申请人:Aprofol AG
公开号:EP2799061A1
公开(公告)日:2014-11-05
The administration of leucovorin and levoleucovorin as well as other active, reduced folates are useful as an antidote to drugs which act as folic acid antagonists and in combination chemotherapy with 5-FU.
The most often used calcium salts of the folates have a low solubility in water. Therefore aqueous solutions are unstable and precipitates are resulting. Precipitates in injectable products present an unacceptable risk to patients.
Stable high strength pharmaceutical aqueous compositions containing calcium salts, magnesium or zinc salts of the reduced folates leucovorin, levoleucovorin, (6R,S)-tetrahydrofolic acid, (6S)-tetrahydrofolic acid, 5,10-methylene-(6R,S)-tetrahydrofolate, 5,10-methylene-(6R)-tetrahydrofolate, 5-methyl-(6R,S)-tetrahydrofolate or 5-methyl-(6S)-tetrahydrofolate and one or more of the compounds sodium gluconate, potassium gluconate, magnesium gluconate, calcium gluconate, sodium lactate, potassium lactate, magnesium lactate, calcium lactate, glycerophosphate disodium salt, glycerophosphate dipotassium salt glycerophosphate calcium salt or glycerophosphate magnesium salt are disclosed.
白斑葉酸和左旋白斑葉酸的使用,以及其他有效的还原型叶酸,可作为拮抗叶酸类药物的解毒剂,以及与5-FU联合化疗。最常用的叶酸钙盐在水中的溶解度较低。因此,水溶液不稳定,会产生沉淀。注射产品中的沉淀对患者构成不可接受的风险。本发明揭示了稳定的高强度制药水溶液组合物,其中包含白斑葉酸、左旋白斑葉酸、(6R,S)-四氢叶酸、(6S)-四氢叶酸、5,10-亚甲基-(6R,S)-四氢叶酸、5,10-亚甲基-(6R)-四氢叶酸、5-甲基-(6R,S)-四氢叶酸或5-甲基-(6S)-四氢叶酸的钙盐、镁盐或锌盐,以及一个或多个化合物,如葡萄糖酸钠、葡萄糖酸钾、葡萄糖酸镁、葡萄糖酸钙、乳酸钠、乳酸钾、乳酸镁、乳酸钙、二钠磷酸甘油酸盐、二钾磷酸甘油酸盐、磷酸二钙甘油酸盐或磷酸二镁甘油酸盐。