components of the kit may be administered simultaneously or sequentially, and when administered sequentially, the two pharmaceutically active components are administered at intervals of no more than 3 hour.

另外, 所述成套药盒还包括使用说明书。  In addition, the kit of parts further includes instructions for use.

又一方面, 本发明提供了所述药物组合物或成套药盒在制备治疗或预防抗肿瘤药物 中的用途,优选地,所述肿瘤为实体肿瘤或白血病,更优选地,所述实体肿瘤选自乳腺癌、 肺癌、 直肠癌、 卵巢癌、 结肠癌、 肝癌、 前列腺癌、 胃癌、 宫颈癌、 胰腺癌、 食管癌、 绒 毛膜上皮癌、 恶性葡萄胎、 膀胱癌、 皮肤癌、 头颈部癌、 支气管肺癌、 大肠癌以及非小细 胞肺癌,所述白血病选自急性早幼粒白血病、慢性粒细胞白血病以及维甲酸耐药早幼粒白 血病, 最优选地, 所述肿瘤为非小细胞肺癌。 In still another aspect, the present invention provides the use of the pharmaceutical composition or kit of parts for the preparation of a medicament for treating or preventing an antitumor, preferably the tumor is a solid tumor or leukemia, more preferably, the solid tumor is selected From breast cancer, lung cancer, rectal cancer, ovarian cancer, colon cancer, liver cancer, prostate cancer, stomach cancer, cervical cancer, pancreatic cancer, esophageal cancer, cashmere Epithelial cancer, malignant mole, bladder cancer, skin cancer, head and neck cancer, bronchial lung cancer, colorectal cancer, and non-small cell lung cancer, the leukemia is selected from acute promyelocytic leukemia, chronic myeloid leukemia, and retinoic acid tolerance The drug is promyelocytic leukemia, and most preferably, the tumor is non-small cell lung cancer.

再一方面,本发明提供了一种肿瘤的治疗或预防方法,该方法是向患有肿瘤或处于患 肿瘤危险中的人或动物施用上述药物组合物或成套药盒,优选地,所述肿瘤为实体肿瘤或 白血病, 更优选地, 所述实体肿瘤选自乳腺癌、 肺癌、 直肠癌、 卵巢癌、 结肠癌、 肝癌、 前列腺癌、 胃癌、 宫颈癌、 胰腺癌、 食管癌、 绒毛膜上皮癌、 恶性葡萄胎、 膀胱癌、 皮肤 癌、 头颈部癌、支气管肺癌、 大肠癌以及非小细胞肺癌, 所述白血病选自急性早幼粒白血 病、慢性粒细胞白血病以及维甲酸耐药早幼粒白血病, 最优选地, 所述肿瘤为非小细胞肺 根据上述治疗或预防方法的优选实施方式,所述成套药盒中两种药物活性组分可以同 时给药, 也可以顺次给药, 当顺次给药时, 两种药物活性组分给药间隔不超过 3个小时。  In still another aspect, the present invention provides a method of treating or preventing a tumor by administering the above-described pharmaceutical composition or kit to a human or animal having or at risk of developing a tumor, preferably, the tumor More preferably, the solid tumor is selected from the group consisting of breast cancer, lung cancer, rectal cancer, ovarian cancer, colon cancer, liver cancer, prostate cancer, gastric cancer, cervical cancer, pancreatic cancer, esophageal cancer, and chorionic epithelial cancer. , malignant mole, bladder cancer, skin cancer, head and neck cancer, bronchial lung cancer, colorectal cancer, and non-small cell lung cancer, the leukemia is selected from acute promyelocytic leukemia, chronic myeloid leukemia, and retinoic acid resistant promyelocytic Leukemia, most preferably, the tumor is a non-small cell lung. According to a preferred embodiment of the above treatment or prevention method, the two pharmaceutically active components of the kit may be administered simultaneously or sequentially. When administered sequentially, the two pharmaceutically active components are administered no more than 3 hours apart.

令人惊讶地,本发明人发现,通过将从天然植物牛蒡子中提取的具有低毒特性的牛蒡 苷元与酪氨酸激酶抑制剂组合而提供的药物组合物或成套药盒与单药或某些其它联合用 药相比,在抑制肿瘤、特别是诸如非小细胞肺癌之类的实体瘤和白血病方面具有显著的协 同作用, 同时降低酪氨酸激酶抑制剂毒副作用和耐药性。本发明所提供的抗肿瘤药物组合 物或成套药盒, 成分清楚、 制备工艺简单, 可单独用于肿瘤的治疗, 亦可配合放疗、 手术 使用。本发明的抗肿瘤药物组合物和成套药盒为抗肿瘤治疗或预防提供了新的思路,具有 良好的应用前景。 具体实施方式  Surprisingly, the inventors have found that a pharmaceutical composition or kit and a single drug or a combination of a bovine aglycone having low toxicity characteristics extracted from a natural plant burdock and a tyrosine kinase inhibitor are provided. Compared to certain other combinations, there is a significant synergistic effect in inhibiting tumors, particularly solid tumors and leukemias such as non-small cell lung cancer, while reducing the toxic side effects and drug resistance of tyrosine kinase inhibitors. The anti-tumor pharmaceutical composition or the kit of the invention has the advantages of clear composition and simple preparation process, and can be used for the treatment of tumor alone, and can also be combined with radiotherapy and surgery. The anti-tumor pharmaceutical composition and the kit of the invention provide a new idea for anti-tumor treatment or prevention, and have a good application prospect. detailed description

以下通过实施例的方式进一步描述本发明, 但应理解本发明不仅仅限于以下实施例。 实验材料与设备:  The invention is further described by the following examples, but it should be understood that the invention is not limited to the following examples. Experimental materials and equipment:

牛蒡苷元  Angerin

吉非替尼 购自阿斯利康制药有限公司  Gefitinib was purchased from AstraZeneca Pharmaceutical Co., Ltd.

厄洛替尼 购自上海罗氏制药有限公司  Erlotinib was purchased from Shanghai Roche Pharmaceutical Co., Ltd.

伊马替尼 购自北京诺华制药有限公司  Imatinib purchased from Beijing Novartis Pharmaceutical Co., Ltd.

甲磺酸伊马替尼 购自北京诺华制药有限公司  Imatinib mesylate purchased from Beijing Novartis Pharmaceutical Co., Ltd.

Eudragit L30D-55 购自德国赢创罗姆药用树脂部  Eudragit L30D-55 was purchased from Evonik Rohm Pharmaceutical Resin

激光粒度测定仪 购自北京爱格森自动化有限公司 本领域技术人员应知道,本发明的抗肿瘤药物组合物或成套药盒中包含的活性组分牛 蒡苷元和酪氨酸激酶抑制剂可分别通过商业途径获得, 也可通过本领域的公知技术制得。 Laser particle size analyzer was purchased from Beijing Aegis Automation Co., Ltd. It will be appreciated by those skilled in the art that the active components of the antitumor pharmaceutical composition or kit of the present invention, the anthraquinone aglycone and the tyrosine kinase inhibitor, are commercially available, respectively, and are also known in the art. be made of.

本发明抗肿瘤药物组合物或药盒的通用制备方法如下:  The general preparation method of the antitumor pharmaceutical composition or the kit of the present invention is as follows:

1、 将称重的药用辅料放入容器中, 加溶剂溶解均匀, 溶剂的量不严格限定, 以充分 溶解为宜。  1. Put the weighed pharmaceutical excipient into the container, dissolve the solvent evenly, and the amount of the solvent is not strictly limited, so it is better to dissolve it.

2、 按一定重量百分比加入称重的单方或复方抗肿瘤活性组分重新摇匀。  2. Add the weighed single or compound anti-tumor active component to a certain weight percentage and shake again.

3、 去除溶剂, 真空干燥或低温干燥法均可。  3. Remove the solvent, vacuum drying or low temperature drying.

4、 将干燥后的固体组合物制成各种形状。  4. The dried solid composition is made into various shapes.

5、 分装灭菌备用。  5. Dispensing and sterilizing.

上述工艺可根据具体剂型适当调整,必要时可省略或增加相关工艺步骤。药用辅料在 The above process can be appropriately adjusted according to the specific dosage form, and the relevant process steps can be omitted or added if necessary. Pharmaceutical excipients in

〈〈药用辅料大全〉〉 (第 123页, 四川科学技术出版社, 1993年出版, 罗明生和高天惠主 编)中已有详细描述。本发明抗肿瘤药物组合物或成套药盒所用的药用辅料为本领域技术 人员已知的常用辅料。例如, 制备微乳制剂常用的药用辅料包括但不限于大豆油、聚氧乙 烯 -23-月桂基醚、 1,2-丙二醇、 氢化椰油甘油脂、 月桂酰基聚乙二醇 -32-甘油酯、 聚乙二醇 3350、 红花油、棉子油、 十甘油单硬脂酸酯; 制备滴丸制剂常用的药用辅料包括但不限于 聚乙二醇 6000、 聚乙二醇 1000; 制备胶囊制剂常用的药用辅料包括但不限于乳糖和玉米 淀粉。制备软胶囊制剂常用的可药用载体包括但不限于中链脂肪酸甘油酯、聚氧乙烯蓖麻 油、 1,2-丙二醇等。 (The Daquan of Medicinal Excipients) (page 123, Sichuan Science and Technology Press, published in 1993, edited by Luo Mingsheng and Gao Tianhui) has been described in detail. The pharmaceutical excipients used in the antitumor pharmaceutical compositions or kits of the present invention are conventional excipients known to those skilled in the art. For example, pharmaceutical excipients commonly used in the preparation of microemulsion preparations include, but are not limited to, soybean oil, polyoxyethylene-23-lauryl ether, 1,2-propanediol, hydrogenated coconut glycerin, lauroyl polyethylene glycol-32-glycerol Ester, polyethylene glycol 3350, safflower oil, cottonseed oil, decaglycerin monostearate; pharmaceutical excipients commonly used in the preparation of dropping pills, including but not limited to polyethylene glycol 6000, polyethylene glycol 1000; Pharmaceutical excipients commonly used in capsule formulations include, but are not limited to, lactose and corn starch. Pharmaceutically acceptable carriers commonly used in the preparation of soft capsule preparations include, but are not limited to, medium chain fatty acid glycerides, polyoxyethylene castor oil, 1,2-propanediol, and the like.

本发明的抗肿瘤药物组合物或成套药盒的给药途径包括胃肠道途径和非胃肠道途径, 非胃肠道途径包括但不限于皮下、 皮内、 动脉、 静脉、 肌肉、 关节、 鞘内、 颅内、 胸腔、 腹腔内注射或滴注, 经鼻、 经颊、 舌下、 气管、 尿道、 直肠或病灶局部给药等。  The administration route of the antitumor pharmaceutical composition or kit of the present invention includes a gastrointestinal route including a non-gastrointestinal route including, but not limited to, subcutaneous, intradermal, arterial, intravenous, muscular, joint, Intrathecal, intracranial, thoracic, intraperitoneal injection or infusion, nasal, buccal, sublingual, tracheal, urethral, rectal or topical local administration.

对于本发明抗肿瘤药物组合物或成套药盒的给药时间和给药次数需要根据具体病情 而定, 这在本领域技术人员掌握的技术范围之内。例如, 将对小鼠的非小细胞肺癌的治疗 方案应用于人身上, 所有药物对人的有效剂量可以通过该药物对小鼠的有效剂量进行换 算, 这对于本领域的普通技术人员来说是显而易见的。 实施例 1: 本发明药物组合物微乳制剂  The administration time and the number of administrations of the antitumor pharmaceutical composition or kit of the present invention need to be determined according to the specific conditions, which are within the technical scope of those skilled in the art. For example, a treatment regimen for non-small cell lung cancer in mice is applied to a human, and an effective dose of all drugs to humans can be converted by the effective dose of the drug to the mouse, which is well known to those of ordinary skill in the art. Obvious. Example 1: Microemulsion preparation of pharmaceutical composition of the present invention

牛蒡苷元 10g  Angerin 10g

吉非替尼 0.05g  Gefitinib 0.05g

大豆油 35g 聚氧乙烯 -23-月桂基醚 60g Soybean oil 35g Polyoxyethylene-23-lauryl ether 60g

1,2-丙二醇 30g  1,2-propanediol 30g

制备工艺: 称取处方量大豆油、 聚氧乙烯 -23-月桂基醚、 1,2-丙二醇, 混合后搅拌均 匀, 然后加入牛蒡苷元、 吉非替尼溶解, 也可以超声波处理以加速溶解, 得澄清溶液, 即 为牛蒡苷元与吉非替尼药物组合物微乳制剂。 激光粒度测定仪测定其粒径, 平均粒径为 15nm。  Preparation process: Weigh the prescribed amount of soybean oil, polyoxyethylene-23-lauryl ether, 1,2-propanediol, mix well and stir evenly, then add the burdock aglycone, gefitinib to dissolve, or ultrasonically to accelerate the dissolution A clear solution is obtained, which is a microemulsion preparation of a bovine aglycone and gefitinib pharmaceutical composition. The particle size was measured by a laser granulometer, and the average particle diameter was 15 nm.

实施例 2: 本发明药物组合物微乳制剂 Example 2: Pharmaceutical composition microemulsion preparation of the invention

牛蒡苷元 O. lg  Angerin aglycone O. lg

吉非替尼 5g  Gefitinib 5g

氢化椰油甘油酯 5g  Hydrogenated cocoglyceride 5g

月桂酰基聚乙二醇 -32-甘油酯 20g  Lauric acid polyethylene glycol-32-glyceride 20g

1,2-丙二醇 5g  1,2-propanediol 5g

聚乙二醇 3350 20g  Polyethylene glycol 3350 20g

制备工艺: 称取处方量氢化椰油甘油脂、 月桂酰基聚乙二醇 -32-甘油酯、 1,2-丙二醇、 聚乙二醇 3350, 混合后搅拌均匀, 然后加入牛蒡苷元、 吉非替尼溶解, 也可以超声波处 理以加速溶解, 得澄清溶液, 即为牛蒡苷元与吉非替尼药物组合物微乳制剂。激光粒度测 定仪测定其粒径, 平均粒径为 40nm。  Preparation process: Weigh the prescribed amount of hydrogenated coconut oil, lauroyl polyethylene glycol-32-glyceride, 1,2-propanediol, polyethylene glycol 3350, mix and stir evenly, then add calf aglycone, Jifei The nyanib is dissolved, and it can also be ultrasonicated to accelerate the dissolution to obtain a clear solution, that is, a microemulsion preparation of the burverine and gefitinib pharmaceutical composition. The particle size was measured by a laser particle size measuring instrument, and the average particle diameter was 40 nm.

实施例 3: 本发明药物组合物微乳制剂 Example 3: Pharmaceutical composition microemulsion preparation of the invention

牛蒡苷元 10g  Angerin 10g

吉非替尼 10g  Gefitinib 10g

红花油 35g  Safflower oil 35g

聚氧乙烯 -23-月桂基醚 60g  Polyoxyethylene -23-lauryl ether 60g

1,2-丙二醇 30g  1,2-propanediol 30g

制备工艺: 称取处方量红花油、 聚氧乙烯 -23-月桂基醚、 1,2-丙二醇, 混合后搅拌均 匀, 然后加入牛蒡苷元、 吉非替尼溶解, 也可以超声波处理以加速溶解, 得澄清溶液, 即 为牛蒡苷元与吉非替尼药物组合物微乳制剂。 激光粒度测定仪测定其粒径, 平均粒径为 36nm0 实施例 4: 本发明药物组合物微乳制剂 Preparation process: Weigh the prescribed amount of safflower oil, polyoxyethylene-23-lauryl ether, 1,2-propanediol, mix and mix evenly, then add the burdock aglycone, gefitinib dissolved, or ultrasonically accelerate to accelerate Dissolved, a clear solution is obtained, which is a microemulsion preparation of a bovine aglycone and gefitinib pharmaceutical composition. Laser particle size analyzer using a particle diameter, an average particle diameter of 36nm 0 Example 4: Pharmaceutical composition microemulsion preparation of the invention

牛蒡苷元 10g  Angerin 10g

厄洛替尼 0.5g  Erlotinib 0.5g

棉子油 30g  Cottonseed oil 30g

十甘油单硬脂酸酯 55g  Decaglyceryl monostearate 55g

1,2-丙二醇 25g  1,2-propanediol 25g

制备工艺: 称取处方量棉子油、 十甘油单硬脂酸酯、 1,2-丙二醇, 混合后搅拌均匀, 然后加入牛蒡苷元、 厄洛替尼溶解, 也可以超声波处理以加速溶解, 得澄清溶液, 即为牛 蒡苷元与厄洛替尼药物组合物微乳制剂。激光粒度测定仪测定其粒径,平均粒径为 80nm。 实施例 5: 本发明药物组合物微乳制剂  Preparation process: Weigh the prescribed amount of cottonseed oil, decaglyceryl monostearate, 1,2-propanediol, mix and mix evenly, then add the bursin, erlotinib dissolved, or ultrasonic treatment to accelerate the dissolution, A clear solution is obtained, which is a microemulsion preparation of an arctigenin and erlotinib pharmaceutical composition. The particle size was measured by a laser granulometer, and the average particle diameter was 80 nm. Example 5: Pharmaceutical composition microemulsion preparation of the present invention

牛蒡苷元 2g  Angerin 2g

厄洛替尼 2g  Erlotinib 2g

大豆油 30g  Soybean oil 30g

十甘油单硬脂酸酯 55g  Decaglyceryl monostearate 55g

1,2-丙二醇 25g  1,2-propanediol 25g

制备工艺: 称取处方量大豆油、 十甘油单硬脂酸酯、 1,2-丙二醇, 混合后搅拌均匀, 然后加入牛蒡苷元、 厄洛替尼溶解, 也可以超声波处理以加速溶解, 得澄清溶液, 即为牛 蒡苷元与厄洛替尼药物组合物微乳制剂。激光粒度测定仪测定其粒径,平均粒径为 47nm。 实施例 6: 本发明药物组合物微乳制剂  Preparation process: Weigh the prescribed amount of soybean oil, decaglyceryl monostearate, 1,2-propanediol, mix and mix evenly, then add caldonia aglycone, erlotinib dissolved, or ultrasonic treatment to accelerate dissolution, The clear solution is a microemulsion preparation of the bovine aglycone and erlotinib pharmaceutical composition. The particle size was measured by a laser granulometer, and the average particle diameter was 47 nm. Example 6: Pharmaceutical composition microemulsion preparation of the invention

牛蒡苷元 lg  Angerin aglycon

厄洛替尼 25g  Erlotinib 25g

大豆油 30g  Soybean oil 30g

十甘油单硬脂酸酯 55g  Decaglyceryl monostearate 55g

1,2-丙二醇 25g  1,2-propanediol 25g

制备工艺: 称取处方量大豆油、 十甘油单硬脂酸酯、 1,2-丙二醇, 混合后搅拌均匀, 然后加入牛蒡苷元、 厄洛替尼溶解, 也可以超声波处理以加速溶解, 得澄清溶液, 即为牛 蒡苷元与厄洛替尼药物组合物微乳制剂。激光粒度测定仪测定其粒径,平均粒径为 58nm。 实施例 7: 本发明药物组合物微乳制剂 Preparation process: Weigh the prescribed amount of soybean oil, decaglyceryl monostearate, 1,2-propanediol, mix and mix evenly, then add caldonia aglycone, erlotinib dissolved, or ultrasonic treatment to accelerate dissolution, The clear solution is a microemulsion preparation of the bovine aglycone and erlotinib pharmaceutical composition. The particle size was measured by a laser granulometer, and the average particle diameter was 58 nm. Example 7: Pharmaceutical composition microemulsion preparation of the invention

牛蒡苷元  Angerin

甲磺酸伊马替尼  Imatinib mesylate

大豆油  Soybean oil

十甘油单硬脂酸酉  Decaglycerol monostearate

1,2-丙二醇  1,2-propanediol

制备工艺: 称取处方量大豆油、 十甘油单硬脂酸酯、 1,2-丙二醇, 混合后搅拌均匀, 然后加入牛蒡苷元、甲磺酸伊马替尼溶解,也可以超声波处理以加速溶解,得澄清浓缩液, 即为牛蒡苷元与甲磺酸伊马替尼的微乳浓缩物。激光粒度测定仪测定其粒径,平均粒径为 56nm。  Preparation process: Weigh the prescribed amount of soybean oil, decaglyceryl monostearate, 1,2-propanediol, mix and mix evenly, then add the burdock aglycone, imatinib mesylate to dissolve, or ultrasonically accelerate to accelerate Dissolved to obtain a clear concentrate, which is a microemulsion concentrate of arctigenin and imatinib mesylate. The particle diameter was measured by a laser granulometer, and the average particle diameter was 56 nm.

实施例 8: 本发明药物组合物滴丸制剂 Example 8: Pharmaceutical composition drip pellet preparation of the invention

牛蒡苷元 5.0 g  Angerin aglycone 5.0 g

厄洛替尼 50.0 g  Erlotinib 50.0 g

聚乙二醇 -6000 14.5 g  Polyethylene glycol -6000 14.5 g

聚乙二醇 -1000 5.0 g  Polyethylene glycol -1000 5.0 g

制成 1000粒  Made of 1000 capsules

制备工艺:称取处方量过 100目筛的牛蒡苷元和厄洛替尼,加入已在水浴上加热熔融 的含处方量的聚乙二醇 6000、 聚乙二醇 1000的混合液中, 充分搅拌, 使之均匀, 装入滴 瓶中, 于 95±2°C的条件下滴制; 滴入盛有 4-6 mL的甲基硅油的玻璃冷凝柱内, 成型后取 出, 用吸水纸吸去黏附的甲基硅油, 即得。 实施例 9: 本发明药物组合物肠溶软胶囊制剂  Preparation process: weigh the bovine glucoside and erlotinib which have been prescribed to a 100 mesh sieve, and add to the mixed solution of the prescription polyethylene glycol 6000 and polyethylene glycol 1000 which have been heated and melted on a water bath. Stir, make it uniform, put into a dropper bottle, drop at 95±2 °C; drop into a glass condensation column containing 4-6 mL of methyl silicone oil, take it out after molding, and suck it with absorbent paper. Debonded methyl silicone oil, that is. Example 9: Ingredients for enteric soft capsule preparation of pharmaceutical composition of the present invention

内容物处方:  Content prescription:

牛蒡苷元 10 g  Angerin 10 g

伊马替尼 200 g  Imatinib 200 g

无水乙醇 10 g  Anhydrous ethanol 10 g

1,2-丙二醇 10 g  1,2-propanediol 10 g

聚氧乙烯蓖麻油 50 g  Polyoxyethylene castor oil 50 g

中链脂肪酸甘油酯 20 g 胶皮处方: Medium chain fatty acid glyceride 20 g Rubber prescription:

明胶 10 g  Gelatin 10 g

甘油 5 g  Glycerin 5 g

纯化水 10 g  Purified water 10 g

肠溶包衣液处方:  Enteric coating solution:

Eudragit L30D-55 100 g  Eudragit L30D-55 100 g

柠檬酸三乙酯 3 g  Triethyl citrate 3 g

滑石粉 7.5 g  Talc 7.5 g

纯化水 200 g  Purified water 200 g

制备工艺: 称取处方量中链脂肪酸甘油酯、聚氧乙烯蓖麻油、 1,2-丙二醇、无水乙醇, 混合后搅拌均匀, 然后加入牛蒡苷元、伊马替尼溶解, 也可以超声波处理以加速溶解, 得 澄清浓缩液, 即为牛蒡苷元伊马替尼微乳浓缩物。 将上述所得的微乳浓缩物加水按照 1 : 10-20的重量比稀释至澄清溶液, 即得软胶囊微乳内容物。 称取处方量明胶、 甘油、 纯化 水, 混合均匀后压制成胶皮, 再称取处方量的 Eudragit L30D-55、柠檬酸三乙酯、滑石粉、 纯化水混合均匀制得肠溶包衣液。将含有牛蒡苷元和伊马替尼的软胶囊微乳内容物用胶皮 包裹制成软胶囊, 并在软胶囊上包肠衣制得肠溶软胶囊。 实施例 10: 本发明药物组合物胶囊制剂  Preparation process: Weigh the prescribed amount of medium chain fatty acid glyceride, polyoxyethylene castor oil, 1,2-propanediol, absolute ethanol, mix and mix evenly, then add caldonia, imatinib dissolved, or ultrasonic treatment In order to accelerate the dissolution, the concentrate is clarified, which is the burdock aglycone microemulsion concentrate. The microemulsion concentrate obtained above was diluted with water to a clear solution in a weight ratio of 1:10-20 to obtain a soft capsule microemulsion content. Weigh the prescribed amount of gelatin, glycerin, purified water, mix it evenly and press it into rubber. Weigh the prescribed amount of Eudragit L30D-55, triethyl citrate, talc, and purified water to make an enteric coating liquid. The soft capsule microemulsion contents containing burdock aglycon and imatinib are wrapped in a soft capsule, and the enteric soft capsule is prepared by coating the soft capsule on the casing. Example 10: Pharmaceutical composition capsule preparation of the present invention

牛蒡苷元 100 g  Angerin aglycone 100 g

吉非替尼 5 g  Gefitinib 5 g

乳糖 120 g  Lactose 120 g

玉米淀粉 130 g  Corn starch 130 g

硬脂酸镁 5 g  Magnesium stearate 5 g

制备工艺: 将牛蒡苷元 100g、 吉非替尼 5g、 乳糖 120g和玉米淀粉 130g在混合机中 混合 10-15分钟, 加入硬脂酸镁 5g混合 1-3分钟, 装入 1000粒胶囊壳即可。 实施例 11: 本发明药物组合物微乳制剂  Preparation process: 100 g of burdock aglycone, 5 g of gefitinib, 120 g of lactose and 130 g of corn starch are mixed in a mixer for 10-15 minutes, and 5 g of magnesium stearate is added and mixed for 1-3 minutes, and then 1000 capsule shells are charged. can. Example 11: Pharmaceutical composition microemulsion preparation of the invention

牛蒡苷元 2g  Angerin 2g

伊马替尼 2g  Imatinib 2g

大豆油 30g 十甘油单硬脂酸酯 55g Soybean oil 30g Decaglyceryl monostearate 55g

1,2-丙二醇 25g  1,2-propanediol 25g

制备工艺同实施例 7。 激光粒度测定仪测定其粒径, 平均粒径为 39nm。  The preparation process was the same as in Example 7. The particle size was measured by a laser granulometer, and the average particle diameter was 39 nm.

实施例 12: 本发明药物组合物微乳制剂 Example 12: Pharmaceutical composition microemulsion preparation of the invention

牛蒡苷元 O.lg  Angerin A.lg

伊马替尼 10g  Imatinib 10g

大豆油 30g  Soybean oil 30g

十甘油单硬脂酸酯 55g  Decaglyceryl monostearate 55g

1,2-丙二醇 25g  1,2-propanediol 25g

制备工艺同实施例 7。 激光粒度测定仪测定其粒径, 平均粒径为 58nm。  The preparation process was the same as in Example 7. The particle size was measured by a laser granulometer, and the average particle diameter was 58 nm.

实施例 13: 本发明药物组合物的体外抑瘤作用 Example 13: In vitro antitumor effect of the pharmaceutical composition of the present invention

所用的肿瘤细胞包括白血病细胞(HL-60)、乳腺癌细胞(MCF-7)、肺癌细胞(Calu-3 )、 直肠癌细胞(Colo320)、结肠癌细胞(HCT-8)、卵巢癌细胞(SK-OV-3 )、肝癌细胞(HepG2)、 胃癌细胞 (SGC-7901 )、 前列腺癌细胞 (DU145 ) 和宫颈癌细胞 (Hela), 以上细胞均来 自中国山东省鲁南制药集团股份有限公司新药药理中心细胞培养室。将牛蒡苷元及酪氨酸 激酶抑制剂(其用量如表 1所示)加到体外培养 24小时的各种肿瘤细胞中, 继续培养 48 小时后计数细胞总数。 其肿瘤生长抑制效果见表 1。 表 1 : 本发明药物组合物的体外抑瘤作用  The tumor cells used include leukemia cells (HL-60), breast cancer cells (MCF-7), lung cancer cells (Calu-3), rectal cancer cells (Colo320), colon cancer cells (HCT-8), and ovarian cancer cells ( SK-OV-3), liver cancer cells (HepG2), gastric cancer cells (SGC-7901), prostate cancer cells (DU145) and cervical cancer cells (Hela), all of which are from the new drug of Shandong Lunan Pharmaceutical Group Co., Ltd. Pharmacological center cell culture chamber. The bovine aglycone and tyrosine kinase inhibitors (the amounts thereof are shown in Table 1) were added to various tumor cells cultured in vitro for 24 hours, and the total number of cells was counted after 48 hours of culture. The tumor growth inhibition effect is shown in Table 1. Table 1: In vitro antitumor effect of the pharmaceutical composition of the present invention

瘤细胞 A B C D A+B A+C A+D 白血病细胞 50% 20% 30% 26% 94% 97% 94% 乳腺癌细胞 45% 40% 45% 61% 92% 89% 88% 肺癌细胞 40% 30% 45% 42% 97% 92% 96% 直肠癌细胞 46% 40% 50% 40% 86% 89% 87% 卵巢癌细胞 53% 30% 40% 42% 86% 86% 92% 结肠癌细胞 50% 35% 35% 30% 95% 96% 94% 肝癌细胞 39% 41% 54% 45% 99% 98% 97% 瘤细胞 A B C D A+B A+C A+D 前列腺癌细胞 44% 40% 43% 40% 89% 90% 90% 胃癌细胞 42% 38% 32% 30% 88% 92% 94% 宫颈癌细胞 55% 30% 35% 31% 99% 96% 96% 注: A为 200ng/ml的牛蒡苷元, B为 li^g/ml吉非替尼、 C为 li^g/ml厄洛替尼、 D 为 10μ§/ηι1伊马替尼。 从表 1可以看出, 酪氨酸激酶抑制剂吉非替尼、厄洛替尼、伊马替尼与牛蒡苷元组成 组合物肿瘤抑制率显著高于酪氨酸激酶抑制剂单药组,也显著高于牛蒡苷元组,牛蒡苷元 和酪氨酸激酶抑制剂在实体肿瘤抑制方面存在协同作用。 实施例 14: 本发明药物组合物对人非小细胞肺癌 Α549细胞裸鼠移植瘤生长的影响 Tumor cells ABCD A+B A+C A+D Leukemia cells 50% 20% 30% 26% 94% 97% 94% Breast cancer cells 45% 40% 45% 61% 92% 89% 88% Lung cancer cells 40% 30 % 45% 42% 97% 92% 96% Rectal cancer cells 46% 40% 50% 40% 86% 89% 87% Ovarian cancer cells 53% 30% 40% 42% 86% 86% 92% Colon cancer cells 50% 35% 35% 30% 95% 96% 94% Liver cancer cells 39% 41% 54% 45% 99% 98% 97% Tumor cells ABCD A+B A+C A+D prostate cancer cells 44% 40% 43% 40% 89% 90% 90% gastric cancer cells 42% 38% 32% 30% 88% 92% 94% cervical cancer cells 55% 30% 35% 31% 99% 96% 96% Note: A is 200ng/ml of arctigenin, B is li^g/ml gefitinib, C is li^g/ml erlotinib, D is 10μ § / ηι1 imatinib. As can be seen from Table 1, the tumor inhibition rate of the composition of the tyrosine kinase inhibitors gefitinib, erlotinib, imatinib and arctigenin was significantly higher than that of the tyrosine kinase inhibitor monotherapy group. It was also significantly higher than the arctigenin group, and there was a synergistic effect between the arctigenin and the tyrosine kinase inhibitor on solid tumor suppression. Example 14: Effect of the pharmaceutical composition of the present invention on the growth of human non-small cell lung cancer Α549 cells in nude mice

1、 材料与方法  1. Materials and methods

1.1、 细胞株  1.1, cell line

人非小细胞肺癌细胞株 Α549 细胞株购自武汉大学中国典型培养物保藏中心 (中国湖 北省武汉市)。  Human non-small cell lung cancer cell line Α549 cell line was purchased from Wuhan University China Culture Collection (Wuhan, Hubei, China).

1.2、 药品和试剂  1.2, drugs and reagents

RPMI-1640培养基, 购自 Gibeo公司; 新生小牛血清, 购自杭州四季青生物工程材料 有限公司; 0.25 % 胰蛋白酶, 购自 Sigma公司。  RPMI-1640 medium, purchased from Gibeo; newborn calf serum, purchased from Hangzhou Sijiqing Bioengineering Materials Co., Ltd.; 0.25 % trypsin, purchased from Sigma.

1.3、 人非小细胞肺癌裸鼠移植瘤治疗实验  1.3, human non-small cell lung cancer xenograft tumor treatment experiment

SPF级 BALB/c-皿小鼠 228只, 中国药品生物制品检定所提供 ( SCXK II -00-0010), 6周龄,重量 16g-18g。取对数生长期 A549细胞,用无菌 PBS调整 A549细胞浓度为 3xl07 个 /mL,在各 BALB/c-nu小鼠背部皮下接种 A549细胞 O.lml,待皮下移植瘤体积达 75 mm3 左右时 (约 10d), 按瘤体积和荷瘤鼠体重均衡原则分为 19组, 每组 12只。 各治疗组药物 用相当于每只小鼠体重 5%的生理盐水溶解以后灌胃给药。 228 SPF-class BALB/c- dishes were provided by China National Institute for the Control of Pharmaceutical and Biological Products (SCXK II -00-0010), 6 weeks old, and weighed 16g-18g. The A549 cells in logarithmic growth phase were adjusted to a concentration of 3× 10 7 /mL with sterile PBS. The A549 cells were inoculated subcutaneously in the back of each BALB/c-nu mouse, and the volume of the subcutaneous transplanted tumor was 75 mm 3 . When left and right (about 10d), according to the tumor volume and tumor-bearing rat weight balance principle, 19 groups, 12 in each group. Each treatment group was intragastrically administered after dissolution with physiological saline equivalent to 5% by weight of each mouse.

阴性对照组: 灌胃给药相当于每只小鼠体重 5%的生理盐水。  Negative control group: Administration by gavage was equivalent to 5% normal saline per mouse.

牛蒡苷元低量组: 灌胃给药 0.1mg/kg_d牛蒡苷元;  Low-quantity group of burdock aglycone: 0.1mg/kg_d burdock aglycone;

牛蒡苷元中量组: 灌胃给药 25mg/kg_d牛蒡苷元;  Bovine glycosides in the middle group: intragastric administration of 25mg/kg_d arctigenin;

牛蒡苷元高量组: 灌胃给药 100mg/kg_d牛蒡苷元; 吉非替尼组: 灌胃给药 25mg/kg-d High dose of arctigenin: 100mg/kg_d burdock aglycone; Gefitinib group: 25mg/kg-d by intragastric administration

厄洛替尼组: 灌胃给药 25mg/kg-d  Erlotinib group: intragastric administration 25mg/kg-d

伊马替尼组: 灌胃给药 25mg/kg-d  Imatinib group: intragastric administration 25mg/kg-d

牛蒡苷元 +吉非替尼 A组: 灌胃给药 0.1mg/kg_d牛蒡苷元 +5mg/kg_d吉非替尼; 牛蒡苷元 +吉非替尼 B组: 灌胃给药 25mg/kg_d牛蒡苷元 +25mg/kg_d吉非替尼; 牛蒡苷元 +吉非替尼 C组: 灌胃给药 100mg/kg_d牛蒡苷元 +5mg/kg_d吉非替尼; 牛蒡苷元 +吉非替尼 D组: 灌胃给药 100mg/kg_d牛蒡苷元 +0.5mg/kg_d吉非替尼; 牛蒡苷元 +厄洛替尼 A组: 灌胃给药 0.1mg/kg_d牛蒡苷元 +2.5mg/kg_d厄洛替尼; 牛蒡苷元 +厄洛替尼 B组: 灌胃给药 25mg/kg_d牛蒡苷元 +25mg/kg_d厄洛替尼; 牛蒡苷元 +厄洛替尼 C组: 灌胃给药 25mg/kg_d牛蒡苷元 +2.5mg/kg_d厄洛替尼; 牛蒡苷元 +厄洛替尼 D组: 灌胃给药 100mg/kg_d牛蒡苷元 +5mg/kg_d厄洛替尼; 牛蒡苷元 +伊马替尼 A组: 灌胃给药 0.1mg/kg_d牛蒡苷元 +10mg/kg_d伊马替尼; 牛蒡苷元 +伊马替尼 B组: 灌胃给药 lmg/kg_d牛蒡苷元 +20mg/kg_d伊马替尼; 牛蒡苷元 +伊马替尼 C组: 灌胃给药 25mg/kg_d牛蒡苷元 +25mg/kg_d伊马替尼; 牛蒡 苷元 +伊马替尼 D组: 灌胃给药 100mg/kg_d牛蒡苷元 +lmg/kg_d伊马替尼;  Astragalus aglycone + gefitinib group A: intragastric administration of 0.1mg/kg_d arctigenin +5mg/kg_d gefitinib; burdock aglycone + gefitinib group B: intragastric administration of 25mg/kg_d burdock Aglycone +25mg/kg_d gefitinib; arctigenin + gefitinib group C: intragastric administration of 100mg/kg_d arctigenin +5mg/kg_d gefitinib; arctigenin + gefitinib D Group: 100 mg/kg _d burdock + 0.5 mg/kg _ gefitinib; burdock aglycone + erlotinib group A: intragastric administration 0.1 mg/kg _d burdock aglycone +2.5 mg/kg _d Lotiinib; burdock aglycone + erlotinib group B: intragastric administration of 25mg/kg_d arctigenin +25mg/kg_d erlotinib; arctigenin + erlotinib group C: intragastric administration of 25mg /kg_d burdock aglycone +2.5mg/kg_d erlotinib; burdock aglycone + erlotinib group D: intragastric administration of 100mg/kg_d burdock aglycone +5mg/kg_d erlotinib; burdock aglycone + y Matinib group A: intragastric administration of 0.1 mg/kg _d arctigenin + 10 mg/kg _d imatinib; burdock aglycone + imatinib group B: intragastric administration of lmg/kg_d burdock aglycone + 20 mg / Kg_d imatinib; burdock aglycone + imatinib group C: Administration by intragastric administration 25mg/kg_d arctigenin +25mg/kg_d imatinib; burdock aglycone + imatinib group D: intragastric administration 100mg/kg_d arctigenin +lmg/kg_d imatinib;

每日给药 1次, 共计 8次, 给药期间每 4日用游标卡尺测量移植瘤最长径 (L)和最短 径 (w)。 末次给药 48h后脱臼处死小鼠, 切除移植瘤, 称取瘤重。 抑瘤率 (%)IR = (1-实验 组瘤重均值 /对照组瘤重均值 )x 100 %。 通过用药前后瘤重的比较来体现药物对人肺癌 A549细胞裸鼠抑制瘤生长的影响。 记录不良反应发生情况, 不良反应为呕吐、 恶心、 腹 泻、皮肤瘙痒和水肿, 根据治疗的时间进程, 尤其记录常见的腹泻和水肿的不良反应发生 情况, 计算不良反应发生率。不良反应发生率=出现上述不良反应的动物数 /该实验组动物 总数 X 100 %。  The drug was administered once a day for a total of 8 times, and the longest diameter (L) and the shortest diameter (w) of the transplanted tumor were measured with a vernier caliper every 4 days during the administration. After 48 hours of the last administration, the mice were sacrificed by dislocation and the transplanted tumor was removed, and the tumor weight was weighed. Tumor inhibition rate (%) IR = (1 - mean tumor weight in the experimental group / mean tumor weight in the control group) x 100%. The effect of drugs on the growth of human lung cancer A549 cells in nude mice was demonstrated by comparison of tumor weight before and after treatment. The adverse reactions were recorded. The adverse reactions were vomiting, nausea, diarrhea, itchy skin and edema. According to the time course of treatment, the incidence of adverse reactions such as common diarrhea and edema was recorded, and the incidence of adverse reactions was calculated. The incidence of adverse reactions = the number of animals with the above adverse reactions / the total number of animals in the experimental group X 100%.

1.4、 统计学处理  1.4, statistical processing

数据以均数 ±标准差 (X±S)表示, 采用 SPSS15.0软件进行方差分析。  Data were expressed as mean ± standard deviation (X ± S), and analysis of variance was performed using SPSS 15.0 software.

2、 试验结果 (见表 2) 表 2: 本发明药物组合物对人非小细胞肺癌 A549细胞裸鼠移植瘤生长的影响 组别 瘤重 /mg 抑瘤率 /% 不良反应发生率 /% 阴性对照组 483.50±86.45  2. Test results (see Table 2) Table 2: Effect of the pharmaceutical composition of the present invention on the growth of human non-small cell lung cancer A549 cells in nude mice xenograft tumor weight/mg tumor inhibition rate/% adverse reaction rate/% negative Control group 483.50±86.45

吉非替尼组 360.14±71.86* 25.52 65.8 组别 瘤重 /mg 抑瘤率 /% 不良反应发生率 /% 厄洛替尼组 297.64士55.21* 38.44 56.2 Gefitinib group 360.14±71.86* 25.52 65.8 Group tumor weight / mg tumor inhibition rate /% incidence of adverse reactions /% erlotinib group 297.64 ± 55.21 * 38.44 56.2

伊马替尼组 387.91±81.42* 19.77 49.8  Imatinib group 387.91±81.42* 19.77 49.8

牛蒡苷元低量组 442.74±45.36* 8.43 5.2  Low caloriin group 442.74±45.36* 8.43 5.2

牛蒡苷元中量组 371.71±82.23* 23.12 8.4  Burdock aglycone medium group 371.71±82.23* 23.12 8.4

牛蒡苷元高量组 324.28±60.21* 32.93 10.6  High caloriin group 324.28±60.21* 32.93 10.6

>$$■■  >$$■■

牛蒡苷元 +厄洛替尼 A组 160.91±50.77" 66.72 18.3  Angerin + erlotinib group A 160.91±50.77" 66.72 18.3

'$$▲▲  '$$▲▲

牛蒡苷元 +厄洛替尼 B组 119.90±46.35" 75.20 31.6  Angerin + erlotinib group B 119.90±46.35" 75.20 31.6

牛蒡苷元十厄洛替尼 C组 95.48±42.34**$$A A 80.25 20.2 Angerin 10 erlotinib C group 95.48±42.34** $$AA 80.25 20.2

牛蒡苷元 +厄洛替尼 D组 91.87±40.27**$$** 81.00 23.5Angerin + erlotinib group D 91.87 ± 40.27** $$ ** 81.00 23.5

Figure imgf000015_0001
Figure imgf000015_0001

牛蒡苷元 +吉非替尼 A组 192.82±60.21 60.12 25.6  Angerin + gefitinib group A 192.82±60.21 60.12 25.6

牛蒡苷元 +吉非替尼 B组 153.12士53.2 68.33 33.7  Angerin + gefitinib group B 153.12士53.2 68.33 33.7

*##♦♦  *##♦♦

牛蒡苷元 +吉非替尼 C组 116.24±20.06" 75.96 16.7  Angerin + gefitinib C group 116.24±20.06" 75.96 16.7

*##♦♦  *##♦♦

牛蒡苷元 +吉非替尼 D组 133.40±26.85*' 72.41 15.6  Angerin + gefitinib Group D 133.40±26.85*' 72.41 15.6

牛蒡苷元 +伊马替尼 A组 257.60±26.53*' 46.72 23.6  Angerin + imatinib group A 257.60±26.53*' 46.72 23.6

牛蒡苷元 +伊马替尼 B组 226.34±30.64*' 53.19 25.3  Angerin + imatinib group B 226.34±30.64*' 53.19 25.3

»&▲  »&▲

牛蒡苷元 +伊马替尼 C组 216.60±60.11*' 55.20 31.5  Angerin + imatinib group C 216.60±60.11*' 55.20 31.5

牛蒡苷元 +伊马替尼 D组 188.5650.21**&&* 61.00 11.8 Angerin + Imatinib Group D 188.5650.21** && * 61.00 11.8

——无效果  --no effect

*与阴性对照组相比, p<0.05; "与阴性对照组相比, p<0.01;  *p<0.05 compared with the negative control group; "p<0.01 compared with the negative control group;

##与吉非替尼组相比, p<0.01 ; $$与厄洛替尼组相比, ρθ.01 ; # # Imatinib group compared with gefitinib, p <0.01; $$ compared with erlotinib, ρθ.01;

&&与伊马替尼组相比, ρθ.01 ; &与伊马替尼组相比, p<0.05;  && compared with the imatinib group, ρθ.01 ; & compared with the imatinib group, p < 0.05;

"与牛蒡苷元低量组相比, p<0.01; A A与牛蒡苷元中量组相比, p<0.01; "与牛蒡 苷元高量组相比, p<0.01 ; "Compared with arctigenin low dose group, p <0.01; AA compared with the amount arctigenin group, p <0.01;" Compared with arctigenin volume group, p <0.01;

"与牛蒡苷元低量组相比, p<0.05; ▲与牛蒡苷元中量组相比, p<0.05;  "P<0.05 compared with the low-quantity group of burdock aglycone; ▲p<0.05 compared with the middle-weight group of arctigenin;

*与牛蒡苷元高量组相比, p<0.05 表 2中的试验结果表明:  *Compared with the high concentration of arctigenin, p<0.05 The results of the test in Table 2 indicate:

( 1 ) 与阴性对照组相比, 各治疗组对人非小细胞肺癌 A549细胞裸鼠移植瘤生长的 抑制作用均具有显著性差异 (p<0.05 ) 或极显著性差异 (p<0.01 )。 (2) 与吉非替尼组、 牛蒡苷元各单药组相比, 四组牛蒡苷元和吉非替尼的药物组合 物对人非小细胞肺癌 A549 细胞裸鼠移植瘤生长的抑制作用均具有极显著性差异(1) Compared with the negative control group, the inhibition effect of the treatment group on the growth of human non-small cell lung cancer A549 cells in nude mice was significantly different (p<0.05) or extremely significant (p<0.01). (2) Inhibition of the growth of human non-small cell lung cancer A549 cells in nude mice by the combination of four groups of arctigenin and gefitinib compared with the monotherapy group of gefitinib and arctigenin Very significant difference

(p<0.01 ), 并具有协同作用。 另外, 我们惊奇地发现, 无论吉非替尼的剂量高低, 甚至 在吉非替尼剂量很低的情况下,只要是牛蒡苷元和吉非替尼联合使用,该药物组合物对人 非小细胞肺癌 A549细胞裸鼠移植瘤生长的抑制作用都十分的明显, 并且显著高于单独使 用的高剂量的吉非替尼。 (p<0.01) and have a synergistic effect. In addition, we were surprised to find that, regardless of the dose of gefitinib, even in the case of a very low dose of gefitinib, as long as it is a combination of arctigenin and gefitinib, the pharmaceutical composition is not small for humans. The inhibitory effect of cell lung cancer A549 cells on the growth of xenografts in nude mice was very significant and significantly higher than the high dose of gefitinib used alone.

(3 ) 与厄洛替尼组、 牛蒡苷元各单药组相比, 四组牛蒡苷元和厄洛替尼的药物组合 物对人非小细胞肺癌 A549 细胞裸鼠移植瘤生长的抑制作用均具有极显著性差异 (3) Inhibition of the growth of human non-small cell lung cancer A549 cells in nude mice by the combination of four groups of arctigenin and erlotinib compared with the erlotinib group and the bursin aglycone group Very significant difference

(p<0.01 ), 并具有协同作用。 另外, 我们惊奇地发现, 无论厄洛替尼的剂量高低, 甚至 在厄洛替尼剂量很低的情况下,只要是牛蒡苷元和厄洛替尼联合使用,该药物组合物对人 非小细胞肺癌 A549细胞裸鼠移植瘤生长的抑制作用都十分的明显, 并且显著高于单独使 用的高剂量的厄洛替尼。 (p<0.01) and have a synergistic effect. In addition, we were surprised to find that, regardless of the dose of erlotinib, even in the case of a very low dose of erlotinib, as long as it is a combination of arctigenin and erlotinib, the pharmaceutical composition is not small for humans. The inhibitory effect of cell lung cancer A549 cells on the growth of xenografts in nude mice was very significant and significantly higher than the high dose of erlotinib used alone.

(4)与伊马替尼单药组相比, 四组牛蒡苷元和伊马替尼的药物组合物中有三组(A、 B 及 C 组) 对人非小细胞肺癌 A549 细胞裸鼠移植瘤生长的抑制作用具有显著性差异 (p<0.05 ), 有一组 (D组) 对人非小细胞肺癌 A549细胞裸鼠移植瘤生长的抑制作用具 有极显著性差异 (p<0.01 )。 与牛蒡苷元单药组相比, 四组牛蒡苷元和伊马替尼的药物组 合物均对人非小细胞肺癌 A549 细胞裸鼠移植瘤生长的抑制作用具有显著性差异 (p<0.05 ) o 表明, 牛蒡苷元和伊马替尼的药物组合物对人非小细胞肺癌 A549 细胞裸鼠 移植瘤生长抑制具有协同作用。 另外, 我们惊奇地发现, 无论伊马替尼的剂量高低, 甚至 在伊马替尼剂量很低的情况下,只要是牛蒡苷元和伊马替尼联合使用,该药物组合物对人 非小细胞肺癌 A549细胞裸鼠移植瘤生长的抑制作用都十分的明显, 并且显著高于单独使 用的高剂量的伊马替尼。  (4) Compared with the imatinib monotherapy group, three groups (groups A, B, and C) of the four groups of bovine aglycon and imatinib were administered to human non-small cell lung cancer A549 cells in nude mice. There was a significant difference in the inhibition of tumor growth (p<0.05). There was a significant difference in the inhibition of human non-small cell lung cancer A549 cells transplanted in nude mice (P<0.01). Compared with the bovine glycoside monotherapy group, the drug composition of four groups of arctigenin and imatinib significantly inhibited the growth of human non-small cell lung cancer A549 cells in nude mice (p<0.05). o indicates that the pharmaceutical composition of arctigenin and imatinib has a synergistic effect on the growth inhibition of human non-small cell lung cancer A549 cells in nude mice. In addition, we were surprised to find that, regardless of the dose of imatinib, even in the case of a low dose of imatinib, as long as it is a combination of arctigenin and imatinib, the pharmaceutical composition is not small for humans. The inhibitory effect of cell lung cancer A549 cells on the growth of xenografts in nude mice was very significant and significantly higher than the high dose of imatinib used alone.

(5 )单独给药酪氨酸激酶抑制剂不良反应发生率一般大于 50%,与单独给药组相比, 牛蒡苷元联合酪氨酸激酶制剂后不良反应发生率显著降低。 实施例 15: 本发明药物组合物对白血病细胞生长影响的实验  (5) The incidence of adverse reactions of tyrosine kinase inhibitors alone is generally greater than 50%, and the incidence of adverse reactions after the combination of arctigenin and tyrosine kinase is significantly lower than that of the group administered alone. Example 15: Experiment on the effect of the pharmaceutical composition of the present invention on the growth of leukemia cells

1、 实验分组与给药终浓度如下:  1. The experimental grouping and final drug concentration are as follows:

阴性对照组: 200μ1生理盐水  Negative control group: 200μ1 saline

牛蒡苷元低量组: 0.1mg/mL牛蒡苷元  Low amount of arctigenin: 0.1mg/mL arctigenin

牛蒡苷元高量组: 10mg/mL牛蒡苷元 伊马替尼低组: 0.1mg/mL伊马替尼 High concentration of arctigenin: 10mg/mL arctigenin Imatinib low group: 0.1 mg/mL imatinib

伊马替尼高组: 10mg/mL伊马替尼  Imatinib high group: 10 mg/mL imatinib

组合物 A组: 10.0mg/mL牛蒡苷元 + O.lmg/mL伊马替尼  Composition Group A: 10.0 mg/mL arctigenin + O.lmg/mL imatinib

组合物 B组: 1.0mg/mL牛蒡苷元 + 1.0mg/mL伊马替尼  Composition Group B: 1.0 mg/mL arctigenin + 1.0 mg/mL imatinib

组合物 C组: O.lmg/mL牛蒡苷元 + 10.0mg/mL伊马替尼  Composition Group C: O.lmg/mL arctigenin + 10.0mg/mL imatinib

以上处理组药物均使用 200μ1生理盐水进行溶解。  The above treatment groups were all dissolved using 200 μl of physiological saline.

2、 实验方案与结果统计如下:  2. The experimental plan and results are as follows:

将人急性早幼粒白血病 ΝΚ4细胞、 慢性粒细胞白血病 Κ562细胞、 维甲酸耐药早幼 粒白血病 MR-2细胞(以上三种细胞均来自中国山东省鲁南制药集团股份有限公司新药药 理中心细胞培养室)分别接种于 RPMI-1640培养液中,于 37°C含 5%C02的培养箱内培养 传代, 接种于 96孔培养板, 接种时按组别加入相应浓度的药物, 每浓度平行 5孔, 48h 后通过 MTT还原反应测定肿瘤生长抑制率, 实验数据用 Excel系统进行统计学分析, 具 体参见表 3。 表 3: 本发明药物组合物对白血病细胞生长的影响 Human acute promyelocytic leukemia ΝΚ4 cells, chronic myeloid leukemia Κ562 cells, retinoic acid-resistant promyelocytic leukemia MR-2 cells (all of the above three cells are from the new drug pharmacology center cells of Shandong Lunan Pharmaceutical Group Co., Ltd., China) The culture chambers were inoculated separately in RPMI-1640 medium, cultured in a 5% CO 2 incubator at 37 ° C, seeded in 96-well culture plates, and the corresponding concentrations of drugs were added in groups at the time of inoculation. After 5 hours, the tumor growth inhibition rate was determined by MTT reduction reaction after 48 hours. The experimental data were statistically analyzed by Excel system. See Table 3 for details. Table 3: Effect of the pharmaceutical composition of the invention on the growth of leukemia cells

NK4细胞抑制率  NK4 cell inhibition rate

组别 K562细胞抑制率 (%) MR-2细胞 (%)  Group K562 cell inhibition rate (%) MR-2 cells (%)

(%)  (%)

阴性对照组 0.52±0.06 0.13±0.02 0.22±0.02  Negative control group 0.52±0.06 0.13±0.02 0.22±0.02

牛蒡苷元低量组 27.26±6.31 10.45±4.58 28.56±5.68  Low-quantity group of arctigenin 27.26±6.31 10.45±4.58 28.56±5.68

牛蒡苷元高量组 36.54±5.38 40.26±9.54 22.48±3.25  High caloriin group 36.54±5.38 40.26±9.54 22.48±3.25

伊马替尼低量组 42.36±8.56 9.89±2.12 3.21±1.52  Imatinib low volume group 42.36±8.56 9.89±2.12 3.21±1.52

伊马替尼高量组 59.4±8.21 47.67±8.33 9.25±2.58  Imatinib high volume group 59.4±8.21 47.67±8.33 9.25±2.58

组合物 A组 77.65±16.03##"$$¥ 79.62±10.30##"¥¥$$ 64.16±13.56##"¥¥$$ 组合物 B组 71.06±13.40 **$ 80.13±18.51##"¥¥$$ 59.34±10.23 "¥¥$$ 组合物 C组 81.25±11.67##"¥¥$$ 73.65±16.45##"¥¥$$ 51.64±6.58##"¥¥$$ Composition Group A 77.65±16.03 ## " $$¥ 79.62±10.30 ## " ¥¥$$ 64.16±13.56 ## " ¥¥$$ Composition B Group 71.06±13.40 ** $ 80.13±18.51 ## " ¥ ¥ $$ 59.34 ± "¥¥ $$ composition group C 81.25 ± 11.67 ##" 10.23 ¥¥ $$ 73.65 ± 16.45 ## "¥¥ $$ 51.64 ± 6.58 ##" ¥¥ $$

#与牛蒡苷元低量组相比, p<0.01 ; "与牛蒡苷元高量组相比, p<0.01 ; # Compared with the low-quantity group of burdock aglycone, p<0.01; "p<0.01 compared with the high-quantity group of burdock aglycone;

与伊马替尼低量组相比, p<0.05; $$与伊马替尼低量组相比, p<0.01 ; Imatinib compared with low dose group, p <0.05; $$ imatinib compared with imatinib low dose group, p <0.01;

f与伊马替尼高量组相比, p<0.05 ; ¥¥与伊马替尼高量组相比, p<0.01。 通过上述表 3的结果可以看出, 组合物 A组、 B组和 C组与牛蒡苷元低剂量组相比具有 极显著性差异 (p<0.01 ), 与牛蒡苷元高剂量组相比也具有极显著性差异 (p<0.01 ), 与 伊马替尼的两个剂量组相比具有显著性差异或极显著性差异。这表明,牛蒡苷元与伊马替 尼联合后具有抗肿瘤的协同作用,不仅可以抑制人急性早幼粒白血病 NK4细胞和慢性粒细 胞白血病 K562细胞的生长, 更令人惊喜的是, 其可以抑制维甲酸耐药早幼粒白血病 MR-2 细胞的生长,这个结果对于临床上急性早幼粒白血病、慢性粒细胞白血病和维甲酸耐药早 幼粒白血病有着深刻的指导意义。另外, 与阴性对照组相比, 药物组合物作用后的各种白 血病细胞, 无论是 K562细胞、 NK4细胞, 还是 MR-2细胞, 可明显出现细胞凋亡后所特有 的形态学特征, 即细胞核折皱、 染色质凝集、裂解成碎片后形成由模包绕的凋亡小体。 再 者, 组合物 B组还有一部分细胞形态向成熟方向转化, 细胞表现出核固缩、 核浆比降低、 核仁减少等特征。 实施例 16: 本发明药物组合物对裸鼠体内白血病细胞株 K562细胞的抑制作用 f vs. imatinib high dose group, p<0.05 ; ¥¥ compared with imatinib high dose group, p<0.01. As can be seen from the results of Table 3 above, the compositions of Group A, Group B and Group C have compared with the low dose group of arctigenin. The significant difference (p<0.01) was also significantly different from the high dose group of bovine aglycone (p<0.01), which was significantly different or significantly significant compared with the two dose groups of imatinib. Sexual differences. This indicates that the combination of arctigenin and imatinib has an anti-tumor synergistic effect, which not only inhibits the growth of human acute promyelocytic leukemia NK4 cells and chronic granulocyte leukemia K562 cells, but more surprisingly, it can It inhibits the growth of retinoic acid-resistant promyelocytic leukemia MR-2 cells. This result has profound guiding significance for clinical acute promyelocytic leukemia, chronic myeloid leukemia and retinoic acid-resistant promyelocytic leukemia. In addition, compared with the negative control group, various leukemia cells after the action of the pharmaceutical composition, whether K562 cells, NK4 cells, or MR-2 cells, may have obvious morphological characteristics, namely, nucleus. Wrinkles, chromatin agglutination, and cleavage into fragments form an apoptotic body surrounded by a mold. Furthermore, in the composition group B, a part of the cell morphology was transformed into a mature direction, and the cells showed characteristics such as nuclear pyknosis, reduction of nucleoplasmic ratio, and reduction of nucleoli. Example 16: Inhibition of the pharmaceutical composition of the present invention on leukemia cell line K562 cells in nude mice

1、 白血病细胞株 K562造模: 选取 5-6周龄雌性 BALB/C裸鼠 (中国药品生物制品 检定所提供 (SCXK II -00-0010)) 80只, 平均体重在 18-20g。 在含有 100万 U/L的青霉 素、 80万 U/L的链霉素、 100ml/L的灭活小牛血清的 RPMI1640培养液中于 37°C、 5%C02 培养条件下培养 K562细胞株。取对数生长期的 K562细胞,用 PBS洗涤 2次,调整至 5xl05 个 /mL浓度, 于裸鼠右前腋下皮下注射 0.4ml, 注射后隔天观察裸鼠生长状况, 10天后即 可触及瘤块, 肿瘤大小约为 0.5cm3。 按瘤体积和荷瘤鼠体重均衡原则分为 8组, 每组 10 只。 各治疗组药物使用相当于每只小鼠体重 5%的生理盐水溶解以后灌胃给药。 1. Leukemia cell line K562 model: 80 female BALB/C nude mice (SCXK II -00-0010) provided by 5-6 weeks old were selected, with an average body weight of 18-20 g. K562 cell line was cultured in RPMI1640 medium containing 1 million U/L of penicillin, 800,000 U/L of streptomycin and 100 ml/L of inactivated calf serum at 37 ° C under 5% CO 2 culture. . K562 cells in logarithmic growth phase were washed twice with PBS, adjusted to a concentration of 5 ×10 5 /mL, and subcutaneously injected into the right anterior and posterior iliac crest of 0.4 ml. The growth of nude mice was observed every other day after injection, and it was accessible after 10 days. Tumor block, tumor size is about 0.5cm 3 . According to the tumor volume and weight-bearing principle of tumor-bearing mice, they were divided into 8 groups, 10 in each group. Each treatment group was intragastrically administered after dissolution using physiological saline equivalent to 5% by weight of each mouse.

2、 实验分组与给药终浓度如下:  2. The experimental grouping and final drug concentration are as follows:

阴性对照组: 给予相当于每只小鼠体重 5%的生理盐水  Negative control group: Administration of physiological saline equivalent to 5% of body weight per mouse

牛蒡苷元低量组: 0.1mg/kg牛蒡苷元  Low amount of burdock aglycone: 0.1mg/kg anthraquinone

牛蒡苷元高量组: 10mg/kg牛蒡苷元  High dose of arctigenin: 10mg/kg burdella

伊马替尼低组: 0.1mg/kg伊马替尼  Imatinib low group: 0.1 mg/kg imatinib

伊马替尼高组: 10mg/kg伊马替尼  Imatinib high group: 10 mg/kg imatinib

组合物 A组: 10.0mg/kg牛蒡苷元 + 0.1mg/kg伊马替尼  Composition Group A: 10.0 mg/kg arctigenin + 0.1 mg/kg imatinib

组合物 B组: 1.0mg/kg牛蒡苷元 + 1.0mg/kg伊马替尼  Composition Group B: 1.0 mg/kg arctigenin + 1.0 mg/kg imatinib

组合物 C组: 0.1mg/kg牛蒡苷元 + 10.0mg/kg伊马替尼  Composition Group C: 0.1 mg/kg arctigenin + 10.0 mg/kg imatinib

3、 实验结果统计如下:  3. The experimental results are as follows:

给药前用生理盐水溶解各药物有效成分,每只裸鼠早晚各给药一次。给药后观察各组 裸鼠生长状况, 每周测量瘤体积, 治疗 14天后拉颈处死裸鼠, 剥离完整瘤块, 称重, 取 材备检。 具体结果参见表 4。 表 4: 本发明药物组合物对裸鼠体内 K562细胞的抑制作用 组别 瘤重 /mg 抑瘤率 /% 不良反应发生率 /% 阴性对照组 450.62±62.75 Before administration, the active ingredients of each drug were dissolved in physiological saline, and each nude mouse was administered once in the morning and evening. Observation of each group after administration The growth of nude mice, the tumor volume was measured weekly, and the nude mice were sacrificed after 14 days of treatment. The intact tumor pieces were removed, weighed, and taken for examination. See Table 4 for the specific results. Table 4: Inhibitory effect of the pharmaceutical composition of the present invention on K562 cells in nude mice Group tumor weight/mg tumor inhibition rate/% incidence of adverse reactions/% negative control group 450.62±62.75

牛蒡苷元低量组 428.26±52.63 4.96 5.3 牛蒡苷元高量组 384.62±46.26 14.7 11.4 伊马替尼低量组 411.56±36.65 8.67 45.3 伊马替尼高量组 374.32±35.86 16.9 57.6 组合物 A组 180.86±26.84 **$$ 59.8 19.8 组合物 B组 149.78±25.87 **$$ 66.8 15.6 组合物 C组 121.54±16.98##"¥¥ 73.1 11.7 Low-quantity group of burdock glycosides 428.26±52.63 4.96 5.3 high-quantity group of burdock aglycone 384.62±46.26 14.7 11.4 low-volume group of imatinib 411.56±36.65 8.67 45.3 high-value group of imatinib 374.32±35.86 16.9 57.6 Composition group A 180.86 ± 26.84 ** $$ 59.8 19.8 group composition B 149.78 ± 25.87 ** $$ 66.8 15.6 group composition C 121.54 ± 16.98 ## "¥¥ 73.1 11.7

—无效果  -no effect

与牛蒡苷元低量组相比, p<0.01 ; "与牛蒡苷元高量组相比, p<0.01 ;  Compared with the low amount of arctigenin, p<0.01; "p<0.01 compared with the high dose of arctigenin;

$与伊马替尼低量组相比, p<0.01 ; ¥¥与伊马替尼高量组相比, p<0.01。 通过上述表 4的结果可以看出,各治疗组的治疗效果与阴性对照组相比均有显著差异 (p<0.05 ), 组合物 A组、 B组和 C组与牛蒡苷元低剂量组相比具有极显著性差异 (p< 0.01 ), 与牛蒡苷元高剂量组相比也具有极显著性差异(p<0.01 ), 与伊马替尼的两个剂量 组相比具有显著性差异或极显著性差异。这表明,牛蒡苷元与伊马替尼联合后在体内抑制 白血病细胞生长具有协同作用,可以显著抑制肿瘤生长速度甚至降低瘤块的重量, 同时降 低伊马替尼单独使用的毒副作用, 不良反应发生率显著降低。 Compared with the low dose group of imatinib, p<0.01 ; ¥¥ compared with the high dose group of imatinib, p<0.01. From the results of Table 4 above, it can be seen that the therapeutic effects of the treatment groups were significantly different from those of the negative control group (p<0.05), and the compositions of Group A, B and C were compared with the low dose group of arctigenin. There was a significant difference (p < 0.01), and there was a significant difference (p<0.01) compared with the high dose group of arctigenin, which was significantly different from the two dose groups of imatinib or Very significant difference. This indicates that the combination of arctigenin and imatinib inhibits the growth of leukemia cells in vivo, which can significantly inhibit the growth rate of tumors and even reduce the weight of tumors, while reducing the side effects and adverse reactions of imatinib alone. The incidence is significantly reduced.

上述实施例 15和实施例 16中,将酪氨酸激酶抑制剂伊马替尼替换成另外的酪氨酸激 酶抑制剂如吉非替尼、 厄洛替尼, 均取得了相似的治疗效果, 表明, 牛蒡苷元和酪氨酸激 酶抑制剂的联合给药用于治疗白血病时,可以取得显著的协同作用, 同时降低伊马替尼单 独使用的毒副作用, 不良反应发生率显著降低。  In the above Examples 15 and 16, the replacement of the tyrosine kinase inhibitor imatinib with another tyrosine kinase inhibitor such as gefitinib and erlotinib achieved similar therapeutic effects. It shows that the combination of arctigenin and tyrosine kinase inhibitor can achieve significant synergistic effect in the treatment of leukemia, and at the same time reduce the side effects of imatinib alone, and the incidence of adverse reactions is significantly reduced.

总之, 上述实施例 13-16表明: 牛蒡苷元与酪氨酸激酶抑制剂组成的药物组合物或成 套药盒,不论在体外还是在体内均具有显著的协同抗肿瘤效果, 同时降低酪氨酸激酶抑制 剂的毒副作用, 因具有协同效果则在临床上与单独用药相比剂量大幅度减少,其耐药性势 必降低。 这在临床应用上具有十分重要的意义。 尽管已经通过以上实施例描述了本发明,但本领域技术人员应认识到,任何等同替换 对于本发明来说都是显而易见的并且包含在本发明之中, 即,在不偏离本发明的范围或精 神的前提下可以对本发明进行多种改变与修饰。因而,本发明意欲涵盖落在权利要求书及 其同等物范围内的所有这些改变与修饰。 In summary, the above Examples 13-16 show that the pharmaceutical composition or kit of the burdock aglycone and the tyrosine kinase inhibitor has a remarkable synergistic antitumor effect both in vitro and in vivo, while reducing tyrosine The toxic side effects of kinase inhibitors, due to the synergistic effect, are significantly reduced in clinical dose compared with the drug alone, and the drug resistance potential Must be reduced. This is of great significance in clinical applications. Although the present invention has been described by the above embodiments, those skilled in the art will recognize that any equivalents are obvious to the present invention and are included in the present invention, that is, without departing from the scope of the invention or Various changes and modifications can be made to the invention without departing from the spirit. Accordingly, the invention is intended to embrace all such modifications and alternatives

Claims

权利要求 Rights request 1. 一种抗肿瘤药物组合物, 其特征在于, 它含有如下活性组分: An antitumor pharmaceutical composition comprising the following active ingredients: ( 1 ) 牛蒡苷元; 和  (1) burdock aglycon; (2) 酪氨酸激酶抑制剂。  (2) Tyrosine kinase inhibitors. 2. 一种抗肿瘤成套药盒, 其特征在于, 它含有如下活性组分:  2. An anti-tumor kit comprising the following active ingredients: ( 1 ) 牛蒡苷元; 和  (1) burdock aglycon; (2) 酪氨酸激酶抑制剂。  (2) Tyrosine kinase inhibitors. 3. 如权利要求 1所述的药物组合物或权利要求 2所述的成套药盒, 其特征在于, 所 述酪氨酸激酶抑制剂与牛蒡苷元的重量比为 (0.005-100): 1。  The pharmaceutical composition according to claim 1 or the kit according to claim 2, wherein the weight ratio of the tyrosine kinase inhibitor to arctigenin is (0.005-100): 1 . 4. 如权利要求 1至 3任一项所述的药物组合物或成套药盒, 其特征在于, 所述酪氨 酸激酶抑制剂为伊马替尼或其可药用盐、吉非替尼或其可药用盐、或厄洛替尼或其可药用 盐, 其中, 优选地, 所述伊马替尼的可药用盐为其甲磺酸盐。  The pharmaceutical composition or kit of parts according to any one of claims 1 to 3, wherein the tyrosine kinase inhibitor is imatinib or a pharmaceutically acceptable salt thereof, gefitinib Or a pharmaceutically acceptable salt thereof, or erlotinib or a pharmaceutically acceptable salt thereof, wherein, preferably, the pharmaceutically acceptable salt of imatinib is its mesylate salt. 5. 如权利要求 4所述的药物组合物或成套药盒, 其特征在于, 当所述酪氨酸激酶抑 制剂为伊马替尼或其可药用盐时,伊马替尼或其可药用盐以伊马替尼计与牛蒡苷元的重量 比为 (0.01-100): 1;  The pharmaceutical composition or kit according to claim 4, wherein when the tyrosine kinase inhibitor is imatinib or a pharmaceutically acceptable salt thereof, imatinib or its The weight ratio of the medicinal salt to imglucin in terms of imatinib is (0.01-100): 1; 当所述酪氨酸激酶抑制剂为吉非替尼或其可药用盐时,吉非替尼或其可药用盐以吉非 替尼计与牛蒡苷元的重量比为 (0.005-50): 1;  When the tyrosine kinase inhibitor is gefitinib or a pharmaceutically acceptable salt thereof, the weight ratio of gefitinib or a pharmaceutically acceptable salt thereof to gefitinib is (0.005-50) ): 1; 当所述酪氨酸激酶抑制剂为厄洛替尼或其可药用盐时,厄洛替尼或其可药用盐以厄洛 替尼计与牛蒡苷元的重量比为 (0.05-25): 1。  When the tyrosine kinase inhibitor is erlotinib or a pharmaceutically acceptable salt thereof, the weight ratio of erlotinib or a pharmaceutically acceptable salt thereof to bursinini in terms of erlotinib is (0.05-25) ): 1. 6. 如权利要求 1至 5任一项所述的药物组合物或成套药盒, 其特征在于, 所述药物 组合物的剂型是适于胃肠道或非胃肠道给药的剂型,优选片剂、乳剂、微乳制剂、胶囊剂、 滴丸或软胶囊, 更优选微乳制剂, 所述微乳制剂的平均粒径优选为 15-80nm; 在所述成套 药盒中, 当两种活性组分以其组合物形式存在于药盒中时,其剂型是适于胃肠道或非胃肠 道给药的剂型, 优选片剂、 乳剂、 微乳制剂、 胶囊剂、 滴丸或软胶囊, 更优选微乳制剂, 所述微乳制剂的平均粒径优选为 15-80nm, 当两种活性组分以单独形式存在于药盒中时, 其剂型是适于胃肠道或非胃肠道给药的剂型, 优选片剂、 乳剂、 微乳制剂、 胶囊剂、 滴丸 或软胶囊, 其中牛蒡苷元更优选微乳制剂, 所述微乳制剂的平均粒径优选为 15-80nm, 酪 氨酸激酶抑制剂更优选片剂。 The pharmaceutical composition or kit according to any one of claims 1 to 5, wherein the pharmaceutical composition is in a dosage form suitable for gastrointestinal or parenteral administration, preferably a tablet, an emulsion, a microemulsion preparation, a capsule, a dropping pill or a soft capsule, more preferably a microemulsion preparation, wherein the microemulsion preparation preferably has an average particle diameter of 15 to 80 nm; in the kit of parts, when When the active ingredient is present in the kit in the form of a composition, the dosage form is a form suitable for gastrointestinal or parenteral administration, preferably a tablet, an emulsion, a microemulsion, a capsule, a dropping pill or a soft a capsule, more preferably a microemulsion preparation, wherein the microemulsion preparation preferably has an average particle diameter of 15 to 80 nm, and when the two active ingredients are present in a separate form in a kit, the dosage form is suitable for gastrointestinal or non-stomach The dosage form for enteral administration is preferably a tablet, an emulsion, a microemulsion preparation, a capsule, a dropping pill or a soft capsule, wherein the bovine aglycone is more preferably a microemulsion preparation, and the microemulsion preparation preferably has an average particle diameter of 15 to 80 nm. The tyrosine kinase inhibitor is more preferably a tablet. 7. 如权利要求 6所述的药物组合物或成套药盒,其特征在于,在所述药物组合物中,, 所述牛蒡苷元或酪氨酸激酶抑制剂以其游离酸或游离碱计,每一制剂单位中牛蒡苷元的含 量为 lmg-200mg, 酪氨酸激酶抑制剂的含量为 2mg-100mg; 在所述成套药盒中, 所述牛 蒡苷元或酪氨酸激酶抑制剂以其游离酸或游离碱计,以组合物或单独形式存在的牛蒡苷元 在每一制剂单位中的含量为 lmg-200mg, 以组合物或单独形式存在的酪氨酸激酶抑制剂 在每一制剂单位中的含量为 2mg-100mg。 The pharmaceutical composition or kit according to claim 6, wherein in the pharmaceutical composition, the arctiin or tyrosine kinase inhibitor is measured by its free acid or free base , the content of arctigenin in each preparation unit is 1 mg-200 mg, and the content of tyrosine kinase inhibitor is 2 mg-100 mg; in the kit, the burdock aglycone or tyrosine kinase inhibitor is The content of the burdock aglycone present in the composition or in the form of the free acid or the free base is from 1 mg to 200 mg in each preparation unit, and the tyrosine kinase inhibitor is present in the composition or in the form of each in each preparation. The content in the unit is 2 mg to 100 mg. 8. 权利要求 1至 7任一项所述的药物组合物或成套药盒在制备治疗或预防肿瘤的药 物中的用途, 优选地, 所述肿瘤为实体肿瘤或白血病, 更优选地, 所述实体肿瘤选自乳腺 癌、 肺癌、 直肠癌、 卵巢癌、 结肠癌、 肝癌、 前列腺癌、 胃癌、 宫颈癌、胰腺癌、 食管癌、 绒毛膜上皮癌、 恶性葡萄胎、 膀胱癌、 皮肤癌、 头颈部癌、 支气管肺癌、 大肠癌以及非小 细胞肺癌,所述白血病选自急性早幼粒白血病、慢性粒细胞白血病以及维甲酸耐药早幼粒 白血病, 最优选地, 所述肿瘤为非小细胞肺癌。  The use of the pharmaceutical composition or kit of any one of claims 1 to 7 for the preparation of a medicament for treating or preventing a tumor, preferably, the tumor is a solid tumor or leukemia, more preferably, Solid tumors are selected from the group consisting of breast cancer, lung cancer, rectal cancer, ovarian cancer, colon cancer, liver cancer, prostate cancer, gastric cancer, cervical cancer, pancreatic cancer, esophageal cancer, chorionic epithelial cancer, malignant mole, bladder cancer, skin cancer, head Cervical cancer, bronchial lung cancer, colorectal cancer, and non-small cell lung cancer, the leukemia is selected from the group consisting of acute promyelocytic leukemia, chronic myeloid leukemia, and retinoic acid resistant promyelocytic leukemia, and most preferably, the tumor is non-small Cell lung cancer. 9. 一种肿瘤的治疗或预防方法, 其特征在于, 向患有肿瘤或处于患肿瘤危险中的人 或动物施用权利要求 1至 7任一项所述的药物组合物或成套药盒,优选地,所述肿瘤为实 体肿瘤或白血病, 更优选地, 所述实体肿瘤选自乳腺癌、肺癌、直肠癌、卵巢癌、结肠癌、 肝癌、前列腺癌、 胃癌、 宫颈癌、胰腺癌、食管癌、 绒毛膜上皮癌、恶性葡萄胎、膀胱癌、 皮肤癌、 头颈部癌、支气管肺癌、 大肠癌以及非小细胞肺癌, 所述白血病选自急性早幼粒 白血病、慢性粒细胞白血病以及维甲酸耐药早幼粒白血病, 最优选地, 所述肿瘤为非小细 胞肺癌。  A method for treating or preventing a tumor, which comprises administering the pharmaceutical composition or kit of any one of claims 1 to 7 to a human or animal having a tumor or at risk of developing a tumor, preferably The tumor is a solid tumor or leukemia. More preferably, the solid tumor is selected from the group consisting of breast cancer, lung cancer, rectal cancer, ovarian cancer, colon cancer, liver cancer, prostate cancer, gastric cancer, cervical cancer, pancreatic cancer, and esophageal cancer. , chorionic epithelial cancer, malignant mole, bladder cancer, skin cancer, head and neck cancer, bronchial lung cancer, colorectal cancer, and non-small cell lung cancer, the leukemia is selected from acute promyelocytic leukemia, chronic myeloid leukemia, and retinoic acid Most resistant to promyelocytic leukemia, most preferably, the tumor is non-small cell lung cancer. 10. 如权利要求 9所述的治疗或预防方法, 其特征在于, 所述成套药盒中的两种活性 组分牛蒡苷元和酪氨酸激酶抑制剂同时给药或顺次给药, 其中, 当顺次给药时, 该两种 活性组分的给药间隔不超过 3个小时。 10. The method of treatment or prevention according to claim 9, wherein the two active components of the kit, the anthraquinone and the tyrosine kinase inhibitor, are administered simultaneously or sequentially, wherein When administered sequentially, the two active ingredients are administered no more than 3 hours apart.
Figure imgf000023_0001
Figure imgf000023_0001
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