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Preparation of artemether/benflumetol compound fat emulsion for injection and application of artemether/benflumetol compound fat emulsion in malaria treatment

A technology of lumefantrine and artemether, which is applied in the field of fat emulsion injections, can solve the problems of inability to use emergency treatment of malaria, shorten the service life of lumefantrine, and increase economic burden, so as to enhance the antimalarial effect and improve the activity of lymphocytes , the effect of increasing stability

Inactive Publication Date: 2013-08-21
XIAN LIBANG PHARMA
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

These are all oral dosage forms, and cannot be used for emergency treatment of malaria in clinical use, and although they have improved the oral bioavailability of lumefantrine to varying degrees, but due to the fat dependence of lumefantrine (ie, lumefantrine The oral absorption of lumefantrine is affected by food, and the patient eats high-fat food when taking the drug, so as to have a higher drug absorption rate and a higher blood concentration to kill malaria parasites), so that lumefantrine needs to increase the dosage and frequency of oral administration To ensure the clinical efficacy of the drug
Therefore, the dose of benzefantrine in clinical use is as high as 1840mg, or even 2880mg. Such long-term high-dose use will accelerate the development of drug resistance, thereby greatly shortening the service life of benzefantrine and reducing the use effect
In addition, from the perspective of patients, high doses and frequent medication will undoubtedly increase the economic burden. In fact, high costs have become the main barrier to the treatment of malaria patients.

Method used

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  • Preparation of artemether/benflumetol compound fat emulsion for injection and application of artemether/benflumetol compound fat emulsion in malaria treatment
  • Preparation of artemether/benflumetol compound fat emulsion for injection and application of artemether/benflumetol compound fat emulsion in malaria treatment
  • Preparation of artemether/benflumetol compound fat emulsion for injection and application of artemether/benflumetol compound fat emulsion in malaria treatment

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Experimental program
Comparison scheme
Effect test

Embodiment 1

[0028] Prescription:

[0029]

[0030]

[0031] Dissolve 10mg of artemether and 30mg of lumefantrine in 2mL of absolute ethanol to form a solution, mix this solution with 10g of soybean oil for injection, evaporate and remove the absolute ethanol, add 1.2g of egg yolk for injection under nitrogen protection Phospholipids, 0.02g of antioxidant vitamin E, were mixed at 60°C to form an oil phase mixture. Mix 50 mL of water for injection, 0.4 g of sodium oleate and 2.5 g of glycerin at 60° C. to form an aqueous phase mixture. Mix the water phase mixture and the oil phase mixture under the protection of nitrogen, and add water to 100mL. At 60°C, disperse at a high speed of 6500r / min and then mechanically stir for 20min to make colostrum. After adjusting the pH to 7.0, under the condition of a pressure of 105MPa Homogenize 8 times to obtain a homogeneous milky solution; filter the above milky solution, seal it with nitrogen gas, sterilize at 115°C for 15 minutes, store it bel...

Embodiment 2

[0033] Prescription:

[0034]

[0035] Put 120mg of artemether and 40mg of lumefantrine into 4mL of chloroform to fully dissolve into a solution, mix this solution with 10g of camellia oil for injection, evaporate and remove the chloroform, add 1.2g of soybean lecithin for injection, 0.02g of The antioxidant vitamin E was mixed at 70°C to form an oil phase mixture. Mix 70mL of water for injection, 2.5g of xylitol, and 0.2g of F68 at 70°C to form an aqueous phase mixture. Mix the water phase mixture and the oil phase mixture under the protection of nitrogen, add water to 100mL, at 70°C, 7000r / min high-speed dispersion and then mechanically stir for 20min to make colostrum, adjust the pH to 7.5, and carry out under the condition of 90MPa pressure Homogenize 9 times to obtain a homogeneous milky solution; filter the above milky solution, seal it with nitrogen, and sterilize it at 120°C for 25 minutes, store it below 25°C, and get artemether:benzefantrine (3:1) compound fat emul...

Embodiment 3

[0038] Prescription:

[0039]

[0040] Put 20mg of artemether and 100mg of lumefantrine into 6mL of acetone to fully dissolve into a solution, mix this solution with 20g of sesame oil for injection, evaporate the acetone, add 2.4g of egg yolk lecithin for injection, 0.02g of Antioxidant vitamin E, mixed at 70°C to form an oil phase mixture. Mix 150mL of water for injection, 5g of glycerin, and 0.02g of oleic acid at 70°C to form an aqueous phase mixture. Mix the water phase mixture and the oil phase mixture under the protection of nitrogen, add water to 200mL, at 70°C, 7500r / min high-speed dispersion, then mechanically stir for 20min to make colostrum, adjust the pH to 8.0, and carry out under the condition of 95MPa pressure Homogenize 6 times to obtain a homogeneous milky solution; filter the above milky solution, seal it with nitrogen gas, and sterilize it at 125°C for 10 minutes, and store it below 25°C to become artemether:benzefantrine (1:5) compound fat emulsion . ...

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Abstract

The invention discloses an artemether / benflumetol compound fat emulsion preparation which contains 0.01-1.5 percent by weight of artemether, 0.01-3.5 percent by weight of benflumetol, 10.0-30.0 percent by weight of injection oil, 0.6-30.0 percent by weight of emulsifier, 0-10 percent by weight of solubilizer, 00.01-5 percent by weight of co-emulsifier, 2.25-7 percent by weight of isoosmolar agent, 0.002-0.075 percent of antioxidant and the balance of injection water. The invention further discloses a preparation method as well as pharmacodynamics and safety elevation of the artemether / benflumetol compound fat emulsion preparation. The artemether / benflumetol compound fat emulsion preparation has the characteristics of good biocompatibility, high physical stability, good safety, high medicament-loading capacity and the like and is convenient to prepare. An in-vivo pharmacodynamic animal experiment proves that the artemether / benflumetol compound fat emulsion preparation has a remarkably killing role in plasmodium and can be used for effectively controlling the relapse of the plasmodium. Meanwhile, the artemether / benflumetol compound fat emulsion preparation can be used for providing nutritions required for the body of a patient suffering from malaria, improving the lymphocyte activity and assisting the patient in resisting malaria and getting recovery.

Description

technical field [0001] The invention relates to a fat emulsion injection, in particular to an artemether / lumefantrine compound fat emulsion injection. The route of administration is intravenous or intramuscular injection. It also relates to the preparation process, formula, application, pharmacodynamic research and safety evaluation of the artemether / lumefantrine compound fat emulsion injection. Background technique [0002] Artemisinin is an effective antimalarial monomer isolated and purified from Artemisia annua by Chinese scholars in the early 1970s. It is a new type of sesquiterpene lactone compound containing a peroxide bridge structure. The characteristics of no drug resistance and low toxicity are called "the greatest hope for the treatment of malaria" by the World Health Organization, and can be regarded as the greatest contribution of Chinese pharmaceutical workers to human society. Its discovery has become another important milestone in the world's antimalarial ...

Claims

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Application Information

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Patent Type & Authority Applications(China)
IPC IPC(8): A61K31/357A61K9/107A61P33/06A61K31/137
CPCA61K9/0019A61K9/107A61K31/137A61K31/357A61P33/06Y02A50/30A61K2300/00
Inventor 马玉樊陈涛王汝涛王惟娇卢婷利赵雯
Owner XIAN LIBANG PHARMA
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