WO1998000159A1 - Formules utiles de medicaments comportant des sels d'addition d'acides - Google Patents
Formules utiles de medicaments comportant des sels d'addition d'acides Download PDFInfo
- Publication number
- WO1998000159A1 WO1998000159A1 PCT/US1997/010829 US9710829W WO9800159A1 WO 1998000159 A1 WO1998000159 A1 WO 1998000159A1 US 9710829 W US9710829 W US 9710829W WO 9800159 A1 WO9800159 A1 WO 9800159A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- formulation
- formula
- acid addition
- trade name
- clinical use
- Prior art date
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- 239000002253 acid Substances 0.000 title claims abstract description 76
- 150000003839 salts Chemical class 0.000 title claims abstract description 75
- 239000000203 mixture Substances 0.000 title claims abstract description 68
- 238000009472 formulation Methods 0.000 title claims abstract description 55
- 229940079593 drug Drugs 0.000 title description 51
- 239000003814 drug Substances 0.000 title description 51
- 239000000463 material Substances 0.000 claims abstract description 33
- 239000001257 hydrogen Substances 0.000 claims abstract description 27
- 229910052739 hydrogen Inorganic materials 0.000 claims abstract description 27
- 238000000034 method Methods 0.000 claims abstract description 25
- 230000000694 effects Effects 0.000 claims abstract description 23
- 150000001875 compounds Chemical class 0.000 claims abstract description 21
- IJGRMHOSHXDMSA-UHFFFAOYSA-N nitrogen Substances N#N IJGRMHOSHXDMSA-UHFFFAOYSA-N 0.000 claims abstract description 21
- 229910052757 nitrogen Inorganic materials 0.000 claims abstract description 17
- 125000003118 aryl group Chemical group 0.000 claims abstract description 14
- QJGQUHMNIGDVPM-UHFFFAOYSA-N nitrogen group Chemical group [N] QJGQUHMNIGDVPM-UHFFFAOYSA-N 0.000 claims abstract description 14
- 125000000217 alkyl group Chemical group 0.000 claims abstract description 12
- 239000007788 liquid Substances 0.000 claims abstract description 10
- 239000007972 injectable composition Substances 0.000 claims abstract description 9
- 125000001453 quaternary ammonium group Chemical group 0.000 claims abstract description 9
- 230000003993 interaction Effects 0.000 claims abstract description 7
- 150000001450 anions Chemical class 0.000 claims abstract description 6
- 238000011161 development Methods 0.000 claims abstract description 6
- TTWJBBZEZQICBI-UHFFFAOYSA-N metoclopramide Chemical compound CCN(CC)CCNC(=O)C1=CC(Cl)=C(N)C=C1OC TTWJBBZEZQICBI-UHFFFAOYSA-N 0.000 claims description 40
- SSOLNOMRVKKSON-UHFFFAOYSA-N proguanil Chemical compound CC(C)\N=C(/N)N=C(N)NC1=CC=C(Cl)C=C1 SSOLNOMRVKKSON-UHFFFAOYSA-N 0.000 claims description 40
- 229960004503 metoclopramide Drugs 0.000 claims description 39
- 230000003474 anti-emetic effect Effects 0.000 claims description 22
- 239000002111 antiemetic agent Substances 0.000 claims description 21
- -1 ketobemidon Chemical compound 0.000 claims description 21
- 230000003444 anaesthetic effect Effects 0.000 claims description 20
- 150000003936 benzamides Chemical class 0.000 claims description 15
- 229940054066 benzamide antipsychotics Drugs 0.000 claims description 14
- 235000005152 nicotinamide Nutrition 0.000 claims description 14
- 150000005480 nicotinamides Chemical class 0.000 claims description 14
- 229940127291 Calcium channel antagonist Drugs 0.000 claims description 13
- 229940124326 anaesthetic agent Drugs 0.000 claims description 13
- 229940125683 antiemetic agent Drugs 0.000 claims description 13
- 239000000164 antipsychotic agent Substances 0.000 claims description 13
- 229940005529 antipsychotics Drugs 0.000 claims description 13
- QCHFTSOMWOSFHM-WPRPVWTQSA-N (+)-Pilocarpine Chemical compound C1OC(=O)[C@@H](CC)[C@H]1CC1=CN=CN1C QCHFTSOMWOSFHM-WPRPVWTQSA-N 0.000 claims description 12
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- NNJVILVZKWQKPM-UHFFFAOYSA-N Lidocaine Chemical compound CCN(CC)CC(=O)NC1=C(C)C=CC=C1C NNJVILVZKWQKPM-UHFFFAOYSA-N 0.000 claims description 12
- RPTUSVTUFVMDQK-UHFFFAOYSA-N Hidralazin Chemical compound C1=CC=C2C(NN)=NN=CC2=C1 RPTUSVTUFVMDQK-UHFFFAOYSA-N 0.000 claims description 10
- HUCJFAOMUPXHDK-UHFFFAOYSA-N Xylometazoline Chemical compound CC1=CC(C(C)(C)C)=CC(C)=C1CC1=NCCN1 HUCJFAOMUPXHDK-UHFFFAOYSA-N 0.000 claims description 10
- VYFYYTLLBUKUHU-UHFFFAOYSA-N dopamine Chemical compound NCCC1=CC=C(O)C(O)=C1 VYFYYTLLBUKUHU-UHFFFAOYSA-N 0.000 claims description 10
- CNIIGCLFLJGOGP-UHFFFAOYSA-N 2-(1-naphthalenylmethyl)-4,5-dihydro-1H-imidazole Chemical compound C=1C=CC2=CC=CC=C2C=1CC1=NCCN1 CNIIGCLFLJGOGP-UHFFFAOYSA-N 0.000 claims description 9
- UCTWMZQNUQWSLP-UHFFFAOYSA-N adrenaline Chemical compound CNCC(O)C1=CC=C(O)C(O)=C1 UCTWMZQNUQWSLP-UHFFFAOYSA-N 0.000 claims description 9
- ZPEIMTDSQAKGNT-UHFFFAOYSA-N chlorpromazine Chemical compound C1=C(Cl)C=C2N(CCCN(C)C)C3=CC=CC=C3SC2=C1 ZPEIMTDSQAKGNT-UHFFFAOYSA-N 0.000 claims description 9
- 235000019365 chlortetracycline Nutrition 0.000 claims description 9
- ZZVUWRFHKOJYTH-UHFFFAOYSA-N diphenhydramine Chemical compound C=1C=CC=CC=1C(OCCN(C)C)C1=CC=CC=C1 ZZVUWRFHKOJYTH-UHFFFAOYSA-N 0.000 claims description 9
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- SGTNSNPWRIOYBX-UHFFFAOYSA-N 2-(3,4-dimethoxyphenyl)-5-{[2-(3,4-dimethoxyphenyl)ethyl](methyl)amino}-2-(propan-2-yl)pentanenitrile Chemical compound C1=C(OC)C(OC)=CC=C1CCN(C)CCCC(C#N)(C(C)C)C1=CC=C(OC)C(OC)=C1 SGTNSNPWRIOYBX-UHFFFAOYSA-N 0.000 claims description 8
- GUJRSXAPGDDABA-NSHDSACASA-N 3-bromo-N-[[(2S)-1-ethyl-2-pyrrolidinyl]methyl]-2,6-dimethoxybenzamide Chemical compound CCN1CCC[C@H]1CNC(=O)C1=C(OC)C=CC(Br)=C1OC GUJRSXAPGDDABA-NSHDSACASA-N 0.000 claims description 8
- BQJCRHHNABKAKU-KBQPJGBKSA-N morphine Chemical compound O([C@H]1[C@H](C=C[C@H]23)O)C4=C5[C@@]12CCN(C)[C@@H]3CC5=CC=C4O BQJCRHHNABKAKU-KBQPJGBKSA-N 0.000 claims description 8
- QVYRGXJJSLMXQH-UHFFFAOYSA-N orphenadrine Chemical compound C=1C=CC=C(C)C=1C(OCCN(C)C)C1=CC=CC=C1 QVYRGXJJSLMXQH-UHFFFAOYSA-N 0.000 claims description 8
- SONNWYBIRXJNDC-VIFPVBQESA-N phenylephrine Chemical compound CNC[C@H](O)C1=CC=CC(O)=C1 SONNWYBIRXJNDC-VIFPVBQESA-N 0.000 claims description 8
- REQCZEXYDRLIBE-UHFFFAOYSA-N procainamide Chemical compound CCN(CC)CCNC(=O)C1=CC=C(N)C=C1 REQCZEXYDRLIBE-UHFFFAOYSA-N 0.000 claims description 8
- 229960000244 procainamide Drugs 0.000 claims description 8
- AQHHHDLHHXJYJD-UHFFFAOYSA-N propranolol Chemical compound C1=CC=C2C(OCC(O)CNC(C)C)=CC=CC2=C1 AQHHHDLHHXJYJD-UHFFFAOYSA-N 0.000 claims description 8
- LXNHXLLTXMVWPM-UHFFFAOYSA-N pyridoxine Chemical compound CC1=NC=C(CO)C(CO)=C1O LXNHXLLTXMVWPM-UHFFFAOYSA-N 0.000 claims description 8
- LOUPRKONTZGTKE-LHHVKLHASA-N quinidine Chemical compound C([C@H]([C@H](C1)C=C)C2)C[N@@]1[C@H]2[C@@H](O)C1=CC=NC2=CC=C(OC)C=C21 LOUPRKONTZGTKE-LHHVKLHASA-N 0.000 claims description 8
- KWGRBVOPPLSCSI-WPRPVWTQSA-N (-)-ephedrine Chemical compound CN[C@@H](C)[C@H](O)C1=CC=CC=C1 KWGRBVOPPLSCSI-WPRPVWTQSA-N 0.000 claims description 7
- AKNNEGZIBPJZJG-MSOLQXFVSA-N (-)-noscapine Chemical compound CN1CCC2=CC=3OCOC=3C(OC)=C2[C@@H]1[C@@H]1C2=CC=C(OC)C(OC)=C2C(=O)O1 AKNNEGZIBPJZJG-MSOLQXFVSA-N 0.000 claims description 7
- DMJHWHGTAHHHMU-UHFFFAOYSA-N 4-amino-3-chloro-n-[2-(diethylamino)ethyl]benzamide;hydrochloride Chemical compound Cl.CCN(CC)CCNC(=O)C1=CC=C(N)C(Cl)=C1 DMJHWHGTAHHHMU-UHFFFAOYSA-N 0.000 claims description 7
- 125000002915 carbonyl group Chemical group [*:2]C([*:1])=O 0.000 claims description 7
- MYSWGUAQZAJSOK-UHFFFAOYSA-N ciprofloxacin Chemical compound C12=CC(N3CCNCC3)=C(F)C=C2C(=O)C(C(=O)O)=CN1C1CC1 MYSWGUAQZAJSOK-UHFFFAOYSA-N 0.000 claims description 7
- JJCFRYNCJDLXIK-UHFFFAOYSA-N cyproheptadine Chemical compound C1CN(C)CCC1=C1C2=CC=CC=C2C=CC2=CC=CC=C21 JJCFRYNCJDLXIK-UHFFFAOYSA-N 0.000 claims description 7
- STQGQHZAVUOBTE-VGBVRHCVSA-N daunorubicin Chemical compound O([C@H]1C[C@@](O)(CC=2C(O)=C3C(=O)C=4C=CC=C(C=4C(=O)C3=C(O)C=21)OC)C(C)=O)[C@H]1C[C@H](N)[C@H](O)[C@H](C)O1 STQGQHZAVUOBTE-VGBVRHCVSA-N 0.000 claims description 7
- AEUTYOVWOVBAKS-UWVGGRQHSA-N ethambutol Chemical compound CC[C@@H](CO)NCCN[C@@H](CC)CO AEUTYOVWOVBAKS-UWVGGRQHSA-N 0.000 claims description 7
- ZQDWXGKKHFNSQK-UHFFFAOYSA-N hydroxyzine Chemical compound C1CN(CCOCCO)CCN1C(C=1C=CC(Cl)=CC=1)C1=CC=CC=C1 ZQDWXGKKHFNSQK-UHFFFAOYSA-N 0.000 claims description 7
- WYWIFABBXFUGLM-UHFFFAOYSA-N oxymetazoline Chemical compound CC1=CC(C(C)(C)C)=C(O)C(C)=C1CC1=NCCN1 WYWIFABBXFUGLM-UHFFFAOYSA-N 0.000 claims description 7
- 229960003448 remoxipride Drugs 0.000 claims description 7
- AHOUBRCZNHFOSL-YOEHRIQHSA-N (+)-Casbol Chemical compound C1=CC(F)=CC=C1[C@H]1[C@H](COC=2C=C3OCOC3=CC=2)CNCC1 AHOUBRCZNHFOSL-YOEHRIQHSA-N 0.000 claims description 6
- KVHHQGIIZCJATJ-UHFFFAOYSA-N 1-(4-chlorophenyl)-4-(dimethylamino)-2,3-dimethyl-2-butanol Chemical compound CN(C)CC(C)C(C)(O)CC1=CC=C(Cl)C=C1 KVHHQGIIZCJATJ-UHFFFAOYSA-N 0.000 claims description 6
- LEBVLXFERQHONN-UHFFFAOYSA-N 1-butyl-N-(2,6-dimethylphenyl)piperidine-2-carboxamide Chemical compound CCCCN1CCCCC1C(=O)NC1=C(C)C=CC=C1C LEBVLXFERQHONN-UHFFFAOYSA-N 0.000 claims description 6
- SGUAFYQXFOLMHL-UHFFFAOYSA-N 2-hydroxy-5-{1-hydroxy-2-[(4-phenylbutan-2-yl)amino]ethyl}benzamide Chemical compound C=1C=C(O)C(C(N)=O)=CC=1C(O)CNC(C)CCC1=CC=CC=C1 SGUAFYQXFOLMHL-UHFFFAOYSA-N 0.000 claims description 6
- AOJJSUZBOXZQNB-VTZDEGQISA-N 4'-epidoxorubicin Chemical compound O([C@H]1C[C@@](O)(CC=2C(O)=C3C(=O)C=4C=CC=C(C=4C(=O)C3=C(O)C=21)OC)C(=O)CO)[C@H]1C[C@H](N)[C@@H](O)[C@H](C)O1 AOJJSUZBOXZQNB-VTZDEGQISA-N 0.000 claims description 6
- ZKLPARSLTMPFCP-UHFFFAOYSA-N Cetirizine Chemical compound C1CN(CCOCC(=O)O)CCN1C(C=1C=CC(Cl)=CC=1)C1=CC=CC=C1 ZKLPARSLTMPFCP-UHFFFAOYSA-N 0.000 claims description 6
- GJSURZIOUXUGAL-UHFFFAOYSA-N Clonidine Chemical compound ClC1=CC=CC(Cl)=C1NC1=NCCN1 GJSURZIOUXUGAL-UHFFFAOYSA-N 0.000 claims description 6
- YQEZLKZALYSWHR-UHFFFAOYSA-N Ketamine Chemical compound C=1C=CC=C(Cl)C=1C1(NC)CCCCC1=O YQEZLKZALYSWHR-UHFFFAOYSA-N 0.000 claims description 6
- XADCESSVHJOZHK-UHFFFAOYSA-N Meperidine Chemical compound C=1C=CC=CC=1C1(C(=O)OCC)CCN(C)CC1 XADCESSVHJOZHK-UHFFFAOYSA-N 0.000 claims description 6
- UEQUQVLFIPOEMF-UHFFFAOYSA-N Mianserin Chemical compound C1C2=CC=CC=C2N2CCN(C)CC2C2=CC=CC=C21 UEQUQVLFIPOEMF-UHFFFAOYSA-N 0.000 claims description 6
- PHVGLTMQBUFIQQ-UHFFFAOYSA-N Nortryptiline Chemical compound C1CC2=CC=CC=C2C(=CCCNC)C2=CC=CC=C21 PHVGLTMQBUFIQQ-UHFFFAOYSA-N 0.000 claims description 6
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- XSDQTOBWRPYKKA-UHFFFAOYSA-N amiloride Chemical compound NC(=N)NC(=O)C1=NC(Cl)=C(N)N=C1N XSDQTOBWRPYKKA-UHFFFAOYSA-N 0.000 claims description 6
- PFOLLRNADZZWEX-FFGRCDKISA-N bacampicillin Chemical compound C1([C@@H](N)C(=O)N[C@H]2[C@@H]3N(C2=O)[C@H](C(S3)(C)C)C(=O)OC(C)OC(=O)OCC)=CC=CC=C1 PFOLLRNADZZWEX-FFGRCDKISA-N 0.000 claims description 6
- QWCRAEMEVRGPNT-UHFFFAOYSA-N buspirone Chemical compound C1C(=O)N(CCCCN2CCN(CC2)C=2N=CC=CN=2)C(=O)CC21CCCC2 QWCRAEMEVRGPNT-UHFFFAOYSA-N 0.000 claims description 6
- WVLOADHCBXTIJK-YNHQPCIGSA-N hydromorphone Chemical compound O([C@H]1C(CC[C@H]23)=O)C4=C5[C@@]12CCN(C)[C@@H]3CC5=CC=C4O WVLOADHCBXTIJK-YNHQPCIGSA-N 0.000 claims description 6
- INWLQCZOYSRPNW-UHFFFAOYSA-N mepivacaine Chemical compound CN1CCCCC1C(=O)NC1=C(C)C=CC=C1C INWLQCZOYSRPNW-UHFFFAOYSA-N 0.000 claims description 6
- XZWYZXLIPXDOLR-UHFFFAOYSA-N metformin Chemical compound CN(C)C(=N)NC(N)=N XZWYZXLIPXDOLR-UHFFFAOYSA-N 0.000 claims description 6
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- YLJREFDVOIBQDA-UHFFFAOYSA-N tacrine Chemical compound C1=CC=C2C(N)=C(CCCC3)C3=NC2=C1 YLJREFDVOIBQDA-UHFFFAOYSA-N 0.000 claims description 6
- PHWBOXQYWZNQIN-UHFFFAOYSA-N ticlopidine Chemical compound ClC1=CC=CC=C1CN1CC(C=CS2)=C2CC1 PHWBOXQYWZNQIN-UHFFFAOYSA-N 0.000 claims description 6
- XEEQGYMUWCZPDN-DOMZBBRYSA-N (-)-(11S,2'R)-erythro-mefloquine Chemical compound C([C@@H]1[C@@H](O)C=2C3=CC=CC(=C3N=C(C=2)C(F)(F)F)C(F)(F)F)CCCN1 XEEQGYMUWCZPDN-DOMZBBRYSA-N 0.000 claims description 5
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- SGKRLCUYIXIAHR-AKNGSSGZSA-N (4s,4ar,5s,5ar,6r,12ar)-4-(dimethylamino)-1,5,10,11,12a-pentahydroxy-6-methyl-3,12-dioxo-4a,5,5a,6-tetrahydro-4h-tetracene-2-carboxamide Chemical compound C1=CC=C2[C@H](C)[C@@H]([C@H](O)[C@@H]3[C@](C(O)=C(C(N)=O)C(=O)[C@H]3N(C)C)(O)C3=O)C3=C(O)C2=C1O SGKRLCUYIXIAHR-AKNGSSGZSA-N 0.000 claims description 5
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- DKMFBWQBDIGMHM-UHFFFAOYSA-N 1-(4-fluorophenyl)-4-(4-methyl-1-piperidinyl)-1-butanone Chemical compound C1CC(C)CCN1CCCC(=O)C1=CC=C(F)C=C1 DKMFBWQBDIGMHM-UHFFFAOYSA-N 0.000 claims description 5
- SQVIAVUSQAWMKL-UHFFFAOYSA-N 3-[2-(ethylamino)-1-hydroxyethyl]phenol Chemical compound CCNCC(O)C1=CC=CC(O)=C1 SQVIAVUSQAWMKL-UHFFFAOYSA-N 0.000 claims description 5
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- OCJYIGYOJCODJL-UHFFFAOYSA-N Meclizine Chemical compound CC1=CC=CC(CN2CCN(CC2)C(C=2C=CC=CC=2)C=2C=CC(Cl)=CC=2)=C1 OCJYIGYOJCODJL-UHFFFAOYSA-N 0.000 claims description 5
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- ANZXOIAKUNOVQU-UHFFFAOYSA-N bambuterol Chemical compound CN(C)C(=O)OC1=CC(OC(=O)N(C)C)=CC(C(O)CNC(C)(C)C)=C1 ANZXOIAKUNOVQU-UHFFFAOYSA-N 0.000 claims description 5
- CHDPSNLJFOQTRK-UHFFFAOYSA-N betaxolol hydrochloride Chemical compound [Cl-].C1=CC(OCC(O)C[NH2+]C(C)C)=CC=C1CCOCC1CC1 CHDPSNLJFOQTRK-UHFFFAOYSA-N 0.000 claims description 5
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- OJGDCBLYJGHCIH-UHFFFAOYSA-N bromhexine Chemical compound C1CCCCC1N(C)CC1=CC(Br)=CC(Br)=C1N OJGDCBLYJGHCIH-UHFFFAOYSA-N 0.000 claims description 5
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/33—Heterocyclic compounds
- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/54—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with at least one nitrogen and one sulfur as the ring hetero atoms, e.g. sulthiame
- A61K31/5415—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with at least one nitrogen and one sulfur as the ring hetero atoms, e.g. sulthiame ortho- or peri-condensed with carbocyclic ring systems, e.g. phenothiazine, chlorpromazine, piroxicam
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/16—Amides, e.g. hydroxamic acids
- A61K31/165—Amides, e.g. hydroxamic acids having aromatic rings, e.g. colchicine, atenolol, progabide
- A61K31/166—Amides, e.g. hydroxamic acids having aromatic rings, e.g. colchicine, atenolol, progabide having the carbon of a carboxamide group directly attached to the aromatic ring, e.g. procainamide, procarbazine, metoclopramide, labetalol
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/16—Amides, e.g. hydroxamic acids
- A61K31/165—Amides, e.g. hydroxamic acids having aromatic rings, e.g. colchicine, atenolol, progabide
- A61K31/167—Amides, e.g. hydroxamic acids having aromatic rings, e.g. colchicine, atenolol, progabide having the nitrogen of a carboxamide group directly attached to the aromatic ring, e.g. lidocaine, paracetamol
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/185—Acids; Anhydrides, halides or salts thereof, e.g. sulfur acids, imidic, hydrazonic or hydroximic acids
- A61K31/205—Amine addition salts of organic acids; Inner quaternary ammonium salts, e.g. betaine, carnitine
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/21—Esters, e.g. nitroglycerine, selenocyanates
- A61K31/215—Esters, e.g. nitroglycerine, selenocyanates of carboxylic acids
- A61K31/235—Esters, e.g. nitroglycerine, selenocyanates of carboxylic acids having an aromatic ring attached to a carboxyl group
- A61K31/24—Esters, e.g. nitroglycerine, selenocyanates of carboxylic acids having an aromatic ring attached to a carboxyl group having an amino or nitro group
- A61K31/245—Amino benzoic acid types, e.g. procaine, novocaine
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/33—Heterocyclic compounds
- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/40—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with one nitrogen as the only ring hetero atom, e.g. sulpiride, succinimide, tolmetin, buflomedil
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
- A61K47/50—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates
- A61K47/51—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent
- A61K47/54—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an organic compound
- A61K47/541—Organic ions forming an ion pair complex with the pharmacologically or therapeutically active agent
Definitions
- This invention relates to acid addition salt drugs having utility in the treatment of human patients . More particularly it relates to new and improved formulations and methods of administration of such acid addition salt drugs .
- Nicotinamides, benzamides, calcium antagonists, antiemetics, antipsychotics and anaesthetics represent a wide range of diverse chemical and pharmacological structures, but they share a common property of modifying the tumor response to radiation or chemotherapy .
- a variety of chemical structures including the nitroimidazoles, phenothiazines, butyrophenones.
- halopyrimidines, benzamides and nicotinamides are known to possess radio- and chemosensitizing properties (Horsman et al, Acta Oncologica 34:571 -587 , 1995 : Brown et al, Cancer Treatment Symposia 1 , 85-101 , 1984, Pu et al, Oncology 9(8) : 707-721 , 1995 , George and Singh. Indian J. Expt. Biol. 22:305-307, 1984, Kennedy et al, Int. J.
- metoclopramide an N-substituted benzamide
- metoclopramide has been used as an antiemetic for over 30 years (Harrington et al , Drugs 25 : 451 -494, 1983) but recently it has been shown to be an effective radio- and chemo-sensitizer (Pero et al, Biochimie 77 : 385-391 , 1995 , Kjellen et al, Eur . J . Cancer 31A( 13/ 14) :2196-2202, 1995) .
- most drugs having well established clinical uses are known to mediate their effects by antagonizing high affinity receptors capable of initiating physiological responses relating to many disease processes . Conformation and charge of these chemical structures, in turn, determine their abilities to antagonize receptors and mediate drug related efficacious responses.
- Neu-SensamideTM (“neutral" metoclopramide) has been formulated without the presence of a hydrogen mediated-bond between the tertiary ammonium ion and the carboxamide oxygen atom, whereas this hydrogen mediated-bond is present in SensamideTM ( “acidic " metoclopramide) (Schwartz et al unpublished 1996) .
- Neu-SensamideTM has a reduced extrapyramidal side effect profile in rats and humans but the radiosensitizing properties remain unaltered compared to SensamideTM at equimolar doses (Amiri et al unpublished 1996; Hua et al, Anti-Cancer Drugs 6:451-453, 1995, Pero et al, Biochimie 77:385-393, 1995; Pero et al unpublished 1996; Rotmensch et al unpublished 1996) . Therefore, it is logical to extrapolate these data to other drugs containing acid addition salt structures in the following way: Compounds that can form acid salts of types A or B:
- R 1 _ 4 alkyl or aryl groups
- X " any anion, normally Cl “ or Br ' or I "
- a tertiary nitrogen is present that can form an acid addition salt (Type A) or a quarternary ammonium ion is present (Type B) and/or
- Ri comprises an aryl or alkyl group with a hydrogen bond acceptor site accessible to interaction with the tertiary /quarternary nitrogen, e .g. a carbonyl or carboxylic oxygen atom.
- Receptor affinities are determined by conformation and charge- distribution of the ligand drugs.
- SensamideTM/Neu-SensamideTM does not alter radiosensitizing potency (Hua et al, Anti Cancer Drugs 6:451-453, 1995; Pero et al unpublished 1996) .
- Patent No. 4,576,386, U.S. Patent No. 5,340,565, U.S. Patent No. 5,215,738, U.S. Patent No. 5,032,617 and U .S . Patent No. 5,041 ,653) do not disclose that the pH of acid addition salt drugs could alter chemical structure, and in turn change the pharmacological properties of the formulations.
- Examples of compounds that are not as yet clinically available but that are capable of forming acid addition salts with a potential for alteration of pharmacological properties by pH adjustment are 3- chloro procainamide, N-(2-diethylamino-ethyl) nicotinamide, nimorazole and 2,3-dimethyl(dimethylaminoethyl)-5H-indolo-(2,3-b) guinoxline (procedures for synthesizing 3-chloro procainamide and N-(2-diethylamino-ethyl) nicotinamide are described in copending U.S. provisional patent application No.
- the present invention in a first aspect, contemplates the provision of a method of administering to a human patient material selected from the group consisting of acid addition salts of chemical or pharmacological structures such as nicotinamides, benzamides, calcium antagonists, antiemetics, antipsychotics, and anaesthetics as identified and listed in Table 2 below, comprising the steps of providing a sterile injectable formulation comprising a liquid vehicle containing the material in solution and injecting the formulation into the patient in an amount for delivering to the patient a dose of about one to about 100 mg/kg of the material.
- the injection is intramuscular, also, conveniently or preferably, the material to be administered is in the acid addition salt form, pH adjusted to 5.5 - 7.0.
- Intramuscular injection to achieve a dose of 1 - 100 mg/kg, requires a much more concentrated formulation than i.v. injection of a like dose, owing to the limited tolerance of muscle tissue for injected fluid.
- a solution at a 5 mg/ml concentration of metoclopramide hydrochloride is suitable for i. v . injection of a dose of 5 mg/kg
- a concentration of at least about 50 mg/ml or even more is needed to administer a like dose by intramuscular injection.
- present-day commercial acid addition salt formulations tend to produce local tissue toxic reactions at the injectable site if not pH adjusted to 5.5 - 7.0 (U . S .
- a concentrated acid addition salt formulation (e.g. 100 - 7000 mg/ml) is advantageously provided at a pH of about 5.5 to 7.0, for intramuscular injection.
- pH values within this range which is substantially higher, i.e. less acidic, than the pH of currently available formulations of equivalent concentration
- local tissue toxic reactions are satisfactorily minimized or avoided, yet without adversely affecting the solubility of acid addition salt drugs or their therapeutic activity.
- a pH above 7.0 would derogate from solubility, while values below about 5.5 are insufficient to achieve the desired reduction in local tissue side effects .
- the invention contemplates the provision of a sterile injectable formulation for intramuscular administration to a human patient, comprising a material selected from the group consisting of acid addition salts of chemical or pharmacological structures such as nicotinamides, benzamides, calcium antagonists, antiemetics, antipsychotics, and anaesthetics as identified and listed in Table 2 below, a liquid vehicle in which the material is in solution being present in the formulation in a concentration of at least about 50 mg/ml; and the formulation being at a pH within a range of about 5.5 to 7.0.
- the solution pH once established, may be stabilized to a less variable range (e.g.
- the invention contemplates the provision of a method of administering to a human patient material selected from the group consisting of acid addition salts of chemical or pharmacological structures such as nicotinamides, benzamides, calcium antagonists, antiemetics, antipsychotics, and anaesthetics as identified and listed in Table 2 below, comprising a liquid vehicle containing the material in solution (and, in some instances, also containing Na + ions), adjusting the pH of the formulation for reducing the development of undesirable side effects or improving pharmacological indications of the material, and administering the formulation having the adjusted pH to the patient.
- a preferred or effective range of formulation pH for reduction or avoidance of extrapyramidal side effects is between about 5.5 and 7.0.
- the invention in each of the above described aspects may be embodied in a method or formulation wherein the aforementioned material is selected from the group consisting of acid addition salts of compounds that can form acid salts of Formula (A) having a tertiary nitrogen present, acid addition salts of compounds that can form acid salts of
- Formula (B) having a quaternary ammonium ion present, and mixtures thereof, Formula (A) and Formula (B) being as follows:
- R comprises an aryl or alkyl group with a hydrogen bond acceptor site accessible to interaction with the tertiary nitrogen of Formula (A) or the quaternary ammonium ion of Formula (B), R 2 and R 3 and R 4 are alkyl or aryl groups , and X " is an anion.
- the hydrogen bond acceptor site is a carbonyl or carboxylic oxygen atom, and X is Cl , F , Br or T.
- the material is selected from the group consisting of nicotinamides, benzamides, calcium antagonists, antiemetics, antipsychotics and anaesthetics which are acid addition salts of compounds that can form acid salts of Formula (A) or Formula (B), and mixtures thereof.
- Fig . l is a graph on which the UV absorption intensity is plotted against wavelength of UV absorption between 195 nm and 215 nm for 100 ⁇ M solutions of metoclopramide pH adjusted between 4.8 and 6.0 with 1 N HCI or 1 N NaOH .
- Fig. 2D is a graph on which the UV absorption intensity of 100 ⁇ M solutions of aqueous (pH 5-6) and acidic (pH 2-3) remoxipride are plotted against the wavelength of UV absorption between 195 nm and 380 nm.
- Fig. 2G is a graph on which the UV absorption intensity of 100 ⁇ M solutions of acidic (pH 2-3) chlorpromazine are plotted against the wavelength of UV absorption between 195 nm and 380 nm.
- the practice of this invention involves consideration of the pH of acid addition salts of chemical or pharmacological structures such as nicotinamides, benzamides, calcium antagonists, antiemetics, antipsychotics, and anaesthetics as identified and listed in Table 2 below.
- the 1993 Physicians' Desk Reference lists over 145 hydrochloride salt formulations as available for clinical use. Most of these hydrochloride salt formulations are acidic solutions ranging in pH from 2 to 6.5 depending on the initial drug concentration and formulation ingredients (American Society of Hospital Pharmacists, 1993 , Sveriges Lakersmedels Information AB, FASS, 1993).
- the injectable formulations In order to deliver doses of 1-100 mg/kg by intramuscular injection to patients, the injectable formulations would require initial drug concentrations of around 100 to 7000 mg/ml, which in most cases is a concentration having a pH range of 1 to 4.5 depending on its formulation (American Society of Hospital Phamacists, 1993, FASS, 1993). Because commercial preparations of solutions of acid addition salt drugs drastically vary in pH, and because they can be pH adjusted from 2 to 6.5 without regulatory restrictions, the prior art teaches that there is no difference in biological activity associated with changes in pH between 2 and 6.5.
- Metoclopramide and the other acid addition salt drugs listed in Table 2 below are known to bind to high affinity receptors such as both the dopamine 2 (D2) receptor and the 5-hydroxytryptamine 3 (5-HT 3 ) receptor (Pharmacokinetic principles in the use drugs, in Medical Pharmacology, A. Goth ed. , CV. Mosby Company, tenth edition, St. Louis, MO, pages 15-30, 1981 ; Harrington et al, Drugs 25:451-494, 1983, Blower, Eur. J. Cancer 26 (Suppl . 1): S8-S1 1 , 1990).
- D2 dopamine 2
- 5-HT 3 5-hydroxytryptamine 3
- the UV spectra of the Examples below were run using a Beckman scanning UV- visible spectrophotometer with a quartz cell having a 1 cm path length. The spectra were produced by scanning the UVbsorption produced between 195 nm and 380 nm (379 nm in Fig. 1 ) at a bandwidth of 5 nm. 100 ⁇ M samples of the drugs or model compounds were acidified to pH 2-3 and their UV spectra were recorded . These UV spectra were compared with the UV spectra determined at ambient (aqueous) pH which was normally between pH 5 and 6. In some cases the ambient drug solutions were titrated with I N HC1 and IN NaOH to produce pH gradient solutions which were then subjected to scanning of the UV spectrum between A 195 and A 380 . The UV spectra were corrected for absorption from appropriate solvent blanks .
- Figs. 2A-2G show that drugs that contain alkylaminodialkyl substitutions can have very different UV absorption maxima in aqueous solution, and several areas of each of these UV absorption maxima can be shifted and varied in intensity due to acidic pH adjustment into the range pH 2.
- extended side chain conformation' 1 hydrogen bond defines structure poorer binding at d-2 receptor
- 3-chloro procainamide, procainamide, remoxipride, lidocaine and chlorpromazine all contain N-alkylaminodialkyl substitutions, and they also display UV absorption changes at A 20fl .
- Examples 1 -3 establish that compounds containing alkylaminodialkyl substitutions can undergo conformational changes due to pH adjustment, together with the fact that conformation and charge can determine the degree of drug mediated receptor binding antagonism, then Table 2 also show that all the drugs listed are capable of pH modification leading to an altered receptor mediated efficacy or side effect profile.
- NEOMYCIN B H
- R 1 CH 2 NH 2
- R 1 H
- TRADE NAME LUNERIN TIKA MONYDRIN
- TIKA TRADE NAME LUNERIN
- RECIP RINEXIN
- RINOMAR RECIP
- NARCANTI NARCANTI
- CLINICAL USE ANTAGONIST (TO NARCOTICS)
- TRADE NAME TRUSOPT (MSD)
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- Health & Medical Sciences (AREA)
- Chemical & Material Sciences (AREA)
- Medicinal Chemistry (AREA)
- Pharmacology & Pharmacy (AREA)
- Epidemiology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Pain & Pain Management (AREA)
- Emergency Medicine (AREA)
- Engineering & Computer Science (AREA)
- Bioinformatics & Cheminformatics (AREA)
- Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
- Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)
- Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)
- Medicinal Preparation (AREA)
Abstract
Priority Applications (4)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
AU34075/97A AU738165B2 (en) | 1996-06-28 | 1997-06-23 | Useful formulations of acid addition salt drugs |
JP10504223A JP2000516204A (ja) | 1996-06-28 | 1997-06-23 | 酸付加塩薬品類の有用な処方 |
IL12769197A IL127691A0 (en) | 1996-06-28 | 1997-06-23 | Useful formulations of acid addition salt drugs |
EP97930184A EP0954327A1 (fr) | 1996-06-28 | 1997-06-23 | Formules utiles de medicaments comportant des sels d'addition d'acides |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US67334196A | 1996-06-28 | 1996-06-28 | |
US08/673,341 | 1996-06-28 |
Publications (1)
Publication Number | Publication Date |
---|---|
WO1998000159A1 true WO1998000159A1 (fr) | 1998-01-08 |
Family
ID=24702259
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/US1997/010829 WO1998000159A1 (fr) | 1996-06-28 | 1997-06-23 | Formules utiles de medicaments comportant des sels d'addition d'acides |
Country Status (7)
Country | Link |
---|---|
EP (1) | EP0954327A1 (fr) |
JP (1) | JP2000516204A (fr) |
AU (1) | AU738165B2 (fr) |
CA (1) | CA2258965A1 (fr) |
IL (1) | IL127691A0 (fr) |
WO (1) | WO1998000159A1 (fr) |
ZA (1) | ZA975755B (fr) |
Cited By (8)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2002017921A3 (fr) * | 2000-08-28 | 2002-10-03 | Synthon Bv | Compositions a base de paroxetine et leurs procedes de fabrication |
US7122539B2 (en) | 1998-07-28 | 2006-10-17 | Nicox S.A. | Nitric esters and nitrate salts of specific drugs |
WO2007022609A1 (fr) * | 2005-08-23 | 2007-03-01 | Cristália Produtos Químicos Farmacêuticos Ltda. | Composition pharmaceutique de morphine sous forme de solution injectable prete a l'emploi et forme posologique unitaire de morphine pour administration epidurale ou intrathecale |
US8263581B2 (en) | 2009-07-03 | 2012-09-11 | Jdp Therapeutics, Inc. | Non-sedating antihistamine injection formulations and methods of use thereof |
US8513259B2 (en) | 2009-07-03 | 2013-08-20 | Jdp Therapeutics, Inc. | Non-sedating antihistamine injection formulations and methods of use thereof |
US9072781B2 (en) | 2013-03-14 | 2015-07-07 | Becton, Dickinson France S.A.S. | Morphine formulations |
US9248229B2 (en) | 2013-03-14 | 2016-02-02 | Becton, Dickinson France S.A.S. | Packaging system for oxygen-sensitive drugs |
CN118021718A (zh) * | 2024-04-12 | 2024-05-14 | 成都瑞尔医药科技有限公司 | 一种盐酸普罗帕酮注射液及其制备方法 |
Families Citing this family (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2006028028A (ja) * | 2004-07-12 | 2006-02-02 | Teikoku Medix Kk | 経口医薬組成物 |
Citations (2)
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US4536386A (en) * | 1981-01-26 | 1985-08-20 | A. H. Robins Company, Inc. | Method of controlling emesis caused by cisplatin in cancer chemotherapy |
US5260289A (en) * | 1992-06-12 | 1993-11-09 | Vitacain Pharmaceutical Co., Ltd. | Composition for treating pain, method for treating pain and composition for reinforcing pain relief action |
Family Cites Families (2)
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---|---|---|---|---|
GB2000025A (en) * | 1977-05-14 | 1979-01-04 | Pfizer Ltd | Nitroimidazole formulations |
PH22107A (en) * | 1984-06-07 | 1988-06-01 | Takeda Chemical Industries Ltd | 3-pyrazolo(1,5-a)pyrdinium cephem compounds |
-
1997
- 1997-06-23 CA CA002258965A patent/CA2258965A1/fr not_active Abandoned
- 1997-06-23 IL IL12769197A patent/IL127691A0/xx unknown
- 1997-06-23 WO PCT/US1997/010829 patent/WO1998000159A1/fr not_active Application Discontinuation
- 1997-06-23 EP EP97930184A patent/EP0954327A1/fr not_active Withdrawn
- 1997-06-23 AU AU34075/97A patent/AU738165B2/en not_active Ceased
- 1997-06-23 JP JP10504223A patent/JP2000516204A/ja active Pending
- 1997-06-27 ZA ZA9705755A patent/ZA975755B/xx unknown
Patent Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4536386A (en) * | 1981-01-26 | 1985-08-20 | A. H. Robins Company, Inc. | Method of controlling emesis caused by cisplatin in cancer chemotherapy |
US4536386B1 (en) * | 1981-01-26 | 1995-03-07 | Robins Co Inc A H | Method of controlling emesis caused by cisplatin in cancer chemotherapy |
US5260289A (en) * | 1992-06-12 | 1993-11-09 | Vitacain Pharmaceutical Co., Ltd. | Composition for treating pain, method for treating pain and composition for reinforcing pain relief action |
Cited By (18)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US7122539B2 (en) | 1998-07-28 | 2006-10-17 | Nicox S.A. | Nitric esters and nitrate salts of specific drugs |
WO2002017921A3 (fr) * | 2000-08-28 | 2002-10-03 | Synthon Bv | Compositions a base de paroxetine et leurs procedes de fabrication |
WO2007022609A1 (fr) * | 2005-08-23 | 2007-03-01 | Cristália Produtos Químicos Farmacêuticos Ltda. | Composition pharmaceutique de morphine sous forme de solution injectable prete a l'emploi et forme posologique unitaire de morphine pour administration epidurale ou intrathecale |
US9161902B2 (en) | 2009-07-03 | 2015-10-20 | Jdp Therapeutics, Inc. | Non-sedating antihistamine injection formulations and methods of use thereof |
US9180090B2 (en) | 2009-07-03 | 2015-11-10 | Jdp Therapeutics, Inc. | Non-sedating antihistamine injection formulations and methods of use thereof |
US8513259B2 (en) | 2009-07-03 | 2013-08-20 | Jdp Therapeutics, Inc. | Non-sedating antihistamine injection formulations and methods of use thereof |
US8314083B2 (en) | 2009-07-03 | 2012-11-20 | Jdp Therapeutics, Inc. | Non-sedating antihistamine injection formulations and methods of use thereof |
US9119771B2 (en) | 2009-07-03 | 2015-09-01 | Jdp Therapeutics, Inc. | Non-sedating antihistamine injection formulations and methods of use thereof |
US8263581B2 (en) | 2009-07-03 | 2012-09-11 | Jdp Therapeutics, Inc. | Non-sedating antihistamine injection formulations and methods of use thereof |
US9192608B2 (en) | 2013-03-14 | 2015-11-24 | Becton Dickinson France S.A.S. | Morphine formulations |
US9072781B2 (en) | 2013-03-14 | 2015-07-07 | Becton, Dickinson France S.A.S. | Morphine formulations |
US9248229B2 (en) | 2013-03-14 | 2016-02-02 | Becton, Dickinson France S.A.S. | Packaging system for oxygen-sensitive drugs |
US9545473B2 (en) | 2013-03-14 | 2017-01-17 | Fresenius Kabi Deutschland Gmbh | Packaging system for oxygen-sensitive drugs |
US10213424B2 (en) | 2013-03-14 | 2019-02-26 | Fresenius Kabi Deutschland Gmbh | Morphine formulations |
US10214338B2 (en) | 2013-03-14 | 2019-02-26 | Fresenius Kabi Deutschland Gmbh | Packaging system for oxygen-sensitive drugs |
US10781027B2 (en) | 2013-03-14 | 2020-09-22 | Fresenius Kabi Deutschland Gmbh | Packaging system for oxygen-sensitive drugs |
US11214426B2 (en) | 2013-03-14 | 2022-01-04 | Fresenius Kabi Deutschland Gmbh | Packaging system for oxygen-sensitive drugs |
CN118021718A (zh) * | 2024-04-12 | 2024-05-14 | 成都瑞尔医药科技有限公司 | 一种盐酸普罗帕酮注射液及其制备方法 |
Also Published As
Publication number | Publication date |
---|---|
CA2258965A1 (fr) | 1998-01-08 |
AU738165B2 (en) | 2001-09-13 |
ZA975755B (en) | 1998-02-23 |
JP2000516204A (ja) | 2000-12-05 |
IL127691A0 (en) | 1999-10-28 |
EP0954327A1 (fr) | 1999-11-10 |
AU3407597A (en) | 1998-01-21 |
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