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WO2021109970A1 - Xanthine derivative pharmaceutical composition and preparation method therefor - Google Patents

Xanthine derivative pharmaceutical composition and preparation method therefor Download PDF

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Publication number
WO2021109970A1
WO2021109970A1 PCT/CN2020/132825 CN2020132825W WO2021109970A1 WO 2021109970 A1 WO2021109970 A1 WO 2021109970A1 CN 2020132825 W CN2020132825 W CN 2020132825W WO 2021109970 A1 WO2021109970 A1 WO 2021109970A1
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WO
WIPO (PCT)
Prior art keywords
formula
compound
pharmaceutical composition
xanthine derivative
microcrystalline cellulose
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/CN2020/132825
Other languages
French (fr)
Chinese (zh)
Inventor
刘秀芝
陈艳
李章才
王颖
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Chengdu Easton Biopharmaceuticals Co Ltd
Original Assignee
Chengdu Easton Biopharmaceuticals Co Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Chengdu Easton Biopharmaceuticals Co Ltd filed Critical Chengdu Easton Biopharmaceuticals Co Ltd
Priority to CN202080013251.7A priority Critical patent/CN113423404B/en
Publication of WO2021109970A1 publication Critical patent/WO2021109970A1/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
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/495Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
    • A61K31/505Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim
    • A61K31/519Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim ortho- or peri-condensed with heterocyclic rings
    • A61K31/52Purines, e.g. adenine
    • A61K31/522Purines, e.g. adenine having oxo groups directly attached to the heterocyclic ring, e.g. hypoxanthine, guanine, acyclovir
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P3/00Drugs for disorders of the metabolism
    • A61P3/08Drugs for disorders of the metabolism for glucose homeostasis
    • A61P3/10Drugs for disorders of the metabolism for glucose homeostasis for hyperglycaemia, e.g. antidiabetics
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D473/00Heterocyclic compounds containing purine ring systems
    • C07D473/02Heterocyclic compounds containing purine ring systems with oxygen, sulphur, or nitrogen atoms directly attached in positions 2 and 6
    • C07D473/04Heterocyclic compounds containing purine ring systems with oxygen, sulphur, or nitrogen atoms directly attached in positions 2 and 6 two oxygen atoms

Definitions

  • the invention belongs to the field of pharmaceutical preparations, and specifically relates to a xanthine derivative pharmaceutical composition and a preparation method thereof and its use as a therapeutic drug, especially as a therapeutic dipeptidyl peptidase (DPP-IV) inhibitor.
  • DPP-IV therapeutic dipeptidyl peptidase
  • DPP-IV inhibitors reflect the current new direction of diabetes treatment, that is, from simply controlling glycated hemoglobin to improving ⁇ -cell function, stably controlling blood sugar and avoiding hypoglycemia.
  • no single-drug therapy can prevent the failure of ⁇ -cell function as the disease progresses.
  • it is particularly critical to choose the most reasonable drug combination and treatment timing, and the target of DPP-IV inhibitors is the basis.
  • the brand-new mechanism of medicine has become one of the choices and an important choice for the treatment of type 2 diabetes.
  • Dipeptidyl peptidase-IV (DPP-IV) inhibitors are used in the treatment of type 2 diabetes and have a strong selective inhibitory effect on DPP-IV.
  • DPP-IV Dipeptidyl peptidase-IV
  • GLP-1 glucagon-like peptide-1
  • GIP glycose-dependent insulinotropic polypeptide
  • the present invention provides a pharmaceutical composition of xanthine derivatives, specifically, a pharmaceutical composition of xanthine derivatives and a preparation method thereof as well as a therapeutic drug, especially as a therapeutic dipeptidyl peptidase ( DPP-IV) Use of inhibitors.
  • the present invention provides a xanthine derivative pharmaceutical composition, which contains 0.5-600 mg of a compound of formula I, wherein the compound of formula I has the following structure:
  • the pharmaceutical composition contains 1-400 mg of the compound of formula I.
  • the pharmaceutical composition contains 1-200 mg of the compound of formula I.
  • the pharmaceutical composition contains 1-100 mg of the compound of formula I.
  • the pharmaceutical composition contains 1-50 mg of the compound of formula I.
  • the pharmaceutical composition contains 1-25 mg of the compound of formula I.
  • the pharmaceutical composition contains 1-10 mg of the compound of formula I.
  • the pharmaceutical composition contains 1 to 5 mg of the compound of formula I.
  • the pharmaceutical composition contains 1 mg of the compound of formula I.
  • the pharmaceutical composition contains 2.5 mg of the compound of formula I.
  • the pharmaceutical composition contains 4 mg of the compound of formula I.
  • the pharmaceutical composition contains 5 mg of the compound of formula I.
  • the pharmaceutical composition contains 6 mg of the compound of formula I.
  • the pharmaceutical composition contains 7.5 mg of the compound of formula I.
  • the pharmaceutical composition contains 10 mg of the compound of formula I.
  • the pharmaceutical composition contains 25 mg of the compound of formula I.
  • the pharmaceutical composition contains 30 mg of the compound of formula I.
  • the pharmaceutical composition contains 50 mg of the compound of formula I.
  • the pharmaceutical composition contains 100 mg of the compound of formula I.
  • the pharmaceutical composition contains 200 mg of the compound of formula I.
  • the pharmaceutical composition contains 400 mg of the compound of formula I.
  • the pharmaceutical composition contains 600 mg of the compound of formula I.
  • the pharmaceutical composition contains 0.5-600 mg of the compound of formula I and one or more anti-diabetic drugs other than the compound of formula I, wherein the compound of formula I has the following structure
  • the pharmaceutical composition contains 1-100 mg of the compound of formula I and one or more anti-diabetic drugs other than the compound of formula I.
  • the anti-diabetic drug is selected from insulin sensitivity enhancers, compounds that affect abnormal regulation of hepatic glucose production, insulin signal transduction pathway regulators or insulin secretion promoters.
  • the anti-diabetic drugs are selected from the group consisting of non-sulfonylurea insulin secretagogues, sulfonylurea insulin secretagogues, biguanides, SGLT2 inhibitors, thiazolidinediones, ⁇ -glucosidase inhibitors , GPR40 agonist or hydroxymethylglutaryl-CoA reductase inhibitor.
  • the anti-diabetic drug is selected from repaglinide, nateglinide, mitiglinide, glimepiride, gliclapide, glibenclamide, glibenclamide, acetohexamide , Chlorpropamide, glibenclamide, tolbutamide, tolazamide, glipizide, sulfambutamide, gliquidone, glibenclamide, tolbutamide, tolazamide Urea, gliclazide, metformin, dapagliflozin, canagliflozin, empagliflozin, pioglitazone, rosiglitazone, acarbose, voglibose, miglitol, TAK875, furfur Glipizide, simvastatin, atorvastatin calcium, lovastatin, pravastatin or mevastatin or a pharmaceutically acceptable salt thereof.
  • the anti-diabetic drug is selected from one of repaglinide, glimepiride, metformin, canagliflozin, pioglitazone, voglibose, simvastatin, or a pharmaceutically acceptable one of repaglinide, glimepiride, metformin, canagliflozin, pioglitazone, voglibose, and simvastatin salt.
  • the compound of formula I in the pharmaceutical composition exists as a pharmaceutically acceptable salt or as a free base
  • the compound of formula I in the pharmaceutical composition exists as a free base.
  • the pharmaceutically acceptable salt is selected from hydrochloric acid, p-toluenesulfonic acid, tartaric acid, maleic acid, lactic acid, methanesulfonic acid, sulfuric acid, phosphoric acid, citric acid, acetic acid or trifluoroacetic acid.
  • the pharmaceutically acceptable salt is selected from p-toluenesulfonic acid, hydrochloric acid, tartaric acid or trifluoroacetic acid.
  • the pharmaceutical composition contains 0.5-600 mg of the compound of formula I, fillers and lubricants, wherein the compound of formula I has the following structure:
  • the pharmaceutical composition contains 1-400 mg of the compound of formula I, a filler, and a lubricant.
  • the pharmaceutical composition contains 1-200 mg of the compound of formula I, fillers, and lubricants.
  • the pharmaceutical composition contains 1-100 mg of the compound of formula I, a filler, and a lubricant.
  • the pharmaceutical composition contains 1-50 mg of the compound of formula I, a filler, and a lubricant.
  • the pharmaceutical composition contains 1-25 mg of the compound of formula I, a filler, and a lubricant.
  • the pharmaceutical composition contains 1-10 mg of the compound of formula I, a filler, and a lubricant.
  • the pharmaceutical composition contains 1 to 5 mg of the compound of formula I, a filler, and a lubricant.
  • the pharmaceutical composition contains 600 mg of the compound of formula I, a filler, and a lubricant.
  • the pharmaceutical composition contains 400 mg of the compound of formula I, a filler, and a lubricant.
  • the pharmaceutical composition contains 200 mg of the compound of formula I, a filler, and a lubricant.
  • the pharmaceutical composition contains 100 mg of the compound of formula I, a filler, and a lubricant.
  • the pharmaceutical composition contains 50 mg of the compound of formula I, a filler, and a lubricant.
  • the pharmaceutical composition contains 30 mg of the compound of formula I, a filler, and a lubricant.
  • the pharmaceutical composition contains 25 mg of the compound of formula I, a filler, and a lubricant.
  • the pharmaceutical composition contains 10 mg of the compound of formula I, a filler, and a lubricant.
  • the pharmaceutical composition contains 5 mg of the compound of formula I, a filler, and a lubricant.
  • the pharmaceutical composition contains 2.5 mg of the compound of formula I, a filler, and a lubricant.
  • the pharmaceutical composition contains 1 mg of the compound of formula I, a filler, and a lubricant.
  • the pharmaceutical composition also contains a binder selected from starch slurry, polyvinylpyrrolidone, polyethylene glycols, copovidone, hydroxypropyl cellulose, hypromellose, One or more of sodium carboxymethyl cellulose, methyl cellulose, and ethyl cellulose.
  • a binder selected from starch slurry, polyvinylpyrrolidone, polyethylene glycols, copovidone, hydroxypropyl cellulose, hypromellose, One or more of sodium carboxymethyl cellulose, methyl cellulose, and ethyl cellulose.
  • the adhesive in the pharmaceutical composition is copovidone.
  • the pharmaceutical composition also contains a disintegrant, and the disintegrant is selected from the group consisting of dry starch, alginic acid, sodium alginate, crospovidone, low-substituted hydroxypropyl cellulose, croscarmellose One or more of sodium cellulose, calcium carboxymethyl cellulose and sodium carboxymethyl starch.
  • the disintegrant in the pharmaceutical composition is low-substituted hydroxypropyl cellulose.
  • the filler in the pharmaceutical composition is selected from one or more of lactose, sugar alcohols, starch, pregelatinized starch, microcrystalline cellulose, sucrose, inorganic salts and dextrin.
  • the filler in the pharmaceutical composition is selected from one or two of pregelatinized starch and microcrystalline cellulose.
  • the lubricant is selected from colloidal silicon dioxide, magnesium stearate, talc, hydrogenated vegetable oil, polyethylene glycols, magnesium lauryl sulfate, sodium lauryl sulfate, One or more of sodium stearyl fumarate, stearic acid and calcium hydrogen phosphate.
  • the lubricant is selected from one or two of colloidal silicon dioxide or magnesium stearate.
  • the pharmaceutical composition contains 1-600 mg of the compound of formula I and fillers, lubricants, disintegrants and binders, wherein the compound of formula I has the following structure:
  • the pharmaceutical composition contains 600 mg of the compound of formula I, a filler, a lubricant, a disintegrant and a binder.
  • the pharmaceutical composition contains 400 mg of the compound of formula I and fillers, lubricants, disintegrants and binders.
  • the pharmaceutical composition contains 200 mg of the compound of formula I and fillers, lubricants, disintegrants and binders.
  • the pharmaceutical composition contains 100 mg of the compound of formula I and fillers, lubricants, disintegrants and binders.
  • the pharmaceutical composition contains 50 mg of the compound of formula I and fillers, lubricants, disintegrants and binders.
  • the pharmaceutical composition contains 25 mg of the compound of formula I and fillers, lubricants, disintegrants and binders.
  • the pharmaceutical composition contains 10 mg of the compound of formula I and fillers, lubricants, disintegrants and binders.
  • the pharmaceutical composition contains 5 mg of the compound of formula I and fillers, lubricants, disintegrants and binders.
  • the pharmaceutical composition contains 2.5 mg of the compound of formula I and fillers, lubricants, disintegrants and binders.
  • the pharmaceutical composition contains 1 mg of the compound of formula I and fillers, lubricants, disintegrants and binders.
  • the pharmaceutical composition contains 1-100 mg of the compound of formula I, 0.5-10.0 mg of colloidal silicon dioxide, 13.65-205.0 mg of microcrystalline cellulose, 11.22-230.0 mg of pregelatinized starch, and 1.2-10.0 of copovidone. mg, low-substituted hydroxypropyl cellulose 1.2-30.0mg, magnesium stearate 0.3-5.0mg.
  • the pharmaceutical composition contains 1 mg of compound of formula I, 0.5 mg of colloidal silicon dioxide, 13.65 mg of microcrystalline cellulose, 13.72 mg of pregelatinized starch, 1.5 mg of copovidone, and 1.5 mg of low-substituted hydroxypropyl cellulose. mg, magnesium stearate 0.38mg.
  • the pharmaceutical composition contains 2.5 mg of compound of formula I, 0.5 mg of colloidal silicon dioxide, 54.9 mg of microcrystalline cellulose, 13.72 mg of pregelatinized starch, 1.5 mg of copovidone, and low-substituted hydroxypropyl cellulose 1.5mg, 0.38mg of magnesium stearate.
  • the pharmaceutical composition contains 5.0 mg of the compound of formula I, 1.0 mg of colloidal silicon dioxide, 109.8 mg of microcrystalline cellulose, 27.45 mg of pregelatinized starch, 3.0 mg of copovidone, and low-substituted hydroxypropyl cellulose 3.0mg, 0.75mg magnesium stearate.
  • the pharmaceutical composition contains 100 mg of compound of formula I, 0.2 mg of colloidal silicon dioxide, 120 mg of microcrystalline cellulose, 220 mg of pregelatinized starch, 10 mg of copovidone, 35 mg of low-substituted hydroxypropyl cellulose, and stearin Magnesium acid 2.5mg.
  • the pharmaceutical composition contains 25 mg of compound of formula I, 5 mg of colloidal silicon dioxide, 205 mg of microcrystalline cellulose, 51.3 mg of pregelatinized starch, 6 mg of copovidone, 6 mg of low-substituted hydroxypropyl cellulose, and stearin Magnesium acid 1.5mg.
  • the pharmaceutical composition contains 1 mg of compound of formula I, 0.2 mg of colloidal silicon dioxide, 44.8 mg of microcrystalline cellulose, 11.22 mg of pregelatinized starch, 1.2 mg of copovidone, and 1.2 mg of low-substituted hydroxypropyl cellulose. mg, magnesium stearate 0.3mg.
  • the compound of formula I in the pharmaceutical composition is a hydrate thereof, and has the following structure:
  • the pharmaceutical composition can be prepared into various pharmaceutically acceptable dosage forms. Such as granules, capsules or tablets.
  • the present invention also provides a preparation method of the xanthine derivative pharmaceutical composition.
  • the preparation process of different dosage forms can be preferably the following preparation methods:
  • the preparation method of the granules the compound of formula I and pharmaceutically acceptable auxiliary materials are granulated and dried, then mixed with a lubricant and packaged.
  • the preparation method of the capsule mix the compound of formula I, hydrate or its pharmaceutically acceptable salt with pharmaceutically acceptable excipients, and then fill the capsule or mix the compound of formula I with pharmaceutically acceptable excipients, and add the viscous compound. After the mixture is granulated and dried, the lubricant is added, and the capsules are filled after mixing evenly.
  • Tablet preparation method mixing the compound of formula I, hydrate or pharmaceutically acceptable salt thereof with pharmaceutically acceptable excipients and then directly compressing the tablet, coating with a film coating premix aqueous solution; or applying the compound of formula I , Hydrate or its pharmaceutically acceptable salt is mixed with pharmaceutically acceptable excipients and then dry granulated, mixed with the remaining excipients and compressed into tablets, coated with a film coating premix aqueous solution; or the compound of formula I, hydrated
  • the compound or a pharmaceutically acceptable salt thereof is mixed with a pharmaceutically acceptable auxiliary material and then added to a binder, granulated and dried, then mixed with a lubricant, and then compressed into a tablet, and then coated with an aqueous solution of a film coating premix.
  • Another object of the present invention is to disclose the use of the pharmaceutical composition as a medicament for treating dipeptidyl peptidase IV related diseases; specifically, the use is to prepare a drug for treating type II diabetes or impaired glucose tolerance The use of drugs in the treatment of diseases.
  • the test of the influencing factors of the present invention shows that after being placed under high humidity (RH92.5%) conditions for 10 days, the properties, dissolution, related substances and content of the composition samples prepared in the examples of the present invention have no significant changes; After being placed under the conditions of °C and light (4500Lx ⁇ 500Lx) for 10 days, the properties, dissolution and content of the composition did not change significantly, and the related substances increased slightly. It shows that the pharmaceutical composition prepared by the embodiment of the present invention has good stability and excellent quality.
  • formula I compound and other anti-diabetic drugs such as metformin hydrochloride, pioglitazone hydrochloride, voglibose, etc. compose a compound formula
  • the oral glucose tolerance test (OGTT) test in normal mice shows that under the same conditions, the formula I compound of the present invention and Compared with a compound composed of anti-diabetic drugs and a positive control drug, it has a more significant hypoglycemic effect and is a significant improvement compared with a compound composed of the same anti-diabetic drugs.
  • the results show that a single administration of the compound of formula I tablets has good safety and tolerability in Chinese volunteers.
  • the maximum tolerated dose of the medicine is 400 mg.
  • the subject takes the compound of formula I tablets at a dose of more than 200 mg, one tablet per week, and the inhibitory rate of DPP-4 activity is maintained at more than 80% after taking multiple doses of DPP-4.
  • the inhibition rate of DDP-4 enzyme activity is maintained at 80% and above, which is expected to maintain a stable therapeutic effect.
  • 200mg-400mg once a week may be administered It is a clinically effective dose.
  • the filler mannitol 200SD, microcrystalline cellulose PH102, pregelatinized starch and the dihydrate of the compound of formula I were mixed in a certain proportion, and they were set to accelerate (40°C, RH75% ⁇ 5). %) closed and accelerated (40°C, RH75% ⁇ 5%) open conditions for 10 days and 30 days to investigate the properties and related substances.
  • the test results are shown in the following table.
  • the related substance detection adopts the related substance chromatographic conditions explored in the early stage of the API.
  • the specific chromatographic conditions are as follows:
  • Mobile phase mobile phase A: 0.02mol/L sodium dihydrogen phosphate (0.1% triethylamine, adjust the pH to 3.0 with phosphoric acid);
  • Example 1 Each 1000 tablets contains the following ingredients (0.5mg)
  • Preparation method 1.5g film coating premix Prepare an aqueous suspension with a concentration of about 14% (w/w) for later use; add the formula I compound, colloidal silicon dioxide, microcrystalline cellulose, and starch in a prescription amount into a mixing hopper to mix; press tablets; use Film coating premix aqueous solution coating, ready-to-have.
  • Example 2 Each 1000 tablets contains the following ingredients (1.5mg)
  • Example 3 Each 1000 tablets contains the following ingredients (4.0mg)
  • Preparation method 4.5g film coating premix Prepare an aqueous suspension with a concentration of about 14% (w/w) for later use; add the formula I compound, colloidal silicon dioxide, microcrystalline cellulose, and starch in a prescription amount into a mixing hopper to mix; press tablets; use Film coating premix aqueous solution coating, ready-to-have.
  • Example 4 Each 1000 tablets contains the following ingredients (6.0mg)
  • Example 5 Each 1000 tablets contains the following ingredients (1.0mg)
  • Preparation method 1.5g of film coating premix Prepare an aqueous suspension with a concentration of about 14% (w/w) for later use; add the formula I compound, colloidal silicon dioxide, microcrystalline cellulose, and pregelatinized starch in a prescribed amount into a mixing hopper to mix; Tablets; coated with a film-coating premix aqueous solution, ready to be obtained.
  • Example 6 Each 1000 tablets contains the following ingredients (2.0mg)
  • Preparation method 2.25g of film coating premix Prepare an aqueous suspension with a concentration of about 14% (w/w) for later use; add the formula I compound, colloidal silicon dioxide, microcrystalline cellulose, and pregelatinized starch in a prescribed amount into a mixing hopper to mix; Tablets; coated with a film-coating premix aqueous solution, ready to be obtained.
  • Example 7 Each 1000 tablets contains the following ingredients (2.5mg)
  • Preparation method 2.25g film coating premix Prepare an aqueous suspension with a concentration of about 14% (w/w) for later use; combine the formula I compound dihydrate, colloidal silicon dioxide, microcrystalline cellulose, copovidone, and low-substituted hydroxy Propyl cellulose and pregelatinized starch are added to the mixing hopper and mixed and then sieved, and then the sieved material of the above formula I compound and magnesium stearate are added to the mixing hopper and mixed; tableting; film coating premixing agent aqueous solution package Clothes, get it.
  • Example 8 Each 1000 tablets contains the following ingredients (5.0mg)
  • Preparation method 4.5g film coating premix Prepare an aqueous suspension with a concentration of about 14% (w/w) for later use; mix the formula I compound dihydrate, colloidal silicon dioxide, microcrystalline cellulose, copovidone, and low-substituted hydroxy Propyl cellulose and pregelatinized starch are added to the mixing hopper and mixed and then sieved, and then the sieved material of the above formula I compound and magnesium stearate are added to the mixing hopper and mixed; tableting; film coating premixing agent aqueous solution package Clothes, get it.
  • Example 9 Each 1000 tablets contains the following ingredients (10.0mg)
  • Example 10 Example 11
  • Example 12 Example 13
  • Example 14 Compound of formula I 6.5g 7.5g 12.5g 15.0g 20.0g
  • Example 11 The preparation method of Example 11 is the same as that of Example 10.
  • Example 12 The preparation method of Example 12 is the same as that of Example 10.
  • Example 13 The preparation method of Example 13 is the same as that of Example 10.
  • Example 14 The preparation method of Example 14 is the same as that of Example 10.
  • Example 16 Compound of formula I 25.0g 30.0g Colloidal silica 5.0g 6.0g Microcrystalline cellulose 113.5g 108.7g starch 28.4g 27.2g
  • Example 15 Preparation method: 5.2g film coating premix Prepare an aqueous suspension with a concentration of about 14% (w/w) for later use; add the formula I compound in the prescription amount and the microcrystalline cellulose, starch, and colloidal silicon dioxide in the prescription amount into the mixing hopper to mix; Tablets; coated with a film-coating premix aqueous solution, ready to be obtained.
  • Example 16 The preparation method of Example 16 is the same as that of Example 15.
  • Example 18 Compound of formula I 40.0g 50.0g 60.0g Colloidal silica 8.0g 10.0g 12.0g Microcrystalline cellulose 99.1g 120.1g 110.5g starch 24.8g 30.1g 27.7g
  • Example 18 The preparation method of Example 18 is the same as that of Example 17.
  • Example 19 The preparation method of Example 19 is the same as that of Example 17.
  • Example 20 contains the following ingredients per 1000 tablets (1.0mg)
  • 2.0g film coating premix Prepare an aqueous suspension with a concentration of about 14% (w/w) for use; mix the formula I compound dihydrate, colloidal silicon dioxide, microcrystalline cellulose, copovidone, and low-substituted hydroxy Propyl cellulose and pregelatinized starch are added to the mixing hopper and mixed and then sieved, and then the sieved material of the above formula I compound and magnesium stearate are added to the mixing hopper and mixed; tableting; film coating premixing agent aqueous solution package Clothes, get it.
  • Example 21 Each 1000 tablets contains the following ingredients (25.0mg)
  • film coating premix Prepare an aqueous suspension with a concentration of about 14% (w/w) for later use; mix the formula I compound dihydrate, colloidal silicon dioxide, microcrystalline cellulose, copovidone, and low-substituted hydroxy Propyl cellulose and pregelatinized starch are added to the mixing hopper and mixed and then sieved, and then the sieved material of the above formula I compound and magnesium stearate are added to the mixing hopper and mixed; tableting; film coating premixing agent aqueous solution package Clothes, get it.
  • Example 22 Each 1000 tablets contains the following ingredients (100.0mg)
  • 15.0g film coating premix Prepare an aqueous suspension with a concentration of about 14% (w/w) for later use; combine the formula I compound dihydrate, pregelatinized starch, copovidone, colloidal silicon dioxide, and internal addition in the prescribed amount Low-substituted hydroxypropyl cellulose and part of magnesium stearate are added to the mixing hopper and mixed to prepare a pre-mixed powder.
  • the pre-mixed powder is placed in a dry granulator to make dry granules; the dry granules are added in the prescribed amount
  • the microcrystalline cellulose, a part of low-substituted hydroxypropyl cellulose, and a part of magnesium stearate are added together; tableted; coated with an aqueous solution of film-coating premix agent to obtain.
  • Example 23 Each 1000 tablets contains the following ingredients (5.0mg)
  • Preparation method 4.5g film coating premix Prepare an aqueous suspension with a concentration of about 14% (w/w) for later use; mix the formula I compound dihydrate, colloidal silicon dioxide, microcrystalline cellulose, copovidone, and low-substituted hydroxy Propyl cellulose and pregelatinized starch are added to the mixing hopper and mixed and then sieved, and then the sieved material of the above formula I compound and magnesium stearate are added to the mixing hopper and mixed; tableting; film coating premixing agent aqueous solution package Clothes, get it.
  • Example 24 Each 1000 tablets contains the following ingredients (10mg)
  • film coating premix Prepare an aqueous suspension with a concentration of about 14% (w/w) for use; add the p-toluenesulfonate, microcrystalline cellulose, pregelatinized starch, and magnesium stearate of the compound of formula I in the prescribed amount into the mixing hopper Medium mixing; tablet compression; coating with aqueous solution of film coating premix, ready to be obtained.
  • Example 25 Each 1000 tablets contains the following ingredients (10mg)
  • 4.5g film coating premix Prepare an aqueous suspension with a concentration of about 14% (w/w) for later use; add the formula I compound hydrochloride, mannitol, microcrystalline cellulose, and sodium stearyl fumarate into the mixing hopper Mixing; tableting; coating with a film-coating premix aqueous solution, ready to be obtained.
  • Example 26 Each 1000 tablets contains the following ingredients (10mg)
  • 4.5g film coating premix Prepare an aqueous suspension with a concentration of about 14% (w/w) for use; add the formula I compound tartrate, microcrystalline cellulose, pregelatinized starch, and magnesium lauryl sulfate into a mixing hopper to mix ; Compressing tablets; Coating with a film-coating premix aqueous solution, ready to be obtained.
  • Example 27 Each 1000 tablets contains the following ingredients (10mg)
  • film coating premix Prepare an aqueous suspension with a concentration of about 14% (w/w) for later use; combine the formula I compound trifluoroacetate with microcrystalline cellulose, pregelatinized starch, and sodium lauryl sulfate Add it to the mixing hopper to mix; compress tablets; use the film coating premix aqueous solution to coat, and it is ready.
  • Example 28 Example 29 Example 30
  • Example 31 Example 32
  • Example 33 Compound of formula I 0.5g 2.5g 5.0g 10.0g 25.0g 100.0g Metformin Hydrochloride 1000.0g 1000.0g 1000.0g 1000.0g 1000.0g 1000.0g 1000.0g 1000.0g Microcrystalline cellulose 139.3g 137g 134.0g 128.0g 110.0g 20.0g Polyvinylpyrrolidone 24.0g 24.0g 24.0g 24.0g 24.0g Sodium Stearyl Fumarate 12.0g 12.0g 12.0g 12.0g 12.0g 12.0g 12.0g
  • Example 29 The preparation method of Example 29 is the same as that of Example 28.
  • Example 30 The preparation method of Example 30 is the same as that of Example 28.
  • Example 31 The preparation method of Example 31 is the same as that of Example 28.
  • Example 32 The preparation method of Example 32 is the same as that of Example 28.
  • Example 33 The preparation method of Example 33 is the same as that of Example 28.
  • Example 34 Each 1000 bags contains the following components
  • Example 35 Example 36
  • Example 37 Example 38
  • Example 40 Compound of formula I 0.5g 2.5g 5.0g 10.0g 25.0g 100.0g Pioglitazone hydrochloride 30.0g 30.0g 30.0g 30.0g 30.0g Colloidal silica 2.0g 3.0g 4.0g 5.0g 6.0g 10.0g Microcrystalline cellulose 157.84g 156.0g 153.6g 148.8g 134.4g 108.0g starch 39.46g 39.0g 38.4g 37.2g 33.6g 27.0g Hydroxypropyl cellulose 4.8g 4.8g 4.8g 4.8g 4.8g 4.8g 6.0g
  • Example 36 The preparation method of Example 36 is the same as that of Example 35.
  • Example 37 The preparation method of Example 37 is the same as that of Example 35.
  • Example 38 The preparation method of Example 38 is the same as that of Example 35.
  • Example 39 The preparation method of Example 39 is the same as that of Example 35.
  • Example 40 The preparation method of Example 40 is the same as that of Example 35.
  • Example 41 Each 1000 tablets contains the following components
  • Example 42 Example 43
  • Example 44 Implementation 45
  • Example 46 Example 47
  • Compound of formula I 0.5g 2.5g 5.0g 10.0g 25.0g 100.0g Voglibose 0.3g 0.3g 0.3g 0.3g 0.3g Microcrystalline cellulose 48.6g 111.4g 109.0g 104.2g 112.6g 283.8g sucrose 12.2g 27.8g 27.2g 26.0g 28.1g 70.9g Hypromellose 1.3g 3.0g 3.0g 3.0g 3.6g 10.0g
  • the prescription amount of hypromellose is made into a 5% (w/w) aqueous solution for use; 4.5g of film coating premix Prepare an aqueous suspension with a concentration of about 14% (w/w) for later use; prepare the formula I compound, microcrystalline cellulose, sucrose, and voglibose in the prescribed amount to obtain a pre-mixed powder; place the pre-mixed powder In the granulator, add a prescription amount of hypromellose aqueous solution to make wet granules; dry the wet granules; add a prescription amount of magnesium stearate and mix together; press tablets; use a film coating premix aqueous solution package Clothes, get it.
  • Example 48 Each 1000 tablets contains the following components
  • the prescription amount of ethyl cellulose is made into a 6% (w/w) aqueous solution for use; 1.95g of film coating premix Prepare an aqueous suspension with a concentration of about 14% (w/w) for later use; add the trifluoroacetate, microcrystalline cellulose, dextrin, and voglibose of the compound of formula I in the prescribed amount into the mixing hopper Mix to obtain a pre-mixed powder; place the pre-mixed powder in a granulator, add a prescription amount of ethyl cellulose aqueous solution to make wet granules; dry the wet granules; add a prescription amount of stearic acid, and mix together; tableting ; Use film coating premix aqueous solution to coat, ready.
  • Example 50 Compound of formula I 25.0g 30.0g Colloidal silica 5.0g 6.0g Microcrystalline cellulose 113.5g 108.7g starch 28.4g 27.2g
  • Example 50 The preparation method of Example 50 is the same as that of Example 49.
  • Example 51 contains the following ingredients per 1000 tablets (5.0mg)
  • Component To Dihydrate of compound of formula I 5.0g Colloidal silica 1.0g Microcrystalline cellulose 68.2g Pregelatinized starch 68.2g Copovidone 3.0g Low-substituted hydroxypropyl cellulose 3.0g Magnesium stearate 1.5g
  • 4.5g film coating premix Prepare an aqueous suspension with a concentration of about 14% (w/w) for later use; mix the formula I compound dihydrate, colloidal silicon dioxide, microcrystalline cellulose, copovidone, and low-substituted hydroxy Propyl cellulose, pregelatinized starch, the sieving material of the compound of formula I and magnesium stearate are added into a mixing hopper and mixed; compressed tablets; coated with an aqueous solution of a film-coating premix agent to obtain the product.
  • Example 52 Each 1000 tablets contains the following ingredients (5.0mg)
  • Example 52 The preparation method of Example 52 is the same as that of Example 51.
  • Examples 53 to 54 contain the following ingredients per 1000 tablets (2.5mg)
  • Example 54 Dihydrate of compound of formula I 2.5g 2.5g Colloidal silica 0.5g 0.5g Microcrystalline cellulose 34.1g 13.65 Pregelatinized starch 34.1g 54.6g Copovidone 1.5g 1.5g Low-substituted hydroxypropyl cellulose 1.5g 1.5g Magnesium stearate 0.75g 0.75g
  • Example 53 Preparation method: 2.25g film coating premix Prepare an aqueous suspension with a concentration of about 14% (w/w) for later use; mix the formula I compound dihydrate, colloidal silicon dioxide, microcrystalline cellulose, copovidone, and low-substituted hydroxy Propyl cellulose and pregelatinized starch are added to the mixing hopper and mixed and then sieved, and then the sieved material of the above formula I compound and magnesium stearate are added to the mixing hopper and mixed; tableting; film coating premixing agent aqueous solution package Clothes, get it.
  • Example 54 The preparation method of Example 54 is the same as that of Example 53.
  • Examples 55-58 Contain the following ingredients per 1000 tablets (2.5mg)
  • Example 55 Example 56
  • Example 57 Example 58 Dihydrate of compound of formula I 2.5g 2.5g 2.5g 2.5g Colloidal silica 0.5g 0.5g 0.5g 0.5g Microcrystalline cellulose 54.6g 53.4g 52.2g 55.2g Pregelatinized starch 13.65g 13.35g 13.05g 13.8g Copovidone 1.5g 3g 4.5g 1.5g Low-substituted hydroxypropyl cellulose 1.5g 1.5g 1.5g 0.75g Magnesium stearate 0.75g 0.75g 0.75g 0.75g 0.75g 0.75g
  • Example 55 Preparation method: 2.25g film coating premix Prepare an aqueous suspension with a concentration of about 14% (w/w) for later use; mix the formula I compound dihydrate, colloidal silicon dioxide, microcrystalline cellulose, copovidone, and low-substituted hydroxy Propyl cellulose and pregelatinized starch are added to the mixing hopper and mixed and then sieved, and then the sieved material of the above formula I compound and magnesium stearate are added to the mixing hopper and mixed; tableting; film coating premixing agent aqueous solution package Clothes, get it.
  • Example 56 The preparation method of Example 56 is the same as that of Example 55.
  • Example 57 The preparation method of Example 57 was the same as that of Example 55.
  • Example 58 The preparation method of Example 58 is the same as that of Example 55.
  • Example 59 Each 1000 tablets contains the following ingredients (5.0mg)
  • Example 59 The preparation method of Example 59 is the same as that of Example 51.
  • Example 60 Each 1000 tablets contains the following ingredients (5.0mg)
  • Example 60 The preparation method of Example 60 was the same as that of Example 51.
  • Example 61 Each 1000 tablets contains the following ingredients (2.5mg)
  • Example 61 The preparation method of Example 61 was the same as that of Example 55.
  • Example 62 A blank sample of 2.5 mg specification, every 1000 tablets contains the following ingredients.
  • Preparation method 2.25g film coating premix Prepare an aqueous suspension with a concentration of about 14% (w/w) for use; mix the prescription amount of colloidal silicon dioxide, microcrystalline cellulose, pregelatinized starch, copovidone, and low-substituted hydroxypropyl fiber Mixing vegetarian and magnesium stearate; compressing tablets; coating with aqueous solution of film coating premix, ready to be obtained.
  • Example 63 A blank sample of 5 mg specification contains the following ingredients per 1000 tablets.
  • Colloidal silica 1.00g Microcrystalline cellulose 113.80g Pregelatinized starch 28.45g Copovidone 3.00g Low-substituted hydroxypropyl cellulose 3.00g Magnesium stearate 0.75g
  • Preparation method 4.5g film coating premix Prepare an aqueous suspension with a concentration of about 14% (w/w) for use; mix the prescription amount of colloidal silicon dioxide, microcrystalline cellulose, pregelatinized starch, copovidone, and low-substituted hydroxypropyl fiber Mixing vegetarian and magnesium stearate; compressing tablets; coating with aqueous solution of film coating premix, ready to be obtained.
  • Example 64 A blank sample of 25 mg specifications contains the following ingredients per 1000 tablets.
  • Preparation method 9g film coating premix Prepare an aqueous suspension with a concentration of about 14% (w/w) for use; mix the prescription amount of colloidal silicon dioxide, microcrystalline cellulose, pregelatinized starch, copovidone, and low-substituted hydroxypropyl fiber Mixing vegetarian and magnesium stearate; compressing tablets; coating with aqueous solution of film coating premix, ready to be obtained.
  • Example 65 A blank sample of 100 mg specification contains the following ingredients per 1000 tablets.
  • Preparation method 15.0g film coating premix Prepare an aqueous suspension with a concentration of about 14% (w/w) for use; mix the prescription amount of pregelatinized starch, copovidone, colloidal silicon dioxide, internally added part of low-substituted hydroxypropyl cellulose, Add part of magnesium stearate into the mixing hopper and mix to prepare pre-mixed powder, then put the pre-mixed powder in a dry granulator to make dry granules; add prescription amount of microcrystalline cellulose and additional part to the dry granules Low-substituted hydroxypropyl cellulose and a part of magnesium stearate are mixed; tableting; coated with aqueous solution of film coating premix, ready to be obtained.
  • Dissolution testing method refer to the second method of appendix xC of the 2015 edition of the Chinese Pharmacopoeia.
  • Test Example 1 Study on tolerance, pharmacokinetics, and pharmacodynamics of a single dose in healthy humans
  • Formula I compound simulation tablets specifications: 2.5mg/tablet (prepared in reference example 62, no active ingredient), 5mg/tablet (prepared in reference example 63, no active ingredient), 25mg/tablet (prepared in reference example 64 Obtained, no active ingredient), 100mg/tablet (prepared in Example 65, no active ingredient)
  • Thermo Scientific TM 232F-AEC-TSC freezer refrigerator provided by Thermo Company;
  • Haier 2 ⁇ 8°C refrigerator provided by Haier Company
  • Eppendorf 5920R centrifuge provided by Eppendorf;
  • test groups and dosing schedule are shown in Table 5 below:
  • Group Dosage Route of administration Number of test group Number of control group test 1 2.5 oral 10 2 Tolerance, PK 2 5 oral 10 2 Tolerance, PK 3 10 oral 10 2 Tolerance, PK 4 25 oral 10 2 Tolerance, PK/PD 5 50 oral 10 2 Tolerance, PK/PD 6 100 oral 10 2 Tolerance, PK/PD 7 200 oral 10 2 Tolerance, PK/PD 8 400 oral 10 2 Tolerance, PK/PD 9 600 oral 6 2 Tolerance
  • Tests were performed at 2.5, 5, 10, 25, 50, 100, 200, 400 mg doses. Venous blood samples were collected before and after administration to detect the plasma concentration of eutagliptin.
  • Blood sample collection 2.5 ⁇ 10mg dose group before administration (-30min ⁇ 0min) and after administration 0.25h ⁇ 1min, 0.5h ⁇ 2min, 0.75h ⁇ 2min, 1h ⁇ 3min, 1.5h ⁇ 3min, 2h ⁇ 3min, 2.5h ⁇ 3min, 3h ⁇ 3min, 3.5h ⁇ 3min, 4h ⁇ 3min, 5h ⁇ 3min, 6h ⁇ 3min, 8h ⁇ 10min, 12h ⁇ 10min, 24h ⁇ 30min, 48h ⁇ 30min, 72h ⁇ 30min, 96h ⁇ 30min, Venous blood samples were collected 3.0mL at 120h ⁇ 30min; 5.0mL venous blood samples were collected before administration (-30min ⁇ 0min) in the 25mg dose group, and the other blood sampling time points and blood volume were the same as those in the 2.5 ⁇ 10mg group; the 50 ⁇ 400mg dose group was in the administration Collect 5.0mL venous blood sample before (-30min ⁇ 0min), 0.25h ⁇ 1min, 0.5h ⁇ 2min, 0.75h ⁇ 2
  • DPP-4 inhibition Rate 1-measured value/baseline value.
  • the safety analysis set was used to statistically describe and analyze the demographic data, physical examination and laboratory examination results, adverse events or/and adverse reactions.
  • the test group of each dose group and the placebo group were compared and analyzed.
  • the pharmacokinetic parameters were calculated using WinNonlin 8.1 software.
  • the non-compartmental model was used to calculate the pharmacokinetic parameters of each subject, and the WPS 2019 was used to calculate the mean and standard deviation of each parameter to evaluate the pharmacokinetic characteristics of the drug in the body.
  • the proportional relationship between pharmacokinetic parameters and dose will be analyzed by regression analysis and the 95% two-sided confidence interval (95% CI) of the slope will be calculated. .
  • a total of 104 subjects were enrolled in the tolerance test, and one subject withdrew from the test with a positive blood pregnancy test on day -1, and the rest did not fall off or were eliminated.
  • a total of 103 healthy volunteers completed 9 dose group trials with a single dose. The dose was increased from 2.5 mg to 600 mg in the dose group. None of the subjects could not tolerate it, and none of the subjects reached the criteria for stopping the trial.
  • a single administration of the compound of formula I tablets has good safety and tolerability in Chinese volunteers, and the maximum tolerated dose in a single oral administration is 600 mg.
  • the pharmacokinetic concentration analysis was performed on the subjects in the test group in the protocol set (PPS set).
  • PPS set included 88 subjects, of which 73 were in the test group and 15 were in the placebo group, so 73 subjects were used Perform pharmacokinetic parameter analysis.
  • the main pharmacokinetic parameters of the compounds of formula I are summarized in Table 6 below.
  • the inhibition rate of DPP-4 enzyme in each dose group of 25-400 mg was over 97% 24h after treatment, and the inhibition rate of DPP-4 enzyme was over 75.7% in the 200-400 mg dose group 168h after treatment.
  • the inhibitory rate of DPP-4 activity is maintained at about 80% within a 168-hour dosing interval.

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Abstract

Disclosed is a xanthine derivative pharmaceutical composition, specifically, a xanthine derivative pharmaceutical composition, a preparation method therefor, and the use thereof as a therapeutic drug, especially as a therapeutic dipeptidyl peptidase (DPP-IV) inhibitor.

Description

一种黄嘌呤衍生物药物组合物及其制备方法Xanthine derivative pharmaceutical composition and preparation method thereof 技术领域Technical field

本发明属于药物制剂领域,具体涉及一种黄嘌呤衍生物药物组合物及其制备方法及其作为治疗药物,特别是作为治疗二肽基肽酶(DPP-IV)抑制剂的用途。The invention belongs to the field of pharmaceutical preparations, and specifically relates to a xanthine derivative pharmaceutical composition and a preparation method thereof and its use as a therapeutic drug, especially as a therapeutic dipeptidyl peptidase (DPP-IV) inhibitor.

背景技术Background technique

2013年版《中国2型糖尿病防治指南(征求意见稿)》中,新增的DPP-IV抑制剂成为亮点之一。DPP-IV抑制剂反映了当前糖尿病治疗的新方向,即从单纯控制糖化血红蛋白向改善β细胞功能、稳定控制血糖和避免低血糖的目标迈进。目前,任何一种单药治疗都无法遏制β细胞功能随病情进展的衰竭,针对临床不同的个体需求,选择最合理的药物联合和治疗时机尤为关键,而DPP-IV抑制剂这个靶点为基础的全新机制药物成为选择之一,成为2型糖尿病治疗的重要选择。In the 2013 edition of "Guidelines for the Prevention and Treatment of Type 2 Diabetes in China (Draft for Comment)", the newly added DPP-IV inhibitor became one of the highlights. DPP-IV inhibitors reflect the current new direction of diabetes treatment, that is, from simply controlling glycated hemoglobin to improving β-cell function, stably controlling blood sugar and avoiding hypoglycemia. At present, no single-drug therapy can prevent the failure of β-cell function as the disease progresses. According to different clinical individual needs, it is particularly critical to choose the most reasonable drug combination and treatment timing, and the target of DPP-IV inhibitors is the basis. The brand-new mechanism of medicine has become one of the choices and an important choice for the treatment of type 2 diabetes.

二肽基肽酶-IV(DPP-IV)抑制剂用于治疗2型糖尿病,对DPP-IV有很强的选择性抑制作用。通过抑制DPP-IV的活性以维持人体内源性的GLP-1(胰高血糖素样肽-1)和GIP(葡萄糖依赖性促胰岛素多肽)水平,延长GLP-1和GIP在人体的作用时间,GLP-1和GIP通过细胞内信号通道环腺苷酸增加胰岛素的合成及其从胰腺β-细胞的释放,从而达到降低血糖的效果。Dipeptidyl peptidase-IV (DPP-IV) inhibitors are used in the treatment of type 2 diabetes and have a strong selective inhibitory effect on DPP-IV. By inhibiting the activity of DPP-IV to maintain human endogenous levels of GLP-1 (glucagon-like peptide-1) and GIP (glucose-dependent insulinotropic polypeptide), prolong the action time of GLP-1 and GIP in the human body , GLP-1 and GIP increase the synthesis of insulin and its release from pancreatic β-cells through the intracellular signal channel cyclic adenylate, thereby achieving the effect of lowering blood sugar.

发明内容Summary of the invention

本发明提供了一种黄嘌呤衍生物药物组合物,具体而言,提供了一种黄嘌呤衍生物的药物组合物及其制备方法及其作为治疗药物,特别是作为治疗二肽基肽酶(DPP-IV)抑制剂的用途。The present invention provides a pharmaceutical composition of xanthine derivatives, specifically, a pharmaceutical composition of xanthine derivatives and a preparation method thereof as well as a therapeutic drug, especially as a therapeutic dipeptidyl peptidase ( DPP-IV) Use of inhibitors.

本发明提供了一种黄嘌呤衍生物药物组合物,该药物组合物含有0.5~600mg的式I化合物,其中式I化合物具有以下结构:The present invention provides a xanthine derivative pharmaceutical composition, which contains 0.5-600 mg of a compound of formula I, wherein the compound of formula I has the following structure:

Figure PCTCN2020132825-appb-000001
Figure PCTCN2020132825-appb-000001

进一步地,该药物组合物含有1~400mg式I化合物。Further, the pharmaceutical composition contains 1-400 mg of the compound of formula I.

进一步地,该药物组合物含有1~200mg式I化合物。Further, the pharmaceutical composition contains 1-200 mg of the compound of formula I.

进一步地,该药物组合物含有1~100mg式I化合物。Further, the pharmaceutical composition contains 1-100 mg of the compound of formula I.

进一步地,该药物组合物含有1~50mg式I化合物。Further, the pharmaceutical composition contains 1-50 mg of the compound of formula I.

进一步地,该药物组合物含有1~25mg式I化合物。Further, the pharmaceutical composition contains 1-25 mg of the compound of formula I.

进一步地,该药物组合物含有1~10mg式I化合物。Further, the pharmaceutical composition contains 1-10 mg of the compound of formula I.

进一步地,该药物组合物含有1~5mg式I化合物。Further, the pharmaceutical composition contains 1 to 5 mg of the compound of formula I.

进一步地,该药物组合物含有1mg式I化合物。Further, the pharmaceutical composition contains 1 mg of the compound of formula I.

进一步地,该药物组合物含有2.5mg式I化合物。Further, the pharmaceutical composition contains 2.5 mg of the compound of formula I.

进一步地,该药物组合物含有4mg式I化合物。Further, the pharmaceutical composition contains 4 mg of the compound of formula I.

进一步地,该药物组合物含有5mg式I化合物。Further, the pharmaceutical composition contains 5 mg of the compound of formula I.

进一步地,该药物组合物含有6mg式I化合物。Further, the pharmaceutical composition contains 6 mg of the compound of formula I.

进一步地,该药物组合物含有7.5mg式I化合物。Further, the pharmaceutical composition contains 7.5 mg of the compound of formula I.

进一步地,该药物组合物含有10mg式I化合物。Further, the pharmaceutical composition contains 10 mg of the compound of formula I.

进一步地,该药物组合物含有25mg式I化合物。Further, the pharmaceutical composition contains 25 mg of the compound of formula I.

进一步地,该药物组合物含有30mg式I化合物。Further, the pharmaceutical composition contains 30 mg of the compound of formula I.

进一步地,该药物组合物含有50mg式I化合物。Further, the pharmaceutical composition contains 50 mg of the compound of formula I.

进一步地,该药物组合物含有100mg式I化合物。Further, the pharmaceutical composition contains 100 mg of the compound of formula I.

进一步地,该药物组合物含有200mg式I化合物。Further, the pharmaceutical composition contains 200 mg of the compound of formula I.

进一步地,该药物组合物含有400mg式I化合物。Further, the pharmaceutical composition contains 400 mg of the compound of formula I.

进一步地,该药物组合物含有600mg式I化合物。Further, the pharmaceutical composition contains 600 mg of the compound of formula I.

进一步地,该药物组合物含有0.5~600mg的式I化合物和除式I化合物以外的一种或多种抗糖尿病的药物,其中式I化合物具有以下结构Further, the pharmaceutical composition contains 0.5-600 mg of the compound of formula I and one or more anti-diabetic drugs other than the compound of formula I, wherein the compound of formula I has the following structure

Figure PCTCN2020132825-appb-000002
Figure PCTCN2020132825-appb-000002

进一步地,,该药物组合物含有1~100mg的式I化合物和除式I化合物以外的一种或多种抗糖尿病的药物。Further, the pharmaceutical composition contains 1-100 mg of the compound of formula I and one or more anti-diabetic drugs other than the compound of formula I.

进一步地,所述抗糖尿病的药物选自胰岛素敏感性增强剂、影响肝葡萄糖产生调节异常的化合物、胰岛素信号传导途径调节剂或胰岛素分泌促进剂。Further, the anti-diabetic drug is selected from insulin sensitivity enhancers, compounds that affect abnormal regulation of hepatic glucose production, insulin signal transduction pathway regulators or insulin secretion promoters.

进一步地,所述抗糖尿病的药物选自非磺酰脲类促胰岛素分泌剂、磺酰脲类促胰岛素分泌剂、双胍类、SGLT2抑制剂、噻唑烷二酮类、α-葡萄糖苷酶抑制剂、GPR40激动剂或羟甲基戊二酰辅酶A还原酶抑制剂。Further, the anti-diabetic drugs are selected from the group consisting of non-sulfonylurea insulin secretagogues, sulfonylurea insulin secretagogues, biguanides, SGLT2 inhibitors, thiazolidinediones, α-glucosidase inhibitors , GPR40 agonist or hydroxymethylglutaryl-CoA reductase inhibitor.

进一步地,所述抗糖尿病的药物选自瑞格列奈、那格列奈、米格列奈、格列美脲、格列派特、格列本脲、格列苯脲、醋磺己脲、氯磺丙脲、格列波脲、甲苯磺丁脲、妥拉磺脲、格列吡嗪、氨磺丁脲、格列喹酮、格列己脲、苯磺丁脲、甲磺环己脲、格列齐特、二甲双胍、达格列净、坎格列净、依帕列净、吡格列酮、罗格列酮、阿卡波糖、伏格列波糖、米格列醇、TAK875、呋格列泛、辛伐他汀、阿伐他汀钙、洛伐他丁、普伐他汀或美伐他汀或其药学上可接受的盐。Further, the anti-diabetic drug is selected from repaglinide, nateglinide, mitiglinide, glimepiride, gliclapide, glibenclamide, glibenclamide, acetohexamide , Chlorpropamide, glibenclamide, tolbutamide, tolazamide, glipizide, sulfambutamide, gliquidone, glibenclamide, tolbutamide, tolazamide Urea, gliclazide, metformin, dapagliflozin, canagliflozin, empagliflozin, pioglitazone, rosiglitazone, acarbose, voglibose, miglitol, TAK875, furfur Glipizide, simvastatin, atorvastatin calcium, lovastatin, pravastatin or mevastatin or a pharmaceutically acceptable salt thereof.

进一步地,所述抗糖尿病的药物选自瑞格列奈、格列美脲、二甲双胍、坎格列净、吡格列酮、伏格列波糖、辛伐他汀中的一种或其药学上可接受的盐。Further, the anti-diabetic drug is selected from one of repaglinide, glimepiride, metformin, canagliflozin, pioglitazone, voglibose, simvastatin, or a pharmaceutically acceptable one of repaglinide, glimepiride, metformin, canagliflozin, pioglitazone, voglibose, and simvastatin salt.

进一步地,所述药物组合物中式I化合物以药学上可接受的盐或以游离碱形式存在Further, the compound of formula I in the pharmaceutical composition exists as a pharmaceutically acceptable salt or as a free base

Figure PCTCN2020132825-appb-000003
Figure PCTCN2020132825-appb-000003

进一步地,所述药物组合物中式I化合物以游离碱形式存在。Further, the compound of formula I in the pharmaceutical composition exists as a free base.

进一步地,药学上可接受的盐选自盐酸、对甲苯磺酸、酒石酸、马来酸、乳酸、甲磺酸、硫酸、磷酸、柠檬酸、乙酸或三氟乙酸。Further, the pharmaceutically acceptable salt is selected from hydrochloric acid, p-toluenesulfonic acid, tartaric acid, maleic acid, lactic acid, methanesulfonic acid, sulfuric acid, phosphoric acid, citric acid, acetic acid or trifluoroacetic acid.

进一步地,药学上可接受的盐选自对甲苯磺酸、盐酸、酒石酸或三氟乙酸。Further, the pharmaceutically acceptable salt is selected from p-toluenesulfonic acid, hydrochloric acid, tartaric acid or trifluoroacetic acid.

进一步地,该药物组合物含有0.5~600mg的式I化合物和填充剂、润滑剂,其中式I化合物具有以下结构:Further, the pharmaceutical composition contains 0.5-600 mg of the compound of formula I, fillers and lubricants, wherein the compound of formula I has the following structure:

Figure PCTCN2020132825-appb-000004
Figure PCTCN2020132825-appb-000004

进一步地,该药物组合物含有1~400mg的式I化合物和填充剂、润滑剂。Further, the pharmaceutical composition contains 1-400 mg of the compound of formula I, a filler, and a lubricant.

进一步地,该药物组合物含有1~200mg的式I化合物和填充剂、润滑剂。Further, the pharmaceutical composition contains 1-200 mg of the compound of formula I, fillers, and lubricants.

进一步地,该药物组合物含有1~100mg的式I化合物和填充剂、润滑剂。Further, the pharmaceutical composition contains 1-100 mg of the compound of formula I, a filler, and a lubricant.

进一步地,该药物组合物含有1~50mg的式I化合物和填充剂、润滑剂。Further, the pharmaceutical composition contains 1-50 mg of the compound of formula I, a filler, and a lubricant.

进一步地,该药物组合物含有1~25mg的式I化合物和填充剂、润滑剂。Further, the pharmaceutical composition contains 1-25 mg of the compound of formula I, a filler, and a lubricant.

进一步地,该药物组合物含有1~10mg的式I化合物和填充剂、润滑剂。Further, the pharmaceutical composition contains 1-10 mg of the compound of formula I, a filler, and a lubricant.

进一步地,该药物组合物含有1~5mg的式I化合物和填充剂、润滑剂。Further, the pharmaceutical composition contains 1 to 5 mg of the compound of formula I, a filler, and a lubricant.

进一步地,该药物组合物含有600mg的式I化合物和填充剂、润滑剂。Further, the pharmaceutical composition contains 600 mg of the compound of formula I, a filler, and a lubricant.

进一步地,该药物组合物含有400mg的式I化合物和填充剂、润滑剂。Further, the pharmaceutical composition contains 400 mg of the compound of formula I, a filler, and a lubricant.

进一步地,该药物组合物含有200mg的式I化合物和填充剂、润滑剂。Further, the pharmaceutical composition contains 200 mg of the compound of formula I, a filler, and a lubricant.

进一步地,该药物组合物含有100mg的式I化合物和填充剂、润滑剂。Further, the pharmaceutical composition contains 100 mg of the compound of formula I, a filler, and a lubricant.

进一步地,该药物组合物含有50mg的式I化合物和填充剂、润滑剂。Further, the pharmaceutical composition contains 50 mg of the compound of formula I, a filler, and a lubricant.

进一步地,该药物组合物含有30mg的式I化合物和填充剂、润滑剂。Further, the pharmaceutical composition contains 30 mg of the compound of formula I, a filler, and a lubricant.

进一步地,该药物组合物含有25mg的式I化合物和填充剂、润滑剂。Further, the pharmaceutical composition contains 25 mg of the compound of formula I, a filler, and a lubricant.

进一步地,该药物组合物含有10mg的式I化合物和填充剂、润滑剂。Further, the pharmaceutical composition contains 10 mg of the compound of formula I, a filler, and a lubricant.

进一步地,该药物组合物含有5mg的式I化合物和填充剂、润滑剂。Further, the pharmaceutical composition contains 5 mg of the compound of formula I, a filler, and a lubricant.

进一步地,该药物组合物含有2.5mg的式I化合物和填充剂、润滑剂。Further, the pharmaceutical composition contains 2.5 mg of the compound of formula I, a filler, and a lubricant.

进一步地,该药物组合物含有1mg的式I化合物和填充剂、润滑剂。Further, the pharmaceutical composition contains 1 mg of the compound of formula I, a filler, and a lubricant.

进一步地,该药物组合物中还含有粘合剂,所述粘合剂选自淀粉浆、聚乙烯吡咯烷酮、聚乙二醇类、共聚维酮、羟丙基纤维素、羟丙甲纤维素、羧甲基纤维素钠、甲基纤维素、乙基纤维素中的1种或多种。Further, the pharmaceutical composition also contains a binder selected from starch slurry, polyvinylpyrrolidone, polyethylene glycols, copovidone, hydroxypropyl cellulose, hypromellose, One or more of sodium carboxymethyl cellulose, methyl cellulose, and ethyl cellulose.

进一步地,该药物组合物中所述粘合剂为共聚维酮。Further, the adhesive in the pharmaceutical composition is copovidone.

进一步地,该药物组合物中还含有崩解剂,所述崩解剂选自干淀粉、海藻酸、海藻酸 钠、交联聚维酮、低取代羟丙基纤维素、交联羧甲基纤维素钠、羧甲基纤维素钙和羧甲基淀粉钠中的1种或多种。Further, the pharmaceutical composition also contains a disintegrant, and the disintegrant is selected from the group consisting of dry starch, alginic acid, sodium alginate, crospovidone, low-substituted hydroxypropyl cellulose, croscarmellose One or more of sodium cellulose, calcium carboxymethyl cellulose and sodium carboxymethyl starch.

进一步地,该药物组合物中所述崩解剂为低取代羟丙基纤维素。Further, the disintegrant in the pharmaceutical composition is low-substituted hydroxypropyl cellulose.

进一步地,该药物组合物中所述填充剂选自乳糖、糖醇类、淀粉、预胶化淀粉、微晶纤维素、蔗糖、无机盐类和糊精中的1种或多种。Further, the filler in the pharmaceutical composition is selected from one or more of lactose, sugar alcohols, starch, pregelatinized starch, microcrystalline cellulose, sucrose, inorganic salts and dextrin.

进一步地,该药物组合物中填充剂选自预胶化淀粉、微晶纤维素中的1种或2种。Further, the filler in the pharmaceutical composition is selected from one or two of pregelatinized starch and microcrystalline cellulose.

进一步地,该药物组合物中,所述润滑剂选自胶态二氧化硅、硬脂酸镁、滑石粉、氢化植物油、聚乙二醇类、月桂醇硫酸镁、十二烷基硫酸钠、硬脂富马酸钠、硬脂酸和磷酸氢钙中的1种或多种。Further, in the pharmaceutical composition, the lubricant is selected from colloidal silicon dioxide, magnesium stearate, talc, hydrogenated vegetable oil, polyethylene glycols, magnesium lauryl sulfate, sodium lauryl sulfate, One or more of sodium stearyl fumarate, stearic acid and calcium hydrogen phosphate.

进一步地,该药物组合物中,所述润滑剂选自胶态二氧化硅或硬脂酸镁中的1种或2种。Further, in the pharmaceutical composition, the lubricant is selected from one or two of colloidal silicon dioxide or magnesium stearate.

进一步地,该药物组合物含有1~600mg的式I化合物和填充剂、润滑剂、崩解剂和粘合剂,其中式I化合物具有如下结构:Further, the pharmaceutical composition contains 1-600 mg of the compound of formula I and fillers, lubricants, disintegrants and binders, wherein the compound of formula I has the following structure:

Figure PCTCN2020132825-appb-000005
Figure PCTCN2020132825-appb-000005

进一步地,该药物组合物含有600mg的式I化合物和填充剂、润滑剂、崩解剂和、粘合剂。Further, the pharmaceutical composition contains 600 mg of the compound of formula I, a filler, a lubricant, a disintegrant and a binder.

进一步地,该药物组合物含有400mg的式I化合物和填充剂、润滑剂、崩解剂和粘合剂。Further, the pharmaceutical composition contains 400 mg of the compound of formula I and fillers, lubricants, disintegrants and binders.

进一步地,该药物组合物含有200mg的式I化合物和填充剂、润滑剂、崩解剂和粘合剂。Further, the pharmaceutical composition contains 200 mg of the compound of formula I and fillers, lubricants, disintegrants and binders.

进一步地,该药物组合物含有100mg的式I化合物和填充剂、润滑剂、崩解剂和粘合剂。Further, the pharmaceutical composition contains 100 mg of the compound of formula I and fillers, lubricants, disintegrants and binders.

进一步地,该药物组合物含有50mg的式I化合物和填充剂、润滑剂、崩解剂和粘合剂。Further, the pharmaceutical composition contains 50 mg of the compound of formula I and fillers, lubricants, disintegrants and binders.

进一步地,该药物组合物含有25mg的式I化合物和填充剂、润滑剂、崩解剂和粘合剂。Further, the pharmaceutical composition contains 25 mg of the compound of formula I and fillers, lubricants, disintegrants and binders.

进一步地,该药物组合物含有10mg的式I化合物和填充剂、润滑剂、崩解剂和粘合剂。Further, the pharmaceutical composition contains 10 mg of the compound of formula I and fillers, lubricants, disintegrants and binders.

进一步地,该药物组合物含有5mg的式I化合物和填充剂、润滑剂、崩解剂和粘合剂。Further, the pharmaceutical composition contains 5 mg of the compound of formula I and fillers, lubricants, disintegrants and binders.

进一步地,该药物组合物含有2.5mg的式I化合物和填充剂、润滑剂、崩解剂和粘合剂。Further, the pharmaceutical composition contains 2.5 mg of the compound of formula I and fillers, lubricants, disintegrants and binders.

进一步地,该药物组合物含有1mg的式I化合物和填充剂、润滑剂、崩解剂和粘合剂。Further, the pharmaceutical composition contains 1 mg of the compound of formula I and fillers, lubricants, disintegrants and binders.

进一步地,该药物组合物中含有式I化合物1-100mg、胶态二氧化硅0.5-10.0mg、微晶纤维素13.65-205.0mg、预胶化淀粉11.22-230.0mg、共聚维酮1.2-10.0mg、低取代羟 丙基纤维素1.2-30.0mg、硬脂酸镁0.3-5.0mg。Further, the pharmaceutical composition contains 1-100 mg of the compound of formula I, 0.5-10.0 mg of colloidal silicon dioxide, 13.65-205.0 mg of microcrystalline cellulose, 11.22-230.0 mg of pregelatinized starch, and 1.2-10.0 of copovidone. mg, low-substituted hydroxypropyl cellulose 1.2-30.0mg, magnesium stearate 0.3-5.0mg.

进一步地,该药物组合物中含有式I化合物1mg、胶态二氧化硅0.5mg、微晶纤维素13.65mg、预胶化淀粉13.72mg、共聚维酮1.5mg、低取代羟丙基纤维素1.5mg、硬脂酸镁0.38mg。Further, the pharmaceutical composition contains 1 mg of compound of formula I, 0.5 mg of colloidal silicon dioxide, 13.65 mg of microcrystalline cellulose, 13.72 mg of pregelatinized starch, 1.5 mg of copovidone, and 1.5 mg of low-substituted hydroxypropyl cellulose. mg, magnesium stearate 0.38mg.

进一步地,该药物组合物中含有式I化合物2.5mg、胶态二氧化硅0.5mg、微晶纤维素54.9mg、预胶化淀粉13.72mg、共聚维酮1.5mg、低取代羟丙基纤维素1.5mg、硬脂酸镁0.38mg。Further, the pharmaceutical composition contains 2.5 mg of compound of formula I, 0.5 mg of colloidal silicon dioxide, 54.9 mg of microcrystalline cellulose, 13.72 mg of pregelatinized starch, 1.5 mg of copovidone, and low-substituted hydroxypropyl cellulose 1.5mg, 0.38mg of magnesium stearate.

进一步地,该药物组合物中含有式I化合物5.0mg、胶态二氧化硅1.0mg、微晶纤维素109.8mg、预胶化淀粉27.45mg、共聚维酮3.0mg、低取代羟丙基纤维素3.0mg、硬脂酸镁0.75mg。Further, the pharmaceutical composition contains 5.0 mg of the compound of formula I, 1.0 mg of colloidal silicon dioxide, 109.8 mg of microcrystalline cellulose, 27.45 mg of pregelatinized starch, 3.0 mg of copovidone, and low-substituted hydroxypropyl cellulose 3.0mg, 0.75mg magnesium stearate.

进一步地,该药物组合物中含有式I化合物100mg、胶态二氧化硅0.2mg、微晶纤维素120mg、预胶化淀粉220mg、共聚维酮10mg、低取代羟丙基纤维素35mg、硬脂酸镁2.5mg。Further, the pharmaceutical composition contains 100 mg of compound of formula I, 0.2 mg of colloidal silicon dioxide, 120 mg of microcrystalline cellulose, 220 mg of pregelatinized starch, 10 mg of copovidone, 35 mg of low-substituted hydroxypropyl cellulose, and stearin Magnesium acid 2.5mg.

进一步地,该药物组合物中含有式I化合物25mg、胶态二氧化硅5mg、微晶纤维素205mg、预胶化淀粉51.3mg、共聚维酮6mg、低取代羟丙基纤维素6mg、硬脂酸镁1.5mg。Further, the pharmaceutical composition contains 25 mg of compound of formula I, 5 mg of colloidal silicon dioxide, 205 mg of microcrystalline cellulose, 51.3 mg of pregelatinized starch, 6 mg of copovidone, 6 mg of low-substituted hydroxypropyl cellulose, and stearin Magnesium acid 1.5mg.

进一步地,该药物组合物中含有式I化合物1mg、胶态二氧化硅0.2mg、微晶纤维素44.8mg、预胶化淀粉11.22mg、共聚维酮1.2mg、低取代羟丙基纤维素1.2mg、硬脂酸镁0.3mg。Further, the pharmaceutical composition contains 1 mg of compound of formula I, 0.2 mg of colloidal silicon dioxide, 44.8 mg of microcrystalline cellulose, 11.22 mg of pregelatinized starch, 1.2 mg of copovidone, and 1.2 mg of low-substituted hydroxypropyl cellulose. mg, magnesium stearate 0.3mg.

进一步地,该药物组合物中式I化合物为其水合物,具有以下结构:Further, the compound of formula I in the pharmaceutical composition is a hydrate thereof, and has the following structure:

Figure PCTCN2020132825-appb-000006
Figure PCTCN2020132825-appb-000006

进一步地,该药物组合物可制备成药学上可接受的各种剂型。如为颗粒剂、胶囊剂或片剂。Further, the pharmaceutical composition can be prepared into various pharmaceutically acceptable dosage forms. Such as granules, capsules or tablets.

本发明还提供了黄嘌呤衍生物药物组合物的制备方法,不同剂型的制备工艺可优选以下制备方法:The present invention also provides a preparation method of the xanthine derivative pharmaceutical composition. The preparation process of different dosage forms can be preferably the following preparation methods:

颗粒剂的制备方法:将式I化合物与药学上可接受的辅料制粒干燥后,加润滑剂混合后包装。The preparation method of the granules: the compound of formula I and pharmaceutically acceptable auxiliary materials are granulated and dried, then mixed with a lubricant and packaged.

胶囊剂的制备方法:将式I化合物、水合物或其药学上可接受的盐与药学上可接受的辅料混合均匀后填充胶囊或者将式I化合物与药学上可接受的辅料混合后,加入粘合剂制粒干燥后,加入润滑剂,混合均匀后填充胶囊。The preparation method of the capsule: mix the compound of formula I, hydrate or its pharmaceutically acceptable salt with pharmaceutically acceptable excipients, and then fill the capsule or mix the compound of formula I with pharmaceutically acceptable excipients, and add the viscous compound. After the mixture is granulated and dried, the lubricant is added, and the capsules are filled after mixing evenly.

片剂的制备方法:将式I化合物、水合物或其药学上可接受的盐与药学上可接受的辅料混合后直接压片,采用薄膜包衣预混剂水溶液包衣;或者将式I化合物、水合物或其药学上可接受的盐与药学上可接受的辅料混合后干法制粒,与剩余辅料混合后压片,采用薄膜包衣预混剂水溶液包衣;或者将式I化合物、水合物或其药学上可接受的盐与药学上的辅料混合后加入粘合剂制粒干燥后,加润滑剂混合后压片,采用薄膜包衣预混剂水溶液包 衣。Tablet preparation method: mixing the compound of formula I, hydrate or pharmaceutically acceptable salt thereof with pharmaceutically acceptable excipients and then directly compressing the tablet, coating with a film coating premix aqueous solution; or applying the compound of formula I , Hydrate or its pharmaceutically acceptable salt is mixed with pharmaceutically acceptable excipients and then dry granulated, mixed with the remaining excipients and compressed into tablets, coated with a film coating premix aqueous solution; or the compound of formula I, hydrated The compound or a pharmaceutically acceptable salt thereof is mixed with a pharmaceutically acceptable auxiliary material and then added to a binder, granulated and dried, then mixed with a lubricant, and then compressed into a tablet, and then coated with an aqueous solution of a film coating premix.

本发明还有一个目的,公开了该药物组合物作为制备对二肽基肽酶Ⅳ相关疾病进行治疗的药物中的用途;具体而言,所述用途为在制备对Ⅱ型糖尿病或葡萄糖耐量异常疾病进行治疗的药物中的用途。Another object of the present invention is to disclose the use of the pharmaceutical composition as a medicament for treating dipeptidyl peptidase IV related diseases; specifically, the use is to prepare a drug for treating type II diabetes or impaired glucose tolerance The use of drugs in the treatment of diseases.

本发明的影响因素试验显示,在高湿(RH92.5%)条件下放置10天后,本发明实施例制备的组合物样品的性状、溶出度、有关物质和含量均无明显变化;在高温60℃和光照(4500Lx±500Lx)条件下放置10天后,组合物的性状、溶出度和含量均无明显变化,有关物质略有增加。说明本发明实施例制备的药物组合物稳定性好,质量优异。The test of the influencing factors of the present invention shows that after being placed under high humidity (RH92.5%) conditions for 10 days, the properties, dissolution, related substances and content of the composition samples prepared in the examples of the present invention have no significant changes; After being placed under the conditions of ℃ and light (4500Lx±500Lx) for 10 days, the properties, dissolution and content of the composition did not change significantly, and the related substances increased slightly. It shows that the pharmaceutical composition prepared by the embodiment of the present invention has good stability and excellent quality.

通过式I化合物与其他抗糖尿病药物如盐酸二甲双胍、盐酸吡格列酮、伏格列波糖等组成复方后对正常小鼠口服糖耐量试验(OGTT)试验显示,在同等条件下,本发明式I化合物与抗糖尿病药物组成复方与阳性对照药与同样的抗糖尿病药物组成的复方相比,具有更为显著的降糖效果,具有显著的进步。After formula I compound and other anti-diabetic drugs such as metformin hydrochloride, pioglitazone hydrochloride, voglibose, etc. compose a compound formula, the oral glucose tolerance test (OGTT) test in normal mice shows that under the same conditions, the formula I compound of the present invention and Compared with a compound composed of anti-diabetic drugs and a positive control drug, it has a more significant hypoglycemic effect and is a significant improvement compared with a compound composed of the same anti-diabetic drugs.

通过健康人体单次给药的耐受性、药代动力学和药效实验,结果显示式I化合物片单次给药在中国志愿者中具有良好的安全性、耐受性,单次口服给药中最大耐受剂量为600mg。单次给药400mg以上剂量式I化合物,每次一片,给药后168小时DPP-4活性抑制率维持在80%左右。Through the tolerability, pharmacokinetics and pharmacodynamic experiments of a single administration in healthy humans, the results show that a single administration of the compound of formula I tablets has good safety and tolerability in Chinese volunteers, and a single oral administration The maximum tolerated dose of the medicine is 600 mg. A single administration of the compound of formula I at a dose of more than 400 mg, one tablet each time, maintains the DPP-4 activity inhibition rate at about 80% 168 hours after administration.

通过健康人体多次给药的耐受性、药代动力学和药效实验,结果显示式I化合物片单次给药在中国志愿者中具有良好的安全性、耐受性,多次口服给药中最大耐受剂量为400mg。受试者服用200mg以上剂量式I化合物片,每周一片,多次服用DPP-4活性抑制率维持在80%以上。当式I化合物片每周给药一次,多次给药时剂量≥200mg时,DDP-4酶活性抑制率维持在80%及以上,预计可以维持稳定的疗效,200mg-400mg一周一次给药可能为临床有效剂量。Through the tolerability, pharmacokinetics and pharmacodynamic experiments of multiple administrations in healthy humans, the results show that a single administration of the compound of formula I tablets has good safety and tolerability in Chinese volunteers. The maximum tolerated dose of the medicine is 400 mg. The subject takes the compound of formula I tablets at a dose of more than 200 mg, one tablet per week, and the inhibitory rate of DPP-4 activity is maintained at more than 80% after taking multiple doses of DPP-4. When the compound of formula I tablets are administered once a week, and when the dose is ≥200mg in multiple administrations, the inhibition rate of DDP-4 enzyme activity is maintained at 80% and above, which is expected to maintain a stable therapeutic effect. 200mg-400mg once a week may be administered It is a clinically effective dose.

附图说明Description of the drawings

图1试验例1中单次口服式I化合物后的DPP-4酶抑制率与时间关系图Figure 1 The relationship between DPP-4 enzyme inhibition rate and time after a single oral administration of the compound of formula I in Test Example 1

具体实施方式Detailed ways

以下结合实施例对本发明作进一步的详细描述,但并非对本发明的限制,凡依照本发明公开内容所作的任何本领域的等同替换,均属于本发明的保护范围。The following describes the present invention in further detail with reference to the embodiments, but it is not a limitation of the present invention. Any equivalent replacement in the field made in accordance with the disclosure of the present invention belongs to the protection scope of the present invention.

原辅料相容性试验Compatibility test of raw materials

为筛选适合本发明制剂的辅料,将填充剂甘露醇200SD、微晶纤维素PH102、预胶化淀粉与式I化合物的二水合物按一定比例混合,分别置加速(40℃,RH75%±5%)闭口、加速(40℃,RH75%±5%)敞口条件下放置10天和30天,考察性状和有关物质,试验结果见下表。有关物质检测采用原料药前期摸索的有关物质色谱条件,具体的色谱条件如下:In order to screen the excipients suitable for the preparation of the present invention, the filler mannitol 200SD, microcrystalline cellulose PH102, pregelatinized starch and the dihydrate of the compound of formula I were mixed in a certain proportion, and they were set to accelerate (40℃, RH75%±5). %) closed and accelerated (40°C, RH75%±5%) open conditions for 10 days and 30 days to investigate the properties and related substances. The test results are shown in the following table. The related substance detection adopts the related substance chromatographic conditions explored in the early stage of the API. The specific chromatographic conditions are as follows:

流动相:流动相A:0.02mol/L磷酸二氢钠(0.1%三乙胺,用磷酸调节pH至3.0);Mobile phase: mobile phase A: 0.02mol/L sodium dihydrogen phosphate (0.1% triethylamine, adjust the pH to 3.0 with phosphoric acid);

流动相B:乙腈;Mobile phase B: acetonitrile;

色谱柱:十八烷基硅烷键合硅胶为填充剂(4.6mm×25cm,5μm);Chromatographic column: octadecylsilane bonded silica gel as filler (4.6mm×25cm, 5μm);

流速:1.0ml/min;Flow rate: 1.0ml/min;

柱温:30℃;Column temperature: 30℃;

检测波长:220nm;Detection wavelength: 220nm;

梯度程序:Gradient program:

Figure PCTCN2020132825-appb-000007
Figure PCTCN2020132825-appb-000007

表1原辅料相容性试验结果表Table 1 Compatibility test results of raw and auxiliary materials

Figure PCTCN2020132825-appb-000008
Figure PCTCN2020132825-appb-000008

上述试验结果表明:The above test results show that:

(1)、式I化合物的二水合物与甘露醇200SD在加速(40℃±2℃,RH75%±5%)敞口及密闭放置条件下,与单一放置的式I化合物的二水合物相比,杂质个数及总量明显增加,说明式I化合物的二水合物与甘露醇200SD的相容性不好;(1) The dihydrate of the compound of formula I and mannitol 200SD under accelerated (40℃±2℃, RH75%±5%) open and airtight storage conditions are compared with the dihydrate of the compound of formula I in a single place. Compared with, the number and total amount of impurities increased significantly, indicating that the compatibility of the dihydrate of the compound of formula I and mannitol 200SD is not good;

(2)、式I化合物的二水合物与微晶纤维素、预胶化淀粉的混合物在加速(40℃±2℃,RH75%±5%)敞口及密闭放置条件下,与单一放置的式I化合物的二水合物相比,各杂质均无明显变化,说明式I化合物的二水合物与微晶纤维素、预胶化淀粉相容性较好。(2) The mixture of the dihydrate of the compound of formula I, microcrystalline cellulose, and pregelatinized starch under accelerated (40℃±2℃, RH75%±5%) open and airtight storage conditions, and a single place Compared with the dihydrate of the compound of formula I, the impurities have no obvious changes, indicating that the dihydrate of the compound of formula I has better compatibility with microcrystalline cellulose and pregelatinized starch.

实施例1 每1000片含有下述成分(0.5mg)Example 1 Each 1000 tablets contains the following ingredients (0.5mg)

组分Component  To 式I化合物Compound of formula I 0.5g0.5g 胶态二氧化硅Colloidal silica 0.2g0.2g 微晶纤维素Microcrystalline cellulose 37.2g37.2g 淀粉starch 9.3g9.3g

制备方法:将1.5g薄膜包衣预混剂

Figure PCTCN2020132825-appb-000009
配成浓度约为14%(w/w)的水混悬液,备用;将处方量的式I化合物、胶态二氧化硅、微晶纤维素、淀粉加入混合料斗中混合;压片;采用薄膜包衣预混剂水溶液包衣,即得。 Preparation method: 1.5g film coating premix
Figure PCTCN2020132825-appb-000009
Prepare an aqueous suspension with a concentration of about 14% (w/w) for later use; add the formula I compound, colloidal silicon dioxide, microcrystalline cellulose, and starch in a prescription amount into a mixing hopper to mix; press tablets; use Film coating premix aqueous solution coating, ready-to-have.

实施例2 每1000片含有下述成分(1.5mg)Example 2 Each 1000 tablets contains the following ingredients (1.5mg)

组分Component  To 式I化合物Formula I compound 1.5g1.5g 胶态二氧化硅Colloidal silica 0.2g0.2g 微晶纤维素Microcrystalline cellulose 37.2g37.2g 淀粉starch 9.3g9.3g

制备方法:同实施例1。Preparation method: the same as in Example 1.

实施例3 每1000片含有下述成分(4.0mg)Example 3 Each 1000 tablets contains the following ingredients (4.0mg)

组分Component  To 式I化合物Compound of formula I 4.0g4.0g 胶态二氧化硅Colloidal silica 1.0g1.0g 微晶纤维素Microcrystalline cellulose 109.8g109.8g 淀粉starch 27.5g27.5g

制备方法:将4.5g薄膜包衣预混剂

Figure PCTCN2020132825-appb-000010
配成浓度约为14%(w/w)的水混悬液,备用;将处方量的式I化合物、胶态二氧化硅、微晶纤维素、淀粉加入混合料斗中混合;压片;采用薄膜包衣预混剂水溶液包衣,即得。 Preparation method: 4.5g film coating premix
Figure PCTCN2020132825-appb-000010
Prepare an aqueous suspension with a concentration of about 14% (w/w) for later use; add the formula I compound, colloidal silicon dioxide, microcrystalline cellulose, and starch in a prescription amount into a mixing hopper to mix; press tablets; use Film coating premix aqueous solution coating, ready-to-have.

实施例4 每1000片含有下述成分(6.0mg)Example 4 Each 1000 tablets contains the following ingredients (6.0mg)

组分Component  To

式I化合物Compound of formula I 6.0g6.0g 胶态二氧化硅Colloidal silica 1.2g1.2g 微晶纤维素Microcrystalline cellulose 108.8g108.8g 淀粉starch 27.2g27.2g

制备方法:同实施例3。Preparation method: the same as in Example 3.

实施例5 每1000片含有下述成分(1.0mg)Example 5 Each 1000 tablets contains the following ingredients (1.0mg)

组分Component  To 式I化合物Compound of formula I 1.0g1.0g 胶态二氧化硅Colloidal silica 0.2g0.2g 微晶纤维素Microcrystalline cellulose 37.2g37.2g 预胶化淀粉Pregelatinized starch 9.3g9.3g

制备方法:将1.5g的薄膜包衣预混剂

Figure PCTCN2020132825-appb-000011
配成浓度约为14%(w/w)的水混悬液,备用;将处方量的式I化合物、胶态二氧化硅、微晶纤维素、预胶化淀粉加入混合料斗中混合;压片;采用薄膜包衣预混剂水溶液包衣,即得。 Preparation method: 1.5g of film coating premix
Figure PCTCN2020132825-appb-000011
Prepare an aqueous suspension with a concentration of about 14% (w/w) for later use; add the formula I compound, colloidal silicon dioxide, microcrystalline cellulose, and pregelatinized starch in a prescribed amount into a mixing hopper to mix; Tablets; coated with a film-coating premix aqueous solution, ready to be obtained.

实施例6 每1000片含有下述成分(2.0mg)Example 6 Each 1000 tablets contains the following ingredients (2.0mg)

组分Component  To 式I化合物Compound of formula I 2.0g2.0g 胶态二氧化硅Colloidal silica 0.5g0.5g 微晶纤维素Microcrystalline cellulose 54.9g54.9g 预胶化淀粉Pregelatinized starch 13.72g13.72g

制备方法:将2.25g的薄膜包衣预混剂

Figure PCTCN2020132825-appb-000012
配成浓度约为14%(w/w)的水混悬液,备用;将处方量的式I化合物、胶态二氧化硅、微晶纤维素、预胶化淀粉加入混合料斗中混合;压片;采用薄膜包衣预混剂水溶液包衣,即得。 Preparation method: 2.25g of film coating premix
Figure PCTCN2020132825-appb-000012
Prepare an aqueous suspension with a concentration of about 14% (w/w) for later use; add the formula I compound, colloidal silicon dioxide, microcrystalline cellulose, and pregelatinized starch in a prescribed amount into a mixing hopper to mix; Tablets; coated with a film-coating premix aqueous solution, ready to be obtained.

实施例7 每1000片含有下述成分(2.5mg)Example 7 Each 1000 tablets contains the following ingredients (2.5mg)

组分Component  To 式I化合物的二水合物Dihydrate of compound of formula I 2.5g2.5g 胶态二氧化硅Colloidal silica 0.5g0.5g 微晶纤维素Microcrystalline cellulose 54.9g54.9g 预胶化淀粉Pregelatinized starch 13.72g13.72g 共聚维酮Copovidone 1.5g1.5g 低取代羟丙基纤维素Low-substituted hydroxypropyl cellulose 1.5g1.5g 硬脂酸镁Magnesium stearate 0.38g0.38g

制备方法:将2.25g薄膜包衣预混剂

Figure PCTCN2020132825-appb-000013
配成浓度约为14%(w/w)的水混悬液, 备用;将处方量的式I化合物的二水合物、胶态二氧化硅、微晶纤维素、共聚维酮、低取代羟丙基纤维素、预胶化淀粉加入混合料斗中混合后过筛,再将上述式I化合物过筛物料和硬脂酸镁加入混合料斗中混合;压片;采用薄膜包衣预混剂水溶液包衣,即得。 Preparation method: 2.25g film coating premix
Figure PCTCN2020132825-appb-000013
Prepare an aqueous suspension with a concentration of about 14% (w/w) for later use; combine the formula I compound dihydrate, colloidal silicon dioxide, microcrystalline cellulose, copovidone, and low-substituted hydroxy Propyl cellulose and pregelatinized starch are added to the mixing hopper and mixed and then sieved, and then the sieved material of the above formula I compound and magnesium stearate are added to the mixing hopper and mixed; tableting; film coating premixing agent aqueous solution package Clothes, get it.

实施例8 每1000片含有下述成分(5.0mg)Example 8 Each 1000 tablets contains the following ingredients (5.0mg)

组分Component  To 式I化合物的二水合物Dihydrate of compound of formula I 5.0g5.0g 胶态二氧化硅Colloidal silica 1.0g1.0g 微晶纤维素Microcrystalline cellulose 109.8g109.8g 预胶化淀粉Pregelatinized starch 27.45g27.45g 共聚维酮Copovidone 3.0g3.0g 低取代羟丙基纤维素Low-substituted hydroxypropyl cellulose 3.0g3.0g 硬脂酸镁Magnesium stearate 0.75g0.75g

制备方法:将4.5g薄膜包衣预混剂

Figure PCTCN2020132825-appb-000014
配成浓度约为14%(w/w)的水混悬液,备用;将处方量的式I化合物的二水合物、胶态二氧化硅、微晶纤维素、共聚维酮、低取代羟丙基纤维素、预胶化淀粉加入混合料斗中混合后过筛,再将上述式I化合物过筛物料和硬脂酸镁加入混合料斗中混合;压片;采用薄膜包衣预混剂水溶液包衣,即得。 Preparation method: 4.5g film coating premix
Figure PCTCN2020132825-appb-000014
Prepare an aqueous suspension with a concentration of about 14% (w/w) for later use; mix the formula I compound dihydrate, colloidal silicon dioxide, microcrystalline cellulose, copovidone, and low-substituted hydroxy Propyl cellulose and pregelatinized starch are added to the mixing hopper and mixed and then sieved, and then the sieved material of the above formula I compound and magnesium stearate are added to the mixing hopper and mixed; tableting; film coating premixing agent aqueous solution package Clothes, get it.

实施例9 每1000片含有下述成分(10.0mg)Example 9 Each 1000 tablets contains the following ingredients (10.0mg)

组分Component  To 式I化合物的二水合物Dihydrate of compound of formula I 10.0g10.0g 胶态二氧化硅Colloidal silica 2.0g2.0g 微晶纤维素Microcrystalline cellulose 105.0g105.0g 预胶化淀粉Pregelatinized starch 26.25g26.25g

制备方法:同实施例8。Preparation method: the same as in Example 8.

实施例10~14:各实施例中每1000粒胶囊含有下述组分Examples 10-14: Each 1000 capsules in each example contains the following components

组分Component 实施例10Example 10 实施例11Example 11 实施例12Example 12 实施例13Example 13 实施例14Example 14 式I化合物Compound of formula I 6.5g6.5g 7.5g7.5g 12.5g12.5g 15.0g15.0g 20.0g20.0g 微晶纤维素Microcrystalline cellulose 108.4g108.4g 108.2g108.2g 102.6g102.6g 100.2g100.2g 118.3g118.3g 预胶化淀粉Pregelatinized starch 27.09g27.09g 27.1g27.1g 25.7g25.7g 25.1g25.1g 29.6g29.6g 硬脂酸镁Magnesium stearate 0.8g0.8g 0.8g0.8g 0.8g0.8g 0.8g0.8g 0.8g0.8g

实施例10制备方法:Example 10 Preparation method:

将处方量的式I化合物与处方量的微晶纤维素、预胶化淀粉、硬脂酸镁加入混合料斗中混合;填充胶囊,即得。Add the prescription amount of the compound of formula I and the prescription amount of microcrystalline cellulose, pregelatinized starch, and magnesium stearate into a mixing hopper and mix; fill the capsules to get it.

实施例11制备方法同实施例10。The preparation method of Example 11 is the same as that of Example 10.

实施例12制备方法同实施例10。The preparation method of Example 12 is the same as that of Example 10.

实施例13制备方法同实施例10。The preparation method of Example 13 is the same as that of Example 10.

实施例14制备方法同实施例10。The preparation method of Example 14 is the same as that of Example 10.

实施例15~16:各实施例中每1000片含有下述组分Examples 15-16: Each example contains the following components per 1000 tablets

组分Component 实施例15Example 15 实施例16Example 16 式I化合物Compound of formula I 25.0g25.0g 30.0g30.0g 胶态二氧化硅Colloidal silica 5.0g5.0g 6.0g6.0g 微晶纤维素Microcrystalline cellulose 113.5g113.5g 108.7g108.7g 淀粉starch 28.4g28.4g 27.2g27.2g

实施例15制备方法:将5.2g薄膜包衣预混剂

Figure PCTCN2020132825-appb-000015
配成浓度约为14%(w/w)的水混悬液,备用;将处方量的式I化合物与处方量的微晶纤维素、淀粉、胶态二氧化硅加入混合料斗中混合;压片;采用薄膜包衣预混剂水溶液包衣,即得。 Example 15 Preparation method: 5.2g film coating premix
Figure PCTCN2020132825-appb-000015
Prepare an aqueous suspension with a concentration of about 14% (w/w) for later use; add the formula I compound in the prescription amount and the microcrystalline cellulose, starch, and colloidal silicon dioxide in the prescription amount into the mixing hopper to mix; Tablets; coated with a film-coating premix aqueous solution, ready to be obtained.

实施例16制备方法同实施例15。The preparation method of Example 16 is the same as that of Example 15.

实施例17~19:各实施例中每1000粒胶囊含有下述组分Examples 17-19: Each 1000 capsules in each example contains the following components

组分Component 实施例17Example 17 实施例18Example 18 实施例19Example 19 式I化合物Compound of formula I 40.0g40.0g 50.0g50.0g 60.0g60.0g 胶态二氧化硅Colloidal silica 8.0g8.0g 10.0g10.0g 12.0g12.0g 微晶纤维素Microcrystalline cellulose 99.1g99.1g 120.1g120.1g 110.5g110.5g 淀粉starch 24.8g24.8g 30.1g30.1g 27.7g27.7g

实施例17制备方法:Example 17 Preparation method:

将处方量的式I化合物与处方量的微晶纤维素、淀粉、胶态二氧化硅加入混合料斗中混合;填充胶囊,即得。Add the prescription amount of the compound of formula I and the prescription amount of microcrystalline cellulose, starch, and colloidal silicon dioxide into a mixing hopper and mix; fill the capsules to get it.

实施例18制备方法同实施例17。The preparation method of Example 18 is the same as that of Example 17.

实施例19制备方法同实施例17。The preparation method of Example 19 is the same as that of Example 17.

实施例20每1000片含有下述成分(1.0mg)Example 20 contains the following ingredients per 1000 tablets (1.0mg)

组分Component  To 式I化合物的二水合物Dihydrate of compound of formula I 1.0g1.0g 胶态二氧化硅Colloidal silica 0.2g0.2g 微晶纤维素Microcrystalline cellulose 44.8g44.8g 预胶化淀粉Pregelatinized starch 11.22g11.22g 共聚维酮Copovidone 1.2g1.2g 低取代羟丙基纤维素Low-substituted hydroxypropyl cellulose 1.2g1.2g 硬脂酸镁Magnesium stearate 0.3g0.3g

制备方法:Preparation:

将2.0g薄膜包衣预混剂

Figure PCTCN2020132825-appb-000016
配成浓度约为14%(w/w)的水混悬液,备用; 将处方量的式I化合物的二水合物、胶态二氧化硅、微晶纤维素、共聚维酮、低取代羟丙基纤维素、预胶化淀粉加入混合料斗中混合后过筛,再将上述式I化合物过筛物料和硬脂酸镁加入混合料斗中混合;压片;采用薄膜包衣预混剂水溶液包衣,即得。 2.0g film coating premix
Figure PCTCN2020132825-appb-000016
Prepare an aqueous suspension with a concentration of about 14% (w/w) for use; mix the formula I compound dihydrate, colloidal silicon dioxide, microcrystalline cellulose, copovidone, and low-substituted hydroxy Propyl cellulose and pregelatinized starch are added to the mixing hopper and mixed and then sieved, and then the sieved material of the above formula I compound and magnesium stearate are added to the mixing hopper and mixed; tableting; film coating premixing agent aqueous solution package Clothes, get it.

实施例21 每1000片含有下述成分(25.0mg)Example 21 Each 1000 tablets contains the following ingredients (25.0mg)

组分Component  To 式I化合物的二水合物Dihydrate of compound of formula I 25.0g25.0g 胶态二氧化硅Colloidal silica 5.0g5.0g 微晶纤维素Microcrystalline cellulose 205.2g205.2g 预胶化淀粉Pregelatinized starch 51.3g51.3g 共聚维酮Copovidone 6.0g6.0g 低取代羟丙基纤维素Low-substituted hydroxypropyl cellulose 6.0g6.0g 硬脂酸镁Magnesium stearate 1.5g1.5g

制备方法:Preparation:

将9.0g薄膜包衣预混剂

Figure PCTCN2020132825-appb-000017
配成浓度约为14%(w/w)的水混悬液,备用;将处方量的式I化合物的二水合物、胶态二氧化硅、微晶纤维素、共聚维酮、低取代羟丙基纤维素、预胶化淀粉加入混合料斗中混合后过筛,再将上述式I化合物过筛物料和硬脂酸镁加入混合料斗中混合;压片;采用薄膜包衣预混剂水溶液包衣,即得。 9.0g film coating premix
Figure PCTCN2020132825-appb-000017
Prepare an aqueous suspension with a concentration of about 14% (w/w) for later use; mix the formula I compound dihydrate, colloidal silicon dioxide, microcrystalline cellulose, copovidone, and low-substituted hydroxy Propyl cellulose and pregelatinized starch are added to the mixing hopper and mixed and then sieved, and then the sieved material of the above formula I compound and magnesium stearate are added to the mixing hopper and mixed; tableting; film coating premixing agent aqueous solution package Clothes, get it.

实施例22 每1000片含有下述成分(100.0mg)Example 22 Each 1000 tablets contains the following ingredients (100.0mg)

组分Component  To 式I化合物的二水合物Dihydrate of compound of formula I 100.0g100.0g 胶态二氧化硅Colloidal silica 10.0g10.0g 微晶纤维素Microcrystalline cellulose 115.0g115.0g 预胶化淀粉Pregelatinized starch 230.0g230.0g 共聚维酮Copovidone 10.0g10.0g 低取代羟丙基纤维素Low-substituted hydroxypropyl cellulose 30.0g30.0g 硬脂酸镁Magnesium stearate 5.0g5.0g

制备方法:Preparation:

将15.0g薄膜包衣预混剂

Figure PCTCN2020132825-appb-000018
配成浓度约为14%(w/w)的水混悬液,备用;将处方量的式I化合物的二水合物、预胶化淀粉、共聚维酮、胶态二氧化硅、内加部分低取代羟丙基纤维素、内加部分硬脂酸镁加入混合料斗中混合,制备预混粉末,然后将预混粉末置于干法制粒机中,制成干颗粒;干颗粒中加入处方量的微晶纤维素、外加部分低取代羟丙基纤维素、外加部分硬脂酸镁总混;压片;采用薄膜包衣预混剂水溶液包衣,即得。 15.0g film coating premix
Figure PCTCN2020132825-appb-000018
Prepare an aqueous suspension with a concentration of about 14% (w/w) for later use; combine the formula I compound dihydrate, pregelatinized starch, copovidone, colloidal silicon dioxide, and internal addition in the prescribed amount Low-substituted hydroxypropyl cellulose and part of magnesium stearate are added to the mixing hopper and mixed to prepare a pre-mixed powder. Then the pre-mixed powder is placed in a dry granulator to make dry granules; the dry granules are added in the prescribed amount The microcrystalline cellulose, a part of low-substituted hydroxypropyl cellulose, and a part of magnesium stearate are added together; tableted; coated with an aqueous solution of film-coating premix agent to obtain.

实施例23 每1000片含有下述成分(5.0mg)Example 23 Each 1000 tablets contains the following ingredients (5.0mg)

组分Component  To

式I化合物的二水合物Dihydrate of compound of formula I 5.0g5.0g 胶态二氧化硅Colloidal silica 1.0g1.0g 微晶纤维素Microcrystalline cellulose 106.8g106.8g 预胶化淀粉Pregelatinized starch 26.7g26.7g 共聚维酮Copovidone 6.0g6.0g 低取代羟丙基纤维素Low-substituted hydroxypropyl cellulose 3.0g3.0g 硬脂酸镁Magnesium stearate 1.5g1.5g

制备方法:将4.5g薄膜包衣预混剂

Figure PCTCN2020132825-appb-000019
配成浓度约为14%(w/w)的水混悬液,备用;将处方量的式I化合物的二水合物、胶态二氧化硅、微晶纤维素、共聚维酮、低取代羟丙基纤维素、预胶化淀粉加入混合料斗中混合后过筛,再将上述式I化合物过筛物料和硬脂酸镁加入混合料斗中混合;压片;采用薄膜包衣预混剂水溶液包衣,即得。 Preparation method: 4.5g film coating premix
Figure PCTCN2020132825-appb-000019
Prepare an aqueous suspension with a concentration of about 14% (w/w) for later use; mix the formula I compound dihydrate, colloidal silicon dioxide, microcrystalline cellulose, copovidone, and low-substituted hydroxy Propyl cellulose and pregelatinized starch are added to the mixing hopper and mixed and then sieved, and then the sieved material of the above formula I compound and magnesium stearate are added to the mixing hopper and mixed; tableting; film coating premixing agent aqueous solution package Clothes, get it.

实施例24 每1000片含有下述成分(10mg)Example 24 Each 1000 tablets contains the following ingredients (10mg)

Figure PCTCN2020132825-appb-000020
Figure PCTCN2020132825-appb-000020

制备方法:Preparation:

将4.5g薄膜包衣预混剂

Figure PCTCN2020132825-appb-000021
配成浓度约为14%(w/w)的水混悬液,备用;将处方量式I化合物的对甲苯磺酸盐、微晶纤维素、预胶化淀粉、硬脂酸镁加入混合料斗中混合;压片;采用薄膜包衣预混剂水溶液包衣,即得。 4.5g film coating premix
Figure PCTCN2020132825-appb-000021
Prepare an aqueous suspension with a concentration of about 14% (w/w) for use; add the p-toluenesulfonate, microcrystalline cellulose, pregelatinized starch, and magnesium stearate of the compound of formula I in the prescribed amount into the mixing hopper Medium mixing; tablet compression; coating with aqueous solution of film coating premix, ready to be obtained.

实施例25 每1000片含有下述成分(10mg)Example 25 Each 1000 tablets contains the following ingredients (10mg)

组分Component  To 式I化合物的盐酸盐Hydrochloride of compound of formula I 10.76g10.76g 微晶纤维素Microcrystalline cellulose 105.0g105.0g 预胶化淀粉Pregelatinized starch 26.25g26.25g 硬脂富马酸钠Sodium Stearyl Fumarate 0.75g0.75g

制备方法:Preparation:

将4.5g薄膜包衣预混剂

Figure PCTCN2020132825-appb-000022
配成浓度约为14%(w/w)的水混悬液,备用;将处方量的式I化合物的盐酸盐、甘露醇、微晶纤维素、硬脂富马酸钠加入混合料斗中混合;压片;采用薄膜包衣预混剂水溶液包衣,即得。 4.5g film coating premix
Figure PCTCN2020132825-appb-000022
Prepare an aqueous suspension with a concentration of about 14% (w/w) for later use; add the formula I compound hydrochloride, mannitol, microcrystalline cellulose, and sodium stearyl fumarate into the mixing hopper Mixing; tableting; coating with a film-coating premix aqueous solution, ready to be obtained.

实施例26 每1000片含有下述成分(10mg)Example 26 Each 1000 tablets contains the following ingredients (10mg)

组分Component  To 式I化合物的酒石酸盐Tartrate salt of compound of formula I 13.12g13.12g 微晶纤维素Microcrystalline cellulose 105.0g105.0g 预胶化淀粉Pregelatinized starch 26.25g26.25g 月桂醇硫酸镁Magnesium Lauryl Sulfate 0.75g0.75g

制备方法:Preparation:

将4.5g薄膜包衣预混剂

Figure PCTCN2020132825-appb-000023
配成浓度约为14%(w/w)的水混悬液,备用;将处方量的式I化合物的酒石酸盐、微晶纤维素、预胶化淀粉、月桂醇硫酸镁加入混合料斗中混合;压片;采用薄膜包衣预混剂水溶液包衣,即得。 4.5g film coating premix
Figure PCTCN2020132825-appb-000023
Prepare an aqueous suspension with a concentration of about 14% (w/w) for use; add the formula I compound tartrate, microcrystalline cellulose, pregelatinized starch, and magnesium lauryl sulfate into a mixing hopper to mix ; Compressing tablets; Coating with a film-coating premix aqueous solution, ready to be obtained.

实施例27每1000片含有下述成分(10mg)Example 27 Each 1000 tablets contains the following ingredients (10mg)

Figure PCTCN2020132825-appb-000024
Figure PCTCN2020132825-appb-000024

制备方法:Preparation:

将4.5g薄膜包衣预混剂

Figure PCTCN2020132825-appb-000025
配成浓度约为14%(w/w)的水混悬液,备用;将处方量的式I化合物的三氟乙酸盐与微晶纤维素、预胶化淀粉、十二烷基硫酸钠加入混合料斗中混合;压片;采用薄膜包衣预混剂水溶液包衣,即得。 4.5g film coating premix
Figure PCTCN2020132825-appb-000025
Prepare an aqueous suspension with a concentration of about 14% (w/w) for later use; combine the formula I compound trifluoroacetate with microcrystalline cellulose, pregelatinized starch, and sodium lauryl sulfate Add it to the mixing hopper to mix; compress tablets; use the film coating premix aqueous solution to coat, and it is ready.

实施例28~33:各实施例中每1000片含有下述成分Examples 28 to 33: Each example contains the following ingredients per 1000 tablets

组分Component 实施例28Example 28 实施例29Example 29 实施例30Example 30 实施例31Example 31 实施例32Example 32 实施例33Example 33 式I化合物Compound of formula I 0.5g0.5g 2.5g2.5g 5.0g5.0g 10.0g10.0g 25.0g25.0g 100.0g100.0g 盐酸二甲双胍Metformin Hydrochloride 1000.0g1000.0g 1000.0g1000.0g 1000.0g1000.0g 1000.0g1000.0g 1000.0g1000.0g 1000.0g1000.0g 微晶纤维素Microcrystalline cellulose 139.3g139.3g 137g137g 134.0g134.0g 128.0g128.0g 110.0g110.0g 20.0g20.0g 聚乙烯吡咯烷酮Polyvinylpyrrolidone 24.0g24.0g 24.0g24.0g 24.0g24.0g 24.0g24.0g 24.0g24.0g 24.0g24.0g 硬脂富马酸钠Sodium Stearyl Fumarate 12.0g12.0g 12.0g12.0g 12.0g12.0g 12.0g12.0g 12.0g12.0g 12.0g12.0g

实施例28制备方法:Preparation method of Example 28:

将处方量的聚乙烯吡咯烷酮制成5%(w/w)的水溶液,备用;将36.0g薄膜包衣预混剂

Figure PCTCN2020132825-appb-000026
配成浓度约为14%(w/w)的水混悬液,备用;将处方量的式I化合物、微晶纤维素、盐酸二甲双胍加入混合料斗中混合,得到预混粉末;将预混粉末置于制粒机中,加入聚乙烯吡咯烷酮水溶液制成湿颗粒;湿颗粒进行干燥;加入处方量的硬脂富马酸钠,总混;压片;采用薄膜包衣预混剂水溶液包衣,即得。 Prepare the prescription amount of polyvinylpyrrolidone into a 5% (w/w) aqueous solution for use; 36.0g of film coating premix
Figure PCTCN2020132825-appb-000026
Prepare an aqueous suspension with a concentration of about 14% (w/w) for use; add the formula I compound, microcrystalline cellulose, and metformin hydrochloride in a prescription amount into a mixing hopper and mix to obtain a pre-mixed powder; the pre-mixed powder Place it in a granulator, add an aqueous solution of polyvinylpyrrolidone to make wet granules; dry the wet granules; add a prescription amount of sodium stearyl fumarate and mix together; press tablets; use a film coating premix aqueous solution to coat, Immediately.

实施例29制备方法同实施例28。The preparation method of Example 29 is the same as that of Example 28.

实施例30制备方法同实施例28。The preparation method of Example 30 is the same as that of Example 28.

实施例31制备方法同实施例28。The preparation method of Example 31 is the same as that of Example 28.

实施例32制备方法同实施例28。The preparation method of Example 32 is the same as that of Example 28.

实施例33制备方法同实施例28。The preparation method of Example 33 is the same as that of Example 28.

实施例34:每1000袋含有下述组分Example 34: Each 1000 bags contains the following components

组分Component  To 式I化合物的盐酸盐Hydrochloride of compound of formula I 5.38g5.38g 盐酸二甲双胍Metformin Hydrochloride 1000.0g1000.0g 滑石粉talcum powder 0.2g0.2g 微晶纤维素Microcrystalline cellulose 139.3g139.3g 共聚维酮Copovidone 24.0g24.0g

实施例34制备方法:Preparation method of Example 34:

将处方量的共聚维酮制成5%(w/w)的水溶液,备用;将处方量的式I化合物的盐酸盐、微晶纤维素、盐酸二甲双胍加入混合料斗中混合,得到预混粉末;将预混粉末置于制粒机中,加入共聚维酮水溶液制成湿颗粒;湿颗粒进行干燥;加入处方量的滑石粉,总混;包装,即得。Prepare the prescription amount of copovidone into a 5% (w/w) aqueous solution for later use; add the prescription amount of formula I compound hydrochloride, microcrystalline cellulose, and metformin hydrochloride into a mixing hopper and mix to obtain a premixed powder ; Place the pre-mixed powder in a granulator, add an aqueous solution of copovidone to make wet granules; dry the wet granules; add a prescription amount of talcum powder, mix together; package, and get ready.

实施例35~40:各实施例中每1000粒胶囊含有下述组分Examples 35-40: Each 1000 capsules in each example contains the following components

组分Component 实施例35Example 35 实施例36Example 36 实施例37Example 37 实施例38Example 38 实施例39Example 39 实施例40Example 40 式I化合物Compound of formula I 0.5g0.5g 2.5g2.5g 5.0g5.0g 10.0g10.0g 25.0g25.0g 100.0g100.0g 盐酸吡格列酮Pioglitazone hydrochloride 30.0g30.0g 30.0g30.0g 30.0g30.0g 30.0g30.0g 30.0g30.0g 30.0g30.0g 胶态二氧化硅Colloidal silica 2.0g2.0g 3.0g3.0g 4.0g4.0g 5.0g5.0g 6.0g6.0g 10.0g10.0g 微晶纤维素Microcrystalline cellulose 157.84g157.84g 156.0g156.0g 153.6g153.6g 148.8g148.8g 134.4g134.4g 108.0g108.0g 淀粉starch 39.46g39.46g 39.0g39.0g 38.4g38.4g 37.2g37.2g 33.6g33.6g 27.0g27.0g 羟丙基纤维素Hydroxypropyl cellulose 4.8g4.8g 4.8g4.8g 4.8g4.8g 4.8g4.8g 4.8g4.8g 6.0g6.0g

实施例35制备方法:Example 35 Preparation method:

将处方量的羟丙基纤维素制成6%(w/w)的水溶液,备用;将处方量的式I化合物、微晶纤维素、淀粉、盐酸吡格列酮加入混合料斗中混合,得到预混粉末;将预混粉末置于制粒机中,加入处方量的羟丙基纤维素水溶液制成湿颗粒;湿颗粒进行干燥;加入处方量的胶态二氧化硅,总混;填充胶囊,即得。Prepare the prescription amount of hydroxypropyl cellulose into a 6% (w/w) aqueous solution for use; add the prescription amount of formula I compound, microcrystalline cellulose, starch, and pioglitazone hydrochloride into a mixing hopper and mix to obtain a premixed powder ; Place the pre-mixed powder in a granulator, add a prescription amount of hydroxypropyl cellulose aqueous solution to make wet granules; dry the wet granules; add a prescription amount of colloidal silica, mix together; fill the capsules to get .

实施例36制备方法同实施例35。The preparation method of Example 36 is the same as that of Example 35.

实施例37制备方法同实施例35。The preparation method of Example 37 is the same as that of Example 35.

实施例38制备方法同实施例35。The preparation method of Example 38 is the same as that of Example 35.

实施例39制备方法同实施例35。The preparation method of Example 39 is the same as that of Example 35.

实施例40制备方法同实施例35。The preparation method of Example 40 is the same as that of Example 35.

实施例41:每1000片含有下述组分Example 41: Each 1000 tablets contains the following components

组分Component  To 式I化合物的盐酸盐Hydrochloride of compound of formula I 5.38g5.38g 盐酸吡格列酮Pioglitazone hydrochloride 30.0g30.0g 微晶纤维素Microcrystalline cellulose 122.8g122.8g 乳糖lactose 30.7g30.7g 羟丙甲纤维素Hypromellose 4.0g4.0g 聚乙二醇6000Polyethylene glycol 6000 2.0g2.0g

实施例41制备方法:Example 41 Preparation method:

将处方量的羟丙甲纤维素制成5%(w/w)的水溶液,备用;将6.0g薄膜包衣预混剂

Figure PCTCN2020132825-appb-000027
Figure PCTCN2020132825-appb-000028
配成浓度约为14%(w/w)的水混悬液,备用;将处方量的式I化合物的盐酸盐、微晶纤维素、乳糖、盐酸吡格列酮加入混合料斗中混合,得到预混粉末;将预混粉末置于制粒机中,加入处方量的羟丙甲纤维素水溶液制成湿颗粒;湿颗粒进行干燥;加入处方量的聚乙二醇6000,总混;压片;采用薄膜包衣预混剂水溶液包衣,即得。 Prepare the prescription amount of hypromellose into a 5% (w/w) aqueous solution for use; 6.0g film coating premix
Figure PCTCN2020132825-appb-000027
Figure PCTCN2020132825-appb-000028
Prepare an aqueous suspension with a concentration of about 14% (w/w) for later use; add the formula I compound hydrochloride, microcrystalline cellulose, lactose, and pioglitazone hydrochloride into a mixing hopper and mix to obtain a premix Powder; put the pre-mixed powder in a granulator, add a prescription amount of hypromellose aqueous solution to make wet granules; dry the wet granules; add a prescription amount of polyethylene glycol 6000, mix together; press tablets; use Film coating premix aqueous solution coating, ready-to-have.

实施例42~47:各实施例中每1000片含有下述组分Examples 42-47: Each of the examples contains the following components per 1000 tablets

组分Component 实施例42Example 42 实施例43Example 43 实施例44Example 44 实施45Implementation 45 实施例46Example 46 实施例47Example 47 式I化合物Compound of formula I 0.5g0.5g 2.5g2.5g 5.0g5.0g 10.0g10.0g 25.0g25.0g 100.0g100.0g 伏格列波糖Voglibose 0.3g0.3g 0.3g0.3g 0.3g0.3g 0.3g0.3g 0.3g0.3g 0.3g0.3g 微晶纤维素Microcrystalline cellulose 48.6g48.6g 111.4g111.4g 109.0g109.0g 104.2g104.2g 112.6g112.6g 283.8g283.8g 蔗糖sucrose 12.2g12.2g 27.8g27.8g 27.2g27.2g 26.0g26.0g 28.1g28.1g 70.9g70.9g 羟丙甲纤维素Hypromellose 1.3g1.3g 3.0g3.0g 3.0g3.0g 3.0g3.0g 3.6g3.6g 10.0g10.0g 硬脂酸镁Magnesium stearate 0.7g0.7g 1.5g1.5g 1.5g1.5g 1.5g1.5g 1.8g1.8g 5.0g5.0g

实施例42制备方法:Example 42 Preparation method:

将处方量的羟丙甲纤维素制成5%(w/w)的水溶液,备用;将1.95g薄膜包衣预混剂

Figure PCTCN2020132825-appb-000029
配成浓度约为14%(w/w)的水混悬液,备用;将处方量的式I化合物、微晶纤维素、蔗糖、伏格列波糖得到预混粉末;将预混粉末置于制粒机中,加入处方量的羟丙甲纤维素水溶液制成湿颗粒;湿颗粒进行干燥;加入处方量的硬脂酸镁,总混;压片;采用薄膜包衣预混剂水溶液包衣,即得。 Prepare the prescription amount of hypromellose into a 5% (w/w) aqueous solution for use; 1.95g film coating premix
Figure PCTCN2020132825-appb-000029
Prepare an aqueous suspension with a concentration of about 14% (w/w) for later use; prepare the formula I compound, microcrystalline cellulose, sucrose, and voglibose in the prescribed amount to obtain a pre-mixed powder; place the pre-mixed powder In the granulator, add a prescription amount of hypromellose aqueous solution to make wet granules; dry the wet granules; add a prescription amount of magnesium stearate and mix together; press tablets; use a film coating premix aqueous solution package Clothes, get it.

实施例43~45制备方法:Preparation methods of Examples 43-45:

将处方量的羟丙甲纤维素制成5%(w/w)的水溶液,备用;将4.5g薄膜包衣预混剂

Figure PCTCN2020132825-appb-000030
配成浓度约为14%(w/w)的水混悬液,备用;将处方量的式I化合物、微晶纤维素、蔗糖、伏格列波糖得到预混粉末;将预混粉末置于制粒机中,加入处方量的羟丙甲纤维素水溶液制成湿颗粒;湿颗粒进行干燥;加入处方量的硬脂酸镁,总混;压片;采用薄膜包衣预混剂水溶液包衣,即得。 The prescription amount of hypromellose is made into a 5% (w/w) aqueous solution for use; 4.5g of film coating premix
Figure PCTCN2020132825-appb-000030
Prepare an aqueous suspension with a concentration of about 14% (w/w) for later use; prepare the formula I compound, microcrystalline cellulose, sucrose, and voglibose in the prescribed amount to obtain a pre-mixed powder; place the pre-mixed powder In the granulator, add a prescription amount of hypromellose aqueous solution to make wet granules; dry the wet granules; add a prescription amount of magnesium stearate and mix together; press tablets; use a film coating premix aqueous solution package Clothes, get it.

实施例46制备方法:Preparation method of Example 46:

将处方量的羟丙甲纤维素制成5%(w/w)的水溶液,备用;将5.4g薄膜包衣预混剂

Figure PCTCN2020132825-appb-000031
配成浓度约为14%(w/w)的水混悬液,备用;将处方量的式I化合物、微晶纤维素、蔗糖、伏格列波糖得到预混粉末;将预混粉末置于制粒机中,加入处方量的羟丙甲纤维素水溶液制成湿颗粒;湿颗粒进行干燥;加入处方量的硬脂酸镁,总混;压片;采用薄膜包衣预混剂水溶液包衣,即得。 Prepare the prescription amount of hypromellose into a 5% (w/w) aqueous solution for use; 5.4g film coating premix
Figure PCTCN2020132825-appb-000031
Prepare an aqueous suspension with a concentration of about 14% (w/w) for later use; prepare the formula I compound, microcrystalline cellulose, sucrose, and voglibose in the prescribed amount to obtain a pre-mixed powder; place the pre-mixed powder In the granulator, add a prescription amount of hypromellose aqueous solution to make wet granules; dry the wet granules; add a prescription amount of magnesium stearate and mix together; press tablets; use a film coating premix aqueous solution package Clothes, get it.

实施例47制备方法:Preparation method of Example 47:

将处方量的羟丙甲纤维素制成5%(w/w)的水溶液,备用;将15.0g薄膜包衣预混剂

Figure PCTCN2020132825-appb-000032
配成浓度约为14%(w/w)的水混悬液,备用;将处方量的式I化合物、微晶纤维素、蔗糖、伏格列波糖得到预混粉末;将预混粉末置于制粒机中,加入处方量的羟丙甲纤维素水溶液制成湿颗粒;湿颗粒进行干燥;加入处方量的硬脂酸镁,总混;压片;采用薄膜包衣预混剂水溶液包衣,即得。 Prepare the prescription amount of hypromellose into a 5% (w/w) aqueous solution for use; 15.0g film coating premix
Figure PCTCN2020132825-appb-000032
Prepare an aqueous suspension with a concentration of about 14% (w/w) for later use; prepare the formula I compound, microcrystalline cellulose, sucrose, and voglibose in the prescribed amount to obtain a pre-mixed powder; place the pre-mixed powder In the granulator, add a prescription amount of hypromellose aqueous solution to make wet granules; dry the wet granules; add a prescription amount of magnesium stearate and mix together; press tablets; use a film coating premix aqueous solution package Clothes, get it.

实施例48:每1000片含有下述组分Example 48: Each 1000 tablets contains the following components

组分Component  To 式I化合物的三氟乙酸盐Trifluoroacetate of compound of formula I 6.18g6.18g 伏格列波糖Voglibose 0.3g0.3g 微晶纤维素Microcrystalline cellulose 43.2g43.2g 糊精dextrin 10.8g10.8g 乙基纤维素Ethyl cellulose 1.3g1.3g 硬脂酸Stearic acid 0.7g0.7g

实施例48制备方法:Example 48 Preparation method:

将处方量的乙基纤维素制成6%(w/w)的水溶液,备用;将1.95g薄膜包衣预混剂

Figure PCTCN2020132825-appb-000033
Figure PCTCN2020132825-appb-000034
配成浓度约为14%(w/w)的水混悬液,备用;将处方量式I化合物的三氟乙酸盐、微晶纤维素、糊精、伏格列波糖加入混合料斗中混合,得到预混粉末;将预混粉末置于制粒机中,加入处方量的乙基纤维素水溶液制成湿颗粒;湿颗粒进行干燥;加入处方量的硬脂酸,总混;压片;采用薄膜包衣预混剂水溶液包衣,即得。 The prescription amount of ethyl cellulose is made into a 6% (w/w) aqueous solution for use; 1.95g of film coating premix
Figure PCTCN2020132825-appb-000033
Figure PCTCN2020132825-appb-000034
Prepare an aqueous suspension with a concentration of about 14% (w/w) for later use; add the trifluoroacetate, microcrystalline cellulose, dextrin, and voglibose of the compound of formula I in the prescribed amount into the mixing hopper Mix to obtain a pre-mixed powder; place the pre-mixed powder in a granulator, add a prescription amount of ethyl cellulose aqueous solution to make wet granules; dry the wet granules; add a prescription amount of stearic acid, and mix together; tableting ; Use film coating premix aqueous solution to coat, ready.

实施例49~50:各实施例中每1000粒胶囊含有下述组分Examples 49-50: Each 1000 capsules in each example contains the following components

组分Component 实施例49Example 49 实施例50Example 50 式I化合物Compound of formula I 25.0g25.0g 30.0g30.0g 胶态二氧化硅Colloidal silica 5.0g5.0g 6.0g6.0g 微晶纤维素Microcrystalline cellulose 113.5g113.5g 108.7g108.7g 淀粉starch 28.4g28.4g 27.2g27.2g

实施例49制备方法:Example 49 Preparation method:

将处方量的式I化合物与处方量的微晶纤维素、淀粉、胶态二氧化硅加入混合料斗中混合;填充胶囊,即得。Add the prescription amount of the compound of formula I and the prescription amount of microcrystalline cellulose, starch, and colloidal silicon dioxide into a mixing hopper and mix; fill the capsules to get it.

实施例50制备方法同实施例49。The preparation method of Example 50 is the same as that of Example 49.

实施例51每1000片含有下述成分(5.0mg)Example 51 contains the following ingredients per 1000 tablets (5.0mg)

组分Component  To 式I化合物的二水合物Dihydrate of compound of formula I 5.0g5.0g 胶态二氧化硅Colloidal silica 1.0g1.0g 微晶纤维素Microcrystalline cellulose 68.2g68.2g 预胶化淀粉Pregelatinized starch 68.2g68.2g 共聚维酮Copovidone 3.0g3.0g 低取代羟丙基纤维素Low-substituted hydroxypropyl cellulose 3.0g3.0g 硬脂酸镁Magnesium stearate 1.5g1.5g

制备方法:Preparation:

将4.5g薄膜包衣预混剂

Figure PCTCN2020132825-appb-000035
配成浓度约为14%(w/w)的水混悬液,备用;将处方量的式I化合物的二水合物、胶态二氧化硅、微晶纤维素、共聚维酮、低取代羟丙基纤维素、预胶化淀粉、式I化合物过筛物料和硬脂酸镁加入混合料斗中混合;压片;采用薄膜包衣预混剂水溶液包衣,即得。 4.5g film coating premix
Figure PCTCN2020132825-appb-000035
Prepare an aqueous suspension with a concentration of about 14% (w/w) for later use; mix the formula I compound dihydrate, colloidal silicon dioxide, microcrystalline cellulose, copovidone, and low-substituted hydroxy Propyl cellulose, pregelatinized starch, the sieving material of the compound of formula I and magnesium stearate are added into a mixing hopper and mixed; compressed tablets; coated with an aqueous solution of a film-coating premix agent to obtain the product.

实施例52 每1000片含有下述成分(5.0mg)Example 52 Each 1000 tablets contains the following ingredients (5.0mg)

组分Component  To 式I化合物的二水合物Dihydrate of compound of formula I 5.0g5.0g 胶态二氧化硅Colloidal silica 1.0g1.0g 微晶纤维素Microcrystalline cellulose 109.2g109.2g 预胶化淀粉Pregelatinized starch 27.3g27.3g 共聚维酮Copovidone 3.0g3.0g 低取代羟丙基纤维素Low-substituted hydroxypropyl cellulose 3.0g3.0g 硬脂酸镁Magnesium stearate 1.5g1.5g

实施例52制备方法同实施例51。The preparation method of Example 52 is the same as that of Example 51.

实施例53~54 每1000片含有下述成分(2.5mg)Examples 53 to 54 contain the following ingredients per 1000 tablets (2.5mg)

组分Component 实施例53Example 53 实施例54Example 54 式I化合物的二水合物Dihydrate of compound of formula I 2.5g2.5g 2.5g2.5g 胶态二氧化硅Colloidal silica 0.5g0.5g 0.5g0.5g 微晶纤维素Microcrystalline cellulose 34.1g34.1g 13.6513.65 预胶化淀粉Pregelatinized starch 34.1g34.1g 54.6g54.6g 共聚维酮Copovidone 1.5g1.5g 1.5g1.5g 低取代羟丙基纤维素Low-substituted hydroxypropyl cellulose 1.5g1.5g 1.5g1.5g 硬脂酸镁Magnesium stearate 0.75g0.75g 0.75g0.75g

实施例53制备方法:将2.25g薄膜包衣预混剂

Figure PCTCN2020132825-appb-000036
配成浓度约为14%(w/w)的水混悬液,备用;将处方量的式I化合物的二水合物、胶态二氧化硅、微晶纤维素、共聚维酮、低取代羟丙基纤维素、预胶化淀粉加入混合料斗中混合后过筛,再将上述式I化合物过筛物料和硬脂酸镁加入混合料斗中混合;压片;采用薄膜包衣预混剂水溶液包衣,即得。 Example 53 Preparation method: 2.25g film coating premix
Figure PCTCN2020132825-appb-000036
Prepare an aqueous suspension with a concentration of about 14% (w/w) for later use; mix the formula I compound dihydrate, colloidal silicon dioxide, microcrystalline cellulose, copovidone, and low-substituted hydroxy Propyl cellulose and pregelatinized starch are added to the mixing hopper and mixed and then sieved, and then the sieved material of the above formula I compound and magnesium stearate are added to the mixing hopper and mixed; tableting; film coating premixing agent aqueous solution package Clothes, get it.

实施例54制备方法同实施例53。The preparation method of Example 54 is the same as that of Example 53.

实施例55~58 每1000片含有下述成分(2.5mg)Examples 55-58 Contain the following ingredients per 1000 tablets (2.5mg)

组分Component 实施例55Example 55 实施例56Example 56 实施例57Example 57 实施例58Example 58 式I化合物的二水合物Dihydrate of compound of formula I 2.5g2.5g 2.5g2.5g 2.5g2.5g 2.5g2.5g 胶态二氧化硅Colloidal silica 0.5g0.5g 0.5g0.5g 0.5g0.5g 0.5g0.5g 微晶纤维素Microcrystalline cellulose 54.6g54.6g 53.4g53.4g 52.2g52.2g 55.2g55.2g 预胶化淀粉Pregelatinized starch 13.65g13.65g 13.35g13.35g 13.05g13.05g 13.8g13.8g 共聚维酮Copovidone 1.5g1.5g 3g3g 4.5g4.5g 1.5g1.5g 低取代羟丙基纤维素Low-substituted hydroxypropyl cellulose 1.5g1.5g 1.5g1.5g 1.5g1.5g 0.75g0.75g 硬脂酸镁Magnesium stearate 0.75g0.75g 0.75g0.75g 0.75g0.75g 0.75g0.75g

实施例55制备方法:将2.25g薄膜包衣预混剂

Figure PCTCN2020132825-appb-000037
配成浓度约为14%(w/w)的水混悬液,备用;将处方量的式I化合物的二水合物、胶态二氧化硅、微晶纤维素、共聚维酮、低取代羟丙基纤维素、预胶化淀粉加入混合料斗中混合后过筛,再将上述式I化合物过筛物料和硬脂酸镁加入混合料斗中混合;压片;采用薄膜包衣预混剂水溶液包衣,即得。 Example 55 Preparation method: 2.25g film coating premix
Figure PCTCN2020132825-appb-000037
Prepare an aqueous suspension with a concentration of about 14% (w/w) for later use; mix the formula I compound dihydrate, colloidal silicon dioxide, microcrystalline cellulose, copovidone, and low-substituted hydroxy Propyl cellulose and pregelatinized starch are added to the mixing hopper and mixed and then sieved, and then the sieved material of the above formula I compound and magnesium stearate are added to the mixing hopper and mixed; tableting; film coating premixing agent aqueous solution package Clothes, get it.

实施例56制备方法同实施例55。The preparation method of Example 56 is the same as that of Example 55.

实施例57制备方法同实施例55。The preparation method of Example 57 was the same as that of Example 55.

实施例58制备方法同实施例55。The preparation method of Example 58 is the same as that of Example 55.

实施例59 每1000片含有下述成分(5.0mg)Example 59 Each 1000 tablets contains the following ingredients (5.0mg)

组分Component  To 式I化合物的二水合物Dihydrate of compound of formula I 5.0g5.0g 胶态二氧化硅Colloidal silica 1.0g1.0g 微晶纤维素Microcrystalline cellulose 104.4g104.4g 预胶化淀粉Pregelatinized starch 26.1g26.1g 共聚维酮Copovidone 9.0g9.0g 低取代羟丙基纤维素Low-substituted hydroxypropyl cellulose 3.0g3.0g 硬脂酸镁Magnesium stearate 1.5g1.5g

实施例59制备方法同实施例51。The preparation method of Example 59 is the same as that of Example 51.

实施例60 每1000片含有下述成分(5.0mg)Example 60 Each 1000 tablets contains the following ingredients (5.0mg)

组分Component  To 式I化合物的二水合物Dihydrate of compound of formula I 5.0g5.0g 胶态二氧化硅Colloidal silica 1.0g1.0g 微晶纤维素Microcrystalline cellulose 110.4g110.4g 预胶化淀粉Pregelatinized starch 27.6g27.6g 共聚维酮Copovidone 3.0g3.0g 低取代羟丙基纤维素Low-substituted hydroxypropyl cellulose 1.5g1.5g 硬脂酸镁Magnesium stearate 1.5g1.5g

实施例60制备方法同实施例51。The preparation method of Example 60 was the same as that of Example 51.

实施例61 每1000片含有下述成分(2.5mg)Example 61 Each 1000 tablets contains the following ingredients (2.5mg)

组分Component  To 式I化合物的二水合物Dihydrate of compound of formula I 2.5g2.5g 胶态二氧化硅Colloidal silica 0.5g0.5g 微晶纤维素Microcrystalline cellulose 54.9g54.9g 预胶化淀粉Pregelatinized starch 13.7g13.7g 共聚维酮Copovidone 1.5g1.5g 低取代羟丙基纤维素Low-substituted hydroxypropyl cellulose 1.5g1.5g 硬脂酸镁Magnesium stearate 0.375g0.375g

实施例61制备方法同实施例55。The preparation method of Example 61 was the same as that of Example 55.

实施例62 2.5mg规格空白样品,每1000片含有下述成分。Example 62 A blank sample of 2.5 mg specification, every 1000 tablets contains the following ingredients.

组分Component  To 胶态二氧化硅Colloidal silica 0.50g0.50g 微晶纤维素Microcrystalline cellulose 56.90g56.90g 预胶化淀粉Pregelatinized starch 14.22g14.22g 共聚维酮Copovidone 1.50g1.50g 低取代羟丙基纤维素Low-substituted hydroxypropyl cellulose 1.50g1.50g 硬脂酸镁Magnesium stearate 0.38g0.38g

制备方法:将2.25g薄膜包衣预混剂

Figure PCTCN2020132825-appb-000038
配成浓度约为14%(w/w)的水混悬液,备用;将处方量的胶态二氧化硅、微晶纤维素、预胶化淀粉、共聚维酮、低取代羟丙基纤维素、硬脂酸镁混合;压片;采用薄膜包衣预混剂水溶液包衣,即得。 Preparation method: 2.25g film coating premix
Figure PCTCN2020132825-appb-000038
Prepare an aqueous suspension with a concentration of about 14% (w/w) for use; mix the prescription amount of colloidal silicon dioxide, microcrystalline cellulose, pregelatinized starch, copovidone, and low-substituted hydroxypropyl fiber Mixing vegetarian and magnesium stearate; compressing tablets; coating with aqueous solution of film coating premix, ready to be obtained.

实施例63 5mg规格空白样品,每1000片含有下述成分。Example 63 A blank sample of 5 mg specification contains the following ingredients per 1000 tablets.

组分Component  To

胶态二氧化硅Colloidal silica 1.00g1.00g 微晶纤维素Microcrystalline cellulose 113.80g113.80g 预胶化淀粉Pregelatinized starch 28.45g28.45g 共聚维酮Copovidone 3.00g3.00g 低取代羟丙基纤维素Low-substituted hydroxypropyl cellulose 3.00g3.00g 硬脂酸镁Magnesium stearate 0.75g0.75g

制备方法:将4.5g薄膜包衣预混剂

Figure PCTCN2020132825-appb-000039
配成浓度约为14%(w/w)的水混悬液,备用;将处方量的胶态二氧化硅、微晶纤维素、预胶化淀粉、共聚维酮、低取代羟丙基纤维素、硬脂酸镁混合;压片;采用薄膜包衣预混剂水溶液包衣,即得。 Preparation method: 4.5g film coating premix
Figure PCTCN2020132825-appb-000039
Prepare an aqueous suspension with a concentration of about 14% (w/w) for use; mix the prescription amount of colloidal silicon dioxide, microcrystalline cellulose, pregelatinized starch, copovidone, and low-substituted hydroxypropyl fiber Mixing vegetarian and magnesium stearate; compressing tablets; coating with aqueous solution of film coating premix, ready to be obtained.

实施例64 25mg规格空白样品,每1000片含有下述成分。Example 64 A blank sample of 25 mg specifications contains the following ingredients per 1000 tablets.

组分Component  To 胶态二氧化硅Colloidal silica 5.00g5.00g 微晶纤维素Microcrystalline cellulose 225.20g225.20g 预胶化淀粉Pregelatinized starch 56.30g56.30g 共聚维酮Copovidone 6.00g6.00g 低取代羟丙基纤维素Low-substituted hydroxypropyl cellulose 6.00g6.00g 硬脂酸镁Magnesium stearate 1.50g1.50g

制备方法:将9g薄膜包衣预混剂

Figure PCTCN2020132825-appb-000040
配成浓度约为14%(w/w)的水混悬液,备用;将处方量的胶态二氧化硅、微晶纤维素、预胶化淀粉、共聚维酮、低取代羟丙基纤维素、硬脂酸镁混合;压片;采用薄膜包衣预混剂水溶液包衣,即得。 Preparation method: 9g film coating premix
Figure PCTCN2020132825-appb-000040
Prepare an aqueous suspension with a concentration of about 14% (w/w) for use; mix the prescription amount of colloidal silicon dioxide, microcrystalline cellulose, pregelatinized starch, copovidone, and low-substituted hydroxypropyl fiber Mixing vegetarian and magnesium stearate; compressing tablets; coating with aqueous solution of film coating premix, ready to be obtained.

实施例65 100mg规格空白样品,每1000片含有下述成分。Example 65 A blank sample of 100 mg specification contains the following ingredients per 1000 tablets.

组分Component  To 预交化淀粉Precrossed starch 230g230g 低取代羟丙基纤维素Low-substituted hydroxypropyl cellulose 30g30g 共聚维酮Copovidone 10g10g 胶态二氧化硅Colloidal silica 10g10g 微晶纤维素Microcrystalline cellulose 215g215g 硬脂酸镁Magnesium stearate 5g5g

制备方法:将15.0g薄膜包衣预混剂

Figure PCTCN2020132825-appb-000041
配成浓度约为14%(w/w)的水混悬液,备用;将处方量的预胶化淀粉、共聚维酮、胶态二氧化硅、内加部分低取代羟丙基纤维素、内加部分硬脂酸镁加入混合料斗中混合,制备预混粉末,然后将预混粉末置于干法制粒机中,制成干颗粒;干颗粒中加入处方量的微晶纤维素、外加部分低取代羟丙基纤维素、外加部分硬脂酸镁总混;压片;采用薄膜包衣预混剂水溶液包衣,即得。 Preparation method: 15.0g film coating premix
Figure PCTCN2020132825-appb-000041
Prepare an aqueous suspension with a concentration of about 14% (w/w) for use; mix the prescription amount of pregelatinized starch, copovidone, colloidal silicon dioxide, internally added part of low-substituted hydroxypropyl cellulose, Add part of magnesium stearate into the mixing hopper and mix to prepare pre-mixed powder, then put the pre-mixed powder in a dry granulator to make dry granules; add prescription amount of microcrystalline cellulose and additional part to the dry granules Low-substituted hydroxypropyl cellulose and a part of magnesium stearate are mixed; tableting; coated with aqueous solution of film coating premix, ready to be obtained.

影响因素试验Influence factor test

取本发明实施例1、2、3、4、5、6、7、8、9、15、16、18、23、51、52、53、54、55、56、57、58、59、60、61样品,分别在高温60℃、高湿(RH90%±5%)和光照(4500lx±500lx)条件下放置10天,并于10天后取样进行性状、溶出度、有关物质及含量的检测。Take the embodiments of the present invention 1, 2, 3, 4, 5, 6, 7, 8, 9, 15, 16, 18, 23, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60 , 61 samples were placed under the conditions of high temperature 60℃, high humidity (RH90%±5%) and light (4500lx±500lx) for 10 days, and samples were taken after 10 days for the detection of properties, dissolution, related substances and content.

溶出度检测方法:参照中国药典2015年版二部附录ⅹC第二法进行。Dissolution testing method: refer to the second method of appendix ⅹC of the 2015 edition of the Chinese Pharmacopoeia.

含量及有关物质检测方法:参照中国药典2015年版二部附录ⅤD进行。Content and related substance detection method: refer to Appendix VD of Part Two of Chinese Pharmacopoeia 2015 Edition.

试验结果见表2~表4。The test results are shown in Table 2 to Table 4.

表2高温60℃试验结果Table 2 High temperature 60℃ test results

Figure PCTCN2020132825-appb-000042
Figure PCTCN2020132825-appb-000042

Figure PCTCN2020132825-appb-000043
Figure PCTCN2020132825-appb-000043

表3高湿(RH90%±5%)试验结果Table 3 High humidity (RH90%±5%) test results

Figure PCTCN2020132825-appb-000044
Figure PCTCN2020132825-appb-000044

Figure PCTCN2020132825-appb-000045
Figure PCTCN2020132825-appb-000045

表4光照(4500lx±500lx)试验结果Table 4 Light (4500lx±500lx) test results

Figure PCTCN2020132825-appb-000046
Figure PCTCN2020132825-appb-000046

Figure PCTCN2020132825-appb-000047
Figure PCTCN2020132825-appb-000047

Figure PCTCN2020132825-appb-000048
Figure PCTCN2020132825-appb-000048

从上述结果可以看出,在高湿(RH92.5%)条件下放置10天后,本发明实施例样品的性状、溶出度、有关物质和含量均无明显变化;在高温60℃和光照(4500Lx±500Lx)条件下放置10天后,性状、溶出度和含量均无明显变化,有关物质略有增加但均符合产品质量要求,说明本发明实施例样品的稳定性均较好,质量优异。It can be seen from the above results that, after being placed under high humidity (RH92.5%) conditions for 10 days, the properties, dissolution, related substances and content of the samples of the present invention have no obvious changes; After being placed under the condition of ±500Lx) for 10 days, there was no significant change in properties, dissolution and content, and related substances increased slightly but all met the product quality requirements, indicating that the samples of the examples of the present invention have good stability and excellent quality.

试验例1 健康人体单次给药耐受性、药代动力学、药效动力学的研究Test Example 1 Study on tolerance, pharmacokinetics, and pharmacodynamics of a single dose in healthy humans

1试验材料及研究对象1 Test materials and research objects

1.1药品1.1 Medicines

对照组样品:Control sample:

式I化合物模拟片,规格:2.5mg/片(参考实施例62制备得到,无活性成分)、5mg/片(参考实施例63制备得到,无活性成分)、25mg/片(参考实施例64制备得到,无活性成分)、100mg/片(参考实施例65制备得到,无活性成分)Formula I compound simulation tablets, specifications: 2.5mg/tablet (prepared in reference example 62, no active ingredient), 5mg/tablet (prepared in reference example 63, no active ingredient), 25mg/tablet (prepared in reference example 64 Obtained, no active ingredient), 100mg/tablet (prepared in Example 65, no active ingredient)

受试药品组样品:Samples of the test drug group:

实施例7样品:2.5mg/片Example 7 Sample: 2.5mg/tablet

实施例8样品:5mg/片Example 8 Sample: 5mg/tablet

实施例21样品:25mg/片Example 21 Sample: 25mg/tablet

实施例22样品:100mg/片Example 22 Sample: 100mg/tablet

1.2试验器材1.2 Test equipment

Triple Quad 5500质谱仪(Analyst软件1.6.3),由AB Sciex公司提供;Triple Quad 5500 mass spectrometer (Analyst software 1.6.3), provided by AB Sciex;

LC30AD高效液相色谱系统,由岛津公司提供;LC30AD high performance liquid chromatography system, provided by Shimadzu;

梅特勒-托利多XS205DU电子天平,由梅特勒-托利多公司提供;METTLER TOLEDO XS205DU electronic balance, provided by METTLER TOLEDO;

Sartorius MCM36电子天平,由Sartorius公司提供;Sartorius MCM36 electronic balance, provided by Sartorius;

Thermo Scientific TM Forma 88700V超低温冰箱,由Thermo公司提供; Thermo Scientific TM Forma 88700V ultra-low temperature refrigerator, provided by Thermo Company;

Thermo Scientific TM 232F-AEC-TSC冷冻冰箱,由Thermo公司提供; Thermo Scientific TM 232F-AEC-TSC freezer refrigerator, provided by Thermo Company;

海尔2~8℃冰箱,由海尔公司提供;Haier 2~8℃ refrigerator, provided by Haier Company;

Eppendorf 5920R离心机,由Eppendorf公司提供;Eppendorf 5920R centrifuge, provided by Eppendorf;

BF2006氮气吹干仪,由北京八方世纪科技有限公司提供。BF2006 Nitrogen Dryer, provided by Beijing Bafang Century Technology Co., Ltd.

1.3研究对象1.3 Research objects

健康受试者,年龄18~45岁,BMI 19~28。Healthy subjects, aged 18-45 years old, BMI 19-28.

2试验方法2 Test method

2.1试验分组及给药方案2.1 Test grouping and dosing schedule

试验分组及给药方案如下表5所示:The test groups and dosing schedule are shown in Table 5 below:

表5试验分组及给药方案Table 5 Test grouping and dosing schedule

组别Group 给药剂量(mg)Dosage (mg) 给药途径Route of administration 试验组人数Number of test group 对照组人数Number of control group 试验test 11 2.52.5 口服oral 1010 22 耐受性、PKTolerance, PK 22 55 口服oral 1010 22 耐受性、PKTolerance, PK 33 1010 口服oral 1010 22 耐受性、PKTolerance, PK 44 2525 口服oral 1010 22 耐受性、PK/PDTolerance, PK/PD 55 5050 口服oral 1010 22 耐受性、PK/PDTolerance, PK/PD 66 100100 口服oral 1010 22 耐受性、PK/PDTolerance, PK/PD 77 200200 口服oral 1010 22 耐受性、PK/PDTolerance, PK/PD 88 400400 口服oral 1010 22 耐受性、PK/PDTolerance, PK/PD 99 600600 口服oral 66 22 耐受性Tolerance

2.2耐受性的观察2.2 Observation of tolerance

观察受试者用药后的生命体征、临床症状及体征、实验室检查、12导联心电图、上腹部B超、胸部正位片检查的变化及有无不良事件发生。Observe the subjects' vital signs, clinical symptoms and signs, laboratory examinations, 12-lead electrocardiogram, upper abdominal B-ultrasound, chest radiographs, and whether there are any adverse events after medication.

2.3药代动力学试验/药效动力学试验2.3 Pharmacokinetic test/pharmacodynamic test

药代动力学试验:Pharmacokinetic test:

在2.5、5、10、25、50、100、200、400mg剂量进行试验。采集给药前后的静脉血样,检测优格列汀的血浆浓度。Tests were performed at 2.5, 5, 10, 25, 50, 100, 200, 400 mg doses. Venous blood samples were collected before and after administration to detect the plasma concentration of eutagliptin.

血样采集:2.5~10mg剂量组于给药前(-30min~0min)及给药后0.25h±1min、0.5h±2min、0.75h±2min、1h±3min、1.5h±3min、2h±3min、2.5h±3min、3h±3min、3.5h±3min、4h±3min、 5h±3min、6h±3min、8h±10min、12h±10min、24h±30min、48h±30min、72h±30min、96h±30min、120h±30min分别采集静脉血样3.0mL;25mg剂量组于给药前(-30min~0min)采集静脉血样5.0mL,其余采血时间点及采血量同2.5~10mg组;50~400mg剂量组于给药前(-30min~0min)采集静脉血样5.0mL,给药后0.25h±1min、0.5h±2min、0.75h±2min、1h±3min、1.5h±3min、2h±3min、2.5h±3min、3h±3min、3.5h±3min、4h±3min、5h±3min、6h±3min、8h±10min、12h±10min、24h±30min、48h±30min、72h±30min、96h±30min、120h±30min、144h±30min、168h±30min、192h±30min分别采集静脉血样3.0mL。Blood sample collection: 2.5~10mg dose group before administration (-30min~0min) and after administration 0.25h±1min, 0.5h±2min, 0.75h±2min, 1h±3min, 1.5h±3min, 2h±3min, 2.5h±3min, 3h±3min, 3.5h±3min, 4h±3min, 5h±3min, 6h±3min, 8h±10min, 12h±10min, 24h±30min, 48h±30min, 72h±30min, 96h±30min, Venous blood samples were collected 3.0mL at 120h±30min; 5.0mL venous blood samples were collected before administration (-30min~0min) in the 25mg dose group, and the other blood sampling time points and blood volume were the same as those in the 2.5~10mg group; the 50~400mg dose group was in the administration Collect 5.0mL venous blood sample before (-30min~0min), 0.25h±1min, 0.5h±2min, 0.75h±2min, 1h±3min, 1.5h±3min, 2h±3min, 2.5h±3min, 3h after administration ±3min, 3.5h±3min, 4h±3min, 5h±3min, 6h±3min, 8h±10min, 12h±10min, 24h±30min, 48h±30min, 72h±30min, 96h±30min, 120h±30min, 144h± 3.0 mL of venous blood samples were collected at 30min, 168h±30min, and 192h±30min.

药效动力学试验:Pharmacodynamic test:

25、50、100、200、400mg剂量组在进行药代动力学试验的同时,进行药效动力学研究,检测受试者血浆的DPP-4活性,计算DPP-4抑制率(DPP-4抑制率=1-实测值/基线值)。考察优格列汀片对DPP-4的抑制效应及其药效动力学特征,以及药代动力学与药效动力学的关系。具体采血时间点同药代动力学采血时间点,分别采集静脉血样2.0mL进行检测。The 25, 50, 100, 200, and 400 mg dose groups were in the pharmacokinetic test at the same time, the pharmacodynamic study was carried out to detect the DPP-4 activity in the plasma of the subjects, and calculate the DPP-4 inhibition rate (DPP-4 inhibition Rate = 1-measured value/baseline value). Investigate the inhibitory effect of eutagliptin tablets on DPP-4 and its pharmacodynamic characteristics, as well as the relationship between pharmacokinetics and pharmacodynamics. The specific blood collection time point was the same as the pharmacokinetic blood collection time point, and 2.0 mL of venous blood samples were collected for testing.

3统计学方法3 Statistical methods

3.1耐受性分析3.1 Tolerance analysis

描述受试者筛选、入选情况、退出和剔除情况。采用安全性分析集,对人口学资料、体检和实验室检查结果、不良事件或/和不良反应发生情况进行统计学描述及分析,各剂量组试验组与安慰剂组进行对比分析。Describe the selection, selection, withdrawal, and rejection of subjects. The safety analysis set was used to statistically describe and analyze the demographic data, physical examination and laboratory examination results, adverse events or/and adverse reactions. The test group of each dose group and the placebo group were compared and analyzed.

3.2药代动力学分析3.2 Pharmacokinetic analysis

采用WinNonlin 8.1软件计算药动学参数。采用非房室模型,计算各受试者的药代参数,并采用WPS 2019计算各参数的均数和标准差,评价药物在体内的药代动力学特征。药代参数与剂量的比例关系将采用回归分析并计算斜率的95%双侧置信区间(95%CI)。。The pharmacokinetic parameters were calculated using WinNonlin 8.1 software. The non-compartmental model was used to calculate the pharmacokinetic parameters of each subject, and the WPS 2019 was used to calculate the mean and standard deviation of each parameter to evaluate the pharmacokinetic characteristics of the drug in the body. The proportional relationship between pharmacokinetic parameters and dose will be analyzed by regression analysis and the 95% two-sided confidence interval (95% CI) of the slope will be calculated. .

采用符合方案集进行分析。Analyze using a set of conforming schemes.

3.3药效动力学分析3.3 Pharmacodynamic analysis

根据药效学指标随时间的定量变化分析药物效应及其动力学特征,初步评价药代动力学与药效动力学间的定量关系。药效学指标为DPP-4抑制率(DPP-4抑制率=1-实测值/基线值),初步评价优格列汀片对DPP-4的抑制效应及其效应动力学特征。用NONMEM软件计算药效学参数,E max模型公式采用:E=E max*C/(EC 50+C)。 According to the quantitative changes of pharmacodynamic indicators over time, the drug effects and kinetic characteristics are analyzed, and the quantitative relationship between pharmacokinetics and pharmacodynamics is preliminarily evaluated. The pharmacodynamic index is DPP-4 inhibition rate (DPP-4 inhibition rate = 1-measured value/baseline value), and preliminary evaluation of the inhibitory effect of eutagliptin tablets on DPP-4 and its effect kinetic characteristics. The pharmacodynamic parameters were calculated with NONMEM software, and the E max model formula was adopted: E=E max *C/(EC 50 +C).

4试验结果4 test results

4.1耐受性分析结果4.1 Results of tolerance analysis

共104例受试者入组耐受性试验,1例受试者于-1天血妊娠试验阳性退出试验,余无脱落和剔除情况。共103例健康志愿者完成了单次给药的9个剂量组试验。剂量从2.5mg递增至600mg剂量组,无受试者不能耐受,无受试者达到终止试验标准。A total of 104 subjects were enrolled in the tolerance test, and one subject withdrew from the test with a positive blood pregnancy test on day -1, and the rest did not fall off or were eliminated. A total of 103 healthy volunteers completed 9 dose group trials with a single dose. The dose was increased from 2.5 mg to 600 mg in the dose group. None of the subjects could not tolerate it, and none of the subjects reached the criteria for stopping the trial.

用药后受试者生命体征平稳;无不适表现及异常体征;心电图检查未出现有临床意义的异常;无严重不良事件发生,亦无因不良事件中止试验、减量或暂停服药发生。After the medication, the subjects' vital signs were stable; there were no discomforts and abnormal signs; no clinically significant abnormalities appeared in the electrocardiogram; no serious adverse events occurred, and no trial suspension, dose reduction, or medication suspension occurred due to adverse events.

式I化合物片单次给药在中国志愿者中具有良好的安全性、耐受性,单次口服给药中最大耐受剂量为600mg。A single administration of the compound of formula I tablets has good safety and tolerability in Chinese volunteers, and the maximum tolerated dose in a single oral administration is 600 mg.

4.2药代动力学分析结果4.2 Results of pharmacokinetic analysis

采用符合方案集(PPS集)中试验组受试者进行药代动力学浓度分析,PPS集纳入88例受试者,其中试验组73例,安慰剂组15例,因此采用73例受试者进行药代动力学参数分析。式I化合物的主要药动学参数总结如下见表6。The pharmacokinetic concentration analysis was performed on the subjects in the test group in the protocol set (PPS set). The PPS set included 88 subjects, of which 73 were in the test group and 15 were in the placebo group, so 73 subjects were used Perform pharmacokinetic parameter analysis. The main pharmacokinetic parameters of the compounds of formula I are summarized in Table 6 below.

表6各剂量组血浆中式I化合物主要药代动力学参数均数(标准差)Table 6 Means (standard deviations) of the main pharmacokinetic parameters of the compounds of formula I in the plasma of each dose group

Figure PCTCN2020132825-appb-000049
Figure PCTCN2020132825-appb-000049

*Tmax以中位数(最小值-最大值)表示*Tmax is expressed as the median (minimum-maximum)

4.3药效动力学分析结果4.3 Results of pharmacodynamic analysis

单次口服式I化合物后的DPP-4酶抑制率与时间关系图,如图1。The relationship between DPP-4 enzyme inhibition rate and time after a single oral administration of the compound of formula I is shown in Figure 1.

25-400mg各剂量组用药后24h对DPP-4酶抑制率在97%以上,200-400mg剂量组在用药后168h对DPP-4酶抑制率在75.7%以上。The inhibition rate of DPP-4 enzyme in each dose group of 25-400 mg was over 97% 24h after treatment, and the inhibition rate of DPP-4 enzyme was over 75.7% in the 200-400 mg dose group 168h after treatment.

受试者服用400mg以上剂量式I化合物,每次一片,在168h给药间隔内DPP-4活性抑制率维持在80%左右。Subjects taking the compound of formula I at a dose of more than 400 mg, one tablet each time, the inhibitory rate of DPP-4 activity is maintained at about 80% within a 168-hour dosing interval.

5结论5 Conclusion

单次给药400mg以上剂量式I化合物,每次一片,给药后168小时DPP-4活性抑制率维持在80%左右。A single administration of the compound of formula I at a dose of more than 400 mg, one tablet each time, maintains the DPP-4 activity inhibition rate at about 80% 168 hours after administration.

Claims (21)

一种黄嘌呤衍生物药物组合物,其特征在于,该药物组合物含有0.5~600mg的式I化合物,其中式I化合物、水合物、或者药学上可接受的盐,式I结构如下所示:A xanthine derivative pharmaceutical composition, characterized in that the pharmaceutical composition contains 0.5-600 mg of a compound of formula I, wherein the compound of formula I, a hydrate, or a pharmaceutically acceptable salt, and the structure of formula I is as follows:
Figure PCTCN2020132825-appb-100001
Figure PCTCN2020132825-appb-100001
根据权利要求1所述的黄嘌呤衍生物药物组合物,其特征在于,该药物组合物含有1~400mg式I化合物、1~200mg式I化合物、1~100mg式I化合物、1~50mg式I化合物、1~25mg式I化合物、1~10mg式I化合物或1~5mg式I化合物。The xanthine derivative pharmaceutical composition according to claim 1, wherein the pharmaceutical composition contains 1 to 400 mg of the compound of formula I, 1 to 200 mg of the compound of formula I, 1 to 100 mg of the compound of formula I, and 1 to 50 mg of the compound of formula I Compound, 1-25 mg of formula I compound, 1-10 mg of formula I compound, or 1 to 5 mg of formula I compound. 根据权利要求1所述的黄嘌呤衍生物药物组合物,其特征在于,该药物组合物含有1mg、2.5mg、4mg、5mg、6mg、7.5mg、10mg、25mg、30mg、50mg、100mg、200mg、400mg或600mg式I化合物。The xanthine derivative pharmaceutical composition according to claim 1, wherein the pharmaceutical composition contains 1 mg, 2.5 mg, 4 mg, 5 mg, 6 mg, 7.5 mg, 10 mg, 25 mg, 30 mg, 50 mg, 100 mg, 200 mg, 400 mg or 600 mg of the compound of formula I. 一种黄嘌呤衍生物药物组合物,其特征在于,该药物组合物含有0.5~600mg的式I化合物和除式I化合物以外的一种或多种抗糖尿病的药物,其中式I化合物具有以下结构A xanthine derivative pharmaceutical composition, characterized in that the pharmaceutical composition contains 0.5-600 mg of a compound of formula I and one or more anti-diabetic drugs other than the compound of formula I, wherein the compound of formula I has the following structure
Figure PCTCN2020132825-appb-100002
Figure PCTCN2020132825-appb-100002
根据权利要求4所述的黄嘌呤衍生物药物组合物,其特征在于,该药物组合物含有1~100mg的式I化合物和除式I化合物以外的一种或多种抗糖尿病的药物。The xanthine derivative pharmaceutical composition according to claim 4, wherein the pharmaceutical composition contains 1-100 mg of the compound of formula I and one or more anti-diabetic drugs other than the compound of formula I. 根据权利要求5所述的黄嘌呤衍生物药物组合物,其特征在于,所述抗糖尿病的药物选自胰岛素敏感性增强剂、影响肝葡萄糖产生调节异常的化合物、胰岛素信号传导途径调节剂或胰岛素分泌促进剂;优选为非磺酰脲类促胰岛素分泌剂、磺酰脲类促胰岛素分泌剂、双胍类、SGLT2抑制剂、噻唑烷二酮类、α-葡萄糖苷酶抑制剂、GPR40激动剂或羟甲基戊二酰辅酶A还原酶抑制剂,更优选为瑞格列奈、那格列奈、米格列奈、格列美脲、格列派特、格列本脲、格列苯脲、醋磺己脲、氯磺丙脲、格列波脲、甲苯磺丁脲、妥拉磺脲、格列吡嗪、氨磺丁脲、格列喹酮、格列己脲、苯磺丁脲、甲磺环己脲、格列齐特、二甲双胍、达格列净、坎格列净、依帕列净、吡格列酮、罗格列酮、阿卡波糖、伏格列波糖、米格列醇、TAK875、呋格列泛、辛伐他汀、阿伐他汀钙、洛伐他丁、普伐他汀或美伐他汀或其药学上可接受的盐;更优选为瑞格列奈、格列美脲、二甲双胍、坎格列净、吡格列酮、伏格列波糖、辛伐他汀中的一种或其药学上可接受的盐。The xanthine derivative pharmaceutical composition according to claim 5, wherein the anti-diabetic drug is selected from the group consisting of insulin sensitivity enhancers, compounds that affect the abnormal regulation of hepatic glucose production, insulin signal transduction pathway regulators, or insulin Secretion promoters; preferably non-sulfonylurea insulin secretagogues, sulfonylurea insulin secretagogues, biguanides, SGLT2 inhibitors, thiazolidinediones, α-glucosidase inhibitors, GPR40 agonists or Hydroxymethylglutaryl-CoA reductase inhibitor, more preferably repaglinide, nateglinide, mitiglinide, glimepiride, gliclapide, glibenclamide, and glibenclamide , Acetohexamide, chlorpropamide, glibenclamide, tolbutamide, tolazamide, glipizide, sulfambutamide, gliquidone, glibenclamide, tolbutamide , Sulfacyclohexamide, gliclazide, metformin, dapagliflozin, canagliflozin, empagliflozin, pioglitazone, rosiglitazone, acarbose, voglibose, miglita Alcohol, TAK875, Furagliptin, Simvastatin, Avastatin Calcium, Lovastatin, Pravastatin or Mevastatin or a pharmaceutically acceptable salt thereof; more preferably Repaglinide, Glimebe One of urea, metformin, canagliflozin, pioglitazone, voglibose, simvastatin or a pharmaceutically acceptable salt thereof. 根据权利要求1所述的黄嘌呤衍生物药物组合物,其特征在于,所述药物组合物中式I化合物以药学上可接受的盐或以游离碱形式存在,优选为以游离碱形式存在,The xanthine derivative pharmaceutical composition according to claim 1, wherein the compound of formula I in the pharmaceutical composition is in the form of a pharmaceutically acceptable salt or in the form of a free base, preferably in the form of a free base,
Figure PCTCN2020132825-appb-100003
Figure PCTCN2020132825-appb-100003
根据权利要求7所述的黄嘌呤衍生物药物组合物,其特征在于,药学上可接受的盐选自盐酸、对甲苯磺酸、酒石酸、马来酸、乳酸、甲磺酸、硫酸、磷酸、柠檬酸、乙酸或三氟乙酸,优选为对甲苯磺酸、盐酸、酒石酸或三氟乙酸。The xanthine derivative pharmaceutical composition according to claim 7, wherein the pharmaceutically acceptable salt is selected from hydrochloric acid, p-toluenesulfonic acid, tartaric acid, maleic acid, lactic acid, methanesulfonic acid, sulfuric acid, phosphoric acid, Citric acid, acetic acid or trifluoroacetic acid, preferably p-toluenesulfonic acid, hydrochloric acid, tartaric acid or trifluoroacetic acid. 根据权利要求1所述的黄嘌呤衍生物药物组合物,其特征在于,该药物组合物含有0.5~600mg的式I化合物和填充剂、润滑剂,其中式I化合物具有以下结构:The xanthine derivative pharmaceutical composition of claim 1, wherein the pharmaceutical composition contains 0.5-600 mg of the compound of formula I, fillers and lubricants, wherein the compound of formula I has the following structure:
Figure PCTCN2020132825-appb-100004
Figure PCTCN2020132825-appb-100004
根据权利要求9所述的黄嘌呤衍生物药物组合物,其特征在于,该药物组合物含有1~400mg的式I化合物和填充剂、润滑剂;含有1~200mg的式I化合物和填充剂、润滑剂;含有1~100mg的式I化合物和填充剂、润滑剂;含有1~50mg的式I化合物和填充剂、润滑剂;含有1~25mg的式I化合物和填充剂、润滑剂;含有1~10mg的式I化合物和填充剂、润滑剂;或含有1~5mg的式I化合物和填充剂、润滑剂。The xanthine derivative pharmaceutical composition according to claim 9, wherein the pharmaceutical composition contains 1-400 mg of the compound of formula I and fillers, lubricants; and contains 1-200 mg of the compound of formula I and fillers, Lubricant; containing 1-100mg of formula I compound and fillers and lubricants; containing 1-50mg of formula I compound and fillers and lubricants; containing 1-25mg of formula I compounds and fillers and lubricants; containing 1 ~10mg of the compound of formula I and fillers and lubricants; or 1-5 mg of the compound of formula I and fillers and lubricants. 根据权利要求9所述的黄嘌呤衍生物药物组合物,其特征在于,该药物组合物含有600mg、400mg、200mg、100mg、50mg、30mg、25mg、10mg、5mg、2.5mg或1mg的式I化合物和填充剂、润滑剂。The xanthine derivative pharmaceutical composition according to claim 9, wherein the pharmaceutical composition contains 600 mg, 400 mg, 200 mg, 100 mg, 50 mg, 30 mg, 25 mg, 10 mg, 5 mg, 2.5 mg or 1 mg of the compound of formula I And fillers, lubricants. 根据权利要求1或9所述的黄嘌呤衍生物药物组合物,其特征在于,该药物组合物中还含有粘合剂,所述粘合剂选自淀粉浆、聚乙烯吡咯烷酮、聚乙二醇类、共聚维酮、羟丙基纤维素、羟丙甲纤维素、羧甲基纤维素钠、甲基纤维素、乙基纤维素中的1种或多种,优选为共聚维酮。The xanthine derivative pharmaceutical composition according to claim 1 or 9, characterized in that the pharmaceutical composition further contains a binder, and the binder is selected from starch slurry, polyvinylpyrrolidone, polyethylene glycol One or more of copovidone, hydroxypropyl cellulose, hypromellose, sodium carboxymethyl cellulose, methyl cellulose, and ethyl cellulose, preferably copovidone. 根据权利要求1或9所述的黄嘌呤衍生物药物组合物,其特征在于,该药物组合物中还含有崩解剂,所述崩解剂选自干淀粉、海藻酸、海藻酸钠、交联聚维酮、低取代羟丙基纤维素、交联羧甲基纤维素钠、羧甲基纤维素钙和羧甲基淀粉钠中的1种或多种,优选为低取代羟丙基纤维素。The xanthine derivative pharmaceutical composition according to claim 1 or 9, wherein the pharmaceutical composition further contains a disintegrant, and the disintegrant is selected from the group consisting of dry starch, alginic acid, sodium alginate, and sodium alginate. One or more of bispovidone, low-substituted hydroxypropyl cellulose, croscarmellose sodium, carboxymethyl cellulose calcium and sodium carboxymethyl starch, preferably low-substituted hydroxypropyl cellulose Vegetarian. 根据权利要求1所述的黄嘌呤衍生物药物组合物,其特征在于,该药物组合物中所述填充剂选自乳糖、糖醇类、淀粉、预胶化淀粉、微晶纤维素、蔗糖、无机盐类和糊精中的1种或多种,优选为预胶化淀粉、微晶纤维素中的1种或2种。The xanthine derivative pharmaceutical composition according to claim 1, wherein the filler in the pharmaceutical composition is selected from lactose, sugar alcohols, starch, pregelatinized starch, microcrystalline cellulose, sucrose, One or more of inorganic salts and dextrin, preferably one or two of pregelatinized starch and microcrystalline cellulose. 根据权利要求9所述的黄嘌呤衍生物药物组合物,其特征在于,该药物组合物中,所述润滑剂选自胶态二氧化硅、硬脂酸镁、滑石粉、氢化植物油、聚乙二醇类、月桂醇硫酸镁、十二烷基硫酸钠、硬脂富马酸钠、硬脂酸和磷酸氢钙中的1种或多种,优选为胶态二氧化硅或硬脂酸镁中的1种或2种。The xanthine derivative pharmaceutical composition according to claim 9, characterized in that, in the pharmaceutical composition, the lubricant is selected from colloidal silica, magnesium stearate, talc, hydrogenated vegetable oil, polyethylene One or more of glycols, magnesium lauryl sulfate, sodium lauryl sulfate, sodium stearyl fumarate, stearic acid and calcium hydrogen phosphate, preferably colloidal silicon dioxide or magnesium stearate One or two of them. 根据权利要求1所述的黄嘌呤衍生物药物组合物,其特征在于,该药物组合物含有1~600mg的式I化合物和填充剂、润滑剂、崩解剂和粘合剂,其中式I化合物具有如下结构:The xanthine derivative pharmaceutical composition according to claim 1, wherein the pharmaceutical composition contains 1-600 mg of the compound of formula I and fillers, lubricants, disintegrants and binders, wherein the compound of formula I Has the following structure:
Figure PCTCN2020132825-appb-100005
Figure PCTCN2020132825-appb-100005
根据权利要求16所述的黄嘌呤衍生物药物组合物,其特征在于,该药物组合物含有600mg、400mg、200mg、100mg、50mg、25mg、10mg、5mg、2.5mg或1mg的式I化合物和填充剂、润滑剂、崩解剂和、粘合剂。The xanthine derivative pharmaceutical composition according to claim 16, wherein the pharmaceutical composition contains 600mg, 400mg, 200mg, 100mg, 50mg, 25mg, 10mg, 5mg, 2.5mg or 1mg of the compound of formula I and filler Agents, lubricants, disintegrants and adhesives. 根据权利要求1或4所述的黄嘌呤衍生物药物组合物,其特征在于,该药物组合物中含有式I化合物1-100mg、胶态二氧化硅0.5-10.0mg、微晶纤维素13.65-205.0mg、预胶化淀粉11.22-230.0mg、共聚维酮1.2-10.0mg、低取代羟丙基纤维素1.2-30.0mg、硬脂酸镁0.3-5.0mg;该药物组合物中含有式I化合物1mg、胶态二氧化硅0.5mg、微晶纤维素13.65mg、预胶化淀粉13.72mg、共聚维酮1.5mg、低取代羟丙基纤维素1.5mg、硬脂酸镁0.38mg;该药物组合物中含有式I化合物2.5mg、胶态二氧化硅0.5mg、微晶纤维素54.9mg、预胶化淀粉13.72mg、共聚维酮1.5mg、低取代羟丙基纤维素1.5mg、硬脂酸镁0.38mg;该药物组合物中含有式I化合物5.0mg、胶态二氧化硅1.0mg、微晶纤维素109.8mg、预胶化淀粉27.45mg、共聚维酮3.0mg、低取代羟丙基纤维素3.0mg、硬脂酸镁0.75mg;该药物组合物中含有式I化合物100mg、胶态二氧化硅0.2mg、微晶纤维素120mg、预胶化淀粉220mg、共聚维酮10mg、低取代羟丙基纤维素35mg、硬脂酸镁2.5mg;该药物组合物中含有式I化合物25mg、胶态二氧化硅5mg、微晶纤维素205mg、预胶化淀粉51.3mg、共聚维酮6mg、低取代羟丙基纤维素6mg、硬脂酸镁1.5mg;或该药物组合物中含有式I化合物1mg、胶态二氧化硅0.2mg、微晶纤维素44.8mg、预胶化淀粉11.22mg、共聚维酮1.2mg、低取代羟丙基纤维素1.2mg、硬脂酸镁0.3mg。The xanthine derivative pharmaceutical composition according to claim 1 or 4, wherein the pharmaceutical composition contains 1-100 mg of the compound of formula I, 0.5-10.0 mg of colloidal silicon dioxide, and 13.65 mg of microcrystalline cellulose. 205.0mg, pregelatinized starch 11.22-230.0mg, copovidone 1.2-10.0mg, low-substituted hydroxypropyl cellulose 1.2-30.0mg, magnesium stearate 0.3-5.0mg; the pharmaceutical composition contains the compound of formula I 1mg, colloidal silicon dioxide 0.5mg, microcrystalline cellulose 13.65mg, pregelatinized starch 13.72mg, copovidone 1.5mg, low-substituted hydroxypropyl cellulose 1.5mg, magnesium stearate 0.38mg; the drug combination It contains 2.5 mg of compound of formula I, 0.5 mg of colloidal silicon dioxide, 54.9 mg of microcrystalline cellulose, 13.72 mg of pregelatinized starch, 1.5 mg of copovidone, 1.5 mg of low-substituted hydroxypropyl cellulose, and stearic acid Magnesium 0.38mg; the pharmaceutical composition contains 5.0mg of compound of formula I, 1.0mg of colloidal silicon dioxide, 109.8mg of microcrystalline cellulose, 27.45mg of pregelatinized starch, 3.0mg of copovidone, and low-substituted hydroxypropyl fiber The pharmaceutical composition contains 100 mg of compound of formula I, 0.2 mg of colloidal silicon dioxide, 120 mg of microcrystalline cellulose, 220 mg of pregelatinized starch, 10 mg of copovidone, and low-substituted hydroxy Propyl cellulose 35mg, magnesium stearate 2.5mg; the pharmaceutical composition contains 25mg of formula I compound, colloidal silicon dioxide 5mg, microcrystalline cellulose 205mg, pregelatinized starch 51.3mg, copovidone 6mg, low Substitute 6 mg of hydroxypropyl cellulose, 1.5 mg of magnesium stearate; or the pharmaceutical composition contains 1 mg of compound of formula I, 0.2 mg of colloidal silicon dioxide, 44.8 mg of microcrystalline cellulose, 11.22 mg of pregelatinized starch, and copolymer Vividone 1.2mg, low-substituted hydroxypropyl cellulose 1.2mg, magnesium stearate 0.3mg. 根据权利要求1所述的黄嘌呤衍生物的药物组合物,其特征在于,该药物组合物中其的水合物具有以下结构:The pharmaceutical composition of xanthine derivatives according to claim 1, wherein the hydrate in the pharmaceutical composition has the following structure:
Figure PCTCN2020132825-appb-100006
Figure PCTCN2020132825-appb-100006
根据权利要求1或4所述的黄嘌呤衍生物药物组合物,其特征在于,该药物组合物可制备成药学上可接受的各种剂型,优选为颗粒剂、胶囊剂或片剂。The xanthine derivative pharmaceutical composition according to claim 1 or 4, wherein the pharmaceutical composition can be prepared into various pharmaceutically acceptable dosage forms, preferably granules, capsules or tablets. 一种权利要求1或4所述的黄嘌呤衍生物药物组合物的用途,其特征在于,该药物组合物作为制备对二肽基肽酶Ⅳ相关疾病进行治疗的药物中的用途,优选为在制备对Ⅱ型糖尿病或葡萄糖耐量异常疾病进行治疗的药物中的用途。A use of the xanthine derivative pharmaceutical composition according to claim 1 or 4, characterized in that the pharmaceutical composition is used as a medicine for the treatment of dipeptidyl peptidase IV related diseases, preferably in Use in preparing medicine for treating type II diabetes or impaired glucose tolerance disease.
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