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TWI302457B - A pharmaceutical composition for improving blood lipid or reducing blood homocysteine - Google Patents

A pharmaceutical composition for improving blood lipid or reducing blood homocysteine Download PDF

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TWI302457B
TWI302457B TW092118805A TW92118805A TWI302457B TW I302457 B TWI302457 B TW I302457B TW 092118805 A TW092118805 A TW 092118805A TW 92118805 A TW92118805 A TW 92118805A TW I302457 B TWI302457 B TW I302457B
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blood
salt
hmg
homocysteine
pharmaceutical composition
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TW200403053A (en
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Kondo Tatsuhito
Takagi Ikuo
Nakayama Masato
Torizumi Yasuhiro
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Sankyo Co
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/66Phosphorus compounds
    • A61K31/675Phosphorus compounds having nitrogen as a ring hetero atom, e.g. pyridoxal phosphate
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/21Esters, e.g. nitroglycerine, selenocyanates
    • A61K31/215Esters, e.g. nitroglycerine, selenocyanates of carboxylic acids
    • A61K31/22Esters, e.g. nitroglycerine, selenocyanates of carboxylic acids of acyclic acids, e.g. pravastatin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
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    • A61K31/335Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin
    • A61K31/365Lactones
    • A61K31/366Lactones having six-membered rings, e.g. delta-lactones
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/40Heterocyclic 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/435Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
    • A61K31/44Non condensed pyridines; Hydrogenated derivatives thereof
    • A61K31/4415Pyridoxine, i.e. Vitamin B6
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • AHUMAN NECESSITIES
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    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P3/00Drugs for disorders of the metabolism
    • A61P3/06Antihyperlipidemics
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    • AHUMAN NECESSITIES
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    • A61P7/00Drugs for disorders of the blood or the extracellular fluid
    • A61P7/02Antithrombotic agents; Anticoagulants; Platelet aggregation inhibitors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P9/00Drugs for disorders of the cardiovascular system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P9/00Drugs for disorders of the cardiovascular system
    • A61P9/10Drugs for disorders of the cardiovascular system for treating ischaemic or atherosclerotic diseases, e.g. antianginal drugs, coronary vasodilators, drugs for myocardial infarction, retinopathy, cerebrovascula insufficiency, renal arteriosclerosis

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Description

1302457 玖、發明說明: [技術領域] 本發明爲有關含有HMG-CoA還原酶抑制劑及吡哆素類 之醫藥組成物(尤其改善血中脂質或高血中高半胱胺酸之 醫藥組成物)。 [先前技術] 自古傳言「人隨血管衰老」,近年作爲動脈硬化之獨立 危險因子,血中高半胱胺酸量之增加備受注目,廣爲人知。 高半胱胺酸雖爲必須胺基酸之一之甲硫胺酸之代謝過程 生成之胺基酸,但已知由於遺傳因素、維生素輔因子(葉酸 、維生素B6、維生素B12)之缺乏、加齡、性、腎機能降低 、糖尿病、其他疾病、藥劑、喫煙等而血中高半胱胺酸量 上昇(Progress in Medicine,Vol,19 N0.8,1999 ρ·49-52) ,此症狀乃稱高高半胱胺酸血症。現在對高高半胱胺酸血 症之治療,爲使高半胱胺酸代謝圓滑,將葉酸投與第一階 段治療,第二階段爲維生素B 6及維生素B 1 2之投與 (Progress in Medicine,V ο 1. 1 9 Ν ο . 8 ? 1999,ρ.52-53)。 一方面,史達汀劑爲在活體將HMG-CoA還原酶專一而 拮抗抑制來降低血中膽固醇量之藥物,但對血中高半胱胺 酸量之影響: 1) 對1 6例高膽固醇血症患者將普拉巴史達汀投與8週之結 果,使血中高半胱胺酸量減少之報告(日經醫藥2 0 0 1年1 1 月號p73), 2) 將羅巴史達汀投與1年之2 0705例中,血中高半胱胺酸 -6- 1302457 量平均減少3 ·7%(在僞藥群減少1 .9%)報告(Circulation, ^1302457 发明Invention Description: [Technical Field] The present invention relates to a pharmaceutical composition containing an HMG-CoA reductase inhibitor and a pyridoxine (especially a pharmaceutical composition for improving blood lipids or high blood cysteine) . [Prior Art] Since ancient times, "human aging with blood vessels" has become an independent risk factor for arteriosclerosis in recent years, and the increase in the amount of homocysteine in the blood has been attracting attention and is widely known. Although homocysteine is an amino acid produced by the metabolic process of methionine, one of the essential amino acids, it is known that due to genetic factors, the lack of vitamin cofactors (folic acid, vitamin B6, vitamin B12), plus Age, sex, decreased renal function, diabetes, other diseases, drugs, smoking, etc., and the amount of hypercysteine in the blood rises (Progress in Medicine, Vol, 19 N0.8, 1999 ρ·49-52), this symptom is called Hyperhomocysteinemia. Now for the treatment of hyperhomocysteinemia, in order to make the metabolism of homocysteine smooth, the folic acid is administered to the first stage of treatment, and the second stage is the administration of vitamin B 6 and vitamin B 1 2 (Progress in Medicine, V ο 1. 1 9 Ν ο . 8 ? 1999, ρ. 52-53). On the one hand, the Statin agent is a drug that specifically inhibits HMG-CoA reductase in vivo to reduce the amount of cholesterol in the blood, but has an effect on the amount of homocysteine in the blood: 1) For 16 patients with hypercholesterolemia Reporting the results of 8 weeks of Prabastastatin to reduce the amount of hypercysteine in the blood (Nikkei Medicine January 01, 2011 p73), 2) Casting Robustin for 1 year 2 In 0705 cases, the average amount of homocysteine-6-1302457 in the blood decreased by 3.7% (a decrease of 1.9% in the pseudo-drug group) (Circulation, ^

Vol.15,2002,pl 7 7 8 ), 3 )在7例心血管疾病者,3例投與阿多路巴史達汀,其餘4 ' 例將辛巴史達汀投與6週之結果,血中高半胱胺酸量在阿 多路巴史達汀投與群增加,在辛巴史達汀群減少之報告 (31stHemophilia Symposium Hamburg)2000,p258),未必得 明確之結論。 又爲將動脈硬化症之進展危險性防止或減輕,有史達汀 劑與葉酸倂用療法之揭示(WO 9 7,3 8 6 94)。 φ 目前,史達汀劑與吡哆素類之倂用文獻在W Ο 9 7 / 3 8 6 9 4 第1 7頁除史達汀劑與葉酸之外,尙包括選自Η M G - C ο A合 成酶抑制劑、角鯊烯環氧酶抑制劑、角鯊烯合成酶抑制劑 、A C A T抑制劑、丙丁酚、煙酸、纖維酯、膽固醇吸收抑 制劑、膽酸吸附劑、LDL受體誘導劑、維生素B6、維生素 B12、阿司匹靈、冷遮斷劑、維生素C、維生素E及/3胡蘿 蔔素者。 但在WO 97,38694無有關本發明之HMG-CoA合成酶抑 馨 制劑與吡哆素類之2劑倂用之記載,又本發明之效果,也 即有關本發明之血中脂質顯著改善作用及血中高半胱胺酸 量之顯著降低作用之發現無任何記載與提示。 又在WO 02/43 65 9號作爲減低心臟血管疾病之危險性之 營養補助食品,揭示Η M G - C ο A還原酶抑制劑(史達汀劑) 及7種輔助劑(ω-3脂肪酸、維生素E、維生素c、維生素 Β 6、維生素Β 1 2、葉酸、鈣)配合之組成物。但此爲個個成 -7- 1302457 分之公知藥效,基於史達汀劑及ω - 3脂肪酸使血淸脂質改 善’維生素Ε及C有抗氧化作用,葉酸與維生素β 6及Β 1 2 之組合使血中高半胱胺酸濃度減少,鈣使血壓降低之對心 臟血管系之健康有用之推測考案之組成物,無揭示具體試 驗數據等,故在WO 02/43 65 9號也對本發明之效果,也即 有關本發明之對血中脂質顯著改善作用及血中高半胱胺酸 量之顯著降低作用之發現無任何記載與提示。 [發明內容] 本發明爲找出改善血中脂質之安全藥劑及降低血中高半 胱胺酸量之安全藥劑,致力硏究之結果,發現HMG-Co A 還原酶抑制劑與吡哆素類之倂用顯著地改善血中脂質之作 用及血中高半胱胺酸量之降低作用,終於完成本發明。 本發明爲有關: (1) 含有HMG-CoA還原酶抑制劑及吡哆素類之醫藥組成物。 其中醫藥組成物爲: (2) 改善血中脂質或高血中高半胱胺酸量之(1)記載之組成 物, (3) HMG-CoA還原酶抑制劑爲選自普拉巴史達汀(Pravastatil〇 、羅巴史達汀(Lovastatin)、辛巴史達汀(Simvastatin)、氟 巴史達汀(Fluvastatin)、力巴史達汀(Rivastatin)、阿多路 巴史達汀(Atorvastatin)、比大巴史達汀(Pitavastatin)及羅 斯巴史達汀(R 〇 s v a s t a t i η)之1種或2種以上之(1 )或(2 )記載 之組成物, (4) HMG-CoA還原酶抑制劑爲選自普拉巴史達汀、辛巴史 -8- 1302457 還原酶抑制劑及吡哆素類之使用。 本發明醫藥組成物之成分之一之「HMG-CoA還原酶抑制 劑」及指將膽固醇生合成系之律速酵素之HMG (3-羥基-3-甲基戊二醯基)-C〇A還原酶專一且拮抗地抑制之藥劑。因 能降低血中膽固醇,本來當作高脂血症治療劑使用。這種 Η M G - C ο A還原酶抑制劑包括微生物由來之天然物質,由此 衍生之半合成物質,及所有全合成化合物,例如特開昭 5 7-2240 號公報(USP4346227)記載之( + )-(3R,5R)-3,5-二羥基 -7-[(18,23,68,88,8&化)-6-羥基-2-甲基-8-[(8)-2-甲基丁氧 基]-l,2,6,7,8,8a-六氫-1-萘基]庚酸(以下稱普拉巴史達汀) 、特開昭 5 7 - 1 6 3 3 74 號公報(USP423 1 93 8 )記載之( + )-(1 S,3R, 73,83,8&11)-1,2,3,7,8,8&-六氫-3,7-二甲基-8-[2-(211,411)-四 氫-4-羥基-6-氧- 2H-吡喃-2-基]乙基]-1·萘基(S)-2-甲基丁 酸酯(以下稱羅巴史達汀)、特開昭5 6 - 1 2 2 3 7 5號公報 (USP4444784)記載之( + )-(lS,3R,7S,8S,8aR)-l,25357,8,8a-六氫-3,7-二甲基-8-[2-(2R54R)-四氫-4-羥基-6-氧-2H-吡喃 -2-基]乙基]-1-萘基2,2-二甲基丁酸酯(以下稱辛巴史達汀) 、特開昭 60-500015 號公報(USP4739073)記載之(±)-(3R,5S, 6£)-7-[3-(4-氟苯基)-1-(1-甲基乙基)-111-吲哚-2-基]3,5-二 羥基-6-庚烯酸(以下稱氟巴史達汀)、特開平i-2 1 6974號公 報(118?5006530)記載之(311,58,6£)-7-[4-(4-氟苯基)-2,6-二 -(1-甲基乙基)-5-甲氧甲基毗啶-3 -基]-3,5 -二羥基-6 -庚烯 酸(以下稱力巴史達汀)、特開平3-58967號公報(USP5273995) 記載之(3R,5S)-7-[2-(4-氟苯基)-5-(1-甲基乙基)-3-苯基-4- 1302457 苯基胺羰基-1 Η-吡咯-卜基]-3, 5-二羥基庚烯酸(以下稱阿多 路巴史達汀)、特開平1-2 7 9 8 6 6號公報(USP 5 8 5 42 5 9及 USP5856336)記載之(Ε)-3,5-二羥基-7-[4’-(4”-氟苯基)-2,- 環丙基-喹啉-3-基]-6-庚烯酸(以下稱比大巴史達汀)或特開 平 5 - 1 7 8 8 4 1 號公報(USP 5 260440)記載之( + )-(3R,5S)-7-[4. (4-氟苯基)-6-異丙基- 2-(N-甲基-N-甲磺醯胺基)嘧啶-5-基;] -3, 5-二羥基- 6(E)-庚烯酸(以下稱羅斯巴史達汀)等史達汀 化合物。又本發明醫藥組成物之成分之HMG-CoA還原酶 抑制劑也含有上述HMG-CoA還原酶抑制劑記載之公報戶斤 揭示之其他HMG-CoA還原酶抑制劑。 HMG-CoA還原酶抑制劑之代表性者之平面構造式如下。Vol.15, 2002, pl 7 7 8 ), 3) In 7 patients with cardiovascular disease, 3 patients were given Adoruba Shistatin, and the remaining 4' patients were treated with Simbastatin for 6 weeks. The amount of cystine in the Adoluba Statin dose group increased, in the 31st Hemophilia Symposium Hamburg 2000, p258), may not be clear. In order to prevent or reduce the risk of progression of atherosclerosis, there is a revelation of statin and folic acid therapy (WO 9 7, 3 8 6 94). φ At present, the use of statin and pyridoxine in W Ο 9 7 / 3 8 6 9 4 page 7 in addition to the statin and folic acid, including Η MG - C ο A synthetase inhibition Agent, squalene epoxidase inhibitor, squalene synthetase inhibitor, ACAT inhibitor, probucol, nicotinic acid, fiber ester, cholesterol absorption inhibitor, bile acid adsorbent, LDL receptor inducer, vitamin B6 , vitamin B12, aspirin, cold amputation, vitamin C, vitamin E and /3 carotene. However, in WO 97,38694, there is no description about the use of the HMG-CoA synthetase inhibitor of the present invention and the two doses of pyridoxine, and the effect of the present invention, that is, the significant improvement of the lipid in the blood of the present invention. There was no record or suggestion for the significant reduction in the amount of homocysteine in the blood. Also in WO 02/43 65 9 as a nutritional supplement for reducing the risk of cardiovascular disease, Η MG - C ο A reductase inhibitor (statin) and 7 adjuvants (ω-3 fatty acids, vitamin E) , vitamin c, vitamin Β 6, vitamin Β 1, 2, folic acid, calcium) combined with the composition. However, this is a known effect of -7-1302457, based on Statin and ω-3 fatty acids to improve blood stasis lipids. 'Vitamin and C have antioxidant effects, and the combination of folic acid and vitamins β 6 and Β 1 2 The composition of the speculative test for reducing the concentration of homocysteine in the blood and reducing the blood pressure by calcium, which is useful for the health of the cardiovascular system, does not disclose specific test data, etc., so the effect of the present invention is also made in WO 02/43 65 9 That is, there is no description or suggestion regarding the significant reduction effect of the present invention on the significant improvement of blood lipids and the high level of cysteine in blood. [Description of the Invention] The present invention is to find a safe agent for improving blood lipids and a safe agent for lowering the amount of homocysteine in the blood, and strives to find out that HMG-Co A reductase inhibitor and pyridoxine are found. The present invention has finally been completed by significantly reducing the action of lipids in the blood and the reduction of the amount of homocysteine in the blood. The present invention relates to: (1) A pharmaceutical composition comprising an HMG-CoA reductase inhibitor and a pyridoxine. The pharmaceutical composition is: (2) a composition for improving the amount of high cysteine in blood lipids or high blood (1), (3) the HMG-CoA reductase inhibitor is selected from Pravastatil®. , Lovatatin, Simvastatin, Fluvastatin, Rivasatin, Atorvastatin, Pitavastatin, and Rothbastatin (R)组成 svastati η) one or more of the compositions described in (1) or (2), (4) the HMG-CoA reductase inhibitor is selected from the group consisting of Prabastatin, Simba Shi-8-1302457 reductase The use of an inhibitor and a pyridoxine. The "HMG-CoA reductase inhibitor" which is one of the components of the pharmaceutical composition of the present invention and the HMG (3-hydroxy-3-methyl) which is a rhythmic enzyme which synthesizes cholesterol. An agent that specifically and antagonically inhibits glutarinyl-C〇A reductase. It is used as a therapeutic agent for hyperlipidemia because it lowers blood cholesterol. This MG MG - C ο A reductase inhibitor includes a natural substance derived from microorganisms, thereby Derived semi-synthetic materials, and all fully synthetic compounds, such as (+)-(3R,5R)-3,5-dihydroxy-7-[(18,), as disclosed in JP-A-5-7-2240 (USP 4,346,227). 23,68,88,8&6-hydroxy-2-methyl-8-[(8)-2-methylbutoxy]-l,2,6,7,8,8a-hexahydro -1-naphthyl]heptanoic acid (hereinafter referred to as Praba statin), (+)-(1 S, 3R, 73, 83) (Japanese Patent Publication No. 5-7 - 1 6 3 3 74 (USP 423 1 93 8 ) ,8&11)-1,2,3,7,8,8&-hexahydro-3,7-dimethyl-8-[2-(211,411)-tetrahydro-4-hydroxy-6- Oxygen-2H-pyran-2-yl]ethyl]-1.naphthyl(S)-2-methylbutyrate (hereinafter referred to as Robustast), JP-A-5-6 - 1 2 2 3 7 5 (+)-(lS,3R,7S,8S,8aR)-l,25357,8,8a-hexahydro-3,7-dimethyl-8-[2-(2R54R) as described in US Pat. No. 4,444,784. -tetrahydro-4-hydroxy-6-oxo-2H-pyran-2-yl]ethyl]-1-naphthyl 2,2-dimethylbutyrate (hereinafter referred to as Simbastatin), special opening (±)-(3R,5S,6£)-7-[3-(4-fluorophenyl)-1-(1-methylethyl)-111-吲 described in US Pat. No. 60-500015 (USP4739073) Indole-2-yl]3,5-dihydroxy-6-heptenoic acid (hereinafter referred to as fluorobarba) (Datin), JP-A-i-1, 6974 (118?5006530) (311,58,6 £)-7-[4-(4-fluorophenyl)-2,6-di-(1) -Methylethyl)-5-methoxymethylpyridin-3-yl]-3,5-dihydroxy-6-heptenoic acid (hereinafter referred to as Libastastatin), JP-A-3-58967 (USP5273995) (3R,5S)-7-[2-(4-Fluorophenyl)-5-(1-methylethyl)-3-phenyl-4-1302457 phenylaminecarbonyl-1 Η-pyrrole -Buji]-3,5-dihydroxyheptenoic acid (hereinafter referred to as "Adoluba statin"), JP-A-1-2 7 9 8 6 6 (USP 5 8 5 42 5 9 and USP 5856336) Ε)-3,5-dihydroxy-7-[4'-(4"-fluorophenyl)-2,-cyclopropyl-quinolin-3-yl]-6-heptenoic acid (hereinafter referred to as the bus (+)-(3R,5S)-7-[4. (4-Fluorophenyl)-6-isopropyl as described in US Pat. No. 5 - 1 7 8 8 4 1 (USP 5 260440) - 2-(N-methyl-N-methylsulfonylamino)pyrimidin-5-yl;] -3,5-dihydroxy-6(E)-heptenoic acid (hereinafter referred to as Rosbergastatin) and other statin compounds . Further, the HMG-CoA reductase inhibitor of the component of the pharmaceutical composition of the present invention also contains other HMG-CoA reductase inhibitors disclosed in the above-mentioned HMG-CoA reductase inhibitor. The planar structural formula of a representative of the HMG-CoA reductase inhibitor is as follows.

辛巴史達汀 氟巴史達汀 1302457Simba Statin Finbastatin 1302457

力巴史達汀Lipa Statin

阿多路巴史達汀Adorba Statin

比大巴史達汀 羅斯巴史達汀 本發明中醫藥組成物之成分之一之吡哆素類爲吡哆素、 1:1比哆醛、吡哆胺或這些之鹽,宜鹽酸吡哆素、磷酸吡哆醛 或磷酸吡哆胺。更宜鹽酸吡哆素。 本發明中含有之上述各成分也可以藥理容許鹽含有,這 種鹽: 若成分具有鹼性官能基時,可爲如氫氟酸鹽、鹽酸鹽、 氫溴酸鹽、氫碘酸鹽等氫鹵酸鹽;硝酸鹽、過氯酸鹽、硫 酸鹽、磷酸鹽等無機酸鹽;甲磺酸鹽、三氟甲磺酸鹽、乙 磺酸鹽等低級有機磺酸鹽;苯磺酸鹽、對甲苯磺酸鹽等芳 磺酸鹽;鳥胺酸鹽、麩胺酸鹽等胺基酸鹽;及富馬酸、丁 1302457 一酸、檸檬酸、酒石酸、草酸、馬來酸等羧酸鹽。 若成分有酸性官能基時,可爲如鈉鹽、鉀鹽、鋰鹽等鹼 金屬鹽、15鹽、鎂鹽等鹼土類金屬鹽、鋁鹽、鐵鹽、鋅鹽 、銅鹽、鎳鹽、鈷鹽等金屬鹽;銨鹽等無機鹽、第三辛胺 鹽、二;胺鹽、嗎啉鹽、葡萄糖胺鹽、苯基甘胺酸烷酯鹽 、乙二胺鹽、N-甲基葡糖胺鹽、胍鹽、二乙胺鹽、三乙胺 鹽、二環己胺鹽、N,N,_:苄基乙二胺鹽、氯普羅卡因鹽、 普羅卡因鹽、二乙醇胺鹽、N -苄基-苯乙胺鹽、哌畊鹽、四 甲基銨鹽、參(羥甲基)胺基甲烷鹽等有機鹽等胺鹽,例如 普拉巴史達汀時,宜普拉巴史達汀鈉,如阿多路巴史達汀 時’宜阿多路巴史達汀鈣水合物。 含有之各成分形成水合物或溶劑合物時,含有這些水合 物或ί谷劑合物之醫藥組成物也包括在本發明。 本發明中,「改善血中脂質」乃指將血中脂質降低至臨 床有意義之程度,使血中三酸甘油酯降低,使血中LDL降 低或使血中總膽固醇降低。 本發明中「改善高血中高半胱胺酸量」乃指將高血中高 半胱胺酸量之上昇抑制,及將高血中高半胱胺酸量減少。 又引起高血中高半胱胺酸量之上昇者有例如加齡、喫煙、 與高半胱胺酸代謝有關之營養障礙、藥劑性、腎機能降低 、慢性腎衰竭、糖尿病、胰島素抵抗性、惡性腫瘤、甲狀 腺機能降低、惡性貧血等。 本發明中「高血中高半胱胺酸量所起因之疾病」只要爲 血中高半胱胺酸量過高所起因發症之疾病則無特定,例如 1302457 醫藥組成物」乃以HMG-CoA還原酶抑制劑及吡哆素類爲 必須成分含有,可依所望含有製劑化之添加物,更可含有對 HMG-CoA還原酶抑制齊彳及吡哆素類之倂用作用無惡影響 之其他成分。宜僅以HMG-CoA還原酶抑制劑及吡哆素類爲 有效成分含量,更含有製劑化之添加物之醫藥組成物。 本發明之醫藥組成物之具體劑形可爲例如錠劑、細粒劑 (含散劑)、膠囊、液劑(含糖漿劑)等,適宜使用適合各劑合 之添加劑及基材,可依日本藥局方等記載之通常方法製造。 在上述各劑形也可依其劑形使用通常使用之各種添加劑。 例如’錠劑時,以乳糖、結晶纖維素等爲賦形劑,以偏 砂酸鋁酸鎂或氧化鎂等爲安定化劑,以羥丙基纖維素等爲 被覆劑’以硬脂酸鎂等爲滑劑使用。 細粒劑及膠囊劑時,以乳糖或精製白糖等賦形劑,以偏 石夕酸銘酸鎂或氧化鎂等爲安定化劑,以玉米澱粉等吸附劑 ,以羥丙基纖維素等爲結合劑使用。 在上述各劑形’也可依必要添加聚乙烯聚吡咯啶酮等崩 壞劑;聚山梨酸酯等界面活性劑;矽酸鈣等吸附劑;三氧 化二鐵、焦糖等著色劑;苯甲酸鈉等安定劑;p Η調節劑; 香料等。 本發明中「倂用」乃指將二以上有效成分同時或隔時各 別投與人體之方法。 本發明中投與醫藥組成物時,可將各成分同時或隔時各 別投與。 上述「同時」投與除完全同時投與之外,也包括藥理容 1302457 2 0%。 本發明之醫藥組成物爲液劑時含有成分之量可爲例如, 阿多路巴史達汀及普拉巴史達汀之含有量通常爲0.01〜10 mg/mL·,宣爲〇.05〜5mg/mL,又辛巴史達汀之含有量通常 爲0.005〜5mg/mL,宜0.03〜3mg/mL,又吡哆素類之含有 量通常爲0· 1〜20mg/mL,宜1〜10mg/mL。 [實施發明之最佳形態] 以下舉實施例等來更詳細說明本發明,本發明之範圍不 限於這些。 [實施例] [實施例1 ]錠劑 6 中(mg) 6鏡中(m g) 6錠中(mg) 普拉巴史達汀鈉 20 - • 辛巴史達汀 - 10 輸 阿多路巴史達汀釣 - - 2 0 鹽酸毗哆素 100 100 _ 磷酸吡哆醛 - - 60 氧化鎂 400 400 400 偏矽酸鋁酸鎂 140 140 140 結晶纖維素 120 120 120 玉米澱粉 140 140 140 羥丙基纖維素 60 60 60 羧甲醚纖維素鈉 15 15 1 5 硬脂酸鎂 25 25 25 三醋精 6 6 6 乳糖 適量 適量 適量 口 δ卞 1200 1200 1200 -18- 1302457 (2)製法 將上述成分及分量依日局製劑總則「錠劑」之項製造錠 劑。 [實施例2]細粒劑 (1)成分 3包中(mg) 3包中(mg) 3包中(mg) 普拉巴史達汀鈉 20 • 辛巴史達汀 - 10 - 阿多路巴史達汀鈣 - - 20 鹽酸吡哆素 100 100 - 磷酸吡哆醛 - - 60 氧化鎂 400 400 400 偏矽酸鋁酸鎂 140 140 140 精製白糖 1400 1400 1400 甜菊萃取生成物 15 15 1 5 玉米澱粉 1200 1200 1200 聚山梨酸酯8 0 80 80 80 硬脂酸鎂 25 25 25 乳糖 適量 適量 適量 合計 4 3 00 4 3 0 0 4 3 00One of the components of the composition of the traditional Chinese medicine composition of the present invention is pyridoxine, 1:1, furfural, pyridoxamine or a salt thereof, preferably pyridoxine hydrochloride or pyridoxine phosphate. Aldehyde or pyridoxamine phosphate. More preferred is pyridoxine hydrochloride. The above-mentioned respective components contained in the present invention may be contained in a pharmacologically acceptable salt. If the component has a basic functional group, it may be, for example, a hydrofluoric acid salt, a hydrochloride salt, a hydrobromide salt, a hydroiodide salt or the like. Hydrohalide; inorganic acid salt such as nitrate, perchlorate, sulfate, phosphate; lower organic sulfonate such as methanesulfonate, triflate, ethanesulfonate; An aryl sulfonate such as p-toluenesulfonate; an amine acid salt such as alanate or glutamate; and a carboxylic acid such as fumaric acid, butyl 1302457 monoacid, citric acid, tartaric acid, oxalic acid, maleic acid salt. When the component has an acidic functional group, it may be an alkali metal salt such as a sodium salt, a potassium salt or a lithium salt, an alkaline earth metal salt such as a 15 salt or a magnesium salt, an aluminum salt, an iron salt, a zinc salt, a copper salt or a nickel salt. a metal salt such as a cobalt salt; an inorganic salt such as an ammonium salt; a third octylamine salt; a bis; an amine salt, a morpholine salt, a glucosamine salt, an alkyl phenylglycine salt, an ethylenediamine salt, and an N-methyl gluco Glycosamine salt, sulfonium salt, diethylamine salt, triethylamine salt, dicyclohexylamine salt, N, N, _: benzyl ethylenediamine salt, chloroprocaine salt, procaine salt, diethanolamine salt An amine salt such as an organic salt such as N-benzyl-phenethylamine salt, a piperazine salt, a tetramethylammonium salt or a hydroxymethylaminomethane salt, such as Prabastatin, preferably Prapastatin sodium, Such as Adorba Badin's when 'Yaduolu Bastaratin calcium hydrate. When the respective components contained form a hydrate or a solvate, a pharmaceutical composition containing these hydrates or gluten-based compositions is also included in the present invention. In the present invention, "improving blood lipids" means lowering blood lipids to a clinically significant extent, lowering blood triglycerides, lowering blood LDL or lowering total blood cholesterol. In the present invention, "improving the amount of homocysteine in high blood" means suppressing an increase in the amount of homocysteine in high blood and reducing the amount of homocysteine in high blood. The increase in the amount of hypercysteine in high blood is, for example, ageing, smoking, dystrophic disorders associated with homocysteine metabolism, pharmacy, decreased renal function, chronic renal failure, diabetes, insulin resistance, malignancy Tumor, hypothyroidism, and pernicious anemia. In the present invention, "a disease caused by a high amount of homocysteine in a high blood" is not particularly specific as long as the amount of hypercysteine in the blood is too high, for example, 1302457 pharmaceutical composition is reduced by HMG-CoA. The enzyme inhibitor and pyridoxine are essential components, and may contain additives which are formulated as desired, and may further contain other components which have no adverse effect on the action of HMG-CoA reductase to inhibit the use of pyridoxine and pyridoxine. . It is preferable to use only the HMG-CoA reductase inhibitor and pyridoxine as active ingredient contents, and further contain a pharmaceutical composition of the formulated additive. The specific dosage form of the pharmaceutical composition of the present invention may be, for example, a tablet, a fine granule (including a powder), a capsule, a liquid (containing a syrup), and the like, and an additive and a substrate suitable for each agent are suitably used, and may be used in Japan. It is manufactured by the usual method described in the Pharmacy Bureau. Various additives which are generally used can also be used in the form of the above-mentioned respective dosage forms. For example, in the case of a tablet, lactose, crystalline cellulose or the like is used as an excipient, magnesium or magnesium sulphate or magnesium oxide is used as a stabilizer, and hydroxypropylcellulose or the like is used as a coating agent to magnesium stearate. Wait for a slip agent. In the case of fine granules and capsules, excipients such as lactose or refined white sugar, stabilizers such as magnesium citrate or magnesium oxide, and adsorbents such as corn starch, hydroxypropyl cellulose, etc. The binder is used. In the above-mentioned respective dosage forms, a disintegrating agent such as polyvinylpolypyrrolidone or a surfactant such as polysorbate; an adsorbent such as calcium citrate; a coloring agent such as ferric oxide or caramel; and benzene may be added as necessary. Stabilizers such as sodium formate; p Η conditioner; spices, etc. In the present invention, "application" means a method of administering two or more active ingredients to a human body at the same time or at intervals. In the case of administering the pharmaceutical composition in the present invention, the components may be administered separately or separately. The above-mentioned "simultaneous" administration also includes the pharmacological capacity of 1302457 2 0% in addition to the simultaneous simultaneous administration. When the pharmaceutical composition of the present invention is a liquid preparation, the amount of the component may be, for example, the content of adolubastatin and pramastatin is usually 0.01 to 10 mg/mL·, and it is 〇.05 to 5 mg/mL. Further, the content of simbastatin is usually 0.005 to 5 mg/mL, preferably 0.03 to 3 mg/mL, and the content of pyridoxine is usually 0.1 to 20 mg/mL, preferably 1 to 10 mg/mL. BEST MODE FOR CARRYING OUT THE INVENTION The present invention will be described in more detail below with reference to examples and the like, and the scope of the invention is not limited thereto. [Examples] [Example 1] Lozenges 6 (mg) 6 in the mirror (mg) 6 ingots (mg) Prabastatin sodium 20 - • Simbastatin - 10 Indobarta Statin fishing - - 2 0 pyridoxine 100 100 _ pyridoxal phosphate - - 60 magnesium oxide 400 400 400 magnesium metasilicate magnesium silicate 140 140 140 crystalline cellulose 120 120 120 corn starch 140 140 140 hydroxypropyl cellulose 60 60 60 carboxymethyl Ether Cellulose Sodium 15 15 1 5 Magnesium Stearate 25 25 25 Triacetin 6 6 6 Lactose Appropriate amount of appropriate amount δ 卞 1200 1200 1200 -18- 1302457 (2) Method of preparation of the above ingredients and components according to the Japanese General Regulations The lozenge manufactures tablets. [Example 2] Fine granules (1) Ingredients 3 packs (mg) 3 packs (mg) 3 packs (mg) Prabastatin sodium 20 • Simbastatin-10 - Adoluba Shistatin calcium - - 20 pyridoxine 100 100 - pyridoxal phosphate - - 60 magnesium oxide 400 400 400 magnesium metasilicate magnesium silicate 140 140 140 refined white sugar 1400 1400 1400 stevia extract 15 15 1 5 corn starch 1200 1200 1200 poly sorbic acid Ester 8 0 80 80 80 Magnesium stearate 25 25 25 Lactose Appropriate amount Appropriate amount 4 3 00 4 3 0 0 4 3 00

(2)製法 將上述成分及分量依日局製劑總則「顆粒劑」之項製造 細粒劑。 1302457 [實施例3]膠囊劑 (1)成分 6膠囊中(m g) 6膠囊中(mg) 6膠囊中(mg) 普拉巴史達汀鈉 20 - • 辛巴史達汀 - 10 - 阿多路巴史達汀鈣 一 - 2 0 鹽酸吡哆素 100 100 細 磷酸吡哆醛 - - 60 氧化鎂 400 400 400 玉米澱粉 600 600 600 聚山梨酸酯8 0 50 50 50 硬脂酸鎂 25 25 25 乳糖 適量 適量 適量 膠囊 480 480 480 合計 2 3 00 23 00 2 3 00 (2 ),製法 將上述成分及分量依日局製劑總則「顆粒劑」之項製造 細粒劑後,充塡在膠囊得硬膠囊劑。 [實施例4]糖漿劑 -20- 1302457 (1)成分 6mL 中(mg) 6mL 中(mg) 6mL 中(mg) 普拉巴史達汀鈉 20 - 謹 辛巴史達汀 - 10 阿多路巴史達汀鈣 - - 20 鹽酸吡哆素 100 100 • 磷酸吡哆醛 - - 60 苯甲酸鈉 240 240 240 檸檬酸 60 60 60 白糖 1500 1500 1500 濃甘油 1800 1800 1800 聚乙烯醇 120 120 120 乙醇(9 5 % ) 500 500 500 鹽酸 適量 適量 適量 氫氧化鈉 適量 適量 適量 精製水 適量 適量 適量 (2)製法(2) Preparation method The above-mentioned components and components are manufactured into fine granules according to the general term "granules" of the preparations for the Japanese government. 1302457 [Example 3] Capsule (1) Ingredient 6 Capsules (mg) 6 Capsules (mg) 6 Capsules (mg) Praba Shistatin Sodium 20 - • Simbastatin - 10 - Adorba Basatin Calcium - 2 0 pyridoxine 100 100 pyridoxal phosphate - 60 magnesium oxide 400 400 400 corn starch 600 600 600 polysorbate 8 0 50 50 50 magnesium stearate 25 25 25 lactose right amount appropriate amount of capsule 480 480 480 Total 2 3 00 23 00 2 3 00 (2), the method of making the above ingredients and components in accordance with the general provisions of the "Nuclear" of the preparation of the daily preparation of fine particles, and then filling the capsule into a hard capsule. [Example 4] syrup -20-1302457 (1) Ingredient 6 mL Medium (mg) 6 mL Medium (mg) 6 mL Medium (mg) Praba statin sodium 20 - Zinbabadin - 10 Adorba statin calcium - - 20 Pyridoxine 100 100 • Pyridoxal phosphate - 60 Sodium benzoate 240 240 240 Citric acid 60 60 60 White sugar 1500 1500 1500 Concentrated glycerol 1800 1800 1800 Polyvinyl alcohol 120 120 120 Ethanol (9 5 % ) 500 500 500 Hydrochloric acid Appropriate amount of moderate amount of sodium hydroxide, moderate amount, appropriate amount of refined water, appropriate amount of appropriate amount (2)

將上述成分及分量依日局製劑總則「糖漿劑」之項製造 糖漿劑後,充塡在褐色玻璃瓶得糖漿劑。 [實施例5]錠劑 1302457 (1)成分 6銳中(mg) 阿多路巴史達汀鈣 20 鹽酸吡哆素 100 氧化鎂 400 偏矽酸鋁酸鎂 140 結晶纖維素 120 玉米澱粉 140 羥丙基纖維素 60 羧甲醚纖維素鈉 15 硬脂酸鎂 25 三醋精 6 乳糖 適量 合計 1200 (2)製法 將上述成分及分量依日局製劑總則「錠劑」之項製造錠 劑。 [實施例6]細粒劑 -22- 1302457 (1)成分 3包中(mg) 阿多路巴史達汀鈣 20 鹽酸观哆素 100 氧化鎂 400 偏矽酸鋁酸鎂 140 精製白糖 1400 甜菊萃取生成物 15 玉米澱粉 1200 聚山梨酸酯8 0 80 硬脂酸鎂 25 乳糖 適量 合計 43 00 (2)製法 將上述成分及分量依日局製劑總則「顆粒劑」之項製造 細粒劑。 [實施例7]膠囊劑 -23- 1302457 (1)成分 6膠囊中(mg) 阿多路巴史達汀鈣 20 鹽酸吡哆素 1 00 氧化鎂 400 玉米澱粉 600 聚山梨酸酯8 0 50 硬脂酸鎂 25 乳糖 適量 膠囊 480 合計 2 3 00 (2)製法 將上述成分及分量依日局製劑總則「顆粒劑」之項製造 細粒劑後,充塡在膠囊得硬膠囊劑。 [實施例8]糖漿劑 (1)成分 6mL 中(mg) 阿多路巴史達汀鈣 20 鹽酸吡哆素 1 00 苯甲酸鈉 240 檸檬酸 60 白糖 1500 濃甘油 1800 聚乙烯醇 120 乙醇(9 5 % ) 500 鹽酸 適量 氫氧化鈉 適量 精製水 適量 -24- 1302457 (2)製法 將上述成分及分量依日局製劑總則「糖漿劑」之項製造 糖漿劑後,充塡在褐色玻璃瓶得糖漿劑。 [試驗劑] [試驗例1 ]血中脂質量之評價試驗 (1) 被驗物質 普拉巴史達汀鈉用三共股份公司製造者,辛巴史達汀及 阿多路巴史達汀鈣用Chemtechlab股份公司製造者,鹽酸 吡哆素用日本Roche股份公司製造者。 (2) 動物 試驗動物自 Covance Research Products Inc.購入 5 月齡 雄小蠟犬,約1個月之檢疫及馴化飼育後使用之。 (3 )投與劑形、製劑之調製方法及製劑之保存方法 將按試驗動物體重算出之必要量被驗物質,充塡在 TO RPAC公司之膠囊(1/2盎司)。充塡後,膠囊投入按動物 區分之盒,冷藏保存至投與時。 (4)投與經路及投與期間 充塡被驗物質之膠囊,每日1回在9 : 0 0〜1 2 : 3 0之間對試 驗動物強制經口投與。試驗動物在投與前絕食2〜3小時。 投與期間爲1 1曰。 (5 )被驗試料之調製 膠囊投與前-14及-7日(投與開始前第2週及第1週)’投 與後4日、8日、1 2日從撓側皮靜脈採血約〗〇mL。試驗動 物採血前絕食約1 8小時。 -25- 1302457 所得血液移入試驗管,在室溫放置3 0分〜1小時後,離 心分離(約l6〇〇xg,1〇分),用所得血淸。 (6) 試驗方法 檢查結果’總膽固醇用酵素測定法、HDL用勻化法、LDL 用彳匕學修飾酵素法、三酸甘油酯用全酵素法。又測定用臨 床化學自動分析裝置(TBA-120FR,東芝公司製造)。 (7) 試驗結果 鹽酸ft Π多素、與普拉巴史達汀鈉、辛巴史達汀及阿多路 巴史達汀鈣在各投與量之單劑及配合劑之各種血中脂質量 ’以投與2週前及1週前之各種血中脂質量之平均爲1〇〇 換算求出。 所得結果如表1〜表6。又各値皆爲1組5隻之平均値。 表1 被驗物質(mg/Kg) 血中總膽固醇變動率% 投與後4曰 投與後8曰 投與後1 2日 辛巴史達汀(1) 94.8 94.1 92.4 鹽酸吡哆素(5 0 ) 98.0 93.3 90.5 辛巴史達汀(1) + 88.5 83.6 80.0 鹽酸吡哆素(5 0 ) -26- 1302457The syrup is prepared by adding the above ingredients and components to the "syrup" of the general formulation of the Japanese medicine, and then filling the syrup in a brown glass bottle. [Example 5] Lozenge 1302457 (1) Ingredient 6 sharp medium (mg) Adodalustatin calcium 20 Pyridoxine hydrochloride 100 Magnesium oxide 400 Magnesium metasilicate magnesium silicate 140 Crystalline cellulose 120 Corn starch 140 Hydroxypropyl Cellulose 60 Carboxymethyl Cellulose Sodium 15 Magnesium Stearate 25 Triacetin 6 Lactose Appropriate Total 1200 (2) Method of Preparation The above ingredients and the ingredients are used to make tablets in accordance with the general provisions of the "Nipples". [Example 6] Fine granule-22-1302457 (1) Ingredient 3 packs (mg) Adolavir statin calcium 20 Guanosin hydrochloride 100 Magnesium oxide 400 Magnesium metasilicate magnesium silicate 140 Refined white sugar 1400 Stevia extract Item 15 Corn Starch 1200 Polysorbate 80 80 Magnesium Stearate 25 Lactose Appropriate Total 43 00 (2) Method The above ingredients and the components are used to prepare fine granules according to the general term "granules" of the Japanese preparations. [Example 7] Capsule-23-1302457 (1) Ingredient 6 Capsules (mg) Adoluba Shistatin Calcium 20 Pyridoxine Hydrochloride 1 00 Magnesium Oxide 400 Corn Starch 600 Polysorbate 8 0 50 Stearic Acid Magnesium 25 Lactose suitable capsule 480 Total 2 3 00 (2) Preparation method The above ingredients and the components are prepared according to the general provisions of the "granules" of the Japanese preparations, and then the capsules are filled with hard capsules. [Example 8] syrup (1) Ingredients 6 mL Medium (mg) Adloba Bastatin Calcium 20 Pyridoxine Hydrochloride 1 00 Sodium Benzoate 240 Citric Acid 60 White Sugar 1500 Concentrated Glycerin 1800 Polyvinyl Alcohol 120 Ethanol (9 5 % ) 500 hydrochloric acid, an appropriate amount of sodium hydroxide, an appropriate amount of refined water -24-1302457 (2) Method of preparation The syrup is prepared by adding the above ingredients and components to the "syrup" of the general preparation of the Japanese medicine, and then filling the syrup in a brown glass bottle. [Test agent] [Test Example 1] Evaluation test of lipid quality in blood (1) Test substance Prabastastatin sodium was manufactured by Sankyo Co., Ltd., Simba Statin and Adorabastatin calcium were manufactured by Chemtechlab AG. Pyridoxine hydrochloride is manufactured by Japan Roche Co., Ltd. (2) Animals Test animals were purchased from Covance Research Products Inc. for 5 months old male wax dogs, which were used after quarantine and domestication for about 1 month. (3) Formulation method of administration, preparation method of preparation, and preservation method of preparation The test substance which was calculated according to the body weight of the test animal was filled in a capsule of TO RPAC (1/2 ounce). After filling, the capsules are placed in a box divided by animals and stored in cold storage until they are administered. (4) During the period of administration and administration, the capsules filled with the substance to be tested are forcibly administered orally to the test animals between 9:00 and 1 2:30. The test animals were hunger strike for 2 to 3 hours before administration. The period of investment is 1 1曰. (5) The test capsules of the test materials were administered before the first 14 and 7 days (the second week and the first week before the start of the investment). Blood was collected from the lateral cutaneous vein on the 4th, 8th, and 12th after the administration. About 〇mL. The animals were hunger strike for about 18 hours before blood collection. -25- 1302457 The obtained blood was transferred to a test tube, and after standing at room temperature for 30 minutes to 1 hour, it was centrifuged (about 16 〇〇 x g, 1 〇), and the resulting blood was used. (6) Test method Inspection results 'Total cholesterol is determined by enzyme measurement method, HDL homogenization method, LDL using deuterated modified enzyme method, and triglyceride using whole enzyme method. Further, a clinical chemical automatic analyzer (TBA-120FR, manufactured by Toshiba Corporation) was used for the measurement. (7) Test results ft Π 素 素 、, with Praba statin sodium, simbastatin and Adorabastatin calcium in each dose of a single dose The average of the lipid masses in the blood before and one week ago was calculated as 1 〇〇. The results obtained are shown in Tables 1 to 6. Each of them is the average of 5 groups of 5 groups. Table 1 Test substance (mg/Kg) Total cholesterol change rate in blood % After administration, 4 曰 after administration, 8 曰 after administration, simbastatin (1) 94.8 94.1 92.4 Pyridoxine hydrochloride (5 0 ) 98.0 93.3 90.5 Simbastatin (1) + 88.5 83.6 80.0 Pyridoxine hydrochloride (5 0 ) -26- 1302457

表2 被驗物質(mg/Kg) 血中L D L之變動率% 投與後4日 投與後8曰 投與後12曰 辛巴史達汀(1 ) 83.9 90.4 8 1.3 鹽酸吡哆素(50) 10 1.7 95.0 9 1.4 辛巴史達汀(1) + 83.0 70.4 70.4 鹽酸吡哆素(50) 表3 被驗物質(mg/Kg) 血中三 酸甘油酯之變動率% 投與後4日 投與後8曰 投與後1 2曰 辛巴史達汀(1 ) 66.4 85.3 82.0 鹽酸吡哆素(5 0 ) 83.8 86.7 8 1.2 辛巴史達汀(1) + 50.1 54.4 65.1 鹽酸吡哆素(5 0 ) 表4 被驗物質(mg/Kg) 血中 LDL之變動率% 投與後4曰 投與後8曰 投與後12曰 普拉巴史達汀鈉(2) 92.6 91.6 90.4 鹽酸吡哆素(50) 10 1.7 95.0 9 1.4 普拉巴史達汀鈉(2) + 50.1 54.4 65.1 鹽酸吡哆素(5 0 ) -27- 1302457 表5 被驗物質(mg/Kg) 血中L D L之變動率% 投與後4日 投與後8曰 投與後1 2曰 阿多路巴史達汀釣(2) 82.4 82.1 83.6 鹽酸吡哆素(5 0) 101.7 95.0 9 1.4 阿多路巴史達汀鈣(2) + 鹽酸吡哆素(5 0 ) 7 6.1 73.8 66.2 表6 被驗物質(mg/Kg) 血中三酸甘油酯之變動率% 投與後4曰 投與後8曰 投與後1 2曰 阿多路巴史達汀鈣(2) 77.2 86.3 86.4 鹽酸吡哆素(5 0 ) 83.8 86.7 8 1.2 阿多路巴史達汀鈣(2) + 鹽酸吡哆素(50) 59.1 68.7 65.4 由於辛巴史達汀、普拉巴史達汀或阿多路巴史達汀與吡 咳素之組合’呈現顯著之血中脂質之改善效果。 [§式驗例2 ]血中高半胱胺酸量之評價試驗 (1) 被驗物質 阿多路巴史達汀鈣用Chemtechlab股份公司製造者,鹽 酸B比咳素用日本Roche股份公司製造者。 (2) 動物 5式 動物自 Covance Research Products Inc.購入 5 月齡 雄小!ϋ犬,約1個月之檢疫及馴化飼育後使用之。 (3 ) S與劑形、製劑之調製方法及製劑之保存方法 -28- 1302457· 將按試驗動物體重算出之必要量被驗物質,充塡在 - TO RPAC公司之膠囊(1/2盘司)。充塡後,膠囊投入按動物 區分之盒,冷藏保存至投與時。 (4) 投與經路及投與期間 充塡被驗物質之膠囊,每日1回在9:00〜12:30之間對試 驗動物強制經口投與。試驗動物在投與前絕食2〜3小時。 投與期間爲1 1曰。 (5) 被驗試料之調製 膠囊投與前-14及-7日(投與開始前第2週及第1週),投馨 與後4日、8日' 1 2日從撓側皮靜脈採血約1 〇mL。試驗動 物採血前絕食約1 8小時。 所得血液移入試驗管,在室溫放置3 0分〜1小時後,離 心分離(約1 6 00xg,10分),用所得血淸。 (6) 試驗方法 血中高半胱胺酸量用現在臨床檢查常用之HPLC法求出。 (試驗結果) 阿多路巴史達汀鈣、與鹽酸吡哆素在各投與量之單劑及β 配合劑之血中脂質量,以投與2週前及1週前之各種血中 脂質量之平均爲1 0 0換算求出。 所得結果如表7。又各値皆爲1組5隻之平均値。 -29·Table 2 Test substance (mg/Kg) % change rate of LDL in blood After administration, 4 days after administration, 8 曰 after administration, 12 曰 Simabastatin (1) 83.9 90.4 8 1.3 Pyridoxine hydrochloride (50) 10 1.7 95.0 9 1.4 Simbastatin (1) + 83.0 70.4 70.4 Pyridoxine hydrochloride (50) Table 3 Test substance (mg/Kg) Change rate of triglyceride in blood % After administration 4 days after administration曰 与 后 1 1 曰 曰 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 6.4 Substance (mg/Kg) % change rate of LDL in blood. After administration of 4 曰, 8 曰 after administration, 12 曰 Prabastatin sodium (2) 92.6 91.6 90.4 Pyridoxine hydrochloride (50) 10 1.7 95.0 9 1.4 Prabastatin sodium (2) + 50.1 54.4 65.1 Pyridoxine hydrochloride (5 0 ) -27- 1302457 Table 5 Test substance (mg/Kg) The rate of change of LDL in blood is 4% after administration on the 4th day after administration. After the administration of 1 2 曰 Adorba Shidatin fishing (2) 82.4 82.1 83.6 Pyridoxine Hydrochloride (5 0) 101.7 95.0 9 1.4 Adorubastatin calcium (2) + pyridoxine hydrochloride (5 0 ) 7 6.1 73.8 66.2 Table 6 Test substance (mg/Kg) The rate of change of triglyceride in blood is % after administration of 4 曰 after administration of 8 曰 after administration of 2 2 曰 Adalba statin calcium (2) 77.2 86.3 86.4 Pyridoxine hydrochloride (5 0 ) 83.8 86.7 8 1.2 Adorenbastatin calcium (2) + pyridoxine hydrochloride (50) 59.1 68.7 65.4 Due to Simbastatin, Prabastatin or Adoruba Shistatin and pyridinium The combination of coughs presents a significant improvement in lipids in the blood. [§ Test Example 2] Evaluation test for the amount of homocysteine in blood (1) Test substance Adoluba Shistatin calcium was manufactured by Chemtechlab AG, and salt acid B was made by Japan Roche Co., Ltd. (2) Animals Type 5 Animals purchased from Covance Research Products Inc. for 5 months old males! Dogs, used after quarantine and domestication for about 1 month. (3) S and dosage form, preparation method of preparation and preparation method of preparation -28- 1302457 · The necessary amount of the substance to be tested according to the body weight of the test animal is filled in the capsule of - TO RPAC company (1/2 plate ). After filling, the capsules are placed in a box divided by animals and stored in cold storage until they are administered. (4) During the period of administration and administration, the capsules filled with the substance to be tested are forcibly administered by the test animals between 9:00 and 12:30 once a day. The test animals were hunger strike for 2 to 3 hours before administration. The period of investment is 1 1曰. (5) The capsules to be tested are administered on the first 14 and 7 days (the second week and the first week before the start of the application), and the sacral veins are removed from the sacral skin on the 4th and 8th Blood collection is about 1 〇 mL. The animals were hunger strike for about 18 hours before blood collection. The obtained blood was transferred to a test tube, and after standing at room temperature for 30 minutes to 1 hour, it was centrifuged (about 1 600 ng, 10 minutes), and the resulting blood was used. (6) Test method The amount of homocysteine in the blood is determined by the HPLC method commonly used in clinical examinations. (Test results) The lipid quality of adolubastatin calcium and pyridoxine hydrochloride in each dose and the β-complexing agent, in order to affect the lipid quality of various blood before 2 weeks and 1 week ago. The average is determined by the conversion of 1 0 0. The results obtained are shown in Table 7. Each of them is the average of 5 groups of 5 groups. -29·

Claims (1)

1302457 尸1302457 corpse 曰修iL替泣頁f 第9 2 1 1 8 8 0 5號「用於改善血中脂質或降低血中高半胱胺酸 醫藥組成物」專利案 之 ( 2008年8月20日修正) 拾、申請專利範圍: 1 . 一種用於改善血中脂質之醫藥組成物,其係含有選自 0.01〜5%之普拉巴史達汀鈉(Pravastatin Sodium)、 0.005〜3 %之辛巴史達汀(Simvastatin)、或0.01〜5 %之阿多 路巴史達汀鈣(Atorvastatin Calcium)之1種或2種以上之 HMG-CoA還原酶抑制劑,以及0.01〜30%之鹽酸吡哆素( pyridoxine) ,HMG-CoA還原酶抑制劑與鹽酸吡哆素之含有 比率爲1〜2:50 。 2 · —種用於改善高血中高半胱胺酸量之醫藥組成物,其係 含有選自〇·〇1〜5 %之普拉巴史達汀鈉、0.005〜3 %之辛巴史 達汀、或0.0 1〜5%之阿多路巴史達汀鈣之!種或2種以上 之HMG-CoA還原酶抑制劑,以及〇〇1〜3〇%之鹽酸吡哆素 ’ HMG-CoA還原酶抑制劑與鹽酸吡哆素之含有比率爲 1〜2:50 。 3 ·如申g靑專利範圍第1或2項之組成物,其中Η M G - C ο A還 原酶抑制劑爲〇 . 0 1〜5 %之普拉巴史達汀鈉。 4·如申請專利範圍第!或2項之組成物,其中HMG_CoA還 原&抑制劑爲〇 . 0 1〜5 %之阿多路巴史達汀齡。曰修iL for the weeping page f No. 9 2 1 1 8 8 0 5 "Used to improve lipids in the blood or reduce the plasma composition of homocysteine in blood" (August 20, 2008 amendment) Patent application scope: 1. A pharmaceutical composition for improving lipids in blood, which comprises 0.01 to 5% of Pravastatin Sodium, 0.005 to 3% of Simvastatin, or 0.01 to 5 % of Atorvastatin Calcium, one or more HMG-CoA reductase inhibitors, and 0.01 to 30% of pyridoxine hydrochloride, HMG-CoA reductase The ratio of the inhibitor to the pyridoxine hydrochloride is 1 to 2:50. 2 - A pharmaceutical composition for improving the amount of homocysteine in high blood, which comprises 1 to 5 % of Prabastastatin sodium, 0.005 to 3% of Simbastatin, or 0.01 ~5% of Adorba Statin Calcium! The ratio of the HMG-CoA reductase inhibitor of the species or the two types of HMG-CoA reductase inhibitors, and the 1% to 3% by weight of the pyridoxine hydrochloride 'HMG-CoA reductase inhibitor to the pyridoxine hydrochloride is 1 to 2:50. 3 · The composition of claim 1 or 2 of the patent scope, wherein the Η M G - C ο A reductase inhibitor is 〇 0 1 to 5 % of Prabastastatin sodium. 4. If you apply for a patent scope! Or a composition of 2, wherein the HMG_CoA Reducing & Inhibitor is 〇. 0 1~5 % of Adorba Statin.
TW092118805A 2002-07-11 2003-07-10 A pharmaceutical composition for improving blood lipid or reducing blood homocysteine TWI302457B (en)

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US20070280915A1 (en) * 2003-12-23 2007-12-06 Medicure International Inc. Combination Therapies Employing A Composition Comprising A Hmg Coa Reductase Inhibitor And A Vitamin B6 Related Compound
TW200612896A (en) * 2004-09-21 2006-05-01 Sankyo Co Pharmaceutical compositions containing with HMG-CoA reductase inhibitor and glutathione
JP4949661B2 (en) * 2004-09-21 2012-06-13 第一三共株式会社 Pharmaceutical composition containing HMG-CoA reductase inhibitor and glutathione
EP2018153B1 (en) * 2006-04-26 2012-04-11 Rosemont Pharmaceuticals Ltd Liquid oral compositions
WO2015060317A1 (en) * 2013-10-22 2015-04-30 長谷川亨 Neurodegenerative disease testing method
JP6009050B1 (en) * 2015-08-21 2016-10-19 国立大学法人東北大学 Reducing or preventing sickness or hangover caused by drinking
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AU732465B2 (en) * 1996-04-17 2001-04-26 Merck & Co., Inc. Combination therapy for reducing the risks associated with cardiovascular disease
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US6669955B2 (en) * 2001-08-28 2003-12-30 Longwood Pharmaceutical Research, Inc. Combination dosage form containing individual dosage units of a cholesterol-lowering agent, an inhibitor of the renin-angiotensin system, and aspirin

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