WO2003070218A1 - Sustained-release ointment for topical administration - Google Patents

Sustained-release ointment for topical administration Download PDF

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Publication number
WO2003070218A1
WO2003070218A1 PCT/JP2003/001618 JP0301618W WO03070218A1 WO 2003070218 A1 WO2003070218 A1 WO 2003070218A1 JP 0301618 W JP0301618 W JP 0301618W WO 03070218 A1 WO03070218 A1 WO 03070218A1
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WIPO (PCT)
Prior art keywords
sustained
release
ointment
polyethylene glycol
release ointment
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PCT/JP2003/001618
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French (fr)
Japanese (ja)
Inventor
Kyohei Tokioka
Yasumitsu Shimizu
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Sunstar Inc.
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Application filed by Sunstar Inc. filed Critical Sunstar Inc.
Priority to AU2003211235A priority Critical patent/AU2003211235A1/en
Publication of WO2003070218A1 publication Critical patent/WO2003070218A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/0012Galenical forms characterised by the site of application
    • A61K9/0053Mouth and digestive tract, i.e. intraoral and peroral administration
    • A61K9/0063Periodont
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/65Tetracyclines
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P1/00Drugs for disorders of the alimentary tract or the digestive system
    • A61P1/02Stomatological preparations, e.g. drugs for caries, aphtae, periodontitis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P31/00Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
    • A61P31/04Antibacterial agents

Definitions

  • the present invention relates to a topically-administered sustained-release ointment suitably used for tissue regeneration, protection of a surgical resection, treatment of periodontal disease, and the like, a method for producing the same, and treatment of periodontal disease using the sustained-release ointment.
  • the present invention relates to a kit, and a method for treating periodontal disease, wherein a therapeutically effective amount of the sustained-release ointment is administered to a periodontal pocket.
  • preparations suitable for administration by syringe include gel preparations in which a biodegradable polymer is dissolved in an organic solvent, and paste-form preparations in which an appropriate amount of an organic solvent is added to a biodegradable polymer and a uniform preparation is prepared.
  • Japanese Patent Laid-Open Publication No. Hei 7-166654 discloses an implant precursor comprising a mixture of a biodegradable polymer and a water-soluble organic solvent.
  • the invention disclosed herein is that a formulation prepared by dissolving a biodegradable polymer in a water-soluble organic solvent comes into contact with water to form an imprint.
  • this product solidifies immediately upon contact with water, when administered using a syringe, the drug solidifies at the tip of the syringe and adheres, so the drug does not come off the syringe and administration is easy. There is a disadvantage that it is not.
  • the water-soluble organic solvent used in this preparation also has a drawback that it is difficult to stably blend a particularly water-soluble biological drug such as a tetracycline antibiotic. Furthermore, it is difficult to stabilize the formulation over time while uniformly blending the biodegradable polymer and the bioactive drug.
  • a sustained-release composition using an organic solvent having low solubility in water is disclosed in Japanese Patent Application Laid-Open No. HEI 8-5-115828.
  • gels using organic solvents with low solubility in water have the disadvantage that after administration, they do not immediately solidify in the presence of water.
  • the above gel-like preparations are all prepared by dissolving a biodegradable polymer in an organic solvent capable of dissolving the biodegradable polymer under non-heating conditions.
  • paste-like preparations In Japanese Patent Application Laid-Open No. Hei 8-5-111528, the blending ratio of the biodegradable polymer and the organic solvent in the disclosed composition is changed to increase the blending amount of the biodegradable polymer. Accordingly, a paste in the form of a whole is disclosed. Although these are in a form that can be administered by syringe, they are still not sufficient in terms of adhesion at the tip of the syringe, stable blending of the bioactive drug, and immediate solidification after contact with water.
  • the present invention has properties suitable for administration by syringe, and can be immediately solidified upon contact with water after administration, and even if it is an unstable bioactive drug such as a tetracycline antibiotic.
  • a sustained-release softener that can be stably blended, a method for producing the same, a tooth that can easily administer the sustained-release softener to a periodontal vocket with a syringe An object of the present invention is to provide a periodontal disease treatment kit, and a method for treating periodontal disease, in which a therapeutically effective amount of the sustained-release ointment is administered to a periodontal boxet.
  • the present inventors have conducted intensive studies on a topically-administered sustained-release preparation containing a biodegradable polymer and a bioactive drug.
  • the inventors have found that a conventional ointment preparation having the property of solidifying immediately can be obtained, and have completed the present invention.
  • the present invention is a.
  • a periodontal disease treatment kit in which the sustained-release ointment according to (1) is enclosed in a syringe for periodontal pocket administration, and
  • the sustained-release ointment of the present invention is a topically-administered sustained-release ointment containing a biodegradable polymer, polyethylene glycol and a bioactive drug, and has a property of solidifying immediately upon contact with water. It is characterized by having.
  • solidifies on contact with water means that the sustained-release ointment of the present invention has fluidity, but immediately solidifies on contact with water and loses fluidity.
  • 100 mg of ointment is a 5 mm diameter glass cylinder with open both sides.
  • “Immediate” means that the time required for the ointment to maintain its moldability in the above test is within 10 minutes, preferably within 1 minute, more preferably within 10 seconds. .
  • biodegradable polymer in the present invention various polymers having biodegradable activity can be used. Specifically, polylactic acid, polyglycolic acid, polyprolactone, polyp, which are used as pharmaceutical raw materials Preference is given to at least one member selected from the group consisting of tyrolactone, polypropiolactone, polytrimethylene carbonate, polyamino acids, borosuccinic acid imids, and copolymers of two or more thereof.
  • the molecular weight of the biodegradable polymer is preferably 100 to 100,000, more preferably 500 to 500, from the viewpoint of obtaining sustained release properties and properties of the ointment.
  • the content of the biodegradable polymer is preferably 5% by weight or more from the viewpoint of sustained release, and is preferably 50% by weight or less to obtain the properties of the ointment. Therefore, the content of the biodegradable polymer is preferably 5 to 50% by weight, more preferably 10 to 40% by weight.
  • Polyethylene glycol in the present invention is contained as an ointment base, and preferably 20% by weight or more, more preferably 30 to 90% by weight, in a sustained release ointment. Further, the polyethylene glycol is preferably a mixture of a liquid and a solid at 25 ° C. and 1 atmospheric pressure to make the preparation into an ointment.
  • the molecular weight of the liquid polyethylene glycol is preferably 100 or less, more preferably 600 or less.
  • the molecular weight of the solid polyethylene glycol is preferably at least 2000, more preferably at least 300.
  • the content of polyethylene glycol is preferably 5% by weight or more, more preferably 10% by weight or more, in the sustained release soft drink.
  • the weight ratio (liquid / solid) of liquid polyethylene glycol to solid polyethylene glycol is preferably 10 to 10 Z1, more preferably 1 Z2 to 5 Z1. Therefore, macrogol ointment generally known as a one-to-one mixture of polyethylene glycol 400 and polyethylene glycol 400 can also be used in the present invention.
  • a tetracycline antibiotic which is known to be effective in treating periodontal disease is preferable.
  • tetracycline antibiotics are unstable to heat and water and their titers tend to decrease, and it is known that the color changes significantly when the titer decreases. It is possible to stably maintain the titer, the coloration of the preparation and the like without changing over time.
  • the tetracycline antibiotic include minocycline, tetracycline, doxycycline, and salts thereof (hydrochloride and the like). Of these, minocycline and its salts are preferable.
  • the content of the bioactive drug is preferably 0.1 to 50% by weight, more preferably 1 to 30% by weight in the sustained-release ointment in order to obtain a pharmacological effect as an antibiotic.
  • the sustained-release ointment of the present invention preferably contains an organic solvent having low solubility in water in order to further improve the sustained-release property. It is presumed that such an effect of improving the sustained release by the organic solvent is obtained by suppressing the initial burst of the bioactive drug.
  • the organic solvent having low solubility in water refers to an organic solvent having a solubility in water of 30% by weight or less, preferably 20% by weight or less at 20 ° C. and 1 atm. Therefore, examples of such organic solvents include pharmaceutically acceptable solvents that are generally known to be slightly soluble in water. Specifically, selected from the group consisting of triacetin, triethyl quenate and propylene carbonate At least one is preferred.
  • the content of the organic solvent having a solubility in water of 30% by weight or less is 0.1 to 20% by weight in the sustained-release ointment in order to prevent the initial burst and to solidify the ointment more quickly.
  • it is more preferably 1 to 10% by weight.
  • the sustained-release ointment of the present invention includes a physiologically active substance having a pharmacological action such as anti-inflammation and tissue regeneration ability, a polyhydric alcohol usually used for pharmaceuticals, a surfactant, a thickener, an antioxidant, Agents, pH adjusting agents, and other additives may be appropriately contained within a range that does not impair the effects of the present invention.
  • the solidified ointment is preferably blended so that the total content of the components that are liquid in 25 is at least 50% by weight or less. That is, the total content of the liquid polyethylene glycol, the organic solvent, and other liquid additives in the solidified ointment is preferably 50% by weight or less in the solidified ointment.
  • the sustained-release ointment of the present invention can be produced through a process in which a biodegradable polymer and polyethylene glycol are heated to a specific temperature, mixed and homogenized by liquefaction. That is, the biodegradable polymer and polyethylene glycol as an ointment base are heated at 70-120 and then liquidified, so that the biodegradable polymer is hydrolyzed to such an extent that it loses sustained release. Instead, they can be mixed and homogenized.
  • the heating temperature in order to liquid saphenous of the biodegradable polymer in Helsingborg ethylene glycol, or 7 0 under 1 atm is preferably 9 0 e C or more, the biodegradable polymer additive
  • the value is 120 or less, more preferably 110 or less. Therefore, the heating temperature is 70 to 120 ° C., preferably 90 to 110 °.
  • the heating time is preferably 6 hours or less in order to prevent the promotion of hydrolysis of the biodegradable polymer.
  • the mixing method is not particularly limited.
  • a method using a commercially available stirrer such as a magnetic stirrer, a propeller stirrer, or a homomixer can be used. You.
  • the method for producing the sustained-release soft blue of the present invention is not particularly limited as long as the method has a step of heating and mixing the biodegradable polymer and polyethylene glycol under specific temperature conditions as described above.
  • the method has a step of heating and mixing the biodegradable polymer and polyethylene glycol under specific temperature conditions as described above.
  • the bioactive drug can be added before or after heating the biodegradable polymer and polyethylene glycol.However, to maintain the bioactive drug stably, add it during or after cooling after heating. Is preferred.
  • the organic solvent having low solubility in water may be added before or after heating. However, from the viewpoint of uniformity of the preparation, it is desirable to add the organic solvent before adding or in a liquefied state. However, when polyethylene glycol which is solid at least at room temperature is used, it is more preferable to add it at a temperature not lower than its melting point.
  • the sustained-release ointment of the present invention is used as a topically-administered sustained-release ointment.
  • topically-administered refers to a local site that is usually used pharmaceutically, and is described in the present invention. It refers to administration not only to the peripheral pocket but also to local sites such as external use, subcutaneous, and bone.
  • the water for solidifying the ointment may be water from the body at the administration site or water from outside the body before or after the administration. Physical water at the site of administration is, for example, saliva or exudate in periodontal bockets.
  • the sustained-release ointment of the present invention can adjust its sustained-release property and viscosity by controlling the monomer and the degree of polymerization of the biodegradable polymer contained therein, and the molecular weight of the polyethylene glycol.
  • a periodontal disease treatment kit in which a sustained release ointment is sealed in a syringe for periodontal vocket administration.
  • Syringes for periodontal pocket administration include, for example, “Periocrine” (trade name, manufactured by Sunstar), etc., which have been developed for the treatment of periodontal disease.
  • Sustained-release ointments are preferably adjusted in advance to a viscosity suitable for administration with a syringe. Specifically, since the viscosity varies depending on the syringe used and the situation, it cannot be determined unconditionally, but a viscosity of 500 to 400,000 cps is preferable.
  • the present invention provides a method for treating periodontal disease, which comprises administering a therapeutically effective amount of the sustained-release ointment of the present invention to a periodontal bucket.
  • the therapeutically effective amount is preferably such that the bioactive drug is administered to the periodontium to the extent that it is effective in treating periodontal disease, and varies depending on the type of bioactive drug and its concentration in the preparation. If, for example, the bioactive drug is an antibiotic, it is desirable to administer the antibiotic in the periodontal pocket in an amount at least above the minimum inhibitory concentration (MIC) of the pathogenic bacterium .
  • MIC minimum inhibitory concentration
  • the minocycline should be present in the gingival crevicular fluid (GCF) in the periodontal pocket at least 0.1 g / m 1 or more, preferably 1 g Zm 1 or more. It is desirable to administer the sustained release ointment of the present invention.
  • GCF gingival crevicular fluid
  • the sustained-release ointment of the present invention may be prepared as a preparation in which the amount of a bioactive drug is adjusted so that an effective amount can be administered in advance.
  • the amount of sustained-release ointment that fills the periodontal boxet varies depending on the periodontal condition of the patient, but is preferably about 5 to 5 Omg.
  • a mixture of 1.5 g of liquid polyethylene glycol (molecular weight: 400), 2.5 g of solid polyethylene glycol (molecular weight: 400) and 0.5 g of triacetin was heated to 100.
  • 3 g of a lactic acid / glycolic acid copolymer (lactic acid / glycolic acid: 75/25, molecular weight: 1500) was added and liquefied, followed by stirring for 30 minutes. And made it even.
  • the mixture was cooled to 50 ° C., and a solution of 1 g of minocycline hydrochloride uniformly dispersed in 1.5 g of liquid polyethylene glycol (molecular weight: 400) was added to obtain an ointment. Further, this ointment was enclosed in a syringe for periodontal pocket administration to obtain a periodontal disease treatment kit.
  • a mixture of 4.0 g of gelled hydrocarbon and 0.5 g of triacetin was heated to 100 ° C., and 3 g of polylactic acid (molecular weight: 1000) was added to homogenize the mixture.
  • the mixture was cooled to 50, and a solution of doxycycline hydrochloride (1.0 g) uniformly dispersed in gelled hydrocarbon (1.5 g) was added. This composition became a solid instead of an ointment.
  • Example 1 Using the periodontal disease treatment kits obtained in Example 1 and Comparative Examples 1, 2, and 6, the ease of administration was confirmed by pressing a lot of syringes, and evaluated according to the following evaluation criteria. Table 1 shows the results.
  • Can be administered by syringe
  • Example 2 Cannot be administered by syringe Test Example 2 [Solidification test] 100 mg of each ointment obtained in Example 1 and Comparative Examples 1, 2, and 6 was placed in a glass cylinder having a diameter of 5 mm and opened on both sides. The moldability after removal and removal of the cylinder was evaluated according to the following evaluation criteria. Table of results
  • Time to be able to maintain or maintain a cylindrical shape is less than 10 seconds
  • Test Example 3 Antibiotics stability test (visual evaluation)]
  • Example 1 The ointments obtained in Example 1 and Comparative Examples 1, 2, and 6 were allowed to stand at 40 ° C. for 2 weeks, then visually compared with the initial color of the ointment, and evaluated according to the following evaluation criteria. Table 1 shows the results.
  • Example 5 [Slow release test]
  • Example 1 Using the periodontal disease treatment kits obtained in Example 1 and Comparative Examples 1, 2, and 6, an ointment was administered to a dog periodontal vocket created by a ligature model, and the solidification after administration was evaluated according to the following evaluation criteria. evaluated. Table 1 shows the results.
  • Test Example 8 Periodic retention test in periodontal bocket
  • Example I was excellent in immediate solidification and sustained release properties, and was excellent as a therapeutic agent for periodontal disease using a syringe, as compared with the ointment obtained in Comparative Example 26. It can be seen that it can be used appropriately.
  • the present invention has properties suitable for administration by syringe, and can be solidified immediately after contact with water after administration, and stable even for unstable bioactive drugs such as tetracycline antibiotics It is possible to provide a sustained-release ointment which can be blended with the present invention and a production method thereof. Furthermore, the sustained-release ointment of the present invention is easily administered to a periodontal pocket with a syringe using a periodontal disease treatment kit in which the sustained-release ointment is enclosed in a syringe.

Abstract

A sustained-release ointment for topical administration containing a biodegradable polymer, polyethylene glycol and a biologically active chemical which instantly solidifies when brought into contact with water; a process for producing the above sustained-release ointment which involves the step of heating the biodegradable polymer and polyethylene glycol to 70 to 120 °C and mixing and homogenizing in the liquid state; a kit for treating periodontal disease wherein the sustained-release ointment is enclosed in a syringe for the administration into a periodontal pocket; and a method of treating periodontal disease which comprises administering a therapeutically effective amount of the sustained-release ointment into a periodontal pocket.

Description

明 細 書 局所投与型徐放性軟膏 技術分野  Description Topical-release sustained-release ointment Technical field
本発明は、 組織再生、 外科的切除部の保護、 歯周病の治療等に好適に用いられ る局所投与型徐放性軟膏及びその製造方法、 該徐放性軟膏を用いた歯周病治療キ ット、 並びに該徐放性軟膏の治療上の有効量を歯周ポケットに投与する歯周病の 治療方法に関する。 背景技術  The present invention relates to a topically-administered sustained-release ointment suitably used for tissue regeneration, protection of a surgical resection, treatment of periodontal disease, and the like, a method for producing the same, and treatment of periodontal disease using the sustained-release ointment. The present invention relates to a kit, and a method for treating periodontal disease, wherein a therapeutically effective amount of the sustained-release ointment is administered to a periodontal pocket. Background art
従来、 生分解性ボリマーを用いた局所投与型の徐放性製剤として検討されてい るものの多くは、 投与後に固化又は付着することによつて投与部位に滞留し薬剤 を徐放するものである。 特に、 シリンジによる投与に適した製剤には、 生分解性 ポリマーを有機溶媒に溶解させたゲル状の製剤や、 生分解性ボリマーに有機溶媒 を適量添加し、 均一にしたペースト状の製剤がある。  Conventionally, many of the topical sustained-release preparations using biodegradable bolimers have been studied, which solidify or adhere after administration, stay at the administration site, and release the drug slowly. In particular, preparations suitable for administration by syringe include gel preparations in which a biodegradable polymer is dissolved in an organic solvent, and paste-form preparations in which an appropriate amount of an organic solvent is added to a biodegradable polymer and a uniform preparation is prepared. .
ゲル状の製剤としては、 特開平 7— 1 6 3 6 5 4号公報に生分解性ポリマーと 水溶性有機溶媒の混合物からなるィンプラント前駆体が開示されている。 ここに 開示された発明は、 生分解性ポリマーを水溶性有機溶媒に溶解させた製剤が水と 接触することによりインブラントを形成するというものである。 しかしながら、 この製剤は水と接触することにより即時的に固化するものの、 シリンジを用いた 投与に際しては、 シリンジの先端で製剤が固化し、 付着するため、 シリンジから 薬剤が離脱せず、 投与が容易でないという欠点がある。 また、 この製剤に使用す る水溶性有機溶媒はテトラサイクリン系抗生物質のような特に水溶性の強い生物 学的薬物を安定配合し難いという欠点もある。 さらに、 生分解性ポリマーと生物 活性薬物を均一に配合しつつ製剤を経時的に安定にすることも困難である。 さらにゲル状の製剤の例として、 水への溶解度が低い有機溶媒を用いた徐放性 の組成物が特表平 8— 5 1 1 5 2 8号公報に開示されている。 しかし水への溶解 度が低い有機溶媒を用いたゲルは、 投与後、 水の存在下で即時的に固化するよう なものにはならないという欠点がある。 As a gel-form preparation, Japanese Patent Laid-Open Publication No. Hei 7-166654 discloses an implant precursor comprising a mixture of a biodegradable polymer and a water-soluble organic solvent. The invention disclosed herein is that a formulation prepared by dissolving a biodegradable polymer in a water-soluble organic solvent comes into contact with water to form an imprint. However, although this product solidifies immediately upon contact with water, when administered using a syringe, the drug solidifies at the tip of the syringe and adheres, so the drug does not come off the syringe and administration is easy. There is a disadvantage that it is not. In addition, the water-soluble organic solvent used in this preparation also has a drawback that it is difficult to stably blend a particularly water-soluble biological drug such as a tetracycline antibiotic. Furthermore, it is difficult to stabilize the formulation over time while uniformly blending the biodegradable polymer and the bioactive drug. Further, as an example of a gel-form preparation, a sustained-release composition using an organic solvent having low solubility in water is disclosed in Japanese Patent Application Laid-Open No. HEI 8-5-115828. However, gels using organic solvents with low solubility in water have the disadvantage that after administration, they do not immediately solidify in the presence of water.
以上のようなゲル状の製剤は、 いずれも生分解性ポリマーを、 非加熱条件で生 分解性ボリマーを溶解する能力を有する有機溶媒に溶解して調製されるものであ ペースト状の製剤の例としては、 前記の特表平 8— 5 1 1 5 2 8号公報におい て、 開示された組成物の生分解性ポリマーと有機溶媒の配合比を変え、 生分解性 ボリマーの配合量を高くすることにより全体をペースト状にしたものが開示され ている。 これらはシリンジにより投与できるような形態になりつつも、 なお上述 したシリンジの先端での付着、 生物活性薬物の安定配合、 水への接触後の即時的 固化という面において十分ではない。  The above gel-like preparations are all prepared by dissolving a biodegradable polymer in an organic solvent capable of dissolving the biodegradable polymer under non-heating conditions.Examples of paste-like preparations In Japanese Patent Application Laid-Open No. Hei 8-5-111528, the blending ratio of the biodegradable polymer and the organic solvent in the disclosed composition is changed to increase the blending amount of the biodegradable polymer. Accordingly, a paste in the form of a whole is disclosed. Although these are in a form that can be administered by syringe, they are still not sufficient in terms of adhesion at the tip of the syringe, stable blending of the bioactive drug, and immediate solidification after contact with water.
一方、 以上のような生分解性ポリマーと生物活性薬物を含有したゲル状又はべ ースト状製剤の典型的な応用として歯周病治療へ展開した発明が多数開示されて いる。 その開示情報の中でも生物活性薬物として抗生物質、 特にテトラサイクリ ン系抗生物質が歯周病治療薬として有効であることが知られており、 種々の試み がなされている。 しかしながら、 テトラサイクリン系抗生物質は熱や水に対して 不安定であるため、 テトラサイクリン系抗生物質の安定化を達成し、 かつシリン ジによる投与に適した徐放性製剤の開発が望まれている。 発明の開示  On the other hand, there have been disclosed many inventions applied to the treatment of periodontal disease as a typical application of the gel or base preparation containing the biodegradable polymer and the bioactive drug as described above. Among the disclosed information, it has been known that antibiotics, particularly tetracycline antibiotics, as biologically active drugs are effective as therapeutic agents for periodontal disease, and various attempts have been made. However, since tetracycline antibiotics are unstable to heat and water, it has been desired to develop a sustained-release formulation that stabilizes the tetracycline antibiotic and is suitable for administration by syringe. Disclosure of the invention
従って、 本発明は、 シリンジによる投与に適した性状を有し、 投与後は水と接 触すると即時的に固化し得るとともに、 テトラサイクリン系抗生物質のような不 安定な生物活性薬物であつても安定に配合し得る徐放性軟耷及びその製造方法、 、 シリンジにより該徐放性軟育を歯周ボケットに容易に投与することができる歯 周病治療キット、 並びに該徐放性軟膏の治療上の有効量を歯周ボケットに投与す る歯周病の治療方法を提供することを目的とする。 Therefore, the present invention has properties suitable for administration by syringe, and can be immediately solidified upon contact with water after administration, and even if it is an unstable bioactive drug such as a tetracycline antibiotic. A sustained-release softener that can be stably blended, a method for producing the same, a tooth that can easily administer the sustained-release softener to a periodontal vocket with a syringe An object of the present invention is to provide a periodontal disease treatment kit, and a method for treating periodontal disease, in which a therapeutically effective amount of the sustained-release ointment is administered to a periodontal boxet.
本発明者らは、 生分解性ポリマーと生物活性薬物とを配合した局所投与型の徐 放性製剤について鋭意検討した結果、 軟育の基剤としてポリエチレングリコール を配合させることにより、 水と接触すると即時的に固化する性質を有する、 従来 になレ、軟膏製剤が得られることを見出し、 本発明を完成するに至った。  The present inventors have conducted intensive studies on a topically-administered sustained-release preparation containing a biodegradable polymer and a bioactive drug. The inventors have found that a conventional ointment preparation having the property of solidifying immediately can be obtained, and have completed the present invention.
本発明は、  The present invention
( 1 ) 生分解性ポリマー、 ボリエチレングリコール及び生物活性薬物を含有し てなる局所投与型徐放性軟膏であって、 水と接触すると即時的に固化する性質を 有する局所投与型徐放性軟膏、  (1) A topically-administered sustained-release ointment containing a biodegradable polymer, polyethylene glycol, and a bioactive drug, which has the property of solidifying immediately upon contact with water. ,
( 2 ) 生分解性ポリマーとボリエチレングリコールとを 7 0〜1 2 0 °Cの温度 に加熱し、 液状化により混合、 均一化する工程を有する前記 ( 1 ) 記載の徐放性 軟膏の製造方法、  (2) The production of the sustained-release ointment according to the above (1), comprising a step of heating the biodegradable polymer and polyethylene glycol to a temperature of 70 to 120 ° C., and mixing and homogenizing the mixture by liquefaction. Method,
( 3 ) 前記 ( 1 ) 記載の徐放性軟膏を歯周ポケット投与用のシリンジに封入し てなる歯周病治療キット、 並びに  (3) A periodontal disease treatment kit in which the sustained-release ointment according to (1) is enclosed in a syringe for periodontal pocket administration, and
( 4 ) 前記 ( 1 ) 記載の徐放性軟膏の治療上の有効量を歯周ボケッ トに投与す る歯周病の治療方法  (4) A method for treating periodontal disease, wherein a therapeutically effective amount of the sustained release ointment according to (1) is administered to a periodontal box.
に関する。 発明を実施するための最良の形態 About. BEST MODE FOR CARRYING OUT THE INVENTION
本発明の徐放性軟膏とは、 生分解性ポリマー、 ボリエチレングリコール及び生 物活性薬物を含有してなる局所投与型徐放性軟膏であつて、 水と接触すると即時 的に固化する性質を有することを特徴とする。  The sustained-release ointment of the present invention is a topically-administered sustained-release ointment containing a biodegradable polymer, polyethylene glycol and a bioactive drug, and has a property of solidifying immediately upon contact with water. It is characterized by having.
本発明において 「水と接触すると固化する」 とは、 本発明の徐放性軟膏は流動 性を有するが、 水と接触すると即時的に固化し、 流動性がなくなることを意味す る。 具体的には、 軟膏 1 0 O m gを直径 5 mmの両側が開放されたガラスの円筒 に入れ、 水中にしずめることにより、 軟膏の流動性が低下し、 円筒を除去しても 軟膏が円筒の形状を保つ程度に成形性を保持することをいう。 In the present invention, “solidifies on contact with water” means that the sustained-release ointment of the present invention has fluidity, but immediately solidifies on contact with water and loses fluidity. Specifically, 100 mg of ointment is a 5 mm diameter glass cylinder with open both sides. When the ointment is placed in water and dropped in water, the fluidity of the ointment decreases, and the ointment retains its formability to the extent that it retains its cylindrical shape even after the cylinder is removed.
「即時的」 とは、 上記試験において、 軟膏が成形性を保持するのに必要とされ る時間が、 1 0分以内、 好ましくは 1分以内、 より好ましくは 1 0秒以内である ことをいう。  "Immediate" means that the time required for the ointment to maintain its moldability in the above test is within 10 minutes, preferably within 1 minute, more preferably within 10 seconds. .
本発明における生分解性ポリマーとしては、 生分解活性を有する種々のポリマ 一を使用することができ、 具体的には医薬原料として使用されているボリ乳酸、 ポリグリコール酸、 ボリ力プロラクトン、 ポリプチロラクトン、 ポリプロビオラ クトン、 ポリ トリメチレンカーボネィト、 ボリアミノ酸、 ボリコハク酸ィミ ド及 びそれらの 2種以上の共重合体からなる群より選ばれた少なくとも 1種が好まし い。  As the biodegradable polymer in the present invention, various polymers having biodegradable activity can be used. Specifically, polylactic acid, polyglycolic acid, polyprolactone, polyp, which are used as pharmaceutical raw materials Preference is given to at least one member selected from the group consisting of tyrolactone, polypropiolactone, polytrimethylene carbonate, polyamino acids, borosuccinic acid imids, and copolymers of two or more thereof.
生分解性ボリマーの分子量は、 徐放性及び軟膏の性状を得る観点から、 1 0 0 0〜1 0 0 0 0 0が好ましく、 5 0 0 0〜 5 0 0 0 0がより好ましい。  The molecular weight of the biodegradable polymer is preferably 100 to 100,000, more preferably 500 to 500, from the viewpoint of obtaining sustained release properties and properties of the ointment.
生分解性ボリマーの含有量は、 徐放性の観点から、 5重量%以上が好ましく、 軟膏の性状を得るために、 5 0重量%以下が好ましい。 従って、 生分解性ポリマ —の含有量は、 5〜5 0重量%が好ましく、 1 0〜4 0重量%がより好ましい。 本発明におけるボリエチレングリコールは、 軟膏基剤として含有されており、 徐放性軟膏中、 2 0重量%以上が好ましく、 3 0〜9 0重量%がより好ましい。 さらに、 ポリエチレングリコールは、 製剤を軟膏状にするために、 2 5 °C、 1気 圧下において液体と固体の混合物であるのが好ましい。  The content of the biodegradable polymer is preferably 5% by weight or more from the viewpoint of sustained release, and is preferably 50% by weight or less to obtain the properties of the ointment. Therefore, the content of the biodegradable polymer is preferably 5 to 50% by weight, more preferably 10 to 40% by weight. Polyethylene glycol in the present invention is contained as an ointment base, and preferably 20% by weight or more, more preferably 30 to 90% by weight, in a sustained release ointment. Further, the polyethylene glycol is preferably a mixture of a liquid and a solid at 25 ° C. and 1 atmospheric pressure to make the preparation into an ointment.
液体のポリエチレングリコールの分子量は、 1 0 0 0以下が好ましく、 6 0 0 以下がより好ましい。 また、 固体のポリエチレングリコールの分子量は、 2 0 0 0以上が好ましく、 3 0 0 0以上がより好ましい。  The molecular weight of the liquid polyethylene glycol is preferably 100 or less, more preferably 600 or less. The molecular weight of the solid polyethylene glycol is preferably at least 2000, more preferably at least 300.
液体のポリエチレングリコールの含有量は、 徐放性の観点から、 徐放性軟膏中 From the viewpoint of sustained release, the content of liquid polyethylene glycol in the sustained release ointment
、 7 0重量%以下が好ましく、 5 0重量%以下がより好ましい。 また、 固体のポ リエチレングリコールの含有量は、 徐放性の観点から、 徐放性軟耷中、 5重量% 以上が好ましく、 1 0重量%以上がより好ましい。 , 70% by weight or less, more preferably 50% by weight or less. In addition, solid From the viewpoint of sustained release, the content of polyethylene glycol is preferably 5% by weight or more, more preferably 10% by weight or more, in the sustained release soft drink.
さらに、 液体のボリエチレングリコールと固体のポリエチレングリコールの重 量比 (液体ノ固体) は、 1ノ1 0〜1 0 Z 1が好ましく、 1 Z 2〜5 Z 1がより 好ましい。 従って、 ポリエチレングリコール 4 0 0とボリエチレングリコール 4 0 0 0との 1対 1混合物として一般に知られているマクロゴール軟膏も、 本発明 に用いることができる。  Furthermore, the weight ratio (liquid / solid) of liquid polyethylene glycol to solid polyethylene glycol is preferably 10 to 10 Z1, more preferably 1 Z2 to 5 Z1. Therefore, macrogol ointment generally known as a one-to-one mixture of polyethylene glycol 400 and polyethylene glycol 400 can also be used in the present invention.
本発明における生物活性薬物としては、 通常、 薬学的に用いられる種々のもの を使用することができるが、 特に、 歯周病治療において有効であることが知られ ているテトラサイクリン系抗生物質が好ましい。 テトラサイクリン系抗生物質は 熱や水に対して不安定で力価が低下しやすく、 力価低下時には色状が著しく変化 することが知られているが、 本発明では、 製剤中の抗生物質の力価、 製剤の色伏 等を経時的に変化しない状態で安定に維持することができる。 テトラサイクリン 系抗生物質としては、 例えばミノサイクリン、 テトラサイクリン、 ドキシサイク リン及びそれらの塩 (塩酸塩等) 等が挙げられ、 これらの中ではミノサイクリン 及びその塩が好ましい。 生物活性薬物の含有量は、 抗生物質としての薬理効果を 得るために、 徐放性軟膏中、 0 . 1〜5 0重量%が好ましく、 1〜3 0重量%が より好ましい。  As the biologically active drug in the present invention, various drugs which are usually used pharmaceutically can be used, and in particular, a tetracycline antibiotic which is known to be effective in treating periodontal disease is preferable. It is known that tetracycline antibiotics are unstable to heat and water and their titers tend to decrease, and it is known that the color changes significantly when the titer decreases. It is possible to stably maintain the titer, the coloration of the preparation and the like without changing over time. Examples of the tetracycline antibiotic include minocycline, tetracycline, doxycycline, and salts thereof (hydrochloride and the like). Of these, minocycline and its salts are preferable. The content of the bioactive drug is preferably 0.1 to 50% by weight, more preferably 1 to 30% by weight in the sustained-release ointment in order to obtain a pharmacological effect as an antibiotic.
さらに、 本発明の徐放性軟膏には、 さらなる徐放性の向上を図るべく、 水への 溶解度が低い有機溶媒が含有されているのが好ましい。 かかる有機溶媒による徐 放性の向上効果は、 生物活性薬物の初期バーストを抑えることにより得られるも のと推定される。 本発明において、 水への溶解度が低い有機溶媒とは、 2 0 °C、 1気圧下において、 水への溶解度が 3 0重量 以下、 好ましくは 2 0重量 以下 のものをいう。 従って、 かかる有機溶媒としては、 薬学的に許容され、 水にわず かに溶解すると一般に知られているものを例示することができる。 具体的には、 トリアセチン、 クェン酸トリェチル及び炭酸プロピレンからなる群より選ばれた 少なくとも 1種が好ましい。 Further, the sustained-release ointment of the present invention preferably contains an organic solvent having low solubility in water in order to further improve the sustained-release property. It is presumed that such an effect of improving the sustained release by the organic solvent is obtained by suppressing the initial burst of the bioactive drug. In the present invention, the organic solvent having low solubility in water refers to an organic solvent having a solubility in water of 30% by weight or less, preferably 20% by weight or less at 20 ° C. and 1 atm. Therefore, examples of such organic solvents include pharmaceutically acceptable solvents that are generally known to be slightly soluble in water. Specifically, selected from the group consisting of triacetin, triethyl quenate and propylene carbonate At least one is preferred.
水への溶解度が 3 0重量%以下の有機溶媒の含有量は、 初期バーストを防止し 、 かつ軟膏をより速やかに固化させるために、 徐放性軟膏中、 0 . 1〜2 0重量 %が好ましく、 1〜1 0重量%がより好ましい。  The content of the organic solvent having a solubility in water of 30% by weight or less is 0.1 to 20% by weight in the sustained-release ointment in order to prevent the initial burst and to solidify the ointment more quickly. Preferably, it is more preferably 1 to 10% by weight.
なお、 本発明の徐放性軟膏には、 抗炎症や組織再生能などの薬理作用をもつ生 理活性物質や医薬用として通常使用される多価アルコール、 界面活性剤、 増粘剤 、 抗酸化剤、 p H調整剤等の添加剤が発明の効果を損ねない範囲で適宜含有され ていてもよい。  The sustained-release ointment of the present invention includes a physiologically active substance having a pharmacological action such as anti-inflammation and tissue regeneration ability, a polyhydric alcohol usually used for pharmaceuticals, a surfactant, a thickener, an antioxidant, Agents, pH adjusting agents, and other additives may be appropriately contained within a range that does not impair the effects of the present invention.
なお、 軟膏が固化するためには、 固化した軟膏において、 2 5でで液体である 成分の含有量の合計が少なくとも 5 0重量%以下となるように配合されているの が好ましい。 すなわち、 液体のボリエチレングリコール、 有機溶媒及びその他の 液状の添加物の全体に対する含有量の合計が、 固化した軟膏中、 5 0重量%以下 であることが固化のためには好ましい。  In order to solidify the ointment, the solidified ointment is preferably blended so that the total content of the components that are liquid in 25 is at least 50% by weight or less. That is, the total content of the liquid polyethylene glycol, the organic solvent, and other liquid additives in the solidified ointment is preferably 50% by weight or less in the solidified ointment.
本発明の徐放性軟膏は、 生分解性ポリマーとボリエチレングリコールとを特定 の温度に加熱し、 液状化により混合、 均一化する工程を経て製造することができ る。 即ち、 生分解性ボリマーと、 軟膏基剤としてポリエチレングリコールとを、 7 0 - 1 2 0でで加熱し、 液伏化することにより、 生分解性ポリマーが徐放性を 失うほどには加水分解されず、 混合、 均一化することができる。 ここで、 加熱温 度は、 生分解性ポリマーをボリエチレングリコール中において液伏化するために 、 1気圧下で 7 0で以上、 好ましくは 9 0 eC以上であり、 生分解性ポリマーの加 水分解の促進を防止するために、 1 2 0で以下、 より好ましくは 1 1 0で以下で ある。 従って、 加熱温度は、 7 0〜1 2 0 °C、 好ましくは 9 0〜1 1 0でである 。 加熱時間は、 生分解性ボリマーの加水分解の促進を防止するために、 6時間以 下が好ましい。 The sustained-release ointment of the present invention can be produced through a process in which a biodegradable polymer and polyethylene glycol are heated to a specific temperature, mixed and homogenized by liquefaction. That is, the biodegradable polymer and polyethylene glycol as an ointment base are heated at 70-120 and then liquidified, so that the biodegradable polymer is hydrolyzed to such an extent that it loses sustained release. Instead, they can be mixed and homogenized. Here, the heating temperature, in order to liquid saphenous of the biodegradable polymer in Helsingborg ethylene glycol, or 7 0 under 1 atm is preferably 9 0 e C or more, the biodegradable polymer additive In order to prevent the promotion of water splitting, the value is 120 or less, more preferably 110 or less. Therefore, the heating temperature is 70 to 120 ° C., preferably 90 to 110 °. The heating time is preferably 6 hours or less in order to prevent the promotion of hydrolysis of the biodegradable polymer.
混合方法は、 特に限定されず、 例えば、 手動の他、 マグネチックスターラーや プロペラ攪拌機、 ホモミキサ一等の市販の攪拌機による方法を用いることができ る。 The mixing method is not particularly limited. For example, in addition to manual operation, a method using a commercially available stirrer such as a magnetic stirrer, a propeller stirrer, or a homomixer can be used. You.
従って、 本発明の徐放性軟青の製造方法は、 前記のような、 特定の温度条件下 での生分解性ポリマーとポリエチレングリコールの加熱、 混合工程を有する方法 であれば特に限定されず、 例えば、 1気圧下で室温状態にある生分解性ポリマー とポリエチレングリコールを加熱及び液状化し、 混合した後、 再び室温まで冷却 する方法が挙げられる。  Therefore, the method for producing the sustained-release soft blue of the present invention is not particularly limited as long as the method has a step of heating and mixing the biodegradable polymer and polyethylene glycol under specific temperature conditions as described above. For example, there is a method in which a biodegradable polymer and polyethylene glycol at room temperature under 1 atm are heated and liquefied, mixed, and then cooled to room temperature again.
なお、 生物活性薬物は生分解性ポリマーとポリエチレングリコールの加熱の前 後のどちらにおいても添加することができるが、 生物活性薬物を安定に維持する ためには、 加熱後の冷却中又は冷却後に添加する方法が好ましい。  The bioactive drug can be added before or after heating the biodegradable polymer and polyethylene glycol.However, to maintain the bioactive drug stably, add it during or after cooling after heating. Is preferred.
また、 水への溶解度が低い有機溶媒の添加も、 加熱前後のどちらであってもよ いが、 製剤の均一性の観点から、 加^前もしくは液状化している伏態で添加する のが望ましく、 少なくとも室温において固体であるポリエチレングリコールを用 いている場合は、 その融点以上の温度で添加するのがより望ましい。  The organic solvent having low solubility in water may be added before or after heating. However, from the viewpoint of uniformity of the preparation, it is desirable to add the organic solvent before adding or in a liquefied state. However, when polyethylene glycol which is solid at least at room temperature is used, it is more preferable to add it at a temperature not lower than its melting point.
本発明の徐放性軟膏は、 局所投与型徐放性軟膏として用いられるが、 「局所投 与型」 とは、 薬学的に通常用いられる局所部位を意味し、 本発明で説明されてい る歯周ポケットに限らず、 外用、 皮下、 骨などの局所部位への投与を意味する。 また、 軟膏が固化するための水は、 投与部位における身体的な水によるものでも 、 投与前又は後に身体外の水を利用するものであってもよい。 投与部位における 身体的な水とは、 例えば唾液や歯周ボケットにおける滲出液である。  The sustained-release ointment of the present invention is used as a topically-administered sustained-release ointment. The term “topically-administered” refers to a local site that is usually used pharmaceutically, and is described in the present invention. It refers to administration not only to the peripheral pocket but also to local sites such as external use, subcutaneous, and bone. The water for solidifying the ointment may be water from the body at the administration site or water from outside the body before or after the administration. Physical water at the site of administration is, for example, saliva or exudate in periodontal bockets.
本発明の徐放性軟膏は、 含有する生分解性ボリマーのモノマーや重合度、 ポリ ェチレングリコールの分子量により、 その徐放性及び粘度を調整することができ 、 本発明ではさらに、 本発明の徐放性軟膏を歯周ボケット投与用のシリンジに封 入した歯周病治療キットを提供する。  The sustained-release ointment of the present invention can adjust its sustained-release property and viscosity by controlling the monomer and the degree of polymerization of the biodegradable polymer contained therein, and the molecular weight of the polyethylene glycol. Provided is a periodontal disease treatment kit in which a sustained release ointment is sealed in a syringe for periodontal vocket administration.
歯周ポケット投与用のシリンジとしては、 歯周病治療用として開発された、 例 えば、 「ペリオクリン」 (商品名、 サンスター社製) 等が挙げられる。 徐放性軟 膏は、 予め、 シリンジによる投与に適した粘度に調整されていることが好ましく 、 具体的には、 使用するシリンジや状況によって異なるため、 一概には決定でき ないが、 5 0 0〜4 0万 c p sの粘度が好ましい。 Syringes for periodontal pocket administration include, for example, “Periocrine” (trade name, manufactured by Sunstar), etc., which have been developed for the treatment of periodontal disease. Sustained-release ointments are preferably adjusted in advance to a viscosity suitable for administration with a syringe. Specifically, since the viscosity varies depending on the syringe used and the situation, it cannot be determined unconditionally, but a viscosity of 500 to 400,000 cps is preferable.
従って、 本発明によって、 本発明の徐放性軟膏の治療上の有効量を歯周ボケッ トに投与する歯周病の治療方法が提供される。 治療上の有効量としては、 生物活 性薬物が歯周病治療において有効な程度に歯周ボケッ卜に投与される量が望まし く、 生物活性薬物の種類及びその製剤中の配合濃度によって異なるが、 例えば、 生物活性薬物が抗生物質である場合、 歯周ポケットにおいて、 抗生物質が、 少な くとも病原性菌の最小発育阻止濃度 (M I C ) 以上の量となるように投与される ことが望ましい。 具体的に、 ミノサイクリンの場合は、 ミノサイクリンが、 歯周 ボケット中の歯肉溝滲出液 (G C F ) 中、 少なくとも 0 . 1 g/m 1以上、 好 ましくは 1 g Zm 1以上となるように、 本発明の徐放性軟膏が投与されること が望ましい。  Therefore, the present invention provides a method for treating periodontal disease, which comprises administering a therapeutically effective amount of the sustained-release ointment of the present invention to a periodontal bucket. The therapeutically effective amount is preferably such that the bioactive drug is administered to the periodontium to the extent that it is effective in treating periodontal disease, and varies depending on the type of bioactive drug and its concentration in the preparation. If, for example, the bioactive drug is an antibiotic, it is desirable to administer the antibiotic in the periodontal pocket in an amount at least above the minimum inhibitory concentration (MIC) of the pathogenic bacterium . Specifically, in the case of minocycline, the minocycline should be present in the gingival crevicular fluid (GCF) in the periodontal pocket at least 0.1 g / m 1 or more, preferably 1 g Zm 1 or more. It is desirable to administer the sustained release ointment of the present invention.
また、 治療方法としては、 前記のように治療上の有効量を投与する他、 本発明 の徐放性軟膏を、 あらかじめ有効量を投与できるように生物活性薬物の配合量を 調節した製剤としておき、 歯周ボケットに充満するように投与する方法が簡便で 有効である。 なお、 歯周ボケットに充満する徐放性軟膏の量は、 患者の歯周状態 により変化するが、 5〜5 O m g程度が望ましい。 以下、 実施例等により、 本発明をさらに詳しく説明するが、 本発明はかかる実 施例により何ら限定されるものではない。 実施例 1  In addition, as a treatment method, in addition to administering a therapeutically effective amount as described above, the sustained-release ointment of the present invention may be prepared as a preparation in which the amount of a bioactive drug is adjusted so that an effective amount can be administered in advance. However, it is simple and effective to administer so that the periodontal vocket is filled. The amount of sustained-release ointment that fills the periodontal boxet varies depending on the periodontal condition of the patient, but is preferably about 5 to 5 Omg. Hereinafter, the present invention will be described in more detail with reference to examples and the like, but the present invention is not limited to the examples. Example 1
液体のポリエチレングリコール (分子量: 4 0 0 ) 1 . 5 g、 固体のボリェチ レングリコール (分子量: 4 0 0 0 ) 2 . 5 g及びトリァセチン 0 . 5 gの混合 物を 1 0 0でに加熱し、 乳酸グリコール酸共重合体 (乳酸 グリコール酸: 7 5 / 2 5、 分子量: 1 5 0 0 0 ) 3 gを添加し、 液状化させた後、 3 0分間攪拌し て均一にした。 この混合物を 50°Cまで冷却し、 ミノサイクリン塩酸塩 1 gを液 体のボリエチレングリコール (分子量: 4 00 ) 1. 5 gに均一分散したものを 添加し、 軟膏を得た。 さらに、 この軟膏を歯周ポケット投与用シリンジに封入し 、 歯周病治療用キットを得た。 実施例 2 A mixture of 1.5 g of liquid polyethylene glycol (molecular weight: 400), 2.5 g of solid polyethylene glycol (molecular weight: 400) and 0.5 g of triacetin was heated to 100. 3 g of a lactic acid / glycolic acid copolymer (lactic acid / glycolic acid: 75/25, molecular weight: 1500) was added and liquefied, followed by stirring for 30 minutes. And made it even. The mixture was cooled to 50 ° C., and a solution of 1 g of minocycline hydrochloride uniformly dispersed in 1.5 g of liquid polyethylene glycol (molecular weight: 400) was added to obtain an ointment. Further, this ointment was enclosed in a syringe for periodontal pocket administration to obtain a periodontal disease treatment kit. Example 2
液体のポリエチレングリコール (分子量: 40 0 ) 1. 5 g、 固体のポリェチ レングリコール (分子量: 4000 ) 2. 5 g及びクェン酸トリェチル 0. 5 g の混合物を 1 0 0でに加熱し、 力プロラクトングリコール酸共重合体 (力プロラ クトン/グリコ一ル酸: 70 30、 分子量: 1 0000 ) 3 gを添加し、 液状 化させた後、 30分間攪拌して均一にした。 この混合物を 50°Cまで冷却し、 ミ ノサイクリン塩酸塩 0. 5 gを液体のボリエチレングリコール (分子量: 4 0 0 ) 2 gと均一分散したものを加添加し、 軟膏を得た。 実施例 3  Heat a mixture of 1.5 g of liquid polyethylene glycol (molecular weight: 400), 2.5 g of solid polyethylene glycol (molecular weight: 4000) and 0.5 g of triethyl citrate to 100 3 g of lactone glycolic acid copolymer (prolactone / glycolic acid: 7030, molecular weight: 10,000) was added, and the mixture was liquefied and stirred for 30 minutes to be uniform. The mixture was cooled to 50 ° C., and a solution obtained by uniformly dispersing 0.5 g of minocycline hydrochloride and 2 g of liquid polyethylene glycol (molecular weight: 400) was added to obtain an ointment. Example 3
液体のポリエチレングリコール (分子量: 300 ) 2 g、 固体のポリエチレン グリコール (分子量: 4000 ) 2 g及び炭酸プロピレン 0. 3 gの混合物を 1 00°Cに加熱し、 ボリコハク酸ィミ ド (分子量: 1 0 00 0 ) 2 gを添加し、 液 状化させた後、 30分攪拌して均一にした。 この混合物を 5 (TCまで冷却し、 ド キシサイクリン塩酸塩 1 gを液体のポリエチレングリコール (分子量: 300 ) 2. 7 gに均一分散したものを添加し、 軟膏を得た。 実施例 4  A mixture of 2 g of liquid polyethylene glycol (molecular weight: 300), 2 g of solid polyethylene glycol (molecular weight: 4000) and 0.3 g of propylene carbonate was heated to 100 ° C, and borsuccinimide (molecular weight: 1) was heated. 2 000 g) was added, and the mixture was liquefied, followed by stirring for 30 minutes to make it uniform. The mixture was cooled to 5 (TC), and 1 g of doxycycline hydrochloride, uniformly dispersed in 2.7 g of liquid polyethylene glycol (molecular weight: 300), was added to obtain an ointment.
液体のポリエチレングリコール (分子量: 400 ) 3. 5 g及び固体のボリエ チレングリコール (分子量: 6000 ) 2. 5 gの混合物を 1 00°Cに加熱し、 ポリ乳酸 (分子量: 1 0000 ) 2 gを添加し、 液状化させた後、 30分攪拌し て均一にした。 この混合物を 50°Cまで冷却し、 テトラサイクリン塩酸塩 0. 5 gを液体のポリエチレングリコール (分子量: 400 ) 1. 5 gに均一分散した ものを添加し、 軟膏を得た。 比較例 1 A mixture of 3.5 g of liquid polyethylene glycol (molecular weight: 400) and 2.5 g of solid polyethylene glycol (molecular weight: 6000) was heated to 100 ° C, and 2 g of polylactic acid (molecular weight: 10000) was added. Add, liquefy, and stir for 30 minutes And made it even. The mixture was cooled to 50 ° C., and 0.5 g of tetracycline hydrochloride uniformly dispersed in 1.5 g of liquid polyethylene glycol (molecular weight: 400) was added to obtain an ointment. Comparative Example 1
ポリ乳酸 (分子量: 1 0000 ) 3 gを N—メチルー 2—ピロリ ドン 6 gに室 温で溶解させ、 ミノサイクリン塩酸塩 1 gを添加し、 徐放性ゲルを得た。 さらに 、 このゲルを歯周ポケット投与用シリンジに封入し、 歯周病治療用キットを得た  3 g of polylactic acid (molecular weight: 10,000) was dissolved in 6 g of N-methyl-2-pyrrolidone at room temperature, and 1 g of minocycline hydrochloride was added to obtain a sustained-release gel. Furthermore, this gel was enclosed in a syringe for periodontal pocket administration, and a periodontal disease treatment kit was obtained.
比較例 2 Comparative Example 2
乳酸グリコール酸共重合体 (乳酸 Zグリコール酸: 75/25, 分子量: 1 5 000 ) 3 gをトリァセチン 6 gに室温で溶解させ、 ミノサイクリン塩酸塩 l g を添加し、 徐放性ゲルを得た。 さらに、 このゲルを歯周ポケット投与用シリンジ に封入し、 歯周病治療用キットを得た。 比較例 3  3 g of a lactic acid / glycolic acid copolymer (lactic acid / Z glycolic acid: 75/25, molecular weight: 15 000) was dissolved in 6 g of triacetin at room temperature, and 1 g of minocycline hydrochloride was added to obtain a sustained-release gel. Further, this gel was sealed in a syringe for periodontal pocket administration to obtain a periodontal disease treatment kit. Comparative Example 3
白色ワセリン 4. 5 gを 1 00°Cに加熱し、 ボリ乳酸 (分子量: 1 000 0) 3 gを添加し、 均一化した。 この混合物を 50でまで冷却し、 ドキシサイクリン 塩酸塩 1 gを白色ワセリン 1. 5 gに均一分散したものを添加したところ、 この 組成物は軟耷にならず固体になつた。 比較例 4  4.5 g of white petrolatum was heated to 100 ° C., and 3 g of polylactic acid (molecular weight: 10000) was added to homogenize. The mixture was cooled to 50, and a solution of 1 g of doxycycline hydrochloride uniformly dispersed in 1.5 g of white petrolatum was added. As a result, the composition did not soften and became a solid. Comparative Example 4
白色ヮセリン 2. 5 g及びクェン酸トリェチル 3 gの混合物を 1 0 0°Cに加熱 し、 ポリ乳酸 (分子量: 1 0000 ) 2 gを添加し、 均一化した。 この混合物を 50°Cまで冷却し、 テトラサイクリン塩酸塩 1. 0 gを白色ワセリン 1. 5 gに 均一分散したものを添加したところ、 この組成物は直ちに固体とゲルの 2相に分 離し、 軟膏は得られなかった。 比較例 5 A mixture of 2.5 g of white deserin and 3 g of triethyl citrate was heated to 100 ° C., and 2 g of polylactic acid (molecular weight: 10,000) was added to homogenize the mixture. The mixture was cooled to 50 ° C and 1.0 g of tetracycline hydrochloride was converted to 1.5 g of white petrolatum. Upon addition of the homogeneous dispersion, the composition immediately separated into two phases, solid and gel, and no ointment was obtained. Comparative Example 5
ゲル化炭化水素 4 . O g及びトリァセチン 0 . 5 gの混合物を 1 0 0 °Cに加熱 し、 ボリ乳酸 (分子量: 1 0 0 0 0 ) 3 gを添加し、 均一化した。 この混合物を 5 0でまで冷却し、 ドキシサイクリン塩酸塩 1 . O gをゲル化炭化水素 1 . 5 g に均一分散したものを添加したところ、 この組成物は軟膏にならず固体になつた  A mixture of 4.0 g of gelled hydrocarbon and 0.5 g of triacetin was heated to 100 ° C., and 3 g of polylactic acid (molecular weight: 1000) was added to homogenize the mixture. The mixture was cooled to 50, and a solution of doxycycline hydrochloride (1.0 g) uniformly dispersed in gelled hydrocarbon (1.5 g) was added.This composition became a solid instead of an ointment.
比較例 6 Comparative Example 6
ゲル化炭化水素 2 . 5 g及びトリァセチン 3 gの混合物を 1 0 0 に加熱し、 ポリ乳酸 (分子量: 1 0 0 0 0 ) 2 gを添加し、 均一化した。 この混合物を 5 0 でまで冷却し、 ミノサイクリン塩酸塩 1 . O gをゲル化炭化水素 1 . 5 gに均一 分散したものを添加し、 軟耷を得た。 さらに、 この軟膏を歯周ポケット投与用シ リンジに封入し、 歯周病治療用キットを得た。 試験例 1 〔シリンジ使用試験〕  A mixture of 2.5 g of gelled hydrocarbon and 3 g of triacetin was heated to 100, and 2 g of polylactic acid (molecular weight: 100000) was added to homogenize. The mixture was cooled to 50, and a solution obtained by uniformly dispersing 1.0 g of minocycline hydrochloride in 1.5 g of gelled hydrocarbon was added to obtain a softened product. Further, this ointment was enclosed in a syringe for periodontal pocket administration to obtain a periodontal disease treatment kit. Test Example 1 [Syringe use test]
実施例 1及び比較例 1、 2、 6で得られた歯周病治療用キットを用い、 シリン ジのロットを押すことにより、 投与の容易さを確認し、 以下の評価基準により評 価した。 結果を表 1に示す。  Using the periodontal disease treatment kits obtained in Example 1 and Comparative Examples 1, 2, and 6, the ease of administration was confirmed by pressing a lot of syringes, and evaluated according to the following evaluation criteria. Table 1 shows the results.
〔評価基準〕  〔Evaluation criteria〕
〇: シリンジでの投与が可能  〇: Can be administered by syringe
X : シリンジでの投与が不可能 試験例 2 〔固化試験〕 実施例 1及び比較例 1、 2、 6で得られた軟膏各 1 0 O m gを、 直径 5 mmの 両側が開放されたガラスの円筒に入れ、 1分間、 水中にしずめた後、 水からとり 出し、 円筒を除去した後の成形性を以下の評価基準に従って評価した。 結果を表X: Cannot be administered by syringe Test Example 2 [Solidification test] 100 mg of each ointment obtained in Example 1 and Comparative Examples 1, 2, and 6 was placed in a glass cylinder having a diameter of 5 mm and opened on both sides. The moldability after removal and removal of the cylinder was evaluated according to the following evaluation criteria. Table of results
1に示す。 Shown in 1.
〔評価基準〕  〔Evaluation criteria〕
+ 1時間以上、 円筒形を維持  + Maintain cylindrical shape for more than 1 hour
+ 1 0秒以上 1時間未満、 円筒形を維持  + 10 seconds or more and less than 1 hour, maintaining cylindrical shape
円筒形にならない、 又は円筒形を維持できる時間が 1 0秒未満 試験例 3 〔抗生物質安定性試験 (目視評価) 〕  Time to be able to maintain or maintain a cylindrical shape is less than 10 seconds Test Example 3 [Antibiotics stability test (visual evaluation)]
実施例 1及び比較例 1、 2、 6で得られた軟膏を、 4 0 °Cで 2週間放置後、 目 視により軟膏の色状を初期と比較、 以下の評価基準に従って評価した。 結果を表 1に示す。  The ointments obtained in Example 1 and Comparative Examples 1, 2, and 6 were allowed to stand at 40 ° C. for 2 weeks, then visually compared with the initial color of the ointment, and evaluated according to the following evaluation criteria. Table 1 shows the results.
〔評価基準〕  〔Evaluation criteria〕
+:初期と変化なし  +: No change from initial
一 :やや黄変  I: Slightly yellowing
一一 :黄変 試験例 4 〔抗生物質安定性試験 (定量試験) 〕  11: Yellowing Test Example 4 [Antibiotics stability test (quantitative test)]
実施例 1及び比較例 1、 2、 6で得られた軟膏を、 4 0 °Cで 2週間放置後、 高 速液体クロマトグラフィー (H P L C ) で抗生物質を定量し、 初期値に対する抗 生物質の量 (重量 を求めた。 結果を表 1に示す。 試験例 5 〔徐放性試験〕  After leaving the ointment obtained in Example 1 and Comparative Examples 1, 2, and 6 at 40 ° C for 2 weeks, the antibiotic was quantified by high performance liquid chromatography (HPLC), and the amount of the antibiotic relative to the initial value was determined. Amount (weight was determined. The results are shown in Table 1. Test Example 5 [Slow release test]
実施例 1及び比較例 1、 2、 6で得られた軟膏各 1 0 O m gを透析チューブ ( 三光純薬社製、 分画分子量: 1 2 0 0 0〜1 4 0 0 0 ) に封入したものを、 1 0 O m Lの P B Sに入れ、 外液を 1日ごとに交換し、 外液中の抗生物質の量を分光 光度計により経時的に測定して 7日目の抗生物質の放出量 (重量 を求めた。 結果を表 1に示す。 試験例 6 〔歯周ポケット投与試験〕 10 Omg each of the ointments obtained in Example 1 and Comparative Examples 1, 2, and 6 was sealed in a dialysis tube (manufactured by Sanko Junyaku Co., Ltd., molecular weight cut off: 1200 to 1400). Things, 1 0 Place in OmL of PBS, exchange the external solution every day, and measure the amount of antibiotic in the external solution over time using a spectrophotometer. The results are shown in Table 1. Test Example 6 [Periodontal pocket administration test]
市販されている歯周病治療用軟膏をこれまでに犬歯周ボケットに投与した経験 のある 3名が、 実施例 1及び比較例 1、 2、 6で得られた歯周病治療用キットを 用い、 リガチヤ一モデルにより作成した犬歯周ボケットにそれぞれ 3回ずつ軟膏 を投与し、 投与後のポケット内の軟膏の残存性を目視により実施し、 全ボケット 数における投与成功数を比較した。 結果を表 1に示す。 試験例 7 〔歯周ボケット内固化試験〕  Three people who have ever administered a commercially available ointment for periodontal disease to a canine periodontal boxet use the periodontal disease treatment kits obtained in Example 1 and Comparative Examples 1, 2, and 6. The ointment was administered three times to each of the dog periodontal vockets prepared by the Rigachia model, and the remaining ointment in the pocket after administration was visually observed to compare the number of successful administrations in all the number of vockets. Table 1 shows the results. Test Example 7 (Periodic boquette solidification test)
実施例 1及び比較例 1、 2、 6で得られた歯周病治療用キットを用い、 リガチ ヤーモデルにより作成した犬歯周ボケットに軟膏を投与し、 投与後の固化性を以 下の評価基準に従って評価した。 結果を表 1に示す。  Using the periodontal disease treatment kits obtained in Example 1 and Comparative Examples 1, 2, and 6, an ointment was administered to a dog periodontal vocket created by a ligature model, and the solidification after administration was evaluated according to the following evaluation criteria. evaluated. Table 1 shows the results.
〔評価基準〕  〔Evaluation criteria〕
+ +: 1 0秒未満で固化する。  ++: solidifies in less than 10 seconds.
+: 1 0秒以上 1 0分未満で固化する。  +: Solidifies in 10 seconds or more and less than 10 minutes.
一: 1 0分後に固化していない。 試験例 8 〔歯周ボケット内滞留試験〕  1: Not solidified after 10 minutes. Test Example 8 (Periodic retention test in periodontal bocket)
市販されている歯周病治療用軟膏をこれまでに犬歯周ポケットに投与した経験 のある 3名が、 実施例 1及び比較例 1、 2、 6で得られた歯周病治療用キットを 用い、 リガチヤ一モデルにより作成した犬歯周ボケットにそれぞれ 3回ずつ軟膏 を投与し、 1週間後の歯周ボケット内におけるミノサイクリンの滞留性を評価し た。 評価は 1週間後にろ紙 (2 mm x 1 O mm) を用いてボケット内の滲出液を 採取し、 ミノサイクリンを H P L Cで検出することにより、 全ボケッ ト数におけ るミノサイクリンの残存ボケット数で比較した。 結果を表 1に示す。 表 1 Three people who have ever administered a commercially available ointment for periodontal disease to the canine periodontal pocket use the periodontal disease treatment kits obtained in Example 1 and Comparative Examples 1, 2, and 6. The ointment was administered three times to dog periodontal vockets prepared using the Rigachia model, and the retention of minocycline in the periodontal vockets was evaluated one week later. One week later, the exudate in the bocket was removed using filter paper (2 mm x 1 O mm). The samples were collected, and minocycline was detected by HPLC, and compared with the number of remaining minocycline boquettes in the total number of boquettes. Table 1 shows the results. table 1
Figure imgf000016_0001
以上の結果より、 比較例し 2 6で得られた軟膏と対比して、 実施例 Iの軟 膏は、 即時固化性及び徐放性に優れ、 シリンジを用いて、 歯周病治療剤として好 適に用いられ得ることが分かる。 産業上の利用可能性
Figure imgf000016_0001
From the above results, the ointment of Example I was excellent in immediate solidification and sustained release properties, and was excellent as a therapeutic agent for periodontal disease using a syringe, as compared with the ointment obtained in Comparative Example 26. It can be seen that it can be used appropriately. Industrial applicability
本発明により、 シリンジによる投与に適した性状を有し、 投与後は水と接触す ると即時的に固化し得るとともに、 テトラサイクリン系抗生物質のような不安定 な生物活性薬物であつても安定に配合し得る徐放性軟膏及びその製造方法を提供 することができる。 さらに、 本発明の徐放性軟膏をシリンジに封入した歯周病治 療キットにより、 シリンジにより該徐放性軟膏を歯周ポケットに容易に投与する  According to the present invention, it has properties suitable for administration by syringe, and can be solidified immediately after contact with water after administration, and stable even for unstable bioactive drugs such as tetracycline antibiotics It is possible to provide a sustained-release ointment which can be blended with the present invention and a production method thereof. Furthermore, the sustained-release ointment of the present invention is easily administered to a periodontal pocket with a syringe using a periodontal disease treatment kit in which the sustained-release ointment is enclosed in a syringe.
I 4 S ΐ I 4 S ΐ
8T910/C0df/X3d 8ΪΖΟ.0/εθ OAV 8T910 / C0df / X3d 8ΪΖΟ.0 / εθ OAV

Claims

請求の範囲 The scope of the claims
1 . 生分解性ポリマー、 ボリエチレングリコール及び生物活性薬物を含有して なる局所投与型徐放性軟膏であって、 水と接触すると即時的に固化する性質を有 する局所投与型徐放性軟膏。 1. A topically-administered sustained-release ointment containing a biodegradable polymer, polyethylene glycol, and a bioactive drug, which has the property of solidifying immediately upon contact with water. .
2 . さらに、 2 0で、 1気圧下における、 水への溶解度が 3 0重量%以下の有 機溶媒を含有してなる請求項 1記載の徐放性軟膏。 2. The sustained-release ointment according to claim 1, further comprising an organic solvent having a solubility in water of 30% by weight or less at 20 at 1 atm.
3 . 生分解性ポリマーの含有量が 5〜 5 0重量%、 ポリエチレングリコールの 含有量が 2 0重量%以上、 有機溶媒の含有量が 0 . 1 ~ 2 0重量%である請求項 2記載の徐放性軟膏。 3. The content according to claim 2, wherein the content of the biodegradable polymer is 5 to 50% by weight, the content of the polyethylene glycol is 20% by weight or more, and the content of the organic solvent is 0.1 to 20% by weight. Sustained-release ointment.
4 . ポリエチレングリコールが 2 5で、 1気圧下において液体と固体の混合物 である請求項 1〜 3いずれか記載の徐放性軟膏。 4. The sustained-release ointment according to any one of claims 1 to 3, wherein the polyethylene glycol is 25 and is a mixture of a liquid and a solid at 1 atm.
5 . 生分解性ポリマーがポリ乳酸、 ポリグリコール酸、 ポリ力プロラクトン、 ポリプチロラクトン、 ポリプロピオラクトン、 ポリ トリメチレンカーボネィト、 ポリアミノ酸、 ボリコハク酸イミ ド及びそれらの 2種以上の共重合体からなる群 より選ばれた少なくとも 1種である請求項 1〜4いずれか記載の徐放性軟膏。 5. The biodegradable polymer is polylactic acid, polyglycolic acid, polyproprolactone, polybutyrolactone, polypropiolactone, polytrimethylene carbonate, polyamino acid, borosuccinic acid imid, and copolymers of two or more thereof. The sustained-release ointment according to any one of claims 1 to 4, which is at least one member selected from the group consisting of:
6 . 有機溶媒がトリァセチン、 クェン酸トリェチル及び炭酸プロピレンからな る群より選ばれた少なくとも 1種である請求項 2〜5いずれか記載の徐放性軟膏 6. The sustained-release ointment according to any one of claims 2 to 5, wherein the organic solvent is at least one selected from the group consisting of triacetin, triethyl quenate, and propylene carbonate.
7 . 生物活性薬物としてテトラサイクリン系抗生物質を含有してなる請求項 1 〜 6いずれか記載の徐放性軟膏。 7. Claim 1 comprising a tetracycline antibiotic as a bioactive drug. 7. The sustained release ointment according to any one of to 6 above.
8 . テトラサイクリン系抗生物質がミノサイクリン又はその塩である請求項 7 記載の徐放性軟膏。 8. The sustained-release ointment according to claim 7, wherein the tetracycline antibiotic is minocycline or a salt thereof.
9 . 生分解性ポリマーとポリエチレングリコールとを 7 0〜1 2 0 °Cの温度に 加熱し、 液状化により混合、 均一化する工程を有する請求項 1〜8いずれか記載 の徐放性軟膏の製造方法。 9. The sustained-release ointment according to any one of claims 1 to 8, further comprising a step of heating the biodegradable polymer and polyethylene glycol to a temperature of 70 to 120 ° C, and mixing and homogenizing the mixture by liquefaction. Production method.
1 0 . 請求項 1〜 8いずれか記載の徐放性軟膏を歯周ボケッ ト投与用のシリン ジに封入してなる歯周病治療キット。 10. A periodontal disease treatment kit comprising the sustained release ointment according to any one of claims 1 to 8 enclosed in a syringe for periodontal bottle administration.
1 1 . 請求項 1〜 8いずれか記載の徐放性軟膏の治療上の有効量を歯周ボケッ トに投与する歯周病の治療方法。 11. A method for treating periodontal disease, wherein a therapeutically effective amount of the sustained-release ointment according to any one of claims 1 to 8 is administered to a periodontal box.
PCT/JP2003/001618 2002-02-19 2003-02-17 Sustained-release ointment for topical administration WO2003070218A1 (en)

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JP2002041638A JP4202656B2 (en) 2002-02-19 2002-02-19 Topical sustained-release ointment
JP2002/41638 2002-02-19

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US11083671B2 (en) * 2015-11-24 2021-08-10 Lg Household & Health Care Ltd. Preparation for attaching to teeth or surrounding part of teeth
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US11872310B2 (en) 2016-01-13 2024-01-16 Lg Household & Health Care Ltd. Preparation for oral cavity

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