WO2011071400A1 - Procédé et composition pour préparation de formulations liquides stables de paracétamol - Google Patents
Procédé et composition pour préparation de formulations liquides stables de paracétamol Download PDFInfo
- Publication number
- WO2011071400A1 WO2011071400A1 PCT/PT2009/000069 PT2009000069W WO2011071400A1 WO 2011071400 A1 WO2011071400 A1 WO 2011071400A1 PT 2009000069 W PT2009000069 W PT 2009000069W WO 2011071400 A1 WO2011071400 A1 WO 2011071400A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- formulation
- aqueous solvent
- paracetamol
- liquid stable
- solvent according
- Prior art date
Links
- RZVAJINKPMORJF-UHFFFAOYSA-N Acetaminophen Chemical compound CC(=O)NC1=CC=C(O)C=C1 RZVAJINKPMORJF-UHFFFAOYSA-N 0.000 title claims abstract description 165
- 229960005489 paracetamol Drugs 0.000 title claims abstract description 164
- 238000000034 method Methods 0.000 title claims abstract description 32
- 239000000203 mixture Substances 0.000 title claims description 98
- 239000012669 liquid formulation Substances 0.000 title abstract description 4
- 239000000243 solution Substances 0.000 claims description 112
- 238000009472 formulation Methods 0.000 claims description 92
- 239000003125 aqueous solvent Substances 0.000 claims description 64
- 239000007788 liquid Substances 0.000 claims description 64
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 claims description 32
- 239000011261 inert gas Substances 0.000 claims description 32
- 239000001301 oxygen Substances 0.000 claims description 32
- 229910052760 oxygen Inorganic materials 0.000 claims description 32
- 239000003963 antioxidant agent Substances 0.000 claims description 31
- TWRXJAOTZQYOKJ-UHFFFAOYSA-L Magnesium chloride Chemical group [Mg+2].[Cl-].[Cl-] TWRXJAOTZQYOKJ-UHFFFAOYSA-L 0.000 claims description 30
- 235000006708 antioxidants Nutrition 0.000 claims description 27
- IJGRMHOSHXDMSA-UHFFFAOYSA-N Atomic nitrogen Chemical compound N#N IJGRMHOSHXDMSA-UHFFFAOYSA-N 0.000 claims description 26
- 230000003078 antioxidant effect Effects 0.000 claims description 26
- 239000007864 aqueous solution Substances 0.000 claims description 25
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 claims description 24
- 239000001509 sodium citrate Substances 0.000 claims description 21
- XKRFYHLGVUSROY-UHFFFAOYSA-N Argon Chemical compound [Ar] XKRFYHLGVUSROY-UHFFFAOYSA-N 0.000 claims description 20
- 239000006172 buffering agent Substances 0.000 claims description 20
- NLJMYIDDQXHKNR-UHFFFAOYSA-K sodium citrate Chemical compound O.O.[Na+].[Na+].[Na+].[O-]C(=O)CC(O)(CC([O-])=O)C([O-])=O NLJMYIDDQXHKNR-UHFFFAOYSA-K 0.000 claims description 20
- 239000002253 acid Substances 0.000 claims description 18
- XUJNEKJLAYXESH-UHFFFAOYSA-N cysteine Natural products SCC(N)C(O)=O XUJNEKJLAYXESH-UHFFFAOYSA-N 0.000 claims description 18
- HRZFUMHJMZEROT-UHFFFAOYSA-L sodium disulfite Chemical compound [Na+].[Na+].[O-]S(=O)S([O-])(=O)=O HRZFUMHJMZEROT-UHFFFAOYSA-L 0.000 claims description 17
- 239000004296 sodium metabisulphite Substances 0.000 claims description 17
- 235000010262 sodium metabisulphite Nutrition 0.000 claims description 17
- 238000011010 flushing procedure Methods 0.000 claims description 16
- 235000018417 cysteine Nutrition 0.000 claims description 15
- 230000003247 decreasing effect Effects 0.000 claims description 15
- 229910001629 magnesium chloride Inorganic materials 0.000 claims description 15
- 239000002904 solvent Substances 0.000 claims description 15
- 229910052757 nitrogen Inorganic materials 0.000 claims description 13
- 239000000546 pharmaceutical excipient Substances 0.000 claims description 13
- 229910000162 sodium phosphate Inorganic materials 0.000 claims description 12
- FBPFZTCFMRRESA-KVTDHHQDSA-N D-Mannitol Chemical compound OC[C@@H](O)[C@@H](O)[C@H](O)[C@H](O)CO FBPFZTCFMRRESA-KVTDHHQDSA-N 0.000 claims description 11
- 229930195725 Mannitol Natural products 0.000 claims description 11
- 239000000594 mannitol Substances 0.000 claims description 11
- 235000010355 mannitol Nutrition 0.000 claims description 11
- 229920005862 polyol Polymers 0.000 claims description 11
- 150000003077 polyols Chemical class 0.000 claims description 11
- 229910052786 argon Inorganic materials 0.000 claims description 10
- 239000001488 sodium phosphate Substances 0.000 claims description 10
- RYFMWSXOAZQYPI-UHFFFAOYSA-K trisodium phosphate Chemical compound [Na+].[Na+].[Na+].[O-]P([O-])([O-])=O RYFMWSXOAZQYPI-UHFFFAOYSA-K 0.000 claims description 10
- XUJNEKJLAYXESH-REOHCLBHSA-N L-Cysteine Chemical compound SC[C@H](N)C(O)=O XUJNEKJLAYXESH-REOHCLBHSA-N 0.000 claims description 9
- KRKNYBCHXYNGOX-UHFFFAOYSA-N citric acid Chemical compound OC(=O)CC(O)(C(O)=O)CC(O)=O KRKNYBCHXYNGOX-UHFFFAOYSA-N 0.000 claims description 9
- 235000011083 sodium citrates Nutrition 0.000 claims description 8
- 239000003381 stabilizer Substances 0.000 claims description 8
- 235000011008 sodium phosphates Nutrition 0.000 claims description 7
- CIWBSHSKHKDKBQ-JLAZNSOCSA-N Ascorbic acid Chemical compound OC[C@H](O)[C@H]1OC(=O)C(O)=C1O CIWBSHSKHKDKBQ-JLAZNSOCSA-N 0.000 claims description 6
- 235000011147 magnesium chloride Nutrition 0.000 claims description 6
- 206010037660 Pyrexia Diseases 0.000 claims description 4
- VMHLLURERBWHNL-UHFFFAOYSA-M Sodium acetate Chemical compound [Na+].CC([O-])=O VMHLLURERBWHNL-UHFFFAOYSA-M 0.000 claims description 4
- 150000001860 citric acid derivatives Chemical class 0.000 claims description 4
- 239000001632 sodium acetate Substances 0.000 claims description 4
- 235000017281 sodium acetate Nutrition 0.000 claims description 4
- 150000003573 thiols Chemical group 0.000 claims description 4
- PWKSKIMOESPYIA-BYPYZUCNSA-N L-N-acetyl-Cysteine Chemical compound CC(=O)N[C@@H](CS)C(O)=O PWKSKIMOESPYIA-BYPYZUCNSA-N 0.000 claims description 3
- 229910019142 PO4 Inorganic materials 0.000 claims description 3
- 229960004308 acetylcysteine Drugs 0.000 claims description 3
- 235000010323 ascorbic acid Nutrition 0.000 claims description 3
- 239000011668 ascorbic acid Substances 0.000 claims description 3
- 229960005070 ascorbic acid Drugs 0.000 claims description 3
- 235000021317 phosphate Nutrition 0.000 claims description 3
- 150000001298 alcohols Polymers 0.000 claims description 2
- 125000000151 cysteine group Chemical group N[C@@H](CS)C(=O)* 0.000 claims description 2
- 239000001307 helium Substances 0.000 claims description 2
- 229910052734 helium Inorganic materials 0.000 claims description 2
- SWQJXJOGLNCZEY-UHFFFAOYSA-N helium atom Chemical compound [He] SWQJXJOGLNCZEY-UHFFFAOYSA-N 0.000 claims description 2
- 229910052754 neon Inorganic materials 0.000 claims description 2
- GKAOGPIIYCISHV-UHFFFAOYSA-N neon atom Chemical compound [Ne] GKAOGPIIYCISHV-UHFFFAOYSA-N 0.000 claims description 2
- 150000002894 organic compounds Chemical class 0.000 claims description 2
- 150000003013 phosphoric acid derivatives Chemical class 0.000 claims description 2
- 150000005846 sugar alcohols Chemical class 0.000 claims description 2
- 238000002360 preparation method Methods 0.000 abstract description 4
- 238000004519 manufacturing process Methods 0.000 description 29
- PLIKAWJENQZMHA-UHFFFAOYSA-N 4-aminophenol Chemical compound NC1=CC=C(O)C=C1 PLIKAWJENQZMHA-UHFFFAOYSA-N 0.000 description 16
- 238000006392 deoxygenation reaction Methods 0.000 description 13
- 239000012535 impurity Substances 0.000 description 13
- 230000015556 catabolic process Effects 0.000 description 11
- 238000006731 degradation reaction Methods 0.000 description 11
- 239000012085 test solution Substances 0.000 description 10
- OKKJLVBELUTLKV-UHFFFAOYSA-N Methanol Chemical compound OC OKKJLVBELUTLKV-UHFFFAOYSA-N 0.000 description 9
- 230000005587 bubbling Effects 0.000 description 9
- 230000000694 effects Effects 0.000 description 9
- 230000015572 biosynthetic process Effects 0.000 description 8
- 239000000126 substance Substances 0.000 description 8
- 239000011521 glass Substances 0.000 description 7
- 239000012298 atmosphere Substances 0.000 description 6
- 150000001875 compounds Chemical class 0.000 description 6
- 239000008194 pharmaceutical composition Substances 0.000 description 6
- 239000000047 product Substances 0.000 description 6
- 150000004061 benzoquinone imines Chemical class 0.000 description 5
- 238000006116 polymerization reaction Methods 0.000 description 5
- 230000006641 stabilisation Effects 0.000 description 5
- 238000011105 stabilization Methods 0.000 description 5
- 230000000087 stabilizing effect Effects 0.000 description 5
- 238000004659 sterilization and disinfection Methods 0.000 description 5
- 238000003860 storage Methods 0.000 description 5
- 238000003786 synthesis reaction Methods 0.000 description 5
- 230000007423 decrease Effects 0.000 description 4
- 230000008030 elimination Effects 0.000 description 4
- 238000003379 elimination reaction Methods 0.000 description 4
- 230000001954 sterilising effect Effects 0.000 description 4
- VDZOOKBUILJEDG-UHFFFAOYSA-M tetrabutylammonium hydroxide Chemical compound [OH-].CCCC[N+](CCCC)(CCCC)CCCC VDZOOKBUILJEDG-UHFFFAOYSA-M 0.000 description 4
- HEMHJVSKTPXQMS-UHFFFAOYSA-M Sodium hydroxide Chemical compound [OH-].[Na+] HEMHJVSKTPXQMS-UHFFFAOYSA-M 0.000 description 3
- 239000004480 active ingredient Substances 0.000 description 3
- 238000003556 assay Methods 0.000 description 3
- 239000000872 buffer Substances 0.000 description 3
- 230000003635 deoxygenating effect Effects 0.000 description 3
- BNIILDVGGAEEIG-UHFFFAOYSA-L disodium hydrogen phosphate Chemical compound [Na+].[Na+].OP([O-])([O-])=O BNIILDVGGAEEIG-UHFFFAOYSA-L 0.000 description 3
- 229910000397 disodium phosphate Inorganic materials 0.000 description 3
- 238000011049 filling Methods 0.000 description 3
- 239000007789 gas Substances 0.000 description 3
- 230000003647 oxidation Effects 0.000 description 3
- 238000007254 oxidation reaction Methods 0.000 description 3
- VONWPEXRCLHKRJ-UHFFFAOYSA-N 2-chloro-n-phenylacetamide Chemical compound ClCC(=O)NC1=CC=CC=C1 VONWPEXRCLHKRJ-UHFFFAOYSA-N 0.000 description 2
- VEXZGXHMUGYJMC-UHFFFAOYSA-N Hydrochloric acid Chemical compound Cl VEXZGXHMUGYJMC-UHFFFAOYSA-N 0.000 description 2
- 239000003795 chemical substances by application Substances 0.000 description 2
- 239000007857 degradation product Substances 0.000 description 2
- 238000001914 filtration Methods 0.000 description 2
- 125000000524 functional group Chemical group 0.000 description 2
- RWSXRVCMGQZWBV-WDSKDSINSA-N glutathione Chemical compound OC(=O)[C@@H](N)CCC(=O)N[C@@H](CS)C(=O)NCC(O)=O RWSXRVCMGQZWBV-WDSKDSINSA-N 0.000 description 2
- GPRLSGONYQIRFK-UHFFFAOYSA-N hydron Chemical compound [H+] GPRLSGONYQIRFK-UHFFFAOYSA-N 0.000 description 2
- 125000002887 hydroxy group Chemical group [H]O* 0.000 description 2
- 230000014759 maintenance of location Effects 0.000 description 2
- 239000012299 nitrogen atmosphere Substances 0.000 description 2
- 239000012488 sample solution Substances 0.000 description 2
- BBMHARZCALWXSL-UHFFFAOYSA-M sodium dihydrogenphosphate monohydrate Chemical compound O.[Na+].OP(O)([O-])=O BBMHARZCALWXSL-UHFFFAOYSA-M 0.000 description 2
- 239000012086 standard solution Substances 0.000 description 2
- 125000003396 thiol group Chemical group [H]S* 0.000 description 2
- BTJIUGUIPKRLHP-UHFFFAOYSA-N 4-nitrophenol Chemical compound OC1=CC=C([N+]([O-])=O)C=C1 BTJIUGUIPKRLHP-UHFFFAOYSA-N 0.000 description 1
- 235000001258 Cinchona calisaya Nutrition 0.000 description 1
- KRKNYBCHXYNGOX-UHFFFAOYSA-K Citrate Chemical compound [O-]C(=O)CC(O)(CC([O-])=O)C([O-])=O KRKNYBCHXYNGOX-UHFFFAOYSA-K 0.000 description 1
- FBPFZTCFMRRESA-FSIIMWSLSA-N D-Glucitol Natural products OC[C@H](O)[C@H](O)[C@@H](O)[C@H](O)CO FBPFZTCFMRRESA-FSIIMWSLSA-N 0.000 description 1
- FBPFZTCFMRRESA-JGWLITMVSA-N D-glucitol Chemical compound OC[C@H](O)[C@@H](O)[C@H](O)[C@H](O)CO FBPFZTCFMRRESA-JGWLITMVSA-N 0.000 description 1
- RGHNJXZEOKUKBD-SQOUGZDYSA-M D-gluconate Chemical compound OC[C@@H](O)[C@@H](O)[C@H](O)[C@@H](O)C([O-])=O RGHNJXZEOKUKBD-SQOUGZDYSA-M 0.000 description 1
- 108010024636 Glutathione Proteins 0.000 description 1
- 241000282412 Homo Species 0.000 description 1
- FFEARJCKVFRZRR-BYPYZUCNSA-N L-methionine Chemical compound CSCC[C@H](N)C(O)=O FFEARJCKVFRZRR-BYPYZUCNSA-N 0.000 description 1
- FYYHWMGAXLPEAU-UHFFFAOYSA-N Magnesium Chemical compound [Mg] FYYHWMGAXLPEAU-UHFFFAOYSA-N 0.000 description 1
- LOUPRKONTZGTKE-WZBLMQSHSA-N Quinine Natural products 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-WZBLMQSHSA-N 0.000 description 1
- QAOWNCQODCNURD-UHFFFAOYSA-L Sulfate Chemical compound [O-]S([O-])(=O)=O QAOWNCQODCNURD-UHFFFAOYSA-L 0.000 description 1
- NINIDFKCEFEMDL-UHFFFAOYSA-N Sulfur Chemical class [S] NINIDFKCEFEMDL-UHFFFAOYSA-N 0.000 description 1
- TVXBFESIOXBWNM-UHFFFAOYSA-N Xylitol Natural products OCCC(O)C(O)C(O)CCO TVXBFESIOXBWNM-UHFFFAOYSA-N 0.000 description 1
- 230000002378 acidificating effect Effects 0.000 description 1
- 125000003158 alcohol group Chemical group 0.000 description 1
- 125000001931 aliphatic group Chemical group 0.000 description 1
- 230000000202 analgesic effect Effects 0.000 description 1
- 230000001754 anti-pyretic effect Effects 0.000 description 1
- 239000002221 antipyretic Substances 0.000 description 1
- 239000013011 aqueous formulation Substances 0.000 description 1
- 239000012736 aqueous medium Substances 0.000 description 1
- 238000005815 base catalysis Methods 0.000 description 1
- 230000000903 blocking effect Effects 0.000 description 1
- 230000006652 catabolic pathway Effects 0.000 description 1
- 238000006243 chemical reaction Methods 0.000 description 1
- 239000012846 chemical reference substance Substances 0.000 description 1
- LOUPRKONTZGTKE-UHFFFAOYSA-N cinchonine Natural products C1C(C(C2)C=C)CCN2C1C(O)C1=CC=NC2=CC=C(OC)C=C21 LOUPRKONTZGTKE-UHFFFAOYSA-N 0.000 description 1
- 229940001468 citrate Drugs 0.000 description 1
- 239000007979 citrate buffer Substances 0.000 description 1
- 235000015165 citric acid Nutrition 0.000 description 1
- 238000011109 contamination Methods 0.000 description 1
- 235000019800 disodium phosphate Nutrition 0.000 description 1
- 235000019524 disodium tartrate Nutrition 0.000 description 1
- VHJLVAABSRFDPM-QWWZWVQMSA-N dithiothreitol Chemical compound SC[C@@H](O)[C@H](O)CS VHJLVAABSRFDPM-QWWZWVQMSA-N 0.000 description 1
- 229940088679 drug related substance Drugs 0.000 description 1
- 238000005429 filling process Methods 0.000 description 1
- 229940050410 gluconate Drugs 0.000 description 1
- 229960003180 glutathione Drugs 0.000 description 1
- 231100000334 hepatotoxic Toxicity 0.000 description 1
- 230000003082 hepatotoxic effect Effects 0.000 description 1
- 239000001257 hydrogen Substances 0.000 description 1
- 229910052739 hydrogen Inorganic materials 0.000 description 1
- 230000007062 hydrolysis Effects 0.000 description 1
- 238000006460 hydrolysis reaction Methods 0.000 description 1
- 238000001802 infusion Methods 0.000 description 1
- 239000007972 injectable composition Substances 0.000 description 1
- 229940102223 injectable solution Drugs 0.000 description 1
- 238000002347 injection Methods 0.000 description 1
- 239000007924 injection Substances 0.000 description 1
- 238000001990 intravenous administration Methods 0.000 description 1
- 239000011777 magnesium Substances 0.000 description 1
- 229910052749 magnesium Inorganic materials 0.000 description 1
- 229940049920 malate Drugs 0.000 description 1
- BJEPYKJPYRNKOW-UHFFFAOYSA-L malate(2-) Chemical compound [O-]C(=O)C(O)CC([O-])=O BJEPYKJPYRNKOW-UHFFFAOYSA-L 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 239000002609 medium Substances 0.000 description 1
- HEBKCHPVOIAQTA-UHFFFAOYSA-N meso ribitol Natural products OCC(O)C(O)C(O)CO HEBKCHPVOIAQTA-UHFFFAOYSA-N 0.000 description 1
- 229930182817 methionine Natural products 0.000 description 1
- 235000006109 methionine Nutrition 0.000 description 1
- PJUIMOJAAPLTRJ-UHFFFAOYSA-N monothioglycerol Chemical compound OCC(O)CS PJUIMOJAAPLTRJ-UHFFFAOYSA-N 0.000 description 1
- 238000006386 neutralization reaction Methods 0.000 description 1
- 230000003472 neutralizing effect Effects 0.000 description 1
- 230000010412 perfusion Effects 0.000 description 1
- 239000000825 pharmaceutical preparation Substances 0.000 description 1
- NBIIXXVUZAFLBC-UHFFFAOYSA-K phosphate Chemical compound [O-]P([O-])([O-])=O NBIIXXVUZAFLBC-UHFFFAOYSA-K 0.000 description 1
- 239000010452 phosphate Substances 0.000 description 1
- 239000004033 plastic Substances 0.000 description 1
- 238000004321 preservation Methods 0.000 description 1
- 229960000948 quinine Drugs 0.000 description 1
- -1 quinine imines Chemical class 0.000 description 1
- 150000003254 radicals Chemical class 0.000 description 1
- 239000012088 reference solution Substances 0.000 description 1
- 150000003839 salts Chemical class 0.000 description 1
- HELHAJAZNSDZJO-OLXYHTOASA-L sodium L-tartrate Chemical compound [Na+].[Na+].[O-]C(=O)[C@H](O)[C@@H](O)C([O-])=O HELHAJAZNSDZJO-OLXYHTOASA-L 0.000 description 1
- 239000001433 sodium tartrate Substances 0.000 description 1
- 239000000600 sorbitol Substances 0.000 description 1
- 229910001220 stainless steel Inorganic materials 0.000 description 1
- 239000010935 stainless steel Substances 0.000 description 1
- 229910021653 sulphate ion Inorganic materials 0.000 description 1
- 230000001225 therapeutic effect Effects 0.000 description 1
- 229940035024 thioglycerol Drugs 0.000 description 1
- NJRXVEJTAYWCQJ-UHFFFAOYSA-N thiomalic acid Chemical compound OC(=O)CC(S)C(O)=O NJRXVEJTAYWCQJ-UHFFFAOYSA-N 0.000 description 1
- HRXKRNGNAMMEHJ-UHFFFAOYSA-K trisodium citrate Chemical compound [Na+].[Na+].[Na+].[O-]C(=O)CC(O)(CC([O-])=O)C([O-])=O HRXKRNGNAMMEHJ-UHFFFAOYSA-K 0.000 description 1
- 229940038773 trisodium citrate Drugs 0.000 description 1
- 239000008215 water for injection Substances 0.000 description 1
- 239000000811 xylitol Substances 0.000 description 1
- HEBKCHPVOIAQTA-SCDXWVJYSA-N xylitol Chemical compound OC[C@H](O)[C@@H](O)[C@H](O)CO HEBKCHPVOIAQTA-SCDXWVJYSA-N 0.000 description 1
- 235000010447 xylitol Nutrition 0.000 description 1
- 229960002675 xylitol Drugs 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/0012—Galenical forms characterised by the site of application
- A61K9/0019—Injectable compositions; Intramuscular, intravenous, arterial, subcutaneous administration; Compositions to be administered through the skin in an invasive manner
-
- 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
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P29/00—Non-central analgesic, antipyretic or antiinflammatory agents, e.g. antirheumatic agents; Non-steroidal antiinflammatory drugs [NSAID]
Definitions
- the present invention refers to stable liquid formulations of paracetamol for pharmaceutical use and to a method of preparation of stable paracetamol solutions.
- Paracetamol is an active ingredient that has been widely used in a large number of pharmaceutical preparations over the last decades. It is commonly used as an analgesic and antipyretic. However, due to its lack of solubility in water and due to the fact that paracetamol in aqueous medium is unstable in the presence of oxygen and/or light, it is difficult to obtain a pharmaceutical ready-to-use solution for intravenous perfusion.
- some of the resultant oxidation products may be hepatotoxic in humans, such as benzoquinoimines, and may additionally lead to the formation of coloured compounds, thus making the aqueous solution unsuitable for therapeutic applications.
- Paracetamol can be decomposed through a plurality of degradation pathways.
- Paracetamol pH-rate profile reveals a specific acid and specific base catalysis with maximum stability in the pH range of 5 to 7.(K. T. Koshy and J.L. Lach, J. Pharm. Sci., Philadelphia, 1975).
- Oxygen elimination can be achieved by increasing the temperature of the aqueous solution.
- Oxygen elimination can be achieved by submitting the aqueous solution to a vacuum.
- Oxygen elimination can be achieved by bubbling an inert gas such as nitrogen or argon through the solution.
- Neutralization of oxygen dissolved in the aqueous solution by addition of an antioxidant agent.
- EP 858329 B1 the use of an antioxidant agent does not have a significant effect on paracetamol stability but it can prevent solution coloration.
- the WO03/041687A2 application refers to a method for producing stabilized antioxidant-free solutions at low temperatures, which consists in deoxygenating the solutions by bubbling with an inert gas and in deoxygenating gas hold-ups of the vessels, of the manufacturing pipes and inerting of ampoules and flasks containing the solute with a dense inert gas.
- the bubbling with an inert gas however only allows oxygen content to decrease to values of as low as 2 ppm maximum.
- the aqueous formulations may contain an antioxidant agent and a hydroxypolycarboxylic acid or salt (for instance trisodium citrate or disodium tartrate).
- an antioxidant agent completes the deoxygenation effect but it does not substitute the deoxygenation.
- the addition of a hydroxypolycarboxylic acid decreases the antioxidant consumption and decreases the antioxidant concentration ranging from 0,1 mg to 1000 mg per one solution litre.
- the vial filling is performed under an atmosphere of an inert gas and the stoppering is performed under depression in order to obtain a pressure of less than the atmospheric pressure, until a maximum of 65000 Pa.
- the present invention now allows the preparation of stable pharmaceutical compositions containing paracetamol in an aqueous solvent, with an antioxidant, using a manufacturing process that does not require the use of bubbling devices, nor the increase of solution temperature to promote the solution deoxygenation.
- the manufacturing process does not require the use of low working temperatures to assure solution stability.
- the present invention also leads to an energetically more efficient manufacturing process (no need to use high or low working temperatures), and eliminates the need for bubbling devices, decreasing the number of devices that are in direct contact with the solution, and also decreasing possible contamination problems.
- a deoxygenated paracetamol solution allows lower contents of antioxidant for paracetamol stabilization, rationalizing the use of antioxidants, and other stabilizing excipients present in the pharmaceutical formulation.
- the present invention concerns a novel method for producing stabilized solutions based on paracetamol, consisting of protecting the solution against possible oxygen uptake by maintaining them under inert gas atmosphere during the manufacturing process and after the filling of the final containers, to obtain aqueous solutions having a residual oxygen concentration in the solution below 2 ppm, and preferably of the order of 1 ppm and even 0,5 ppm and an oxygen concentration in the final container headspace (gas phase) below 10 %, and preferably in the order of 3 % and even virtually oxygen free, after the filling process.
- aqueous solutions having a residual oxygen concentration in the solution below 2 ppm, and preferably of the order of 1 ppm and even 0,5 ppm and an oxygen concentration in the final container headspace (gas phase) below 10 %, and preferably in the order of 3 % and even virtually oxygen free, after the filling process.
- a liquid stable paracetamol formulation in an aqueous solvent comprising at least one of the following excipients: an antioxidant, a polyol, one or more buffering agent(s), a stabilizer, a base or an acid for adjustment of the pH of said formulation to 4 to 8 and, wherein the formulation in said solvent is deoxygenated by flushing an inert gas into the headspace of the tank and into the headspace of the final container.
- antioxidant selected from the group consisting of ascorbic acid, sodium acetate, sodium metabisulphite, organic compounds which bear at least one thiol function, citrates, preferentially sodium citrate and citric acid, cysteine and/or acetylcysteine.
- a liquid stable paracetamol formulation in an aqueous solvent according to any one of items 1 to 5 wherein the polyol is a polyhydroxylated alcohol or a sugar alcohol.
- a liquid stable paracetamol formulation in an aqueous solvent wherein the formulation in said solvent is deoxygenated by decreasing the partial pressure of oxygen present in the headspace of a tank and the final container by flushing nitrogen, in which the pH is adjusted to 4 to 8 by the addition of a buffering agent and wherein the formulation comprises at least one of the following excipients: water, cysteine, sodium citrate, sodium phosphate, magnesium chloride, mannitol, and, a base or an acid for adjustment of the pH of said formulation to 4 to 8.
- a liquid stable paracetamol formulation in an aqueous solvent wherein the formulation in said solvent is deoxygenated by decreasing the partial pressure of oxygen present in the headspace of a tank and the final container by flushing argon, in which the pH of the aqueous solution is adjusted to 4 to 8 by the addition of a buffering agent and wherein the formulation comprises at least one of the following excipients: water, cystein, sodium citrate, sodium phosphate, magnesium chloride, mannitol and, a base or an acid for adjustment of the pH to 4 to 8.
- a liquid stable paracetamol formulation in an aqueous solvent according to any one of the items 1 to 8 wherein the buffering agent is selected from the group consisting of phosphates and/or citrates.
- a process for producing a liquid stable paracetamol formulation in an aqueous solvent wherein the formulation in said solvent is deoxygenated by decreasing the partial pressure of oxygen present in the headspace of the tank and in the headspace of the final container by flushing nitrogen, in which the pH of the formulation in said solvent is adjusted to 4 to 8 by the addition of a buffering agent and the formulation comprises at least one of the following excipients. water, cysteine, sodium citrate, sodium phosphate, magnesium chloride, mannitol, and, a base or an acid for adjustment of the pH to 4 to 8.
- the aqueous solvent is preferably water. It is known that paracetamol is very slightly soluble in water ("The Merck Index", 12 th edition, page 9, n° 45, 1996).
- the liquid pharmaceutical compositions according to the present invention are preferentially injectable compositions.
- the paracetamol concentration in solution is preferably comprised between 2 mg/ml and 50 mg/ml.
- the present inventive manufacturing process does not involve bubbling the aqueous solution or solvent with an inert gas.
- the compositions according to the invention are prepared with water for injections with a dissolved oxygen content of lower then 8,8 mg l.
- An antioxidant in the present context is a molecule capable of slowing or preventing the oxidation of other molecules.
- the aqueous solution stability is influenced by the presence of an antioxidant such as cysteine, acetylcysteine, dithiothreitol, thiomalic acid, thioglycerol or methionine, sodium metabisulphite, ascorbic acid, sodium acetate, citric acid or sodium citrate.
- the antioxidant completes the deoxygenation of the solution. Without an antioxidant, an essentially deoxygenated solution becomes pink in colour after a certain time at ambient temperature, for the reasons as explained above.
- a thiol in the present context is a compound that contains a functional group composed of a sulphur-hydrogen (-SH). Being the sulphur analogue of an alcohol group (-OH), this functional group is referred to either as a thiol group or a sulphydryl group.
- -SH sulphur-hydrogen
- -OH sulphur analogue of an alcohol group
- cysteine and glutathione are examples of thiols.
- a stabilizer in the present context is a chemical substance which tends to inhibit the reaction between two or more other chemicals. Surprisingly, an increase in solution stability occurs, when a stabilizer, like e.g. magnesium chloride is added to the present paracetamol solution. Magnesium is also available in other forms such as oxide, gluconate, malate, citrate, sulphate, etc.
- a buffering agent adjusts the pH of the solution. These agents are added to substances that are to be placed into acidic or basic conditions in order to stabilize the substance.
- the presently employed buffer is compatible with human injectable administration, in order to establish the pH between 4 and 8, or preferably 5 to 7, even more preferably close to 6, the optimal pH for paracetamol aqueous solution stability.
- An appropriate buffer will be, for example, a sodium hydrogenphosphate, disodic phosphate, sodium acetate, sodium citrate or trisodic citrate buffer.
- the buffer concentration may be comprised between 0,1 and 10 mg/ml.
- a base in the present context is any chemical compound that, when dissolved in water, results in a solution with a hydrogen ion activity which is lower than that of pure water.
- the employed base is compatible with human injectable administration, in order to establish the pH between 4 and 8, preferably 5 to 7, even more preferably close to 6, the optimal pH for paracetamol aqueous solution stability.
- An appropriate base will be for example, sodium hydroxide.
- An acid in the present context is any chemical compound that, when dissolved in water, results in a solution with a hydrogen ion activity which is higher than that of pure water.
- the employed acid is compatible with human injectable administration, in order to establish the pH between 4 and 8, preferably 5 to 7, even more preferably close to 6, the optimal pH for paracetamol aqueous solution stability.
- An appropriate acid will be for example, hydrochloric acid.
- a polyol in the present context is a compound containing more than one hydroxyl group (OH). Each hydroxyl group is attached to an aliphatic skeleton.
- the presently employed polyol is compatible with human injectable administration. Mannitol, sorbitol, and/or xylitol are examples of polyols.
- the tanks used in the manufacturing process are preferably standard stainless steel tanks, typically used by the current art of manufacturing pharmaceutical compositions.
- the final containers used in the manufacturing process are standard containers of glass or plastic, typically used by the current art of manufacturing pharmaceutical compositions.
- the head space of the final container is the volume left at the top of an almost filled final container such as ampoules, injection bottles, infusion bottles, etc.
- all references to 'containers' in the present application refer to those containers as defined above, used during manufacture and/or (final) storage of the paracetamol formulation.
- Inert gas is a non-reactive gas used during preservation of reactive materials. Nitrogen and argon are the most common inert gases for use in chemistry. According to the present invention a stable liquid paracetamol formulation can be achieved using an inert gas or a mixture of inert gases in the manufacturing process.
- manufacturing pipes used in the present invention are standard pipes typically used by the current art of manufacturing pharmaceutical compositions.
- the preparation is subjected to sterilization by filtration under inert gas before this solution is introduced into the container.
- the solution is introduced into the container under aseptic conditions, under a sterile inert gas.
- the paracetamol aqueous solution is introduced into the final container, the latter is cleared of the air contained therein, for example by the insufflation of an inert gas.
- the containers are stoppered under an inert gas atmosphere, preferably nitrogen at a pressure of preferably 1 atm.
- an inert gas atmosphere preferably nitrogen at a pressure of preferably 1 atm.
- the deoxygenation process used is performed without any bubbling of the aqueous solution with an inert gas. Regardless of this fact, the deoxygenation process is still efficient and adequate in order to assure sufficient deoxygenation of the paracetamol aqueous solution.
- the paracetamol aqueous solution's stability is significantly increased, by maintaining the solution under an inert gas atmosphere during the manufacturing process and after the filling of the final containers.
- the headspace of the tank(s) and of the container(s) is almost completely deoxygenated. In an even more preferred embodiment, the headspace of the tank(s) and the container(s) is completely deoxygenated, i.e. all possible headspace involved in manufacture and storage are deoxygenated.
- the final liquid paracetamol formulation will be isotonized.
- Solution A Weigh 17,9 g of disodium hydrogen phosphate (Na 2 HP0 4 ) and dilute in 1000 mL of water.
- Solution B Weigh 7,8g of sodium di- hydrogen phosphate monohydrate
- Solution C Dissolve 4g of tetrabutylammonium hydroxide in 10 mL of water. Sonicate for 5 minutes. Weigh 4,6g of this solution and dilute in 1000 mL of methanol.
- Standard solution Dissolve 25 mg of a paracetamol chemical reference substance (European Pharmacopeia) to a 50 mL volumetric flask and complete the volume with mobile phase (500 ⁇ g/mL). Sonicate for 5 minutes. Transfer 3 mL of this solution to a 50 mL volumetric flask and complete the volume with mobile phase.
- a paracetamol chemical reference substance European Pharmacopeia
- Sample solution Take 5 mL of a paracetamol test solution (See Table 1)[3] to a 10 mL volumetric flask and complete the volume with mobile phase. Pipette 0,300 mL of this solution to a 50 mL volumetric flask and complete the volume with mobile phase.
- the paracetamol assay is expressed in percentage of paracetamol theoretical concentration in the test solution to be analized.
- Solution A Weigh 17,9 g of disodium hydrogen phosphate (Na 2 HP0 4 ) and dilute in 1000 mL of water.
- Solution B Weigh 7,8 g of sodium di- hydrogen phosphate monohydrate
- Solution C Dissolve 4 g of tetrabutylammonium hydroxide in 10 mL of water. Sonicate for 5 minutes. Weight 4,6g of this solution and dilute in 1000 mL of methanol.
- System suitability Solution Dissolve 5,0 mg of 4-aminophenol, 5 mg of standard paracetamol and 5,0 mg of chloroacetanilide in methanol and dilute in a 20 ml volumetric flask with the same solvent. Dilute 0,5 ml in a 250,0 ml volumetric flask with mobile phase.
- Sample solution Transfer 5 mL of paracetamol test solution (See Table 1) to a 10 mL volumetric flask and complete the volume with mobile phase.
- Paracetamol-related substances are expressed in percentage of paracetamol theoretical concentration in the test solution to be analized.
- the reference Y7 being the least intense degree of coloration and the Y1 being the most intense degree of coloration.
- test solutions were submitted to photostability tests in an Atlas Suntest device working at 500W/m 2 .
- test solution's composition is described in Table 1
- cysteine has a stabilizing effect on paracetamol, decreasing its degradation rate in aqueous solutions.
- the stability was evaluated in terms of percentage of impurities formed in the solution and colour of the solution.
- the colour of the solution is related to the presence of p-aminophenol, benzoquinoneimines, polymerization products and other impurities related to the synthesis and degradation of paracetamol.
- cysteine used as antioxidant improves paracetamol stability, preventing the formation of impurities, i.e. degradation products of paracetamol.
- paracetamol aqueous solutions are unstable in the presence of oxygen. Therefore, decreasing the dissolved oxygen content in paracetamol solution prevents the degradation of paracetamol.
- end solution A was deoxygenated by flushing nitrogen into the head- space of the tank.
- the pH of paracetamol solution was adjusted to 5.8.
- the paracetamol solution was filled in glass bottles under nitrogen atmosphere.
- Solution C was prepared and the pH of the paracetamol solution was adjusted to 5.8.
- the paracetamol solution was filled in glass bottles.
- the stability was evaluated under photostability stress conditions over 48 hours at 40°C.
- the colour of solution is related to the presence of p-aminophenol, benzoquinoneimines, polymerization products and other impurities related to the synthesis and degradation of paracetamol.
- the stability was evaluated in terms of colour of solution.
- the colour of solution is related to the presence of p-aminophenol, benzoquinoneimines, polymerization products and other impurities related to the synthesis and degradation of paracetamol.
- sodium metabisulphite used as antioxidant improves paracetamol stability.
- the stability was evaluated in terms of colour of solution.
- the colour of solution is related to the presence of p-aminophenol, benzoquinoneimines, polymerization products and other impurities related to the synthesis and degradation of paracetamol.
- sodium citrate used as antioxidant improves paracetamol stability.
- magnesium chloride has a stabilizing effect on paracetamol, decreasing its degradation rate in aqueous solutions.
- the stability was evaluated in terms of percentage of colour of solution.
- the colour of solution is related to the presence of p-aminophenol, benzoquinoneimines, polymerization products and other impurities related to the synthesis and degradation of paracetamol.
- magnesium chloride used as antioxidant improves paracetamol stability.
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Abstract
Priority Applications (4)
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PCT/PT2009/000069 WO2011071400A1 (fr) | 2009-12-10 | 2009-12-10 | Procédé et composition pour préparation de formulations liquides stables de paracétamol |
CN200980163266.5A CN102711726A (zh) | 2009-12-10 | 2009-12-10 | 用于制备扑热息痛稳定液体制剂的方法和组合物 |
US13/514,772 US20120245230A1 (en) | 2009-12-10 | 2009-12-10 | Method and composition for preparing stable liquid formulations of paracetamol |
ZA2012/04009A ZA201204009B (en) | 2009-12-10 | 2012-06-01 | Method and composition for preparing stable liquid formulations of paracetamol |
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PCT/PT2009/000069 WO2011071400A1 (fr) | 2009-12-10 | 2009-12-10 | Procédé et composition pour préparation de formulations liquides stables de paracétamol |
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WO2011071400A1 true WO2011071400A1 (fr) | 2011-06-16 |
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PCT/PT2009/000069 WO2011071400A1 (fr) | 2009-12-10 | 2009-12-10 | Procédé et composition pour préparation de formulations liquides stables de paracétamol |
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US (1) | US20120245230A1 (fr) |
CN (1) | CN102711726A (fr) |
WO (1) | WO2011071400A1 (fr) |
ZA (1) | ZA201204009B (fr) |
Cited By (7)
Publication number | Priority date | Publication date | Assignee | Title |
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WO2012107093A1 (fr) * | 2011-02-10 | 2012-08-16 | Neogen N.V. | Formulation de paracétamol en solution aqueuse stable au stockage |
WO2013108180A1 (fr) * | 2012-01-16 | 2013-07-25 | Novocat Farma, S. A. | Composition aqueuse de paracétamol pour injection |
WO2014083071A1 (fr) * | 2012-11-27 | 2014-06-05 | Genfarma Laboratorio, S.L. | Préparation liquide injectable consistant en une combinaison de tramadol et de paracétamol |
US20150105471A1 (en) * | 2009-04-22 | 2015-04-16 | Fresenius Kabi Deutschland Gmbh | Paracetamol for parenteral administration |
WO2016156147A1 (fr) | 2015-03-27 | 2016-10-06 | Grünenthal GmbH | Formulation stable pour l'administration parentérale de tapentadol |
WO2018055070A1 (fr) | 2016-09-23 | 2018-03-29 | Grünenthal GmbH | Formulation stable pour l'administration parentérale de tapentadol |
US11547678B2 (en) | 2011-03-04 | 2023-01-10 | Gruenenthal Gmbh | Aqueous pharmaceutical formulation of tapentadol for oral administration |
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WO2017177160A1 (fr) | 2016-04-07 | 2017-10-12 | Nevakar Llc | Formulation destinée à être utilisée dans une méthode de traitement de la douleur |
CN106619593A (zh) * | 2016-12-09 | 2017-05-10 | 南京理工大学 | 一种提高含对乙酰氨基酚药物稳定性的方法 |
JP7249670B2 (ja) * | 2017-10-03 | 2023-03-31 | ネヴァカー インジェクテーブルズ インコーポレイテッド | アセトアミノフェン-プレガバリン組み合わせ及び疼痛を処置する方法 |
CN108379222A (zh) * | 2018-04-03 | 2018-08-10 | 彭进洪 | 一种对乙酰氨基酚注射液及其制造工艺 |
CN111170880A (zh) * | 2020-01-06 | 2020-05-19 | 河北冀衡(集团)药业有限公司 | 一种对乙酰氨基酚的生产系统和方法 |
CN116158429B (zh) * | 2021-11-25 | 2024-06-18 | 沈阳中化农药化工研发有限公司 | 一种含有联苯类化合物稳定的液体制剂 |
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- 2009-12-10 WO PCT/PT2009/000069 patent/WO2011071400A1/fr active Application Filing
- 2009-12-10 CN CN200980163266.5A patent/CN102711726A/zh active Pending
- 2009-12-10 US US13/514,772 patent/US20120245230A1/en not_active Abandoned
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2012
- 2012-06-01 ZA ZA2012/04009A patent/ZA201204009B/en unknown
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Cited By (13)
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US20150105471A1 (en) * | 2009-04-22 | 2015-04-16 | Fresenius Kabi Deutschland Gmbh | Paracetamol for parenteral administration |
WO2012107093A1 (fr) * | 2011-02-10 | 2012-08-16 | Neogen N.V. | Formulation de paracétamol en solution aqueuse stable au stockage |
US9089477B2 (en) | 2011-02-10 | 2015-07-28 | Neogen N.V. | Storage-stable formulation of paracetamol in aqueous solution |
US11547678B2 (en) | 2011-03-04 | 2023-01-10 | Gruenenthal Gmbh | Aqueous pharmaceutical formulation of tapentadol for oral administration |
WO2013108180A1 (fr) * | 2012-01-16 | 2013-07-25 | Novocat Farma, S. A. | Composition aqueuse de paracétamol pour injection |
WO2014083071A1 (fr) * | 2012-11-27 | 2014-06-05 | Genfarma Laboratorio, S.L. | Préparation liquide injectable consistant en une combinaison de tramadol et de paracétamol |
EA036258B1 (ru) * | 2015-03-27 | 2020-10-20 | Грюненталь Гмбх | Стабильный препарат для парентерального введения тапентадола |
JP2018509462A (ja) * | 2015-03-27 | 2018-04-05 | グリュネンタール・ゲゼルシャフト・ミト・ベシュレンクテル・ハフツング | タペンタドールの非経口投与のための安定な製剤 |
EP3479823A1 (fr) | 2015-03-27 | 2019-05-08 | Grünenthal GmbH | Formulation stable pour l'administration parenterale de tapentadol |
US11013701B2 (en) | 2015-03-27 | 2021-05-25 | Grünenthal GmbH | Stable formulation for parenteral administration of tapentadol |
WO2016156147A1 (fr) | 2015-03-27 | 2016-10-06 | Grünenthal GmbH | Formulation stable pour l'administration parentérale de tapentadol |
WO2018055070A1 (fr) | 2016-09-23 | 2018-03-29 | Grünenthal GmbH | Formulation stable pour l'administration parentérale de tapentadol |
US10898452B2 (en) | 2016-09-23 | 2021-01-26 | Gruenenthal Gmbh | Stable formulation for parenteral administration of Tapentadol |
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ZA201204009B (en) | 2013-02-27 |
US20120245230A1 (en) | 2012-09-27 |
CN102711726A (zh) | 2012-10-03 |
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