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    • 5. 发明申请
    • STABLE PHARMACEUTICAL COMPOSITION CONTAINING FOLATES
    • 稳定的药物组合物
    • WO2014177274A1
    • 2014-11-06
    • PCT/EP2014/001153
    • 2014-04-30
    • APROFOL AG
    • ULMANN, Martin
    • A61K9/00A61K9/08A61K31/505A61K47/12A61K47/24
    • A61K31/519A61K9/0019A61K9/08A61K47/12A61K47/24
    • The administration of leucovorin 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 and form almost insoluble degradation products. Therefore aqueous solutions are unstable and precipitates are resulting. Precipitates in injectable products present an unacceptable safety risk to patients. Stable high strength pharmaceutical aqueous compositions are formed containing calcium salts, magnesium or zinc salts of the reduced folates leucovorin, (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, glycerophosphate disodium salt or glycerophosphate dipotassium salt.
    • 甲酰四氢叶酸和其他活性的还原叶酸的施用可用作作为叶酸拮抗剂和与5-FU联合化疗的药物的解毒剂。 最常用的叶酸钙盐在水中的溶解度低,形成几乎不溶的降解产物。 因此,水溶液不稳定,导致沉淀。 注射用产品中的沉淀物对患者来说是不可接受的安全隐患。 形成稳定的高强度药物含水组合物,其含有还原叶酸甲酰四氢叶酸(6R,S) - 四氢叶酸,(6S) - 四氢叶酸,5,10-亚甲基 - (6R,S) - 四氢叶酸的钙盐,镁或锌盐, 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) - 四氢叶酸和一种或多种化合物葡萄糖酸钠,葡萄糖酸钾,甘油磷酸二钠 盐或甘油磷酸二钾盐。